As promising high-temperature proton exchange membranes,phosphoric acid(PA)doped polybenzimidazole(PBI)membranes still face challenges,including excessive PA leaching and limited long-term stability.The preparation of...As promising high-temperature proton exchange membranes,phosphoric acid(PA)doped polybenzimidazole(PBI)membranes still face challenges,including excessive PA leaching and limited long-term stability.The preparation of mixed matrix membranes(MMMs)has emerged as a viable strategy to address these limitations,which can combine the excellent mechanical properties of polymers with the structural advantages of porous fillers.Among various filler materials,nitrogen-containing porous organic polymers(POPs)have shown particular promise because of their excellent compatibility with polymers.Therefore,in this work,a new pyridine-based POP called Py-POP was synthesized.Py-POP was mixed with commercial poly[2,2′-(p-oxidiphenylene)-5,5′-benzimidazole](OPBI)to prepare MMMs.Theoretical calculations indicate that the pyridine groups exhibit strong interactions with PA,significantly enhancing both PA retention and proton conduction efficiency.Remarkably,the PA retention rate of the composite membrane doped with 10 wt%Py-POP is 77.2%at 80/40%RH,which is much higher than that of the OPBI(62.7%).Furthermore,the membrane achieves an outstanding proton conductivity of 0.173 S cm^(-1)at 180℃,which is 4.2 times higher than that of the OPBI membrane.The peak power density of the composite membrane can achieve 915.1 mW cm^(-2) and remains at 891.5 mW cm^(-2) after 80 cycles of testing at 180℃.展开更多
Objective: Long non-coding RNAs(lnc RNAs) are involved in numerous biological processes in lung cancer cells. In our previous studies, we identified a lnc RNA, ENST00000439577, which is highly expressed in lung carcin...Objective: Long non-coding RNAs(lnc RNAs) are involved in numerous biological processes in lung cancer cells. In our previous studies, we identified a lnc RNA, ENST00000439577, which is highly expressed in lung carcinomas, and termed it lung cancer progression-associated transcript 1(LCPAT1). To characterize the role of LCPAT1 in lung cancer, we conducted the current study.Methods: Expression of LCPAT1 and autophagy-associated markers in tumor tissues and lung cancer cell lines was determined by real-time quantitative polymerase chain reaction(q PCR). Hematoxylin and eosin(HE) staining, q PCR, Western blot, and immunohistochemistry were performed to evaluate xenografted tumor tissues. Autophagy induced by rapamycin was detected by Western blot and immunofluorescence in lung cancer cell lines.Results: Expression of LCPAT1 and microtubule-associated protein 1 light chain 3 beta(LC3B) was positively correlated in lung cancer. Knockdown of LCPAT1 inhibited tumor growth and suppressed cell autophagy in vivo. Moreover, LCPAT1 knockdown in lung cancer cell lines resulted in decreased autophagy-associated gene expression and alleviated the cell autophagy induced by rapamycin.Conclusions: We speculate that LCPAT1 plays a crucial role in regulating autophagy in lung cancer.展开更多
Objective: The results of postoperative delirium (POD) warrant testing for prevention. The purpose of this study was to determine whether a nursing intervention targeting risk factors could decrease the inci-dence of ...Objective: The results of postoperative delirium (POD) warrant testing for prevention. The purpose of this study was to determine whether a nursing intervention targeting risk factors could decrease the inci-dence of POD among patients who had coronary artery bypass grafting (CABG) in China.Methods: A prospective before-after study was conducted between April 2014 and April 2015. A nursing delirium intervention protocol targeting risk factors for delirium was performed for 141 patients un-dergoing CABG in a cardiothoracic ICU from November 2014 to April 2015. Intervention consisted of screening for delirium risk factors, followed by targeted risk factor modification, including pain control, early catheter removal, patient orientation using the 5W1H procedure, increased family visits, mini-mizing care-related interruptions, comfortable nursing and monitoring for sleeping difficulties. Out-comes of the Intervention Group were compared with those of the Control Group for 137 CABG patients from April 2014 to October 2014. Delirium was assessed using the confusion assessment method for the intensive care unit (CAM-ICU). The sample size was justified by PASS2000, based on previous data of delirium incidence in our institution (30%). Main results: Delirium incidence during the first seven postoperative