Adding vortexing to the Maki technique provides no benefit for the diagnosis of catheter colonization or catheter-related bacteremia

BACKGROUND A previous study compared vortexing and Maki techniques for the diagnosis of catheter-related bloodstream infection(CRBSI),and concluded that vortexing was not superior to Maki method.AIM To determine whether the combined use of vortexing and Maki techniques provides profitability versus the Maki technique for the diagnosis of catheter tip colonization(CTC)and CRBSI.METHODS Observational and prospective study carried out in an Intensive Care Unit.Patients with suspected catheter-related infection(CRI)and with one central venous catheter for at least 7 days were included.The area under the curve(AUC)of the Maki technique,the vortexing technique and the combination of both techniques for the diagnosis of CTC and CRBSI were compared.RESULTS We included 136 episodes of suspected CRI.We found 21 cases of CTC of which 10 were also CRBSI cases.Of the 21 CTC episodes,18(85.7%)were diagnosed by Maki technique and vortexing technique,3(14.3%)only by the technique of Maki,and none only by technique of vortexing.Of the 10 CRBSI episodes,9(90.0%)were diagnosed by the techniques of Maki and vortexing,1(10.0%)was diagnosed only by the technique of Maki,and none only by the technique of vortexing.We no found differences in the comparison of AUC between the technique of Maki and the combination of Maki and vortexing techniques for the diagnosis of CTC(P=0.99)and CRBSI(P=0.99).CONCLUSION The novel finding of our study was that the combined use of vortexing and Maki techniques did not provide profitability to the technique of Maki alone to CRBSI diagnosis of.

Vortex模型对气道管理质控的提示作用

困难气道的处理是气道管理工作中的重要挑战之一,目前许多气道管理协会制定的困难气道管理指南在临床实践中的依从性和可操作性较差,原因包括指南内容复杂以及缺乏具体决策指导。为了提高指南的依从性和执行率,Vortex模型应运而生。Vortex模型由Nicholas Chrimes于2013年提出,是一种补充现有困难气道管理指南的认知辅助工具,目的在于提供一个简洁的管理思维模型,通过视觉化的漩涡结构帮助气道管理团队成员形成共同的情境认知,从而提高困难气道管理时的沟通和决策能力。本文旨在对Vortex模型的概念、特点及应用方法进行全面的综述,以期对目前临床上气道管理的质控工作提供可借鉴的经验。

Gas-phase electrocatalytic reduction of carbon dioxide using electrolytic cell based on phosphoric acid-doped polybenzimidazole membrane

Carbon dioxide transformation to fuels or chemicals provides an attractive approach for its utilization as feedstock and its emission reduction. Herein, we report a gas-phase electrocatalytic reduction of CO2 in an electrolytic cell, constructed using phosphoric acid-doped polybenz- imidazole （PBI） membrane, which allowed operation at 170 ℃ Pt/C and PtMo/C with variable ratio of Pt/Mo were studied as the cathode catalysts. The results showed that PtMo/C catalysts significantly enhanced CO formation and inhibited CH4 formation compared with Pt/C catalyst. Characterization by X-ray diffraction, X-ray photoelectron spectroscopy and transmission electron microscopy revealed that most Mo species existed as MoO3 in PtMo/C catalysts and the interaction between Pt and MoOx was likely responsible for the enhanced CO formation rate although these bicomponent catalysts in general had a larger particle size than Pt/C catalyst.

Synthesis of dimethyl carbonate by gas-phase oxidative carbonylation of methanol in the presence of solid catalyst I. Catalyst preparation and catalytic Properties

The gas-phase synthesis of dimethyl carbonate (DMC) from methanol, carbon monoxide and oXygen has here Studied in a flow system at atomspheric Pressure. A series of Catalyst used in this reaCtion have been prepared and evaluated. The influence of trivared carbon supporters, alkaline metal Promoters and operation conditions on DMC opthesis reaction has been discussed. Under the conditions of 130℃, CO/O2=1 .96, SV=3340h-1, the space-time yield (STY) of DMC over PdCl2-CuCl2-CH3COOK/ac. catalyst is 217g/l-cat h,which is higher than what is published in the literatUre so far.

Gas-phase dehydrochlorination of 1, 1, 2, 2-tetrachloroethane over the non-metal supported ionic liquid catalyst

Developing of non-metallic catalyst to replace metal catalyst is a meaningful and challenging direction.In this work,the non-metallic catalyst was synthetized successfully by loading ionic liquid onto the silica surface,which was applied for the gas-phase dehydrochlorination of 1,1,2,2-tetrachloroethane.The 12%TPPC/SiO2(wt%)showed the best results with the conversion of 1,1,2,2-tetrachloroethane reaching 100%.The selectivity of 1,1,2-trichloroethylene was 100%,and no deactivation was found during the evaluation period.The catalytic mechanism was investigated and possible reaction route was given,which was a reference for fabricating and design of solid base catalyst.

