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Abstract Diabetic cardiomyopathy (DCM) represents a unique myocardial disease originating from diabetic metabolic disturbances that is characterized by myocardial fibrosis and diastolic dysfunction. While recent research regarding the pathogenesis and treatment of DCM has focused primarily on myocardial cells, nonmyocardial cells—including fibroblasts, vascular smooth muscle cells (VSMCs), endothelial cells (ECs), and immune cells—also contribute significantly to the pathogenesis of DCM. Among various therapeutic targets, fibroblast growth factor 21 (FGF21) has been identified as a promising agent because of its cardioprotective effects that extend to nonmyocardial cells. In this review, we aim to elucidate the role of nonmyocardial cells in DCM and underscore the potential of FGF21 as a therapeutic strategy for these cells.

Abstract The oxygen evolution reaction plays a vital role in modern energy conversion and storage, and developing cost-efficient oxygen evolution reaction catalysts with industrially relevant activity and durability is highly desired but still challenging. Here, we report an efficient and durable FeNi hydroxide organic framework nanosheet array catalyst that competently affords long-term oxygen evolution reaction at industrial-grade current densities in alkaline electrolyte. The desirable high-intensity performance is attributed to three aspects as follows. First, two-dimensional nanosheet porous arrays with maximum specific surface facilitate mass/charge transfer to accommodate high-current-density catalysis. Second, in situ derived FeNi hydroxide motifs offer bimetallic synergistic catalysis centers with high intrinsic activity. Third, carboxyl ligands alleviate metal oxidation favorable for charge tolerability against peroxidation dissolution under strong polarization. As a result, this catalyst requires an overpotential of only 280 mV to deliver high current density up to 1 A/cm2 with long durability over 1000 h. Moreover, an alkaline water electrolyzer with this catalyst alternative demonstrates an increased economic effectiveness compared to commercial levels at present.

Background: Food allergy (FA) is a common disorder in children and affects the health of children worldwide. The gut microbiota is closely related to the occurrence and development of FA. Fecal microbiota transplantation (FMT) is a way to treat diseases by reconstituting the microbiota; however, the role and mechanisms of FA have not been validated. Methods: In this study, we established an ovalbumin (OVA)-induced juvenile mouse model and used 16S RNA sequencing, pathological histological staining, molecular biology, and flow-through techniques to evaluate the protective effects of FMT treatment on FA and to explore the mechanisms. Results: OVA-induced dysregulation of the gut microbiota led to impaired intestinal function and immune dysregulation in FA mice. FMT treatment improved the structure, diversity, and composition of the gut microbiota and restored it to a near-donor state. FMT treatment reduced levels of Th2-associated inflammatory factors, decreased intestinal tissue inflammation, and reduced IgE production. In addition, FMT reduced the number of mast cells and eosinophils and suppressed OVA-specific antibodies. Further mechanistic studies revealed that FMT treatment induced immune tolerance by inducing the expression of CD103+DCs and programmed cell death ligand 1 (PD-L1) in mesenteric lymph nodes and promoting the production of Treg through the programmed cell death protein 1 (PD-1)/PD-L1 pathway. Meanwhile, Th2 cytokines, OVA-specific antibodies, and PD-1/PD-L1 showed a significant correlation with the gut microbiota. Conclusions: FMT could regulate the gut microbiota and Th1/Th2 immune balance and might inhibit FA through the PD-1/PD-L1 pathway, which would provide a new idea for the treatment of FA.

Abstract Objective This study sought to determine the incidence and risk factors of blood transfusion among patients undergoing total knee revision (TKR) using a nationwide database. Methods A retrospective data analysis was conducted based on the Nationwide Inpatient Sample (NIS), enrolling patients who underwent TKR from 2010 to 2019 with complete information. The patients were divided into two groups based on whether they received blood transfusion or not. The demographic characteristics (race, sex, and age), length of stay (LOS), total charge of hospitalization, hospital characteristics (admission type, insurance type, bed size, teaching status, location, and region of hospital), hospital mortality, comorbidities, and perioperative complications were analyzed. Finally, we conducted univariate and multivariate logistic regression to identify factors that were associated with TKR patients to require blood transfusion. Results The NIS database included 115,072 patients who underwent TKR. Among them, 14,899 patients received blood transfusion, and the incidence of blood transfusion was 13.0%. There was a dramatic decrease in the incidence over the years from 2010 to 2019, dropping from 20.4 to 6.5%. TKR patients requiring transfusions had experienced longer LOS, incurred higher total medical expenses, utilized Medicare more frequently, and had increased in-hospital mortality rates (all P

Global warming, primarily driven by emissions of greenhouse gases, particularly carbon dioxide, has emerged as a widely acknowledged concern. Hence, the development of novel carbon capture materials with high capacity and low cost holds substantial practical significance. This study investigates the influence of aging time, pH, and copper salt on the synthesis of Cu2(OH)PO4 and its CO2 adsorption performance. Cu2(OH)PO4 adsorbents were synthesized under various aging time, pH, and copper salt conditions, and their morphology and surface functional groups were characterized. Experimental findings indicate that excessively prolonged or abbreviated aging times adversely affect the formation of distinct, discernible lamellar structures within the material. Different pH levels influence the stacking configuration of the lamellae, impacting both their thickness and size. Under acidic conditions, lamellae exhibit dispersed three-dimensional stacking; under neutral conditions, lamellae notably enlarge and demonstrate two-dimensional stacking; at pH 9, lamellae stack three-dimensionally and aggregate. Additionally, the CO2 adsorption performance of Cu2(OH)PO4 adsorbents synthesized with different copper salts varies. By examining the relationship between surface functional group content and CO2 adsorption capacity, we deduced the mechanism by which various synthesis conditions affect both surface functional groups and adsorption capacity. Cu2(OH)PO4 synthesized with a 24 h aging time, pH 7, and CuSO4 as the copper salt exhibits the highest CO2 adsorption capacity, achieving 1.006 mmol/g.

