Evaluating vonoprazan and tegoprazan for gastroesophageal reflux disease treatment in Chinese Healthcare: an EVIDEM framework analysis.

BACKGROUND: In Chinese healthcare settings, drug selection decisions are predominantly influenced by the Pharmacy & Therapeutics Committee (PTC). This study evaluates two recently introduced potassium-competitive acid blockers, vonoprazan (VPZ) and tegoprazan (TPZ), utilizing the Evidence and Value: Impact on DEcisionMaking (EVIDEM) framework. METHODS: The study employed the 10th edition of EVIDEM, which includes a core model with five domains and 13 criteria. Two independent expert panels were involved: the PTC expert panel, tasked with assigning weights using a 5-point scale, defining scoring indicators, examining the evidence matrix, scoring, and decision-making; and the evidence matrix expert panel, responsible for conducting a systematic literature review, creating the evidence matrix, and evaluating the value contributions of VPZ and TPZ. RESULTS: The analysis estimated the value contributions of VPZ and TPZ to be 0.59 and 0.54, respectively. The domain of 'economic consequences of intervention' showed the most significant variation in value contribution between the two drugs, followed by 'comparative outcomes of intervention' and 'type of benefit of intervention'. CONCLUSION: Employing the EVIDEM framework, VPZ's value contribution was found to be marginally superior to that of TPZ. The EVIDEM framework demonstrates potential for broader application in Chinese medical institutions.

Elastic Polyurethane as Stress-Redistribution-Adhesive-Layer (SRAL) for Directly Integrated High-Energy-Density Flexible Batteries.

The low mechanical reliability and integration failure are key challenges hindering the commercialization of geometrically flexible batteries. This work proposes that the failure of directly integrating flexible batteries using traditional rigid adhesives is primarily due to the mismatch between the generated stress at the adhesive/substrate interface, and the maximum allowable stress. Accordingly, a stress redistribution adhesive layer (SRAL) strategy is conceived by using elastic adhesive to redistribute the generated stress. The function mechanism of the SRAL strategy is confirmed by theoretical finite element analysis. Experimentally, a polyurethane (PU) type elastic adhesive (with maximum strain of 1425%) is synthesized and used as the SRAL to integrate rigid cells on different flexible substrates to fabricate directly integrated flexible battery with robust output under various harsh environments, such as stretching, twisting, and even bending in water. The SRAL strategy is expected to be generally applicable in various flexible devices that involve the integration of rigid components onto flexible substrates.

Changes in the intestinal microbiota of multiple myeloma patients living in high­altitude and cold regions analyzed using 16s rRNA high­throughput sequencing.

Multiple myeloma (MM) is a plasma cell clonal disease and these plasma cells can survive in the gut. The intestinal microbiota is a complex ecosystem and its dysfunction can release persistent stimulus signals that trigger genetic mutations and clonal evolution in the gut. The present study analyzed the intestinal microbiota in fecal samples of MM patients in high-altitude and cold regions of China using 16s rRNA sequencing and analyzed significantly enriched species at the phylum and genus levels. Although no significant difference in the alpha diversity was observed between the MM and control groups, a significant difference was noted in the beta diversity. A total of 15 significant differential bacteria at the genus level were found between the two groups, among which Bacteroides, Streptococcus, Lactobacillus and Alistipes were significantly enriched in the MM group. The present study also constructed a disease diagnosis model using Random Forest analysis and verified its accuracy using receiver operating characteristic analysis. In addition, using correlation analysis, it demonstrated that the composition of the intestinal microbiota in patients with MM was associated with complement levels. Notably, the present study predicted that the signaling and metabolic pathways of the intestinal microbiota affected MM progression through Kyoto Encyclopedia of Genes and Genomes functional analysis. The present study provides a new approach for the prevention and treatment of MM, in which the intestinal microbiota may become a novel therapeutic target for MM.

Nanorod-like Bimetallic Oxide for Enhancing the Performance of Supercapacitor Electrodes.

