Experiences and needs of older patients with stroke in China involved in rehabilitation decision-making: a qualitative study.

Background: Shared decision-making is recommended for stroke rehabilitation. However, the complexity of the rehabilitation modalities exposes patients to decision-making conflicts, exacerbates their disabilities, and diminishes their quality of life. This study aimed to explore the experiences and needs of older patients with stroke in China during rehabilitation decision-making, providing a reference for developing decision-support strategies.

Challenges in Accessing Community-Based Rehabilitation and Long-Term Care for Older Adult Stroke Survivors and Their Caregivers: A Qualitative Study.

Background And Objectives: While extensive research has examined the rehabilitation challenges faced by stroke survivors, there is limited literature addressing the difficulties encountered by older adult stroke survivors and their caregivers in accessing rehabilitation and long-term care within the Chinese community. This study aimed to investigate the specific challenges related to access, quality, and coordination of rehabilitation and long-term care experienced by older adult stroke survivors and their caregivers within the Chinese community.

Methods: A qualitative phenomenological design was employed to explore the lived experiences of stroke survivors and their caregivers within the Chinese community.

Association between pre-stroke frailty status and stroke risk and impact on outcomes: a systematic review and meta-analysis of 1,660,328 participants.

The prevalence of frailty is increasing, and it is associated with increased risk of diseases and adverse outcomes. Although substantial research has focused on post-stroke frailty, understanding of pre-stroke frailty remains limited. Our aim was to synthesize literature on pre-stroke frailty and stroke risk to explore their relationship and impact on prognosis.

Glioma Identification Based on Digital Multimodal Spectra Integrated With Deep Learning Feature Fusion Using a Miniature Raman Spectrometer.

The miniature fiber Raman spectroscopy detection technology can reflect the properties of biomolecules through spectral characteristics and has the advantages of noninvasiveness, real-time, safety, label-free operation, and potential for early cancer diagnosis. This technology holds promise for developing portable, low-cost, intraoperative tumor detection instruments. Glioma is one of the most common malignant tumors of the central nervous system with rapid growth and a short disease course.

Nonlocal meta-lens with Huygens' bound states in the continuum.

Meta-lenses composed of artificial meta-atoms have stimulated substantial interest due to their compact and flexible wavefront shaping capabilities, outperforming bulk optical devices. The operating bandwidth is a critical factor determining the meta-lens' performance across various wavelengths. Meta-lenses that operate in a narrowband manner relying on nonlocal effects can effectively reduce disturbance and crosstalk from non-resonant wavelengths, making them well-suitable for specialized applications such as nonlinear generation and augmented reality/virtual reality display.

Phase transformation of schwertmannite in paddy soil under different water management regimes and its impact on the migration of arsenic in soil.

Schwertmannite (Sch) holds a great promise as an iron material for remediating Arsenic (As)-contaminated paddy soils, due to its extremely high immobilization capacities for both arsenate [As(V)] and arsenite [As(III)]. However, there is still limited knowledge on the mineral phase transformation of this metastable iron-oxyhydroxysulfate mineral in paddy soils, particularly under different water management regimes including aerobic, intermittent flooding, and continuous flooding, and how its phase transformation impacts the migration of As in paddy soils. In this study, a membrane coated with schwertmannite was first developed to directly reflect the phase transformation of bulk schwertmannite applied to paddy soils.

Effectiveness of early glucocorticoids in myasthenia gravis: a retrospective cohort study.

Purpose: This study aimed to clarify the effect of early glucocorticoid (GC) application on achieving minimal manifestation (MM) status or better in the treatment of myasthenia gravis (MG) in the early clinical phase.

Methods: A retrospective analysis was performed using data from 336 patients with MG who received GC therapy from January 2015 to September 2022 in the Zhengzhou University Henan Institute of Medical and Pharmaceutical Sciences Myasthenia Gravis Biobank (ZMB). Patients were divided into two groups: the early mono-GC group (treated with GC within 6 months of MG onset) and the delayed mono-GC group.

A viologen-based Cd(II) coordination polymer as a multifunctional platform for photochromism, chemochromism and a broad range of fluorescence pH sensing.

