TiFe alloys are AB-based hydrogen storage materials with unique characteristics and a wide range of applications.However,the presence of impurity gases(such as O_(2),CO,CO_(2),and CH4)has a considerable impact on the ...TiFe alloys are AB-based hydrogen storage materials with unique characteristics and a wide range of applications.However,the presence of impurity gases(such as O_(2),CO,CO_(2),and CH4)has a considerable impact on the hydrogen storage capacity and kinetics of TiFe alloys,drastically limiting their practical application in hydrogen storage.Consequently,in this study,we investigated the hydrogen absorption kinetics and cycling performance of the TiFe_(0.9) alloy in the presence of common impurity gases(including CH4,CO,CO_(2),and O_(2))and determined the corresponding poisoning mechanisms.Specifically,we found that CH4 did not react with the alloy but acted through physical coverage.In contrast,CO and CO_(2) occupy the active sites for H_(2),significantly impeding the dissociation and absorption of H_(2).In addition,O_(2) reacts directly with the alloy to form a passivating layer that prevents hydrogen absorption.These findings were fur-ther corroborated by in situ Fourier transform infrared spectrometry(FTIR)and density functional theory(DFT).The relationship between the adsorption energies of the impurity gases and hydrogen obtained through DFT calculations complements the experimental results.Un-derstanding these poisoning behaviors is crucial for designing Ti-based high-entropy hydrogen storage alloy alloys with enhanced resist-ance to poisoning.展开更多
Objective:The neurotoxicity of carbon monoxide(CO)to the central nervous system is a key pathogenesis of delayed encephalopathy after acute carbon monoxide poisoning(DEACMP).Our previous study found that retinoic acid...Objective:The neurotoxicity of carbon monoxide(CO)to the central nervous system is a key pathogenesis of delayed encephalopathy after acute carbon monoxide poisoning(DEACMP).Our previous study found that retinoic acid(RA)can suppress the neurotoxic effects of CO.This study further explores,in vivo and in vitro,the molecular mechanisms by which RA alleviates CO-induced central nervous system damage.Methods:A cytotoxic model was established using the mouse hippocampal neuronal cell line HT22 and primary oligodendrocytes exposed to CO,and a DEACMP animal model was established in adult Kunming mice.Cell viability and apoptosis of hippocampal neurons and oligodendrocytes were assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT)assay and Annexin V/propidium iodide(PI)double staining.The transcriptional and protein expression of each gene was detected using real time fluorescence quantitative PCR(RT-qPCR)and Western blotting.Long noncoding RNA(lncRNA)SNHG15 and LINGO-1 were knocked down or overexpressed to observe changes in neurons and oligodendrocytes.In DEACMP mice,SNHG15 or LINGO-1 were knocked down to assess changes in central nervous tissue and downstream protein expression.Results:RA at 10 and 20μmol/L significantly reversed CO-induced apoptosis of hippocampal neurons and oligodendrocytes,downregulation of SNHG15 and LINGO-1,and upregulation of brain-derived neurotrophic factor(BDNF)and tyrosine kinase receptor B(TrkB)(all P<0.05).Overexpression of SNHG15 or LINGO-1 weakened the protective effect of RA against CO-induced cytotoxicity(all P<0.05).Knockdown of SNHG15 or LINGO-1 alleviated CO-induced apoptosis of hippocampal neurons and oligodendrocytes and upregulated BDNF and TrkB expression levels(all P<0.05).Experiments in DEACMP model mice showed that knockdown of SNHG15 or LINGO-1 mitigated central nervous system injury in DEACMP(all P<0.05).Conclusion:RA alleviates CO-induced apoptosis of hippocampal neurons and oligodendrocytes,thereby reducing central nervous system injury and exerting neuroprotective effects.LncRNA SNHG15 and LINGO-1 are key molecules mediating RA induced inhibition of neuronal apoptosis and are associated with the BDNF/TrkB pathway.These findings provide a theoretical framework for optimizing the clinical treatment of DEACMP and lay an experimental foundation for elucidating its molecular mechanisms.展开更多
Investigating highly effective electrocatalysts for high-temperature proton exchange membrane fuel cells(HT-PEMFC)requires the resistance to phosphate acid(PA)poisoning at cathodic oxygen reduction reaction(ORR).Recen...Investigating highly effective electrocatalysts for high-temperature proton exchange membrane fuel cells(HT-PEMFC)requires the resistance to phosphate acid(PA)poisoning at cathodic oxygen reduction reaction(ORR).Recent advancements in catalysts have focused on alleviating phosphoric anion adsorption on Pt-based catalysts with modified electronic structure or catalytic interface and developing Fe-N-C based catalysts with immunity of PA poisoning.Fe-N-C-based catalysts have emerged as promising alternatives to Pt-based catalysts,offering significant potential to overcome the characteristic adsorption of phosphate anion on Pt.An overview of these developments provides insights into catalytic mechanisms and facilitates the design of more efficient catalysts.This review begins with an exploration of basic poisoning principles,followed by a critical summary of characterization techniques employed to identified the underlying mechanism of poisoning effect.Attention is then directed to endeavors aimed at enhancing the HT-PEMFC performance by well-designed catalysts.Finally,the opportunities and challenges in developing the anti-PA poisoning strategy and practical HT-PEMFC is discussed.Through these discussions,a comprehensive understanding of PA-poisoning bottlenecks and inspire future research directions is aim to provided.展开更多
BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant ri...BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant risk factors affecting patient prognosis and provide a basis for the assessment of patient prognosis.METHODS:Patients with DQ poisoning were included from September 2020 to December2023,and data were extracted from their electronic medical records on the first day of hospitalization.Least Absolute Shrinkage and Selection Operator (LASSO) regression and binary multivariate logistic regression analyses were performed on the collected clinical data to identify risk factors.RESULTS:A total of 117 patients with acute DQ poisoning were included,and were categorized into two groups based on their 28-day outcomes:survival group (n=67) and non-survival group (n=50).There were no statistically significant differences between the two groups in terms of sex,lymphocyte count,platelet-to-lymphocyte ratio,or blood purification rate (P>0.05).The analysis revealed that age (odds ratio[OR]1.094,95%confidence interval[95%CI]1.022–1.171),blood drug concentration (OR 3.659,95%CI1.846–7.252),lactate (OR 1.686,95%CI 1.062–2.678),neutrophil-to-lymphocyte ratio (NLR)(OR 1.101,95%CI 1.017–1.192),albumin (OR 1.275,95%CI 1.107–1.468),and aspartate aminotransferase (AST)(OR 1.027,95%CI 1.005–1.051) were the risk factors for mortality.CONCLUSION:This study identified key risk factors for 28-day mortality in patients with acute DQ poisoning,which may provide valuable guidance for clinical treatment,particularly for emergency physicians.展开更多