days was significantly lower in the Intervention Group at 13.48%(19/141) vs. 29.93%(41/137) for the Control Group (x2=11.112, P=0.001). In addition, POD in the Intervention Group occurred between the 3rd and 6th postoperative days, while POD in the Control Group mainly occurred on the first three days postoperatively. Delirium in the Intervention Group occurred later than delirium in the Control Group (x2=12.743, P<0.001). Length of ICU stay was reduced significantly (Z= -6.026, P<0.001). Conclusion: The application of a nursing protocol targeting risk factors in this study seems to be asso-ciated with a lower incidence of POD in patients after CABG. This finding suggests that managing the predictors properly is one of the effective strategies to prevent delirium.展开更多
In the context of the COVID-19 epidemic,a"double-hazard scenario"consisting of a natural disaster and a public health event simultaneously accurring is more likely to arise.However,compared with single-hazar...In the context of the COVID-19 epidemic,a"double-hazard scenario"consisting of a natural disaster and a public health event simultaneously accurring is more likely to arise.However,compared with single-hazard,multiple disasters confront the challenges of complexity,diversity,and demand urgency.To improve the efficiency of emergency material distribution under multiple disasters,this study first divided multiple disasters into three categoriles:independent scenario,sequential scenario,and coupling scenario.A set of evaluation index systems for multiple disasters was established to quantify the urgency of demand.The routing optimization model of emergency vehicles for multiple disasters was proposed by combining demand urgency and road damage,and the non-dominated sorting genetic algorithm II(NSGA-I)was used to simulate and validate the model.A coupling scenario considering two typical disasters of hurricanes and epidemics was selected as a validation example,and sensitivity analysis was also performed for different algorithms,scenarios,and constraints.The results demonstrated that the proposed model could effectively address the vehicle routing problem of emer-gency materials in the context of multiple disasters.Compared to the NSGA,the NSGA-II was used to reduce the total delivery time,cost,and penalty cost by 15.98%6,13.60%,and 16.14%,respectively.Compared with the independent scenario,the coupling scenario increased the total delivery time and cost by 186.28%and 132.48%during the epidemic.However,it reduced the total delivery time by 4.00%and increased the delivery cost by 23.55%compared with the hurricane.Compared with the model without consideration,the model considering demand urgency and road damage reduced the total delivery time and cost by 17.88%and 8.73%,respectively.The model constructed in this study addressed the vehicle routing problem considering the demand urgency and road damage in the optimization process,particularly in the context of multiple disasters.展开更多
Because China is becoming an aging society,the incidence of diabetes and diabetic foot have been increasing.Diabetic foot has become one of the main health-related killers due to its high disability and mortality rate...Because China is becoming an aging society,the incidence of diabetes and diabetic foot have been increasing.Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates.Negative pressure wound therapy(NPWT)is one of the most effective techniques for the treatment of diabetic foot wounds and great progress,both in terms of research and its clinical application,has been made in the last 20 years of its development.However,due to the complex pathogenesis and management of diabetic foot,irregular application of NPWT often leads to complications,such as infection,bleeding and necrosis,that seriously affect its treatment outcomes.In 2020,under the leadership of Burns,Trauma and Tissue Repair Committee of the Cross-Straits Medicine Exchange Association,the writing group for‘Consensus on the application of negative pressure wound therapy of diabetic foot wounds’was established with the participation of scholars from the specialized areas of burns,endocrinology,vascular surgery,orthopedics and wound repair.Drawing on evidence-based practice suggested by the latest clinical research,this consensus proposes the best clinical practice guidelines for the application and prognostic evaluation of NPWT for diabetic foot.The consensus aims to support the formation of standardized treatment schemes that clinicians can refer to when treating cases of diabetic foot.展开更多
基金the Natural Science Foundation of Gansu Province(No.24JRRA391).
