Kinetic stability of Fe-based nanoparticles with rheological modification by xanthan gum: A critical stabilization concentration and the underlying mechanism.

Enhanced kinetic stability of Fe-NPs in groundwater is a focus in application of Fe-NPs for groundwater remediation. The effect of surfactants (Triton X-100 and SDBS) and polymers (XG, SA, CCS, PSS and PVP) on the kinetic stability of Fe-NPs were studied with sedimentation experiments. Polymers improved stability of nFe3O4 and XG had the best effect, while surfactants had minimal effect. There was a critical concentration (CSC) for XG to stabilize nFe3O4, which was 2.0 g/L. At such a concentration nFe3O4, nFe2O3, and nCuO did not settled in 10 h, while the settlement occurred below the concentration and increased with decreasing XG concentration. At CSC XG could stabilize 20 g/L of nFe3O4 for >30 days and 8.0 g/L of nZVI for 13 days. Rheology studies indicated that the enhanced stability was due to the entanglement of XG molecules in the concentration range of 0.5-2.8 g/L and the formation of a uniform entangled network at CSC concentration was responsible for non-sedimentation of Fe-NPs. At hyper-CSC concentrations under the regime of concentrated network (>2.8 g/L), the stability of nFe3O4 and nFe2O3 decreased due to depletion interaction. The rules for XG to stabilize particles and information about the critical concentration will improve XG application in groundwater remediation using Fe-NPs.

Molasses-based in situ bio-sequestration of Cr(VI) in groundwater under flow condition.

The in situ biosequestration of Cr(VI) in groundwater with molasses as the carbon source was studied based on column experiments and model simulation in this study. Compared with biological reduction, molasses-based chemical reduction did not cause significant Cr(VI) removal at molasses concentration as high as 1.14 g L-1. The molasses at a concentration as low as 0.57 g L-1 could support biofilm-based Cr(VI) sequestration under flow conditions and showed better sequestration performances than D-glucose and emulsified vegetable oil (8 g L-1). The existence of molasses (1.14 g L-1) decreased the pH of the effluent from 7.5 to 6.3 and the oxidation-reduction potential from 275 mV to 220 mV in the groundwater, which was responsible for reduction and thus the sequestration of Cr(VI). Advection-dispersion-reaction model well described the process of the Cr(VI) transport with biosequestration in the column (R2 ≥ 0.96). Owing to the Cr(VI) toxicity to the biofilms, the removal ratio decreased by 24% with a rise of Cr(VI) concentration from 8.6 to 43 mg L-1. The prolongation of hydraulic retention time could promote the performance of Cr(VI) biosequestration. The chemical form of Cr deposited as the product of bio-reduction was confirmed as Cr(OH)3·H2O and other complexes of Cr(III). Our work demonstrated the efficacy of molasses for in situ sequestration of Cr(VI) under the dynamic flow condition and provide some useful information for Cr-contaminated groundwater remediation.

Co-pyrolysis of biomass and polyethylene: Insights into characteristics, kinetic and evolution paths of the reaction process.

Investigation on the distribution and mechanism of co-pyrolysis products is vital to the directional control and high-value utilization of agriculture solid wastes. Co-pyrolysis, devolatilization, kinetics characteristics, and evolution paths of corn stalk (CS) and low-density-polyethylene (LDPE) were investigated via thermogravimetric experiments. The co-pyrolysis behaviors could be separated into two stages: firstly, the degradation of CS (150- 400 °C); secondly, the degradation of CS (400- 550 °C). The devolatilization index (DI) increased with the addition of LDPE. Furthermore, a combination of devolatilization chemical analysis with product analysis to analyze the intrinsic mechanism during co-pyrolysis. The results indicated that the yield of alkanes and olefin in gas products increased with the addition of LDPE. Additionally, LDPE pyrolysis maybe abstract hydrogen from CS pyrolysis and evolved into hydrogen, methane, and ethylene. Further, the co-pyrolysis kinetic parameters were computed by using model-free isoconversion methods, which showed promotion of CS pyrolysis and the reduced activation energy. All the activation energy were declined, which indicated a "bidirectional positive effect" during co-pyrolysis. The mean activation energy of P-cellulose (P-CE), P-hemicellulose (P-HM), P-lignin (P-LG), and LDPE decreased by 23.49 %, 12.89 %, 15.36 %, and 27.82 %, respectively. This study further proves the hydrogen donor transfer pathway in the co-pyrolysis process of CS and LDPE, providing theoretical support for the resource utilization of agricultural solid waste.

