Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China.

OBJECTIVE: We aimed to explore the geographic differences in psychological symptoms, sleep quality, and quality of life (QoL) among adult patients with inflammatory bowel disease (IBD). METHODS: A unified questionnaire was developed to collect data on psychological status and QoL of IBD patients from 42 hospitals across 22 provinces, municipalities, and autonomous regions in China's mainland from September 2021 to May 2022. RESULTS: A total of 2478 patients with IBD were surveyed. The proportions of patients with anxiety (28.5% vs 23.1%), depression (32.3% vs 27.8%), and poor QoL (44.8% vs 32.2%) were significantly higher in patients from the northern region compared to the southern region (all P < 0.05). In the western region, the proportions of patients with anxiety (31.9% vs 23.0%), depression (37.7% vs 26.7%), sleep disturbances (64.5% vs 58.5%), and poor QoL (44.9% vs 34.8%) were significantly higher than in the eastern and central regions (all P < 0.01). Patients from inland regions had significantly higher rates of anxiety (27.1% vs 23.3%), depression (32.5% vs 26.0%), sleep disturbance (62.0% vs 57.7%), and poor QoL (43.5% vs 29.9%) compared to those from coastal regions (all P < 0.05). In economically underdeveloped areas, the proportions of patients with depression (33.1% vs 28.5%) and poor QoL (52.0% vs 32.4%) were significantly higher than in economically (relatively) developed areas (both P < 0.05). CONCLUSION: There are significant geographic differences in psychological symptoms, sleep quality, and QoL among Chinese patients with IBD, which might provide valuable insights for global IBD research and clinical practice.

Trace Water in Lead Iodide Affecting Perovskite Crystal Nucleation Limits the Performance of Perovskite Solar Cells.

The experimental replicability of highly efficient perovskite solar cells (PSCs) is a persistent challenge faced by laboratories worldwide. Although trace impurities in raw materials can impact the experimental reproducibility of high-performance PSCs, the in situ study of how trace impurities affect perovskite film growth is never investigated. Here, light is shed on the impact of inevitable water contamination in lead iodide (PbI2 ) on the replicability of device performance, mainly depending on the synthesis methods of PbI2 . Through synchrotron-based structure characterization, it is uncovered that even slight additions of water to PbI2 accelerate the crystallization process in the perovskite layer during annealing. However, this accelerated crystallization also results in an imbalance of charge-carrier mobilities, leading to a degradation in device performance and reduced longevity of the solar cells. It is also found that anhydrous PbI2 promotes a homogenous nucleation process and improves perovskite film growth. Finally, the PSCs achieve a remarkable certified power conversion efficiency of 24.3%. This breakthrough demonstrates the significance of understanding and precisely managing the water content in PbI2 to ensure the experimental replicability of high-efficiency PSCs.

Poly(3-hexylthiophene)/perovskite Heterointerface by Spinodal Decomposition Enabling Efficient and Stable Perovskite Solar Cells.

The best research-cell efficiency of perovskite solar cells (PSCs) is comparable with that of mature silicon solar cells (SSCs); However, the industrial development of PSCs lags far behind SSCs. PSC is a multiphase and multicomponent system, whose consequent interfacial energy loss and carrier loss seriously affect the performance and stability of devices. Here, by using spinodal decomposition, a spontaneous solid phase segregation process, in situ introduces a poly(3-hexylthiophene)/perovskite (P3HT/PVK) heterointerface with interpenetrating structure in PSCs. The P3HT/PVK heterointerface tunes the energy alignment, thereby reducing the energy loss at the interface; The P3HT/PVK interpenetrating structure bridges a transport channel, thus decreasing the carrier loss at the interface. The simultaneous mitigation of energy and carrier losses by P3HT/PVK heterointerface enables n-i-p geometry device a power conversion efficiency of 24.53% (certified 23.94%) and excellent stability. These findings demonstrate an ingenious strategy to optimize the performance of PSCs by heterointerface via Spinodal decomposition.

Improving Crystallization and Stability of Perovskite Solar Cells Using a Low-Temperature Treated A-Site Cation Solution in the Sequential Deposition.

