Nonthermal plasma-irradiated polyvalent ferromanganese binary hydro(oxide) for the removal of uranyl ions from wastewater.

Nonthermal plasma (NTP) irradiation was employed to adjust the morphological structures and valence distribution of ferromanganese (Fe-Mn)-based binary hydro (oxide) to enhance the heterogeneous adsorption of uranyl ions. The output voltage and the liquid-plate distance played a more vital role among the NTP factors in the irradiation system in influencing the polyvalent Fe-Mn binary hydro (oxide) (poly-Fe-Mn). The formation of plates, flakes, and nanoscale nodules was specifically observed, which caused more pores and fractures in the poly-Fe-Mn binary hydro (oxide). The poly-Fe-Mn performed explicitly better in the adsorption of uranium ions in comparison with the counterpart of the Fe-Mn, which was appropriately fitted by the pseudofirst-order kinetic and Elovich models. Maximum equilibrium adsorption capacities of 663.92 and 923.45 mg/g were obtained for the Fe-Mn and poly-Fe-Mn binary hydro (oxides) toward U ions in the orthogonal design, respectively. The maximum monolayer adsorption capacity achieved by the fitting of the Langmuir model was 1091.10 mg/g. Both physisorption and chemisorption contributed to the heterogeneous process of the poly-Fe-Mn toward uranium ions. The employment of NTP irradiation changed the monolayer adsorption of the traditional Fe-Mn materials and diversified the reaction mechanisms between the interface of the Fe-Mn materials and uranium ions. The elements, including O, N, and U exhibited higher compatibility and overlapped in the samples. The highly effective capture of uranium ions from the solution by the poly-Fe-Mn binary hydro (oxide) was mainly related to the chemical deposition of O and N radicals.

Transcriptional adaptor 3 influences the proliferative and invasive phenotypes of non-small cell lung cancer cells via regulating EMT.

Transcriptional adaptor 3 (TADA3/ADA3) is a conserved transcriptional co-activator and is dysregulated in many aggressive tumors. However, the role of TADA3 in non-small cell lung cancer (NSCLC) remains unknown. It was previously demonstrated that TADA3 expression correlates with poor prognosis in patients with NSCLC. In the present study, the expression and function of TADA3 were investigated in cells in vitro and in vivo. TADA3 expression was evaluated in clinical specimens and cell lines using reverse transcription-quantitative PCR and western blot analysis. The TADA3 protein level was significantly higher in human NSCLC specimens compared with matched normal tissues. In human NSCLC cell lines, short hairpin RNA-mediated silencing of TADA3 suppressed their proliferative, migratory and invasive abilities in vitro, and delayed G1 to S phase progression through the cell cycle. Consistent with this, TADA3 silencing increased expression of the epithelial marker E-cadherin and reduced expression of the mesenchymal markers, N-cadherin, Vimentin, Snail, and Slug. To verify the effect of TADA3 on tumor formation and growth in vivo, a mouse tumor xenograft model was established. TADA3 silencing slowed the growth of NSCLC tumor xenografts in nude mice, and excised tumors showed a similarly altered pattern of epithelial-mesenchymal transition (EMT) marker expression. The present results demonstrated the significance of TADA3 in regulating the growth and metastasis of NSCLC and may provide a theoretical basis for early diagnosis and targeted therapy of NSCLC.

Synergistic effect of ultrasonication and sulfate radical on recovering cobalt and lithium from the spent lithium-ion battery.

