改良BLUE方案肺超声评分在机械通气患者中的应用价值

目的比较改良BLUE方案肺超声评分与传统区域评分法在机械通气患者中的应用优劣,探讨改良BLUE方案与序贯器官衰竭评估(SOFA)评分、氧合指数(OI)的相关性及其对机械通气患者预后评估的价值。方法选择南通大学第二附属医院急诊医学科行机械通气的危重症患者66例,其中男性45例,女性21例;年龄35~95岁,平均年龄72.11岁;病程2~37 d,平均病程12.03 d;疾病类型:肺炎、感染性休克等感染相关19例,心力衰竭16例,慢性阻塞性肺疾病急性发作呼吸衰竭15例,心肺复苏后11例,间质性肺炎2例,中毒2例,外伤1例。根据患者的转归情况(28 d生存或死亡)分为好转组28例与死亡组38例。分别使用改良BLUE方案、4分区、6分区、8分区及12分区评分方法对患者进行肺部超声检查,以12分区评分为对照,分别比较改良BLUE方案、4分区、6分区、8分区超声评分与12分区评分结果的相关性。记录各检查方案检查时间,比较各评分法耗时差异。分析改良BLUE方案与SOFA评分和OI的相关性。比较两组改良BLUE方案肺超声评分差异。结果在机械通气患者中,改良BLUE方案、4分区、6分区、8分区超声评分结果,均与12分区法评分结果呈正相关(r=0.98、0.94、0.96、0.95,P均<0.05),其中改良BLUE方案肺超声评分与12分区评分相关性最高。改良BLUE方案、4分区、6分区、8分区及12分区肺超声检查操作时间分别为(5.86±0.76)min、(4.86±0.71)min、(6.79±0.88)min、(8.18±1.02)min、(11.79±1.45)min,改良BLUE方案较6分区、8分区及12分区操作时间短(P均<0.05)。改良BLUE方案肺超声评分与OI呈负相关,与SOFA评分呈正相关(r=-0.42、0.25)。好转组与死亡组改良BLUE方案肺超声评分平均值分别为(12.04±5.87)分、(15.79±5.94)分。好转组改良BLUE方案肺超声评分明显低于死亡组,差异有统计学意义(P<0.05)。结论在机械通气危重症患者中,使用改良BLUE方案肺超声评分具有准确度高、耗时短的优势,更适宜在急诊环境中对机械通气危重症患者进行快速病情评估。改良BLUE方案肺超声评分对机械通气患者病情严重程度及预后有一定指导价值。

Advances in Triboelectric Nanogenerators for Blue Energy Harvesting and Marine Environmental Monitoring

Blue energy,which includes rainfall,tidal current,wave,and water-flow energy,is a promising renewable resource,although its exploitation is limited by current technologies and thus remains low.This form of energy is mainly harvested by electromagnetic generators(EMGs),which generate electricity via Lorenz force-driven electron flows.Triboelectric nano genera tors(TENGs)and TENG networks exhibit superiority over EMGs in low-frequency and high-entropy energy harvesting as a new approach for blue energy harvesting.A TENG produces electrical outputs by adopting the mechanism of Maxwell’s displacement current.To date,a series of research efforts have been made to optimize the structure and performance of TENGs for effective blue energy harvesting and marine environmental applications.Despite the great progress that has been achieved in the use of TENGs in this context so far,continuous exploration is required in energy conversion,device durability,power management,and environmental applications.This review reports on advances in TENGs for blue energy harvesting and marine environmental monitoring.It introduces the theoretical foundations of TENGs and discusses advanced TENG prototypes for blue energy harvesting,including TENG structures that function in freestanding and contact-separation modes.Performance enhancement strategies for TENGs intended for blue energy harvesting are also summarized.Finally,marine environmental applications of TENGs based on blue energy harvesting are discussed.

