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Large-nerve fiber dysfunction, as assessed by vibration perception threshold (VPT) predicts risks of ulceration, amputation, and mortality in diabetes. Serum uric acid (UA) is closely associated with various metabolic disorders, especially diabetes. Thus, we sought to investigate the clinical relevance of UA to large-nerve fiber dysfunction, among patients with type 2 diabetes (T2D). Medical records of consecutive patients with T2D who were admitted to Beijing Friendship Hospital Pinggu Campus between May 2014 and December 2016 were collected. Data for the 824 eligible patients included in the final analysis were extracted using a structured form. A VPT value ≥15 in either foot was defined as abnormal. We compared the clinical characteristics between patients with abnormal VPT and those with normal VPT (VPT value <15 in both feet) in the overall population and in gender subgroups. Logistic regression analysis was performed to explore the association of abnormal VPT with UA level. One-way analysis of variance was used to compare VPT values across four UA quartiles. UA levels were significantly lower in T2D patients with abnormal VPT than in those with normal VPT (294.5 ± 84.0 vs. 314.9 ± 92.8 μmol/L, P < 0.01), especially among male patients (311.7 ± 85.2 vs. 336.9 ± 89.6 μmol/L, P < 0.01). From the logistic regression analysis, hyperuricemia (males >420 μmol/L; females >360 μmol/L) was associated with a reduced risk of abnormal VPT (odds ratio [OR], 0.60; 95% confidence interval [CI], 0.39-0.91; P < 0.05). This association was robust in male patients (OR, 0.43; 95% CI, 0.24-0.76; P < 0.01) but not in female patients (OR, 0.92; 95% CI, 0.47-1.82; P = 0.816), even after adjustment for confounding factors. For the younger male subgroup (age <65 years), VPT values decreased as the UA level increased (P for trend = 0.002), but this trend was not significant in older male subgroup (age ≥65 years; P for trend = 0.400). Low serum UA levels showed a significant association with an increased risk of large-nerve fiber dysfunction in male patients with T2D, but not in female patients with T2D. In addition, in only the younger subgroup of male patients (<65 years), lower levels of UA also correlated with higher VPT values.

Our aim was to search for clinical predictors of good glycemic control in patients starting or intensifying oral hypoglycemic pharmacological therapy. A multicenter, prospective cohort of 499 diabetic subjects was enrolled in this study: patients with newly diagnosed diabetes (NDM group) or poor glycemic control with oral antidiabetic drugs (OADs) (PDM group). All subjects then started or intensified OADs therapy and followed up for 91 days. Glycemic control was determined according to HbA1c at day 91 with HbA1c <7% considered good. The proportions of patients with good glycemic control after follow up for 91 days were 66.9% and 34.8% in NDM group and PDM group respectively. Logistic regression analysis showed that the change in GA at 28 days was the only predictor of good glycemic control in NDM patients (OR = 1.630, 95% CI 1.300–2.044, P < 0.001). In PDM patients, changes in GA at 28 days, CPI, baseline HbA1c, diabetic duration, and BMI were all independent predictors of good glycemic control (All P < 0.05). GA decline is a good predictor of future success in newly diagnosed patients. In patients intensifying therapy, beside GA decline, other individualized clinical characteristics should also be considered. •Predictors of response to therapeutic adjustment differs between early stage and advanced stage of type 2 diabetes.•GA decline is a good predictor of future success in newly diagnosed patients.•In patients intensifying therapy, beside GA decline, other clinical characteristics should also be considered.

This study was to determine whether serum glycated albumin (GA) was a better indicator of glycemic control than hemoglobin A1c (HbA1c) when starting a new treatment regimen for type 2 diabetes. Newly diagnosed type 2 diabetes patients, or patients who had poor glycemic control with oral hypoglycemic agents, were enrolled at 10 hospitals in Beijing. Serum GA, HbA1c, fasting blood glucose (FBG), and C-peptide were assayed on Days 0, 14, 28, and 91 after treatment. Four hundred ninety-nine patients were enrolled. Mean FBG, GA and HbA1c decreased significantly in patients at Days 14, 28, and 91. In patients with improved glycemic control, the reduction of GA and HbA1c levels was 10.5±13.3% vs. 5.1±5.4% on Day 14, 16.0±13.4% vs. 9.0±7.0% on Day 28, and 18.0±16.7% vs. 18.3±9.4% on Day 91, respectively, compared with baseline values. Changes in GA on Day 14, 28 and 91 were all closely correlated with changes in HbA1c on Day 91. Change in GA on Day 14 was correlated with treatment effectiveness evaluated by HbA1c on Day 91. GA may be a useful marker for assessing glycemic control at an early stage of new diabetes treatment and assist in guiding adjustments to treatment and therapy.

