Acute diquat poisoning case with multiorgan failure and a literature review: A case report.

BACKGROUND: With the withdrawal of paraquat from the market, diquat is widely used, so the treatment of diquat poisoning has become one of the focuses of emergency poisoning diagnosis and treatment. CASE SUMMARY: We studied the case of a 17-year-old male patient who drank 200 mL (20 g/100 mL) of diquat solution two hours before arriving at the hospital. Despite the use of treatments such as gastric lavage, hemoperfusion, continuous hemodialysis, glucocorticoids, and organ support, the patient's condition rapidly progressed to multiorgan failure, and he died 23.5 h after admission. CONCLUSION: We summarized the clinical characteristics and treatment strategies of diquat poisoning through this case and performed a literature review to provide a basis and direction for clinical treatment.

[Responses of solar-induced chlorophyll fluorescence to meteorological drought across the Loess Plateau, China.] / é»„åœŸé«˜åŽŸæ¤è¢«æ—¥å ‰è¯±å¯¼å¶ç»¿ç´ è§å ‰å¯¹æ°”è±¡å¹²æ—±çš„å“åº”.

With the intensification of climate change, the frequency, duration and scope of drought have become more and more serious. Exploring the responses of plant photosynthesis to drought and the impacts of meteorological factors on photosynthesis is of great significance to the dealing with drought stress. Solar-induced chlorophyll fluorescence (SIF) based on remote sensing has the potential for early monitoring and accurate assessment of regional vege-tation photosynthesis under drought conditions. Based on the spaceborne SIF information and the standardized precipitation evapotranspiration index (SPEI), we investigated the responses of vegetation photosynthesis to drought and the influence of meteorological factors in the growing season (April to October) of the Loess Plateau during 2001-2017. The results showed that about 87.8% of total areas of the Loess Plateau had a significant positive correlation between SIF and SPEI. Vegetation photosynthesis in semi-arid area was more sensitive to drought and less sensitive in semi-humid area. Different vegetation types had different photosynthetic responses to drought. Grassland had the highest sensitivity to drought with three to four months SPEI time-scale, while forest had the lowest sensiti-vity with three to ten months SPEI time-scale. There was a significant correlation between meteorological factors and SIF. Temperature and precipitation were the most important factors affecting vegetation photosynthesis on the Loess Plateau. Photosynthetically active radiation showed a similar controlling strength to temperature. The impacts of drought and meteorological factors on vegetation photosynthesis were largely determined by differences in drought resistance among ecosystem types and climate regions.

Syntheses, structures, magnetism and electrocatalytic oxygen evolution for four cobalt, manganese and copper complexes with dinuclear, 1D and 3D structures.

Four 3-(tetrazol-5-yl)-5-(pyrid-2-yl)-1,2,4-triazole (H2TPT) based complexes of [Co2(TPT)2(H2O)2] (1), [Mn2(TPT)2(H2O)2] (2), [Mn(TPT)(H2O)2]n (3) and [Cu(TPT)]n (4) have been solvothermally synthesized and structurally characterized by X-ray single-crystal diffraction analysis. Complexes 1 and 2 display isostructural dinuclear structures, while complex 3 exhibits a 1D zigzag chain structure. The structural difference for 2 and 3 may be caused by 100 and 160 °C temperature-controlled conditions. Complex 4 is a 3D framework structure in which the Cu2+ ion is in square pyramid coordination geometry. Complexes 1-4 display good thermal stability evaluated by thermogravimetric analysis. Complexes 1 and 4 show very strong antiferromagnetic interactions. The electrocatalytic oxygen evolution of complexes 1-4 was tested under neutral conditions, which revealed that the four complexes possess electrocatalytic oxygen evolution activity. Complex 1 exhibits a current density of 10.0 mA cm-2 at a potential of 2.00 V (vs. RHE), presenting 50-fold improvement in specific activity over the glassy carbon electrode.

Venous thromboembolism in the emergency department: A survey of current best practice awareness in physicians and nurses in China.

BACKGROUND: For emergency department (ED) patients, risk assessment, prophylaxis, early diagnosis and appropriate treatment of venous thromboembolism (VTE) are essential for preventing morbidity and mortality. This study aimes to investigate knowledge amongst emergency medical staff in the management of VTE. METHODS: We designed a questionnaire based on multiple scales. The questionnaire was distributed to the medical and nursing clinical staff in the large urban ED of a medical center in Northern China. Data was described with percentages and the Kruskal-Wallis test was used to compare ranked data between different groups. The statistical analysis was done using the SPSS 22.0 software. RESULTS: In this survey, 180 questionnaires were distributed and 174 valid responses (response rate of 96.67%) were collected and analyzed. In scores of VTE knowledge, no significant differences were found with respect to job (doctor vs. nurse), the number of years working in clinical medicine, education level, and current position, previous hospital experience and nurses' current work location within the ED. However, in pair wise comparison, we found participants who worked in ED for more than 5 years (n=83) scored significantly higher on the questionnaire than those under 5 years (n=91) (95.75 vs. 79.97, P=0.039). There was a significant difference in some questions based on gender, age, job, and nurse work location, number of working years, education level, and different ED working lifetime. CONCLUSION: Our survey has shown deficiencies among ED medical staff in knowledge and awareness of the management of VTE. We recommend several changes be considered, such as the introduction of an interdisciplinary workshop for medical staff; the introduction of a standardized VTE protocol; a mandatory study module on VTE for new physicians and nurses; the introduction of a mandatory reporting system for adverse events (including VTE).

