Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial.

Introduction Postoperative sore throat (POST) is a fairly common side effect of general anesthesia. The K-Y jelly is a well-known lubricant used in many medical procedures. Objective In this randomized study, we evaluated the use of throat packs soaked with K-Y jelly for POST outcomes in patients submitted to nasal surgery. Methods The present double-blinded, randomized, controlled study included 140 ASA I-II patients undergoing nasal surgery under general anesthesia. Patients received either or K-Y jelly or water-soaked X-ray detectable throat packs fully inserted into the mouth to occlude the oropharynx. Results Comparison between the studied groups regarding the severity of POST assessed by visual analog scale revealed significantly lower POST levels in the K-Y jelly group on recovery from anesthesia, and at 2, 4, and 6 hours postoperatively. Conclusions The use of K-Y jelly-soaked throat packs was associated with less severe POST after nasal surgery.

Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial

Abstract Introduction Postoperative sore throat (POST) is a fairly common side effect of general anesthesia. The K-Y jelly is a well-known lubricant used in many medical procedures. Objective In this randomized study, we evaluated the use of throat packs soaked with K-Y jelly for POST outcomes in patients submitted to nasal surgery. Methods The present double-blinded, randomized, controlled study included 140 ASA I-II patients undergoing nasal surgery under general anesthesia. Patients received either or K-Y jelly or water-soaked X-ray detectable throat packs fully inserted into the mouth to occlude the oropharynx. Results Comparison between the studied groups regarding the severity of POST assessed by visual analog scale revealed significantly lower POST levels in the K-Y jelly group on recovery from anesthesia, and at 2, 4, and 6 hours postoperatively. Conclusions The use of K-Y jelly-soaked throat packs was associated with less severe POST after nasal surgery.

Exosomal miRNA-mediated intercellular communications and immunomodulatory effects in tumor microenvironments.

Extracellular communication, in other words, crosstalk between cells, has a pivotal role in the survival of an organism. This communication occurs by different methods, one of which is extracellular vesicles. Exosomes, which are small lipid extracellular vesicles, have recently been discovered to have a role in signal transduction between cells inside the body. These vesicles contain important bioactive molecules including lipids, proteins, DNA, mRNA, and noncoding RNAs such as microRNAs (miRNAs). Exosomes are secreted by all cells including immune cells (macrophages, lymphocytes, granulocytes, dendritic cells, mast cells) and tumor cells. The tumor microenvironment (TME) represents a complex network that supports the growth of tumor cells. This microenvironment encompasses tumor cells themselves, the extracellular matrix, fibroblasts, endothelial cells, blood vessels, immune cells, and non-cellular components such as exosomes and cytokines. This review aims to provide insights into the latest discoveries concerning how the immune system communicates internally and with other cell types, with a specific focus on research involving exosomal miRNAs in macrophages, dendritic cells, B lymphocytes, and T lymphocytes. Additionally, we will explore the role of exosomal miRNA in the TME and the immunomodulatory effect.

Informational video impact before caesarean delivery on anxiety and satisfaction: a systematic review and meta-analysis.

BACKGROUND: Anxiety prior to caesarean section can lead to a negative birth experience, which may affect different aspects of woman's life in the long term. Improving preoperative information may result in lower anxiety leading to a more positive birth experience. Thus, we aimed to evaluate the impact of informational video before planned caesarean delivery on maternal anxiety and satisfaction. METHODS: Four different databases were searched from inception till March 2023. We selected randomised controlled trials (RCTs) that compared educational or informative videos about the aspects of the expected caesarean delivery process versus no preoperative information in the control group. No language restrictions were imposed. We used Revman software during performing our meta-analysis. Our main outcomes were preoperative and postoperative anxiety as well as maternal satisfaction post-procedure. RESULTS: Six RCTs were retrieved with a total number of 702 patients. Informative video significantly reduced the anxiety level before caesarean delivery in comparison with the control group (MD = -4.21, 95% CI [-5.46, -2.95], p<0001). Moreover, the postoperative anxiety level was significantly improved in the informational video group (MD = -4.71, 95% CI [-7.06, -2.36], p<0001). In addition, there was a significant improvement in maternal satisfaction score after caesarean delivery among the informational video group (p = 0.001). CONCLUSIONS: Informational video prior to caesarean delivery decreases preoperative and postoperative anxiety levels with improvement in maternal post-procedure satisfaction. However, the existing evidence is limited by several shortcomings, chiefly small sample size. More trials with larger sample size are required to confirm our findings.