Supercapacitors are widely used in many fields owing to their advantages, such as high power, good cycle performance, and fast charging speed. Among the many metal-oxide cathode materials reported for supercapacitors, NiMoO4 is currently the most promising electrode material for high-specific-energy supercapacitors. We have employed a rational design approach to create a nanorod-like NiMoO4 structure, which serves as a conductive scaffold for supercapacitors; the straightforward layout has led to outstanding results, with nanorod-shaped NiMoO4 exhibiting a remarkable capacity of 424.8 F g-1 at 1 A g-1 and an impressive stability of 80.2% capacity preservation even after 3500 cycles, which surpasses those of the majority of previously reported NiMoO4 materials. NiMoO4//AC supercapacitors demonstrate a remarkable energy density of 46.31 W h kg-1 and a power density of 0.75 kW kg-1. This synthesis strategy provides a facile method for the fabrication of bimetallic oxide materials for high-performance supercapacitors.

Successful management of severe hypoglycemia induced by total parenteral nutrition in patients with hepatocellular injury: Three cases reports.

BACKGROUND: Glucose imbalance is common in total parenteral nutrition (TPN). Hypoglycemia seems to be less frequent than hyperglycemia, but it influences the clinical outcome to a greater extent. Therefore, it should be effectively prevented and treated. However, there is no relevant report on how to treat hypoglycemia caused by TPN in patients with liver cell injury. CASE SUMMARY: We present three patients with liver cell injury who developed severe hypoglycemia during or after TPN infusion. The causes of severe hypoglycemia and glucose-raising strategies were discussed. According to the physiological characteristics of the hepatocellular injury, the ratio of nutrition components prescribed in TPN was appropriately adjusted for the three cases. We simultaneously reduced the dose of insulin and fat emulsion, and increased the dose of glucose in TPN. The blood glucose level was restored to normal range and clinical symptoms were eliminated. CONCLUSION: When hypoglycemia occurs during or after TPN in patients with hepatocellular injury, physicians need to simultaneously reduce insulin and fat emulsion, and increase glucose, and correct severe hypoglycemia in time to reduce its adverse consequences.

Elevated matrix metalloproteinase­9 expression is associated with COVID­19 severity: A meta­analysis.

The present meta-analysis investigated the clinical value of serum matrix metalloproteinase (MMP)-9 levels in Coronavirus Disease 2019 (COVID-19) patients. Studies assessing the outcomes of patients with COVID-19 in correlation with the MMP-9 levels were retrieved from PubMed, Web of Science, EMBASE, Cochrane, WANFANG, and CNKI. A meta-analysis was performed to compare the serum MMP-9 levels between different patient groups: Severe vs. non-severe; acute respiratory distress syndrome (ARDS) vs. non-ARDS; non-survivors vs. survivors; neurologic syndrome vs. non-neurologic syndrome; and obese diabetic vs. non-obese diabetic. A total of 2,062 COVID-19-confirmed patients from 12 studies were included in this meta-analysis. The serum MMP-9 levels were significantly higher in patients with severe COVID-19 than in those with non-severe COVID-19 [weighted mean difference (WMD) 246.61 (95% confidence interval (CI), 115.86-377.36), P<0.001]. Patients with ARDS exhibited significantly higher MMP-9 levels than those without ARDS [WMD 248.55 (95% CI, 63.84-433.25), P<0.001]. The MMP-9 levels in the non-survivors did not significantly differ from those in the survivors [WMD 37.79 (95% CI, -18.08-93.65), P=0.185]. Patients with comorbidities, including neurological syndromes, and obese diabetic patients had significantly higher MMP-9 levels than those without comorbidities [WMD 170.73 (95% CI, 95.61-245.85), P<0.001]. Serum MMP-9 levels were associated with COVID-19 severity and may serve as a therapeutic target for improving the prognosis of patients with COVID-19.

Progress in comprehensive utilization of electrolytic manganese residue: a review.

