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Background: Predicting chemorefractory disease in advanced epithelial ovarian cancer (EOC) remains challenging. This study aimed to identify clinicopathological factors and hemogram data as predictive markers for chemorefractory EOC and to explore potential therapeutic approaches that may mitigate these unfavorable conditions., Methods: We conducted a retrospective analysis of patients with advanced EOC treated with chemotherapy. Hemogram data and clinicopathological variables were collected. We employed logistic regression to assess factors associated with chemorefractory EOC and used the Kaplan-Meier method for survival analysis., Results: Among the 191 patients analyzed, suboptimal surgery, lymphocyte count < 1440/mm3, systemic immune-inflammation index (SII) ≥ 2350, and lack of bevacizumab therapy were independently associated with chemorefractory EOC (OR 19.30, 95% CI 7.01-53.12; OR 9.07, 95% CI 2.76-29.82; OR 12.45, 95% CI 3.87-40.07; OR 6.61, 95% CI 2.01-21.78, respectively). Elevated SII was also identified as a risk factor for poor progression-free (PFS) and overall survival (OS). Specifically, patients with high SII who did not receive bevacizumab had a significantly higher probability of chemorefractory EOC and poorer survival outcomes compared to those who received bevacizumab., Conclusions: Our findings suggest that hemogram parameters and clinicopathological factors such as suboptimal surgery, lymphocyte count, SII, and bevacizumab therapy status are predictive markers for chemorefractory disease in advanced EOC. Elevated SII emerged as a predictor for poorer PFS and OS outcomes, particularly in the absence of bevacizumab therapy., Competing Interests: Declarations Ethics approval and consent to participate About the ethics approval and consent to participate, the study was approved by the Institutional Review Board (IRB number: 202301253B0) of Chang Gung Memorial Hospital, and according to the Declaration of Helsinki. The requirement for written informed consent was waived due to the retrospective nature of the analysis and individual patients was not affected. Consent for publication Not applicable. Competing interests The authors declare no competing interests., (© 2024. The Author(s).)

Competing Interests: Competing interests: None declared.

Background: There exist serious cardiovascular complications subsequent to SARS-Cov2 infection (COVID-19); however, the association between COVID-19 and atrial fibrillation (AF) remains to be elucidated. We aimed to assess the prevalence of AF among COVID-19 patients and its associated risk of death., Methods: The present systematic review was performed in accordance with the PRISMA guidelines. The protocol was registered with CRD42022306523. A comprehensive literature search was performed across PubMed, Embase, and Cochrane databases to identify studies reporting on the prevalence of pre-existing or new-onset fibrillation (AF), and/or the associated clinical outcomes in patients with COVID-19 from January 2020 to December 2023. The random-effect model was used to estimate the prevalence of AF and its related mortality., Results: A total of 80 studies, including 39,062,868 COVID-19 patients, were identified in the present investigation. The prevalence rates of pre-existing AF or new-onset AF were 10.5% (95% CI [9.3-11.7%]) or 10.3% (95% CI [6.2-14.5%]), respectively. Subgroup analysis revealed a two fold higher incidence of AF in older patients (≥65 years) compared to younger patients (<65 years) (14.4% vs . 6.4%). The highest rate of AF was observed in Europeans (10.7%, 95% CI [10.2-11.2%]), followed by Northern Americans (10.0%, 95% CI [8.2-11.7%]), while Asians demonstrated a lower prevalence (2.7%, 95% CI [2.2-3.3%]). Notably, severe COVID-19 patients displayed a significantly elevated prevalence of AF at 14.l% (95% CI [13.3-14.9%]), which was approximately 2.5-fold higher than that in non-severe patients (5.2%, 95% CI [4.8-5.5%]). Both pre-existing (HR: 1.83, 95% CI [1.49-2.17]) and new-onset AF (HR: 3.47, 95% CI [2.26-5.33]) were associated with an increased mortality risk among COVID-19 patients. Furthermore, the effect on mortality risk was more significant in Asians (HR: 5.33, 95% CI [1.62-9.04]), compared to Europeans (HR: 1.68, 95% CI [1.24-2.13]) and North Americans (HR: 2.01, 95% CI [1.18-2.83])., Conclusion: This study comprehensively investigated the association between AF and COVID-19 in a real-world setting. Notably, a high prevalence of AF was observed among older individuals, severe COVID-19 patients, and in Europe and Northern America. Moreover, co-existing AF was found to be associated with an increased risk for mortality. Further investigations are warranted to improve the management and outcomes of COVID-19 patients with AF., Competing Interests: The authors declare that they have no competing interests., (© 2024 Shen et al.)

