Rapid Discharge Research Articles

Safety and feasibility of triage and rapid discharge of patients with chest pain from emergency room: a pragmatic, randomised non-inferiority control trial of the European Society of Cardiology (ESC) 0–1 hour pathway vs. conventional 0-3 hour accelerated diagnostic protocol.

Patients presenting with chest pain represent a significant proportion of Emergency Department (ED) attendances but only a minority, typically 10%, have a final diagnosis of myocardial infarction (MI). Prompt discharge of patients without MI will alleviate ED overcrowding as well as improve patient satisfaction and reduce exposure to risk of hospital acquired infections such as Covid 19.The measurement of cardiac troponin (cTn) by a high sensitivity method is recommended by the National Institute for health and Care Excellence (NICE) for rapid categorisation of patients presenting with chest pain. Strategies proposed include measurement on admission and one hour from admission (ESC 0–1-hour pathway, the recent guideline approved pathway which has not been implemented widely), and measurement on admission and three hours from admission (0–3-hour pathway, which is conventional and widely adopted).The primary objective of this study is twofold: firstly, to assess the safety, feasibility, and impact of implementing the ESC (European Society of Cardiology) 0–1-hour pathway in clinical practice by reference to the more established ESC 0–3-hour protocol. The principal outcome measure will be the safety of the ESC 0–1-hour protocol. However, there are concerns that the time from sample draw to result availability (typically around 60 minutes) will impact on the feasibility of the ESC 0–1-hour pathway. Secondly, therefore, our goal is to evaluate whether measurement of high sensitivity troponin by a bedside analyser (point of care testing, POCT), which will produce results in 15 minutes is a feasible alternative to laboratory testing. We will compare the results produced by POCT with the laboratory results in the context of the ESC 0-1 hour and 0–3-hour pathway, as a nested controlled study in the context of a randomised controlled trial. (clinicaltrials.gov: NCT05322395)

Excellent energy storage performance in BSFCZ/AGO/BNTN double-heterojunction capacitors via the synergistic effect of interface and dead-layer engineering

Dielectric films with ultra-high energy storage density and efficiency are urgently needed due to the energy crisis. Here, we construct novel ferroelectric/dead-layer/superparaelectric (FE/DL/SPE) double-heterojunction capacitors, utilizing interface and dead-layer engineering to achieve outstanding energy storage performance. Bi0.9Sm0.1Fe0.9Co0.05Zn0.05O3 (BSFCZ) with large polarization, Ba0.985Na0.015Ti0.95Ni0.05O3 (BNTN) with low hysteresis and high breakdown strength (Eb), and artificial Al0.9Ga0.1O3 (AGO) with wide band-gap were chosen as the FE, SPE, and DL phases, respectively. Interface engineering enables the BSFCZ/AGO/BNTN films to maintain a high polarization of 55 μC cm−2, while the linear dielectric AGO and SPE BNTN substantially suppresses the remnant polarization. This can be clarified by the evolution of domains in the BSFCZ layer: nanodomains are scaled down to polar clusters, reducing polarization hysteresis while maintaining relatively high polarization. Simultaneously, two opposing intrinsic electric fields are formed to offset a portion of the external electric field, and the low dielectric constant AGO layer bears a significant part of the applied electric field due to electromagnetic boundary conditions. Consequently, the Eb is significantly increased from 4.4 MV cm−1 of BSFCZ/BNTN to 5.5 MV cm−1 of BSFCZ/AGO/BNTN, resulting in a giant recoverable energy density of 132 J cm−3 and a high efficiency of 84 % in BSFCZ/AGO/BNTN films. Moreover, the BSFCZ/AGO/BNTN films excel in temperature stability (RT∼200 °C), fatigue resistance (up to 107 cycles), and frequency stability (200 Hz to 20 kHz), alongside an exceptionally rapid discharge rate of 2.6 μs. This innovative approach suggests new possibilities for producing environmentally friendly, large-area, high-performance dielectric capacitors.

