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Successful treatment of a patient with mixed pesticide poisoning caused by lethal-dose emamectin benzoate and chlorfenapyr
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作者 Xueting Cao Yunhan Liu +4 位作者 Gen Ba Ji Wang Haikang Jin Dianxia Lu Jinsong Zhang 《World Journal of Emergency Medicine》 2026年第1期89-91,共3页
Pesticide poisoning remains a critical public health challenge worldwide.At present,chlorfenapyr,classifi ed by the World Health Organization(WHO)as a moderately toxic insecticide,is increasingly used in agriculture,l... Pesticide poisoning remains a critical public health challenge worldwide.At present,chlorfenapyr,classifi ed by the World Health Organization(WHO)as a moderately toxic insecticide,is increasingly used in agriculture,leading to more poisoning incidents.It has a fatality rate as high as 76%after poisoning.[1]Here,we report a successful treatment of a patient with mixed pesticide poisoning caused by lethaldose emamectin benzoate(EB)and chlorfenapyr in the Department of Critical Care Medicine,Yangzhou Hongquan Hospital. 展开更多
关键词 mixed pesticide poisoning fatality rate public health challenge CHLORFENAPYR emamectin benzoate lethaldose emamectin benzoate eb pesticide poisoning treatment
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Clearance eff ects of blood purifi cation on chlorfenapyr and tralopyril in chlorfenapyr poisoning patients
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作者 Yu Gong Yanling Dong +7 位作者 Yaqing An Hongxin Zhang Yiqing Sun Yijiao Men Hengbo Gao Dongqi Yao Na Meng Yingping Tian 《World Journal of Emergency Medicine》 2026年第1期65-69,共5页
BACKGROUND:This study is to evaluate clearance eff ects of hemoperfusion(HP),continuous renal replacement therapy(CRRT),and plasma exchange(PE)for chlorfenapyr and its metabolite tralopyril in patients with acute pois... BACKGROUND:This study is to evaluate clearance eff ects of hemoperfusion(HP),continuous renal replacement therapy(CRRT),and plasma exchange(PE)for chlorfenapyr and its metabolite tralopyril in patients with acute poisoning.METHODS:This retrospective study included 18 patients with acute oral chlorfenapyr poisoning treated at our department between January 2022 and January 2024.All patients received conventional therapies combined with blood purification,including HP,CRRT,and PE.HP was performed three sessions within the fi rst 24 h,followed by CRRT and PE.Serial blood samples were collected to measure plasma concentrations of chlorfenapyr and tralopyril using gas chromatography/liquid chromatography-mass spectrometry(GC/LC-MS).The toxin-clearance eff ects were assessed using a linear mixed-eff ects(LME)model.RESULTS:The hourly decline rate of the plasma chlorfenapyr concentration(median[IQR])was 8.83%(1.79%)for HP,4.12%(1.26%)for CRRT,and 6.85%(1.44%)for PE.LME analysis showed higher decline rate in the plasma concentration with HP(β=5.00;P<0.001)and PE(β=2.15;P=0.003)compared to CRRT.For tralopyril,the hourly decline rates were 3.04%(0.62%)for HP,1.82%(0.48%)for CRRT,and 3.01%(0.37%)for PE.LME analysis showed that the clearance effects of HP(β=0.027;P<0.001)and PE(β=0.022;P=0.001)were superior to CRRT.Pre-treatment toxin levels and the interval from hospital admission to blood purifi cation showed no signifi cant interaction with clearance outcomes.CONCLUSION:In our study,HP was associated with a higher decline rate in plasma chlorfenapyr concentration compared to CRRT and PE,supporting HP as a preferred early intervention.However,all three methods showed limited effi cacy in reducing tralopyril levels.Further research into the toxicokinetics and mechanisms of chlorfenapyr is warranted to optimize purifi cation strategies. 展开更多
关键词 CHLORFENAPYR Tralopyril POISONING HEMOPERFUSION Plasma exchange Continuous renal replacement therapy
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Robust Recommendation Adversarial Training Based on Self-Purification Data Sanitization
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作者 Haiyan Long Gang Chen Hai Chen 《Computers, Materials & Continua》 2026年第4期840-859,共20页
