Background. Postoperative delirium (POD) is very common in the elderly surgical population, and its occurrence is associated with multiple factors such as preoperative, intraoperative, and postoperative factors, and the increase of serum inflammatory markers such as C-reactive protein (CRP) and interleukin-6 (IL-6) is considered to be associated with the occurrence of POD, but the results of multiple studies are inconsistent. In this study, we investigated the correlation between inflammatory markers CRP and IL-6 and POD in elderly patients by literature search and meta-analysis. Methods. We searched PubMed, Web of Science, the Cochrane library, Embase, Ovid, and Springer Link for cohort studies or case-control studies that investigated the factors involved in the occurrence of POD, used the Newcastle-Ottawa Scale (NOS) to assess the quality of the selected literature, and combined the differences in serum CRP and IL-6 levels between POD and non-POD patients after surgery to evaluate the predictive value of CRP and IL-6 for the occurrence of POD. Results. This research comprised 16 papers for quantitative analysis, with a total of 2967 patients, 758 with POD and 2209 with non-POD. There were 16 cohort studies (100%) and 0 case-control studies (0%) across all the collected literatures; there were 15 prospective cohort studies and 1 retrospective cohort research. A meta-analysis revealed a statistically significant difference in serum IL-6 levels between POD patients after surgery and non-POD patients [ MD = 115.68 , 95% CI (25.70, 206.66), Z = 2.52 , P = 0.012 ], as well as a statistically significant difference in serum CRP levels [ MD = 27.67 , 95% CI (12.77, 42.58), Z = 3.64 , P = 0.0003 ]. Discussion. Early after surgery, serum IL-6 and CRP levels were considerably higher in POD patients than in non-POD patients, indicating that early serum inflammatory variables are likely to be predictors of POD. After surgery, the levels of the aforementioned inflammatory factors should be actively monitored to forecast the emergence of delirium, and active treatment should be used to limit the creation and release of the aforementioned inflammatory factors.
Phosphogypsum (PG) is an acid by-product from the production phosphate fertilizers that is produced in large amounts all over the world. However, it is challenging to reuse this waste due to the quantities of various impurities in PG and technical restrictions, resulting in PG accumulation, which threatens adjacent environments. To reduce PG storage and safely utilize PG, the aim of our study was to define the leaching characteristics of the impurities present in PG under different conditions. We found that (1) different leaching experiments showed different leachate profiles (including pH and electrical conductivity values of leachate), which indicated that the liquid/solid (L/S) ratio, temperature, oscillation strength, particle size, and pH have remarkable effects on the concentration of leached impurities; (2) all leachate (i.e. soluble P, fluoride, Zn, Pb, As, and Hg) extraction concentrations were significantly more sensitive to the effect of the L/S ratio and pH than the effect of the other conditions; and (3) the leaching concentration was strongly influenced by pH, and a strong correlation among soluble P, F, As, and Hg concentrations in the leachate was demonstrated by a correlation analysis. In the present study, we revealed a systematic leaching mechanism of potential toxic elements in PG and have provided guidance and a reference for PG resource comprehensive utilization and surrounding environment treatment.Supplementary material: Chemical compositions of the phosphogypsum and pairwise Wilcoxon test results are available at https://doi.org/10.6084/m9.figshare.c.5088187
The application of consumer grade hardware and complexity scenes are the key limits for high accuracy of GNSS positioning and navigation service in smartphones. In the study, the comparisons for the quality analysis of GNSS observations among Huawei Mate 20, Xiaomi MI 8 and Huawei P 20 smartphones was firstly carried out. Secondly, we developed the receiving software on the Android platform for connecting the network RTK service. The high quality GNSS observations can be achieved after removing the atmosphere errors with network RTK service. Then, the high accuracy positioning results can be carried out in smartphones. The study shows that the static positioning accuracy of Mate 20, MI 8 and P 20 can converge to the centimeter-accurate within 20 minutes and the ambiguity-fixed solution accuracy can reach the centimeter by using network RTK positioning method. The kinematic positioning accuracy was greatly affected by the observation environment. The horizontal positioning accuracy of the three smartphones is 0.31 m, 0.021 m and 1.80 m, respectively.
The dissolution behaviors of primary and secondary alumina in aluminum bath were compared. The dissolution of primary alumina can be divided into a few key steps: fast dissolution upon feeding, crust formation and sludge dissolution. The dissolution rate of secondary alumina is much faster than that of primary alumina. Industrial measurements of alumina concentration in 410 kA and 500 kA cells confirmed the laboratory results.
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