Nutritional Assessment in Early Allogenic Hematopoietic Stem Cell Transplant Patients, a Cross-Sectional Study.

BACKGROUND: Our study aims to comprehensively assess nutrition status and malnutritional prevalence in early allogenic hematopoietic stem cell transplant (allo-HSCT) patients. METHODS: This single-center, cross-sectional study included 171 patients within the 90 days post-transplantation (from September 2019 to April 2020). Data collected included demographic, 3 day 24-h diet record, a Patient-Generated Subjective Global Assessment (PG-SGA) tool, laboratory tests, anthropometric indices, and body composition. RESULTS: One hundred and seventy-one patients with a mean age of 37.8 ± 11.3 and a male to female ratio of 102 to 69 were included. According to PG-SGA, 115 (67.3%) indicated the critical need for nutritional intervention and symptom management (PG-SGA score > 9). Forty-three (43.3%) of patients had experienced insufficient intakes of energy according to a 24-h diet record. Our study found that 120 (70.2%) patients had a body fat percentage and high triacylglycerol (64.9%). Reduced free fat mass index and low hand-grip strength were found in 133 (77.78%) and 104 (60.81%), respectively. The prevalence of malnutrition was 24.6% and the prevalence of sarcopenia was 13.5%. CONCLUSION: Although the prevalence was not high, this research has demonstrated a high risk of malnutrition and a lower muscle mass in early allo-HSCT. Furthermore, our study confirmed body composition assessment would be an excellent way to identify malnutrition precisely.

Atom- and step-economic 1,3-thiosulfonylation of activated allenes with thiosulfonates to access vinyl sulfones/sulfides.

A new type of organocatalyzed 1,3-thiosulfonylation has been developed to straightforwardly access highly functionalized vinyl sulfones, which features mild conditions, atom- and step-economy, practicability, conciseness, and environmental friendliness. Moreover, these valuable products can be transformed to vinyl sulfides via a base-promoted isomerization. The versatile route can efficiently and rapidly introduce SCD3 groups with excellent levels of deuterium content (>99% D) by utilizing our newly developed SCD3 reagents. Gram-scale operations and further transformations are smoothly carried out, providing promising applications for drug discovery.

Noninvasive assessment of liver function reserve with fluorescent dosimetry of indocyanine green.

Using in vivo multiphoton fluorescent dosimetry, we demonstrate that the clearance dynamics of Indocyanine Green (ICG) in the blood can quickly reveal liver function reserve. In normal rats, the ICG retention rate was below 10% at the 15-minute post-administration; While in the rat with severe hepatocellular carcinoma (HCC), the 15-minute retention rate is over 40% due to poor liver metabolism. With a 785 nm CW laser, the fluorescence dosimeter can evaluate the liver function reserve at a 1/10 clinical dosage of ICG without any blood sampling. In the future, this low-dosage ICG 15-minute retention dosimetry can be applied for the preoperative assessment of hepatectomy or timely perioperative examination.

Disposable and cost-effective label-free electrochemical immunosensor for prolactin based on bismuth sulfide nanorods with polypyrrole.

Prolactin (PRL) is produced by the pituitary gland and plays a vital role in the production of milk after a baby is born. PRL levels are normally elevated in pregnant and nursing women, and high levels of PRL in the human body cause hyperprolactinemia, infertility, galactorrhea, infrequent or irregular periods, amenorrhea, breast pain, and loss of libido. Accordingly, herein, a novel label-free immunosensor using a bismuth sulfide/polypyrrole (Bi2S3/PPy)-modified screen-printed electrode (SPE) for the fast and facile detection of the peptide hormone PRL. Bi2S3 nanorods were synthesized via a facile hydrothermal technique, and PPy was prepared by chemical polymerization method. Subsequently, the Bi2S3/PPy/ SPE was modified with 3-mercaptopropionic acid (MPA) and EDC/NHS. Owing to the cross-linking effect of EDC/NHS, antibody-PRL (anti-PRL) was firmly stabilized on the modified SPE surface. These layer-by-layer modifications enhanced the conducting properties, anti-PRL loading capacity, and sensitivity of the developed immunosensor. Under optimized conditions, the PRL immunosensor demonstrated a broad linear range of approximately 1-250 ng/mL, a low detection limit of approximately 0.130 ng/mL (3 × SD/b), good specificity, reproducibility, and stability. PRL was successfully evaluated in human and mouse serum samples, and the corresponding outcomes were compared with those of the electrochemical and ELISA methods.

