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The world's oceans are under threat from the prevalence of heatwaves caused by climate change. Despite this, there is a lack of understanding regarding their impact on seawater oxygen levels - a crucial element in sustaining biological survival. Here, we find that heatwaves can trigger low-oxygen extreme events, thereby amplifying the signal of deoxygenation. By utilizing in situ observations and state-of-the-art climate model simulations, we provide a global assessment of the relationship between the two types of extreme events in the surface ocean (0-10 m). Our results show compelling evidence of a remarkable surge in the co-occurrence of marine heatwaves and low-oxygen extreme events. Hotspots of these concurrent stressors are identified in the study, indicating that this intensification is more pronounced in high-biomass regions than in those with relatively low biomass. The rise in the compound events is primarily attributable to long-term warming primarily induced by anthropogenic forcing, in tandem with natural internal variability modulating their spatial distribution. Our findings suggest the ocean is losing its breath under the influence of heatwaves, potentially experiencing more severe damage than previously anticipated.
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Cambio Climático , Océanos y Mares , Agua de Mar , Agua de Mar/química , Oxígeno , Modelos Climáticos , Calor , Calor Extremo/efectos adversos , BiomasaRESUMEN
High-valent metal-oxo species (HMOS) have been extensively recognized in advanced oxidation processes (AOPs) owing to their high selectivity and high chemical utilization efficiency. However, the interactions between HMOS and halide ions in sewage wastewater are complicated, leading to ongoing debates on the intrinsic reactive species and impacts on remediation. Herein, we prepared three typical HMOS, including Fe(IV), Mn(V)-nitrilotriacetic acid complex (Mn(V)NTA) and Co(IV) through peroxymonosulfate (PMS) activation and comparatively studied their interactions with Cl- to reveal different reactive chlorine species (RCS) and the effects of HMOS types on RCS generation pathways. Our results show that the presence of Cl- alters the cleavage behavior of the peroxide OO bond in PMS and prohibits the generation of Fe(IV), spontaneously promoting SO4â¢- production and its subsequent transformation to secondary radicals like Cl⢠and Cl2â¢-. The generation and oxidation capacity of Mn(V)NTA was scarcely influenced by Cl-, while Cl- would substantially consume Co(IV) and promote HOCl generation through an oxygen-transfer reaction, evidenced by density functional theory (DFT) and deuterium oxide solvent exchange experiment. The two-electron-transfer standard redox potentials of Fe(IV), Mn(V)NTA and Co(IV) were calculated as 2.43, 2.55 and 2.85 V, respectively. Due to the different reactive species and pathways in the presence of Cl-, the amounts of chlorinated by-products followed the order of Co(II)/PMS > Fe(II)/PMS > Mn(II)NTA/PMS. Thus, this work renovates the knowledge of halide chemistry in HMOS-based systems and sheds light on the impact on the treatment of salinity-containing wastewater.
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Oxidación-Reducción , Cloruros/química , Cloro/química , Metales/química , Halogenación , Contaminantes Químicos del Agua/química , Aguas Residuales/químicaRESUMEN
Mixed conducting materials with both ionic and electronic conductivities have gained prominence in emerging applications. However, exploring material with on-demand ionic and electronic conductivities remains challenging, primarily due to the lack of correlating macroscopic conductivity with atom-scale structure. Here, the correlation of proton-electron conductivity and atom-scale structure in graphdiyne is explored. Precisely adjusting the conjugated diynes and oxygenic functional groups in graphdiyne yields a tunable proton-electron conductivity on the order of 103. In addition, a wet-chemistry lithography technique for uniform preparation of graphdiyne on flexible substrates is provided. Utilizing the proton-electron conductivity and mechanical tolerance of graphdiyne, bimodal flexible devices serving as capacitive switches and resistive sensors are created. As a proof-of-concept, a breath-machine interface for sentence-based communication and self-nursing tasks with an accuracy of 98% is designed. This work represents an important step toward understanding the atom-scale structure-conductivity relationship and extending the applications of mixed conducting materials to assistive technology.
