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To explore molecular targets for regulating glucose metabolism in carnivorous fish, the glucose tolerance test (GTT) was carried out on the Paralichthys olivaceus. The concentration of glucose and insulin in serum were measured at 0, 1, 3, 5, 7, 9, 12, 24, and 48h after intraperitoneal (IP) injecting. The concentration of insulin was the lowest after 3h of glucose injection, and that of glucose reached the highest after 5h. Therefore, 0h (IP0) was chosen as control group, 3h (IP3) and 5h (IP5) were selected as experimental groups, which the liver samples in three time points were used to high-throughput sequencing. Although, there were no significant KEGG and GO functional enrichment, the differential genes including MAPK binding protein 1 (MAPKBP1), glycosyltransferase (FNG), suppressor of cytokine signaling 3 (SOCS3), CCAAT/enhancer-binding protein alpha (CEBP-α) were closely related to glucose metabolism, among which SOCS3 was worthy of further explore. The full-length cDNA sequence of SOCS3 gene was cloned and the open reading frame (ORF) of SOCS3 encoded 225 amino acids including conserved domains SH2 and SOCS3-box. The results of tissue differential expression showed that SOCS3 was highly expressed in liver and intestine. The SOCS3 was knocked down by specific siRNA in the primary hepatocyte of P. olivaceus. Results showed that the gene expression of insulin receptor substrate 1 (IRS1), protease B1 (AKT1), glucose transporter 2 (GLUT2), pyruvate kinase (PK) and glucokinase (GK) increased significantly after knocking down SOCS3. Meanwhile, the phosphatidylinositol-3-hydroxykinase (PI3K) and glucose-6-phosphatase (G6Pase) decreased significantly. The results of this study indicated that siSOSC3 enhanced the sensitivity of the insulin signaling pathway to promote glucose transport, thereby affecting gluconeogenesis and glycolysis to maintain glucose homeostasis.
Clinical pharmacists are increasingly recognized as essential members of multidisciplinary palliative care teams, yet their specific roles and impact have not been comprehensively summarized. This scoping review aimed to systematically map and synthesize published evidence on the clinical roles, interventions, and professional contributions of pharmacists within multidisciplinary palliative care services for patients with non-communicable diseases.
Methods
A scoping review was conducted by searching PubMed, Embase, Web of Science, and Scopus from January 2000 to May 2024. Eligible studies reported clinical pharmacist interventions in palliative care. Data were extracted on study characteristics, pharmacist activities, and clinical outcomes.
Results
Twelve studies were included, predominantly from the United States. Pharmacist-led interventions encompassed medication reconciliation (91.7%), symptom management (83.3%), adverse drug event prevention (75.0%), patient and caregiver education (58.3%), and policy-level contributions (33.3%). High physician acceptance rates (≥90%) were consistently reported. Outcomes included improved symptom control, reduced drug-related problems, and enhanced patient-reported quality of life.
Significance of results
This scoping review synthesizes current evidence on the roles of clinical pharmacists in palliative care teams. The findings highlight their essential contributions to medication safety, symptom management, deprescribing, and opioid stewardship, reinforcing the need for pharmacist integration into multidisciplinary palliative care models to improve patient-centered outcomes. Future research should focus on implementation models, cost-effectiveness analyses, and service expansion in community-based settings.
The current study aimed to investigate the effects of different iron sources on growth performance and small intestinal health in weaned piglets. Two hundred and forty piglets (Duroc × Large White × Landrace, 9.52 ± 1.60 kg, 40 ± 2 d) were assigned to four treatments including control group, a basal diet without iron supplemented in mineral premix; ferrous sulfate (FeSO4) group, 100 mg Fe/kg dry matter (DM); ferrous glycinate (Fe-Gly) group, 80 mg Fe/kg DM; amino acid-Fe(II)-chelator complexes group, 30 mg Fe/kg DM. There were four pens for each treatment, and each pen had fifteen piglets. The experiment lasted for 28 days. Compared to the control group, three iron sources increased average daily feed intake (P < 0.05). Fe-Gly and amino acid-Fe(II)-chelator complexes increased average daily gain (P < 0.05). Amino acid-Fe(II)-chelator complexes increased villus height in jejunum (P < 0.05). In addition, Fe-Gly increased Ki67 and leucine rich repeat containing G protein-coupled receptor 5 (Lgr5) mRNA expression in duodenum (P < 0.05). Amino acid-Fe(II)-chelator complexes increased claudin-1 mRNA expression, and both amino acid-Fe(II)-chelator complexes and Fe-Gly increased Lgr5 mRNA expression (P < 0.05) in jejunum. These results suggest that organic iron is more effective than FeSO4 in improving growth performance, and has a positive effect on intestinal health in weanling piglets.
