One-Step Fabrication of Recyclable Konjac Glucomannan-Based Magnetic Nanoparticles for Highly Efficient Cr(VI) Adsorption.

Recently, the natural polymer polysaccharide konjac glucomannan (KGM) has received attention as a promising adsorbent in water treatment due to its low toxicity, cost-effectiveness and biocompatibility. However, the high-level water absorbency of KGM makes it difficult to recover in water treatment. In this study, by combining KGM with magnetic nanoparticles, KGM-based magnetic nanoparticles (KGM-Fe3O4 NPs) with excellent adsorption properties and recyclability for heavy metals were prepared using an one-step precipitation method. The as-prepared KGM-Fe3O4 NPs have a spherical morphology of superparamagnetism with a small particle size (ca. 7.0 nm) and a large specific surface area (160.1 m2·g-1). Taking Cr(VI) as the target heavy metal ion, the above nanoparticles have a high adsorption capacity and fast adsorption rate for Cr(VI). The pseudo-second order kinetic model is more suitable to describe the adsorption process of Cr(VI) by KGM-Fe3O4 NPs, and the maximum adsorption capacity of Cr(VI) onto KGM-Fe3O4 NPs was calculated to be 41.67 mg·g-1 using the Langmuir isotherm model. In addition, KGM-Fe3O4 NPs with adsorbed heavy metal ions can be quickly recovered from a solution, regenerated, and reused in the next cycle. KGM-based Fe3O4 nanoparticles are promising adsorbents that show significant reusability for the removal of metal ions in water and wastewater treatment.

Society of Cardiovascular Anesthesiologists Clinical Practice Update for Management of Acute Kidney Injury Associated With Cardiac Surgery.

Cardiac surgery-associated acute kidney injury (CS-AKI) is common and is associated with increased risk for postoperative morbidity and mortality. Our recent survey of the Society of Cardiovascular Anesthesiologists (SCA) membership showed 6 potentially renoprotective strategies for which clinicians would most value an evidence-based review (ie, intraoperative target blood pressure, choice of specific vasopressor agent, erythrocyte transfusion threshold, use of alpha-2 agonists, goal-directed oxygen delivery on cardiopulmonary bypass [CPB], and the "Kidney Disease Improving Global Outcomes [KDIGO] bundle of care"). Thus, the SCA's Continuing Practice Improvement Acute Kidney Injury Working Group aimed to provide a practice update for each of these strategies in cardiac surgical patients based on the evidence from randomized controlled trials (RCTs). PubMed, EMBASE, and Cochrane library databases were comprehensively searched for eligible studies from inception through February 2021, with search results updated in August 2021. A total of 15 RCTs investigating the effects of the above-mentioned strategies on CS-AKI were included for meta-analysis. For each strategy, the level of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. Across the 6 potentially renoprotective strategies evaluated, current evidence for their use was rated as "moderate," "low," or "very low." Based on eligible RCTs, our analysis suggested using goal-directed oxygen delivery on CPB and the "KDIGO bundle of care" in high-risk patients to prevent CS-AKI (moderate level of GRADE evidence). Our results suggested considering the use of vasopressin in vasoplegic shock patients to reduce CS-AKI (low level of GRADE evidence). The decision to use a restrictive versus liberal strategy for perioperative red cell transfusion should not be based on concerns for renal protection (a moderate level of GRADE evidence). In addition, targeting a higher mean arterial pressure during CPB, perioperative use of dopamine, and use of dexmedetomidine did not reduce CS-AKI (a low or very low level of GRADE evidence). This review will help clinicians provide evidence-based care, targeting improved renal outcomes in adult patients undergoing cardiac surgery.

Photochemical Behavior of Microbial Extracellular Polymeric Substances in the Aquatic Environment.

