To reduce CO_(2) emissions from coal-fired power plants,the development of low-carbon or carbon-free fuel combustion technologies has become urgent.As a new zero-carbon fuel,ammonia(NH_(3))can be used to address the s...To reduce CO_(2) emissions from coal-fired power plants,the development of low-carbon or carbon-free fuel combustion technologies has become urgent.As a new zero-carbon fuel,ammonia(NH_(3))can be used to address the storage and transportation issues of hydrogen energy.Since it is not feasible to completely replace coal with ammonia in the short term,the development of ammonia-coal co-combustion technology at the current stage is a fast and feasible approach to reduce CO_(2) emissions from coal-fired power plants.This study focuses on modifying the boiler and installing two layers of eight pure-ammonia burners in a 300-MW coal-fired power plant to achieve ammonia-coal co-combustion at proportions ranging from 20%to 10%(by heat ratio)at loads of 180-to 300-MW,respectively.The results show that,during ammonia-coal co-combustion in a 300-MW coal-fired power plant,there was a more significant change in NO_(x) emissions at the furnace outlet compared with that under pure-coal combustion as the boiler oxygen levels varied.Moreover,ammonia burners located in the middle part of the main combustion zone exhibited a better high-temperature reduction performance than those located in the upper part of the main combustion zone.Under all ammonia co-combustion conditions,the NH_(3) concentration at the furnace outlet remained below 1 parts per million(ppm).Compared with that under pure-coal conditions,the thermal efficiency of the boiler slightly decreased(by 0.12%-0.38%)under different loads when ammonia co-combustion reached 15 t·h^(-1).Ammonia co-combustion in coal-fired power plants is a potentially feasible technology route for carbon reduction.展开更多
Alabama imports coal from other states to generate electricity. This paper assessed the direct and indirect economic impacts of wood pellet production to be co-fired with coal for power generation in Alabama. Four siz...Alabama imports coal from other states to generate electricity. This paper assessed the direct and indirect economic impacts of wood pellet production to be co-fired with coal for power generation in Alabama. Four sizes of wood pellet plants and regional input-output models were used for the analysis. The results showed that the economic impact increases with the size of the plant. Wood pellet production will have a multiplier effect on the economy especially, forest-related services, retail stores, the health service industry, and tax revenue for the government. Domestic wood pellet production can reduce the use of imported coal, allow the use of local woody biomass, and create economic activities in Alabama’s rural communities. Policies that support the production of wood pellet will serve to encourage the use of wood for power generation and support the rural economies.展开更多
Combustion and sulfur retention experiments of mixed fuel of petroleum cokeand coal were conducted on a pilot-scale circulating fluidized bed (CFB) combustor with the thermalinput of 0. 6 MW. The effects of several pa...Combustion and sulfur retention experiments of mixed fuel of petroleum cokeand coal were conducted on a pilot-scale circulating fluidized bed (CFB) combustor with the thermalinput of 0. 6 MW. The effects of several parameters, such as the primary air percentage, excess aircoefficient, bed temperature, Ca/S molar ratio and mass ratio of petroleum coke to coal on SO_2emission were verified. Experimental results show that when the ratio of petroleum coke to coal inthe mixed fuel increases, the SO_2emission increases. The maximum SO_2 emission appears when purecoke burns. The SO_2 concentration in flue gas reduces with the increase in the primary airpercentage, excess air coefficient and Ca/S molar ratio for all kinds of fuel mixtures. Therangebetween 830 t and 850 t is the optimal temperature for sulfur retention during co-firing ofpetroleum coke and coal with the mass ratio R of 1 and 3 in CFB.展开更多
This paper presents the experimental investigations of the emissions of SO2, NO and N20 in a bench scale circulating fluidized bed combustor for coal combustion and co-firing coal and biomass. The thermal capacity of ...This paper presents the experimental investigations of the emissions of SO2, NO and N20 in a bench scale circulating fluidized bed combustor for coal combustion and co-firing coal and biomass. The thermal capacity of the combustor is 30 kW. The setup is electrically heated during startup. The infuence of the excess air, the degree of the air staging, the biomass share and the feeding position of the fuels on the emissions of SO2, NO and N2O were studied. The results showed that an increase in the biomass shares resulted in an increase of the CO concentration in the flue gas, probably due to the high volatile content of the biomass. In co-firing, the emission of SO2 increased with increasing biomass share slightly, however, non-linear increase relationship between SO2 emission and fuel sulfur content was observed. Air staging significantly decreased the NO emission without raising the SO2 level. Although the change of the fuel feeding position from riser to downer resulted in a decrease in the NO emission level, no obvious change was observed for the SO2 level. Taking the coal feeding position R as a reference, the relative NO emission could significantly decrease during co-firing coal and biomass when feeding fuel at position D and keeping the first stage stoichiometry greater than 0.95. The possible mechanisms of the sulfur and nitrogen chemistry at these conditions were discussed and the ways of simultaneous reduction of SO2, NO and N2O were proposed.展开更多
The co-firing of coal and biomass in oxy-fuel fluidized beds is one of the most promising technologies for capturing CO2.This technology has attracted wide attention from academia and industry in recent years as a neg...The co-firing of coal and biomass in oxy-fuel fluidized beds is one of the most promising technologies for capturing CO2.This technology has attracted wide attention from academia and industry in recent years as a negative emission method to capture CO2 produced by carbon contained in biomass.In the past decades,many studies have been carried out regarding experiments and numerical simulations under oxy-fuel combustion conditions.This paper firstly briefly discusses the techno-economic viability of the biomass and coal co-firing with oxycombustion and then presents a review of recent advancements involving experimental research and computational fluid dynamics(CFD)simulations in this field.Experimental studies on mechanism research,such as thermogravimetric analysis and tube furnace experiments,and fluidized bed experiments based on oxy-fuel fluidized beds with different sizes as well as the main findings,are summarized as a part of this review.It has been recognized that CFD is a useful approach for understanding the behaviors of the co-firing of coal and biomass in oxyfuel fluidized beds.We summarize a recent survey of published CFD research on oxy-fuel fluidized bed combustion,which categorized into Eulerian and Lagrangian methods.Finally,we discuss the challenges and interests for future research.展开更多
