Two-Lines-Four-Regions: A New Concept in Endoscopic-Assisted Surgery of Parotid Gland Tumors.

PURPOSE: Endoscopic-assisted surgery of parotid gland tumor is challenging due to the complex anatomic structures. This study compared an innovative endoscopic-assisted operation called the two-lines-four-regions method to a traditional endoscopic-assisted surgery in the treatment of parotid gland tumors. METHODS: In this retrospective cohort study, patients were assigned to the traditional endoscopic group (Trad-En group) and the two-lines-four-regions endoscopic group (Tlfr-En group) according to whether two-lines-four-regions concept was used before the surgery. The primary outcomes are operation time (minutes) and postoperative complications present or absent. Other outcomes including intraoperative blood loss (milliliter), whether to increase auxiliary incision (yes/no), postoperative drainage (milliliter), and retention time (day) are the secondary outcomes. χ2 analysis or Fisher exact test was used to compare the statistical differences of those variables in 2 groups, and a P value of less than .05 was considered to indicate statistical significance. RESULTS: A total of 121 patients with parotid gland tumors underwent endoscopic-assisted surgery; 59 patients were assigned to the Trad-En group, and 62 patients were assigned to the Tlfr-En group. The mean operation times (65.24 ± 14.82 min), blood loss (9.85 ± 3.38 mL), and the amount of drainage (10.52 ± 3.17 mL) in the Tlfr-En group were shorter than the values in the Trad-En group (75.75 ± 14.16 min, 10.52 ± 3.17 mL, and 16.54 ± 3.21 mL, respectively; P < .05). The median follow-up time was 34 months (range 4 to 70 months). No tumor recurrence was found in all patients. CONCLUSIONS: This study demonstrated that the new concept of two-lines-four-regions of parotid gland makes the endoscopic-assisted surgery of parotid gland tumors more simplified, efficient, and minimally invasive.

Alkali and Alkaline Earth Hydrides-Driven N2 Activation and Transformation over Mn Nitride Catalyst.

Early 3d transition metals are not focal catalytic candidates for many chemical processes because they have strong affinities to O, N, C, or H, etc., which would hinder the conversion of those species to products. Metallic Mn, as a representative, undergoes nitridation under ammonia synthesis conditions forming bulk phase nitride and unfortunately exhibits negligible catalytic activity. Here we show that alkali or alkaline earth metal hydrides (i.e., LiH, NaH, KH, CaH2 and BaH2, AHs for short) promotes the catalytic activity of Mn nitride by orders of magnitude. The sequence of promotion is BaH2 > LiH > KH > CaH2 > NaH, which is different from the order observed in conventional oxide or hydroxide promoters. AHs, featured by bearing negatively charged hydrogen atoms, have chemical potentials in removing N from Mn nitride and thus lead to significant enhancement of N2 activation and subsequent conversion to NH3. Detailed investigations on Mn-LiH catalytic system disclosed that the active phase and kinetic behavior depend strongly on reaction conditions. Based on the understanding of the synergy between AHs and Mn nitride, a strategy in the design and development of early transition metals as effective catalysts for ammonia synthesis and other chemical processes is proposed.

Li2 NH-LiBH4 : a Complex Hydride with Near Ambient Hydrogen Adsorption and Fast Lithium Ion Conduction.

Complex hydrides have played important roles in energy storage area. Here a complex hydride made of Li2 NH and LiBH4 was synthesized, which has a structure tentatively indexed using an orthorhombic cell with a space group of Pna21 and lattice parameters of a=10.121, b=6.997, and c=11.457 Å. The Li2 NH-LiBH4 sample (in a molar ratio of 1:1) shows excellent hydrogenation kinetics, starting to absorb H2 at 310 K, which is more than 100 K lower than that of pristine Li2 NH. Furthermore, the Li+ ion conductivity of the Li2 NH-LiBH4 sample is about 1.0×10-5  S cm-1 at room temperature, and is higher than that of either Li2 NH or LiBH4 at 373 K. Those unique properties of the Li2 NH-LiBH4 complex render it a promising candidate for hydrogen storage and Li ion conduction.

