Data-driven comorbidity analysis of 100 common disorders reveals patient subgroups with differing mortality risks and laboratory correlates

The populational heterogeneity of a disease, in part due to comorbidity, poses several complexities. Individual comorbidity profiles, on the other hand, contain useful information to refine phenotyping, prognostication, and risk assessment, and they provide clues to underlying biology. Nevertheless, the spectrum and the implications of the diagnosis profiles remain largely uncharted. Here we mapped comorbidity patterns in 100 common diseases using 4-year retrospective data from 526,779 patients and developed an online tool to visualize the results. Our analysis exposed disease-specific patient subgroups with distinctive diagnosis patterns, survival functions, and laboratory correlates. Computational modeling and real-world data shed light on the structure, variation, and relevance of populational comorbidity patterns, paving the way for improved diagnostics, risk assessment, and individualization of care. Variation in outcomes and biological correlates of a disease emphasizes the importance of evaluating the generalizability of current treatment strategies, as well as considering the limitations that selective inclusion criteria pose on clinical trials.Peer reviewe

Feasibility of nanocrystalline cellulose production by endoglucanase treatment of natural bast fibers

Whereas straw management presents a continuing challenge among farmers, tremendous opportunities may exist within the natural fibers in terms of value- added products or chemicals. This research provides the first assessment and demonstration of feasibility of an enzyme-assisted production of nanocrystalline cellulose (NCC) from hemp and flax fibers. A newly cloned endoglucanase (AoEG), derived from Aspergillus oryzae and characterized to be a thermostable enzyme with a half-life of 50. h at 50. \ub0C was used for the hydrolysis. Atomic force microscopy (AFM) imaging of NCC produced from acid swollen cellulose and flax fibers indicated that they form aggregated network, showing rod-like nanofibrils of about 10. nm in height, and 200. nm in length. The yield of NCC using physical pretreatment only or combined physical-chemical pretreatment was compared. The highest yield of NCC was obtained under the conditions of 300. mg of flax fiber treated by 100. IU enzyme at 50. \ub0C for 24. h after pretreatment of the fibers by sonication-microwave in 2% NaOH solution.Peer reviewed: YesNRC publication: Ye

Zeolitic imidazole Framework-8 (ZIF-8) fibers by gas-phase conversion of electroblown zinc oxide and aluminum doped zinc oxide fibers

Abstract Electroblowing was used to prepare ZnO and aluminum doped zinc oxide (AZO, 1–3 cation-% of Al) fibers. The as-blown fibers were calcined at 500 °C to obtain the target material. The average fiber diameters ranged from 240 ± 60 nm for ZnO fibers to 330 ± 80 nm for AZO with 3% Al. Smaller crystallite size was measured with x-ray diffraction for the Al doped fibers. Electroblowing was found out be an effective method to increase the fiber productivity over electrospinning and other methods reported in literature to prepare AZO fibers as a high production rate of 0.32 g/h was achieved. The ZnO and AZO fibers could be converted to zeolitic imidazole framework-8 [ZIF-8, zinc(2-methylimidazolate)₂] by a solvent free thermal treatment in an autoclave under 2-methylimidazole (HmIM) vapor at 150 and 200 °C while preserving the fibrous structure. The conversion process to ZIF-8 occurred faster at higher temperatures and on fibers with smaller crystallite size. Depending on the conversion treatment time either ZnO/ZIF-8 and AZO/ZIF-8 core/shell fibers or ZIF-8 fibers could be obtained. At best the prepared ZIF-8 fibers had a very high BET specific surface area of 1340 m²/g

Epoxidation of Tall Oil Catalyzed by an Ion Exchange Resin under Conventional Heating and Microwave Irradiation

International audienceTall oil fatty acids (TOFA) are a byproduct from the Kraft pulping process, and they represent a renewable and inexpensive alternative with high potential as a renewable feedstock. Epoxidized TOFA have great potential as chemical intermediates. Epoxidation of oleic acid, TOFA, and distilled tall oil (DTO) was conducted in an isothermal batch reactor with in situ-formed peracetic acid using hydrogen peroxide as the reactant and acetic acid as the reaction carrier. Amberlite IR-120 was used as the solid heterogeneous catalyst. The catalyst loading effect, the reactant ratios, the reaction temperature (40–70 °C), and the influence of microwave irradiation on epoxidation and ring opening were studied. The application of microwave irradiation resulted in an improvement of the epoxidation rate in the absence of the catalyst. Lower product yields were obtained for the epoxidation of DTO than for TOFA because of the higher viscosity and high content of rosin acids which presumably promoted ring opening reactions. At higher temperatures, the selectivity to oxirane decayed due to ring opening. Titration analysis and NMR analysis confirmed that microwave irradiation induces the ring opening reactions for TOFA epoxidation, and it accelerates this process for DTO. The rapid nature of the microwave heating might have unchained a series of ring opening reactions between neighboring oxirane groups and with the nucleophilic agents in the reaction mixture

Aqueous phase reforming of birch and pine hemicellulose hydrolysates

Abstract The current work focuses on studying the aqueous phase reforming (APR) of pine and birch hydrolysate obtained from waste wood by using organic acids available from biorefineries. Processing of representative synthetic mixtures was utilized in the work in order to support data interpretation related to the influence of different chemical compound and processing parameters on the APR of the actual hydrolysates. It was shown, that hydrogenation of the hydrolysates prior to APR was not feasible in the presence of formic acid, which ruled out one potential processing route. However, it was successfully demonstrated that birch and pine hydrolysates could be directly processed obtaining close to full conversion. The best results were obtained with tailored bimetallic Pd-Pt/sibunit catalyst in a trickle bed reactor system in the temperature range 175 °C–225 °C