Construction of nitrite electrochemical sensor by in-situ deposition of FeOOH nanomaterials on carbon cloth modified with green DBD technology

The treatment of carbon cloth with concentrated or dilute acid to produce hydrophilic carbon-based flexible electrodes raises environmental pollution concerns. This study utilized a green, rapid, and cost-effective dielectric barrier discharge (DBD) technique was utilized for the hydrophilic modification of conductive hydrophobic carbon cloth. A nitrite electrochemical sensor was constructed by depositing high specific surface area pom-pom FeOOH on modified carbon cloth through a constant potential electrochemical in-situ deposition method. The FeOOH/CC binder-free self-supporting electrode demonstrates nitrite detection capabilities within linear ranges of 0.5–900 µM and 1 mM–10 mM, boasting a detection limit of 0.154 µM (S/N = 3). This sensor exhibits excellent interference immunity, stability, and reproducibility. Its application in detecting nitrite in ham sausage and tap water samples yields 97.00 % to 101.33 % recovery rates, respectively, comparable to UV spectrophotometry results, affirming the sensor’s accuracy and practical feasibility. This straightforward and swift carbon material modification technique presents a novel approach for crafting carbon cloth electrochemical sensors.

Meltwater Orientations Modify Seismic Anisotropy in Temperate Ice

AbstractSeismology is increasingly used to infer the magnitude and direction of glacial ice flow. However, the effects of interstitial meltwater on seismic properties remain poorly constrained. Here, we extend previous studies on seismic anisotropy in temperate ices to consider the role of melt preferred orientation (MPO). We used the ELLE numerical toolbox to simulate microstructural shear deformation of temperate ice with variable MPO strength and orientation, and calculated the effective seismic properties of these numerical ice‐melt aggregates. Our models demonstrate that even 3.5% melt volume is sufficient to rotate fast directions by up to 90°, to increase Vp anisotropy by up to +110%, and to modify Vs anisotropy by −9 to +36%. These effects are especially prominent at strain rates ≥3.17 × 10−12 s−1. MPO may thus obscure the geophysical signatures of temperate ice flow in regions of rapid ice discharge, and is therefore pivotal for understanding ice mass loss.

Outstanding energy density and charge-discharge performances in Sr2KNb5O15-based tungsten bronze ceramics for dielectric capacitor applications

Relaxor ferroelectric ceramics are extremely encouraging materials for energy storage capacitor applications in pulse equipment. As the second largest ferroelectric ceramic system, tungsten bronze structure relaxor ferroelectric ceramics have emerged as a significant contender and garnered significant attention in the pulse capacitor research field. In this work, an Sb-modified Sr2KNb5O15-based tungsten bronze relaxor ferroelectric ceramic system is designed to explore its energy storage potential. XRD refinement reveals the declines in the oxygen octahedra tilting and distortion after the introduction of Sb, which significantly augments the relaxation behavior. Additionally, refined grain size and reduced oxygen vacancy concentration are observed, greatly improving the breakdown strength. Consequently, a superior energy storage density (∼4.57 J/cm3) accompanied by wonderful energy storage efficiency (∼89.3 %) is received at 540 kV/cm, with wide frequency stability and great thermal stability. Moreover, amazing discharging performances are also achieved with rapid discharge speed (τ0.9 < 70 ns), towering discharge current density (815.2 A/cm2) and surprising power density (130.4 MW/cm3). All these performances indicate that the designed Sr2KNb5O15-based tungsten bronze relaxor ferroelectric ceramic can be one encouraging option in the dielectric energy storage field.

Electrochemical stability and superior capacitance of bismuth cobalt metal-organic framework incorporated with vanadium disulfide nanosheet for supercapacitor application

The development of a novel supercapacitor electrode material consisting of bismuth and cobalt-based metal-organic framework (MOF) intercalated on vanadium disulfide (VS2) nanosheets (BiCo-MOF@VS2). The composite combines the high porosity and tunable functionality of MOFs with excellent conductivity and high theoretical capacitance of VS2. The MOF structure is designed to incorporate bismuth and cobalt, which enhance electrochemical performance. The VS2 nanosheets provide a conductive support matrix for the MOF, facilitating electron transport and promoting fast charge-discharge rates. Researchers used a suite of techniques to characterize the fabricated electrodes to understand the relationship between material properties and performance. These techniques analyzed the morphology, crystal structure, and electrochemical properties of the materials. The electrochemical performance of BiCo-MOF@VS2 electrodes for supercapacitor applications is investigated using cyclic voltammetry, galvanostatic charge-discharge, and electrochemical impedance spectroscopy. The research shows that these composite electrodes are highly promising for use in supercapacitors needing top performance. They deliver impressive capacitance, handle rapid charge and discharge cycles well, and maintain stability over time. We found that the electrochemical behavior is optimum when BiCo-MOF@VS2 is used, which is a result of the synergistic effects of VS2 dispersion and the BiCo-MOF. BiCo-MOF and VS2 have shown specific capacitance values of 282 and 199 F g−1, compared to the two electrode materials, BiCo-MOF@VS2 demonstrated an impressive specific capacitance of 472 F g−1 at 1 A g−1, and cyclic stability with 85 % retention even after 3000 cycles at 9 A g−1 current density tested in 1 M KOH solution. This novel material holds promise for developing next-generation supercapacitors with exceptional energy storage capabilities.

