Interface engineering of metal sulfides-based composites enables high-performance anode materials for sodium-ion batteries

Metal sulfides (MSs) have attracted much attention as anode materials for sodium-ion batteries (SIBs) due to their high sodium storage capacity. However, the unsatisfactory electrochemical performance induced by the huge volume change and sluggish kinetics hampered the practical application of SIBs. Herein, guided by the heterostructure interface engineering, novel multicomponent metal sulfide-based anodes, including SnS, FeS, and Fe3N embedded in N-doped carbon nanosheets (SnS/FeS/Fe3N/NC NSs), have been synthesized for high-performance SIBs. The as-prepared SnS/FeS/Fe3N/NC NSs with abundant heterointerfaces and high conductivity of N-doped carbon nanosheet matrix can shorten the Na+ diffusion path and promote reaction kinetics during the sodiation/desodiation process. Moreover, the presence of Fe3N can promote the reversible conversion of SnS and FeS during the cycling process. As a consequence, when evaluated as anode materials for SIBs, the SnS/FeS/Fe3N/NC NSs can maintain a high sodium storage capacity of 473.6 mAh g-1 after 600 cycles at 2.0 A g-1 and can still provide a high reversible capacity of 537.4 mAh g-1 even at 5.0 A g-1 This discovery offers a novel strategy for constructing metal sulfide-based anode materials for high-performance SIBs.

Yolk-shell FeS@N-doped carbon nanosphere as superior anode materials for sodium-ion batteries

Iron sulfides have shown great potential as anode materials for sodium-ion batteries (SIBs) because of their high sodium storage capacity and low cost. Nevertheless, iron sulfides generally exhibit unsatisfied electrochemical performance induced by sluggish electron/ion transfer and severe pulverization upon the sodiation/desodiation process. Herein, we constructed a yolk-shell FeS@NC nanosphere with an N-doped carbon shell and FeS particle core via a simple hydrothermal method, followed by in-situ polymerization and vulcanization. The FeS particles intimately coupled with N-doped carbon can accelerate the electron transfer, avoid severe volume expansion, and maintain structural stability upon repeated sodiation/desodiation process. Furthermore, the small particle size of FeS can shorten ion-diffusion distance and facilitate ion transportation. Therefore, the FeS@NC nanosphere shows excellent cycling performance and superior rate capability that it can deliver a high capacity of 520.1 mAh g-1 over 800 cycles at 2.0 A g-1 and a remarkable capacity of 625.9 mAh g-1 at 10.0 A g-1.

Well-Dispersed Bi nanoparticles for promoting the lithium storage performance of Si Anode: Effect of the bridging Bi nanoparticles

Silicon (Si) is considered a promising anode material for lithium-ion batteries (LIBs) due to its high theoretical specific capacity of up to 4200 mAh/g. However, the poor cycling and rate performances of Si induced by the low intrinsic electronic conductivity and large volume expansion during the lithiation/delithiation process limit its practical application. Herein, a novel silicon/bismuth@nitrogen-doped carbon (Si/Bi@NC) composite with nanovoids was synthesized and investigated as an advanced anode material for LIBs. In such a structure, ultrafine bismuth nanoparticles coupled with an N-doped carbon layer were introduced to modify the surface of Si nanoparticles. Subsequently, the lithiated LixBi has excellent high ionic conductivity and acts as a fast transport bridge for lithium ions. The introduced carbon coating layer and nanovoids can buffer the volume expansion of Si during the lithiation/delithiation process, thus maintaining structural stability during the cycling process. As a result, the Si/Bi@NC composite exhibits excellent electrochemical performance, providing a relatively high capacity of 955.8 mAh/g at 0.5 A/g after 450 cycles and excellent rate performance with a high capacity of 477.8 mAh/g even at 10.0 A/g. Furthermore, the assembled full cell with LiFePO4 as cathode and pre-lithium Si/Bi@NC as anode can provide a high capacity of 138.8 mAh/g at 1C after 90 cycles, exhibiting outstanding cycling performance.

Associations between abdominal obesity indices with hypertension in type 2 diabetes mellitus: Chinese visceral adiposity index

PURPOSE

This research was performed to evaluate the relationship between hypertension (HTN) and abdominal obesity index in patients with type 2 diabetes mellitus (T2DM).

METHODS

Totally 1657 participants with T2DM (mean age 54 ± 12 years; 38.02% female) were enrolled. They were divided into the groups of HTN (n = 775) and non-HTN (n = 882). Anthropometric and biochemical indicators were measured and collected. A bioelectrical impedance analyzer was used to measure visceral and subcutaneous fat areas.

RESULTS

Compared with the HTN group, the non-HTN group had a lower level of Chinese visceral adiposity index (CVAI) (p < 0.001). Meanwhile, among tertiles of CVAI, as CVAI increased, the proportion of patients with HTN increased, which was 33.51%, 44.30%, and 62.50%, respectively. CVAI was shown to have a significant positive correlation with HTN. (r = 0.258, p < 0.001). CVAI was independently related to an elevated risk of HTN by binary logistic regression analyses, and the OR was (95% CI) 1.013 (1.010-1.016, p < 0.001) after adjustment. The area under the receiver operating characteristic curve (AUC) of CVAI predicted HTN in T2DM patients was greater than those of other abdominal obesity indices (p < 0.001).

CONCLUSION

We found that CVAI was highly positively correlated with HTN in T2DM. Compared with other indices of abdominal obesity, such as WC, BMI, WHR, VAI, and LAP, the CVAI showed superior discriminative ability in T2DM complicated with HTN. Therefore, more attention should be paid to CVAI in T2DM.

