Accurately constructing membranes based on two-dimensional (2D) materials on commercial porous substrates remains a significant challenge for H2 purification. In this work, a series of tubular 2D MXene membranes are prepared on commercial porous stainless steel substrates via fast electrophoretic deposition. Compared with other methods, such as filtration or drop coating, etc. such preparation route shows the advantages of simple operation, high efficiency for membrane assembly (within 5 min) with attractive reproducibility, and ease for scale-up. The tubular MXene membranes present excellent gas separation performance with hydrogen permeance of 1290 GPU and H2/CO2 selectivity of 55. Furthermore, the membrane displays extremely stable performance during the long-term test for more than 1250 h, and about 93% of the membranes from one batch have exceeded the DOE target for CO2 capture. Most importantly, this work provides a valuable referential significance for other types of 2D materials-based membranes for future application development.

In riparian forests, clear-cutting causes long-lasting changes in both riparian and aquatic biota. In this work, we examined if past clear-cutting events occurred at different times have imprints on riparian forests in a Mediterranean river in central Italy. We carried out a randomized, plot-based vegetation survey of riparian forests in systematically sampled 500 m-long sectors along the whole river, dividing the riparian zone into two internal and two external strips. From historical aerial photos, past clear-cutting events within plots were detected and classified in age classes: i) cut in the past 8 years (recent); ii) cut between 8 and 19 years ago (intermediate); iii) no signs of clear-cutting in the last 19 years (distant). We analyzed the responses of vegetation to clear-cutting and strip position. Alien species richness increased and woody species richness decreased in recently clear-cut areas compared to those with a distant clear-cutting event. Moreover, recently cut woods showed an increase in alien and synanthropic species. Intermediate clear-cut areas had higher levels of invasion by alien species compared to areas with distant cut. Riparian forests of internal strips are impacted by clear-cutting, but seem to recover in 8-19 years thanks to their natural resilience. Conversely, recent or intermediate clear-cutting events did not affect any of the investigated vegetation attributes in the external strips since such forests were already invaded by Robinia pseudoacacia after human disturbance. Our results confirm that clear-cutting events can have long-lasting effects on Mediterranean riparian forests, confirming the vulnerability of river ecosystems to clear-cutting and suggesting the need for more caution in management practices to improve the conservation status of riparian forests.

Objectives: Data on intraoperative three-dimensional derived right ventricular free-wall strain (3D-RV FWS) is sparse. We sought to evaluate the normal range of intraoperative 3D-RV FWS in patients scheduled for coronary artery bypass graft (CABG) surgery and compare to conventional echocardiographic parameters. Design: Prospective observational study. Setting: Single university hospital. Participants: 150 patients with preserved left and right ventricular function and sinus rhythm, without significant heart valve disease or pulmonary hypertension undergoing isolated onpump CABG surgery, with an uneventful, complication-free intraoperative course. Interventions: 3D-RV FWS analysis and conventional echocardiographic assessment of right ventricular function were performed intraoperatively in anesthetized and ventilated patients using transesophageal echocardiography (TEE). All echocardiographic measurements were performed under stable hemodynamic conditions and predefined fluid management without any vasoactive support or pacing. Measurements and Main Results: We used TomTec 4D RV-Function 2.0 software for assessment of 3D-RV FWS and three-dimensional right ventricular ejection fraction (3D-RV EF). Philips QLAB 10.8 was used to evaluate tissue velocity of the tricuspid annulus (RV S´), tricuspid annular systolic excursion (TAPSE), and RV fractional area change (FAC). Assessment of 3D-RV FWS was feasible in 95% of patients. No included patient experienced a serious perioperative complication. In our group of patients, median values with interquartile range (IQR) for 3D-RV FWS and 3D-RV EF were - 25.2 (IQR -29.9 - -21.8) and 46.3% (IQR 41.0 - 50.1%), respectively. RV FAC, RV S´ and TAPSE accounted for 39.7% (IQR 34.5 - 44.4%), 14.8cm/s (IQR 11.8 - 19.0cm/s) and 22 mm (IQR 20-25mm). Normal range (2.5% to 97.5% percentile) for 3D-RV FWS was -37.1 to -12.8. There was no relevant correlation of 3D-RV FWS to postoperative outcome in this group of CABG patients. Conclusion: We present distribution values for intraoperative 3D-RV FWS and conventional parameters of RV function assessment in a healthy on-pump CABG patient population without serious perioperative complications. We observed no correlations of these parameters with any of the outcome parameters considered. Therefore, we consider these values to be intraoperative TEE-assessed normal values that can be expected in onpump CABG patients.

