In Situ Assembly of a Superaerophobic CoMn/CuNiP Heterostructure as a Trifunctional Electrocatalyst for Ampere-Level Current Density Urea-Assisted Hydrogen Production.

Urea electrolysis is a promising energy-efficient hydrogen production process with environmental benefits, but the lack of efficient and sustainable ampere-level current density electrocatalysts fabricated through simple methods is a major challenge for commercialization. Herein, we present an efficient and stable heterostructure electrocatalyst for full urea and water electrolysis in a convenient and time-efficient preparation manner. Overall, superhydrophilic/superaerophobic CoMn/CuNiP/NF exhibits exceptional performance for the hydrogen evolution reaction (HER) (-33.8, -184.4, and -234.8 mV at -10, -500, and -1000 mA cm-2, respectively), urea electro-oxidation reaction (UOR) [1.28, 1.43, and 1.51 V (vs RHE) at 10, 500, and 1000 mA cm-2, respectively], and oxygen evolution reaction (OER) [1.45, 1.67, and 1.74 V (vs RHE) at 10, 500, and 1000 mA cm-2, respectively]. Moreover, the superaerophobic CoMn/CuNiP/NF demonstrates promising potential in full urea (1.33, 1.57, and 1.60 V at 10, 500, and 1000 mA cm-2, respectively) and water (1.46 V, 1.78, and 1.86 at 10, 500, and 1000 mA cm-2, respectively) electrolysis. Based on X-ray photoelectron spectroscopy results, it was determined that the surface of the CoMn/CuNiP electrode was rich in redox pairs such as Ni2+/Ni3+, Cu+/Cu2+, Co2+/Co3+, and Mn2+/Mn3+, which are crucial for the formation of active sites for the OER and UOR, such as NiOOH, MnOOH, and CoOOH, thereby enhancing the catalytic activity. Besides, the in situ assembled CoMn/CuNiP/NF displayed highly stable performance for HER, OER, and UOR with high Faradaic efficiency for over 500 h. This research offers a simple and efficient method for manufacturing a high-efficiency and stable trifunctional electrocatalyst capable of delivering ampere-level current density in urea-assisted hydrogen production. Our density functional theory calculations reveal the potential of CoMn/CuNiP as an effective catalyst, enhancing the electronic properties and catalytic performance. The near-zero Gibbs free-energy change for HER underscores its promise, while reduced CO2 desorption energies and charge redistribution support efficient UOR. These findings signify CoMn/CuNiP's potential for electrochemical applications.

Prevalence of Masked versus Unmasked Blepharoptosis in Subjects Seeking for Blepharoplasty and or Eyebrow Lift.

PURPOSE: To report the prevalence of unmasked versus masked in subjects seeking for eyelid and eyebrow rejuvenation. METHODS: This retrospective study included subjects (>18 years) who were seeking for blepharoplasty and/or eyebrow lift procedures in the year 2020. They were either having No ptosis, Unmasked or Exposed ptosis (complaining of simultaneous droopy eyelid, which was confirmed on examination), or Masked or Hidden ptosis (not complaining of simultaneous droopy eyelid, but its presence was revealed on the examination). Margin reflex distance 1 (MRD1) and levator function (LF) were recorded. Associated ptosis was defined as MRD1 of ≤3 mm and regarded as mild (3 and 2.5 mm), moderate (2 and 1.5 mm), and severe (≤1 mm). RESULTS: Included were 1401 subjects with a mean age of 47.2 years. The prevalence of masked and unmasked ptosis was 31% (90% unilateral) and 15.6% (59% bilateral), respectively. A significantly younger mean age (45.6 vs. 59.7 years), higher MRD1 (2.6 vs. 1.9 mm), and better LF (13.3 vs. 11.3 mm) were observed in the masked vs. unmasked ptosis group. More than 80% of the subjects with masked ptosis presented with indirect signs. A majority of both groups (68.8% of masked and 63.5% of unmasked ptosis) were mild to moderate. CONCLUSION: Almost half of the subjects seeking for eyelid and eyebrow rejuvenation had either masked (2/3) or unmasked (1/3) associated ptosis. Masked ptosis was mostly unilateral and presenting with indirect signs of ptosis.

