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1.
Inorg Chem ; 2024 Oct 03.
Article in English | MEDLINE | ID: mdl-39362659

ABSTRACT

Catalytic NO reduction by CO into N2 and CO2 is imperative owing to the increasingly rigorous emission regulation. Identifying the nature of active sites that govern the reactivity and selectivity of NO reduction is pivotal to tailor catalysts, while it is extremely challenging because of the complexity of real-life systems. Guided by our newly discovered triatomic Lewis acid-base-acid (LABA, Ceδ+-Rhδ--Ceδ+) site that accounts for the selective reduction of NO into N2 catalyzed by the RhCe2O3- cluster in gas-phase experiments, the reactivity of the RhM2O3- (M = Ta, V, and Al) clusters in catalytic NO reduction by CO was explored. We determined theoretically that the LABA site still prevails to reduce NO to N2 mediated by RhTa2O3- and RhV2O3-, and the strong M-oxygen affinity was emphasized to construct the LABA site. An overall assessment highlights that RhV2O3- functions as a more promising catalyst because the well-fitting V-O bonding strength facilitates both elementary reactions of NO reduction and CO oxidation.

2.
Chemphyschem ; : e202400888, 2024 Oct 08.
Article in English | MEDLINE | ID: mdl-39377742

ABSTRACT

Catalytic NO reduction by CO is imperative to satisfy the increasingly rigorous emission regulations. Identifying the structural characteristic of crucial intermediate that governs the selectivity of NO reduction is pivotal to having a fundamental understanding on real-life catalysis. Herein, benefiting from the state-of-the-art mass spectrometry, we demonstrated experimentally that the Cu2VO3-5- clusters can mediate the catalysis of NO reduction by CO, and two competitive channels to generate N2O and N2 can co-exist. Quantum-chemical calculations were performed to rationalize this selectivity. The formation of the ONNO unit on the Cu2 dimer was demonstrated to be a precursor from which two pathways of NO reduction start to emerge. In the pathway of N2O generation, only the Cu2 dimer was oxidized and the VO3 moiety  functions as a "support", while both moieties have to contribute to anchor oxygen atoms from the ONNO unit and then N2 can be generated. This finding displays a clear picture to elucidate how and why the involvement of VO3 "support" can regulate the selectivity of NO reduction.

3.
J Phys Chem Lett ; 15(35): 9043-9050, 2024 Sep 05.
Article in English | MEDLINE | ID: mdl-39194150

ABSTRACT

Herein, by using state-of-the-art mass spectrometry, we demonstrated experimentally that the bimetallic copper-vanadium oxide cluster anions CuVO3,4- can catalyze the reduction of NO by CO into N2O and CO2. Note that the catalysis of NO reduction by CO has been rarely established in the gas phase and noble-metal containing clusters were commonly emphasized. Benefiting from quantum-chemical calculations, the Cu-V synergistic effect that both metal atoms work energetically to favor NO adsorption, N-N coupling, and CO oxidation by facilitating electron transfer can be understood at a strictly molecular level. Theoretical results demonstrated that the precaptured NO molecule encourages the adsorption of the second NO by electron donation. This finding deepens our understanding on NO reduction that NO functions not only as a reactant but also as a promoter during the reactions. This discovery could be helpful to permeate the nature and mechanism of active sites on related copper-vanadium heterogeneous catalyst used in real-life NO reduction.

4.
Mikrochim Acta ; 191(9): 566, 2024 08 28.
Article in English | MEDLINE | ID: mdl-39196453

ABSTRACT

Staphylococcus aureus (S. aureus) is a common foodborne pathogen, posing a serious threat to public health. Consequently, it is crucial to establish a platform for sensitive and specific determination of S. aureus in food. Herein, phage SapYZUH5, isolated by our lab, was covalently immobilized on Co3O4 to synthesize SapYZUH5@Co3O4. Notably, SapYZUH5@Co3O4 exhibited remarkable oxidase-like activity, enabling the catalysis of dissolved oxygen to generate superoxide anion free radicals and accelerate the TMB chromogenic reaction. Upon introduction of S. aureus, specific capture by SapYZUH5@Co3O4 resulted in inhibiting its oxidase-like activity and decelerating the 3,3',5,5'-tetramethylbenzidine (TMB) chromogenic reaction. Moreover, S. aureus can be lysed to release the reductive bacterial contents, which can further inhibit the TMB chromogenic reaction. Based on this principle, SapYZUH5@Co3O4 + TMB reaction system was employed for detection with enhanced sensitivity of S. aureus, yielding an equation: A = - 0.092 Log (CSA) + 0.79 (R2 = 0.987), with an ultralow limit of detection (LOD) of 28 CFU mL-1. This system exhibited remarkable specificity and anti-interfere towards S. aureus, owing to the excellent affinity of SapYZUH5 towards S. aureus. In addition, S. aureus in the actual food samples was detected using this system, yielding recoveries ranging from 96.34 to 109.43%, demonstrating its exceptional accuracy. Hence, our proposed covalent immobilization of phage on the nanozyme can realize sensitive and specific colorimetric determination of S. aureus in food samples.


