A new strategy for constructing artificial light-harvesting systems: supramolecular self-assembly gels with AIE properties.

An artificial light-harvesting system (ALHS) has been designed and constructed based on supramolecular organogels made of a simple hydrazide-functionalized benzimidazole derivative (HB), as well as the fluorescent dye rhodamine B (RhB). RhB acted as a good acceptor to realize the energy-transfer process with good efficiency based on a HB/RhB assembly, which showed considerable fluorescence resonance energy transfer (FRET) efficiency of 53% for the energy transfer process. Remarkably, the obtained system showed superior color conversion abilities, converting blue light into orange light. By properly tuning the donor to acceptor ratio, bright orange light emission was achieved with a high fluorescence quantum yield of 35.5%. This system exhibited promise for applications relating to visible-light photo-transformation.

Individualized resuscitation strategy for septic shock formalized by finite mixture modeling and dynamic treatment regimen.

BACKGROUND: Septic shock comprises a heterogeneous population, and individualized resuscitation strategy is of vital importance. The study aimed to identify subclasses of septic shock with non-supervised learning algorithms, so as to tailor resuscitation strategy for each class. METHODS: Patients with septic shock in 25 tertiary care teaching hospitals in China from January 2016 to December 2017 were enrolled in the study. Clinical and laboratory variables were collected on days 0, 1, 2, 3 and 7 after ICU admission. Subclasses of septic shock were identified by both finite mixture modeling and K-means clustering. Individualized fluid volume and norepinephrine dose were estimated using dynamic treatment regime (DTR) model to optimize the final mortality outcome. DTR models were validated in the eICU Collaborative Research Database (eICU-CRD) dataset. RESULTS: A total of 1437 patients with a mortality rate of 29% were included for analysis. The finite mixture modeling and K-means clustering robustly identified five classes of septic shock. Class 1 (baseline class) accounted for the majority of patients over all days; class 2 (critical class) had the highest severity of illness; class 3 (renal dysfunction) was characterized by renal dysfunction; class 4 (respiratory failure class) was characterized by respiratory failure; and class 5 (mild class) was characterized by the lowest mortality rate (21%). The optimal fluid infusion followed the resuscitation/de-resuscitation phases with initial large volume infusion and late restricted volume infusion. While class 1 transitioned to de-resuscitation phase on day 3, class 3 transitioned on day 1. Classes 1 and 3 might benefit from early use of norepinephrine, and class 2 can benefit from delayed use of norepinephrine while waiting for adequate fluid infusion. CONCLUSIONS: Septic shock comprises a heterogeneous population that can be robustly classified into five phenotypes. These classes can be easily identified with routine clinical variables and can help to tailor resuscitation strategy in the context of precise medicine.

Characteristics of expanded polystyrene microplastics on island beaches in the Pearl River Estuary: abundance, size, surface texture and their metals-carrying capacity.

While expanded polystyrene (EPS) microplastics have been widely recognized as one of the most important components of plastic litter in the intertidal zones of the global ocean, our understanding of their environmental fate on island beaches is insufficient. In this study, we intended to reveal that the latest EPS microplastic pollution status on 5 island beaches in the Pearl River Estuary, China, by comprehensively assessing the abundance, distribution, size, surface texture and carrying capacity of heavy metals (Cd, As, Cr, Ni, Cu, Pb, Mn, Fe, Al). High level of EPS microplastic abundance ranged from 328 to 82,276 particles m-2 was found, with the highest abundance at Guishan Island and the lowest at Dong'ao Island. Spatial distribution of EPS microplastic abundance was significantly different among different islands. EPS microplastics in the size range of 1-2 mm were the most abundant. The content of heavy metals in EPS microplastics collected on the beaches was greater than that in the new EPS products. The average concentrations of heavy metals in EPS microplastics from 5 islands are Cd (0.27 ± 0.19 µg g-1), As (5.50 ± 3.84 µg g-1), Cr (14.9 ± 8.25 µg g-1), Cu (15.0 ± 7.66 µg g-1), Ni (17.2 ± 17.6 µg g-1), Pb (24.8 ± 7.39 µg g-1), Mn (730 ± 797 µg g-1), Fe (8340 ± 4760 µg g-1), and Al (9624 ± 6187 µg g-1), respectively. The correlation between heavy metals in EPS microplastics and sediments was better than that between heavy metals in EPS microplastics and seawater. The study results indicated that EPS microplastics could act as a carrier for the transport of heavy metals, which might pose a threat to biological and human health.

