Enhancing the Mechanical Properties and Water Permeability of Pervious Planting Concrete: A Study on Additives and Plant Growth.

Pervious planting concrete (PPC) is in line with the concept of ecological environmental protection. However, due to its own porous structure, it is difficult to obtain excellent mechanical properties and water permeability at the same time, which hinders its promotion and application. In this paper, natural gravel (NG), ordinary Portland cement (OPC), polyvinyl alcohol latex powder (PVAP) and polycarboxylate superplasticizer (PS) were used to prepare the PPC, and its mechanical properties and water permeability were studied. Three kinds of plants were planted in the PPC and their planting properties were studied. At the same time, the effect of Bacillus on the planting properties was studied. The results show that when the water-binder ratio (W/B) was 0.28 and the PVAP content was 0.8%, both the mechanical properties and water permeability of the PPC were optimal. The compressive strength and permeability coefficient were 14.2 MPa and 14.48 mm/s, respectively. The mechanical properties and water permeability of PPC prepared with 10~20 mm NG were better than those prepared with 5~10 mm NG. Among the three plants, the germination rate and growth of Elymus dahuricus Turcz (EDT) were the best. The incorporation of Bacillus can optimize its planting properties and promote the effective combination between plants and the PPC substrate.

Abnormal blood concentration changes in a 71-year-old female who survived a 10,000mg overdose of clozapine: a case report.

BACKGROUND: Clozapine is a highly effective second-generation antipsychotic with few extrapyramidal reactions, making it a preferred choice among clinicians. However, instances of acute clozapine poisoning resulting from suicide attempts and misuse have been reported. Through our review of existing literature, we identified that we believe to be the highest recorded overdose of clozapine in elderly patients, resulting in a nonfatal outcome. CASE PRESENTATION: The case report involves a 71-year-old female with a history of depression who ingested a dose of 10,000 mg of clozapine. Approximately 6 h after the overdose, the clozapine level was 5,200 µg/L, significantly surpassing the recommended therapeutic concentration range of 350-600 µg/L. After gastric lavage and hemoperfusion, the blood level dropped to 1847.11 µg/L. Notably, during therapeutic drugs monitoring (TDM), we found a perplexing spike in the patient's blood level to 5554.15 µg/L after the second hemoperfusion. CONCLUSION: In this case we mainly focused on the abnormal fluctuations in the concentration of clozapine. We conducted a comprehensive analysis of potential factors contributing to this abnormal phenomenon in terms of the patient's age, clinical symptoms, various laboratory test indexes, and the pharmacokinetics of clozapine. Our findings underscore the importance of timely TDM and the precision of results in managing elderly patients experiencing high-dose clozapine poisoning.

Lower serum AMH concentration is correlated with serum IgG1 decreased in the infertile woman: A real-world retrospective study.

OBJECTIVES: In this real-world approach, we examined the serum Anti-Mullerian Hormone (AMH) level and the relationship with serum IgG subclass in the infertile women. METHODS: A total of 574 female participants were recruited for this study. The serum AMH, IgG subclass(IgG1, IgG2, IgG3, IgG4) and immunoglobulin (Ig) G、IgM、IgA、IgE as well as complement C3, C4 were analyzed. The difference in serum AMH level was assessed according categorized as above or below the median of the ratio of serum IgG subclass(IgG1, IgG2, IgG3, IgG4) to total IgG (RIgG subclass/IgG). RESULTS: The serum AMH level of the low RIgG1/IgG group is significantly decreased than that high RIgG1/IgG group (p < 0.05). The Spearman correlation analysis showed that the serum AMH level was significantly negatively correlated with age and significantly positively correlated with serum IgG1 levels respectively (p < 0.05). GLMMs multivariate model showed that after adjusting the covariate and possible mixed factors including age, serum immunoglobulin, complement C3 and C4, the serum AMH level was significantly positively correlated with IgG1 level (p < 0.01). CONCLUSIONS: Decreased serum IgG1 may significantly affect the ovarian reserve function of women. Confirmation of this association and elucidation of its underlying mechanisms are needed to place these results in a clinical perspective.