Notes

Very first case of carcinoma of the lung along with pneumoconiosis and endobronchial leiomyoma further complicating the diagnosis.
Refractory ascites is primarily managed with LVP and transjugular intrahepatic portosystemic shunt (TIPS) placement in selected patients. The occurrence of renal impairment, especially HRS, worsens the prognosis of patients with cirrhotic ascites and deserves a specific treatment. Also, the management of SBP faces the rising and alarming spread of antibiotic resistance. Hepatic hydrothorax may even complicate the course of the disease and its management is a challenge. Last but not least, liver transplantation (LT) is the ultimate and more effective measure to offer to patients with cirrhotic ascites, particularly when complications occur.Type C hepatic encephalopathy (HE) is a brain dysfunction caused by severe hepatocellular failure or presence of portal-systemic shunts in patients with liver cirrhosis. In its subclinical form, called "minimal hepatic encephalopathy (MHE), only psychometric tests or electrophysiological evaluation can reveal alterations in attention, working memory, psychomotor speed and visuospatial ability, while clinical neurological signs are lacking. The term "covert" (CHE) has been recently used to unify MHE and Grade I HE in order to refer to a condition that is not unapparent but also non overt. "Overt" HE (OHE) is characterized by personality changes, progressive disorientation in time and space, acute confusional state, stupor and coma. Based on its time course, OHE can be divided in Episodic, Recurrent or Persistent. Episodic HE is generally triggered by one or more precipitant factors that should be found and treated. Unlike MHE, clinical examination and clinical decision are crucial for OHE diagnosis and West Haven criteria are widely used to assess the severity of neurological dysfunction. Primary prophylaxis of OHE is indicated only in the patient with gastrointestinal bleeding using non-absorbable antibiotics (Rifaximin) or non-absorbable disaccharides (Lactulose). Treatment of OHE is based on the identification and correction of precipitating factors and starting empirical ammonia-lowering treatment with Rifaximin and Lactulose (per os and enemas). The latter should be used for secondary prophylaxis, adding Rifaximin if HE becomes recurrent. In recurrent/persistent HE, the treatment options include fecal transplantation, TIPS revision and closure of eventual splenorenal shunts. Treatment of MHE should be individualized on a case-by-case basis.Polar polythiophenes with oligoethylene glycol side chains are exceedingly soft materials. A low glass transition temperature and low degree of crystallinity prevents their use as a bulk material. The synthesis of a copolymer comprising 1) soft polythiophene blocks with tetraethylene glycol side chains, and 2) hard urethane segments is reported. The molecular design is contrary to that of other semiconductor-insulator copolymers, which typically combine a soft nonconjugated spacer with hard conjugated segments. Copolymerization of polar polythiophenes and urethane segments results in a ductile material that can be used as a free-standing solid. The copolymer displays a storage modulus of 25 MPa at room temperature, elongation at break of 95%, and a reduced degree of swelling due to hydrogen bonding. Both chemical doping and electrochemical oxidation reveal that the introduction of urethane segments does not unduly reduce the hole charge-carrier mobility and ability to take up charge. Further, stable operation is observed when the copolymer is used as the active layer of organic electrochemical transistors.The electrochemical splitting of water into hydrogen and oxygen is considered one of the most promising approaches to generate clean and sustainable energy. However, the low efficiency of the oxygen evolution reaction (OER) acts as a bottleneck in the water splitting process. Herein, interface engineering heterojunctions between ZIF-67 and layered double hydroxide (LDH) are designed to enhance the catalytic activity of the OER and the stability of Co-LDH. The interface is built by the oxygen (O) of Co-LDH and nitrogen (N) of the 2-methylimidazole ligand in ZIF-67, which modulates the local electronic structure of the catalytic active site. Density functional theory calculations demonstrate that the interfacial interaction can enhance the strength of the Co-Oout bond in Co-LDH, which makes it easier to break the H-Oout bond and results in a lower free energy change in the potential-determining step at the heterointerface in the OER process. Therefore, the Co-LDH@ZIF-67 exhibits superior OER activity with a low overpotential of 187 mV at a current density of 10 mA cm-2 and long-term electrochemical stability for more than 50 h. This finding provides a design direction for improving the catalytic activity of OER.Morphological control is a fundamental challenge of nanomaterial development. Commonly, hierarchical nanostructures cannot be induced by a single driving force, but obtained through balancing multiple driving forces. Here, a feasible strategy is reported based on the synergistic effect of proton and acid anion, leading to the morphological variation of vanadium oxide from nanowire, bundle, to hierarchical nanoflower (HNF). Protons can only induce the formation of nanowire through reducing the pH value ≤ 2. However, acid anions with strong coordination ability, e.g., phosphate radicals, can also participate in morphological regulation at high concentration. Through coordinating with exposed vanadium ions, the enrichment of phosphate radicals at ledge and kink changes the growth directions, giving rise to the advanced structures of bundle and HNF. The lithium ion batteries using HNF as a cathode achieve a 30% improved initial discharge specific capacity of 436.23 mAh g-1 at a current density of 0.1 A g-1, reaching the theoretical maximum value of vanadium oxide based on insertion/desertion of three lithium ions, in addition to strong cyclic stability at 1 A g-1.Understanding phase transformations in 2D materials can unlock unprecedented developments in nanotechnology, since their unique properties can be dramatically modified by external fields that control the phase