Association between blood ethylene oxide levels and trouble sleeping in U.S. adults: Data from NHANES 2013-2018.

Environmental factors such as pollution have been reported to deteriorate sleep quality. Ethylene oxide (EO), a reactive cyclic oxide commonly used in manufacturing processes, has been associated with various health concerns such as cancer, metabolic syndrome, and inflammatory conditions. However, the relationship between EO exposure and self-reported troubled sleeping remains unclear.

Comparison of Extracorporeal Membrane Oxygenation Initiation in Cardiogenic Shock During Work-Hours Versus After-Hours.

Background: Extracorporeal membrane oxygenation (ECMO) as rescue therapy for cardiogenic shock (CS) is highly dependent on timeliness and medical resources.

Objectives: Aimed to assess ECMO management and outcomes in adult patients with CS in terms of on- and after-hour ECMO initiation from a national ECMO registry.

Methods: Adult patients diagnosed with CS and those who received ECMO were enrolled in the study.

End-tidal carbon dioxide-guided extracorporeal cardiopulmonary resuscitation improves neurological prognosis in patients: a single-center retrospective cohort study.

Background: Extracorporeal Cardiopulmonary Resuscitation (ECPR) is an effective intervention for restoring adequate circulatory perfusion after cardiac arrest. Ensuring high-quality Cardiopulmonary Resuscitation (CPR) before initiating Extracorporeal Membrane Oxygenation (ECMO) is critical to mitigate tissue hypoxia and ischemia. This study aimed to evaluate the effect of End-Tidal Carbon Dioxide (ETCO) Goal-Directed CPR (GDCPR) on neurological function before ECMO using a retrospective case-control analysis.

Effect of CO Concentration on the Performance of Polymer-Enhanced Foam at the Steam Front.

This study examines the impact of CO concentration on the stability and plugging performance of polymer-enhanced foam (PEF) under high-temperature and high-pressure conditions representative of the steam front in heavy oil reservoirs. Bulk foam experiments were conducted to analyze the foam performance, interfacial properties, and rheological behavior of CHSB surfactant and Z364 polymer in different CO and N gas environments. Additionally, core flooding experiments were performed to investigate the plugging performance of PEF in porous media and the factors influencing it.

Visualization Experimental Investigation on Flow Regulation and Oil Displacement Characteristics of Gel Foam in Fractured-Vuggy Carbonate Reservoirs.

Fractured-vuggy reservoirs experience severe channeling during water and gas injection operations, and conventional foam shows weak regeneration capabilities in large-scale fracture spaces, thus failing to effectively seal them. Gel foam combines the advantages of both foam and gel, significantly enhancing the foam's stability and showing good suitability in fractured-vuggy reservoirs. In this article, the plugging and flow regulation properties of gel foam in fractures were studied through fracture displacement experiments.

Relationship between residual cholesterol and cognitive performance: a study based on NHANES.

Background And Aims: Age-related cognitive impairment impacts a significant portion of the elderly population. Remnant cholesterol (RC) has attracted increased attention in relation to cardiovascular disease, diabetes, hypertension, and fatty liver disease. Nevertheless, its role in cognitive function is still enigmatic, prompting our exploration into the potential associations between them.

Study on the Control of Steam Front Mobility in High-Temperature and High-Salinity Conditions Using Polymer-Enhanced Foam.

This study investigated the enhancing effects of the temperature-resistant polymer Poly(ethylene-co-N-methylbutenoyl carboxylate-co-styrenesulfonate-co-pyrrolidone) (hereinafter referred to as Z364) on the performance of cocamidopropyl hydroxy sulfobetaine (CHSB) foam under high-temperature and high-salinity conditions. The potential of this enhanced foam system for mobility control during heavy oil thermal recovery processes was also evaluated. Through a series of experiments, including foam stability tests, surface tension measurements, rheological assessments, and parallel core flooding experiments, we systematically analyzed the interaction between the Z364 polymer and CHSB surfactant on foam performance.

Clinical Application of Extracorporeal Membrane Oxygenation in the Treatment of Fulminant Myocarditis.