Ultrasonication has been mechanically applied widely in the recycling of spent lithium-ion (SLI) batteries while its influence on chemical pathways has barely been reported. In this study, ultrasonication and sulfate radicals were used in a coupling system to obtain efficient recoveries of Co and Li from SLI batteries. The synergistic effect of ultrasonication and sulfate radicals on recycling was quantitatively analysed by significance analysis and surface responses in a central composite design. The employment of persulfate significantly affected the whole recycling process during the sonication. Factors including acoustic time, operating powers, and temperature all had a significant effect on the recoveries of Co and Li. The maximum recovery efficiencies of Co and Li of 97.33% and 99.25%, respectively, and the minimum loss rate of Al of 4.13% were simultaneously obtained by the fitting predictor. The optimal combination of factors for the sonication system included an acoustic time (min) of 5.5, an operating power (W) of 168, a temperature (°C) of 86, and a ratio of cathode foil to S-solution (mg/mL) of 1:60. A moiety of cathode active material was directly separated from the aluminium collector by sulfate radical-related reactions. Co and Li cations dissolved from LiCoO2 by carbon dioxide radicals were reprecipitated by excess oxalate. The research demonstrated the positively synergistic influence caused by ultrasonication and sulfate radicals on achieving efficient recoveries of Co and Li from SLI batteries, explicitly expanding the technical choices for the recycling procedure.

A comprehensive investigation of zeolite-rich tuff functionalized with 3-mercaptopropionic acid intercalated green rust for the efficient removal of HgII and CrVI in a binary system.

In this study, the 3-mercaptopropionic acid (MA) was chosen to achieve the anionic intercalation into the green rust (GR) materials (MA-GR). The zeolite-rich tuff functionalized with the MA-intercalated GR (MA-GR-tuff) was subsequently synthesized and used to remove both HgII cations and CrVI anions in a binary system. MA-GR-tuff showed the best adsorption capacities to both HgII and CrVI among the adsorbent materials. The optimal combination of parameters was determined as the molar ratio of FeII to FeIII of 3.5, the molar ratio of OH- to the total iron of 3.75, the molar ratio of MA to the total iron of 2.5, and the mass ratio of the total iron to the tuff of 1.25. The pseudo-first-order kinetic model was appropriate in describing the kinetic sorption of CrVI by MA-GR-tuff. Both the pseudo-first-order kinetic model and Elovich were suitable for explaining HgII sorption. The maximum monolayer adsorption capacities of MA-GR-tuff towards CrVI and HgII were 185.19 mg/g and 72.99 mg/g, respectively. More flocs and plumes were formed in the MA-GR while the intercalation and more pores and crevices of different sizes were found in the MA-GR-tuff. Sulfhydryl complexation and the molecular sieve of tuff obviously both played a role in influencing the adsorption process. This study directly overcomes the drawback brought by the natural tuff to the treatment of a cationic-and-anionic binary system and supplies a new kind of tuff-based adsorbent for the potential use for the remediation of HM-contaminated wastewater.

Medical staff's sentiments on the establishment of quiet time in the NICU.

AIM: To explore the sentiments of medical staff in setting quiet time in a tertiary neonatal intensive care unit. BACKGROUND: Quiet time, which can help create a healing neonatal intensive care unit environment, is increasingly being valued by hospital administrators. METHODS: Semi-structured interviews were used to interview 12 neonatal intensive care unit staff members, with data analysed using the content analysis method. RESULTS: This study extracted four themes: support, concern, education and teamwork. CONCLUSIONS: If quiet time needs to be set up, implemented and maintained in the neonatal intensive care unit, it is necessary to establish a quiet time culture throughout the whole ward, to carry out detailed management of quiet time and to cooperate and communicate with multidisciplinary departments. IMPLICATIONS FOR NURSING MANAGEMENT: To keep the ward quiet and minimize handling during quiet time, it is necessary to take adequate steps from a management level. Targeted staff training and education allow staff to appreciate the necessity and urgency of setting quiet time for themselves and babies. It is also necessary to refine the educational content of noise reduction and minimal handling and provide clear guidance on the best means to carry out clinical work during quiet time. Nursing managers need to establish a monitoring system for NICU noise and manage various noise sources made from equipment and people.

A green rust-coated expanded perlite particle electrode-based adsorption coupling with the three-dimensional electrokinetics that enhances hexavalent chromium removal.

