Recently, there has been an increasing interest in the potential clinical use of several inflammatory indexes, namely, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic-immune-inflammation index (SII). This study aimed at assessing whether these markers could be early indicators of pulmonary hypertension (PH) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). A total of 185 patients were enrolled in our retrospective study from January 2017 to January 2019. Receiver operating characteristic curve (ROC) and area under the curve (AUC) were used to evaluate the clinical significance of these biomarkers to predict PH in patients with AECOPD. According to the diagnostic criterion for PH by Doppler echocardiography, the patients were stratified into two groups. The study group consisted of 101 patients complicated with PH, and the control group had 84 patients. The NLR, PLR, and SII values of the PH group were significantly higher than those of the AECOPD one (p < 0.05). The blood biomarker levels were positively correlated with NT-proBNP levels, while they had no significant correlation with the estimated pulmonary arterial systolic pressure (PASP) other than PLR. NLR, PLR, and SII values were all associated with PH (p < 0.05) in the univariate analysis, but not in the multivariate analysis. The AUC of NLR used for predicting PH was 0.701 and was higher than PLR and SII. Using 4.659 as the cut-off value of NLR, the sensitivity was 81.2%, and the specificity was 59.5%. In conclusion, these simple markers may be useful in the prediction of PH in patients with AECOPD.
We present a theoretical investigation on the propagation of electromagnetic waves and electron plasma waves in high energy density plasmas using the covariant Wigner function approach. Based on the covariant Wigner function and Dirac equation, a relativistic quantum kinetic model is established to describe the physical processes in high-energy density plasmas. With the zero-temperature Fermi-Dirac distribution, the dispersion relation and Landau damping of waves containing the relativistic quantum corrected terms are derived. The relativistic quantum corrections to the dispersion relation and Landau damping are analyzed by comparing our results with those obtained in classical and non-relativistic quantum plasmas. We provide a detailed discussion on the Landau damping obtained in classical plasmas, non-relativistic Fermi plasmas and relativistic Fermi plasmas. The contributions of the Bohm potential, the Fermi statistics pressure and relativistic effects to the dispersion relation and Landau damping of waves are quantitatively calculated with real plasma parameters.
The influence of quantum effects on the interaction of intense laser fields with plasmas is investigated by using a hydrodynamic model based on the framework of the relativistic quantum theory. Starting from the covariant Wigner function and Dirac equation, the hydrodynamic equations for relativistic quantum plasmas are derived. Based on the relativistic quantum hydrodynamic equations and Poisson equation, the perturbations of electron number densities and the electric field of the laser wakefield containing quantum effects are deduced. It is found that the corrections generated by the quantum effects to the perturbations of electron number densities and the accelerating field of the laser wakefield cannot be neglected. Quantum effects will suppress laser wakefields, which is a classical manifestation of quantum decoherence effects, however, the contribution of quantum effects for the laser wakefield correction will been partially counteracted by the relativistic effects. The analysis also reveals that quantum effects enlarge the effective frequencies of plasmas, and the quantum behavior appears a screening effect for plasma electrons.
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