Molecular Dynamics Simulation of Droplet Impact on a Hydrophobic 3D Elastic Surface.

The phenomenon of droplets impacting elastic surfaces is common in nature and in many engineering applications. It has been shown that droplet impact on an elastic surface drastically reduces droplet contact time and hinders droplet spreading. However, most of the current studies are based on experiments, and the analysis of the influence mechanism of the elastic substrate on the dynamic behavior of droplets is not complete. In addition, the simulations of droplet impact on elastic substrates are mainly focused on 2D elastic films or vibrating rigid substrates, ignoring the effect of 3D elastic substrate deformation on the droplet dynamic behavior. Therefore, in this paper, we propose to model the droplet impact on a 3D hydrophobic elastic substrate using the molecular dynamics method. We find that droplet pancake rebound can substantially reduce the droplet contact time. Moreover, we record the conditions required for the pancake rebound of the droplet. Furthermore, we investigated the effects of the elastic modulus of the substrate and the initial velocity of the droplet on the droplet contact time, contact area, and spreading factor. This study further elucidates the influence mechanism of the elastic substrate on the dynamic behavior of the droplet and provides theoretical guidance for regulating the dynamic behavior of the droplet in related fields.

Association between diabetes complicated with comorbidities and frailty in older adults: A cross-sectional study.

AIMS AND OBJECTIVES: This study investigated the relationship between frailty and diabetes complicated with comorbidities. BACKGROUND: Frailty is a common geriatric syndrome, and older adults with diabetes are prone to frailty. Patients with diabetes and comorbidities might be at increased risk of developing frailty. DESIGN: A multicenter cross-sectional study. METHODS: A cross-sectional study was conducted to identify older patients with diabetes and comorbidities in the internal medicine departments of five tertiary general hospitals in Sichuan Province, China, from March 2020 to June 2021. We used the FRAIL scale to identify frailty, and multinomial logistic regression was used to compare sociodemographic characteristics and comorbidities of frail or pre-frail participants with robust participants. The STROBE checklist was used for this cross-sectional study. RESULTS: A total of 1652 patients (883 males, 53.5%) were included, and the prevalence of frailty was 26.5%. Multinomial logistic regression analysis revealed that compared with robust patients, diabetic patients with hypertension, coronary heart disease, chronic cardiac failure, COPD, cerebrovascular diseases, osteoarticular diseases, chronic renal diseases, chronic gastrointestinal diseases and cancer were more likely to be frail. In addition, patients who engaged in less exercise, presented more comorbidities, were older and had lower education levels, were more prone to frailty. CONCLUSION: There was a clear correlation between diabetes complicated with comorbidities and the development of frailty. Appropriate personalised care levels for patients with diabetes and comorbidities, and early screening for frailty might reduce the prevalence of frailty in these patients. RELEVANCE TO CLINICAL PRACTICE: This study provided information for healthcare providers to identify circumstances that increase the risk of frailty and more effectively support patients with diabetes and comorbidities.

Development and Validation of a Questionnaire to Measure ICU Nurses' Knowledge, Attitudes, and Practices Related to Central Line Bloodstream Infection Practices.

BACKGROUND: Currently, there is no instrument available to assess intensive care unit (ICU) nurses' knowledge, attitudes, and practices (KAP) of central line-associated bloodstream infection (CLABSI) prevention practices. PURPOSE: To develop and validate a CLABSI questionnaire to measure ICU nurses' KAP (CLABSI-KAP-Q). METHODS: Data were collected from 255 nurses at 4 hospitals in Gansu Province, China. Questions on the CLABSI-KAP-Q were generated through a review of the literature, interviews with nurses, and multiple rounds of content validity evaluation by experts. The validity and reliability of the CLABSI-KAP-Q were assessed with exploratory factor analysis, confirmatory factor analysis, internal consistency, and correlation coefficients. RESULTS: The final version of the CLABSI-KAP-Q consisted of 32 items. The reliability was represented by a Cronbach α of 0.946, while the test-retest reliability was 0.945. The overall content validity was 0.95. CONCLUSIONS: The CLABSI-KAP-Q is shown to be valid and reliable and recommended for use in clinical practice.

