Association between the stress hyperglycemia ratio and severity of coronary artery disease under different glucose metabolic states.

BACKGROUND: Stress hyperglycemia ratio (SHR) is significantly related to adverse cardiovascular clinical outcomes and increased in-hospital mortality. However, the relationship between SHR and coronary artery disease (CAD) severity has hitherto not been reported. This study sought to clarify the relationship between the SHR and CAD severity of individuals with different glucose metabolic statuses. METHODS: A retrospective analysis was performed on 987 patients who underwent coronary angiography (CAG) from October 2020 to May 2022. Based on CAG results, patients were divided into single-vessel CAD and multi-vessel CAD groups. All subjects were stratified into three groups according to the tertiles of the SHR (T1 group: SHR < 0.930; T2 group: 0.930 ≤ SHR < 1.154; T3 group: 1.154 ≤ SHR). Moreover, according to glucose metabolism status, study subjects were divided into normal glucose regulation (NGR), pre-diabetes mellitus (pre-DM) and diabetes mellitus (DM) groups. Finally, the correlation between SHR and CAD severity was analyzed by logistic regression analysis and receiver operating characteristic (ROC) curve. RESULTS: The results showed significantly higher SHR in the multi-vessel CAD group than in the single-vessel group. Logistic regression analysis showed that SHR was an independent risk factor for multi-vessel CAD when used as a continuous variable (OR, 4.047; 95% CI 2.137-7.663; P < 0.001). After adjusting for risk factors, the risk of multi-vessel CAD in the T2 and T3 groups was 1.939-fold (95% CI 1.341-2.804; P < 0.001) and 1.860-fold (95% CI 1.272-2.719; P = 0.001) higher than in the T1 group, respectively. The area under the curve (AUC) of ROC plots was 0.613 for SHR. In addition, SHR was significantly correlated with an increased risk of multi-vessel CAD in the pre-DM and DM groups. CONCLUSIONS: Our study indicated that SHR was significantly correlated with the risk of multi-vessel CAD and predicted CAD severity, especially in pre-DM and DM patients.

A Facile Preparation and Energetic Characteristics of the Core/Shell CoFe2O4/Al Nanowires Thermite Film.

In this study, CoFe2O4 is selected for the first time to synthesize CoFe2O4/Al nanothermite films via an integration of nano-Al with CoFe2O4 nanowires (NWs), which can be prepared through a facile hydrothermal-annealing route. The resulting nanothermite film demonstrates a homogeneous structure and an intense contact between the Al and CoFe2O4 NWs at the nanoscale. In addition, both thermal analysis and laser ignition test reveal the superb energetic performances of the prepared CoFe2O4/Al NWs nanothermite film. Within different thicknesses of nano-Al for the CoFe2O4/Al NWs nanothermite films investigated here, the maximum heat output has reached as great as 2100 J·g-1 at the optimal thickness of 400 nm for deposited Al. Moreover, the fabrication strategy for CoFe2O4/Al NWs is also easy and suitable for diverse thermite systems based upon other composite metal oxides, such as MnCo2O4 and NiCo2O4. Importantly, this method has the featured advantages of simple operation and compatibility with microsystems, both of which may further facilitate potential applications for functional energetic chips.

Polynitro-Functionalized Triazolylfurazanate Triaminoguanidine: Novel Green Primary Explosive with Insensitive Nature.

Exploring a green and safe primary explosive to replace very toxic and sensitive lead azide and lead styphnate takes great efforts. Here, a series of polynitro-functionalized triazolylfurazanate energetic materials have been reported. These new compounds were fully characterized by infrared, multinuclear NMR spectra, mass spectra, elemental analysis, and differential scanning calorimetry measurements. The structure of mono-diaminoguanidinium salt (17) was determined by single-crystal X-ray diffraction. Inspired by the high pressurization rate and fast energy release in triaminoguanidinium salts, some suitability evaluation for primary explosives has been applied. Di(triaminoguanidinium) 3-nitramino-4-(3-(dinitromethanidyl)-1,2,4-triazol-5-yl)furazanate exhibits an excellent gas-generating capability (Pmax = 9.03 Mpa) and combustion performance (dP/dtmax = 201.5 GPa s-1) close to fast thermite Al/CuO (Pmax = 8.49 Mpa, dP/dtmax = 252.2 GPa s-1). Moreover, the good initiation capacity (60 mg for 500 mg RDX) coupled with insensitivity in this compound (IS = 17.4 J, FS = 240 N, ESD > 0.225 J) make it a promising green and insensitive primary explosive.

12α-Hy-droxy-3,27-dioxooleanano-28,13-lactone.

There are two independent mol-ecules in the asymmetric unit of the title compound, C(30)H(44)O(5). They comprise a triterpenoid skeleton of five six-membered rings and a five-membered lactone ring. The five six-membered rings are all trans-fused. In both independent mol-ecules the D rings adopt a slightly distorted half-chair conformation due the presence of the lactone ring while the other four six-membered rings all adopt chair conformations. The characteristic carbon-carbon double bond of the oleanoic skeleton is absent. Inter-molecular O-H⋯O hydrogen bonds between the hy-droxy and carbonyl groups occur in the crystal structure.