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Current computing systems rely on Boolean logic and von Neumann architecture, where computing cells are based on high-speed electron-conducting complementary metal-oxide-semiconductor (CMOS) transistors. In contrast, ions play an essential role in biological neural computing. Compared with CMOS units, the synapse/neuron computing speed is much lower, but the human brain performs much better in many tasks such as pattern recognition and decision-making. Recently, ionic dynamics in oxide electrolyte-gated transistors have attracted increasing attention in the field of neuromorphic computing, which is more similar to the computing modality in the biological brain. In this review article, we start with the introduction of some ionic processes in biological brain computing. Then, electrolyte-gated ionic transistors, especially oxide ionic transistors, are briefly introduced. Later, we review the state-of-the-art progress in oxide electrolyte-gated transistors for ionic neuromorphic computing including dynamic synaptic plasticity emulation, spatiotemporal information processing, and artificial sensory neuron function implementation. Finally, we will address the current challenges and offer recommendations along with potential research directions.
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Efforts to design devices emulating complex cognitive abilities and response processes of biological systems have long been a coveted goal. Recent advancements in flexible electronics, mirroring human tissue's mechanical properties, hold significant promise. Artificial neuron devices, hinging on flexible artificial synapses, bioinspired sensors, and actuators, are meticulously engineered to mimic the biological systems. However, this field is in its infancy, requiring substantial groundwork to achieve autonomous systems with intelligent feedback, adaptability, and tangible problem-solving capabilities. This review provides a comprehensive overview of recent advancements in artificial neuron devices. It starts with fundamental principles of artificial synaptic devices and explores artificial sensory systems, integrating artificial synapses and bioinspired sensors to replicate all five human senses. A systematic presentation of artificial nervous systems follows, designed to emulate fundamental human nervous system functions. The review also discusses potential applications and outlines existing challenges, offering insights into future prospects. We aim for this review to illuminate the burgeoning field of artificial neuron devices, inspiring further innovation in this captivating area of research.
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Electrónica , Sinapsis , Humanos , Sinapsis/fisiología , NeuronasRESUMEN
Peracetic acid (PAA) is regarded as an environmentally friendly oxidant because of its low formation of toxic byproducts. However, this study revealed the potential risk of generating disinfection byproducts (DBPs) when treating iodine-containing wastewater with PAA. The transformation efficiency of bisphenol A (BPA), a commonly detected phenolic contaminant and a surrogate for phenolic moieties in dissolved organic matter, by PAA increased rapidly in the presence of I-, which was primarily attributed to the formation of active iodine (HOI/I2) in the system. Kinetic model simulations demonstrated that the second-order rate constant between PAA and HOI was 54.0 M-1 s-1 at pH 7.0, which was lower than the generation rate of HOI via the reaction between PAA and I-. Therefore, HOI can combine with BPA to produce iodine disinfection byproducts (I-DBPs). The transformation of BPA and the generation of I-DBPs in the I-/PAA system were highly pH-dependent. Specifically, acidic conditions were more favorable for BPA degradation because of the higher reaction rates of BPA and HOI. More iodinated aromatic products were detected after 5 min of the reaction under acidic and neutral conditions, resulting in higher toxicity towards E. coli. After 12 h of the reaction, more adsorbable organic iodine (AOI) was generated at alkaline conditions because HOI was not able to efficiency transform to IO3-. The presence of H2O2 in the PAA solution played a role in the reaction with HOI, particularly under alkaline conditions. This study significantly advances the understanding of the role of I- in BPA oxidation by PAA and provides a warning to further evaluate the potential environmental risk during the treatment of iodine-bearing wastewater with PAA.
