Key Processes Research Articles

Role of MicroRNA in Hypoxic Tumours and their Potential as Biomarkers for Early Detection of Cancer.

Hypoxia is a pathophysiological condition characterized by oxygen deficiency in tissues, which negatively affects normal biological functions. It is a typical microenvironment character of almost all solid tumours. Noncoding RNA are small functional RNA molecules that regulate gene expression at chromatin and posttranscriptional levels. Micro-RNAs (miRNAs) are a type of noncoding RNA and are ~12-22 nucleotides long that are crucial in regulating gene expression by partnering with the mRNAs of protein-coding genes. It is widely reported that miRs play an important role in various key processes and pathways during tumour formation, as well as advancement in hypoxic tumors by influencing the HIF pathway. The role of miRNAs in hypoxic tumours, namely in pancreatic, kidney, breast, lung and colorectal, are described. These miRNAs have immense potential as diagnostic and prognostic biomarkers for early cancer detection.

RICH1 is a novel key suppressor of isoproterenol‑ or angiotensin II‑induced cardiomyocyte hypertrophy.

Cardiac hypertrophy is one of the key processes in the development of heart failure. Notably, small GTPases and GTPase‑activating proteins (GAPs) serve essential roles in cardiac hypertrophy. RhoGAP interacting with CIP4 homologs protein 1 (RICH1) is a RhoGAP that can regulate Cdc42/Rac1 and F‑actin dynamics. RICH1 is involved in cell proliferation and adhesion; however, to the best of our knowledge, its role in cardiac hypertrophy remains unknown. In the present study, the role of RICH1 in cardiomyocyte hypertrophy was assessed. Cell viability was analyzed using the Cell Counting Kit‑8 assay and cells surface area (CSA) was determined by cell fluorescence staining. Reverse transcription‑quantitative PCR and western blotting were used to assess the mRNA expression levels of hypertrophic marker genes, such as Nppa, Nppb and Myh7, and the protein expression levels of RICH1, respectively. RICH1 was shown to be downregulated in isoproterenol (ISO)‑ or angiotensin II (Ang II)‑treated H9c2 cells. Notably, overexpression of RICH1 attenuated the upregulation of hypertrophy‑related markers, such as Nppa, Nppb and Myh7, and the enlargement of CSA induced by ISO and Ang II. By contrast, the knockdown of RICH1 exacerbated these effects. These findings suggested that RICH1 may be a novel suppressor of ISO‑ or Ang II‑induced cardiomyocyte hypertrophy. The results of the present study will be beneficial to further studies assessing the role of RICH1 and its downstream molecules in inhibiting cardiac hypertrophy.

Seasonal Gene Profiling in Tuz Lake with Regard to Biogeochemical Cycling

Tuz Lake, a thalassohaline lake with a salt rate of 32%, is a unique habitat for a halophilic microbiome. Culture-dependent and independent methods have been applied to identify prokaryotic microbial diversity in Tuz Lake. However, the key processes and genes involved in biogeochemical cycles in Tuz Lake have not been investigated seasonally. The aim of the study is to investigate seasonal gene profiling in Tuz Lake associated with biogeochemical cycling and thereby reveal more about the ecosystem dynamics of this extreme environment. Therefore, the PICRUSt2 tool was applied to analyze the metabolic function of archaeal and bacterial diversity in Tuz Lake. As a result of metabolic functions based on 16S rDNA amplicon sequencing data, it was observed that methane production by H2 and CO2 by anaerobic archaea in Tuz Lake was the predominant methanogenesis pathway. It was determined that sulfur oxidation was the dominant sulfur metabolism, while the reductive citric acid cycle was the dominant carbon fixation pathway.

