Opto-acoustic synergistic irradiation for vaporization of natural melanin-cored nanodroplets at safe energy levels and efficient sono-chemo-photothermal cancer therapy.

Rationale: Insufficient penetration and accumulation of theranostic payloads in solid tumors greatly challenge the clinical translation of cancer nanomedicines. To address this challenge, we synthesized natural melanin-cored and doxorubicin-loaded perfluoropentane nanodroplets with good biocompatibility and self-assembling ability. Methods: We used an opto-acoustic synergistic irradiation (OASI) method that was effective at lower energy levels than ultrasound- or laser-only irradiation to safely vaporize the nanodroplets and to cavitate the generated microbubbles for mechanically enhancing intratumoral delivery. The delivered melanin and doxorubicin inside the tumors mediated secondary chemo-photothermal therapy under laser irradiation to fully kill cancer cells. Results:In vivo animal experiments demonstrated direct mechanical disruption of tumor structures (H&E staining), enhanced intratumoral penetration of melanin (photoacoustic imaging), and efficient intratumoral accumulation of doxorubicin (fluorescent imaging). Anti-tumor experiments demonstrated that the nanodroplets combined with OASI treatment and subsequent laser irradiation could efficiently eliminate melanoma tumors. Conclusion: Melanin-cored and doxorubicin-loaded perfluoropentane nanodroplets hold great promise for translational sono-chemo-photothermal cancer therapy.

Selective intracellular delivery of perfluorocarbon nanodroplets for cytotoxicity threshold reduction on ultrasound-induced vaporization.

BACKGROUND: Phase-change nanodroplets (PCNDs), which are liquid perfluorocarbon nanoparticles, have garnered much attention as ultrasound-responsive nanomedicines. The vaporization phenomenon has been employed to treat tumors mechanically. However, the ultrasound pressure applied to induce vaporization must be low to avoid damage to nontarget tissues. AIMS: Here, we report that the pressure threshold for vaporization to induce cytotoxicity can be significantly reduced by selective intracellular delivery of PCNDs into targeted tumors. METHODS AND RESULTS: In vitro experiments revealed that selective intracellular delivery of PCNDs induced PCND aggregation specifically inside the targeted cells. This close-packed configuration decreased the pressure threshold for vaporization to induce cytotoxicity. Moreover, following ultrasound exposure, significant decrease was observed in the viability of cells that incorporated PCNDs (35%) but not in the viability of cells that did not incorporate PCNDs (88%). CONCLUSIONS: Intracellular delivery of PCNDs reduced ultrasound pressure applied for vaporization to induce cytotoxicity. Confocal laser scanning microscopy and flow cytometry revealed that prolonged PCND-cell incubation increased PCND uptake and aggregation. This aggregation effect might have contributed to the cytotoxicity threshold reduction effect.

Risk Factors for Reoperation After Photoselective Vaporization of the Prostate Using a 120 W GreenLight High Performance System Laser for the Treatment of Benign Prostatic Hyperplasia.

OBJECTIVE: We investigated risk factors in a large cohort of patients who underwent reoperation after photoselective vaporization of the prostate using the 120 W GreenLight High Performance System laser for treatment of benign prostatic hyperplasia. BACKGROUND DATA: Complications such as recurrent/residual adenoma, urethral stricture, or bladder neck might occur after photoselective vaporization of the prostate for treatment of benign prostatic hyperplasia. MATERIALS AND METHODS: We reviewed the data of 1040 patients who underwent photoselective vaporization of the prostate between April 2009 and December 2014, and analyzed the clinical data of 630 patients who completed >12 months of follow-up. Patients were evaluated for perioperative and late complications. Reoperation was defined as the necessity for any surgical intervention to resolve recurrent/residual adenoma, urethral stricture, or bladder neck contracture. Patients with recurrent/residual adenoma, urethral stricture, or bladder neck contracture were compared with those without complications to identify the risk factors for reoperation. Logistic regression analysis was conducted to estimate the risk of reoperation. RESULTS: Reoperation was performed in 25 of 630 patients (3.9%) at 35.5 months mean follow-up: 12 had recurrent/residual adenoma, 5 had urethral stricture, and 8 had bladder neck contracture. Multivariate analysis revealed that a higher prostate-specific antigen (PSA) (OR, 1.129; p = 0.023) and longer lasing time (OR, 0.883; p = 0.024) were predictors of recurrent/residual adenoma. Urethral stricture was associated with a history of transurethral surgery (OR, 1.321; p = 0.042). Preoperative small prostate volume was a risk factor for bladder neck contracture (OR, 0.901; p = 0.011). CONCLUSIONS: In our study, the significant factors related to recurrent/residual adenoma were a high preoperative PSA and longer lasing time. A history of transurethral surgery was significantly associated with urethral stricture, whereas preoperative small prostate volume was significantly associated with bladder neck contracture.

