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BackgroundAtrial fibrillation is one of the most common arrhythmias. The main thrombotic complication of arterial fibrillation is ischemic stroke, but it can also cause acute renal infarction from embolization. The low incidence and nonspecific clinical manifestations of acute renal infarction make it difficult to diagnose, often leading to either delayed diagnosis or misdiagnosis. Due to its rarity, more efficient treatment guidelines are helpful for the management of acute renal infarction related to the thromboembolic complication of arterial fibrillation.Case reportsWe report a case of acute renal infarction due to underlying arterial fibrillation, where a novel interventional therapeutic method was used. A 66-year-old Chinese man with arterial fibrillation, not on anticoagulation due to the patient's preference, and coronary artery disease post-percutaneous coronary intervention to left anterior descending artery about 1 year ago, was currently on dual antiplatelet therapy. He suddenly developed intermittent and sharp left-sided abdominal pain and was found to have an acute left renal infarction on computed tomography scan. Angiogram showed acute occlusion of the left renal artery due to thromboembolism. For this patient, a combination method of local thrombus aspiration, angioplasty, and infusion of nitroglycerin and diltiazem were used, restoring blood flow to the left kidney. After recovery, the patient was discharged on aspirin, clopidogrel, and warfarin. At 6 months follow-up, there was no residual kidney dysfunction.ConclusionsAcute renal infarction from thromboembolism is a rare but serious complication of arterial fibrillation. More efficient and different options for intervention methods will benefit the treatment of this disease. Here, we report a combination therapeutic method that has not been used in acute renal infarction associated with arterial fibrillation, and which restored renal perfusion and prevented long-term kidney injury.

The objective of this study is to investigate the potential risks posed by snowdrifts, a prevalent cause of natural disasters in northern China, on railway subgrades, and to assess their risk level. As a wind-driven process of snow migration and redeposition, snowdrifts pose a significant threat to the safety of transportation infrastructures. This study focuses on the Afu Railway in Xinjiang, situated on the northern slopes of the Eastern Tianshan Mountains, where it experiences periodic snowdrifts. We employed a combination of the Analytic Hierarchy Process (AHP) and fuzzy comprehensive evaluation (FCE) to construct an integrated evaluation system for assessing the risk of snowdrift to railway subgrades. The results indicate that subgrade design parameters and regional snowfield conditions are two key metrics affecting the extent of snowdrift disasters, with topography, vegetation coverage, and wind speed also exerting certain impacts. The evaluation method of this study aligns with the results of on-site observations, verifying its accuracy and practicality, thereby providing a solid risk assessment framework for snowdrifts along the railway. The scientific and systematic hazard assessment method of railway subgrades developed in this research provides basic data and theoretical support for future research, and provides a scientific basis for relevant departments to formulate countermeasures, so as to improve the safety and reliability of railway operations. [ABSTRACT FROM AUTHOR]

MnV2O6 is a promising anode material for lithium ion batteries with high theoretical specific capacity, abundant reserves and inexpensive constituent elements. However, in the process of lithization and de-lithization, the MnV2O6 anode material will form an amorphous phase, leading to collapse of its original layered structure; this greatly decreases its lithium storage capacity and specific capacity and affects its long-term cycle performance. In this study, 2D accordion-like MnV2O6 nanosheets with Co-doping are obtained via a hydrothermal route. The cobalt ions partially replace the positions of the manganese ions, and the emergence of Co3+ ions is inferred to induce the formation of a built-in electric field in the electrode to enhance the electrochemical behaviour of MnV2O6, presenting a high capacity of 1005.9 mA h g−1 after hundreds of cycles. The capacitive contribution to the total capacity is investigated to obtain insight into the kinetic analysis of its electrochemical behaviour. This study sheds light on an effective strategy to obtain excellent electrochemical behavior of MnV2O6-based materials and other transition metal oxides as electrodes for lithium storage. [ABSTRACT FROM AUTHOR]