Synthesis process-based mechanical property optimization of alkali-activated materials from red mud: A review.

Repeated red mud (RM) stockpile accidents have sounded an alarm that a healthy alumina industry requires secure RM disposal. Unfortunately, the flawed mechanical properties of RM-based alkali-activated materials (RM-AAM) with bulk RM incorporation have impeded the ideal large-volume, low-risk utilization of RM and the provision of sustainable binders for communities. By reviewing a wide range of studies, this work provides insights into establishing a mature synthesis technique for optimizing the mechanical properties of RM-AAM. Brief evaluations of the nature and the current RM-AAM synthesis systems were conducted. The following emphasis is on addressing the influence characteristics and mechanisms of the known RM-AAM synthesis factors, including RM pre-activation, precursor composition, alkali activator property, preparation process treatment, and curing regime, on the mechanical properties of RM-AAM. Further optimization suggestions on each aspect of the synthesis process and the final complete set of synthesis technology that could best enhance the mechanical properties of RM-AAM were proposed. The general limitations of current research on developing a mature RM-AAM synthesis technique were identified, along with possible solutions.

Wideband Waveform Design for Distributed Precision Jamming.

Precision electronic warfare is a hot direction for future jamming technology development, and distributed precision jamming (DIPJ) is one of its typical application scenarios. The task objective of DIPJ is to design jamming waveforms so that the jamming energy generated by a set of ultra-sparse array transmitters can be focused in the jamming region of interest while being suppressed in other specific protected regions, which can be viewed as a distributed multiple-input and multiple-output system waveform design problem under a three-dimensional scenario. This paper extends the jamming signal model in DIPJ from narrowband to wideband based on previous work to address a broader range of jamming tasks. After extending the model to wideband signals, a method based on the traditional maximum total energy difference optimization objective is first given for comparison. A wideband jamming waveform design method based on the majorization minimization algorithm with the desired power spectrum matching as the optimization target is designed for the problem that the maximum energy difference method cannot focus energy well in the jamming region. The simulation results show that the presented method can make the jamming energy well concentrated in the target region and evenly distributed over the whole bandwidth, while the energy in the whole bandwidth is suppressed in the protected region.

Family functioning and mental health among secondary vocational students during the COVID-19 epidemic: A moderated mediation model.

With the global outbreak of COVID-19, people are facing great physical and mental stress, and mental health problems are becoming increasingly prominent. Some theories emphasize the role of family in people's mental health, but the association between family functioning and mental health and the mediating and moderating mechanisms underlying this relation have not been extensively researched. This study examined whether loneliness mediates the relation between family functioning and mental health and, if so, whether this mediating effect is moderated by hope. A total of 5783 Chinese secondary vocational students completed measures of family adaptability and cohesion, loneliness, mental health, and hope. The results indicated that family functioning had a significant and positive predictive effect on the mental health of the students and that this relationship was partially mediated by loneliness. Further, hope moderated the relationship between family functioning and loneliness. Specifically, the relationship between family functioning and loneliness was significant for students with both high and low levels of hope. The current study contributes to a better understanding of the influence of family functioning on mental health, especially during trying times such as the COVID-19 epidemic.

Novel Doppler-guided subxyphoid approach to avoid coronary artery damage during left ventricular epicardial lead placement or ablation.

