ABSTRACT Introduction: The objective of this single-center study it to retrospectively analyze the relationship between transfusion and 30-day postoperative outcomes in patients undergoing isolated off-pump coronary artery bypass grafting. Methods: Perioperative data of 2,178 patients who underwent isolated off-pump coronary artery bypass grafting from 2018 to 2019 were collected. A 1:1 propensity score matching was performed to control for potential biases between patients who received blood transfusion and those who did not. After propensity score matching, we analyzed the clinical outcomes of transfusion and non-transfusion patients. Postoperative complications and the survival of patients within 30 days after surgery in both groups were analyzed. Kaplan-Meier survival curve and log-rank test were used for survival analysis. Results: The total blood transfusion rate of all patients was 29%, including red blood cell (27.6%), plasma (7.3%), and platelet (1.9%). Four hundred and forty patients in each group were compared after propensity score matching. There were no significant differences in the incidence of stroke, myocardial infarction, atrial fibrillation, acute kidney function injury, and sternal wound infection of both groups (P>0.05). However, higher incidence of postoperative pulmonary infection and more mechanical ventilation time and days of stay in the intensive care unit and postoperative in-hospital stay were associated with blood transfusion (P<0.05). The 30-day cumulative survival rate of the transfusion group was lower than that of the control group (P<0.05). Conclusion: Perioperative blood transfusion increases the risks of postoperative pulmonary infection and short-term mortality in off-pump coronary artery bypass grafting patients.

RESUMEN En este estudio se establece el modelo de predicción de la productividad zonal en los pozos horizontales fracturados en reservorios compactos con base en un modelo físico de pozos horizontales fracturados para estudiar el regimen de filtración en reservorios compactos no convencionales. Los autores utilizaron la transformación conforme y el método de reiteración para resolver el problema. Se estudió la optimización de los parámetros de producción en pozos horizontales fracturados en comparación con los métodos de Fan Zifei y de Ning Zhengfu. Además, se analizaron los efectos de la presión inicial de la inclinación y el complejo de fracturas en la productividad de los pozos horizontales con el índice de fracturamiento. El análisis de regresión multivariante se utilizó para clasificar la importancia de los factores influenciadores. Los resultados muestran que la presión inicial de la inclinación tiene el mayor impacto en la capacidad. El ejemplo de aplicación de pozos horizontales fracturados en el reservorio compacto de Lucaogou muestra que el modelo de productividad zonal que se estableció en este estudio puede usarse para predecir la productividad inicial en estos pozos. De este modo, a través del análisis teórico y la simulación numérica, el modelo de predicción de productividad de pozos horizontales fracturados tiene una significancia para el desarrollo efectivo de reservorios compactos.

ABSTRACT The zonal productivity prediction model of volume fractured horizontal wells in tight reservoirs is established in this study based on the physical model of volume fractured horizontal wells to study the near-well seepage law of volume fractured horizontal wells in unconventional tight reservoirs. The conformal transformation and iteration method are used to solve the problem. Compared with Fan Zifei's and Ning Zhengfu's method, the optimization of fractured horizontal wells' production parameters is studied. The effects of starting pressure gradient and fracture cluster number on horizontal wells' productivity with volume fracturing are analyzed. Multivariate regression analysis is used to rank the importance of influencing factors. The results show that the starting pressure gradient has the most significant impact on capacity. The application example of volume fractured horizontal wells in Lucaogou tight reservoir shows that the zonal productivity model established in this study can be used to predict the initial productivity of volume fractured horizontal wells. Thus, through theoretical analysis and numerical simulation, the productivity prediction model of horizontal wells with volume fracturing has certain guiding significance for the effective development of tight reservoirs.

Abstract Background The muskrat is a seasonal breeder. Males secrete musk to attract females during the breeding season. The testosterone binding to the androgen receptor (AR) in musk glands of muskrat may play an important role conducting the musk secretion process. Methods The musk gland, testis and blood samples of musk rats are collected in both breeding and non-breeding seasons. Some part of the samples are kept in liquid nitrogen for transcriptome analysis and Western blotting test. Some part of the samples are kept in 70% alcohol for histology experiment, blood samples are kept at −20 °C for the serum testosterone measurement experiment. Results This study demonstrates that the quantity of secreted musk, the volume of the musk glands, the diameter of the gland cells and AR expression are all higher during the breeding season than at other times (p < 0.01). StAR, P450scc and 3β-HSD expression in the Leydig cells of the testis were also higher during this season, as was serum testosterone. AR was also observed in the gland cells of two other musk-secreting animals, the musk deer and small Indian civet, in their musk glands. These results suggest that the testes and musk glands co-develop seasonally. Conclusion The musk glands’ seasonal development and musk secretion are regulated by the testes, and testosterone plays an important role in the seasonal development of musk glands.