BACKGROUND Inadequate glycemic control in patients with type 2 diabetes(T2DM)is a major public health problem and a significant risk factor for the progression of diabetic complications.AIM To evaluate the effects of ...BACKGROUND Inadequate glycemic control in patients with type 2 diabetes(T2DM)is a major public health problem and a significant risk factor for the progression of diabetic complications.AIM To evaluate the effects of intensive and supportive glycemic management strategies over a 12-month period in individuals with T2DM with glycated hemoglobin(HbA1c)≥10%and varying backgrounds of glycemic control.METHODS This prospective observational study investigated glycemic control in patients with poorly controlled T2DM over 12 months.Participants were categorized into four groups based on prior glycemic history:Newly diagnosed,previously well controlled with recent worsening,previously off-target but now worsening,and HbA1c consistently above 10%.HbA1c levels were monitored quarterly,and patients received medical,educational,and dietary support as needed.The analysis focused on the success rates of good glycemic control and the associated factors within each group.RESULTS The study showed significant improvements in HbA1c levels in all participants.The most significant improvement was observed in individuals newly diagnosed with diabetes:65%achieved an HbA1c target of≤7%.The results varied between participants with different glycemic control histories,followed by decreasing success rates:39%in participants with previously good glycemic control,21%in participants whose glycemic control had deteriorated compared to before,and only 10%in participants with persistently poor control,with mean HbA1c levels of 6.3%,7.7%,8.2%,and 9.7%,respectively.After one year,65.2%of the“newly diagnosed patients”,39.3%in the“previously controlled group”,21.9%in the“previously off-target but now worsened'”group and 10%in the“poorly controlled from the start”group had achieved HbA1c levels of 7 and below.CONCLUSION In poorly controlled diabetes,the rate at which treatment goals are achieved is associated with the glycemic background characteristics,emphasizing the need for tailored strategies.Therefore,different and comprehensive treatment approaches are needed for patients with persistent uncontrolled diabetes.展开更多
Carbon capture and storage(CCS)remains one of the most feasible techniques for the control of Greenhouse gas emission levels.However,there will always be risks attached to the subsurface injection of CO_(2).These coul...Carbon capture and storage(CCS)remains one of the most feasible techniques for the control of Greenhouse gas emission levels.However,there will always be risks attached to the subsurface injection of CO_(2).These could be in the form of leakages from the injection wellbore due to completion failure;escape of the injected CO_(2)to neighboring aquifers due to the heterogeneous or fractured nature of the storage site;or seepage at the surface due to inadequacy of the sealing cap rock.While all these may occur,the most cost-effective and timely way to reduce the risk of leakages is by plugging the pathways.This is done using either traditional Cementous materials or more augmented sealants like organic gels and resins.A lot of studies in the literature have described this collection of materials within the context of CO_(2)conformance control.So also,there are reviews on the classification and description of these chemicals.This review provides a more systemic evaluation of these classes of chemicals.This is by providing critical analyses of how external factors like CO_(2),pH,brine salinity and hardness,rock mineralogy,pressure,temperature,and injectivity could affect the performance of different sealants that can be utilized.Based on these assessments,best practices for the application of the sealants,both at the testing stage in the laboratory and the pilot stage and field deployment,are suggested.展开更多
The quality of wrought magnesium(Mg)alloys is closely linked to the quality of the cast ingots.Conventionally casting(CC)Mg-2Y ingots exhibit relatively coarse grain sizes.When CC ingots undergo rolling processing(CC-...The quality of wrought magnesium(Mg)alloys is closely linked to the quality of the cast ingots.Conventionally casting(CC)Mg-2Y ingots exhibit relatively coarse grain sizes.When CC ingots undergo rolling processing(CC-10-R),the resulting Mg-2Y sheets retain coarse grain sizes(~11.87μm),while precipitating a small number of Mg_(24)Y_(5) nanoparticles(~0.26%),as well as forming a strong C-type texture(~10.91).The implementation of controlled diffusion solidification(CDS)effectively refines the grain size of Mg-2Y ingots and increases the content of Mg_(24)Y_(5) particles.When CDS is combined with rolling(CDS-10-R),the grain size is refined to~5.57μm,the precipitation of Mg_(24)Y_(5) nanoparticles is increased to~1.79%,and the C-type texture was weakened to~7.74.The CDS-10-R shows an increase in strength of~51.8% and an enhancement in plasticity of~32.6% compared to CC-10-R.The enhancement in strength is primarily due to fine-grain strengthening(~42.1% contributions)and precipitating strengthening(~39.6% contributions).The improvement in plasticity is attributed to the weakening of the{0001}basal texture,which facilitates the activation of<c+a>slips.Compared to other wrought Mg-Y alloys,Mg-2Y sheets produced by combining CDS with rolling possess exceptional strength-plasticity combinations.This finding presents a novel route to achieving high strength and plasticity in low-alloyed rare-earth Mg alloys.展开更多
