Prevalence of uveitis in syphilis patients in Taiwan.

Few population-based studies have looked at the risk of uveitis among syphilis patients. Our study addresses the knowledge gap by reporting on uveitis risk in syphilis patients through a retrospective cohort study. The Taiwan National Health Insurance database was used for this study, covering the period from January 1st, 2009, to December 31st, 2020. We created a 1:4 propensity score matched cohort between the syphilis patients and controls, which accounted for gender, age, and comorbidities. The primary endpoint was the incidence of newly recorded uveitis. The assessment of uveitis risk in syphilis patients included the use of the Kaplan-Meier method and multivariate Cox proportional hazard model. A total of 31,597 syphilis patients and 126,379 matched comparisons were recruited. The uveitis incidence rate from our syphilis patients was 1.25 per 1000 person-years. The uveitis incidence rate from our non-syphilis group was 0.8 per 1000 person-years. After matching, the syphilis group was found to have a higher risk of developing uveitis (adjusted hazard ratio (aHR) [95% CI]: 1.57 [1.36-1.81], P < .001). Among males and individuals aged 20-34 years, subgroup analysis showed an increased risk of uveitis in the presence of syphilis infection. The Kaplan-Meier survival curve showed a significant difference in uveitis incidence between syphilis and non-syphilis groups (log-rank test P < .001). In summary, our study revealed that Taiwanese syphilis patients were at a higher risk of developing uveitis. These results highlight the need for regular ocular monitoring and screening in individuals with syphilis.

Fluorinated photoreduced graphene oxide with semi-ionic C-F bonds: An effective carbon based photocatalyst for the removal of volatile organic compounds.

There is much interest in developing metal-free halogenated graphene such as fluorinated graphene for various catalytic applications. In this work, a fluorine-doped graphene oxide photocatalyst was investigated for photocatalytic oxidation (PCO) of a volatile organic compound (VOC), namely gaseous methanol. The fluorination process of graphene oxide (GO) was carried out via a novel and facile solution-based photoirradiation method. The fluorine atoms were doped on the surface of the GO in a semi-ionic C-F bond configuration. This presence of the semi-ionic C-F bonds induced a dramatic 7-fold increment of the hole charge carrier density of the photocatalyst. The fluorinated GO photocatalyst exhibited excellent photodegradation up to 93.5% or 0.493 h-1 according pseudo-first order kinetics for methanol. In addition, 91.7% of methanol was mineralized into harmless carbon dioxide (CO2) under UV-A irradiation. Furthermore, the photocatalyst demonstrated good stability in five cycles of methanol PCO. Besides methanol, other VOCs such as acetone and formaldehyde were also photodegraded. This work reveals the potential of fluorination in producing effective graphene-based photocatalyst for VOC removal.

Delaminated MnPS3 with Multiple Layers Coupled with Si Featuring Ultrahigh Detectivity and Environmental Stability for UV Photodetection.

Silicon (Si), the dominant semiconductor in microelectronics yet lacking optoelectronic functionalities in UV regions, has been researched extensively to make revolutionary changes. In this study, the inherent drawback of Si on optoelectronic functionalities in UV regions is potentially overcome through heterostructure coupling of delaminated p-type MnPS3, having bulk, multiple-layer, and few-layer features, with n-type Si. By artificially mimicking the architectures of shrubs with unique UV shading phenomena, the revolutionary multiple-layer MnPS3 structures with staggered stacking configurations trigger outstanding UV photosensing performances, displaying an average EQE value of 1.1 × 103%, average photoresponsivity of 3.1 × 102 A/W, average detectivity of 1.9 × 1014 cm Hz1/2W1-, and average on/off ratio of 1.8 × 103 under 365 nm light. To the best of our knowledge, this is the first attempt toward realizing gate-free MnPS3-based UV photodetectors, while all of the photodetection outcomes are better than those of more sophisticated field-effect transistor (FET) designs, which have remarkable impacts on the practicality and functionality of next-generation UV optoelectronics.

Acupuncture for ventilator-dependent patients at a hospital-based respiratory care center: A randomized controlled trial.

