Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionn...Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam- ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results: According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were statistically greater in the pressure sore group than in the control group (P〈0.05). The multivariate logistic regression analysis revealed that the number of days of norepinephrine use and the level of lactic acid in the arterial blood were high risk-factors for pressure sores (P〈0.05). Conclusions: The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of decompression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.展开更多
BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier dysfunction.Ultrasound-guided quadratus lumborum block is oft...BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier dysfunction.Ultrasound-guided quadratus lumborum block is often used for postoperative analgesia,but its effects on stress response and intestinal barrier function are not well understood.AIM To investigate the effects of an ultrasound-guided quadratus lumborum block on stress response and intestinal barrier function in patients undergoing radical surgery for gastric cancer.METHODS A total of 100 patients undergoing radical surgery for gastric cancer were randomly categorized into observation and control groups.Plasma adrenaline and cortisol levels,intestinal mucosal barrier indexes,and complication rates were compared between the two groups before,during,and 1 day after surgery.RESULTS The observation group had significantly lower plasma adrenaline and cortisol levels during surgery and at 1 day postoperatively than that of the control group(P<0.05).Additionally,intestinal barrier indexes(endotoxin and D-dimer)at 1 day postoperatively were significantly lower in the observation group than in the control group(P<0.05).CONCLUSION Ultrasound-guided quadratus lumborum block could reduce stress response,protect intestinal barrier function,and decrease the incidence of complications in patients undergoing radical surgery for gastric cancer.This technique has the potential for clinical applications.展开更多
Objective:To analyze the expression of protein kinase C delta(PKCδ,PRKCD)in Liver hepatocellular carcinoma and its clinical significance based on bioinformatics,in order to provide a new direction for the study of th...Objective:To analyze the expression of protein kinase C delta(PKCδ,PRKCD)in Liver hepatocellular carcinoma and its clinical significance based on bioinformatics,in order to provide a new direction for the study of therapeutic targets for Liver hepatocellular carcinoma.Methods:The PRKCD gene expression data and patient clinical information data in Liver hepatocellular carcinoma tissues and adjacent tissues were downloaded from The TCGA(The Cancer Genome Atlas)and UCSC Xena databases.The mRNA expression of PRKCD in Liver hepatocellular carcinoma was analyzed,and the protein expression of PRKCD in Liver hepatocellular carcinoma was analyzed by Human Protein Atlas(HPA)databases.Furthermore,its relationship with clinicopathological features and prognosis in patients with Liver hepatocellular carcinoma was analyzed.GSEA enrichment analysis were carried out for PRKCD in Liver hepatocellular carcinoma.Finally,the causes of changes in PRKCD expression were analyzed from the perspective of genetic and epigenetics based on collated liver hepatocellular carcinoma data.Results:Both the mRNA and protein expression level of PRKCD gene in Liver hepatocellular carcinoma tissues was significantly higher than that in adjacent tissues.Its expression level was correlated with TNM stage,Histologic grade,Alpha fetoprotein(AFP)and Living status in clinicopathological features,and its expression level has certain clinical diagnostic accuracy.Kaplan-Meier analysis showed that the prognosis of patients with low PRKCD expression was significantly better than that with high PRKCD expression.Univariate and multivariate Cox regression analysis showed that PRKCD was an independent prognostic factor in patients with Liver hepatocellular carcinoma,and it was also found that the risk ratio of TNM stage III and stage IV survival curve(HR)was significantly greater than that of stage I and stage II.GSEA analysis showed that it was enriched in cell cycles and DNA replication,and was positively correlated with PRKCD.Enrichment analysis found that PRKCD is mainly involved in the chemokine signaling pathway,NOD-like receptor signaling pathway,PPAR signaling pathway,adipocytokine signaling pathway and T-cell receptor signaling pathway.Finally,through genetic and epigenetic analysis,it is found that the increase in the number of copies of genes will increase the expression level of PRKCD,and the methylation level is negatively correlated with the expression level of PRKCD.Conclusion:PRKCD gene is upregulated in Liver hepatocellular carcinoma tissues,and its overexpression level is closely related to patient poor prognosis.展开更多