Application of Zinc Oxide Nanoparticles to Mitigate Cadmium Toxicity: Mechanisms and Future Prospects.

Cadmium (Cd), as the most prevalent heavy metal contaminant poses serious risks to plants, humans, and the environment. The ubiquity of this toxic metal is continuously increasing due to the rapid discharge of industrial and mining effluents and the excessive use of chemical fertilizers. Nanoparticles (NPs) have emerged as a novel strategy to alleviate Cd toxicity. Zinc oxide nanoparticles (ZnO-NPs) have become the most important NPs used to mitigate the toxicity of abiotic stresses and improve crop productivity. The plants quickly absorb Cd, which subsequently disrupts plant physiological and biochemical processes and increases the production of reactive oxygen species (ROS), which causes the oxidation of cellular structures and significant growth losses. Besides this, Cd toxicity also disrupts leaf osmotic pressure, nutrient uptake, membrane stability, chlorophyll synthesis, and enzyme activities, leading to a serious reduction in growth and biomass productivity. Though plants possess an excellent defense mechanism to counteract Cd toxicity, this is not enough to counter higher concentrations of Cd toxicity. Applying Zn-NPs has proven to have significant potential in mitigating the toxic effects of Cd. ZnO-NPs improve chlorophyll synthesis, photosynthetic efficiency, membrane stability, nutrient uptake, and gene expression, which can help to counter toxic effects of Cd stress. Additionally, ZnO-NPs also help to reduce Cd absorption and accumulation in plants, and the complex relationship between ZnO-NPs, osmolytes, hormones, and secondary metabolites plays an important role in Cd tolerance. Thus, this review concentrates on exploring the diverse mechanisms by which ZnO nanoparticles can alleviate Cd toxicity in plants. In the end, this review has identified various research gaps that need addressing to ensure the promising future of ZnO-NPs in mitigating Cd toxicity. The findings of this review contribute to gaining a deeper understanding of the role of ZnO-NPs in combating Cd toxicity to promote safer and sustainable crop production by remediating Cd-polluted soils. This also allows for the development of eco-friendly approaches to remediate Cd-polluted soils to improve soil fertility and environmental quality.

Enhancing capacitance performance of functional group assisted carbon quantum dots derived from turmeric plant waste

Supercapacitors have attracted significant attention in modern devices as a promising solution for electrical energy storage due to their remarkable capability to undergo rapid charge and discharge cycles. While various materials are employed in the construction of supercapacitors, carbon-based materials emerge as a predominant choice within the commercial realm. In present report, our intention is to develop an effective supercapacitor device derived from natural biomass. Therefore, we have synthesized water soluble, monodisperse and fluorescent carbon quantum dots (CQDs) from turmeric leaves (Curcuma caesia) via a single step hydrothermal carbonization. Further, the doctor blade technique was employed to coat a layer of CQDs on stainless steel substrate using PVA as a binder. We observed the functional groups associated with QDs triggers the fast diffusion of ions and transmission of electrons with conducting substrate and electrolyte and thereby effectively charge and discharge mechanism. The supercapacitor based on carbon quantum dots (CQDs) based electrode exhibits exceptional performance characteristics with a remarkable specific capacitance of 468 F/g and highest energy density of 78.6 Wh/kg, superior to the values reported for most carbon-based supercapacitors. Further, we demonstrated the light dependent capacitive enhancement by depositing a thin P3HT layer over CQDs. Moreover, CQDs-based supercapacitor achieves a maximum power density of 733.2 W/kg when operated in a 1 M KOH electrolyte solution and an excellent capacitive retention of about 80 % even after 5000 cycles.

Pre-operative carbohydrate drink in pediatric spine fusion: randomized control trial.

