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1.
Appl Opt ; 63(12): 3108-3116, 2024 Apr 20.
Article in English | MEDLINE | ID: mdl-38856454

ABSTRACT

In general, visible light communication (VLC) uses LEDs as transmitters. However, LEDs can serve as receivers to construct a simple duplex VLC system that uses only two LEDs instead of one LED and one photo-diode (PD). There is a lack of effective equivalent analysis models for characterizing and evaluating the inherent behavioral characteristics of LEDs used as receivers. This paper presents an equivalent analysis model for GaN LEDs as receivers. First, based on the proposed receiving equivalent circuit model, a third-order signal transmission mathematical analysis model is established, revealing the transmission relationship between the photocurrent and output voltage. Further research is conducted on the impact of parameter changes on the bandwidth, and the model can be simplified into a first-order low-pass mathematical analysis model under specific conditions, providing theoretical support for improving the bandwidth of LED receiving applications. The experimental results also confirm the theoretical predictions. This research result holds significant importance for revealing the intrinsic mechanisms and the improved optical communication performance of LEDs for effective reception.

2.
J Acoust Soc Am ; 156(1): 299-313, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38984811

ABSTRACT

Underwater acoustic target recognition based on passive sonar faces numerous challenges in practical maritime applications. One of the main challenges lies in the susceptibility of signal characteristics to diverse environmental conditions and data acquisition configurations, which can lead to instability in recognition systems. While significant efforts have been dedicated to addressing these influential factors in other domains of underwater acoustics, they are often neglected in the field of underwater acoustic target recognition. To overcome this limitation, this study designs auxiliary tasks that model influential factors (e.g., source range, water column depth, or wind speed) based on available annotations and adopts a multi-task framework to connect these factors to the recognition task. Furthermore, we integrate an adversarial learning mechanism into the multi-task framework to prompt the model to extract representations that are robust against influential factors. Through extensive experiments and analyses on the ShipsEar dataset, our proposed adversarial multi-task model demonstrates its capacity to effectively model the influential factors and achieve state-of-the-art performance on the 12-class recognition task.

3.
J Acoust Soc Am ; 156(1): 244-255, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38980097

ABSTRACT

Underwater acoustic target recognition has emerged as a prominent research area within the field of underwater acoustics. However, the current availability of authentic underwater acoustic signal recordings remains limited, which hinders data-driven acoustic recognition models from learning robust patterns of targets from a limited set of intricate underwater signals, thereby compromising their stability in practical applications. To overcome these limitations, this study proposes a recognition framework called M3 (multitask, multi-gate, multi-expert) to enhance the model's ability to capture robust patterns by making it aware of the inherent properties of targets. In this framework, an auxiliary task that focuses on target properties, such as estimating target size, is designed. The auxiliary task then shares parameters with the recognition task to realize multitask learning. This paradigm allows the model to concentrate on shared information across tasks and identify robust patterns of targets in a regularized manner, thus, enhancing the model's generalization ability. Moreover, M3 incorporates multi-expert and multi-gate mechanisms, allowing for the allocation of distinct parameter spaces to various underwater signals. This enables the model to process intricate signal patterns in a fine-grained and differentiated manner. To evaluate the effectiveness of M3, extensive experiments were implemented on the ShipsEar underwater ship-radiated noise dataset. The results substantiate that M3 has the ability to outperform the most advanced single-task recognition models, thereby achieving the state-of-the-art performance.