An Effective Mechanism to Mitigate Packet Dropping Attack from MANETs using Chaotic Map based Authentication Technique

Background: MANET is a self-organized wireless network with no infrastructure. Especially data transfer from one system to another system needs to be done in a secure way. In order to provide data integrity, authentication plays an important role in data communication. RSA and ECC are widely used algorithms in the real world, but authentication using these algorithms is time-consuming. Towards this, various algorithms came into existence with different security primitives. However, it is important to design an effective key agreement process with reduced computational cost among these security mechanisms. We have designed an effective mechanism to mitigate packet dropping attacks to secure end-to-end communication in MANET. Objective: The proposed light weight authentication method is based on chaotic maps that uses Chebyshev polynomials as primitive operation. Methods: The methodology includes semi group property of Chebyshev polynomials and also the discrete logarithmic problem based chaotic maps that takes less time than these existing algorithms and evaluates with respect to attack Resilience, packet deliverya fraction, delay, throughput, and overhead. Results: Simulation produces the result of the proposed mechanism and give better performance in terms of packet delivery ratio, overhead and computational cost. Conclusion: Authentication based on developed mechanism consumes less time as shown in statistical analysis and mitigates packet dropping attacks effectively than that of traditional methods like RSA and ECC with respect to key generation mechanism.

Effects of Intraseasonal Oscillation on Timing and Subseasonal Predictability of Mei-yu Onset over the Yangtze River Basin

Abstract The time of rainy season onset is crucial information for policymakers, especially in densely populated regions such as the Yangtze River basin (YRB) in China. In this study, we proposed a new grid-based index to objectively detect mei-yu onset timing using reanalysis data and model predictions, and then we identified the key processes via which intraseasonal oscillation (ISO) affects the YRB mei-yu onset and its subseasonal predictability based on scale-decomposed moisture analysis. Climatologically, propagation of an ISO anticyclonic anomaly toward East China supports the moisture convergence required for rainy season onset over the YRB via interaction with the seasonal-mean moisture component. In the years of early mei-yu onset, the ISO was enhanced earlier in May and favored the moisture convergence anomaly in late May–early June, when the mei-yu started. In contrast, the enhanced ISO and associated moistening processes were observed later in June–early July in the years with delayed onset. The European Centre for Medium-Range Weather Forecasts and National Centers for Environmental Prediction models show skillful prediction of mei-yu onset at forecast lead times of 5–6 pentads, whereas the China Meteorological Administration model has limited skill of 3 pentads. The differences in model prediction skill are related to the accuracy of predicted moisture convergence anomalies induced by the ISO. The prediction bias in mei-yu onset timing (early or delayed) is also connected to bias in the occurrence timing of enhanced intraseasonal perturbations, suggesting the vital role of ISO in YRB mei-yu onset on the subseasonal time scale.

Abstract 7064: BRCA 1/2 haploinsufficiency-associated metabolic dysfunction in benign fallopian tube epithelia

Abstract In 3-17% of women with BRCA1/2 mutations who undergo risk-reducing surgery, pre-neoplastic and neoplastic lesions are found in their fallopian tubes that display differential loss of heterozygosity of BRCA1/2. Precisely how mutations in BRCA1/2 predispose women to develop high grade serous ovarian carcinoma (HGSC) is not completely understood. Although linked to various processes localized in the nucleus, BRCA1/2 may also have essential roles in the cytoplasm, specifically in the regulation of key processes associated with mitochondrial homeostasis and metabolism. Understanding how haploinsufficiency of BRCA1/2 contributes to the potential neoplastic transformation of fallopian tube epithelial cells should reveal new insights into BRCA1/2 function, and ultimately provide novel opportunities for preventative interventions in individuals with this mutation and new treatment opportunities for HGSC associated with BRCA1/2 heterozygosity. We have identified distinct metabolic and mitochondrial deficits in BRCA2 mutation carriers compared to BRCA1 carriers and non-carriers. Fallopian tube epithelial cell lines derived from BRCA2 mutation carriers showed increased levels of mitochondrial respiration and activity followed by BRCA1 mutation carriers and non-carriers. Western blot analysis of mitochondrial proteins regulating glycolysis and oxidative phosphorylation showed differential expression based on mutation status. Transmission electron microscopy of BRCA2 mutation carriers showed increased disrupted mitochondrial networks when compared to wild type, suggesting that mutation status may contribute to increased mitochondrial fission. These observations reveal an entirely new aspect of BRCA1 and BRCA2 biology and further studies will disaggregate the effects of BRCA1 and BRCA2 on mitochondrial function, versus DNA damage repair. Ultimately, this work will provide new insight into the adaptive changes within FT cells which promote neoplastic transformation and inform how high-grade serous carcinoma (HGSC) cells distinctively respond to microenvironmental stimuli. Citation Format: Jovanka Ravix, Iru Paudel, Gauthami Pulivendala, Ramlogan Sowamber, Elizabeth Smith, Matthew Schlumbrecht, David Lombard, Sophia George. BRCA 1/2 haploinsufficiency-associated metabolic dysfunction in benign fallopian tube epithelia [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 7064.