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Yodo , Contaminantes Químicos del Agua , Purificación del Agua , Ácido Peracético , Desinfección/métodos , Yoduros , Peróxido de Hidrógeno , Aguas Residuales , Escherichia coli , Concentración de Iones de Hidrógeno , Contaminantes Químicos del Agua/análisis , Purificación del Agua/métodosRESUMEN
COVID-19 pandemic appeared summer surge in 2022 worldwide and this contradicts its seasonal fluctuations. Even as high temperature and intense ultraviolet radiation can inhibit viral activity, the number of new cases worldwide has increased to >78% in only 1 month since the summer of 2022 under unchanged virus mutation influence and control policies. Using the attribution analysis based on the theoretical infectious diseases model simulation, we found the mechanism of the severe COVID-19 outbreak in the summer of 2022 and identified the amplification effect of heat wave events on its magnitude. The results suggest that approximately 69.3% of COVID-19 cases this summer could have been avoided if there is no heat waves. The collision between the pandemic and the heatwave is not an accident. Climate change is leading to more frequent extreme climate events and an increasing number of infectious diseases, posing an urgent threat to human health and life. Therefore, public health authorities must quickly develop coordinated management plans to deal with the simultaneous occurrence of extreme climate events and infectious diseases.
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COVID-19 , Enfermedades Transmisibles , Humanos , Pandemias , Rayos Ultravioleta , COVID-19/epidemiología , Calor , Enfermedades Transmisibles/epidemiología , Cambio ClimáticoRESUMEN
The horse genotype is one of three common Cryptosporidium spp. in equine animals and has been identified in some human cases. The species status of Cryptosporidium horse genotype remains unclear due to the lack of extensive morphological, biological, and genetic data. In the present study, we have conducted biological and whole genome sequence analyses of an isolate of the genotype from hedgehogs and proposed to name it Cryptosporidium equi n. sp. to reflect its common occurrence in equine animals. Oocysts of C. equi measured 5.12 ± 0.36 µm × 4.46 ± 0.21 µm with a shape index of 1.15 ± 0.08 (n = 50). Cryptosporidium equi was infectious to 3-week-old four-toed hedgehogs (Atelerix albiventris) and mice, with a prepatent period of 2-9 days and a patent period of 30-40 days in hedgehogs. It was not infectious to rats and rabbits. Phylogenetic analyses of small subunit rRNA, 70 kDa heat shock protein, actin, 60 kDa glycoprotein and 100 other orthologous genes revealed that C. equi is genetically distinct from other known Cryptosporidium species and genotypes. The sequence identity between C. equi and Cryptosporidium parvum genomes is 97.9%. Compared with C. parvum, C. equi has lost two MEDLE genes and one insulinase-like protease gene and gained one SKSR gene. In addition, 60 genes have highly divergent sequences (sequence differences ≥ 5.0%), including those encoding mucin-like glycoproteins, insulinase-like peptidases, and MEDLE and SKSR proteins. The genetic uniqueness of C. equi supports its increasing host range and the naming of it as a valid Cryptosporidium species. This is the first known use of whole genome sequence data in delineating new Cryptosporidium species.
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Cryptosporidiidae , Criptosporidiosis , Cryptosporidium , Insulisina , Animales , Caballos , Ratones , Ratas , Humanos , Conejos , Cryptosporidium/genética , Filogenia , Erizos , Insulisina/genética , Genotipo , HecesRESUMEN
The land surface has been drying over recent decades, which is inconsistent with the greening of the Earth. The extent and spatial variation in the sensitivity of vegetation to aridity changes in drylands and humid regions remain unclear. In this study, satellite observation and reanalysis data were used to analyze the relationship between vegetation growth and atmospheric aridity changes in different climatological regions on a global scale. Our results showed that the leaf area index (LAI) increased at a rate of 0.032/decade from 1982 to 2014, while the aridity index (AI) increased slightly at a rate of 0.005/decade. Over the past three decades, the sensitivity of the LAI to AI has decreased in drylands and increased in humid regions. Thus, the LAI and AI were decoupled in drylands, whereas the effect of aridity on vegetation was enhanced in humid regions during the study period. The physical and physiological effects of increasing CO2 concentration are responsible for the divergent responses of vegetation sensitivity to aridity in drylands and humid regions. The results of the structural equation models showed that the effect of increasing CO2 concentration via LAI and temperature, with respect to decreasing AI, enhanced the negative relationship between LAI and AI in humid regions. The greenhouse effect of increasing CO2 concentration resulted in an increase in temperature and a reduction in aridity, whereas the fertilization effect of CO2 increased LAI, thus creating an inconsistent trend with LAI and AI in drylands.