Microbially derived extracellular polymeric substances (EPSs) occupy a large portion of dissolved organic matter (DOM) in surface waters, but the understanding of the photochemical behaviors of EPS is still very limited. In this study, the photochemical characteristics of EPS from different microbial sources (Shewanella oneidensis, Escherichia coli, and sewage sludge flocs) were investigated in terms of the production of reactive species (RS), such as triplet intermediates (3EPS*), hydroxyl radicals (•OH), and singlet oxygen (1O2). The steady-state concentrations of •OH, 3EPS*, and 1O2 varied in the ranges of 2.55-8.73 × 10-17, 3.01-4.56 × 10-15, and 2.08-2.66 × 10-13 M, respectively, which were within the range reported for DOM from other sources. The steady-state concentrations of RS varied among different EPS isolates due to the diversity of their composition. A strong photochemical degradation of the protein-like components in EPS isolates was identified by excitation emission matrix fluorescence with parallel factor analysis, but relatively, humic-like components remained stable. Fourier-transform ion cyclotron resonance mass spectrometry further revealed that the aliphatic portion of EPS was resistant to irradiation, while other portions with lower H/C ratios and higher O/C ratios were more susceptible to photolysis, leading to the phototransformation of EPS to higher saturation and lower aromaticity. With the phototransformation of EPS, the RS derived from EPS could effectively promote the degradation of antibiotic tetracycline. The findings of this study provide new insights into the photoinduced self-evolution of EPS and the interrelated photochemical fate of contaminants in the aquatic environment.

Hybrid microbial electrolytic/UV system for highly efficient organic pollutants removal.

This study for the first time proposed an efficient microbial electrolyte/UV system for Methyl Orange decomposition. With an external applied voltage of 0.2 V and cathode aeration of 20 mL/min, H2O2 could be in-situ generated from two-electron reduction of oxygen in cathode, reaching to 8.1 mg/L in 2 hr and continued to increase. The pollutant removal efficiency of approximate 94.7% was achieved at initial neutral pH, with the activation of •OH in the presence of UV illumination. Although the nature of its guiding principles remain on the vista of practical exploration, this proof-of-concept study provides an alternative operation pattern of solar-microbial hybrid technology for future wastewater treatment from a basic but multidisciplinary view.

Study of extracellular polymeric substances in the biofilms of a suspended biofilter for nitric oxide removal.

The extraction and quantitative analysis of extracellular polymeric substances (EPS) have been frequently reported in studies of activated sludge. However, little is currently known about the EPS in the biofilms of biofilter systems. This study investigates the EPS in biofilms of Chelatococcus daeguensis TAD1 established in a suspended biofilter for nitric oxide (NO) removal under thermophilic conditions. Polysaccharide was the main EPS component under all experimental operation conditions of the aerobic biofilter, although the EPS contents and components varied under different operating conditions. As the concentration of the inlet NO varied from 200 to 2000 mg/m3, the EPS and protein contents generally increased. At the highest inlet concentration (2000 mg/m3), the EPS and protein contents reached 0.118 and 0.055 mg/g, respectively (representing increases of 7.3 and 35 %, respectively, over the inlet concentration of 200 mg/m3). In contrast, the polysaccharide content was quite stable against inlet NO concentration. Decreasing the empty bed residence time increased the EPS and polysaccharide contents, but exerted little effect on the protein content. Varying the pH of the circulating fluid from 4 to 8 changed the EPS and its components in complex ways. We also found a strong correlation between the total EPS content and the NO removal efficiency. Therefore, it is possible to take EPS into consideration for biofilter control.

Electrochemical Sensing toward Trace As(III) Based on Mesoporous MnFe2O4/Au Hybrid Nanospheres Modified Glass Carbon Electrode.

