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Leveraging data from a longitudinal study of Chinese families (n = 364), this research aims to understand the role of secure base script knowledge as a cognitive mechanism by which early caregiving experiences inform adolescents' friendship quality and feelings of loneliness. Results showed that observed maternal sensitivity at 14 and 24 months old was negatively associated with adolescents' self‐reported conflicts with close friends (β = −0.17, p = 0.044) at 15 years old, and this association was partially mediated by their secure base script knowledge assessed at 10 years old. Further, secure base script knowledge moderated the link between adolescents' friend conflict and feelings of loneliness (β = −0.15, p = 0.037). The results support a cognitive script perspective on the association between early caregiving experiences and later socio‐emotional adjustment. Furthermore, this study adds to the developmental literature that has previously focused on more stringent and authoritarian aspects of parenting in Chinese families, thereby contributing to our understanding of how sensitive and supportive parenting practices contribute to socio‐emotional development outside of Western contexts. Research Highlights: Maternal sensitivity during infancy and toddlerhood has a long‐term association with adolescents' friendship quality and adolescents' secure base script partially explains the association.First evidence to demonstrate that the secure base script in attachment relationships mediates the association between early maternal caregiving and socio‐emotional development in Chinese adolescents.Adolescents lacking secure base script knowledge are particularly vulnerable to feelings of loneliness when facing high levels of conflict in close friendships. [ABSTRACT FROM AUTHOR]

Featured Application: These research results can be applied in forest fire suppression. This paper focuses on improving fire suppression performance through the use of compressed-air launching technology. A launch dynamics calculation model of a compressed-air launcher is presented, developed using VC++ programming, to simulate the acceleration process of a fire-extinguishing bomb in a barrel. By analyzing the influences of various structural and initial parameters on interior ballistics variations, the effectiveness of the calculation model and program in accurately simulating the launching process is demonstrated. The calculation results indicate that the bore pressure follows a similar trend to that of traditional gunpowder launching. Additionally, it is found that specific structural parameters, such as nozzle diameter and gas cylinder volume, have a direct impact on interior ballistics variations. Notably, the nozzle diameter positively affects the peak pressure, muzzle velocity, gas transfer efficiency, and launch efficiency. To ensure an optimal launch effect and efficiency, the nozzle diameter should be selected to be more than half of the launcher caliber. Similarly, the gas cylinder volume positively influences the peak pressure and muzzle velocity while negatively affecting the gas transfer efficiency and launch efficiency. Furthermore, the initial pressure in the gas cylinder exhibits a positive linear relationship with both the peak pressure and muzzle velocity but a negative linear relationship with the gas transfer efficiency and launch efficiency. The loading position minimally impacts the peak pressure and muzzle velocity but slightly enhances the gas transfer efficiency and launch efficiency. Finally, it is observed that launch angles do not affect the interior ballistic process. The research findings provide valuable theoretical guidance for determining the working parameters of compressed-air accelerated fire-extinguishing bombs. [ABSTRACT FROM AUTHOR]

