ly contributed to breakthrough cases of meningococcal disease among people who received MenACWY vaccine. Continued monitoring of serogroup A, C, W, and Y meningococcal disease in previously vaccinated persons will help inform meningococcal disease prevention efforts.

To conduct a nationwide evaluation of vaccine bidding, procurement and distribution management for understanding and improving the current situation well in mainland China.

An institution survey was carried out to collect information on tendering, procurement, distribution and related issues to vaccines by structured questionnaires administered to 31 provinces in mainland China from April to July 2019.

In 13 (41.9%) of 31 provinces, centralized bidding of National Immunization Program (NIP) vaccines was accomplished, and others conducted independent tendering and purchasing in 2018. For non-NIP vaccines, all provinces implemented unified bidding at the provincial level and over half (18, 58.1%) of them chose provincial public resource trading platforms, but their modes varied over provinces. Then procurement was undertaken by the district-level centers for disease control and prevention (CDC) while they were unable to choose the best option of too many vaccines targeted by the province-level CDC for loc and distribution management varied over provinces in mainland China in 2018, especially for non-NIP vaccines. Specific policies and measures should be developed for different regions to improve the immunization management better.

Research examining the influence of neighborhood healthy food environment on diet has been mostly cross-sectional and has lacked robust characterization of the food environment. We examined longitudinal associations between features of the local food environment and healthy diet, and whether associations were modified by race/ethnicity.

Data on 3634 adults aged 45-84 followed for 10 years were obtained from the Multi-Ethnic Study of Atherosclerosis. Diet quality was assessed using the Alternative Healthy Eating Index at Exam 1 (2000-2002) and Exam 5 (2010-2012). We assessed four measures of the local food environment using survey-based measures (e.g. perceptions of healthier food availability) and geographic information system (GIS)-based measures (e.g. distance to and density of healthier food stores) at Exam 1 and Exam 5. Random effects models adjusted for age, sex, education, moving status, per capita adjusted income, and neighborhood socioeconomic status, and used interaction terms to assess effect measure modification by race/ethnicity.

Net of confounders, one standard z-score higher average composite local food environment was associated with higher average AHEI diet score (β=1.39, 95% CI 1.05, 1.73) over the follow-up period from Exam 1 to 5. This pattern of association was consistent across both GIS-based and survey-based measures of local food environment and was more pronounced among minoritized racial/ethnic groups. There was no association between changes in neighborhood environment and change in AHEI score, or effect measure modification by race/ethnicity.

Our findings suggest that neighborhood-level food environment is associated with better diet quality, especially among racially/ethnically minoritized populations.

Our findings suggest that neighborhood-level food environment is associated with better diet quality, especially among racially/ethnically minoritized populations.Hypertension, a major risk factor for non-communicable diseases, remains poorly controlled in many countries. In the Philippines, it is still one of the leading causes of preventable deaths despite the accessibility and availability of essential technologies and medicine to detect and treat hypertension. This paper characterizes the 'therapeutic itineraries’ of people with hypertension from poor communities in rural and urban settings in the Philippines. We employ longitudinal qualitative methodology comprised of repeat interviews and digital diaries using mobile phones from 40 recruited participants in 12 months. Our findings demonstrate that therapeutic itineraries, rather than being organized according to categories that stem from the structure of the health system (i.e., diagnosis, treatment, follow-up, adherence), diverge from clinical pathways. Therapeutic itineraries begin at a stage we label as 'pre-diagnosis’ (PD). Following this, itineraries diverge according to two possible entry points into the heheir lived experiences of hypertension and are thus ultimately unhelpful in improving its control.Travel has individual, societal and planetary health implications. We explored socioeconomic and gendered differences in travel behaviour in Africa, to develop an understanding of travel-related inequity. We conducted a mixed-methods systematic review (PROSPERO CRD42019124802). In 2019, we searched MEDLINE, TRID, SCOPUS, Web of Science, LILACS, SciELO, Global Health, Africa Index Medicus, CINAHL and MediCarib for studies examining travel behaviour by socioeconomic status and gender in Africa. We appraised study quality using Critical Appraisal Skills Programme checklists. We synthesised qualitative data using meta-ethnography, followed by a narrative synthesis of quantitative data, and integrated qualitative and quantitative strands using pattern matching principles. We retrieved 103 studies (20 qualitative, 24 mixed-methods, 59 quantitative). From the meta-ethnography, we observed that travel is intertwined with social mobility; necessary to access resources; associated with cost and safety barriers; typifieravel inequity in Africa perpetuates socioeconomic and gendered disadvantage. Proposed solutions focus on improving the safety, efficiency and affordability of public transport and walking.Black and other socially disadvantaged children are disproportionately burdened by high rates of pediatric asthma. Intraurban variation in environmental risk factors and limited access to high-resolution health data make it difficult to identify vulnerable patients, communities, or the immediate exposures that may contribute to pediatric asthma exacerbation. This article presents a novel, interdisciplinary health disparities research and intervention strategy applied to the problem of pediatric asthma in Kansas City. First, address-level electronic health records from a major children’s hospital in the Kansas City region are used to map the distribution of asthma encounters in 2012 at a high spatial resolution. Census tract Environmental Justice Screening Method (EJSM) indicators are then developed to scan for patterns in both the population health risks and vulnerabilities that may contribute to the burden of asthma in different communities. A Bayesian Profile Regression cluster analysis is used to systematiased practices.This study investigates how schemas and stereotypes about individuals with mental illness shape how information is transmitted between people. Mental illnesses are highly stigmatized identities, and prior work illustrates the persistence of mental illness stigma, despite public health efforts aimed at increasing awareness of the biological origins of mental illness (Pescosolido et al., 2010). Recent work has also demonstrated the utility of combining cultural cognition with social psychological theories of cultural meaning to investigate how stereotypes are transmitted through secondhand narratives (Hunzaker 2014, 2016). We connect this social psychological work with medical sociological literature on mental illness stigmas and propose that stereotypes function as cultural schemas that shape the way stories are remembered and retold about individuals with a mental illness. We then conduct a narrative transmission study to test this proposal, using schizophrenia as a case of interest. Consistent with prior work, we find that individuals who retell a story about a person with schizophrenia alter the narrative so that it becomes more consistent with stereotypes about individuals with schizophrenia. We also find that stereotype-inconsistent information is more likely to be transformed to align with culturally shared beliefs about schizophrenia. The findings extend prior work on how bias shapes the reproduction of mental illness stereotypes, and demonstrate how socially learned cultural beliefs can reinforce stereotypes, biases and stigma about mental illness.