Background: In intensive care units, mechanical ventilation is an important therapy to help patients with dyspnea. However, long-term ventilator dependence would consume huge medical resources and increase the risk of morbidity and mortality. The aim of the study was to examine the efficacy of the acupuncture combined with western medical care on ventilator parameters in ventilator-dependent patients. Methods: In this clinical trial, 80 ventilator-dependent patients aged 20 to 80 years old were randomly assigned to acupuncture group and control group in the respiratory care center (RCC) of Changhua Christian Hospital. Besides regular medical care and therapy, participants in the acupuncture group received acupuncture therapy at the same 17 acu-points for 20 minutes once a day, a total of 12 sessions. The ventilator parameters were recorded to evaluate the respiratory efficiency for all participants. The primary outcome was rapid shallow breathing index (RSBI), and secondary outcomes were respiratory rate (RR), tidal volume (TV) and ventilation per minute (MV). Results: Though there was no significant difference in the parameter between the acupuncture group and the control group, we found the trend of decreasing RSBI in the acupuncture group. In subgroup analyses, the mean of RSBI significantly decreased 16.02 (with the SD in 60.84) in acupuncture group, while it increased 17.84 (with the SD in 39.38) in control group (p=0.036) after 12 sessions. Conclusion: Acupuncture treatment can improve breathing ability of patients with respirator dependence in respiratory care center.

Ultra-Broadband High-Entropy Oxide Absorber Layer for Enhanced Photodetector Performance.

A novel light-absorbing material of high-entropy oxide (HEO) has been synthesized using the hydrothermal method. The HEO has six metals, namely, Fe, Ni, Mn, Cr, Mg, and Cu. The obtained HEO light absorber is demonstrated to show unprecedented broadband absorption, ranging from 310 to 1400 nm. The photodetector having a structure of Ag/HEO/n-Si has been evaluated for its performance. Under the illumination of various light wavelengths, the photodetector exhibits a remarkably wide range of photoresponse from 365 to 1050 nm, giving wide-spectrum photocurrent densities in the order of 1 mA/cm2, a responsibility as high as 3.5 A/W (850 nm), and an external quantum efficiency (EQE) of more than 700% (850 nm), outperforming all of the reported oxide-based photodetectors. The superior device performance is attributed to the excellent light absorbance and EQE of the oxygen vacancy-containing HEO. Moreover, a number of tests, including the abrasion test, temperature endurance, acidic resistance, on-off switching cycling, and 3 dB bandwidth measurement, show the excellent reliability of the obtained HEO-based photodetector.

Balance of photon management and charge collection from carbon-quantum-dot layers as self-powered broadband photodetectors.

Semiconductor colloidal quantum dots (QDs) have been regarded as promising fluorescent materials for chemical sensing, bio-detection and optical communications; yet it still remains challenging to bring out self-powered photodetectors based solely on QDs because the excited charges within QDs are extremely immobile due to their reduced dimensionalities and they hardly form effective photocurrents. Hence, we have attempted to decouple the light-absorption and charge-transport criteria in order to feature highly-sensitive, rapid-response and self-driven photodetectors based on single-layer carbon QD layers (CQDLs) via facile in situ self-assembling deposition with fine control over thickness. We show explicit dark-current suppression by visualizing charge blocking phenomena and screen effects due to layered CQDL structures, which alleviate the movement of leakage carriers crossing over the CQD interlayers. By examining the distribution of electric fields within CQDLs under light excitation, the spatial dependence of the light-trapping effect within CQDLs was confirmed. These features are strongly associated with the thickness tuning of CQDLs, while 65 nm of CQDL thickness could manifest remarkable photoresponsivity above 9.4 mA W-1 and detectivity above 5.9 × 1012 under broadband light illumination. These results demonstrate the insights gained from an understanding of broadband optoelectronics, which might potentially pave the way for further employment in functional photodetection.

Association between immune checkpoint inhibitor medication and uveitis: a population-based cohort study utilizing TriNetX database.

