Gold nanoparticles-conjugation of irisin enhances therapeutic effect by improving cardiac function and attenuating inflammation in sepsis.

Irisin is considered to be a promising therapeutic approach for cardiac depression and inflammatory disorders. The short half-life of irisin impeded its use and drug efficacy in the treatment. This study aimed to examine if pegylated gold nanoparticles-conjugated to irisin would improve therapeutic effects in cecal ligation and puncture (CLP)-induced sepsis in mice. Recombinant irisin were conjugated to a pegylated gold nanoparticle, which was given to mice exposed to CLP. The cecal ligation procedure and sham on mice were operated and assigned to one of following five groups: (I) CLP group: The mouse models underwent the CLP surgical procedure and received only vehicle saline treatment (n = 5); (II) CLP + soluble Irisin: The mouse underwent the CLP and received an intramuscular injection (i.m) (TA) injection of 1 ug of soluble irisin into each tibialis anterior (TA) leg (n = 5); (III) CLP + Gold nanoparticle-conjugated to Irisin: The mouse models underwent the CLP and received an i.m (TA) injection of 1 µg of Gold nanoparticle-irisin via intramuscular injection (TA) into each leg (n = 5); (IV) CLP + Gold nanoparticles- conjugated to IgG: The mouse underwent the CLP and received an i.m (TA) injection of gold nanoparticles conjugated to IgG (n = 5). (V) Sham: The mouse underwent the surgical operation without conducting the CLP (n = 10). The post-operated animals were observed for one week, and survival rates were estimated. Echocardiography was performed to measure cardiac function at 12 h following CLP. TUNEL was employed to detect apoptosis in both cardiac and skeletal muscles; histology was conducted to assess tissue injury in muscles. Enzyme linked immunosorbent assay (ELISA) was conducted to examine release of interleukin 6 (IL6) and the tumor necrosis factor (TNF) alpha. Compared to the CLP control, soluble irisin treatment improved cardiac function recovery, as indicated by the fractional shortening (FS) and ejection fraction (EF). Irisin treatment exhibited reduced IL6 and TNF-alpha release in association with less apoptosis, lower muscle injury index and improved survival post-CLP. However, compared to soluble irisin treatment, gold nanoparticles-conjugated to irisin showed a significant improvement in cardiac function, suppression of apoptosis, reduced IL6 and TNF-alpha releases, decreased muscle injury and an improved survival rate of post-CLP. This study reveals that gold nanoparticles-conjugated irisin can serve to improve irisin's therapeutic effects over a longer course of treatment.

Model for Predicting Complications of Hemodialysis Patients Using Data From the Internet of Medical Things and Electronic Medical Records.

Intelligent models for predicting hemodialysis-related complications, i.e., hypotension and the deterioration of the quality or obstruction of the AV fistula, based on machine learning (ML) methods were established to offer early warnings to medical staff and give them enough time to provide pre-emptive treatment. A novel integration platform collected data from the Internet of Medical Things (IoMT) at a dialysis center and inspection results from electronic medical records (EMR) to train ML algorithms and build models. The selection of the feature parameters was implemented using Pearson's correlation method. Then, the eXtreme Gradient Boost (XGBoost) algorithm was chosen to create the predictive models and optimize the feature choice. 75% of collected data are used as a training dataset and the other 25% are used as a testing dataset. We adopted the prediction precision and recall rate of hypotension and AV fistula obstruction to measure the effectiveness of the predictive models. These rates were sufficiently high at approximately 71%-90%. In the context of hemodialysis, hypotension and the deterioration of the quality or obstruction of the arteriovenous (AV) fistula affect treatment quality and patient safety and may lead to a poor prognosis. Our prediction models with high accuracies can provide excellent references and signals for clinical healthcare service providers. Clinical and Translational Impact Statement-With the integrated dataset collected from IoMT and EMR, the superior predictive results of our models for complications of hemodialysis patients are demonstrated. We believe, after enough clinical tests are implemented as planned, these models can assist the healthcare team in making appropriate preparations in advance or adjusting the medical procedures to avoid these adverseevents.

Strengthen the purification of eutrophic water and improve the characteristics of sediment by functional ecological floating bed suspended calcium peroxide and sponge iron jointly.

