Comparative efficacy of sodium glucose cotransporter-2 inhibitors in the management of type 2 diabetes mellitus:A real-world experience

BACKGROUND Sodium glucose cotransporter-2 inhibitors(SGLT-2i)are a class of drugs with modest antidiabetic efficacy,weight loss effect,and cardiovascular benefits as proven by multiple randomised controlled trials(RCTs).However,real-world data on the comparative efficacy and safety of individual SGLT-2i medications is sparse.AIM To study the comparative efficacy and safety of SGLT-2i using real-world clinical data.METHODS We evaluated the comparative efficacy data of 3 SGLT-2i drugs(dapagliflozin,canagliflozin,and empagliflozin)used for treating patients with type 2 diabetes mellitus.Data on the reduction of glycated hemoglobin(HbA1c),body weight,blood pressure(BP),urine albumin creatinine ratio(ACR),and adverse effects were recorded retrospectively.RESULTS Data from 467 patients with a median age of 64(14.8)years,294(62.96%)males and 375(80.5%)Caucasians were analysed.Median diabetes duration was 16.0(9.0)years,and the duration of SGLT-2i use was 3.6(2.1)years.SGLT-2i molecules used were dapagliflozin 10 mg(n=227;48.6%),canagliflozin 300 mg(n=160;34.3%),and empagliflozin 25 mg(n=80;17.1).Baseline median(interquartile range)HbA1c in mmol/mol were:dapagliflozin-78.0(25.3),canagliflozin-80.0(25.5),and empagliflozin-75.0(23.5)respectively.The respective median HbA1c reduction at 12 months and the latest review(just prior to the study)were:66.5(22.8)&69.0(24.0),67.0(16.3)&66.0(28.0),and 67.0(22.5)&66.5(25.8)respectively(P<0.001 for all comparisons from baseline).Significant improvements in body weight(in kilograms)from baseline to study end were noticed with dapagliflozin-101(29.5)to 92.2(25.6),and canagliflozin 100(28.3)to 95.3(27.5)only.Significant reductions in median systolic and diastolic BP,from 144(21)mmHg to 139(23)mmHg;(P=0.015),and from 82(16)mmHg to 78(19)mmHg;(P<0.001)respectively were also observed.A significant reduction of microalbuminuria was observed with canagliflozin only[ACR 14.6(42.6)at baseline to 8.9(23.7)at the study end;P=0.043].Adverse effects of SGLT-2i were as follows:genital thrush and urinary infection-20(8.8%)&17(7.5%)with dapagliflozin;9(5.6%)&5(3.13%)with canagliflozin;and 4(5%)&4(5%)with empagliflozin.Diabetic ketoacidosis was observed in 4(1.8%)with dapagliflozin and 1(0.63%)with canagliflozin.CONCLUSION Treatment of patients with SGLT-2i is associated with statistically significant reductions in HbA1c,body weight,and better than those reported in RCTs,with low side effect profiles.A review of large-scale real-world data is needed to inform better clinical practice decision making.

RAMAN SPECTRA OF SODIUM ALUMINATE SOLUTIONS WITH HIGH-CAUSTIC RATIO AND HIGH CONCENTRATION

The constitution of high-caustic ratio and highly concentrated sodium aluminate solutions has been investigated by Raman spectra method.By comparison with the Raman spectra of crystalline solids of Ca_3[Al(OH)_6]_2 and Ba_2[Al_2(OH)_(10)],it can be concluded that AI(OH)_6^(3-)ion and perhaps its polymers may be formed in these solutions.

