Distributions of dissolved oxygen and apparent oxygen utilization in the Cosmonaut Sea and Amundsen Sea in austral summer 2022

Dissolved oxygen(DO)and apparent oxygen utilization(AOU)are essential parameters for evaluating the impact of climate change on marine ecosystems.In this study,we utilized data on DO and AOU collected from the Amundsen Sea(western Antarctic)and the Cosmonaut Sea(eastern Antarctic)during the 38th Chinese National Antarctic Research Expedition,along with chlorophyll a(Chl a)data,to analyze the impact of primary production and the spatial distribution and structural features of water masses in these regions.The findings show that the standard deviation range of parallel DO samples is between 0.1 and 3.9μmol·L^(-1),meeting the precision criteria of the survey method.AOU values lower than 0.0μmol·L^(-1) were commonly observed in the surface waters of both regions,with the highest incidence in the polynya of Amundsen Sea,indicating a strong influence of high primary production.The Cosmonaut Sea exhibited the highest AOU values(higher than 160.0μmol·L^(-1))in the 75-500 m layer,while AOU value in the Amundsen Sea did not exceed 160.0μmol·L^(-1),suggesting potential upwelling of Circumpolar Deep Water to 100 m in the Cosmonaut Sea with minimal changes in its properties,whereas significant changes were noted in the properties of upwelling modified Circumpolar Deep Water in the Amundsen Sea.AOU values lower than 125.0μmol·L^(-1)were detected in the near-bottom waters of the Cosmonaut Sea,indicating the presence of Antarctic Bottom Water.

Rates of oxygen consumption and tolerance of hypoxia and desiccation in Chinese black sleeper(Bostrichthys sinensis)and mudskipper(Boleophthalmus pectinirostris)embryos

The rates of oxygen consumption, tolerance of hypoxia and desiccation of the Chinese black sleeper （ Bostrichthys sinensis） and mudskipper （Boleophthalmus pectinirostris） embryos were investigated. The pattern of oxygen consumption of the Chinese black sleeper embryos was similar to that of the mudskipper ones. The lowest rates of oxygen consumption [ （ 1.65 ±0. 66） nmol/ （ind. ·h） ] of the Chinese black sleeper embryos 16 h after fertilization and the lowest rates of oxygen consumption [ （0.79± 0.08 ）nmolf（ ind. · h） ] of the mudskipper embryos 6 h after fertilization were recorded, respectively. Then the rates of oxygen consumption of these two species embryos increased gradually until hatching [ （8.26 ± 1.70 ） nmolf（ ind.· h） in the Chinese black sleeper, （2.69 ± 0.23 ）nmolf（ ind. · h） in mudskipper]. After exposure to hypoxia water （0.16 mg/dm^3）, bradycardia of the embryos occurred in both the Chinese black sleeper and the mudskipper. However, the Chinese black sleeper embryos survived approximately 45 min longer than the mudskipper ones. After exposure to desiccation at a relative humidity of 58%, bradycardia of the embryos was observed in both the Chinese black sleeper and the mudskipper, and the Chinese black sleeper embryos lived approximately 9 min longer than the mudskipper ones.

EFFECTS OF TEMPERATURE AND DISSOLVED OXYGEN CONTENT ONOXYGEN CONSUMPTION RATE OF CHINESE PRAWN, GIANT TIGER PRAWN AND GIANT FRESHWATER PRAWN

temperature and the diasolved oxygen content affect the oxygen consumption of juveniles of Chinese prawn (Penaeus chinensis), giant tiger prawn (P. monodon) and giant freshwater prawn(Macrobrachium rosenbergii). There is good correlation between the oxygen consumption rate (V, mg/g·h) of the above three prawn species and the water temperature, and dissolved oxygen. In the range of test temperature, V increased with water temperature and diassolved oxygen content. The V of the above three prawn species increased 0.085 mg/g·h, 0. 093 mg/g·h and 0. 08 mg/g·h respectively with each ℃ of rising temperature. The comatose point and stifling point of the juveniles rose obviously at unsuitable temperature.

