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Low-dimensional organic-inorganic hybrid lead halide perovskites have attracted much interest in solid-state lighting and displays, but the toxicity and instability of lead halide are obstacles to their industrial applications, which must be overcome. As an alternative, Cu(I)-based hybrid metal halides have emerged as a new type of luminescent material owing to their diversified structure, adjustable luminescence, low toxicity and low cost. Herein, we report three one-dimensional (1D) hybrid Cu(I)-based halides with the general formula ACu 2 Br 4 (A = [(Me) 4 -Pipz] 2+ and [BuDA] 2+ and [TMEDA] 2+ ). These 1D hybrid Cu(I) halides display stable broadband blue emission with maximum emission peaks in the range of 445-474 nm and the highest photoluminescence quantum yield of 37.8%. Furthermore, in-depth experimental and theoretical investigations revealed that the broadband blue emissions originate from the radiative recombination of self-trapped excitons. Most importantly, there is no structural degradation and attenuation of emission intensity even after continuously soaking these halides in water for at least two months, demonstrating their ultra-high anti-water stability. Hirshfeld surface analysis shows that a large number of weak hydrogen bonds can protect the inorganic skeleton from degradation due to water. This work provides a new strategy for the design of water-stable Cu(I)-based halides with efficient blue emission and wide potential applications in humid environments.

Commercially available rare-earth-doped inorganic oxide materials have been widely applied as X-ray scintillators, but the fragile characteristics, high detection limit, and harsh preparation condition seriously restrict their wide applications. Furthermore, it remains a huge challenge to realize X-ray flexible imaging technology for real-time monitoring of the curving interface of complex devices. To address these issues, we herein report two isostructural cuprous halides of zero-dimensional (0D) [AEPipz]CuX 3 ·X·H 2 O (AEPipz = N -aminoethylpiperazine, X = Br and I) with controllable size to nanosize crystal as highly efficient scintillators toward flexible X-ray imaging. These cuprous halides exhibit highly efficient cyan photoluminescence and radioluminescence emissions with the highest quantum yield of 92.1% and light yield of 62,400 photons MeV -1 , respectively, surpassing most of the commercially available inorganic scintillators. Meanwhile, the ultralow detection limit of 95.7 n Gy air s -1 was far below the X-ray dose required for diagnosis (5.5 μ Gy air s -1 ). More significantly, the flexible film is facilely assembled with excellent foldability and high crack resistance, which further acts as a scintillation screen achieving a high spatial resolution of 17.4 lp mm -1 in X-ray imaging, demonstrating the potential application in wearable radiation radiography. The combined advantages of high light yield, low detection limit, and excellent flexibility promote these 0D cuprous halides as the most promising X-ray scintillators.

