ABSTRACT
Photocatalytic technology is an attractive option for environmental remediation because of its green and sustainable nature. However, the inefficient utilization of solar energy and powder morphology currently impede its practical application. Here, we designed a floatable photocatalyst by anchoring 0D Cu2(OH)PO4 (CHP) nanoparticles on 2D graphene to construct 0D/2D CHP/reduced graphene oxide (rGO) aerogels. The CHP/rGO aerogels have interconnected mesopores that provide a large surface area, promoting particle dispersion and increasing the number of active sites. Moreover, the optical response of the CHP/rGO aerogel has been significantly expanded to cover the full spectrum of the solar light. Notably, the 20%CHP/rGO aerogel displayed a high degradation rate (k = 0.178 min-1) taking methylene blue (MB) as a model pollutant under light irradiation (λ > 420 nm). The enhanced photocatalytic activity is ascribed to the rapid electron transfer in the CHP/rGO heterostructures, as supported by the DFT theoretical calculations. Our research highlights the utilization of full spectrum responsive photocatalysts for the elimination of organic pollutants from wastewater under solar light irradiation, as well as the potential for catalyst recovery using floatable aerogels to meet industrial requirements.
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Branched-chain keto-acid dehydrogenase kinase (BCKDK) is the rate-limiting enzyme of branched-chain amino acid (BCAA) metabolism. In the last six years, BCKDK has been used as a kinase to promote tumor proliferation and metastasis. Renal cell carcinoma (RCC) is a highly vascularized tumor. A high degree of vascularization promotes tumor metastasis. Our objective is to explore the relationship between BCKDK and RCC metastasis and its specific mechanism. In our study, BCKDK is highly expressed in renal clear cell carcinoma and promotes the migration of clear cell renal cell carcinoma (ccRCC). Exosomes from ccRCC cells can promote vascular permeability and angiogenesis, especially when BCKDK is overexpressed in ccRCC cells. BCKDK can also augment the miR-125a-5p expression in ccRCC cells and derived exosomes, thereby decreasing the downstream target protein VE-cadherin level, weakening adhesion junction expression, increasing vascular permeability, and promoting angiogenesis in HUVECs. The novel BCKDK/Exosome-miR-125a-5p/VE-cadherin axis regulates intercellular communication between ccRCC cells and HUVECs. BCKDK plays a critical role in renal cancer metastasis, may be used as a molecular marker of metastatic ccRCC, and even may become a potential target of clinical anti-vascular therapy for ccRCC.
Subject(s)
Carcinoma, Renal Cell , Kidney Neoplasms , MicroRNAs , Humans , Carcinoma, Renal Cell/pathology , Capillary Permeability , Cell Line, Tumor , Kidney Neoplasms/pathology , MicroRNAs/genetics , MicroRNAs/metabolism , OxidoreductasesABSTRACT
Interfacial free energy is a quantitative basis for explaining and predicting interfacial behavior that is ubiquitous in nature. The contact angle (CA) method can determine the surface free energy (γ) as well as Lifshitz-van der Waals (γLW) and Lewis acid/base (γ+/γ-) components of a solid material from its CAs with a set of known test liquids according to the extended Young-Dupré equation. However, the reliability of the "known" parameters of the test liquids is questioned due to the long-neglected surface roughness effect during calibration of the liquids. This study proposed a simple and practicable two-step approach to correct the energy parameters of several test liquids by incorporating Wenzel's surface roughness relationship into CA measurement. Step 1: water and two apolar liquids (diiodomethane and α-bromonaphthalene) were used as benchmarks to calibrate the surface roughness and energy parameters of two reference solids [apolar poly(tetrafluoroethylene) and monopolar poly(methyl methacrylate)], and step 2: the reference solids were used to calibrate any other test liquids by solving the energy parameters from their CAs in the extended Young-Dupré-Wenzel model. Monte Carlo simulation was used to evaluate error transmission and robustness of the model solutions. The obtained energy parameters (γLW/γ+/γ-) of four test liquids (dimethyl sulfoxide, formamide, ethylene glycol, and glycerol) are 28.01/13.68/4.67, 34.95/3.53/37.62, 26.26/7.51/15.74, and 32.99/9.24/26.02 mJ/m2, respectively, and different from the literature values. The liquids were applied to characterize an example solid surface with true γLW/γ+/γ- values of 28.00/1.00/8.00 mJ/m2 and a roughness index (r) of 1.60. Without correction of the liquid parameters, the calculated surface energy, hydration energy, and hydrophobic attraction energy of the solid sample can deviate by 50, 13, and 27%, respectively. This proves the necessity of correcting parameters of the test liquids before they can be used in CA and interfacial energy studies in the presence of surface roughness.