Subject(s)
Benzidines , Cobalt , Colorimetry , Limit of Detection , Oxides , Staphylococcus aureus , Staphylococcus aureus/isolation & purification , Colorimetry/methods , Cobalt/chemistry , Oxides/chemistry , Benzidines/chemistry , Food Contamination/analysis , Biosensing Techniques/methods , Food Microbiology
5.
Environ Sci Technol ; 58(32): 14361-14371, 2024 Aug 13.
Article in English | MEDLINE | ID: mdl-39088841

ABSTRACT

The photolysis of particulate nitrate (pNO3-) has been suggested to be an important source of nitrous acid (HONO) in the troposphere. However, determining the photolysis rate constant of pNO3- (jpNO3-) suffers from high uncertainty. Prior laboratory measurements of jpNO3- using aerosol filters have been complicated by the "shadow effect"─a phenomenon of light extinction within aerosol layers that potentially skews these measurements. We developed a method to correct the shadow effect on the photolysis rate constant of pNO3- for HONO production (jpNO3- â†’ HONO) using aerosol filters with identical chemical compositions but different aerosol loadings. We applied the method to quantify jpNO3- â†’ HONO over the North China Plain (NCP) during the winter haze period. After correcting for the shadow effect, the normalized average jpNO3- â†’ HONO at 5 °C increased from 5.89 × 10-6 s-1 to 1.72 × 10-5 s-1. The jpNO3- â†’ HONO decreased with increasing pH and nitrate proportions in PM2.5 and had no correlation with nitrate concentrations. A parametrization for jpNO3- â†’ HONO was developed for model simulation of HONO production in NCP and similar environments.


Subject(s)
Air Pollutants , Atmosphere , Nitrates , Nitrous Acid , Photolysis , Nitrates/chemistry , Atmosphere/chemistry , Nitrous Acid/chemistry , Air Pollutants/chemistry , Aerosols
6.
Cancer Lett ; 598: 217104, 2024 Aug 28.
Article in English | MEDLINE | ID: mdl-38969163

ABSTRACT

Results of measurable residual disease (MRD)-testing by next-generation sequencing (NGS) correlate with relapse risk in adults with B-cell acute lymphoblastic leukemia (ALL) receiving chemotherapy or an allotransplant from a human leukocyte antigen (HLA)-identical relative or HLA-matched unrelated donor. We studied cumulative incidence of relapse (CIR) and survival prediction accuracy using a NGS-based MRD-assay targeting immunoglobulin genes after 2 courses of consolidation chemotherapy cycles in 93 adults with B-cell ALL most receiving HLA-haplotype-matched related transplants. Prediction accuracy was compared with MRD-testing using multi-parameter flow cytometry (MPFC). NGS-based MRD-testing detected residual leukemia in 28 of 65 subjects with a negative MPFC-based MRD-test. In Cox regression multi-variable analyses subjects with a positive NGS-based MRD-test had a higher 3-year CIR (Hazard Ratio [HR] = 3.37; 95 % Confidence Interval [CI], 1.34-8.5; P = 0.01) and worse survival (HR = 4.87 [1.53-15.53]; P = 0.007). Some data suggest a lower CIR and better survival in NGS-MRD-test-positive transplant recipients but allocation to transplant was not random. Our data indicate MRD-testing by NGS is more accurate compared with testing by MPFC in adults with B-cell ALL in predicting CIR and survival. (Registered in the Beijing Municipal Health Bureau Registration N 2007-1007 and in the Chinese Clinical Trial Registry [ChiCTR-OCH-10000940 and ChiCTROPC-14005546]).


