Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study.

Background Single-incision laparoscopic appendectomy (SILA) has recently emerged as a promising alternative for the management of acute appendicitis. This study aimed to compare the surgical outcomes of the SILA with those of three laparoscopic appendectomies (TLA) procedures using the existing equipment, the 10-mm laparoscope, and the surgical-glove port method. Methodology Between February 2021 and February 2022, this single-center retrospective study examined 68 patients who underwent laparoscopic appendectomy by a single surgeon. The study excluded patients with severe appendicitis, grade IV-V, following the American Association for the Surgery of Trauma classification. Clinical outcomes were analyzed, including operation time, hospital stay, postoperative pain, and postoperative morbidity. Results There were no statistically significant differences between SILA and TLA patients, respectively, in operation time (37.5 minutes vs. 35 minutes, p = 0.261) and the median duration of hospitalization (three days vs. three days, p = 0.929). There was no difference in the mean visual analog scale score between the two groups on the first day (p = 0.852), second day (p = 0.540), and the day of discharge from the hospital (p = 0.686), as well as return to diet (two days vs. two days, p = 0.053). Two (10%) cases of short-term complications in the SILA group and one (2.1%) case in the TLA group were noted. Conclusions SILA performed through a handmade surgical-glove port is a safe and viable therapy option for mild-to-moderate appendicitis. When the hospital lacks a specialized laparoscopic single-incision surgical system, this technique should be used on patients.

Degradation of dyes by UV/Persulfate and comparison with other UV-based advanced oxidation processes: Kinetics and role of radicals.

This study investigated the degradation of methylene blue (MeB), methyl orange (MeO), and rhodamin B (RhB) by the UV/Persulfate (UV/PS) process. The dye degradation in the investigated UV-based Advanced Oxidation Processes (UV/AOPs) followed the first-order kinetic model. The second-order rate constant of the dyes with •OH, SO4•-, and CO3•- were calculated and found to be: k•OH,MeB = 5.6 × 109 M-1 s-1, [Formula: see text]  = 3.3 × 109 M-1 s-1, [Formula: see text]  = 6.9 × 107 M-1 s-1; k•OH,MeO = 3.2 × 109 M-1 s-1, [Formula: see text]  = 13 × 109 M-1 s-1, [Formula: see text]  = 4.4 × 106 M-1 s-1; k•OH,RhB = 14.8 × 109 M-1 s-1, [Formula: see text]  = 5 × 109 M-1 s-1, [Formula: see text]  = 1 × 107 M-1 s-1. The steady-state concentrations of •OH and SO4•- (including other reactive species) were determined using both chemical probes and modeling methods (Kintecus® V6.8). In the UV/PS, the dye degradation depends on the pH of the solution with the order: kdye (at pH of 7) > kdye (in acidic conditions) > kdye (in alkaline conditions). The presence of water matrices had different impacts on dye degradation: 1) The HCO3- and Cl- promoted the degradation efficiency of one dye, but also inhibited the degradation of other dyes; 2) Humic acid (HA) inhibited dye degradation as it scavenged both •OH and SO4•-. The degradation of the dyes by UV/PS was also compared with the UV/Chlorine (UV/HOCl) and UV/H2O2 and it was established that: 1) In UV/PS and UV/HOCl, SO4•- and RCS contributed to dye degradation more than •OH, while •OH played a major role in dye degradation by UV/H2O2; 2) The calculated toxicity in UV/PS was the lowest probably due to the low toxicity of by-products; 3) For MeO and RhB, the UV/PS process is more beneficial for the total organic carbon (TOC) removal compared to that of the UV/HOCl and UV/H2O2 processes; 4) The UV/PS showed lower cost than the UV/HOCl and UV/H2O2 systems for MeO, and RhB degradation but higher cost for MeB removal.

Novel cryptomelane nanosheets for the superior catalytic combustion of oxygenated volatile organic compounds.

This work offers a novel pathway to prepare cryptomelane manganese oxides nanosheets as an superior catalyst for the catalytic combustion of oxygenated volatile organic compounds. The tunnel cryptomelane manganese oxides nanosheets were prepared from layered birnessite via simultaneously tuning pH and molar ratio (ROK) of the redox-precipitation between oxalic acid and KMnO4. Thus, few-layered cryptomelane nanosheets possessing the most predominantly exposed (211) facet are generated at low pH (5.2-5.6), which intensifies the surface area of thin crystal cryptomelane nanosheets up to 177 m2g-1 and weakens Mn-O bonds. Moreover, high ROK results in low manganese average oxidation state (AOS), greater oxygen vacancies and better low-temperature reduction and oxygen mobility. Such features significantly maneuver the catalytic activity of the cryptomelane nanosheets catalysts for the complete oxidation of oxygenated volatile organic compound (e.g., 2-propanol, acetone) at low temperature (170-230 °C). Moreover, the catalysts show high stability for 48 h. The presented catalyst discloses an avenue to address current obstacles in the catalytic oxidation of volatile organic compounds.

Synthesis of Diatomite-Based Mesoporous Wool-Ball-Like Microspheres and Their Application for Toluene Total Oxidation Reaction.

Diatomite (DE) has attracted considerable attention owing to its abundance, low cost, and potential for a wide variety of applications. This work reports the development of mesoporous wool-ball-like (WBL) microspheres from natural DE through a simple hydrothermal treatment. We discovered that the presence of cetyltrimethylammonium bromide is a prerequisite for generating monodispersed WBL microspheres. The mechanism for the transformation of pristine DE into mesoporous microspheres through dissolution-recrystallization was clearly investigated. Interestingly, the microspheres exhibited a specific surface area 25-60 times larger than that of the pristine DE. The application of WBL microsphere DE as an effective support for metallic catalysts in the toluene total oxidation reaction was demonstrated.

Diagnostic Accuracy of a Novel On-site Virtual Fractional Flow Reserve Parallel Computing System

In vitro and in vivo activity of the nuclear factor-kappaB inhibitor sulfasalazine in human glioblastomas.

Glioblastomas, the most common primary brain cancers, respond poorly to current treatment modalities and carry a dismal prognosis. In this study, we demonstrated that the transcription factor nuclear factor (NF)-kappaB is constitutively activated in glioblastoma surgical samples, primary cultures, and cell lines and promotes their growth and survival. Sulfasalazine, an anti-inflammatory drug that specifically inhibits the activation of NF-kappaB, blocked the cell cycle and induced apoptosis in several glioblastoma cell lines and primary cultures, as did gene therapy with a vector encoding a super-repressor of NF-kappaB. In vivo, sulfasalazine also significantly inhibited the growth of experimental human glioblastomas in nude mice brains. Given the documented safety of sulfasalazine in humans, these results may lead the way to a new class of glioma treatment.