SOFA评分联合超声对脓毒症合并AKI患者的预后价值分析

本文主要探究SOFA评分联合超声对脓毒症合并急性肾损伤(AKI)患者的预后价值。选取2017年1月~2019年1月本院脓毒症合并AKI患者50例作为观察组,并分为AKI 1、2、3期,将同期入院的50例脓毒症患者作为对照组,两组患者均采用SOFA评分联合超声进行预后评估。结果发现,观察组PDU评分低于对照组(P<0.05),RI值、SOFA评分高于对照组(P<0.05);不同分期的3组间的PDU评分、SOFA评分不同,随着AKI分期的增加,PDU评分降低、SOFA评分增加(P<0.05),但3组间的RI值并无不同(P>0.05);50例脓毒症合并AKI患者发生院内死亡率为44.00%。经单因素分析发现,年龄、机械通气时间、ICU住院时间、AKI分期、脓毒症休克、SOFA评分、PDU评分为影响患者预后不佳的因素(P<0.05);AKI3期、发生脓毒性休克、SOFA评分、PDU评分是脓毒症合并AKI患者预后不佳的独立因素(P<0.05),ROC曲线下面积(AUC)越大,对预后的预测效能越好,当AUC>70.00%时具有临床价值。两者联合显著高于单独应用SOFA评分(AUC=74.28%)或PDU评分(P<0.001)。上述结果说明,脓毒症合并AKI患者采用SOFA评分联合超声用于评估患者的预后,优于单独采用SOFA评分或超声,两者联合的预测价值更大。     

叶片锯齿尾缘对降低空调室外机气动噪声影响的试验研究

依据现有的叶片尾迹宽度计算公式,计算了一空调室外机风机叶片的尾迹宽度,然后,以此尾迹宽度为参考基准,设计了两组不同形状和大小的锯齿形叶片尾缘,制作并试验研究了锯齿形尾缘对风机气动噪声的影响规律。结果表明,锯齿尾缘有明显降噪效果,正弦形锯齿较正三角形更好。锯齿尾缘通过降低宽频噪声降噪,而对离散噪声影响很小。采用与叶片尾迹...     

Aromatic Nitrogen Mustard‐Based Prodrugs: Activity,Selectivity, and the Mechanism of DNA Cross‐Linking

Three novel H₂O₂‐activated aromatic nitrogen mustard prodrugs ( 6 – 8 ) are reported. These compounds contain a DNA alkylating agent connected to a H₂O₂‐responsive trigger by different electron‐withdrawing linkers so that they are inactive towards DNA but can be triggered by H₂O₂ to release active species. The activity and selectivity of these compounds towards DNA were investigated by measuring DNA interstrand cross‐link (ICL) formation in the presence or absence of H₂O₂. An electron‐withdrawing linker unit, such as a quaternary ammonia salt ( 6 ), a carboxyamide ( 7 ), and a carbonate group ( 8 ), is sufficient to deactivate the aromatic nitrogen mustard resulting in less than 1.5 % cross‐linking formation. However, H₂O₂ can restore the activity of the effectors by converting a withdrawing group to a donating group, therefore increasing the cross‐linking efficiency (>20 %). The stability and reaction sites of the ICL products were determined, which revealed that alkylation induced by 7 and 8 not only occurred at the purine sites but also at the pyrimidine site. For the first time, we isolated and characterized the monomer adducts formed between the canonical nucleosides and the aromatic nitrogen mustard ( 15 ) which supported that nitrogen mustards reacted with dG, dA, and dC. The activation mechanism was studied by NMR spectroscopic analysis. An in vitro cytotoxicity assay demonstrated that compound 7 with a carboxyamide linker dramatically inhibited the growth of various cancer cells with a GI₅₀ of less than 1 μM , whereas compound 6 with a charged linker did not show any obvious toxicity in all cell lines tested. These data indicated that a neutral carboxyamide linker is preferable for developing nitrogen mustard prodrugs. Our results showed that 7 is a potent anticancer prodrug that can serve as a model compound for further development. We believe these novel aromatic nitrogen mustards will inspire further and effective applications.     

Phenothiazine–BODIPY–Fullerene Triads as Photosynthetic Reaction Center Models: Substitution and Solvent Polarity Effects on Photoinduced Charge Separation and Recombination

