Potential of polyphenols from Ligustrum robustum (Rxob.) Blume on enhancing the quality of starchy food during frying.

The increasing concerns about health have led to a growing demand for high-quality fried foods. The potential uses of Ligustrum robustum (Rxob.) Blume, a traditional tea in China, as natural additives to enhance the quality of starchy food during frying was studied. Results indicated that L. robustum polyphenols extract (LREs) could improve the quality of fried starchy food, according to the tests of color, moisture content, oil content, texture property, and volatile flavor. The in vitro digestion results demonstrated that LRE reduced the final glucose content from 11.35 ± 0.17 to 10.80 ± 0.70 mmol/L and increased the phenolic content of fried starch foods from 1.23 ± 0.04 to 3.76 ± 0.14 mg/g. The appearance and polarizing microscopy results showed that LRE promoted large starch bulges on the surface of fried starchy foods. Meanwhile, X-ray diffraction results showed that LRE increased the intensity of characteristic diffraction peak of fried starch with a range of 21.8%-28%, and Fourier transform infrared results showed that LRE reduced the damage to short-range order structure of starch caused by the frying process. In addition, LRE increased the aggregation of starch granules according to the SEM observation and decreased the enthalpy of starch gelatinization based on the differential scanning calorimetry results. The present results suggest that LREs have the potential to be utilized as a natural additive for regulating the quality of fried starchy food in food industries. PRACTICAL APPLICATION: The enhancement of L. robustum polyphenols on the quality of starchy food during frying was found, and its mechanisms were also explored. This work indicated that L. robustum might be used as a novel economic natural additive for producing high-quality fried foods.

GPC3-targeted CAR-T cells expressing GLUT1 or AGK exhibit enhanced antitumor activity against hepatocellular carcinoma.

Chimeric antigen receptor-expressing T (CAR-T) cells induce robust antitumor responses in patients with hematologic malignancies. However, CAR-T cells exhibit only limited efficacy against solid tumors such as hepatocellular carcinoma (HCC), partially due to their limited expansion and persistence. CD8+ T cells, as key components of the adaptive immune response, play a central role in antitumor immunity. Aerobic glycolysis is the main metabolic feature of activated CD8+ T cells. In the tumor microenvironment, however, the uptake of large amounts of glucose by tumor cells and other immunosuppressive cells can impair the activation of T cells. Only when tumor-infiltrating lymphocytes (TILs) in the tumor microenvironment have a glycolytic advantage might the effector function of T cells be activated. Glucose transporter type 1 (GLUT1) and acylglycerol kinase (AGK) can boost glycolytic metabolism and activate the effector function of CD8+ T cells, respectively. In this study, we generated GPC3-targeted CAR-T cells overexpressing GLUT1 or AGK for the treatment of HCC. GPC3-targeted CAR-T cells overexpressing GLUT1 or AGK specifically and effectively lysed GPC3-positive tumor cells in vitro in an antigen-dependent manner. Furthermore, GLUT1 or AGK overexpression protected CAR-T cells from apoptosis during repeated exposures to tumor cells. Compared with second-generation CAR-T cells, GPC3-targeted CAR-T cells overexpressing GLUT1 or AGK exhibited greater CD8+ T-cell persistence in vivo and better antitumor effects in HCC allograft mouse models. Finally, we revealed that GLUT1 or AGK maintained anti-apoptosis ability in CD8+ T cells via activation of the PI3K/Akt pathway. This finding might identify a therapeutic strategy for advanced HCC.

A novel complex coupling agent for enhancing the compatibility between collagen fiber and natural rubber: A utilization strategy for leather wastes.

