135 research outputs found

    Microstructural ordering of nanofibers in flow-directed assembly

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    Fabrication of highly ordered and dense nanofibers assemblies is of key importance for high-performance and multi-functional material and device applications. In this work, we design an experimental approach in silico, where shear flow and solvent evaporation are applied to tune the alignment, overlap of nanofibers, and density of the assemblies. Microscopic dynamics of the process is probed by dissipative particle dynamics simulations, where hydrodynamic and thermal fluctuation effects are fully modeled. We find that microstructural ordering of the assembled nanofibers can be established within a specific range of the Peclet numbers and evaporation rates, while the properties of nanofibers and their interaction are crucial for the local stacking order. The underlying mechanisms are elucidated by considering the competition between hydrodynamic coupling and thermal fluctuation. Based on these understandings, a practical design of flow channels for nanofiber assembly with promising mechanical performance is outlined.Accepted manuscriptSupporting documentatio

    The relationship between Comprehensive Geriatric Assessment parameters and depression in elderly patients

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    BackgroundDepression is common and serious among elderly patients. The treatment of elderly depression is often delayed owing to insufficient diagnosis, which eventually leads to adverse consequences.AimsTo explore the association between the parameters of the Comprehensive Geriatric Assessment and depression in elderly patients.MethodsA cross-sectional study of 211 outpatients and inpatients aged ≥ 65 years from the Comprehensive Geriatric Assessment database was conducted. A Comprehensive Geriatric Assessment inventory was prepared by compiling and screening general characteristics, chronic diseases (cardiovascular disease, diabetes, and peptic ulcer disease), nutritional status, daily living ability, anthropometric measurements (body mass index (BMI), upper arm circumference, and calf circumference), and blood biochemical indicators (hemoglobin, albumin, prealbumin, triglycerides, and low-density lipoprotein cholesterol). The Geriatric Depression Scale was also conducted for each elderly patient to screen for depression. A multivariable logistic regression analysis was used to determine the association between the parameters of the Comprehensive Geriatric Assessment and geriatric depression.ResultsThere were 63 patients in the depression group with a median age of 84.00 years, and 148 patients in the non-depression group with a median age of 78.50 years. After controlling for confounders, the risk of depression in elderly patients with cardiovascular diseases was 6.011 times higher than that in those without cardiovascular diseases (p < 0.001); and the risk of depression in elderly patients with peptic ulcer diseases was 4.352 times higher than that in those without peptic ulcer diseases (p < 0.001); the risk of depression in elderly patients decreased by 22.6% for each 1-point increase in the Mini Nutritional Assessment (p < 0.001). The risk of depression in elderly patients decreased by 19.9% for each 1-point increase in calf circumference (p = 0.002), and by 13.0% for each 1-point increase in albumin (p = 0.014).ConclusionOur findings suggest that Comprehensive Geriatric Assessment parameters, such as cardiovascular disease, peptic ulcer disease, Mini Nutritional Assessment score, calf circumference, and albumin, were associated with depression. The Comprehensive Geriatric Assessment can assist in the early identification of depression in the elderly population

    フランス キンコウケンガクセイ ノ ダイハラン ゲ

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    周, 恩来(著) 米原, 謙/申, 春野(共訳
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