Neutrophil–Lymphocyte ratio is associated with poor clinical outcome after mechanical thrombectomy in stroke in patients with COVID-19

BackgroundThe neutrophil–lymphocyte ratio (NLR) is emerging as an important biomarker of acute physiologic stress in a myriad of medical conditions, and is a confirmed poor prognostic indicator in COVID-19.ObjectiveWe sought to describe the role of NLR in predicting poor outcome in COVID-19 patients undergoing mechanical thrombectomy for acute ischemic stroke.MethodsWe analyzed NLR in COVID-19 patients with large vessel occlusion (LVO) strokes enrolled into an international 12-center retrospective study of laboratory-confirmed COVID-19, consecutively admitted between March 1, 2020 and May 1, 2020. Increased NLR was defined as ≥7.2. Logistic regression models were generated.ResultsIncidence of LVO stroke was 38/6698 (.57%). Mean age of patients was 62 years (range 27–87), and mortality rate was 30%. Age, sex, and ethnicity were not predictive of mortality. Elevated NLR and poor vessel recanalization (Thrombolysis in Cerebral Infarction (TICI) score of 1 or 2a) synergistically predicted poor outcome (likelihood ratio 11.65, p  =  .003). Patients with NLR > 7.2 were 6.8 times more likely to die (OR 6.8, CI95% 1.2–38.6, p  =  .03) and almost 8 times more likely to require prolonged invasive mechanical ventilation (OR 7.8, CI95% 1.2–52.4, p  =  .03). In a multivariate analysis, NLR > 7.2 predicted poor outcome even when controlling for the effect of low TICI score on poor outcome (NLR p  =  .043, TICI p  =  .070).ConclusionsWe show elevated NLR in LVO patients with COVID-19 portends significantly worse outcomes and increased mortality regardless of recanalization status. Severe neuro-inflammatory stress response related to COVID-19 may negate the potential benefits of successful thrombectomy.     

Microstructure–mechanical properties of Ag0/Au0 doped K–Mg–Al–Si–O–F glass-ceramics

In understanding the catalytic efficacy of silver (Ag⁰) and gold (Au⁰) nanoparticles (NPs) on glass-ceramic (GC) crystallization, the microstructure–machinability correlation of a SiO₂–MgO–Al₂O₃–B₂O₃–K₂O–MgF₂ system is studied. The thermal parameters viz., glass transition temperature (T_g) and crystallization temperature (T_c) were extensively changed by varying NPs (in situ or ex situ). Tc was found to be increased (T_c = 870–875 °C) by 90–110 °C when ex situ NPs were present in the glass system. Under controlled heat-treatment at 950 ± 10 °C, the glasses were converted into glass-ceramics with the predominant presence of crystalline phase (XRD) fluorophlogopite mica, [KMg₃(AlSi₃O₁₀)F₂]. Along with the secondary phase enstatite (MgSiO₃), the presence of Ag and Au particles (FCC system) were identified by XRD. A microstructure containing spherical crystallite precipitates (∼50–400 nm) has been observed through FESEM in in situ doped GCs. An ex situ Ag doped GC matrix composed of rock-like and plate-like crystallites mostly of size 1–3 μm ensured its superior machinability. Vicker''s and Knoop microhardness of in situ doped GCs were estimated within the range 4.45–4.61 GPa which is reduced to 4.21–4.34 GPa in the ex situ Ag system. Machinability of GCs was found to be in the order, ex situ Ag > ex situ Au ∼ in situ Ag > in situ Au. Thus, the ex situ Ag/Au doped SiO₂–MgO–Al₂O₃–B₂O₃–K₂O–MgF₂ GC has potential for use as a machinable glass-ceramic.

In understanding the catalytic efficacy of silver (Ag⁰) and gold (Au⁰) nanoparticles (NPs) on glass-ceramic (GC) crystallization, the microstructure–machinability correlation of a SiO₂–MgO–Al₂O₃–B₂O₃–K₂O–MgF₂ system is studied.     