Mechanical bioeffects of acoustic droplet vaporization in vessel-mimicking phantoms.

This study investigated the mechanical bioeffects exerted by acoustic droplet vaporization (ADV) under different experimental conditions using vessel phantoms with a 200-µm inner diameter but different stiffness for imitating the microvasculature in various tumors. High-speed microscopy, passive cavitation detection, and ultrasound attenuation measurement were conducted to determine the morphological characteristics of vascular damage and clarify the mechanisms by which the damage was initiated and developed. The results show that phantom erosion was initiated under successive ultrasound exposure (2 MHz, 3 cycles) at above 8-MPa peak negative pressures (PNPs) when ADV occurred with inertial cavitation (IC), producing lesions whose morphological characteristics were dependent on the amount of vaporized droplets. Slight injury occurred at droplet concentrations below (2.6±0.2)×10(6) droplets/mL, forming shallow and rugged surfaces on both sides of the vessel walls. Increasing the droplet concentration to up to (2.6±0.2)×10(7) droplets/mL gradually suppressed the damage on the distal wall, and turned the rugged surface on the proximal wall into tunnels rapidly elongating in the direction opposite to ultrasound propagation. Increasing the PNP did not increase the maximum tunnel depth after the ADV efficiency reached a plateau (about 71.6±2.7% at 10 MPa). Increasing the pulse duration effectively increased the maximum tunnel depth to more than 10 times the diameter of the vessel even though there was no marked enhancement in IC dose. It can be inferred that substantial bubble generation in single ADV events may simultaneously distort the acoustic pressure distribution. The backward ultrasound reinforcement and forward ultrasound shielding relative to the direction of wave propagation augment the propensity of backward erosion. The results of the present work provide information that is valuable for the prevention or utilization of ADV-mediated mechanical bioeffects in clinical applications.

Effects of NOx on the volatility of secondary organic aerosol from isoprene photooxidation.

The effects of NOx on the volatility of the secondary organic aerosol (SOA) formed from isoprene photooxidation are investigated in environmental chamber experiments. Two types of experiments are performed. In HO2-dominant experiments, organic peroxy radicals (RO2) primarily react with HO2. In mixed experiments, RO2 reacts through multiple pathways, including with NO, NO2, and HO2. The volatility and oxidation state of isoprene SOA are sensitive to and exhibit a nonlinear dependence on NOx levels. Depending on the NOx levels, the SOA formed in mixed experiments can be of similar or lower volatility compared to that formed in HO2-dominant experiments. The dependence of SOA yield, volatility, and oxidation state on the NOx level likely arises from gas-phase RO2 chemistry and succeeding particle-phase oligomerization reactions. The NOx level also plays a strong role in SOA aging. While the volatility of SOA in mixed experiments does not change substantially over time, SOA becomes less volatile and more oxidized as oxidation progresses in HO2-dominant experiments.

Multiple headspace-solid-phase microextraction as a powerful tool for the quantitative determination of volatile radiolysis products in a multilayer food packaging material sterilized with γ-radiation.

A method consisting of multiple headspace solid-phase microextraction followed by gas chromatography-mass spectrometry analysis was developed and used to determine the main volatile radiolysis products formed by γ-irradiation of flexible multilayer food packaging samples. The developed method allows the use of solid-phase microextraction in the quantification of compounds from plastic solid samples. A screening of volatiles in the γ-irradiated and non-irradiated films was performed and 29 compounds were identified in the irradiated packaging, 17 of which were absent in the non-irradiated samples. The main volatile radiolysis products identified were: 1,3-di-tert-butylbenzene; 2,6-di-tert-butyl-1,4-benzoquinone; 4-tert-butyl-phenol and the off-odor compounds butanoic acid and valeric acid. These volatile radiolysis compounds were determined with the proposed method and the results are shown and discussed. Solid-liquid extraction and headspace solid-phase microextraction methods were also studied for comparative purposes. The automated solvent-free multiple HSPME technique here presented can be used to quantify the radiolysis compounds in irradiated plastic solid samples in a simple way with the advantages of being free from matrix influence and environmentally friendly.

