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Dimensionality is a fundamental parameter to modulate the properties of solid materials by tuning electronic structures. Covalent organic frameworks (COFs) are a prominent class of porous crystalline materials, but the study of dimensional dependence on their physicochemical properties is still lacking. Herein we illustrate photocatalytic performances of N,N-diaryl dihydrophenazine (PN)-based COFs are heavily dependent on the structural dimensionality. Six isostructural imine-bonded 2D-PN COFs and one 3D-PN COF were prepared. All can be heterogeneous photocatalysts to promote radical ring-opening polymerization of vinylcyclopropanes (VCPs), which typically produces polymers with a combination of linear (l) and cyclic (c) repeat units. The 2D-PN COFs have much higher catalytic activity than the 3D-PN COF, allowing the efficient synthesis of poly(VCPs) with controlled molecular weight, low dispersity and high l/c selectivity (up to 97 %). The improved performance can be ascribed to the 2D structure which has a larger internal surface area, more catalytically active sites, higher photosensitizing ability and photoinduced electron transfer efficiency.In the electrochemical CO2 reduction reaction (CO2 RR), it is challenging to develop a stable, well-defined catalyst model system that is able to examine the influence of the synergistic effect between adjacent catalytic active sites on the selective generation of C1 or C2 products. We have designed and synthesized a stable crystalline single-chain catalyst model system for electrochemical CO2 RR, which involves four homomorphic one-dimensional chain-like compounds (Cu-PzH, Cu-PzCl, Cu-PzBr, and Cu-PzI). The main structural difference of these four chains is the substituents of halogen atoms with different electronegativity on the Pz ligands. Consequently, different synergistic effects between bi-copper centers lead to changes in the faradic efficiency (FE CH 4 FE C 2 H 4 ). This work provides a simple and stable crystalline single-chain model system for systematically studying the influence of coordination microenvironment on catalytically active centers in the CO2 RR.
The objective of this study was to verify the reliability and validity of the Dementia Assessment Sheet for Community-based Integrated Care System 21 items (DASC-21) among Chinese community-dwelling older adults, and to explore the related factors for dementia screening.

The study adopted a cross-sectional design, and a total of 1152 participants aged ≥60 years were recruited from 26 locations in China. All data were collected using questionnaires through face-to-face interviews. The logistic regression model was used to evaluate the effect factors of DASC-21 for dementia screening. The receiver operating characteristic curves were used to determine the optimal cut-off points and the accuracy of the DASC-21 for dementia and mild cognitive impairment screening.

For test-retest reliability, the Pearson correlation coefficient was 0.873 (P < 0.001). In the criterion-related validity, the DASC-21 scores were significantly and negatively correlated with the Mini-Mental State Examination (r=-0.663, P < rontol Int 2021; 21 705-711.Between 2012 and 2016, California suffered one of the most severe droughts on record. During this period Sequoiadendron giganteum (giant sequoias) in the Sequoia and Kings Canyon National Parks (SEKI), California, USA experienced canopy water content (CWC) loss, unprecedented foliage senescence, and, in a few cases, death. We present an assessment of the vulnerability of giant sequoia populations to droughts that is currently lacking and needed for management. We used a temporal trend of remotely sensed CWC obtained between 2015 and 2017, and recently georeferenced giant sequoia crowns to quantify the vulnerability of 7,408 individuals in 10 groves in the northern portion of SEKI. CWC is sensitive to changes in liquid water in tree canopies; therefore, it is a useful metric for quantifying the response of sequoia trees to drought. Temporal trends indicated that 9% of giant sequoias had a significant decline or consistently low CWC, suggesting these trees were likely operating at low photosynthetic capacity and potentially at high risk to drought stress. We also found that 20% of the giant sequoias had an increase or consistently high level of CWC, indicating these trees were at low risk to drought stress. These vulnerability categories were used in a random forest model with a combination of topographic, fire-related, and climate variables to generate high-resolution vulnerability risk maps. These maps show that higher risk is associated with lower elevation and higher climate water deficit. We also found that sequoias at higher elevations but located near meadows had higher vulnerability risk. These results and the vulnerability maps can identify vulnerable sequoias that may be difficult to save or locations of refugia to be protected, and thus may aid forest managers in preparation for future droughts.
Atomoxetine combined with oxybutynin (Ato-Oxy) has recently been shown to reduce obstructive sleep apnoea (OSA) severity by >60%. However, Ato-Oxy also modestly reduced the respiratory arousal threshold, which may decrease sleep quality/efficiency. We sought to investigate the additional effect of zolpidem with Ato-Oxy on sleep efficiency (primary outcome), the arousal threshold, OSA severity, other standard polysomnography (PSG) parameters, next-day sleepiness and alertness (secondary outcomes).

Twelve participants with OSA received 10 mg zolpidem plus Ato-Oxy (80-5 mg, respectively) or Ato-Oxy plus placebo prior to overnight in-laboratory PSG according to a double-blind, randomized, crossover design (1-week washout). Participants were fitted with an epiglottic catheter, a nasal mask and pneumotachograph to quantify arousal threshold and airflow. Next-day sleepiness and alertness were assessed via the Karolinska Sleepiness Scale and a driving simulation task.