BACKGROUND: Subxyphoid active left ventricular epicardial (LVE) lead implants or VT ablation are attractive but remain a challenge due to concerns of coronary artery damage. We aimed to see if Doppler-guided positioning could permit safe LVE lead placement without coronary angiography. We evaluated the feasibility of a Doppler flow-guided subxyphoid epicardial screw-in lead fixation in a swine model. METHODS: Acute subxyphoid access to the pericardial space was performed in an anesthetized swine model using a deflectable sheath and a modified needle-derived Doppler flow meter. The audio signal and visual display from the Doppler flow meter were recorded. Coronary angiography was performed to verify the catheter location. A SelectSecure Model 3830 lead (Medtronic) was used to assess pacing in the procedure. RESULTS: In both of two swine, the deflectable catheter was inserted into pericardial space via subxyphoid access. The tip of the deflectable catheter with the Doppler was directed to several locations, from quiet (no nearby coronary artery expected) to typical rhythmic pulsatile sound locations which were maximal when superimposed on a coronary artery. Repeated coronary angiograms confirmed the expected findings. A 3830 active lead was fixed into a quiet location for LVE pacing, and confirmed by angiography as distant from a coronary artery. CONCLUSIONS: Doppler-guided subxyphoid epicardial screw-in lead placement is feasible once the catheter tip is directed and stabilized in a desired LVE location. This obviates the need for repeated (or any) coronary angiography. The Doppler-guided subxyphoid epicardial procedure may also be applicable for epicardial ventricular arrhythmia ablation procedures.

Long-term electrical performance of Attain Performa quadripolar left ventricular leads with all steroid-eluting electrodes: Results from a large worldwide clinical trial.

BACKGROUND: Steroid-eluting (SE) electrodes suppress local inflammation and lower pacing capture thresholds (PCT); however, their effectiveness on quadripolar left ventricular (LV) leads in the cardiac vein is not fully studied. We evaluated the effectiveness of SE on all four LV pacing electrodes in human subjects enrolled in the Medtronic Attain® Performa™ quadripolar LV lead study. METHODS: A total of 1,097 subjects were included in this evaluation. At each follow-up visit (1, 3, 6, and 12 months), LV PCT and pacing impedance were measured using either manual or automated testing methods. Summary statistics for PCT and impedance values were obtained for implant and each scheduled follow-up visit for all lead models. RESULTS: Average extended bipolar (LV electrode to right ventricular Coil) PCTs for the four LV SE pacing electrodes (LV1, LV2, LV3, and LV4) on the three shapes of the quadripolar LV leads were 1.06 ± 0.97 V, 1.38 ± 1.26 V, 1.51 ± 1.33 V, and 2.25 ± 1.63 V, respectively, at 0.5-ms pulse width. PCTs remained low and stable throughout the 12-month follow-up period. CONCLUSION: This clinical trial demonstrated that SE on all LV pacing electrodes is associated with low and stable PCTs for all quadripolar LV lead electrodes, resulting in multiple viable vectors for LV pacing. The large number of available vectors facilitates basal pacing, avoidance of PNS, and potentially prolongs generator longevity due to lower PCTs.

The association between fetal-stage exposure to the China famine and risk of diabetes mellitus in adulthood: results from the China health and retirement longitudinal study.

BACKGROUND: The associations of famine exposure with diabetes risk in adulthood are still unclear. This study aimed to explore the association between famine exposure in early life and risk of diabetes in adulthood. METHODS: A total of 4138 subjects were selected from the data of the China Health and Retirement Longitudinal Study (CHARLS) 2011-2012. Diabetes was diagnosed as fasting plasma glucose (FPG) ≥7.0 mmol/L, glycated haemoglobin (HbA1C) > 6.5%, or self-reported diabetes. Birthdates of subjects were used to categorize famine exposure groups. The association of fetal-stage famine exposure with diabetes risk in adults was assessed using logistics regression model. RESULTS: The prevalence of diabetes in the non-exposed, fetal-stage exposed, infant-stage exposed, and preschool-stage exposed groups were 9.0, 13.6, 12.7 and 10.8%, respectively. Compared with the age-balanced control group, the fetal-stage exposed group was associated with the elevated risk of diabetes in later life after adjusting for covariates (OR = 1.37; 95%CI: 1.09-1.72; P = 0.008). Stratified analysis showed that the association between prenatal famine exposure and diabetes risk in adulthood was comparable between severely affected areas and less severely affected areas (P for interaction =0.153). CONCLUSIONS: Famine exposure in fetal stages was associated with the elevated diabetes risk in adults, which could be the critical periods for relative intervention.