To overcome the shortcomings of conventional ecological floating bed (CEFB) in purifying landscape water, this study constructed a functional ecological floating bed (FEFB) through the suspension of calcium peroxide (CP) and sponge iron (SI) jointly below the CEFB. The purification effect of water quality and influence of sediment were compared in control check, CEFB, and FEFB systems, which were loaded the same sediment and reclaimed water in a field experiment. Results showed that the FEFB suspended with CP and SI had evident purification effect on the quality of landscape water supplied with reclaimed water and can maintain stably the nutrient status of the water body at mesotrophic levels and low turbidity. The FEFB promoted the degradation of humus, thus eliminating the chroma risk in water body caused by the decay of plants from the CEFB. Moreover, the FEFB can control the sediment mass produced, reduce the total nitrogen (TN) mass of sediment, and decrease the transformable TN (TTN) content in the sediment. The FEFB enhanced the stability of phosphorus (P) in the sediment, where the relative content of Ca-P and stable P reached 42.18% and 64.27%, respectively. To sum up, the FEFB suspended with SI and CP can not only effectively control the eutrophication and sensory index of landscape water but also change the TTN content and P forms in sediment, making the sediment more stable. Thus, the FEFB provides an innovative approach to reduce endogenous nutrient release for landscape water along with recharging with reclaimed water.

Serum ferritin as a crucial biomarker in the diagnosis and prognosis of intravenous immunoglobulin resistance and coronary artery lesions in Kawasaki disease: A systematic review and meta-analysis.

Background: Early identification and treatment are paramount for intravenous immunoglobulin (IVIG) resistance and coronary artery lesions (CALs) in patients with Kawasaki disease (KD). Unfortunately, there is no single crucial biomarker to identify these patients in a timely manner, which makes KD the most common cause of acquired heart disease in children in developed countries. Recently, many studies have focused on the association between serum ferritin (SF), IVIG resistance, and CALs in KD. We thus performed a systematic review and meta-analysis to ascertain the diagnostic and prognostic values of SF in predicting IVIG resistance and CALs in KD in the acute phase. Methods: The pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the receiver operating characteristic curve (AUC) were extracted from the data to evaluate the SF levels in KD. The hazard ratios (HRs) of related risk factors and their corresponding 95% confidence intervals (CIs) were applied to compute the pooled assessments of the outcomes. Results: A total of 11 eligible articles were included in this meta-analysis, including twenty studies for diagnosis and five studies for prognosis. In terms of diagnostic values, SF could identify KD patients in the overall studies with a relatively high pooled sensitivity, specificity, PLR, NLR, DOR, and AUC of 0.76 (95% CI: 0.69-0.82), 0.82 (95% CI: 0.76-0.88), 4.33 (95% CI: 3.07-6.11), 0.29 (95% CI: 0.22-0.38), 15.0 (95% CI: 9.00-25.00), and 0.86 (95% CI: 0.83-0.89), respectively. In studies comparing KD patients and controls, there were a relatively high pooled sensitivity, specificity, PLR, NLR, DOR, and AUC of 0.79 (95% CI: 0.72-0.84), 0.84 (95% CI: 0.79-0.91), 4.61 (95% CI: 3.27-6.51), 0.26 (95% CI: 0.20-0.34), 20.82 (95% CI: 11.83-36.64), and 0.89 (95% CI: 0.86-0.91), respectively. For the prognostic values, we found poor survival outcomes based on KD patients (HR = 1.31, 95% CI: 1.07-1.59, P = 0.008). Conclusion: Our meta-analysis suggests that SF may be used as a workable and critical biomarker for the diagnosis and prognosis of IVIG resistance and CALs in patients with KD. We also propose that maintaining the dynamic balance between iron, SF, and ferroptosis will be an important therapeutic strategy to reduce the morbidity of CALs. Systematic review registration: [https://www.crd.york.ac.uk/prospero/], identifier [CRD42022279157].

Response mechanism of microorganisms to the inhibition of endogenous pollution release by calcium peroxide.