As rapid discharge protocols for pediatric spine fusion shorten stays, gastrointestinal (GI) complications are uncovered and cause delays in discharge. A pre-operative carbohydrate (CHO) drink has been shown to improve perioperative GI symptoms and functional return but has not been examined in pediatric spine patients. We aimed to determine if a preoperative CHO drink is safe in pediatric spine fusion patients, and if it improves their comfort scores and return of bowel function. We prospectively randomized ASA-1 and -2 pediatric spine fusion patients to either a pre-anesthesia carbohydrate drink 2h prior to surgery or to a control group (standard 8h NPO), blinded to surgical team. We documented time to return to flatus, bowel movement, GI symptoms, and comfort scores for 72h post-operatively or until discharge. 62 patients were randomized. There was no significant differences between the groups' pre-operative characteristics, surgical details, nor post-operative morphine dose equivalents, except for EBL (405cc control, 340cc CHO drink, p = 0.044). There were no perioperative complications related to ingestion of the CHO drink. CHO group had a positive trend for earlier return of flatus (21% vs. 3% return at 12h), and comfort scores for anxiety and abdominal pain, but no statistically significant differences. There was no difference in length of stay or time to first bowel movement. There were no complications related to ingestion of a CHO drink 2h prior to pediatric spinal fusion surgery. Further studies are needed to develop a study blinded to the participants with larger sample size. Level of evidenceI.

The Accelerator and Brake Modulatory System of Carotid Body Sensitivity

The carotid body (CB) is the primary sensor of arterial gases in the human body that through reflex pathways maintains cardiovascular homeostasis. It is known that CB chemosensitivity increases upon repeated stimulation as well as disease states; however, the molecular basis for this remains elusive. Objectives: To investigate the effect of excitatory and inhibitory amino acids in mediating CB afferent activity. Hypothesis: We hypothesised that glutamate and γ-aminobutyric acid (GABA) act to modulate CB sensitivity. Methods: Electrophysiological recordings of carotid sinus nerve (CSN) afferent discharge were made from an ex vivo arterially perfused common carotid artery bifurcation preparation. Effects of agents on CB sensitivity were assessed from responses evoked by cyanide (CN−) (1.23 μmol bolus). Results: The CSN response to CN− consisted of a rapid high amplitude discharge that was quenched abruptly, leading to a low amplitude tail. Glutamate administration augmented the CSN response to CN− by 2-fold compared to baseline ( p=0.0005). In contrast, GABA administration suppressed the CN− response by 2-fold ( p = 3.71 x 10−5). An N-methyl-D-aspartic acid (NMDA) receptor antagonist (MK801; 100 μM) increased the response amplitude resulting in one single high amplitude discharge (160% increase from baseline), abolishing the low amplitude tail. Such an effect was also observed following GABAA receptor blockade with bicuculline (500 μM), when an 80% increase was observed. The CN− response was blocked by PPADS (a P2X receptor antagonist; 100 μM) (242 ± 154 vs 4.82 ± 2.23 % change from baseline; p=0.03), suggesting it to be solely mediated by purinergic transmission. Summary of the data: We propose that CN-evoked excitation of CB chemosensory cells leads to the co-release of ATP and glutamate. ATP activates directly P2X receptors on petrosal chemosensory afferents, while glutamate acting via NMDA receptors on chemosensory cells leads to activity-induced potentiation of ATP release and co-release of GABA to quench ATP-mediated CSN discharge in a time-controlled manner. This is supported by our finding that blockade of either excitatory (NMDAR) or inhibitory (GABAA) receptors both heighten the CN− evoked CB response. A statement of the conclusions: Our results suggest an intrinsic ‘accelerator and brake’ paracrine mechanism within the CB involving glutamate and GABA controlling CB afferent sensitivity. Research was supported by the Health Research Council of New Zealand and the Sidney Taylor Trust. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Agricultural and industrial wastes applied on the high performance energy storage devices

