Effect of Guanxin-V Mixture Combined with Sacubitril Valsartan on Cardiac Function after PCI in STEMI Patients

[Objectives]To observe the effect of Guanxin-V Mixture combined with Sacubitril Valsartan on cardiac function in patients after PCI for acute ST-segment elevation myocardial infarction(STE-MI).[Methods]41 cases of STEMI patients(qi and yin deficiency and blood stasis and obstruction)hospitalized in Nanjing Hospital of Chinese Medicine affiliated to Nanjing University of Chinese Medicine from January 2020 to June 2021 were randomly divided into 21 cases in the treatment group and 20 cases in the control group,and the two groups were given standardized Western medicine treatment as soon as possible after PCI.The control group was treated with Sacubitril Valsartan,and the treatment group was treated with Guanxin-V Mixture on the basis of treatment in the control group.The patients in the two groups were treated for 3 months,and the TCM syndrome score,left ventricular ejection fraction(LVEF),and N-Terminal Pro-Brain Natriuretic Peptide(NT-proBNP),interleukin-6(IL-6),and high-sensitivity C-reactive protein(hs-CRP)levels,and the incidence of heart failure and adverse reactions in the two groups after treatment were recorded.[Results]After the treatment,the TCM syndrome score and serum NT-proBNP,IL-6 and hs-CRP levels of the two groups significantly decreased(P<0.05),and the levels of the treatment group were significantly lower than those of the control group(P<0.05);the LVEF of the two groups significantly increased(P<0.05),and the level of the treatment group was significantly higher than that of the control group(P<0.05).Comparison of the incidence of heart failure and adverse reactions in the two groups showed no statistically significant differences(P>0.05).[Conclusions]Guanxin-V Mixture combined with Sacubitril Valsartan could significantly improve cardiac function in STEMI patients undergoing PCI,and its effect may be related to the suppression of inflammatory response.

Degradation of PCDD/Fs in MSWI fly ash using a microwave-assisted hydrothermal process

In this work,microwave treatment was introduced to a hydrothermal treatment process to degrade PCDD/Fs(Polychlorinated dibenzo-p-dioxins and dibenzofurans)in municipal solid waste incineration(MSWI)fly ash.Three process additives(NaOH,Na2 HPO4,H2 O),temperatures(150℃,185℃,220℃)and reaction times(1 h,2 h,3 h)were investigated to identify their effect on the disposal of fly ash samples through orthogonal experiments.High-resolution gas chromatography–mass spectrometry(HRGC/MS)was applied to determine the PCDD/F concentrations in MSWI fly ash.The experimental results revealed that 83.7%of total PCDD/Fs was degraded.Reaction temperature was the most important factor for the degradation of the total PCDD/Fs.Both direct destruction and chlorination reactions(the chlorination degree of PCDFs increased)took part in the degradation of PCDD/Fs in fly ash,which was a new discovery.Several PCDD/F indexes determined by the concentration of indicative congeners were found to quantitatively characterize the dioxin toxicity of the fly ash.Furthermore,heavy metals in the fly ash sample were solidified using microwave-assisted hydrothermal treatment,which provided an experimental basis for the simultaneous disposal of dioxins and heavy metals.Thus,the microwave-assisted hydrothermal process should be considered for the future disposal of MSWI fly ash.

Polygonatum sibiricum polysaccharides protect against obesity and non-alcoholic fatty liver disease in rats fed a high-fat diet

Polygonatum sibiricum is a traditional medicinal and dietary plant of the family Liliaceae. The main functional macromolecules of P. sibiricum are polysaccharides, which function in antioxidation and regulating immunity. Previous studies have shown that insulin resistance(IR), oxidative stress, and inflammation are important factors in the induction of lipid metabolic diseases such as obesity. Therefore, in this study, we established a high-fat diet-induced rat model of obesity and nonalcoholic fatty liver disease(NAFLD) to explore the potential protective effect of P. sibiricum polysaccharides(PSPs) and the mechanisms behind it. After 4 weeks of high-fat diet feeding to induce obesity, the rats were treated with different doses of PSP solution or distilled water for 6 weeks. Compared with untreated obese rats, PSP-treated obese rats showed a decrease in body weight, serum total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels, hepatic aspartate aminotransferase and alanine aminotransferase activity, hepatic malondialdehyde content, and hepatic levels of the pro-inflammatory factors tumor necrosis factor-α, interleukin-1β, and interleukin-6, as well as increased serum high-density lipoprotein cholesterol levels and hepatic superoxide dismutase, catalase, and glutathione peroxidase activity. Pathological analysis and immunoblotting of the liver tissues indicated that mechanistically, PSPs reduced obesity and NAFLD in rats by upregulating insulin receptor expression, increasing adenosine monophosphate-activated protein kinase phosphorylation, and downregulating sterol regulatory element-binding protein 2 and low-density lipoprotein receptor expression, thus promoting lipid metabolism, decreasing body weight, and reducing inflammation and oxidative stress caused by lipid accumulation. Based on these results, PSPs may have the potential to reduce obesity and NAFLD associated with a high-fat diet.

