Safety and efficacy of Yaobitong capsules for lumbar disc herniation: A multicenter, randomized, double-blinded, parallel, positive-controlled clinical trial.

BACKGROUND: Lumbar disc herniation (LDH) is one of the most common diseases and is a global medical and socioeconomic problem characterized by leg or back pain, weakness in the lower extremities and paresthesia. OBJECTIVES: A multicenter, randomized, double-blinded, parallel, positive-controlled clinical trial was conducted to evaluate the efficacy and safety of Yaobitong capsules (YBT) for LDH. MATERIAL AND METHODS: Patients (n = 479) were recruited and randomized into YBT and Jingyaokang capsule (JYK) groups (the positive control), and received YBT or JYK at a dose of 3 capsules 3 times per day after a meal for 30 days. The primary efficacy outcome was the Oswestry Disability Index (ODI), with the visual analogue scale (VAS) used as the secondary efficacy outcome. The adverse events and adverse reactions were also evaluated. RESULTS: There was no significant difference in baseline characteristics between YBT (n = 358) and JYK groups (n = 120), and no difference was observed between groups for mean ODI score at day 0 (p = 0.064) or day 7 (p = 0.196), but there were differences at days 14, 21 and 30 (p < 0.001). The YBT showed more decline from baseline, and the decreased ODI score was substantially different from JYK (p < 0.001). The differences in decreased VAS scores between YBT and JYK were also significant at each time point (days 7, 14, 21, and 30), with better scores in the YBT group than in the JYK group (p < 0.001). In terms of safety, there was no obvious disparity in adverse events or adverse reactions between the 2 groups (p > 0.05). CONCLUSIONS: Yaobitong was better than JYK for LDH treatment, with no significant difference in safety. The study suggests that YBT is a promising and effective treatment for LDH.

Marine-Derived Alternariol Monomethyl Ether Alleviates Ovalbumin-Induced Food Allergy by Suppressing MAPK and NF-κB Signaling Pathways of Mast Cells.

The prevalence of food allergies has grown dramatically over the past decade. Recently, studies have shown the potential of marine substances to alleviate food allergies. We utilized a rat basophilic leukemia (RBL)-2H3 model to evaluate the antiallergic effects of alternariol monomethyl ether (AME) extracted from marine fungi Alternaria sp. Our results showed that AME attenuated food allergy symptoms in mice and reduced histamine release in serum. The population of mast cells in the spleen and mesenteric lymph nodes was considerably reduced. Moreover, in vitro assays also revealed that AME inhibited the release of ß-hexosaminidase and histamine. Transcriptomic analysis uncovered that AME regulated gene expression associated with mast cells. Additionally, Western blotting demonstrated that AME suppressed mast cell activation by modulating MAPK and NF-κB signaling pathways. Taken together, these findings provide a theoretical basis for the potential antiallergic use of marine-derived compounds in the development of functional foods.

Prevention of STAT3-related pathway in SK-N-SH cells by natural product astaxanthin.

PURPOSE: Neuroblastoma (NB) is the most common solid malignancy in children. Despite current intensive treatment, the long-term event-free survival rate is less than 50% in these patients. Thus, patients with NB urgently need more valid treatment strategies. Previous research has shown that STAT3 may be an effective target in high-risk NB patients. However, there are no effective inhibitors in clinical evaluation with low toxicity and few side effects. Astaxanthin is a safe and natural anticancer product. In this study, we investigated whether astaxanthin could exert antitumor effects in the SK-N-SH neuroblastoma cancer cell line. METHOD: MTT and colony formation assays were used to determine the effect of astaxanthin on the proliferation and colony formation of SK-N-SH cells. Flow cytometry assays were used to detect the apoptosis of SK-N-SH cells. The migration and invasion ability of SK-N-SH cells were detected by migration and invasion assays. Western blot and RT-PCR were used to detect the protein and mRNA levels. Animal experiments were carried out and cell apoptosis in tissues were assessed using a TUNEL assay. RESULT: We confirmed that astaxanthin repressed proliferation, clone formation ability, migration and invasion and induced apoptosis in SK-N-SH cells through the STAT3 pathway. Furthermore, the highest inhibitory effect was observed when astaxanthin was combined with si-STAT3. The reason for this may be that the combination of astaxanthin and si-STAT3 can lower STAT3 expression further than astaxanthin or si-STAT3 alone. CONCLUSION: Astaxanthin can exert anti-tumor effect on SK-N-SH cells. The inhibitory effect was the higher when astaxanthin was combined with si-STAT3.

