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1.
Plant J ; 118(1): 90-105, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38113332

ABSTRACT

Necrotrophic fungal plant pathogens employ cell death-inducing proteins (CDIPs) to facilitate infection. However, the specific CDIPs and their mechanisms in pathogenic processes of Sclerotinia sclerotiorum, a necrotrophic pathogen that causes disease in many economically important crop species, have not yet been clearly defined. This study found that S. sclerotiorum secretes SsXyl2, a glycosyl hydrolase family 11 xylanase, at the late stage of hyphal infection. SsXyl2 targets the apoplast of host plants to induce cell death independent of xylanase activity. Targeted disruption of SsXyl2 leads to serious impairment of virulence, which can be recovered by a catalytically impaired SsXyl2 variant, thus supporting the critical role of cell death-inducing activity of SsXyl2 in establishing successful colonization of S. sclerotiorum. Remarkably, infection by S. sclerotiorum induces the accumulation of Nicotiana benthamiana hypersensitive-induced reaction protein 2 (NbHIR2). NbHIR2 interacts with SsXyl2 at the plasma membrane and promotes its localization to the cell membrane and cell death-inducing activity. Furthermore, gene-edited mutants of NbHIR2 displayed increased resistance to the wild-type strain of S. sclerotiorum, but not to the SsXyl2-deletion strain. Hence, SsXyl2 acts as a CDIP that manipulates host cell physiology by interacting with hypersensitive induced reaction protein to facilitate colonization by S. sclerotiorum. These findings provide valuable insights into the pathogenic mechanisms of CDIPs in necrotrophic pathogens and lead to a more promising approach for breeding resistant crops against S. sclerotiorum.


Subject(s)
Ascomycota , Plant Breeding , Plants , Virulence , Nicotiana , Cell Death , Plant Diseases/microbiology
2.
Nat Methods ; 18(11): 1377-1385, 2021 11.
Article in English | MEDLINE | ID: mdl-34711973

ABSTRACT

Liquid chromatography-high-resolution mass spectrometry (LC-MS)-based metabolomics aims to identify and quantify all metabolites, but most LC-MS peaks remain unidentified. Here we present a global network optimization approach, NetID, to annotate untargeted LC-MS metabolomics data. The approach aims to generate, for all experimentally observed ion peaks, annotations that match the measured masses, retention times and (when available) tandem mass spectrometry fragmentation patterns. Peaks are connected based on mass differences reflecting adduction, fragmentation, isotopes, or feasible biochemical transformations. Global optimization generates a single network linking most observed ion peaks, enhances peak assignment accuracy, and produces chemically informative peak-peak relationships, including for peaks lacking tandem mass spectrometry spectra. Applying this approach to yeast and mouse data, we identified five previously unrecognized metabolites (thiamine derivatives and N-glucosyl-taurine). Isotope tracer studies indicate active flux through these metabolites. Thus, NetID applies existing metabolomic knowledge and global optimization to substantially improve annotation coverage and accuracy in untargeted metabolomics datasets, facilitating metabolite discovery.


Subject(s)
Algorithms , Data Curation/standards , Liver/metabolism , Metabolome , Metabolomics/standards , Saccharomyces cerevisiae/metabolism , Animals , Chromatography, Liquid/methods , Data Curation/methods , Metabolomics/methods , Mice , Tandem Mass Spectrometry/methods
3.
Opt Express ; 32(2): 1540-1551, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38297703

ABSTRACT

Ptychography, a widely used computational imaging method, generates images by processing coherent interference patterns scattered from an object of interest. In order to capture scenes with large field-of-view (FoV) and high spatial resolution simultaneously in a single shot, we propose a temporal-compressive structured-light Ptychography system. A novel three-step reconstruction algorithm composed of multi-frame spectra reconstruction, phase retrieval, and multi-frame image stitching is developed, where we employ the emerging Transformer-based network in the first step. Experimental results demonstrate that our system can expand the FoV by 20× without losing spatial resolution. Our results offer huge potential for enabling lensless imaging of molecules with large FoV as well as high spatial-temporal resolutions. We also notice that due to the loss of low-intensity information caused by the compressed sensing process, our method so far is only applicable to binary targets.

