Digital therapeutics as an emerging new therapy for diabetes mellitus: potentials and concerns.

The global burden of controlling and managing diabetes mellitus (DM) is a significant challenge. Despite the advancements in conventional DM therapy, there remain hurdles to overcome, such as enhancing medication adherence and improving patient prognosis. Digital therapeutics (DTx), an innovative digital application, has been proposed to augment the traditional disease management workflow, particularly in managing chronic diseases like DM. Several studies have explored DTx, yielding promising results. However, certain concerns about this innovation persist. In this review, we aim to encapsulate the potential of DTx and its applications in DM management, thereby providing a comprehensive overview of this technique for public health policymakers.

Removal of low concentration of perchlorate from natural water by quaternized chitosan sphere (CGQS): Efficiency and mechanism research.

In this study, an innovative approach utilizing betaine as a raw material was employed to effectively modify the surface of chitosan with quaternary ammonium groups. X-ray photoelectron spectroscopy (XPS) and Fourier transform infrared spectrometer (FTIR) characterization showed that the quaternary ammonium groups on betaine were successfully loaded on the chitosan surface. The effects of dosage, pH, initial perchlorate concentration, temperature and co-existing anions on the removal efficiency of perchlorate were investigated. The saturated adsorption capacity of CGQS was 35.41 mg/g under natural condition. The impact of initial perchlorate concentrations and column flow rates on the column adsorption experiments were investigated, as well as natural water tests. Sterilizing performance experiments of CGQS were carried out innovatively. Under the condition of initial concentration of 0.5 mg/L, 9 BV/h (bed volume per hour), the effluent natural water was up to standard (≤0.07 mg/L) with a treatment capacity of 210 BV/g, and the sterilizing rate of CGQS was up to 97.02%. The proposed adsorption mechanisms involved surface pore adsorption, electrostatic adsorption of quaternary ammonium groups, and ion exchange between chloride and perchlorate ions. The CGQS prepared in this work had great potential for treating trace perchlorate contamination in natural water.

Influence of local governments on the greening of the manufacturing sector: A perspective on environmental governance objectives.

The green development of manufacturing industries is significantly impacted by local governments. In this study, we focus on assessing the environmental governance effectiveness by examining the tasks assigned by the central government to each province under the Comprehensive Work Program for Energy Conservation and Emission Reduction. By utilizing panel data from 30 provinces and cities in China from 2011 to 2020, we employ the super-efficient SBM model to evaluate China's manufacturing industry's green total factor productivity. Through various models, including the double-fixed effect and the mediation effect, we investigate the influence of environmental governance targets on the green total factor productivity of the manufacturing industry. Our findings reveal a U-shaped relationship between the environmental governance target and the green total factor productivity of the manufacturing industry. When the pressure of environmental governance targets is below a certain critical value, the green total factor productivity decreases as the target pressure increases. However, once the target pressure surpasses this critical value, the green total factor productivity experiences a positive correlation with the target pressure. Further analysis demonstrates that this U-shaped relationship is observed in regions with low and medium marketization, while regions with high marketization remain unaffected. Moreover, the impact of environmental governance target pressure on green total factor productivity in manufacturing is facilitated by the promotion of green innovation. Furthermore, the relationship between environmental governance target pressure and green total factor productivity in manufacturing is moderated by local government fiscal expenditures. In regions where fiscal expenditures are higher, the influence of environmental governance target pressure on green total factor productivity in manufacturing is more pronounced.

Real-Time Optimal States Estimation with Inertial and Delayed Visual Measurements for Unmanned Aerial Vehicles.

Motion estimation is a major issue in applications of Unmanned Aerial Vehicles (UAVs). This paper proposes an entire solution to solve this issue using information from an Inertial Measurement Unit (IMU) and a monocular camera. The solution includes two steps: visual location and multisensory data fusion. In this paper, attitude information provided by the IMU is used as parameters in Kalman equations, which are different from pure visual location methods. Then, the location of the system is obtained, and it will be utilized as the observation in data fusion. Considering the multiple updating frequencies of sensors and the delay of visual observation, a multi-rate delay-compensated optimal estimator based on the Kalman filter is presented, which could fuse the information and obtain the estimation of 3D positions as well as translational speed. Additionally, the estimator was modified to minimize the computational burden, so that it could run onboard in real time. The performance of the overall solution was assessed using field experiments on a quadrotor system, compared with the estimation results of some other methods as well as the ground truth data. The results illustrate the effectiveness of the proposed method.