Experimental and simulation investigation of electrical and plasma parameters in a low pressure inductively coupled argon plasma

The electrical and plasma parameters of a low pressure inductively coupled argon plasma are investigated over a wide range of parameters（RF power, flow rate and pressure） by diverse characterizations. The external antenna voltage and current increase with the augment of RF power, whereas decline with the enhancement of gas pressure and flow rate conversely.Compared with gas flow rate and pressure, the power transfer efficiency is significantly improved by RF power, and achieved its maximum value of 0.85 after RF power injected excess125 W. Optical emission spectroscopy（OES） provides the local mean values of electron excited temperature and electron density in inductively coupled plasma（ICP） post regime, which vary in a range of 0.81 eV to 1.15 eV and 3.7×10^（16）m^（-3）to 8.7×10^（17）m^（-3）respectively. Numerical results of the average magnitudes of electron temperature and electron density in twodimensional distribution exhibit similar variation trend with the experimental results under different operating condition by using COMSOL Multiphysics. By comprehensively understanding the characteristics in a low pressure ICP, optimized operating conditions could be anticipated aiming at different academic and industrial applications.

Conversion of coalbed methane surrogate into hydrogen and graphene sheets using rotating gliding arc plasma

The use of atmospheric rotating gliding arc(RGA)plasma is proposed as a facile,scalable and catalyst-free approach to synthesizing hydrogen(H2)and graphene sheets from coalbed methane(CBM).CH4 is used as a CBM surrogate.Based on a previous investigation of discharge properties,product distribution and energy efficiency,the operating parameters such as CH4 concentration,applied voltage and gas flow rate can effectively affect the CH4 conversion rate,the selectivity of H2 and the properties of solid generated carbon.Nevertheless,the basic properties of RGA plasma and its role in CH4 conversion are scarcely mentioned.In the present work,a 3D RGA model,with a detailed nonequilibrium CH4/Ar plasma chemistry,is developed to validate the previous experiments on CBM conversion,aiming in particular at the distribution of H2 and other gas products.Our results demonstrate that the dynamics of RGA is derived from the joint effects of electron convection,electron migration and electron diffusion,and is prominently determined by the variation of the gas flow rate and applied voltage.Subsequently,a combined experimental and chemical kinetical simulation is performed to analyze the selectivity of gas products in an RGA reaction,taking into consideration the formation and loss pathways of crucial targeted substances(such as CH4,C2H2,H2 and H radicals)and corresponding contribution rates.Additionally,the effects of operating conditions on the properties of solid products are investigated by scanning electron microscopy(SEM)and Raman spectroscopy.The results show that increasing the applied voltage and decreasing CH4 concentration will change the solid carbon from its initial spherical structure into folded multilayer graphene sheets,while the size of the graphene sheets is slightly affected by the change in gas flow rate.

Multiple methoxy-substituted hole transporter for inverted perovskite solar cells

Inverted organic-inorganic hybrid perovskite solar cells(i-PSC)with low temperature processed interlayers and weak hysteresis behaviors have shown great potential for commercialization[1-5].However,their relatively lower power conversion efficiency(PCE)and inferior reproducibility than conventional PSCs limit further developments.These problems are largely determined by the hole transporting layer(HTL)and the quality of the upper perovskite film[6-8];in particular,the latter is considerably influenced by the surface property of the underlying HTL.