Hybrid redox flow batteries(RFBs)are a special type of RFBs that involve depositing reactions on negative electrodes.The available volume in negative electrodes for cell stacks limits the totally energy-storing capabi...Hybrid redox flow batteries(RFBs)are a special type of RFBs that involve depositing reactions on negative electrodes.The available volume in negative electrodes for cell stacks limits the totally energy-storing capability of these batteries.This paper introduces the first fully flowable Ce–metal flow battery operated with a semisolid,flowable anolyte.Using the semisolid fuel cell concept,we incorporate the sustainable and deposit-abundant features of non-Li-based batteries into the structure of RFBs to develop a fully flowable RFB system.Solid suspension electrodes of hydrophilic carbon particles deposited by earth-abundant metals with redox activity are investigated as alternatives to the redox-active molecules employed in typical RFBs to decouple the power delivery capability from the energy storage capacity in fully flowable RFBs.While being charged,earth-abundant redox-active metal(Cu,Pb or Zn)is electrodeposited on the carbon particle suspension,which is dissolved in the sequent discharging process.On the basis of the proposed contact-charge-transfer mechanism,the electrical contact to the solid suspension electrode is fed by the redox-inert hydrophobic current collector that restrains direct metal deposition on their surfaces due to the hydrophobicity.展开更多
Position-sensitive-detectors(PSDs)based on lateral photoeffect have been widely used in diverse applications1–9,including optical engineering,aerospace and military fields.With increasing demand in long distance,low ...Position-sensitive-detectors(PSDs)based on lateral photoeffect have been widely used in diverse applications1–9,including optical engineering,aerospace and military fields.With increasing demand in long distance,low energy consumption,and weak signal sensing systems,the poor responsivity of conventional PSDs has become a bottleneck limiting their applications,for example,silicon p–n or p–i–n junctions2–5,or other materials and architectures6–10.Herein,we present a high-performance graphene-based PSDs with revolutionary interfacial amplification mechanism.Signal amplification in the order of~10^(4) has been demonstrated by utilizing the ultrahigh mobility of graphene and long lifetime of photo-induced carriers at the interface of SiO_(2)/Si.This would improve the detection limit of Si-based PSDs fromμW to nW level,without sacrificing the spatial resolution and response speed.Such interfacial amplification mechanism is compatible with current Si technology and can be easily extended to other sensing systems11,12.展开更多
Hard carbon(HC) is considered as a commercial candidate for anode materials of sodium-ion batteries due to its low cost and excellent capacity. However, the problem of low initial Coulombic efficiency is still urgentl...Hard carbon(HC) is considered as a commercial candidate for anode materials of sodium-ion batteries due to its low cost and excellent capacity. However, the problem of low initial Coulombic efficiency is still urgently needed to be solved to promote the industrialization of HC.In this paper, 2,2-dimethylvinyl boric acid(DEBA) is used to modify the surface of HC to prepare HC-DEBA materials. During the cycling, the C = C bonds of DEBA molecules will be in situ electro-polymerized to form a polymer network, which can act as the passive protecting layer to inhibit irreversible decomposition of electrolyte,and induce a thinner solid electrolyte interface with lower interface impedance. Therefore, HC-DEBA has higher initial Coulombic efficiency and better cycling stability. In ester-based electrolyte, the initial Coulombic efficiency of the optimized HC-DEBA-3% increases from 65.2% to77.2%. After 2000 cycles at 1 A·g^(-1), the capacity retention rate is 90.92%. Moreover, it can provide a high reversible capacity of 294.7 m Ah·g^(-1) at 50 mA·g^(-1). This simple surface modification method is ingenious and versatile,which can be extended to other energy storage materials.展开更多
The governing equations for heat transfer and fluid flow are often formulated in a general formfor the simplification of discretization and programming,which has achieved great success in thermal science and engineeri...The governing equations for heat transfer and fluid flow are often formulated in a general formfor the simplification of discretization and programming,which has achieved great success in thermal science and engineering.Based on the analysis of the popular general form of governing equations,we found that energy conservation cannot be guaranteed when specific heat capacity is not constant,which may lead to unreliable results.A new concept of generalized density is put forward,based on which a new general form of governing equations is proposed to guarantee energy conservation.A number of calculation examples have been employed to verify validation and feasibility.展开更多
基金the National Natural Science Foundation of China(22075025)the Scienceand Technology Program of Guangdong Province(Grant No.2020B0909030004)the funding from General Research Institute for Nonferrous Metals(C712620213102034).
