经皮激光汽化术联合杜仲腰痛丸治疗腰椎间盘突出症的效果观察

目的:研究经皮激光汽化术联合杜仲腰痛丸治疗腰椎间盘突出症的临床效果。方法:选择2016年4月~2018年4月我院脊柱骨科收治的106例腰椎间盘突出症患者,随机分为两组。对照组单独采用经皮激光汽化术治疗,观察组联合口服杜仲腰痛丸治疗,每次8粒,每天3次。比较两组的治疗有效率,治疗前后的VAS评分、JOA评分,血清白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平的改变情况。结果:治疗后,观察组的治疗有效率为88.68%(47/53),明显高于对照组[73.58%(39/53)](P0.05)。两组治疗后的VAS评分值均较治疗前明显降低(P0.05),JOA评分值均较对照组明显升高(P0.05),且观察组VAS评分值明显低于对照组,JOA评分值显著高于对照组(P0.05)。两组治疗后的血清IL-1β、TNF-α水平均较治疗前明显降低(P0.05),且观察组血清IL-1β、TNF-α水平明显低于对照组(P0.05)。两组均未发生神经损伤和无椎间盘炎等并发症。结论:经皮激光汽化术联合杜仲腰痛丸治疗腰椎间盘突出症的临床效果明显优于单独采用经皮激光汽化术治疗,其可以显著改善患者的生活质量,降低疼痛程度,其作用机制可能与有降低患者血清炎症介质IL-1β、TNF-α的表达有关。     

Photothermal Catalytic Gel Featuring Spectral and Thermal Management for Parallel Freshwater and Hydrogen Production

Desalination processes often require large amounts of energy to create clean water, and vice versa for the generation of energy. This interdependence creates a tension between the two essential resources. Current research focuses on one or the other, which exacerbates water‐energy stress, while few tackle both issues jointly. Herein, a low‐carbon technology, H₂O–H₂ co‐generation system that enables concurrent steady freshwater and clean energy output is reported. The water‐energy coupled technology features a spectrally and thermally managed solar harvesting gel for photoredox and photoheating effects. This photothermal catalytic gel exploits interfacial solar heating for heat confinement, and localized plasmonic heating at the catalyst active sites to remarkably improve water and hydrogen production, thus maximizing energy value per area. To this end, a stand‐alone renewable solar desalination system is successfully demonstrated for parallel production of freshwater and hydrogen under natural sunlight. By doing so, the water–energy nexus is transformed into a synergistic bond that offers opportunities to better meet expected demand rather than acting in competition.     

New considerations of the Barclay-Butler rule and the behavior of water dissolved in organic solvents

The Barclay–Butler (B-B) rule, which states that a linear relationship exists between the standard ΔH_vap and ΔS_vap for simple, non-associated liquids and their solutions, has been used to distinguish associated (‘abnormal’) liquids from simple (‘normal’) liquids. The exact character of the B-B plots depends on the standard states chosen for the liquid/solution and vapor. We examine the effects of using number density for both vapor and liquid states for pure liquids, non-aqueous solutions, aqueous solutions and solutions in which water is the solute. The utility of B-B plots to detect solute-induced order is strengthened, and we also find remarkable changes in the modified B-B relationship: (1) the points for small, H-bonded liquids, including water, are pulled below the general B-B line; (2) many solutions containing small, simple solutes have negative entropies of vaporization; and (3) solutions of water in several organic solvents, relevant to studies of proteins and micelles, appear ‘abnormal’.     

In vivo spectroscopic photoacoustic imaging and laser-induced nanoparticle vaporization for anti-HER2 breast cancer

This study reports on the development and application of theragnostic agents targeting the HER2 receptors in breast tumors. The agent was constructed by loading silica-coated gold nanorods (GNRs) and a perfluorohexane liquid into PLGA-PEG nanoparticles, followed by surface conjugation with antibody Herceptin. The particle uptake in human breast cancer MDA-MB-231 (HER2-negative) and BT474 (HER2-positive) cell lines was tested. A proof of principle in vivo study was also performed using a xenograft mouse bilateral tumor model (16 mice, 32 tumors). Photoacoustic imaging was performed using a VevoLAZR device at 720/750/850 nm illuminations and 21 MHz central frequency. The relative concentrations of GNRs in the tumor were quantified using a linear spectral unmixing technique. The therapeutic efficacy of these nanoparticles was evaluated through optical droplet vaporization, and cell damage was confirmed using tissue immunofluorescence and histology. Our results demonstrate the potential of PLGA-GNRs as theragnostic agents for anti-HER2 breast cancer therapy.     

