Introduction: The cicatricial acceleration method (MAC®) promotes photobiological effects of an anti-inflammatory and healing nature. Its therapeutic radiation is emitted, producing photobiostimulant effects that...Introduction: The cicatricial acceleration method (MAC®) promotes photobiological effects of an anti-inflammatory and healing nature. Its therapeutic radiation is emitted, producing photobiostimulant effects that result in rapid tissue repair and better tissue quality. The treatment of burns has always been a challenge, which involves both performing surgery and controlling and guiding scar regeneration, avoiding possible morbidities. Objective: To evaluate the effects of applying the MAC methodology with an AlGa (aluminum, gallium arsenide) laser on the time and quality of tissue repair in the skin of rats after induced chemical burns. Method: 22 adult male rats were subjected to a second-degree chemical burn on the back using 50% trichloroacetic acid. After the burns, the animals were randomly separated into 2 groups: control and experimental. The control group (G1) received placebo laser therapy and the laser group (G2) underwent laser irradiation with an energy density of 100 J/cm2. Histological analysis and macroscopic evaluation were carried out by means of the paper template method. Results: Group G1 showed (53%) of the necrosis area and group G2 showed (11%) necrosis area. Conclusion: The cicatricial acceleration method (MAC®) favored the repair of wounds caused by a 2nd-degree chemical burn, optimizing time and improving quality.展开更多
Metal–organic frameworks(MOFs)have attracted significant research interest in biomimetic catalysis.However,the modulation of the activity of MOFs by precisely tuning the coordination of metal nodes is still a signifi...Metal–organic frameworks(MOFs)have attracted significant research interest in biomimetic catalysis.However,the modulation of the activity of MOFs by precisely tuning the coordination of metal nodes is still a significant challenge.Inspired by metalloenzymes with well-defined coordination structures,a series of MOFs containing halogen-coordinated copper nodes(Cu-X MOFs,X=Cl,Br,I)are employed to elucidate their structure–activity relationship.Intriguingly,experimental and theoretical results strongly support that precisely tuning the coordination of halogen atoms directly regulates the enzyme-like activities of Cu-X MOFs by influencing the spatial configuration and electronic structure of the Cu active center.The optimal Cu–Cl MOF exhibits excellent superoxide dismutase-like activity with a specific activity one order of magnitude higher than the reported Cu-based nanozymes.More importantly,by performing enzyme-mimicking catalysis,the Cu–Cl MOF nanozyme can significantly scavenge reactive oxygen species and alleviate oxidative stress,thus effectively relieving ocular chemical burns.Mechanistically,the antioxidant and antiapoptotic properties of Cu–Cl MOF are achieved by regulating the NRF2 and JNK or P38 MAPK pathways.Our work provides a novel way to refine MOF nanozymes by directly engineering the coordination microenvironment and,more significantly,demonstrating their potential therapeutic effect in ophthalmic disease.展开更多
Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occu...Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance.展开更多
Background: Burns present a devastating injury to patients. Burns caused by chemical agents, present a worse scenario. In a resource limited country like Nigeria, readily available sources of these corrosive agents ar...Background: Burns present a devastating injury to patients. Burns caused by chemical agents, present a worse scenario. In a resource limited country like Nigeria, readily available sources of these corrosive agents are mainly from lead-acid battery vendors and to some extent local small scale soap manufacturers who use caustic soda. We hypothesized that with the reduction in small scale soap manufacturing and increasing trend towards modernization in the use of dry cell batteries, chemical burns may be on the decline, and we sought to investigate this. Methods: The records of all acute burn patients seen at the Burns and Plastic Department of the National Orthopaedic Hospital Enugu Nigeria between January 2011 and December 2014 were retrospectively reviewed. The results were compared to similar studies carried out at the same centre. A questionnaire was administered to corrosive chemical (sulphuric and caustic soda) vendors to assess the trends in