ABSTRACT
BACKGROUND: Anal fistulas are mainly treated via surgery. They can be difficult to treat without surgical intervention. Numerous procedures, such as fistulectomy and fistulotomy, are performed to treat anal fistulas and achieve good effects. However, the wounds created through fistulectomy and fistulotomy take a long time to heal. Therefore, a multicentre randomised controlled trial (RCT) is proposed to study the efficacy of one-stage shaped skin grafting at the surgical wound to heal low simple intersphincter anal fistulas. METHODS: This study is a multicentre, hospital-based RCT. It will be performed at three hospitals. A total of 104 patients with low simple intersphincter anal fistulas who meet the inclusion criteria will be included in this trial and will be allocated randomly to two groups (test and control groups). The patients in the test group will receive one-stage anal fistulotomy surgery combined with shaped skin grafting, and those in the control group will undergo anal fistulotomy only. All the operations will be performed by attending colorectal surgeons or surgeons of a higher level. Effectiveness and safety indicators will be observed, recorded and analysed. DISCUSSION: Anal fistulotomy can heal low simple intersphincter anal fistulas effectively and safely with a low recurrence rate. Skin grafts promote wound epithelisation significantly. We believe that skin grafting can treat low simple intersphincter fistulas with a short healing time. TRIAL REGISTRATION: Chinese Clinical Trial Register, ChiCTR2000039174. Registered on 28 October 2020.
Subject(s)
Rectal Fistula , Skin Transplantation , Humans , Asian People , Control Groups , Digestive System Surgical Procedures , Multicenter Studies as Topic , Randomized Controlled Trials as Topic , Skin Transplantation/methods , Wound Healing , Rectal Fistula/surgery , Anal Canal/surgery , Time FactorsABSTRACT
New luminescent Pb(ii)-coordination polymers (Pb(ii)-CPs), [Pb(2-anc)2]n (1) and [Pb(3-qlc)2(H2O)2]n (2) (2-anc = 2-aminonicotinate, 3-qlc = 3-quinolinecarboxylate), were synthesized by a solvothermal reaction and characterized using microanalysis, IR spectrometry and thermogravimetric analysis. Single crystal structure analysis revealed that the Pb2+ ion displays a hemi-directed coordination geometry in 1 and a holo-directed coordination geometry in 2. The difference between the coordination spheres of 1 and 2 is related to the steric hindrance effect of the ligands. A two-dimensional (2D) corrugated layer structure is formed in 1, and the neighboring layers are further extended into a three-dimensional (3D) van der Waals crystal by ππ interactions between the pyridyl rings in the neighboring layers. In contrast, a one-dimensional (1D) coordination polymeric chain is formed in 2, and the adjacent chains are connected in a 2D network by hydrogen bonds. The photophysical properties of 1 and 2 were studied at ambient conditions, disclosing that 1 emits phosphorescence at 548 nm with a millisecond-scale emission lifetime and an absolute quantum yield of 2.2%; 2 emits only blue fluorescence with an absolute quantum yield of 3.5% and nanosecond-scale emission lifetime. The reasons for the difference in the photophysical nature of 1 and 2 are discussed in regards to the electron band structure and density of states analysis.
ABSTRACT
A new 1D phosphorescence coordination polymer (CP) [Pb2O(C6H4NO2)2]n (1; C6H4NO2 = nicotinate) was synthesized by a solvothermal reaction and PbO was used as a Pb(ii) source instead of traditional Pb(ii) salts. This remarkably thermal-stable CP crystallizes in the space group I41/a. In the crystal structure of 1, two different Pb(ii) ions show a five-coordinated and hemidirected coordination geometry, two nonequivalent nicotinate ligands link to Pb(ii) ions in µ2-η1:η1 and µ4-η2:η2 modes, and the hemidirected coordination polyhedra of Pb(ii) form a helical lead-oxide chain via an edge-sharing fashion along the c-axis. Under ambient conditions, 1 emits cyan ligand-based phosphorescence with an absolute quantum yield as high as 59.4% and a lifetime of 9.86 ms under UV-light irradiation. Under the same conditions, nicotinic acid emits simultaneously fluorescence and phosphorescence with a total absolute quantum yield of 4.8%. The great enhancement of phosphorescence quantum yield in 1, regarding nicotinic acid, is assigned to the heavy atom effect of Pb(ii) and negligible ππ interaction between pyridyl rings. Noticeably, the vibronic fine structure is observed in the emission spectrum of 1 at room temperature. Additionally, 1 shows thermochromic behavior, and such functionality probably has realistic application in the field of temperature detection.
ABSTRACT
Three porous lanthanide-organic frameworks, [Ln(4)(OH)(4)(3-SBA)(4)(H(2)O)(4)].nH(2)O [Ln = Eu(III) (1), n = 10; Gd(III) (2), n = 10; Tb(III) (3), n = 8; 3-SBA = 3-sulfobenzoate], have been prepared by a hydrothermal synthesis method. They are isomorphous and crystallize in a tetragonal system with space group P 42(1)c. The structure can be considered to be built up by cubanelike [Ln(4)(OH)(4)](8+) secondary building units, which are further connected by 3-SBA to form a 3D coordination framework with 1D pores along the c direction for accommodation of novel T8(3) water tapes or zigzag water chains. Furthermore, in these compounds, the [Ln(4)(OH)(4)](8+) units and 3-SBA ligands serve as 12-connected and 3-connected nodes, respectively, resulting in a unique (3,12)-connected framework with the Schlafli symbol of (4(3))(4)(4(20).6(28).8(18)). The luminescent properties of the Eu(III) (1) and Tb(III) (3) complexes have been studied, showing characteristic emissions at room temperature. Variable-temperature magnetic susceptibility studies indicate that the Gd(III) complex 2 displays weak antiferromagnetic coupling through mu(3)-OH(-) pathways.
