The Median Effective Dose of Intrathecal Hyperbaric Bupivacaine for Cesarean Section at Moderately High-Altitude.

Objective: Alterations in altitude can lead to an augmented requirement for local anesthesia among patients. Nevertheless, the necessity for an elevated dosage of local anesthetic for parturients at moderately high altitudes during spinal anesthesia for cesarean section remains uninvestigated. This up-down sequential study endeavors to determine the ED50 dose of bupivacaine required for spinal anesthesia during cesarean sections at moderately high-altitude. Methods: Thirty singleton parturients at moderately high altitude underwent elective cesarean section under combined spinal-epidural anesthesia. The up-and-down sequential method was employed, starting with an initial dose of 12mg (1.6mL) of 0.75% hyperbaric bupivacaine for the first participant. The dose for the next case was adjusted up or down by 0.75mg based on the effectiveness of the previous participant. Effectiveness was defined as the bilateral sensory block reaching T6 within 15 minutes after spinal anesthesia injection, without the need for additional epidural anesthesia before fetal delivery. The ED50 dose and 95% confidence interval were calculated using the Dixon sequential method and isotonic regression, respectively. The incidence of maternal hypotension, nausea, and vomiting during the study period was also recorded. Results: The ED50 of hyperbaric bupivacaine for spinal anesthesia in cesarean section was calculated as 8.23 mg (95% CI, 6.52-9.32 mg) using the Dixon up-and-down method. Further validation using isotonic regression yielded a value of 8.39 mg (95% CI, 7.48-9.30 mg), confirming the accuracy and sensitivity of the conclusion. During the operation, only 6 parturients experienced hypotension, and no adverse reactions such as nausea, vomiting, and shivering were observed. Conclusion: The ED50 dose of 0.75% hyperbaric bupivacaine for spinal anesthesia during cesarean section at moderately high altitude is 8.23 mg, which exceeds the ED50 dose typically required by parturients at low altitude. Comprehensive investigations are warranted to ascertain the ED90 or ED95 dose of local anesthetics for cesarean section at moderately high altitudes, thereby offering enhanced guidance for clinical practice.

An efficient ultrasonic-assisted bleaching strategy customized for yak hair triggered by melanin-targeted Fenton reaction.

Promoting processing efficiency and taking advantage of agricultural by-products are two promising ways to achieve sustainable textile industry. This study presents a customized efficient ultrasonic-assisted bleaching strategy for yak hair - a widely existing but underexploited secondary dark shade fibre from yak. A melanin-targeted Fenton oxidation process is established which involves three phases, i.e., (I) incorporation of Fe2+ ions with melanin, (II) catalytic oxidative bleaching using hydrogen peroxide (H2O2), and (III) reductive cleansing. The bleaching efficacy, dyeing performance and tensile property of yak hair treated with and without ultrasound were explored and compared. Further, the ultrasonic bleaching mechanism in terms of the catalytic effect of Fe2+ ions, the promotion of H2O2 decomposition, removal of melanin granule from yak hair, were demonstrated. Finally, the main effects and interactions of parameters in phase II, and optimal condition were obtained through mathematical modelling based on a central composite design (CCD). Results reveal that ultrasonic bleaching dramatically enhances the whiteness index (WI) of yak hair from 11 to 45 which is 44.6% higher than those bleached without ultrasound, and also promotes the uptake of acid dyes. There is only 15% tensile strength loss and 14% elongation increment of yak hair after ultrasonic bleaching, rising from a slight damage of cuticle layer and cleavage of disulfide bonds, respectively. In the study of bleaching mechanism, Fe2+ ion is confirmed to improve the H2O2 decomposition rate by 20.9% which further runs up to 35.9% after introducing ultrasound. Ultrasound increases the concentration of hydroxyl radicals (HO) by 94% which are the main oxidative species participating in bleaching confirmed by HO scavenging experiment. The porous structure was observed on the cross section of yak hair stemming from the removal of melanin granules contributed by the cleaning action of ultrasound. A theoretical highest WI of 52.4 can be achieved under an optimal condition based on the CCD study. In general, the proposed melanin-targeted bleaching strategy for yak hair that integrates ultrasonic technology and Fenton reaction, is beneficial to the development of sustainable textile industry from material and processing perspectives.

Synthesis of 4-substituted catechols with side-chains of different C[double bond, length as m-dash]C bond number as urushiol analogues and their anticorrosion performance.

4-Substituted catechols with different C[double bond, length as m-dash]C bonds as urushiol analogues were synthesized through the a three-step route including reductive amination reaction of 3,4-dihydroxybenzaldehyde with N-Boc-piperazine, Boc deprotection, and amidation with various fatty acids. Electrochemical polymerization of these analogues on a copper surface afforded robust coatings with desirable adhesive force, hydrophobicity and thermal stability. Cyclic voltammetry and infrared spectroscopic characterizations revealed that the coating formation of urushiol analogues resulted from the electrooxidation-induced radical coupling of phenoxyl radicals with a phenyl ring and the side chain C[double bond, length as m-dash]C bond. The coating of the urushiol analogue bearing only one side chain C[double bond, length as m-dash]C bond exhibited the best performance in copper corrosion inhibition, with an inhibition efficiency of 99.99% and long-term effect (99.9% after 4 weeks of immersion in 3.5 wt% NaCl). The desired performance of these urushiol analogues suggests that they could be of practical applications as an alternative to the resource-limited natural urushiol.

Establishing an ultrasound-assisted activated peroxide system for efficient and sustainable scouring-bleaching of cotton/spandex fabric.

This study presents a high-efficient and cost-effective ultrasound-assisted strategy for one-bath one-step scouring and bleaching of cotton/spandex fabric using sodium percarbonate (SPC) and tetraacetylenediamine (TAED) couple. SPC plays both roles of pH regulator and H2O2 donor to initiate the peracetic acid (PAA) release from TAED. The significance and interaction effects of operating parameters (TAED concentration, temperature and time) on the WI (Whiteness Index) of fabrics were investigated through a central composite design. The bleaching mechanism was studied by exploring the relationship between WI and PAA and hydroxyl radical (HO·) concentrations. The mechanical and dyeing performances of treated fabrics were also evaluated. Results show that temperature exerted a significant impact on WI followed by TAED concentration and time. The PAA concentration decreased and HO· concentration increased upon the temperature rise. Both PAA and HO· were significant to upgrade WI and ultrasound was effective in enhancing their bleaching efficiency. The fabric treated only with 15 mmol/L TAED and 10 mmol/L SPC at 40 °C for 40 min under ultrasound could achieve a WI of 68.6 (43% higher than greige fabric), which was almost equivalent to that of the fabric treated at 60 °C without ultrasound. This verifies the contribution of ultrasound technology in reducing bleaching temperature for energy-saving purpose. Moreover, the treated fabric displayed less than 5% tensile strength loss, having a marginal impact on the apparel performance. The wettability of fabric was greatly improved leading to a good dyeing performance. Encouraging results demonstrate the high efficiency of the ultrasound-assisted pre-treatment process of cotton/spandex fabric, which contributes to the sustainable production of textiles.