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Introduction Thyroid hormones (THs) are essential for human growth, development, metabolism, cardiovascular homeostasis, and the immune system. (1) Their circulating levels are strictly regulated via a negative feedback loop along [...], BACKGROUND: Some pesticides have been shown to interfere with thyroid functions through changes in thyroid hormone (TH) levels. However, few human studies have explored associations between TH levels and environmental exposure to currently used pesticides, including neonicotinoids, phenylpyrazoles, phenoxy acids, and azoles. Moreover, such studies often measure biomarkers of exposure in urine or blood, and thus reveal only recent exposure. In contrast, hair has been demonstrated to be a suitable matrix for assessing chronic exposure to both persistent and nonpersistent organic pollutants. OBJECTIVES: We investigated 54 biomarkers of pollutant exposure in relation to tetraiodothyronine (T4), 3,3',5-triiodothyronine (T3), 3,3',5'-triiodothyronine (rT3), and 3,3'-diiodothyronine (T2). METHODS: In a cross-sectional study of 196 healthy Chinese women of reproductive age (25-45 years of age), concentrations of both pollutants and THs were analyzed in the first 12 cm (starting from the scalp) of the hair matrix, collected in 2016. Associations between pollutants and TH levels were explored using stability-enhanced least absolute shrinkage and selection operator (lasso) by regressing all exposures against each outcome of interest, adjusted for age, body mass index, and city. RESULTS: Each TH was associated with the mixture of at least eight of the examined pesticides. We found associations of [beta]-HCH, PCP, DMP, DETP, 3Me4NP, carbofuran, [ClCF.sub.3]CA, imidacloprid, 2,4-D, metolachlor, difenoconazole, and tebuconazole with THs. For example, a 2-standard deviation (SD) increase in [log.sub.10]-transformed hair DMP concentration was associated with lower hair T4 concentration [-15:0% (95% CI: -26:1, -2:21%)] and higher hair T3 concentration [8.16% (95% CI: 1.73, 15.0%)] in the adjusted unpenalized regression models. We also found associations of some pesticides with T3/T4, rT3/T4, and rT3/T3 molar ratios, including PCP, DMP, 2,4-D, metolachlor, difenoconazole, and tebuconazole. DISCUSSION: Our results suggest that exposure to the low levels of pesticides examined here may disrupt thyroid homeostasis in humans. Further studies are needed to confirm our results and to evaluate the long-term consequences of these subtle interferences. https://doi.org/10.1289/EHP14378

Abstract As many coal mines in China enter the deep mining stage, underground mining is starting to cause some problems, including dust disasters, rockburst, and coal and gas outburst in enclosed sites. In this study, water injection tests were conducted on coal samples using a coal rock multi-field seepage simulation experimental system under geo-stress conditions. Experimental results demonstrate that, as the cycle period increases, permeability exhibits a gradual increase. Areas with high permeability change rates are predominantly observed at the beginning and end of the cycle. The relationship between permeability and the number of cycles is initially linear during the early and middle cycles. However, beyond 30 cycles, the relationship transitions from linear to nonlinear, indicating an accelerated permeability change after a certain cycle threshold. In conclusion, this study addressed and refined the mathematical relationship between volumetric strain and permeability. The findings of this research have significant implications for the prevention of dust emissions and the mitigation of rockburst disasters in the field.

Abstract The conversion of CO2 emissions into valuable 3D printed carbon-based materials offers a transformative strategy for climate mitigation and resource utilization. Here, we 3D print carbon nanocomposites from CO2 using an integrated system that electrochemically converts CO2 into CO, followed by a thermocatalytic process that synthesizes carbon nanotubes (CNTs) which are then 3D printed into high-density carbon nanocomposites. A 200 cm2 electrolyzer stack is integrated with a thermochemical reactor for more than 45 h of operation, cumulatively synthesizing 37 grams of CNTs from CO2. A techno-economic analysis indicates a 90% cost reduction in CNT production on an industrial scale compared to current benchmarks, underscoring the commercial viability of the system. A 3D printing process is developed that achieves a high nanocomposite CNT concentration (38 wt%) while enhancing composite structural attributes via CNT alignment. With the rapidly rising demand for carbon nanocomposites, this CO2-to-nanocomposite process can make a substantial impact on global carbon emission reduction efforts.