Enhancing Structure Stability by Mg/Cr Co-Doped for High-Voltage Sodium-Ion Batteries

P2-Na2/3Ni1/3Mn2/3O2 cathode materials have garnered significant attention due to their high cationic and anionic redox capacity under high voltage. However, the challenge of structural instability caused by lattice oxygen evolution and P2-O2 phase transition during deep charging persists. A breakthrough is achieved through a simple one-step synthesis of Cr, Mg co-doped P2-NaNMCM, resulting in a bi-functional improvement effect. P2-NaNMCM-0.01 exhibits an impressive capacity retention rate of 82% after 100 cycles at 1 C. In situ X-ray diffraction analysis shows that the "pillar effect" of Mg mitigates the weakening of the electrostatic shielding and effectively suppresses the phase transition of P2-O2 during the charging and discharging process. This successfully averts serious volume expansion linked to the phase transition, as well as enhances the Na+ migration. Simultaneously, in situ Raman spectroscopy and ex situ X-ray photoelectron spectroscopy tests demonstrate that the strong oxygen affinity of Cr forms a robust TM─O bond, effectively restraining lattice oxygen evolution during deep charging. This study pioneers a novel approach to designing and optimizing layered oxide cathode materials for sodium-ion batteries, promising high operating voltage and energy density.

Construction of prediction model for fetal growth restriction during first trimester in an Asian population

OBJECTIVE

To construct a prediction model for fetal growth restriction (FGR) during the first trimester of pregnancy and evaluate its screening performance.

METHODS

This was a prospective cohort study of singleton pregnancies that underwent routine ultrasound screening at 11 to 13 + 6 weeks at the Affiliated Suzhou Hospital of Nanjing Medical University between January 2019 and April 2022. Basic clinical information, ultrasound indicators and serum biomarkers of pregnant women were collected. Fetal weight assessment was based on the fetal growth curve for the Southern Chinese population. FGR was diagnosed according to Delphi consensus criteria. Least absolute shrinkage and selection operator (lasso) regression was used to select variables for inclusion in the model. Discrimination, calibration and clinical effectiveness of the model were evaluated in training and validation cohorts.

RESULTS

A total of 1188 pregnant women were included, of whom 108 had FGR. Lasso regression identified seven predictive features, including history of maternal hypertension, maternal smoking or passive smoking, gravidity, uterine artery pulsatility index, ductus venosus pulsatility index and multiples of the median values of placental growth factor and soluble fms-like tyrosine kinase-1. The nomogram prediction model constructed from these seven variables accurately predicted FGR, and the area under the receiver-operating-characteristics curve in the validation cohort was 0.82 (95% CI, 0.74-0.90). The calibration curve and Hosmer-Lemeshow test demonstrated good calibration, and the clinical decision curve and clinical impact curve supported its practical value in a clinical setting.

CONCLUSION

The multi-index prediction model for FGR has good predictive value during the first trimester. © 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Trimetallic sulfides coated with N-doped carbon nanorods as superior anode for lithium-ion batteries

Metal sulfides have been considered promising anode materials for lithium-ion batteries (LIBs), due to their high capacity. However, the poor cycle stability induced by the sluggish kinetics and poor structural stability hampers their practical application in LIBs. In this work, MoS2/MnS/SnS trimetallic sulfides heterostructure coated with N-doped carbon nanorods (MMSS@NC) is designed through a simple method involving co-precipitation, metal chelate-assisted reaction, and in-situ sulfurization method. In such designed MMSS@NC, a synergetic effect of heterojunctions and carbon layer is simultaneously constructed, which can significantly improve ionic and electronic diffusion kinetics, as well as maintain the structural stability of MMSS@NC during the repeated lithiation/delithiation process. When applied as anode materials for LIBs, the MMSS@NC composite shows superior long-term cycle performance (1145.0 mAh/g after 1100 cycles at 1.0 A/g), as well as excellent rate performance (565.3 mAh/g at 5.0 A/g). This work provides a unique strategy for the construction of multiple metal sulfide anodes for high-performance LIBs.

Triad resonance for internal waves in a uniformly stratified fluid: Rogue waves and breathers

Three-wave (triad) resonance in a uniformly stratified fluid is investigated as a case study of energy transfer among oscillatory modes. The existence of a degenerate triad is demonstrated explicitly, where two components have identical group velocity. An illuminating example is a resonance involving waves from modes 1, 3, 5 families, but many other combinations are possible. The physical applications and nonlinear dynamics of rogue waves derived analytically in the literature are examined. Exact solutions with four free parameters (two related to the amplitudes of the background plane waves, two related to the frequencies of slowly varying envelopes) describe motions localized in both space and time. The differences between rogue waves of the degenerate versus the nondegenerate cases are highlighted. The phase and profile of the degenerate case rogue waves are correlated. The volume or energy of the rogue wave (defined as the total extent or energy contents of the fluid set in motion for the duration of the rogue wave) may change drastically, if the wave envelope parameters vary. Pulsating modes (breathers) have been studied previously by layered-fluid and modified Korteweg-de Vries models. Here we extend the consideration to stratified fluids but for the simpler case of nondegenerate triads. Instabilities of fission and fusion of breathers are confirmed computationally with Floquet analysis. This knowledge should prove useful for energy transfer processes in the oceans.

[Exploration of remote management and an intelligent platform for in-hospital respiratory therapy]

The construction of an intelligent remote management platform for respiratory therapy, utilizing artificial intelligence (AI) and the electronic medical record system (EMR), has significant potential to improve the management of respiratory therapy in critically ill patients. This platform includes the development of a dedicated respiratory therapy EMR, the integration of data from multiple mechanical ventilators from different vendors and models, and the utilization of AI-assisted analysis to understand the pathophysiology of respiratory diseases and the complex physiological factors that influence specific interventions, thereby supporting diagnosis, treatment guidance, and prognosis prediction. In addtion, a network will be established to provide seamless connectivity between hospitals and wards. The resulting platform enables the collection of medical device data from multiple points within the hospital, real-time data analysis, and timely alarms, thereby facilitating remote data access, centralization of information, and standardization of data. As a result, the platform enables efficient intra-hospital and inter-hospital doctor-patient management. Despite the benefits offered by this platform, certain challenges need to be addressed, including ensuring data privacy and security, as well as managing the financial and human resources required for its implementation and maintenance. Furthermore, continuous optimization of the platform is crucial, and the clinical use of the platform requires appropriate professional training.