To further explore the response mechanism of microorganisms to the synchronous control of nitrogen and phosphorus release from sediments by CaO2, the spatiotemporal changes in the physical, chemical and biological indicators of the overlying water, interstitial water and sediments in each reactor were measured in the experiment. The experiment results showed that CaO2 could increase the ammonia monooxygenase activity, nitrite oxidase activity and Nitrospira abundance in the sediment near its dosing position, and enhanced the activities of nitrate reductase and nitrite reductase at a certain distance from the dosing position, thereby promoting nitrogen removal in sediments through the alternating process of nitrification and denitrification. At the same time, the increase of alkaline phosphatase activity and Saccharimonadales abundance in the test groups accelerated the hydrolysis of organic phosphorus, and the P immobilization in sediments was realized through the subsequent precipitation reaction of Ca2+ and PO43- under alkaline conditions. In addition, the enhanced activities of dehydrogenase and catalase ensured that CaO2 would not cause great killing effect on microorganisms when improving the hypoxic conditions and inhibiting endogenous release. As a result, the dissolved product of CaO2 such as Ca(OH)2 and H2O2 reduced the nutrients concentration and killed the algae, which kept the algae density and chlorophyll a concentration at a low level throughout the test groups. Therefore, this study systematically clarified the microbial mechanism of CaO2 synchronously controlling the release of nitrogen and phosphorus from sediments, which provided a new idea for the remediation of endogenous pollution in the water system.

[Changes in Carbonaceous Aerosol in the Northern Suburbs of Nanjing from 2015 to 2019].

Carbonaceous aerosol is an important component of atmospheric fine particles that has an important impact on air quality, human health, and climate change. In order to explore the long-term changes in carbonaceous aerosol under the background of emission reduction, this study measured the mass concentrations of organic carbon (OC) and elemental carbon (EC) of PM2.5, which collected in the northern suburbs of Nanjing for five years (December 17, 2014 to January 5, 2020). The results showed that the five-year average ρ(OC) and ρ(EC) were (10.2±5.3) µg·m-3 and (1.6±1.1) µg·m-3, accounting for 31.1% and 5.2% of PM2.5, respectively. OC and EC concentrations were both high in winter and low in summer. According to the nonparametric Mann-Kendall test and Sen's slope, the mass concentrations of OC and PM2.5 decreased significantly[OC:P<0.0001, -0.79 µg·(m3·a)-1, -0.29%·a-1; PM2.5:P<0.0001, -4.59 µg·(m3·a)-1, -1.58%·a-1]. Although EC had an upward trend, the significance and range of change were not obvious[P=0.02, 0.05 µg·(m3·a)-1, 0.02%·a-1]. OC and EC decreased significantly during winter from 2014 to 2019[OC:P<0.0001, -2.05 µg·(m3·a)-1, -0.74%·a-1; EC:P=0.001, -0.15 µg·(m3·a)-1, -0.05%·a-1], and the decline was more obvious than the whole. The correlation between OC and EC showed that the sources in winter and summer were more complex than those in spring and autumn. According to the characteristic ratio of OC and EC, the contribution of coal combustion and biomass burning decreased from 2015 to 2019, whereas the impact of industrial sources and vehicle emissions became more significant. Corresponding to this was the obvious decline in OC and the slight recovery of EC. The OC/EC ratio was over 2.0, indicating that there was secondary pollution in the study area. Further calculation revealed that the variation in SOC was consistent with that in OC, showing a significant decrease[P<0.0001, -0.47 µg·(m3·a)-1, -0.17%·a-1]. The average mass concentration of SOC was (5.0±3.5) µg·m-3, accounting for 49.2% of OC. These changes indicate clear effects of the prevention and control of air pollution in Nanjing in recent years. Furthermore, future control can focus on the emissions of VOCs to reduce secondary pollution.

Physi-chemical mechanism and control effect of CaO2 inhibiting phosphorus release from sediments under different dosing modes.

CaO2 is known as an outstanding restoration agent to control phosphorus (P) release from sediments, and its mechanism is believed to depend on chemical passivation. However, we found that the physical actions might also be involved in inhibiting endogenous P release induced by CaO2. To further explore the mechanism of CaO2 controlling P release and optimize the dosing method, a 94-day incubation experiment was conducted under different CaO2 dosing modes. The results showed that CaO2 could form a dense passivation layer near its dosing position by reducing the median diameter of sediments, thereby inhibiting P release through physical obstruction. At the same time, the increase in the specific surface area and Ca content of sediments induced by CaO2 could synchronously enhance the physical and chemical adsorption properties of sediments to P. In addition, CaO2 could significantly reduce the P concentration in sediment interstitial water and the mobile-P and BAP contents in sediments through chemical oxidation and chemical precipitation. Under the combined actions of physical obstruction, physi-chemical adsorption, chemical oxidation, and chemical precipitation, CaO2 effectively inhibited endogenous P release. Finally, the P release flux in each reactor showed that multiple coverage and shallow injection had the optimal effect on inhibiting P release, and the former is recommended for the water systems with shallow sediments, and the latter is suitable for the water systems with deep sediments. In general, this experiment proposed the physi-chemical mechanism of P immobilization mediated by CaO2, studied the formation characteristics of the passivation layer, and optimized the dosing mode, which can provide valuable reference for the research and application of CaO2 controlling P release.

