Given the considerable global interest in the preparation of Ti and TiC,a novel reduction method for TiO_(2) in a CH_(4)-H_(2) atmosphere was proposed,and the reduction thermodynamic behavior,phase equilibrium,and ene...Given the considerable global interest in the preparation of Ti and TiC,a novel reduction method for TiO_(2) in a CH_(4)-H_(2) atmosphere was proposed,and the reduction thermodynamic behavior,phase equilibrium,and energy consumption of TiO_(2) during its reaction with a CH_(4)-H_(2) gas mixture were investigated.The results indicate that the reaction proceeds via a stepwise reduction pathway from TiO_(2) to Ti(C,O),with the Magnéli phase(TinO_(2n-1))and Ti_(3)O_(5) serving as intermediate phases.Notably,the reduction of TiO_(2) by H_(2) is more challenging than that by CH_(4),which may be attributed to the inhibitory effect of H_(2) on the surface carbon precipitation.For the complete carbonization of 1 mol TiO_(2),the total energy required at 1000,1100,and 1200℃is 1159,925,and 977 kJ/mol,respectively,which may be related to the shift of gas-phase equilibrium and the increase in side reactions at high temperatures.展开更多
China’s booming performing arts sector is reshaping cultural experiences and creating vibrant new spaces for leisure,tourism and creativity The year 2025 marked a period of vigorous expansion for China’s performing ...China’s booming performing arts sector is reshaping cultural experiences and creating vibrant new spaces for leisure,tourism and creativity The year 2025 marked a period of vigorous expansion for China’s performing arts sector,as the industry evolved from a traditional entertainment field into a comprehensive engine of cultural consumption.展开更多
Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesi...Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesicles modulate target gene expression and impact disease-associated pathways.Chronic alcohol consumption leads to neuroinflammation,brain damage,and impaired cognition.Evidence indicates that females are more vulnerable to alcohol-induced damage than males.While mesenchymal stem cell-derived extracellular vesicles have been studied in various neuroinflammatory conditions,their potential to counteract alcohol-induced brain damage remains unclear.In this study,we investigated whether repeated intravenous administration of mesenchymal stem cell-derived extracellular vesicles could ameliorate neuroinflammation and behavioral impairment induced by chronic alcohol consumption in female mice.Mesenchymal stem cell-derived extracellular vesicles diminished the increased binding of a micro-positron emission tomography tracer(^(18)F-FDG)when analyzing whole-brain 3D images and brain coronal sections of ethanol-treated mice.Mesenchymal stem cell-derived extracellular vesicle administration protected against ethanol-induced proinflammatory gene upregulation,cognitive dysfunction,and the conditioned rewarding effects of cocaine.MiRNA sequencing data from mesenchymal stem cell-derived extracellular vesicles revealed the elevated expression of extracellular vesicle-derived miR-483-5p and miR-140-3p in the brains of ethanol-treated female mice following mesenchymal stem cell-derived extracellular vesicle administration.In addition,mesenchymal stem cell-derived extracellular vesicles modulated the expression of pro-inflammatory-related miRNA target genes(e.g.,Socs3,Tnf,Mtor,and Atf6)in the brains of ethanol-treated female mice.These results suggest that mesenchymal stem cell-derived extracellular vesicles could function as a neuroprotective therapy to ameliorate the neuroinflammation,cognitive dysfunction,and conditioned rewarding effects of cocaine associated with chronic alcohol consumption.展开更多
The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged a...The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.展开更多
Objective To examine national trends in antibiotic consumption and antimicrobial resistance(AMR)among six WHO-priority bacterial pathogens in China from 2016 to 2022.Methods This ecological study analyzed national and...Objective To examine national trends in antibiotic consumption and antimicrobial resistance(AMR)among six WHO-priority bacterial pathogens in China from 2016 to 2022.Methods This ecological study analyzed national and provincial data from the China Antibacterial Resistance Surveillance System(CARSS)and the National Hospital Information Network.Beta regression models assessed temporal trends,and hierarchical models evaluated associations between antibiotic use and resistance.Results From 2016 to 2022,carbapenem resistance in Acinetobacter baumannii and Pseudomonas aeruginosa,and vancomycin resistance in Enterococcus faecium and E.faecalis significantly declined(β<0,P<0.010),while carbapenem-resistant Klebsiella pneumoniae increased(β=0.081,P<0.001).Nationwide antibiotic consumption rose across 10 major classes.Positive associations were found between carbapenem use and resistance in A.baumannii(z=2.719,P=0.007)and P.aeruginosa(z=3.241,P=0.001),and between vancomycin use and resistance in E.faecium(z=4.510,P=0.001)and E.faecalis(z=3.210,P=0.001).Conclusion Carbapenem-resistant K.pneumoniae increased significantly in China,while other resistant pathogens declined.Resistance patterns were linked to the use of multiple antibiotic classes,underscoring the need for strengthened antibiotic stewardship and surveillance.展开更多
Raw water temperature can fluctuate significantly throughout the year,with peaks above 30℃in summer and below 15℃in winter.Traditional desalination systems(e.g.,reverse osmosis,RO)face challenges under these varying...Raw water temperature can fluctuate significantly throughout the year,with peaks above 30℃in summer and below 15℃in winter.Traditional desalination systems(e.g.,reverse osmosis,RO)face challenges under these varying temperature conditions.Specifically,while the RO system performs well under high temperatures,its efficiency decreases sharply at lower temperatures.Membrane capacitive deionization(MCDI)is considered as an emergent and promising technology for brackish water desalination.While plenty of studies have been devoted to investigating the impacts of raw water properties(e.g.,salinity,coexisting ions,and natural organic matter)on MCDI performance,the role of water temperatures during the desalination remains under-explored.In this study,we first tested and determined the optimized MCDI operation parameters,such as the cell voltage and feedwater flow rate.Key findings showed that MCDI’s salt removal efficiency remains unaffected by feedwater temperature fluctuations.However,as feedwater temperature increases from 15℃to 40℃,the specific energy consumption for desalination slightly rises by 16.3%,and current efficiency drops by 14.1%.Compared to RO systems,the resilience of MCDI to temperature fluctuations makes it a preferable choice for brackish water treatment in areas with a large temperature difference.展开更多
AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This o...AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This observational clinical study utilized a cross-sectional and prospective design,focusing on chronic alcohol consumers alongside a non-consuming control group.OCT/OCTA imaging parameters including central retinal subfield thickness(CST),subfoveal choroidal thickness(SCT),foveal avascular zone(FAZ)and vessel density(VD)in the superficial and deep capillary plexuses in both the macular and optic disc(OD)regions were recorded.Data were analyzed using SPSS 15.0;descriptive statistics were reported,group comparisons were performed with Chisquare,Kruskal–Wallis,and Bonferroni-corrected Mann–Whitney U tests,and relationships were assessed using Spearman correlation,with statistical significance set at P<0.05.RESULTS:A total of 160 eyes of 160 participants(110 females and 50 males with mean age 38.7±9.9y)who don’t smoke were divided into five groups:never,occasional,monthly,weekly and daily drinkers.The mean CST was 216.6±14.2μm and the mean SCT was 358.9±84.5μm.There was no statistically significantly difference in CST and SCT among the groups(P=0.890,0.799).Foveal superficial capillary plexuses(SCPs)VD was higher in monthly drinkers compared to occasional drinkers(P=0.015).Foveal VD in deep capillary plexus was also higher in monthly drinkers than in never and occasional drinkers(P=0.004,0.006).Nasal SCPs VD at the OD was higher in monthly drinkers compared to never drinkers(P=0.005).There was no significant difference FAZ area among the groups(P=0.071).CONCLUSION:Both superficial and deep microvascular structures in the inferior quadrants of macula are positively correlated with frequency of alcohol use.Also in our study results is that the monthly drinker group has uniquely higher VDs in both macula and OD.This leads us to consider moderate alcohol consumption may also have protective effects on retinal microcirculation.展开更多
Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forc...Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forced air cooling,often struggle to transfer heat efficiently.In contrast,thermoelectric coolers(TECs)provide an innovative active cooling solution to meet growing thermal management demands.In this research,a refrigerant based on mono ethylene glycol and distilled water was used instead of using gases,in addition to using thermoelectric cooling units instead of using a compressor in traditional refrigeration systems.This study evaluates the performance of a Peltierbased thermalmanagement systemby analyzing the effects of using two,three,and four Peltiermodules on cooling rates,power consumption,temperature reduction,and system efficiency.Experimental results indicate that increasing the number of Peltier modules significantly enhances cooling performance.The four-module system achieved an optimal balance between cooling speed and energy efficiency,reducing the temperature of a liquidmixture(30% mono ethylene glycol+70% distilled water plus laser dyes)to 8℃ in just 17 min.It demonstrated a cooling rate of 0.794℃/min and a high coefficient of performance(COP)of 1.2 while consuming less energy than the two-and three-module systems.Furthermore,the study revealed that increasing the number of modules led to faster air cooling and improved temperature reduction.These findings highlight the importance of selecting the optimal number of Peltier modules to enhance efficiency and cooling speed whileminimizing energy consumption.This makes TEC technology a sustainable and effective solution for applications requiring rapid and reliable thermal management.展开更多
Shenzhen,a major city in southern China,has experienced rapid advancements in Unmanned Aerial Vehicle(UAV)technology,resulting in extensive logistics networks with thousands of daily flights.However,frequent disruptio...Shenzhen,a major city in southern China,has experienced rapid advancements in Unmanned Aerial Vehicle(UAV)technology,resulting in extensive logistics networks with thousands of daily flights.However,frequent disruptions due to its subtropical monsoon climate,including typhoons and gusty winds,present ongoing challenges.Despite the growing focus on operational costs and third-party risks,research on low-altitude urban wind fields remains scarce.This study addresses this gap by integrating wind field analysis into UAV path planning,introducing key innovations to the classical model.First,UAV wind resistance and turbulence constraints are analyzed,mapping high-wind-speed and turbulence-prone zones in the airspace.Second,wind dynamics are incorporated into path planning by considering airspeed and groundspeed variation,optimizing waypoint selection and flight speed adjustments to improve overall energy efficiency.Additionally,a wind-aware Theta*algorithm is proposed,leveraging wind vectors to expedite search process,while Computational Fluid Dynamics(CFD)techniques are employed to calculate wind fields.A case study of Shenzhen,examining wind patterns over the past decade,demonstrates a 6.23%improvement in groundspeed and a 7.69%reduction in energy consumption compared to wind-agnostic models.This framework advances UAV logistics by enhancing route safety and energy efficiency,contributing to more cost-effective operations.展开更多
The historical information of loadings on substation helps in evaluation of size of photovoltaic(PV)generation and energy storages for peak shaving and distribution system upgrade deferral. A method, based on consumpt...The historical information of loadings on substation helps in evaluation of size of photovoltaic(PV)generation and energy storages for peak shaving and distribution system upgrade deferral. A method, based on consumption data, is proposed to separate the unusual consumption and to form the clusters of similar regular consumption. The method does optimal partition of the load pattern data into core points and border points, high and less dense regions, respectively. The local outlier factor, which does not require fixed probability distribution of data and statistical measures, ranks the unusual consumptions on only the border points, which are a few percent of the complete data. The suggested method finds the optimal or close to optimal number of clusters of similar shape of load patterns to detect regular peak and valley load demands on different days. Furthermore,identification and characterization of features pertaining to unusual consumptions in load pattern data have been done on border points only. The effectiveness of the proposed method and characterization is tested on two practical distribution systems.展开更多
The rise of antimicrobial resistance,particularly in healthcare-associated infections caused by carbapenem-resistant Gram-negative pathogens,poses a critical global challenge.The extensive use of carbapenems has exace...The rise of antimicrobial resistance,particularly in healthcare-associated infections caused by carbapenem-resistant Gram-negative pathogens,poses a critical global challenge.The extensive use of carbapenems has exacerbated this issue by increasing selective pressure within bacterial populations.This study aimed to investigate the association between carbapenem consumption and resistance rates in four priority Gram-negative bacteria:Escherichia coli(EC),Klebsiella pneumoniae(KP),Acinetobacter baumannii(AB),and Pseudomonas aeruginosa(PA).Retrospective data were collected from the First Affiliated Hospital of Zhengzhou University,covering the period from January 2010 to December 2022.Trends in carbapenem consumption and resistance were analyzed using the Mann-Kendall test to assess statistical significance and the Sen’s slope(SS)estimator to determine the magnitude of change.Correlations between carbapenem use and bacterial resistance rates were evaluated via Spearman correlation analysis.Over the study period,the consumption of meropenem,imipenem,biapenem,and total carbapenems exhibited a significant upward trend(|Z|>1.96,SS>0).Correspondingly,the resistance rates of EC and KP to meropenem and imipenem also increased significantly(|Z|>1.96,SS>0).A strong positive correlation was observed between the resistance rate of EC to meropenem and the defined daily doses(DDDs)of meropenem(r=0.732,P<0.05)and between EC resistance to imipenem and its DDDs(r=0.49,P<0.05).Similar significant correlations were identified for KP.However,no significant associations were found between carbapenem resistance in AB or PA and carbapenem consumption.These findings underscored the strong correlation between carbapenem use and the resistance rates of EC and KP,highlighting the urgent need for stringent control and stewardship of carbapenem use in clinical settings to mitigate or delay the development of bacterial drug resistance.展开更多
