Fully bio-based and intrinsically flame retardant unsaturated polyester cross-linked with isosorbide-based diluents.

Unsaturated polyester resins (UPR) are composed of prepolymers and styrene diluents, while the former are produced by co-polycondensation between diol, unsaturated diacid and saturated diacid. In this work, bio-based UPR prepolymers were synthesized from bio-based oxalic acid, itaconic acid, and ethylene glycol, which were then diluted with bio-based isosorbide methacrylate (MI). Meanwhile, the phenylphosphonate were introduced into the molecular chains of prepolymers to achieve intrinsic flame retardancy of bio-based UPR. The potential of the reactive MI diluents as substitutes of volatile styrene, was also assessed through the volatility test, curing kinetics and gel contents analysis. For UPR materials with styrene diluents, the UPR materials can achieve UL-94 V0 level and the 28% of limiting oxygen index (LOI) with 2.63 wt% of phosphorus contents. By contrast, the UPR materials with MI diluents can reach UL-94 V0 level with only 2.14 wt% of phosphorus contents. As the phosphorus contents were further increased to 2.63 wt%, UPR materials can achieve highest 29%, while the peak of heat release rate (PHRR) and total heat release (THR) were decreased by 68.01% and 48.62%, respectively. The Flame Retardancy Index (FRI) was also used to comprehensively evaluate the flame retardant performance of UPR composites. Compared with neat UPR, the composites with MI diluents and phosphorus containing structures increased from 1.00 to 6.46. The mechanism for improved flame retardancy was analyzed from gaseous and condensed phase. Additionally, the tensile strengths of bio-based UPR materials with styrene and MI diluents were studied. This work provides an effective method to prepared high-performance and fully bio-based UPR materials with improved flame retardant properties and safety application of reactive diluents.

Factors affecting continuous renal replacement therapy duration in critically ill patients: A retrospective study.

INTRODUCTION: This study aimed to analyze the factors affecting continuous renal replacement therapy (CRRT) duration in critically ill patients and provide a reference for clinical treatment. MATERIAL AND METHODS: We divided patients into regional citrate anti-coagulation (RCA) and low-molecular-weight-heparin (LMWH) groups according to the anti-coagulation method and collected the relevant data, to analyze the factors associated with CRRT time. RESULTS: Compared with the LMWH group, the RCA group had a longer mean treatment time (55.36 ± 22.57 vs. 37.65 ± 27.09 h, p < 0.001), lower transmembrane pressure, and lower filter pressure, regardless of vascular access site. Multivariable linear regression analysis showed a significant correlation between anti-coagulation patterns, filter pressure at CRRT discontinuation, nurses' level of intensive care unit experience, pre-machine fibrinogen level, and CRRT time. CONCLUSION: Anti-coagulation is the most important factor affecting CRRT duration. Filter pressure, nurses' level of intensive care unit experience, and fibrinogen level also affecting CRRT duration.

[Genetic analysis of a child with Kartagener syndrome due to novel compound heterozygous variants of DNAH5 gene].

OBJECTIVE: To explore the clinical characteristics and genetic basis of a child with Kartagener syndrome (KTS). METHODS: Trio-whole exome sequencing was carried out for the child and his parents, and candidate variants were verified by Sanger sequencing. Changes in protein structure due to missense variants were simulated and analyzed, and the Human Splicing Finder 3.0 (HSF 3.0) online platform was used to predict the effect of the variant of the non-coding region. RESULTS: The child had featured bronchiectasis, sinusitis and visceral inversion. Genetic testing revealed that he has harbored compound heterozygous variants of the DNAH5 gene, namely c.5174T>C and c.7610-3T>G. Sanger sequencing confirmed the existence of the variants. The variants were not found in the dbSNP, 1000 Genomes, ExAC, ClinVar and HGMD databases. Protein structural analysis suggested that the c.5174T>C (p.Leu1725Pro) variant may affect the stability of local structure and its biological activity. The results of HSF 3.0 analysis suggested that the c.7610-3T>G variant has probably destroyed a splicing receptor to affect the transcription process. CONCLUSION: The compound heterozygous variants of the DNAH5 gene probably underlay the pathogenesis in the child. Above finding may facilitate the understanding of the clinical characteristics and genetic basis of KTS, and further expand the spectrum of DNAH5 gene variants.