文摘Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam- ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results: According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were statistically greater in the pressure sore group than in the control group (P〈0.05). The multivariate logistic regression analysis revealed that the number of days of norepinephrine use and the level of lactic acid in the arterial blood were high risk-factors for pressure sores (P〈0.05). Conclusions: The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of decompression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.
文摘BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier dysfunction.Ultrasound-guided quadratus lumborum block is often used for postoperative analgesia,but its effects on stress response and intestinal barrier function are not well understood.AIM To investigate the effects of an ultrasound-guided quadratus lumborum block on stress response and intestinal barrier function in patients undergoing radical surgery for gastric cancer.METHODS A total of 100 patients undergoing radical surgery for gastric cancer were randomly categorized into observation and control groups.Plasma adrenaline and cortisol levels,intestinal mucosal barrier indexes,and complication rates were compared between the two groups before,during,and 1 day after surgery.RESULTS The observation group had significantly lower plasma adrenaline and cortisol levels during surgery and at 1 day postoperatively than that of the control group(P<0.05).Additionally,intestinal barrier indexes(endotoxin and D-dimer)at 1 day postoperatively were significantly lower in the observation group than in the control group(P<0.05).CONCLUSION Ultrasound-guided quadratus lumborum block could reduce stress response,protect intestinal barrier function,and decrease the incidence of complications in patients undergoing radical surgery for gastric cancer.This technique has the potential for clinical applications.
基金Heilongjiang Provincial Colleges and Universities Basic Research Business Expensesfor Excellent Innovation Team Construction Project(No.2019-KYWF-1334)。
文摘Objective:To analyze the expression of protein kinase C delta(PKCδ,PRKCD)in Liver hepatocellular carcinoma and its clinical significance based on bioinformatics,in order to provide a new direction for the study of therapeutic targets for Liver hepatocellular carcinoma.Methods:The PRKCD gene expression data and patient clinical information data in Liver hepatocellular carcinoma tissues and adjacent tissues were downloaded from The TCGA(The Cancer Genome Atlas)and UCSC Xena databases.The mRNA expression of PRKCD in Liver hepatocellular carcinoma was analyzed,and the protein expression of PRKCD in Liver hepatocellular carcinoma was analyzed by Human Protein Atlas(HPA)databases.Furthermore,its relationship with clinicopathological features and prognosis in patients with Liver hepatocellular carcinoma was analyzed.GSEA enrichment analysis were carried out for PRKCD in Liver hepatocellular carcinoma.Finally,the causes of changes in PRKCD expression were analyzed from the perspective of genetic and epigenetics based on collated liver hepatocellular carcinoma data.Results:Both the mRNA and protein expression level of PRKCD gene in Liver hepatocellular carcinoma tissues was significantly higher than that in adjacent tissues.Its expression level was correlated with TNM stage,Histologic grade,Alpha fetoprotein(AFP)and Living status in clinicopathological features,and its expression level has certain clinical diagnostic accuracy.Kaplan-Meier analysis showed that the prognosis of patients with low PRKCD expression was significantly better than that with high PRKCD expression.Univariate and multivariate Cox regression analysis showed that PRKCD was an independent prognostic factor in patients with Liver hepatocellular carcinoma,and it was also found that the risk ratio of TNM stage III and stage IV survival curve(HR)was significantly greater than that of stage I and stage II.GSEA analysis showed that it was enriched in cell cycles and DNA replication,and was positively correlated with PRKCD.Enrichment analysis found that PRKCD is mainly involved in the chemokine signaling pathway,NOD-like receptor signaling pathway,PPAR signaling pathway,adipocytokine signaling pathway and T-cell receptor signaling pathway.Finally,through genetic and epigenetic analysis,it is found that the increase in the number of copies of genes will increase the expression level of PRKCD,and the methylation level is negatively correlated with the expression level of PRKCD.Conclusion:PRKCD gene is upregulated in Liver hepatocellular carcinoma tissues,and its overexpression level is closely related to patient poor prognosis.
基金support from the National Natural Science Foundation of China(21801034,51872033,and 51732007)the Natural Science Foundation of Liaoning Province(2020-MZLH-40)+1 种基金the Research Project of the Educational Department of Liaoning Province(jyt-dldxfw202003)the High-level Talent Innovation Support Program of Dalian City(2019RQ076).