As the secondary metabolites of plants, flavonoids are very important active ingredients in natural medicinal plants and have been proved to possess the extensive biological activities. It has been reported that flavonoids can bind to plasma proteins. Lysozyme is a globular protein and can interact with many small molecules for therapeutic applications. Therefore, the studies of interactions between flavonoids and proteins are not only helpful for understanding of the biological action of small natural organic molecules, but also are beneficial for the development of novel drug candidates. Native electrospray ionization mass spectrometry has been widely applied in the studies of the interactions of proteins and small molecules. During the electrospray ionization (ESI) analysis, some organic solvents are often used as a cosolvent. However, it is not clear for the effects of addition of some organic solvents on the ESI analysis of protein-ligand complexes. The solvent dimethyl sulfoxide (DMSO) is one of cosolvents. There are few studies on the effect of DMSO on protein-small molecule interactions by electrospray mass spectrometry (ESI-MS). Here, the effects of DMSO on the ESI-MS analysis of four lysozyme-flavonoids of icariin, rutin, naringin and scutellarin complexes were investigated. The stable, labile and non-specific binding protein complexes with small molecule ligands were determined by ESI-MS, respectively. It was found that the content of DMSO affects the apparent binding constants of lysozyme and small molecule ligand complexes. The low amounts of DMSO lead to increase the apparent affinity of the labile lysozyme-flavonoid complexes to some extent. It also can stabilize the lysozyme complex with N,N',N''-triacetylchitotriose even under the high capillary temperature. The addition of DMSO cannot lead to the non-specific binding of lysozyme complex with maltose. In addition, the content of DMSO also affects the charge states of the lysozyme complexes. Compared with the sample without DMSO, the charge states of the complex initially decrease with the addition of DMSO. Then the charge states of the complex increase with the further increasing content of DMSO and even increase to higher charge states than those without DMSO. Therefore, it is indicated that the addition of DMSO can affect the ESI-MS analysis of the interaction of protein and small ligands, including the apparent binding constants and charge states of protein-ligand complexes. For the labile lysozyme-flavonoid complexes in ESI-MS, DMSO at the optimized content is shown to stabilize these complexes during ESI-MS analysis. It was suggested that the amount of DMSO used in ESI-MS should be carefully controlled.

Abstract Ceria (CeO2) is a widely used oxide catalyst, yet the nature of its active sites remains elusive. This study combines model and powder catalyst studies to elucidate the structure-activity relationships in ceria-catalyzed CO activation and hydrogenation. Well-defined ceria clusters are synthesized on planar CeO2(111) and exhibit dynamic and tunable ranges of Ce coordination numbers, which enhance their interaction with CO. Reduced ceria clusters (e.g., Ce3O3) bind CO strongly and facilitate its dissociation, while near-stoichiometric clusters (e.g., Ce3O7) adsorb CO weakly and promote oxidation via carbonate formation. Unlike planar ceria surfaces, supported ceria clusters exhibit dynamic properties and enhanced catalytic activity, that mimic those of powder ceria catalysts. Insight from model studies provide a method to quantify active sites on powder ceria and guide further optimization of ceria catalysts for syngas conversion. This work marks a leap toward model-guided catalyst design and highlights the importance of site-specific catalysis.