Iron depletion has different consequences on the growth and survival of Toxoplasma gondii strains

ABSTRACT Toxoplasma gondii is an obligate intracellular parasite responsible for a pathology called toxoplasmosis, which primarily affects immunocompromised individuals and developing foetuses. The parasite can scavenge essential nutrients from its host to support its growth and survival. Among them, iron is one of the most important elements needed to sustain basic cellular functions as it is involved in a number of key metabolic processes, including oxygen transport, redox balance, and electron transport. We evaluated the effects of an iron chelator on the development of several parasite strains and found that they differed in their ability to tolerate iron depletion. The growth of parasites usually associated with a model of acute toxoplasmosis was strongly affected by iron depletion, whereas cystogenic strains were less sensitive as they were able to convert into persisting developmental forms that are associated with the chronic form of the disease. Ultrastructural and biochemical characterization of the impact of iron depletion on parasites also highlighted striking changes in both their metabolism and that of the host, with a marked accumulation of lipid droplets and perturbation of lipid homoeostasis. Overall, our study demonstrates that although acute iron depletion has an important effect on the growth of T. gondii, it has a more profound impact on actively dividing parasites, whereas less metabolically active parasite forms may be able to avoid some of the most detrimental consequences.

Qualitative and Quantitative Analytical Techniques of Nucleic Acid Modification Based on Mass Spectrometry for Biomarker Discovery.

Nucleic acid modifications play important roles in biological activities and disease occurrences, and have been considered as cancer biomarkers. Due to the relatively low amount of nucleic acid modifications in biological samples, it is necessary to develop sensitive and reliable qualitative and quantitative methods to reveal the content of any modifications. In this review, the key processes affecting the qualitative and quantitative analyses are discussed, such as sample digestion, nucleoside extraction, chemical labeling, chromatographic separation, mass spectrometry detection, and data processing. The improvement of the detection sensitivity and specificity of analytical methods based on mass spectrometry makes it possible to study low-abundance modifications and their biological functions. Some typical nucleic acid modifications and their potential as biomarkers are displayed, and efforts to improve diagnostic accuracy are discussed. Future perspectives are raised for this research field.

Response of Soil Nitrogen Components and nirK- and nirS-Type Denitrifying Bacterial Community Structures to Drip Irrigation Systems in the Semi-Arid Area of Northeast China