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Dióxido de Carbono , Cambio Climático , Dióxido de Carbono/análisis , Temperatura , Hojas de la Planta/química , Modelos Teóricos , EcosistemaRESUMEN
As an oxidant, peracetic acid (PAA) is gradually applied in advanced oxidation processes (AOPs) for pollutants degradation due to its high oxidation and low toxicity. In this study, the prepared Co2Fe1-LDH showed excellent PAA activation ability for efficient degradation of various pharmaceuticals with a removal efficiency ranging from 82.3% to 100%. Taking sulfamethoxazole (SMX) as a model pharmaceutical, it's found that organic radical (R-Oâ¢) with high concentration of 5.27 × 10-13 M is the dominant ROS responsible for contaminants degradation. Further analysis demonstrated that bimetallic synergistic effect between Co and Fe can improve electron transfer ability of Co2Fe1-LDH, resulting in the accelerated conversion of Co from +3 to +2 valence state with a high reaction rate (4.3 × 101-1.483 × 102 M-1 s-1) in this system. Density functional theory (DFT) reveals that C1, C3, C5 and N11 with higher ƒ0 and ƒ-values concentrated on aniline group of SMX are the main attack sites, which is consistent with the results of degradation products. Besides, Co2Fe1-LDH/PAA system can effectively reduce biological toxicity after reaction, due to lower biotoxicity of degradation products and the carbon sources provided by PAA. In application, Co2Fe1-LDH/PAA system was capable of resisting the influence of water matrix and effectively removing pollutants in actual hospital wastewater. Importantly, this study comprehensively evaluated the ability of Co2Fe1-LDH/PAA system to remove organics and improve the biodegradability of actual hospital wastewater, providing guidance for application of PAA activation system.
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Ácido Peracético , Contaminantes Químicos del Agua , Aguas Residuales , Peróxido de Hidrógeno , Sulfametoxazol , Oxidación-Reducción , Preparaciones FarmacéuticasRESUMEN
BACKGROUND: The development of cardiac fibrosis involves the activation of cardiac fibroblasts (CFs) and their differentiation into myofibroblasts, which leads to the disruption of the extracellular matrix network. In the past few years, microRNAs (miRNA) have been described as potential targets for treating cardiac diseases. Although miR-338-3p has been shown to participate in the development of carcinoma, whether it affects cardiac fibrosis is unclear. METHODS: We examined the expression profiles of microRNAs in left ventricular samples of heart failure mice established by thoracic aortic constriction (TAC). Real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR) was used to detect the expression of miR-338-3p. CCK-8 assay/Transwell migration assay was used to measure the proliferation rate/migration of CFs. Luciferase reporter gene assay was used to test the binding between miR-338-3p and FGFR2. RESULTS: This study demonstrated that miR-338-3p was significantly decreased in thoracic aortic constriction mice. Cardiac miR-338-3p amounts were also reduced in patients with dilated cardiomyopathy (DCM). Interestingly, miR-338-3p overexpression inhibited α-SMA, COL1A1, and COL3A1 expression, as well as cell proliferation and migration in CFs. Bioinformatics analysis and dual-luciferase reporter assays revealed FGFR2 was targeted by miR-338-3p, whose antifibrotic effect could be alleviated by overexpression of FGFR2. Moreover, in DCM cases, serum miR-338-3p levels were markedly elevated in individuals with worse outcomes. CONCLUSIONS: The present study provides evidence that miR-338-3p suppresses cardiac fibroblast activation, proliferation, and migration by directly targeting FGFR2 in mice. Besides, serum miR-338-3p might constitute a potential prognostic biomarker of dilated cardiomyopathy.
