Expression and clinical significance of ECHS1 in gastric cancer.

Background: Gastric cancer (GC), as one of the most common malignant tumors and the 3rd primary cause of death by cancer globally, poses a great threat to public health. Despite many advancements have been achieved in current treatment avenues for GC, the 5-year survival rates of GC patients remain substandard. Short-chain enoyl-CoA hydratase (ECHS1) exerts pro- or anti-cancer activities in different cancer backgrounds. However, its clinical significance and biological role in GC remain vague and need further investigation. Methods: The expression of ECHS1 in GC tumors and adjacent normal tissues was examined using the GEPIA platform and clinical samples. The effects of ECHS1 on GC cell proliferation and migration were evaluated using colony formation and transwell migration assays. Results: ECHS1 was upregulated in GC tumor tissues in both mRNA and protein levels and increased ECHS1 was markedly linked with tumor location, depth of tumor invasion, lymph node metastasis (LNM), and tumor-node-metastasis (TNM) stage of GC patients. High ECHS1 expression was also linked with a shorter overal survival (OS), first progression (FP) and post progression survival (PPS). Further subgroup analysis showed that OS was significantly shorter in GC patients with high ECHS1 expression compared to those with low ECHS1 expression belonging to tumors with T3 stage, N2 stage or in instestinal Lauren subgroup. In addition, cytological experiments showed that there was higher ECHS1 expression in GC cell lines compared to the normal gastric epithelium (GES-1) cells, and ECHS1 can promote GC cell proliferation and migration in vitro. Conclusion: ECHS1 plays an oncogenic role in GC and might be a promising therapeutic target for GC.

Efficacy and safety of oral Chinese patent medicines in the treatment of coronary heart disease combined with hyperlipidemia: a systematic review and network meta-analysis of 78 trials.

AIM OF THE STUDY: To evaluate the clinical efficacy and safety of commonly used oral Chinese patent medicines for the treatment of coronary heart disease combined with hyperlipidemia in clinical practice through a network meta-analysis. MATERIALS AND METHODS: PubMed, Embase, Cochrane Library, Web of Science, Wanfang, VIP, SinoMed, and CNKI databases were searched for all published randomized controlled trials (RCTs) on the treatment of coronary heart disease combined with hyperlipidemia using Chinese patent medicines. NoteExpress software was used to screen the literature obtained from the databases according to the inclusion and exclusion criteria. The Cochrane risk of bias assessment tool was used to evaluate the quality of the included studies. A network meta-analysis was performed using R 4.2.1. Subgroup analyses of outcome indicators were made based on conventional treatment (CT) methods. The incidence of adverse events in the included RCTs was statistically analyzed. A funnel plot was drawn using RevMan 5.4.1 software for the assessment of bias in the total clinical effectiveness rate. Finally, the quality of evidence for interventions with statistically significant differences was evaluated using the GRADE system. RESULTS: A total of 78 RCTs were included, involving 7,955 cases and 8 types of Chinese patent medicines, which were Tongxinluo Capsule, Naoxintong Capsule, Compound Danshen Dripping Pill, Shexiangbaoxin Pill, Songling Xuemaikang Capsule, Xuezhikang Capsule, Yindan Xinnaotong Capsule, and Zhibitai Capsule. A total of 24 RCTs reported the incidence of adverse events, but no statistically significant difference in the incidence of adverse events was found between the experimental and control groups in each study (P > 0.05). There was no obvious publication bias in all studies, but the overall quality of evidence in the included RCTs was low. Comparison of different intervention measures showed that Naoxintong Capsule + CT improved the cardiac index and cardiac output, and lowered the low-density lipoprotein cholesterol and total cholesterol levels. Tongxinluo Capsule + CT raised high-density lipoprotein cholesterol levels and reduced triglyceride levels. Xuezhikang Capsule + CT improved the total clinical effectiveness rate. Subgroup analyses showed that differences in CT did not cause heterogeneity in the results. CONCLUSION: Compared with the use of CT alone, the combined use of Chinese patent medicines with CT can effectively improve the symptoms in patients with both coronary heart disease and hyperlipidemia.

Beneficial use of dredged sediments as a resource for mine reclamation: A case study of Lake Dianchi's management in China.