Direct-Bandgap Bilayer WSe2 /Microsphere Monolithic Cavity for Low-Threshold Lasing.

Monolayer transition metal dichalcogenides (TMDs) have emerged as widely accepted 2D gain materials in the field of light sources owing to their direct bandgap and high photoluminescence quantum yield. However, the monolayer medium suffers from weak emission because only a single layer of molecules can absorb the pump energy. Moreover, the material degradation when transferring these fragile materials hinders their cooperation with the optical cavity further. In this study, for the first time, a high-quality monolithic structure is developed by directly growing single-domain tungsten diselenide (WSe2 ) bilayers on single silica microsphere (MS) cavities. Such a completely wrapped structure guides the indirect-to-direct bandgap transition of WSe2 bilayers, leading to a significantly improved photoluminescence intensity by about 60-fold. Moreover, the high-quality monolithic structure enhances the confinement factor of the cavity by more than 20-fold. Based on the above advantages, a bilayer WSe2 /MS microlaser is realized with an ultralow threshold of 0.72 W cm-2 , nearly an order of magnitude lower than the existing records. The results demonstrate the possibility of using multilayer TMD materials as 2D gain media and provide insights into a new ultracompact monolithic platform of TMD material/cavity for lasing devices.

The Role of Conspiracy Theories in the Spread of COVID-19 across the United States.

The outbreak of coronavirus disease 2019 (COVID-19) inspires various conspiracy theories, which could divert public attention, alter human behaviors, and consequently affect the spread of the pandemic. Here we estimate the relation of the online attention on COVID-19-related conspiracy theories to human mobility, as well as to the numbers of confirmed COVID-19 cases, during 14 March 2020 to 28 August 2020. We observe that the online attention to COVID-19 conspiracy theories is significantly and negatively related to human mobility, but its negative impact is noticeably less than those of the attention to official information and personal protection measures. Since human mobility significantly promotes the spread of COVID-19, the attention to official information and personal protection measures lowers COVID-19 cases by 16.16% and 9.41%, respectively, while attention to conspiracy theories only reduces the COVID-19 cases by 6.65%. In addition, we find that in the states with higher online attention to COVID-19 conspiracy theories, the negative relation of the attention to conspiracy theories is much weaker than that in states where there is less concern about conspiracies. This study stresses the necessity of restricting the online transmission of unfounded conspiracy theories during a pandemic.

Vaccinations, Mobility and COVID-19 Transmission.

In order to prevent the spread of coronavirus disease 2019 (COVID-19), 52.4% of the world population had received at least one dose of a vaccine at17 November 2021, but little is known about the non-pharmaceutical aspect of vaccination. Here we empirically examine the impact of vaccination on human behaviors and COVID-19 transmission via structural equation modeling. The results suggest that, from a non-pharmaceutical perspective, the effectiveness of COVID-19 vaccines is related to human behaviors, in this case, mobility; vaccination slows the spread of COVID-19 in the regions where vaccination is negatively related to mobility, but such an effect is not observed in the regions where vaccination and mobility have positive correlations. This article highlights the significance of mobility in realizing the effectiveness of COVID-19 vaccines; even with large-scale vaccination, non-pharmaceutical interventions, such as social distancing, are still required to contain the transmission of COVID-19.