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OBJECTIVE: Oncology nurses are at high risk of developing compassion fatigue (CF) because of the persistent exposure to patients' suffering and death. Empathy is a prerequisite cognitive reaction for CF. Nurses with greater empathy levels are more prone to develop an emotional connection with patients. However, it is this kind of close bonds that led nurses to experience a deep sense of grief. Cumulative grief may eventually develop into CF. This study examined the levels of grief, empathy and CF, evaluated the correlation among empathy, grief and CF, and verified the role grief as a mediator of the relationship between empathy and CF. METHODS: Participants were 794 Chinese oncology nurses in a cross-sectional study. We measures consisted a demographic questionnaire, the Interpersonal Reactivity Index, the Texas Revised Inventory of Grief-Present, and the Professional Quality of Life Scale. RESULTS: Oncology nurses showed moderate levels of empathy and grief, moderate to high levels of CF. Perspective taking was negatively related to grief and secondary traumatic stress (STS). Empathic concern was negatively related to burnout (BO). Personal distress was positively related to grief, STS and BO. Grief was positively related to STS and BO. Grief played a partial mediating role between empathy and STS. CONCLUSIONS: Oncology nurses commonly experience CF. There is a need to provide interventions and effective supports for oncology nurses to improve their empathy ability, and help them cope with grief and CF.
Subject(s)
Burnout, Professional , Compassion Fatigue , Burnout, Professional/psychology , Compassion Fatigue/psychology , Cross-Sectional Studies , Empathy , Grief , Humans , Job Satisfaction , Quality of Life , Surveys and QuestionnairesABSTRACT
BACKGROUND: The COVID-19 pandemic has underscored the importance of behaviours such as social distancing in controlling pandemics. Currently, the epidemic is under control in China and production has resumed in various industries. This study investigates the behavioural compliance and related factors for COVID-19 prevention among employees returning to the workplace and provide strategic recommendations for improving individual-level preventive behaviour to prevent a new outbreak. METHODS: A cross-sectional study design was used. Data were gathered from returning employees in China using an online questionnaire survey, from March to May, 2020. The questionnaire covered participants' COVID-19-related knowledge, compliance with recommended preventive behaviours, and levels of depression and anxiety. Univariate and multi-factor methods were used to analyse the data and identify factors influencing behaviour compliance. RESULTS: Of the 1300 participants completing the full survey, more than half were male (71.92%) and 61% were aged between 31 and 50 years. Six hundred and ninety-eight (53.7%) participants showed high compliance, while 602 (46.3%) showed low compliance. In models adjusted for demographic and socio-economic factors, high education level (odds ratio [OR] = 0.23, 95% confidence interval [CI]: 0.07-0.70), office staff (OR = 0.51, 95% CI: 0.33-0.78), higher knowledge of COVID-19 (OR = 0.74, 95% CI: 0.67-0.81), and quarantining (OR = 0.74, 95% CI: 0.57-0.96) predicted better compliance with preventive behaviours (P < 0.05), while high anxiety levels (OR = 1.55, 95% CI: 1.10-2.18) predicted lower compliance with preventive behaviours (P < 0.05). CONCLUSION: For employees returning to work during the post-COVID-19-epidemic period, compliance with recommended preventive behaviours requires improvement. Consequently, comprehensive intervention measures, including the provision of health education and psychological counselling, as well as the continuance of a strict isolation policy, could enhance such compliance.