Ethnopharmacological Relevance: Chuanminshen violaceum M. L. Sheh & R. H. Shan (CV) is used as a medicine with roots, which have the effects of benefiting the lungs, harmonizing the stomach, resolving phlegm and detoxifying. Polysaccharide is one of its main active components and has various pharmacological activities, but the structural characterization and pharmacological activities of polysaccharide from the stems and leaves parts of CV are still unclear., Aim of the Study: The aim of this study was to investigate the optimal extraction conditions for ultrasound-assisted extraction of polysaccharide from CV stems and leaves, and to carry out preliminary structural analyses, anti-inflammatory and antioxidant effects of the obtained polysaccharide and to elucidate the underlying mechanisms., Materials and Methods: The ultrasonic-assisted extraction of CV stems and leaves polysaccharides was carried out, and the response surface methodology (RSM) was used to optimize the extraction process to obtain CV polysaccharides (CVP) under the optimal conditions. Subsequently, we isolated and purified CVP to obtain the homogeneous polysaccharide CVP-AP-I, and evaluated the composition, molecular weight, and structural features of CVP-AP-I using a variety of technical methods. Finally, we tested the pharmacological activity of CVP-AP-Ⅰ in an LPS-induced model of oxidative stress and inflammation in intestinal porcine epithelial cells (IPEC-J2) and explored its possible mechanism of action., Results: The crude polysaccharide was obtained under optimal extraction conditions and subsequently isolated and purified to obtain CVP-AP-Ⅰ (35.34 kDa), and the structural characterization indicated that CVP-AP-Ⅰ was mainly composed of galactose, galactose, rhamnose and glucose, which was a typical pectic polysaccharide. In addition, CVP-AP-Ⅰ attenuates LPS-induced inflammation and oxidative stress by inhibiting the expression of pro-inflammatory factor genes and proteins and up-regulating the expression of antioxidant enzyme-related genes and proteins in IPEC-J2, by a mechanism related to the activation of the Nrf2/Keap1 signaling pathway., Conclusion: The results of this study suggest that the polysaccharide isolated from CV stems and leaves was a pectic polysaccharide with similar pharmacological activities as CV roots, exhibiting strong anti-inflammatory and antioxidant activities, suggesting that CV stems and leaves could possess the same traditional efficacy as CV roots, which is expected to be used in the treatment of intestinal diseases., Competing Interests: Declaration of competing interest 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 Elsevier B.V. All rights reserved.)

Estrone is an emerging contaminant found in waters and soils all over the world. Conventional water treatment methods are not suitable for estrone removal due to its nonpolarity and low bioavailability. Heterogeneous photocatalysis is a promising approach; however, pristine semiconductors need optimization for efficient estrone photodegradation. Herein, we compared Zn-Cr LDH/GCN heterostructures obtained by three different synthesis methods. The influence of the GCN content in the heterostructure on photoactivity was also tested. The morphology, structure, and electronic properties of the materials were analyzed and compared. The photocatalytic kinetic tests were conducted with 1 ppm of estrone in both UV and visible light, separately. The HLDH-G50 material, obtained by the hydrothermal route and containing 50 wt % of GCN exhibited the highest photocatalytic efficiency. After 1 h, 99.5% of the estrone was degraded in visible light. In UV light, the pollutant concentration was below the detection limit after 0.5 h. The superior effectiveness was caused by numerous factors such as high homogeneity of the formed heterostructure, lower band gap energy of hydrothermal LDH, and increased photocurrent. These characteristics led to prolonged lifetimes of charge carriers, a wider light absorption range, and uniformity of the material for predictable performance. This study highlights the importance of a proper heterostructure engineering strategy for acquiring highly effective photocatalysts designed for water purification. In particular, this work provides innovative insight into comparing different synthesis methods and their influence on materials' properties.

Ultra performance liquid chromatography-high resolution mass spectrometry (UPLC-MS/MS) were used to target quantitative determination anthocyanins and flavonoids in the fresh leaves (purple and green) of Eleutherococcus senticosus . The results showed that the content of total anthocyanins was 99.68 μg/g (Fresh Weight, FW) in purple leaves and 29.12 μg/g in green leaves. Cyanidin-3 -O- galactoside and delphinidin were the main anthocyanins compound in purple and green leaves, and the content of the both declined sharply in green leaves. The content of cyanidin-3 -O- galactoside reached 616.23 ng/100 mg in purple leaves and was only fifth in green leaves. The total flavonoids content was 4.90 mg/g in purple leaves and 2.23 mg/g in green leaves. Quercetin-3 -β-D- glucoside (236.96 ng/mg) and kaempferol-3 -O- glucoside (145.27 ng/mg) were the main flavonoids compound in purple leaves. Besides the two main flavonoids, large quantities of rutin (269.11 ng/mg) was detected in green leaves of E. senticosus .