Dredging is one of the most effective methods for inhibiting the endogenous contamination of natural lakes. However, both the amount and the scope of dredging will be restricted if the disposal of the dredged sediment incurs considerable environmental and economic costs. The use of dredged sediments as a post-mining soil amendment for mine reclamation benefits both sustainable dredging and ecological restoration. This study incorporates a field planting experiment with a life cycle assessment to confirm the practical effectiveness of sediment disposal via mine reclamation, as well as its environmental and economic superiority over other alternative scenarios. The results show that the sediment offered plentiful organic matter and nitrogen for mine substrate, stimulating plant growth and increasing photosynthetic carbon fixation density, followed by enhanced plant root absorption and an improved soil immobilization effect on heavy metals. A 2:1 ratio of mine substrate to sediment is recommended to significantly promote the yield of ryegrass while reducing levels of groundwater pollution and soil contaminant accumulation. Due to the significant reduction in electricity and fuel, mine reclamation had minimal environmental impacts on global warming (2.63 × 10-2 kg CO2 eq./kg DS), fossil depletion (6.81 × 10-3 kg oil eq./DS), human toxicity (2.29 × 10-5 kg 1,4-DB eq/kg DS), photochemical oxidant formation (7.62 × 10-5 kg NOx eq./kg DS), and terrestrial acidification (6.69 × 10-5 kg SO2 eq./kg DS). Mine reclamation also had a lower cost (CNY 0.260/ kg DS) than cement production (CNY 0.965/kg DS) and unfired brick production (CNY 0.268/kg DS). The use of freshwater for irrigation and electricity for dehydration were the key factors in mine reclamation. Through this comprehensive evaluation, the disposal of dredged sediment for mine reclamation was verified to be both environmentally and economically feasible.

Measuring Incompatibility and Clustering Quantum Observables with a Quantum Switch.

The existence of incompatible observables is a cornerstone of quantum mechanics and a valuable resource in quantum technologies. Here we introduce a measure of incompatibility, called the mutual eigenspace disturbance (MED), which quantifies the amount of disturbance induced by the measurement of a sharp observable on the eigenspaces of another. The MED provides a metric on the space of von Neumann measurements, and can be efficiently estimated by letting the measurement processes act in an indefinite order, using a setup known as the quantum switch, which also allows one to quantify the noncommutativity of arbitrary quantum processes. Thanks to these features, the MED can be used in quantum machine learning tasks. We demonstrate this application by providing an unsupervised algorithm that clusters unknown von Neumann measurements. Our algorithm is robust to noise and can be used to identify groups of observers that share approximately the same measurement context.

Prediction of Renal Function 1 Year After Transplantation Using Machine Learning Methods Based on Ultrasound Radiomics Combined With Clinical and Imaging Features.

Kidney transplantation is the most effective treatment for advanced chronic kidney disease (CKD). If the prognosis of transplantation can be predicted early after transplantation, it might improve the long-term survival of patients with transplanted kidneys. Currently, studies on the assessment and prediction of renal function by radiomics are limited. Therefore, the present study aimed to explore the value of ultrasound (US)-based imaging and radiomics features, combined with clinical features to develop and validate the models for predicting transplanted kidney function after 1 year (TKF-1Y) using different machine learning algorithms. A total of 189 patients were included and classified into the abnormal TKF-1Y group, and the normal TKF-1Y group based on their estimated glomerular filtration rate (eGFR) levels 1 year after transplantation. The radiomics features were derived from the US images of each case. Three machine learning methods were employed to establish different models for predicting TKF-1Y using selected clinical and US imaging as well as radiomics features from the training set. Two US imaging, four clinical, and six radiomics features were selected. Then, the clinical (including clinical and US image features), radiomics, and combined models were developed. The area under the curves (AUCs) of the models was 0.62 to 0.82 within the test set. Combined models showed statistically higher AUCs than the radiomics models (all p-values <.05). The prediction performance of different models was not significantly affected by the different machine learning algorithms (all p-values >.05). In conclusion, US imaging features combined with clinical features could predict TKF-1Y and yield an incremental value over radiomics features. A model integrating all available features may further improve the predictive efficacy. Different machine learning algorithms may not have a significant impact on the predictive performance of the model.

Combined Heat and Power May Conflict with Decarbonization Goals-Air Emissions of Natural Gas Combined Cycle Power versus Combined Heat and Power Systems for Commercial Buildings.

