Focal hemolymphangioma of the rectum: A case report and literature review.

RATIONALE: Gastrointestinal hemolymphangiomas are very rare, especially in the rectum. Only 3 cases of rectal hemolymphangioma, all of which are diffuse lesions, have been reported in the English literature on PubMed. Our case is the first focal lesion of the rectum. It is important for radiologists to correctly identify the imaging features of rectal hemolymphangiomas. PATIENT CONCERNS: A 51-year-old woman visited our hospital because of intermittent constipation for 3 years. DIAGNOSES: Colonoscopy revealed a prominent lesion on the left anterior wall of the lower rectum. Transvaginal color Doppler ultrasonography showed that the posterior vaginal wall area had a mixed-echo mass, and blood flow signals of the dots and stripes could be seen. Pelvic magnetic resonance imaging showed that the cystic space-occupying lesion in the region between the left anterior wall of the lower rectum and the posterior wall of the middle and lower vagina had a clear boundary. INTERVENTIONS: The patient underwent surgery to remove the rectal lesions. The surgical specimen was finally diagnosed as local hemolymphangioma by pathological analysis. LESSONS: Localized hemolymphangioma of the rectum is very rare, and imaging examination is essential for the diagnosis and evaluation of the extent of lesion invasion.

Rational Engineering of p-n Heterogeneous ZnS/SnO2 Quantum Dots with Fast Ion Kinetics for Superior Li/Na-Ion Battery.

Constructing heterogeneous nanostructures is an efficient strategy to improve the electrical and ionic conductivity of metal chalcogenide-based anodes. Herein, ZnS/SnO2 quantum dots (QDs) as p-n heterojunctions that are uniformly anchored to reduced graphene oxides (ZnS-SnO2 @rGO) are designed and engineered. Combining the merits of fast electron transport via the internal electric field and a greatly shortened Li/Na ion diffusion pathway in the ZnS/SnO2 QDs (3-5 nm), along with the excellent electrical conductivity and good structural stability provided by the rGO matrix, the ZnS-SnO2 @rGO anode exhibits enhanced electronic and ionic conductivity, which can be proved by both experiments and theoretical calculations. Consequently, the ZnS-SnO2 @rGO anode shows a significantly improved rate performance that simple counterpart composite anodes cannot achieve. Specifically, high reversible specific capacities are achieved for both lithium-ion battery (551 mA h g-1 at 5.0 A g-1 , 670 mA h g-1 at 3.0 A g-1 after 1400 cycles) and sodium-ion battery (334 mA h g-1 at 5.0 A g-1 , 313 mA h g-1 at 1.0 A g-1 after 400 cycles). Thus, this strategy to build semiconductor metal sulfides/metal oxide heterostructures at the atomic scale may inspire the rational design of metal compounds for high-performance battery applications.

Genome diversity and highland-adaptative variation in Tibet barley landrace population of China.

Barley landraces accumulated variation in adapting to extreme highland environments during long-term domestication in Tibet, but little is known about their population structure and genomic selection traces. In this study, tGBS (tunable genotyping by sequencing) sequencing, molecular marker and phenotypic analyses were conducted on 1,308 highland and 58 inland barley landraces in China. The accessions were divided into six sub-populations and clearly distinguished most six-rowed, naked barley accessions (Qingke in Tibet) from inland barley. Genome-wide differentiation was observed in all five sub-populations of Qingke and inland barley accessions. High genetic differentiation in the pericentric regions of chromosomes 2H and 3H contributed to formation of five types of Qingke. Ten haplotypes of the pericentric regions of 2H, 3H, 6H and 7H were further identified as associated with ecological diversification of these sub-populations. There was genetic exchange between eastern and western Qingke but they shared the same progenitor. The identification of 20 inland barley types indicated multiple origins of Qingke in Tibet. The distribution of the five types of Qingke corresponded to specific environments. Two predominant highland-adaptative variations were identified for low temperature tolerance and grain color. Our results provide new insights into the origin, genome differentiation, population structure and highland adaptation in highland barley which will benefit both germplasm enhancement and breeding of naked barley.

