A nomogram to predict in-hospital mortality of gastrointestinal bleeding patients in the intensive care unit

BackgroundGastrointestinal bleeding (GIB) is a common condition in clinical practice, and predictive models for patients with GIB have been developed. However, assessments of in-hospital mortality due to GIB in the intensive care unit (ICU), especially in critically ill patients, are still lacking. This study was designed to screen out independent predictive factors affecting in-hospital mortality and thus establish a predictive model for clinical use.MethodsThis retrospective study included 1,442 patients with GIB who had been admitted to the ICU. They were selected from the Medical Information Mart for Intensive Care IV (MIMIC-IV) 1.0 database and divided into a training group and a validation group in a ratio of 7:3. The main outcome measure was in-hospital mortality. Least absolute shrinkage and section operator (LASSO) regression was used to screen out independent predictors and create a nomogram.ResultsLASSO regression picked out nine independent predictors: heart rate (HR), activated partial thromboplastin time (aPTT), acute physiology score III (APSIII), sequential organ failure assessment (SOFA), cerebrovascular disease, acute kidney injury (AKI), norepinephrine, vasopressin, and dopamine. Our model proved to have excellent predictive value with regard to in-hospital mortality (the area under the receiver operating characteristic curve was 0.906 and 0.881 in the training and validation groups, respectively), as well as a good outcome on a decision curve analysis to assess net benefit.ConclusionOur model effectively predicts in-hospital mortality in patients with GIB, indicating that it may prove to be a valuable tool in future clinical practice

Exposure to polychlorinated biphenyls (PCBs) affects the histology and antioxidant capability of the clam Cyclina sinensis

Polychlorinated biphenyls (PCBs) are environmentally persistent and highly toxic organochlorine compounds that may cause toxic effects on aquatic animals. In this study we assess the toxic effect of PCBs on a bivalve used in aquaculture, the clam Cyclina sinensis. To this end, individuals of C. sinensis were exposed for 72 h at two PCB concentrations (1 ng/L and 10 ng/L) and control (absence of PCBs). At the end of the exposure, the hemolymph, hepatopancreas, and gills samples of C. sinensis were harvested for analysis of the enzyme activity and histology. The results showed that acute PCBs exposure decreased the survival rate of C. sinensis compared to the control. Acute PCBs exposure up-regulated the enzymatic activity of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GSH-Px) and the content of malondialdehyde (MDA) in the hemolymph of C. sinensis, while down-regulated the non-specific enzymatic activity of alkaline phosphatase (AKP). For the hepatopancreas, 1 ng/L PCBs exposure up-regulated the enzymatic activity of SOD while down-regulated the enzymatic activity of CAT of C. sinensis. In the gill, the enzymatic activity of CAT decreased significantly and the MDA content increased of C. sinensis after 10 ng/L PCBs exposure. Moreover, histological observations showed that acute exposure to PCBs caused loss of gill filaments and lateral cilia and shortening of their length, in the studied organism. The present study will provide valuable reference data for marine shellfish aquaculture and toxicology research

Effects of habitat differences on the scatter-hoarding behaviour of rodents (Mammalia, Rodentia) in temperate forests

To discover the differences in hoarding strategies of rodents for different seeds in different habitats, we labelled and released three different types of seeds, including Pinus koraiensis, Corylus mandshurica, and Quercus mongolica, in temperate forests of northeastern China and investigated the fate of seeds in four different habitats that included a broad-leaved forest, mixed-forest edge, mixed forest, and artificial larch forest. Our research showed that the hoarding strategy of rodents was found to vary substantially in different habitats. The survival curves of seeds from different habitats showed the same trend, but the rates of consumption in different habitats varied. More than 50% of the seeds in the four habitats were consumed by the tenth day. It took 20 days to consume more than 70% of the seeds. The rate of consumption of P. koraiensis seeds reached 96.70%; 99.09% of the C. mandshurica seeds were consumed, and 93.07% of the Q. mongolica seeds were consumed. The seeds were consumed most quickly in the artificial larch forest. In general, most of the early seeds were quickly devoured. After day 20, the consumption gradually decreased. Rodents found the seeds in the artificial larch forest in a shorter average time than those in the other types of forests. The average earliest discovery time was 1.4 ± 0.9 d (1–3 d). The average earliest discovery time in all the other three habitats exceeded 7 d. The median removal times (MRT) was distributed around the seeds at 14.24 ± 10.53 d (1–60 d). There were significant differences in the MRT among different habitats. It was shortest in the artificial larch forest at 7.67 ± 6.80 d (1–28 d). In contrast, the MRT in the broad-leaved forest was the longest at 17.52 ± 12.91 d (4–60 d). There were significant differences in the MRT between the artificial larch forest and the other habitats. There was less predation of the three types of seeds at the mixed-forest edge, and the most seeds were dispersed. The rates of predation of the P. koraiensis, C. mandshurica, and Q. mongolica seeds were 28.33%, 15.83%, and 44.0%, and 59.17%, 84.17%, and 48.0% of the seeds were dispersed, respectively. The average dispersal distances of all the seeds were less than 6 m, and the longest distance recorded was 18.66 m. The dispersal distances and burial depths differed significantly among the four types of habitats. The distance of seed dispersal was primarily distributed in 1–6 m

