Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years.

OBJECTIVE: To evaluate the medium- and long-term outcomes of diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum. METHODS: Consecutive patients with symptomatic oesophageal diverticulum who underwent D-POEM from 1st May 2016 to 1st April 2020 in 6 centres were extracted and researched. Symptoms assessed by the modified Eckardt score were registered pre- and post-D-POEM at 1, 6, 12, 24 and 36 months. RESULTS: A total of 34 patients with Zenker's diverticulum (ZD, n = 12), mid-oesophageal diverticulum (MED, n = 12), and epiphrenic diverticulum (ED, n = 10) were included. Complete septotomy was achieved in a mean of 39.15 min, with 100% technical success. No severe intraoperative or postoperative complications were observed. Five patients exhibited subcutaneous emphysema, while 1 had mucosal injury. The mean Eckardt score was 8.59 preoperatively and 2.56 at 1 month, 2.09 at 6 months, 2.21 at 12 months, 2.15 at 24 months, and 2.21 at 36 months postoperatively. The total clinical success rates at 1, 6, 12, 24 and 36 months postoperatively were 97.1%, 97.1%, 94.1%, 91.2%, and 88.2%, respectively. With a median follow-up of 47.2 months, four patients suffered symptom relapse, with a total clinical success rate of 88.2%. A long disease duration, a high Eckardt score, and coexistence of achalasia were identified as risk factors for symptomatic recurrence by multivariable Cox analysis. CONCLUSIONS: D-POEM is an effective and durable treatment for patients with symptomatic oesophageal diverticulum.

Halide anions engineered ionic liquids passivation layer for highly stable inverted perovskite solar cells.

Long-term stability remains a great challenge for metal halide perovskite solar cells (PSCs). The utilization of ionic liquids (ILs) is a promising strategy to solve the stability problem. However, few studies have focused on controlling the halide anions of ILs, in which different organic cations can modulate the melting point of ILs and film crystal growth. Here, ILs with a 1-ethyl-3-methylimidazolium (EMIM+) cation and different halide anions (X = Cl, Br, and I) are employed in inverted PSCs. The results show that EMIMX can form a 1D passivation layer by the in situ growth technique and influence the surface morphology of the perovskite film. These EMIMX-treated layers simultaneously suppress the surface defects and nonradiative energy losses and improve the hydrophobic properties. As a result, a power conversion efficiency (PCE) of 20.0% is obtained for the EMIMBr-modified PSCs compared to 18.06% for the control device. Moreover, the unencapsulated devices maintain more than 90% of their initial PCE over 3000 h under ambient air, which is among the best long-term stabilities reported for NiOx-based inverted PSCs. It also retains 74.2% and 49.5% of the initial PCE value after aging under harsher conditions, such as an 85 ± 5% relative humidity (RH) environment and at 85 °C for 48 h, respectively.

Comprehensive analysis of prognostic value and immune infiltration of kindlin family members in non-small cell lung cancer.

BACKGROUND: Kindlin Family Members have been reported to be aberrantly expressed in various human cancer types and involved in tumorigenesis, tumor progression, and chemoresistance. However, their roles in non-small cell lung cancer (NSCLC) remain poorly elucidated. METHODS: We analyzed the prognostic value and immune infiltration of Kindlins in NSCLC through Oncomine, GEPIA, UALCAN, CCLE, Kaplan­Meier plotter, cBioPortal, TIMER, GeneMANIA, STRING, and DAVID database. Additionally, the mRNA expression levels of Kindlins were verified in 30 paired NSCLC tissues and NSCLC cell lines by real-time PCR. RESULTS: The expression level of FERMT1 was remarkably increased in NSCLC tissues and NSCLC cell lines, while FERMT2 and FERMT3 were reduced. Kindlins expressions were associated with individual cancer stages and nodal metastasis. We also found that higher expression level of FERMT1 was obviously correlated with worse overall survival (OS) in patients with NSCLC, while higher FERMT2 was strongly associated with better overall survival (OS) and first progression (FP). Additionally, the expression of FERMT2 and FERMT3 were obviously correlated with the immune infiltration of diverse immune cells. Functional enrichment analysis has shown that Kindlins may be significantly correlated with intracellular signal transduction, ATP binding and the PI3K-Akt signaling pathway in NSCLC. CONCLUSIONS: The research provides a new perspective on the distinct roles of Kindlins in NSCLC and likely has important implications for future novel biomarkers and therapeutic targets in NSCLC.