A Selective Oxidation Strategy towards the Yolk-Shell Structured ZnS@C Material for Ultra-Stable Li-Ion Storage.

Metal chalcogenides are attractive anode materials for lithium-ion batteries (LIBs) due to their high theoretical capacities. With the advantages of low cost and abundance reserves, ZnS is regarded as the prime candidate anode material for future generations, but its practical application is hindered by the large volume expansion during repeated cycling processes and inherent poor conductivity. Rational design of the microstructure with large pore volume and high specific surface area is of great significance to solve these problems. Here, a carbon-coated ZnS yolk-shell structure (YS-ZnS@C) has been prepared by selective partial oxidation of a core-shell structured ZnS@C precursor in air and subsequent acid etching. Studies show that the carbon wrapping and proper etching to bring cavities can not only improve the material's electrical conductivity, but can also effectively alleviate the volume expansion problem of ZnS during its cycles. As a LIB anode material, the YS-ZnS@C exhibits an obvious superiority in capacity and cycle life compared to ZnS@C. The YS-ZnS@C composite shows a discharge capacity of 910 mA h g-1 at the current density of 100 mA g-1 after 65 cycles, compared to only 604 mA h g-1 for ZnS@C after 65 cycles. Notably, at a large current density of 3000 mA g-1, a capacity of 206 mA h g-1 can still be maintained after 1000 cycles (over three times of the capacity for ZnS@C). It is expected that the synthetic strategy developed here is applicable to designing various high-performance metal chalcogenide-based anode materials for LIBs.

Embedding Lanthanide Organic Polyhedra into Mesoporous Silica Nanoparticles for the Photocatalytic Degradation of Organic Dyes.

Organic pollutants cause severe environmental problems because of their damage to human health and ecological systems. Photocatalytic degradation of persistent organic pollutants is of great importance to address these hazards. Herein, we report a lanthanide organic polyhedra-based hybrid material Gd8 L12 ⊂MSN with the capability of photocatalytic dye degradation. Gd8 L12 ⊂MSN was prepared by embedding the Gd8 L12 complex into mesoporous silica nanoparticles (MSNs) using a "ship-in-a-bottle" strategy. Photocurrent response tests revealed that this hybrid material is a potential semiconductor and could generate a rapid and steady photocurrent upon irradiation. Further dye degradation experiments indicated that it could photocatalyze the degradation of familiar organic dyes. Thereinto, compared with the critical Gd8 L12 complex, the hybrid material exhibited an acceleration of 2.4 times and realized reusability. This not only offers a potential advanced photocatalyst for degrading persistent organic pollutants, but also provides a strategy for the application of supramolecular materials in environmental science.

A facile precursor route towards the synthesis of Fe1-xS@NC-rGO composite anode materials for high-performance lithium-ion batteries.

Iron-based sulfides are considered promising anode materials for lithium-ion batteries (LIBs) due to their low cost and high theoretical specific capacities. However, low conductivity and dissolution of lithium polysulfides during the reaction hamper their practical applications. Herein, we firstly synthesized N-doped carbon-coated Fe1-xS (Fe1-xS@NC) sheets through vacuum pyrolysis of the precursor Fe1-xS(en)0.5 (en = ethylenediamine). Then Fe1-xS@NC-rGO composites (rGO = reduced graphene oxide) were prepared in which the Fe1-xS@NC sheets were anchored on the rGO. The performance of the composites as an anode material for LIBs has been investigated. It is found that coating N-doped C on Fe1-xS surfaces can improve the surface conductivity and electrochemical kinetics of Fe1-xS, which is beneficial for the conversion between lithium polysulfides and Fe1-xS. In addition, the coated N-doped C on the Fe1-xS sheets can serve as a barrier to direct contact between the electrolyte and the material, reducing the dissolution of polysulfides and preventing the loss of active ingredients. More importantly, the double protection of the N-doped C layer and the flexible rGO substrate minimizes the structural damage caused by the cyclic expansion of Fe1-xS@NC-rGO. As expected, Fe1-xS@NC-rGO exhibits good rate performance with a reversible capacity of 939.5 mA h g-1 after 1690 cycles at a current density of 1.0 A g-1, along with outstanding charge and discharge performance and excellent long-term cycling stability. This work shows that the introduction of NC coating and the rGO matrix into Fe1-xS would synergistically enhance the performance of Fe1-xS for LIBs and highlights the effectiveness of the synthetic strategy for double carbon-based materials-protected sulfides in developing superior LIB electrodes.