BACKGROUND Organophosphate(OP)poisoning is common in sub-Saharan Africa.It is asso-ciated with high mortality and morbidity.Affected individuals often exhibit cho-linergic symptoms and respiratory distress.Moreover,ot...BACKGROUND Organophosphate(OP)poisoning is common in sub-Saharan Africa.It is asso-ciated with high mortality and morbidity.Affected individuals often exhibit cho-linergic symptoms and respiratory distress.Moreover,other complications,such as pancreatitis,arrhythmias,and hepatic dysfunction,have been reported.How-ever,paralytic ileus is an exceedingly rare complication.CASE SUMMARY We report a case of a 5-year-old boy who presented with altered sensorium and abdominal distension following suspected OP exposure.Physical examination and imaging revealed features of intestinal obstruction and neurological deficits.He was managed with atropine,pralidoxime,and other supportive measures and had a successful recovery.Paralytic ileus is an atypical complication of acute OP poisoning.The resultant intestinal obstruction manifests as cholinergic overac-tivity,leading to bowel dysmotility.This case emphasizes the need for awareness and prompt management of such atypical presentations,especially in the pe-diatric population.CONCLUSION Timely recognition and multidisciplinary management of atypical presentations,such as paralytic ileus,are crucial in improving outcomes in pediatric OP poi-soning.展开更多
BACKGROUND The common cause of sodium nitrite poisoning has shifted from previous accidental intoxication by exposure or ingestion of contaminated water and food to recent alarming intentional intoxication as an emplo...BACKGROUND The common cause of sodium nitrite poisoning has shifted from previous accidental intoxication by exposure or ingestion of contaminated water and food to recent alarming intentional intoxication as an employed method of suicide/exit.The subsequent formation of methemoglobin(MetHb)restricts oxygen transport and utilization in the body,resulting in functional hypoxia at the tissue level.In clinical practice,a mismatch of cyanotic appearance and oxygen partial pressure usually contributes to the identification of methemoglobinemia.Prompt recognition of characteristic mismatch and accurate diagnosis of sodium nitrite poisoning are prerequisites for the implementation of standardized systemic interventions.CASE SUMMARY A pregnant woman was admitted to the Department of Critical Care Medicine at the First Affiliated Hospital of Harbin Medical University due to consciousness disorders and drowsiness 2 h before admission.Subsequently,she developed vomiting and cyanotic skin.The woman underwent orotracheal intubation,invasive mechanical ventilation(IMV),and correction of internal environment disturbance in the ICU.Her premature infant was born with a higher-than-normal MetHb level of 3.3%,and received detoxification with methylene blue and vitamin C,supplemental vitamin K1,an infusion of fresh frozen plasma,as well as respiratory support via orotracheal intubation and IMV.On day 3 after admission,the puerpera regained consciousness,evacuated the IMV,and resumed enteral nutrition.She was then transferred to the maternity ward 24 h later.On day 7 after admission,the woman recovered and was discharged without any sequelae.CONCLUSION MetHb can cross through the placental barrier.Level of MetHb both reflects severity of the sodium nitrite poisoning and serves as feedback on therapeutic effectiveness.展开更多
Objective: To analyze the emergency treatment effect of ultra-early hemoperfusion (HP) in patients with severe organophosphate pesticide poisoning (SOPP). Methods: Sixty SOPP patients treated in the emergency departme...Objective: To analyze the emergency treatment effect of ultra-early hemoperfusion (HP) in patients with severe organophosphate pesticide poisoning (SOPP). Methods: Sixty SOPP patients treated in the emergency department between January 2022 and January 2024 were randomly divided into two groups using a random number table. The observation group (30 cases) received ultra-early HP treatment, while the reference group (30 cases) received conventional HP treatment initiated 6 hours post-poisoning. The groups were compared in terms of overall emergency efficacy, clinical indicators, serological markers, inflammatory factors, and complication rates. Results: The observation group had a higher total efficacy rate than the reference group, superior clinical indicators, and a lower complication rate (P < 0.05). After 24 hours of emergency treatment, serological markers and inflammatory factor levels in the observation group were lower than those in the reference group (P < 0.05). Conclusion: Ultra-early HP treatment provides better emergency outcomes for SOPP patients by shortening treatment time, improving serological markers and inflammatory factor levels, and offering higher safety. It demonstrates significant advantages in emergency care.展开更多
This review addresses the critical intersection between acute poisoning and the associated psychological trauma,highlighting the need to bridge the gap between emergency care and long-term mental health rehabilitation...This review addresses the critical intersection between acute poisoning and the associated psychological trauma,highlighting the need to bridge the gap between emergency care and long-term mental health rehabilitation.The global incidence of acute poisoning varies,showing different demographic patterns in psychological trauma post-poisoning,with suicide attempts accounting for approximately 76%of cases in some cohorts.Additionally,an estimated 385 million unintentional pesticide poisonings occur annually worldwide.A comprehensive understanding of the biological and neurobiological mechanisms involved—along with accurate diagnostic strategies and treatment methods—is essential.Multidisciplinary and integrated care approaches associated with a reduction in allcause mortality(odds ratio:0.52)and significant symptom burden relief,along with technological and therapeutic innovations,are essential for improving patient outcomes.Finally,this review outlines policy and research recommendations to enhance integrated care systems for the better management of acute poisoning and its associated psychological trauma.展开更多
Imidacloprid,a neonicotinoid insecticide,is widelyused in agriculture as a safer alternative to highly toxicorganophosphates.It targets nicotinic acetylcholinereceptors in pests and is generally low in toxicity tohuma...Imidacloprid,a neonicotinoid insecticide,is widelyused in agriculture as a safer alternative to highly toxicorganophosphates.It targets nicotinic acetylcholinereceptors in pests and is generally low in toxicity tohumans.However,large ingestions can cause severe,life-threatening complications,with no establishedtreatment protocols.Though rarely fatal,imidaclopridpoisoning is increasingly reported in agricultural regions,particularly in Southeast Asia,with most cases involvingsuicide attempts.展开更多