Superior Hypogastric Plexus Block for Pain Management Post-Hysterectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

We aimed to evaluate the efficacy of superior hypogastric plexus (SHP) block in pain relief among women undergoing hysterectomy. Cochrane Library, PubMed, ISI web of science, and Scopus were searched from inception to May 2021 for the available randomized clinical trials (RCTs). We included RCTs that compared SHP block (intervention group) to saline (control group) in hysterectomy. Our primary outcomes were pain scores at different time intervals using the Visual Analog Scale (VAS). Our secondary outcomes were postoperative opioid consumption within 24 hours and postoperative nausea and vomiting incidence. We extracted the available data from included studies and pooled them in a meta-analysis model using RevMan software. Four RCTs with a total number of 289 patients met our inclusion criteria. The VAS pain scores were significantly declined at post-anesthesia care unit (PACU), 2, 6, and 12 hours postoperatively among SHP block group (p < 0.05). However, no significant difference was reported in VAS pain score 1 day postoperatively between intervention and control groups. Moreover, SHP block significantly reduced the postoperative opioid consumption and incidence of nausea and vomiting (p = 0.03 & p = 0.003). In conclusion, superior hypogastric plexus block effectively reduces postoperative pain, opioid consumption, and incidence of nausea and vomiting post-hysterectomy.

H2S-Sensing Studies Using Interdigitated Electrode with Spin-Coated Carbon Aerogel-Polyaniline Composites.

In this paper, carbon aerogel (CA)-polyaniline (PANI) composites were prepared and first applied in the study of H2S gas sensing. Here, 1 and 3 wt% of as-obtained CA powder were blended with PANI to produce composites, which are denoted by PANI-CA-1 and PANI-CA-3, respectively. For the H2S gas-sensing studies, the interdigitated electrode (IDE) was spin-coated by performing PANI and PANI-CA composite dispersion. The H2S gas-sensing properties were studied in terms of the sensor's sensitivity, selectivity and repeatability. IDE coated with PANI-CA composites, as compared with pristine PANI, achieved higher sensor sensitivity, higher selectivity and good repeatability. Moreover, composites that contain higher loading of CA (e.g., 3 wt%) perform better than composites with lower loading of CA. At 1 ppm, PANI-CA-3 displayed increased sensitivity of 452% at relative humidity of 60% with a fast average response time of 1 s compared to PANI.

Meso/Microporous Carbons from Conjugated Hyper-Crosslinked Polymers Based on Tetraphenylethene for High-Performance CO2 Capture and Supercapacitor.

In this study, we successfully synthesized two types of meso/microporous carbon materials through the carbonization and potassium hydroxide (KOH) activation for two different kinds of hyper-crosslinked polymers of TPE-CPOP1 and TPE-CPOP2, which were synthesized by using Friedel-Crafts reaction of tetraphenylethene (TPE) monomer with or without cyanuric chloride in the presence of AlCl3 as a catalyst. The resultant porous carbon materials exhibited the high specific area (up to 1100 m2 g-1), total pore volume, good thermal stability, and amorphous character based on thermogravimetric (TGA), N2 adsoprtion/desorption, and powder X-ray diffraction (PXRD) analyses. The as-prepared TPE-CPOP1 after thermal treatment at 800 °C (TPE-CPOP1-800) displayed excellent CO2 uptake performance (1.74 mmol g-1 at 298 K and 3.19 mmol g-1 at 273 K). Furthermore, this material possesses a high specific capacitance of 453 F g-1 at 5 mV s-1 comparable to others porous carbon materials with excellent columbic efficiencies for 10,000 cycle at 20 A g-1.

High-Molecular-Weight PLA-b-PEO-b-PLA Triblock Copolymer Templated Large Mesoporous Carbons for Supercapacitors and CO2 Capture.

High-molecular-weight PLA440-b-PEO454-b-PLA440 (LEL) triblock copolymer was synthesized through simple ring-opening polymerization (ROP) by using the commercial homopolymer HO-PEO454-OH as the macro-initiator. The material acted as a single template to prepare the large mesoporous carbons by using resol-type phenolic resin as a carbon source. Self-assembled structures of phenolic/LEL blends mediated by hydrogen bonding interaction were determined by FTIR and SAXS analyses. Through thermal curing and carbonization procedures, large mesoporous carbons (>50 nm) with a cylindrical structure and high surface area (>600 m2/g) were obtained because the OH units of phenolics prefer to interact with PEO block rather than PLA block, as determined by FTIR spectroscopy. Furthermore, higher CO2 capture and good energy storage performance were observed for this large mesoporous carbon, confirming that the proposed approach provides an easy method for the preparation of large mesoporous materials.

