Purinergic receptors mediate endothelial dysfunction and participate in atherosclerosis.

Atherosclerosis is the main pathological basis of cardiovascular disease and involves damage to vascular endothelial cells (ECs) that results in endothelial dysfunction (ED). The vascular endothelium is the key to maintaining blood vessel health and homeostasis. ED is a complex pathological process involving inflammation, shear stress, vascular tone, adhesion of leukocytes to ECs, and platelet aggregation. The activation of P2X4, P2X7, and P2Y2 receptors regulates vascular tone in response to shear stress, while activation of the A2A, P2X4, P2X7, P2Y1, P2Y2, P2Y6, and P2Y12 receptors promotes the secretion of inflammatory cytokines. Finally, P2X1, P2Y1, and P2Y12 receptor activation regulates platelet activity. These purinergic receptors mediate ED and participate in atherosclerosis. In short, P2X4, P2X7, P2Y1, and P2Y12 receptors are potential therapeutic targets for atherosclerosis.

Serum creatinine/cystatin C ratio as a screening tool for sarcopenia and prognostic indicator for patients with esophageal cancer.

BACKGROUND & AIMS: Sarcopenia is associated with poor clinical outcomes of patients who underwent esophagectomy. The current diagnostic criteria for sarcopenia are complex and laborious. We aimed to employ the simple and economic indicator sarcopenia index (SI = creatinine/cystatin C ×100) to screen for sarcopenia and to evaluate its prognostic value in patients with esophageal cancer (EC). METHODS: Older participants in the National health and nutrition examination survey (NHANES) database (1999-2002) were divided into three groups according to tertiles of the SI value to explore the feasibility of SI in the diagnosis of sarcopenia. Restricted cubic spline (RCS) was utilized to show the non-linear relationship between all-cause mortality and SI. Patients with EC admitted to Jinling Hospital were enrolled to validate the efficacy and prognostic value of SI. Cut-off values of SI were determined using receiver operating characteristic curves. Multivariable logistic analyses and Cox analyses were used to identify the independent factors of postoperative complications and long-term survival, respectively. RESULTS: A total of 989 participants were identified from the NHANES database. SI showed the diagnostic value of sarcopenia (tertile 1 vs. tertile 3: odds ratio [OR]=3.67, 95% confidence interval [CI]: 1.52-8.87, p=0.004; tertile 2 vs. tertile 3: OR=1.79, 95% CI: 0.75-4.28, p=0.191) adjusted for race, gender, and body mass index (BMI). Individuals with SI ≤ 68 had a poorer overall survival (OS) (hazard ratio [HR]=2.14, 95% CI: 1.71-2.68, p<0.001), and the RCS plot showed that the all-cause mortality risk gradually decreased with the increase in SI. Then, 203 patients with EC were enrolled, of which 76 patients were diagnosed with sarcopenia. There was a linear correlation between SI and skeletal muscle index and prealbumin, indicating that SI was reliable for diagnosing sarcopenia. Patients in the high sarcopenia risk group (Male: SI < 62; Female: SI < 55) showed a higher incidence of complications (OR=3.50, 95% CI: 1.85-6.61, p<0.001) and poorer long-term survival (HR=2.62, 95% CI: 1.02-6.77, p=0.046). CONCLUSION: SI could be used to identify sarcopenia in patients with EC, and it is a useful prognostic factor of postoperative complications and long-term survival.

Novel recycling of incinerated sewage sludge ash (ISSA) and waste bentonite as ceramsite for Pb-containing wastewater treatment: Performance and mechanism.