Fulminant myocarditis (FM) is a rare but serious clinical syndrome which can be characterized by the rapid deterioration of cardiac function, with cardiogenic shock (CS) and arrhythmic electrical storms being common presentations, often requiring adjunctive support with mechanical circulatory devices. With the development of mechanical circulatory support (MCS) devices, there are now more and more studies investigating the application of MCS in FM patients, and the use of extracorporeal membrane oxygenation (ECMO) to treat FM has shown good survival rates. This review elucidates the treatment of FM, and the application and clinical outcomes associated with ECMO intervention.

Dexmedetomidine attenuates inflammatory response and chronic pain following video-assisted thoracoscopic surgery for lung cancer.

Background: The objective of the present study was to evaluate the effect of dexmedetomidine administration during video-assisted thoracoscopic surgery for lung cancer on perioperative inflammatory response and chronic post-surgical pain.

Methods: A cohort of 152 patients with lung cancer scheduled for elective video-assisted thoracoscopic surgery participated in this randomized controlled trial. Patients were randomly divided into 2 groups and administered an equivalent volume of dexmedetomidine (n = 63) or normal saline (n = 63).

Study on Formation and Migration Law of Foam in Fractures and Its Influencing Factors.

This study focuses on the characteristics of foam generation, flow, and plugging in different reservoir fracture environments. Through visual physical model experiments and stone core displacement experiments, we analyze the flow regeneration of foam in a simulated reservoir fracture environment as well as its sealing and sweeping mechanisms. The findings reveal that low permeability reservoirs, with their smaller and more intricate fracture structures, are conducive to the generation of high-strength foam.

Treatment of late left bronchopleural fistula after left pneumonectomy through right thoracic approach assisted by extracorporeal membrane oxygenation.

Background: Bronchopleural fistula (BPF) is a rare but fatal complication after pneumonectomy. When a BPF occurs late (weeks to years postoperatively), direct resealing of the bronchial stump through the primary thoracic approach is challenging due to the risks of fibrothorax and injury to the pulmonary artery stump, and the surgical outcome is generally poor. Here, we report a case of late left BPF following left pneumonectomy successfully treated using a right thoracic approach assisted by extracorporeal membrane oxygenation (ECMO).

Application of extracorporeal membrane oxygenation in the remote transport of a patient with a ruptured sinus of Valsalva aneurysm: a case report.

Background: A ruptured sinus of Valsalva aneurysm can lead to rapid heart failure and sudden cardiac death. Management of patients who develop severe heart failure and need to be transferred to a specialized hospital for surgical treatment can be challenging. In patients with severe shock due to a ruptured sinus of Valsalva aneurysm into the right atrium, extracorporeal membrane oxygenation (ECMO) transport is an effective means to ensure patient safety, but increases the right cardiac load.

A comprehensive perspective on the interaction between gut microbiota and COVID-19 vaccines.

The efficacy of COVID-19 vaccines varies between individuals and populations, and the reasons for this are still not fully understood. Recent clinical studies and animal models have indicated that the gut microbiota may influence the immunogenicity of the vaccine and, thus, its effectiveness. This suggests that there is a bidirectional relationship between the gut microbiota and the COVID-19 vaccine, with the varying components of the microbiota either enhancing or reducing the vaccine's efficacy.

Magnetically Detachable Pipe Joints: A Possible Ideal Way to Prevent Unplanned Extubation.

Introduction: Many indwelling drainage tubes after surgery. Due to the characteristics of the implanted end in the body and the tube fixed in the body, once the force is pulled, it is easy to cause extubation events, and the incidence of unplanned extubation is at a high level. And considerable distress to patients.

Biparametric MRI-based radiomics classifiers for the detection of prostate cancer in patients with PSA serum levels of 4∼10 ng/mL.

Purpose: To investigate the predictive performance of the combined model by integrating clinical variables and radiomic features for the accurate detection of prostate cancer (PCa) in patients with prostate-specific antigen (PSA) serum levels of 4-10 ng/mL.

Methods: A retrospective study of 136 males (mean age, 67.3 ± 8.

A novel strategy to reduce the recirculation of venovenous extracorporeal membrane oxygenation: Inferior vena cava closure technology.

The recirculation of venovenous extracorporeal membrane oxygenation (VV-ECMO) will decrease the efficiency of respiratory support. We report a patient with refractory severe acute respiratory distress syndrome (ARDS). Even with the support of ECMO and mechanical ventilation (MV), it is still difficult to correct hypoxemia.