Holocene climatic controls on flooding regime along the Ussuri River in Northeast Asia.

Knowledge of the long-term flooding response to climatic changes is critical for probing the flooding future in an oncoming warmer world. In this paper, three well-dated wetland sedimentary cores with high-resolution grain-size records were employed to reconstruct the historical flooding regime along the Ussuri River during the past 7000 years. The results show that five flooding-prone intervals marked by increased mean rates of sand-fraction accumulation occurred at 6.4-5.9 ka BP, 5.5-5.1 ka BP, 4.6-3.1 ka BP, 2.3-1.8 ka BP, and 0.5-0 ka BP, respectively. These intervals are generally consistent with the higher mean annual precipitation controlled by the strengthened East Asian summer monsoon which has been widely documented in geological records across the monsoonal regions of East Asia. Considering the prevalent monsoonal climate along the modern Ussuri River, we suggest that the regional flooding evolution during the Holocene Epoch should be generally controlled by the East Asian summer monsoon circulation which was initially linked to the ENSO activities in the tropical Pacific Ocean. While for the last interval spanning 0.5-0 ka BP, human influence, compared with the long-serving climatic controls, has played a more critical role in driving the regional flooding regime.

Methylenetetrahydrofolate reductase C677T and A1298C polymorphisms and gastric cancer susceptibility: an updated meta-analysis.

Widely regarded as one of the most prevalent malignancies worldwide, gastric cancer (GC) is a common clinical condition of the digestive system. Reviewing 14 meta-analyses that evaluated the association between methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms and GC risk, we observed inconsistent results, and the credibility of the significant correlation between the statistical results was ignored. With the aim of further exploring the association between MTHFR C677T and A1298C and the risk of GC, we searched electronic databases, pooling 43 relevant studies and calculating odds ratios (ORs) and corresponding 95% confidence intervals (CIs) for each of the five genetic models. Subgroup and regression analyses were performed to look for sources of heterogeneity and publication bias was assessed by funnel plots. To assess the plausibility of statistically significant associations, we used the FPRP test and the Venice criteria. Overall data analysis showed that MTHFR C677T polymorphism was significantly associated with GC risk, especially in Asians, while MTHFR A1298C polymorphism was not associated with GC risk. However, in subgroup analysis by hospital-based controls, we found that MTHFR A1298C might be a protective factor for GC. After credibility assessment, the statistical association between MTHFR C677T and GC susceptibility study was classified as 'less credible positive result', while the result of MTHFR A1298C was considered unreliable. In summary, the present study strongly suggests that MTHFR C677T and A1298C polymorphisms are not significantly associated with the GC risk.

A hybrid framework for delineating the migration route of soil heavy metal pollution by heavy metal similarity calculation and machine learning method.

Soil heavy metal contamination was a global environmental issue that posed adverse impacts on ecological and human health risks. The controlling of soil heavy metal is mainly focused on the emission source and pipe-end treatment, less is known about the intermediate controlling process. The migration route of heavy metals exhibited the spatial evolution of pollutants from the sources to the pipe-end, which provided the more reasonable location for the target-oriented treatment of soil heavy metal. Here, we proposed a new view of heavy metal similarity, which quantitatively expressed how closely of the contaminations between the study area and the test areas. We found that the similarity of different heavy metals was unequally distributed across locations that were related with five main sources, namely agricultural activities, natural sources, traffic emissions, industrial activities, and other sources. Based on the similarity, a state-of-the-art machine learning method was applied to delineate the migration route of soil heavy metals. Thereinto, As was concentrated around livestock farms, and its migration route was close to the water system. Cd migration route was over-dispersed in the areas where located mine fields and chemical plants. Migration routes of Hg and Pb were along rivers, which were related to agricultural activities and natural sources. Overall, the perspective on similarity and migration routes provided theoretical basis and method to alleviate soil heavy metal pollution at regional scale and can be extended across largescale regions.

Real-World Application of Insulin Pump Therapy Among Patients With Type 1 Diabetes in China: A Cross-Sectional Study.