A pretreatment scheme for plasmid extraction contained sugar, high concentration lysozyme and mild lysozyme removal

To address the issue of low efficiency in extracting plasmid DNA (pDNA) from Lactobacillus plantarum by breaking the cell wall, we proposed an effective pretreatment scheme. This study investigated the impacts of lysozyme concentrations and glucose, as well as centrifugal forces during lysozyme removal in the pretreatment system. The efficiency of pDNA extraction was assessed using non-staining method, acridine orange staining method (AO staining) and agarose gel electrophoresis (AGE). Furthermore, the glucose high lysozyme method was compared to the commercial kit method and the lysozyme removal method using L. plantarum PC518, 9L15, JS193 and Staphylococcus aureus USA300. The results indicated that the pDNA extraction concentrations from the four tested strains were increased by 8.9, 7.2, 8.5 and 3.6 times, respectively, compared to the commercial kit method. Furthermore, they increased by 1.9, 1.5, 1.8, and 1.4 times, respectively, compared to the lysozyme removal method. The maximum average concentration of pDNA extraction (from L. plantarum PC518) reached 590.8 ± 31.9 ng/ul. In conclusion, the incorporation of sugar, high concentration lysozyme and mild lysozyme removal proved to be effective enhancements in improving the efficiency of pDNA extraction from L. plantarum. Using the pretreatment scheme, the concentration of pDNA extraction was significantly increased, approaching levels comparable to pDNA extraction from Gram-negative bacteria.

Self-supporting network-structured MoS2/heteroatom-doped graphene as superior anode materials for sodium storage

Layered graphene and molybdenum disulfide have outstanding sodium ion storage properties that make them suitable for sodium-ion batteries (SIBs). However, the easy and large-scale preparation of graphene and molybdenum disulfide composites with structural stability and excellent performance face enormous challenges. In this study, a self-supporting network-structured MoS₂/heteroatom-doped graphene (MoS₂/NSGs-G) composite is prepared by a simple and exercisable electrochemical exfoliation followed by a hydrothermal route. In the composite, layered MoS₂ nanosheets and heteroatom-doped graphene nanosheets are intertwined with each other into self-supporting network architecture, which could hold back the aggregation of MoS₂ and graphene effectively. Moreover, the composite possesses enlarged interlayer spacing of graphene and MoS₂, which could contribute to an increase in the reaction sites and ion transport of the composite. Owing to these advantageous structural characteristics and the heteroatomic co-doping of nitrogen and sulfur, MoS₂/NSGs-G demonstrates greatly reversible sodium storage capacity. The measurements revealed that the reversible cycle capacity was 443.9 mA h g^-1 after 250 cycles at 0.5 A g^-1, and the rate capacity was 491.5, 490.5, 453.9, 418.1, 383.8, 333.1, and 294.4 mA h g^-1 at 0.1, 0.2, 0.5, 1, 2, 5 and 10 A g^-1, respectively. Furthermore, the MoS₂/NSGs-G sample displayed lower resistance, dominant pseudocapacitive contribution, and faster sodium ion interface kinetics characteristic. Therefore, this study provides an operable strategy to obtain high-performance anode materials, and MoS₂/NSGs-G with favorable structure and excellent cycle stability has great application potential for SIBs.

SnS@C nanoparticles anchored on graphene oxide as high-performance anode materials for lithium-ion batteries

Tin (II) sulfide (SnS) has been regarded as an attractive anode material for lithium-ion batteries (LIBs) owing to its high theoretical capacity. However, sulfide undergoes significant volume change during lithiation/delithiation, leading to rapid capacity degradation, which severely hinders its further practical application in lithium-ion batteries. Here, we report a simple and effective method for the synthesis of SnS@C/G composites, where SnS@C nanoparticles are strongly coupled onto the graphene oxide nanosheets through dopamine-derived carbon species. In such a designed architecture, the SnS@C/G composites show various advantages including buffering the volume expansion of Sn, suppressing the coarsening of Sn, and dissolving Li₂S during the cyclic lithiation/delithiation process by graphene oxide and N-doped carbon. As a result, the SnS@C/G composite exhibits outstanding rate performance as an anode material for lithium-ion batteries with a capacity of up to 434 mAh g^-1 at a current density of 5.0 A g^-1 and excellent cycle stability with a capacity retention of 839 mAh g^-1 at 1.0 A g^-1 after 450 cycles.

Constructing three-dimensional N-doped carbon coating silicon/iron silicide nanoparticles cross-linked by carbon nanotubes as advanced anode materials for lithium-ion batteries

Silicon (Si), have been considered as promising anode material for lithium-ion batteries (LIBs), due to its high theoretical specific capacity of 4200 mAh g-1. However, the poor electrical conductivity and large volume change during lithiation/delithiation process, resulting in poor cycling stability, and seriously hindered the practical application in LIBs. Herein, a multiple Si/FexSiy@NC/CNTs composite is synthesized and investigated as advanced anode materials for LIBs via a simple one-step method. Such multiple Si/FexSiy@NC/CNTs composite has several merits including the FexSiy can not only accommodate the huge volume change of Si nanoparticles, but also enhance the conductivity upon discharge/charge process. Furthermore, the in-situ growth CNTs may help establish a long-range conductivity, and the Nitrogen-doped carbon (NC) layer can further improve the conductivity of Si, as well as inhibit the direct contract between electrolyte and Si during cycling process. Accordingly, the Si/FexSiy@NC/CNTs-1 exhibits excellent cycling stability (a high capacity of 994.4 mAh g-1 is maintained at 1.0 A g-1 after 600cycles) and outstanding rate capability (a suitable capacity of 441.7 mAh g-1 was obtained even at 5.0 A g-1). Moreover, the assembled full cell can achieve a capacity of 141.4 mAh g-1 after 65 cycles at 1.0C, exhibiting outstanding cycling stability. This work provides a prospective way for the commercial production of high-performance Si-based anode materials for LIBs.

Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

OBJECTIVES

Sarcopenia is recognized as a major public health concern because of its association with several adverse health events. Beta-hydroxy-beta-methylbutyrate (HMB) supplementation reportedly delays the loss of muscle mass and function; however, the effect of HMB on sarcopenia remains inconclusive. We aimed to evaluate the impact of HMB intervention on muscle strength, physical performance, body compositions, and inflammatory factors in older adults with sarcopenia.

DESIGN

Randomized, double-blind, placebo-controlled trial.

SETTING AND PARTICIPANTS

This study included subjects aged ≥60 years with sarcopenia which were assigned to the HMB group (HMBG, n=18) and the placebo group (PG, n=16).

INTERVENTION

The HMBG and PG were supplied with HMB and placebo products twice daily for 12 weeks, and both received resistance exercise training twice a week in 12 weeks.

MEASUREMENTS

Hand grip strength was selected as the primary outcome; gait speed, five-time chair stand test, body composition and inflammatory indicators were selected as the secondary outcomes. The differences in changes from baseline between the two groups were analyzed using the analysis of covariance(ANCOVA).

RESULTS

After the 12-week intervention, the HMBG demonstrated significantly greater improvements in handgrip strength (4.61(95%CI:2.93,6.28) kg, P<0.001), gait speed (0.11(95%CI:0.02,0.20)m/s, P=0.014), five-time chair stand test (-3.65 (95%CI:-5.72, -1.58)s, P=0.001), muscle quality (2.47(95%CI:1.15,3.80),kg.kg-1 P=0.001) and tumor necrosis factor-like weak inducer of apoptosis (-15.23(95%CI:-29.80,-0.66)pmol/mL, P=0.041) compared with the PG; no significant differences in skeletal muscle mass, skeletal muscle index, and other body composition parameters were found between the two groups.

CONCLUSION

In older adults with sarcopenia, HMB significantly enhance the effect of resistance exercise training on muscle strength, physical performance, muscle quality, and reduced inflammatory factors. Therefore, HMB supplementation could be an effective treatment for sarcorpenia. The trial protocol was registered at http://www.chictr.org.cn/showproj.aspx?proj=47571 as ChiCTR2000028778.

Mycoplasma Bovis adhesins and their target proteins

Bovine mycoplasmosis is an important infectious disease of cattle caused by Mycoplasma bovis (M. bovis) which poses a serious threat to the breeding industry. Adhesin is involved in the initial process of M. bovis colonization, which is closely related to the infection, cell invasion, immune escape and virulence of this pathogenic microorganism. For the reason that M. bovis lacks a cell wall, its adhesin is predominantly located on the surface of the cell membrane. The adhesins of M. bovis are usually identified by adhesion and adhesion inhibition analysis, and more than 10 adhesins have been identified so far. These adhesins primarily bind to plasminogen, fibronectin, heparin and amyloid precursor-like protein-2 of host cells. This review aims to concisely summarize the current knowledge regarding the adhesins of M. bovis and their target proteins of the host cell. Additionally, the biological characteristics of the adhesin will be briefly analyzed.

AB0227 TREATMENT SEQUENCING PATTERNS AND COMPARATIVE EFFICACY IN PATIENTS WITH RHEUMATOID ARTHRITIS FROM A REAL-WORLD SETTING

Background

The European League Against Rheumatism (EULAR)1 recently provided updated guidelines regarding the initiation and modification of disease-modifying antirheumatic drug (DMARD) therapy in patients with Rheumatoid Arthritis (RA). Therefore, real-world evidence studies are warranted to provide insights into first-line DMARD utilization and durability of response in the second-line setting.

Objectives

To analyze RA treatment patterns in real-world data and compare durability of response between second-line DMARDs + anti-TNF (TNFi) therapies vs. TNFi monotherapy.

Methods

Electronic health records (EHRs) from a large health system in the Northeast US were used to identify RA patients. Lines of therapy were defined based on confirmed prescriptions for DMARDs and TNFi therapies. Time to next treatment (TTNT) was the primary outcome to estimate durability of response. Time-to-event analyses were performed using Kaplan-Meier and log-rank test methods. In addition, a Cox Proportional-Hazards (CoxPH) model was used to evaluate covariates as independent predictors of disease progression.

Results

Our study cohort consisted of 8,040 patients who had at least one line of therapy for RA. Conventional synthetic DMARDs (csDMARDs) were the predominant first line of therapy in this dataset (71.3%), followed by TNFi alone (11.1%) or TNFi combined with csDMARD (9.1%) (Figure 1).

For patients who had csDMARD as their first line of therapy, 22.93% progressed to second line treatment. Among them 36.2% patients were TNFi with or without in combination with csDMARDs. In the second-line, TNFi + csDMARDs were associated with a longer TTNT (median time: 13.1 months vs 6.1 months, P < 0.005) compared to TNFi monotherapy. The multiple variable CoxPH model (adjusted for age, gender, and race) demonstrated that second-line TNFi + csDMARDs had a lower hazard rate when compared to TNFi monotherapy (HR = 0.74, 95% CI: 0.36 - 1.12, p < 0.005).

Conclusion

We demonstrated the first comprehensive treatment sequencing patterns in RA from a real-world setting. As a second-line therapy for patients with inadequate response to csDMARDS, the TNFi + csDMARDs combination may improve duration of response when compared to TNFi monotherapy. Results from this study will inform future sequencing strategies to improve patient outcomes.