Solar radiation initiates photochemical oxidation of dissolved organic carbon (DOC) to dissolved inorganic carbon (DIC) in inland waters, contributing to their carbon dioxide emissions to the atmosphere. Models can determine photochemical DIC production over large spatiotemporal scales and assess its role in aquatic C cycling. The apparent quantum yield (AQY) spectrum for photochemical DIC production, defined as mol DIC produced per mol chromophoric dissolved organic matter‐absorbed photons, is a critical model parameter. In previous studies, the principle for the determination of AQY spectra is the same but methodological specifics differ, and the extent to which these differences influence AQY spectra and simulated aquatic DIC photoproduction is unclear. Here, four laboratories determined AQY spectra from water samples of eight inland waters that are situated in Alaska, Finland, and Sweden and span a nearly 10‐fold range in DOM absorption coefficients. All AQY values fell within the range previously reported for inland waters. The inter‐laboratory coefficient of variation (CV) for wavelength‐integrated AQY spectra (300–450 nm) averaged 38% ± 3% SE, and the inter‐water CV averaged 63% ± 1%. The inter‐laboratory CV for simulated photochemical DIC production (conducted for the five Swedish lakes) averaged 49% ± 12%, and the inter‐water CV averaged 77% ± 10%. This uncertainty is not surprising given the complexities and methodological choices involved in determining DIC AQY spectra and needs to be considered when applying photochemical rate modeling. Thus, we also highlight current methodological limitations and suggest future improvements for DIC AQY determination to reduce inter‐laboratory uncertainty. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to develop and to validate a novel nomogram based on inflammatory markers to preoperatively predict microvascular invasion (MVI) in patients with solitary primary hepatocellular carcinoma (HCC). Patients and Methods: Data from 658 patients with solitary primary HCC who underwent hepatectomy at the First Affiliated Hospital of Zhengzhou University from June 2018 to October 2021 were retrospectively analyzed. Patients were divided into training (n=441) and validation (n=217) cohorts according to surgical data. Independent risk factors for MVI were identified via univariate and multivariate logistic regression analyses in the training cohort. A novel nomogram was developed based on the independent risk factors identified. Its accuracy was evaluated using a calibration curve and concordance index (C-index). The predictive value was evaluated using the receiver operating characteristic (ROC) curve and decision curve analysis (DCA). Results: Preoperative alpha-fetoprotein > 969 μg/L (P< 0.001), tumor size (P=0.002), neutrophil > 1.8× 109/L (P=0.002), gamma-glutamyl transpeptidase-to-platelet ratio (GPR) > 0.32 (P=0.001), aspartate aminotransferase-to-platelet ratio (APR) > 0.18 (P< 0.001), gamma-glutamyl transpeptidase-to-albumin ratio (GAR) > 2.30 (P=0.001), and gamma-glutamyl transpeptidase-to-lymphocyte ratio > 29.58 (P< 0.001) were identified as preoperative independent risk factors for MVI and were used to establish the nomogram. The C-index of the training and validation cohorts were 0.788 (95% confidence interval [CI]: 0.744– 0.831) and 0.735 (95% CI: 0.668– 0.802), respectively. The calibration curve analysis revealed that the standard curve fit well with the predicted curve. ROC curve analysis demonstrated high efficiency of the nomogram. DCA verified that the nomogram had notable clinical value. Conclusion: Preoperative GPR > 0.32, APR > 0.18, and GAR > 2.30 were independent risk factors for MVI in patients with solitary primary HCC, suggesting their utility as preoperative predictors of MVI. The novel nomogram developed and validated in this study may aid in determining optimal therapeutic approaches for patients with solitary HCC at risk for MVI. [ABSTRACT FROM AUTHOR]

In recent years, pursuing a high evaporation rate of solar steam generation (SSG) has been the focus of research for relieving the freshwater shortage. Scientists struggled to find perfect photothermal materials while the importance of substrate during the steam generation was often overlooked. Therefore, in this work, an aerogel substrate composed of polyvinyl alcohol (PVA) and chitosan (CS) has been designed for solar steam generation. The compounded aerogels synthesized via freeze‐drying method not only retain the inherent characteristics of lightweight, porosity, and high specific surface area, but also inherit the advantages of PVA in water lock effect as well as CS in moisture absorption. The obtained PVA/CS/CuO aerogel coupling with high light absorption of CuO exhibited excellent steam generation capabilities, largely benefited from the superiority of the aerogel substrate. Under 1 sun solar illumination (1 kW m–2), it realized an evaporation rate as high as 2.14 Kg m–2 h–1, which is superior to recently reported semiconductor solar evaporation system. The solar‐to‐vapor energy conversion efficiency of 87.1% is obtained. Due to the versatility of CuO, PVA/CS/CuO aerogel not only has excellent light‐to‐heat conversion performance, but also has good effects in antibacterial. [ABSTRACT FROM AUTHOR]

