BACKGROUND Accurate condition assessment is critical for improving the prognosis of neonatal respiratory distress syndrome(RDS),but current assessment methods for RDS pose a cumulative risk of harm to neonates.Thus,a ...BACKGROUND Accurate condition assessment is critical for improving the prognosis of neonatal respiratory distress syndrome(RDS),but current assessment methods for RDS pose a cumulative risk of harm to neonates.Thus,a less harmful method for assessing the health of neonates with RDS is needed.AIM To analyze the relationships between pulmonary ultrasonography and respiratory distress scores,oxygenation index,and chest X-ray grade of neonatal RDS to identify predictors of neonatal RDS severity.METHODS This retrospective study analyzed the medical information of 73 neonates with RDS admitted to the neonatal intensive care unit of Liupanshui Maternal and Child Care Service Center between April and December 2022.The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest Xray grade of each newborn before and after treatment were collected.Spearman correlation analysis was performed to determine the relationships among these values and neonatal RDS severity.RESULTS The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest X-ray RDS grade of the neonates were significantly lower after treatment than before treatment(P<0.05).Spearman correlation analysis showed that before and after treatment,the pulmonary ultrasonography score of neonates with RDS was positively correlated with the respiratory distress score,oxygenation index,and chest X-ray grade(ρ=0.429–0.859,P<0.05).Receiver operating characteristic curve analysis indicated that pulmonary ultrasonography screening effectively predicted the severity of neonatal RDS(area under the curve=0.805–1.000,P<0.05).CONCLUSION The pulmonary ultrasonography score was significantly associated with the neonatal RDS score,oxygenation index,and chest X-ray grade.The pulmonary ultrasonography score was an effective predictor of neonatal RDS severity.展开更多
Biochemical, anatomical, and physiological characteristics of the brain make it especially vulnerable to insult. Specifically, some of these characteristics such as myelin and a high energy requirement provide for the...Biochemical, anatomical, and physiological characteristics of the brain make it especially vulnerable to insult. Specifically, some of these characteristics such as myelin and a high energy requirement provide for the introduction of free radical-induced insult. Recently, the biochemistry of free radicals has received considerable attention. It also has become increasingly suggestive that many drug and chemical-induced toxicities may be evoked via free radicals and oxidative stress. Major points addressed in this work are the regulation of neural-free radical generation by antioxidants and protective enzymes, xenobiotic-induced disruption of cerebral redox status, and specific examples of neurotoxic agent-induced alterations in free radicals as measured by the fluorescent probe dichlorofluorescein. This article considers that free radical mechanisms may contribute significantly to the properties of several diverse neurotoxic agents and proposes that free radicals may be common phenomena of neurotoxicity.展开更多
<strong>Objective:</strong> Coronavirus disease 2019 (COVID-19) spread throughout the world and caused hundreds of thousands of infected people to death. However, the pathogenesis of severe acute respirato...<strong>Objective:</strong> Coronavirus disease 2019 (COVID-19) spread throughout the world and caused hundreds of thousands of infected people to death. However, the pathogenesis of severe acute respiratory syndrome coronavirus-2 (SARS COV-2) is poorly understood. The objective of this study is to retrospectively explore the pathogenesis of COVID-19 from clinical laboratory findings, taking disease progression into account. <strong>Methods:</strong> A single-centered, retrospective study was carried out, which included moderate (n = 76) and severe COVID-19 cases (n = 22). The difference of laboratory findings from blood routine examination and hepatorenal function test were retrospectively evaluated between the state of moderate and severe. The disease progression was indicated by oxygenation index. <strong>Results: </strong>Age is a risk factor for disease progression