Desiliconization kinetics of nickeliferous laterite ores in molten sodium hydroxide system

A novel process was proposed for treating nickeliferous laterite ores with molten sodium hydroxide.The effect on silicon extraction caused by the factors,such as stirring speed,reaction temperature,particle size and NaOH-to-ore mass ratio,was investigated.The results show that increasing stirring speed,reaction temperature and NaOH-to-ore mass ratio while decreasing particle size increases silicon extraction rate.The desiliconization kinetics of nickeliferous laterite ores in molten sodium hydroxide system was described successfully by chemical reaction control model.The activation energy of the desiliconization process was found to be 44.01 kJ/mol,and the reaction rate based on a chemical reaction-controlled process can be expressed as:1-(1-α) 1/3 = 27.67exp[-44 010/(RT)]t.

Leaching of vanadium,sodium,and silicon from molten V?Ti-bearing slag obtained from low-grade vanadium-bearing titanomagnetite

The water leaching process of vanadium, sodium, and silicon from molten vanadium-titanium-bearing（V-Ti-bearing） slag obtained from low-grade vanadium-bearing titanomagnetite was investigated systematically. The results show that calcium titanate, sodium aluminosilicate, sodium oxide, silicon dioxide and sodium vanadate are the major components of the molten V-Ti-bearing slag. The experimental results indicate that the liquid-solid（L/S） mass ratio significantly affects the leaching process because of the respective solubilities and diffusion rates of the components. A total of 83.8% of vanadium, 72.8% of sodium, and 16.1% of silicon can be leached out via a triple counter-current leaching process under the optimal conditions of a particle size below 0.074 mm, a temperature of 90°C, a leaching time of 20 min, an L/S mass ratio of 4：1, and a stirring speed of 300 r/min. The kinetics of vanadium leaching is well described by an internal diffusion-controlled model and the apparent activation energy is 11.1 kJ/mol. The leaching mechanism of vanadium was also analyzed.

Electrodeposition of Gold to Conformally Fill High-Aspect-Ratio Nanometric Silicon Grating Trenches: A Comparison of Pulsed and Direct Current Protocols

Filling high-aspect-ratio trenches with gold is a frequent requirement in the fabrication of X-ray optics as well as micro-electronic components and other fabrication processes. Conformal electrodeposition of gold in sub-micron-width silicon trenches with an aspect ratio greater than 35 over a grating area of several square centimeters is challenging and has not been described in the literature previously. A comparison of pulsed plating and constant current plating led to a gold electroplating protocol that reliably filled trenches for such structures.

Preparation of Al(OH)_3 by ion membrane electrolysis and precipitation of sodium aluminate solution with seeds

The preparation of Al(OH)3 by the ion exchange membrane electrolysis followed by the precipitation of sodium aluminate solution with seeds was made. During the process of ion membrane electrolysis, the sodium aluminate solution is rapidly acidified and the caustic ratio (aK) is decreased due to oxygen evolution in the anodic region. And the causticity of solution is increased due to hydrogen evolution in the cathode region, producing the high concentration of caustic soda solution. Regulating the acidity of the anodic solution by controlling the electric quantity in the electrolysis and subsequent decomposing the solution, Al(OH)3 could yield with very large rate and high efficiency. The experiments also indicate that the quality of aluminum hydroxide product is greatly affected by the impurity silicon.

Direct Determination of Potassium-Sodium Activity Ratio in Soil Suspension with Two Ion-Selective Electrodes

A K^+-selective electrode and a Na^+-selective electrode were used to construct a measuring cell without liquid-junction for the determination of the ion activity ratio of K^+ to Na^+ in soil suspensions.The measured cell potential was not affected by the total electrolyte concentration when the total cation concentration was 10^-1-10^-3 mol L^-1 and the concentration ratio Ck+/CNa+ was 10:1 to 1:50.When the concentration ratios were equal to 1 and the total electrolyte concentrations were 10^-2 and 10^-3 mol L^-1,the ion activity ratio measurenent would not be affected by pH in the pH range of 3.5 to 11.5 and 4.4 to 11 respectively.Ions other than H^+ have no remarkable influence on the measurement.The ion activity ratio of K^+ to Na^+ measured directly in soil suspension agree well with those in centrifuged supernant solution.The relative deviation was within 4%.From the measured ion activity ratio,the difference of the bonding energies of K^+ and Na^+ ions was calculated.