Differences between reductive defluorination of perfluorooctanoic acid by chlorination, bromination, and iodization in the vacuum-ultraviolet/sulfite process.

The introduction of iodide (I-) has broad perspectives on the decomposition of perfluorocarboxylates (PFCAs, CnF2n+1COO-). However, the iodinated substances produced are highly toxic synthetic chemicals, hence, it is urgent to find a similar alternative with less toxicity. In this work, the defluorination of perfluorooctanoic acid (PFOA) by I-, bromide (Br-) and chlorine (Cl-) was systematically compared in the VUV/sulfite process. Results indicated that the PFOA defluorination rates increased with increasing nucleophilicity of halogens (I > Br > Cl). Meanwhile, the introduction of I-, Br-, and Cl- reduced the interference of the coexisting water matrix on the degrading influence of PFOA. The in situ produced eaq-, SO3•-, H•, and HO• were recognized, among the addition of I- maximized the relative contribution of eaq- but Br- and Cl- decreased that of H• and other radicals. Additionally, HPLC/MS analysis revealed the presence of I-, Br-, and Cl- had a vital impact on the difference in product concentrations, while they had a negligible effect on the change in the pathway of degradation. Overall, this study demonstrated the similarities and differences between I-, Br-, and Cl-, which has significant implications for further understanding VUV/sulfite degradation.

Multidimensional performance assessment, government competition and ecological welfare performance.

Improving the efficiency of converting natural resources into social benefits is an important issue for sustainable development in today's world. Based on this background this paper applies the super-efficient SBM model with non-expected output to measure the ecological welfare performance (EWP) of Chinese provinces from 2005-2019, and explores the relationship between government competition and EWP under different assessment systems. The research results show that government competition under economic performance assessment is self-interested and short-sighted, which can negatively affect ecological welfare performance in the current period as well as in the next four years. In contrast, government competition under the environmental assessment system promotes EWP in both the current and long term, balancing short-term and long-term benefits. The results of the spatial GMM found that government competition under economic performance appraisal can deteriorate EWP in local as well as surrounding areas, but government competition under the environmental assessment system can achieve an increase in local ecological welfare performance and the spillover effect is not significant. To alleviate the limitations of a single appraisal system, this paper incorporates both economic and ecological appraisals into the multidimensional appraisal system. When the weights of both are between 1:9 and 3:7, the government competition under multidimensional performance appraisal can promote both current and longer-term EWP, and achieve its own ecological welfare performance without affecting the surrounding areas.

The potential of the Medical Digital Twin in diabetes management: a review.

Diabetes is a chronic prevalent disease that must be managed to improve the patient's quality of life. However, the limited healthcare management resources compared to the large diabetes mellitus (DM) population are an obstacle that needs modern information technology to improve. Digital twin (DT) is a relatively new approach that has emerged as a viable tool in several sectors of healthcare, and there have been some publications on DT in disease management. The systematic summary of the use of DTs and its potential applications in DM is less reported. In this review, we summarized the key techniques of DTs, proposed the potentials of DTs in DM management from different aspects, and discussed the concerns of this novel technique in DM management.

Interface engineering of Mn3O4/Co3O4 S-scheme heterojunctions to enhance the photothermal catalytic degradation of toluene.

