Changes of end-tidal carbon dioxide during cardiopulmonary resuscitation from ventricular f ibrillation versus asphyxial cardiac arrest

BACKGROUND: Partial pressure of end-tidal carbon dioxide(PETCO2) has been used to monitor the effectiveness of precordial compression(PC) and regarded as a prognostic value of outcomes in cardiopulmonary resuscitation(CPR). This study was to investigate changes of PETCO2 during CPR in rats with ventricular fi brillation(VF) versus asphyxial cardiac arrest.METHODS: Sixty-two male Sprague-Dawley(SD) rats were randomly divided into an asphyxial group(n=32) and a VF group(n=30). PETCO2 was measured during CPR from a 6-minute period of VF or asphyxial cardiac arrest.RESULTS: The initial values of PETCO2 immediately after PC in the VF group were signifi cantly lower than those in the asphyxial group(12.8±4.87 mmHg vs. 49.2±8.13 mmHg, P=0.000). In the VF group, the values of PETCO2 after 6 minutes of PC were significantly higher in rats with return of spontaneous circulation(ROSC), compared with those in rats without ROSC(16.5±3.07 mmHg vs. 13.2±2.62 mmHg, P=0.004). In the asphyxial group, the values of PETCO2 after 2 minutes of PC in rats with ROSC were signifi cantly higher than those in rats without ROSC(20.8±3.24 mmHg vs. 13.9±1.50 mmHg, P=0.000). Receiver operator characteristic(ROC) curves of PETCO2 showed signifi cant sensitivity and specifi city for predicting ROSC in VF versus asphyxial cardiac arrest.CONCLUSIONS: The initial values of PETCO2 immediately after CPR may be helpful in differentiating the causes of cardiac arrest. Changes of PETCO2 during CPR can predict outcomes of CPR.

Numerical simulations of high pressure carbon dioxide fluid fluidized beds

Hydrodynamics of carbon dioxide fluid-particle mixtures are predicted using a low density ratio-based kinetic theory of granular flow in high pressure carbon dioxide fluid fluidized beds.A coexistence of particle waves and particle aggregates exists along bed height.The threshold to identify the occurrence of particle aggregates is suggested based on standard deviation of solid volume fractions in aggregative fluidization.The existence time fractions and frequencies of particle aggregates are predicted along axial direction.The effect of carbon dioxide fluid temperature and pressure on volume fraction and velocity distributions are analyzed at different inlet carbon dioxide velocities and particle densities in high pressure carbon dioxide fluidized beds.Simulated results indicate that the carbon dioxide-particles fluidization transits from particulate to aggregative states with the increase of inlet carbon dioxide ve-locities.The computed fluid volume fractions and heterogeneity indexes are close to the measurements in a high pressure carbon dioxide fluidized bed.

Temporal and spatial variability of the carbon cycle in the east of China's seas:a three-dimensional physical-biogeochemical modeling study

In the east of China＇s seas, there is a wide range of the continental shelf. The nutrient cycle and the carbon cycle in the east of China＇s seas exhibit a strong variability on seasonal to decadal time scales. On the basis of a regional ocean modeling system（ROMS）, a three dimensional physical-biogeochemical model including the carbon cycle with the resolution（1/12）°×（1/12）° is established to investigate the physical variations, ecosystem responses and carbon cycle consequences in the east of China＇s seas. The ROMS-Nutrient Phytoplankton Zooplankton Detritus（NPZD） model is driven by daily air-sea fluxes（wind stress, long wave radiation, short wave radiation, sensible heat and latent heat, freshwater fluxes） that derived from the National Centers for Environmental Prediction（NCEP） reanalysis2 from 1982 to 2005. The coupled model is capable of reproducing the observed seasonal variation characteristics over the same period in the East China Sea. The integrated air-sea CO_2 flux over the entire east of China＇s seas reveals a strong seasonal cycle, functioning as a source of CO_2 to the atmosphere from June to October, while serving as a sink of CO_2 to the atmosphere in the other months. The 24 a mean value of airsea CO_2 flux over the entire east of China＇s seas is about 1.06 mol/（m^2·a）, which is equivalent to a regional total of3.22 Mt/a, indicating that in the east of China＇s seas there is a sink of CO_2 to the atmosphere. The partial pressure of carbon dioxide in sea water in the east of China＇s seas has an increasing rate of 1.15 μatm/a（1μtm/a=0.101 325Pa）, but p H in sea water has an opposite tendency, which decreases with a rate of 0.001 3 a^（–1） from 1982 to 2005.Biological activity is a dominant factor that controls the pCO_2 air in the east of China＇s seas, and followed by a temperature. The inverse relationship between the interannual variability of air-sea CO_2 flux averaged from the domain area and Ni？o3 SST Index indicates that the carbon cycle in the east of China＇s seas has a high correlation with El Ni？o-Southern Oscillation（ENSO）.

