Magnetic Resonance Imaging Findings in Patients With Duane Retraction Syndrome.

BACKGROUND: Duane retraction syndrome (DRS) is known to relate to the absence of the abducens nucleus, with abnormal innervation of the lateral rectus (LR) muscle by branchesof the oculomotor nerve (CN III). The purposes of this study were to investigate the morphological characteristics of the oculomotor nerve (CN III), the abducens nerve (CN VI), and the extraocular muscles in patients with clinically diagnosed Duane retraction syndrome (DRS) using MRI. In addition, we assessed the association between ocular motility, horizontal rectus muscle volumes, and CN III/VI in patients with Duane retraction syndrome (DRS). METHODS: The study comprised 20 orthotropic control subjects (40 eyes) and 42 patients with Duane syndrome (48 eyes), including 20 patients with DRS Type I (24 eyes), 5 patients with DRS Type II (6 eyes), and 17 patients with DRS Type III (18 eyes). Three-dimensional (3D) T1/2 images of the brainstem and orbit were obtained to visualize the cranial nerves, especially the abducens (VI) and oculomotor (III) nerves, as well as extraocular muscles. RESULTS: Based on the clinical classification, among 42 patients, MRI showed that the abducens nerves (CN VI) on the affected side were absent in 24 of 24 eyes (100%; 20 patients) with Type I DRS and in 16 of 18 eyes (88%; 16 patients) with Type III DRS. However, CN VI was observed in 6 of 6 eyes (100%; 5 patients) with Type II DRS and in 2 of 18 eyes (11%) with Type III DRS. CN III was observed in all patients. The oculomotor nerves on the affected side were thicker than those on the nonaffected contralateral side in DRS Type I ( P < 0.05) and Type III ( P < 0.05), but not in DRS Type II. Smaller LR and larger MR volumes were shown in the affected eye than that in the nonaffected eye in DRS Types I and III. Based on the presence or absence of CN VI, there was a tendency for thicker oculomotor nerves in the affected eye than in the nonaffected eye in the absence groups ( P < 0.05). However, no significant difference was found in the present group. In the CN VI absence groups, similar results were found in the affected eyes than in the nonaffected eyes as in DRS Types I and III. In addition, the presence of CN VI was correlated with better abduction ( P = 0.008). The LR and MR volumes have positive correlations with the oculomotor nerve diameter in the affected eye. However, there was no correlation between the range of adduction/abduction and the LR/MR ratio in patients with or without an abducens nerve. CONCLUSIONS: Different types of DRS have different characteristic appearances of CN VI and CN III on MRI. Horizontal rectus muscles have morphological changes to adapt to dysinnervation of CN VI and aberrant innervation of CN III. Thus, these neuroimaging findings may provide a new diagnostic criterion for the classification of DRS, improving the comprehension of the physiopathogenics of this disease.

Downregulation of TRIM27 alleviates hypoxic-ischemic encephalopathy through inhibiting inflammation and microglia cell activation by regulating STAT3/HMGB1 axis.

TRIM27 expression was increased in the Parkinson's disease (PD), and knockdown of TRIM27 in PC12 cells significantly inhibited cell apoptosis, indicating that downregulation of TRIM27 exerts a neuroprotective effect. Herein, we investigated TRIM27 role in hypoxic-ischemic encephalopathy (HIE) and the underlying mechanisms. HIE models were constructed in newborn rats using hypoxic ischemic (HI) treatment and PC-12/BV2 cells with oxygen glucose deprivation (OGD), respectively. The results demonstrated that TRIM27 expression was increased in the brain tissues of HIE rats and OGD-treated PC-12/BV2 cells. Downregulation of TRIM27 reduced the brain infarct volume, inflammatory factor levels and brain injury, as well as decreased the number of M1 subtype of microglia cells while increased the number of M2 microglia cells. Moreover, deletion of TRIM27 expression inhibited the expression of p-STAT3, p-NF-κB and HMGB1 in vivo and in vitro. In addition, overexpression of HMGB1 impaired the effects of TRIM27 downregulation on improving OGD-induced cell viability, inhibiting inflammatory reactions and microglia activation. Collectively, this study revealed that TRIM27 was overexpressed in HIE, and downregulation of TRIM27 could alleviate HI-induced brain injury through repressing inflammation and microglia cell activation via the STAT3/HMGB1 axis.

