Ce4+/Ce3+ Redox Effect-Promoted CdS/CeO2 Heterojunction Photocatalyst for the Atom Economic Synthesis of Imines under Visible Light.

The employment of stoichiometric alcohols and amines for imine synthesis under mild and green reaction conditions is still a challenge in the field. In this work, based on our research foundation in the thermocatalytic synthesis of imines over ceria, a CdS/CeO2 heterojunction photocatalyst was constructed and successfully realized the atom-economic synthesis of imines under visible light without additives at room temperature. Mechanistic experiments and corresponding characterizations indicated that the CdS/CeO2 heterojunction can improve the separation efficiency of photogenerated carriers, which can be further enhanced by the Ce4+/Ce3+ redox pair by rapidly combining photogenerated e-. The in situ-reduced Ce3+ can better activate O2 to form Ce-O-O·, which, together with h+, efficiently accelerates alcohol oxidation, which is the rate-determined step for the synthesis of imines via oxidative coupling reaction of alcohol and amine. In addition, our photocatalyst exhibited fairly decent reusability and substrate universality. This work solves problems of using base additives and excess amine or alcohol in the reported photocatalytic systems and provides new insight for designing CeO2-based photocatalytic oxidation catalysts.

Assessment of Bidirectional Relationships between Mental Illness and Rheumatoid Arthritis: A Two-Sample Mendelian Randomization Study.

A correlation between mental illness and systemic rheumatoid arthritis (RA) has been observed in several prior investigations. However, little is known about the causative relationship between them. The present study aimed to systematically investigate the potential association between genetically determined mental illness and RA. Two-sample bidirectional Mendelian randomization (MR) analysis was performed using publicly released genome-wide association studies (GWAS). We selected independent genetic variants associated with four mental illnesses (bipolar disorder, broad depression, major depression, and anxiety) as instrumental variables. The inverse variance weighted (IVW) method was used as the primary analysis to assess the causal relationship between mental illness and RA. Results of the IVW analysis suggested that genetic predisposition to bipolar disorder was associated with a decreased risk of RA (odds ratio [OR] = 0.825, 95% CI = 0.716 to 0.95, p = 0.007). Furthermore, we did not find a significant causal effect of RA on bipolar disorder in the reverse MR analysis (p > 0.05). In addition, our study found no evidence of a bidirectional causal relationship between genetically predicted broad depression, major depression, anxiety, and RA (p > 0.05). The genetically proxied bipolar disorder population has a lower RA risk, which may indicate that there is a hidden mechanism for inhibiting the pathogenesis of RA in bipolar disorder. However, results do not support a causal connection between depression, anxiety, and RA.

An Agent-based Simulation Model of Wheat Market Operation: The Benefit of Support Price.

Grain security is one of the most important issues worldwide. Many developing countries, including China, have adopted the Agriculture Support Price (ASP) program to stimulate farmers' enthusiasm for growing grain, to ensure self-sufficiency in grain and the stable development of the grain market. To propose decision support for the government in designing a more reasonable support price in the ASP program, we formulate an agent-based model to simulate the operation of the wheat market in the harvest period. To formulate the formation process of the market price influenced by farmers' expected sale price, processors' expected purchase price, and the ASP, the time series and regression methods are adopted. Based on the proposed market price model, to quantitatively analyze the grain transaction process and the ASP program's impacts on market agents, we develop an agent-based simulation model to describe the adaptive evolution and interaction among market agents. Furthermore, we validate and implement the simulation model with public wheat market data. Finally, insights and suggestions about the decision of the ASP program are provided.

Sparse Coding Driven Deep Decision Tree Ensembles for Nucleus Segmentation in Digital Pathology Images.