Studies show that Graph Neural Networks(GNNs)are susceptible to minor perturbations.Therefore,analyzing adversarial attacks on GNNs is crucial in current research.Previous studies used Generative Adversarial Networks ...Studies show that Graph Neural Networks(GNNs)are susceptible to minor perturbations.Therefore,analyzing adversarial attacks on GNNs is crucial in current research.Previous studies used Generative Adversarial Networks to generate a set of fake nodes,injecting them into a clean GNNs to poison the graph structure and evaluate the robustness of GNNs.In the attack process,the computation of new node connections and the attack loss are independent,which affects the attack on the GNN.To improve this,a Fake Node Camouflage Attack based on Mutual Information(FNCAMI)algorithm is proposed.By incorporating Mutual Information(MI)loss,the distribution of nodes injected into the GNNs become more similar to the original nodes,achieving better attack results.Since the loss ratios of GNNs and MI affect performance,we also design an adaptive weighting method.By adjusting the loss weights in real-time through rate changes,larger loss values are obtained,eliminating local optima.The feasibility,effectiveness,and stealthiness of this algorithm are validated on four real datasets.Additionally,we use both global and targeted attacks to test the algorithm’s performance.Comparisons with baseline attack algorithms and ablation experiments demonstrate the efficiency of the FNCAMI algorithm.展开更多
BACKGROUND Ethylene glycol(EG)poisoning is often caused by the accidental ingestion of antifreeze.EG is metabolized into glycolate and oxalate and may cause metabolic acidaemia,neurotoxicity,acute kidney injury,and de...BACKGROUND Ethylene glycol(EG)poisoning is often caused by the accidental ingestion of antifreeze.EG is metabolized into glycolate and oxalate and may cause metabolic acidaemia,neurotoxicity,acute kidney injury,and death.A variety of EG poisoning case reports have been published,and we wrote this case report and literature review to summarize the clinical experience of patients who survived EG poisoning.CASE SUMMARY In this case report,a 55-year-old man developed EG poisoning after ingesting antifreeze by accident and experienced acute kidney injury,nervous system dysfunction and inhalation pneumonia.The timely use of ethanol for detoxification,initiation of haemodialysis,and protection of organ function are effective treatment methods for patients with antifreeze poisoning.The patient was discharged in the 3rd week after admission.When discharged,the patient did not report any discomfort,had stable vital signs,did not have fever or diarrhoea,and had improved liver and kidney functions.CONCLUSION A timely diagnosis,haemodialysis,and organ protection are the keys to the successful treatment of poisoned patients.展开更多
Hydrocarbons(HCs)exert toxic effects on the activity of Cu-based zeolite catalysts for NH_(3)-SCR on diesel vehicles.This study inve stigated the hydrocarbon resistance of both fresh and hydrothermally aged high-silic...Hydrocarbons(HCs)exert toxic effects on the activity of Cu-based zeolite catalysts for NH_(3)-SCR on diesel vehicles.This study inve stigated the hydrocarbon resistance of both fresh and hydrothermally aged high-silica Cu-SSZ-16 catalysts.It was found that low-temperature activity of Cu-SSZ-16 catalyst decreased after C_(3)H_(6) poisoning,which was mainly due to the blockage of pore channels and the coverage of Cu active sites as well as acid sites by the formation of carbon deposits.Additionally,[Cu(OH)]^(+)-Z was proposed to be more easily affected by C_(3)H_(6) poisoning than Cu^(2+)-2Z.Hydrothermally aged Cu-SSZ-16 presented better C_(3)H_(6) resistance than the fresh catalyst since less carbon deposits were accumulated and[Cu(OH)]^(+)-Z species were partially transformed to more-stable Cu^(2+)-2Z in the aged sample.This was probably because of the reduction of acid sites and the formation of CuO_(x),which enhanced the oxidation of C_(3)H_(6),thereby inhibiting the formation of carbon deposits.In addition,the coverage of the active Cu species also influenced the adsorption and oxidation of NO,causing a decrease in low-temperature activity.Thus,the low-temperature activity could be fully recovered by hydrothermal treatment at 500℃due to the removal of carbon deposits and recovery of Cu active sites as well as acid sites.In summary,high-silica CuSSZ-16,with high resistance to HCs and excellent hydrothermal stability,is a competitive candidate as a catalyst for the NH_(3)-SCR reaction in practical application.展开更多
Chlorfenapyr poisoning is associated with high mortality due to the absence of evidence-based treatment strategies or specific antidotes.[1,2]Chlorfenapyr is a novel N-substituted halogenated pyrrole pro-insecticide.T...Chlorfenapyr poisoning is associated with high mortality due to the absence of evidence-based treatment strategies or specific antidotes.[1,2]Chlorfenapyr is a novel N-substituted halogenated pyrrole pro-insecticide.The active metabolite of tralopyril(a metabolite of chlorfenapyr)can uncouple oxidative phosphorylation and impair adenosine triphosphate(ATP)production.[3]Blood purification techniques,including hemoperfusion(HP),may facilitate tralopyril clearance.[4,5]Here,we present a case of severe chlorfenapyr poisoning that was treated with intensive HP.H owever,during follow-up,we unexpectedly found a ventricular aneurysm in the left ventricle that was not fully explained by coronary artery lesions.展开更多
Ammonia selective catalytic reduction(NH_(3)-SCR)is the most widely used technology in thefield of industrialflue gas denitrification.However,the presence of heavy metals influe gas can seriously affect the performance of...Ammonia selective catalytic reduction(NH_(3)-SCR)is the most widely used technology in thefield of industrialflue gas denitrification.However,the presence of heavy metals influe gas can seriously affect the performance of SCR catalysts,leading to their deactivation or even failure.Therefore,it is of great significance to deeply study the poisoning mechanism of SCR catalysts under the action of heavy metals and how to enhance their resistance to poisoning.This article reviews the reaction mechanism of NH_(3)-SCR technology,compares the impact of heavy metals on the activity of different SCR catalysts,and then discusses in detail the poisoning mechanism of SCR catalysts by heavy metals,including pore blockage,reduction of specific surface area,and destruction of active centers caused by heavy metal deposition,all of which jointly lead to the physical or chemical poisoning of the catalyst.Meanwhile,the mechanism of action when multiple toxicants coexist was analyzed.To effectively address these challenges,the article further summarizes various methods to improve the catalyst's resistance to heavy metal poisoning,such as element doping,structural optimization,and carrier addition,which significantly enhance the heavy metal resistance of the catalyst.Finally,the article provides a prospective analysis of the challenges faced by NH_(3)-SCR catalysts in anti-heavy metal poisoning technology,emphasizing the necessity of in-depth research on the poisoning mechanism,exploration of the mechanism of synergistic action of multiple pollutants,development of comprehensive anti-poisoning strategies,and research on catalyst regeneration technology,in order to promote the development of efficient anti-heavy metal poisoning NH_(3)-SCR catalysts.展开更多