Organic-inorganic hybrid low-dimensional lead halides have garnered significant interest in the realm of solid-state optical materials due to their unique properties and potential applications. In this study, we report the synthesis, characterization and application of Mn 2+ -doped one-dimensional (1D) [AEP]PbCl 5 ·H 2 O hybrid lead halide perovskites with tunable photoluminescence properties. The Mn 2+ doping leads to a redshift of the dominant emission wavelength from 463 nm to 630 nm, with the optimal doping concentration resulting in an enhanced photoluminescence quantum yield (PLQY) from less than 1% to 8.96%. The structural and optical stability of these doped perovskites have been thoroughly investigated revealing excellent performance under humid and high-temperature conditions. Perovskite-PVP composite films exhibit high crystallization and bright orange-red emission under UV excitation. Furthermore, we demonstrate the successful fabrication of a white LED device using the Mn 2+ -doped perovskite in combination with commercial green and blue phosphors. The fabricated LED exhibits a high color rendering index (CRI) of 87.2 and stable electroluminescence performance under various operating currents and extended operation times. Our findings highlight the potential of Mn 2+ -doped 1D hybrid lead halide perovskites as efficient and stable phosphors for high-performance white light emitting diodes and other optoelectronic applications., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Objective: Non-specific low back pain is a common disorder that affects more than 80% of the world's population. But the potential risk factors remain unclear. The aim of this study is to develop a nomogram for the risk prediction of low back pain in young population., Patients and Methods: A total of 264 young participants (18-45 years old) were recruited and randomly divided into a training set (n=188) and a validation set (n=76) by a ratio of 7:3. The nomogram was developed based on the training set. The independent predictors of low back pain were identified by LASSO and logistic regression analysis. A nomogram was developed according to the predictors. To assess the reliability of the nomogram, the area under the curve (AUC), calibration curve, and decision curve analysis (DCA) were applied. The validation set was used to validate the results., Results: Sixteen factors were included in the characteristics of the eligible subjects. LASSO showed that five independent predictors including working posture, exercising hours per week, Tuffier's line, six lumbar vertebrae anomaly, and lumbar lordosis angle were the independent risk factors of low back pain in young population, which were identified by multivariate logistic regression analysis and were used to establish the nomogram. The AUC values of the nomogram were 0.867 (95% CI: 0.809-0.924) and 0.868 (95% CI: 0.775-0.961) in the training and validation set, respectively. The calibration curve revealed that the prediction model of the nomogram was greatly consistent with the actual observation. In addition, the DCA indicated that the nomogram was clinically useful., Conclusions: Working posture, exercising hours per week, Tuffier's line, six lumbar vertebrae anomaly, and lumbar lordosis angle are identified as independent predictors of non-specific low back pain in young population. And the nomogram based on the above five predictors can accurately predict the risk of low back pain in young people.

Purpose: To investigate whether the K-line classification in different cervical dynamic position of patients with Ossification of the Posterior Longitudinal Ligament (OPLL) affects clinical outcome after Anterior Controllable Antedisplacement and Fusion (ACAF) surgery., Methods: A total of 93 patients who suffered from cervical spondylosis caused by OPLL underwent ACAF surgery between June 2015 and December 2017 in a single institution. Neutral, neck-flexed and neck-extended cervical radiographs were obtained from every patient. Subsequently they were classified into K-line (+) and K-line (-) with reference to the K-line classification criteria. Clinical outcomes were assessed by the JOA score, improvement rate (IR) and visual analogue scale (VAS). Radiological assessment included Cobb angle and occupation ratio (OR) of OPLL. Correlations between the long-term surgical outcomes and classification of K-line in different dynamic position were analyzed by one-way analysis of variance., Results: Significant improvements were shown in all postoperative clinical and radiographic assessments ( P  < 0.05). There were no differences in IR, Cobb angle and VAS among flexion K-line (-), flexion K-line (+), extension K-line (-) and extension K-line (+) at the 2-year follow-up ( P  > 0.05). However, the OR of extension K-line (-) (16.13% ± 11.58%) was higher than that of extension K-line (+) (9.00% ± 10.27%) and flexion K-line (+) subgroup (9.47% ± 9.97%) ( P  < 0.05)., Conclusion: The ACAF procedure has shown satisfactory surgical outcomes in various K-line classifications in different dynamic position., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2022 Han, Sun, Yan, Sun and Shi.)

Objective: To propose a novel technique of free-hand pedicle screw placement in cervicothoracic spine (snake-eye method) and evaluate the preliminary effects and safety in clinical practice., Methods: This is a retrospective study and we defined the period of this study as from December 2017 to April 2019 in our institution. Forty patients were included in this study who underwent cervicothoracic internal fixation in our hospital, and all patients undergoing implantation of 200 pedicle screws were divided into two groups. Twenty-two patients (108 screws) had screw placement using traditional method, while 18 patients (92 screws) had screw placement using snake-eye method. To reduce the possible selection bias, the patients we recruited in this study was originally performed on by one radiological doctor who was blind to the objective of this study. Patient demographics, including patient age, sex, obesity, smoking, and hypertension, were evaluated to figure out baseline differences between groups. Medical information was recorded including time, accuracy, and immediate (within 30 days after surgery) postoperative complications of pedicle screw placement (including pulmonary embolism or other thromboembolic events, surgical site infection, neurovascular injury, and mortality)., Results: There were 24 males and 16 females, with an average age of 52.2 years (range, 24-77). Finally, a total of 200 screws were successfully inserted in these patients, including fifteen patients with four pedicle screws, four patients with six screws, three patients with eight screws in traditional method group, and 12 patients with four pedicle screws, two patients with six screws, four patients with eight screws in snake-eye method group. Patient demographic and comparison of two surgery methods are shown in Tables 1 and 2. The data baselines of the two groups were comparable because no impact of the two groups on population characteristics was demonstrated in the presented experiment. Also, we noticed that time and accuracy of the two groups were different with statistical significance at the level of P = 0.05. We observed that immediate (within 30 days after surgery) postoperative complications, including pulmonary embolism (PE), surgical site infection (SSI), neurovascular injury (NI), and mortality, in the two groups did not differ., Conclusion: This study highlights a safe and effective technique for pedicle screw placement in cervicothoracic spine named snake-eye method, and this technique may be particularly useful in emergency conditions with limited resources., (© 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.)