product sales and use in recent times. Results: A total of 624 acute burn cases were treated during the period;among which, 12 cases (1.9%) were chemical burns. When compared with previous studies at the centre, Chemical burn cases were recorded as the lowest rate. The median age of patients was 24 years. There were eight males and four females. Interpersonal assault was the commonest mechanism of injury with sulphuric acid suspected to be the commonest agent in 83.3% of the cases, while 16.7% of the cases were from accidental use of caustic soda. The head and neck as well as the upper limbs were the most affected (30%). Twenty-six questionnaires to lead-acid vendors were analyzed and revealed that all respondents noticed a marked downward trend in the sale of either sulphuric acid or caustic soda, and they attributed this to the ready availability of imported alternatives to locally manufactured soap or wet lead-acid batteries. Ease of use, durability and convenience of the dry cell batteries were cited as principal reasons. Conclusion: There appears to be a downward trend in the prevalence of chemical burns in our study compared to previous studies in the centre which may be due to reduced availability and access of corrosive chemicals to the general public. Further prospective multicentre studies to confirm this are recommended.展开更多
A 30 mm electrothermal-chemical(ETC) gun experimental system is employed to research the burning rate characteristics of 4/7 high-nitrogen solid propellant. Enhanced gas generation rates(EGGR) of propellants during an...A 30 mm electrothermal-chemical(ETC) gun experimental system is employed to research the burning rate characteristics of 4/7 high-nitrogen solid propellant. Enhanced gas generation rates(EGGR) of propellants during and after electrical discharges are verified in the experiments. A modified 0D internal ballistic model is established to simulate the ETC launch. According to the measured pressure and electrical parameters, a transient burning rate law including the influence of EGGR coefficient by electric power and pressure gradient(dp/dt) is added into the model. The EGGR coefficient of 4/7 high-nitrogen solid propellant is equal to 0.005 MW-1. Both simulated breech pressure and projectile muzzle velocity accord with the experimental results well. Compared with Woodley's modified burning rate law, the breech pressure curves acquired by the transient burning rate law are more consistent with test results. Based on the parameters calculated in the model, the relationship among propellant burning rate, pressure gradient(dp/dt) and electric power is analyzed. Depending on the transient burning rate law and experimental data, the burning of solid propellant under the condition of plasma is described more accurately.展开更多
Background:Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails.Nail adhesive burns are uncommon,and it is crucial that healthcare providers a...Background:Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails.Nail adhesive burns are uncommon,and it is crucial that healthcare providers and the public are aware of its potential to cause chemical burn.Case Presentation:Case series of accidental burns secondary to cyanoacrylate nail glue treated at the Welsh Centre for Burns and Plastic Surgery(WCBPS)in Swansea,United Kingdom.Conclusion:All of the burns were observed in children and occurred due to accidental spillage.Therefore,it is important for the public to be aware that nail glue is a chemical agent which should be stored safely away from the reaches of young children.The case series highlights the importance of first aid in reducing the severity of chemical burns secondary to the nail adhesives,and its early recognition and treatment are emphasised.展开更多
Phosphorus-containing compounds are the promising halon alternatives for flame inhibitions. However, some literatures suggested that the phosphorus-related inhibitors may behave as the unfavorable ones that will incre...Phosphorus-containing compounds are the promising halon alternatives for flame inhibitions. However, some literatures suggested that the phosphorus-related inhibitors may behave as the unfavorable ones that will increase the burning velocity under lean-burn conditions, and this indeed posed potential threats to the fire prevention and fighting. To seek deeper insights into the reaction process, a numerical investigation was actualized to study the phosphorus-related effects on methane-air flames. By replacing a phosphorus-related