Reducing risk of fire in the operating room using coblation technology.

Operating room fires are rare, but when they occur, they have potentially devastating and deadly consequences. Coblation (ArthroCare ENT, Austin, TX) technology has become popular for many otolaryngology procedures and seems to have the advantage of reducing fire risk. Our objective was to test the Coblator II on various flammable materials commonly found and used in the operating room. We placed the active Coblator II at the highest settings, in direct contact with flammable operating room equipment and materials, and made the environment even more volatile by introducing oxygen into the testing environment. We found that the Coblator II did not produce fire when in contact with any of the materials. This finding is very important in otolaryngology because airway procedures often take place in environments with high concentrations of oxygen. Our testing shows that the Coblator II is safe to use in these types of environments.

In vitro study on the vaporization ratio of 2-microm laser in human prostatic tissue.

In this study, the vaporization ratio of the 2-mum laser in the prostatic tissue with benign prostatic hyperplasia was examined in vitro, to explore a technique to estimate the clearance rate of prostatic tissue during the transurethral vaporesection of the prostate. A total of 9 fresh prostatic tissue specimens were obtained by open surgery and the wet weight of the prostatic tissue were measured immediately after the sample collection. Under the simulated conditions of transurethral vaporesection of the prostate by 2-microm laser, each prostate gland was completely vaporesected into fragments with a diameter of less than 1.0 cm in vitro. After the vaporesection, the whole fragments of prostatic tissue were collected and measured. Then the lost weight of prostatic tissue, the weight of the collected prostatic tissue and the ratio of the lost weight of prostatic tissue to the wet weight of the prostate glandular organ specimen were calculated. The correlation between the weight of collected prostatic tissue and the weight of the whole glandular organ was analyzed. All the experimental procedures were carried out by one operator. Wet weight of the prostatic gland specimen and the weight of the harvested prostatic tissues after the procedure were recorded. With respect to the wet weight of prostate gland specimen, the percentage of the weight of collected prostatic tissue was (34.45 + or - 1.51) %, and the percentage of the lost weight of prostatic tissue was (65.55 + or - 1.51)%. Satisfactory linear relationship was observed between the weight of collected prostatic tissue and the wet weight of prostate gland specimen [y = 3.245 x -6.475 (t=15.097, P=0.000)]. It is concluded that under the simulated conditions of transurethral vaporesection of the prostate by 2-mum laser, the vaporization ratio of prostatic tissue can be calculated on the basis of the weight of collected prostatic tissue, and thereby the clearance of prostatic tissue during the formal operation by 2-microm laser could be quantitatively determined.

The conical intersection dominates the generation of tropospheric hydroxyl radicals from NO2 and H2O.

In the present work, we report a quantitative understanding on how to generate hydroxyl radicals from NO(2) and H(2)O in the troposphere upon photoexcitation at 410 nm by using multiconfigurational perturbation theory and density functional theory. The conical intersections dominate the nonadiabatic relaxation processes after NO(2) irradiated at approximately 410 nm in the troposphere and further control the generation of OH radical by means of hydrogen abstraction. In agreement with two-component fluorescence observed by laser techniques, there are two different photophysical relaxation channels along decreasing and increasing O-N-O angle of NO(2). In the former case, the conical intersection between B(2)B(1) and A(2)B(2) (CI ((2)B(2)/(2)B(1)) first funnels NO(2) out of the Franck-Condon region of B(2)B(1) and relaxes to the A(2)B(2) surface. Following the primary relaxation, the conical intersection between A(2)B(2) and X(2)A(1) (CI((2)B(2)/(2)A(1))) drives NO(2) to decay into highly vibrationally excited X(2)A(1) state that is more than 20,000 cm(-1) above zeroth-order |n(1),n(2),n(3) = 0 vibrational level. In the latter case, increasing the O-N-O angle leads NO(2) to relax to a minimum of B(2)B(1) with a linear O-N-O arrangement. This minimum point is also funnel region between B(2)B(1) and X(2)A(1) (CI((2)B(1)/(2)A(1))) and leads NO(2) to relax into a highly vibrationally excited X(2)A(1) state. The high energetic level of vibrationally excited state has enough energy to overcome the barrier of hydrogen abstraction (40-50 kcal/mol) from water vapor, producing OH ((2)Pi(3/2)) radicals. The collision between NO(2) and H(2)O molecules not only is a precondition of hydrogen abstraction but induces the faster internal conversion (CIIC) via conical intersections. The faster internal conversion favors more energy transfer from electronically excited states into highly vibrationally excited X(2)A(1) states. The collision (i.e., the heat motion of molecules) functions as the trigger and accelerator in the generation of OH radicals from NO(2) and H(2)O in the troposphere.