With rapid economic growth and urbanisation, the reuse and recycling of solid wastes has become a high priority for the sustainable development of modern cities. In this study, two typical solid wastes, incinerated sewage sludge ash (ISSA) and waste bentonite, were co-valorised to produce granular adsorbents through a simple and energy-saving pelletisation/sintering process. A mixture of ISSA and bentonite at a weight ratio of 3:1 was pelletised and sintered at 700 °C. The resultant ceramsite, with good mechanical strength, could effectively remove Pb(Ⅱ) from aqueous solutions. The adsorption kinetics can be described by the pseudo-first-order (PFO) model. The results indicated that the Pb(Ⅱ) adsorption process was dominated by electrostatic attraction, precipitation, and complexation. The isothermal data exhibited a good correlation with the Freundlich model, indicating that the adsorption process was non-ideal and spontaneous. The maximum adsorption capacity was approximately 21.6 ± 0.35 mg/g at 318 K. After 5 cycles of regeneration, the adsorbent maintained good adsorption performance. Moreover, the removal rate was not greatly affected by ionic strength. These findings demonstrate that the granular adsorbent prepared with ISSA and waste bentonite can be recognised as a promising adsorbent for Pb-containing wastewater treatment.

Recycling of incinerated sewage sludge ash as an adsorbent for heavy metals removal from aqueous solutions.

The management of large quantities of incinerated sewage sludge ash (ISSA) is problematic. Environmental and economic benefits can be achieved by using ISSA as an adsorbent for heavy metals removal due to its exceptionally porous structure and active components. In this study, the feasibility of using ISSA to treat heavy metals (Cd(II), Cu(II) and Zn(II)) contaminated waters from both single- and binary-metal systems were investigated. The results showed that the pH of the solution played a pivotal role in the adsorption of heavy metals by ISSA and the optimal pH for the adsorption of these metals was around 6.00. The adsorption process of Cu(II), Cd(II), and Zn(II) in a single-metal system was similar and fast. The equilibrium data followed the Freundlich isotherm model and the corresponding adsorption capacity was 0.13, 0.11 and 0.06 mmol/g, respectively. However, the presence of other competitive metal ions had adverse effects on both the adsorption rate and the adsorption capacity for the target metal ions. The affinity of ISSA towards the metals followed the order of Cu(II) > Cd(II) > Zn(II). The difference in pH value and Ca or Na concentration of the solution after adsorption revealed that cation exchange played a fundamental role in the adsorption of the target metals, while electrostatic attraction and precipitation were insignificant. Over all, the application of ISSA as an adsorbent would be a promising option to both relieve the waste disposal pressure and mitigate the complex heavy metals pollution.

MgO-based supersulfated cement with different industrial by-product gypsum: Experiments and molecular dynamics simulation.

Super sulfate cement (SSC) emerges as a sustainable alternative to ordinary Portland cement, boasting minimal carbon emissions and exceptional performance. As the quest for eco-friendly alternatives intensifies, there's a growing focus on exploring alkaline and sulfate activators conducive to SSC's environmental goals. This study delves into the viability of utilizing MgO as an alkaline activator in producing MgO-based supersulfated cement, while also investigating the impact of various industrial by-product gypsums on its performance. Findings reveal that employing MgO as an alkaline activator yields favorable hydration properties and mechanical strength in SSC. The optimized formulation comprises 15 % industrial by-product gypsum, 83 % granulated blast furnace slag (GGBFS), and 2 % MgO. Incorporating building gypsum and flue gas desulfurization (FGD) gypsum demonstrates superior unconfined compressive strength (UCS) growth compared to citric gypsum and phosphogypsum. Notably, gel-pores below 20 nm dominate the matrix, with variations in their distribution linked to the gypsum type used. The pH level and crystal structure of the industrial by-product gypsum emerge as pivotal factors dictating the hydration process. The interaction energy between hydrated building gypsum crystal planes and water molecules proves lower, contributing to the root cause of its high sulfate activating capability. Compared to traditional SSC, MgO-based supersulfated cement requires less alkaline activator content and accommodates more industrial by-product gypsums, thus reducing costs, CO2 emissions, and promoting the efficient utilization of these solid wastes.

A clinical morphologic study of the C2 pedicle and isthmus.

