Quality appraisal of clinical practice guidelines for the management of Dysphagia after acute stroke.

Objectives: Dysphagia is a common complication in stroke patients, widely affecting recovery and quality of life after stroke. The objective of this systematic review is to identify the gaps that between evidence and practice by critically assessing the quality of clinical practice guidelines (CPGs) for management of dysphagia in stroke. Methods: We systematically searched academic databases and guideline repositories between January 1, 2014, and August 1, 2023. The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was used by two authors to independently assess CPG quality. Results: In a total of 14 CPGs included, we identified that three CPGs obtained a final evaluation of "high quality," nine CPGs achieved "moderate quality" and two CPGs received "low quality." The domain of "scope and purpose" achieved the highest mean score (91.1%) and the highest median (IQR) of 91.7% (86.1, 94.4%), while the domain of "applicability" received the lowest mean score (55.8%) and the lowest median (IQR) of 55.4% (43.2, 75.5%). Conclusion: The CPG development group should pay more attention to improving the methodological quality according to the AGREE II instrument, especially in the domain of "applicability" and "stakeholder involvement;" and each item should be refined as much as possible.

Research progress of the POP fugacity model: a bibliometrics-based analysis.

With the emergence of environmental issues regarding persistent organic pollutants (POPs), fugacity models have been widely used in the concentration prediction and exposure assessment of POPs. Based on 778 relevant research articles published between 1979 and 2020 in the Web of Science Core Collection (WOSCC), the current research progress of the fugacity model on predicting the fate and transportation of POPs in the environment was analyzed by CiteSpace software. The results showed that the research subject has low interdisciplinarity, mainly involving environmental science and environmental engineering. The USA was the most paper-published country, followed by Canada and China. The publications of the Chinese Academy of Sciences, Lancaster University, and Environment Canada were leading. Collaboration between institutions was inactive and low intensity. Keyword co-occurrence analysis showed that polychlorinated biphenyls, organochlorine pesticides, and polycyclic aromatic hydrocarbons were the most concerning compounds, while air, water, soil, and sediment were the most concerning environmental media. Through co-citation cluster analysis, in addition to the in-depth exploration of traditional POPs, research on emerging POPs such as cyclic volatile methyl siloxane and dechlorane plus were new research frontiers. The distribution and transfer of POPs in the soil-air environment have attracted the most attention, and the regional grid model based on fugacity has been gradually improved and developed. The co-citation high-burst detection showed that the research hotspots gradually shifted from pollutant persistence and long-range transport potential to pollutant distribution rules among the different environmental media and the long-distance transmission simulation.

Genome Sequence of Sulfide-Dependent Denitrification Bacterium Thermomonas sp. Strain XSG, Isolated from Marine Sediment.

We report the draft genome sequence of Thermomonas sp. strain XSG, isolated from a marine sediment. The genome is 3,047,478 bp long with a GC content of 68.5%. Strain XSG was found to be closely related to strain NBRC 101115 of Thermomonas koreensis.

The characteristics and mixing states of PM2.5 during a winter dust storm in Ningbo of the Yangtze River Delta, China.

Dust particulates play an essential role for the nucleation, hygroscopicity and also contribute to aerosol mass. We investigated the chemical composition, size distribution and mixing states of PM2.5 using a single-particle aerosol mass spectrometer (SPAMS), Monitor for AeRosols and Gases (MARGA), and off-line membrane sampling from 2018.1.24 to 2018.2.20 at a coastal supersite in Ningbo, a port city in Yangtze River Delta, China. During the study campaign, the eastern part of China had experienced a wide range of cooling, sandstorm, and snowfall processes. The entire sampling campaign was categorized into five sub-periods based on the levels of PM2.5 and the ratios of PM2.5/PM10, namely clean (T1), heavy pollution (T2), light pollution (T3), dust (sandstorm) (T4) and cleaning pollution (T5) period. After comparing the average mass spectrum for each period, it shows that the primary ions, such as Ca2+and SiO3-, rarely coexist with each other within a single particle, but secondary ions generally coexist with these primary ions. Furthermore, the coexistence of each two different ions within a particle does not show distinct variation for the whole study periods. All these suggest that the absorption and partitioning of gaseous contaminants into the surface of primary aerosol through heterogeneous reactions are the major pathways of aging and growth of aerosol; and the merging of particles through collisions usually is insignificant. Although the absolute concentrations of nitrate and sulfate all increased with the PM2.5 concentrations, the relative equivalent concentrations of NO3- and SO42- displayed opposite trends; the relative contribution of sulfate decreased and that of nitrate increased as the increase of pollution. During the dust period, the relative equivalent concentrations of calcium and/or potassium ions in PM2.5 are significantly higher. This study provided deep insights about the mixing states and characteristics of particulate after long-range transport and a visualization tool for aerosol study.

[The Correlation of Fast-track Extubation Ultrasound Score and Clinical Multi-organ Information Indicators of Postoperative of Cardiac Surgery].