Advances in the use of functional composites of ß-cyclodextrin in electrochemical sensors.

ß-Cyclodextrin (ß-CD) possess a hydrophobic inner cavity and a hydrophilic exterior surface. They exhibit excellent inclusion properties with the guest molecules that match cavity size, and ß-CD-based materials drew widespread attention in electrochemical sensors. The hydroxy groups at the edge of the cavity can form hydrogen bonds and undergo electrostatic and dipole-dipole interactions with other molecules. This review (with 109 refs.) reveals ß-CD-based detection mechanisms from the viewpoint of the size/shape-fit concept, and summarizes the current state of multiple electrochemical sensors based on the use of ß-CD and functionalized ß-CD such as carboxymethyl-ß-CD, mono-(6-ethanediamine-6-deoxy)-ß-CD, hydroxypropyl-ß-CD, thio-ß-cyclodextrin, and others. Graphical abstract Schematic diagram of cyclodextrin inclusion complex formation in aqueous solution, represents water molecules, represents guest molecule.

Mild and Efficient Preparation of N-Heterocyclic Organic Molecules by Catalyst-free and Solvent-free Methods.

AIMS: The small organic molecular compounds with biological activity containing C-C and C-N or C-O bonding were efficiently prepared without catalyst and solvent in the hydrothermal synthesis reactor. OBJECTIVES: Our goal was to explore new applications for the more environmentally friendly and efficient synthesis of bis(indolyl)methyl, xanthene, quinazolinone, and N-heterocyclic derivatives in hydrothermal synthesis reactors under solvent-free and catalyst-free conditions. METHODS: A greener and more efficient method was successfully developed for the synthesis of bis(indolyl)methyl, heteroanthracene, quinazolinone, and N-heterocyclic derivatives using a hydrothermal synthesis reactor in a solvent- and catalyst-free manner. RESULTS: In a hydrothermal synthesis reactor, bis(indoyl)methyl, xanthene, quinazolinone, and N-heterocyclic derivatives were synthesized without catalysts and solvents. CONCLUSION: Overall, it is proved once again that the catalyst-free and solvent-free synthesis method has universal value and is a more ideal and environmentally friendly new method, especially the hydrothermal reactor for synthesis.

[Analysis of Influencing Factors of Ozone Pollution Difference Between Chengdu and Chongqing in August 2022].

In August 2022, Chengdu and Chongqing showed significant differences in ozone (O3) pollution. Chengdu had O3 pollution days for 20 days, whereas Chongqing had no O3 pollution days. In this study, we analyzed the influencing factors of this difference from the emission level of precursors and meteorological conditions. The results showed that:① the total mixing ratio of 52 VOCs (volatile organic compounds) (including 26 alkanes, 16 aromatics, and 10 alkenes) in Chengdu (18.8×10-9) was 2.8 times that of Chongqing (6.6×10-9), and the total O3 formation potential (OFP) (51.2×10-9) was 2.0 times that of Chongqing (25.0×10-9). The·OH radical loss rate (L·OH) (3.9 s-1) was 1.7 times that of Chongqing (2.3 s-1). The top three OFP in Chengdu were ethylene, m/p-xylene, and isoprene, and those in Chongqing were isoprene, ethylene, and propylene. The contribution rate of alkenes to O3 in Chongqing was 60.7%, whereas the OFP of alkenes and aromatics in Chengdu were 1.6 times and 2.9 times that in Chongqing. In conclusion, the total mixing ratio of VOCs, atmospheric photochemical activity, and O3 formation potential of Chengdu were higher than those of Chongqing. ② Isoprene was ranked first place in L·OH in both Chengdu and Chongqing, indicating that the contribution of biogenic sources to O3 pollution in August was significant. However, the biogenic source emission activity was in response to temperature. From August 14 to 24, the high temperature in Chongqing (38.3℃) decreased biogenic source emission activity, whereas the temperature in Chengdu (34.9℃) increased the biogenic sources emission activity. ③ The horizontal and vertical atmospheric diffusion conditions of Chongqing were better than those of Chengdu, and Chengdu was affected by regional pollution transmission.