Spatiotemporal occurrence, sources and risk assessment of polycyclic aromatic hydrocarbons in a typical mariculture ecosystem.

The spatiotemporal variations, influencing factors and potential sources, as well as the ecological/health risks of polycyclic aromatic hydrocarbons (PAHs) were systematically investigated in seawater, sediment, and fish from Xiangshan Bay, China, one of the most important and oldest domestic marine aquaculture bases. The average concentrations of ΣPAHs in seawater, sediment and fish were 150 ± 70.0 ng/L, 276 ± 271 µg/kg (dry weight, dw), and 434 ± 151 µg/kg (dw), respectively. Naphthalene, phenanthrene, fluoranthene, benzo(b)fluoranthene and pyrene were the dominant contaminants in all samples. The highest PAH concentrations in the seawater and sediment samples occurred in the inner bay where the mariculture and industry are clustered. Seasonal differences were observed in the seawater samples but not in the sediment samples. Among all 15 fish species, large yellow croaker (Larimichthys crocea) (775 µg/kg (dw)), red drum (Sciaenops ocellatus) (749 µg/kg (dw)), and flathead grey mullet (Mugil cephalus) (637 µg/kg (dw)) had relatively high PAH accumulation concentrations in muscle tissue. According to the molecular diagnostic ratio method, the PAHs in seawater mainly originated from a mixed source of petroleum and combustion, whereas biomass/coal combustion sources were identified for sediment. The results obtained from the risk quotient (for seawater), sediment quality guidelines and toxic equivalence quotients (for seawater and sediment) methods showed that the ecological risks posed by PAHs were generally at a low to moderate level. Potentially toxic effects existed from PAH-contaminated fish consumption, and the resulting potential carcinogenic risk was also slightly higher than the recommended guidelines (10-6).

Risk Assessment of Heavy Metals in Overlapped Areas of Farmland and Coal Resources in Xuzhou, China.

Heavy metals (As, Cu, Cd, Cr, Pb, Zn, Hg) in soil of a typical overlapped area of farmland and coal resources (OAFCR) in Xuzhou were investigated, meanwhile the pollution levels and risks of there were discussed. The results are: Pollution Load Index (PLI) showed no heavy metals (HMs) pollution; 3.74% of soil samples were above moderately accumulated with Hg; the ecological risk (Er) values followed the order: Hg > Cd > Cu > As > Pb > Cr > Zn, and there has a moderate degree of potential ecological risk (PER) with the mean PER of 184.26; the non-carcinogenic risk of all seven HMs to human beings is acceptable, and the carcinogenic risk caused by As, Cd and Cr can be tolerated; the exposure ways both of carcinogenic and non-carcinogenic is: oral > dermal > inhalation, while children are suffering higher health risks than adults.

Contaminant occurrence, mobility and ecological risk assessment of phthalate esters in the sediment-water system of the Hangzhou Bay.

The pollution characteristics, spatiotemporal variation, sediment-water partitioning, and potential ecological risk assessment of phthalate esters (PAEs) in the sediment-seawater system of the Hangzhou Bay (HZB) in summer and autumn were researched. The sum of the concentrations of the 10 PAEs in seawater ranges from 7305 ng/L to 22,861 ng/L in summer and from 8100 ng/L to 33,329 ng/L in autumn, with mean values of 15,567 ± 4390 and 17,884 ± 6850 ng/L, respectively. The Σ16PAEs in the sediments are between 118 and 5888 µg/kg and 145 and 4746 µg/kg in summer and autumn, respectively. The level of PAEs in seawater varies with the seasons, but it is relatively stable in the sediments. Di(2-ethylhexyl) phthalate (DEHP), di-n-butyl phthalate (DnBP), and diisobutyl phthalate (DiBP) are the predominant PAE congeners in the HZB. The DnBP and DiBP concentrations in seawater are greater than the DEHP concentration, which is the opposite in the sediments. The sediment-seawater equilibrium distribution study indicates that the PAEs with medium molecular weights, such as DiBP, butyl benzyl phthalate, and DnBP, are near dynamic equilibrium in the sediment-seawater system; PAEs with high molecular weights (e.g., di-n-octyl phthalate and DEHP) tend to transfer from water to the sediments; and PAEs with low molecular weights (e.g., dimethyl phthalate, diethyl phthalate, and diamyl phthalate) tend to spread to seawater. The risk assessment results in seawater indicate that DEHP and DiBP might pose high potential risks to sensitive organisms, and DnBP might exhibit medium ecological risks. In the sediment, DiBP might display a high potential risk to fish, and the potential risk of DEHP is high in several sites.