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Cardiomiopatía Dilatada , MicroARNs , Animales , Proliferación Celular/genética , Fibrosis , Ratones , MicroARNs/genética , MicroARNs/metabolismo , Receptor Tipo 2 de Factor de Crecimiento de FibroblastosRESUMEN
The biological visual system encodes optical information into spikes and processes them by the neural network, which enables the perception with high throughput of visual processing with ultralow energy budget. This has inspired a wide spectrum of devices to imitate such neural process, while precise mimicking such procedure is still highly required. Here, a highly bio-realistic photoelectric spiking neuron for visual depth perception is presented. The firing spikes generated by the TaOX memristive spiking encoders have a biologically similar frequency range of 1-200 Hz and sub-micro watts power. Such spiking encoder is integrated with a photodetector and a network of neuromorphic transistors, for information collection and recognition tasks, respectively. The distance-dependent response and eye fatigue of biological visual systems have been mimicked based on such photoelectric spiking neuron. The simulated depth perception shows a recognition improvement by adapting to sights at different distances. The results can advance the technologies in bioinspired or robotic systems that may be endowed with depth perception and power efficiency at the same time.
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Redes Neurales de la Computación , Neuronas , Percepción de Profundidad , Neuronas/fisiología , Percepción VisualRESUMEN
Metasurfaces, also known as 2D artificial metamaterials, are attracting great attention due to their unprecedented performances and functionalities that are hard to achieve by conventional diffractive or refractive elements. With their sub-wavelength optical scatterers, metasurfaces have been utilized to freely modify different characteristics of incident light such as amplitude, polarization, phase, and frequency. Compared to traditional bulky lenses, metasurface lenses possess the advantages of flatness, light weight, and compatibility with semiconductor manufacture technology. They have been widely applied to a range of scenarios including imaging, solar energy harvesting, optoelectronic detection, etc. In this review, we will first introduce the fundamental design principles for metalens, and then report recent theoretical and experimental progress with emphasis on methods to correct chromatic and monochromatic aberrations. Finally, typical applications of metalenses and corresponding design rules will be presented, followed by a brief outlook on the prospects and challenges of this field.
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Neuromorphic devices that can emulate the bionic sensory and perceptual functions of neural systems have great applications in personal healthcare monitoring, neuro-prosthetics, and human-machine interfaces. In order to realize bionic sensing and perception, it's crucial to prepare neuromorphic devices with the function of perceiving environment in real-time. Up to now, lots of efforts have been made in the incorporation of the bio-inspired sensing and neuromorphic engineering in the booming artificial intelligence industry. In this review, we first introduce neuromorphic devices based on diverse materials and mechanisms. Then we summarize the progress made in the emulation of biological sensing and perception systems. Finally, the challenges and opportunities in these fields are also discussed.
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Recently, an increasing number of works have been reported about iron-based materials applied as catalysts in peroxide activation processes to degrade pollutants in water. Iron-based catalysts include synthetic and natural iron-based materials. However, some synthetic iron-based materials are difficult to scale up in the practical applications due to high cost and serious secondary environmental pollution. In contrast, natural iron-based minerals are more available and cheaper, and also hold a great promise in peroxide activation processes for pollutant degradation. In this review, we classify different natural iron-based materials into two categories: iron oxide minerals (e.g., magnetite, hematite, and goethite,), and iron sulfide minerals (e.g., pyrite and pyrrhotite,). Their overview applications in peroxide activation processes for pollutant degradation in wastewaters are systematically summarized for the first time. Moreover, the peroxide activation mechanisms induced by natural minerals, and the influences of reaction conditions in different systems are discussed. Finally, the application prospects and existing drawbacks of natural iron-based minerals in the peroxide activation processes for wastewater treatment are proposed. We believe this review can shed light on the application of natural iron-based minerals in peroxide activation processes and present better perspectives for future researches.