4.
BMC Surg ; 24(1): 41, 2024 Jan 31.
Article in English | MEDLINE | ID: mdl-38297255

ABSTRACT

OBJECTIVE: Sciatic scoliosis can be seen in patients with lumbar disc herniation. Percutaneous endoscopic lumbar discectomy (PELD) is a common surgical method for the treatment of lumbar disc herniation. The difference between single-segment lumbar disc herniation and double-segment lumbar disc herniation with Sciatic Scoliosis in adults after PELD needs further study. The aim of this study was to compare the imaging features of single-segment and double-segment lumbar disc herniation with Sciatic Scoliosis in adults and to further explore the clinical outcomes of functional improvement and scoliosis imaging parameters of the two groups after PELD. METHODS: Adult patients with lumbar disc herniation with sciatic scoliosis who received PELD from January 2019 to June 2022 were analyzed retrospectively. According to the number of operative segments, the patients were divided into a single-segment group and a double-segment group. Perioperative parameters were observed and compared between the two groups. The Visual Analogue Scale (VAS) score, Oswestry dysfunction index (ODI), Japanese Orthopaedic Association scores (JOA) and imaging parameters of the two groups were recorded and compared before the operation and during the follow-up. RESULTS: A total of 53 patients with single segments and 21 patients with double segments were included in this study. During the follow-up, the VAS score, ODI index and JOA score of the two groups were significantly improved as compared with those before the operation(P < 0. 05). Ninety-two point five percent of single-segment patients and 90.5% of double segment patients returned to normal scoliosis within 12 months after the operation. The operation time, number of intraoperative fluoroscopy times and the amount of intraoperative blood loss in single-segment patients were better than those in double-segment group(P < 0. 05). At the last follow-up, the AVT, CBD and SVA in the double-segment group were 5.2 ± 2.3, 5.1 ± 1.0 and 12.2 ± 3.0 mm, respectively, which were higher than those in the single-segment group (1.9 ± 0.4, 1.1 ± 1.6 and 3.9 ± 2.1 mm) (P < 0. 05). CONCLUSION: PELD is an effective treatment for single-segment and double-segment lumbar disc herniation with Sciatic scoliosis. Double-segment patients can enjoy similar clinical efficacy to single-segment patients, avoiding complications caused by decompression, fusion, and internal fixation. Scoliosis was corrected spontaneously within 12 months after operation, and the sagittal curve was significantly improved in both groups. The improvement of coronal and sagittal balance in double -segment patients may take longer.


Subject(s)
Diskectomy, Percutaneous , Intervertebral Disc Displacement , Scoliosis , Adult , Humans , Intervertebral Disc Displacement/complications , Intervertebral Disc Displacement/surgery , Retrospective Studies , Diskectomy, Percutaneous/methods , Scoliosis/complications , Scoliosis/surgery , Endoscopy/methods , Lumbar Vertebrae/surgery , Diskectomy/methods , Treatment Outcome
5.
J Acoust Soc Am ; 152(5): 2641, 2022 Nov.
Article in English | MEDLINE | ID: mdl-36456302

ABSTRACT

Underwater acoustic target recognition is an intractable task due to the complex acoustic source characteristics and sound propagation patterns. Limited by insufficient data and narrow information perspective, recognition models based on deep learning seem far from satisfactory in practical underwater scenarios. Although underwater acoustic signals are severely influenced by distance, channel depth, or other factors, annotations of relevant information are often nonuniform, incomplete, and hard to use. In this work, the proposal is to implement underwater acoustic recognition based on templates made up of rich relevant information (UART). The templates are designed to integrate relevant information from different perspectives into descriptive natural language. UART adopts an audio-spectrogram-text trimodal contrastive learning framework, which endows UART with the ability to guide the learning of acoustic representations by descriptive natural language. These experiments reveal that UART has better recognition capability and generalization performance than traditional paradigms. Furthermore, the pretrained UART model could provide superior prior knowledge for the recognition model in the scenario without any auxiliary annotation.

