Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study.

This study aimed to investigate the safety and effect of omitting chest tubes after thoracoscopic lobectomy in children with congenital lung malformation. A multicenter retrospective study was performed with 632 thoracoscopic lobectomy CLM patients in four hospitals between 2014.1 and 2023.

Topical application of Glauber's salt accelerates the absorption of abdominal fluid after pancreatectomy.

Background: Abdominal fluid collection (AFC) is one of the most common complications after pancreatic surgery, yet there are few recommendations on how to manage it. Most cases of AFC only require observation, while others may require more invasive techniques. Unfortunately, there are no drugs that effectively promote the absorption of AFCs.

Development and validation of intravoxel incoherent motion diffusion weighted imaging-based model for preoperative distinguishing nuclear grade and survival of clear cell renal cell carcinoma complicated with venous tumor thrombus.

Objective: To assess the utility of multiparametric MRI and clinical indicators in distinguishing nuclear grade and survival of clear cell renal cell carcinoma (ccRCC) complicated with venous tumor thrombus (VTT).

Materials And Methods: This study included 105 and 27 patients in the training and test sets, respectively. Preoperative MRI, including intravoxel incoherent motion diffusion-weighted imaging (IVIM-DWI), was performed.

Constructing Atomic Tungsten-Based Solid Frustrated-Lewis-Pair Sites with d-p Interactions for Selective CO Photoreduction.

Solid frustrated Lewis pair (FLP) shows remarkable advantages in the activation of small molecules such as CO, owing to the strong orbital interactions between FLP sites and reactant molecules. However, most of the currently constructed FLP sites are randomly distributed and easily reunited on the surface of catalysts, resulting in a low utilization rate of FLP sites. Herein, atomic tungsten-based FLP (N···W FLP) sites are constructed for photocatalytic CO conversion through introducing W single-atoms into polymeric carbon nitride.

Strengthened d-p Orbital Hybridization on Metastable Cubic MoC for Highly Stable Lithium-Sulfur Batteries.

Suppressing the lithium polysulfide (LiPS) shuttling as well as accelerating the conversion kinetics is extremely crucial yet challenging in designing sulfur hosts for lithium-sulfur (Li-S) batteries. Phase engineering of nanomaterials is an intriguing approach for tuning the electronic structure toward regulating phase-dependent physicochemical properties. In this study, a metastable phase δ-MoC catalyst was elaborately synthesized via a boron doping strategy, which exhibited a phase transfer from hexagonal to cubic structure.

Engineering d-p Orbital Hybridization in a Single-Atom-Based Solid-State Electrolyte for Lithium-Metal Batteries.

Regulating lithium salt dissociation kinetics by enhancing the interaction between inorganic fillers and lithium salts is vital for enhancing the ionic conductivity in solid-state composite polymer electrolytes (CPEs). However, the influence of fillers' external electronic environments on lithium salt dissociation dynamics remains unclear. Here, we design single-atom sites in metal-organic framework fillers for poly(ethylene oxide) (PEO)-based CPEs, boosting lithium salt dissociation through an electrocatalytic strategy.

Serum concentrations of different or multiple vitamins and Sarcopenia risk among US adults: insights from NHANES.

Background: The relationship between serum concentrations of different or multiple vitamins and sarcopenia remains underexplored. This investigation evaluates potential links between serum concentrations of different or multiple vitamins and sarcopenia prevalence among adults in the United States.

Methods: Utilizing a cross-sectional design, this research draws from the National Health and Nutrition Examination Survey (NHANES) dataset of 2003-2006, encompassing 5,060 participants with comprehensive serum vitamin A, E, B9, B12, C, and D concentrations, alongside sarcopenia and covariate measurements.

Three different surgical methods for large-sized anterior mediastinal tumors in real-world practice.

Background: Video-assisted thoracoscopic surgery (VATS) for a relatively large mediastinal tumor (5.0-10.0 cm) remains controversial.

Association Between Socioeconomic Disadvantage and Risks of Early and Recurrent Admissions Among Patients With Newly Diagnosed Heart Failure.

Background: Socioeconomic disadvantage is associated with greater risks of hospital readmission and mortality among patients with heart failure (HF). However, it is less clear whether socioeconomic disadvantage has an immediate and lasting impact on the risk of admissions after the diagnosis of HF.

Methods: We used electronic health record data of patients aged 65 years and older with newly diagnosed HF between January 2015 and July 2018 in the Duke University Health System, with up to 8 years of follow-up.

Modifying d-p orbital hybridization of Ni/FeO species by high-valence ruthenium doping to enhance oxygen evolution performance.

The electron distribution of catalysts can be modulated by high-valence metal doping, thus enhancing the intrinsic activity. Herein, we adopt Ru modification to adjust the d-p orbital hybridization of Ni-Fe oxyhydroxides, significantly increasing the oxygen evolution reaction (OER) activity. The amorphous NiFeRuOH catalyst synthesized by sol-gel method exhibits excellent OER activity, far superior to commercial RuO.

