Associations of traditional cardiovascular risk factors with 15-year blood pressure change and trajectories in Chinese adults: a prospective cohort study

Objective: How traditional cardiovascular disease (CVD) risk factors are related to long-term blood pressure change (BPC) or trajectories remain unclear. We aimed to examine the independent associations of these factors with 15-year BPC and trajectories in Chinese adults. Methods: We included 15 985 participants who had attended three surveys, including 2004–2008 baseline survey, and 2013–2014 and 2020–2021 resurveys, over 15 years in the China Kadoorie Biobank (CKB). We measured systolic and diastolic blood pressure (SBP and DBP), height, weight, and waist circumference (WC). We asked about the sociodemographic characteristics and lifestyle factors, including smoking, alcohol drinking, intake of fresh vegetables, fruits, and red meat, and physical activity, using a structured questionnaire. We calculated standard deviation (SD), cumulative blood pressure (cumBP), coefficient of variation (CV), and average real variability (ARV) as long-term BPC proxies. We identified blood pressure trajectories using the latent class growth model. Results: Most baseline sociodemographic and lifestyle characteristics were associated with cumBP. After adjusting for other characteristics, the cumSBP (mmHg × year) increased by 116.9 [95% confidence interval (CI): 111.0, 122.7] for every 10 years of age. The differences of cumSBP in heavy drinkers of ≥60 g pure alcohol per day and former drinkers were 86.7 (60.7, 112.6) and 48.9 (23.1, 74.8) compared with less than weekly drinkers. The cumSBP in participants who ate red meat less than weekly was 29.4 (12.0, 46.8) higher than those who ate red meat daily. The corresponding differences of cumSBP were 127.8 (120.7, 134.9) and 70.2 (65.0, 75.3) for BMI per 5 kg/m2 and WC per 10 cm. Most of the findings of other BPC measures by baseline characteristics were similar to the cumBP, but the differences between groups were somewhat weaker. Alcohol drinking was associated with several high-risk trajectories of SBP and DBP. Both BMI and WC were independently associated with all high-risk blood pressure trajectories. Conclusions: Several traditional CVD risk factors were associated with unfavorable long-term BPC or blood pressure trajectories in Chinese adults

Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants

Background: Movement behaviours, including physical activity, sedentary behaviour, and sleep have been shown to be associated with several chronic diseases. However, they have not been objectively measured in large-scale prospective cohort studies in low-and middle-income countries. We aim to describe the patterns of device-measured movement behaviours collected in the China Kadoorie Biobank (CKB) study. Methods: During 2020 and 2021, a random subset of 25,087 surviving CKB individuals participated in the 3rd resurvey of the CKB. Among them, 22,511 (89.7%) agreed to wear an Axivity AX3 wrist-worn triaxial accelerometer for seven consecutive days to assess their habitual movement behaviours. We developed a machine-learning model to infer time spent in four movement behaviours [i.e. sleep, sedentary behaviour, light intensity physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)]. Descriptive analyses were performed for wear-time compliance and patterns of movement behaviours by different participant characteristics. Results: Data from 21,897 participants (aged 65.4 ± 9.1 years; 35.4% men) were received for demographic and wear-time analysis, with a median wear-time of 6.9 days (IQR: 6.1–7.0). Among them, 20,370 eligible participants were included in movement behavior analyses. On average, they had 31.1 mg/day (total acceleration) overall activity level, accumulated 7.7 h/day (32.3%) of sleep time, 8.8 h/day (36.6%) sedentary, 5.7 h/day (23.9%) in light physical activity, and 104.4 min/day (7.2%) in moderate-to-vigorous physical activity. There was an inverse relationship between age and overall acceleration with an observed decline of 5.4 mg/day (17.4%) per additional decade. Women showed a higher activity level than men (32.3 vs 28.8 mg/day) and there was a marked geographical disparity in the overall activity level and time allocation. Conclusions: This is the first large-scale accelerometer data collected among Chinese adults, which provides rich and comprehensive information about device-measured movement behaviour patterns. This resource will enhance our knowledge about the potential relevance of different movement behaviours for chronic disease in Chinese adults

Transcriptomic analysis reveals the functions of H2S as a gasotransmitter independently of Cys in Arabidopsis

Numerous studies have revealed the gasotransmitter functions of hydrogen sulfide (H2S) in various biological processes. However, the involvement of H2S in sulfur metabolism and/or Cys synthesis makes its role as a signaling molecule ambiguous. The generation of endogenous H2S in plants is closely related to the metabolism of Cys, which play roles in a variety of signaling pathway occurring in various cellular processes. Here, we found that exogenous H2S fumigation and Cys treatment modulated the production rate and content of endogenous H2S and Cys to various degrees. Furthermore, we provided comprehensive transcriptomic analysis to support the gasotransmitter role of H2S besides as a substrate for Cys synthesis. Comparison of the differentially expressed genes (DEGs) between H2S and Cys treated seedlings indicated that H2S fumigation and Cys treatment caused different influences on gene profiles during seedlings development. A total of 261 genes were identified to respond to H2S fumigation, among which 72 genes were co-regulated by Cys treatment. GO and KEGG enrichment analysis of the 189 genes, H2S but not Cys regulated DEGs, indicated that these genes mainly involved in plant hormone signal transduction, plant-pathogen interaction, phenylpropanoid biosynthesis, and MAPK signaling pathway. Most of these genes encoded proteins having DNA binding and transcription factor activities that play roles in a variety of plant developmental and environmental responses. Many stress-responsive genes and some Ca2+ signal associated genes were also included. Consequently, H2S regulated gene expression through its role as a gasotransmitter, rather than just as a substrate for Cys biogenesis, and these 189 genes were far more likely to function in H2S signal transduction independently of Cys. Our data will provide insights for revealing and enriching H2S signaling networks

