Study on the Performance and Mechanism of Glass Fiber-Reinforced MgO-SiO2-H2O Cement.

The magnesium silicate hydrate system (MgO-SiO2-H2O) possesses issues such as susceptibility to cracking, brittleness, and poor volumetric stability, which hinder its development and practical use in engineering applications. This study aimed to enhance the properties of the MgO-SiO2-H2O system by incorporating glass fiber as a reinforcing material. The mechanical properties, shrinkage properties, and properties during accelerated aging were tested at different content levels of glass fiber. Additionally, the reaction mechanism and microscopic morphology were characterized using microscopic testing methods. The results revealed that the addition of glass fiber improved the mechanical properties of the MgO-SiO2-H2O system; meanwhile, with an increase in fiber content, the mechanical properties showed an initial increase followed by a decreasing trend. With a glass fiber content of 0.6%, the system exhibited a flexural strength of 7.9 MPa at 28 d, a compressive strength of 42.5 MPa at 28 d, and a 27.2% increase in splitting tensile strength compared to the control group. At a fiber content of 0.9%, the flexural toughness steadily increased, reaching a maximum value of 2.238 N·m, which is 5.41 times greater than that of the control group. Moreover, the incorporation of glass fiber effectively inhibited the shrinkage of the MgO-SiO2-H2O system. Accelerated aging experiments confirmed that the glass fiber in the MgO-SiO2-H2O system did not undergo significant deterioration or corrosion, thereby maintaining long-term stability. These findings have important theoretical and practical significance for the application and development of the MgO-SiO2-H2O system.

Correlation between mortality and blood transfusion in patients with major surgery initially admitted to intensive care unit: a retrospective analysis.

PURPOSE: Transfusing red blood cells promptly corrects anemia and improves tissue oxygenation in around 40% of patients hospitalized in the intensive care unit (ICU) after major surgical operations. This study's goal is to investigate how blood transfusions affect the mortality rates of patients after major surgery who are hospitalized in the ICU. METHODS: Retrospective research was done on recently hospitalized patients who had major procedures in the ICU between October 2020 and February 2022 at the Huanggang Central Hospital of Yangtze University, China. The patients' prognoses at three months were used to classify them as either survivors or deceased. Patient demographic information, laboratory results, and blood transfusion histories were acquired, and the outcomes of the two groups were compared based on the differences. Univariate and multivariate logistic regression analyses were used to examine the prognosis of surgical disease patients first admitted to the ICU. The receiver operating characteristic (ROC) curve was used to evaluate the predictive power of each risk factor. The relationship between transfusion frequency, transfusion modality, and patient outcome was examined using Spearman's correlation analysis. RESULTS: Data from 384 patients was included in the research; of them, 214 (or 55.7%) died within three months of their first stay in the ICU. The death group had higher scores on the Acute Physiology and Chronic Health Evaluation II (APACHE II) and the Sequential Organ Failure Assessment (SOFA) than the survival group did (all P < 0.05); the death group also had lower scores on the Glasgow Coma Scale, systolic blood pressure, hemoglobin, platelet distribution width, and blood transfusion ratio. Multivariate logistic regression analysis revealed an odds ratio (OR) of 1.654 (1.281-1.989), a 95% confidence interval (CI) of 1.440 (1.207-1.701), and a P value of 0.05 for death in patients undergoing major surgery who were hospitalized to the intensive care unit (ICU). Areas under the ROC curve (AUC) of 0.836, 0.799, and 0.871, respectively, and 95% CIs of 0.796-0.875, 0.755-0.842, and 0.837-0.904, respectively, all P0.05, had significant predictive value for patients initially admitted to the ICU and for APACHE II score > = 12 points, SOFA score > = 6, and blood transfusion. When all three indicators were used jointly to predict a patient's prognosis after major surgery, the accuracy increased to 86.4% (sensitivity) and 100% (specificity). There was a negative correlation between the number of blood transfusions a patient had and their outcome (r = 0.605, P < 0.001) and death (r = 0.698, P < 0.001). CONCLUSION: A higher initial ICU APACHE II score, SOFA score, and a number of blood transfusions were associated with improved survival for patients undergoing major surgical operations. Patients' death rates have increased with the increase in the frequency and variety of blood transfusions.

A comparative study on characteristics and leaching toxicity of fluidized bed and grate furnace MSWI fly ash.