Community pharmacies are emerging as a valuable setting to identify patients with substance use. Few tools have been specially validated to screen patients in these settings, particularly among those prescribed opioid medications. The goal of this study was to validate the performance of the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) tool in community pharmacy settings compared to a reference-standard substance use assessment.

Participants were recruited while receiving opioid medications (not solely buprenorphine) from 19 pharmacies from a large national chain in Ohio and Indiana. Adults who were not involved in the criminal justice system or receiving cancer treatment were invited to participate in a one-time, cross-sectional, self-administered, health survey which included the TAPS tool. Substance use risks calculated from the TAPS tool were compared with the reference standard, World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) using confusion matrices. We calculated Areas Under the Curve (AUC) of Receiver Operating Characteristics Curves (ROC) to evaluate the TAPS tool’s validity.

The TAPS tool showed fair or better discrimination between moderate-risk use and high-risk use for tobacco, alcohol, and prescription opioids (AUCs 0.75-0.97 and fair or better discrimination between low-risk and moderate-risk use in five of eight subscales, including tobacco, alcohol, marijuana, stimulants, and heroin (AUCs 0.70-0.92).

The TAPS tool detected clinically relevant problem substance use in several drug classes and likely would be a valuable assessment for screening illicit drug use among community pharmacy patients prescribed opioid medications.

The TAPS tool detected clinically relevant problem substance use in several drug classes and likely would be a valuable assessment for screening illicit drug use among community pharmacy patients prescribed opioid medications.Mesenchymal stem cells are promising candidates for stem cell therapy in many diseases, especially in immune-associated diseases. Inflammatory bowel disease is a chronic autoimmune disease that can lead to colorectal cancer if it is not controlled. Mesenchymal stem cells are always under a hypoxic environment in vivo, whether in bone marrow or adipose tissue, whereas researchers always culture MSCs (mesenchymal stem cells) under normoxic conditions (21%). In this study, we aimed to investigate whether hypoxia (1%) affects the therapeutic effect of MSCs. We hypothesize that hypoxia may benefit the treatment efficacy of MSCs. We used DSS to induce IBD (inflammatory bowel disease) in mice and then injected MSCs that had been preconditioned under normoxic conditions (21%) and hypoxic conditions (1%). We found that compared with normoxic-preconditioned MSCs (n-MSCs), hypoxic-preconditioned MSCs (h-MSCs) could alleviate colon inflammation to a large extent, as determined by inflammatory cytokines and CD3+ T cell activation. Mechanistic studies showed that hypoxia could promote iNOS expression in MSCs. Therefore, our data suggest that hypoxia may be more appropriate than normoxia for facilitating MSCs exertion of therapeutic functions.

To analyze the preoperative patterns of caloric test, eye tracking test (ETT), and optokinetic pattern (OKP) in patients with acoustic neuroma (AN) and compare them with the postoperative patterns of ETT and OKP results METHODS A total of 166 patients with AN (102 women; mean age 41 years, range 11-79 years) who were being treated at our hospital between 2013 and 2016 were enrolled. Preoperatively, a detailed history was taken regarding the presence of subjective symptoms of equilibrium dysfunction, and the patients underwent caloric test, ETT, and OKP. They were classified into three groups based on the preoperative ETT and OKP results as follows Group A, normal ETT and OKP; Group B, either ETT or OKP was abnormal; and Group C, both ETT and OKP were abnormal. All patients were evaluated for subjective symptoms of vestibular dysfunction and were also grouped based on the tumor size on imaging. All surgeries were performed by a neurosurgeon using the lateral suboccipital retrosigmoid approach. About one mont these patients.

Abnormal ETT and OKP results showed positive correlations with the tumor size and presence of subjective symptoms. Further, dysfunction of cerebellum and brain stem owing to tumor compression was observed to recover in many cases after surgery.

Abnormal ETT and OKP results showed positive correlations with the tumor size and presence of subjective symptoms. Further, dysfunction of cerebellum and brain stem owing to tumor compression was observed to recover in many cases after surgery.The diagnosis of infectious diseases in immunocompromised hosts presents unique challenges for the clinician. Metagenomic next generation sequencing (mNGS) based diagnostics that identify microbial nucleic acids in clinical samples (mNGS for pathogen identification or mNGSpi) may be a useful tool in addressing some of these challenges. Studies of mNGSpi in immunocompromised hosts have demonstrated that these diagnostics are capable of identifying causative organisms in a subset of patients for whom conventional testing has been negative. While these studies provide proof of concept for mNGSpi utility, they have a number of limitations, which make it difficult to confidently assess test performance and clinical impact based on current data. Future studies will likely feature larger cohort sizes and controlled interventional study designs that assess the impact of mNGSpi on clinical endpoints. They will also likely include assessments of the clinical value of data generated by mNGS beyond pathogen identification.