PURPOSE: This anatomic, radiographic study investigated locational differences in the C2 pedicle and isthmus [pediculoisthmic component (PIC)] and characterized its narrowest section for clinical application in posterior C2 screw fixation. METHODS: Structures surrounding the transverse foramina of 30 dry C2s and 10 C3s were compared morphologically. Spinal CT scans of 32 Chinese adults were subjected to volume rendering and multiplanar reconstruction to identify the narrowest C2 PIC, and correlative parameters were measured and analyzed. RESULTS: Inferior C2 and C3 structures were morphologically similar. In superior view, the C2 superior facets lay on the transverse foramen and the upper portion between superior and inferior facets was flat (average mediolateral angle, 11.1° ± 2.4°). In inferior view, the posteroinferomedial portion of the C2 transverse foramen displayed a partially tubular structure (average mediolateral angle of projection, 42.6° ± 4.9°). Average height and width were 11.6 and 6.9 mm. The inner medullary cavity was elliptical and the middle site of endosteal diameter was 3.3 ± 1.9 mm. Medial internal cortical bone was significantly thicker than lateral bone (P < 0.01). CONCLUSIONS: The PIC is located between superior and inferior C2 facets. The superior flat area is the isthmus and the inferomedial area connecting the inferior facet and vertebral body is the pedicle. The pedicle is partially tubular and projects posteromedially to the transverse foramen. The narrowest PIC section is the narrowest point of the C2 pedicle. Considering its thin lateral cortical bone, medial and superior pedicle screw placement and preoperative CT reconstruction are recommended.

Effect of alkaline washing treatment on leaching behavior of municipal solid waste incineration bottom ash.

This study aimed to find an effective, inexpensive, and safe washing treatment for municipal solid waste incineration bottom ash (MSWIBA) in order to reduce its potential harmful effects in disposal and recycling. The washing solutions, namely tap water (TW), saturated lime water (SLW), and wastewater from concrete batching plant (WW) were used to wash MSWIBA at different liquid-solid (L/S) ratios and for different durations. Leaching behavior of some heavy metals, chloride, and sulfate from MSWIBA was tested and evaluated. From the TCLP leaching test, when the L/S ratio was above 5, WW was the most effective solution in reducing As, Cd, Se, and Sb emissions from MSWIBA. The calcium and iron ions present in the WW were essential for controlling the leaching of As, Cd, and Sb from MSWIBA due to the formation of stable crystalline pharmacosiderite, cadmium hydroxide sulfate, and hydromeite during the washing process. Using WW showed the best effect in removing sulfate from MSWIBA. At a L/S ratio of 10, about 83% of the sulfate could be removed from MSWIBA after 20 min of washing. The L/S ratio was most influential in removing chloride from MSWIBA. The three washing treatments chosen were effective in reducing the chloride level in MSWIBA to below the level of hazardous waste. Nevertheless, there were still substantial amounts of chloride remaining in the treated MSWIBA. Under the Dutch Building Materials Decree, the treated MSWIBA may be used as a building material in parts which allow isolation, control, and monitoring (ICM).

Stabilization of Pb(II) in wastewater and tailings by commercial bacteria through microbially induced phosphate precipitation (MIPP).