Electrolytic manganese residue (EMR) is a solid waste produced in the process of electrolytic manganese metal (EMM) production. In recent years, the accumulation of EMR has caused increasingly serious environmental problems. To better understand the state of EMR recycling in recent years, this paper used a comprehensive literature database to conduct a statistical analysis of EMR-related publications from 2010 to 2022 from two perspectives: harmless green treatment and resource utilization. The results showed that the research on the comprehensive utilization of EMR mainly focused on the fields of chemical hazard-free treatment and manufacturing building materials. The related studies of EMR in the fields of biological harmlessness, applied electric field harmlessness, manganese series materials, adsorbents, geopolymers, glass-ceramics, catalysts, and agriculture were also reported. Finally, we put forward some suggestions to solve the EMR problem, hoping that this work could provide a reference for the clean disposal and efficient utilization of EMR.

CircPCNX Promotes PDGF-BB-Induced Proliferation and Migration of Human Aortic Vascular Smooth Muscle Cells Through Regulating miR-1278/DNMT1 Axis.

BACKGROUND: Human aortic vascular smooth muscle cells (HA-VSMCs) play vital roles in the pathogenesis of vascular diseases. Circular RNAs (circRNAs) have been reported to regulate the biological functions of HA-VSMCs. In this study, the functions of circRNA pecanex homolog (circPCNX) in platelet-derived growth factor-BB (PDGF-BB)-induced HA-VSMCs were investigated. METHODS: Quantitative real-time polymerase chain reaction (qRT-PCR) was conducted to determine the expression of circPCNX, DNA methyltransferase 1 (DNMT1), and microRNA-1278 (miR-1278). 5'-Ethynyl-2'-deoxyuridine (EdU) assay, flow cytometry analysis, wound healing assay, and transwell assay were used to examine cell proliferation, cell cycle, and migration. Western blot assay was utilized to measure protein levels. RNA immunoprecipitation (RIP) assay, RNA pull down assay, and dual-luciferase reporter assay were adopted to analyze the relationships among circPCNX, miR-1278, and DNMT1. RESULTS: CircPCNX was upregulated in PDGF-BB-treated HA-VSMCs in a dose- or time-dependent manner. CircPCNX knockdown alleviated PDGF-BB-induced cell proliferation, cell cycle progression, and migration in HA-VSMCs. CircPCNX knockdown could reverse PDGF-BB-induced HA-VSMC progression by regulating DNMT1. Moreover, circPCNX was identified to regulate DNMT1 expression by sponging miR-1278. Inhibition of miR-1278 reversed circPCNX knockdown-mediated effects on cell proliferation and migration in PDGF-BB-induced HA-VSMCs. MiR-1278 overexpression suppressed PDGF-BB-stimulated HA-VSMC proliferation and migration by targeting DNMT1. CONCLUSION: CircPCNX promoted PDGF-BB-induced HA-VSMC proliferation and migration by elevating DNMT1 expression through sponging miR-1278.

Atomistic mechanism of phase transformation between topologically close-packed complex intermetallics.

Understanding how topologically close-packed phases (TCPs) transform between one another is one of the challenging puzzles in solid-state transformations. Here we use atomic-resolved tools to dissect the transition among TCPs, specifically the µ and P (or σ) phases in nickel-based superalloys. We discover that the P phase originates from intrinsic (110) faulted twin boundaries (FTB), which according to first-principles calculations is of extraordinarily low energy. The FTB sets up a pathway for the diffusional in-flux of the smaller 3d transition metal species, creating a Frank interstitial dislocation loop. The climb of this dislocation, with an unusual Burgers vector that displaces neighboring atoms into the lattice positions of the product phase, accomplishes the structural transformation. Our findings reveal an intrinsic link among these seemingly unrelated TCP configurations, explain the role of internal lattice defects in facilitating the phase transition, and offer useful insight for alloy design that involves different complex phases.

Enhancing the Electrochemical Properties of Ti-Doped LiMn2O4 Spinel Cathode Materials Using a One-Step Hydrothermal Method.

