Incidence of retinopathy of prematurity treatment in extremely preterm infants in China.

BACKGROUND: Retinopathy of prematurity (ROP) continues to be a major cause of visual impairment and blindness in premature infants and children. OBJECTIVES: To investigate the incidence of severe ROP receiving treatment in extremely preterm (EP) infants in China over time. The risk factors for ROP treatment were also assessed. METHODS: This was a multicentre retrospective study and a subanalysis of baseline data from the "Outcomes of EP infants in China 2010-2019" study. This study was conducted in 68 tertiary neonatal care centres from 31 provinces of China. Infants with a gestational age of 230 -276  weeks and admitted to a neonatal unit within the first 72 h of life between 2010 and 2019 were enrolled. Incidence of ROP was analysed in infants who survived to 32 weeks postmenstrual age and screened for ROP. Multivariable modified Poisson regression models were used to identify risk factors for ROP treatment. RESULTS: Among 7295 eligible infants, 4701 (64.5%) survived to 32 weeks postmenstrual age and met ROP screening criteria. Of the 3756 infants who screened and with ROP data, 2320 (61.8%) developed ROP of any stage. The overall incidence of ROP treatment was 12.6%, decreasing from 45.5% at 23 weeks to 8.3% at 27 weeks. During the 10-year period, the incidence of ROP treatment did not change, although the incidence of any ROP increased over time. Independent risk factors associated with ROP treatment included lower gestational age, small for gestational age, multiple birth, severe intraventricular haemorrhage, patent ductus arteriosus and supplemental oxygen duration. CONCLUSIONS: The incidence of EP infants receiving ROP treatment showed no change during this 10-year period in China. Prevention of prematurity and foetal growth restriction, judicious use of oxygen and reducing comorbidities are promising factors that may reduce the incidence of ROP needing treatment in these high-risk infants.

Neonatal septicemia caused by a rare pathogen: Raoultella planticola - a report of four cases.

BACKGROUND: Raoultella planticola(R.planticola) is a very rare opportunistic pathogen and sometimes even associated with fatal infection in pediatric cases. Recently,the emergence of carbapenem resistance strains are constantly being reported and a growing source of concern for pediatricians. CASE PRESENTATION: We reported 4 cases of neonatal septicemia caused by Raoultella planticola. Their gestational age was 211 to 269 days, and their birth weight was 1490 to 3000 g.The R. planticola infections were detected on the 9th to 27th day after hospitalization and occured between May and June. They clinically manifested as poor mental response, recurrent cyanosis, apnea, decreased heart rate and blood oxygen, recurrent jaundice, fever or nonelevation of body temperature. The C-reactive protein and procalcitonin were elevated at significantly in the initial phase of the infection,and they had leukocytosis or leukopenia. Prior to R.planticola infection,all of them recevied at least one broad-spectrum antibiotic for 7-27d.All the R.planticola strains detected were only sensitive to amikacin, but resistant to other groups of drugs: cephalosporins (such as cefazolin, ceftetan,etc) and penicillins (such as ampicillin-sulbactam,piperacillin,etc),and even developed resistance to carbapenem. All the infants were clinically cured and discharged with overall good prognosis. CONCLUSION: Neonatal septicemia caused by Raoultella planticola mostly occured in hot and humid summer, which lack specific clinical manifestations. Pediatricians should keep in mind that R. planticola can be a potential source of neonatal sepsis and even has the potential to acquire carbapenem-resistance. Preventing outbreaks of epidemics requires early detection, timely diagnosis and treatment, and active isolation.

Embryonal natural orifice transluminal endoscopic surgery treating severe acute pancreatitis complicated by abdominal compartment syndrome.