Background: Effective pain management is limited for patients during prostate biopsy (PBx). Touch support, such as hand holding, has stress-buffering benefits and effective analgesic effects. We conducted a prospective, single-center randomized clinical trial to assess whether hand holding can reduce patient anxiety, pain, and dissatisfaction during PBx. Methods: Between April 2020 and October 2020, 120 male patients were randomized into three groups: a hand holding with relatives (HR) group, a hand holding with strangers (HS) group and a control group. A visual analog scale (VAS) was used for self-assessments of pain and satisfaction. Anxiety levels were quantified according to the State-Trait Anxiety Inventory (STAI). Hemodynamic changes were also measured. Results: The degree of pain and anxiety in the hand-holding groups was significantly better than that in the control group (P< 0.001), and the patients were more willing to undergo repeat PBx (P=0.017). The anxiety levels in the HR group were significantly lower than those in the HS group (P=0.019). During PBx, the changes in systolic blood pressure and heart rate in the hand-holding groups were more stable than those in the control group (P< 0.01), and the fluctuations in heart rate in the HR group were smaller than those in the HS group (P< 0.01). Conclusion: Hand holding, especially with relatives, can promote incremental reductions in anxiety, pain and dissatisfaction in patients during PBx. Hence, we recommend hand holding with relatives as an effective adjunct during PBx. [ABSTRACT FROM AUTHOR]

Solar steam generation is an environmentally friendly water treatment method that produces clean water using solar energy. However, it is still a challenge to effectively prevent the performance deterioration when most photothermal conversion materials are used to evaporate high‐concentration salt‐containing wastewater or strong acid/alkali solution. Herein, a stable and effective solar evaporator is designed using natural sugarcane, where sucrose is simply dehydrated into carbon particles by hydrothermal reaction in sulfuric acid. With a honeycomb structure, it not only enables water transport capacity but also promotes sunlight absorption. Sulfuric acid hydrothermal carbonized sugarcane (SHCSC) can reach up to 95.36% solar absorption in a wide wavelength range (200–2500 nm) and a high evaporation rate of 2.32 kg m−2 h−1 under 1 sun illumination. More importantly, SHCSC has an excellent adsorption capacity with ion removal rate of 99.9% even under artificial wastewater containing 1000 mg L−1 of mixed metal ions. SHCSC also can perform efficiently and stably at a high evaporation rate above 2.2 kg m−2 h−1 in strong acidic or alkaline wastewater. These findings suggest that SHCSC can be potentially applied to the efficient harvest of clean water from the high‐concentration wastewater containing acid, alkali, and mixed metal ions. [ABSTRACT FROM AUTHOR]

The solar‐assisted desalination generator (SADG) shows great potential for solving water scarcity problems. However, salt precipitation and accumulation is still a challenge for SADG, which slows down solar steam generation performance of evaporator during operation. Here, a facile integrative evaporator featuring stable and high evaporation performance breaks this bottleneck. By using a rational design in which amorphous carbon particles are evenly composited within the porous chitosan aerogel, the evaporator not only integrates excellent light absorption, heat management, and water transportation abilities but also endows a large vapor escape space. Upon desalination, salt concentration ingredients between carbon particles and chitosan membranes can be quickly balanced by water transport in interconnected chitosan chains, and thus salt precipiation on the evaporator surface would be avoided. Compared to other salt‐rejection evaporators, the integrative evaporator can operate in 3.5 wt% brine for 60 days without salt precipiation and exhibits a stable evaporation rate (1.70 kg m−2 h−1), indicating its potential for practical applications in seawater desalination and the harvest of clean drinking water. [ABSTRACT FROM AUTHOR]

Energy matching strategy is verified as an effective method for significant improvement of evaporation rate in direct solar steam generation (DSSG). By adjusting the solid–liquid interface through bilayer structure, the water transport speed from reservoir to evaporation surface is controlled to reduce the required energy (RE) for closely matching with that of input energy (IE). The highest evaporation rate can reach up to 2.22 kg m−2 h−1 under one‐sun illumination, which is improved by 40% through energy matching. A solar‐to‐vapor energy conversion efficiency of 93.2% is obtained. It is also highly effective in practical applications including desalination, sewage treatment, oil–water separation, and heavy metal ions treatment. This concept displays a balance between the energy needed for water waiting to be evaporated and the IE. It can inspire more ideas for researchers to accelerate the development of DSSG. [ABSTRACT FROM AUTHOR]