References

[1]Smolen, Josef S., Robert B. M. Landewé, Johannes W. J. Bijlsma, Gerd R. Burmester, Maxime Dougados, Andreas Kerschbaumer, Iain B. McInnes, et al. 2020. “EULAR Recommendations for the Management of Rheumatoid Arthritis with Synthetic and Biological Disease-Modifying Antirheumatic Drugs: 2019 Update.” Annals of the Rheumatic Diseases 79 (6): 685–99.

Disclosure of Interests

Lei Ai: None declared, Mitchell Higashi: None declared, Kyeryoung Lee: None declared, Zongzhi Liu: None declared, Lan Jin: None declared, Kalpana Raja: None declared, Yun Mai: None declared, Tomi Jun: None declared, William Oh Consultant of: Janssen

Pfizer, Aviva Beckmann: None declared, Emilio Schadt: None declared, Zachary Schadt: None declared, Rick Wallsten: None declared, Ediz Calay: None declared, Andrew Kasarskis: None declared, Qi Pan: None declared, Eric Schadt Speakers bureau: Eli Lilly, Consultant of: SAB of Eli Lilly

Celgene, Xiaoyan Wang: None declared

Synthesis of core-shell ZnS@C micron-rods as advanced anode materials for lithium ion batteries

Zinc sulfide (ZnS), is considered as a candidate anode materials to replace commercial graphite anode for high performance LIBs. However, the huge volume change during the lithiation/delithiation process, lead to...

Long-term effects of lifestyle and metformin interventions in DPP on bone density

In the Diabetes Prevention Program Outcome Study (DPPOS), a cohort at high risk of diabetes, randomization to intensive lifestyle intervention or metformin, both associated with weight loss, did not have long-term negative effects on BMD compared with the placebo group. Potential positive effects of metformin on bone warrant further investigation.

INTRODUCTION

Randomization to lifestyle intervention (ILS) or metformin in the Diabetes Prevention Program (DPP) resulted in weight loss and reduced progression to diabetes. Weight loss is associated with reduced bone mineral density (BMD), but the long-term effects of these interventions on BMD are unknown. In the DPP Outcome Study (DPPOS), we determined if randomization to ILS or metformin, compared with placebo, was associated with differences in BMD approximately 16 years later.

METHODS

Of 3234 DPP participants, 2779 continued in DPPOS and were offered ILS in group format. Those randomized to metformin were offered unmasked metformin. At DPPOS year 12, 1367 participants had dual-energy X-ray absorptiometry scans. BMD in metformin and ILS groups was compared to placebo using sex-specific linear regression models, adjusted for age, race/ethnicity, and weight and weight-bearing activity at DPP baseline.

RESULTS

At DPPOS year 12, mean age was 66.5 (±9.5) years. Femoral neck BMD was similar in the ILS and placebo groups in men (difference = -0.021 g/cm², 95%CI (-0.063, 0.021)) and in women (+0.014 g/cm², 95%CI (-0.014, 0.042)). Femoral neck BMD was higher in the metformin compared to placebo group although not statistically different in men (+0.017 g/cm², 95% CI (-0.023, 0.058)) and in women (+0.019 g/cm², 95% CI (-0.009, 0.047)). Prevalence of osteoporosis was low and similar across treatment groups in men (0.9%; p=0.745) and women (2.4%; p=0.466).

CONCLUSION

In a cohort at high risk of diabetes, lifestyle intervention or metformin did not appear to have long-term negative effects on BMD. Potential positive effects of metformin on bone warrant further research.

[Interpretations of guideline for the management of diabetes mellitus in the elderly in China (2021 edition)]

Elderly diabetic patients in China accounts for one fourth of the total number of elderly diabetic patients in the world, ranking the first worldwide. In 2021, National Center of Gerontology, Chinese Society of Geriatrics and Diabetes Professional Committee of Chinese Aging Well Association issued China's first guideline on elderly diabetic patients--Guideline for the management of diabetes mellitus in the elderly in China (2021 edition). The present article interprets parts of the important recommendations of the guideline, aiming to facilitate its implementation in clinical practice effectively and improve the clinical prognosis of elderly diabetic patients in our country.

Four-wave mixing and coherently coupled Schrödinger equations: Cascading processes and Fermi-Pasta-Ulam-Tsingou recurrence

Modulation instability, breather formation, and the Fermi-Pasta-Ulam-Tsingou recurrence (FPUT) phenomena are studied in this article. Physically, such nonlinear systems arise when the medium is slightly anisotropic, e.g., optical fibers with weak birefringence where the slowly varying pulse envelopes are governed by these coherently coupled Schrödinger equations. The Darboux transformation is used to calculate a class of breathers where the carrier envelope depends on the transverse coordinate of the Schrödinger equations. A "cascading mechanism" is utilized to elucidate the initial stages of FPUT. More precisely, higher order nonlinear terms that are exponentially small initially can grow rapidly. A breather is formed when the linear mode and higher order ones attain roughly the same magnitude. The conditions for generating various breathers and connections with modulation instability are elucidated. The growth phase then subsides and the cycle is repeated, leading to FPUT. Unequal initial conditions for the two waveguides produce symmetry breaking, with "eye-shaped" breathers in one waveguide and "four-petal" modes in the other. An analytical formula for the time or distance of breather formation for a two-waveguide system is proposed, based on the disturbance amplitude and instability growth rate. Excellent agreement with numerical simulations is achieved. Furthermore, the roles of modulation instability for FPUT are elucidated with illustrative case studies. In particular, depending on whether the second harmonic falls within the unstable band, FPUT patterns with one single or two distinct wavelength(s) are observed. For applications to temporal optical waveguides, the present formulation can predict the distance along a weakly birefringent fiber needed to observe FPUT.

