Mid-arm muscle circumference and triceps skinfold thickness associated with cardiometabolic disease in Chinese residents: A prospective cohort study.

BACKGROUND AND AIMS: The association of cardiometabolic disease (CMD) with body muscle and fat mass remains unclear. Mid-arm muscle circumference (MAMC) and triceps skinfold (TSF) thickness are easily obtained measuring methods for these two body compositions. This study aimed to investigate the association of CMD with MAMC and TSF thickness among Chinese residents. METHODS: A total of 9440 eligible participants from the China Health and Nutrition Survey were included in the analysis. Associations of CMD prevalence with MAMC and TSF thickness were estimated using logistic regression models. Multivariable COX proportional-hazards regression models were used to estimate the effect of baseline MAMC and TSF thickness on subsequent CMD. RESULTS: Positive associations of CMD prevalence with MAMC (odds ratio [OR] = 1.169, 95% confidence interval [CI] 1.110-1.232, P < 0.001) and TSF thickness (OR = 1.313, 95%CI 1.240-1.390, P < 0.001) were observed in the cross-sectional analysis. In the longitudinal study, a 1-SD increase in MAMC was associated with a 13.6% increased risk of CMD incidence (hazard ratio [HR] = 1.136, 95%CI 1.073-1.204, P < 0.001), and a 1-SD increase in TSF thickness had a 17.6% increased risk of CMD incidence (HR = 1.176, 95%CI 1.084-1.276, P < 0.001). For the CMD components, both MAMC and TSF thickness contributed to increased incidences of hypertension (HR = 1.163, 95%CI 1.097-1.233, P < 0.001 in MAMC; HR = 1.218, 95%CI 1.110-1.336, P < 0.001 in TSF thickness) and diabetes mellitus (HR = 1.166, 95%CI 1.028-1.323, P = 0.017 in MAMC; HR = 1.352, 95%CI 1.098-1.664, P = 0.004 in TSF thickness). CONCLUSIONS: Individuals with higher MAMC and TSF thickness had an increased incidence of CMD, mainly hypertension and diabetes mellitus. This study revealed a seemingly counterintuitive association between body muscle mass and metabolic homeostasis. Although the potential mechanisms require further exploration, the impact of body muscle mass on metabolic health cannot be ignored.

Fibrosis-4 index is closely associated with clinical outcomes in acute cardioembolic stroke patients with nonvalvular atrial fibrillation.

Liver cirrhosis is a confirmed risk factor for poor prognosis of stroke; however, the contribution of clinically inapparent liver fibrosis to cardioembolic stroke (CES) and its outcomes are poorly understood. This study aimed to investigate the associations between liver fibrosis-measured by the Fibrosis-4 (FIB-4) score-and stroke severity and short-term clinical outcomes of patients with acute CES due to nonvalvular atrial fibrillation (NVAF). A total of 522 patients were followed for a median of 90 days. We calculated the FIB-4 score and defined liver fibrosis as follows: likely advanced fibrosis (FIB-4 > 3.25), indeterminate advanced fibrosis (FIB-4, 1.45-3.25), and unlikely advanced fibrosis (FIB-4 < 1.45). Logistic regression analysis and Cox regression analysis were used to investigate the relations between the FIB-4 score and stroke severity, major disability at discharge, and all-cause mortality. Among these 522 acute CES patients with NVAF, the mean FIB-4 score (2.28) on admission reflected intermediate fibrosis, whereas liver enzymes were largely normal. In multivariate regression analysis, patients with advanced liver fibrosis were more likely to have a higher risk of severe stroke (OR = 2.21, 95% CI 1.04-3.54), major disability at discharge (OR = 4.59, 95% CI 1.88-11.18), and all-cause mortality (HR = 1.25, 95% CI 1.10-1.56) than their counterparts. Regarding sex, these associations were stronger in males but not significant in females. In patients with acute CES due to NVAF, advanced liver fibrosis is associated with severe stroke, major disability, and all-cause death. Our findings indicate that early screening and management of liver fibrosis may decrease stroke severity and risk of death in patients with NVAF, especially for male patients. Consequently, FIB-4 > 3.25 of male patients should receive ultrasound elastography to further determine the degree of liver fibrosis.

Association of frailty index with congestive heart failure, all-cause and cardiovascular mortality among individuals with type 2 diabetes: a study from National Health and Nutrition Examination Surveys (NHANES), 1999-2018.

