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Background: Aging-related strength decline contributes to physiological deterioration and is a good predictor of poor prognosis. However, the mechanisms underlying neuromuscular junction disorders affecting contraction in aging are not well described. We hypothesized that the autocrine effect of interleukin (IL)-6 secreted by skeletal muscle inhibits acetylcholine receptor (AChR) expression, potentially causing aging-related strength decline. Therefore, we investigated IL-6 and AChR β-subunit (AChR-β) expression in the muscles and sera of aging C57BL/6J mice and verified the effect of IL-6 on AChR-β expression., Methods: Animal experiments, in vitro studies, bioinformatics, gene manipulation, dual luciferase reporter gene assays, and chromatin immunoprecipitation experiments were used to explore the role of the transcription cofactor peroxisome proliferator-activated receptor gamma coactivator 1-α (PGC1α) and its interacting transcription factors in the IL-6-mediated regulation of AChR-β expression., Results: IL-6 expression gradually increased during aging, inhibiting AChR-β expression, which was reversed by tocilizumab. Both tocilizumab and the PGC1α agonist reversed the inhibiting effect of IL-6 expression on AChR-β. Compared to inhibition of signal transducer and activator of transcription 3, extracellular signal-regulated kinases 1/2 (ERK1/2) inhibition suppressed the effects of IL-6 on AChR-β and PGC1α. In aging mouse muscles and myotubes, myocyte enhancer factor 2 C (MEF2C) was recruited by PGC1α, which directly binds to the AChR-β promoter to regulate its expression., Conclusions: This study verifies AChR-β regulation by the IL-6/IL-6R-ERK1/2-PGC1α/MEF2C pathway. Hence, evaluating muscle secretion, myokines, and AChRs at an earlier stage to determine pathological progression is important. Moreover, developing intervention strategies for monitoring, maintaining, and improving muscle structure and function is necessary., (© 2024. The Author(s).)

We discovered that employing inappropriate calibration curves for activity evaluation resulted in false positive results. Specifically, an artificial efficiency of hydrogen production is exaggerated by up to 2.2-fold if the calibration curves are misused, leading to considerably high false positive results. Our study highlights the importance of utilizing the correct calibration curve to ensure a true performance, and is beneficial for fostering advancements in the development of thermal-assisted photocatalysis.

Fluorinated pharmaceuticals pollution has become an ever-increasing environmental concern due to its negative impacts. Photoelectrocatalytic (PEC) degradation system is a desirable approach to tackle the pollution problems. However, photogenerated charge separation and interfacial mass transfer are the main bottlenecks for improving the PEC degradation performance. Herein, we report a TiO 2 photoanode with tuned (101)/(110) facets in situ grown on a Ti mesh substrate for PEC degradation of fluorinated pharmaceuticals. The exposure of (101) facets facilitates efficient photogenerated charge separation and the desorption of generated •OH radical. Besides, the three-dimensional (3D) architecture of photoanode promotes macroscopic mass transfer. This system performed complete defluorination of 5-fluorouracil and more than 75 % total organic carbon (TOC) removal efficiency. The apparent reaction rate constant of high (101) facet-exposed TiO 2 grown on Ti mesh is up to 6.96 h -1 , 6‒fold faster than that of photoanode with low (101) facet-exposed TiO 2 grown on Ti foil. It is demonstrated that a large-sized PEC system of 1200 cm 2 can degrade 100 L of synthetic fluorinated pharmaceutical wastewater with more than 80 % elimination efficiency. This work showcases the facet and substrate modulated strategy of fabricating high-performed photoanode for PEC wastewater purification., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)