4.
Phys Chem Chem Phys ; 26(6): 5607-5614, 2024 Feb 07.
Article in English | MEDLINE | ID: mdl-38285471

ABSTRACT

The fluorescence blinking and low multiphoton emission of quantum dots (QDs) have limited their application in lasing, light-emitting diodes, and so on. Coupling of single QDs to plasmonic nanostructures is an effective approach to control the photon properties. Here plasmon-exciton systems including Au nanoparticles and CdZnSe/ZnS QDs were investigated at the single particle level. With the modulation of the local electromagnetic field, the fluorescence intensity of single QDs is increased, accompanied by a significant suppression in blinking behavior, and the lifetime is shortened from 15 ns to 2 ns. Moreover, the second-order photon intensity correlation at zero lag time g2(0) of coupled single QDs is larger than 0.5, indicating an increased probability of multiphoton emission. The enhancement factors of radiative and nonradiative decay rates of QDs coupled with Au nanoparticles are calculated. The sharply increased radiative decay rate can be comparable to the nonradiative Auger rate, leading to dominated multiple exciton radiative recombination with PL intensity enhancement, suppressed blinking, lifetime shortening, and multiphoton emission. The results of the exciton decay dynamics and emission properties of single QDs in this work are helpful in exploring the mechanism of plasmon-exciton interaction and optoelectronic application of single QDs.

5.
Acta Pharmacol Sin ; 2024 Jun 18.
Article in English | MEDLINE | ID: mdl-38890526

ABSTRACT

Cardiomyocytes are terminal differentiated cells and have limited ability to proliferate or regenerate. Condition like myocardial infarction causes massive death of cardiomyocytes and is the leading cause of death. Previous studies have demonstrated that cardiac fibroblasts can be induced to transdifferentiate into cardiomyocytes in vitro and in vivo by forced expression of cardiac transcription factors and microRNAs. Our previous study have demonstrated that full chemical cocktails could also induce fibroblast to cardiomyocyte transdifferentiation both in vitro and in vivo. With the development of tissue clearing techniques, it is possible to visualize the reprogramming at the whole-organ level. In this study, we investigated the effect of the chemical cocktail CRFVPTM in inducing in situ fibroblast to cardiomyocyte transdifferentiation with two strains of genetic tracing mice, and the reprogramming was observed at whole-heart level with CUBIC tissue clearing technique and 3D imaging. In addition, single-cell RNA sequencing (scRNA-seq) confirmed the generation of cardiomyocytes from cardiac fibroblasts which carries the tracing marker. Our study confirms the use of small molecule cocktails in inducing in situ fibroblast to cardiomyocyte reprogramming at the whole-heart level and proof-of-conceptly providing a new source of naturally incorporated cardiomyocytes to help heart regeneration.

6.
Opt Express ; 31(24): 39681-39694, 2023 Nov 20.
Article in English | MEDLINE | ID: mdl-38041284

ABSTRACT

To meet the requirements of time-frequency networks and enable frequency downloadability for nodes along the link, we demonstrated the extraction of stable frequency signals at nodes using a mode-locked laser under the condition of 100 km laboratory fiber. The node consists of a simple structure that utilizes widely used optoelectronic devices and enables plug-and-play applications. In addition, the node can recover frequency signals with multiple frequencies, which are useful for scenarios that require different frequencies. Here, we experimentally demonstrated a short-term frequency instability of 2.83 × 10-13@1 s and a long-term frequency instability of 1.18 × 10-15@10,000 s at the node, which is similar to that at the remote site of the frequency transfer system. At the same time, frequency signals with different frequencies also achieved stable extraction with the same performance at the node. Our results can support the distributed application under large-scale time-frequency networks.

