In recent EAST experiments,current profile broadening characterized by reduced internal inductance has been achieved by utilizing radio-frequency current drives(RFCD).In contrast to previous density scan experiments,w...In recent EAST experiments,current profile broadening characterized by reduced internal inductance has been achieved by utilizing radio-frequency current drives(RFCD).In contrast to previous density scan experiments,which showed an outward shift of the current density profile of lower hybrid current drive(LHCD)in higher plasma density,the core electron temperature(T_(e)(0))is found to affect the LHCD current profile as well.According to equilibrium reconstruction,a significant increase in on-axis safety factor(q0)from 2.05 to 3.41 is observed by careful arrangement of RFCD.Simulations using ray-tracing code GENRAY and Fokker–Planck code CQL3D have been performed to thoroughly analyze the LHCD current profile,revealing the sensitivity of the LHCD current profile to T_(e)(0).The LHCD current density tends to accumulate in the plasma core with higher current drive efficiency benefiting from higher T_(e)(0).With a lower T_(e)(0),the LHCD current profile broadens due to off-axis deposition of power density.The sensitivity of the power deposition and current profile of LHCD to T_(e)(0)provides a promising way to effectively optimize current profile via control of the core electron temperature.展开更多
Objective To evaluate the effect of intraoperative combined forced-air warming and fluid warming system on patient＇s core temperature, blood loss, transfusion demand, extubation time, and incidence of postoperative s...Objective To evaluate the effect of intraoperative combined forced-air warming and fluid warming system on patient＇s core temperature, blood loss, transfusion demand, extubation time, and incidence of postoperative shivering. Mothods Forty patients with American Society of Anesthesiologists physical status I and II, aged 18-70 years, scheduled for elective abdominal surgery were randomly assigned to receive intraoperative warming from a forced-air blanket and fluid warming system or conventional cotton blanket, 20 in each group. The core temperature was recorded every 20 minutes during the operation, as well as the blood loss, blood transfusion, extubation time, and incidence of postoperative shivering. Results The core temperature at the end of the surgery in the warming group was significantly different from that in the control group （36.4±0.4℃ vs. 35.3±0.5℃, P〈0.001）. Application of intraoperative warming significantly shortened the time between the end of the surgery and extubation （P〈0.01）. Postoperative shivering occurred in 30% of the patients in the control group compared to no patient in the warming group （P 〈0.01）. Conclusion Active warming with air-forced blanket and fluid warming system provides sufficient heat to prevent hypothermia during abdominal surgery.展开更多
BACKGROUND:Heatstroke is the most hazardous heat-related illness and has a high fatality rate.We investigated whether glutamine supplementation could have a protective effect on heatstroke rats.METHODS:Twenty-five 12-...BACKGROUND:Heatstroke is the most hazardous heat-related illness and has a high fatality rate.We investigated whether glutamine supplementation could have a protective effect on heatstroke rats.METHODS:Twenty-five 12-week-old male Wistar rats(weight 305±16 g)were randomly divided into a control group(n=5),heatstroke(HS)group(n=10),and heatstroke+glutamine(HSG)group(n=10).Seven days before heat exposure,glutamine(0.4 g/[kg·d])was administered to the rats in the HSG group by gavage every day.Three hours after heat exposure,serum samples were collected to detect white blood cells,coagulation indicators,blood biochemical indicators,and inflammatory cytokines in the rats.The small intestine tissue was stained to analyze pathological structural changes and apoptosis.Finally,immunohistochemistry and Western blotting were used to analyze the expression levels of heat shock protein 70(HSP70).Multiple comparisons were analyzed by using one-way analysis of variance,and the Bonferroni test was conducted for the post hoc comparisons.RESULTS:After heat exposure,the core temperature of the HS group(40.65±0.31°C)was higher than the criterion of heatstroke,whereas the core temperature of the HSG group(39.45±0.14°C)was lower than the criterion.Glutamine supplementation restored the increased white blood cells,coagulation indicators,blood biochemical indicators,and inflammatory cytokines that were induced by heatstroke to normal levels.The intestinal mucosa was injured,and the structure of tight junctions was damaged in the HS group;however,the structure of intestinal mucosal epithelial cells was stable in the HSG group.Glutamine supplementation alleviated intestinal apoptosis and up-regulated HSP70 expression.CONCLUSION:Glutamine supplementation may alleviate intestinal apoptosis by inducing the expression of HSP70 and have a protective effect on heatstroke rats.展开更多