Fetal and infant exposure to severe Chinese famine increases the risk of adult dyslipidemia: Results from the China health and retirement longitudinal study.

BACKGROUND: To explore the associations between the Chinese famine exposure in early life and the dyslipidemia in adulthood. METHODS: We selected 2752 participants from the baseline survey of China Health and Retirement Longitudinal Study (CHARLS) 2011-2012 to evaluate the associations of early life the Chinese famine exposure with risk of dyslipidemia in adulthood. Dyslipidemia was defined as TC (Total Cholesterol): HDL-C (High-Density Lipoprotein Cholesterol) ratio ≥ 5.0 or use cholesterol lowering drugs. Famine exposure cohorts were categorized by birthdates of participants. Binary logistics regression model was used to examine the associations of early-life famine exposure with the risk of dyslipidemia. RESULTS: The dyslipidemia prevalence of the non-exposed cohort, fetal stage-, infant stage-, and preschool stage-exposed cohorts in adulthood was 15.7%, 23.1%, 22.0%, and 18.6%, respectively. Early-life exposure to the Chinese famine significantly increased LDL cholesterol concentrations in adulthood after adjusted for age. The risks of dyslipidemia in fetal (OR = 1.58; 95% CI: 1.23-2.03; P < 0.001) and infant (OR = 1.52; 95% CI: 1.15-2.00; P = 0.003) stage-exposed cohorts were significantly higher than the non-exposed cohort after adjusted for gender and current family economic status. Following gender stratification, we found that fetal (OR = 1.80; 95% CI: 1.26-2.57; P = 0.001), infant (OR = 1.75; 95% CI: 1.17-2.62; P = 0.006), and preschool (OR = 1.63; 95% CI: 1.10-2.42; P = 0.015) -stage exposure to severe famine aggravated the risk of dyslipidemia in female adults. However, the similar association was not observed for male adults. CONCLUSIONS: Early-life exposure to severe Chinese famine could link with the higher dyslipidemia risk in female adulthood, but not in male adulthood. This gender-specific effect might be associated with the hypothesis that parents in China prefer boys to girls traditionally or survivors' bias.

ALternate Site Cardiac ResYNChronization (ALSYNC): a prospective and multicentre study of left ventricular endocardial pacing for cardiac resynchronization therapy.

AIMS: The ALternate Site Cardiac ResYNChronization (ALSYNC) study evaluated the feasibility and safety of left ventricular endocardial pacing (LVEP) using a market-released pacing lead implanted via a single pectoral access by a novel atrial transseptal lead delivery system. METHODS AND RESULTS: ALSYNC was a prospective clinical investigation with a minimum of 12-month follow-up in 18 centres of cardiac resynchronization therapy (CRT)-indicated patients, who had failed or were unsuitable for conventional CRT. The ALSYNC system comprises the investigational lead delivery system and LVEP lead. Patients required warfarin therapy post-implant. The primary study objective was safety at 6-month follow-up, which was defined as freedom from complications related to the lead delivery system, implant procedure, or the lead ≥70%. The ALSYNC study enrolled 138 patients. The LVEP lead implant success rate was 89.4%. Freedom from complications meeting the definition of primary endpoint was 82.2% at 6 months (95% CI 75.6-88.8%). In the study, 14 transient ischaemic attacks (9 patients, 6.8%), 5 non-disabling strokes (5 patients, 3.8%), and 23 deaths (17.4%) were observed. No death was from a primary endpoint complication. At 6 months, the New York Heart Association class improved in 59% of patients, and 55% had LV end-systolic volume reduction of 15% or greater. Those patients enrolled after CRT non-response showed similar improvement with LVEP. CONCLUSIONS: The ALSYNC study demonstrates clinical feasibility, and provides an early indication of possible benefit and risk of LVEP. CLINICAL TRIAL: NCT01277783.

