BACKGROUND Hepatopulmonary syndrome (HPS) is an arterial oxygenation defect induced by intrapulmonary vascular dilatation (IPVD) in the setting of liver disease and/or portal hypertension.This syndrome occurs most oft...BACKGROUND Hepatopulmonary syndrome (HPS) is an arterial oxygenation defect induced by intrapulmonary vascular dilatation (IPVD) in the setting of liver disease and/or portal hypertension.This syndrome occurs most often in cirrhotic patients(4%-32%) and has been shown to be detrimental to functional status,quality of life,and survival.The diagnosis of HPS in the setting of liver disease and/or portal hypertension requires the demonstration of IPVD (i.e.,diffuse or localized abnormally dilated pulmonary capillaries and pulmonary and pleural arteriovenous communications) and arterial oxygenation defects,preferably by contrast-enhanced echocardiography and measurement of the alveolar-arterial oxygen gradient,respectively.AIM To compare brain and whole-body uptake of technetium for diagnosing HPS.METHODS Sixty-nine patients with chronic liver disease and/or portal hypertension were prospectively included.Brain uptake and whole-body uptake were calculated using the geometric mean of technetium counts in the brain and lungs and in the entire body and lungs,respectively.RESULTS Thirty-two (46%) patients had IPVD as detected by contrast-enhancedechocardiography.The demographics and clinical characteristics of the patients with and without IPVD were not significantly different with the exception of the creatinine level (0.71±0.18 mg/dL vs 0.83±0.23 mg/dL;P=0.041),alveolararterial oxygen gradient (23.2±13.3 mmHg vs 16.4±14.1 mmHg;P=0.043),and arterial partial pressure of oxygen (81.0±12.1 mmHg vs 90.1±12.8 mmHg;P=0.004).Whole-body uptake was significantly higher in patients with IPVD than in patients without IPVD (48.0%±6.1%vs 40.1%±8.1%;P=0.001).The area under the curve of whole-body uptake for detecting IPVD was significantly higher than that of brain uptake (0.75 vs 0.54;P=0.025).The optimal cut-off values of brain uptake and whole-body uptake for detecting IPVD were 5.7%and 42.5%,respectively,based on Youden’s index.The sensitivity,specificity,and accuracy of brain uptake> 5.7%and whole-body uptake> 42.5%for detecting IPVD were23%,89%,and 59%and 100%,52%,and 74%,respectively.CONCLUSION Whole-body uptake is superior to brain uptake for diagnosing HPS.展开更多
Soil organic carbon(SOC)plays a key role in improving soil quality and optimizing crop yield.Yet little is known about the fate of macroaggregates(>0.25 mm)under long-term fertilization and their relative importanc...Soil organic carbon(SOC)plays a key role in improving soil quality and optimizing crop yield.Yet little is known about the fate of macroaggregates(>0.25 mm)under long-term fertilization and their relative importance in SOC sequestration in reclaimed calcareous soil.Therefore,the effects of mineral fertilizers and organic manure on the mechanisms of organic carbon(OC)stabilization in macroaggregates were investigated in this study.Four treatments were used:unfertilized control(CK),mineral fertilizer(NPK),compost chicken manure alone(M),and mineral fertilizers plus manure(MNPK).Samples from the 0–20 cm layer of soil receiving 11-year-long fertilization were separated into four fractions based on the macroaggregates present(unprotected coarse and fine particulate organic matter,cPOM and fPOM;physically protected intra-microaggregate POM,i POM;and biochemically protected mineral associated OM,MOM)by the physical fractionation method.Compared with the control,the long-term application of NPK had little effect on SOC content,total nitrogen(TN)content,and OC and TN contents of macroaggregate fractions.In contrast,incorporation of organic manure(MNPK)significantly increased SOC(45.7%)and TN(24.3%)contents.Application of MNPK increased OC contents within macroaggregate-extracted fractions of cPOM(292.2%),fPOM(136.0%)and iPOM(124.0%),and TN contents within cPOM(607.1%),fPOM(242.5%)and iPOM(127.6%),but not the mineral associated organic carbon(MOM-C)and nitrogen(MOM-N)contents.Unprotected C fractions were more strongly and positively correlated with SOC increase than protected C fractions,especially for cPOM-C,indicating that SOC sequestration mainly occurred via cPOM-C in the studied calcareous soil.In conclusion,MNPK increased the quantity and stability of SOC by increasing the contents of cPOM-C and cPOM-N,suggesting that this management practice(MNPK)is an effective strategy to develop sustainable agriculture.展开更多
