Risk Factors of Post-Operative Extracorporeal Membrane Oxygenation Support after Lung Transplantation: A Retrospective Analysis

Background: Extracorporeal membrane oxygenation (ECMO) is an effective adjuvant therapy for cardiopulmonary support during the period of lung transplantation (LTx). However, factors associated with the application of ECMO after LTx remain controversial. The purpose of this study is to clarify the risk factors of post-operative ECMO support and to evaluate the outcomes. Methods: It was a hospital, single-center, retrospective study. 266 patients underwent LTx supported by ECMO were included. According to whether or not the patients received continourly ECMO support after the surgery, the enrolled patients were further divided into intra-operative ECMO group (group I, 105 cases) and post-operative ECMO group (group P, 161 cases). The peri-operative data of the donors and recipients were collected. The independent risk factors associated with post-operative ECMO support during LTx were identified. The relationship between primary graft dysfunction (PGD)/post-operative survival and duration of ECMO support was also analyzed. Results: Prolonged donor ventilation ≥ 5 days, pre-operative recipient mechanical ventilation, bilateral lung transplantation (BLT), veno-venous (V-V) ECMO and PGD in recipient were independent risk factors for post-operative ECMO support. The risk of PGD and post-operative death increased along with the increase of ECMO bypass time, and the mortality risk in group P was 2.33 (95% confidence interval: 1.16 - 4.67) times as that in group I. Conclusions: Mechanical ventilation for donor ≥ 5 days, pre-operative mechanical ventilation, BLT, V-V-ECMO and PGD in recipient were independent risk factors for post-operative ECMO support after LTx, and post-operative ECMO could not reduce recipients’ hospital mortality.

介质阻挡放电等离子体法制备优异光催化合成过氧化氢性能的氮空穴掺杂石墨相氮化碳（英文）

过氧化氢(H_2O_2)是一种绿色氧化剂,广泛应用于纺织、印染、造纸和医药等行业.目前,工业上采用蒽醌法制备H_2O_2,它由于需要多步加氢和氧化处理,因此能耗非常大.研究发现,采用贵金属催化剂可以将氢气和氧气直接合成H2O2,但催化剂价格过高,且反应本身存在爆炸风险.近年来,半导体光催化合成H_2O_2受到广泛关注.研究发现,在水存在下,光电子可以将氧气还原得到H_2O_2.介质阻挡放电(DBD)等离子体广泛应用于材料合成、挥发性有机物处理、汽车尾气净化和材料表面处理等.石墨相氮化碳(g-C_3N_4)是新型非金属光催化剂,以其性质稳定、能带适中和制备方便等优点而广受青睐.然而g-C_3N_4的比表面积和电荷分离效率较低,大大限制了其应用.本文采用DBD等离子体法在氢气气氛下制备了N空穴掺杂的石墨相氮化碳,采用XRD,N_2吸附,UV-Vis,SEM,TEM,XPS,EIS,EPR,O_2-TPD及PL等方法对催化剂进行了表征,并考察了N空穴对催化剂结构性质、光学性质及光催化合成H_2O_2性能的影响.结果显示,当DBD等离子体处理时间小于30 min时,所制催化剂颗粒尺寸显著小于焙烧法得到的,因而其比表面积显著提高.N空穴的引入降低了催化剂的能带,提高了可见光区的吸收.此外,N空穴作为反应活性位,既能吸附反应物氧气分子,又能捕获光电子并促进光电子从催化剂向氧气分子转移,进而发生后续还原反应.等离子体处理30 min得到的催化剂光催化合成H_2O_2性能最佳,是纯g-C_3N_4的11倍.本文为g-C_3N_4基催化剂的制备提供了一个新方法.

Taipingite-(Ce),(Ce73+,Ca2)∑9Mg(SiO4)3[SiO3(OH)]4F3,a new mineral from the Taipingzhen REE deposit,North Qinling Orogen,central China

A new cerite group mineral species,taipingite-(Ce),ideally(Ce7^3+,Ca2)∑9Mg(SiO4)3[SiO3(OH)]4 F3,has been found in the Taipingzhen rare earth element(REE)deposit in the North Qinling Orogen(NQO),Central China.It forms subhedral grains(up to approximately 100 μm×200 μm)commonly intergrown with the REE mineral assemblages and is closely associated with allanite-(Ce),gatelite-(Ce),tornebohmite-(Ce),fluocerite-(Ce),fluocerite-(La),fluorite,bastnasite-(Ce),parisite-(Ce)and calcite.Taipingite-(Ce)is light red to pinkish brown under a binocular microscope and pale brown to colorless in thin section,and it is translucent to transparent with a grayish-white streak and vitreous luster.This mineral is brittle with conchoidal fracture;has a Mohs hardness value of approximately 51/2 and exhibits no cleavage twinning or parting.The calculated density is 4.900(5)g/cm3.Optically,taipingite-(Ce)is uniaxial(+),withω=1.808(5),ε=1.812(7),c=ε,and a=b=ω.Furthermore,this mineral is insoluble in HCl,HNO3 and H2 SO4.Electron microprobe analysis demonstrated that the sample was relatively pure,yielding the empirical formula(with calculated H2 O):(Ce4.02La1.64Nd1.49Pr0.41Sm0.10Gd0.02Ho0.02Tm0.01Lu0.02Y0.03Ca0.66Mg0.05Th(0.01-0.51∑9(Mg0.75Fe0.253+)∑1(SiO4)3{[SiO3(OH)]3.98[PO3(OH)]0.02}∑4(F1.81OH1.17Cl0.02∑3.Taipingite-(Ce)is trigonal and exhibits space group symmetry R3 c with unit cell parameters a=10.7246(3)Å,c=37.9528(14)Å,V=3780.39(20)Å3 and Z=6.The strongest eight lines in the X-ray diffraction pattern are[d in A(I)(hkl)]:4.518(50)(202),3.455(95)(122),3.297(85)(214),3.098(35)(300),2.941(100)(02,10),2.683(65)(220),1.945(40)(238)and 1.754(40)(30,18).The crystal structure has been refined to a R1 factor of 0.025,calculated for the 2312 unique observed reflections(Fo≥4σ).The mineral is named after its discovery locality and is characterized as the F-dominant analogue of cerite-(Ce).

Effect of the injection pressure and orifice diameter on the spray characteristics of biodiesel

The purpose of this study was to analyze the influence of the injection pressure and orifice diameter on the spray characteristics of soybean biodiesel.The macroscopic spray characteristics of the spray tip penetration(STP)and spray cone angle(SCA)were tested with a high-speed camera system.The microscopic spray characteristics,such as the statistical size distribution,Sauter mean diameter(SMD),representative diameters and dispersion boundary,were obtained using a Malvern laser particle size analyzer(PSA).The test results showed that with an increasing injection pressure,the STP and the SCA of the biodiesel increased,but the curves of size-volume distribution and cumulative volume distribution of the atomized droplets shifted to smaller diameters.The SMD and representative diameters decreased,and the dispersion boundary was reduced.Moreover,with a decreasing orifice diameter,longer STP and smaller SCA values were observed.Similarly,the size distribution curves of the atomized biodiesel droplets shifted to smaller diameters.The SMD and representative diameters were reduced,and the relative size range of the atomized biodiesel droplets was enlarged.Higher injection pressures and smaller orifice diameters improved the biodiesel atomization;however,the smaller orifice diameters caused an inhomogeneous size distribution of the atomized biodiesel droplets.