Refractory wounds induced by normal-renal calciphylaxis: An under-recognised calcific arteriolopathy.

BACKGROUND: Normal-renal calciphylaxis (NRC) is a devastating calcific vasculopathy characterised by refractory wounds. It is more likely to be misdiagnosed because of the absence of renal insufficiency. Failure to effectively control may lead to rapid deterioration and ultimately death. However, current knowledge of it is still inadequate. OBJECTIVES: To provide a relatively comprehensive review of NRC. METHODS: Nine electronic medical databases including PubMed, Web of Science, Embase, the Cochrane Library and so on were searched from inception to April 1, 2022. Articles in which calciphylaxis was diagnosed in patients with normal renal function were included. RESULTS: Totally 140 articles were retrieved with 187 patients (median age, 62 years [IQR, 49.63 ~ 75.70 years]; 83.42% female; 84.5% Caucasian). Vitamin K antagonism (43.32%) and diabetes (39.57%) accounted for most of the concomitant factors. Cutaneous presentations were the most common. Pathological confirmation was made in 97.86% of patients with an accuracy of 99.45%. Multidisciplinary therapeutic strategies were usually implemented while the final prognosis was not ideal, with a 6-month mortality rate of 21.10% and a 1-year mortality rate of 27.52%. CONCLUSION: NRC is an under-recognised disease caused by a variety of factors; meanwhile, multidisciplinary efforts are required to inform diagnostic and therapeutic decisions.

Molecular Dynamics Simulation of Nanodroplets Impacting Stripe-Textured Surfaces.

The dynamic behavior of droplets impacting on textured surfaces has an important influence on many engineering applications, such as anti-icing and self-cleaning. However, the mechanism and law of the effect of textured surfaces on the impact behavior of nanodroplets has not been fully revealed yet. In this paper, the molecular dynamics (MD) method is used to model the dynamic behavior of nanodroplets after impacting the solid surface with a striped texture. The influences of texture gap and texture angle on the real contact area, spreading factor, contact time, and bounce velocity of the droplet after impact are also quantitatively analyzed. It is shown that the striped texture produces significant anisotropy in the spreading and contraction behavior of nanodroplets after impact, and the anisotropy is more pronounced on the ridged texture surface than on the grooved texture surface. In addition, we find that the texture gap has little effect on the dynamic behavior of nanodroplets impacting the textured surface. However, as the bottom angle of the texture increases, the real contact area and bounce velocity of the nanodroplet increase significantly, while the contact time and spreading factor decrease. This work further elucidates the characteristics and mechanisms of nanodroplets impacting on stripe-textured surfaces and provides a theoretical basis for the design of nanostructured surfaces in relevant applications.

Research on the frailty status and adverse outcomes of elderly patients with multimorbidity.

BACKGROUND: As patients age, the frailty of those with multimorbidity increases, often resulting in adverse health outcomes. The current study investigated the frailty status and the factors which influence it in elderly patients with multimorbidity in Chinese hospitals. The relationship between the frailty of patients with multimorbidity and adverse outcomes was explored. METHODS: The current prospective cohort study investigated inpatients in the internal medicine department of 5 tertiary hospitals in Sichuan Province, China. A total of 3836 elderly patients with multimorbidity were enrolled. Frailty was assessed using the FRAIL scale and adverse outcome events occurring during hospitalization were tracked. Descriptive statistics and logistic regressions were used for data analysis. RESULTS: The prevalence of frailty was 27.2% and of pre-frailty, 58.9%. Logistic regression analysis showed that increasing age, low BMI, low education level, lack of exercise, multiple types of medications and multiple numbers of chronic diseases were the main risk factors for frailty in elderly patients with multimorbidity (OR values: 1.020, 1.469, 2.350, 2.836, 1.156 and 1.308, respectively). The incidence of adverse outcomes was 13.9% among the cohort with the most common being deep vein thrombosis (42.4%), followed by pressure injury (38.8%). Regression analysis showed a significant correlation of frailty with adverse outcome (OR: 1.496; p < 0.01). CONCLUSIONS: The prevalence of frailty and pre-frailty in hospitalized elderly patients with multimorbidity was high. Increasing age, low BMI, low education level, lack of exercise, multiple types of medications and multiple numbers of chronic diseases were factors which influenced frailty and frailty was an important factor in the occurrence of adverse outcomes. The most common adverse outcome of elderly multimorbidity patients during hospitalization was deep vein thrombosis.