Biodegradable composites with an open-cell structure were developed to replace petroleum-based buffer packaging materials. To overcome the problem of uneven and insufficient foam in the composites, CaCO 3 was used as a nucleating agent to prepare porous composites. At 5 wt% CaCO 3 , more uniform and dense composite cells with better cushioning performance were obtained. A further increase in the CaCO 3 content caused the density of the cells and the cushioning properties of the composites to decrease. The addition of CaCO 3 improved the thermal stability and water barrier properties. The moisture absorption was reduced by 15%. X-ray diffraction analysis indicated that the addition of CaCO 3 destroyed the crystalline structure of the starch and produced a new crystalline peak, resulting in a significant reduction in the crystallinity. The decrease in the crystallinity of the starch resulted in the formation of a homogeneous slurry that produced a uniform foam in the composites., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Objective: This article aimed to introduce a novel technique, the "seesaw technique," for failed anterior cervical corpectomy and fusion (ACCF) in the treatment of cervical ossification of the posterior longitudinal ligament., Methods: A patient who underwent ACCF 12 years ago and suffered gradually deteriorating neurologic function was referred to our institution. Preoperative imaging showed residual ossified mass at C5/6 level, causing compression to his spinal cord. He patient was treated by the seesaw technique. The main surgical procedures include removal of the plate and screws, removal of the osteophytes and diskectomy of C4/5, resection of the anterior part of C5 vertebral body, establishment of a transverse hinge at C7 vertebral body, installation of cervical plate and hoisting tool, and antedisplacement of C5 vertebral body and titanium mesh. Images were investigated before and after the procedure. The Japanese Orthopaedic Association score was used to evaluate his neurologic function, and surgery-related complications were also analyzed., Results: The patient acquired significant improvement of his neurologic function 2 days after the surgery, and he could walk by himself without assistance. Postoperative images showed his spinal canal was enlarged sufficiently and the compression at C5/6 level was also released. At 13 months follow-up, his Japanese Orthopaedic Association score increased from 9 before surgery to 14, with an improvement rate of 62.5%. No surgery-related complications were observed during the whole follow-up., Conclusion: The seesaw technique provides satisfactory outcomes with wide enough decompression window and serves as a safe, effective surgical alternative for patients with failed ACCF., (Copyright © 2020 Elsevier Inc. All rights reserved.)