BACKGROUND/AIMS: This study aims to estimate the value of embryonal natural orifice transluminal endoscopic surgery (ENOTES) as a treatment for severe acute pancreatitis (SAP) complicated by abdominal compartment syndrome (ACS). METHODOLOGY: The patients who were randomized into ENOTES group and surgery group underwent ENOTES and laparotomy, respectively. The Efficacy and complications of these two treatments were compared. RESULTS: Enterocinesia was observed earlier in patients of ENOTES group than that of surgery group. Acute Physiology and Chronic Health Evaluation II (APACHE II) score of patients in ENOTES group was superior to that of surgery group on the 1st, 3rd and 5th day after treatment (P < 0.05). The cure rate was 96.87% in ENOTES group, which was statistically different from 78.12% in surgery group (P < 0.05). Significant differences in complications and mortality were observed between two groups (P < 0.01). CONCLUSION: Compared with surgical abdominal decompression, ENOTES and flexible endoscope therapy is a more effective and minimal invasive surgery with less complications.

Distribution of Metallic Elements in Four Group Components of High-Temperature Coal Tar Pitch.

The metallic elements in high-temperature coal tar pitch (HCTP) will affect the properties of carbon materials produced from the HCTP. The study on the metallic elements in HCTP is essential for the quality improvement of its derived carbon materials. In this paper, the content of 15 metallic elements in HCTP and its four group components, including n-heptane-soluble substance (HS), n-heptane-insoluble-toluene-soluble substance (HI-TS), toluene-insoluble-quinoline-soluble substance (TI-QS), and quinoline-insoluble substance (QI), was determined. The results show that the content of Na, Ca, Fe, Mg, Zn, K, Pb, and Al is more than 100 ppm and is much higher than that of other metallic elements. The content of Ni, V, Cr, Mo, Sb, Cu, and Mn ranges from 0 to 50 ppm. By mass calculation of the contents of four group components in HCTP, it can be concluded that Na and Fe are randomly distributed in the group components. Al, Zn, Pb, V, and Mn are mainly distributed in the inorganic form in the QI component. Ca, Mg, K, Ni, Cr, Mo, Sb, and Cu are mainly distributed in the small molecular group components such as HS and HI-TS.

Release characteristics of elemental mercury during low calorific value coal combustion.

The dynamic release characteristics of Hg0 during low calorific value coal combustion were investigated in a combining laboratory-scale furnace coupled with atomic fluorescence spectroscopy. The results show that the sulfur has an inhibitory effect on the homogeneous oxidation of Hg0 in flue gas. The instant intensity of Hg0 release increases with increasing temperature while the amount of Hg0 release gradually decreases with increasing temperature. Compared with that under air, the instant intensity of Hg0 release under O2/CO2 atmosphere increases to some extent with a lower decreasing rate of Hg0 release peak. The release ratio of elemental mercury (Hg) from Yuwu (YW) and Qinxin (QX) coal increases while that from Yonghao (YH) coal decreases under O2/CO2 atmosphere. In the range of 800-1100°C, the release rate of Hg reaches more than 96% under the residence time of 50 s.

Modification of Activated Carbon and Its Application in Selective Hydrogenation of Naphthalene.

The MoS2/ACx catalyst for hydrogenation of naphthalene to tetralin was prepared with untreated and modified activated carbon (ACx) as support and characterized by X-ray powder diffraction, Brunauer-Emmett-Teller, scanning electron microscopy, temperature-programmed desorption of ammonia, X-ray photoelectron spectroscopy, and scaning transmission electron microscopy. The results show that the modification of activated carbon by HNO3 changes the physical and chemical properties of activated carbon (AC), which mainly increases the micropore surface area of AC from 1091 to 1209 m2/g, increases the micropore volume of AC from 0.444 to 0.487 cm3/g, increases the oxygen-containing functional groups of AC from 5.46 to 7.52, and increases the acidity of catalysts from 365.7 to 559.2 mmol/g. The modified catalyst showed good catalytic performance, and the appropriate HNO3 concentration is very important for the modified of activated carbon. Among all the catalysts used in this study, the MoS2/AC3 catalyst could achieve the highest yield of tetralin. It can be attributed to the moderate acidity of the catalyst, reducing the cracking of hydrogenation products. Also, the proper hydrogenation activity of MoS2 and the appropriate increase of oxygen-containing functional groups on the surface of modified activated carbon are beneficial to the dispersion of active components on the support, increasing the yield of tetralin. The catalytic performance of MoS2/AC3 is better than that of MoS2/Al2O3 catalyst, and the two catalysts show different hydrogenation paths of naphthalene.

