Long-term efficacy of an education programme in improving adherence with continuous positive airway pressure treatment for obstructive sleep apnoea

This randomised controlled trial demonstrated that a motivational enhancement programme composed of a single interview and a follow-up phone call at the initiation of continuous positive airway pressure treatment can improve treatment adherence in subjects with obstructive sleep apnoea, even after 1 year, and lead to better health outcome in terms of reducing daytime sleepiness.published_or_final_versio

Mo/Fe bimetallic pyrophosphates derived from Prussian blue analogues for rapid electrocatalytic oxygen evolution

Efficient and stable oxygen evolution electrocatalysts are indispensable for industrial applications of water splitting and hydrogen production. Herein, a simple and practical method was applied to fabricate (Mo, Fe)P2O7@NF electrocatalyst by directly growing Mo/Fe bimetallic pyrophosphate derived from Prussian blue analogues on three-dimensional porous current collector. In alkaline media, the developed material possesses good hydrophilic features and exhibits best-in-class oxygen evolution reaction (OER) performances. Surprisingly, the (Mo, Fe)P2O7@NF only requires overpotentials of 250 and 290 mV to deliver 100 and 600 mA cm−2 in 1 mol L−1 KOH, respectively. Furthermore, the (Mo, Fe)P2O7@NF shows outstanding performances in alkaline salty water and 1 mol L−1 high purity KOH. A worthwhile pathway is provided to combine bimetallic pyrophosphate with commercial Ni foam to form robust electrocatalysts for stable electrocatalytic OER, which has a positive impact on both hydrogen energy application and environmental restoration

In vivo and in vitro efficient textile wastewater remediation by Aspergillus niger biosorbent

In this work, the treatment of textile wastewater by a facile and high-efficiency technology using eco-friendly Aspergillus niger as a biosorbent was investigated. We measured physical changes (weight, size) during the formation and growth of fungus pellets and the pH values that influence the adsorption performance and biosorption mechanism. Three acid anionic dyes containing Acid Orange 56, Acid Blue 40 and Methyl Blue were chosen as model dyes to investigate batch adsorption efficiency. Two adsorption models (in vivo and in vitro) were adopted to decolorize the acid dyes. The results show that fungus pellets have excellent decoloration abilities with a high adsorption efficiency of 98% for 200 mg L-1 of acid dye. The pH value of the dye solution varied with the adsorption time and the dye removal efficiency greatly depended on the pH. The bioadsorption mechanism of nano-scale hyphae was revealed to be mainly due to electrostatic interactions caused by the pH change. Furthermore, the surface morphologies of the fungus after adsorption indicated that the dyes had been adsorbed on the surface of the fungus mycelia. Moreover, prepared 3D fungus/GO aerogels demonstrated superior dye removal abilities compared with fungus aerogels

A new model using routinely available clinical parameters to predict significant liver fibrosis in chronic hepatitis B

Objective: We developed a predictive model for significant fibrosis in chronic hepatitis B (CHB) based on routinely available clinical parameters. Methods: 237 treatment-naïve CHB patients [58.4% hepatitis B e antigen (HBeAg)-positive] who had undergone liver biopsy were randomly divided into two cohorts: training group (n = 108) and validation group (n = 129). Liver histology was assessed for fibrosis. All common demographics, viral serology, viral load and liver biochemistry were analyzed. Results: Based on 12 available clinical parameters (age, sex, HBeAg status, HBV DNA, platelet, albumin, bilirubin, ALT, AST, ALP, GGT and AFP), a model to predict significant liver fibrosis (Ishak fibrosis score ≥3) was derived using the five best parameters (age, ALP, AST, AFP and platelet). Using the formula log(index+1) = 0.025+0.0031(age)+0.1483 log(ALP)+0.004 log(AST)+0.0908 log(AFP+1)-0.028 log(platelet), the PAPAS (Platelet/Age/Phosphatase/AFP/AST) index predicts significant fibrosis with an area under the receiving operating characteristics (AUROC) curve of 0.776 [0.797 for patients with ALT <2×upper limit of normal (ULN)] The negative predictive value to exclude significant fibrosis was 88.4%. This predictive power is superior to other non-invasive models using common parameters, including the AST/platelet/GGT/AFP (APGA) index, AST/platelet ratio index (APRI), and the FIB-4 index (AUROC of 0.757, 0.708 and 0.723 respectively). Using the PAPAS index, 67.5% of liver biopsies for patients being considered for treatment with ALT <2×ULN could be avoided. Conclusion: The PAPAS index can predict and exclude significant fibrosis, and may reduce the need for liver biopsy in CHB patients. © 2011 Seto et al.published_or_final_versio

