Acute non-ST segment elevation myocardial infarction as the first manifestation of Takayasu arteritis in a 16-year-old female patient: a case report and literature review.

Takayasu arteritis (TA) is now recognized worldwide and is a disease that mainly affects the aorta and its main branches. TA rarely involves the small or medium-sized vessels. Certain vascular lesions, such as arterial stenosis, occlusion, and aneurysm are common with TA. However, patients with new-onset TA who present with left main trunk acute non-ST segment elevation myocardial infarction are extremely rare. We report a 16-year-old female patient with non-ST segment elevation myocardial infarction due to severe stenosis of the left main coronary artery that was caused by TA. She was eventually diagnosed with TA and underwent successful coronary artery stenting combined with glucocorticoids and folate reductase inhibitor therapy. Over the 1-year follow-up, she experienced two episodes of chest pain and was admitted to the hospital. During the second hospitalization, coronary angiography (CAG) revealed 90% stenosis of the original left main trunk (LM) stent. Following percutaneous coronary angiography (PTCA), drug-coated balloon (DCB) angioplasty was performed. Fortunately, a clear diagnosis of TA was made, and treatment was initiated with an interleukin-6 (IL-6) receptor inhibitor. Early diagnosis and therapy for TA are emphasized.

Pilot-scale study on seeded precipitation assisted nanofiltration for flue-gas desulfurization wastewater softening.

In order to reduce the cost of chemical softening, the seeded precipitation assisted nanofiltration (NF) process was introduced into zero liquid discharge (ZLD) of flue-gas desulfurization (FGD) wastewater treatment. A pilot-scale system was developed and run for 168 h in a coal-fired power plant. The system mainly consists of lime softening, ambient temperature crystallizer (ATC) and NF, in which the raw water treatment capacity was 1 m3/h. The results indicated that the system operated stably, the softening cost was 13.30 RMB/m3, and the electricity cost was 3.39 RMB/m3 for the FGD wastewater in this pilot system. High quality gypsum was got from the ATC unit, of which the purity was 95.8%. Through this system, the hardness removal rate was higher than 98.9% and the water recovery rate reached 96%. In addition, the pressure and permeate flux kept stable in the ultrafiltration (UF) unit and NF unit, indicating no scaling occurred in the two units during 168 h test. Thus, a feasible and cost-effective process was provided by using the seeded precipitation assisted NF to deal with the FGD wastewater.

Catestatin prevents endothelial inflammation and promotes thrombus resolution in acute pulmonary embolism in mice.

Catestatin (CTS), a catecholamine-release inhibitory peptide, exerts pleiotropic cardiac protective effects. Pulmonary embolism caused by deep vein thrombosis involving vascular dysfunction. The present study aims to investigate the effects of CTS on thrombus formation that may inhibit the development of pulmonary embolism and its potential pathway. Acute pulmonary embolism (APE) model was developed as an in vivo model. The effects of CTS on mice with APE were examined. Human pulmonary artery endothelial cells (HPAECs) were pretreated with CTS before thrombin stimulation, and endothelial inflammation and underlying mechanisms were evaluated in vitro. That plasma CTS level was decreased in APE mice, while the number of platelets was significantly increased. The decreased circulating CTS level negatively associated with the number of platelets. CTS administration increased the survival rate of APE mice and protected against microvascular thrombosis in lung. APE-induced the increase in platelets number and plasma von Willebrand factor (VWF) were inhibited by CTS. Platelets from CTS-treated APE mice showed impaired agonist-induced platelets aggregation and spreading. CTS also ameliorated APE-induced the systemic inflammatory response. In in vivo study, thrombin-induced the increase in inflammation, TLR-4 expression and p38 phosphorylation were abrogated by CTS in HPAECs. Furthermore, TLR-4 overexpression inhibited the effect of CTS on VWF release and inflammation in HPAECs. Collectively, CTS increases thrombus resolution by attenuating endothelial inflammation at partially via inhibiting TLR-4-p38 pathway. The present study may provide a novel approach for anti-thrombosis.

Systematic evaluation of petroleum sulfonate: polarity separation and the relationship between its structure and oil recovery properties.

Petroleum sulfonate is one of the most important surfactants in the tertiary oil recovery process. However, its complex composition significantly impedes its evaluation, and the relationship between its structure and oil recovery properties is still unclear. In this study, the actives of petroleum sulfonate are subdivided into seven components, a-g, with different polarities via column chromatography. The structural information of each component is fully characterized. Moreover, the relationship between the oil recovery properties and the structure of the separated components is systematically studied. The results reveal the average relative molecular mass in the range of 560-626, average alkyl side chain containing 36-40 carbon atoms and alkyl chain containing an average of 6 branched chains is the ideal structure for enhancing oil recovery properties. Furthermore, this study provides a reliable evaluation method and reveals the relationship between the structure and oil recovery properties of petroleum sulfonate.

A systematic approach to measure the contents of mono- and di-sulfonates in petroleum sulfonates by the novel method of acid-base titration coupled with traditional two-phase titration.

Petroleum sulfonates are broadly employed to increase the oil recovery efficiency in tertiary recovery, while the content of di-sulfonates in petroleum sulfonates is a critical factor in the flushing efficiency, because it adversely impacts the decrease of oil-water interfacial tension. Thus far, no methods have been considered convenient and reliable to determine the contents of mono- and di-sulfonates besides the traditional extraction method. This study established a simple and practical approach of acid-base titration coupled with traditional two-phase titration to measure the contents of mono- and di-sulfonates in petroleum sulfonates. To judge the reliability of the approach, the actives of petroleum sulfonates were separated into mono- and di-sulfonates using the traditional extraction method, the separation effect of which was confirmed using infrared spectroscopy and main elemental analysis. As the results demonstrated, all the contents of di-sulfonates in four petroleum sulfonates measured by the acid-base titration method are similar to those found by the extraction method. The contents of di-sulfonates (%) in four petroleum sulfonate samples were measured by comparing acid-base titration with the extraction method; respectively they were 8.57/8.19, 5.67/5.98, 5.61/5.35 and 2.37/2.15; the relative error of the measured di-sulfonates is about 6%, which satisfies the titration accuracy of petroleum sulfonates. In parallel experiments, the results of five acid-base titrations are very close, and the precision of the acid-base titration method was about 3%. Accordingly, this systematic approach by combining the new acid-base titration and traditional two-phase titration is of great significance to develop the evaluation system of petroleum sulfonates.