Phase change absorbents based on amine chemical absorption for CO_(2)capture exhibit energy-saving potential,but generally suffer from difficulties in CO_(2)regeneration.Alcohol,characterized as a protic reagent with ...Phase change absorbents based on amine chemical absorption for CO_(2)capture exhibit energy-saving potential,but generally suffer from difficulties in CO_(2)regeneration.Alcohol,characterized as a protic reagent with a low dielectric constant,can provide free protons to the rich phase of the absorbent,thereby facilitating CO_(2)regeneration.In this investigation,N-aminoethylpiperazine(AEP)/sulfolane/H_(2)O was employed as the liquid-liquid phase change absorbent,with alcohol serving as the regulator.First,appropriate ion pair models were constructed to simulate the solvent effect of the CO_(2)products in different alcohol solutions.The results demonstrated that these ion pair products reached the maximum solvation-free energy(△E_(solvation))in the rich phase containing ethanol(EtOH).Desorption experiment results validated that the inclusion of EtOH led to a maximum regeneration rate of 0.00763 mol/min,thus confirming EtOH’s suitability as the preferred regulator.Quantum chemical calculations and^(13)C NMR characterization were performed,revealing that the addition of EtOH resulted in the partial conversion of AEP-carbamate(AEPCOO−)into a new product known as ethyl carbonate(C_(2)H_(5)OCOO−),which enhanced the regeneration reactivity.In addition,the decomposition paths of different CO_(2)products were simulated visually,and every reaction’s activation energy(△E_(act))was calculated.Remarkably,the△E_(act)for the decomposition of C_(2)H_(5)OCOO−(9.465 kJ/mol)was lower than that of the AEPCOO−(26.163 kJ/mol),implying that CO_(2)was more likely to be released.Finally,the regeneration energy consumption of the alcohol-regulated absorbentwas estimated to be only 1.92 GJ/ton CO_(2),which had excellent energy-saving potential.展开更多
Molten salt gasification is a promising technology for biomass conversion due to its advantages of superior heat transfer and the ability of utilizing solar energy to reduce carbon emission.In this study,the character...Molten salt gasification is a promising technology for biomass conversion due to its advantages of superior heat transfer and the ability of utilizing solar energy to reduce carbon emission.In this study,the characteristics of corncob CO_(2)-gasification in molten salt environments is thoroughly investigated,and the approach of introducing Fe_(2)O_(3) as catalyst to enhance the syngas yield is proposed.The results showed that the molten salts significantly promoted the conversion of corncob into gaseous products with very low tar and char yield.Compared to O_(2) and H_(2)O atmospheres,utilizing CO_(2) as gasifying agent enhanced the yield of gaseous products during the corncob gasification,especially the yields of CO and H_(2).The introduction of Fe_(2)O_(3) as a catalyst could further increase the yield of gaseous products and the cold gas efficiency(CGE),and the yield of syngas was increased into 2258.3 ml·g^(−1) with a high CGE of 105.8%in 900℃.The findings evidenced that CO_(2) gasification in the molten salt environment with Fe_(2)O_(3) addition can promote the cracking of tar,increasing the syngas yield significantly.Moreover,the energy required to drive the gasification process was calculated,and the total energy consumption was calculated as 16.83 GJ·t^(−1).The study opened up a new solution for the biomass gasification,exhibiting a great potential in distributed energy or chemical systems.展开更多
The multiple nuclides identification algorithm with low consumption and strong robustness is crucial for rapid radioactive source searching.This study investigates the design of a low-consumption multiple nuclides ide...The multiple nuclides identification algorithm with low consumption and strong robustness is crucial for rapid radioactive source searching.This study investigates the design of a low-consumption multiple nuclides identification algorithm for portable gamma spectrometers.First,the gamma spectra of 12 target nuclides(including the background case)were measured to create training datasets.The characteristic energies,obtained through energy calibration and full-energy peak addresses,are utilized as input features for a neural network.A large number of single-and multiple-nuclide training datasets are generated using random combinations and small-range drifting.Subsequently,a multi-label classification neural network based on a binary cross-entropy loss function is applied to export the existence probability of certain nuclides.The designed algorithm effectively reduces the computation time and storage space required by the neural network and has been successfully implemented in a portable gamma spectrometer with a running time of t_(r)<2 s.Results show that,in both validation and actual tests,the identification accuracy of the designed algorithm reaches 94.8%,for gamma spectra with a dose rate of d≈0.5μSv∕h and a measurement time t_(m)=60 s.This improves the ability to perform rapid on-site nuclide identification at important sites.展开更多
As the power system transitions to a new green and low-carbon paradigm,the penetration of renewable energy in China’s power system is gradually increasing.However,the variability and uncertainty of renewable energy o...As the power system transitions to a new green and low-carbon paradigm,the penetration of renewable energy in China’s power system is gradually increasing.However,the variability and uncertainty of renewable energy output limit its profitability in the electricity market and hinder its market-based integration.This paper first constructs a wind-solar-thermalmulti-energy complementary system,analyzes its external game relationships,and develops a bi-level market optimization model.Then,it considers the contribution levels of internal participants to establish a comprehensive internal distribution evaluation index system.Finally,simulation studies using the IEEE 30-bus system demonstrate that the multi-energy complementary system stabilizes nodal outputs,enhances the profitability of market participants,and promotes the market-based integration of renewable energy.展开更多
1.Introduction The rapid expansion of satellite constellations in recent years has resulted in the generation of massive amounts of data.This surge in data,coupled with diverse application scenarios,underscores the es...1.Introduction The rapid expansion of satellite constellations in recent years has resulted in the generation of massive amounts of data.This surge in data,coupled with diverse application scenarios,underscores the escalating demand for high-performance computing over space.Computing over space entails the deployment of computational resources on platforms such as satellites to process large-scale data under constraints such as high radiation exposure,restricted power consumption,and minimized weight.展开更多
Transitioning real estate development toward low-carbon operations is a critical strategy for China to achieve its carbon peaking and neutrality targets.Accurately calculating CO_(2) emissions from real estate develop...Transitioning real estate development toward low-carbon operations is a critical strategy for China to achieve its carbon peaking and neutrality targets.Accurately calculating CO_(2) emissions from real estate development is essential for effective implementation of low-carbon strategies.However,research that specifically addresses CO_(2) emissions from real estate development is lacking.To fill this knowledge gap,this study examined CO_(2) emissions from China's real estate development between 2000 and 2020,presenting a comprehensive analysis of the production and consumption aspects of emissions,and inter-provincial transfers of emissions driven by the sector.Our findings reveal a significant increase in embodied CO_(2) emissions fromChina's real estate development,escalating from 145.5Mt in 2000 to 477.3Mt in 2020.The proportion of emissions attributable to real estate development among China's total CO_(2) emissions ranged from5%to 6%between 2000 and 2020,underscoring the sector's non-negligible impact on the country's overall CO_(2) emissions.Our analysis demonstrated that building material production,especially steel and cement,contributed significantly to the sector's emissions,underscoring the need for decarbonization and the adoption of green building materials.Additionally,a marginal increase in CO_(2) emissions per constructed area requires enhanced sustainable construction practices.Furthermore,our study revealed that the ongoing rise in inter-provincial CO_(2) emissions transfer due to real estate development intensifies carbon inequality across provinces.These findings are instrumental for policymakers and stakeholders to develop targeted interventions to mitigate CO_(2) emissions and promote sustainable growth in China's real estate sector.展开更多