基金supported by the National MCF Energy R&D Program of China (No. 2019YFE0304000)National Natural Science Foundation of China (Nos. 12005262 and 11975274)+3 种基金the Anhui Provincial Natural Science Foundation (No. 2108085J06)the Users with Excellence Program of Hefei Science Center CAS (Nos. 2021HSC-UE018 and 2020HSC-UE011)the External Cooperation Program of Chinese Academy of Sciences (No. 116134KYSB20180035)the Science Foundation of Institute of Plasma Physics, Chinese Academy of Sciences (No. DSJJ-2021-04)
文摘In recent EAST experiments,current profile broadening characterized by reduced internal inductance has been achieved by utilizing radio-frequency current drives(RFCD).In contrast to previous density scan experiments,which showed an outward shift of the current density profile of lower hybrid current drive(LHCD)in higher plasma density,the core electron temperature(T_(e)(0))is found to affect the LHCD current profile as well.According to equilibrium reconstruction,a significant increase in on-axis safety factor(q0)from 2.05 to 3.41 is observed by careful arrangement of RFCD.Simulations using ray-tracing code GENRAY and Fokker–Planck code CQL3D have been performed to thoroughly analyze the LHCD current profile,revealing the sensitivity of the LHCD current profile to T_(e)(0).The LHCD current density tends to accumulate in the plasma core with higher current drive efficiency benefiting from higher T_(e)(0).With a lower T_(e)(0),the LHCD current profile broadens due to off-axis deposition of power density.The sensitivity of the power deposition and current profile of LHCD to T_(e)(0)provides a promising way to effectively optimize current profile via control of the core electron temperature.
文摘Objective To evaluate the effect of intraoperative combined forced-air warming and fluid warming system on patient＇s core temperature, blood loss, transfusion demand, extubation time, and incidence of postoperative shivering. Mothods Forty patients with American Society of Anesthesiologists physical status I and II, aged 18-70 years, scheduled for elective abdominal surgery were randomly assigned to receive intraoperative warming from a forced-air blanket and fluid warming system or conventional cotton blanket, 20 in each group. The core temperature was recorded every 20 minutes during the operation, as well as the blood loss, blood transfusion, extubation time, and incidence of postoperative shivering. Results The core temperature at the end of the surgery in the warming group was significantly different from that in the control group （36.4±0.4℃ vs. 35.3±0.5℃, P〈0.001）. Application of intraoperative warming significantly shortened the time between the end of the surgery and extubation （P〈0.01）. Postoperative shivering occurred in 30% of the patients in the control group compared to no patient in the warming group （P 〈0.01）. Conclusion Active warming with air-forced blanket and fluid warming system provides sufficient heat to prevent hypothermia during abdominal surgery.
基金supported by the Research Foundation of Hwa Mei Hospital,University of Chinese Academy of Sciences,China(2020HMKY22)Zhejiang Medicine and Health Science and Technology Project(2021KY1015)Ningbo Key Support Medical Discipline(2022-F16)。
文摘BACKGROUND:Heatstroke is the most hazardous heat-related illness and has a high fatality rate.We investigated whether glutamine supplementation could have a protective effect on heatstroke rats.METHODS:Twenty-five 12-week-old male Wistar rats(weight 305±16 g)were randomly divided into a control group(n=5),heatstroke(HS)group(n=10),and heatstroke+glutamine(HSG)group(n=10).Seven days before heat exposure,glutamine(0.4 g/[kg·d])was administered to the rats in the HSG group by gavage every day.Three hours after heat exposure,serum samples were collected to detect white blood cells,coagulation indicators,blood biochemical indicators,and inflammatory cytokines in the rats.The small intestine tissue was stained to analyze pathological structural changes and apoptosis.Finally,immunohistochemistry and Western blotting were used to analyze the expression levels of heat shock protein 70(HSP70).Multiple comparisons were analyzed by using one-way analysis of variance,and the Bonferroni test was conducted for the post hoc comparisons.RESULTS:After heat exposure,the core temperature of the HS group(40.65±0.31°C)was higher than the criterion of heatstroke,whereas the core temperature of the HSG group(39.45±0.14°C)was lower than the criterion.Glutamine supplementation restored the increased white blood cells,coagulation indicators,blood biochemical indicators,and inflammatory cytokines that were induced by heatstroke to normal levels.The intestinal mucosa was injured,and the structure of tight junctions was damaged in the HS group;however,the structure of intestinal mucosal epithelial cells was stable in the HSG group.Glutamine supplementation alleviated intestinal apoptosis and up-regulated HSP70 expression.CONCLUSION:Glutamine supplementation may alleviate intestinal apoptosis by inducing the expression of HSP70 and have a protective effect on heatstroke rats.