Botulinum toxin,a protein exotoxin secreted by Clostridium botulinum,binds to peripheral nerve terminals,inhibits acetylcholine release,and leads to flaccid muscle paralysis.[1]Botox(onabotulinum toxin A)was approved ...Botulinum toxin,a protein exotoxin secreted by Clostridium botulinum,binds to peripheral nerve terminals,inhibits acetylcholine release,and leads to flaccid muscle paralysis.[1]Botox(onabotulinum toxin A)was approved by the Food and Drug Administration(FDA)for cosmetic and therapeutic indications in 2002,and its global use has increased substantially.[2]However,some unlicensed botulinum toxin products may cause iatrogenic botulism.[3]Early diagnosis remains challenging owing to non-specific clinical features and the lack of diagnostic biomarkers,often delaying the timely administration of antitoxin.[4]This study reviewed recent cases of botulism in our center and summarized their clinical presentations,symptoms,and outcomes.展开更多
BACKGROUND:Penehyclidine is a newly developed anticholinergic agent.We aimed to investigate the role of penehyclidine in acute organophosphorus pesticide poisoning(OP)patients.METHODS:We searched the Pubmed,Cochrane l...BACKGROUND:Penehyclidine is a newly developed anticholinergic agent.We aimed to investigate the role of penehyclidine in acute organophosphorus pesticide poisoning(OP)patients.METHODS:We searched the Pubmed,Cochrane library,EMBASE,Chinese National Knowledge Infrastructure(CNKI),Chinese Biomedical literature(CBM)and Wanfang databases.Randomized controlled trials(RCTs)recruiting acute OP patients were identifi ed for meta-analysis.Main outcomes included cure rate,mortality rate,time to atropinization,time to 60%normal acetylcholinesterase(AchE)level,rate of intermediate syndrome(IMS)and rate of adverse drug reactions(ADR).RESULTS:Sixteen RCTs involving 1,334 patients were identifi ed.Compared with the atropineor penehyclidine-alone groups,atropine combined with penehyclidine significantly increased the cure rate(penehyclidine+atropine vs.atropine,0.97 vs.0.86,RR 1.13,95%CI[1.07–1.19];penehyclidine+atropine vs.penehyclidine,0.93 vs.0.80,RR 1.08,95%CI[1.01–1.15])and reduced the mortality rate(penehyclidine+atropine vs.atropine,0.015 vs.0.11,RR 0.17,95%CI[0.06–0.49];penehyclidine+atropine vs.penehyclidine,0.13 vs.0.08,RR 0.23,95%CI[0.04–1.28]).Atropine combined with penehyclidine in OP patients also helped reduce the time to atropinization and AchE recovery,the rate of IMS and the rate of ADR.Compared with a single dose of atropine,a single dose of penehyclidine also signifi cantly elevated the cure rate,reduced times to atropinization,AchE recovery,and rate of IMS.CONCLUSION:Atropine combined with penehyclidine benefi ts OP patients by enhancing the cure rate,mortality rate,time to atropinization,AchE recovery,IMS rate,total ADR and duration of hospitalization.Penehyclidine combined with atropine is likely a better initial therapy for OP patients than atropine alone.展开更多
Objective This study analyzed patterns of suicide and suicide attempts by poisoning as reported through a national poison control system for the purpose of improving intervention and prevention. Methods During the per...Objective This study analyzed patterns of suicide and suicide attempts by poisoning as reported through a national poison control system for the purpose of improving intervention and prevention. Methods During the period of 2000 to 2006, 6440 cases of poisoning suicide were reported to the telephone consultation service system of The National Center for Poisoning Control （Chinese Center for Disease Control and Prevention）. Among these records, 4728 cases had completed data for this analysis in terms of age, sex, trend of time and location, and type of poisons. Results There were 60.6% female cases with the age from 10 to 90 years old. The age of cases from 20 to 39 years accounted for 54.5% of all age groups. Both the numbers and percentage in record related to poisoning consultation of oral poisoning suicide showed an increasing tendency during the 7 years. In particular, there was a drastic increase from 2004 to 2006. In addition, the high frequency of cases occurred from May to October. Hebei, Shandong, Henan, and Anhui Provinces had the highest number of cases. Pesticide poisonings were the most common method in these cases of consultation for suicide and suicide attempts. Conclusion This study describes epidemiological characteristics in the oral poisoning suicide cases and provides scientific basis for suicide prevention interventions.展开更多
Objective To investigate whether acute dipterex poisoning (ADP) may cause oxidative stress and free radical damage in the bodies of acute dipterex poisoning patients (ADPPs), and to explore the mechanisms by which ADP...Objective To investigate whether acute dipterex poisoning (ADP) may cause oxidative stress and free radical damage in the bodies of acute dipterex poisoning patients (ADPPs), and to explore the mechanisms by which ADP may cause oxidative stress and free radical damage. Methods Fifty ADPPs and fifty healthy adult volunteers (HAVs) whose ages, gender and others were matched with the ADPPs were enrolled in a randomized controlled study, in which concentrations of nitric oxide (NO), vitamin C (VC), vitamin E (VE) and P-carotene (P-CAR) in plasma as well as concentration of lipoperoxide (LPO), and activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX) and acetylcholinesterase (AChE) in erythrocytes were determined by spectrophotometric analytical methods. Results Compared with the average values of experimental parameters in the HAVs group, the average values of plasma NO and erythrocyte LPO in the ADPPs group were significantly increased (P<0.0001), while those of plasma VC, VE and P-CAR as well as erythrocyte SOD, CAT, GPX and AChE in the ADPPs group were significantly decreased (P<0.0001). Bivariate correlation analysis and partial correlation analysis suggested that when NO and LPO values were increased, and VC, VE, β-CAR, SOD, CAT and GPX values were decreased in the ADPPs, AChE value was decreased gradually in the ADPPs (P<0.001-0.0001). Reliability analysis of experimental parameters reflecting oxidative stress and free radical damage in the ADPPs showed that the reliability coefficient (8 items) alpha=0.6909, and the standardized item alpha=0.8574. Conclusion The findings in the present study suggest that ADP can cause oxidative stress and free radical damage, and inhibit markedly erythrocyte acetylcholinesterase activity in ADPPs.展开更多
基金supported by the National Key Research&Development Program of China(No.2022YFB4004301)the National Natural Science Foundation of China(Nos.52201274 and 52307250)the Shaanxi Province key research and development plan,China(No.2024CY2-GJHX-53).