Denitrification is a key process in soil available nitrogen (N) loss. However, the effects of different water-saving irrigation systems on soil N components and denitrifying bacterial communities are still unclear. In this study, quantitative fluorescence PCR and Illumina MiSeq sequencing were used to investigate the effects of three main irrigation systems, conventional flooding irrigation (FP), shallow buried drip irrigation (DI), and mulched drip irrigation (MF), on the abundance, community composition, and diversity of soil nirK- and nirS-type denitrifying bacteria in the semi-arid area of Northeast China, and to clarify the driving factors of nirK- and nirS-type denitrifying bacterial community variations. The results showed that, compared with FP, MF significantly increased soil moisture, alkaline hydrolyzed nitrogen (AHN), nitrate nitrogen (NO3−-N), non-acid hydrolyzed nitrogen (AIN), and amino sugar nitrogen (ASN), but significantly decreased the contents of ammonium nitrogen (NH4+-N) and acid hydrolyzed ammonium nitrogen (AN). The irrigation system changed the relative abundance of the dominant genera of denitrifying bacteria, DI and MF significantly increased nitrate reductase (NR) and nitrite reductase (NiR) activities, and MF significantly increased the diversity of nirK- and nirS-type denitrifying bacteria but significantly decreased the richness. The community structure of nirK- and nirS-type denitrifying bacteria was significantly different among the three irrigation systems. NO3−-N was the main driving factor affecting the community structure of nirS-type denitrifying bacteria, and moisture significantly affected the community structure of nirK-type denitrifying bacteria. DI and MF significantly increased the abundance of nirK- and nirS-type denitrifying bacteria and also increased the abundance ratio of nirS/nirK genes. Therefore, although DI and MF significantly increased the abundance of denitrifying microorganisms, they did not lead to an increase in the N2O emission potential.

Fungal traits help to understand the decomposition of simple and complex plant litter.

Litter decomposition is a key ecosystem process, relevant for the release and storage of nutrients and carbon in soil. Soil fungi are one of the dominant drivers of organic matter decomposition, but fungal taxa differ substantially in their functional ability to decompose plant litter. Knowledge is mostly based on observational data and subsequent molecular analyses and in vitro studies have been limited to forest ecosystems. In order to better understand functional traits of saprotrophic soil fungi in grassland ecosystems, we isolated 31 fungi from a natural grassland and performed several in vitro studies testing for i) leaf and wood litter decomposition, ii) the ability to use carbon sources of differing complexity, iii) the enzyme repertoire. Decomposition strongly varied among phyla and isolates, with Ascomycota decomposing the most and Mucoromycota decomposing the least. The phylogeny of the fungi and their ability to use complex carbon were the most important predictors for decomposition. Our findings show that it is crucial to understand the role of individual members and functional groups within the microbial community. This is an important way forward to understand the role of microbial community composition for the prediction of litter decomposition and subsequent potential carbon storage in grassland soils.

Unravelling human migrations: DISPERSALS Project sheds light on early Homo sapiens' journey

Unravelling human migrations: DISPERSALS Project sheds light on early Homo sapiens' journey DISPERSALS will compare the human occupation and ecology between central Mozambique and eastern and southern Africa using a multi-scale approach based on the study of regional diachronic cultural traits. It will reconstruct regional population patterns, followed by comparative quantitative population genetics combined with GIS computational network analyses. The results will then be integrated through agent-based modelling, based on the incremental creation, elimination, or reorientation of network links to simulate a quantitative framework to study the evolution of population dispersal across southern-eastern Africa. The project will be crucial in providing groundbreaking high-resolution archaeological, chronological and paleoenvironmental data. DISPERSALS will deliver a fundamental perspective on the key processes that triggered migrations and dispersals within Africa and out of Africa, ultimately resulting in the human diaspora over the entire planet.

One-Pot Synthesis of CHA/ERI-Type Zeolite Intergrowth from a Single Multiselective Organic Structure-Directing Agent.

We report the one-pot synthesis of a chabazite (CHA)/erionite (ERI)-type zeolite intergrowth structure characterized by adjustable extents of intergrowth enrichment and Si/Al molar ratios. This method utilizes readily synthesizable 6-azaspiro[5.6]dodecan-6-ium as the exclusive organic structure-directing agent (OSDA) within a potassium-dominant environment. High-throughput simulations were used to accurately determine the templating energy and molecular shape, facilitating the selection of an optimally biselective OSDA from among thousands of prospective candidates. The coexistence of the crystal phases, forming a distinct structure comprising disk-like CHA regions bridged by ERI-rich pillars, was corroborated via rigorous powder X-ray diffraction and integrated differential-phase contrast scanning transmission electron microscopy (iDPC S/TEM) analyses. iDPC S/TEM imaging further revealed the presence of single offretite layers dispersed within the ERI phase. The ratio of crystal phases between CHA and ERI in this type of intergrowth could be varied systematically by changing both the OSDA/Si and K/Si ratios. Two intergrown zeolite samples with different Si/Al molar ratios were tested for the selective catalytic reduction (SCR) of NOx with NH3, showing competitive catalytic performance and hydrothermal stability compared to that of the industry-standard commercial NH3-SCR catalyst, Cu-SSZ-13, prevalent in automotive applications. Collectively, this work underscores the potential of our approach for the synthesis and optimization of adjustable intergrown zeolite structures, offering competitive alternatives for key industrial processes.

