Dexamethasone combined with other antiemetics for prophylaxis after laparoscopic cholecystectomy

SummaryBackground/ObjectivePostoperative nausea and vomiting (PONV) is one of the most common and distressing adverse events after laparoscopic cholecystectomy (LC). A meta-analysis of randomized clinical trials (RCTs) was performed to determine the efficacy and safety of dexamethasone combined with other antiemetic in the prevention of PONV in patients undergoing LC.MethodsA systematic literature search was conducted to identify all relevant RCTs. The primary outcome was PONV in the early period (0–3 hours, 0–4 hours, or 0–6 hours), late period (>6 hours), and the overall period (0–24 hours).ResultsNine RCTs with a total of 1089 patients were included in the analysis. Pooled analysis showed that dexamethasone combined with other antiemetics provided significantly better prophylaxis than single antiemetics in the early period [odds ratio (OR): 0.34; 95% confidence interval (CI): 0.21–0.55; p < 0.001], late period (OR: 0.35; 95% CI: 0.22–0.57; p < 0.001), and the overall period (OR: 0.36; 95% CI: 0.27–0.49; p < 0.001). Correspondingly, rescue antiemetic usage was significantly less in the combination therapy group (OR: 0.22; 95% CI: 0.12–0.41; p < 0.001). The most frequently reported adverse events were headache, dizziness, and itching. The incidence of adverse events did not differ between the two groups.ConclusionDexamethasone combined with other antiemetics was significantly better than single antiemetics for prophylaxis of PONV in patients undergoing LC, without apparent side effects

A new numerical method for the analysis of monolithic seepage problems with complex drainage systems in a groundwater recharge area for a hydropower station in China

After construction of a dam impounding water in a reservoir, a monolithic seepage field develops in the surrounding rock mass. Here, a new finite element method is proposed for determining the shape and characteristics of the 3D monolithic seepage field including the free surface, considering complex drainage systems consisting of densely-spaced drainage holes and drainage galleries. To this end, the previously proposed virtual flux method is improved by a refined numerical integration scheme and a regularized Heaviside function for distinguishing the subregions below and above the free surface within a particular finite element. Leakage and overflow drainage holes are modeled as internal boundaries. The proposed numerical method is verified by an academic example, for which the analytical solution is available. Finally, the numerical simulation of the seepage field developing in the vicinity of a high dam and underground power house, constructed in the context of a hydropower plant project in China is used to show its application to a problem in engineering practice.</p

Long-Chain Polyunsaturated Fatty Acid Concentrations in Breast Milk from Chinese Mothers: Comparison with Other Regions

Long-chain polyunsaturated fatty acids (LC-PUFA), especially linoleic acid (LA), arachidonic acid (AA), alpha- linolenic acid (ALA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are essential to infant growth and development during early life. Up till now, there is only limited number of studies with large sample size on LC-PUFA in breast milk in China. In order to better understand the LC-PUFA levels in Chinese women, we report an analysis that included 44 studies of 3815 subjects from the latest 10-year peer-reviewed papers of breast milk studies of fatty acid profiles from China and other regions: Asia (excluding China), Europe, America and Africa. The results showed that Chinese women had significantly higher LA and ALA levels in the breast milk than European and other Asian women. The DHA level in the breast milk of Chinese women meets the Chinese and international recommended intake for young infants. This review provides comprehensive investigation on the LC-PUFA levels in the mature milk of Chinese women in most recent publications and server as a reference for further studies on human milk in China

Oxygen uptake rate (OUR) control strategy for improving avermectin B1a production during fed-batch fermentation on industrial scale (150 m3)

Glucose metabolism plays a crucial role in the process of avermectin B1a biosynthesis. Controlling glucose feeding based on oxygen uptake rate (OUR) was established to improve the efficiency of avermectin B1a  production. The result showed that avermectin B1a production was greatly enhanced by OUR control strategy. In the glucose feeding phase, OUR was maintained at approximate 12 mmol/L/h, which was conducive to avermectin B1a biosynthesis. Using this OUR control strategy, an adequate supply of organic acid precursors produced avermectin B1a 5228 U/mL, which was 22.8% higher than that of the control (batch fermentation, 4256 U/mL) on industrial scale.Key words: Avermectin B1a, glucose feeding, oxygen uptake rate, industrial scale

LY6E level associated with smoking as risk for lung cancer patients susceptible to COVID-19

Studies revealed that cancer patients seemed more susceptible to COVID-19 and the clinical symptoms were serious. A recent study depicted that lymphocyte antigen 6 complex, locus E (LY6E) might inhibit coronavirus entry into cells by interfering with the membrane fusion process mediated through spike protein, and potently restricting the SARS-CoV-2 (Severe acute respiratory syndrome-associated coronavirus 2) infection. LY6E mRNA level in lung cancer was detected by publicly available datasets. Patient-specific features were used to analyze the potential factors that could affect LY6E level. Analysis of association between LY6E level and immune infiltration was also performed. In present study, it was found that smoker with lung adenocarcinoma showed lower LY6E level than non-smoker (p < 0.05). In LUSC (lung squamous cell carcinoma) patients, reformed smokers showed higher LY6E than smokers (p < 0.05). These results suggested that smoke can be a risk susceptible to COVID-19 in lung cancer patients. Further studies exhibited that LY6E was positively associated with immune cell infiltration in lung adenocarcinoma, indicating that LY6E may influence the infection severity of COVID-19 in lung cancer patients. In summary, smoke may downregulate LY6E level and exacerbate infection and deterioration of COVID-19 in lung cancer patients