Infant exposure to Chinese famine increased the risk of hypertension in adulthood: results from the China Health and Retirement Longitudinal Study.

BACKGROUND: Early-life developmental adaptations in response to severe malnutrition may play a crucial role in susceptibility to hypertension. This study aimed to explore the associations between exposure to the Chinese famine (1959-1961) at fetal, infant and preschool stages during fetal life or childhood and the risk of hypertension in adulthood. METHODS: We used the data of 1,966 adults born between 1956 and 1964 in selected families from the China Health and Retirement Longitudinal Study (CHARLS) national survey. RESULTS: Prevalence of hypertension among adults in non-exposed, fetal-exposed, infant-exposed, and preschool-exposed cohorts was 18.9, 20.7, 28.7, and 23.4 %, respectively. In severely affected famine areas, only infant-exposed cohort had a significant increased risk of hypertension compared with non-exposed cohort (OR 2.12; 95 % CI 1.19, 3.79; P = 0.011), and the significance remained after adjusted gender, smoking, and drinking (OR 2.11; 95 % CI 1.18, 3.77; P = 0.012). After stratification by BMI and economic status, the risk of hypertension was higher for subjects with BMI ≥ 24 kg/m(2)(OR 2.09; 95 % CI 1.09, 4.01; P = 0.026) or high economic status(OR 2.26; 95 % CI 1.19, 4.31; P = 0.013) than those with BMI < 24 kg/m(2)(OR 1.65; 95 % CI 0.71, 3.83; P = 0.246) or low economic status (OR 2.18; 95 % CI 1.14, 4.18; P = 0.019) in infant-exposed cohort of severely affected famine areas. However, there was no consistent association observed in less severely affected area or other exposed cohorts in severely affected areas. CONCLUSIONS: Infanthood exposed to famine might increase the risk of hypertension in adulthood, and a postnatal 'rich' nutrient environment further increased the risk.

Effect of Steroid Elution on Electrical Performance and Tissue Responses in Quadripolar Left Ventricular Cardiac Vein Leads.

INTRODUCTION: The use of steroid elution (SE) electrode in a cardiac pacing lead is known to suppress myocardial inflammation to lower pacing thresholds (PTs). SE has been widely utilized on the distal electrode of left ventricular cardiac vein (LVCV) leads used in cardiac resynchronization therapy (CRT). However, no paired comparison in effect of SE has been studied in proximal electrodes of quadripolar LVCV leads. METHODS: We evaluated electrical performance and tissue responses of quadripolar LVCV lead electrodes with and without SE in two canine studies with a total of 14 canines. Extended bipolar PT and pacing impedance of the LVCV electrodes to right ventricle coil were collected via an implantable CRT device/programmer or a percutaneous threshold analyzer/pacing analyzer at weeks 0, 1, 2, 4, 6, 8, and 12. Gross and histopathological examinations of the canines were performed at the end of the studies. RESULTS: Our preclinical studies showed that SE had significant effects on the long-term pacing performance of quadripolar LVCV leads. The SE tip and ring electrodes reduced postimplant PT peak and chronic PT, P = 0.038. Histological examination of the perilead tissue capsules at 12 weeks showed a reduced thickness for the location of SE electrodes. CONCLUSION: SE electrodes in quadripolar LVCV leads lower the PTs, and therefore may potentially reduce long-term current drain of CRT systems, thus improving the device longevity. These preclinical data serve as rationale to include SE on proximal electrodes for the Attain Performa LVCV leads and future quadripolar LVCV leads development.

The effects of long-term freezing-thawing on the strength properties and the chemical stability of compound solidified/stabilized lead-contaminated soil.

