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1.
Nat Commun ; 15(1): 7727, 2024 Sep 04.
Article in English | MEDLINE | ID: mdl-39231975

ABSTRACT

Models and proxy data suggest multi-centennial nutrient reorganization and biological productivity changes under sustained climate warming. These changes have traditionally been attributed to processes in the Southern Ocean. Here we instead show that transient overturning circulation adjustments, associated with changes in the Atlantic Meridional Overturning Circulation (AMOC), dominate the global nutrient reorganization on centennial timescales. Following an AMOC weakening, a typical feature of a warming climate, a transient overturning circulation develops in the Indo-Pacific basins, characterized by enhanced southward transport in the deep ocean. Coupled with the vertical nutrient structure, these transient overturning changes produce a net transport of nutrients from the Indo-Pacific into the Southern Ocean. Meanwhile, isopycnal surfaces deepen and bring nutrient-depleted waters to greater depths, causing nutrient concentrations to decline in much of the global upper ocean. Given the close link between nutrients and carbon, our findings suggest that transient overturning circulation changes across different basins can critically affect the marine carbon cycle.

2.
Nat Commun ; 15(1): 7699, 2024 Sep 04.
Article in English | MEDLINE | ID: mdl-39227602

ABSTRACT

The influence of greenhouse warming on mesoscale air-sea interactions, crucial for modulating ocean circulation and climate variability, remains largely unexplored due to the limited resolution of current climate models. Additionally, there is a lack of theoretical frameworks for assessing changes in mesoscale coupling due to warming. Here, we address these gaps by analyzing eddy-resolving high-resolution climate simulations and observations, focusing on the mesoscale thermal interaction dominated by mesoscale sea surface temperature (SST) and latent heat flux (LHF) coupling in winter. Our findings reveal a consistent increase in mesoscale SST-LHF coupling in the major western boundary current regions under warming, characterized by a heightened nonlinearity between warm and cold eddies and a more pronounced enhancement in the northern hemisphere. To understand the dynamics, we develop a theoretical framework that links mesoscale thermal coupling changes to large-scale factors, which indicates that the projected changes are collectively determined by historical background wind, SST, and the rate of SST warming. Among these factors, the large-scale SST and its warming rate are the primary drivers of hemispheric asymmetry in mesoscale coupling intensification. This study introduces a simplified approach for assessing the projected mesoscale thermal coupling changes in a warming world.

3.
Science ; 385(6708): 560-565, 2024 Aug 02.
Article in English | MEDLINE | ID: mdl-39088600

ABSTRACT

Despite extensive investigation, the nature and causes of the Mid-Pleistocene Transition remain enigmatic. In this work, we assess its linkage to asynchronous development of bipolar ice sheets by synthesizing Pleistocene mid- to high-latitude proxy records linked to hemispheric ice sheet evolution. Our results indicate substantial growth of the Antarctic Ice Sheets (AISs) at 2.0 to 1.25 million years ago, preceding the rapid expansion of Northern Hemisphere Ice Sheets after ~1.25 million years ago. Proxy-model comparisons suggest that AIS and associated Southern Ocean sea ice expansion can induce northern high-latitude cooling and enhanced moisture transport to the Northern Hemisphere, thus triggering the Mid-Pleistocene Transition. The dynamic processes involved are crucial for assessing modern global warming that is already inducing asynchronous bipolar melting of ice sheets.

4.
Phys Rev Lett ; 133(3): 034201, 2024 Jul 19.
Article in English | MEDLINE | ID: mdl-39094135

ABSTRACT

The Atlantic circulation is a key component of the global ocean conveyor that transports heat and nutrients worldwide. Its likely weakening due to global warming has implications for climate and ecology. However, the expected changes remain largely uncertain as low-resolution climate models currently in use do not resolve small scales. Although the large-scale circulation tends to weaken uniformly in both the low-resolution and our high-resolution climate model version, we find that the small-scale circulation in the North Atlantic changes abruptly under global warming and exhibits pronounced spatial heterogeneity. Furthermore, the future Atlantic Ocean circulation in the high-resolution model version expands in conjunction with a sea ice retreat and strengthening toward the Arctic. Finally, the cutting-edge climate model indicates sensitive shifts in the eddies and circulation on regional scales for future warming and thus provides a benchmark for next-generation climate models that can get rid of parametrizations of unresolved scales.

