High solid-state photoluminescence quantum yield of carbon-dot-derived molecular fluorophores for light-emitting devices.

Several recent studies of carbon dots (CDs) synthesized by bottom-up methods under mild conditions have reported the presence of organic molecular fluorophores in CD dispersions. These fluorophores have a tendency to aggregate, and their properties strongly depend on whether they are present in the form of discrete molecules or aggregates. The aggregation becomes more prominent in the solid state, which motivates the study of the properties of the fluorophores associated with CDs in the solid state.

Photostability of blue phosphorescent films on plasmonic surfaces.

Organometallic phosphors are an important class of emissive materials used in high-efficiency organic light-emitting devices. However, problems of low photostability arise for blue-emitting phosphors due to chemical and environmental degradation and triplet quenching processes. Various approaches have been developed to improve the photostability of such phosphors, including the design of new organometallic molecules and control of host-dopant composition in thin films.

Joint Trauma System Clinical Practice Guideline: Acute Coronary Syndrome (ACS). 14 May 2021.

Deployed medical providers at all roles of care must be prepared to recognize and manage acute coronary syndrome (ACS). Under optimal conditions, treatment is initiated with medical therapy and may be followed by prompt coronary angiography and revascularization. Emergent percutaneous coronary intervention (PCI) is not available in most deployed locations, however, and the time for such intervention is often dependent on long-range evacuation.

Energy Drink-Associated Electrophysiological and Ischemic Abnormalities: A Narrative Review.

An increasing number of cardiovascular adverse effects, emergency room visits, and deaths have been linked to energy drinks. In this review, we summarized available published literature assessing electrophysiological and ischemic adverse effects associated with energy drink consumption. Overall, 32 case reports and 19 clinical trials are included in this review.

Traumatic injury and atrial fibrillation among deployed service members.

Introduction: Atrial fibrillation and atrial flutter (AF/AFL), the most common atrial arrhythmias, have never been examined in combat casualties. In this study, we investigated the impact of traumatic injury on AF/AFL among service members with deployment history.

Methods: Sampled from the Department of Defense (DoD) Trauma Registry (n = 10,000), each injured patient in this retrospective cohort study was matched with a non-injured service member drawn from the Veterans Affairs/DoD Identity Repository.

Comparison of High-Resolution Computed Tomography and Real-Time Reverse Transcriptase Polymerase Chain Reaction in Diagnosis of COVID-19 Pneumonia in Intensive Care Unit Population.

Introduction The efficacy of high-resolution computed tomography (HRCT) chest in common respiratory infections is well-established; however, its use in the diagnosis of COVID-19 pneumonia is less popular. The previous studies have failed to establish the efficacy of HRCT in the diagnosis of COVID-19 pneumonia. Objective The current study aimed to assess the efficacy of HRCT as compared to a polymerase chain reaction (PCR) in diagnosing COVID-19 pneumonia in patients in our setting.

Long-term effects of impurities on the particle size and optical emission of carbon dots.

Carbon dots (CDs) are fluorescent nanoparticles that exhibit strong photoluminescence (PL) emission throughout the visible range of the electromagnetic spectrum. Recent studies highlight the presence of fluorescent impurities in CD dispersions. Here, the long-term impact of these impurities on the stability of the physical and optical properties of CDs synthesized by the solvothermal method is studied.

Optical and Electrical Properties of Organic Semiconductor Thin Films on Aperiodic Plasmonic Metasurfaces.

Metal electrodes are playing an increasingly important role in controlling photon absorption and in promoting optimal light management in thin-film semiconductor devices. For organic optoelectronic devices, the conventional fabrication approach is to build the device on top of a transparent electrode, with metal electrode deposition as the last step. This makes it challenging to control the surface of the metal electrode to promote good light management properties.

Comparison of CLIF-C ACLF Score and MELD Score in Predicting ICU Mortality in Patients with Acute-On-Chronic Liver Failure.

Introduction Acute-on-chronic liver failure (ACLF) is a serious complication of liver cirrhosis which presents with hepatic and/or extrahepatic organ failure and often needs admission to an Intensive Care Unit (ICU). This condition typically needs organ support and carries a high mortality rate. ICU care may not benefit these patients.

Rational design of a high-efficiency, multivariate metal-organic framework phosphor for white LED bulbs.

Developing rare-earth element (REE) free yellow phosphors that can be excited by 455 nm blue light will help to decrease the environmental impact of manufacturing energy efficient white light-emitting diodes (WLEDs), decrease their cost of production, and accelerate their adoption across the globe. Luminescent metal-organic frameworks (LMOFs) demonstrate strong potential for use as phosphor materials and have been investigated intensively in recent years. However, the majority are not suitable for the current WLED technology due to their lack of blue excitability.