Au nanoparticles decorated mesoporous MnFe2O4 nanocrystal clusters (MnFe2O4/Au hybrid nanospheres) were used for the electrochemical sensing of As(III) by square wave anodic stripping voltammetry (SWASV). Modified on a cheap glass carbon electrode, these MnFe2O4/Au hybrid nanospheres show favorable sensitivity (0.315 µA/ppb) and limit of detection (LOD) (3.37 ppb) toward As(III) under the optimized conditions in 0.1 M NaAc-HAc (pH 5.0) by depositing for 150 s at the deposition potential of -0.9 V. No obvious interference from Cd(II) and Hg(II) was recognized during the detection of As(III). Additionally, the developed electrode displayed good reproducibility, stability, and repeatability, and offered potential practical applicability for electrochemical detection of As(III) in real water samples. The present work provides a potential method for the design of new and cheap sensors in the application of electrochemical determination toward trace As(III) and other toxic metal ions.

Reduction of selenite to selenium nanoparticles by highly selenite-tolerant bacteria isolated from seleniferous soil.

The microbial reduction of selenite to elemental selenium nanoparticles (SeNPs) is thought to be an effective detoxification process of selenite for many bacteria. In this study, Metasolibacillus sp. ES129 and Oceanobacillus sp. ES111 with high selenite reduction efficiency or tolerance were selected for systematic and comparative studies on their performance in selenite removal and valuable SeNPs recovery. The kinetic monitoring of selenite reduction showed that the highest transformation efficiency of selenite to SeNPs was achieved at a concentration of 4.24 mM for ES129 and 4.88 mM for ES111. Ultramicroscopic analysis suggested that the SeNPs produced by ES111 and ES129 had been formed in cytoplasm and subsequently released to extracellular space through cell lysis process. Furthermore, the transcriptome analysis indicated that the expression of genes involved in bacillithiol biosynthesis, selenocompound metabolism and proline metabolism were significantly up-regulated during selenite reduction, suggesting that the transformation of selenite to Se0 may involve multiple pathways. Besides, the up-regulation of genes associated with nucleotide excision repair and antioxidation-related enzymes may enhance the tolerance of bacteria to selenite. Generally, the exploration of selenite reduction and tolerance mechanisms of the highly selenite-tolerant bacteria is of great significance for the effective utilization of microorganisms for environmental remediation.

FaxMatch: Multi-Curriculum Pseudo-Labeling for semi-supervised medical image classification.

BACKGROUND: Semi-supervised learning (SSL) can effectively use information from unlabeled data to improve model performance, which has great significance in medical imaging tasks. Pseudo-labeling is a classical SSL method that uses a model to predict unlabeled samples and selects the prediction with the highest confidence level as the pseudo-labels and then uses the generated pseudo-labels to train the model. Most of the current pseudo-label-based SSL algorithms use predefined fixed thresholds for all classes to select unlabeled data. PURPOSE: However, data imbalance is a common problem in medical image tasks, where the use of fixed threshold to generate pseudo-labels ignores different classes of learning status and learning difficulties. The aim of this study is to develop an algorithm to solve this problem. METHODS: In this work, we propose Multi-Curriculum Pseudo-Labeling (MCPL), which evaluates the learning status of the model for each class at each epoch and automatically adjusts the thresholds for each class. We apply MCPL to FixMatch and propose a new SSL framework for medical image classification, which we call the improved algorithm FaxMatch. To mitigate the impact of incorrect pseudo-labels on the model, we use label smoothing (LS) strategy to generate soft labels (SL) for pseudo-labels. RESULTS: We have conducted extensive experiments to evaluate our method on two public benchmark medical image classification datasets: the ISIC 2018 skin lesion analysis and COVID-CT datasets. Experimental results show that our method outperforms fully supervised baseline, which uses only labeled data to train the model. Moreover, our method also outperforms other state-of-the-art methods. CONCLUSIONS: We propose MCPL and construct a semi-supervised medical image classification framework to reduce the reliance of the model on a large number of labeled images and reduce the manual workload of labeling medical image data.

ReFixMatch-LS: reusing pseudo-labels for semi-supervised skin lesion classification.