6.
Displays ; 72: 102148, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35013628

ABSTRACT

In their continuing battle against the COVID-19 pandemic, medical workers in hospitals worldwide need to wear safety glasses and goggles to protect their eyes from the possible transmission of the virus. However, they work for long hours and need to wear a mask and other personal protective equipment, which causes their protective eye wear to fog up. This fogging up of eye wear, in turn, has a substantial impact in the speed and accuracy of reading information on the interface of electrocardiogram (ECG) machines. To gain a better understanding of the extent of the impact, this study experimentally simulates the fogging of protective goggles when viewing the interface with three variables: the degree of fogging of the goggles, brightness of the screen, and color of the font of the cardiovascular readings. This experimental study on the target recognition of digital font is carried out by simulating the interface of an ECG machine and readability of the ECG machine with fogged eye wear. The experimental results indicate that the fogging of the lenses has a significant impact on the recognition speed and the degree of fogging has a significant correlation with the font color and brightness of the screen. With a reduction in screen brightness, its influence on recognition speed shows a v-shaped trend, and the response time is the shortest when the screen brightness is 150 cd/m2. When eyewear is fogged, yellow and green font colors allow a quicker response with a higher accuracy. On the whole, the subjects show a better performance with the use of green font, but there are inconsistencies. In terms of the interaction among the three variables, the same results are also found and the same conclusion can be made accordingly. This research study can act as a reference for the interface design of medical equipment in events where medical staff wear protective eyewear for a long period of time.

7.
Int Ophthalmol ; 42(6): 1927-1938, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35147832

ABSTRACT

PURPOSE: To explore the profile of gut microbiota and central carbon-related metabolites in patients with primary angle-closure glaucoma (PACG). METHODS: The fecal microbiotas of 30 PACG patients and 30 healthy participants were detected via 16S rRNA sequencing. Targeted liquid chromatography-mass spectrometry was used to examine serum central carbon-related metabolites. The correlations among metabolites, microbiotas and clinical presentations were also explored. RESULTS: Although the α and ß diversity between the PACG and control groups did not show a significant difference, the distribution of Blautia and Fusicatenibacter decreased significantly in the PACG group. Functional annotations of microbiota enrichment showed that the most dominant pathway was related to host metabolism. In the PACG patients, seven central carbon metabolites, namely adenosine 5'-diphosphate, dGDP, phosphoenolpyruvic acid, d-ribulose 5-phosphate, d-xylulose 5-phosphate, glucuronic acid, and malonic acid, decreased significantly, whereas two metabolites, citric acid and isocitrate, increased obviously. The mean RNFL thickness was positively correlated with phosphoenolpyruvic acid, the VF-MD was positively correlated with glucuronic acid, and the abundance of Blautia was negatively associated with citric acid. CONCLUSION: Few species of gut microbiota were altered in the PACG patients compared to the healthy subjects. A distinct difference in the phenotype of the central carbon-related metabolites of PACG and their correlation with clinical presentations and microbiota suggests potential mechanisms of RGC impairment and novel intervention targets.


Subject(s)
Gastrointestinal Microbiome , Glaucoma, Angle-Closure , Glaucoma, Open-Angle , Carbon , Citric Acid , Glucuronic Acid , Humans , Intraocular Pressure , RNA, Ribosomal, 16S/genetics
8.
Sensors (Basel) ; 20(18)2020 Sep 22.
Article in English | MEDLINE | ID: mdl-32971862

ABSTRACT

Deep learning based methods have achieved state-of-the-art results on the task of ship type classification. However, most existing ship type classification algorithms take time-frequency (TF) features as input, the underlying discriminative information of these features has not been explored thoroughly. This paper proposes a novel feature optimization method which is designed to minimize an objective function aimed at increasing inter-class and reducing intra-class feature distance for ship type classification. The objective function we design is able to learn a center for each class and make samples from the same class closer to the corresponding center. This ensures that the features maximize underlying discriminative information involved in the data, particularly for some targets that usually confused by the conventional manual designed feature. Results on the dataset from a real environment show that the proposed feature optimization approach outperforms traditional TF features.