change. Here, experiments and simulations are used to investigate the mechanical properties of a 2D diamond boron nitride (BN) phase induced by applying local pressure on atomically thin h-BN on a SiO2 substrate, at room temperature, and without chemical functionalization. Molecular dynamics (MD) simulations show a metastable local rearrangement of the h-BN atoms into diamond crystal clusters when increasing the indentation pressure. Raman spectroscopy experiments confirm the presence of a pressure-induced cubic BN phase, and its metastability upon release of pressure. Å-indentation experiments and simulations show that at pressures of 2-4 GPa, the indentation stiffness of monolayer h-BN on SiO2 is the same of bare SiO2, whereas for two- and three-layer-thick h-BN on SiO2 the stiffness increases of up to 50% compared to bare SiO2, and then it decreases when increasing the number of layers. Up to 4 GPa, the reduced strain in the layers closer to the substrate decreases the probability of the sp2-to-sp3 phase transition, explaining the lower stiffness observed in thicker h-BN.van der Waals (vdW) materials exhibit great potential in spintronics, arising from their excellent spin transportation, large spin-orbit coupling, and high-quality interfaces. The recent discovery of intrinsic vdW antiferromagnets and ferromagnets has laid the foundation for the construction of all-vdW spintronic devices, and enables the study of low-dimensional magnetism, which is of both technical and scientific significance. In this review, several representative families of vdW magnets are introduced, followed by a comprehensive summary of the methods utilized in reading out the magnetic states of vdW magnets. Thereafter, it is shown that various electrical, mechanical, and chemical approaches are employed to modulate the magnetism of vdW magnets. Finally, the perspective of vdW magnets in spintronics is discussed and an outlook of future development direction in this field is also proposed.Innate antiviral immunity is the first line of host defense against invading viral pathogens. Immunity activation primarily relies on the recognition of pathogen-associated molecular patterns (PAMPs) by pattern recognition receptors (PRRs). Viral proteins or nucleic acids mainly engage three classes of PRRs Toll-like receptors (TLRs), retinoic acid-inducible gene I (RIG-I)-like receptors (RLRs), and DNA sensor cyclic GMP-AMP (cGAMP) synthase (cGAS). These receptors initiate a series of signaling cascades that lead to the production of proinflammatory cytokines and type I interferon (IFN-I) in response to viral infection. This system requires precise regulation to avoid aberrant activation. Emerging evidence has unveiled the crucial roles that the ubiquitin system, especially deubiquitinating enzymes (DUBs), play in controlling immune responses. In this review, an overview of the most current findings on the function of DUBs in the innate antiviral immune pathways is provided. Insights into the role of viral DUBs in counteracting host immune responses are also provided. Furthermore, the prospects and challenges of utilizing DUBs as therapeutic targets for infectious diseases are discussed.Plasmonic metafilms have been widely utilized to generate vivid colors, but making them both active and flexible simultaneously remains a great challenge. Here flexible active plasmonic metafilms constructed by printing electrochromic nanoparticles onto ultrathin metal films ( less then 15 nm) are presented, offering low-power electricallydriven color switching. In conjunction with commercially available printing techniques, such flexible devices can be patterned using lithography-free approaches, opening up potential for fullyprinted electrochromic devices. Directional optical effects and dynamics show perceived upward and downward colorations can differ, arising from the dissimilar plasmonic mode excitation between nanoparticles and ultrathin metal films.Electrocatalysis of the hydrogen evolution reaction (HER) is a vital and demanding, yet challenging, task to produce clean energy applications. Here, the RuRh2 bimetallene nanoring with rich structural defects is designed and successfully synthesized by a mixed-solvent strategy, displaying ascendant HER performance with high mass activity at -0.05 and -0.07 V, separately higher than that of the commercial Pt catalyst. https://www.selleckchem.com/products/iacs-13909.html Also, it maintains steady hydrogen bubble evolution even after 30 000 potential cycles in acid media. Furthermore, the RuRh2 bimetallene nanoring shows an outstanding activity in both alkaline and neutral media, outperforming that of Pt catalysts and other reported HER catalysts. A combination of atomic-scale structure observation and density functional theory calculations demonstrates that both the grain boundaries and symmetry breaking of RuRh2 bimetallene cannot only weaken the adsorption strength of atomic hydrogen, but also facilitate the transfer of electrons and the adsorption of reactants, further boosting the HER electrocatalytic performance in all pH values.Magnesium batteries have been considered promising candidates for next-generation energy storage systems owing to their high energy density, good safety without dendrite formation, and low cost of magnesium resources. However, high-performance cathodes with stable capacity, good conductivity, and fast ions transport are needed, since many conventional cathodes possess a low performance and poor preparation controllability. Herein, a liquid-driven coaxial flow focusing (LDCFF) approach for preparing a novel microcapsule system with controllable size, high loading, and stable magnesium-storage performance is presented. Taking the MoS2-infilled microcapsule as a case study, the magnesium battery cathode based on the microcapsules displays a capacity of 100 mAh g-1 after 100 cycles. High capacity retention is achieved at both low and high temperatures of -10, ‒5, and 45 °C, and a stable rate-performance is also obtained. The influences of the liquid flow rates on the size and shell thickness of the microcapsules are investigated; and electron and ion diffusion properties are also studied by first-principle calculations.
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