Purpose: Total neoadjuvant therapy (TNT) is becoming the standard of care for locally advanced rectal cancer. However, surgery is deferred for months after completion, which may lead to fibrosis and increased surgical difficulty. The aim of this study was to assess whether TNT (TNT-RAPIDO) is associated with increased difficulty of total mesorectal excision (TME) compared with long-course chemoradiotherapy (LCRT) and upfront surgery.
View Article and Find Full Text PDFObjective: This study investigated whether early cognitive assessment in children with developmental delay (DD) predicts cognitive development. We investigated the correlation between cognitive and language development in children with DD, cerebral palsy (CP), and autism spectrum disorder (ASD).
Methods: Data were collected from children diagnosed with DD who visited the hospital between 2015 and 2023.
Patient and family engagement is crucial for a responsive health system and improves patient outcomes. However, few practical resources for purposeful engagement are available to health leaders. Over the past five years, BC Renal, the provincial kidney care network in British Columbia, developed, operationalized, and implemented a framework to enable meaningful patient and family engagement.
View Article and Find Full Text PDFMedicine (Baltimore)
November 2023
Rationale: A lateral ankle sprain (LAS) is a common sports related injury. Ankle instability and balance impairment after injury are common. This case report describes the longitudinal changes in static balance after LAS.
View Article and Find Full Text PDFBackground: Cognitive flexibility refers to the capacity to shift between conceptual representations particularly in response to changes in instruction and feedback. It enables individuals to swiftly adapt to changes in their environment and has significant implications for learning. The present study focuses on investigating changes in cognitive flexibility following an intervention programme-Structure Learning training.
View Article and Find Full Text PDFBlood is conventionally thought to be sterile. However, emerging evidence on the blood microbiome has started to challenge this notion. Recent reports have revealed the presence of genetic materials of microbes or pathogens in the blood circulation, leading to the conceptualization of a blood microbiome that is vital for physical wellbeing.
View Article and Find Full Text PDFInt J Environ Res Public Health
November 2022
Co-production in mental health is a relatively new approach to designing and delivering mental health services, which involves collaboration amongst professionals, persons in recovery, and their caregivers to provide services. The aim of this protocol paper is to detail the implementation and evaluation of a co-produced workshop series named . Collaborating with an early intervention program for first-episode psychosis, the study team and peer volunteers generated a co-production framework based on their experience of co-producing 11 workshops.
View Article and Find Full Text PDFBackground: Clearance of the sugammadex-rocuronium complex is limited to renal excretion. There are restrictions on the use of sugammadex in patients with severe renal impairment. A paucity of data supports the clinical safety of sugammadex in patients with renal impairment.
View Article and Find Full Text PDFWith the scaling of lateral dimensions in advanced transistors, an increased gate capacitance is desirable both to retain the control of the gate electrode over the channel and to reduce the operating voltage. This led to a fundamental change in the gate stack in 2008, the incorporation of high-dielectric-constant HfO (ref. ), which remains the material of choice to date.
View Article and Find Full Text PDFBackground: Transferring the hypoglossal nerve to the facial nerve using an end-to-end method is very effective for improving facial motor function. However, this technique may result in hemitongue atrophy. The ansa cervicalis, which arises from the cervical plexus, is also used for facial reanimation.
View Article and Find Full Text PDFConductive metal-organic frameworks (cMOFs) are emerging materials for various applications due to their high surface area, high porosity, and electrical conductivity. However, it is still challenging to develop cMOFs having high surface reactivity and durability. Here, highly active and stable cMOF are presented via the confinement of bimetallic nanoparticles (BNPs) in the pores of a 2D cMOF, where the confinement is guided by dipolar-interaction-induced site-specific nucleation.
View Article and Find Full Text PDFConductive metal-organic framework (C-MOF) thin-films have a wide variety of potential applications in the field of electronics, sensors, and energy devices. The immobilization of various functional species within the pores of C-MOFs can further improve the performance and extend the potential applications of C-MOFs thin films. However, developing facile and scalable synthesis of high quality ultra-thin C-MOFs while simultaneously immobilizing functional species within the MOF pores remains challenging.
