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Sports equipment crafted from flexible mechanical metamaterials offers advantages due to its lightweight, comfort, and energy absorption, enhancing athletes' well-being and optimizing their competitive performance. The utilization of metamaterials in sports gear like insoles, protective equipment, and helmets has garnered increasing attention. In comparison to traditional truss and honeycomb metamaterials, the triply periodic minimal surface lattice structure stands out due to its parametric design capabilities, enabling controllable performance. Furthermore, the use of flexible materials empowers this structure to endure significant deformation while boasting a higher energy absorption capacity. Consequently, this study first introduces a parametric method based on the modeling equation of the triply periodic minimal surface structure and homogenization theory simulation. Experimental results demonstrate the efficacy of this method in designing triply periodic minimal surface lattice structures with a controllable and adjustable elastic modulus. Subsequently, the uniform flexible triply periodic minimal surface lattice structure is fabricated using laser selective sintering thermoplastic polyurethane technology. Compression tests and finite element simulations analyze the hyperelastic response characteristics, including the element type, deformation behavior, elastic modulus, and energy absorption performance, elucidating the stress–strain curve of the flexible lattice structure. Upon analyzing the compressive mechanical properties of the uniform flexible triply periodic minimal surface structure, it is evident that the structure's geometric shape and volume fraction predominantly influence its mechanical properties. Consequently, we delve into the advantages of gradient and hybrid lattice structure designs concerning their elasticity, energy absorption, and shock absorption. [ABSTRACT FROM AUTHOR]

Mechanical metamaterials with ultralight and ultrastrong mechanical properties are extensively employed in various industrial sectors, with three-periodic minimal surface (TPMS) structures gaining significant research attention due to their symmetry, equation-driven characteristics, and exceptional mechanical properties. Compared to traditional lattice structures, TPMS structures exhibit superior mechanical performance. The mechanical properties of TPMS structures depend on the base material, structural porosity (volume fraction), and wall thickness. Hard rigid lattice structures such as Gyroid, diamond, and primitive exhibit outstanding performance in terms of elastic modulus, energy absorption, heat dissipation, and heat transfer. Flexible TPMS lattice structures, on the other hand, offer higher elasticity and recoverable large deformations, drawing attention for use in applications such as seat cushions and helmet impact-absorbing layers. Conventional fabrication methods often fail to guarantee the quality of TPMS structure samples, and additive manufacturing technology provides a new avenue. Selective laser sintering (SLS) has successfully been used to process various materials. However, due to the layer-by-layer manufacturing process, it cannot eliminate the anisotropy caused by interlayer bonding, which impacts the mechanical properties of 3D-printed parts. This paper introduces a process data-driven optimization design approach for TPMS structure geometry by adjusting volume fraction gradients to overcome the elastic anisotropy of 3D-printed isotropic lattice structures. Experimental validation and analysis are conducted using TPMS structures fabricated using TPU material via SLS. Furthermore, the advantages of volume fraction gradient-designed TPMS structures in functions such as energy absorption and heat dissipation are explored. [ABSTRACT FROM AUTHOR]

