A compact Z-scheme heterojunction of BiOCl/Bi2WO6 for efficiently photocatalytic degradation of gaseous toluene.

Construction of Z-scheme heterojunction photocatalysts with efficient electron-hole pairs separation and robust oxidation abilities is a promising strategy to decompose volatile organic compounds (VOCs). Herein, UV-light-driven BiOCl and visible-light-driven Bi2WO6 were successfully combined via a one-pot hydrothermal method and compact Z-scheme heterojunction photocatalyst BiOCl/Bi2WO6 was obtained. Owing to the similar precursors and synthesis conditions, the integrated BiOCl/Bi2WO6 heterojunction was intimate and homogenous, which resulted in the efficient separation of photogenerated carriers, and generated abundant holes (h+), hydroxyl radicals (·OH) and superoxide radicals (·O2-). The optimal BiOCl/Bi2WO6 photocatalyst (BWOCl-2), achieved by tailoring the amount of hydrochloric acid, exhibited almost 100 % of toluene degradation and excellent durability. Electron spin resonance (ESR) results revealed that h+, ·O2- and ·OH were dominant active species in the BiOCl/Bi2WO6 photocatalytic system. The degradation intermediate products were monitored by in situ Diffuse Reflection Infrared Fourier Transform spectroscopy (DRIFTS) and the possible photocatalytic mechanism was also revealed according to the band structure of BiOCl/Bi2WO6 heterojunction. This work provided a novel avenue to design an efficient homogenous heterojunction photocatalyst for the efficient degradation of VOCs under sunlight.

Impact of Physician-Coordinated Intensive Follow-Up on Long-Term Medical Costs in Patients with Unstable Angina Undergoing Percutaneous Coronary Intervention.

BACKGROUND: To investigate the impact of professional physician-coordinated intensive follow-up on long-term expenditures after percutaneous coronary intervention (PCI) in unstable angina (UA) patients. METHODS: In this study, there were 669 UA patients who underwent successful PCI and followed up for 3 years, then divided into the intensive follow-up group (N = 337), and the usual follow-up group (N = 332). Patients were provided with detailed discharge information and individualized follow-up schedules. The intensive group received the extra follow-up times and medical consultations, and all patients were followed up for approximately 3 years. RESULTS: At the 3-year mark after PCI, the cumulative major adverse cardiac events (MACE), recurrence of myocardial ischemia, cardiac death, all-cause death and revascularization in the intensive group were lower than in the usual group. Additionally, the proportion of good medication adherence was significantly higher than in the usual group (56.4% vs. 46.1%, p < 0.001). The hospitalization daytime, total hospitalization cost and total medical cost in the intensive group were lower. Multiple linear regression showed that diabetes, hypertension, intensive follow-up and good medication adherence were associated with emergency and regular clinical cost (p < 0.05), the re-hospitalization cost (p < 0.05) and the total medical cost (p < 0.05) of patient care. Intensive follow-up and good adherence were negatively correlated with the cost of re-hospitalization (standardized coefficients = -0.132, -0.128, p < 0.05) and total medical costs (standardized coefficients = -0.072, -0.086, p < 0.05). CONCLUSIONS: Intensive follow-up can reduce MACE, improve medication adherence and save long-term total medical costs, just by increasing the emergency and regular clinical visits cost in UA patients after PCI.

Review of the genus Anthonympha Moriuti, 1971 (Lepidoptera: Plutellidae) from China, with descriptions of four new species.

Chinese species of Anthonmypha Moriuti are reviewd. Five species are recognized, four of which are described as new: Anthonympha truncata sp. nov., A. trapezia sp. nov., A. ligulacea sp. nov. and A. reniforma sp. nov. Images of adults and genitalia are provided, along with a key to distinguishing all the Chinese species.

Impacts of intensive follow-up on the long-term prognosis of percutaneous coronary intervention in acute coronary syndrome patients - a single center prospective randomized controlled study in a Chinese population.