CD4 T cells integrate signals delivered during successive DC encounters in vivo

The cellular mode of T cell priming in vivo remains to be characterized fully. We investigated the fate of T cell-dendritic cell (DC) interactions in the late phase of T cell activation in the lymph node. In general, CD4 T cells detach from DCs before undergoing cell division. Using a new approach to track the history of antigen (Ag)-recognition events, we demonstrated that activated/divided T cells reengage different DCs in an Ag-specific manner. Two-photon imaging of intact lymph nodes suggested that T cells could establish prolonged interactions with DCs at multiple stages during the activation process. Importantly, signals that are delivered during subsequent DC contacts are integrated by the T cell and promote sustained IL-2Ralpha expression and IFN-gamma production. Thus, repeated encounters with Ag-bearing DCs can occur in vivo and modulate CD4 T cell differentiation programs.     

First principles study of electronic and nonlinear optical properties of A–D–π–A and D–A–D–π–A configured compounds containing novel quinoline–carbazole derivatives

Materials with nonlinear optical (NLO) properties have significant applications in different fields, including nuclear science, biophysics, medicine, chemical dynamics, solid physics, materials science and surface interface applications. Quinoline and carbazole, owing to their electron-deficient and electron-rich character respectively, play a role in charge transfer applications in optoelectronics. Therefore, an attempt has been made herein to explore quinoline–carbazole based novel materials with highly nonlinear optical properties. Structural tailoring has been made at the donor and acceptor units of two recently synthesized quinoline–carbazole molecules (Q1, Q2) and acceptor–donor–π–acceptor (A–D–π–A) and donor–acceptor–donor–π–acceptor (D–A–D–π–A) type novel molecules Q1D1–Q1D3 and Q2D2–Q2D3 have been quantum chemically designed, respectively. Density functional theory (DFT) and time-dependent density functional theory (TDDFT) computations are performed to process the impact of acceptor and donor units on photophysical, electronic and NLO properties of selected molecules. The λ_max values (321 and 319 nm) for Q1 and Q2 in DSMO were in good agreement with the experimental values (326 and 323 nm). The largest shift in absorption maximum is displayed by Q1D2 (436 nm). The designed compounds (Q1D3–Q2D3) express absorption spectra with an increased border and with a reduced band gap compared to the parent compounds (Q1 and Q2). Natural bond orbital (NBO) investigations showed that the extended hyper conjugation and strong intramolecular interaction play significant roles in stabilising these systems. All molecules expressed significant NLO responses. A large value of β_tot was elevated in Q1D2 (23 885.90 a.u.). This theoretical framework reveals the NLO response properties of novel quinoline–carbazole derivatives that can be significant for their use in advanced applications.

Materials with nonlinear optical properties have significant applications in nuclear science, biophysics, medicine, chemical dynamics, solid physics & materials science. We show how π bridges, donors & acceptors can be reconfigured to improve optical properties.     

Na–Ga–Si type-I clathrate single crystals grown via Na evaporation using Na–Ga and Na–Ga–Sn fluxes

Single crystals of a Na–Ga–Si clathrate, Na₈Ga_5.70Si_40.30, of size 2.9 mm were grown via the evaporation of Na from a Na–Ga–Si melt with the molar ratio of Na : Ga : Si = 4 : 1 : 2 at 773 K for 21 h under an Ar atmosphere. The crystal structure was analyzed using X-ray diffraction with the model of the type-I clathrate (cubic, a = 10.3266(2) Å, space group Pm$\bar{3}$n, no. 223). By adding Sn to a Na–Ga–Si melt (Na : Ga : Si : Sn = 6 : 1 : 2 : 1), single crystals of Na₈Ga_xSi_46−x (x = 4.94–5.52, a = 10.3020(2)–10.3210(3) Å), with the maximum size of 3.7 mm, were obtained via Na evaporation at 723–873 K. The electrical resistivities of Na₈Ga_5.70Si_40.30 and Na₈Ga_4.94Si_41.06 were 1.40 and 0.72 mΩ cm, respectively, at 300 K, and metallic temperature dependences of the resistivities were observed. In the Si L_2,3 soft X-ray emission spectrum of Na₈Ga_5.70Si_40.30, a weak peak originating from the lowest conduction band in the undoped Si₄₆ was observed at an emission energy of 98 eV.