[Essence of acupoints and meridians based on the studies of myofascial trigger points].

Based on the modern anatomy and physiology, the referred pain of myofascial trigger points of each muscle is integrated; compared with the twelve meridians as well as conception vessel and governor vessel, the similarity of their position and running course is observed. With the current research progress of myofascial trigger points and fasciology, based on the running course of referred pain of trigger points, combined with fascia mechanics, nerve and vascular, the location of acupoints and meridians, as well as the relationship between acupoints and meridians, are discussed.

Study on the Synthesized Rosin Glyceride over LaZSM-5 Zeolite Catalyst Synthesized by the in Situ Method.

LaZSM-5 zeolite was synthesized by the in situ method and used as catalysts to catalyze the synthesis of rosin glyceride. As a comparison, ZSM-5 was also synthesized and used as catalysts to catalyze the synthesis of rosin glyceride. The synthesized ZSM-5 and LaZSM-5 zeolite catalysts were characterized and analyzed. The experimental results showed that the in situ synthesis of LaZSM-5 made La into the skeleton of ZSM-5 zeolite and increased the amount of Lewis acid on the LaZSM-5 zeolite. Also, Lewis acid was the key to liquid-phase esterification reaction. Compared with ZSM-5 zeolite, LaZSM-5 zeolite contributed to a higher yield and better stability as a catalyst for the synthesis of rosin glycerides.

A Novel Preparation Method of Electrically Conductive Adhesives by Powder Spraying Process.

In a conventional electrically conductive adhesive (ECA) preparation process, typical ECAs are made by adding an appropriate amount of electrically conductive fillers, such as silver, into a polymer matrix, such as epoxy resin, to form a uniformly dispersed mixture by mixing and stirring operations. However, during the preparation process, secondary pollution and mass loss are caused by the vigorous mixture process. At the same time, the stirring operation introduces many small and stable bubbles, which affect the electrical conductivity of the ECAs. In light of these problems with the conventional preparation of ECAs, we developed a novel ECA preparation method that employs a powder spraying process: silver flakes are sprayed into the epoxy resin with a certain mass fraction to form formulated pastes. The as-prepared ECAs exhibited excellent properties compared with those prepared by the conventional process. This proves that the powder spraying process is feasible and superior to the conventional process.

Effects of calcination and reduction temperature on the properties of Ni-P/SiO2 and Ni-P/Al2O3 and their hydrodenitrogenation performance.

A series of SiO2-supported and γ-Al2O3-supported nickel phosphides were prepared by temperature-programmed reduction (TPR) with different calcination and reduction temperatures. The prepared catalysts were characterized by XRD, BET, H2-TPR, CO titration and HRTEM. The crystal phase and CO uptake content were influenced by calcination and reduction temperature. The catalytic performance of various catalysts was tested in quinoline hydrodenitrogenation and exhibited considerable differences. The quinoline HDN activity of SiO2-supported nickel phosphides decreases with increase of calcination and reduction temperature. In contrast to SiO2-supported samples, the ability to remove nitrogen of γ-Al2O3-supported samples increases with reduction temperature.

Mercury release during thermal treatment of two Chinese coal gangues.