OBJECTIVES: To investigate the impact of cardiologist-coordinated intensive follow-up on the long-term prognosis of percutaneous coronary intervention in Chinese patients. METHODS: We recruited 964 patients who had acute coronary syndrome and underwent successful percutaneous coronary intervention in the First Hospital Affiliated to Henan University of Science and Technology, China. Participants were randomly assigned into the intensive follow-up (n = 479) and usual follow-up group (control group, n = 485). They received secondary prevention education during hospitalization and telephone follow-ups after discharge. The control group received telephone calls from nurses, while the intensive follow-up group received telephone calls and medical consultations from cardiologists. Both groups were followed up for 36 months. RESULTS: (1) At 36 months, the proportions of all-cause death, cardiac death and cumulative major adverse cardiovascular events (MACEs) were 5.3%, 4.4% and 18.6% in the intensive follow-up group. These events were significantly lower than in the control group (10.1%, 9.3 % and 28.8% (p = 0.004, p = 0.003 and p < 0.001). (2) Multivariable Cox regression analysis identified intensive follow-up as an independent predictor of survival, cardiac death-free survival and MACE-free survival. (hazard ratio (HR) = 0.487, 95% confidence interval (CI) 0.298-0.797, p = 0.004; HR = 0.466, 95% CI 0.274-0.793, p = 0.005; HR = 0.614, 95% CI 0.464-0.811, p = 0.001). Kaplan-Meier analysis revealed that patients in the intensive follow-up groups had longer survival (log rank = 8.565, p = 0.003), cardiac death-free survival (log rank = 8.769, p = 0.003) and MACE-free survival (log rank = 15.928, p < 0.001). (3) The average medical cost was significantly less in the intensive follow-up group, especially the cost for re-hospitalization (US$582.74 ± 1753.20 vs. US$999.32 ± 2434.57, p = 0.003). The bleeding events were similar. (4) Patients in the intensive follow-up group had significantly better controls of cardiovascular risk factors and medication adherence. CONCLUSIONS: A cardiologist-coordinated intensive follow-up program markedly decreased cardiovascular risk factors, reduced medical costs, promoted medication adherence and improved the long-term prognosis of patients after percutaneous coronary intervention in the Chinese population.

Association between left ventricular end-diastolic pressure and coronary artery disease as well as its extent and severity.

Patients with myocardial ischemia exhibit increased left ventricular end-diastolic pressure (LVEDP). The study was to evaluate the relationship between LVEDP measured by left cardiac catheterization and coronary artery disease (CAD) as well as its extent and severity evaluated by coronary angiography (CAG). 912 patients who underwent CAG and left cardiac catheterization were enrolled. There were 313 patients without CAD and 599 with CAD according to CAG. The extent and severity of coronary artery was evaluated by number of vessels and Gensini score. Analyze the correlation of LVEDP and CAD as well as its extent and severity. LVEDP was significantly higher in CAD patients than non-CAD (9.58±5.78 mmHg vs 10.9±5.46 mmHg, P<0.001), and was correlated independently with the presence of CAD (OR = 0.11, per 5 mmHg increase, 95% CI 1.02-1.29, P = 0.02). LVEDP was increased with an increase of number of vessels. By linear regression analysis, LVEDP was significantly associated with Gensini score (standardized ß = 0.034, P = 0.001). In non-CAD group, LVEDP was only correlated with age (r = 0.123, P = 0.030). In conclusion, our findings suggest that elevated LVEDP was significantly associated with CAD as well as its extent and severity. LVEDP was only correlated with age in non-CAD patients. LVEDP measurement provides incremental clinical value for CAD and non-CAD patients.

Antimicrobial mechanism based on H2O2 generation at oxygen vacancies in ZnO crystals.

The production of H2O2 has been taken for a crucial reason for antimicrobial activity of ZnO without light irradiation. However, how the H2O2 generates in ZnO suspension is not clear. In the present work, the comparatively detections on three kinds of ZnO, tetrapod-like ZnO whiskers (t-ZnO), nanosized ZnO particles (n-ZnO), and microsized ZnO particles (m-ZnO), showed that the antimicrobial activity of ZnO was correlated with its production of H2O2. Oxygen vacancy (V(O)) in the surface layer of ZnO crystals determined by XPS indicated that it was quite probably involved in the production of H2O2. To validate the role of V(O), the concentration of VO in t-ZnO was adjusted by heat-treatment under the atmospheres of H2, vacuum, and O2, respectively, and the H2O2 production and antimicrobial effect were detected. Consistently, the t-ZnO treated in H2, which possessed the most V(O) in its crystal, produced the most H2O2 and displayed the best antimicrobial activity. These results provide the basis for developing a more detailed mechanism for H2O2 generation catalyzed by ZnO and for taking greater advantage of this type of antimicrobial agent.