A growing body of literature shows that adherence to some aspects of Western masculinity norms, including the suppression of emotional vulnerability, avoidance of seeking support from others, and exaggerated physical toughness, is associated with poorer psychological and social outcomes. While existing research suggests that parental gender beliefs and caregiving behaviors might influence the development of children's gendered behaviors, little is known about the developmental origins of individual differences in adherence to masculinity norms. The current study aims to address this gap and presents a longitudinal investigation of how parental gender beliefs and maternal sensitivity during infancy contribute to children's adherence to masculinity norms during middle childhood. Data were drawn from a mixed-method 9-year longitudinal study of 374 urban Chinese families (48.40% with daughters). Parental gender beliefs were assessed at 24 months, maternal sensitivity was assessed with mother–child interaction observations at 14 and 24 months, and children's self-reported adherence to masculinity norms were assessed at age 10 years. Results indicate that while parental gender beliefs had no associations with children's adherence to masculinity norms, maternal sensitivity predicted children's adherence to masculinity norms (β = −.18, p =.008) above and beyond parental gender beliefs and parental education level; moreover, there was a significant interaction of sex on the effect of maternal sensitivity on children's adherence to masculinity (β = −.23, p =.025), and the association was significant only for boys. Public Significance Statement: This is the first longitudinal study to examine the developmental influence of parenting sensitivity and gender beliefs on boys' and girls' adherence to masculinity norms. Results demonstrate that sensitive parenting may have long-term protective effects on boys' adherence to harmful gender norms and represent a pathway for intervention. [ABSTRACT FROM AUTHOR]

Layered oxyselenide BiCuSeO has recently attracted much attention as a promising p-type eco-friendly thermoelectric material. The future development of BiCuSeO-based thermoelectric modules requires compatible p- and n-type materials. In the present work, we show that n-type BiCuSeO can be obtained below 500 K by substituting Fe for Cu in pristine BiCuSeO. Besides, co-substitution of Fe for Cu in p-type doped Bi0.94Pb0.06CuSeO can enhance both S and σ, which originates from high hole mobility with relatively high hole concentration, improving the power factor of BiCuSeO remarkably to above 0.9 mW m−1 K−2 in the whole temperature range while maintaining a low thermal conductivity. A high ZTpeak of around 1.5 at 873 K with an average ZT of around 1 between 310 K and 873 K was reproducibly obtained for p-type Bi0.94Pb0.06Cu0.99Fe0.01SeO. This new substitution opens a new direction that could pave the way for practical application of combined p- and n-type BiCuSeO in thermoelectric modules. [ABSTRACT FROM AUTHOR]

Direct solar steam generation (DSSG) as a green purification technology only driven by solar energy has attracted the attention of researchers. Compared with large-scale water purification technologies such as membrane distillation, reverse osmosis and multistage flash distillation, it has convenient, low cost and distributed features. In recent years, water path of evaporator has been gradually optimized and some new strategies has been promoted. In this review, we summarize the development of water path as well as new evaporation strategies including utilizing environmental energy, multi-level utilization of energy efficiency and decreasing evaporation enthalpy. Future research direction and problems to be solved has also been discussed. The current deficiencies and challenges have been pointed to speed the practical application of distributed DSSG purification technology. Image 1 [ABSTRACT FROM AUTHOR]

Direct solar steam generation (DSSG) offers a promising, sustainable, and environmentally friendly solution to the energy and water crisis. In the past decades, DSSG has gained tremendous attention due to its potential applications for clean water production, desalination, wastewater treatment, and electric energy harvesting. Even though the solar–thermal conversion efficiency has approached 100% under 1 sun illumination (1 kW m−2) using various photothermal materials and systems, the optimization of the materials and system structure remains unclear because of the lack of evaluation methods in unity for the output efficiency. In this review, a few key concerns about different dimensional materials and systems that determine the characteristics of DSSG are explored. Quantitative analysis, including calculations and methods for the solar–thermal conversion efficiency, evaporation rate, and energy loss, is employed to evaluate the materials and systems from the point of view of ultimate utilization. This article focuses on the relationship between the system dimension and energy efficiency and notes opportunities for future system design and commercialization of DSSG. [ABSTRACT FROM AUTHOR]