A green rust-coated expanded perlite (GR-coated Exp-p) microelectrode was synthesized and incorporated into a column-mode three-dimensional electrokinetic (3D-EK) platform to effectively pursue a continuous Cr(VI) removal from the aqueous solution. Brucite-like layers of GR were decorated onto the Exp-p material. The molar ratio of Fe(II) to Fe(III) played a most vital role among the three synthesis factors in influencing the performance of the particle electrode. For the equilibrium adsorption experiments, the target maximum adsorption capacity of 122 mg/g was predicted by a target optimizer and desirability function at the conditions following the pH of 4.7, the initial concentration of 172.4 mg/L, the dosage of 0.28 g/L, and the temperature of 28.96 °C, respectively. SO42-, Cl-, and NO3- fiercely competed with Cr(VI) anions in the acidic conditions for the locally positive sites. A low concentration and a slow flow were favored in the column-mode 3D-EK platform. The pseudo-first-order and Langmuir models were suitable for describing the kinetics and isotherms of the adsorption process, respectively. Cr(VI) anions were electrostatically attracted to the silanol groups and GR surface of the adsorbent, subsequently reduced in both heterogeneity and homogeneity, and finally immobilized by coordinating with silanediol groups and silanetriol groups.

Hydroxyapatite nanoparticle functionalized activated carbon particle electrode that removes strontium from spiked soils in a unipolar three-dimensional electrokinetic system.

Biohazard performance of Sr radionuclide can be significantly magnified by its release from the contaminated sedimentation. In this study, hydroxyapatite nanoparticle-functionalized activated carbon electrode (AC-HAP) was synthesized and stacked to the cathode compartment of the electrokinetic (EK) system to develop a unipolar three-dimensional (3D) electrochemical process for Sr2+ removal from spiked soils. Sr2+ adsorption by AC-HAP can be fitted by the pseudo-first-order and pseudo-second-order kinetic models and the Langmuir, Freundlich, and Temkin isotherm models. The largest monolayer adsorption capacity of AC-HAP of 69.49 mg g-1 was evaluated in the pH range of 10-12 and at 40 °C. 3D EK further intensified the adsorption process of AC-HAP and the corresponding Sr2+ removal from aqueous environments. Voltage gradients and proposing time had a significant effect on the migration and transmission of Sr2+ in the electrolyzer. The influence of competitive ions on Sr2+ removal in the stock solutions followed Al3+ < Mg2+ < K+ < Na+ < Ca2+ while followed Al3+ < Na+ < K+ < Mg2+ < Ca2+ in 3D EK. The first three cycles for AC-HAP had taken roughly 50% of the reusability percentage. Sr2+ removal from spiked samples in 3D EK was achieved by acid dissolution, electromigration, and selective uptake on particle electrode.

Effective adsorption of quadrivalent cerium by synthesized laurylsulfonate green rust in a central composite design.

The layered laurylsulfonate intercalated green rust (lauryl-S GR) was synthesized to evaluate the influence of synthesis parameters and aqueous conditions on the adsorption of CeIV. The maximum adsorption capacity of 305.58 mg/g by lauryl-S GR was predictably obtained. The pseudo-first-order kinetic model was appropriate in fitting the whole uptake process in a weak acid environment. Three isotherm models including Langmuir, Freundlich, and Tempkin were all reliable in depicting the isotherm adsorption process. The maximum monolayer adsorption capacity of lauryl-S GR towards CeIV was 315.46 mg/g. Ce species including CeO and Ce2O3 besides CeO2 were matched in the XPS distribution, directly indicating the reduction reaction brought by FeII in the GR occurred to hydrated CeIV ions during the adsorption. Nano-sized Ce particles attached to the lauryl-S GRs after the adsorption experiments were observed in the morphological characterization. Flocculated materials were formed on the surface of the lauryl-S GR at a pH of 7, which further reduced the active sites and disrupted the continuous uptake of CeIV to the lauryl-S GR. This study expands the application of GRs and supplies an ideal iron-based material for the construction of the affiliated recovery pathway to the traditional separation of Ce.

