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Malnutrition and acute kidney injury (AKI) are common complications in hospitalized patients, and both increase mortality; however, the relationship between them is unknown. This is a retrospective propensity score matching study enrolling 46,549 inpatients, aimed to investigate the association between Nutritional Risk Screening 2002 (NRS-2002) and AKI, and to assess the ability of NRS-2002 and AKI in predicting prognosis. In total, 37,190 (80%) and 9,359 (20%) patients had NRS-2002 scores < 3 and ≥ 3, respectively. Patients with NRS-2002 scores ≥ 3 had longer lengths of stay (12.6±7.8 days vs. 10.4±6.2 days, P < 0.05), higher mortality rates (9.6% vs. 2.5%, P<0.05), and higher incidence of AKI (28% vs. 16%, P < 0.05) than normal nutritional patients. The NRS-2002 showed a strong association with AKI, that is, the risk of AKI changed in parallel with the score of the NRS-2002. In short- and long-term survival, patients with a lower NRS-2002 score or who did not have AKI achieved a significantly lower risk of mortality than those with a high NRS-2002 score or AKI. Univariate Cox regression analyses indicated that both the NRS-2002 and AKI were strongly related to long-term survival (area under the curve (AUC) 0.79 and 0.71) and that the combination of the two showed better accuracy (AUC 0.80) than the individual variables. In conclusion, malnutrition can increase the risk of AKI, and both AKI and malnutrition can worsen the prognosis, that the undernourished patients who develop AKI yield far worse prognosis than normal nutritional patients.
The experiment was conducted to investigate the effects of dietary threonine (Thr) on growth performance, and muscle growth, protein synthesis and antioxidant related signaling pathways of hybrid catfish Pelteobagrus vachelli♀ × Leiocassis longirostris♂. The total of 1200 fish (14.19 ± 0.13 g) were randomly distributed into six groups with four replicates each, fed six diets with graded level of Thr (9.5, 11.5, 13.5, 15.4, 17.4, and 19.3 g kg-1 diets) for 56 days. Results showed (P< 0.05) that dietary Thr (1) increased percent weight gain (PWG), specific growth rate (SGR), feed efficiency (FE), and protein efficiency ratio (PER); (2) up-regulated growth hormone (GH), insulin-like growth factor 1 (IGF-1), proliferating cell nuclear antigen (PCNA), myogenic regulation factors (MyoD, Myf5, MyoG, and Mrf4), and MyHC mRNA levels; (3) increased muscle protein content via regulating AKT/TOR signaling pathway; (4) decreased malondialdehyde (MDA) and protein carbonyl (PC) contents, increased CAT, GST, GR, and GSH activities, up-regulated mRNA levels of antioxidant enzymes related to NFE2-related factor 2 (Nrf2) and γ-glutamylcysteine ligase catalytic subunit (GCLC). These results suggest that Thr has potential role to improve muscle growth and protein synthesis, which might be due to the regulation of GH-IGF system, muscle growth related gene, antioxidative capacity, and protein synthesis related signaling pathways. Based on the quadratic regression analysis of SGR, the Thr requirement of hybrid catfish (14.19–25.77 g) was estimated to be 13.77 g kg-1 of the diet (33.40 g kg-1 of dietary protein).
Growing evidence has indicated that right ventrolateral prefrontal cortex (RVLPFC) is critical in down-regulating emotional responses to social exclusion, and that depression is accompanied by social emotional dysregulation associated with reduced lateral prefrontal engagement. This study used anodal transcranial direct current stimulation (tDCS) to examine whether stimulating RVLPFC could improve emotional down-regulation of social exclusion in individuals with high depressive mood (DM).
A total of 96 high and 94 low DM individuals received active or sham tDCS while viewing social exclusion or individual negative pictures under no-reappraisal (passive viewing) and reappraisal conditions. Participants rate their negative emotional experience following the presentation of each image. Pupil diameter and visual fixation duration were also recorded during the task.
It was found that tDCS-activated RVLPFC induced a stronger regulation effect on social exclusion than individual negative emotions. The effect of tDCS on regulation of social exclusion was more pronounced in low v. high DM individuals.