An Endowment Effect Study in the European Union Emission Trading Market based on Trading Price and Price Fluctuation.

This paper pioneers to investigate the endowment effect in the European Union mission Trading Scheme (EU ETS) as well as the impacts of trading experience and compliance pressure on the endowment effect. This study is based on the complete transaction records of the market. In the data set, the records of two consecutive reverse transactions from a same emitting company are selected. The lowest price that the buyer is willing to pay (WTP) and the maximum price the seller is willing to accept (WTA) are evaluated by excluding their risk cost that is used to avoid short-term fluctuations in the price. By distinguishing the difference between WTA and WTP, and long-term fluctuations in the prices during the two transactions, the trader's endowment effect can be quantitively assessed. The results show that the degree of endowment effect of traders follows the trading experience. In addition, since the EU ETS is a cap-and-trade market, the traders face different levels of compliance pressure; when the pressure of the emission companies increases, the degree of endowment effect will also decrease.

Assessing the impact of ETS trading profit on emission abatements based on firm-level transactions.

The EU Emission Trading System (ETS) is the oldest and currently the largest carbon market in the world, but its purpose of stimulating carbon emissions via trading profits remains unexamined. Based on the complete firm-level transaction records of the EU ETS Phases I and II, here we show that the participating firms' trading profits and their emission abatements are positively correlated, and the correlation becomes stronger in Phase II than Phase I. Specifically, we observe that non-linearity exists in the correlation; higher firm-level emission abatements can realize larger trading profits. This pattern affects the market fairness, though it may be helpful to incentivise emission abatements. The correlation is more regulated in Phase II than it is in Phase I, thereby indicating that the Phase II is more mature. We also observe that the state-level abatements are largely driven by industrial giants.

Axial-Circular Magnetic Levitation: A Three-Dimensional Density Measurement and Manipulation Approach.

Magnetic levitation (MagLev) is a promising technology for density-based analysis and manipulation of diamagnetic objects of various physical forms. However, one major drawback is that MagLev can be performed only along the central axis (one-dimensional MagLev), thereby leading to (i) no knowledge about the magnetic field in regions other than the axial region, (ii) inability to handle objects of similar densities, because they are aggregated in the axial region, and (iii) objects that can be manipulated (e.g., separated or assembled) in only one single direction, that is, the axial direction. This work explores a novel approach called "axial-circular MagLev" to expand the operational space from one dimension to three dimensions, enabling substances to be stably levitated in both the axial and circular regions. Without noticeably sacrificing the total density measurement range, the highest sensitivity of the axial-circular MagLev device can be adjusted up to 1.5 × 104 mm/(g/cm3), approximately 115× better than that of the standard MagLev of two square magnets. Being able to fully utilize the operational space gives this approach greater maneuverability, as the three-dimensional self-assembly of controllable ring-shaped structures is demonstrated. Full space utilization extends the applicability of MagLev to bioengineering, pharmaceuticals, and advanced manufacturing.

The clinical efficacy and experience of bipedicular percutaneous vertebroplasty combined with postural reduction in the treatment of Kümmell's disease.

BACKGROUND: Kümmell's disease is a special type of osteoporotic vertebral fracture that causes chronic low back pain and deformity, which seriously affects the living quality of patients. PVP is commonly used to treat osteoporotic vertebral fractures and can quickly relieve low back pain. So, the objective of this study was to analyze the clinical efficacy and experience of bipedicular percutaneous vertebroplasty combined with postural reduction for the treatment of Kümmell's disease. METHODS: A retrospective analysis of patients with Kümmell's disease who underwent bipedicular percutaneous vertebroplasty was conducted from February 2016 to May 2018. Operative time, VAS, bone cement injection volume, cement leakage rate, compression improvement of vertebral front edge and vertebral center, and correction degree of kyphosis were collected and analyzed meticulously. RESULTS: The operative time was 45.33 ± 7.64 min. The volume of bone cement injected was 5.38 ± 1.33 ml. The compression improvement of vertebral front edge was 7.31 ± 1.21%. The compression improvement of vertebral center was 10.34 ± 1.15% and the correction degree of kyphosis was - 2.73 ± 0.31゜. Bone cement leakage occurred in 6 of 39 patients (15.38%), but no clinical symptoms were observed. The VAS scores were significantly lower at 1 day after the surgery, 6 months and at the last follow-up than before the surgery (P = 0.000, respectively). The VAS score was lower at the last follow-up than at 1 day after the surgery (P = 0.001). CONCLUSION: Bipedicular percutaneous vertebroplasty combined with postural reduction could achieve satisfactory analgesic effect in the treatment of Kümmell's disease, and restore the height of the vertebral body and improve kyphosis to some extent.

