Effects of aerobic combined with resistance exercise on cardiorespiratory fitness and cardiometabolic health in breast cancer survivors: A Systematic Review, meta-analysis and meta-regression.

Background: Cardiotoxicity from chemotherapy is a serious risk to the quality of survival of breast cancer survivors (BCS), and aerobic combined with resistance exercise (CE) has the potential to combat this cardiac damage. However, there is a lack of high-quality studies to assess the specific effects of CE. This study aimed to investigate the effects of CE on cardiopulmonary function (CRF) and cardiometabolic health in BCS. Methods: A comprehensively searched of the 4 databases (PubMed, Embase, Web of Science, Cochrane Library) from the database construction until March 1, 2023. The included studies were randomized controlled trials (RCTs) reporting the effects of CE on CRF and cardiometabolic health in BCS. The quality of the literature was assessed by two independent reviewers using the Cochrane Collaboration Risk of Bias Tool. Weight means difference (WMD), or standardized mean difference (SMD), were combined using random or fixed effects models. Subgroup and meta-regression explored heterogeneity as well as covariate effects. Results: 40 studies were included in the meta-analysis, with 2849 participants. Results showed that CE significantly increased maximal oxygen uptake (VO2max) (WMD:4.55; 95% CI:2.84, 6.26; I2 = 91.90%, P < 0.001) and reduced body weight (BW) (WMD: 1.61; 95% CI: 2.44, -0.78; I2 = 38.60%, P = 0.032) and body mass index (BMI) (WMD: 0.86; 95% CI: 1.43, -0.29; I2 = 70.50%, P < 0.001) in BCS. Subgroup analysis showed that BMI (WMD: 1.15; 95% CI: 1.89, -0.41; I2 = 76.90%, P < 0.001) and VO2max (WMD:4.21; 95% CI:2.40, 6.02; I2 = 96.4%, P < 0.001) were more effective with supervision. Meta-regression analysis showed that sample size had a significant moderating effect on BW (Coeff: 0.03, 95% CI: 0.00, 0.06). Conclusions: CE significantly increases CRF in BCS and improves most cardiometabolic health-related outcomes. In addition, there will be a need for many larger RCTs to explore the effects of CE on inflammatory biomarkers in BCS.

Nanoscale Insight into the Effect of Calcium on Early-Age Polymerization of CNASH Gels.

Sodium-containing calcium-alumino-silicate-hydrate (CNASH) gels, the primary binder phase of alkali-activated materials (AAMs), significantly impact the performance of the AAM. Although the effect of the calcium content on the AAM has been extensively studied in the past, few studies focus on the effect of calcium on the structure and performance of gels at a molecular scale. As an important element in gels, the effect of calcium in gels on its atomic-scale properties remains unclear. This study establishes a molecular model of the CNASH gel via reactive molecular dynamics (MD) simulation and verifies the feasibility of the gel model. By employing the reactive MD, the effect of calcium on the physicochemical properties of gels in the AAM is investigated. The simulation highlights that the condensation process of the system containing Ca is accelerated dramatically. This phenomenon is explained from the perspective of thermodynamics and kinetics. The increased calcium content enhances the thermodynamic stability and reduces the energy barrier of the reaction. Then, the phenomenon is further analyzed through the nanosegregation in the structure. It is proved that this behavior is driven by the weaker affinity of calcium for aluminosilicate chains than the particles in the aqueous environment. The difference in affinity leads to nanosegregation in the structure, making Si(OH)4 and Al(OH)3 monomers and oligomers closer for better polymerization.

Relationship Between Typology of Internet Users and Social Networks in Chinese Older Adults.

Objectives: This study aims to generate a typology of Internet users, examine the association between this typology of Internet users and social network characteristics, and assess the moderating effect of rural-urban residence among older adults in China. Methods: Data were from the 2018 China Longitudinal Aging Social Survey. Latent class analysis and OLS regression with interaction terms were used. Results: Four types of Internet users were identified: Socializers, Social and Leisure Users, Leisure Users, and Advanced Users. Socializers were associated with larger and more supportive social networks, family networks, and friend networks than Leisure and Advanced Users. In addition, compared to their urban counterparts, older Internet users living in rural areas benefitted more from online social communication. Discussion:This study highlights the need to increase awareness among gerontological practitioners with respect to patterns of Internet use among older adults as a potential for enhancing their social well-being.

A GIS-based method for modeling methane emissions from paddy fields by fusing multiple sources of data.