Novel photosynthetic reaction center model compounds of the type donor₂–donor₁–acceptor, composed of phenothiazine, BF₂‐chelated dipyrromethene (BODIPY), and fullerene, respectively, have been newly synthesized using multistep synthetic methods. X‐ray structures of three of the phenothiazine‐BODIPY intermediate compounds have been solved to visualize the substitution effect caused by the phenothiazine on the BODIPY macrocycle. Optical absorption and emission, computational, and differential pulse voltammetry studies were systematically performed to establish the molecular integrity of the triads. The N‐substituted phenothiazine was found to be easier to oxidize by 60 mV compared to the C‐substituted analogue. The geometry and electronic structures were obtained by B3LYP/6‐31G(dp) calculations (for H, B, N, and O) and B3LYP/6‐31G(df) calculations (for S) in vacuum, followed by a single‐point calculation in benzonitrile utilizing the polarizable continuum model (PCM). The HOMO?1, HOMO, and LUMO were, respectively, on the BODIPY, phenothiazine and fullerene entities, which agreed well with the site of electron transfer determined from electrochemical studies. The energy‐level diagram deduced from these data helped in elucidating the mechanistic details of the photochemical events. Excitation of BODIPY resulted in ultrafast electron transfer to produce PTZ–BODIPY^.+–C₆₀^.?; subsequent hole shift resulted in PTZ^.+–BODIPY–C₆₀^.? charge‐separated species. The return of the charge‐separated species was found to be solvent dependent. In nonpolar solvents the PTZ^.+–BODIPY–C₆₀^.? species populated the ³C₆₀* prior to returning to the ground state, while in polar solvent no such process was observed due to relative positioning of the energy levels. The ¹BODIPY* generated radical ion‐pair in these triads persisted for few nanoseconds due to electron transfer/hole‐shift mechanism.     

Effect of pH value on the growth morphology of KH2PO4 crystal grown in defined crystallographic direction

KH₂PO₄ single crystals were grown in aqueous solution at different pH values by using “point seeds” with a defined crystallographic direction at 59 degree to the Z axis. Atomic Force Microscope (AFM) was applied to observe the surface morphology of (100) face. It was found that at the same supersaturation, the larger steps appeared at the lower pH value before appearance of 2D nucleus. We found that 2D nucleus was occurred at σ ≤ 0.04 when pH value is <2.8. The occurrence of 2D nucleus was caused by the decreasing step‐edge free energy with the decreasing of pH value in the growth solution. In this paper, we observed the morphologies of (100) faces of KDP crystals which grew in solutions with different pH values. 2D nucleuses appeared on the terrace of growth steps when pH value down to 2.8 and 3.2 at supersaturation of 0.04, while pH value down to 2.4, only 2D nucleation control the growth. Therefore, the pH value can change the growth mechanism of KDP crystals.     

On a model of sequential point patterns

A finite point process motivated by the cooperative sequential adsorption model is proposed. Analytical properties of the point process are considered in details. It is shown that the introduced point process is useful for modeling both aggregated and regular point patterns. A possible scheme of maximum likelihood estimation of the process parameters is briefly discussed. V. Shcherbakov is on leave from Laboratory of Large Random Systems, Faculty of Mathematics and Mechanics, Moscow State University, Moscow.     

A semi-analytic solution for multiple curved cracks emanating from circular hole using singular integral equation

This paper provides an elastic solution for an infinite plate containing multiple curved edge cracks emanating from a circular hole. A fundamental solution is suggested, which represents a particular solution for a concentrated dislocation in an infinite plate with the traction free hole. The generalized image method and the concept of the modified complex potentials are used in the derivation of the fundamental solution. After using the fundamental solution and placing the distributed dislocations at the prospective sites of cracks, a singular integral equation is formulated. The singular integral equation is solved by using the curve length method in conjunction with the semi-opening quadrature rule. By taking an additional point dislocation at the hole center, the number of the unknowns is equal to the number of the resulting algebraic equations. This is a particular advantage of the suggested method. Finally, several numerical examples are given to illustrate the efficiency of the method presented. Numerical examinations are carried out and sufficient accurate results have been found.     

An effective solution for a real cutting stock problem in manufacturing plastic rolls

We confront a practical cutting stock problem from a production plant of plastic rolls. The problem is a variant of the well-known one dimensional cutting stock, with particular constraints and optimization criteria defined by the experts of the company. We start by giving a problem formulation in which optimization criteria have been considered in linear hierarchy according to expert preferences, and then propose a heuristic solution based on a GRASP algorithm. The generation phase of this algorithm solves a simplified version which is rather similar to the conventional one dimensional cutting stock. To do that, we propose a Sequential Heuristic Randomized Procedure (SHRP). Then in the repairing phase, the solution of the simplified problem is transformed into a solution to the real problem. For experimental study we have chosen a set of problem instances of com-mon use to compare SHRP with another recent approach. Also, we show by means of examples, how our approach works over instances taken from the real production process. All authors are supported by MEC-FEDER Grant TIN2007-67466-C02-01 and by contract CN-05-127 of the University of Oviedo and the company ERVISA, and by FICYT under grant BP04-021.     

矩阵形式二次修正Maxwell-Dirac系统的多尺度算法

带二次修正项的Dirac方程在拓扑绝缘体、石墨烯、超导等新材料电磁光特性分析中有着十分广泛的应用.本文工作的创新点有：一是首次提出了矩阵形式带有二次修正项的Dirac方程,它是比较一般的数学框架,涵盖了上述材料体系很多重要的物理模型,具体见附录A;二是针对上述材料体系的电磁响应问题,提出了有界区域Weyl规范下具有周期间断系数矩阵形式带二次修正项Maxwell-Dirac系统的多尺度渐近方法,结合Crank-Nicolson有限差分方法和自适应棱单元方法,发展了一类多尺度算法.数值试验结果验证了多尺度渐近方法的正确性和算法的有效性.