Background: Arterial calcification due to deficiency of CD73 (ACDC; OMIM 211800) is a rare genetic disease resulting in calcium deposits in arteries and small joints causing claudication, resting pain, severe joint pain, and deformities. Currently, there are no standard treatments for ACDC. Our previous work identified etidronate as a potential targeted ACDC treatment, using in vitro and in vivo disease models with patient-derived cells. In this study, we test the safety and effectiveness of etidronate in attenuating the progression of lower-extremity arterial calcification and vascular blood flow based on the computed tomography (CT) calcium score and ankle-brachial index (ABI)., Methods: Seven adult patients with a confirmed genetic diagnosis of ACDC were enrolled in an open-label, nonrandomized, single-arm pilot study for etidronate treatment. They took etidronate daily for 14 days every 3 months and were examined at the NIH Clinical Center bi-annually for 3 years. They received a baseline evaluation as well as yearly follow up after treatment. Study visits included imaging studies, exercise tolerance tests with ABIs, clinical blood and urine testing, and full dental exams., Results: Etidronate treatment appeared to have slowed the progression of further vascular calcification in lower extremities as measured by CT but did not have an effect in reversing vascular and/or periarticular joint calcifications in our small ACDC cohort., Conclusions: Etidronate was found to be safe and well tolerated by our patients and, despite the small sample size, appeared to show an effect in slowing the progression of calcification in our ACDC patient cohort. (ClinicalTrials.gov Identifier NCT01585402) ., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Paeoniae Radix alba is used in Traditional Chinese Medicine for the treatment of gastrointestinal disorders, immunomodulatory, cancer, and other diseases. In the current study, the yield of Paeoniae Radix alba polysaccharide (PRP) was significantly increased with optimal ultrasound-assisted extraction compared to hot water extraction. Further, an acidic polysaccharide (PRP-AP) was isolated from PRP after chromatographic separation and was characterized as a typical pectic polysaccharide with side chains of arabinogalactans types I and II. Moreover, it showed antioxidant effects on LPS-induced damage on IPEC-J2 cells determined by qRT-PCR and ELISA, including decreasing the pro-inflammatory factors' expressions and increasing the antioxidant enzymes activities, which was shown to be related to the Nrf2/Keap1 pathway modulated by PRP-AP. The metabolites change (such as itaconate, cholesterol sulfate, etc.) detected by untargeted metabolomic analysis in cells was also shown to be modulated by PRP-AP, and these metabolites were further utilized and protected cells damaged by LPS. These results revealed the cellular active mechanism of the macromolecular PRP-AP on protecting cells, and supported the hypothesis that PRP-AP has strong benefits as an alternative dietary supplement for the prevention of intestinal oxidative stress by modulating cellular metabolism., 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 B.V. All rights reserved.)

Electrolysis is a trend in producing hydrogen as a fuel for renewable energy development, and urea electrolysis is considered as one of the advanced electrolysis processes, where efficient materials still need to be explored. Notably, urea electrolysis came into existence to counter-part the electrode reactions in water electrolysis, which has hydrogen evolution reaction (HER) and oxygen evolution reaction (OER). Among those reactions, OER is sluggish and limits water splitting. Hence, urea electrolysis emerged with urea oxidation reaction (UOR) and HER as their reactions to tackle the water electrolysis. Among the explored materials, noble-metal catalysts are efficient, but their cost and scarcity limit the scaling-up of the Urea electrolysis. Hence, current challenges must be addressed, and novel efficient electrocatalysts are to be implemented to commercialize urea electrolysis technology. Phosphides, as an efficient UOR electrocatalyst, have gained huge attention due to their exceptional lattice structure geometry. The phosphide group benefits the water molecule adsorption and water dissociation, and facilitates the oxyhydrate of the metal site. This review summarizes recent trends in phosphide-based electrocatalysts for urea electrolysis, discusses synthesis strategies and crystal structure relationship with catalytic activity, and presents the challenges of phosphide electrocatalysts in urea electrolysis., (© 2024 Wiley-VCH GmbH.)