BACKGROUND Type 2 diabetes mellitus(T2DM)is a chronic metabolic disease characterized by combinations of insulin resistance and insulin deficiency.Non-alcoholic fatty liver disease(NAFLD)is emerging as a public health...BACKGROUND Type 2 diabetes mellitus(T2DM)is a chronic metabolic disease characterized by combinations of insulin resistance and insulin deficiency.Non-alcoholic fatty liver disease(NAFLD)is emerging as a public health problem worldwide and affects up to 70%of patients with T2DM.Although patients with T2DM have an increased risk of developing advanced liver disease compared to healthy individuals,varying prevalence rates of NAFLD among patients with T2DM,ranging from 34%to 94%,have been reported.AIM To determine prevalence and identify associated factors of NAFLD among Limbe patients with T2DM and evaluate correlation with glycemic control.METHODS A cross-sectional study was carried out from February to June 2024 among patients with T2DM.Gamma-glutamyl transferase(GGT)activity and serum triglycerides(TGs)were measured by spectrophotometry.NAFLD was diagnosed using the fatty liver index score.Data were analyzed using SPSS version 26.0 for Windows.Student’s t-test was used to compare the means of two groups.The χ^(2) test was applied to determine the association of NAFLD and T2DM.Logistic regression analysis was performed to identify predictors of NAFLD.P<0.05 was considered statistically significant.RESULTS Of the 150 patients with T2DM recruited for this study,63(58%)were females and the majority(84.7%)had good glycemic control(glycated hemoglobin<7%).Prevalence of NAFLD among patients with T2DM was 19%.Patients with NAFLD had significantly elevated levels of TGs,GGT,and increased body mass index and waist circumference compared to those without NAFLD.There was a significant association between NAFLD and glycemic control.Predictive factors of NAFLD among patients with T2DM were vegetable intake of less than three times per week[adjusted odds ratio(aOR):0.131,95%CI:0.020-0.839;P=0.032],central obesity(aOR:0.167,95%CI:0.037-0.748;P=0.019),and metformin treatment for T2DM(aOR:0.167,95%CI:0.037-0.718;P<0.001).CONCLUSION The prevalence of NAFLD in patients with T2DM in Limbe Regional Hospital was 19%.Age,central obesity,metformin use,and infrequent consumption of vegetables were important predictors of NAFLD.展开更多
Two-dimensional(2D)noble transition-metal dichalcogenide materials(NTMDs)have garnered remarkable attention due to their intriguing properties exhibiting potential applications in nanoelectronics,optoelectronics,and p...Two-dimensional(2D)noble transition-metal dichalcogenide materials(NTMDs)have garnered remarkable attention due to their intriguing properties exhibiting potential applications in nanoelectronics,optoelectronics,and photonics.The electronic structure and physical properties of 2D NTMDs can be effectively modulated using alloy engineering strategy.Nevertheless,the precise growth of wafer-scale 2D NTMDs alloys remains a significant challenge.In this work,we have achieved the controllable preparation of wafer-scale(2-inch)2D PdS_(2x)Se_(2(1-x)) nanofilms(NFs)with fully tunable compositions on various substrates using pre-deposited Pd NFs assisted chemical vapor deposition technique.High-performance photodetectors based on the PdS_(2x)Se_(2(1-x))NFs were fabricated,which exhibit broadband photodetection performance from visible to near-infrared(NIR)wavelength range at room temperature.Significantly,the PdS0.9Se1.1-based photodetectors display a responsivity up to 0.192 A W^(-1) and a large specific detectivity of 5.5×1011 Jones for 850 nm light,enabling an excellent high-resolution NIR single-pixel imaging(SPI)without an additional filtering circuit.Our work paves a new route for the controlled synthesis of wafer-scale and high-quality 2D NTMDs alloy NFs,which is essential for designing advanced optoelectronic devices.展开更多
