Current status and development trends in CKD with frailty research from 2000 to 2021: a bibliometric analysis.

INTRODUCTION: The prevalence of chronic kidney disease (CKD) is gradually increasing in the elderly population. At the same time, frailty has become one of the research hotspots in the field of geriatrics. Bibliometric analyses help to understand the direction of a field. Therefore, this study aimed to analyze the status and emerging trends of frailty in CKD patients. DATA AND METHODS: The Web of Science Core Collection (WoSCC) database was screened for relevant literature published between 1 January 2000 and 31 December 2021. Next, publications were analyzed for information including authors, journals, cited references, citing journals, institutions, countries and regions, high-frequency keywords and co-citations using VOSviewer, Microsoft Excel, and R software. RESULTS: A total of 2223 articles were obtained, from which 613 relevant articles were selected based on title and abstract screening. There was an upward trend in the number of annual publications and Johansen KL was considered the most contributing author in the field. The Clinical Journal of the American Society of Nephrology was the most productive research journal. Johns Hopkins University is the most published organization. The United States is the global leader in the field and contributes the most to research. Research hotspots focus on epidemiological studies of frailty and frailty intervention. CONCLUSIONS: This study presents a comprehensive bibliometric analysis of CKD and frailty research. Key findings highlight the current focus on early screening and assessment of frailty in CKD patients, as well as physical function interventions in frail patients.

Effect of different synthesis methodologies on the adsorption of iodine.

Radioactive nuclides such as cesium, ruthenium, and iodine are difficult to remove in radioactive wastewater, which could be removed by coprecipitation of special chemical precipitants. In this study, dynamic Cu/Ag-mordenite (Cu/Ag-MOR) material was synthesized to be treated as the precipitant to selectively adsorb the iodine ion (I-) through controlled chemisorption combined with physical adsorption. XRD, XPS, and FTIR characterization demonstrated the successful modification of the MOR carrier surface by Cu/Ag particles and the high selectivity of the active component Cu (I) on the dynamic Cu/Ag-MOR material. SEM, TEM, and BET methods were used to characterize the Cu/Ag-MOR material, demonstrating these results: the MOR carried a stable porous structure, which allowed the silver to be well dispersed on its surface. The silver improved the copper distribution by being well-coated by the copper species. Furthermore, the analysis of the factors influencing the chemical plating of copper showed that the pH, the concentration of EDTA-2Na and the temperature all influenced the deposition rate of Cu2O. The activation energy for Cu2O deposition in dynamic Cu/Ag-MOR was 20.31 kJ/mol. The highest removal of I- in the presence of dynamic Cu/Ag-MOR could reach 99.1% in the adsorption tests. The adsorption kinetics was under a proposed second-order model, with chemisorption being the controlling step of the reaction. The adsorption/desorption experiments demonstrated the reusability of the nano-sorbent. It was also demonstrated that dynamic Cu/Ag-MOR materials showed good applicability in complex situations where multiple pollutants co-exist.

Association between nut consumption and frailty in the elderly: a large sample cross-sectional study.

BACKGROUND: Limited literature has addressed the impact of nut consumption in mitigating frailty. This study aimed to investigate the association between nut consumption and frailty among Americans aged above 60 years, employing two 24-h dietary recalls for analysis. METHODS: The data sets of the National Health and Nutrition Examination Survey (NHANES) (2003-2018) and the Food Patterns Equivalents Database were utilised for a weighted multiple logistic regression model to evaluate the association between nut consumption and frailty in elderly adults. Furthermore, a restricted cubic spline model was employed to investigate the nonlinear relationship between nut intake and frailty. Besides, stratified and interaction analyses were conducted to explore the sensitivity of nut consumption in reducing the risk of frailty in diverse subgroups. RESULTS: The research study comprised 10,033 individuals aged 60 years or above, of whom 3591 were classified as frailty and 5302 consumed nuts. In the multivariate logistic regression analysis that adjusted for covariates, the weighted multivariate adjusted odds ratios demonstrated that the prevalence of frailty was lower in the nut intake group than in nonconsumers. The stratified analysis indicated that nearly all subgroups who consumed nuts had a significantly lower risk of frailty compared to nonconsumers, and an interaction was observed between nut intake and nonhypertensive populations. The optimal threshold for nut intake to decrease the risk of frailty was identified as 1.02 ounces. CONCLUSIONS: The study concluded that nut consumption has a constructive impact on averting frailty in elderly adults, particularly in nonhypertensive individuals. Nut intake of ~1.02 ounces per day is advantageous in improving the quality of life in elderly adults.