High level of neutrophil to lymphocyte ratio increases the risk of deep venous thrombosis in intensive care unit patients after oral cancer surgery: a retrospective study.

Background: The incidence of deep venous thrombosis (DVT) is higher in surgical patients, but there have been few studies on the risk factors of DVT in intensive care unit (ICU) patients after oral cancer surgery, particularly in relation to the inflammatory and nutritional scores, and intervene with these risk factors early may decrease the occurrence of DVT. Methods: We performed a retrospective study of adult patients who were admitted to ICU after undergoing radical resection of oral cancer and performed ultrasound detection for DVT within 1 week after surgery from April 2019 to July 2021. DVT was diagnosed by venous ultrasonography of the lower extremities. Preoperative inflammatory and nutritional scores, including neutrophil to lymphocyte ratio (NLR), plate to lymphocyte ratio (PLR), prognostic nutritional index (PNI) were retrospectively calculated according to test results before surgery. Clinical characteristics, including the Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Caprini Risk Score (CRS), Charlson comorbidity index, anticoagulation therapy, and mechanical ventilation time (MVT) after admitted to ICU were obtained. The risk factors affecting DVT occurrence were analyzed by logistic regression, and the receiver operating characteristic (ROC) curve was used to analyze the value of the relevant indicators in evaluating DVT. Results: Among the 128 patients, 43 patients (33.6%) developed DVT. Compared with the non-DVT group, the preoperative glucose (GLU), postoperative D-dimer (P<0.05), and postoperative NLR (P<0.001) were higher in the DVT group than in the non-DVT group. In multivariate logistic analysis, NLR (P=0.001), postoperative D-dimer >5.57 µg/mL (P=0.002), GLU >5.15 mmol/L (P=0.025) was associated with DVT, and the areas under the curve (AUCs) of NLR in predicting DVT was 0.729. We also found that the DVT group had longer MVT and length of stay (LOS) than the non-DVT group, and correlation analysis indicated that NLR level was positively related with MVT (r=0.36; P<0.0001) and LOS (r=0.452; P<0.0001). Conclusions: A high level of NLR, indicative of a poor immunity and nutrition status, increases the risk of DVT in patients after oral cancer surgery, and improvement of immunity and nutrition status may help decrease the occurrence of postoperative DVT.

Impacts of slurry application methods and inhibitors on gaseous emissions and N2O pathways in meadow-cinnamon soil.

This study aimed to evaluate the impact of mitigation practices (slurry application methods and inhibitors applications) on gas emissions and identify the soil N2O production pathways in cattle slurry applied soil using isotopocule mapping approach. First, we compared the NH3 and N2O emissions of cattle slurry applied soil in a summer maize field experiment in north China plain (NCP) with four treatments: control (CK, no fertilization), slurry application using surface (SA-S), slurry application using band application (BA-S), and chemical fertilizer application using band application (BA-C). Then, an incubation experiment was conducted to investigate the mitigation effect of nitrification inhibitors (dicyandiamide, DCD) and denitrification inhibitors (procyanidins, PC) and their combination (DCD + PC) on gaseous N emissions with slurry applied using incorporation (IA) or surface application (SA) methods. The results showed that the total gaseous N emissions (N2O-N and NH3-N) in field were in the order of SA-S (1534 mg m-2) > BA-S (338 mg m-2) > BA-C (128 mg m-2) > CK (55 mg m-2), and the dominant N loss contributor varied from NH3 in SA-S (∼89%) to N2O in BA-S (∼94%) and BA-C (∼88%). Moreover, the isotopocule mapping approach indicated that emitted N2O of the slurry applied soil in field appeared to have lower rN2O values and led to more N2O + N2 emissions at the initial fertilization period. The incubation experiment indicated that the N2O emissions of slurry-applied soil were significantly reduced by DCD (∼45%) and DCD + PC (∼67%) application in comparison with CK (p < 0.05), and the stronger contributions of bacterial denitrification/nitrifier denitrification to N2O production were revealed by the lower δ15NSP in N2O using the isotopocule mapping approach. In conclusion, in NCP the gaseous losses of the slurry applied field can be largely reduced by using incorporation method, and greater reduction could be achieved given the simultaneous application of nitrification/denitrification inhibitors.

