Effectiveness of pay it forward intervention compared to free and user-paid vaccinations on seasonal influenza vaccination among older adults across seven cities in China: study protocol of a three-arm cluster randomized controlled trial.

Background: Seasonal influenza poses an enormous burden worldwide, with older adults facing preventable morbidity and mortality. However, seasonal influenza vaccination coverage is poor among older populations in China. Pay-it-forward (giving a person a free vaccine and an opportunity to donate to support others) and financial incentives (e.

The role of Chinese medical teams in bridging healthcare gaps in Africa: a scoping review.

Background: Sub-Saharan Africa has faced profound healthcare challenges, including severe shortages of professionals and infrastructural deficits. Despite significant international aid, the full impact of Chinese Medical Teams (CMTs) in addressing these issues had remained underexplored. This scoping review aimed to synthesise existing literature on the role of CMTs in Africa, identifying key drivers, barriers, and gaps in research that could enhance the effectiveness of these programmes.

Study on the influence of TiO2 nanoparticles on the breakdown voltage of transformer oil under severe cold conditions.

The modified nanoparticles can significantly improve the insulation characteristics of transformer oil. Currently, there is a lack of research on the actual motion state of particles in nanofluid to further understand the micro-mechanism of nanoparticles improving the insulation characteristics of transformer oil. In this study, the nanofluid containing 0.

Multi-drug sequential release systems: Construction and application for synergistic tumor treatment.

In tumor treatment, the sequence and timing of drug action have a large influence on therapeutic efficacy. Multi-drug sequential release systems (MDSRS) enable the sequential and/or on-demand release of multiple drugs following the single administration of a therapeutic agent. Several researchers have explored MDSRS, providing fresh strategies for synergistic cancer therapy.

Geographical accessibility to healthcare by point-of-interest data from online maps: a comparative study.

Geographical accessibility is important for promoting health equity, and calculating it requires the locations of all existing healthcare facilities in a region. Authoritative location data collected by governments is accurate but mostly not publicly available, while point-of-interest (POI) data from online sources, such as Baidu Maps and AutoNavi Maps are easily accessible. However, the accuracy of the latter has not been thoroughly analyzed.

Partial Discharge Signal Pattern Recognition of Composite Insulation Defects in Cross-Linked Polyethylene Cables.

To investigate the pattern recognition of complex defect types in XLPE (cross-linked polyethylene) cable partial discharges and analyze the effectiveness of identifying partial discharge signal patterns, this study employs the variational mode decomposition (VMD) algorithm alongside entropy theories such as power spectrum entropy, fuzzy entropy, and permutation entropy for feature extraction from partial discharge signals of composite insulation defects. The mean power spectrum entropy (PS), mean fuzzy entropy (FU), mean permutation entropy (PE), as well as the permutation entropy values of IMF2 and IMF13 (Pe) are selected as the characteristic quantities for four categories of partial discharge signals associated with composite defects. Six hundred samples are selected from the partial discharge signals of each type of compound defect, amounting to a total of 2400 samples for the four types of compound defects combined.

Effect of Family-Centered Empowerment Model in Home Care of Older Adult Patients After Total Knee Arthroplasty.

Purpose: In the present study, we investigated the effect of the family-centered empowerment model (FCEM) in the home care of older adult patients after total knee arthroplasty (TKA).

Design: The current study was a randomized controlled study.

Methods: Two hundred eighty older adult patients who underwent TKA in our hospital from December 2020 to December 2022 were selected.

Improving eye care quality through brief verbal intervention on optometry service provider by using unannounced standardized patient with refractive error: study protocol for a randomized controlled trial.

Background: Improper refractive correction can be harmful to eye health, aggravating the burden of vision impairment. During most optometry clinical consultations, practitioner-patient interactions play a key role. Maybe it is feasible for patients themselves to do something to get high-quality optometry.

The Agreement Between Virtual Patient and Unannounced Standardized Patient Assessments in Evaluating Primary Health Care Quality: Multicenter, Cross-sectional Pilot Study in 7 Provinces of China.

Background: The unannounced standardized patient (USP) is the gold standard for primary health care (PHC) quality assessment but has many restrictions associated with high human and resource costs. Virtual patient (VP) is a valid, low-cost software option for simulating clinical scenarios and is widely used in medical education. It is unclear whether VP can be used to assess the quality of PHC.