Urinary tract infection after catheter ablation of atrial fibrillation.

Background: Urinary tract infection (UTI) is common after surgical procedures and a quality improvement target. For non-surgical procedures such as catheter ablation of atrial fibrillation (AF), UTI risk has not been characterized. We sought to determine incidence and risk factors of UTI after AF ablation and risk variation across sites.

Impact of High Volume Energy Drink Consumption on Electrocardiographic and Blood Pressure Parameters: A Randomized Trial.

Background Energy drinks have been linked to an increase in emergency room visits and deaths. We aim to determine the impact of energy drinks on electrocardiographic and hemodynamic parameters in young healthy volunteers. Methods and Results A randomized, double-masked, placebo-controlled, crossover study was conducted in healthy volunteers.

Atraumatic Splenic Rupture after Myocardial Infarction.

Unlabelled: Atraumatic splenic rupture is a rare but potentially life-threatening event. It mostly happens when the spleen is already diseased; however, sometimes it can be drug induced in a previously normal spleen. Although anticoagulation has been attributed to spontaneous splenic rupture quite frequently, the role of dual antiplatelet therapy is underestimated.

A novel pacing maneuver to verify the postpacing interval minus the tachycardia cycle length while adjusting for decremental conduction: Using "dual-chamber entrainment" for improved supraventricular tachycardia discrimination.

Background: The postpacing interval (PPI) minus the tachycardia cycle length (TCL) is frequently used to investigate tachycardias. However, a variety of issues (eg, failure to entrain, decremental conduction, and oscillating TCLs) can make interpretation of the PPI-TCL challenging.

Objective: The purpose of this study was to investigate a novel maneuver to confirm the PPI-TCL value without using either the ventricular PPI or the TCL interval and to assess the ability of this maneuver to identify decremental conduction and differentiate supraventricular tachycardias.

Intractable hyperemesis gravidarum in a patient with type 1 diabetes.

Hyperemesis gravidarum is not uncommon. Its pathogenies is multifactorial but not fully understood. We present a case of a middle class, Caucasian pregnant woman aged 24 years with coexisting type 1 diabetes, who had severe hyperemesis gravidarum from the sixth week of pregnancy and was resistant to all standard and off-the-label treatments raising questions about the pathogenesis of hyperemesis gravidarum.

Predicting Determinants of Atrial Fibrillation or Flutter for Therapy Elucidation in Patients at Risk for Thromboembolic Events (PREDATE AF) Study.

Background: Atrial fibrillation (AF) is the most common clinically significant cardiac rhythm disorder. There is considerable interest in screening for AF, as it is a leading cause of stroke, and oral anticoagulants (OACs) have been shown to significantly reduce the risk of stroke in patients with AF. Improved screening for AF with subsequent treatment may help improve long-term outcomes, but the optimal patient population and screening intensity are unknown.

Cardiovascular Complaints Among Military Members During Operation Enduring Freedom.

During Operation Enduring Freedom, the US military began deploying a dedicated theater cardiology consultant to Afghanistan in an effort to increase rates of return to duty in service members with cardiovascular complaints. This study was designed to categorize these complaints and determine the effect on both aeromedical evacuation and return to duty rates during a 2.5 year observation period.

The effects of body mass index on surface electrocardiograms in young adults.

Introduction: While BMI is known to affect ECG measurements, these effects have not been well characterized in young adults.

Methods: We retrospectively reviewed all ECGs performed in adults 18 to 35 years old at a single institution over a 30 year period. ECG measurements were derived electronically and stratified by WHO BMI category.

Gender differences and risk of ventricular tachycardia or ventricular fibrillation.

Background: Healthy women have longer QT intervals and more drug-induced proarrhythmia compared to men, yet those given implantable cardioverter-difibrillators (ICDs) for ischemic cardiomyopathy have fewer episodes of ventricular tachycardia/ventricular fibrillation (VT/VF) than men. The role of repolarization duration and stability in arrhythmogenesis in men and women with structural heart disease has not been explored.

Objectives: The purpose of this study was to analyze repolarization differences between men and women and their relation to the risk of VT/VF.

An internal medicine interest group research program can improve scholarly productivity of medical students and foster mentoring relationships with internists.

Background: Shortages in primary care careers such as internal medicine are projected in the future. Conducting research is an explicit requirement for graduate medical education and interest in research is growing in undergraduate medical education.

Purpose: We hypothesized that a medical student research initiative could increase student research productivity and foster mentoring relationships with internists.