Subject(s)
COVID-19 , Adult , China/epidemiology , Cross-Sectional Studies , Humans , Male , Middle Aged , Pandemics/prevention & control , Quarantine , SARS-CoV-2 , Surveys and QuestionnairesABSTRACT
Methanol is extremely harmful to human health, since it is oxidized slowly and can accumulate in the human body. Therefore, it is essential to develop a methanol gas sensing technology with high sensitivity and selectivity for use in environmental monitoring and healthcare. In this work, a simple and low-cost sensor based on a Y2 O3 multishelled hollow structure (YMSH) to selectively detect methanol with an ultrasensitive limit of detection (71 ppb) is developed. The unique multishelled hollow structure with a large surface area and exposed {222} facets makes an important contribution to the ultrasensitive detection of methanol, which is further confirmed by subsequent theoretical simulations. Moreover, in situ Fourier transform infrared spectra verify that CO2 is the final product, which indicates a high catalytic activity of the YMSHs toward methanol oxidation. Interestingly, the sensor can also be applied to liquor samples that are mixtures of ethanol, methanol, and water, which provides a facile way to detect methanol in wines. This sensor represents a unique and highly sensitive means to detect methanol, which has great promise for potential application in environmental monitoring and food safety inspection.
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While the contact angle is a well-applied indicator of membrane hydrophobicity and surface energy, the interference of surface roughness and porosity in contact angle measurement and surface energy calculation has been long neglected in the field of porous membrane study. We propose an improved method to straightforwardly derive the surface energy of the porous membrane from contact angles with the interference effect corrected. A linearized model was established combining the Young-Dupré and Cassie-Baxter equations, from which the surface energy (Lifshitz-van der Waals and Lewis acid/base components) and roughness index (surface area difference) can be solved simultaneously at a given porosity using contact angles measured with a set of standard polar/nonpolar test liquids. The model solution was examined using hydrophilic microfiltration membranes with different pore morphologies (including perforated plate-like PCTE, irregular particulate bed-like PVDF, and fibrous mesh-like PTFE membranes), with the robustness of the results evaluated via Monte Carlo simulation. In comparison with the verified results of the model solution, it was found that the Lifshitz-van der Waals Lewis acid/base energy values for the tested membranes would deviate by 50-87, 30-160, and 52-97%, respectively, if surface roughness and porosity were neglected in the calculation. The profound effect of roughness and porosity on surface energy determination was further confirmed via theoretical analysis of the Young-Dupré and Cassie-Baxter relationships. This improved approach may apply to the surface energy characterization of hydrophilic rough porous membranes (e.g., hydrophilic microfiltration membranes).