Mesoporous Carbons Templated by PEO-PCL Block Copolymers as Electrode Materials for Supercapacitors.

In this study, samples of activated mesoporous carbon are fabricated with pore structures with cylinder and gyroid nanostructures through the templating effect of amphiphilic poly(ethylene oxide-block-caprolactone) (PEO-PCL) and by using specific resol/PEO-PCL weight ratios (e.g., 60:40 for cylinders; 55:45 for gyroids). After carbonization and KOH activation, the activated mesoporous carbons were tested as electrode materials for electric double-layer capacitor (EDLC) supercapacitors. The electrochemical properties were examined by using three-electrode (6 m KOH(aq) as electrolyte) and CR2032 coin-cell (1 m tetraethylammonium tetrafluoroborate (TEABF4 )/CN as the electrolyte) systems. The gyroid carbon samples provided specific capacitances higher than those of the cylinder carbon samples in both aqueous and organic systems: 155 F g-1 compared with 135 F g-1 in 6 m KOH(aq) , and 105.6 compared with 96 F g-1 in 1 m TEABF4 /MeCN, after 100 charge/discharge cycles. It is suspected that the bi-continuous mesochannels of the gyroid-type activated mesoporous carbons provided a relatively higher effective adsorption surface area; in other words, the greater surface area for energy storage originated from a moderate pore size and an interconnected pore structure.

Direct Synthesis of Microporous Bicarbazole-Based Covalent Triazine Frameworks for High-Performance Energy Storage and Carbon Dioxide Uptake.

In this study a series of bicarbazole-based covalent triazine frameworks (Car-CTFs) were synthesized under ionothermal conditions from [9,9'-bicarbazole]-3,3',6,6'-tetracarbonitrile (Car-4CN) in the presence of molten zinc chloride. Thermogravimetric and Brunauer-Emmett-Teller analyses revealed that these Car-CTFs possessed excellent thermal stabilities and high specific surface areas (ca. 1400 m2 /g). The electrochemical performances of this Car-CTF series, investigated by using cyclic voltammetry, showed a highest capacitance of (545 F/g at 5 mV/s), which also exhibited excellent columbic efficiencies of 96.1 % after 8000 cycles at 100 µA/0.5 cm2 . The other Car-CTF samples displayed similar efficiencies. Furthermore, based on CO2 uptake measurements, one of the series showed the highest CO2 uptake capacities: 3.91 and 7.60 mmol/g at 298 and 273 K, respectively. These results suggest a simple method for the preparation of CTF materials that provide excellent electrochemical and CO2 uptake performance.

Electrochemical properties of a thermally expanded magnetic graphene composite with a conductive polymer.

A magnetic graphene composite derived from stage-1 FeCl3-graphite intercalation compounds was thermally treated for up to 75 min at 400 °C or for 2 min at high temperatures up to 900 °C. These heat-treatments of the magnetic graphene composite gave rise to the cubical expansion of graphene with the enlargement of inter-graphene distances. The specific capacitance of the magnetic graphene composite increased upon heating and reached 42 F g(-1) at a scan rate of 5 mV s(-1) in 1.0 M NaCl, after being treated for 2 min at 900 °C. This value corresponds to 840% increase in the capacitance activity superior to that (5 F g(-1)) of the pristine magnetic graphene composite before heat-treatment. This capacitance enhancement can play a significant role in the increase of the surface area that reached 17.2 m(2) g(-1) during the non-defective inter-graphene exfoliation. Moreover, the magnetic graphene composite heated at 900 °C was hybridized with polyaniline by in situ polymerization of aniline to reach a specific capacitance of 253 F g(-1) at 5 mV s(-1). The current procedure of heat-treatment and hybridization with a conductive polymer can be an effective method for attaining a well-expanded magnetic graphene composite possessing an enhanced electrochemical activity with a relatively high energy density (141 W h kg(-1) in 1.0 M NaCl) and an excellent stability (99% after 9000 cycles of 20 A g(-1)).