Background: Previous studies have demonstrated that repetitive transcranial magnetic stimulation (rTMS) can improve postural control in subacute and chronic ischemic stroke, but further research is needed to investigate the effect of rTMS on acute ischemic stroke., Objective: We compared the therapeutic effects of rTMS plus conventional rehabilitation and conventional rehabilitation on postural control in patients with mild hemiparesis in acute ischemic stroke., Methods: Eighty-six patients with acute ischemic stroke were randomly assigned to either the experimental group or the control group within 1-7 days of onset. Patients in both groups received conventional rehabilitation for 2 weeks. Patients in the experimental group received rTMS treatments lasting for 2 weeks. Before and after the 2-week treatment, patients were assessed based on the Timed up and Go (TUG) test, Dual-Task Walking (DTW) test, Functional Ambulation Category (FAC), Tinetti Performance Oriented Mobility Assessment (POMA), gait kinematic parameters, Barthel Index (BI), Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and National Institutes of Health Stroke Scale (NIHSS). Additionally, TUG and single-task gait velocity were assessed at 2 months after the start of treatment, and independent walking recovery was also followed up., Results: After 2 weeks of treatment, compared to conventional rehabilitation, participants who underwent rTMS treatment plus conventional rehabilitation exhibited notable enhancements in TUG, FAC, POMA, and some gait parameters [single-task gait velocity, gait stride length, gait cadence, gait cycle]. Changes in cognitive function partially mediated the improvement in single-task gait velocity and gait stride length by rTMS plus conventional rehabilitation. Generalized Estimating Equation (GEE) analysis showed that the trend of improvement in single-task gait velocity over time was more pronounced in the experimental group than in the control group. The results of the Kaplan-Meier curve indicated a median gait recovery time of 90 days for patients in the experimental group and 100 days for the control group. Multifactorial Cox regression analyses showed that rTMS plus conventional rehabilitation promoted faster recovery of independent walking compared with conventional rehabilitation., Conclusion: rTMS plus conventional rehabilitation outperformed conventional rehabilitation in improving postural control in patients with acute ischemic stroke. Improvements in cognitive function may serve as a mediating factor in the favorable treatment outcome of rTMS plus conventional rehabilitation for improving postural control., Clinical Trial Registration: https://www.chictr.org.cn, identifier ChiCTR1900026225., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Ma, Qian, Ma, Zhang, Xu, Liu and Meng.)

Objective: To investigate the association between total sleep duration variability and stroke in the middle-aged and elderly population in China., Methods: Data were collected from the 2011, 2013, 2015, and 2018 surveys of the China Health and Retirement Longitudinal Study (CHARLS). A total of 3485 participants, who had not experienced a stroke until 2015 and completed the follow-up in 2018, were enrolled to analyze the relationship between total sleep duration variability and new stroke. Total sleep duration was calculated by summing self-reported nocturnal sleep duration and daytime napping. The variability was determined by calculating the standard deviation (SD) of total sleep duration across the first three waves. A binary logistic regression model was utilized to analyze this association., Results: Of the 3485 participants, 183 (5.25%) sustained a stroke event. A dose-response relationship was observed, indicating an increased stroke risk of 0.2 per unit (hours) increase in total sleep duration variability [OR (95% CI): 1.20 (1.01-1.42)]. Upon stratification by sex groups, this increased risk was significant only in men [OR (95% CI): 1.44 (1.12-1.83)]., Conclusion: Increased total sleep duration variability was associated with an increased risk of stroke in the middle-aged and elderly, independent of factors such as age, nocturnal sleep duration, napping habits, region of residence, hypertension, diabetes mellitus, dyslipidemia, BMI, smoking, drinking habits, and marital status. However, a more notable correlation was observed in males., (© 2024. The Author(s).)