Corrosion Resistance ofAA6063-Type AI-Mg-Si Alloy by Silicon Carbide in Sodium Chloride Solution for Marine Application

The present work focused on corrosion inhibition of AA6063 type Al-Mg-Si alloy in sodium chloride(Na Cl) solution with a silicon carbide inhibitor, using the potentiodynamic electrochemical method. The aluminium alloy surface morphology was examined, in the as-received and as-corroded in the un-inhibited state, with scanning electron microscopy equipped with energy dispersive spectroscopy(SEM-EDS). The results obtained via linear polarization indicated a high corrosion potential for the unprotected as-received alloy. Equally, inhibition efficiency as high as 98.82% at 10.0 g/v silicon carbide addition was obtained with increased polarization resistance(Rp), while the current density reduced significantly for inhibited samples compared to the un-inhibited aluminium alloy. The adsorption mechanism of the inhibitor aluminium alloy follows the Langmuir adsorption isotherm. This shows that the corrosion rate of aluminium alloy with silicon carbide in Na Cl environment decreased significantly with addition of the inhibitor.

Fluidization thermal decomposition of sodium fluosilicate

To break through the thermodynamic limitation that sodium fluosilicate only can be completely decomposed at high temperature,the technology of pre-decomposition under SiF_(4) atmosphere and deep decomposition under air condition at lower temperature was developed.The hydrolysis reaction of sodium fluosilicate can be effectively restrained when drying under vacuum or low temperature.Thermal decomposition results of sodium fluosilicate indicate that temperature has a very significant effect on its decomposition.The decomposition ratio can reach 79.4%at 600℃ for 1 h,and 99.6% at 700℃ for 1 h under air condition,respectively.Gas velocity and the type of inert gas have no significant effect on its decomposition.Fine particles affect its decomposition performance due to agglomeration,while coarse particles have good thermal decomposition performance without significant differences.The decomposition reaction process in fluidized bed satisfies the classical Avrami Erofe'EV model,with the reaction order of 1.5 and the activation energy of 61.35 kJ·mol^(-1).

Effects of Groundwater with Various Salinities on Evaporation and Redistribution of Water and Salt in Saline-sodic Soils in Songnen Plain,Northeast China

Groundwater mineralization is one of the main factors affecting the transport of soil water and salt in saline-sodic areas.To investigate the effects of groundwater with different levels of salinity on evaporation and distributions of soil water and salt in Songnen Plain,Northeast China,five levels of groundwater sodium adsorption ration of water(SARw)and total salt content(TSC mmol/L)were conducted in an oil column lysimeters.The five treated groundwater labeled as ST0:0,ST0:10,ST5:40,ST10:70 and ST20:100,were prepared with NaCl and CaCl2 in proportion,respectively.The results showed the groundwater evaporation(GWE)and soil evaporation(SE)increased firstly and then decreased with the increase of groundwater salinity.The values of GWE and SE in ST10:70 treatment were the highest,which were 2.09 and 1.84 times the values in the ST0:0 treatment with the lowest GWE and SE.There was a positive linear correlation between GWE and the Ca^(2+)content in groundwater,with R^(2)=0.998.The soil water content(SWC)of ST0:0 treatment was significantly(P<0.05)less than those of other treatments during the test.The SWC of the ST0:0 and ST0:10 treatments increased with the increase of soil depth,while the other treatments showed the opposite trend.Statistical analysis indicated the SWC in the 0–60 cm soil layer was positively correlated with the groundwater TSC and its ion contents during the test.Salt accumulation occurred in the topsoil and the salt accumulation in the 0–20 cm soil layer was significantly(P<0.05)greater than that in the subsoil.This study revealed the effects of the salinity level of groundwater,especially the Ca^(2+)content and TSC of groundwater,on the GWE and distributions of soil water and salt,which provided important support for the prevention and reclamation of soil salinization and sodificaton in shallow groundwater regions.