Influence of heat treatment on microstructure and electrochemical behaviors of Mg-Zn binary alloys prepared by gas-phase alloying technique

Mg-Zn binary alloys fabricated by the gas-phase alloying technique under vacuum condition were investigated in the state of initial state and after heat treatment for the microstructure and electrochemical behaviors.Different from the traditional Mg-Zn alloys preparation methods,alloys prepared by gas-phase alloying have a large number of intermetallic compounds,such as MgZn,Mg7Zn3 and MgZn2.After solution treatment,the boundary of the eutectic disappeared and the size ofα-Mg increased from 100μm to 150μm.At the same time,the value of the resistance of charge transfer increased,which indicates that the resistance of the charge transfer and the corrosion resistance of the alloys increased.After artificial aging treatment,the distribution ofα-Mg was more uniform and its size was reduced to about 50μm,and there was new eutectic structure formed.The newly formed eutectic structure forms galvanic cells with the alloy matrix,which makes the corrosion resistance of the alloy weaken.

Anaerobic digestion of kitchen wastes in a single-phased anaerobic sequencing batch reactor(ASBR) with gas-phased absorb of CO_2

The performance of the single-stage anaerobic digestion of kitchen wastes was investigated in an anaerobic sequencing batch reactor(ASBR) with gas-phased absorb of CO 2. The ASBR was operated at four chemical oxygen demand(COD) loading rates, 2.8, 5.1, 6.2 and 8.4 g/(L·d) respectively. The COD loading rate was increased with the TS concentration and HRT changing. At maximum COD loading rate of 8.4 g/(L·d), the COD, total solid(TS) removal rate and methane gas yield were 69%, 68% and 2.5 L/(L·d) respectively. The operation of the reactor with gas-phased absorb of CO 2 was stable in spite of the low pH(2.6—3.9) and high concentration of TS(142 g/L) of input mixture. The output volatile fatty acid(VFA) concentration was between 2.7—4.7 g/L and had no inhibition on the methanogenic microorganism. The reactor without gas-phased absorb of CO 2 became acidified when the total COD loading rate was increased to 5.1 g/(L·d). Stoichiometry of the methanogenesis for kitchen wastes showed a considerable amount of alkaline will be required to keep pH in the appropriate range for the methanogenic microorganism based on theoretical calculation. Gas-phased absorb of CO 2 effectively reduced the alkaline consumption, hence avoided excessive cation into the reactor.

Industrial Preparation and Acid Resistance of Ultra-stable Y Zeolite with Small Cell Size Produced by Gas-phase Method

Small-cell HSY-S zeolite prepared by the gas-phase ultra-stable method had been researched and developed,and industrial preparation tests of HSY-S have been successfully carried out for the first time.The acid resistance of industrially prepared HSY-S was investigated by acid solutions with different pH values.The structures and properties of HSY-S and its acid-treated samples were characterized by XRD,XRF,BET,and IR.Results show that the HSY-S samples have the characteristics of high crystallinity,good stability,large specific surface area,and good acid resistance.

Gas-phase CO_(2)activation with single electrons,metal atoms,clusters,and molecules

In this review,the history and outlook of gas-phase CO_(2)activation using single electrons,metal atoms,clusters(mainly metal hydride clusters),and molecules are discussed on both of the experimental and theoretical fronts.Although the development of bulk solid-state materials for the activation and conversion of CO_(2)into value-added products have enjoyed great success in the past several decades,this review focuses only on gas-phase studies,because isolated,well-defined gas-phase systems are ideally suited for high-resolution experiments using state-of-the-art spectrometric and spectroscopic techniques,and for simulations employing modern quantum theoretical methods.The unmatched high complementarity and comparability of experiment and theory in the case of gas-phase investigations bear an enormous potential in providing insights in the reactions of CO_(2)activation at the atomic level.In all of these examples,the reduction and bending of the inert neutral CO_(2)molecule is the critical step determined by the frontier orbitals of reaction participants.Based on the results and outlook summarized in this review,we anticipate that studies of gas-phase CO_(2)activations will be an avenue rich with opportunities for the rational design of novel catalysts based on the knowledge obtained on the atomic level.