Abstract To explore the static pressure dynamic disaster mechanism of coal-and-gas outburst (CGO) fluid, the self-developed multi-field coupling large-scale physical simulation test system of coal mine dynamic disaster was used to carry out gas outburst and CGO physical simulation tests in straight, L-shaped and T-shaped roadways. The influence of roadway shape on the evolution of static pressure was explored, and the role of pulverized coal in the process of static pressure dynamic disaster was clarified. The results indicated that the static pressure showed a fluctuating downward trend during the outburst process. When gas outburst, the middle and front parts of the roadway in the straight section roadway were the most serious areas of static pressure disasters in the three shapes of roadways. The duration and range of high static pressure disaster in L-shaped roadway were larger than those in T-shaped and straight roadways in turn. When CGO, the most serious area of static pressure disaster in L-shaped and T-shaped roadways moved backward to the middle of the straight section roadway, and there was a rebound phenomenon in the process of static pressure fluctuation decline, which showed the pulse characteristics of CGO. During the outburst, the static pressure dynamic disaster hazard of L-shaped roadway was higher than that of T-shaped roadway, and the static pressure at the bifurcation structure decayed faster than that at the turning structure, which indicated that T-shaped roadway was more conducive to the release of static pressure in roadway, thus reduced the risk of static pressure disaster. When gas outburst, the static pressure attenuation of the fluid in the roadway before and after the turning and bifurcation structure was greater than that of CGO. The peak static pressure and impulse of the fluid during gas outburst were 2 times and 4–5 times that of CGO respectively. The presence of pulverized coal reduced the attenuation of static pressure and the hazard of dynamic disaster, prolonged the release time of energy, and led to the change of the maximum static pressure disaster area.

Previous studies have found associations between exposure to polycyclic aromatic hydrocarbons (PAHs) and cardiovascular risk factors. However, the internal dose of PAH exposure was often examined by quantifying monohydroxylated metabolites of PAHs (OH-PAHs) in urine, which can only reflect recent exposure. On the other hand, hair covers wider temporal windows than urine and has been demonstrated to be a suitable matrix for PAH exposure assessment. Using hair analysis, here we investigated the associations between PAH exposure and obesity, diabetes, hypertension, dyslipidemia, and metabolic syndrome (MetS) and its components in a cross-sectional study of adults aged 18–69 years and enrolled in the Nutrition, Environment and Cardiovascular Health (NESCAV) survey conducted in 2007–2009 in Luxembourg. In addition, we also examined hair cotinine and nicotine because they are well-established biomarkers of tobacco smoke exposure. Associations were explored separately for men (n = 265) and women (n = 347) by logistic regression with adjustment for potential confounders. We found positive associations of OH-PAHs with diabetes in both men and women, positive and inverse associations with obesity and positive associations with hypertension/elevated blood pressure and dyslipidemia/elevated triglycerides (TG) in men, and inverse associations with hypertension but positive associations with MetS, elevated waist circumference and reduced high-density lipoprotein cholesterol (HDL-C) in women. These results may suggest that men and women differ in cardiometabolic responses to environmental PAH exposure. As regards hair cotinine and nicotine, they were associated with diabetes/elevated fasting plasma glucose, elevated blood pressure, and dyslipidemia/elevated TG/reduced HDL-C in men and women. Our results suggest that exposure to PAHs and tobacco smoke may be associated with cardiometabolic health risk. Future prospective studies are warranted to corroborate these findings.

Metallic foam composite phase change materials (MF-PCMs) have a high thermal energy storage capacity. However, obtaining a high heat transfer coefficient and a consistent temperature distribution remains challenging. Here, we present a novel double-gradient void metallic foam construction. Furthermore, we build a three-dimensional numerical model to study how pore size, porosity, and diameters affect heat transport and thermal storage performance. The results show that the homogeneity of the cooled wall temperature distribution is well improved by the enhancement of thermal conductivity produced by this double-gradient design. With a graded gradient, the maximum deviation between the individual temperature and the average temperature of the cooled wall is within 15 K, as the total thermal storage capacity is close to 75.5 % of the pure PCMs. Meanwhile, for pure PCMs, this deviation can reach 67 K. These characteristics hold promise for lithium-ion battery thermal management because the spaces between neighboring individual cell units must absorb and retain the heat emitted. Our novel composite structure offers a significant method for designing battery temperature control.