Background: Current evidences suggest that Proprotein Convertase Subtilisin/kexin Type 9 inhibitors (PCSK9i) exhibit a protective influence on acute coronary syndrome (ACS). Nevertheless, further investigation is required to comprehend the impact and mechanisms of these pharmaceutical agents on inflammatory factors and arterial stiffness (AS) in patients with ACS. Consequently, the objective of this study is to ascertain the influence of PCSK9i on arterial stiffness in ACS patients and elucidate the underlying mechanisms behind their actions., Methods: This study employed Mendelian randomization (MR) analysis to examine the association between genetic prediction of PCSK9 inhibition and arterial stiffness. Data of 71 patients with ACS were retrospectively collected, including PCSK9i group ( n  = 36, PCSK9 inhibitors combined with statins) and control group ( n  = 35, statins only). Blood lipid levels, inflammatory markers and pulse wave velocity (PWV) data were collected before treatment and at 1 and 6 months after treatment for analysis. Additionally, cell experiments were conducted to investigate the impact of PCSK9i on osteogenesis of vascular smooth muscle cells (VSMCs), utilizing western blot (WB), enzyme-linked immunosorbent assay (ELISA), and calcification index measurements., Results: The results of the MR analysis suggest that genetic prediction of PCSK9 inhibition has potential to reduce the PWV. Following treatment of statins combined with PCSK9 inhibitors for 1 and 6 months, the PCSK9i group exhibited significantly lower levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), C-reactive protein (CRP), interleukin-6 (IL-6), fibrinogen (FIB) and procalcitonin (PCT) compared to the control group ( p  < 0.05). Additionally, PWV in the PCSK9i group demonstrated significant reduction after 6 months of treatment and was found to be associated with the circulating CRP level. In cell experiments, PCSK9i pretreatment ameliorated osteogenesis of VSMCs through reducing the deposition of calcium ions, alkaline phosphatase (ALP) activity, and expression of runt-related transcription factor 2 (RUNX2)., Conclusion: PCSK9i have potential to enhance arterial stiffness in ACS patients. Specifically, at the clinical level, this impact may be attributed to alterations in circulating CRP levels. At the cellular level, it is associated with the signaling pathway linked to RUNX2., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Xu, Wang, Wang, Wang, Jiang, Du, Cheng, Zhang, Wang, Jiao, Xing, Ma and Li.)

Photoelectrochemical splitting of water into hydrogen is a potential route to motivate the application of solar-driven conversion to clean energy but is regularly limited by its low efficiency. The key to addressing this issue is to design a suitable photocathode configuration for high-efficiency photogenerated carrier separation and transmission to photocathode-surface reaction sites. In this work, we report a Si-Cu 2 O tandem photocathode featuring a p-n-p configuration for solar-driven hydrogen evolution in an alkaline solution. Driven by this built-in field, the electrons induced from Si were transferred through FeOOH, which acted as electron tunnels, to combine with the holes from Cu 2 O, triggering more electrons generated from Cu 2 O to particiate in the surface reaction. Under simulated sunlight, the optimized photocathode achieved and maintained a photocurrent density of -11 mA/cm 2 at 0 V RHE in alkaline conditions for 120 min, outperforming the reported tandem cell consisting of Si and Cu 2 O photocathodes. Our results provide valuable insight into a feasible way to construct an optimized photocathode for efficient solar-driven H 2 evolution.

Confronting the challenge of climate change necessitates innovative approaches for the reduction of CO 2 emissions. Metal-support interaction has been widely demonstrated to enable greatly improved performances in thermal-catalytic, photocatalytic and electrocatalytic CO 2 reduction. However, its applicability and specifically its role in the emerging piezo-electrocatalytic CO 2 reduction are unknown, severely hampering the utilizations of piezo-electrocatalysis in CO 2 conversion. Herein, by adopting Au particles supported on ZnO (Au/ZnO) as a paradigm, it is found that the metal-support interaction can remarkably improve the separation and transfer of piezo-carriers and enhance CO 2 adsorption. As a result, Au/ZnO demonstrates a substantially boosted activity for piezo-electrocatalytic CO 2 reduction and the optimal sample exhibits a 37.3% increase in CO yield compared to the pristine ZnO. The integration of metal-support interactions opens a new avenue to the design of advanced piezo-electrocatalysts for CO 2 reduction., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Piezo-electrocatalysis as an emerging mechano-to-chemistry energy conversion technique opens multiple innovative opportunities and draws great interest over the past decade. However, the two potential mechanisms in piezo-electrocatalysis, i.e., screening charge effect and energy band theory, generally coexist in the most piezoelectrics, making the essential mechanism remain controversial. Here, for the first time, the two mechanisms in piezo-electrocatalytic CO 2 reduction reaction (PECRR) is distinguished through a narrow-bandgap piezo-electrocatalyst strategy using MoS 2 nanoflakes as demo. With conduction band of -0.12 eV, the MoS 2 nanoflakes are unsatisfied for CO 2 -to-CO redox potential of -0.53 eV, yet they achieve an ultrahigh CO yield of ≈543.1 µmol g -1  h -1 in PECRR. Potential band position shifts under vibration are still unsatisfied with CO 2 -to-CO potential verified by theoretical investigation and piezo-photocatalytic experiment, further indicating that the mechanism of piezo-electrocatalysis is independent of band position. Besides, MoS 2 nanoflakes exhibit unexpected intense "breathing" effect under vibration and enable the naked-eye-visible inhalation of CO 2 gas, independently achieving the complete carbon cycle chain from CO 2 capture to conversion. The CO 2 inhalation and conversion processes in PECRR are revealed by a self-designed in situ reaction cell. This work brings new insights into the essential mechanism and surface reaction evolution of piezo-electrocatalysis., (© 2023 Wiley-VCH GmbH.)