Flavonoid extracts from chrysanthemum with appropriate anthocyanins turn blue when exposed to iron ions

Although some species that accumulate only cyanidin(Cy)in nature can produce blue flowers through iron ions,there has been no evidence of blue chrysanthemums being generated in this manner.This study revealed that flavonoid extracts from the ray florets of the chrysanthemum cultivar‘Wandai Fengguang’turned blue when exposed to Fe^(3+).Samples that could turn blue were labeled as CB(Cy-determined blue flowers),while samples that did not turn blue were labeled as CN(Cy-determined non-blue flowers).After a series of experiments,a stable screening system was established using flavonoid extracts containing NaAc buffer at pH 5.5 and a total anthocyanin concentration(TAC)of 30 μmol·L^(-1),and the addition of Fe^(3+)from 0 to 0.25 μmol·L^(-1)allowed for the selection of five CB samples from 39 chrysanthemum cultivars.All five CB samples exhibited flower color phenotypes that belonged to Cluster-I with redness(a*)values ranging from 29.03 to 45.99,yellowness(b*)values from-11.31 to 3.77,and brightness(L*)values from 29.07 to 45.99.Additionally,the ratio of TAC to total luteolin concentration(TLC)was found to be a critical factor for distinguishing between CB and CN samples.To realize the desired blue hue in the flavonoid extracts with the participation of Fe^(3+),a TAC to TLC ratio of 2.25 and above is required.Moreover,the protoplasts and ray florets of CB samples that turned blue with the involvement of Fe^(2+)showed great potential for cultivating blue chrysanthemums through ferric-anthocyanin chelate.Overall,this study reveals that blue flowers can be cultivated through the increase in the iron ion concentration,combined with the accumulation of Cy.

Impact of Alcian blue and periodic acid Schiff expression on the prognosis of gastric signet ring cell carcinoma

BACKGROUND The Alcian blue(AB)and periodic acid Schiff(PAS)stains are representative mucus markers in gastric signet ring cell carcinoma(SRCC).They are low-cost special staining methods used to detect acidic mucus and neutral mucus,respectively.However,the clinical importance of the special combined AB and PAS stain is unclear.AIM To investigate AB expression,PAS expression and the AB-to-PAS(A/P)ratio in gastric SRCC patients and to assess patient prognosis.METHODS Paraffin-embedded sections from 83 patients with gastric SRCC were stained with AB and PAS,and signet ring cell positivity was assessed quantitatively.Immuno-histochemical staining for Ki67,protein 53(P53)and human epidermal growth factor receptor 2(HER2)was performed simultaneously.The cancer-specific survival(CSS)rate was estimated via Kaplan-Meier analysis.Cox proportional hazards models were used for univariate and multivariate survival analyses.RESULTS Kaplan-Meier survival analysis revealed that the 3-year CSS rate was significantly greater in the high-PAS-expression subgroup than in the low-PAS-expression subgroup(P<0.001).The 3-year CSS rate in the A/P≤0.5 group was significantly greater than that in the A/P>0.5 group(P=0.042).Univariate Cox regression analysis revealed that the factors affecting prognosis included tumor diameter,lymph node metastasis,vessel carcinoma embolus,tumor stage,the A/P ratio and the expression of Ki67,P53 and the PAS.Cox multivariate regression analysis confirmed that low PAS expression[hazard ratio(HR)=3.809,95%confidence interval(CI):1.563-9.283,P=0.003]and large tumor diameter(HR=2.761,95%CI:1.086-7.020,P=0.033)were independent risk factors for poor prognosis.CONCLUSION A/P>0.5 is potentially a risk factor for prognosis,and low PAS expression is an independent risk factor in the prognosis of gastric SRCC.PAS expression and the A/P ratio could help in predicting the clinical prognosis of patients with SRCC.