镁硅比和养护温度对硅酸镁水泥电磁性能的影响

采用波导法测定硅酸镁水泥的电磁性能,分析镁硅比和养护温度的影响,并基于微观测试结果进行机理分析.结果表明:提高养护温度可以显著增强硅酸镁水泥的早期强度;硅酸镁水泥的复介电常数实部随着镁硅比和养护温度的提高逐渐增大;提高养护温度使硅酸镁水泥的复介电常数虚部和损耗角正切值增大;与镁硅比相比,养护温度对硅酸镁水泥的透射率、反射率和吸收率的影响更为明显.微观测试结果显示含水量和孔结构对硅酸镁水泥的电磁性能有重要影响.

水热法合成超细斜发沸石试验研究

斜发沸石具有较强的吸附和离子交换能力,在重金属和油污废水去除、制糖、造纸净化、抗菌抗癌药物助剂制备、石油化工催化裂化、国防以及CO_(2)脱除等领域应用广泛。为了获得纯度较高的斜发沸石,以NaOH、KOH、Al(OH)_(3)、Na_(2)O·nSiO_(2)、H_(2)O为原料,采用水热法制备了斜发沸石,并通过XRD和晶面分析,研究了斜发沸石的合成条件,结果表明:合成斜发沸石的最佳条件为n(SiO_(2))/n(Al_(2)O_(3))=11、n(OH-)/n(SiO_(2))=0.55、n(H_(2)O)/n(SiO_(2))=25~55、温度150℃、时间6 d,合成的斜发沸石呈片状结构,特征峰完整,纯度较高,其晶胞组成为Na_(0.36)K_(6.58)[(AlO_(2))6(SiO_(2))_(25.26)]·6.71H_(2)O,n(SiO_(2))/n(Al_(2)O_(3))约为8.5,属中硅铝比沸石。SEM分析结果显示,其粒径在1.3μm以下,表明粒度非常细;其静态水吸附量为34.3%,达到了HG/T 2690-2012《13X分子筛》中的一等品指标要求。研究成果可为高纯度细粒斜发沸石的精准合成提供借鉴。

药液稀释倍数对威百亩分解产生异硫氰酸甲酯及其消解的影响

种植前施用威百亩进行土壤熏蒸消毒,其分解产生的异硫氰酸甲酯(methyl isothiocyanate, MITC)可有效控制土传病原菌。威百亩以滴灌方式施用更为方便、安全,但在滴灌前的稀释过程中可能会水解产生MITC,MITC继续消解或挥发导致进入土壤的有效成分量减少。因此有必要筛选适宜的威百亩稀释倍数,保证MITC在土壤中分布均匀的同时减少威百亩分解及MITC消解和挥发导致的损失。本文研究了不同pH条件下稀释倍数对威百亩水解产生MITC及MITC消解的影响。结果表明,在中性条件下,由威百亩水解产生的MITC量及其消解速率均随稀释倍数增加而增加;在酸性条件下,稀释100倍时MITC的产生量及消解速率均为最大,稀释50倍时MITC的产生量最低,稀释400倍时MITC消解最慢;在碱性条件下,MITC的产生量随稀释倍数增加而增加,消解速率为稀释1 000倍时最快,稀释100倍时最慢。研究结果对滴灌施用威百亩时田间用水量及威百亩用量均具有指导意义。