Automating generalized nucleus segmentation has proven to be non-trivial and challenging in digital pathology. Most existing techniques in the field rely either on deep neural networks or on shallow learning-based cascading models. The former lacks theoretical understanding and tends to degrade performance when only limited amounts of training data are available while the latter often suffers from limitations for generalization. To address these issues, we propose sparse coding driven deep decision tree ensembles (ScD2TE), an easily trained yet powerful representation learning approach with performance highly competitive to deep neural networks in the generalized nucleus segmentation task. We explore the possibility of stacking several layers based on fast convolutional sparse coding-decision tree ensemble pairwise modules and generate a layer-wise encoder-decoder architecture with intra-decoder and inter-encoder dense connectivity patterns. Under this architecture, all the encoders share the same assumption across the different layers to represent images and interact with their decoders to give fast convergence. Compared with deep neural networks, our proposed ScD2TE does not require back-propagation computation and depends on less hyper-parameters. ScD2TE is able to achieve a fast end-to-end pixel-wise training in a layer-wise manner. We demonstrated the superiority of our segmentation method by evaluating it on the multi-disease state and multi-organ dataset where consistently higher performances were obtained for comparison against other state-of-the-art deep learning techniques and cascading methods with various connectivity patterns.

The Physiological Significance of A-Waves in Early Diabetic Neuropathy: Assessment of Motor Nerve Fibers by Neurophysiological Techniques.

Objective: This study aimed to investigate how early A-waves could occur in type II diabetes, and what it implied functionally. Methods: We performed conduction velocity distribution (CVD) test in peroneal nerves of 37 type II diabetic patients with normal nerve conduction study (NCS) and 22 age-matched controls. The electrophysiological data and clinical information were analyzed. Results: A-waves were observed in 45.9% of diabetic patients and only in 1 person in healthy controls, all detected in the tibial nerves. The diabetic patients with A-waves showed faster conduction velocity in all quartiles in the motor peroneal nerves compared to the patients without A-waves, and their CVD histograms were shifted to the right side, consisting of a significantly larger percentage of fast conducting fibers. There was no significant difference in the CVD values of the upper extremity nerves among the patients with and without A-waves and the healthy controls. Conclusion: A-waves could occur in type II diabetes as early as when NCS showed normal, and represented as a sign of neuropathy as well as a sign of rescued motor nerve function.

Abnormal dynamic properties of functional connectivity in disorders of consciousness.

Resting-state functional magnetic resonance imaging (rs-fMRI) is widely used to research abnormal functional connectivity (FC) in patients with disorders of consciousness (DOC). However, most studies assumed steady spatial-temporal signal interactions between distinct brain regions during the scan period. The aim of this study was to explore abnormal dynamic functional connectivity (dFC) in DOC patients. After excluding 26 patients' data that failed to meet the requirements of imaging quality, we retained 19 DOC patients (12 with unresponsive wakefulness syndrome and 7 in a minimally conscious state, diagnosed with the Coma Recovery Scale-Revised [CRS-R]) for the dFC analysis. We used the sliding windows approach to construct dFC matrices. Then these matrices were clustered into distinct states using the k-means clustering algorithm. We found that the DOC patients showed decreased dFC in the sensory and somatomotor networks compared with the healthy controls. There were also significant differences in temporal properties, the mean dwell time (MDT) and the number of transitions (NT), between the DOC patients and the healthy controls. In addition, we also used a hidden Markov model (HMM) to test the robustness of the results. With the connectome-based predictive modeling (CPM) approach, we found that the properties of abnormal dynamic network can be used to predict the CRS-R scores of the patients after severe brain injury. These findings may contribute to a better understanding of the abnormal brain networks in DOC patients.

Inhalation bioaccessibility of polycyclic aromatic hydrocarbons in heavy PM2.5 pollution days: Implications for public health risk assessment in northern China.

Airborne (PM2.5) with aerodynamic diameter ≤ 2.5 µm was collected from 4 types of cities in northeast China during the heating period. The objectives of this study were to assess the concentrations variation of PM2.5-bound 12 carcinogenic polycyclic aromatic hydrocarbons (PAH12), to study the influence of simulated lung fluids on bioaccessibility of PAH12 and to estimate the variation of lifetime excess cancer risk to the residents, artificial lysosomal fluid (ALF) and Gamble's solution were used. The number of lifetime excess cancer cases (determined by California Environmental Protection Agency method) as a result of PAH12 exposure (total concentration) was 4.00-430 (provincial central cities), 24.0-261 (energy-mining cities), 17.0-109 (forested city), and 20.0-69.0 (agricultural city) per million people, which relatively corresponded to a 92.2% and 96.2%, 92.6% and 97.3%, 92.2% and 94.2%, and 86.5% and 92.6% decrease after considering bioaccessibility following 24-h of Gamble's solution and ALF extraction, respectively. Phenanthrene (Phe), dibenz[a,h]anthracene (DahA) and benzo[a]pyrene (BaP) were found to be the most bioaccessible types of PAH12 after the Gamble's solution and ALF extraction in the PM2.5 samples from all the studied cities. Based on the point-estimate approach, short-term predictions of pulmonary toxicity caused by potential inhalation of airborne PM into the pulmonary system might be overestimated if bioaccessibility of PM2.5-bound PAH12 is not fully evaluated.