Feeding habit determines the digestive tract structure and intestinal microflora. However, the relationship among feeding habit, digestive physiology intestinal, and microbial diversity of omnivorous, herbivorous, filter-feeder and carnivorous fish reared in the same pond has not been compared. This study compared the digestive enzyme activities, intestinal morphology and intestinal microflora of omnivorous (Carassius auratus), herbivorous (Ctenopharyngodon idellus), carnivorous (Siniperca chuatsi) and filter-feeder (Shizothorax grahami) and predicted the potential functions of specific microflora on different nutrients. Twelve intestine samples were collected from each of the four fishes from Dianchi Lake. The composition and diversity of microbial communities were determined by using high throughput sequencing of 16S rDNA. The results showed that the filter-feeder fish had significantly higher protease but lower amylase activities in the intestine than herbivorous. The carnivorous fish intestine had more microvilli branches and complex structures than other fish species in the order carnivorous > herbivorous > filter-feeder > omnivorous. The diversity of intestinal microflora was higher in omnivorous and followed the order omnivorous > herbivorous > filter-feeder > carnivorous. Acinetobacter species and Bacteroides species were the most dominant flora in carnivorous and herbivorous fish, respectively. Acinetobacter johnsonii, Acinetobacter lwoffii and Pseudomonas stutzeri might help the host to digest protein, while Bacteroidetes species may help the host to digest cellulose. Taken together, feeding habit determines the digestive enzyme activities, intestinal tissue morphology and differential colonization of fish intestinal flora. The knowledge obtained is useful in designing appropriate approaches for feed formulation and feeding practices in for fish.

The sea otter (Enhydra lutris) population of Southeast Alaska has been growing at a higher rate than other regions along the Pacific coast. While good for the recovery of this endangered species, rapid population growth of this apex predator can create a human-wildlife conflict, negatively impacting commercial and subsistence fishing. Previous foraging studies throughout the sea otter range have shown they will reduce invertebrate prey biomass when recolonizing an area. The goal of this study was to examine and quantify the energetic content of sea otter diets through direct foraging observations and prey collection. Our study area, Prince of Wales Island in southern Southeast Alaska, exhibits a gradient of sea otter recolonization, thus providing a natural experiment to test diet change in regions with different recolonization histories. Sea otter prey items were collected in three seasons (spring, summer, winter) to measure caloric value and lipid and protein content. We observed 3,523 sea otter dives during the spring and summer. A majority of the sea otter diet consisted of clams. Sea otters in newly recolonized areas had lower diet diversity, higher kcal/gram intake rates, and higher energetic intake rates. Females with pups had the highest diet diversity and the lowest energetic intake rates (calories per gram consumed). Sea otter energetic intake rates were higher in the fall and winter vs. spring and summer. Sea cucumber energy and lipid content appeared to correspond with times when sea otters consumed the highest proportion of sea cucumbers. These caloric variations are an important component of understanding ecosystem level effects sea otters have in the nearshore environment.