Waste biomass is always generated during the production process in industries. The ordinary way to get rid of the waste biomass is to send them to landfill or burn it in the open field. The waste may potentially be us...Waste biomass is always generated during the production process in industries. The ordinary way to get rid of the waste biomass is to send them to landfill or burn it in the open field. The waste may potentially be used for co-firing with coal to save fossil fuel consumption and also reduce net carbon emissions. In this case study, the bio-waste from a Nicotiana Tahacum (NT) pre-treatment plant is used as the biomass to co-fire with coal. The samples of NT wastes were analysed. It was found that the wastes were of the relatively high energy content which were suitable for co-firing with coal. To investigate the potential and benefits for adding NT wastes to a Fluidised Bed Combustion (FBC) boiler in the plant, detailed modelling and simulation are carried out using the European Coal Liquefaction Process Simulation and Evaluation (ECLIPSE) process simulation package. The feedstock blending ratios of NT waste to coal studied in this work are varied from 0% to 30%. The results show that the addition of NT wastes may decrease the emissions of CO2 and SOx without reducing the boiler performance.展开更多
Influence of co-firing rate on SO 2 emission from co-firing municipal solid waste(MSW) and bituminous containing high amount of sulfur(1.79%) was studied in a 0.15 MWt circulating fluidized bed(CFB). The temperature ...Influence of co-firing rate on SO 2 emission from co-firing municipal solid waste(MSW) and bituminous containing high amount of sulfur(1.79%) was studied in a 0.15 MWt circulating fluidized bed(CFB). The temperature selected is 1123 K, typical for MSW incineration using CFB. The particle concentration in the dilution zone of the furnace, the alkali metal concentration and sulfate concentration in the recirculating ash and fly ash, and flue gas composition were determined. The results showed that the addition of MSW leads to a significant decrease in SO 2 emission. Concentration of SO 2 in flue gas decreased to 0 with the co-firing rate greater than 51%. This reduction in SO 2 emission is attributed both to the high particle concentration in the dilution zone of the furnace, the high content of alkali metals in the bed material, and to the comparatively high concentration of HCl in flue gas during co-firing of MSW and bituminous.展开更多
Volumetric combustion has been developed to realize a high substitution ratio of biomass in co-firing boilers, which features an intensive flue gas internal recirculation inside furnace. However, the characteristics o...Volumetric combustion has been developed to realize a high substitution ratio of biomass in co-firing boilers, which features an intensive flue gas internal recirculation inside furnace. However, the characteristics of NOx and SOx emissions in large-scale boilers with volumetric combustion were not fully clear. In this paper, an Aspen Plus model of volumetric combustion system was built up based on a co-firing boiler. In order to characterize the reductions of NOx and SOx, three biomass substitution ratios were involved, namely, 100% biomass, 45% biomass with 55% coal, and 100% coal. The effects of flue gas recirculation ratio, air preheating temperature, oxygen concentration, and fuel types on pollutants emission in the volumetric combustion system were investigated. According to the results, it was concluded the higher substitution ratio of biomass in a co-firing boiler, the lower emissions of NOx and SOx. Moreover, flue gas internal recirculation is an effective pathway for NOx reduction and an increased recirculation ratio resulted in a significant decreasing of NOx emission;however, the SOx increased slightly. The influences of air preheating temperature and O2 concentration on NOx emission were getting weak with increasing of recirculation ratio. When 10% or even higher of flue gas was recycled, it was observed that almost no NOx formed thermodynamically under all studied conditions. Finally, to reach a low emission level of NOx, less energy would be consumed during biomass combustion than coal combustion process for internal recirculation of flue gas.展开更多
The Houston-Galveston-Brazoria (HGB) area of Texas is a moderate nonattainment region for ozone, and has a history of severe summer ozone episodes. W. A. Parish power plant (WAP) located in the greater Houston area is...The Houston-Galveston-Brazoria (HGB) area of Texas is a moderate nonattainment region for ozone, and has a history of severe summer ozone episodes. W. A. Parish power plant (WAP) located in the greater Houston area is the largest coal and natural gas based electricity generating unit (EGU) in Texas. Forest residue is an abundant renewable resource, and can be used to offset coal usage at EGUs. This study evaluates the impact of co-firing 5%, 10%, and 15% (energy-basis) of forest residue at WAP on the air quality of the HGB area. Photochemical modeling with Comprehensive Air Quality Model with Extensions (CAMx) was conducted to investigate the air quality at three air quality monitoring sites (C696, C53, C556) in the HGB area, under two source scenarios (all-sources, point + biogenic sources). Significant reduction of SO2 and O3 was observed for 10% and 15% co-firing ratios at monitoring station (C696) close to WAP. The maximum reduction of ozone observed for 15% co-firing is 4.7% and 6.3% for all-sources and point + biogenic sources scenarios respectively. The reduction in other criteria air pollutants is not significant at all locations. The overall results from this study indicate that biomass co-firing at WAP would not lead to a significant reduction in ozone concentrations in the region during periods of peak ozone.展开更多
Emission factors (EFs) of particulate matter (PM) derived from mono and co-firing of Thai lignite and agricultural residues have been investigated. Two sampling methods for PM, total filtration (TF) and electric...Emission factors (EFs) of particulate matter (PM) derived from mono and co-firing of Thai lignite and agricultural residues have been investigated. Two sampling methods for PM, total filtration (TF) and electrical low-pressure impactor (ELPI), were used together. The study is focused on the influence of fuel mass fraction, and of secondary air to total air; SA:TA on EFs of PM. The results have shown that EFs of PM in mass-basis given by TF method are 8.9, 5.3 and 8.1 mg/kgfuel, while 3.3, 2.7 and 3.3 mg/kgfuel when using ELPI, for firing at constant SA:TA (30%) of lignite, rice husk and bagasse, respectively. For co-firing with 30%SA of coal/rice husk, higher EFs of PM is observed. They are 7.17 and 10.9 mg/kgfuel (TF) for 40 and 70% rice husk share, respectively, or 4.18 and 5.19 mg/kgfuel (ELPI). However, lower PM emission; 1-3.3 mg/kgruel (TF) or 0.72-2.83 mg/kgfuel (ELPI) are obtained during co-firing of coal/rice husk with lower degree of air staging (i.e. 0-10% SA:TA). For the influence of oxygenation state, increasing of SA: TA leads to a low formation of ultrafine particles (Dp 〈 0.1 μm). Apart from PM, major gases (CO, NO, SO2) will be documented in this paper.展开更多
To reduce greenhouse gases emission and increase the renewable energy uti</span><span style="font-family:Verdana;">lization portion in the world, the biomass gasification coupled with a coal-fire...To reduce greenhouse gases emission and increase the renewable energy uti</span><span style="font-family:Verdana;">lization portion in the world, the biomass gasification coupled with a coal-fired </span><span style="font-family:Verdana;">boiler power generation system is studied. It is a challenge to achieve optimum performance for the coupled system. The models of biomass gasification coupled with co-firing of coal in a boiler have been established. A comparative study of three kinds of biomass (Food Rubbish, Straw and Wood Pellets) has </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">been </span></span></span><span><span><span><span style="font-family:Verdana;">done. The syngas produced in a 10 t/h gasifier is fed to a 330 MWe coal-fired boiler for co-combustion, and the co-firing performances have been compared with pure coal combustion case under the conditions of constant boiler load. Results show that co-firing decreases the furnace combustion temperature and raises the flue gas temperature for Food Rubbish and Straw, while, flue gases temperature decrease in case of Wood Pellets. At the same time NO<sub>x</sub> and SO<sub>x</sub> emissions have reduced. The system efficiencies at constant load for Food Rubbish, Straw and Wood Pellets are 83.25%, </span><span style="font-family:Verdana;">83.88% and 82.56% when the optimum conditions of gasification and co-firing </span><span style="font-family:Verdana;">process are guaranteed.展开更多