A multi-responsive Cd(II) coordination polymer (1) has been constructed by introducing a viologen derivative as both the framework backbone and ligand side pendant. Notably, compound 1 exhibits intriguing properties, including photochromism, methanol-assisted photochromism and chemochromism to ammonia. Furthermore, compound 1 also displays fluorescence pH sensing ability in a wide pH range.

Pectin-rich dragon fruit peel extracts: An environmentally friendly emulsifier of natural origin.

Pectin extraction is generally an energy-intensive industrial process, while on the other hand their extraction methods vary from different sources. Starting with that perspective, pectin (WSP) containing ultra-low degree of methylation (31.08 ± 1.

Development and validation of risk prediction model for refeeding syndrome in neurocritical patients.

Background: The incidence of refeeding syndrome (RFS) in critically ill patients is high, which is detrimental to their prognoses. However, the current status and risk factors for the occurrence of RFS in neurocritical patients remain unclear. Elucidating these aspects may provide a theoretical basis for screening populations at high risk of RFS.

Preparation and Performance Characterization of Exploding Foil Initiator Based on ODPA-ODA Polyimide Flyer.

The exploding foil initiator (EFI) system has been extensively used in ignition and detonation sequences and proved to be of high safety and reliability. Polyimide is considered the ideal flyer material for EFI due to its excellent performance, including thermal stability, outstanding mechanical properties, high radiation resistance, and excellent dielectric properties. In this study, we prepared the EFI based on a polyimide (ODPA-ODA) flyer, which is spin-coated and solidified on patterned copper film in situ.

Mask-wearing behavior during COVID-19 in China and its correlation with e-health literacy.

Background: During the Coronavirus COVID-19) pandemic, wearing masks became crucial for preventing infection risk and maintaining basic health. Therefore, it is necessary to understand the behavioral characteristics of the mask-wearing public to provide theoretical reference for the prevention and control of COVID-19.

Methods: We conducted a nationwide survey on the mask-wearing behavior of the public and their health literacy levels by distributing electronic questionnaires.

The MAP3Ks DLK and LZK Direct Diverse Responses to Axon Damage in Zebrafish Peripheral Neurons.

Mitogen-activated protein kinase kinase kinases (MAP3Ks) dual leucine kinase (DLK) and leucine zipper kinase (LZK) are essential mediators of axon damage responses, but their responses are varied, complex, and incompletely understood. To characterize their functions in axon injury, we generated zebrafish mutants of each gene, labeled motor neurons (MNs) and touch-sensing neurons in live zebrafish, precisely cut their axons with a laser, and assessed the ability of mutant axons to regenerate in larvae, before sex is apparent in zebrafish. DLK and LZK were required redundantly and cell autonomously for axon regeneration in MNs but not in larval Rohon-Beard (RB) or adult dorsal root ganglion (DRG) sensory neurons.

Understanding the effect of HF-based wet shallow etching on optical performance of reactive-ion-etched fused silica optics.

The optical performance of fused silica optics used in high-power lasers is known to depend not only on their surface damage resistance, but also on their surface quality. Previous studies have shown that good fused silica damage performance and surface quality can be achieved by the use of reactive ion etching (RIE), followed by HF-based wet shallow etching (3 μm). In this study, two kinds of HF-based etchants (aqueous HF and HF/NHF solutions) were employed to investigate the effect of HF-based etching on the optical performance of reactive-ion-etched fused silica surfaces at various HF-based shallow etching depths.

Additive Manufacturing of Two-Dimensional Conductive Metal-Organic Framework with Multidimensional Hybrid Architectures for High-Performance Energy Storage.

Two-dimensional conductive metal-organic frameworks (2D CMOFs) can be regarded as high-performance electrode substances owing to their rich hierarchical porous architecture and excellent electrical conductivity. However, the sluggish kinetics behavior of electrodes within the bulk structure restricts their advances in energy storage fields. Herein, a series of graphene-based mixed-dimensional composite aerogels are achieved by incorporating the 2D M-tetrahydroxy-1,4-quinone (M-THQ) (M = Cu, Cu/Co, or Cu/Ni) into CNTs@rGO aerogel electrodes using a 3D-printing direct ink writing (DIW) technique.