Relationship between oxygen concentration, respiration and filtration rate in blue mussel Mytilus edulis

The large water-pumping and particle-capturing gills of the filter-feeding blue mussel Mytilus edulis are oversized for respiratory purposes. Consequently, the oxygen uptake rate of the mussel has been suggested to be rather insensitive to decreasing oxygen concentrations in the ambient water, since the diffusion rate of oxygen from water flowing through the mussel determines oxygen uptake. We tested this hypothesis by measuring the oxygen uptake in mussels exposed to various oxygen concentrations. These concentrations were established via N2-bubbling of the water in a respiration chamber with mussels fed algal cells to stimulate fully opening of the valves. It was found that mussels exposecl to oxygen concentrations decreasing from 9 to 2 mg O2/L resulted in a slow but significant reduction in the respiration rate, while the filtration rate remained high and constant. Thus, a decrease of oxygen concentration by 78% only resulted in a 25% decrease in respiration rate. However, at oxygen concentrations below 2 mg O2/L M. edulis responded by gradually closing its valves, resulting in a rapid decrease of filtration rate, concurrent with a rapid reduction of respiration rate. These observations indicated that M. edulis is no longer able to maintain its normal aerobic metabolism at oxygen concentration below 2 mg O2/L, and there seems to be an energy-saving mechanism in bivalve molluscs to strongly reduce their activity when exposed to low oxygen conditions.

Effects of Temperature and Salinity on Oxygen Consumption and Ammonium Excretion Rate of ♀ Epinephelus fuscoguttatus × ♂ E. lanceolatus Juveniles

The impact of water temperature(24, 27, 30 and 33℃) and salinity(15, 20, 25, 30 and 33) on oxygen consumption(OCR) and ammonium excretion rate(AER) of ♀ Epinephelus fuscoguttatus ×♂ E. lanceolatus hybrid grouper juveniles(9.39 ± 0.07 g) were investigated under the fed and un-fed conditions. The results showed that the OCR and AER were significantly(P < 0.05) affected by temperature and salinity under both fed and un-fed conditions. When temperature was 24–33℃, the OCR and AER of fed hybrid grouper juveniles were 85.68%–129.52% and 125.78%–287.63%, respectively, higher than those of un-fed hybrid grouper juveniles. The O/N ratio, protein use(P_u), Q_(10)(respiration) and Q_(10)(excretion) of fed hybrid grouper juveniles were 14.43–24.01, 28.35% – 48.48%, 1.69 and 3.01, respectively. The O/N ratio, P_u, Q_(10)(respiration), Q_(10)(excretion) of un-fed hybrid grouper juveniles were 20.39 – 31.79, 22.16% – 34.34%, 1.23 and 1.17, respectively. When salinity was 15–33, the OCR and AER of fed hybrid grouper juveniles increased by 87.42% – 116.85% and 215.38% – 353.57%, respectively, over those of un-fed hybrid grouper juveniles. The O/N ratio and P_u of fed hybrid grouper juveniles were 14.48 – 17.78, 39.36% – 49.43%, respectively. The O/N ratio and Pu of un-fed hybrid grouper juveniles were 20.39 – 31.79 and 22.16% – 34.34%, respectively. The specific dynamic action(SDA) of hybrid grouper juveniles was mainly related to protein metabolism. The results had a guiding significance to the large-scale intensive aquaculture of hybrid grouper juveniles.

