Dynamic air/liquid pockets for guiding microscale flow

Microscale flows of fluids are mainly guided either by solid matrices or by liquid–liquid interfaces. However, the solid matrices are plagued with persistent fouling problems, while liquid–liquid interfaces are limited to low-pressure applications. Here we report a dynamic liquid/solid/gas material containing both air and liquid pockets, which are formed by partially infiltrating a porous matrix with a functional liquid. Using detailed theoretical and experimental data, we show that the distribution of the air- and liquid-filled pores is responsive to pressure and enables the formation and instantaneous recovery of stable liquid–liquid interfaces that sustain a wide range of pressures and prevent channel contamination. This adaptive design is demonstrated for polymeric materials and extended to metal-based systems that can achieve unmatched mechanical and thermal stability. Our platform with its unique adaptive pressure and antifouling capabilities may offer potential solutions to flow control in microfluidics, medical devices, microscale synthesis, and biological assays

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BACKGROUND Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of causes of death globally and over time, providing a nuanced understanding of the effect of these causes on global populations. METHODS The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 cause-of-death analysis estimated mortality and years of life lost (YLLs) from 288 causes of death by age-sex-location-year in 204 countries and territories and 811 subnational locations for each year from 1990 until 2021. The analysis used 56 604 data sources, including data from vital registration and verbal autopsy as well as surveys, censuses, surveillance systems, and cancer registries, among others. As with previous GBD rounds, cause-specific death rates for most causes were estimated using the Cause of Death Ensemble model-a modelling tool developed for GBD to assess the out-of-sample predictive validity of different statistical models and covariate permutations and combine those results to produce cause-specific mortality estimates-with alternative strategies adapted to model causes with insufficient data, substantial changes in reporting over the study period, or unusual epidemiology. YLLs were computed as the product of the number of deaths for each cause-age-sex-location-year and the standard life expectancy at each age. As part of the modelling process, uncertainty intervals (UIs) were generated using the 2·5th and 97·5th percentiles from a 1000-draw distribution for each metric. We decomposed life expectancy by cause of death, location, and year to show cause-specific effects on life expectancy from 1990 to 2021. We also used the coefficient of variation and the fraction of population affected by 90% of deaths to highlight concentrations of mortality. Findings are reported in counts and age-standardised rates. Methodological improvements for cause-of-death estimates in GBD 2021 include the expansion of under-5-years age group to include four new age groups, enhanced methods to account for stochastic variation of sparse data, and the inclusion of COVID-19 and other pandemic-related mortality-which includes excess mortality associated with the pandemic, excluding COVID-19, lower respiratory infections, measles, malaria, and pertussis. For this analysis, 199 new country-years of vital registration cause-of-death data, 5 country-years of surveillance data, 21 country-years of verbal autopsy data, and 94 country-years of other data types were added to those used in previous GBD rounds. FINDINGS The leading causes of age-standardised deaths globally were the same in 2019 as they were in 1990; in descending order, these were, ischaemic heart disease, stroke, chronic obstructive pulmonary disease, and lower respiratory infections. In 2021, however, COVID-19 replaced stroke as the second-leading age-standardised cause of death, with 94·0 deaths (95% UI 89·2-100·0) per 100 000 population. The COVID-19 pandemic shifted the rankings of the leading five causes, lowering stroke to the third-leading and chronic obstructive pulmonary disease to the fourth-leading position. In 2021, the highest age-standardised death rates from COVID-19 occurred in sub-Saharan Africa (271·0 deaths [250·1-290·7] per 100 000 population) and Latin America and the Caribbean (195·4 deaths [182·1-211·4] per 100 000 population). The lowest age-standardised death rates from COVID-19 were in the high-income super-region (48·1 deaths [47·4-48·8] per 100 000 population) and southeast Asia, east Asia, and Oceania (23·2 deaths [16·3-37·2] per 100 000 population). Globally, life expectancy steadily improved between 1990 and 2019 for 18 of the 22 investigated causes. Decomposition of global and regional life expectancy showed the positive effect that reductions in deaths from enteric infections, lower respiratory infections, stroke, and neonatal deaths, among others have contributed to improved survival over the study period. However, a net reduction of 1·6 years occurred in global life expectancy between 2019 and 2021, primarily due to increased death rates from COVID-19 and other pandemic-related mortality. Life expectancy was highly variable between super-regions over the study period, with southeast Asia, east Asia, and Oceania gaining 8·3 years (6·7-9·9) overall, while having the smallest reduction in life expectancy due to COVID-19 (0·4 years). The largest reduction in life expectancy due to COVID-19 occurred in Latin America and the Caribbean (3·6 years). Additionally, 53 of the 288 causes of death were highly concentrated in locations with less than 50% of the global population as of 2021, and these causes of death became progressively more concentrated since 1990, when only 44 causes showed this pattern. The concentration phenomenon is discussed heuristically with respect to enteric and lower respiratory infections, malaria, HIV/AIDS, neonatal disorders, tuberculosis, and measles. INTERPRETATION Long-standing gains in life expectancy and reductions in many of the leading causes of death have been disrupted by the COVID-19 pandemic, the adverse effects of which were spread unevenly among populations. Despite the pandemic, there has been continued progress in combatting several notable causes of death, leading to improved global life expectancy over the study period. Each of the seven GBD super-regions showed an overall improvement from 1990 and 2021, obscuring the negative effect in the years of the pandemic. Additionally, our findings regarding regional variation in causes of death driving increases in life expectancy hold clear policy utility. Analyses of shifting mortality trends reveal that several causes, once widespread globally, are now increasingly concentrated geographically. These changes in mortality concentration, alongside further investigation of changing risks, interventions, and relevant policy, present an important opportunity to deepen our understanding of mortality-reduction strategies. Examining patterns in mortality concentration might reveal areas where successful public health interventions have been implemented. Translating these successes to locations where certain causes of death remain entrenched can inform policies that work to improve life expectancy for people everywhere. FUNDING Bill & Melinda Gates Foundation