Analysis of metabolic alterations in Arabidopsis following changes in the carbon dioxide and oxygen partial pressures

As sessile organisms,plants are subject to a multitude of environmental variations including several which directly affect their interaction with the atmosphere.Given the indiscriminant nature of Rubisco,the relative rates of photosynthesis and photorespiration are known to be responsive to changes in gas composition.However,comprehensive profiling methods have not yet been applied in order to characterize the wider consequences of these changes on primary metabolism in general.Moreover,although transcriptional profiling has revealed that a subset of photorespiratory enzymes are co-expressed,whether transcriptional responses play a role in short-term responses to atmospheric compositional changes remains unknown.To address these questions,plants Arabidopsis thaliana（Arabidopsis） ecotype Columbia（Col-O） grown under normal air conditions were transferred to different CO_2 and O_2 concentrations and characterized at the physiological,molecular,and metabolic levels following this transition.The results reveal alterations in the components,which are directly involved in,or supporting,photorespiration,including transcripts and metabolite levels.The results further highlight that the majority of the regulation of these pathways is not mediated at the level of transcription and that the photorespiratory pathway is essential also in conditions in which flux through the pathway is minimized,yet suggest that flux through this pathway is not mediated at the level of transcription.

Major ion chemistry and control of weathering of Bhimtal Lake，Humaun Himalaya，India

The water chemistry of Bhimtal Lake revealed the dominance of Ca￣(2+) and HCO_3￣- ions.The lake water chemistry is controlled by the dominance of Ca-Mg silicate weathering(mainly pumpellyite and epidote-bearing rocks) supported by anthropogenic activity involving extensive road cutting and house holding activities, increased industrialization in the catchment area of the lake. On the basis of phosphate values. a transitional mesotrophic-eutrophic conditions exist in this lake.The observed chemical data of the Bhimtal Lake was used to predict the mineral assemblages in the carbonate and alumino-silicate system. It demonstrates that the calcite and dolomite are the possible minerals which are in equilibrium with the lake water system and that the lake water is in the range of stability of kaolinite.

Effect of early goal directed therapy on tissue perfusion in patients with septic shock

BACKGROUND:This study aimed to observe the effect of early goal directed therapy(EGDT)on tissue perfusion,microcirculation and tissue oxygenation in patients with septic shock.METHODS:Patients with early septic shock(<24 hours) who had been admitted to the ICU of Zhongda Hospital Affiliated to Southeast University from September 2009 through May 2011 were enrolled(research time:12 months),and they didn't meet the criteria of EGDT.Patients who had one of the following were excluded:stroke,brain injury,other types of shock,severe heart failure,acute myocardial infarction,age below 18 years,pregnancy,end-stage disease,cardiac arrest,extensive burns,oral bleeding,difficulty in opening the mouth,and the onset of septic shock beyond 24 hours.Patients treated with the standard protocol of EGDT were included.Transcutaneous pressure of oxygen and carbon dioxide(PtcO_2,PtcCO_2) were monitored and hemodynamic measurements were obtained.Side-stream dark field(SDF) imaging device was applied to obtain sublingual microcirculation.Hemodynamics,tissue oxygen,and sublingual microcirculation were compared before and after EGDT.If the variable meets the normal distribution,Student's t test was applied.Otherwise,Wilcoxon's rank-sum test was used.Correlation between variables was analyzed with Pearson's product-moment correlation coefficient method.RESULTS:Twenty patients were involved,but one patient wasn't analyzed because he didn't meet the EGDT criteria.PtcO_2 and PtcCO_2 were monitored in 19 patients,of whom sublingual microcirculation was obtained.After EGDT,PtcO_2 increased from 62.7+24.0 mmHg to 78.0±30.9mmHg(P<0.05) and tissue oxygenation index(PtcO_2/FiO_2) was 110.7+60.4 mmHg before EGDT and 141.6±78.2 mmHg after EGDT(P<0.05).The difference between PtcCO_2 and PCO_2 decreased significantly after EGDT(P<0.05).The density of perfused small vessels(PPV) and microcirculatory flow index of small vessels(MFI) tended to increase,but there were no significant differences between them(P>0.05).PtcO_2,PtcO_2/FiO_2,and PtcCO_2 were not linearly related to central venous saturation,lactate,oxygen delivery,and oxygen consumption(P>0.05).CONCLUSION:Peripheral perfusion was improved after EGDT in patients with septic shock,and it was not exactly reflected by the index of systemic perfusion.