Oxidative stress can adversely affect the health status of the body, more specifically by causing intestinal damage by disrupting the permeability of the intestinal barrier. This is closely related to intestinal epithelial cell apoptosis caused by the mass production of reactive oxygen species (ROS). Baicalin (Bai) is a major active ingredient in Chinese traditional herbal medicine that has antioxidant, anti-inflammatory, and anti-cancer properties. The purpose of this study was to explore the underlying mechanisms by which Bai protects against hydrogen peroxide (H2O2)-induced intestinal injury in vitro. Our results indicated that H2O2 treatment caused injury to IPEC-J2 cells, resulting in their apoptosis. However, Bai treatment attenuated H2O2-induced IPEC-J2 cell damage by up-regulating the mRNA and protein expression of ZO-1, Occludin, and Claudin1. Besides, Bai treatment prevented H2O2-induced ROS and MDA production and increased the activities of antioxidant enzymes (SOD, CAT, and GSH-PX). Moreover, Bai treatment also attenuated H2O2-induced apoptosis in IPEC-J2 cells by down-regulating the mRNA expression of Caspase-3 and Caspase-9 and up-regulating the mRNA expression of FAS and Bax, which are involved in the inhibition of mitochondrial pathways. The expression of Nrf2 increased after treatment with H2O2, and Bai can alleviate this phenomenon. Meanwhile, Bai down-regulated the ratio of phosphorylated AMPK to unphosphorylated AMPK, which is indicative of the mRNA abundance of antioxidant-related genes. In addition, knockdown of AMPK by short-hairpin RNA (shRNA) significantly reduced the protein levels of AMPK and Nrf2, increased the percentage of apoptotic cells, and abrogated Bai-mediated protection against oxidative stress. Collectively, our results indicated that Bai attenuated H2O2-induced cell injury and apoptosis in IPEC-J2 cells through improving the antioxidant capacity through the inhibition of the oxidative stress-mediated AMPK/Nrf2 signaling pathway. [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the association between Ferredoxin 1 (FDX1) expression and the prognostic survival of tumor patients and predict the efficacy of immunotherapy response to antitumor drug sensitivity. FDX1 plays an oncogenic role in thirty-three types of tumors, based on TCGA and GEO databases, and further experimental validation in vitro was provided through multiple cell lines. FDX1 was expressed highly in multiple types of cancer and differently linked to the survival prognosis of tumorous patients. A high phosphorylation level was correlated with the FDX1 site of S177 in lung cancer. FDX1 exhibited a significant association with infiltrated cancer-associated fibroblasts and CD8+ T cells. Moreover, FDX1 demonstrated correlations with immune and molecular subtypes, as well as functional enrichments in GO/KEGG pathways. Additionally, FDX1 displayed relationships with the tumor mutational burden (TMB), microsatellite instability (MSI), DNA methylation, and RNA and DNA synthesis (RNAss/DNAss) within the tumor microenvironment. Notably, FDX1 exhibited a strong connection with immune checkpoint genes in the co-expression network. The validity of these findings was further confirmed through Western blotting, RT-qPCR, and flow cytometry experiments conducted on WM115 and A375 tumor cells. Elevated FDX1 expression has been linked to the enhanced effectiveness of PD-L1 blockade immunotherapy in melanoma, as observed in the GSE22155 and GSE172320 cohorts. Autodocking simulations have suggested that FDX1 may influence drug resistance by affecting the binding sites of antitumor drugs. Collectively, these findings propose that FDX1 could serve as a novel and valuable biomarker and represent an immunotherapeutic target for augmenting immune responses in various human cancers when used in combination with immune checkpoint inhibitors. [ABSTRACT FROM AUTHOR]

Background: Hippocalcin‐like 1 (HPCAL1) is involved in the development of several cancer types. However, our understanding of the HPCAL1 activity in cholangiocarcinoma (CCA) remains limited. Methods: Two microarray datasets were used to screen for differentially expressed genes (DEGs) involved in the development of CCA. The Cancer Genome Atlas (TCGA)/Gene Expression Omnibus (GEO) database was integrated to determine the prognostic significance of DEGs in CCA. The association between clinical characteristics and HPCAL1 expression levels was initially explored to assess the clinical profile of CCA. The prognostic value of HPCAL1 overexpression in the validation cohort was analyzed, followed by Gene Ontology (GO) term analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis of HPCAL1. Results: Three upregulated genes and 10 downregulated genes were detected from two microarray‐based screenings. High expression of HPCAL1 as a poor prognostic factor of CCA was validated using TCGA/GEO integrated database and our database. Univariate and multivariate analyses along with Kaplan–Meier survival analysis showed that high HPCAL1 expression was an independent factor affecting the overall survival and relapse‐free survival in patients with CCA. The high expression of HPCAL1 was significantly associated with cancer antigen 125 (CA‐125) levels, number of tumors, lymph node invasion, and TNM stage. Analysis of the enriched GO terms and KEGG pathways revealed that the high expression of HPCAL1 was involved in the critical biological processes and molecular pathways, including modulation by a host of symbiont processes, the clathrin coat, actinin binding, and Rap1 signaling pathways. Conclusion: HPCAL1 was enriched in CCA in our study and has the potential to be applied in the identification of patients with CCA with an unfavorable prognosis. [ABSTRACT FROM AUTHOR]