5.
Biosens Bioelectron ; 263: 116636, 2024 Nov 01.
Article in English | MEDLINE | ID: mdl-39116631

ABSTRACT

The clinical diagnosis of pathogen infectious diseases increasingly requires sensitive and rapid RNA detection technologies. The RNA-guided clustered regularly interspaced short palindromic repeats (CRISPR)/Cas13a system has shown immense potential in molecular diagnostics due to its trans-cleavage activity. However, most Cas13a-based detection methods require an amplicon transcription step, and the multi-step open-tube operations are prone to contamination, limiting their widespread application. Here, we propose an ultrasensitive (single-copy range, ∼aM) and rapid (within 40 min) isothermal one-pot RNA detection platform, termed SATCAS (Simultaneous Amplification and Testing platform based on Cas13a). This method effectively distinguishes viable bacteria (0%-100%) under constant total bacterial conditions, demonstrating its robustness and universality. SATCAS excels in identifying single nucleotide polymorphisms (SNPs), particularly detecting 0.5% drug-resistant mutations. We validated SATCAS by detecting infections in biological samples from 68 HBV, 23 EBV, and 48 SARS-CoV-2 patients, achieving 100% sensitivity, 92.86% specificity, and 97.06% accuracy in HBV infection testing. We anticipate that SATCAS has broad application potential in the early diagnosis, subtyping, drug resistance detection, and point-of-care monitoring of pathogen infectious diseases.


Subject(s)
Biosensing Techniques , CRISPR-Cas Systems , Nucleic Acid Amplification Techniques , Polymorphism, Single Nucleotide , SARS-CoV-2 , Humans , Biosensing Techniques/methods , SARS-CoV-2/genetics , SARS-CoV-2/isolation & purification , Nucleic Acid Amplification Techniques/methods , COVID-19/diagnosis , COVID-19/virology , RNA, Viral/genetics , Molecular Diagnostic Techniques/methods , Hepatitis B virus/genetics , Hepatitis B virus/isolation & purification
6.
Mol Cancer ; 23(1): 178, 2024 Aug 30.
Article in English | MEDLINE | ID: mdl-39215288

ABSTRACT

Drug resistance in cancer cells significantly diminishes treatment efficacy, leading to recurrence and metastasis. A critical factor contributing to this resistance is the epigenetic alteration of gene expression via RNA modifications, such as N6-methyladenosine (m6A), N1-methyladenosine (m1A), 5-methylcytosine (m5C), 7-methylguanosine (m7G), pseudouridine (Ψ), and adenosine-to-inosine (A-to-I) editing. These modifications are pivotal in regulating RNA splicing, translation, transport, degradation, and stability. Governed by "writers," "readers," and "erasers," RNA modifications impact numerous biological processes and cancer progression, including cell proliferation, stemness, autophagy, invasion, and apoptosis. Aberrant RNA modifications can lead to drug resistance and adverse outcomes in various cancers. Thus, targeting RNA modification regulators offers a promising strategy for overcoming drug resistance and enhancing treatment efficacy. This review consolidates recent research on the role of prevalent RNA modifications in cancer drug resistance, with a focus on m6A, m1A, m5C, m7G, Ψ, and A-to-I editing. Additionally, it examines the regulatory mechanisms of RNA modifications linked to drug resistance in cancer and underscores the existing limitations in this field.