Achieving a superior Na storage performance of Fe-based Prussian blue cathode by coating perylene tetracarboxylic dianhydride amine

Fe-based Prussian blue(Fe-PB)cathode material shows great application potential in sodium(Na)-ion batteries due to its high theoretical capacity,long cycle life,low cost,and simple preparation process.However,the crystalline water and vacancies of Fe-PB lattice,the low electrical conductivity,and the dissolution of metal ions lead to limited capacity and poor cycling stability.In this work,a perylene tetracarboxylic dianhydride amine(PTCDA)coating layer is successfully fabricated on the surface of Fe-PB by a liquid-phase method.The aminated PTCDA(PTCA)coating not only increases the specific surface area and electronic conductivity but also effectively reduces the crystalline water and vacancies,which avoids the erosion of Fe-PB by electrolyte.Consequently,the PTCA layer reduces the charge transfer resistance,enhances the Na-ion diffusion coefficient,and improves the structure stability.The PTCA-coated Fe-PB exhibits superior Na storage performance with a first discharge capacity of 145.2 mAh g^(−1) at 100 mA g^(−1).Long cycling tests exhibit minimal capacity decay of 0.027%per cycle over 1000 cycles at 1 A g^(−1).Therefore,this PTCA coating strategy has shown promising competence in enhancing the electrochemical performance of Fe-PB,which can potentially serve as a universal electrode coating strategy for Na-ion batteries.

Progress on Transition Metal Ions Dissolution Suppression Strategies in Prussian Blue Analogs for Aqueous Sodium-/Potassium-Ion Batteries

Aqueous sodium-ion batteries(ASIBs)and aqueous potassium-ion batteries(APIBs)present significant potential for large-scale energy storage due to their cost-effectiveness,safety,and environmental compatibility.Nonetheless,the intricate energy storage mechanisms in aqueous electrolytes place stringent require-ments on the host materials.Prussian blue analogs(PBAs),with their open three-dimensional framework and facile synthesis,stand out as leading candidates for aqueous energy storage.However,PBAs possess a swift capacity fade and limited cycle longevity,for their structural integrity is compromised by the pronounced dis-solution of transition metal(TM)ions in the aqueous milieu.This manuscript provides an exhaustive review of the recent advancements concerning PBAs in ASIBs and APIBs.The dissolution mechanisms of TM ions in PBAs,informed by their structural attributes and redox processes,are thoroughly examined.Moreover,this study delves into innovative design tactics to alleviate the dissolution issue of TM ions.In conclusion,the paper consolidates various strategies for suppressing the dissolution of TM ions in PBAs and posits avenues for prospective exploration of high-safety aqueous sodium-/potassium-ion batteries.

In vivo pilot study into superficial microcirculatory characteristics of colorectal adenomas using novel high-resolution magnifying endoscopy with blue laser imaging

BACKGROUND No studies have yet been conducted on changes in microcirculatory hemody-namics of colorectal adenomas in vivo under endoscopy.The microcirculation of the colorectal adenoma could be observed in vivo by a novel high-resolution magnification endoscopy with blue laser imaging(BLI),thus providing a new insight into the microcirculation of early colon tumors.AIM To observe the superficial microcirculation of colorectal adenomas using the novel magnifying colonoscope with BLI and quantitatively analyzed the changes in hemodynamic parameters.METHODS From October 2019 to January 2020,11 patients were screened for colon adenomas with the novel high-resolution magnification endoscope with BLI.Video images were recorded and processed with Adobe Premiere,Adobe Photoshop and Image-pro Plus software.Four microcirculation parameters:Microcirculation vessel density(MVD),mean vessel width(MVW)with width standard deviation(WSD),and blood flow velocity(BFV),were calculated for adenomas and the surrounding normal mucosa.RESULTS A total of 16 adenomas were identified.Compared with the normal surrounding mucosa,the superficial vessel density in the adenomas was decreased(MVD:0.95±0.18 vs 1.17±0.28μm/μm2,P<0.05).MVW(5.11±1.19 vs 4.16±0.76μm,P<0.05)and WSD(11.94±3.44 vs 9.04±3.74,P<0.05)were both increased.BFV slowed in the adenomas(709.74±213.28 vs 1256.51±383.31μm/s,P<0.05).CONCLUSION The novel high-resolution magnification endoscope with BLI can be used for in vivo study of adenoma superficial microcirculation.Superficial vessel density was decreased,more irregular,with slower blood flow.

