ABSTRACT
Objective: The primary aim of this study is to explore the effects of enteral nutrition support with ultrasound-guided three-lumen gastrojejunal tube insertion on nutritional status in patients with severe neurological diseases. Additionally, we aim to assess the impact of this intervention on the success rate of catheterization and the aspiration rate, to comprehensively evaluate its benefits and optimize patient care. Methods: Between March 2022 and March 2023, 60 patients were recruited and randomly divided into ultrasound-guided and control groups of 30 patients each using the Simple Randomisation method. In the control group, a triple-lumen feeding tube was blindly inserted at the bedside for enteral nutritional therapy, and in the ultrasound-guided group, ultrasound-guided identification of gastric structures for placement of a triple-lumen feeding tube for enteral nutritional support, and both treatments were continued for 2 weeks. The success rate of catheterization, nutritional status, aspiration rate, patient satisfaction, and incidence of complications were compared between the two groups before and after treatment. Results: The difference in the success rate of catheterization between the ultrasound guidance group and control group was not statistically significant (93.33% vs 96.67%, P>0.05). After treatment, TP (70.84±3.54 vs 67.15±4.23), ALB (41.23±3.65 vs 38.22±3.47), and Hb (11.54±0.62 vs 9.35±0.28) levels in the ultrasound guidance group were higher than in the control group (P < .05). The difference in aspiration rate between the ultrasound guidance group and control group was not statistically significant [0.00% (0/30) vs 3.33% (1/30), P > .05]. The patient satisfaction in the ultrasound guidance group was higher than that in the control group (P < .05). The difference in the incidence of complications (stomachache, headache, nausea, and vomiting) between the ultrasound guidance group and control group was not statistically significant (6.67% vs 20.00%, P > .05). Conclusion: Enteral nutrition support with ultrasound-guided three-lumen gastrojejunal tube insertion can improve the success rate of catheterization and nutritional status, reduce aspiration rate, and improve satisfaction in patients with severe neurological diseases. In the future, we need to further investigate the incorporation of ultrasound guidance into standard care protocols for patients with severe neurological disorders requiring enteral nutrition. The indications for ultrasound guidance in nursing should also be expanded. In conclusion, ultrasound-guided insertion should be considered the technique of choice for improving nutritional status in the population of patients with severe neurological disease.
ABSTRACT
To effectively kill microorganisms on scrap facemasks (FMs) surface and provide new material for extracting uranium (U(VI)) from seawater, scrap FMs was treated by N2 capacitance coupled (CCP) plasma and modified with polyamidoxime (PAO). The obtained PAO/FMs was well characterized and applied as an adsorbent in the extraction of U(VI) from seawater. The effects of environmental conditions on the adsorption capability of PAO/FMs for U(VI) were briefly studied. Results showed that plasma technique can synchronously kill microorganisms and induce acrylonitrile (AN) polymerization on FMs surface. The prepared PAO/FMs presented excellent adsorption capability for U(VI). The experimental results highlighted the application of plasma technique in the management of scrap FMs, and PAO/FMs in the extraction of U(VI) from seawater.
ABSTRACT
To enhance the anti-biofouling properties and adsorption capability of poly(amidoxime) (PAO), vinylphosphonic acid (VPA, CH2[double bond, length as m-dash]CH-PO3H2) was polymerized on poly(acrylonitrile) (PAN) surface by plasma technique, followed by amidoximation treatment to convert the cyano group (-C[triple bond, length as m-dash]N) into an amidoxime group (AO, -C(NH2)[double bond, length as m-dash]N-OH). The obtained poly(vinylphosphonic acid)/PAO (PVPA/PAO) was used as an adsorbent in the uptake of U(vi) from seawater. The effect of environmental conditions on the anti-biofouling property and adsorption capability of PVPA/PAO for U(vi) were studied. Results show that the modified PVPA enhances the anti-biofouling properties and adsorption capability of PAO for U(vi). The adsorption process is well described by the pseudo-second-order kinetic model and reached equilibrium in 24 h. Adsorption isotherms of U(vi) on PVPA/PAO can be well fitted by the Langmuir model, and the maximum adsorption capability was calculated to be 145 mg g-1 at pH 8.2 and 298 K. Experimental results highlight the application of PVPA/PAO in the extraction of U(vi) from seawater.
ABSTRACT
Background and Objectives: ABO blood types have been implicated as potential risk factors for various hemorrhagic diseases. No study has investigated the association between gastroesophageal variceal bleeding and ABO blood types. We aimed to evaluate the impact of ABO blood types on mortality and bleeding risk in acute gastroesophageal variceal bleeding. Materials and Methods: This is a retrospective observational study. Patients presenting with acute gastroesophageal varices bleeding diagnosed by endoscopy were enrolled, and were divided by blood type into a type O group and non-type O group. The outcomes were death within 30 days and the proportion of further bleeding. We used generalized linear mixed-effects models to analyze the outcomes. Results: A total of 327 patients and 648 records of emergency room visits were included. The 30-day mortality was 14.8% (21 of 142 patients) in the type O group, and 16.2% (30 of 185 patients) in the non-type O group (p = 0.532). Further bleeding within 30 days occurred in 34 cases (12.6%) in the type O group, and in 26 cases (6.9%) in the non-type O group (p = 0.539). Conclusions: There was no significant difference in blood transfusion volume in 24 h, recurrent bleeding rates, or mortality between patients with blood type O and those with non-type O.