Comparison of the disinfection by-product formation potential of treated waters exposed to chlorine and monochloramine.

The formation of disinfection by-products (DBPs) from chlorination and monochloramination of treated drinking waters was determined. Samples were collected after treatment at 11 water treatment works but before exposure to chlorine or monochloramine. Formation potential tests were carried out to determine the DBPs formed by chlorination and monochloramination. DBPs measured were trihalomethanes (THMs), haloacetic acids (HAAs), halonitromethanes (HNMs), haloacetonitriles (HANs), haloaldehydes (HAs), haloketones (HKs) and iodo-THMs (i-THMs). All waters had the potential to form significant levels of all the DBPs measured. Compared to chlorine, monochloramination generally resulted in lower concentrations of DBPs with the exception of 1,1-dichloropropanone. The concentrations of THMs correlated well with the HAAs formed. The impact of bromine on the speciation of the DBPs was determined. The literature findings that higher bromide levels lead to higher concentrations of brominated DBPS were confirmed.

Determination of methylmercury and inorganic mercury by coupling short-column ion chromatographic separation, on-line photocatalyst-assisted vapor generation, and inductively coupled plasma mass spectrometry.

We have combined short-column ion chromatographic separation and on-line photocatalyst-assisted vapor generation (VG) techniques with inductively coupled plasma mass spectrometry to develop a simple and sensitive hyphenated method for the determination of aqueous Hg(2+) and MeHg(+) species. The separation of Hg(2+) and MeHg(+) was accomplished on a cation-exchange guard column using a glutathione (GSH)-containing eluent. To achieve optimal chromatographic separation and signal intensities, we investigated the influence of several of the operating parameters of the chromatographic and photocatalyst-assisted VG systems. Under the optimized conditions of VG process, the shortcomings of conventional SnCl(2)-based VG techniques for the vaporization of MeHg(+) was overcome; comparing to the concentric nebulizer-ICP-MS system, the analytical sensitivity of ICP-MS toward the detection of Hg(2+) and MeHg(+) were also improved to 25- and 7-fold, respectively. With the use of our established HPLC-UV/nano-TiO(2)-ICP-MS system, the precision for each analyte, based on three replicate injections of 2 ng/mL samples of each species, was better than 15% RSD. This hyphenated method also provided excellent detection limits--0.1 and 0.03 ng/mL for Hg(2+) and MeHg(+), respectively. A series of validation experiments--analysis of the NIST 2672a Standard Urine Reference Material and other urine samples--confirmed further that our proposed method could be applied satisfactorily to the determination of inorganic Hg(2+) and MeHg(+) species in real samples.

Investigation of neutron radiation effects on polyclonal antibodies (IgG) and fluorescein dye for astrobiological applications.

Detecting life in the Solar System is one of the great challenges of new upcoming space missions. Biochips have been proposed as a way to detect organic matter on extraterrestrial objects. A biochip is a miniaturized device composed of biologically sensitive systems, such as antibodies, which are immobilized on a slide. In the case of in situ measurements, the main concern is to ensure the survival of the antibodies under space radiation. Our recent computing simulation of cosmic ray interactions with the martian environment shows that neutrons are one of the dominant species at soil level. Therefore, we have chosen, in a first approach, to study antibody resistance to neutrons by performing irradiation experiments at the Applications Interdisciplinaires des Faisceaux d'Ions en Région Aquitaine (AIFIRA) platform, a French ion beam facility at the Centre d'Etudes Nucléaires de Bordeaux-Gradignan in Bordeaux. Antibodies and fluorescent dyes, freeze-dried and in buffer solution, were irradiated with 0.6 MeV and 6 MeV neutrons. Sample analyses demonstrated that, in the conditions tested, antibody recognition capability and fluorescence dye intensity are not affected by the neutrons.

Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 2: evaluation of the efficacy.