文摘TiFe alloys are AB-based hydrogen storage materials with unique characteristics and a wide range of applications.However,the presence of impurity gases(such as O_(2),CO,CO_(2),and CH4)has a considerable impact on the hydrogen storage capacity and kinetics of TiFe alloys,drastically limiting their practical application in hydrogen storage.Consequently,in this study,we investigated the hydrogen absorption kinetics and cycling performance of the TiFe_(0.9) alloy in the presence of common impurity gases(including CH4,CO,CO_(2),and O_(2))and determined the corresponding poisoning mechanisms.Specifically,we found that CH4 did not react with the alloy but acted through physical coverage.In contrast,CO and CO_(2) occupy the active sites for H_(2),significantly impeding the dissociation and absorption of H_(2).In addition,O_(2) reacts directly with the alloy to form a passivating layer that prevents hydrogen absorption.These findings were fur-ther corroborated by in situ Fourier transform infrared spectrometry(FTIR)and density functional theory(DFT).The relationship between the adsorption energies of the impurity gases and hydrogen obtained through DFT calculations complements the experimental results.Un-derstanding these poisoning behaviors is crucial for designing Ti-based high-entropy hydrogen storage alloy alloys with enhanced resist-ance to poisoning.
基金supported by the Natural Science Foundation of Hunan Province(2021JJ31089)the Scientific Research Project of Health Commission of Hunan Province(202203104548),China。
文摘Objective:The neurotoxicity of carbon monoxide(CO)to the central nervous system is a key pathogenesis of delayed encephalopathy after acute carbon monoxide poisoning(DEACMP).Our previous study found that retinoic acid(RA)can suppress the neurotoxic effects of CO.This study further explores,in vivo and in vitro,the molecular mechanisms by which RA alleviates CO-induced central nervous system damage.Methods:A cytotoxic model was established using the mouse hippocampal neuronal cell line HT22 and primary oligodendrocytes exposed to CO,and a DEACMP animal model was established in adult Kunming mice.Cell viability and apoptosis of hippocampal neurons and oligodendrocytes were assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT)assay and Annexin V/propidium iodide(PI)double staining.The transcriptional and protein expression of each gene was detected using real time fluorescence quantitative PCR(RT-qPCR)and Western blotting.Long noncoding RNA(lncRNA)SNHG15 and LINGO-1 were knocked down or overexpressed to observe changes in neurons and oligodendrocytes.In DEACMP mice,SNHG15 or LINGO-1 were knocked down to assess changes in central nervous tissue and downstream protein expression.Results:RA at 10 and 20μmol/L significantly reversed CO-induced apoptosis of hippocampal neurons and oligodendrocytes,downregulation of SNHG15 and LINGO-1,and upregulation of brain-derived neurotrophic factor(BDNF)and tyrosine kinase receptor B(TrkB)(all P<0.05).Overexpression of SNHG15 or LINGO-1 weakened the protective effect of RA against CO-induced cytotoxicity(all P<0.05).Knockdown of SNHG15 or LINGO-1 alleviated CO-induced apoptosis of hippocampal neurons and oligodendrocytes and upregulated BDNF and TrkB expression levels(all P<0.05).Experiments in DEACMP model mice showed that knockdown of SNHG15 or LINGO-1 mitigated central nervous system injury in DEACMP(all P<0.05).Conclusion:RA alleviates CO-induced apoptosis of hippocampal neurons and oligodendrocytes,thereby reducing central nervous system injury and exerting neuroprotective effects.LncRNA SNHG15 and LINGO-1 are key molecules mediating RA induced inhibition of neuronal apoptosis and are associated with the BDNF/TrkB pathway.These findings provide a theoretical framework for optimizing the clinical treatment of DEACMP and lay an experimental foundation for elucidating its molecular mechanisms.
文摘Investigating highly effective electrocatalysts for high-temperature proton exchange membrane fuel cells(HT-PEMFC)requires the resistance to phosphate acid(PA)poisoning at cathodic oxygen reduction reaction(ORR).Recent advancements in catalysts have focused on alleviating phosphoric anion adsorption on Pt-based catalysts with modified electronic structure or catalytic interface and developing Fe-N-C based catalysts with immunity of PA poisoning.Fe-N-C-based catalysts have emerged as promising alternatives to Pt-based catalysts,offering significant potential to overcome the characteristic adsorption of phosphate anion on Pt.An overview of these developments provides insights into catalytic mechanisms and facilitates the design of more efficient catalysts.This review begins with an exploration of basic poisoning principles,followed by a critical summary of characterization techniques employed to identified the underlying mechanism of poisoning effect.Attention is then directed to endeavors aimed at enhancing the HT-PEMFC performance by well-designed catalysts.Finally,the opportunities and challenges in developing the anti-PA poisoning strategy and practical HT-PEMFC is discussed.Through these discussions,a comprehensive understanding of PA-poisoning bottlenecks and inspire future research directions is aim to provided.
