Combined effects of micron-sized polyvinyl chloride particles and copper on seed germination of perilla.

Microplastics (MPs) and copper (Cu) pollution coexist widely in cultivation environment. In this paper, polyvinyl chloride (PVC) were used to simulate the MPs exposure environment, and the combined effects of MPs + Cu on the germination of perilla seeds were analyzed. The results showed that low concentrations of Cu promoted seed germination, while medium to high concentrations exhibited inhibition and deteriorated the morphology of germinated seeds. The germination potential, germination index and vitality index of 8 mg • L-1 Cu treatment group with were 23.08%, 76.32% and 65.65%, respectively, of the control group. The addition of low concentration PVC increased the above indicators by 1.27, 1.15, and 1.35 times, respectively, while high concentration addition led to a decrease of 65.38%, 82.5%, and 66.44%, respectively. The addition of low concentration PVC reduced the amount of PVC attached to radicle. There was no significant change in germination rate. PVC treatment alone had no significant effect on germination. MPs + Cu inhibited seed germination, which was mainly reflected in the deterioration of seed morphology. Cu significantly enhanced antioxidant enzyme activity, increased reactive oxygen species (ROS) and MDA content. The addition of low concentration PVC enhanced SOD activity, reduced MDA and H2O2 content. The SOD activity of the Cu2+8 + PVC10 group was 4.05 and 1.35 times higher than that of the control group and Cu treatment group at their peak, respectively. At this time, the CAT activity of the Cu2+8 + PVC5000 group increased by 2.66 and 1.42 times, and the H2O2 content was 2.02 times higher than the control. Most of the above indicators reached their peak at 24 h. The activity of α-amylase was inhibited by different treatments, but ß-amylase activity, starch and soluble sugar content did not change regularly. The research results can provide new ideas for evaluating the impact of MPs + Cu combined pollution on perilla and its potential ecological risk.

Study on the mechanisms by which pumpkin polysaccharides regulate abnormal glucose and lipid metabolism in diabetic mice under oxidative stress.

Pumpkin polysaccharide (PPe-H) can perform physiological functions through its antioxidative and hypoglycemic effects; however, the mechanisms through which PPe-H regulates abnormal glucose and lipid metabolism caused by oxidative stress injury remain unclear. In the present study, streptozotocin was used to generate an acute diabetic mouse model, and the effects of PPe-H on glucose and lipid metabolism impaired by oxidative stress in diabetic mice were studied. PPe-H significantly reduced blood glucose levels and enhanced the oral glucose tolerance of diabetic mice under stress injury (p < 0.05). The analysis of liver antioxidant enzymes showed that PPe-H significantly enhanced the activities of SOD and CAT (p < 0.05), increased the GSH level, and decreased the level of MDA (p < 0.05). Transcriptomic and metabolomic analyses of the liver tissues of mice revealed characteristic differences in the genetic and metabolic levels of the samples, which showed that PPe-H treatment may play a positive role in regulating the metabolism of methionine, cysteine, glycerol phospholipid, and linoleic acid. These results indicated that PPe-H alleviated the symptoms of hyperglycemia by regulating metabolites related to oxidative stress and glycolipid metabolism in diabetic mice.

Chitosan toughened epoxy resin by chemical cross-linking: Enabling excellent mechanical properties and corrosion resistance.

There is a growing demand for the development of epoxy resin modified with biomaterials, aiming to achieve high toughness. Herein, chitosan crosslinked epoxy resin (CE) was synthesized by diisocyanate as a bridge. With 4,4'-diamino-diphenylmethane (DDM) as the curing agent, thanks to the unique cross-linking structure of the CE resin and the presence of carbamate groups, the cured CE/DDM exhibited superior properties compared to commercially available epoxy resin (E51). The tensile strength of the cured CE-3/DDM reached 90.17 MPa, the elongation at break was 11.2 %, and the critical stress intensity factor (KIC) measured 1.78 MPa m1/2. These values were 21.4 %, 151.6 %, and 81.6 % higher than those of the cured E51/DDM, respectively. It is worth noting that the addition of biomass material chitosan did not reduce the thermal stability of the resin. Additionally, the CE coatings on the metal substrate exhibited exceptional corrosion resistance, as evidenced by higher impedance values in electrochemical impedance spectroscopy (EIS) and polarization voltages in the Tafel curve compared to those of the E51 coating. This study opens up a novel approach to modifying epoxy resin with biomass materials with high toughness and corrosion resistance, without sacrificing other performance.