Improving Data Surveillance Resilience Beyond COVID-19: Experiences of Primary heAlth Care quAlity Cohort In ChinA (ACACIA) Using Unannounced Standardized Patients.

We analyzed COVID-19 influences on the design, implementation, and validity of assessing the quality of primary health care using unannounced standardized patients (USPs) in China. Because of the pandemic, we crowdsourced our funding, removed tuberculosis from the USP case roster, adjusted common cold and asthma cases, used hybrid online-offline training for USPs, shared USPs across provinces, and strengthened ethical considerations. With those changes, we were able to conduct fieldwork despite frequent COVID-19 interruptions.

Women's cesarean section preferences and influencing factors in relation to China's two-child policy: a cross-sectional study.

Objective: This study explored women's preference for cesarean section (CS) and the preference for cesarean sections' influencing factors, particularly nonmedical factors.

Methods: A cross-sectional study was conducted in four tertiary hospitals in Hohhot. We recruited 1,169 pregnant women at ≥ 28 gestational weeks and classified subjects into three groups by delivery mode preference: vaginal birth (VB), CS, and "no clear preference".

Arbuscular mycorrhiza fungi facilitate rapid adaptation of Elsholtzia splendens to copper.

Closely associated microbes have been shown to drive local adaptation of plants. However, few studies provide direct evidence, disclosing the role of arbuscular mycorrhiza fungi (AMF) in their rapid adaptation of plants toward heavy metal tolerance. Elsholtzia splendens is a Cu-tolerant plant that was used as a model plant to study seed morphological traits as well as traits related to seed germination and seedling growth.

[Effects of hydroxyl acetylated curcumin induced sonodynamic therapy on viability, apoptosis and necrosis of THP-1 macrophages].

Objective: We aim to investigate the sonodynamic effect induced by hydroxyl acetylated curcumin (HAC) on THP-1 macrophages.

Methods: THP-1 derived macrophages (1 x 10(5) per milliliter) were cultured with HAC at a concentration of 5 µg/mL for 4 h and then exposed to pulse ultrasound treatment (0.5 W/cm2) for 5 min.

[Automatic Classification of Epileptic Electroencephalogram Signal Based on Improved Multivariate Multiscale Entropy].

Traditional sample entropy fails to quantify inherent long-range dependencies among real data. Multiscale sample entropy (MSE) can detect intrinsic correlations in data, but it is usually used in univariate data. To generalize this method for multichannel data, we introduced multivariate multiscale entropy into multiscale signals as a reflection of the nonlinear dynamic correlation.

Isolation and identification of a new ent-kaurane diterpenoid from the leaves of Isodon japonica.

A new ent-kaurane diterpenoid, 3α, 14β, 16α-trihydroxy-ent-kaurane (1), together with seven known diterpenoids (2-8), was isolated from the leaves of Isodon japonica. Their structures were elucidated by spectroscopic methods, including 1D and 2D NMR experiments, IR, HR-ESI-MS and X-ray crystallographic analysis.

Isolation, structural elucidation, and cytotoxicity of three new ent-kaurane diterpenoids from Isodon japonica var. glaucocalyx.

Three new ENT-kaurane diterpenoids, glaucocalyxin H ( 1), glaucocalyxin I ( 2), and glaucocalyxin J ( 3), together with four known diterpenoids ( 4- 7), were isolated from the leaves of Isodon japonica Hara var. glaucocalyx. Their structures were elucidated by spectroscopic analysis, and the structures of compounds 2 and 3 were further confirmed by X-ray crystallographic analysis.

3β,11α-Dihy-droxy-12-ursen-3-yl palmitate.

In the title compound, C(46)H(80)O(3), a natural ursane-type triperpenoid, four of the five six-membered rings adopt chair conformations; the fifth, which has a C=C double bond, adopts an approximate half-boat conformation. In the crystal, mol-ecules are linked by O-H⋯O hydrogen bonds, forming chains along [010].

Using 915 nm laser excited Tm³+/Er³+/Ho³+- doped NaYbF4 upconversion nanoparticles for in vitro and deeper in vivo bioimaging without overheating irradiation.

