Association between mild thyroid dysfunction and clinical outcome in acute coronary syndrome undergoing percutaneous coronary intervention

Background: Thyroid hormones profoundly influence the cardiovascular system, but the effects of mild thyroid dysfunction on the clinical outcome of acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) are not well defined. This study aimed to determine the effect of mild thyroid dysfunction on 12-month prognosis in ACS patients undergoing PCI. Methods: In this prospective cohort study with a 12-month follow-up, 1560 individuals were divided into four groups based on thyroid hormone levels upon admission: euthyroidism (used as a reference group), subclinical hypothyroidism, subclinical hyperthyroidism, and low triiodothyronine syndrome (low T3 syndrome). The outcomes measured were all-cause mortality, cardiac mortality, nonfatal rein­farction, and unplanned repeat revascularization. Results: In this study, the prevalence of mild thyroid dysfunction was 10.8%. Multivariate analysis showed that low T3 syndrome, but not subclinical hypothyroidism or subclinical hyperthyroidism, was associated with a higher rate of all-cause (HR 2.553, 95% CI 1.093–5.964, p = 0.030) and cardiac mortality (HR 2.594, 95% CI 1.026–6.559, p = 0.034), compared with the euthyroidism group. Conclusions: Mild thyroid dysfunction was frequent in patients with ACS undergoing PCI. Low T3 syndrome was the predominant feature and was associated with 12-month adverse outcomes in these patients

A method for analyzing censored survival phenotype with gene expression data

<p>Abstract</p> <p>Background</p> <p>Survival time is an important clinical trait for many disease studies. Previous works have shown certain relationship between patients' gene expression profiles and survival time. However, due to the censoring effects of survival time and the high dimensionality of gene expression data, effective and unbiased selection of a gene expression signature to predict survival probabilities requires further study.</p> <p>Method</p> <p>We propose a method for an integrated study of survival time and gene expression. This method can be summarized as a two-step procedure: in the first step, a moderate number of genes are pre-selected using correlation or liquid association (LA). Imputation and transformation methods are employed for the correlation/LA calculation. In the second step, the dimension of the predictors is further reduced using the modified sliced inverse regression for censored data (censorSIR).</p> <p>Results</p> <p>The new method is tested via both simulated and real data. For the real data application, we employed a set of 295 breast cancer patients and found a linear combination of 22 gene expression profiles that are significantly correlated with patients' survival rate.</p> <p>Conclusion</p> <p>By an appropriate combination of feature selection and dimension reduction, we find a method of identifying gene expression signatures which is effective for survival prediction.</p

Determinants of village doctors’ job satisfaction under China’s health sector reform: a cross-sectional mixed methods study

Background: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors’ job satisfaction under the context of health sector reform and investigate the associated factors. Methods: Data was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models. Qualitative data was collected through face-to-face semi-structured interviews on both village doctors and health managers. Theoretical coding was then conducted to analyze qualitative data. Results: Among the 1221 respondents, 48.6% felt satisfied with their job. Older village doctors with less of a workload and under high-level integrated management were more likely to feel satisfied with their job. Village doctors who earned the top level of monthly income felt more satisfied, while on the county level, those who lived in counties with the highest GDP felt less satisfied. However, enrollment in a pension plan showed no significant difference in regards to village doctors’ job satisfaction. Among 34 participants of qualitative interviews, most believed that age, income, and integrated management had a positive influence on the job satisfaction, while pension plan and basic public health care policies exhibited negative effects. Also, the increasing in availability of healthcare and health resources along with local economic development had negative effects on village doctors’ job satisfaction. Conclusion: Village doctors’ job satisfaction was quite low in regards to several determinants including age, income, workload, enrollment in a pension plan, integrated management, and county economic and medical availability development

The effects of nano-silver loaded zirconium phosphate on antibacterial properties, mechanical properties and biosafety of room temperature curing PMMA materials