BACKGROUND: Both type 2 diabetes mellitus (T2DM) and frailty are strongly associated with congestive heart failure (CHF). Individuals with T2DM and CHF have a high frailty burden. The association of frailty with HF, all-cause, and cardiovascular mortality in patients with T2DM has not been thoroughly explored. METHODS: This study included 2894 adults with T2DM from the National Health and Nutrition Examination Survey (NHANES) database over ten cycles (1999-2018) and followed up for all-cause and cardiovascular mortality through 31 December 2019. The frailty index (FI) was calculated using a 46-item deficit model to assess frailty status. Weighted multivariable logistic regression was performed to explore the relationship between frailty and CHF in patients with T2DM. Weighted restricted cubic splines were used to evaluate the non-linear relationship between FI and outcome. All-cause mortality and cardiovascular mortality association with FI was assessed using the Kaplan-Meier curve and COX proportional hazards regression accounting for sampling weights. Subgroup and sensitivity analyses were performed to evaluate the robustness of the results. RESULTS: After the adjustment of essential confounders, a higher frailty index in T2DM was associated with increased odds of CHF (odds ratio [OR] for per 1-SD increase, 2.02, 95% confidence interval [CI] 1.67-2.45; P < 0.0001). The presence of frailty T2DM (OR, 3.60; 95% CI 2.34-5.54; P < 0.0001) was associated with a significant increase in the prevalence of CHF compared to non-frailty T2DM in a fully adjusted model. During the median follow-up of 6.75 years, per 1-SD increase in FI was associated with a 41% higher risk of all-cause mortality and a 30% higher risk of cardiovascular mortality after being adjusted for all confounders. Similar results were observed when sensitivity analyses were performed. There was also a non-linear relationship between FI and all-cause mortality. In a weighted multivariate COX proportional model adjusted for full confounders, frailty T2DM increased all-cause (HR, 1.86; 95% CI 1.55-2.24; P < 0.0001) and cardiovascular (HR 1.66; 95% CI 1.18-2.33; P = 0.003) mortality and compared to non-frailty T2DM. The positive association of frailty index and all-cause mortality was only in participants without CHF. The positive association of frailty index and cardiovascular mortality was only in non-anti-diabetic drug users. CONCLUSIONS: Frailty index in T2DM was positively associated with CHF in linear fashions. The Frailty index was positively correlated with all-cause and cardiovascular death in patients with T2DM. Frailty T2DM was positively associated with CHF, all-cause mortality, and cardiovascular mortality compared to non-frailty T2DM. Promoting frailty measurement and management in T2DM may be beneficial to reduce the burden of CHF and mortality.

Enhanced TSG stability through co-assembly with C3G: the mechanism behind processing Polygonum multiflorum Thunb with black beans via supramolecular analysis.

Elucidating the underlying mechanism of the processing of Chinese herbal medicine (CHM) is crucial and also challenging for the modernization of Traditional Chinese Medicine (TCM). Herein, inspired by the traditional method for processing the Chinese herb Polygonum multiflorum (PM) Thunb with excipient black beans, the representative herbal components trans-2,3,5,4'-tetrahydroxystilbene 2-O-ß-D-glucopyranoside (TSG) and cyanidin-3-O-ß-glucoside (C3G) from each herbal medicine were selected to investigate the processing mechanism at the supramolecular level. The co-assemblies of TSG/C3G were found to be formed, and their structure was characterized by electronic microscopy and a small angle X-ray scattering (SAXS) technique. In addition, the supramolecular interactions between TSG and C3G were fully probed with UV-Vis, fluorescence, XRD, and NMR spectroscopy. Molecular dynamics were further performed to simulate the assembly processes of TSG and C3G. Notably, the formation of TSG/C3G co-assemblies was found to significantly enhance the stability of TSG against light, Fe3+, and simulated intestinal fluids. The co-assembly of TSG and C3G that leads to supramolecular aggregates discovered here may imply the underlying mechanism of processing PM with black beans. Our results may also suggest that a new effective form of TCM is supramolecular aggregates rather than each component.

Supramolecular Gel-to-Gel Transition Induced by Nanoscale Structural Perturbation via the Rotary Motion of Feringa's Motor.

Supramolecular rather than covalent molecular engineering on Feringa motors can provide an alternative toolkit for tuning the properties of motorized materials through appropriate supramolecular structural perturbations, which are underexplored. Herein, a multicomponent supramolecular gel system is successfully prepared by employing an ultra-low molecular weight gelator and a modulator-Feringa motor. The electron microscopic, spectroscopic, and rheological data revealed that the morphology and mechanical properties of the gel can be tuned via a crystallographic mismatch branching (CMB) mechanism simply by adding varied amounts of motor modulators. Notably, the rotary motion of the motor is preserved in such a multicomponent gel system, and the morphology and rheology of the gel can be further altered by the motor's rotary motion that promotes the structural perturbation, resulting in seldomly seen gel-to-gel transition events. The work shown here offers prospects to utilize a supramolecular perturbation strategy to deliver responsiveness from molecular motors to the corresponding bulk materials.

