HRCT quantitative analysis of airway remodeling and airway trapping in the small airway asthma phenotype and its correlation with pulmonary function.

OBJECTIVES: We aimed to explore whether large airway remodeling and small airway structural changes exist in subjects with small airway asthma phenotype and to evaluate the relationships between quantitative high-resolution computed tomography (qHRCT) parameters and lung function. METHODS: We enrolled 15 subjects with small airway asthma phenotype and 18 healthy controls. The two groups were matched by age, sex and body square area (BSA) with propensity score matching (PSM). Pulmonary function and qHRCT parameters [wall thickness (WT), wall area (WA), lumen area (LA), wall area percentage (WA%) of the 4th-6th generations in the right upper lobe apical segmental bronchus (RB1), adjusted by BSA, WT/BSA, WA/BSA, and LA/BSA, relative volume change -860 HU to -950 HU (RVC-860 to -950) and the expiration to inspiration ratio of mean lung density (MLDE/I)) were compared between the groups. Correlation analysis was employed to assess the relationship between qHRCT parameters and pulmonary function. RESULTS: The small airway asthma phenotype had significantly higher WA%, RVC-860 to -950 and MLDE/I and lower LA/BSA than the healthy control. Additionally, we found moderate to strong correlations between impulse oscillation (IOS) indices and WA6% and WT6/BSA. No significant correlation was found between bronchial parameters and air trapping parameters (p > 0.05). CONCLUSIONS: Combining physiological tests with imaging approaches can lead to better evaluation of small airway disfunction (SAD) in asthmatic patients. Additionally, despite nonexistent airflow obstruction in patients with small airway asthma phenotype, large airway remodeling and small airway structural changes may appear simultaneously in the early stage of disease.

Organic Compounds as Corrosion Inhibitors for Carbon Steel in HCl Solution: A Comprehensive Review.

Most studies on the corrosion inhibition performance of organic molecules and (nano)materials were conducted within "carbon steel/1.0 M HCl" solution system using similar experimental and theoretical methods. As such, the numerous research findings in this system are sufficient to conduct comparative studies to select the best-suited inhibitor type that generally refers to a type of inhibitor with low concentration/high inhibition efficiency, nontoxic properties, and a simple and cost-economic synthesis process. Before data collection, to help readers have a clear understanding of some crucial elements for the evaluation of corrosion inhibition performance, we introduced the mainstay of corrosion inhibitors studies involved, including the corrosion and inhibition mechanism of carbon steel/HCl solution systems, evaluation methods of corrosion inhibition efficiency, adsorption isotherm models, adsorption thermodynamic parameters QC calculations, MD/MC simulations, and the main characterization techniques used. In the classification and statistical analysis section, organic compounds or (nano)materials as corrosion inhibitors were classified into six types according to their molecular structural characteristics, molecular size, and compound source, including drug molecules, ionic liquids, surfactants, plant extracts, polymers, and polymeric nanoparticles. We outlined the important conclusions obtained from recent literature and listed the evaluation methods, characterization techniques, and contrastable experimental data of these types of inhibitors when used for carbon steel corrosion in 1.0 M HCl solution. Finally, statistical analysis was only performed based on these data from carbon steel/1.0 M HCl solution system, from which some conclusions can contribute to reducing the workload of the acquisition of useful information and provide some reference directions for the development of new corrosion inhibitors.

Study on corrosion behavior and mechanism of AISI 4135 steel in marine environments based on field exposure experiment.