The utilization of coal gangue in power plants has become a new anthropogenic discharge source of mercury and attracted much concern in China. It is crucial to obtain the information about the mercury release during thermal treatment of coal gangue. In this study, the mercury release behavior of two coal gangues selected from two power plants were studied under different thermal treatment conditions of heating rate, residence time, and atmosphere. The results of mercury release profile show that the specified release temperature ranges for the different modes of occurrence of Hg are scarcely affected by the heating rate of 10, 20, and 40 °C/min. A higher heating rate could promote the Hg release to some extent. The mercury release ratio gradually increases with the extension of residence time for both coal gangues. The oxidizing environment has a positive effect on mercury release < 600 °C and has a minor effect > 600 °C. Mercury in coal gangue is more volatile than coal gangue matrix and the mercury in GD coal gangue is more easily released out than that in ED coal gangue.

NAMPT protects against 6-hydroxydopamine-induced neurotoxicity in PC12 cells through modulating SIRT1 activity.

Parkinson's disease (PD) is the second most common progressive neurodegenerative movement disorder. Nicotinamide phosphoribosyltransferase (NAMPT) catalyzes the first rate­limiting step in the nicotinamide adenine dinucleotide (NAD+) biosynthetic pathway in mammals, is a substrate for NAD+­dependent enzymes, such as sirtuin 1 (SIRT1), and contributes to cell fate decisions. However, the role of NAMPT in PD has remained to be fully elucidated. In the present study, PC12 cells were treated with the neurotoxin 6-hydroxydopamine (6­OHDA) to establish an in vitro model of PD, following which an obvious inhibitory effect on the levels of NAMPT and NAD+ as well as the NAD+/NADH ratio was detected. In addition, pre­incubation with FK866, a highly specific NAMPT inhibitor, enhanced the inhibitory effects of 6­OHDA on the viability of PC12, while pre­incubation with nicotinamide mononucleotide (NMN), am enzymatic product of NAMPT, had the opposite effect. Furthermore, it was revealed that NMN markedly attenuated 6­OHDA­induced decreases in superoxide dismutase activity and glutathione levels, as well as 6­OHDA­induced increases in malondialdehyde and lactate dehydrogenase in PC12 cells. Furthermore, 6­OHDA significantly reduced SIRT1 activity in PC12 cells, which was inhibited by NMN. The pharmacological activator resveratrol also significantly inhibited 6­OHDA­mediated decreases in PC12 cell viability while reversing 6­OHDA­induced decreases in SIRT1 levels. The results of the present study suggested that NMT protected against 6­OHDA­induced decreases in PC12 cell viability, and that SIRT1 activation had a role in this process. Treatment with NMN to activate SIRT1 may represent a novel therapeutic strategy for treating PD.

[Therapeutic effect and safety of microendoscopic discectomy versus conventional open discectomy for the treatment of lumbar disc herniation: a Meta analysis].

OBJECTIVE: To conduct a meta analysis of studies comparing theapeutic effect and safety of microendoscopic discectomy to conventional open discectomy in the treatment of lumbar disc herniation in China. METHODS: A systematic literature retrieval was conducted in the Chinese Bio medicine Database, CNKI database, Chongqin VIP database and Wangfang database. The statistical analysis was performed using a RevMan 4.2 software. The comparison included excellent rate, operation times, blood loss, periods of bed rest and resuming daily activities, hospital stay or hospital stay after surgery, and complications of microendoscopic discectomy versus conventional open discectomy. RESULTS: The search yielded 20 reports, which included 2 957 cases treated by microendoscopic discectomy and 2 130 cases treated by conventional open discectomy. There were 12, 11, 7, 5, 4 and 4 reports which had comparison of operation times, blood loss, period of bed rest, periods of resuming daily activities, hospital stay and hospital stay after surgery respectively. Complications were mentioned in 10 reports. Compared to patients treated by open discectomy, patients treated by microendoscopic discectomy had a higher excellent rates [OR=1.29, 95%CI (1.03, 1.62)], less blood loss[OR=-63.67, 95%CI (-86.78, -40.55)], less period of bed rest[OR=-15.33, 95%CI (-17.76, -12.90)], less period of resumption of daily activities [OR=-24.41, 95%CI (-36.86, -11.96)], less hospital stay [OR=-5.00, 95%CI (-6.94, -3.06)] or hospital stay after surgery [OR=-7.47, 95%CI (-9.17, -5.77) respectively. However, incidence of complications and operation times were proved no significant different between microendoscopic discectomy and open discectomy. CONCLUSIONS: Microendoscopic discectomy and conventional open discectomy in treatment of lumbar disc herniation are both safe, effective; incidence of complications are nearly. Patients with lumbar disc herniation treated by microendoscopic discectomy have fewer blood loss, shorter periods of bed rest and hospital stay, and resume daily activities faster. Techniques are selected according to indications, microendoscopic discectomy should be carried out when conjunct indications occur.