This study compares the environmental impacts of a centralized natural gas combined cycle (NGCC) and a distributed natural gas-fired combined heat and power (CHP) energy system in the United States. We develop an energy-balance model in which each energy system supplies the electric, heating, and cooling demands of 16 commercial building types in 16 climate zones of the United States. We assume a best-case scenario where all the CHP's heat and power are allocated toward building demands to ensure robust results. We quantify the greenhouse gas (GHG) emissions, conventional air pollutants (CAPs), and natural gas (NG) consumption. In most cases, the decentralized CHP system increases GHG emissions, decreases CAP emissions, and decreases NG consumption relative to the centralized NGCC system. Only fuel-cell CHPs were able to simultaneously reduce GHG, CAP, and NG consumption relative to the NGCC-based system. The results suggest that despite their energy efficiency benefits, standard distributed CHP-based systems typically do not have enough benefits compared to an NGCC-based system to justify a reorganization of existing infrastructure systems. Because fuel-cell CHPs can also use hydrogen as a fuel source, they are compatible with decarbonized energy systems and may aid in the transition toward a cleaner energy economy.

Extraction of PFOA from dilute wastewater using ionic liquids that are dissolved in N-octanol.

Polyfluoroalkyl Substances (PFAS) such as perfluorooctanoic acid (PFOA) are resistant to biodegradation leading to adverse health outcomes. Therefore, PFAS removal from drinking water is paramount. Liquid-liquid extraction processes can remove them from water; however, the hydrophobic and oleophobic properties of PFOA lead to the low extraction efficiency and severe emulsification, especially for the ppm-levels concentration of PFOA. Therefore, we introduced ionic liquid (IL) methyltrioctylammonium bis(trifluoromethylsulfonyl)imide ([A336][NTf2]) as extractant into octanol. We found that using hexadecyl trimethyl ammonium bromide (CTAB) as an extractant caused severe and stable emulsion. In comparison, [A336][NTf2] could suppress the emulsification with high extraction efficiency. The extraction performance of PFOA was examined as a function of various parameters. The results showed that the extraction efficiency was strongly dependent on the concentration of IL and aqueous pH. Further research revealed the extraction mechanisms at the molecular-level, and density functional theory (DFT) and molecular dynamic (MD) simulation agreed with the trends in the experiment. We determined that the extraction efficiency of PFOA from water could be up to 88.21 wt% for the optimized condition, indicating that the extraction system of [A336][NTf2] + octanol was efficient for separating PFOA from the diluted aqueous solution.

Seven Approaches to Manage Complex Coupled Human and Natural Systems: A Sustainability Toolbox.

Since the publication of the Report of the World Commission on Environment and Development in 1987, there have been numerous studies on sustainability. These studies created new knowledge and tools for understanding and managing complex coupled human and natural systems. In this Critical Review, we used a topic modeling technique to analyze 12 526 peer-reviewed research articles and identify the research questions and the approaches that were used or developed in each of the studies. These approaches were then classified by function. The analysis revealed twenty-three categories of research questions and seven functional approach classes-design for sustainability, modeling of complexity, sustainability indicators, life cycle sustainability assessment, decision making support, sustainability governance, and engagement-each of which is described here as an individual approach or tool within a larger sustainability toolbox. The article concludes with a discussion about using the sustainability toolbox as an integrated knowledge system to support transdisciplinary study and decision-making.

Deactivation Mechanism of Multipoisons in Cement Furnace Flue Gas on Selective Catalytic Reduction Catalysts.

Increasing numbers of cement furnaces have applied selective catalytic reduction (SCR) units for advanced treatment of NO in the flue gas. However, the SCR catalysts may face various poisons, such as acidic, alkaline, and heavy metal species, in the fly ash. In this work, we studied the deactivation mechanisms of multipoisons (Ca, Pb, and S) on the CeO2-WO3/TiO2 catalyst, using the in situ diffuse reflectance infrared Fourier transform spectroscopy method. Calcium promoted the conversion of Ce(III) to Ce(IV) and, thus, (i) suppressed the redox cycle, (ii) decreased the NO adsorption (monodentate NO3- and bridged NO2-), and (iii) enriched the Lewis acid sites. Pb(IV) blocked Ce2(WO4)3, aggravating the electronegativity of W6+, which inhibited (i) the binding stability of tungsten and ammonia species, (ii) bridged NO3- (bonded to tungsten), and (iii) the Brønsted acid sites. The multipoisoning processes enriched O2- by repairing partial surface oxygen defects, which suppressed O22- and O-. Sulfur occupied the surface base sites and formed PbSO4 after Ce2(WO4)3 was saturated.