The rapid evolution of unmanned aerial vehicle(UAV)technology and autonomous capabilities has positioned UAV as promising last-mile delivery means.Vehicle and onboard UAV collaborative delivery is introduced as a nove...The rapid evolution of unmanned aerial vehicle(UAV)technology and autonomous capabilities has positioned UAV as promising last-mile delivery means.Vehicle and onboard UAV collaborative delivery is introduced as a novel delivery mode.Spatiotemporal collaboration,along with energy consumption with payload and wind conditions play important roles in delivery route planning.This paper introduces the traveling salesman problem with time window and onboard UAV(TSPTWOUAV)and emphasizes the consideration of real-world scenarios,focusing on time collaboration and energy consumption with wind and payload.To address this,a mixed integer linear programming(MILP)model is formulated to minimize the energy consumption costs of vehicle and UAV.Furthermore,an adaptive large neighborhood search(ALNS)algorithm is applied to identify high-quality solutions efficiently.The effectiveness of the proposed model and algorithm is validated through numerical tests on real geographic instances and sensitivity analysis of key parameters is conducted.展开更多
Objective:Osteoporosis is a systemic metabolic disease characterized by decreased bone mass,deterioration of bone microstructure,and increased fracture risk.Its occurrence is closely related to sex,age,and lifestyle f...Objective:Osteoporosis is a systemic metabolic disease characterized by decreased bone mass,deterioration of bone microstructure,and increased fracture risk.Its occurrence is closely related to sex,age,and lifestyle factors.Environmental exposure to heavy metals and metalloids may also influence its development,although existing findings remain inconsistent.The sex differences in the association between mixed metal exposure and osteoporosis are still unclear.This study aims to investigate whether sex differences exist in the associations between cadmium(Cd),lead(Pb),mercury(Hg),selenium(Se),manganese(Mn),and their mixtures and osteoporosis among men aged≥50 years and postmenopausal women,and to analyze the potential moderating effect of dairy product consumption on these associations.Methods:Data from the National Health and Nutrition Examination Survey(NHANES)2013−2014 and 2017−2018 cycles were used.In men and women separately,generalized linear regression models(univariate regression analysis and multivariate logistic regression)were applied to examine the relationships between single-metal exposure and osteoporosis at the femoral neck and vertebrae.A weighted quantile sum(WQS)model was used to construct a weighted index of mixed metal exposure to quantify the joint effects of multiple metals.Bayesian kernel machine regression(BKMR)was used to systematically evaluate the associations between blood Cd,Pb,Hg,Se,Mn,and their mixtures and osteoporosis at different skeletal sites,capturing potential nonlinear relationships and interactions among metals.Participants were further stratified into high dairy consumption(≥7 times/week)and low dairy consumption(<7 times/week)groups to explore the potential moderating effect of dairy consumption on the association between Cd exposure and osteoporosis.Results:Multivariate logistic regression analysis showed that,in the fully adjusted model,Cd was positively associated with femoral neck osteoporosis in men aged≥50 years[odds ratio(OR)=8.563,95%confidence interval(CI)1.888 to 38.845,P<0.05],whereas Se was negatively associated with femoral neck osteoporosis(OR<0.001,95%CI 0 to 0.150,P<0.05).In postmenopausal women,Cd was positively associated with femoral neck osteoporosis risk(OR=2.148,95%CI 1.038 to 4.443,P<0.05),while Se was negatively associated with femoral neck osteoporosis risk(OR=0.027,95%CI 0.001 to 0.986,P<0.05).No significant association was observed between any metal and vertebral osteoporosis(all P>0.05).The WQS model indicated that mixed metal exposure was positively associated with vertebral osteoporosis in men(OR=1.452,95%CI 0.277 to 2.626,P<0.05),whereas no significant association was observed in women.BKMR analysis showed that mixed metal exposure was positively associated with osteoporosis risk at the femoral neck and vertebrae in men,with Cd contributing most to osteoporosis risk,while no association was observed between mixed metal exposure and osteoporosis risk in women.The positive association between mixed blood metal exposure and osteoporosis risk might be partially offset by Se.In stratified analysis,the association between Cd exposure and osteoporosis was stronger in the high dairy consumption group(OR=1.19,95%CI 0.51 to 2.78,P>0.05)than in the low dairy consumption group(OR=3.12,95%CI 1.84 to 5.30,P<0.05),suggesting that frequent dairy consumption may attenuate the positive association between Cd exposure and femoral neck osteoporosis in women.Conclusion:In men aged≥50 years,mixed metal exposure was positively associated with osteoporosis risk at different skeletal sites(femoral neck and vertebra),with Cd contributing most to the risk.In postmenopausal women,no association between mixed metal exposure and osteoporosis risk was observed,indicating clear sex differences.Selenium and dairy consumption may be potential protective factors for osteoporosis in women,whereas such protective effects were not observed in men.展开更多
Bathed in the golden light of September,Beijing’s Shougang Park hosted the 2025 China International Fair for Trade in Services(CIFTIS).At the heart of the event,a dynamic spirit of renewal was evident,as emerging pat...Bathed in the golden light of September,Beijing’s Shougang Park hosted the 2025 China International Fair for Trade in Services(CIFTIS).At the heart of the event,a dynamic spirit of renewal was evident,as emerging patterns in cultural,tourism,and sports consumption unfolded throughout the fair.From the creative integration of the centuries-old Peking Opera with innovative business models,to immersive sports experiences and the rollout of streamlined tax refund procedures for international visitors,the fair showcased a nuanced yet significant shift in consumption practices.展开更多
文摘Given the considerable global interest in the preparation of Ti and TiC,a novel reduction method for TiO_(2) in a CH_(4)-H_(2) atmosphere was proposed,and the reduction thermodynamic behavior,phase equilibrium,and energy consumption of TiO_(2) during its reaction with a CH_(4)-H_(2) gas mixture were investigated.The results indicate that the reaction proceeds via a stepwise reduction pathway from TiO_(2) to Ti(C,O),with the Magnéli phase(TinO_(2n-1))and Ti_(3)O_(5) serving as intermediate phases.Notably,the reduction of TiO_(2) by H_(2) is more challenging than that by CH_(4),which may be attributed to the inhibitory effect of H_(2) on the surface carbon precipitation.For the complete carbonization of 1 mol TiO_(2),the total energy required at 1000,1100,and 1200℃is 1159,925,and 977 kJ/mol,respectively,which may be related to the shift of gas-phase equilibrium and the increase in side reactions at high temperatures.