The two-step sequential deposition is a commonly used method by researchers for fabricating perovskite solar cells (PSCs) due to its reproducibility and tolerant preparation conditions. However, the less-than-favorable diffusive processes in the preparation process often result in subpar crystalline quality in the perovskite films. In this study, we employed a simple strategy to regulate the crystallization process by lowering the temperature of the organic-cation precursor solutions. By doing so, we minimized interdiffusion processes between the organic cations and pre-deposited lead iodide (PbI2) film under poor crystallization conditions. This allowed for a homogenous perovskite film with improved crystalline orientation when transferred to appropriate environmental conditions for annealing. As a result, a boosted power conversion efficiency (PCE) was achieved in PSCs tested for 0.1 cm2 and 1 cm2, with the former exhibiting a PCE of 24.10% and the latter of 21.56%, compared to control PSCs, which showed a PCE of 22.65% and 20.69%, respectively. Additionally, the strategy increased device stability, with the cells holding 95.8% and 89.4% of the initial efficiency even after 7000 h of aging under nitrogen or 20-30% relative humidity and 25 °C. This study highlights a promising low-temperature-treated (LT-treated) strategy compatible with other PSCs fabrication techniques, adding a new possibility for temperature regulation during crystallization.

Symmetry-Breaking Induced Dipole Enhancement for Efficient Spiro-Type Hole Transporting Materials: Easy Synthesis with High Stability.

Spiral cores are crucial for designing efficient hole transporting materials (HTMs) for perovskite solar cells (PSCs), owing to their no-planar 3D architecture, high thermal stability, good solubility, and beneficial solid-state morphology. A lack of facile synthetic procedures for the spiral core limited the development of novel and stable spiral HTMs. In this regard, a one-step reaction is adopted to produce several novel acceptor-embedded spiral cores containing electron-withdrawing carbonyl group embedded orthogonal spiral conformation. After coupling with triphenylamine donors, symmetry-breaking spiral HTMs with uneven charge distribution can be obtained, bearing the advantages of adjustable dipole moment and enhanced structural stability. A combined theoretical and experimental study shows that the HTM with a stronger dipole moment can easily adsorb on the surface of perovskite via electrostatic potential, and the closer distance promoted facile hole transfer from perovskite to HTMs. In the end, PSCs based on strongly polarized spiro-BC-OMe achieved efficient hole extraction and thus an improved fill factor, promoting a power conversion efficiency (PCE) of 22.15%, and a module-based PCE of 18.61% with an active area of 16.38 cm2 . This study provides a new avenue for designing HTMs with strong dipole moments for efficient PSCs.

Thermally Stable D2h Symmetric Donor-π-Donor Porphyrins as Hole-Transporting Materials for Perovskite Solar Cells.

A series of new D2h symmetric porphyrins (MDA4, MTA4, and MDA8) with donor-π-donor structures have been synthesized as the hole-transporting materials for perovskite solar cells (PSCs). The novel porphyrin molecules feature a D2h symmetrically substituted ZnII porphyrin core and two kinds of donor systems (diarylamine (DAA) and triarylamine (TAA)), which can regulate energy level, increase thermal stability, solubility, and hydrophobicity via long alkoxyl chains. PSC devices based on MDA4 as the HTM showed impressive power-conversion efficiency (PCE) of 22.67 % under AM1.5G solar illumination. Notably, the device was sent for certification, and a PCE of 22.19 % was reported, representing the highest PCE from porphyrin-based HTMs. Furthermore, the MDA4-based PSCs showed excellent thermal stability under 60 °C and RH 60 % and preserved 88 % of initial performance after 360 hours. The strategy opens a new avenue for developing efficient and stable porphyrin HTMs for PSCs.

Rhein activated Fas-induced apoptosis pathway causing cardiotoxicity in vitro and in vivo.

