Dynamic distribution, regional differences and convergence of health workforce allocation in township health centers in China.

This study evaluated the dynamic distribution, regional differences, and convergence of health workforce allocation in Township Health Centers in China during 2011-2020 using data obtained from the China Health Statistics Yearbook (2012-2021). The Gini coefficient and kernel density estimation were chosen to examine the dynamic distribution and regional differences in health workforce allocation in Township Health Centers in China and their components. σ convergence and ß convergence were used to investigate the change trend of health workforce allocation in Township Health Centers. The results show that between 2011 and 2020, the number of licensed doctors and registered nurses per thousand population in Township Health Centers both increased largely and regional disparities still exist. In 2020, the largest differences in the density of licensed doctors and registered nurses were found in the eastern and central regions, respectively, and the intensity of trans-variation contributed the most to the overall disparities. The allocation of licensed doctors and registered nurses both exhibited σ convergence, absolute and conditional ß convergence, indicating that the regional differences in health workforce in THCs among provinces will decrease. The growth of healthcare workforce was positively impacted by the urbanization rate, growth rate of government health expenditures and growth domestic product per capita, but negatively impacted by population density in rural areas and fiscal self-sufficiency.

Disparity in hospital beds' allocation at the county level in China: an analysis based on a Health Resource Density Index (HRDI) model.

BACKGROUND: As approximately 3/4 of the population lives in county-level divisions in China, the allocation of health resources at the county level will affect the realization of health equity. This study aims to evaluate the disparity in hospital beds at the county level in China, analyze its causes, and discuss measures to optimize the allocation. METHODS: Data were drawn from the Chinese County/City Statistical Yearbook (2001-2020). The health resource density index (HRDI) was applied to mediate between the influence of demographic and geographical factors on the allocation of hospital beds. The trends of HRDI allocation were evaluated through the growth incidence curve and the probability density function. The regional disparity in the HRDI was examined through the Lorenz curve, and Dagum Gini coefficient. The contribution of the Gini coefficient and its change were assessed by using the Dagum Gini decomposition method. RESULTS: From 2000 to 2019, the number of hospital beds per thousand people at the county level in China increased dramatically by 1.49 times. From the aspect of the HRDI, there were large regional disparities at the national level, with a Gini coefficient of 0.367 in 2019 and in the three subregions. In 2019, the Gini coefficient of the HRDI exhibited regional variations, with the highest value observed in the western region, followed by the central region and the eastern region. Decomposition reveals that the contribution of interregional disparity changed from the dominant factor to the least important factor, accounting for 29.79% of the overall disparity and the contribution of trans-variation intensity increased from 29.19% to 39.75%, whereas the intraregional disparity remained stable at approximately 31% and became the second most important factor. CONCLUSION: The regional disparity in hospital beds allocation at the county level in China was large and has not improved substantially. Trans-variation intensity was the main reason for the overall disparity and changes, and the intraregional disparity was more important than the interregional disparity for the overall disparity.

Sulfonic acid functionalized ß zeolite as efficient bifunctional solid acid catalysts for the synthesis of 5-hydroxymethylfurfural from cellulose.

Introduction of the sulfonic acid group into H-ß zeolite to prepare ß-SO3H bifunctional catalysts for the efficient synthesis of 5-hydroxymethylfurfural (HMF) from cellulose. Catalysts characterization, such as XRD, ICP-OES, SEM (Mapping), FTIR, XPS, N2 adsorption-desorption isotherm, NH3-TPD, Py-FTIR demonstrate the sulfonic acid group was successfully grafted onto the ß zeolite. A superior HMF yield (59.4 %) and cellulose conversion (89.4 %) was obtained in the H2O(NaCl)/THF biphasic system under 200 °C for 3 h with ß-SO3H(3) zeolite as catalyst. More valuable, ß-SO3H(3) zeolite converts other sugars and obtains ideal HMF yield, including fructose (95.5 %), glucose (86.5 %), sucrose (76.8 %), maltose (71.5 %), cellobiose (67.0 %), starch (68.1 %), glucan (64.4 %) and also converts plant material (25.1 % for moso bamboo and 18.7 % for wheat straw) with great HMF yield. ß-SO3H(3) zeolite catalyst keeps an appreciable recyclability after 5 cycles. Moreover, in the presence of ß-SO3H(3) zeolite catalyst, the by-products during the production of HMF from cellulose were detected, and the possible conversion pathway of cellulose to HMF was proposed. The ß-SO3H bifunctional catalyst has excellent potential for the biorefinery of high value platform compound from carbohydrates.

Mechanisms of polystyrene nanoplastics adsorption onto activated carbon modified by ZnCl2.

In this study, the adsorption capacity of activated carbon was enhanced after zinc chloride activation. The effects of pore filling, n-π and π-π interaction and electrostatic interaction on the adsorption of polystyrene nanoplastics (PSNPs) by activated carbon were determined by SEM, BET, Raman spectrum, FTIR and surface Zeta potential. Pore filling, electrostatic interaction and n-π interaction and π-π interaction all played a role in the adsorption process, but n-π interaction and π-π interaction was not the decisive role. The adsorption of PSNPs on activated carbon conformed to the pseudo-second-order kinetics and Langmuir isotherm, and there was spontaneous physical adsorption process driven by entropy in the adsorption process. Further, the effects of common anions SO42-, HCO3-, and Cl- in water on the adsorption of PSNPs by activated carbon were investigated, and the results showed that the presence of these ions could increase the adsorption capacity to some extent. ZCAC has a stable adsorption capacity under tap water, but its adsorption capacity is affected under lake water. In addition, the reuse of activated carbon was investugated, and the adsorption capacity of activated carbon was fully recovered after high temperature calcination. This study provided a direction for materials modification of adsorbed nanoplastics and a feasible method for removal of nanoplastics in drinking water treatment plants.

