PCSK9 inhibitors ameliorate arterial stiffness in ACS patients: evidences from Mendelian randomization, a retrospective study and basic experiments.

Background: Current evidences suggest that Proprotein Convertase Subtilisin/kexin Type 9 inhibitors (PCSK9i) exhibit a protective influence on acute coronary syndrome (ACS). Nevertheless, further investigation is required to comprehend the impact and mechanisms of these pharmaceutical agents on inflammatory factors and arterial stiffness (AS) in patients with ACS. Consequently, the objective of this study is to ascertain the influence of PCSK9i on arterial stiffness in ACS patients and elucidate the underlying mechanisms behind their actions. Methods: This study employed Mendelian randomization (MR) analysis to examine the association between genetic prediction of PCSK9 inhibition and arterial stiffness. Data of 71 patients with ACS were retrospectively collected, including PCSK9i group (n = 36, PCSK9 inhibitors combined with statins) and control group (n = 35, statins only). Blood lipid levels, inflammatory markers and pulse wave velocity (PWV) data were collected before treatment and at 1 and 6 months after treatment for analysis. Additionally, cell experiments were conducted to investigate the impact of PCSK9i on osteogenesis of vascular smooth muscle cells (VSMCs), utilizing western blot (WB), enzyme-linked immunosorbent assay (ELISA), and calcification index measurements. Results: The results of the MR analysis suggest that genetic prediction of PCSK9 inhibition has potential to reduce the PWV. Following treatment of statins combined with PCSK9 inhibitors for 1 and 6 months, the PCSK9i group exhibited significantly lower levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), C-reactive protein (CRP), interleukin-6 (IL-6), fibrinogen (FIB) and procalcitonin (PCT) compared to the control group (p < 0.05). Additionally, PWV in the PCSK9i group demonstrated significant reduction after 6 months of treatment and was found to be associated with the circulating CRP level. In cell experiments, PCSK9i pretreatment ameliorated osteogenesis of VSMCs through reducing the deposition of calcium ions, alkaline phosphatase (ALP) activity, and expression of runt-related transcription factor 2 (RUNX2). Conclusion: PCSK9i have potential to enhance arterial stiffness in ACS patients. Specifically, at the clinical level, this impact may be attributed to alterations in circulating CRP levels. At the cellular level, it is associated with the signaling pathway linked to RUNX2.

A p-n-p Configuration Based on the Cuprous Oxide/Silicon Tandem Photocathode for Accelerating Solar-Driven Hydrogen Evolution.

Photoelectrochemical splitting of water into hydrogen is a potential route to motivate the application of solar-driven conversion to clean energy but is regularly limited by its low efficiency. The key to addressing this issue is to design a suitable photocathode configuration for high-efficiency photogenerated carrier separation and transmission to photocathode-surface reaction sites. In this work, we report a Si-Cu2O tandem photocathode featuring a p-n-p configuration for solar-driven hydrogen evolution in an alkaline solution. Driven by this built-in field, the electrons induced from Si were transferred through FeOOH, which acted as electron tunnels, to combine with the holes from Cu2O, triggering more electrons generated from Cu2O to particiate in the surface reaction. Under simulated sunlight, the optimized photocathode achieved and maintained a photocurrent density of -11 mA/cm2 at 0 VRHE in alkaline conditions for 120 min, outperforming the reported tandem cell consisting of Si and Cu2O photocathodes. Our results provide valuable insight into a feasible way to construct an optimized photocathode for efficient solar-driven H2 evolution.

Boosting CO2 piezo-reduction via metal-support interactions in Au/ZnO based catalysts.

Confronting the challenge of climate change necessitates innovative approaches for the reduction of CO2 emissions. Metal-support interaction has been widely demonstrated to enable greatly improved performances in thermal-catalytic, photocatalytic and electrocatalytic CO2 reduction. However, its applicability and specifically its role in the emerging piezo-electrocatalytic CO2 reduction are unknown, severely hampering the utilizations of piezo-electrocatalysis in CO2 conversion. Herein, by adopting Au particles supported on ZnO (Au/ZnO) as a paradigm, it is found that the metal-support interaction can remarkably improve the separation and transfer of piezo-carriers and enhance CO2 adsorption. As a result, Au/ZnO demonstrates a substantially boosted activity for piezo-electrocatalytic CO2 reduction and the optimal sample exhibits a 37.3% increase in CO yield compared to the pristine ZnO. The integration of metal-support interactions opens a new avenue to the design of advanced piezo-electrocatalysts for CO2 reduction.