文摘Hybrid redox flow batteries(RFBs)are a special type of RFBs that involve depositing reactions on negative electrodes.The available volume in negative electrodes for cell stacks limits the totally energy-storing capability of these batteries.This paper introduces the first fully flowable Ce–metal flow battery operated with a semisolid,flowable anolyte.Using the semisolid fuel cell concept,we incorporate the sustainable and deposit-abundant features of non-Li-based batteries into the structure of RFBs to develop a fully flowable RFB system.Solid suspension electrodes of hydrophilic carbon particles deposited by earth-abundant metals with redox activity are investigated as alternatives to the redox-active molecules employed in typical RFBs to decouple the power delivery capability from the energy storage capacity in fully flowable RFBs.While being charged,earth-abundant redox-active metal(Cu,Pb or Zn)is electrodeposited on the carbon particle suspension,which is dissolved in the sequent discharging process.On the basis of the proposed contact-charge-transfer mechanism,the electrical contact to the solid suspension electrode is fed by the redox-inert hydrophobic current collector that restrains direct metal deposition on their surfaces due to the hydrophobicity.
基金supported by the National Key Research and Development Program of China(No.2017YFA0205700)NSFC(61774034,61422503 and 61376104)the Fundamental Research Funds for the Central Universities,and Research and Innovation Project for College Graduates of Jiangsu Province No.KYLX15_0111.
文摘Position-sensitive-detectors(PSDs)based on lateral photoeffect have been widely used in diverse applications1–9,including optical engineering,aerospace and military fields.With increasing demand in long distance,low energy consumption,and weak signal sensing systems,the poor responsivity of conventional PSDs has become a bottleneck limiting their applications,for example,silicon p–n or p–i–n junctions2–5,or other materials and architectures6–10.Herein,we present a high-performance graphene-based PSDs with revolutionary interfacial amplification mechanism.Signal amplification in the order of~10^(4) has been demonstrated by utilizing the ultrahigh mobility of graphene and long lifetime of photo-induced carriers at the interface of SiO_(2)/Si.This would improve the detection limit of Si-based PSDs fromμW to nW level,without sacrificing the spatial resolution and response speed.Such interfacial amplification mechanism is compatible with current Si technology and can be easily extended to other sensing systems11,12.
基金the National Natural Science Foundation of China(Nos.21975026 and 22005033)Beijing Institute of Technology Research Fund Program for Young Scholars(No.XSQD-202108005)。
文摘Hard carbon(HC) is considered as a commercial candidate for anode materials of sodium-ion batteries due to its low cost and excellent capacity. However, the problem of low initial Coulombic efficiency is still urgently needed to be solved to promote the industrialization of HC.In this paper, 2,2-dimethylvinyl boric acid(DEBA) is used to modify the surface of HC to prepare HC-DEBA materials. During the cycling, the C = C bonds of DEBA molecules will be in situ electro-polymerized to form a polymer network, which can act as the passive protecting layer to inhibit irreversible decomposition of electrolyte,and induce a thinner solid electrolyte interface with lower interface impedance. Therefore, HC-DEBA has higher initial Coulombic efficiency and better cycling stability. In ester-based electrolyte, the initial Coulombic efficiency of the optimized HC-DEBA-3% increases from 65.2% to77.2%. After 2000 cycles at 1 A·g^(-1), the capacity retention rate is 90.92%. Moreover, it can provide a high reversible capacity of 294.7 m Ah·g^(-1) at 50 mA·g^(-1). This simple surface modification method is ingenious and versatile,which can be extended to other energy storage materials.
基金supported by the National Natural Science Foundation of China(No.51176204 and No.51134006),and the State Key Laboratory of Multiphase Flow in Power Engineering(Xi’an Jiaotong University).
文摘The governing equations for heat transfer and fluid flow are often formulated in a general formfor the simplification of discretization and programming,which has achieved great success in thermal science and engineering.Based on the analysis of the popular general form of governing equations,we found that energy conservation cannot be guaranteed when specific heat capacity is not constant,which may lead to unreliable results.A new concept of generalized density is put forward,based on which a new general form of governing equations is proposed to guarantee energy conservation.A number of calculation examples have been employed to verify validation and feasibility.