Analysis of the Implementation of Integrated Healthcare Management in Preoperative Preparation

Objective:To strengthen preoperative preparation management and reduce preoperative preparation defects.Methods:We set up a special medical care management team to investigate the preoperative preparation in surgical departments,analyze the causes of the shortcomings in preoperative preparation,and propose countermeasures.The medical staff jointly formulated plans related to preoperative preparation management including clear outline of responsibilities,strengthening of training,integrated medical care,timely feedback,and continuous improvement.Besides,the preoperative preparation of patients before and after the improvement measures were compared using statistical analysis.Results:The rate of inadequate preoperative preparation was 11.14 per thousand before the integrated management model was implemented.After the implementation of the integrated management model,the rate of inadequate preoperative preparation decreased to 2.99 per thousand,and the difference was statistically(P<0.05).Conclusion:The integrated management of preoperative preparation can help reduce the rate of preoperative complications and ensure the safety of surgery.

Allometric models for aboveground biomass of six common subtropical shrubs and small trees

The aboveground biomass(AGB)of shrubs and small trees is the main component for the productivity and carbon storage of understory vegetation in subtropical secondary forests.However,few allometric models exist to accurately evaluate understory biomass.To estimate the AGB of five common shrub(diameter at base<5 cm,<5 m high)and one small tree species(<8 m high,trees’s seedling),206 individuals were harvested and species-specific and multi-species allometric models developed based on four predictors,height(H),stem diameter(D),crown area(Ca),and wood density(ρ).As expected,the six species possessed greater biomass in their stems compared with branches,with the lowest biomass in the leaves.Species-specific allometric models that employed stem diameter and the combined variables of D~2H andρDH as predictors accurately estimated the components and total AGB,with R^(2) values from 0.602 and 0.971.A multi-species shrub allometric model revealed that wood density×diameter×height(ρDH)was the best predictor,with R^(2) values ranging from between 0.81 and 0.89 for the components and total AGB,respectively.These results indicated that height(H)and diameter(D)were effective predictors for the models to estimate the AGB of the six species,and the introduction of wood density(ρ)improved their accuracy.The optimal models selected in this study could be applied to estimate the biomass of shrubs and small trees in subtropical regions.

Three-dimensional Analytical Modeling of Axial Flux Permanent Magnets Maglev Motor

The three-dimensional(3D)analytical model of the magnetic field in an Axial Flux Permanent Magnets Maglev Motor(AFPMMM)is proposed and investigated the influence of the structural parameters on electromagnetic characteristics.Firstly,the topology and working principle of the AFPMMM is introduced,and the model is transferred into a mathematical model in 3D cartesian coordinate.Then,the volume integral method and equivalent current sheets model is applied to find the 3D magnetic field distribution function of Halbach rotor.A unified form expression can be obtained by two dimensional discrete fourier transform(2-D DFT)is applied on the 3D magnetic field distribution function.Thirdly,the conductive and nonconductive regions of AFPMMM will be formulated by the second order vector potential(SOVP)to built the 3D analytic model.The expression of the lift force,torque and power losses was derived.Besides,the relationship between electromagnetic characteristics and structural parameters of the AFPMMM were analyzed based on 3D analytic model and validated using the 3D finite element analysis(FEA).Finally,the experiments based on a small scale prototype are carried out to verify the analytical results.

Response Mechanism of Plants to Drought Stress

Drought stress is an important factor affecting plant growth and development.It will provide a theoretical basis for cultivating new stress-resistant varieties and improving water utilization rate of plants by studying the regulation mechanism of osmotic adjustment and water transportation under drought stress,and understanding the physiological and biochemical characteristics and stress resistance mechanism.

Study on the Production of Pentachloronitrobenzene Monoclonal Antibody and Its ELISA Kit for Rapid Detection

[Objectives]This study was conducted to develop an enzyme-linked immunoassay kit that can detect the residual amount of pentachloronitrobenzene in Penaeus vannamei.[Methods]This study was conducted to develop an enzyme-linked immunoassay kit that can detect the residual amount of pentachloronitrobenzene in P.vannamei.[Results]The standard curve range of the kit was 0-8.1μg/L;the detection limit for P.vannamei was 0.912μg/kg;the recovery was 80.6%-103.5%;and the relative standard deviation range within batches was 5.3%-10.1%,and the relative standard deviation range between batches was 6.7%-8.1%.The specificity of the pentachloronitrobenzene monoclonal antibody was relatively good,and the cross-reaction rates with pentachlorophenol,hexachlorobenzene,tetrachlorophthalide,and chlorothalonil were low,all of which did not exceed 30%.The ELISA kit could be stored at 4℃for 12 months,showing good stability.[Conclusions]The detection kit has low cost,short time and small deviation,and is an ideal preliminary screening method.

Host protection against Omicron BA.2.2 sublineages by prior vaccination in spring 2022 COVID-19 outbreak in Shanghai

The Omicron family of SARS-CoV-2 variants are currently driving the COVID-19 pandemic.Here we analyzed the clinical laboratory test results of 9911 Omicron BA.2.2 sublineages-infected symptomatic patients without earlier infection histories during a SARS-CoV-2 outbreak in Shanghai in spring 2022.Compared to an earlier patient cohort infected by SARS-CoV-2 prototype strains in 2020,BA.2.2 infection led to distinct fluctuations of pathophysiological markers in the peripheral blood.In particular,severe/critical cases of COVID19 post BA.2.2 infection were associated with less pro-inflammatory macrophage activation and stronger interferon alpha response in the bronchoalveolar microenvironment.Importantly,the abnormal biomarkers were significantly subdued in individuals who had been immunized by 2 or 3 doses of SARS-CoV-2 prototypeinactivated vaccines,supporting the estimation of an overall 96.02% of protection rate against severe/critical disease in the 4854 cases in our BA.2.2 patient cohort with traceable vaccination records.Furthermore,even though age was a critical risk factor of the severity of COVID-19 post BA.2.2 infection,vaccination-elicited protection against severe/critical COVID-19 reached 90.15% in patients aged≥60 years old.Together,our study delineates the pathophysiological features of Omicron BA.2.2 sublineages and demonstrates significant protection conferred by prior prototype-based inactivated vaccines.