Food preference strategy of four sympatric rodents in a temperate forest in northeast China

Rodents are well known as both seed predators and dispersers of various plant species in forest ecosystems, and they play an important role in the regeneration of vegetation. Thus, the research on seed selection and vegetation regeneration by sympatric rodents is an interesting topic. To understand the characteristics of preferences of rodents for different seeds, a semi-natural enclosure experiment was performed with four rodent species (Apodemus peninsulae, Apodemus agrarius, Tscherskia triton, and Clethrionomys rufocanus) and the seeds of seven plant species (Pinus koraiensis, Corylus mandshurica, Quercus mongolica, Juglans mandshurica, Armeniaca sibirica, Prunus salicina, and Cerasus tomentosa) to investigate the differentiation in niches and patterns of resource utilization of sympatric rodents. The results showed that all the rodents had consumed many seeds of Pi. koraiensis, Co. mandshurica, and Q. mongolica but differed significantly in how they selected the different seeds. The rate of utilization (Ri) of Pi. koraiensis, Co. mandshurica, and Q. mongolica exhibited the highest values. The Ei values indicated that the rodents tested exhibited differences in their priorities used to select the seeds from different plant species. All four species of rodents exhibited obvious preferences for certain seeds. Korean field mice preferentially consumed the seeds of Q. mongolica, Co. mandshurica, and Pi. koraiensis. Striped field mice favor the seeds of Co. mandshurica, Q. mongolica, P. koraiensis, and Nanking cherry. Greater long-tailed hamsters prefer to consume the seeds of Pi. koraiensis, Co. mandshurica, Q. mongolica, Pr. salicina, and Ce. tomentosa. Clethrionomys rufocanus likes to eat the seeds of Pi. koraiensis, Q. mongolica, Co. mandshurica, and Ce. tomentosa. The results supported our hypothesis that sympatric rodents overlap in food selection. However, each rodent species has a marked preference for food selection, and different rodent species differ in their food preferences. This reflects the role of distinct food niche differentiation in their coexistence

Low-mass dark matter search results from full exposure of PandaX-I experiment

We report the results of a weakly-interacting massive particle (WIMP) dark matter search using the full 80.1\;live-day exposure of the first stage of the PandaX experiment (PandaX-I) located in the China Jin-Ping Underground Laboratory. The PandaX-I detector has been optimized for detecting low-mass WIMPs, achieving a photon detection efficiency of 9.6\%. With a fiducial liquid xenon target mass of 54.0\,kg, no significant excess event were found above the expected background. A profile likelihood analysis confirms our earlier finding that the PandaX-I data disfavor all positive low-mass WIMP signals reported in the literature under standard assumptions. A stringent bound on the low mass WIMP is set at WIMP mass below 10\,GeV/c$^2$, demonstrating that liquid xenon detectors can be competitive for low-mass WIMP searches.Comment: v3 as accepted by PRD. Minor update in the text in response to referee comments. Separating Fig. 11(a) and (b) into Fig. 11 and Fig. 12. Legend tweak in Fig. 9(b) and 9(c) as suggested by referee, as well as a missing legend for CRESST-II legend in Fig. 12 (now Fig. 13). Same version as submitted to PR

A novel hybrid energy system combined with solar-road and soil-regenerator: Dynamic model and operational performance

This document is the Accepted Manuscript version, made available under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License CC BY NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/). Under embargo until 26 November 2018. The final, definitive version of this article is available online at doi: https://doi.org/10.1016/j.enconman.2017.11.066.Solar roads are emergent and huge energy source in traffic domains. To improve the energy utilization efficiency of a solar road, a novel solar-road and soil-regenerator hybrid energy system in combination with conventional photovoltaic-thermal and soil heat storage technology was proposed. A mathematical model of the solar-road and soil-regenerator hybrid energy system was developed, validated, and applied to evaluate the thermal storage and power generation performance of the proposed system in cold regions. The results indicated that for critical thermal storage temperatures of 20, 30, and 40 °C, the proposed system decreased maximum photovoltaic cell temperatures by 24.09, 25.84, and 24.42 °C and increased electrical efficiencies by 6.85, 6.68, and 4.53%, respectively, compared with conventional solar roads. By storing heat in the soil and elevating soil temperatures, the proposed system also increased the average borehole wall temperatures by 2.93, 2.26, 1.87 °C. The proposed system produced overall energy efficiencies of 48.42, 55.47, and 66.58%, while conventional solar road efficiencies approximate 10.75%.Peer reviewe