Mitigating gas emissions from poultry litter composting with waste vinegar residue.

The composting process is important in the recycling of organic wastes produced in agriculture, food, and municipal waste management. This study explored the suitability of using waste vinegar residue (WVR) as an amendment in poultry litter (PL) composting. Four treatments, including poultry litter (CK), poultry litter+vinegar residue (VR), poultry litter+vinegar residue+lime (VR_Ca) and poultry litter+vinegar residue+biochar (VR_B), were conducted. During a 42-day composting period, the dynamics of carbon dioxide (CO2), ammonia (NH3), nitrous oxide (N2O) and methane (CH4) emissions, as well as the physicochemical properties and abundances of the bacteria and fungi of the feedstock were tracked to examine the potential barriers in the co-composting of WVR and PL. Compared to those of the CK, using a WVR amendment lowered the pH, increased the electrical conductivity significantly at the early stage, resulted in a strong inhibition of bacterial and fungal growth and delayed the thermophilic period of poultry litter composting while significantly reducing NH3 and N2O and GHG (CO2-e) emissions. A preadjustment of the WVR with alkaline biochar or lime lengthened the thermophilic period and increased the germination index (GI) by alleviating the inhibitory effect of the WVR on bacterial and fungal growth during composting. However, such preadjustment might reduce the mitigation effect on NH3. In conclusion, WVR can be recycled through co-composting with poultry litter, and the additional mitigation of N losses and N conservation can be achieved without halting compost quality.

Separation efficiency of different solid-liquid separation technologies for slurry and gas emissions of liquid and solid fractions: A meta-analysis.

Solid-liquid separation (SLS) technology is widely used in the slurry management in animal farms. This study conducted a comprehensive meta-analysis of 45 published articles to evaluate the differences in separation efficiencies (SEX-SF) of various SLSs and the changes of gas emissions before and after the separation during on-farm slurry storage. The results indicated that the SEX-SF of the untreated raw slurry and acidified slurry were consistently greater than those of the digested slurry, and centrifugation resulted in greater SEX-SF than the other mechanical methods. Both measured and simulated data showed that the centrifuge technology had greater reductions in greenhouse gas (GHG) emissions relative to the screw press (56.1-58.0% vs. 38.9-40.2% for untreated slurry, and 29.7-30.2% vs. 22.5-23.2% for digested slurry), mainly due to CH4 reduction. Additionally, we identify the need for further assessment of the environmental risks that are associated with SLSs for the development of an optimal slurry management chain.

T cell activation profiles can distinguish gram negative/positive bacterial sepsis and are associated with ICU discharge.

Introduction: Sepsis is a life-threatening complication resulting from a dysregulated host response to a serious infection, of which bacteria are the most common cause. A rapid differentiation of the gram negative (G-)/gram positive (G+) pathogens facilitates antibiotic treatment, which in turn improves patients' survival. Methods: We performed a prospective, observational study of adult patients in intensive care unit (ICU) unit and underwent the analysis of peripheral blood lymphocyte subsets, cytokines and other clinical indexes. The enrolled 94 patients were divided into no infection group (n=28) and bacterial sepsis group (n=66), and the latter group was subdivided into G- (n=46) and G+ (n=20) sepsis subgroups. Results: The best immune biomarker which differentiated the diagnosis of G- sepsis from G+ sepsis, included activation markers of CD69, human leukocyte antigen DR (HLA-DR) on CD3+CD8+T subset. The ratio of CD3+CD4+CD69+T/CD3+CD8+CD69+T (odds ratio (OR): 0.078(0.012,0.506), P = 0.008), PCT>0.53 ng/ml (OR: 9.31(1.36,63.58), P = 0.023), and CO2CP<26.5 mmol/l (OR: 10.99(1.29, 93.36), P = 0.028) were predictive of G- sepsis (versus G+ sepsis), and the area under the curve (AUC) was 0.947. Additionally, the ratio of CD3+CD4+CD69+T/CD3+CD8+CD69+T ≤ 0.2697 was an independent risk factor for poor ICU discharge in G- sepsis patients (HR: 0.34 (0.13, 0.88), P=0.026). Conclusion: We conclude that enhanced activation of T cells may regulate the excessive inflammatory response of G- bacterial sepsis, and that T cell activation profiles can rapidly distinguish G- sepsis from G+ sepsis and are associated with ICU discharge.