Subject(s)
Drug Resistance, Neoplasm , Neoplasms , RNA Processing, Post-Transcriptional , Humans , Drug Resistance, Neoplasm/genetics , Neoplasms/genetics , Neoplasms/drug therapy , Neoplasms/pathology , Neoplasms/metabolism , Animals , Gene Expression Regulation, Neoplastic/drug effects , Epigenesis, Genetic , Antineoplastic Agents/pharmacology , Antineoplastic Agents/therapeutic use , RNA/genetics , RNA/metabolism
7.
Int J Biol Macromol ; : 135055, 2024 Aug 29.
Article in English | MEDLINE | ID: mdl-39216589

ABSTRACT

Bone injury represents an urgent clinical problem, and implantable bioscaffolds offer suitable means for replacing and regenerating damaged tissues. This paper proposes an in-situ foaming printing method employing material extrusion additive manufacturing technology and physical foaming to prepared poly(lactic acid)/chitin nanocrystals (CHNCs) microporous composite scaffolds, featuring pore sizes ranging from 9 ±â€¯5 µm. This method offers a novel strategy for the preparation of poly(lactic acid)-based scaffolds with good biocompatibility. Material characterization and mechanical property testing demonstrated that the in-situ foaming printed PLA scaffolds exhibited excellent foam printability, and the expansion ratio and compression properties of the scaffolds could be adjusted by modifying the CHNCs concentration and the printing speed, achieving a compression modulus between 39.2 MPa and 54.3 MPa. Furthermore, at equivalent foaming multiplicity (1.5-2.6 times), the compression modulus increased by nearly 100 % compared to previously reported PLA-based foam scaffolds. Importantly, the PLA/CHNCs scaffolds produced via in-situ foaming exhibited superior biocompatibility compared to directly printed PLA scaffolds. This PLA/CHNCs composite scaffold provides a promising approach to addressing and repairing bone defects.

8.
Nat Commun ; 15(1): 7361, 2024 Aug 27.
Article in English | MEDLINE | ID: mdl-39191741

ABSTRACT

Anthropogenic warming is projected to enhance Arctic freshwater exportation into the Labrador Sea. This extra freshwater may weaken deep convection and contribute to the Atlantic Meridional Overturning Circulation (AMOC) decline. Here, by analyzing an unprecedented high-resolution climate model simulation for the 21st century, we show that the Labrador Current strongly restricts the lateral spread of freshwater from the Arctic Ocean into the open ocean such that the freshwater input has a limited role in weakening the overturning circulation. In contrast, in the absence of a strong Labrador Current in a climate model with lower resolution, the extra freshwater is allowed to spread into the interior region and eventually shut down deep convection in the Labrador Sea. Given that the Labrador Sea overturning makes a significant contribution to the AMOC in many climate models, our results suggest that the AMOC decline during the 21st century could be overestimated in these models due to the poorly resolved Labrador Current.

9.
Nat Commun ; 15(1): 5810, 2024 Jul 10.
Article in English | MEDLINE | ID: mdl-38987541

ABSTRACT

Under transient greenhouse warming, El Niño-Southern Oscillation (ENSO) is projected to increase pre-2100, accompanied by an easier establishment of atmospheric convection in the equatorial eastern Pacific, where sea surface temperature (SST) warms faster than surrounding regions. After 2100, how ENSO variability may change remains unknown. Here we find that under a high emission scenario, ENSO variability post-2100 reverses from the initial increase to an amplitude far smaller than that of the 20th century. The fast eastern warming persists and shrinks the equatorial Pacific non-convective area, such that establishing convection in the non-convective area, as during an El Niño, requires smaller convective anomaly, inducing weaker wind anomalies leading to reduced ENSO SST variability. The nonlinear ENSO response is thus a symptom of the persistent El Niño-like warming pattern. Therefore, the oscillatory ENSO impact could be replaced by that from the permanent El Niño-like mean condition with cumulative influences on affected regions.