Robust and cost-saving static solid cultivation method for lipid production using the chlamydospores of Phanerochaete chrysosporium.

BACKGROUND: During current submerged fermentation for microbial lipid production, the large-scale reactor operations inevitably consume substantial amounts of water and electricity for aeration, stirring, and temperature control and result in the operational costs almost exceeding the biodiesel value produced. Thus, developing a novel low-cost cultivation strategy is urgently needed by microbial lipid industry. RESULTS: The filamentous fungus Phanerochaete chrysosporium can synthesize and accumulate lipids via static solid cultivation. The conversion efficiency of substrates to lipids reaches 0.277 g/g substrate after optimization of the following cultivation factors: humidity, solid medium thickness, temperature, and rotary speed. The lipids obtained by static solid cultivation differ in component and relative content from those achieved by submerged cultivation. Laser scanning confocal microscopy reveals that numerous chlamydospores filled with lipids appear during static solid cultivation, and the fungal morphological change explains why static solid cultivation is superior in lipid yield compared with submerged fermentation. The genes coding the enzymes related to fatty acid elongation and degradation are differently expressed during static solid cultivation, which presents an answer to the appearance of abundant saturated long-chain fatty acids (93.6% in total fatty acids) in chlamydospores. In addition, engineering viability and cost-benefit analysis show that the conversion of wheat bran and glucose to lipid by the fungus is efficient. More importantly, the solid cultivation incurs only a small reactor operational cost because neither cooling water nor electrical equipment, including aerator, stirrer, and the temperature control system, is used. CONCLUSIONS: This study developed a robust and cost-saving solid fermentation method without an aerator, stirrer, and temperature control system to produce microbial lipids using the chlamydospores of P. chrysosporium. Compared with conventional submerged fermentation, the solid cultivation strategy is promising because it diminishes most of the reactor operational costs, including water and power expenses.

Assessment of the Pig-a, micronucleus, and comet assay endpoints in rats treated by acute or repeated dosing protocols with procarbazine hydrochloride and ethyl carbamate.

The utility and sensitivity of the newly developed flow cytometric Pig-a gene mutation assay have become a great concern recently. In this study, we have examined the feasibility of integrating the Pig-a assay as well as micronucleus and Comet endpoints into acute and subchronic general toxicology studies. Male Sprague-Dawley rats were treated for 3 or 28 consecutive days by oral gavage with procarbazine hydrochloride (PCZ) or ethyl carbamate (EC) up to the maximum tolerated dose. The induction of CD59-negative reticulocytes and erythrocytes, micronucleated reticulocytes in peripheral blood, micronucleated polychromatic erythrocytes in bone marrow, and Comet responses in peripheral blood, liver, kidney, and lung were evaluated at one, two, or more timepoints. Both PCZ and EC produced positive responses at most analyzed timepoints in all tissue types, both with the 3-day and 28-day treatment regimens. Furthermore, comparison of the magnitude of the genotoxicity responses indicated that the micronucleus and Comet endpoints generally produced greater responses with the higher dose, short-term treatments in the 3-day study, while the Pig-a assay responded better to the cumulative effects of the lower dose, but repeated subchronic dosing in the 28-day study. Collectively, these results indicate that integration of several in vivo genotoxicity endpoints into a single routine toxicology study is feasible and that the Pig-a assay may be particularly suitable for integration into subchronic dose studies based on its ability to accumulate the mutations that result from repeated treatments. This characteristic may be especially important for assaying lower doses of relatively weak genotoxicants. Environ. Mol. Mutagen. 60:56-71, 2019. © 2018 Wiley Periodicals, Inc.

