"Inside Disc Out" Discectomy for the Treatment of Discogenic Lumbar Spinal Canal Stenosis under the Intervertebral Foramen Endoscope.

OBJECTIVE: Conventional posterior-approach decompression surgeries have a higher risk of nerve root injury and dura laceration. We explore the therapeutic strategy and effect of "inside disc out" discectomy under intervertebral foramen endoscope technique for discogenic lumbar spinal canal stenosis (DLSS) treatment. METHODS: Twenty-nine patients with DLSS in the responsible segment were treated with "inside disc out" discectomy under intervertebral foramen endoscope technique between October 2017 to October 2019. Lower limb and back pain were recorded before operation, and visual analogue scale (VAS) score and Oswestry disability index (ODI) were recorded for lower limb and back pain at 1, 3, 6, and 12 months postoperatively. The postoperative effects were evaluated using the modified MacNab method for all the patients. RESULTS: All 29 patients successfully completed the operation. The operation time was 75-120 min, with an average of 90 ± 17 min. Postoperative lumbar CT examinations of all the patients showed full decompression of the spinal cord with no residual pressure. The average follow-up time for all the patients was 13 ± 3.5 months (12-18 months). The VAS score for lower back and lower limb pain was 7.52 ± 1.25 before the operation, and 1.80 ± 0.63, 1.33 ± 0.88, 1.07 ± 0.89, and 0.81 ± 0.51 at 1, 3, 6, and 12 months after the surgery, respectively. The Oswestry dysfunction index was 59.43 ± 10.04 before surgery and 29.67 ± 10.35, 21.13 ± 9.32, 14.52 ± 5.98, and 9.84 ± 4.68 at 1, 3, 6, and 12 months after the surgery, respectively. The VAS score and ODI index of low back and lower limb pain at different time points after the surgery were significantly improved compared to those before the surgery (P < 0.01). The effect of the modified MacNab was excellent in 26 patients, good in two patients, and fair in one patient. The excellent and good rates were 91.4%. Among them, one patient had symptoms of hyperesthesia in the anterior aspect of the thigh and decreased quadriceps muscle strength after lumbar 4/5 segment endoscopic surgery. After symptomatic and conservative treatment, the symptoms disappeared 4 weeks postoperatively, and there were no other serious surgical complications. CONCLUSIONS: Following the "inside disc out" discectomy under intervertebral foramen endoscope protocols, the risk of nerve injury can greatly be reduced, with good postoperative efficacy. Overall, the procedure is safe and feasible for DLSS treatment.

Bi19S27I3 nanorods: a new candidate for photothermal therapy in the first and second biological near-infrared windows.

Near-infrared (NIR) light-induced photothermal cancer therapy using nanomaterials as photothermal agents has attracted considerable research interest over the past few years. As the key factor in photothermal therapy systems, a variety of photothermal agents have been developed. However, the exploration of novel photothermal therapy nanoplatforms with high NIR absorption remains a significant challenge, especially those working in both NIR-I and NIR-II windows. In this work, Bi19S27I3 nanorods with remarkably high absorption covering the whole visible light to the entire NIR-I and NIR-II regions have been successfully prepared through a facile solvothermal approach. The as-synthesized Bi19S27I3 nanorods have a high photothermal conversion efficiency of 42.7% at 808 nm (NIR-I) and 41.5% at 1064 nm (NIR-II), making them a promising candidate for photothermal therapy. In vitro cell viability assay reveals that the Bi19S27I3 sample has good biocompatibility and exhibits significant cell-killing effect under NIR irradiation. In vivo anti-tumor experiments demonstrate that the tumor growth can be effectively inhibited by fatal hyperthermia ablation mediated by Bi19S27I3 nanorods under the irradiation of an 808 nm or 1064 nm laser. Therefore, this study should be primarily beneficial for the development of new materials for NIR photothermal therapy applications.

Wurtzite CuNi2InS4 Nanocrystals: A Quaternary Chalcogenide Magnetic Semiconductor.

For the first time, quaternary chalcogenide CuNi2InS4 nanocrystals with a wurtzite structure have been designed and fabricated as a new magnetic semiconductor. The phase structure analysis suggests that the synthesized wurtzite CuNi2InS4 phase has a disordered structure in which Cu+, Ni2+, and In3+ ions share the same lattice site of the unit cell with a random cation distribution. The prepared CuNi2InS4 nanocrystals have uniform bullet-like morphology, small size distribution, good monodispersity, and high crystallinity. The magnetic properties investigation reveals that the wurtzite CuNi2InS4 nanocrystals can exhibit a weak ferromagnetic moment with the blocking temperature at around 13 K thanks to the disordered wurtzite structure and the high content of magnetic Ni2+ ions. As for the semiconducting properties, the as-obtained wurtzite CuNi2InS4 nanocrystals show a strong and broad visible light absorption and have a direct bandgap of 1.45 eV. Due to their favorable optical properties, the fabricated thin film of CuNi2InS4 nanocrystals exhibits a good photoelectric response to the solar spectrum, which makes the obtained new phase potential candidate for applications in the photovoltaics. This work demonstrates a new metastable I-II2-III-VI4 chalcogenide that can be used to render multiple functionalities and applications.

Terephthalate-based cobalt hydroxide: a new electrode material for supercapacitors with ultrahigh capacitance.

Searching for new electrode materials is one of the key tasks in developing high-performance supercapacitors. In this work, as a layered hydroxyl derivative, terephthalate-based cobalt hydroxide, Co2(OH)2(C8H4O4), is successfully prepared in situ on nickel foam through a simple hydrothermal route. The scanning electron microscopy results reveal that the products are composed of massive double-blade lath crystals grown along the a-axis. The as-obtained Ni-foam-supported Co2(OH)2(C8H4O4) is directly used as the positive electrode of supercapacitors without further treatment. The resulting Co2(OH)2(C8H4O4) electrode exhibits ultrahigh charge storage capacity with the specific capacity of 9.36 C cm-2 (1261 C g-1) at a current density of 10 mA cm-2 (0.5 A g-1) and good cycling stability with the capacity retention of 82.4% over 5000 cycles at a current density of 50 mA cm-2. In combination with activated carbon as the negative electrode in 3 M KOH aqueous electrolyte, the constructed asymmetric supercapacitor delivers a high energy density of 30.62 W h kg-1 at a power density of 221 W kg-1 within a voltage window of 1.5 V. These encouraging electrochemical performances enable the developed terephthalate-based cobalt hydroxide to be a promising electrode material for supercapacitor applications.