10.
Nat Commun ; 15(1): 6238, 2024 Jul 24.
Article in English | MEDLINE | ID: mdl-39043692

ABSTRACT

Upwelling along oceanic eastern boundaries has attracted significant attention due to its profound effects on ocean productivity and associated biological and socioeconomic implications. However, uncertainty persists regarding the evolution of coastal upwelling with climate change, particularly its impact on future biological production. Here, using a series of state-of-the-art climate models, we identify a significant seasonal advancement and prolonged duration of upwelling in major upwelling systems. Nevertheless, the upwelling intensity (total volume of upwelled water) exhibits complex changes in the future. In the North Pacific, the upwelling is expected to attenuate, albeit with a minor magnitude. Conversely, in other basins, coastal upwelling diminishes significantly in equatorward regions but displays a slight decline or even an enhancement at higher latitudes. The climate simulations also reveal a robust connection between changes in upwelling intensity and net primary production, highlighting the crucial impact of future coastal upwelling alterations on marine ecosystems.


Subject(s)
Climate Change , Ecosystem , Seawater/chemistry , Oceans and Seas , Seasons , Climate Models , Pacific Ocean , Water Movements
11.
Cancer Lett ; 598: 217104, 2024 Aug 28.
Article in English | MEDLINE | ID: mdl-38969163

ABSTRACT

Results of measurable residual disease (MRD)-testing by next-generation sequencing (NGS) correlate with relapse risk in adults with B-cell acute lymphoblastic leukemia (ALL) receiving chemotherapy or an allotransplant from a human leukocyte antigen (HLA)-identical relative or HLA-matched unrelated donor. We studied cumulative incidence of relapse (CIR) and survival prediction accuracy using a NGS-based MRD-assay targeting immunoglobulin genes after 2 courses of consolidation chemotherapy cycles in 93 adults with B-cell ALL most receiving HLA-haplotype-matched related transplants. Prediction accuracy was compared with MRD-testing using multi-parameter flow cytometry (MPFC). NGS-based MRD-testing detected residual leukemia in 28 of 65 subjects with a negative MPFC-based MRD-test. In Cox regression multi-variable analyses subjects with a positive NGS-based MRD-test had a higher 3-year CIR (Hazard Ratio [HR] = 3.37; 95 % Confidence Interval [CI], 1.34-8.5; P = 0.01) and worse survival (HR = 4.87 [1.53-15.53]; P = 0.007). Some data suggest a lower CIR and better survival in NGS-MRD-test-positive transplant recipients but allocation to transplant was not random. Our data indicate MRD-testing by NGS is more accurate compared with testing by MPFC in adults with B-cell ALL in predicting CIR and survival. (Registered in the Beijing Municipal Health Bureau Registration N 2007-1007 and in the Chinese Clinical Trial Registry [ChiCTR-OCH-10000940 and ChiCTROPC-14005546]).


Subject(s)
Flow Cytometry , High-Throughput Nucleotide Sequencing , Neoplasm, Residual , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma , Humans , High-Throughput Nucleotide Sequencing/methods , Adult , Male , Female , Flow Cytometry/methods , Middle Aged , Young Adult , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/mortality , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/therapy , Adolescent
12.
ACS Sens ; 9(7): 3730-3740, 2024 Jul 26.
Article in English | MEDLINE | ID: mdl-38916449

ABSTRACT

Skin-interfaced wearable sensors can continuously monitor various biophysical and biochemical signals for health monitoring and disease diagnostics. However, such devices are typically limited by unsatisfactory and unstable output performance of the power supplies under mechanical deformations and human movements. Furthermore, there is also a lack of a simple and cost-effective fabrication technique to fabricate and integrate varying materials in the device system. Herein, we report a fully integrated standalone stretchable biophysical sensing system by combining wearable biophysical sensors, triboelectric nanogenerator (TENG), microsupercapacitor arrays (MSCAs), power management circuits, and wireless transmission modules. All of the device components and interconnections based on the three-dimensional (3D) networked graphene/Co3O4 nanocomposites are fabricated via low-cost and scalable direct laser writing. The self-charging power units can efficiently harvest energy from body motion into a stable and adjustable voltage/current output to drive various biophysical sensors and wireless transmission modules for continuously capturing, processing, and wirelessly transmitting various signals in real-time. The novel material modification, device configuration, and system integration strategies provide a rapid and scalable route to the design and application of next-generation standalone stretchable sensing systems for health monitoring and human-machine interfaces.