Water purification systems based on transition metal dichalcogenides face significant challenges,including lack of reactivity under dark conditions,scarcity of catalytically active sites,and rapid recombination of pho...Water purification systems based on transition metal dichalcogenides face significant challenges,including lack of reactivity under dark conditions,scarcity of catalytically active sites,and rapid recombination of photogenerated charge carriers.Simultaneously increasing the number of active sites and improving charge separation efficiency has proven difficult.In this study,we present a novel approach combining molybdenum(Mo) monoatomic doping and size engineering to produce a series of Mo-ReS_(2) quantum dots(MR QDs) with controllable dimensions.High-resolution structural characterization,first-principle calculations,and piezo force microscopy reveal that Mo monoatomic doping enhances the lattice asymmetry,thereby improving the piezoelectric properties.The resulting piezoelectric polarization and the generated built-in electric field significantly improve charge separation efficiency,leading to optimized photocatalytic performance.Additionally,the doping strategy increases the number of active sites and improves the adsorption of intermediate radicals,substantially boosting photo-sterilization efficiency.Our results demonstrate the elimination of 99.95% of Escherichia coli and 100.00% of Staphylococcus aureus within 30 min.Furthermore,we developed a self-purification system simulating water drainage,utilizing low-frequency water streams to trigger the piezoelectric behavior of MR QDs,achieving piezoelectric synergistic photodegradation.This innovative approach provides a more environmentally friendly and economical method for water self-purification,paving the way for advanced water treatment technologies.展开更多
BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic cont...BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.展开更多
BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have ...BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have suggested that the coexistence of these conditions may exacerbate liver inflammation and fibrosis;however,the impacts of dynamic changes in glucose metabolism indicators,hypoglycemic medication regimens,and glycemic control status on liver fibrosis require further elucidation.AIM To explore the effect of glycemic control on hepatic fibrosis in patients with CHB and T2DM.METHODS A total of 420 patients with CHB and T2DM admitted to the Public Health Clinical Center of Chengdu between October 2018 and January 2022 were retrospectively included and classified according to liver stiffness measurement and glycemic control for between-group comparisons.RESULTS Significant differences were observed in the alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase,AST/ALT ratio,total bilirubin,direct bilirubin,diabetes treatment program,and thrombin time values among the liver fibrosis groups(adjusted P<0.05).Significant differences in albumin and gamma-glutamyl transferase levels were observed among the groups categorized by glucose status at admission(adjusted P<0.05).A positive correlation between fasting plasma glucose(FPG)and liver stiffness measurement was found to be mediated by ALT and AST.Fibrinogen and the international normalized ratio were positively correlated with glycated hemoglobin A1c,while the fibrosis-4 score,ALT,AST/ALT ratio,type III procollagen N-terminal peptide,ferritin,and activated partial thromboplastin time were correlated with FPG at admission.Additionally,AST was positively correlated with FPG at discharge(P<0.05).CONCLUSION Specific glucose metabolic parameters,hypoglycemic agents,and glycemic control status markers are associated with hepatic fibrosis in patients with both CHB and T2DM.Close blood glucose monitoring,optimized use of hypoglycemic agents,and continuous maintenance of good glycemic control may slow the progression of liver fibrosis in patients with CHB and T2DM.展开更多
BACKGROUND The global prevalence of diabetes among adults aged 29-79 years was found to be 10.5%.It is a global public health threat with a rising trend in morbidity and mortality.Poor glycemic control(GC)among patien...BACKGROUND The global prevalence of diabetes among adults aged 29-79 years was found to be 10.5%.It is a global public health threat with a rising trend in morbidity and mortality.Poor glycemic control(GC)among patients with type 2 diabetes mellitus(T2DM)is a major determinant of diabetes-related complications.There are limited data on GC and associated factors among patients with T2DM in South West Region,Cameroon.AIM To assess GC and identify contributing factors among patients with T2DM in a regional hospital in South West Region,Cameroon.METHODS A cross-sectional study was conducted from February 2022 to July 2022 among 131 participants in Limbe Regional Hospital who were selected by convenience.Glycated hemoglobin(HbA1c)was measured by ion-exchange chromatography.Sociodemographic,clinical,and lifestyle data were collected,entered into Excel,and exported to Statistical Package for Social Sciences version 22 for analysis.A multivariate logistic regression analysis was conducted to assess the association between explanatory variables and GC.The level of significance was set at P<0.05.RESULTS The mean age was 56±5.1 years.Eighty-eight(67.2%)patients were female.The mean HbA1c was 8.8%±1.8%.Poor GC(HbA1c≥7%)was registered in 106(80.9%;95%confidence interval:73.1%-87.3%)participants.Lack of self-monitoring of blood glucose at home was associated with poor GC(adjusted odds ratio:3.858,95%confidence interval:1.262-11.800;P=0.018).CONCLUSION The majority of patients with T2DM had poor GC.Absence of self-monitoring of blood glucose at home was the main contributing factor for poor GC.展开更多