Incorporating of Lanthanides Ions into Perovskite Film for Efficient and Stable Perovskite Solar Cells.

Since Yan's work, incorporation of some lanthanide elements, such as Eu and Nd, into MAPbI3 layer has been proven to be a powerful strategy on improving the permanence of the perovskite solar cells (PSCs). However, a comprehensive configuration has not been given for different lanthanide elements doping while the mechanism has not been clarified. Herein, the incorporation of various lanthanides ions (Ln3+ = Ce3+ , Eu3+ , Nd3+ , Sm3+ , or Yb3+ ) into perovskite films to largely enhance the performance of PSCs is presented. Arising from the enlarged grain size and crystallinity of perovskite film upon Ln3+ ions doping, the efficiency and stability of PSCs are significantly improved. Extraordinarily, PSCs with Ce3+ doping achieve the best performance, with a champion power conversion efficiency (PCE) of 21.67% in contrast to 18.50% for pristine PSCs, and outstanding long-term and UV irradiation stability. Such high performance of PSCs after Ce3+ doping originates from special Ce3+ /Ce4+ redox pair and the unique 4f-5d absorption in the UV region. Finally, the flexible PSCs with low-temperature preparation are explored. Considering the richer deposition of cerium element in the earth and lower price, the findings may provide new opportunities for developing low-cost, highly efficient, air/UV stable, and flexible PSCs.

Cobalt-doped ZnO nanoparticles derived from zeolite imidazole frameworks: Synthesis, characterization, and application for the detection of an exhaled diabetes biomarker.

Metal-organic frameworks (MOFs) with porous structures, high surface areas, diverse compositions, and functional linkers are promising materials and good carriers for building high-performance devices. In this work, uniform cobalt-doped ZnO nanoparticles (Co-doped ZnO NPs) derived from a MOF mold were synthesized, demonstrating the first example of synthesizing doped semiconductor metal oxide nanostructures using such strategy. The synthesis method produced Co-doped ZnO NPs that had a controllable doping mode, adjustable surface status, good dispensability, ferromagnetism and catalytic activity. The Co-doped ZnO NPs were evaluated as a sensing material for diabetes biomarker detection; the obtained sensors showed a high response to trace acetone (18.2 at 5 ppm), fast response/recovery times, a low detection limit (170 ppb), and long-term stability for 4 months. The enhanced sensing performance can be attributed to the increased number of active sites, additional impurity energy levels, and the catalytic ability of elemental Co. Moreover, the optimized sensor could distinguish between simulated diabetic breath and healthy human breath samples. The MOF-derived Co-doped ZnO NPs are a good candidate for the low-cost and noninvasive diagnosis of diabetes, and the proposed synthesis strategy can be extended to other types of extrinsically doped oxide materials.

Interfacial Engineering and Photon Downshifting of CsPbBr3 Nanocrystals for Efficient, Stable, and Colorful Vapor Phase Perovskite Solar Cells.

Photovoltaic devices employing lead halide perovskites as the photoactive layer have attracted enormous attention due to their commercialization potential. Yet, there exists challenges on the way to the practical use of perovskite solar cells (PSCs), such as light stability and current-voltage (J-V ) hysteresis. Inorganic perovskite nanocrystals (IPNCs) are promising candidates for high-performance photovoltaic devices due to their simple synthesis methods, tunable bandgap, and efficient photon downshifting effect for ultraviolet (UV) light blocking and conversion. In this work, CsPbBr3 IPNCs modification could give rise to the vapor phase and solution-processed PSCs with a power conversion efficiency (PCE) of 16.4% and 20.8%, respectively, increased by 11.6% and 5.6% compared to the control devices for more efficient UV utilization and carrier recombination suppression. As far as is known, 11.6% is the most effective enhanced factor for PSCs based on photon downshifting effect inside of devices. The CsPbBr3 layer could also significantly retard light-induced degradation, leading to the lifetime over 100 h under UV illumination for PSCs. Additionally, the modified PSCs exhibit weak hysteresis and multiple colors of fluorescence. These results shed light on the future design of combining a photon downshifting layer and carrier interfacial modification layer in the applications of perovskite optoelectronic devices.