Purpose: To choose the ideal ureteral access sheath (UAS) size for an unstented ureter in flexible ureteroscopic lithotripsy (FURL).Materials and Methods: A retrospective study was conducted in patients treated with FURL for renal calculi from 2005 to 2020. The patients were divided into two groups: smaller (10/12 Fr) vs. larger (12/14 Fr) calibre UAS. The outcomes were the insertion success rate, systemic inflammatory response syndrome (SIRS) complication rate after the operation, ureteral wall injury, operative time, and stone-free rate.Results: Of the 1573 patients enrolled, 10/12 Fr UAS was used in 957 patients (Group A), and 12/14 Fr UAS was used in the remaining patients (Group B). The insertion success rate was significantly better in Group A (91.2% vs. 86.9%, P = .006), with no significant difference between the groups regarding the stone-free rate, postoperative pain, operative time or hospital stay. The severity of visible ureteral lesions with 10/12 Fr UAS was significantly lower than that with larger UASs (80.1% vs 85.2%, P < .001). Despite the lack of a significant difference in the incidence of SIRS between the two groups, the incidence of SIRS in the 10/12 Fr group showed a sharp increase with stones > 2 cm (17.0% vs. 8.5%, P = 0.037).Conclusion: The use of 10/12 Fr UAS was beneficial with respect to insertion success rate, avoiding ureteral wall injury and not increasing postoperative infectious complications in FURL. We recommend the use of a smaller calibre (10/12 Fr) UAS in patients with renal calculi < 2 cm. [ABSTRACT FROM AUTHOR]

Purpose: To explore whether sexual intercourse is beneficial to the clinical outcome of SWL for ureteral calculi of 7-15 mm in the distal ureter.Materials and Methods: Between March 2016 and January 2017, 225 patents with a stone (7-15 mm) in distal ureter were randomly divided into three groups after SWL: Group 1 was asked to have sexual intercourse at least three times a week, Group 2 was administered tamsulosin 0.4 mg/d and Group 3 was received standard therapy alone and served as the controls. Stone free rate, time to stone expulsion, pain score at admission, number of hospital visits for pain and steinstrasse were recorded in 2 weeks.Results: 70 patients in Group 1, 71 patients in Group 2 and 68 patients in Group 3 were enrolled to the study. At the end of the first week and the second week, the stone free rates for Group 1 (68.6%, 80.0%) and Group 2 (69.0%, 81.7%) were approximately the same, but were significantly higher than Group 3 (50.0%, 63.2%) (P = .031, P = .022). The VAS scores of Groups 1 and 2 were slightly higher than those of Group 3 (P = .233). The number of patients in Group 3 who visited the emergency room for pain was significantly higher than in the other two groups (P = .015). At the end of the second week, the incidence of steinstrasse in Groups 1 and 2 was significantly lower (2.9%, 2.8% vs 11.8%) (P = .034).Conclusion: At least three sexual intercourses per week after SWL can effectively improve the stone free rate, reduce the formation of steinstrasse and relieve renal colic. It provides a choice for urologists in the SWL treatment of lower ureteral calculi. [ABSTRACT FROM AUTHOR]

Abstract: Aquatic macrophytes such as Elodea nuttalli, Vallisneria natans, Alterranthera philoxerides that are widely distributed in water environments of Lake Taihu basin were used as substrate of solid state fermentation to produce crude protein extraction. The effects of single-strain fermentation and mixed strains fermentation of aquatic macrophytes on the production of crude protein extraction and cellulase activity are analyzed, respectively. The experimental results showed that the crude protein content of products with mixed strains fermentation is higher than that with single-strain fermentation. The crude protein content of V. natans fermented by Aspergillus niger and Candida utilis is the highest among the aquatic macrophytes examined in this study. V. natans is used as the substrate to be fermented by C. utilis and A. niger; their ratio is 1:1 at 28±1°C for 72h. The crude protein of fermented V. natans is as high as 49.54%, with 128.82% of its increase rate. The cellulose activity reaches a maximum of 4.21μ/ml at 84h of fementation of V. natans. Thus, the solid state fermentation of aquatic macrophytes to produce crude protein extraction is promising, which make aquatic macrophytes a potential resource and thus is beneficial to the long-term ecological restoration of eutrophic lakes. [Copyright &y& Elsevier]

