From 0D to 2D: N-doped carbon nanosheets for detection of alcohol-based chemical vapours

The application of N-doped carbon nanosheets, with and without embedded carbon dots, as active materials for the room temperature chemoresistive detection of methanol and/or ethanol is presented. The new carbons were made by converting 0D N-doped carbon dots (NCDs) to 2D nitrogen-doped carbon nanosheets by heat treatment (200–700 °C). The nanosheets exhibited a lateral size of ∼3 μm and a thickness of ∼12 nm at the highest annealing temperature. Both Raman and TEM analyses showed morphological transitions of the dots to the sheets, whilst XPS analysis revealed transformation of the N-bonding states with increasing temperature. PDF analysis confirmed the presence of defective carbon sheets. Room temperature screening of the chemical vapours of two alcohols (methanol and ethanol), revealed that the structure and the type of N-configuration influenced the detection of the chemical vapours. For instance, the lateral size of the nanosheets and the high charge density N-configurations promoted detection of both methanol and ethanol vapours at good sensitivity (−16.8 × 10⁻⁵ ppm⁻¹_EtOH and 1.2 × 10⁻⁵ ppm⁻¹_MeOH) and low LoD (∼44 ppm_EtOH and ∼30.3 ppm_MeOH) values. The study showed that the composite nature as well as the large basal area of the carbon nanosheets enabled generation of adequate defective sites that facilitated easy adsorption of the VOC analyte molecules, thereby eliminating the need to use conducting polymers or the formation of porous molecular frameworks for the alcohol detection.

2D layered carbon nanostructures made by annealing 0D carbon dots, have been used as ethanol/methanol sensors.     

Deep learning-based subtyping of gastric cancer histology predicts clinical outcome: a multi-institutional retrospective study

Gastric Cancer - The Laurén classification is widely used for Gastric Cancer (GC) histology subtyping. However, this classification is prone to interobserver variability and its prognostic...     

Robotic system for magnetic resonance imaging-guided focused ultrasound treatment of thyroid nodules

Background

Herein, a robotic system offering Magnetic Resonance-guided Focused Ultrasound (MRgFUS) therapy of thyroid nodules was developed.

Methods

The robotic system offers linear motion in 2 PC-controlled axes that navigate a 3 MHz single-element focused transducer. The system, through a C-arm structure attaches to the table of Magnetic Resonance Imaging (MRI) scanners and couples to the neck of patients lying in the supine position. The MRI compatibility of the developed system was assessed inside a 3 T scanner. Benchtop and MRI feasibility studies evaluating the heating performance of the system were executed on excised pork tissue and on homogeneous and thyroid model agar-based phantoms.

Results

The MRI compatibility of the system was successfully established. Grid sonications executed using robotic motion inflicted discrete and overlapping lesions on the excised tissue, while magnetic resonance (MR) thermometry successfully monitored thermal heating in agar-based phantoms.

Conclusions

The developed system was found to be efficient with ex-vivo evaluation. The system can perform clinical MRgFUS therapy of thyroid nodules and other shallow targets after further in-vivo evaluation.     

Racial,ethnic and neighborhood socioeconomic differences in incidence of dementia: A regional retrospective cohort study

Background

Evidence on the effects of neighborhood socioeconomic disadvantage on dementia risk in racially and ethically diverse populations is limited. Our objective was to evaluate the relative extent to which neighborhood disadvantage accounts for racial/ethnic variation in dementia incidence rates. Secondarily, we evaluated the spatial relationship between neighborhood disadvantage and dementia risk.

Methods

In this retrospective study using electronic health records (EHR) at two regional health systems in Northeast Ohio, participants included 253,421 patients aged >60 years who had an outpatient primary care visit between January 1, 2005 and December 31, 2015. The date of the first qualifying visit served as the study baseline. Cumulative incidence of composite dementia outcome, defined as EHR-documented dementia diagnosis or dementia-related death, stratified by neighborhood socioeconomic deprivation (as measured by Area Deprivation Index) was determined by competing-risk regression analysis, with non-dementia-related death as the competing risk. Fine-Gray sub-distribution hazard ratios were determined for neighborhood socioeconomic deprivation, race/ethnicity, and clinical risk factors. The degree to which neighborhood socioeconomic position accounted for racial/ethnic disparities in the incidence of composite dementia outcome was evaluated via mediation analysis with Poisson rate models.

Results

Increasing neighborhood disadvantage was associated with increased risk of EHR-documented dementia diagnosis or dementia-related death (most vs. least disadvantaged ADI quintile HR = 1.76, 95% confidence interval = 1.69–1.84) after adjusting for age and sex. The effect of neighborhood disadvantage on this composite dementia outcome remained after accounting for known medical risk factors of dementia. Mediation analysis indicated that neighborhood disadvantage accounted for 34% and 29% of the elevated risk for composite dementia outcome in Hispanic and Black patients compared to White patients, respectively.

Conclusion

Neighborhood disadvantage is related to the risk of EHR-documented dementia diagnosis or dementia-related death and accounts for a portion of racial/ethnic differences in dementia burden, even after adjustment for clinically important confounders.     

Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials

Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we conducted the first systematic review of randomized-controlled trials (RCTs) investigating the efficacy of behavioral IBIs at improving interoception and target symptoms of mental disorders in comparison to a non-interoception-based control condition [CRD42021297993]. Thirty-one RCTs fulfilled inclusion criteria. Across all studies, a pattern emerged with 20 (64.5%) RCTs demonstrating IBIs to be more efficacious at improving interoception compared to control conditions. The most promising results were found for post-traumatic stress disorder, irritable bowel syndrome, fibromyalgia and substance use disorders. Regarding symptom improvement, the evidence was inconclusive. The IBIs were heterogenous in their approach to improving interoception. The quality of RCTs was moderate to good. In conclusion, IBIs are potentially efficacious at improving interoception for some mental disorders. In terms of symptom reduction, the evidence is less promising. Future research on the efficacy of IBIs is needed.