基金supported by Tianjin Municipal Medical Key Construction Project Funding (TJYXZDXK-007A)the Beijing Union Medical Foundation-Rui E Emergency Medicine Research Funding (PUMF01010010-2024-18)。
文摘BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant risk factors affecting patient prognosis and provide a basis for the assessment of patient prognosis.METHODS:Patients with DQ poisoning were included from September 2020 to December2023,and data were extracted from their electronic medical records on the first day of hospitalization.Least Absolute Shrinkage and Selection Operator (LASSO) regression and binary multivariate logistic regression analyses were performed on the collected clinical data to identify risk factors.RESULTS:A total of 117 patients with acute DQ poisoning were included,and were categorized into two groups based on their 28-day outcomes:survival group (n=67) and non-survival group (n=50).There were no statistically significant differences between the two groups in terms of sex,lymphocyte count,platelet-to-lymphocyte ratio,or blood purification rate (P>0.05).The analysis revealed that age (odds ratio[OR]1.094,95%confidence interval[95%CI]1.022–1.171),blood drug concentration (OR 3.659,95%CI1.846–7.252),lactate (OR 1.686,95%CI 1.062–2.678),neutrophil-to-lymphocyte ratio (NLR)(OR 1.101,95%CI 1.017–1.192),albumin (OR 1.275,95%CI 1.107–1.468),and aspartate aminotransferase (AST)(OR 1.027,95%CI 1.005–1.051) were the risk factors for mortality.CONCLUSION:This study identified key risk factors for 28-day mortality in patients with acute DQ poisoning,which may provide valuable guidance for clinical treatment,particularly for emergency physicians.
文摘BACKGROUND Organophosphate(OP)poisoning is common in sub-Saharan Africa.It is asso-ciated with high mortality and morbidity.Affected individuals often exhibit cho-linergic symptoms and respiratory distress.Moreover,other complications,such as pancreatitis,arrhythmias,and hepatic dysfunction,have been reported.How-ever,paralytic ileus is an exceedingly rare complication.CASE SUMMARY We report a case of a 5-year-old boy who presented with altered sensorium and abdominal distension following suspected OP exposure.Physical examination and imaging revealed features of intestinal obstruction and neurological deficits.He was managed with atropine,pralidoxime,and other supportive measures and had a successful recovery.Paralytic ileus is an atypical complication of acute OP poisoning.The resultant intestinal obstruction manifests as cholinergic overac-tivity,leading to bowel dysmotility.This case emphasizes the need for awareness and prompt management of such atypical presentations,especially in the pe-diatric population.CONCLUSION Timely recognition and multidisciplinary management of atypical presentations,such as paralytic ileus,are crucial in improving outcomes in pediatric OP poi-soning.
基金Supported by the National Natural Science Foundation of China,No.82372172the Key Research and Development Plan Project of Heilongjiang Province,No.GA23C007+3 种基金the Heilongjiang Province Postdoctoral Start-up Fund,No.LBH-Q20037the Research Project of Heilongjiang Provincial Health Commission,No.20231717010461the Special Fund for Clinical Research of Wu Jie-ping Medical Foundation,No.320.6750.2022-02-16the Scientific Research Innovation Fund of the First Affiliated Hospital of Harbin Medical University,No.2021M08.
文摘BACKGROUND The common cause of sodium nitrite poisoning has shifted from previous accidental intoxication by exposure or ingestion of contaminated water and food to recent alarming intentional intoxication as an employed method of suicide/exit.The subsequent formation of methemoglobin(MetHb)restricts oxygen transport and utilization in the body,resulting in functional hypoxia at the tissue level.In clinical practice,a mismatch of cyanotic appearance and oxygen partial pressure usually contributes to the identification of methemoglobinemia.Prompt recognition of characteristic mismatch and accurate diagnosis of sodium nitrite poisoning are prerequisites for the implementation of standardized systemic interventions.CASE SUMMARY A pregnant woman was admitted to the Department of Critical Care Medicine at the First Affiliated Hospital of Harbin Medical University due to consciousness disorders and drowsiness 2 h before admission.Subsequently,she developed vomiting and cyanotic skin.The woman underwent orotracheal intubation,invasive mechanical ventilation(IMV),and correction of internal environment disturbance in the ICU.Her premature infant was born with a higher-than-normal MetHb level of 3.3%,and received detoxification with methylene blue and vitamin C,supplemental vitamin K1,an infusion of fresh frozen plasma,as well as respiratory support via orotracheal intubation and IMV.On day 3 after admission,the puerpera regained consciousness,evacuated the IMV,and resumed enteral nutrition.She was then transferred to the maternity ward 24 h later.On day 7 after admission,the woman recovered and was discharged without any sequelae.CONCLUSION MetHb can cross through the placental barrier.Level of MetHb both reflects severity of the sodium nitrite poisoning and serves as feedback on therapeutic effectiveness.
文摘Objective: To analyze the emergency treatment effect of ultra-early hemoperfusion (HP) in patients with severe organophosphate pesticide poisoning (SOPP). Methods: Sixty SOPP patients treated in the emergency department between January 2022 and January 2024 were randomly divided into two groups using a random number table. The observation group (30 cases) received ultra-early HP treatment, while the reference group (30 cases) received conventional HP treatment initiated 6 hours post-poisoning. The groups were compared in terms of overall emergency efficacy, clinical indicators, serological markers, inflammatory factors, and complication rates. Results: The observation group had a higher total efficacy rate than the reference group, superior clinical indicators, and a lower complication rate (P < 0.05). After 24 hours of emergency treatment, serological markers and inflammatory factor levels in the observation group were lower than those in the reference group (P < 0.05). Conclusion: Ultra-early HP treatment provides better emergency outcomes for SOPP patients by shortening treatment time, improving serological markers and inflammatory factor levels, and offering higher safety. It demonstrates significant advantages in emergency care.
文摘This review addresses the critical intersection between acute poisoning and the associated psychological trauma,highlighting the need to bridge the gap between emergency care and long-term mental health rehabilitation.The global incidence of acute poisoning varies,showing different demographic patterns in psychological trauma post-poisoning,with suicide attempts accounting for approximately 76%of cases in some cohorts.Additionally,an estimated 385 million unintentional pesticide poisonings occur annually worldwide.A comprehensive understanding of the biological and neurobiological mechanisms involved—along with accurate diagnostic strategies and treatment methods—is essential.Multidisciplinary and integrated care approaches associated with a reduction in allcause mortality(odds ratio:0.52)and significant symptom burden relief,along with technological and therapeutic innovations,are essential for improving patient outcomes.Finally,this review outlines policy and research recommendations to enhance integrated care systems for the better management of acute poisoning and its associated psychological trauma.