BackgroundThe association of Remnant cholesterol (RC) with renal function and its progression in patients with Type 2 diabetes (T2DM) related chronic kidney disease (CKD) remains unclear.Methods8,678 patients with T2DM-related CKD were included in cross-sectional analysis, and 6,165 patients were enrolled in longitudinal analysis and followed up for a median of 36.0 months. The outcomes were renal composite endpoint event and rapid progression of renal function.Results24.54% developed a renal composite endpoint event, and 27.64% rapid progression of renal function. RC levels above 0.56 mmol/L independently increased the risk of both renal composite endpoint (HR, 1.17; 95% CIs, 1.03-1.33) and rapid progression of renal function (OR, 1.17; 95% CIs, 1.01- 1.37). TG levels above 1.65 mmol/L only increased the risk of renal composite endpoint (HR, 1.16; 95% CIs, 1.02 -1.32). TC levels above 5.21 mmol/L increased the risk of renal composite endpoint (HR, 1.14; 95% CIs, 1.01-1.29) only in patients with proteinuria≥0.5g/d. Conversely, HDL-C levels below 1.20 mmol/L or above 1.84 mmol/L increased the risk of rapid progression of renal function (OR, 0.88; 95% CIs, 0.70 -0.99) in patients with proteinuria

ObjectiveTo explore the knowledge, attitude, and practice (KAP) toward interstitial lung disease (ILD) among patients and analyze the factors affecting KAP.MethodsThis cross-sectional study enrolled patients with ILD treated at the Respiratory Department of Shanghai Pulmonary Hospital between January 2023 and June 2023. A self-administered questionnaire was developed to evaluate their KAP toward ILD through convenient sampling. Multivariate regression analysis and structural equation model (SEM) were used to analyze the factors influencing KAP and their interactions.ResultsA total of 397 patients were enrolled, with 61.71% male. The mean KAP scores were 4.60 ± 3.10 (possible range: 0–12), 16.97 ± 2.16 (possible range: 5–25), and 32.60 ± 7.16 (possible range: 9–45), respectively. Multivariate logistic regression analysis showed that junior high school [OR = 2.003, 95%CI: 1.056–3.798, p = 0.033], high school and above [OR = 2.629, 95%CI: 1.315–5.258, p = 0.006], and duration of disease ≥5 years [OR = 1.857, 95%CI: 1.132–3.046, p = 0.014] were independently associated with adequate knowledge. The knowledge [OR = 1.108, 95%CI: 1.032–1.189, p = 0.005] and duration of disease ≥5 years [OR = 0.525, 95%CI: 0.317–0.869, p = 0.012] were independently associated with a positive attitude. The knowledge [OR = 1.116, 95%CI: 1.036–1.202, p = 0.004], attitude [OR = 1.180, 95%CI: 1.061–1.312, p = 0.002], and the age of >70 years [OR = 0.447, 95%CI: 0.245–0.817, p = 0.009] were independently associated with the proactive practice. SEM showed that patients’ knowledge of ILD directly affected their attitude (β = 0.842, p

This study introduces a novel algorithm for the detection of three-cell coupling faults, March ML3C, along with a simulator, TCFS. The March ML3C algorithm targets the detection of single-port, static, and unlinked three-cell coupling faults within bit-oriented random access memory (RAM). March ML3C improves the coverage of three-cell coupling faults to 100%, with a complexity of only 58n (n is the number of memory cells), which is lower than that of most similar algorithms. Furthermore, to solve the problem of none of the existing tools supporting the simulation of three-cell coupling faults, this study designs and implements TCFS, which can quickly simulate all March-type algorithms and calculate the coverages for three-cell coupling faults, thus achieving the purpose of software simulation of the algorithms. The simulation results of March ML3C and other similar algorithms using TCFS are also presented in this paper.

Type 2 diabetes mellitus is a chronic metabolic disease characterized by insulin resistance, with high morbidity and mortality worldwide. Due to the tightly intertwined connection between the insulin resistance pathway and the PI3K/AKT signaling pathway, regulating the PI3K/AKT pathway and its associated targets is essential for hypoglycemia and the prevention of type 2 diabetes mellitus. In recent years, metabolites isolated from traditional Chinese medicine has received more attention and acceptance for its superior bioactivity, high safety, and fewer side effects. Meanwhile, numerous in vivo and in vitro studies have revealed that the metabolites present in traditional Chinese medicine possess better bioactivities in regulating the balance of glucose metabolism, ameliorating insulin resistance, and preventing type 2 diabetes mellitus via the PI3K/AKT signaling pathway. In this article, we reviewed the literature related to the metabolites of traditional Chinese medicine improving IR and possessing therapeutic potential for type 2 diabetes mellitus by targeting the PI3K/AKT signaling pathway, focusing on the hypoglycemic mechanism of the metabolites of traditional Chinese medicine in type 2 diabetes mellitus and elaborating on the significant role of the PI3K/AKT signaling pathway in type 2 diabetes mellitus. In order to provide reference for clinical prevention and treatment of type 2 diabetes mellitus.