The performance of deep recommendation models degrades significantly under data poisoning attacks.While adversarial training methods such as Vulnerability-Aware Training(VAT)enhance robustness by injecting perturbatio... The performance of deep recommendation models degrades significantly under data poisoning attacks.While adversarial training methods such as Vulnerability-Aware Training(VAT)enhance robustness by injecting perturbations into embeddings,they remain limited by coarse-grained noise and a static defense strategy,leaving models susceptible to adaptive attacks.This study proposes a novel framework,Self-Purification Data Sanitization(SPD),which integrates vulnerability-aware adversarial training with dynamic label correction.Specifically,SPD first identifies high-risk users through a fragility scoring mechanism,then applies self-purification by replacing suspicious interactions with model-predicted high-confidence labels during training.This closed-loop process continuously sanitizes the training data and breaks the protection ceiling of conventional adversarial training.Experiments demonstrate that SPD significantly improves the robustness of both Matrix Factorization(MF)and LightGCN models against various poisoning attacks.We show that SPD effectively suppresses malicious gradient propagation and maintains recommendation accuracy.Evaluations on Gowalla and Yelp2018 confirmthat SPD-trainedmodels withstandmultiple attack strategies—including Random,Bandwagon,DP,and Rev attacks—while preserving performance. 展开更多
关键词 ROBUSTNESS adversarial defense recommendation system poisoning attack SELF-PURIFICATION
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Aconitine poisoning after acupuncture and cupping:a case report
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作者 Lei Wu Xingcheng Li +3 位作者 Jialong Chen Congli Yang Fenshuang Zheng Canju Yang 《World Journal of Emergency Medicine》 2026年第1期92-94,共3页
Aconitines are a group of highly bioactive and toxic compounds found in aconitum species.[1]It is clinically used to treat rheumatism,rheumatoid arthritis,osteoarthritis,and cancer.[2]In folk medicine,aconitine is oft... Aconitines are a group of highly bioactive and toxic compounds found in aconitum species.[1]It is clinically used to treat rheumatism,rheumatoid arthritis,osteoarthritis,and cancer.[2]In folk medicine,aconitine is often soaked in white wine to make medicinal wine,which is used to treat rheumatism,joint pain,and other diseases.[3]Improper use of aconitine can cause adverse effects in the nervous system and digestive system,as well as cardiovascular dysfunction,especially arrhythmia.[4]Because of its high toxicity when it is improperly handled,aconitine has attracted widespread attention. 展开更多
关键词 treat rheumatismrheumatoid white wine ACUPUNCTURE CUPPING case report treat rheumatismjoint POISONING medicinal winewhich
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Blindness after taking organophosphate pesticide
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作者 Zihao Lin Zuan Zhan Chunshui Cao 《World Journal of Emergency Medicine》 2026年第1期87-88,共2页
Organophosphate pesticide poisoning is an acute form of poisoning primarily found in underdeveloped regions.Its main clinical manifestations include muscarinic symptoms,nicotinic symptoms,and central nervous system di... Organophosphate pesticide poisoning is an acute form of poisoning primarily found in underdeveloped regions.Its main clinical manifestations include muscarinic symptoms,nicotinic symptoms,and central nervous system disturbances.This report presents a case of a middleaged female who developed extremely rare symptoms of optic nerve damage after ingesting a large amount of an organophosphate pesticide. 展开更多
关键词 optic nerve damage BLINDNESS muscarinic symptomsnicotinic symptomsand organophosphate pesticide poisoning organophosphate pesticide central nervous system
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Staphylococcus aureus Cultured from Sushi in China:Revealing the Potential Foodborne Pathogenic Risks based on Antimicrobial Susceptibility,Virulence Factors and Genetic Characteristics
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作者 Hui Li Xin Gan +6 位作者 Menghang Li Shiwei Liu Dajin Yang Lin Yan Séamus Fanning Li Bai Zhaoping Liu 《Biomedical and Environmental Sciences》 2026年第2期239-244,共6页