BACKGROUND AND OBJECTIVES: Limited information exists regarding the efficacy of laser activated irrigation (LAI) on removal of root canal debris. This study compares the efficacy of LAI for removal of debris in root canals as compared to conventional irrigation (CI) and passive ultrasonic irrigation (PUI). MATERIALS AND METHODS: A splitted tooth model was constructed with straight roots prepared to a 0.06 taper and an apical diameter of ISO 40. A vertical groove was cut in the canal wall at 2-6 mm to the end of the canal in one halve of the root canal wall and filled with dentinal debris. In group 1 root canals were irrigated with 2.5% NaOCl by hand (20 seconds) with the needle 1 mm short from the apical stop, in group 2 NaOCl was ultrasonically activated (20 seconds) with an Irrisafe tip 1 mm short from the apical stop, and in group 3 NaOCl was activated with an Er,Cr:YSGG laser (Z2 Endolase tip -200 microm fiber, four times for 5 seconds, 75 mJ, 20 Hz, stationary at 5 mm from the apical stop). The remaining quantity of dentin debris in the groove was evaluated using a scoring system. RESULTS: LAI resulted in significantly less debris than PUI (P<0.005) and CI (P<0.0005). PUI also showed significantly less debris than CI (P<0.005). CONCLUSION: Under the conditions of this study LAI is statistically significantly more effective in removing artificially placed dentin debris in a root canal as PUI and CI.

Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study.

BACKGROUND AND OBJECTIVES: Limited information exists regarding the induction of explosive vapor and cavitation bubbles in an endodontic rinsing solution. It is also not clear whether a fiber has to be moved in the irrigation solution or can be kept stationary. No information is available on safe power settings for the use of cavitation in the root canal. This study investigates the fluid movements and the mechanism of action caused by an Er,Cr:YSGG laser in a transparent root model. MATERIAL AND METHODS: Glass models with an artificial root canal (15 mm long, with a 0.06 taper and apical diameter of 400 microm) were used for visualization and registration with a high-speed imaging technique (resolution in the microsecond range) of the creation of explosive vapor bubbles with an Er,Cr:YSGG laser at pulse energies of 75, 125, and 250 mJ at 20 Hz using a 200 microm fiber (Z2 Endolase). Fluid movement was investigated by means of dyes and visualization of the explosive vapor bubbles, and as a function of pulse energy and distance of the fiber tip to the apex. RESULTS: The recordings in the glass model show the creation of expanding and imploding vapor bubbles with secondary cavitation effects. Dye is flushed out of the canal and replaced by surrounding fluid. It seems not necessary to move the fiber close to the apex. CONCLUSION: Imaging suggests that the working mechanism of an Er,Cr:YSGG laser in root canal treatment in an irrigation solution can be attributed to cavitation effects inducing high-speed fluid motion into and out the canal.

The photodegradation and modeling of a typical NAPL trichloroethene, by monochromatic UV irradiations.

In this study, the photodegradation of a typical nonaqueous phase liquid (NAPL)-trichloroethene (TCE) by ultraviolet irradiation was investigated. The decay of NAPL-TCE was studied in a RPR-200 Rayonet photochemical reactor, at three different monochromatic UV lamps (254, 300, and 350 nm). Among the three UV wavelengths used, the highest photodecay rate was obtained at 254 nm. The effect of the initial NAPL dosage was also analyzed to determine the photodecay of NAPL-TCE in batch experiments by ultraviolet irradiation at preselected wavelengths. The direct photolysis of NAPL-TCE followed two-stage pseudo first-order decay kinetics. The photodegradation rates of TCE were found to decrease with the increment of NAPL dosage. It is interesting to find that the NAPL dosage is critical to determine the process performance due to the NAPL size or cage effect, which will control the diffusion of TCE/intermediates between NAPL and aqueous phases and therefore the overall reaction rates. Mathematical models were developed for the prediction of the two-stage photodegradation, in which the remaining fraction of TCE (C/C0) in the system becomes predictable.

Efficiency of clay--TiO2 nanocomposites on the photocatalytic elimination of a model hydrophobic air pollutant.