Nonfatal emergency department (ED) visits for opioid overdose are important opportunities to prescribe naloxone and buprenorphine, both of which can prevent future overdose-related mortality. We assessed the rate of this prescribing using national data from August 2019 to April 2021, a period during which US opioid overdose deaths reached record levels.

We conducted a retrospective cohort analysis using Symphony Health’s Integrated Dataverse, which includes data from 5,800 hospitals and 70,000 pharmacies. Of ED visits for opioid overdose between August 4, 2019, and April 3, 2021, we calculated the proportion with at least 1 naloxone prescription within 30 days and repeated this analysis for buprenorphine. To contextualize the naloxone prescribing rate, we calculated the proportion of ED visits for anaphylaxis with at least 1 prescription for epinephrine-another life-saving rescue medication-within 30 days.

Analyses included 148,966 ED visits for opioid overdose. Mean weekly visits increased 23.6% during-related mortality.Rechargeable aqueous zinc ion batteries (ZIBs) have attracted more and more attention due to the advantages of high safety, low cost, and environmental friendly in recent years. However, the lack of high-performance cathode materials and uncertain reaction mechanisms hinder the large-scale application of ZIBs. Herein, a 1D structure interlaced by ZnxMnO2 nanowires and carbon nanotubes is synthesized as cathode material for ZIB. The ZnxMnO2/CNTs cathode exhibits excellent specific capacity of 400 mAh g-1 at 100 mA g-1 and outstanding long-cycle stability (with a capacity retention of 93% after 100 cycles at 1000 mA g-1), which indicates the Zn2+ pre-intercalation and composite carbon nanotubes can effectively change the storage space of the tunnel structure and increase the electron transmission rate. In addition, the energy storage mechanism of the highly reversible co-insertion of H+ and Zn2+ is further elaborated. This work has enlightenment and promotion for the future research of ZIBs cathode materials. Moreover, the simple preparation method, low cost and excellent performance of ZnxMnO2/CNTs cathode material provide a new way for the practical application of ZIBs.Multidrug resistance (MDR) of tumors has been recognized as an important cause of chemotherapy failure, which is responsible for about 90% of cancer deaths. Therefore, it is desirable to develop a highly effective strategy to reverse tumor MDR for rebuilding the sensitivity of tumor cells towards chemodrugs. Here, self-assembled DNAzyme nanoflowers (NFs) constructed by rolling circle amplification (RCA) strategy were applied in doxorubicin (Dox) delivery for efficiently ablating Dox-resistant breast cancer. The encoded multiple DNAzymes could catalytically cleave P-glycoprotein (P-gp) mRNA which assists the efflux of chemodrugs, for reversing the MDR. The in vitro and in vivo results showed that the P-gp DNAzymes NFs not only had a high drug-loading capacity (69.21%) and acid-triggered biodegrade ability, but also effectively suppressed the expression of P-gp for reversing MDR of the tumor. Therefore, the DNAzyme-based drug delivery nanoplatform would be a promisingstrategyfor reversing MDR in cancer therapy.Membrane separation is one of the most effective strategies for water treatment. However, problems such as poor emulsion separation performance, single function and easy membrane fouling limit its application in dealing with complex wastewater. The synergistic treatment technology of adsorption and visible light catalysis is an efficient and environment-friendly method to degrade organic pollutants. Here, we report a simple method to fabricate Zeolitic Imidazolate Framework-8/Graphene oxide/Polyacrylonitrile (ZIF-8/GO/PAN) nanofibrous membranes and their multifunctional treatment capacity for complex wastewater. The construction of superhydrophilic and underwater superoleophobic surface structure has achieved excellent emulsion separation performance (with a maximum flux of 6779.66 L m-2h-1), visible light photocatalytic degradation (with an efficiency of 96.5% in 90 min) and antibacterial properties. Moreover, the fibrous membrane also shows good biosafety, and will not have toxic effects on aquatic organisms. These excellent performances endow this membrane with great potential in complex wastewater purification.P2-type materials are regarded as competitive cathodes for next generation sodium ion batteries. However, the unfavorable P2 → O2 phase transition usually leads to severe capacity decay. Moreover, the cathode material always suffers from destruction of surface crystal structure caused by trace amount of HF. In this study, a dual-modification method containing Mg/Ti co-doping and MgO surface coating is designed to solve the defects of P2-type Na0.67Ni0.17Co0.17Mn0.66O2 cathode. Results turn out that the P2 structure can be stabilized via Mg/Ti co-substitution and MgO layer could effectively prevent the surface from corroding by HF and promote migration of Na+. Moreover, the as-prepared MgO-coated Na0.67Ni0.17Co0.17Mn0.66Mg0.1O2 exhibits improved electrochemical performance than the raw material. It delivers 111.6 mAh g-1 initial discharge capacity and maintains 90.6% at high current density of 100 mA g-1 within 2-4.5 V, which has been obviously enhanced than that of Na0.67Ni0.17Co0.17Mn0.66O2. The significant improvement can be attributed to the synergistic effect of Mg/Ti co-substitution and MgO surface coating. This dual-modification strategy based on the synergetic effect of Mg/Ti co-doping and MgO surface coating might be a resultful step forward to develop cathode materials for sodium ion batteries.Metal selenide semiconductors have been rarely used for photocatalytic water splitting because of their poor stability and severe photocorrosion properties. Hence, designing stable metal selenides with suitable bandgap energies has considerable practical significance in photocatalytic H2 evolution. In this work, a novel series of ZnxCd1-xSe (x = 0 ∼ 1) with tunable band structure were fabricated through a simple solvothermal method. Impressively, the ZnSe exhibited a maximum H2 production rate of 1056 µmol g-1h-1, which was higher than that of CdSe and ZnxCd1-xSe solid solutions. Such visible-light photoactivity for water reduction to H2 was attained even after 6 cycling photocatalytic experiments. Moreover, the two-dimensional (2D) Ni2P nanosheets act as a high-efficiency cocatalyst integrated with ZnxCd1-xSe semiconductor to boost photocatalytic H2 generation performance. The optimal 8% Ni2P/ZnSe composites displayed excellent cycling stability and superior photocatalytic H2 evolution performance (4336 µmol g-1h-1), which was about 4.1 times that of pure ZnSe under visible light irradiation. Photoelectrochemical (PEC), photoluminescence (PL), and time-resolved photoluminescence (TRPL) measurements reveal that the improved photoactivity Ni2P/ZnSe photocatalysts were ascribed to the effective separation and migration of photoinduced carriers. The present work paves a pathway to explore the fabrication of ZnxCd1-xSe solid solutions and the hybridization of 2D transition metal phosphides nanosheets toward photocatalytic applications.