Prevalence and risk factors of carbapenem-resistant Enterobacterales positivity by active screening in intensive care units in the Henan Province of China: A multi-center cross-sectional study.

Objective: In intensive care units (ICUs), carbapenem-resistant Enterobacterales (CRE) pose a significant threat. We aimed to examine the distribution, epidemiological characteristics, and risk factors for CRE positivity in ICUs. Materials and methods: This cross-sectional study was conducted in 96 ICUs of 78 hospitals in Henan Province, China. The clinical and microbiological data were collected. A multivariable logistic regression model was used to analyze the risk factors for CRE positivity. Results: A total of 1,009 patients were enrolled. There was a significant difference in CRE positive rate between pharyngeal and anal swabs (15.16 vs. 19.13%, P < 0.001). A total of 297 carbapenem-resistant Klebsiella pneumoniae (CR-KPN), 22 carbapenem-resistant Escherichia coli (CR-ECO), 6 carbapenem-resistant Enterobacter cloacae (CR-ECL), 19 CR-KPN/CR-ECO, and 2 CR-KPN/CR-ECL were detected. Klebsiella pneumoniae carbapenemase (KPC), New Delhi metallo-beta-lactamase (NDM), and a combination of KPC and NDM were detected in 150, 9, and 11 swab samples, respectively. Multivariable logistic regression analysis determined length of ICU stay, chronic neurological disease, transfer from other hospitals, previous infection, and history of antibiotics exposure as independent risk factors for CRE positivity. Age and cardiovascular diseases were independent risk factors for mixed infections of CRE. The occurrence of CRE in secondary and tertiary hospitals was 15.06 and 25.62%, respectively (P < 0.05). Patients from tertiary hospitals had different clinical features compared with those from secondary hospitals, including longer hospital stays, a higher rate of patients transferred from other hospitals, receiving renal replacement therapy, exposure to immunosuppressive drugs, use of antibiotics, and a higher rate of the previous infection. Conclusion: In ICUs in Henan Province, CRE positive rate was very high, mostly KPC-type CR-KPN. Patients with prolonged ICU stay, chronic neurological disease, transfer from other hospitals, previous infection, and history of antibiotic exposure are prone to CRE. Age and cardiovascular diseases are susceptibility factors for mixed infections of CRE. The CRE positive rate in tertiary hospitals was higher than that in secondary hospitals, which may be related to the source of patients, antibiotic exposure, disease severity, and previous infection.

A general numerical model of leukocyte adhesion in microchannels.

Leukocyte adhesion on the vascular endothelium plays an important role in human immune system and reflects the physiological condition of a human body. In this paper, a generally implementable dynamic adhesion model based on the length limit of microvilli was developed to explore the behavior of a suspended leukocyte's adhesion process under microchannel shear flow. Simulations showed that the whole adhesion process can be divided into cell sedimentation, preliminary adhesion and stable dynamic adhesion stages. The cell tumbling kinetics, cell deformation, cell adhesion area and adhesion force were studied under the conditions of various bond strength, cell membrane surface tension, inlet flow velocity and cytoplasmic viscosity. Results showed that the bond strength affects the cell tumbling behaviors differently by changing the adhesion force. The cell with lower membrane surface tension induces a larger adhesion area, and eventually results in a greater adhesion and a lower cell tumbling velocity. The flow velocity changes cell velocity through the flow viscous force during the whole adhesion process. The cytoplasmic viscosity affects adhesion mainly in the preliminary adhesion stage by changing the cell deformation rate but has slight effect on the stabilized dynamic adhesion on cells. This study provides a simple theoretical basis to further clarify the mechanism of cell behaviors under stress and adhesion and becomes one of the prerequisites for study of tissue inflammation, wound healing, and disease treatments.

Fabrication of Dandelion-like p-p Type Heterostructure of Ag2O@CoO for Bifunctional Photoelectrocatalytic Performance.

