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Neurodegeneration is highly associated with comorbidity burden in HFrEF patients

Abstract Background Heart failure (HF) is associated with cognitive decline and risk for dementia. Blood levels of amyloid beta 40 and 42 (Aβ40, Aβ42), tau protein (tau), and neurofilament light chain (NfL) have been found to be altered in neurodegenerative disease. Previous research has established a clear association between these neuromarkers and the risk of developing cognitive dysfunction and mortality in the general population. Objective The aim of this study was to investigate the association between the respective neuromarkers and comorbidity burden, as well as to explore whether comorbidity burden impacts the relationship between neuromarkers and outcome in HF patients. Methods Plasma levels of Aβ40, Aβ42, tau, and NfL were quantified using a single-molecule array assay. The primary outcome parameter was all-cause mortality. Results A total of 470 HFrEF patients were enrolled in the study, with a median age of 62 years (IQR: 52–72); 77% were male. Median NT-proBNP concentration was 1812 pg/ml (IQR: 718–3881). Elevated levels of all biomarkers were closely associated with comorbidity burden (Figure 1). All neuromarkers showed increased levels in individuals with chronic kidney disease (CKD) and known carotid artery stenosis (CAS), except for Aβ40, which did not show significant elevation in CAS (NfL: p<0.001 for both; t-tau: p<0.001 and p=0.041; Aβ40: p<0.001 and p=0.050; Aβ42: p<0.001 and p=0.033, respectively). In patients with type 2 diabetes mellitus (T2DM) and coronary artery disease (CAD), only NfL levels were significantly elevated (p<0.001 for both), whereas atrial fibrillation (AF) was associated with higher levels of NfL and t-tau (p<0.001 for both). In individuals with iron deficiency, only Aβ42 levels were significantly higher (p=0.025). All biomarkers showed significant associations with all-cause mortality [crude HR for an increase in 1-log unit (95%CI): NfL 4.44 (3.02-6.53), t-tau 5.04 (2.97-8.58), Aβ40 3.90 (2.27-6.72), Aβ42 5.14 (2.84-9.32); p<0.001 for all] (Figure 2). These associations remained statistically significant after adjusting for comorbidity burden including AF, T2DM, CAD, CKD, CAS and ID [adjusted HR for an increase in 1-log unit (95%CI): NfL 3.28 (1.93-5.57), t-tau 3.96 (2.07-7.57), Aβ40 2.42 (1.34-4.38), Aβ42 3.05 (1.56-5.97); p<0.01 for all]. Conclusion The findings suggest a close connection between elevated levels of markers of neurodegeneration and increased comorbidity burden in HFrEF patients. While this association may indicate the cumulative risk leading to neuronal injury and HFrEF progression, a causal relationship cannot be excluded. The observed accelerated neurodegeneration in HFrEF underscores the need for further investigation into this complex interplay.Figure 1Figure 2

Improved thermal, mechanical, and dielectric properties of thermotropic liquid crystalline poly(ester amide)s containing lactam-derived segmental units

We prepared two different series of thermotropic liquid crystalline poly(ester amide)s (TPEAs) via bulk polycondensation reactions of 4-hydroxybenzoic acid (HBA, 75.0 mol %) and 6-hydroxy-2-naphthoic acid (HNA, 25.0–17.5 mol %) with ε-caprolactam (CL, 0.0–7.5 mol %) or γ-butyrolactam (BL, 0.0–7.5 mol %). Our investigation aimed to explore the impact of lactam-derived aliphatic amide units’ length and content on the liquid crystalline feature, microstructure, thermal transition, thermal stability, mechanical/relaxational/rheological behavior, and dielectric characteristics of TPEAs. The molecular structure and fibrillar formation of TPEAs containing aliphatic amide units were confirmed through FT-IR and SEM analysis. With increasing CL or BL-derived units from 1.0 mol % to 5.0 mol %, we observed an increase in crystallinity, glass transition temperature, melting temperature, complex melt viscosity, and storage modulus of TPEAs, attributed to the enhanced intermolecular hydrogen bonding interactions. However, at 7.5 mol % CL or BL-derived unit content, these properties decreased due to increased chain irregularity as well as lowered crystallinity. Notably, the dielectric constants (3.31–3.04 at 2 MHz) of TPEAs decreased with the increase of lactam-derived aliphatic amide units owing to the restricted chain mobility by intermolecular hydrogen bonding interactions. We believe that the TPEAs synthesized in this study hold significant potential for applications in technical plastics, superfibers, and printed circuit board materials.

