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The risk factors, outcomes, and typical patterns of intraoperative hypothermia were studied in neonates to better guide the application of insulation measures in the operating room. This retrospective study enrolled 401 neonates undergoing surgery under general anaesthesia with tracheal intubation, including abdominal surgery, thoracic surgery, brain surgery, and others. The study collected basic characteristics, such as age, sex, weight, birth weight, gestational week, primary diagnosis and American Society of Anaesthesiologists (ASA) grade. Perioperative data included preoperative body temperature, length of hospital stay, length of intensive care unit (ICU) stay, intubation time, postoperative bleeding, postoperative pneumonia, postoperative death, and total cost of hospitalization. Intraoperative data included surgical procedures, anaesthesia duration, operation duration, blood transfusion, fluid or albumin infusion, and application of vasoactive drugs. The incidence of intraoperative hypothermia (< 36 °C) was 81.05%. Compared to normothermic patients, gestational week (OR 0.717; 95% CI 0.577–0.890; P = 0.003), preoperative temperature (OR 0.228; 95% CI 0.091–0.571; P = 0.002), duration of anaesthesia (OR 1.052; 95% CI 1.027–1.077; P < 0.001), and type of surgery (OR 2.725; 95% CI 1.292–5.747; P = 0.008) were associated with the risk of intraoperative hypothermia. Patients with hypothermia had longer length of ICU stay (P = 0.001), longer length of hospital stay (P < 0.001), and higher hospital costs (P < 0.001). But there were no association between clinical outcomes and intraoperative hypothermia in the multivariable regression adjusted analysis. The lowest point of intraoperative body temperature was approximately 1 h 30 min. Then, the body temperature of patients successively entered a short plateau phase and a period of slow ascent. The greatest decrease in body temperatures occurred in preterm babies and neonates with preoperative hypothermia. The lowest core temperatures that occurred in neonates with preoperative hypothermia was lower than 35 °C. This study shows that there is a high incidence of intraoperative hypothermia in the neonate population. The intraoperative body temperature of neonates dropped to the lowest point in 1–1.5 h. The greatest decrease in core temperatures occurred in preterm babies and neonates with lower preoperative temperature. [ABSTRACT FROM AUTHOR]

Background: Nance–Horan syndrome (NHS) is a rare and often overlooked X‐linked dominant disorder characterized by dense congenital cataracts, dental abnormalities, and mental retardation. The majority of NHS variations include frameshift mutations, nonsense mutations, microdeletions, and insertions. Methods: Copy number variation sequencing was performed to determine the microdeletion. The expression of NHS was detected by RT‐PCR. Four family members were tested for X chromosome inactivation. Results: In this study, all members were examined for systemic examinations and genetic testing of four members and two affected subjects are observed. We identified a heterozygous microdeletion of −0.52 Mb at Xp22.13 in a female proband presenting NHS phenotypically. The microdeletion contains the REPS2 and NHS genes and was inherited from a phenotypically normal mother. Of interest, the expression NHS of proband was reduced and the skewed X chromosome inactivation rate reached more than 85% compared with her mother and the control. It was concluded that the haploinsufficiency of the NHS gene may account for the majority of clinical symptoms in the affected subjects. The variability among female carriers presumably results from nonrandom X chromosome inactivation. Conclusion: Our findings broaden the spectrum of NHS mutations and provide molecular insight into NHS clinical prenatal genetic diagnosis. [ABSTRACT FROM AUTHOR]

Background and Aims: The prognostic significance of combination of white blood cell (WBC) and D-dimer on acute ischemic stroke (AIS) remains to be explored. We aimed to investigate the combined effect of WBC and D-dimer levels on in-hospital outcomes of AIS patients.Methods and Results: 801 AIS patients were included. Patients were divided into four groups according to the cut-point identified by receiver operating characteristic (ROC) curve of D-dimer (1.105 μg/L) and WBC (7.05 × 109/L): LWLD (low WBC count and low D-dimer), LWHD (low WBC count and high D-dimer), HWLD (high WBC count and low D-dimer), and HWHD (high WBC count and high D-dimer). HWHD group had the highest cumulative incidence of in-hospital mortality (hazard ratio, 5.79; 95%CI, 1.71-19.58, P = 0.006). Patients in HWHD group were 4.14 fold more likely to have in-hospital pneumonia (odds ratio, 4.14; 95%CI, 2.09-8.21; P < 0.001), compared with those in LWLD group. The area under curve (AUC) of the combination of WBC and D-dimer levels for in-hospital mortality and pneumonia was larger than that of WBC and D-dimer alone (0.920 vs. 0.900 vs. 0.915; 0.831 vs. 0.829 vs. 0.807).Conclusions: The combination of WBC count and D-dimer levels at admission was independently associated with in-hospital outcomes of AIS patients. The addition of WBC to D-dimer levels had a tendency to improve the predictive power for in-hospital mortality and pneumonia. [ABSTRACT FROM AUTHOR]

Two low melting point phthalonitrile monomers (EPN and EEPN) containing flexible glycidyl groups were synthesized using hydroxyl-containing phthalonitrile and epichlorohydrin as raw materials. The structures of the synthesized monomers were characterized by Fourier transform infrared (FT-IR), nuclear magnetic resonance (1H-NMR and 13C-NMR) spectra and elemental analysis. Then each of them was blended with 4-(4-aminophenoxy)-phthalonitrile (APPN) and cured to obtain two kinds of amine-catalytic phthalonitrile-based crosslinked polymers. DSC results showed that two blending systems underwent a two-stage polymerization process with the increase of curing temperature. Rheological measurements exhibited that the introduction of glycidyl groups to phthalonitrile resin could greatly improve its processability. Moreover, after thermal cured at 300 ℃, the resulting phthalonitrile resins exhibited excellent mechanical performance, thermal and thermo-oxidative stability. [ABSTRACT FROM AUTHOR]

Compared with the traditional mode, expressway BOT+EPC mode has incomparable advantages in financing, construction, and other aspects, but it is prone to inconsistent phenomena before and after construction from project investment to operation stage. This paper constructs the success evaluation system of expressway BOT + EPC project by integrating the characteristics of the success evaluation method, which is comprehensive, efficient, and clear in its conclusions . Then, the whitening weight function is constructed based on grey theory to quantify the indexes. After that, the index weight are determined through the analytic hierarchy process and grey correlation degree. The project success value is calculated based on a comprehensive fuzzy method. Finally, the comprehensive and multi-level project post-evaluation is realized. KK expressway example results show that the project's overall success is 4.029, belonging to the basic success. However, the success degree of the project operation effect and benefit is only 3.799, which belongs to partial success. The main reason is that the actual traffic volume is lower than expected. In the later stage, it is necessary to improve the anti-risk ability of the financial part and pay attention to the research depth of similar BOT+EPC projects in the decision-making stage. [ABSTRACT FROM AUTHOR]

This document is a correction notice for an article titled "Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report" published in BMC Musculoskeletal Disorders. The correction states that the given name of the second author has been corrected to "Wantong" instead of "Wangtong." The author group has been updated accordingly. The correction notice also includes a note from the publisher stating that Springer Nature remains neutral regarding jurisdictional claims and institutional affiliations. The document is authored by Sijie Gui, Wantong Xu, Zhengxiao Ouyang, Xiaoning Guo, Yi Shen, Huai Tao, Xia Chen, and Dan Peng. [Extracted from the article]