A new salicylaldehyde-based azo dye and its two lanthanide(iii) complexes displaying slow magnetic relaxation.

A new salicylaldehyde-based azo dye 5-azotriazolyl-3-methoxysalicylaldehyde (H2TMSA) and its two Ln3+ complexes {[Ln(HTMSA)3(H2O)2][Ln(HTMSA)3(DMF)(H2O)]}·15H2O (Ln = Dy(1) and Tb(2)) have been synthesized and characterized by IR, Raman, 1H NMR and single-crystal X-ray diffraction techniques. H2TMSA shows an azo form in acidic (pH < 5.05) and strong basic (pH > 12.41) conditions, and a pH-dependent azo-hydrazone tautomerism in the range of pH 5.05 to 12.41, which is demonstrated by the time-dependent density functional theory (TD-DFT) calculations. Single-crystal X-ray diffraction reveals that 1 and 2 are isostructural complexes in which the Ln3+ ions are surrounded by six oxygen atoms from three dichelate HTMSA- ligands and two oxygen atoms from two solvent molecules forming a distorted square-antiprismatic geometry. Complex 1 shows distinct slow magnetic relaxation under a zero dc field, while 2 displays field-induced slow magnetic relaxation. Ab initio calculations were performed on the two complexes to understand their magnetic anisotropy and their different magnetic dynamics.

The role of mitofilin in left ventricular hypertrophy in hemodialysis patients.

Left ventricular hypertrophy (LVH) is a common abnormality in hemodialysis (HD) patients. Mitochondrial dysfunction contributes to the progression of LVH. As an inner mitochondrial membrane structural protein, mitofilin plays a key role in maintaining mitochondrial structure and function. The aim of this study was to investigate the relationship between mitofilin and LVH in HD patients. A total of 98 HD patients and 32 healthy controls were included in the study. Serum N-terminal proBNP (NT-proBNP), endothelin-1 (ET-1), and atrial natriuretic peptide (ANP) were examined. The protein level of mitofilin and the mitochondrial DNA (mtDNA) copy number were estimated in peripheral blood mononuclear cells (PBMCs). The left ventricle mass index (LVMI) was evaluated in all participants, and the interaction between these variables and the LVMI was assessed. The LVMI was positively correlated with the NT-proBNP, ET-1, and ANP levels, and it was negatively correlated with mtDNA copy number and mitofilin levels. Multiple regression analysis showed that the NT-proBNP, ET-1, and ANP levels as well as mitofilin levels and mtDNA copy number were associated with the LVMI. Although further research of these associations is needed, this result suggests that LVH may affect the levels of mitofilin in HD patients.

[Applications of nuclear magnetic resonance in the study of soil-plant-atmosphere continuum].

Status and transport of water in plant body are the main contents of study of soil-plant-atmosphere continuum (SPAC), as well as the base for use and regulation of agricultural water. The process of water transport in plant can be deeply influenced by the environments. Thus, plant needs to adjust its water status to accommodate the environmental change to sustain its own growth and development. Traditional methods for plant water monitoring, such as evaporation flux, pressure chamber, high pressure flow meter, heat pulse, and so on, usually cause damage or even destruction of plant body and disturb the original water status. Thus, they are not able to truly and precisely detect and reflect the real water status of plant. Nuclear magnetic resonance (NMR) is a non-destructive and non-invasive technique which can be used for the measurement of water molecular displacement, and transportation. This study aimed to provide an overview of the applications of NMR technique in the study of water distribution and transport in plant roots and stems, as well as the water content in plant cells and tissues. In addition, the existing main problems and possible solutions were analyzed for the applications of NMR in SPAC studies. Several important issues were proposed for the acquisition of more precise and reliable detection signals. It was suggested that the NMR technique would probably make important progress in the relevant fields such as plant water physiology, plantenvironment interactions, and water metabolism. In general, the application of NMR in SPAC system study was still in its infancy in China. The deeper application and expansion of NMR in SPAC study would depend on the development of portable and open NMR equipment that could be easily applied for different plants in field.