Removal of TBP sorbed on wood by Trametes versicolor through solid-state fermentation

The use of white-rot fungi is a promising approach for removing organophosphate flame retardants (OPFRs) from wastewaters. Immobilization in wood for this purpose ensures the predominance of the fungus but also contributes to OPFRs sorption. This work focused on the ability of T. versicolor to degrade tributyl phosphate (TBP) sorbed in wood. This initially underwent ten sorption cycles, each involving exposure to a 10mg · L-1 TBP solution. Throughout each cycle, the wood exhibited a sustained sorption capacity (0.035 ± 0.002mg TBP · g. dry wood-1 per cycle). The wood residues obtained after each sorption cycle were inoculated with T. versicolor. After 60 days of inoculation, fungus degraded over 90% of TBP in each cycle’s wood residue. However, fungal growth was inhibited, resulting in a 43% decrease in biomass compared to controls. The fact that biomass remained active and capable of degrading TBP suggests that the growth decrease is likely due to the formation of transformation products. An increase in toxicity units (from 13.64 to 87.86 at the end) was associated with the accumulation of 3-hydroxybutyl dihydrogen phosphate (OH-MBP). However, subsequent experiments demonstrated that given sufficient time, the fungus not only degraded OH-MBP but also produced a non-toxic effluent.

Enhanced salt tolerance in Glycyrrhiza uralensis Fisch. via Bacillus subtilis inoculation alters microbial community.

The widespread prevalence of saline environments poses a significant global environmental challenge. Salt stress, induced by saline soils, disrupts soil microecology and affects the plant-microbe-soil cycling process. Utilizing microbial fungicides stands as a primary strategy to mitigate salt stress-induced damage to plants and soils. This study investigated the influence of Bacillus subtilis (Bs) inoculation on the microbial community, assembly processes, and functional changes in bacteria and fungi in Glycyrrhiza uralensis Fisch. (licorice) seedlings under varying salt stress levels, primarily employing microbiomics techniques. Soil enzyme activities displayed a declining trend with increasing salt stress, which was mitigated by Bs inoculation. Microbiome analysis revealed a significant increase in bacterial and fungal operational taxonomic units, particularly in Ascomycetes and Nitrogen-fixing Bacteria, thereby enhancing soil denitrification. The abundance of Proteobacteria, Actinobacteriota, Bacteroidota, and Firmicutes in bacteria, as well as Ascomycota in fungi, increased with higher salt stress levels, a process facilitated by Bs inoculation. However, functional predictions indicated a reduction in the relative abundance of Dung Saprotrophs with Bs inoculation. Salt stress disrupted soil assembly processes, showcasing a continuous decline in diffusion limitation with increased salt concentration, where Bs inoculation reached a peak under moderate stress. In summary, this research elucidates the communication mechanism of Bs in enhancing salt tolerance in licorice from a microbiome perspective, contributing to a comprehensive understanding of abiotic and biotic factors.IMPORTANCELicorice is a herb that grows in deserts or saline soils. Enhancing the salt tolerance of licorice is necessary to maintain the quality of cultivated licorice and to ensure the supply of medicinal herbs. In the past, we have demonstrated the effectiveness of inoculation with Bacillus subtilis (Bs) to enhance the salt tolerance of licorice and revealed the key metabolic pathways for the development of salt tolerance through multi-omics. In this study, we used the microbiomics approach to reveal the plant-microbe-soil interactions at the level of inoculation of Bs affecting the dynamics of soil microbial communities from bacterial and fungal perspectives, thus bridging the interactions between biotic and abiotic factors.

Compositional impacts of high CdO content on the structure and radiation shielding efficiency of CoO–Na2O–B2O3 glass system