High hepatitis B surface antigen levels predict insignificant fibrosis in hepatitis B e antigen positive chronic hepatitis B

INTRODUCTION: There is no data on the relationship between hepatitis B surface antigen (HBsAg) levels and liver fibrosis in hepatitis B e antigen (HBeAg)-positive patients with chronic hepatitis B (CHB). METHODS: Serum HBsAg and HBV DNA levels in HBeAg-positive CHB patients with liver biopsies were analyzed. The upper limit of normal (ULN) of alanine aminotransferase (ALT) was 30 and 19 U/L for men and women respectively. Histologic assessment was based on Ishak fibrosis staging for fibrosis and Knodell histologic activity index (HAI) for necroinflammation. RESULTS: 140 patients (65% male, median age 32.7 years) were recruited. 56 (40%) had ALT 1, had significantly higher median HBsAg levels (50,320 and 7,820 IU/mL respectively, p/= 25,000 IU/mL was independently associated with fibrosis score </= 1 (p=0.025, odds ratio 9.042).Using this cut-off HBsAg level in patients with ALT </=2xULN, positive and negative predictive values for predicting fibrosis score </= 1 were 92.7% and 60.0% respectively. HBV DNA levels had no association with liver histology. CONCLUSION: Among HBeAg-positive patients with ALT </=2xULN, high serum HBsAg levels can accurately predict fibrosis score </= 1, and could potentially influence decisions concerning treatment commencement and reduce the need for liver biopsy.published_or_final_versio

A profile of the online dissemination of national influenza surveillance data

<p>Abstract</p> <p>Background</p> <p>Influenza surveillance systems provide important and timely information to health service providers on trends in the circulation of influenza virus and other upper respiratory tract infections. Online dissemination of surveillance data is useful for risk communication to health care professionals, the media and the general public. We reviewed national influenza surveillance websites from around the world to describe the main features of surveillance data dissemination.</p> <p>Methods</p> <p>We searched for national influenza surveillance websites for every country and reviewed the resulting sites where available during the period from November 2008 through February 2009. Literature about influenza surveillance was searched at MEDLINE for relevant hyperlinks to related websites. Non-English websites were translated into English using human translators or Google language tools.</p> <p>Results</p> <p>A total of 70 national influenza surveillance websites were identified. The percentage of developing countries with surveillance websites was lower than that of developed countries (22% versus 57% respectively). Most of the websites (74%) were in English or provided an English version. The most common surveillance methods included influenza-like illness consultation rates in primary care settings (89%) and laboratory surveillance (44%). Most websites (70%) provided data within a static report format and 66% of the websites provided data with at least weekly resolution.</p> <p>Conclusion</p> <p>Appropriate dissemination of surveillance data is important to maximize the utility of collected data. There may be room for improvement in the style and content of the dissemination of influenza data to health care professionals and the general public.</p

A Universal Polyiodide Regulation Using Quaternization Engineering toward High Value-Added and Ultra-Stable Zinc-Iodine Batteries

The development of aqueous rechargeable zinc-iodine (Zn-I2) batteries is still plagued by the polyiodide shuttle issue, which frequently causes batteries to have inadequate cycle lifetimes. In this study, quaternization engineering based on the concept of “electric double layer” is developed on a commercial acrylic fiber skeleton ($1.55–1.7 kg−1) to precisely constrain the polyiodide and enhance the cycling durability of Zn-I2 batteries. Consequently, a high-rate (1 C–146.1 mAh g−1, 10 C–133.8 mAh g−1) as well as, ultra-stable (2000 cycles at 20 C with 97.24% capacity retention) polymer-based Zn-I2 battery is reported. These traits are derived from the strong electrostatic interaction generated by quaternization engineering, which significantly eliminates the polyiodide shuttle issue and simultaneously realizes peculiar solution-based iodine chemistry (I−/I3−) in Zn-I2 batteries. The quaternization strategy also presents high practicability, reliability, and extensibility in various complicated environments. In particular, cutting-edge Zn-I2 batteries based on the concept of derivative material (commercially available quaternized resin) demonstrate ≈100% capacity retention over 17 000 cycles at 20 C. This work provides a general and fresh insight into the design and development of large-scale, low-cost, and high-performance zinc-iodine batteries, as well as, other novel iodine storage systems