Exploring Carbonyl Chemistry in Non-aqueous Mg Flow Batteries.

Non-aqueous redox flow batteries (RFBs) are emerging electrochemical technologies for grid energy storage. Non-aqueous Mg RFBs that use Mg metal as the anode are especially promising due to various benefits of the Mg metal anode, including its low potential, high volumetric capacity, SEI-free, highly reversible operation and low cost. Despite the potential, there are rarely any studies on developing non-aqueous Mg RFBs. Herein, a non-aqueous Mg redox flow battery using a polymer catholyte is reported. Through rational molecular engineering, a carbonyl-based moiety is combined with a polyethylene glycol moiety to achieve a polymer with high voltage and high solubility in the ether-based electrolyte. A series of polymers with different polyethylene glycol chain lengths are synthesized and their performances are measured first at the molecular level, and then at the device level in a Mg redox flow battery using a Mg foil as the anode, the polymer solution as the catholyte and a porous membrane as the separator. The flow battery delivers a voltage of 1.8 V, a maximum capacity of 475 mAh/L, an average Coulombic efficiency of 90.5%, an average voltage efficiency of 67.4%, an energy efficiency of 61.0%, and an energy density of 0.855 Wh/L. Systematic mechanistic studies are performed to understand the performance decay mechanism and possible strategies for future improvement are discussed. This work opens a new avenue for the development of energy storage technologies for grid electricity storage.

Enhancing the Charging Performance of Lithium-Ion Batteries by Reducing SEI and Charge Transfer Resistances.

To enable the mass adoption of electric vehicles, the charging performance of Li-ion batteries needs to be significantly enhanced. The development of electrolytes with enhanced transport properties and faster interfacial reaction is one critical approach to realize fast charging within 10 min. Most current electrolyte studies are focusing on ester-based electrolytes. In this work, an ether-based electrolyte is reported, which shows remarkably better charging performance than commercial carbonate electrolytes and other reported ester-based electrolytes in both half and full cells. Electrochemical and spectroscopic characterization shows that the superior charging performance of the reported electrolyte is due to significantly reduced SEI resistance and charge transfer resistance. Cycling tests show remarkable stability in Li||graphite (gr) half cells, suggesting the potential of the electrolytes to enhance battery charging performance. LiFePO4 (LFP)||gr full cells were further tested, and it is found that the resistance of cells builds up during cycling due to gelation of the electrolyte, which limits the cycling performance of full cells. Potential strategies to address this limitation are discussed.

Construction of Photo-Responsive Pd2 L4 -Type Nanocages based on Feringa's Second-Generation Motor and Its Guest Binding Ability for C60.

We present the construction of a M2 L4 -type metal-organic nanocage featuring four endohedral Feringa's motor motifs and its adaptive encapsulation towards a C60 guest molecule. The structure of the cage, though complicated on the 1 H NMR spectrum due to the adoption of mixed ligands, was unambiguously characterized with a combination of ESI-MS, 2D DOSY, 13 C NMR and particularly the SAXS technique. The molecular motor within the cage demonstrated similar photophysical properties to the uncoordinated one, indicating the motor's function was not compromised when it was anchored in such a confined nanospace. Furthermore, the nanocage showed good guest encapsulation ability towards C60 , and a guest induced-fit behavior of the cage was revealed based on the extensive SAXS analysis and molecular dynamics simulation. The adaptive motorized nanocage reported here represents one of the very few examples of integrating individual motors into a discrete nanoconfined system and offers prospects to achieve its non-equilibrium functions.

Aqueous Electrolytes Reinforced by Mg and Ca Ions for Highly Reversible Fe Metal Batteries.

Iron (Fe) metal batteries, such as Fe-ion batteries and all Fe flow batteries, are promising energy storage technologies for grid applications due to the extremely low cost of Fe and Fe salts. Nonetheless, the cycle life of Fe metal batteries is poor primarily due to the low Coulombic efficiency of the Fe deposition/stripping reaction. Current aqueous electrolytes based on Fe chloride or sulfate salts can only operate at a Coulombic efficiency of <91% under mild operation conditions (<5 mA/cm2), largely due to undesired hydrogen evolution reaction (HER). This work reports a series of novel Fe electrolytes, Fe electrolytes reinforced with Mg ions (FERMI) and Ca ions (FERCI), which have remarkably better Coulombic efficiency, higher conductivity, and faster deposition/stripping kinetics. By the addition of 4.5 M MgCl2 or CaCl2 into the baseline FeCl2 electrolyte, the Fe deposition/stripping efficiency can be significantly improved to 99.1%, which greatly boosts the cycling performance of Fe metal batteries in both half-cells and full-cells. Mechanistic studies reveal that the remarkably improved efficiency is due to a reduced amount of "dead Fe" as well as suppressed HER. By the combination of experiments and molecular dynamics and density functional theory computation, the electrolyte structure is revealed, and the mechanism for enhanced water reduction resistance is elucidated. These novel electrolytes not only enable a highly reversible Fe metal anode for low-cost energy storage technologies but also have the potential to address the HER side reaction problem in other electrochemical technologies based on aqueous electrolytes, such as CO2 reduction, NH3 synthesis, etc.

