Association of Metabolic Dysfunction-Associated Fatty Liver Disease With Left Ventricular Diastolic Function and Cardiac Morphology

Background and AimNon-alcoholic fatty liver disease (NAFLD) is closely related to cardiovascular diseases (CVD). A newly proposed definition is metabolic dysfunction-associated fatty liver disease (MAFLD), which was changed from NAFLD. The clinical effect of this change on abnormalities of cardiac structure and function is yet unknown. We aimed to examine whether MAFLD is associated with left ventricular (LV) diastolic dysfunction (LVDD) and cardiac remolding and further identify the impact of different subgroups and severity of MAFLD.MethodWe evaluated 228 participants without known CVDs. Participants were categorized by the presence of MAFLD and the normal group. Then, patients with MAFLD were subclassified into three subgroups: MAFLD patients with diabetes (diabetes subgroup), overweight/obesity patients (overweight/obesity subgroup), and lean/normal-weight patients who had two metabolic risk abnormalities (lean metabolic dysfunction subgroup). Furthermore, the severity of hepatic steatosis was assessed by transient elastography (FibroScan®) with a controlled attenuation parameter (CAP), and patients with MAFLD were divided into normal, mild, moderate, and severe hepatic steatosis groups based on CAP value. Cardiac structure and function were examined by echocardiography.ResultsLVDD was significantly more prevalent in the MAFLD group (24.6% vs. 60.8%, p < 0.001) compared to the normal group. The overweight subgroup and diabetes subgroup were significantly associated with signs of cardiac remolding, including interventricular septum thickness, LV posterior wall thickness, left atrial diameter (all p < 0.05), relative wall thickness, and LV mass index (all p < 0.05). Additionally, moderate-to-to severe steatosis patients had higher risks for LVDD and cardiac remolding (all p-values < 0.05).ConclusionMAFLD was associated with LVDD and cardiac remolding, especially in patients with diabetes, overweight patients, and moderate-to-to severe steatosis patients. This study provides theoretical support for the precise prevention of cardiovascular dysfunction in patients with MAFLD

Simultaneous extraction and determination of alkaloids and organic acids in Uncariae Ramulas Cum Unicis by vortex-assisted matrix solid phase dispersion extraction coupled with UHPLC-MS/MS

A simple and efficient vortex-assisted matrix solid phase dispersion with a ultra-high-performance liquid chromatography-triple quadrupole mass spectrometer (VA-MSPD-UHPLC-MS/MS) was applied for simultaneous extraction and determination of seven alkaloids and three organic acids from Uncariae Ramulas Cum Unicis. The optimal extraction conditions of the target components were obtained by Box-Behnken design (BBD) combined with response surface methodology (RSM). The results of the method validation showed that this analytical method displayed good linearity with a correlation coefficient (r) no lower than 0.9990. The recoveries of ten active ingredients from Uncariae Ramulas Cum Unicis ranged from 95.9% to 103% (RSD ≤ 2.77%). The RSDs of intra-day and inter-day precisions were all below 2.97%. The present method exhibited not only lower solvent and sample usage, but also shorter sample processing and analysis time. Consequently, the developed VA-MSPD-UHPLC-MS/MS method could be successfully and effectively used for the extraction and analysis of ten active components from Uncariae Ramulas Cum Unicis

Reduction and Accumulative Characteristics of Dissolved Heavy Metals in Modified Bioretention Media

Twelve bioretention filter columns with different media were designed to study the effects of media on dissolved heavy metals in bioretention systems by changing three test conditions (inflow concentration, discharge ratio, and recurrence interval). The results showed that the average load reduction efficiency of the bioretention soil media (BSM)+10%water treatment residue, BSM+10%green zeolite, and BSM+10%medicinal stone for Cu and Zn was larger than 80%. The highest volume reduction efficiency is 39.25% by BSM+coconut bran. Among the three factors selected in tests, inflow concentration had the biggest degree of influence, followed by discharge ratio and recurrence interval. The media of the upper, middle, and lower layers of each filter column were detected before and after the treatment to study the accumulative characteristics of heavy metals in the bioretention system. The accumulation of Cu, Zn, and Cd in the media of BSM+medicinal stone, BSM+fly ash, BSM+vermiculite, and BSM+turfy soil was relatively low. The contents of the three metals were positively correlated with urease and negatively correlated with protease in the media, but no obvious rule was showed in the accumulation of dissolved heavy metals with depth

Adsorption of Zn(II), Pb(II), and Cu(II) by Residual Soil-Derived Zeolite in Single-Component and Competitive Systems

