Effectiveness of Surgical Treatments for Basal Ganglia Hemorrhage and Imaging Factors Affecting Hematoma Evacuation Rate by Neuroendoscopic Surgery.

BACKGROUND: Basal ganglia hemorrhage (BGH) is a devastating neurologic disease with high morbidity and mortality, and its management is still controversial. We evaluated the effectiveness of surgical treatments for BGH and investigated computed tomography (CT) imaging features affecting the hematoma evacuation rate (ER) in patients treated with neuroendoscopic surgery. MATERIALS AND METHODS: A total of 104 BGH patients who underwent craniotomy, burr-hole drainage, or neuroendoscopic surgery were analyzed retrospectively. Clinical characteristics, imaging features, and postoperative complications were compared. Univariate and multivariate regression analyses were applied to identify imaging factors associated with ER. RESULTS: A significant difference in ER was observed: 78.4% in patients treated with neuroendoscopic surgery, 33.6% in patients treated with burr-hole drainage, and 82.5% in patients treated with craniotomy (p < 0.001). Similar results were observed for operative time (p < 0.001). Five cases (12.5%) of rebleeding were found in patients treated with burr-hole drainage (p = 0.020). No significant difference was found for pneumonia, intracranial infection, gastrointestinal bleeding, hospital mortality, hospital stay, expenses, 3-day Glasgow Coma Scale (GCS) scores after surgery, or GCS at discharge. The CT imaging feature, the island sign (p = 0.004), was observed as an independent factor correlated with lower ER for neuroendoscopic surgery. CONCLUSIONS: The benefits and drawbacks of surgical treatments confirmed they have their own indications, and neuroendoscopic surgery may be relatively beneficial for BGH treatment. The island sign was an independent factor affecting ER for neuroendoscopic surgery. Therefore, comprehensive assessment of clinical data, especially the island sign, should be performed preoperatively in BGH patients.

Core-shell structured Co@CN nanocomposites as highly efficient dual function catalysts for reduction of toxic contaminants and hydrogen evolution reaction.

In this study, we have reported nitrogen-doped graphite C coated Co nanocomposite (Co@CN) catalysts synthesized by one-step arc discharge method. The surface compositions, morphologies and the catalytic properties of the Co@CN nanocomposites were studied minutely. The results reveal that the prepared Co@CN nanocomposites have typical core-shell structure and show highly efficient catalytic performance in a reduction of 4-nitrophenol (4-NP), rhodamine and methylene blue. Their rate constant (Kapp) is 0.074 s-1 in a reduction of 4-NP, which is much higher than that of reported transition metal-based catalysts. Moreover, the overpotential of Co@CN is only 96 mV at a current density of 10 mA cm-2 in alkaline solution, showing high electrocatalytic activities in the hydrogen evolution reaction. The excellent synergistic effect between nitrogen-doped graphite C shell and magnetic Co core enables the Co@CN nanocomposites catalysts to hold abundant active sites and to transmit rapidly electron ability, resulting in Co@CN nanocomposite catalysts having a highly efficient catalytic nature.

Amorphous/Nanocrystalline Carbonized Hydrochars with Isomeric Heterogeneous Interfacial Polarizations for High-performance Microwave Absorption.

Carbon allotropes and their derivatives have exhibited superior performances for microwave absorption ascribed to their dielectric attenuation capacity raised from the multiple dipolar configurations. Such characteristics could be achieved by constructing diverse micro/nanoscale architectures, incorporating vacancies and heteroatoms, and composing with heterogeneous components. Alternatively, we herein present a facile approach for the synthesis of carbonized hydrochars, which are composed of dispersed ultrafine nanocrystallines graphite and amorphous matrix. Such a isomeric construction has a high-density interfaces, accompanied with significant interfacial polarizations, leading to the improvement of microwave absorbing capabilities. For carbonized hydrochars, the RLmin value can reach -40.36 dB, and corresponding effective bandwidth is 2 GHz. This work provides a concept for designing microwave absorption materials based on isomeric heterogeneous interfacial polarizations in single-element systems.

Graphene oxide coated coordination polymer nanobelt composite material: a new type of visible light active and highly efficient photocatalyst for Cr(VI) reduction.

A visible light active photocatalyst was synthesized successfully by coating graphene oxide (GO) on a coordination polymer nanobelt (CPNB) using a simple colloidal blending process. Compared with neat CPNB, the resulting graphene oxide coated coordination polymer nanobelt composite material (GO/CPNB) exhibits excellent photocatalytic efficiency in the reduction of K2Cr2O7 under visible light irradiation. In the composite material, GO performs two functions. Firstly, it cuts down the band gap (E(g)) of the photocatalyst and extends its photoresponse region from the ultraviolet to visible light region. Secondly, GO exhibits excellent electron transportation ability that impedes its recombination with holes, and this can enhance photocatalytic efficiency. For GO, on its surface, the number of functional groups has a great influence on the photocatalytic performance of the resulting GO/CPNB composite material and an ideal GO"coater" to obtain a highly efficient GO/CPNB photocatalyst has been obtained. As a photocatalyst that may be used in the treatment of Cr(VI) in wastewater, GO/CPNB exhibited outstanding stability during the reduction of this pollutant.