[Impact of hypophosphatemia on weaning from mechanical ventilation].

OBJECTIVE: To explore the influence of hypophosphatemia on weaning from mechanical ventilation. METHODS: An observational study was conducted. The medical records of 30 mechanical ventilated patients with hypophosphatemia admitted to intensive care unit of Sun Yat-sen Memorial Hospital of Sun Yat-sen University from January 2018 to August 2020 were analyzed; another 60 mechanical ventilated patients with normophosphatemia around the same time were enrolled as controls by 1:2 case-control matching based on gender, age, acute physiology and chronic health evaluation II (APACHE II) score, sequential organ failure assessment (SOFA) score. And then the duration of invasive mechanical ventilation, times of spontaneous breathing trial (SBT), the diaphragmatic ultrasonography movement indexes, and outcome of weaning and prognosis during hospitalization were compared between the two groups. Receiver operator characteristic curve (ROC curve) was plotted to calculate the areas under ROC curve (AUC) and cut-off values of serum phosphorus for successful weaning and hospital survival. The correlations between the diaphragmatic ultrasonography movement indexes and serum phosphorus were analyzed by Pearson partial correlation analysis. RESULTS: Compared with normophosphatemic group, the duration of invasive mechanical ventilation in hypophosphatemia group was significantly longer [days: 13.0 (7.0, 22.0) vs. 10.0 (5.5, 14.0), P < 0.05], and SBT attempts were more often [times: 3 (0, 5) vs. 1 (1, 2), P < 0.01], while the rate of successful weaning was lower (53.3% vs. 91.7%, P < 0.01), and the hospital mortality was higher (20.0% vs. 1.7%, P < 0.01). ROC curve analysis showed that serum phosphorus could predict successful weaning of mechanical ventilated patients, the AUC was 0.795, and the optimum cut-off value of serum phosphorus was 0.85 mmol/L with sensitivity of 73.2% and specificity of 84.2%. Serum phosphorus could predict hospital survival of mechanical ventilated patients, the AUC was 0.782, and the optimum cut-off value of serum phosphorus was 0.48 mmol/L with sensitivity of 81.9% and specificity of 85.7%. Compared with normophosphatemic group, diaphragm thickness at the end of inspiration (DTei), diaphragm thickness at the end of expiration (DTee), diaphragm thickening fraction (DTF), diaphragm excursion (DE) in hypophosphatemia group were all significantly decreased [DTei (cm): 0.19±0.07 vs. 0.27±0.08, DTee (cm): 0.14±0.05 vs. 0.19±0.06, DTF: (33.55±16.17)% vs. (45.04±18.66)%, DE (cm): 1.17±0.49 vs. 2.28±0.69, all P < 0.01]. Pearson partial correlation analysis showed that linear correlations were found between serum phosphorus and DTei, DTee, DTF, DE (r values were 0.442, 0.351, 0.293, 0.628 respectively, all P < 0.01). CONCLUSIONS: Serum phosphorus may have correlation with the diaphragmatic ultrasonography movement indexes. Hypophosphatemia may impair the contractile properties of diaphragm, induce more SBT attempts and longer duration of invasive mechanical ventilation, and affect outcome of weaning and prognosis.