Staphylococcus aureus(S.aureus)is the third most common pathogen causing 10.6%of bacterial foodborne illnesses in China in 2021[1].Heat-stable Staphylococcal Enterotoxins(SEs)produced by S.aureus are the main contribu... Staphylococcus aureus(S.aureus)is the third most common pathogen causing 10.6%of bacterial foodborne illnesses in China in 2021[1].Heat-stable Staphylococcal Enterotoxins(SEs)produced by S.aureus are the main contributors to staphylococcal food poisoning(SFP),causing vomiting,diarrhea,abdominal pain,headache,muscle cramps,and other acute gastroenteritis symptoms.More than 25 SEs and staphylococcal enterotoxin-like toxins(SE/s)have been described and which together comprise a superfamily of pyrogenic toxin superantigens(SAgs)[2]. 展开更多
关键词 bacterial foodborne illnesses staphylococcus aureus saureus foodborne pathogenic risks staphylococcal food poisoning sfp causing pyrogenic toxin sup antimicrobial susceptibility genetic characteristics virulence factors
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A Survey of Federated Learning:Advances in Architecture,Synchronization,and Security Threats
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作者 Faisal Mahmud Fahim Mahmud Rashedur M.Rahman 《Computers, Materials & Continua》 2026年第3期1-87,共87页
Federated Learning(FL)has become a leading decentralized solution that enables multiple clients to train a model in a collaborative environment without directly sharing raw data,making it suitable for privacy-sensitiv... Federated Learning(FL)has become a leading decentralized solution that enables multiple clients to train a model in a collaborative environment without directly sharing raw data,making it suitable for privacy-sensitive applications such as healthcare,finance,and smart systems.As the field continues to evolve,the research field has become more complex and scattered,covering different system designs,training methods,and privacy techniques.This survey is organized around the three core challenges:how the data is distributed,how models are synchronized,and how to defend against attacks.It provides a structured and up-to-date review of FL research from 2023 to 2025,offering a unified taxonomy that categorizes works by data distribution(Horizontal FL,Vertical FL,Federated Transfer Learning,and Personalized FL),training synchronization(synchronous and asynchronous FL),optimization strategies,and threat models(data leakage and poisoning attacks).In particular,we summarize the latest contributions in Vertical FL frameworks for secure multi-party learning,communication-efficient Horizontal FL,and domain-adaptive Federated Transfer Learning.Furthermore,we examine synchronization techniques addressing system heterogeneity,including straggler mitigation in synchronous FL and staleness management in asynchronous FL.The survey covers security threats in FL,such as gradient inversion,membership inference,and poisoning attacks,as well as their defense strategies that include privacy-preserving aggregation and anomaly detection.The paper concludes by outlining unresolved issues and highlighting challenges in handling personalized models,scalability,and real-world adoption. 展开更多
关键词 Federated learning(FL) horizontal federated learning(HFL) vertical federated learning(VFL) federated transfer learning(FTL) personalized federated learning synchronous federated learning(SFL) asynchronous federated learning(AFL) data leakage poisoning attacks privacy-preserving machine learning
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Advancements in chromium-tolerant air electrode for solid oxide cells:A mini-review 被引量:1
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作者 HUANG Jiongyuan CHEN Zhiyi +3 位作者 LUO Yujie AI Na JIANG Sanping CHEN Kongfa 《燃料化学学报(中英文)》 北大核心 2025年第2期249-261,共13页
Solid oxide cells(SOCs)are emerging devices for efficient energy storage and conversion.However,during SOC operation,gaseous chromium(Cr)species released from Fe-Cr alloy interconnect can lead to Cr deposition and poi... Solid oxide cells(SOCs)are emerging devices for efficient energy storage and conversion.However,during SOC operation,gaseous chromium(Cr)species released from Fe-Cr alloy interconnect can lead to Cr deposition and poisoning of air electrodes,causing substantial degradation in electrochemical performance and compromising the longterm stability of SOCs.This mini-review examines the mechanism of Cr deposition and poisoning in air electrodes under both fuel-cell and electrolysis modes.Furthermore,emphasis is placed on the recent advancements in strategies to mitigate Cr poisoning,offering insights into the rational design and development of active and Cr-tolerant air electrodes for SOCs. 展开更多