The Fabrication of Ultrahigh-Strength Steel with a Nanolath Structure via Quenching-Partitioning-Tempering.

A novel low-alloy ultrahigh-strength steel featuring excellent mechanical properties and comprising a nanolath structure was fabricated in this work using a quenching-partitioning-tempering (Q-P-T) process. The Q-P-T process comprised direct quenching and an isothermal bainitic transformation for partitioning after thermo-mechanical control processing (online Q&P) and offline tempering (reheating and tempering). The ultrafine nanolath martensite/bainite mixed structure, combined with residual austenite in the form of a thin film between the nanolaths, was formed, thereby conferring excellent mechanical properties to the steel structures. After the Q-P-T process, the yield and tensile strengths of the steels reached 1450 MPa and 1726 MPa, respectively. Furthermore, the Brinell hardness and elongation rate were 543 HB and 11.5%, respectively, with an average impact energy of 20 J at room temperature.

Exoskeleton-Assisted Rehabilitation and Neuroplasticity in Spinal Cord Injury.

Spinal cord injury (SCI) results in neurological deficits below the level of injury, causing motor dysfunction and various severe multisystem complications. Rehabilitative training plays a crucial role in the recovery of individuals with SCI, and exoskeleton serves as an emerging and promising tool for rehabilitation, especially in promoting neuroplasticity and alleviating SCI-related complications. This article reviews the classifications and research progresses of medical exoskeletons designed for SCI patients and describes their performances in practical application separately. Meanwhile, we discuss their mechanisms for enhancing neuroplasticity and functional remodeling, as well as their palliative impacts on secondary complications. The potential trends in exoskeleton design are raised according to current progress and requirements on SCI rehabilitation.

Flame retardancy and wear resistance of epoxy composites modified by whisker-shaped nickel phyllosilicate and microencapsulated ammonium polyphosphate.

Whisker-shaped nickel phyllosilicate (NiPS) was synthesized using rod-like nickel-based metal-organic frameworks as the hard templates, and highly efficient flame retardant and wear resistant EP composites were prepared by synergizing with microencapsulated ammonium polyphosphate (MFAPP). The research results indicated that at a total addition amount of 8 wt% and a mass ratio of 2 : 5 for NiPS to MFAPP, the limiting oxygen index of the EP composite was 28.2%, which achieved the V-0 rating in the UL-94 standard. Meanwhile, the peak of heat release rate and total heat release was reduced by 33.9% and 22%, respectively, compared with pure EP. The synergistic system of NiPS and MFAPP promoted the formation of high-quality char layer, preventing the diffusion of heat, oxygen, and combustible gases effectively during combustion of the EP composite. Dry friction test showed that the wear rate of the EP composite was 0.847 × 10-5 mm3 N-1 m-1, which was 87.9% lower than pure EP, indicating a significant improvement in wear resistance. This study provided a promising method for the preparation of high performance epoxy composites with excellent flame retardancy and wear resistance.

An intelligent workflow for sub-nanoscale 3D reconstruction of intact synapses from serial section electron tomography.

BACKGROUND: As an extension of electron tomography (ET), serial section electron tomography (serial section ET) aims to align the tomographic images of multiple thick tissue sections together, to break through the volume limitation of the single section and preserve the sub-nanoscale voxel size. It could be applied to reconstruct the intact synapse, which expands about one micrometer and contains nanoscale vesicles. However, there are several drawbacks of the existing serial section ET methods. First, locating and imaging regions of interest (ROIs) in serial sections during the shooting process is time-consuming. Second, the alignment of ET volumes is difficult due to the missing information caused by section cutting and imaging. Here we report a workflow to simplify the acquisition of ROIs in serial sections, automatically align the volume of serial section ET, and semi-automatically reconstruct the target synaptic structure. RESULTS: We propose an intelligent workflow to reconstruct the intact synapse with sub-nanometer voxel size. Our workflow includes rapid localization of ROIs in serial sections, automatic alignment, restoration, assembly of serial ET volumes, and semi-automatic target structure segmentation. For the localization and acquisition of ROIs in serial sections, we use affine transformations to calculate their approximate position based on their relative location in orderly placed sections. For the alignment of consecutive ET volumes with significantly distinct appearances, we use multi-scale image feature matching and the elastic with belief propagation (BP-Elastic) algorithm to align them from coarse to fine. For the restoration of the missing information in ET, we first estimate the number of lost images based on the pixel changes of adjacent volumes after alignment. Then, we present a missing information generation network that is appropriate for small-sample of ET volume using pre-training interpolation network and distillation learning. And we use it to generate the missing information to achieve the whole volume reconstruction. For the reconstruction of synaptic ultrastructures, we use a 3D neural network to obtain them quickly. In summary, our workflow can quickly locate and acquire ROIs in serial sections, automatically align, restore, assemble serial sections, and obtain the complete segmentation result of the target structure with minimal manual manipulation. Multiple intact synapses in wild-type rat were reconstructed at a voxel size of 0.664 nm/voxel to demonstrate the effectiveness of our workflow. CONCLUSIONS: Our workflow contributes to obtaining intact synaptic structures at the sub-nanometer scale through serial section ET, which contains rapid ROI locating, automatic alignment, volume reconstruction, and semi-automatic synapse reconstruction. We have open-sourced the relevant code in our workflow, so it is easy to apply it to other labs and obtain complete 3D ultrastructures which size is similar to intact synapses with sub-nanometer voxel size.