These findings demonstrate the specific role of RVLPFC on social emotion regulation, which has implications for refining target areas for the treatment of social emotion dysregulation in depression. However the findings do not suggest that high DM individuals benefit from a single-tDCS session on the emotion regulation of social exclusion. Thus we suggest to use multiple tDCS sessions or transcranial magnetic stimulation to further explore the therapeutic proposal in the future.
The dipeptide DL-methionyl-DL-Methionine (Met-Met) has extremely low water solubility and better absorption than other methionine sources (such as DL-methionine and L-methionine) available in the market. Therefore, six diets (D1, D2, D3, D4, D5 and D6) containing 0 %, 0.07%, 0.15%, 0.21%, 0.28% and 0.38% Met-Met were formulated to investigate the effects of Met-Met on Oreochromis niloticus. The results indicated that percent weight gain and specific growth rate of fish fed with D2 and D3 diets were higher than those fed with D1, D4-D6 diets. The levels of total essential amino acid in whole body of fish fed with D3 and D4 diets were significantly higher than those fed the D1 diet. Superoxide dismutase activity and malondialdehyde content were no significant difference in fed the diet with or without Met-Met supplementation. Majority of reads derived from the fish intestines belonged to members of Fusobacteria, followed by Bacteroidetes, Proteobacteria. Diversity of intestinal microbiota and total antioxidant capacity in fish fed with D3 diet was significantly higher than that of other groups. Since due to the growth results the authors conclude the optimal proportion of Met was 0.61%, and the addition of Met-Met was 0.15% in O. niloticus.
For decades, fructose intake has been recognised as an environmental risk for metabolic syndromes and diseases. Here we comprehensively examined the effects of fructose intake on mice liver transcriptomes. Fructose-supplemented water (34 %; w/v) was fed to both male and female C57BL/6N mice at their free will for 6 weeks, followed by hepatic transcriptomics analysis. Based on our criteria, differentially expressed genes (DEG) were selected and subjected to further computational analyses to predict key pathways and upstream regulator(s). Subsequently, predicted genes and pathways from the transcriptomics dataset were validated via quantitative RT-PCR analyses. As a result, we identified eighty-nine down-regulated and eighty-eight up-regulated mRNA in fructose-fed mice livers. These DEG were subjected to bioinformatics analysis tools in which DEG were mainly enriched in xenobiotic metabolic processes; further, in the Ingenuity Pathway Analysis software, it was suggested that the aryl hydrocarbon receptor (AhR) is an upstream regulator governing overall changes, while fructose suppresses the AhR signalling pathway. In our quantitative RT-PCR validation, we confirmed that fructose suppressed AhR signalling through modulating expressions of transcription factor (AhR nuclear translocator; Arnt) and upstream regulators (Ncor2, and Rb1). Altogether, we demonstrated that ad libitum fructose intake suppresses the canonical AhR signalling pathway in C57BL/6N mice liver. Based on our current observations, further studies are warranted, especially with regard to the effects of co-exposure to fructose on (1) other types of carcinogens and (2) inflammation-inducing agents (or even diets such as a high-fat diet), to find implications of fructose-induced AhR suppression.
Biochar conversion from corn stover was evaluated under various process conditions, and the absorption capacity of biochar was investigated for the removal of oxytetracycline in wastewater. Biochar was prepared at lower carbonization temperatures (200–500 °C) and was used in three different concentrations of chemical oxygen wastewater. The results showed that the biochar prepared at the temperature range of 200–500 °C had a faster sorption rate and shorter sorption equilibrium time compared to biochar produced at higher temperatures. The longest time to reach sorption equilibrium was 9 h for biochar obtained at 200 °C. However, the biochar prepared at 500 °C required only 0.5 h to reach the sorption equilibrium. The corn stover-biochar had the highest sorption capacity of 246.3 mg/g for oxytetracycline at 30 °C. The adsorption kinetics was consistent with pseudo–second-order kinetics. This study provides a theoretical basis for the conversion of corn stover into biochar as efficient sorbents.
