护士协作的心力衰竭患者居家心脏康复的范围综述

目的旨在对护士协作的心力衰竭患者居家心脏康复的相关研究进行综述。方法遵循Arksey和O'Malley提出的范围综述框架,系统检索PubMed、Embase、Web of Science、EBSCO、中国生物医学文献服务系统(SinoMed)、中国知网、万方数据库和维普数据库,以及中国临床试验注册中心。检索时限为建库至2023年4月30日。护士协作的心力衰竭患者居家心脏康复的相关研究被纳入。结果共纳入18篇文献。护士在心力衰竭患者居家心脏康复项目中的主要工作内容包含患者评估康复计划、指导及随访。护士协作的心力衰竭患者居家心脏康复具有安全性、可接受性和较好临床价值。结论护士协作的居家心脏康复对心力衰竭患者来说是有益的。未来研究可进一步探索护士在康复领域中的潜能,确定最佳的评估标准,为心力衰竭患者制订安全、有效和经济的居家心脏康复计划。

Future research needs for environmental science in China

Environmental science is an interdisciplinary science developed in the process of understanding and solving ecolog-ical and environmental problems.In order to tackle these problems,environmental science research is expected to reveal the source,behavior,fate,exposure,and risks of pollutants in the environment and develop potential solutions to control pollution.It provides the scientific basis for decision-makers to establish environmental and economic poli-cies,and promote concerted efforts for the sustainable development of society.Here,we articulate the development patterns,challenges,and future research needs of environmental science in China based on literature review and expert panel discussion.Environmental science research has evolved significantly in the past decade with an increas-ing diversity of environmental pollutants and health impacts,new technologies and methods,deepening fusion of multiple disciplines,and emerging solutions for pollution control.Its future development relies on the advances in our knowledge on the fate and transport of pollutants,regional environmental processes,ecotoxicological effects,environmental exposure and health effects,environmental analysis and monitoring,source control and reduction,environmental remediation,as well as environmental risk management.For each of these fields,we summarize the significant challenges and highlight the research demands for China.Based on the status quo of China’s environmen-tal science research and future needs,we provide recommendations to promote its future development,including encouraging innovation and interdisciplinary research,providing decision support for national needs,encouraging international collaboration,and improving collaboration mechanisms.

Joint effects of Penta-BDE and heavy metals on Daphnia magna survival,its antioxidant enzyme activities and lipid peroxidation

The joint toxicity of Penta-BDE(Pe-BDE)and heavy metals including cadmium and copper on Daphnia magna(D.magna)was evaluated on the basis of determining the 48 h survival,antioxidative enzyme responses,and lipid peroxidation.The response was classified as additive,greater than additive,or less than additive by comparing the measured“toxic units,TU”with one.Based on the survival of D.magna,less-than-additive interactions were found in most of mixtures treatments.This may be attributed to the different toxicity mechanism between Pe-BDE and metals.Cu and Cd played a greater role in toxicity than what Pe-BDE did.As for the superoxide dismutase(SOD)and catalase(CAT)activity,most response was less than additive.For the glutathione S-transferases(GST)activity,most of the greater-thanadditive responses were found in the Cu plus Pe-BDE treatments,but the additive responses occurred in Cd plus Pe-BDE treatments and binary metal treatments.For lipid peroxide levels,which were measured as malondialdehyde(MDA)levels,less-than-additive response occurred in the 50%Cd plus 50%Cu and ternary mixture treatments.Results suggested that Pe-BDE,Cd,and Cu could induce different patterns of antioxidant enzyme responses,such as antioxidant/prooxidant responses,depending on their capability to produce reactive oxygen species and antioxidant enzymes to detoxify them.

Adsorptive removal of hydrophobic organic compounds by carbonaceous adsorbents:A comparative study of waste-polymer-based,coal-based activated carbon,and carbon nanotubes

Adsorption of the hydrophobic organic compounds （HOCs） trichloroethylene （TCE）, 1,3-dichlorobenzene （DCB）, 1,3-dirdtrobenzene （DNB） and y-hexachlorocyclohexane （HCH） on five different carbonaceous materials was compared. The adsorbents included three polymer-based activated carbons, one coal-based activated carbon （F400） and multiwalled carbon nanotubes （MWNT）. The polymer- based activated carbons were prepared using KOH activation from waste polymers： polyvinyl chloride （PVC）, polyethyleneterephthalate （PET） and tire rubber （TR）. Compared with F400 and MWNT, activated carbons derived from PVC and PET exhibited fast adsorption kinetics and high adsorption capacity toward the HOCs, attributed to their extremely large hydrophobic surface area （2700 m2/g） and highly mesoporous structures. Adsorption of small-sized TCE was stronger on the tire-rubber-based carbon and F400 resulting from the pore-filling effect. In contrast, due to the molecular sieving effect, their adsorption on HCH was lower. MWNT exhibited the lowest adsorption capacity toward HOCs because of its low surface area and characteristic of aggregating in aqueous solution.