Spatial patterns in pollution discharges from livestock and poultry farm and the linkage between manure nutrients load and the carrying capacity of croplands in China.

The rapid development of livestock and poultry farming in China has resulted in an increasing threat of water pollution. In particular, mitigating livestock-related pollutant discharges is a key issue for environmental sustainability, especially for inland surface water bodies. In order to ensure the effective control of pollution and the efficient utilization management of livestock manure, spatially explicit surveys of pollutant generation and discharge from the livestock sector must be performed. In the present study, we estimated the grid cell-level distributions in the generation and discharge of four typical pollutants (chemical oxygen demand, ammonium nitrogen, total nitrogen and total phosphorus) from the livestock sector across the country with a spatial resolution of 30 arc-seconds. The distributions were estimated using the most recent pollution source census data and multi-sourced ancillary materials by a dasymetric mapping approach. We further investigated the feasibility of the resource utilization of livestock manure by comparing manure-source nutrients with the carrying capacity of adjacent croplands. Our results show that low-intensive farming generated and discharged the majority of livestock farming pollution, with other cattle and pigs breeding identified as the two major sources of pollution from the livestock sector. Southwest, Central and East China suffered the highly densified pollutants generation and discharges. Furthermore, cropland exceeding its carrying capacity was concentrated in these regions. Our findings provide additional insights into livestock and poultry farming in the context of relocation, strengthening regulation, transforming breeding operations, and rationalizing the resource use of manure, all of which are important measures for the sustainable development of both agriculture and the environment.

TERLIPRESSIN COMBINED WITH NOREPINEPHRINE IN THE TREATMENT OF SEPTIC SHOCK: A SYSTEMATIC REVIEW.

ABSTRACT: Objective: The objective of this study was to provide an in-depth analysis of the advantages and potential research directions concerning the utilization of terlipressin (TP) in combination with norepinephrine (NE) for the management of septic shock. Methods: A systematic search was conducted across five major electronic databases, namely, PubMed, Cochrane, Embase, ScienceDirect, and MEDLINE, using the Boolean method. The search encompassed articles published until May 22, 2023. Randomized controlled trials investigating the efficacy of TP combined with NE in the treatment of patients with septic shock were considered for inclusion. Results: A total of seven trials met the inclusion criteria. The combination therapy of TP and NE exhibited potential benefits in the treatment of adult patients suffering from septic shock. Furthermore, the concurrent administration of TP with NE demonstrated improvements in cardiac output and central venous pressure. However, it is important to acknowledge the presence of certain risks and potential adverse events, including an elevated risk of peripheral ischemia. Conclusions: The available evidence supports the notion that early combination therapy involving NE and TP holds promise in terms of reducing the required dosage of NE, enhancing renal perfusion, and improving microcirculation in patients diagnosed with septic shock.

Physiological analysis and transcriptome profiling reveals the impact of microplastic on melon (Cucumis melo L.) seed germination and seedling growth.