Based on Sima and Lu's system of the family Magnoliaceae, the genus Lirianthe Spach s. l. includes approximately 25 species, each with exceptional landscaping and horticultural or medical worth. Many of these plants are considered rare and are protected due to their endangered status. The limited knowledge of species within this genus and the absence of research on its chloroplast genome have greatly impeded studies on the relationship between its evolution and systematics. In this study, the chloroplast genomes of eight species from the genus Lirianthe were sequenced and analyzed, and their phylogenetic relationships with other genera of the family Magnoliaceae were also elucidated. The results showed that the chloroplast genome sizes of the eight Lirianthe species ranged from 159,548 to 159,833 bp. The genomes consisted of a large single-copy region, a small single-copy region, and a pair of inverted repeat sequences. The GC content was very similar across species. Gene annotation revealed that the chloroplast genomes contained 85 protein-coding genes, 37 tRNA genes, and 8 rRNA genes, totaling 130 genes. Codon usage analysis indicated that codon usage was highly conserved among the eight Lirianthe species. Repeat sequence analysis identified 42-49 microsatellite sequences, 16-18 tandem repeats, and 50 dispersed repeats, with microsatellite sequences being predominantly single-nucleotide repeats. DNA polymorphism analysis revealed 10 highly variable regions located in the large single-copy and small single-copy regions, among which rpl32-trnL , petA-psbJ , and trnH-psbA were the recommended candidate DNA barcodes for the genus Lirianthe species. The inverted repeat boundary regions show little variation between species and are generally conserved. The result of phylogenetic analysis confirmed that the genus Lirianthe s. l. is a monophyletic taxon and the most affinal to the genera, Talauma and Dugandiodendron , in Sima and Lu's system and revealed that the genus Lirianthe s. s. is paraphyletic and the genus Talauma s. l. polyphyletic in Xia's system, while Magnolia subsection Gwillimia is paraphyletic and subsection Blumiana polyphyletic in Figlar and Nooteboom's system. Morphological studies found noticeable differences between Lirianthe species in aspects including leaf indumentum, stipule scars, floral orientation, tepal number, tepal texture, and fruit dehiscence. In summary, this study elucidated the chloroplast genome evolution within Lirianthe and laid a foundation for further systematic and taxonomic research on this genus.

Hydrogen-based energy systems hold promise for sustainable development and carbon neutrality, minimizing environmental impact with electrolysis as the preferred fossil-fuel-free hydrogen generation method. Effective electrocatalysts are required to reduce energy consumption and improve kinetics, given the need for additional voltage (overpotential, η) despite the theoretical water splitting potential of 1.23 V. To date, platinum has been acknowledged as the most effective but expensive hydrogen evolution reaction (HER) catalyst. Hence, we introduce a cost-effective (∼2-fold cheaper) ruthenium-modified tungsten diphosphide (Ru/WP 2 ) catalyst on carbon fiber for HER in ∼0.5 M H 2 SO 4 , with η ≈ 34 mV at -10 mA cm -2 which can be comparable (only ∼2-fold higher) to benchmark Pt/C (η ≈ 17 mV). The HER performance of WP 2 can be enhanced through the modification of ruthenium, as indicated by the electrochemical characterizations. Considering the Tafel value of ∼40 ± 0.2 mV dec -1 , it can be inferred that Ru/WP 2 follows the Volmer-Heyrovsky reaction pathway for hydrogen generation. Furthermore, the Faradaic efficiency estimation indicates that Ru/WP 2 demonstrates a minimal loss of electrons during the electrochemical reaction with an estimated value of ∼98.7 ± 1.4%. Therefore, this study could emphasize the potential of the Ru/WP 2 electrode in advancing sustainable hydrogen production through water splitting.

Out of the high number of photocatalytic applications, CO 2 reduction has proved to be quite a boon for the present world. Increasing CO 2 emissions owing to fossil fuel usage has been a menace to our society. To date, many methods have been developed to redress the situation. One of them is photocatalysis, which has been a well-known branch of energy and environmental applications since 1972. This is due to its low energy consumption and green nature. In recent years, a new phenomenon has come into existence wherein a combination of mechanical energy and photocatalysis can increase the efficiency of any catalytic process. In this regard, this frontier article will discuss the recent developments in piezo-photocatalysis for CO 2 reduction. The main focus will be understanding the underlying mechanisms of efficiency enhancements in photocatalytic systems. Initially, the mechanism of CO 2 reduction and its current needs will be discussed in the introduction. Further, a collection of recent reports from the literature and various material systems will be discussed to gain insights into the latest developments in the area. Then, literature and references that are purely mechanism-based with deeper analysis will be discussed, along with crucial characterization techniques for piezo-photocatalysts. Many factors need to be factored in for a better understanding of piezo-photocatalysis, e.g. , factors such as piezo energy source, material design, and CO 2 adsorption, require more attention to increase the CO 2 reduction capability of photocatalysts. Based on the discussions in this article, researchers will gain new perceptions on the combination of vibrational energy and light energy to enhance CO 2 reduction yields. Moreover, this article can advance understanding of techniques such as Kelvin probe microscopy, the requirement of simulation studies, and CO 2 reduction mechanisms to better understand the piezo behavior of materials and ways to improve them for maximum product yield.