THz wave generation by repeated and continuous frequency conversions from pump wave to high-order Stokes waves

We propose a novel scheme for THz wave generation by repeated and continuous frequency conversions from pump wave to high-order Stokes waves(HSWs).The repeated frequency conversions are accomplished by oscillations of Stoke waves in resonant cavity(RC)where low-order Stokes waves(LSWs)are converted to high-order Stokes waves again and again.The continuous frequency conversions are accomplished by optimized cascaded difference frequency generation(OCDFG)where the poling periods of the optical crystal are aperiodic leading to the frequency conversions from low-order Stokes waves to high-order Stokes waves uninterruptedly and unidirectionally.Combined with the repeated and continuous frequency conversions,the optical-to-THz energy conversion efficiency(OTECE)exceeds 26%at 300 K and 43%at 100 K with pump intensities of 300 MW/cm^(2).

Three-dimensional heterogeneous electro-Fenton system with reduced graphene oxide based particle electrode for Acyclovir removal

New pollutant pharmaceutical and personal care products(PPCPs),especially antiviral drugs,have received increasing attention not only due to their increase in usage after the outbreak of COVID-19 epidemics but also due to their adverse impacts on water ecological environment.Electro-Fenton technology is an effective method to remove PPCPs from water.Novel particle electrodes(MMT/rGO/Fe_(3)O_(4))were synthesized by depositing Fe3O4 nanoparticles on reduced graphene oxide modified montmorillonite and acted as catalysts to promote oxidation performance in a three-dimensional electro-Fenton(3D-EF)system.The electrodes combined the catalytic property of Fe3O4,hydrophilicity of montmorillonite and electrical conductivity of graphene oxides,and applied for the degradation of Acyclovir(ACV)with high efficiency and ease of operation.At optimal condition,the degradation rate of ACV reached 100%within 120 min,and the applicable pH range could be 3 to 11 in the 3D-EF system.The stability and reusability of MMT/rGO/Fe_(3)O_(4)particle electrodes were also studied,the removal rate of ACV remained at 92%after 10 cycles,which was just slightly lower than that of the first cycle.Potential degradation mechanisms were also proposed by methanol quenching tests and FT-ICR-MS.

The E3 Ubiquitin Ligase gp78 Protects against ER Stress in Zebrafish Liver

Enhanced endoplasmic reticulum （ER）-associated protein degradation （ERAD） activity by the unfolded protein response （UPR） represents one of the mechanisms for restoring ER homeostasis. In vitro evidence indicates that the mammalian gp78 protein is an E3 ubiquitin ligase that facilitates ERAD by polyubiquitinating and targeting proteins for proteasomal degradation under both physiologic and stress conditions. However, the in vivo function of gp78 in maintaining ER protein homeostasis remains untested. Here we show that like its mammalian counterpart, the zebrafish gp78 is also an E3 ubiquitin ligase as revealed by in vitro ubiquitination assays. Expression analysis uncovered that gp78 is highly expressed in several organs, including liver and brain, of both larval and adult fish. Treatment of larvae or adult fish with tunicamycin induces ER stress and upregulates the expression of several key components of the gp78 ERAD complex in the liver. Moreover, liver-specific overexpression of the dominant-negative form of gp78 （gp78-R2M） renders liver more sensitive to tunicamycin-induced ER stress and enhances the expression of sterol response element binding protein （Srebp）-target genes, which was largely suppressed in fish overexpressing wild-type gp78. Together, these data indicate that gp78 plays a critical role in protecting against ER stress in liver.

Ultraviolet-to-microwave room-temperature photodetectors based on three-dimensional graphene foams

Highly sensitive broadband photodetection is of critical importance for many applications.However,it is a great challenge to realize broadband photodetection by using a single device.Here we report photodetectors(PDs)based on three-dimensional(3 D)graphene foam(GF)photodiodes with asymmetric electrodes,which show an ultra-broadband photoresponse from ultraviolet to microwave for wavelengths ranging from 10~2 to 10~6 nm.Moreover,the devices exhibit a high photoresponsivity of 10~3 A·W^-1,short response time of 43 ms,and3 d B bandwidth of 80 Hz.The high performance of the devices can be attributed to the photothermoelectric(PTE,also known as the Seebeck)effect in 3 D GF photodiodes.The excellent optical,thermal,and electrical properties of 3 D GFs offer a superior basis for the fabrication of PTE-based PDs.This work paves the way to realize ultra-broadband and high-sensitivity PDs operated at room temperature.