Background: Although insulin pump therapy is an important treatment modality for patients with type 1 diabetes, rates of pump use appear to vary broadly internationally. This study aimed to investigate the application of insulin pump therapy among patients with type 1 diabetes in China. Methods: Data were collected from the Type 1 Diabetes Mellitus in China: Coverage, Costs and Care Study (3C Study). A total of 779 participants from this cross-sectional study were included. Multivariable logistic regression was used for data analysis. Results: The median (interquartile range) age at diagnosis of diabetes was 17 (10-28) years and the duration of diabetes was 4 (1-8) years. Among 779 patients, only 89 patients (11.4%) used an insulin pump to control blood glucose. A statistically significant difference was found in HbA1c favoring insulin pump therapy (8.3 ± 1.7% vs. 9.2 ± 2.6%) without obvious differences for severe hypoglycaemia. There were higher proportions of patients with no smoking, frequent daily intake of fruits and vegetables, and adequate self-blood glucose monitoring among patients with insulin pump therapy as compared to those using multiple daily insulin injections. Logistic regression analysis showed that younger age at diagnosis, longer duration of diabetes, higher education level of family members, and higher household income were associated with the use of an insulin pump. Conclusions: Data from 3C Study demonstrated that only a minority of patients with type 1 diabetes in China utilize insulin pump therapy. Insulin pump therapy was associated with better blood glucose control and self-management. Patients with younger age at diagnosis and longer duration of diabetes, and patients with better socioeconomic status were more likely to use an insulin pump.

Aerobic and anaerobic biodegradation of BDE-47 by bacteria isolated from an e-waste-contaminated site and the effect of various additives.

Degradation experiments are conducted to specifically compare the degradation of 2,2',4,4'-tetrabromodiphenyl ether (BDE-47) by aerobic and anaerobic strains isolated from real e-waste sites contaminated by BDE-47. The effect of carbon sources, inducers and surfactants on the degradation was examined to strengthen such a comparison. An aerobic strain, B. cereus S1, and an anaerobic strain, A. faecalis S4, were obtained. The results indicated that BDE-47 could be used as the sole carbon source by B. cereus S1 and A. faecalis S4 under aerobic and anaerobic conditions, respectively. The degradation of BDE-47 by B. cereus S1 and A. faecalis S4 was illustrated a first-order kinetics process obtaining a removal efficiency of 61.6% and 51.6% with a first-order rate constant of 0.0728 d-1 and 0.0514 d-1, and corresponding half-life of 8.7 d and 13.5 d, respectively. The addition of carbon sources (yeast extract, glucose, acetic acid and ethanol) and inducers (2,4-dichlorophenol, bisphenol A and toluene) promoted BDE-47 degradation by both B. cereus S1 and A. faecalis S4 under aerobic and anaerobic conditions, while hydroquinone as the inducer inhibited the degradation. All of the surfactants tested (CTAB, Tween 80, Triton X-100, rhamnolipid and SDS) showed inhibitory effect. BDE-47 degradation by B. cereus S1 under aerobic condition was more efficient than A. faecalis S4 under anaerobic condition whether with or without the additives. The results of the study indicated that in the field sites contaminated by BDE-47, the aerobic condition can be more favorable for BDE-47 removal and the degradation can be further enhanced by applying suitable carbon sources and inducers.

Holocene terrestrialization process on the Sanjiang Plain (China) and its significance to the East Asian summer monsoon circulation.

A wide-spread terrestrialization process has been reported occurring across the Sanjiang Plain in the Holocene Epoch, while little is known for its detailed process and links to regional climate variation. Here, we present high-resolution palynological and lithological data of a peatland's sedimentary profile in the central Sanjiang Plain. The study aims to reconstruct the local terrestrialization process and discuss its significance to the Holocene East Asian summer monsoon (EASM) evolution. The results indicate that a paleolake surrounded by broadleaved forests developed during ~7.4-4.5 ka BP, corresponding to a wet and warm stage with strengthened EASM. Thereafter, a wetland dominated by Cyperaceae and Poaceae was initiated with the terrestrialization process. This process lasted until 3.9 ka BP when a lithological mud-to-peat transition occurred indicating a peatland began to develop after the extinction of the paleolake. Considering the prevalent EASM climate on the modern Sanjiang Plain, this paleolake-to-peatland transition during 4.5-3.9 ka BP was attributed to the mid-Holocene EASM retreat in addition to the paleolake's autogenic infilling process. During the peatland developing stage, four dry intervals with weakened EASM occurred in 3.9-3.2 ka BP, 2.0-1.3 ka BP, 1.0-0.5 ka BP, and 0.1-0.0 ka BP. They were alternated with three wet stages of the strengthened EASM during 3.2-2.0 ka BP, 1.3-1.0 ka BP, and 0.5-0.1 ka BP. Our findings are supported by a series of paleoclimatic records across the monsoonal regions of China. We suggest that the EASM evolution associated with the tropical ocean-atmosphere interactions was initially modulated by the solar output variation.