Self‐Contained Monolithic Carbon Sponges for Solar‐Driven Interfacial Water Evaporation Distillation and Electricity Generation

Solar vaporization has received tremendous attention for its potential in desalination, sterilization, distillation, etc. However, a few major roadblocks toward practical application are the high cost, process intensive, fragility of solar absorber materials, and low efficiency. Herein an inexpensive cellular carbon sponge that has a broadband light absorption and inbuilt structural features to perform solitary heat localization for in situ photothermic vaporization is reported. The defining advantages of elastic cellular porous sponge are that it self‐confines water to the perpetually hot spots and accommodates cyclical dynamic fluid flow‐volume variable stress for practical usage. By isolating from bulk water, the solar‐to‐vapor conversion efficiency is increased by 2.5‐fold, surpassing that of conventional bulk heating. Notably, complementary solar steam generation‐induced electricity can be harvested during the solar vaporization so as to capitalize on waste heat. Such solar distillation and waste heat‐to‐electricity generation functions may provide potential opportunities for on‐site electricity and fresh water production for remote areas/emergency needs.     

Impact of pasteurization on the self-assembly of human milk lipids during digestion

Human milk is critical for the survival and development of infants. This source of nutrition contains components that protect against infections while stimulating immune maturation. In cases where the mother's own milk is unavailable, pasteurized donor milk is the preferred option. Although pasteurization has been shown to have minimal impact on the lipid and FA composition before digestion, no correlation has been made between the impact of pasteurization on the FFA composition and the self-assembly of lipids during digestion, which could act as delivery mechanisms for poorly water-soluble components. Pooled nonpasteurized and pasteurized human milk from a single donor was used in this study. The evolving FFA composition during digestion was determined using GC coupled to a flame ionization detector. In vitro digestion coupled to small-angle X-ray scattering was utilized to investigate the influence of different calcium levels, fat content, and the presence of bile salts on the extent of digestion and structural behavior of human milk lipids. Almost complete digestion was achieved when bile salts were added to the systems containing high calcium to milk fat ratio, with similar structural behavior of lipids during digestion of both types of human milk being apparent. In contrast, differences in the colloidal structures were formed during digestion in the absence of bile salt because of a greater amount of FFAs being released from the nonpasteurized than pasteurized milks. This difference in FFAs released from both types of human milk could result in varying nutritional implications for infants.     

Shape Conformal and Thermal Insulative Organic Solar Absorber Sponge for Photothermal Water Evaporation and Thermoelectric Power Generation

Solar‐driven interfacial vaporization by localizing solar‐thermal energy conversion to the air–water interface has attracted tremendous attention due to its high conversion efficiency for water purification, desalination, energy generation, etc. However, ineffective integration of hybrid solar thermal devices and poor material compliance undermine extensive solar energy exploitation and practical outdoor use. Herein, a 3D organic bucky sponge that has a combination of desired chemical and physical properties, i.e., broadband light absorbing, heat insulative, and shape‐conforming abilities that render efficient photothermic vaporization and energy generation with improved operational durability is reported. The highly compressible and readily reconfigurable solar absorber sponge not only places less constraints on footprint and shape defined fabrication process but more importantly remarkably improves the solar‐to‐vapor conversion efficiency. Notably, synergetic coupling of solar‐steam and solar‐electricity technologies is realized without trade‐offs, highlighting the practical consideration toward more impactful solar heat exploitation. Such solar distillation and low‐grade heat‐to‐electricity generation functions can provide potential opportunities for fresh water and electricity supply in off‐grid or remote areas.     

加速康复外科理念在经尿道选择性绿激光前列腺汽化术围手术期的应用研究

目的:探讨加速康复外科(ERAS)理念对经尿道选择性绿激光前列腺汽化术(PVP)患者术后康复的安全性和有效性。方法:回顾2018年6月至2019年10月在河南科技大学第一附属医院行经尿道选择性绿激光PVP治疗的61例前列腺增生患者,其中采用加速康复理念进行围手术期管理30例(ERAS组),按照传统围手术期管理31例(对照组)。比较两组手术时间、术后6 h视觉模拟评分(VAS)、术后第1 d血白细胞计数、术后首次排气时间、国际前列腺症状评分(IPSS)、生活质量(QOL)评分、最大尿流率(Qmax)、术后尿管留置时间、住院时间以及出院3个月内并发症发生情况等。结果:两组术后6小时VAS评分、术后排气时间、留置尿管时间、平均住院时间比较差异有统计学意义(P0.05)。两组术后3个月IPSS评分、术后3个月QOL评分、术后3个月Qmax比较差异均无统计学意义(P0.05)。两组术后并发症发生率比较差异无统计学意义(P0.05)。结论:ERAS应用于经尿道选择性绿激光PVP围手术期的管理满足安全性、有效性的要求,有助于缓解术后早期疼痛感,缩短肠道恢复、住院的时间,使患者能够更快地出院和康复。