Efficacy and safety of topical oxygen therapy for diabetic foot ulcers: An updated systematic review and meta-analysis.

To evaluate the efficacy and safety of topical oxygen therapy (TOT) in diabetic foot ulcers (DFUs), researchers systematically retrieved relevant studies from PubMed, EMBASE, Web of Science, CENTRAL and ClinicalTrials.gov. Relevant studies were searched from database inception to January 2022. Two researchers independently screened the literature, extracted data and assessed the quality of the included studies. Statistical analysis was performed in Stata 16.0. A total of seven RCTs involving 614 participants were included. Compared with the control group, the TOT group had a higher healing rate (RR = 1.63, 95% CI [1.33, 2.00]). According to descriptive analysis, TOT reduced the ulcer area and improved healing durability and quality of life. Furthermore, it had no effect on the occurrence of adverse events. However, it was unclear whether it would be able to reduce the healing time. The existing evidence suggests that TOT is effective and safe for chronic DFUs. Further studies are warranted to validate our findings.

[Study on quality status of mineral medicine Calamina].

In this paper, some quality problems of mineral medicine Calamina and calcined Calamina have been discussed after determination and analysis of the quality parameters of a large number of market samples, and the countermeasures are put forward. According to the XRD results, as well as the results of tests included in Chinese Pharmacopoeia(2015 edition), the authenticity of Calamina and calcined Calamina samples were identified. The content of zinc oxide in samples were determined by the method of determination in Chinese Pharmacopoeia. Individually, inductively coupled plasma mass spectrometry(ICP-MS), inductively coupled plasma atomic emission spectrometry(ICP-AES) and atomic fluorescence spectrometry(AFS) methods were used for the determination of impurity elements and harmful elements in Calamina and calcined Calamina samples. Four kinds of impurity elements of magnesium(Mg), iron(Fe), aluminum(Al), calcium(Ca) and five harmful elements such as lead(Pb), cadmium(Cd), arsenic(As), copper(Cu), mercury(Hg) were measured. The study showed that: ① Fake Calamina products on the market were overflowing; ② The mineral origin of the mainstream Calamina in the market is inconsistent with that stipulated in Chinese Pharmacopoeia(2015 edition); ③ The contents of harmful elements Pb and Cd in Calamina and calcined Calamina are generally higher, while the contents of harmful elements As and Cu in some inferior Calaminae are higher; ④ Parts of calcined Calamina were improperly or inadequately processed. In view of these quality problems, the countermeasures are put forward as follows: ① It is suggested that hydrozincite should be approved as the mineral source of Calamina, and be included by Chinese Pharmacopoeia; ② Strengthen the research on the specificity of Calamina identification methods to improve the quality control level; ③ Strengthen the research on the processing of Calamina, and formulate the limit standards for the content of Pb and Cd in Calamina; ④ Carry out research on the artificial synthesis of Calamina and calcined Calamina, in order to cope with the current shortage of Calamina resources and ensure the sustainable development of Calamina medicinal materials.

[Study on antipyretic effect of rhubarb on rats and its antipyretic ingredients].