Palpebral portion of the orbicularis oculi muscle to repetitive nerve stimulation testing: A potential assessment indicator in patients with generalized myasthenia gravis.

Repetitive nerve stimulation (RNS) is a valuable diagnostic method for myasthenia gravis (MG). However, its association with clinical severity was scarcely studied. We reviewed medical records and retrospectively enrolled 121 generalized MG patients. Sensitivity of different muscles to RNS and clinical scoring systems was evaluated. RNS testing revealed facial muscles have the highest positive rate, followed by proximal muscles and distal muscles, with the palpebral portion of the orbicularis oculi muscle most sensitive. Amplitude decrement of compound muscle action potential (CMAP) in the palpebral portion of the orbicularis oculi muscle is related to quantitative myasthenia gravis (QMG) scores, MG-specific manual muscle testing (MMT) scores and myasthenia gravis-related activities of daily living (MG-ADL) scores. We suggest that RNS testing of the palpebral portion of the orbicularis oculi muscle is a potential assessment indicator in patients with generalized MG.

Cadmium stress assessment based on the electrocardiogram characteristics of zebra fish (Danio rerio): QRS complex could play an important role.

The electrocardiogram (ECG) of zebra fish (Danio rerio) expresses cardiac features that are similar to humans. Here we use sharp microelectrode measurements to obtain ECG characteristics in adult zebra fish and analyze the effects of cadmium chloride (CdCl2) on the heart. We observe the overall changes of ECG parameters in different treatments (0.1 TU, 0.5 TU and 1.0 TU CdCl2), including P wave, Q wave, R wave, S wave, T wave, PR interval (atrial contraction), QRS complex (ventricular depolarization), ST segment, and QT interval (ventricular repolarization). The trends of the ECG parameters showed some responses to the concentration and exposure time of CdCl2, but it was difficult to obtain more information about the useful indicators in water quality assessment depending on tendency analysis alone. A self-organizing map (SOM) showed that P values, R values, and T values were similar; R wave and T wave amplitude were similar; and most important, QRS value was similar to the CdCl2 stress according to the classified data patterns including CdCl2 stress (E) and ECG components based on the Ward linkage. It suggested that the duration of QRS complex was related to environmental stress E directly. The specification and evaluation of ECG parameters in Cd2+ pollution suggested that there is a markedly significant correlation between QRS complex and CdCl2 stress with the highest r (0.729) and the smallest p (0.002) among all ECG characteristics. In this case, it is concluded that QRS complex can be used as an indicator in the CdCl2 stress assessment due to the lowest AIC data abased on the linear regression model between the CdCl2 stress and ECG parameters.

The physiological characteristics of zebra fish (Danio rerio) based on metabolism and behavior: A new method for the online assessment of cadmium stress.

In order to illustrate heavy metal ecotoxicology associated with interactions between chemicals and biological systems, we investigated physiological changes (metabolism and behavior response) of zebra fish (Danio rerio) under 48 h Cadmium chloride (CdCl2) exposure using online monitoring technique. The concentrations of CdCl2 were designed as 4.26, 42.6 and 85.2 mg/L, which were 0.1, 1.0, and 2.0 based on toxic unit (TU), respectively. The metabolism was assessed using the oxygen consumption (OC), and the behavior response was analyzed in behavior strength (BS). Significant inhibition of both OC and BS could be observed: OC was 617.39 ± 30.48 mg/kg/h in the control, and it decreased rapidly to 229.07 ± 28.66 mg/kg/h in 2.0 TU treatment. BS changed from 0.76 ± 0.07 (control) to 0.39 ± 0.04 (2.0 TU) with the increase of exposure concentrations. Further results suggested that both factors were related to diurnal variation during 48 h exposure, which could be regarded as circadian rhythms: the average values of OC and BS during photo-phase were significantly higher than both during scoto-phase in CdCl2 treatments (p < 0.05). After integrated analysis, the original values of both OC and BS with wide fluctuation showed a negative linear relationship with CdCl2 concentration. The levels of both OC and BS were positively correlated with CdCl2 (r = 0.93 and p < 0.01). It is suggested that both OC and BS provide an objective ground for CdCl2 stress assessment, and that also could be applied to test the changes of organisms quantitatively in toxic physiology.