An Interval Type-2(IT-2)fuzzy controller design approach is proposed in this research to simultaneously achievemultiple control objectives inNonlinearMulti-Agent Systems(NMASs),including formation,containment,and coll...An Interval Type-2(IT-2)fuzzy controller design approach is proposed in this research to simultaneously achievemultiple control objectives inNonlinearMulti-Agent Systems(NMASs),including formation,containment,and collision avoidance.However,inherent nonlinearities and uncertainties present in practical control systems contribute to the challenge of achieving precise control performance.Based on the IT-2 Takagi-Sugeno Fuzzy Model(T-SFM),the fuzzy control approach can offer a more effective solution for NMASs facing uncertainties.Unlike existing control methods for NMASs,the Formation and Containment(F-and-C)control problem with collision avoidance capability under uncertainties based on the IT-2 T-SFM is discussed for the first time.Moreover,an IT-2 fuzzy tracking control approach is proposed to solve the formation task for leaders in NMASs without requiring communication.This control scheme makes the design process of the IT-2 fuzzy Formation Controller(FC)more straightforward and effective.According to the communication interaction protocol,the IT-2 Containment Controller(CC)design approach is proposed for followers to ensure convergence into the region defined by the leaders.Leveraging the IT-2 T-SFM representation,the analysis methods developed for linear Multi-Agent Systems(MASs)are successfully extended to perform containment analysis without requiring the additional assumptions imposed in existing research.Notably,the IT-2 fuzzy tracking controller can also be applied in collision avoidance situations to track the desired trajectories calculated by the avoidance algorithm under the Artificial Potential Field(APF).Benefiting from the combination of vortex and source APFs,the leaders can properly adjust the system dynamics to prevent potential collision risk.Integrating the fuzzy theory and APFs avoidance algorithm,an IT-2 fuzzy controller design approach is proposed to achieve the F-and-C purposewhile ensuring collision avoidance capability.Finally,amulti-ship simulation is conducted to validate the feasibility and effectiveness of the designed IT-2 fuzzy controller.展开更多
As a new oral hypoglycemic agent, saxagliptin belongs to the class of dipeptidyl peptidase-4 （DPP-4） inhibitors. However, it remains inconclusive whether saxagliptin is associated with increased risk of adverse even...As a new oral hypoglycemic agent, saxagliptin belongs to the class of dipeptidyl peptidase-4 （DPP-4） inhibitors. However, it remains inconclusive whether saxagliptin is associated with increased risk of adverse events （AE） and efficacy as add-on treatment. Therefore, we performed an up-to-date meta-analysis to compare the efficacy and safety of saxagliptin with placebo and other oral hypoglycemic agents in adult patients with type 2 diabetes mellitus （T2DM）. Randomized clinical trials （RCTs） comparing saxagliptin with comparators were retrieved by selecting articles from Pubmed, Embase, Cochrane Library and Clinical Trials Registry Platform up to Oct. 2013. Weighted mean difference （WMD） was used to analyze the effect of hypoglycemic agents on HbAlc, weight and fasting plasma glucose （FPG）. While the patients who achieved HbAlc〈7.0% and had AE were analyzed as relative risks （RR）. A total of 18 articles from 16 RCTs and one clinic trial from the WHO International Clinical Trials Registry Platform met the included criterion. Clinically significant decrease from baseline HbAlc compared with placebo was certified for 2.5 mg/day saxagliptin （WMD = -0.45%, 95% CI, -0.48% to -0.42%） and 5 mg/d saxagliptin （WMD = -0.52%, 95% CI, -0.60% to -0.44%）. Saxagliptin as add-on therapy was superior to thiazolidinediones, up-titrated glyburide, up-titrated metformin or metformin monotherapy in achieving HbA1c〈7.0%. Treatment with saxagliptin had negligible effect on weight, and it was considered weight neutral. Saxagliptin treatment did not increase the risk of hypoglycemia （RR = 1.28, 95% CI 0.72 to 2.27, P = 0.40） and serious adverse experiences （RR = 1.25, 95% CI 0.94 to 1.66, P = 0.13）. No statistically significant differences were observed between saxagliptin and comparators in terms of the risk of infections. The present study showed that saxagliptin was effective in improving glycaemic control in T2DM with a low risk of hypoglycaemia and incidence of infections in either monotherapy or add-on treatment. This founding should be further certified by large-sample size and good-designed RCT.展开更多