Experimental and computational optimization of Prussian blue analogues as high-performance cathodes for sodium-ion batteries:A review

In this review,we discuss the electrochemical properties of Prussian blue(PB)for Na^(+)storage by combining structural engineering and electrolyte modifications.We integrated experimental data and density functional theory(DFT)in sodium-ion battery(SIB)research to refine the atomic arrangements and crystal lattices and introduce substitutions and dopants.These changes affect the lattice stability,intercalation,electronic and ionic conductivities,and electrochemical performance.We unraveled the intricate structure-electrochemical behavior relationship by combining experimental data with computational models,including first-principles calculations.This holistic approach identified techniques for optimizing PB and Prussian blue analog(PBA)structu ral properties for SIBs.We also discuss the tuning of electrolytes by systematically adjusting their composition,concentration,and additives using a combination of molecular dynamics(MD)simulations and DFT computations.Our review offers a comprehensive assessment of strategies for enhancing the electrochemical properties of PB and PBAs through structural engineering and electrolyte modifications,combining experimental insights with advanced computational simulations,and paving the way for next-generation energy storage systems.

Agricultural Water Footprint of Southern Highbush Blueberry Produced Commercially with Drip Irrigation and Sprinkler Frost Protection

A study was conducted from 2010 to 2017 to determine the water footprint for producing blueberries in the Entre Ríos province of Argentina. Three cultivars of southern highbush blueberry (hybrid cross of Vaccinium sp.) were evaluated in the study, including “Star”, “Emerald”, and “Snowchaser”. In each case, the plants were irrigated by drip and protected from frost using overhead sprinklers. Water requirements for irrigation and frost protection varied among the cultivars due to differences in the timing of flowering and fruit development. The annual water footprint for fruit production in each cultivar is expressed in units of cubic meters of water used to produce one ton of fresh fruit and ranged from 212 - 578 m3∙t−1 for “Star”, 296 - 985 m3∙t−1 for “Emerald”, and 536 - 4066 m3∙t−1 for “Snowchaser”. “Snowchaser” flowered earlier than the other cultivars and, therefore, needed more water for frost protection. “Star”, on the other hand, ripened the latest among the cultivars and required little to no water for frost protection. Frost protection required a minimum of 30 m3∙h−1 of water per hectare and in addition to drip irrigation was a major component of the water footprint.

Effect of neutral pressure on the blue core in Ar helicon plasma under an inhomogeneous magnetic field

The effect of neutral pressure on the blue core in Ar helicon plasma under an inhomogeneous magnetic field was investigated in this work.The neutral pressure was set to 0.08 Pa,0.36 Pa,and 0.68 Pa.A Nikon camera,intensified charge-coupled device(ICCD),optical emission spectrometer(OES),and Langmuir probe were used to diagnose the blue core in helicon plasma.Helicon plasma discharges experienced density jumps from the E mode,H mode to W mode before power just rose to 200 W.The plasma density increased and maintained a central peak with the increase of neutral pressure.However,the brightness of the blue core gradually decreased.It is demonstrated that the relative intensity of Ar II spectral lines and the ionization rate in the central area were reduced.Radial electron temperature profiles were flattened and became hollow as neutral pressure increased.It is demonstrated that increasing the neutral pressure weakened the central heating efficiency dominated by the helicon wave and strengthened the edge heating efficiency governed by the TG wave and skin effect.Therefore,the present experiment successfully reveals how the neutral pressure affects the heating mechanism of helicon plasma in an inhomogeneous magnetic field.