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BACKGROUND: In China, the problems of population aging and empty nesting have become important issues which will affect the social stability and economic development. The aim of this study was to explore the health promoting lifestyles and influencing factors among empty nesters and compare with non-empty nesters to find out their differences, so as to provide a scientific evidence for people to formulate health management strategies for elderly. METHODS: A cross-sectional survey which used a stratified random cluster sampling method, was conducted among 500 elders in six districts of Taiyuan, China, there were 288 empty nesters and 212 non-empty nesters. The general information and health- promoting lifestyles were investigated by using the self-made General Information Questionnaire and Health Promoting Lifestyle Scale(HPLP). Two-sample t-test and Chi-square test were used to compare the sociodemographic factors, HPLP scores of empty nesters to non-empty nesters; Multiple stepwise linear regression was performed to estimate influencing factors related to the HPLP of empty nesters and non-empty nesters. RESULTS: The current findings showed that there were differences between the empty nesters and non-empty nesters in gender, resident, marital status, education and income, self-care ability, source of income, relationship with spouse and social activities (P < 0.05). Empty nesters were mostly male, married, had a higher education level, self-care ability and income and lived in urban compared with non-empty nesters. The health promoting lifestyles of the elderly in this survey were in the medium level, the highest score for all dimensions in both groups was in nutrition, whereas health responsibility was executed worst. The HPLP and six subscales scores of the empty nesters were higher than non-empty nesters, there were significant differences in total score of HPLP, self-realization and health responsibility (P < 0.01). Multiple regression analysis showed that the main predictive factors for the empty nesters were education, self-care ability and resident, whereas the main predictive factors for the non-empty nesters were parents-child relationship, source of income and age; social activity was the common factor for two group. CONCLUSION: The health promoting lifestyles of the empty nesters was better than that of the non-empty nesters. Health responsibility, interpersonal relations and stress management were key dimensions to be improved. Except social activity, education, self-care ability and resident were the unique influencing factors of health-promoting lifestyles for empty nesters, while the parents-child relationship, income and age were unique factors for non-empty nesters. The main target of Intervention strategy for elderly health promoting lifestyles should be the enhance of health responsibility, interpersonal relations and stress management by improving social activities, parent-child relationship, education and income of elderly.
Subject(s)
Family Characteristics , Health Knowledge, Attitudes, Practice , Healthy Lifestyle , Quality of Life/psychology , Aged , Aged, 80 and over , China , Cluster Analysis , Cross-Sectional Studies , Female , Geriatric Assessment/methods , Humans , Male , Middle Aged , Parent-Child Relations , Regression Analysis , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
OBJECTIVE: Gastric polyps (GPs) are masses of cells that form on the lining inside stomach. The diagnosis and treatment of GPs are vital, since some cases may cause malignant. Endoscopic techniques have led to earlier detection of GPs, the incidence of GPs are projected to continue rising. The treatment of GPs and investigation are specific to the possible presentation, pathology, and malignant. This paper is to investigate risk factors related to GPs patients in China. MATERIALS AND METHODS: Total of 2048 patients who underwent gastrointestinal endoscopy from January 2014 to December 2014 were studied. Data collected included gender, age, education level, BMI, eating habits and other lifestyle behaviors. Data were assessed by both univariate and multiple logistic regression analyses. RESULTS AND DISCUSSION: Of these, 181 patients had GPs. The univariate statistical test found significant differences between age and education level ([Formula: see text]=92.87, p = .00, and[Formula: see text]=92.93, p = .00, respectively). Also, significant differences of the type of drinking water, regular eating habits, eating quickly, consumption of a high-salt, meat-based dietary, hard diet, hot food eating, watching television while meal, eating leftovers, vegetable/fruit intake, cigarette smoking and alcohol consumption were noticed (p < .05). The multiple logistic regression analysis showed that age, dietary habits, eating styles, eating hot food or leftovers and fruit intake were associated with the development of GPs. CONCLUSIONS: Age and unhealthy lifestyle behaviors such as irregular eating habits, eating quickly, hot food, leftovers meals and a lower intake of fruit were independent risk factors for GPs.
Subject(s)
Feeding Behavior , Health Risk Behaviors , Polyps , Stomach Diseases , Adult , Aged , Endoscopy, Gastrointestinal , Female , Humans , Male , Middle Aged , Polyps/epidemiology , Polyps/etiology , Polyps/pathology , Risk Factors , Stomach Diseases/epidemiology , Stomach Diseases/etiology , Stomach Diseases/pathologyABSTRACT
With the development of bioinformatics, tumor classification from gene expression data becomes an important useful technology for cancer diagnosis. Since a gene expression data often contains thousands of genes and a small number of samples, gene selection from gene expression data becomes a key step for tumor classification. Attribute reduction of rough sets has been successfully applied to gene selection field, as it has the characters of data driving and requiring no additional information. However, traditional rough set method deals with discrete data only. As for the gene expression data containing real-value or noisy data, they are usually employed by a discrete preprocessing, which may result in poor classification accuracy. In this paper, we propose a novel gene selection method based on the neighborhood rough set model, which has the ability of dealing with real-value data whilst maintaining the original gene classification information. Moreover, this paper addresses an entropy measure under the frame of neighborhood rough sets for tackling the uncertainty and noisy of gene expression data. The utilization of this measure can bring about a discovery of compact gene subsets. Finally, a gene selection algorithm is designed based on neighborhood granules and the entropy measure. Some experiments on two gene expression data show that the proposed gene selection is an effective method for improving the accuracy of tumor classification.