Transition metal oxides have high photothermal conversion capacity and excellent thermal catalytic activity, and their photothermal catalytic ability can be further improved by reasonably inducing the photoelectric effect of semiconductors. Herein, Mn3O4/Co3O4 composites with S-scheme heterojunctions were fabricated for photothermal catalytic degradation of toluene under ultraviolet-visible (UV-Vis) light irradiation. The distinct hetero-interface of Mn3O4/Co3O4 effectively increases the specific surface area and promotes the formation of oxygen vacancies, thus facilitating the generation of reactive oxygen species and migration of surface lattice oxygen. Theoretical calculations and photoelectrochemical characterization demonstrate the existence of a built-in electric field and energy band bending at the interface of Mn3O4/Co3O4, which optimizes the photogenerated carriers' transfer path and retains a higher redox potential. Under UV-Vis light irradiation, the rapid transfer of electrons between interfaces promotes the generation of more reactive radicals, and the Mn3O4/Co3O4 shows a substantial improvement in the removal efficiency of toluene (74.7%) compared to single metal oxides (53.3% and 47.5%). Moreover, the possible photothermal catalytic reaction pathways of toluene over Mn3O4/Co3O4 were also investigated by in situ DRIFTS. The present work offers valuable guidance toward the design and fabrication of efficient narrow-band semiconductor heterojunction photothermal catalysts and provides deeper insights into the mechanism of photothermal catalytic degradation of toluene.

Recent Progress of Carbon Dots for Air Pollutants Detection and Photocatalytic Removal: Synthesis, Modifications, and Applications.

Rapid industrialization has inevitably led to serious air pollution problems, thus it is urgent to develop detection and treatment technologies for qualitative and quantitative analysis and efficient removal of harmful pollutants. Notably, the employment of functional nanomaterials, in sensing and photocatalytic technologies, is promising to achieve efficient in situ detection and removal of gaseous pollutants. Among them, carbon dots (CDs) have shown significant potential due to their superior properties, such as controllable structures, easy surface modification, adjustable energy band, and excellent electron-transfer capacities. Moreover, their environmentally friendly preparation and efficient capture of solar energy provide a green option for sustainably addressing environmental problems. Here, recent advances in the rational design of CDs-based sensors and photocatalysts are highlighted. An overview of their applications in air pollutants detection and photocatalytic removal is presented, especially the diverse sensing and photocatalytic mechanisms of CDs are discussed. Finally, the challenges and perspectives are also provided, emphasizing the importance of synthetic mechanism investigation and rational design of structures.

Thermal treatment of sewage sludge: A comparative review of the conversion principle, recovery methods and bioavailability-predicting of phosphorus.

Phosphorus is a nutrient that is essential to nature and human life and has attracted attention because of its very limited reserves. Dwindling phosphorus reserves and soaring prices have made the recovery of phosphorus from waste biosolids even more urgent. Waste activated sludge, as the final destination of most of the phosphorus in human domestic and industrial water, has been considered as a reliable source of phosphorus recovery. The thermal treatment method of sewage sludge is currently a relatively environmentally friendly disposal method, which mainly includes incineration, pyrolysis and hydrothermal carbonization. This paper reviews the methods for the recovery of different forms of phosphorus (wet chemical, thermochemical and electrodialysis) from solid products obtained from different sludge thermal treatment methods (incinerated sewage sludge ash, pyrolysis of sewage sludge char and hydrochar) and the bioavailability of the recovered phosphorus products. Incineration of sewage sludge is currently the most established and effective method for recovering phosphorus from the thermal treatment products of sewage sludge. One of the wet chemical methods has been applied on a commercial scale and is expected to be further developed for future industrial applications. Pyrolysis and hydrothermal carbonation still have many research gaps in this field. Based on their principles and laboratory performance, both of them have the potential to recover phosphorus and should be further explored.

Catalytic enhancement of hydrogenation reduction and oxygen transfer reaction for perchlorate removal: A review.