Solidification/stabilization (S/S) is the prevalent remediation technology for the treatment of heavy metal contaminated soils (HMCS). However, under the stress of complex surrounding environments, S/S effectiveness tends to deteriorate and freezing-thawing is one of the most influential natural forcings. The different proportions of cement, lime, and fly ash were used as the compound curing agents to treat solidified/stabilized HMCS with varying levels of lead contamination. The resulting samples were subjected to up to 180 freeze-thaw cycles (F-T) (1 day per cycle). Unconfined compressive strength (UCS) tests and semi-dynamic leaching tests were performed after F-T to explore the strength evolution of compound solidified/stabilized lead-contaminated soils (Pb-CSCS) and the chemical stability of the lead within. The results show that the F-T duration changes the strength deterioration mechanism of Pb-CSCS under F-T. There has been a shift in the main influencing factor from the promoted curing agent hydration by short-term F-T to the structural damage of the specimen induced by prolonged F-T. The variations in leachate pH, lead leachability, and diffusion ability with progressing F-T revealed a degradation effect of the changes in the physical states of water and crack propagation brought by F-T. These unfavorable changes in soil structure and chemistry reduce the acid resistance of Pb-CSCS. Notably, fly ash and cement facilitate the strength maintenance of Pb-CSCS under long-term F-T conditions. Curing formulations that included both cement and fly ash significantly increased the UCS of treated soils by up to 80.5% (3 F-T) under short-term F-T. In contrast, the curing formulation without fly ash lost 51.8% of its strength after 180 F-T conditions. For lead stabilization, cement and especially lime are favored. The results showed a 25% increase in the total proportion of lime and cement in the curing agent formulation, leading to a 41.4% reduction of lead leaching risk.

[Determination of gold and silver in twenty plants from the copper mining area by inductively coupled plasma-mass spectrometry].

The preconcentration and determination of gold and silver in twenty plants from the copper mining area by ICP-MS was described. The plant samples were decomposed by dry-ashing and aqua regia. 107Ag, 109Ag and 197Au were chosen as determining isotopes and 103Rh and 203Tl were chosen as internal standards. The conditions of sample digestion were elected and the interferences on instrument measurement were eliminated through the experiments. The detection limits of method were 0.048 and 1.06 ng x g(-1) for Au and Ag. The precisions (n=5) were between 0.85% and 9.05% RSD, and the recoveries were between 93.6%-101.6% (Au, Ag). The method is sensitive quick,simple and has been applied to the analysis of gold and silver in plants from the copper mining area. Under the given analytical conditions, the results showed that the contents of the Au and Ag varied in these diferent plants, the ranging between 0.181-0.99 ng x g(-1) for Au and 280-2150 ng x g(-1) for Ag respectively. The geochemical anomalies on Ag were discovered in Pteris, Dicranopteris pedata and Bolbitis heteroclita, which can be regarded as prospecting effective indicator plants.

Effects of Long-Term Freeze-Thaw Cycles on the Properties of Stabilized/Solidified Lead-Zinc-Cadmium Composite-Contaminated Soil.

Lead, zinc, and cadmium were used to prepare a composite-contaminated soil to replicate common situations, in which soil is usually simultaneously contaminated by multiple metals. To examine the long-term durability of stabilized/solidified (S/S) contaminated soil, specimens were subjected to a series of freeze-thaw (F-T) cycles, up to ninety times (one day per cycle), prior to testing. Triaxial compression tests, soil column leaching tests, and X-ray diffraction analysis were then employed to study the mechanical properties, environmental influences, and micro-mechanisms of the S/S lead-zinc-cadmium composite-contaminated soils after long-term F-T. The results showed that triaxial compressive strength increases within three F-T cycles, then decreases before slightly increasing or stabilizing after thirty F-T cycles. The stage of decreased cohesion thus occurs between three and fourteen F-T cycles, with variation in other factors similar to that of the triaxial compressive strength. The cohesion mainly increases between three and seven cycles. The soil column leaching test showed that the permeability of soil is more than four times higher than that of soil not subject to freeze-thaw cycles after ninety F-T cycles. XRD tests further revealed that the chemical composition of S/S contaminated soil and the occurrence of each heavy metal (HM) remained unchanged under F-T treatment.