Environmental and economic performance of an integrated municipal solid waste treatment: A Chinese case study.

The application of integrated municipal solid waste (MSW) management has become increasingly common for the mitigation of the ever-growing MSW stream. However, despite their popularity across the globe, little is known about the performance of integrated MSW management (MSWM) plants. This study quantitively investigates the environmental and economic performance of an integrated MSW treatment center in the city of Horqin Left Rear Banner, Inner Mongolia Province, China, using a combined life cycle assessment (LCA) and life cycle costing (LCC) methodology. Results indicate that the integrated MSWM plant is sustainable in both environmental and economic aspects, as the life cycle environmental impacts and economic costs can be offset by substituting virgin products with recycled counterparts. Amongst the included treatments, MSW separation, brick making and plastic recycling are the greatest contributors to the total environmental burdens and economic expenses. LCC results demonstrate that the equipment cost, tax and other asset costs are the greatest contributors to the total costs of the plant. Sensitivity analysis confirms that the increasing source separation ratio results in the reduction of environmental burdens and economic expenses via the usage of biogas and photovoltaic power. Furthermore, we offer recommendations for the promotion of the environmental and economic sustainability of integrated MSW treatment facilities.

Magnetic projection: A novel separation method and its first application on separating mixed plastics.

A novel magnetic separation method, denoted as "magnetic projection", was proposed. The method is based on a simple configuration: a container full of paramagnetic medium is placed beside a permanent magnet. Particles of different densities that submerge in the medium are driven by the magnetic force, moving in accordance with different trajectories, and are finally landed in different collection regions. We applied this method to separate mixed plastics, because most of the extant plastic separation processes can only deal with binary mixture. In the experiment, four common plastics such as polyvinyl chloride (PVC), polyethylene terephthalate (PET), polycarbonate (PC), and polymethyl methacrylate (PMMA) were used to simulate the plastic mixture. The experimental results showed that the proposed method can effectively separate the plastic mixture, as the purity of each type of recovered plastics was over 95 wt%. This approach demonstrates its tremendous potential in solid waste management and worth further investigation.

Improving the electrospinning process of fabricating nanofibrous membranes to filter PM2.5.

To mitigate PM2.5 emissions is becoming a pressing concern, because these particles pose a threat to public health. Evidence shows that bead-free nanofiber with diameter of <100 nm is more likely to capture the PM2.5, however, currently it is impossible to fabricate bead-free nanofiber with such diameter without introduction of other substances. To fabricate bead-free polyacrylonitrile (PAN) nanofibers with diameter of <100 nm, we improved the electrospinning process of membrane fabrication via design of experiment (DOE), and we then used these nanofibers to filter PM2.5 emissions from burning cigarettes and fused deposition modeling (FDM) three-dimensional (3D) printing. The DOE was based on a L27 (313) orthodoxy array, which consists of six controllable factors, that is, the concentration of solution, the spinning voltage, the rotating speed, the tip-to-collector distance, the flow rate of the syringe pump, and the electrospinning temperature, each of them has three levels. The results showed that the nanofibers of the least diameter (i.e., 77 nm) can be fabricated under the following condition: 8 wt% PAN solution, 12 kV voltage, 5000 r/min, 12 cm tip-to-collector distance, 0.6 ml/h flow rate, and 50 °C electrospinning temperature. Range analysis and analysis of variance (ANOVA) showed that the concentration of PAN solution has the most significant effect on the diameter, and their values are positively correlated. An examination in a two-chamber filtering device showed the PAN membrane with the least fiber diameter has a PM2.5 filtration efficiency of 99.26%. A filtration test on standard FDM 3D printing process showed the membrane has a PM2.5 removal efficiency of 81.16%. This work could mitigate PM2.5 emissions from cigarette tobacco and FDM 3D printing, and it would be used to other scenarios, such as industrial and traffic emissions.