[ Objective ] The paper was to study the effect of controlled atmosphere stress of carbon dioxide （ CO2 ） on Superoxide dismutase （SOD） activity of in- sect, so as to analyze the biological mechanism of the action...[ Objective ] The paper was to study the effect of controlled atmosphere stress of carbon dioxide （ CO2 ） on Superoxide dismutase （SOD） activity of in- sect, so as to analyze the biological mechanism of the action of controlled atmosphere stress on insect. [ Method] Using nitrotetrazolium blue chloride （NBT） light reduction method, SOD activity of drugstore beetle （ Stegobium panlceum ）, cigarette beetle （ Lasioderma serricorne） and coffee bean beetle （Araecerus fasciculatus） was studied, and the stress response of the enzyme under controlled atmosphere stress of CO2 was analyzed. [ Result ] SOD activity of drugstore beetle, cigarette beetle and coffee bean beetle exposed to controlled atmosphere stress of high concentrations of CO2 for 3 and 6 h had certain degree of increase, and the activity sig- nificantly increased from 2.011±0.954,2.664±0.218 and 1.458±0.718 to 3. 135±0. 105,3.050±0.673 and 2.975±0.229 U/（per pest · 30 min） after treat- ment for 6 h. [ Conclusion] Controlled atmosphere stress of high concentrations of CO2 had certain activation effect on SOD activity of storage pest in Chinese me- dicinal material within the context of sub-lethal events. The results could enrich the insecticidal mechanism of controlled atmosphere and theoretical system of analy- sis on insect resistance to controlled atmosphere.展开更多
文摘BACKGROUND Inadequate glycemic control in patients with type 2 diabetes(T2DM)is a major public health problem and a significant risk factor for the progression of diabetic complications.AIM To evaluate the effects of intensive and supportive glycemic management strategies over a 12-month period in individuals with T2DM with glycated hemoglobin(HbA1c)≥10%and varying backgrounds of glycemic control.METHODS This prospective observational study investigated glycemic control in patients with poorly controlled T2DM over 12 months.Participants were categorized into four groups based on prior glycemic history:Newly diagnosed,previously well controlled with recent worsening,previously off-target but now worsening,and HbA1c consistently above 10%.HbA1c levels were monitored quarterly,and patients received medical,educational,and dietary support as needed.The analysis focused on the success rates of good glycemic control and the associated factors within each group.RESULTS The study showed significant improvements in HbA1c levels in all participants.The most significant improvement was observed in individuals newly diagnosed with diabetes:65%achieved an HbA1c target of≤7%.The results varied between participants with different glycemic control histories,followed by decreasing success rates:39%in participants with previously good glycemic control,21%in participants whose glycemic control had deteriorated compared to before,and only 10%in participants with persistently poor control,with mean HbA1c levels of 6.3%,7.7%,8.2%,and 9.7%,respectively.After one year,65.2%of the“newly diagnosed patients”,39.3%in the“previously controlled group”,21.9%in the“previously off-target but now worsened'”group and 10%in the“poorly controlled from the start”group had achieved HbA1c levels of 7 and below.CONCLUSION In poorly controlled diabetes,the rate at which treatment goals are achieved is associated with the glycemic background characteristics,emphasizing the need for tailored strategies.Therefore,different and comprehensive treatment approaches are needed for patients with persistent uncontrolled diabetes.
基金Ministry of Science and Higher Education of the Russian Federation,Grant/Award Number:FSNM-2024-0005Korea Institute of Energy Technology Evaluation and Planning,Grant/Award Number:20225B10300080Yayasan UTP,Grant/Award Number:015LC0-526。
文摘Carbon capture and storage(CCS)remains one of the most feasible techniques for the control of Greenhouse gas emission levels.However,there will always be risks attached to the subsurface injection of CO_(2).These could be in the form of leakages from the injection wellbore due to completion failure;escape of the injected CO_(2)to neighboring aquifers due to the heterogeneous or fractured nature of the storage site;or seepage at the surface due to inadequacy of the sealing cap rock.While all these may occur,the most cost-effective and timely way to reduce the risk of leakages is by plugging the pathways.This is done using either traditional Cementous materials or more augmented sealants like organic gels and resins.A lot of studies in the literature have described this collection of materials within the context of CO_(2)conformance control.So also,there are reviews on the classification and description of these chemicals.This review provides a more systemic evaluation of these classes of chemicals.This is by providing critical analyses of how external factors like CO_(2),pH,brine salinity and hardness,rock mineralogy,pressure,temperature,and injectivity could affect the performance of different sealants that can be utilized.Based on these assessments,best practices for the application of the sealants,both at the testing stage in the laboratory and the pilot stage and field deployment,are suggested.
基金supported by the National Natural Science Foundation of China(No.52474437).