Probing the occurrence, sources and cancer risk assessment of polycyclic aromatic hydrocarbons in PM2.5 in a humid metropolitan city in China.

Fifty-two consecutive PM2.5 samples from December 2021 to February 2022 (the whole winter) were collected in the center of Chongqing, a humid metropolitan city in China. These samples were analysed for the 16 USEPA priority polycyclic aromatic hydrocarbons (16 PAHs) to explore their composition and sources, and to assess their cancer risks to humans. The total concentrations of the 16 PAHs (ng m-3) ranged from 16.45 to 174.15, with an average of 59.35 ± 21.45. Positive matrix factorization (PMF) indicated that traffic emissions were the major source (42.4%), followed by coal combustion/industrial emission (31.3%) and petroleum leakage/evaporation (26.3%). The contribution from traffic emission to the 16 PAHs increased from 40.0% in the non-episode days to as high as 46.2% in the air quality episode during the sampling period. The population attributable fraction (PAF) indicates that when the unit relative risk (URR) is 4.49, the number of lung cancer cases per million individuals under PAH exposure is 27 for adults and 38 for seniors, respectively. It was 5 for adults and 7 for seniors, when the URR is 1.3. The average incremental lifetime cancer risk (ILCR) for children, adolescents, adults and seniors was 0.25 × 10-6, 0.23 × 10-6, 0.71 × 10-6, and 1.26 × 10-6, respectively. The results of these two models complemented each other well, and both implied acceptable PAH exposure levels. Individual genetic susceptibility and exposure time were identified as the most sensitive parameters. The selection and use of parameters in risk assessment should be further deepened in subsequent studies to enhance the reliability of the assessment results.

[Characteristics and Source Apportionment of Carbonaceous Aerosols in the Typical Urban Areas in Chongqing During Winter].

To investigate the characteristics, source apportionment, and potential source areas of carbonaceous aerosols in Chongqing during winter, PM2.5 samples were collected from January 2021 to February 2021 in the urban areas of Wanzhou (WZ), Yubei (YB), and Shuangqiao (SQ). The results showed that the average mass concentrations of PM2.5, OC, and EC in SQ were (72.6 ±33.3), (18.2 ±8.2), and (4.4 ±1.7) µg·m-3, respectively, higher than those in WZ[(67.2 ±30.3), (17.2 ±7.4), and (5.1 ±2.4) µg·m-3] and YB[(63.4 ±25.7), (15.4 ±6.3), and (4.2 ±1.9) µg·m-3]. Compared with that during the clear period, the concentration and fraction of EC in total carbon increased by 103.0% and 8.1%, respectively, in WZ compared to that in other areas during pollution period, whereas the OC/EC ratio was decreased significantly (-10.5%), indicating that the primary emission of carbonaceous aerosols increased significantly during the pollution period. The average mass concentrations of secondary organic carbon (SOC) in SQ and YB were (7.7 ±4.8) µg·m-3 and (6.9 ±2.8) µg·m-3 significantly higher, respectively, than that in WZ[(4.5 ±1.9) µg·m-3] during the campaign. This indicated that the secondary transformation had a greater influence on the carbonaceous aerosols in SQ and YB than that in WZ. Furthermore, in contrast to that in WZ, the ratios of SOC/OC were increased with the increase in PM2.5 concentrations, and significant correlations between SOC concentration and aerosol water content, NO2 concentration, and the value of NOR were observed in SQ and YB (P < 0.01), indicating that the increasing of carbonaceous aerosol concentrations might be mainly driven by the SOC with -NO2 groups produced by aqueous chemical reactions during winter in SQ and YB. The positive definite matrix factor (PMF) results in these urban areas showed that the contribution of biomass/coal combustion source in WZ (47.4%) was significantly higher than that in YB (34.2%) and SQ (38.1%), whereas the gasoline motor vehicle emission and secondary transformation impacts were more significant in YB. The results of the concentration weighted trajectory (CWT) showed that the potential sources of carbonaceous aerosols were mainly the local and northeastern parts of these urban areas (such as Changshou).