Recent research on semi-supervised learning (SSL) is mainly based on the method of consistency regularization, which relies on domain-specific data augmentation. Pseudo-labeling is a more general method that has no such restrictions but performs limited by noisy training. We combine both approaches and focus on generating pseudo-labels using domain-independent weak augmentation. In this article, we propose ReFixMatch-LS and apply it to the classification of medical images. First, we reduce the impact of noisy artificial labels by label smoothing and consistent regularization. Then, by recording high-confidence pseudo-labels generated from each epoch during training, we reuse the generated pseudo-labels to train the model in the subsequent epochs. ReFixMatch-LS effectively increases the number of pseudo-labels and improves the model performance. We validate the effectiveness of ReFixMatch-LS on skin lesion diagnosis in the ISIC 2018 and ISIC 2019 challenge datasets, obtaining AUCs of 91.54%, 93.68%, 94.55%, and 95.47% on the four proportions of labeled data from ISIC 2018.

Protection of electroactive biofilms against hypersaline shock by quorum sensing.

Quorum sensing (QS) is an ideal strategy for boosting the operating performance of electroactive biofilms (EABs), but its potential effects on the protection of electroactive biofilms against environmental shocks (e.g., hypersaline shock) have been rarely revealed. In this study, a QS signaling molecule, the N-(3-oxo-dodecanoyl)-L-homoserine lactone, was employed to promote the anti-shock property of the EABs against extreme saline shock. The maximum current density of the QS-regulated biofilm recovered to 0.17 mA/cm2 after 10% salinity exposure, which was much higher than those of its counterparts. The laser scanning confocal microscope confirmed a thicker and more compact biofilm with the presence of the QS signaling molecule. The extracellular polymeric substances (EPS) might play a crucial role in the anti-shocking behaviors, as the polysaccharides in EPS of QS-biofilm had doubled compared to the groups with acylase (the QS quencher). The microbial community analysis indicated that the QS molecule enriched the relative abundance of key species including Pseudomonas sp. and Geobacter sp., which were both beneficial to the stability and electroactivity of the biofilms. The functional genes related to the bacterial community were also up-regulated with the presence of the QS molecule. These results highlight the importance of QS effects in protecting electroactive biofilm under extreme environmental shock, which provides effective and feasible strategies for the future development of microbial electrochemical technologies.

Reappraisal of the role of motor and somatosensory evoked potentials during open distal aortic repair.

OBJECTIVE: Intraoperative motor and somatosensory evoked potentials have been applied to monitor spinal cord ischemia during repair. However, their predictive values remain controversial. The purpose of this study was to evaluate the impact of motor evoked potentials and somatosensory evoked potentials on spinal cord ischemia during open distal aortic repair. METHODS: Our group began routine use of both somatosensory evoked potentials and motor evoked potentials at the end of 2004. This study used a historical cohort design, using risk factor and outcome data from our department's prospective registry. Univariate and multivariable statistics for risk-adjusted effects of motor evoked potentials and somatosensory evoked potentials on neurologic outcome and model discrimination were assessed with receiver operating characteristic curves. RESULTS: Both somatosensory evoked potentials and motor evoked potentials were measured in 822 patients undergoing open distal aortic repair between December 2004 and December 2019. Both motor evoked potentials and somatosensory evoked potentials were intact for the duration of surgery in 348 patients (42%). Isolated motor evoked potential loss was observed in 283 patients (34%), isolated somatosensory evoked potential loss was observed in 18 patients (3%), and both motor evoked potential and somatosensory evoked potential loss were observed in 173 patients (21%). No spinal cord ischemia occurred in the 18 cases with isolated somatosensory evoked potential loss. When both signals were lost, signal loss happened in the order of motor evoked potentials and then somatosensory evoked potentials. Immediate spinal cord ischemia occurred in none of those without signal loss, 4 of 283 (1%) with isolated motor evoked potential loss, and 15 of 173 (9%) with motor evoked potential plus somatosensory evoked potential loss. Delayed spinal cord ischemia occurred in 12 of 348 patients (3%) with intact evoked potentials, 24 of 283 patients (8%) with isolated motor evoked potentials loss, and 27 of 173 patients (15%) with motor evoked potentials + somatosensory evoked potentials loss (P < .001). Motor evoked potentials and somatosensory evoked potentials loss were each independently associated with spinal cord ischemia. For immediate spinal cord ischemia, no return of motor evoked potential signals at the conclusion of the surgery had the highest odds ratio of 15.87, with a receiver operating characteristic area under the curve of 0.936, whereas motor evoked potential loss had the highest odds ratio of 3.72 with an area under the curve of 0.638 for delayed spinal cord ischemia. CONCLUSIONS: Somatosensory evoked potentials and motor evoked potentials are both important monitoring measures to predict and prevent spinal cord ischemia during and after open distal aortic repairs. Intraoperative motor evoked potential loss is a risk for immediate and delayed spinal cord ischemia after open distal aortic repair, and somatosensory evoked potential loss further adds predictive value to the motor evoked potential.