Leather shavings are generated as solid waste in the leather industry and may cause environmental pollution if not disposed judiciously. These solid wastes, primarily composed of collagen fibers (CFs), can be recycled as biomass composites. However, CFs are incompatible with natural rubber (NR) due to its hydrophilicity. Conventionally, the compatibility has been improved by utilizing silane coupling agents (SCAs) along with a large number of organic solvents, which further contribute to environmental pollution. In this study, we developed a novel complex coupling agent (CCA) to enhance the compatibility between CF and NR. The CCA was synthesized through a coordination reaction between Cr(III) and α-methacrylic acid (MAA). Cr(III) in the coupling agent coordinates with the active groups in CFs, while the unsaturated double bonds in MAA facilitate covalent crosslinking between the CCA and NR, improving compatibility. The coordination bonding between CF and NR exhibits strong interfacial interaction, endowing the composites with desirable mechanical properties. Moreover, the proposed method is an economical and green approach that can be used to synthesize CF-based composites without requiring organic solvents. Herein, a strategy promoted sustainable development in the leather industry has been established.

Single-Cell Analysis Reveals Cxcl14+ Fibroblast Accumulation in Regenerating Diabetic Wounds Treated by Hydrogel-Delivering Carbon Monoxide.

Nonhealing skin wounds are a problematic complication associated with diabetes. Therapeutic gases delivered by biomaterials have demonstrated powerful wound healing capabilities. However, the cellular responses and heterogeneity in the skin regeneration process after gas therapy remain elusive. Here, we display the benefit of the carbon monoxide (CO)-releasing hyaluronan hydrogel (CO@HAG) in promoting diabetic wound healing and investigate the cellular responses through single-cell transcriptomic analysis. The presented CO@HAG demonstrates wound microenvironment responsive gas releasing properties and accelerates the diabetic wound healing process in vivo. It is found that a new cluster of Cxcl14+ fibroblasts with progenitor property is accumulated in the CO@HAG-treated wound. This cluster of Cxcl14+ fibroblasts is yet unreported in the skin regeneration process. CO@HAG-treated wound macrophages feature a decrease in pro-inflammatory property, while their anti-inflammatory property increases. Moreover, the TGF-ß signal between the pro-inflammatory (M1) macrophage and the Cxcl14+ fibroblast in the CO@HAG-treated wound is attenuated based on cell-cell interaction analysis. Our study provides a useful hydrogel-mediated gas therapy method for diabetic wounds and new insights into cellular events in the skin regeneration process after gas-releasing biomaterials therapy.

[Impact of assisted reproductive technology on birth weight discordance in twins]. / è¾ åŠ©ç”Ÿæ®–æŠ€æœ¯å¯¹åŒèƒŽå‡ºç”Ÿä½“é‡ä¸ä¸€è‡´çš„å½±å“.

OBJECTIVES: To explore the association between assisted reproductive technology (ART) and birth weight discordance in twins (BWDT). METHODS: A retrospective analysis was conducted on twin infants born between January 2011 and December 2020 at the Third Affiliated Hospital of Guangzhou Medical University, with complete basic birth data. The impact of ART on the occurrence of BWDT was identified by the multivariate logistic regression analysis. RESULTS: A total of 3 974 pairs of twins were included, with 1 431 conceived naturally and 2 543 through ART. Neonates in the ART group had higher birth weights than those in the naturally conceived group (P<0.001). The incidence of BWDT was lower in the ART group compared to the naturally conceived group (16.17% vs 21.09%, P<0.001). The multivariate logistic regression analysis, adjusting for confounding factors such as maternal age, parity, pre-pregnancy body mass index, gestational diabetes, hypothyroidism, gestational age, and chorionic properties, showed no significant difference in the risk of BWDT between the ART and naturally conceived groups (P>0.05). CONCLUSIONS: ART is not associated with the risk of BWDT.

Preoperative Nutritional Status of Infants with Non-Restricted Ventricular Septal Defect and Its Influence on Postoperative Recovery.