BackgroundInterstitial lung disease (ILD) is a common complication of idiopathic inflammatory myopathy (IIM), which is one of the connective tissue diseases (CTD). It can lead to poor prognosis and increased mortality. However, the distribution and role of the lower respiratory tract (LRT) microbiome in patients with IIM-ILD remains unclear. This study aimed to investigate the microbial diversity and community differences in bronchoalveolar lavage fluid (BALF) in patients with IIM-ILD.MethodsFrom 28 June 2021 to 26 December 2023, 51 individual BALF samples were enrolled, consisting of 20 patients with IIM-ILD, 16 patients with other CTD-ILD (including 8 patients with SLE and 8 with RA) and 15 patients with CAP. The structure and function of microbiota in BALF were identified by metagenomic next-generation sequencing (mNGS).ResultsThe community evenness of LRT microbiota within the IIM-ILD group was marginally lower compared to the other CTD-ILD and CAP groups. Nonetheless, there were no noticeable differences. The species community structure was similar among the three groups, based on the Bray-Curtis distance between the samples. At the level of genus, the IIM-ILD group displayed a considerably higher abundance of Pseudomonas and Corynebacterium in comparison to the CAP group (p

Abstract Background The aim of this study was to evaluate the role of Xpert MTB/RIF assay in the detection of Mycobacterium tuberculosis for differentiating tuberculosis intrathoracic lymphadenopathy from sarcoidosis intrathoracic lymphadenopathy. Methods The patients who were suspected to having sarcoidosis or tuberculosis intrathoracic lymphadenopathy at the Shanghai Pulmonary Hospital between October 1, 2020 and June 30, 2021 were retrospectively evaluated in this study. All patients underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and Xpert analysis. Differences in clinical and radiological features were recorded. The diagnostic performances of EBUS-TBNA Xpert, acid-fast bacilli, culture, and peripheral blood QuantiFERON-TB Gold (QFT) for differentiating sarcoidosis from tuberculosis intrathoracic lymphadenopathy were analyzed. Results A total of 119 patients were included in this analysis. Of those, 83 patients were finally diagnosed with sarcoidosis (N = 50) and tuberculosis (N = 33) intrathoracic lymphadenopathy. Young individuals were more likely to have tuberculosis versus sarcoidosis intrathoracic lymphadenopathy (P = 0.006). Markers of inflammation, including fever, leukocytes, and serum ferritin levels, were significantly higher in tuberculosis versus sarcoidosis intrathoracic lymphadenopathy (P

Achieving measurable and unmeasurable parameter prediction is the key process in model-based control, for which an accurate onboard model is the most important part. However, neither nonlinear models like component level models or LPV models, nor linear models like state–space models can fully meet the requirements. Hence, an original ENN-LPV linearization strategy is proposed to achieve the online modelling of the state–space model. A special network structure that has the same format as the state–space model’s calculation was applied to establish the state–space model. Importantly, the network’s modelling ability was improved through applying multiple activation functions in the single hidden layer and an experience pool that records data of past sampling instants, which strengthens the ability to capture the engine’s strongly nonlinear dynamics. Furthermore, an adaptive model, consisting of a component-level model with adaptive factors, a linear Kalman filter, a predictive model, an experience pool, and two ENN-LPV networks, was developed using the proposed linearization strategy as the core process to continuously update the Kalman filter and the predictive model. Simulations showed that the state space model built using the ENN-LPV linearization strategy had a better model identification ability in comparison with the model built using the OSELM-LPV linearization strategy, and the maximum output error between the ENN-LPV model and the simulated engine was 0.1774%. In addition, based on the ENN-LPV linearization strategy, the adaptive model was able to make accurate predictions of unmeasurable performance parameters such as thrust and high-pressure turbine inlet temperature, with a maximum prediction error within 0.5%. Thus, the effectiveness and the advantages of the proposed method are demonstrated.

A 50-year-old male was admitted to the hospital with a 3-year history of dyspnea and cough. Chest high-resolution computed tomography (HRCT) did not show typical features of pulmonary alveolar proteinosis (PAP), but rather atypical features of interstitial lung disease with fibrosis. The diagnosis of PAP was confirmed through transbronchial lung cryobiopsy. Whole exome sequencing identified a rare homozygous frame shift mutation (c.304_305del:p.S102Ffs*5) in exon 3 of the CSF2RB gene in our patient. This case represents a rare occurrence of fibrotic interstitial lung disease in PAP.

In this paper, a series of leaf-like piezoelectric elements are proposed by using laminated structure of polypropylene (PP) and Polyvinylidene fluoride (PVDF) film to collect wind energy through vortex induced vibration. Topology optimization based on solid isotropic material with penalization method is employed in seeking optimal configurations of the elements. The PP and PVDF layer were set as optimization variables respectively to obtain topological layouts that would be equivalent to maximizes the overall strain energy as the objective function. Four simple shapes of piezoelectric elements with different topological configurations are manufactured and tested in wind tunnel to estimate the energy harvesting capabilities. The experimental results show that the reinforcement optimized long trapezoid model has the highest open-circuit output voltage of 4.01 V and output power of 6.125 μW at the wind speed of 12 m/s. For the optimization of piezoelectric materials, the short trapezoid model can reach the open circuit output voltage of 2.061 V and output power of 1.158 μW. It indicated that the topology optimization can indeed improve the energy harvesting efficiency of the piezoelectric element. However, this method is not universal at present, which means that the external shape of the model will influence the performance of the relevant optimization results.

Atopic dermatitis is one of the most common dermatologic problems, especially in children. Given the ability of symbiotic microorganisms in modulating the immune system, probiotics administration has been studied in previous research in the management of atopic dermatitis. However, there are conflicting results between studies. In this study, we aimed to assess the effectiveness of mixed probiotics as a treatment option for atopic dermatitis induced by ovalbumin. BALB/c juvenile mice were classified and divided into the ovalbumin group, mixed probiotic group (ovalbumin + LK), and control group. Except for the control group, all mice were sensitized with ovalbumin to establish a model of atopic dermatitis. The mixed probiotics were given by gavage for 14 days. Mice body weight, skin lesions, skin inflammation, ovalbumin-specific Ig, the number of Treg and CD103+DC, and the expression level of PD-1/PD-L1 were examined. The results showed that mixed probiotics can improve body weight and alleviate skin symptoms. Mixed probiotics reduced serum Th2 inflammatory factors, eosinophils, mast cell degranulation, mast cell count, and the expression of ovalbumin-specific immunoglobulin E/G1 and increased the anti-inflammatory cytokine interleukin-10, Treg cells, CD103+DC cells, and the expression level of PD-1/PD-L1. These findings suggest that mixed probiotics could be a viable treatment option for atopic dermatitis and provide insight into the underlying mechanisms involved.