9.
J Environ Manage ; 231: 833-842, 2019 Feb 01.
Article in English | MEDLINE | ID: mdl-30419439

ABSTRACT

The effects of bioreactor temperatures and salinities of an anaerobic membrane distillation bioreactor (anMDBR) on the permeation performance and their potential recovery of bioresources were fully examined in this study. To the best of our knowledge, this is the first study of a lab-scale anMDBR process utilizing sub-merged hollow fiber membranes. The hybrid system utilizing both membrane distillation (MD) and anaerobic bioreactors achieved 99.99% inorganic salt rejection regardless the operation temperatures and high initial flux from (2-4 L m-2 h-1) at 45-65 °C. However, after 7-day operation, the flux dropped by 16-50% proportional to the bioreactor temperatures. It was found that the effects of bioreactor temperatures had strong impacts on both the permeation performance and fouling behavior while salinity had insignificant effect. A compact non-porous fouling layer was observed on the membrane surface from the bioreactor operated at 65 °C while only a few depositions was found on the membrane from 45 °C bioreactor. In the present study, the optimal anMDBR temperature was found to be 45 °C, showing a balanced biogas production and membrane permeation performance including less fouling formation. At this bioreactor temperature (45 °C), the biogas yield was 0.14 L/g CODremoval, while maintaining a methane recovery of 42% in the biogas, similar recovery to those at bioreactor temperatures of 55 and 65 °C. The potential recovery of volatile fatty acids made anMDBR a more economically efficient system, in addition to its lower operation cost and smaller footprint compared with most other technologies for on-site wastewater treatment.


Subject(s)
Wastewater , Water Purification , Anaerobiosis , Biofuels , Bioreactors , Distillation , Fatty Acids, Volatile , Membranes, Artificial , Waste Disposal, Fluid
10.
Anal Chem ; 90(7): 4529-4534, 2018 04 03.
Article in English | MEDLINE | ID: mdl-29504754

ABSTRACT

The accurate imaging of the lymph nodes represents a critical indicator for tumor staging and surgical planning (e.g., osteosarcoma). Clinically, nodal tracing using a radio-nanocolloid is often limited by the inaccessibility of real-time images and inadequate anatomical information. Herein, we present a 99mTc-labeled biomineralization nanoprobe for the advanced detection of osteosarcoma and lymph nodes with multimodal imaging. Through the exploitation of the complementary strengths of MRI/SPECT/NIR fluorescence, the fabricated nanoprobe exhibited suitable stability and biocompatibility characteristics and was shown to be able to be located in osteosarcoma. The lymphatic drainage and network in healthy mice were imaged in real-time using NIR fluorescence and SPECT/CT. Furthermore, we demonstrated that our 99mTc-biomineralization nanoprobe could be used for the high-resolution and high-sensitivity imaging analysis of lymphatic drainage in an orthotopic osteosarcoma model. Overall, the 99mTc-labeled biomineralization nanoprobe features promising characteristics to be used as an intraoperative visualization tool to aid in precise tumor imaging and nodal resection.


Subject(s)
Fluorescent Dyes/chemistry , Lymph Nodes/diagnostic imaging , Nanoparticles/chemistry , Optical Imaging , Osteosarcoma/diagnostic imaging , Technetium/chemistry , Animals , Biomineralization , Disease Models, Animal , Female , Mice , Mice, Inbred BALB C , Particle Size , Surface Properties
11.
Int J Cancer ; 135(12): 2962-71, 2014 Dec 15.
Article in English | MEDLINE | ID: mdl-24771540

ABSTRACT

Epithelial-to-mesenchymal transition (EMT) has profound impacts on cancer progression and also on drug resistance, including epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs). Nowadays, there is still no predictive biomarker identified for the use of EGFR-TKIs in non-small cell lung cancer (NSCLC) patients with wild-type EGFR. To clarify the role of EMT phenotype as a predictive marker for EGFR-TKI, we performed a retrospective study in 202 stage IV or recurrent NSCLC patients receiving gefitinib or erlotinib therapy from June 2008 to September 2012 in our institute. Clinical data and EGFR mutational status were collected, while epithelial, epithelial to mesenchymal, not specified or mesenchymal phenotype were classified according to EMT markers such as E-cadherin, fibronectin, N-cadherin and vimentin by immunohistochemistry. Epithelial phenotype was more frequently found in patients with EGFR mutation (p = 0.044). Epithelial phenotype was associated with a significantly higher objective response rate (23.5 vs. 11.1 vs. 0.0 vs. 2.4%, p = 0.011), longer progression-free survival (4.4 vs. 1.9 vs. 1.7 vs. 1.0 months, p < 0.001) and longer overall survival (11.5 vs. 8.9 vs. 4.5 vs. 4.9 months, p < 0.001) compared to epithelial to mesenchymal, not specified and mesenchymal phenotype in the wild-type EGFR subgroup. In the subgroup with EGFR mutation, the trend remained but without a statistically significant difference. In conclusion, epithelial phenotype was more likely expressed in patients with EGFR mutation and was associated with a better outcome in advanced NSCLC patients with wild-type EGFR, which indicates that the EMT phenotype might be a potential marker to guide EGFR-TKI therapy in this population.