When chitosan/starch films were used as agricultural mulch films, the problem of rupture often occurred. In order to improve the elongation at break, chitosan/starch blend films were prepared by casting with different formulations (different ratios of chitosan to starch, different plasticizing components and different plasticizer ratios) in this research. The elongation at break of the film reached up to 104.1% when chitosan was plasticized with 10% glycerol and 0.94% ethylene glycol alone and then mixed according to a 1 : 0.6 chitosan-starch ratio. The fact that plasticizing starch, plasticizing chitosan or co-plasticizing starch and chitosan made a big difference to the mechanical properties of the films was discovered for the first time. The films with different plasticizing components were characterized by their mechanical properties, crystal structures and surface morphologies. Mechanical properties of the films were related to their crystallinity. The higher the crystallinity, the higher the elongation at break. Plasticizing starch alone facilitated the formation of hydrogen bonds and massive structures. Plasticizing chitosan alone was beneficial to the formation of network structures of the films and exhibited anti-plasticization at low plasticizer concentration., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Novel starch/fiber composites with open cell structures were proposed through thermo-cavity molding. To overcome the disadvantage of the water sensitivity of the resulting composites, poly-methyltriethoxysilane (PTS) was added as a waterproofing agent. The results showed that the addition of PTS improved the waterproof property of the composites. The composites with 15 g PTS (PTS-15) exhibited an optimal waterproof property. The water contact angle and drop absorption of the PTS-15 composites improved by 59.9% and 223.5%, respectively, compared with the values for those without PTS. Moreover, the addition of PTS could effectively prevent the degradation of the mechanical properties of the composites after water absorption. The rate of tensile property degradation for the PTS-15 composites reached 5.3%, whereas that for the PTS-0 composites totaled 56.6%. The chemical bonds and micro-structure of the composites were investigated to reveal the inherent mechanism of property changes. Fourier transform infrared spectra revealed the formation of new hydrogen bonds between starch and PTS. Hydrophobic groups, including Si-O-Si, Si-C, and Si-OH, were found in the resulting composites, thereby explaining the waterproof property changes. Scanning electron microscopy images showed that the open cell structure of the composites initially became denser and then loosened with the increase in the PTS content, resulting in the initial enhancement and the subsequent weakening of their mechanical properties., Competing Interests: There are no conflicts of interest to declare., (This journal is © The Royal Society of Chemistry.)

Objectives: To investigate the effect of computer-assisted virtual operation planning (CAVOP) on anterior controllable anterior-displacement and fusion (ACAF) surgery for ossification of the posterior longitudinal ligament (OPLL)., Patients and Methods: A total of 25 patients with OPLL were enrolled in the study from September 2017 to December 2017. Preoperative Computed tomography (CT) scanning data were input into Mimics software to reconstruct three-dimensional (3D) models of actual cervical OPLL.Preoperative simulation of each surgical procedure and measurement of main parameters for intraoperative decision were conducted. Postoperative CT were used to test the clinical value of the preoperative planning. Width of vertebrae-OPLL complex (VOC), thickness of resected vertebral body (VB), height of intervertebral spacer, and length of screws and anterior plate were analyzed., Results: There were no significant differences between the length of screws, width of VOC, and thickness of anterior resection of vertebrae in preoperative CT and postoperative CT. Statistical differences were found between preoperative and postoperative height of intervertebral space and length of anterior plate., Conclusion: A virtual ACAF surgical procedure for OPLL is feasible and useful clinically in surgical planning. It may provide a valuable tool for surgeons in formulating an appropriate surgical plan., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Objective: To analyze the correlation between the K-line-based classification of patients with ossification of the posterior longitudinal ligament (OPLL) and their outcome after anterior controllable antedisplacement and fusion (ACAF) surgery., Methods: A series of 24 patients with multisegmental OPLL were enrolled. All patients underwent ACAF surgery. First, the patients were classified into 2 groups according to their K-line classification. Then, we separated the patients into subgroups according to their OPLL thickness. The Japanese Orthopaedic Association scores before and 6 months after surgery were studied, and the recovery rate (RR) was calculated. The preoperative and postoperative radiologic parameters were also investigated., Results: Clinical and radiographic assessments showed no significant correlation between the K-line-based classification of patients with OPLL and their outcome of ACAF surgery (P > 0.05). When the OPLL was ≤6 mm thick, K-line-based classification groups had a similar change of occupation ratio and RR (P > 0.05). However, when the OPLL was >6 mm thick, the mean RR was 61.8% ± 14.0% in the K-line (+) group and 78.3% ± 9.7% in the K-line (-) group (P < 0.05), and the mean was 16.0% ± 4.2% in the K-line (+) group and 28.0% ± 7.1% in the K-line (-) group (P < 0.05)., Conclusions: This study shows that K-line can predict the clinical outcome of ACAF surgery for multisegmental OPLL in a different way from posterior decompression surgery. When the OPLL was thin, the outcome was satisfactory and there was no correlation with K-line-based classification of patients with OPLL. When the OPLL was >6 mm thick, the K-line (-) group patients had a better outcome than did K-line (+) group patients., (Copyright © 2018 Elsevier Inc. All rights reserved.)