The formation and turnover of macroaggregates are critical processes influencing the dynamics and stabilization of soil organic carbon(SOC).Soil aggregate size distribution is directly related to the makeup and activi...The formation and turnover of macroaggregates are critical processes influencing the dynamics and stabilization of soil organic carbon(SOC).Soil aggregate size distribution is directly related to the makeup and activity of microbial communities.We incubated soils managed for>30 years as restored grassland(GL),farmland(FL)and bare fallow(BF)for 60 days using both intact and reduced aggregate size distributions(intact aggregate distribution(IAD)<6 mm;reduced aggregate distribution(RAD)<1 mm),in treatments with added glucose,alanine or inorganic N,to reveal activity and microbial community structure as a function of aggregate size and makeup.Over a 60-day incubation period,the highest phospholipid fatty acid(PLFA)abundance was on day 7 for bacteria and fungi,on day 15 for actinomycete.The majority of the variation in enzymatic activities was likely related to PLFA abundance.GL had higher microbial abundance and enzyme activity.Mechanically reducing macroaggregates(>0.25 mm)by 34.7%in GL soil with no substrate additions increased the abundance of PLFAs(average increase of 15.7%)and activities of β-glucosidase(increase of 17.4%)and N-acetyl-β-glucosaminidase(increase of 7.6%).The addition of C substrates increased PLFA abundance in FL and BF by averages of 18.8 and 33.4%,respectively,but not in GL soil.The results show that the effect of habitat destruction on microorganisms depends on the soil aggregates,due to a release of bioavailable C,and the addition of substrates for soils with limited nutrient availability.The protection of SOC is promoted by larger size soil aggregate structures that are important to different aggregate size classes in affecting soil C stabilization and microbial community structure and activity.展开更多
The use of inorganic nitrogen(N)fertilizers has increased drastically to meet the food requirements of the world’s growing population.However,the excessive use of chemical nitrogen fertilizer has caused a series of s...The use of inorganic nitrogen(N)fertilizers has increased drastically to meet the food requirements of the world’s growing population.However,the excessive use of chemical nitrogen fertilizer has caused a series of soil and environmental problems,such as soil hardening,lower nitrogen use efficiency(NUE),nitrate pollution of water sources,nitrous oxide emissions,etc.In this review,we aimed to elaborate and discuss the role of engineered biochar in inducing the stability of water-stable macroaggregates,improving inorganic N transformation,and utilization efficiency to address the current uncertainties of nitrogen loss and maintaining soil and water quality.Firstly,we elucidated the characteristics of engineered biochar in improving biochar quality to work as a multifunctional player in the ecosystem and promote resource utilization,soil conservation,and ecosystem preservation.Secondly,we discussed how the engineered biochar modulates the stability of water-stable macroaggregates and soil inorganic nitrogen transformation to enhance plant response under various toxic or deficient nitrogen conditions in the soil.Thirdly,the role of engineered biochar in biological nitrogen fixation,mediating nirK,nirS,and nosZ genes to promote the conversion of N_(2)O to N_(2),and decreasing denitrification and N_(2)O emission was reviewed.Altogether,we suggest that engineered biochar amendment to soil can regulate soil water-stable macroaggregates,reduce N input,improve nitrogen metabolism,and finally,NUE and crop growth.To the best of our knowledge,this is the first time to evaluate the combined interactions of"engineered biochar×soil×NUE×crop growth,"providing advantages over the increasing N and water utilization and crop productivity separately with the aim of enhancing the stability of water-stable macroaggregates and NUE together on a sustainable basis.展开更多
Hepatopulmonary syndrome (HPS) is characterized by abnormalities in blood oxygenation caused by the presence of intrapulmonary vascular dilations (IPVD) in the context of liver disease, generally at a cirrhotic stage....Hepatopulmonary syndrome (HPS) is characterized by abnormalities in blood oxygenation caused by the presence of intrapulmonary vascular dilations (IPVD) in the context of liver disease, generally at a cirrhotic stage. Knowledge about the subject is still only partial. The majority of the information about the etiopathogenesis of HPS has been obtained through experiments on animals. Reported prevalence in patients who are candidates for a liver transplantation (LT) varies between 4% and 32%, with a predominance of mild or moderate cases. Although it is generally asymptomatic it does have an impact on their quality of life and survival. The diagnosis requires taking an arterial blood gas sample of a seated patient with alveolar-arterial oxygen gradient (AaO<sub>2</sub>) ≥ 15 mm Hg, or ≥ 20 mm Hg in those over 64 years of age. The IPVD are identified through a transthoracic contrast echocardiography or a macroaggregated albumin lung perfusion scan (<sup>99m</sup>Tc-MAA). There is currently no effective medical treatment. LT has been shown to reverse the syndrome and improve survival rates, even in severe cases. Therefore the policy of prioritizing LT would appear to increase survival rates. This paper takes a critical and clinical look at the current understanding of HPS, as well as the controversies surrounding it and possible future research.展开更多