The integration of electronic stimulation devices with insects in the context of cyborg insect systems has great application potential, particularly in the fields of environmental monitoring, urban surveillance, and rescue missions. Despite considerable advantages compared to the current robot technology, including flexibility, durability, and low energy consumption, this integration faces certain challenges related to the potential risk of charge accumulation caused by prolonged and repetitive electrical stimulations. To address these challenges, this study proposes a universal system for remote signal output control using infrared signals. The proposed system integrates high-precision digital-to-analog converters capable of generating customized waveform electrical stimulation signals within defined ranges. This enhances the accuracy of locomotion control in cyborg insects while maintaining real-time control and dynamic parameter adjustment. The proposed system is verified by experiments. The experimental results show that the signals generated by the proposed system have a success rate of over 76.25% in controlling the turning locomotion of cyborg insects, which is higher than previously reported results. In addition, the charge-balanced characteristics of these signals can minimize muscle tissue damage, thus substantially enhancing control repeatability. This study provides a comprehensive solution for the remote control and monitoring of cyborg insects, whose flexibility and adaptability can meet various application and experimental requirements. The results presented in this study lay a robust foundation for further advancement of various technologies, particularly those related to cyborg insect locomotion control systems and wireless control mechanisms for cyborg insects., Competing Interests: Competing interests: The authors declare that they have no competing interests., (Copyright © 2024 Zhong Liu et al.)

Significant links exist between one's perception of available social support and mental health outcomes, including during the transition to motherhood. Yet, attachment theory posits that individuals do not benefit equally from social support. As such, we examined the influence of attachment representations (i.e., secure base script knowledge) as they potentially moderate links between social support and psychological distress in a 1-year longitudinal study of an ethnically diverse (56% White) sample of infant-mother dyads. We hypothesized that higher social support would predict lower maternal psychological distress and this relation would be strongest in those with higher secure base script knowledge. Results indicated that maternal perceptions of social support were significantly negatively correlated with psychological distress. Analyses revealed that secure base script scores significantly moderated these associations. Interestingly, for those high in script knowledge, low social support predicted greater psychological distress. For those low in script knowledge, social support was unrelated to psychological distress. This pattern suggested that those who expect care (i.e., high secure base script knowledge) but receive minimal support (i.e., low perceived social support) find motherhood uniquely dysregulating. Practitioners may do well to examine individuals' attachment expectations in relation to their current social support.

Purpose: To choose the ideal ureteral access sheath (UAS) size for an unstented ureter in flexible ureteroscopic lithotripsy (FURL)., Materials and Methods: A retrospective study was conducted in patients treated with FURL for renal calculi from 2005 to 2020. The patients were divided into two groups: smaller (10/12 Fr) vs. larger (12/14 Fr) calibre UAS. The outcomes were the insertion success rate, systemic inflammatory response syndrome (SIRS) complication rate after the operation, ureteral wall injury, operative time, and stone-free rate., Results: Of the 1573 patients enrolled, 10/12 Fr UAS was used in 957 patients (Group A), and 12/14 Fr UAS was used in the remaining patients (Group B). The insertion success rate was significantly better in Group A (91.2% vs. 86.9%, P = .006), with no significant difference between the groups regarding the stone-free rate, postoperative pain, operative time or hospital stay. The severity of visible ureteral lesions with 10/12 Fr UAS was significantly lower than that with larger UASs (80.1% vs 85.2%, P < .001). Despite the lack of a significant difference in the incidence of SIRS between the two groups, the incidence of SIRS in the 10/12 Fr group showed a sharp increase with stones > 2 cm (17.0% vs. 8.5%, P = 0.037)., Conclusion: The use of 10/12 Fr UAS was beneficial with respect to insertion success rate, avoiding ureteral wall injury and not increasing postoperative infectious complications in FURL. We recommend the use of a smaller calibre (10/12 Fr) UAS in patients with renal calculi < 2 cm.