Silencing of LncRNA-PVT1 ameliorates lipopolysaccharide-induced inflammation in THP-1-derived macrophages via inhibition of the p38 MAPK signaling pathway.

BACKGROUND: Sepsis is common in intensive care units and has a high mortality rate; yet, its pathogenesis and treatment remain unclear. Recent studies have shown that long non-coding RNA plasmacytoma variant translocation 1 (lncRNA-PVT1) plays a pro-inflammatory role in immune-related inflammatory diseases. Therefore, we investigated whether lncRNA-PVT1 plays an important pro-inflammatory effect in the inflammatory response of sepsis. METHODS: Quantitative real-time PCR (RT-qPCR) was employed for the detection of lncRNA-PVT1, interleukin 1ß (IL-1ß), and tumor necrosis factor α (TNF-α) mRNA, and the correlations between their expressions were analyzed. After lncRNA-PVT1 knockdown by lncRNA Smart Silencer, abnormal expressions of lncRNA-PVT1, and IL-1ß and TNF-α mRNA were detected. The expressions of total and phosphorylated protein of p38 were detected by western blotting. The effect of silencing lncRNA-PVT1 on p38 mitogen-activated protein kinase (MAPK) signaling pathway during lipopolysaccharide (LPS)-induced inflammation was subsequently analyzed. The MAPK selective inhibitor, SB202190, was used to block this signaling pathway, and the expressions of lncRNA-PVT1 and TNF-α were detected by RT-qPCR. Furthermore, the effect of partial blockade of the p38 MAPK signaling pathway by SB202190 on the levels of lncRNA-PVT1 was explored. RESULTS: Following treatment of THP-1-derived macrophages with different concentrations of LPS, the levels of lncRNA-PVT1 and IL-1ß, TNF-α mRNA were increased in a dose-dependent manner. Silencing of lncRNA-PVT1 reduced the expressions of IL-1ß and TNF-α mRNA via inhibition of the p38 MAPK signaling pathway. Specifically, inhibiting the p38 MAPK pathway significantly decreased the LPS-induced lncRNA-PVT1 elevation. CONCLUSIONS: Our observations suggest that lncRNA-PVT1 can be silenced to ameliorate LPS-induced inflammation in macrophages via inhibition of the p38 MAPK pathway. Further, the p38 MAPK pathway can regulate the expression of lncRNA-PVT1 via a positive feedback loop.

Prognostic Value of the Red Cell Distribution Width in Patients with Sepsis-Induced Acute Respiratory Distress Syndrome: A Retrospective Cohort Study.

OBJECTIVE: The prognostic value of the red cell distribution width (RDW) in patients with sepsis-induced acute respiratory distress syndrome (ARDS) is still elusive. This study is aimed at determining whether RDW is a prognostic indicator of sepsis-induced ARDS. METHODS: This retrospective cohort study included 1161 patients with sepsis-induced ARDS. The datasets were acquired from the Medical Information Mart for Intensive Care III database. The locally weighted scatter-plot smoothing technique, Cox regression, Kaplan-Meier estimator, and subgroup analysis were carried out to evaluate the association between RDW and 90-day mortality. RESULTS: The RDW and mortality had a roughly linear increasing relationship. The Cox regression model results were as follows: for level 2 (14.5% < RDW < 16.2%), hazard ratio (HR) = 1.35, 95% confidence interval (CI) = 1.03-1.77, and for level 3 (RDW ≥ 16.2%), HR = 2.07, 95% CI = 1.59-2.69. The following results were obtained when RDW was treated as a continuous variable: HR = 1.11, 95%CI = 1.06-1.15. The P values of the interaction between the RDW and covariates were greater than 0.05. CONCLUSION: RDW is a new independent prognostic marker for patients with sepsis-induced ARDS.

Impact of biochar application on gas emissions from liquid pig manure storage.