关键词 solid oxide cells air electrodes Cr poisoning surface modification
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以突发性聋为首发症状的砷中毒死亡1例
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作者 李梦茵 牛红燕 +1 位作者 杨欣欣 李晓瑜 《中国耳鼻咽喉头颈外科》 2025年第7期474-474,共1页
1临床资料患者,女,37岁,因突发双耳听力下降、耳鸣伴恶心呕吐2 d,眩晕14 h于2023-03-10就诊于济宁医学院附属医院。患者既往有眩晕病史,左侧乳腺炎病史2个余月,否认其他疾病史。体格检查:一般情况尚可,神志清醒,查体配合,生命体征正常,... 1临床资料患者,女,37岁,因突发双耳听力下降、耳鸣伴恶心呕吐2 d,眩晕14 h于2023-03-10就诊于济宁医学院附属医院。患者既往有眩晕病史,左侧乳腺炎病史2个余月,否认其他疾病史。体格检查:一般情况尚可,神志清醒,查体配合,生命体征正常,左乳见一处约10 cm×10 cm溃疡面,局部中草药外敷,表面污秽,见渗出。 展开更多
关键词 听觉丧失 突发性(Hearing Loss Sudden) 砷中毒(Arsenic Poisoning)
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Unraveling the poisoning mechanism of impurity gases on TiFe hydrogen storage alloys 被引量:1
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作者 Hangyan Shi Yingxian Zhang +7 位作者 Zhenglong Li Fan Gao Xinqiang Wang Yaxiong Yang Yanxia Liu Xuezhang Xiao Fang Fang Wen-Gang Cui 《International Journal of Minerals,Metallurgy and Materials》 2025年第11期2743-2755,共13页
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
关键词 hydrogen storage TiFe alloys poisoning resistance surface reconstruction cycling stability
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A comprehensive review of deactivation and modification of selective catalytic reaction catalysts installed in cement kilns 被引量:1
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作者 Yang Zheng Yi Xing +4 位作者 Guoliang Li Jiajia Gao Rui Li Qi Liu Tao Yue 《Journal of Environmental Sciences》 2025年第2期451-467,共17页
After the ultralow emission transformation of coal-fired power plants,cement production became China’s leading industrial emission source of nitrogen oxides.Flue gas dust contents at the outlet of cement kiln preheat... After the ultralow emission transformation of coal-fired power plants,cement production became China’s leading industrial emission source of nitrogen oxides.Flue gas dust contents at the outlet of cement kiln preheaters were as high as 80-100 g/m^(3),and the calcium oxide content in the dust exceeded 60%.Commercial V_(2)O_(5)(-WO_(3))/TiO_(2) catalysts suitable for coal-fired flue gas suffer from alkaline earth metal Ca poisoning of cement kiln flue gas.Recent studies have also identified the poisoning of cement kiln selective catalytic reaction(SCR)catalysts by the heavy metals lead and thallium.Investigation of the poisoning process is the primary basis for analyzing the catalytic lifetime.This review summarizes and analyzes the SCR catalytic mechanism and chronicles the research progress concerning this poisoning mechanism.Based on the catalytic and toxification mechanisms,it can be inferred that improving the anti-poisoning performance of a catalyst enhances its acidity,surface redox performance-active catalytic sites,and shell layer protection.The data provide support in guiding engineering practice and reducing operating costs of SCR plants.Finally,future research directions for SCR denitrification catalysts in the cement industry are discussed.This study provides critical support for the development and optimization of poisoning-resistant SCR denitrification catalysts. 展开更多
关键词 Cement Flue Gas NH_(3)-SCR CaO Poisoning Mechanism Anti-poisoning Modification
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Strategies for balancing catalytic activity and stability in lithium-sulfur batteries
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作者 PENG Lin-kai SHI Ji-wei +3 位作者 CAO Yun LAN Jia-qi GENG Chuan-nan LV Wei 《新型炭材料(中英文)》 北大核心 2025年第4期889-908,共20页