Background Water deficit is an important problem in agricultural production in arid regions.With the advent of wholly mechanized technology for cotton planting in Xinjiang,it is important to determine which planting m...Background Water deficit is an important problem in agricultural production in arid regions.With the advent of wholly mechanized technology for cotton planting in Xinjiang,it is important to determine which planting mode could achieve high yield,fiber quality and water use efficiency(WUE).This study aimed to explore if chemical topping affected cotton yield,quality and water use in relation to row configuration and plant densities.Results Experiments were carried out in Xinjiang China,in 2020 and 2021 with two topping method,manual topping and chemical topping,two plant densities,low and high,and two row configurations,i.e.,76 cm equal rows and 10+66 cm narrow-wide rows,which were commonly applied in matching harvest machine.Chemical topping increased seed cotton yield,but did not affect cotton fiber quality comparing to traditional manual topping.Under equal row spacing,the WUE in higher density was 62.4%higher than in the lower one.However,under narrow-wide row spacing,the WUE in lower density was 53.3%higher than in higher one(farmers’practice).For machine-harvest cotton in Xinjiang,the optimal row configuration and plant density for chemical topping was narrow-wide rows with 15 plants m-2 or equal rows with 18 plants m-2.Conclusion The plant density recommended in narrow-wide rows was less than farmers’practice and the density in equal rows was moderate with local practice.Our results provide new knowledge on optimizing agronomic managements of machine-harvested cotton for both high yield and water efficient.展开更多
BACKGROUND Lymph node ratio(LNR)was demonstrated to play a crucial role in the prognosis of many tumors.However,research concerning the prognostic value of LNR in postoperative gastric neuroendocrine neoplasm(NEN)pati...BACKGROUND Lymph node ratio(LNR)was demonstrated to play a crucial role in the prognosis of many tumors.However,research concerning the prognostic value of LNR in postoperative gastric neuroendocrine neoplasm(NEN)patients was limited.AIM To explore the prognostic value of LNR in postoperative gastric NEN patients and to combine LNR to develop prognostic models.METHODS A total of 286 patients from the Surveillance,Epidemiology,and End Results database were divided into the training set and validation set at a ratio of 8:2.92 patients from the First Affiliated Hospital of Soochow University in China were designated as a test set.Cox regression analysis was used to explore the relationship between LNR and disease-specific survival(DSS)of gastric NEN patients.Random survival forest(RSF)algorithm and Cox proportional hazards(CoxPH)analysis were applied to develop models to predict DSS respectively,and compared with the 8th edition American Joint Committee on Cancer(AJCC)tumornode-metastasis(TNM)staging.RESULTS Multivariate analyses indicated that LNR was an independent prognostic factor for postoperative gastric NEN patients and a higher LNR was accompanied by a higher risk of death.The RSF model exhibited the best performance in predicting DSS,with the C-index in the test set being 0.769[95%confidence interval(CI):0.691-0.846]outperforming the CoxPH model(0.744,95%CI:0.665-0.822)and the 8th edition AJCC TNM staging(0.723,95%CI:0.613-0.833).The calibration curves and decision curve analysis(DCA)demonstrated the RSF model had good calibration and clinical benefits.Furthermore,the RSF model could perform risk stratification and individual prognosis prediction effectively.CONCLUSION A higher LNR indicated a lower DSS in postoperative gastric NEN patients.The RSF model outperformed the CoxPH model and the 8th edition AJCC TNM staging in the test set,showing potential in clinical practice.展开更多
Static Poisson’s ratio(vs)is crucial for determining geomechanical properties in petroleum applications,namely sand production.Some models have been used to predict vs;however,the published models were limited to spe...Static Poisson’s ratio(vs)is crucial for determining geomechanical properties in petroleum applications,namely sand production.Some models have been used to predict vs;however,the published models were limited to specific data ranges with an average absolute percentage relative error(AAPRE)of more than 10%.The published gated recurrent unit(GRU)models do not consider trend analysis to show physical behaviors.In this study,we aim to develop a GRU model using trend analysis and three inputs for predicting n s based on a broad range of data,n s(value of 0.1627-0.4492),bulk formation density(RHOB)(0.315-2.994 g/mL),compressional time(DTc)(44.43-186.9 μs/ft),and shear time(DTs)(72.9-341.2μ s/ft).The GRU model was evaluated using different approaches,including statistical error an-alyses.The GRU model showed the proper trends,and the model data ranges were wider than previous ones.The GRU model has the largest correlation coefficient(R)of 0.967 and the lowest AAPRE,average percent relative error(APRE),root mean square error(RMSE),and standard deviation(SD)of 3.228%,1.054%,4.389,and 0.013,respectively,compared to other models.The GRU model has a high accuracy for the different datasets:training,validation,testing,and the whole datasets with R and AAPRE values were 0.981 and 2.601%,0.966 and 3.274%,0.967 and 3.228%,and 0.977 and 2.861%,respectively.The group error analyses of all inputs show that the GRU model has less than 5% AAPRE for all input ranges,which is superior to other models that have different AAPRE values of more than 10% at various ranges of inputs.展开更多
BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.Howeve...BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.However,conventional diagnostic methods such as electrocardiography,echocardiography,and cardiac biomarkers have certain limitations,such as low sensitivity,specificity,availability,and cost-effectiveness.Therefore,there is a need for simple,noninvasive,and reliable biomarkers to diagnose CHD and HF.AIM To investigate serum cystatin C(Cys-C),monocyte/high-density lipoprotein cholesterol ratio(MHR),and uric acid(UA)diagnostic values for CHD and HF.METHODS We enrolled 80 patients with suspected CHD or HF who were admitted to our hospital between July 2022 and July 2023.The patients were divided into CHD(n=20),HF(n=20),CHD+HF(n=20),and control groups(n=20).The serum levels of Cys-C,MHR,and UA were measured using immunonephelometry and an enzymatic method,respectively,and the diagnostic values for CHD and HF were evaluated using receiver operating characteristic(ROC)curve analysis.RESULTS Serum levels of Cys-C,MHR,and UA were significantly higher in the CHD,HF,and CHD+HF groups than those in the control group.The serum levels of Cys-C,MHR,and UA were significantly higher in the CHD+HF group than those in the CHD or HF group.The ROC curve analysis showed that serum Cys-C,MHR,and UA had good diagnostic performance for CHD and HF,with areas under the curve ranging from 0.78 to 0.93.The optimal cutoff values of serum Cys-C,MHR,and UA for diagnosing CHD,HF,and CHD+HF were 1.2 mg/L,0.9×10^(9),and 389μmol/L;1.4 mg/L,1.0×10^(9),and 449μmol/L;and 1.6 mg/L,1.1×10^(9),and 508μmol/L,respectively.CONCLUSION Serum Cys-C,MHR,and UA are useful biomarkers for diagnosing CHD and HF,and CHD+HF.These can provide information for decision-making and risk stratification in patients with CHD and HF.展开更多