Biochars have been used to reduce gas emissions from manure composting practices and to recover nutrients from wastewater because of their effective sorption capacity. However, relatively less is known about the impacts of different alkaline biochars on the gas emissions from liquid manure. Materials including two commercial biochars prepared from walnut shell (WA) and coconut shell (CC), respectively, and coal (CO) were applied (with manure/biochar ratio of 20:1 in weight) to examine their influence on NH3, CH4, and N2O emissions from liquid pig manure during a 68-d period in comparison with a control (CK, without biochars), and to investigate the evolution of the manure N mass balances and the changes in biochar properties during liquid manure storage to understand the characteristics of biochar. Compared with the CK, the application of WA, CC, and CO biochars increased the NH3 emissions by 4.00, 3.87, and 1.23 times, respectively, the absorbed N content of the biochars was markedly lower than the enhanced gaseous losses through NH3 emissions. Similarly, the total greenhouse gas (GHG) emissions from the manure with WA, CC, and CO biochar application were 6.28, 5.55, and 0.83 times greater than those observed with the CK, respectively, and were mainly attributed to the enhanced CH4 emissions. The significant contribution (5%-12%) of indirect GHG emissions from the enhanced NH3-N losses was also identified. The hypothesis for the enhanced gas emissions from liquid manure with biochar addition has been discussed in the present study; however, further investigation in the future is warranted.

Hyperphosphatemia rather than hypophosphatemia indicates a poor prognosis in patients with sepsis.

BACKGROUND: Sepsis is the leading cause of hospitalization and death in the intensive care unit. It is vital to identify high-risk patients with poor prognosis in the early stages of sepsis. We aimed to investigate the prognostic value of serum phosphorus levels for sepsis. METHODS: The data of 4767 patients with sepsis were collected from the Multiparameter Intelligent Monitoring in Intensive Care III database. The Locally Weighted Scatterplot Smoothing technique and Kaplan-Meier analysis were used to test the crude relationship between serum phosphorus levels and mortality or overall survival. The multivariable logistic regression was used to further analyze the relationship between serum phosphorus levels and in-hospital mortality. The subgroup analysis was performed according to renal failure, use of vasopressin and the Sequential Organ Failure Assessment (SOFA) score. RESULTS: Only hyperphosphatemia significantly correlated with in-hospital mortality [odds ratio (OR) 1.48; 95% confidence interval (CI) 1.19-1.85], while the correlation between hypophosphatemia and in-hospital mortality was not significant (OR 0.91; 95% CI 0.70-1.19). The interactions between serum phosphorus and renal failure, use of vasopressin or the SOFA score were not significant. CONCLUSIONS: Hyperphosphatemia rather than hypophosphatemia indicates a poor prognosis in patients with sepsis.

Preparation of ZnS@N-doped-carbon composites via a ZnS-amine precursor vacuum pyrolysis route.

ZnS/carbon nanocomposites have potential electrochemical applications due to their improved conductivity and more active sites through modification of the carbon materials. Herein, we report a facile method to synthesize the nanocomposites comprising ZnS nanoparticles and nitrogen-doped carbon (ZnS@NC). The inorganic-organic hybrid ZnS-amine material ZnS(ba) (ba = n-butylamine) is synthesized on a large scale by a reflux method, which effectively shortens the reaction time while maintaining the high yield compared with the solvothermal method. Then ZnS(ba) is used as precursor for obtaining ZnS@NC nanocomposites via a vacuum pyrolysis route, in which the content of carbon and nitrogen can be controlled by adjusting the pyrolysis temperature. Further, a series of ZnS-amine hybrid materials ZnS(ha), ZnS(en)0.5 and ZnS(pda)0.5 (ha = n-hexylamine; en = ethylenediamine; pda = 1,3-propanediamine) are synthesized and used as precursors for the preparation of ZnS@NC materials, indicating the universality of this method. Moreover, the as-synthesized ZnS@NC materials exhibit remarkable lithium storage performance with outstanding cycling stability, high-rate capability and remarkable pseudo-capacitance characteristics.

MicroRNA-338-5p alleviates neuronal apoptosis via directly targeting BCL2L11 in APP/PS1 mice.