Role of Posttreatment Nursing Based on Functional Magnetic Resonance Imaging in Breast Cancer Patients with Lymphedema.

Breast cancer is the tumor disease with the highest incidence in women, especially lymphedema after treatment, which seriously affects the quality of life of women. In order to improve the nursing quality of breast cancer patients, medical staff uses functional magnetic resonance imaging (fMRI) to intervene in breast cancer patients, which greatly improves the recovery speed of patients. In this paper, functional magnetic resonance imaging based on the image registration method is proposed and applied to the follow-up of patients with breast cancer lymphedema after treatment. The powerful imaging effect allows doctors to timely and accurately judge the condition of the patient's lesions after treatment, which is conducive to nursing care. The experimental results of this paper show that the total number of serious patients in group A before the experiment is 25, accounting for 83.3%. After the experiment, the total number of severe cases was 24, accounting for 80%, indicating that the nursing measures of group A did not have a great effect. The total number of severe cases in group B before the experiment was 27, accounting for 90%. The total number of severe cases after the experiment was 10, accounting for 33.3%. The effect after the experiment was significantly higher than that before the experiment, indicating that the nursing program of group B played a great role.

A New Ester-Substituted Quinoxaline-Based Narrow Bandgap Polymer Donor for Organic Solar Cells.

The electron-deficient ester group substitution in the sidechain of the commonly used electron-withdrawing quinoxaline (Qx) unit is seldom studied, while ester-substituted Qx units possess easy syntheses and facile modulation of the polymer solubility, and the enhanced electron-withdrawing property of ester substituted Qx unit can theoretically broaden the optical absorption of the resulting polymers and improve the open circuit voltage in the corresponding organic solar cells (OSCs). In this work, a novel ester-substituted Qx-based narrow bandgap polymer (NBG) donor material PBDTT-EFQx, which exhibits an absorption edge of 790 nm (bandgap < 1.6 eV), is designed and synthesized. Results show that the OSCs composed of PBDTT-EFQx and PC71 BM present the highest power conversion efficiency (PCE) of 6.8%, compared to PCEs of 5.0% for PBDTT-EFQx:ITIC based devices and 4.1% for PBDTT-EFQx:N2200 based devices, respectively. Characterizations and analyses indicate that the PC71 BM-based OSCs have well-matched energy levels, better complementary light absorption, the highest and most balanced carrier mobilities, as well as the lowest degree of recombination losses, and therefore, leading to the highest PCE among the three types of OSCs. This work reveals that the ester-substituted quinoxaline unit is one of the potential building blocks for NBG polymer donors.

Understanding the crystal structure-dependent electrochemical capacitance of spinel and rock-salt Ni-Co oxides via density function theory calculations.

The spinel NiCo2O4 and rock-salt NiCoO2 have been well established as attractive electrodes for supercapacitors. However, what is the intrinsic role of the congenital aspect, i.e., crystal structure and the surface and/or near-surface controlled electrochemical redox behaviors, if the acquired features (i.e., morphology, specific surface area, pore structure, and so on) are wholly ignored? Herein, we purposefully elucidated the underlying influences of unique crystal structures of NiCo2O4 and NiCoO2 on their pseudocapacitance from mechanism analysis through the density function theory based first-principles calculations, along with the experimental validation. Systematic theoretical calculation and analysis revealed that more charge carriers near the Fermi-level, stronger affinity with OH- in the electrolyte, easier deprotonation process, and the site-enriched characteristic for low-index surfaces of NiCoO2 enable its faster redox reaction kinetics and greater charge transfer, when compared to the spinel NiCo2O4. The in-depth understanding of crystal structure-property relationship here will guide rational optimization and selection of appropriate electrodes for advanced supercapacitors.

Bottom-Up Fabrication of 1D Cu-based Conductive Metal-Organic Framework Nanowires as a High-Rate Anode towards Efficient Lithium Storage.