inhibitor with the corresponding decomposed molecules, the detailed promoting and inhibiting effects of combustion were separated from the general chemical effect. A comparative study was carried out to identify the interaction between the two effects under different combustion conditions. It is observed that the promoting effect becomes the dominant factor during the reaction process when the equivalence ratio is smaller than 0.60. In this lean-burn condition, the exothermic reactions were faster than the others within the reaction chains due to the reduction of radical recombination in hydrocarbon oxidation. The results are believed to be useful for the further application and improvement of flame inhibitors.展开更多
Atmospheric particulate matter is a critical factor for many regional urban areas of Umbria (Central Italy region). During 2013 the monitoring air quality network, managed by ARPA Umbria, has been upgraded to Legislat...Atmospheric particulate matter is a critical factor for many regional urban areas of Umbria (Central Italy region). During 2013 the monitoring air quality network, managed by ARPA Umbria, has been upgraded to Legislative Decree of 13 August 2010, n.155 and an analytical study about chemical composition of PM10 (Particulate Matter with diameter of 10 micrometres or less) over all the region has been started. The PM10 filters have been analyzed for Benzo(α)Pyrene, Pb, Cr, Ni and Cd to check compliance with limits or target values defined in Italian regulation (Legislative Decree of 13 August 2010, n.155);other parameters, like US-EPA list Polycyclic Aromatic Hydrocarbons (PAHs), Polychlorinated Dibenzo-p-Dioxins and Polychlorinated Dibenzo Furans (PCDD/ Fs), Polychlorinated Biphenyls (PCBs), Organic Carbon/Elemental Carbon (OC/EC) and Levoglucosan were analyzed because they are toxic or because they identify particular pollutant sources. The data obtained showed a large and diffusive biomass burning contribution, widely used in the Umbria Region both for domestic heating in traditional fireplaces and for combustion of pruning residues. In particular the urban sites of Terni and suburban site near Terni (Narni), both lying in the Terni basin called “Conca Ternana”, showed a chemical composition of PM10 that suggests a very large anthropization. This area is the principal industrial reality in the Central Italy because there is a steel production plant, a Municipal solid waste (MSW) burning plant and a chemical plant.展开更多
As an innovative propulsion technique, laser augmented chemical propulsion(LACP) seems superior to the traditional ones. However, the corresponding combustion theories have still to be ascertained for LACP. Burning ra...As an innovative propulsion technique, laser augmented chemical propulsion(LACP) seems superior to the traditional ones. However, the corresponding combustion theories have still to be ascertained for LACP. Burning rate of 5-aminotetrazole(5-ATZ) propellant has been studied by testing pressed samples under different combustor pressures and laser powers. Based on micro computed tomography(Micro CT),an advanced thickness-over-time(TOT) method to characterize the regression of the produced nonplanar burning surface is established. Because of a shell structure covering the combustion surface,the burning rate of the implemented 5-ATZ propellant is not constant during laser ablation. Resorting to functional fitting, a new law of non-constant burning including the effect of the observed unique burning surface structures is proposed. Accordingly, applicable combustion conditions of 5-ATZ based propellants have been preliminarily speculated for future research activities.展开更多
As an innovative propulsion technique, combustion mechanism of laser-augmented chemical propulsion has still to be ascertained. Benefiting from high nitrogen content and thermal stability, 5-aminotetrazole is a suitab...As an innovative propulsion technique, combustion mechanism of laser-augmented chemical propulsion has still to be ascertained. Benefiting from high nitrogen content and thermal stability, 5-aminotetrazole is a suitable ingredient for LACP. Under a flowing nitrogen environment, two kinds of unique burning surfaces were observed to occur for 5-ATZ, used as a single reacting propellant ingredient with the addition of carbon, under laser ablation. Both surfaces are hollow structures and differ by the possible presence of edges. Using micro computed tomography, the 3D perspective structures of both surfaces were revealed. Resorting to various characterization methods, a unified formation mechanism for both surfaces is proposed. This mechanism specifically applies to laser ablation, but could be crucial to common burning mechanisms in LACP.展开更多