7.
Opt Express ; 31(16): 25598-25612, 2023 Jul 31.
Article in English | MEDLINE | ID: mdl-37710442

ABSTRACT

To meet the demand of flexible access for high-precision synchronization frequency, we demonstrate multi-node stable radio frequency (RF) dissemination over a long-distance optical fiber. Stable radio frequency signals can be extracted at any node along the optical fiber, not just at the endpoint. The differential mixing structure (DMS) is employed to avoid the frequency harmonic leakage and enhance the precision. The phase-locked loop (PLL) provides frequency reference for the DMS while improving the signal to noise ratio (SNR) of dissemination signal. We measure the frequency instability of multi-node stable frequency dissemination system (MFDS) at different locations along the 2,000 km optical fiber. The measured short-term instability with average time of 1 s are 1.90 × 10-14 @ 500 km, 2.81 × 10-14 @ 1,000 km, 3.46 × 10-14 @ 1,500 km, and 3.84 × 10-14 @ 2,000 km respectively. The long-term instability with average time of 10,000 s are basically the same at any position of the optical fiber, which is about (6.24 ± 0.05) × 10-17. The resulting instability is sufficient for the propagation of precision active hydrogen masers.

8.
Opt Lett ; 48(12): 3327-3330, 2023 Jun 15.
Article in English | MEDLINE | ID: mdl-37319093

ABSTRACT

Continuous variable quantum key distribution that can be implemented using only low-cost and off-the-shelf components reveals great potential in practical large-scale realization. Access networks, as a modern network necessity, connect many end-users to the network backbone. In this work, we first demonstrate upstream transmission quantum access networks using continuous variable quantum key distribution. A two-end-user quantum access network is then experimentally realized. Through phase compensation, data synchronization, and other technical upgrades, we achieve a secret key rate of the total network of 390 kbits/s. In addition, we extend the case of a two-end-user quantum access network to the case of a multiplicity of users, and analyze the network capacity in the case of a multiplicity of users by measuring the additive excess noise from different time slots.

9.
Eur Radiol ; 33(6): 3995-4006, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36571604

ABSTRACT

OBJECTIVES: To comprehensively assess osteoporosis in the lumbar spine, a compositional MR imaging technique is proposed to quantify proton fractions for all the water components as well as fat in lumbar vertebrae measured by a combination of a 3D short repetition time adiabatic inversion recovery prepared ultrashort echo time (STAIR-UTE) MRI and IDEAL-IQ. METHODS: A total of 182 participants underwent MRI, quantitative CT, and DXA. Lumbar collagen-bound water proton fraction (CBWPF), free water proton fraction (FWPF), total water proton fraction (TWPF), bone mineral density (BMD), and T-score were calculated in three vertebrae (L2-L4) for each subject. The correlations of the CBWPF, FWPF, and TWPF with BMD and T-score were investigated respectively. A comprehensive diagnostic model combining all the water components and clinical characteristics was established. The performances of all the water components and the comprehensive diagnostic model to discriminate between normal, osteopenia, and osteoporosis cohorts were also evaluated using receiver operator characteristic (ROC). RESULTS: The CBWPF showed strong correlations with BMD (r = 0.85, p < 0.001) and T-score (r = 0.72, p < 0.001), while the FWPF and TWPF showed moderate correlations with BMD (r = 0.65 and 0.68, p < 0.001) and T-score (r = 0.47 and 0.49, p < 0.001). The high area under the curve values obtained from ROC analysis demonstrated that CBWPF, FWPF, and TWPF have the potential to differentiate the normal, osteopenia, and osteoporosis cohorts. At the same time, the comprehensive diagnostic model shows the best performance. CONCLUSIONS: The compositional MRI technique, which quantifies CBWPF, FWPF, and TWPF in trabecular bone, is promising in the assessment of bone quality. KEY POINTS: • Compositional MR imaging technique is able to quantify proton fractions for all the water components (i.e., collagen-bound water proton fraction (CBWPF), free water proton fraction (FWPF), and total water proton fraction (TWPF)) in the human lumbar spine. • The biomarkers derived from the compositional MR imaging technique showed moderate to high correlations with bone mineral density (BMD) and T-score and showed good performance in distinguishing people with different bone mass. • The comprehensive diagnostic model incorporating CBWPF, FWPF, TWPF, and clinical characteristics showed the highest clinical diagnostic capability for the assessment of osteoporosis.