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Peróxido de Hidrógeno , Peróxidos , Hierro , Minerales , Oxidación-ReducciónRESUMEN
BACKGROUND: Atherosclerosis is a chronic inflammatory disease responsible for thrombosis, blood supply disorders, myocardial infarction and strokes, eventually leading to increased deaths and reduced quality of life. As inflammation plays a vital role in the development of this disease, the present study aims to investigate whether urinary trypsin inhibitor (UTI) with anti-inflammatory property can inhibit the proliferation, invasion and phenotypic switching of PDGF-BB-induced vascular smooth muscle cells (VSMCs) and probe its potential mechanism. METHODS: Western blot was used to detect the expressions of the proteins related to the Akt/eNOS/NO/cGMP signaling pathway, phenotypic switching and proliferation. CCK-8 assay and EdU staining were used to detect cell proliferation of VSMCs. Transwell and wound healing assays were respectively conducted to measure the invasion and migration of VSMCs. The concentration of NO was evaluated by NO detection kit. ELISA assay analyzed the expression of cyclic GMP (cGMP). RESULTS: The expressions of p-Akt and p-eNOS were elevated by UTI treatment. Furthermore, UTI inhibited the proliferation, migration and invasion of VSMCs. UTI also increased the expressions of proteins related to phenotypic switching. The amount of NO and expression of cGMP were both elevated under UTI treatment. CONCLUSION: UTI inhibits the proliferation, invasion and phenotypic switching of PDGF-BB-induced VSMCs via Akt/eNOS/NO/cGMP signaling pathway, which might provide a theoretical basis for the UTI treatment of atherosclerosis.
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Glicoproteínas/farmacología , Músculo Liso Vascular/metabolismo , Factor de Crecimiento Derivado de Plaquetas/antagonistas & inhibidores , Proliferación Celular/efectos de los fármacos , Células Cultivadas , GMP Cíclico/metabolismo , Humanos , Óxido Nítrico/metabolismo , Fenotipo , Factor de Crecimiento Derivado de Plaquetas/metabolismo , Proteínas Proto-Oncogénicas c-akt/metabolismo , Transducción de SeñalRESUMEN
BACKGROUND: Heart failure (HF) is an end stage heart condition with poor prognosis which brings about tremendous social medical cost. Along decades, mechanism and treatments of HF have been under restless research. METHODS: In the present study, we first established pressure overload induced HF model using transaortic arch constriction (TAC) method in mice. The global expression profiles of long noncoding RNA (lncRNA), microRNA (miRNA) and messenger RNA (mRNA) were obtained by microarray probes, which were further confirmed by quantitative PCR (qPCR). Bioinformatics analysis was performed using multiple methods including volcano plotting, heatmapping and hierarchical clustering, Gene Ontology (GO) and pathway enrichment analysis, and competing endogenous RNA (ceRNA) regulatory network construction. RESULTS: Totally, 1,139 differentially expressed mRNAs (DEmRNAs), 3,830 lncRNAs (DElncRNAs) and 13 miRNAs (DEmiRNAs) were identified in HF group compared to control group, which could distinctly differentiate HF from normal control and were potential candidate biomarkers for HF. GO and pathway enrichment analysis revealed that multiple significant biological processes and pathways were involved in HF pathogenesis, such as extracellular matrix structural constituent, proteinaceous extracellular matrix, positive regulation of apoptotic process and integrin signaling pathway. Nine DElncRNAs, 3 DEmiRNAs and 25 DEmRNAs were filtrated out to construct a ceRNA network, which visually displayed their regulatory roles with therapeutic target potential. CONCLUSIONS: The present study identified differentially expressed RNAs that might be involved in the pathogenesis and progression of HF. The outcomes shed lights into the underlying mechanisms for HF and provided candidate biomarkers and intervention targets for further research.