贵州省清镇市大土铝锂多金属矿找矿预测初探

贵州黔中铝土矿属于长期风化产物搬运至异地沉积形成,主要矿物是一水硬铝石,品位一般在60%至70%之间,现主要作为冶炼铝和生产高端磨料等的原材料,矿体特征表现为以层状、似层状、透镜状矿体为主,次为囊状、扁豆状、漏斗状矿体;矿体的连续性较好,规模较大。锂矿是近年来新能源电池的主要原料之一,早期由于用途和用量的限制,在地质勘查中对其重视程度不够,工业品位要求也比较高,对铝土矿中共生锂矿资源综合勘查评价不够深入细致,忽略了锂矿资源的综合评价。笔者通过对贵州省清镇市大土铝土矿中共生锂矿赋存特征进行调查评价研究发现,在含铝岩系中铝硅比值在1:1至1:1.5之间的铝质粘土岩样品,其锂矿(Li_(2)O)品位大多高于其他样品,在将该类样品回归至地质工程中进行对比,其大多分布于铝土矿矿体(Al_(2)O_(3)大于40%,铝硅比大于1.8)的上部,赋存在致密块状铝质粘土岩层中。为确定其赋矿层位及岩性的关系,本文将对其锂矿赋存特征进行初步探讨。

黄铜矿粗选指标对水玻璃超声波改性的响应及其机理

为阐明黄铜矿粗选指标与水玻璃超声波改性的内在关系,以超声波预处理的水玻璃为调整剂,进行了黄铜矿实际矿物的浮选试验,并采用pH值、黏度及红外光谱等手段对超声波预处理水玻璃溶液及矿浆浊度进行了表征。结果表明,黄铜矿的粗选回收率对超声波改性的水玻璃较为敏感。铜的回收率在水玻璃预处理时间为15 min作用时的敏感性最强,为85.42%,与未改性水玻璃的回收率相比提高了9.19个百分点。超声波预处理可减小水玻璃溶液的pH值,并使其黏度降低0.36%,这有利于水玻璃在矿浆中的分散。此外,超声波预处理还可改变水玻璃溶液的中水分子的比例以及水玻璃官能团的组成,并使预处理后的水玻璃溶液中游离水羟基与H 2 SiO 3中的Si—OH的相对比例分别提高7.83个百分点和1.08个百分点。游离水组份的增加有利于改善黄铜矿的疏水性及浮选效果,水玻璃有效成分H 2 SiO 3中Si—OH的组份增加在一定程度上强化了对矿泥的分散作用,从而提高了粗选作业铜的回收率。研究对超声波技术在有色金属浮选领域的应用有一定参考意义。

铝酸钠溶液制备固体高纯铝酸钠实验研究

以铝酸钠水溶液为原料,通过蒸发-冷却析晶-脱水提纯工艺制备高纯固体铝酸钠,研究了添加剂对体系苛性比及析晶产物的影响以及铝酸钠溶液蒸发结晶过程的作用及行为。结果表明,以NaOH为添加剂能增加溶液体系苛性比,使蒸发结晶产物转变为NaAlO_(2);添加NaAlO_(2)晶种、以NaOH为添加剂调节体系苛性比至1.36,蒸发温度100℃、结晶时间2 h、搅拌速率300 r/min条件下,可获得纯度88.1%的铝酸钠产品;在脱水温度200℃、脱水时间1 h、乙醇100℃提纯1 h条件下,可得到纯度93.8%、晶体粒度5~25μm的固体高纯铝酸钠。

基于硅基光电子芯片的低损耗动态偏振控制器

动态偏振控制器能够实现输入光场任意偏振态到输出光场任意偏振态的控制,可以动态补偿长距离单模光纤导致的双折射效应,是量子通信和相干通信系统中的重要器件.本文设计并实验验证了基于硅基光电子芯片的低损耗动态偏振控制器,芯片采用标准的绝缘体上硅工艺制作,器件整体尺寸为5.20 mm×0.12 mm×0.80 mm,整体损耗为5.7 dB,最大功耗为0.2W.基于可变步长.模拟退火算法、低噪声探测器和高静态消光比的器件,动态偏振消光比可锁定至30 dB以上.芯片采用热相移器对TE0光场的相位延迟量进行控制,整体为0°/45°/0°/45°结构,可实现无端偏振控制.基于Lumerical软件对核心部件偏振旋转分束结构进行了优化,该结构将以端面耦合方式进入波导中的TM0模式光场转化至另一波导中的TE0模式光场,而原单波导中TE0模式光场不发生转化,实验测得动态偏振控制器的静态偏振消光比可达40 dB以上.该器件具有小体积、低功耗和低成本的特点,可以广泛应用于量子通信和相干通信等领域,特别是需要考虑体积、功耗和成本的应用场合.