PURPOSE: This study described the preoperative nutritional status of infants with nonrestricted ventricular septal defects (VSDs) and evaluated its effect on postoperative recovery. METHODS: We retrospectively collected data from infants with nonrestricted VSD who received surgical treatment in our hospital from January 2020 to December 2021 and analyzed their preoperative nutritional status and postoperative recovery. RESULTS: Fifty (53.8%) patients were underweight (weight for age Z score (WAZ) ≤-1), and 31 (33.3%) patients were malnourished (WAZ ≤-2). The mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery of patients with WAZ ≤-2 were significantly longer than those of patients with WAZ >-2 (p < 0.05). The results of linear correlation analysis showed that age, WAZ and prealbumin were negatively correlated with mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery, respectively. Multiple linear regression analysis showed that mechanical ventilation time = 7.080 - 0.668 WAZ - 0.013 prealbumin - 0.618 age (R2: 0.729, F: 79.773, p: 0.001); duration of intensive care unit admission = 11.775 - 1.385 WAZ - 0.018 prealbumin - 0.102 age (R2: 0.714, F: 74.072, p: 0.001); and hospital stay time = 17.663 - 1.673 WAZ - 0.017 prealbumin - 1.07 age (R2: 0.711, F: 72.842, p: 0.001). CONCLUSION: The incidence of malnutrition in infants with nonrestricted VSD was very high, and malnutrition had a significant adverse effect on postoperative recovery. Malnutrition significantly prolonged mechanical ventilation time, duration of intensive care unit stay and hospital stay after surgery.

Controllable Fabrication of Vertical Graphene with Tunable Growth Nature by Remote Plasma-Enhanced Chemical Vapor Deposition.

As an important member of the graphene family, vertical graphene (VG) has broad applications like field emission, energy storage, and sensors owing to its fascinating physical and chemical properties. Among various fabrication methods for VG, plasma enhanced chemical vapor deposition (PECVD) is most employed because of the fast growth rate at relatively low temperature for the high-quality VG. However, to date, relations between growth manner of VG and growth parameters such as growth temperature, dosage of gaseous carbon source, and electric power to generate plasma are still less known, which in turn hinder the massive production of VG for further applications. In this study, the growth behavior of VG was studied as functions of temperature, plasma power, and gas composition (or chamber pressure). It was found that the growth behavior of VG is sensitive to the growth conditions mentioned above. Although conditions with high growth temperature, large flow rate of mixed gas of methane and carrier gases, and high plasma power may be helpful for the fast growth of VG, brunching of VG is simultaneously enhanced, which in turn decreases the vertical growth nature of VG. High-quality VG can be achieved by optimizing the growth parameters. It was revealed that the vertical growth nature of VG is governed by the electric field at the interfacial layer between VG and the substrate, for which its strength is influenced by the density of plasma. These findings are important for the general understanding of the VG growth and provided a feasible way for the controllable fabrication of VG using the remote PECVD method which is usually believed to be unsuitable for the fabrication of VG.

Structural Engineering-Enabled Joule Heating Effect Cooperated with Capillary Effect Toward Fast Spreading of Droplets for High-Flux Separation of Viscous Emulsion.

Viscous emulsions with poor fluidity and high adhesion are extremely difficult to separate. Herein, high-flux separation of viscous emulsions is realized by developing structural engineered collagen fibers (CFs)-based composite membrane that featured 3D conductive hierarchical fiber structure with the spaced carbon nanofibers (CNFs) and activated carbon (AC) serving as conductive network and competitive adsorption-based demulsifying sites, respectively. The as-designed membrane structure boosts fast spreading of emulsion droplets on membrane surface aided by the synergistic effect of joule heat in situ generated by the spaced CNFs and the capillary effect derived from CFs, which guarantees the full contact of viscous emulsions with the spaced AC for achieving ultra-efficient demulsifying. The permeation of resultant oily filtrate is accelerated by the capillary effect of hierarchically fibrous structured CFs to exhibit fast transport kinetics, therefore accomplishing high-flux separation. The structural engineered membrane achieves high-performance separation toward different viscous emulsions (55.4-123.7 mPa·s) with separation efficiency >99.9% and flux high up to 259 L m-2 h-1 . The investigations provide a novel structural engineering strategy for realizing high-performance separation of viscous emulsions.

The Addition of an Ultra-Small Amount of Black Phosphorous Quantum Dots Endow Self-Healing Polyurethane with a Biomimetic Intelligent Response.