基金Supported by National Key R and D Program of China,No.2017YFC0107800CAMS Initiative for Innovative Medicine,No.2016-12M-2-004
文摘BACKGROUND Hepatopulmonary syndrome (HPS) is an arterial oxygenation defect induced by intrapulmonary vascular dilatation (IPVD) in the setting of liver disease and/or portal hypertension.This syndrome occurs most often in cirrhotic patients(4%-32%) and has been shown to be detrimental to functional status,quality of life,and survival.The diagnosis of HPS in the setting of liver disease and/or portal hypertension requires the demonstration of IPVD (i.e.,diffuse or localized abnormally dilated pulmonary capillaries and pulmonary and pleural arteriovenous communications) and arterial oxygenation defects,preferably by contrast-enhanced echocardiography and measurement of the alveolar-arterial oxygen gradient,respectively.AIM To compare brain and whole-body uptake of technetium for diagnosing HPS.METHODS Sixty-nine patients with chronic liver disease and/or portal hypertension were prospectively included.Brain uptake and whole-body uptake were calculated using the geometric mean of technetium counts in the brain and lungs and in the entire body and lungs,respectively.RESULTS Thirty-two (46%) patients had IPVD as detected by contrast-enhancedechocardiography.The demographics and clinical characteristics of the patients with and without IPVD were not significantly different with the exception of the creatinine level (0.71±0.18 mg/dL vs 0.83±0.23 mg/dL;P=0.041),alveolararterial oxygen gradient (23.2±13.3 mmHg vs 16.4±14.1 mmHg;P=0.043),and arterial partial pressure of oxygen (81.0±12.1 mmHg vs 90.1±12.8 mmHg;P=0.004).Whole-body uptake was significantly higher in patients with IPVD than in patients without IPVD (48.0%±6.1%vs 40.1%±8.1%;P=0.001).The area under the curve of whole-body uptake for detecting IPVD was significantly higher than that of brain uptake (0.75 vs 0.54;P=0.025).The optimal cut-off values of brain uptake and whole-body uptake for detecting IPVD were 5.7%and 42.5%,respectively,based on Youden’s index.The sensitivity,specificity,and accuracy of brain uptake> 5.7%and whole-body uptake> 42.5%for detecting IPVD were23%,89%,and 59%and 100%,52%,and 74%,respectively.CONCLUSION Whole-body uptake is superior to brain uptake for diagnosing HPS.
基金the National Natural Science Foundation of China(41807102 and U1710255-3)the Shanxi Province Key Laboratory Open Fund of Soil Environment and Nutrient Resources,China(2019003)+1 种基金the Science and Technology Innovation Fund of Shanxi Agricultural University,China(2019004)the Incentive Funding Research Project for Excellent Doctors Settle Down to Work in Shanxi Province,China(SXYBKY201805)。
文摘Soil organic carbon(SOC)plays a key role in improving soil quality and optimizing crop yield.Yet little is known about the fate of macroaggregates(>0.25 mm)under long-term fertilization and their relative importance in SOC sequestration in reclaimed calcareous soil.Therefore,the effects of mineral fertilizers and organic manure on the mechanisms of organic carbon(OC)stabilization in macroaggregates were investigated in this study.Four treatments were used:unfertilized control(CK),mineral fertilizer(NPK),compost chicken manure alone(M),and mineral fertilizers plus manure(MNPK).Samples from the 0–20 cm layer of soil receiving 11-year-long fertilization were separated into four fractions based on the macroaggregates present(unprotected coarse and fine particulate organic matter,cPOM and fPOM;physically protected intra-microaggregate POM,i POM;and biochemically protected mineral associated OM,MOM)by the physical fractionation method.Compared with the control,the long-term application of NPK had little effect on SOC content,total nitrogen(TN)content,and OC and TN contents of macroaggregate fractions.In contrast,incorporation of organic manure(MNPK)significantly increased SOC(45.7%)and TN(24.3%)contents.Application of MNPK increased OC contents within macroaggregate-extracted fractions of cPOM(292.2%),fPOM(136.0%)and iPOM(124.0%),and TN contents within cPOM(607.1%),fPOM(242.5%)and iPOM(127.6%),but not the mineral associated organic carbon(MOM-C)and nitrogen(MOM-N)contents.Unprotected C fractions were more strongly and positively correlated with SOC increase than protected C fractions,especially for cPOM-C,indicating that SOC sequestration mainly occurred via cPOM-C in the studied calcareous soil.In conclusion,MNPK increased the quantity and stability of SOC by increasing the contents of cPOM-C and cPOM-N,suggesting that this management practice(MNPK)is an effective strategy to develop sustainable agriculture.