Relationship between metabolic syndrome and hypercapnia among obese patients with sleep apnea Relationship between metabolic syndrome and hypercapnia among obese patients with sleep apnea

BACKGROUND In the obese patient population,some patients have severe obstructive sleep apnea(OSA)with daytime hypoventilation.Such patients are generally identified on the basis of the presence or absence of daytime hypercapnia,and the condition is called obesity hypoventilation syndrome.However,mechanisms for such daytime hypoventilation remain unclear.AIM To investigate metabolic syndrome and daytime hypercapnia association based on hypercapnia prevalence in obese OSA patients in a nested case-control study.METHODS Consecutive obese patients(body mass index≥30 kg/m2)who underwent polysomnography due to suspected OSA were included.Among them,patients with severe OSA(apnea hypopnea index≥30/h)were divided into two groups according to the presence or absence of hypercapnia during wakefulness(arterial partial pressure of carbon dioxide≥or<45 Torr,respectively).The characteristics and clinical features of these two groups were compared.RESULTS Among 97 eligible patients,25 patients(25.8%)had daytime hypercapnia.There were no significant differences in age,gender,body mass index,apnea-hypopnea index,and Epworth Sleepiness Scale scores between the two groups.However,patients with hypercapnia had a significantly lower arterial partial pressure of oxygen level(75.8±8.2 torr vs 79.9±8.7 torr,P=0.042)and higher arterial partial pressure of carbon dioxide level(46.6±2.5 torr vs 41.0±2.9 torr,P<0.001).Additionally,patients with hypercapnia were more likely to have metabolic syndrome(72.0%vs 48.6%,P=0.043)and a higher metabolic score(the number of satisfied criteria of metabolic syndrome).In multivariate logistic regression analysis,the presence of metabolic syndrome was associated with the presence of hypercapnia(OR=2.85,95%CI:1.04-7.84,P=0.042).CONCLUSION Among obese patients with severe OSA,26%of patients had hypercapnia during wakefulness.The presence of metabolic syndrome was independently correlated with the presence of daytime hypercapnia.

Escherichia coli inactivation by pressurized CO_2 treatment methods at room temperature: Critical issues

This study aims to increase the inactivation efficiency of CO_2 against Escherichia coli under mild conditions to facilitate the application of pressurized CO_2 technology in water disinfection. Based on an aerating-cycling apparatus, three different treatment methods（continuous aeration, continuous reflux, and simultaneous aeration and reflux） were compared for the same temperature, pressure（0.3–0.7 MPa）, initial concentration, and exposure time（25 min）. The simultaneous aeration and reflux treatment（combined method） was shown to be the best method under optimum conditions, which were determined to be 0.7 MPa, room temperature, and an exposure time of 10 min. This treatment achieved 5.1-log reduction after 25 min of treatment at the pressure of 0.3 MPa and 5.73-log reduction after 10 min at 0.7 MPa. Log reductions of 4.4 and 5.0 occurred at the end of continuous aeration and continuous reflux treatments at 0.7 MPa, respectively.Scanning electron microscopy（SEM） images suggested that cells were ruptured after the simultaneous aeration and reflux treatment and the continuous reflux treatment. The increase of the solubilization rate of CO_2 due to intense hydraulic conditions led to a rapid inactivation effect. It was found that the reduction of intracellular p H caused by CO_2 led to a more lethal bactericidal effect.