Development of natural attapulgite derived ferromanganese spinel oxides as heterogeneous catalysts for persulfate activation of tetracycline degradation.

Ferromanganese spinel oxides (MnFe2O4, MFO) have been proven effective in activating persulfate for pollutants removal. However, their inherent high surface energy often leads to agglomeration, diminishing active sites and consequently restricting catalytic performance. In this study, using Al-MCM-41 (MCM) mesoporous molecular sieves derived from natural attapulgite as a support, the MFO/MCM composite was synthesized through dispersing MnFe2O4 nanoparticles on MCM carrier by a simple hydrothermal method, which can effectively activate persulfate (PS) to degrade Tetracycline (TC). The addition of Al-MCM-41 can effectively improve the specific surface area and adsorption performance of MnFe2O4, but also reduce the leaching amount of metal ions. The MFO/MCM composite exhibited superior catalytic reactivity towards PS and 84.3% removal efficiency and 64.7% mineralization efficiency of TC (20 mg/L) was achieved in 90 min under optimized conditions of 0.05 mg/L catalyst dosage, 5 mM PS concentration, room temperature and no adjustment of initial pH. The effects of various stoichiometric MFO/MCM ratio, catalyst dosage, PS concentration, initial pH value and co-existing ions on the catalytic performance were investigated in detail. Moreover, the possible reaction mechanism in MFO-MCM/PS system was proposed based on the results of quenching tests, electron paramagnetic resonance (EPR) and XPS analyses. Finally, major degradation intermediates of TC were detected by liquid chromatography mass spectrometry technologies (LC-MS) and four possible degradation pathways were proposed. This study enhances the design approach for developing highly efficient, environmentally friendly and low-cost catalysts for the advanced treatment process of antibiotic wastewater.

Oxygen vacancies assist a facet effect to modulate the microstructure of TiO2 for efficient photocatalytic O2 activation.

Defect engineering is recognized as an effective route to obtaining highly active photocatalytic materials. However, the current understanding of the role of defects in photocatalysts mainly comes from their independent functional analysis, ignoring the synergy between defects and the chemical environment, especially with crystal facets. Herein, oxygen vacancy (VO)-rich TiO2 nanostructures with different dominant exposed facets were prepared, and the microstructural changes induced by the synergy between the VO and facet effect and the performance difference of photocatalytic O2 activation were explored. The results showed that the combination of high concentration VO and the {101} facet is more conducive to improving the photocatalytic performance of TiO2, which is significantly superior to the combination of low concentration VO and the {101} facet as well as the combination of high concentration VO and the {001} facet. The experimental and theoretical results clarified the dependence of each stage of photocatalysis on two factors. Specifically, VO plays a more significant role in energy band regulation, improving the dynamic behavior of photogenerated charges and enhancing the adsorption and activation of O2, while the facet effect made more contributions to reducing the thermodynamic energy barrier of ROS formation and conversion. The excellent ability of O2 activation enables T101-VO to show potential application characteristics in the removal of RhB and bacterial disinfection. This work established a link between defect and facet effects, providing new insights into understanding defect function in photocatalysts.

The evaluation of different types fecal bacteria products for the treatment of recurrent Clostridium difficile associated diarrhea: A systematic review and network meta-analysis.

Purpose: To determine the efficacy of different types of fecal microbiota transplantation for the treatment of recurrent clostridium difficile associated diarrhea (RCDAD). Methods: We searched PubMed, Embase, The Cochrane Library, Web of Science, China Biomedical Medicine (CBM), China National Knowledge Infrastructure (CNKI) and WanFang database. We also tracked the references found in systematic reviews of RCDAD treated with fecal microbiota transplantation. We included randomized controlled trials (RCTs) comparing different types of fecal microbiota transplantation with other methods for the treatment of RCDAD. The search period was from the date of inception of this treatment method to January 16, 2022. Two reviewers independently screened the published literature, extracted the data and assessed the risk of bias. Systematic review and network meta-analysis were conducted using RevMan 5.4, Stata 16.0 and R 4.1.2 software. Results: Ten RCTs involving 765 patients were included in this network meta-analysis. The results showed that treatment with fresh fecal bacteria and frozen fecal bacteria were better than vancomycin, fresh vs. vancomycin [odds ratio, (OR) = 8.98, 95% confidence interval (95% CI) (1.84, 43.92)], frozen vs. vancomycin [OR = 7.44, 95% CI (1.39, 39.75)]. However, there were no statistically significant differences in cure rate [fresh vs. frozen: OR = 1.21, 95% CI (0.22, 6.77); fresh vs. lyophilized, OR = 1.95, 95% CI (0.20, 19.44); frozen vs. lyophilized, OR = 1.62, 95% CI (0.30, 8.85)]. The Surface Under the Cumulative Ranking (SUCRA) indicated that fresh fecal bacteria were the best treatment for RCDAD. Conclusions: Fresh fecal bacteria are the best treatment of RCDAD, frozen fecal bacteria and lyophilized fecal bacteria can achieve the same effect. Fecal microbiota transplantation is worthy of clinical and commercial application.