Obesity and asthma are global public health problems. Obesity-related asthma is a special phenotype of asthma with a complex pathogenesis. Its occurrence and development are related to mechanical compression, inflammatory response, metabolic regulation, gene regulation, and vitamin D deficiency. Different treatment strategies used in the process of weight loss have a beneficial impact on asthma. Alterations in gut and airway microbial community structure and their metabolites may also contribute to obesity-related asthma. The role of the Th17/Treg balance in the gut microbiota regulating the immune responses and host metabolism is important. Therapeutic measures associated with the gut microbiota variety may contribute to improving chronic inflammation associated with obesity by regulating the Th17/Treg balance. An early reduction in microbial diversity can predict the development of asthma and lead to allergy through an imbalance of Th2/Th1 responses. Short-chain fatty acids (SCFAs) regulate the differentiation and activation of regulatory T cells, thereby regulating immune homeostasis in the lung to suppress allergic inflammation and weight gain. Therefore, clarifying the microbial mechanism of obesity-related asthma has important guiding significance for clinical treatment. In this review, we used the following terms: “asthma and obesity” and “obesity-related asthma”, combining “phenotype”, “airway inflammation” and “lung function”, and reviewed the characteristics and pathogenesis of obesity-related asthma, the relationship between the gut and airway microbiota and obesity-related asthma, and the current treatment measures for the disease.

Abstract Cockroach control in Beijing's residential households is supported by the local government previously but now it is paid by the residents themselves. Under the new residential household cockroach control strategy, the evolutionary game theory is applied in this study to construct an evolutionary game model for the choice behaviour of both PCO (Pest Control Operation) enterprises and the local governments under government regulation. The evolutionary stabilization strategies under different situations were suggested and the key factors for the evolutionary game behaviour were analyzed through Matlab simulation. It was found that the benefits and costs of the local governments' promotion for the cockroach eradication activities, the incremental benefits of PCO enterprises through government publicity and the subsidies for the activities, and the additional costs of PCO enterprises to participate in cockroach eradication activities are the key factors. The incremental benefits from the publicity of the activities and the government subsidies can be used to incent the PCO enterprises’ activities, which may be failure without the government promotion. This study confirms the decisive role of the strategic choices of PCO enterprises and the government for effective cockroach eradication activities. Therefore, before the campaign is launched, it is necessary to take into account the economic benefits of PCO enterprises and the public interests of the governments so that the game system can evolve out of the "ineffective" and undesirable "locked" state and evolve towards the ideal state, while would be a basis for other anti- pest efforts.

Mode transition is an important dynamic process of an adaptive cycle engine (ACE). In order to obtain a smooth mode transition process, the closed-loop controller is designed based on the strong robust augmented linear quadric regulator (ALQR) method, and with the objective of minimizing the thrust fluctuation in the process of mode transition, an open-loop geometrical mechanism control schedules optimization method based on Bézier curves is proposed, so that the closed-loop control and the open-loop control can work in coordination. The simulation results at the subsonic cruise operating point and supersonic cruise operating point show that based on the optimized open-loop geometrical mechanism control schedules and the designed closed-loop ALQR control system, the ACE achieves fast and smooth geometrical mechanisms and engine output transition during the mode transition process with a maximum thrust fluctuation of 2.58%, which is much smaller than that of the traditional linear variation geometric mechanisms with a maximum 4.64% thrust fluctuation, which verifies the effectiveness of the proposed control method.

Engineered gut microbiota represents a new frontier in medicine, in part serving as a vehicle for the delivery of therapeutic biologics to treat a range of host conditions. The gut microbiota plays a significant role in blood pressure regulation; thus, manipulation of gut microbiota is a promising avenue for hypertension treatment. In this study, we tested the potential of Lactobacillus paracasei, genetically engineered to produce and deliver human angiotensin converting enzyme 2 (Lacto-hACE2), to regulate blood pressure in a rat model of hypertension with genetic ablation of endogenous Ace2 (Ace2-/- and Ace2-/y). Our findings reveal a sex-specific reduction in blood pressure in female (Ace2-/-) but not male (Ace2-/y) rats following colonization with the Lacto-hACE2. This beneficial effect of lowering blood pressure was aligned with a specific reduction in colonic angiotensin II, but not renal angiotensin II, suggesting the importance of colonic Ace2 in the regulation of blood pressure. We conclude that this approach of targeting the colon with engineered bacteria for delivery of ACE2 represents a promising new paradigm in the development of antihypertensive therapeutics.

Nucleosides and their analogs are pharmacologically important molecules. Here, the authors report an additive-controlled stereodivergent iodocyclization method for the selective synthesis of α- or β-nucleosides.