Abstract Objective: To analyse the role of surgery along with antimicrobials to improve clinical outcomes in treating refractory cases of skull base osteomyelitis (SBO). Study design and setting: A prospective comparative study in a tertiary care centre with 70 SBO patients meeting eligibility criteria. Participants: The study population comprised 35 patients refractory to systemic antimicrobials of at least four weeks duration who later underwent surgery in addition to medication (surgical group). They were compared with a medical group that responded to medications alone. Main outcome measures: The outcome variables studied were the resolution of clinical features (pain, discharge, radiology, and inflammatory markers), culture yield, and total duration of treatment. Results: According to our study, relief of pain was faster in the surgical group(1.66 against 4.57 months) with statistical significance (p< 0. 001). Relief of symptoms (p< 0.001), radiological improvement (p= 0.001), and normalizing of inflammatory markers (p<0.001) were better in the surgical group than in the medical group. The duration of treatment was an average of 9. 2 months in the surgical group compared to 11.3 months in the medical group (p= 0.019). Microbial culture from deep tissue sampling was positive in 24 surgical patients (68.57%). Conclusion: The treatment response to surgery and antimicrobials in treating refractory cases of SBO was better than the group who responded to antimicrobials alone. Surgery provided higher microbial yield resulting in culture-specific antimicrobials. The surgical group observed faster relief of symptoms, reduced hospital stay, and total treatment duration.

The information exchange methods currently used in the field of vehicle inspection are not in harmony with the social information construction environment, which hinders the interaction and flow of information. On the other hand, because a large amount of data collected by different types of sensors must be transmitted to edge computing nodes, dynamic vehicle detection will lead to network congestion and affect the calculation of edge computing nodes. Therefore, optimizing the data transmission between vehicles and edge computing nodes is a new challenge, which needs to be solved in the practical application of dynamic vehicle detection architecture based on edge computing. In this paper, we have considered the data requirements of dynamic vehicle detection in different environments, analyzed the optimization objectives and constraints, and proposed deviation detection and greedy algorithms to solve the problem of MILP solving the problem of long time and insufficient practical application, and evaluated the performance of the algorithm through simulation experiments using SUMO, a traffic flow simulation tool, and PreScan, a vehicle simulation test software. The results show that greedy algorithm is more suitable for practical application than deviation detection algorithm. The implementation of this system can improve the efficiency of vehicle detection and management, and has good application value.

Over the last three to four decades, Therapeutic Drug Monitoring (TDM) has shaped itself as therapeutic drug management (TDM), an integral component of precision medicine. The practice of TDM is not extensive in India, despite being one of the fastest growing economies in the world. It is currently limited to a few academic medical centers and teaching hospitals. Apart from the immunosuppressive drugs, several other therapeutic areas like anticancer, antifungals, antibiotics and antitubercular have demonstrated great potential to improve the patient outcomes in the Indian settings. Factors like higher prevalence of nutritional deficiencies, tropical diseases, widespread use of alternative medicines, unalike pharmacogenomics, and sparse population specific data available on therapeutic ranges of several drugs, makes in the population of this subcontinent unique regarding the relevance of TDM. Despite the impact of TDM in clinical science and it’s widespread application, TDM has failed to receive the attention it deserves in India. This review intends to bring out a strength-weakness-opportunity and threats (SWOT) analysis for TDM in India so that appropriate steps for fostering growth of TDM could be envisioned. The need of the hour is creation of a cooperative group including all the stake holders like TDM professionals, clinicians and the government and devising a National Action Plan to strengthen TDM. Nodal TDM centres should be established and pilot programs should be rolled out for identifying the thrust areas for TDM in the country, capacity building and creating awareness to integrate TDM into mainstream clinical medicine.

We report a case of cerebral fat embolism (CFE) that could be identified only by susceptibility weighted imaging (SWI). Collection and analysis of previous case reports of CFE revealed utilization of SWI in less than one third of suspected cases, despite its known diagnostic ability for CFE.

We present the case of a 70-year-old man diagnosed with acute myelomonocytic leukemia, albeit that his leukemic blasts at initial presentation had scant cytoplasm, inconspicuous cytoplasmic granules, and morphologically mimicked lymphoblasts. We would like to raise the recognition that acute myelomonocytic leukemia can actually present with atypical blast morphology.

The current study is important in informing clinicians about the possibility of concurrent oxalate nephropathy caused by Roux-en-Y gastric bypass, high oxalate materials, and high dosage vitamin C intake for COVID-19 prevention.