基金funded by the National Key Research and Development Program of China (2016YFD0300806-1, 2016YFD0200309-6 and 2017YFD0300605-3)the National Natural Science Foundation of China (41771327 and 41571219)the Young Scientists’ Group of North Institute of Geography and Agroecology, Chinese Academy of Sciences (DLSXZ1605)
文摘The formation and turnover of macroaggregates are critical processes influencing the dynamics and stabilization of soil organic carbon(SOC).Soil aggregate size distribution is directly related to the makeup and activity of microbial communities.We incubated soils managed for>30 years as restored grassland(GL),farmland(FL)and bare fallow(BF)for 60 days using both intact and reduced aggregate size distributions(intact aggregate distribution(IAD)<6 mm;reduced aggregate distribution(RAD)<1 mm),in treatments with added glucose,alanine or inorganic N,to reveal activity and microbial community structure as a function of aggregate size and makeup.Over a 60-day incubation period,the highest phospholipid fatty acid(PLFA)abundance was on day 7 for bacteria and fungi,on day 15 for actinomycete.The majority of the variation in enzymatic activities was likely related to PLFA abundance.GL had higher microbial abundance and enzyme activity.Mechanically reducing macroaggregates(>0.25 mm)by 34.7%in GL soil with no substrate additions increased the abundance of PLFAs(average increase of 15.7%)and activities of β-glucosidase(increase of 17.4%)and N-acetyl-β-glucosaminidase(increase of 7.6%).The addition of C substrates increased PLFA abundance in FL and BF by averages of 18.8 and 33.4%,respectively,but not in GL soil.The results show that the effect of habitat destruction on microorganisms depends on the soil aggregates,due to a release of bioavailable C,and the addition of substrates for soils with limited nutrient availability.The protection of SOC is promoted by larger size soil aggregate structures that are important to different aggregate size classes in affecting soil C stabilization and microbial community structure and activity.
基金The Science and Technology Planning Project of Guangzhou(No.202206010064)Natural Science Foundation of Guangdong Province,China(2021A1515010566)The National Key Research and Development Program of China(2016YFD0200405-5)for financially supporting this work.
文摘The use of inorganic nitrogen(N)fertilizers has increased drastically to meet the food requirements of the world’s growing population.However,the excessive use of chemical nitrogen fertilizer has caused a series of soil and environmental problems,such as soil hardening,lower nitrogen use efficiency(NUE),nitrate pollution of water sources,nitrous oxide emissions,etc.In this review,we aimed to elaborate and discuss the role of engineered biochar in inducing the stability of water-stable macroaggregates,improving inorganic N transformation,and utilization efficiency to address the current uncertainties of nitrogen loss and maintaining soil and water quality.Firstly,we elucidated the characteristics of engineered biochar in improving biochar quality to work as a multifunctional player in the ecosystem and promote resource utilization,soil conservation,and ecosystem preservation.Secondly,we discussed how the engineered biochar modulates the stability of water-stable macroaggregates and soil inorganic nitrogen transformation to enhance plant response under various toxic or deficient nitrogen conditions in the soil.Thirdly,the role of engineered biochar in biological nitrogen fixation,mediating nirK,nirS,and nosZ genes to promote the conversion of N_(2)O to N_(2),and decreasing denitrification and N_(2)O emission was reviewed.Altogether,we suggest that engineered biochar amendment to soil can regulate soil water-stable macroaggregates,reduce N input,improve nitrogen metabolism,and finally,NUE and crop growth.To the best of our knowledge,this is the first time to evaluate the combined interactions of"engineered biochar×soil×NUE×crop growth,"providing advantages over the increasing N and water utilization and crop productivity separately with the aim of enhancing the stability of water-stable macroaggregates and NUE together on a sustainable basis.
文摘Hepatopulmonary syndrome (HPS) is characterized by abnormalities in blood oxygenation caused by the presence of intrapulmonary vascular dilations (IPVD) in the context of liver disease, generally at a cirrhotic stage. Knowledge about the subject is still only partial. The majority of the information about the etiopathogenesis of HPS has been obtained through experiments on animals. Reported prevalence in patients who are candidates for a liver transplantation (LT) varies between 4% and 32%, with a predominance of mild or moderate cases. Although it is generally asymptomatic it does have an impact on their quality of life and survival. The diagnosis requires taking an arterial blood gas sample of a seated patient with alveolar-arterial oxygen gradient (AaO<sub>2</sub>) ≥ 15 mm Hg, or ≥ 20 mm Hg in those over 64 years of age. The IPVD are identified through a transthoracic contrast echocardiography or a macroaggregated albumin lung perfusion scan (<sup>99m</sup>Tc-MAA). There is currently no effective medical treatment. LT has been shown to reverse the syndrome and improve survival rates, even in severe cases. Therefore the policy of prioritizing LT would appear to increase survival rates. This paper takes a critical and clinical look at the current understanding of HPS, as well as the controversies surrounding it and possible future research.