文摘China’s booming performing arts sector is reshaping cultural experiences and creating vibrant new spaces for leisure,tourism and creativity The year 2025 marked a period of vigorous expansion for China’s performing arts sector,as the industry evolved from a traditional entertainment field into a comprehensive engine of cultural consumption.
基金supported by the Spanish Ministry of Health‐Plan Nacional sobre Drogas(2023‐I024)the the Ministry of Science,Innovation and Universities/State ResearchAgency/10.13039/501100011033(PID2023-146865OB-I00)+2 种基金Generalitat Valenciana(CIAICO/2021/203)the Primary Addiction Care Research Network(RD21/0009/0005)FEDER Funds,GVA.
文摘Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesicles modulate target gene expression and impact disease-associated pathways.Chronic alcohol consumption leads to neuroinflammation,brain damage,and impaired cognition.Evidence indicates that females are more vulnerable to alcohol-induced damage than males.While mesenchymal stem cell-derived extracellular vesicles have been studied in various neuroinflammatory conditions,their potential to counteract alcohol-induced brain damage remains unclear.In this study,we investigated whether repeated intravenous administration of mesenchymal stem cell-derived extracellular vesicles could ameliorate neuroinflammation and behavioral impairment induced by chronic alcohol consumption in female mice.Mesenchymal stem cell-derived extracellular vesicles diminished the increased binding of a micro-positron emission tomography tracer(^(18)F-FDG)when analyzing whole-brain 3D images and brain coronal sections of ethanol-treated mice.Mesenchymal stem cell-derived extracellular vesicle administration protected against ethanol-induced proinflammatory gene upregulation,cognitive dysfunction,and the conditioned rewarding effects of cocaine.MiRNA sequencing data from mesenchymal stem cell-derived extracellular vesicles revealed the elevated expression of extracellular vesicle-derived miR-483-5p and miR-140-3p in the brains of ethanol-treated female mice following mesenchymal stem cell-derived extracellular vesicle administration.In addition,mesenchymal stem cell-derived extracellular vesicles modulated the expression of pro-inflammatory-related miRNA target genes(e.g.,Socs3,Tnf,Mtor,and Atf6)in the brains of ethanol-treated female mice.These results suggest that mesenchymal stem cell-derived extracellular vesicles could function as a neuroprotective therapy to ameliorate the neuroinflammation,cognitive dysfunction,and conditioned rewarding effects of cocaine associated with chronic alcohol consumption.
文摘The Double Take column looks at a single topic from an African and Chinese perspective.This month,we discuss how to understand the growing emphasis on emotional returns among young people.Emotional value has emerged as a central force shaping youth decision-making across work,consumption,relationships and lifestyle choices.Unlike traditional economic rationality that prioritises income and material security,emotional value focuses on how choices make individuals feel and how they align with personal meaning.This shift is particularly evident in rapidly transforming societies such as China and Ghana,where economic restructuring,globalisation and social change have reshaped pathways to adulthood.
基金supported by the Beijing Natural Science Foundation(L242149)Research Project on High Quality Development of Hospital Pharmacy,National Institute of Hospital Administration,NHC,China(NIHAYS2332)+1 种基金National High Level Hospital Clinical Research Funding(BJ-2023-199)Capital Funds for Health Improvement and Research(CFH)(2024-1-4052).
文摘Objective To examine national trends in antibiotic consumption and antimicrobial resistance(AMR)among six WHO-priority bacterial pathogens in China from 2016 to 2022.Methods This ecological study analyzed national and provincial data from the China Antibacterial Resistance Surveillance System(CARSS)and the National Hospital Information Network.Beta regression models assessed temporal trends,and hierarchical models evaluated associations between antibiotic use and resistance.Results From 2016 to 2022,carbapenem resistance in Acinetobacter baumannii and Pseudomonas aeruginosa,and vancomycin resistance in Enterococcus faecium and E.faecalis significantly declined(β<0,P<0.010),while carbapenem-resistant Klebsiella pneumoniae increased(β=0.081,P<0.001).Nationwide antibiotic consumption rose across 10 major classes.Positive associations were found between carbapenem use and resistance in A.baumannii(z=2.719,P=0.007)and P.aeruginosa(z=3.241,P=0.001),and between vancomycin use and resistance in E.faecium(z=4.510,P=0.001)and E.faecalis(z=3.210,P=0.001).Conclusion Carbapenem-resistant K.pneumoniae increased significantly in China,while other resistant pathogens declined.Resistance patterns were linked to the use of multiple antibiotic classes,underscoring the need for strengthened antibiotic stewardship and surveillance.
基金supported by the National Natural Science Foundation of China(Nos.52370090,52300016)China Postdoctoral Science Foundation(Nos.2023M733379,2024M753122).
文摘Raw water temperature can fluctuate significantly throughout the year,with peaks above 30℃in summer and below 15℃in winter.Traditional desalination systems(e.g.,reverse osmosis,RO)face challenges under these varying temperature conditions.Specifically,while the RO system performs well under high temperatures,its efficiency decreases sharply at lower temperatures.Membrane capacitive deionization(MCDI)is considered as an emergent and promising technology for brackish water desalination.While plenty of studies have been devoted to investigating the impacts of raw water properties(e.g.,salinity,coexisting ions,and natural organic matter)on MCDI performance,the role of water temperatures during the desalination remains under-explored.In this study,we first tested and determined the optimized MCDI operation parameters,such as the cell voltage and feedwater flow rate.Key findings showed that MCDI’s salt removal efficiency remains unaffected by feedwater temperature fluctuations.However,as feedwater temperature increases from 15℃to 40℃,the specific energy consumption for desalination slightly rises by 16.3%,and current efficiency drops by 14.1%.Compared to RO systems,the resilience of MCDI to temperature fluctuations makes it a preferable choice for brackish water treatment in areas with a large temperature difference.