This study explores new applications of black phosphorus quantum dots (BPQDs) by adding them to self-healing material systems for the first time. Self-healing polyurethane with an ultra-small amount of BPQDs has biomimetic intelligent responsiveness and achieves balance between its mechanical and self-healing properties. By adding 0.0001 wt% BPQDs to self-healing polyurethane, the fracture strength of the material increases from 3.0 to 12.3 MPa, and the elongation at break also increases from 750% to 860%. Meanwhile, the self-healing efficiency remains at 98%. The addition of BPQDs significantly improves the deformation recovery ability of the composite materials and transforms the surface of self-healing polyurethane from hydrophilic to hydrophobic, making it suitable for applications in fields such as electronic skin and flexible wearable devices. This study provides a simple and feasible strategy for endowing self-healing materials with biomimetic intelligent responsiveness using a small amount of BPQDs.

Synergistic Adsorption and In Situ Catalytic Conversion of SO2 by Transformed Bimetal-Phenolic Functionalized Biomass.

SO2 removal is critical to flue gas purification. However, based on performance and cost, materials under development are hardly adequate substitutes for active carbon-based materials. Here, we engineered biomass-derived nanostructured carbon nanofibers integrated with highly dispersed bimetallic Ti/CoOx nanoparticles through the thermal transition of metal-phenolic functionalized industrial leather wastes for synergistic SO2 adsorption and in situ catalytic conversion. The generation of surface-SO32- and peroxide species (O22-) by Ti/CoOx achieved catalytic conversion of adsorbed SO2 into value-added liquid H2SO4, which can be discharged from porous nanofibers. This approach can also avoid the accumulation of the adsorbed SO2, thereby achieving high desulfurization activity and a long operating life over 6000 min, preceding current state-of-the-art active carbon-based desulfurization materials. Combined with the techno-economic and carbon footprint analysis from 36 areas in China, we demonstrated an economically viable and scalable solution for real-world SO2 removal on the industrial scale.

A cleaner leather chemical from feather waste for reducing ammonia-nitrogen pollution and improving biological treatment efficiency of tannery wastewater.

Feather waste is produced in millions of tons globally every year, resulting in a waste of biomass resources and even environmental pollution. A sustainable strategy for utilizing feather waste was proposed by preparing a clean deliming agent for ammonia-nitrogen (NH3-N) reduction in leather manufacture and biological treatment efficiency improvement of tannery wastewater. Briefly, chicken feather wastes were deeply hydrolyzed with sulfuric acid, and the optimized keratin hydrolysate (KHopt) that contained 53.6% crude protein and 41.2% amino acids, such as glutamic acid, serine, proline, leucine, phenylalanine, glycine, valine, and arginine, was obtained and used to delime limed cattle hides. The appropriate ratio of amino acids in KHopt gave KHopt a great pH-buffering capacity and maintained a stable float pH of approximately 9 throughout the deliming process. The isoelectric points of KHopt (3.8) and the limed hide (6.3) were both lower than the float pH, thereby bringing about an electrostatic repulsion between the KHopt and the hide surface, which is helpful for KHopt to penetrate and deswell the limed hide rapidly. Moreover, the KHopt deliming effectively removed calcium from the limed hide and achieved leather comparable to conventional leather for commercial applications. KHopt reduced the NH3-N concentrations of deliming effluent and tannery wastewater by 91.1% and 80.6%, respectively, compared with the conventional deliming agent (ammonium sulfate), and dramatically increased the biological treatment efficiency of tannery wastewater. The results showed that efficient and high-value use of feather waste was made by preparing KHopt for sustainable leather manufacturing.

Potassium assisted pyrolysis of Chinese Baijiu distillers' grains to prepare biochar as controlled-release K fertilizer.