Bamboo-Like Carbon Nanotube-Encapsulated FeC Nanoparticles Activate Confined FeO Nanoclusters Via d-p-d Orbital Coupling for Alkaline Oxygen Evolution Reaction.

The efficient anion exchange membrane water electrolysis is challenging with low cell voltage and long-term stability at large current density, due to the unstable anodic oxygen evolution reaction (OER). Fe-based electrocatalysts are potential candidates for the anodic OER. In Fe-based materials, iron oxides always show better stability in alkaline solution but lower OER activity.

The molecular structure, electronic properties, and decomposition mechanism of FOX-7 under external electric field were calculated based on density functional theory.

Context: Based on the density functional theory (DFT), we analyzed the changes of the FOX-7 molecule under external electric field (EEF) from multiple perspectives, including molecular structure, electronic structure, decomposition mechanism, frontier molecular orbitals (FMOs), and density of states (DOS). The results revealed that as the intensity of the positive EEF increased, the detonation performance of the FOX-7 molecule was significantly enhanced, while its thermal stability was also improved. This discovery challenges the traditional concept that explosives are inherently dangerous under external electric fields and provides new insights for research in related fields.

The influence of relative humidity during the first 21 days post-hatch on the production performance, biochemical indices, and meat quality of Pekin ducks.

This study aims to investigate the effects of different relative humidity (RH) during 4-21d of Beijing ducks on their condition at 42 d. A total of 48 Pekin duck were randomly allotted into 4 treatments (A:RH60 %, B:RH67 %,C:RH74 %,D:RH81 %), each having 3 replicates of 4 ducks. Different humidity treatments were applied from 4 to 21 days.

The clinical features and operation experience of multilobar involved congenital lung malformation: A retrospective cohort study.

Background: Congenital lung malformation (CLM) is usually characterized by single-lobe involvement and multilobe involvement is uncommon. There is a lack of experience in the clinical features and surgical treatment of unilateral multilobar CLM. Therefore, this study aims to summarize the clinical characteristics and evaluate the safety and feasibility of thoracoscopic lung sparing resection in the treatment of unilateral multilobar CLM.

Comparison Between Billroth II and Billroth II + Braun Anastomosis in Gastrectomy for Gastric Cancer.

Introduction: Distal gastrectomy remains the predominant therapeutic approach for gastric cancer, with digestive tract reconstruction as an integral procedure. The implementation of Braun anastomosis following Billroth II anastomosis is common in distal gastrectomy. This retrospective cohort study evaluated the clinical utility of Braun anastomosis by comparing the outcomes and quality of life between Billroth II (B-II) and Billroth II with Braun (B-IIB) anastomosis in the treatment of gastric cancer.

Bayesian Inference Using the Proximal Mapping: Uncertainty Quantification Under Varying Dimensionality.

In statistical applications, it is common to encounter parameters supported on a varying or unknown dimensional space. Examples include the fused lasso regression, the matrix recovery under an unknown low rank, etc. Despite the ease of obtaining a point estimate via optimization, it is much more challenging to quantify their uncertainty.

Theoretical Design and Study of a Single-Atom Catalyst in Lithium-Sulfur Batteries: Edge-Type FeN Active Site Electron Density Redistribution Driven by Heteroatoms.

Lithium-sulfur (Li-S) batteries are considered to be the most promising next-generation high energy density storage systems. However, they still face challenges, such as the shuttle effect of lithium polysulfides (LiPSs) and slow sulfur oxidation-reduction kinetics. In this work, heteroatom (P and S)-doped edge-type Fe single-atom catalytic materials (FeNS/P-DG) for sulfur reduction reactions (SRRs) and sulfur oxidation reactions in Li-S batteries are investigated using density functional theory calculations.

Characteristics of Medical Quality in Tertiary Traditional Chinese Medicine Hospitals by TOPSIS and RSR Methods.

Performance evaluation is important for improving medical quality and services. But, there is a lack of research for medical quality in traditional Chinese medicine (TCM) hospitals. This study examines the medical quality and various indicators of tertiary public traditional Chinese medicine hospitals in Gansu Province, to establish a foundation for improving the medical and management standards of these hospitals.

EPAS1 Attenuates Atherosclerosis Initiation at Disturbed Flow Sites Through Endothelial Fatty Acid Uptake.

Background: Atherosclerotic plaques form unevenly due to disturbed blood flow, causing localized endothelial cell (EC) dysfunction. Obesity exacerbates this process, but the underlying molecular mechanisms are unclear. The transcription factor EPAS1 (HIF2A) has regulatory roles in endothelium, but its involvement in atherosclerosis remains unexplored.

Early goal-directed renal replacement therapy in severe pneumonia associated acute kidney injury.

Introduction: Severe pneumonia is a crucial issue in the development of acute kidney injury (AKI). This study evaluated the efficacy of early goal-directed renal replacement therapy (GDRRT) for the treatment of severe pneumonia-associated AKI.

Methods: In this real-world retrospective cohort study, we recruited 180 patients with severe pneumonia who were hospitalized and received GDRRT in a third-class general hospital in East China between January 1, 2017, and December 31, 2021.