Effects of ambient temperature on cardiovascular disease: a time-series analysis of 229288 deaths during 2009-2017 in Qingdao, China.

The association between ambient temperature and cardiovascular mortality varied by regions, populations, and climates. We estimated the relative risk (RR) of cardiovascular mortality using 229,288 death cases of cardiovascular disease in Qingdao China from 1 January 2009, to 31 December 2017. A distributed lag non-linear model was used. The temperature showed a negative association with the cardiovascular mortality. The RR of cardiovascular death at -4.8 °C was 2.05 (95% CI: 1.55, 2.69). The high temperature had acute and short-term effects with the maximum risk occurring 0 day of exposure. The low temperature had the greatest effect on the 4th lag day. The cold temperature effect was stronger for males than females. The estimates of temperature-related cardiovascular mortality risk were higher in people age ≥75 years. Our study showed that the cold and hot ambient temperature had a relationship with the risk of cardiovascular mortality.

Pesticide poisoning risk attributable to ambient temperature: a time series analysis in Qingdao China during 2007-2018.

Pesticide poisoning prevention has become a public health issue of great concern. We estimated the association between temperature and attributable risk of pesticide poisoning using 3,545 pesticide poisoning cases in Qingdao China from June 2007 to July 2018. A distributed lag non-linear model was applied to estimate the temperature-pesticide poisoning associated with the assessment of attributable number and fraction. The hot temperature is responsible for the pesticide poisoning incidence, with backward and forward attributable fractions, respectively, 7.79% and 7.61%. Most of the pesticide poisoning burden (backward attributable fraction 5.30% and forward attributable fraction 5.06%) was caused by mild hot (22°C-26°C), whereas the burden due to extreme hot (27°C-31°C) was small (backward attributable fraction 2.94% and forward attributable fraction 2.69%).

Severe interstitial pneumonia caused by cetuximab: a case report and review of the literature.

Cetuximab is an IgG1 chimeric mAb against epidermal growth factor receptor, which can be used for chemotherapy failure or tolerance in patients with epidermal growth factor receptor expressed RAS wild-type metastatic colorectal cancer. We report on a patient who developed rapid-onset interstitial pneumonia while being treated with cetuximab plus XELOX (oxaliplatin, capecitabine) for metastatic colorectal cancer. A 75-year-old man patient was administered cetuximab plus XELOX regularly. After his cetuximab schedule was adjusted from 1 to 2 weeks, he rapidly developed interstitial pneumonia which led to acute respiratory distress syndrome. Our literature review indicated that, for patients with risk factors, a 2-week regimen of cetuximab might lead to interstitial pneumonia. Clinicians should closely monitor patients for adverse drug reactions to improve drug safety.

[Early mobilization on mortality of patients with mechanical ventilation in intensive care unit after discharge: a Meta-analysis].

OBJECTIVE: To evaluate the effect of early mobilization on mortality in intensive care unit (ICU) patients with mechanical ventilation after discharge by Meta-analysis. METHODS: Databases including SinoMed, China National Knowledge Infrastructure (CNKI), Wanfang data, PubMed, the Cochrane Library, Web of Science, and Embase were searched from inception to September 17th, 2020, to collect randomized controlled trials (RCT) about early mobilization on mortality of patients with mechanical ventilation in ICU after discharge, the references included in the literature were traced. The control group was given routine care, the experimental group was given early mobilization on the basis of the control group, including passive or active mobilization on the bed, sitting on the bed, standing by the bed, transferring to the bedside chair and assisting walking. The literature screening, data extracting, and the bias risk assessment of included studies were conducted independently by two reviewers. Stata 12.0 software was then used to perform Meta-analysis. Funnel plot was used to test publication bias. RESULTS: A total of 10 RCT studies involving 1 323 patients were included, with 660 patients in the control group and 663 patients in the experimental group. The results of literature quality evaluation showed that 7 studies were grade A and 3 studies were grade B, indicating that the overall quality of included literatures was high. The Meta-analysis results showed that early mobilization did not increase the mortality of patients with mechanical ventilation in ICU after discharge [odds ratio (OR) = 0.92, 95% confidence interval (95%CI) was 0.75-1.13, P = 0.449]. Subgroup analysis results showed that early mobilization had a tendency to reduce the mortality of ICU patients with mechanical ventilation at 3, 6 and 12 months after discharge, but the difference was not statistically significant (3-month mortality: OR = 1.02, 95%CI was 0.74-1.40, P = 0.927; 6-month mortality: OR = 0.95, 95%CI was 0.70-1.27, P = 0.712; 12-month mortality: OR = 0.60, 95%CI was 0.33-1.10, P = 0.101). Funnel plot showed that the distribution of included literatures was not completely symmetrical, suggesting that publication bias might exist. CONCLUSIONS: Early mobilization does not increase the mortality of ICU patients with mechanical ventilation after discharge. Although it tends to have a favorable outcome in reducing mortality, and has a trend to reduce the mortality. However, due to the small number of included literatures, small sample size and differences in the specific implementation of early mobilization among various studies, a large number of high-quality RCT studies are still needed for further verification.