Band Position-Independent Piezo-Electrocatalysis for Ultrahigh CO2 Conversion.

Piezo-electrocatalysis as an emerging mechano-to-chemistry energy conversion technique opens multiple innovative opportunities and draws great interest over the past decade. However, the two potential mechanisms in piezo-electrocatalysis, i.e., screening charge effect and energy band theory, generally coexist in the most piezoelectrics, making the essential mechanism remain controversial. Here, for the first time, the two mechanisms in piezo-electrocatalytic CO2 reduction reaction (PECRR) is distinguished through a narrow-bandgap piezo-electrocatalyst strategy using MoS2 nanoflakes as demo. With conduction band of -0.12 eV, the MoS2 nanoflakes are unsatisfied for CO2 -to-CO redox potential of -0.53 eV, yet they achieve an ultrahigh CO yield of ≈543.1 µmol g-1  h-1 in PECRR. Potential band position shifts under vibration are still unsatisfied with CO2 -to-CO potential verified by theoretical investigation and piezo-photocatalytic experiment, further indicating that the mechanism of piezo-electrocatalysis is independent of band position. Besides, MoS2 nanoflakes exhibit unexpected intense "breathing" effect under vibration and enable the naked-eye-visible inhalation of CO2 gas, independently achieving the complete carbon cycle chain from CO2 capture to conversion. The CO2 inhalation and conversion processes in PECRR are revealed by a self-designed in situ reaction cell. This work brings new insights into the essential mechanism and surface reaction evolution of piezo-electrocatalysis.

The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis.

BACKGROUND: No meta-analysis has analyzed the effect of physical activity level, period of physical activity intervention, and duration of intervention, on perinatal depression. This study was to evaluate the impact of physical activity intensity, dose, period, and duration on perinatal depression. METHODS: The literature was searched via the PubMed, Embase, Cochrane Library, and Web of Science databases. Weighted mean difference (WMD) or the risk ratio (RR) was used as the effect indicator, and the effect size was represented by the 95 % confidence interval (CI). Subgroup analysis based on the perinatal stage, physical activity intensity, physical activity equivalent, and intervention duration was performed. RESULTS: Totally, 35 studies including 5084 women were included. Physical activity could reduce the incidence and severity of depression in perinatal women. Among depressed women with prenatal depression, low-intensity physical activity, with metabolic equivalents (METs)-min/week being <450, was associated with lower levels of depression. In the general population, the risk of postpartum depression was lower in the physical activity group when the duration of intervention was ≥12 weeks, being II, III stage, and ≥450 METs-min/week. Both low and moderate-intensity physical activity were beneficial to an improved depression severity among depressed women with postpartum depression, and moderate exercise intervention could decrease the risk of postpartum depression in general pregnant women. LIMITATIONS: Different types of physical activities may affect the effectiveness of interventions. CONCLUSION: Our study indicated physical activity specifically targeted at pregnant women could reduce depression risk and severity.

Identifying and Removing the Interfacial States in Metal-Oxide-Semiconductor Schottky Si Photoanodes for the Highest Fill Factor.

A critical bottleneck for realizing an efficient Schottky type Si photoelectrode is minimizing the charge extraction losses across the heterointerface via reducing the unfavorite defects. This requires a clear microscopic insight into the correlation between interfacial features and photoconversion. Herein, by taking the n-Si/oxide (MOx)/Ni as the prototype, the heterointerface with the different characteristics and its effects on charge transportation and the corresponding photoelectric/photoelectrochemical (PEC) behaviors were clarified. An ultra-thin AlOx layer can effectively diminish the interfacial pinning of n-Si/Ni and significantly facilitate the photoconversion; meanwhile, it results in some unexpected donor-like deep defects at around 0.59 eV below the conduction band of n-Si, which could be ionized under a reverse bias and cause about 10% photogenerated charge recombination. Fortunately, these deep defects can be further eliminated by cooperating AlOx with a thin Au layer. The AlOx/Au dual-interlayer can remove almost all unexpected defects and maximize the efficiency of the electric field for charge extraction from semiconductor Si for the surface catalytic reaction. Eventually, the n-Si/SiOx/AlOx/Au/Ni/NiFeOx photoanode exhibited a record fill factor of 0.75 for the corresponding photoelectric device and an applied bias photon-to-current efficiency of 3.71% for PEC water oxidation. This study provides definite insights into interfacial electronic states and elaborates their crucial role in solar photoelectric conversion.