Existing data on folate status and hepatocellular carcinoma (HCC) prognosis are scarce. We prospectively examined whether serum folate concentrations at diagnosis were associated with liver cancer-specific survival (LCSS) and overall survival (OS) among 982 patients with newly diagnosed, previously untreated HCC, who were enrolled in the Guangdong Liver Cancer Cohort (GLCC) study between September 2013 and February 2017. Serum folate concentrations were measured using chemiluminescent microparticle immunoassay. Cox proportional hazards models were performed to estimate hazard ratios (HR) and 95 % CI by sex-specific quartile of serum folate. Compared with patients in the third quartile of serum folate, patients in the lowest quartile had significantly inferior LCSS (HR = 1·48; 95 % CI 1·05, 2·09) and OS (HR = 1·43; 95 % CI 1·03, 1·99) after adjustment for non-clinical and clinical prognostic factors. The associations were not significantly modified by sex, age at diagnosis, alcohol drinking status and Barcelona Clinic Liver Cancer (BCLC) stage. However, there were statistically significant interactions on both multiplicative and additive scale between serum folate and C-reactive protein (CRP) levels or smoking status and the associations of lower serum folate with worse LCSS and OS were only evident among patients with CRP > 3·0 mg/l or current smokers. An inverse association with LCSS were also observed among patients with liver damage score ≥3. These results suggest that lower serum folate concentrations at diagnosis are independently associated with worse HCC survival, most prominently among patients with systemic inflammation and current smokers. A future trial of folate supplementation seems to be promising in HCC patients with lower folate status.
The stability of dynamic fracture is a fundamental and challenging problem in the field of materials science. The grain size effect on dynamic fracture instability in polycrystalline graphene under tear loading is explored via theoretical analysis and molecular dynamics simulations. The fracture stability phase diagram in terms of grain size and crack propagation velocity is obtained, and three regions of crack propagation are identified: stable, metastable, and unstable. For grain size above 2 nm, there exists a critical velocity beyond which fracture instability occurs, and this critical velocity depends linearly on grain size. Decreasing grain size leads to reduced characteristic time for correction of crack path deflection, which plays a dominant role in dynamic fracture instabilities. However, when grain size is below 2 nm, there does not exist a critical velocity for steady propagation of cracks due to discontinuous effects. Our results also provide a valuable insight into dynamic fracture of polycrystalline graphene as well as other 2D and quasi-2D materials.
The timing of the Holocene summer monsoon maximum (HSMM) in northeastern China has been much debated and more quantitative precipitation records are needed to resolve the issue. In the present study, Holocene precipitation and temperature changes were quantitatively reconstructed from a pollen record from the sediments of Tianchi Crater Lake in northeastern China using a plant functional type-modern analogue technique (PFT-MAT). The reconstructed precipitation record indicates a gradual increase during the early to mid-Holocene and a HSMM at ~5500–3100 cal yr BP, while the temperature record exhibits a divergent pattern with a marked rise in the early Holocene and a decline thereafter. The trend of reconstructed precipitation is consistent with that from other pollen records in northeastern China, confirming the relatively late occurrence of the HSMM in the region. However, differences in the onset of the HSMM within northeastern China are also evident. No single factor appears to be responsible for the late occurrence of the HSMM in northeastern China, pointing to a potentially complex forcing mechanism of regional rainfall in the East Asian monsoon region. We suggest that further studies are needed to understand the spatiotemporal pattern of the HSMM in the region.
Nutrition therapy is considered an important treatment of burn patients. The aim of the study was to delineate the nutritional support in severe burn patients and to investigate association between nutritional practice and clinical outcomes. Severe burn patients were enrolled (n 100). In 90 % of the cases, the burn injury covered above 70 % of the total body surface area. Mean interval from injury to nutrition start was 2·4 (sd 1·1) d. Sixty-seven patients were initiated with enteral nutrition (EN) with a median time of 1 d from injury to first feed. Twenty-two patients began with parenteral nutrition (PN). During the study, thirty-two patients developed EN intolerance. Patients received an average of about 70 % of prescribed energy and protein. Patients with EN providing <30 % energy had significantly higher 28- d and in-hospital mortality than patients with EN providing more than 30 % of energy. Mortality at 28 d was 11 % and in-hospital mortality was 45 %. Multiple regression analysis demonstrated that EN providing <30 % energy and septic shock were independent risk factors for 28- d prognosis. EN could be initiated early in severe burn patients. Majority patients needed PN supplementation for energy requirement and EN feeding intolerance. Post-pyloric feeding is more efficient than gastric feeding in EN tolerance and energy supplement. It is difficult for severe burn patients to obtain enough feeding, especially in the early stage of the disease. More than 2 weeks of underfeeding is harmful to recovery.