A novel K-loaded biochar as controlled-release K fertilizer was prepared through K assisted pyrolysis of distillers' grains (DGs, typical solid-byproducts of Chinese Baijiu) under different atmospheres (N2 and CO2) and temperatures (400 and 800 °C). The fabricated DGs-based biochar exhibited high K loading (200.20-232.33 mg/g), and the release kinetics and column leaching experiments suggested that K-loaded biochar exhibited excellent controlled release performance in a long term. Compared with other biochar, the K-loaded biochar prepared at CO2 and 400 °C has lower cumulative release ratio of 82.35 %, and could retain the durative K release at ~0.5 % for 25 d. The release kinetics suggested that the K release behavior was dominated by dissolution, electrostatic attraction, adsorption, confinement effect, and chemical interaction. Furthermore, pot experiments revealed that K-loaded biochar could promote the growth of Komatsuna, in which the fresh weight and chlorophyll relative content of Komatsuna cultivated with biochar prepared at CO2 and 400 °C reached 0.146 g and 41.95 after 25 d growth, respectively. The above results suggested that the K-loaded biochar exhibited excellent utilization potential as a controlled-release K fertilizer, facilitating the sustainable development and resource valorization of Baijiu industry.

Graphitic N-doped biochar for superefficient uranium recycling from nuclear wastewater.

N-doped biochar (AL-N/BC) prepared by pyrolyzing lignin in various temperatures manifested superefficient performance for uranium (U) recycling from nuclear wastewater. The optimist AL-N/BC-700 showed higher adsorption capacity of 25,000 mg/g and faster kinetics of 4100 g·min-1·mg-1 than the most of reported adsorbents, and excellent adsorption-desorption capability (adsorption rate > 90 % and desorption rate > 70 % after 12 cycles). Moreover, the high applicability of AL-N/BC-700 was verified by its superefficient U(VI) adsorption performance in a broad working pH range, various water matrices, and high irradiation stability. Furthermore, the adsorption mechanism discloses the significant role of graphitic N, rather than pyridinic N or pyrrolic N, for U(VI) adsorption. Overall, this work not only presents an applicable approach to alleviate the increasingly serious energy crisis via recycling U(VI) from nuclear wastewater, but also enriches the method of synthesizing N-doped materials for U(VI) adsorption.

Controllably Adjusting the Hydrophobicity of Collagen Fibers for Enhancing the Adsorption Rate, Retention Capacity, and Separation Performance of Flavonoid Aglycones.

Collagen fibers (CFs) were previously used as packing materials for the separation of flavonoids based on hydrogen bond and hydrophobic interactions. However, as for flavonoid aglycones, CFs presented unsatisfactory adsorption capacity and separation efficiency due to the fact that they include limited hydroxyls and phenyls. In order to improve the adsorption capacity and separation efficiency, the hydrophobic modification strategy was employed in this research to enhance the hydrophobic interaction of CF with flavonoid aglycones by using silane coupling agents with different alkyl chains (isobutyl, octyl, and dodecyl). FT-IR analysis, DSC, TG, SEM, EDS mapping, water contact angle, and absorption time of solvent proved the successful grafting of alkyl chains on the CF without disturbing its special fiber structure, leading to the significantly enhanced hydrophobicity of the CF. The dynamic adsorption and elution behavior of kaempferol and quercetin (the typical flavonoid aglycones) on the hydrophobic CF showed that the adsorption rate and retention rate were largely increased in comparison with the CF without modification. Molecular dynamic simulations indicated that the CF grafted with isobutyls could interact with flavonoid aglycones through the highest synergetic effect of hydrophobic and hydrogen bond interactions, which exhibited the strongest retention to flavonoid aglycones. On further increasing the alkyl length (octyl and dodecyl), the hydrophobic interaction was further enhanced, but the hydrogen bonds were significantly weakened by steric hindrance, which showed that the retention to flavonoid aglycones was appropriately increased but without causing peak tailing. In the column separation of kaempferol and quercetin, the CF with hydrophobic modification presented a greater separation efficiency, with the purity of kaempferol increased from 71.99 to 86.57-97.50% and the purity of quercetin increased from 82.69 to 88.07-99.37%, which was much better than that of polyamide and close to that of sephadex LH 20. Therefore, the hydrophobicity of the CF could be controllably adjusted to enhance the adsorption rate and retention capacity, specifically improving the separation efficiency of flavonoid aglycones.

