Perfusion Steroid via Ventilation Tube as Salvage Treatments for Sudden Sensorineural Hearing Loss.

Objectives: Intratympanic steroid injection (ISI) for sudden sensorineural hearing loss (SSNHL) is a relatively popular and effective method, but there is no standardized method for intratympanic steroids for the treatment of SSNHL and no consensus on how to deliver steroids to the middle ear. The purpose of this study was to compare 2 means of intratympanic steroid delivery as therapy for SSNHL. Methods: A retrospective chart review was performed for the period from November 2018 to October 2022 at our Department of Otorhinolaryngology-Head and Neck Surgery. Sixty patients with profound SSNHL who have failed initial steroid therapy were divided into the continuously transtympanic steroid perfusion (TSP) therapy and the intermittent ISI therapy. Results: Posttreatment pure-tone average was 60.3 ± 18.2 dB in the TSP group and 67.5 ± 22.6 dB in the ISI group, 70.0% of subjects in the TSP group, and 46.7% of subjects in the ISI group had improved by 15 dB or more after the therapy. The increased hearing threshold of the TSP group (24.6 ± 14.1 dB) was better than the ISI group (16.6 ± 14.9 dB), and the hearing recovery was significantly different (P < .05) in the 2 groups. Besides the hearing improvement was most obvious in low-frequency areas in the TSP group, the most significant hearing improvement was at 250 Hz, reaching 30.8 ± 3.3 dB. Conclusions: In SSNHL patients who have failed initial steroid therapy, TSP therapy via a ventilation tube can achieve good hearing outcomes and serve as a salvage therapy for patients with SSNHL.

Determination of ammonia nitrogen by surface-enhanced Raman spectroscopy and DFT studies.

Ammonia nitrogen is one of the most important indicators for evaluating the quality of water bodies. It is very difficult to determine ammonia nitrogen directly by Surface-enhanced Raman spectroscopy (SERS) in practice. In order to realize SERS determination of ammonia nitrogen, in this paper, SERS combined with density functional theory (DFT) was used to investigate why ammonia nitrogen needs to be derivatized to hexamethylenetetramine (HMTA) and why HMTA can be determined using SERS. The molecular electrostatic potential (MEP) results exhibit that there was no adsorption site on the surface of ammonia nitrogen, whereas its derivate HMTA had four available adsorption sites. This provides a basic guarantee for the SERS detection of HMTA. The molecular adsorption state of HMTA on the gold nanoparticles surface was concluded from the binding energies, the bond length, and the Raman activity spectra. Among them, the HMTA-Au4 complex has the lowest bond energy (-586.873 Kcal/mol) and the shortest bond length (2.161 Å), which is the most stable state and its Raman activity spectrum is the closest to the experimental data. Calculations results of frontier molecular orbital (FMO) demonstrate that the energy gap of HMTA and HMTA-Au4 complex are 0.30258 eV and 0.10947 eV, respectively, with a really obvious difference between them, which indicates that the HMAT-Au4 complex possessed higher chemical reactivity. In addition, charge transfer phenomenon on the MEP of HMTA-Au4 complex was deduced due to the change in the symmetry of its charge distribution, which can be explained the mechanism of chemical enhancement in the detection of HMTA by SERS. The selective enhancement at 1048 cm-1 peaks in theoretical spectrum and at 1044 peaks cm-1 in experimental spectrum provided theoretical and practical basis for indirect determination of ammonia nitrogen by SERS. The obtained results will help to better understand the reasons why some components are difficult to be directly determined by SERS, and why these components need to be derivatized. It provides a new method for components that are difficult to detect by SERS.

Influence analysis and promotion countermeasures of green finance policy in China-Traceability based on grounded theory and validation using the csQCA method.

Green finance is closely related to sustainable energy development. Using the NVivo12plus software, a governance model of China's green finance policy was constructed using 22 green finance policy texts at the central level as research objects. Furthermore, based on the csQCA method, Tosmana software was used to develop and verify a theoretical model of 19 policy text cases. The research results demonstrate that policy belief, policy objectives, policy tools, policy feedback, and policy cycle are the main components of China's green finance policy governance. Furthermore, policy instruments are the fundamental factors affecting the governance effectiveness of China's green finance policy. Policy goals and policy feedback dominate the influence pattern of green finance policy in China. There are three modes driving the influence of green finance policies: regulation-oriented, collaborative-driven, and tool-guided. Finally, for the optimization and improvement of green finance policies, three forces must be improved: stimulus force, driving force, and promotion force.