Single crystals of a Na–Ga–Si clathrate, Na₈Ga_4.94Si_41.06, of size 3.7 mm were grown via the evaporation of Na from a Na–Ga–Si–Sn melt with the molar ratio of Na : Ga : Si : Sn = 6 : 1 : 2 : 1 at 873 K for 3 h under an Ar atmosphere.     

CeO2-modified P2–Na–Co–Mn–O cathode with enhanced sodium storage characteristics

To improve the cycling stability and dynamic properties of layered oxide cathodes for sodium-ion batteries, surface modified P2–Na_0.67Co_0.25Mn_0.75O₂ with different levels of CeO₂ was successfully synthesized by the solid-state method. X-ray photoelectron spectra, X-ray diffraction and Raman spectra show that the P2-structure and the oxidation state of cobalt and manganese of the pristine oxide are not affected by CeO₂ surface modification, and a small amount of Ce⁴⁺ ions have been reduced to Ce³⁺ ions, and a few Ce ions have entered the crystal lattice of the P2-oxide surface during modification with CeO₂. In a voltage range of 2.0–4.0 V at a current density of 20 mA g⁻¹, 2.00 wt% CeO₂-modified Na_0.67Co_0.25Mn_0.75O₂ delivers a maximum discharge capacity of 135.93 mA h g⁻¹, and the capacity retentions are 91.96% and 83.38% after 50 and 100 cycles, respectively. However, the pristine oxide presents a low discharge capacity of 116.14 mA h g⁻¹, and very low retentions of 39.83% and 25.96% after 50 and 100 cycles, respectively. It is suggested that the CeO₂ modification enhances not only the maximum discharge capacity, but also the electric conductivity and the sodium ion diffusivity, resulting in a significant enhancement of the cycling stability and the kinetic characteristics of the P2-type oxide cathode.

The CeO₂ modification significantly enhances the maximum discharge capacity and cycling stability of a P2–Na_0.67Co_0.25Mn_0.75O₂ cathode.     

Hydrogen storage behavior of nanocrystalline and amorphous Mg–Ni–Cu–La alloys

Alloying and structural modification are two effective ways to enhance the hydrogen storage kinetics and decrease the thermal stability of Mg and Mg-based alloys. In order to enhance the characteristics of Mg₂Ni-type alloys, Cu and La were added to an Mg₂Ni-type alloy, and the sample alloys (Mg₂₄Ni₁₀Cu₂)_100−xLa_x (x = 0, 5, 10, 15, 20) were prepared by melt spinning. The influences of La content and spinning rate on the gaseous and electrochemical hydrogen storage properties of the sample alloys were explored in detail. The structural identification carried out by XRD and TEM indicates that the main phase of the alloys is Mg₂Ni and the addition of La results in the formation of the secondary phases LaMg₃ and La₂Mg₁₇. The as-spun alloys have amorphous and nanocrystalline structures, and the addition of La promotes glass formation. The electrochemical properties examined by an automatic galvanostatic system show that the samples possess a good activation capability and achieve their maximal discharge capacities within three cycles. The discharge potential characteristics were vastly ameliorated by melt spinning and La addition. The discharge capacities of the samples achieve their maximal values as the La content changes, and the discharge capacities always increase with increasing spinning rate. The addition of La leads to a decline in hydrogen absorption capacity, but it can effectively enhance the rate of hydrogen absorption. The addition of La and melt spinning significantly increase the hydrogen desorption rate due to the reduced activation energy.