The structure optimization of gas-phase surface discharge and its application for dye degradation

A gas-phase surface discharge（GSD）was employed to optimize the discharge reactor structure and investigate the dye degradation.A dye mixture of methylene blue,acid orange and methyl orange was used as a model pollutant.The results indicated that the reactor structure of the GSD system with the ratio of tube inner surface area and volume of 2.48,screw pitch between a high-voltage electrode of 9.7 mm,high-voltage electrode wire diameter of 0.8 mm,dielectric tube thickness of2.0 mm and tube inner diameter of 16.13 mm presented a better ozone（O_3）generation efficiency.Furthermore,a larger screw pitch and smaller wire diameter enhanced the O_3generation.After the dye mixture degradation by the optimized GSD system,73.21%and 50.74%of the chemical oxygen demand（COD）and total organic carbon removal rate were achieved within 20 min,respectively,and the biochemical oxygen demand（BOD）and biodegradability（BOD/COD）improved.

Pore throat structure heterogeneity and its effect on gas-phase seepage capacity in tight sandstone reservoirs:A case study from the Triassic Yanchang Formation,Ordos Basin

The microscopic heterogeneity of pore-throat structures in tight sandstone is a crucial parameter for understanding the transport mechanism of fluid flow.In this work,we firstly developed the new procedure to characterize the pore size distribution(PSD)and throat size distribution(TSD)by combining the nuclear magnetic resonance(NMR),cast thin section(CTS),and constant-rate mercury injection(CRMI)tests,and used the permeability estimated model to verify the full-scale PSD and TSD.Then,we respectively analyzed the fractal feature of the pore and throat,and characterized the heterogeneity of pores and throats.Finally,we elaborated the effect of the pore and throat heterogeneity on the gas-phase seepage capacity base on the analysis of the simple capillary tube model and gas-flooding experiment.The results showed that(1)The PSD and TSD of the tight sandstone sample ranged from 0.01 to 10 mm and from 0.1 to 57 mm,respectively,mainly contributed by the micropores and mesopores.Meanwhile,the permeability estimated by the PSD and TSD was consistent with the experimental permeability,and relative error was lower than 8%.(2)The PSD and TSD exhibited multifractal characteristics,and singularity strength range,Δα,could be used as the indicator for characterizing the heterogeneity of pore and throat.Furthermore,the throat of the sample showed stronger heterogeneity than that the pore.(3)The throats played an important role for the fluid transport in the tight sandstone,and the effect of the throat heterogeneity on the gas-phase seepage capacity was different under the lower and higher injection pressure.The macropores and micropores maybe respectively become the preferential migration pathways at the lower and higher injection pressure.In the end,the identification plate was established in our paper,and could be described the relationship among the throat heterogeneity,injection pressure,permeability and flow path of the gas phase in the tight sandstone.

EXPERIMENTAL STUDY OF GAS—SOLID SUSPENSION FLOWS IN VORTEXING FLUIDIZED BED CHAMBER FREEBOARD

Gas flows and particle mass flux were measured and clutriation experimentswere conducted in two cold test models of vortexing fluidized bed(VFB).The experimen-tal results show that the secondary air injected tangentially creates strong vortexes,estab-lishes particle suspension layers and internal circulation,and suppresses the elutriation offine particles greatly.The vortexing fluidized bed combustion has bright prospect bccauseof its much higher combustion efficiency and desulphidation efficiency than bubblingfluidized bed combustion due to long particle residence time and high slip velocity betweengas and solid,and its simpler configuration and lower cost than circulating fluidized bedcombustion.

A Condensed Gas-Phase Chemical Model and Its Application

Using the 'lumped mechanism' and 'counting species' methods, we developed a condensed gas-phase chemical model based on a simplified one. The modified quasi-steady-state approximation (QSSA) scheme and the error redistribution mass conservation technique are adopted to solve the atmospheric chemistry kinetic equations. Results show that the condensed model can well simulate concentration variations of gas species such as SO2, NOX, O-3, H2O2 and conversion rates of SO2 and NOX transformation to H2SO4 and HNO3. These results are in good agreement with those from the simplified model. The conversion rates of SO2 and NOX under different initial concentrations and meteorological conditions are computed, and the results can be directly applied to regional acid deposition model.

NOX -Catalyzed Gas-Phase Activation of Methane: the Formation of Hydrogen

NO_x-catalyzed oxidation of methane without a solid catalyst wasinvestigated, and a hydrogen selectivity of 27% was obtained with an overall methane conversion of34% and a free O_2 concentration of 1.7% at 700℃.

