Differences among fathers, mothers, and teachers in symptom assessment of ADHD patients.

Background: The Swanson Nolan, and Pelham scale version IV (SNAP-IV) is the most critical tool for ADHD screening and diagnosis, which has two scoring methods. ADHD requires symptom assessment in multiple scenarios, and parent and teacher reports are indispensable for diagnosing ADHD. But the differences of assessment results from fathers, mothers and teachers, and the consistency of results from different scoring methods are unknown. Therefore, we carried out this study to understand the differences in the scores of fathers, mothers and teachers using SNAP-IV for children with ADHD and to explore the differences in scoring results under different scoring methods. Methods: The SNAP-IV scale and Demographics Questionnaire and Familiarity Index were used to survey fathers, mothers and head teachers. Measurement data are expressed as the mean ± standard deviation (x ± s). The enumeration data were described by frequency and percentage. ANOVA was used to compare group differences in mothers', fathers', and teachers' mean SNAP-IV scores. The Bonferroni method was used for post hoc multiple comparison tests. Cochran's Q test was used to compare the differences in the abnormal rate of SNAP-IV score results of mothers, fathers and teachers. Dunn's test was used for post hoc multiple comparison tests. Results: There were differences in scores among the three groups, and the differences showed inconsistent trends across the different subscales. Differences between groups were calculated again with familiarity as a control variable. The results showed the familiarity of parents and teachers with the patients did not affect the differences in their scores. The evaluation results were different under two assessment methods. Conclusion: Results concluded that fathers did not appear to be an appropriate candidate for evaluation. When using the SNAP-V for assessment, it should be comprehensively considered from both the scorer and symptom dimensions.

On the disparity in reporting Li-rich layered oxide cathode materials.

Lithium-rich layered oxides are considered one of the most promising cathode materials for next generation lithium-ion batteries due to their extraordinary specific capacity of over 280 mA h g-1 and superior energy density of over 1000 W h kg-1. Despite the excellent performance, LRLOs still suffer from low Coulombic efficiency, serious capacity/voltage decay upon cycling, voltage hysteresis, short lifespan, and poor rate capability. Driven by the thirst for high-energy-density battery technologies, various strategies have been developed to address these issues with great progress being achieved in the past several years. However, the emerging disparity among the published results severely precludes meaningful comparisons between different LRLOs and material modification strategies, which has become an impediment to the development and commercialization of LRLOs. Although the significance of standardization has been recognized in the battery community, the standardization of LRLOs is worth particular attention due to their complicated compositions and unique electrochemical properties. This perspective analyzes the underlying parameters that can cause varied and even controversial results observed in LRLOs, from the synthesis procedure to the electrochemical evaluation procedure, followed by preliminary suggestions for the standard protocols of chemical compositions, synthesis pathways, calcination conditions, electrode preparation, battery fabrication, and battery testing. Hopefully, this perspective can help build a reliable baseline for LRLO research, thus aligning the huge research effort toward the practical applications of LRLOs.

Comparison of the predictive value of intrinsic capacity and comorbidity on adverse health outcome in community-dwelling older adults.

OBJECTIVES: To compare the predictive value of intrinsic capacity (IC) and comorbidity on all-cause mortality and falls. METHODS: This prospective cohort study included 220 older adults (84.0±4.4 years) followed for 3 years in a community in Beijing. The methodology recommended by the World Health Organization was used to assess IC, and comorbidity was assessed by the Cumulative Illness Rating Scale for Geriatrics. RESULTS: The areas under the characteristic curve of IC and comorbidity were 0.78 vs. 0.67 (p=0.033), respectively, in predicting all-cause mortality, and 0.69 vs. 0.61 in predicting falls (p=0.032). The vitality domain impairment (odds ratio [OR]=3.28, p=0.013), and cognition domain impairment (OR=3.97, p=0.004) were significantly associated with all-cause mortality. Locomotion domain impairment (OR=2.35, p=0.010) was associated with higher fall risk. CONCLUSION: IC might be a better predictor than comorbidity in community-dwelling older adults, in which the vitality, locomotion and cognition domains should be given more attention.

Financial toxicity following surgical treatment for colorectal cancer: a cross-sectional study.