Demonstration of Adiabatic Variational Quantum Computing with a Superconducting Quantum Coprocessor

Adiabatic quantum computing enables the preparation of many-body ground states. This is key for applications in chemistry, materials science, and beyond. Realisation poses major experimental challenges: Direct analog implementation requires complex Hamiltonian engineering, while the digitised version needs deep quantum gate circuits. To bypass these obstacles, we suggest an adiabatic variational hybrid algorithm, which employs short quantum circuits and provides a systematic quantum adiabatic optimisation of the circuit parameters. The quantum adiabatic theorem promises not only the ground state but also that the excited eigenstates can be found. We report the first experimental demonstration that many-body eigenstates can be efficiently prepared by an adiabatic variational algorithm assisted with a multi-qubit superconducting coprocessor. We track the real-time evolution of the ground and exited states of transverse-field Ising spins with a fidelity up that can reach about 99%.Comment: 12 pages, 4 figure

Token-Selective Vision Transformer for fine-grained image recognition of marine organisms

IntroductionThe objective of fine-grained image classification on marine organisms is to distinguish the subtle variations in the organisms so as to accurately classify them into subcategories. The key to accurate classification is to locate the distinguishing feature regions, such as the fish’s eye, fins, or tail, etc. Images of marine organisms are hard to work with as they are often taken from multiple angles and contain different scenes, additionally they usually have complex backgrounds and often contain human or other distractions, all of which makes it difficult to focus on the marine organism itself and identify its most distinctive features.Related workMost existing fine-grained image classification methods based on Convolutional Neural Networks (CNN) cannot accurately enough locate the distinguishing feature regions, and the identified regions also contain a large amount of background data. Vision Transformer (ViT) has strong global information capturing abilities and gives strong performances in traditional classification tasks. The core of ViT, is a Multi-Head Self-Attention mechanism (MSA) which first establishes a connection between different patch tokens in a pair of images, then combines all the information of the tokens for classification.MethodsHowever, not all tokens are conducive to fine-grained classification, many of them contain extraneous data (noise). We hope to eliminate the influence of interfering tokens such as background data on the identification of marine organisms, and then gradually narrow down the local feature area to accurately determine the distinctive features. To this end, this paper put forwards a novel Transformer-based framework, namely Token-Selective Vision Transformer (TSVT), in which the Token-Selective Self-Attention (TSSA) is proposed to select the discriminating important tokens for attention computation which helps limits the attention to more precise local regions. TSSA is applied to different layers, and the number of selected tokens in each layer decreases on the basis of the previous layer, this method gradually locates the distinguishing regions in a hierarchical manner.ResultsThe effectiveness of TSVT is verified on three marine organism datasets and it is demonstrated that TSVT can achieve the state-of-the-art performance

Design and synthesis of TiO2/C nanosheets with a directional cascade carrier transfer

Directed transfer of carriers, akin to excited charges in photosynthesis, in semiconductors by structural design is challenging. Here, TiO2 nanosheets with interlayered sp2 carbon and titanium vacancies are obtained by low-temperature controlled oxidation calcination. The directed transfer of carriers from the excited position to Ti-vacancies to interlayered carbon is investigated and proven to greatly increase the charge transport efficiency. The TiO2/C obtained demonstrates excellent photocatalytic and photoelectrochemical activity and significant lithium/sodium ion storage performance. Further theoretical calculations reveal that the directional excited position/Ti-vacancies/interlayered carbon facilitate the spatial inside-out cascade electron transfer, resulting in high charge transfer kinetics. © 2022 The Royal Society of Chemistry

Characteristics and outcomes of heart failure with recovered left ventricular ejection fraction

Aims There is an emerging interest in elucidating the natural history and prognosis for patients with heart failure with reduced ejection fraction (HFrEF) in whom left ventricular ejection fraction (LVEF) subsequently improves. The characteristics and outcomes were compared between heart failure with recovered ejection fraction (HFrecEF) and persistent HFrEF. Methods and results This is a retrospective study of adults who underwent at least two echocardiograms 3 months apart between 1 November 2015 and 31 October 2019 with an initial diagnosis of HFrEF. The subjects were divided into HFrecEF group (second LVEF > 40%, ≥10% absolute improvement in LVEF) and persistent HFrEF group (20% subgroups. The primary outcomes were all-cause mortality and rehospitalization. A total of 1160 HFrEF patients were included [70.2% male, mean (standard deviation) age: 62 ± 13 years]. On the second echocardiogram, 284 patients (24.5%) showed HFrecEF and 876 patients (75.5%) showed persistent HFrEF. All-cause mortality was identified in 23 (8.10%) HFrecEF and 165 (18.84%) persistent HFrEF, whilst 76 (26.76%) and 426 (48.63%) showed rehospitalizations, respectively. Survival analysis showed that the persistent HFrEF subgroup experienced a significantly higher mortality at 12 and 24 months and a higher hospitalization at 12, 24, 48, and more than 48 months following discharge. Multivariate Cox regression showed that persistent HFrEF had a higher risk of all-cause mortality [hazard ratio (HR) 2.30, 95% confidence interval (CI) 1.49–3.56, P = 0.000] and rehospitalization (HR 1.85, 95% CI 1.45–2.36, P = 0.000) than the HFrecEF group. Subgroup analysis showed that the LVEF ≥ 20% improvement subgroup had lower rates of adverse outcomes compared with those with less improvement of 10–20%. Conclusions Heart failure with recovered ejection fraction is a distinct HF phenotype with better clinical outcomes compared with those with persistent HFrEF. HFrecEF patients have a relatively better short-term mortality at 24 months but not thereafter