The application of high-strength steels in marine engineering is gaining importance because of their high performance and ability to help save resources. However, detailed and systematic information about the corrosion behavior of high-strength steels in different marine corrosion zones is still limited. This study aimed to investigate and compare the corrosion behavior of AISI 4135 high-strength steel in marine atmospheric, splash, tidal, and immersion zones, focusing on rust layer characteristics, corrosion form and electrochemical corrosion behavior. Corrosion exposure experiments were performed in a specific sea area, and the recovered steel samples were characterized by Raman spectroscopy, confocal laser scanning microscopy, nitrogen adsorption analysis, etc. Results showed that the rust layer formed on the surface of the steel in all corrosion zones had component delamination. The steel samples in the atmospheric, splash, and tidal zones were characterized by pitting corrosion, where the average depths of the corrosion pits were 56.1 ± 4.7 µm, 199.5 ± 12.6 µm, 108.1 ± 11.0 µm, respectively, whereas those in the immersion zone were characterized by general corrosion. Meanwhile, electrochemical tests were performed on the electrode samples during exposure. Results showed that the corrosion of the steel progressed from slow to fast in the atmospheric, splash, and tidal zones, whereas it was relatively steady in the immersion zone. Differentiated models of the corrosion evolution of steel under wet-dry cycle and immersion conditions were presented. This discrepancy is related to the varying degrees of accumulation of ionic corrosion products at the metal/oxide interface, which are determined by the mean pore access diameter of the rust layer and the corrosion environment. This study is highly significant for the design of marine engineering considering the safety applications of high-strength steel structures in harsh marine environments.

The Value of Impulse Oscillometric Parameters and Quantitative HRCT Parameters in Differentiating Asthma-COPD Overlap from COPD.

PURPOSE: To evaluate the value of impulse oscillometry (IOS) and quantitative HRCT parameters for differentiating asthma-COPD overlap (ACO) in COPD patients. PATIENTS AND METHODS: We enrolled 44 controls and 66 COPD patients, divided into the pure COPD group (n=40) and the ACO group (n=26). Spearman correlation analysis was utilized to assess the relationship between the quantitative HRCT and IOS parameters. A binary logistic regression analysis was performed to analyze the associations between the different variables and the risk of ACO. Receiver operating characteristic (ROC) curves were employed to identify the optimal cutoff and assess the diagnostic value of relative volume change -856 HU to -950 HU (RVC-856 to -950), decrease in the resistance from 5 Hz to 20 Hz (R5-R20) and their combination in predicting ACO. Bootstrapping validation was used to evaluate the internal validation. The concordance index (C-index) and calibration plot were calculated to assess the discrimination and calibration of the prediction model. RESULTS: Binary logistic regression analysis indicated that RVC-856 to -950 and the IOS parameters (R5-R20, R5, X5) were independently correlated with a higher risk of developing ACO after adjusting for age, sex, body mass index (BMI), history of smoking, exacerbation and atopy or allergic rhinitis. A correlation analysis showed a good correlation between the pulmonary function parameters and RVC-856 to -950, with a weaker correlation with the % area of low attenuation (LAA%) in ACO patients. Combining RVC-856 to -950 and R5-R20 to predict ACO, the AUC was 0.909, and the optimal cutoff value was >-0.62 for RVC-856 to -950 and >0.09 for R5-R20. Good calibration and favorable discrimination were displayed with a higher C-index. CONCLUSION: More serious small airway impairment exists in ACO patients. The combination of RVC-856 to -950 and R5-R20 could be applied to differentiate ACO from COPD patients.

The Value of Fractional Exhaled Nitric Oxide and Impulse Oscillometric and Spirometric Parameters for Predicting Bronchial Hyperresponsiveness in Adults with Chronic Cough.

PURPOSE: To evaluate the contribution of fractional exhaled nitric oxide (FeNO) and impulse oscillometry (IOS) and spirometric parameters in predicting bronchial hyperresponsiveness (BHR) in adults with chronic cough. PATIENTS AND METHODS: In total, 112 patients with chronic cough were enrolled in this prospective diagnostic study. Receiver operating characteristic (ROC) curves were generated to assess the diagnostic efficiency and optimal cut-off values of FeNO and IOS and spirometric parameters in predicting BHR. Optimal combinations of FeNO and IOS and spirometric parameters for BHR prediction were investigated using univariate and multivariate logistic regression models. Bootstrapping was employed for internal validation. Model discrimination and calibration were assessed using indices and calibration plots. RESULTS: Rhinitis and values of FeNO, IOS parameters (resonant frequency (Fres), reactance at 5 Hz (X5), and integrated area of low-frequency X (AX)) and spirometric parameters (FEV1, PEF, MEF75, MEF50, MEF25, MMEF) were significantly different between patients with BHR and those without BHR (P < 0.05). After adjusting for rhinitis, logistic analyses showed that FeNO combined with Fres, FeNO combined with MMEF, or the combination of FeNO, Fres and MMEF had high predictive value in diagnosing BHR; the areas under the ROC curves (AUCs) of the corresponding three models were 0.914, 0.919 and 0.927, respectively. In addition, the three models displayed good discrimination, with high C-index values and good calibration. CONCLUSION: FeNO combined with Fres or MMEF or a combination of these three parameters may be conveniently used as indicators in BHR prediction.