PURPOSE: Financial toxicity has become a global public health issue. The purpose of the study is to investigate and analyze the influencing factors of financial toxicity in patients with non-metastatic colorectal cancer. METHODS: A convenient sample of 250 patients with stage I-III colorectal cancer was investigated in the study. They completed a set of questionnaires, including the Comprehensive Score for Financial Toxicity questionnaire, the Perceived Social Support Scale, and the Hospital Anxiety and Depression Scale. Univariate and multivariate linear regression were performed to investigate the influencing factors of financial toxicity. RESULTS: Over half (52.8%, n = 132) of the colorectal cancer survivors experienced financial toxicity. Multivariate regression analysis showed that the factors associated with financial toxicity were young age, unemployment, low annual household income, chemotherapy, and the lack of sufficient social support (p < 0.05). CONCLUSIONS: Financial toxicity is common among non-metastatic colorectal cancer survivors. Young age, lower annual household income, unemployment, chemotherapy, and insufficient social support were associated with financial toxicity.

Facile and low-cost ceramic fiber-based carbon-carbon composite for solar evaporation.

Solar-driven interfacial evaporation aiming at producing clean water without conventional energy consumption, has attracted worldwide research interest. Nevertheless, complex preparation processes and costly absorber materials might be the challenges for the practical application of this technology. Herein, a ceramic fiber was preferably selected as the supporting matrix, and a composite of activated carbon and carbon black was used as the photothermal material. Different evaporation system configurations containing the as-synthesized solar absorber were constructed and compared. It was found that, due to an improved heat insulation and water transportation, the one-dimensional configuration exhibited a maximum evaporation rate of 1.70 kg m-2 h-1 and the highest solar-to-vapor energy conversion efficiency of 91.8% under one sun. Furthermore, material cost and preparation complexity were also incorporated to assess the comprehensive performance of this solar absorber. The ceramic fiber-based activated carbon­carbon black composite (CF-ACB) solar absorber proposed in this contribution, featuring cost-effectiveness, easiness-to-manufacture and great evaporation performance, illuminated its application potential of future solar desalination to provide clean water for people who live in remote and less developed areas with limited and insufficient access to fresh water.

Study of free nitrous acid (FNA)-based elimination of sulfamethoxazole: Kinetics, transformation pathways, and toxicity assessment.

Free nitrous acid (FNA)-based applications have been broadly adopted in the development of novel wastewater management technologies, but a basic understanding of the effect of the chemical properties of FNA on the elimination of micropollutants is still lacking. This study aims to comprehensively evaluate FNA-based elimination of sulfamethoxazole (SMX), which is a typical species of sulphonamide antibiotics. Batch experiments were conducted under different influencing factors to investigate the antibiotics elimination processes. We found that FNA showed specific efficacy on sulphonamides characterized by sulfonamide and aniline functional groups, such as SMX. SMX degradation was affected by the initial SMX concentration, FNA concentration and solution pH and described by d[SMX]/dt=-0.29e-1.69pH[SMX]0.945[FNA]1.35. The cationic forms of SMX were more reactive towards FNA-based active components. Sulfonamide bond (S-N or C-S bonds) cleavage, nitrosubstitution, deamination and radical oxidation were proposed to be the relevant transformation pathways. The FNA-based technique was not effective for diminishing toxicity, but this process could strongly control antibacterial activity.

Full-scale MBR applications for leachate treatment in China: Practical, technical, and economic features.

Though having been applied for decades in the leachate treatment, membrane bioreactors (MBRs) have not attracted as much attention as their application in the municipal wastewater treatment. A timely survey for full-scale applications of MBRs treating leachate would be necessary to present a thorough knowledge and implication in this field. In this study, 175 full-scale MBRs treating leachate (with individual treatment capacity of ≥100 m3/d) in China were comprehensively analyzed. The accumulative treatment capacity exceeded 65,000 m3/d in 2018, and such projects were primarily distributed in areas with developed economy and large production of municipal solid waste. Sanitary landfill leachate owned 70 % of the leachate-treating MBRs' capacity, while the proportion for incineration plants increased gradually. Synchronously, leachate from incineration plants was more degradable than that from sanitary landfills. MBRs were advantageous to pollutant removal, fouling control, and successive energy mitigation of the whole treatment processes. The investment and footprint of processes adopting MBRs were medially ∼90,000 CNY/(m3/d) and ∼15 m2/(m3/d) respectively, and the energy consumption was 20-30 kW h/m3. The technical and economical applicability and environmental policy forces would strengthen a predictable increment of market share of MBRs in leachate treatment field in the future.