A novel three-dimensional purple dandelion-like hierarchical Ag2O@CoO heterojunction with an appropriate redox potential was constructed by chemical precipitation of Ag2O nanoparticle on flower-like CoO. By feat of this hierarchical structure, the Ag2O@CoO photocathode showed significantly high photoelectroreduction activities toward p-nitrophenol (p-NP) and Cr(VI). The high performance of Ag2O@CoO was mainly attributed to the specific structural characteristics and synergistic effect of each chemical component. This hierarchical structure could effectively increase the specific surface area, provide more exposed active edges, and be beneficial for multiple light reflection/scattering channels and light utilization efficiency. The introduction of Ag2O optimized the composition and further improved the band structure, resulting in an improved separation of photogenerated electrons and holes. The unique photocathode achieves a removal efficiency of 86% for photoelectrocatalytic p-NP degradation after 120 min and 95% for Cr(VI) after 40 min under visible light irradiation with excellent stability. This research provided a simple way for the synthesis of photoelectrocatalytic material with potential applications in the field of environmental governance with visible light illumination.

Design and construction of a bifunctional magnetically recyclable 3D CoMn2O4/CF hybrid as an adsorptive photocatalyst for the effective removal of contaminants.

Herein, a magnetic microsphere CoMn2O4 (MS-CoMn2O4) with a 3D architecture was constructed directly on cellulose fiber (CF) substrates from wastepaper by a solvothermal synthesis method with further calcination treatment. The designed hybrid shows excellent dual functions including rapid catalytic oxidation of tetracycline (TC)/methylene blue (MB) and a high adsorption capacity. What's more, the hybrid is easily recycled using an external magnetic field. In comparison with that of pure MS-CoMn2O4, the enhanced adsorption ability and photocatalytic activity of MS-CoMn2O4/CFs can mainly be attributed to the introduced cellulose fiber supporter in the hybrid system. MS-CoMn2O4 incorporated CFs can improve the efficient separation of photogenerated electron-hole pairs and the transport pathway of electrons. More importantly, introduction of CFs can help to enrich and further improve the degradation efficiency of organic contaminants. The possible mechanism for the enhancement of the photocatalytic activity has been elucidated in detail. The reusability analysis revealed that the MS-CoMn2O4/CF hybrid exhibited superb cycling stability after 5 cycles. This study provides novel insights into the design and construction of high capacity sorbents as strongly adsorptive photocatalysts to perform catalytic degradation of organic contaminants.

Ionic liquid-assisted electrochemical determination of pyrimethanil using reduced graphene oxide conjugated to flower-like NiCo2O4.

The novel hierarchical flower-like superstructure NiCo2O4/reduced graphene oxide (rGO) hybrids have been successfully synthesized with a facile one-step hydrothermal process for the determination of fungicide pyrimethanil (PMT). For comparison, various structures of NiCo2O4/rGO including hexagonal nanoplates and nanorods were also synthesized. Among them, three-dimensional (3D) flower-like NiCo2O4/rGO exhibited the highest electrocatalytic activity for the oxidation of PMT. With the synergistic effect of [OMIM]PF6 ionic liquid (IL), the electrochemical sensor film (NiCo2O4/rGO/IL) further facilitated interfacial electron transfer and enhanced electrocatalytic activity for the oxidation of PMT. Under the optimum conditions, the electrochemical sensor exhibited two linear ranges of 0.1-10.0 µmol/L and 20.0-140 µmol/L for PMT with a low detection concentration of 11.0 nmol/L. Besides, the interference, repeatability, reproducibility and stability measurements were also evaluated. The proposed method was successfully applied to the detection of PMT in water, seawater, fruits and vegetables with good recovery ranging from 93% to 105%, and possessed potential applications in the analysis of real samples.

[Clinical investigation of the clinical management and therapeutic strategies to the first human case infected by influenza A/H5N1 in Guizhou Province].

OBJECTIVE: To explore the optimized clinical management and therapeutic strategies for the survived human case infected by influenza A (A/H5N1). METHODS: All the data of the first human case infected by A/H5N1 in Guizhou province was collected and analyzed. RESULTS: The first case infected by A/H5N1 in Guizhou Province was confirmed by laboratory findings with reverse-transcription polymerase chain reaction (RT-PCR) and A/H5N1 isolation. Patient was healthy in the past and exposed in the environment of living poultry. The initial symptoms was high fever without influenza-like presentation, but with extremity hyperspasmia and conscious disturbance sometimes. A productive cough with a large mount of pink foaming sputum then appeared. The clinical situation was rapidly deteriorated with dyspnea, acute respiratory distress syndrome and atrial fibrillation. Multiple infiltration in bilateral lungs was progressively developed with moderate bilateral pleural effusion. Invasive ventilation was intervened since ARDS on day 8 after sickness. Oseltamivir was kicked off since day 9 after sickness. However, the clinical condition was still exacerbated. High titering antibody of A/H5N1 vaccinated plasma was administrated on day 10 after sickness. The clinical condition (including oxygen saturation, respiratory symptoms, etc.) was improved rapidly. The weaning of ventilation was carried out in two days. Atrial fibrillation was back to normal. The patient was clinical recovery and was discharged from hospital on day 23 after sickness. CONCLUSIONS: The prognosis was poor if A/H5N1 infected human cases developed as acute respiratory distress syndrome with heart injury. However, it could be ameliorated if the plasma of A/H5N1 vaccinated neutralizing antibody was administrated in time or within two weeks after sickness.