文摘The quality of wrought magnesium(Mg)alloys is closely linked to the quality of the cast ingots.Conventionally casting(CC)Mg-2Y ingots exhibit relatively coarse grain sizes.When CC ingots undergo rolling processing(CC-10-R),the resulting Mg-2Y sheets retain coarse grain sizes(~11.87μm),while precipitating a small number of Mg_(24)Y_(5) nanoparticles(~0.26%),as well as forming a strong C-type texture(~10.91).The implementation of controlled diffusion solidification(CDS)effectively refines the grain size of Mg-2Y ingots and increases the content of Mg_(24)Y_(5) particles.When CDS is combined with rolling(CDS-10-R),the grain size is refined to~5.57μm,the precipitation of Mg_(24)Y_(5) nanoparticles is increased to~1.79%,and the C-type texture was weakened to~7.74.The CDS-10-R shows an increase in strength of~51.8% and an enhancement in plasticity of~32.6% compared to CC-10-R.The enhancement in strength is primarily due to fine-grain strengthening(~42.1% contributions)and precipitating strengthening(~39.6% contributions).The improvement in plasticity is attributed to the weakening of the{0001}basal texture,which facilitates the activation of<c+a>slips.Compared to other wrought Mg-Y alloys,Mg-2Y sheets produced by combining CDS with rolling possess exceptional strength-plasticity combinations.This finding presents a novel route to achieving high strength and plasticity in low-alloyed rare-earth Mg alloys.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM)is a chronic metabolic disease characterized by combinations of insulin resistance and insulin deficiency.Non-alcoholic fatty liver disease(NAFLD)is emerging as a public health problem worldwide and affects up to 70%of patients with T2DM.Although patients with T2DM have an increased risk of developing advanced liver disease compared to healthy individuals,varying prevalence rates of NAFLD among patients with T2DM,ranging from 34%to 94%,have been reported.AIM To determine prevalence and identify associated factors of NAFLD among Limbe patients with T2DM and evaluate correlation with glycemic control.METHODS A cross-sectional study was carried out from February to June 2024 among patients with T2DM.Gamma-glutamyl transferase(GGT)activity and serum triglycerides(TGs)were measured by spectrophotometry.NAFLD was diagnosed using the fatty liver index score.Data were analyzed using SPSS version 26.0 for Windows.Student’s t-test was used to compare the means of two groups.The χ^(2) test was applied to determine the association of NAFLD and T2DM.Logistic regression analysis was performed to identify predictors of NAFLD.P<0.05 was considered statistically significant.RESULTS Of the 150 patients with T2DM recruited for this study,63(58%)were females and the majority(84.7%)had good glycemic control(glycated hemoglobin<7%).Prevalence of NAFLD among patients with T2DM was 19%.Patients with NAFLD had significantly elevated levels of TGs,GGT,and increased body mass index and waist circumference compared to those without NAFLD.There was a significant association between NAFLD and glycemic control.Predictive factors of NAFLD among patients with T2DM were vegetable intake of less than three times per week[adjusted odds ratio(aOR):0.131,95%CI:0.020-0.839;P=0.032],central obesity(aOR:0.167,95%CI:0.037-0.748;P=0.019),and metformin treatment for T2DM(aOR:0.167,95%CI:0.037-0.718;P<0.001).CONCLUSION The prevalence of NAFLD in patients with T2DM in Limbe Regional Hospital was 19%.Age,central obesity,metformin use,and infrequent consumption of vegetables were important predictors of NAFLD.
基金supported by Open Research Fund of Songshan Lake Materials Laboratory(No.2023SLABFK08)Key Research and Development Program of Hunan Province(No.2022GK2007)+2 种基金Key Project from Department Education of Hunan Province(No.22A0123)National Natural Science Foundation of China(No.11974301)Graduate Student Research Innovation of Xi-angtan University(No.XDCX2024Y198).
文摘Two-dimensional(2D)noble transition-metal dichalcogenide materials(NTMDs)have garnered remarkable attention due to their intriguing properties exhibiting potential applications in nanoelectronics,optoelectronics,and photonics.The electronic structure and physical properties of 2D NTMDs can be effectively modulated using alloy engineering strategy.Nevertheless,the precise growth of wafer-scale 2D NTMDs alloys remains a significant challenge.In this work,we have achieved the controllable preparation of wafer-scale(2-inch)2D PdS_(2x)Se_(2(1-x)) nanofilms(NFs)with fully tunable compositions on various substrates using pre-deposited Pd NFs assisted chemical vapor deposition technique.High-performance photodetectors based on the PdS_(2x)Se_(2(1-x))NFs were fabricated,which exhibit broadband photodetection performance from visible to near-infrared(NIR)wavelength range at room temperature.Significantly,the PdS0.9Se1.1-based photodetectors display a responsivity up to 0.192 A W^(-1) and a large specific detectivity of 5.5×1011 Jones for 850 nm light,enabling an excellent high-resolution NIR single-pixel imaging(SPI)without an additional filtering circuit.Our work paves a new route for the controlled synthesis of wafer-scale and high-quality 2D NTMDs alloy NFs,which is essential for designing advanced optoelectronic devices.
基金financially supported by the National Natural Science Foundation of China (No.52071146)Guangdong Provincial Natural Science Foundation (No.2023A1515010989)the Science and Technology Projects in Guangzhou (No.202201000008)。
文摘Water purification systems based on transition metal dichalcogenides face significant challenges,including lack of reactivity under dark conditions,scarcity of catalytically active sites,and rapid recombination of photogenerated charge carriers.Simultaneously increasing the number of active sites and improving charge separation efficiency has proven difficult.In this study,we present a novel approach combining molybdenum(Mo) monoatomic doping and size engineering to produce a series of Mo-ReS_(2) quantum dots(MR QDs) with controllable dimensions.High-resolution structural characterization,first-principle calculations,and piezo force microscopy reveal that Mo monoatomic doping enhances the lattice asymmetry,thereby improving the piezoelectric properties.The resulting piezoelectric polarization and the generated built-in electric field significantly improve charge separation efficiency,leading to optimized photocatalytic performance.Additionally,the doping strategy increases the number of active sites and improves the adsorption of intermediate radicals,substantially boosting photo-sterilization efficiency.Our results demonstrate the elimination of 99.95% of Escherichia coli and 100.00% of Staphylococcus aureus within 30 min.Furthermore,we developed a self-purification system simulating water drainage,utilizing low-frequency water streams to trigger the piezoelectric behavior of MR QDs,achieving piezoelectric synergistic photodegradation.This innovative approach provides a more environmentally friendly and economical method for water self-purification,paving the way for advanced water treatment technologies.