View Article and Find Full Text PDFThis paper reports the results of a Bayesian analysis on large-scale empirical data to assess the effectiveness of eleven types of COVID-control policies that have been implemented at various levels of intensity in 40 countries and U.S. states since the onset of the pandemic.
View Article and Find Full Text PDFHydrogen (H) is one of the next-generation energy sources because it is abundant in nature and has a high combustion efficiency that produces environmentally benign products (HO). However, H/air mixtures are explosive at H concentrations above 4%, thus any leakage of H must be rapidly and reliably detected at much lower concentrations to ensure safety. Among the various types of H sensors, chemiresistive sensors are one of the most promising sensing systems due to their simplicity and low cost.
View Article and Find Full Text PDFCatalysis with single-atom catalysts (SACs) exhibits outstanding reactivity and selectivity. However, fabrication of supports for the single atoms with structural versatility remains a challenge to be overcome, for further steps toward catalytic activity augmentation. Here, we demonstrate an effective synthetic approach for a Pt SAC stabilized on a controllable one-dimensional (1D) metal oxide nano-heterostructure support, by trapping the single atoms at heterojunctions of a carbon nitride/SnO heterostructure.
View Article and Find Full Text PDFFor rapid hydrogen gas (H) sensing, we propose the facile synthesis of the hollow structure of Pt-decorated molybdenum disulfide (h-MoS/Pt) using ultrathin (mono- or few-layer) two-dimensional nanosheets. The controlled amphiphilic nature of MoS surface produces ultrathin MoS NS-covered polystyrene particles one-step Pickering emulsification. The incorporation of Pt nanoparticles (NPs) on the MoS, followed by pyrolysis, generates the highly porous h-MoS/Pt.
View Article and Find Full Text PDFLatent class models have been widely used in longitudinal studies to uncover unobserved heterogeneity in a population and find the characteristics of the latent classes simultaneously using the class allocation probabilities dependent on predictors. However, previous latent class models for longitudinal data suffer from uncertainty in the choice of the number of latent classes. In this study, we propose a Bayesian nonparametric latent class model for longitudinal data, which allows the number of latent classes to be inferred from the data.
View Article and Find Full Text PDFPolyelemental nanoparticles (PE NPs) containing four or more elements in a single NP have intriguing intrinsic properties compared to their single-element counterparts. The fusion of diverse elements induces synergistic effects including new physical and chemical phenomena. However, conventional methods have not offered effective strategies for the uniform creation of PE NPs with high reproducibility.
View Article and Find Full Text PDFConventional graphene oxide (GO)-based gas membranes, having a narrow pore-size range of less than 0.3 nm, exhibit limited gas molecular permeability because of the kinetic diameters of most volatile organic and sulfur compound (VOCs/VSCs) molecules being larger than 0.3 nm.
View Article and Find Full Text PDFAim: The survival benefit of using a non-cross resistant second-line chemotherapy in the third-line setting in metastatic gastroesophageal cancer is unproven. We evaluated the utility of third-line chemotherapy in patients treated at a single institution.
Methods: Between 2010 and 2014, efficacy and toxicity data of patients who received three or more lines of systemic therapies for metastatic gastroesophageal adenocarcinoma at the National Cancer Centre Singapore was retrospectively analyzed.
Conductive porous materials having a high surface reactivity offer great promise for a broad range of applications. However, a general and scalable synthesis of such materials remains challenging. In this work, the facile synthesis of catalytic metal nanoparticles (NPs) embedded in 2D metal-organic frameworks (MOFs) is reported as highly active and conductive porous materials.
View Article and Find Full Text PDFACS Appl Mater Interfaces
September 2019
Two-dimensional (2D) inorganic nanomaterials have attracted enormous interest in diverse research areas because of their intriguing physicochemical properties. However, reliable method for the synthesis and composition manipulation of polycrystalline inorganic nanosheets (NSs) are still considered grand challenges. Here, we report a robust synthetic route for producing various kinds of inorganic porous NSs with desired multiple components and precise compositional stoichiometry by employing tunicin, i.
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