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As a hydrocarbon-rich depression within the Bohai Bay Basin, the Huanghekou Depression is a focal region for exploring hydrocarbons in the eastern China Sea. Previous studies have insufficiently examined the correlation between the enrichment of organic matter and the environments in which it is deposited. Herein, the hydrocarbon potential, palaeoclimate, sedimentary environment, organic matter sources, and organic matter enrichment of the source rocks of the Shahejie Formation in the Huanghekou Depression were investigated using organic and inorganic geochemical indicators. The organic matter type of the source rock in Huanghekou Depression’s Shahejie Formation was predominantly Type II, with a minor presence of Type III. Furthermore, the source rock had a poor-to-good comprehensive evaluation grade in E3s1–2, whereas E2s3 and E2s4 had medium-to-good comprehensive evaluations in their source rocks. In terms of maturity, E3s1 was in an intermediate position between the immature and mature stages and E3s2 and E2s3 were between the low-maturity and mature stages, whereas E2s4 transitioned into full maturity. Biomarkers and sensitive element indicators indicated that the organic matter in E3s1–2 was primarily derived from lower aquatic organisms and algae. This palaeoclimate was characterised by aridity, a water body containing saline and semi-saline water, and a strongly reducing environment resulting from water body stratification, leading to oxygen deficiency. The organic matter in E2s3 was primarily derived from aquatic organisms and algal inputs; these deposits were formed in a reduced environment characterised by relatively low salinity, ranging between semi-saline and freshwater conditions. The organic matter enrichment model of the Shahejie Formation was established based on sedimentary environment, palaeoclimatic, and organic matter source analyses, utilising E3s1–2 as preservation models and E2s3 as the productivity model. This study provides a basis for in-depth exploration and advancement of oil and gas reserves.

As a gas-rich region in the Tarim Basin, the northern Shuntuoguole area (also known as the Shunbei area) is an attractive prospect. Non-etheless, the debate about the origins of these natural gas continues. The analysis on the geological context, natural gas components, and the carbon and hydrogen isotope ratios prove that methane is the predominate component of alkane gases. Alkane gases’ carbon isotope fractionation (δ13C2 < −28‰ and δ13C3 < −25‰) shows that they are oil-associated gas, and their parent material type is I kerogen. Natural gas can be broken down further into three subgroups—Type I1, Type I2, and Type I3. Based on the link between the carbon number 1/n and δ13Cn of the gas. Modified plots of lnC1/C2 vs. lnC2/C3 reveal that kerogen cracking is the primary source of natural gas in the Shunbei area, and that this gas is combined with the contribution of oil cracking gas. Petroleum exploration and development in the Shunbei area can be justified on the basis that natural gas in the area originate primarily from Ordovician source rocks, as shown by carbon isotopic compositions.

In order to have a deeper insight into the accumulation mechanism of ultra-deep hydrocarbons, in this paper, the recently discovered ultra-deep Ordovician light oil and gas deposits (>7200 m) in the Shunbei No. 1 fracture zone are studied intensively, including maturity, source kitchens, the extent of secondary alterations, and possible migration directions, based on an analysis of the molecular compositions and stable carbon isotopes of crude oils and natural gases. The average equivalent vitrinite reflectance (Rc) of these oils, estimated from light hydrocarbons (H versus I), MDI, DNR, and MDR, are about 1.50%, 1.58%, 1.48%, and 1.51%, respectively, which suggests that most of the oils are in the late stages of crossing the oil window. The two maturity grades (1.06–1.25% and 1.36–1.67%) of the oil samples calculated from the aromatic compounds indicate the presence of at least two stages of hydrocarbon charge. In addition, the positive correlation plot of DNR and MDR (y = 3.59x − 12.84; R2 = 0.96) indicates that oils in the southwestern region of the F1 (S1-11–S1-16) are slightly more mature than oils in the northeastern region of the F1 and the well at SL1, far from the No. 1 main fault zone. In addition, the study shows that these hydrocarbons belong to the same source kitchen of a reduced marine sedimentary environment with mixed organic matter comprising benthic and planktonic algae, based on biomarker parameters, light hydrocarbons, and carbon isotope compositions. The oil–oil correlation analyses suggest that the studied oil samples are probably derived from the in situ Lower Cambrian Yuertusi formation source rocks. Various geochemical parameters consistently show limited significant hydrocarbon alteration processes, indicating favorable preservation conditions in the study area. The integrated geochemical characteristics of the hydrocarbons allow us to infer that they mainly migrate vertically from the in situ Lower Cambrian Yuertusi formation source rocks toward the Ordovician reservoirs, followed by a certain degree of lateral migration from southwest to northeast.