Isotype Heterojunction-Boosted CO2 Photoreduction to CO.

Photocatalytic conversion of CO2 to high-value products plays a crucial role in the global pursuit of carbon-neutral economy. Junction photocatalysts, such as the isotype heterojunctions, offer an ideal paradigm to navigate the photocatalytic CO2 reduction reaction (CRR). Herein, we elucidate the behaviors of isotype heterojunctions toward photocatalytic CRR over a representative photocatalyst, g-C3N4. Impressively, the isotype heterojunctions possess a significantly higher efficiency for the spatial separation and transfer of photogenerated carriers than the single components. Along with the intrinsically outstanding stability, the isotype heterojunctions exhibit an exceptional and stable activity toward the CO2 photoreduction to CO. More importantly, by combining quantitative in situ technique with the first-principles modeling, we elucidate that the enhanced photoinduced charge dynamics promotes the production of key intermediates and thus the whole reaction kinetics.

Path analysis of the association between self-compassion and depressive symptoms among nursing and medical students: a cross-sectional survey.

BACKGROUND: Nursing and medical students are suffering from high rates of depressive symptoms. Mental health benefits students' learning, growth and professional development. Exploring psychological resources to prevent depression is emphasized recently, and self-compassion is shown to be inversely associated with depressive symptoms. However, the mechanism through which self-compassion contributes to decreased depressive symptoms is limited. Therefore, this study aimed to explore and examine a model detailing the potential paths between self-compassion and depressive symptoms. METHODS: A cross-sectional study was conducted and convenient sampling was used. Among the 1800 nursing and medical students targeted from two universities in East and North China, 1341 completed the questionnaires, and 1127 valid questionnaires were analyzed comprising 566 and 561 from medical and nursing students, respectively. Data in May 2020 and July 2020 were collected through Patient Health Questionnaire, self-compassion scale, resilience scale, Life Orientation Test and Perceived Stress Scale. Then, path model analysis was conducted to analyze the data. RESULTS: Finally, this study included 1125 valid questionnaires after excluding two extremes of study variables. Participants consisted of 50.2% medical students and 49.8% nursing students. The model showed an acceptable fit to the data. After controlling for the demographics, self-compassion was directly and indirectly associated with decreased depressive symptoms by increasing resilience and optimism and reducing perceived stress among nursing and medical students. Resilience and optimism were directly and indirectly associated with decreased depressive symptoms by reducing perceived stress among nursing students and indirectly associated with decreased depressive symptoms among medical students. CONCLUSIONS: The study provides evidence that self-compassion significantly influences the decrease in depressive symptoms by increasing resilience and optimism and reducing perceived stress. These findings suggested that programs enhancing students' self-compassion, resilience, and optimism simultaneously can help decrease depressive symptoms and improve mental health in education and healthcare institutes. These findings may facilitate the designing of educational programs for preventing depressive symptoms and promoting mental health among nursing and medical students.

Family environmental risk factors for developmental speech delay in children in Northern China.

Most reported risk factors for developmental speech delay (DSD) remain controversial, and studies on paternal influencing factors are rare. This study investigated family environmental risk factors for DSD in northern China. The medical records of 276 patients diagnosed with DSD at four centres between October 2018 and October 2019 were retrospectively analysed. A questionnaire was designed that contained items such as maternal age at the child's birth, child sex, child age, birth order, family type and parental personality. Patients whose medical records lacked complete information for this investigation were contacted by e-mail or phone. Additionally, 339 families whose children received routine physical examinations at the four involved centres completed the survey. Data were collected, and potential risk factors were analysed using the t test or chi-square test; the obtained outcomes were subjected to multivariable logistic regression for further analysis. The multivariable regression showed that older maternal age at the child's birth (OR = 1.312 (1.192-1.444), P < 0.001), introverted paternal personality (OR = 0.023 (0.011-0.048), P < 0.001), low average parental education level (OR = 2.771 (1.226-6.263), P = 0.014), low monthly family income (OR = 4.447 (1.934-10.222), P < 0.001), and rare parent-child communication (OR = 6.445 (3.441-12.072), P < 0.001) were independent risk factors for DSD in children in North China. The study results may provide useful data for broadening and deepening the understanding of family risk factors for DSD.