Rhein, one of the main active components of rhubarb (Dahuang) and Polygonum multiflorum (Heshouwu), has a wide range of effective pharmacological effects. Recently, increasing studies have focused on its potential hepatorenal toxicity, but the cardiotoxicity is unknown. In this study, we found that the IC50 of rhein to H9c2 cells at 24 h and 48 h were 94.5 and 45.9µmol/L, respectively, with positive correlation of dose-toxicity and time-toxicity. After the treatment of rhein (106, 124 and 132µmol/L), the number of H9c2 cells decreased significantly, and the morphology of H9c2 cells showed atrophy, round shape and wall detachment. Moreover, the proportion of apoptotic cells in H9c2 cells treated with rhein was significantly increased in a dose-dependent manner. And rhein induced S phase arrest of H9c2 cells and inhibited cell proliferation. Rhein up-regulated ROS, LDH levels and low MMP but down-regulated SOD content in H9c2 cells. Additionally, the results showed that the cardiac function LVEF and LVFS of rhein high-medium-low dose groups (350, 175, 87.5 mg/kg) were significantly reduced. And the contents of Ca2+, cTnT, CK and LDH in serum of KM mice were significantly up-regulated by rhein. Furthermore, western blot results suggested that rhein the above effects via promoting Fas-induced apoptosis pathway in vitro and in vivo. In general, rhein may cause cardiotoxicity via Fas-induced apoptosis pathway in vivo and in vitro, which provides reference for the safe use of medicinal plant containing rhein and its preparations.

Deciphering the Reduced Loss in High Fill Factor Inverted Perovskite Solar Cells with Methoxy-Substituted Poly(Triarylamine) as the Hole Selective Contact.

A dopant-free polymeric hole selective contact (HSC) layer is ubiquitous for stable perovskite solar cells (PSCs). However, the intrinsic nonwetting nature of the polymeric HSC impedes the uniform spreading of the perovskite precursor solution, generating a terrible buried interface. Here, we dexterously tackle this dilemma from the perspective of dispersive and polar component surface energies of the HSC layer. A novel triarylamine-based HSC material, poly[bis(4-phenyl)(2,4-dimethoxyphenyl)amine] (2MeO-PTAA), was designed by introducing the polar methoxy groups to the para and ortho positions of the dangling benzene. These nonsymmetrically substituted electron-donating methoxy groups enhanced the polar components of surface energy, allowing more tight interfacial contact between the HSC layer and perovskite and facilitating hole extraction. When utilized as the dopant-free HSC layer in inverted PSCs, the 2MeO-PTAA-based device with CH3NH3PbI3 as the absorber exhibited an encouraging power conversion efficiency of 20.23% and a high fill factor of 84.31% with negligible hysteresis. Finally, a revised detailed balance model was used to verify the drastically lessened surface defect-induced recombination loss and shunt resistance loss in 2MeO-PTAA-based devices. This work demonstrates a facile and efficient way to modulate the buried interface and shed light on the direction to further improve the photovoltaic performance of inverted PSCs with other types of perovskites.

Grain Boundary Engineering with Self-Assembled Porphyrin Supramolecules for Highly Efficient Large-Area Perovskite Photovoltaics.

Grain boundary management is critical to the performance and stability of polycrystalline perovskite solar cells (PSCs), especially large-area devices. However, typical passivators are insulating in nature and limit carrier transport. Here, we design a supramolecular binder for grain boundaries to simultaneously passivate defects and promote hole transport across perovskite grain boundaries. By doping the monoamine porphyrins (MPs, M = Co, Ni, Cu, Zn, or H) into perovskite films, MPs self-assemble into supramolecules at grain boundaries. Organic cations in perovskites protonate MPs in supramolecules to form ammonium porphyrins bound on the perovskite grain surface, to passivate defects and extract holes from the perovskite lattice. Periodic polarons in supramolecules (especially NiP-supramolecule) promote the transport of extracted holes across boundaries, reducing nonradiative carrier recombination. The NiP-doped PSCs reveal a certified efficiency of 22.1% for an active area of 1.0 cm2 with the remarkably improved open-circuit voltage and fill factor. The unencapsulated device retained over 80% initial performance under AM 1.5G solar light continuous illumination or heating at 85 °C over 3000 h.

Effectiveness of Acupuncture Therapy on Postoperative Nausea and Vomiting After Gynecologic Surgery: A Meta-Analysis and Systematic Review.