Phase Compatible NiFe2O4 Coating Tunes Oxygen Redox in Li-Rich Layered Oxide

Li-rich layered oxides have attracted intense attention for lithium-ion batteries, as provide substantial capacity from transition metal cation redox simultaneous with reversible oxygen-anion redox. However, unregulated irreversible oxygen-anion redox leads to critical issues such as voltage fade and oxygen release. Here, we report a feasible NiFe₂O₄ (NFO) surface-coating strategy to turn the nonbonding coordination of surface oxygen into metal-oxygen decoordination. In particular, the surface simplex M-O (M = Ni, Co, Mn from MO₆ octahedra) and N-O (N = Ni, Fe from NO₆ octahedra) bonds are reconstructed in the form of M-O-N bonds. By applying both in operando and ex situ technologies, we found this heterostructural interface traps surface lattice oxygen, as well as restrains cation migration in Li-rich layered oxide during electrochemical cycling. Therefore, surface lattice oxygen behavior is significantly sustained. More interestingly, we directly observe the surface oxygen redox decouple with cation migration. In addition, the NFO-coating blocks HF produced from electrolyte decomposition, resulting in reducing the dissolution of Mn. With this strategy, higher cycle stability (91.8% at 1 C after 200 cycles) and higher rate capability (109.4 mA g^-1 at 1 C) were achieved in this work, compared with pristine Li-rich layered oxide. Our work offers potential for designing electrode materials utilizing oxygen redox chemistry.

A green, efficient, closed-loop direct regeneration technology for reconstructing of the LiNi0.5Co0.2Mn0.3O2 cathode material from spent lithium-ion batteries

Lithium nickel manganese cobalt oxide in the spent lithium ion batteries (LIBs) contains a lot of lithium, nickel, cobalt and manganese. However, how to effectively recover these valuable metals under the premise of reducing environmental pollution is still a challenge. In this work, a green, efficient, closed-loop direct regeneration technology is proposed to reconstruct LiNi_0.5Co_0.2Mn_0.3O₂ (NCM523) cathode materials from spent LIBs. Firstly, the failure mechanism of NCM523 cathode materials in the spent LIBs is analyzed deeply. It is found that the spent NCM523 material has problems such as the dissolution of lithium and transition metals, surface interface failure and structural transformation, resulting in serious deterioration of electrochemical performance. Then NCM523 material was directly regenerated by supplementing metal ions, granulation, ion doping and heat treatment. Meanwhile, PO₄^3- polyanions were doped into the regenerated NCM material in the recovery process, showing excellent electrochemical performance with discharge capacity of 189.8 mAh g^-1 at 0.1 C. The recovery process proposed in this study puts forward a new strategy for the recovery various lithium nickel cobalt manganese oxide (e.g., LiNi_1/3Co_1/3Mn_1/3O₂, LiNi_0.5Co_0.2Mn_0.3O₂, LiNi_0.6Co_0.2Mn_0.2O₂ and LiNi_0.8Co_0.1Mn_0.1O₂) and accelerates the industrialization of spent lithium ion battery recycling.

[Using energy spectrum CT to evaluate the characteristics of adult abdominal fat distribution and analyze its influencing factors]

Objective: To evaluate the characteristics of adult abdominal fat distribution and analyze its influencing factors by energy spectrum CT scan. Methods: The body height, weight, waist circumference, and hip circumference of 105 adults were measured, and the characteristics of abdominal fat distribution were evaluated by energy spectrum CT scan. Results: Compared with non-obese individuals, the contents of abdominal subcutaneous fat, abdominal cavity and liver ectopic fat were higher in obese patients (P<0.05), and the intramuscular fat (IMAT) content did not increase with the increase of BMI. In middle-aged group, the waist circumference, waist-to-hip ratio (WHR) abdominal cavity area and IMAT content were higher than those in the youth group, and the muscle content of the middle-aged group was lower than that of the youth group, the difference between the two groups was significant (P<0.05); the male group had higher abdominal cavity area and muscle content than the female group, while the female group had higher the subcutaneous fat area, abdominal subcutaneous fat thickness and erector spinae fat content than the male group, the differences were significant (P<0.05). Conclusions: The characteristics of abdominal fat distribution of subjects with different BMI, age and gender were different. Therefore, we should pay attention to the individual assessment of ectopic fat distribution in obese patients. Energy spectrum CT can be used as an important approach for the assessment of ectopic fat to provide evidence for developing individualized weight loss programs.

Stabilized Cathode Interphase for Enhancing Electrochemical Performance of LiNi0.5Mn1.5O4-Based Lithium-Ion Battery via cis-1,2,3,6-Tetrahydrophthalic Anhydride

The continuous degradation of carbonate electrolytes and the dissolution of transition metal cations due to parasitic reactions on the cathode-electrolyte interphase (CEI) block the practical application of LiNi_0.5Mn_1.5O₄-based lithium-ion batteries (LNMO-based LIBs) at a high voltage. cis-1,2,3,6-Tetrahydrophthalic anhydride (CTA) has been used as a functional additive in a carbonate baseline electrolyte (BE) for constructing the CEI film to enhance the cyclic stability of LNMO-based LIBs. The LNMO/Li cell with CTA exhibits a preponderant capacity retention of 83.3% compared with those of propionic anhydride (PA) (46.5%) and BE (13.6%) after 500 cycles at the current density of 1 C from 3.5 to 4.9 V. Additionally, the LNMO/graphite full cell with CTA still has a higher capacity retention of 95.46% even after 300 cycles at 1 C. By characterizations, it is reasonably demonstrated that CTA was oxidated to participate in the construction of a CEI film. An unsaturated aromatic group was introduced into the composition of the CEI film along with CTA in the formation process of the CEI film, which further improved the antioxidative activity of the CEI film under the influence of field-effect. Specifically, the CEI film obtains appreciable stability because of its higher antioxidative activity under the influence of field-effect. The stabilized CEI can significantly suppress the parasitic reactions of electrolytes, decrease the consumption of active-Li⁺, and protect the LNMO cathode structure, thereby enhancing the cyclic compatibility of LNMO-based LIBs with the carbonate electrolytes from 3.5 to 4.9 V.