目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年...目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年4月-2022年12月收治的纳入观察组,对照组采用大面积烧伤后常规护理,观察组采用ADOPT问题解决模式护理,持续护理3个月。分别于干预前和干预3个月后,采用伤残接受度量表(Acceptance of disability scale,AODS)评估患者伤残接受度,采用视觉模拟评分(Visual analogue scale,VAS)评估患者创面疼痛程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估患者生活质量;干预4周后,计算创面愈合率;干预3个月后,采用(Vancouver scar scale,VSS)评估患者创面愈合后瘢痕增生情况,采用美观满意度评分表评估患者美观满意度;记录创面愈合时间。结果:干预后,观察组患者AODS评分、创面覆盖率、美观满意度、BSHS-A评分均明显高于对照组,创面愈合时间明显短于对照组,VAS评分和VSS评分明显低于对照组(P<0.05)。结论:ADOPT问题解决模式能够提高大面积烧伤患者伤残接受度和美观满意度,有利于创面愈合,患者生活质量也得以显著提高。展开更多
目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规...目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规护理干预,观察组在对照组基础上给予以结局为导向的多元化康复护理,均持续护理至患者出院。比较两组创面愈合时间。于护理前后,比较两组心理弹性[心理韧性量表(Chinese version of resilience scale,CD-RISC)]、病耻感[社会影响量表(Social impact scale,SIS)]、社会支持度[社会支持评定量表(Social support revalued scale,SSRS)]、外观接受度[伤残接受度量表(Acceptance of disabilityscal,AODS)]和应对方式[心理特征应对量表(Trait coping style questionnaire,TCSQ)]评分。结果:观察组创面愈合时间显著短于对照组(P<0.05)。护理后,观察组坚韧性、力量性和乐观性等CD-RISC评分均高于对照组(P<0.05);观察组社会排斥、内在羞耻感、社会隔离和经济歧视等SIS评分均显著低于对照组(P<0.05);观察组AODS、SSRS和积极应对评分均显著高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论:以结局为导向的多元化康复护理有利于提高大面积烧伤患者心理弹性、外观接受度和社会支持水平,降低病耻感,改变应对方式,促使创面愈合。展开更多
文摘Introduction: The cicatricial acceleration method (MAC®) promotes photobiological effects of an anti-inflammatory and healing nature. Its therapeutic radiation is emitted, producing photobiostimulant effects that result in rapid tissue repair and better tissue quality. The treatment of burns has always been a challenge, which involves both performing surgery and controlling and guiding scar regeneration, avoiding possible morbidities. Objective: To evaluate the effects of applying the MAC methodology with an AlGa (aluminum, gallium arsenide) laser on the time and quality of tissue repair in the skin of rats after induced chemical burns. Method: 22 adult male rats were subjected to a second-degree chemical burn on the back using 50% trichloroacetic acid. After the burns, the animals were randomly separated into 2 groups: control and experimental. The control group (G1) received placebo laser therapy and the laser group (G2) underwent laser irradiation with an energy density of 100 J/cm2. Histological analysis and macroscopic evaluation were carried out by means of the paper template method. Results: Group G1 showed (53%) of the necrosis area and group G2 showed (11%) necrosis area. Conclusion: The cicatricial acceleration method (MAC®) favored the repair of wounds caused by a 2nd-degree chemical burn, optimizing time and improving quality.
基金the National Key R&D Program of China(Grant No.2020YFA0908100)the National Nature Science Foundation(Grant Nos.12274356,82070931,and 82271045)+1 种基金Fundamental Research Funds for the Central Universities(20720220022)the 111 Project(B16029)。
文摘Metal–organic frameworks(MOFs)have attracted significant research interest in biomimetic catalysis.However,the modulation of the activity of MOFs by precisely tuning the coordination of metal nodes is still a significant challenge.Inspired by metalloenzymes with well-defined coordination structures,a series of MOFs containing halogen-coordinated copper nodes(Cu-X MOFs,X=Cl,Br,I)are employed to elucidate their structure–activity relationship.Intriguingly,experimental and theoretical results strongly support that precisely tuning the coordination of halogen atoms directly regulates the enzyme-like activities of Cu-X MOFs by influencing the spatial configuration and electronic structure of the Cu active center.The optimal Cu–Cl MOF exhibits excellent superoxide dismutase-like activity with a specific activity one order of magnitude higher than the reported Cu-based nanozymes.More importantly,by performing enzyme-mimicking catalysis,the Cu–Cl MOF nanozyme can significantly scavenge reactive oxygen species and alleviate oxidative stress,thus effectively relieving ocular chemical burns.Mechanistically,the antioxidant and antiapoptotic properties of Cu–Cl MOF are achieved by regulating the NRF2 and JNK or P38 MAPK pathways.Our work provides a novel way to refine MOF nanozymes by directly engineering the coordination microenvironment and,more significantly,demonstrating their potential therapeutic effect in ophthalmic disease.