Metabolite secretions of Lactobacillus plantarum YYC-3 may inhibit colon cancer cell metastasis by suppressing the VEGF-MMP2/9 signaling pathway.

BACKGROUND: Colorectal cancer (CRC) is a major clinical challenge, and the gut microbiome plays important roles in the occurrence and metastasis of CRC. Lactobacillus and their metabolites are thought to be able to suppress the growth of CRC cells. However, the antimetastatic mechanism of Lactobacillus or their metabolites toward CRC cells is not clear. Therefore, the aim of this study was to assess the inhibitory mechanism of cell-free supernatants (CFSs) of L. rhamnosus GG, L. casei M3, and L. plantarum YYC-3 on metastasis of CRC cells. RESULTS: YYC-3 CFS showed the highest inhibitory effect on CRC cell growth, invasion and migration, and inhibited MMP2, MMP9, and VEGFA gene and protein expression, and protein secretion. Furthermore, it suppressed the activities of MMPs by gelatin zymography. Moreover, the effective compounds in these CFSs were analyzed by Q Exactive Focus liquid chromatography-mass spectrometry. CONCLUSIONS: Our results showed that metabolite secretions of YYC-3 may inhibited cell metastasis by downregulating the VEGF/MMPs signaling pathway. These data suggest that treatment of CRC cells with metabolites from L. plantarum YYC-3 may reduce colon cancer metastasis.

miR-148a suppresses autophagy by down-regulation of IL-6/STAT3 signaling in cerulein-induced acute pancreatitis.

Acute pancreatitis (AP) is a type of sterile inflammation of the pancreas, potentially leading to systemic inflammatory response syndrome or multiple organ failure. An emerging evidence that dysfunction of miRNA expression may alter pivotal physiological functions and lead to inflammation infiltration and complication of multiple diseases, including AP. Here, the AP model was successfully replicated using cerulein in vitro and in vivo. RT-qPCR was used to detect low expression of miR-148a in AP. This study verified that IL-6 was a direct target of miR-148a. Over-expression of miR-148a decreased the mRNA and protein levels of IL-6 by RT-qPCR and Elisa. Moreover, over-expression of miR-148a improved the pathological state of AP through H&E and MPO staining and transmission electron microscopy. After over-expressing miR-148a, Western blot and immunohistochemical method were used to confirm the reduction of autophagosomes and autolysosomes, blockade of the levels of p-STAT3, LC3-II, ATG7, ATG4c, Beclin1 and the increased p62 expression in AP. The expression of LAMP-2 was not significantly different. In addition, IL-6 and AG490, the IL-6/STAT3 signaling inhibitor, were used to verify the role of IL-6/STAT3 signaling in the regulation of miR-148a on autophagy in cerulein-induced AP in vitro and in vivo. Taken together, our findings indicate that miR-148a suppresses autophagy via regulating IL-6/STAT3 signaling in cerulein-induced AP in vitro and in vivo. The miR-148a appears to be a promising candidate for the gene therapy of AP.

Functional Characteristics of Milk Protein Concentrates and Their Modification.

A major deterrent to the usage of milk protein concentrate (MPC), a high-protein milk product with increasing demand as a food and sports drink ingredient, has been its poor functional characteristics when compared with other milk protein products such as whey protein concentrate and sodium caseinates. This review discusses the recent research on functional properties of MPC, focusing on factors that may contribute to the poor functional characteristics before, during, and after production. Current research, methods employed, and new understanding on the causes of poor solubility of MPC at mild temperatures (about 20°C) has been presented, including loss of solubility during storage as these areas have received unprecedented attention over the past decade, and also affects other useful functional properties of MPC, such as emulsifying properties, gelation, and foaming. Processing methods, which include heat treatment, high-pressure application, microwave heating, ultrasound application, and enzyme and salts modification, have been used or have potential to modify or improve the functional properties of MPCs. Future research on the effects of these processing methods on the functional properties, including effects of enzyme hydrolysis on bitterness and bioactivity, has also been discussed.