Abstract Triglyceride–glucose (TyG) index has been proposed to be a simple, economical, and reliable marker of insulin resistance. We aimed to investigate whether TyG is an independent predictor of hyperuricemia in diabetic kidney disease (DKD) populations by conducting a cross-sectional and longitudinal study. A total of 6,471 patients were enrolled in cross-sectional analysis, and 3,634 patients without hyperuricemia at the baseline were included in longitudinal analysis and were followed up for a median of 23.0 months. Hyperuricemia was categorized as a serum uric acid level ≥ 420 umol/L (7 mg/dL). In this study, 19.58% of participants had hyperuricemia. In the cross-sectional analysis, multivariate logistics regression analysis showed that the ORs (95% CI) for hyperuricemia in the second, third, and fourth TyG quartiles were 1.40 (95% CI 0.73–2.65), 1.69 (95% CI 0.90–3.18), and 4.53 (95% CI 2.39–8.57), respectively, compared with the first quartile. Longitudinally, the Kaplan–Meier survival analysis showed that higher TyG levels predicted higher incidence of hyperuricemia. Multivariate Cox regression model revealed that the hazard ratios for hyperuricemia in the upper quartiles of the TyG index were 1.69 (95% CI 0.97–2.93), 2.23 (95% CI 1.33–3.75), and 2.50 (95% CI 1.46–4.27), respectively, compared with the first quartile. Moreover, the subgroup analyses revealed that the relationship between TyG levels and hyperuricemia was robust in DKD patients. Our findings indicate a significant independent correlation between the TyG index and the risk of hyperuricemia in DKD patients.

Background: Patients with schizophrenia (SCH) have deficits in source monitoring (SM), speech-in-noise recognition (SR), and auditory prosody recognition. This study aimed to test the covariation between SM and SR alteration induced by negative prosodies and their association with psychiatric symptoms in SCH. Methods: Fifty-four SCH patients and 59 healthy controls (HCs) underwent a speech SM task, an SR task, and the assessment of positive and negative syndrome scale (PANSS). We used the multivariate analyses of partial least squares (PLS) regression to explore the associations among SM (external/internal/new attribution error [AE] and response bias [RB]), SR alteration/release induced by four negative-emotion (sad, angry, fear, and disgust) prosodies of target speech, and psychiatric symptoms. Results: In SCH, but not HCs, a profile (linear combination) of SM (especially the external-source RB) was positively associated with a profile of SR reductions (induced especially by the angry prosody). Moreover, two SR reduction profiles (especially in the anger and sadness conditions) were related to two profiles of psychiatric symptoms (negative symptoms, lack of insight, and emotional disturbances). The two PLS components explained 50.4% of the total variances of the release-symptom association. Conclusion: Compared to HCs, SCH is more likely to perceive the external-source speech as internal/new source speech. The SM-related SR reduction induced by the angry prosody was mainly associated with negative symptoms. These findings help understand the psychopathology of SCH and may provide a potential direction to improve negative symptoms via minimizing emotional SR reduction in schizophrenia.

Infectious diseases caused by waterborne viruses have attracted researchers’ great attention. To ensure a safe water environment, it is important to advance water treatment and disinfection technology. Photocatalytic technology offers an efficient and practical approach for achieving this goal. This paper reviews the latest studies on visible-light composite catalysts for bacteriophage inactivation, with a main focus on three distinct categories: modified UV materials, direct visible-light materials and carbon-based materials. This review gives an insight into the progress in photocatalytic material development and offers a promising solution for bacteriophage inactivation.

IntroductionTo retrospectively investigate the clinical characteristics and risk factors of cardiac surgery associated-acute kidney injury (CS-AKI) progressed to chronic kidney disease (CKD) in adults and to evaluate the performance of clinical risk factor model for predicting CS-AKI to CKD.MethodsIn this retrospective, observational cohort study, we included patients who were hospitalized for CS-AKI without a prior CKD [estimated glomerular filtration rate (eGFR)

To design an efficient, low-cost, and easily recoverable oxygen evolution reaction (OER) electrocatalyst, this work focuses on two-dimensional vdW ferromagnetic Cr2Ge2Te6. Based on the density functional theory (DFT) calculations, the adsorption of oxygen-containing intermediates during the OER process will gradually decrease the bandgap of Cr2Ge2Te6, thus increasing its electrical conductivity. More importantly, we propose a two active sites synergistic mechanism through a hydroxyl-boosted pathway. With the combined action of the two active sites, the binding between the oxygen-containing intermediates and the surfaces is enhanced. The enhancement comes from dramatic charge-transferinduced Te-3p and O-2p orbital enhancement. As a result, the overpotential of the OER reduces from 1.25 to 0.59 V. We hope these findings will pave the way for more experimental and theoretical research to explore the potential applications of two-dimensional vdW ferromagnetic materials in energy storage and conversion. [ABSTRACT FROM AUTHOR]

The non-treated wastewater from residential areas contains high concentrations of ammonium-nitrogen (NH4+-N). When discharged into the drainage water system, it deteriorates the water quality in urban rivers. This study used two types of materials to form eco-bags, using activated zeolite bead (AZB) and alkaline pretreated straw (APS), in geotextile bags for easy recovery and reuse. The AZB and APS provided the breeding habitat for the microorganisms that promoted biofilm formation on their surface. The immobilization of engineered denitrification microorganisms facilitated the removal of NH4+-N from the urban river water. The NH4+-N removal in the AZB and APS bags were in the range of 64–73%, and 56–61%, respectively, while the chemical oxygen demand (COD) removal in the AZB and APS bags ranged from 33–36%, and 30–31%, respectively. In addition, as evident from DNA and microbial community analysis, the microorganisms demonstrated a greater proclivity to grow and proliferate on the surface of AZB and APS and improved the water quality of urban rivers. HIGHLIGHTS Activated zeolite bead (AZB) and alkaline pretreated straw (APS) were used for the immobilization of microorganism.; Eco-bags prepared using AZB and APS in geotextile bags facilitated easy recovery and reuse.; Engineered denitrification bacteria were used to improve the NH4+-N removal capacity.; Microorganism diversity was investigated to substantiate the water quality improvement ability of AZB and APS.;

