Mid-arm muscle circumference and triceps skinfold thickness associated with cardiometabolic disease in Chinese residents: A prospective cohort study.

BACKGROUND AND AIMS: The association of cardiometabolic disease (CMD) with body muscle and fat mass remains unclear. Mid-arm muscle circumference (MAMC) and triceps skinfold (TSF) thickness are easily obtained measuring methods for these two body compositions. This study aimed to investigate the association of CMD with MAMC and TSF thickness among Chinese residents. METHODS: A total of 9440 eligible participants from the China Health and Nutrition Survey were included in the analysis. Associations of CMD prevalence with MAMC and TSF thickness were estimated using logistic regression models. Multivariable COX proportional-hazards regression models were used to estimate the effect of baseline MAMC and TSF thickness on subsequent CMD. RESULTS: Positive associations of CMD prevalence with MAMC (odds ratio [OR] = 1.169, 95% confidence interval [CI] 1.110-1.232, P < 0.001) and TSF thickness (OR = 1.313, 95%CI 1.240-1.390, P < 0.001) were observed in the cross-sectional analysis. In the longitudinal study, a 1-SD increase in MAMC was associated with a 13.6% increased risk of CMD incidence (hazard ratio [HR] = 1.136, 95%CI 1.073-1.204, P < 0.001), and a 1-SD increase in TSF thickness had a 17.6% increased risk of CMD incidence (HR = 1.176, 95%CI 1.084-1.276, P < 0.001). For the CMD components, both MAMC and TSF thickness contributed to increased incidences of hypertension (HR = 1.163, 95%CI 1.097-1.233, P < 0.001 in MAMC; HR = 1.218, 95%CI 1.110-1.336, P < 0.001 in TSF thickness) and diabetes mellitus (HR = 1.166, 95%CI 1.028-1.323, P = 0.017 in MAMC; HR = 1.352, 95%CI 1.098-1.664, P = 0.004 in TSF thickness). CONCLUSIONS: Individuals with higher MAMC and TSF thickness had an increased incidence of CMD, mainly hypertension and diabetes mellitus. This study revealed a seemingly counterintuitive association between body muscle mass and metabolic homeostasis. Although the potential mechanisms require further exploration, the impact of body muscle mass on metabolic health cannot be ignored.

Fibrosis-4 index is closely associated with clinical outcomes in acute cardioembolic stroke patients with nonvalvular atrial fibrillation.

Liver cirrhosis is a confirmed risk factor for poor prognosis of stroke; however, the contribution of clinically inapparent liver fibrosis to cardioembolic stroke (CES) and its outcomes are poorly understood. This study aimed to investigate the associations between liver fibrosis-measured by the Fibrosis-4 (FIB-4) score-and stroke severity and short-term clinical outcomes of patients with acute CES due to nonvalvular atrial fibrillation (NVAF). A total of 522 patients were followed for a median of 90 days. We calculated the FIB-4 score and defined liver fibrosis as follows: likely advanced fibrosis (FIB-4 > 3.25), indeterminate advanced fibrosis (FIB-4, 1.45-3.25), and unlikely advanced fibrosis (FIB-4 < 1.45). Logistic regression analysis and Cox regression analysis were used to investigate the relations between the FIB-4 score and stroke severity, major disability at discharge, and all-cause mortality. Among these 522 acute CES patients with NVAF, the mean FIB-4 score (2.28) on admission reflected intermediate fibrosis, whereas liver enzymes were largely normal. In multivariate regression analysis, patients with advanced liver fibrosis were more likely to have a higher risk of severe stroke (OR = 2.21, 95% CI 1.04-3.54), major disability at discharge (OR = 4.59, 95% CI 1.88-11.18), and all-cause mortality (HR = 1.25, 95% CI 1.10-1.56) than their counterparts. Regarding sex, these associations were stronger in males but not significant in females. In patients with acute CES due to NVAF, advanced liver fibrosis is associated with severe stroke, major disability, and all-cause death. Our findings indicate that early screening and management of liver fibrosis may decrease stroke severity and risk of death in patients with NVAF, especially for male patients. Consequently, FIB-4 > 3.25 of male patients should receive ultrasound elastography to further determine the degree of liver fibrosis.

Recent advances of structural/interfacial engineering for Na metal anode protection in liquid/solid-state electrolytes.