PURPOSE: The aim of this study was to evaluate the effectiveness and safety of acupuncture therapy (AT) on postoperative nausea and vomiting (PONV) after gynecologic surgery (GS). DESIGN: A meta-analysis using a systematic search strategy was performed. METHODS: A comprehensive literature search of all published randomized controlled trials or prospective cohort studies assessing the effectiveness of AT on PONV in patients undergoing GS was conducted in three databases: PubMed, EMBASE, and Cochrane Library. The incidence of PONV, the use of rescue antiemetics, and side effects of AT were analyzed using the Review Manager 5.3 software. FINDINGS: Nine randomized controlled trials and one prospective cohort study identified in the literature search from database inception (1966) to December 31, 2019, including 1,075 participants were included in the present study. AT significantly reduced the risk of developing postoperative nausea and postoperative vomiting by 48% (relative risk = 0.52; 95% confidence interval, 0.44 to 0.61; P < .00001) and 42% (relative risk = 0.58; 95% confidence interval, 0.49 to 0.68; P < .00001), respectively. No significant differences in the incidence of side effects such as bleeding and needle pain were observed between groups (P = .54). AT was also associated with a lower rate of rescue antiemetic usage (P < .00001) and a higher degree of satisfaction with postoperative recovery (P < .0001). Moreover, the optimal therapeutic effect of AT on preventing PONV was achieved when the treatment time was controlled within 30 minutes and transcutaneous acupoint electrical stimulation was applied. CONCLUSION: AT is an effective and safe physical therapy for the prophylaxis of PONV in patients undergoing GS.

Erianin inhibits human lung cancer cell growth via PI3K/Akt/mTOR pathway in vitro and in vivo.

Erianin is a small-molecule compound that is isolated from Dendrobium chrysotoxum Lindl. In recent years, it has been found to have evident antitumor activity in various cancers, such as bladder cancer, cervical cancer, and nasopharyngeal carcinoma. In this study, we assessed the effect of erianin on lung cancer in terms of cell growth inhibition and the related mechanism. First, erianin at a concentration of less than 1 nmol/L exhibited cytotoxicity in H1975, A549, LLC lung cancer cells, did not cause marked growth inhibition in normal lung and kidney cells, induced obvious apoptosis and G2/M phase arrest of cells, and inhibited the migration and invasion of lung cancer cells in vitro. Second, in a mouse xenograft model of lewis lung cancer (LLC), oral administration of erianin (50, 35, and 10 mg kg-1  day-1 for 12 days) substantially inhibited nodule growth, reduced the fluorescence counts of lewis cells and the percentage vascularity of tumor tissues, increased the number of apoptotic tumor cells, the thymus indices, up-regulated the levels of interleukin (IL)-2 and tumor necrosis factor-α (TNF-α), decreased IL-10 levels and the spleen index, and enhanced immune function. Lastly, the possible targets of erianin were determined by molecular docking and verified via western blot assay. The results indicated that erianin may achieve the above effects via inhibiting the phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway in vitro and vivo. Taken together, the results showed that erianin had obvious antitumor effects via inhibiting the PI3K/Akt/mTOR pathway in vitro and vivo and may have potential clinical value for the treatment of lung cancer.

Marked Passivation Effect of Naphthalene-1,8-Dicarboximides in High-Performance Perovskite Solar Cells.

As game-changers in the photovoltaic community, perovskite solar cells are making unprecedented progress while still facing grand challenges such as improving lifetime without impairing efficiency. Herein, two structurally alike polyaromatic molecules based on naphthalene-1,8-dicarboximide (NMI) and perylene-3,4-dicarboximide (PMI) with different molecular dipoles are applied to tackle this issue. Contrasting the electronically pull-pull cyanide-substituted PMI (9CN-PMI) with only Lewis-base groups, the push-pull 4-hydroxybiphenyl-substituted NMI (4OH-NMI) with both protonic and Lewis-base groups can provide better chemical passivation for both shallow- and deep-level defects. Moreover, combined theoretical and experimental studies show that the 4OH-NMI can bind more firmly with perovskite and the polyaromatic backbones create benign midgap states in the excited perovskite to suppress the damage by superoxide anions (energetic passivation). The polar and protonic nature of 4OH-NMI facilitates band alignment and regulates the viscosity of the precursor solution for thicker perovskite films with better morphology. Consequently, the 4OH-NMI-passivated perovskite films exhibit reduced grain boundaries and nearly three-times lower defect density, boosting the device efficiency to 23.7%. A more effective design of the passivator for perovskites with multi-passivation mechanisms is provided in this study.

cPCN-Regulated SnO2 Composites Enables Perovskite Solar Cell with Efficiency Beyond 23.