Experimental study on the construction of small three-dimensional tissue engineered grafts of electrospun poly-ε-caprolactone.

Studies on three-dimensional tissue engineered graft (3DTEG) have attracted great interest among researchers as they present a means to meet the pressing clinical demand for tissue engineering scaffolds. To explore the feasibility of 3DTEG, high porosity poly-ε-caprolactone (PCL) was obtained via the co-electrospinning of polyethylene glycol and PCL, and used to construct small-diameter poly-ε-caprolactone-lysine (PCL-LYS-H) scaffolds, whereby heparin was anchored to the scaffold surface by lysine groups. A variety of small-diameter 3DTEG models were constructed with different PCL layers and the mechanical properties of the resulting constructs were evaluated in order to select the best model for 3DTEGs. Bone marrow mononuclear cells were induced and differentiated to endothelial cells (ECs) and smooth muscle cells (SMCs). A 3DTEG (labeled '10-4%') was successfully produced by the dynamic co-culture of ECs on the PCL-LYS-H scaffolds and SMCs on PCL. The fluorescently labeled cells on the 3DTEG were subsequently observed by laser confocal microscopy, which showed that the ECs and SMCs were embedded in the 3DTEG. Nitric oxide and endothelial nitric oxide synthase assays showed that the ECs behaved normally in the 3DTEG. This study consequently provides a new thread to produce small-diameter tissue engineered grafts, with excellent mechanical properties, that are perfusable to vasculature and functional cells.

[Effect of Compound Qingre Granule on the Expression of Peripheral Blood Lymphocyte Subsets of Acute Virus Infection Patients].

OBJECTIVE: To observe interventional effects of anti-viral therapy and Compound Qin-gre Granule (CQG) on host cellular immune functions of acute virus infection patients. METHODS: Thirty acute virus infection patients were recruited to detect peripheral lymphocyte subsets. They were randomly assigned to two groups, the Western medicine treatment group (treated with anti-virus Western medicine) and the integrative medicine treatment group (treated with anti-virus Western medicine plus CQG). T-cell subsets were re-examined 7 days later. Changes between before and after treatment were observed. Effect on host cellular immune functions and efficacy were compared between the Western medicine treatment and the integrative medicine treatment. RESULTS: Compared with the normal control group, the percentage of peripheral T cells increased, and the percentage of B/NK cells decreased in acute virus infection patients (P < 0.01). Meanwhile, in T cell subsets, the percentage of CD8+ T cells and CD8+ CD38+ T cells increased (P < 0.05, P < 0.01); and percentages of CD4+ T cells, CD4+ CD28 + T cells, and CD8+ CD28+ T cells decreased (P < 0.05, P < 0.01). After one-week treatment, percentages of CD4+ T cells, CD4+ CD28+ T cells, and CD8+ CD28+ T cells increased (P < 0.05, P < 0.01), while the percentage of CD8+ CD38+ T cells decreased (P < 0.01). More significantly, these changes were greater in the integrative medicine treatment group than in the Western medicine treatment group (P < 0.05). CONCLUSIONS: Disarranged cellular immune functions existed in acute virus infection patients. CQG could significantly improve viral infection induced immunologic derangement and immunologic injury.

[Epidemic Status of Echinococcosis in Gannan Tibetan Autonomous Prefecture of Gansu Province during 2007-2011].