Here, this study investigated the structural changes and radiation shielding efficiency of a borate glass host modified by varying cadmium oxide (CdO) concentrations. The glass composition consisted of boron oxide (B2O3; 80:56 mol%), sodium oxide (Na2O; 19.6 mol%), and cobalt oxide (CoO; 0.4 mol%), with cadmium oxide (CdO; 0:24 mol%). The glass structure was analyzed utilizing mass density and FT-infrared spectroscopy (FTIR) in the 400 to 1600 cm−1 range, while radiation shielding properties were investigated utilizing the online Phy-X software in the 0.284–1.333 MeV energy window. Notably, the addition of CdO significantly impacted the glass density, increasing it by approximately 93 % as the added CdO concentration rose from 0 to 24 mol% (i.e., from 2.507 g/cm3 to 4.849 g/cm3). FTIR analysis revealed a concurrent increase in BO4 structural units with increasing CdO/B2O3 ratios. This observation was supported by the calculated N4BO4/(BO3+BO4) ratio, which increased from 40.73% for the CdO-free sample to 52.00% for the highest CdO content. This increase in BO4 units, denser than BO3 units, explains the observed density increase. Conversely, the concentration of non-bridging oxygens decreased from 10.14% to 4.34% with increasing CdO contents, indicating a more tightly packed glass network. Radiation shielding studies demonstrated that increasing CdO concentration from 0 to 24 mol% enhanced the shielding efficiency, evidenced by a decrease in the half-value layer parameter (HVL). The radiation protection efficacy (RPE) also increased from 0.214 to 0.426 for the CdO-free sample to the sample containing 24 mol% CdO at the investigated energy level. This finding highlights the superior shielding capability of the CdO-rich sample. Furthermore, the transmission factor (TF) was investigated for a constant thickness of 0.75 cm for glasses. The CdO-rich sample exhibited a lower TF compared to the CdO-free sample, particularly at lower energies. This finding confirms that, for a given thickness and energy, raising the cadmium oxide content in the current composition leads to an observed mitigation in the transmitted radiation.

The atypical antipsychotics lurasidone and olanzapine exert contrasting effects on the gut microbiome and metabolic function of rats.

Antipsychotics such as olanzapine are associated with significant metabolic dysfunction, attributed to gut microbiome dysbiosis. A recent notion that most psychotropics are detrimental to the gut microbiome has arisen from consistent findings of metabolic adverse effects. However, unlike olanzapine, the metabolic effects of lurasidone are conflicting. Thus, this study investigates the contrasting effects of olanzapine and lurasidone on the gut microbiome to explore the hypothesis of 'gut neutrality' for lurasidone exposure. Using Sprague-Dawley rats, the effects of olanzapine and lurasidone on the gut microbiome were explored. Faecal and blood samples were collected weekly over a 21-day period to analyse changes to the gut microbiome and related metabolic markers. Lurasidone triggered no significant weight gain or metabolic alterations, instead positively modulating the gut microbiome through increases in mean operational taxonomical units (OTUs) and alpha diversity. This novel finding suggests an underlying mechanism for lurasidone's metabolic inertia. In contrast, olanzapine triggered a statistically significant decrease in mean OTUs, substantial compositional variation and a depletion in short-chain fatty acid abundance. Microbiome depletion correlated with metabolic dysfunction, producing a 30% increase in weight gain, increased pro-inflammatory cytokine expression, and increased blood glycaemic and triglyceride levels. Our results challenge the notion that all antipsychotics disrupt the gut microbiome similarly and highlights the potential benefits of gut-neutral antipsychotics, such as lurasidone, in managing metabolic side effects. Further research is warranted to validate these findings in humans to guide personalised pharmacological treatment regimens for schizophrenia.

Unexpected tunable photoluminescence and emission mechanism during the gradual increase of cyclic glucose units

Excitation-dependent (λex-dependent) emission is one of the most common emission characteristics of nonconventional luminophores. Previously, we have reported D-xylose crystals has an obvious λex-dependent color tunable persistent room temperature phosphorescence (p-RTP) from blue to green, but its p-RTP emission at long wavelength is very weak. To further explore this attractive multicolor p-RTP behavior, and to enhance its tunability, the photoluminescence (PL) behavior of three common cyclodextrins (CDs), namely α-CD, β-CD and γ-CD, including solution and single crystals, were studied. Their single crystals demonstrate λex-dependent multicolor p-RTP properties in the order of β-CD>α-CD>γ-CD, rather than the strongest with the least glucose units (α-CD). Among them, the λex-dependent tunable p-RTP of β-CD and α-CD is superior to that of D-(+)-xylose single crystal. The above unexpected phenomena could be explained reasonably through detailed single crystal structure analysis and theoretical calculations. The emission behavior of solution and single crystals of CDs can be reasonably explained by the clustering-triggered emission (CTE) mechanism. Furthermore, CD-based covalent organic frameworks (COF) and supramolecules are readily fabricated, which own significantly enhanced p-RTP emission. Due to the intriguing PL property as well as hydrophilic rim and low biotoxicity of CDs, successful imaging of HCT116 cells and encryption applications were demonstrated. It is believed that the intrinsic PL properties of CDs, especially their regularly adjustable multicolor p-RTP that varies with the number of glucose units, have significant guidance for the development of a series of multicolor luminescent materials.