Value of Combining of the NLR and the Fibrinogen Level for Predicting Stroke-Associated Pneumonia.

PURPOSE: To evaluate the value of the NLR (neutrophil-to-lymphocyte ratio) and the fibrinogen level in predicting stroke-associated pneumonia (SAP) in acute ischemic stroke (AIS) patients. PATIENTS AND METHODS: In total, we enrolled 734 medical-ward patients with AIS in this retrospective study. Patients were divided into SAP (n=52) and non-SAP (n=682) groups according to the diagnostic criteria of SAP. Binary logistic regression analysis was used to analyze the relationship between the NLR, serum fibrinogen concentration and SAP. Receiver operating characteristic (ROC) curves were generated to identify the optimal cutoff points and assess the diagnostic value of the NLR, serum fibrinogen and the combination of NLR and fibrinogen in predicting SAP. RESULTS: SAP occurred in 52 (7.08%) patients among the enrolled AIS patients. Binary logistic regression analysis showed that the NLR (odds ratio [OR]: 2.802, 95% confidence interval [CI]: 1.302-6.032, P=0.008) and serum fibrinogen concentration (OR: 7.850, 95% CI: 3.636-16.949, P=0.000) were independently associated with a higher risk of SAP incidence after adjusting for age, sex, ASPECT score, atrial fibrillation, nasogastric tube feeding, LDL-C and TC, temperature at admission and mechanical ventilation. The optimal cutoff points of the NLR and serum fibrinogen to distinguish SAP among AIS patients were 3.603 (AUC, 0.690; NPV, 95.78; PPV, 19.01) and 4.595 (AUC, 0.727; NPV, 95.60; PPV, 24.49), respectively. When the combination of NLR and fibrinogen was used to predict SAP, the optimal cutoff points were >2.436 for NLR and >3.24 for fibrinogen (AUC, 0.758; NPV, 98.50; PPV, 11.80). CONCLUSION: The NLR and serum fibrinogen might have greater negative diagnostic value in predicting SAP among AIS patients. Combining the NLR and serum fibrinogen showed an increased AUC for predicting SAP among AIS patients.

Bi2Se3 Sensitized TiO2 Nanotube Films for Photogenerated Cathodic Protection of 304 Stainless Steel Under Visible Light.

Titanium dioxide (TiO2) nanotube arrays coupled with a narrow gap semiconductor-bismuth selenide (Bi2Se3)-exhibited remarkable enhancement in the photocathodic protection property for 304 stainless steel under visible light. Bi2Se3/TiO2 nanocomposites were successfully synthesized using a simple two-step method, including an electrochemical anodization method for preparing pure TiO2 and a chemical bath deposition method for synthesizing Bi2Se3 nanoflowers. The morphology and structure of the composite films were studied by scanning electron microscopy, energy dispersion spectroscopy, X-ray photoelectron spectroscopy and X-ray diffraction. In addition, the influence of the Bi2Se3 content on the photoelectrochemical and photocathodic protection properties of the composite films was also studied. The photocurrent density of the Bi2Se3/TiO2 nanocomposites was significantly higher than that of pure TiO2 under visible light. The sensitizer Bi2Se3 enhanced the efficient separation of the photogenerated electron-hole pairs and the photocathodic protection properties of TiO2. Under visible light illumination, Bi2Se3/TiO2 nanocomposites synthesized by the chemical bath deposition method with Bi3+ (0.5 mmol/L) exhibited the optimal photogenerated cathodic protection performance for 304 stainless steel.