文摘AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This observational clinical study utilized a cross-sectional and prospective design,focusing on chronic alcohol consumers alongside a non-consuming control group.OCT/OCTA imaging parameters including central retinal subfield thickness(CST),subfoveal choroidal thickness(SCT),foveal avascular zone(FAZ)and vessel density(VD)in the superficial and deep capillary plexuses in both the macular and optic disc(OD)regions were recorded.Data were analyzed using SPSS 15.0;descriptive statistics were reported,group comparisons were performed with Chisquare,Kruskal–Wallis,and Bonferroni-corrected Mann–Whitney U tests,and relationships were assessed using Spearman correlation,with statistical significance set at P<0.05.RESULTS:A total of 160 eyes of 160 participants(110 females and 50 males with mean age 38.7±9.9y)who don’t smoke were divided into five groups:never,occasional,monthly,weekly and daily drinkers.The mean CST was 216.6±14.2μm and the mean SCT was 358.9±84.5μm.There was no statistically significantly difference in CST and SCT among the groups(P=0.890,0.799).Foveal superficial capillary plexuses(SCPs)VD was higher in monthly drinkers compared to occasional drinkers(P=0.015).Foveal VD in deep capillary plexus was also higher in monthly drinkers than in never and occasional drinkers(P=0.004,0.006).Nasal SCPs VD at the OD was higher in monthly drinkers compared to never drinkers(P=0.005).There was no significant difference FAZ area among the groups(P=0.071).CONCLUSION:Both superficial and deep microvascular structures in the inferior quadrants of macula are positively correlated with frequency of alcohol use.Also in our study results is that the monthly drinker group has uniquely higher VDs in both macula and OD.This leads us to consider moderate alcohol consumption may also have protective effects on retinal microcirculation.
文摘Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forced air cooling,often struggle to transfer heat efficiently.In contrast,thermoelectric coolers(TECs)provide an innovative active cooling solution to meet growing thermal management demands.In this research,a refrigerant based on mono ethylene glycol and distilled water was used instead of using gases,in addition to using thermoelectric cooling units instead of using a compressor in traditional refrigeration systems.This study evaluates the performance of a Peltierbased thermalmanagement systemby analyzing the effects of using two,three,and four Peltiermodules on cooling rates,power consumption,temperature reduction,and system efficiency.Experimental results indicate that increasing the number of Peltier modules significantly enhances cooling performance.The four-module system achieved an optimal balance between cooling speed and energy efficiency,reducing the temperature of a liquidmixture(30% mono ethylene glycol+70% distilled water plus laser dyes)to 8℃ in just 17 min.It demonstrated a cooling rate of 0.794℃/min and a high coefficient of performance(COP)of 1.2 while consuming less energy than the two-and three-module systems.Furthermore,the study revealed that increasing the number of modules led to faster air cooling and improved temperature reduction.These findings highlight the importance of selecting the optimal number of Peltier modules to enhance efficiency and cooling speed whileminimizing energy consumption.This makes TEC technology a sustainable and effective solution for applications requiring rapid and reliable thermal management.
基金supported by the National Natural Science Foundation of China(No.U2433214)。
文摘Shenzhen,a major city in southern China,has experienced rapid advancements in Unmanned Aerial Vehicle(UAV)technology,resulting in extensive logistics networks with thousands of daily flights.However,frequent disruptions due to its subtropical monsoon climate,including typhoons and gusty winds,present ongoing challenges.Despite the growing focus on operational costs and third-party risks,research on low-altitude urban wind fields remains scarce.This study addresses this gap by integrating wind field analysis into UAV path planning,introducing key innovations to the classical model.First,UAV wind resistance and turbulence constraints are analyzed,mapping high-wind-speed and turbulence-prone zones in the airspace.Second,wind dynamics are incorporated into path planning by considering airspeed and groundspeed variation,optimizing waypoint selection and flight speed adjustments to improve overall energy efficiency.Additionally,a wind-aware Theta*algorithm is proposed,leveraging wind vectors to expedite search process,while Computational Fluid Dynamics(CFD)techniques are employed to calculate wind fields.A case study of Shenzhen,examining wind patterns over the past decade,demonstrates a 6.23%improvement in groundspeed and a 7.69%reduction in energy consumption compared to wind-agnostic models.This framework advances UAV logistics by enhancing route safety and energy efficiency,contributing to more cost-effective operations.
基金supported by the Department of Science and Technology(DST),New Delhi,India(No.DST/EE/2014127)
文摘The historical information of loadings on substation helps in evaluation of size of photovoltaic(PV)generation and energy storages for peak shaving and distribution system upgrade deferral. A method, based on consumption data, is proposed to separate the unusual consumption and to form the clusters of similar regular consumption. The method does optimal partition of the load pattern data into core points and border points, high and less dense regions, respectively. The local outlier factor, which does not require fixed probability distribution of data and statistical measures, ranks the unusual consumptions on only the border points, which are a few percent of the complete data. The suggested method finds the optimal or close to optimal number of clusters of similar shape of load patterns to detect regular peak and valley load demands on different days. Furthermore,identification and characterization of features pertaining to unusual consumptions in load pattern data have been done on border points only. The effectiveness of the proposed method and characterization is tested on two practical distribution systems.
基金The Henan Key Research and Development and Promotion Project(Grant No.232102310245)the Joint Construction Project of Medical Science and Technology of Henan Province(Grant No.LHGJ20220426).
文摘The rise of antimicrobial resistance,particularly in healthcare-associated infections caused by carbapenem-resistant Gram-negative pathogens,poses a critical global challenge.The extensive use of carbapenems has exacerbated this issue by increasing selective pressure within bacterial populations.This study aimed to investigate the association between carbapenem consumption and resistance rates in four priority Gram-negative bacteria:Escherichia coli(EC),Klebsiella pneumoniae(KP),Acinetobacter baumannii(AB),and Pseudomonas aeruginosa(PA).Retrospective data were collected from the First Affiliated Hospital of Zhengzhou University,covering the period from January 2010 to December 2022.Trends in carbapenem consumption and resistance were analyzed using the Mann-Kendall test to assess statistical significance and the Sen’s slope(SS)estimator to determine the magnitude of change.Correlations between carbapenem use and bacterial resistance rates were evaluated via Spearman correlation analysis.Over the study period,the consumption of meropenem,imipenem,biapenem,and total carbapenems exhibited a significant upward trend(|Z|>1.96,SS>0).Correspondingly,the resistance rates of EC and KP to meropenem and imipenem also increased significantly(|Z|>1.96,SS>0).A strong positive correlation was observed between the resistance rate of EC to meropenem and the defined daily doses(DDDs)of meropenem(r=0.732,P<0.05)and between EC resistance to imipenem and its DDDs(r=0.49,P<0.05).Similar significant correlations were identified for KP.However,no significant associations were found between carbapenem resistance in AB or PA and carbapenem consumption.These findings underscored the strong correlation between carbapenem use and the resistance rates of EC and KP,highlighting the urgent need for stringent control and stewardship of carbapenem use in clinical settings to mitigate or delay the development of bacterial drug resistance.