Effects of oxygen concentration and flow rate on cognitive ability and physiological responses in the elderly

The supply of highly concentrated oxygen positively affects cognitive processing in normal young adults. However, there have been few reports on changes in cognitive ability in elderly subjects following highly concentrated oxygen administration. This study investigated changes in cognitive ability, blood oxygen saturation （%）, and heart rate （beats/min） in normal elderly subjects at three different levels of oxygen [21% （1 L/min）, 93% （1 L/min）, and 93% （5 L/min）] administered during a 1-back task. Eight elderly male （75.3 ＋ 4.3 years old） and 10 female （71.1 ＋ 3.9 years old） subjects, who were normal in cognitive ability as shown by a score of more than 24 points in the Mini-Mental State Examination-Korea, participated in the experiment. The experiment consisted of an adaptation phase after the start of oxygen administration （3 minutes）, a control phase to obtain stable baseline measurements of heart rate and blood oxygen saturation before the task （2 minutes） and a task phase during which the 1-back task was performed （2 minutes）. Three levels of oxygen were administered throughout the three phases （7 minutes）. Blood oxygen saturation and heart rate were measured during each phase. Our results show that blood oxygen saturation increased, heart rate decreased, and response time in the 1-back task decreased as the concentration and amount of administered oxygen increased. This shows that administration of sufficient oxygen for optimal cognitive functioning increases blood oxygen saturation and decreases heart rate.

Influence of hyperbaric oxygenation treatment (HBOT) on clinical outcomes (recurrent myocardial infarction and survival rate) during five-year monitoring period after acute myocardial infarction

Surgical treatments of acute myocardial infarction (MI) possess a high clinical effectiveness, but there are fixed limitations, related to the patient’s state, which are limited by medical resources and organizational problems. The development of new medical technologies provides a better and effective non-surgical treatment of acute MI and increases long-term prognosis in this category of patients. The study aims to investigate the influence of hyperbaric oxygenation treatment on clinical outcomes (survival rate and recurrent myocardial infarction (rMI)) during the five-year period of monitoring. The study involved 697 patients who suffered from acute MI, having undergone the standard treatment. The patients were randomly divided into two groups: Group 1 (reference, n = 363);Group 2 (test, n = 334). Patients of Group 2 were given the traditional treatment, accompanied with HBOT (isopression for forty minutes at a working pressure of 0.03 MPa). HBOT was applied first through the fifth day following MI. The treatment course included six cycles, once per day. The clinical assessment was focused on clinical outcome: rMI and mortality related to cardiovascular events. HBOT application that accompanied the acute MI with traditional pharmacotherapy has been proved to reduce rMI within five years following inpatient discharge (rMI rate was 14% in the reference group and 5.4% in the test group, χ2 = 13.3, р < 0.05). The combination of HBOT with traditional methods in treating acute MI makes it possible to raise the five-year survival rate from 84.4% up to 95.9%.

Comprehensive Techniques for Improving the Utilization Rate of Sows in Large-scale Pig Farms

The main task of sows is to breed piglets. The reproductive performance of sows is different due to different techniques adopted in the production of pig farms, which determines the utilization rate of sows and the number of sows in the pig farms. The article analyzed the reproductive performance of sows from the technical point of view, so that the utilization rate of sows can be paid enough attention in the production of pig farms.It is suggested that the technical training should be strengthened in pig farms to improve the corresponding technical level. Meanwhile, pig farms should make the full use of reproductive performance of sows to obtain the maximum economic benefit.

An innovative method to calculate oxygen consumption rate

Based on heat and mass transfer characteristics of spontaneous combustion of coal,Arrhenius equation and the Ranz-Marshall correlation,a novel approach was proposed in this paper to estimate oxygen consumption rate of self-ignition of coal at high temperature.Compared with the conventional methods,this approach involves not only kinetic properties of self-ignition of coal and temperature,but also the ambient air flow characteristics and diameter of coal particle.To testify the proposed approach,oxygen consumption rates at high temperature were measured by the programmable isothermal oven experiments.Comparisons between experimental and theoretical results indicate that the rates of oxygen depletion calculated by the proposed approach agree well with those measured from laboratory-scale experiments,which further validates the proposed approach.