Subject(s)
Carcinoma, Non-Small-Cell Lung/metabolism , Epithelium/pathology , ErbB Receptors/antagonists & inhibitors , Lung Neoplasms/metabolism , Protein Kinase Inhibitors/pharmacology , Aged , Antigens, CD , Biomarkers/metabolism , Cadherins/metabolism , Carcinoma, Non-Small-Cell Lung/drug therapy , Carcinoma, Non-Small-Cell Lung/genetics , Disease Progression , Drug Resistance, Neoplasm , Epithelial-Mesenchymal Transition , ErbB Receptors/genetics , Female , Fibronectins/metabolism , Humans , Immunohistochemistry , Lung Neoplasms/drug therapy , Lung Neoplasms/genetics , Male , Middle Aged , Mutation , Phenotype , Retrospective Studies , Treatment Outcome , Vimentin/metabolism
12.
Front Bioeng Biotechnol ; 12: 1303670, 2024.
Article in English | MEDLINE | ID: mdl-38390364

ABSTRACT

Antibiotics are an important pharmaceutical class excessively used by humans. Its presence in the soil can impact plant growth and induce antibiotic resistance. This research studies the effect of sulfamethoxazole (SMX) on plant growth, rhizosphere bacteria composition, and resistance genes. Two sets of vegetables (basil, cilantro, and spinach) were treated separately with water and SMX solution. The plant growth data and soil samples were collected and analyzed. The results revealed that SMX increased spinach leaf length (34.0%) while having no significant impacts on basil and cilantro. On the other hand, SMX improved the bacterial diversity in all samples. The shifts in the abundance of plant growth-promoting bacteria could indirectly affect vegetable stem and leaf length. SMX also significantly increased the abundance of resistance genes Sul1 and Sul2. A further study into the correlation between bacteria highlights the importance of Shingomonas and Alfipia for inhibiting the spread of key resistance gene hosts, namely, Pseudomonas, Stenotrophomonas, and Agrobacterium. This research provides insight into SMX's impact on vegetable growth and microbial diversity. It also points out important microbial interactions that could potentially be utilized to mitigate ARG proliferation.

13.
Adv Sci (Weinh) ; 11(26): e2401322, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38704683

ABSTRACT

Recent advances in solar-driven interfacial evaporation (SDIE) have led to high evaporation rates that open promising avenues for practical utilization in freshwater production and industrial application for pollutant and nutrient concentration, and resource recovery. Breakthroughs in overcoming the theoretical limitation of 2D interfacial evaporation have allowed for developing systems with high evaporation rates. This study presents a comprehensive review of various evaporator designs that have achieved pure evaporation rates beyond 4 kg m-2 h-1, including structural and material designs allowing for rapid evaporation, passive 3D designs, and systems coupled with alternative energy sources of wind and joule heating. The operational mechanisms for each design are outlined together with discussion on the current benefits and areas for improvement. The overarching challenges encountered by SDIE concerning the feasibility of direct integration into contemporary practical settings are assessed, and issues relating to sustaining elevated evaporation rates under diverse environmental conditions are addressed.