The prevalence, incidence, management and risks of atrial fibrillation in an elderly Chinese population: a prospective study.

BACKGROUND: There is limited information on prevalent and incident atrial fibrillation in Chinese. We aimed to investigate the prevalence, incidence, management and risks of atrial fibrillation in an elderly Chinese population. METHODS: In a population--based prospective study in elderly (≥ 60 years) Chinese, we performed cardiovascular health examinations including a 12-lead electrocardiogram at baseline in 3,922 participants and biennially during follow-up in 2,017 participants. We collected information on vital status during the whole follow-up period. RESULTS: The baseline prevalence of atrial fibrillation was 2.0 % (n = 34) in 1718 men and 1.6 % (n = 36) in 2204 women. During a median 3.8 years of follow-up, the incidence rate of atrial fibrillation (n = 34) was 4.9 per 1000 person-years (95 % confidence interval [CI], 3.4-6.9). In univariate analysis, both the prevalence and incidence of atrial fibrillation were higher with age advancing (P < 0.0001) and in the presence of coronary heart disease (P ≤ 0.02). Of the 104 prevalent and incident cases of atrial fibrillation, only 1 (1.0 %) received anticoagulant therapy (warfarin). These patients with atrial fibrillation, compared with those with sinus rhythm, had significantly higher risks of all-cause (n = 261, hazard ratio [HR] 1.87, 95 % CI, 1.09-3.20, P = 0.02), cardiovascular (n = 136, HR 3.78, 95 % CI 2.17-6.58, P < 0.0001) and stroke mortality (n = 44, HR 6.31, 95 % CI 2.81-14.19, P = 0.0003). CONCLUSIONS: Atrial fibrillation was relatively frequent in elderly Chinese, poorly managed and associated with higher risks of mortality.

Distribution of illness and medical expenditure: a survey in two villages in rural Beijing.

BACKGROUND: The main goal of this study is to examine the distributions of illness conditions and resulting medical expenditures and their associated factors. To achieve this goal, an in-house survey was conducted in August of 2012 in rural Beijing, the capital city of China. RESULTS: The survey was conducted in Nanjianchang and Beijianchang, which are two villages 20 KM away from Miyun, a satellite city of Beijing. Data was collected on 346 households, which included 834 members. Variables measured included household characteristics, household head characteristics, illness conditions, and medical expenditures. Illness conditions and corresponding expenditure were measured for inpatient treatment, outpatient treatment, and self-treatment separately. Multivariate analysis suggested that the presence of inpatient treatment was associated with household head characteristics including age, gender, and education. The presence of a high level of outpatient treatment was associated with household head characteristics including gender and education. The presence of a high level of self-treatment was significantly associated with household size. In the analysis of overall out-of-pocket (OOP) medical expenditure, only age of household head was borderline significant. In the analysis of OOP inpatient expenditure, age and gender of household head were borderline significant. The OOP outpatient expenditure was associated with household size, presence of members older than 60, household head's gender, marital status, and occupation. The OOP self-treatment expenditure was not associated with any household characteristic. CONCLUSIONS: For the surveyed households, medical expenditure made up a considerable proportion of the total consumption. This study suggested that the presence of illness conditions and resulting OOP medical expenditure were associated with certain household and household head characteristics. Such results may help identify the subgroup that is the most affected by illness conditions. As this study collected recent data on inpatient, outpatient, and self-treatment separately, it may provide a useful complement to the existing studies.

Human attitudes in environmental management: Fuzzy Cognitive Maps and policy option simulations analysis for a coal-mine ecosystem in China.