Efficient electron transport layers (ETLs) not only play a crucial role in promoting carrier separation and electron extraction in perovskite solar cells (PSCs) but also significantly affect the process of nucleation and growth of the perovskite layer. Herein, crystalline polymeric carbon nitrides (cPCN) are introduced to regulate the electronic properties of SnO2 nanocrystals, resulting in cPCN-composited SnO2 (SnO2-cPCN) ETLs with enhanced charge transport and perovskite layers with decreased grain boundaries. Firstly, SnO2-cPCN ETLs show three times higher electron mobility than pristine SnO2 while offering better energy level alignment with the perovskite layer. The SnO2-cPCN ETLs with decreased wettability endow the perovskite films with higher crystallinity by retarding the crystallization rate. In the end, the power conversion efficiency (PCE) of planar PSCs can be boosted to 23.17% with negligible hysteresis and a steady-state efficiency output of 21.98%, which is one of the highest PCEs for PSCs with modified SnO2 ETLs. SnO2-cPCN based devices also showed higher stability than pristine SnO2, maintaining 88% of the initial PCE after 2000 h of storage in the ambient environment (with controlled RH of 30% ± 5%) without encapsulation.

Plasmon-Enhanced Perovskite Solar Cells with Efficiency Beyond 21 %: The Asynchronous Synergistic Effect of Water and Gold Nanorods.

Although perovskite films have excellent extinction coefficients, further increase of the light-absorbing capacity by increasing the thickness of the active layer is always required in perovskite solar cells (PSCs). However, to maintain the morphology quality of the perovskite layer, the film thickness is subject to certain restrictions. To increase the light absorbance without significantly inflating the perovskite film while keeping the high quality of the perovskite film, herein, we added an aqueous solution of gold nanorods (AuNRs) to the perovskite precursor solution via a so-called asynchronous synergistic effect (ASE) strategy of water and AuNR. The former improves the quality of the perovskite film during the crystallization process to reduce defect density and enhance carrier mobility. Simultaneously, the latter increases the light absorption of the perovskite layer through the localized surface plasmon resonance (LSPR) effect when the device is exposed to light. We show that the ASE strategy leads to an excellent power conversion efficiency (PCE) of 21.73 % and outstanding long-term stability, which can retain 95 % of its initial PCE after storage for three months in an air atmosphere.

The roles of fused-ring organic semiconductor treatment on SnO2 in enhancing perovskite solar cell performance.

It took only 11 years for the power conversion efficiency (PCE) of perovskite solar cells (PSCs) to increase from 3.8% to 25.2%. It is worth noting that, as a new thin-film solar cell technique, defect passivation at the interface is crucial for the PSCs. Decorating and passivating the interface between the perovskite and electron transport layer (ETL) is an effective way to suppress the recombination of carriers at the interface and improve the PCE of the device. In this work, several acceptor-donor-acceptor (A-D-A) type fused-ring organic semiconductors (FROS) with indacenodithiophene (IDT) or indacenodithienothiophene (IDDT) as the bridging donor moiety and 1,3-diethyl-2-thiobarbituric or 1,1-dicyromethylene-3-indanone as the strong electron-withdrawing units, were deposited on the SnO2 ETL to prepare efficient planar junction PSCs. The PCEs of the PSCs increased from 18.63% for the control device to 19.37%, 19.75%, and 19.32% after modification at the interface by three FROSs. Furthermore, impedance spectroscopy, steady-state and time-resolved photoluminescence spectra elucidated that the interface decorated by FROSs enhance not only the extraction of electrons but also the charge transportation at the interface between the perovskite and ETL. These results can provide significant insights in improving the perovskite/ETL interface and the photovoltaic performance of PSCs.