A 70-year-old female presented with a long history of HIV and five years of disturbing delusions of infestation that impaired her functioning. The delusion resolved with haloperidol but was followed by depressive symptoms. The case presents the complexity of managing neuropsychiatric manifestations of elderly patient with HIV/AIDS and medical comorbidities

The present paper is devoted to the group classification of magnetogasdynamics equations in which dependent variables in Euler coordinates depend on time and two spatial coordinates. It is assumed that the continuum is inviscid and nonthermal polytropic gas with infinite electrical conductivity. The equations are considered in mass Lagrangian coordinates. Use of Lagrangian coordinates allows reducing number of dependent variables. The analysis presented in this article gives complete group classification of the studied equations. This analysis is necessary for constructing invariant solutions and conservation laws on the base of Noether’s theorem.

Survival from pediatric cancers in low-middle-income countries is often very low compared to that of high-income countries due to multifactorial etiologies, including late presentation, delayed diagnosis, difficulty with accessing health care, drug unavailability and treatment abandonment. The St. Jude Pediatric Oncology Facility Integrated Local Evaluation Tool (PrOFILE) was developed to identify the strengths and weaknesses of individual institutions, as well as whole countries. Following the completion of data analysis from Kenyan institutions, the first PrOFILE hybrid in-person and virtual workshop was held. Multi-disciplinary stakeholders prioritized recommendations for improving care and developed smart objectives to accomplish identified goals over the following 2 years. Strengths and weaknesses of conducting a hybrid global workshop were identified.

Xeroderma pigmentosum (XP) is a rare genodermatosis characterized by defective DNA repair, leading to hypersensitivity to ultraviolet (UV) sunlight and predisposes to various cutaneous and non-cutaneous malignancies. Platinum compounds are used against cutaneous cancers as concurrent chemoradiotherapy. But the XP gene polymorphism has a potential role in metabolism of these agents and their susceptibility. Here, we report a case of cutaneous squamous cell carcinoma in a patient with XP who had severe toxicity to chemotherapy. We also discuss other similar cases reported in literature of this entity, to highlight this potentially lethal pharmacogenomic association.

Usually, the aniline-based late-transition-metal catalysts often require bulky steric substituents on both sides of the ortho-aryl position to achieve efficient suppression of chain transfer in ethylene polymerization. In this contribution, we demonstrated that α-diimine catalysts based on naphthylamine with only one bulky ortho-aryl substituent also demonstrated excellent capabilities to suppress the chain transfer. Firstly, a class of α-diimine nickel and palladium complexes with only one o-aryl-dibenzhydryl or o-aryl-dibenzosuberyl substituent were synthesized and characterized. Secondly, the as-prepared naphthylamine-based nickel catalysts demonstrated outstanding activities and yielded lightly branched (16-40/1000C) polyethylenes with very high molecular weights (445.8-854.3 kg/mol) in ethylene polymerization. In comparison, the corresponding palladium catalysts showed moderate activities, generating moderately branched polyethylenes with moderate molecular weights (21.6-82.0 kg/mol). Moreover, the palladium catalysts could also copolymerize ethylene and methyl acrylate (MA), albeit in low activity (level of 103 g·mol-1·h-1)，providing E-MA copolymers with low to moderate molecular weight (1.4-16.3 kg/mol) and a moderate level of incorporation ratio (2.4-7.4 mol%) and branching density. As compared with aniline-based nickel and palladium catalysts, the naphthylamine-based catalysts displayed a superior ability to suppress the chain transfer reactions and could give access to (co)polymers with orders of magnitude higher molecular weight in ethylene (co)polymerization.

Basal serum tryptase:

Melkersson–Rosenthal Syndrome(MRS) is defined by three symptoms: orofacial granulomatosis(OFG), facial palsy and fissured tongue.We focus our attention on a patient who came to us with a swelling of the lip.We suspected a MRS. After the positive response to the therapy, we can assume that he suffers from a MRS.