Distributions of dissolved oxygen and apparent oxygen utilization in the Cosmonaut Sea and Amundsen Sea in austral summer 2021

Dissolved oxygen(DO)and apparent oxygen utilization(AOU)are crucial parameters for investigating marine ecosystem evolution and the marine environment.In this study,DO and AOU data were obtained and their spatial distribution characteristics were explored in the Cosmonaut Sea and Amundsen Sea in austral summer 2021.The standard deviation range of DO parallel samples was<0.1–3.7μmol·L–1,which met the accuracy requirements of the survey method.The DO concentration decreased sharply with water depth in the photic zone and increased slowly to the bottom.AOU in the surface layer of the two seas was significantly negatively correlated with chlorophyll a(p<0.01),and AOU was significantly lower in the south Cosmonaut Sea than in the north Cosmonaut Sea and Amundsen Sea(p<0.01).In austral summer,AOU was as low as<130μmol·L–1 in the nearshore Cosmonaut Sea with thicker Antarctic Surface Water down to ca.500 m.In early winter,AOU was lower than 50μmol·L–1 in the north Amundsen Sea in subsurface water(75–150 m).The unmodified Circumpolar Deep Water with high AOU(>160μmol·L–1)could surge up to ca.150–200 m in both seas,with stronger intrusion in the Amundsen Sea.The AOU in bottom water was significantly lower(p<0.01)in the Cosmonaut Sea(118.9±11.8μmol·L–1)than the Amundsen Sea(141.7±7.4μmol·L–1),indicating the stable existence of fresh oxygen-rich Antarctic Bottom Water in the Cosmonaut Sea.

Determining oxygen consumption rate and asphyxiation point in Chanodichthys mongolicus using an improved respirometer chamber

Knowledge of oxygen consumption rates and asphyxiation points in fish is important to determine appropriate stocking and water quality management in aquaculture. The oxygen consumption rate and asphyxiation point in Chanodichthys mongolicus were detected under laboratory conditions using an improved respirometer chamber. The results revealed that more accurate estimates can be obtained by adjusting the volume of the respirometer chamber, which may avoid system errors caused by either repeatedly adjusting fish density or selecting different equipment specifications. The oxygen consumption rate and asphyxiation point of C. mongolicus increased with increasing water temperature and decreasing fish size. Changes in the C. mongolicus oxygen consumption rate were divided into three stages at water temperatures of 11-33~C： （I） a low temperature oxygen consumption rate stage when water temperature was 11-19~C, （2） the optimum temperature oxygen consumption rate stage when water temperature was 19-23~C, and （3） a high temperature oxygen consumption rate stage when water temperature was 〉27~C. The temperature quotients （Q10） obtained suggested that C. mongolicus preferred a temperature range of 19-23~C. At 19~C, C. mongolicus exhibited higher oxygen consumption rates during the day when the maximum values were observed at 10：00 and 14：00 than at night when the minimum occurred at 02：00.

Direct measurement of oxygen consumption rates from attached and unattached cells in a reversibly sealed, diffusionally isolated sample chamber

Oxygen consumption is a fundamental component of metabolic networks, mitochondrial function, and global carbon cycling. To date there is no method available that allows for replicate measurements on attached and unattached biological samples without compensation for extraneous oxygen leaking into the system. Here we present the Respiratory Detection System, which is compatible with virtually any biological sample. The RDS can be used to measure oxygen uptake in microliter-scale volumes with a reversibly sealed sample chamber, which contains a porphyrin-based oxygen sensor. With the RDS, one can maintain a diffusional seal for up to three hours, allowing for the direct measurement of respiratory function of samples with fast or slow metabolic rates. The ability to easily measure oxygen uptake in small volumes with small populations or dilute samples has implications in cell biology, environmental biology, and clinical diagnostics.

Effect of Cooling Rate on Morphology and Oxygen Permeability of Polypropylene

The influence of different cooling rates on the morphology and oxygen permeabilityr of polypropylene containing ferrocene has been investigated. The spherulitic crystalline size and structure, which can affect the oxygen permeability are dependent upon the heating temperature, annealing time and cooling rate. The modulus of the composite was measured b}' dynamic mechanical analysis.