TFAP2A is a novel regulator that modulates ferroptosis in gallbladder carcinoma cells via the Nrf2 signalling axis

OBJECTIVE

Ferroptosis is a recently identified form of controlled cell death generally associated with the accumulation of lipid-associated reactive oxygen species (ROS). However, the molecular mechanisms underlying ferroptosis have not been established.

MATERIALS AND METHODS

Microarray expression data for three human gallbladder carcinoma (GBC) and matched non-tumour specimens were downloaded from the Gene Expression Omnibus (GEO) repository. Candidate genes were filtered using bioinformatic analysis. After cell transfection, candidate gene impacts on cell proliferation, migration, invasion and ferroptosis (ferrous iron (Fe2+) and malondialdehyde (MDA) levels) were assessed.

RESULTS

We screened 626 differentially expressed genes (DEGs) including 465 that were downregulated and 161 that were upregulated in the three tissue pairs. These DEGs were used to construct a protein-protein interaction (PPI) network. Functional enrichment analysis revealed the top three modules in the network and four hub genes. Transcription factor AP-2 alpha (TFAP2A) was screened and showed overexpression in The Cancer Genome Atlas (TCGA) digestive system tumour data and a relationship with clinical survival. In vitro, GBC exhibited upregulated expression of TFAP2A, whose inhibition reduced GBC cell proliferation, migration, and invasion. Fe2+ and MDA levels were elevated. Moreover, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis revealed TFAP2A enrichment in oxidative stress. Subsequent experiments demonstrated that TFAP2A silencing attenuated the expression of key genes associated with oxidative stress such as heme oxygenase 1 (HO-1), nuclear factor erythroid 2 like 2 (Nrf2), ferritin heavy chain 1 (FTH1) and NAD(P)H quinone dehydrogenase 1 (NQO1).

CONCLUSIONS

Bioinformatic and experimental analyses reveal that TFAP2A plays a vital role in ferroptosis and hence is a potential therapeutic target for GBC treatment.

Y–F co-doping behavior of LiFePO4/C nanocomposites for high-rate lithium-ion batteries

Lithium iron phosphate (LFP) has become one of the current mainstream cathode materials due to its high safety and low price.

FeSe2@C Microrods as a Superior Long-Life and High-Rate Anode for Sodium Ion Batteries

Transition-metal selenides have emerged as promising anode materials for sodium ion batteries (SIBs). Nevertheless, they suffer from volume expansion, polyselenide dissolution, and sluggish kinetics, which lead to inadequate conversion reaction toward sodium and poor reversibility during the desodiation process. Therefore, the transition-metal selenides are far from long cycling stability, outstanding rate performance, and high initial Coulombic efficiency, which are the major challenges for practical application in SIBs. Here, an efficient anode material including an FeSe₂ core and N-doped carbon shell with inner void space as well as high conductivity is developed for outstanding rate performance and long cycle life SIBs. In the ingeniously designed FeSe₂@NC microrods, the N-doped carbon shell can facilitate mass transport/electron transfer, protect the FeSe₂ core from the electrolyte, and accommodate volume variation of FeSe₂ with the help of the inner void of the core. Thus, the FeSe₂@NC microrods can maintain strong structural integrity upon long cycling and ensure a good reversible conversion reaction of FeSe₂ during the discharge/charge process. As a result, the as-prepared FeSe₂@NC microrods exhibit excellent sodium storage performance and ultrahigh stability, achieving an excellent rate capability (411 mAh g^-1 at 10.0 A g^-1) and a long-term cycle performance (401.3 mAh g^-1 after 2000 cycles at 5.0 A g^-1).

Structural Insight into the Abnormal Capacity of a Co-Substituted Tunnel-Type Na0.44MnO2 Cathode for Sodium-Ion Batteries

Tunnel-type (T-type) Na_0.44MnO₂ (NMO) is a promising cathode material for sodium-ion batteries (SIBs) owing to its high rate performance and cycling stability compared to manganese-based layered oxides. However, the low specific capacity still restricts its practical applications. Herein, a Co-doped T-type NMO is synthesized through a facile solid-state reaction method and utilized as a cathode material for SIBs. A T-type Na_0.44Mn_0.9925Co_0.0075O₂ (NMO-3) electrode can deliver a high reversible capacity of 138 mAh g^-1 at 0.1C, a superior rate capability (133, 130, 121, 106, and 93 mAh g^-1 at 0.5, 1, 2, 5, and 10C, respectively), and excellent cycling stability (85.2% at 10C after 500 cycles). The substitution of Co³⁺ by Mn³⁺ leads to the enlargement of small and S-shaped tunnel spaces, which facilitates the insertion/deinsertion of Na⁺ into/from NMO-3 and greatly enhances its rate capability and cycling stability. Moreover, the reduced energy barriers for Na⁺ diffusion in small tunnels make the inactive Na⁺ easier to be deintercalated, which should be responsible for its high specific capacity that exceeds the theoretical capacity of T-type NMO.

Enhancing the Electrochemical Performance of a High-Voltage LiNi0.5 Mn1.5 O4 Cathode in a Carbonate-Based Electrolyte with a Novel and Low-Cost Functional Additive

Butyric anhydride (BA) is used as an effective functional additive to improve the electrochemical performance of a high-voltage LiNi_0.5 Mn_1.5 O₄ (LNMO) cathode. In the presence of 0.5 wt % BA, the capacity retention of a LNMO/Li cell is significantly improved from 15.3 to 88.4 % after 200 cycles at 1 C. Furthermore, the rate performance of the LNMO/Li cell is also effectively enhanced, and the capacity goes up to 112 mAh g^-1 even at 5 C, which is considerably higher than that of a LNMO/Li cell in electrolyte without BA additive (95.4 mAh g^-1 at 5 C). Linear sweep voltammetry and cyclic voltammetry results reveal that the BA additive can be preferentially oxidized to construct a stable cathode electrolyte interphase (CEI) film on the LNMO cathode. Subsequently, the BA-derived CEI film can alleviate the decomposition of the electrolyte and the dissolution of Mn and Ni ions from the LNMO cathode as well as maintain the structural stability of LNMO during the cycling process; this leads to outstanding electrochemical performance. Thus, this work provides an effective and low-cost functional electrolyte for high-voltage LNMO-based LIBs.

