ABSTRACT
Background: There is a lack of comprehensive profile assessment on complete blood count (CBC)-derived systemic-inflammatory indices, and their correlations with clinical outcome in patients with anterior circulation acute ischemic stroke (AIS) who achieved successful recanalization by endovascular thrombectomy (EVT). Methods: Patients with anterior circulation AIS caused by large vessel occlusion (AIS-LVO) were retrospectively screened from December 2018 to December 2022. Systemic-inflammatory indices including ratios of neutrophil-to-lymphocyte (NLR), monocyte-to-lymphocyte (MLR), platelet-to-lymphocyte (PLR), and platelet-to-neutrophil (PNR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and aggregate inflammation systemic index (AISI) on admission and the first day post-EVT were calculated. Their correlations with symptomatic intracranial hemorrhage (sICH) and unfavorable 90-day functional outcome (modified Rankin Scale score of 3-6) were analyzed. Results: A total of 482 patients [65 (IQR, 56-72) years; 33 % female] were enrolled, of which 231 (47.9 %) had unfavorable 90-day outcome and 50 (10.4 %) developed sICH. Day 1 neutrophil and monocyte counts, NLR, MLR, PLR, SII, SIRI, and AISI were increased, while lymphocyte and PNR were decreased compared to their admission levels. In multivariate analyses, neutrophil count, NLR, SII, and AISI on day 1 were independently associated with 90-day functional outcome. Moreover, day 1 neutrophil count, NLR, MLR, PLR, PNR, SII, and SIRI were independently linked to the occurrence of sICH. No admission variables were identified as independent risk factors for patient outcomes. Conclusion: CBC-derived systemic-inflammatory indices measured on the first day after successful EVT are predictive of 90-day functional outcome and the sICH occurrence in patients with anterior circulation AIS-LVO.
ABSTRACT
Tm3+ and Yb3+ codoped LuPO4 phosphors were synthesized by the reverse-strike co-precipitation method. The obtained LuPO4:Tm3+,Yb3+ phosphors were characterized by X-ray diffraction (XRD), diffuse reflectance spectra, photoluminescence (PL) spectra, and decay lifetime to understand the observed near-infrared downconversion (DC) phenomena. The XRD results show that all the prepared phosphors can be readily indexed to the pure tetragonal phase of LuPO4 and exhibit good crystallinity. The experimental results showed that the strong visible emission around 649 nm from Tm3+(1G4 --> 3F4) and near-infrared (NIR) emission around 1003 nm from Yb3+(2F5/2 --> 2F7/2) of LuPO4:Tm3+,Yb3+ phosphors were observed under 468 nm excitation, respectively. The Yb3+ concentration dependence of luminescent properties and lifetimes of both the visible and NIR emissions have also been investigated. The quenching concentration of Yb3+ ions approaches 30 mol%. The DC mechanism is also discussed in detail.