文摘Imidacloprid,a neonicotinoid insecticide,is widelyused in agriculture as a safer alternative to highly toxicorganophosphates.It targets nicotinic acetylcholinereceptors in pests and is generally low in toxicity tohumans.However,large ingestions can cause severe,life-threatening complications,with no establishedtreatment protocols.Though rarely fatal,imidaclopridpoisoning is increasingly reported in agricultural regions,particularly in Southeast Asia,with most cases involvingsuicide attempts.
基金supported by the Natural Science Basic Research Plan in Shaanxi Province of China(Program No.2022JM-381,2017JQ6070)National Natural Science Foundation of China(Grant No.61703256),Foundation of State Key Laboratory of Public Big Data(No.PBD2022-08)the Fundamental Research Funds for the Central Universities,China(Program No.GK202201014,GK202202003,GK201803020).
文摘Studies show that Graph Neural Networks(GNNs)are susceptible to minor perturbations.Therefore,analyzing adversarial attacks on GNNs is crucial in current research.Previous studies used Generative Adversarial Networks to generate a set of fake nodes,injecting them into a clean GNNs to poison the graph structure and evaluate the robustness of GNNs.In the attack process,the computation of new node connections and the attack loss are independent,which affects the attack on the GNN.To improve this,a Fake Node Camouflage Attack based on Mutual Information(FNCAMI)algorithm is proposed.By incorporating Mutual Information(MI)loss,the distribution of nodes injected into the GNNs become more similar to the original nodes,achieving better attack results.Since the loss ratios of GNNs and MI affect performance,we also design an adaptive weighting method.By adjusting the loss weights in real-time through rate changes,larger loss values are obtained,eliminating local optima.The feasibility,effectiveness,and stealthiness of this algorithm are validated on four real datasets.Additionally,we use both global and targeted attacks to test the algorithm’s performance.Comparisons with baseline attack algorithms and ablation experiments demonstrate the efficiency of the FNCAMI algorithm.
文摘BACKGROUND Ethylene glycol(EG)poisoning is often caused by the accidental ingestion of antifreeze.EG is metabolized into glycolate and oxalate and may cause metabolic acidaemia,neurotoxicity,acute kidney injury,and death.A variety of EG poisoning case reports have been published,and we wrote this case report and literature review to summarize the clinical experience of patients who survived EG poisoning.CASE SUMMARY In this case report,a 55-year-old man developed EG poisoning after ingesting antifreeze by accident and experienced acute kidney injury,nervous system dysfunction and inhalation pneumonia.The timely use of ethanol for detoxification,initiation of haemodialysis,and protection of organ function are effective treatment methods for patients with antifreeze poisoning.The patient was discharged in the 3rd week after admission.When discharged,the patient did not report any discomfort,had stable vital signs,did not have fever or diarrhoea,and had improved liver and kidney functions.CONCLUSION A timely diagnosis,haemodialysis,and organ protection are the keys to the successful treatment of poisoned patients.
基金supported by the National Natural Science Foundation of China(Nos.52225004,22402220,and 52200136)the National Key R&D Program of China(Nos.2022YFC3704400 and 2022YFC3701804)the Construction Project of National New Material Production and Application Demonstration Platform(No.TC220H06N)。
文摘Hydrocarbons(HCs)exert toxic effects on the activity of Cu-based zeolite catalysts for NH_(3)-SCR on diesel vehicles.This study inve stigated the hydrocarbon resistance of both fresh and hydrothermally aged high-silica Cu-SSZ-16 catalysts.It was found that low-temperature activity of Cu-SSZ-16 catalyst decreased after C_(3)H_(6) poisoning,which was mainly due to the blockage of pore channels and the coverage of Cu active sites as well as acid sites by the formation of carbon deposits.Additionally,[Cu(OH)]^(+)-Z was proposed to be more easily affected by C_(3)H_(6) poisoning than Cu^(2+)-2Z.Hydrothermally aged Cu-SSZ-16 presented better C_(3)H_(6) resistance than the fresh catalyst since less carbon deposits were accumulated and[Cu(OH)]^(+)-Z species were partially transformed to more-stable Cu^(2+)-2Z in the aged sample.This was probably because of the reduction of acid sites and the formation of CuO_(x),which enhanced the oxidation of C_(3)H_(6),thereby inhibiting the formation of carbon deposits.In addition,the coverage of the active Cu species also influenced the adsorption and oxidation of NO,causing a decrease in low-temperature activity.Thus,the low-temperature activity could be fully recovered by hydrothermal treatment at 500℃due to the removal of carbon deposits and recovery of Cu active sites as well as acid sites.In summary,high-silica CuSSZ-16,with high resistance to HCs and excellent hydrothermal stability,is a competitive candidate as a catalyst for the NH_(3)-SCR reaction in practical application.
基金supported by the National Key Research and Development Program of China(2023YFC3603100 and 2023YFC3603105)"Leading Goose"R&D Program of Zhejiang(2022C03076-4).
文摘Chlorfenapyr poisoning is associated with high mortality due to the absence of evidence-based treatment strategies or specific antidotes.[1,2]Chlorfenapyr is a novel N-substituted halogenated pyrrole pro-insecticide.The active metabolite of tralopyril(a metabolite of chlorfenapyr)can uncouple oxidative phosphorylation and impair adenosine triphosphate(ATP)production.[3]Blood purification techniques,including hemoperfusion(HP),may facilitate tralopyril clearance.[4,5]Here,we present a case of severe chlorfenapyr poisoning that was treated with intensive HP.H owever,during follow-up,we unexpectedly found a ventricular aneurysm in the left ventricle that was not fully explained by coronary artery lesions.
基金supported by National Natural Science Foundation of China(U20A20130)Fundamental Research Funds for the Central Universities(FRF-EYIT-23-07).