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To develop high-energetic stability nitroform compounds, three types of nitroform derivatives based on hexanitroethane structure are designed. The guidelines for selecting these compounds are based on (1) constructing a flexible molecule and weakening the external force by elastic deformation and (2) forming negative ion or introducing electron-rich group to eliminate the electron-deficient situation. The conformations and some important properties of them are calculated at B3LYP/6-311 + G(d) level. Based on the bond order and bond dissociation enthalpy analysis, C-NO2 bond is considered to be the most unstable position, and both of the methods can improve the stability of designed compounds. Based on molecular energy gap (HOMO-LUMO) and density of state (DOS) analysis, it is found that introducing of bridge atoms is helpful to lower the sensitivity, while the construction of anions changes both HOMO-LUMO and DOS which shows obvious ionic properties. A further study on the electrical potential surface shows that the probability for extreme values of designed compounds decreases which is beneficial for high stability. Finally, the explosive properties and impact sensitivity of them are calculated. Results show that their explosive performances are obviously better than current energetic oxidants and some of them maintain low sensitivity.
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The human memory system plays an indispensable role in oblivion, learning, and memorization. Implementing a memory system within electronic devices contributes an important step toward constructing a neuromorphic system that emulates advanced mental functions of the human brain. Given the complex time-tailoring requirement, integrating a human memory system into one system is a great challenge. Here, one van der Waals heterostructure with flexible time-tailoring ability is demonstrated, which can meet the high requirement of human memory system programming. By stacking volatile and nonvolatile function layers, all basic memory types, including sensory memory, short-term and long-term memory are integrated into the device and the transition between these memory types are flexible. Moreover, decision-making action and in situ result storage are also demonstrated. It is anticipated that the demonstrated time-tailoring system will support the model of a human memory system.
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BACKGROUND: Adiponectin and 8-Hydroxy-2'-deoxyguanosine (8-OHdG) are identified as important biomarkers in the pathogenesis process of type 2 diabetes mellitus (T2DM). Whether adiponectin and 8-OHdG have a relation to cognitive decline in the elderly T2DM patients has been poorly understood. The aim of this study was to evaluate the effects of adiponectin and 8-OHdG in the elderly patients with T2DM and to determine the role of adiponectin and 8-OHdG in the cognitive impairment of the elderly patients with T2DM. METHODS: 57 individuals were recruited and analyzed , with 26 cases of T2DM without cognitive impairment and 31 cases of T2DM with cognitive impairment. All of them underwent an examination of diabetes scales and blood glucose at different times. A primary diagnosis of diabetes was in line with the diagnosis criteria set by the American Diabetes Association (ADA). Statistical significance was defined as a P-value of less than 0.05. RESULTS: The variables of sex, age, body mass index (BMI), hypertension, diabetes, metabolic syndrome, lacunar cerebral infarction, smoking and drinking in T2DM patients without cognitive impairment and with cognitive impairment showed no difference according to the univariate analysis exploring each variable separately (p>0.05). A significant difference was observed in the serum levels of adiponectin and 8-OHdG and the scales of MMSE and MoCA (p<0.05). Therefore, it was inferred that there is no correlation between glucose metabolic value and cognitive outcome of T2DM patients. Serum levels of adiponectin and 8-OHdG could act as biomarkers of cognitive impairment degree in the elderly T2DM patients. CONCLUSION: Serum levels of adiponectin and 8-OHdG could act as specific and sensitive biomarkers for the early diagnosis and treatment of cognitive impairment in elderly T2DM patients. Serum levels of adiponectin and 8-OHdG have a close relation to the neurological cognitive outcome of the elderly T2DM patients.