In this study, LiMn2-x Ti x O4 cathode materials were synthesized by a simple one-step hydrothermal method, and the effects of Ti doping on the sample structure and electrochemical properties were examined. The results indicated that Ti doping did not affect the spinel structure of LiMn2O4, and no other hybrid phases were produced. Furthermore, appropriate doping with Ti improved the particle uniformity of the samples. The electrochemical performance results showed that LiMn1.97Ti0.03O4 exhibited much better cycling performance than the undoped sample. The discharge capacity of LiMn1.97Ti0.03O4 reached 136 mAh g-1 at 25 °C at 0.2C, and the specific capacity reached 106.2 mAh g-1 after 300 cycles, with a capacity retention rate of 78.09%. Additionally, the specific capacity of LiMn1.97Ti0.03O4 was 102.3 mAh g-1 after 100 cycles at 55 °C, with a capacity retention rate of 75.44%. The Ti-doped samples thus exhibited an impressive high-rate performance. The discharge capacity of LiMn2O4 was only 31.3 mAh g-1 at 10C, while the discharge-specific capacity of LiMn1.97Ti0.03O4 reached 73.4 mAh g-1. Furthermore, to assess the higher Li+ diffusion coefficient and lower internal resistance of the Ti-doped samples, cyclic voltammetry and impedance spectra data were obtained. Our results showed that Ti doping enhanced the crystal structure of LiMn2O4 and improved Li+ diffusion, resulting in significant improvements in the cycling and rate performance of Ti-doped samples.

Nb2CTx MXene as High-Performance Energy Storage Material with Na, K, and Liquid K-Na Alloy Anodes.

Two-dimensional MXenes perform well as hosts in batteries, which are promising for next-generation energy storage materials. With low price and high performance, sodium (Na) and potassium (K) own the potential to replace lithium in energy storage devices, but the larger radii and dendrite growth restrict their commercialization. Herein, we successfully synthesized an accordion-like Nb2CTx MXene, whose crystal structure integrity and lamellar separation have been confirmed by characterization methods like high-resolution transmission electron microscopy (HR-TEM). Combined with solid Na and K and liquid K-Na alloy as anodes, the Nb2CTx MXene shows excellent electrochemical performance, such as high capacity retention after large current shock in tests of rate performance and long time stability for more than 500 cycles, etc. Also, the Nb2CTx MXene coupled with liquid K-Na anode performs better than that coupled with solid K for the dendrite-controlling character of the liquid electrode. The Nb2CTx MXene would boost the exploitation of more suitable host materials for Na/K-ion batteries and promote an in-depth understanding of MXenes.

Gaseous p-v-T Property Measurements for Titanium Tetrachloride from 873.0 to 1173.0 K and Low Pressure of 34.05 kPa.

For exploring the chemical reaction mechanism and the heat and the mass transfer of the TiCl4-Mg system in the Kroll process, it is of fundamental and practical importance to determine the gaseous p-v-T property for titanium tetrachloride at supercritical temperature and low pressure. The p-T-x data for the xTiCl4 + (1 - x) Ar binary gas system are measured and presented in this study. Based on the Peng-Robinson (P-R) equation of state (EoS) of argon at temperatures from 873.0 to 1173.0 K, the gaseous p-v-T property of titanium tetrachloride has been estimated, and a new three-term truncated virial EoS for titanium tetrachloride is developed along 10 isotherms and 8 isodensities.

Preparation of Imitation Basalt Compound Based on Thermodynamic Calculation.

In this paper, imitation basalt compounds using red mud, fly ash or coal gangue as raw materials were designed and prepared with the help of thermodynamic calculations. Thermodynamic calculations were used to obtain the suitable chemical composition. Then, the imitation compounds were prepared and their phase/compositions were analyzed. Finally, their high-temperature melting performance and crystallization ability were evaluated. The results show that the characteristic temperature and crystallization ability of the imitation basalt compounds were similar to those of basalt. Moreover, the viscosity of red mud imitation basalt compound approached the viscosity of basalt with the increase in temperature. This work suggests that red mud, fly ash and coal gangue can be mixed with quartz and other source materials to produce imitation basalt fiber. Therefore, thermodynamic calculation is an effective method to design and prepare high-performance imitation basalt compounds.

Characterization of Ni3Sn intermetallic nanoparticles fabricated by thermal plasma process and catalytic properties for methanol decomposition.

