Paroxysmal sympathetic hyperexcitability after brain injury: A clinical analysis of case series.

BACKGROUND: Paroxysmal sympathetic hyperexcitability (PSH) is a group of complex syndromes with various etiologies. Previous studies were limited to the description of traumatic brain injury (TBI), and the description of PSH after other types of brain injury was rare. We explored the clinical features, treatment, and prognosis of PSH after various types of brain injuries. METHODS: Patients admitted to the neurosurgery intensive care unit with PSH after brain injury from July 2019 to December 2022 were included. Demographic data, clinical manifestations, drug therapy, and disease prognosis were retrospectively collected and analyzed. RESULTS: Fifteen male and 9 female patients with PSH after brain injury were selected. TBI was most likely to cause PSH (66.7%), followed by spontaneous intracerebral hemorrhage (25%). Glasgow coma scale scores of 19 patients (79.2%) were lower than 8 and 14 patients (58.3%) underwent tracheotomy. Electroencephalogram monitoring was performed in 12 individuals, none of which showed epileptic waves. Clinical symptom scale showed mild symptoms in 17 cases (70.8%). Almost all patients were administered a combination of drugs. After follow-up, most patients had a poor prognosis and 2 (8.3%) died after discharge. CONCLUSION: The etiology of PSH is complex. TBI may be the most common cause of PSH. Non-TBI may also be an important cause of PSH. Therefore, early identification, prevention and diagnosis are helpful for determining the prognosis and outcome of the disease.

Characteristic Evaluation of Gas Chromatography with Different Detectors for Accurate Determination of Sulfur Hexafluoride.

Sulfur hexafluoride (SF6), which survives in the atmosphere for an extremely long period of time, is the most potent greenhouse gas regulated under the Kyoto Protocol. So, the accurate monitoring of atmospheric SF6 plays an important role in the study of the control policies for reducing greenhouse gas emissions. The instruments for SF6 measurement are typically calibrated using certified reference materials. The concentrations of the commercially available SF6 reference materials usually have a broad range, from 1 µmol/mol to 6000 µmol/mol. Some characteristics including sensitivity, linear range, relative standard deviation, and accuracy are crucial for the determination of SF6 in such a broad concentration range. Therefore, the selection of a proper detector for the accurate determination of SF6 with such a broad range is extremely important to establish a gas chromatography (GC) method for developing SF6 reference materials. In this paper, several typical GC methods with different detectors, including a thermal conductivity detector (TCD), a pulsed discharge helium ionization detector (PDHID), and a flame photometric detector (FPD), were carefully established for the accurate determination of SF6 with different concentrations. The results show that an FPD detector has a relatively narrow linearity range, thus a quadratic equation should be established for building a calibration curve. The PDHID and TCD have good linearity with coefficients of 1.0000 in the concentration range of 10-100 µmol/mol (using a PDHID), and 100-1000 µmol/mol (using a TCD), respectively. Further considering the measurement errors of indication results, the PDHID is suitable for SF6 measurement when the concentrations are below 100 µmol/mol, whereas the TCD is suitable for SF6 measurement when the concentrations are over 100 µmol/mol. These results provide useful guidance in choosing an appropriate GC detector for the accurate determination of SF6, which are especially very helpful for developing SF6 reference materials.

Comb-assisted, Pound-Drever-Hall locked cavity ring-down spectrometer for high-performance retrieval of transition parameters.

Fast and high-performance cavity ring-down spectrometer (CRDS) is highly desired to precisely extract spectral parameters. In this paper, we present our comb-assisted Pound-Drever-Hall (PDH) locked CRDS setup, aiming to retrieve molecular parameters. In the setup, a dynamic feedback is used to keep the tight PDH locking even under strong absorption in the spectral measurement. PDH light and probing light enter the ring-down cavity simultaneously under orthogonal polarization, which enables a fast acquisition of ring-down events without interrupting PDH locking. Ultra-stable cavity temperature is realized, which has an accuracy below 0.5 mK in 27 minutes. The optical frequency comb (OFC) system is developed to rapidly and automatically measure the frequency axis with a relatively wide beat-note range. The minimum detectable absorption coefficient and noise-equivalent absorption coefficient (NEA) are 7.6×10-12cm-1 and 5.3×10-12cm-1Hz-1/2, respectively. The spectrometer is implemented to measure CO2 transition and extract line parameters. The uncertainty for line position is evaluated to be 120 kHz. An accuracy of 0.31% for line intensity is beneficial to the precise determination of CO2 content for the purpose of environment protection and other applications.

Direct desorption/ionization of analytes by microwave plasma torch for ambient mass spectrometric analysis.

Ambient ionization is the new revolution in mass spectrometry (MS). A microwave plasma produced by a microwave plasma torch (MPT) at atmospheric pressure was directly used for ambient mass spectrometric analysis. H3O(+) and NH4(+) and their water clusters from the background are formed and create protonated molecules and ammoniated molecules of the analytes. In the full-scan mass spectra, both the quasi-molecular ions of the analytes and their characteristic ionic fragments are obtained and provide evidence of the analyte. The successful detection of active compounds in both medicine and garlic proves that MPT has the efficient desorption/ionization capability to analyze solid samples. The obtained decay curve of nicotine in exhaled breath indicates that MPT-MS is a useful tool for monitoring gas samples in real time. These results showed that the MPT, with the advantages of stable plasma, minimal optimization, easy, solvent-free operation, and no pretreatment, is another potential technique for ambient MS.