Interdependencies in Electrode Manufacturing: A Comprehensive Study Based on Design Augmentation and Explainable Machine Learning

AbstractElectrode manufacturing, as the core of battery cell production, is a complex process chain with a large number of interrelated parameters. An in‐depth understanding of the processes, their relevant parameters, and the resulting effects on intermediate and final product properties can accelerate the transition toward quality‐oriented, efficient battery cell production. Given the complexity of the process chain, data‐driven models have emerged as promising solutions for analyzing the existing interdependencies. The accuracy and effectiveness of these models significantly depend on the quality and comprehensiveness of the underlying data. With a low‐quality dataset, there is an increased risk of drawing inaccurate conclusions or generating misleading results. This article aimed to demonstrate a use case for the evaluation and enhancement of historical datasets to provide a statistically robust foundation for the development of machine learning models. The study was based on pilot‐scale anode manufacturing and covered variations in the coating, drying, and calendering processes. The key intermediate product and process parameters were used to predict two primary target variables: adhesion strength and discharge capacity at different C‐rates. To gain a better understanding of the analyzed interdependencies, explainable machine learning methods were adopted.

Quantifying riming from airborne data during the HALO-(AC)3 campaign

Abstract. Riming is a key precipitation formation process in mixed-phase clouds which efficiently converts cloud liquid to ice water. Here, we present two methods to quantify riming of ice particles from airborne observations with the normalized rime mass, which is the ratio of rime mass to the mass of a size-equivalent spherical graupel particle. We use data obtained during the HALO-(AC)3 aircraft campaign, where two aircraft collected radar and in situ measurements that were closely spatially and temporally collocated over the Fram Strait west of Svalbard in spring 2022. The first method is based on an inverse optimal estimation algorithm for the retrieval of the normalized rime mass from a closure between cloud radar and in situ measurements during these collocated flight segments (combined method). The second method relies on in situ observations only, relating the normalized rime mass to optical particle shape measurements (in situ method). We find good agreement between both methods during collocated flight segments with median normalized rime masses of 0.024 and 0.021 (mean values of 0.035 and 0.033) for the combined and in situ method, respectively. Assuming that particles with a normalized rime mass smaller than 0.01 are unrimed, we obtain average rimed fractions of 88 % and 87 % over all collocated flight segments. Although in situ measurement volumes are in the range of a few cubic centimeters and are therefore much smaller than the radar volume (about 45 m footprint diameter at an altitude of 500 m above ground, with a vertical resolution of 5 m), we assume they are representative of the radar volume. When this assumption is not met due to less homogeneous conditions, discrepancies between the two methods result. We show the performance of the methods in a case study of a collocated segment of cold-air outbreak conditions and compare normalized rime mass results with meteorological and cloud parameters. We find that higher normalized rime masses correlate with streaks of higher radar reflectivity. The methods presented improve our ability to quantify riming from aircraft observations.

Numerical Simulation on Two-Phase Ejector with Non-Condensable Gas

The two-phase ejector is a simple and compact pressure boosting device and widely used in ejector steam-generator water feeding systems and core emergency cooling systems. The direct contact condensation of water and steam is the key process of a two-phase ejector. Usually, the high-temperature and high-pressure steam will inevitably induce non-condensable gases. The existence of non-condensable gases will reduce the condensation heat transfer rate between steam and water, and harm the equipment. This study carried out 3D numerical simulations of a two-phase ejector based on an inhomogeneous multiphase model. The steam inlet pressure and the non-condensable gas mass fraction rang in 0.6–2.9 MPa and 1–10%, respectively. The heat and mass transfer characteristics were analyzed under different conditions. The results show that the heat transfer coefficient and plume penetration length increased with the steam inlet pressure. Non-condensable gas prevents direct contact condensation between the steam and water. The non-condensable gas mass fraction rises from 1% to 10%, the heat transfer between steam and water deteriorates, and leads to a lower heat transfer coefficient.