Shape-controlled hollow Cu2O@CuS nanocubes with enhanced photocatalytic activities towards degradation of tetracycline.

In view of recent advances in photodegradation of antibiotics, low cost and stable photocatalyst remain rare. In this article, shape-controlled Cu2O@CuS nanocubes with the larger specific surface area were successfully prepared via a simple template-engaged strategy. Cu2O nanocubes were synthesized through a reduction method as original templates, the core-shelled Cu2O@CuS nanocubes were formed by sulphuration with Na2S as sulphur source, and the Cu2O core can be incompletely removed by Na2S2O3 to generate the Cu2O@CuS nanoboxes. Herein, hierarchical nanoboxes with two-layered Cu2O@CuS were used as photocatalyst materials for photocatalytic degradation of tetracycline (TC). The obtained nanocubes manifested high specific surface area (39.65 m2 g-1) and large pore volume (12.3 cm3 g-1). The degradation performance for TC was investigated in detail, including the effect of parameters such as photocatalyst, pH and catalyst dosage. The results indicated that degradation efficiencies were higher than 90% under visible light. Moreover, the degradation efficiency was 71% after six times.

Adsorption of heavy metals on biodegradable and conventional microplastics in the Pearl River Estuary, China.

In recent years, microplastics (MPs) as emerging carriers for environmental pollutants have attracted increasing worldwide attention. However, the adsorption of heavy metals on MPs, especially for biodegradable MPs, has been still poorly understood in estuarine environments. In this study, we investigated the aging of biodegradable and conventional MPs in the Pearl River Estuary after long-term exposure and their impacts on the adsorption of heavy metals from seawater. The results showed that the changes in surface characteristics were more prominent on biodegradable MPs than on conventional MPs after aging. Both biodegradable and conventional MPs could adsorb heavy metals, and their adsorption capacities fluctuated greatly on different MPs and different exposure times. The adsorption capacities of Cu, Pb, and As on biodegradable MPs were higher than those on conventional MPs, whereas Mn, Cr, and Co had lower adsorption on biodegradable MPs after 9-12 months by inductively coupled plasma-mass spectrometry (ICP-MS). The aging characteristics (CI, O/C, and Xc) of MPs accounted for a contribution of 51.0% on heavy metal adsorption, while the environmental factors (temperature, salinity, pH, and heavy metal concentration) only contributed to 13.2%. Therefore, the present study can provide important evidence on the environmental behaviors and ecological risks of biodegradable and conventional MPs in estuarine systems.

Acid protonation promoted different crystal phase structure silicon carbide-based carbon nitride composites to enhance the photocatalytic degradation of dye wastewater.