Subject(s)
Cobalt , Graphite , Lasers , Nanocomposites , Oxides , Wearable Electronic Devices , Graphite/chemistry , Nanocomposites/chemistry , Oxides/chemistry , Cobalt/chemistry , Porosity , Humans , Biosensing Techniques/instrumentation , Biosensing Techniques/methods , Wireless Technology
13.
Chem Sci ; 15(22): 8545-8556, 2024 Jun 05.
Article in English | MEDLINE | ID: mdl-38846386

ABSTRACT

A new class of amphiphilic tetradentate platinum(ii) Schiff base complexes has been designed and synthesized. The self-assembly properties by exploiting the potential Pt⋯Pt interactions of amphiphilic platinum(ii) Schiff base complexes in the solution state have been systematically investigated. The presence of Pt⋯Pt interactions has further been supported by computational studies and non-covalent interaction (NCI) analysis of the dimer of the complex. The extent of the non-covalent Pt⋯Pt and π-π interactions could be regulated by a variation of the solvent compositions and the hydrophobicity of the complexes, which is accompanied by attractive spectroscopic and luminescence changes and leads to diverse morphological transformations. The present work represents a rare example of demonstration of directed cooperative assembly of amphiphilic platinum(ii) Schiff base complexes by intermolecular Pt⋯Pt interactions in solution with an in-depth mechanistic investigation, providing guiding principles for the construction of supramolecular structures with desirable properties using platinum(ii) Schiff base building blocks.

14.
Nat Commun ; 15(1): 3261, 2024 Apr 16.
Article in English | MEDLINE | ID: mdl-38627397

ABSTRACT

Patterns of sea surface temperature (SST) anomalies of the Indian Ocean Dipole (IOD) exhibit strong diversity, ranging from being dominated by the western tropical Indian Ocean (WTIO) to the eastern tropical Indian Ocean (ETIO). Whether and how the different types of IOD variability patterns affect the variability of Antarctic sea ice is not known, nor is how the impact may change in a warming climate. Here, we find that the leading mode of austral spring Antarctic sea ice variability is dominated by WTIO SST variability rather than ETIO SST or El Niño-Southern Oscillation. WTIO warm SST anomalies excite a poleward-propagating Rossby wave, inducing a tri-polar anomaly pattern characterized by a decrease in sea ice near the Amundsen Sea but an increase in regions on both sides. Such impact has been weakening in the two decades post-2000, accompanied by weakened WTIO SST variability. Under greenhouse warming, climate models project a decrease in WTIO SST variability, suggesting that the reduced impact on Antarctic sea ice from the IOD will likely to continue, facilitating a fast decline of Antarctic sea ice.

15.
Polymers (Basel) ; 16(8)2024 Apr 19.
Article in English | MEDLINE | ID: mdl-38675067

ABSTRACT

Digital light processing (DLP) techniques are widely employed in various engineering and design fields, particularly additive manufacturing. Acrylate resins utilized in DLP processes are well known for their versatility, which enables the production of defect-free 3D-printed products with excellent mechanical properties. This study aims to improve the mechanical and thermal properties of 3D-printed samples by incorporating mica as an inorganic filler at different concentrations (5%, 10%, and 15%) and optimizing the dispersion by adding a KH570 silane coupling agent. In this study, mica was introduced as a filler and combined with epoxy acrylate resin to fabricate a 3D-printed sample. Varying concentrations of mica (5%, 10%, and 15% w/w) were mixed with the epoxy acrylate resin at a concentration of 10%, demonstrating a tensile strength increase of 85% and a flexural strength increase of 132%. Additionally, thermal characteristics were analyzed using thermogravimetric analysis (TGA), and successful morphological investigations were conducted using scanning electron microscopy (SEM). Digital light-processing technology was selected for its printing accuracy and cost-effectiveness. The results encompass comprehensive studies of the mechanical, thermal, and morphological aspects that contribute to the advancement of additive manufacturing technology.