Complexing agents-free bioelectrochemical trickling systems for highly-efficient mesothermal NO removal: The role of extracellular polymer substances.

The biological treatments are promising for nitric oxide (NO) reduction, however, the biotechnology has long suffered from high demands of NO-complexing agents (i.e., Fe(II)EDTA), leading to extra operation costs. In this study, novel complexing agents-free bioelectrochemical systems have been developed for direct NO reduction. The electricity-driven bioelectrochemical trickling system (ED-BTS, a denitrifying biocathode driven by the external electricity and an acetate-consuming bioanode) achieved approximately 68% NO removal without any NO-complexing agents, superior to the bioanode-driven BTS and open-circuit BTS. The extracellular polymeric substances from the biofilms of ED-BTS contained more polysaccharides, humic substrates, and hydrophobic tryptophan that were beneficial for NO reduction. Additionally, the external electricity altered the microbial community toward more denitrifying bacteria and a higher abundance of NO reduction genes (nosZ and cnorB). This study provides a comprehensive understanding of microbial behaviors on the adsorption and reduction of NO and proposes a promising strategy for mesothermal NO biotreatment.

Explaining nitrogen turnover in sediments and water through variations in microbial community composition and potential function.

Anthropogenic activities greatly impact nitrogen (N) biogeochemical cycling in aquatic ecosystems. High N concentrations in coastal aquaculture waters threaten fishery production and aquaculture ecosystems and have become an urgent problem to be solved. Existing microbial flora and metabolic potential significantly regulate N turnover in aquatic ecosystems. To clarify the contribution of microorganisms to N turnover in sediment and water, we investigated three types of aquaculture ecosystems in coastal areas of Guangdong, China. Nitrate nitrogen (NO3--N) was the dominant component of total nitrogen in the sediment (interstitial water, 90.4%) and water (61.6%). This finding indicates that NO3--N (1.67-2.86 mg/L and 2.98-7.89 mg/L in the sediment and water) is a major pollutant in aquaculture ecosystems. In water, the relative abundances of assimilation nitrogen reduction and aerobic denitrifying bacteria, as well as the metabolic potentials of nitrogen fixation and dissimilated nitrogen in fish monoculture, were only 61.0%, 31.5%, 47.5%, and 27.2% of fish and shrimp polyculture, respectively. In addition, fish-shrimp polyculture reduced NO3--N content (2.86 mg/L) compared to fish monoculture (7.89 mg/L), which was consistent with changes in aerobic denitrification and nitrate assimilation, suggesting that polyculture could reduce TN concentrations in water bodies and alleviate nitrogen pollution risks. Further analysis via structural equation modeling (SEM) revealed that functional pathways (36% and 31%) explained TN changes better than microbial groups in sediment and water (13% and 11%), suggesting that microbial functional capabilities explain TN better than microbial community composition and other factors (pH, O2, and aquaculture type). This study enhances our understanding of nitrogen pollution characteristics and microbial community and functional capabilities related to sediment-water nitrogen turnover in three types of aquaculture ecosystems, which can contribute to the preservation of healthy coastal ecosystems.

