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Electrochemical nitrate reduction reaction (NO3−RR) is an ideal route to produce ammonia (NH3) under ambient conditions. Although a markedly improved NH3 production rate has been achieved on the NO...

Background The use of 3-dimensional (3D) endoscopic thyroidectomy (ET) has been increasing, but its feasibility and safety have not been well documented for thyroidectomy. Hence, to systematically investigate the comparative outcomes during 3D-ET and 2-dimensional (2D) ET for benign and malignant lesions, we conducted this meta-analysis. Methods Based on the PRISMA guidelines, a systematic database search of the PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and Chinese Wanfang databases was performed. The eligible studies were published in English and Chinese up to October 2020. The major endpoints evaluated were procedure time, blood loss, postoperative drainage, postoperative hospitalization, postoperative complications, total number of lymph node dissections (LNDs), and total cost. Results A total of 15 relevant studies including 1190 patients (583 for 3D-ET and 607 for 2D-ET) compared the application of 3D and 2D laparoscopic systems in thyroid surgery, of which 8 were endoscopic benign thyroidectomy (EBT) and 7 were endoscopic malignant thyroidectomy (EMT). Our meta-analysis indicated that 3D-ET generally had advantages over 2D-ET in terms of procedure time (P = 0.000), blood loss (P = 0.000), postoperative drainage (P = 0.000), postoperative complications (P = 0.000), and LNDs (P = 0.006). However, there were no significant differences between the two systems in terms of total cost (P = 0.245) or postoperative hospitalization (P = 0.068). Subgroup analysis showed consistency of the overall outcomes in each subset, but a shorter postoperative hospitalization in 3D-EBT was revealed. Conclusions Compared to 2D-ET, 3D endoscopic thyroidectomy is an efficient, safe, and reliable method with better depth perception and stereoscopic vision, and an equally satisfactory outcome. More clinical RCTs with long-term follow-up are required to reproduce these promising results.

The electrochemical reduction of CO2 (CO2RR) can substantially contribute to the production of useful chemicals and reduction of global CO2 emissions. Herein, we presented N and S dual-doped high-surface-area carbon materials (SZ-HCN) as CO2RR catalysts. N and S were doped by one-step pyrolysis of a N-containing polymer and S powder. ZnCl2 was applied as a volatile porogen to prepare porous SZ-HCN. SZ-HCN with a high specific surface area (1510 m2 g−g1) exhibited efficient electrocatalytic activity and selectivity for CO2RR. Electrochemical measurements demonstrated that SZ-HCN showed excellent catalytic performance for CO2-to-CO reduction with a high CO Faradaic efficiency (~93%) at −0.6 V. Furthermore, SZ-HCN offered a stable current density and high CO selectivity over at least 20 h continuous operation, revealing remarkable electrocatalytic durability. The experimental results and density functional theory calculations indicated that N and S dual-doped carbon materials required lower Gibbs free energy to form the COOH* intermediate than that for single-N-doped carbon for CO2-to-CO reduction, thereby enhancing CO2RR activity.

Background To compare the efficacy of Ex-PRESS implantation versus trabeculectomy combined with phacoemulsification. Methods A retrospective 12-month study on patients with coincident primary open-angle glaucoma (POAG) and cataract. The patients underwent combined phacoemulsification and Ex-PRESS implant (Phaco-ExPRESS, n = 35) or phacotrabeculectomy (Phaco-Trab, n = 35). The morphological structures of the filtering bleb were examined by slit-lamp, anterior segment optical coherence tomography (AS-OCT) and in vivo confocal microscopy (IVCM). Complete success was defined as postoperative intraocular pressure (IOP) Results No significant difference in the variables such as age, IOP and perimetry was found between the groups of Phaco-ExPRESS and Phaco-Trab. At the one-year postoperative visit for filtering blebs, Phaco-ExPRESS increased the mean area of epithelial microcysts significantly from 0.10 ± 0.05 to 0.20 ± 0.09 μm2 per μm2, while Phaco-Trab decreased the mean area significantly from 0.08 ± 0.04 to 0.04 ± 0.06 μm2 per μm2. Notably, the hyperreflective dots detected by IVCM decreased by 84.9% in Phaco-ExPRESS but increased by 36.3% in Phaco-Trab. The hyperreflective dots were further identified as neutrophil- and monocyte-like cells. The number of these cells were negatively correlated with the microcysts area (r = − 0.7, P P vs. 41.2%, P P P = 0.24). Conclusions At the one-year follow-up, Phaco-ExPRESS generated better filtering bleb with larger area of microcysts, looser connective tissues, and less inflammation than that of Phaco-Trab, providing adequate IOP control and less IOP-lowering medications. These findings indicate that Phaco-ExPRESS could be more preferred than Phaco-Trab for the treatment of patients with coincident POAG and cataract.