The purpose of this study is to reveal the impact of pilot free trade zones (PFTZs) on local governance quality (LGQ) to provide a reference for driving governance reforms in China. Based on provincial panel data from 2004 to 2020 in China, the impact of the establishment of PFTZs on LGQ is analyzed by employing the multi-period difference-in-difference (DID) method. The results show that the establishment of PFTZs can significantly enhance the governance quality of local governments, but there is heterogeneity in location and establishment batches. PFTZs improve LGQ through the effects of institutional spillover, factor allocation, and talent agglomeration. FDI spillover can partially substitute for promoting the effect of PFTZs on LGQ, and economic growth pressures can distort the positive effect of PFTZs on LGQ. Therefore, policymakers should clarify the functional positioning of PFTZs and leverage their effects, which are institutional spillover, factor allocation, and high-end factor agglomeration, to enhance LGQ.
One-degree-of-freedom flow-induced vibration (FIV) and energy harvesting through FIV of an elastically mounted circular cylinder with mechanically coupled rotation were investigated numerically for low Reynolds number 100, mass ratio 8 and a wide range of reduced velocities. The aims of this study are to investigate the effect of the flow direction angle $\beta$ on the vibration and energy harvesting through FIV. Two types of lock-in are found: vortex-induced vibration (VIV) and galloping. The response amplitude increases with the increase of $\beta$ in both regimes. Both VIV response and galloping regimes are found for $\beta$ = 45° to $\beta$ = 90°. For $\beta$ = −90° to $\beta$ = 0°, only VIV response regimes are found. The fluid force and fluid torque play different roles in exciting/damping the vibration. In the high-amplitude gallop regime, the fluid force excites the vibration, and the torque damps the vibration. Energy harvesting at flow direction angle 90° is investigated as this flow direction has the maximum galloping amplitude. The energy harvesting is achieved by a linear electric damping coefficient in the numerical model. The maximum harvestable power in the galloping regime is significantly greater than that in the VIV regime, and it increases with the increase of the reduced velocity. When the reduced velocity is 20, the harvested power is over 20 times that in the VIV regime, and can further increase if reduced velocity further increases. The maximum efficiency over all simulated parameters is 0.424, occurring when the reduced velocity is 20, and electric damping factor is 0.04.
Late-onset depression (LOD) is featured by disrupted cognitive performance, which is refractory to conventional treatments and increases the risk of dementia. Aberrant functional connectivity among various brain regions has been reported in LOD, but their abnormal patterns of functional network connectivity remain unclear in LOD.
Methods
A total of 82 LOD and 101 healthy older adults (HOA) accepted functional magnetic resonance imaging scanning and a battery of neuropsychological tests. Static functional network connectivity (sFNC) and dynamic functional network connectivity (dFNC) were analyzed using independent component analysis, with dFNC assessed via a sliding window approach. Both sFNC and dFNC contributions were classified using a support vector machine.
Results
LOD exhibited decreased sFNC among the default mode network (DMN), salience network (SN), sensorimotor network (SMN), and language network (LAN), along with reduced dFNC of DMN-SN and SN-SMN. The sFNC of SMN-LAN and dFNC of DMN-SN contributed the most in differentiating LOD and HOA by support vector machine. Additionally, abnormal sFNC of DMN-SN and DMN-SMN both correlated with working memory, with DMN-SMN mediating the relationship between depression and working memory. The dFNC of SN-SMN was associated with depressive severity and multiple domains of cognition, and mediated the impact of depression on memory and semantic function.
Conclusions
This study displayed the abnormal connectivity among DMN, SN, and SMN that involved the relationship between depression and cognition in LOD, which might reveal mutual biomarkers between depression and cognitive decline in LOD.
