UV curing-assisted 3D plotting of ceramic feedstock containing thermo-regulated phase-separable,photocurable vehicle for dual-scale porosity structure

We propose a novel approach for manufacturing dual-scale porosity alumina structures by UV curing-assisted 3D plotting of a specially formulated alumina feedstock using a thermo-regulated phase separable, photocurable camphene/triethylene glycol dimethacrylate (TEGDMA) vehicle. In particular, 3D plotting process was conducted at - 5 °C, and thus an alumina suspension prepared using liquid camphene/TEGDMA at room temperature could undergo phase separation, resulting in camphene crystals surrounded by walls comprised of liquid photopolymer enclosing alumina particles. To enhance the shape retention ability of extruded filaments, polystyrene (PS) polymer was used as the tackifier. The phase-separated feedrod could be extruded favorably through a nozzle and rapidly photopolymerized by UV light during the 3D plotting process. Three-dimensionally interconnected macropores were tightly constructed, which were separated by microporous alumina filaments, where micropores were created by the removal of camphene crystals via freeze-dying. The macroporosity of porous alumina ceramics was controlled by adjusting the distance between deposited filaments, while their microporosity was kept constant, leading to tightly tailored overall porosity and mechanical properties.     

Clinical Characteristics and Outcomes of Type 2 Diabetes Patients Infected with COVID-19: A Retrospective Study

Diabetes and its related metabolic disorders have been reported as the leading comorbidities in patients with coronavirus disease 2019 (COVID-19). This clinical study aims to investigate the clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes in COVID-19 patients with or without diabetes. This retrospective study included 208 hospitalized patients (≥ 45 years old) with laboratory-confirmed COVID-19 during the period between 12 January and 25 March 2020. Information from the medical record, including clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes, were extracted for the analysis. 96 (46.2%) patients had comorbidity with type 2 diabetes. In COVID-19 patients with type 2 diabetes, the coexistence of hypertension (58.3% vs 31.2%), coronary heart disease (17.1% vs 8.0%), and chronic kidney diseases (6.2% vs 0%) was significantly higher than in COVID-19 patients without type 2 diabetes. The frequency and degree of abnormalities in computed tomography (CT) chest scans in COVID-19 patients with type 2 diabetes were markedly increased, including ground-glass opacity (85.6% vs 64.9%, P < 0.001) and bilateral patchy shadowing (76.7% vs 37.8%, P < 0.001). In addition, the levels of blood glucose (7.23 mmol·L⁻¹ (interquartile range (IQR): 5.80–9.29) vs 5.46 mmol·L⁻¹ (IQR: 5.00–6.46)), blood low-density lipoprotein cholesterol (LDL-C) (2.21 mmol·L⁻¹ (IQR: 1.67–2.76) vs 1.75 mmol·L⁻¹ (IQR: 1.27–2.01)), and systolic pressure (130 mmHg (IQR: 120–142) vs 122 mmHg (IQR: 110–137)) (1 mmHg = 133.3 Pa) in COVID-19 patients with diabetes were significantly higher than in patients without diabetes (P < 0.001). The coexistence of type 2 diabetes and other metabolic disorders is common in patients with COVID-19, which may potentiate the morbidity and aggravate COVID-19 progression. Optimal management of the metabolic hemostasis of glucose and lipids is the key to ensuring better clinical outcomes. Increased clinical vigilance is warranted for COVID-19 patients with diabetes and other metabolic diseases that are fundamental and chronic conditions.     

Incidence and costs of bicycle-related traumatic brain injuries in the Netherlands