The Formation of Surface Lithium-Iron Ternary Hydride and its Function on Catalytic Ammonia Synthesis at Low Temperatures.

Lithium hydride (LiH) has a strong effect on iron leading to an approximately 3 orders of magnitude increase in catalytic ammonia synthesis. The existence of lithium-iron ternary hydride species at the surface/interface of the catalyst were identified and characterized for the first time by gas-phase optical spectroscopy coupled with mass spectrometry and quantum chemical calculations. The ternary hydride species may serve as centers that readily activate and hydrogenate dinitrogen, forming Fe-(NH2 )-Li and LiNH2 moieties-possibly through a redox reaction of dinitrogen and hydridic hydrogen (LiH) that is mediated by iron-showing distinct differences from ammonia formation mediated by conventional iron or ruthenium-based catalysts. Hydrogen-associated activation and conversion of dinitrogen are discussed.

Ammonium Aminodiboranate: A Long-Sought Isomer of Diammoniate of Diborane and Ammonia Borane Dimer.

Ammonium aminodiboranate ([NH4 ][BH3 NH2 BH3 ]) is a long-sought isomer of diammoniate of diborane ([NH3 BH2 NH3 ][BH4 ]) and ammonia borane (NH3 BH3 ) dimer. Our results show that [NH4 ][BH3 NH2 BH3 ] is stable in tetrahydrofuran at -18 °C and decomposes rapidly to NH3 BH2 NH2 BH3 and H2 at elevated temperatures. The decomposition pathway is dictated by the dihydrogen bonding between H(δ+) on NH4 (+) and H(δ-) on BH3 , as confirmed by theoretical calculations. This is in contrast to the interconversion between [NH3 BH2 NH3 ][BH4 ] and (NH3 BH3 )2 , although all three have dihydrogen bonds and the same stoichiometry.

Synthesis and decomposition of Li3Na(NH2)4 and investigations of Li-Na-N-H based systems for hydrogen storage.

Previous studies have shown modified thermodynamics of amide-hydride composites by cation substitution, while this work systematically investigates lithium-sodium-amide, Li-Na-N-H, based systems. Li3Na(NH2)4 has been synthesized by combined ball milling and annealing of 3LiNH2-NaNH2 with LiNa2(NH2)3 as a minor by-product. Li3+xNa1-x(NH2)4 releases NaNH2 and forms non-stoichiometric Li3+xNa1-x(NH2)4 before it melts at 234 °C, as observed by in situ powder X-ray diffraction. Above 234 °C, Li3+xNa1-x(NH2)4 releases a mixture of NH3, N2 and H2 while a bi-metallic lithium sodium imide is not observed during decomposition. Hydrogen storage performances have been investigated for the composites Li3Na(NH2)4-4LiH, LiNH2-NaH and NaNH2-LiH. Li3Na(NH2)4-4LiH converts into 4LiNH2-NaH-3LiH during mechanochemical treatment and releases 4.2 wt% of H2 in multiple steps between 25 and 340 °C as revealed by Sievert's measurements. All three investigated composites have a lower peak temperature for H2 release as compared to LiNH2-LiH, possibly owing to modified kinetics and thermodynamics, due to the formation of Li3Na(NH2)4 and LiNa2(NH2)3.

Thermal decomposition of sodium amide, NaNH2, and sodium amide hydroxide composites, NaNH2-NaOH.