Unravelling social housing exclusion. Marketization, privatization and neoliberal reforms in the Métropole européenne de Lille

The conceptualization of the neoliberalization of social housing has been largely dominated by Harloe’s models, which define it as the transition from a ‘mass’ to a ‘residual’ model. However, this definition fails to capture the emergence of ‘affordable’ housing policies. Blessing suggests instead conceptualizing neoliberalization through privatization and marketization. This definition helps analyze the focus on the diversification of the supply into mid-market rents. Drawing on mixed-method research, this paper demonstrates the relevance of Blessing’s analysis. To illustrate this, I will take the example of a large French intercommunality, which appears as non-neoliberal due to the absence of residualization. Our findings demonstrate that marketization and privatization have, however, influenced the nature of social housing provision by leading to an absolute decrease in low-rent units through demolitions and sales, and an increase in mid-market rent housing units. In conclusion, the findings emphasize the need for researchers to delve into the issue of social housing exclusion and its underlying mechanisms.

Impact of changes in anaesthesia staff assignments on billing compliance, financial margins, and costs of anaesthesia services: development and application of a margin-cost estimation tool

BackgroundThe US Centers for Medicare and Medicaid Services provide guidelines for the coverage of anaesthesia residents and certified registered nurse anaesthetists (CRNAs) by anaesthesiologists. We tested the hypothesis that changes in the anaesthesia staffing model increase billing compliance. MethodsWe analysed 13 926 anaesthesia cases performed between September 2019 and November 2019 (baseline), and between September 2020 and November 2020 (after change in staff model) at a US academic medical centre using an estimation tool. The intervention was assignment of additional 12-h weekday CRNAs plus an additional anaesthesiologist who covered weekdays after 17:00, weekends, and holidays. The proportion of cases with billing compliant coverage (covered either by solo anaesthesiologist or anaesthesiologist covering two or fewer residents or four or fewer CRNAs) was analysed using logistic and segmented regression analyses. ResultsThe change in staff model was associated with a decrease in non-optimal anaesthesia staff assignments from 4.2% to 1.2% of anaesthesia cases (adjusted odds ratio 0.25; 95% confidence interval [CI] 0.20–0.32; P<0.001) and an increase in billable anaesthesia units of 0.6 per anaesthesia case (95% CI 0.4–0.8; P<0.001). An increased revenue margin associated with optimal staffing levels would only be achieved with salary levels at the 25th percentile of relevant benchmark compensation levels. Total staff overtime for all anaesthesia providers decreased (adjusted absolute difference −4.1 total overtime hours per day; 95% CI −7.0 to −1.3; P=0.004). ConclusionsImplementation of a change in anaesthesia staffing model was associated with improved billing compliance, higher billable anaesthesia units, and reduced overtime. The effects of the anaesthesia staff model on revenue and financial margin can be determined using our web-based margin-cost estimation tool.

Оценка хозяйственных рисков при реализации технологий угледобычи в современных условиях недропользования

