Oddershedechurch0393

11, 95% CI - 0.35 to 0.12, I

 = 0%, p = 0.36). SGLT-2 inhibitor treatment did not have a significant impact either on SDNN (MD = - 2.83, 95% CI - 7.41 to 1.75, I

 = 31%, p = 0.23), or on r-MSSD (MD = - 0.14, 95% CI - 3.52 to 3.25, I

 = 46%, p = 0.94). Overall risk of bias was graded as low across the selected RCTs.

SGLT-2 inhibitor treatment in patients with T2DM does not seem to provide any significant beneficial effect on CAN indices.

SGLT-2 inhibitor treatment in patients with T2DM does not seem to provide any significant beneficial effect on CAN indices.Solar chimney power plant (SCPP) is one of the promising technologies to convert solar energy into carbon-free power generation. It has cost competitiveness, environment friendly and longer service life. Although remarkable advancements were achieved, commercialization aspect of the SCPP has not been established so far. Feasibility assessment of the large-scale plants was carried out by researchers in different climatic conditions across the globe but none of the studies materialized to date. However, it is almost four decades from the development of the first prototype, and no studies have been discussed the barriers to commercialization of the SCPP yet. Therefore, in this present study, a-state-of-the-art review has been presented which discussed the overview of SCPP technologies, factors affecting the flow and performance characteristics of the plant and major barriers in the commercialization aspect of the plant. The overview of SCPP technology including its global status and recent advances are spotlighted. The power potential and carbon emission mitigation of the SCPP based on the climatic condition and geographical location was studied by taking India as an example. In addition to that, the major challenges and opportunities in the SCPP are also addressed. Based on the analysis, a few recommendations are given for commercialization the plant.The production of sustainable catalytic supports for palladium nanoparticles is always desired, even more so through the recovery of biomass residues. In this sense, two different solids were investigated - chitosan/cellulose film and corn stem biochar - as catalytic supports of palladium nanoparticles. The solids were carefully characterized and tested in the Suzuki-Miyaura reaction, a typical cross-coupling reaction. The developed catalytic systems proved to be efficient and sustainable, promoted the formation of target products very well, and demanded green reactants under environmentally appropriate conditions. With the results shown in the manuscript, it is expected to contribute to the valorization of biomass and agro-industrial residues in the development of new catalysts for the chemical industry.In this study, biodiesel fuel was produced from waste cooking oil (WCO) using a heterogeneous catalyst under microwave (MB) and conventional (CB) heating, and fueled in an agricultural tractor engine to evaluate the engine performance as well as emissions. The biodiesels presented different fatty acid methyl ester (FAME) profiles where MB had lower unsaturated FAME chains. Beyond the transesterification reaction time, the energy consumed for MB biodiesel production diminished by around eight times compared to that required for CB production. The engine results confirmed the positive influence of blending net diesel fuel with biodiesel for enhancing the engine performance and reducing the emissions. More than 20% increment in the engine power and torque was detected at all engine loads (the engine speed was adjusted at 1500 rpm). The hydrocarbon (HC), carbon monoxide (CO), and smoke opacity (SO) indicated significant reductions compared to when net diesel fuel was used. According to statistical analysis, CB25 and MB25 fuels presented a suitable combination as fuel where MB25 provided better engine performance, lower HC and SO emissions, with CO emissions reaching the minimum amount by CB fuels.Acidification of seawater resulting from absorption of excessive carbon dioxide from the atmosphere is posing a serious threat to marine ecosystem. In this study, we hypothesized that acidified seawater attenuates allelopathic effects of macroalgae on red tide algae because the increase of dissolved carbon dioxide benefits algal growth, and investigated the allelopathic effects of Ulva pertusa on Karenia mikimotoi in response to seawater acidification by determining cell density, photosynthetic pigment content, chlorophyll fluorescence parameters, and chloroplast structure of K. mikimotoi under U. pertusa stress in original (pH=8.2) and acidified (pH=7.8) seawater. STC-15 U. pertusa inhibited the growth of K. mikimotoi in the original and acidizing seawater, and the inhibition rate was positively correlated with treatment time and concentration of U. pertusa. However, acidizing condition significantly weakened the inhibition degree of U. pertusa on K. mikimotoi (P less then 0.05), with the inhibition rates decreased from 51.85 to 43.16% at 10 gFW/L U. pertusa for 96 h. U. pertusa reduced contents of chlorophyll a, chlorophyll c, and carotenoid, maximum photochemical quantum yield (Fv/Fm), actual quantum yield, maximum relative electron transfer efficiency (rETRmax) of PSII, real-time fluorescence value (F), and maximum fluorescence value (Fm') of PSII of K. mikimotoi under original and acidified conditions. And, the inhibition degree of U. pertusa under acidizing condition was significantly lower than that of original seawater group. Furthermore, the damage degree of chloroplast structure of K. mikimotoi under U. pertusa stress was more serious under original seawater condition. These results indicate that acidification of seawater attenuates the allelopathic effects of U. pertusa on K. mikimotoi.The emergence of various diseases during the COVID-19 pandemic made health workers more attentive, and one of the new pathogens is the black