AIM:To investigate systemic immune-inflammation index(SII),neutrophil-to-lymphocyte ratio(NLR),and plateletto-lymphocyte ratio(PLR)levels in patients with type 2 diabetes at different stages of diabetic retinopathy(DR...AIM:To investigate systemic immune-inflammation index(SII),neutrophil-to-lymphocyte ratio(NLR),and plateletto-lymphocyte ratio(PLR)levels in patients with type 2 diabetes at different stages of diabetic retinopathy(DR).METHODS:This retrospective study included 141 patients with type 2 diabetes mellitus(DM):45 without diabetic retinopathy(NDR),47 with non-proliferative diabetic retinopathy(NPDR),and 49 with proliferative diabetic retinopathy(PDR).Complete blood counts were obtained,and NLR,PLR,and SII were calculated.The study analysed the ability of inflammatory markers to predict DR using receiver operating characteristic(ROC)curves.The relationships between DR stages and SII,PLR,and NLP were assessed using multivariate logistic regression.RESULTS:The average NLR,PLR,and SII were higher in the PDR group than in the NPDR group(P=0.011,0.043,0.009,respectively);higher in the NPDR group than in the NDR group(P<0.001 for all);and higher in the PDR group than in the NDR group(P<0.001 for all).In the ROC curve analysis,the NLR,PLR,and SII were significant predictors of DR(P<0.001 for all).The highest area under the curve(AUC)was for the PLR(0.929 for PLR,0.925 for SII,and 0.821 for NLR).Multivariate regression analysis indicated that NLR,PLR,and SII were statistically significantly positive and independent predictors for the DR stages in patients with DM[odds ratio(OR)=1.122,95%confidence interval(CI):0.200–2.043,P<0.05;OR=0.038,95%CI:0.018–0.058,P<0.05;OR=0.007,95%CI:0.001–0.01,P<0.05,respectively).CONCLUSION:The NLR,PLR,and SII may be used as predictors of DR.展开更多
Objective Hypertriglyceridemic waist(HW),hypertriglyceridemic waist-to-height ratio(HWHtR),and waist-to-hip ratio(WHR)have been shown to be indicators of cardiometabolic risk factors.However,it is not clear which indi...Objective Hypertriglyceridemic waist(HW),hypertriglyceridemic waist-to-height ratio(HWHtR),and waist-to-hip ratio(WHR)have been shown to be indicators of cardiometabolic risk factors.However,it is not clear which indicator is more suitable for children and adolescents.We aimed to investigate the relationship between HW,HWHtR,WHR,and cardiovascular risk factors clustering to determine the best screening tools for cardiometabolic risk in children and adolescents.Methods This was a national cross-sectional study.Anthropometric and biochemical variables were assessed in approximately 70,000 participants aged 6–18 years from seven provinces in China.Demographics,physical activity,dietary intake,and family history of chronic diseases were obtained through questionnaires.ANOVA,χ2 and logistic regression analysis was conducted.Results A significant sex difference was observed for HWHtR and WHR,but not for HW phenotype.The risk of cardiometabolic health risk factor clustering with HW phenotype or the HWHtR phenotype was significantly higher than that with the non-HW or non-HWHtR phenotypes among children and adolescents(HW:OR=12.22,95%CI:9.54-15.67;HWHtR:OR=9.70,95%CI:6.93-13.58).Compared with the HW and HWHtR phenotypes,the association between risk of cardiometabolic health risk factors(CHRF)clustering and high WHR was much weaker and not significant(WHR:OR=1.14,95%CI:0.97-1.34).Conclusion Compared with HWHtR and WHR,the HW phenotype is a more convenient indicator with higher applicability to screen children and adolescents for cardiovascular risk factors.展开更多
We conducted a comprehensive review of existing prediction models pertaining to the efficacy of immune-checkpoint inhibitor(ICI)and the occurrence of immune-related adverse events(irAEs).The predictive potential of ne...We conducted a comprehensive review of existing prediction models pertaining to the efficacy of immune-checkpoint inhibitor(ICI)and the occurrence of immune-related adverse events(irAEs).The predictive potential of neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)in determining ICI effectiveness has been extensively investigated,while limited research has been conducted on predicting irAEs.Furthermore,the combined model incor-porating NLR and PLR,either with each other or in conjunction with additional markers such as carcinoembryonic antigen,exhibits superior predictive capabilities compared to individual markers alone.NLR and PLR are promising markers for clinical applications.Forthcoming models ought to incorporate established efficacious models and newly identified ones,thereby constituting a multifactor composite model.Furthermore,efforts should be made to explore effective clinical application approaches that enhance the predictive accuracy and efficiency.展开更多
BACKGROUND The neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)are novel inflammatory indicators that can be used to predict the severity and prognosis of various diseases.We categorize acute p...BACKGROUND The neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)are novel inflammatory indicators that can be used to predict the severity and prognosis of various diseases.We categorize acute pancreatitis by etiology into acute biliary pancreatitis(ABP)and hypertriglyceridemia-induced acute pancreatitis(HTGP).AIM To investigate the clinical significance of NLR and PLR in assessing persistent organ failure(POF)in HTGP and ABP.METHODS A total of 1450 patients diagnosed with acute pancreatitis(AP)for the first time at Shanxi Bethune Hospital between January 2012 and January 2023 were enrolled.The patients were categorized into two groups according to the etiology of AP:ABP in 530 patients and HTGP in 241 patients.We collected and compared the clinical data of the patients,including NLR,PLR,and AP prognostic scoring systems,within 48 h of hospital admission.RESULTS The NLR(9.1 vs 6.9,P<0.001)and PLR(203.1 vs 160.5,P<0.001)were significantly higher in the ABP group than in the HTGP group.In the HTGP group,both NLR and PLR were significantly increased in patients with severe AP and those with a SOFA score≥3.Likewise,in the ABP group,NLR and PLR were significantly elevated in patients with severe AP,modified computed tomography severity index score≥4,Japanese Severity Score≥3,and modified Marshall score≥2.Moreover,NLR and PLR showed predictive value for the development of POF in both the ABP and HTGP groups.CONCLUSION NLR and PLR vary between ABP and HTGP,are strongly associated with AP prognostic scoring systems,and have predictive potential for the occurrence of POF in both ABP and HTGP.展开更多
基金supported by the National Key Research and Development Program of China(2023YFB4005700,2023YFB4005705,and 2023YFB4005702-03)the Academy-Local Cooperation Project of the Chinese Academy of Engineering(2023-DFZD-01)+4 种基金the National Natural Science Foundation of China(52207151)the Natural Science Foundation of Anhui Province(2208085QA29)the University Synergy Innovation Program of Anhui Province(GXXT-2022025)the independent project of the Energy Research Institute of Hefei Comprehensive National Science Center(Anhui Energy Laboratory22KZZ525,23KZS402,22KZS301,and 22KZS304).