from moderate to severe. Lymphocytopenia, neutrophilia, liver and kidney function decreasement occurred in severe patients on admission, compared with moderate patients. Lymphocytopenia and neutrophilia deteriorated at the lowest oxygenation index timepoint in the severe patients. And the oxygenation index was associated with ratio of lymphocyte and neutrophil in COVID-19 patients. <strong>Conclusions:</strong> Lymphocytopenia and neutrophilia, which deteriorate in the progression of severe patients, are the main pathogenesis of COVID-19. More measures need to be taken to control lymphocytopenia and neutrophilia in severe COVID-19. Oxygenation index presented potentiality as predictor on the progression of COVID-19.展开更多
Air quenched basic oxygen furnace steel slag （BOF-SS） is processed at very high cooling rate, which is expected to have different cementitious properties from conventional slowly cooled BOF-SS. For this purpose, the...Air quenched basic oxygen furnace steel slag （BOF-SS） is processed at very high cooling rate, which is expected to have different cementitious properties from conventional slowly cooled BOF-SS. For this purpose, the strength activity indexes of air quenched and slowly cooled BOF-SS are investigated. The results reveal that, under the specific surface area （S） of 490 m^2/kg, the compressive strength activity index reaches 1.24 after 28 days with replacement of 15% air quenched BOF-SS and reaches 1.05 after 28 days with replacement of 20% air quenched BOF-SS and 30%granulated blast furnace slag （GBFS）. The cementitious activity of air quenched BOF-SS is obviously higher than that of slowly cooled BOF-SS, mainly because it contains more C3 S and glassy phases.展开更多
A new principle for producing fire-resistant polymer materials with increased deformation properties using a flame retardant not as a heterogeneous additive,but as a thermoplastic flame retardant in a hybrid polymer m...A new principle for producing fire-resistant polymer materials with increased deformation properties using a flame retardant not as a heterogeneous additive,but as a thermoplastic flame retardant in a hybrid polymer mixture with a polyhydrocarbon is considered.Hybrid polymer blends of low-molecular ammonium polyphosphate(APP)with an ethylene-vinyl acetate copolymer(EVA)with an APP content of 80 wt%with enhanced deformation properties were obtained by extrusion mixing at various temperatures in the range from 200°C to 250°C.A chemical scheme for the transformations of the components during the formation of the composite is proposed.X-ray diffraction analysis showed the formation of new crystalline structures of APP.The phase structure of the systems corresponding to the model of a dispersed-filled composite in which EVA plays the role of a matrix,determining the deformation of the mixture,and the filler is ammonium polyphosphate,was studied by scanning electron microscopy(SEM).The method of FTIR microscopy showed chemical interactions between EVA and APP with the formation of amide groups.The conditions for obtaining compositions characterized by heat resistance of 210°C,oxygen index of 55 and ultimate elongation at drawing of 213%were established.展开更多
目的探讨床旁肺部超声(lung ultrasound,LUS)引导的个体化肺复张策略在急诊机械通气患者中的应用效果。方法选取2023年5月—2025年5月兴义市人民医院58例需机械通气的急性呼吸衰竭患者为研究对象,按随机数字表法分为对照组(n=29)和观察...目的探讨床旁肺部超声(lung ultrasound,LUS)引导的个体化肺复张策略在急诊机械通气患者中的应用效果。方法选取2023年5月—2025年5月兴义市人民医院58例需机械通气的急性呼吸衰竭患者为研究对象,按随机数字表法分为对照组(n=29)和观察组(n=29)。对照组采用标准肺复张手法,观察组在LUS动态引导下实施个体化(pulmonary recruitment maneuver,PRM)。比较2组患者的肺复张效果(B线数量变化、肺实变面积改善率)、呼吸力学指标[氧合指数(partial pressure of arterial oxygen/fraction of inspired oxygen,PaO_(2)/FiO_(2))、肺顺应性]、机械通气和重症监护病房(intensive care unit,ICU)住院时间、并发症[气压伤、呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)发生率]。结果治疗后,观察组B线为(8.34±1.88)条,少于对照组的(12.52±2.78)条,肺实变面积改善率为(62.23±10.42)%,高于对照组的(35.36±8.57)%,差异均有统计学意义(P<0.05)。治疗后,观察组PaO_(2)/FiO_(2)、肺顺应性分别为(215.73±38.38)mmHg和(45.27±8.34)mL/cmH_(2)O,均高于对照组的(178.47±35.32)mmHg和(38.58±7.24)mL/cmH_(2)O,差异均有统计学意义(P<0.05)。观察组机械通气、ICU住院时间分别为(8.07±1.68)d和(9.90±2.13)d,均短于对照组的(10.88±2.23)d和(12.76±2.41)d,差异均有统计学意义(P<0.05)。结论LUS引导的个体化肺复张策略可精准评估肺的生理状态,优化通气参数,提高肺复张效果。展开更多
基金Guizhou Provincial Science and Technology Department,Technology Achievement Application and Industrialization Plan,Applied Fundamental Research,No.Qianke Synthetic Fruit[2022]004.