Lithium-sulfur(Li-S)batteries have great promise for next-generation energy storage devices due to the high theoretical specific capacity(1675 mAh g^(-1))of sulfur with chemical conversion for charge storage.However,t... Lithium-sulfur(Li-S)batteries have great promise for next-generation energy storage devices due to the high theoretical specific capacity(1675 mAh g^(-1))of sulfur with chemical conversion for charge storage.However,their practical use is hindered by the slow redox kinetics of sulfur and the“shuttle effect”arising from dissolved lithium polysulfides(LiPSs).In recent years,various carbon-based materials have served as sulfur hosts and catalysts for accelerating sulfur conversion redox kinetics and alleviating LiPS shuttling.However,they often suffer from irreversible passivation and structural changes that destroy their long-term performance.We consider the main problems limiting their stability,including excessive LiPS adsorption,passivation by insulating Li2S,and surface reconstruction,and clarify how these factors lead to capacity fade.We then outline effective strategies for achieving long-term sulfur catalysis,focusing on functional carbon,such as designing suitable carbon-supported catalyst interfaces,creating well-distributed active sites,adding cocatalysts to improve electron transfer,and using carbon-based protective layers to suppress unwanted side reactions.Using this information should enable the development of stable,high-activity catalysts capable of long-term operation under practical conditions in Li-S batteries. 展开更多
关键词 Lithium-sulfur batteries CATALYSIS Catalyst poisoning Catalytic activity Catalytic stability
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Enhanced Performance of La_(0.7)Sr_(0.3)FeO_(3-δ)Cathode for SOFC via Implementation of B-site High-entropy Strategy
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作者 LIU Hongming ZHANG Jinke +8 位作者 CHEN Zhengpeng LI Mingfei QIAN Xiuyang SUN Chuanqi XIONG Kai RAO Mumin CHEN Chuangting GAO Yuan LING Yihan 《无机材料学报》 北大核心 2025年第12期1433-1442,I0019-I0020,共12页
As classical cathode materials of solid oxide fuel cell(SOFC),Fe-based perovskite materials are favored for their affordable price,low thermal expansion coefficient and high stability.In this study,B-site high-entropy... As classical cathode materials of solid oxide fuel cell(SOFC),Fe-based perovskite materials are favored for their affordable price,low thermal expansion coefficient and high stability.In this study,B-site high-entropy perovskite oxide La_(0.7)Sr_(0.3)(FeNiCo)_(0.8)Mo_(0.1)Ti_(0.1)O_(3-δ)(LSFNCMT)was prepared by the citric acid-nitrate combustion method.Due to the faster oxygen surface exchange rate of the high-entropy material,the LSFNCMT cathode shows excellent oxygen reduction reaction(ORR)activity with a polarization impedance(Rp)of 0.11Ω·cm^(2) at 800℃,which is much lower than that of the La_(0.7)Sr_(0.3)FeO_(3-δ)(LSF)cathode(0.31Ω·cm^(2)).Furthermore,the high-entropy material exhibits superior stability due to incorporation of highly acidic Ni,Co,and Mo cations as well as Ti cation with more negative average bonding energy(ABE)of metal-oxygen.In the 22 h-stability test of the symmetric cell with LSFNCMT cathode in the Cr-containing atmosphere,Rp only increases from 1.07Ω·cm^(2) to 2.98Ω·cm^(2),while Rp of the LSF cathode increases from 2.62Ω·cm^(2) to 7.90Ω·cm^(2) under the same conditions,indicating better Cr-resistance of LSFNCMT due to the high-entropy strategy.The fact that the maximum power density(MPD)of the single cell with LSFNCMT cathode at 800℃is 1105.26 mW·cm^(-2),significantly higher than that of LSF cathode(830.74 mW·cm^(-2)),and Rp at 800℃is 0.24Ω·cm^(2),lower than that of LSF cathode(0.36Ω·cm^(2)),confirming excellent toxicity resistance of the high-entropy cathode.This study shows that B-position high entropy is an effective way to improve the catalytic activity and chromium resistance of cathode materials. 展开更多
关键词 solid oxide fuel cell cathode material B-site high entropy anti-chromium poisoning
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Effect of retinoic acid on delayed encephalopathy after acute carbon monoxide poisoning:Role of the lncRNA SNHG15/LINGO-1/BDNF/TrkB axis
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作者 HUANG Fangling WANG Su’e +2 位作者 PENG Zhengrong HUANG Xu BAI Sufen 《中南大学学报(医学版)》 北大核心 2025年第6期955-969,共15页
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
关键词 delayed encephalopathy after acute carbon monoxide poisoning apoptosis retinoic acid NEUROPROTECTION LINGO-1 lncRNA SNHG15
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Lemborexant overdose:A case report
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作者 Daichi Katto Hiroshi Ito Daiki Kobayashi 《Journal of Acute Disease》 2025年第2期1-3,共3页