BackgroundSepsis is characterized by high morbidity and mortality rates, alongside limited therapeutic efficacy. Atrial fibrillation (AF), the most common arrhythmia, has been closely linked to sepsis in prior research. However, the specific mechanisms through which sepsis leads to new-onset AF remain poorly understood. This study focuses on identifying critical genes that are dysregulated in the development of new-onset AF within the context of sepsis, with the goal of uncovering new potential targets for its diagnosis and prevention.Material and methodsOur study began by applying Mendelian Randomization (MR) to assess the causal link between sepsis and AF. We then sourced sepsis and AF datasets from the Gene expression Omnibus (GEO) database. Using Weighted Gene Co-expression Network Analysis (WGCNA), we pinpointed key modules and genes associated with both sepsis and AF conditions. Protein-protein interaction (PPI) network was constructed. The Transcriptional Regulatory Relationships Unravelled by Sentence-based Text-mining (TRRUST) database helped build the transcription factor (TF) interaction network. Key genes were scrutinized through Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG), Gene Set Enrichment Analysis (GSEA) and Gene Set Variation Analysis (GSVA) to delve into their roles in new-onset AF's pathophysiology during sepsis. We employed the CIBERSORT algorithm to evaluate immune infiltration and the association between key genes and immune cells. The Connectivity Map (CMap) database facilitated the prediction of potential small molecule compounds targeting key genes. To culminate, an acute sepsis mouse model was developed to validate the implicated mechanisms of key genes involved in new-onset AF during sepsis, and to assess the prophylactic effectiveness of identified drug candidates.ResultsMR revealed potential independent risk factors for new-onset AF in sepsis. S100A12 was identified as a core interaction gene with elevated levels in sepsis and AF, underscoring its diagnostic and predictive significance. S100A12, along with associated genes, was mainly linked to immune and inflammatory response signaling pathways, correlating with immune cell levels. Targeting S100A12 identifies five potential small molecule therapeutics: amlexanox, balsalazide, methandriol, olopatadine, and tiboloe. In animal studies, acute sepsis increased S100A12 expression in serum and atrial tissues, correlating positively with inflammatory markers (IL-1β, IL-6, TNF-α) and negatively with heart rate, indicating a predisposition to AF. Early amlexanox administration can reduced S100A12 expression, dampened inflammation, and lessened new-onset AF risk in sepsis.ConclusionThis study demonstrates that sepsis may independently increase the risk of new-onset AF. We identified S100A12 as a key gene influencing the new-onset AF in sepsis through immune regulation, presenting considerable diagnostic and predictive value. Notably, amlexanox, by targeting S100A12 emerges as the most clinical relevant intervention for managing new-onset AF in sepsis patients.

