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To examine the independent risk factors of type-2 myocardial infarction (T2MI) elicited by acute upper gastrointestinal bleeding (AUGIB), and to establish a nomogram model for the prediction of AUGIB-induced T2MI.A nomogram model was established on the basis of a retrospective study that involved 533 patients who suffered from AUGIB in the Department of Critical Care Medicine (CCM) or Emergency Intensive Care Unit (EICU) of Renmin Hospital of Wuhan University, Wuhan, China, from January 2017 to December 2020. The predictive accuracy and discriminative power of the nomogram were initially evaluated by internal validation, which involved drawing the receiver operating characteristic (ROC) curve, calculating the area under the curve (AUC), plotting the calibration curve derived from 1000 resampled bootstrap data sets, and computing the root mean square error (RMSE). The predictive ability of the nomogram was further validated through the prospective and multicenter study conducted by the investigators, which enrolled 240 AUGIB patients [including 88 cases from Renmin Hospital of Wuhan University, 73 cases from Qilu Hospital of Shandong University (Qingdao), and 79 cases from Northern Jiangsu People's Hospital)], who were admitted to the Department of CCM or EICU, from February 2021 to July 2021.Among the 533 patients in the training cohort, 78 (14.6%) patients were assigned to the T2MI group and 455 (85.4%) patients were assigned to the non-T2MI group. The multivariate analysis revealed that age65, hemorrhagic shock, cerebral stroke, heart failure, chronic kidney disease, increased blood urea nitrogen, decreased hematocrit, and elevated D-Dimer were independent risk factors for AUGIB-induced T2MI. All these factors were incorporated into the nomogram model. The AUC for the nomogram for predicting T2MI was 0.829 (95% CI, 0.783-0.875) in the internal validation cohort and 0.848 (95% CI, 0.794-0.902) in the external validation cohort. The calibration curve for the risk of T2MI exhibited good consistency between the prediction by the nomogram and the actual clinical observation in both the internal validation (RMSE=0.016) and external validation (RMSE=0.020).The nomogram was proven to be a useful tool for the risk stratification of T2MI in AUGIB patients, and is helpful for the early identification of AUGIB patients who are prone to T2MI for early intervention, especially in emergency departments and intensive care units.

CeO2 :Eu3+ powders(6mol%) were successfully prepared via the precursor,which were synthesizedby a hydrothermal method.The precursor was calcined from 500 to 800°C and CeO2:Eu3+ powders were obtained.XRD analysis showed that the powders with pure cubic fluorite-type CeO2 phase was obtained at the calcination temperatures from 500 to 800°C.TG analysis showed the precursor is no weight loss when the calcination temperature is higher than 500°C. SEM indicated CeO2:Eu3+ powders were polygonal crystal.The PL measurements indicated the dependence of PL emission intensity on the calcination temperature．The excitation spectra of the CeO2：Eu3+ powders were dominated by a broad band at 300-390 nm，suggesting the efficient energy transfer from the O2-_Ce4+ charge-transfer state to the doping Eu3+ in the CeO2:Eu3+ powders. The CeO2:Eu3+ powders with a 6at.% concentration of Eu sintered at 800°C revealed the strongest photoluminescence .

A visible-light-active nitrogen and gadolinium codoped TiO2 catalyst was synthesized by the sol-gel route. For comparison, Gd-doped sample, N-doped sample, and pure titania were prepared through the same method, without adding the corresponding dopants. The as-prepared photocatalysts were characterized by X-ray diffraction (XRD) and Uv-vis spectra. The results showed that the codoped photocatalyst exhibited a smaller size than the undoped titania. The transformation from anatase to rutile was suppressed by doping with N and Gd atoms. Furthermore, the absorbance spectra of N, Gd-codoped TiO2 exhibited a significant red shift to the visible region. The photocatalytic activity of N, Gd-codoped TiO2 was evaluated by photodegradation of methyl orange under visible light irradiation. This codoped sample exhibited enhanced photocatalytic activity compared to N-doped TiO2, Gd-doped TiO2, and pure TiO2. The improvement of the photocatalytic activity was ascribed to the synergistic effects of the N and Gd co-doping.