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The growing demand for a better understanding of the effects of chemical mixtures on human health has fostered the need for extensive estimation of uptake rates from identified sources and/or biomonitoring, which has encouraged the development of analyte- and matrix-independent analytical methods. In this paper, we report a comprehensive sample treatment platform for the efficient extraction and interference removal in the determination of twenty-one bisphenols and derivatives (log Kow from 1.254 to 6.564) in a variety of human exposure sources and biological fluids. Treatment of both liquid (canned beverages, urine and serum) and solid (canned food, dust) samples was based on the use of low volumes (190-200 μL) of a hexanol-based supramolecular solvent having properties of restricted access materials. The efficient extraction of bisphenol and derivatives (absolute recoveries 70-114%) was due to the mixed-mode mechanisms (hydrogen bonding, polar and dispersion interactions) and the huge number of binding sites offered by the supramolecular solvent with properties of restricted access materials for solute solubilization. Signal suppression or enhancement (SSE) values kept in the range 78-116% for samples encompassing a wide range of macromolecules content (e.g. protein, fat, carbohydrates, etc.). Quantification was carried out by liquid chromatography, electrospray tandem mass spectrometry using external calibration. Method quantitation limits for bisphenols in liquid and solid samples were in the interval 0.019-0.19 μg L-1 and 0.06-0.81 μg kg-1. The method was applied to the determination of bisphenols and derivatives in thirteen human exposure sources and biological fluids. Only four bisphenols out of twenty-one were not found in the analyzed samples. This supramolecular solvent-based bisphenol- and matrix-independent method constitutes a valuable strategy in terms of analytical and operational characteristics for the assessment of human exposure to mixtures of bisphenols and derivatives.Class-modelling methods aim to predict the conformity of new unknown samples with a single target class, using statistical decision rules built exclusively with objects of that class. This article introduces a novel class-modelling method for spectral data. The method uses the concept of β%-prediction band for functional data to classify spectra. 10058-F4 ic50 The band is defined by an upper and a lower limiting spectra which delimit critical trajectories for β% of future spectra of the target class. It is constructed in three main steps firstly, a naïve bootstrap sample of calibration spectra is projected onto a parsimonious principal component (PC) basis and their scores are estimated. The posterior predictive distribution of the scores on each PC is estimated using a Bayesian zero-mean normal model. This procedure is repeated on naïve bootstrap estimations of the PCs to obtain the predictive distribution of the scores. These enable to account for all modelling uncertainties including the random deviation of scores from n outperforms the SIMCA while offering attractive advantages like risk-management and straightforward physical interpretability of outlyingness patterns of tested spectra.Two-dimensional (2D) nanomaterials-modified electrodes are good candidates for electrochemical sensing because of their unique ultrathin sheet-like structure and distinctive electrical property. In this work, we have developed a facile sacrificial template-directed mild polymerization process to prepare 2D poly(3,4-ethylenedioxythiophene) (PEDOT) nanosheets. During the polymerization process, V2O5·nH2O nanosheets are used as both sacrificial templates and oxidants, which can not only guide the production of PEDOT nanosheets, but also spontaneously be removed after the reaction. We have demonstrated the usage of the 2D PEDOT nanosheets for electrochemical sensing of iodide ions. The proposed sensor delivers a low detection limit of 0.313 μM (S/N = 3) with a linear range of 1.0-20 μM. Furthermore, the 2D PEDOT-based sensor shows an exciting reproducibility, stability and selectivity for the detection of iodide ions, which can be feasibly applied for the detection in real samples. This study provides a facile route to fabricate 2D conducting polymer-based nanomaterials for efficient electrochemical sensing application.In bottom-up strategy, specific enrichment of glycopeptides and phosphopeptides from complicated biological samples is a prerequisite for efficient identifying glycosylation and phosphorylation by mass spectrometry. Although there were a plethora of materials used as either hydrophilic interaction liquid chromatography (HILIC) or immobilized metal affinity chromatography (IMAC) adsorbents, even several bifunctional materials for simultaneous enrichment of glycopeptides and phosphopeptides, most of them are not easily commercialized as many other well-performing adsorbents due to the complicated preparation process. In our case, a one-step modification strategy was developed to prepare bifunctional adsorbents for HILIC and IMAC, employing O-phospho-l-serine as the modifier and poly(GMA-co-EDMA) microspheres, a kind of macroporous adsorption resin (MAR) with epoxy groups, as the matrix. The MARs were directly modified with O-phospho-l-serine under facile condition for HILIC strategy and further chelated with Ti4+ for IMAC strategy. A total of 522 unique N-glycopeptides and 442 unique N-glycosylation sites mapped to 275 N-glycoproteins was identified from HeLa cell proteins, showing excellent enrichment efficiency in HILIC. Additionally, 3141 unique phosphopeptides were unambiguously identified from 200 μg of digest of HeLa cell proteins, demonstrating great enrichment efficiency in IMAC. Moreover, these materials have been successfully applied in the analysis of multiple biological samples including human serum and milk, demonstrating their feasibility for real sample applications and potential business value.Electrical field-flow fractionation (ElFFF) is a useful separation technique for nanoparticles, however, it has been limited by polarization/electrical double layer formation which reduces an effective field for separation. With an appropriate direct current (DC) applied voltage, sodium carbonate, FL-70, Triton X-100 and acetonitrile were explored as additive substances for preparation of carrier liquid used in normal ElFFF to enhance an amplitude of effective field by their ionic redox-active species, ionic and nonionic surfactant and wide electrochemical potential window nonionic organic solvent properties, respectively. Effective field was indirectly measured in each carrier liquid by investigating retention behavior of polystyrene latex nanoparticles and gold nanoparticles. Effective field improvement was observed in all carrier liquid types (except FL-70) by which the highest effective field existed in 16 μM sodium carbonate at 1.70 V and 0.01% (V/V) Triton X-100 and 50% (V/V) acetonitrile at 1.90 V as compared to deionized water at 1.90 V. In addition, those carrier liquids were applied for separation of 5 nm and 15 nm gold nanoparticles mixture by which Triton X-100 exhibited the best separation resolution (Rs = 1.11).The fluorescent sensor, especially ratiometric fluorescent sensor, is one of the most important applications for CQDs, which is becoming a research hotspot. Herein, carbon quantum dots co-doped with nitrogen, phosphorus and chlorine (NPCl-CQDs) were synthesized by acid-base neutralization reaction exothermic carbonization method. The as-fabricated NPCl-CQDs could emit blue fluorescence and possess excellent fluorescence properties. Based on the FRET, multifunctional and ratiometric fluorescent sensors for "on-off-on" sequential determination of riboflavin, Ag+, and Cys with good selectivity and high sensitivity were established. The linear range of riboflavin, Ag+, and Cys are 0.50-10.18 μM and 15.89-27.76 μM, 0.66-1.46 mM and 1.50-4.20 mM, and 0.01-0.15 μM and 0.15-0.36 μM with the limit of detection of 3.50 nM, 26.38 μM, and 0.96 nM, respectively. Furthermore, the sensors were successfully used to determine riboflavin, Ag+, and Cys in tablets, river water, and human urine with the recoveries of 95.2-104.0%, 95.6-102.0%, and 94.8-106.4%, respectively. More importantly, the as-constructed "on-off-on" NPCl-CQDs-based ratiometric fluorescent sensors were applied for detecting riboflavin, Ag+, and Cys in HeLa cells with satisfying results. The finding of this study shows the feasibility and effectiveness of the NPCl-CQDs as the available ratiometric fluorescent sensors for the determination of riboflavin, Ag+, and Cys in real samples and living cells.