OBJECTIVE: To investigate the prevalence of echinococcosis in Gannan Tibetan Autonomous Prefecture of Gansu Province since the implementation of the echinococcosis control project from Sepical Funds for Central Government Subsidies to Local Public Health (2007-2011). METHODS: Eight counties of Hezuo, Lintan, Zhuoni, Luqu, Maqu, Xiahe, Zhouqu, and Diebu were selected as survey sites. The prevalence in the sampled population was investigated by B ultrasound examination. Hydatid infection in children below 12 years old was serologically investigated by ELISA. The fecal samples from dogs were determined for Echinococcus infection by double antibody sandwich ELISA method. Livestock were dissected through slaughterhouse for pathological examination. Data of echinococcosis cases of Gannan Tibetan Autonomous Prefecture from 2007 to 2011 were collected from the National Infectious Diseases Reporting System, and statistically analyzed by using SPSS 10.0 and Epi info software. RESULTS: A total of 257 823 people received type B ultrasound examination in the 5 years. Five hundred eighty-one echinococcosis cases were found with an overall prevalence of 0.2%, including 578 cases of echinococcosis granulosus and 3 cases of echinococcosis multilocularis. The annual prevalence in the population decreased year by year, from 0.4% (97/21 938) in 2007 to 0.1% (68/63 980) in 2011 (P <0.05). Three hundred and six cases were officially reported to the National Infectious Diseases Reporting System during the period. Among those, female patients accounted for 58.2% (178/306) and male patients 41.8% (128/ 306). By occupation, more infection were found in herdsmen (82.0%, 251/306), followed by farmers (7.8%; 24/306). The cases were mainly distributed in the 20-60 year-old age group, with the highest prevalence in the group of 30-39 years (23.5%, 72/306). The sero-positive rate in children was 4.7% (1 571/33 613), which was highest in 2008 (8.4%, 413/4907), and lowest in 2010 (3.2%, 223/7 021) (P < 0.05). The mean positive rate of coproantigen in dogs was 6.3% (2 511/40 179), decreased from 11.9% (335/2 819) in 2007 to 6.3% (734/11 666) in 2011 (P < 0.05), with lowest positive rate in 2009 (3.7%, 354/9 550). The mean prevalence of livestock was 4.1% (914/22 087), decreased from 8.8% (235/2 658) in 2007 to 2.0% (144/7 347) in 2011 (P < 0.05). CONCLUSION: Since the project implementation for echinococcosis control in 2007, the prevalence of hydatid desease in the population, the sero-positive rate in children, the positive rate of dog coproantigen, and the prevalence in livestock have been significantly decreased.

Self-alkali-activated self-cementation achievement and mechanism exploration for the synergistic treatment of the municipal solid waste incineration fly ashes and the arsenic-contaminated soils.

The feasibility and potential mechanisms of the self-alkali activation brought by municipal solid waste incineration (MSWI) fly ashes to the self-cementation of arsenic-contaminated soils were quantitatively evaluated and comprehensively analyzed to avoid the additional application of the alkali activators and binder materials traditionally. The employment of the two kinds of precursor materials achieved the self-alkali-activated self-cementation ('double self') under ambient conditions. The largest compressive strength (MPa) of 25.64 and lowest leaching toxicities (mg/L) of 21.05, 2.86, 0.08, 0.02, 2.05, and 0.34 for Zn, Cu, Cr, Cd, Pb, and As were obtained in the solidified matrix. Geopolymerization kinetics of the 'double self' cementation can be mathematically fitted by the Johnson-Mehl-Avrami-Kolmogorov model. CaClOH and halite in the MSWI fly ashes set up the self-alkali activation by reacting with the kaolinite and quartz in soils contaminated with arsenic by forming layered hydration and three-dimensional geopolymerization products to push for self-cementation.

Self-cementation of gold tailings activated by nonthermal plasma irradiated calcium (hydro)oxide.