Mn-incorporated nickel selenide: an ultra-active bifunctional electrocatalyst for hydrogen evolution and urea oxidation reactions.

We report Ni-Mn-Se supported on Ni foam as a highly active and stable bifunctional electrocatalyst that exhibits overpotentials of 28 and 122 mV to reach a current density of 10 mA cm-2 for the hydrogen evolution reaction (HER) and urea oxidation reaction (UOR), respectively, and maintains its stability for over 50 h in both reactions. In addition, an overall urea splitting cell voltage of 1.352 V is needed at the current density of 10 mA cm-2 for the optimized electrode.

Endoscopic-Assisted Lateral Orbitotomy for Large Orbital Roof Dermoid Cysts With Dural Invasion.

PURPOSE: To demonstrate the technique and report the results of endoscopic-assisted lateral orbitotomy for 6 patients with huge intraorbital dermoid cyst causing orbital roof bone erosion and dural invasion. METHODS: Patients had unilateral cystic tumor with proptosis and hypoglobus for more than 6 months. There was no compressive optic neuropathy. Lateral orbitotomy procedure was performed from 2004 to 2016 by 1 surgeon. Cysts were dissected, and fluid content was aspirated to reduce the size. Solid contents were then suctioned, its cavity was repeatedly irrigated, and orbital part of epithelial lining was removed. The remained epithelial lining and keratinized content at the orbital roof (abutting the dura) were removed using the rigid endoscope lenses (4 mm, 0° and 30°) and curettage. Orbital tissue was pulled away from the roof (inferior) by an assistant surgeon to make a space for introducing the lens and curette. The surgical field was frequently irrigated. No orbital drain was used, and all the patients were discharged on the same day after 8-10 hours of observation. Skin sutures were removed 1 week later. RESULTS: They were 4 men and 2 women with age range of 19-48 years. A large superolateral orbital tumor with roof erosion and dural invasion was observed on imaging. Procedures were performed uneventfully. Dermoid was the pathological diagnosis. While one patient lost to follow up after 1 week, others had 6-18 months follow-up time with no recurrence. CONCLUSIONS: Endoscopic-assisted lateral orbitotomy approach provided a good field of view, illumination, and magnification to totally remove all the content and epithelial lining of very large orbital roof dermoid cysts with dural invasion.

Pressure ulcer following circumferential head dressing.

PURPOSE: To report four patients with forehead pressure ulcer (PU) following encircling head dressing and review the literature. METHODS: Uneventful endoscopic forehead lift procedure was performed with moderate skin elevation in three patients. Left upper eyelid crease incision was made to remove the sub-brow dermoid cyst uneventfully in one patient. All procedures were performed under general anesthesia. Mixed topical antibiotic and steroid ointments were placed on the incision sites before putting the encircling forehead dressing (using gauze and elastic bandage). The dressing was then removed on the first postoperative examination. RESULTS: Forehead and eyebrow PUs were observed on the first follow-up visit (16-72 h) after removing the dressing. Patients were otherwise healthy. They did not have significant pain or burning postoperatively. Management included pressure release, wound debridement, daily dressing, topical antibiotic and steroid, and silicone-based anti-scar cream. None had infected ulcer and all except one ended up with atrophic scar in the last follow-up (2-14 months). External pressure and shearing forces were assumed to be the main causative factors, even though reperfusion injury could contribute in the development of PU. CONCLUSION: Encircling head dressing can cause PU and result in scar formation in healthy immunocompetent patients. If there is a low risk of postoperative hematoma, encircling dressing should be avoided. Early loosening of the dressing and frequent examination of the skin are the best preventive and diagnostic measures. Treatment includes pressure removal, daily debridement, and topical medications.