16.
Nano Lett ; 24(14): 4124-4131, 2024 Apr 10.
Article in English | MEDLINE | ID: mdl-38483552

ABSTRACT

Dynamic reversible noncovalent interactions make supramolecular framework (SF) structures flexible and designable. A three-dimensional (3D) growth of such frameworks is beneficial to improve the structure stability while maintaining unique properties. Here, through the ionic interaction of the polyoxometalate cluster, coordination of zinc ions with cationic terpyridine, and hydrogen bonding of grafted carboxyl groups, the construction of a 3D SF at a well-crystallized state is realized. The framework can grow in situ on the Zn surface, further extending laterally into a full covering without defects. Relying on the dissolution and the postcoordination effects, the 3D SF layer is used as an artificial solid electrolyte interphase to improve the Zn-anode performance. The uniformly distributed clusters within nanosized pores create a negatively charged nanochannel, accelerating zinc ion transfer and homogenizing zinc deposition. The 3D SF/Zn symmetric cells demonstrate high stability for over 3000 h at a current density of 5 mA cm-2.

17.
Clin Exp Med ; 24(1): 56, 2024 Mar 28.
Article in English | MEDLINE | ID: mdl-38546916

ABSTRACT

B cell acute lymphoblastic leukemia (ALL) is characterized by the highly heterogeneity of pathogenic genetic background, and there are still approximately 30-40% of patients without clear molecular markers. To identify the dysregulated genes in B cell ALL, we screened 30 newly diagnosed B cell ALL patients and 10 donors by gene expression profiling chip. We found that ECM1 transcription level was abnormally elevated in newly diagnosed B cell ALL and further verified in another 267 cases compared with donors (median, 124.57% vs. 7.14%, P < 0.001). ROC analysis showed that the area under the curve of ECM1 transcription level at diagnosis was 0.89 (P < 0.001). Patients with BCR::ABL1 and IKZF1 deletion show highest transcription level (210.78%) compared with KMT2A rearrangement (39.48%) and TCF3::PBX1 rearrangement ones (30.02%) (all P < 0.05). Also, the transcription level of ECM1 was highly correlated with the clinical course, as 20 consecutive follow-up cases indicated. The 5-year OS of patients (non-KMT2A and non-TCF3::PBX1 rearrangement) with high ECM1 transcription level was significantly worse than the lower ones (18.7% vs. 72.9%, P < 0.001) and high ECM1 transcription level was an independent risk factor for OS (HR = 5.77 [1.75-19.06], P = 0.004). After considering transplantation, high ECM1 transcription level was not an independent risk factor, although OS was still poor (low vs. high, 71.1% vs. 56.8%, P = 0.038). Our findings suggested that ECM1 may be a potential molecular marker for diagnosis, minimal residual disease (MRD) monitoring, and prognosis prediction of B cell ALL.Trial registration Trial Registration Registered in the Beijing Municipal Health Bureau Registration N 2007-1007 and in the Chinese Clinical Trial Registry [ChiCTR-OCH-10000940 and ChiCTR-OPC-14005546]; http://www.chictr.org.cn .