Subject(s)
Bone Diseases, Metabolic , Osteoporosis , Humans , Lumbar Vertebrae/diagnostic imaging , Cancellous Bone/diagnostic imaging , Protons , Osteoporosis/diagnostic imaging , Bone Density , Magnetic Resonance Imaging/methods , Water , Collagen , Absorptiometry, Photon/methods
10.
J Opt Soc Am A Opt Image Sci Vis ; 40(10): 1926-1932, 2023 Oct 01.
Article in English | MEDLINE | ID: mdl-37855548

ABSTRACT

Uniform laser beams with controllable patterns are crucial for various applications, including laser processing and inertial confinement fusion. While some methods have been proposed to generate flattop beams, they often require complex optical systems that can become ineffective because of the misalignment of the system or the imperfection of optical elements. To overcome these issues, we utilized feedback-based wavefront shaping (FWS) technology to generate flattop beams with desired patterns from a disordered light. To solve the multi-goal optimization problem, we propose some modifications based on the Non-dominated Sorting Genetic Algorithm II (NSGA2) and successfully generate focal beams with a uniform intensity distribution and controllable beam shape from the disordered light field.

11.
Yi Chuan ; 45(10): 922-932, 2023 Oct 20.
Article in English | MEDLINE | ID: mdl-37872114

ABSTRACT

This study aimed to assess and compare the performance of different machine learning models in predicting selected pig growth traits and genomic estimated breeding values (GEBV) using automated machine learning, with the goal of optimizing whole-genome evaluation methods in pig breeding. The research employed genomic information, pedigree matrices, fixed effects, and phenotype data from 9968 pigs across multiple companies to derive four optimal machine learning models: deep learning (DL), random forest (RF), gradient boosting machine (GBM), and extreme gradient boosting (XGB). Through 10-fold cross-validation, predictions were made for GEBV and phenotypes of pigs reaching weight milestones (100 kg and 115 kg) with adjustments for backfat and days to weight. The findings indicated that machine learning models exhibited higher accuracy in predicting GEBV compared to phenotypic traits. Notably, GBM demonstrated superior GEBV prediction accuracy, with values of 0.683, 0.710, 0.866, and 0.871 for B100, B115, D100, and D115, respectively, slightly outperforming other methods. In phenotype prediction, GBM emerged as the best-performing model for pigs with B100, B115, D100, and D115 traits, achieving prediction accuracies of 0.547, followed by DL at 0.547, and then XGB with accuracies of 0.672 and 0.670. In terms of model training time, RF required the most time, while GBM and DL fell in between, and XGB demonstrated the shortest training time. In summary, machine learning models obtained through automated techniques exhibited higher GEBV prediction accuracy compared to phenotypic traits. GBM emerged as the overall top performer in terms of prediction accuracy and training time efficiency, while XGB demonstrated the ability to train accurate prediction models within a short timeframe. RF, on the other hand, had longer training times and insufficient accuracy, rendering it unsuitable for predicting pig growth traits and GEBV.


Subject(s)
Genome , Models, Genetic , Swine/genetics , Animals , Phenotype , Genomics/methods , Genotype , Polymorphism, Single Nucleotide
12.
Angew Chem Int Ed Engl ; 62(11): e202216878, 2023 Mar 06.
Article in English | MEDLINE | ID: mdl-36651564

ABSTRACT

Here, we report the first example of Ni-catalyzed asymmetric hydrosilylation of 1,1-disubstituted allenes with high level of regioselectivities and enantioselectivities. The key to achieve this stereoselective hydrosilylation reaction was the development of the SPSiOL-derived bisphosphite ligands (SPSiPO). This protocol features broad substrate scope, excellent functional group, and heterocycle tolerance, thus provides a versatile method for the construction of enantioenriched tertiary allylsilanes in a straightforward and atom-economic manner. DFT calculations were performed to reveal the reaction mechanism and the origins of the enantioselectivity.