High and medium internal phase Pickering emulsions stabilized with cellulose nanocrystals (CNCs) exhibited very different performance compared to their peers stabilized with a surfactant. In this paper, we ascribed the difference to the formation of hydrogen bonding and van der Waals interactions between the CNC nanoparticles on adjacent oil droplets.

Rheological properties of CNC-stabilized oil-in-water medium internal phase emulsions (MIPEs, oil content=65% v/v) and high internal phase emulsions (HIPEs, oil content=80% v/v) were comprehensively characterized using both oscillatory and rotational tests.

It was found that in the MIPEs, the van der Waals and hydrogen bonding interactions dominate the emulsion properties, whereas the compact structure of oil droplets plays a more important role in the HIPEs. CNC concentration in the aqueous phase also affects the emulsion properties, especially for the HIPEs, and the results can be correlated to the stabilization mechanisms we previously reported. The information from these tests provides a much-needed guidance for the practical application of CNC-stabilized emulsions.

It was found that in the MIPEs, the van der Waals and hydrogen bonding interactions dominate the emulsion properties, whereas the compact structure of oil droplets plays a more important role in the HIPEs. CNC concentration in the aqueous phase also affects the emulsion properties, especially for the HIPEs, and the results can be correlated to the stabilization mechanisms we previously reported. The information from these tests provides a much-needed guidance for the practical application of CNC-stabilized emulsions.Colorimetric biosensors, based on enzyme-like nanomaterials, have come into the spotlight in virtue of their visual detection. Herein, a daisy-like zeolitic imidazolate framework-67/reduced grapheme oxide (ZIF-67/rGO) nanozyme with unique 3D hierarchical structures has been designed to realize visual detection of hydrogen peroxide (H2O2) that is recognized as a strong oxidizing agent or reactive oxygen species associated with oxidative stress in biological systems. The daisy-like ZIF-67/rGO is prepared by a facile one-step liquid-phase method conducted under room temperature. The successful introduction of rGO endows the daisy-like ZIF-67/rGO nanozyme with abundant porous structure, high specific surface area, and good charge transfer capability, which significantly accelerates the adsorbability and recognition towards the substrates and the oxidation rate of TMB-H2O2 reaction, and thus improving the nanozyme activity observably. It is conductive to nanozyme-modulated H2O2 determination. The established colorimetric biosensor platform based on ZIF-67/rGO nanozyme exhibits remarkable sensitivity and high specificity for the application in visual detection of H2O2. The detection limit of ZIF-67/rGO-based biosensor platform is as low as 3.81 μM, which is nearly 8 times lower than that of ZIF-67-based biosensor platform. Moreover, its potential applicability as an ideal platform for colorimetric biosensors is demonstrated by testing the concentration of H2O2 in milk samples, which sheds light on the promising application of the proposed biosensing system in point-of-care detection.Epoxy resins (EP) possessing superior flame retardancy, mechanical properties and glass transition temperature are urgently needed to meet the ever-increasing requirement of high performance for the practical application of EP. Herein, lamellar-like phosphorus-based triazole-zinc complex (Zn-PT) was firstly constructed through coordination reaction in a facile condition to address the above issue. The results revealed that Zn-PT was well dispersed in epoxy matrix, and with 3 wt% Zn-PT, the tensile strength, flexural strength and modulus of epoxy composites were remarkably increased from 71, 112 and 2982 MPa of neat epoxy resin (EP) to 80, 162 and 3482 MPa respectively. The glass transition temperature was higher than EP. Besides, the limiting oxygen index (LOI) increased to 28.3%, and UL-94V-1 level was available. Meanwhile, the cone calorimeter test (CCT) results showed that epoxy composites displayed less heat release and smoke production. Generally, this work provides a feasible strategy to prepare high-performance epoxy composites, which has the potential to satisfy the requirement of epoxy in the practical application.Rational excogitation of microstructure and chemical constituents is a superior means of constructing electromagnetic wave (EMW) absorption materials with high performance. In this study, a kind of honeycomb-like NiFe2O4@Ni@C composite is prepared via an uncomplicated polymerization, pyrolysis and etching. Porous structure and internal cavity of NiFe2O4@Ni@C contribute to the numerous reflection and scattering of EMW. The strong ferromagnetic resonance of NiFe2O4 core and the multiple relaxation processes of porous carbon shell strongly promote the EMW loss. Additionally, the synergistic effect can improve impedance matching. The results demonstrate that the minimum reflection loss (RL) of honeycomb-like NiFe2O4@Ni@C composites is -65.33 dB