Fast Li Replenishment Channels-Assisted Recycling of Degraded Layered Cathodes with Enhanced Cycling Performance and Thermal Stability.

The direct recycling of cathode materials in lithium-ion batteries is important for environmental protection and resource conservation. The key regeneration processes are composition replenishment and atom rearrangement, both of which depend on the migration and diffusion of atoms. However, for the direct recycling of degraded LiNi0.5 Co0.2 Mn0.3 O2 (D-NCM523) cathode, the irreversible phase transitions that accumulate during the long-term cycles block the Li diffusion channels with a high diffusion energy barrier, making it difficult to fully repair the layered structure and resulting in rapid capacity decay. To address the challenge, fast Li replenishment channels are rebuilt to regulate the surface phase and effectively assist the regeneration process with a reduced energy barrier. This method reduces the amount of Li supplement by >75% and shortens the sintering time (only 2h) to fully regenerate D-NCM523, compared to general direct recycling methods. The regenerated NCM523 (LCMB-NCM523) exhibits a satisfactory repaired specific capacity of 160mAhg-1 and excellent cycling stability, retaining 78% of its capacity after 300 cycles. In addition, LCMB-NCM523 is recycled with improved thermal decomposition peak temperature and enables 200 cycles even at 60°C, greatly improving safety. This work proposes a promising way for the large-scale direct regeneration of layered cathodes.

Understanding students' feedback use in medical progress testing: A qualitative interview study.

Active engagement with feedback is crucial for feedback to be effective and improve students' learning and achievement. Medical students are provided feedback on their development in the progress test (PT), which has been implemented in various medical curricula, although its format, integration and feedback differ across institutions. Existing research on engagement with feedback in the context of PT is not sufficient to make a definitive judgement on what works and which barriers exist. Therefore, we conducted an interview study to explore students' feedback use in medical progress testing. All Dutch medical students participate in a national, curriculum-independent PT four times a year. This mandatory test, composed of multiple-choice questions, provides students with written feedback on their scores. Furthermore, an answer key is available to review their answers. Semi-structured interviews were conducted with 21 preclinical and clinical medical students who participated in the PT. Template analysis was performed on the qualitative data using a priori themes based on previous research on feedback use. Template analysis revealed that students faced challenges in crucial internal psychological processes that impact feedback use, including 'awareness', 'cognizance', 'agency' and 'volition'. Factors such as stakes, available time, feedback timing and feedback presentation contributed to these difficulties, ultimately hindering feedback use. Notably, feedback engagement was higher during clinical rotations, and students were interested in the feedback when seeking insights into their performance level and career perspectives. Our study enhanced the understanding of students' feedback utilisation in medical progress testing by identifying key processes and factors that impact feedback use. By recognising and addressing barriers in feedback use, we can improve both student and teacher feedback literacy, thereby transforming the PT into a more valuable learning tool.

Meta-analysis of endometrial transcriptome data reveals novel molecular targets for recurrent implantation failure.