Interface-tuned Mo-based nanospheres for efficient oxygen reduction and hydrogen evolution catalysis

Developing earth-abundant materials for efficient oxygen reduction reaction (ORR) and hydrogen evolution reaction (HER) catalysis in both alkaline and acidic media is of significance for hydrogen fuel cell application.

Bifunctional NaCl template for the synthesis of Si@graphitic carbon nanosheets as advanced anode materials for lithium ion batteries

A 2D Si@GC nanosheet composite is synthesized through a facile ball-milling method using NaCl as a bifunctional template, which can achieve a high reversible capacity and long-term cycling performance when evaluated as an anode material for LIBs.

PAX3 silencing suppresses gastric cancer proliferation and angiogenesis via MET/PI3K signaling

PAX3 is the key factor in cell signal transduction pathway and may be involved in the regulation of cancer cell proliferation, differentiation and migration. The aim of the study was to investigate the effects and mechanism of PAX3 silencing on the gastric cancer. Specific PAX3 silencing was performed both in vitro and in vivo using small-interfering RNAs (siRNAs). The proliferation, apoptosis and angiogenesis of gastric cancer cells were assessed using MTT assay, flow cytometry and in vitro tube formation assay. Mice with gastric xenografts, which expressed either si-PAX3 or non-coding siRNA (si-NC), were developed and the effects of PAX3 silencing on tumor progression were evaluated. PCNA is a proliferating cell nuclear antigen and can be used as an index for evaluating cell proliferation status. Immunocytochemistry assay was used to quantify PAX3 and PCNA expression. After 4 weeks of tumor inoculation, tumor tissues were weighed. Tumor tissue morphology and apoptosis were evaluated using HE staining and TUNEL assay. In order to investigate the effect of silencing PAX3 on cell apoptosis, angiogenesis and MET/PI3K pathway, quantitative real-time PCR (qRT-PCR) or western blot were used to detect the expression levels of caspase-3, VEGF, MET, p-MET, PI3K and p-PI3K. After PAX3 silencing, PAX3 expression was significantly decreased in two gastric cancer cell lines, MKN-28 and SGC-7901 (p<0.05 vs Control). PAX3 silencing reduced cell proliferation, induced cell apoptosis and inhibited tube formation. PAX3 and PCNA expression were also significantly decreased. In mice, silencing PAX3 significantly inhibited tumor growth and decreased microvessel density in tumor. PAX3 silencing also decreased cell density in tumors, which concurred with increased apoptosis and PAX3 expression. PAX3 silencing upregulated the expression of caspase-3, downregulated the expression of VEGF, phosphorylation of PI3K and MET. Our data showed that these anti-tumor effects of PAX3 silencing might be attributed to its role in inducing cell apoptosis and inhibiting angiogenesis.

Immunological tolerance of low-risk HPV in recurrent respiratory papillomatosis

Recurrent respiratory papillomatosis (RRP) is characterized by benign exophytic lesions of the respiratory tract caused by the human papillomavirus (HPV), in particular low-risk HPV6 and HPV11. Aggressiveness varies greatly among patients. Surgical excision is the current standard of care for RRP, with adjuvant therapy used when surgery cannot control disease recurrence. Numerous adjuvant therapies have been used to control RRP with some success, but none are curative. Current literature supports a polarization of the adaptive immune response to a T helper type 2 (Th2)-like or T regulatory phenotype, driven by a complex interplay between innate immunity, adaptive immunity and HPV6/11 proteins. Additionally, certain immunogenetic polymorphisms can predispose individuals to an HPV6/11-tolerant microenvironment. As a result, immunomodulatory efforts are being made to restore the host immune system to a more balanced T cell phenotype and clear viral infection. Literature has shown exciting evidence for the role of HPV vaccination with Gardasil or Gardasil-9 as both primary prevention, by decreasing incidence through childhood vaccinations, and secondary prevention, by treating active RRP disease. Multi-institution randomized clinical trials are needed to better assess their efficacy as treatment for active disease. Interestingly, a DNA vaccine has recently shown in-vitro success in generating a more robust CD8⁺ T cell response. Furthermore, clinical trials for programmed death 1 (PD-1) inhibitors are under investigation for RRP management. Molecular insights into RRP, in particular the interplay between RRP and the immune system, are needed to advance our understanding of this disease and may lead to the identification of immunomodulatory agents to better manage RRP.

Screening of reference genes using real-time quantitative PCR for gene expression studies in Neoseiulus barkeri Hughes (Acari: Phytoseiidae)

A stable reference gene is a key prerequisite for accurate assessment of gene expression. At present, the real-time reverse transcriptase quantitative polymerase chain reaction has been widely used in the analysis of gene expression in a variety of organisms. Neoseiulus barkeri Hughes (Acari: Phytoseiidae) is a major predator of mites on many important economically crops. Until now, however, there are no reports evaluating the stability of reference genes in this species. In view of this, we used GeNorm, NormFinder, BestKeeper, and RefFinder software tools to evaluate the expression stability of 11 candidate reference genes in developmental stages and under various abiotic stresses. According to our results, β-ACT and Hsp40 were the top two stable reference genes in developmental stages. The Hsp60 and Hsp90 were the most stable reference genes in various acaricides stress. For alterations in temperature, Hsp40 and α-TUB were the most suitable reference genes. About UV stress, EF1α and α-TUB were the best choice, and for the different prey stress, β-ACT and α-TUB were best suited. In normal conditions, the β-ACT and α-TUB were the two of the highest stable reference genes to respond to all kinds of stresses. The current study provided a valuable foundation for the further analysis of gene expression in N. barkeri.