Background: No meta-analysis has analyzed the effect of physical activity level, period of physical activity intervention, and duration of intervention, on perinatal depression. This study was to evaluate the impact of physical activity intensity, dose, period, and duration on perinatal depression., Methods: The literature was searched via the PubMed, Embase, Cochrane Library, and Web of Science databases. Weighted mean difference (WMD) or the risk ratio (RR) was used as the effect indicator, and the effect size was represented by the 95 % confidence interval (CI). Subgroup analysis based on the perinatal stage, physical activity intensity, physical activity equivalent, and intervention duration was performed., Results: Totally, 35 studies including 5084 women were included. Physical activity could reduce the incidence and severity of depression in perinatal women. Among depressed women with prenatal depression, low-intensity physical activity, with metabolic equivalents (METs)-min/week being <450, was associated with lower levels of depression. In the general population, the risk of postpartum depression was lower in the physical activity group when the duration of intervention was ≥12 weeks, being II, III stage, and ≥450 METs-min/week. Both low and moderate-intensity physical activity were beneficial to an improved depression severity among depressed women with postpartum depression, and moderate exercise intervention could decrease the risk of postpartum depression in general pregnant women., Limitations: Different types of physical activities may affect the effectiveness of interventions., Conclusion: Our study indicated physical activity specifically targeted at pregnant women could reduce depression risk and severity., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)

A critical bottleneck for realizing an efficient Schottky type Si photoelectrode is minimizing the charge extraction losses across the heterointerface via reducing the unfavorite defects. This requires a clear microscopic insight into the correlation between interfacial features and photoconversion. Herein, by taking the n-Si/oxide (MO x )/Ni as the prototype, the heterointerface with the different characteristics and its effects on charge transportation and the corresponding photoelectric/photoelectrochemical (PEC) behaviors were clarified. An ultra-thin AlO x layer can effectively diminish the interfacial pinning of n-Si/Ni and significantly facilitate the photoconversion; meanwhile, it results in some unexpected donor-like deep defects at around 0.59 eV below the conduction band of n-Si, which could be ionized under a reverse bias and cause about 10% photogenerated charge recombination. Fortunately, these deep defects can be further eliminated by cooperating AlO x with a thin Au layer. The AlO x /Au dual-interlayer can remove almost all unexpected defects and maximize the efficiency of the electric field for charge extraction from semiconductor Si for the surface catalytic reaction. Eventually, the n-Si/SiO x /AlO x /Au/Ni/NiFeO x photoanode exhibited a record fill factor of 0.75 for the corresponding photoelectric device and an applied bias photon-to-current efficiency of 3.71% for PEC water oxidation. This study provides definite insights into interfacial electronic states and elaborates their crucial role in solar photoelectric conversion.