AB INITIO STUDY ON GAS-PHASE FACTION OF Ca WITH HN_3

The reaction of Ca with HN3 has been investigated theoretically by an ah initio MO methodwith electron correlation being taken into account by second-order MLLER-PLESSET(MP2)perturbation theory Two possible product channels. CaN3+H. CaNH+N2, on the potential energysurfaces(PESs) have been examined and the reaction mechanism discussed. Values of tile HN-NZ,HN3, Ca-N3 and Ca-AH bond dissociation energy are also calculated, which are in good agreement withexperiment

2-42 Gas-phase Chemistry Study of Ruthenium and Rhodium Carbonyls

In this work, gas-phase chemistry of ruthenium and rhodium was studied using online isothermal chromatographyapparatus at low temperature coupled to the 252Cf SF source[1] at IMP (Fig. 1). Apart from the interferenceof precursor effect[2], 109?110Ru and 111?112Rh were chosen as the representative isotopes for the two elementsrespectively. An improved Monte Carlo molecular simulation program was compiled according to the gas-phasechemistry model[3], and was used in the optimization of the experimental condition. The adsorption enthalpies ofpentacarbonyl ruthenium and tetracarbonyl rhodium on the FEP surface were obtained.

GAS-PHASE ION-MOLECULE REACTIONS OF BUCKMINSTERFULLERENE(C_(60))WITH Si(CH_3)_n CL_(4-n)(n=2,3)IN MASS SPECTROMETER

Reactions of C60 with Si(CH_3)_nCl_(4-n) (n=2,3)in the ion source of the mass spectrometer have been studied.The corresponding adduct ions[C60Si(CH_3)_mCl3_(-m)]^+(m=1,2,3),[C60SiCl]^+ and[C60CH_3]^+ were observed and their possible structures were discussed.The results indicated that C60 is very reactive to electrophiles in the gas phase.

Gas-Phase Conversion of the U(VI), Sr, Mo, and Zr Oxides in Nitrating Atmosphere

The gas-phase conversion of U3O8, MoO3, SrO, and their mechanical mixtures, and also of ZrO2 into water-soluble compounds in the atmosphere of (NOx + vapor H2O) or HNO3 (vapor) was studied. In the course of gas-phase conversion, U3O8 and SrO transform into water-soluble compounds (nitrates, hydroxonitrates), whereas MoO3 and ZrO2 undergo no changes. The principal possibility of separating U from Mo and Zr by gas-phase conversion of the oxides in the atmosphere of (NOx + vapor H2O) or HNO3 (vapor) was demonstrated.

Significant effect of Ca modification on improving catalytic stability of Cu-catalyst in gas-phase furfural hydrogenation to furfuralcohol

The gas-phase hydrogenation of furfural to furfuralcohol over Cr-free Cu-based catalysts has attracted increasing attention due to its environmentally friendly nature and mild operating conditions.Although reduced pure nano-sized CuO exhibits complete furfural hydrogenation and nearly 100%furfuralcohol selectivity,it suffers from rapid deactivation caused by sintering.In this study,we conducted comparative investigations on the catalytic performance and stability of two Cu-based catalysts:90%CuO-10%SiO_(2) and 90%CuO-5%CaO-5%SiO_(2),in the gas-phase furfural hydrogenation.The reaction is carried out under various conditions,including temperatures ranging from 120 to 170℃,LHSVs of 1 to 2.2 h^(-1),and H_(2) to furfural molar ratios of 3.5 to 12.5.The results indicate that under optimal conditions,the Ca-modified catalyst achieves nearly complete furfural conversion and almost 100%furfuralcohol selectivity for a test duration of 31 h.In contrast,the unmodified catalyst exhibits stable performance for only seven hours despite the similar initial performance.XRD analysis confirms that the gradual deactivation of both catalysts is attributed to the oxidation of reduced metallic Cu sites to Cu oxides.Further characterizations of the two spent catalysts using HRTEM and XPS analyses,along with DFT calculations,suggest that the presence of Ca in Cu lattices prevents the loss of electrons from low-valence Cu sites or the reduced metallic Cu sites,thus inhibiting their oxidation to high-valence Cu oxides.This phenomenon contributes to suppressing the deactivation of Cu-catalysts in the gas-phase furfural hydrogenation process.

Young's double slit interference with vortex source

The fast and convenient demultiplex of optical vortex(OV) mode is crucial for its further application. We propose a novel approach that combines classic Young's doublet with an OV source to effectively identify the OV mode through the analysis of interference patterns. The interference patterns of the OV source incident on the double slits can be perfectly illustrated by using both the classical double-slit interference method and the Huygens–Fresnel principle. The interference fringes will twist along the negative or positive direction of x axis when topological charge(TC)l>0 or l<0, and the degree of the movement varies with the TC, allowing for a quantitative display of the OV characteristics through the interference patterns. Additionally, we deduce analytically that the zeroth-order interference fringe has a linear relationship with the TC and the vertical position. These findings highlight the ability to identify the OV mode by analyzing the interference patterns produced by Young's doublet.