Abstract Background Acute kidney injury (AKI) is a common and serious condition, particularly among elderly patients. It is associated with high morbidity and mortality rates, further compounded by the need for continuous renal replacement therapy in severe cases. To improve clinical decision-making and patient management, there is a need for accurate prediction models that can identify patients at a high risk of mortality. Methods Data were extracted from the Dryad Digital Repository. Multivariate analysis was performed using least absolute shrinkage and selection operator (LASSO) logistic regression analysis to identify independent risk factors and construct a predictive nomogram for mortality within 28 days after continuous renal replacement therapy in elderly patients with acute kidney injury. The discrimination of the model was evaluated in the validation cohort using the area under the receiver operating characteristic curve (AUC), and calibration was evaluated using a calibration curve. The clinical utility of the model was assessed using decision curve analysis (DCA). Results A total of 606 participants were enrolled and randomly divided into two groups: a training cohort (n = 424) and a validation cohort (n = 182) in a 7:3 proportion. A risk prediction model was developed to identify independent predictors of 28-day mortality in elderly patients with AKI. The predictors included age, systolic blood pressure, creatinine, albumin, phosphorus, age-adjusted Charlson Comorbidity Index (CCI), Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and sequential organ failure assessment (SOFA) score. These predictors were incorporated into a logistic model and presented in a user-friendly nomogram. In the validation cohort, the model demonstrated good predictive performance with an AUC of 0.799. The calibration curve showed that the model was well calibrated. Additionally, DCA revealed significant net benefits of the nomogram for clinical application. Conclusion The development of a nomogram for predicting 28-day mortality in elderly patients with AKI receiving continuous renal replacement therapy has the potential to improve prognostic accuracy and assist in clinical decision-making.

Abstract Accurately predicting and selecting patients who can benefit from targeted or immunotherapy is crucial for precision therapy. Trophoblast cell surface antigen 2 (Trop2) has been extensively investigated as a pan-cancer biomarker expressed in various tumours and plays a crucial role in tumorigenesis through multiple signalling pathways. Our laboratory successfully developed two 68Ga-labelled nanobody tracers that can rapidly and specifically target Trop2. Of the two tracers, [68Ga]Ga-NOTA-T4, demonstrated excellent pharmacokinetics in preclinical mouse models and a beagle dog. Moreover, [68Ga]Ga-NOTA-T4 immuno-positron emission tomography (immunoPET) allowed noninvasive visualisation of Trop2 heterogeneous and differential expression in preclinical solid tumour models and ten patients with solid tumours. [68Ga]Ga-NOTA-T4 immunoPET could facilitate clinical decision-making through patient stratification and response monitoring during Trop2-targeted therapies.

A numerical simulation of the heat dissipation performance in photovoltaic (PV) cells with phase change material (PCM) for cooling is performed by COMSOL Multiphysics. A comparative analysis of two T-shaped fin designs in PCM heat sinks is conducted to evaluate their impact on the cooling performance of PV panels. The findings indicate that a 180° T-shaped fin design substantially outperforms a cavity without fin design, reducing the PV cell average temperature by up to 15.1 K and enhancing electrical efficiency by 1.36 %. Further optimization of distal fin distance and secondary length reveals that temperature uniformity and photovoltaic efficiency can be improved, achieving a maximum electrical efficiency increase of 1.40 % and a temperature uniformity enhancement of 71.0 %. Detailed analysis underscores the critical role of the distal fin distance (Scheme 1) in temperature control and PCM convection, highlighting its importance in the design process. In contrast, numerical results of the alternative fin layout (Scheme 2) reveal its unsuitability for PV cooling applications.

Summary: The resected pⅢA-N2 non-small-cell lung cancer (NSCLC) patients who could benefit from postoperative radiotherapy (PORT) are not well-defined. The study explored the role of PORT on EGFR mutant and wild-type NSCLC patients. We retrospectively searched for resected pIIIA-N2 lung adenocarcinoma patients who underwent EGFR mutation testing. 80 patients with EGFR wild-type and 85 patients with EGFR mutation were included. 62 patients received PORT. In overall population, the median disease-free survival (DFS) was improved in PORT arm compared to non-PORT arm (22.9 vs. 16.1 months; p = 0.036), along with higher 2-year locoregional recurrence-free survival (LRFS) rate (88.3% vs. 69.3%; p = 0.004). In EGFR wild-type patients, PORT was associated with a longer median DFS (23.3 vs. 17.2 months; p = 0.044), and a higher 2-year LRFS rate (86.8% vs. 61.9%; p = 0.012). In EGFR mutant patients, PORT was not significantly correlated with improved survival outcomes. EGFR wild-type may a biomarker to identify the cohort that benefits from PORT.