Sodium amide, NaNH2, has recently been shown to be a useful catalyst to decompose NH3 into H2 and N2, however, sodium hydroxide is omnipresent and commercially available NaNH2 usually contains impurities of NaOH (<2%). The thermal decomposition of NaNH2 and NaNH2-NaOH composites is systematically investigated and discussed. NaNH2 is partially dissolved in NaOH at T > 100 °C, forming a non-stoichiometric solid solution of Na(OH)1-x(NH2)x (0 < x < ∼0.30), which crystallizes in an orthorhombic unit cell with the space group P212121 determined by synchrotron powder X-ray diffraction. The composite xNaNH2-(1 - x)NaOH (∼0.70 < x < 0.72) shows a lowered melting point, ∼160 °C, compared to 200 and 318 °C for neat NaNH2 and NaOH, respectively. We report that 0.36 mol of NH3 per mol of NaNH2 is released below 400 °C during heating in an argon atmosphere, initiated at its melting point, T = 200 °C, possibly due to the formation of the mixed sodium amide imide solid solution. Furthermore, NaOH reacts with NaNH2 at elevated temperatures and provides the release of additional NH3.

Synthesis, structure and the dehydrogenation mechanism of calcium amidoborane hydrazinates.

The calcium amidoborane hydrazinates, Ca(NH2BH3)2·nN2H4, were firstly synthesized by reacting different molar ratios of Ca(NH2BH3)2 and N2H4. In particular, Ca(NH2BH3)2 and N2H4 with a molar ratio of 1 : 2 crystallizes into the orthorhombic symmetry P212121 space group with the lattice parameters of a = 6.6239(4) Å, b = 13.7932(6) Å, c = 4.7909(2) Å. The dehydrogenations of calcium amidoborane hydrazinates are two-step reactions, exhibiting superior dehydrogenation properties compared with those of pristine Ca(NH2BH3)2. For Ca(NH2BH3)2-1/2N2H4, approximately 4.6 equiv. hydrogen (or 7.9 wt% hydrogen) can be released at 150 °C. Kinetic analysis shows that the activation energies for the two steps of hydrogen desorption from Ca(NH2BH3)2·2N2H4 are much lower than those of pristine Ca(NH2BH3)2, suggesting an improvement in the dehydrogenation kinetics of Ca(NH2BH3)2 after coordinating with N2H4. Isotopic labeling results show that the driving force for the dehydrogenation of calcium amidoborane hydrazinates is the combination mechanism of protonic hydrogen and hydridic hydrogen (H(δ+) and H(δ-)). In addition, initial H2 release from calcium amidoborane hydrazinates originates from the interaction of [-BH3] and N2H4, rather than [-BH3] and [-NH2] (in [-NH2BH3]).

Lithium imide synergy with 3d transition-metal nitrides leading to unprecedented catalytic activities for ammonia decomposition.

Alkali metals have been widely employed as catalyst promoters; however, the promoting mechanism remains essentially unclear. Li, when in the imide form, is shown to synergize with 3d transition metals or their nitrides TM(N) spreading from Ti to Cu, leading to universal and unprecedentedly high catalytic activities in NH3 decomposition, among which Li2NH-MnN has an activity superior to that of the highly active Ru/carbon nanotube catalyst. The catalysis is fulfilled via the two-step cycle comprising: 1) the reaction of Li2NH and 3d TM(N) to form ternary nitride of LiTMN and H2, and 2) the ammoniation of LiTMN to Li2NH, TM(N) and N2 resulting in the neat reaction of 2 NH3⇌N2+3 H2. Li2NH, as an NH3 transmitting agent, favors the formation of higher N-content intermediate (LiTMN), where Li executes inductive effect to stabilize the TM-N bonding and thus alters the reaction energetics.

Synthesis, thermal behavior, and dehydrogenation kinetics study of lithiated ethylenediamine.

The lithiation of ethylenediamine by LiH is a stepwise process to form the partially lithiated intermediates LiN(H)CH2 CH2 NH2 and [LiN(H)CH2 CH2 NH2 ][LiN(H)CH2 CH2 N(H)Li]2 prior to the formation of dilithiated ethylenediamine LiN(H)CH2 CH2 N(H)Li. A reversible phase transformation between the partial and dilithiated species was observed. One dimensional {Lin Nn } ladders and three-dimensional network structures were found in the crystal structures of LiN(H)CH2 CH2 NH2 and LiN(H)CH2 CH2 N(H)Li, respectively. LiN(H)CH2 CH2 N(H)Li undergoes dehydrogenation with an activation energy of 181±8 kJ mol(-1) , whereas the partially lithiated ethylenediamine compounds were polymerized and released ammonia at elevated temperatures. The dynamical dehydrogenation mechanism of the dilithiated ethylenediamine compounds was investigated by using the Johnson-Mehl-Avrami equation.