Thermal Degradation of Polyethylene Bags and Millet Stalks: Influence of the Temperature and the Local Concentration of Oxygen on the Conversion Rate of Carbon

This paper concerns the influence of temperature and local concentration of oxygen on the conversion efficiency of carbon into CO, CO2, CH4, C3H8, C2H4, C2H2, C2H6, C6H6, during the thermal degradation of plastic bags and millet stalks. The experimental device used is the tubular kiln, coupled to an analyzer Fourier Transform Infrared (FTIR) and a Non Dispersive Infrared analyzer (NDIR). Temperatures are considered between 800 and 1000°C. Local concentrations of oxygen during thermal degradation are 0%, 10% and 21%. On the one hand results obtained on the influence of temperature show that for each type of thermal degradation and whatever the temperature of the combustion, the rate of conversion of carbon remains substantially the same. In the case of plastic bags, the rate of carbon converted during pyrolysis is about 90% of carbon converted during reductive combustion. On the other hand, with millet stalks, the carbon converted represents only 60% of the rate of carbon converted during combustion to 10% oxygen. 1 to 2% of carbon not analyzed is in the form of aromatic compounds that are found most often in the soot and/or tar from this combustion system. Moreover, whatever the temperature, the overall efficiency of carbon conversion increases linearly with the local concentration of oxygen. During the thermal degradation of plastic bags, we see that the reducer environment has fostered the conversion of 7% of carbon more while the presence of oxygen in double proportion promotes the conversion of 27% carbon. Regarding the influence of the local content of oxygen, it is clear that for plastic bags, the reactions of oxidation of CO into CO2 tend to be favored for the benefit of those of hydrocarbons into CO. The formation of CO and CO2 by oxidation of light hydrocarbons is primarily from gaseous compounds CH4 and C2H4. At 950°C, we have also acetylene (C2H2) which is involved in the production of carbon oxides. At 1000°C, benzene (C6H6) heavily involved in the formation of CO and CO2. However, with millet stalks, more the local content of oxygen increases, more combustion is better, that is to say that the oxidation reactions producing CO2 are faster than the oxidation reactions of hydrocarbons into CO. The rate of carbon converted into CO and CO2 is higher for millet stalks than for plastic bags, due to this oxygen levels higher in millet stalks than in plastic bags. Similarly, for the millet stalks, from pyrolysis to combustion (at 10 and 21% oxygen), there is practically no hydrocarbon emitted.

Study on the Relationships between Utilization Ratios and Conversion Rates of Nitrogen,Phosphorus and Potassium for Wheat

This paper studied the relationships between utilization ratios and conversion rates of nitrogen,phosphorus and potassium for wheat by data mining method based on data of"3414 fertilizer field trials"of wheat by published papers from national soil testing and recommendation since 2005.The results and conclusions were as follows:①the conceptual model of fertilizer utilization ratio of wheat for plot was that,Y N≈a+b×optimum nitrogen application amount+c×optimum fertilizer amount of K+d×rainfall in growth season,Y P≈a+b×optimum fertilizer amount of K+c×rainfall in growth season,Y K≈a+b×temperature in growth season+c×rainfall in growth season-d×optimum yield-e×optimum nitrogen application amount,respectively.②Fertilizer utilization ratio and nutrient conversion rate had 4 kinds of relationships.No significant relationships:13,of which 8 were soil nutrients,the results showed that soil nutrients had little effect on nutrient conversion rate and fertilizer utilization ratio;consistent significant relationships:4,they were all nitrogen and phosphorus,explaining the importance of nitrogen and phosphorus;contrary significant relationships:6,they were all nitrogen and phosphorus,illustrating that phosphorus and nitrogen had inhibitory effect;complementary significant relationships:31,the cause of the complementary phenomenon was that the fertilizer utilization ratio was the measuring index of fertilizer efficiency in one season,while the nutrient conversion rate was the measuring index of fertilizer efficiency in more seasons.It showed that the fertilizer utilization rate was significantly correlated,or the nutrient conversion rate was significantly correlated.

