Transversus abdominis plane block reduces remifentanil and propofol consumption, evaluated by closed-loop titration guided by bispectral index.

The present prospective, randomized, double-blind study aimed to determine the impact of transversus abdominis plane (TAP) block on propofol and remifentanil consumption, when administered by closed-loop titration guided by processed electroencephalography, i.e., bispectral index (BIS) values. Following institutional review board approval, 60 patients were scheduled for laparoscopic colectomy under general anesthesia. Patients were randomly assigned to receive bilateral TAP block with 20 ml 0.375% ropivacaine (TAP group) or 20 ml 0.9% saline [control (CON) group]. General anesthesia was maintained with propofol and remifentanil administration using closed-loop titration guided by BIS values. The primary outcome was perioperative propofol and remifentanil consumption. The secondary outcomes were hypertensive or hypotensive events requiring treatment, recovery time in PACU and time to first rescue analgesia following surgery. A total of 58 patients participated in the present study. At similar depths of anesthesia, as measured by BIS during the maintenance phase (45-55), patients who received TAP blocks required less propofol (4.2±1.3 vs. 5.5±1.6 mg/kg/h; P<0.001) and remifentanil (0.16±0.05 vs. 0.21±0.05 µg/kg/min; P<0.001). Time to extubation was significantly shorter in the TAP group (9.8±3.2 min) than in the CON group (14.2±4.9 min) (P<0.05). The requirement to treat hemodynamic change was also significantly lower (P<0.05). Pain score at 2 h after surgery was also significantly reduced in the TAP group compared with the CON group (P<0.05), whereas the time to first rescue analgesia was delayed in patients who received TAP block (P<0.05). Postoperative nausea and vomiting occurred at comparable rates in each group (P>0.05). In conclusion, TAP block combined with general anesthesia reduced propofol and remifentanil consumption, shortened time to tracheal extubation and promoted hemodynamic stability in laparoscopic colectomy

Nanoscale pore and crack evolution in shear thin layers of shales and the shale gas reservoir effect

Studies on matrix-related pores from the nanometer to the micrometer scale in shales have made considerable progress in recent decades. However, nanoscale pores and cracks developed in the shear thin layers have not been systematically discussed. In this work, interlayer shear slip occurring in shales are observed through practical examples. The results show that the shear thin layer constructed by nanograin coating is widely distributed on superimposed shear slip planes. Usually, the development of the shear thin layer undergoes viscoelastic-rheological-embrittling deformation stages, and the nanograin texture assembled in the shear thin layer can demonstrate three pore and crack structure types. Based on the mechanical analysis concerning nanoscale cohesion force, it is identified that, as long as force remains a state, the shear thin layer must bear a nanoscale pore and crack character. Furthermore, the shale gas reservoir effect of the nanoscale pore and crack is simply discussed. Obviously, the adsorbed gas effect of the nanograin itself has a larger nanoscale size and surface functionality than those of kerogen and clay particles in the shales; three structure types of the nanoscale pore and crack can act as given controlling factors of storage and permeability for the free gas. Both the matrix-related pores and the three pore and crack structures have an intimate connection with respect to each other in the genetic mechanism and temporal-spatial evolution. This work has important theoretical implications for supplementing the pore and crack classification of shale. Moreover, it makes a significant contribution to shale gas exploration and development.Cited as: Sun, Y., Ju, Y., Zhou, W., Qiao, P., Tao, L., Xiao, L. Nanoscale pore and crack evolution in shear thin layers of shales and the shale gas reservoir effect. Advances in Geo-Energy Research, 2022, 6(3): 221-229. https://doi.org/10.46690/ager.2022.03.0

Catalytic Asymmetric Dihydroxylation of Olefins Using a Recoverable and Reusable Ligand

A free bis-cinchona alkaloid derivative ligand was prepared by a simple synthetic manipulation. With ligand/olefin mole ratio of 1%, the asymmetric dihydroxylation reactions of six olefins proceeded smoothly to give the chiral vicinal diols in high chemical yields and optical yields. The ligand itself could be recovered quantitatively by a simple operation and reused five times without loss of enantioselectivity

Na+-induced Ca2+ influx through reverse mode of Na+-Ca2+ exchanger in mouse ventricular cardiomyocyte