Exploring "Internet+Recycling": Mass balance and life cycle assessment of a waste management system associated with a mobile application.

Individual users cannot readily access the collection channels is a persistent problem in municipal solid waste (MSW) management, resulting in low MSW collection rates. A new waste management model, "Internet+Recycling", has come into being; this model enables individuals to arrange collection appointment through various online platforms, then the collectors pick up the waste on-site. It is believed that "Internet+Recycling" can be a solution to mitigate the collection barrier in MSW management, as it provides individuals a convenient access to formal waste management systems. However, whether this emerging MSW collection model would bring environmental benefits is yet unknown. We here quantitatively examine the mass balance and environmental performance of MSW recycling associated with the use of such a "Internet+Recycling" mobile application - Aibolv. All transactions occurred on the mobile application within a period of six monthare included, and all related activities are modeled using the methodology that combines material flow analysis (MFA) and life cycle assessment (LCA). According to the extant MSW management legislation in China, we classify the collected MSW into three categories, subsidized waste electric and electronic equipment (WEEE) like television and refrigerator - T1, unsubsidized WEEE like mobile phone - T2, and other recyclables like paper and fabric - T3. The MFA results show that plastics and common metals are the dominate secondary material streams, and glass, precious metals and battery metals are mainly recovered from WEEE. The LCA results indicate that the disposal of the T2 waste has the highest environmental savings, due to the recovery of precious metals. Increased remanufacturing rates impart negative impacts, while increments in the quantity of spent mobile phones could significantly improve overall environmental performance. Based on the acquired results, recommendations are provided for facilitating the future development of "Internet+Recycling", and limitations of this work are identified as well.

Single-Ring Magnetic Levitation Configuration for Object Manipulation and Density-Based Measurement.

Magnetic levitation is a recent research hot spot; however, most of the extant configurations use two magnets with like poles facing each other. This paper proposes a novel magnetic levitation configuration that is based on a single ring magnet, and this configuration opens a wide operational space that enables object manipulation and density-based measurement. We develop a mathematical model to calculate the magnetic field around the magnet and to numerically correlate the levitation height and density of the object. Experimental results prove that this novel configuration can achieve a high accuracy (±0.0005 to ±0.0078 g/cm3) in density measurement for small-sized (∼5 µL) samples. It can manipulate particles, powders, and oil droplets effectively without any direct contact, and it has high sensitivity in the separation of multiple diamagnetic objects with slight differences in densities as well. The accuracy and sensitivity of the proposed configuration are both higher than those of the extant configurations. All of these results are expected to promote deeper study and applications of the magnetic levitation configuration in the field of density-based characterizations and manipulations.

Separation of mixed waste plastics via magnetic levitation.