Quantification of regional methane (CH4) gas emission in the paddy fields is critical under climate warming. Mechanism models generally require numerous parameters while empirical models are too coarse. Based on the mechanism and structure of the widely used model CH4MOD, a GIS-based Regional CH4 Emission Calculation (GRMC) method was put forward by introducing multiple sources of remote sensing images, including MOD09A1, MOD11A2, MOD15A2H as well as local water management standards. The stress of soil moisture condition (f(water)) on CH4 emissions was quantified by calculating the redox potential (Eh) from days after flooding or falling dry. The f(water)-t curve was calculated under different exogenous organic matter addition. Combining the f(water)-t curve with local water management standards, the seasonal variation of f(water) was obtained. It was proven that f(water) was effective in reflecting the regulation role of soil moisture condition. The GRMC was tested at four Eddy Covariance (EC) sites: Nanchang (NC) in China, Twitchell (TWT) in the USA, Castellaro (CAS) in Italy and Cheorwon (CRK) in Korea and has been proven to well track the seasonal dynamics of CH4 emissions with R2 ranges of 0.738-0.848, RMSE ranges of 31.94-149.22 mg C/m2d and MBE ranges of -66.42- -14.79 mg C/m2d. The parameters obtained in Nanchang (NC) site in China were then applied to the Ganfu Plain Irrigation System (GFPIS), a typical rice planting area of China, to analyse the spatial-temporal variations of CH4 emissions. The total CH4 emissions of late rice in the GFPIS from 2001 to 2013 was in the range of 14.47-20.48 (103 t CH4-C). Ts caused spatial variation of CH4 production capacity, resulting in the spatial variability of CH4 emissions. Overall, the GRMC is effective in obtaining CH4 emissions from rice fields on a regional scale.

Investigation on Hydration and Mechanical Properties of Mortar Containing Limestone Powder and Fly Ash Based on the Coupled Chemical-Thermal-Mechanical Method.

The composited cementitious materials usually have superior performance; for example, using limestone powder (LP) and fly ash (FA) as the admixtures of cement in concrete/mortar is a popular way of improving the properties of concrete/mortar structures. In this work, we performed experimental tests to study the hydration process and pore distribution in mortar containing different ratios of LP and FA. Based on the results of mercury intrusion porosimetry (MIP), a numerical mortar model with random pore is built. The model can reflect the synergistic hydration interaction and filling effect caused by the admixtures of LP and FA. After analyzing the hydration process, the coupled chemical-thermal-mechanical method was used to simulate the characteristics of mortar containing LP and FA. The coupling model can simulate the "hump-type" hydration acceleration stage of the mortar at early age, which is specifically caused by the LP, proved in the experimental test. Additionally, the special, "hump-type" stage is important to enhance the early strength of the mortar. At different levels of admixture content, the random pore model and coupled method can predict the evolution process of the mechanical properties well, at early age and for long-term strength. Both experimental and numerical results suggest that the mortar containing admixtures of the proper ratio of LP to FA have good mechanical properties, which can be applied to engineering structures.

Nacre-Inspired Tunable Electromagnetic Interference Shielding Sandwich Films with Superior Mechanical and Fire-Resistant Protective Performance.

With the rapidly increasing development of portable device hardware and flexible electronics, ultrathin electromagnetic interference (EMI) shielding films with a combination of high flexibility and excellent mechanical properties are noticeably required. In addition to minimizing the electromagnetic wave pollution problem, the fire hazards caused by accidental electrical leakage or aging are also a cause of extensive concern. Inspired by nacre and sandwich structure, herein, we fabricated for the first time an electrical insulating sandwich-structured film based on Ca ion cross-linked sodium alginate (SA)-montmorillonite (MMT) and Ti3C2Tx MXene through a step-by-step vacuum-assisted filtration process. This novel design strategy not only maintains the inner EMI shielding network but also can act as an excellent fire-resistant barrier to protect the electronic device in case of accidental fire. Compared with the pure Ti3C2Tx layer, such kind of sandwich film can effectively maintain the EMI shielding performance (50.01 dB), dramatically enhance the mechanical properties (84.4 MPa), and exhibit excellent fire-resistant performance. Especially, compared with the film composed of mixture, the EMI shielding effectiveness value is only 55% that of sandwich films. Besides, it functions well under long-term heat aging test at 80 °C. Therefore, this unique design provides a novel EMI material strategy to facilitate its future applications in flexible electronics.