fungus (mucormycosis). As a result, millions of lives have already been lost. As a result of the mutation, the virus is constantly changing its traits, including the rate of disease transmission, virulence, pathogenesis, and clinical signs. A recent analysis revealed that some COVID-19 patients were also coinfected with a fungal disease called mucormycosis (black fungus). India has already categorized the COVID-19 patient black fungus outbreak as an epidemic. Only a few reports are observed in other countries. The immune system is weakened by COVID-19 medication, rendering it more prone to illnesses like black fungus (mucormycosis). COVID-19, which is caused by a B.1.617 strain of the SARS-CoV-2 virus, has been circulating in India since April 2021. Mucormycosis is a rare fungal infection induced by exposure to a fungus called mucormycete. The most typically implicated genera are Mucor rhyzuprhizopusdia and Cunninghamella. Mucormycosis is also known as zygomycosis. The main causes of infection are soil, dumping sites, ancient building walls, and other sources of infection (reservoir words "mucormycosis" and "zygomycosis" are occasionally interchanged). Zygomycota, on the other hand, has been identified as polyphyletic and is not currently included in fungal classification systems; also, zygomycosis includes Entomophthorales, but mucormycosis does not. This current review will be focused on the etiology and virulence factors of COVID-19/mucormycosis coinfections in COVID-19-associated mucormycosis patients, as well as their prevalence, diagnosis, and treatment.Root exudates are determined by plant species configuration and affect microbial community, which in turn affect purification efficiency of constructed wetlands (CWs). However, it is not well understood how plant configuration affects CW purification efficiency through specific root exudates. Herein, four mixed culture CWs were constructed; CW-G3 with Iris pseudacorus, Iris sibirica, Juncus effusus, and Hydrocotyle vulgaris showed the optimal diversity nutrients removal efficiency (TN 94.2%, TP 82.9%, COD 74.7%). Highly increased antioxidant enzymes (peroxidase and catalase) reduced photosynthesis-negative enzyme (malondialdehyde) activity of plants in CW-G3, which ensured oxygen (O2) and organic carbon (OC) production and successfully released to rhizosphere by well-developed root aeration tissues. Further, CW-G3 enriched higher abundance of genus Saccharimonadales and Flavobacterium, which benefited nitrogen removal. Moreover, as OC, higher contents of maltose in CW-G3 (6.6 ~ 11.1-fold of that in other three CWs), as well as lauramide, choline, triethylamine and urocanic acid contributed to microbial denitrifying. Differently, higher contents of unsaturated fatty acids (linoleic acid and oleic acid) in other three CWs inhibited microbial nitrifying as inhibitors, which also proved by co-occurrent network. Thereby, plant configuration in CW-G3 provided higher O2 and OC contents for bacteria and reduced nitrifying inhibitors, which contributed to higher purifying efficiency. The study promoted the understanding about root exudates' effects on bacteria through plant configurations and improved the purification efficiency of CWs.The nitrogen cycle in cold regions during the freeze-thaw period is complex. Although previous studies have investigated the phenomenon of nitrogen transport and transformation, the underlying mechanisms are vague. Existing models have limitations in terms of loose coupling or weak physical mechanisms. Therefore, a new distributed nonpoint source pollution model, the water and energy transfer processes and nitrogen cycle processes model in cold regions, was developed in this study, with closely coupled water, heat, and nitrogen processes at the watershed scale. The model considered the driving effects of pressure, gravity, solute, and temperature potentials on water and nitrogen movement in soil and the transformation relationship among nitrogen forms. Physical evaluation and simulations were conducted for the Heidingzi River Watershed during two freeze-thaw periods 2017-2018 and 2018-2019. The soil temperature absolute error was  less then  0.82 ℃. The relative errors in stratified liquid water, soil nitrogen content, river flow rate, and river nitrogen concentration were mostly  less then  10%. Nitrogen transport with water had an obvious "upward agglomeration effect" during the freezing period and a "concentrated release effect" during the thawing period, which was attributed to changes in soil water potential as the freezing front moved down. Disregarding the effects of solute potential and temperature potential will result in an underestimate of the outflow of pollutants during the thawing period. The model can be applied to reveal water quality deterioration in cold regions during thawing.

The COVID-19 pandemic had a major impact on the health services worldwide. We aimed to investigate the impact of the pandemic on colorectal cancer (CRC) care in the Netherlands in 2020.

CRC patients, diagnosed in 2018-2020 in the Netherlands, were selected from the Netherlands Cancer Registry (NCR). The year 2020 was divided in four periods reflecting COVID-19 developments in the Netherlands (pre-COVID, 1st peak, recovery period, 2nd peak) and compared with the same periods in 2018/2019. Patient characteristics and treatment were compared using the Chi-squared test. Median time between diagnosis and treatment, and between (neo)adjuvant therapy and surgery were analyzed by the Mann-Whitney U test.

In total, 38,021 CRC patients were diagnosed in 2018/2019 (n = 26,816) and 2020 (n = 11,205). Median time between diagnosis and initial treatment decreased on average 4days and median time between neoadjuvant radiotherapy and surgery in clinical stage II or III rectal cancer patients increased on average 34days during the three COVID-19 periods compared to the same periods of 2018/2019.