High central venous oxygen saturation is associated with mitochondrial dysfunction in septic shock: A prospective observational study

To test the hypothesis that an impaired mitochondrial function is associated with altered central venous oxygen saturation (ScvO₂), venous-to-arterial carbon dioxide tension difference (delta PCO₂) or serum lactate in sepsis patients. This prospective cohort study was conducted in a single tertiary emergency department between April 2017 and March 2019. Patients with suspected sepsis were included in the study. Serum lactate was obtained in sepsis, ScvO₂ and delta PCO₂ were evaluated in septic shock patients. Mitochondrial function was determined from the peripheral blood mononuclear cells. Forty-six patients with suspected sepsis were included. Of these, twenty patients were septic shock. Mitochondrial oxidative stress levels were increased in the high ScvO₂ group (ScvO₂ > 80%, n = 6), compared with the normal (70%-80%, n = 9) and low ScvO₂ (<70%, n = 5) groups. A strong linear relationship was observed between the mitochondrial oxidative stress and ScvO₂ (r = .75; P = .01). However, mitochondrial respiration was increased in the low ScvO₂ group. In addition, mitochondrial complex II protein levels were significantly decreased in the high ScvO₂ group (P < .05). Additionally, there was no correlation between serum lactate, delta PCO₂, and mitochondria oxidative stress or mitochondria function. ScvO₂ can be potentially useful for developing new therapeutics to reduce mitochondrial dysfunction in septic shock patient.     

Wood Plastic Composites Prepared from Biodegradable Poly(butylene succinate) and Burma Padauk Sawdust (Pterocarpus macrocarpus): Water Absorption Kinetics and Sunlight Exposure Investigations

Wood plastic biocomposites of biodegradable poly(butylene succinate) (PBS) and Padauk sawdust was successfully prepared by using a twin screw extruder and an injection molding machine.The effects of water absorption and sunlight exposure on some properties of the composites were investigated.Water absorption of PBS composites was found to follow the Fick's law of diffusion,while the diffusion coefficient increased with increasing wood content.Maximum water absorption of around 4.5％ was observed at 30 wt.％ sawdust.Optical micrograph indicated the swelling of wood particles by around 1％-3％ after 30 days of water immersion.The tensile and flexural strengths reduced slightly both under the water immersion and sunlight exposure.After 90 days of exposure,the composites clearly looked paler than the non-weathered ones.Thermal scan indicated the reduction of crystalline region due to the plasticization effect derived from water molecules.