Lithiated primary amine--a new material for hydrogen storage.

A facile method for synthesizing crystalline lithiated amines by ball milling primary amines with LiH was developed. The lithiated amines exhibit an unprecedented endothermic dehydrogenation feature in the temperature range of 150-250 °C, which shows potential as a new type of hydrogen storage material. Structural analysis and mechanistic studies on lithiated ethylenediamine (Li2EDA) indicates that Li may mediate the dehydrogenation through an α,ß-LiH elimination mechanism, creating a more energy favorable pathway for the selective H2 release.

Alkali and alkaline-earth metal borohydride hydrazinates: synthesis, structures and dehydrogenation.

Four new borohydride hydrazinates, including NaBH4·NH2NH2, LiBH4·1/2NH2NH2, LiBH4·1/3NH2NH2 and Mg(BH4)2·3NH2NH2, were synthesized. NaBH4·NH2NH2 and Mg(BH4)2·3NH2NH2 possess monoclinic and trigonal structures, respectively, while LiBH4·1/2NH2NH2 and LiBH4·1/3NH2NH2 exhibit orthorhombic and monoclinic structures. The effects of composition on the dehydrogenation of hydrazinates were investigated. It is demonstrated that cations with high Pauling electronegativity hold hydrazine strongly in the vicinity of borohydride and result in direct dehydrogenation at elevated temperatures. Specifically, Mg(BH4)2 hydrazinates can directly generate hydrogen upon heating it under a flow of Ar; on the other hand, the Li and Na counterparts lost part or all of the hydrazine components under the same condition. In addition, reducing NH2NH2 content in the complexes leads to improved dehydrogenation properties. Mechanistic investigation of Mg(BH4)2 hydrazinates using isotopic labelling indicates that hydrogen desorption is via homogeneous dissociation of N-N bond of NH2NH2 followed by the establishment of B-N bond and combination of H(δ+) (N) and H(δ-) (B).

The predictive significance of a 5-m6A RNA methylation regulator signature in colorectal cancer.

Colorectal cancer attacks the colon or rectum, with increasing morbidity and mortality globally. The RNA modification 6-methyladenine (m6A) is related to RNA modifications, playing a critical role in colorectal cancer. We aimed to identify prognostic signatures for colorectal cancer using risk prediction algorithms, and to validate these signatures using independent datasets and clinical samples. In this study, 175 cases in GSE17536 were assigned into two clusters using consistent clustering and PCA analysis. A multivariate Cox risk regression model revealed that among 21 m6A RNA methylation regulators, RBM15B, FTO, IGF2BP2, ZCCHC4, and KIAA1429 were remarkably associated with colorectal cancer patients' overall survival (OS); however, Kaplan-Meier (KM) survival assessment showed no significant association between these five regulators and colorectal cancer patients' prognosis. A 5-m6A RNA methylation regulator signature was established using LASSO algorithm. Risk scores of cases in GSE17536, GSE17537 and GSE75500 were calculated, and lower risk scores were associated with better DSS/OS. receiver operating characteristic (ROC) curve and the nomogram revealed the satisfactory predictive efficiency of the risk score model. The risk score could distinguish cases in Cluster1 and Cluster2 and normal and tumor tissues based on GSE37182. The prognostic variables for colorectal cancer patients were assessed using both univariate and multivariate Cox's proportional hazard regression models, which revealed that the stage and risk score were significant risk factors. In this study, a comprehensive set of integrative bioinformatics analyses was conducted to investigate the prognostic and diagnostic potential of a panel of 5 m6A RNA methylated regulators in colorectal cancer patients. The conducted studies included the use of several statistical methods, such as the LASSO regression model, KM survival evaluation, ROC curve, and univariate and multivariate Cox's proportional hazard regression analyses. The findings from these analyses collectively established the prognostic marker, highlighting its significance in predicting patient outcomes and diagnosing colorectal cancer.