Acid-protonated crystalline silicon carbide-supported carbon nitride photocatalytic composites were successfully prepared by the impregnation-heat treatment method (P-g-C3N4/ß-SiC and P-g-C3N4/α-SiC). The samples were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS), Fourier transform infrared (FT-IR), UV-vis diffuse reflectance spectra (UV-vis-DRS) photoluminescence (PL), etc. The results of SEM showed that the P-g-C3N4/ß-SiC and P-g-C3N4/α-SiC materials were transformed from large-area lamellar structures to uniform and dispersed lamellar particles. The UV-vis-DRS and PL showed that the recombination probability of photogenerated electron-hole pairs of P-g-C3N4/ß-SiC and P-g-C3N4/α-SiC samples decreased and the band gap increased. The results of photocatalytic degradation of alizarin red S (ARS), acid fuchsin (AF), and basic fuchsin (BF) showed that the samples P-g-C3N4/ß-SiC and P-g-C3N4/α-SiC had excellent photocatalytic degradation performance. It is worth noting that the degradation performance of the sample P-g-C3N4/ß-SiC on the three dyes is better than that of P-g-C3N4/α-SiC. The electron spin resonance spectra (ESR) results showed that the ˙O2- and ˙OH produced by the two catalysts during the dye degradation process played a leading role in the degradation reaction. Fortunately, the catalyst maintains an excellent cycle life and can be reused more than seven times while degrading all three dyes.

[Source Apportionment of PM2.5 Based on Hybrid Chemical Transport and Receptor Model in Chongqing].

In order to further improve the accuracy of fine particulate matter (PM2.5) source apportionment results, a hybrid source apportionment approach (CTM-RM) combining the capabilities of a receptor model (RM) and chemical transport model (CTM) was developed. The CTM-RM method was evaluated and applied according to a typical PM2.5 pollution process from January 21 to 27, 2019 in Chongqing. The average value of square prediction error based on CTM-RM was 84.58% lower than that of CAMx/PSAT during the campaign. Compared with that of CAMx/PSAT, the fractional error of PM2.5 and its chemical component concentrations decreased by 15.69%-92.86%. Furthermore, the temporal and spatial variations in PM2.5 source impacts could be obtained using the CTM-RM method in Chongqing. The average adjustment factor (R) values were 1.39±0.38 (agriculture sources), 1.54±0.48 (industrial sources), 1.01±0.13 (power sources), 1.02±0.58 (residential sources), 0.86±0.59 (transportation sources), and 0.58±0.67 (other sources) in the main urban areas of Chongqing. Additionally, the cumulative distribution functions of R were found to be distinct among the six sources. The residential and industrial sources were the main sources of PM2.5, with contributions of 46.23% and 28.23%, respectively. In contrast to that of the other sources, the transportation source impacts of PM2.5 (8.62%) increased significantly from the clear period to pollution period (P<0.001), indicating that the increase in PM2.5 concentrations was mainly driven by vehicular emissions during the pollution period in the main urban areas of Chongqing. The fitting functions between the initial simulated concentrations and R values of each source in the main urban areas of Chongqing could be used to evaluate PM2.5 concentrations at 47 air quality monitoring stations in Chongqing, and the correlation between the refined simulated concentrations and measured concentration of PM2.5 was significant (r=0.82, P<0.001). Compared with that during the clear period, the increases in the percentages of industrial source impacts of PM2.5 in Northeast Chongqing and residential source impacts of PM2.5 in Southeast Chongqing were 17.20% and 9.15% higher, respectively, than that in other areas during the pollution period. By contrast, the increasing percentage of transportation source impacts of PM2.5 in the main urban areas of Chongqing (66.39%) and Western Chongqing (84.16%) from the clear period to the pollution period were higher than that in other areas. The results of CTM-RM on January 26 indicated that the residential source impacts in Northeast Chongqing (64.56%) were higher than those in other areas, and the industry source impacts of PM2.5 were primarily observed in the main urban areas of Chongqing and Western Chongqing, with contributions of 25.26% and 21.20%, respectively.

[Speciated Emission Inventory of VOCs from Industrial Sources and Their Ozone Formation Potential in Chongqing].