Subject(s)
Computational Biology , Entropy , Neoplasms/genetics , Algorithms , Gene Expression Profiling , HumansABSTRACT
OBJECTIVE: To carry out a stage-matched intervention study on dietary behavior based on the Health Action Process Approach( HAPA), in order to verify the effectiveness of the intervention on improving the dietary behavior of college students. METHODS: The study recruited 184 medical university 's students who were admitted between 2013 and 2015 from Shanxi, including 37 males and 147 females to participate the intervention of dietary behavioral based on HAPA from October 2015 to May 2016 by method of random sampling. They were divided into control group( 98) and intervention group( 86). No intervention was conducted on participants in the control group, differentintervention measures were applied to non-intenders, intenders and actors according to their characteristics in intervention group. Epi Data 3. 1 and SPSS 20. 0 were employed to analyze data. RESULTS: After the stage-matched intervention, the proportion of actors in the intervention group increased from 52. 33% to 66. 28%. In the intervention group the scores of participants after intervention were significantly higher than those before intervention, and were also significantly higher after intervention than those from control group in dietary behaviors( P < 0. 001), dietary concepts( P < 0. 001), taste tendency( P < 0. 001, P = 0. 002), eating regular( P < 0. 001) and dietary habits( P = 0. 006, P < 0. 001). In the intervention group, the total scores in dietary behavior at nonintenders( t =-5. 22, P < 0. 001), intenders( t =-13. 69, P < 0. 001) and actors( t =-8. 82, P < 0. 001) after intervention were significantly higher than those before intervention. CONCLUSION: Stage-matched intervention based on the HAPA has a positive effect on improving the dietary behavior of college students.
Subject(s)
Diet/psychology , Feeding Behavior , Health Behavior , Intention , Students/psychology , Diet/ethnology , Female , Humans , Male , UniversitiesABSTRACT
OBJECTIVE: To grasp research status and the revolution of Journal of Hygiene Research since started publishing, and also track research hot spots and developing trends of this field. METHODS: Using the method of bibliometrics and information visualization software CiteSpace III, quantities of published literature, supported funds, institutions, authors and keywords from 6775 articles published in Journal of Hygiene Research from 1972 to 2014 were analyzed. RESULTS: Amount of literatures published on Journal of Hygiene Research increased wave upon wave, the peak appeared in 1995. Institutions of Chinese Center for Disease Control and Prevention, such as National Institute for Nutrition and Health, Institute of Environmental Health and Related Product Safety, National Institute of Occupational Health and Poison Control and some medical colleges were the most productive. The scholars with the most number of publications were YANG Xiaoguang, YIN Shian and PIAO Jianhua, the researcher of National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, with more than 75 articles were published. The research contents included influencing factors, related concepts, diseases, methods and objects. "mutagenicity", "apoptosis", "lead poisoning", "HPLC" and "rat" were research focuses in this field. CONCLUSION: There were lots of matter and cooperation in the articles published on Journal of Hygiene Research. The centers for disease control and prevention in different regions and universities pay attention to the coorperation, research teams with members of various ages collaborate and grow together, form a close, complex collaborative network among authors, which promote the development of the magazine and research fields together.