Objective: To explore the associations between the use of immune checkpoint inhibitors (ICIs) and the risk of developing uveitis among cancer patients. Methods: Cancer patients who received ICI therapy and a comparison group of cancer patients who did not receive ICI therapy were retrospectively recruited from the TriNetX electronic heath-record registry. The outcome of interest was the development of new-onset uveitis. Propensity score matching based on a 1:1 ratio was conducted in order to reduce bias. Multi-variate cox proportional hazard models and Kaplan Meier method were also utilized to assess for the risk of uveitis among cancer patients who received ICI therapy. Results: 71931 cancer patients (54.7% male; 76.5% white; mean age at index 63.6 ± 12.2 years) who received ICI treatment (ICI group) and 71931 cancer patients (54.7% male; 77% white; mean age at index 63.5 ± 12.4 years) who never received ICI (comparison group) were recruited. Associated Kaplan-Meier curves showed significantly increased uveitis risk among the ICI group for all follow-up years (p<0.001). The risk of uveitis was also higher among the ICI group during the 144-month follow-up period with a hazard ratio (HR) of 2.39 (95% CI: 2.07-2.75). Increased risk for specific uveitis diseases, such as iridocyclitis, chorioretinal inflammation, retinal vasculitis, unspecified purulent endophthalmitis, pan-uveitis and sympathetic uveitis were found. Subgroup analysis demonstrated an elevated hazard ratio for the development of uveitis among ICI recipients, spanning individuals below the age of 65 as well as those aged 65 and older. The elevated hazard ratio for uveitis development among ICI recipients was also observed across all genders, among those of white and Asian ethnicities, those with smoking history, and those with comorbid conditions such as hypertension and dyslipidemia, in comparison to their non-ICI counterparts. An additional subgroup analysis on monotherapy versus combinatory ICI regimens was also conducted. Individuals who received monotherapy from the class of anti-PD-1 (HR:1.98 [CI: 1.65-2.37]) and anti-CTLA-4 (HR:5.86 [CI:1.99-17.24]) exhibited elevated hazard ratios for uveitis development compared to their non-ICI comparators. Those exposed to combinatory ICI regimens, specifically a combination of anti-PD-1 and anti-CTLA4 (HR: 5.04 [CI:3.55-7.16]), showed increased hazard ratios for uveitis development compared to their non-ICI comparators. In contrast, individuals exposed to a combination of anti-PD-1 and anti-PD-L1 (HR: 2.47 [CI:0.81-7.50]) did not demonstrate an increased risk for uveitis compared to their non-ICI comparators. Conclusion: A significantly increased risk for uveitis diseases was found among the ICI group from the first year of follow-up. Increased awareness should be promoted on the occurrence of uveitis among cancer patients receiving ICI therapy.

Visual Cu2+ Detection of Gold-Nanoparticle Probes and its Employment for Cu2+ Tracing in Circuit System.

Highly sensitive, simple and reliable colorimetric probe for Cu2+-ion detection was visualized with the L-cysteine functionalized gold nanoparticle (LS-AuNP) probes. The pronounced sensing of Cu2+ with high selectivity was rapidly featured with obvious colour change that enabled to visually sense Cu2+ ions by naked eyes. By employing systemic investigations on crystallinities, elemental compositions, microstructures, surface features, light absorbance, zeta potentials and chemical states of LS-AuNP probes, the oxidation-triggered aggregation effect of LS-AuNP probes was envisioned. The results indicated that the mediation of Cu2+ oxidation coordinately caused the formation of disulfide cystine, rendering the removal of thiol group at AuNPs surfaces. These features reflected the visual colour change for the employment of tracing Cu2+ ions in a quantitative way.

Unveiling the detection kinetics and quantitative analysis of colorimetric sensing for sodium salts using surface-modified Au-nanoparticle probes.

Rapid, reliable, and sensitive colorimetric detection has been regarded as a highly potential technique for visually monitoring the cation ions. Yet, insight into detection kinetics and quantitative analysis for colorimetric sensing of sodium ions has rarely been revealed. Herein, in-depth kinetic investigations of colorimetric detection using surface-modified Au-nanoparticle (AuNP) probes were performed for interpreting the correlation of salt concentration, reaction duration, and light absorbance. To envision these undisclosed issues, modification of AuNP surfaces with ascorbic acid was found to be highly essential for boosting the detection sensitivity due to adjusting the zeta potential of AuNP colloids towards a slightly positive value. Next, modeling the light absorbance of AuNPs under various aggregation circumstances was employed, which visually elucidated the color change so that it was visible to the naked eye, due to the intense field localization on the edges of aggregated AuNPs. In addition, the involved activation energy of AuNP aggregation was found to follow the first-order Arrhenius formula, with the extracted value of 22.5 kJ mol-1. Finally, quantitative visualization of colorimetric Na+ ion sensing was realized, and the experimental relation was obtained for explicitly determining the unknown concentration of Na+ ions in a visual manner.