Microbially induced phosphate precipitation (MIPP) is an effective and eco-friendly method for Pb(II) stabilization. The phosphate-solubilizing microorganisms (PSM) for MIPP are commonly isolated from Pb(II)-contaminated sites through a series of intricate and time-consuming enrichment and purification processes. This research used ready-made commercial bacteria to develop a simple MIPP process. Bacillus subtilis (BS, CCTCC AB 98002) was selected from two commercial PSM strains owing to more effective Pb(II) removal. Compared to the most isolated microorganisms, BS released more than twice as much inorganic phosphorus (Pi) as well as had a high-level Pb(II) tolerance. BS could remove >99% of Pb(II) from 500 mg/L Pb(II)-containing water at the optimal 0.05 M sodium glycerophosphate (SGP), pH 7-9, and ≤0.03 M MgCl2, outperforming most isolated microorganisms. In addition, BS could mitigate the contamination risk of the lead­zinc tailings, by reducing the readily leachable Pb(II) concentration from 0.81 mg/L (over the regulatory limit of 0.1 mg/L) to 0.00042 mg/L. The unstable Pb(II) in the solution and tailings was ultimately stabilized to Pb5(PO4)3Cl after the SGP phosphorlysis and phosphate precipitation processes. In conclusion, commercial BS is a superior alternative to isolated microorganisms for MIPP on Pb(II) stabilization. The simple-processed and high-effective BS-based MIPP provides the MIPP method a new insight for widespread implementation in the remediation of heavy metals-containing wastewater, soil, and waste.

Effect of COVID-19 on autism spectrum disorders: A bibliometric analysis based on original articles.

BACKGROUND: The objective of this bibliometric inquiry was to scrutinize domains that delve into the repercussions of the 2019 coronavirus disease (COVID-19) pandemic on individuals afflicted with autism spectrum disorder (ASD), worldwide scholarly findings of interrelated research, and forthcoming trajectories. METHODS: To conduct a literature analysis, use the web of science core collection database, search for ASD and COVID-19-related literature published Utilize CiteSpace and VosViewer to visually analyze documents and create networks of authors, organizations. The CiteSpace and VosViewer to visually analyze documents and create networks of authors, organizations, countries, and keywords. RESULTS: This study collected 771 papers and shows an increasing trend in publications. The United States had the most relevant literature (281), followed by the United Kingdom (115) and Italy (76). The United States had the most relevant literature (281), followed by the United Kingdom (115) and Italy (76). The University of London had the most papers (53, 6.87%), and Happe_Francesca was the most productive researcher (6). J AUTISM DEV DISORD was the main journal for research on the impact of COVID-19 on ASD, with 22 related articles. Keyword co-occurrence analysis has revealed that "parenting stress," "enhancing adherence," "acute stress disorder," "COVID-19 Italian lockdown," "neurodevelopmental disorder," and "occupational therapy" have garnered significant attention recently. Notably, the burst keywords suggest that "interventions," "qualitative research," "Disabilities Monitoring Network," "neurodevelopmental disabilities," "perceived stress," and "barriers" are potential areas of investigation for future research. CONCLUSION: This bibliometric analysis delineates the fundamental structure for assessing the impact of COVID-19 on ASD by scrutinizing crucial indicators such as Our analysis reveals that COVID-19 impact on autism has garnered the interest of an Future research could explore the stress, anxiety, and strategies for individuals with ASD and their The use of telemedicine can be studied in depth, as a new idea for ASD diagnosis and intervention training, it is worthwhile. The use of telemedicine can be studied in depth, as a new idea for ASD diagnosis and intervention training, it is worth exploring, such as Disabilities Monitoring Network, etc.

Unraveling the cation adsorption of geopolymer binder: A molecular dynamics study.

Geopolymers play a significant role in remediation of heavy metal contamination and are attracting increasing interests. Sodium aluminosilicate hydrate (NASH) is the prime hydration substance of geopolymers which exhibits excellent adsorption capacity, however, the mechanism of metal cation adsorption at the NASH interface remains unclear. In this study, the adsorption behavior of cations at the NASH interface was investigated in depth, and the effects of Si/Al ratios, ion concentration and ion type on adsorption behavior were also analyzed. Furthermore, three Si/Al ratio models of NASH gel were modified and developed by molecular dynamics simulation, and validated by experiments. The result showed that electrostatic attraction and ion exchange played the major role in adsorbing three cations on the surface of NASH gel. For cations with the same charge number, ionic radius was inversely proportional to the cation exchange and adsorption capacity. Cations with lower ionic potential, among those with different charge numbers, were easier to be adsorbed onto the NASH surface. Therefore, the adsorption capacity of NASH for the three adsorbents was in the order of Na+ > Cs+ > Pb2+. The adsorption capacity of NASH gel for cations increased with the increasing of Al/Si and decreased with the increasing of cation concentration, which was attributed to the increased electrostatic attraction on the NASH surface and the limited number of adsorption sites. The derived microstructure and dynamics information are beneficial for profoundly understanding the adsorption mechanisms of geopolymers on cations.