Based on the basic information of the Second National Pollution Source Census and the VOCs source profiles of industrial industries, we established the speciated emission inventory of major industrial sources in Chongqing in 2017, estimated their ozone formation potential (OFP), and identified the key control species of industrial VOCs and their sources. The results showed that the total VOCs emission from industrial sources and their OFPs were 144.12 kt and 477.34 kt, respectively. Automobile manufacturing, equipment manufacturing, plastic manufacturing, and chemical raw materials and chemical products were all industries that contributed significantly to VOCs emissions and OFP, with VOCs emissions of 37.18, 33.09, 19.47, and 18.14 kt and OFP of 191.43, 153.69, 27.21, and 57.51 kt, respectively. Aromatics were the components with the largest contribution to VOCs emissions and OFP, accounting for 62.55% of the total VOCs emissions and 82.15% of the total OFP, mainly from metal surface coating and petrochemical industries. The major reactive species of industrial source VOCs were m/p-xylene, toluene, ethylbenzene, o-xylene, and propylene, with OFP of 130.47, 103.37, 46.37, 42.83, and 28.26 kt, respectively, cumulatively accounting for 71.11% of the total OFP. In terms of spatial distribution, the emission intensity of VOCs and O3 pollution degree in all districts and counties of Chongqing were relatively consistent; the high value points of VOCs emissions and OFP were mainly distributed in the main urban area and the western area, and the sources of VOCs emission in the main urban area and western area were mainly in metal surface coating and the petrochemical industry, respectively.

Carbonaceous aerosols in urban Chongqing, China: Seasonal variation, source apportionment, and long-range transport.

Seventy-seven PM2.5 samples were collected at an urban site (Chongqing University Campus A) in October 2015 (autumn), December 2015 (winter), March 2016 (spring), and August 2016 (summer). These samples were analysed for organic carbon (OC), elemental carbon (EC), and their associated char, soot, 16 PAHs, and 28 n-alkanes to trace sources, and atmospheric transport pathways. The annual average of OC, EC, char, soot, ΣPAHs, and Σn-alkanes were 20.75 µg/m3, 6.18 µg/m3, 5.43 µg/m3, 0.75 µg/m3, 38.29 ng/m3, and 328.69 ng/m3, respectively. OC, ΣPAHs, and Σn-alkane concentrations were highest in winter and lowest in summer. EC, char, and soot concentrations were highest in autumn and lowest in winter. Source apportionment via positive matrix factorization (PMF) indicated that coal/biomass combustion-natural gas emissions (23.8%) and motor vehicle exhaust (20.2%) were the two major sources, followed by diesel and petroleum residue (21.1%), natural biogenic sources (17.7%), and evaporative/petrogenic sources (17.2%). The highest source contributor in autumn and winter was evaporative/petrogenic sources (30.6%) and natural biogenic sources (34.5%), respectively, whereas diesel engine emission contributed the most in spring and summer (32.1% and 38.0%, respectively). Potential source contribution function (PSCF) analysis identified southeastern Sichuan and northwestern Chongqing as the major potential sources of these pollutants. These datasets provide critical information for policymakers to establish abatement strategies for the reduction of carbonaceous pollutant emissions and improve air quality in Chongqing and other similar urban centres across China.

Impacts of reducing air pollutants and CO2 emissions in urban road transport through 2035 in Chongqing, China.

The road transport sector in megacities is confronted with pressing local air pollution and carbon dioxide (CO2) control issues. To determine effective policy instruments for saving energy and the co-control of air pollutants and CO2, several mainstream measures were examined and compared in Chongqing's road transport sector from 2017 to 2035. An integration assessment framework was developed by combining the Long-range Energy Alternatives Planning (LEAP) system and a set of quantitative methods for evaluating the co-benefits of emission reductions (including the air pollutant equivalent (APeq), co-control coordinate system, and pollutant reduction cross-elasticity (Elsa/b)). Results showed that the shifting transportation modes scenario presented the most significant potential for energy-saving and emission reductions, reducing energy use by 30.9% and air pollutants and CO2 emissions by approximately 27-32% compared with the business as usual (BAU) scenario in 2035. The improving energy efficiency scenario also provided significant co-benefits for reducing air pollutants and CO2 emissions. Nevertheless, the promoting alternative fuel scenario may increase fine particulate matter (PM2.5) emissions by 2.2% compared to BAU in 2035 under the cleanness of regional electricity in 2017. Our findings suggest that the shifting transportation modes were effective measures to reduce air pollutants and CO2 in the short term synergistically, and highlighted the importance of cleaner electricity generation to develop electric vehicles in the medium and long term.