Comparative Transcriptome Analysis Reveals the Potential Cardiovascular Protective Targets of the Thyroid Hormone Metabolite 3-Iodothyronamine (3-T1AM).

BACKGROUND: The thyroid hormone metabolite 3-iodothyronamine (3-T1AM) is rapidly emerging as a promising compound in decreasing the heart rate and lowering the cardiac output. The aim of our study was to fully understand the molecular mechanism of 3-T1AM on cardiomyocytes and its potential targets in cardiovascular diseases. MATERIALS AND METHODS: In our study, we utilized RNA-Seq to characterize the gene expression in H9C2 cells after 3-T1AM treatment. Comparative transcriptome analysis, including gene ontology, signaling pathways, disease connectivity analysis, and protein-protein interaction networks (PPI), was presented to find the critical gene function, hub genes, and related pathways. RESULTS: A total of 1494 differently expressed genes (DEGs) were identified (192 upregulated and 1302 downregulated genes) in H9C2 cells for 3-T1AM treatment. Of these, 90 genes were associated with cardiovascular diseases. The PPI analysis indicated that 5 hub genes might be the targets of 3-T1AM. Subsequently, eight DEGs characterized using RNA-Seq were confirmed by RT-qPCR assays. CONCLUSIONS: Our study provides a comprehensive analysis of 3-T1AM on H9C2 cells and delineates a new insight into the therapeutic intervention of 3-T1AM for the cardiovascular diseases.

A study of laparoscopic extraperitoneal sigmoid colostomy after abdomino-perineal resection for rectal cancer.

OBJECTIVE: To established a procedure for laparoscopic extraperitoneal ostomy after abdomino-perineal resection (APR) and study safety aspects and complications. METHOD: From July 2011 to July 2012, 36 patients with low rectal cancer undergoing APR were included in the study and divided into extraperitoneal ostomy group (n = 18) and intraperitoneal ostomy group (n = 18). Short- and long-term complications were compared between the two groups. All patients were followed up and the median duration was 17 months (range: 12-24). RESULTS: The rates of short-term complication related to colostomies were comparable between the two groups, except the rate for stoma edema was higher in the extraperitoneal group (33.3% vs 0%; P = 0.008). In the intraperitoneal ostomy group, two patients developed stoma prolapse, one had stoma stenosis, and two had parastomal hernia. In contrast, no long-term complications related to colostomies occurred in the extraperitoneal ostomy group. The rate of long-term complication was lower in the extraperitoneal ostomy group (0% vs 22.2%; P = 0.036). CONCLUSION: The laparoscopic extraperitoneal ostomy is a relatively simple and safe procedure, with fewer long-term complications related to colostomy. However the follow-up period was not too long and needs to be extended.

Protective effects of Rg2 on hypoxia-induced neuronal damage in hippocampal neurons.

We investigated the neuroprotective effects of Rg(2) in anoxic cultured hippocampal neurons of newborn rats. The cells were divided into a control group, nimodipine group (5 µmol/L), Rg(2) (0.025 mmol/L), and Rg(2) (0.05 mmol/L) group. The apoptosis rate of hippocampal neurons was measured by flow cytometry with staining of PI. The intracellular calcium ion [Ca(2+)]i was observed with fluorospectrophotometer determined by fluorescent probe Fluo-2/AM. The contents of MDA and NO and the activities of SOD in the supernatants of cells were determined by biochemical methods. The results demonstrated that Rg(2) reduced the hypoxia-induced apoptosis, decreased the calcium overload in neurons, increased the activities of SOD, and decreased the contents of MDA and NO in the supernatants of cells. Our study suggests that Rg(2) has a neuroprotective effect against hypoxia-induced neuronal damage in hippocampal neurons mediated by anti-apoptosis, blocking calcium over-influx into neuronal cells, eliminating the free radicals, and increasing the activities of anti-oxidative enzymes to inhibit the oxidative damages caused by anoxic.

Preparation of GaN-based cross-sectional TEM specimens by laser lift-off.

Laser lift-off (LLO) technology is successfully used to prepare GaN-based TEM cross-sectional specimens. Detailed procedures of the method to prepare the specimens are demonstrated. Large thin areas suitable for TEM analysis were obtained. TEM images of the resulting GaN interface are studied, and the changes in structural quality are confined to approximately the first 250 nm of the epilayer. Clear TEM images of the whole epilayer and the InGaN quantum wells and the HRTEM images of the superlattice layer are demonstrated, showing that LLO is a quick and ideal method to study the crystal structure of the epilayer, especially if only the upper layers are of interest.