The Role of Phosphate Group in Doped Cobalt Molybdate: Improved Electrocatalytic Hydrogen Evolution Performance

The hydrogen evolution reaction (HER) is a critical process in the electrolysis of water. Recently, much effort has been dedicated to developing low-cost, highly efficient and stable electrocatalysts. Transition metal phosphides are investigated intensively due to their high electronic conductivity and optimized absorption energy of intermediates in acid electrolytes. However, the low stability of metal phosphide materials in air and during electrocatalytic processes causes a decay of performance and hinders the discovery of specific active sites. The HER in alkaline media is more intricate, which requires further delicate design due to the Volmer steps. In this work, we develop phosphorus modified monoclinic β-CoMoO4 as a low-cost, efficient and stable HER electrocatalyst for the electrolysis of water in alkaline media. The optimized catalyst shows a small overpotential of 94 mV to reach a current density of 10 mA cm-2 for the HER with high stability in KOH electrolyte, and an overpotential of 197 mV to reach a current density of 100 mA cm-2. Combined computational and in-situ spectroscopic techniques show P is present as a surface phosphate ion; that electron holes localise on the surface ions and both (P-O1-) and Co3+-OH- are prospective surface active sites for the HER

N₂ Electroreduction to NH₃ by Selenium Vacancy‐Rich ReSe₂ Catalysis at an Abrupt Interface

Vacancy engineering has been proved repeatedly as an adoptable strategy to boost electrocatalysis, while its poor selectivity restricts the usage in nitrogen reduction reaction (NRR) as overwhelming competition from hydrogen evolution reaction (HER). Revealed by density functional theory calculations, the selenium vacancy in ReSe₂ crystal can enhance its electroactivity for both NRR and HER by shifting the d‐band from −4.42 to −4.19 eV. To restrict the HER, we report a novel method by burying selenium vacancy‐rich ReSe₂@carbonized bacterial cellulose (V_{r}‐ReSe₂@CBC) nanofibers between two CBC layers, leading to boosted Faradaic efficiency of 42.5 % and ammonia yield of 28.3 μg h^{-1} cm^{-2} at a potential of −0.25 V on an abrupt interface. As demonstrated by the nitrogen bubble adhesive force, superhydrophilic measurements, and COMSOL Multiphysics simulations, the hydrophobic and porous CBC layers can keep the internal V_{r}‐ReSe₂@CBC nanofibers away from water coverage, leaving more unoccupied active sites for the N₂ reduction (especially for the potential determining step of proton‐electron coupling and transferring processes as *NN → *NNH)

Large-scale plasma proteomic profiling identifies a high-performance biomarker panel for Alzheimer's disease screening and staging

INTRODUCTION: Blood proteins are emerging as candidate biomarkers for Alzheimer's disease (AD). We systematically profiled the plasma proteome to identify novel AD blood biomarkers and develop a high-performance, blood-based test for AD. METHODS: We quantified 1160 plasma proteins in a Hong Kong Chinese cohort by high-throughput proximity extension assay and validated the results in an independent cohort. In subgroup analyses, plasma biomarkers for amyloid, tau, phosphorylated tau, and neurodegeneration were used as endophenotypes of AD. RESULTS: We identified 429 proteins that were dysregulated in AD plasma. We selected 19 “hub proteins” representative of the AD plasma protein profile, which formed the basis of a scoring system that accurately classified clinical AD (area under the curve = 0.9690–0.9816) and associated endophenotypes. Moreover, specific hub proteins exhibit disease stage-dependent dysregulation, which can delineate AD stages. DISCUSSION: This study comprehensively profiled the AD plasma proteome and serves as a foundation for a high-performance, blood-based test for clinical AD screening and staging