OBJECTIVE: This article focused on the key role that the cumulative mutations of somatic genes play during the progression of colorectal cancer from benign adenoma to highly malignant mucinous adenocarcinoma. Moreover, the article explains the reasons for the differences in the prognosis of the left-sided and right-sided colon cancer by comparing the number of mutations in the cases. METHODS: In this study, tumor specimens from patients with different stages and different states of co-occurring colonic adenoma, colonic adenocarcinoma, and colonic mucinous adenocarcinoma were extracted and analyzed for gene mutations in different tumor development stages during the progressive evolution from normal tissue to mucinous adenocarcinoma by second-generation sequencing gene detection. Conclusion: The number of somatic gene mutations showed an increasing trend during the progression from normal tissue to the mucinous adenocarcinoma with the highest malignancy. No difference in the underlying genetic level between the right-sided and left-sided colon cancer was observed. However, the prognosis of the right-sided colon cancer patients was worse than that of the left-sided colon cancer patients, suggesting that the longer growth cycle of the right-sided colon cancer may be the main reason for the difference of prognosis.

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Electrochemical nitrate (NO3-) reduction reaction (NO3-RR) offers an ideal route to harvest ammonia (NH3) under ambient conditions. Despite recent advances in Cu-based NO3-RR electrocatalysts, their synthesis heavily relies on the regulation of adsorption strength towards nitrogen-containing intermediates, and other important factors are ignored (i.e., the proton transfer rate). Here, we select Cu nanoparticles (NPs) as model catalysts to investigate whether and how the proton transfer rate impacts the NO3-RR kinetics. The results indicate that the proton transfer is involved in the rate-determining step (RDS) of NO3-RR, and the weak water dissociation ability of Cu leads to slow proton transfer rate and consequently sluggish NO3-RR kinetics. To this end, we enhance the water dissociation ability of Cu NPs by incorporating uncoordinated carboxylate ligands to enable rapid proton transfer, which in turn boosts the hydrogenation of key intermediates for reducing the overall energy barrier of NO3-RR. As a result, Cu NPs with the ligands display a maximum NH3 yield rate of 496.4 mmol h-1 gcat-1, outperforming counterpart without ligands. This work not only deepens our knowledge on the NO3-RR mechanism, but also offers new guidelines for the smart design of efficient electrocatalysts.

Bioremediation based on microbial induced carbonate precipitation (MICP) was conducted in Cd-contaminated seleniferous soils with objective to investigate effects of MICP on the fates of Cd and Se in soils. Results showed that soil indigenous microorganisms could induce MICP process to stabilize Cd and mobilize Se without inputting exogenous urease-producing strain. After remediation, soluble Cd (SOL-Cd) and exchangeable Cd (EXC-Cd) concentrations were decreased respectively by 59.8% and 9.4%, the labile Cd measured by the diffusive gradients in thin-films technique (DGT) was decreased by 14.2%. The MICP stabilized Cd mainly by increasing soil pH and co-precipitating Cd during the formation of calcium carbonate. Compared with chemical extraction method, DGT technique performs better in reflecting Cd bioavailability in soils remediated with MICP since this technique could eliminate the interference of Ca2+. The increase in pH resulted in Se conversion from nonlabile fraction to soluble and exchangeable fractions, thus improving Se bioavailability. And Se in soil solution could adsorb to or co-precipitate with the insoluble calcium carbonate during MICP, which would partly weaken Se bioavailability. Taken together, MICP had positive effects on the migration of Se. In conclusion, MICP could stabilize Cd and improve Se availability simultaneously in Cd-contaminated seleniferous soils.

Exploring of electrocatalysts for high-output oxygen evolution reaction (OER) is key to practical applications, but still remains challenging. Here, we developed a nature-inspired etching strategy for the construction of karst topography (KT)-featured electrode comprising core-shell structured Ni(0)@Ni(II) towards efficient OER. Intriguingly, the KT architecture confers a “superaerophobic” surface to render the large amount of generated O2 bubbles release rapidly and timely from the electrode surface at the high current density of OER (i.e., 1500 mA cm−2). Moreover, this strategy allows good control over the generated core-shell structure for promoting the heterointerface synergetic effect of Ni(0)@Ni(II). By adding probing molecules to react with OER intermediates under operation conditions, we obtain first direct experimental evidence that the core-shell structure can optimize the adsorption strength of *OH for significantly boosting the OER kinetics. Notably, the obtained electrode has excellent performance for OER with a small overpotenital of 380 mV at 1500 mA cm−2.