In this study, micron-sized monodisperse SiO2 microspheres were used as sacrificial templates, and chitosan/polylactic acid (CTS/PLA) bio-microcapsules were produced using the layer-by-layer (LBL) assembly method. Microcapsules isolate bacteria from their surroundings, forming a separate microenvironment and greatly improving microorganisms’ ability to adapt to adverse environmental conditions. Morphology observation indicated that the pie-shaped bio-microcapsules with a certain thickness could be successfully prepared through LBL assembly method. Surface analysis showed that the LBL bio-microcapsules (LBMs) had large fractions of mesoporous. The biodegradation experiments of toluene and the determination of toluene degrading enzyme activity were also carried out under external adverse environmental conditions (i.e., unsuitable initial concentrations of toluene, pH, temperature, and salinity). The results showed that the removal rate of toluene by LBMs can basically reach more than 90% in 2 days under adverse environmental conditions, which is significantly higher than that of free bacteria. In particular, the removal rate of toluene by LBMs can reach four times that of free bacteria at pH 3, which indicates that LBMs maintain a high level of operational stability for toluene degradation. Flow cytometry analysis showed that LBL microcapsules could effectively reduce the death rate of the bacteria. The results of the enzyme activity assay showed that the enzyme activity was significantly stronger in the LBMs system than in the free bacteria system under the same unfavorable external environmental conditions. In conclusion, the LBMs were more adaptable to the uncertain external environment, which provided a feasible bioremediation strategy for the treatment of organic contaminants in actual groundwater.

Abstract The fluorescent functional material prepared by combining 16‐alkyl (ferrocenyl‐methyl) ammonium bromide (Fc16AB) and dye molecule Congo red (CR) via ionic self‐assembly strategy exhibits double stimuli‐responsive behavior triggered by redox and pH value. Both the fabrication and switching mechanism of aggregates are proposed according to the cooperative binding of noncovalent interactions, including π‐π stacking, electrostatic interactions, charge transfer interaction, and amphiphilic hydrophobic association. The optimal geometry and energy transfer between monomers and aggregate are studied by means of quantum chemistry calculation and wavefunction analysis, which provides a deep and theoretical understanding for formation mechanism of ionic self‐assemblies. Moreover, the fluorescent switching behavior of assemblies upon pH was studied in detail, which opens the new way for the construction of organic light‐emitting diode (OLED).

The photocatalytic performance of g-C3N4 materials prepared by different precursors for Rhodamine B (RhB) dye degradation was studied. Their crystal structure, morphologies, chemical compositions, functional groups, and optical and photoelectrochemical performances of prepared g-C3N4 were analysed and characterised using X-ray diffraction, scanning electron microscopy, X-ray photoelectron spectroscopy, Fourier transform infrared spectroscopy, UV-Vis diffuse reflectance spectra, photoluminescence, and electrochemical workstations. The degradation of RhB dye in the presence of visible light and sunlight was utilised to assess the photocatalytic efficiency of the g-C3N4 photocatalyst. The results of the photocatalytic comparison experiment showed that the g-C3N4 photocatalyst prepared with urea as a precursor (UCN) has the best photocatalytic performance, achieving 99.61% removal in 40 min. In addition, the photocatalyst UCN can completely degrade 10 mg/L RhB dye within 20 min under sunlight, demonstrating its potential for practical applications under natural sunlight conditions. After four cycles, the degradation rate remains above 99%, demonstrating excellent stability and reusability. Due to its lower average pore number, larger BET-specific surface area and volume of pores, UCN provides more activity spaces and facilitates the adsorption of pollutant molecules, thereby enhancing photocatalytic activity. It was established through the active substance trapping studies that the main reactive species involved in the photocatalytic degradation process of RhB dye is •O2−. This study showed that g-C3N4 synthesised with urea as the precursor has better photocatalytic performance in the degradation of RhB dye.

Ovalbumin (OVA) is one of major allergens of hen egg white with excellent nutritional and processing properties. Previous research exhibits that pulsed electric field (PEF) treatment could partially unfold OVA. This may contribute to the improvement of OVA phosphorylation. In this study, the effect of PEF pretreatment combined with phosphorylation on the structure and immunoglobulin (Ig) G/IgE-binding ability of OVA was investigated. The structural changes were measured by circular dichroism (CD), ultraviolet absorption, and fluorescence spectroscopy. The IgG- and IgE-binding abilities were determined by inhibition enzyme-linked immunosorbent assay (ELISA) using rabbit polyclonal antibodies and egg-allergy patients’ sera, respectively. The results showed that PEF pretreatment combined with phosphorylation markedly reduced the IgG- and IgE-binding abilities. It was attributed to the changes in secondary and tertiary structure, which was reflected in the increase of ultraviolet (UV) absorbance, α-helix content, and the increase the molecular weight. Moreover, it suggested PEF pretreatment improved the phosphorylation of OVA and enhanced the reduction of IgG/IgE-binding capacity of phosphorylated OVA. Therefore, PEF pretreatment combined with phosphorylation has the potential for developing a method for OVA desensitization.

The concept of time in Laozi’s philosophy is more complicated than it appears. Its complexity stems from the fact that there are two distinct concepts of time: the temporality of empirical things, which is constructed as a finitely continuous temporal succession that is perceptible, and the temporality of the shapeless dao 道, which is conceived of as a transcendental and infinitely continuous temporal succession that is imperceptible. Referring to the excavated Laozi texts, we find that most of the heng 恆 characters were replaced by the character chang 常 in the transmitted versions of the text. In addition, inspired by the excavated text Hengxian 恆先, the concept of heng in Spring and Autumn period philosophy has become an important subject of study. These two factors collectively lay a thought-provoking foundation for understanding Laozi’s ideas about the continuous, large-scale temporal eternality of dao. This article argues that both the daoheng 道恆 and hengdao 恆道 are used in the Laozi to describe the temporality of dao but that the latter has long been forgotten and overlooked by modern scholars. In the compound word hengdao, the character heng is a noun that acts as an attribute; whereas in the compound word hengdao, the character heng is a noun that acts as the predicate. This article argues that Laozi introduced the theory of “dao is eternal” (dao yongheng 道永恆) as evidenced by the use of heng and several time concepts such as “it seems to have even preceded the first ancestors” (xiangdi zhi xian 象帝之先), “the spirit of the valley never dies” (gushen busi谷神不死), “he who lives out his days has had a long life” (si er buwang 死而不亡), “the way … by which one lives to see many days” (changsheng jiushi 長生久視). The temporality of material things originates from the temporality of dao. Moreover, things can possess and expand their own time if they act in accordance with the universal law of dao.