In the synthesis of metallic nanocrystals (NCs) using a high-temperature colloidal approach, the competition between deposition and diffusion of “free atom (or clusters)” plays an important role as it can direct the morphology of NCs during their evolution. This competition is closely associated with some dynamic conditions such as heat and mass transfer. Stirring speed and ramp rate of heating are two factors that greatly impact the heat and mass transfer processes and consequently determine the morphology of the products but rarely discussed in most synthetic protocols. Herein, we study the syntheses of Pt-M (M = Ni, Fe) NCs as model reactions, showing that a low stirring speed and high ramp rate of heating result in ununiform pod-like NCs, whereas the inverse conditions promote NCs in a uniform shape. This observation can be plausibly explained using a competition mechanism between the deposition and diffusion of the newly reduced atoms during a stage of the NC’s growth.
Teachers are burdened by high work pressure, suggesting the need for an effective stress coping system to support them. The present study evaluated the effectiveness of coping strategies currently utilized by teachers and explored the potential contribution of group sandplay to coping. The study was led by a group of experienced therapists and sandplay practitioners. Two hundred teachers served as participants, equally divided into two groups: An experimental sandplay group (EG) and control group. Both groups received a 3-hour tutorial on the psychological pressure at work, reactions to it, and physical/mental symptoms resulting from overwhelming pressure, and were introduced to the working principles and process of sandplay. EG participants then engaged in group sandplay for three consecutive days. The Simplified Coping Style Questionnaire was used as an objective measure of participants’ coping styles. Therapists’ and practitioners’ observations were used as subjective information, including the scenes and themes created by participants, individual performance during sandplay activities, and feedback regarding changes to stress coping strategies. We compared participants’ pre-and post-test stress coping strategies. The results revealed a significant improvement in the EG sample at the shift from passive coping (pre-test M = 1.94, 95% CI [1.83–2.05]; post-test M = 0.96, 95% CI [0.92–1.00]) to active coping (pre-test M = 1.76, 95% CI [1.69–1.83]; post-test M = 2.41, 95% CI [2.29–2.53]). Overall, our findings support the conclusion that group sandplay effectively improved Chinese teachers’ overall stress coping abilities.
Astrophysical collisionless shocks are amazing phenomena in space and astrophysical plasmas, where supersonic flows generate electromagnetic fields through instabilities and particles can be accelerated to high energy cosmic rays. Until now, understanding these micro-processes is still a challenge despite rich astrophysical observation data have been obtained. Laboratory astrophysics, a new route to study the astrophysics, allows us to investigate them at similar extreme physical conditions in laboratory. Here we will review the recent progress of the collisionless shock experiments performed at SG-II laser facility in China. The evolution of the electrostatic shocks and Weibel-type/filamentation instabilities are observed. Inspired by the configurations of the counter-streaming plasma flows, we also carry out a novel plasma collider to generate energetic neutrons relevant to the astrophysical nuclear reactions.
The prevalence of impaired fasting glucose (IFG) and diabetes mellitus (DM) has reportedly increased significantly among Chinese children and adolescents. We aimed to examine the prevalence of IFG and DM, the disparities in sex and region and related risk factors among Chinese children and adolescents. A total of 16 434 Chinese children aged 6–17 years were selected from a national cross-sectional survey, and fasting glucose was measured for all participants. Overall, mean fasting plasma glucose (FPG) concentration was (4·64 (sd 0·51)) mmol/l, and the prevalence of DM and IFG was 0·10 and 1·89 %, respectively. Compared with girls, boys had higher FPG concentration (4·69 v. 4·58 mmol/l, r 0·107, P<0·001) and IFG prevalence (2·67 v. 1·07 %, rφ 0·059, P<0·001). Compared with rural children and adolescents, urban children and adolescent had higher FPG concentration (4·65 v. 4·62 mmol/l, r 0·029, P<0·001) and DM prevalence (0·15 v. 0·05 %, rφ 0·016, P<0·01). In addition, self-reported fried foods intake and overweight/obesity were positively associated with IFG, and the proportion of consuming fried foods more than or equal to once per week and overweight/obesity prevalence in boys and urban children and adolescents were significantly higher than girls and rural children and adolescents, respectively (P<0·05). Although the prevalence of IFG and DM was relatively low in Chinese children and adolescents, sex and region disparities were observed, which may be associated with differences in overweight/obesity prevalence and dietary factors.
