Epidemiology of atrial fibrillation and risk of CVD mortality among hypertensive population: A prospective cohort study in Northeast China

BackgroundDetermining risk factors of cardiovascular disease (CVD)-related mortality and evaluating their influence are important for effectively reducing corresponding mortality. However, few research findings have estimated the relationship between atrial fibrillation (AF) and CVD-related mortality among hypertension individuals.ObjectiveThe objective of this study was to investigate the epidemiology of AF in a hypertension population and determine the relationship between AF and CVD-related mortality.MethodsUsing a multistage, stratified, and cluster random sampling method, the prospective cohort study with a median follow-up of 3.51 years enrolled 10,678 hypertensive participants at baseline. The prevalence, awareness, and anticoagulation data of AF in this focal population were carefully assessed. Stepwise logistic regression and Cox regression analysis were respectively performed to evaluate the determinants of AF and the association between AF and CVD-related mortality.ResultsThe overall prevalence of AF was 1.3% (95% CI, 1.1%−1.6%) in the hypertensive population, and it was higher in men than in women (1.8% vs. 1.0%, respectively; p=0.001). The awareness of AF was 53.1%, and the rate of oral anticoagulant (OAC) therapy was only 4.2%, although all AF participants should have required according to the European Society of Cardiology guidelines. The determinants of AF included elder, male, and history of coronary heart disease in the hypertensive population. Besides, compared with individuals without AF, the risk of CVD-related mortality significantly increased in the hypertensive population with AF (HR 3.37, 95% CI 2.10–5.40).ConclusionOur results indicated a huge burden of AF and underuse of OAC therapy for them in a community-based hypertensive population. Considering that most of the risk factors of AF were unmodifiable in hypertensive individuals, as well as its high risk of mortality, long-term interventions including AF education, timely screening, and widespread use of OACs should be emphasized in the focal populations

Mutual Inductance Identification and Bilateral Cooperation Control Strategy for MCR-BE System

Considering that the excitation method of an electric excitation synchronous motor has the disadvantages of the brush and slip ring, this article proposes a new brushless excitation system, which includes two parts: a wireless charging system and a motor. To meet the requirements of maximum transmission efficiency and constant voltage output of the system, a bilateral cooperation control strategy is proposed. For the strategy, the buck converter in the receiving side of the system can maintain maximum transmission efficiency through impedance matching, while the inverter in the transmitting side can keep the output voltage constant through phase shift modulation. In the control process, considering that the offset of coupling coils will affect the control results, a grey wolf optimization–particle swarm optimization algorithm is proposed to identify mutual inductance. Simulation and experimental results show that this identification algorithm can improve the identification accuracy and maximize the avoidance of falling into local optima. The final experimental result shows that the bilateral cooperation control strategy can maintain the output voltage around 48 V and the transmission efficiency around 84.5%, which meets the expected requirements

Metal cation-exchanged LTA zeolites for CO2/N2 and CO2/CH4 separation: The roles of gas-framework and gas-cation interactions

Selective CO2 adsorption for efficient carbon capture from flue gas (CO2/N2 - 15/85, v/v) and biogas (CO2/CH4 - 50/50, v/v) is important for achieving global energy and climate goals but remains a challenge due to the lack of effective adsorbents. To address this issue, we attempted to develop zeolite adsorbents by systematically investigating the effect of different extra-framework metal cations (i.e., Na+, Ca2+, Mn2+, and Ce3+-exchanged in LTA zeolites) on selective CO2 adsorption from CO2/N2 and CO2/CH4. Analyzing the isosteric heat of adsorption results showed that CO2 adsorption at moderate pressure (e.g., 15 and 50 kPa relevant to the compositions of flue gas and biogas, respectively) is governed by the gas-framework interaction. On the other hand, the adsorption of N2 and CH4 was found to be dominated by the gas-cation interaction. Therefore, we concluded that metal cations with a small charge-to-size ratio are beneficial for selective CO2 adsorption from flue gas and biogas because they tend to induce strong CO2-framework interaction (due to the enhanced charge induction to zeolite framework O) and weak N2 or CH4-cation interaction (due to the weakened gas-cation electrostatic interaction). Specifically, LTA zeolites in the form of Na+, with the smallest charge-to-size ratio of cation in this study, exhibit the highest CO2 uptake and separation factor of CO2/N2 and CO2/CH4, as demonstrated by both static single-component adsorption and dynamic binary adsorption results. In addition, the potential of metal cation-exchanged LTA zeolites for VSA and PSA processes was evaluated. Our study provides valuable insights for designing small-pore zeolites as adsorbents for carbon capture

The low-temperature NO2 removal by tailoring metal node in porphyrin-based metal-organic frameworks