13.
J Neurosci ; 41(18): 4131-4140, 2021 05 05.
Article in English | MEDLINE | ID: mdl-33664132

ABSTRACT

Ketamine is known to have a rapid and lasting antidepressant effect. Recent studies have shown that ketamine exerts it rapid antidepressant effect by blocking burst firing in the lateral habenula (LHb). Whether the sustained antidepressant effect of ketamine occurs through the same mechanism has not been explored. Here, using male rats, we found that local infusion of (R,S)-ketamine into the LHb resulted in a rapid antidepressant-like effect 1 h after infusion, which almost returned to baseline levels after 24 h. Intra-LHb injection of (S)-ketamine also showed a significant antidepressant-like effect 1 h after injection, which recovered at 24 h. No significant antidepressant-like effect was found at 1 or 24 h after the administration of (R)-ketamine into the LHb. Injection of (2R,6R)-hydroxynorketamine, a ketamine metabolite, into the LHb did not result in any obvious antidepressant-like effect 1 or 24 h after injection. Systemic administration of (R,S)-ketamine (intraperitoneally) significantly suppressed LHb bursting activity at 1 h, but the inhibitory effect was reversed 24 h after injection. No significant effect of (R,S)-ketamine on miniature excitatory postsynaptic potentials of LHb neurons was found at 1 or 24 h after systemic application. Our study demonstrated that the sustained antidepressant-like effect of ketamine may not depend on burst firing of LHb neurons.SIGNIFICANCE STATEMENT Ketamine exerts it rapid antidepressant effect by blocking burst firing in the lateral habenula (LHb). However, whether the sustained antidepressant effect of ketamine occurs through the same mechanism has not been explored. In the present study, we demonstrated that the sustained antidepressant effect of ketamine may not depend on the burst firing of LHb neurons. This finding may lead to a novel perspective on LHb in the antidepressant effect of ketamine.

14.
Eur J Immunol ; 51(5): 1110-1125, 2021 05.
Article in English | MEDLINE | ID: mdl-33547649

ABSTRACT

Intestinal trefoil factor 3 (TFF3) plays an important role in repairing the intestinal mucosa. However, the detailed mechanism regarding immune regulation by TFF3 is not well defined. Here, we reported that treatment of mouse BM cells and human peripheral blood mononuclear cells from healthy volunteers with TFF3 activated polymorphnuclear myeloid-derived suppressor cells (PMN-MDSCs) in vitro. We also found that prostaglandin E2 is a major TFF3-mediated MDSC target, and that NF-κB/COX2 signaling was involved in this process. Moreover, TFF3 treatment or transfer of TFF3-derived PMN-MDSCs (TFF3-MDSCs) to experimental necrotizing enterocolitis (NEC) mice caused PMN-MDSC accumulation in the lamina propria (LP), which was associated with decreased intestinal inflammation, permeability, bacterial loading, and prolonged survival. Interestingly, no NEC severity remission was observed in Rag1 KO mice that were given TFF3-MDSCs, but coinjection with CD4+ T cells significantly relieved NEC inflammation. Overall, TFF3 mediates the NF-κB/COX2 pathway to regulate PMN-MDSC activation and attenuates NEC in a T-cell-dependent manner, which suggests a novel mechanism in preventing NEC occurrence.


Subject(s)
Cyclooxygenase 2/metabolism , Enterocolitis, Necrotizing/etiology , Enterocolitis, Necrotizing/metabolism , Myeloid-Derived Suppressor Cells/metabolism , NF-kappa B/metabolism , Neutrophils/metabolism , Signal Transduction , Trefoil Factor-3/genetics , Animals , Animals, Newborn , Dinoprostone/metabolism , Disease Models, Animal , Disease Susceptibility , Enterocolitis, Necrotizing/pathology , Gene Expression Regulation , Humans , Intestinal Mucosa/immunology , Intestinal Mucosa/metabolism , Intestinal Mucosa/pathology , Mice , Mice, Knockout , Myeloid-Derived Suppressor Cells/immunology , Neutrophils/immunology , T-Lymphocytes/immunology , T-Lymphocytes/metabolism , Trefoil Factor-3/metabolism
15.
Opt Express ; 30(17): 30455-30465, 2022 Aug 15.
Article in English | MEDLINE | ID: mdl-36242149

ABSTRACT

Information reconciliation is an essential step of continuous-variable quantum key distribution (CV-QKD) because its efficiency affects both the maximum transmission distance and the final secret key rate of the whole system. Slice reconciliation can achieve high secret key rates for the CV-QKD systems under high signal-to-noise ratios (SNRs). However, it suffers from the high designing cost of the error-correcting codes in the multi-level coding and multi-stage decoding step. To reconcile one set of data with fixed SNR, multiple error-correcting codes with different code rates need to be designed. If the channel environment changed, the code rates need to change along to maintain high reconciliation efficiency, making it complicated and costly. In this paper, we introduce polar codes into slice reconciliation and proposed a scheme that is simply constructed, effectively performed, and well adapted to the systems with wide-range and variational SNRs. Simulation results show that the proposed scheme offers reconciliation efficiency over 95% for the systems with SNRs range from 1 to 10, which can support the systems with high secret key rates. The decrease of complexity and the increase of secret key rate have great significance for a practical CV-QKD system.