As environment-friendly building materials, earth materials are attracting significant attention because of their favorable hygrothermal properties. In this study, the earth materials in northwest Sichuan were tested and curves of thermal conductivity and water vapor permeability with relative humidity were obtained. The function curves and constants of the two coefficients were substituted into the verified nonstationary model of heat and moisture transfer in rammed earth walls and indoor air for calculation. The difference in the calculation results when the hygrothermal parameters are functions and constants were analyzed, and the influence of the non-constant hygrothermal parameters on the heat and moisture transfer in rammed earth walls, was obtained. The test results show that thermal conductivity is linearly related to moisture content, and water vapor permeability has a small variation in the relative humidity range of 0–60% and increases exponentially above 60%. The calculation results indicate that the non-constant hygrothermal parameters have little influence on the internal surface temperature of the rammed earth walls and Mianyang City's indoor air temperature and humidity during the summer and winter. The heat transfer on the internal surface will be underestimated by using a non-constant for the hygrothermal parameter when the moisture content of the wall is low, and vice versa. In hot-humid areas or seasons with large differences in temperature and humidity between indoors and outdoors, non-constant hygrothermal parameters have a more obvious effect on heat transfer on the internal surface of the wall. The results of this study demonstrate the necessity of parameter testing. [ABSTRACT FROM AUTHOR]

Despite the large number of studies addressing the effect of acrylic resin polymerization concerning flexural properties, limited research has been conducted on the manufacturing impact on a polymer's mechanical properties. Photosensitive resinous materials are used in various engineering applications where they may be exposed to multiple detrimental environments during their lifetime. Therefore, there is a need to understand the impact of an environment on the service life of resins. Thus, flexural tests were conducted to study the effects of exposure time and angle on the flexural strength of resins. Herein, the main objective was to explore the strength, stability, and flexural durability of photosensitive resin (EPIC-2000ST) fabricated at different exposure times (E) and angle deviation varying from 0° to 85° with a 5° increment. The samples in circular rings were manufactured and divided into five groups according to their exposure time (E): 10 s, 20 s, 30 s, 40 s, and 50 s. In each exposure time, we designed rings via SolidWorks software and experimentally fabricated at different oblique angles (OA) varying from 0° to 85° with a 5° increment during each fabrication, i.e., OA = 0°, 5°, 10°, 15°, 20°, 25°, 30°, 35°, 40°, 45°, 50°, 55°, 60°, 65°, 70°, 75°, 80°, and 85°. Flexural strength was evaluated using a three-point bending test. Optical electron microscopy was used to examines the samples' exterior, interior, and ruptured surfaces. Our experimental analysis shows that flexural strength was significantly enhanced by increasing exposure time and at higher oblique angles. However, at lower angles and less exposure time, mechanical flexural resilience declines. [ABSTRACT FROM AUTHOR]

As a traditional building material, rammed earth has gained popularity for its environmental friendliness and reusability. In this study, the hygrothermal performance of the wall material of traditional rammed-earth dwellings was experimentally measured, and the indoor and outdoor temperature and humidity variations of rammed-earth dwellings were experimentally measured for five days. Considering temperature and relative humidity as the driving potential for heat and humidity transfer and air penetration, an unsteady model of heat and humidity transfer of the rammed-earth wall and indoor and outdoor air was established. The accuracy of the model was verified using the measured data. The model was used to determine the rationality of the wall thickness in local rammed-earth dwellings. Based on data from typical local meteorological years, the indoor temperature and humidity changes in rammed-earth dwellings were numerically predicted. The average indoor temperature and humidity in summer were 26.56°C and 69.74%, and the variances were 3.26 and 43.17, respectively. The average indoor temperature and humidity in winter were 7.25°C and 83.62%, and the variances were 1.14 and 14.83, respectively. The research results demonstrate that a rammed-earth wall significantly reduces the influence of outdoor temperature fluctuation on the indoor thermal environment, with good humidity regulating performance. [ABSTRACT FROM AUTHOR]

This work tackles the problem of estimating depth from a single RGB image of a scene. To model the complex relationship between depth and monocular images, we propose a fully convolutional neural network that incorporates skip connections along with encoding and decoding stages to output consistent and detailed depth maps. Additionally, our model is a single convolutional architecture that does not use post-processing strategies; thus, it equires relatively less computational power and time to train when compared to more complex works. Experimental analysis and evaluation with a variety of losses and accuracies show that the end-to-end training process results in a model that performs better than or similar to many past architectures trained on the same dataset. [ABSTRACT FROM AUTHOR]