The reactions of 2-amino-2-methyl-1-propanol (MepH) with Co(ClO4)2⋅6H2O in the presence of acetic acid gave [Co2(Mep)3(OAc)(MepH)](ClO4)2⋅MepH (1) and [Co $^{\text {III}}_{4}$ Co $^{\text {II}}_{2}$ (Mep)8(μ 3-OH)2(OAc)4](ClO4)2⋅ 2EtOH ⋅2H2O (2). They were characterized by elemental analysis, IR and single crystal X-ray diffraction analysis. Compound 1 presents a dinuclear structure with its two Co atoms linked by two Mep− ligands and one acetate ligand. The two Co(II) and four Co(III) centers in 2 are held together by eight Mep− ligands, two μ 3-OH− ions and four acetate ligands to form a hexanuclear skeleton which contains a defected face-shared dicubane core. Their discrete polynuclear units are further linked into double-layered and mono-layered two-dimensional H-bonded framework, respectively.

Agricultural products from seleniferous areas commonly face problems associated with substantial variation in selenium (Se) concentration, which is mainly caused by the heterogeneity of Se bioavailability in soil. Many studies have assessed the bioavailability of Se and its influencing factors using soil samples treated with exogenous Se. Given the distinctly different characteristics of Se-spiked soils and naturally seleniferous soils, exploring Se bioavailability in naturally seleniferous soils is crucial to the stable production of Se-enriched agricultural products. In this study, we used the classical sequential extraction method to determine the Se fractionation and then applied the diffusive gradients in thin-films (DGT) technique to assess the Se bioavailability in naturally seleniferous soils. The results indicated that soluble and exchangeable Se fractions with high bioavailability accounted for only 0.7% and 5.1% of total Se, respectively. Both soluble and exchangeable Se concentrations were significantly positively correlated with soil pH (r = 0.329 and 0.262, respectively; P 0.01). Se mainly exists in Fe-Mn oxide-bound, organic matter-bound, and residual Se fractions with low mobility (94.2% of total Se), among which organic matter-bound Se was the predominant fraction (49.5% of total Se). A significant positive correlation was found between total Se and soil organic matter (r = 0.539; P 0.01). Multiple regression analysis revealed that the DGT-determined Se was mostly derived from soluble and exchangeable Se. The high correlation between the DGT-determined Se fraction and Se uptake by rice (r = 0.91; P 0.01) confirmed that DGT can accurately assess Se bioavailability in naturally seleniferous soils in Enshi and other similar environmental settings.

Five dinuclear lanthanide complexes [Ln(2)L(2)(NO3)(2)(OAc)(4)]center dot 2CH(3)CN [Ln = Gd (1), Tb (2), Dy (3), Ho (4), and Er (5)] [L = 2(( 2-pyridinylmethylene) hydrazine) ethanol] were synthesized from the reactions of Ln(NO3)(3)center dot 6H(2)O with L and CH3COOH in the presence of triethylamine. Their crystal structures were determined. They show similar dinuclear cores with the two lanthanide ions bridged by four acetate ligands in the mu(2)-eta(1):eta(2) and mu(2)-eta(1):eta(1) bridging modes. Each Ln(III) ion in complexes 1-5 is further chelated by one L ligand and one nitrate ion, leading to the formation of a nine-coordinated monocapped square antiprism arrangement. The dinuclear molecules in 1-5 are consolidated by hydrogen bonds and pi center dot center dot center dot pi stacking interactions to build a two-dimensional sheet. Their magnetic properties were investigated. It revealed antiferromagnetic interactions between the Gd-III ions in 1 and ferromagnetic interactions between the Tb-III ions in 2. The profiles of chi T-m vs. T curves of 3-5 reveal that the magnetic properties of 3-5 are probably dominated by the thermal depopulation of the Stark sublevels of Ln(III) ions.

Objectives: The aim of this study was to evaluate the effect of problem-based learning on improving the medical educational environment. Materials and Methods: All relevant studies on problem-based learning and the medical educational environment were searched for in PubMed, the Education Resources Information Center (ERIC) catalogue, Google Scholar, China National Knowledge Infrastructure (CNKI) and WanFang Data (WF) databases for material dating from 1969 to May 2015 without any language limitation. Six randomized controlled trials of problem-based learning compared to traditional lecture-based learning were included. The Cochrane risk of bias tool was used to assess the quality of the included studies. Review Manager (Revman) version 5.3 software was used for data analysis. The effect size of the improvement on the medical educational environment was calculated as the mean difference and 95% confidence interval. Heterogeneity was evaluated with Cochrane's χ2 test and I2. Publication bias was assessed by funnel plot, Begg's rank correlation test, and Egg's linear regression test. Results: The six included studies were at low risk of bias in all domains except for three that were at high risk of bias in the domain of allocation concealment. The pooled effect size showed that problem-based learning was better than lecture-based learning in improving the medical educational environment, as measured by the Dundee Ready Education Environment Measure (DREEM), with statistically significant differences. No significant publication bias was observed. The sensitivity analysis showed that the result was reliable. Conclusions: This study showed that problem-based learning was able to improve the medical educational environment as measured by DREEM. However, further studies with larger sample sizes and high-quality data are needed.