Subject(s)
Flow Cytometry , High-Throughput Nucleotide Sequencing , Neoplasm, Residual , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma , Humans , High-Throughput Nucleotide Sequencing/methods , Adult , Male , Female , Flow Cytometry/methods , Middle Aged , Young Adult , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/mortality , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/therapy , Adolescent
7.
Mikrochim Acta ; 191(6): 331, 2024 05 15.
Article in English | MEDLINE | ID: mdl-38744722

ABSTRACT

A broad host range phage-based nanozyme (Fe-MOF@SalmpYZU47) was prepared for colorimetric detection of multiple Salmonella enterica strains. The isolation of a broad host range phage (SalmpYZU47) capable of infecting multiple S. enterica strains was achieved. Then, it was directly immobilized onto the Fe-MOF to prepare Fe-MOF@SalmpYZU47, exhibiting peroxidase-like activity. The peroxidase-like activity can be specifically inhibited by multiple S. enterica strains, benefiting from the broad host range capture ability of Fe-MOF@SalmpYZU47. Based on it, a colorimetric detection approach was developed for S. enterica in the range from 1.0 × 102 to 1.0 × 108 CFU mL-1, achieving a low limit of detection (LOD) of 11 CFU mL-1. The Fe-MOF@SalmpYZU47 was utilized for detecting S. enterica in authentic food samples, achieving recoveries ranging from 91.88 to 105.34%. Hence, our proposed broad host range phage-based nanozyme exhibits significant potential for application in the colorimetric detection of pathogenic bacteria.


Subject(s)
Colorimetry , Limit of Detection , Metal-Organic Frameworks , Salmonella enterica , Colorimetry/methods , Salmonella enterica/isolation & purification , Salmonella enterica/chemistry , Metal-Organic Frameworks/chemistry , Food Microbiology/methods , Food Contamination/analysis , Peroxidase/chemistry
8.
Clin Biomech (Bristol, Avon) ; 116: 106270, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38776646

ABSTRACT

BACKGROUND: A novel interspinous fixation system based on anatomical parameters and incorporating transfacetopedicular screws, was developed to treat degenerative disc diseases. The biomechanical characteristics of the novel system were evaluated using finite element analysis in comparison to other classical interspinous spacers. METHODS: The L1-S1 lumbar spine finite element models were surgically implanted with the novel system, Coflex and DIAM devices at the L4/L5 segment to assess the range of motion, the pression distribution of intervertebral disc, the peak stresses on the spinous process and implant during various motions. FINDINGS: Range of motions of the L4/L5 surgical segment were reduced by 29.13%, 61.27%, 77.35%, 33.33%, and the peak stresses of intervertebral disc were decreased by 36.82%, 67.31%, 73.00%, 69.57% for the novel system in flexion, extension, lateral bending, and axial rotation when compared with the Coflex, and they were declined by 34.53%, 57.86%, 75.81%, 25.21%; 36.22%, 67.31%, 75.01%, 71.40% compared with DIAM. The maximum stresses of the spinous process were 29.93 MPa, 24.66 MPa, 14.45 MPa, 24.37 MPa in the novel system, and those of Coflex and DIAM were 165.3 MPa, 109 MPa, 84.79 MPa, 47.66 MPa and 52.59 MPa, 48.78 MPa, 50.27 MPa, 44.16 MPa during the same condition. INTERPRETATION: Compared to other interspinous spacer devices, the novel interspinous fixation system demonstrated excellent stability, effectively distributing load on the intervertebral disc, and reducing the risk of spinous process fractures. The personalized design of the novel interspinous fixation system could be a viable option for treating degenerative disc diseases.


Subject(s)
Finite Element Analysis , Intervertebral Disc Degeneration , Lumbar Vertebrae , Range of Motion, Articular , Humans , Intervertebral Disc Degeneration/surgery , Intervertebral Disc Degeneration/physiopathology , Lumbar Vertebrae/surgery , Lumbar Vertebrae/physiopathology , Biomechanical Phenomena , Intervertebral Disc/surgery , Intervertebral Disc/physiopathology , Stress, Mechanical , Bone Screws , Computer Simulation , Male , Spinal Fusion/instrumentation , Spinal Fusion/methods
10.
Front Genet ; 15: 1340044, 2024.
Article in English | MEDLINE | ID: mdl-38362204