Driven by population growth, the destruction of the environment and the energy demand continue to increase dramatically. This study uses garlic skin and carbon fiber from agricultural and industrial wastes to prepare energy storage devices. Carbon quantum dots (CQDs) were obtained from garlic skin using high-temperature pyrolysis. The specific capacitance of the gel electrolyte could be effectively increased with a small number of CQDs doping. A methylcellulose-based carbon fiber-electrode was prepared by grinding and depositing the industrial recycled carbon fiber onto a biodegradable methylcellulose substrate. The methylcellulose-based recycled carbon fiber-electrode has the highest specific capacitance, energy density, and power density, which are 155 F/g, 10 Wh/kg, and 4047 W/kg, respectively, at a scan rate of 0.02 V/s, and demonstrates excellent performance, such like high specific capacitance, low internal resistance as well as rapid charge and discharge characteristics, which may have potential to replace the expensive carbon nanotubes and graphenes. The electrodes were made from recycled carbon fiber, the gel electrolyte with garlic CQDs, and a separator assembled into a sandwich structure to form supercapacitors. The capacity retention rate of the supercapacitor still retained 96 % of its initial value after 2000 cycles of charge and discharge testing at a constant current of 0.20 mA. This demonstrates the supercapacitor prepared in this study with competitive power density, energy density, high rate capability, and excellent life cycle stability by combining the garlic skin and carbon fiber from agricultural and industrial wastes, highlighting the enormous potential of agricultural and industrial wastes for energy storage applications.

Administration of Low-dose Hyperbaric Bupivacaine for Spinal Anesthesia in the Setting of Outpatient Arthroplasty.

With the rise of ambulatory surgery centers (ASCs), rapid motor and sensory recovery after anesthesia is crucial. The purpose of this study was to evaluate the safety and efficacy of low-dose single-shot hyperbaric bupivacaine for spinal anesthesia (SA) for patients undergoing outpatient arthroplasty. Data were reviewed from a single ASC from 2018 to 2020 for two arthroplasty-trained surgeons for all patients with primary arthroplasties that had administration of low-dose hyperbaric bupivacaine. Data collected from the ASC records were then further evaluated for total spinal block time, length of blockade, time to discharge criteria, visual analog scale (VAS) scores, and time to discharge. Two hundred twenty-seven patients undergoing 244 primary arthroplasties received SA with low-dose hyperbaric bupivacaine. The volume of 0.75% bupivacaine varied: 115 patients received 0.8 mL (6 mg), 111 patients received 1.0 mL (7.5 mg), and 17 patients received 1.2 mL (9 mg). Total SA time averaged 144 minutes with a mean of 30 minutes from post anesthesia care unit arrival to motor recovery. The mean time from post anesthesia care unit arrival to discharge criteria was 89 minutes. The average VAS at discharge was 1.44; the average VAS on POD1 was 3.0. No episodes of urinary retention and no reports of transient neurologic symptoms were noted in the study population. Low-dose, single-shot hyperbaric bupivacaine SA is an effective option in the ASC for arthroplasty, providing a fast return of motor function, facilitating rapid discharge, and is safe with a relatively low-risk profile.

In the footstep of the old patient from hospital to home: A qualitative field observation study.

Older people often have multiple health conditions and therefore extended care needs. The transition from the hospital back to their home requires careful planning. The fragmented healthcare system and rapid discharge from the hospital can result in limited involvement of the older patient in the discharge planning process. We aimed to explore how older hospitalised patients experienced the transition from hospital to home and how possibilities and constraints in interactions with relevant parties in the transition affected their everyday lives. An ethnographic participant observation study including interviews was conducted with 10 older hospitalised patients. The theoretical perspective in the study is critical psychology and data were analysed using the condition-, meaning- and reasoning analysis. Three themes were identified: (1) Lost in transition - the person's ability to act is limited, (2) In transition - the relatives become important, (3) At home - the home transforms into a workplace. Lack of involvement becomes a condition for older patients as some struggle to create meaning in their transition, affecting their everyday lives. The patients experienced their relatives as important as they ensured that the HCPs got to know their values and wishes. This knowledge is important for HCPs working closely with older people both at the hospital and at home ensuring active involvement of the older person with respect and acknowledgement of the older person's wishes, needs, resources and vulnerability.

An innovative method of pressure measurement inside a laser-induced cavitation bubble

This study proposes a novel method for measuring the pressure inside a laser-induced cavitation bubble during its expansion. Based on Paschen's theory, which relates electrical breakdown to gas pressure, applied voltage, and electrode distance, our approach uses two electrodes to estimate the cavitation bubble pressure at different expansion stages by noting the breakdown time at varying voltages. This method offers a high temporal resolution owing to its rapid electrical discharge response. The unveiled pressure during the expansion phase was approximately 0.4 atm. This value contradicts previous reports that assumed that the minimum pressure was close to the water vapor pressure.