Na metal anode is one of most promising anode materials for next-generation secondary batteries. However, the practical application of Na anode is limited by dendritic growth, rapid volume change, and serious interface problems in the process of Na electroplating/stripping, resulting in low coulombic efficiency, short life, and safety issues of sodium metal batteries (SMBs). Herein, the cyclic instability mechanisms of the Na anode and the corresponding advanced protection strategies including in situ solid-electrolyte-interphase (SEI), artificial SEI, and three-dimensional conductive frame, are systematically reviewed. Notably, this review summarizes the latest research progress on interface modification and electrode modification of all-solid-state SMBs. Finally, the outlooks of anode interphase in SMBs are summarized and prospected, providing a promising way for high-energy and safe SMBs.

Advances in functional organic material-based interfacial engineering on metal anodes for rechargeable secondary batteries.

Metal anodes with the merits of high theoretical capacity and low electrochemical potential are promising candidates for the construction of high-energy-density rechargeable secondary batteries. However, metal anodes with high chemical reactivity are likely to react with traditional liquid electrolytes, leading to the growth of dendrites, side reactions, and even safety issues. In this case, metal plating/stripping electrochemistry is associated with an enhanced ion transfer rate and homogeneous ion distribution on the metal surface. Herein, functional organic material (FOM)-based interfacial engineering on metal anodes is systematically presented, focusing on the effects of forming uniform solid electrolyte interphase (SEI) layer, homogenizing ion flux, accelerating ion transport, etc. This main content addresses the advances of FOMs in terms of SEI modification, 3D skeleton construction, and gel/solid-state electrolytes in multiple metal batteries, providing in-depth insights into the exploration of high-performance metal batteries. Moreover, other applications and outlooks for FOMs are further summarized, paying potential ways for the practical applications of FOM-based rechargeable secondary batteries.

Risk factors, clinical features, and outcomes of premature acute myocardial infarction.

Aims: To investigate the risk factors, clinical features, and prognostic factors of patients with premature acute myocardial infarction (AMI). Materials and methods: A retrospective cohort study of patients with AMI included in data from the West China Hospital of Sichuan University from 2011 to 2019 was divided into premature AMI (aged < 55 years in men and < 65 years in women) and non-premature AMI. Patients' demographics, laboratory tests, Electrocardiography (ECG), cardiac ultrasound, and coronary angiography reports were collected. All-cause death after incident premature MI was enumerated as the primary endpoint. Results: Among all 8,942 AMI cases, 2,513 were premature AMI (79.8% men). Compared to the non-premature AMI group, risk factors such as smoking, dyslipidemia, overweight, obesity, and a family history of coronary heart disease (CHD) were more prevalent in the premature AMI group. The cumulative survival rate of patients in the premature AMI group was significantly better than the non-premature AMI group during a mean follow-up of 4.6 years (HR = 0.27, 95% CI 0.22-0.32, p < 0.001). Low left ventricular ejection fraction (LVEF) (Adjusted HR 3.00, 95% CI 1.85-4.88, P < 0.001), peak N-terminal pro-B-type natriuretic peptide (NT-proBNP) level (Adjusted HR 1.34, 95% CI 1.18-1.52, P < 0.001) and the occurrence of in-hospital major adverse cardiovascular and cerebrovascular events (MACCEs) (Adjusted HR 2.36, 95% CI 1.45-3.85, P = 0.001) were predictors of poor prognosis in premature AMI patients. Conclusion: AMI in young patients is associated with unhealthy lifestyles such as smoking, dyslipidemia, and obesity. Low LVEF, elevated NT-proBNP peak level, and the occurrence of in-hospital MACCEs were predictors of poor prognosis in premature AMI patients.

Machine Learning Based on Event-Related EEG of Sustained Attention Differentiates Adults with Chronic High-Altitude Exposure from Healthy Controls.