Microarc oxidation (MAO) surface modification course on high-purity Mg at constant DC and the resultant ceramic coatings were investigated. MAO was the course in which the pre-existing film/coating was modified or substituted and strengthened repeatedly. SEM disclosed the inhomogeneous formation rate of ceramic coating in different micro-regions at anode surface during MAO. Three-stage behavior of MAO including pre-microarc discharge stage, transitional stage and then further modifying stage was put forward. The latter two stages proceeded under continuous discharge conditions, accompanied by intensive evolution of gas. EDS analyses indicated that the resultants of MAO consisted mainly of Mg, O and Si elements. XRD analyses revealed the dependence of phase composition on treatment time and coating layer depth.

In order to improve efficiency of Electro-Hydraulic regenerative braking system on electric bus, this paper will analysis dynamic performance and typical driving condition of electric bus based on ADAMS to establish electric bus simulation model and AMEsim to built hydraulic regenerative braking system simulation model. After simulation, displacement of Pump, volume and working pressure of accumulator, ratio of driving coupler will be optimized. The acceleration performance of electric bus will be enhanced obviously after applying hydraulic regenerative braking system.

BackgroundSchizophrenia (SCZ) is a severe psychiatric disorder that involves inflammatory processes. The aim of this study was to explore the field of inflammation-related research in SCZ from a bibliometric perspective.MethodsRegular and review articles on SCZ- and inflammation-related research were obtained from the Web of Science Core Collection (WOSCC) database from its inception to February 19, 2022. R package “bibliometrix” was used to summarize the main findings, count the occurrences of the top keywords, visualize the collaboration network between countries, and generate a three-field plot. VOSviewer software was applied to conduct both co-authorship and co-occurrence analyses. CiteSpace was used to identify the top references and keywords with the strongest citation burst.ResultsA total of 3,596 publications on SCZ and inflammation were included. Publications were mainly from the USA, China, and Germany. The highest number of publications was found in a list of relevant journals. Apart from “schizophrenia” and “inflammatory”, the terms “bipolar disorder,” “brain,” and “meta-analysis” were also the most frequently used keywords.ConclusionsThis bibliometric study mapped out a fundamental knowledge structure consisting of countries, institutions, authors, journals, and articles in the research field of SCZ and inflammation over the past 30 years. The results provide a comprehensive perspective about the wider landscape of this research area.

A magnetic covalent organic framework (Fe 3 O 4 @COF) with core–shell structure was fabricated at room temperature and used as an adsorbent for magnetic solid-phase extraction of polar endocrine-disrupting phenols (4-n-nonylphenol, 4-n-octylphenol, bisphenol A and bisphenol AF). The sorbent was characterized by transmission electron microscopy, FTIR, powder X-ray diffraction and other techniques. The main parameters governing the extraction efficiency were optimized. The phenols were quantified by HPLC with fluorometric detection. The method has attractive features such as low limits of detection (0.08–0.21 ng.mL −1 ), wide linear ranges (0.5–1000 ng.mL −1 ), and good repeatability (intra-day: 0.39%–4.99%; inter-day: 1.57%–5.21%). Satisfactory results were obtained when the developed method was applied to determine the four target pollutants in real world drink samples with spiked recoveries over the range of 81.3~118.0%. This indicates that the method is a powerful tool for the enrichment and determination of endocrine-disrupting phenols in drink samples. Graphical abstract A magnetite based covalent organic framework (Fe 3 O 4 @COFs) was synthesized with TPAB, TPA and Fe 3 O 4 . It was used for magnetic solid-phase extraction of endocrine-disrupting phenols from plastic-packaged tea drink samples coupled with liquid chromatography (LC) for determination.

Halide perovskites have shown promising potential for direct X-ray detection due to their high X-ray absorption coefficient, low trap states and convenient fabrication process. However, it is still a challenge to achieve high sensitivity, low dark current and low detection limit in a single material. The deep reason for this is the trade-off between the material’s μτ product and resistivity. Here we report the construction of an organic–inorganic hybrid anti-perovskite ((2-Habch) 3 Cl(PtI 6 )) with indirect transition and low orbital symmetry at the band edge to achieve an ultralong intrinsic lifetime and thus break the trade-off. (2-Habch) 3 Cl(PtI 6 ) achieves an unprecedented long carrier lifetime of >3 ms, leading to a large μτ product of 6.25 × 10 −3  cm 2  V −1 and high resistivity of 10 12  Ω cm, outperforming most X-ray detection materials. These properties enabled the development of X-ray detectors that simultaneously achieve an ultralow dark current of 0.21 nA cm −2 , high sensitivity of 1.0 × 10 4  µC Gy air −1  cm −2 , ultralow detection limit of 2.4 nGy air  s −1 and excellent operational stability with no observable baseline drift, outperforming state-of-the-art perovskite single-crystal detectors. The rare combination of high performance in almost every figure of merit in the anti-perovskite-based X-ray detector could enable new-generation X-ray detection systems. The researchers synthesize organic–inorganic hybrid inverse perovskites that exhibit excellent carrier lifetime and mobility–lifetime product and high resistivity, enabling stable X-ray detectors with performance arguably outperforming state-of-the-art perovskite single-crystal detectors.