The alkalinity of CaO is commonly insufficient in alkali-activating raw soils or minerals for the formation of cementation or geopolymerization. In this study, nonthermal plasma (NTP) irradiation was employed to activate traditional CaO to enhance its efficacy in alkali activation and further intensify the self-cementation of gold tailings. The solidification/stabilization (S/S) of the gold tailings-based matrix activated by NTP-CaO was better than that of CaO. The NTP irradiation enhanced the surface hydroxyl groups and oxygen atoms, decreased the binding energy, formed nanoparticles, and significantly changed the morphologies of the calcium activator. The dosage of the NTP-irradiated CaO (NTP-CaO) directly affected the self-cemented solidification/stabilization of gold tailings. The Johnson-Mehl-Avrami-Kolmogorov model was appropriate for analysing the NTP-CaO-activated geopolymerization kinetics of gold tailings. Three-dimensional (3D) structural minerals covered with small pores were determined in the NTP-CaO-activated cemented samples. The employment of NTP-CaO facilitated the formation of aluminosilicate geopolymers during the self-cementation of gold tailings according to comprehensive characterization strategies. The study achieves the efficient self-remediation of gold tailings by activating calcium precursors, which further solves the contradiction between salinization and alkali activation in the field of noncalcined cementitious materials.

Effectiveness and safety of traditional Chinese medicine for diabetic retinopathy: A systematic review and network meta-analysis of randomized clinical trials.

BACKGROUND: Diabetic retinopathy (DR) is currently recognized as one of the most serious diabetic microangiopathies and a major cause of adult blindness. Commonly used clinical approaches include etiological control, microvascular improvement, and surgical intervention, but they are ineffective and have many side effects. Oral Chinese medicine (OCM) has been used for thousands of years to treat DR and is still widely used today, but it is unclear which OCM is more effective for DR. AIM: To estimate relative effectiveness and safety profiles for different classes of OCMs for DR, and provide rankings of the available OCMs. METHODS: The search time frame was from the creation of the database to January 2023. RevMan 5.3 and Stata 14.0 software were used to perform the systematic review and Network meta-analyses (NMA). RESULTS: A total of 107 studies and 9710 patients were included, including 4767 cases in the test group and 4973 cases in the control group. Based on previous studies and clinical reports, and combined with the recommendations of Chinese guidelines for the prevention and treatment of DR, 9 OCMs were finally included in this study, namely Compound Xueshuantong Capsules, Qiming Granules, Compound Danshen Dripping Pills, Hexue Mingmu Tablets (HXMM), Qiju Dihuang Pills (QJDH), Shuangdan Mingmu Capsules (SDMM), Danggui Buxue Decoction (DGBX), Xuefu Zhuyu Decoction and Buyang Huanwu Decoction. When these nine OCMs were analyzed in combination with conventional western medicine treatment (CT) compared with CT alone, the NMA results showed that HXMM + CT has better intervention effect on the overall efficacy of DR patients, HXMM + CT has better effect on improving patients' visual acuity, SDMM + CT has better effect on inhibiting vascular endothelial growth factor, DGBX + CT has better effect on reducing fundus hemorrhage area, HXMM + CT has better effect on reducing fasting blood glucose, and QJDH + CT has better effect on reducing glycated hemoglobin. When there are not enough clinical indicators for reference, SDMM + CT or HXMM + CT treatments can be chosen because they are effective for more indicators and demonstrate multidimensional efficacy. CONCLUSION: This study provides evidence that combining OCMs with CT leads to better outcomes in all aspects of DR compared to using CT alone. Based on the findings, we highly recommend the use of SDMM or HXMM for the treatment of DR. These two OCMs have demonstrated outstanding efficacy across multiple indicators.

Is there an association between the lunar phases and hospital admission for different episode types in bipolar disorder? A retrospective study in northern China.