Study on the Relationships between Utilization Ratios and Conversion Rates of Nitrogen,Phosphorus and Potassium for Maize

This paper studied the relationships between utilization ratios and conversion rates of nitrogen,phosphorus and potassium for maize by data mining method based on data of"3414 fertilizer field trials"of maize by published papers from national soil testing and recommendation since 2005.The results and conclusions were as follows:①the conceptual model of fertilizer utilization ratio of maize for plot was that,Y N≈a+b×optimum yield,Y P≈a+b×optimum yield-c×optimum nitrogen application amount-d×optimum potassium application amount,Y K≈a-b×optimum nitrogen application amount-c×temperature in growth season-d×rainfall in growth season,respectively.②Fertilizer utilization ratio and nutrient conversion rate had 4 kinds of relationships.No significant relationships:22,of which 16 were soil nutrients and 5 were environmental factors,the results showed that soil nutrients and environmental factors had little effect on nutrient conversion rate and fertilizer utilization ratio;consistent significant relationships:14,illustrating that conversion rate and utilization ratio of maize were consistent in most cases,and it was because that maize was planted for a long term,and its fertilizer absorption law was basically stable;contrary significant relationships:0,illustrating that there was no reverse relationship between conversion rate and utilization ratio of maize;complementary significant relationships:18,the cause of the complementary phenomenon was that the fertilizer utilization ratio was the measuring index of fertilizer efficiency in one season,while the nutrient conversion rate was the measuring index of fertilizer efficiency in more seasons.It showed that the fertilizer utilization ratio was significantly correlated,or the nutrient conversion rate was significantly correlated.

Study on the Relationship between Utilization Ratios and Conversion Rates of Nitrogen,Phosphorus and Potassium for Rice

This paper studied the relationships between utilization ratios and conversion rates of nitrogen,phosphorus and potassium for rice by data mining method based on data of"3414 fertilizer field trials"of rice by published papers from national soil testing and recommendation since 2005.The results and conclusions were as follows:①the conceptual model of fertilizer utilization ratio of rice for plot was that,Y N≈a+b×optimum yield+c×optimum fertilizer amount of K,Y P≈a+b×optimum yield,Y K≈a respectively.②Fertilizer utilization ratio and nutrient conversion rate had 4 kinds of relationships:①no significant relationships:25,of which 14 were soil nutrients and 9 were environmental factors,the results showed that soil nutrients and environmental factors had little effect on nutrient yield ratio and fertilizer utilization ratio;②consistent significant relationships:2,one was that yield ratio and utilization ratio of N were positively correlated with the optimum production,explaining the importance of N for production,the other was that yield ratio and utilization ratio of P had a significantly positive correlation with conversion rate and utilization ratio of N,illustrating that nitrogen and phosphorus had mutual promotion;③contrary significant relationships:5,these showed as negative correlations of fertilizer utilization ratio and positive correlation of nutrient conversion ratio;④complementary significant relationships:22,the cause of the complementary phenomenon was that the fertilizer utilization ratio was the index of fertilizer efficiency in one season,while the nutrient conversion rate was the index of fertilizer efficiency in more seasons,which showed that the fertilizer utilization rate was significantly correlated,or the nutrient conversion rate was significantly correlated.