Determination of trace polycyclic aromatic hydrocarbons in water and milk using solid-phase extraction packed with graphene/chitosan composite aerogel prior to gas chromatography-mass spectrometry.

Polycyclic aromatic hydrocarbons, ubiquitous compounds that result from incomplete combustion or pyrolysis of natural and man-made combustion sources, can adversely affects human health due to their well-known toxicity. This paper demonstrates the significant potential of graphene/chitosan composite aerogels as solid-phase extraction sorbents for efficient polycyclic aromatic hydrocarbon extraction and material for the highly sensitive analysis in environmental samples using gas chromatography-mass spectrometry in selective ion monitoring mode. Under the optimal condition, samples spiked with polycyclic aromatic hydrocarbons were determined at the pg/mL level in different aqueous sample matrices, including tap water, river water, and milk. The results showed that the prepared aerogels have excellent adsorption capability for 16 target analytes. The limits of detection ranged from 1.7 to 8.8 pg/mL. The recoveries of polycyclic aromatic hydrocarbons spiked in river water ranged from 85.9 to 113%, with relative standard deviations of 1.1-6.6%. The sorbent was reused for multiple polycyclic aromatic hydrocarbon extractions using a single solid-phase extraction cartridge in the concentration range of 10-2000 pg/mL. The method provides excellent correlation coefficients over 0.9990. These results indicate the capability of this method to determine trace polycyclic aromatic hydrocarbons in any water matrix.

Online Scavenging of Trace Analytes in Complex Matrices for Fast Analysis by Carbon Dioxide Bubbling Extraction Coupled with Gas Chromatography-Mass Spectrometry.

Carbon dioxide (CO2) microbubbles can selectively enrich organic solutes from sea spray aerosols. Common bubbling extractions are normally followed by off-line separation/detection through methods such as mass spectrometry, chromatography, and spectroscopy. However, it is necessary to establish extractions with online separation and identification systems to improve efficiency and minimize sample loss. In this study, CO2 is used to form microbubbles in the sample solution, and trace analytes in the solution are transported to the gas phase by bubble bursting. Analytes at the liquid-gas interface are directly released into the trapping device, followed by thermal desorption for gas chromatography-mass spectrometry. For polycyclic aromatic hydrocarbons, the dependence of the extraction efficiency on various parameters has been analyzed. The method reported here provides high efficiency and minimizes the loss of trace volatiles with a better signal strength and signal-to-noise ratio than other gases. These features make the proposed method a rapid method to detect and quantify volatile/semivolatile analytes in complex liquid matrices. In addition to the preconcentration of organics, metal ions, and inorganic anions, a noticeable decrease of metal-organic compounds in the aqueous solution was shown for the first time. We finally propose a simple model of chemical partitioning in CO2 bubbling extraction of liquid samples for guiding online monitoring of trace analytes in real-world samples.

[Cloning and sequence analysis of the Meq gene of 4 Marek's disease virus isolates from China].

Earlier studies have determined that the repeat regions of oncogenic serotype 1 MDV (Marek's disease virus) encode a basic leucine zipper protein, Meq, which structurally resembles the Jun/Fos family of transcriptional activators. Meq has been suggested as the MDV-associated oncogene. In this paper, based on the published sequence of Meq gene of GA strain of MDV, a pair of primers were designed and synthesized. Meq gene ORF (Open reading frame) of the four Chinese local MDV isolates, the reference strain J-1 and the vaccine strain 814 were amplified by using polymerase chain reaction(PCR). Then the PCR products were cloned and sequenced respectively. The results of sequence comparison indicated that the sequences of Meq gene in different strains are relatively conserved and homology of the amino acid sequences is 96.5%-99.7%. The proline-rich repeats of Meq gene of four MDV isolates have site mutations, and it is related to MDV's virulence. Two unique site mutations appear in Meq gene of Chinese local MDV isolates, but they aren't present in Meq gene of the published MDV strains from abroad and the early domestic strains. It seems that some regularities exist between such mutations in four Chinese local MDV isolates and the virulence of MDV, but the regularities need further research.