[Pollution Characteristics and Source Apportionment of Atmospheric VOCs During Ozone Pollution Period in the Main Urban Area of Chongqing].

In late August 2020, a period of O3 pollution occurred in the main urban area of Chongqing and lasted for approximately 2 weeks (till early September). Ambient air samples, collected using Summa Canisters and DNPH sampling columns at three observation sites in the main urban area, were used to study the composition, photochemical reaction activity, and source apportionment of volatile organic compounds (VOCs) during the period of O3 pollution. The results showed that the mean volume fraction of TVOCs in the main urban area of Chongqing during the observation period was 45.08×10-9, and the components were ranked by volume fraction in the following order:OVOCs, alkanes, halohydrocarbons, alkenes, aromatics, and alkynes. Formaldehyde, ethylene, and acetone made up the higher volume fraction of VOCs, together accounting for more than 30% of TVOCs. OVOCs and alkenes contributed more to · OH loss rate (Li·OH) and ozone formation potential (OFP) and were the key VOCs components for ozone generation. The main active species in the OVOCs component were formaldehyde, acetaldehyde, and acrolein; the main active species in the alkene component were isoprene, ethylene, and n-butene. The ratio of xylene to ethylbenzene in VOCs was low, and they showed a significant correlation, indicating that the VOCs air mass in the main urban area was highly aging and affected by long-distance transmission from other areas. The source apportionment results of the PMF model showed five main sources of VOCs, namely secondary generation (27.67%), vehicle exhaust (26.56%), industrial emission (17.86%), plant (14.51%), and fossil fuel combustion (13.4%).

[Percutaneous endoscopic gastrostomy for home nutrition support in patients with stroke and post-traumatic brain].

OBJECTIVE: To evaluate the application value of percutaneous endoscopic gastrostomy (PEG) for home nutrition support in patients with stroke and post-traumatic brain. METHODS: We retrospectively analyzed the clinical data of the 16 patients with stroke and post-traumatic brain, including cerebral infarction (n = 9), cerebral hemorrhage ( n = 5), subarachnoid hemorrhage (n = 1), and cerebral trauma (n = 1). All these patients underwent PEG in our hospital because they were not able to be orally fed. RESULTS: The weight, triceps skinfold thickness, mid-upper arm muscle circumference, and serum albumin, hemoglobin, and lympholeukocyte cell counts 30, 60, and 120 days after hospital discharge were significantly higher than those at hospital discharge (P <0.05 or P <0.01). The NIHSS scores 30, 60, and 120 days after hospital discharge were 14.0 +/- 1.3, 14.0 +/- 1.1, and 3.0 +/- 1.2, respectively, which were significantly lower than 16.0 +/- 1.2 at hospital discharge (all P <0.05). Complications included gastric contents retention (n = 1), backstreaming (n = 1), aspirated pneumonia (n = 1), and intra-cushion syndrome (n = 1). CONCLUSIONS: PEG for home nutrition support is useful for the treatment of patients with stroke and post-traumatic brain with dysphagia and malnutrition after long-term coma. It can help to avoid the deterioration of nutritional status and improve the quality of life.

Identification of key genes in Gram­positive and Gram­negative sepsis using stochastic perturbation.