文摘Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance.
文摘Background: Burns present a devastating injury to patients. Burns caused by chemical agents, present a worse scenario. In a resource limited country like Nigeria, readily available sources of these corrosive agents are mainly from lead-acid battery vendors and to some extent local small scale soap manufacturers who use caustic soda. We hypothesized that with the reduction in small scale soap manufacturing and increasing trend towards modernization in the use of dry cell batteries, chemical burns may be on the decline, and we sought to investigate this. Methods: The records of all acute burn patients seen at the Burns and Plastic Department of the National Orthopaedic Hospital Enugu Nigeria between January 2011 and December 2014 were retrospectively reviewed. The results were compared to similar studies carried out at the same centre. A questionnaire was administered to corrosive chemical (sulphuric and caustic soda) vendors to assess the trends in product sales and use in recent times. Results: A total of 624 acute burn cases were treated during the period;among which, 12 cases (1.9%) were chemical burns. When compared with previous studies at the centre, Chemical burn cases were recorded as the lowest rate. The median age of patients was 24 years. There were eight males and four females. Interpersonal assault was the commonest mechanism of injury with sulphuric acid suspected to be the commonest agent in 83.3% of the cases, while 16.7% of the cases were from accidental use of caustic soda. The head and neck as well as the upper limbs were the most affected (30%). Twenty-six questionnaires to lead-acid vendors were analyzed and revealed that all respondents noticed a marked downward trend in the sale of either sulphuric acid or caustic soda, and they attributed this to the ready availability of imported alternatives to locally manufactured soap or wet lead-acid batteries. Ease of use, durability and convenience of the dry cell batteries were cited as principal reasons. Conclusion: There appears to be a downward trend in the prevalence of chemical burns in our study compared to previous studies in the centre which may be due to reduced availability and access of corrosive chemicals to the general public. Further prospective multicentre studies to confirm this are recommended.
文摘A 30 mm electrothermal-chemical(ETC) gun experimental system is employed to research the burning rate characteristics of 4/7 high-nitrogen solid propellant. Enhanced gas generation rates(EGGR) of propellants during and after electrical discharges are verified in the experiments. A modified 0D internal ballistic model is established to simulate the ETC launch. According to the measured pressure and electrical parameters, a transient burning rate law including the influence of EGGR coefficient by electric power and pressure gradient(dp/dt) is added into the model. The EGGR coefficient of 4/7 high-nitrogen solid propellant is equal to 0.005 MW-1. Both simulated breech pressure and projectile muzzle velocity accord with the experimental results well. Compared with Woodley's modified burning rate law, the breech pressure curves acquired by the transient burning rate law are more consistent with test results. Based on the parameters calculated in the model, the relationship among propellant burning rate, pressure gradient(dp/dt) and electric power is analyzed. Depending on the transient burning rate law and experimental data, the burning of solid propellant under the condition of plasma is described more accurately.
文摘Background:Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails.Nail adhesive burns are uncommon,and it is crucial that healthcare providers and the public are aware of its potential to cause chemical burn.Case Presentation:Case series of accidental burns secondary to cyanoacrylate nail glue treated at the Welsh Centre for Burns and Plastic Surgery(WCBPS)in Swansea,United Kingdom.Conclusion:All of the burns were observed in children and occurred due to accidental spillage.Therefore,it is important for the public to be aware that nail glue is a chemical agent which should be stored safely away from the reaches of young children.The case series highlights the importance of first aid in reducing the severity of chemical burns secondary to the nail adhesives,and its early recognition and treatment are emphasised.
