5,151 research outputs found

    Comparison of regional anesthetic techniques for postoperative analgesia after adult cardiac surgery: bayesian network meta-analysis

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    BackgroundPatients usually suffer acute pain after cardiac surgery. Numerous regional anesthetic techniques have been used for those patients under general anesthesia. The most effective regional anesthetic technique was still unclear.MethodsFive databases were searched, including PubMed, MEDLINE, Embase, ClinicalTrials.gov, and Cochrane Library. The efficiency outcomes were pain scores, cumulative morphine consumption, and the need for rescue analgesia in this Bayesian analysis. Postoperative nausea, vomiting and pruritus were safety outcomes. Functional outcomes included the time to tracheal extubation, ICU stay, hospital stay, and mortality.ResultsThis meta-analysis included 65 randomized controlled trials involving 5,013 patients. Eight regional anesthetic techniques were involved, including thoracic epidural analgesia (TEA), erector spinae plane block, and transversus thoracic muscle plane block. Compared to controls (who have not received regional anesthetic techniques), TEA reduced the pain scores at 6, 12, 24 and 48 h both at rest and cough, decreased the rate of need for rescue analgesia (OR = 0.10, 95% CI: 0.016–0.55), shortened the time to tracheal extubation (MD = −181.55, 95% CI: −243.05 to −121.33) and the duration of hospital stay (MD = −0.73, 95% CI: −1.22 to −0.24). Erector spinae plane block reduced the pain score 6 h at rest and the risk of pruritus, shortened the duration of ICU stay compared to controls. Transversus thoracic muscle plane block reduced the pain scores 6 and 12 h at rest compared to controls. The cumulative morphine consumption of each technique was similar at 24, 48 h. Other outcomes were also similar among these regional anesthetic techniques.ConclusionsTEA seems the most effective regional postoperative anesthesia for patients after cardiac surgery by reducing the pain scores and decreasing the rate of need for rescue analgesia.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, ID: CRD4202127664

    An overview of Cu-based heterogeneous electrocatalysts for CO2 reduction

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    The electrochemical (EC) reduction of CO2 is a promising approach for value-added fuel or chemical production. Cu-based electrodes have been extensively used as a ‘star’ material for CO2 reduction to hydrocarbons. This review mainly focuses on the recent progress of Cu-based heterogeneous electrocatalysts for CO2 reduction from 2013 to 2019. Various morphologies of oxide-derived, bimetallic Cu species and their activity in EC CO2 reduction are reviewed, providing insights for the standardization of Cu-based heterogeneous systems. We also present a tutorial manual to describe parameters for the EC CO2 reduction process, especially for the pretreatment of the reaction system. This will offer useful guidance for newcomers to the field. Aqueous and non-aqueous electrolyte effects based on Cu electrodes are discussed. Finally, an overview of reaction systems of EC/PEC CO2 reduction and H2O oxidation for Cu-based heterogeneous catalysts is provided

    Deep Self-Taught Hashing for Image Retrieval

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    Hashing algorithm has been widely used to speed up image retrieval due to its compact binary code and fast distance calculation. The combination with deep learning boosts the performance of hashing by learning accurate representations and complicated hashing functions. So far, the most striking success in deep hashing have mostly involved discriminative models, which require labels. To apply deep hashing on datasets without labels, we propose a deep self-taught hashing algorithm (DSTH), which generates a set of pseudo labels by analyzing the data itself, and then learns the hash functions for novel data using discriminative deep models. Furthermore, we generalize DSTH to support both supervised and unsupervised cases by adaptively incorporating label information. We use two different deep learning framework to train the hash functions to deal with out-of-sample problem and reduce the time complexity without loss of accuracy. We have conducted extensive experiments to investigate different settings of DSTH, and compared it with state-of-the-art counterparts in six publicly available datasets. The experimental results show that DSTH outperforms the others in all datasets

    Blocking interaction between SHP2 and PD‐1 denotes a novel opportunity for developing PD‐1 inhibitors

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    Small molecular PD‐1 inhibitors are lacking in current immuno‐oncology clinic. PD‐1/PD‐L1 antibody inhibitors currently approved for clinical usage block interaction between PD‐L1 and PD‐1 to enhance cytotoxicity of CD8+ cytotoxic T lymphocyte (CTL). Whether other steps along the PD‐1 signaling pathway can be targeted remains to be determined. Here, we report that methylene blue (MB), an FDA‐approved chemical for treating methemoglobinemia, potently inhibits PD‐1 signaling. MB enhances the cytotoxicity, activation, cell proliferation, and cytokine‐secreting activity of CTL inhibited by PD‐1. Mechanistically, MB blocks interaction between Y248‐phosphorylated immunoreceptor tyrosine‐based switch motif (ITSM) of human PD‐1 and SHP2. MB enables activated CTL to shrink PD‐L1 expressing tumor allografts and autochthonous lung cancers in a transgenic mouse model. MB also effectively counteracts the PD‐1 signaling on human T cells isolated from peripheral blood of healthy donors. Thus, we identify an FDA‐approved chemical capable of potently inhibiting the function of PD‐1. Equally important, our work sheds light on a novel strategy to develop inhibitors targeting PD‐1 signaling axis

    Preparation of Metal-Free Nitrogen-Doped Carbon Material and Its Catalytic Performance

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    Nitrogen-doped carbon materials (NCMs) were prepared via hydrothermal treatment together with pyrolysis under nitrogen atmosphere by using melamine as nitrogen source and sucrose as carbon source. The NCMs were characterized by X-ray diffraction (XRD), laser Raman spectroscopy and X-ray photoelectron spectroscopy (XPS). The results showed that nitrogen species were successfully doped into NCMs in the formation of pyridinic N, pyrrolic N, graphitic N, and oxidized N. With the temperature of pyrolysis increasing, the total amount of nitrogen species decreased, while the proportion of graphitic N increased. The catalytic performance was investigated by the reduction of p-nitrophenol with excessive KBH4 at 30 ℃. The reaction rate constant can reach 1.06 min-1 for NCM-800. The NCM-800 has good stability, which can be used for 8 cycles without obvious deactivation.

    Empirical study on clique-degree distribution of networks

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    The community structure and motif-modular-network hierarchy are of great importance for understanding the relationship between structures and functions. In this paper, we investigate the distribution of clique-degree, which is an extension of degree and can be used to measure the density of cliques in networks. The empirical studies indicate the extensive existence of power-law clique-degree distributions in various real networks, and the power-law exponent decreases with the increasing of clique size.Comment: 9 figures, 4 page

    Observation of spin-orbit magnetoresistance in metallic thin films on magnetic insulators

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    A magnetoresistance effect induced by the Rashba spin-orbit interaction was predicted, but not yet observed, in bilayers consisting of normal metal and ferromagnetic insulator. Here, we present an experimental observation of this new type of spin-orbit magnetoresistance (SOMR) effect in a bilayer structure Cu[Pt]/Y3Fe5O12 (YIG), where the Cu/YIG interface is decorated with nanosize Pt islands. This new MR is apparently not caused by the bulk spin-orbit interaction because of the negligible spin-orbit interaction in Cu and the discontinuity of the Pt islands. This SOMR disappears when the Pt islands are absent or located away from the Cu/YIG interface, therefore we can unambiguously ascribe it to the Rashba spin-orbit interaction at the interface enhanced by the Pt decoration. The numerical Boltzmann simulations are consistent with the experimental SOMR results in the angular dependence of magnetic field and the Cu thickness dependence. Our finding demonstrates the realization of the spin manipulation by interface engineering.Comment: 12 pages, 4 figures, 14 pages in supplementary. To appear on Science Advance
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