Rationale:Advances in sleep research have introduced medications like lemborexant,a dual orexin receptor antagonist.While effective for regulating sleep,overdoses are a concern,especially in suicide attempts.However,l... Rationale:Advances in sleep research have introduced medications like lemborexant,a dual orexin receptor antagonist.While effective for regulating sleep,overdoses are a concern,especially in suicide attempts.However,limited data exist on lemborexant overdose,prompting this case report to elucidate its clinical course.Patient’s Concern:A 91-year-old Japanese woman with multiple comorbidities,including insomnia and chronic kidney disease,was admitted after ingesting 315 mg of lemborexant in a suicide attempt.Diagnosis:Lemborexant overdose.Interventions:Supportive care with 500 mL of Ringer’s acetate solution at the emergency room.Outcomes:She gradually regained full consciousness with no residual deficits.Due to persistent suicidal ideation,she was transferred to a psychiatric hospital after seven days of supportive care.Lessons:A review of four lemborexant overdose cases managed at our hospital revealed that overdoses primarily induce altered consciousness and are unlikely to cause organ dysfunction.Supportive care is generally sufficient for management.However,given the limited data,further case accumulation is needed to enhance clinical understanding. 展开更多
关键词 Lemborexant OVERDOSE POISONING Suicidal attempt
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Organophosphate poisoning presenting with paralytic ileus:A case report
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作者 Felix Pius Omullo Nick Mutisya +3 位作者 Elisha Kinas Thomas Kitheghe Zamzam Hassan Rynah Muhonja 《World Journal of Clinical Pediatrics》 2025年第3期375-380,共6页
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
关键词 Organophosphate poisoning PESTICIDE ATROPINE Paralytic ileus Pediatric toxicology Case report
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Focus on the catalysts to resist the phosphate poisoning in high-temperature proton exchange membrane fuel cells
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作者 Liyuan Gong Li Tao +2 位作者 Lei Wang Xian-Zhu Fu Shuangyin Wang 《Chinese Journal of Catalysis》 2025年第1期155-176,共22页
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
关键词 Fuel cell High-temperature Phosphate acid poisoning Activitydegradation Electrocatalystdesign
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An unusual case of airway edema and encephalopathy:imidacloprid poisoning
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作者 Manju Mathew Shalini.M.Nair +1 位作者 Nishant G Ninu Rose Paul 《World Journal of Emergency Medicine》 2025年第3期286-288,共3页
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
关键词 airway edema highly toxicorganophosphatesit POISONING ENCEPHALOPATHY NEONICOTINOID neonicotinoid insecticideis nicotinic acetylcholinereceptors insecticide
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Multiple Chemical Sensitivity: A Sickness of Suffering, Not of Dying. Descriptive Study of 33 Cases
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作者 Blanca Navas-Soler Aarón Gutiérrez-Pastor +21 位作者 Antonio Palazón-Bru Jorge Vallejo-Ortega Álex Méndez-Jover Celia Santano-Pérez Carmen Seguí-Pérez Marc Seguí-Pérez Sonia Cascant-Pérez Juan Carlos López-Corbalán Míriam Pérez-Cardona Ramón Pérez-Doménech Antonio Hernández-García Patricia Lorca-Amorrich Ana Belén Llinares-Llinares Cristina Valverde-Cámara Rosa María Bustos-Martínez Juan Manuel Núñez-Cruz Isidro Hernández-Isasi José Juan Martínez-Pérez José Manuel Santano-López María Dolores Jover-Ríos Juan Méndez-Mora José Miguel Seguí-Ripoll 《Health》 2025年第1期65-81,共17页
Objective: We describe patients with MCS, the evolution of the Quick Environmental Exposure and Sensitivity Inventory (QEESI) score with a special focus on people whose fillings were removed. Methods: We have conducte... Objective: We describe patients with MCS, the evolution of the Quick Environmental Exposure and Sensitivity Inventory (QEESI) score with a special focus on people whose fillings were removed. Methods: We have conducted a retrospective longitudinal cohort study in patients diagnosed with MCS and attended in the outpatient Internal Medicine department of the University Hospital of San Juan de Alicante, from January 1, 2008 to January 1, 2021. Sociodemographic, clinical, QEESI and treatment-related variables were collected. We performed descriptive and inferential analyses. Mixed linear models were used to analyze the QEESI. Calculations were carried out with an α error of 5%. Results: Thirty-three patients were included (72.7% women, mean age 56.2). MCS was mainly triggered by mercury (N = 20) and food intolerance (N = 22). The mean interval from symptoms onset was 120 months (SD 81.6). 