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Freeze casting is an effective way to fabricate the porous ceramics with anisotropic and interconnected porous structures and can be used in various applications, such as filtration, adsorption, and insulation. However, the ceramic‐based scaffolds fabricated by freeze casting have the upper limit of porosity since excessively low solid content in the slurry will lead to structural instability and cracks formation in scaffolds. This study aims at combining the freeze casting and sol–gel method and developing a hybrid process to overcome the limitation of freeze casting. Besides, the effects of solid content and cooling rates on the microstructure of ultralightweight alumina scaffolds (ULASs) and their mechanical and thermal properties were investigated. Aluminum isopropoxide was selected as the precursor to conduct the hydrolysis reaction in acid environment and condensation process by heat treatment. The successfully synthesized alumina scaffolds have ultrahigh porosity (>90%), low bulk density (0.1240–0.2429 g/cm3), and low relative density (0.0314–0.0615). The anisotropic porous lamellar structure was evaluated by scanning electron microscope, µ‐CT, and mercury porosimeter. A lot of nanoscale pores are observed on the lamellae surfaces, forming the dual‐scale porous structure inside the scaffolds and contributing to higher specific surface area. The unique anisotropic structure, high porosity, and stable mechanical properties enable ULASs to deliver a low thermal conductivity of 0.2 W/m/K and large anisotropy in thermal properties, possessing great potential for thermal insulative materials. This sol–gel/freeze‐casting hybrid approach is believed to be extended to different material systems and provide promising potentials in fabricating the porous materials with various functionalities. [ABSTRACT FROM AUTHOR]

Recent studies have shown that dexmedetomidine may improve microcirculation and prevent organ failure. However, most evidence was obtained from experimental animals and patients receiving cardiac surgery with cardiopulmonary bypass. This study aimed to investigate the effect of dexmedetomidine on microcirculation and organ injuries in critically ill general surgical patients.In this prospective randomized trial, patients admitted to the surgical intensive care unit after general surgery were enrolled and randomly allocated to the dexmedetomidine or propofol groups. Patients received continuous dexmedetomidine or propofol infusions to meet their requirement of sedation according to their grouping. At each time point, sublingual microcirculation images were obtained using the incident dark field video microscope.Overall, 60 patients finished the trial and were analyzed. Microcirculation parameters did not differ significantly between two groups. Heart rate at 4 h after ICU admission and mean arterial pressures at 12 h and 24 h after ICU admission were lower in the dexmedetomidine group than in the propofol group. At 24 h, serum aspartate aminotransferase (41 (25–118) vs 86 (34–129) U/L, p = 0.035) and alanine aminotransferase (50 (26–160) vs 68 (35–172) U/L, p = 0.019) levels were significantly lower in the dexmedetomidine group than in the propofol group.Microcirculation parameters did not differ significantly between the dexmedetomidine and propofol groups. At 24 h after ICU admission, serum liver enzyme levels were lower in patients receiving dexmedetomidine as compared to propofol. [ABSTRACT FROM AUTHOR]

Background: Clozapine is the primary antipsychotic (APD) for treatment-resistant schizophrenia (TRS). However, only 40% of patients with TRS respond to clozapine, constituting a subgroup of clozapine-resistant patients. Recently, the neuropeptide orexin-A was shown to be involved in the pathophysiology of schizophrenia. This study evaluated the association of orexin-A levels with the clozapine response in patients with TRS. Methods: We recruited 199 patients with schizophrenia, including 37 APD-free and 162 clozapine-treated patients. Clozapine-treated patients were divided into clozapine-responsive (n = 100) and clozapine-resistant (n = 62) groups based on whether they had achieved psychotic remission defined by the 18-item Brief Psychiatric Rating Scale (BPRS-18). We compared blood orexin-A levels among the three groups and performed regression analysis to determine the association of orexin-A level with treatment response in clozapine-treated patients. We also explored the correlation between orexin-A levels and cognitive function, assessed using the CogState Schizophrenia Battery. Results: Clozapine-responsive patients had higher orexin-A levels than clozapine-resistant and APD-free patients. Orexin-A level was the only factor significantly associated with treatment response after adjustment. Orexin-A levels were negatively correlated with BPRS-18 full scale and positive, negative, and general symptoms subscale scores. We also observed a positive correlation between orexin-A levels and verbal memory, visual learning and memory, and working memory function. Conclusions: This cross-sectional study showed that higher levels of orexin-A are associated with treatment response to clozapine in patients with TRS. Future prospective studies examining changes in orexin-A level following clozapine treatment and the potential benefit of augmenting orexin-A signaling are warranted. [ABSTRACT FROM AUTHOR]

Professional training for designers is crucial in the field of design studies. The characteristics of novices versus those of expert designers have been identified in the literature; however, studies exploring the issue of professional training processes in the actual workplace are not well developed. Our study addresses the topic by using qualitative research methods along with flexible design. Collected data from the interviewees with different work experience were analysed by open, axial and selective coding. Herein, we argue that the processes by which a designer transforms from a novice into an expert in the industry are constructed through the interaction of several complicated factors. The re-learning inherent in design professions is implemented through knowledge transfer gained from participation in design projects, particularly regarding tacit knowledge. Also, the novice's process of learning and training yields the characteristics and skills that companies and firms require of designers; this process involves a series of disciplinary sub-processes, from destructive to reconstructive, implemented by employers. In these sub-processes, the subjectivity of designers is neglected, leading to the suppression of imaginative expression and feelings of alienation among these workers.