14.
Sci Total Environ ; 883: 163732, 2023 Jul 20.
Article in English | MEDLINE | ID: mdl-37116799

ABSTRACT

The hyporheic zone, i.e. the groundwater-surface water interface within riverine/riparian ecosystems, plays a key role in water transport, energy flow and biogeochemical cycling at watershed scales. Water and heat exchange are fundamental processes regulating biogeochemical cycles in the hyporheic zones. To improve the understanding of hyporheic flow and heat transport in meandering streams, high-resolution measurements of water level and temperature, combined with a 3-D coupled model of flow and heat transport in the hyporheic zone of a meandering bend, were carried out during a summer flood season. Results show the distinct spatio-temporal variations of hyporheic water and heat exchange. Flooding events (the incoming flood water generated by the upstream rainfall) and local rainstorm events (the storm or rainfall occurring over the local study area) are major drivers for the coupled processes. Incoming flooding from the upper stream increases the hyporheic water and heat exchange in the riverbed and inner bank leading to the longer intra-meander residence times, and warms the riverbed and riverbanks due to the post-rainfall thermal recovery. Local rainstorm event increases hyporheic water and heat exchange flux both laterally and vertically and cools down the riverbed and riverbanks. The water exchange and thermal regimes in the intra-meander seems more driven by the local exchange flows, while the counterparts in the outer bank are dominated by the regional groundwater flow. The temperatures in the inner banks are 1 to 3 °C higher than those in the outer banks, indicating the better hydrological connectivity between river water and groundwater in the intra-meander. The meander apex is a hot spot for hyporheic water and heat exchange. The results highlight the close coupling among river morphology, hyporheic flow, and thermal heterogeneity in a meander system.

15.
Sci Rep ; 13(1): 16027, 2023 09 25.
Article in English | MEDLINE | ID: mdl-37749178

ABSTRACT

This study aimed to develop a physiologically-based pharmacokinetic (PBPK) model to predict the maximum plasma concentration (Cmax) and trough concentration (Ctrough) at steady-state of olaparib (OLA) in Caucasian, Japanese and Chinese. Furthermore, the PBPK model was combined with mean and 95% confidence interval to predict optimal dosing regimens of OLA when co-administered with CYP3A4 modulators and administered to patients with hepatic/renal impairment. The dosing regimens were determined based on safety and efficacy PK threshold Cmax (< 12,500 ng/mL) and Ctrough (772-2500 ng/mL). The population PBPK model for OLA was successfully developed and validated, demonstrating good consistency with clinically observed data. The ratios of predicted to observed values for Cmax and Ctrough fell within the range of 0.5 to 2.0. When OLA was co-administered with a strong or moderate CYP3A4 inhibitor, the recommended dosing regimens should be reduced to 100 mg BID and 150 mg BID, respectively. Additionally, the PBPK model also suggested that OLA could be not recommended with a strong or moderate CYP3A4 inducer. For patients with moderate hepatic and renal impairment, the dosing regimens of OLA were recommended to be reduced to 200 mg BID and 150 mg BID, respectively. In cases of severe hepatic and renal impairment, the PBPK model suggested a dosing regimen of 100 mg BID for OLA. Overall, this present PBPK model can determine the optimal dosing regimens for various clinical scenarios involving OLA.


Subject(s)
Liver Diseases , Renal Insufficiency , Humans , Cytochrome P-450 CYP3A , Kidney
16.
Environ Technol ; : 1-13, 2023 Jun 21.
Article in English | MEDLINE | ID: mdl-37337954

ABSTRACT

Natural organic matter (NOM) can impede the removal of organic micro-pollutants (OMPs) through several mechanisms, including inner filter effect, competition with the target OMP, and radical scavenging, during synchronous adsorption/photocatalysis of multi-functional composites. In this study, the fate and inhibitory mechanisms of sulfamerazine (SMZ, a model OMP) that occurred in presence of seven different NOM samples (i.e. three standard NOM surrogates, a river water sample, a carbon filter effluent and two different sand filter effluents) during the adsorption/photocatalysis by a composite of Bi2O3-TiO2 supported on powdered activated carbon (Bi2O3-TiO2/PAC, abbreviated as BTP) when exposed to visible light irradiation were revealed. The results indicated that adsorption played a greater attribution than photocatalysis on SMZ removal. The primary impediment to the adsorption and photocatalytic degradation of SMZ was attributed to the presence of terrestrial-derived, humic-like NOM fractions with high aromaticity. The adsorption efficacy of SMZ was weakened by the absorption of NOM and its degradation products onto the BTP surface. The inner filter effect, competition between NOM and SMZ, and radical scavenging were responsible for the reduced photocatalysis of SMZ. In the cases of real water matrices, the presence of inorganic anion and co-existed NOM reduced the removal of SMZ. In summary, the findings of this work offer a comprehensive comprehension of the impact of NOM fractions on photocatalysis, emphasizing the necessity to examine the interplay between NOM and background inorganic constituents in the degradation of OMP via adsorption/photocatalysis.