Subject(s)
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma , Humans , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics , Prognosis , Biomarkers , Risk Factors , Extracellular Matrix Proteins/genetics
18.
Sci Rep ; 14(1): 4407, 2024 Feb 22.
Article in English | MEDLINE | ID: mdl-38388843

ABSTRACT

Submesoscale fronts, with horizontal scale of 0.1-10 km, are key components of climate system by driving intense vertical transports of heat, salt and nutrients in the ocean. However, our knowledge on how large the vertical transport driven by one single submesoscale front can reach remains limited due to the lack of comprehensive field observations. Here, based on high-resolution in situ observations in the Kuroshio-Oyashio Extension region, we detect an exceptionally sharp submesoscale front. The oceanic temperature (salinity) changes sharply from 14 °C (34.55 psu) to 2 °C (32.7 psu) within 2 km across the front from south to north. Analysis reveals intense vertical velocities near the front reaching 170 m day-1, along with upward heat transport up to 1.4 × 10-2 °C m s-1 and salinity transport reaching 4 × 10-4 psu m s-1. The observed heat transport is much larger than the values reported in previous observations and is three times as that derived from current eddy-rich climate models, whereas the salinity transport enhances the nutrients concentration with prominent implications for marine ecosystem and fishery production. These observations highlight the vertical transport of submesoscale fronts and call for a proper representation of submesoscale processes in the next generation of climate models.

19.
Heliyon ; 10(1): e23544, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38169938

ABSTRACT

Objective: We aimed to explore the feasibility of lung ultrasound for perioperative assessment and the optimal effect of lung ultrasound in reducing lung complications during non-cyanotic congenital heart disease (CHD) surgery using ultrafast-track anesthesia. Methods: Sixty patients were treated at Shenzhen Children's Hospital between 2019 and 2020. Of these, 30 patients in group N had an indication for extubation and ultrafast-track anesthesia after congenital heart surgery; the tracheal catheter was removed, and the patients were sent to the cardiac intensive care unit (CICU) for further monitoring and treatment. Another 30 patients were in group L and also had an indication for extubation and ultrafast-track anesthesia; in addition we compared lung ultrasound score (LUS) before and after surgery, when we found the cases that LUS ≥ 15, for whom targeted optimization treatment would be carried out. The tracheal catheter was removed after LUS <15 days before the patients were sent to the CICU. In all cases, the LUS and PaO2/FiO2 ratios (P/F) of both groups were recorded at the time of anesthesia induction (T0), before extubation (T1), and 5 min (T2), 1 h (T3), and 24 h (T4) after extubation. The incidence of pulmonary complications, LUS, and P/F were compared between the two groups. Results: There was great consistency between LUS and radiographic findings. Comparing the data of the two groups at T2, T3 and T4, the P/F was higher and the LUS was lower in group L than in group N. The incidence of lung complications in group L (18 cases, 60 %) was lower than that in group N (26 cases, 86.7 %, χ2 = 5.46, P = 0.02); comparing LUS between T0 and T3, LUS decreased in a greater number of cases in group L (15, 50 %) than in group N (7 cases, 23.3 %, χ2 = 4.59, P = 0.032). Conclusion: Lung ultrasonography can effectively help assess lung conditions. Optimization guided by lung ultrasound in ultrafast track anesthesia can significantly reduce postoperative lung complications.

20.
Talanta ; 271: 125654, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38224659

ABSTRACT

Generally, thin-layer chromatography always undertakes the indispensable role in rapid screening and identification of specific compounds. Stationary phase is the core part of thin-layer chromatography with fixed property, which leading to the limitations of separation mode of only regulating the composition of mobile phase. This work was an attempt to fabricate the unique photosensitive thin-layer chromatography to make up the above major drawback. 4-[3-(Triethoxysilyl)propoxy]azobenzene (azo-PTES) was synthesized as photosensitive modifier to fabricate the photosensitive stationary phase, and the transformation of cis-trans structure of azo-PTES proceeds along with polarity difference under 365 nm and 473 nm irradiation. Based on this, the proposed photosensitive thin-layer chromatography shows the reversible switch of polarity of stationary phase by photoinduction, followed by the deserved reversible separation behavior. Furthermore, multi-regulation in spatial dimension was achieved based on the high freedom of spatial regulation of photoinduction, which brings about the integration of stationary phase with different polarity, just by photoinduction. The concept of photosensitive thin-layer chromatography provides new idea for improving separation efficiency and developing multi-dimensional thin-layer chromatography on the one plate.

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