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Determination of the oxygen removal limits from Ti and Ti-6Al-4V by the hydrogen-assisted Mg deoxygenation method

Deoxygenation is in high demand in the titanium industry. This research was carried out to experimentally determine the oxygen removal limits by the novel hydrogen-assisted Mg deoxygenation method. Spherical Ti and Ti-6Al-4V (or TC4, Ti64) powders with around 2.2 wt% oxygen were prepared for the deoxygenation research. The deoxygenation kinetics were modeled based on a non-steady-state radial diffusion. There-sults show that in the beta phase region, the time to reach the equilibrium is slightly affected by the initial oxygen content in titanium, but is strongly influenced by the particle size. The reliance of the equilibrium duration on the diffusion coefficient is stronger when the particle size is larger. Guided by the kinetic prediction, deoxygenation experiments were carried out. Under a 1 atm pure H2 atmosphere, the deoxygenation limits by Mg for pure Ti are 252 ppm at 700 & DEG;C, 289 ppm at 750 & DEG;C, and 554 ppm at 800 & DEG;C, and for TC4 are 296 ppm at 750 & DEG;C, 371 ppm at 800 & DEG;C, and 743 ppm at 850 & DEG;C, consistent with the thermodynamics that a lower temperature possesses a more potent driving force for deoxygenation. These data have clearly demonstrated the strong deoxygenation capability of the hydrogen-assisted Mg deoxygenation method.(C) 2022 Elsevier B.V. All rights reserved

Study on Photocatalytic Performance of Ag/TiO2 Modified Cement Mortar

In this paper, Ag-TiO2 photocatalysts with different Ag contents (1 mol%–5 mol%) were prepared and applied to cement mortar. The photocatalytic performance of Ag-TiO2 and photocatalytic cement mortar under UV light and simulated solar light was evaluated. The results showed that Ag loading on the surface of TiO2 could reduce its band gap width and increase its absorbance in the visible region, and 2% Ag-TiO2 had the highest photocatalytic activity under UV light, the degradation rate of methyl orange (MO) was 95.5% at 30 min, and the first-order reaction constant k was 0.0980 min−1, which was 61.7% higher than that of TiO2, and 5% Ag-TiO2 had the highest photocatalytic activity under solar light, the degradation rate of methylene blue (MB) was 69.8% at 40 min, and the first-order reaction constant k was 0.0294 min−1, which was 90.9% higher than that of TiO2. The photocatalytic mortar prepared by the spraying method has high photocatalytic performance, The MO degradation rate of sample S2 under UV light was 87.5% after 120 min, MB degradation rate of sample S5 under solar light was 75.4% after 120 min. The photocatalytic reaction conforms to the zero-order reaction kinetics, which was 1.5 times–3.3 times higher than that of the mixed samples and has no effect on the mechanical properties of mortar

Determination of the oxygen removal limits from Ti and Ti-6Al-4V by the hydrogen-assisted Mg deoxygenation method

Deoxygenation is in high demand in the titanium industry. This research was carried out to experimentally determine the oxygen removal limits by the novel hydrogen-assisted Mg deoxygenation method. Spherical Ti and Ti-6Al-4V (or TC4, Ti64) powders with around 2.2 wt% oxygen were prepared for the deoxygenation research. The deoxygenation kinetics were modeled based on a non-steady-state radial diffusion. There-sults show that in the beta phase region, the time to reach the equilibrium is slightly affected by the initial oxygen content in titanium, but is strongly influenced by the particle size. The reliance of the equilibrium duration on the diffusion coefficient is stronger when the particle size is larger. Guided by the kinetic prediction, deoxygenation experiments were carried out. Under a 1 atm pure H2 atmosphere, the deoxygenation limits by Mg for pure Ti are 252 ppm at 700 & DEG;C, 289 ppm at 750 & DEG;C, and 554 ppm at 800 & DEG;C, and for TC4 are 296 ppm at 750 & DEG;C, 371 ppm at 800 & DEG;C, and 743 ppm at 850 & DEG;C, consistent with the thermodynamics that a lower temperature possesses a more potent driving force for deoxygenation. These data have clearly demonstrated the strong deoxygenation capability of the hydrogen-assisted Mg deoxygenation method.(C) 2022 Elsevier B.V. All rights reserved