Impact of the number of surface-attached tungsten diselenide layers on cadmium sulfide nanorods on the charge transfer and photocatalytic hydrogen evolution rate.

The selection of layered number and time-course destruction of layers may affect the charge transfer between 2D-to-1D heterostructure, making it possible to improve the efficiency of solar-to-hydrogen evolution. Herein, we demonstrate a simple, low-cost systematic protocol of 2D-WSe2 nanolayer numbers ranging from 7 to 60 aiding the ultrasonication time-course. The resultant nanolayers were assembled on the surface of 1D-CdS nanorods, which demonstrated an improved surface shuttling property. Consequently, a drastic improvement in photocatalytic solar-driven hydrogen evolution was observed (103.5 mmol h-1 g-1) with seven-layered WSe2 (few-layered WSe2) attached on CdS nanorods surface. This enhanced photocatalytic performance is attributed to the selection of layers on CdS surface that expose abundant active sites; along with suitable energy levels, this can facilitate increased charge transfer leading to feasible photocatalytic reactions. Significantly, the present study proposes an efficient and sustainable process to produce hydrogen and demonstrates the potential of numbered WSe2 nanosheets as a co-catalyst material.

Generalized lichen nitidus.

Lichen nitidus is a rare chronic condition of unknown etiology. Generalized lichen nitidus is even rarer. We report here a 5-year-old girl who had multiple, asymptomatic, discrete, 1 to 2 mm flesh-colored, shiny, flat, papules on her face, upper limbs, and thighs with relative sparing of the trunk. Resolution of these papular lesions was followed by hyperpigmented macules in those areas. Histopathologic examination of a papular lesion revealed a localized granulomatous lymphohistiocytic infiltrate in an expanded dermal papilla with thinning of overlying epidermis and downward extension of the rete ridges at the lateral margin of the infiltrate, producing a typical "claw clutching a ball" picture, confirming our clinical diagnosis of lichen nitidus. The pigmented macules showed melanin pigmentation on histology. There was no response to oral astemizole treatment for 3 months. However, the lichen nitidus lesions resolved spontaneously without any further treatment over the next year, leaving behind a prominent pigmentary disturbance.

Prospective, noncomparative open study from Kuwait of the role of intravenous immunoglobulin in the treatment of toxic epidermal necrolysis.

BACKGROUND: High-dose intravenous immunoglobulin (IVIG) is emerging as a promising new therapy for treating the rare but potentially fatal drug reaction toxic epidermal necrolysis (TEN). Experimental in vitro studies support that IVIG can block the Fas-FasL-mediated apoptosis in TEN. METHODS: Twelve consecutive patients (7M, 5F) with TEN admitted over a 5-year period from January 1998 to December 2002 were treated with a dose of 0.5-1.0 g/kg/d of IVIG for 4-5 days along with standard care protocol. Clinical outcome in terms of average duration to arrest the progression, complete healing, hospital stay, side-effects and complications were determined to find the efficacy of IVIG treatment. RESULTS: Average age was 27.16 years (7-50 years). There were four children (2M, 2F) aged 7-12 years. One patient had an underlying malignancy. No patient had HIV infection. The average total body surface area involvement was 57.5% (30-90%). An IVIG infusion was started, on average, 1.58 days (1-3 days) after admission. All patients responded well to the treatment. There was no mortality. The disease progression was arrested in a mean of 2.83 days (1-5 days). Time taken for complete healing (re-epithelialization) was 7.33 days (5-13 days). The average duration of hospital stay was 12.5 days (7-21 days). No side-effects of the IVIG treatment were observed in these patients. The drugs triggering TEN in these patients were phenytoin (four patients), followed by penicillin (three), cotrimoxazole (two), phenobarbital and furosemide (one patient each), respectively. In one patient, the offending drug could not be ascertained. CONCLUSION: Our experience of treating 12 patients with TEN using IVIG, in Kuwait, confirms that it is a safe and effective treatment for these patients.