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed

Single-Atom Co-Catalysts Employed in Titanium Dioxide Photocatalysis

With a distinct electronic structure and unsaturated coordination centers, supported single-atoms (SAs) have shown great potential in heterogeneous catalysis due to their superior activity, stability, and selectivity. Over the last few years, the fascination of SA-use spread also over photocatalysis, i.e., a particular case of heterogeneous catalysis in which chemical reactions are activated by charge transfer from an illuminated semiconductor. Titanium dioxide (TiO2) is one of the most studied photocatalytic materials. It is widely used as a light absorbing semiconductor decorated with metallic (nanoparticles and single-atom) co-catalysts. In the current review, we emphasize the role of SAs as a co-catalyst in photocatalysis, and clearly set it apart from the use of single atoms in classic heterogeneous catalysis. The review first briefly describes the principal features of SAs, and gives an overview of most important examples of single-atom co-catalysts. Then, we discuss photocatalysis and key examples of single-atom co-catalysts used on TiO2 photocatalysts and their applications. At last, we provide an outlook for further exploring TiO2-based single-atom photocatalytic systems

Single-Atom Co-Catalysts Employed in Titanium Dioxide Photocatalysis

With a distinct electronic structure and unsaturated coordination centers, supported single-atoms (SAs) have shown great potential in heterogeneous catalysis due to their superior activity, stability, and selectivity. Over the last few years, the fascination of SA-use spread also over photocatalysis, i.e., a particular case of heterogeneous catalysis in which chemical reactions are activated by charge transfer from an illuminated semiconductor. Titanium dioxide (TiO2) is one of the most studied photocatalytic materials. It is widely used as a light absorbing semiconductor decorated with metallic (nanoparticles and single-atom) co-catalysts. In the current review, we emphasize the role of SAs as a co-catalyst in photocatalysis, and clearly set it apart from the use of single atoms in classic heterogeneous catalysis. The review first briefly describes the principal features of SAs, and gives an overview of most important examples of single-atom co-catalysts. Then, we discuss photocatalysis and key examples of single-atom co-catalysts used on TiO2 photocatalysts and their applications. At last, we provide an outlook for further exploring TiO2-based single-atom photocatalytic systems

Extremely durable biofouling-resistant metallic surfaces based on electrodeposited nanoporous tungstite films on steel

Formation of unwanted deposits on steels during their interaction with liquids is an inherent problem that often leads to corrosion, biofouling and results in reduction in durability and function. Here we report a new route to form anti-fouling steel surfaces by electrodeposition of nanoporous tungsten oxide (TO) films. TO-modified steels are as mechanically durable as bare steel and highly tolerant to compressive and tensile stresses due to chemical bonding to the substrate and island-like morphology. When inherently superhydrophilic TO coatings are converted to superhydrophobic, they remain non-wetting even after impingement with yttria-stabilized-zirconia particles, or exposure to ultraviolet light and extreme temperatures. Upon lubrication, these surfaces display omniphobicity against highly contaminating media retaining hitherto unseen mechanical durability. To illustrate the applicability of such a durable coating in biofouling conditions, we modified naval construction steels and surgical instruments and demonstrated significantly reduced marine algal film adhesion, Escherichia coli attachment and blood staining

Solid-State Thermal Dewetting of Just-Percolated Gold Films Evaporated on Glass: Development of the Morphology and Optical Properties