The main cause of death and serious disability in bicycle accidents is traumatic brain injury (TBI). The aim of this population-based study was to assess the incidence and costs of bicycle-related TBI across various age groups, and in comparison to all bicycle-related injuries, to identify main risk groups for the development of preventive strategies.Data from the National Injury Surveillance System and National Medical Registration were used for all patients with bicycle-related injuries and TBI who visited a Dutch emergency department (ED) between 1998 and 2012. Demographics and national, weighted estimates of injury mechanism, injury severity and costs were analysed per age group. Direct healthcare costs and indirect costs were determined using the incidence-based Dutch Burden of Injury Model.Between 1998 and 2012, the incidence of ED treatments due to bicycle-related TBI strongly increased with 54%, to 43 per 100,000 persons in 2012. However, the incidence of all bicycle-related injuries remained stable, from 444 in 1998 to 456/100,000 in 2012. Incidence of hospital admission increased in both TBI (92%) and all injuries from cycling (71%). Highest increase in incidence of both ED treatments and hospital admissions was seen in adults aged 55+. The injury rate of TBI per kilometre travelled increased (44%) except in children, but decreased (−4%) for all injuries, showing a strong decrease in children (−36%) but an increase in men aged 25+, and women aged 15+. Total costs of bicycle-related TBI were €74.5 million annually. Although bicycle-related TBI accounted for 9% of the incidence of all ED treatments due to cycling, it accounted for 18% of the total costs due to all bicycle-related injuries (€410.7 million). Children and adolescents (aged 0–24) had highest incidence of ED treatments due to bicycle-related injuries. Men in the working population (aged 15–64) had highest indirect costs following injuries from cycling, including TBI. Older cyclists (aged 55+) were identified as main risk group for TBI, as they had highest ED attendance, injury rate, injury severity, admission to hospital or intensive care unit, and costs.Incidence of ED treatments due to cycling are high and often involve TBI, imposing a high burden on individuals and society. Older cyclists aged 55+ were identified as main risk group for TBI to be targeted in preventive strategies, due to their high risk for (serious) injuries and ever-increasing share of ED visits and hospital admissions.     

Annual and regional variations of aflatoxin B1 levels seen in grains and feed coming from Croatian dairy farms over a 5-year period

The aim of the study was to investigate annual and regional differences in the level of aflatoxin B₁ (AFB₁) in grains and dairy cattle feed. Maize (n = 972), wheat (n = 201), barley (n = 147), oat (n = 136), grain mixtures (n = 168), and dairy cattle feed (n = 325) were sampled from 2009 to 2013 on different farms and in different farm factories situated in four Croatian regions. The samples were analysed for AFB₁ using the validated ELISA immunoassay. AFB₁ was determined in 16.4% of all investigated samples, among which maize was proven to be the most contaminated, with 21.7% of the samples recovered during 2013 harbouring AFB₁ in concentrations over the permissible ones. Levels higher than permitted were observed in 17.9% and 12.3% of grain mixtures and dairy cattle feed, respectively, whereas concentrations of AFB₁ determined in other crops throughout the investigated period met the stipulated requirements. The results revealed the AFB₁ occurrence to be significantly (p < 0.05) dependent on the cultivation region, with the highest levels generally found in maize harvested in 2013 and consequently in grain mixtures and cattle feed that can most likely be associated with climatic conditions as the most critical factor for mould formation, and thus also AFB₁ production.     

BiPO4 film on ITO substrates for photoelectrocatalytic degradation

BiPO₄ film was fabricated on indium-tin oxide glass substrate via dip-coating method for photoelectrocatalytic (PEC) activity. BiPO₄ film has performed a superior PEC degradation ability with synergetic effect of electro-oxidation and photocatalysis. The degradation rate of Methyl Blue (MB) increased greatly as bias potential increased and the highest activity was achieved at the bias potential of 3.0 V (vs. SCE in 0.1 mol/L Na₂SO₄, pH = 7). The PEC activity of BiPO₄ film is 5 times and 15 times higher than that of photocatalytic degradation and electrochemical oxidation, respectively. The acid condition plays an important role in achieving effective photoelectrocatalysis. The PEC degradation rate was also affected by the adsorption and the oxidation reaction of the ions of electrolytes. This BiPO₄ film could open up new opportunities to develop high-performance photoanode for PEC degradation.     

The relationship between centrality and land use patterns: Empirical evidence from five Chinese metropolises