ABSTRACT

Purpose: To investigate the potential causal relationship between coffee consumption and osteoarthritis (OA), and to disentangle whether body mass index (BMI) and Bone mineral density (BMD) mediate this relationship. Methods: We performed two-sample and two-step Mendelian randomization (MR) analyses utilizing publicly available genome-wide association studies (GWAS) summary statistics to estimate the association between coffee intake and OA risk (including knee OA, hip OA, knee or hip OA, and total OA), as well as the possible mediating effects of BMI and BMD. In addition, data of different coffee types (decaffeinated coffee, instant coffee, ground coffee-including espresso, filter, etc., and other coffee types) were used to explore the effect of coffee type on the risk of OA. Results: In two-sample MR, coffee intake increased the risk of OA in various sites, with the most significant impact observed in knee osteoarthritis (KOA) (odds ratio [OR] 2.03, 95% confidence interval [CI] 1.57-2.61, p < 0.001). The effect on self-reported OA was minimal (OR 1.03, 95% CI 1.01-1.05, p = 0.006). Further analysis of different types of coffee revealed that only decaffeinated coffee was causally associated with both KOA (OR 4.40, 95% CI 1.71-11.33, p = 0.002) and self-reported OA (OR 1.13, 95% CI 1.02-1.26, p = 0.022). In two-step MR, BMI explained over half of the coffee intake-all OA risk association, while BMD accounted for less than 5% of the mediation effect. Conclusion: Our study suggests that coffee intake increase the risk of OA, with BMI playing a significant mediating role. Decaffeinated coffee appears to have the greatest impact on OA risk compared to other types of coffee. Therefore, managing BMI and selecting appropriate types of coffee should be included in the health management of individuals who frequently consume coffee.

11.
Sci Total Environ ; 918: 170620, 2024 Mar 25.
Article in English | MEDLINE | ID: mdl-38320696

ABSTRACT

Fine particles (PM2.5) pollution is still a severe issue in some cities in China, where the chemical characteristics of PM2.5 remain unclear due to limited studies there. Herein, we focused on PM2.5 pollution in small and medium-sized cities in key urban agglomerations and conducted a comprehensive study on the PM2.5 chemical characteristics, sources, and health risks. In the autumn and winter of 2019-2020, PM2.5 samples were collected simultaneously in four small and medium-sized cities in four key regions: Dingzhou (Beijing-Tianjin-Hebei region), Weinan (Fenwei Plain region), Fukang (Northern Slope of the Tianshan Mountain region), and Bozhou (Yangtze River Delta region). The results showed that secondary inorganic ions (43.1 %-67.0 %) and organic matter (OM, 8.6 %-36.4 %) were the main components of PM2.5 in all the cities. Specifically, Fukang with the most severe PM2.5 pollution had the highest proportion of SO42- (31.2 %), while the dominant components in other cities were NO3- and OM. The Multilinear Engine 2 (ME2) analysis identified five sources of PM2.5 in these cities. Coal combustion contributed most to PM2.5 in Fukang, but secondary sources in other cities. Combined with chemical characteristics and ME2 analysis, it was preliminarily determined that the primary emission of coal combustion had an important contribution to high SO42- in Fukang. Potential source contribution function (PSCF) analysis results showed that regional transport played an important role in PM2.5 in Dingzhou, Weinan and Bozhou, while PM2.5 in Fukang was mainly affected by short-range transport from surrounding areas. Finally, the health risk assessment indicated Mn was the dominant contributor to the total non-carcinogenic risks and Cr had higher carcinogenic risks in all cities. The findings provide a scientific basis for formulating more effective abatement strategies for PM2.5 pollution.


Subject(s)
Air Pollutants , Air Pollution , Air Pollutants/analysis , Cities , Air Pollution/analysis , Particulate Matter/analysis , Environmental Monitoring/methods , China , Seasons , Coal/analysis
12.
Endocrine ; 85(1): 279-286, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38308787

ABSTRACT

PURPOSE: Osteoporosis has been a widespread concern for older women, especially postmenopausal women. Thyroid function is crucial for bone metabolism. However, the relationship between thyroid function variation within thyroxine reference range and bone mineral density (BMD) remains ambiguous. The objective of this study was to evaluate the effect of subclinical hypothyroidism or hyperthyroidism on total spinal BMD in postmenopausal women. METHODS: Based on data from the National Health and Nutrition Examination Survey (NHANES) 2007-2010, multivariable weighted logistic regression was used to evaluate the relationships between total spine BMD and TSH among postmenopausal women aged ≥50. RESULTS: After accounting for a number of variables, this study discovered that the middle TSH tertile was associated with a decreased probability of osteoporosis. Additionally, the subgroup analysis revealed that postmenopausal women over the age of 65 or people with an overweight BMI had a clearer relationship between total spine BMD and TSH. CONCLUSION: The total spinal BMD had a positive relationship with thyroid stimulating hormone in postmenopausal women, and that appropriate TSH level (1.38-2.32 mIU/L) was accompanied by higher total spinal BMD.