Cancer risk assessment in modern radiotherapy workflow with medical big data.

Modern radiotherapy (RT) is being enriched by big digital data and intensive technology. Multimodality image registration, intelligence-guided planning, real-time tracking, image-guided RT (IGRT), and automatic follow-up surveys are the products of the digital era. Enormous digital data are created in the process of treatment, including benefits and risks. Generally, decision making in RT tries to balance these two aspects, which is based on the archival and retrieving of data from various platforms. However, modern risk-based analysis shows that many errors that occur in radiation oncology are due to failures in workflow. These errors can lead to imbalance between benefits and risks. In addition, the exact mechanism and dose-response relationship for radiation-induced malignancy are not well understood. The cancer risk in modern RT workflow continues to be a problem. Therefore, in this review, we develop risk assessments based on our current knowledge of IGRT and provide strategies for cancer risk reduction. Artificial intelligence (AI) such as machine learning is also discussed because big data are transforming RT via AI.

Coupling ion-exchangers with inexpensive activated carbon fiber electrodes to enhance the performance of capacitive deionization cells for domestic wastewater desalination.

A capacitive deionization (CDI) cell was built with electrodes made of an inexpensive commercial activated carbon fiber (ACF), and then modified by incorporating ion-exchangers into the cell compartment. Three modified CDI designs were tested: MCDI - a CDI with electrodes covered by ion-exchange membranes (IEMs) of the same polarity, FCDI - a CDI with electrodes covered by ion-exchange felts (IEFs), and R-MCDI - an MCDI with cell chamber packed with ion-exchange resin (IER) granules. The cell was operated in the batch reactor mode with an initial salt concentration of 1000 mg/L NaCl, a typical level of domestic wastewater. The desalination tests involved investigations of two consecutive operation stages of CDIs: electrical adsorption (at an applied voltage of 1.2 V) and desorption [including short circuit (SC) desorption and discharge (DC) desorption]. The R-MCDI showed the highest electric adsorption as measured in the present study by desalination rate [670 ± 20 mg/(L h)] and salt removal efficiency (90 ± 1%) at 60 min, followed by the MCDI [440 ± 15 mg/(L h) and 60 ± 2%, respectively]. The superior desalination performance of the R-MCDI over other designs was also affirmed by its highest charge efficiency (110 ± 7%) and fastest desorption rates at both the SC [1960 ± 15 mg/(L·h)] and DC [3000 ± 20 mg/(L·h)] modes. The desalination rate and salt removal efficiency of the R-MCDI increased from ∼270 mg/(L h) and 83% to ∼650 mg/(L h) and 98% respectively when the applied voltage increased from 0.6 V to 1.4 V, while decreased slightly when lowering the salt water flow rate that fed into the cell. The packing of IER granules in the R-MCDI provided additional surface area for ions transfer; meanwhile, according to the results of electrochemical impedance spectroscopy (EIS) analysis, it substantially lower down the R-MCDI's ohmic resistance, resulting in improved desalination performance.

Use of inexpensive semicoke and activated carbon as biocathode in microbial fuel cells.

In this study, two inexpensive semicoke and activated carbon packed bed biocathode were developed for oxygen reduction in microbial fuel cells (MFCs). These two materials were compared with two commonly used biocathode materials graphite and carbon felt in terms of material characteristic, power density, biomass density and price-performance ratio. MFCs with semicoke and activated carbon biocathode produced a maximum power density of 20.1 W/m3 (normalized liquid volume in cathodic compartment) and 24.3 W/m3, respectively, compared to 14.1 and 17.1 W/m3 obtained by MFCs with graphite and carbon felt biocathode, respectively. The bacteria attached on biocathode played a major role in oxygen reduction for all the materials investigated. The material cost per Watt produced for semicoke and activated carbon biocathode is only 2.8% and 22.7% of that for graphite biocathode, respectively. These two inexpensive carbon materials, especially semicoke, are very cost-effective biocathode materials for future large scale MFCs.