Introduction. This paper presents research in the field of methodology of assessment and monitoring of associated under ground coalmining risks in order to level their impact on the resulting technical and economic indicators of production and economic activities in modern conditions of subsoiluse. The functioning of technological systems of coal mining enterprises at the present stage of subsurface use occurs in a highly dynamic and highly variable functional environment with a fair degree of uncertainty, which is generated by a significant variety of parameters and characteristics of the initial mining, geological and mining engineering environment, which, in turn, generates the emergence of various groups and risk factors for subsurface use. The established procedures and methods of risk forecasting currently do not give satisfactory results due to the globalization of world markets and high volatility of prices for coal products. Leveling the negative degree of influence of the risk component on the resulting indicators – indicators of technical and economic activity can be achieved through the introduction of an operational system for assessing and monitoring various groups of risk factors. Materials and methods. For the purpose of evaluation, it is proposed to use the methodological and methodological foundations of the method called “vector norms”, which involves the use of Affine space, the constituent areas of compromises and the introduction of utility estimates. A complete model representation of the assessment and monitoring of the impact of various risk factors of subsurface use, taking into account their clustering and ranking, is presented. The algorithmic support of this method is reduced to the following components-iterations: 1. Formation of criteria-based assessment matrices of various factors of subsurface use risk groups. 2. Assignment of optima to evaluation criteria. 3. In order to ensure the legality of the use and implementation of mathematical procedures and operations, the reduction of multi-dimensional evaluation criteria to a relative form, taking into account the assigned optima. 4. Formation of the objective function of the “norm of the vector” (integral indicator) and the development of a procedure for selecting the optimal option. Since the use of the methodological and methodological foundations of the method called “vector norms” allows us to form quantitative estimates of the presented factors-types of risk of subsurface use, this makes it possible to implement the clustering procedure or ranking of a selected set of coal mining enterprises in conjunction with existing risk areas. Results. Quite high values of correlation coefficients were obtained with a significant closeness of the relationship of inversely proportional dependencies of generalizing integral indicators of the degree of risk and the level of achievement of planned indicators and development of production capacity with the level of operational profitability from the conduct of production and economic activities of coal mining enterprises with a directly proportional dependence on the operating costs of mining 1t of coal. Discussion. Сomplete model representation of the assessment and monitoring of the impact of various risk factors of subsurface use, taking into account their clustering and ranking, is presented. As a practical component of the research, variable series of areas of integral degree of risk in the functional environment of Kuzbass coal mines are presented. The use of software modules for correlation and regression analysis, taking into account three-year retrospective dynamics, made it possible to establish the legality and objectivity of the proposed methodological apparatus for integrated risk assessment of the implementation of coal mining technologies in modern conditions of subsurface use. Conclusion. The results of the implementation of the theoretical components of the methodology and model representations of the developed conceptual foundations for the integrated risk assessment of the implementation of coal mining technologies in modern conditions of subsurface use, taking into account five-year retrospective dynamics, showed that in the Kuznetsk basin there was a steady tendency to reduce the cluster of coal mines, which is characterized by high risks of carrying out production and economic activities in the presence of a disproportion of resource potential (the emergent part). The accompanying processes of formation of this trend are manifested in a quantitative increase in the functional units of the rating cluster of group 2B with an average resource potential and inherent moderate risk. It is within this cluster that strategies for prioritizing investments for the development and renewal of technological systems and structures of coal mining are being formed, since only they are able to provide the fastest possible return on invested funds. Resume. The article presents the results of research in the field of methodology for assessing and monitoring the risks associated with underground coal mining in order to level out their impact on the resulting technical and economic indicators of production and economic activity in modern conditions of subsoil use. The research results can be useful in the implementation of coal mining technology in modern conditions of subsoil use.

Modification of Epoxy Coatings with Fluorocontaining Organosilicon Copolymers.

Preparation of hydrophobic coatings is still a challenge for researchers in various fields of science. One of the easiest ways consists of the use of special modifiers. However, usually such modifiers are poorly compatible with organic polymeric matrixes, which leads to segregation of modifiers and deterioration of coating properties. In this work, we have synthesized a number of organosilicon copolymers and studied their compatibility with epoxy matrix and hydrophobic efficiency. It was shown that the increase of phenyl-containing units leads to increase of compatibility but decreases hydrophobic efficiency. Addition of small amounts of such modifiers into commercial epoxy paint material can lead to an increase of contact angle of the final coating from 63 to 87° without deterioration of other physico-mechanical properties. These results open new perspectives in preparation of organosilicon hydrophobic modifiers with directed properties for fields of application such as paints and coating materials.

Development of a New Method to Optimize Operations of an Existing Crude Unit

A nonlinear optimization method working with the Simplex Method was developed to find optimum operating conditions of a crude oil distillation unit subject to defined process constraints, product specifications and prevailing market conditions. Then the method was applied to a commercial crude unit. This crude unit was modeled using Aspen Hysys V12.1 process simulation software. Two sets of market scenarios designated as the maximum gasoline scenario and minimum gasoline scenario were applied to the simulation model. It was found that the model minimized naphtha production and maximized kerosene production for minimum gasoline scenarios where the price of kerosene and diesel products were higher than naphtha products. Similarly, the model maximized the naphtha product yield for the maximum gasoline scenario where the naphtha price exceeds the mid-distillate product price. The iterative procedure developed for the study monotonically converged to optimum operating conditions for both market scenarios. It was observed that the optimization scheme developed in this study could generate a significant profit increase in the conventional crude unit investigated in this study without and capital investment.

Structure-Foldable and Performance-Tailorable PI Paper-Based Triboelectric Nanogenerators Processed and Controlled by Laser-Induced Graphene.