Boost the Utilization of Dense FeN_(4) Sites for High-Performance Proton Exchange Membrane Fuel Cells

Iron-nitrogen-carbon(Fe-N-C)catalysts for the oxygen reduction reaction(ORR)in proton exchange membrane fuel cells(PEMFCs)have seriously been hindered by their poor ORR performance of Fe-N-C due to the low active site density(SD)and site utilization.Herein,we reported a melamine-assisted vapor deposition approach to overcome these hindrances.The melamine not only compensates for the loss of nitrogen caused by high-temperature pyrolysis but also effectively etches the carbon substrate,increasing the external surface area and mesoporous porosity of the carbon substrate.These can provide more useful area for subsequent vapor deposition on active sites.The prepared 0.20Mela-FeNC catalyst shows a fourfold higher SD value and site utilization than the FeNC without the treatment of melamine.As a result,0.20Mela-FeNC catalyst exhibits a high ORR activity with a half-wave potential(E_(1/2))of 0.861 V and 12-fold higher ORR mass activity than the FeNC in acidic media.As the cathode in a H_(2)-O_(2)PEMFCs,0.20Mela-FeNC catalyst demonstrates a high peak power density of 1.30 W cm^(-2),outstripping most of the reported Fe-N-C catalysts.The developed melamine-assisted vapor deposition approach for boosting the SD and utilization of Fe-N-C catalysts offers a new insight into high-performance ORR electrocatalysts.

Prediction of lime utilization ratio of dephosphorization in BOF steelmaking based on online sequential extreme learning machine with forgetting mechanism

The machine learning models of multiple linear regression(MLR),support vector regression(SVR),and extreme learning ma-chine(ELM)and the proposed ELM models of online sequential ELM(OS-ELM)and OS-ELM with forgetting mechanism(FOS-ELM)are applied in the prediction of the lime utilization ratio of dephosphorization in the basic oxygen furnace steelmaking process.The ELM model exhibites the best performance compared with the models of MLR and SVR.OS-ELM and FOS-ELM are applied for sequential learning and model updating.The optimal number of samples in validity term of the FOS-ELM model is determined to be 1500,with the smallest population mean absolute relative error(MARE)value of 0.058226 for the population.The variable importance analysis reveals lime weight,initial P content,and hot metal weight as the most important variables for the lime utilization ratio.The lime utilization ratio increases with the decrease in lime weight and the increases in the initial P content and hot metal weight.A prediction system based on FOS-ELM is applied in actual industrial production for one month.The hit ratios of the predicted lime utilization ratio in the error ranges of±1%,±3%,and±5%are 61.16%,90.63%,and 94.11%,respectively.The coefficient of determination,MARE,and root mean square error are 0.8670,0.06823,and 1.4265,respectively.The system exhibits desirable performance for applications in actual industrial pro-duction.

Impact of index admission cholecystectomy vs interval cholecystectomy on readmission rate in acute cholangitis: National Readmission Database survey

BACKGROUND Elective cholecystectomy(CCY)is recommended for patients with gallstone-related acute cholangitis(AC)following endoscopic decompression to prevent recurrent biliary events.However,the optimal timing and implications of CCY remain unclear.AIM To examine the impact of same-admission CCY compared to interval CCY on patients with gallstone-related AC using the National Readmission Database(NRD).METHODS We queried the NRD to identify all gallstone-related AC hospitalizations in adult patients with and without the same admission CCY between 2016 and 2020.Our primary outcome was all-cause 30-d readmission rates,and secondary outcomes included in-hospital mortality,length of stay(LOS),and hospitalization cost.RESULTS Among the 124964 gallstone-related AC hospitalizations,only 14.67%underwent the same admission CCY.The all-cause 30-d readmissions in the same admission CCY group were almost half that of the non-CCY group(5.56%vs 11.50%).Patients in the same admission CCY group had a longer mean LOS and higher hospitalization costs attrib-utable to surgery.Although the most common reason for readmission was sepsis in both groups,the second most common reason was AC in the interval CCY group.CONCLUSION Our study suggests that patients with gallstone-related AC who do not undergo the same admission CCY have twice the risk of readmission compared to those who undergo CCY during the same admission.These readmis-sions can potentially be prevented by performing same-admission CCY in appropriate patients,which may reduce subsequent hospitalization costs secondary to readmissions.