Comparative sorption and desorption behaviors of PFHx S and PFOS on sequentially extracted humic substances

The sorption and desorption behaviors of two perfluoroalkane sulfonates（PFSAs）, including perfluorohexane sulfonate（PFHx S） and perfluorooctane sulfonate（PFOS） on two humic acids（HAs） and humin（HM）, which were extracted from a peat soil, were investigated. The sorption kinetics and isotherms showed that the sorption of PFOS on the humic substances（HSs） was much higher than PFHx S. For the same PFSA compound, the sorption on HSs followed the order of HM 〉 HA2 〉 HA1. These suggest that hydrophobic interaction plays a key role in the sorption of PFSAs on HSs. The sorption capacities of PFSAs on HSs were significantly related to their aliphaticity, but negatively correlated to aromatic carbons,indicating the importance of aliphatic groups in the sorption of PFSAs. Compared to PFOS,PFHx S displayed distinct desorption hysteresis, probably due to irreversible pore deformation after sorption of PFHx S. The sorption of the two PFSAs on HSs decreased with an increase in p H in the solution. This is ascribed to the electrostatic interaction and hydrogen bonding at lower p H. Hydrophobic interaction might also be stronger at lower p H due to the aggregation of HSs.

Glass fiber supported BiOI thin-film fixed-bed photocatalytic reactor for water decontamination under solar light irradiation

BiOI powder has been proved to be an efficient photocatalyst, but the difficulty in removing it from water after reaction limits its application in real water treatment. To solve this problem,a thin-film fixed-bed reactor(TFFBR) was set-up by developing a BiOI thin film on glass fiber cloth(GFC). The composition and structure of the as-prepared films were characterized with X-ray diffraction, X-ray photoelectron spectroscopy, field emission microscopy, transmission electron microscopy and Fourier transform infrared spectroscopy. The BiOI thin film was made by painting a silica sol containing BiOI on GFC, which could be tailored to desired sizes to accommodate the TFFBR. The mass of BiOI on the GFC increased with the number of iterations of the painting process. SiO2 sol glued the BiOI particles tightly onto the GFC,making the thin film strong enough to resist fluid flushing in the TFFBR. The photocatalytic activity of the BiOI thin film was investigated by degrading bisphenol A(BPA) under simulated sunlight. Ninety eight percent of BPA(20 mg/L in 2 L) was degraded by the BiOI thin film sample of seven layers(GFC-7) on the TFFBR within 8 hr irradiation. The GFC-7 displayed good photocatalytic ability toward artificial sewage containing BPA in a wide pH range(5–9),and also demonstrated excellent durability and reusability. The working conditions were optimized and it was found that the thickness of the fluid film and residence time over the thin film were key factors affecting the photocatalytic efficiency.

Toxicities and risk assessment of heavy metals in sediments of Taihu Lake, China, based on sediment quality guidelines

The occurrence, toxicities, and ecological risks of five heavy metals（Pb, Cu, Cd, Zn and Ni） in the sediment of Taihu Lake were investigated in this study. To evaluate the toxicities caused by the heavy metals, the toxicities induced by organic contaminants and ammonia in the sediments were screened out with activated carbon and zeolite. The toxicities of heavy metals in sediments were tested with benthic invertebrates（tubificid and chironomid）.The correlations between toxicity of sediment and the sediment quality guidelines（SQGs）derived previously were evaluated. There were significant correlations（p 〈 0.0001） between the observed toxicities and the total risk quotients of the heavy metals based on SQGs,indicating that threshold effect level（TEL） and probable effect level（PEL） were reliable to predict the toxicities of heavy metals in the sediments of Taihu Lake. By contrast, the method based on acid volatile sulfides（AVS） and simultaneously extracted metals（SEM）,such as ∑SEM/AVS and ∑SEM-AVS, did not show correlations with the toxicities. Moreover,the predictive ability of SQGs was confirmed by a total predicting accuracy of 77%. Ecological risk assessment based on TELs and PELs showed that the contaminations of Pb, Cu, Cd and Zn in the sediments of Taihu Lake were at relatively low or medium levels. The risks caused by heavy metals in the sediments of northern bay of the lake, which received more wastewater discharge from upper stream, were higher than other area of the lake.