[Occurrence, Distribution, Source, and Health Risk Assessment of Polybrominated Diphenyl Ethers in Surface Soil from the Shen-Fu Region, Northeast China].

The Shen-Fu region is an important urban area in northeast China. We report on a study of the distribution of polybrominated diphenyl ethers (PBDEs) in representative topsoil from this region. In the summer of 2016, 72 soil samples from three cities (Shenyang, Fushun, and Shen-Fu New City) were collected, which covered four land use types:urban, rural residential, cultivated, and woodland. We report on the concentrations, compositions, and distributions of 14 PBDEs in soil and explore their sources, and additionally undertake human exposure analysis and health risk assessments. The results showed that the concentration of ∑14PBDEs in the topsoil ranged from 0.279-50.719 ng·g-1(dry weight), with a mean of (10.466±9.246) ng·g-1. The concentrations of PBDEs was ranked for the cities as:Fushun > Shenyang > Shen-Fu New City > background, and for different land use types as:urban land > rural residential land > cultivated land > forest. Deca-PBDE had the highest proportion of all congeners, accounting for 81.25%-89.23% of all PBDEs. Source analysis indicated that commercial Deca-PBDE was the main source, contributing 66.06% of the total Deca-PBDE according to principal component analysis/multiple linear regression (PCA-MLR). Among five different age groups assessed for exposure, children in Fushun had the highest exposure dose:(20.98±25.01) ng·(kg·d)-1. In terms of different land types, the highest exposure dose was for children living in urban areas:(18.54±20.27) ng·(kg·d)-1. The non-oncogenic health risks in the Shen-Fu region are of a relatively low level.

Process Optimization of Electrochemical Oxidation of Ammonia to Nitrogen for Actual Dyeing Wastewater Treatment.

To mitigate the potential environmental risks caused by nitrogen compounds from industrial wastewater, residual ammonia after conventional wastewater treatment should be further eliminated. In this work, an electrochemical oxidation process for converting ammonia to nitrogen in actual dyeing wastewater was investigated. The effects of the main operating parameters, including initial pH value, applied current density, NaCl concentration, and flow, were investigated on ammonia removal and products distribution. Experimental results indicated that, under optimal conditions of an initial pH value of 8.3, applied current density of 20 mA cm-2, NaCl concentration of 1.0 g L-1, and flow of 300 mL min-1, the ammonia could be completely removed with N2 selectivity of 88.3% in 60 min electrolysis. A kinetics investigation using a pseudo-first-order model provided a precise description of ammonia removal during the electro-oxidation process. Experimental functions for describing the relationships between kinetic constants of ammonia removal and main operating parameters were also discussed. Additionally, the mechanisms and economic evaluation of ammonia oxidation were conducted. All these results clearly proved that this electro-oxidation process could efficiently remove ammonia and achieve high N2 selectivity.

[Pollution Characteristic and Risk Assessment of Polycyclic Aromatic Hydrocarbons in the Groundwater of Shen-Fu New City in the Hunhe River Basin].

To protect the safety of water used by the residents in Shen-Fu New City, which is undergoing the process of urbanization, 49 groundwater samples were collected along the Hunhe River Basin and 16 US EPA priority control polycyclic aromatic hydrocarbons (PAHs) were analyzed. The occurrence, distribution characteristics, sources, and potential health risk of drinking the groundwater were also assessed in this study. The results show that PAHs were detected in all samples. The concentration of PAHs ranges from 4.38 to 2005.02 ng·L-1, with an average value of (414.64±526.13) ng·L-1. Based on the comparison of the concentration level with that of other regions, the results in this study indicate a higher pollution level. The 3-4 ring PAHs are dominant; the average value was (190.93±238.96) ng·L-1 and (140.01±234.69) ng·L-1, respectively, accounting for 80% of the total PAHs. The distribution of PAHs in the groundwater is affected by the land use types. The concentration of PAHs is higher when the land use type is cultivated land, while it is lower when it is forest land. The source of PAHs was identified using Principal Component Analysis-Multiple Linear Regression (PCA-MLR). It was revealed that 36.26% of the PAHs are due to incomplete combustion of petroleum and gas, 32.72% are due to coal combustion, 28.17% originate from petroleum spills, and 2.87% are due to traffic emissions. The cancer risk levels releated to drinking the groundwater range from 5.55×10-10 to 5.65×10-6 and 13.60% of the values is in the range of 10-6-10-4. The levels are higher than the baseline of the acceptable risk, indicating the potential cancer risk. More attention should be paid to the quality of the groundwater.

