Achieving blood pressure control targets in hypertensive patients of rural China - A pilot randomized trial

Background: This study aimed to test the feasibility and titration methods used to achieve specific blood pressure (BP) control targets in hypertensive patients of rural China. Methods: A randomized, controlled, open-label trial was conducted in Rongcheng, China. We enrolled 105 hypertensive participants aged over 60 years, and who had no history of stroke or cardiovascular disease. The patients were randomly assigned to one of three systolic-BP target groups: standard: 140 to \u3c 150 mmHg; moderately intensive: 130 to \u3c 140 mmHg; and intensive: \u3c 130 mmHg. The patients were followed for 6 months. Discussion: The optimal target for systolic blood pressure (SBP) lowering is still uncertain worldwide and such information is critically needed, especially in China. However, in China the rates of awareness, treatment and control are only 46.9%, 40.7%, and 15.3%, respectively. It is challenging to achieve BP control in the real world and it is very important to develop population-specific BP-control protocols that fully consider the population\u27s characteristics, such as age, sex, socio-economic status, compliance with medication, education level, and lifestyle. This randomized trial showed the feasibility and safety of the titration protocol to achieve desirable SBP targets (\u3c 150, \u3c 140, and \u3c 130 mmHg) in a sample of rural, Chinese hypertensive patients. The three BP target groups had similar baseline characteristics. After 6 months of treatment, the mean SBP measured at an office visit was 137.2 mmHg, 131.1 mmHg, and 124.2 mmHg, respectively, in the three groups. Home BP and central aortic BP measurements were also obtained. At 6 months, home BP measurements (2 h after drug administration) showed a mean SBP of 130.9 mmHg in the standard group, 124.9 mmHg in the moderately intensive group, and 119.7 mmHg in the intensive group. No serious adverse events were recorded over the 6-month study period. Rates of adverse events, including dry cough, palpitations, and arthralgia, were low and showed no significant differences between the three groups. This trial provided real-world experience and laid the foundation for a future, large-scale, BP target study. Trial registration: Feasibility Study of the Intensive Systolic Blood Pressure Control; ClinicalTrials.gov, ID: NCT02817503. Registered retrospectively on 29 June 2016

Magnetic Field Sensor Based on Magnetic Optical Surface Plasmon Resonance

Surface plasmon resonance with high sensitivity is widely used in molecular dynamics detection. Herein, a magneto‐optic surface plasmon resonance (MOSPR) sensor based on Au/Co/Au thin film for detecting magnetic fields is developed. The strong coupling between the magneto‐optical waveguide mode and the surface plasmon resonance mode is analyzed and the linear relationship between the reflectivity of the MOSPR sensor and the magnetic field is established. The response, response–recovery time, and dispersion relationship for different magnetic fields are also numerically simulated. Additionally, experimental data on the MOSPR sensor's response to magnetic fields at room temperature (25 °C) are obtained. During the experiment, a differential signal in the light path is applied to reduce the noise generated by the environment. The results demonstrate that the MOSPR sensor exhibits high response, ultrafast response time, and long‐term stability. The study provides a promising approach for detecting magnetic fields with high sensitivity and accuracy

Dynamic plasmonic beam shaping by vector beams with arbitrary locally linear polarization states

Vector beams, which have space-variant state of polarization (SOP) comparing with scalar beams with spatially homogeneous SOP, are used to manipulate surface plasmon polarizations (SPPs). We find that the excitation, orientation, and distribution of the focused SPPs excited in a high numerical aperture microscopic configuration highly depend on the space-variant polarization of the incident vector beam. When it comes to vector beam with axial symmetry, multi-foci of SPPs with the same size and uniform intensity can be obtained, and the number of foci is depending on the polarization order n. Those properties can be of great value in biological sensor and plasmonic tweezers applications.ImPhys/Imaging PhysicsApplied Science

Plasmonic petal-shaped beam for microscopic phase-sensitive SPR biosensor with ultrahigh sensitivity

Differential phase measurement between radially polarized (RP) and azimuthally polarized (AP) beams is an important technique in microscopic surface plasmon resonance (SPR) biosensors as reported in our earlier works [Opt. Lett. 37, 2091 (2012); Appl. Phys. Lett. 102, 011114 (2013)]. However, such a technique suffers complex beam splitting, detection, and data processing procedures for RP and AP beams which may lower the accuracy of phase measurement. In this Letter, a novel plasmonic petal-shaped vector beam is proposed instead of RP and AP beams, greatly simplifying the sensor system and enabling single measurement in differential interferometry. Moreover, an improved ultrahigh sensitivity on the order of 10−7 refractive index units (RIUs) is experimentally verified in the proposed system.Published versio

N‑heterocyclic Carbene–Cu-Catalyzed Enantioselective Conjugate Additions with Alkenylboronic Esters as Nucleophiles

Catalytic enantioselective conjugate additions with easily accessible alkenylboronic acid pinacol esters as nucleophiles promoted by chiral copper complexes of N-heterocyclic carbenes are presented. These processes constitute an unprecedented instance of conjugate additions of a variety of functionalized alkenyl groups and afford desired products that are otherwise difficult to access in up to 98% yield and 99.5:0.5 enantiomeric ratio. The origins of ligand-controlled enantioselectivity are elucidated with density functional theory (DFT) calculations