Light Trapping of Inclined Si Nanowires for Efficient Inorganic/Organic Hybrid Solar Cells.

Light/matter interaction of low-dimensional silicon (Si) strongly correlated with its geometrical features, which resulted in being highly critical for the practical development of Si-based photovoltaic applications. Yet, orientation modulation together with apt control over the size and spacing of aligned Si nanowire (SiNW) arrays remained rather challenging. Here, we demonstrated that the transition of formed SiNWs with controlled diameters and spacing from the crystallographically preferred <100> to <110> orientation was realized through the facile adjustment of etchant compositions. The underlying mechanism was found to correlate with the competing reactions between the formation and removal of oxide at Ag/Si interfaces that could be readily tailored through the concentration ratio of HF to H2O2. By employing inclined SiNWs for the construction of hybrid solar cells, the improved cell performances compared with conventional vertical-SiNW-based hybrid cells were demonstrated, showing the conversion efficiency of 12.23%, approximately 1.12 times higher than that of vertical-SiNW-based hybrid solar cells. These were numerically and experimentally interpreted by the involvement of excellent light-trapping effects covering the wide-angle light illuminations of inclined SiNWs, which paved the potential design for next-generation optoelectronic devices.

Day-night active photocatalysts obtained through effective incorporation of Au@CuxS nanoparticles onto ZnO nanowalls.

Photocatalytic degradation of organic dyes has been considered one of the promising solutions that enabled to effectively treat the demanding pollutants in wastewater. Yet, insight into the photocatalytic process under both illumination and dark conditions were hitherto missing. Herein, by virtue of incorporating the core-shell Au@CuxS nanoparticles to the ZnO nanowalls synthesized via all-solution synthesis, the intriguing heterostructures allowed to trigger the extraordinary capability of dye degradation either under light irradiance or dark environment. It was found that the coexistence of bi-constituted Cu2S/CuS shells on Au nanoparticles obtained with turning the concentrations of sulfurization acted as the decisive role on day-night active degradation performance, where the degradation efficiency was more than 8.3 times beyond sole ZnO sheets. The mediation of remarkable visible-light absorption and efficient charge separation due to band alignment of heterojunctions were responsible for the improved photodegradation efficiency under visible illuminations. Moreover, at dark environment, the involving peroxidase-like activity of CuxS shells with the mediation of Au nanoparticles facilitated the catalytic formation of hydroxyl radicals, manifesting the oxidative degradation of MB dye. Such all-day active photocatalysts further displayed the capability for the recycling treatment of MB dye, which offered the pathways to potentially treat the organic wastewater.

Suppression of breast cancer cells resistant to a pure anti-estrogen with CAR-transduced natural killer cells.

Anti-estrogens as hormone therapy are the mainstay treatment for estrogen receptor (ER)-positive breast cancer. ER inhibitors through modulating the transcriptional function of ER have been the frontline anti-estrogens to which refractory phenotype often developed in advanced cancer. The anti-estrogen fulvestrant is currently the only clinically approved pure anti-estrogen which causes ER degradation. However, resistance to fulvestrant still occurs and unfortunately it leaves few choices other than chemotherapy as the later-line treatments to fulvestrant-resistant tumors. Here we show that fulvestrant resistance was accompanied by increased expression of a number of innate immune response genes including the natural killer (NK) cell ligand B7-H6 on the cell surface. In an attempt to overcome the drug resistance phenotype, a NK-based molecular approach taking advantage of a chimeric antigen receptor (CAR) system targeting B7-H6 was established and tested in cells with acquired resistance to fulvestrant. The results demonstrate that the cell therapy approach as a single agent can effectively induce cell death of the resistant cancer cells which is enhanced by the increased expression of cell surface B7-H6. This approach departs from the traditional strategies of conquering anti-estrogen resistant breast cancer and offers a new avenue to eradicate hormone-refractory malignant solid tumors.