文摘To reduce CO_(2) emissions from coal-fired power plants,the development of low-carbon or carbon-free fuel combustion technologies has become urgent.As a new zero-carbon fuel,ammonia(NH_(3))can be used to address the storage and transportation issues of hydrogen energy.Since it is not feasible to completely replace coal with ammonia in the short term,the development of ammonia-coal co-combustion technology at the current stage is a fast and feasible approach to reduce CO_(2) emissions from coal-fired power plants.This study focuses on modifying the boiler and installing two layers of eight pure-ammonia burners in a 300-MW coal-fired power plant to achieve ammonia-coal co-combustion at proportions ranging from 20%to 10%(by heat ratio)at loads of 180-to 300-MW,respectively.The results show that,during ammonia-coal co-combustion in a 300-MW coal-fired power plant,there was a more significant change in NO_(x) emissions at the furnace outlet compared with that under pure-coal combustion as the boiler oxygen levels varied.Moreover,ammonia burners located in the middle part of the main combustion zone exhibited a better high-temperature reduction performance than those located in the upper part of the main combustion zone.Under all ammonia co-combustion conditions,the NH_(3) concentration at the furnace outlet remained below 1 parts per million(ppm).Compared with that under pure-coal conditions,the thermal efficiency of the boiler slightly decreased(by 0.12%-0.38%)under different loads when ammonia co-combustion reached 15 t·h^(-1).Ammonia co-combustion in coal-fired power plants is a potentially feasible technology route for carbon reduction.
文摘Alabama imports coal from other states to generate electricity. This paper assessed the direct and indirect economic impacts of wood pellet production to be co-fired with coal for power generation in Alabama. Four sizes of wood pellet plants and regional input-output models were used for the analysis. The results showed that the economic impact increases with the size of the plant. Wood pellet production will have a multiplier effect on the economy especially, forest-related services, retail stores, the health service industry, and tax revenue for the government. Domestic wood pellet production can reduce the use of imported coal, allow the use of local woody biomass, and create economic activities in Alabama’s rural communities. Policies that support the production of wood pellet will serve to encourage the use of wood for power generation and support the rural economies.
文摘Combustion and sulfur retention experiments of mixed fuel of petroleum cokeand coal were conducted on a pilot-scale circulating fluidized bed (CFB) combustor with the thermalinput of 0. 6 MW. The effects of several parameters, such as the primary air percentage, excess aircoefficient, bed temperature, Ca/S molar ratio and mass ratio of petroleum coke to coal on SO_2emission were verified. Experimental results show that when the ratio of petroleum coke to coal inthe mixed fuel increases, the SO_2emission increases. The maximum SO_2 emission appears when purecoke burns. The SO_2 concentration in flue gas reduces with the increase in the primary airpercentage, excess air coefficient and Ca/S molar ratio for all kinds of fuel mixtures. Therangebetween 830 t and 850 t is the optimal temperature for sulfur retention during co-firing ofpetroleum coke and coal with the mass ratio R of 1 and 3 in CFB.
基金Project supported by the National Natural Science Foundation of China (No. 90210034, 50576101,20221603)
文摘This paper presents the experimental investigations of the emissions of SO2, NO and N20 in a bench scale circulating fluidized bed combustor for coal combustion and co-firing coal and biomass. The thermal capacity of the combustor is 30 kW. The setup is electrically heated during startup. The infuence of the excess air, the degree of the air staging, the biomass share and the feeding position of the fuels on the emissions of SO2, NO and N2O were studied. The results showed that an increase in the biomass shares resulted in an increase of the CO concentration in the flue gas, probably due to the high volatile content of the biomass. In co-firing, the emission of SO2 increased with increasing biomass share slightly, however, non-linear increase relationship between SO2 emission and fuel sulfur content was observed. Air staging significantly decreased the NO emission without raising the SO2 level. Although the change of the fuel feeding position from riser to downer resulted in a decrease in the NO emission level, no obvious change was observed for the SO2 level. Taking the coal feeding position R as a reference, the relative NO emission could significantly decrease during co-firing coal and biomass when feeding fuel at position D and keeping the first stage stoichiometry greater than 0.95. The possible mechanisms of the sulfur and nitrogen chemistry at these conditions were discussed and the ways of simultaneous reduction of SO2, NO and N2O were proposed.
基金supported by the Key Program of the National Natural Science Foundation of China(51736002)the Natural Science Foundation of Jiangsu Province(BK20180386).
文摘The co-firing of coal and biomass in oxy-fuel fluidized beds is one of the most promising technologies for capturing CO2.This technology has attracted wide attention from academia and industry in recent years as a negative emission method to capture CO2 produced by carbon contained in biomass.In the past decades,many studies have been carried out regarding experiments and numerical simulations under oxy-fuel combustion conditions.This paper firstly briefly discusses the techno-economic viability of the biomass and coal co-firing with oxycombustion and then presents a review of recent advancements involving experimental research and computational fluid dynamics(CFD)simulations in this field.Experimental studies on mechanism research,such as thermogravimetric analysis and tube furnace experiments,and fluidized bed experiments based on oxy-fuel fluidized beds with different sizes as well as the main findings,are summarized as a part of this review.It has been recognized that CFD is a useful approach for understanding the behaviors of the co-firing of coal and biomass in oxyfuel fluidized beds.We summarize a recent survey of published CFD research on oxy-fuel fluidized bed combustion,which categorized into Eulerian and Lagrangian methods.Finally,we discuss the challenges and interests for future research.