17.
Heart Lung ; 61: 127-135, 2023.
Article in English | MEDLINE | ID: mdl-37263145

ABSTRACT

BACKGROUND: Acute respiratory distress syndrome (ARDS) is a common disease in intensive critical care(ICU), and the use of positive end-expiratory pressure(PEEP) during mechanical ventilation can increase the right heart afterload and eventually cause right heart dysfunction. For these factors causing acute cor pulmonale(ACP), especially inappropriate mechanical ventilation settings, it is important to explore the effect of PEEP on right heart function. OBJECTIVE: To investigate the effects of three titration methods on right heart function and prognosis in patients with ARDS. METHODS: Observational, prospective study in which ARDS patients were enrolled into three distinct PEEP-titration strategies groups: guide, transpulmonary pressure-oriented and driving pressure-oriented. Prognostic indicators, right heart systolic and diastolic echocardiographic function indices, ventilatory parameters, blood gas analysis results, and respiratory mechanics Monitoring indices were collated and analyzed statistically by STATA 15 software. RESULTS: A total of 62 ARDS patients were enrolled into guide (G) group (n=40) for whom titrated PEEP values were 9±2cm H2O, driving pressure-oriented (DPO) group (n=12) with titrated PEEP values of 10±2cm H2O and transpulmonary pressure-oriented (TPO) group (n=10) with titrated PEEP values of 12±3cm H2O. Values were significantly higher for TPO than for G (p=0.616) or DPO (p=0.011). Compliance was significantly increased after 72 h in the TPO and DPO groups compared with the G group (p<0.001). Mean airway pressure at end-inspiratory obstruction (p=0.047), tricuspid annular plane systolic excursion (TAPSE, p<0.001) and right ventricular area change fraction (RVFAC, p=0.049) were all higher in the TPO and DPO groups than in the G group. E/A indices were significantly better in the TPO group than in the G or DPO groups (p=0.046). No significant differences in 28 day mortality were found among the three groups. Multivariate logistic regression analysis revealed that lung compliance and transpulmonary pressure-oriented PEEP titration method was negatively correlated to the increase in right ventricular systolic dysfunction. CONCLUSION: Transpulmonary pressure-oriented PEEP titration improves oxygenation and pulmonary function and causes less right heart strain when compared to other PEEP-titration methods during mechanical ventilation of ARDS patients.


Subject(s)
Respiratory Distress Syndrome , Humans , Prospective Studies , Respiratory Distress Syndrome/therapy , Lung , Positive-Pressure Respiration/methods , Prognosis
18.
J Hazard Mater ; 449: 131065, 2023 May 05.
Article in English | MEDLINE | ID: mdl-36840988

ABSTRACT

The physicochemical properties of powdered activated carbon (PAC) are important factors affecting its adsorption performance, which is also related to the characteristics of target organic pollutants. In this study, the key indicators affecting the adsorption performance of PAC were identified, and the physicochemical properties of PACs were modified by hydrogen peroxide and/or ultrasound in a targeted manner to improve the adsorption performance. The results indicated the adsorption properties of printing and dyeing secondary effluent organic matter (EfOM) in terms of CODcr and UV absorbance at 254 nm (UV254) positively correlated with mesoporous volume, average pore size and acid group content of PAC. After modification, the mesoporous volume and average pore size of PAC increased, and the number of acidic groups increased, thus enhancing the adsorption efficiency. EfOM removal characteristics showed that PAC preferentially adsorbed unsaturated bonds or aromatic compounds, tryptophan-like proteins, soluble microbial metabolites and low molecular weight fractions below 1 kDa. In addition, the relative contents of specific surface area, pore volume and oxygen-containing functional groups (O-CO, C-OH, CO/O-C-O) of PAC decreased after adsorption, indicating that EfOM adsorption was a physical and chemical process, including pore filling, hydrophobic interaction and chemical bond force interaction. In general, PACs with larger mesoporous volume, average pore size and abundant acid groups possessed good adsorption performance towards EfOM.