at 13.63 GHz. The effective absorption bandwidth (EAB) is 3.68 GHz when the matching thickness is 4.95 mm. The mechanism of EMW dissipation of the honeycomb-like NiFe2O4@Ni@C composites is attributed to multiple reflections and scattering, conductive loss, interfacial polarization and ferromagnetism resonance. This work provides a tactic for the excogitation and synthesis of a low cost, light weight and efficient EMW absorber.Magnetic graphene foams with three-dimensional (3D) porous structure, low bulk density and multiple electromagnetic loss mechanisms have been widely recognized as the potential candidates for lightweight and high-efficiency microwave attenuation. Herein, zinc ferrite hollow microspheres decorated nitrogen-doped reduced graphene oxide (NRGO/ZnFe2O4) composite foams were prepared via a solvothermal and hydrothermal two-step method. Results demonstrated that the attained magnetic composite foams possessed the ultralow bulk density (12.9-13.5 mg·cm-3) and 3D hierarchical porous netlike structure constructed through stacking of lamellar NRGO. Moreover, the microwave dissipation performance of binary composite foams could be notably improved through annealing treatment and further elaborately regulating the annealing temperature. Remarkably, the attained composite foam with the annealing temperature of 300.0 °C presented the integrated excellent microwave attenuation capacity, i.e. the strongest reflection loss reached -40.2 dB (larger than 99.99% absorption) and broadest bandwidth achieved 5.4 GHz (from 12.4 GHz to 17.8 GHz, covering 90.0% of Ku-band) under an ultrathin thickness of only 1.48 mm. Furthermore, the probable microwave dissipation mechanisms were illuminated, which derived from the optimized impedance matching, strengthened dipole polarization, interfacial polarization and multiple reflection, notable conduction loss, natural resonance and eddy current loss. Results of this work would pave the way for developing graphene-based 3D lightweight and high-efficiency microwave absorption composites.Current technologies for removal of Cr(VI) are generally fit for acidic wastewater. In this study, a new ferrite process for removal and recycling of Cr(VI) from alkaline wastewater to produce the valuable chromium ferrite has been developed. The results show that this new ferrite method is a one-step process which can be divided into two successive reactions including Cr(VI) reduction to form coprecipitation (Cr0.25Fe0.75(OH)3) and subsequently magnetic conversion of Cr0.25Fe0.75(OH)3 induced by Fe2+ under the same alkaline condition. The total Fe/Cr mole ratio of 51 is at least required for the chromium ferrite transformation. Increasing temperature and pH can enhance the interaction of Fe2+ with Cr0.25Fe0.75(OH)3 and further promote the formation of chromium ferrite, while suppressing the generation of nonmagnetic by-product goethite. Almost pure chromium ferrite is formed under proposed optimum conditions (Fe/Cr = 71, 65 °C and pH of 9) with Cr(VI) removal ratio around 100%. The Cr(VI) remained in the filtrate can be reduced to 0.01 mg/L which is much lower than the limits concentration for surface water (≤0.05 mg/L). The chromium ferrite product whose molecular formula can be expressed as Cr0.5-xFe2.5+xO4 (where 0 ≤ x less then 0.5) presents good magnetic properties and has the potential to be recycled as a useful material.Constructing floating photocatalysts with highly efficient visible-light utilization is a promising approach for practical photocatalytic wastewater treatment. In this study, we anchored bismuth oxybromo-iodide (BiOBrxI1-x (0 ≤ x ≤ 1)) on flexible electrospun polyacrylonitrile (PAN) nanofiber mats to create BiOBrxI1-x@PAN nanofibers with tunable light absorption properties as floating photocatalysts at room temperature. As x increased, the photocatalytic activity of the BiOBrxI1-x@PAN nanofibers with similar loading content initially increased, and then decreased, for the degradation of bisphenol A (BPA) and methyl orange (MO) under visible-light irradiation (λ > 420 nm) conditions. The BiOBrxI1-x@PAN (0 less then x less then 1) nanofibers exhibited better photocatalytic performance compared to the BiOBr@PAN and BiOI@PAN nanofibers. Under visible-light irradiation, the BPA degradation rate of the BiOBr0.5I0.5@PAN nanofibers was 1.9 times higher than that of the BiOI@PAN nanofibers, while the BiOBr@PAN nan visible light during the photocatalytic reaction. Therefore, these solid-solution-based floatable nanofiber photocatalysts are good potential candidates for wastewater treatment applications.Rechargeable aqueous zinc-ion batteries (RAZIBs) have received increasing attention due to cost-effectiveness and inherent safety. A wide variety of advanced cathode materials have been revealed with promising performance in RAZIBs. However, these materials usually require sophisticated procedures at high temperatures, which greatly limit further practical application. Herein, a chimie douce approach is adopted to prepare vanadium oxides from V2O5 suspension with the addition of various transition metal cations (Mn2+, Zn2+, Ag+, and