Gene expression analysis of the endometrium has been shown to be a useful approach for identifying the molecular signatures and pathways involved in recurrent implantation failure (RIF). Nevertheless, individual studies have limitations in terms of study design, methodology and analysis to detect minor changes in expression levels or identify novel gene signatures associated with RIF. To overcome this, we conducted an in silico meta-analysis of nine studies, the systematic collection and integration of gene expression data, utilizing rigorous selection criteria and statistical techniques to ensure the robustness of our findings. Our meta-analysis successfully unveiled a meta-signature of 49 genes closely associated with RIF. Of these genes, 38 were upregulated and 11 downregulated in RIF patients' endometrium and believed to participate in key processes like cell differentiation, communication, and adhesion. GADD45A, IGF2, and LIF, known for their roles in implantation, were identified, along with lesser-studied genes like OPRK1, PSIP1, SMCHD1, and SOD2 related to female infertility. Many of these genes are involved in MAPK and PI3K-Akt pathways, indicating their role in inflammation. We also investigated to look for key miRNAs regulating these 49 dysregulated mRNAs as potential diagnostic biomarkers. Along with this, we went to associate protein-protein interactions of 49 genes, and we could recognize one cluster consisting of 11 genes (consisted of 22 nodes and 11 edges) with the highest score (p = 0.001). Finally, we validated some of the genes by qRT-PCR in our samples. In summary, the meta-signature genes hold promise for improving RIF patient identification and facilitating the development of personalized treatment strategies, illuminating the multifaceted nature of this complex condition.

Zinc oxide@citric acid-modified graphitic carbon nitride nanocomposites for adsorption and photocatalytic degradation of perfluorooctanoic acid

Perfluorooctanoic acid (PFOA) is a highly persistent organic pollutant of global concern. A novel nanocomposite composed of ZnO nanoparticles and citric acid-modified g-C3N4 was synthesized by ball milling process. The synthesized nanocomposite was more efficient than pure ball-milled ZnO nanoparticles for PFOA elimination under visible light irradiation. The optimal hybrid photocatalyst, produced by the addition of 5 wt% of citric acid-modified g-C3N4, demonstrated significantly better performance for PFOA removal than pure ZnO nanoparticles under UV irradiation, with the apparent rate constants of 0.468 h−1 and 0.097 h−1, respectively. The addition of peroxymonosulfate (0.53 g L−1) significantly increased PFOA removal, clarifying the crucial effect of sulfate radicals on PFOA photodegradation. In comparison, citric acid-modified g-C3N4 was not effective for PFOA elimination under visible light irradiation, even with the addition of peroxymonosulfate. Further experiments under dark conditions identified surface adsorption on hybrid photocatalyst as a key process in total PFOA removal. In summary, PFOA removal by ZnO@citric acid-modified graphitic carbon nitride nanocomposites is due to the combined action from adsorption and photodegradation, with adsorption as the dominating mechanism.

Development of the Parental Experience with Care for Children with Serious Illnesses (PRECIOUS) quality of care measure

BackgroundParent-reported experience measures are part of pediatric Quality of Care (QoC) assessments. However, existing measures were not developed for use across multiple healthcare settings or throughout the illness trajectory of seriously ill children. Formative work involving in-depth interviews with parents of children with serious illnesses generated 66 draft items describing key QoC processes. Our present aim is to develop a comprehensive parent-reported experience measure of QoC for children with serious illnesses and evaluate its content validity and feasibility.MethodsFor evaluating content validity, we conducted a three-round Delphi expert panel review with 24 multi-disciplinary experts. Next, we pre-tested the items and instructions with 12 parents via cognitive interviews to refine clarity and understandability. Finally, we pilot-tested the full measure with 30 parents using self-administered online surveys to finalize the structure and content.ResultsThe Delphi expert panel review reached consensus on 68 items. Pre-testing with parents of seriously ill children led to consolidation of some items. Pilot-testing supported feasibility of the measure, resulting in a comprehensive measure comprising 56 process assessment items, categorized under ten subthemes and four themes: (1) Professional qualities of healthcare workers, (2) Supporting parent-caregivers, (3) Collaborative and holistic care, and (4) Efficient healthcare structures and standards. We named this measure the PaRental Experience with care for Children with serIOUS illnesses (PRECIOUS).ConclusionsPRECIOUS is the first comprehensive measure and has the potential to standardize assessment of QoC for seriously ill children from parental perspectives. PRECIOUS allows for QoC process evaluation across contexts (such as geographic location or care setting), different healthcare workers, and over the illness trajectory for children suffering from a range of serious illnesses.