114 QEESIs were analyzed: 82 (N = 17 without amalgams) and 32 (N = 16 with amalgams). In patients without amalgams, severity scores increased across all subscales except the masking index (vs. with amalgams). Mean scores for the group without amalgams (vs. with amalgams) were: chemical intolerance, 62.8 points (vs. 63.4 and 46.7);other intolerances, 52.7 points (vs. 62.8 and 50.3);symptom severity, 63.2 (vs. 76.7 and 63.3);masking index, 3.9 (vs. 3.2 and 2.8);and life impacts, 63.1 (vs. 58.4 and 49.8). Conclusion: The profile of patient with MCS is a middle-aged woman who is a frequent user of healthcare services, presents a long diagnostic delay and has borne a great personal, work and socioeconomic impact. The QEESI is useful for the clinical follow-up of patients, including the optimal treatment response in the case of amalgams. Clinical Significance: People affected by Multiple Chemical Sensitivity deserve the attention, understanding and help of health professionals and family members, to face an invisible illness for those who do not suffer from it. Support is needed and doctors must raise awareness, and make an effort to understand and address this pathology. We suggest that protocolized amalgam extraction in accredited and prepared centers can reduce symptoms and improve quality of life, generating clinical, personal, family, occupational, social and occupational benefits. 展开更多
关键词 Chemical Sensitivity Electromagnetic Sensitivity Mercury Poisoning AMALGAMS QEESI
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No evidence of quantitative honest signaling in aposematic traits of the green and black dendrobatid frog Dendrobates auratus in Costa Rica
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作者 Katherine Porras-Brenes Gabriella Church Ralph A.Saporito 《Current Zoology》 2025年第5期660-673,共14页
Aposematism is an antipredator strategy in which conspicuous coloration acts as a warning of chemical defenses to potential predators.Evidence suggests that aposematism largely functions under positive frequency-depen... Aposematism is an antipredator strategy in which conspicuous coloration acts as a warning of chemical defenses to potential predators.Evidence suggests that aposematism largely functions under positive frequency-dependent selection,which is thought to maintain uniformity of aposematic signals.Many studies of aposematic organisms have found evidence that color signals and defenses are positively correlated,indicating a quantitatively honest aposematic signal.Dendrobatid poison frogs represent a well-studied group of aposematic organisms that in addition to exhibiting a diversity of color signals also display unique defensive behaviors.Few studies have examined if both behavior and coloration act as quantitative honest signals of alkaloid defenses in poison frogs.We aimed to determine if coloration and behavior are quantitatively honest signals in the green and black poison frog(Dendrobates auratus)among 6 populations from Costa Rica.We(1)evaluated antipredator displays by using behavioral assays in the field,(2)assessed frog conspicuousness and pattern using digital images,and(3)quantified alkaloid profiles from frog skin secretions.We found that Pacific populations are less conspicuous in coloration,had greater quantities of alkaloids,and more frequently performed body-raising defensive behaviors when compared with Caribbean populations.Our results do not support the hypothesis that aposematic traits in D.auratus are quantitatively honest.Rather,our results suggest that phenotypic differences among populations may represent different phenotypic optima for advertising unprofitability to predators based on local environmental conditions,leading to the diversification of aposematic signals in this species. 展开更多
关键词 alkaloid defense antipredator strategy antipredator behavior coloration APOSEMATISM poison frog
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