ABSTRACT: Objectives: There was an outbreak of pediatric multisystem inflammation syndrome (PMIS) was observed in multiple countries recently, and this syndrome was suspected to be associated with SARS-CoV-2 infection. At present, there is still no standardized diagnostic criteria and treatment regimen for PMIS, while the etiology and pathogenesis still remain unclear. Methods: We performed a systematic review on PubMed and Embase from the time of inception to June 24th 2020 in order to find relevant cases. Results: There are seven studies included, and 80% of patients suffered persistent fever and 90% appeared gastrointestinal symptoms. IgG antibody against SARS-CoV-2 was positive on 81% of patients, while 37% of the patients were nucleic acid positive. C-reactive protein, IL-6 and PCT were elevated and intravenous immunoglobulin was a routine treatment for PMIS. There were more than half of patients required inotropic supports and mechanical ventilation were applied to 33% of patients. The median length of hospital stay was 10.66 days and 74% had admitted to accept intensive care. Conclusions: Our study documented three common types of PMIS clinical presentation: persistent fever and gastrointestinal symptoms, shocked with heart dysfunction and Kawasaki disease-like syndrome. PMIS patients proved with a marked inflammatory state were possibly associated with SARS-CoV-2 infection.

In sensor-cloud applications, a huge amount of time series are generated. Efficient similarity search approaches are necessary for processing these sensor time series data. Concerning of time series search, whole matching similarity search and subsequence similarity search are two main research focuses. In this paper, we study the whole matching similarity search problem. We propose EPLA-DSTree, which extends piecewise linear approximation on a dynamic segmentation tree index for whole matching on time series. Compared with DSTree, EPLA-DSTree improves data locality of nodes by a better time series representation. EPLA-DSTree has a tighter lower bound for nodes which leads to a better query performance. Experiments show that it has a less index building time and a better query performance. To meet the requirements of sensor-cloud applications, we present an parallel EPLA-DSTree on MapReduce, which is a popular cloud programming model.

Avian hepatitis E virus (HEV) is a major pathogen associated with hepatitis splenomegaly syndrome in chickens and has been reported in China. Phylogenetic trees, Bayesian analysis, positive selection sites screening, and recombination analysis were first used to comprehend the global avian HEVs. All the avian HEV strains, including a new isolate named GX20A1 got from Donglan Black chicken in Guangxi, China, were uniformly defined into four genotypes, and GX20A1, belongs to Genotype 3. The topology of the phylogenetic tree based on the sequences of a 339-bp fragment (coding the helicase) in open reading frame (ORF) 1 of the avian HEVs was consistent with that based on the full-genome sequence. The estimated evolution rate of avian HEVs is 2.73 × 10−3 substitution/site/year (95% confidence interval (CI): 8.01 × 10−4−4.91 × 10−3), and the estimated genetic diversity of the strains experienced a declining phase from 2010 to 2017 and stabilized after 2017. It was further found that the Genotype 3 HEVs, including isolates from Hungary and China, likely originated in the 1930s. Notably, GX20A1 was gathered in the same branch with a Genotype 3 Guangdong isolate CaHEV-GDSZ01, which appeared earlier than GX20A1. In addition, two positive selection sites were identified, one for each of ORF1 and ORF2. Overall, the study revealed that avian HEVs were uniformly defined into four genotypes, and a 339-bp fragment in ORF1 of the viral genome could be used for the classification. A Genotype 3 isolate GX20A1 was first found from Donglan Black chicken and most likely originated from Guangdong.

Abstract Objective To observe the efficacy of recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF) for pulmonary alveolar proteinosis (PAP). Materials and methods A total of 55 patients with PAP were screened at Shanghai Pulmonary Hospital between May 2014 and May 2018. Among these, 42 were diagnosed with idiopathic PAP, 24 were included in this study, 20 were treated for 6 months, and 17 were followed up for additional 6 months. All patients received a subcutaneous injection of 75μg/d GM-CSF qd for 1 month. The therapeutic dose was adjusted according to the changes in the lesions of chest CT. If the lesions were absorbed, subcutaneous injections of 75μg/d GM- CSF qd and 75μg/d GM-CSF qod were given for 2 and 3 months, otherwise, the dose was increased to 150μg/d GM-CSF qd and 150μg/d qod for 2 and 3 months, respectively. All cases were treated once a day in the first 3 months and once every other day in the last 3 months. The total course of treatment was 6 months. After withdrawal, the patients were followed up for another 6 months. The deadline of follow up was September 30, 2019. Results Twenty patients completed the treatment and efficacy evaluation. One patient was completely cured, 16 cases improved, three cases were noneffective. After 1-month evaluation, 12 patients received an increased dose (150μg) from the second month of treatment. Seventeen patients completed the 12-month follow-up, among which fourteen improved. CT showed the lesions were slightly increased in three cases. Economic burden was the following: RMB 7324–15,190 Yuan were required for the 6-month treatment course, which is significantly lower compared to other treatment methods. Conclusion Subcutaneous injection of rhGM-CSF at low dose (75μg-150μg /d) is effective treatment for patients with idiopathic PAP. Trial registration NCT01983657. Registered 16 April 2013.