Real-World Efficacy of Spesolimab: Reports from Four Patients with Generalized Pustular Psoriasis

Introduction: Generalized pustular psoriasis (GPP) is a rare, chronic, autoinflammatory skin disease characterized by widespread pustular eruptions that may be accompanied by systemic symptoms. GPP is painful, distressing, and adversely affects patient quality of life (QoL). Spesolimab is a first-in-class anti-IL-36 receptor monoclonal antibody approved for the treatment of GPP flares. Methods: We describe 4 cases from our respective clinical practices, where individuals with GPP were treated successfully with spesolimab. Results: Four patient cases of GPP were included; an 18-year-old male, a 58-year-old female; a 36-year-old male, and a 40-year-old female. One patient had a history of GPP, and had experienced 3 prior flares in the preceding year. Two patients had a history of plaque psoriasis. Events preceding the current GPP flare included hydroxychloroquine treatment (n=2), and corticosteroid treatment (n=3). All patients presented with sudden onset of worsening pustular rash (affecting lower extremities [n=1]; extremities and trunk [n=1]; whole body [n=2]). Two patients had systemic symptoms at presentation (1 case: fever, chills, malaise, fatigue; 1 case: severe weakness), and required hospitalization. Two patients received an initial mis-diagnosis of acute generalized exanthematous pustulosis (AGEP). Significant impacts on QoL were reported; all 4 patients were unable to perform normal daily activities; the 18-year-old patient was targeted at school because the skin lesions were perceived to be contagious. The 4 patients received multiple therapies prior to, and concomitantly with, spesolimab treatment, including topical agents, antibiotics, corticosteroids, retinoids, immunosuppressants, and biologics. All 4 patients received two 900 mg intravenous infusions of spesolimab with treatment intervals between 7 and 20 days. Treatment was given at an outpatient infusion center (n=3*), or using a home infusion service (n=1); *1 patient received their first infusion as an inpatient. Significant clinician-assessed improvement in pustules occurred within 1 week of the first spesolimab infusion in 3 patients; the remaining patient reported improvement 1-2 weeks after the second infusion. One of the hospitalized patients experienced 75% improvement in itching, pain, and pustules within 24 hours of the first spesolimab infusion, and was discharged the next day. Spesolimab treatment also improved QoL, with patients experiencing rapid improvements in pain, and their ability to resume their normal daily activities. Conclusions: These cases demonstrate the efficacy of spesolimab in the real-world, highlighting the ability of spesolimab treatment to rapidly improve GPP symptoms and patient QoL. Administration of spesolimab in an inpatient setting allowed for rapid patient improvement and discharge the next day. These cases also highlight the association of certain drugs as triggers for GPP flares, as well as the importance of AGEP in the differential diagnosis of GPP

Research on the cuttings discharge in air cushion chamber of slurry shield based on CFD-DEM coupling method

The rapid discharge of cuttings from the air cushion chamber is crucial for the construction safety and excavation efficiency of the slurry shield. Previous studies have mainly focused on the transport characteristics of cuttings in the slurry discharge pipe, while the complete process of cuttings entering the slurry discharge pipe from the air cushion chamber until they are discharged was often overlooked. Based on the CFD-DEM coupling method and combined with actual engineering, this paper established a numerical model that can more completely reflect the cuttings discharge process during slurry shield tunneling, and the effects of the slurry velocity at slurry gate and scouring pipes, inclination angle of slurry discharge pipe, cuttings diameter and shape coefficient were investigated by analyzing the variation in the mass flow rate, mass of discharged cuttings, and discharged ratio. The results revealed that increasing the slurry velocity can promote the discharge of cuttings. To keep the discharged rate at a high level, it is recommended that the slurry velocity at the slurry gate should be greater than 0.15 m/s. Reducing the inclination angle of the discharge pipe is conducive to the rapid discharge of cuttings. Cuttings with large diameter or small shape coefficient are more prone to accumulate in the air cushion chamber and cause clogging risk. The research results not only help to improve engineers' understanding of cuttings discharge in slurry shield, but also provide practical guidance for formulating relevant construction measures.

Old and New Regional Anesthesia Procedures Under Review - Abdomen to Toe

Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block. The following article is intended to show the reader the change in the use of regional anesthesiological procedures for abdominal wall and lower extremity blocks using selected blockages.