In order to enhance the characteristics of Mg₂Ni-type alloys, Cu and La were added to an Mg₂Ni-type alloy, and sample alloys were prepared by melt spinning. The effects of La content and spinning rate on the hydrogen storage properties were explored.     

Theoretical study of D–A′–π–A/D–π–A′–π–A triphenylamine and quinoline derivatives as sensitizers for dye-sensitized solar cells

We have designed four dyes based on D–A′–π–A/D–π–A′–π–A triphenylamine and quinoline derivatives for dye-sensitized solar cells (DSSCs) and studied their optoelectronic properties as well as the effects of the introduction of alkoxy groups and thiophene group on these properties. The geometries, single point energy, charge population, electrostatic potential (ESP) distribution, dipole moments, frontier molecular orbitals (FMOs) and HOMO–LUMO energy gaps of the dyes were discussed to study the electronic properties of dyes based on density functional theory (DFT). And the absorption spectra, light harvesting efficiency (LHE), hole–electron distribution, charge transfer amount from HOMO to LUMO (Q_CT), D index, H_CT index, S_m index and exciton binding energy (E_coul) were discussed to investigate the optical and charge-transfer properties of dyes by time-dependent density functional theory (TD-DFT). The calculated results show that all the dyes follow the energy level matching principle and have broadened absorption bands at visible region. Besides, the introduction of alkoxy groups into triarylamine donors and thiophene groups into conjugated bridges can obviously improve the stability and optoelectronic properties of dyes. It is shown that the dye D4, which has had alkoxy groups as well as thiophene groups introduced and possesses a D–π–A′–π–A configuration, has the optimal optoelectronic properties and can be used as an ideal dye sensitizer.

We have designed four dyes based on D–A′–π–A/D–π–A′–π–A triphenylamine and quinoline derivatives for DSSCs and studied their optoelectronic properties as well as the effects of the introduction of alkoxy groups and thiophene group on the properties.     

Hot electron transfer in Zn–Ag–In–Te nanocrystal–methyl viologen complexes enhanced with higher-energy photon excitation

The dynamics of hot electron transfer from Zn–Ag–In–Te (ZAITe) nanocrystals (NCs) to adsorbed methyl viologen (MV²⁺) were investigated by transient absorption spectroscopy. The bleaching of the exciton peak in the ZAITe NC–MV²⁺ complexes evolved faster than that of ZAITe NCs. The hot electron transfer efficiency increased from 45% to 72% with increasing excitation photon energy.

Zn–Ag–In–Te nanocrystals exhibited hot electron transfer to adsorbed methyl viologen, the efficiency being enhanced from 45% to 72% with an increase in the excitation photon energy.     

Spontaneous alloying of ultrasmall non-stoichiometric Ag–In–S and Cu–In–S quantum dots in aqueous colloidal solutions

The effect of spontaneous alloying of non-stoichiometric aqueous Ag–In–S (AIS) and Cu–In–S (CIS) quantum dots (QDs) stabilized by surface glutathione (GSH) complexes was observed spectroscopically due to the phenomenon of band bowing typical for the solid–solution Cu(Ag)–In–S (CAIS) QDs. The alloying was found to occur even at room temperature and can be accelerated by a thermal treatment of colloidal mixtures at around 90 °C with no appreciable differences in the average size observed between alloyed and original individual QDs. An equilibrium between QDs and molecular and clustered metal–GSH complexes, which can serve as “building material” for the new mixed CAIS QDs, during the spontaneous alloying is assumed to be responsible for this behavior of GSH-capped ternary QDs. The alloying effect is expected to be of a general character for different In-based ternary chalcogenides.

The effect of spontaneous alloying of aqueous glutathione-capped Ag–In–S and Cu–In–S quantum dots (QDs) into quaternary Cu(Ag)–In–S QDs is reported.     