Surface Modification of Bamboo-based Activated Carbon for Methylene Blue Removal

The feasibility of biomass-based activated carbon has received tremendous attention owing to its excellent properties,such as insensitivity,good adsorption performance,and potential to reduce the strong dependence on non-reproducible precursors.In this study,bamboo-based activated carbon(BAC)was used as the raw material for methylene blue(MB)removal.Cetyltrimethylammonium bromide(CTAB),sodium dodecyl sulfate(SDS),and sodium dodecylbenzene sulfonate(SDBS)were used as BAC surface modifiers.The morphologies and structures of the samples were characterized.In addition,the effects of the surfactant type and concentration on the adsorption-based removal of MB from aqueous solutions by the modified BAC were systematically investigated.For the 0.2 g/L MB solution,the MB removal rate reached 99.7%when the concentration of CTAB was 0.25 g/L.Moreover,the kinetic model curve of 0.25 g/L CTAB-modified BAC(CAC)was consistent with the Freundlich isotherm model.This research work enriches the technical pathway of modification and application of activated carbon,which is not only beneficial for realizing the high-value utilization of biomass bamboo resources but also can play an active role in guiding the treatment of MB-containing wastewater.

Silicalite-1 zeolite encapsulated Fe nanocatalyst for Fenton-like degradation of methylene blue

Encapsulation of Fe nanoparticles in zeolite is a promising way to significantly improve the catalytic activity and stability of Fe-based catalysts during the degradation process of organic pollutants.Herein,Fe nanocatalysts were encapsulated into silicalite-1(S-1)zeolite by using a ligand-protected method(with dicyandiamide(DCD)as a organic ligand)under direct hydrothermal synthesis condition.High-resolution transmission electron microscopy(HRTEM)results confirmed the high dispersion of Fe nanocatalysts which were successfully encapsulated within the voids among the primary particles of the S-1 zeolite.The developed S-1 zeolite encapsulated Fe nanocatalyst(Fe@S-1)exhibited significantly improved catalytic activity and reusability in the catalytic degradation process of methylene blue(MB).Specifically,the developed Fe0.021@S-1 catalyst showed high catalytic degradation activity,giving a high MB degradation efficiency of 100%in 30 min,outperformed the conventional impregnated catalyst(Fe/S-1).Moreover,the Fe@S-1 catalyst afforded an outstanding stability,showing only ca.7.9%activity loss after five cycling tests,while the Fe/S-1 catalyst presented a significantly activity loss of 50.9%after only three cycles.Notably,the encapsulation strategy enabled a relatively lower Fe loading in the Fe@S-1 catalyst in comparison with that of the Fe/S-1 catalyst,i.e.,0.35%vs.0.81%(mass).Radical scavenging experiments along with electron spin resonance(ESR)measurements confirmed that the major role of
OH in the MB degradation process.Specifically,Fe@S-1 catalyst with high molar ratio of[Fe(DCD)]Cl3 is beneficial to form Fe complexes/nanoclusters in the voids(which has large pore size of 1–2 nm)among the primary particles of the zeolite,and thus improving the diffusion and accessibility of reactants to Fe active sites,and thus exhibiting a relatively higher degradation efficiency.This work demonstrates that zeolite-encapsulated Fe nanocatalysts present potential applications in the advanced oxidation of wastewater treatment.

Understanding association between methylene blue dye and biosorbent: Palmyrah sprout casing in adsorption process in aqueous phase

