Daleybattle2048

STUDY OBJECTIVE Chronic postsurgical pain (CPSP), i.e. pain persisting >3 months, may appear after any type of surgery. There is a paucity of literature addressing CPSP development after hip fracture repair and the impact of any analgesic intervention on the development of CPSP in patients after hip fracture surgery. This study is the first aiming to examine the impact of ultrasound-guided fascia iliaca compartment block (USG FICB) on the development of CPSP after hip fracture repair. DESIGN Prospective randomized study. SETTING Operating room. PATIENTS 182 patients scheduled for hip fracture surgery. INTERVENTIONS Patients were randomized to receive a USG FICB (FICB group) or a sham saline injection (sham FICB group), twenty minutes before positioning for spinal anesthesia. MEASUREMENTS The hip - related characteristic pain intensity (CPI) at 3- months post-surgery was the primary outcome measure. Presence and severity of hip-related pain at 3- and 6-months post-surgery, numeric rating pain scale (NRS) scores at 6, 24, 36, 48 postoperative hours, total 24-hour tramadol PCA administration and timing of the first tramadol dose, were documented as well. MAIN RESULTS FICB group presented with lower CPI scores 3- months postoperatively (p  less then  0.01), as well as lower percentage of patients with high-grade CPSP, 3 and 6 months postoperatively (p  less then  0.001). FICB group also showed significantly lower NRS scores in all instances, lower total 24 - hour tramadol consumption and higher mean time to first tramadol dose (p  less then  0.05). The overall sample of 182 patients reported a considerably high incidence of hip -related CPSP (60% at 3 months, 45% at 6 months). CONCLUSIONS USG FICB in the perioperative setting may reduce the incidence, intensity and severity of CPSP at 3 and 6 months after hip fracture surgery, providing safe and effective postoperative analgesia. It is of great significance to protect workers from Sulphur compounds in efficient ways during the regular overhaul or emergency management. Efficient adsorbent with low pressure drop is highly desired in protective equipment. In this work, Cu-ordered mesoporous carbon foams (MeCF) were prepared through the sol-gel casting and wet-impregnation process. The obtained carbon foams possessed typical sponge structure with high porosity and copper particles attached on the skeleton. The characterization on morphology, structure and property illustrated that the presence of mesopores could effectively inhibit the growth of copper particle on MeCF. As the representative of Sulphur compounds, H2S was selected to evaluate the protective performance. Porous copper carbon foams with moderate loading rate (3%) of copper species exhibited longest breakthrough time and largest adsorption capacity. Compared with the microporous foams, MeCF-3 displayed promoted protective performance with breakthrough time of 54.7 min and adsorption capacity of 27.8 mg/g. The enhancement on capabilities was attributed to small-sized copper species with high activity and better dispersion on mesoporous structure. These results reveled that MeCF with sponge frameworks, developed mesoporous structure and high dispersion of active species would be a promising candidate for the elimination of H2S in personal protective equipment. Dubs-IN-1 Ammonia (NH3), as a harmful gas from agricultural production, plays an important role in air pollution, such as haze. Although numerous researchers have paid attention to health damage through NH3 inhalation, the exhaustive mechanism of NH3 induced intestinal toxicity remains unclear. A genes crosstalk named competing endogenous RNAs (ceRNA) can explain many regulatory manners from the molecular perspective. However, few studies have attempted to interpret the injury mechanism of air pollutants to the organism via ceRNA theory. Here, we thoroughly investigated the lncRNA-associated-ceRNA mechanism in jejunum samples from a 42-days-old NH3-exposed chicken model through deep RNA sequencing. We observed the occurrence of apoptosis in jejunum, obtained 46 significantly dysregulated lncRNAs and 30 dysregulated miRNAs, and then constructed lncRNA-associated-ceRNA networks in jejunum. Importantly, a network regulating G0S2 in NH3-induced apoptosis was discovered. Research results showed that G0S2 was upregulated in jejunum of NH3-exposed group and was associated with activation of the mitochondrial apoptosis pathway. G0S2 antagonized the anti-apoptotic effect of Bcl2, which could be reversed by miR-205a. Meanwhile, lncRNA-107052630 acted as ceRNA to affect G0S2 function. These data provide new insight for revealing the biological effect of NH3 toxicity, as well as the environmental research. In this work, a novel method of carbodiimide-assisted zwitterionic modification was proposed and implemented to incorporate zwitterionic moieties onto poly(piperazine amide) membrane for improved water permeability and anti-depositing property, which are crucial for highly efficient nanofiltration of dye-contained effluents. Carboxyl groups of polyamide layer were firstly transferred into N-acylurea using excess l-ethyl-3-(3-(dimethylamino)propyl)-carbodiimide. Zwitterions were then incorporated through ring-opening reaction between tertiary amine groups of N-acylurea and 1, 4-butanesultone. Carbodiimide-assisted zwitterionic modification was verified by ATR-IR and XPS analyses and was found to not affect membrane pore size but significantly enhance membrane's permeation and anti-dye-deposition performances. Compared with those of virgin membrane, water permeabilities of the desired zwitterionic membrane to pure water, Congo red aqueous solution and Victoria blue B aqueous solution were higher by 42.9, 62.3 and 95.2 %, respectively, hydraulic resistances from irreversible deposition of Congo red and Victoria blue B molecules were dramatically lowered by 68.4 and 91.8 %, respectively. Furthermore, the perm-selectivity performance of the desired zwitterionic membrane in terms of molecular weight cut-off and pure water permeability was better than most of the reported zwitterionic membranes, and the separation and anti-depositing performances to both anionic and cationic dye aqueous solutions were better than commercial membrane NF270.