Subject(s)
Bone Density , Hyperthyroidism , Postmenopause , Thyrotropin , Humans , Female , Bone Density/physiology , Middle Aged , Aged , Postmenopause/physiology , Thyrotropin/blood , Hyperthyroidism/blood , Hyperthyroidism/physiopathology , Nutrition Surveys , Osteoporosis, Postmenopausal/epidemiology , Osteoporosis, Postmenopausal/blood , Spine , Hypothyroidism/blood , Hypothyroidism/physiopathology , Hypothyroidism/epidemiology , Thyroid Gland/physiology , Thyroid Gland/physiopathology , Thyroid Function Tests
13.
J Biomed Mater Res B Appl Biomater ; 112(1): e35358, 2024 01.
Article in English | MEDLINE | ID: mdl-38247243

ABSTRACT

Allogenic demineralized bone matrix (DBM), processed to expose bioactive proteins imbedded by calcium salts, is widely used for bone repair and regeneration as an alternative to the autologous bone graft. However, demineralized bone matrices from tissue banks vary significantly in residual calcium content and osteogenicity for clinical bone regeneration. The present study produced DBM with various residual calcium contents by partial demineralization using ethylenediaminetetraacetic acid disodium (EDTA) and hydrochloric acid. Compositional analysis reveals that, as the percent weight loss of bone materials increases from 0% to 74.9% during demineralization, the residual calcium content of DBM decreases from 24.8% to 0.2% and collagen content increases from 29.7% to 92.6%. Calorimetrical analysis and Fourier transform infrared (FTIR) analysis demonstrated that demineralization to the residual calcium content of <4% enables the complete exposure and/or release of bone collagen fibers and other bioactive molecules. In order to evaluate the relationship between the extent of demineralization and the osteogenicity of DBM, DBM particles were fabricated with the aid of acellular dermal matrix (ADM) microfibers to form flexible foam-like DBM/ADM composites. Proteomic analysis identified various type collagens and bone formation-related bioactive molecules in both ADM and DBM. Using the rat bilateral Φ = 5 mm calvarium defect repair model, the study had shown that the DBM/ADM composite with ~20% DBM residual calcium (e.g., ~40% calcium being removed) maximized the osteogenicity for bone defect repair after 4 and 8 weeks. DBM with ~40% calcium removal had the maximal osteogenicity presumably through the sustained release of bioactive molecules during the process of bone regeneration.


Subject(s)
Calcium , Osteogenesis , Animals , Rats , Calcium/pharmacology , Delayed-Action Preparations/pharmacology , Proteomics , Collagen/pharmacology
14.
iScience ; 27(1): 108516, 2024 Jan 19.
Article in English | MEDLINE | ID: mdl-38269093

ABSTRACT

Retinopathy of prematurity (ROP) is currently one of the leading causes of infant blindness worldwide. Recently significant progress has been made in deep learning-based computer-aided diagnostic methods. However, deep learning often requires a large amount of annotated data for model optimization, but this requires long hours of effort by experienced doctors in clinical scenarios. In contrast, a large number of unlabeled images are relatively easy to obtain. In this paper, we propose a new semi-supervised learning framework to reduce annotation costs for automatic ROP staging. We design two consistency regularization strategies, prediction consistency loss and semantic structure consistency loss, which can help the model mine useful discriminative information from unlabeled data, thus improving the generalization performance of the classification model. Extensive experiments on a real clinical dataset show that the proposed method promises to greatly reduce the labeling requirements in clinical scenarios while achieving good classification performance.