In order to solve the problem of drying shrinkage of cement-based carbon fiber materials in the early stage of hardening, the author proposes the application of cement-based carbon fiber materials in the construction of building durability. The author uses a self-designed fast ring test method to test and study the drying shrinkage performance of cement-based carbon fiber materials in the early stage of hardening. The results showed that the addition of MP-I and MP-II fibers, which can significantly reduce shrinkage cracking in plastic concrete, has little effect on preventing the shrinkage and cracking of concrete in the early stage of hardening. Mixed with a certain amount of steel fiber, carbon fiber, MH-I, and MPH-I hardened anticrack fiber, all have a better effect on preventing early water loss and drying shrinkage of hardening. The MH-I and MPH-I hardening anticracking fibers have an economical and feasible dosage, and the early water loss shrinkage and crack reduction rates of concrete hardening are 71.2% and 79.0%, respectively. MH-I fibers have no anticracking effect in the plastic stage and are only suitable for shrinkage and crack prevention of concrete in the early stage of hardening, while MPH-I hardened anticrack fibers have a 100% crack-reducing effect in the plastic stage, it is an engineering fiber material that can simultaneously prevent the plasticity and early hardening of concrete from shrinkage and cracking. The application of MPH-I hardened anticrack fiber is of great significance to improve the quality of structural engineering.

Background: The exacerbation of non-cystic fibrosis bronchiectasis (NCFB) may lead to poor prognosis. The objective of this study was to retrospectively analyze the clinical efficacy and safety of endobronchial therapy with gentamicin and dexamethasone after airway clearance by bronchoscopy in the exacerbation of NCFB.Methods: We retrospectively reviewed 2,156 patients with NCFB between January 2015 and June 2016 and 367 consecutive patients with exacerbation of bronchiectasis who had complete data and underwent airway clearance (AC) by bronchoscopy. The final cohort included 181 cases of intratracheal instillation with gentamicin and dexamethasone after AC (a group with airway drugs named the drug group) and 186 cases of AC only (a group without airway drugs named the control group). The last follow-up was on June 30, 2017.Results: The total cough score and the total symptom score in the drug group were improved compared to those in the control group during 3 months after discharge (p < 0.001). Re-examination of chest HRCT within 4–6 months after discharge revealed that the improvements of peribronchial thickening, the extent of mucous plugging, and the Bhalla score were all significantly improved in the drug group. Moreover, the re-exacerbations in the drug group were significantly decreased within 1 year after discharge. Univariate analysis showed a highly significant prolongation of the time to first re-exacerbation in bronchiectasis due to treatment with airway drugs compared with that of the control group. Multivariate Cox regression analysis showed that the risk of first re-exacerbation in the drug group decreased by 29.7% compared with that of the control group.Conclusion: Endobronchial therapy with gentamicin and dexamethasone after AC by bronchoscopy is a safe and effective method for treating NCFB.

ABSTRACT: The reticuloendotheliosis virus (REV) and the Marek's disease virus (MDV) cause reticuloendotheliosis (RE) and Marek's disease (MD) in poultry, respectively. According to epidemiological results obtained in our laboratory from 2010 to 2017, the positive rates of REV and MDV co-infection remained at low levels. In the present study, during the period of October 2018 to July 2020, 4 clinical cases with high morbidity (5%-20%) and mortality (2%-10%), caused by the co-infection of REV and vv+ MDV-like strains, were diagnosed and analyzed by histopathological observation, cell cultures and detection with ELISA and IFA, and the PCR and by sequencing of the isolates’ genes. Sequencing and the sequence analysis on the complete genomes of the REV strains and the meq genes of the MDV strains were performed. The results, based on the complete genome, LTR, gag, pol, and env genes’ nucleotide sequences of the REV strains, showed that the REV isolates and 68.0 % (17/25) of the reference strains were in a same branch, and all had a high sequence similarity (>99.0%). The similarities between the four isolates and a vv+MDV strain GX18NNM4 were very high, up to 99.3-99.8%. Also, the amino acid residuals at locations 71, 77, 80, 115, 139, 176, and 217 were all the same as A, E, Y, A, A, R, and A, respectively, in the meq gene of the four MDV isolates. In addition, the substitutes at P176R and P217A interrupted the stretches of the proline-rich repeat PPPP, indicating that these strains belonged to the vv+ MDV-like category. Our findings indicated that the more recent and frequent reemergence of REV and the subsequent co-infection with vv+ MDV-like strain has become one of the causes of the clinical outbreaks of tumors and is undoubtedly a threat to the poultry industry in southern China.

Background: Patients with idiopathic pulmonary fibrosis (IPF) often have irritating persistent dry cough. Possible correlations between dry cough and laryngopharyngeal reflux (LPR) remain unclear.Methods: 44 patients with IPF and 30 healthy individuals underwent 24 h laryngopharyngeal pH monitoring. Ryan index score was calculated. Patients’ demographic and clinical data were collected.Results: 44 patients with IPF and 30 healthy individuals were included. The proportions of men and smokers were significantly higher in IPF group than control group (All p < 0.01). The average laryngopharyngeal pH value for 24 h was similar in the IPF (7.11 ± 0.08) group and control group (7.09 ± 0.06). According to the percentage duration of pH < 6.5, pH6.5–7.5, and pH > 7.5 in the overall measure duration, the patients were classified into three pH groups. In entire pH monitoring duration, the proportion of pH > 7.5 group in IPF patients was higher than control group; at upright position, the proportion of pH > 7.5 group in IPF patients was higher than control group; at supine position, the proportion of pH < 6.5 group in IPF patients was higher than control group (All p < 0.01). Seven patients had Ryan index score>9.41 at upright position. All patients had Ryan index score