Perchlorate is the main contaminant in surface water and groundwater, and it is of current urgency to remove due to its high water solubility, mobility, and endocrine-disrupting properties. The conversion of perchlorate into harmless chloride ions by using appropriate catalysts is the most promising and effective route to overcome its high activation energy and kinetic stability. Perchlorate is usually reduced in two ways: (1) indirect reduction via oxygen atom transfer (OAT) reaction or (2) hydrodeoxygenation through highly active reducing H atoms. This paper discusses the mechanisms underlying both the OAT reaction catalyzed by homogenous rhenium-oxo complexes or biological Mo-based enzymes and the heterogeneous hydrogenation for perchlorate reduction. Particular emphasis is placed on the factors affecting the catalytic process and the synergy between the (1) and (2) reactions. For completeness, the applicability of different electrolysis devices, electrodes, and bioreactors is also illustrated. Finally, this article gives prospects for the synthesis and application of catalysts in different pathways.

Highly efficient simultaneous removal of HCHO and elemental mercury over Mn-Co oxides promoted Zr-AC samples.

MnxCoy/Zrz-AC prepared by impregnation method was investigated on the simultaneous removal of HCHO and Hg0. The samples were characterized by BET, SEM, XRD, H2 pulse chemisorption, H2-TPR, XPS, Hg-TPD and in-situ DRIFTS. Thereinto, the optimal Mn2/3Co8/Zr10-AC achieved 99.87% HCHO removal efficiency and 82.41% Hg0 removal efficiency at 240 °C, respectively. With increased surface area and pore volume, Zr-AC support facilitated higher dispersion of MnOx-CoOx. Moreover, the co-doping of MnOx-CoOx endowed the sample with more active oxygen species and higher reducibility, which further facilitated the removal of HCHO and Hg0. Chemisorption was proved to predominate in Hg0 removal, and oxidation also worked as Hg2+ was detected in outlet gas. Besides, HCHO predominated in the competition of active oxygen species, especially for lattice oxygen, thus suppressed the Hg0 removal. According to in-situ DRIFTS, HCHO removal proceeded as HCHOads → DOM → formate species → CO2 + H2O, and was boosted by active oxygen species. Furthermore, Mn2/3Co8/Zr10-AC was proved with excellent regeneration performance, indicating its potential in practical application.

Insight into the effect of SO2 on the Hg0 removal performance over a 1V-8Ce/AC sorbent at low temperatures.

The influences of SO2 on Hg° removal over the 1V-8Ce/AC sorbent were systematically investigated at low temperatures. The experimental results showed that SO2 has a dual effect on Hg° removal, that is, SO2 has both a promoting effect and an inhibiting effect on Hg° removal. The SO2 transient response experiment indicated that SO2 could not only react with Hg° to promote the removal of Hg° but also react with the active components and poison the sorbent. O2 is indispensable for the removal of Hg°, which can offset the adverse effects caused by SO2 and H2O. HCl exhibited an obvious promoting effect on Hg° removal in the presence of SO2. The 1V-8Ce/AC sorbent exhibited good sulfur resistance and excellent stability (EHg = 90.04 %) after a 24 h reaction performed under the 1000 ppm SO2 condition at 150 °C. In addition, the Hg-TPD and XPS methods were used to assist in studying the effect of SO2 on Hg° removal over the 1V-8Ce/AC sorbent. Finally, the mechanism of Hg° removal in an SO2 atmosphere was also explored, which showed that Hg° was removed by two possible pathways over the 1V-8Ce/AC sorbent.

Integrated paper-based 3D platform for long-term cell culture and in situ cell viability monitoring of Alzheimer's disease cell model.

Reactive oxygen species including superoxide anion, hydrogen peroxide (H2O2) and hydroxyl radicals, as a conflicting class of biological metabolites in living organism, act crucial effect on Alzheimer's disease (AD). In this work, a facile integrated platform composed of a paper-based three-dimension (3D) cell culture system and an electrochemical sensor was developed for the construction of AD cell model in third dimensional structure and in situ cell viability monitoring by H2O2 released from PC12 cells cultured on paper scaffold were divided into three groups containing control group, amyloid beta peptide 25-35 (Aß25-35) group and Aß25-35+curcumin (Aß25-35+cur) group, respectively. In addition, the paper-based 3D platform displayed excellent properties, such as sensitivity, selectivity, reproducibility and stability. The levels of H2O2 expressed in PC12 cells of the three groups were monitored through a paper-based 3D platform. The viability of cells cultured on the 96-well plate was measured by 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assay. Results of this paper-based platform are consistent with those of MTT, both displaying improved cell viability and decreased H2O2 production in Aß25-35+cur group compared to Aß25-35 group, which indicates that curcumin has effective cytoprotection. The paper-based 3D platform provides a convenient, economic and universal platform for in situ cell activity monitoring by key small molecules released from living cells.