基金supported by a joint UK-China research program funded by the Engineering and Physical Sciences Research Council of the UK and the international collaboration funding from Guizhou Science and Technology Department(No.Qian-Ke-He-Wai G[2009]700110)
文摘Waste biomass is always generated during the production process in industries. The ordinary way to get rid of the waste biomass is to send them to landfill or burn it in the open field. The waste may potentially be used for co-firing with coal to save fossil fuel consumption and also reduce net carbon emissions. In this case study, the bio-waste from a Nicotiana Tahacum (NT) pre-treatment plant is used as the biomass to co-fire with coal. The samples of NT wastes were analysed. It was found that the wastes were of the relatively high energy content which were suitable for co-firing with coal. To investigate the potential and benefits for adding NT wastes to a Fluidised Bed Combustion (FBC) boiler in the plant, detailed modelling and simulation are carried out using the European Coal Liquefaction Process Simulation and Evaluation (ECLIPSE) process simulation package. The feedstock blending ratios of NT waste to coal studied in this work are varied from 0% to 30%. The results show that the addition of NT wastes may decrease the emissions of CO2 and SOx without reducing the boiler performance.
文摘Influence of co-firing rate on SO 2 emission from co-firing municipal solid waste(MSW) and bituminous containing high amount of sulfur(1.79%) was studied in a 0.15 MWt circulating fluidized bed(CFB). The temperature selected is 1123 K, typical for MSW incineration using CFB. The particle concentration in the dilution zone of the furnace, the alkali metal concentration and sulfate concentration in the recirculating ash and fly ash, and flue gas composition were determined. The results showed that the addition of MSW leads to a significant decrease in SO 2 emission. Concentration of SO 2 in flue gas decreased to 0 with the co-firing rate greater than 51%. This reduction in SO 2 emission is attributed both to the high particle concentration in the dilution zone of the furnace, the high content of alkali metals in the bed material, and to the comparatively high concentration of HCl in flue gas during co-firing of MSW and bituminous.
文摘Volumetric combustion has been developed to realize a high substitution ratio of biomass in co-firing boilers, which features an intensive flue gas internal recirculation inside furnace. However, the characteristics of NOx and SOx emissions in large-scale boilers with volumetric combustion were not fully clear. In this paper, an Aspen Plus model of volumetric combustion system was built up based on a co-firing boiler. In order to characterize the reductions of NOx and SOx, three biomass substitution ratios were involved, namely, 100% biomass, 45% biomass with 55% coal, and 100% coal. The effects of flue gas recirculation ratio, air preheating temperature, oxygen concentration, and fuel types on pollutants emission in the volumetric combustion system were investigated. According to the results, it was concluded the higher substitution ratio of biomass in a co-firing boiler, the lower emissions of NOx and SOx. Moreover, flue gas internal recirculation is an effective pathway for NOx reduction and an increased recirculation ratio resulted in a significant decreasing of NOx emission;however, the SOx increased slightly. The influences of air preheating temperature and O2 concentration on NOx emission were getting weak with increasing of recirculation ratio. When 10% or even higher of flue gas was recycled, it was observed that almost no NOx formed thermodynamically under all studied conditions. Finally, to reach a low emission level of NOx, less energy would be consumed during biomass combustion than coal combustion process for internal recirculation of flue gas.
文摘The Houston-Galveston-Brazoria (HGB) area of Texas is a moderate nonattainment region for ozone, and has a history of severe summer ozone episodes. W. A. Parish power plant (WAP) located in the greater Houston area is the largest coal and natural gas based electricity generating unit (EGU) in Texas. Forest residue is an abundant renewable resource, and can be used to offset coal usage at EGUs. This study evaluates the impact of co-firing 5%, 10%, and 15% (energy-basis) of forest residue at WAP on the air quality of the HGB area. Photochemical modeling with Comprehensive Air Quality Model with Extensions (CAMx) was conducted to investigate the air quality at three air quality monitoring sites (C696, C53, C556) in the HGB area, under two source scenarios (all-sources, point + biogenic sources). Significant reduction of SO2 and O3 was observed for 10% and 15% co-firing ratios at monitoring station (C696) close to WAP. The maximum reduction of ozone observed for 15% co-firing is 4.7% and 6.3% for all-sources and point + biogenic sources scenarios respectively. The reduction in other criteria air pollutants is not significant at all locations. The overall results from this study indicate that biomass co-firing at WAP would not lead to a significant reduction in ozone concentrations in the region during periods of peak ozone.
文摘Emission factors (EFs) of particulate matter (PM) derived from mono and co-firing of Thai lignite and agricultural residues have been investigated. Two sampling methods for PM, total filtration (TF) and electrical low-pressure impactor (ELPI), were used together. The study is focused on the influence of fuel mass fraction, and of secondary air to total air; SA:TA on EFs of PM. The results have shown that EFs of PM in mass-basis given by TF method are 8.9, 5.3 and 8.1 mg/kgfuel, while 3.3, 2.7 and 3.3 mg/kgfuel when using ELPI, for firing at constant SA:TA (30%) of lignite, rice husk and bagasse, respectively. For co-firing with 30%SA of coal/rice husk, higher EFs of PM is observed. They are 7.17 and 10.9 mg/kgfuel (TF) for 40 and 70% rice husk share, respectively, or 4.18 and 5.19 mg/kgfuel (ELPI). However, lower PM emission; 1-3.3 mg/kgruel (TF) or 0.72-2.83 mg/kgfuel (ELPI) are obtained during co-firing of coal/rice husk with lower degree of air staging (i.e. 0-10% SA:TA). For the influence of oxygenation state, increasing of SA: TA leads to a low formation of ultrafine particles (Dp 〈 0.1 μm). Apart from PM, major gases (CO, NO, SO2) will be documented in this paper.
文摘To reduce greenhouse gases emission and increase the renewable energy uti</span><span style="font-family:Verdana;">lization portion in the world, the biomass gasification coupled with a coal-fired </span><span style="font-family:Verdana;">boiler power generation system is studied. It is a challenge to achieve optimum performance for the coupled system. The models of biomass gasification coupled with co-firing of coal in a boiler have been established. A comparative study of three kinds of biomass (Food Rubbish, Straw and Wood Pellets) has </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">been </span></span></span><span><span><span><span style="font-family:Verdana;">done. The syngas produced in a 10 t/h gasifier is fed to a 330 MWe coal-fired boiler for co-combustion, and the co-firing performances have been compared with pure coal combustion case under the conditions of constant boiler load. Results show that co-firing decreases the furnace combustion temperature and raises the flue gas temperature for Food Rubbish and Straw, while, flue gases temperature decrease in case of Wood Pellets. At the same time NO<sub>x</sub> and SO<sub>x</sub> emissions have reduced. The system efficiencies at constant load for Food Rubbish, Straw and Wood Pellets are 83.25%, </span><span style="font-family:Verdana;">83.88% and 82.56% when the optimum conditions of gasification and co-firing </span><span style="font-family:Verdana;">process are guaranteed.
