Response surface methodology, based on the four-factor, three-level Box-Behnken design, has been utilized to facilitate a more systematic understanding of the solution and processing parameters of solution blown polyethylene oxide (PEO) micro/nanofibers. The factors investigated include air pressure, solution concentration, nozzle diameter, and injection rate. Fiber diameters, ranging from 137 to 1982 nm, are associated with these variables by applying a response surface model. The linear coefficients of air pressure and solution concentration, the interactive effect between air pressure and injection rate as well as the quadratic terms of nozzle diameter and injection rate are demonstrated statistically significant. Verification of the response surface model is successfully accomplished. Consequently, this study puts forward an overview of the effect of solution and technical parameters on solution blown submicron PEO fibers and provides a train of thought for fabricating other micro/nanofibers.

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In this study, a free surface electrospinning experimental setup was developed based on rotating spiral copper wire electrode and used as the spinneret. The scheme was investigated by varying processing parameters including polymer solution concentration, distance between the electrode and the collector, applied voltage between the electrode, and the collector and wire electrode diameter. An average of fiber diameter ranged between 202 and 543 nm and a relative standard deviation ranged between 11.0 and 26.9% were obtained. The combined effects of processing parameters on the resulting fiber morphology were investigated. The analysis shows that in a multiple variable process like electrospinning, the interaction between the different processing parameters played an important role, rather than one parameter separately in obtaining desired nanofibers. Knowing the relative combined effects of processing parameters on fiber morphology should be useful for process control and prediction of electrospun fiber quality as it has been demonstrated in this study.

Early recognition of severe clinical outcomes in children with pneumonia-related bacteremia is vitally important because of the high mortality. This study aims to explore risk factors for severe clinical outcomes in children with pneumonia-related bacteremia and evaluate the value of time to first positive blood cultures (TTFP) in predicting prognosis. Children with pneumonia-related bacteremia in Children’s Hospital of Chongqing Medical University were included (January 2013–May 2019), respectively. TTFP and clinical parameters were collected and analyzed. The area under the curve (AUC)-receiver operating characteristic was used to evaluate the discrimination ability of TTFP. Multivariate logistic regression tests were performed to evaluate the association between TTFP and severe clinical outcomes. A total of 242 children with pneumonia-related bacteremia were included. The least absolute shrinkage and selection operator (LASSO) regression analysis identified TTFP, serum albumin (ALB) and lactic dehydrogenase (LDH) as predictors of in-hospital mortality. Multivariate logistic regression analysis showed that shorter TTFP (OR 0.94; 95% CI 0.89 to 0.97; p<0.01), lower ALB level (OR 0.93; 95% CI 0.89 to 0.98; p<0.01) and higher LDH level (OR 1.001; 95% CI 1.000 to 1.001; p<0.01) were risk factors for in-hospital mortality in children with pneumonia-related bacteremia. AUC of TTFP for predicting in-hospital mortality was 0.748 (95% CI 0.668 to 0.829). Shorter TTFP (≤16 hours) was associated with in-hospital mortality and septic shock. TTFP plays an important role in predicting severe clinical outcomes in children with pneumonia-related bacteremia.