Perspectives on Microbial Electron Transfer Networks for Environmental Biotechnology.

The overlap of microbiology and electrochemistry provides plenty of opportunities for a deeper understanding of the redox biogeochemical cycle of natural-abundant elements (like iron, nitrogen, and sulfur) on Earth. The electroactive microorganisms (EAMs) mediate electron flows outward the cytomembrane via diverse pathways like multiheme cytochromes, bridging an electronic connection between abiotic and biotic reactions. On an environmental level, decades of research on EAMs and the derived subject termed "electromicrobiology" provide a rich collection of multidisciplinary knowledge and establish various bioelectrochemical designs for the development of environmental biotechnology. Recent advances suggest that EAMs actually make greater differences on a larger scale, and the metabolism of microbial community and ecological interactions between microbes play a great role in bioremediation processes. In this perspective, we propose the concept of microbial electron transfer network (METN) that demonstrates the "species-to-species" interactions further and discuss several key questions ranging from cellular modification to microbiome construction. Future research directions including metabolic flux regulation and microbes-materials interactions are also highlighted to advance understanding of METN for the development of next-generation environmental biotechnology.

Self-produced biophotosensitizers enhance the degradation of organic pollutants in photo-bioelectrochemical systems.

Bioelectrochemical systems (BESs) with integrated photoactive components have been shown to be a promising strategy for enhancing the performance for bioenergy generation and pollutant removal. This study revealed an efficient photo-BES with an enhanced pollutant degradation rate by utilizing self-produced biomolecules as photosensitizers in situ. Results showed that the BES could increase the coulombic efficiency from 60.8% to 73.0% and the degradation rate of bisphenol A (BPA) from 0.030 to 0.189 h-1 when the suspension in the reactor was illuminated with simulated sunlight in the absence of any external photosensitizers. We identified that the regular BES released many organic substances into the reactor during operation. These substances, including dissolved biomolecules and solid cell residues, were photoactive for producing hydroxyl radicals during light illumination. Quenching experiments verified that the •OH generated from the self-produced biophotosensitizers contributed to the enhanced degradation of BPA. Additionally, the phototransformation of biophotosensitizers was also observed in photo-BES. The quantity of tyrosine protein-like components decreased, but that of the humic components remained relatively stable. Our findings imply that BESs with integrated self-produced biophotosensitizers may be promising for constructing advanced electrochemical and biological systems for synchronous bioelectricity production and degradation of organic pollutants in wastewater treatments.

Aerobic degradation of nonhalogenated organophosphate flame esters (OPEs) by enriched cultures from sludge: Kinetics, pathways, bacterial community evolution, and toxicity evaluation.

The degradation by bacteria has been considered the main process for eliminating nonhalogenated organophosphate esters (OPEs) from wastewater treatment plants (WWTPs), but limited research has reported the biodegradation processes and clarified the microbial-mediated mechanisms for nonhalogenated OPE degradation in WWTPs. The aim of this study was to monitor the biodegradation of the most common nonhalogenated OPEs, namely, tris(2-butoxyethyl) phosphate (TBOEP), tris (n-butyl) phosphate (TNBP) and trisphenyl phosphate (TPHP), under aerobic conditions by sludge cultures from a conventional sewage plant. The microbial cultures were enriched separately with each OPE from activated sludge cultures, and the presence of glucose significantly enhanced degradation of the OPEs during the enrichment. The removal ratios for the three OPEs reached 29.3-89.9% after 5 cycles (25 days) of cultivation, and the first-order degradation kinetics followed the order of TPHP > TBOEP > TNBP, with their half-lives ranging between 12.8 and 99.0 h. Pathways of hydrolysis, hydroxylation, methoxylation, and substitution were confirmed for the aerobic biodegradation of these nonhalogenated OPEs, but only di-alkyl phosphates (DAPs) largely accumulated in culture medium as the most predominant transformation products. Phylotypes in Klebsiella were significantly more abundant during OPE biodegradation than in the initial sludge, which indicated that these microorganisms are associated with the biodegradation of nonhalogenated OPEs in sludge culture. Biodegradation of all investigated nonhalogenated OPEs was associated with a significant reduction in the residual toxicity to Vibrio fischeri, indicating a rather positive ecotoxicological outcome of the aerobic biotransformation processes achieved by the enriched sludge culture.