基金Key Research and Development Program of Xinjiang(2022B02001-1)National Natural Science Foundation of China(42105172,41975146).
文摘Background Water deficit is an important problem in agricultural production in arid regions.With the advent of wholly mechanized technology for cotton planting in Xinjiang,it is important to determine which planting mode could achieve high yield,fiber quality and water use efficiency(WUE).This study aimed to explore if chemical topping affected cotton yield,quality and water use in relation to row configuration and plant densities.Results Experiments were carried out in Xinjiang China,in 2020 and 2021 with two topping method,manual topping and chemical topping,two plant densities,low and high,and two row configurations,i.e.,76 cm equal rows and 10+66 cm narrow-wide rows,which were commonly applied in matching harvest machine.Chemical topping increased seed cotton yield,but did not affect cotton fiber quality comparing to traditional manual topping.Under equal row spacing,the WUE in higher density was 62.4%higher than in the lower one.However,under narrow-wide row spacing,the WUE in lower density was 53.3%higher than in higher one(farmers’practice).For machine-harvest cotton in Xinjiang,the optimal row configuration and plant density for chemical topping was narrow-wide rows with 15 plants m-2 or equal rows with 18 plants m-2.Conclusion The plant density recommended in narrow-wide rows was less than farmers’practice and the density in equal rows was moderate with local practice.Our results provide new knowledge on optimizing agronomic managements of machine-harvested cotton for both high yield and water efficient.
基金Supported by the Science and Technology Plan of Suzhou City,No.SKY2021038.
文摘BACKGROUND Lymph node ratio(LNR)was demonstrated to play a crucial role in the prognosis of many tumors.However,research concerning the prognostic value of LNR in postoperative gastric neuroendocrine neoplasm(NEN)patients was limited.AIM To explore the prognostic value of LNR in postoperative gastric NEN patients and to combine LNR to develop prognostic models.METHODS A total of 286 patients from the Surveillance,Epidemiology,and End Results database were divided into the training set and validation set at a ratio of 8:2.92 patients from the First Affiliated Hospital of Soochow University in China were designated as a test set.Cox regression analysis was used to explore the relationship between LNR and disease-specific survival(DSS)of gastric NEN patients.Random survival forest(RSF)algorithm and Cox proportional hazards(CoxPH)analysis were applied to develop models to predict DSS respectively,and compared with the 8th edition American Joint Committee on Cancer(AJCC)tumornode-metastasis(TNM)staging.RESULTS Multivariate analyses indicated that LNR was an independent prognostic factor for postoperative gastric NEN patients and a higher LNR was accompanied by a higher risk of death.The RSF model exhibited the best performance in predicting DSS,with the C-index in the test set being 0.769[95%confidence interval(CI):0.691-0.846]outperforming the CoxPH model(0.744,95%CI:0.665-0.822)and the 8th edition AJCC TNM staging(0.723,95%CI:0.613-0.833).The calibration curves and decision curve analysis(DCA)demonstrated the RSF model had good calibration and clinical benefits.Furthermore,the RSF model could perform risk stratification and individual prognosis prediction effectively.CONCLUSION A higher LNR indicated a lower DSS in postoperative gastric NEN patients.The RSF model outperformed the CoxPH model and the 8th edition AJCC TNM staging in the test set,showing potential in clinical practice.
基金The authors thank the Yayasan Universiti Teknologi PETRONAS(YUTP FRG Grant No.015LC0-428)at Universiti Teknologi PETRO-NAS for supporting this study.
文摘Static Poisson’s ratio(vs)is crucial for determining geomechanical properties in petroleum applications,namely sand production.Some models have been used to predict vs;however,the published models were limited to specific data ranges with an average absolute percentage relative error(AAPRE)of more than 10%.The published gated recurrent unit(GRU)models do not consider trend analysis to show physical behaviors.In this study,we aim to develop a GRU model using trend analysis and three inputs for predicting n s based on a broad range of data,n s(value of 0.1627-0.4492),bulk formation density(RHOB)(0.315-2.994 g/mL),compressional time(DTc)(44.43-186.9 μs/ft),and shear time(DTs)(72.9-341.2μ s/ft).The GRU model was evaluated using different approaches,including statistical error an-alyses.The GRU model showed the proper trends,and the model data ranges were wider than previous ones.The GRU model has the largest correlation coefficient(R)of 0.967 and the lowest AAPRE,average percent relative error(APRE),root mean square error(RMSE),and standard deviation(SD)of 3.228%,1.054%,4.389,and 0.013,respectively,compared to other models.The GRU model has a high accuracy for the different datasets:training,validation,testing,and the whole datasets with R and AAPRE values were 0.981 and 2.601%,0.966 and 3.274%,0.967 and 3.228%,and 0.977 and 2.861%,respectively.The group error analyses of all inputs show that the GRU model has less than 5% AAPRE for all input ranges,which is superior to other models that have different AAPRE values of more than 10% at various ranges of inputs.
文摘BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.However,conventional diagnostic methods such as electrocardiography,echocardiography,and cardiac biomarkers have certain limitations,such as low sensitivity,specificity,availability,and cost-effectiveness.Therefore,there is a need for simple,noninvasive,and reliable biomarkers to diagnose CHD and HF.AIM To investigate serum cystatin C(Cys-C),monocyte/high-density lipoprotein cholesterol ratio(MHR),and uric acid(UA)diagnostic values for CHD and HF.METHODS We enrolled 80 patients with suspected CHD or HF who were admitted to our hospital between July 2022 and July 2023.The patients were divided into CHD(n=20),HF(n=20),CHD+HF(n=20),and control groups(n=20).The serum levels of Cys-C,MHR,and UA were measured using immunonephelometry and an enzymatic method,respectively,and the diagnostic values for CHD and HF were evaluated using receiver operating characteristic(ROC)curve analysis.RESULTS Serum levels of Cys-C,MHR,and UA were significantly higher in the CHD,HF,and CHD+HF groups than those in the control group.The serum levels of Cys-C,MHR,and UA were significantly higher in the CHD+HF group than those in the CHD or HF group.The ROC curve analysis showed that serum Cys-C,MHR,and UA had good diagnostic performance for CHD and HF,with areas under the curve ranging from 0.78 to 0.93.The optimal cutoff values of serum Cys-C,MHR,and UA for diagnosing CHD,HF,and CHD+HF were 1.2 mg/L,0.9×10^(9),and 389μmol/L;1.4 mg/L,1.0×10^(9),and 449μmol/L;and 1.6 mg/L,1.1×10^(9),and 508μmol/L,respectively.CONCLUSION Serum Cys-C,MHR,and UA are useful biomarkers for diagnosing CHD and HF,and CHD+HF.These can provide information for decision-making and risk stratification in patients with CHD and HF.