基金supported by the National Natural Science Foundation of China(Nos.22278168 and 22276064)the MOE Key Laboratory of Resources and Environmental System Optimization(No.KLRE-KF202205)the Science and Technology Project of Fujian province(No.2022Y3007).
文摘Phase change absorbents based on amine chemical absorption for CO_(2)capture exhibit energy-saving potential,but generally suffer from difficulties in CO_(2)regeneration.Alcohol,characterized as a protic reagent with a low dielectric constant,can provide free protons to the rich phase of the absorbent,thereby facilitating CO_(2)regeneration.In this investigation,N-aminoethylpiperazine(AEP)/sulfolane/H_(2)O was employed as the liquid-liquid phase change absorbent,with alcohol serving as the regulator.First,appropriate ion pair models were constructed to simulate the solvent effect of the CO_(2)products in different alcohol solutions.The results demonstrated that these ion pair products reached the maximum solvation-free energy(△E_(solvation))in the rich phase containing ethanol(EtOH).Desorption experiment results validated that the inclusion of EtOH led to a maximum regeneration rate of 0.00763 mol/min,thus confirming EtOH’s suitability as the preferred regulator.Quantum chemical calculations and^(13)C NMR characterization were performed,revealing that the addition of EtOH resulted in the partial conversion of AEP-carbamate(AEPCOO−)into a new product known as ethyl carbonate(C_(2)H_(5)OCOO−),which enhanced the regeneration reactivity.In addition,the decomposition paths of different CO_(2)products were simulated visually,and every reaction’s activation energy(△E_(act))was calculated.Remarkably,the△E_(act)for the decomposition of C_(2)H_(5)OCOO−(9.465 kJ/mol)was lower than that of the AEPCOO−(26.163 kJ/mol),implying that CO_(2)was more likely to be released.Finally,the regeneration energy consumption of the alcohol-regulated absorbentwas estimated to be only 1.92 GJ/ton CO_(2),which had excellent energy-saving potential.
基金supported by the National Natural Science Foundation of China(52066007,22279048)the Major Science and Technology Project of Yunnan Province(202202AG050017).
文摘Molten salt gasification is a promising technology for biomass conversion due to its advantages of superior heat transfer and the ability of utilizing solar energy to reduce carbon emission.In this study,the characteristics of corncob CO_(2)-gasification in molten salt environments is thoroughly investigated,and the approach of introducing Fe_(2)O_(3) as catalyst to enhance the syngas yield is proposed.The results showed that the molten salts significantly promoted the conversion of corncob into gaseous products with very low tar and char yield.Compared to O_(2) and H_(2)O atmospheres,utilizing CO_(2) as gasifying agent enhanced the yield of gaseous products during the corncob gasification,especially the yields of CO and H_(2).The introduction of Fe_(2)O_(3) as a catalyst could further increase the yield of gaseous products and the cold gas efficiency(CGE),and the yield of syngas was increased into 2258.3 ml·g^(−1) with a high CGE of 105.8%in 900℃.The findings evidenced that CO_(2) gasification in the molten salt environment with Fe_(2)O_(3) addition can promote the cracking of tar,increasing the syngas yield significantly.Moreover,the energy required to drive the gasification process was calculated,and the total energy consumption was calculated as 16.83 GJ·t^(−1).The study opened up a new solution for the biomass gasification,exhibiting a great potential in distributed energy or chemical systems.
文摘The multiple nuclides identification algorithm with low consumption and strong robustness is crucial for rapid radioactive source searching.This study investigates the design of a low-consumption multiple nuclides identification algorithm for portable gamma spectrometers.First,the gamma spectra of 12 target nuclides(including the background case)were measured to create training datasets.The characteristic energies,obtained through energy calibration and full-energy peak addresses,are utilized as input features for a neural network.A large number of single-and multiple-nuclide training datasets are generated using random combinations and small-range drifting.Subsequently,a multi-label classification neural network based on a binary cross-entropy loss function is applied to export the existence probability of certain nuclides.The designed algorithm effectively reduces the computation time and storage space required by the neural network and has been successfully implemented in a portable gamma spectrometer with a running time of t_(r)<2 s.Results show that,in both validation and actual tests,the identification accuracy of the designed algorithm reaches 94.8%,for gamma spectra with a dose rate of d≈0.5μSv∕h and a measurement time t_(m)=60 s.This improves the ability to perform rapid on-site nuclide identification at important sites.
基金funded by the National Key R&D Program of China,grant number 2019YFB1505400.
文摘As the power system transitions to a new green and low-carbon paradigm,the penetration of renewable energy in China’s power system is gradually increasing.However,the variability and uncertainty of renewable energy output limit its profitability in the electricity market and hinder its market-based integration.This paper first constructs a wind-solar-thermalmulti-energy complementary system,analyzes its external game relationships,and develops a bi-level market optimization model.Then,it considers the contribution levels of internal participants to establish a comprehensive internal distribution evaluation index system.Finally,simulation studies using the IEEE 30-bus system demonstrate that the multi-energy complementary system stabilizes nodal outputs,enhances the profitability of market participants,and promotes the market-based integration of renewable energy.
基金supported in part by the National Natural Science Foundation of China(62025404)in part by the National Key Research and Development Program of China(2022YFB3902802)+1 种基金in part by the Beijing Natural Science Foundation(L241013)in part by the Strategic Priority Research Program of the Chinese Academy of Sciences(XDA000000).
文摘1.Introduction The rapid expansion of satellite constellations in recent years has resulted in the generation of massive amounts of data.This surge in data,coupled with diverse application scenarios,underscores the escalating demand for high-performance computing over space.Computing over space entails the deployment of computational resources on platforms such as satellites to process large-scale data under constraints such as high radiation exposure,restricted power consumption,and minimized weight.