Autochthonous N-doped carbon nanotube/activated carbon composites derived from industrial paper sludge for chromate (VI) reduction in microbial fuel cells.

The performance of microbial electrochemical system for hexavalent chromium (Cr(VI)) contaminant has been a severe challenge remaining active for further development. In this study, we developed a novel biochar material from industrial paper sludge for microbial fuel cell cathode fabrication to reduce aquatic Cr(VI) to non-toxic Cr(III). With additive melamine as nitrogen source and self-containing small portion of Fe as catalyst, the sludge evolved into electroactive biochar (BC-M) rendering a unique N-doped carbon nanotubes/activated carbon (N-CNT/AC) frame after pyrolyzed at 900 °C for 2 h. Electrochemical analysis revealed enhanced electron transference capacity of this composite material, such effectiveness was attributed to the increased surface area and superior electroconductivity of N-doped CNTs. For performance of Cr(VI) reduction, a 55.1% reduction efficiency was achieved in an microbial fuel cell equipped with BC-M cathode while it reduced to about 41.8% when the cathode was replaced by electrode modified with no-melamine-involved biochar. The strategy of biochar upgrading from industrial paper sludge proposed in this work is expected to not only bring technical solution for low-cost CNT materials preparation for Cr(VI) reduction, but also put forward further research on value-added chemical synthesis from waste in various fields of energy and environment.

Anode potential-dependent protection of electroactive biofilms against metal ion shock via regulating extracellular polymeric substances.

Extracellular polymeric substances (EPS) have been considered as a barrier for toxic species penetration into the cells, but their function in protecting electroactive biofilms (EABs) had been rarely revealed. In this study, the anode potential was used to regulate the EPS quantity and components in mixed-culture EABs, where their resistance to Ag+ shock was assessed. The results showed that the EAB grown at 0 V showed the highest anti-shock capability by the Ag+ exposure compared to those grown at -0.2, 0.2, and 0.4 V. The EAB produced at 0 V had both of the highest amounts of loosely bound EPS (LB-EPS; 61.9 mg-EPS/g-VSS) and tightly bound EPS (TB-EPS; 74.8 mg-EPS/g-VSS) than those grown under other potentials, where proteins and humic acid were the predominated components. The abundance of genes associated with EPS biosynthesis were also confirmed to be related with the applied anode potentials, based on the metagenomic analysis. Considering proteins and humic acid in LB-EPS showed positive linearity with the current recovery and viability of the EABs, these two main components might play important roles in reducing the Ag+ toxicity. Synchronous fourier transform infrared (FTIR) spectroscopy integrated two-dimensional correlation spectroscopy (2D-COS) analyses further confirmed that the oxygen and nitrogen moieties (i.e. amide, carbonyl CO, phenolic, and C-O-C) in proteins and humic acid of the LB-EPS were response for the binding with the Ag+ to prevent the penetration into the cells. The underlying molecular mechanisms of EPS in protecting EABs from the Ag+ shock explored in this study can provide implications for developing new methods to construct highly stable EABs.

Highly efficient removal of Cr(VI) from water based on graphene oxide incorporated flower-like MoS2 nanocomposite prepared in situ hydrothermal synthesis.

