BACKGROUND:Patients with diabetes mellitus(DM)are vulnerable to community-acquired pneumonia(CAP),which have a high mortality rate.We aimed to investigate the value of heparin-binding protein(HBP)as a prognostic marke...BACKGROUND:Patients with diabetes mellitus(DM)are vulnerable to community-acquired pneumonia(CAP),which have a high mortality rate.We aimed to investigate the value of heparin-binding protein(HBP)as a prognostic marker of mortality in patients with DM and CAP.METHODS:This retrospective study included CAP patients who were tested for HBP at intensive care unit(ICU)admission from January 2019 to April 2020.Patients were allocated to the DM or non-DM group and paired with propensity score matching.Baseline characteristics and clinical outcomes up to 90 days were evaluated.The primary outcome was the 10-day mortality.Receiver operating characteristic(ROC)curves,Kaplan-Meier analysis,and Cox regression were used for statistical analysis.RESULTS:Among 152 enrolled patients,60 pairs were successfully matched.There was no significant difference in 10-day mortality,while more patients in the DM group died within 28 d(P=0.024)and 90 d(P=0.008).In the DM group,HBP levels at ICU admission were higher in 10-day non-survivors than in 10-day survivors(median 182.21[IQR:55.43-300]ng/ml vs.median 66.40[IQR:34.13-107.85]ng/mL,P=0.019),and HBP levels could predict the 10-day mortality with an area under the ROC curve of 0.747.The cut-off value,sensitivity,and specificity were 160.6 ng/mL,66.7%,and 90.2%,respectively.Multivariate Cox regression analysis indicated that HBP was an independent prognostic factor for 10-day(HR 7.196,95%CI:1.596-32.455,P=0.01),28-day(HR 4.381,95%CI:1.449-13.245,P=0.009),and 90-day mortality(HR 4.581,95%CI:1.637-12.819,P=0.004)in patients with DM.CONCLUSION:Plasma HBP at ICU admission was associated with the 10-day,28-day,and 90-day mortality,and might be a prognostic factor in patients with DM and CAP.展开更多
Fabricating surface oxygen vacancies is considered to be an efficient method to improve the adsorption performance of sorbents.In this work,a bismuth oxychloride/biochar(BiOCl/BC)nanocomposite with abundant oxygen vac...Fabricating surface oxygen vacancies is considered to be an efficient method to improve the adsorption performance of sorbents.In this work,a bismuth oxychloride/biochar(BiOCl/BC)nanocomposite with abundant oxygen vacancies was successfully prepared by a facile ball milling method.BiOCl/BC nanocomposite was found to have excellent adsorption performance for removing reactive red-120(RR120)from aqueous solution.The effects of key adsorption parameters,such as RR120 dye concentration,solution pH(2-10),and contact time were studied by batch adsorption test.The adsorption data were well described by the Langmuir and Freundlich isotherms and pseudo-second-order kinetic models.The 50%-BiOCl/BC(50 wt%of BiOCl in composite)exhibited the best adsorptive performance(60%),much better than the pristine BM-BC(20%).The high adsorption capacity of 50%-BiOCl/BC(Langmuir maximum capacity of 116.382 mg g^(−1))can be attributed to the electrostatic effect,π-πinteractions,and hydrogen bond.This work provided a facile method to prepare semiconductor assisted biochar-based adsorbents,which would also contribute to the advance of environmental remediation.展开更多
基金supported by the National Key Research and Development Program of China(2021YFC2501800)Leader Project of Henan Province Health Young and Middle-aged Professor(HNSWJW2020013).
文摘BACKGROUND:Patients with diabetes mellitus(DM)are vulnerable to community-acquired pneumonia(CAP),which have a high mortality rate.We aimed to investigate the value of heparin-binding protein(HBP)as a prognostic marker of mortality in patients with DM and CAP.METHODS:This retrospective study included CAP patients who were tested for HBP at intensive care unit(ICU)admission from January 2019 to April 2020.Patients were allocated to the DM or non-DM group and paired with propensity score matching.Baseline characteristics and clinical outcomes up to 90 days were evaluated.The primary outcome was the 10-day mortality.Receiver operating characteristic(ROC)curves,Kaplan-Meier analysis,and Cox regression were used for statistical analysis.RESULTS:Among 152 enrolled patients,60 pairs were successfully matched.There was no significant difference in 10-day mortality,while more patients in the DM group died within 28 d(P=0.024)and 90 d(P=0.008).In the DM group,HBP levels at ICU admission were higher in 10-day non-survivors than in 10-day survivors(median 182.21[IQR:55.43-300]ng/ml vs.median 66.40[IQR:34.13-107.85]ng/mL,P=0.019),and HBP levels could predict the 10-day mortality with an area under the ROC curve of 0.747.The cut-off value,sensitivity,and specificity were 160.6 ng/mL,66.7%,and 90.2%,respectively.Multivariate Cox regression analysis indicated that HBP was an independent prognostic factor for 10-day(HR 7.196,95%CI:1.596-32.455,P=0.01),28-day(HR 4.381,95%CI:1.449-13.245,P=0.009),and 90-day mortality(HR 4.581,95%CI:1.637-12.819,P=0.004)in patients with DM.CONCLUSION:Plasma HBP at ICU admission was associated with the 10-day,28-day,and 90-day mortality,and might be a prognostic factor in patients with DM and CAP.
基金the National Natural Science Foundation of China(11864024)Jiangxi Provincial Natural Science Foundation(20202BABL214025,20202BABL214010,20212BAB214034).
文摘Fabricating surface oxygen vacancies is considered to be an efficient method to improve the adsorption performance of sorbents.In this work,a bismuth oxychloride/biochar(BiOCl/BC)nanocomposite with abundant oxygen vacancies was successfully prepared by a facile ball milling method.BiOCl/BC nanocomposite was found to have excellent adsorption performance for removing reactive red-120(RR120)from aqueous solution.The effects of key adsorption parameters,such as RR120 dye concentration,solution pH(2-10),and contact time were studied by batch adsorption test.The adsorption data were well described by the Langmuir and Freundlich isotherms and pseudo-second-order kinetic models.The 50%-BiOCl/BC(50 wt%of BiOCl in composite)exhibited the best adsorptive performance(60%),much better than the pristine BM-BC(20%).The high adsorption capacity of 50%-BiOCl/BC(Langmuir maximum capacity of 116.382 mg g^(−1))can be attributed to the electrostatic effect,π-πinteractions,and hydrogen bond.This work provided a facile method to prepare semiconductor assisted biochar-based adsorbents,which would also contribute to the advance of environmental remediation.