文摘Transitioning real estate development toward low-carbon operations is a critical strategy for China to achieve its carbon peaking and neutrality targets.Accurately calculating CO_(2) emissions from real estate development is essential for effective implementation of low-carbon strategies.However,research that specifically addresses CO_(2) emissions from real estate development is lacking.To fill this knowledge gap,this study examined CO_(2) emissions from China's real estate development between 2000 and 2020,presenting a comprehensive analysis of the production and consumption aspects of emissions,and inter-provincial transfers of emissions driven by the sector.Our findings reveal a significant increase in embodied CO_(2) emissions fromChina's real estate development,escalating from 145.5Mt in 2000 to 477.3Mt in 2020.The proportion of emissions attributable to real estate development among China's total CO_(2) emissions ranged from5%to 6%between 2000 and 2020,underscoring the sector's non-negligible impact on the country's overall CO_(2) emissions.Our analysis demonstrated that building material production,especially steel and cement,contributed significantly to the sector's emissions,underscoring the need for decarbonization and the adoption of green building materials.Additionally,a marginal increase in CO_(2) emissions per constructed area requires enhanced sustainable construction practices.Furthermore,our study revealed that the ongoing rise in inter-provincial CO_(2) emissions transfer due to real estate development intensifies carbon inequality across provinces.These findings are instrumental for policymakers and stakeholders to develop targeted interventions to mitigate CO_(2) emissions and promote sustainable growth in China's real estate sector.
基金Fundamental Research Funds for the Central Universities(2024JBZX038)National Natural Science F oundation of China(62076023)。
文摘The rapid evolution of unmanned aerial vehicle(UAV)technology and autonomous capabilities has positioned UAV as promising last-mile delivery means.Vehicle and onboard UAV collaborative delivery is introduced as a novel delivery mode.Spatiotemporal collaboration,along with energy consumption with payload and wind conditions play important roles in delivery route planning.This paper introduces the traveling salesman problem with time window and onboard UAV(TSPTWOUAV)and emphasizes the consideration of real-world scenarios,focusing on time collaboration and energy consumption with wind and payload.To address this,a mixed integer linear programming(MILP)model is formulated to minimize the energy consumption costs of vehicle and UAV.Furthermore,an adaptive large neighborhood search(ALNS)algorithm is applied to identify high-quality solutions efficiently.The effectiveness of the proposed model and algorithm is validated through numerical tests on real geographic instances and sensitivity analysis of key parameters is conducted.
基金supported by the Science and Technology Innovation Program of Hunan Province(2025RC3061)the Natural Science Foundation of Hunan Province(2022JJ30828)+2 种基金the Grants from Hunan Provincial Clinical Medicine Research Center for Intelligent Management of Chronic Disease(2023SK4042)the Innovation Foundation For Postgraduate of Hunan Province(CX20240310)the Postgraduate Innovative Project of Central South University(2023XQLH183),China。
文摘Objective:Osteoporosis is a systemic metabolic disease characterized by decreased bone mass,deterioration of bone microstructure,and increased fracture risk.Its occurrence is closely related to sex,age,and lifestyle factors.Environmental exposure to heavy metals and metalloids may also influence its development,although existing findings remain inconsistent.The sex differences in the association between mixed metal exposure and osteoporosis are still unclear.This study aims to investigate whether sex differences exist in the associations between cadmium(Cd),lead(Pb),mercury(Hg),selenium(Se),manganese(Mn),and their mixtures and osteoporosis among men aged≥50 years and postmenopausal women,and to analyze the potential moderating effect of dairy product consumption on these associations.Methods:Data from the National Health and Nutrition Examination Survey(NHANES)2013−2014 and 2017−2018 cycles were used.In men and women separately,generalized linear regression models(univariate regression analysis and multivariate logistic regression)were applied to examine the relationships between single-metal exposure and osteoporosis at the femoral neck and vertebrae.A weighted quantile sum(WQS)model was used to construct a weighted index of mixed metal exposure to quantify the joint effects of multiple metals.Bayesian kernel machine regression(BKMR)was used to systematically evaluate the associations between blood Cd,Pb,Hg,Se,Mn,and their mixtures and osteoporosis at different skeletal sites,capturing potential nonlinear relationships and interactions among metals.Participants were further stratified into high dairy consumption(≥7 times/week)and low dairy consumption(<7 times/week)groups to explore the potential moderating effect of dairy consumption on the association between Cd exposure and osteoporosis.Results:Multivariate logistic regression analysis showed that,in the fully adjusted model,Cd was positively associated with femoral neck osteoporosis in men aged≥50 years[odds ratio(OR)=8.563,95%confidence interval(CI)1.888 to 38.845,P<0.05],whereas Se was negatively associated with femoral neck osteoporosis(OR<0.001,95%CI 0 to 0.150,P<0.05).In postmenopausal women,Cd was positively associated with femoral neck osteoporosis risk(OR=2.148,95%CI 1.038 to 4.443,P<0.05),while Se was negatively associated with femoral neck osteoporosis risk(OR=0.027,95%CI 0.001 to 0.986,P<0.05).No significant association was observed between any metal and vertebral osteoporosis(all P>0.05).The WQS model indicated that mixed metal exposure was positively associated with vertebral osteoporosis in men(OR=1.452,95%CI 0.277 to 2.626,P<0.05),whereas no significant association was observed in women.BKMR analysis showed that mixed metal exposure was positively associated with osteoporosis risk at the femoral neck and vertebrae in men,with Cd contributing most to osteoporosis risk,while no association was observed between mixed metal exposure and osteoporosis risk in women.The positive association between mixed blood metal exposure and osteoporosis risk might be partially offset by Se.In stratified analysis,the association between Cd exposure and osteoporosis was stronger in the high dairy consumption group(OR=1.19,95%CI 0.51 to 2.78,P>0.05)than in the low dairy consumption group(OR=3.12,95%CI 1.84 to 5.30,P<0.05),suggesting that frequent dairy consumption may attenuate the positive association between Cd exposure and femoral neck osteoporosis in women.Conclusion:In men aged≥50 years,mixed metal exposure was positively associated with osteoporosis risk at different skeletal sites(femoral neck and vertebra),with Cd contributing most to the risk.In postmenopausal women,no association between mixed metal exposure and osteoporosis risk was observed,indicating clear sex differences.Selenium and dairy consumption may be potential protective factors for osteoporosis in women,whereas such protective effects were not observed in men.
文摘Bathed in the golden light of September,Beijing’s Shougang Park hosted the 2025 China International Fair for Trade in Services(CIFTIS).At the heart of the event,a dynamic spirit of renewal was evident,as emerging patterns in cultural,tourism,and sports consumption unfolded throughout the fair.From the creative integration of the centuries-old Peking Opera with innovative business models,to immersive sports experiences and the rollout of streamlined tax refund procedures for international visitors,the fair showcased a nuanced yet significant shift in consumption practices.
