Study of the intensive care unit activity scale in the early rehabilitation of patients after direct cardiac surgery

BACKGROUND Direct cardiac surgery often necessitates intensive post-operative care,and the intensive care unit(ICU)activity scale represents a crucial metric in assessing and guiding early rehabilitation efforts to enhance patient recovery.AIM To clarify the clinical application value of the ICU activity scale in the early recovery of patients after cardiac surgery.METHODS One hundred and twenty patients who underwent cardiac surgery between September 2020 and October 2021 were selected and divided into two groups using the random number table method.The observation group was rated using the ICU activity scale and the corresponding graded rehabilitation interventions were conducted based on the ICU activity scale.The control group was assessed in accordance with the routine rehabilitation activities,and the postoperative rehabilitation indexes of the patients in both groups were compared(time of tracheal intubation,time of ICU admission,occurrence of complications,and activity scores before ICU transfer).The two groups were compared according to postoperative rehabilitation indicators(time of tracheal intubation,length of ICU stay,and occurrence of complications)and activity scores before ICU transfer.RESULTS In the observation group,tracheal intubation time lasted for 18.30±3.28 h and ICU admission time was 4.04±0.83 d,which were significantly shorter than the control group(t-values:2.97 and 2.038,respectively,P<0.05).The observation group also had a significantly lower number of complications and adverse events compared to the control group(P<0.05).Before ICU transfer,the observation group(6.7%)had few complications and adverse events than the control group(30.0%),and this difference was statistically significant(P<0.05).Additionally,the activity score was significantly higher in the observation(26.89±0.97)compared to the control groups(22.63±1.12 points)(t-value;-17.83,P<0.05).CONCLUSION Implementation of early goal-directed activities in patients who underwent cardiac surgery using the ICU activity scale can promote the recovery of cardiac function.

Changes in cortical activation patterns accompanying somatosensory recovery in a stroke patient: a functional magnetic resonance imaging study

The somatosensory system plays a crucial role in executing precise movements by providing sensory feedback （Farrer et al., 2003; Rabin and Gordon, 2004）. Somatosensory dys- function is a common problem following stroke. In partic- ular, somatosensory impairments, such as impairment in touch, proprioception, light touch, and vibration have been frequently observed （Carey et al., 1993; Sullivan and Hed- man, 2008; Tyson et al., 2008）. Patients with somatosensory dysfunction show negative effects on motor control, and it sometimes becomes difficult to perform daily activities independently.

Recovery of multiply injured ascending reticular activating systems in a stroke patient

Consciousness is controlled by ular activating system （ARAS）. lower and upper parts between activation of the ascending retic- The ARAS consists mainly of the the thalamus and cerebral cortex （Edlow et al., 2012; Yeo et al., 2013; Jang et al., 2014）. Because the ARAS is composed of several neuronal circuits connecting the brainstem to the cortex. These neuronal connections begin from the reticular formation （RF） of the brainstem and the intralaminar nucleus of thalamus to the cerebral cortex （Gosseroes et al., 2011）. In addition, the ARAS system also includes several brainstem nuclei （such as dorsal raphe, locus coeruleus, pedun-culopontine nucleus, median raphe and parabrachial nucleus）, non-specific thalamic nuclei, hypothalamus, and basal forebrain （Fuller et al., 2011）.

Performance of a novel energy-regenerative active suspension system

A novel energy-regenerative active suspension(NEAS) system was designed to solve the problem of low energy recovery efficiency caused by frequent alternation of energy-recovery mode and active-control mode in a traditional energyregenerative active suspension(TEAS) system. The energy recovery and active control could be implemented simultaneously in the NEAS. The transforming processes and the corresponding computational formulas of power conversion in the NEAS were provided. The simulation results show that the performances of energy recovery of the NEAS are improved, and the selfsustaining of power supply for the NEAS can be realized.

Reduction of chromium oxides in stainless steel dust

The recovery of metal oxides from stainless steel dust using C（graphite）, SiFe, and Al as reductants was investigated under various conditions. The apparent distribution ratio of Cr（L Cr ′^m/s ） in the recovered metal and residual slag phases was defined as the major performance metric. The results show that the recovery ratio of metals increases as the ratio of CaO ：SiO2 by mass in the residual slag increases to 1.17. The residual content of metals in the slag decreases as the Al2O3 content of the slag is increased from approximately 8wt% to 10wt%. The recovery ratio of Cr increases with increasing L Cr ′^ m/s , and a linear relationship between L Cr ′^m/s and the activity coefficient ratio of CrO in the slag and the recovered metal phase is observed. The combination of C and SiFe or Al as the reducing agents reveals that Si is the more effective coreductant.

Improving gold recovery of Pb–Zn sulfide ore by selective activation with organic acid

Free gold and gold wrapped in sulfides are considered as the object of gold floatation. However,floatation of free gold exhibits more variables in practice.In this study, improving gold recovery of a Pb-Zn sulfide ore from Yunnan Province, China, was investigated. The results show that free gold and auriferous sulfides account for 94.99 % of total gold. Without adding organic acid in floatation, only 82 % recovery of gold could be obtained.Gold recovery in Au/Pb concentrates increases by 9.29 %with oxalate added and by 7.35 % with citric acid added,respectively, while performances of lead and arsenic nearly keep a constant. A possible reason is that free gold is of wonderful selectivity against pyrite with organic activators.A new method to enhance gold recovery is proposed.

Ultrasonic preparation of nano-nickel/activated carbon composite using spent electroless nickel plating bath and application in degradation of 2,6-dichlorophenol

Ni was effectively recovered from spent electroless nickel （EN） plating baths by forming a nano-nickel coated activated carbon composite. With the aid of ultrasonication, melamine- formaldehyde-tetraoxalyl-ethylenediamine chelating resins were grafted on activated carbon （MFT/AG）. PdC12 sol was adsorbed on MFT/AC, which was then immersed in spent electroless nickel plating bath; then nano-nickel could be reduced by ascorbic acid to form a nano-nickel coating on the activated carbon composite （Ni/AC） in situ. The materials present were carefully examined by Fourier transform infrared spectroscopy, X-ray diffraction, field emission scanning electron microscopy, X-ray photoelectron spectroscopy and electro- chemistry techniques. The resins were well distributed on the inside and outside surfaces of activated carbon with a size of 120 ± 30 nm in MFT/AC, and a great deal of nano-nickel particles were evenly deposited with a size of 3.8 ± 1.1 nm in Ni/MFT. Moreover, Ni/AC was successfully used as a catalyst for ultrasonic degradation of 2.6-dichloronhenol.