[Introduces a novel scavenger for waste anesthetic gas].

This article introduces a novel scavenger for waste anesthetic gas which makes use of negative pressure in operating room. This setting can scavenge the exhaust gas absolutely without affection the normal work of anaesthesia.

Modeling of nucleic acid adsorption on 3D prisms in microchannels.

Understanding nucleic acid adsorption in microchannels is critical to improve the efficiency of purifying and extracting nucleic acid (NA) from sample solutions by microfluidic technologies. Using a microchannel with 3D prismatic silica elements on the wall can dramatically increase the surface area-to-volume ratio, and hence facilitate the nucleic acid adsorption on the wall. In this study a theoretical model for modeling adsorption in a microchannel with a designed 3D surface structure was developed, and five dimensionless numbers were found to be the key parameters in the adsorption process. Extensive numerical simulations were conducted. Two flow modes, the electroosmotic flow (EOF) and pressure-driven flow (PDF), were investigated for their effect on the adsorption. It was found that the EOF is more desirable than PDF. The 3D prismatic elements can increases the NA molecule adsorption not only by providing more surface areas, but also by the induced pressure resisting the central bulk electroosmotic flow. Finally, the effects of adsorption kinetic parameters (i.e., the kinetic association/dissociation constants, the diffusion coefficient, the total site density, the loading concentration, and the channel height), on the adsorption process were discussed in detail.

Influence of the three-dimensional heterogeneous roughness on electrokinetic transport in microchannels.

Surface roughness has been considered as a passive means of enhancing species mixing in electroosmotic flow through microfluidic systems. It is highly desirable to understand the synergetic effect of three-dimensional (3D) roughness and surface heterogeneity on the electrokinetic flow through microchannels. In this study, we developed a three-dimensional finite-volume-based numerical model to simulate electroosmotic transport in a slit microchannel (formed between two parallel plates) with numerous heterogeneous prismatic roughness elements arranged symmetrically and asymmetrically on the microchannel walls. We consider that all 3D prismatic rough elements have the same surface charge or zeta potential, the substrate (the microchannel wall) surface has a different zeta potential. The results showed that the rough channel's geometry and the electroosmotic mobility ratio of the roughness elements' surface to that of the substrate, epsilon(mu), have a dramatic influence on the induced-pressure field, the electroosmotic flow patterns, and the electroosmotic flow rate in the heterogeneous rough microchannels. The associated sample-species transport presents a tidal-wave-like concentration field at the intersection between four neighboring rough elements under low epsilon(mu) values and has a concentration field similar to that of the smooth channels under high epsilon(mu) values.

Electrokinetic transport through rough microchannels.

Surface roughness is present in most microfluidic devices as a result of the microfabrication techniques or particle adhesion. It is highly desirable to understand the roughness effect on microscale transport processes. In this study, we developed a 3-D, finite-volume-based numerical model to simulate electroosmotic transport in microchannels with rectangular prism rough elements on the surfaces. Various configurations of roughness were investigated, and the results show different degrees of an even-out effect on liquid transport due to the roughness-induced local pressure field and the variation of the electroosmotic slip boundary velocities. 3D-sample transport through rough microchannels was analyzed. The results demonstrate that the sample's transport under the electrical field is much faster in the pathway between the rough elements; the concentration field in the height and width direction is not uniform. The influence of the electrokinetic properties on liquid flow and sample transport was studied. It was found that the increase of the electroosmotic mobility or the decrease of the electrophoretic mobility can dramatically enhance the uniformity of the concentration field.