HIV-1 Vif suppresses antiviral immunity by targeting STING

HIV-1 infection-induced cGAS–STING–TBK1–IRF3 signaling activates innate immunity to produce type I interferon(IFN).The HIV-1 nonstructural protein viral infectivity factor(Vif)is essential in HIV-1 replication,as it degrades the host restriction factor APOBEC3G.However,whether and how it regulates the host immune response remains to be determined.In this study,we found that Vif inhibited the production of type I IFN to promote immune evasion.HIV-1 infection induced the activation of the host tyrosine kinase FRK,which subsequently phosphorylated the immunoreceptor tyrosine-based inhibitory motif(ITIM)of Vif and enhanced the interaction between Vif and the cellular tyrosine phosphatase SHP-1 to inhibit type I IFN.Mechanistically,the association of Vif with SHP-1 facilitated SHP-1 recruitment to STING and inhibited the K63-linked ubiquitination of STING at Lys337 by dephosphorylating STING at Tyr162.However,the FRK inhibitor D-65495 counteracted the phosphorylation of Vif to block the immune evasion of HIV-1 and antagonize infection.These findings reveal a previously unknown mechanism through which HIV-1 evades antiviral immunity via the ITIM-containing protein to inhibit the posttranslational modification of STING.These results provide a molecular basis for the development of new therapeutic strategies to treat HIV-1 infection.

Identification of sources,characteristics and photochemical transformations of dissolved organic matter with EEM-PARAFAC in the Wei River of China

Dissolved organic matter(DOM)in rivers is a critical regulator of the cycling and toxicity of pollutants and the behavior of DOM is a key indicator for the health of the environment.We investigated the sources and characteristics of DOM in surface water and sediment samples of the Wei River,China.Dissolved organic carbon(DOC)concentration and ultraviolet absorbance at 254 nm(UV254)increased in the surface water and were decreased in the sediment downstream,indicating that the source of DOM in the water differed from the sediment.Parallel factor(PARAFAC)analysis of the excitation-emission matrices(EEM)revealed the presence of terrestrial humus-like,microbial humus-like and tryptophan-like proteins in the surface water,whereas the sediment contained UVA humic-like,UVC humic-like and fulvic-like in the sediment.The DOM in the surface water and sediment were mainly derived from microbial metabolic activity and the surrounding soil.Surface water DOM displayed greater photodegradation potential than sediment DOM.PARAFAC analysis indicated that the terrestrial humic-like substance in the water and the fulvic-like component in the sediment decomposed more rapidly.These data describe the characteristics of DOM in the Wei River and are crucial to understanding the fluctuations in environmental patterns.

Effective degradation of tetracycline by mesoporous Bi2WO6 under visible light irradiation

双性人 2 WO 6 在不同 pHs 与一个热水的方法被综合并且在水里为四圜素(TC ) 的降级使用了。mesoporous 双性人 2 在 pH 准备的 WO 6(BWO-1 ) 1 由于它的大表面区域和更有效的能力显示了最高的吸附和降级能力到 TC 分开 photogenerated 电子和洞。在 20 mg 畤散琠敨猠浹瑰浯 ? 畢 ? 敲慬獰 ? 耶啱 @ 椠 ? 的 97% TC ? ┰漠 ?

Seeking "protective" and "harmful" immune genes during chronic HIV-1 infection by transcriptome analysis

Human immunodeficiency virus(HIV)-infected individuals exhibit remarkable transcriptomic variation.Transcriptome analyses of antiretroviral therapy(ART)-free chronically infected HIV-1 patients with different clinical outcomes are likely to aid the development of vaccine and immune therapies.Here,we performed microarray analyses on whole-blood derived RNA from 89 ART-free HIV-1-infected individuals from 2 cohorts.The differentially expressed genes were analyzed between long-term non-progressors,viremic non-progressors and typical progressors,and between elite controllers and non-elite controllers among the long-term nonprogressors.Several genes related to T-cell growth,proliferation and differentiation and antiapoptosis were upregulated,whereas interferon-stimulated genes and inflammatory genes were significantly downregulated in long-term non-progressors and viremic non-progressors.The observations above were further confirmed in the set of 261 genes that correlated with disease progression during a 5-year follow-up,which included 51 genes significantly associated with slower disease progression,and 210 genes associated with aggressive disease progression.Overall,our data suggest that it is vital to maintain the homeostasis of the immune system when mounting antiviral immune responses.Immune therapeutics able to reconstruct immune homeostasis are likely to be required for immune reconstitution in the context of ART,such as the administration of interleukin-7,healthy allogenic CD4^(+)T cells(providing CD4^(+)T-cell growth factors),or Tregs.