Isolation, synthesis and bioactivity evaluation of isoquinoline alkaloids from Corydalis hendersonii Hemsl. against gastric cancer in vitro and in vivo.

Isoquinoline alkaloid displays significant anti-gastric cancer effects due to its unique structure, which is attracting more and more attention for the development of anti-gastric cancer drugs. In this study, we explore the active components against gastric cancer from the Tibetan Medicine Corydalis hendersonii Hemsl, which is rich in isoquinoline alkaloids. 14 compounds including 2 previously undescribed natural products were obtained. Interestingly, an new active compound displays potent anti-gastric cancer activity. After accomplishing the total syntheses of the active compound and its derivatives, the anti-gastric cancer activity of the active compound was further investigated. In vitro experiments revealed that the active compound significantly attenuated the proliferative capacity, caused G2/M phase arrest, inhibited the cell migration and invasion, and induced cell apoptosis. Mechanistically, the active compound could increase the Bax/Bcl-2 ratio, elevate cytochrome c in the cytosol, and activate caspase-9/3, along with inactivating the upstream PI3K/Akt/mTOR signaling pathway. In addition, the active compound could also cause gastric cancer cell death by inhibiting topoisomerase I activity. More importantly, the anti-gastric cancer activity of the active compound was confirmed in MGC-803 xenograft nude mice in vivo. This work not only promotes the exploitation of Corydalis hendersonii Hemsl., but also provides some experience for discovering new entities from natural sources.

Active and synchronous control of nitrogen and organic matter release from sediments induced with calcium peroxide.

In order to realize the active and synchronous control of nitrogen (N) and organic matter (OM) release from sediments, this study compared the spatiotemporal changes in the physical, chemical, and biological indicators in the water system under different CaO2 dosing modes. Results from 90-day incubation experiment showed that CaO2 formed a dense barrier layer near its dosing position, improved the anoxic condition of water system, increased the physical adsorption of pollutants by sediments, and reduced the nutrients in overlying water, interstitial water, and sediments. Comprehensive comparison, the improvement effect of shallow injection group (I1) was the most obvious. Meanwhile, the activities of ammonia oxidizing bacteria and nitrite oxidizing bacteria near dosing position and those of denitrifiers and anammox bacteria adjacent to dosing site were significantly increased in all test groups (p < 0.01), thereby realizing the biological removal of N and OM in sediments. In addition, DO and ORP were steadily higher than 5 mg L-1 and 100 mV in I1, where the NH4+-N concentration in overlying water was stable below 1 mg L-1, and the easily released N content in the upper (0-3 cm) and middle (4-6 cm) sediments decreased by 41.64% and 43.56%, respectively. Compared with the large pollutant flux in control (14.31 TN mg m-2 d-1 and 194.05 mg TCOD m-2 d-1), I1 completely inhibited the pollutant release and reduced the original nutrients in overlying water. In general, CaO2 efficiently and synchronously controlled the endogenous release of N and OM under the combined actions of physical interception, physical adsorption, chemical oxidation, and biological transformation. Therefore, this study may provide valuable reference and guidance for the active and synchronous removal of N and OM in sediments and inhibition of endogenous pollutant release under anoxic condition.

Bibliometric analysis of scientific papers on extracellular vesicles in kidney disease published between 1999 and 2022.