Conductive metal-organic frameworks (MOFs), as a newly emerging multifunctional material, hold enormous promise in electrochemical energy-storage systems owing to their merits including good electronic conductivity, large surface area, appropriate pore structure, and environmental friendliness. In this contribution, a scalable solvothermal strategy was devised for the bottom-up fabrication of 1D Cu-based conductive MOF, that is, Cu3 (2,3,6,7,10,11-hexahydroxytriphenylene)2 (Cu-CAT) nanowires (NWs), which were further utilized as a competitive anode for lithium-ion batteries (LIBs). The intrinsic Li storage mechanism of the Cu-CAT electrode was also explored. Benefiting from its structural virtues, the resultant 1D Cu-CAT NWs were endowed with superb Li+ diffusion coefficients and electrochemical conductivities and exhibited remarkably high-rate reversible capacities of approximately 631 mAh g-1 at 0.2 A g-1 and even approximately 381 mAh g-1 at 2 A g-1 , along with striking capacity retention of 81 % after 500 cycles at 0.5 A g-1 . In addition, a Cu-CAT NWs-based full cell assembled with LiNi0.8 Co0.1 Mn0.1 O2 as the cathode displayed a large energy density of approximately 275 Wh kg-1 as well as excellent cycling behavior. These results manifest the promising application of 1D conductive Cu-CAT NWs in advanced LIBs and even other potential versatile energy-related fields.

CD8 T cell-derived perforin aggravates secondary spinal cord injury through destroying the blood-spinal cord barrier.

Perforin plays an important role in autoimmune and infectious diseases, but its function in immune inflammatory responses after spinal cord injury (SCI) has received insufficient attention. The goal of this study is to determine the influence of perforin after spinal cord injury (SCI) on secondary inflammation. Compared recovery from SCI in perforin knockout (Prf1-/-) and wild-type(WT)mice, WT mice had significantly lower the Basso mouse score (BMS), CatWalk XT, and motor-evoked potentials (MEPs) than Prf1-/- mice. Spinal cord lesions were also more obvious through glial fibrillary acidic protein (GFAP), Nissl, and terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) staining. Furthermore, the blood-spinal cord barrier (BSCB) disruption was more severe and inflammatory cytokine levels were higher. Flow cytometry indicated that perforin mainly originated from CD8 T cells. With flow cytometry and enzyme-linked immunosorbent assay (ELISA), human cerebrospinal fluid (CSF) yielded similar results. Together, this study firstly demonstrated that CD8 T cell-derived perforin is detrimental to SCI recovery in the mouse model. Mechanistically, this effect occurs because perforin increases BSCB permeability, causing inflammatory cells and related cytokines to infiltrate and disrupt the nervous system.

Construction of 1D conductive Ni-MOF nanorods with fast Li+ kinetic diffusion and stable high-rate capacities as an anode for lithium ion batteries.

1D Ni-MOFs with a hexagonal honeycomb structure, good electronic conductivity and fast Li+ kinetic diffusion were hydrothermally prepared, and they exhibited excellent lithium storage performance in terms of high-rate reversible capacity and long-duration cycling behavior as the anode material in lithium ion batteries.

Binary Synergistic Sensitivity Strengthening of Bioinspired Hierarchical Architectures based on Fragmentized Reduced Graphene Oxide Sponge and Silver Nanoparticles for Strain Sensors and Beyond.

Recently, stretchable electronics have been highly desirable in the Internet of Things and electronic skins. Herein, an innovative and cost-efficient strategy is demonstrated to fabricate highly sensitive, stretchable, and conductive strain-sensing platforms inspired by the geometries of a spiders slit organ and a lobsters shell. The electrically conductive composites are fabricated via embedding the 3D percolation networks of fragmentized graphene sponges (FGS) in poly(styrene-block-butadiene-block-styrene) (SBS) matrix, followed by an iterative process of silver precursor absorption and reduction. The slit- and scale-like structures and hybrid conductive blocks of FGS and Ag nanoparticles (NPs) provide the obtained FGS-Ag-NP-embedded composites with superior electrical conductivity of 1521 S cm-1 , high break elongation of 680%, a wide sensing range of up to 120% strain, high sensitivity of ≈107 at a strain of 120%, fast response time of ≈20 ms, as well as excellent reliability and stability of 2000 cycles. This huge stretchability and sensitivity is attributed to the combination of high stretchability of SBS and the binary synergistic effects of designed FGS architectures and Ag NPs. Moreover, the FGS/SBS/Ag composites can be employed as wearable sensors to detect the modes of finger motions successfully, and patterned conductive interconnects for flexible arrays of light-emitting diodes.