文摘As promising high-temperature proton exchange membranes,phosphoric acid(PA)doped polybenzimidazole(PBI)membranes still face challenges,including excessive PA leaching and limited long-term stability.The preparation of mixed matrix membranes(MMMs)has emerged as a viable strategy to address these limitations,which can combine the excellent mechanical properties of polymers with the structural advantages of porous fillers.Among various filler materials,nitrogen-containing porous organic polymers(POPs)have shown particular promise because of their excellent compatibility with polymers.Therefore,in this work,a new pyridine-based POP called Py-POP was synthesized.Py-POP was mixed with commercial poly[2,2′-(p-oxidiphenylene)-5,5′-benzimidazole](OPBI)to prepare MMMs.Theoretical calculations indicate that the pyridine groups exhibit strong interactions with PA,significantly enhancing both PA retention and proton conduction efficiency.Remarkably,the PA retention rate of the composite membrane doped with 10 wt%Py-POP is 77.2%at 80/40%RH,which is much higher than that of the OPBI(62.7%).Furthermore,the membrane achieves an outstanding proton conductivity of 0.173 S cm^(-1)at 180℃,which is 4.2 times higher than that of the OPBI membrane.The peak power density of the composite membrane can achieve 915.1 mW cm^(-2) and remains at 891.5 mW cm^(-2) after 80 cycles of testing at 180℃.
基金funded by the National Natural Science Foundation of China (Grant No. 81401046 and No.21777099)Shanghai Jiao Tong University Interdisciplinary Research Key Grant (Grant No. YG2015ZD01)Shanghai Jiao Tong University "New Young Teachers Startup Plan"
文摘Objective: Long non-coding RNAs(lnc RNAs) are involved in numerous biological processes in lung cancer cells. In our previous studies, we identified a lnc RNA, ENST00000439577, which is highly expressed in lung carcinomas, and termed it lung cancer progression-associated transcript 1(LCPAT1). To characterize the role of LCPAT1 in lung cancer, we conducted the current study.Methods: Expression of LCPAT1 and autophagy-associated markers in tumor tissues and lung cancer cell lines was determined by real-time quantitative polymerase chain reaction(q PCR). Hematoxylin and eosin(HE) staining, q PCR, Western blot, and immunohistochemistry were performed to evaluate xenografted tumor tissues. Autophagy induced by rapamycin was detected by Western blot and immunofluorescence in lung cancer cell lines.Results: Expression of LCPAT1 and microtubule-associated protein 1 light chain 3 beta(LC3B) was positively correlated in lung cancer. Knockdown of LCPAT1 inhibited tumor growth and suppressed cell autophagy in vivo. Moreover, LCPAT1 knockdown in lung cancer cell lines resulted in decreased autophagy-associated gene expression and alleviated the cell autophagy induced by rapamycin.Conclusions: We speculate that LCPAT1 plays a crucial role in regulating autophagy in lung cancer.
基金The study was funded by the Committee of Health and Family Planning of Shanghai,China(project number 201440100)
文摘Objective: The results of postoperative delirium (POD) warrant testing for prevention. The purpose of this study was to determine whether a nursing intervention targeting risk factors could decrease the inci-dence of POD among patients who had coronary artery bypass grafting (CABG) in China.Methods: A prospective before-after study was conducted between April 2014 and April 2015. A nursing delirium intervention protocol targeting risk factors for delirium was performed for 141 patients un-dergoing CABG in a cardiothoracic ICU from November 2014 to April 2015. Intervention consisted of screening for delirium risk factors, followed by targeted risk factor modification, including pain control, early catheter removal, patient orientation using the 5W1H procedure, increased family visits, mini-mizing care-related interruptions, comfortable nursing and monitoring for sleeping difficulties. Out-comes of the Intervention Group were compared with those of the Control Group for 137 CABG patients from April 2014 to October 2014. Delirium was assessed using the confusion assessment method for the intensive care unit (CAM-ICU). The sample size was justified by PASS2000, based on previous data of delirium incidence in our institution (30%). Main results: Delirium incidence during the first seven postoperative days was significantly lower in the Intervention Group at 13.48%(19/141) vs. 29.93%(41/137) for the Control Group (x2=11.112, P=0.001). In addition, POD in the Intervention Group occurred between the 3rd and 6th postoperative days, while POD in the Control Group mainly occurred on the first three days postoperatively. Delirium in the Intervention Group occurred later than delirium in the Control Group (x2=12.743, P<0.001). Length of ICU stay was reduced significantly (Z= -6.026, P<0.001). Conclusion: The application of a nursing protocol targeting risk factors in this study seems to be asso-ciated with a lower incidence of POD in patients after CABG. This finding suggests that managing the predictors properly is one of the effective strategies to prevent delirium.