Background: In recent years, there has been an increasing interest in using extracellular vesicles (EVs) as potential therapeutic agents or natural drug delivery systems in kidney-related diseases. However, a detailed and targeted report on the current condition of extracellular vesicle research in kidney-related diseases is lacking. Therefore, this prospective study was designed to investigate the use of bibliometric analysis to comprehensively overview the current state of research and frontier trends on extracellular vesicle research in kidney-related diseases using visualization tools. Methods: The Web of Science Core Collection (WoSCC) database was searched to identify publications related to extracellular vesicle research in kidney-related diseases since 1999. Citespace, Microsoft Excel 2019, VOSviewer software, the R Bibliometrix Package, and an online platform were used to analyze related research trends to stratify the publication data and collaborations. Results: From 1 January 1999 to 26 June 2022, a total of 1,122 EV-related articles and reviews were published, and 6,486 authors from 1,432 institutions in 63 countries or regions investigated the role of extracellular vesicles in kidney-related diseases. We found that the number of articles on extracellular vesicles in kidney-related diseases increased every year. Dozens of publications were from China and the United States. China had the most number of related publications, in which the Southeast University (China) was the most active institution in all EV-related fields. Liu Bi-cheng published the most papers on extracellular vesicles, while Clotilde Théry had the most number of co-citations. Most papers were published by The International Journal of Molecular Sciences, while Kidney International was the most co-cited journal for extracellular vesicles. We found that exosome-related keywords included exosome, exosm, expression, extracellular vesicle, microRNA, microvesicle, and liquid biopsy, while disease- and pathological-related keywords included biomarker, microRNA, apoptosis, mechanism, systemic lupus erythematosus, EGFR, acute kidney injury, and chronic kidney disease. Acute kidney disease (AKI), CKD, SLE, exosome, liquid biopsy, and extracellular vesicle were the hotspot in extracellular vesicle and kidney-related diseases research. Conclusion: The field of extracellular vesicles in kidney-related disease research is rapidly growing, and its domain is likely to expand in the next decade. The findings from this comprehensive analysis of extracellular vesicles in kidney-related disease research could help investigators to set new diagnostic, therapeutic, and prognostic ideas or methods in kidney-related diseases.

Treatment of the actual landfill leachate in different constructed wetlands through intermittent and varied aeration mode.

This study focused on the removal of organic matter and nitrogen and explored the feasible operation strategies to achieve short-cut nitrification and denitrification in two constructed wetlands (CWs), which were designed to treat the actual landfill leachate from a small county in parallel. The two CWs were horizontal sub-surface flow constructed wetlands (HFCW) with partial-area aeration and vertical sub-surface flow constructed wetlands (VFCW) with full-area aeration. The experimental results showed that both CWs could achieve an excellent organic matter and nitrogen removal performance under the conditions of intermittent aeration with high frequency and medium intensity (2 h of aeration and 4 h of rest). The removal efficiencies of COD and total nitrogen by HFCW were 89.08% and 73.22%, and the corresponding values of VFCW were 84.51% and 71.44%, respectively. Meanwhile, the inhibition kinetics model indicated that HFCW with partial-area aeration could enhance the free ammonium (FA) tolerance of ammonium-oxidizing bacteria (AOB) and reduce the conversion percentage of ammonia nitrogen. In addition, the intermittent aeration mode with high frequency and medium intensity could keep the DO concentration below under 0.60 mg L-1 in HFCW, which helped to achieve stable short-cut nitrification and ensure the average nitrite accumulation rate (NAR) reach 50.96%. These results suggested that the intermittent aeration in partial-area could achieve successful short-cut nitrification in HFCW, thereby improving the removal efficiency of nitrogen in landfill leachate.

Erector Spinae Plane Block Similar to Paravertebral Block for Perioperative Pain Control in Breast Surgery: A Meta-Analysis Study.

BACKGROUND: Erector spinae plane block could be a potential alternative to paravertebral block or other analgesic techniques for breast surgery, but the current evidence on erector spinae plane block in breast surgery is conflicting. OBJECTIVE: To compare the analgesic effectiveness between erector spinae plane block, systemic analgesic, and paravertebral block for breast surgery. STUDY DESIGN: Meta-analysis. SETTING: The literature search was performed from 2016 to August 2020 using the MEDLINE, EMBASE, Cochrane library, and ClinicalTrials.gov databases. METHODS: Clinical trials comparing erector spinae plane block to systemic analgesic and paravertebral block were included from the aforementioned databases. Primary outcomes were 24-hour postoperative opioid administration and postoperative pain score. Secondary outcomes were patient satisfaction levels, post-anesthesia care unit and hospital stay, block-related side effects, and opioid-related side effects. Systematic search, critical appraisal, and pooled analysis were performed according to the PRISMA statement. RESULTS: We analyzed 495 cases in 8 randomized controlled trials. Compared with a systemic analgesic, the use of erector spinae plane block resulted in a reduced 24-hour postoperative intravenous morphine equivalent dose by a mean difference of 7.59 mg (P < 0.00001). Compared with paravertebral block, no statistical difference was found in opioid administration. No differences were observed in pain score, opioid-related side effects, or analgesic technique-related complications. Between the trials, heterogeneity existed and could not be evaluated using meta-regression owing to inadequate reported data. LIMITATIONS: Moderate heterogeneity among the included trials could not be assessed by potential covariates owing to the limited reported data in each trial. CONCLUSION: Erector spinae plane block is superior to systemic analgesic within 24 hours after breast surgery and can serve as an alternative to paravertebral block with similar analgesic effects.