Trace element contamination in urban topsoil in China during 2000-2009 and 2010-2019: Pollution assessment and spatiotemporal analysis.

The Chinese government has launched a critical battle against soil pollution in recent years to establish an effective pollution prevention and control framework. This study sought to investigate the long-term pollution status of potentially toxic trace elements in urban topsoil nationwide, and to further investigate the effectiveness of pollution control over the past decade. The concentrations of 8 elements (As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn) in urban topsoil in China between 2000-2009 and 2010-2019 were separately collected for comparative analysis. Individual and comprehensive pollution levels of the elements were evaluated at the city, provincial, regional, and national scales, and further spatially mapped using GIS. Combined with PCA, the main factors influencing these elements in soil nationwide were identified. The results revealed a severe situation in terms of potentially toxic trace element accumulation in urban topsoil, where the NNIPIs surpassed 3 in both periods. The elements As, Cd, and Hg were closely associated with industrial activity and coal burning. Hg and, in particular, Cd pollution (NPI > 3) were found to be severe in most of the cities studied. For the elements As, Cu, Pb, and Zn, pollution ranged from slight to moderate (1.0 < NPI ≤ 3.0), and Cu, Pb, and Zn were related to a significant degree with vehicle use. Soil Cr and Ni were mainly controlled by parent materials of lithogenic origin, and slight pollution was identified (1.0 < NPI ≤ 2.0). Pollution patterns showed different characteristics across the regions, and those of the same region and the nation hardly changed over time. Mercury pollution was dominant in the northern regions (NW, MYeR, NE, and NC), while Cd pollution was more severe for the south (EC, MYaR, SC, and SW). Notably, the country's comprehensive pollution level was stable across the two periods, with momentum towards improvement observed over the past decade.

Imaging-Based Localization of His Bundle Pacing Electrodes: Results From the Prospective IMAGE-HBP Study.

OBJECTIVES: This study sought to evaluate the correlation between His bundle (HB) pacing (HBP) implantation characteristics, lead-tip location, and association of intraprocedural His recordings with approximated HB anatomic landmarks using computed tomography (CT) imaging. BACKGROUND: HBP continues to grow in clinical practice due to offering true physiological pacing. However, a clear understanding of HB anatomy and the lead-tip location's influence on pacing characteristics is lacking. METHODS: The IMAGE-HBP study (Imaging Study of Lead Implant for His Bundle Pacing) was a prospective, multicenter study designed to assess implantation characteristics of the SelectSecure Model 3830 lead placed at the HB, evaluate protocol-specified HBP success (His recording present on electrogram and HBP threshold ≤2.5 V at 1 ms), and correlation between lead-tip location by CT imaging and HBP characteristics as well as lead-related complications through 12 months. RESULTS: Sixty-nine patients underwent a lead implantation attempt at the HB. Of these, 61 patients (88%) had a lead successfully implanted at the HB, and 52 patients (75%) met the pre-specified definition of successful HBP. In 51 patients with CT imaging, 11 leads (22%) were placed in the atrial aspect of the HB region (36% selective HBP), and 40 leads (78%) were placed in the ventricular aspect (28% selective HBP). Four of the 51 patients had P-wave oversensing, all with leads in the atrium. Freedom from lead-related complication at 12 months was 93%. CONCLUSIONS: Successful HBP could be achieved at lead-tip locations in the atrium or ventricle but is preferable in the ventricle to eliminate risk of oversensing. The IMAGE-HBP study offers better insight into approximated HB anatomic landmarks, lead-tip location, and correlation with pacing characteristics. (Imaging Study of Lead Implant for His Bundle Pacing [IMAGE-HBP]; NCT03294317).

Work-Family Conflict and Primary and Secondary School Principals' Work Engagement: A Moderated Mediation Model.