A combination of LC-MS technology and activity evaluation was used to identify the antipyretic ingredients in rhubarb. The rat model of fever was established with dried yeast and then was administered ethanol extract and different polar fractions of rhubarb. Next, the anal temperature of these rats was measured and recorded at 0.5, 1, 2, 3, 4 and 5 h after administration, and the inhibition rate of each part on the rise of body temperature was calculated. The inhibition rate is higher and the antipyretic effect is better. The chemical composition of the effective fraction was analyzed with UPLC-ESI-Orbitrap-MS/MS technology. Compared with the model group, the increase of body temperature of ethanol extract group all reduced at each measurement time especially after 3 h, and the inhibition rate were 38.7%(P<0.05), 78.2%(P<0.01) and 72.4%(P<0.01) at 3 h, 4 h, and 5 h after administration, respectively. Both n-butanol and water fraction showed some antipyretic activity in the early stage, with the inhibition rate of 28.1%(P<0.01) and 24.9%(P<0.05) at 1 h after administration, respectively, while other fractions were not active. Thirty-three and twelve compounds were identified from n-butanol and water fraction by LC-MS/MS analysis, respectively, including ten tannins, fifteen anthraquinone glycosides, four anthrone glycosides, one phenolic glycoside, one naphthaline derivative, one anthraquinone and one sucrose. These results revealed that rhubarb had antipyretic activity on rats, and tannin and anthraquinone glycosides were the main active ingredients inside.

Tunable compensation of GVD-induced FM-AM conversion in the front end of high-power lasers.

Group velocity dispersion (GVD) is one of the main factors leading to frequency modulation (FM) to amplitude modulation (AM) conversion in the front end of high-power lasers. In order to compensate the FM-AM modulation, the influence of GVD, which is mainly induced by the phase filter effect, is theoretically investigated. Based on the theoretical analysis, a high-precision, high-stability, tunable GVD compensatory using gratings is designed and experimentally demonstrated. The results indicate that the compensator can be implemented in high-power laser facilities to compensate the GVD of fiber with a length between 200-500 m when the bandwidth of a phase-modulated laser is 0.34 nm or 0.58 nm and the central wavelength is in the range of 1052.3217-1053.6008 nm. Due to the linear relationship between the dispersion and the spacing distance of the gratings, the compensator can easily achieve closed-loop feedback controlling. The proposed GVD compensator promises significant applications in large laser facilities, especially in the future polarizing fiber front end of high-power lasers.

[Morphological and microscopical identification of Genkwa Ramulus and its adulterants].

The purpose of this article is to identify Daphne genkwa and its adulterants, Wikstroemia chamaedaphne, according to the morphological and microstructure characteristics of their stem and foliage. The root of D.genkwa was studied simultaneously. The results indicated that the crude drug and processed pieces of Genkwa Ramulus were mainly composed of stems and branches where obvious opposite petiole scars and branch marks were able to be seen on their nodes. Otherwise, foliage or peduncles generally couldn't be found. Moreover, the fine silver flocculent fibers could be observed in the bark of fracture surface. The adulterants were the plant segments which were composed of stems, foliage and peduncles with spikelet-pedicel scars. There existed microstructures differences between Genkwa Ramulus and its adulterants. In the former, single thick lignified phloem fibers were interspersed in the stem phloem of the transverse section with very thick wall and unicellular non-glandular hairs could be observed on the lower epidermis of foliage. Nevertheless, in the latter, there was no thick lignified phloem fibers in cross section of stem phloem, the outer wall of epidermal cells of foliage hadthick cuticles and no non-glandular hairs in lower epidermis of foliage. The results can be used for the identification and the quality standard of the crude drug and processed pieces of D.genkwa.The characteristics of the microstructures and the transverse section can be used to identify the radix D.genkwa.

Suppression of FM-to-AM modulation by polarizing fiber front end for high-power lasers.

FM-to-AM modulation is an important effect in the front end of high-power lasers that influences the temporal profile. Various methods have been implemented in standard-fiber and polarization-maintaining (PM)-fiber front ends to suppress the FM-to-AM modulation. To analyze the modulation in the front end, a theoretical model is established and detailed simulations carried out that show that the polarizing (PZ) fiber, whose fast axis has a large loss, can successfully suppress the modulation. Moreover, the stability of the FM-to-AM modulation can be improved, which is important for the front end to obtain a stable output. To verify the model, a PZ fiber front end is constructed experimentally. The FM-to-AM modulation, without any compensation, is less than 4%, whereas that of the PM fiber front end with the same structure is nearly 20%. The stability of the FM-to-AM modulation depth is analyzed experimentally and the peak-to-peak and standard deviation (SD) are 2% and 0.38%, respectively, over 3 h. The experimental results agree with the simulation results and both prove that the PZ fiber front end can successfully suppress the FM-to-AM conversion. The PZ fiber front end is a promising alternative for improving the performance of the front end in high-power laser facilities.