文摘BACKGROUND Accurate condition assessment is critical for improving the prognosis of neonatal respiratory distress syndrome(RDS),but current assessment methods for RDS pose a cumulative risk of harm to neonates.Thus,a less harmful method for assessing the health of neonates with RDS is needed.AIM To analyze the relationships between pulmonary ultrasonography and respiratory distress scores,oxygenation index,and chest X-ray grade of neonatal RDS to identify predictors of neonatal RDS severity.METHODS This retrospective study analyzed the medical information of 73 neonates with RDS admitted to the neonatal intensive care unit of Liupanshui Maternal and Child Care Service Center between April and December 2022.The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest Xray grade of each newborn before and after treatment were collected.Spearman correlation analysis was performed to determine the relationships among these values and neonatal RDS severity.RESULTS The pulmonary ultrasonography score,respiratory distress score,oxygenation index,and chest X-ray RDS grade of the neonates were significantly lower after treatment than before treatment(P<0.05).Spearman correlation analysis showed that before and after treatment,the pulmonary ultrasonography score of neonates with RDS was positively correlated with the respiratory distress score,oxygenation index,and chest X-ray grade(ρ=0.429–0.859,P<0.05).Receiver operating characteristic curve analysis indicated that pulmonary ultrasonography screening effectively predicted the severity of neonatal RDS(area under the curve=0.805–1.000,P<0.05).CONCLUSION The pulmonary ultrasonography score was significantly associated with the neonatal RDS score,oxygenation index,and chest X-ray grade.The pulmonary ultrasonography score was an effective predictor of neonatal RDS severity.
文摘Biochemical, anatomical, and physiological characteristics of the brain make it especially vulnerable to insult. Specifically, some of these characteristics such as myelin and a high energy requirement provide for the introduction of free radical-induced insult. Recently, the biochemistry of free radicals has received considerable attention. It also has become increasingly suggestive that many drug and chemical-induced toxicities may be evoked via free radicals and oxidative stress. Major points addressed in this work are the regulation of neural-free radical generation by antioxidants and protective enzymes, xenobiotic-induced disruption of cerebral redox status, and specific examples of neurotoxic agent-induced alterations in free radicals as measured by the fluorescent probe dichlorofluorescein. This article considers that free radical mechanisms may contribute significantly to the properties of several diverse neurotoxic agents and proposes that free radicals may be common phenomena of neurotoxicity.
文摘<strong>Objective:</strong> Coronavirus disease 2019 (COVID-19) spread throughout the world and caused hundreds of thousands of infected people to death. However, the pathogenesis of severe acute respiratory syndrome coronavirus-2 (SARS COV-2) is poorly understood. The objective of this study is to retrospectively explore the pathogenesis of COVID-19 from clinical laboratory findings, taking disease progression into account. <strong>Methods:</strong> A single-centered, retrospective study was carried out, which included moderate (n = 76) and severe COVID-19 cases (n = 22). The difference of laboratory findings from blood routine examination and hepatorenal function test were retrospectively evaluated between the state of moderate and severe. The disease progression was indicated by oxygenation index. <strong>Results: </strong>Age is a risk factor for disease progression from moderate to severe. Lymphocytopenia, neutrophilia, liver and kidney function decreasement occurred in severe patients on admission, compared with moderate patients. Lymphocytopenia and neutrophilia deteriorated at the lowest oxygenation index timepoint in the severe patients. And the oxygenation index was associated with ratio of lymphocyte and neutrophil in COVID-19 patients. <strong>Conclusions:</strong> Lymphocytopenia and neutrophilia, which deteriorate in the progression of severe patients, are the main pathogenesis of COVID-19. More measures need to be taken to control lymphocytopenia and neutrophilia in severe COVID-19. Oxygenation index presented potentiality as predictor on the progression of COVID-19.