Using construction residual soil (RS) as the raw material, RS-derived zeolite (RSDZ) was prepared through a fusion-hydrothermal process. The adsorption performance and mechanisms of RSDZ for Pb2+, Zn2+, and Cu2+ were investigated in single-component and competitive systems. The strong RSDZ X-ray diffraction peaks at 2θ = 12.47, 17.73, 21.65, 28.18, and 33.44°, together with the results of scanning electron microscopy and Fourier transform-infrared spectroscopy (FT-IR) indicated that NaP1 zeolite (Na6Al6SiO32∙12H2O) was successfully synthesised. The Brunauer–Emmett–Teller surface area, average pore size, and cation exchange capacity increased from 9.03 m2∙g−1, 18.85 nm, and 0.12 meq∙g−1 to 47.77 m2∙g−1, 41.60 nm, and 0.61 meq∙g−1, respectively, after the fusion-hydrothermal process. The maximum Langmuir adsorption capacity of RSDZ for Zn2+, Pb2+, and Cu2+ in the unary systems was 0.37, 0.38, and 0.40 mmol·g−1, respectively. Increasing the initial solution pH facilitated the adsorption reaction, and the adsorption performance was stable when pH > 3. The distribution coefficients in the binary and ternary systems indicated that RSDZ had greater affinity for Pb2+ and Zn2+ than for Cu2+ due to the larger ionic radius and relative atomic weight of the former two cations. The relative affinity to Pb2+ and Zn2+ was related to their concentration, with more competitive adsorption of Pb2+ at concentrations higher than 0.4 mmol·L−1 in binary systems and 0.25 mmol·L−1 in ternary systems. X-ray photoelectron spectroscopy and FT-IR analyses indicated that ion exchange was the main mechanism involved in the adsorption of heavy metal ions by RSDZ, accompanied by ligand exchange

High Purity Struvite Recovery from Hydrothermally-Treated Sludge Supernatant Using Magnetic Zirconia Adsorbent

Recovery of phosphorus from sludge will help to alleviate the phosphorus resource crisis. However, the release of phosphorus from sludge is accompanied by the leaching of large amounts of coexisting ions, i.e., Fe, Al, Ca, and organic matter, which decreases the purity of sludge-derived products. In this study, an adsorption-desorption process using magnetic zirconia (MZ) as the adsorbent is proposed to obtain a high purity recovery product. The process involves selective adsorption of phosphate from the hydrothermally treated sludge supernatant (HTSS) using MZ, followed by desorption and precipitation to obtain the final product: struvite. The results indicated that at a dosage of 15 g/L, more than 95% of phosphorus in the HTSS could be adsorbed by MZ. Coexisting ions (Ca2+, Mg2+, Fe3+, Al3+, SO42−, NO3−, Cl−, etc.) and organic matter (substances similar to fulvic and humic acid) in the HTSS had a limited inhibitory effect on phosphate adsorption. Using a binary desorption agent (0.1 mol/L NaOH + 1 mol/L NaCl), 90% of the adsorbed phosphorus could be desorbed. Though adsorption-desorption treatment, struvite purity of the precipitated product increased from 41.3% to 91.2%. Additionally, MZ showed good reusability, maintaining a >75% capacity after five cycles. X-ray photoelectron spectroscopy (XPS) indicated that MZ adsorbed phosphate mainly by inner-sphere complexation. This study provided a feasible approach for the recovery of phosphorus from sludge with high purity

Value of the fT3/fT4 ratio and its combination with the GRACE risk score in predicting the prognosis in euthyroid patients with acute myocardial infarction undergoing percutaneous coronary intervention: a prospective cohort study

Abstract Background Thyroid hormones deeply influence the cardiovascular system; however, the association between the fT3/fT4 ratio and the clinical outcome in euthyroid patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI) is not well defined. Therefore, the present study aimed to assess the prognostic performance of the fT3/fT4 ratio in predicting the long-term prognosis in euthyroid patients with AMI undergoing PCI. Methods In a prospective cohort study with a 1-year follow-up, according to the clinical end point, 953 euthyroid individuals (61.0 ± 11.6; female, 25.8%) were divided into two groups: (1) the survival group (n = 915) and (2) the death group (n = 38). Results According to Cox regression multivariate analysis, fT4 (HR: 1.249, 95% CI: 1.053–1.480, p = 0.010) and the fT3/fT4 ratio (HR: 3.546, 95% CI: 1.705–7.377, p = 0.001) were associated with an increased risk of 1-year all-cause mortality. The prognostic performance of the fT3/fT4 ratio was similar to the Global Registry of Acute Coronary Events (GRACE) score in predicting 1-year all-cause mortality (C-statistic: z = 0.261, p = 0.794; IDI: -0.017, p = 0.452; NRI: -0.049, p = 0.766), but better than fT4 (C-statistic: z = 2.438, p = 0.015; IDI: 0.053, p = 0.002; NRI: 0.656, p < 0.001). The fT3/fT4 ratio also significantly improved the prognostic performance of the GRACE score (GRACE score vs GRACE score + fT3/fT4 ratio: C-statistic: z = 2.116, p = 0.034; IDI: 0.0415, p = 0.007; NRI: 0.614, p < 0.001). Conclusions In euthyroid patients with AMI undergoing PCI, the fT3/fT4 ratio was an independent predictor of 1-year all-cause mortality. Its prognostic performance was similar to the GRACE score, and also improved its prognostic performance (GRACE score vs GRACE score + fT3/fT4 ratio)