Embryonic natural orifice transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated by abdominal compartment syndrome.

BACKGROUND: The study aimed to estimate the value of embryonal natural orifice transluminal endoscopic surgery (ENOTES) in treating severe acute pancreatitis (SAP) complicated with abdominal compartment syndrome (ACS). METHODS: The patients, who were randomized into an ENOTES group and an operative group, underwent ENOTES and laparotomy, respectively. The results and complications of the two groups were compared. RESULTS: Enterocinesia was observed earlier in the ENOTES group than in the operative group. Acute Physiology and Chronic Health Evaluation II (APACHE II) score of patients in the ENOTES group was lower than that of the operative group on the 1st, 3rd and 5th post-operative day (P<0.05). The cure rate was 96.87% in the ENOTES group, which was statistically different from 78.12% in the operative group (P<0.05). There were significant differences in complications and mortality between the two groups (P<0.01). CONCLUSION: Compared with surgical decompression, ENOTES associated with flexible endoscope therapy is an effective and minimal invasive procedure with less complications.

Hybrid BiOBr-TiO2 nanocomposites with high visible light photocatalytic activity for water treatment.

Novel highly active visible light photocatalysts BiOBr-TiO2 nanocomposites were prepared by a facile one-pot solvothermal approach. Series of characterizations verified that the BiOBr nanoscale crystals are highly dispersed in amorphous TiO2 to form the hybrid mesoporous structure. The material shows excellent photocatalytic performance towards photodegradation of Rhodamine B under visible light irradiation. The content ratio between TiO2 and BiOBr plays a key role in the microstructure of the nanocomposites, so as to result in distinguished photocatalytic activity. The sample with a molar ratio of 10 between TiO2 and BiOBr shows the optimum performance. The high photocatalytic activity of BiOBr-TiO2 nanocomposites under visible light could be ascribed to the large surface area, opened mesoporous structure, appropriate band-gap, as well as synergistic effect between TiO2 and BiOBr. Besides, the BiOBr-TiO2 composites render a facile separation due to the three-dimensional superstructure. The BiOBr-TiO2 photocatalyst is very promising for water purification as well as other environmental applications.

The fate of fluorine and chlorine during thermal treatment of coals.

Release behaviors of fluorine and chlorine during thermal treatments of two Chinese coals, DT and JC, were studied in a quartz tube reactor. The thermal treatments included temperature programmed decomposition (TPD, 300-1000 degrees C) in N2 and gasification (800-1100 degrees C) under a H2O or CO2 atmosphere. The TPD results show that F and Cl in the two coals can be classified into three forms of occurrence, evolving in three temperature ranges, 150350 degrees C, 350-750 dgrees C, and >870 degrees C. Fluorine in the coals is significantly more stable than Cl during the TPD process. Both elements in DT coal are more volatile than that in JC coal, which may be attributed to coexisting F or Cl salts with minerals in JC coal. Gasification under a H2O or CO2 atmosphere may promote the release of F and CI. The promotion effect is more significant in a H2O steam, which is due possibly to reactions of H2O with F and Cl salts in the coals. For both coals, the release ratios are close to 94% for F and 98% for Cl at 1000 degrees C in a H2O steam. Under these conditions, the difference in release ability of F and Cl from the two coals diminishes. No clear correlation can be found between the release ratio of F or Cl with the corresponding volatile yield of the coals.