Water pollution caused by industrial dyes has become a severe problem in the modern world. Biosorbents can be used in an eco-friendly manner to remove industrial dyes. In this study, five biosorbents were selected: palmyrah sprout casing (PSC), manioc peel, lime peel, king coconut husk, and coconut kernel. Batch adsorption experiments were conducted to identify the best biosorbent with the highest ability to adsorb methylene blue (MB) from wastewater. The detailed mechanisms of PSC used in the adsorptive removal of MB in aqueous phase were investigated. Of the five biosorbents, PSC exhibited the best removal performance with an adsorption capacity at equilibrium (qe) of 27.67 mg/g. The qe values of lime peel, king coconut husk, manioc peel, and coconut kernel were 24.25 mg/g, 15.29 mg/g, 10.84 mg/g, and 7.06 mg/g, respectively. To explain the mechanisms of MB adsorption with the selected biosorbents, the Fourier transform infrared (FTIR) spectrometry and X-ray diffraction (XRD) analyses were performed to characterize functional properties, and isotherm, kinetic, rate-limiting, and thermodynamic analyses were conducted. The FTIR analysis revealed that different biosorbents had different functional properties on their adsorptive surfaces. The FTIR and XRD results obtained before and after MB adsorption with PSC indicated that the surface functional groups of carbonyl and hydroxyl actively participated in the removal process. According to the isotherm analysis, monolayer adsorption was observed with the Langmuir model with a determination coefficient of 0.998. The duration to reach the maximum adsorption capacity for MB adsorption with PSC was 120 min, and the adsorption process was exothermic due to the negative enthalpy change (-9.950 kJ/mol). Moreover, the boundary layer thickness and intraparticle diffusion were the rate-limiting factors in the adsorption process. As a new biosorbent for MB adsorption, PSC could be used in activated carbon production to enhance the performance of dye removal.

A Fluorescent Probe based on a Carbazole Derivative for Detecting Brilliant Blue in Food

Here a fluorescent probe based on a carbazole derivative(CNS)was developed to increase the detection range and reduce the detection limit of brilliant blue.Characteristics of CNS are studied.Due to the quenching ability of colorants,CNS shows an excellent current response to brilliant blue(from 1 to 10μM)with a detection limit of 2.7×10^(-8)mol/L(3σ/k)in the conditions of a 1:1 volume ratio of water to tetrahydrofuran.And the stability and reproducibility of CNS in the detection of actual samples indicate great potential for application.

Enhanced photocatalytic performance of iron oxides@HTCC fabricated from zinc extraction tailings for methylene blue degradation:Investigation of the photocatalytic mechanism

Photocatalytic processes are efficient methods to solve water contamination problems,especially considering dyeing wastewater disposal.However,high-efficiency photocatalysts are usually very expensive and have the risk of heavy metal pollution.Recently,an iron oxides@hydrothermal carbonation carbon(HTCC)heterogeneous catalyst was prepared by our group through co-hydrothermal treatment of carbohydrates and zinc extraction tailings of converter dust.Herein,the catalytic performance of the iron oxides@HTCC was verified by a nonbiodegradable dye,methylene blue(MB),and the catalytic mechanism was deduced from theoretical simulations and spectroscopic measurements.The iron oxides@HTCC showed an excellent synergy between photocatalysis and Fenton-like reactions.Under visible-light illumination,the iron oxides@HTCC could be excited to generate electrons and holes,reacting with H_(2)O_(2)to produce·OH radicals to oxidize and decompose organic pollutants.The removal efficiency of methylene blue over iron oxides@HTCC at 140 min was 2.86 times that of HTCC.The enhanced catalytic performance was attributed to the advantages of iron oxides modification:(1)promoting the excitation induced by photons;(2)improving the charge transfer.Furthermore,the iron oxides@HTCC showed high catalytic activity in a wide pH value range of 2.3-10.4,and the MB removal efficiency remained higher than 95% after the iron oxides@HTCC was recycled 4 times.The magnetically recyclable iron oxides@HTCC may provide a solution for the treatment of wastewater from the textile industry.

Can the Prediction of Intrauterine Insemination Results by Used Aniline Blue Stain (ABS) and Sperm Chromatin Dispersion (SCD) Levels?