Subject(s)
Bibliometrics , Biomedical Research/trends , Periodicals as Topic , HygieneABSTRACT
Light cigarette adoption involves complex psychological and behavioral processes with many underlying factors. While numerous studies have shown that environmental restrictions on smoking are associated with higher probability of smoking cessation, it is also possible that some smokers may switch from regular to light cigarettes due to environmental pressures. The current study evaluates whether smoking restrictions in households, workplaces, and public places were respectively associated with light cigarette adoption. A cross-sectional multistage sampling process was used to recruit participants and collect data about demographics and smoking characteristics and environmental restriction variables. Multiple logistic models were employed to examine the association between environmental smoking restrictions and light cigarette adoption. Of 4735 respondents, 1592 (30.3 %) were current smokers, and 69.7 % (N = 1141) of the smokers were identified as light cigarette adopters. In a multivariate model, smoking restrictions in households, workplaces, and public places were significantly associated with higher light cigarette adoption. Under environmental smoking restrictions, which pose unique challenges to tobacco control efforts, light cigarette adoption may increase. The study findings are essential for health policy makers in designing and implementing targeted smoking cessation interventions and health education programs.
Subject(s)
Smoking , Urban Population , Adult , China , Female , Humans , Male , Middle Aged , NicotianaABSTRACT
The effects of the corn stalk charred biomass (CB) prepared at different pyrolysis temperatures as additives on nutrient transformation during aerobic composting of pig manure were investigated. The results showed that the addition of CB carbonized at different temperatures to pig manure compost significantly influenced the compost temperature, moisture, pH, electrical conductivity, organic matter degradation, total nitrogen, [Formula: see text] and NH3 variations during composting. Compared with control and adding CB charred at lower temperature treatments, the addition of CB prepared over 700°C resulted in higher pH (over 9.2) and NH3 emission and lower potherb mustard seed germination index value during the thermophilic phase. Peak temperatures of composts appeared at 7 days for control and 11 days for CB added treatments. During 90 days composting, the organic matter degradation could be increased over 14.8-29.6% after adding of CB in the compost mixture. The introduction of CB in pig manure could prolong the thermophilic phase, inhibit moisture reduce, facilitate the organic matter decomposition, reduce diethylene triamine pentaacetic acid (DTPA) extractable Zn and Cu contents in pig manure composts and increase ryegrass growth. The study indicated that the corn stalk CB prepared around 500°C was a suitable additive in pig manure composting.
Subject(s)
Manure , Soil/chemistry , Waste Management , Animals , Charcoal , Copper/analysis , Germination , Lolium , Nitrogen Compounds/analysis , Pentetic Acid , Seedlings/growth & development , Swine , Temperature , Zea mays , Zinc/analysisABSTRACT
Medical service fragmentation is a common problem worldwide, and many countries have adopted integration to solve the difficulty. Contrary to developed countries, developing countries such as China must consider how to implement integration under a relatively weak medical foundation. This study aims to evaluate the effect of the "Compact Union of County and Township Health Sectors" policy on the medical service capacity of a typical integration model represented by Shanxi Province in China and determine the path the policy followed. By using Shanxi's county-level medical integration as a quasi-natural experiment, this study establishes a difference-in-differences model to investigate the effect of the policy using official data. A series of tests are conducted to verify the robustness of the result. Finally, the policy pathway is tested. The results show that the third-level surgeries and outpatient service utilization of leading hospitals and township institutions increased. Still, inpatient service utilization and fourth-level surgeries did not show a significant change in either type of institution. Moreover, the enhancement of leading hospitals' service capacity comes mainly through improving asset efficiency and personal income, while the improvement of township institutions' capacity comes primarily through increased personal income. Compact integration of county-level medical institutions can stimulate and improve service capacity by improving asset efficiency and personal income, even with a weak medical foundation. However, to achieve continuous service capacity improvement, the professional level of county-level institutions must be strengthened with a superior hospital's assistance, and personnel's enthusiasm for active innovation must be cultivated.