With the development of positive psychology, work engagement has received widespread attention from researchers in the fields of positive organizational behavior and occupational health. Some studies have shown that work-family conflict has an important influence on individual behaviors and attitudes, but little research has studied the influence of work-family conflict on work engagement. The present study examined whether the relationship between work-family conflict and work engagement was mediated by job satisfaction, and whether the mediating role was moderated by affective commitment. We surveyed 358 Chinese primary and secondary school principals using the Work-Family Conflict Scale, Job Satisfaction Scale, Affective Commitment Scale, and Work Engagement Scale. The results revealed that there is a significant negative correlation between work-family conflict and primary and secondary school principals' work engagement, and this relationship was partially mediated by job satisfaction. Moreover, affective commitment played a moderating role in the relationship between job satisfaction and work engagement. Specifically, the relationship between job satisfaction and work engagement was significant for primary and secondary school principals with high and low affective commitment. The current study contributes to a better understanding of the relationship between work-family conflict and work engagement.

Effects of Long-Term Repeated Freeze-Thaw Cycles on the Engineering Properties of Compound Solidified/Stabilized Pb-Contaminated Soil: Deterioration Characteristics and Mechanisms.

The effects of long-term repeated freeze-thaw cycles and pollution levels on the engineering properties (qu, E50, φ, c, and k) of Pb-contaminated soils were investigated in various laboratory tests. These soils were solidified/stabilized (S/S) with three types of cement-based combined binders (C2.5S5F5, C5S2.5F2.5, and C5S5, cement, lime, and fly ash, mixed in different proportions; these materials are widely used in S/S technology). The strength and permeability coefficient of compound solidified/stabilized Pb-contaminated soils (Pb-CSCSs) were determined based on measurements of unconfined compressive strength (UCS), direct shear, and permeability. CT scanning, scanning electron microscopy (SEM), and Fourier transform infrared spectroscopy (FTIR) tests were employed to analyse the deterioration mechanisms under various repetitions of freeze-thaw cycles. The results showed that, under repeated freeze-thaw cycles, the engineering properties of Pb-CSCSs all degraded to varying degrees, though degradation tended to stabilise after 30 days of freeze-thaw cycles. The study also found that the pollutants obstruct hydration and other favourable reactions within the soil structure (such as ion exchanges and agglomerations and pozzolanic reactions). The activation of hydration reactions and the rearrangement of soil particles by freeze-thaw cycles thus caused the engineering properties to fluctuate, and soils exhibited different deterioration characteristics with changes in Pb2+ content.

Influence of Freeze-Thaw Cycles and Binder Dosage on the Engineering Properties of Compound Solidified/Stabilized Lead-Contaminated Soils.

The solidification/stabilization (S/S) method is the usual technique for the remediation of soils polluted by heavy metal in recent years. However, freeze-thaw cycles, an important physical process producing weathering of materials, will affect the long-term stability of engineering characteristics in solidified contaminated soil. In addition, it is still questionable whether using large dosages of binders can enhance the engineering properties of solidified/stabilized contaminated soils. In this study, the three most commonly used binders (i.e., cement, quicklime, and fly ash), alone and mixed in different ratios, were thus added to lead-contaminated soil in various dosages, making a series of cured lead-contaminated soils with different dosages of binders. Afterward, unconfined compression strength tests, direct shear tests, and permeability tests were employed on the resulting samples to find the unconfined compressive strength (UCS), secant modulus ( E 50 ), internal friction angle ( φ ), cohesion ( c ), and permeability coefficient ( k ) of each solidified/stabilized lead-contaminated soil after 0, 3, 7, and 14 days of freeze-thaw cycles. This procedure was aimed at evaluating the influence of freeze-thaw cycle and binder dosage on engineering properties of solidified/stabilized lead-contaminated soils. Results of our experiments showed that cement/quicklime/fly ash could remediate lead-contaminated soils. However, it did not mean that the more the dosage of binder, the better the curing effect. There was a critical dosage. Excessive cementation of contaminated soils caused by too much binder would result in loss of strength and an increase in permeability. Furthermore, it was found that UCS,   E 50 , φ , c , and k values generally decreased with the increase in freeze-thaw cycle time-a deterioration effect on the engineering characteristics of solidified lead-contaminated soils. Avoiding excessive cementation, 2.5% cement or quicklime was favorable for the value of E 50 while a 2.5% fly ash additive was beneficial for the k value. It is also suggested that if the freeze-thaw cycle continues beyond the period supported by excessive cementation, such a cycle will rapidly destroy the original structure of the soil and create large cracks, leading to an increase in permeability. The results also showed that the contaminated soils with a larger dosage of binders exhibited more significant deterioration during freeze-thaw cycles.