Solid-state thermal dewetting of just-percolated gold films of nominal thicknesses in the range 10–16 nm, prepared by evaporation on glass slides and annealing, was systematically studied. The kinetics of thermal dewetting and transition from a percolated film to isolated islands were monitored using <i>in situ</i> transmission localized surface plasmon resonance (LSPR) spectroscopy combined with <i>ex situ</i> high-resolution scanning electron microscopy (HRSEM), transmission electron microscopy (TEM), atomic force microscopy (AFM), X-ray diffraction (XRD), and selected-area electron diffraction (SAED) to correlate between evolution of the film morphology and development of the optical properties. Annealing at 550 °C results in transformation of the as-evaporated, percolated polycrystalline films, with mean crystallite dimensions close to the film nominal thickness, to (111) textured films comprising large separated single-crystalline islands. The dewetting scenario depends on the initial morphology of the unannealed, just-percolated Au film, in particular on the structure of the voids at the metal–ambient and metal–glass interfaces. Dewetting of films of <13 nm (nominal thickness), the latter exhibiting a majority of voids which are open at both interfaces (denoted type I films), shows faster kinetics than in-plane grain growth. In films of >13 nm (nominal thickness), in which the majority of voids do not protrude through the entire film and are closed at the metal–glass interface (denoted type II films), grain growth presents faster kinetics than dewetting. The annealed films display discrete single-crystalline Au islands with flat, (111) textured top surfaces. Island diameters range from <100 nm to submicrometer, while the surface plasmon extinction band varies over >300 nm for different average island sizes

Metallic nanoparticle-on-mirror: Multiple-band light harvesting and efficient photocurrent generation under visible light irradiation

We present a photoanode concept for photoelectrochemical (PEC) water splitting based on metal nanoparticles (Au, Ag, Cu) deposited on a Ti mirror (NPoM) to photosensitize an intermediate TiO2 layer to induce the harvesting of light with sub-bandgap photon energies. The generation of hot electron-hole pairs in metallic nanostructures can occur either by intraband excitation, i.e., plasmon electrons, or by the interband transition of the d-band electrons to the unoccupied conduction band states. Our results demonstrate that the underlying Ti mirror significantly amplifies the PEC activity of such NPoM systems in the visible spectral range. We show that the PEC enhancement in the visible spectral range is not limited to the intraband excitations but is affected mainly by the light trapping pathway within the TiO2 layer, i.e. due to a favorable interplay between thin-film interference cavity modes with both intraband and interband excitations. Among tested metals, Cu and Ag NPs demonstrate a ~3-fold higher enhancement factor than that of Au NPs, while in both former cases the nature of the excited electrons is different. The experimentally determined internal quantum efficiency demonstrates alternating behavior with wavelength showing higher efficiencies at short wavelengths, which is attributed to the reduced Schottky barrier of the NPoMs at constructive interference maxima

Direct Observation of Aminoglycoside–RNA Binding by Localized Surface Plasmon Resonance Spectroscopy

RNA is involved in fundamental biological functions when bacterial pathogens replicate. Identifying and studying small molecules that can interact with bacterial RNA and interrupt cellular activities is a promising path for drug design. Aminoglycoside (AMG) antibiotics, prominent natural products that recognize RNA specifically, exert their biological functions by binding to prokaryotic ribosomal RNA and interfering with protein translation, ultimately resulting in bacterial cell death. The decoding site, a small internal loop within the 16S rRNA, is the molecular target for the AMG antibiotics. The specificity of neomycin B, a highly potent AMG antibiotic, to the ribosomal decoding RNA site, was previously studied by observing AMG–RNA complexes in solution. Here, we study this interaction using localized surface plasmon resonance (LSPR) transducers comprising gold island films prepared by evaporation on glass and annealing. Small molecule AMG receptors were immobilized on the Au islands via polyethylene glycol (PEG)-thiol linkers, and the interaction with target RNA in solution was studied by monitoring the change in the LSPR optical response upon binding. The results show high-affinity binding of neomycin to 27-nucleotide model A-site RNA sequence in the nanomolar range, while no specific binding is observed for synthetic RNA oligomers (e.g., poly-U). The impact of specific base substitutions in the A-site RNA constructs on binding affinity and selectivity is determined quantitatively. It is concluded that LSPR is a powerful tool for providing molecular insight into small molecule–RNA interactions and for the design and screening of selective antimicrobial drugs

Tunable Localized Plasmon Transducers Prepared by Thermal Dewetting of Percolated Evaporated Gold Films

Gold island films displaying localized plasmon properties were prepared by evaporation of just-percolated Au films onto glass substrates followed by annealing at ≥550 °C. Annealing induces depercolation and formation of large, single-crystalline, well-separated islands, partially embedded in the glass. Two dewetting mechanisms were identified, depending on the initial film morphology. The variability of island sizes and shapes provides effective means of tuning the position of the localized surface plasmon resonance (LSPR) band in a wide wavelength range. With an increase in the Au nominal thickness a transition occurs from transducers dominated by absorbance to ones dominated by scattering. Numerical simulations taking into account the shape and size distribution in actual island samples are in agreement with the experimental spectra. Refractive index sensitivity (RIS) measurements at a constant wavelength or at a constant extinction, tailored to the specific transducer, provide superior sensitivity to refractive index change, up to ca. 600 nm RIU^–1 in wavelength shift