Plastic bronchitis associated with Botrytis cinerea infection in a child:A case report

BACKGROUND Plastic bronchitis(PB)frequently occurs in children after the surgical repair of congenital cardiac defects or in the presence of inflammatory or allergic diseases of the lung.Accurate epidemiological data of this condition are still lacking.CASE SUMMARY A 5-year-old boy,with a clear medical history,presented to our hospital with persistent cough and pneumonia with segmental atelectasis on chest computerized tomography.He showed no significant improvement after 1 wk of amoxicillin-clavulanate potassium treatment.Bronchial casts were extracted using flexible bronchoscopy.Pathological examination of the dendritic cast confirmed the diagnosis of type I PB.Botrytis cinerea was detected by next-generation sequencing of the bronchoalveolar lavage fluid.After the removal of the airway obstruction and fluconazole treatment,the patient recovered and was discharged 14 d after admission without the recurrence of cough.CONCLUSION Botrytis cinerea pneumonia should be considered in children with PB who still have prolonged cough and atelectasis after a regular course of antibiotic therapy.Flexible bronchoscopy and etiological examination should be performed in a timely manner to determine the diagnosis,clear the airway obstruction,and target etiological treatment.

Mass transfer area in a multi-stage high-speed disperser with split packing

In this study, the mean droplet diameter in the cavity zone and the total mass transfer area of a multi-stage highspeed disperser(HSD) reactor with different packing combinations were measured and evaluated. The effects of rotational speed and packing radius, as well as the packing ring radius and numbers, on the mean droplet diameter and the total mass transfer area were evaluated. A model was established to calculate the mass transfer area in the cavity zone in the HSD reactor, and it was found that the packings contribute 61%–82% of the total mass transfer area. A correlation for predicting the mass transfer area in the packing zone was regressed by the dimensionless analysis method. An enhancement factor based on the mass transfer area in the packing zone was proposed to evaluate the effect of packing combination on mass transfer area. Two optimum packing combinations were proposed in consideration of the mean droplet diameter and the enhancement factor.

Acute celiac artery occlusion secondary to blunt trauma:Two case reports

BACKGROUND Acute celiac artery(CA)injuries are extremely rare but potentially life-threatening and are more often caused by a penetrating injury rather than a blunt injury.The clinical manifestation of CA injuries is usually atypical,which easily causes missed diagnosis and misdiagnosis.Currently,there are only a few reports of acute traumatic occlusion of CA.The CA artery gives off branches to dominate the liver,stomach.and spleen;however,occluded CA did not cause significant organ ischemia,and the compensatory blood flow from the superior mesenteric artery(SMA)played a pivotal role.CASE SUMMARY Herein,we report two cases of acute CA occlusion secondary to severe blunt trauma.Case one was a 19-year-old male,suffered from a motorcycle crash.He complained of dyspnea,and the closed drainage was performed soon after the hemopneumothorax was confirmed by ultrasound.Computed tomography(CT)scan revealed hemopneumothorax,multiple rib fractures,right scapular fracture,and liver rupture.Reexamination with contrast-enhanced CT suggested perihepatic fluid was significantly increased,and CA was occluded.Because the hepatic hemorrhage is associated with hepatic artery injury,the CA was retrogradely opened through the SMA,and then,the right hepatic artery was embolized with coils successfully through the conventional pathway.Stent implantation was not performed,and the CA occlusion was managed by conservative treatment.A follow-up CT scan 3 mo after discharge showed the origin of CA remained occluded.Case two was a 37-year-old man,suffered injury from fall from height.He complained of lower back and bilateral heel pain.Contrast-enhanced CT examination revealed multiple rib fractures,bilateral pneumothorax,fourth lumbar(L4)vertebral burst fracture,and pelvic fractures.Furthermore,a small high-density mass in a lesser peritoneal sac and in front of the abdominal aorta was detected.The reexamination 14 h after admission showed the CA was occluded.The patient was conservatively treated.The symptoms of nausea after meals disappeared about 4 wk later,and abdominal distension was significantly relieved after 6 wk.The abdominal CT angiography at 60 d showed that the CA thrombus was not recanalized.CONCLUSION Patients with CA occlusion will have different clinical manifestations,and the dominant organ will not have obvious ischemia.Conservative treatment is safe,and the patient’s symptoms will be improved with the establishment of collateral circulation.

气候变化以两种不同方式驱动了丝绸之路路线的变迁

Although climate change has convincingly been linked to the evolution of human civilization on different temporal scales,its role in influencing the spatial patterns of ancient civilizations has rarely been investigated,The northward shift of the ancient Silk Road(SR)route from the Tarim Basin(TB)to the Junggar Basin during~420-850 CE provides the opportunity to investigate the relationship between climate change and the spatial evolution of human societies.Here,we use a new high-resolution chironomidbased temperature reconstruction from arid China,combined with hydroclimatic and historical datasets,to assess the possible effects of climate fluctuations on the shift of the ancient SR route,We found that a cooling/drying climate in the TB triggered the SR route shift during~420-600 CE,However,a warming/wetting climate during~600-850 CE did not inhibit this shift,but instead promoted it,because of the favorable climate-induced geopolitical conflicts between the Tubo Kingdom and the Tang Dynasty in the TB.Our findings reveal two distinct ways in which climate change drove the spatial evolution of human civilization,and they demonstrate the flexibility of societal responses to climate change.

Low temperature synthesis of ITO nanoparticles with cubic structure by calcining a mixture of indium tin hydroxide and sodium chloride

The indium tin oxide （ITO） nanoparticles with cubic structure were synthesized by heating a mixture of indium tin hydroxide and sodium chloride at low temper- ature of 300 ℃ for 2 h and washing with water. The effects of sodium chloride addition on the ITO phase and mor- phology were investigated using differential scanning cal- orimetry （DSC）, thermogravimetric analysis （TGA）, X-ray diffraction （XRD）, and transmission electron microscopy （TEM）. It is found that sodium chloride addition helps the formation of cubic structure of ITO nanoparticles. The particle size of the resulted ITO powder is about 3 nm.

谈银行数据中心UPS供配电系统建设

一、UPS系统的构架UPS作为电子设备最为常用的供电安全保障设备,如何选择恰当的供电方案构架是确保数据中心供电安全等级的最重要环节,如果构架上存在缺陷,很难可以在后期的运维服务中加以优化改善,笔者就自身对各种供电机构的理解与大家做一下分享。