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Objective: β-lactams are the most widely used antibiotics in sepsis. We aimed to explore the factors that drive physicians to choose prolonged infusion (PI) of β-lactams in septic patients. Methods: This prospective observational national cohort study was conducted in 40 ICUs at the teaching hospitals of 31 provinces in China between August 20, 2021 and September 20, 2021. Results: Of the 441 enrolled patients, 265 (60.09%) received PI therapy. Multivariate analysis showed that multidrug-resistant bacterial infection and septic shock were independent factors associated with PI. However, our data showed that the survival benefit of PI use was evident in subgroups with less severe sepsis, including those with lower Charlson comorbidity index values (

High oxygen concentration oxy-fuel circulating fluidized bed (CFB) combustion technology is a high efficiency and low cost oxy-fuel combustion technology, which also has high potential of optimization and efficiency improvement. In this research, energy efficiency is analysed to acquire the effects of flue gas recirculation mode, preheating temperature and oxygen purity on the net efficiency and energy consumption of the 50% oxy-fuel combustion system, so as to obtain the further optimization strategy. The following results are obtained by simulation. The optimal extraction position of recycled flue gas (RFG) is gas preheater outlet, and the net power generation efficiency increases by 0.23% to 25.08%. As the preheating temperature increases from 230 to 400 °C, the net efficiency increases by 1.19% to 26.04%. The net efficiency increases first then decreases as the oxygen purity at ASU outlet increase from 89% to 97.4%, and the optimal value is the 94%. Finally, the optimal system is obtained when RFG is extracted from gas preheater outlet, the preheating temperature is 400 °C and the oxygen purity at ASU outlet is 94%. The net efficiency of the optimization system reaches 27.4%, increasing by 2.55%.

Wood plastic composite (WPC) is a green material with an excellent performance, environmental protection and recyclability, and potential in the field of green construction materials. A rheological study of WPC provides a key theoretical basis for mold design, equipment upgrade, production efficiency and quality improvement. In this study, an innovative approach was proposed to analyze the characters of a wood-flour/high-density polyethylene composite with an ultra-high wood-flour content (70 wt%–90 wt%, UWPC) in a shear flow field, including (1) a redesigned shear rheometer that can seal heat and (2) an analysis of the interactions between components in the UWPC by decomposing and calculating the stress during the rheological process. The stress that was generated by the UWPC melt during shearing originated mainly from wood particles and weak interfacial friction, whereas the stress that was generated by the polymer matrix could be ignored. Therefore, the polymer matrix served only to connect the wood particles and transfer stresses. Maleic-anhydride-grafted polyethylene (MAPE) enhanced the UWPC melt system interface, made the system structure more uniform and increased its fluidity. The enhancement effect of MAPE on the weak interface of UWPC melt was calculated quantitatively by calculating and analyzing the weak interfacial friction stress. The MAPE strengthening rate for the weak interface was 72.3%, 81.1% and 91.9% at 130 °C, 150 °C and 170 °C, respectively. These findings can be applied to improve WPC processing and equipment manufacture.

Salvianolic acid A (SalA) is an effective compound extracted from traditional Chinese medicine Salvia miltiorrhiza Bunge. The Forkhead box O3a (FOXO3a) signaling pathway plays crucial roles in the modulation of ischemia-induced cell apoptosis. However, no information about the regulatory effect of SalA on FoxO3a is available. To explore the anti-cerebral ischemia effect and clarify the therapeutic mechanism of SalA, SH-SY5Y cells and Sprague–Dawley rats were applied, which were exposed to oxygen glucose deprivation/reoxygenation (OGD/R) and middle cerebral artery occlusion/reperfusion (MCAO/R) injuries, respectively. The involved pathway was identified using the specific inhibitor LY294002. Results showed that SalA concentration-dependently inhibited OGD/R injury triggered cell viability loss. SalA reduced cerebral infarction, lowered brain edema, improved neurological function, and inhibited neuron apoptosis in MCAO/R rats, which were attenuated by the treatment of phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) specific inhibitor LY294002. SalA time- and concentration-dependently upregulated the phosphorylation levels of protein kinase B (AKT) and its downstream protein FOXO3a. Moreover, the nuclear translocation of FOXO3a was inhibited by SalA both in vivo and in vitro, which was also reversed by LY294002. The above results indicated that SalA fought against ischemia/reperfusion damage at least partially via the AKT/FOXO3a/BIM pathway. KEY WORDS: Salvianolic acid A, Ischemia reperfusion, FOXO3a, BIM, Neuroprotection

Lignin nanoparticles (LNP) were obtained by an acidolysis process from corn pristine lignin. X-ray photoelectron spectroscopy (XPS) and radical scavenging activity (RSA) of the free radical 2,2-diphenyl-1-picrylhydrazyl (DPPH) confirmed a significant enhancement in reactivity of LNP in comparison with pristine lignin. Polyurethane (PU) nanocomposites were prepared by pre-polymerization of polyethylene glycol and diisocyanates in the presence of different contents (1, 3, 5 and 7 wt%) of LNP. The effects of LNP, serving as both biobased polyol and crosslinker, on the mechanical, hydrophobicity and dielectric behavior of the resulted PU nanocomposites were investigated. Tensile test results showed an overall enhancement for mechanical performance, and the elongation at break exceeded 1000% for all studied PU nanocomposites. Meanwhile, dynamic mechanical analysis (DMA) revealed that the crosslinking densities gradually increased with LNP addition. Furthermore, LNP based PU nanocomposites showed inherent resistance towards ultraviolet radiation and frequency dependent behavior for electrical conductivity. On the other hand, LNP based PU nanocomposites revealed good thermal reprocessability due to the transcarbamoylation reaction in the presence of DBTDL catalyst.

The preparation of bio-composites based on engineering plastic is always restricted by the low thermal stability of lignocellulose. In this study, the thermal stability of lignocellulose was improved by boric acid modification. Then, the borated lignocellulose was characterized to analyze the mechanism of involved in the improvement of thermal stability. Furthermore, the untreated and borated lignocellulose was combined with polyamide 6 to produce bio-composites. The effects of lignocellulose content and boric acid modification on the color, thermal stability and mechanical properties of the resulting composites were compared and analyzed. Boric acid protected lignocellulose from thermal degradation, increasing the lightness of the resulting composites. However, boric acid appeared to have a negative effect on the mechanical strength of the resulting composites. In summary, this study demonstrated that bio-composites based on engineering plastic could be prepared by improving the thermal stability of lignocellulose using a boric acid treatment.

A novel wood particle/polypropylene/elastomer composites with good impact resistance and stiffness was prepared by adding elastomer-olefin block copolymer (OBC) and grafting maleic anhydride (MAH) on polypropylene/OBC blends. The grafted MAH greatly improved the interfacial interaction among polypropylene, OBC, and wood particle, resulting in an enhanced impact resistance, stiffness and dimensional stability of the resulting composites. The modified matrix and their composites were characterized by Fourier transform infrared spectroscopy, scanning electron microscopy, mechanical tests, and dynamic mechanical analysis. The results confirmed that with 60 wt% wood particles loading, the synergistic interactions between OBC blending and MAH grafting improved the impact strength of the MAH-grafted blends/wood particle composites by 49%, with stiffness comparable that of the MAH-grafted polypropylene/wood particle composites. The composites modified with MAH also revealed an enhanced interfacial adhesion among polypropylene, OBC, and wood particles, as evidenced by dimensional stability tests, dynamic mechanical analysis, and morphology observation. Keywords: Polymer-matrix composites, Graft modification, Interface, Fracture toughness, Plastic deformation