The wide application of agricultural plastics leads to microplastic (MP) accumulation in the soil and inevitably result in MP pollution. Melon is an economically important horticultural crop that is widely cultivated with plastic film mulching. However, the impact of MP pollution on plant growth remains largely unclear. Here we reported the morphological, physiological, biochemical responses and transcriptome re-programing of melon responses to MP on seed germination and seedling growth. Polyvinyl chloride particles were added to potting mix to simulate MP exposure environment (MEE). The results showed that low and medium concentrations (1-4 g kg-1) of MEE had a significant adverse effect on seed germination and seedling growth. In both cases, the germination potential was decreased, young root forks increased, and tips decreased; and the dry weight of seedlings, the total length, surface area, forks and tips of root were also decreased. However, the root activity was increased. The concentration of MEE to give the best parameters was at 2 g kg-1. Catalase enzymatic activity and reactive oxygen species (ROS) in roots were decreased continuously with increased MEE concentrations. The peak values of peroxidase activity, O2.- content and generation rate, ROS enrichment and malondialdehyde content all reached the highest at 2 g kg-1. MEE also increased the proline content and decreased the contents of ascorbic acid, soluble sugar and soluble protein in these seedlings. Medium and high concentrations of MEE (4-8 g kg-1) also increased the chlorophyll b content. Low concentrations MEE (1-2 g kg-1) inhibited actual photochemical efficiency of photosystem II and photochemical quenching, two key chlorophyll fluorescence parameters. Transcriptome analysis showed that the differentially expressed genes caused by the MEE were mainly belonged to defense response, signal transduction, hormone metabolism, plant-pathogen interaction, and phenylpropanoid biosynthesis. The results of this study will help to understand the ecotoxicological effects of MEE on melons and provide data for ecological risk assessment of Cucurbitaceae vegetable cultivation.

Optical Control of the Localized Surface Plasmon Resonance in a Heterotype and Hollow Gold Nanosheet.

The remote excitation and remote-controlling of the localized surface plasmon resonance (LSPR) in a heterotype and hollow gold nanosheet (HGNS) is studied using FDTD simulations. The heterotype HGNS contains an equilateral and hollow triangle in the center of a special hexagon, which forms a so-called hexagon-triangle (H-T) heterotype HGNS. If we focus the incident-exciting laser on one of the vertexes of the center triangle, the LSPR could be achieved among other remote vertexes of the outer hexagon. The LSPR wavelength and peak intensity depend sensitively on factors such as the polarization of the incident light, the size and symmetry of the H-T heterotype structure, etc. Several groups of the optimized parameters were screened out from numerous FDTD calculations, which help to further obtain some significant polar plots of the polarization-dependent LSPR peak intensity with two-petal, four-petal or six-petal patterns. Remarkably, based on these polar plots, the on-off switching of the LSPR coupled among four HGNS hotspots could be remote-controlled simply via only one polarized light, which shows promise for its potential application in remote-controllable surface-enhanced Raman scattering (SERS), optical interconnects and multi-channel waveguide switches.

The Performance Investigation of Smart Diagnosis for Bearings Using Mixed Chaotic Features with Fractional Order.

This article presents a performance investigation of a fault detection approach for bearings using different chaotic features with fractional order, where the five different chaotic features and three combinations are clearly described, and the detection achievement is organized. In the architecture of the method, a fractional order chaotic system is first applied to produce a chaotic map of the original vibration signal in the chaotic domain, where small changes in the signal with different bearing statuses might be present; then, a 3D feature map can be obtained. Second, five different features, combination methods, and corresponding extraction functions are introduced. In the third action, the correlation functions of extension theory used to construct the classical domain and joint fields are applied to further define the ranges belonging to different bearing statuses. Finally, testing data are fed into the detection system to verify the performance. The experimental results show that the proposed different chaotic features perform well in the detection of bearings with 7 and 21 mil diameters, and an average accuracy rate of 94.4% was achieved in all cases.

Transcriptomic Changes and satP Gene Function Analysis in Pasteurella multocida with Different Levels of Resistance to Enrofloxacin.