Clay-supported TiO2 photocatalysts can potentially improve the performance of air treatment technologies via enhanced adsorption and reactivity of target volatile organic compounds (VOCs). In this study, a benchtop photocatalytic flow reactor was used to evaluate the efficiency of hectorite-TiO2 and kaolinite-TiO2, two novel composite materials synthesized in our laboratory. Toluene, a model hydrophobic VOC and a common indoor air pollutant, was introduced in the air stream at realistic concentrations, and reacted under UVA (lamda(max) = 365 nm) or UVC (lamda(max) = 254 nm) irradiation. The UVC lamp generated secondary emission at 185 nm, leading to the formation of ozone and other short-lived reactive species. Performance of clay-Ti02 composites was compared with that of pure TiO2 (Degussa P25), and with UV irradiation in the absence of photocatalyst under identical conditions. Films of clay-TiO2 composites and of P25 were prepared by a dip-coating method on the surface of Raschig rings, which were placed inside the flow reactor. An upstream toluene concentration of approximately 170 ppbv was generated by diluting a constant flow of toluene vapor from a diffusion source with dry air, or with humid air at 10, 33, and 66% relative humidity (RH). Toluene concentrations were determined by collecting Tenax-TA sorbent tubes downstream of the reactor, with subsequent thermal desorption--GC/MS analysis. The fraction of toluene removed, %R, and the reaction rate, Tr, were calculated for each experimental condition from the concentrations measured with and without UV irradiation. Use of UVC light (UV/TiO2/O3) led to overall higher reactivity, which can be partially attributed to the contribution of gas phase reactions by short-lived radical species. When the reaction rate was normalized to the light irradiance, Tr/Ilamda,the UV/TiO2 reaction under UVA irradiation was more efficient for samples with a higher content of TiO2 (P25 and Hecto-TiO2), but notfor Kao-TiO2. In all cases, reaction rates peaked at 10% RH, with Tr values between 10 and 50% higherthan those measured under dry air. However, a net inhibition was observed as RH increased to 33% and 66%, indicating that water molecules competed effectively with toluene for reactive surface sites and limited the overall photocatalytic conversion. Compared to P25, inhibition by coadsorbed water was less significant for Kao-TiO2 samples, but was more dramatic for Hecto-TiO2 due to the high water uptake capacity of hectorite.

Alkaline solubilization and microwave irradiation as a combined sludge disintegration and minimization method.

Commonly used pretreatment method of alkaline solubilization (using NaOH) and a relatively new technology of microwave (MW) irradiation (160 degrees C) were combined as a pretreatment method of waste activated sludge (WAS) in this study. First alkaline and MW pretreatment methods were examined separately, then their combination for different conditions was investigated in terms of their effect on COD solubilization, turbidity and capillary suction time (CST). For combined pretreatments, soluble COD to total COD ratio (SCOD/TCOD) of WAS increased from 0.005 (control) to 0.18, 0.27, 0.34 and 0.37 for combined methods of MW and pH-10, 11, 12 and 12.5, respectively. Deteriorated dewaterability due to alkaline pretreatment was also improved due to the incorporation of MW irradiation. Further, with small scale batch anaerobic reactors, pH-10, pH-12, MW (alone), MW+pH-10 and MW+pH-12 pretreated WAS samples were anaerobically digested. Highest total gas and methane productions were achieved with MW+pH-12 pretreatment with 16.3% and 18.9% improvements over control reactor, respectively. Finally the performance of MW+pH-12 pretreatment was examined with 2L anaerobic semi-continuous reactors for 92 days and compared to that of the control reactors. These reactors were operated at an SRT of 15 days. After steady state, 43.5% and 55% improvements were obtained in respective daily total gas and methane productions. TS, VS and TCOD reductions were improved by 24.9%, 35.4% and 30.3%, respectively based on a relative calculation with respect to control reactors. This way combined alkaline-microwave treatment proved to be an effective sludge minimization method. Pretreated digested sludge had 22% improved dewaterability than unpretreated digested sludge. Higher SCOD and NH(3)-N concentrations were measured in the pretreated digested sludge supernatant; however, PO(4)-P concentration did not increase much.