Fe3+) by simple liquid-solid mixing under ambient conditions. For the cases of Mn2+ and Zn2+, the dissolution-recrystallization process takes place leading to layered Mn0.31V3O7·1.40H2O (MnVO) and Zn0.32V3O7·1.52H2O (ZnVO). The use of Ag+ forms tunneled Ag0.33V2O5 (AgVO), and the present of Fe3+ stays mainly unreacted V2O5. The underlying reaction chemistries are proposed, for which the pH values of precursor solutions are found to be a key factor. Among the prepared materials, layered vanadium oxides exhibit promising battery performance. Particularly, MnVO delivers 340 and 217 mAh g-1 at 1 and 8 A g-1, respectively. A specific capacity of 164 mAh g-1 can be retained after 500 cycles at 1 A g-1. By contrast, AgVO and FeVO demonstrate inferior performance with retaining only 89 and 20 mAh g-1 after 500 cycles.Rapid heat loss and fast charge carrier recombination constitute two crucial issues that hinder the development of efficient solar energy utilization and conversion over the semiconductor in a photothermal catalytic system. Inspired by energy production from waste water, we designed an advanced 3D C@TiO2 multishell nanoframe (MNF) photocatalyst. Its unique structural features of heat confinement and vibrant photocarrier kinetics lead to excellent photo-thermal conversion for synchronous superior photocatalytic H2 evolution (503 μmol g-1h-1) and 98.2% RhB removal without the use of any co-catalyst and sacrificial reagent under simulated sunlight irradiation (AM 1.5G). Mechanism exploration reveals that the difference between the inner and outer gas pressure formed inside C@TiO2 precursor facilitates the selective cleavage of outer TiO2 layers at selected temperatures during calcination. Synergistic effects between residual carbon core and multi-shelled TiO2 framework endow C@TiO2 MNF with excellent heat confinement and vibrant photocarrier kinetics. Such MNF photo-thermocatalyst concept provides a novel strategy for effective utilization of solar energy, and this work may open a novel avenue towards advanced nanostructures for efficient waste-to-energy conversion.P-nitrophenol (PNP), a widely used compound, is harmful to the environment and human health. In this study, four iron-based Prussian blue analogs (PBAs) were prepared by coprecipitation (Co-Fe PBA, Mn-Fe PBA, Cu-Fe PBA and Fe-Fe PBA). The Co-Fe PBA exhibited high peroxymonosulfate (PMS) activation performance for PNP degradation, removing over 90% of PNP in 60 min at an optimal pH of 7, temperature at 30 ℃, initial concentration of 20 mg/L, PBA dose of 0.2 g/L and PMS dose of 1 g/L. The physicochemical properties of the Co-Fe PBA were investigated by various characterization methods. The catalytic activity of PBA and the influence of various process parameters and water quality on the catalytic reaction were investigated to elucidate the mechanism of p-nitrophenol degradation by PBA-activated persulfate. Moreover, the mechanism of accelerated degradation of PNP under HCO3- conditions and the role of major reactive oxides were determined by EPR measurement methods and free radical trapping experiments. HCO3- was found to directly activate PMS to produce reactive oxygen species, and 1O2, ∙OH and SO4∙- were all greatly increased. This work presents a promising green heterogeneous catalyst for the degradation of emerging contaminants (ECs) in real wastewater with natural organic matter and coexisting anions by PMS activation.A wide range of organic pollutants in industrial effluents, agricultural runoff, and domestic discharges are exacerbating water scarcity, leading to water-borne ailments, and adversely affecting the marine ecosystem and biodiversity. The efficient, sustainable, and cost-effective materials need to be addressed urgently for the removal of organic pollutants. Herein, ultra-light (0.018 g.cm-3) and highly porous (96.4%) composite aerogel is prepared by gelatinization of graphene oxide with fruit waste-derived cellulose. The macroscopic porosity generated by interconnecting cellulosic skeleton and graphene oxide sheets via hydrogen bonding network provided ample avenues for transport and diffusion of organic dyes-enriched wastewater throughout the cellulose-graphene oxide composite aerogel (CGA). Consequently, organic dyes are efficiently adsorbed by easily accessible surface sites distributed throughout the CGA. The size, charge, and chemical structure of organic dyes along with textural features and accessible surface active sites of CGA governed the adsorption process. The spectroscopic analyses based on FTIR, Raman, and XPS measurements suggest electrostatic, n-π, π-π, cation-π interactions, dipole-dipole hydrogen, and Yoshida hydrogen linkages as major interactive pathways for the adsorption of organic dyes by the CGA. Moreover, the composite aerogel furnished an excellent recyclability for the adsorptive removal of organic pollutants from wastewater. The present work promises the potential of 2D nanostructured layered materials and fruit-waste-derived composite aerogels for sustainable utilization in wastewater treatment, which can be an excellent step towards water security.