Catalytic co-pyrolysis of sewage sludge and rice husk over biochar catalyst: Bio-oil upgrading and catalytic mechanism.

In this study, the effects of different biochar catalysts on the quality of bio-oil derived from the co-pyrolysis of sewage sludge (SS) and rice husk (RH) are explored. Catalysts include SS biochar (SWC), RH biochar (RHC), mixed SS and RH biochar (SRC), and RH ash (RHA). The quality of bio-oil was evaluated based on the results of gas chromatography-mass spectrometry (GC-MS; including the contents of hydrocarbons and N-species), oxygen content, higher heating value, and pH. The GC-MS analysis results illustrated that N-species content in the bio-oil reduced with the addition of the biochar catalyst, while the hydrocarbons content increased from 15.51% for co-pyrolysis to 38.74-61.84% for different biochar catalysts at a catalytic temperature of 650 °C. RHC exhibited the best catalytic effect in terms of decreasing the content of N-species by 58.79% and increasing the content of hydrocarbons by nearly four times compared to co-pyrolysis. The higher heating value of bio-oil raised from 25.75 to 34.67 MJ/kg, while oxygen content decreased from 31.1 to 8.81 wt%, and the pH increased from 4.06 to 5.48. Moreover, the catalytic mechanism of catalytic co-pyrolysis over RHC, including the hydrocarbon generation pathway and nitrogen removal, is also discussed here. High specific surface area of RHC provides sufficient active sites (e.g. O-containing and N-containing functional groups) for the catalytic reaction of pyrolytic intermediates.

Ultrafine Re/Pd nanoparticles on polydopamine modified carbon nanotubes for efficient perchlorate reduction and reusability.

This study synthesized nanocomposite catalysts via a modification of Re/Pd codoped carbon nanotubes (CNTs) with different concentrations of polydopamine (PDA), which were used for perchlorate (ClO4-) reduction. The loads, dispersion and reducibility of Re/Pd nanoparticles increased yet their particle sizes significantly decreased with the increase of PDA concentrations. The average diameter of Re/Pd codoped D2CNT (CNT modified by 2 mg/mL PDA) with a narrow size distribution was measured to be 2 nm. The ultrafine Re/Pd codoped D2CNT catalysts represented outstanding catalytic reduction activity for the conversion of ClO4- to Cl- with TOF of 17.34 h-1 under the room H2 atmospheric pressure, which was about 8 times than that of the unmodified catalysts. Furthermore, PDA modification minimized the dissociation of Re by chemical bonding between Re and CNTs carrier and maintained good stability of nanocomposite. This study inspires us to apply green bionic methods to enhance the catalytic reduction of perchlorate by changing the physical properties of Re/Pd nanoparticles.

Promotional removal of gas-phase Hg0 over activated coke modified by CuCl2.

Impregnating CuCl2 on AC (activated coke) support to synthesize xCuCl2/AC showed superior activity with higher 90% Hg0 removal efficiency at 80-140 °C, as well as a lower oxygen demand of 2% O2 for Hg0 removal. The acceleration on Hg0 removal was observed for NO and SO2. The BET, SEM, XRD, XPS, TPD, and FT-IR characterizations revealed that the larger surface area, sufficient active oxygen species and co-existence of Cu+ and Cu2+ may account for the efficient Hg0 removal. In addition, the low demand of gaseous O2 was contributed to higher content of active oxygen and formed active Cl. After adsorbing on Cu sites, Cl sites, and surface functional groups, the Hg0(ads) removal on xCuCl2/AC was proceeded through two ways. Part of Hg0(ads) was oxidized by active O and formed Hg0, and the other part of Hg0 combined with the active Cl, which was formed by the activation of lattice Cl with the aid of active O, and formed HgCl2. Besides, the Hg2+ detected in outlet gas through mercury speciation conversion and desorption peak of HgCl2 and Hg0 further proved it. As displayed in stability test and simulated industrial application test, CuCl2/AC has a promising industrial application prospect.