The relationship between location and land use patterns is one of the classic theoretical issues in urban studies. Classic models based on the monocentricity hypothesis have limitations in the interpretation of modern urban structure. China has experienced institutional transformation in recent decades, and the interaction of national government policy, market forces and the natural environment has influenced urban planning in Chinese metropolises, resulting in urban structures with special characteristics. This paper examines the distribution of location and land use intensity, and tested the Alonso model by the relationship between them in five Chinese metropolises using Point of Interest data, space syntax methodology, the grid weighted statistical method and the Geographically Weighted Regression (GWR) model. Universal patterns about the scaling relation between intensity of land use types and the centrality of location are revealed. The elasticity of land use types to location, from high to low sensitivity, is commercial, residential then industrial land in most of the five metropolises studied. The sensitivity sequence of land use studied suggests that the hypothetical model based on the classical Alonso model can explain the spatial structure of modern metropolises in China to some extent, especially for the commercial land. But the order of sensitivity of residential land and industrial land to location does not conform to the model. The spatial heterogeneity in land use intensity and centrality were explored and the factors embedded were discussed. It can be found that the relation between centrality and land use intensity conforms to power law. In most of the metropolises studied, when the scaling relation between land use intensity and centrality is super linear, the sequence of the frequency value from high to low are commercial, residential and industrial land; when the scaling relation is sublinear, the sequence of the frequency value is industrial, residential and commercial land.     

Indoor solid fuel use for heating and cooking with blood pressure and hypertension: A cross-sectional study among middle-aged and older adults in China

A cross-sectional study was conducted to investigate the impact of solid fuel use for heating and cooking on blood pressure (BP) and hypertension, using data from the China Health and Retirement Longitudinal Study (CHARLS). The primary fuels used for indoor heating and cooking were collected by questionnaires, respectively. Hypertension was defined based on self-report of physician's diagnosis, and/or measured BP, and/or anti-hypertensive medication use. Multivariate logistic regression models were constructed to assess the associations. Among 10 450 eligible participants, 68.2% and 57.2% used indoor solid fuel for heating and cooking, respectively. Compared with none/clean fuel users, solid fuel for heating was associated with elevated BP (adjusted β: 2.02, 95% CI: 1.04–3.01 for systolic BP; adjusted β: 1.36, 95% CI: 0.78–1.94 for diastolic BP) and increased risk of hypertension (adjusted odds ratio: 1.15, 95% CI: 1.03–1.29). The impact of indoor solid fuel for heating on BP was more evident in rural and north residents, and hypertensive patients. We did not detect any significant associations between solid fuel use for cooking and BP/hypertension. Indoor solid fuel use is prevalent in China, especially in the rural areas. Its negative impact on BP suggested that modernization of household fuel use may help to reduce the burden of hypertension in China.     

Prediction of risk factors of cyberbullying-related words in Korea: Application of data mining using social big data

The study examined a decision tree analysis using social big data to conduct the prediction model on types of risk factors related to cyberbullying in Korea. The study conducted an analysis of 103,212 buzzes that had noted causes of cyberbullying and data were collected from 227 online channels, such as news websites, blogs, online groups, social network services, and online bulletin boards. Using opinion-mining method and decision tree analysis, the types of cyberbullying were sorted using SPSS 25.0. The results indicated that the total rate of types of cyberbullying in Korea was 44%, which consisted of 32.3% victims, 6.4% perpetrators, and 5.3% bystanders. According to the results, the impulse factor was also the greatest influence on the prediction of the risk factors and the propensity for dominance factor was the second greatest factor predicting the types of risk factors. In particular, the impulse factor had the most significant effect on bystanders, and the propensity for dominance factor was also significant in influencing online perpetrators. It is necessary to develop a program to diminish the impulses that were initiated by bystanders as well as victims and perpetrators because many of those bystanders have tended to aggravate impulsive cyberbullying behaviors.     

Increasing peptide yield of soybean meal solid-state fermentation of ultrasound-treated Bacillus amyloliquefaciens

The purpose of the study was to investigate the feasibility and mechanisms of increasing peptide yield of soybean meal solid-state fermentation (SSF) products by ultrasound-treated Bacillus amyloliquefaciens. Under the optimal parameters level (frequency of 40 kHz, power density of 40 W/L, time of 17.5 min), peptide content of SSF soybean meal in ultrasonic treatment group reached 150.68 mg/g, which increased by 13.10% compared to the control. Ultrasound-treated B. amyloliquefaciens enhanced peptide yield, biomass and protease activity at early stage of SSF. Analysis of omics and qRT-PCR validated that ultrasound treatment did not promote protease secretion but facilitated the germination of endospores. The germination rate increased from 15.67% to 67.33%. According to growth curve determination, ultrasound-treated B. amyloliquefaciens had shorter lag times due to increased vegetative cell content in the inoculum. In conclusion, peptide yield of soybean meal SSF products can be effectively increased by ultrasound-treated B. amyloliquefaciens, which is because of the facilitation effect of ultrasound on endospores germination.