Pasteurella multocida (Pm) is one of the major pathogens of bovine respiratory disease (BRD), which can develop drug resistance to many of the commonly used antibiotics. Our earlier research group found that with clinical use of enrofloxacin, Pm was more likely to develop drug resistance to enrofloxacin. In order to better understand the resistance mechanism of Pm to enrofloxacin, we isolated PmS and PmR strains with the same PFGE typing in vitro, and artificially induced PmR to obtain the highly resistant phenotype, PmHR. Then transcriptome sequencing of clinically isolated sensitive strains, resistant and highly drug-resistant strains, treated with enrofloxacin at sub-inhibitory concentrations, were performed. The satP gene, of which the expression changed significantly with the increase in drug resistance, was screened. In order to further confirm the function of this gene, we constructed a satP deletion (ΔPm) strain using suicide vector plasmid pRE112, and constructed the C-Pm strain using pBBR1-MCS, and further analyzed the function of the satP gene. Through a continuously induced resistance test, it was found that the resistance rate of ΔPm was obviously lower than that of Pm in vitro. MDK99, agar diffusion and mutation frequency experiments showed significantly lower tolerance of ΔPm than the wild-type strains. The pathogenicity of ΔPm and Pm was measured by an acute pathogenicity test in mice, and it was found that the pathogenicity of ΔPm was reduced by about 400 times. Therefore, this study found that the satP gene was related to the tolerance and pathogenicity of Pm, and may be used as a target of enrofloxacin synergistic effect.

Combined forage grass-microbial for remediation of strontium-contaminated soil.

Enrichment plants were screened from six forage grasses in this study to establish a complete combined forage grass-microbial remediation system of strontium-contaminated soil, and microbial groups were added to the screened dominant forage grasses. The occurrence states of strontium in forage grasses were explored by the BCR sequential extraction method. The results showed that the annual removal rate of Sudan grass (Sorghum sudanense (Piper) Stapf.) reached 23.05% in soil with a strontium concentration of 500 mg·kg-1. Three dominant microbial groups: E, G and H, have shown good facilitation effects in co-remediation with Sudan grass and Gaodan grass (Sorghum bicolor × sudanense), respectively. When compared to the control, the strontium accumulation of forage grasses in kg of soil with microbial groups was increased by 0.5-4 fold. The optimal forage grass-microbial combination can theoretically repair contaminated soil in three years. The microbial group E was found to promote the transfer of the exchangeable state and the reducible state of strontium to the overground part of the forage grass. Metagenomic sequencing results showed that the addition of microbial groups increased Bacillus spp. in rhizosphere soil, enhanced the disease resistance and tolerance of forage grasses, and improved the remediation ability of forage grass-microbial combinations.

The Neutrophil Percentage-to-Albumin Ratio is Associated with All-Cause Mortality in Patients with Atrial Fibrillation: A Retrospective Study.

Objective: The present study aimed to evaluate the relationship between all-cause mortality and the neutrophil percentage-to-albumin ratio (NPAR) in patients with atrial fibrillation (AF). Methods: We obtained clinical information from patients with AF from the Medical Information Mart for Intensive Care-IV version 2.0 (MIMIC-IV) database and the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University (WMU). The clinical endpoints were all-cause death measured at 30-day, 90-day, and one-year intervals. For endpoints associated with the NPAR, logistic regression models were used to calculate odds ratios (OR) with 95% confidence intervals (CI). Receiver operating characteristic (ROC) curves and area under the curve (AUC) were developed to compare the ability of different inflammatory biomarkers to predict 90-day mortality in patients with AF. Results: Higher NPAR was associated with a higher risk of 30-day (OR 2.08, 95% CI 1.58-2.75), 90-day (OR 2.07, 95% CI 1.61-2.67), and one-year mortality (OR 1.60, 95% CI 1.26-2.04) in patients with AF in 2813 patients from MIMIC-IV. The predictive performance of NPAR (AUC = 0.609) for 90-day mortality was better than that of neutrophil-to-lymphocyte ratio (NLR) (AUC = 0.565, P < 0.001), and platelet-to-lymphocyte ratio (PLR) (AUC = 0.528, P < 0.001). When NPAR and sequential organ failure assessment (SOFA) were combined, the AUC increased from 0.609 to 0.674 (P < 0.001). Higher NPAR was associated with a higher risk of 30-day mortality (OR 2.54, 95% CI 1.02-6.30) and 90-day mortality (OR 2.76, 95% CI 1.09-7.01) in 283 patients from WMU. Conclusion: An increased 30-day, 90-day, and one-year mortality risk among patients with AF were linked to a higher NPAR in MIMIC-IV. NPAR was thought to be a good predictor of 90-day all-cause mortality. Higher NPAR was associated with a higher risk of 30-day and 90-day mortality in WMU.

Deterioration of Mechanical Properties and the Damage Constitutive Model of Corroded Steel in an Industrial Environment.