Hf-ß zeolites as highly efficient catalysts for the production of 5-hydroxymethylfurfural from cellulose in biphasic system.

In this work, a series of (x)Hf-ß zeolite catalysts were prepared by a simple wet impregnation method and used as bifunctional catalysts with Lewis and Brønsted acid sites for synthesizing 5-hydroxymethylfurfural (5-HMF) from cellulose in H2O(NaCl)-THF biphasic system. Characterization analysis of (x)Hf-ß zeolite catalysts with ICP-OES, N2 adsorption-desorption isotherm, XRD, FTIR, SEM, NH3-TPD and Py-FTIR indicated that the catalysts possessed favorable pore structure, appropriate acid strength and acidity. A superior 86.3 % cellulose conversion and 53.4 % 5-HMF yield could be obtained at 200 °C for 4 h by using (5 %)Hf-ß zeolite as the catalyst. In addition, the catalytic system provided a favorable 5-HMF yield from other carbohydrates, including glucose (85.1 %), sucrose (80.6 %), starch (65.1 %), maltose (65.0 %), dextran (59.9 %), and Moso bamboo (21.9 %). Nevertheless, the recyclability of (5 %)Hf-ß zeolite catalyst was unsatisfactory and the 5-HMF yield showed a downtrend from 53.4 % to 24.4 % after 5 cycles. The catalyst has promising potential for converting biomass materials into high-value platform compounds.

Transformer oil quality evaluation using quantitative phase microscopy.

Transformer oil used in oil-filled electrical power transformers aims at insulating, stopping arcing and corona discharge, and dissipating transformer heat. Transformer running inevitably induces molecule decomposition, thus leading to gases released into transformer oil. The released gases not only reduce the transformer oil's performance but also possibly induce transformer fault. To prevent catastrophic failure, approaches using, e.g., chromatography and spectroscopy, precisely measure dissolved gases to monitor transformer oil quality; however, many of these approaches still suffer from complicated operations, expensive costs, or slow speed. To solve these problems, we provide a new transformer oil quality evaluation method based on quantitative phase microscopy. Using our designed phase real-time microscopic camera (PhaseRMiC), under- and over-focus images of gas bubbles in transformer oil can be simultaneously captured during field of view scanning. Further, oil-to-gas-volume ratio can be computed after phase retrieval via solving the transport of intensity equation to evaluate transformer oil quality. Compared with traditionally and widely used approaches, this newly designed method can successfully distinguish transformer oil quality by only relying on rapid operations and low costs, thus delivering a new solution for transformer prognosis and diagnosis.

Activation of O2 by zero-valent zinc assisted with Cu(II) for organics removal: Performance and mechanism.

This study proposes a method to activate O2 by accelerating the corrosion process for zero-valent zinc (ZVZ) with the assistance of Cu(II), promoting the consecutive production of reactive oxygen species. The mechanisms for reactive oxygen species generation are clarified with metronidazole (MTZ) as the targeted pollutant. The outcome suggests the association of Cu(Ⅱ) and ZVZ presents an apparent cooperative activity, an enhancement of 85% in MTZ removal is attained for the ZVZ/Cu(Ⅱ) system after 10 min compared to that for ZVZ. Analysis of the mechanisms involved indicates that this improvement is due to the addition of Cu(Ⅱ), which can accelerate the corrosion of ZVZ. In addition, quenching experiments and electron paramagnetic resonance (EPR) technology show that superoxide radicals (·O2-) result in rapid MTZ degradation. The primary component that is liable for O2 activation and a certain amount of H2O2 generation is verified to be ZVZ. Moreover, Cu(I) is detected in the ZVZ/Cu(Ⅱ) system, which arises from a direct reduction pathway driven by ZVZ and an indirect reduction pathway driven by active hydrogen atoms.

Enhanced removal of polyethylene terephthalate microplastics through polyaluminum chloride coagulation with three typical coagulant aids.

Given the discovery and hazard of microplastics in freshwater environments, the removal of microplastics in drinking water deserves more attention. Nevertheless, in the light of existing literature, the effectiveness of conventional coagulation on microplastics removal is insufficient. Hence, enhanced coagulation is worth being explored. This study investigated the improving performance of anionic polyacrylamide (PAM), sodium alginate (SA), and activated silicic acid (ASA) when using poly­aluminum chloride (PAC) to remove polyethylene terephthalate (PET) microplastics. The experimental results showed that ASA had the highest removal efficiency (54.70%) under conventional dosage, while PAM achieved the best removal effect (91.45%) at high dosage. Mechanism of coagulation was studied by scanning electron microscope (SEM), Fourier transform infrared spectroscope (FTIR), X-ray photoelectron spectroscopy (XPS), and the results illustrated that when only PAC existed or the dosage of coagulant aids was low, double layer compression was the main principle. The increase of coagulant aids dosage improved the effect of adsorption and sweep flocculation significantly. Moreover, jar tests carried in different conditions demonstrated that the current coagulation systems were highly adaptable.