BackgroundThis study observed the efficacy of ultrasonic technique with out-of-plane orientation and in-plane guidance in radial artery puncture and cannulation in intensive care unit (ICU) shock patients to elucidate the effect of this technique on the security of cannulation.Material/MethodsA total of 88 ICU shock patients, randomized into a palpation (control) group and an ultrasound (experimental) group, received continuous intravenous sedation and analgesia. The palpation group patients underwent radial artery cannulation using the traditional palpation pulsation approach, and the ultrasound group patients underwent radial artery cannulation under out-of-plane orientation and in-plane guidance using an ultrasonic apparatus. Data were recorded and compared between the 2 groups.Results(1) The success rate of the first puncture in the ultrasound group and the palpation group was 80% and 42%, respectively (P<0.05). (2) The cannulation duration in the ultrasound group and the palpation group was 8.77±6.33 s and 28.7±26.33 s, respectively (P<0.01). (3) Incidence of hematoma and staxis around stoma in the ultrasound group was 2.5% and 5%, respectively, which was significantly lower than that in the palpation group, which was 20% and 32.5%, respectively (P<0.05). (4) Time to achieve the early goal-directed therapy in the ultrasound group and the palpation group was 306.73±39.98 min and 356.75±40.97 min, respectively (P<0.01).ConclusionsCompared with the traditional method, radial artery cannulation with out-of-plane orientation and in-plane guidance is a quick and secure cannulation method and is appropriate for use in clinics.
A Gas Chromatography/ Mass Spectrometry method for the determination of six phthalates which are banned by European Union Regulation and USA CPSIA, in polyvinyl chloride (PVC) toys is studied in this article. The samples were extracted in six hours by Soxhlet extractor when using dichloromethane as the extracting agent, researched by orthogonal experiment. Using TIC (total ion chromatogram) and SIM (select ion monitor) of GC-MS to achieve phthalate's qualitative and quantitative determination, of which detection limit, accuracy and operating procedure are better than the standards in EN 14372:2004 clause 6.3.2 and ASTM D7083-04.
Integrating bioavailability into risk assessments is an effective way to objectively assess human health risks. In this study, the bioavailability of 16 polycyclic aromatic hydrocarbons (PAHs) in contaminated soil from a coking plant was evaluated using the polydimethylsiloxane (PDMS) passive sampling method. The results showed that the bioavailability factor (BAF) of each PAH, predicted using PDMS fibers, ranged from 0.46% to 9.74%. The PDMS passive sampling method was more stable in testing the bioavailability of PAHs with more than 4 benzene rings; a preliminary relationship was established between the BAF and the log value of the octanol–water partition coefficient (logKow). After considering their bioavailability, the carcinogenic risks (CRs) and non-carcinogenic hazard quotients (HQs) associated with the 16 PAHs were reduced by 1 to 2 orders of magnitude. Only the health risks associated with benzo(a)pyrene and dibenzo(a,h)anthracene exceeded the acceptable level. The PDMS passive sampling method provides a useful tool for estimating oral bioavailability, and incorporating its results into human exposure testing can help to refine the health risk assessment of contaminants through oral ingestion.
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