The intermetallic compound Ni3Sn has potential for application in hydrogen production as a catalyst. Herein, we synthesized Ni3Sn nanoparticles through a thermal plasma process. We characterized the nanoparticles by synchrotron radiation X-ray diffraction and transmission electron microscopy analyses, and analyzed their catalytic properties for methanol decomposition in a temperature range of 513 to 793 K. The Ni3Sn nanoparticles showed a higher selectivity to H2 and CO than pure Ni nanoparticles, but a relatively lower catalytic activity for methanol decomposition compared to pure Ni nanoparticles. Density functional theory calculations revealed that the activation energy barrier for CO dissociation on Ni3Sn (001) was 396 kJ/mol, which was higher than that for Ni (111). Moreover, the activation energy barrier for OH formation on Ni3Sn (001) was 229 kJ/mol, which was significantly higher than that for Ni (111). This supported the experimental results and confirmed that the Ni3Sn catalyst suppresses the formation of carbon and H2O, compared to Ni catalyst.

Coarsening Behavior of Particles in Fe-O-Al-Ca Melts.

The characteristics of particles greatly affect the microstructure and performance of metallic materials, especially their sizes. To provide insight into coarsening phenomena of particles in metallic melts, Fe-O-Al-Ca melt with calcium aluminate particles was selected as a model system. This study uses HT-CSLM, SEM detections and stereological analysis to probe the behavior of particles and their characteristics including size, number density, volume fraction, spreading of particle size, inter-surface distance and distribution of particles. Based on the experimental evidence and calculation of collision, we demonstrate that the coarsening of inclusion particles is not only dependent on the Ostwald growth as studied in previous study, but also on the particle coagulation, and floatation. The collision of particles affects the maximum size of the particles during whole deoxidation process and dominates the coarsening of particles at later stage of deoxidation under the condition without external stirring in Fe-O-Al-Ca melts. The factors influencing collision behaviors and floating properties were also analyzed, which is corresponding to coarsening behavior and change of particle characteristic in the melts with different amounts of Ca addition. Such coarsening mechanism may also be useful in predicting the size of particles in other metallic materials.

Nucleation and Ostwald Growth of Particles in Fe-O-Al-Ca Melt.

Tremendous focus has been put on the control of particle size distribution which effects the grain structure and mechanical properties of resulting metallic materials, and thus nucleation and growth of particles in solution should be clarified. This study uses classical nucleation theory and Ostwald ripening theory to probe the relationship between the compositions of Fe-O-Al-Ca melts and the behavior of particles under the condition of no external stirring. Our experimental data suggest that decreasing the initial Ca addition and Al addition is conductive to the increase of nucleation rate for calcium aluminate particles, which exhibits a same change trend with that predicted from classical nucleation theory. Based on the experimental evidence for particles size distribution in three-dimensional, we demonstrate that Ostwald ripening is the predominate mechanism on the coarsening of particles in Fe-O-Al-Ca melt at early stage of deoxidation under the condition of no external stirring but not at later stage.

An exploratory survey of money boys and HIV transmission risk in Jilin Province, PR China.

This report represents the first exploratory study of Chinese men who provide commercial sex services to other men ("money boys") in Jilin Province, People's Republic of China, through a convenience sample drawn from Changchun and Jilin City. A total of 86 active money boy participants (Changchun, n = 49; Jilin City, n = 37) were surveyed concerning background and demographics, basic HIV transmission knowledge, and sexual practices. The survey indicated that while Jilin Province money boy behavior matches other studies concerning propensity to high risk behavior and significant bridging potential, the Jilin money boys, unlike previous studies, exhibited a high level of basic HIV/AIDS transmission knowledge. In spite of this level of knowledge, none of the participants reported always using a condom in their sexual activities. They also exhibited a high level of awareness of voluntary counseling and testing available in the province, yet relatively few had availed themselves of these services. These preliminary findings will be used as a baseline and springboard for continuing study in the Jilin Province money boy community. Even now, however, it is becoming clear that the dynamics of male commercial sex work may vary greatly depending upon local influences, and will necessitate that future interventions are highly tailored to area-specific circumstances.