Effect of temperature on the sulfur fate during hydrothermal carbonization of sewage sludge.

To understand the effect of reaction temperature on sulfur during hydrothermal carbonization (HTC) of sewage sludge (SS), seven group of temperature (180-300 °C) were chosen to investigate the distributions and evolution of sulfur-containing compounds in hydrochar and the liquid products. Elemental analysis, X-ray photoelectron spectroscopy (XPS), and X-Ray powder diffraction (XRD) were used to characterize the distribution of sulfur in hydrochar. The concentrations of sulfate ions and sulfide were determined in the liquid sample. The experimental results showed that as the temperature increased, the O/C ratio decreased because of the improved carbonization degree of SS. After hydrothermal carbonization, 90% of the sulfur in SS remained in hydrochar. As the temperature increased, the amount of sulfur in the liquid, mainly in the form of sulfate ions, tended to decrease. However, the experimental results for the gas phase were the opposite of the liquid phase.

Hydrothermal carbonization of sewage sludge: Effect of feed-water pH on hydrochar's physicochemical properties, organic component and thermal behavior.

In this study, hydrothermal carbonization (HTC) of sewage sludge(SS) was carried out at a temperature of 270℃ and a resulting pressure of 7-9 MPa with 2 h. The effect of feed water pH values in the range of 2-12 on hydrochar characteristics, organic component and thermal behavior was evaluated. The result shows that with the pH value increasing, ash content shows a trend of decline, and organic components in the hydrochar become significantly simpler than SS. hydrochar is more beneficial to produce a fatty substance during an acidic environment and alkaline environments favor the formation of N-containing organic compounds and ketone organics, especially in strongly alkaline environments. Compared to the SS, hydrochar burning interval shortened 100℃ and the combustion of hydrochar is more durable. Considering the organic composition and combustion performance of hydrochar, it is found that the hydrochar prepared under 270-5 condition has the best effect.

Fe(II) activated persulfate assisted hydrothermal conversion of sewage sludge: Focusing on nitrogen transformation mechanism and removal effectiveness.

In this study, Fe(II)-activated persulfate-assisted hydrothermal treatment (Fe(II)-PS-HT) was used to improve the efficiency of removing nitrogen (N) from the sewage sludge (SS) under relatively mild conditions (i.e., at 150 °C, for 20min), and the N transformation mechanism was investigated. The total N content in the solid residue was used to evaluate the N removal efficiency. Further, the redistribution of N in the solid and liquid products was characterized and quantified to obtain a N transformation mechanism during sequential persulfate oxidation (Fe(II) and persulfate) assisted hydrothermal treatment (HT). The experimental results denote that the N removal efficiency obtained from the Fe(II)-PS-HT (persulfate/C = 0.085 and Fe(II)/persulfate = 0.5) treated SS was increased by 35.0% at a relatively mild temperature (i.e., 150 °C) when compared with that obtained by treating SS using normal HT. Elevating Fe(II)/persulfate ratio to 1.25 promoting the N removal efficiency by 59.9%-65.9%. Furthermore, the electron paramagnetic resonance (EPR) and scanning electron microscopy (SEM) results clearly denote a N removal mechanism where the sulfate radicals (SO4∙-) produced by Fe(II)-PS destroy the sludge structure and destructed extracellular polymers (EPS). In the absence of EPS protection, proteins were directly exposed to extreme hydrothermal circumstances, and were rapidly transformed from the SS into the liquid residue. The free radicals also provided energy for the denitrification of Heterocycle-N. Consequently, a high N removal efficiency was obtained by Fe(II)-PS-HT with persulfate/C = 0.085 and Fe(II)/persulfate = 1.25 at 150 °C for 20 min.