A series of CoCrFeNiMox (x = 0.2, 0.4, 0.6, 0.8, 1.0, and 1.2) high-entropy alloys were designed to develop a eutectic high-entropy alloy system and to acquire a superfine eutectic structure. The results show that for the CoCrFeNiMox alloys, with the increase of Mo content from 0.2 to 1.2, the microstructures shift from a typical dendrite structure to a hypoeutectic microstructure (x = 0.6), and then to a fully eutectic microstructure (x = 0.8) with a lamellar spacing only 110 nm, and finally culminate in the hypereutectic structure (x = 1.0, x = 1.2). The XRD results show that CoCrFeNiMox alloys have a single FCC phase when x is 0.2 or 0.4. When Mo content is over 0.6, it begins to separate Cr9Mo21Ni20 intermetallic compounds. The hardness of the CoCrFeNiMox alloys is increasing significantly from 172.8 to 763.7 HV with the increase of Mo content. Meanwhile, the fracture strength increased but the ductility decreases. Among these alloys, the CoCrFeNiMo0.6 alloy shows excellent integrated mechanical properties of compressive fracture strength and strain, which are 2051 Mpa and 23%, respectively.
A large number of well-preserved chancelloriid scleritomes from the Guanshan biota, early Cambrian of Yunnan, China, are described as a new species, Allonnia tenuis n. sp., and provide solid evidence for the original appearance of these enigmatic animals, based on specimens compacted laterally and top-down. With the assistance of a flexible integument, chancelloriids, especially Allonnia from early and middle Cambrian, may have had the ability to partially or completely expand and contract the body, which might have played an important role in feeding. A new metazoan with single-element spines, Nidelric gaoloufangensis n. sp., is also described. Preservation and affinity are discussed. Detailed comparison of the morphology of the body and spines of this metazoan indicate that it shares many similarities with chancelloriids, of which it may be an unusual form.
We present laboratory measurement and theoretical analysis of silicon K-shell lines in plasmas produced by Shenguang II laser facility, and discuss the application of line ratios to diagnose the electron density and temperature of laser plasmas. Two types of shots were carried out to interpret silicon plasma spectra under two conditions, and the spectra from 6.6 Å to 6.85 Å were measured. The radiative-collisional code based on the flexible atomic code (RCF) is used to identify the lines, and it also well simulates the experimental spectra. Satellite lines, which are populated by dielectron capture and large radiative decay rate, influence the spectrum profile significantly. Because of the blending of lines, the traditional
value are not applicable in diagnosing electron temperature and density of plasma. We take the contribution of satellite lines into the calculation of line ratios of He-
lines, and discuss their relations with the electron temperature and density.
Ti–47Al samples with a diameter of 18 mm are obtained by electromagnetic confinement and directional solidification at different growth velocities. Controlled by a Ti–43Al–3Si seed, the α grains are aligned well and the parallel lamellar microstructure is obtained at the growth velocity of 10 μm/s. With the growth velocity increases to 25 and 50 μm/s, although the lamellar microstructures are still aligned well in the initial transition stage, the lamellar alignment fails due to the nucleation and growth of new β and α grains and then the inclined and perpendicular lamellar microstructures form eventually. The room temperature tensile properties of the different lamellar microstructures are measured and the results show that the desired lamellar microstructure has a tensile strength of 693 MPa and an elongation of 10.0% simultaneously. They are the maximum values that have been reported in binary γ-TiAl alloys so far and are far higher than those of the other two types of lamellar microstructures. The fracture behaviors of the lamellar microstructures are checked by scanning electron microscopy and transmission electron microscopy. Two models are used to illustrate the fracture mechanism of the different lamellar structures.
Stimulated Brillouin scattering (SBS) effect is currently the major limitation for the power scaling of single-frequency/narrow linewidth fiber laser systems. A single-mode linearly polarized all-fiber amplifier system is set up to investigate SBS effect in triple-frequency high-power amplifiers. With this amplifier, up to 302 W output power with 83% slope efficiency is achieved and the SBS threshold is scaled up to 12 dB. To the best of our knowledge, this is the highest output power of multifrequency laser from a single-mode polarization maintaining fiber. Good spectral properties and high brightness make this laser source available for the application of second harmonic generation, coherent beam combining.