Physicochemical and pozzolanic properties of municipal solid waste incineration fly ash with different pretreatments.

Swelling caused by gas generated from municipal solid waste incineration fly ash (MSWIFA) when it is mixed with alkali limits its uses. Besides, the leaching of anion salts and heavy metals contained in MSWIFA poses a high risk to environment. This study presents the feasibility of a one-step alkaline washing, one-step thermal quenching and two-step combination of alkaline washing and thermal quenching pretreatment methods in altering the key properties of MSWIFA for promoting its reusability. It was found that apart from H2(gas), NH3(gas) was also generated during the alkaline washing of the MSWIFA. Besides, pretreatments led to the reduction in particle size, the increase in pore volume and specific surface area of the MSWIFA, as well as the removal of chloride and sulfate anions. All the pretreatment methods were effective in reducing leaching of heavy metals to below levels of nonhazardous waste except Cd and Pb with alkaline washing. Furthermore, both the chemical Frattini test and the mechanical activity index test showed improvement in pozzolanic activities of the MSWIFA after the pretreatments. Overall, the combined pretreatment method was most effective in eliminating gas emission, and reducing leaching of metal ions and anions from the ash, while enhancing the pozzolanic activity of the ash.

Recycling of water treatment sludge in concrete: The role of water-binder ratio from a nanoscale perspective.

For eutrophic water bodies, potassium permanganate is an effective pre-oxidant to remove algae and its residue in water treatment sludge. Recycling water treatment sludge in concrete is an environmentally friendly and high-value utilization measure. However, little research has been done on the effect of manganese-rich drinking water sludge ash (DWSA) on concrete. The effect of water-binder ratio (w/b) on strength, shrinkage and microstructural characteristics of concrete containing DWSA was investigated, and the structural behavior was explained from a nanoscale perspective. The results show that recycling 10 % DWSA in concrete improved the strength and shrinkage resistance of the samples. Reducing the w/b effectively increased the strength of DWSA-modified concrete and reduced the shrinkage deformation. The paste with high w/b had higher contents of non-evaporated water and calcium hydroxide, as well as higher reaction degree of DWSA. Nanoscale characterization shows that reducing the w/b reduced the volume fraction of pore and unhydrated phases in the matrix and increased the proportion of high-density C-S-H. Meanwhile, reducing the w/b also reduced the interfacial transition zone width of DWSA-modified concrete. Recycling DWSA in concrete effectively reduced the total carbon footprint and cost of the mixture. The combined application of reducing the w/b and incorporating DWSA effectively improved the economic and environmental benefits of concrete material. For the concrete modified with 10 % DWSA (w/b = 0.3), its cost and carbon emissions are reduced by 14 %-21 % and 19 %-25 % compared with the reference sample, respectively. Overall, this study reveals the action mechanism of DWSA in cement system at different w/b from nanoscale perspective, and gives a new insight on determining the optimal w/b in full-scale application of DWSA concrete.

An iron-biochar composite from co-pyrolysis of incinerated sewage sludge ash and peanut shell for arsenic removal: Role of silica.