基金Supported by the IMU University Internal Grant,No.CSc-Sem6(12)2022.
文摘BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.
基金Supported by Natural Science Foundation of Sichuan Province,No.2023NSFSC0682.
文摘BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have suggested that the coexistence of these conditions may exacerbate liver inflammation and fibrosis;however,the impacts of dynamic changes in glucose metabolism indicators,hypoglycemic medication regimens,and glycemic control status on liver fibrosis require further elucidation.AIM To explore the effect of glycemic control on hepatic fibrosis in patients with CHB and T2DM.METHODS A total of 420 patients with CHB and T2DM admitted to the Public Health Clinical Center of Chengdu between October 2018 and January 2022 were retrospectively included and classified according to liver stiffness measurement and glycemic control for between-group comparisons.RESULTS Significant differences were observed in the alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase,AST/ALT ratio,total bilirubin,direct bilirubin,diabetes treatment program,and thrombin time values among the liver fibrosis groups(adjusted P<0.05).Significant differences in albumin and gamma-glutamyl transferase levels were observed among the groups categorized by glucose status at admission(adjusted P<0.05).A positive correlation between fasting plasma glucose(FPG)and liver stiffness measurement was found to be mediated by ALT and AST.Fibrinogen and the international normalized ratio were positively correlated with glycated hemoglobin A1c,while the fibrosis-4 score,ALT,AST/ALT ratio,type III procollagen N-terminal peptide,ferritin,and activated partial thromboplastin time were correlated with FPG at admission.Additionally,AST was positively correlated with FPG at discharge(P<0.05).CONCLUSION Specific glucose metabolic parameters,hypoglycemic agents,and glycemic control status markers are associated with hepatic fibrosis in patients with both CHB and T2DM.Close blood glucose monitoring,optimized use of hypoglycemic agents,and continuous maintenance of good glycemic control may slow the progression of liver fibrosis in patients with CHB and T2DM.
文摘BACKGROUND The global prevalence of diabetes among adults aged 29-79 years was found to be 10.5%.It is a global public health threat with a rising trend in morbidity and mortality.Poor glycemic control(GC)among patients with type 2 diabetes mellitus(T2DM)is a major determinant of diabetes-related complications.There are limited data on GC and associated factors among patients with T2DM in South West Region,Cameroon.AIM To assess GC and identify contributing factors among patients with T2DM in a regional hospital in South West Region,Cameroon.METHODS A cross-sectional study was conducted from February 2022 to July 2022 among 131 participants in Limbe Regional Hospital who were selected by convenience.Glycated hemoglobin(HbA1c)was measured by ion-exchange chromatography.Sociodemographic,clinical,and lifestyle data were collected,entered into Excel,and exported to Statistical Package for Social Sciences version 22 for analysis.A multivariate logistic regression analysis was conducted to assess the association between explanatory variables and GC.The level of significance was set at P<0.05.RESULTS The mean age was 56±5.1 years.Eighty-eight(67.2%)patients were female.The mean HbA1c was 8.8%±1.8%.Poor GC(HbA1c≥7%)was registered in 106(80.9%;95%confidence interval:73.1%-87.3%)participants.Lack of self-monitoring of blood glucose at home was associated with poor GC(adjusted odds ratio:3.858,95%confidence interval:1.262-11.800;P=0.018).CONCLUSION The majority of patients with T2DM had poor GC.Absence of self-monitoring of blood glucose at home was the main contributing factor for poor GC.
基金founded by the National Science and Technology Council of the Republic of China under contract NSTC113-2221-E-019-032.