BACKGROUND: Dobutamine is commonly used for clinical management of heart failure and its pharmacological effects have long been investigated as inotropics via β-receptor activation. However, there is no electrophysiological evidence if dobutamine contributes inotropic action due at least partially to the reverse mode of Na+-Ca2+ exchanger (NCX) activation. METHODS: Action potential (AP), voltage-gated Na+ (INa), Ca2+ (ICa), and K+ (Ito and IK1) currents were observed using whole-cell patch technique before and after dobutamine in ventricular cardiomyocytes isolated from adult mouse hearts. Another sets of observation were also performed with Kb-r7943 or in the solution without [Ca2+]o. RESULTS: Dobutamine (0.1-1.0 μM) significantly enhanced the AP depolarization with prolongation of AP duration (APD) in a concentration-dependent fashion. The density of INa was also increased concentration-dependently without alternation of voltage-dependent steady-status of activation and inactivation, reactivation as well. Whereas, the activities for ICa, Ito, and IK1 were not changed by dobutamine. Intriguingly, the dobutamine-mediated changes in AP repolarization were abolished by 3 μM Kb-r7943 pretreatment or by simply removing [Ca2+]o without affecting accelerated depolarization. Additionally, the ratio of APD50/APD90 was not significantly altered in the presence of dobutamine, implying that effective refractory period was remain unchanged. CONCLUSIONS: This novel finding provides evidence that dobutamine upregulates of voltage-gated Na+ channel function and Na+ influx-induced activation of the reverse mode of NCX, suggesting that dobutamine may not only accelerate ventricular contraction via fast depolarization but also cause Ca2+ influx, which contributes its positive inotropic effect synergistically with β-receptor activation without increasing the arrhythmogenetic risk

Learning by Doing: An Online Causal Reinforcement Learning Framework with Causal-Aware Policy

As a key component to intuitive cognition and reasoning solutions in human intelligence, causal knowledge provides great potential for reinforcement learning (RL) agents' interpretability towards decision-making by helping reduce the searching space. However, there is still a considerable gap in discovering and incorporating causality into RL, which hinders the rapid development of causal RL. In this paper, we consider explicitly modeling the generation process of states with the causal graphical model, based on which we augment the policy. We formulate the causal structure updating into the RL interaction process with active intervention learning of the environment. To optimize the derived objective, we propose a framework with theoretical performance guarantees that alternates between two steps: using interventions for causal structure learning during exploration and using the learned causal structure for policy guidance during exploitation. Due to the lack of public benchmarks that allow direct intervention in the state space, we design the root cause localization task in our simulated fault alarm environment and then empirically show the effectiveness and robustness of the proposed method against state-of-the-art baselines. Theoretical analysis shows that our performance improvement attributes to the virtuous cycle of causal-guided policy learning and causal structure learning, which aligns with our experimental results

The effect of multiple thermal cycles on Ti-6Al-4V deposits fabricated by wire-arc directed energy deposition:Microstructure evolution, mechanical properties, and corrosion resistance

Thermal cycles have an important effect on the microstructure and properties of the components fabricated by wire-arc directed energy deposition (wire-arc DED). In this study, a Gleeble thermal-mechanical simulator was adopted to create closer-to-reality thermal cycles with the assistance of a numerical simulation model and experimental Ti-6Al-4V deposition. Step-by-step microstructure evolution, including αm, retained β, and GB α, microhardness gradual variation, and the corrosion resistance change before and after the entire thermal cycle were investigated. Therefore, combining phase orientation and high-magnification morphology, transformed and untransformed α that occurred in low- and medium-temperature thermal cycles can be distinguished. After the entire thermal cycle, αm laths coarsened from ∼1 µm to ∼1.2 µm, and the content of retained β phase became more and more. The αm formed around grain boundaries partially disappeared and was occupied by α laths from the inner grain. GB α was more continuously distributed along prior β grain boundaries due to its lower formation temperature during the subsequent thermal cycles that were occurring incomplete α→β transformation. The severe preferential orientation of α phases formed after the deposition and high-temperature thermal cycle was also alleviated through the twice low-temperature thermal cycles. Besides, the microhardness decreased from 318.78 ± 7.5 HV to 285.17 ± 5.3 HV after the high-temperature thermal cycle but eventually increased significantly to 330.5 ± 6.4 HV after experiencing the final low-temperature thermal cycle. The corrosion resistance decreased after the entire thermal cycle, indicating a performance difference between the top and bottom regions of the Ti-6Al-4 V component fabricated by wire-arc DED.</p

Publisher Correction: Legume rhizodeposition promotes nitrogen fixation by soil microbiota under crop diversification

Correction to: Nature Communicationshttps://doi.org/10.1038/s41467-024-47159-x, published online 04 April 2024 In this article the affiliation ‘State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008, China’ for Xinhua Peng was missing. The original article has been corrected