Modification of biochar by low-cost iron sources has gained increasing attention to improve pollutants removal performance and reduce production costs compared to conventional chemical modifications. While such iron sources generally have complex compositions, their effects on properties of the iron-biochar composite are not well investigated. This study produced an iron-biochar (RBC) composite from co-pyrolysis of incinerated sewage sludge ash (ISSA) and peanut shell, and examined the role of silica with widespread existence in ISSA and other low-cost iron sources on properties of the iron-biochar composite relevant to As(III)/As(V) removal. Silica was found to react with iron during the pyrolysis process at 850 °C and formed iron silicon at the expense of producing zero valent iron and Fe3O4 which resulted in a poorer removal efficacy for As(III) and As(V) compared to the iron-biochar (FBC) made from pure Fe2O3 and peanut shell. Moreover, a high leaching of reactive silica from RBC was observed which affected the formation of corrosion products of ZVI and competed with arsenic for active adsorption sites. Despite this, RBC still exhibited a maximum adsorption capacity of 17.44 and 57.56 mg/g towards As(III) and As(V) respectively at pH 3.0. Overall, this study provides an interesting insight into upcycling ISSA into useful media for sorptive removal of arsenic from aqueous solutions.

Immobilization and recycling of contaminated marine sediments in cement-based materials incorporating iron-biochar composites.

Sustainable stabilization/solidification (S/S) incorporating biochar for hazardous wastes has attracted increasing attention. In this study, contaminated marine sediments were remediated and recycled as useful materials via cement-based S/S process incorporating iron-biochar composites derived from incinerated sewage sludge ash (ISSA) and peanut shell. Results showed that incorporation of 20% iron-biochar composites notably increased the Cr immobilization (52.8% vs 92.1-99.7%), while attained similar As (70%) and Cu (95%) immobilization efficiencies compared to the control group (CK) prepared with plain cement as the binder based on the Toxicity Characteristic Leaching Procedure. S/S products with the addition of ISSA derived iron-biochar composite had a mechanical strength of 5.0 MPa, which was significantly higher than its counterparts derived from pure iron oxide or pristine biochar (< 4.5 MPa). Microstructural and spectroscopic characterizations and chemical leaching experiments demonstrated that reduction of Cr(VI) to Cr(III) followed by formation of Cr-Fe precipitates by zero valent iron in iron-biochar composites contributed to the enhanced immobilization efficacy of Cr(VI) compared to CK. Overall, these results demonstrated the potential of applying ISSA and peanut shell derived iron-biochar composites as additives in the cement-based S/S treatment for contaminated sediments.

Recycling of phosphogypsum and red mud in low carbon and green cementitious materials for vertical barrier.

MgO activated slag and bentonite (MASB) slurry is a new and promising vertical barrier material along with excellent performances. Some solid wastes, such as phosphogypsum (PG), red mud (RM), fly ash and so on, show a positive effect on the performances of alkali activated slag. However, few studies focus on the recycling of these solid wastes in the system of MgO activated slag. The purpose of this paper is to study the incorporation of phosphogypsum and red mud on the mechanical property, permeability and hydration process of MASB slurry. The results showed that the addition of PG could significantly improve the mechanical strength and anti-permeability of the MASB slurry at early age (7 days), where the unconfined compressive strength (UCS) increased from 793.1 kPa to 1395.7 kPa and the permeability coefficient declined from 16.1 × 10-7 cm/s to 1.7 × 10-7 cm/s. In contrast, the introduction of RM had some negative effects on its macroscopic properties, resulting the UCS decreased to 580.4 kPa and the permeability coefficient rose to 25.9 × 10-7 cm/s at 7 days. The ettringite formed in the PG blended MASB slurry led to a notable increase in the absolute solid volume, which could satisfactorily fill the pores and block the pore channels. The combined addition of RM and PG had a synergistic effect on the promotion of hydration process and optimization of the pore structure, contributing to establish a low permeability and high mechanical strength matrix. The overall findings indicate that the use of solid wastes in the MASB slurry can not only improve its engineering properties, but also promotes its sustainability and economical efficiency, holding a great potential for popularization and application.

Surgical Apgar score could predict complications after esophagectomy: a systematic review and meta-analysis.