文摘An Interval Type-2(IT-2)fuzzy controller design approach is proposed in this research to simultaneously achievemultiple control objectives inNonlinearMulti-Agent Systems(NMASs),including formation,containment,and collision avoidance.However,inherent nonlinearities and uncertainties present in practical control systems contribute to the challenge of achieving precise control performance.Based on the IT-2 Takagi-Sugeno Fuzzy Model(T-SFM),the fuzzy control approach can offer a more effective solution for NMASs facing uncertainties.Unlike existing control methods for NMASs,the Formation and Containment(F-and-C)control problem with collision avoidance capability under uncertainties based on the IT-2 T-SFM is discussed for the first time.Moreover,an IT-2 fuzzy tracking control approach is proposed to solve the formation task for leaders in NMASs without requiring communication.This control scheme makes the design process of the IT-2 fuzzy Formation Controller(FC)more straightforward and effective.According to the communication interaction protocol,the IT-2 Containment Controller(CC)design approach is proposed for followers to ensure convergence into the region defined by the leaders.Leveraging the IT-2 T-SFM representation,the analysis methods developed for linear Multi-Agent Systems(MASs)are successfully extended to perform containment analysis without requiring the additional assumptions imposed in existing research.Notably,the IT-2 fuzzy tracking controller can also be applied in collision avoidance situations to track the desired trajectories calculated by the avoidance algorithm under the Artificial Potential Field(APF).Benefiting from the combination of vortex and source APFs,the leaders can properly adjust the system dynamics to prevent potential collision risk.Integrating the fuzzy theory and APFs avoidance algorithm,an IT-2 fuzzy controller design approach is proposed to achieve the F-and-C purposewhile ensuring collision avoidance capability.Finally,amulti-ship simulation is conducted to validate the feasibility and effectiveness of the designed IT-2 fuzzy controller.
基金Xinjiang Medical University Scientific Research and Innovation Foundation(Grant No.XYDCX2014117)
文摘As a new oral hypoglycemic agent, saxagliptin belongs to the class of dipeptidyl peptidase-4 （DPP-4） inhibitors. However, it remains inconclusive whether saxagliptin is associated with increased risk of adverse events （AE） and efficacy as add-on treatment. Therefore, we performed an up-to-date meta-analysis to compare the efficacy and safety of saxagliptin with placebo and other oral hypoglycemic agents in adult patients with type 2 diabetes mellitus （T2DM）. Randomized clinical trials （RCTs） comparing saxagliptin with comparators were retrieved by selecting articles from Pubmed, Embase, Cochrane Library and Clinical Trials Registry Platform up to Oct. 2013. Weighted mean difference （WMD） was used to analyze the effect of hypoglycemic agents on HbAlc, weight and fasting plasma glucose （FPG）. While the patients who achieved HbAlc〈7.0% and had AE were analyzed as relative risks （RR）. A total of 18 articles from 16 RCTs and one clinic trial from the WHO International Clinical Trials Registry Platform met the included criterion. Clinically significant decrease from baseline HbAlc compared with placebo was certified for 2.5 mg/day saxagliptin （WMD = -0.45%, 95% CI, -0.48% to -0.42%） and 5 mg/d saxagliptin （WMD = -0.52%, 95% CI, -0.60% to -0.44%）. Saxagliptin as add-on therapy was superior to thiazolidinediones, up-titrated glyburide, up-titrated metformin or metformin monotherapy in achieving HbA1c〈7.0%. Treatment with saxagliptin had negligible effect on weight, and it was considered weight neutral. Saxagliptin treatment did not increase the risk of hypoglycemia （RR = 1.28, 95% CI 0.72 to 2.27, P = 0.40） and serious adverse experiences （RR = 1.25, 95% CI 0.94 to 1.66, P = 0.13）. No statistically significant differences were observed between saxagliptin and comparators in terms of the risk of infections. The present study showed that saxagliptin was effective in improving glycaemic control in T2DM with a low risk of hypoglycaemia and incidence of infections in either monotherapy or add-on treatment. This founding should be further certified by large-sample size and good-designed RCT.
基金Supported by Project of Guizhou Provincial Modernization of Chinese Medicine Material Project(QKHYZ[2011]5049Organization Department of CPCGuizhou Committee(TZJF-2009-02)Promotion Project of Key Scientific and Technological Achievements of Guiyang City([2010]1-T-4)~~
文摘[ Objective ] The paper was to study the effect of controlled atmosphere stress of carbon dioxide （ CO2 ） on Superoxide dismutase （SOD） activity of in- sect, so as to analyze the biological mechanism of the action of controlled atmosphere stress on insect. [ Method] Using nitrotetrazolium blue chloride （NBT） light reduction method, SOD activity of drugstore beetle （ Stegobium panlceum ）, cigarette beetle （ Lasioderma serricorne） and coffee bean beetle （Araecerus fasciculatus） was studied, and the stress response of the enzyme under controlled atmosphere stress of CO2 was analyzed. [ Result ] SOD activity of drugstore beetle, cigarette beetle and coffee bean beetle exposed to controlled atmosphere stress of high concentrations of CO2 for 3 and 6 h had certain degree of increase, and the activity sig- nificantly increased from 2.011±0.954,2.664±0.218 and 1.458±0.718 to 3. 135±0. 105,3.050±0.673 and 2.975±0.229 U/（per pest · 30 min） after treat- ment for 6 h. [ Conclusion] Controlled atmosphere stress of high concentrations of CO2 had certain activation effect on SOD activity of storage pest in Chinese me- dicinal material within the context of sub-lethal events. The results could enrich the insecticidal mechanism of controlled atmosphere and theoretical system of analy- sis on insect resistance to controlled atmosphere.