MicroRNAs have become pivotal modulators in the pathogenesis of Alzheimer's disease. MiR-338-5p is associated with neuronal differentiation and neurogenesis, and expressed aberrantly in patients with cognitive dysfunction. However, its role and potential mechanism involved in Alzheimer's disease remain to be elucidated. Herein, we showed that the expression of miR-338-5p decreased in APP/PS1 mice, accompanied by the elevation in the expression level of amyloid ß, which indicated a reverse relationship between Alzheimer's disease progression and miR-338-5p. In addition, lentiviral overexpression of miR-338-5p through intrahippocampal injection mitigated the amyloid plaque deposition and cognitive dysfunction in APP/PS1 mice, suggesting a protecting role of miR-338-5p against the development of Alzheimer's disease. Moreover, miR-338-5p decelerated apoptotic loss of neurons in APP/PS1 mice. MiR-338-5p decreased neuronal apoptosis in vitro induced by amyloid ß accumulation, which was attributed to the negative regulation of BCL2L11 by miR-338-5p, since the restoration of BCL2L11 eliminated the protective role of miR-338-5p against neuronal apoptosis. Taken together, all of these results may indicate miR-338-5p as an innovative modulator in the pathogenesis of Alzheimer's disease, and also suggest that the protective effect of miR-338-5p on neuronal apoptosis may underlie its beneficial effect on APP/PS1 mice.

Content analysis of vitamins, dietary fibers and amino acids in a wide collection of barley (Hordeum vulgare L.) from Tibet, China.

Barley (Hordeum vulgare L.) is an important agricultural crop. Various studies on the genetic diversity, biochemical and molecular attributes on this species are known. However, information on nutritional variability in a large panel of barley cultivars is limited. Therefore, it is of interest for a quantitative analysis of vitamins, amino acids and dietary fibers in 245 barley of Tibet region in China. The coefficient of variation analysis revealed strong variation of vitamins (VB1>VB2>VE), essential amino acids (valine, histidine, methionine, lysine), non-essential amino acids (proline, tyrosine, cysteine), dietary fibers, (cellulose > lignin). Principal component analysis detected three clusters of cultivars, each with specific characteristics. However, the most nutritional cultivars were found in Cluster 3, which encompassed 52 cultivars. Distinctly, six cultivars (ZQ2000, BJX230, BJX229, BJX249, BJX191 and BJX265) were identified with highest nutritional values. This study reveals a large nutritional diversity in barley cultivars from Tibet and represents an important reference for the exploitation of these germplasm in crop improvement and breeding programmes.

Trade-offs of gaseous emissions from soils under vegetable, wheat-maize and apple orchard cropping systems applied with digestate: An incubation study.

Land application of digestate from anaerobic digestion causes various gaseous emissions. A soil core incubation experiment was carried out in the laboratory to investigate the trade-offs of NH3, N2O and CH4 emissions from soils collected from vegetable, arable and orchard cropping systems. Digestate derived from liquid cattle manure was applied to the soil cores through the surface (SA) and incorporation application (IA) methods under three soil moisture conditions (40%, 60%, and 80% water-filled pore space, WFPS). Gaseous emissions from vegetable soil were significantly greater (P< .05) than those from soils under the other two cropping systems under similar conditions, particularly under a high moisture condition. The greenhouse gas emissions (GHG, in term of CO2-equivalents) of all soils increased with the increasing soil moisture contents, mainly due to rapidly increasing N2O emissions. Trade-offs in the emissions of these three gases were observed between SA and IA. As expected, SA was characterized by greater NH3 and CH4 but lower N2O emissions compared to IA. The increase in GHG under IA could be offset only somewhat by the reduced NH3 (and this reduced indirect N2O) and CH4 emissions under lower moisture conditions (<60% WFPS), which indicates a requirement for other strategies to control gaseous emissions from wet soils applied with digestate. In conclusion, an environmentally friendly strategy for digestate application should consider the soil moisture, types of soils and application methods, and all the presented suggestions need to be verified in the field in the future.Implications: This study shows that digestate incorporation can decrease NH3 but increase GHG emissions verse the surface application method, where the increased GHG could only be offset by the NH3 reductions at relatively dry soil condition, indicating an urgent requirement to mitigating GHG emissions under moist soil condition.