基金funded by the Natural Science Foundation of Zhejiang Province,China(No.MS25E080023)the Natural Science Foundation of Ningbo City,China(No.2024J130)+6 种基金the Fundamental Research Funds for the Provincial Universities of Zhejiang(No.SJLY2023009)the National"111"Center on Safety and Intelligent Operation of Sea Bridge(D21013)National Natural Science Foundation of China(Nos.71971059,52262047,52302388,52272334,and 61963011)the Natural Science Foundation of Jiangsu Province,China(No.BK20230853)the Specific Research Project of Guangxi for Research Bases and Talents(No.AD20159035)the Guilin Key R&D Program[No.20210214-1]the Liuzhou Key R&D Program(No.2022AAA0103).
文摘In the context of the COVID-19 epidemic,a"double-hazard scenario"consisting of a natural disaster and a public health event simultaneously accurring is more likely to arise.However,compared with single-hazard,multiple disasters confront the challenges of complexity,diversity,and demand urgency.To improve the efficiency of emergency material distribution under multiple disasters,this study first divided multiple disasters into three categoriles:independent scenario,sequential scenario,and coupling scenario.A set of evaluation index systems for multiple disasters was established to quantify the urgency of demand.The routing optimization model of emergency vehicles for multiple disasters was proposed by combining demand urgency and road damage,and the non-dominated sorting genetic algorithm II(NSGA-I)was used to simulate and validate the model.A coupling scenario considering two typical disasters of hurricanes and epidemics was selected as a validation example,and sensitivity analysis was also performed for different algorithms,scenarios,and constraints.The results demonstrated that the proposed model could effectively address the vehicle routing problem of emer-gency materials in the context of multiple disasters.Compared to the NSGA,the NSGA-II was used to reduce the total delivery time,cost,and penalty cost by 15.98%6,13.60%,and 16.14%,respectively.Compared with the independent scenario,the coupling scenario increased the total delivery time and cost by 186.28%and 132.48%during the epidemic.However,it reduced the total delivery time by 4.00%and increased the delivery cost by 23.55%compared with the hurricane.Compared with the model without consideration,the model considering demand urgency and road damage reduced the total delivery time and cost by 17.88%and 8.73%,respectively.The model constructed in this study addressed the vehicle routing problem considering the demand urgency and road damage in the optimization process,particularly in the context of multiple disasters.
基金Research on in situ skin repair and regeneration based on micro-tissue engineering technology and 3D printing.(The National Key R&D Program of China,Grant Number 2019YFA0110503).The study on natural living micro-amniotic scaffolds to dynamic regulate immune inflammation and reconstruct wound repairing.(National Natural Science Foundation of China,Grant Number 81971836).The systemic study of miR-23b_24-1 cluster in the prevention and treatment of MODS caused by sepsis after burns.(National Natural Science Foundation of China,Grant Number 81930057).The experimental study on regulating the immune inflammatory microenvironment of burn wounds and promoting repair and regeneration based on micro-tissue engineering technology.(National Natural Science Foundation of China,Grant Number 81871559).
文摘Because China is becoming an aging society,the incidence of diabetes and diabetic foot have been increasing.Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates.Negative pressure wound therapy(NPWT)is one of the most effective techniques for the treatment of diabetic foot wounds and great progress,both in terms of research and its clinical application,has been made in the last 20 years of its development.However,due to the complex pathogenesis and management of diabetic foot,irregular application of NPWT often leads to complications,such as infection,bleeding and necrosis,that seriously affect its treatment outcomes.In 2020,under the leadership of Burns,Trauma and Tissue Repair Committee of the Cross-Straits Medicine Exchange Association,the writing group for‘Consensus on the application of negative pressure wound therapy of diabetic foot wounds’was established with the participation of scholars from the specialized areas of burns,endocrinology,vascular surgery,orthopedics and wound repair.Drawing on evidence-based practice suggested by the latest clinical research,this consensus proposes the best clinical practice guidelines for the application and prognostic evaluation of NPWT for diabetic foot.The consensus aims to support the formation of standardized treatment schemes that clinicians can refer to when treating cases of diabetic foot.