Polymethyl methacrylate (PMMA) frequently features in dental restorative materials due to its favorable properties. However, its surface exhibits a propensity for bacterial colonization, and the material can fracture under masticatory pressure. This study incorporated commercially available RHA-1F-II nano-silver loaded zirconium phosphate (Ag-ZrP) into room-temperature cured PMMA at varying mass fractions. Various methods were employed to characterize Ag-ZrP. Subsequently, an examination of the effects of Ag-ZrP on the antimicrobial properties, biosafety, and mechanical properties of PMMA materials was conducted. The results indicated that the antibacterial rate against Streptococcus mutans was enhanced at Ag-ZrP additions of 0%wt, 0.5%wt, 1.0%wt, 1.5%wt, 2.0%wt, 2.5%wt, and 3.0%wt, achieving respective rates of 53.53%, 67.08%, 83.23%, 93.38%, 95.85%, and 98.00%. Similarly, the antibacterial rate against Escherichia coli registered at 31.62%, 50.14%, 64.00%, 75.09%, 86.30%, 92.98%. When Ag-ZrP was introduced at amounts ranging from 1.0% to 1.5%, PMMA materials exhibited peak mechanical properties. However, mechanical strength diminished beyond additions of 2.5%wt to 3.0%wt, relative to the 0%wt group, while PMMA demonstrated no notable cytotoxicity below a 3.0%wt dosage. Thus, it is inferred that optimal antimicrobial and mechanical properties of PMMA materials are achieved with nano-Ag-ZrP (RHA-1F-II) additions of 1.5%wt to 2.0%wt, without eliciting cytotoxicity

Silicon Fertilizer Application Promotes Phytolith Accumulation in Rice Plants

In this study, a pot experiment was designed to elucidate the effect of varying dosages of silicon (Si) fertilizer application in Si-deficient and enriched paddy soils on rice phytolith and carbon (C) bio-sequestration within phytoliths (PhytOC). The maximum Si fertilizer dosage treatment (XG3) in the Si-deficit paddy soil resulted in an increase in the rice phytolith content by 100.77% in the stem, 29.46% in the sheath and 36.84% in the leaf compared to treatment without Si fertilizer treatment (CK). However, the maximum Si fertilizer dosage treatment (WG3) in the Si -enriched soil increased the rice phytolith content by only 32.83% in the stem, 27.01% in the sheath and 32.06% in the leaf. Overall, Si fertilizer application significantly (p &lt; 0.05) increased the content of the rice phytoliths in the stem, leaf and sheath in both the Si-deficient and enriched paddy soils, and the statistical results showed a positive correlation between the amount of Si fertilizer applied and the rice phytolith content, with correlation coefficients of 0.998 (p &lt; 0.01) in the Si-deficient soil and 0.952 (p &lt; 0.05) in the Si-enriched soil. In addition, the existence of phytoliths in the stem, leaf, and sheath of rice and its content in the Si-enriched soil were markedly higher than that in the Si-deficient soil. Therefore, Si fertilizer application helped to improve the phytolith content of the rice plant

Mode conversion enables optical pulling force in photonic crystal waveguides

We propose a robust scheme to achieve optical pulling force using the guiding modes supported in a hollow core double-mode photonic crystal waveguide instead of the structured optical beams in free space investigated earlier. The waveguide under consideration supports both the 0th order mode with a larger forward momentum and the 1st order mode with a smaller forward momentum. When the 1st order mode is launched, the scattering by the object inside the waveguide results in the conversion from the 1st order mode to the 0th order mode, thus creating the optical pulling force according to the conservation of linear momentum. We present the quantitative agreement between the results derived from the mode conversion analysis and those from rigorous simulation using the finite-difference in the time-domain numerical method. Importantly, the optical pulling scheme presented here is robust and broadband with naturally occurred lateral equilibriums and has a long manipulation range. Flexibilities of the current configuration make it valuable for the optical force tailoring and optical manipulation operation, especially in microfluidic channel systems

Air-soil diffusive exchange of PAHs in an urban park of Shanghai based on polyethylene passive sampling: Vertical distribution, vegetation influence and diffusive flux

Compared with dry and wet deposition rates, air-soil exchange fluxes cannot be directly measured experimentally. Polyethylene passive sampling was applied to assess transport directions and to measure concentration gradients in order to calculate diffusive fluxes of polycyclic aromatic hydrocarbons (PAHs) across the air-soil interface in an urban park of Shanghai, China. Seven campaigns with high spatial resolution sampling at 18 heights between 0 and 200 cm above the ground were conducted in 2017–2018. Air-to-soil deposition was observed, e.g. for phenanthrene, and soil-to-air volatilization for high molecular weight compounds, such as benzo[b]fluoranthene. Significant linear correlations between gaseous PAH concentration and log-transformed height were observed. Influence of vegetation on vertical concentration gradients of gaseous PAHs was insignificant in most cases except during the growing season. Local micrometeorological conditions resulted in a directional eddy diffusion in air and then influenced vertical diffusion of gaseous PAHs. Furthermore, the vertical eddy diffusivity was estimated as a function of distance to the air-soil surface. Air-soil exchange fluxes based on the Mackay\u27s fugacity approach were calculated and confirmed by diffusive fluxes within air layer based on vertical concentration gradient of PAHs and eddy/molecular diffusion. Polyethylene passive sampling technology provides a useful tool to investigate air-soil exchange process