基金Project supported by the National Natural Science Foundation of China(Grant No.51576183)the Fundamental Research Funds for the Central Universities,China(Grant Nos.WK2320000035 and WK2320000041)
文摘Phosphorus-containing compounds are the promising halon alternatives for flame inhibitions. However, some literatures suggested that the phosphorus-related inhibitors may behave as the unfavorable ones that will increase the burning velocity under lean-burn conditions, and this indeed posed potential threats to the fire prevention and fighting. To seek deeper insights into the reaction process, a numerical investigation was actualized to study the phosphorus-related effects on methane-air flames. By replacing a phosphorus-related inhibitor with the corresponding decomposed molecules, the detailed promoting and inhibiting effects of combustion were separated from the general chemical effect. A comparative study was carried out to identify the interaction between the two effects under different combustion conditions. It is observed that the promoting effect becomes the dominant factor during the reaction process when the equivalence ratio is smaller than 0.60. In this lean-burn condition, the exothermic reactions were faster than the others within the reaction chains due to the reduction of radical recombination in hydrocarbon oxidation. The results are believed to be useful for the further application and improvement of flame inhibitors.
文摘Atmospheric particulate matter is a critical factor for many regional urban areas of Umbria (Central Italy region). During 2013 the monitoring air quality network, managed by ARPA Umbria, has been upgraded to Legislative Decree of 13 August 2010, n.155 and an analytical study about chemical composition of PM10 (Particulate Matter with diameter of 10 micrometres or less) over all the region has been started. The PM10 filters have been analyzed for Benzo(α)Pyrene, Pb, Cr, Ni and Cd to check compliance with limits or target values defined in Italian regulation (Legislative Decree of 13 August 2010, n.155);other parameters, like US-EPA list Polycyclic Aromatic Hydrocarbons (PAHs), Polychlorinated Dibenzo-p-Dioxins and Polychlorinated Dibenzo Furans (PCDD/ Fs), Polychlorinated Biphenyls (PCBs), Organic Carbon/Elemental Carbon (OC/EC) and Levoglucosan were analyzed because they are toxic or because they identify particular pollutant sources. The data obtained showed a large and diffusive biomass burning contribution, widely used in the Umbria Region both for domestic heating in traditional fireplaces and for combustion of pruning residues. In particular the urban sites of Terni and suburban site near Terni (Narni), both lying in the Terni basin called “Conca Ternana”, showed a chemical composition of PM10 that suggests a very large anthropization. This area is the principal industrial reality in the Central Italy because there is a steel production plant, a Municipal solid waste (MSW) burning plant and a chemical plant.
基金supported by the Shanghai Aerospace Science & Technology Innovation Fund (grant No. SAST201363)the Fundamental Research Funds for the Central Universities (grant No. 30919012102 in part)。
文摘As an innovative propulsion technique, laser augmented chemical propulsion(LACP) seems superior to the traditional ones. However, the corresponding combustion theories have still to be ascertained for LACP. Burning rate of 5-aminotetrazole(5-ATZ) propellant has been studied by testing pressed samples under different combustor pressures and laser powers. Based on micro computed tomography(Micro CT),an advanced thickness-over-time(TOT) method to characterize the regression of the produced nonplanar burning surface is established. Because of a shell structure covering the combustion surface,the burning rate of the implemented 5-ATZ propellant is not constant during laser ablation. Resorting to functional fitting, a new law of non-constant burning including the effect of the observed unique burning surface structures is proposed. Accordingly, applicable combustion conditions of 5-ATZ based propellants have been preliminarily speculated for future research activities.