OBJECTIVES: Esophagectomy is the most effective treatment for oesophageal cancer, although the incidence of postoperative complications remains high. Severe major complications, such as intrathoracic anastomotic leakage, are costly and life-threatening to patients. Therefore, early identification of postoperative complications is essential. The surgical Apgar score (SAS) was introduced by Gawande and colleagues to predict major complications after oesophagectomy. Several studies were carried out with inconsistent results. METHODS: PubMed, Embase, Web of Science, ClinicalTrials.gov and the Cochrane Library were searched for studies regarding SAS and oesophagectomy. Forest plots were generated using a random-effects model to investigate the actual predictive value of SAS in identifying major complications after oesophagectomy. RESULTS: Nine retrospective cohort studies were finally identified from selected electronic databases. The meta-analysis demonstrated that SAS could forecast the incidence of postoperative complications (odds ratio = 1.82, 95% confidence interval: 1.43-2.33, P < 0.001). Subgroup analysis validated the predictive value of SAS whether as continuous or discrete variables. In addition, a meta-analysis of 4 studies demonstrated that SAS could predict the incidence of pulmonary complications (odds ratio = 2.32, 95% confidence interval: 1.61-3.36, P < 0.001). Significant heterogeneity but no publication bias was found. CONCLUSIONS: Lower SAS scores could predict the incidence of major morbidities and pulmonary complications after oesophagectomy. Significant heterogeneity limits the reliability of the results, even if publication bias is not observed. More high-quality prospective research should be conducted to verify the findings. PROSPERO registration ID: CRD42020209004.

Deep insight on mechanism and contribution of As(V) removal by thermal modification waste concrete powder.

Expanding the utilization strategy of waste concrete powder (WCP) is conducive to minimizing the environmental burden caused by construction & demolition wastes (C&DW). In this study, WCP prepared in the laboratory was thermally treated and used to remove As(V) from wastewater. Batch adsorption tests were implemented to explore the influence factors such as modification temperature (0-850 °C), pH (1.00-12.00), dosage (2-50 g/L), co-coexisting ions (SO42-, NO3-, Cl- and PO43-) and temperature (25-45 °C). Various methods including spectroscopic tests, Rietveld refinement and sequential extraction process were employed to examine the mechanisms and their contribution to As(V) removal. Results show that the As(V) removal capacity of WCP was slightly enhanced after treatment at 200 °C, the pseudo-second-order kinetics model and Langmuir model could describe the adsorption process well. The maximum uptake capacity for As(V) calculated by Langmuir model at 25, 35 and 45 °C were 31.89, 25.56 and 17.42 mg/g respectively, and the removal rate reached a maximum of 95.37% (C0 = 100 mg/L). Thermodynamically, the As(V) elimination was exothermic and spontaneous. The ettringite produced by rehydration of WCP proved to be essential for As(V) removal. Electrostatic attraction, precipitation, complexation and ion exchange were identified to be the main mechanisms of As(V) adsorption. This study confirmed the potential of WCP in removing As(V) from wastewater and provided a new insight into the removal mechanisms.

Moxibustion attenuates inflammation and alleviates axial spondyloarthritis in mice: Possible role of APOE in the inhibition of the Wnt pathway.