Superior energy storage and discharge performance achieved in PbHfO3-based antiferroelectric ceramics

Dielectric capacitors prepared by antiferroelectric (AFE) materials have the advantages of large power density and fast discharge ability. It has been a focus on the improvement of the recoverable energy density (Wrec) and discharge energy–density (Wdis) in the AFE ceramics. To address the above issue, optimizing the proportion of components is proposed for enhancing ceramic antiferroelectricity, ultimately improving the breakdown strength (Eb) and Wrec. In this work, an ultrahigh Wrec (14.3 J/cm3) with an excellent energy efficiency (η) of 81.1% is obtained in (Pb0.96Sr0.02La0.02)(Hf0.9Sn0.1)O3 AFE ceramic at electric field of 490 kV/cm, which is the maximum value reported in lead-based AFE ceramics fabricated by the conventional solid-state reaction method so far. The multistage phase transition induced by the electric field is observed in the polarization–electric field (P–E) hysteresis loops. Furthermore, an outstanding power density (PD) of 335 MW/cm3 and an excellent Wdis of 8.97 J/cm3 with a rapid discharge speed (102 ns) are obtained at electric field of 390 kV/cm. In addition, (Pb0.96Sr0.02La0.02)(Hf0.9Sn0.1)O3 ceramics also possess an excellent thermal and frequency stability. These exceptional properties indicate that (Pb0.98−xSrxLa0.02)(Hf0.9Sn0.1)O3 ceramics are a potential candidate for pulsed power devices and power electronic devices.

Dissolved Oxygen Forecasting for Lake Erie’s Central Basin Using Hybrid Long Short-Term Memory and Gated Recurrent Unit Networks

Dissolved oxygen (DO) concentration is a pivotal determinant of water quality in freshwater lake ecosystems. However, rapid population growth and discharge of polluted wastewater, urban stormwater runoff, and agricultural non-point source pollution runoff have triggered a significant decline in DO levels in Lake Erie and other freshwater lakes located in populated temperate regions of the globe. Over eleven million people rely on Lake Erie, which has been adversely impacted by anthropogenic stressors resulting in deficient DO concentrations near the bottom of Lake Erie’s Central Basin for extended periods. In the past, hybrid long short-term memory (LSTM) models have been successfully used for the time-series forecasting of water quality in rivers and ponds. However, the prediction errors tend to grow significantly with the forecasting period. Therefore, this research aimed to improve the accuracy of DO forecasting models by taking advantage of Lake Erie’s real-time water quality (water temperature and DO concentration) monitoring network to establish temporal and spatial links between adjacent monitoring stations. We developed hybrid LSTM models that combine LSTM, convolutional neuron network LSTM (CNN-LSTM), hybrid CNN with gated recurrent unit (CNN-GRU) models, and convolutional LSTM (ConvLSTM) to forecast near-bottom DO concentrations in Lake Erie’s Central Basin. These hybrid LSTM models improve their capacity to handle complicated datasets with spatial and temporal variability. These models can serve as accurate and reliable tools for forecasting DO concentrations in freshwater lakes to help environmental protection agencies better access and manage the health of these vital ecosystems. Following analysis of a 21-site Lake Erie dataset for 2020 and 2021, the ConvLSTM model emerged as the most accurate and reliable, boasting an MSE of 0.51 mg/L, MAE of 0.42 mg/L, and an R-squared of 0.95 over the 12 h prediction range. The model foresees future hypoxia in Lake Erie. Notably, the temperature near site 713 holds significance for Central Basin DO forecasting in Lake Erie, as indicated by outcomes derived from the Shapley additive explanations (SHAP).

Lead-free BaTiO3-based relaxor ferroelectric thin film rendering rapid discharge rate for pulsed power energy application

Ferroelectric thin film capacitors have large application potential in pulsed-power electronic and electrical systems due to their high-power density and rapid discharge capabilities. Although lead-based dielectrics are promising, the pursuit of eco-friendly, lead-free alternatives is gaining research attention. Here, the Bi and Li co-doped BaTiO3 thin film exhibiting relaxor ferroelectric properties was investigated for its energy storage properties. The fabricated polycrystalline Ba0.85(Bi0.5Li0.5)0.15TiO3 thin film by pulsed laser deposition revealed good breakdown strength (∼4 MV cm−1), a slim ferroelectric loop, and low leakage characteristics suitable for energy storage applications. The film exhibits a significant value of recoverable energy density (∼70 J cm−3) with better frequency and thermal stability. Notably, the better overall performance parameters of the film, including a sizable power density (261 MW cm−3) and a fast discharge rate (150 ns), along with good energy density and breakdown strength, make the material suitable for pulsed-power energy applications.