文摘Ammonia selective catalytic reduction(NH_(3)-SCR)is the most widely used technology in thefield of industrialflue gas denitrification.However,the presence of heavy metals influe gas can seriously affect the performance of SCR catalysts,leading to their deactivation or even failure.Therefore,it is of great significance to deeply study the poisoning mechanism of SCR catalysts under the action of heavy metals and how to enhance their resistance to poisoning.This article reviews the reaction mechanism of NH_(3)-SCR technology,compares the impact of heavy metals on the activity of different SCR catalysts,and then discusses in detail the poisoning mechanism of SCR catalysts by heavy metals,including pore blockage,reduction of specific surface area,and destruction of active centers caused by heavy metal deposition,all of which jointly lead to the physical or chemical poisoning of the catalyst.Meanwhile,the mechanism of action when multiple toxicants coexist was analyzed.To effectively address these challenges,the article further summarizes various methods to improve the catalyst's resistance to heavy metal poisoning,such as element doping,structural optimization,and carrier addition,which significantly enhance the heavy metal resistance of the catalyst.Finally,the article provides a prospective analysis of the challenges faced by NH_(3)-SCR catalysts in anti-heavy metal poisoning technology,emphasizing the necessity of in-depth research on the poisoning mechanism,exploration of the mechanism of synergistic action of multiple pollutants,development of comprehensive anti-poisoning strategies,and research on catalyst regeneration technology,in order to promote the development of efficient anti-heavy metal poisoning NH_(3)-SCR catalysts.
文摘Botulinum toxin,a protein exotoxin secreted by Clostridium botulinum,binds to peripheral nerve terminals,inhibits acetylcholine release,and leads to flaccid muscle paralysis.[1]Botox(onabotulinum toxin A)was approved by the Food and Drug Administration(FDA)for cosmetic and therapeutic indications in 2002,and its global use has increased substantially.[2]However,some unlicensed botulinum toxin products may cause iatrogenic botulism.[3]Early diagnosis remains challenging owing to non-specific clinical features and the lack of diagnostic biomarkers,often delaying the timely administration of antitoxin.[4]This study reviewed recent cases of botulism in our center and summarized their clinical presentations,symptoms,and outcomes.
文摘BACKGROUND:Penehyclidine is a newly developed anticholinergic agent.We aimed to investigate the role of penehyclidine in acute organophosphorus pesticide poisoning(OP)patients.METHODS:We searched the Pubmed,Cochrane library,EMBASE,Chinese National Knowledge Infrastructure(CNKI),Chinese Biomedical literature(CBM)and Wanfang databases.Randomized controlled trials(RCTs)recruiting acute OP patients were identifi ed for meta-analysis.Main outcomes included cure rate,mortality rate,time to atropinization,time to 60%normal acetylcholinesterase(AchE)level,rate of intermediate syndrome(IMS)and rate of adverse drug reactions(ADR).RESULTS:Sixteen RCTs involving 1,334 patients were identifi ed.Compared with the atropineor penehyclidine-alone groups,atropine combined with penehyclidine significantly increased the cure rate(penehyclidine+atropine vs.atropine,0.97 vs.0.86,RR 1.13,95%CI[1.07–1.19];penehyclidine+atropine vs.penehyclidine,0.93 vs.0.80,RR 1.08,95%CI[1.01–1.15])and reduced the mortality rate(penehyclidine+atropine vs.atropine,0.015 vs.0.11,RR 0.17,95%CI[0.06–0.49];penehyclidine+atropine vs.penehyclidine,0.13 vs.0.08,RR 0.23,95%CI[0.04–1.28]).Atropine combined with penehyclidine in OP patients also helped reduce the time to atropinization and AchE recovery,the rate of IMS and the rate of ADR.Compared with a single dose of atropine,a single dose of penehyclidine also signifi cantly elevated the cure rate,reduced times to atropinization,AchE recovery,and rate of IMS.CONCLUSION:Atropine combined with penehyclidine benefi ts OP patients by enhancing the cure rate,mortality rate,time to atropinization,AchE recovery,IMS rate,total ADR and duration of hospitalization.Penehyclidine combined with atropine is likely a better initial therapy for OP patients than atropine alone.
文摘Objective This study analyzed patterns of suicide and suicide attempts by poisoning as reported through a national poison control system for the purpose of improving intervention and prevention. Methods During the period of 2000 to 2006, 6440 cases of poisoning suicide were reported to the telephone consultation service system of The National Center for Poisoning Control （Chinese Center for Disease Control and Prevention）. Among these records, 4728 cases had completed data for this analysis in terms of age, sex, trend of time and location, and type of poisons. Results There were 60.6% female cases with the age from 10 to 90 years old. The age of cases from 20 to 39 years accounted for 54.5% of all age groups. Both the numbers and percentage in record related to poisoning consultation of oral poisoning suicide showed an increasing tendency during the 7 years. In particular, there was a drastic increase from 2004 to 2006. In addition, the high frequency of cases occurred from May to October. Hebei, Shandong, Henan, and Anhui Provinces had the highest number of cases. Pesticide poisonings were the most common method in these cases of consultation for suicide and suicide attempts. Conclusion This study describes epidemiological characteristics in the oral poisoning suicide cases and provides scientific basis for suicide prevention interventions.
文摘Objective To investigate whether acute dipterex poisoning (ADP) may cause oxidative stress and free radical damage in the bodies of acute dipterex poisoning patients (ADPPs), and to explore the mechanisms by which ADP may cause oxidative stress and free radical damage. Methods Fifty ADPPs and fifty healthy adult volunteers (HAVs) whose ages, gender and others were matched with the ADPPs were enrolled in a randomized controlled study, in which concentrations of nitric oxide (NO), vitamin C (VC), vitamin E (VE) and P-carotene (P-CAR) in plasma as well as concentration of lipoperoxide (LPO), and activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX) and acetylcholinesterase (AChE) in erythrocytes were determined by spectrophotometric analytical methods. Results Compared with the average values of experimental parameters in the HAVs group, the average values of plasma NO and erythrocyte LPO in the ADPPs group were significantly increased (P<0.0001), while those of plasma VC, VE and P-CAR as well as erythrocyte SOD, CAT, GPX and AChE in the ADPPs group were significantly decreased (P<0.0001). Bivariate correlation analysis and partial correlation analysis suggested that when NO and LPO values were increased, and VC, VE, β-CAR, SOD, CAT and GPX values were decreased in the ADPPs, AChE value was decreased gradually in the ADPPs (P<0.001-0.0001). Reliability analysis of experimental parameters reflecting oxidative stress and free radical damage in the ADPPs showed that the reliability coefficient (8 items) alpha=0.6909, and the standardized item alpha=0.8574. Conclusion The findings in the present study suggest that ADP can cause oxidative stress and free radical damage, and inhibit markedly erythrocyte acetylcholinesterase activity in ADPPs.