Aflatoxin B1 (AFB1) is a stable mycotoxin that contaminates animal feed on a large scale and causes severe damage to intestinal cells, induces inflammation and stimulates autophagy. Transient receptor potential mucolipin subfamily 1 (TRPML1) is a regulatory factor of autophagy, but the underlying mechanisms of TRPML1-mediated autophagy in AFB1 intestine toxicity remain elucidated. In the present study, AFB1 (0, 5, 10 μg/mL) was shown to reduce cell viability, increase reactive oxygen species (ROS) accumulation and apoptosis rate. Additionally, AFB1 caused structural damage to mitochondria and lysosomes and increased autophagosomes numbers. Furthermore, AFB1 promoted Ca2+ release by activating the TRPML1 channel, stimulated the expression of autophagy-related proteins, and induced autophagic flux blockade. Moreover, pharmacological inhibition of autophagosome formation by 3-methyladenine attenuated AFB1-induced apoptosis by downregulating the levels of TRPML1 and ROS, whereas blockade of autophagosome-lysosomal fusion by chloroquine alleviated AFB1-induced apoptosis by upregulating TRPML1 expression and exacerbating ROS accumulation. Intriguingly, blocking AFB1-induced autophagic flux generated ROS- and TRPML1-dependent cell death, as shown by the decreased apoptosis in the presence the free radical scavenger N-Acetyl- L -cysteine and the TRPML1 inhibitor ML-SI1. Overall, these results showed that AFB1 promoted apoptosis of IPEC-J2 cells by disrupting autophagic flux through activation of the ROS/TRPML1 pathway. [Display omitted] • AFB1 induces ROS accumulation and apoptosis in porcine intestinal epithelial cells. • AFB1 causes the blockage in autophagic flux in porcine intestinal epithelial cells. • Inhibition of autophagosome formation by 3-MA attenuate AFB1-induced apoptosis. • Blocking autophagosome-lysosome fusion by CQ exacerbates AFB1-induced apoptosis. • Inhibition of TRPML1 activates autophagic flux to relieve AFB1-induced apoptosis. [ABSTRACT FROM AUTHOR]

• Based on the force method, a modeling method for flexible joined wings under fully intrinsic formulation is proposed. • A mathematical proof for the existence and uniqueness of rotation in orientation compatibility condition is given. • By Galerkin...s discretization, the dynamics of joined wing is described by a set of differential-algebraic equations. • According to computing speed and numerical accuracy, the superiority of present method is revealed. • An excessive thrust can lead to the buckling of front wing and the co-existing solutions of joined wing. The joined-wing aircraft is an alternative configuration compared to general cantilevered configuration because of its superiority. In the present work, an efficient modeling method for flexible joined wing is proposed. The fully intrinsic formulation is applied for the geometrically nonlinear effect and the static indeterminacy of joined wing is addressed based on the force method. To avoid mathematically over-determined problem, an orientation compatibility condition with profound physical meaning is established and subsequently a strict mathematical proof is given for the existence and uniqueness of rotation. By adopting Peters finite inflow theory, the unsteady aerodynamic model for joined wing is built up. The joined-wing aeroelastic model is eventually represented by a set of differential-algebraic equations. Following validation studies show that although the displacements and rotations are excluded, contributing to higher computing speed than the mixed formulation, the numerical accuracy of present method is close to mixed formulation and superior to the incremental method. Finally, the static aeroelastic analysis for a planar joined wing under a thrust force at wingtip is implemented within flutter boundary. Results show that the thrust force can lead to an axial compressive load in front wing and the co-existing solutions are revealed because of the buckling of front wing when the thrust force exceeds a threshold value. Further studies indicate that although either solution path is possible theoretically, the "upward-bending solution" is a more likely practical solution for the planar joined wing. [ABSTRACT FROM AUTHOR]

Background: Sexual activity appears to have protective effects on overall and cardiovascular health. Aim: We hypothesized that decreased sexual frequency would be an early predictor of all-cause mortality in young and middle-aged patients (20 to 59 years old) with hypertension. Methods: A total of 4565 patients with hypertension (55.6% men; mean [SD] age 40.60 [10.81] years) who had completed a sexual behavior questionnaire were enrolled from the National Health and Nutrition Examination Survey of 2005 to 2014. Cox proportional hazards models and Kaplan-Meier survival curves were used to evaluate the relationship between sexual frequency and all-cause mortality. Outcomes: The outcome measure for this study is the relationship between sexual frequency and all-cause mortality in young and middle-aged patients with hypertension. Results: During the 68-month median follow-up period, 109 (2.39%) patients died from any cause. After full adjustment for potential confounders, sexual frequency was an independent predictive factor for all-cause mortality in young and middle-aged patients with hypertension. A marital status difference was identified in the subgroup analysis: among patients with a sexual frequency of <12 times/year, only married patients had higher risks of all-cause mortality than the 12-51 times/year group (HR, 0.476, 95% CI, 0.235-0.963, P < .05) and > 51 (HR, 0.452, 95% CI, 0.213-0.961, P < .05) times/year groups. The association of sexual frequency and all-cause mortality was nonlinear. Clinical Implications: Increased frequency of sexual activity may have protective effects on overall health and quality of life in patients with hypertension. Strengths and Limitations: To our knowledge this is the first observational investigation performed to evaluate the correlation between sexual frequency and all-cause mortality in patients with hypertension. A limitation of the study is that the participants in our analysis were between the ages of 20 and 59 years, and this patient sample may not reflect possible outcomes for patients of other age groups. Conclusion: The association between lower frequency of sexual intercourse and greater all-cause mortality was significant in young and middle-aged patients with hypertension in the United States. [ABSTRACT FROM AUTHOR]