Ecosystem management is a complex process, and every stakeholder's cognition plays a crucial role in it. In order to manage the ecosystem better, it is significant for the coal-mining environmental managers to choose appropriate measures, in accord with the stakeholders' interests. Hence, the purpose of this study is to assess knowledge of and attitudes towards coal-mine ecosystems among stakeholders and then simulate policy options in a typical coal-mine region in China. The Fuzzy Cognitive Mapping (FCM) method was used to develop a participatory ecosystem management model in research area. Combining the initial state of variables and the adjacency matrix getting from FCM, Artificial Neural Network (ANN) was used to conduct simulations. The results found that among stakeholder groups' FCM model, 'air pollution' and 'water pollution' are the most frequently mentioned variables, while 'health effects' and 'expansion of related industries' are the core variables. However, different stakeholders expressed diverse perceptions on coal-mine ecosystem management. Mine workers paid more attention to occupational safety and their health impacts inducted by air and water pollution during coal-mine process. Local residents were concerned with local economic development and welfare facilities improvement; they also concerned their health impacts raised by coal-mine related problems such as air and water pollution, traffic and noises. Managers emphasized economic interests and environmental projects with immediate environmental effects other than long-term ecosystem improvement. Engineers mentioned more variables than other groups; they believed that air pollution, water pollution, soil erosion and biodiversity loss were important. Scenario analysis for policy simulation based on ANN suggested that the local governments and enterprises should place an emphasis on protecting farmland, increasing vegetation coverage, reducing solid contamination and improving energy efficiency to decrease air pollution. In addition, they should start from decreasing air pollution, protecting water environment, increasing vegetation coverage and paying attention to people's safety to improve health. National policy, public administration and enterprise countermeasures have positive influence to ecosystem management. The findings of this study could provide valuable information to researchers and administrators about stakeholders' knowledge of and attitudes towards coal-mine ecosystem management. These, in turn, could be incorporated into the development of protective measures for a coal-mine ecosystem in China.

[Assessment on analgesic and anti-inflammatory effects of Tongjingbao optimal formula and analysis on its active components].

OBJECTIVE: To assess the analgesic and anti-inflammatory effects of Tongjingbao optimal formula and analyze its active components. METHOD: Animals were divided into the model group, the Tongjingbao granule group and the Tongjingbao optimal formula group. The mice dysmenorrhea model was induced by oxytocin, and their content of blood calcium and MDA, NO, PGE2 in uterus were determined to assess the analgesic and anti-inflammatory effects of different components in Tongjingbao optimal formula and their impacts. RESULT: All components of Tongjingbao optimal formula could extend the dysmenorrhea incubation period of mice with dysmenorrhea, reduce their average writhing time, increase the writhing inhibition rate, lessen the content of blood calcium and MDA, PGE2 in uterus, and enhance the content of NO in uterus. CONCLUSION: All components of Tongjingbao optimal formula have the analgesic and anti-inflammatory effects, and different components show a synergistic effect in treating dysmenorrheal in many links.

Intraoperative frozen section assessment of pelvic lymph nodes during radical prostatectomy is of limited value.

OBJECTIVE: To evaluate the accuracy of frozen section (FS) assessment of pelvic lymph nodes (PLNs) during radical prostatectomy (RP) in a large contemporary cohort; and to analyse the contribution of FS to surgical decision making in this setting. PATIENTS AND METHODS: During a 4-year period at a single institution, RPs with PLN dissection (PLND) were reviewed. The number and size of the PLNs, and the size of metastases were measured. RESULTS: FS was performed on 349 bilateral PLNDs. Overall, 28 (8%) cases were positive for metastasis, 11 of which were detected by FS (39%). The 17 false negatives, all of which contained metastases smaller than 5 mm, were due to failure to identify and freeze the positive PLNs (11), failure to section at the level of the metastatic tumour (four), or interpretative error (two). The sensitivity was not affected by the number of sampled nodes. The size of metastasis was the determining factor for the accuracy of FS, with metastases of ≥ 5 mm having a sensitivity of 100%, and metastases of < 5 mm having a sensitivity of 10%. Among the 11 true positives, RP was aborted in eight cases and continued in three. During the same period, 261 PLNDs were performed without FS, and 18 (6.9%) had metastases. CONCLUSIONS: FS is highly accurate in detecting large, grossly evident metastases, but performs poorly on micrometastases. It is recommended that a two-step approach applied to routine FS starting with a careful gross examination followed by FS for only grossly suspicious PLNs.