(1) Objective: The aim of this study was to examine the effect of high altitude on inhibitory control processes that underlie sustained attention in the neural correlates of EEG data, and explore whether the EEG data reflecting inhibitory control contain valuable information to classify high-altitude chronic hypoxia and plain controls. (2) Methods: 35 chronic high-altitude hypoxic adults and 32 matched controls were recruited. They were required to perform the go/no-go sustained attention task (GSAT) using event-related potentials. Three machine learning algorithms, namely a support vector machine (SVM), logistic regression (LR), and a decision tree (DT), were trained based on the related ERP components and neural oscillations to build a dichotomous classification model. (3) Results: Behaviorally, we found that the high altitude (HA) group had lower omission error rates during all observation periods than the low altitude (LA) group. Meanwhile, the ERP results showed that the HA participants had significantly shorter latency than the LAs for sustained potential (SP), indicating vigilance to response-related conflict. Meanwhile, event-related spectral perturbation (ERSP) analysis suggested that lowlander immigrants exposed to high altitudes may have compensatory activated prefrontal cortexes (PFC), as reflected by slow alpha, beta, and theta frequency-band neural oscillations. Finally, the machine learning results showed that the SVM achieved the optimal classification F1 score in the later stage of sustained attention, with an F1 score of 0.93, accuracy of 92.54%, sensitivity of 91.43%, specificity of 93.75%, and area under ROC curve (AUC) of 0.97. The results proved that SVM classification algorithms could be applied to identify chronic high-altitude hypoxia. (4) Conclusions: Compared with other methods, the SVM leads to a good overall performance that increases with the time spent on task, illustrating that the ERPs and neural oscillations may provide neuroelectrophysiological markers for identifying chronic plateau hypoxia.

Association between Phenotypic Age and Mortality in Patients with Multivessel Coronary Artery Disease.

BACKGROUND: Chronological age (CA) is not a perfect proxy for the true biological aging status of the body. A new biological aging measure, phenotypic age (PhenoAge), has been shown to capture morbidity and mortality risk in the general US population and diverse subpopulations. This study was aimed at evaluating the association between PhenoAge and long-term outcome of patients with multivessel coronary artery disease (CAD). METHODS: A total of 609 multivessel CAD patients who received PCI attempt and with follow-up were enrolled. The clinical outcome was all-cause mortality on follow-up. PhenoAge was calculated using an equation constructed from CA and 9 clinical biomarkers. Cox proportional hazards regression models and receiver operating characteristic (ROC) curves were performed to evaluate the association between PhenoAge and mortality. RESULTS: Overall, patients with more diseases had older PhenoAge and phenotypic age acceleration (PhenoAgeAccel). After a median follow-up of 33.5 months, those with positive PhenoAgeAccel had a significantly higher incidence of all-cause mortality (P = 0.001). After adjusting for CA, Cox proportional hazards models showed that both PhenoAge and PhenoAgeAccel were significantly associated with all-cause mortality. Even after further adjusting for confounding factors, each 10-year increase in PhenoAge was also associated with a 51% increased mortality risk. ROC curves revealed that PhenoAge, with an area under the curve of 0.705, significantly outperformed CA, the individual clinical chemistry measure, and other risk factors. When reexamining the ROC curves using various combinations of variables, we found that PhenoAge provides additional predictive power to all models. CONCLUSIONS: In conclusion, PhenoAge was strongly associated with all-cause mortality even after adjusting for CA. Our findings suggest that PhenoAge measure may be complementary in predicting mortality risk for patients with multivessel CAD.

Challenges and advances of organic electrode materials for sustainable secondary batteries.

Organic electrode materials (OEMs) emerge as one of the most promising candidates for the next-generation rechargeable batteries, mainly owing to their advantages of bountiful resources, high theoretical capacity, structural designability, and sustainability. However, OEMs usually suffer from poor electronic conductivity and unsatisfied stability in common organic electrolytes, ultimately leading to their deteriorating output capacity and inferior rate capability. Making clear of the issues from microscale to macroscale level is of great importance for the exploration of novel OEMs. Herein, the challenges and advanced strategies to boost the electrochemical performance of redox-active OEMs for sustainable secondary batteries are systematically summarized. Particularly, the characterization technologies and computational methods to elucidate the complex redox reaction mechanisms and confirm the organic radical intermediates of OEMs have been introduced. Moreover, the structural design of OEMs-based full cells and the outlook for OEMs are further presented. This review will shed light on the in-depth understanding and development of OEMs for sustainable secondary batteries.

Nitrogen-rich covalent organic frameworks with multiple carbonyls for high-performance sodium batteries.