Effect of unmelted lime on the element distribution behavior on a CaO–SiO2–MgO–Al2O3–FeO–CaF2(–Cr2O3) slag

In this study, a CaO–SiO₂–Al₂O₃–MgO–FeO–CaF₂(–Cr₂O₃) slag was chosen according to the compositions of the stainless steel slag for industrial production, and a CaO block was added to the molten slag after the synthetic slag was fully melted. The influences of unmelted lime on the distribution of elements and the structure of product layers at the lime/slag boundary, particularly the existing state of chromium oxide in the chromium-bearing stainless steel slag, were deeply discussed by scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) and FactSage 7.1. The experiment results indicated that when the unmelted lime existed in the CaO–SiO₂–Al₂O₃–MgO–FeO–CaF₂ slag system, two product layers of periclase (MgO) and dicalcium silicate (Ca₂SiO₄) at the boundary of the CaO block were formed. However, when the CaO block was added in the CaO–SiO₂–Al₂O₃–MgO–FeO–CaF₂–Cr₂O₃ stainless steel slag, besides MgO and Ca₂SiO₄ product layers, needle-shaped calcium chromite (CaCr₂O₄) was also precipitated around the CaO block. Moreover, a small amount of Cr dissolved in the periclase phase. Eh–pH diagrams showed that the CaCr₂O₄ and MgO phase unstably existed in a weak acid aqueous solution. Therefore, the existence of unmelted lime in the stainless steel slag could enhance the leachability of chromium.

The effect of unmelted lime on the distribution of elements and structure of product layers in CaO–SiO₂–MgO–Al₂O₃–FeO–CaF₂(–Cr₂O₂) stainless steel slag and the action of unmelted lime phase mechanism in experimental slags was conducted.     

Hierarchical Ni–Co–O–C–P hollow tetragonal microtubes grown on Ni foam for efficient overall water splitting in alkaline media

Exploring low-cost and highly efficient non-noble bifunctional electrocatalysts with high performances for both the hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) is essential for large-scale sustainable energy systems. Herein, the Ni–Co–O–C–P hollow tetragonal microtubes grown on 3D Ni foam (Ni–Co–O–C–P/NF) was synthesized via a one-step solvothermal method and followed by a simple carbon coating and in situ phosphorization treatment. Benefiting from the unique open and hierarchical nano-architectures, the as prepared Ni–Co–O–C–P/NF presents a high activity and durability for both the HER and OER in alkaline media. The overall-water-splitting reaction requires a low cell voltage (1.54 V @ 10 mA cm⁻²) in 1 M KOH when Ni–Co–O–C–P/NF is used as both the anode and cathode. The highly flexible structure can provide a large amount of exposed active sites and shorten the mass transport distance. Furthermore, bimetallic phosphides also favor the electrocatalysis due to the higher electronic conductivity and the synergetic effect. This work demonstrated a promising bifunctional electrocatalyst for water electrolysis in alkaline media with potential in future applications.

Herein, the Ni–Co–O–C–P hollow tetragonal microtubes grown on 3D Ni foam (Ni–Co–O–C–P/NF) was delicately designed and synthesized, which presented a high activity and durability for electrocatalytic overall-water-splitting in alkaline media.     

