Osteoarthritis (OA) is a degenerative disease of middle-aged and elderly people, contributed a higher burden of disease in China and the world. In 2017, under the support of the Rheumatology and Immunology Expert Committee of the Cross-Strait Medical and Health Exchange Association. The objective was to develop an evidence-based diagnosis and treatment guideline for OA in China based on emerging new evidence. The guideline was registered at International Practice Guidelines Registry Platform (IPGRP-2018CN028). The grading of recommendations assessment, development and evaluation (GRADE) approach was used to rate the quality of evidence and the strength of recommendations, and the RIGHT (Reporting Items for Practice Guidelines in Healthcare) checklist was followed to report the guideline. The guideline provides recommendations for the OA diagnosis, disease risks monitoring and evaluate, treatment purpose and physical, medical and surgical interventions. This guideline is intended to serve as a tool for Chinese clinicians for the best decisions-making on diagnosis and treatment of OA.

Single-walled carbon nanotubes (SWNTs) were functionalized with a hydroxyl-terminated silicone oil (TSO-OH). It is synthesized by the reactions of carbonyl chloride groups on the surface of SWNTs and hydroxyl groups of silicone oil (TSO-OH). The functionalized product SWNTs-TSO-OH was first used as precursor and selective stationary phase to prepare the sol-gel derived poly(SWNTs-TSO-OH) solid-phase microextraction (SPME) fiber for determination of polybrominated diphenyl ethers (PBDEs) in water samples. The possible major reaction of the sol-gel coating process was discussed and confirmed by IR spectra, Raman spectroscopy, and scanning electron microscopy. Some parameters of SPME fiber for the determination of PBDEs were investigated by headspace SPME/gas chromatography with electron-capture detection (HS-SPME/GC-ECD). Compared with the commercial SPME fiber, the new coated fiber showed higher extraction efficiency to PBDEs, better thermal stability (over 340 degrees C), and longer life span (over 200 times). All of these advantages are mainly due to the incorporation of SWNTs, which enhanced the pi-pi interaction with PBDEs and increased the surface area of extraction in contact with the sample. Moreover, the sol-gel coating technology additionally provided the porous structure of the 3-D silica network and the strong chemical binding provided which also will improve the extraction efficiency. Under optimized conditions, the method detection limits for seven PBDEs were 0.08-0.8 ng/L (S/N = 3) and the precision (RSD, n = 5) was 2.2-7.5% at the 50 ng/L level. The linearity of the developed method is in the range of 5-500 ng/L with coefficients of correlation greater than 0.995. The developed method was successfully applied for the analysis of trace PBDEs in reservoir water and wastewater samples. The recoveries obtained at spiking 50 ng/L were between 74% and 109% (n = 5) for PBDEs in water samples.

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