A novel metal-organic framework (MOF) with the formula of [Cd(CIA)(4,4'-BB)·H 2 O]·H 2 O (Cd-MOF) (H 2 CIA = 5-methoxyisophthalic acid, 4,4'-BB: 4,4'-bis((1H-imidazol-1-yl)methyl)-1,1'-biphenyl) has been designed and synthesized through solvothermal reaction. The structure was characterized by TG, IR, PXRD, elemental analysis, single-crystal X-ray diffraction and XPS. The coordination pattern of the fully deprotonated ligand (CIA) in Cd-MOF is μ 2 -к 1 : к 0 : к 2 . The complex is found to be a three-dimensional reticular material with good thermal stability. Further study revealed that Cd-MOF has good fluorescence performance and can be used as a fluorescent probe for sensitive detection of histidine (His), nitrobenzene (NB), tetracycline (TC) and pyrimethanil (PTH) in water. Four cycles experiments can be achieved with a low detection limit. The detection limits were 0.3 µM (His), 0.05 µM (NB), 0.2 µM (TC) and 0.01 µM (PTH), respectively. To verify the feasibility of detecting PTH in real samples, we further explored it in water samples and apple peels. The spiked recoveries were 95.3-99.4 % and 97.2-101.2 %, respectively. Finally, the fluorescence quenching mechanism of Cd-MOF in His, NB, TC and PTH detection is discussed in detail., Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: The Yang Hua Report was funded by the Key scientific research Project of the Education Department of Shaanxi Province and the Yan'an Natural Science Foundation., (Copyright © 2023. Published by Elsevier B.V.)

Background: Aconitum carmichaelii is an industrially cultivated medicinal plant in China and its lateral and mother roots are used in traditional Chinese medicine due to the presence of alkaloids. However, the rootlets and aerial parts are discarded after collection of the roots, and the non-toxic polysaccharides in this plant have attracted less attention than the alkaloids and poisonous features. In this study, five neutral and 14 acidic polysaccharide fractions were isolated systematically from different plant parts of A. carmichaelii, and their structural features and bioactivity were studied and compared., Results: The neutral fraction isolated from the rootlets differed from those isolated from the lateral and mother roots. It consisted of less starch and more possible mannans, galactans, and/or xyloglucans, being similar to those of the aerial parts. Pectic polysaccharides containing homogalacturonan and branched type-I rhamnogalacturonan (RG-I) were present in all plant parts of A. carmichaelii. However, more arabinogalactan (AG)-II side chains in the RG-I backbone were present in the aerial parts of the plants, while more amounts of arabinans were found in the roots. Various immunomodulatory effects were observed, determined by complement fixation activity and anti-inflammatory effects on the intestinal epithelial cells of all polysaccharide fractions., Conclusion: This study highlighted the diversity of polysaccharides present in A. carmichaelii, especially in the unutilized plant parts, and showed their potential medicinal value. © 2023 The Authors. Journal of The Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry., (© 2023 The Authors. Journal of The Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.)

The topic of photocatalysis and Cu x O-based materials has been intertwined for quite a long time. Its relatively high abundance in the earth's crust makes it an important target for researchers around the globe. One of the properties exploited by researchers is its ability to exist in different oxidation states (Cu 0 , Cu + , Cu 2+ , and Cu 3+ ) and its implications on photocatalytic efficiency improvement. Recently, they have been extensively used as photocatalytic materials for dye and pollutant degradation. However, it has almost reached saturation levels, therefore, currently, they are being mostly utilized for CO 2 reduction and H 2 evolution. Hence, this review will discuss the evolution (in application) of Cu x O-based photocatalysts, relating to their past, present, and future. Moreover, photocatalytic efficiency improvement strategies such as doping, heterojunction formation, and carbonaceous construction with other materials will also be touched upon. Finally, the prospect of Cu 2 O-based photocatalysts will be discussed in the field of photocatalytic N 2 fixation to ammonia. The significance of N 2 chemisorption on photocatalysts to maximize ammonia production will also be given importance., 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 © 2023 Elsevier Inc. All rights reserved.)