Explore the attitudes of children and adolescent parents towards the vaccination of COVID-19 in China

Abstract Background With the increasing incidence of asymptomatic carriers or milder symptoms, children and adolescents are likely to become a silent source of infection. In view of the efficacy and safety of vaccines in the treatment of novel Coronavirus pneumonia, population-wide vaccination will be an inevitable trend to control the spread of COVID-19. However, there is no survey on the attitudes of Chinese parents of children and adolescents towards their children’s COVID-19 vaccination. Methods We used online questionnaires to find out the attitudes of Chinese parents toward their children’s immunization against COVID-19. Logistic regression was used to explore the influencing factors. Results A total of 2019 parents participated in the survey. Overall, 74.38% parents said they would actively get vaccinated, 8.90% refused to get vaccinated, 4.60% said they would delay vaccination and 12.12% were still undecided. Conclusions In general, Chinese parents have a high desire to be vaccinated against COVID-19, and most parents have a positive attitude towards their children’s vaccination. However, many people still hesitate or even refuse to be vaccinated. Education background, attitudes towards children’s vaccination, children’s age, recent illness and other factors have a certain impact on Chinese parents of children and adolescents towards their children’s COVID-19 vaccination

Cu(II) and Cr(VI) Removal in Tandem with Electricity Generation via Dual-Chamber Microbial Fuel Cells

Microbial fuel cells (MFCs) have shown great advantages in electricity production, heavy metal removal, and energy recovery. However, the impact and mechanism of conflicting effects of numerous electron acceptors on heavy metal removal remain unknown. The effects of different initial heavy metal concentrations, cathodic dissolved oxygen, and electrode materials on the electricity generation and heavy metal removal efficiencies of Cu(II) and Cr(VI) were investigated in this study. When the initial concentration of Cr(VI) increased from 10 mg/L to 150 mg/L, the maximum voltage, coulomb efficiency, and maximum power density declined from 99 to 44 mV, 28.63% to 18.97%, and 14.29 to 0.62 mW/m2, and the removal efficiencies of Cu(II) and Cr(VI) decreased dramatically from 98.34% and 99.92% to 67.09% and 37.06%, respectively. Under anaerobic cathodic conditions, the removal efficiency and removal rate of Cu(II) and Cr(VI) were lower than those under aerobic conditions. When the cathode electrode was titanium sheet and graphite plate, the coulomb efficiency and maximum power density increased to 38.18%, 50.71%, 33.95 mW/m2, and 62.23 mW/m2. The removal efficiency and removal rates of Cu(II) and Cr(VI) were significantly increased to 98.09%, 86.13%, and 0.47, 0.50 mg/(L h) with a graphite plate, respectively. The pH of the cathode varied considerably greater as the MFC current increased. Cu(II) and Cr(VI) were removed and reduced to elemental Cu, Cu2O, and its oxides as well as Cr(OH)3 and Cr2O3 precipitates on the cathode electrode by cathodic bioelectrochemical reduction

A comprehensive strategy integrating metabolomics with DNA barcoding for discovery of combinatorial discriminatory quality markers: A case of Cimicifuga foetida and Cimicifuga dahurica

The multiple species characteristics of traditional Chinese medicines (TCMs) are crucial for expanding TCMs sources, meeting the needs of the pharmaceutical industry and ensuring clinical requirements. It’s also one of the significant factors affecting the quality control of TCMs. Systematic differential analysis of original species in TCMs is an important link in achieving comprehensive quality control, ensuring the effectiveness and safety of clinical medication. The study aims to establish a reliable and efficient approach to screen combinatorial discriminatory quality markers for rapid differentiation of original species by metabolomics coupled with DNA barcoding as a case of Cimicifugae Rhizoma. DNA barcoding is used to identify the origin of Cimicifugae Rhizoma. The data-dependent acquisition mode integrated with the computerized intelligent filtering system was established for in-depth characterization of metabolites from Cimicifugae Rhizoma using ultra-high performance liquid chromatography to quadrupole time-of-flight mass spectrometry (UHPLC-Q-TOF-MS). The untargeted metabolomics combined with multivariate statistical analysis was performed to screen and identify the potential combinatorial discriminatory quality markers. Finally, quantitative analysis and predictive model of these markers were employed to validate the feasibility of this strategy to distinguish the original species. Based on the scores of variable importance in projection greater than 1.0 and t-test (p < 0.05) in chemometric analysis, caffeic acid, cimifugin, ferulic acid and isoferulic acid were authenticated as combinatorial discriminatory quality markers for the two original species of Cimicifugae Rhizoma. In addition, the Fisher discriminant model successfully classified 56 batches of Cimicifugae Rhizoma with an accuracy of 94.4 %, showcased the practicality and scientific validity of this method. This study has provided a comprehensive strategy for efficient discrimination of multiple species of medicinal materials