Treatment with organic manure inoculated with a biocontrol agent induces soil bacterial communities to inhibit tomato Fusarium wilt disease

IntroductionOrganic manure, plant growth-promoting microorganisms, and biocontrol agents are widely used to sustainably control soil-borne diseases. However, how and whether organic manure inoculated with biocontrol agents alters soil microbiota and reduces disease severity is poorly understood.MethodsHere, we examined changes to the soil microbial community, soil properties, and incidence of Fusarium wilt disease in response to several fertilization regimes. Specifically, we studied the effects of inorganic chemical fertilization (CF), organic manure fertilization (OF), and Erythrobacter sp. YH-07-inoculated organic manure fertilization (BF) on the incidence of Fusarium wilt in tomato across three seasons.ResultsBF-treated soils showed increased microbial abundance, richness, and diversity compared to other treatments, and this trend was stable across seasons. BF-treated soils also exhibited a significantly altered microbial community composition, including increased abundances of Bacillus, Altererythrobacter, Cryptococcus, and Saprospiraceae, and decreased abundances of Chryseolinea and Fusarium. Importantly, BF treatment significantly suppressed the incidence of Fusarium wilt in tomato, likely due to direct suppression by Erythrobacter sp. YH-07 and indirect suppression through changes to the microbial community composition and soil properties.DiscussionTaken together, these results suggest that Erythrobacter sp. YH-07-inoculated organic manure is a stable and sustainable soil amendment for the suppression of Fusarium wilt diseases

Functional conductive nanomaterials via polymerisation in nano-channels: PEDOT in a MOF.

Reactions inside the pores of metal-organic frameworks (MOFs) offer potential for controlling polymer structures with regularity to sub-nanometre scales. We report a wet-chemistry route to poly-3,4-ethylenedioxythiophene (PEDOT)-MOF composites. After a two-step removal of the MOF template we obtain unique and stable macroscale structures of this conductive polymer with some nanoscale regularity.The project is funded through the European Research Council (ERC) grant (grant number: EMATTER 280078). AKC thanks the Ras Al Khaimah Center for Advanced Materials (RAK-CAM). JDWM and MF acknowledge funding through a Discovery Grant from The Natural Sciences and Engineering Research Council of Canada (NSERC). TW thanks the China Scholarship Council (CSC) for funding and the Engineering and Physical Sciences Research Council of the UK (EPSRC) Centre for Doctoral Training in Sensor Technologies and Applications (grant number: EP/L015889/1) for support. SH acknowledges the Alexander von Humboldt Foundation for funding. SS is funded through a scholarship from the Cambridge Overseas Trust. JSB thanks the Isaac Newton Trust for financial support for the FEI Tecnait TEM. The authors would also like to show the gratitude to Phenom-World for the use of the Phenom Pro X SEM and Dr Suman-Lata Sahonta for the help with Raman spectroscopy.This is the final version of the article. It first appeared from the Royal Society of Chemistry at http://dx.doi.org/10.1039/c6mh00230g

Energy storage for black start services : a review

With the increasing deployment of renewable energy-based power generation plants, the power system is becoming increasingly vulnerable due to the intermittent nature of renewable energy, and a blackout can be the worst scenario. The current auxiliary generators must be upgraded to energy sources with substantially high power and storage capacity, a short response time, good profitability, and minimal environmental concern. Difficulties in the power restoration of renewable energy generators should also be addressed. The different energy storage methods can store and release electrical/thermal/mechanical energy and provide flexibility and stability to the power system. Herein, a review of the use of energy storage methods for black start services is provided, for which little has been discussed in the literature. First, the challenges that impede a stable, environmentally friendly, and cost-effective energy storage-based black start are identified. The energy storage-based black start service may lack supply resilience. Second, the typical energy storage-based black start service, including explanations on its steps and configurations, is introduced. Black start services with different energy storage technologies, including electrochemical, thermal, and electromechanical resources, are compared. Results suggest that hybridization of energy storage technologies should be developed, which mitigates the disadvantages of individual energy storage methods, considering the deployment of energy storage-based black start services