Sepsis is an inflammatory response to pathogens (such as Gram­positive and Gram­negative bacteria), which has high morbidity and mortality in critically ill patients. The present study aimed to identify the key genes in Gram­positive and Gram­negative sepsis. GSE6535 was downloaded from Gene Expression Omnibus, containing 17 control samples, 18 Gram­positive samples and 25 Gram­negative samples. Subsequently, the limma package in R was used to screen the differentially expressed genes (DEGs). Hierarchical clustering was conducted for the specific DEGs in Gram­negative and Gram­negative samples using cluster software and the TreeView software. To analyze the correlation of samples at the gene level, a similarity network was constructed using Cytoscape software. Functional and pathway enrichment analyses were conducted for the DEGs using DAVID. Finally, stochastic perturbation was used to determine the significantly differential functions between Gram­positive and Gram­negative samples. A total of 340 and 485 DEGs were obtained in Gram­positive and Gram­negative samples, respectively. Hierarchical clustering revealed that there were significant differences between control and sepsis samples. In Gram­positive and Gram­negative samples, myeloid cell leukemia sequence 1 was associated with apoptosis and programmed cell death. Additionally, NADH:ubiquinone oxidoreductase subunit S4 was associated with mitochondrial respiratory chain complex I assembly. Stochastic perturbation analysis revealed that NADH:ubiquinone oxidoreductase subunit B2 (NDUFB2), NDUFB8 and ubiquinol­cytochrome c reductase hinge protein (UQCRH) were associated with cellular respiration in Gram­negative samples, whereas large tumor suppressor kinase 2 (LATS2) was associated with G1/S transition of the mitotic cell cycle in Gram­positive samples. NDUFB2, NDUFB8 and UQCRH may be biomarkers for Gram­negative sepsis, whereas LATS2 may be a biomarker for Gram­positive sepsis. These findings may promote the therapies of sepsis caused by Gram­positive and Gram­negative bacteria.

A method for characterizing the complete settling process of activated sludge.

Based on batch settling tests, a model describing the compression settling process of activated sludge was developed and validated by experiments. Furthermore, a theoretical equation for determining the critical point when the compression settling stage commences, and a new velocity function for the compression settling were deduced from the model. By combining the new model and the conservation of mass, it was proved that the Vesilind function was also capable of describing the compression settling velocity on condition that the appropriate parameters were estimated. Dividing the complete settling process of activated sludge into the zone settling and compression settling stages, and describing them by the Vesilind function with different parameter sets was more reasonable for characterizing the complete settling process of activated sludge. The method was applied to predict the sludge blanket height during batch settling tests, and the results showed that the settling processes could be simulated well.

[Influencing factors of floc size distribution and fractal dimension of activated sludge].

Floc size distribution (FSD) and fractal dimension are the important parameters for activated sludge. FSD of aerobic activated sludge during flocculation process was measured by a laser particle size analyzer, and the influence of velocity gradient, VSS/ SS, EPS content and Zeta potential on FSD was investigated. The results showed that the floc volume-average size was negatively correlated to velocity gradient (R > 0. 80) , and the order-of-magnitude of the floc volume-average size was equivalent to that of Kolmogorov scale (their differences were dependent on sludge VSS/SS, floc strength and etc). At a fixing velocity gradient, the floc volume-average size was positively correlated to VSS/SS or EPS (R2 >0. 85) , whereas negatively correlated to Zeta potential. Organic matter and EPS played important roles on the flocculation of activated sludge by enhancing the floc strength and improving the flocculation effect. Compared with polysaccharides, proteins in EPS seemed to be more beneficial for the flocculation of activated sludge. Based on microscopy and image analysis, the 2D and 3D fractal dimension of aerobic activated sludge floc was determined to be 1.28-1.72 and 1.70-2.69, respectively. It was found that fractal dimension (2D and 3D)was decreased with increasing VSS/SS (or EPS content). For the same activated sludge, the 3D fractal dimension was decreased with increasing floc size, and the relationship between 3D fractal dimension and floc size could be approximately described by a power function.