Effect of first-stage aeration on treatment of domestic sewage in different hybrid constructed wetlands.

Two sets of hybrid constructed wetlands (HCWs) with the first-stage aeration were used to treat actual domestic sewage in this paper, where the effects of three important factors of aeration mode, hydraulic loading rates (HLR), and aeration volume on the removal of pollutants in both HCWs were studied in contrasts. In addition, the pollutant removal efficiency, the contribution of plants, and the characteristics of biofilm in both HCWs were explored. The results of 250-day experiment showed that the TN removal capacity of HCW combining vertical flow CW with horizontal flow CW (VF-HF) was better than HCW's converse combination (HF-VF) in treatingsewage, while the removal efficiency of COD and NH4+-N were similar, and the concentrations of TN and COD in the effluent of VF-HF could successfully meet the National discharge requirements. Compared with the continuous aeration, the intermittent aeration only had a little effect on the removal of COD and NH4+-N, but could improve TN removal performance in both HCWs. Meanwhile, increasing the aeration volume was beneficial to remove NH4+-N but not TN in HCWs. In addition, although the pollutant removal performances in both HCWs were impacted, the removal capacity of TN in VF-HF was only affected a little, when HLR was increased by 50%. The contribution of plants' uptake accounted for about 10% to nitrogen removal and 20% to phosphorus removal in both HCWs. The biomass at the filler surface near the plant rhizosphere was greater than that in the non-rhizosphere zones, and the impact of plant rhizosphere on the nitrification activity of biofilm was significantly greater than that on denitrification activity in both HCWs.

[Distribution Characteristics and Source of Black Carbon Aerosols in the Northern Suburbs of Nanjing].

Black carbon (BC) is an important component of atmospheric particulate matter (PM) emitted during the combustion process. Light absorption and scattering exhibited by BC affect the exchange of solar energy on Earth. In this study, continuous measurements of atmospheric particulate BC were carried out, using a BC analyzer (AE33) in the suburban area of Nanjing from January 2019 to May 2019, to realize the diurnal variations of BC during the different seasons and potential sources of BC during the clean (CD, PM2.5<35 µg ·m-3) and haze days (PD, PM2.5>75 µg ·m-3). The results showed that the average concentration of BC was (3.8±2.3) µg ·m-3; a higher average BC concentration value of (4.3±2.6) µg ·m-3 was observed during the winter, exceeding that during the spring period by a factor of 1.3. The higher BC concentrations during the winter was attributed to the stagnant weather conditions and additional emissions. Significant diurnal cycles of BC were observed with higher BC concentrations during rush hours of traffic, suggesting traffic origins. The Ångström exponent were 1.32 and 1.30 during the spring and winter periods, respectively, indicating that the BC was mainly produced from the traffic emissions during both the seasons. This hypothesis was also supported by the average BC/CO ratio of 0.005, which was similar to that of BC derived by traffic emissions. Moreover, we discovered that the contributions of traffic emissions to BC were 68%-87% and 72%-86% during the haze and clean periods, respectively. This indicated enhanced contributions of coal combustion and biomass burning to BC in Nanjing during the haze events. Finally, using the potential source contribution function (PSCF) and concentration weighted trajectory (CWT) analysis, we highlighted that the BC at the receptor site was mainly from the local emissions in the surrounding areas of Nanjing.

Research and application status of ecological floating bed in eutrophic landscape water restoration.