The addition of zolpidem increased sleepmoxetine in OSA. These changes occur without altering the rate of respiratory events or overnight hypoxaemia. However, while the addition of zolpidem does not increase next-day perceived sleepiness, caution is warranted given the potential impact on next-morning objective alertness.Northern peatlands store a globally significant amount of soil organic carbon, much of it found in rapidly thawing permafrost. Permafrost thaw in peatlands often leads to the development and expansion of thermokarst bogs, where microbial activity will determine the stability of the carbon storage and the release of greenhouse gases. In this study, we compared potential enzyme activities between young (thawed ~30 years ago) and mature (~200 years) thermokarst bogs, for both shallow and deep peat layers. We found very low potential enzyme activities in deep peat layers, with no differences between the young and mature bogs. Peat quality at depth was found to be highly humified (FTIR analysis) in both the young and mature bogs. This suggests that deep, old peat was largely stable following permafrost thaw, without a rapid pulse of decomposition during the young bog stage. For near-surface peat, we found significantly higher potential enzyme activities in the young bog than in the mature-associated with differences in peat quality derived from different Sphagnum species. A laboratory incubation of near-surface peat showed that differences in potential enzyme activity were primarily influenced by peat type rather than oxygen availability. This suggested that the young bog can have higher rates of near-surface decomposition despite being substantially wetter than the mature bog. Overall, our study shows that peat properties are the dominant constraint on potential enzyme activity and that peatland site development (successional pathways and permafrost history) through its influence on peat type and chemistry is likely to determine peat decomposition following permafrost thaw.
Cardiac surgery may influence occurrence and persistence of atrial fibrillation (AF). R406 mouse In patients with a history of cardiac surgery and postoperative pacemaker or implantable cardioverter defibrillator implantation we attempted to quantify AF characteristics and investigate factors that influence AF recurrence.

In 426 patients (319 male; age 73 SD 9 years) with a history of cardiac surgery (364 CABG; 69 mitral valve; 57 aortic valve and 59 combination procedures) the heart rhythm history (mean 351 days SD 54 days) was reconstructed and investigated for AF recurrence patterns.

AF developed and subsequently recurred in 75% of patients (n = 320). The mean AF burden in these patients was 0.21 (21% of the total observed time spent in AF) and 4085 episodes of AF were observed and analyzed. AF episodes spontaneously terminated within 24 h (n = 2509), 48 h (n = 700), 72 h (n = 279), and 1 week (n = 31). The probability of spontaneous conversion to sinus rhythm (SR) decreased with time spent in AF and plateaued after approximately 7 days. Patient age, LVEF and presence of coronary artery disease significantly influenced the probability of spontaneous conversion to SR. Type of cardiac surgery also significantly influenced AF episode characteristics.

AF episodes are common in patients with a history of cardiac surgery. Spontaneous conversion to SR diminishes with increasing time spent in AF and is influenced by AF characteristics and several patient-related factors. Continuous monitoring can provide detailed information about AF recurrence that may immensely improve our understanding and influence the clinical management of AF.
AF episodes are common in patients with a history of cardiac surgery. Spontaneous conversion to SR diminishes with increasing time spent in AF and is influenced by AF characteristics and several patient-related factors. Continuous monitoring can provide detailed information about AF recurrence that may immensely improve our understanding and influence the clinical management of AF.Seedling planting plays a key role in active forest restoration and regeneration of managed stands. Plant attributes at outplanting can determine tree seedling survival and consequently early success of forest plantations. Although many studies show that large seedlings of the same age within a species have higher survival than small ones, others report the opposite. This may be due to differences in environmental conditions at the planting site and in the inherent functional characteristics of species. Here, we conducted a global-scale meta-analysis to evaluate the effect of seedling size on early outplanting survival. Our meta-analysis covered 86 tree species and 142 planting locations distributed worldwide. We also assessed whether planting site aridity and key plant functional traits related to abiotic and biotic stress resistance and growth capacity, namely specific leaf area and wood density, modulate this effect. Planting large seedlings within a species consistently increases survival in forest plantain dry sites.
The LARIAT epicardial suture snaring device has been fraught with technical challenges and procedural complications. Over time, technique modification and improved operator experience have helped overcome many of these challenges. METHODSAND RESULTS Studies reporting left atrial appendage epicardial closure over a 12-year period from 2009 to 2020 were evaluated. The primary efficacy outcome evaluated was left atrial appendage closure with residual flow ≤1 mm. Safety outcomes evaluated were periprocedural and long term complications after device placement. Nine studies consisting of 1430 patients were included in this analysis, of which 1386 (97%) underwent successful device placement. The mean age was 69.3 years, with a mean CHADS
-VASC score of 3.78. Primary efficacy end point was achieved in 95.8% patients immediately after device placement, and in 92.8% patients on long term follow-up. Early procedural complications consisted of pericardial effusion 5.6%, cardiac perforation 2.7%, pericarditis 2.6%, and need for open heart surgery 1.
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