Highly efficient U(VI) capture from nuclear wastewater by an easily synthesized lignin-derived biochar: Adsorption performance and mechanism.

The efficient recycling of uranium (U) by adsorbents remains challenging due to the strong interference from coexisting impurities, insufficient desorption efficiency, and weak irradiation instability. In this work, a novel lignin-derived biochar (AL/BC) with high surface area and abundant functional groups was developed through a green and simple pyrolysis process, and an adsorbent for U(VI) capture was used. The optimist AL/BC-600 exhibited ultrahigh adsorption capacity for U(VI) of 4007 mg/g, possessing a wide pH range of 1-11, and powerful anti-interference ability when coexisting with various common cations and anions. In addition, AL/BC-600 showed high tolerance even under strong irradiation at a dose of 350 kGy. Most importantly, after the tenth round of the adsorption-desorption cyclic utilization, the adsorption efficiency and desorption rate of AL/BC-600 were actually over 95% and 80%, respectively. Hence, this study provides a green and simple process for synthesizing a novel adsorbent for highly efficient U(VI) capture, not only paving a path for alleviating the increasingly serious energy crisis, but also facilitating the low-carbon and circular development of lignin.

Water-oil dual-channels enabled exceptional anti-fouling performances for separation of emulsified oil pollutant.

Oil contamination has been an increasingly concerned environmental issue due to the large quantity of oily wastewater discharged by the industry. The extreme wettability-enabled single-channel separation strategy guarantees efficient separation of oil pollutant from wastewater. However, the ultra-high selective permeability forces the intercepted oil pollutant to form a blocking layer, which weakens the separation capability and slows the kinetics of permeable phase. As a consequence, the single-channel separation strategy fails to maintain a stable flux for a long-term separation process. Herein, we reported a brand-new water-oil dual-channels strategy for accomplishing an ultra-stable long-term separation of emulsified oil pollutant from oil-in-water nano-emulsion by engineering two drastically opposite extreme wettabilities (i.e. superhydrophilicity and superhydrophobicity) to build the water-oil dual-channels. The strategy established the superwetting transport channels to permit water and oil pollutant to permeate through their own channel. In this way, the generation of intercepted oil pollutant was prevented, which guaranteed an exceptional long-lasting (20 h) anti-fouling performance for successful achievement of an ultra-stable separation of oil contamination from oil-in-water nano-emulsion with high flux retention and high separation efficiency. Therefore, our investigations provided a new route for realizing ultra-stable long-term separation of emulsified oil pollutant from wastewater.

Controlled synthesis of distiller's grains biochar for turbidity removal in Baijiu.

Resource utilization of distiller's grains (DGs) is crucial for realizing sustainable development of Baijiu industry. In the prevent investigation, a low-cost activated biochar (DGABC) suitable for removing turbidity from low-alcohol Baijiu was prepared by the controlled pyrolysis of DGs, followed by steam activation. The as-prepared biochar featured a large specific surface area (320-480 m2/g) and pore volume (0.45-0.47 cm3/g). Importantly, the DGABC possessed remarkable exterior hydrophily and interior lipophilicity, which guaranteed its good dispersion in alcohol-water system as well as an efficient adsorption to the components with long lipophilic chain. As a result, the DGABC could efficiently remove the turbidity in low-alcohol Baijiu, which was mainly derived from the long lipophilic chain components, such as ethyl palmitate. Meanwhile, most of the flavor esters that had a shorter lipophilic chain and lower hydrophobicity were well kept in the low-alcohol Baijiu. Therefore, this work provided a promising strategy for DGs recycling in Baijiu industry.

A systematic review and meta-analysis of observational studies of the association between the use of incretin-based therapies and the risk of pancreatic cancer.