Grate furnace and fluidized bed are the most widely used technologies for municipal solid waste incineration (MSWI), which play significant roles in characteristics of MSWI fly ash. A comparative study of the physicochemical characteristics, microstructure morphology and leaching toxicity of fluidized bed and grate furnace MSWI fly ash was conducted in this work, and some resource utilization and disposal treatments were proposed. Results showed that calcium salt and chlorine salt formed the dominant components of MSWI fly ash. CaO-SiO2-Al2O3 ternary system indicated that MSWI fly ash had potential pozzolanic activity, similar to coal fly ash and blast furnace slag. The total Pb, Cd and Zn contents in fluidized bed MSWI fly ash was only 1/2, 1/3 and 2/3 of grate furnace MSWI fly ash, respectively. Leachability of Pb in MSWI fly ash collected from Dalian, Shanghai, Zhuji and Hangzhou was 4.25 mg/L, 3.83 mg/L, 3.84 mg/L and 3.68 mg/L, 28.3, 25.5, 25.6 and 24.5 times as much as the national standard limitation (GB16889-2008), respectively. However, grate furnace MSWI fly ash with high chloride and unstable chemical speciation distribution of heavy metals would pose more environmental risk toits immobilization and disposal. Fluidized bed fly ash is a promising candidate for preparing the Portland cement clinker, microcrystalline glass and ceramics due to its high Si and Al content. Grate furnace MSWI fly ash is more appropriate for Alinite cement preparation because of high chloride content.

Targeting of the BLT2 in chronic myeloid leukemia inhibits leukemia stem/progenitor cell function.

Imatinib, a tyrosine kinase inhibitor (TKI) has significantly improved clinical outcome for chronic myeloid leukemia (CML) patients. However, patients develop resistance when the disease progresses to the blast phase (BP) and the mechanisms are not well understood. Here we show that BCR-ABL activates BLT2 in hematopoietic stem/progenitor cells to promote leukemogenesis and this involves the p53 signaling pathway. Compared to normal bone marrow (NBM), the mRNA and protein levels of BLT2 are significantly increased in BP-CML CD34(+) stem/progenitor cells. This is correlated with increasing BCR-ABL expression. In contrast, knockdown of BCR-ABL or inhibition of its tyrosine kinase activity decreases Blt2 protein level. BLT2 inhibition induces apoptosis, inhibits proliferation, colony formation and self-renewal capacity of CD34(+) cells from TKI-resistant BP-CML patients. Importantly, the inhibitory effects of BCR-ABL TKI on CML stem/progenitor cells are further enhanced upon combination with BLT2 inhibition. We further show that BLT2 activation selectively suppresses p53 but not Wnt or BMP-mediated luciferase activity and transcription. Our results demonstrate that BLT2 is a novel pathway activated by BCR-ABL and critically involved in the resistance of BP-CML CD34(+) stem/progenitors to TKIs treatment. Our findings suggest that BLT2 and p53 can serve as therapeutic targets for CML treatment.

[Correcting tear trough by transconjunctival fat reposition :the clinical analysis of 30 cases].

Objective: To evaluate the clinical effect and experience of correcting tear trough by transconjunctival fat reposition. Methods: The study was performed in 60 patients with lower eyelid fat prolapse and tear trough deformity, in whom eyelid skin tightening was deemed unnecessary. All patients were divided into observation group and control group according to their desire. The observation group received the orbital fat release through the conjunctiva. The control group corrected eyelid bag without releasing orbital fat. The control group received filler treatment 2 months after operation. Postoperative complications were recorded, and the degree of outcome satisfaction was obtained at the 6-month postoperative follow-up. Results: Of the 30 patients in the observation group, excellent result was achieved in 25 cases, basically satisfactory in 2 cases, unsatisfactory in 3 cases. Of the 30 patients in the control group, excellent result was achieved in 16 cases, basically satisfactory in 8 cases, unsatisfactory in 6 cases. Conclusions: Transconjunctival fat repositioning is a better procedure for patients with lower eyelid fat prolapse, tear trough deformity and eyelid skin tightening.

Potassium sorbate as an efficient and green catalyst for Knoevenagel condensation.

Potassium sorbate has been utilized as a novel, efficient and green catalyst for the Knoevenagel condensation of aromatic aldehydes with active methylene compounds to afford substituted ole-fins through the conventional stirring or under ultrasound irradiation. Improvements were observed by carrying out the reactions under ultrasound irradiation. The advantages of this procedure are mild reaction conditions, high yields, cleaner reaction profiles and operational simplicity.