15.
J Phys Chem A ; 128(4): 738-746, 2024 Feb 01.
Article in English | MEDLINE | ID: mdl-38236743

ABSTRACT

CO oxidation represents an important model reaction in the gas phase to provide a clear structure-reactivity relationship in related heterogeneous catalysis. Herein, in combination with mass spectrometry experiments and quantum-chemical calculations, we identified that the RhMn2O3- cluster cannot oxidize CO into gas-phase CO2 at room temperature, while the NO preadsorbed products RhMn2O3-[(NO)1,2] are highly reactive in CO oxidation. This discovery is helpful to get a fundamental understanding on the reaction behavior in real-world three-way catalytic conditions where different kinds of reactants coexist. Theoretical calculations were performed to rationalize the crucial roles of preadsorbed NO where the strongly attached NO on the Rh atom can greatly stabilize the products RhMn2O2-[(NO)1,2] during CO oxidation and at the same time works together with the Rh atom to store electrons that stay originally in the attached CO2- unit. The leading result is that the desorption of CO2, which is the rate-determining step of CO oxidation by RhMn2O3-, can be greatly facilitated on the reactions of RhMn2O3-[(NO)1,2] with CO.

16.
J Environ Manage ; 352: 119946, 2024 Feb 14.
Article in English | MEDLINE | ID: mdl-38237337

ABSTRACT

To investigate the particle sources before, during, and after the 2022 Beijing Winter Olympic and Paralympic (WOP) in Beijing, ambient particles were passively collected from January to March 2022. The physicochemical properties including morphology, size, shape parameters, and elemental compositions were analyzed by the IntelliSEM EPAS (an advanced computer-controlled scanning electron microscopy [CCSEM] system). Using the user-defined classification rules, 37,174 individual particles were automatically classified into 27 major groups and further attributed to seven major sources based on the source-associated characteristics, including mineral dust, secondary aerosol, combustion/industry, carbonaceous particles, salt-related particles, biological particles, and fiber particles. Our results showed that mineral dust (66.5%), combustion/industry (12.6%), and secondary aerosol (6.3%) were the three major sources in a wide size range of 0.2-42.8 µm. During the Winter Olympic Games period, low emission of anthropogenic particles and favorable meteorological conditions contributed to significantly improved air quality. During the Winter Paralympic Games period, more particles sourced from the dust storm, secondary formed particles, and the adverse meteorological conditions resulted in relatively worse air quality. The secondary aerosol all decreased during the competition period, while increased during the non-competition period. Sulfate-related particles had explosive growth and further aggravate the pollution degree during the non-competition period, especially under adverse meteorological conditions. These results provide microscopic evidence revealing variations of physicochemical properties and sources in response to the control measures and meteorological conditions.


Subject(s)
Air Pollutants , Air Pollution , Beijing , Air Pollutants/analysis , Particulate Matter/analysis , Particle Size , Environmental Monitoring , Air Pollution/analysis , Dust/analysis , Seasons , Aerosols/analysis , Minerals
17.
J Cataract Refract Surg ; 50(4): 319-327, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-37938020

ABSTRACT

PURPOSE: To investigate how vault and other biometric variations affect postoperative refractive error of implantable collamer lenses (ICLs) by integrating artificial intelligence and modified vergence formula. SETTING: Eye and ENT Hospital of Fudan University, Shanghai, China. DESIGN: Artificial intelligence and big data-based prediction model. METHODS: 2845 eyes that underwent uneventful spherical ICL or toric ICL implantation and with manifest refraction results 1 month postoperatively were included. 1 eye of each patient was randomly included. Random forest was used to calculate the postoperative sphere, cylinder, and spherical equivalent by inputting variable ocular parameters. The influence of predicted vault and modified Holladay formula on predicting postoperative refractive error was analyzed. Subgroup analysis of ideal vault (0.25 to 0.75 mm) and extreme vault (<0.25 mm or >0.75 mm) was performed. RESULTS: In the test set of both ICLs, all the random forest-based models significantly improved the accuracy of predicting postoperative sphere compared with the Online Calculation & Ordering System calculator ( P < .001). For ideal vault, the combination of modified Holladay formula in spherical ICL exhibited highest accuracy ( R = 0.606). For extreme vault, the combination of predicted vault in spherical ICL enhanced R values ( R = 0.864). The combination of predicted vault and modified Holladay formula was most optimal for toric ICL in all ranges of vault (ideal vault: R = 0.516, extreme vault: R = 0.334). CONCLUSIONS: The random forest-based calculator, considering vault and variable ocular parameters, illustrated superiority over the existing calculator on the study datasets. Choosing an appropriate lens size to control the vault within the ideal range was helpful to avoid refractive surprises.