Surgical management of duodenal Crohn's disease.

BACKGROUND: The case of Crohn's disease involving the duodenum is rare, and its surgical management requires a thorough understanding. AIM: To investigate the surgical management of duodenal Crohn's disease. METHODS: We systematically reviewed patients diagnosed with duodenal Crohn's disease who underwent surgery in the Department of Geriatrics Surgery of the Second Xiangya Hospital of Central South University from January 1, 2004, to August 31, 2022. The general information, surgical procedures, prognosis, and other information of these patients were collected and summarized. RESULTS: A total of 16 patients were diagnosed with duodenal Crohn's disease, where 6 cases had primary duodenal Crohn's disease, and 10 had secondary duodenal Crohn's disease. Among patients with primary disease, 5 underwent duodenal bypass and gastrojejunostomy, and 1 received pancreaticoduodenectomy. Among those with a secondary disease, 6 underwent closure of duodenal defect and colectomy, 3 received duodenal lesion exclusion and right hemicolectomy, and 1 underwent duodenal lesion exclusion and double-lumen ileostomy. CONCLUSION: Crohn's disease involving the duodenum is a rare condition. Different surgical management should be applied for patients with Crohn's disease presenting with different clinical manifestations.

Metal amidoboranes: superior double-hydrogen-transfer agents in the reduction of ketones and imines.

Metal amidoboranes (MABs), such as lithium amidoborane (LiAB), show superior ability in reducing ketones and imines directly into their corresponding secondary alcohols and amines, respectively, at room temperature with high conversion and yields. A mechanistic study indicates that the reduction proceeds through a double-hydrogen-transfer process. Both protic H(N) and hydridic H(B) protons in the amidoborane participate in the reaction. Theoretical investigations show that the first (and rate-determining) step of the reduction reaction is the elimination of LiH from LiAB, followed by the transfer of H(Li) to the C site of the unsaturated bond.

Role of NH3 in the dehydrogenation of calcium amidoborane ammoniate and magnesium amidoborane ammoniate: a first-principles study.

First-principles calculations show that [NH(3)] molecules play crucial roles as both activator for the break-up of B-H bond and supplier of protic H for the establishment of dihydrogen bonding, which could facilitate the dehydrogenation of Ca(NH(2)BH(3))(2)·2NH(3) or Mg(NH(2)BH(3))(2)·NH(3) occurring at lower temperatures compared to those of Ca(NH(2)BH(3))(2) and Mg(NH(2)BH(3))(2). Moreover, the calculations of Helmholtz Free energy and [NH(3)] molecule removal energy evidence that coordination between [NH(3)] and Mg cation is stronger than that between [NH(3)] and Ca cation; therefore, Mg(NH(2)BH(3))(2)·NH(3) will undergo directly dehydrogenation rather than deammoniation at lower temperatures.

Monoammoniate of calcium amidoborane: synthesis, structure, and hydrogen-storage properties.

The monoammoniate of calcium amidoborane, Ca(NH(2)BH(3))(2)·NH(3), was synthesized by ball milling an equimolar mixture of CaNH and AB. Its crystal structure has been determined and was found to contain a dihydrogen-bonded network. Thermal decomposition under an open-system begins with the evolution of about 1 equivalent/formula unit (equiv.) of NH(3) at temperatures <100 °C followed by the decomposition of Ca(NH(2)BH(3))(2) to release hydrogen. In a closed-system thermal decomposition process, hydrogen is liberated in two stages, at about 70 and 180 °C, with the first stage corresponding to an exothermic process. It has been found that the presence of the coordinated NH(3) has induced the dehydrogenation to occur at low temperature. At the end of the dehydrogenation, about 6 equiv. (∼ 10.2 wt %) of hydrogen can be released, giving rise to the formation of CaB(2)N(3)H.