Covalent organic frameworks with designable periodic skeletons and ordered nanopores have attracted increasing attention as promising cathode materials for rechargeable batteries. However, the reported cathodes are plagued by limited capacity and unsatisfying rate performance. Here we report a honeycomb-like nitrogen-rich covalent organic framework with multiple carbonyls. The sodium storage ability of pyrazines and carbonyls and the up-to twelve sodium-ion redox chemistry mechanism for each repetitive unit have been demonstrated by in/ex-situ Fourier transform infrared spectra and density functional theory calculations. The insoluble electrode exhibits a remarkably high specific capacity of 452.0 mAh g-1, excellent cycling stability (~96% capacity retention after 1000 cycles) and high rate performance (134.3 mAh g-1 at 10.0 A g-1). Furthermore, a pouch-type battery is assembled, displaying the gravimetric and volumetric energy density of 101.1 Wh kg-1cell and 78.5 Wh L-1cell, respectively, indicating potentially practical applications of conjugated polymers in rechargeable batteries.

Bongkrekic acid poisoning: Severe liver function damage combined with multiple organ failure caused by eating spoiled food.

Bongkrekic acid (BA) poisoning can be caused by eating spoiled or fermented foods contaminated with pseudomonas cocovenenans. Although some in vitro studies have been reported on the use of purified BA to interfere with cell metabolism, few clinical or pathological data of BA poisoning on human due to food-borne factors are available for forensic appraisal. For the first time, we retrospectively report five cases of food-borne poisoning caused by eating rice noodles, a popular traditional food in Guangdong, China, and three of the victims died. All five victims were hospitalized with gastrointestinal symptoms such as nausea, vomiting and diarrhea and were treated with admission diagnosis of liver failure and acute kidney damage. Certain concentrations of BA were detected in the victims' peripheral blood serums at the hospitalization (ranging from 70-345 µg/L) and the suspected poisonous foods (0-810 ng/g) with LC-MS/MS technique. The results of forensic pathological examination showed that all three deceased had severe liver and kidney damage, accompanied by multiple organ congestion and edema, which were consistent with clinical diagnosis. Combined with the clinical records, we found that the difference in blood glucose between the deceased and survivors of the five victims may be an indication of the severity of the disease. In addition, we compared BA poisoning with other diseases that can cause acute liver function damage in terms of pathological characteristics and clinical manifestations, which has important reference significance for the diagnosis and forensic appraisal of this food-borne poisoning.

Cyclohexanehexone with Ultrahigh Capacity as Cathode Materials for Lithium-Ion Batteries.

Organic carbonyl compounds show potential as cathode materials for lithium-ion batteries (LIBs) but the limited capacities (<600 mA h g-1 ) and high solubility in electrolyte restrict their further applications. Herein we report the synthesis and application of cyclohexanehexone (C6 O6 ), which exhibits an ultrahigh capacity of 902 mA h g-1 with an average voltage of 1.7 V at 20 mA g-1 in LIBs (corresponding to a high energy density of 1533 Wh kg-1 C 6 O 6 ). A preliminary cycling test shows that C6 O6 displays a capacity retention of 82 % after 100 cycles at 50 mA g-1 because of the limited solubility in high-polarity ionic liquid electrolyte. Furthermore, the combination of DFT calculations and experimental techniques, such as Raman and IR spectroscopy, demonstrates the electrochemical active C=O groups during discharge and charge processes.

Yb2O3 Doped Zr0.92Y0.08O2-α(8YSZ) and Its Composite Electrolyte for Intermediate Temperature Solid Oxide Fuel Cells.

Yb3+ and Y3+ double doped ZrO2 (8YSZ+4Yb2O3) samples were synthesized by a solid state reaction method. Moreover, 8YSZ+4Yb2O3-NaCl/KCl composites were also successfully produced at different temperatures. The 8YSZ+4Yb2O3, 8YSZ+4Yb2O3-NaCl/KCl (800 °C), and 8YSZ+4Yb2O3-NaCl/KCl (1000 °C) samples were characterized by x⁻ray diffraction (XRD) and scanning electron microscopy (SEM). The results showed that a dense composite electrolyte was formed at a low temperature of 800 °C. The maximum conductivities of 4.7 × 10-2 S·cm-1, 6.1 × 10-1 S·cm-1, and 3.8 × 10-1 S·cm-1 were achieved for the 8YSZ+4Yb2O3, 8YSZ+4Yb2O3-NaCl/KCl (800 °C), and 8YSZ+4Yb2O3-NaCl/KCl (1000 °C) samples at 700 °C, respectively. The logσ~log (pO2) plot result showed that the 8YSZ+4Yb2O3-NaCl/KCl (800 °C) composite electrolyte is a virtually pure ionic conductor. An excellent performance of the 8YSZ+4Yb2O3-NaCl/KCl (800 °C) composite was obtained with a maximum power density of 364 mW·cm-2 at 700 °C.