Successful further development of superhigh-constrast upconversion (UC) bioimaging requires addressing the existing paradox: 980 nm laser light is used to excite upconversion nanoparticles (UCNPs), while 980 nm light has strong optical absorption of water and biological specimens. The overheating caused by 980 nm excitation laser light in UC bioimaging is computationally and experimentally investigated for the first time. A new promising excitation approach for better near-infrared to near-infrared (NIR-to-NIR) UC photoluminescence in vitro or in vivo imaging is proposed employing a cost-effective 915 nm laser.

Detection and photodynamic therapy of inflamed atherosclerotic plaques in the carotid artery of rabbits.

Photodynamic therapy (PDT) has been applied in the treatment of artery restenosis following balloon injury. This study aimed to detect the accumulation of 5-aminolevulinic acid (ALA)-derived protoporphyrin IX (PpIX) in inflamed atherosclerotic plaque in rabbit model and evaluate the efficacy of PDT. The inflamed atherosclerotic plaque in the common carotid artery was produced by combination of balloon denudation injury and high cholesterol diet.

Hematoporphyrin monomethyl ether-mediated photodynamic effects on THP-1 cell-derived macrophages.

Photodynamic therapy (PDT) has been shown to attenuate atherosclerotic plaque progression and decrease macrophage-infiltration. The effectiveness of PDT depends strongly on the type of photosensitizers. Hematoporphyrin monomethyl ether (HMME) is a promising second-generation porphyrin-related photosensitizer for PDT.

Apoptosis of vascular smooth muscle cells induced by photodynamic therapy with protoporphyrin IX.

Photodynamic therapy (PDT) had been shown effective in the treatment of intimal hyperplasia, which contributes to restenosis, by eradicating cells in the vessel wall. This study is designed to evaluate the effects of PDT with protoporphyrin IX (PpIX) on the viability of vascular smooth muscle cells (SMCs) and to define the cell-death pathway. Fluorescence microscopy and laser-induced fluorescence spectroscopic detection showed that SMCs selectively uptake PpIX, and the intracellular PpIX concentration increases with the amount of PpIX in the incubation solution.

Near vacuum ultraviolet luminescence of Gd3+ and Er3+ ions generated by super saturation upconversion processes.

Near vacuum ultraviolet (UV) upconversion (UC) emissions with a spectral resolution of 1 nm, from the (6)G(J), (6)D(J), (6)I(J), (6)P(J) levels of Gd(3+) and the (2)L(17/2), (4)D(7/2), (2)H(2)(9/2), (2)D(5/2), (4)G(7/2), (2)K(13/2), (2)P(3/2) levels of Er(3+), were observed under 974 nm laser excitation. Mechanism analyses illustrate that successive energy transfers (ETs) from Yb(3+) to Er(3+) generate UV UC radiations in Er(3+), while two resonant ETs from Er(3+) to Gd(3+) lead to UV UC radiations in Gd(3+). Power dependence analyses indicate that the expected inefficient four- and five-photon processes have been switched into efficient two-photon processes due to a super saturation UC phenomenon that employs consecutive saturations at the intermediate states.

Upconversion emission tuning from green to red in Yb3+/Ho3+-codoped NaYF4 nanocrystals by tridoping with Ce3+ ions.

Upconversion (UC) emission tuning from green to red in monodisperse NaYF(4):Yb(3+)/Ho(3+) nanocrystals was successfully achieved by tridoping with Ce(3+) ions under diode laser excitation of 970 nm. It is proposed that two efficient cross-relaxation processes, 5S2/5F4(Ho) + 2F(5/2)(Ce) --> 5F5(Ho) + 2F(7/2)(Ce) and 5I6(Ho) + 2F(5/2)(Ce) --> 5I7(Ho) + 2F(7/2)(Ce)between Ho(3+) and Ce(3+) ions, have been employed to select UC pathways to tune the UC radiation. Theoretical investigations based on steady-state equations demonstrate the proposed UC mechanisms and explain well the observed linear increase of the UC red-to-green intensity ratio with the increment of Ce(3+) ion concentrations.

Autofluorescence-free in vivo multicolor imaging using upconversion fluoride nanocrystals.

Non-invasive fluorescence imaging is an important technique in biology. However, detection of traditional biomarker emissions is accompanied by a high background signal. In this study we examined whether upconversion sodium yttrium fluoride (NaYF(4)) nanocrystals were suitable for autofluorescence-free multicolor fluorescence imaging in a living animal.