[Simultaneous determination of 12 mycotoxins in Polygoni Multiflori Radix by UPLC-ESI-MS/MS combined with modified QuEChERS].

To investigate the cause of liver toxicity induced by Polygoni Multiflori Radix through determining various mycotoxins in it. An UPLC-ESI-MS/MS method was developed and established to simultaneously determine 12 mycotoxins, Aflatoxins B1, B2, G1, G2, Ochratoxins A and B, Fumonisins B1 and B2,T-2 toxin, HT-2 toxin, Deoxynivalenol and Zearalenone, in rawand processed Polygon iMultiflori Radix. The sample was extracted with modified QuEChERS method, and then was separatedon a WelchUltimate XBC18 column by gradient elution using methanol and 2 mmol•L⁻¹ ammonium acetate aqueous solution containing 0.1% acetic acidas mobile phase. The analytes were detected in MRM mode by mass spectrometry and determined by external standard method. This method made a good linearity in the 0.1-200 µg•kg⁻¹ with correlation coefficients of 0.996 3-0.999 9. The average recoveries of 12 mycotoxins at three spiked concentration levels were ranged from 71.19% to 98.68% with relative standard deviations of 1.7%-13%. This method is simple, sensitive, accurate and suitable for the quantification of 12 mycotoxins in Polygoni Multiflori Radix.As a result, 15 batches were found fungus contamination and total 8 kinds of mycotoxins including AFB1, AFG2, FB1, OTB, T-2, HT-2, FB2 and OTA were detected, and their contentswere between 0.51-1 643.2 µg•kg⁻¹. Among these contaminated samples, AFB1 was detected in one batch of processed Polygoni Multiflori Radix with the content of 6.8 µg•kg⁻¹ beyond its limit standard 5 µg•kg⁻¹. Since AFB1 has clear liver toxicity, we deduced that the mouldy samples may be one of the important causes of Polygoni Multiflori Radix causing liver toxicity.

[Exploration research on hepatotoxic constituents from Polygonum multiflorum root].

By observing the cytotoxic effects of anthraquinones on HepG2 cell and using the precision-cut liver slices technique to authenticate the cytotoxic constituents, the paper aims to explore the material basis of Polygonum multiflorum root to cause liver toxicity. Firstly, MTT method was used to detect the effect of 11 anthraquinone derivatives on HepG2 cell. Then, the clear cytotoxic ingredients were co-cultured with rat liver slices for 6h respectively, and the liver tissue homogenate was prepared. BCA method was used to determine the content of protein in the homogenate and continuous monitoring method was used to monitor the leakage of alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamine amino transpeptidase (GGT) and lactate dehydrogenase (LDH). The toxic effect of these ingredients on liver tissue was tested by calculating the leakage rate of the monitored enzymes. As a result, rhein, emodin, physcion-8-O-ß-D-glucopyranoside and physcion-8-O-(6'-O-acetyl)-ß-D-glucopyranoside showed cytotoxic effects on HepG2 cell and their IC50 values were 71.07, 125.62, 242.27, 402.32 µmol•L⁻¹ respectively, but the other 7 compounds are less toxic and their IC50 values can not be calculated. The precision-cut liver slices tests showed that rhein group of 400 µmol•L⁻¹ concentration significantly increased the leakage rate of ALT, AST and LDH (P<0.01), and the rhein group of 100 µmol•L⁻¹ concentration only increased the leakage rate of LDH (P<0.05). With the increase of rhein concentration, the protein content in liver slices decreased significantly (P<0.05) with a certain range of does. Emodin group of 400 µmol•L⁻¹ concentration significantly increased the leakage rate of ALT, GGT and LDH (P<0.01). Physcion-8-O-ß-D-glucopyranoside group of 800 µmol•L⁻¹ concentration also significantly increased the leakage rate of ALT, AST and LDH (P<0.01 or P<0.05), but the group of 200 µmol•L⁻¹ concentration only significantly increased the LDH leakage (P<0.05). Along with the increase of the concentration of physcion-8-O-ß-D-glucopyranoside, the leakage rate of ALT, AST and LDH showed a trend of increase, but the protein content in liver slices was in decline. Furthermore, MTT reduction ability of liver slices significantly decreased (P<0.01) in the physcion-8-O-ß-D-glucopyranoside group of 800 µmol•L⁻¹ concentration. The results suggested that rhein, emodin and physcion-8-O-ß-D-glucopyranoside at high concentrations (≥400 µmol•L⁻¹) can produce some damage to the liver tissue. However, the exposure levels of these constituents are very low, so to reach the toxic concentration (400 µmol•L⁻¹ or 800 µmol•L⁻¹) an adult of 65 kg body weight will need at least a single oral 4 898 g, 339 g and 5 581 g of P.multiflorum root respectively, which is far from the statutory dose of crude P. multiflorum root (3-6 g) or its processed product (6-12 g). Therefore, the conclusion that anthraquinones are the prime constituents of the hepatotoxicity of P. multiflorum root are still not be proved.