PEG辅助合成片层结构钛硅分子筛催化氧化脱硫性能研究

以正硅酸乙酯为硅源、钛酸四丁酯为钛源、四丙基氢氧化铵为模板剂,采用聚乙二醇作为结构导向剂制备了片层结构钛硅分子筛,进行了表征和分析。结果表明:聚乙二醇辅助合成的钛硅分子筛(PTS)具有明显的片层结构、较高的比表面积和多级孔道结构;以1 000 mg/L噻吩-正辛烷为模拟油、H_(2)O_(2)为氧化剂进行脱硫性能实验,在相同脱硫时间内PTS-30(硅钛比为30)对噻吩脱除性能较传统钛硅分子筛提高近10%,循环7次后PTS-30分子筛脱硫性能仍保持60.2%。

长期施用有机肥对松嫩平原盐碱土壤盐碱性质和化学计量比的影响

盐碱土盐碱化程度高、养分有效性低,施加有机肥可以促进土壤盐分淋洗,降低土壤盐碱化程度,增加养分含量和土壤碳、氮、磷的供应能力。根据土壤施加腐熟牛粪的年限,设置施加腐熟牛粪21(Y21)、18(Y18)、15年(Y15)和未施加腐熟牛粪(CK)共4个处理,采集各处理0—20和20—40 cm土层的土壤样品,分析土壤盐碱性质和养分含量。结果表明,0—20和20—40 cm土层Y21、Y18、Y15处理有机碳(soil organic carbon,SOC)、全氮(total-N,TN)和全磷(total-P,TP)含量显著高于CK;土壤水溶性盐离子、pH、电导率(electrical conductance,EC)、钠吸附比(sodium adsorption ratio,SAR)和碱化度(exchangeable sodium percentage,ESP)较CK显著降低。在0—20和20—40 cm土层,Y21、Y18、Y15处理碳氮比(C/N)较CK显著降低;与CK相比,Y21与Y15处理0—20 cm土层氮磷比(N/P)由0.95显著增加至1.84和2.11,20—40 cm土层N/P由1.15显著增加至2.25和2.44;土壤碳磷比(C/P)在0—20 cm土层规律不明显,在20—40 cm土层Y21、Y18、Y15处理与CK相比差异不显著。多元线性回归模型显示,C/N受SOC、TN和ESP影响,N/P和C/P主要受TP和TN影响。综上所述,松嫩平原西部草甸碱土施加有机肥后土壤盐碱程度降低,SOC、TN、TP含量和N/P增加,C/N降低,且施加有机肥改良15年的土壤供碳、供氮潜力达到最大。

高铁低硅赤泥钠化还原的物相转变及铁分离特性

高温焙烧赤泥可实现铁、铝、硅等元素的形态转化,使其易于分离回收,但高铁低硅赤泥的钠化还原焙烧反应差异性及机制研究却少有报道。本文采用X射线衍射分析,考察了还原温度、碳酸钠用量、还原时间等对高铁低硅赤泥还原焙烧的矿相转化及微结构影响,分析了反应后的铁磁化分离差异性。结果表明:还原焙烧中钠与铝、硅元素结合形成铝钠硅酸盐,有效破坏了铁、铝元素的紧密结构;赤铁矿、铝针铁矿大部分转为磁铁矿和浮氏体,促进了铁氧化物还原;低熔点含钠固溶体降低了金属铁质点迁移阻力,加速了铁晶粒的长大。基于铁铝结构崩解及粗晶粒金属铁的生成,焙烧产物经磨矿-磁选后,获得了全铁含量为90.41%、Fe回收率为93.08%的铁回收指标。