To investigate the degradation law of the mechanical properties of corroded steel, the standard specimens from machining steel members in service for 9 years in an industrial environment were subjected to tensile tests. The influences of different degrees and types of corrosion on the fracture path, stress-strain curve, and mechanical properties of specimens were discussed. Finally, the damage constitutive model of corroded steel was established based on the damage mechanics theory. The results showed that the failure modes of corroded specimens were related to the degrees and types of corrosion. The fracture morphology of specimens with general corrosion were step-like and the fractures of steel were uneven. However, those with local corrosion were mainly flat-like, and the fracture path was along the cross section where the larger corrosion pits were located. The fracture path of the specimen was related to the interaction of the corroded surface and internal material defects (holes). Meanwhile, with the increase of corrosion degree, the yield platform of stress-strain curve gradually became shorter, or even disappeared, and the ultimate strain and elongation at break decreased, implying that the ductility of steel became worse. Ultimately, the good agreement between the curves of the model and test indicated that the damage model could reflect the damage development process of corroded steel in the tensile process better. Corrosion damage resulted in the decrease in the damage threshold, and the damage variable D decreased by the time fracture occurred and the maximum reduction rate was up to 62.5%.

What Influences Farmers' Adoption of Soil Testing and Formulated Fertilization Technology in Black Soil Areas? An Empirical Analysis Based on Logistic-ISM Model.

Along with the increasing prominence of environmental risks such as soil surface source pollution and declining quality grade of arable land, the issues of how to address irrational fertilizer application and enhance the safety of agricultural products have attracted widespread attention. In this context, clarifying the main factors affecting farmers' use of soil testing and formulated fertilization technology (STFFT) can further improve the technology adoption rate and fertilizer utilization efficiency, promote standardized agricultural production and maintain the health and stability of soil ecology in black soil areas. This is of great significance to the construction of green agriculture, national dietary health and national food security. This study builds an "external environmental stimuli-perceived characteristics-adoption behavior" theoretical framework to investigate the decision-making and the dynamic influence mechanisms of farmers' adoption behavior of STFFT. Based on farmer survey data, the logistic-ISM model has been applied. The main findings are as follows. First, five types of influencing factors, namely individual characteristics, family characteristics, business characteristics, cognitive characteristics and external environmental characteristics, had significant "push" effects on farmers' STFFT adoption behavior. Among them, planting scale and technical training are the key factors influencing farmers' adoption of scientific fertilizer application technology. Second, both farmers' perceived ease of use and perceived usefulness play a significant role in farmers' decision-making process, and the easier farmers perceive STFFT to be to master and the greater the benefits it brings, the more pronounced the tendency to adopt the technology, all other influencing conditions being equal. Third, the main influencing factors of farmers' STFFT adoption behavior are intrinsically related and divided into four categories based on the magnitude of influence: deep-rooted, medium indirect, shallow indirect and superficial direct. In order to reduce further degradation of black soil caused by farmers' irrational production habits and to improve resource utilization efficiency, this study recommends the government to further regulate the land transfer market, strengthen the propagation of soil-conservation-type technologies in black soil areas, expand the breadth of agricultural technology training and enhance farmers' understanding and trust in STFFT. Thus, the maintenance of soil ecosystem in black soil areas, effective guarantee of food security and sustainable development of agriculture can be achieved.

Case report: Visual acuity loss as a warning sign of ocular syphilis: A retrospective analysis of 17 cases.

Objectives: To define the clinical features of ocular syphilis and analyze the cerebrospinal fluid (CSF) of ocular syphilis patients to determine the co-occurrence of neurosyphilis. Methods: This was a retrospective study of 17 patients (23 eyes) with ocular syphilis admitted to the Fifth People's Hospital, Suzhou, China from September 2017 to December 2021. Clinical manifestations, laboratory tests, treatment, and clinical outcomes were analyzed, and a review was conducted. Results: Eight males (12 eyes) and nine females (11 eyes) were enrolled. Mean patient age was 49.06 ± 3.47 years. The total manifestation time for ocular symptoms ranged from 10 days to 6 years. The cohort was comprised of three cases of early syphilis, four cases of late syphilis, and ten cases of unknown stage. The primary complaints were decreased visual acuity in 15 cases (21 eyes), ptosis in 1 case (1 eye), and loss of light perception in 1 case (1 eye). Cases were diagnosed as chorioretinitis in 7 cases (8 eyes), optic nerve retinitis in 4 cases (6 eyes), optic neuritis in 4 cases (7 eyes), and oculomotor nerve palsy in 1 case (1 eye), syphilitic stromal keratitis in 1 case (1 eye). Serum HIV antibody was positive in one case(Nos.2). All patients had reactive serum Treponema Pallidum Particle Agglutination (TPPA) and Toluidine Red Unheated Serum Test (TRUST). All patients underwent CSF examination. CSF white blood cell count was ≥5 × 106/L in 13 cases, CSF protein was >500 mg/L in 6 cases, TPPA was reactive in 15 cases, and TRUST was reactive in 5 cases. Eleven cases were also diagnosed with neurosyphilis. Patients were treated with either penicillin G sodium or ceftriaxone sodium. At time of discharge, 12 patients reported improved visual acuity. Abnormal serum or CSF examination improved in ten patients during the 6-12 month follow-up. Conclusion: Visual acuity loss is a warning indicator of ocular syphilis. Ocular syphilis primarily manifests as posterior uveitis, involving the choroid, retina, and optic nerve, and often co-occurs with neurosyphilis. Effective treatment should be administered immediately to avoid irreversible visual impairment and other serious adverse outcomes.