Construction of oxygen-vacancies-rich S-scheme BaTiO_(3)/red phosphorous heterojunction for enhanced photocatalytic activity

The S-scheme heterojunctions can effectively separate photogenerated electrons and holes,retain their high redox capacity,and provide great prospects for enhancing the photocatalytic activity of the composites in different fields.Herein,S-scheme heterojunction photocatalytic materials were rationally designed and prepared by a simple hydrothermal method between narrow-bandgap red phosphorus(HRP)and wide-bandgap BaTiO_(3)(BTO)photocatalysts.Owing to the effective charge separation and redox ability from the S-scheme mechanism and oxygen vacancies,BTO/HRP exhibited good photoelectrochemical and photocatalytic degradation ability.Systematic photoreaction tests demonstrated that BTO/HRP had high practicality in the removal of pollutants from wastewater;its photodegradation rate of Rhodamine B reached 3.029×10^(−1) min^(−1) in 12 min;and it could inactivate 1.8×10^(9) CFU/mL of Escherichia.coli in 1 h,with an antibacterial rate of 99.8%.This paper provided a promising photocatalyst for pollutant removal and a new strategy for the fabrication of efficient RP-based photocatalytic materials.

Solar fuel generation over nature-inspired recyclable TiO_(2)/g-C_(3)N_(4)S-scheme hierarchical thin-film photocatalyst

Preparation of efficient photocatalysts with ease of recovery in solar fuel generation is highly desired to achieve carbon neutralization in carbon dioxide(CO_(2))emissions.Inspired from the forest with superior light penetration and fast gas transport,a TiO_(2)/g-C_(3)N_(4)composite nanowire arrays(NAs)film with maximized light utilization is devised.It is achieved by in-situ coating a thin layer of g-C_(3)N_(4)(as the leaf)on the vertically-oriented TiO_(2)arrays(as tree trunks)on Ti foil(as soil).Benefiting from the effective charge separation by S-scheme charge transfer,intimate contact by the in-situ growth as well as the ingenious structure,the composite,readily recyclable,displays exciting performance in photocatalytic CO_(2)reduction.It is beyond doubt that the combination of heterojunction construction and“nature-inspired biomimetic photocatalyst”design promises practical applications and industrial use.

Photodeposition of CoOx and MoS2 on CdS as dual cocatalysts for photocatalytic H2 production

Photocatalytic Hproduction from water splitting has a promising prospect for alleviating energy and environmental issues.However,the fast recombination of photogenerated charge carriers limits the photocatalytic efficiency and its practical application.Cocatalyst engineering is an effective strategy to spatially separate photogenerated charge carriers.In this work,noble-metal-free MoSand CoOcocatalysts are loaded on CdS nanorods by a two-step photodeposition method.The MoSfunctions as the reduction cocatalyst to trap electrons and Co Oas the oxidation cocatalyst to trap holes.Transmission electron microscopy(TEM),inductively coupled plasma(ICP),X-ray photoelectron spectroscopy(XPS)and MottSchottky results demonstrate the effectiveness of photodeposition for loading MoSand CoOdual cocatalysts on CdS and their impact on the photochemical properties.The optimized CdS-MoS-CoOcomposite exhibits a high photocatalytic H-production rate of 7.4 mmol g^(-1)h^(-1)and an apparent quantum efficiency(QE)of 7.6%at 420 nm.Further analysis on time-resolved photoluminescence(TRPL)indicates that the introduction of dual cocatalysts greatly prolongs the lifetime of photogenerated charge carriers and deceases the charge recombination rates,consequently leading to superior photocatalytic H-production performance.This work provides a facile and effective strategy for the construction of highly efficient dual-cocatalyst-modified CdS photocatalyst for high-performance photocatalytic Hproduction.

The long-circulating effect of pegylated nanoparticles revisited via simultaneous monitoring of both the drug payloads and nanocarriers

The long-circulating effect is revisited by simultaneous monitoring of the drug payloads and nanocarriers following intravenous administration of doxorubicin(DOX)-loaded methoxy polyethylene glycol-polycaprolactone(mPEG-PCL) nanoparticles. Comparison of the kinetic profiles of both DOX and nanocarriers verifies the long-circulating effect, though of limited degree, as a result of pegylation. The nanocarrier profiles display fast clearance from the blood despite dense PEG decoration;DOX is cleared faster than the nanocarriers. The nanocarriers circulate longer than DOX in the blood, suggesting possible leakage of DOX from the nanocarriers. Hepatic accumulation is the highest among all organs and tissues investigated, which however is reversely proportionate to blood circulation time. Pegylation and reduction in particle size prove to extend circulation of drug nanocarriers in the blood with simultaneous decrease in uptake by various organs of the mononuclear phagocytic system. It is concluded that the long-circulating effect of mPEG-PCL nanoparticles is reconfirmed by monitoring of either DOX or the nanocarriers, but the faster clearance of DOX suggests possible leakage of a fraction of the payloads. The findings of this study are of potential translational significance in design of nanocarriers towards optimization of both therapeutic and toxic effects.