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In recent years, MXenes has been recognized as a promising material due to its unique physical and chemical properties. Compared with traditional two-dimensional nanomaterials, MXenes has the advantages of large specific surface area, high hydrophilicity, abundant surface active sites, and excellent chemical stability, which makes it have a wide application prospect in environmental remediation technologies such as adsorption. In this paper, the structure and physicochemical properties of MXenes were introduced. The research progress of MXenes for water pollution adsorption remediation was reviewed. The current status of adsorption treatment of heavy metals, dyes, radioactive substances and antibiotics by MXene-based adsorption materials were listed. The characteristics, adsorption conditions, adsorption capacity and corresponding adsorption mechanism of each adsorbent were introduced.The reuse ability of MXenes was discussed. On this basis, the challenges and prospects of MXenes application in the field of water treatment were discussed.

BackgroundThe value of pooled cohort equations (PCE) as a predictor of major adverse cardiovascular events (MACE) is poorly established among symptomatic patients. Coronary artery calcium (CAC) assessment further improves risk prediction, but non-Western studies are lacking. This study aims to compare PCE and CAC scores within a symptomatic mixed Asian cohort, and to evaluate the incremental value of CAC in predicting MACE, as well as in subgroups based on statin use.MethodsConsecutive patients with stable chest pain who underwent cardiac computed tomography were recruited. Logistic regression was performed to determine the association between risk factors and MACE. Cohort and statin-use subgroup comparisons were done for PCE against Agatston score in predicting MACE.ResultsOf 501 patients included, mean (SD) age was 53.7 (10.8) years, mean follow-up period was 4.64 (0.66) years, 43.5% were female, 48.3% used statins, and 50.0% had no CAC. MI occurred in 8 subjects while 9 subjects underwent revascularization. In the general cohort, age, presence of CAC, and ln(Volume) (OR = 1.05, 7.95, and 1.44, respectively) as well as age and PCE score for the CAC = 0 subgroup (OR = 1.16 and 2.24, respectively), were significantly associated with MACE. None of the risk factors were significantly associated with MACE in the CAC > 0 subgroup. Overall, the PCE, Agatston, and their combination obtained an area under the receiver operating characteristic curve (AUC) of 0.501, 0.662, and 0.661, respectively. Separately, the AUC of PCE, Agatston, and their combination for statin non-users were 0.679, 0.753, and 0.734, while that for statin-users were 0.585, 0.615, and 0.631, respectively. Only the performance of PCE alone was statistically significant (p = 0.025) when compared between statin-users (0.507) and non-users (0.783).ConclusionIn a symptomatic mixed Asian cohort, age, presence of CAC, and ln(Volume) were independently associated with MACE for the overall subgroup, age and PCE score for the CAC = 0 subgroup, and no risk factor for the CAC > 0 subgroup. Whilst the PCE performance deteriorated in statin versus non-statin users, the Agatston score performed consistently in both groups.

Abstract Background The clinical value and cost-effectiveness of invasive treatments for patients with coronary artery disease is unclear. Invasive treatments such as coronary artery bypass grafting and percutaneous coronary intervention are frequently used as a starting treatment, yet they are much more costly than optimal medical therapy. While patients may transition into other treatments over time, the choices of starting treatments are likely important determinants of costs and health outcomes. The aim is to predict by how much costs and health outcomes will change from a decision to use different starting treatments for patients with coronary artery disease in an Asian setting. Methods A cost-effectiveness study using a Markov model informed by data from Singapore General Hospital was done. All patients with initial presentations of stable coronary disease and no acute coronary syndromes who received medical treatments and interventional therapies were included. We compare existing practice, where the starting treatment can be medical therapy or stent percutaneous coronary interventions or coronary artery bypass grafting, with alternate starting treatment strategies. Results When compared to ‘existing practice’ a policy of starting 14% of patients with coronary artery bypass grafting and 86% with optimal medical therapy showed savings of $1,743 per patient and 0.23 additional quality adjusted life years. A change to policy nationwide would save $10 million and generate 1,380 quality adjusted life years. Conclusions Increasing coronary artery bypass grafting and use of medical therapy in the setting of coronary artery disease is likely to saves costs and improve health outcomes. A definitive study to address the question we investigate would be very difficult to undertake and so using existing data to model the expected outcomes is a useful tool. There are likely to be large and complex barriers to the implementation of any policy change based on the findings of this study.

Organic pollutants in water pose significant challenges for water treatment due to their harmful effects and resistance to conventional methods. The rapid increase in industrial wastewater discharge has heightened the need for effective pollutant degradation techniques. Photo‐Fenton technology, an advanced oxidation process, has gained attention for its ability to degrade a wide range of organic contaminants in water. Developing high‐performance photo‐Fenton catalysts is therefore crucial. Graphitic carbon nitride (g‐C3N4) stands out in this field due to its suitable energy band structure, stable properties, and simple synthesis process. However, its application is limited by a low specific surface area, narrow light absorption, and high recombination rate of photogenerated carriers. This review provides a concise overview of current research on g‐C3N4 in photo‐Fenton technology, covering synthesis methods, modifications, and the mechanisms enhancing its photo‐Fenton activity. It also highlights key factors affecting g‐C3N4's effectiveness in photo‐Fenton reactions and discusses recent advancements in its applications. The review concludes with an analysis of existing challenges and potential future directions for g‐C3N4‐based photo‐Fenton catalysts, offering theoretical insights to advance their industrial use in wastewater treatment. [ABSTRACT FROM AUTHOR]