Increasing retractions of meta-analyses publications for methodological flaw.

Purpose of this letter was to explore the trends regarding methodological flaws of systematic review and meta-analyses (SRMAs) based on retraction notes in the past decades, and the categories of reasons for the retractions. Content analysis with descriptive statistics, Cochran Q test, and multinomial logistic regression were used. Based on 187 records of retracted SRMAs, retraction announcements can be categorized into academic ethical violation, methodological flaw, and writing or reporting problem. The numbers of academic ethical violation were significantly higher than those with methodological flaw (z = 3.51; p < 0.01) or writing problem (z = 8.58; p < 0.001). The numbers of methodological flaw were also higher than that with writing problem (z = 6.47; p < 0.001). Moreover, an increased proportion of methodological flaw was observed since 2006, and the retraction year was significantly associated with increased proportion of methodological flaw when academic ethical violation as the reference group.

The improved photocatalytic activity of highly expanded MoS2 under visible light emitting diodes.

Photocatalytic degradation is a promising method to remove organic pollutants from water. Photocatalysts based on two-dimensional (2D) transition metal dichalcogenides (TMDs) such as MoS2 nanomaterials have gained tremendous popularity. This is due to their narrow band gap and high visible light absorption. Herein, a MoS2 photocatalyst with highly expanded interlayer spaces of 1.51 nm was synthesized in the presence of Pluronic F-127 as a template by a facile one-pot hydrothermal method. This expanded MoS2 (MF-1) managed to photodegrade 98% (2.62 × 10-2 min-1) of methylene blue (MB) dye under irradiation of 1 W visible light-emitting diode (LED) white light. The dominant performance of MF-1 is attributed to the highly expanded interlayer spacing, which exposed more active edge sites. Moreover, the formation of surface defects such as surface cracks and sulfur vacancies (Sv) facilitates the adsorption capacity and in situ generation of reactive oxygen species (ROS). The dominant ROS responsible for the photodegradation of MB is superoxide radical (˙O2 -). The photocatalyst shows good recyclability without deterioration even after five consecutive cycles.

Synergistic absorbents based on SnFe2O4@ZnO nanoparticles decorated with reduced graphene oxide for highly efficient dye adsorption at room temperature.

Recently, adsorption techniques have emerged as practical and effective methods for removing organic dyes, dramatically extending practical capabilities for treating deleterious pollutants in wastewater. However, an urgent issue restricting the performance of these techniques is that no available absorbents that can be used to treat both cationic and anionic organic dyes have been made with simple and reliable methods until now. Herein, we report a green synthetic strategy for the preparation of SnFe2O4/ZnO nanoparticles decorated on reduced graphene oxide (rGO), exhibiting a remarkably large surface area (120.33 m2 g-1). Substantial adsorption efficiency for removing MB dye was achieved, with 91.3% removal within 20 min at room temperature, and efficiencies of 79.6 to 92.8% are maintained as the pH conditions are varied from 3 to 11. Moreover, under mixed-dye conditions, involving MB, RhB, MO, RB5, and R6G organic materials, with dye concentrations ranging from 0.005 mM to 0.09 mM, an adsorption efficiency of above 50% can be reliably reached within 20 min. Such striking features can be interpreted as arising from a synergistic effect involving the hybrid composite based on a rGO matrix with negative charge and the dispersed SnFe2O4/ZnO nanoparticles with positive charge, additionally offering abundant adsorptive sites to allow reliable dye-adsorption kinetics.

Extending Absorption Edge through the Hybrid Resonator-Based Absorber with Wideband and Near-Perfect Absorption in Visible Region.

Metamaterial absorber with the unexpected capability for harvesting electromagnetic energy has been regarded as a potential route for various applications, including chemical/biological sensing, cloaking and photovoltaic applications. In this study, we presented the simple absorber design made with Al/SiO2/Al sandwich structures through the involvement of hybrid dual-resonators that could allow the wideband light absorption covered from 450 nm to 600 nm with average absorptivity above 95%. Examinations of excited electric field, magnetic field and total magnitude of electric field in three-dimensional space at resonances were performed to clarify the origin of resonant behaviors. In addition, an equivalent inductance-capacitance circuit model was proposed that could qualitatively explore the geometry-dependent absorption characteristics by modulating the constitutive parameters of hybrid resonators. As a result, the designed light absorber might enable to be practically applied for various optical-management and photovoltaic applications, and even offered the tunability for other desired frequency regions.