[Evaluation of pharmaceutical prevention and treatment of intensive care unit-acquired weakness: a Meta-analysis].

OBJECTIVE: To evaluate the effect of preventing and treatment of pharmaceuticals on intensive care unit-acquired weakness (ICU-AW) by systematic review. METHODS: The randomized controlled trials (RCTs) concerning pharmaceutical prevention and treatment about ICU-AW in SinoMed, CNKI, Wanfang data, PubMed, Cochrane Library, Web of Science, EMbase, and other sources were searched from their foundation to May 30th, 2019. The patients in the intervention group were treated with drugs to prevent or treat ICU-AW; and those in control group were treated with other rehabilitation methods. Data searching, extracting and quality evaluation were assessed by two reviewers independently. Stata 12.0 software was then used for Meta-analysis. Only descriptive analysis was conducted when only one study was enrolled. RESULTS: A total of 11 RCTs were enrolled with 1 865 patients in the intervention group and 1 894 in the control group. The results of quality evaluation showed that 4 studies were A-level and 7 studies were B-level, indicating that the overall quality of the enrolled literature was high. Meta-analysis showed that intensive insulin therapy could prevent ICU-AW [relative risk (RR) = 0.761, 95% confidence interval (95%CI) was 0.662-0.876, P = 0.000], but reduced phenylalanine loss (nmol×100 mL-1×min-1: -3±3 vs. -11±3, P < 0.05) and glutamine intake (nmol×100 mL-1×min-1: -97±22 vs. -51±13, P < 0.05). There was no significant difference in the prevention and treatment of ICU-AW between other drugs (including growth hormone, glutamine, dexmedetomidine, neostigmine, oxandrolone, and intravenous immunoglobulin) and control group. CONCLUSIONS: Intensive insulin therapy can prevent ICU-AW, but the risk of hypoglycemia will increase. Other drugs including growth hormone, glutamine, dexmedetomidine, neostigmine, oxandrolone, and intravenous immunoglobulin have no obvious advantages in the prevention and treatment of ICU-AW, so no drug has been recommended to prevent and treat ICU-AW.

miR-18b attenuates cerebral ischemia/reperfusion injury through regulation of ANXA3 and PI3K/Akt signaling pathway.

Recent, research has displayed that the disorders of miR-18b are related to ischemic stroke. Here, we aimed to investigate the underlying neuroprotective mechanism of miR-18b in cerebral ischemia/reperfusion (I/R) injury. Oxygen-glucose deprivation/reperfusion (OGDR) model in vitro and middle cerebral artery occlusion (MCAO) model in vivo were established to simulate cerebral I/R injury. RT-PCR, western blotting, CCK-8, TUNEL, and TTC staining assays were applied in this study to explore the effect of miR-18b on cerebral I/R injury. Results displayed that miR-18b expression was reduced after cerebral I/R injury. Besides, miR-18b showed neuroprotective effects on cerebral I/R injury both in vitro and in vivo, These neuroprotective effects included promoting cell viability, decreasing cell apoptosis, reducing the production of inflammatory cytokines in SH-SY 5Y cells after OGDR and depressing MCAO-induced infarct size, neurological deficits and apoptotic cells in mice. Moreover, miR-18b negatively regulated ANXA3 expression, and its neuroprotection on cerebral I/R injury was overturned by ANXA3. Additionally, increasing miR-18b or decreasing ANXA3 promoted the activation of the PI3K/Akt signaling pathway in SH-SY 5Y cells after cerebral I/R injury. In conclusion, these data indicate that miR-18b protects against cerebral I/R injury by inhibiting ANXA3 and activating PI3K/Akt pathway, which provides a promising therapeutic target for ischemic stroke therapy.

Different Treatments for Granulomatous Lobular Mastitis: A Systematic Review and Meta-Analysis.

OBJECTIVE: Granulomatous lobular mastitis (GLM) is infrequently diagnosed. This study aimed to evaluate the efficacy and safety of managements for GLM in the nonlactation period. METHODS: Publications were retrieved from PubMed, EMBASE, and the Cochrane library on September 10, 2018. We pooled and compared the outcome parameters and complete remission (CR) rates between different treatments using a meta-analysis. RESULTS: Twenty-one publications including 970 patients treated with surgical excision, steroids, abscess drainage, antibiotics, and observation were included. Surgery significantly improved CR rate compared with steroids (p = 0.0003). There was no difference in the CR rate in patients treated with surgery alone or combined with steroids (p = 0.28). Surgery showed borderline significant efficacy in the CR rate compared with antibiotics (p = 0.06) and abscess drainage (p = 0.06). No difference was observed in effectiveness between observation and surgical management in patients diagnosed with early GLM and mild symptoms. CONCLUSIONS: Although surgery was the ideal management for GLM, steroids and antibiotics might be ideal managements for GLM patients who are worried about surgical scars. Observation was an impressive alternative for patients with early GLM.