19.
Sci Total Environ ; 856(Pt 1): 159033, 2023 Jan 15.
Article in English | MEDLINE | ID: mdl-36183665

ABSTRACT

Biochar application for the remediation of cadmium (Cd)-contaminated soils may result in a relative deficiency of phosphorus (P) due to the disruption of soil nutrient balance. However, the P acquisition strategies of plants in such situation are still unclear. In this study, analyses on soil zymography and root morphology were combined for the first time to investigate the effects of pristine and P-modified biochars from apple tree branches on the P acquisition strategies of wheat under Cd stress. The results show that the application of pristine biochar exacerbated the soil's relative P deficiency. Wheat was forced to improve foraging for P by forming longer and thinner roots (average diameter 0.284 mm) as well as releasing more phosphatase to promote P mobilization in the soil. Moreover, bioavailable Cd affected the P acquisition strategies of wheat through stimulating the release of phosphatase from roots. The P-modified biochar maintained high levels of Olsen-P (>100 mg kg-1) in the soil over time by slow release, avoiding the creation of relative P deficiency in the soil; and increased the average root diameter (0.338 mm) and growth performance index, which promoted shoot growth (length and biomass). Furthermore, the P-modified biochar reduced DTPA-extracted Cd concentration in soils by 79.8 % (pristine biochar by 26.9 %), and decreased the Cd translocation factor from root to shoot as well as Cd concentration in the shoots. Therefore, P-modified biochar has a great potential to regulate the soil element balance (carbon, nitrogen, and P), promote wheat growth, and remediate the Cd-contaminated soil.


Subject(s)
Cadmium , Soil Pollutants , Cadmium/analysis , Soil , Triticum/metabolism , Phosphorus , Soil Pollutants/analysis , Charcoal , Phosphoric Monoester Hydrolases
20.
Shanghai Kou Qiang Yi Xue ; 32(1): 97-100, 2023 Feb.
Article in Zh | MEDLINE | ID: mdl-36973852

ABSTRACT

PURPOSE: To investigate the application value of nitrous oxide/oxygen inhalation comfort technique during tooth extraction in elderly patients with hypertension under electrocardiographic(ECG) monitoring. METHODS: According to the inclusion and exclusion criteria, sixty elderly patients (over 65 years old) with hypertension for tooth extraction were randomly divided into 2 groups: the experimental group(nitrous oxide/oxygen inhalation combined with ECG monitoring group, n=30) and the control group (routine ECG monitoring group, n=30). Mean arterial pressure (MAP) and heart rate (HR) at T0 (baseline values before surgery), T1 (on local anesthesia), T2 (during operation) and T3(5 minutes after operation) were recorded. SPSS 25.0 software package was used for statistical analysis. RESULTS: There was no significant difference in MAP and HR at each time point in the experimental group(P>0.05). There was no significant difference in MAP and HR at T0 and T3 time points in the control group(P>0.05). At other time points, MAP and HR were significantly different (P<0.05). There was no significant differences in MAP and HR between the two groups at T0 and T3(P>0.05). MAP and HR at T1 and T2 in the experimental group were significantly less than those in the control group(P<0.05). CONCLUSIONS: Nitrous oxide/oxygen inhalation comfort technology can stabilize patients' emotions and maintain stable blood pressure and heart rate in elderly patients with hypertension during tooth extraction, thus improving the safety of tooth extraction.


Subject(s)
Hypertension , Nitrous Oxide , Humans , Aged , Nitrous Oxide/adverse effects , Oxygen , Tooth Extraction/adverse effects , Dental Care
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