Laser-induced graphene (LIG) technology has provided a new manufacturing strategy for the rapid and scalable assembling of triboelectric nanogenerators (TENG). However, current LIG-based TENG commonly rely on polymer films, e.g., polyimide (PI) as both friction material and carbon precursor of electrodes, which limit the structural diversity and performance escalation due to its incapability of folding and creasing. Using specialized PI paper composed of randomly distributed PI fibers to substantially enhance its foldability, this work creates a new type of TENG, which are structurally foldable and stackable, and performance tailorable. First, by systematically investigating the laser power-regulated performance of single-unit TENG, the open-circuit voltage can be effectively improved. By further exploiting the folding process, multiple TENG units can be assembled together to form multi-layered structures to continuously expand the open-circuit voltage from 5.3 to 34.4Vcm-2, as the increase of friction units from 1 to 16. Last, by fully utilizing the unique structure and performance, representative energy-harvesting and smart-sensing applications are demonstrated, including a smart shoe to recognize running motions and power LEDs, a smart leaf to power a thermometer by wind, a matrix sensor to recognize writing trajectories, as well as a smart glove to recognize different objects.

Change in Medical Sharps Injury Characteristics During the COVID-19 Pandemic

Aim: Knowledge about the change in the frequency and characteristics of medical sharps injuries during the Coronavirus Disease–2019 (COVID-19) pandemic is very limited. This study aimed to compare the characteristics of medical sharps injuries experienced by healthcare staff before and during the COVID-19 pandemic. Material and Method: A total of 304 cases of medical sharps injuries suffered by hospital staff in our hospital between 2014 and 2022 were included in the study. Data regarding these accidents were obtained from accident files in the hospital archive. Results: The mean age of the staff exposed to the accident was 30.2±10.7 (range: 15-50) years, and 227 (74.7%) were women. During the pandemic, a 34.6% decrease was detected in the annual mean number of medical sharps injuries compared to before the pandemic. In cases during the pandemic, the annual mean rate of interns who had an accident decreased significantly compared to before the pandemic (43.7% vs. 18.8%), while the mean rate of nurses increased significantly (31.9% vs. 53.2%)(p&amp;lt;0.001), and the annual mean needle tip rate decreased significantly (83.0% vs. 68.0%)(p=0.035). Conclusion: The findings of the present study showed that there was a significant decrease in the number of medical sharps accidents during the pandemic compared to the pre-pandemic period, that the rate of nurses who were exposed to accidents increased significantly during this period, that there was a significant decrease in the rate of needle stick-related accidents, that there was a significant decrease in the accident rate in surgical wards and a significant increase in intensive care units.

Synthesis and Properties of Vinyl Ether and Acrylonitrile Copolymers

AbstractThe radical copolymerizations of vinyl ethers, including ethylene glycol monovinyl ether (HEVE) and isobutyl vinyl ether (IBVE), and acrylonitrile (AN) are investigated. The reactivity ratios of comonomers are evaluated by Fineman–Ross (rHEVE = 0.032 and rAN = 1.054, and rIBVE = 0.031 and rAN = 13.984) and Kelen–Tudos (rHEVE = 0.001 and rAN = 1.036, and rIBVE = 0.032 and rAN = 13.981) methods, respectively. The conversions of HEVE and IBVE under similar conditions also support that HEVE has a higher reactivity than that of IBVE. A series of poly(HEVE‐co‐AN)s (Mn from 56 000 to 110 000) and poly(IBVE‐co‐AN)s (Mn from 52 000 to 97 000) with random sequential structure are prepared. Furthermore, the glass transitional temperatures of poly(vinyl ether‐co‐AN)s decrease with the increase of vinyl ether units in the copolymers. Thermal stability of poly(vinyl ether‐co‐AN)s is comparable, which is slightly affected by vinyl ether contents. Poly(HEVE‐co‐AN)s possess a two‐stage weight loss (one around 230 °C, and the other around 300 °C), and poly(IBVE‐co‐AN)s decompose at around 350 °C with one stage. In addition, the poly(HEVE‐co‐AN)s demonstrate a good hydrophilicity of which the average of static water contact angles decrease from 85.4° to 62.4° with the HEVE units increased from 8% to 33%.

Hematologic health services and practical characteristics: report of a nationwide survey among Chinese hematologists.