Ecological floating bed (EFB) has become the preferred technology due to its reputation of green economy, convenience, and efficiency in treating eutrophic landscape water. Based on the statistical analysis of abundant literatures, this paper systematically summarizes the component elements, design parameters, purification mechanism, purification ability, strengthening methods and the correlations among various parameters of EFB, and points out some issues existing in the current research and applications. The results show that the coverage of 5% ~ 38% and water depth of 60 ~ 110 cm should be recommended for EFB design. The microbial transformation-sedimentation contributes mostly to the removal of pollutant, leading to the contribution rate of 51.9% ± 26.4% to nitrogen (N) removal and 50.8% ± 20.4% to phosphorus (P) removal in water respectively. Meanwhile, the average purification abilities of EFB for carbon (C), N and P in water are 4.59 ± 3.82, 0.43 ± 0.35 and 0.04 ± 0.04 g m-2 d-1 respectively. The purification effect is relatively superior when the initial concentration of C, N and P in water is close to C: N: P = 115: 11: 1. In order to enhance the EFB purification efficiency, the methods of artificial aeration, biological chain extension, functional filler introduction, and composite EFB construction can be used. Furthermore, the purification ability of EFB per unit area is correlated positively with water temperature and initial pollutant concentration (r ≥ 0.577, p < 0.01), and correlated negatively with EFB coverage (r ≤ -0.598, p < 0.01). The future research of EFB should focus on enhancing its purification efficiency and seasonal adaptability, studying the mechanism of algae inhibition by allelochemicals, and exploring the harvesting management and resource utilization of plants. This paper provides more reasonable design parameters, feasible management strategies and prospective research directions for environmental managers and researchers who would like to adopt EFB to purify eutrophic landscape water.

Efficient Clinical Data Sharing Framework Based on Blockchain Technology.

BACKGROUND: While electronic health records have been collected for many years in Taiwan, their interoperability across different health care providers has not been entirely achieved yet. The exchange of clinical data is still inefficient and time consuming. OBJECTIVES: This study proposes an efficient patient-centric framework based on the blockchain technology that makes clinical data accessible to patients and enable transparent, traceable, secure, and effective data sharing between physicians and other health care providers. METHODS: Health care experts were interviewed for the study, and medical data were collected in collaboration with Ministry of Health and Welfare (MOHW) Chang-Hua hospital. The proposed framework was designed based on the detailed analysis of this information. The framework includes smart contracts in an Ethereum-based permissioned blockchain to secure and facilitate clinical data exchange among different parties such as hospitals, clinics, patients, and other stakeholders. In addition, the framework employs the Logical Observation Identifiers Names and Codes (LOINC) standard to ensure the interoperability and reuse of clinical data. RESULTS: The prototype of the proposed framework was deployed in Chang-Hua hospital to demonstrate the sharing of health examination reports with many other clinics in suburban areas. The framework was found to reduce the average access time to patient health reports from the existing next-day service to a few seconds. CONCLUSION: The proposed framework can be adopted to achieve health record sharing among health care providers with higher efficiency and protected privacy compared to the system currently used in Taiwan based on the client-server architecture.

Impact of calcium peroxide dosage on the control of nutrients release from sediment in the anoxic landscape water.

The anoxic and reductive aquatic environment is formed easily in summer due to the global warming, which may accelerate endogenous release. In this experiment, four different dosages of calcium peroxide (CaO2) were adopted to study the control effects of nutrients release from the sediments in the simulated landscape waters. The results demonstrated that CaO2 addition could effectively improve the physicochemical properties and microbial composition in sediments, and an obvious improvement was achieved with a larger dosage. It was observed that the surface sediments of experiment groups were oxidized to form a capping barrier between the sediment and overlying water, which might cut off the pollutant diffusion in sediment. Meanwhile, CaO2 could decrease the nutrients concentration in water obviously, and the reduced effect was positively correlated with the CaO2 dosage. Compared with the nutrients release fluxes in CK (105.89 mg-TN m-2 day-1, 106.48 mg-NH4+-N m-2 day-1, 4.14 mg-TP m-2 day-1, and 4.30 mg-SRP m-2 day-1), the CaO2 dosages of 0.12 and 0.18 kg m-2 could entirely inhibit the nutrients release from sediment, and partially reduce the original pollutants in the overlying water. However, 0.18 kg m-2 CaO2 would cause a higher increase of pH value and NO2--N concentration, and bring potential risk to the aquatic ecosystem. Therefore, 0.12 kg-CaO2 m-2-sediment was selected as the optimal dosage by considering the control effect, economic cost, and potential risk comprehensively. In general, this study provided a quantitative usage method of CaO2, which is convenient and effective to prevent or control the nutrients release from sediment caused by anoxic and reductive condition in summer.