Photocatalytic conversion of CO 2 to high-value products plays a crucial role in the global pursuit of carbon-neutral economy. Junction photocatalysts, such as the isotype heterojunctions, offer an ideal paradigm to navigate the photocatalytic CO 2 reduction reaction (CRR). Herein, we elucidate the behaviors of isotype heterojunctions toward photocatalytic CRR over a representative photocatalyst, g-C 3 N 4 . Impressively, the isotype heterojunctions possess a significantly higher efficiency for the spatial separation and transfer of photogenerated carriers than the single components. Along with the intrinsically outstanding stability, the isotype heterojunctions exhibit an exceptional and stable activity toward the CO 2 photoreduction to CO. More importantly, by combining quantitative in situ technique with the first-principles modeling, we elucidate that the enhanced photoinduced charge dynamics promotes the production of key intermediates and thus the whole reaction kinetics., (© 2022. The Author(s).)

In this work, the strong piezocatalysis is found in the two-step hydrothermally-synthesized barium titanate/carbon hybrid nanocomposites and is used for rhodamine B dye decomposition. As the carbon content increases from 0 to 5 wt%, the catalytic performance of hybrid nanocomposites first increases and then slightly decreases. When the carbon content increases to 2 wt%, the barium titanate/carbon hybrid nanocomposites exhibit the optimal piezocatalytic performance, which have the ~75.5% dye decomposition ratio and the ~0.04901 min -1 reaction rate constant after the 40 min vibration stimulation, while that of the pure barium titanate are 48.4% and 0.01942 min -1 , respectively. The improvement of piezocatalytic performance in barium titanate/carbon hybrid nanocomposites can be ascribed to the action of carbon's charge transfer which promotes the effective separation of the piezoelectrically-induced electric charges. After three runs recycle utilization tests, the barium titanate/carbon hybrid nanocomposites still exhibit ~70% decomposition ratio of rhodamine B dye. The strong piezocatalytic performance and the good reusability make the barium titanate/carbon hybrid nanocomposites potential in the field of wastewater treatment through utilizing natural vibration energy in future., Competing Interests: Declaration of Competing Interest There are no conflicts to declare., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Most reported risk factors for developmental speech delay (DSD) remain controversial, and studies on paternal influencing factors are rare. This study investigated family environmental risk factors for DSD in northern China. The medical records of 276 patients diagnosed with DSD at four centres between October 2018 and October 2019 were retrospectively analysed. A questionnaire was designed that contained items such as maternal age at the child's birth, child sex, child age, birth order, family type and parental personality. Patients whose medical records lacked complete information for this investigation were contacted by e-mail or phone. Additionally, 339 families whose children received routine physical examinations at the four involved centres completed the survey. Data were collected, and potential risk factors were analysed using the t test or chi-square test; the obtained outcomes were subjected to multivariable logistic regression for further analysis. The multivariable regression showed that older maternal age at the child's birth (OR = 1.312 (1.192-1.444), P < 0.001), introverted paternal personality (OR = 0.023 (0.011-0.048), P < 0.001), low average parental education level (OR = 2.771 (1.226-6.263), P = 0.014), low monthly family income (OR = 4.447 (1.934-10.222), P < 0.001), and rare parent-child communication (OR = 6.445 (3.441-12.072), P < 0.001) were independent risk factors for DSD in children in North China. The study results may provide useful data for broadening and deepening the understanding of family risk factors for DSD.

In this work, it is found that the hydrothermally-synthesized bismuth oxychloride can behave both the piezocatalysis and photocatalysis for the Rhodamine B dye decomposition. ∼99% decomposition efficiency is achieved after both vibrating and lighting the Rhodamine B dye solution for ∼96 min with the addition of bismuth oxychloride catalyst, while the ∼72% and ∼26% decomposition efficiencies are obtained for only photocatalysis or only piezocatalysis respectively. In bi-catalysis, the mechanical strain produced due to vibration will directly provide an electric field that will increase the separation between the photo-induced electron-hole pairs, yielding to the enhanced decomposition performance of bi-catalysis. There is no significant change in the bi-catalytic performance of bismuth oxychloride nanomaterial observed after being recycled four times. Bismuth oxychloride catalyst is potential for the bi-catalytic decomposition treatment of wastewater through harvesting both the environmental vibration energy and light energy., (Copyright © 2019 Elsevier Ltd. All rights reserved.)