Láser de diodo-980 mm de alta potencia: resultados preliminares en el tratamiento de la hiperplasia benigna de próstata / High power 980 NM Diode Laser: preliminary results in the treatment of benign prostatic hyperplasia

OBJETIVO: Evaluar clínicamente la utilización de un láser de diodo de 980 nm en el tratamiento de la uropatía obstructiva infravesical secundaria a hiperplasia benigna de próstata (HBP), poniendo énfasis en la morbilidad perioperatoria y los resultados en un seguimiento a corto plazo.MÉTODOS: Quince pacientes fueron incluidos en el estudio. Todos fueron evaluados mediante los cuestionarios IPSS y de calidad de vida (CV), tacto rectal, PSA, ecografía y flujometría. Se procedió a la vaporización prostática con un láser de diodo de 980 nm (120 W; Intermedic; Barcelona, España) utilizando una fibra de disparo lateral de 600 micras. En el seguimiento se recogió cualquier incidencia, así como la puntuación en los cuestionarios IPSS y CV así como en el pico de flujo máximo.RESULTADOS: La edad media de los pacientes fue de 66,7 años (45-75). El rango del volumen prostático fue 20-76 cc (media 41,3 cc). La media de energía utilizada fue de 161,012 kJ (78,3-243). Ningún paciente presentó una pérdida hemática significativa ni síndrome de absorción líquida. En todos los casos se colocó un catéter uretral 22F que se retiró entre las 12-40 horas postoperatorias. Tras un seguimiento medio de 5,5 meses (2-9), la puntuación media en el cuestionario IPSS y en el de CV variaron, respectivamente, de una media de 22,4 (19-26) y de 3 (2-4) previa a la intervención, hasta una media de 6,8 (1-13) (p<0,01) en el cuestionario IPSS y de 1,4 (0-3) en el de CV al final del seguimiento (p<0,01). De igual modo, el flujo máximo se incrementó de 6,4 ml/s (5-11,9) en el preoperatorio a 19,7 ml/s (13,9-24) en el postoperatorio (p<0,01).Ningún paciente presenta incontinencia. No se ha requerido la repetición del procedimiento, si bien tres pacientes precisaron un sondaje transitorio en las primeras 48h (dos de los pacientes eran portadores de sonda vesical antes del tratamiento)(AU)

CONCLUSIONES: Nuestros resultados preliminares sugieren que la vaporización prostática con láser de diodo de 980 nm utilizando potencias de hasta 120 W es efectiva y asociada a escasa morbilidad(AU)

OBJECTIVES: A clinical evaluation of the use of a 980 nm diode laser in the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia (BPH), focused on perioperatory morbidity and results in a short-term follow-up.METHODS: Fifteen patients were included in the study. All of them were evaluated by IPSS and Quality of Life (QoL) questionnaires, digital rectal examination, PSA, ul-trasound scan and uroflowmetry. Prostate vaporization was performed with a laser of diode at 980 nm (Inter-medic; Barcelona, Spain) using a 600 microns side-fire fiber. In the follow-up any event was recorded, as well as the IPSS and QoL scores and Qmax.RESULTS: Mean age of the patients was 66.7 years(45-75). The range of prostate volume was 20-76 cc (median 41.3 cc). Mean delivered energy was 161,012 kJ (78,3-243). No patient showed either a significant hematic loss or fluid absorption syndrome. A 22F urethral three-way catheter was inserted and removed between 12-40 hours in the postoperatory period. After a mean follow-up of 5,5 months (2-9) the average IPSS and QOL questionnaires scores changed, respectively, from 22,4 (19-26) and from 3 (2 -4) to an average of 6,8 (1 – 13) (p<0,01) and 1,4 (0 – 3), respectively, at the end of follow-up (p <0,01). Qmax increased from 6,4 ml/s (5-11,9) baseline to 19,7 ml/s (13,9-24 (p <0,01). No patient showed urinary incontinence. Retreatment was not nee-ded though three patients needed a short-time catheterization (24 hours) after developing acute urinary retention in the first 48h hours.CONCLUSIONS: Our preliminary results suggest that prostate vaporization using 980 nm diode laser with output power up to 120 W, is effective and associated to minimal morbidity(AU)

Evaluation of continuous mesophilic anaerobic sludge digestion after high temperature microwave pretreatment.

Effect of microwave pretreatment (MW) high temperature (175 degrees C) and MW intensity to waste activated sludge digested with acclimatized inoculum in single- and dual-stage semi-continuous mesophilic anaerobic digesters at different sludge retention times (SRTs) (20, 10 and 5 days) were investigated. MW pretreatment led to similar sludge stabilization at low SRTs (5 and 10 days). Although lowering MW intensity slightly improved sludge solubilization, it had a negative effect on digestion at low SRTs. Single-stage digesters with MW pretreatment surpass dual-stage digesters performances.