Management of type 1 diabetes is challenging. We compared outcomes using a commercially available hybrid closed-loop system versus a new investigational system with features potentially useful for adolescents and young adults with type 1 diabetes.

In this multinational, randomised, crossover trial (Fuzzy Logic Automated Insulin Regulation [FLAIR]), individuals aged 14-29 years old, with a clinical diagnosis of type 1 diabetes with a duration of at least 1 year, using either an insulin pump or multiple daily insulin injections, and glycated haemoglobin (HbA

) levels of 7·0-11·0% (53-97 mmol/mol) were recruited from seven academic-based endocrinology practices, four in the USA, and one each in Germany, Israel, and Slovenia. After a run-in period to teach participants how to use the study pump and continuous glucose monitor, participants were randomly assigned (11) using a computer-generated sequence, with a permuted block design (block sizes of two and four), stratified by baseline HbA

and use of a persostitute of Diabetes and Digestive and Kidney Diseases.

The accuracy of current prediction tools for ischaemic and bleeding events after an acute coronary syndrome (ACS) remains insufficient for individualised patient management strategies. We developed a machine learning-based risk stratification model to predict all-cause death, recurrent acute myocardial infarction, and major bleeding after ACS.

Different machine learning models for the prediction of 1-year post-discharge all-cause death, myocardial infarction, and major bleeding (defined as Bleeding Academic Research Consortium type 3 or 5) were trained on a cohort of 19 826 adult patients with ACS (split into a training cohort [80%] and internal validation cohort [20%]) from the BleeMACS and RENAMI registries, which included patients across several continents. 25 clinical features routinely assessed at discharge were used to inform the models. The best-performing model for each study outcome (the PRAISE score) was tested in an external validation cohort of 3444 patients with ACS pooled from a randomised controlled trial and three prospective registries. Model performance was assessed according to a range of learning metrics including area under the receiver operating characteristic curve (AUC).

The PRAISE score showed an AUC of 0·82 (95% CI 0·78-0·85) in the internal validation cohort and 0·92 (0·90-0·93) in the external validation cohort for 1-year all-cause death; an AUC of 0·74 (0·70-0·78) in the internal validation cohort and 0·81 (0·76-0·85) in the external validation cohort for 1-year myocardial infarction; and an AUC of 0·70 (0·66-0·75) in the internal validation cohort and 0·86 (0·82-0·89) in the external validation cohort for 1-year major bleeding.

A machine learning-based approach for the identification of predictors of events after an ACS is feasible and effective. The PRAISE score showed accurate discriminative capabilities for the prediction of all-cause death, myocardial infarction, and major bleeding, and might be useful to guide clinical decision making.

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