The effects of the moon on mental activities remain contentious. Few studies have investigated associations between lunar phases and different types of bipolar disorder (BD) episodes. In the current study, 7,452 patients with BD from three hospitals were enrolled. Patients were divided into two groups on the basis of episode types, and the effects of lunar phase were examined for each type. The cosinor analysis revealed moon-related rhythmicity in admissions for BD in a period of 14.75 days. There were fewer admissions around the new moon and the full moon. There was no significant difference between different groups in acrophase. There was possibly a temporal lag between the onset of BD and hospitalization. Thus, it is too early to draw firm conclusions about the impact of lunar phases on BD. Sleep might be a middle way from moon effect to admissions of BD. These results have implications for future disease prevention strategies and research.

Effects of Rosa roxburghii Tratt on Ulcerative Colitis: An Integrated Analysis of Network Pharmacology and Experimental Validation.

Rosa roxburghii Tratt is a traditional Chinese plant that has been used to treat different inflammatory diseases. The purpose of this study was to investigate the mechanism of action of Rosa roxburghii Tratt extract (RRTE) against ulcerative colitis (UC) using network pharmacology and experimental validation. HPLC-Q/Orbitrap MS was used to rapidly identify the substances contained in RRTE after extracting the active components from the fruit. Then, network pharmacology combined with molecular docking was used to explore the critical target and potential mechanism of RRTE against UC using the active ingredients in RRTE as the research object. Data are presented in a visual manner. Finally, the pharmacological effects of RRTE in alleviating UC were further verified using a DSS-induced UC model of NCM460. The results showed that 25 components in RRTE were identified. A total of 250 targets of the active components and 5376 targets associated with UC were collected. Furthermore, a systematic analysis of the Protein-Protein Interaction (PPI) networks suggests that epidermal growth factor receptor (EGFR), phosphoinositide-3-kinase regulatory subunit 1 (PIK3R1), and serine/threonine kinase 1 (AKT1) are critical targets for RRTE in the treatment of UC. A comprehensive regulatory network analysis showed that RRTE alleviated UC through the EGFR-mediated PI3K/Akt pathway, and molecular docking showed that active components could strongly bind to EGFR, PIK3R1, and AKT1. In addition, RRTE alleviated dextran sulfate sodium salt (DSS)-induced cell injury and significantly decreased the protein expression levels of EGFR, PIK3R1, and p-AKT in NCM460 cells in vitro. Furthermore, RRTE significantly regulated the expression of the apoptosis-related proteins Apoptotic protease-activating factor 1 (Apaf1), cleaved caspase-3, B-cell lymphoma-2 (Bcl2), and Bcl2 associated X protein (Bax). In conclusion, the components of RRTE are complex, and RRTE can relieve UC through the EGFR-mediated PI3K/Akt pathway.

Self-Reported Insufficient Sleep Is Associated With Clinical and Inflammatory Features of Asthma: A Prospective Cohort Study.

BACKGROUND: A few studies have explored the association between short sleep duration and worse asthma outcomes in patients with self-reported asthma; however, all of them were cross-sectional. OBJECTIVES: To investigate the association between self-reported sleep duration and asthma-related clinical and inflammatory characteristics and whether sleep duration is associated with asthma exacerbations (AEs) in the following year. METHODS: A prospective cohort study consecutively recruited participants with asthma, who were classified into short (n = 58), normal (n = 380), and long (n = 84) sleep duration groups. We investigated the clinical and inflammatory characteristics and exacerbations within a 1-year follow-up. RESULTS: Patients with short sleep duration were older and had significantly lower total IgE and FeNO levels and higher airway inflammation, characterized by increased levels of IL-6 and TNF-α in sputum than those of patients with normal sleep duration. Furthermore, they had a significantly increased risk for poorly controlled asthma (adjusted odds ratio = 2.741; 95% CI, 1.379-5.447; P = .004) and moderate to severe AEs (adjusted incidence rate ratio = 1.798; 95% CI, 1.098-2.942; P = .020). CONCLUSIONS: Short sleep duration was associated with non-type 2 inflammation and is an independent risk factor for future AEs. Therefore, as a potentially treatable trait, sleep duration may have clinical implications for asthma management.