基金Affiliated Jinling Hospital,Medical School of Nanjing University(No.22JCYYYB29).
文摘AIM:To investigate systemic immune-inflammation index(SII),neutrophil-to-lymphocyte ratio(NLR),and plateletto-lymphocyte ratio(PLR)levels in patients with type 2 diabetes at different stages of diabetic retinopathy(DR).METHODS:This retrospective study included 141 patients with type 2 diabetes mellitus(DM):45 without diabetic retinopathy(NDR),47 with non-proliferative diabetic retinopathy(NPDR),and 49 with proliferative diabetic retinopathy(PDR).Complete blood counts were obtained,and NLR,PLR,and SII were calculated.The study analysed the ability of inflammatory markers to predict DR using receiver operating characteristic(ROC)curves.The relationships between DR stages and SII,PLR,and NLP were assessed using multivariate logistic regression.RESULTS:The average NLR,PLR,and SII were higher in the PDR group than in the NPDR group(P=0.011,0.043,0.009,respectively);higher in the NPDR group than in the NDR group(P<0.001 for all);and higher in the PDR group than in the NDR group(P<0.001 for all).In the ROC curve analysis,the NLR,PLR,and SII were significant predictors of DR(P<0.001 for all).The highest area under the curve(AUC)was for the PLR(0.929 for PLR,0.925 for SII,and 0.821 for NLR).Multivariate regression analysis indicated that NLR,PLR,and SII were statistically significantly positive and independent predictors for the DR stages in patients with DM[odds ratio(OR)=1.122,95%confidence interval(CI):0.200–2.043,P<0.05;OR=0.038,95%CI:0.018–0.058,P<0.05;OR=0.007,95%CI:0.001–0.01,P<0.05,respectively).CONCLUSION:The NLR,PLR,and SII may be used as predictors of DR.
基金supported by the National Natural Science Foundation of China[no.81903336,Yi-de Yang]the Health Research Project of Hunan Provincial Health Commission[no.202112031516,Yi-de Yang]+3 种基金Scientific Research Fund of Hunan Provincial Education Department[no.22B0038,Yi-de Yang]the Research Team for Reproduction Health and Translational Medicine of Hunan Normal University[2023JC101]Key Project of Developmental Biology and Breeding from Hunan Province[no.2022XKQ0205]Open Project for Postgraduates of Hunan Normal University[no.KF2022019,Tianli Xiao].
文摘Objective Hypertriglyceridemic waist(HW),hypertriglyceridemic waist-to-height ratio(HWHtR),and waist-to-hip ratio(WHR)have been shown to be indicators of cardiometabolic risk factors.However,it is not clear which indicator is more suitable for children and adolescents.We aimed to investigate the relationship between HW,HWHtR,WHR,and cardiovascular risk factors clustering to determine the best screening tools for cardiometabolic risk in children and adolescents.Methods This was a national cross-sectional study.Anthropometric and biochemical variables were assessed in approximately 70,000 participants aged 6–18 years from seven provinces in China.Demographics,physical activity,dietary intake,and family history of chronic diseases were obtained through questionnaires.ANOVA,χ2 and logistic regression analysis was conducted.Results A significant sex difference was observed for HWHtR and WHR,but not for HW phenotype.The risk of cardiometabolic health risk factor clustering with HW phenotype or the HWHtR phenotype was significantly higher than that with the non-HW or non-HWHtR phenotypes among children and adolescents(HW:OR=12.22,95%CI:9.54-15.67;HWHtR:OR=9.70,95%CI:6.93-13.58).Compared with the HW and HWHtR phenotypes,the association between risk of cardiometabolic health risk factors(CHRF)clustering and high WHR was much weaker and not significant(WHR:OR=1.14,95%CI:0.97-1.34).Conclusion Compared with HWHtR and WHR,the HW phenotype is a more convenient indicator with higher applicability to screen children and adolescents for cardiovascular risk factors.
文摘We conducted a comprehensive review of existing prediction models pertaining to the efficacy of immune-checkpoint inhibitor(ICI)and the occurrence of immune-related adverse events(irAEs).The predictive potential of neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)in determining ICI effectiveness has been extensively investigated,while limited research has been conducted on predicting irAEs.Furthermore,the combined model incor-porating NLR and PLR,either with each other or in conjunction with additional markers such as carcinoembryonic antigen,exhibits superior predictive capabilities compared to individual markers alone.NLR and PLR are promising markers for clinical applications.Forthcoming models ought to incorporate established efficacious models and newly identified ones,thereby constituting a multifactor composite model.Furthermore,efforts should be made to explore effective clinical application approaches that enhance the predictive accuracy and efficiency.
基金Supported by Shanxi Province“136”Revitalization Medical Project Construction Funds,No.2019XY004.
文摘BACKGROUND The neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)are novel inflammatory indicators that can be used to predict the severity and prognosis of various diseases.We categorize acute pancreatitis by etiology into acute biliary pancreatitis(ABP)and hypertriglyceridemia-induced acute pancreatitis(HTGP).AIM To investigate the clinical significance of NLR and PLR in assessing persistent organ failure(POF)in HTGP and ABP.METHODS A total of 1450 patients diagnosed with acute pancreatitis(AP)for the first time at Shanxi Bethune Hospital between January 2012 and January 2023 were enrolled.The patients were categorized into two groups according to the etiology of AP:ABP in 530 patients and HTGP in 241 patients.We collected and compared the clinical data of the patients,including NLR,PLR,and AP prognostic scoring systems,within 48 h of hospital admission.RESULTS The NLR(9.1 vs 6.9,P<0.001)and PLR(203.1 vs 160.5,P<0.001)were significantly higher in the ABP group than in the HTGP group.In the HTGP group,both NLR and PLR were significantly increased in patients with severe AP and those with a SOFA score≥3.Likewise,in the ABP group,NLR and PLR were significantly elevated in patients with severe AP,modified computed tomography severity index score≥4,Japanese Severity Score≥3,and modified Marshall score≥2.Moreover,NLR and PLR showed predictive value for the development of POF in both the ABP and HTGP groups.CONCLUSION NLR and PLR vary between ABP and HTGP,are strongly associated with AP prognostic scoring systems,and have predictive potential for the occurrence of POF in both ABP and HTGP.