Introduction: This study aimed to perform routine seminal fluid analysis, sperm DNA fragmentation, and sperm function tests at the chromatin maturation level and evaluate pregnancy in the patients passing intrauterine insemination before starting Intrauterine Insemination (IUI) method. Materials and Methods: In this prospective study, 111 couples who underwent Intrauterine Insemination (IUI) in unexplained infertility patients were admitted to Al-Farah IVF and assisted reproductive center in Baghdad, Iraq between November 2020 and February 2021 were evaluated. Semen fluid analysis was performed based on (WHO 4th) guiding rules. In addition, Sperm Chromatin Dispersion (halo test) and sperm maturation were performed with Aniline Blue Stain (ABS). Results: Sperm Chromatin Dispersion (SCD) groups were compared in terms of pregnancy outcome;the positive pregnancy rate was found to be above in the normal SCD groups (p = 0.0005). In addition, Aniline Blue Stain (ABS) groups were compared in the terms of pregnancy outcome;the positive pregnancy rate was found to be higher in the normal ABS group (p = 0.017). Conclusion: Our study showed that the use of DNA fragmentation (SCD) and sperm maturation tests (ABS) together with routine semen analysis in intrauterine insemination cases will make a significant contribution to the prediction of Intrauterine Insemination (IUI) increased results. So, these results indicate a defect in the effect of DNA fragmentation on the outcome of intrauterine insemination.

Framework for Mainstreaming Climate Change into African Blue Economy Strategies to Enhance Adaptation, Mitigation, and Resilience in Sustainable Development

This article outlines a framework for mainstreaming climate change into African blue economy Strategies. We underscore that the proliferation of the blue economy in climate change has gained momentum, however, there remains no standardized approach, mechanism or framework for mainstreaming and integrating climate change into blue economy. The economic pillars of economic development, social equity, and environmental management, conservation and sustainability are at the center of the blue economy frontier. The surrounding blue economy components have led to discrepancies in how the blue economy is mainstreamed, integrated, implemented and what is prioritized on agile basis. This article takes a continental overview of current approaches to regional and national levels of blue economy realignment. In doing so this article provides the continental, regional and national assessments of blue economy implementation approaches, through the development of a stepwise innovative process. Using the available literature, data and information from blue economy strategies and other publicly available online information, we analyzed each region and national blue economy strategies to assess the levels of blue economy components mainstreamed into climate change. Throughout this article we outline the methodological approach we took in order to develop a stepwise process innovation for mainstreaming climate change into blue economy at national and regional levels This approach will allow for ongoing and continued mainstreaming and integrating of climate change into blue economy realignment, operationalization and implementation as the concept of blue economy continues to evolve. The approach entails a collective action process for an informed decision making to direct, guide and inform actions for climate change that will effectively and efficiently enhance adaptation, mitigation and resiliency anchored to sustainable development. It establishes linkages to blue economy strategies through an integrated approach. The article addresses the question “How does mainstreaming climate change into African blue economy strategies contribute to achieving sustainable development?” The methodology is based on desk-top study and literature review. This explores the process of mainstreaming, drawing on the countries and regional blue economy strategies, that have made progress in development of blue economy strategies, plans, guidelines and frameworks for governance coordination mechanism. In conclusion, the article states that mainstreaming climate change in Africa reflects a complex pathway of processes and stakeholders that need to be taken into consideration in further research, with particular focus on institutional policy change, administrative structures and transformation.

Blue Nevus Hidden within the Nevus of Ota

A 3-year-old boy presented with bluish patch and scattered blue spots on the left side of his face.After several sessions of laser treatment,the azury patch in the periorbital area became even darker.Histopathology showed many bipolar,pigment-laden dendritic cells scattered in the papillary and upper reticular dermis.Immunohistochemically,these cells were positive for S100,SOX-10,melan-A,P16,and HMB-45.The positive rate of Ki-67 was less than 5%.Finally,the lesion was diagnosed with nevus of Ota concurrent with common blue nevus.Therefore,for cases of the nevus of Ota with poor response to laser treatment,the possible coexisting diseases should be suspected.