SrCe0.9Sm0.1O3-α Compounded with NaCl-KCl as a Composite Electrolyte for Intermediate Temperature Fuel Cell.

SrCeO3 and SrCe0.9Sm0.1O3-α were synthesized using a high-temperature solid-state reaction method using Sm2O3, SrCO3, CeO2 as precursors, then the SrCe0.9Sm0.1O3-α-NaCl-KCl composite electrolyte was fabricated by compounding SrCe0.9Sm0.1O3-α with NaCl-KCl and sintering it at a lower temperature (750 °C) than that of a single SrCeO3 material (1540 °C). The phase and microstructure of the samples were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). The conductivities of the samples were measured in dry nitrogen atmosphere using electrochemical analyzer. The conductivities of the SrCeO3, SrCe0.9Sm0.1O3-α and SrCe0.9Sm0.1O3-α-NaCl-KCl at 700 °C were 2.09 × 10-5 S·cm-1, 1.82 × 10-3 S·cm-1 and 1.43 × 10-1 S·cm-1 respectively. The conductivities of SrCe0.9Sm0.1O3-α-NaCl-KCl composite electrolyte are four orders of magnitude higher than those of SrCeO3 and two orders of magnitude higher than those of SrCe0.9Sm0.1O3-α. The result of logσ ~ logpO2 plot indicates that SrCe0.9Sm0.1O3-α-NaCl-KCl is almost a pure ionic conductor. The electrolyte resistance and the polarization resistance of the H2/O2 fuel cell based on SrCe0.9Sm0.1O3-α-NaCl-KCl composite electrolyte under open-circuit condition were 1.0 Ω·cm² and 0.2 Ω·cm² respectively. Further, the obtained maximum power density at 700 °C was 182 mW·cm-2.

Novel Composite Electrolytes of Zr0.92Y0.08O2-α(8YSZ)-Low Melting Point Glass Powder for Intermediate Temperature Solid Oxide Fuel Cells.

In this study, Zr0.92Y0.08O2-α(8YSZ) powders were synthesized by the sol-gel method. The chemical physics changes and phase formation temperature of 8YSZ crystal were determined by thermogravimetry analysis and differential scanning calorimetry (TGA-DSC). 8YSZ-low melting point glass powder (8YSZ-glass) composite electrolytes with various weight ratios were prepared and calcined at different temperatures. The X-ray diffraction (XRD) patterns of the composite electrolytes were tested. The effects of synthesis temperature, weight ratio, test temperature, and oxygen partial pressure on the conductivities of 8YSZ-glass composite electrolytes, were also investigated at 400⁻800 °C. The result of the logσ ~ log(pO2) plot indicates that the 8YSZ-20% glass (700 °C) is almost a pure ionic conductor. The oxygen concentration discharge cell illustrates that the 8YSZ-20% glass (700 °C) composite electrolyte is a good oxygen ion conductor.

A bisindolylmaleimide-naphthalimide building block for the construction of the energy transfer cassette.

Double build-in chromophores with naphthalimide and bisindolylmaleimide incorporating to one molecule were synthesized efficiently and characterized fully. Its spectral properties were investigated. Effective intramolecular energy transfer together with the strong emission in solution and solid state were discussed in terms of its electronic structures. Optimized structure and frontier molecular orbital were calculated based on D3(mol) platform. Obviously electron delocalization before and after excitation was observed according to the molecular orbital calculation, which corresponds to the mechanism of excitation energy transfer through space occurred in the donor-linker-acceptor molecular system. The opto-physical properties of the dye indicated potential application of electro-optical materials.

[Study on preparations and fluorescent properties of rare earth complex with property of fluorescence sensor].

Europium chloride, 2-thienylformyltrifluoroacetone and sodium silicate were used to synthesize new-style rare earth complex (Eu-TNS). By adding into dichloromethane solution containing Eu-TNS, the fluorescent intensities were enhanced gradually and regularly. High-resolution mass spectrometry was used to detect the formula of Eu-TNS, which belongs to multi-core rare-earth complex. Polarity of solution increasing by adding absolute ethanol will cause Eu-TNS to dissociate, which enhances the fluoresceot intensities of Eu-TNS solution. This rare earth complex Eu-TNS can be employed as fluorescence sensor to detect the content of ethanol in organic solvent.