Subject(s)
Phakic Intraocular Lenses , Refractive Errors , Humans , Visual Acuity , Artificial Intelligence , China , Refractive Errors/diagnosis , Machine Learning , Retrospective Studies
18.
Clin Biomech (Bristol, Avon) ; 110: 106132, 2023 12.
Article in English | MEDLINE | ID: mdl-37924756

ABSTRACT

BACKGROUND: Proximal junctional kyphosis is a common long-term complication in adult spinal deformity surgery that involves long-segment posterior spinal fusion. However, the underlying biomechanical mechanisms of the impact of osteoporosis on proximal junctional kyphosis remain unclear. The present study was to evaluate adjacent segment degeneration and spine mechanical instability in osteoporotic patients who underwent long-segment posterior thoracolumbar fusion. METHODS: Finite element models of the thoracolumbar spine T1-L5 with posterior long-segment T8-L5 fusion under different degrees of osteoporosis were constructed to analyze intervertebral disc stress characterization, vertebrae mechanical transfer, and pedicle screw system loads during various motions. FINDINGS: Compared with normal bone mass, the maximum von Mises stresses of T7 and T8 were increased by 20.32%, 22.38%, 44.69%, 4.49% and 29.48%, 17.84%, 40.95%, 3.20% during flexion, extension, lateral bending, and axial rotation in the mild osteoporosis model, and by 21.21%, 18.32%, 88.28%, 2.94% and 37.76%, 15.09%, 61.47%, -0.04% in severe osteoporosis model. The peak stresses among T6/T7, T7/T8, and T8/T9 discs were 14.77 MPa, 11.55 MPa, and 2.39 MPa under lateral bending conditions for the severe osteoporosis model, respectively. As the severity of osteoporosis increased, stress levels on SCR8 and SCR9 intensified during various movements. INTERPRETATION: Osteoporosis had an adverse effect on proximal junctional kyphosis. The stress levels in cortical bone, intervertebral discs and screws were increased with bone mass loss, which can easily lead to intervertebral disc degeneration, bone destruction as well as screw pullout. These factors have significantly affected or accelerated the occurrence of proximal junctional kyphosis.


Subject(s)
Kyphosis , Osteoporosis , Pedicle Screws , Spinal Fusion , Adult , Humans , Lumbar Vertebrae/surgery , Thoracic Vertebrae/surgery , Biomechanical Phenomena , Kyphosis/etiology , Kyphosis/surgery , Osteoporosis/complications , Spinal Fusion/adverse effects , Range of Motion, Articular , Finite Element Analysis
20.
Sci Total Environ ; 899: 165679, 2023 Nov 15.
Article in English | MEDLINE | ID: mdl-37481086

ABSTRACT

Air pollutants represented by fine particulate matter (PM2.5) and the greenhouse effect caused by carbon dioxide (CO2), are both urgent threats to public health. Tackling the synergistic reduction of PM2.5 and CO2 is critical to achieving improvements in clean air worldwide. A persistent issue is the identification of their common sources and integrated impacts under different environmental conditions. In this study, we investigated the characteristics of the pollution types captured by combined analysis through a comprehensive observational dataset for 2017-2020, and applied machine learning algorithms to quantify the effects of drivers on air pollutants and CO2 formation. More importantly, detailed conclusions were drawn for the joint control of PM2.5-CO2 in multiple pollution types by using ensemble traceability technique. We demonstrated that reducing coal combustion emissions was an effective measure to maximize the benefits of PM2.5-CO2 in weather with low CO2 levels and no PM2.5 pollution. Correspondingly, on days with severe PM2.5 episodes, prioritizing control of vehicle emissions can simultaneously mitigate PM2.5 and CO2. Similar conclusions were found at high CO2 levels, accompanied by a more extensive role of vehicle emissions. Furthermore, a comparison of the differences in source impacts between PM2.5-CO2 and individual species suggests that focusing only on the sources that contribute significantly to one species may result in an underestimation or overestimation of PM2.5-CO2 source impacts. One such implication, as evidenced by our findings, is that synergistic controlling common sources of pollutants should be efficient. Thereby, common source management targeting PM2.5-CO2 under multiple pollution types is a more workable solution to alleviate environmental pollution.

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