Separation becomes a bottleneck of dealing with the enormous stream of waste plastics, as most of the extant methods can only handle binary mixtures. In this paper, a novel method that based on magnetic levitation was proposed for separating multiple mixed plastics. Six types of plastics, i.e., polypropylene (PP), acrylonitrile butadiene styrene (ABS), polyamide 6 (PA6), polycarbonate (PC), polyethylene terephthalate (PET), and polytetrafluoroethylene (PTFE), were used to simulate the mixed waste plastics. The samples were mixed and immersed into paramagnetic medium that placed into a magnetic levitation configuration with two identical NdFeB magnets with like-poles facing each other, and Fourier transform infrared (FTIR) spectroscopy was employed to verify the separation outputs. Unlike any conventional separation methods such as froth flotation and hydrocyclone, this method is not limited by particle sizes, as mixtures of different size fractions reached their respective equilibrium positions in the initial tests. The two-stage separation tests demonstrated that the plastics can be completely separated with purities reached 100%. The method has the potential to be industrialised into an economically-viable and environmentally-friendly mass production procedure, since quantitative correlations are determined, and the paramagnetic medium can be reused indefinitely.

Berberine activates bitter taste responses of enteroendocrine STC-1 cells.

Glucagon-like peptide-1 (GLP-1) is involved in the regulation of insulin secretion and glucose homeostasis. GLP-1 release is stimulated when berberine interacts with a novel G protein family (TAS2Rs) in enteroendocrine cells. In this study, we used STC-1 cells and examined a marked increase in Ca2+ in response to various bitter compounds. Ca2+ responses to traditional Chinese medicine extracts, including berberine, phellodendrine and coptisine, in STC-1 cells were suppressed by the phospholipase C (PLC) inhibitor U-73122, suggesting the involvement of bitter taste receptors in changing the physiological status of enteroendocrine cells in a PLC-dependent manner. STC-1 cells showed berberine-up-regulated preproglucagon (GLP-1 precursor) mRNA and GLP-1 secretion. A QPCR analysis demonstrated that TAS2R38, a subtype of the bitter taste receptor, was associated with GLP-1 secretion. Berberine-mediated GLP-1 secretion was attenuated in response to small interfering RNA silencing of TAS2R38. The current studies demonstrated that Gα-gustducin co-localized with GLP-1 and Tas2r106 in the STC-1 cells. We further utilized inhibitors of PLC and TRPM5, which are known to participate in taste signal transduction, to investigate the underlying pathways mediated in berberine-induced GLP-1 secretion. Berberine-induced GLP-1 release from enteroendocrine cells is modulated in a PLC-dependent manner through a process involving the activation of bitter taste receptors. Together, our data demonstrated a berberine-mediated GLP-1 secretion pathway in mouse enteroendocrine cells that could be of therapeutic relevance to hyperglycemia and the role of bitter taste receptors in the function of the small intestine.

Compositional dependency on dissolution rate and cytocompatibility of phosphate-based glasses: Effect of B2O3 and Fe2O3 addition.

The unique property of phosphate-based glasses and fibres to be completely dissolved in aqueous media is largely dependent on the glass composition. This article focuses on investigating the effect of replacing Na2O with 3 and 5 mol% Fe2O3 on cytocompatibility, thermal and dissolution properties of P2O5-CaO-Na2O-MgO-B2O3 glass system, where P2O5 content was fixed at 45 mol%. The effect of increasing Fe2O3 from 3 to 5 mol% on P2O5-CaO-Na2O-MgO glasses was also evaluated. The glass transition temperature, onset of crystallisation temperature and liquidus temperature were found to decrease with increasing Fe2O3 content and the addition of B2O3, while the thermal expansion values were found to decrease. The density of the glasses decreased with increasing Fe2O3 content. However, an increase in the density was observed by the addition of 5 mol% B2O3. The dissolution properties and mode of bulk glass and fibres were also examined which were found to decrease with increasing B2O3 and Fe2O3. However, it was found that the dissolution properties of the glasses containing both B2O3 and Fe2O3 were lower than only Fe2O3 containing glasses. The in vitro cell culture studies using human osteoblast like (MG63) cell lines revealed that the glasses containing both B2O3 and Fe2O3 maintained and showed higher cell viability as compared to the only Fe2O3 containing glasses. Glasses containing both B2O3 and Fe2O3 showed a pronounced effect on the dissolution rate of the glasses, which eventually improved the cytocompatibility properties of the glasses investigated.