Nitrogen dioxide (NO2) is the most toxic and prevalent form of nitrogen oxides (NOx) pollutant and its removal from ambient air is a pressing challenge. The state-of-the-art deNO(x) technologies such as selective catalytic reduction (SCR) can only work at elevated temperatures (>250-300 degrees C), but ineffective for the NOx removal under ambient conditions. The adsorptive removal of NO2 is an alternative approach to SCR, whose success depends on the design of stable adsorbents capable of selectively capturing NO2 with a highly reversible capacity. Here we synthesized and developed five porphyrin-based metal-organic frameworks (PMOFs) as robust ambient NO2 adsorbents, including three aluminum-based (Al-PMOF) isostructures, and two zirconium-based (ZrPMOFs) isostructures. Of them, Al-PMOF stands out to be the most promising candidate by showing the highest NO2 adsorption capacity (1.85 mmol/g), high stability, and good regenerability (retaining 87% capacity after five cycles of adsorption) at dry conditions. The NO2 adsorption capacity of Al-PMOF was approximately doubled (3.61 mmol/g) at wet conditions. In situ diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS) revealed the NO2 adsorption mechanism - the hydrogen bonding occurs between bridging hydroxyl (-OH) (attached to the metal node) and NO2 molecules. Our work demonstrates that PMOFs are promising NO2 adsorbents and will provide guidance for designing robust and reusable adsorbents for efficiently removing NO2 at ambient temperature. (C) 2021 Elsevier B.V. All rights reserved

Effects of Nitrogen Fertilizer Management on Stalk Lodging Resistance Traits in Summer Maize

Stalk lodging in Huang-Huai-Hai summer maize is a serious problem that reduces maize yields and precludes the use of mechanical grain harvesting equipment. In order to determine the effect of nitrogen management on the lodging resistance of maize stalk, three nitrogen application rates of 150, 250, and 350 kg ha−1 (denoted as N150, N250, and N350), and different nitrogen application periods (sowing, 6-leaf, 12-leaf, silking) were set. Plant morphology, stalk mechanical strength, total carbohydrate, nitrogen content, and yield were measured in the different treatments. The results showed that as the nitrogen application rate increased and nitrogen application was postponed, the stalk breaking force, plant height, ear height, center of gravity height, stalk basal internode diameter, rind penetration strength, content of carbohydrate, and total N of maize stalk also increased. The stalk lodging resistance was improved by the increased nitrogen application rate and postponed nitrogen application by increasing the stalk material accumulation and mechanical strength. The nitrogen application rates had no significant effect on grain yield. Under N250 and N350, the treatments with no base fertilizer significantly decreased the kernel number per ear, reflected in some in grain yield. In summary, under the conditions of integrated water and fertilizer drip irrigation and fractional nitrogen fertilizer applications, increased nitrogen fertilizer input can stimulate the growth of high-quality maize populations, significantly improve stalk lodging resistance in the early growth stage, delay stalk senescence, improve stalk strength and influence stalk composition in later growth stages. Based on the summer maize grain yield and stalk lodging resistance, under N250 treatment, a base fertilizer combined with topdressing at the 12-leaf and silking stages was beneficial to the growth of summer maize

Enhanced visible-light-driven heterogeneous photocatalytic CO2 methanation using a Cu2O@Cu-MOF-74 thin film

Cuprous oxide is a potential photocatalyst for the reduction of CO2. However, its high rate of charge recombination and low ability to adsorb CO2 limit its activity, particularly when gaseous CO2 was used. Herein, a Cu-based metal-organic framework (Cu-MOF-74) with high CO2 adsorption is coated onto Cu2O nanowires by a topotactic transformation method. The optimized Cu2O@Cu-MOF-74 composite thin film showed a CH4 evolution rate 4.5 times higher than that of bare Cu2O under visible light illumination (>420 nm), with water vapor as the electron donor. Analysis results of electrochemical impedance spectroscopy, transient photocurrent measurements, and fluorescence spectroscopy collectively suggest that the decoration of Cu2O with Cu-MOF-74 facilitates electron extraction from excited Cu2O, thereby inducing long-lived photocharges for the reduction of CO2. This study provides insights into the modification of transition metal oxides for application in photocatalysis by coating the surface with metal-organic frameworks

Effects of Nitrogen Fertilizer Management on Stalk Lodging Resistance Traits in Summer Maize