Previous research has suggested bidirectional relations between depressive symptoms and both internal and external core beliefs (self-esteem and optimism, respectively) in adolescence. However, little work has examined the cultural commonality versus specificity of these developmental pathways in adolescence across diverse contexts. To address this gap, the current study traced bidirectional associations among depressive symptoms and two forms of core beliefs (self-esteem and optimism) in adolescents from 12 cultural groups in nine countries. Longitudinal data were collected from 1,090 adolescents at ages 15 and 17. Significant associations emerged between age 15 depressive symptoms and both age 17 core beliefs across all cultural groups except Sweden. No significant associations between age 15 core beliefs and age 17 depressive symptoms were found in the multigroup model. However, the pathways from core beliefs to depressive symptoms and from depressive symptoms to core beliefs did not significantly differ in strength. These findings provide cross-cultural evidence for the scar theory (depressive symptoms → core beliefs), but no clear support for the vulnerability theory (core beliefs → depressive symptoms), perhaps due to the measurement and stability of depression. These findings have implications for understanding the adolescent development of psychopathology and cognitions, such as core beliefs, across diverse cultures.
The heating effect of electromagnetic waves in ion cyclotron range of frequencies (ICRFs) in magnetic confinement fusion device is different in different plasma conditions. In order to evaluate the ICRF heating effect in different plasma conditions, we conducted a series of experiments and corresponding TRANSP simulations on the EAST tokamak. Both simulation and experimental results show that the effect of ICRF heating is poor at low core electron density. The decrease in electron density changes the left-handed electric field near the resonant layer, resulting in a significant decrease in the power absorbed by the hydrogen fundamental resonance. However, quite a few experiments must be performed in plasma conditions with low electron density. It is necessary to study how to make ICRF heating best in low electron density plasma. Through a series of simulation scans of the parallel refractive index (n//) of the ICRF antenna, it is concluded that the change of the ICRF antenna n// will lead to the change of the left-handed electric field, which will change the fundamental absorption of ICRF power by the hydrogen minority ions. Fully considering the coupling of ion cyclotron wave at the tokamak boundary and the absorption in the plasma core, optimizing the ICRF antenna structure and selecting appropriate parameters such as parallel refractive index, minority ion concentration, resonance layer position, plasma current and core electron temperature can ensure better heating effect in the ICRF heating experiments in the future EAST upgrade. These results have important implications for the enhancement of the auxiliary heating effect of EAST and other tokamaks.
This paper focuses on the feature-based visual-inertial odometry (VIO) in dynamic illumination environments. While the performance of most existing feature-based VIO methods is degraded by the dynamic illumination, which leads to unstable feature association, we propose a tightly-coupled VIO algorithm termed RAFT-VINS, integrating a Lite-RAFT tracker into the visual inertial navigation system (VINS). The key module of this odometry algorithm is a lightweight optical flow network designed for accurate feature tracking with real-time operation. It guarantees robust feature association in dynamic illumination environments and thereby ensures the performance of the odometry. Besides, to further improve the accuracy of the pose estimation, a moving consistency check strategy is developed in RAFT-VINS to identify and remove the outlier feature points. Meanwhile, a tightly-coupled optimization-based framework is employed to fuse IMU and visual measurements in the sliding window for efficient and accurate pose estimation. Through comprehensive experiments in the public datasets and real-world scenarios, the proposed RAFT-VINS is validated for its capacity to provide trustable pose estimates in challenging dynamic illumination environments. Our codes are open-sourced on https://github.com/USTC-AIS-Lab/RAFT-VINS.
The attached-eddy model (AEM) predicts that the mean streamwise velocity and streamwise velocity variance profiles follow a logarithmic shape, while the vertical velocity variance remains invariant with height in the overlap region of high Reynolds number wall-bounded turbulent flows. Moreover, the AEM coefficients are presumed to attain asymptotically constant values at very high Reynolds numbers. Here, the AEM predictions are examined using sonic anemometer measurements in the near-neutral atmospheric surface layer, with a focus on the logarithmic behaviour of the streamwise velocity variance. Utilizing an extensive 210-day dataset collected from a 62 m meteorological tower located in the Eastern Snake River Plain, Idaho, USA, the inertial sublayer is first identified by analysing the measured momentum flux and mean velocity profiles. The logarithmic behaviour of the streamwise velocity variance and the associated ‘$-1$’ scaling of the streamwise velocity energy spectra are then investigated. The findings indicate that the Townsend–Perry coefficient ($A_1$) is influenced by mild non-stationarity that manifests itself as a Reynolds number dependence. After excluding non-stationary runs, and requiring the bulk Reynolds number defined using the atmospheric boundary layer height to be larger than $4 \times 10^{7}$, the inferred $A_1$ converges to values ranging between 1 and 1.25, consistent with laboratory experiments. Furthermore, nine benchmark cases selected through a restrictive quality control reveal a close relation between the ‘$-1$’ scaling in the streamwise velocity energy spectrum and the logarithmic behaviour of streamwise velocity variance. However, additional data are required to determine whether the plateau value of the pre-multiplied streamwise velocity energy spectrum is identical to $A_1$.