The direct redox reaction (galvanic displacement) between Pd(2+) and substrate Si was used to deposit Pd on Si, and the Pd-Si catalysts enabled a chemoselective hydrogenation of para-chloronitrobenzene with the selectivity for para-chloroaniline higher than 99.9% at complete conversion of para-chloronitrobenzene.

Adding a small amount of fully dispersed Pt entities onto the Au surface in Au/SiO(2) catalyst is found to be an efficient approach to improve the catalytic activity of Au (up to 70-fold) for the hydrogenation of α,β-unsaturated carbonyl compounds, without alternating its selectivity towards C=O or C=C bond hydrogenation.

The effect of Au(3+) percentage in Au/TiO(2) on its storage stability at room temperature was studied by varying the drying temperature and storage duration of a deposition-precipitation prepared Au/TiO(2) sample. Carefully-designed room temperature storage in a desiccator, in the dark to exclude any interference of light irradiation, was referenced to the freezing storage (255 K) in a refrigerator. The samples were characterized by well-calibrated H(2)-TPR, TEM and TG measurements. Reduction of Au(3+) ions and agglomeration of metallic Au particles were shown to be the main reasons for the deterioration of Au/TiO(2) during desiccator-storage. Correlating the percentage of Au(3+) ions, determined by H(2)-TPR, with the storage stability of Au/TiO(2) for CO oxidation at 273 K revealed that Au/TiO(2) samples with higher Au(3+) percentages (>90%) were much more stable during the desiccator-storage than those with higher percentages of metallic Au. Residual water in fresh Au/TiO(2) before storage showed a promotional effect on gold reduction and agglomeration during storage. By maximizing the percentage of Au(3+) ions and minimizing the residual water in the fresh sample, the deterioration of the Au/TiO(2) catalyst was successfully avoided during desiccator-storage of up to 150 days in dark. A possible mechanism of Au/TiO(2) deterioration during the desiccator-storage was also discussed.

The evolution of nickel speciation during the successive preparation steps of Ni-SiO(2) catalysts is studied by UV-Vis-NIR, FT-IR, DTG, TPR and TEM. The study focuses on the effect of the number of chelating ligands in the precursor complexes [Ni(en)(x)(H(2)O)((6-2x))](2+) (en = ethylenediamine, x = 1, 2, 3) on the adsorption on silica, and on nickel speciation after thermal treatment. When the en:Ni ratio in solution increases from 1 to 3, the most abundant complex is [Ni(en)(H(2)O)(4)](2+) (64% of all Ni complexes), [Ni(en)(2)(H(2)O)(2)](2+) (81%) and [Ni(en)(3)](2+) (61%), respectively. Equilibrium adsorption of [Ni(en)(x)(H(2)O)((6-2x))](2+) on SiO(2) results in the selective grafting of [Ni(en)(H(2)O)(4)](2+) and [Ni(en)(2)(H(2)O)(2)](2+), through the substitution of two labile H(2)O ligands by two surface SiO(-) groups. The surface [Ni(en)(H(2)O)(2)(SiO)(2)] complex formed by the grafting of [Ni(en)(H(2)O)(4)](2+) onto silica tends to transform into NiO and nickel phyllosilicate after calcination, which consequently leads to large and heterogeneously distributed metallic Ni particles upon reduction. In contrast, [Ni(en)(2)(SiO)(2)], resulting from the grafting of [Ni(en)(2)(H(2)O)(2)](2+) onto silica, no longer has aqua ligands able to react with other nickel complexes or silicium-containing species. Calcination transforms these complexes into isolated Ni(2+) ions, which are reduced into small metallic Ni particles with a more homogeneous size distribution, even at higher Ni loading.