Abstract: Pt/CNTs, PtRu/CNTs, Pt/RuO2/CNTs and RuO2/Pt/CNTs were prepared to understand the role of RuO2 in anodic catalyst of direct methanol fuel cell (DMFC). The results show that the presence of Ru, no matter in alloy or in oxide, can improve the CO electrooxidation ability. RuO2 in Pt–Ru binary catalyst, which situates between CNTs and Pt particles, can exert its CO electrooxidation ability best. Another role of RuO2 in Pt–Ru binary catalyst is to promote Pt nanoparticles to disperse uniformly on CNTs to obtain larger EAS, resulting in higher activity of methanol electrocatalytic oxidation. [Copyright &y& Elsevier]

Background: The protein Solute Carrier Family 7 Member 11 (SLC7A11) plays a pivotal role in cellular redox homeostasis by suppressing disulfidptosis, which restricts tumor growth. Yet, its relevance in prognosis, immunity, and cancer treatment efficacy is not well understood., Methods: We conducted a comprehensive analysis of the expression of SLC7A11 across 33 cancer types, employing datasets from public databases. Methods, such as Cox regression and survival analyses assessed its prognostic significance, while functional enrichment explored the biological processes tied to SLC7A11. The association between SLC7A11 expression, immune cell infiltration, and immune-related gene expression was also scrutinized., Results: Notably, SLC7A11 expression was more pronounced in cancerous compared to normal samples and correlated with higher tumor grades. Increased SLC7A11 expression was linked to poor outcomes, particularly in liver hepatocellular carcinoma (LIHC). This protein's expression also showcased significant relationships with diverse molecular and immune subtypes. Additionally, a prognostic nomogram was devised, integrating SLC7A11 expression and clinical variables. High SLC7A11 levels corresponded with cell growth and senescence pathways in various cancers and with lipid and cholesterol metabolism in LIHC. Furthermore, potential therapeutic compounds for LIHC with high SLC7A11 were identified. Real-time PCR (qPCR) and Western blot were conducted to explore the expression of SLC7A11 in tumor tissues and cancer cell lines., Conclusion: In summation, this study emphasizes the prognostic and immunological importance of SLC7A11, spotlighting its potential as a therapeutic target in LIHC., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

The endocannabinoid system (ECS) is dysregulated in various liver diseases. Previously, we had shown that the major endocannabinoid 2-arachidonoyl glycerol (2-AG) promoted tumorigenesis of intrahepatic cholangiocarcinoma (ICC). However, biosynthesis regulation and clinical significance of 2-AG remain elusive. In the present study, we quantified 2-AG by gas chromatography/mass spectrometry (GC/MS) and showed that 2-AG was enriched in patients with ICC samples as well as in thioacetamide-induced orthotopic rat ICC model. Moreover, we found that diacylglycerol lipase β (DAGLβ) was the principal synthesizing enzyme of 2-AG that significantly upregulated in ICC. DAGLβ promoted tumorigenesis and metastasis of ICC in vitro and in vivo and positively correlated with clinical stage and poor survival in patients with ICC. Functional studies showed that activator protein-1 (AP-1; heterodimers of c-Jun and FRA1) directly bound to the promoter and regulated transcription of DAGLβ , which can be enhanced by lipopolysaccharide (LPS). miR-4516 was identified as the tumor-suppressing miRNA of ICC that can be significantly suppressed by LPS, 2-AG, or ectopic DAGLβ overexpression. FRA1 and STAT3 were targets of miR-4516 and overexpression of miRNA-4516 significantly suppressed expression of FRA1 , SATA3 , and DAGLβ . Expression of miRNA-4516 was negatively correlated with FRA1 , SATA3 , and DAGLβ in patients with ICC samples. Our findings identify DAGLβ as the principal synthesizing enzyme of 2-AG in ICC. DAGLβ promotes oncogenesis and metastasis of ICC and is transcriptionally regulated by a novel AP-1/DAGLβ/miR4516 feedforward circuitry. NEW & NOTEWORTHY Dysregulated endocannabinoid system (ECS) had been confirmed in various liver diseases. However, regulation and function of 2-arachidonoyl glycerol (2-AG) and diacylglycerol lipase β (DAGLβ) in intrahepatic cholangiocarcinoma (ICC) remain to be elucidated. Here, we demonstrated that 2-AG was enriched in ICC, and DAGLβ was the principal synthesizing enzyme of 2-AG in ICC. DAGLβ promotes tumorigenesis and metastasis in ICC via a novel activator protein-1 (AP-1)/DAGLβ/miR4516 feedforward circuitry.