Triceps skinfold thickness (TSF) is a surrogate marker of subcutaneous fat. Evidence is limited about the association of sex-specific TSF with the risk of all-cause mortality among maintenance haemodialysis (MHD) patients. We aimed to investigate the longitudinal relationship of TSF with all-cause mortality among MHD patients. A multicenter prospective cohort study was performed on 1034 patients undergoing MHD. The primary outcome was all-cause mortality. The median (interquartile range) of TSF was 9·7 (6·3–13·3 mm) in males and 12·7 (10·0–18·0 mm) in females. Over a median follow-up of 4·4 years (interquartile range, 2·4–7·9 years), there were 548 (53·0 %) deaths. When TSF was assessed as sex-specific quartiles, compared with those in quartile 1, the adjusted hazard ratio (HR) (95 % CI) of all-cause mortality in quartile 2, quartile 3 and quartile 4 was 0·93 (0·73, 1·19), 0·75 (0·58, 0·97) and 0·69 (0·52, 0·92), respectively (P for trend = 0·005). Moreover, when analysed by sex, increased TSF (≥9·7 mm for males and ≥18 mm for females) was significantly associated with a reduced risk of all-cause mortality (quartile 3–4 v. quartile 1–2; HR, 0·70; 95 % CI: 0·55, 0·90 in males; quartile 4 v. quartile 1–3; HR, 0·69; 95 % CI: 0·48, 1·00 in females). In conclusion, high TSF was significantly associated with a lower risk of all-cause mortality in MHD patients.
Machine learning (ML) models have been developed to identify randomised controlled trials (RCTs) to accelerate systematic reviews (SRs). However, their use has been limited due to concerns about their performance and practical benefits. We developed a high-recall ensemble learning model using Cochrane RCT data to enhance the identification of RCTs for rapid title and abstract screening in SRs and evaluated the model externally with our annotated RCT datasets. Additionally, we assessed the practical impact in terms of labour time savings and recall improvement under two scenarios: ML-assisted double screening (where ML and one reviewer screened all citations in parallel) and ML-assisted stepwise screening (where ML flagged all potential RCTs, and at least two reviewers subsequently filtered the flagged citations). Our model achieved twice the precision compared to the existing SVM model while maintaining a recall of 0.99 in both internal and external tests. In a practical evaluation with ML-assisted double screening, our model led to significant labour time savings (average 45.4%) and improved recall (average 0.998 compared to 0.919 for a single reviewer). In ML-assisted stepwise screening, the model performed similarly to standard manual screening but with average labour time savings of 74.4%. In conclusion, compared with existing methods, the proposed model can reduce workload while maintaining comparable recall when identifying RCTs during the title and abstract screening stages, thereby accelerating SRs. We propose practical recommendations to effectively apply ML-assisted manual screening when conducting SRs, depending on reviewer availability (ML-assisted double screening) or time constraints (ML-assisted stepwise screening).
The problem of how to effectively track and intercept small aircraft that break into the no-fly zones is now attracting increasing interest in robotics society. Vision-based control has been proved an effective solution to the target tracking problem for unmanned aerial vehicles (UAVs). Due to the limited field of view (FOV) of onboard vision sensors, existing works assume that the target is always detectable during tracking or limit the flight speed of the UAV in practice. In this paper, inspired by the broad FOV of camera network, we are the first to propose an eye-to-hand (i.e., fixed cameras) visual servoing scheme to track and intercept aerial targets by using UAVs and ground visual sensors. Specifically, utilizing rotation matrices, we first present a visual servoing equation to convert the UAV motion in image planes to the inertial frame. Then, an image-based visual servoing controller is designed directly based on image errors of camera nodes in the sensor network, and system stability is proved by means of Lyapunov analysis. Additionally, to achieve the desired translational velocity command, a low-level attitude controller is developed based on the UAV dynamics. Finally, a series of experiments in both simulated and real flight scenarios show the outstanding efficacy of our method.