Graphene quantum dot-functionalized three-dimensional ordered mesoporous ZnO for acetone detection toward diagnosis of diabetes.

The development of a high-performance semiconductor oxide sensor for the accurate detection of trace disease biomarkers in exhaled breath is still a challenge that urgently needs to be addressed. Here, we proposed a self-assembly strategy and spin-coating process to create a graphene quantum dot (GQD)-functionalized three-dimensional ordered macroporous (3DOM) ZnO structure. The strong synergistic effect and the p-n heterojunction between the p-type GQDs and n-type ZnO effectively enlarged the resistance variation due to the change in oxygen adsorption. The specific 3DOM structure induced a hierarchical pore size (286 nm in macroscale and 26 nm in mesoscale) and 3D interconnection, which guaranteed high gas accessibility and fast carrier transportation. As a result, the GQD-modified 3DOM ZnO sensor exhibited a remarkably high response (Rair/Rgas = 15.2 for 1 ppm acetone), rapid response/recovery time (9/16 s), extremely low theoretical detection limit (8.7 ppb), and good selectivity towards acetone against other interfering gases. In particular, the proposed sensor could accurately distinguish trace acetone in the simulated breath of diabetic patients. These results demonstrate a high potential for the feasibility of the GQD-modified 3DOM SMO structure as a new sensing material for the possibility of noninvasive real-time diagnosis of diabetes.

[Studies on shapes and germination characters of Alisma plantago-aquatica seeds].

OBJECTIVE: To explore the differences of the shapes of seeds and germination characters of Alisma plantago-aquatica. METHOD: The seeds were collected from four regions in Sichuan province, characters of the seeds' appearance were observed. The purification, weights per thousand seeds, content of moisture, seed vigor and different germination rates of A. plantago-aquatica were measured. The germination rates of the seeds were determined under different temperature treatments. RESULT: It was markedly varied in shapes of the seeds, rates of germination and all quality characters of the four local species. The seeds from Pengshan showed the best quality, the weights per thousand, the seed vigor and germination rate were 0.4308 g, 6% and 82%, respectively, and the size of the seed, its width and length were 1.882, 1.455 mm, respectively. The length was positively correlated with the width, and so did the weights per thousand seeds with the seed vigor and germination rates. The rate of seed vigor was positively correlated with the rate of germination. Results indicated that temperature had affected the germination of the seed. CONCLUSION: The seed from Pengshan was the best. The result of this study provides scientific evidences for identification, growth and cultivation of A. plantago-aquatica.

Evolution of conditional dispersal: a reaction-diffusion-advection model.

To study evolution of conditional dispersal, a Lotka-Volterra reaction-diffusion-advection model for two competing species in a heterogeneous environment is proposed and investigated. The two species are assumed to be identical except their dispersal strategies: both species disperse by random diffusion and advection along environmental gradients, but one species has stronger biased movement (i.e., advection along the environmental gradients) than the other one. It is shown that at least two scenarios can occur: if only one species has a strong tendency to move upward the environmental gradients, the two species can coexist since one species mainly pursues resources at places of locally most favorable environments while the other relies on resources from other parts of the habitat; if both species have such strong biased movements, it can lead to overcrowding of the whole population at places of locally most favorable environments, which causes the extinction of the species with stronger biased movement. These results provide a new mechanism for the coexistence of competing species, and they also imply that selection is against excessive advection along environmental gradients, and an intermediate biased movement rate may evolve.