Subject(s)
Health Policy , China , Humans , Delivery of Health Care, Integrated , Policy Making , Local GovernmentABSTRACT
Depression has been reported as one of the most prevalent psychiatric illnesses globally. This study aimed to obtain information on the global burden of depression and its associated spatiotemporal variation, by exploring the correlation between the global burden of depression and the social development index (SDI) and associated risk factors. Using data from the Global Burden of Disease study from 1990 to 2019, we described the prevalence and burden of disease in 204 countries across 21 regions, including sex and age differences and the relationship between the global disease burden and SDI. The age-standardized rate and estimated annual percentage change were used to assess the global burden of depression. Individuals with documented depression globally ranged from 182,183,358 in 1990 to 290,185,742 in 2019, representing an increase of 0.59%. More patients experienced major depressive disorder than dysthymia. The incidence and disability-adjusted life years of depression were the highest in the 60-64 age group and much higher in females than in males, with this trend occurring across all ages. The age-standardized incidence and adjusted life-years-disability rates varied with different SDI levels. Relevant risk factors for depression were identified. National governments must support research to improve prevention and treatment interventions.
Subject(s)
Depression , Global Burden of Disease , Humans , Male , Female , Middle Aged , Adult , Aged , Risk Factors , Depression/epidemiology , Prevalence , Adolescent , Young Adult , Incidence , Global Health , Depressive Disorder, Major/epidemiology , Cost of Illness , Disability-Adjusted Life Years , Spatio-Temporal Analysis , ChildABSTRACT
This study assessed the global and regional burden of IS (ischemic stroke) deaths due to LPA (low physical activity) from 1990 to 2019, analyzed regional, sex, and age differences in ASMR (age-standardized mortality rate), and provided a comprehensive understanding of the impact of age, period, and cohort on low physical activity related ischemic stroke ASMR. We conducted an APC (age-period-cohort) analysis of the global and four World Bank income level regions' IS mortality data attributed to LPA from 1990 to 2019, using the GBD2019 database, and the results showed that the global net drift of the Ischemic stroke age-standardized mortality attributable to low physical activity was - 1.085%[95% CI: - 1.168, - 1.003].The ASMR drop is most pronounced in the high-income zone, with a net drift of - 2.473% [95% CI: - 2.759, - 2.187] across the four income groups. The influence of age on mortality is increasing in the worldwide old population, while the period and cohort effects are decreasing. We also performed a Joinpoint regression analysis, which revealed that the specific time of considerable drop in ASMR of IS in the global LPA population was 2002-2007, with an APC of -2.628%. The specific period of considerable drop in ASMR in high-income regions with the highest variation was 1999-2007, with an APC = - 4.726%. The global burden of public health deaths caused by LPA is diminishing, with the most notable progress observed in high-income regions. However, in low and lower-middle income areas, the situation continues to deteriorate. Within the global elderly population, the effects of age on mortality is increasing, while the effects of period and cohort are diminishing. These trends vary across income levels, highlighting the necessity for enhanced international collaboration to formulate context-specific public health strategies aimed at enhancing cardiovascular health on a global, regional, and national scale.
Subject(s)
Ischemic Stroke , Humans , Aged , Sedentary Behavior , Income , Public Health , Cohort Studies , Global HealthABSTRACT
OBJECTIVES: To develop and validate radiomics model based on computed tomography (CT) for preoperative prediction of CN0 status in patients with papillary thyroid carcinoma (PTC). METHODS: A total of 548 pathologically confirmed LNs (243 non-metastatic and 305 metastatic) two distinct hospitals were retrospectively assessed. A total of 396 radiomics features were extracted from arterial-phase CT images, where the strongest features containing the most predictive potential were further selected using the least absolute shrinkage and selection operator (LASSO) regression method. Delong test was used to compare the AUC values of training set, test sets and cN0 group. RESULTS: The Rad-score showed good discriminating performance with Area Under the ROC Curve (AUC) of 0.917(95% CI, 0.884 to 0.950), 0.892 (95% CI, 0.833 to 0.950) and 0.921 (95% CI, 868 to 0.973) in the training, internal validation cohort and external validation cohort, respectively. The test group of CN0 with a AUC of 0.892 (95% CI, 0.805 to 0.979). The accuracy was 85.4% (sensitivity = 81.3%; specificity = 88.9%) in the training cohort, 82.9% (sensitivity = 79.0%; specificity = 88.7%) in the internal validation cohort, 85.4% (sensitivity = 89.7%; specificity = 83.8%) in the external validation cohort, 86.7% (sensitivity = 83.8%; specificity = 91.3%) in the CN0 test group.The calibration curve demonstrated a significant Rad-score (P-value in H-L test > 0.05). The decision curve analysis indicated that the rad-score was clinically useful. CONCLUSIONS: Radiomics has shown great diagnostic potential to preoperatively predict the status of cN0 in PTC.
