ABSTRACT
OBJECTIVES: To evaluate the safety of ultrasound-guided thermal ablation (UGTA) for thyroid nodules (TNs) by analysing complications and related risks. MATERIALS AND METHODS: This retrospective, single-centre study reviewed patients who underwent UGTA (microwave or radiofrequency ablation) between January 2018 and March 2023. The incidence of complications was recorded and assessed during and immediately after ablation,1-3 h later, and at 1 month, 3 months, and 6 months. Univariate and multivariate analyses were performed to identify risk factors for hoarseness and haemorrhagic complications. RESULTS: We reviewed 9667 cases in this study. Overall, 4494 (46.49%) cases underwent microwave ablation, while 5173 (53.51%) cases underwent radiofrequency ablation. The overall complication rate was 4.43%. The incidence of major complications was 1.94% (haemorrhage, 1.32%; hoarseness, 0.54%; and symptomatic aseptic necrosis, 0.08%). The incidence of minor complications was 2.45%. A large nodule volume, radiofrequency ablation, hyper-enhancing nodules, benign nodules, higher preoperative blood pressure, hyperthyroidism, and higher ablation power were independent risk factors for haemorrhage. Dorsal nodules and a higher ablation power were independent risk factors for hoarseness. All complications were resolved. CONCLUSION: This study suggests that UGTA is a safe treatment for TNs. Several risk factors for haemorrhage and hoarseness should be considered before performing UGTA. Different ablation modalities should be considered for patients with different conditions. CLINICAL RELEVANCE STATEMENT: Thermal ablation may be a safe treatment for eligible patients with TNs. KEY POINTS: We analysed the complications and risk factors associated with UGTA in 9667 cases. The complication rate was 4.43%; 1.94% were major complications. Risk factors of haemorrhage and hoarseness should be considered. UGTA was a safe method for the treatment of TNs.
ABSTRACT
Ceramic membrane has an important application prospect in industrial acid solution treatment. Enhancement of the acid resistance is the key strategy to optimize the membrane treatment effect. This work reports a core-shell structured membrane fabricated on alumina ceramic substrates via a one-step in situ hydrothermal method. The acid resistance of the modified membrane was significantly improved due to the protection provided by a chemically stable carbon layer. After modification, the masses lost by the membrane in the hydrochloric acid solution and the acetic acid solution were sharply reduced by 90.91% and 76.92%, respectively. Kinetic models and isotherm models of adsorption were employed to describe acid adsorption occurring during the membrane process and indicated that the modified membrane exhibited pseudo-second-order kinetics and Langmuir model adsorption. Compared to the pristine membrane, the faster adsorption speed and the lower adsorption capacity were exhibited by the modified membrane, which further had a good performance with treating various kinds of acid solutions. Moreover, the modified membrane could be recycled without obvious flux decay. This modification method provides a facile and efficient strategy for the fabrication of acid-resistant membranes for use in extreme conditions.
ABSTRACT
A method for the selective synthesis of unsymmetrical α-haloketones has been developed. The key transformation is a triphenylphosphine oxide catalyzed reductive halogenation of an α,ß-unsaturated ketone in which trichlorosilane is the reducing reagent and an N-halosuccinimide is the electrophilic halogen source. This method allows for a halogen atom to be installed selectively at either of two very similarly substituted sites adjacent to a ketone group.
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A new method for the direct synthesis of 3-phosphinoylbenzothio(seleno)phenes has been achieved through an Ag-mediated radical addition-cyclization of 2-alkynylthio(seleno)anisoles with secondary phosphine oxides in good yields under mild conditions. In this single reaction, benzenethiophene or benzeneselenophene skeleton, C(sp2)-P and C(sp2)-S bonds can be constructed with the cleavage of the C(sp3)-S bond, highlighting the efficiency and step-economics of this protocol.
ABSTRACT
A flexible ligand bis(7-methyl-1,8-naphthyridine-2-ylamino)methane (), having kappa(4)-chelating and kappa(2)-bridging modes, and its intriguing structural complexes of Zn(II) with mu-OH, kappa(1)-OAc, mu-kappa(1)-OAc and mu-kappa(2)-OAc ligands, [Zn(2)()(2)(OH)](ClO(4))(3) (), [Zn(4)()(2)(OAc)(6)(OH)(2)].CH(2)Cl(2) (.CH(2)Cl(2)) and [Zn(5)()(2)(OAc)(10)](n).4nH(2)O (.4H(2)O) were synthesized and their structures were determined by X-ray crystallography. These compounds exhibited intense blue fluorescent emissions with a lambda(max) in the range of 380-410 nm in CH(2)Cl(2), CH(3)CN and CH(3)OH solutions, and solid-state emissions centered at 416, 463, 490 and 451 nm were observed for the compounds , , and at room temperature, respectively. The investigated fluorescence properties of associated with various metal ions showed that the fluorescence enhancement of with Cd(II) was more sensitive than with other interfering cations.