Fabrication of Polymer Composite Fibers Embedding Ultra-Long Micro/Nanowires.

Fabrication of polymer composite fibers embedding ultra-long micro/nanowires via an iterative melt co-drawing and bundling technique is reported in this study. The poly(methyl methacrylate) (PMMA) porous array templates were prepared with section-cutting the PMMA/polystyrene (PS) (shell/core) composite fibers and dissolution of inner PS. The results showed that the PS cores or pores in the PMMA matrix are regularly arranged with hexagonal, and their diameter and spacing exhibits a uniform distribution.

Anticoccidial Effect of Herbal Powder "Shi Ying Zi" in Chickens Infected with .

Coccidiosis is one of the most economically important diseases affecting the poultry industry. Currently, anticoccidial drugs used in veterinary clinics show many deficiencies, and new control measures are urgently needed. This study presents an anticoccidial herbal powder "Shi Yin Zi", which consists of (L.

Convenient and Efficient Fabrication of Colloidal Crystals Based on Solidification-Induced Colloidal Assembly.

The simple yet efficient and versatile fabrication of colloidal crystals was investigated based on the solidification-induced colloidal crystallization process with particle/water suspension as precursor. The resulting colloidal crystals were constituted by crystal grains with sizes ranging from several tens of micrometers to a few millimeters. Each of the grains had a close-hexagonal array of colloids, which endowed the bulk colloidal crystal powders with some specific optical properties.

Capping a glass thin layer on the etched surface via plasma chemical vapor deposition for improving the laser damage performance of fused silica.

Buffered HF-based etching can effectively improve the laser damage resistance of the fused silica, but deep etching would cause the deteriorations in surface roughness and hardness, and decrease the laser-induced damage threshold. Capping a glass thin layer on the etched surface via plasma chemical vapor deposition in one step could overcome those deteriorations. We found that the deposition of the glass thin layer can further reduce the impurity element contamination and the PL intensity while retaining the low subsurface defect density as well as for the deeply etched sample.

Fractal superconducting nanowire single-photon detectors with reduced polarization sensitivity.

We demonstrate superconducting nanowire single-photon detectors (SNSPDs) based on a fractal design of the nanowires to reduce the polarization sensitivity of detection efficiency. We patterned niobium titanium nitride thin films into Peano curves with a linewidth of 100 nm and integrated the nanowires with optical microcavities to enhance their optical absorption. At a base temperature of 2.

Fabrication and properties of broadband antireflective coatings on inert perfluoropolymer films treated by inductively coupled oxygen plasma.

Fluorinated ethylene propylene (FEP) film is an attractive candidate for mitigating target debris in high-power laser systems due to its remarkable advantages such as low cost, low absorption, and high damage threshold. However, the inert surface with bad wettability presents an enormous challenge to realize optical antireflection. In this Letter, we experimentally demonstrate that broadband antireflection of FEP film can be achieved through combining oxygen plasma treatment and solgel coating techniques.

Effect of PVA coating on the electric field intensity distribution and laser damage performance of fused silica optics surfaces.

A facile method was proposed to enhance the laser damage performance of the fused silica optics by coating a PVA film on the rear surface of the optics. FDTD simulation result suggests that the PVA coating with suitable thickness can transfer the maximal electric field intensity from the rear surface to the interface between the coating and air, and reduce the electric field intensity of the rear surface remarkably. LIDT tests reveal that the LIDT of fused silica with PVA coating changed periodically with respect to the coating thickness, which agrees well with the tendency predicted by FDTD simulation.

The Polysaccharides from Modulates the Immunity and Intestinal Microbiota of Cyclophosphamide-Treated Immunosuppressed Mice.

Based on previous studies about microflora regulation and immunity enhancement activities of polysaccharides from Nannf. var. (Nannf.

Effect of Resveratrol Dry Suspension on Immune Function of Piglets.

Resveratrol, a polyphenolic plant antitoxin, has a wide range of pharmacological activities. In this study, we systematically evaluated the effects of resveratrol dry suspension (RDS) on immune function in piglets that were treated with different doses of RDS for 2 weeks. The results showed that the RDS has significant effects on the development, maturation, proliferation, and transformation of T lymphocytes.