Dose effects of calcium peroxide on harmful gases emissions in the anoxic/anaerobic landscape water system.

Large-area hypoxia of urban landscape water often causes the emissions of harmful gases in summer, which not only reduces its sensory effects, but also brings a potential threat to aquatic ecosystem and human health. This study explored the dose effects of calcium peroxide (CaO2) on inhibiting harmful gases emissions and restoring the scenic effect (including visual sense and olfactory sense) of anoxic/anaerobic landscape water system. The results indicated that the emissions of H2S, CO2 and CH4 from the anoxic/anaerobic water system were obviously inhibited in the reactors with CaO2 additions and the effect was positively correlated with the CaO2 dose. Meanwhile, the concentrations of total chemical oxygen demand (TCOD) and soluble sulfide (S2-), and turbidity in the overlying water (the water-layer above the sediment-water interface) were also decreased in the reactors dosed with CaO2. The reason was ascribed to the improvement of the anoxic/anaerobic condition in the water system and the increase of the species richness, bacteria count and aerobic microorganism abundance in sediment. Furthermore, 0.12 kg-CaO2 m-2-sediment was selected as the optimal dose, which was based on considering the inhibiting effect of the harmful gases emissions, comprehensive influence and costs. Compared with control check (CK, the reactor without adding CaO2), the optimal dose of CaO2 could reduce 75.10% CH4, 81.02% CO2 and 100% H2S in gases, and decrease 81.52% S2-, 42.85% TCOD and 84.01% turbidity in the overlying water. In conclusion, all the dosages of CaO2 could improve the anoxic condition of water system and 0.12 kg-CaO2 m-2-sediment was the optimal dose in inhibiting harmful gases emissions, which could keep an excellent water quality in this simulation experiment. Therefore, this study may provide a feasible method and the optimal dose for inhibiting the emissions of harmful gases and restoring the scenic effect in the similar anoxic/anaerobic landscape water.

An Ensemble Classifier with Case-Based Reasoning System for Identifying Internet Addiction.

Internet usage has increased dramatically in recent decades. With this growing usage trend, the negative impacts of Internet usage have also increased significantly. One recurring concern involves users with Internet addiction, whose Internet usage has become excessive and disrupted their lives. In order to detect users with Internet addiction and disabuse their inappropriate behavior early, a secure Web service-based EMBAR (ensemble classifier with case-based reasoning) system is proposed in this study. The EMBAR system monitors users in the background and can be used for Internet usage monitoring in the future. Empirical results demonstrate that our proposed ensemble classifier with case-based reasoning (CBR) in the proposed EMBAR system for identifying users with potential Internet addiction offers better performance than other classifiers.

Effect of calcium peroxide on the water quality and bacterium community of sediment in black-odor water.

This study investigated how efficiently CaO2 could treat black-odor landscape water caused by low dissolved oxygen (DO) in a field experiment of 600 m2. The study demonstrated that CaO2 could significantly elevate the DO concentration in waters and the oxidation-reduction potential (ORP) level in sediments (p = 0.003 and p = 0), which is conducive to improving the anoxic environment of landscape water. The concentrations of total chemical oxygen demand (TCOD) and S2- in overlying and interstitial waters were considerably decreased. The average concentrations of TCOD in the overlying and interstitial waters of the test zone (TZ) were 52.98% and 66.05% of those of the control zone (CZ), and the average concentrations of S2- in the overlying and interstitial waters of TZ were 29.63% and 39.79% of those of CZ. Meanwhile, CaO2 could obviously reduce turbidity but increase the transparency in the overlying water. The mean value of turbidity in the overlying water of TZ was 39.46% of that of CZ, whereas the transparency in the overlying water of TZ was 2.07 times that of CZ. Furthermore, CaO2 changed the microbial community structure in the sediments, where the relative abundance of anaerobic bacteria was decreased but that of the aerobic bacteria was increased with some functional bacteria. In summary, CaO2 could significantly increase the DO and ORP in black-odor landscape water, obviously inhibit the release of pollutants from sediment, and increase the diversity of microbial strains. Consequently, the black-odor phenomenon of landscape water could be alleviated effectively by adding CaO2.