The dynamics of colloidal suspension confined within porous materials strongly differs from that in the bulk. In particular, within porous materials, the presence of boundaries with complex shapes entangles the longitudinal and transverse degrees of freedom inducing a coupling between the transport of the suspension and the density inhomogeneities induced by the walls.

Colloidal suspension confined within model porous media are characterized by means of active microrheology where a net force is applied on a single colloid (tracer particle) whose transport properties are then studied. The trajectories provided by active microrheology are exploited to determine the local transport coefficients. In order to asses the role of the colloid-colloid interactions we compare the case of a tracer embedded in a colloidal suspension to the case of a tracer suspended in an ideal bath.

Our results show that the friction coefficient increases and the passage time distribution widens upon increasing the corrugation of tel. Interestingly, the predictions of the model are quantitatively reliable for mild external forces, hence providing a reliable tool for predicting the transport across porous materials.Much endeavor has been devoted to efficient heterogeneous catalysts for carbon dioxide (CO2) conversion to high-value chemicals. Meanwhile, the cycloaddition of CO2 to epoxides is considered as a green and atom-economy reaction to produce cyclic carbonates. Herein, a series of K, B co-doped CN with various doping contents (K, B-CN-X) were developed by simple one-step calcination of melamine and KBH4. B was confirmed to replace the C site and KN bond was formed, which was verified by XPS (X-ray photoelectron spectroscopy) and DFT (density functional theory) calculation. Particularly, K, B-CN-4 displayed the optimal catalytic performance in the presence of Bu4NBr (tetrabutylammonium bromide) cocatalyst for the CO2 cycloaddition with propylene oxide. Besides, K, B-CN-4/Bu4NBr catalyst exhibited good substrate versatility to various epoxides and excellent recycling performance. According to the DFT calculation on CO2 adsorption and experimental results, K, B-CN-4 presented satisfactory catalytic activity due to the enhanced CO2 adsorption after K and B dopings then the possible reaction mechanism was proposed. The promising K, B-CN-X catalyst presented an attractive application due to the simple, eco-friendly synthesis route for the efficient fixation of CO2.Herein, a ternary-nanocomposite Pd-polypyrrole/nitrogen-doped graphene (Pd-PPy/NGE) has been prepared facilely by the one-pot method. In simple terms, PPy was in-situ polymerized on the surface of NGE with PdCl42- as the oxidant, and simultaneously Pd nanopaticles were loaded on the surface of PPy or embedded in PPy particles. The obtained Pd-PPy/NGE nanocomposite exhibits promising electrocatalytic properties toward the oxidation reaction of alcohols in alkaline medium. Especially, the optimized Pd-PPy/NGE (150) catalyst possesses mass activity of 2176.7, 1192.7 and 498.9 mA mgPd-1 toward ethylene glycol, methanol and ethanol electrooxidation, respectively, which are 4.3, 6.7 and 2.9 times of those for commercial Pd/C catalyst. Moreover, the Pd-PPy/NGE (150) also shows higher anti-poisoning ability and operating stability than the Pd/C catalyst. The promising electrocatalytic performance of the Pd-PPy/NGE (150) for alcohols oxidation can be ascribed to the well dispersion of Pd nanoparticles, the porous and stable three dimentional structure of the composite, and the synergistic effect between different components. The structural randomness of the conducting polymer and the potential synergistic effect between the metal nanoparticles and various supports would provide broad development space for these composites as electrocatalysts in direct alcohol fuel cell.

To describe hearing aid outcomes for children with bilateral sensorineural hearing loss (SNHL) at a pediatric public hospital in South Africa in terms of daily use and oral/aural performance.

Retrospective review of clinical data and caregiver reported outcomes of children aged 0-13 years with bilateral SNHL at one-month and three-months post-fitting. Oral/aural performance was measured by the Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. Multiple linear regression was used to evaluate factors associated with hearing aid use. Thematic analysis was applied for qualitative caregiver-reported outcomes.

Sixty-eight children with confirmed bilateral SNHL who were fitted with binaural air-conduction hearing aids at Red Cross War Memorial Children’s Hospital in Cape Town, South Africa, between January 2017 and December 2019.

Average daily hearing aid use increased significantly (p<0.05) from one-month (5.0; 3.0 SD; range 0.3-14.0) to three-months post-fitting (5.9; 3.4 Stcomes of children with SNHL fitted with binaural hearing aids at a pediatric public hospital in South Africa demonstrated increased average daily hearing aid use from one-month to three-months post-fitting. Aural/oral performance was typical for one in two children. Children with additional disabilities had significantly poorer hearing aid use and aural/oral performance requiring more support for this vulnerable group to realize sufficient benefit from hearing aid use.

Minority patients with lung cancer are less likely to undergo surgical resection and experience worse survival than non-Hispanic White patients. Currently, 40% of thoracic surgeons require smoking cessation before surgery, which may disproportionately affect minority patients. Our objective was to assess the risk of smoking status on postoperative morbidity and mortality among patients with lung cancer.

A prospectively maintained institutional database was queried for all patients who underwent surgical resection of a primary lung malignancy between 2006 and 2020. Operative mortality, major morbidity, and a composite of morbidity and mortality were compared between current smokers and prior smokers.

A total of 601 patients underwent resection, and 236 (39.3%) were current smokers. Current smokers were more likely to be younger (P<.01), to have a greater pack-years history (P=.03), and to have worse pulmonary function test results (P<.01). Pretreatment stage, surgical approach, and extent of resect cessation requirements should not delay or prevent operative intervention for lung cancer.The COVID-19 pandemic is challenging the international system and the regional order in which the European Union (EU) aims to re-define its role in global health. The article seeks to tease out the role of the EU amidst the COVID-19 crisis by outlining three key dimensions self-perception, external perception and performance. The paper contributes to the broader understanding of the EU’s role in global health through a focus on its self-perception. This is examined by the conduct of interviews with EU representatives in 2021 and the analysis of EU press releases with reference to global health from 2014 to mid-March 2021. The results show that the EU mainly draws from a donor and provider role leaving a facilitating, partner or normative role underdeveloped – except for the EU’s leading role in the context of the World Health Organisation. The COVID-19 pandemic is a driver for a more ambitious global political role. However, the main challenges identified by EU representatives constitute a lack of capacities and resources, insufficient backing by EU member states and a lack of coordination. The strongest EU conception in global health is seen when policy actions are based on multiple roles ranging from a provider and partner to a facilitating or normative role.

COVID-19 is a global crisis that has added fear, uncertainty, and stress to parents. Parents are going through several challenges related to school closure, financial insecurity and working remotely. These stressors are affecting the mental health of parents.

This study aimed to observe major stressors along with the impact of COVID-19 on parental concerns and practices during lockdown.

