[Comparison of Functional Status Between Diabetic Patients With and Without Nephropathy Based on the International Classification of Functioning,Disability and Health Rehabilitation Set].

Objective To compare the functional status of diabetic patients with and without nephropathy and identify the items that diabetic patients with nephropathy are more likely to develop dysfunction than diabetic patients without nephropathy based on the international classification of functioning,disability and health rehabilitation set(ICF-RS).Methods A cross-sectional study was conducted.A total of 320 diabetic patients hospitalized in Guangdong Provincial Hospital of Chinese Medicine from August 2021 to February 2022 were selected and assigned into a group with nephropathy and a group without nephropathy.The general characteristics,clinical examination,and laboratory findings were compared by the t test,rank sum test,and Chi-squared test.The functional status of the patients was compared between the two groups by the t test based on the ICF-RS.Logistic regression was employed to control interferential factors between the two groups and identify the association between nephropathy and ICF-RS problematic items among diabetic patients.Results The diabetic patients with nephropathy had more problematic items in ICF-RS(P<0.001),the body function dimension(P=0.003),the activity dimension(P<0.001),and the participation dimension(P<0.001)than those without nephropathy.Moreover,the diabetic patients with nephropathy experienced severer problems in 5 body function items(energy and drive functions,sleep functions,sexual functions,exercise tolerance functions,and muscle power functions),10 activity items(transferring oneself,walking,moving around using equipment,moving around,washing oneself,caring for body parts,toileting,dressing,doing housework,and looking after one's health),and 4 participation items(using transportation,assisting others,basic interpersonal interactions,and recreation and leisure)(all P<0.05).The Logistic regression results showed that compared with the diabetic patients without nephropathy,the diabetic patients with nephropathy were more likely to develop problems in energy and drive functions(aOR=4.35,95%CI=1.28-14.79,P=0.019),emotional functions(aOR=1.88,95%CI=1.06-3.34,P=0.031),sexual functions(aOR=3.39,95%CI=1.82-6.34,P<0.001),moving around(aOR=3.11,95%CI=1.76-5.52,P<0.001),doing housework(aOR=17.48,95%CI=3.57-85.60,P<0.001),looking after one's health(aOR=1.97,95%CI=1.13-3.43,P=0.017),using transportation(aOR=2.59,95%CI=1.38-4.88,P=0.003),and recreation and leisure(aOR=2.52,95%CI=1.46-4.35,P<0.001).Conclusion Compared with the diabetic patients without nephropathy,the patients with nephropathy suffer more ICF-RS problematic items and are more likely to develop dysfunction in certain items in all the three dimensions.

Process of CH4-CO2 reforming over Fe/SiC catalyst under microwave irradiation.

In this work, the properties of the CH4-CO2 reforming reaction over the Fe/SiC catalyst during the whole process were studied under microwave irradiation and the reaction process was analyzed by mass spectrometry and Fourier transfer infrared spectrometry in real time. The effects of microwave power on the gas composition, conversion of reactants, and selectivity of products in the reaction were investigated. It was found that the microwave dry reforming reaction can be divided into a rapid reaction stage, slow reaction stage, and reaction equilibrium stage. The conversion of reactants and selectivity of products in the slow reaction stage were both higher than 95% under 90 W/g. In the long-term (~50 h) stability test, a combination of SEM, XRD, BET, and TG analyses found that the catalyst activity did not reduce significantly and the amount of carbon deposits (which was mainly Cγ) was negligible (~0.78 wt%). The results indicate that the cheap Fe-based catalyst has good catalytic activity and stability under microwave irradiation and hence has a promising application.

Novel Mn-Ce-Ti mixed-oxide catalyst for the selective catalytic reduction of NOx with NH3.

Mn-Ce-Ti mixed-oxide catalyst prepared by the hydrothermal method was investigated for the selective catalytic reduction (SCR) of NOx with NH3 in the presence of oxygen. It was found that the environmentally benign Mn-Ce-Ti catalyst exhibited excellent NH3-SCR activity and strong resistance against H2O and SO2 with a broad operation temperature window, which is very competitive for the practical application in controlling the NOx emission from diesel engines. On the basis of the catalyst characterization, the dual redox cycles (Mn(4+) + Ce(3+) ↔ Mn(3+) + Ce(4+), Mn(4+) + Ti(3+) ↔ Mn(3+) + Ti(4+)) and the amorphous structure play key roles for the high catalytic deNOx performance. Diffuse reflectance infrared Fourier transform spectroscopy studies showed that the synergetic effect between Mn and Ce contributes to the formation of reactive intermediate species, thus promoting the NH3-SCR to proceed.