The aim of this study was to characterize the properties of somatosensory neurons in the first 2 cervical spinal dorsal horns (C1 and C2 DHs) and compare them with those previously described for the rostral subnucleus caudalis (rVc). A total of 74 nociceptive neurons classified as wide-dynamic-range (WDR) or nociceptive-specific (NS), as well as 72 low-threshold mechanoreceptive (LTM) neurons, was studied in urethane/chloralose-anesthetized rats. The majority of LTM neurons were located in laminae III/IV and had a small mechanoreceptive field (RF) that included the posterior face and cervical tissues. In contrast, the nociceptive neurons were located in laminae I/II or V/VI, and the RF of each C1 and C2 DH nociceptive neuron included a part of the face and in 47% of them the RF included a region supplied by upper cervical afferents. There was a gradual caudal shift in the neuronal RF from nasal/intraoral tissues towards the neck as recording sites progressed from rVc to C1 and C2 DHs. In contrast to LTM neurons, many C1 and C2 DH nociceptive neurons received mechanosensitive convergent afferent inputs from cervical and craniofacial deep tissues (e.g., tongue muscles or temporomandibular joint), and over 50% could be activated by hypoglossal (XII) nerve electrical stimulation. We propose that C1 and C2 DHs represent part of the caudal extension of the Vc, and that Vc and C1 and C2 DHs may act together as one functional unit to process nociceptive information from craniofacial and cervical tissues, including that from deep craniofacial tissues.

Purpose: The goal of this study was to explore the relationship between feeding methods and deciduous caries., Methods: An investigation on children's feeding methods, caries prevalence and dmft was made, using 260 cases which were provided with whole primary teeth. Chi-square test was used for statistical analysis on feeding methods and caries prevalence, and variance analysis was used on feeding methods and dmft., Results: The results showed that the deciduous caries rate, mean dmft in breast feeding (BF) group were lower than those in mixed feeding (MF) group and artificial feeding (AF) group, there were significant differences between BF group and MF group,also between BF group and AF group. But there were no significant differences between MF group and AF group., Conclusion: It is concluded that proper breast feeding seems to be important for preventing deciduous caries.

Single unit discharges were extracellularly recorded from the neurons in the lateral parabrachial nucleus (LPBN) and responses of the recorded units to antidromic stimulation of the subfornical organ (SFO) and to orthodromic stimulation of the nucleus tractus solitarius (NTS) were observed in urethane-anesthetized rats. Following electrical stimulation of the SFO, 9.9% (51/151) of the LPBN units were antidromically activated. After activation of peripheral baroreceptors by raising arterial blood pressure with an intravenous injection of phenylephrine, 40.7% (22/54) of the LPBN units were inhibited and 27.8% (17/54) excited. Following orthodromic stimulation of the depressor area in the NTS, 55.6% (94/169) of the LPBN units showed an increase and 22.5% (38/169) a decrease in firing rates. Among the LPBN neurons antidromically activated by SFO stimulation, 2 units were inhibited by phenylephrine administrated i.v.; of the 8 units tested, when the NTS was stimulated, 6 were excited and 2 inhibited. The results suggest that the LPBN neurons may receive inhibitory or excitatory baroreceptive inputs from the NTS and then relay it directly to SFO.

The biological and physical properties of albumin and nitroxides make them attractive candidates as special purpose MRI contrast agents which could be used to study the intravascular compartment or specific targets in tissues. In this study, albumin-nitroxide complexes were prepared by reduction and alkylation of the disulfide bonds of the protein and characterized by electron spin resonance and ultraviolet absorption spectroscopy. An average of six nitroxides were bound covalently to each molecule of human serum albumin. The water proton relaxivity of the protein-bound nitroxide (at 20 MHz and 37 degrees C) was 4-fold greater than that of the free nitroxide. The digestion of the nitroxide-albumin complexes by cells or by trypsin decreased the relaxivity of the nitroxide-protein complex. The rate of reduction of albumin-bound nitroxide by cells was much slower than that of the free nitroxide but still was oxygen-sensitive (2-3-fold increase in the rate of reduction in the absence of oxygen).