Background and aim: Moxibustion is widely used in China and other East Asian countries to manage the symptom of ankylosing spondylitis (AS). This study investigated the effects of moxibustion intervention on protein expression through proteomics analysis in AS mice. Experimental procedure: Proteoglycan-induced spondylitis (PGISp) was established in Balb/c mice. PGISp mice were intervened with daily moxibustion at ST36, BL23, and DU4 for four weeks. Various biochemical (including pro-inflammatory cytokines and bone metabolism indexes) and histopathological parameters were determined. The effects of moxibustion on protein changes in AS mice were analyzed using data-independent acquisition-mass spectrometry (DIA-MS). The target proteins were then confirmed by Western blot analysis. Results: Moxibustion significantly decreased pro-inflammatory cytokine expression including IL-1ß, TNF-α, IL-17, and IL-6, reduced the mRNA expression of RANKL, RANK, ALP, and OCN, and improved the histopathological examination in AS mice. DIA-MS proteomic technique has identified 25 candidate proteins involved in the mechanisms of moxibustion for AS mice, most of which are mainly associated with the regulation of Wnt/ß-catenin. Integrated pathway analysis revealed that glycine, serine and threonine metabolism together with lipid metabolism were the most important canonical pathways involved in the anti-AS effect of moxibustion. In line with the multi-omic data, the levels of BPGM, APOC2, APOE, and GPD1 modified in the AS mice, intervened with moxibustion as confirmed by Western blot. In particular, APOE may play a key role in linking the lipid metabolism and the Wnt/ß-catenin pathway of new bone formation. Conclusion: In conclusion, moxibustion may reduce pro-inflammatory cytokines and improve bone erosion for AS mice. The regulation of APOE by moxibustion may have a potential inhibitory effect on the Wnt/ß-catenin pathway in AS mice. However, due to the lack of silencing or overexpression of key molecules of the signal pathway, whether the beneficial and positive effect of moxibustion involved in the regulation of Wnt/ß-catenin signaling pathway by APOE or other aspects, needed to be explored in further study.

[Study on between magnetic resonance venography and digital subtraction angiography on the inferior vena cava obstructive interface morphology of Budd-Chiari syndrome].

OBJECTIVE: To evaluate magnetic resonance venography (MRV) in diagnosing obstructive interface morphology of Budd-Chiari syndrome(BCS). METHODS: MRV examination was performed on 44 cases of BCS, and the images of obstructive interface morphology of the inferior vena cava were reviewed by two radiologists. RESULTS: In all 44 cases, there were 37 cases with complete obstruction and 7 with incomplete obstruction. MRV showed 4 cases with membrane with hole of incomplete obstruction. The morphologies MRV demonstrated that the proximal part of the 37 cases with complete obstruction were mainly divided into the cone type (36 cases) and the planum type (1 case). Besides, the type of distal end of obstruction were the cone type (30 cases), the planum type (4 cases) and the irregular type (3 cases). The overall sensitivity, specificity, positive and negative predictive values for the diagnosis of MRV were respectively 100%%, 57.1%, 92.5% and 100% as compared to the DSA. CONCLUSION: The examination of MRV is capable of revealing the obstructive interface morphology of the inferior vena cava, especially for the distal end of obstruction. MRV can provide guidelines in interventional treatment of Budd-Chiari syndrome.

Novel recycling of phosphorus-recovered incinerated sewage sludge ash residues by co-pyrolysis with lignin for reductive/sorptive removal of hexavalent chromium from aqueous solutions.

Incinerated sewage sludge ash (ISSA), a by-product generated from the combustion of dewatered sewage sludge, has been extensively studied as a secondary resource for phosphorus recovery by acid extraction methods. Recycling of the P-recovered ISSA residues is crucial to complete and sustain the whole process. In this study, the ISSA residue rich in iron was reused and co-pyrolyzed with lignin at 650, 850 and 1050 °C under N2 atmosphere for the synthesis of a composite material to remove hexavalent chromium (Cr(VI)) from aqueous solutions. Characterization analysis including XRD, XPS, and FTIR showed that iron oxides in the residue were reduced to zero valent iron at 1050 °C that exhibits the optimal Cr(VI) removal performance. The Cr(VI) removal process was rapid and reached a plateau at around 30 min. The maximum removal rate was obtained at pH 2.0, which was conducive for the treatment of a synthetic Cr(VI)-containing wastewater in fix-bed column experiments, whereby Cr(VI) as well as total Cr were continuously removed. Overall, this study proposed a new routine for the recycling of ISSA residue after phosphorus recovery by the acid extraction method and provided a value-added product for Cr(VI) removal from wastewaters.