Investigation on reproductive characteristics of Polygonatum cyrtonema / 中国中药杂志

The study is aimed to investigate the reproductive biology characteristics of Polygonatum cyrtonema, especially including phenology, flower bud differentiation, flowering timing, floral traits, pollen vigor and stigma receptivity. The results showed that P. cyrtonema forms inflorescence before the leaves spread. In the wild, P. cyrtonema is mainly pollinated by insects such as bumblebees, with a seed setting rate of 65.12%. The seed setting rate of indoor single plant isolation or self-pollination enclosed by parchment paper bag is 0, indicating that it is self-incompatible. In Lin'an city, seedlings begin to emerge from mid-March to early April(the temperature is higher than 7.5 ℃), buds begin to emerge from the end of March to mid-April, and then undergo the full bloom stage from mid-to-late April, and the final flowering stage from the end of April to mid-May. The whole flowering period lasts 36 to 45 days. There are obvious differences in the phenology of different provenances. The flowers come into bloom from the base to the top along the aboveground main axis, which usually contain 4-22 inflorescences with(2-) 4-10(-21) flowers per inflorescence. The flowering pe-riod for a single plant is 26-38 days. The single flower lasts about 20-25 days from budding to opening and withers 2 days after pollination, and then the ovary will gradually expand. If unpollinated, it will continue to bloom for 3-5 days and then wither. Flower development period is significantly related to pollen vigor and stigma remittance. The pollen viability is the highest when the flower is fully opened with anthers gathering on the stigma, and the receptivity is the strongest when the stigma protrudes out of the perianth and secretes mucus. The fruits and seeds ripen in October, and proper shading can ensure the smooth development and maturity of the seeds. This study provides a basis for the hybrid breeding and seed production of P. cyrtonema.

NdCl3 Dose as a Universal Approach for High-Efficiency Perovskite Solar Cells Based on Low-Temperature-Processed SnOx.

The defects on the surface of low-temperature-processed electronic transport layers hindered the development of efficient flexible perovskite solar cells. Herein, we develop a universal NdCl3 dosing strategy to circumvent the residual Sn(II)-OH defects from the incomplete wet-chemical reaction. The introduction of NdCl3 does not lead to the doping of Nd3+ ions but rather the formation of a composite film of NdCl3 with SnOx. The dose of NdCl3 effectively reduces surface trap states at low-temperature-processed SnOx films, leading to increased carrier extraction and reduced carrier accumulation/recombination at the ETL/perovskite interface. These improvements result in perovskite solar cells (PvSCs) with significantly enhanced power conversion efficiency (PCE) and eliminated hysteresis. Finally, efficiencies of 18.62% and 21.49% for PvSCs based on MAPbI3 and FA1-xMAxPbI3 perovskites, respectively, were achieved on rigid substrates. The test on a flexible device based on Cs0.05(FA0.83MA0.17)0.95(I0.83Br0.17)3 perovskite realized a PCE of 16.14% and an incredible VOC of 1.158 V. This study indicated the potential of NdCl3 dose as a universal approach to enhance the performance of PvSCs with low-temperature-processed SnOx ETL.

Lewis-base containing spiro type hole transporting materials for high-performance perovskite solar cells with efficiency approaching 20.

Owing to excellent performance and dopability, spiro-OMeTAD remains an irreplaceable hole transporting material (HTM) in perovskite solar cells (PSCs). In order to further improve the performance of spiro-OMeTAD based PSCs, a Lewis base can be introduced into the structure of spiro-OMeTAD wisely, which can keep the advantages of spiro-OMeTAD while incorporating the functionality of a Lewis base in passivating the surface of the perovskite. Therefore, spiro-type HTMs (spiro-CN-OMeTAD with a dicyano group and spiro-PS-OMeTAD with a thiocarbonyl group) were synthesized and confirmed by density functional theory (DFT) calculations and X-ray single-crystallographic diffraction. Spiro-CN-OMeTAD as an HTM is certified to have a suitable interfacial band alignment with the perovskite, good film quality and effective defect passivation, which facilitate the resulting device to achieve an efficiency of 19.90% with a high open-circuit voltage, low hysteresis, and improved stability. This study provides an alternative strategy for the molecular design of better HTMs in high-performance PSCs.

Correction to: AFF1 and AFF4 differentially regulate the osteogenic differentiation of human MSCs.

[This corrects the article DOI: 10.1038/boneres.2017.44.].