Self-powered,flexible,and ultrabroadband ultraviolet-terahertz photodetector based on a laser-reduced graphene oxide/CsPbBr3 composite

Self-powered and flexible ultrabroadband photodetectors(PDs)are desirable in a wide range of applications.The current PDs based on the photothermoelectric(PTE)effect have realized broadband photodetection.However,most of them express low photoresponse and lack of flexibility.In this work,high-performance,self-powered,and flexible PTE PDs based on laser-scribed reduced graphene oxide(LSG)∕CsPbBr3 are developed.The comparison experiment with LSG PD and fundamental electric properties show that the LSG∕CsPbBr3 device exhibits enhanced ultrabroadband photodetection performance covering ultraviolet to terahertz range with high photoresponsivity of 100 mA/W for 405 nm and 10 mA/W for 118μm at zero bias voltage,respectively.A response time of 18 ms and flexible experiment are also acquired at room temperature.Moreover,the PTE effect is fully discussed in the LSG∕CsPbBr3 device.This work demonstrates that LSG∕CsPbBr3 is a promising candidate for the construction of high-performance,flexible,and self-powered ultrabroadband PDs at room temperature.

Environment-friendly antisolvent tert-amyl alcohol modified hybrid perovskite photodetector with high responsivity

The preparation of high-quality perovskite films with optimal morphologies is important for achieving highperformance perovskite photodetectors(PPDs). An effective strategy to optimize the morphologies is to add antisolvents during the spin-coating steps. In this work, a novel environment-friendly antisolvent tert-amyl alcohol(TAA) is employed first to improve the quality of perovskite films, which can effectively regulate the formation of an intermediate phase staged in between a liquid precursor phase and a solid perovskite phase due to its moderate polarity and further promote the homogeneous nucleation and crystal growth, thus leading to the formation of high-quality perovskite films and enhanced photodetector performance. As a result, the responsivity of the PPD reaches 1.56 A/W under the illumination of 532 nm laser with the power density of 6.37 μW=cm^(2) at a bias voltage of -2 V, which is good responsivity for PPDs with the vertical structure and only CH_(3)NH_(3)PbI_(3) perovskite as the photosensitive material. The corresponding detectivity reaches 1.47×10^(12) Jones, while the linear dynamic range reaches 110 dB. These results demonstrate that our developed green antisolvent TAA has remarkable advantages for the fabrication of high-performance PPDs and can provide a reference for similar research work.

Therapeutic effect of medical glue combined with the great omentum in severe tunica muscularis injury

Twenty-seven patients with severe colon trauma treated in the Shaoxing People’s Hospital from 1995 to 2006 were retrospectively analyzed.The patients with severe tunica muscularis injury were treated by med-ical glue combined with the greater omentum during operations.The initial result was encouraging.All patients were cured with no anastomotic leakage or abs-cess.Therefore,reasonable use of medical glue combined with the greater omentum can not only improve the cur-ative rate but also reduces postoperative complications for patients with colon injury.

Self-powered lead-free quantum dot plasmonic phototransistor with multi-wavelength response

Because they possess excellent visible light absorption properties, lead-free colloidal copper-based chalcogenide quantum dots(QDs) have emerged in photoelectronic fields. By means of localized surface plasmonic resonance(LSPR), the absorption properties of QDs can be enhanced. In this paper, we fabricate a lead-free CuInSe2 QD field effect phototransistor(FEpT) by utilizing the LSPR enhancement of Au nanoparticles(NPs). The plasmonic FEpT demonstrates responsivity up to 2.7 μA· W^(-1) and a specific detectivity of 7 × 10~3 Jones at zero bias under illumination by a 532 nm laser, values that are enhanced by approximately 200% more than devices without Au NPs. Particularly, the FEpT exhibits a multi-wavelength response, which is photoresponsive to 405, 532,and 808 nm irradiations, and presents stability and reproducibility in the progress of ON–OFF cycles.Furthermore, the enhancement induced by Au NP LSPR can be interpreted by finite-difference time domain simulations. The low-cost solution-based process and excellent device performance strongly underscore leadfree CuInSe2 QDs as a promising material for self-powered photoelectronic applications, which can be further enhanced by Au NP LSPR.