Rhodiola formulation is widely used in treating ischemic heart disease (IHD), angina pectoris in China. A number of clinical studies have reported and claimed that Rhodiola formulation can relieve the symptoms of IHD. This study provides the first Preferred Reporting Items for Systematic Reviews (PRISMA)-compliant systematic review to evaluate the efficacy and safety of Rhodiola formulation in treating ischemic heart disease either as a sole agent or in combination with routine western medicine (RWM).Search strategy - PubMed, Science Direct, the Cochrane Library, China National Knowledge Infrastructure (CNKI), China Master Theses Full-text Database (CMTD), China Doctor Dissertations Full-text Database (CDMD), Wanfang Data (WF) databases were searched for all relevant studies on Rhodiola formulation that have been published in English and Chinese. The last search of all databases was performed on 31 January 2013. All randomized controlled trials (RCTs) of Rhodiola formulation for patients with IHD were included, and the quality of included RCTs was assessed with Cochrane risk of bias tool. The primary outcomes, including the effective size of symptomatic and electrocardiography (ECG) improvement were calculated as an odds ratio (OR) and 95% confidence intervals (CIs). Because of obvious heterogeneity in the studies with regard to herbal species, herbal formulations, treatment group medicines, control group medicines and outcome measurement, subgroup analysis and sensitivity analysis were performed to evaluate the effects of study characteristics of RCTs, including quality, the role of Rhodiola formulations in treatment group and the different control group medicines.A total of thirteen studies (n=1672) were included. most of included studies were found to be high risk of bias with low quality of methodology. The Rhodiola formulations used alone or in combination with RWM demonstrated a positive effect on both improvement of symptoms and ECG. For the subgroup analysis, the ORs of symptomatic improvement in Rhodiola formulations versus other Chinese herbal medicines (CHMs), Rhodiola formulations versus RWM, and Rhodiola formulations plus RWM versus RWM were 1.51, 2.64, 5.63, respectively. The ORs of symptomatic improvement for Rhodiola formulations versus other CHMs, Rhodiola formulations versus RWM, and Rhodiola formulations plus RWM versus RWM were 1.33, 3.11, 2.27, respectively. Overall, the effectiveness of Rhodiola formulations was higher compared to medicines in control groups, with statistically significant differences observed both in symptomatic improvement (OR=2.40, 95% CI: 1.57-3.66, P0.0001) and ECG improvement (OR=1.48, 95% CI: 1.17-1.87, P0.01). However, the sensitivity test indicated that overall effects of Rhodiola formulation versus other CHMs in ECG improvement were not stable (after removing the study by Yin, P=0.05); the differences of CHMs in the control group are a possible source of heterogeneity.Rhodiola formulations may have a positive effect on treating IHD alone and in combination with RWM. However, poor quality of methodology and heterogeneity of the included trials means that larger sample size, multi-center, placebo-controlled, double blind studies are needed.

Short-term exposure to cigarette smoke (CS) introduces an abundance of free radicals into the lungs, causing oxidative stress and inflammation. CS is an important risk factor related to the pathogenesis of several pulmonary diseases, especially chronic obstructive pulmonary disease. Black coral (BC) is a marine biomaterial commonly used for cigarette holders in southeast China. The purpose of the present study was to evaluate the in vivo bioactivity of BC extract (BCE). Groups of mice (male Kunming) were subjected to ultrasonic atomizing inhalation of BCE (0.3, 1.5, and 3 mg/mL) before being exposed to CS (10 cigarettes per day for 4 days). The control group and the CS group were administered normal saline rather than BCE prior to CS exposure. Superoxide dismutase (SOD), malondialdehyde (MDA), and myeloperoxidase (MPO) levels were measured in lung homogenates. Histologic and morphologic studies of the right upper lung were performed. SOD activity increased 1.32 times in the CS+BCE (3 mg/mL) group (P.001) compared with the CS group. The MDA content increased 4% (P.001) in the CS+BCE (3 mg/mL) group compared with the control group. MPO was reduced 40% in the CS+BCE (3 mg/mL) group compared with the CS group (P.001). Histologic analysis revealed decreased inflammation in the BCE group compared with the CS group. These results suggest that BCE has antioxidant and anti-inflammatory activity in vivo. BCE may protect against lung injury in smokers.