This paper conducted an experimental study on the heat transfer performance of pulsating heat pipe (PHP) under three different working fluids: ultrapure water, n-butanol self-rewetting fluid (SRWF), and self-rewetting Fe3O4-nanofluid (SRNF). The effects of filling ratio (FR), heating power, and magnetic field are studied. The results mainly show that the PHP with SRNF under a magnetic field, the start-up time increases, the evaporation section operating temperature increases, and the thermal performance decreases as the filling ratio increases. Increasing the FR, applying SRWF and SRNF can effectively increase the dry-out limit of PHP. At FR = 50 %, the overall thermal performance of PHP is best. In 10–130W, the thermal resistance of the SRWF and the SRNF with/without magnetic field is reduced by 14.5 %–27.8 %, 27.6 %–47.9 %, and 4.2 %–24.8 %, respectively, compared with that of ultrapure water. Similarly, compared without a magnetic field, the thermal resistance of SRNF with a magnetic field is reduced by 14.0 %–35.1 %. At FR = 50 %, the heat transfer performance of SRNF-PHP is best with a magnetic field. When the input power is 130W, the effective heat transfer coefficient keff is 5967.6 W/m∙ K, approximately 13.92 times greater than copper.

In response to the problems of low strength and high permeability of coal materials in the current physical simulation test of coal mine gas dynamics, a set of experimental research methods for optimizing the molding conditions of hot-pressed briquette. Firstly, a hot-pressed briquette test system was independently established and the advantages and future improvement directions of the test system were summarized. At the same time, based on the Horsfield dense stacking theory, the optimal preparation plan for coal briquette materials was formulated. Finally, a molding condition optimization method was developed that combines the Markov distance measurement method and the golden section method. To verify the effectiveness of the experimental method, the secondary carbonization experiments of briquette were conducted under different molding pressure conditions by controlling the molding temperature to 311.8 ℃, heating rate to 5 ℃/min, and holding time to 5.3 h. The response characteristics of the microstructure, physical and mechanical properties, and permeability characteristics of the hot-pressed briquette under different molding pressure conditions were studied. The results show that with the increase of molding pressure, the total porosity gradually decreases, and the uniaxial compressive strength shows a trend of first increasing and then decreasing. The main forms of failure are block spalling and longitudinal fracture. The initial permeability shows a trend of first decreasing and then increasing, while the minimum permeability shows a trend of first decreasing, then increasing and then decreasing. Using the specific values of each molding condition as the test points, and the key parameters of hot-pressed coal and raw coal as the evaluation parameters, a sample matrix was constructed to calculate the Mahalanobis distance between hot-pressed briquette and raw coal under each molding condition, and then optimize the experimental interval using the golden section method. The optimized final molding pressure is 80 MPa. Under these molding conditions, the density, uniaxial compressive strength, and initial permeability of the hot-pressed briquette produced are 1.137 g/cm3, 12.21 MPa, and 1.32 × 10−15 m2, respectively. They are highly similar to the 1.132 g/cm3, 12.83 MPa, and 1.08 × 10−15 m2 of the raw coal, achieving the goal of improving the strength of the briquette and reducing the permeability of the briquette.

Abstract Falls constitute a leading cause of unintentional injury deaths among older adults. This study aimed to examine the comprehensive characteristics of fatal falls among older individuals in Yunnan Province, China, to highlight the challenges faced in elderly care. A total of 22,798 accidental fall-related deaths were extracted from China's National Disease Surveillance Points System aged 60 and above between 2015 and 2019. Quantitative and textual data were analyzed to assess the incidence rates of initiating factors, locations, symptoms, and overall survival (OS) outcomes after falling. Hypertension emerged as the most significant intrinsic factor, especially among individuals aged between 70 and 79, female older adults, and urban residents (P