In the past 40 years, China has experienced tremendous economic development, but the current situation of hematologists has rarely been reported. A landscape survey of human resources is essential for healthcare development and policy formulation in the future. The Chinese Society of Hematology initiated a survey of Chinese hematologists in mainland China for evaluating demographic and practice characteristics. Respondents were anonymous, and there were no limitations regarding their age, sex, etc. RESULTS: Totally 2032 hematologists responded, with a median age bracket of 36-45 years. Respondents were well engaged into subspecialties, and 28.1% acquired doctorates of philosophy. Hematopoietic cell transplantation (HCT) centers have been established all over China. Higher-GDP regions reported more advantages, including bigger scale of transplant centers (P < 0.001), younger age structure (P = 0.039), better education qualifications (P = 0.001) and less turnover intentions (P = 0.004), despite of increased risk of medical disputes (P = 0.028). Although females accounted for 65.5% of hematologists, males were older (P < 0.001), and had more senior professional titles (P < 0.001), academic positions (P < 0.001), opportunities for continuing education (P < 0.001), and paper publishing in the recent two years (P = 0.001). For turnover intention, the higher GDP regions led to an independently reduced risk (HR = 0.673, 95%CI [0.482-0.940], P = 0.020), whereas medical disputes resulted in an increased the risk (HR = 2.037, 95%CI [1.513-2.743], P < 0.001). Considering the impact of the COVID-19 pandemic, majority of respondents believed that the decline in patient visits and delay in treatment was within 30%. 67.9% of respondents reported a decrease of the use of bone marrow as grafts but 18.8% reported an increase of cord blood units. 35.0% of the respondents switched their daily work to support the anti-epidemic medical activities. We concluded the discipline of hematology in China has flourished in recent years with a young workforce, while regional economic and gender disparities warrant further continuous optimization. Joint efforts against the impact of COVID-19 are needed in the post-pandemic era.

Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear.

To investigate the epidemiological features and prevalence of cruciate ligament injuries (CLI) in children and adolescents, and to examine the potential risk factors associated with concomitant meniscal tear (MT) among this population. The demographic data and injury details of children and adolescents with CLI from Southeast China were analyzed to describe their distribution characteristics, alongside an analysis of the prevalence of MTs, the most frequent complication. In addition, binary logistic analysis was employed to ascertain the risk factors linked to MT in individuals suffering from CLI. A total of 203 patients with CLI (n = 206) met the inclusion criteria, with a male-to-female ratio of 2.3:1. Notably, a higher proportion of females were aged ≤16 years old compared to males, who predominated in patients aged >16 years (P = 0.001). Among children and adolescents, anterior cruciate ligament (ACL) injuries were the primary type of CLI, accounting for 88.18% (179/203) of all cases. The majority of cases (132/203, 65.02%) were sustained during sports activities, and sprains were the predominant mechanism of injury (176/203, 86.7%). Additionally, the most common associated injury was an MT (157/203, 77.34%). The posterior horn is the most frequently affected site for both medial MT (62.93% out of 73 cases) and lateral MT (70.19% out of 73 cases). Moreover, vertical tears constituted the majority of medial MTs (59.48% out of 116 cases). Furthermore, patients with a higher BMI faced an increased risk of associated MT in comparison to non-overweight patients (88% vs. 73.86%; P = 0.038). Each increase in BMI unit was linked with a 14% higher probability of associated MT occurrence in children and adolescents with CLI (OR = 1.140; P = 0.036). ACL injuries are a common form of knee ligament injury among children and adolescents, especially those over the age of 16, and are often the result of a sprain. Meniscal posterior horn injury is the most commonly associated injury of youth with CLI. Additionally, overweight or obese people with CLI are at a greater risk of developing MT.

Effects of replacing Na selenite in laying hen feed with selenized glucose on production performance, egg quality, egg selenium content, microbial population, immunological response, antioxidant enzymes, and fatty acid composition