Moderate heat treatment of CoFe Prussian blue analogues for enhanced oxygen evolution reaction performance

Prussian blue analogues(PBAs) with inherent ordered structures and abundant metal ion sites are widely explored as precursors for various electrochemical applications,including oxygen evolution reaction(OER).Using a range of characterization techniques including Fourier-transform infrared spectroscopy(FT-IR),X-ray photoelectron spectroscopy(XPS),X-ray diffraction(XRD) and energy dispersive spectroscopy(EDS),this work discloses the process of replacement of K^(+)by NH4^(+)in the interstitial spaces of the CoFe PBA by a hot aqueous urea solution,which influences the transformation of PBAs under further heat treatment and the OER performance of the deriva tives.After heat treatment at 400℃ under Ar flow,high-resolution transmission electron microscopy(HRTEM) images reveal that CoFe alloy nanoparticles grew on the crystalline cubes of CoFe PBA with K^(+),while CoFe PBA cubes with NH4^(+)become amorphous.Besides,the derivative of CoFe PBA with NH4^(+)(Ar-U-CoFe PBA) performs better than the derivative of CoFe PBA with K^(+)(Ar-CoFe PBA) in OER,registering a lower overpotential of 305 mV at 10 mA cm^(-2),a smaller Tafel slope of 36.1 mV dec^(-1),and better stability over a testing course of 20 h in 1.0 M KOH.A single-cell alkaline electrolyzer,using Ar-U-CoFe PBA and Pt/C for the anodic and cathodic catalyst,respectively,requires an initial cell voltage of 1.66 V to achieve 100 mA cm^(-2)at 80℃,with negligible degradation after100 h.

Use of Agent Purple, Agent Orange and Agent Blue on Royal Thai Air Force Base Perimeters in Thailand during the Vietnam War

Seven Royal Thai Air Force bases in Thailand were used by the United States Air Force (USAF) during the Vietnam War as staging hubs for operations in Laos and Cambodia. Five bases in Thailand, including Nakhon Phanom (NKP), Ubon, Korat, U-Tapao and Udorn endured sniper fire interdiction, perimeter penetration, and sapper (combat engineer) attacks. Nam Phong, an eighth Royal Thai Air Force base was used by the United States Marine Corps air operations starting in 1972. US Military personnel stationed throughout Thailand were also attacked by Communists insurgents. Two herbicides, Agent Purple and Agent Orange containing 2, 4, 5-T contaminated with dioxin (TCDD—2, 3, 7, 8 tetrachlorodibenzodioxin) and a third herbicide, the arsenic-based Agent Blue, were routinely received at these Thailand airbases in support of air missions and to keep airbases and perimeter fences clear of vegetation. Udorn Royal Thai Air Force (RTAF) base, established in the 1950s was consistently a target of enemy attacks during this period. The Thai government allowed the United States to use five bases, covertly, and two other Thai bases, openly, due to concerns that the civil war inside Laos might spread into Thailand. The US Air Force began, in 1961, to provide the air defense of Thailand and to fly reconnaissance flights over Laos. Under the United States and Thailand’s “gentleman’s agreement”, the bases used by the USAF were considered RTAF bases under the command of Thai officers. The USAF at Udorn was under the command of the United States Pacific Air Forces (PACAF) Thirteenth Air Force and was used to temporarily store and distribute Agent Purple, Agent Orange and Agent Blue to Laos’s airfields for spraying of the Ho Chi Minh Trail. Thai air police controlled access to the bases using sentry dogs, observation towers, and machine gun emplacements. The USAF Security police assisted the Thai air police in base defense. In this study, we document the use of Agent Orange, Agent Purple and Agent Blue on Royal Thai Air Force base perimeters and grounds during the Vietnam War, potential active-duty service personnel exposure to these toxic herbicides and health impacts of the contaminant dioxin TCDD and arsenic on U.S. Vietnam Era Veterans and Vietnam Veterans. This documentation is important evidence in the “assumption of exposure” for health claims to the US Veterans Administration (VA) by veterans that served in Thailand between 1962 and 1976.