16.
Opt Lett ; 47(3): 710-713, 2022 Feb 01.
Article in English | MEDLINE | ID: mdl-35103714

ABSTRACT

We investigate the optical trapping of polystyrene microspheres in optical tweezers. The transverse capture gradient forces of polystyrene microspheres with different numerical aperture are theoretically and experimentally evaluated by the power spectral density roll-off method. It is found that the trapping force of the experimental measurement is much stronger than that of the theoretical results. The discordance is attributed to the slow light effect near the focus, which has been found in recent years [Science347, 857 (2015)10.1126/science.aaa3035; Opt. Express18, 10822 (2010)10.1364/OE.18.010822; Opt. Commun.332, 164 (2014)10.1016/j.optcom.2014.06.057]. The modified trapping force of the theoretical results by considering the slow light effect near the focus is well consistent with that of the experimental results.


Subject(s)
Optical Tweezers , Polystyrenes , Microspheres
17.
Opt Express ; 29(20): 30978-30990, 2021 Sep 27.
Article in English | MEDLINE | ID: mdl-34615200

ABSTRACT

The optical phase shifter that constantly rotates the local oscillator phase is a necessity in continuous-variable quantum key distribution systems with heterodyne detection. In previous experimental implementations, the optical phase shifter is generally regarded as an ideal passive optical device that perfectly rotates the phase of the electromagnetic wave of 90∘. However, the optical phase shifter in practice introduces imperfections, mainly the measurement angular error, which inevitably deteriorates the security of the practical systems. Here, we will give a concrete interpretation of measurement angular error in practical systems and the corresponding entanglement-based description. Subsequently, from the parameter estimation, we deduce the overestimated excess noise and the underestimated transmittance, which lead to a reduction in the final secret key rate. Simultaneously, we propose an estimation method of the measurement angular error. Next, the practical security analysis is provided in detail, and the effect of the measurement angular error and its corresponding compensation scheme are demonstrated. We conclude that measurement angular error severely degrades the security, but the proposed calibration and compensation method can significantly help improve the performance of the practical CV-QKD systems.

18.
Microb Pathog ; 161(Pt A): 105170, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34492305

ABSTRACT

Bluetongue is a viral disease transmitted by the bite of bloodsucking insects, which mainly occurs in sheep, goats, and cattle. Bluetongue is characterized by fever, leukopenia, and severe catarrhal inflammation of the oral and gastrointestinal mucosa. The present study aimed to evaluate and analyze the prevalence of bluetongue and its associated risk factors in sheep and goats in China. We collected 59 publications from 1988 to 2019 through searches at ScienceDirect, PubMed, the Chongqing VIP Chinese journal database, Wanfang database, and Chinese Web of knowledge. In these studies, a total of 123,982 sheep and goats across 7 regions of China were investigated, and the pooled prevalence of bluetongue in sheep and goats was 18.6%, as assessed using serological methods. The prevalence of bluetongue in Southern China was 30.3%, which was significantly higher than that in Northeastern China (4.7%). The prevalence of bluetongue between sheep (12.9%) and goats (28.1%) was significantly different (P < 0.05). Detection methods subgroup analysis showed that the prevalence of bluetongue was significantly higher (P < 0.05) in the others group (43.8%) than in the agar immunodiffusion (15.9%) and enzyme-linked immunosorbent assay groups (20.5%). In addition, different geographical factors (latitude range, longitude range, altitude range, average precipitation, and average temperature) could affect the prevalence. Our results suggested that bluetongue is widespread in sheep and goats, and sheep and goats in contact with insect media, such as Culicoides, or in a warm and humid environment, could have an increased prevalence of bluetongue disease. Animal disease prevention and control departments should focus on continuous monitoring of the bluetongue epidemic in sheep and goats to prevent and control outbreaks.