OBJECTIVE: To evaluate the correlation of Fast-track extubation ultrasound score (FTEUS) and clinical multi-organ information indicators in post-cardiac surgery patients. METHODS: prospectively recruit post-cardiac surgery patients who were about to extubating from Febuary 2019 to September 2019. A fast-track extubation ultrasound score protocol (FTE-USP) was developed on the basis of the conventional fast-track extubation standard precisely and individualized. Cardiac, pulmonary and inferior vena cava ultrasound examinations were performed by specially trained observers, video data were saved, FTE-USP was used for scoring, Kendall consistency coefficient was used to meature the interobserver consistency. The correlation between the FTEUS and the patients' clinical indicators was evaluated. RESULTS: A total of 207 patients were recruited in the study, including 89 males and 118 females, aged (54.63±11.80) years. The FTEUS was performed at bedside with a mean time of (8.23±2.08) min, Kendall consistency coefficient is 0.941. With the increase of the total score of FTEUS, the incidence of clinical adverse events increased (especially the arrhythmia), and there were significant changes in liver, kidney, heart, lung and other organ function indicators, among which serum creatinine level, serum cystatin C level, serum NT-pro-brain natriuretic peptide, length of stay in intensive care unit, non-invasive mechanical ventilation time after extubation, and incidence of arrhythmia were positively correlated with FTEUS (P < 0.05).With FTEUS increased to 5 points, the incidence of arrhythmia (14/24, 58.3%), cardiopulmonary resuscitation (2/24, 8.3%) and weaning failure (2/24, 8.3%) increased. CONCLUSION: FTE-USP integrates multi-organ informations, can be performed quickly at the bedside and alerts adverse events. It has the potential to be applied to assist clinical decision-making in post-cardiac surgery patients before extubation.

Identifying the Pollution Characteristics of Atmospheric Polycyclic Aromatic Hydrocarbons Associated with Functional Districts in Ningbo, China.

Duplicate polyurethane foam based passive air samplers (PUF-PAS) were deployed at seven sites in Ningbo from November 1, 2014 to October 31, 2015 and were used to analyze 15 priority polycyclic aromatic hydrocarbons (PAHs). Higher benzo[a]pyrene toxic equivalent concentrations were observed in the industrial areas during wintertime. Correspondence analysis (CA) was used to characterize the PAH congener profiles associated with each functional district and their temporal variations. It showed that different PAH composition profiles and seasonal variations were observed in mountain, rural area and residential areas; and different industrial layouts also led to different properties of PAH congener emissions. Higher levels of PAHs were observed around oil refinery in summer and at mountainous areas in winter, which might be attributed to the evaporation of petroleum and the impact of local biomass burning. This study also demonstrated that the factors influencing the representativeness of a site could be more clearly understood using PUF-PAS and CA analysis.

Characteristics of pollutant gas releases from swine, dairy, beef, and layer manure, and municipal wastewater.

Knowledge about characteristics of gas releases from various types of organic wastes can assist in developing gas pollution reduction technologies and establishing environmental regulations. Five different organic wastes, i.e., four types of animal manure (swine, beef, dairy, and layer hen) and municipal wastewater, were studied for their characteristics of ammonia (NH3), carbon dioxide (CO2), hydrogen sulfide (H2S), and sulfur dioxide (SO2) releases for 38 or 43 days in reactors under laboratory conditions. Weekly waste additions and continuous reactor headspace ventilation were supplied to simulate waste storage conditions. Results demonstrated that among the five waste types, layer hen manure and municipal wastewater had the highest and lowest NH3 release potentials, respectively. Layer manure had the highest and dairy manure had the lowest CO2 release potentials. Dairy manure and layer manure had the highest and lowest H2S release potentials, respectively. Beef manure and layer manure had the highest and lowest SO2 releases, respectively. The physicochemical characteristics of the different types of wastes, especially the total nitrogen, total ammoniacal nitrogen, dry matter, and pH, had strong influence on the releases of the four gases. Even for the same type of waste, the variation in physicochemical characteristics affected the gas releases remarkably.

[Pollutant production and discharge from livestock and poultry industries and land carrying capacity in Zhejiang Province].

Based on the investigation of pollutant production and discharge from a typical scale pig farm in Zhejiang Province at three pig growth stages (piglets, fattening pigs, and sows) in the autumn and winter 2007 and the spring and summer 2008, the coefficients of pollutant production and discharge from the pigs as well as the total annual pollutant production and discharge from the farm were estimated. In the meantime, the annual application amount of animal manure to the farmlands in Zhejiang Province was estimated by using these coefficients and the livestock and poultry inventories in Zhejiang Province in 2007. It was estimated that the total amount of applied animal manure in the Province in 2007 was 2106.8 x 10(4) t x a(-1), containing 13.57 x 10(4) t x a(-1) of N, 6.7 x 10(4) t x a(-1) of P, 0.11 x 10(4) t x a(-1) of Cu, and 0.20 x 10(4) t x a(-1) of Zn. The pig-manure-equivalent farmland carrying capacity in the Province was 16.66 t x hm(-2) a(-1), and the average alarm limit was 0. 37. The application of animal manure in some areas of Zhejiang Province had exceeded the alarm limit for the land carrying capacity, and made a potential environmental threat.