This study aimed to explore the effects of selenized glucose (SeGlu) and Na selenite supplementation on various aspects of laying hens such as production performance, egg quality, egg Se concentration, microbial population, antioxidant enzymes activity, immunological response, and yolk fatty acid profile. Using a 2 × 2 factorial design, 168 laying hens at 27-wk of age were randomly divided into 4 treatment groups with 7 replications. Se source (Na selenite and SeGlu) and Se level (0.3 and 0.6 mg/kg) were used as treatments. When 0.3 mg SeGlu/kg was compared to 0.3 mg Na selenite/kg, the interaction findings revealed that 0.3 mg SeGlu/kg increased egg production percent and shell ash (P < 0.05). When compared to 0.3 mg Na selenite/kg, dietary supplementation with 0.3 and 0.6 mg SeGlu/kg resulted in an increase in albumen height, Haugh unit, and yolk color of fresh eggs (P < 0.05). SeGlu enhanced albumen height, Haugh unit, shell thickness (P < 0.01), albumen index, yolk share, specific gravity, shell ash (P < 0.05) of fresh eggs and shell thickness (P < 0.05) of stored eggs as compared to Na selenite. The interaction showed that 0.6 mg SeGlu/kg enhanced yolk Se concentration while decreasing malondialdehyde levels in fresh egg yolk (P < 0.05). SeGlu enhanced Se concentration in albumen and glutathione peroxidase activity in plasma (P < 0.05) as compared to Na selenite. 0.6 mg Se/kg increased lactic acid bacteria, antibody response to sheep red blood cells, and lowered ∑n-6 PUFA/ ∑n-3 PUFA ratio (P < 0.05). As a result, adding SeGlu to the feed of laying hens enhanced egg production, egg quality, egg Se concentration, fresh yolk lipid oxidation, and glutathione peroxidase enzyme activity.

Mössbauer, optical and structural properties of [formula omitted] ion in borate glass

Lanthanum-bearing iron lithium borate glass is a quaternary system for oxide glasses and was prepared via the melt-quenching method. The present article correlates the structure, optical, ligand field and Mössbauer data on iron lithium borate glass containing La3+. The density was measured, while the molar volume was calculated. Other physical parameters are well-described. With increasing the La2O3 content within the glass network, infrared spectra analysis reveals structural modifications such as the increase in BO4 units and the decline in both BO3 units and NBO bonds content. Furthermore, optical absorption spectra were measured. The absorption spectra disclose a plethora of electronic transitions that are related to Fe3+ in tetrahedral and octahedral sites, however, Fe2+ phase is not observed in optical spectra, but it has a clear signature in Mössbauer spectra. Besides, the glass absorption edges undergo a clear blue shift, reflecting an increased band gap energy (1.96–2.28 eV). The decline in NBO bonds justifies this trend. Bewitchingly, the values of crystal field splitting are increased, while the values of Racah parameters are decreased. This trend is justified by the decline in NBO bonds and increases electron localization around Fe cations. Mössbauer spectra confirm the existence of Fe3+ in tetrahedral and octahedral sites, while Fe2+ exists in only a tetrahedral state. With increasing La2O3 content, the isomer shift of Fe3+ in tetrahedral sites changes to be 0.312–0.329 mm/s, while the isomer shift of octahedral Fe3+ is 0.424–0.456 mm/s. These findings coincide with optical data. While the isomer shift of tetrahedral Fe2+ is 0.902–0.911 mm/s. Our results of structural, optical and ligand field associated with Mössbauer spectra open more vistas toward the utility of these samples in the optics realm.

Natural Moisturizing Factor-Enriched Formulations Compared to a Ceramide-Based Cream.

We aimed to investigate the effects of 2 ceramide plus natural moisturizing factor-enriched formulations compared to a ceramide-based cream on skin moisturization. Two double-blinded comparative studies were conducted, which enrolled 35 (n=29 females, n=6 males) and 33 (n=21 females, n=12 males) participants, respectively. Participants applied ceramide plus natural moisturizer cream or ceramide-based cream (study 1) or applied ceramide plus natural moisturizing factor lotion or ceramide-based cream (study 2) to each of their lower legs for 10 days with a 5-day regression period (no moisturizer applied). Skin hydration by corneometry after bilateral application was conducted once daily for each leg in both groups.&nbsp;&nbsp; Results: An increase in corneometer units vs baseline for the ceramide plus natural moisturizing factor-enriched cream and natural moisturizing factor-enriched lotion were greater than the increase vs baseline for the ceramide-based cream at days 10 and 15; with an overall statistical significance in favor of the ceramide plus natural moisturizing factor-enriched formulations at day 10.&nbsp; Conclusions: The marked improvement in skin moisturization following utilization of the ceramide plus natural moisturizing&nbsp; factor-enriched cream and lotion compared to the ceramide-based cream can be attributed to the inherent properties of the natural moisturizing factors. These properties are known to maintain the humectancy and intercellular lipid membrane of the stratum corneum, which directly improves the permeability barrier function of human skin in reducing transepidermal water loss. J Drugs Dermatol. 2024;23(3):&nbsp; &nbsp; &nbsp;doi:10.36849/JDD.8172.