Lithium amidoborane, a highly chemoselective reagent for the reduction of α,ß-unsaturated ketones to allylic alcohols.

Lithium amidoborane (LiNH(2)BH(3), LiAB for short), is capable of chemoselectively reducing α,ß-unsaturated ketones to the corresponding allylic alcohols at ambient temperature. A mechanistic study shows that the reduction is via a double hydrogen transfer process. The protic H(N) and hydridic H(B) in amidoborane add to the O and C sites of the carbonyl group, respectively.

Li+ ionic conductivities and diffusion mechanisms in Li-based imides and lithium amide.

In this study, both experimental ionic conductivity measurements and the first-principles simulations are employed to investigate the Li(+) ionic diffusion properties in lithium-based imides (Li(2)NH, Li(2)Mg(NH)(2) and Li(2)Ca(NH)(2)) and lithium amide (LiNH(2)). The experimental results show that Li(+) ions present superionic conductivity in Li(2)NH (2.54 × 10(-4) S cm(-1)) and moderate ionic conductivity in Li(2)Ca(NH)(2) (6.40 × 10(-6) S cm(-1)) at room temperature; while conduction of Li(+) ions is hardly detectable in Li(2)Mg(NH)(2) and LiNH(2) at room temperature. The simulation results indicate that Li(+) ion diffusion in Li(2)NH may be mediated by Frenkel pair defects or charged vacancies, and the diffusion pathway is more likely via a series of intermediate jumps between octahedral and tetrahedral sites along the [001] direction. The calculated activation energy and pre-exponential factor for Li(+) ion conduction in Li(2)NH are well comparable with the experimentally determined values, showing the consistency of experimental and theoretical investigations. The calculation of the defect formation energy in LiNH(2) reveals that Li defects are difficult to create to mediate the Li(+) ion diffusion, resulting in the poor Li(+) ion conduction in LiNH(2) at room temperature.

MicroRNA-200c-5p targets NIMA Related Kinase 7 (NEK7) to inhibit NOD-like receptor 3 (NLRP3) inflammasome activation, MODE-K cell pyroptosis, and inflammatory bowel disease in mice.

Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), is characterized by chronic inflammation of the lower gastrointestinal tract with unknown etiology. In our previous study, NOD-like receptor 3 (NLRP3) inflammasome activation requiring the interaction of NLRP3 with NIMA Related Kinase 7 (NEK7) had been reported to regulate MODE-K cell pyroptosis and dextran sulfate sodium (DSS)-induced murine colitis. In the present study, miR-200c was closely related to IBD using weighted gene correlation network analysis (WGCNA). MicroRNA-200c (miR-200c) expression was down-regulated in IBD samples and negatively correlated with NLRP3. In MODE-K cells, miR-200c overexpression inhibited cellular inflammation; under adenosine triphosphate (ATP) and lipopolysaccharides (LPS) co-stimulation, miR-200c overexpression attenuated ATP and LPS-induced cell pyroptosis. In the DSS-induced IBD mice model, miR-200c overexpression alleviated DSS-induced IBD symptoms and improved physiological and biochemical indexes. Through direct targeting, miR-200c inhibited NEK7 expression. In MODE-K cells, NEK7 overexpression promoted cellular inflammation and ATP and LPS-induced cell pyroptosis; when co-transduced into MODE-K cells, NEK7 overexpression partially attenuated miR-200c agomir effects on cellular inflammation and ATP and LPS-induced cell pyroptosis. In conclusion, miR-200c, through targeting NEK7, could decrease cellular inflammation levels and NLRP3 inflammasome-related MODE-K cell pyroptosis in vitro and improve DSS-induced murine IBD symptoms in vivo.