Gut-Lung Axis: Microbial Crosstalk in Pediatric Respiratory Tract Infections.

The gut microbiota is an important regulator for maintaining the organ microenvironment through effects on the gut-vital organs axis. Respiratory tract infections are one of the most widespread and harmful diseases, especially in the last 2 years. Many lines of evidence indicate that the gut microbiota and its metabolites can be considered in therapeutic strategies to effectively prevent and treat respiratory diseases. However, due to the different gut microbiota composition in children compared to adults and the dynamic development of the immature immune system, studies on the interaction between children's intestinal flora and respiratory infections are still lacking. Here, we describe the changes in the gut microbiota of children with respiratory tract infections and explain the relationship between the microbiota of children with their immune function and disease development. In addition, we will provide perspectives on the direct manipulation of intestinal microbes to prevent or treat pediatric respiratory infections.

Risk factors for venous thromboembolism in patients with diabetes undergoing joint arthroplasty.

BACKGROUND: Venous thromboembolism (VTE) is a significant complication after joint arthroplasty. Diabetes is related to a few changes in coagulation and fibrinolysis that may lead to thrombophilia. We aimed to investigate the incidence of postoperative VTE and associated risk factors among patients with diabetes undergoing total hip (THA) or total knee anthroplasty (TKA) in a single centre in China. METHODS: Patients with diabetes who underwent THA or TKA from January 2016 to December 2018 (n = 400) at Beijing Jishuitan Hospital were recruited in this study. Lower limb venous Doppler ultrasound was performed before and after surgery to confirm deep venous thrombosis (DVT). Computer tomography pulmonary angiography was done to confirm pulmonary embolism (PE) for those with new postoperative DVT and typical symptoms of PE. A multivariate logistic regression model was conducted to examine factors associated with the development of postoperative VTE. RESULTS: The overall incidence of postoperative VTE in patients with diabetes after THA or TKA was 46.8 % (187 out of 400). Among the 187 VTE patients, 7.5 % (14 out of 187) had proximal vein thrombosis and 92.5 % (173 out of 187) had distal vein thrombosis. No PE occurred. Female patients and patients undergoing TKA had higher incidence of postoperative VTE. Patients who developed postoperative VTE were older, and had higher levels of preoperative D-Dimer and Caprini score. A high level of preoperative D-dimer (OR = 2.11, 95 %CI = 1.35-3.30) and the surgery of TKA (OR = 2.29, 95 %CI = 1.29-4.01) significantly increased the risk of developing postoperative VTE. Postoperative initiation of concomitant mechanical prophylaxis and low molecular weight heparin (LMWH) was protective for postoperative VTE (OR = 0.56, 95 %CI = 0.37-0.86). CONCLUSIONS: VTE is common in patients with diabetes undergoing joint arthroplasty. Patients undergoing TKA or with a high level of preoperative D-dimer are at a considerable risk of developing postoperative VTE. There may be a protective role of postoperative initiation of concomitant mechanical prophylaxis and LMWH for VTE.

Association Between Thyroid Hormone Levels and Advanced Liver Fibrosis in Patients with Type 2 Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease.