Sample (N=923) was selected through purposive sampling from parents attending Out Patients Departments of hospitals in three provincial capital cities of Pakistan having a high burden of COVID-19, i.e. Lahore, Karachi and Peshawar. Parents having at least one child younger than 18years were included in the study.

A quantitative design was used using a COVID-19 Parenting Response Scale (α=0.74). It was used as a self-administered tool for parents who knew how to read and write Urdu/English language, however it was conducted as a structured interview for those who could not read/write. Data was analyzed by applying descrsible interventions for mental health of parents especially during these challenging circumstances so that they can cope with the challenges in an effective way and be able to take care of their children better.Milk and dairy products are abundantly consumed in all cultures, but unprocessed products can harbor pathogenic microorganisms that can cause serious health risks for its consumers. To avoid this, it is necessary to process the products. Ozonation is a clean technique that has antimicrobial power due to its oxidation potential, reducing the microorganisms and limiting the production of enzymes, but the effectiveness of ozone treatment can be affected by the temperature, pH, additives, humidity, and the amount of organic matter around the cells. The goal of this systematic review was to analyze whether the use of ozone could improve the microbiological quality of dairy products and whether it could be used as an antimicrobial technique. Six databases (PubMed, Scielo, CAPES, Science Direct, Science Core Collection, and PLOS) were used in this research, with 2 independent reviewers selecting articles up to November 21, 2020, with experiments that used ozone as an antimicrobial in dairy products. A total of 731 articles were found, but only 9 were selected. The remainder were excluded according to the following criteria was not related to the main theme; was a review; did not contain microbiological analysis; did not mention the concentration of gas and time of the ozone treatment; and was not an experiment. Important points were noted in quality criteria, which resulted in the need to standardize the methodology applied in research to improve the quality of the experiments. Studies were carried out with many different samples of milk, but the best results in reducing the microorganism count were obtained from samples containing low levels of fat.Transportation is a stressful event for cattle, as it may involve various handling practices, commingling, deprivation of food and water, and fluctuating temperatures. Calves are particularly susceptible to these stressors because their physiological and immune systems are still developing. There has been no formal synthesis of the scientific literature evaluating the effect of transportation on young dairy calf health and performance; the aim of this scoping review is to describe and characterize this body of work. We targeted both descriptive and analytic studies examining transport of calves, including listing how the effect of transport has been evaluated. Eight databases were searched for relevant articles with eligible studies being primary research articles investigating transportation of calves of either sex who were younger than 60 d of age or weighed less than 100 kg. Two reviewers independently screened the title and abstracts of 6,859 articles with 361 potentially relevant articles screened at fuleveral knowledge gaps were identified, including methods to prepare calves for transportation, such as improving nutrition, administering medication, or transporting calves at an older age or weight. Further research could also focus on consistent and clear reporting of key items related to study conduct and analysis, as well as the development of a core outcome set for calf transport studies.This study aimed to investigate effects of transport age of calves (14 vs. 28 d), and of calf and dam characteristics, on immunoglobulin titers and hematological variables of veal calves. Calves (n = 683) were transported to a veal farm at 14 or 28 d of age. Natural antibodies N-IgG, N-IgM, and N-IgA against phosphorylcholine conjugated to bovine serum albumin (PC-BSA) were measured in serum of the dams 1 wk before calving and in first colostrum. These antibodies were also measured in serum of calves 1 wk after birth, 1 d before transport, and in wk 2 and 10 posttransport at the veal farm. Hematological variables were assessed in calves 1 d before transport and in wk 2 posttransport. One day before transport, titers of N-IgG, N-IgM, N-IgA, and neutrophil counts were higher, and lymphocyte counts were lower in 14-d-old calves compared with 28-d-old calves. In wk 2 at the veal farm, calves transported at 14 d of age had higher N-IgG titers and neutrophil counts, but lower N-IgM and N-IgA titers, and lymphocyte counts than calves transported at 28 d. In wk 1 and 1 d before transport, N-Ig in calves were positively related to N-Ig in colostrum. In wk 2 and 10 at the veal farm, N-IgG in calves was positively related to N-IgG in colostrum. The N-IgG titers in calves at the dairy farm were negatively related to the likelihood of being individually treated with antibiotics or other medicines at the veal farm. Our results suggest that calves transported to the veal farm at 28 d of age showed a more advanced development of their adaptive immunity than calves transported at 14 d of age. Quality of colostrum might have long-term consequences for N-IgG titers and immunity in veal calves.Even though supplementations of essential AA (EAA) are often related to increased lactose yields in dairy cows, underlying mechanisms connecting EAA availability to the mammary glands and lactose synthesis are poorly understood. The objective of this study was to examine the effects of branched-chain AA (BCAA) including Leu, Ile, and Val on (1) glucose transporter (GLUT1) abundance and glucose uptake, (2) the abundance of proteins regulating lactose synthesis pathway, and (3) fractional synthesis rates of lactose (FSR) using bovine mammary epithelial cells (BMEC) and mammary tissues slices (MTS). The BMEC (n = 4) were allocated randomly to regular Dulbecco’s Modified Eagle Medium with Ham’s F12 (DMEM/F12) medium (+EAA) or +EAA deficient (by 90%) in all EAA (-EAA), all BCAA (-BCAA), only Leu (-Leu), only Ile (-Ile) or only Val (-Val). Western immunoblotting analyses, depletion of glucose in media, and a proteomic analysis were performed to determine the abundance of GLUT1 in the cell membrane, net glucose uptake, and the abundance of enzymes involved in lactose synthesis pathway in BMEC, respectively.