[Rapid extraction of DNA from Chinese medicinal products by alkaline lysis].

The study is aimed to explore a rapid method to extract DNA from fried Chinese medicinal products. The alkaline lysis buffer was made of sodium hydroxide, 1% PVP and 1% TritonX-100 and Tris-HCl solution was neutralized, through heat cracking and neutralization two step to extract DNA from processed and prepared products of traditional Chinese medicine. Then universal primes were used to amplify PCR products for fired Chinese medicinal materials. The results indicated the optimized alkaline lysis method for extracting DNA is quick and easy. Extracting of the different processed Sophora japonica of DNA concentration was (420.61 ± 123.91) g x L(-1). Using 5% Chelex-100 resin purification can improve the DNA concentration. Our results showed that the optimized alkaline lysis method is suitable for Chinese medicinal materials for quickly DNA extraction.

Development and Validation of a Risk Prediction Model for Foot Ulcers in Diabetic Patients.

Background: The current study analyzed the status and the factors of foot ulcers in diabetic patients and developed a nomogram and web calculator for the risk prediction model of diabetic foot ulcers. Methods: This was a prospective cohort study that used cluster sampling to enroll diabetic patients in the Department of Endocrinology and Metabolism in a tertiary hospital in Chengdu from July 2015 to February 2020. The risk factors for diabetic foot ulcers were obtained by logistic regression analysis. Nomogram and web calculator for the risk prediction model were constructed by R software. Results: The incidence of foot ulcers was 12.4% (302/2432). Logistic stepwise regression analysis showed that BMI (OR: 1.059; 95% CI 1.021-1.099), abnormal foot skin color (OR: 1.450; 95% CI 1.011-2.080), foot arterial pulse (OR: 1.488; 95% CI: 1.242-1.778), callus (OR: 2.924; 95%: CI 2.133-4.001), and history of ulcer (OR: 3.648; 95% CI: 2.133-5.191) were risk factors for foot ulcers. The nomogram and web calculator model were developed according to risk predictors. The performance of the model was tested, and the testing data were as follows: AUC (area under curve) of the primary cohort was 0.741 (95% CI: 0.7022-0.7799), and AUC of the validation cohort was 0.787 (95% CI: 0.7342-0.8407); the Brier score of the primary cohort was 0.098, and the Brier score of the validation cohort was 0.087. Conclusions: The incidence of diabetic foot ulcers was high, especially in diabetic patients with a history of foot ulcers. This study presented a nomogram and web calculator that incorporates BMI, abnormal foot skin color, foot arterial pulse, callus, and history of foot ulcers, which can be conveniently used to facilitate the individualized prediction of diabetic foot ulcers.

An automated method for stem diameter measurement based on laser module and deep learning.