PURPOSE: To evaluate the effects of serum thyroid hormone levels on advanced liver fibrosis in cases with NAFLD (non-alcoholic fatty liver disease) and T2DM (type 2 diabetes mellitus). PATIENTS AND METHODS: A total of 1422 cases with T2DM who were admitted to Peking University International Hospital between December 2014 and October 2019 were retrospectively analyzed. Standard anthropometry as well as clinical and laboratory evaluation were performed on all patients. Abdominal ultrasonography was performed to diagnose NAFLD. NFS (NAFLD fibrosis score) was used to identify advanced fibrosis in patients with T2DM and NAFLD. RESULTS: In cases with T2DM and NAFLD, the serum FT3 level in cases with advanced fibrosis was lower than that in those without advanced fibrosis (4.79±0.89 vs 4.28±1.19, P < 0.05), and significant difference was not found in serum levels of FT4 and TSH between cases with advanced fibrosis and those without advanced fibrosis (P > 0.05). The incidence of advanced fibrosis declined as the rise of serum FT3 levels (P trend < 0.05). Besides, FT3 (OR, 0.492; 95% CI, 0.384-0.631) was noted as a factor influencing advanced fibrosis in cases with T2DM and NAFLD (P< 0.05). CONCLUSION: In cases with T2DM and NAFLD, the incidence of advanced fibrosis is negatively correlated with serum FT3 levels, and a low FT3 level is an independent risk factor of advanced fibrosis.

Association of Bone Metabolism Indices and Bone Mineral Density with Diabetic Retinopathy in Elderly Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Inpatient Study in China.

OBJECTIVE: This study is aimed at analyzing the association between bone metabolism indices and diabetic retinopathy (DR) in elderly patients with type 2 diabetes mellitus. METHODS: Data of 352 men and 284 postmenopausal women, aged more than 50 years, with type 2 diabetes mellitus were retrospectively analyzed. Patients were divided into three groups based on the degree of DR: nondiabetic retinopathy (NDR) group, background diabetic retinopathy (BDR) group, and proliferative diabetic retinopathy (PDR) group. RESULTS: (1) The diabetic duration and urinary albumin to creatinine ratio (UACR) were significantly higher in the PDR and BDR groups than in the NDR group (P < 0.05). The level of beta-C-terminal telopeptide (ß-CTX) in male patients was lower in the PDR and BDR groups than in the NDR group (P < 0.05). In addition, the level of procollagen 1 intact N-terminal (P1NP) in female patients was higher in the PDR and BDR groups than in the NDR group (P < 0.05). (2) For men and postmenopausal women, the proportion of vitamin deficiency was higher in the PDR and BDR groups than in the NDR group (P < 0.05). (3) The logistic regression analysis in men and postmenopausal women showed that the diabetic duration and lower levels of UACR and 25(OH)D were independent risk factors for DR (P < 0.05). (4) The diabetic duration was also an independent risk factor for PDR (P < 0.05); however, no independent correlation was found between the level of 25(OH)D and PDR (P > 0.05). CONCLUSIONS: A close association was observed between 25(OH)D level and DR in the elderly male patients and postmenopausal women with type 2 diabetes mellitus. P1NP and ß-CTX levels might be closely related to DR in elderly male patients and postmenopausal women with type 2 diabetes mellitus.

Endoscopic vs. Microscopic Transsphenoidal Surgery for the Treatment of Pituitary Adenoma: A Meta-Analysis.

PURPOSE: Currently, endoscopic transsphenoidal surgery (ETS) and microscopic transsphenoidal surgery (MTS) are commonly applied treatments for patients with pituitary adenomas. This meta-analysis was conducted to evaluate the efficacy and safety of ETS and MTS for these patients. METHODS: A computer search of Pubmed, Embase, Cochrane library, Web of Science, and Google Scholar databases was conducted for studies investigating ETS and MTS for patients with pituitary adenomas. The deadline is March 01, 2021. RevMan5.1 software was used to complete this meta-analysis after literature screening, data extraction, and literature quality evaluation. RESULTS: A total of 37 studies including 5,591 patients were included. There was no significant difference in gross tumor removal (GTR) and hormone-excess secretion remission (HES remission) between two groups [RR = 1.10, 95% CI (0.99-1.22), P = 0.07; RR = 1.09, 95% CI (1.00-1.20), P = 0.05]. ETS was associated with lower incidence of diabetes insipidus (DI) [RR = 0.71, 95% CI (0.58-0.87), P = 0.0008], hypothyroidism [RR = 0.64, 95% CI (0.47-0.89), P = 0.007], and septal perforation [RR = 0.32, 95% CI (0.13-0.79), P = 0.01] than those with MTS. CONCLUSION: This meta-analysis indicated that ETS cannot significantly improve GTR and HES remission. However, ETS could reduce the incidence of DI, hypothyroidism, and septal perforation without increasing the rate of other complications. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/#myprospero, identifier: CRD42021241217.