Subject(s)
Bluetongue virus , Bluetongue , Goat Diseases , Animals , Antibodies, Viral , Bluetongue/epidemiology , Cattle , Goat Diseases/epidemiology , Goats , Prevalence , Risk Factors , Sheep
19.
BMC Anesthesiol ; 21(1): 106, 2021 04 06.
Article in English | MEDLINE | ID: mdl-33823804

ABSTRACT

BACKGROUND: Bronchoscopy treatments of central airway obstruction (CAO) under general anesthesia are high-risky procedures, and posing a giant challenge to the anesthesiologists. We summarized and analyzed our clinical experience in patients with CAO undergoing flexible or rigid bronchoscopy, to estimate the safety of skeletal muscle relaxants application and the traditional Low-frequency ventilation. METHODS: Clinical data of 375 patients with CAO who underwent urgent endoscopic treatments in general anesthesia from January 2016 to October 2019 were retrospectively reviewed. The use ratio of skeletal muscle relaxants, dose of skeletal muscle relaxants used, the incidence of perioperative adverse events, adequacy of ventilation and gas exchange, post-operative recovery between rigid bronchoscopy and flexible bronchoscopy therapy, and risk factors for postoperative ICU admission were evaluated. RESULTS: Of the 375 patients with CAO, 204 patients were treated with flexible bronchoscopy and 171 patients were treated with rigid bronchoscopy. Muscle relaxants were used in 362 of 375 patients (including 313 cisatracurium, 45 rocuronium, 4 atracurium, and 13 unrecorded). The usage rate of muscle relaxants (96.5% in total) was very high in patients with CAO who underwent either flexible bronchoscopy (96.6%) or rigid bronchoscopy (96.5%) therapy. The dosage of skeletal muscle relaxants (Cisatracium) used was higher in rigid bronchoscopy compared with flexible bronchoscopy therapy (10.8 ± 3.8 VS 11.6 ± 3.6 mg, respectively, p < 0.05). No patient suffered the failure of ventilation, bronchospasm and intraoperative cough either in flexible or rigid bronchoscopy therapy. Hypoxemia was occurred in 13 patients (8 in flexible, 5 in rigid bronchoscopy) during the procedure, and reintubation after extubation happened in 2 patients with flexible bronchoscopy. Sufficient ventilation was successfully established using the traditional Low-frequency ventilation with no significant carbon dioxide accumulation and hypoxemia occurred both in flexible and rigid bronchoscopy group (p > 0.05). Three patients (1 in flexible and 2 in rigid) died, during the post-operative recovery, and the higher grade of American Society of Anesthesiologists (ASA) and obvious dyspnea or orthopnea were the independent risk factors for postoperative ICU admission. CONCLUSION: The muscle relaxants and low-frequency traditional ventilation can be safely used both in flexible and rigid bronchoscopy treatments in patients with CAO. These results may provide strong clinical evidence for optimizing the anesthesia management of bronchoscopy for these patients.


Subject(s)
Airway Obstruction/therapy , Bronchoscopy/methods , Laryngeal Masks , Muscle Relaxants, Central/administration & dosage , Adolescent , Adult , Aged , Aged, 80 and over , Anesthesia, General , Female , Humans , Hypoxia/etiology , Male , Middle Aged , Retrospective Studies , Young Adult
20.
Opt Express ; 28(15): 22388-22398, 2020 Jul 20.
Article in English | MEDLINE | ID: mdl-32752501

ABSTRACT

A bias-free source-independent quantum random number generator scheme based on the measurement of vacuum fluctuation is proposed to realize the effective elimination of system bias and common mode noise introduced by the local oscillator. Optimal parameter settings are derived to avoid the system recording two canonically conjugate quadratures simultaneously in each measurement. In particular, it provides a new approach to investigate the performance difference between measuring two quadratures of equal and unequal intensity. It is experimentally demonstrated that the system supports 4.2 Gbps bias-free source-independent random number generation, where its common mode rejection ratio reaches 61.17 dB. Furthermore, the scheme offers an all-optical method facilitating the integration of source-independent quantum random number generators into compact chips.

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