基金Item Sponsored by National Natural Science Foundation of China(51234003)
文摘Air quenched basic oxygen furnace steel slag （BOF-SS） is processed at very high cooling rate, which is expected to have different cementitious properties from conventional slowly cooled BOF-SS. For this purpose, the strength activity indexes of air quenched and slowly cooled BOF-SS are investigated. The results reveal that, under the specific surface area （S） of 490 m^2/kg, the compressive strength activity index reaches 1.24 after 28 days with replacement of 15% air quenched BOF-SS and reaches 1.05 after 28 days with replacement of 20% air quenched BOF-SS and 30%granulated blast furnace slag （GBFS）. The cementitious activity of air quenched BOF-SS is obviously higher than that of slowly cooled BOF-SS, mainly because it contains more C3 S and glassy phases.
基金financially supported by Ministry of Science and Higher Education of the Russian Federation.
文摘A new principle for producing fire-resistant polymer materials with increased deformation properties using a flame retardant not as a heterogeneous additive,but as a thermoplastic flame retardant in a hybrid polymer mixture with a polyhydrocarbon is considered.Hybrid polymer blends of low-molecular ammonium polyphosphate(APP)with an ethylene-vinyl acetate copolymer(EVA)with an APP content of 80 wt%with enhanced deformation properties were obtained by extrusion mixing at various temperatures in the range from 200°C to 250°C.A chemical scheme for the transformations of the components during the formation of the composite is proposed.X-ray diffraction analysis showed the formation of new crystalline structures of APP.The phase structure of the systems corresponding to the model of a dispersed-filled composite in which EVA plays the role of a matrix,determining the deformation of the mixture,and the filler is ammonium polyphosphate,was studied by scanning electron microscopy(SEM).The method of FTIR microscopy showed chemical interactions between EVA and APP with the formation of amide groups.The conditions for obtaining compositions characterized by heat resistance of 210°C,oxygen index of 55 and ultimate elongation at drawing of 213%were established.
文摘目的探讨床旁肺部超声(lung ultrasound,LUS)引导的个体化肺复张策略在急诊机械通气患者中的应用效果。方法选取2023年5月—2025年5月兴义市人民医院58例需机械通气的急性呼吸衰竭患者为研究对象,按随机数字表法分为对照组(n=29)和观察组(n=29)。对照组采用标准肺复张手法,观察组在LUS动态引导下实施个体化(pulmonary recruitment maneuver,PRM)。比较2组患者的肺复张效果(B线数量变化、肺实变面积改善率)、呼吸力学指标[氧合指数(partial pressure of arterial oxygen/fraction of inspired oxygen,PaO_(2)/FiO_(2))、肺顺应性]、机械通气和重症监护病房(intensive care unit,ICU)住院时间、并发症[气压伤、呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)发生率]。结果治疗后,观察组B线为(8.34±1.88)条,少于对照组的(12.52±2.78)条,肺实变面积改善率为(62.23±10.42)%,高于对照组的(35.36±8.57)%,差异均有统计学意义(P<0.05)。治疗后,观察组PaO_(2)/FiO_(2)、肺顺应性分别为(215.73±38.38)mmHg和(45.27±8.34)mL/cmH_(2)O,均高于对照组的(178.47±35.32)mmHg和(38.58±7.24)mL/cmH_(2)O,差异均有统计学意义(P<0.05)。观察组机械通气、ICU住院时间分别为(8.07±1.68)d和(9.90±2.13)d,均短于对照组的(10.88±2.23)d和(12.76±2.41)d,差异均有统计学意义(P<0.05)。结论LUS引导的个体化肺复张策略可精准评估肺的生理状态,优化通气参数,提高肺复张效果。