Synthesis of ppy–MgO–CNT nanocomposites for multifunctional applications

Cotton is one of the most important raw materials for textile and clothing production. The main drawbacks of cotton fibers are their poor mechanical properties and high flammability. Compared with some synthetic polymer fibers, cotton fabrics treated with modern flame-retardant and reinforcement finishes often cannot meet rigid military specifications. Polypyrrole–magnesium oxide (ppy–MgO) and polypyrrole–magnesium oxide–carbon nanotube (ppy–MgO–CNT) composites were prepared with various weight ratios by in situ chemical polymerization method. 1,2,3,4-Butane tetracarboxylic acid (BTCA) was used as a cross-linking agent in the presence of sodium hypophosphite (SHP). The composite sol was coated on cotton fabric using the pad-dry-cure technique. The coated cotton fabrics were characterized by SEM, EDAX, XRD, UV-DRS and FT-IR analysis, and tested for flame retardant and UPF application. The flame-retardant study showed a maximum char length of 0.3 cm and the char yield was about 49% for the ppy–MgO–CNT composite. For that UPF application, a 30 UPF value was shown for the ppy–MgO–CNT composite. In the case of the antibacterial study, the zone of inhibition was observed for all of the test samples against MRSA and PAO1 bacteria. The zone of inhibition showed as 4.0, 3.0 mm for the ppy–MgO–CNT composite. Hence, the ppy–MgO–CNT composite was found to be efficient.

Cotton is one of the most important raw materials for textile and clothing production.     

Highly porous,soft, and flexible vapor-phase polymerized polypyrrole–styrene–ethylene–butylene–styrene hybrid scaffold as ammonia and strain sensor

Herein, in situ vapor-phase polymerization (VPP) of pyrrole on an oxidant-impregnated styrene–ethylene–butylene–styrene (SEBS) matrix comprising a three-dimensional sugar particle assembly was used to produce a soft and porous polypyrrole (PPy)–SEBS hybrid scaffold. Characterization of the PPy–SEBS hybrid scaffold using field-effect scanning electron microscopy, Fourier-transform infrared spectroscopy, energy-dispersive X-ray spectroscopy, and micro-computerized tomography confirmed the successful uniform and homogenous polymerization of PPy onto the SEBS matrix with a porous morphology. The performance of the hybrid scaffold of different pore sizes as an ammonia sensor under different temperature conditions was evaluated in terms of resistance change. The results showed that the PPy–SEBS scaffolds of larger pore size had higher resistance changes under lower temperature conditions when ammonia (NH₃) gas was introduced compared to those observed for smaller pore sizes under higher temperature conditions. These scaffolds showed excellent repeatability and reversibility in detecting NH₃ gas with fast response and recovery times of 30 s and 10–15 min, respectively. Moreover, the larger pore size scaffolds polymerized for a longer time possessed a remarkable ability to be applied as strain sensors. These kinds of novel, soft, and porous conductive polymer composite materials produced by VPP will have huge practical applications in monitoring other toxic and non-toxic gases.

Fabrication of a hybrid scaffold from an oxidant-impregnated styrene–ethylene–butylene–styrene (SEBS) matrix comprising a three-dimensional sugar particle assembly by vapor phase polymerization (VPP).     

The effects of Sn content on the corrosion behavior and mechanical properties of Mg–5Gd–3Y–xSn–0.5Zr alloys

The effects of Sn content on the corrosion behavior and mechanical properties of Mg–5Gd–3Y–0.5Zr alloy were studied by SEM, EDS, XRD and electrochemical testing. Results show that Sn can refine the grain size and promote the precipitation of Mg₅(Gd,Y) phase. When the Sn content is 1.5–2 wt%, a needle-like Mg₂Sn phase will be precipitated in the alloy. Mg–5Gd–3Y–1Sn–0.5Zr alloy had the lowest corrosion rate, which is attributed to the barrier effect of the grain boundary and dispersed Mg₅(Gd,Y) phase on corrosion. However, the Mg₂Sn phase formed by excessive Sn addition will accelerate galvanic corrosion. At the same time, Mg–5Gd–3Y–1Sn–0.5Zr alloy had best mechanical properties. In 1.5Sn and 2Sn alloys, the cleavage effect of the needle-like Mg₂Sn phase on the matrix reduced mechanical properties.

The effects of Sn content on the corrosion behavior and mechanical properties of Mg–5Gd–3Y–0.5Zr alloy were studied by SEM, EDS, XRD and electrochemical testing. Results show that Sn can refine the grain size and promote the precipitation.