Mechanism and industrial application feasibility analysis on microwave-assisted rapid synthesis of amino-carboxyl functionalized cellulose for enhanced heavy metal removal.

The study presented the successful microwave-assisted (MW-assisted) preparation of a novel adsorbent derived from rice straw (RSMW-AC) and explored its adsorption performance toward heavy metal ions from water. The RSMW-AC was rapidly synthesized through pretreatment and one step grafting via the MW-assisted approach. The quantitative predictive correlations between target performance of RSMW-AC and process parameters were obtained through the response surface methodology (RSM). Meanwhile, the optimal preparation process conditions were determined: NaOH solution concentration, 20%; MW irradiation temperature for pretreatment, 100 and 150 °C; MW irradiation time for pretreatment and grafting, 10 and 60 min; EDTAD-RS mass ratio, 3. The RSMW-AC showed a good adsorption of different heavy metal ions from water (152.39, 55.46, 52.91, 35.60 and 20.11 mg g-1 for Pb(Ⅱ), Mn(Ⅱ), Cd(Ⅱ), Cu(Ⅱ) and Ni(Ⅱ), respectively). The adsorption behaviors followed the Langmuir model and pseudo second-order kinetics model with a highly significant correlation. Also of note was that amino and carboxyl groups were successfully introduced on the rice straw based on characterization results. Furthermore, preparation mechanism was explored to reveal reasons why microwave irradiation could accelerate the preparation of the adsorbent; its adsorption process was dominated by electrostatic attraction and chelation. Finally, the study made the industrial application feasibility analysis of MW-assisted approach used for pretreatment and graft reaction of agro-waste biomass.

Risk prediction model of gestational diabetes mellitus based on nomogram in a Chinese population cohort study.

To build a risk prediction model of gestational diabetes mellitus using nomogram to provide a simple-to-use clinical basis for the early prediction of gestational diabetes mellitus (GDM). This study is a prospective cohort study including 1385 pregnant women. (1) It is showed that the risk of GDM in women aged ≥ 35 years was 5.5 times higher than that in women aged < 25 years (95% CI: 1.27-23.73, p < 0.05). In the first trimester, the risk of GDM in women with abnormal triglyceride who were in their first trimester was 2.1 times higher than that of lipid normal women (95% CI: 1.12-3.91, p < 0.05). The area under the ROC curve of the nomogram of was 0.728 (95% CI: 0.683-0.772), the sensitivity and specificity of the model were 0.716 and 0.652, respectively. This study provides a simple and economic nomogram for the early prediction of GDM risk in the first trimester, and it has certain accuracy.

Surfactant-enhanced aquifer remediation: Mechanisms, influences, limitations and the countermeasures.

In recent years, surfactant-enhanced aquifer remediation (SEAR) has attracted increasing interest duo to the high efficiency of removing non-aqueous phase liquids (NAPLs) from aquifer. A thorough understanding of SEAR is necessary for its successful implementation in field remediation. This paper reviewed the SEAR technology in a comprehensive way based on the recent research advances. Firstly, an overview of the basic processes and mechanisms underlying the technology was presented. Secondly, applications of SEAR and the factors that influence the performance were summarized. Thirdly, the key limitations of SEAR, which are downward migration of dense-NAPLs, secondary pollution of surfactants, adsorptive, precipitative and partitioning loss of surfactants, and heterogeneity of the aquifer, were reviewed. Finally, the recent advances in modifying SEAR to overcome the limitations were discussed in detail. The review will promote our understanding of SEAR technology and provide some useful information to improve the performance of SEAR in applications.

Factors associated with glycemic control in type 1 diabetes patients in China: A cross-sectional study.

