Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial

Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049

A Novel Chinese Dialect TTS Frontend with Non-Autoregressive Neural Machine Translation

Chinese dialect text-to-speech(TTS) system usually can only be utilized by native linguists, because the written form of Chinese dialects has different characters, idioms, grammar and usage from Mandarin, and even the local speaker cannot input a correct sentence. For Mandarin text inputs, Chinese dialect TTS can only generate partly-meaningful speech with relatively poor prosody and naturalness. To lower the bar of use and make it more practical in commercial, we propose a novel Chinese dialect TTS frontend with a translation module. It helps to convert Mandarin text into idiomatic expressions with correct orthography and grammar, so that the intelligibility and naturalness of the synthesized speech can be improved. A non-autoregressive neural machine translation model with a glancing sampling strategy is proposed for the translation task. It is the first known work to incorporate translation with TTS frontend. Our experiments on Cantonese approve that the proposed frontend can help Cantonese TTS system achieve a 0.27 improvement in MOS with Mandarin inputs.Comment: 5 pages,5 figure

The anammox process at typical feast-famine states : reactor performance, sludge activity and microbial community

Anaerobic ammonium oxidation (Anammox) is a chemolithotrophic bioprocess which has been widely applied in the treatment of different concentrations of ammonium-containing wastewaters. However, there is less attention on the problem that the instantaneous growth rate (or metabolic rate) and equilibrium growth rate were un-synchronous for anammox bacteria due to their long generation time and self-immobilization of the granular sludge which could lead to the inaccurate estimation. In this study, the anammox process was firstly divided to four typical feast-famine (starvation, satiation, tolerance and poison) states based on the combination of both off-site and in-situ anammox reaction kinetics. Then, four respective lab-scale bioreactors were operated at each state for over a year to achieve stable anammox performance. The results showed that the nitrogen removal rates of bioreactors were 0.53, 2.24, 9.30 and 12.96 kg N/(m³·d); and the specific anammox activities of granular sludge were 188.94 (48%), 313.29 (79%), 397.50 (100%) and 198.60 (50%) mg N/(g VSS·d) which could reflect the reactivity of each feast-famine state. The stable microbial communities of bioreactors were cultured and analyzed, whose species diversity went down with the decrease of Shannon and ACE index. The relative abundance of anammox bacteria increased from 11% to 57% from starvation to poison state. Candidatus Brocadia/Nitrospira, Candidatus Kuenenia and Brocadiaceae unclassified were revealed to be the distinctive functional bacteria, which could serve as the indicator of each state. The setting up of the typical feast-famine states could be regarded as the landmark to help the design, control and optimization of anammox process.This research was financially supported by the National Natural Science Foundation of China (51578484 and 51778563) and Research Funds for Central Universities (2017xzzx010-03). Major Scientific and Technological Specialized Project of Zhejiang Province (2015C03013) and Key Research and Development program of Zhejiang Province (2018C03031) were also gratefully thanked

Biogas slurry application alters soil properties, reshapes the soil microbial community, and alleviates root rot of Panax notoginseng

Background Panax notoginseng is an important herbal medicine in China, where this crop is cultivated by replanting of seedlings. Root rot disease threatens the sustainability of P. notoginseng cultivation. Water flooding (WF) is widely used to control numerous soilborne diseases, and biogas slurry shows positive effects on the soil physiochemical properties and microbial community structure and has the potential to suppress soilborne pathogens. Hence, biogas slurry flooding (BSF) may be an effective approach for alleviating root rot disease of P. notoginseng; however, the underlying mechanism needs to be elucidated. Methods In this study, we conducted a microcosm experiment to determine if BSF can reduce the abundance of pathogens in soil and, alleviate root rot of P. notoginseng. Microcosms, containing soil collected from a patch of P. notoginseng showing symptoms of root rot disease, were subjected to WF or BSF at two concentrations for two durations (15 and 30 days), after which the changes in their physicochemical properties were investigated. Culturable microorganisms and the root rot ratio were also estimated. We next compared changes in the microbial community structure of soils under BSF with changes in WF and untreated soils through high-throughput sequencing of bacterial 16S rRNA (16S) and fungal internal transcribed spacer (ITS) genes amplicon. Results WF treatment did not obviously change the soil microbiota. In contrast, BSF treatment significantly altered the physicochemical properties and reshaped the bacterial and fungal communities, reduced the relative abundance of potential fungal pathogens (Fusarium, Cylindrocarpon, Alternaria, and Phoma), and suppressed culturable fungi and Fusarium. The changes in the microbial community structure corresponded to decreased root rot ratios. The mechanisms of fungal pathogen suppression by BSF involved several factors, including inducing anaerobic/conductive conditions, altering the soil physicochemical properties, enriching the anaerobic and culturable bacteria, and increasing the phylogenetic relatedness of the bacterial community. Conclusions BSF application can reshape the soil microbial community, reduce the abundance of potential pathogens, and alleviate root rot in P. notoginseng. Thus, it is a promising practice for controlling root rot disease in P. notoginseng

Data from: Optimization and kinetic study of methyl laurate synthesis using ionic liquid [Hnmp]HSO4 as a catalyst

Methyl laurate was synthesized from lauric acid (LA) and methanol via an esterification reaction using ionic liquids (ILs) as catalysts. The efficiencies of three different catalysts, 1-methylimidazole hydrogen sulfate ([Hmim]HSO4), 1-methyl-2-pyrrolidonium hydrogen sulfate ([Hnmp]HSO4) and H2SO4, were compared. The effect of the methanol/LA molar ratio, reaction temperature, reaction time and catalyst dosage on the esterification rate of LA was investigated by single-factor experiments. Based on the single-factor experiments, the esterification of LA and methanol was optimized using response surface methodology. The results showed that the most effective catalyst was the IL [Hnmp]HSO4. The optimal conditions were as follows: [Hnmp]HSO4 dosage of 5.23%, methanol/LA molar ratio of 7.68 : 1, reaction time of 2.27 h and reaction temperature of 70°C. Under these conditions, the LA conversion of the esterification reached 98.58%. A kinetic study indicated that the esterification was a second-order reaction with an activation energy and a frequency factor of 68.45 kJ mol−1 and 1.9189 × 109 min−1, respectively. The catalytic activity of [Hnmp]HSO4 remained high after five cycles

Performance and Energy Utilization Efficiency of an Expanded Granular Sludge Bed Reactor in the Treatment of Cassava Alcohol Wastewater

In recent years, expanded granular sludge blanket (EGSB) reactor has been widely used in the treatment of high-concentration organic wastewater, but its research mainly focused on treatment efficiency and microbial community composition. There were few studies on the relationship of operation conditions and energy utilization efficiency. Therefore, the methanogenic characteristics and energy utilization efficiency of EGSB reactor were studied by using cassava alcohol wastewater (CAW) as a raw material at (36 ± 1) °C. The results show that the degradation of volatile fatty acids (VFAs) is an important step affecting methane generation compared to the hydrolysis stage. When organic load rate (OLR) was 12.73 gCOD/L·d, the chemical oxygen demand (COD) removal rate was above 95%, the methane production efficiency of raw material was 202.73 mLCH4/ gCOD·d, the four-stage conversion efficiency was the highest, and the energy utilization efficiency was 62.26%, which was the optimal stage for EGSB reactor to treat CAW. These findings support high-efficiency bioenergy recovery from CAW in practice and highlight the potential wide application of high-performance anaerobic reactors for CAW