The solar-assisted desalination generator (SADG) shows great potential for solving water scarcity problems. However, salt precipitation and accumulation is still a challenge for SADG, which slows down solar steam generation performance of evaporator during operation. Here, a facile integrative evaporator featuring stable and high evaporation performance breaks this bottleneck. By using a rational design in which amorphous carbon particles are evenly composited within the porous chitosan aerogel, the evaporator not only integrates excellent light absorption, heat management, and water transportation abilities but also endows a large vapor escape space. Upon desalination, salt concentration ingredients between carbon particles and chitosan membranes can be quickly balanced by water transport in interconnected chitosan chains, and thus salt precipiation on the evaporator surface would be avoided. Compared to other salt-rejection evaporators, the integrative evaporator can operate in 3.5 wt% brine for 60 days without salt precipiation and exhibits a stable evaporation rate (1.70 kg m -2 h -1 ), indicating its potential for practical applications in seawater desalination and the harvest of clean drinking water., Competing Interests: The authors declare no conflict of interest., (© 2020 The Authors. Global Challenges published by Wiley‐VCH GmbH.)

Purpose: To explore whether sexual intercourse is beneficial to the clinical outcome of SWL for ureteral calculi of 7-15 mm in the distal ureter., Materials and Methods: Between March 2016 and January 2017, 225 patents with a stone (7-15 mm) in distal ureter were randomly divided into three groups after SWL: Group 1 was asked to have sexual intercourse at least three times a week, Group 2 was administered tamsulosin 0.4 mg/d and Group 3 was received standard therapy alone and served as the controls. Stone free rate, time to stone expulsion, pain score at admission, number of hospital visits for pain and steinstrasse were recorded in 2 weeks., Results: 70 patients in Group 1, 71 patients in Group 2 and 68 patients in Group 3 were enrolled to the study. At the end of the first week and the second week, the stone free rates for Group 1 (68.6%, 80.0%) and Group 2 (69.0%, 81.7%) were approximately the same, but were significantly higher than Group 3 (50.0%, 63.2%) (P = .031, P = .022). The VAS scores of Groups 1 and 2 were slightly higher than those of Group 3 (P = .233). The number of patients in Group 3 who visited the emergency room for pain was significantly higher than in the other two groups (P = .015). At the end of the second week, the incidence of steinstrasse in Groups 1 and 2 was significantly lower (2.9%, 2.8% vs 11.8%) (P = .034)., Conclusion: At least three sexual intercourses per week after SWL can effectively improve the stone free rate, reduce the formation of steinstrasse and relieve renal colic. It provides a choice for urologists in the SWL treatment of lower ureteral calculi.

Solar radiation mineralizes dissolved organic matter (DOM) to dissolved inorganic carbon through photochemical reactions (DIC photoproduction) that are influenced by iron (Fe) and pH. This study addressed as to what extent Fe contributes to the optical properties of the chromophoric DOM (CDOM) and DIC photoproduction at different pH values. We created the associations of Fe and DOM (Fe-DOM) that cover the range of loadings of Fe on DOM and pH values found in freshwaters. The introduced Fe enhanced the light absorption by CDOM independent of pH. Simulated solar irradiation decreased the light absorption by CDOM (i.e., caused photobleaching). Fe raised the rate of photobleaching and steepened the spectral slopes of CDOM in low pH but resisted the slope steepening in neutral to alkaline pH. The combination of a low pH (down to pH 4) and high Fe loading on DOM (up to 3.5 μmol mg DOM -1 ) increased the DIC photoproduction rate and the apparent quantum yields for DIC photoproduction up to 7-fold compared to the corresponding experiments at pH >6 or without Fe. The action spectrum for DIC photoproduction shifted toward the visible spectrum range at low pH in the presence of Fe. Our results demonstrated that Fe can contribute to DIC photoproduction by up to 86% and produce DIC even at the visible spectrum range in acidic waters. However, the stimulatory effect of Fe is negligible at pH >7., Competing Interests: The authors declare no competing financial interest.