BACKGROUND: Some early reports in the medical literature have raised concern about a possible increased risk of pancreatic cancer associated with the use of two broad classes of incretin-based therapies, dipeptidyl peptidase-4 inhibitors, and glucagon-like peptide-1 receptor agonists. This possibility has been somewhat mitigated by the null findings meta-analyses of randomized controlled trials, but the usefulness of their findings was hampered by serious shortcomings of lack of power and representativeness. These shortcomings can typically be addressed by observational studies, but observational studies on the topic have yielded conflicting findings. A systematic review and meta-analysis of observational studies was performed to qualitatively and quantitatively appraise the totality of evidence on the association between the use of incretin-based therapies and the risk of pancreatic cancer in routine clinical practice. METHODS: The PubMed, Web of Science, Embase, and Google Scholar databases were searched. The study quality was appraised using the ROBINS-I tool and based on the presence of pharmacoepidemiology biases. A random-effects model was used to estimate the summary relative risks with corresponding CIs. RESULTS: A total of 14 studies were included. The qualitative assessment revealed that all studies had inadequate follow-up (≤5 years), 12 studies were suspected to suffer from time-lag bias (due to inappropriate choice of comparator group) to varying extent, five studies included prevalent users, five studies did not implement exposure lag period, five studies had a serious risk of bias due to confounding, and one study had a time-window bias. The quantitative assessment showed no indication of an increased risk when all studies were pooled together (RR 1.04, 95% CI 0.87, 1.24) and when the analysis was restricted to the studies with the least bias (RR 0.77, 95% CI 0.51, 1.17). However, the pooled RRs were more frequently higher in the studies with less rigorous design and analysis. Specifically, a tendency toward an increased risk was observed in the studies with (RR 1.34, 95% CI 1.04, 1.72) or possibly with (RR 1.10, 95% CI 0.89, 1.36) time-lag bias, in the studies that did not apply (RR 1.23, 95% CI 0.93, 1.63) or with potentially inadequate exposure lag period of 6 months (RR 1.13, 95% CI 0.66, 1.94), in the studies that inappropriate comparator group of a combination of unspecified (RR 1.49, 95% CI 1.25, 1.78) or non-insulin (RR 1.15, 95% CI 0.93, 1.42) antidiabetic drugs, and in the studies with serious risk of bias due to confounding (RR 1.18, 95% CI 0.56, 2.49). CONCLUSIONS: In summary, the totality of evidence from observational studies does not support the claim that the use of incretin-based therapies is associated with an increased risk of pancreatic cancer in routine clinical practice. The increased risk of pancreatic cancer observed in observational studies reflects bias resulting from suboptimal methodological approaches, which need to be avoided by future studies.

Chrome shaving-derived biochar as efficient persulfate activator: Ti-induced charge distribution modulation for 1O2 dominated nonradical process.

Efficient degradation of organic contaminants by oxidative radicals remains a challenge due to invalid consumption of radicals and easy generation of secondary halogenated pollutants. In this work, an efficient and recyclable bimetallic biochar (Cr-Ti/BC) was developed through peroxydisulfate (PDS) activation via nonradical pathway for sulfamethoxazole (SMX) degradation. The Cr-Ti/BC exhibited excellent catalytic activity for 99.9 % of SMX removal with a high kobs of 0.13 min-1, and negligible inhibitory effects were observed under various pH condition. The activation mechanisms were (i) metastable reactive intermediates (Cr-Ti/BC-PDS) formation via an interaction between Cr-Ti/BC and PDS on the active defective sites (e.g., OH/COC, COOH, CO, nitric oxides, graphitic N, and pyridinic N), and (ii) 1O2 generation through electron transfer between Cr-Ti/BC-PDS intermediates and dissolved oxygen. The high reusability and strong stability of Cr-Ti/BC also verified the outstanding advantage of the Cr-Ti/BC during practical application. This study not only is the first study the catalytic performance of Cr and Ti co-doped biochar for PDS activation, but also successfully provides a promising strategy to induce a nonradical pathway for PDS activation, which is of great significance for the subsequent method design, and thus paving the path for exploiting advanced oxidation systems in practical application for organic contaminant removal toward polluted site remediation.