AIMS/INTRODUCTION: Glycemic control in type 1 diabetes can be challenging, and is influenced by many factors. This study aimed to investigate glycemic control and its associated factors in Chinese people with type 1 diabetes. MATERIALS AND METHODS: This cross-sectional study included 779 participants with type 1 diabetes selected from hospital records review, outpatient clinics and inpatient wards. Data were collected through face-to-face interviews, medical records and venous blood samples. Multiple logistic regression analysis was carried out to determine factors associated with glycemic control. RESULTS: Among 779 participants, 49.2% were male. The median age was 24 years (interquartile range 14-36 years). The median age at diagnosis of diabetes was 17 years (interquartile range 10-28 years) and the median duration of diabetes was 4 years (interquartile range 1-8 years). The mean ± standard deviation hemoglobin A1c was 9.1 ± 2.5%. Nearly 80% of participants had inadequate glycemic control (hemoglobin A1c ≥7.0%). Multivariable analysis showed that age at diagnosis of diabetes ≤20 years, living in a rural location, low household income, low intake of fruit and vegetables, low level of physical activity, low adherence to insulin, and low utilization of insulin pump were independent risk factors for poor glycemic control (hemoglobin A1c ≥9.0%). CONCLUSIONS: Inadequate glycaemic control is common among people with type 1 diabetes in China. Efforts should be made to control the modifiable risk factors, which include low intake of fruit and vegetables, low level of physical activity, and low adherence to insulin for the improvement of glycemic control. Appropriate use of insulin pump among type 1 diabetes should be encouraged.

Enhanced fuel characteristics and physical chemistry of microwave hydrochar for sustainable fuel pellet production via co-densification.

Microwave assisted hydrothermal treatment (MHTC) was compared with torrefaction in terms of carbonization efficiency and physicochemical characteristics of char products. The utilization of produced char was optimized for composite solid biofuel production. The results show that MHTC significantly improved the binding capability of the microwave hydrochar (MHC) particles during co-densification with unprocessed biomass and coal. One possible contributor to the improved binding is the pseudo lignin formed during the MHTC, which led to a better interlocking of the feedstock particles and promoted the solid bridge formation. Composite pellet prepared with 80 wt% of torrefaction char (TC-120), 10 wt% of microwave hydrochar (MHC-30), and 10 wt% of Coal-04 showed a higher heating value of 24.54 MJ/kg and energy density of 26.43 GJ/m3, which is significantly higher than that of the raw cotton stalk pellet (16.77 MJ/kg and 18.76 GJ/m3, respectively), showing great promise as a solid biofuel. The moisture resistance and oxidation reactivity are also significantly improved. The results demonstrate that MHCs provides dual functionalities in acting as binder and fuel promoter in the production of composite biofuel. This study can provide new insight into the unique functions of MHC during fuel application, which demonstrates the great potential of applying MHTC in energy recovery from lignocellulosic biomass.

Comparison of Diagnostic Accuracy of Thyroid Cancer With Ultrasound-Guided Fine-Needle Aspiration and Core-Needle Biopsy: A Systematic Review and Meta-Analysis.

This systematic review and meta-analysis aimed to evaluate the accuracy of fine-needle aspiration (FNA) and core-needle biopsy (CNB) in diagnosing thyroid cancer. The PubMed, Embase, and Cochrane Library databases were retrieved up to May 2019, and the overall accuracy of FNA and CNB in diagnosing thyroid cancer was evaluated by meta-analysis. The sensitivity, specificity, positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were calculated. The summary receiver operating characteristic (ROC) curve was estimated, and the area under the ROC curve (AUC) was calculated. Ten eligible studies, involving 10,078 patients with 10,842 thyroid nodules, were included. The overall sensitivity and specificity of FNA and CNB for thyroid cancer were 0.72 [95 % confidence interval (CI): 0.69-0.74], 0.99 (95% CI: 0.98-0.99), and 0.83 (95% CI: 0.81-0.85), 0.99 (95% CI: 0.98-0.99), respectively. Other parameters used to assess efficacy included PLR 41.71 (2.15-808.27) and 51.56 (3.20-841.47), NLR 0.31 (0.22-0.42) and 0.22 (0.15-0.32), for FNA and CNB, respectively. Overall, the pooled summary ROC (AUC) value of FNA and CNB was 0.9025 and 0.7926, respectively. No significant difference was observed between the two AUCs of FNA and CNB (P = 0.164). FNA and CNB are still similar as first-line diagnostic tools. FNA remains a good first-line method for detecting thyroid malignancies.