Stalk lodging in Huang-Huai-Hai summer maize is a serious problem that reduces maize yields and precludes the use of mechanical grain harvesting equipment. In order to determine the effect of nitrogen management on the lodging resistance of maize stalk, three nitrogen application rates of 150, 250, and 350 kg ha−1 (denoted as N150, N250, and N350), and different nitrogen application periods (sowing, 6-leaf, 12-leaf, silking) were set. Plant morphology, stalk mechanical strength, total carbohydrate, nitrogen content, and yield were measured in the different treatments. The results showed that as the nitrogen application rate increased and nitrogen application was postponed, the stalk breaking force, plant height, ear height, center of gravity height, stalk basal internode diameter, rind penetration strength, content of carbohydrate, and total N of maize stalk also increased. The stalk lodging resistance was improved by the increased nitrogen application rate and postponed nitrogen application by increasing the stalk material accumulation and mechanical strength. The nitrogen application rates had no significant effect on grain yield. Under N250 and N350, the treatments with no base fertilizer significantly decreased the kernel number per ear, reflected in some in grain yield. In summary, under the conditions of integrated water and fertilizer drip irrigation and fractional nitrogen fertilizer applications, increased nitrogen fertilizer input can stimulate the growth of high-quality maize populations, significantly improve stalk lodging resistance in the early growth stage, delay stalk senescence, improve stalk strength and influence stalk composition in later growth stages. Based on the summer maize grain yield and stalk lodging resistance, under N250 treatment, a base fertilizer combined with topdressing at the 12-leaf and silking stages was beneficial to the growth of summer maize

A2aR inhibits fibrosis and the EMT process in silicosis by regulating Wnt/β-catenin pathway

Silicosis, a disease characterized by diffuse fibrosis of the lung tissue, is caused by long-term inhalation of free silica (SiO2) dust in the occupational environment and is currently the most serious occupational diseases of pneumoconiosis. Several studies have suggested that alveolar type Ⅱ epithelial cells (AEC Ⅱ) undergo epithelial-mesenchymal transition (EMT) as one of the crucial components of silicosis in lung fibroblasts. A2aR can play a critical regulatory role in fibrosis-related diseases by modulating the Wnt/β-catenin pathway, but its function in the EMT process of silicosis has not been explained. In this study, an EMT model of A549 cells was established. The results revealed that A2aR expression is reduced in the EMT model. Furthermore, activation of A2aR or suppression of the Wnt/β-catenin pathway reversed the EMT process, while the opposite result was obtained by inhibiting A2aR. In addition, activation of A2aR in a mouse silicosis model inhibited the Wnt/β-catenin pathway and ameliorated the extent of silica-induced lung fibrosis in mice. To sum up, we uncovered that A2aR inhibits fibrosis and the EMT process in silicosis by regulating the Wnt/β-catenin pathway. Our study can provide an experimental basis for elucidating the role of A2aR in the development of silicosis and offer new ideas for further exploration of interventions for silicosis

Prevalence of prediabetes and risk of CVD mortality in individuals with prediabetes alone or plus hypertension in Northeast China: insight from a population based cohort study

Abstract Background To evaluate the current prevalence of prediabetes in northeast China, and further determine the association between prediabetes alone or coexistent with hypertension and cardiovascular disease (CVD) mortality. Methods In the prospective study, 15,557 participants without diabetes among aged ≥40 years in northeast China, were followed for a median of 5.5 years. Following the American Diabetes Association, prediabetes was defined as fasting plasma glucose (FPG) range of 5.6-6.9 mmol/L or glycated hemoglobin (HbA1c) range of 5.7-6.4% in people without diabetes. Results The prevalence of prediabetes was 44.3% among population aged ≥40 years in northeast China. Prediabetes alone did not promote risk of CVD mortality. However, when the subgroups were stratified by hypertension, the CVD mortality risk in prediabetes plus hypertension subjects increased significantly compared with population without prediabetes and hypertension. Multivariate-adjusted hazard ratios for CVD mortality in prediabetes subgroups plus hypertension were 2.28 (95% CI: 1.50, 3.47) for those diagnosed by FPG < 5.6 mmol/L & HbA1c 5.7-6.4%, 2.18 (95% CI: 1.53, 3.10) for those diagnosed by FPG 5.6-6.0 mmol/L & HbA1c < 6.5% and 2.35 (95% CI: 1.65, 3.35) for those diagnosed by FPG 6.1-6.9 & HbA1c < 6.5% compared with the reference group. Moreover, the percentage of hypertension in prediabetes subjects was high (60.4%), but the awareness, treatment and control rates were far from satisfactory (45.3, 35.1 and 4.8%, respectively). Conclusions The prevalence of prediabetes remains high in northeast China, and the CVD mortality was elevated significantly in prediabetes coexistent with hypertension. Considering the high percentage and low control rate of hypertension in prediabetes, strategies focused on HbA1c screening, FPG lowering and blood pressure management should be emphasized in northeast China