The environmental effects of nanoparticles have attracted widespread attention. The removal and recycling of nanoparticles are crucial for both environmental protection and resource reuse. However, current removal and recycling methods are not yet mature, and there is a need to explore inexpensive materials for the efficient removal and recycling of nanoparticles. This study investigates the effects of pyrite species, thermal modification temperature, pH and ionic strength on the adsorption of gold nanoparticles (AuNPs) by pyrite. The experimental results demonstrate that the adsorption rate of artificially thermally modified pyrite is slightly faster than that of naturally thermally modified pyrite. However, the concentration of Fe ions dissolved from the artificially thermally modified pyrite is higher. Natural pyrite, when thermally modified at 400°C and 500°C, adsorbs 100% of AuNPs within 10 min. The lower the acidity of the system, the faster the adsorption rate. Conversely, an increase in ionic strength decreases the adsorption rate. Artificially thermally modified pyrite primarily adsorbs AuNPs through electrostatic gravitational attraction, which is supplemented by a significant amount of chemisorption. After four recycling cycles, the adsorption and desorption rates of AuNPs using artificially thermally modified pyrite were 92.1% and 94.2%, respectively, indicating excellent adsorption and recovery performance. The results of this study provide a new method for the recycling of nanoparticles and an experimental basis for the further application of thermally modified pyrite in environmental treatments.
Despite growing awareness of the mental health damage caused by air pollution, the epidemiologic evidence on impact of air pollutants on major mental disorders (MDs) remains limited. We aim to explore the impact of various air pollutants on the risk of major MD.
Methods
This prospective study analyzed data from 170 369 participants without depression, anxiety, bipolar disorder, and schizophrenia at baseline. The concentrations of particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5), particulate matter with aerodynamic diameter > 2.5 μm, and ≤ 10 μm (PM2.5–10), nitrogen dioxide (NO2), and nitric oxide (NO) were estimated using land-use regression models. The association between air pollutants and incident MD was investigated by Cox proportional hazard model.
Results
During a median follow-up of 10.6 years, 9 004 participants developed MD. Exposure to air pollution in the highest quartile significantly increased the risk of MD compared with the lowest quartile: PM2.5 (hazard ratio [HR]: 1.16, 95% CI: 1.09–1.23), NO2 (HR: 1.12, 95% CI: 1.05–1.19), and NO (HR: 1.10, 95% CI: 1.03–1.17). Subgroup analysis showed that participants with lower income were more likely to experience MD when exposed to air pollution. We also observed joint effects of socioeconomic status or genetic risk with air pollution on the MD risk. For instance, the HR of individuals with the highest genetic risk and highest quartiles of PM2.5 was 1.63 (95% CI: 1.46–1.81) compared to those with the lowest genetic risk and lowest quartiles of PM2.5.
Conclusions
Our findings highlight the importance of air pollution control in alleviating the burden of MD.
A high-energy pulsed vacuum ultraviolet (VUV) solid-state laser at 177 nm with high peak power by the sixth harmonic of a neodymium-doped yttrium aluminum garnet (Nd:YAG) amplifier in a KBe2BO3F2 prism-coupled device was demonstrated. The ultraviolet (UV) pump laser is a 352 ps pulsed, spatial top-hat super-Gaussian beam at 355 nm. A high energy of a 7.12 mJ VUV laser at 177 nm is obtained with a pulse width of 255 ps, indicating a peak power of 28 MW, and the conversion efficiency is 9.42% from 355 to 177 nm. The measured results fitted well with the theoretical prediction. It is the highest pulse energy and highest peak power ever reported in the VUV range for any solid-state lasers. The high-energy, high-peak-power, and high-spatial-uniformity VUV laser is of great interest for ultra-fine machining and particle-size measurements using UV in-line Fraunhofer holography diagnostics.
This study aimed to investigate the effects of esketamine (Esk) combined with dexmedetomidine (Dex) on postoperative delirium (POD) and quality of recovery (QoR) in elderly patients undergoing thoracoscopic radical lung cancer surgery.
