Complex bronchopleural fistulas: a case report.

Bronchopleural fistula (BPF) is a potentially fatal complication and remains a surgical challenge. Concomitant problems, such as pulmonary infection and respiratory failure, are typically the main contributors to mortality from BPF because of improper contact between the bronchial and pleural cavity. We present the case of a 75-year-old male patient with a history of right upper lobe lung cancer resection who developed complex BPFs. Following appropriate antibiotic therapy and chest tube drainage, we treated the fistulas using endobronchial valve EBV placement and local argon gas spray stimulation. Bronchoscopic treatment is the preferred method for patients who cannot tolerate a second surgery because it can help to maximize their quality of life. Our treatment method may be a useful reference for treating complex BPF.

Spatial-temporal evolution and convergence analysis of agricultural green total factor productivity-evidence from the Yangtze River Delta Region of China.

Measuring regional differences in agricultural green total factor productivity (AGTFP) provides a basis for policy guidance on agricultural green development in the Yangtze River Delta (YRD) region. By constructing a two-period Malmquist-Luenberger index under the carbon emission constraint, we measure the AGTFP of cities in the YRD region from 2001 to 2019. Furthermore, adopting the Moran index method and the hot spot analysis method, this paper analyzes the global spatial correlation and local spatial correlation of AGTFP in this region. Moreover, we investigate its spatial convergence. The results show that the AGTFP of 41 cities in the YRD region is on an increasing trend; the growth of AGTFP in the eastern cities is mainly driven by green technical efficiency, while this growth in the southern cities is mainly stimulated by green technical efficiency and green technological progress. We also find a significant spatial correlation between cities' AGTFP in the YRD region from 2001 to 2019, but with certain fluctuations, showing a U-shaped trend of "strong-weak-strong". In addition, absolute ß convergence of the AGTFP exists in the YRD region, and this convergence speed is accelerated with the addition of spatial factors. This evidence provides support for implementing the regional integration development strategy and optimizing the regional agricultural spatial layout. Our findings offer implications for promoting the transfer of green agricultural technology to the southwest of the YRD region, strengthening the construction of agricultural economic belts and agricultural economic circles, and improving the efficiency of agricultural resource use.

Indicators for Evaluating High-Quality Agricultural Development: Empirical Study from Yangtze River Economic Belt, China.

Agriculture is the foundation of the national economy, and achieving high-quality agricultural development is an important support for strong economic development in the post-pandemic era. Based on the new development philosophy of the Chinese government, this study constructs an evaluation framework of "innovation-coordination-green-openness-sharing" for high-quality agricultural development, and quantitatively assesses the level of high-quality agricultural development in China's Yangtze River Economic Belt with a systematic integration model, and explores the spatial evolution characteristics and obstacles of the level of high-quality agricultural development in Yangtze River Economic Belt. It reveals that the level of high-quality agricultural development in the Yangtze River Economic Belt shows a fluctuating upward trend in general, but there is variability among regions. The green dimension has the fastest development rate, followed by innovation and sharing. In terms of spatial characteristics, it gradually shows a pattern dominated by high levels and shows the characteristics of agglomeration, but the spatial correlation is not high. In terms of obstacle factors, openness and coordination are the main obstacle factors. Considering the different agricultural development models, it is suggested that international cooperation, new agricultural cooperation, and differentiated policies can be considered to promote high-quality agricultural development. This study provides a more complete evaluation framework for government policy-making authorities to measure the level of regional agricultural development and help regional agriculture achieve sustainable development at a higher quality level.

Facile and Large-Scale Fabrication of Sub-3†nm PtNi Nanoparticles Supported on Porous Carbon Sheet: A Bifunctional Material for the Hydrogen Evolution Reaction and Hydrogenation.

Facile and large-scale preparation of materials with uniform distributions of ultrafine particles for catalysis is a challenging task, and it is even more difficult to obtain catalysts that excel in both the hydrogen evolution reaction (HER) and hydrogenation, which are the corresponding merging and splitting procedures of hydrogen, respectively. Herein, the fabrication of ultrafine bimetallic PtNi nanoparticles embedded in carbon nanosheets (CNS) by means of in situ self-polymerization and annealing is reported. This bifunctional catalyst shows excellent performance in the hydrogen evolution reaction (HER) and the hydrogenation of p-nitrophenol. Remarkably PtNi bimetallic catalyst with low metal loading (PtNi2 @CNS-600, 0.074 wt % Pt) exhibited outstanding HER activity with an overpotential as low as 68 mV at a current density of 10 mA cm-2 with a platinum loading of only 0.612 µgPt cm-2 and Tafel slope of 35.27 mV dec-1 in a 0.5 m aqueous solution of H2 SO4 , which is comparable to that of the 20 % Pt/C catalyst (31 mV dec-1 ). Moreover, it also shows superior long-term electrochemical durability for at least 30 h with negligible degradation compared with 20 % Pt/C. In addition, the material with increased loading (mPtNi2 @CNS-600, 2.88 % Pt) showed robust catalytic activity for hydrogenation of p-nitrophenol at ambient pressure and temperature. The catalytic activity towards hydrogen splitting is a circumstantial evidence that agrees with the Volmer-Tafel reaction path in the HER.

Pd-CuFe Catalyst for Transfer Hydrogenation of Nitriles: Controllable Selectivity to Primary Amines and Secondary Amines.

A multicomponent nanocatalyst system was fabricated for the transfer hydrogenation of nitrile compounds. This catalyst system contains palladium, copper, and iron, which are supported on the magnetite nanospheres, and the loading of palladium could be at the parts per million level. Palladium and copper contribute to the transformation of nitrile, and the product distribution highly depends on the alloying of Fe to Cu. The nitriles could be converted to primary amine by the Pd-Cu catalyst in the absence of Fe, whereas in the presence of Fe the products are secondary amines with high selectivity. This could be attributed to the electronic modulation of iron to copper. A variety of nitriles have been transformed to the corresponding primary or secondary amines with high selectivity, and the TOF reaches 2,929 hr-1 for Pd. Furthermore, the catalyst could be recycled by an external magnetic field and reused five times without severe activity loss.

Ultrafine FeCu Alloy Nanoparticles Magnetically Immobilized in Amine-Rich Silica Spheres for Dehalogenation-Proof Hydrogenation of Nitroarenes.

A novel core-shell structured nanocatalyst (Fe3 O4 @SiO2 -NH2 -FeCu nanoparticles) with ultrafine FeCu alloy NPs magnetically immobilized in porous silica has been fabricated. The obtained catalyst revealed excellent activity and chemoselectivity for catalyzing the hydrogenation of nitroarenes to corresponding anilines using hydrazine hydrate as the hydrogen source, and the reaction could be carried out smoothly in water, which is an environmentally friendly solvent. The FeCu alloy effectively prevented the dehalogenation of halonitroarenes, and X-ray photoelectron spectroscopy (XPS) study showed that it resulted from the electron-enrichment of Fe from Cu. A kinetics study indicated that the reaction order was about 1.5 towards 4-CNB and the apparent active energy (Ea ) was 48.1 kJ mol-1 , which is a relatively low value. Furthermore, the FeCu NPs are magnetically immobilized in the silica spheres (Fe3 O4 @SiO2 ), therefore the catalyst can be easily recovered by use of an external magnet and also possesses a long life time.