Video-assisted retroperitoneal debridement (VARD) is a feasible, minimally invasive necrosectomy method for treating severe acute necrotizing pancreatitis, if it does not resolve or is accompanied with infected necrosis in the retroperitoneum. As there are rarely any visually clear separating surface in white light image between necrotic debris and adjacent inflammatory normal tissues due to extensive retroperitoneal adhesions, VARD is accompanied with the risk of vascular injury, external pancreatico-cutaneous or enterocutaneous fistulae. In view of the above disadvantages, we apply real-time intraoperative near-infrared fluorescence imaging with indocyanine green (ICG) during VARD, which enables visualization of the well-perfused adjacent normal tissues. This modified technique (ICG-guided VARD) can provide a clear separating surface during debridement and reduce the risk of vascular or enteric injury. ICG-guided VARD may facilitate surgeons to perform safer debridement in treating severe acute necrotizing pancreatitis.

Aims: Dilated cardiomyopathy (DCM) is defined as a serious cardiac disorder caused by the presence of left ventricular dilatation and contractile dysfunction in the absence of severe coronary artery disease and abnormal loading conditions. The incidence of cardiac death is markedly higher in patients with DCM with pulmonary hypertension (PH) than in DCM patients without PH. No previous studies have constructed a predictive model to predict PH in patients with DCM., Methods: Data from 218 DCM patients (68.3% man; mean age 57.33) were collected. Patients were divided into low, intermediate and high PH-risk groups based on the echocardiographic assessment at the tricuspid regurgitation peak velocity (TRV) in conjunction with the presence of echocardiographic signs from at least two different categories. Basic information, vital signs, comorbidities and biochemical data of each patient were determined. The impact of each parameter on PH probability was analysed by univariable and multivariable analyses, the data from which were employed to establish a predictive model. Finally, the discriminability, calibration ability and clinical efficacy of the model were verified for both the modelling group and the external validation group., Results: We successfully applied a history of chronic obstructive pulmonary disease (COPD) or chronic bronchitis, systolic murmur (SM) at the tricuspid area, SM at the apex and brain natriuretic peptide (BNP) level to establish a model for predicting PH probability in DCM. The model was proven to have high accuracy and good discriminability (area under the receiver operating characteristic curve 0.889), calibration ability and clinical application value., Conclusions: A model for predicting PH probability in patients with DCM was successfully established. The new model is reliable for predicting PH probability in DCM and has good clinical applicability., (© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)

Pt/MnO2/carbon nanotube (CNT) and PtRu/MnO2/CNT nanocomposites were synthesized by successively loading hydrous MnO2 and Pt (or PtRu alloy) nanoparticles on CNTs and were used as anodic catalysts for direct methanol fuel cells (DMFCs). The existence of MnO2 on the surface of CNTs effectively increases the proton conductivity of the catalyst, which then could remarkably improve the performance of the catalyst in methanol electro-oxidation. As a result, Pt/MnO2/CNTs show higher electrochemical active surface area and better methanol electro-oxidation activity, compared with Pt/CNTs. As PtRu alloy nanoparticles were deposited on the surface of MnO2/CNTs instead of Pt, the PtRu/MnO2/CNT catalyst shows not only excellent electro-oxidation activity to methanol with forward anodic peak current density of 901 A/gPt but also good CO oxidation ability with lower preadsorbed CO oxidation onset potential (0.33 V vs Ag/AgCl) and peak potential (0.49 V vs Ag/AgCl) at room temperature.