Strong piezocatalysis in barium titanate/carbon hybrid nanocomposites for dye wastewater decomposition.

In this work, the strong piezocatalysis is found in the two-step hydrothermally-synthesized barium titanate/carbon hybrid nanocomposites and is used for rhodamine B dye decomposition. As the carbon content increases from 0 to 5 wt%, the catalytic performance of hybrid nanocomposites first increases and then slightly decreases. When the carbon content increases to 2 wt%, the barium titanate/carbon hybrid nanocomposites exhibit the optimal piezocatalytic performance, which have the ~75.5% dye decomposition ratio and the ~0.04901 min-1 reaction rate constant after the 40 min vibration stimulation, while that of the pure barium titanate are 48.4% and 0.01942 min-1, respectively. The improvement of piezocatalytic performance in barium titanate/carbon hybrid nanocomposites can be ascribed to the action of carbon's charge transfer which promotes the effective separation of the piezoelectrically-induced electric charges. After three runs recycle utilization tests, the barium titanate/carbon hybrid nanocomposites still exhibit ~70% decomposition ratio of rhodamine B dye. The strong piezocatalytic performance and the good reusability make the barium titanate/carbon hybrid nanocomposites potential in the field of wastewater treatment through utilizing natural vibration energy in future.

High-efficient synergy of piezocatalysis and photocatalysis in bismuth oxychloride nanomaterial for dye decomposition.

In this work, it is found that the hydrothermally-synthesized bismuth oxychloride can behave both the piezocatalysis and photocatalysis for the Rhodamine B dye decomposition. ∼99% decomposition efficiency is achieved after both vibrating and lighting the Rhodamine B dye solution for ∼96 min with the addition of bismuth oxychloride catalyst, while the ∼72% and ∼26% decomposition efficiencies are obtained for only photocatalysis or only piezocatalysis respectively. In bi-catalysis, the mechanical strain produced due to vibration will directly provide an electric field that will increase the separation between the photo-induced electron-hole pairs, yielding to the enhanced decomposition performance of bi-catalysis. There is no significant change in the bi-catalytic performance of bismuth oxychloride nanomaterial observed after being recycled four times. Bismuth oxychloride catalyst is potential for the bi-catalytic decomposition treatment of wastewater through harvesting both the environmental vibration energy and light energy.

5,11,17,23-Tetra-tert-butyl-25,26,27,28-tetra-kis[2-(2-chloro-ethoxy)eth-oxy]-2,8,14,20-tetra-sulfonyl-calix[4]arene.

Mol-ecules of the title compound, C(56)H(76)Cl(4)O(16)S(4), have crystallographic C(2) symmetry and adopt a 1,3-alternate conformation where the four -OCH(2)CH(2)OCH(2)CH(2)Cl groups are located alternately above and below the virtual plane (R) defined by the four bridging S atoms. The dihedral angles between the plane (R) and the phenolic rings are 72.85 (7) and 74.57 (7)°. An unusual 24-membered macrocyclic ring is formed in the crystal structure with an array of eight intra-molecular C-H⋯O hydrogen bonds between the ether arm H atoms and the sulfonyl O atoms. In the supra-molecular structure, the mol-ecular components are linked into infinite zigzag one-dimensional chains by a combination of four inter-molecular C-H⋯O hydrogen bonds, forming R(2) (2)(13), R(2) (2)(16), R(2) (2)(21) and R(2) (2)(26) ring motifs. These chains are augmented into a wave-like two-dimensional network by weak C⋯O inter-actions. One tert-butyl group shows rotational disorder, and one CH(2)CH(2)Cl group is disordered over two orientations; the site-occupation factors are 0.756 (6) and 0.244 (6) for the two tert-butyl groups, and 0.808 (3) and 0.192 (3) for the two CH(2)CH(2)Cl units.