[Sources and Risk Assessment of Polycyclic Aromatic Hydrocarbons from the Urbanization Process of Topsoil].

To study the effects of urbanization on concentration, sources, and health risks of polycyclic aromatic hydrocarbons (PAHs), 95 topsoil samples were collected from Liaoning Province. For this assessment, 21 PAHs were analyzed via gas chromatography-mass spectrometry and discussed. The results show the total concentrations of the 21 PAHs in background, Shen-Fu, Shen-Yang, and Fu-Shun were 1496.76 µg·kg-1, 3000.50 µg·kg-1, 8705.11 µg·kg-1, and 8178.90 µg·kg-1, respectively, which is positively correlated with the urbanization levels. Diagnostic ratios and PMF modal analysis indicate that the sources of the PAHs in soils were most likely coal combustion and traffic combustion (petroleum combustion). The main sources of PAHs in the four areas were petrochemical combustion (41.0%), coal combustion (64.4%), traffic combustion (67.5%), and traffic combustion (62.0%), that is, with the urbanization process, human activity (mainly traffic combustion) gradually become the major contributor of PAHs to the environment. Health risk assessment showed that the risk of cancer exposure through soil digestion and skin exposure was higher. There is a higher health risk from PAHs in urban soils, and the health risks associated with children and adolescents are greater than with other residents, requiring more attention.

Toxic Assessment of Triclosan and Triclocarban on Artemia salina.

In this study, we investigated the possible acute toxic and genotoxic effects of triclosan (TCS) and triclocarban (TCC) on Artemia salina. Genotoxicity was evaluated using single-cell gel electrophoresis and apoptotic frequency assays (Annexin V-FITC/PI assay). Acute toxicity test results showed that TCC (LC50-24 h = 17.8 µg/L) was more toxic than TCS (LC50-24 h = 171.1 µg/L). Significant increases in both genotoxic biomarkers were observed at 24 h after initial exposure, indicating that these two chemicals are potentially dangerous for this aquatic biological model. Although further studies are required, a comparison of data both in vitro and in vivo allowed us to suggest possible mechanisms of action for TCS and TCC in this sentinel organism.

Blind image blur assessment using singular value similarity and blur comparisons.

The increasing number of demanding consumer image applications has led to increased interest in no-reference objective image quality assessment (IQA) algorithms. In this paper, we propose a new blind blur index for still images based on singular value similarity. The algorithm consists of three steps. First, a re-blurred image is produced by applying a Gaussian blur to the test image. Second, a singular value decomposition is performed on the test image and re-blurred image. Finally, an image blur index is constructed based on singular value similarity. The experimental results obtained on four simulated databases to demonstrate that the proposed algorithm has high correlation with human judgment when assessing blur or noise distortion of images.

Cost-utility analysis of Parkinson's disease.

Many expensive treatments have been developed for Parkinson's disease (PD), and a good cost-utility analysis is required. Quality-adjusted life-years (QALY) allows comparison of the cost-utility of different medical conditions. If a treatment strategy gives a patient an extra but unhealthy year, the QALY he obtained will be less than one. When a therapeutic strategy is more effective, but causes higher costs, it is mandatory to calculate the incremental cost-effectiveness ratio (ICER). In keeping with guidance from the UK National Institute for Health and Clinical Excellence (NICE), a therapy that deliver QALYs of £20,000 or less are likely to be approved. The threshold used by NICE for the maximum it is prepared to pay for a QALY, which lies between £20,000 and £30,000, will be reviewed case by case. Subthalamic deep brain stimulation (STN-DBS) is an effective therapy, which can improve the quality of life in PD patients immediately, but has not been approved by the Bureau of National Health Insurance here. It has been estimated that the ICER/QALY in STN-DBS patients was of 34,389C= , which is within appropriate limits to consider STNDBS as an efficient therapy. We expect that we can have a decision-making mechanism similar to that of NICE that, according to the ICER of each medical condition, medical resource can be redistributed openly and justly.