Efficacy of electroacupuncture on acute abdomen emergency care: study protocol for a randomized controlled trial.

BACKGROUND: Acute abdomen is a common disease in the emergency department (ED) and usually results in huge medical expenditure. To relieve abdominal pain effectively and reduce bed occupancy rate in emergency rooms, electroacupuncture is a practical method in the treatment of abdominal pain. METHODS/DESIGN: Five hundred patients will be randomly and evenly divided into experimental and control groups. Both groups should have their basic information taken and their bilateral acupuncture points ( Hegu (LI 4), Neiguan (PC6), Zusanli (ST 36), Shangjuxu (ST37), Xiajuxu (ST39), Taichong (LR3), and Taibai (SP3)) will be intervened by electroacupuncture or vaccaria Seeds, in this clinical study. Electroacupuncture has been introduced to this experiment as an auxiliary technique. The experimental group will receive real electroacupuncture, but the control group will receive a placebo electroacupuncture in which transcutaneous electrical nerve stimulation will not be turned on. After the intervention, we will evaluate the difference in abdominal pain, the length of stay at the emergent observation ward, and the proportion of revisits with abdominal pain. DISCUSSION: In Taiwan, medical expenditure is increasing annually because of the higher bed occupancy caused by acute abdominal pain in the hospital. We expect that the combined treatment of electroacupuncture and modern medical treatment will not only reduce bed occupancy and the length of ED stay but also effectively decrease the rate of readmission and revisits by 72 h. By means of electroacupuncture, the spiraling cost of health care can eventually be reduced. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT03199495. Registered on 27 June 2017.

High-Speed and Direction-Controlled Formation of Silicon Nanowire Arrays Assisted by Electric Field.

Metal-assisted chemical etching (MaCE), a low-cost and versatile method was considered a promising technique for preparing silicon nanowires (SiNWs), yet the lack of well controlling the injected holes within Si might reduce the etching rate, create the unwanted sidewall etching, and degrade the structural uniformity. Herein, in this study, the bias-modulated MaCE process was performed, showing the etching rates more than four times of magnitude than that of typical bias-free MaCE with large-area uniformity. It was found that the field-mediated hole rectification overwhelmed the effect of retarded diffusivity from reactive ions, and thus the dynamics of distributed etching were therefore transferred to the directional etching behaviors. In addition, the etching orientation could be also manipulated with the external bias. The results demonstrated that the etching direction was switched toward the slanted features by varying the electric polarization, creating the special slanted/vertical NW arrays, which possessed the superior antireflection characteristics than the conventional vertically aligned features.

ZnO/Cu2O/Si Nanowire Arrays as Ternary Heterostructure-Based Photocatalysts with Enhanced Photodegradation Performances.

Ternary ZnO/Cu2O/Si nanowire arrays with vertical regularity were prepared with all-solution processed method at low temperature. In addition to the detailed characterizations of morphologies and crystallographic patterns, the analyses of photoluminescence and photocurrents revealed the sound carrier separation owing from the established step-like band structures. By modeling the photodegradation process of the prepared heterostructures through kinetic investigations and scavenger examinations, the photocatalytic removal of MB dyes was found to follow the second-order kinetic model with reaction constant more than 15.3 times higher than bare Si nanowires and achieved 5.7 times and 3.4 times than ZnO/Si and Cu2O/Si binary heterostructures, respectively. Moreover, the highly stable photoactivity of ZnO/Cu2O/Si photocatalysts was evidenced from the repeated photodegradation tests, which demonstrated the robust photocatalytic efficiency after cycling uses. The facile synthesis along with in-depth mechanism study of such ternary heterostructures could be potential for practical treatment for organic pollutants. KEYWORDS: HeterostructurePhotocatalystSilicon nanowire arraysKinetic study.