Subject(s)
Thyroid Cancer, Papillary , Thyroid Neoplasms , Tomography, X-Ray Computed , Humans , Female , Male , Thyroid Cancer, Papillary/diagnostic imaging , Thyroid Cancer, Papillary/pathology , Tomography, X-Ray Computed/methods , Middle Aged , Retrospective Studies , Thyroid Neoplasms/diagnostic imaging , Thyroid Neoplasms/pathology , Adult , Aged , ROC Curve , Young Adult , RadiomicsABSTRACT
Photocatalytic disinfection is a promising technology with low cost and high efficiency. However, most of the current studies on photocatalytic disinfection ignore the widespread presence of natural organic matter (NOM) in water bodies, so the incomplete conclusions obtained may not be applicable. Herein, this paper systematically studied the influence of humic acid (HA), one of the most important components of NOM, on the photocatalytic inactivation of bacteriophage f2 with electrospinning Cu-TiO2 nanofibers. We found that with the addition of HA, the light transmittance of the solution at 550 nm decreased from 94 to 60%, and the band gap of the photocatalyst was increased from 2.96 to 3.05 eV. Compared with reacting without HA, the degradation amount of RNA of f2 decreased by 88.7% after HA was added, and the RNA concentration increased from 1.95 to 4.38 ng·µL-1 after the reaction. Hence, we propose mechanisms of the effect of HA on photocatalytic disinfection: photo-shielding, passivation of photocatalysts, quenching of free radicals, and virus protection. Photo-shielding and photocatalyst passivation lead to the decrease of photocatalyst activity, and the reactive oxygen species (ROSs) (·OH, ·O2-, 1O2, H2O2) are further trapped by HA. The HA in water also can protect the shape of phage f2 and reduce the leakage of protein and the destruction of ribonucleic acid (RNA). This work provides an insight into the mechanisms for the influence of HA in photocatalytic disinfection process and a theoretical basis for its practical application.
Subject(s)
Bacteriophages , Copper , Disinfection , Humic Substances , Nanofibers , Titanium , Titanium/chemistry , Titanium/pharmacology , Disinfection/methods , Copper/chemistry , Copper/pharmacology , Nanofibers/chemistry , Catalysis , LightABSTRACT
Ferroptosis, as a novel regulable cell death, is characterized by iron overload, glutathione depletion, and an accumulation of lipid peroxides. Recently, it has been discovered that ferroptosis is involved in ischemia/reperfusion (I/R)-induced acute kidney injury (AKI) and plays a crucial role in renal tubular cell death. In this study, we tried to investigate the effect and mechanism of liproxstatin-1 (Lip-1) in I/R-induced AKI and seek the key regulator of ferroptosis in I/R-induced AKI. Mice were administrated with clamping bilateral renal pedicles for 30 min. We found that early growth response 1 (EGR1) might be a key regulator of ferroptosis, and Lip-1 could suppress ferroptosis via EGR1. Meanwhile, Lip-1 could reduce macrophage recruitment and the release of inflammatory cytokines. These findings indicated that Lip-1 alleviated I/R-induced AKI via regulating EGR1, and it might pave the theoretical basis of a new therapeutic strategy for I/R-induced AKI.