Abstract Background Potassium bismuth citrate is a gastric mucosal protector and a key drug for treating peptic ulcers. Objective To evaluate the pharmacokinetic characteristics and safety of 120-mg bismuth potassium citrate formulations administered orally under fasting conditions in healthy Chinese subjects. Method A single-center open two-cycle trial was conducted on 12 healthy subjects who received a single oral dose of 120 mg of bismuth potassium citrate. The plasma concentration of bismuth was determined using a validated inductively coupled plasma mass spectrometry (ICP‒MS) method. The pharmacokinetic parameters, including maximum serum concentration (C max) and area under the curve concentration–time curve (AUC0–t and AUC0–∞ ), and safety were evaluated via noncompartment analysis. Results The ratios of the least square geometric mean ratio between the test (T) and reference (R) formulations for C max, AUC0–t , and AUC0–∞ were 44.8%, 55.5%, and 64.4%, respectively; the bilateral 95% confidence intervals (Cis) for these parameters were 20.2–99.6%, 24.1–127.5%, and 23.7–175.0%, respectively, and the non-inferior limits for these parameters were 169.4%, 198.8%, and 200.5%, respectively. The upper limits of the one-sided 97.5% confidence interval for the least squares geometric mean ratio (T/R) were lower than the non-inferior limits. No serious adverse reactions or adverse reactions leading to detachment were observed among the subjects. Conclusion The concentration of bismuth in the blood of healthy subjects in the T formulation was not greater than that in the R formulation. Similarly, the safety of oral administration of 120 mg of bismuth potassium citrate formulations to healthy subjects was good. The trial registration number (TRN) was [2018] 013, 6 December 2018.

BackgroundThe National Health Commission and the other relevant departments in China have initiated testing of the Diagnosis Related Groups (DRGs) system in 30 pilot locations since 2019. In the process of DRG payment reform, accounting for the costs of diseases has become a highly challenging issue. The traditional method of disease accounting method overlooks the compensation for the knowledge capital value of medical personnel.ObjectiveThe primary objective of this study is to analyze the cost accounting scheme of China’s Diagnosis Related Groups (C-DRG), focusing on the value of knowledge capital.MethodsThe study initially proposes a measurement index system for the value of knowledge-based capital, including the difficulty of disease treatment, labor intensity of disease treatment, risk of disease treatment, and operation/treatment time for diseases. The Analytic Hierarchy Process (AHP) is then utilized to weigh the features of medical workers’ knowledge capital value. First, pairwise comparisons are conducted in this stage to develop a two-pair judgment matrix of the primary indicators. Second, the eigenvectors corresponding to the maximum eigenvalues of the matrix are calculated to generate the weight coefficient of each feature. The consistency test is carried out after this stage. An empirical analysis is conducted by collecting data, including the full costs of treating three types of diseases—hip replacement, acute simple appendicitis, and heart bypass surgery—from one public medical institution.ResultsThe empirical analysis examines whether this DRG costing accounting can address the issue of neglecting the value of medical workers’ knowledge capital. The methods reconfigure the positive incentive mechanism, stimulate the endogenous motivation of the medical service system, foster independent changes in medical behavior, and achieve the goals of reasonable cost control.ConclusionIn the cost accounting system of C-DRG, the value of medical workers’ knowledge capital is acknowledged. This acknowledgment not only boosts the enthusiasm and creativity of medical workers in optimizing and standardizing the diagnosis and treatment process but also improves the transparency and authenticity of DRG pricing. This is particularly evident in the optimization and standardization of the diagnosis and treatment processes within medical institutions and in monitoring inadequate medical practices within these institutions.

IntroductionSoil has the highest carbon sink storage in terrestrial ecosystems but human farming activities affect soil carbon deposition. In this study, land cultivated for 70 years was selected. The premise of the experiment was that the soil could be finely categorized by subtype classification. We consider that farming activities affect the soil bacterial community and soil organic carbon (SOC) deposition differently in the three subtypes of albic black soils.MethodsNinety soil samples were collected and the soil bacterial community structure was analysed by high-throughput sequencing. Relative changes in SOC were explored and SOC content was analysed in association with bacterial concentrations. ResultsThe results showed that the effects of farming activities on SOC deposition and soil bacterial communities differed among the soil subtypes. Carbohydrate organic carbon (COC) concentrations were significantly higher in the gleying subtype than in the typical and meadow subtypes. RB41, Candidatus-Omnitrophus and Ahniella were positively correlated with total organic carbon (TOC) in gleying shallow albic black soil. Corn soybean rotation have a positive effect on the deposition of soil carbon sinks in terrestrial ecosystems.DiscussionThe results of the present study provide a reference for rational land use to maintain sustainable development and also for the carbon cycle of the earth.