Methods
In this prospective, randomized, and controlled study, 172 elderly patients undergoing thoracoscopic radical lung cancer surgery were divided into two groups: the Esk + Dex group (n = 86) and the Dex group a (n = 86). The primary outcome was the incidence of POD within 7 days after surgery and the overall Quality of Recovery−15 (QoR − 15) scores within 3 days after surgery. Secondary outcomes included postoperative adverse reactions, extubation time, PACU stay, and hospitalization time. Serum levels of IL-6, IL-10, S100β protein, NSE, CD3+, CD4+, and CD8+ were detected from T0 to T5.
Results
Compared with the Dex group, the incidence of POD in the Esk + Dex group was significantly lower at 7 days after surgery (14.6% vs 30.9%; P = 0.013). The QoR − 15 score was significantly increased 3 days after surgery (P < 0.01). Levels of IL-6 and CD8+ were significantly decreased, and IL − 10 levels were significantly increased at T1-T2 (P < 0.05). At T1-T4, NSE levels were significantly decreased, while CD3+ and CD4+/CD8+ values were significantly increased (P < 0.01). At T1-T5, serum S100β protein concentration decreased significantly, and CD4+ value increased significantly (P < 0.01). The incidence of nausea/vomiting and hyperalgesia decreased significantly 48 hours after surgery (P < 0.01). The duration of extubation, PACU stay, and postoperative hospitalization were significantly shortened.
Conclusions
Esketamine combined with dexmedetomidine can significantly reduce the POD incidence and improve the QoR in patients undergoing thoracoscopic radical lung cancer surgery, which may be related to the improvement of cellular immune function.
This study aims to evaluate the impact of low-carbohydrate diet, balanced dietary guidance and pharmacotherapy on weight loss among individuals with overweight or obesity over a period of 3 months. The study involves 339 individuals with overweight or obesity and received weight loss treatment at the Department of Clinical Nutrition at the Second Affiliated Hospital of Zhejiang University, School of Medicine, between 1 January 2020 and 31 December 2023. The primary outcome is the percentage weight loss. Among the studied patients, the majority chose low-carbohydrate diet as their primary treatment (168 (49·56 %)), followed by balanced dietary guidance (139 (41·00 %)) and pharmacotherapy (32 (9·44 %)). The total percentage weight loss for patients who were followed up for 1 month, 2 months and 3 months was 4·98 (3·04, 6·29) %, 7·93 (5·42, 7·93) % and 10·71 (7·74, 13·83) %, respectively. Multivariable logistic regression analysis identified low-carbohydrate diet as an independent factor associated with percentage weight loss of ≥ 3 % and ≥ 5 % at 1 month (OR = 0·461, P < 0·05; OR = 0·349, P < 0·001). The results showed that a low-carbohydrate diet was an effective weight loss strategy in the short term. However, its long-term effects were comparable to those observed with balanced dietary guidance and pharmacotherapy.
We aimed to evaluate the association of coffee consumption with different additives, including milk and/or sweetener (sugar and/or artificial sweetener), and different coffee types, with new-onset acute kidney injury (AKI), and examine the modifying effects of genetic variation in caffeine metabolism. 194 324 participants without AKI at baseline in the UK Biobank were included. The study outcome was new-onset AKI. During a median follow-up of 11·6 years, 5864 participants developed new-onset AKI. Compared with coffee non-consumers, a significantly lower risk of new-onset AKI was found in coffee consumers adding neither milk nor sugar to coffee (hazard ratio (HR), 0·86; 95 % CI, 0·78, 0·94) and adding only milk to coffee (HR,0·83; 95 % CI, 0·78, 0·89), but not in coffee consumers adding only sweetener (HR,1·14; 95 % CI, 0·99, 1·31) and both milk and sweetener to coffee (HR,0·96; 95 % CI, 0·89, 1·03). Moreover, there was a U-shaped association of coffee consumption with new-onset AKI, with the lowest risk at 2–3 drinks/d, in unsweetened coffee (no additives or milk only to coffee), but no association was found in sweetened coffee (sweetener only or both milk and sweetener to coffee). Genetic variation in caffeine metabolism did not significantly modify the association. A similar U-shaped association was found for instant, ground and decaffeinated coffee consumption in unsweetened coffee consumers, but not in sweetened coffee consumers. In conclusion, moderate consumption (2–3 drinks/d) of unsweetened coffee with or without milk was associated with a lower risk of new-onset AKI, irrespective of coffee type and genetic variation in caffeine metabolism.