No abstract

A series of WO3/SBA-15 materials with different Si/W ratios have been prepared by impregnating the host material SBA-15 with aqueous ammonium paratungstate solutions. After temperature-programmed carburization (TPC) in flowing CH4/H2 (20/80 v/v mixture), the materials are converted to the corresponding W2C/SBA-15 species. Both the oxide and carbide materials are characterized using X-ray diffraction, nitrogen adsorption-desorption, 29Si NMR spectroscopy, Fourier transform infrared (FTIR) spectroscopy, and TEM measurements. The XRD results show that after impregnation with different amounts of tungsten and subsequent carburization, the materials retain the mesopore structure of SBA-15. The nitrogen adsorption-desorption results indicate that a thin layer of W2C covers the internal walls of SBA-15. Quantitative 29Si single-pulse excitation MAS experiments and FTIR spectroscopy show that the incorporation of W2C in the channels of SBA-15 is correlated with the formation of Si-O-W bonds. Some Si-O-W bonds are transformed into Si-O-H bonds after carburization. The TEM results show that the thickness of the W2C thin layer is 1.7-1.9 nm in W2C/SBA-15. A model involving a discrete W2C thin layer in the channels of SBA-15 is proposed on the basis of the NMR data. The calculated thickness of the discrete W2C thin layer is consistent with value given by HRTEM.

Objectives: To determine the effectiveness of computer-assisted cognitive rehabilitation in improving cognitive function in patients with post-stroke cognitive impairment. Background:In recent years, computer-assisted cognitive rehabilitation has been accepted as a good substitute or supplement for traditional cognitive rehabilitation. Some clinical randomised controlled trials have been carried out, but no relevant systematic evaluations have been performed. Therefore, we conducted a systematic review of studies involving computer-assisted cognitive rehabilitation to provide evidence-based data for its promotion and application.Methods: Nine databases (Cochrane Library, PubMed, Web of Science, Embase, OVID, Wanfang Data, CNKI, VIP and SinoMed databases) were systematically searched.Randomised controlled trials that assessed computer-assisted cognitive rehabilitation for patients with post-stroke cognitive impairment were included. Two reviewers appraised the risks of bias through the Cochrane Collaboration's tool and performed the meta-analysis, including the assessment of heterogeneity. We follow the PRISMA 2020 guidelines. Results:Thirty-two studies comprising 1837 participants were included. Compared with conventional therapy alone, the addition of computer-assisted cognitive rehabilitation significantly improved the global cognition of patients, evaluated using the Montreal cognitive assessment, mini-mental state examination and Loewenstein occupational therapy cognitive assessment (p < .01 for all tests). The therapy also significantly improved activities of daily living, assessed using the Barthel index, modified Barthel index and functional independence measure (p < .05 for all tests). Conclusion:Computer-assisted cognitive rehabilitation significantly improved the cognitive function and activities of daily living of patients with post-stroke cognitive impairment.Relevance to clinical practice: Computer-assisted cognitive rehabilitation can be a valuable technique for cognitive rehabilitation after stroke.

Objective: To determine the effectiveness of Baduanjin exercise in improving cognition and memory in patients with mild cognitive impairment. Data sources: Relevant English- and Chinese-language studies published until 15th September 2020 were retrieved from the PubMed, Web of Science, Cochrane Library, Embase, EBSCOhost, OVID, National Knowledge Infrastructure, WANFANG DATA, VIP Information, and SinoMed databases. Review methods: Randomized controlled trials assessing Baduanjin exercise in patients with mild cognitive impairment were included. Two researchers independently identified eligible studies and extracted data. Risk-of-bias assessment was performed using the Cochrane Risk of Bias Tool. Results: This study included 16 randomized controlled trials (1054 participants) from China that used Chinese versions of standardized tests. Most studies had no significant bias, and only one study had a high risk of bias in the random allocation category. Compared with conventional therapy alone, Baduanjin plus conventional therapy significantly improved the Montreal Cognitive Assessment and Mini-Mental State Examination scores after 6 months of treatment ( P < 0.00001 for both), significantly decreased the tau/Aβ1–42 ratio in the cerebrospinal fluid ( P < 0.00001), and significantly improved some dimensional scores on the Wechsler Memory Scale and the auditory verbal learning test scores at 6 months ( P < 0.05 for all). Conclusion: Compared with conventional therapy, Baduanjin plus conventional therapy significantly improved cognitive and memory function in patients with mild cognitive impairment.