基金supported by the Shanghai Aerospace Science & Technology Innovation Fund (Grant No. SAST201363)the Fundamental Research Funds for the Central Universities (Grant No. 30919012102 in part)。
文摘As an innovative propulsion technique, combustion mechanism of laser-augmented chemical propulsion has still to be ascertained. Benefiting from high nitrogen content and thermal stability, 5-aminotetrazole is a suitable ingredient for LACP. Under a flowing nitrogen environment, two kinds of unique burning surfaces were observed to occur for 5-ATZ, used as a single reacting propellant ingredient with the addition of carbon, under laser ablation. Both surfaces are hollow structures and differ by the possible presence of edges. Using micro computed tomography, the 3D perspective structures of both surfaces were revealed. Resorting to various characterization methods, a unified formation mechanism for both surfaces is proposed. This mechanism specifically applies to laser ablation, but could be crucial to common burning mechanisms in LACP.
文摘目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年4月-2022年12月收治的纳入观察组,对照组采用大面积烧伤后常规护理,观察组采用ADOPT问题解决模式护理,持续护理3个月。分别于干预前和干预3个月后,采用伤残接受度量表(Acceptance of disability scale,AODS)评估患者伤残接受度,采用视觉模拟评分(Visual analogue scale,VAS)评估患者创面疼痛程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估患者生活质量;干预4周后,计算创面愈合率;干预3个月后,采用(Vancouver scar scale,VSS)评估患者创面愈合后瘢痕增生情况,采用美观满意度评分表评估患者美观满意度;记录创面愈合时间。结果:干预后,观察组患者AODS评分、创面覆盖率、美观满意度、BSHS-A评分均明显高于对照组,创面愈合时间明显短于对照组,VAS评分和VSS评分明显低于对照组(P<0.05)。结论:ADOPT问题解决模式能够提高大面积烧伤患者伤残接受度和美观满意度,有利于创面愈合,患者生活质量也得以显著提高。
文摘目的观察对大面积烧伤患者实施集束化护理联合银离子藻酸盐敷料对中心静脉导管相关性感染的影响。方法选取2017年1月1日至2023年12月31日在广西医科大学第一附属医院烧伤整形外科住院治疗经创面留置中心静脉导管(Peripherally Inserted Central Catheter,PICC)大面积烧伤的110例患者为研究对象。对患者实施随机分组,每组55例。对照组实施常规护理,观察组实施集束化护理联合使用银离子藻酸盐敷料。结果与对照组相比,观察组穿刺部位创面深度较浅,差异有统计学意义(P<0.05)。观察组创面愈合时间明显短于对照组,差异有统计学意义(P<0.05)。观察组创面愈合时间明显短于对照组,差异有统计学意义(P<0.05)。结论对大面积烧伤患者创面静脉导管实施集束化护理联合使用银离子藻酸盐敷料,能够显著减少感染,促进创面愈合,且创面深度较浅。
文摘目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规护理干预,观察组在对照组基础上给予以结局为导向的多元化康复护理,均持续护理至患者出院。比较两组创面愈合时间。于护理前后,比较两组心理弹性[心理韧性量表(Chinese version of resilience scale,CD-RISC)]、病耻感[社会影响量表(Social impact scale,SIS)]、社会支持度[社会支持评定量表(Social support revalued scale,SSRS)]、外观接受度[伤残接受度量表(Acceptance of disabilityscal,AODS)]和应对方式[心理特征应对量表(Trait coping style questionnaire,TCSQ)]评分。结果:观察组创面愈合时间显著短于对照组(P<0.05)。护理后,观察组坚韧性、力量性和乐观性等CD-RISC评分均高于对照组(P<0.05);观察组社会排斥、内在羞耻感、社会隔离和经济歧视等SIS评分均显著低于对照组(P<0.05);观察组AODS、SSRS和积极应对评分均显著高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论:以结局为导向的多元化康复护理有利于提高大面积烧伤患者心理弹性、外观接受度和社会支持水平,降低病耻感,改变应对方式,促使创面愈合。