BACKGROUND: Measuring stem diameter (SD) is a crucial foundation for forest resource management, but current methods require expert personnel and are time-consuming and costly. In this study, we proposed a novel device and method for automatic SD measurement using an image sensor and a laser module. Firstly, the laser module generated a spot on the tree stem that could be used as reference information for measuring SD. Secondly, an end-to-end model was performed to identify the trunk contour in the panchromatic image from the image sensor. Finally, SD was calculated from the linear relationship between the trunk contour and the spot diameter in pixels. RESULTS: We conducted SD measurements in three natural scenarios with different land cover types: transitional woodland/shrub, mixed forest, and green urban area. The SD values varied from 2.00 cm to 89.00 cm across these scenarios. Compared with the field tape measurements, the SD data measured by our method showed high consistency in different natural scenarios. The absolute mean error was 0.36 cm and the root mean square error was 0.45 cm. Our integrated device is low cost, portable, and without the assistance of a tripod. Compared to most studies, our method demonstrated better versatility and exhibited higher performance. CONCLUSION: Our method achieved the automatic, efficient and accurate measurement of SD in natural scenarios. In the future, the device will be further explored to be integrated into autonomous mobile robots for more scenarios.

Analysis on the Evolution Mechanism of Intellectual Property Operation Platform toward Value Proposition under the Digital Technology-Driven Environment.

Research Purpose. In order to study the evolution mechanism of intellectual property operation platform, value analysis in the modern digital technology-driven environment, and how to better develop the operation of intellectual property platform in the current digital technology environment; Research Methods. This paper analyzes the relationship between the development of digital economy and intellectual property operation platform, analyzes, and compares the different stages of intellectual property platform operation in the digital technology-driven environment, and compares the coupling degree of platform operation services in different environments. Research Results. From the research and analysis results, it can be seen that the operation of intellectual property rights under digital technology is of positive significance in the development of social-ecological environment, combined with the development of the industrial ecosystem, and plays a positive role in transforming intellectual property rights into market value, promoting the development of small and medium-sized enterprises and economic construction. It is of great significance to create a perfect chain of intellectual property protection and legal protection of property rights, copyrights, and transfer rights. Research Conclusion. It provides new ideas and research value for the future operation mode of intellectual property platform, provides a better guarantee platform and legal environment for China to improve the level of digital economy, creates a suitable ecological environment, and stimulates people's thinking potential.

Development and validation of a predictive risk model for frailty in elderly patients with multimorbidity.

AIMS: This study aimed to investigate the influencing factors of frailty in elderly patients with multimorbidity and to develop a predictive risk model for frailty in elderly patients with multimorbidity. METHODS: In total, 3836 elderly patients with multimorbidity who were admitted to the medical wards of five grade A tertiary hospitals in Sichuan Province from March 2020 to June 2021 were selected. Based on the general data of patients with multimorbidity, the independent risk factors for frailty were obtained using logistic analysis, and a risk prediction model of frailty was developed. RESULTS: Independent risk factors for frailty in patients with multimorbidity were age, types of medication, and comorbidity with chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD) and chronic cerebrovascular disease (CCVD); and the protective factors for frailty were body mass index (BMI), exercise and education level. The expression of the model was Z = -2.054 + 0.016 × age - 0.029 × BMI - 0.153 × education level-1.059 × exercise + 0.203 × types of medication + 0.788 × comorbidity with CHF + 0.950 × comorbidity with COPD + 0.363 × comorbidity with CCVD. CONCLUSION: Age, BMI, education level, exercise, types of medication, and comorbidity with CHF, COPD and CCVD can affect frailty risk in elderly patients with multimorbidity, which may be helpful to predict the frailty risk of elderly patients with multimorbidity. Geriatr Gerontol Int 2022; 22: 471-476.

[Study on the mineralogical origin of medicinal galamina based on phase and composition analysis].

Based on the phase and composition analysis of 56 batches of samples, the present paper showed that hydrozincite, just as smithsonite, should be named as the mineralogical origin of medicinal galamina. Galamina was proved to be polymineral aggregation by electron probe micro-analysis, which was constituted by various mineral particulates, such as hydrozincite, smithsonite, zinc oxide, dolomite, etc. It is hydrozincite but not smithsonite that is the current mainstream mineral of commercial galamina. Both hydrozincite and smithsonite should be calcined to turn into zinc oxide when they were used as medicine. As a provider of medical galamina, essentially the zinc oxide, hydrozincite is appropriate.