Flame Retardancy and Thermal Property of Environment-Friendly Poly(lactic acid) Composites Based on Banana Peel Powder.

Banana peel powder (BPP) was used to prepare poly(lactic acid) (PLA) bio-based composites and the flame retardancy was enhanced by introducing silica-gel microencapsulated ammonium polyphosphate (MCAPP). The results showed that the limiting oxygen index (LOI) of PLA containing 15 wt % BPP was 22.1% and just passed the UL-94 V-2 rate. Moreover, with the introduction of 5 wt % MCAPP and 15 wt % BPP, the PLA composite had a higher LOI value of 31.5%, and reached the UL-94 V-0 rating, with self-extinguishing and anti-dripping abilities. The PLA/M5B15 also had a lower peak heat release rate (296.7 kW·m-2), which was 16% lower than that of the PLA/B15 composite. Furthermore, the synergistic effects between MCAPP and BPP impart better thermal stability to PLA composites. According to the investigation of the char residue and pyrolysis gaseous products, MCAPP with BPP addition is beneficial to the formation of a higher quality char layer in the solid phase but also plays the flame retardant effect in the gas phase. This work provides a simple and efficient method to solve the high cost and flammability issues of PLA composites.

The Ratio of Red Blood Cell Distribution Width to Albumin Is Correlated With All-Cause Mortality of Patients After Percutaneous Coronary Intervention - A Retrospective Cohort Study.

Objectives: The purpose of this study was to investigate the independent effect of the ratio of red blood cell distribution width (RDW) to albumin (RA) on all-cause mortality in patients after percutaneous coronary intervention (PCI). Methods: Clinical data were obtained from the Multiparameter Intelligent Monitoring in Intensive Care-III (MIMIC-III) database version 1.4 and the database of Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University. We used the MIMIC-III database for model training, and data collected from the Second Affiliated Hospital of Wenzhou Medical University for validation. The primary outcome of our study was 90-day mortality. Cox proportional hazards regression model was used to estimate hazard ratio (HR) for the association between RA and all-cause mortality in patients after PCI. Pearson correlation analysis was conducted to assess the relationship between RA and Gensini score or cardiac troponin I (cTnI). Results: A total of 707 patients were eligible in MIMIC-III database, including 432 males, with a mean age of 70.29 years. For 90-day all-cause mortality, in the adjusted multivariable model, the adjusted HRs [95% confidence intervals (CIs)] for the second (RA: 3.7-4.5 ml/g) and third (RA >4.5 ml/g) tertiles were 2.27 (1.11, 4.64) and 3.67 (1.82, 7.40), respectively, compared to the reference group (RA <3.7 ml/g) (p < 0.05). A similar relationship was also observed for 30-day all-cause mortality and 1-year all-cause mortality. No significant interaction was observed in subgroup analysis. Receiver operating characteristic (ROC) curve analysis proved that the ability of RA to predict the 90-day mortality was better than that of RDW or albumin alone. The correlation coefficient between Gensini score and RA was 0.254, and that between cTnI and RA was 0.323. Conclusion: RA is an independent risk factor for all-cause mortality in patients after PCI. The higher the RA, the higher the mortality. RA has a good predictive ability for all-cause mortality in patients after PCI, which is better than RDW or albumin alone. RA may be positively correlated with the severity of coronary artery disease (CAD) in patients with CAD.