Characterization of pncA Mutations and Prediction of PZA Resistance in Mycobacterium tuberculosis Clinical Isolates From Chongqing, China.

Pyrazinamide (PZA) is widely used to treat drug-sensitive or multidrug resistance tuberculosis. However, conventional PZA susceptibility tests of clinical isolates are rather difficult because of the requirement of acid pH. Since resistance to pyrazinamide is primary mediated by mutation of pncA, an alternative way of PZA susceptibility test is to analyze the pyrazinamidase activities of Mycobacterium tuberculosis clinical isolates. Therefore, a database containing the full spectrum of pncA mutations along with pyrazinamidase activities will be beneficial. To characterize mutations of pncA in M. tuberculosis from Chongqing, China, the pncA gene was sequenced and analyzed in 465 clinical isolates. A total of 124 types of mutations were identified in 424 drug-resistant isolates, while no mutation was identified in the 31 pan-susceptible isolates. Ninety-four of the 124 mutations had previously been reported, and 30 new mutations were identified. Based on reported literatures, 294 isolates could be predicted resistant to pyrazinamide. Furthermore, pyrazinamidase activities of the 30 new mutations were tested using the Escherichia coli pncA gene knockout strain. The results showed that 24 of these new mutations (28 isolates) led to loss of pyrazinamidase activity and six (8 isolates) of them did not. Taken together, 322 isolates with pncA mutations could be predicted to be PZA resistant among the 424 drug-resistant isolates tested. Analysis of pncA mutations and their effects on pyrazinamidase activity will not only enrich our knowledge of comprehensive pncA mutations related with PZA resistance but also facilitate rapid molecular diagnosis of pyrazinamide resistance in M. tuberculosis.

Independent Risk Factors for Deaths due to AIDS in Chongqing, China: Does Age Matter?

Background: People living with HIV (PLWH) are aging worldwide, and different management strategies may be required for older and younger PLWH. However, demographic characteristics, illness distribution, mortality, and independent risk factors in the PLWH population in China are not yet fully understood, especially in patients aged 50 years or older. Methods: We conducted a retrospective analysis of 4445 HIV-positive Chinese inpatients in Chongqing, China. Results: The mortality rate in patients 50 years or older (the older group) was significantly higher than that in those under 50 years (the younger group) (p < 0.001). In the younger group, independent risk factors for death included: nadir CD4+ T-cell counts <200 cells/µL, not owning medical healthcare insurance, not being on cART, injection drug use, and having one of the following comorbidities: Pneumocystis pneumonia, cryptococcal meningitis, AIDS malignancy, non-AIDS malignancy, and kidney disease. In the older group, independent predictors of death included: being urban residents, nadir CD4+ T-cell counts <200 cells/µL, not being on cART, and having comorbidities such as Pneumocystis pneumonia, hepatitis C, talaromycosis, non-AIDS malignancy, and kidney disease. Conclusions: Demographic characteristics, illness distribution, mortality, and independent risk factors for death in HIV-positive patients differ between the older group and the younger group, indicating that a changing suite of medical and allied support services may be required the for management of older PLWH.