An efficient adsorbent for the treatment of Cr(VI) was simply fabricated by combining graphene oxide with MoS2 nanosheets via in situ hydrothermal process with CTAB as the surfactant. The experimental results indicated that the agglomeration of the MoS2 nanosheets are reduced and uniformly grown on the graphene sheet during the in situ hydrothermal process, and the introduction of graphene oxide provided higher specific surface area and abundant oxygenic groups. Based on this, the removal efficiency of Cr(VI) onto MoS2/rGO was 75.9% at pH 2.0, which was higher than that of bulk MoS2 (61.0%). On account of Sips adsorption isotherm model, the highest uptake capacity of MoS2/rGO toward Cr(VI) reached 80.8 mg g-1. The adsorption kinetic consequences showed that the chemisorption process was the control step, and the removal mechanism for Cr(VI) is redox and adsorption; in this way, the adsorbed Cr(VI) was partially reduced to Cr(III). Furthermore, this as-prepared adsorbent also presented satisfying reusability for removal of Cr(VI) and can be used for the selective removal of Cr(VI) in the presence of NO3-. In short, it may provide a potential route to enhance the adsorption property of MoS2 toward heavy metals through incorporating with GO, which would expand the applications of MoS2 in the field of treatment of the heavy metal wastewater.

Propensity and impact of autologous platelet rich plasma use in acute type A dissection.

BACKGROUND: Coagulopathy in patients undergoing open repair of acute type A aortic dissection using cardiopulmonary bypass and hypothermic circulatory arrest is a common complication. Autologous platelet rich plasma is an intraoperative blood conservation technique, which has been shown in previous studies to promote hemostasis, leading to a reduction of blood product transfusions during elective aortic surgery. The purpose of this study is to evaluate the effectiveness of autologous platelet rich plasma as a blood conservation technique during open surgical repair of acute type A aortic dissection. METHODS: We reviewed all acute type A aortic dissection cases using hypothermic circulatory arrest, excluding patients presenting in extremis. Perioperative transfusion requirements and clinical outcomes were analyzed. The end points analyzed included early mortality, postoperative stroke, renal dysfunction, prolonged ventilation, coagulopathy, and length of postoperative intensive care unit stay. Parsimonious and saturated propensity scores were calculated for platelet rich plasma use, and all outcomes were propensity adjusted. RESULTS: Between 2003 and 2014, 85 of 391 acute type A aortic dissection repairs used autologous platelet rich plasma. Mean age of patients was 58 ± 15 years, and 70% were male. Obstructive sleep apnea (22% vs 13%, P = .04) and baseline ejection fraction (57% ± 6.7% vs 55% ± 10%; P = .014) were higher in the autologous platelet rich plasma group. Intraoperative propensity-adjusted blood products, 2 units fewer packed red blood cells (P = .001), 4 units fewer fresh-frozen plasma (P = .001), 6 units fewer platelets (P = .001), 1.3 units fewer cell-savers (P = .002), and 5 units fewer cryoprecipitate (P = .001) were significantly reduced by autologous platelet rich plasma use. Significant unadjusted reduction in postoperative reoperation for bleeding (8% vs 17%, P = .046) after autologous platelet rich plasma was reported, although propensity adjustment eliminated significance (P = .079). No difference in stroke, cardiac, or renal complications was observed. Postoperative transfusion needed during the first 3 days was significantly reduced in the autologous platelet rich plasma group: 2 units fewer packed red blood cells (P = .13), 2 units fewer fresh-frozen plasma (P = .018), and 5 units fewer platelets (P = .001), when compared with those without autologous platelet rich plasma. Ventilation time was reduced by 3 days (P = .002), and intensive care length of stay was reduced by 3 days (P = .063) after intraoperative autologous platelet rich plasma use. CONCLUSIONS: The use of autologous platelet rich plasma in patients undergoing open repair of acute type A aortic dissection was associated with a reduction in intraoperative and postoperative blood transfusions, as well as decreased early postoperative morbidity.