Early-stage infective endocarditis (IE) can lead to severe complications, including infarctions and metastatic infections caused by inflammatory embolus shedding. Common embolism sites include the brain, spleen, kidneys, lungs, and intestines. Additionally, acute heart failure (AHF) can occur in up to 40% of cases, and its presence can impact the clinical outcomes of patients with IE. Cardiogenic shock (CGS) is often more likely to occur after AHF has taken place. If bacteria invade the blood, infectious shock can occur. Patients with IE can experience simple CGS, septic shock, or a combination of the two. Extracorporeal membrane oxygenation (ECMO) typically serves as a Bridge for Heart failure and Cardiogenic shock. Previous research indicates that there are limited reports of ECMO support for patients with IE after CGS has occurred. Because CGS may occur at any time during IE treatment, it is important to understand the timing of ECMO auxiliary support and how to carry out comprehensive treatment after support. Timely treatment can help to reduce or avoid the occurrence of serious complications and improve the prognosis of patients with IE. Our work combines a case study to review the ECMO support of IE patients after CGS through a literature review. Overall, we suggest that when patients with IE have large bacterial thrombosis and a greater risk of shedding, it is recommended to carefully evaluate the indications and contraindications for ECMO after discussion by a multidisciplinary team (MDT). Still, active surgical treatment at an early stage is recommended.

Abstract Introduction Low‐level pressure support ventilation (PSV) is most commonly adopted in spontaneous breathing trials (SBTs), and some have proposed setting the positive end‐expiratory pressure (PEEP) to 0 cmH2O in order to shorten the observation time of SBTs. This study aims to investigate the effects of two PSV protocols on the patients' respiratory mechanics. Material and method A prospective randomized self‐controlled crossover design was adopted in this study, which involved enrolling 30 difficult‐to‐wean patients who were admitted to the intensive care unit of the First Affiliated Hospital of Guangzhou Medical University between July 2019 and September 2021. Patients were subjected to the S group (pressure support: 8 cmH2O, PEEP: 5 cmH2O) and S1 group (PS: 8 cmH2O, PEEP: 0 cmH2O) for 30 min in a random order, and respiratory mechanics indices were dynamically monitored via a four‐lumen multi‐functional catheter with an integrated gastric tube. Among the 30 enrolled patients, 27 were successfully weaned. Result The S group showed higher airway pressure (Paw), intragastric pressure (Pga) and airway pressure–time product (PTP) than the S1 group. The S group also showed a shorter inspiratory trigger delay, (93.80 ± 47.85) versus (137.33 ± 85.66) ms (P = 0.004); and fewer abnormal triggers, (0.97 ± 2.65) versus (2.67 ± 4.48) (P = 0.042) compared with the S1 group. Stratification based on the causes of mechanical ventilation revealed that under the S1 protocol, patients with chronic obstructive pulmonary disease (COPD) had a longer inspiratory trigger delay compared to both post‐thoracic surgery (PTS) patients and patients with acute respiratory distress syndrome. Despite providing greater respiratory support, S group led to significant reductions in inspiratory trigger delay and less abnormal triggers compared to S1 group, especially among patients with chronic obstructive pulmonary disease. Conclusion These findings suggest that the zero PEEP group was more likely to induce a higher number of patient–ventilator asynchronies in difficult‐to‐wean patients.

Abstract Purpose: To evaluate the possibility of using peripheral-blood presurfactant protein B (Pro-SFTPB) for screening non-small cell lung cancer (NSCLC). Methods: A total of 873 healthy volunteers and 165 lung cancer patients hospitalized in the Fifth People’s Hospital of Dalian were tested Pro-SFTPB once every half year from January 2014 to September 2015. The healthy volunteers were also conducted spiral computed tomography (CT) examination once every year. The data were then com-pared and statistically analyzed. Results: The positive expression rate of Pro-SFTPB in NSCLC was significantly higher than that in healthy volunteers, and significantly higher in lung adenocarcinoma than in squamous cell carcinoma; additionally, the expression rate was increased with the in-crease of smoking index, and the intergroup differences showed statistical signifi-cance (p≤0.05). The positive rate of newly diagnosed lung cancer was 29.55%, higher than healthy volunteers (22.34%), but there was no significant difference (p>0.05). Conclusion: Pro-SFTPB is over expressed in non-small cell lung cancer, especially in lung adeno-carcinoma, but it can’t be used as a clinical screening tool for lung cancer.