Diagnosis of Inverted Meckel's diverticulum by double-balloon enteroscopy: a case report.

Background: Meckel's diverticulum (MD) is the most common congenital defect of the gastrointestinal tract, occurring in about 1% to 2% of population. Most MD are rarely symptomatic, with presenting symptoms including diverticulitis, digestive tract hemorrhage and intestinal obstruction. The semblance of symptoms to enteritis and appendicitis makes preoperative diagnosis challenging. Current diagnosis of MD includes technetium-99m pertechnate scan, laparoscopic or intraoperative findings and examining surgical specimens. Here, we report that a double-balloon enteroscopy (DBE) improves the diagnosis accuracy of MD and presents high clinical application value. Case Description: A 12-year-old male patient was admitted to our hospital due to recurrent abdominal pain and black stools for more than half a year, recurrence for 2 days, accompanied by vomiting. The boy had anemic appearance, with periumbilical tenderness, and no mass was detected upon palpations. Past medical records revealed recurrent abdominal pain episodes thrice. Pre-surgery 99TcmO4-single-photon emission computed tomography/computed tomography (SPECT/CT) imaging was performed but did not reach the condition for diagnosis of MD. DBE was then performed and identified an upper ileum mass. After surgery, it was confirmed that the patient was an inverted MD, and the pathology showed gastric mucosa and pancreatic tissue. The patient recovered well after surgery and was discharged. Conclusions: DBE is not widely used in the diagnosis of MD, but its accuracy is higher than that of radionuclide scanning imaging. In addition, several advantages such as hemostasis treatment, direct detection and observation of the diverticulum, and demarcation of the site and scope of the lesion prior to surgery brings high clinical application value.

Do bubbles matter amid PBC for trigeminal neuralgia?

BACKGROUND: As a simple and safe alternative intervention, percutaneous balloon compression (PBC) has been gradually adopted by a growing number of neurosurgeons to treat trigeminal neuralgia. A pear-shaped opacity observed fluoroscopically, which indicates full suffusion of Meckel's cave conducting sufficient pressure against Gasserian ganglion, is believed to be the key to its success. Sometimes, a bitten pear may appear due to bubbles in the balloon but is usually ignored. OBJECTIVE: This study aims to investigate the effects of the bubbles on postoperative outcomes. METHODS: Patient data were obtained from the consecutive cases undergoing PBCs in our department between 2019 and 2021. Among them, pain and numbness were used to assess the efficacy of PBC based on Barrow Neurology Institute (BNI) scoring system. It was defined as an effective outcome if the postoperative pain intensity grade was lower than II. And those with numbness grade > II were regarded as numb incidence. RESULTS: We eventually recruited 59 cases, including 42 in full pear and 17 in bitten pear groups with follow-up time up to 44 months. The early effective rates were 95.2% and 82.4%, respectively (p > 0.05), which turned to 88.1% and 52.9% during the last follow-up period (p < 0.01). This result indicated that the bitten pear gave rise to a significantly higher recurrence. In terms of numbness, there was no significant difference. CONCLUSION: Gas does not yield enough pressure as liquid, and cannot exert enough pressure to the semilunar ganglion. Therefore, air evacuation should not be ignored before injection.

Template free synthesis of lithium doped three-dimensional macroporous graphitic carbon nitride for photocatalytic N2 fixation: the effect of Li-N active sites.

In this work, three-dimensional macroporous lithium doped graphitic carbon nitride was synthesized. XRD, N2 adsorption, SEM, XPS, UV-Vis spectroscopy, N2-TPD and photoluminescence were used to characterize the prepared catalysts. The result shows that lithium exists as a coordinative Li-N bond, which can chemisorb and activate N2 molecules, and promote the electron transfer from the catalyst to the nitrogen molecules. The as-prepared lithium doped g-C3N4 shows a NH4+ production rate of 4.8 mg L-1 h-1 gcat-1, which is 20 times that of bulk g-C3N4. Density functional theory (DFT) simulations show that lithium doping can not only increase the N[triple bond, length as m-dash]N bond length, which activates N2 molecules, but also promote the electron-hole separation efficiency of g-C3N4.

One step synthesis of high-efficiency AgBr-Br-g-C3N4 composite catalysts for photocatalytic H2O2 production via two channel pathway.

In this work, a two-component modified AgBr-Br-g-C3N4 composite catalyst with outstanding photocatalytic H2O2 production ability is synthesized. XRD, UV-Vis, N2 adsorption, TEM, XPS, EPR and PL were used to characterize the obtained catalysts. The as-prepared AgBr-Br-g-C3N4 composite catalyst shows the highest H2O2 equilibrium concentration of 3.9 mmol L-1, which is 7.8 and 19.5 times higher than that of GCN and AgBr. A "two channel pathway" is proposed for this reaction system which causes the remarkably promoted H2O2 production ability. In addition, compared with another two-component modified catalyst, Ag-AgBr-g-C3N4, AgBr-Br-g-C3N4 composite catalyst displays the higher photocatalytic H2O2 production ability and stability.

Preparation of g-C3N4/ZnMoCdS hybrid heterojunction catalyst with outstanding nitrogen photofixation performance under visible light via hydrothermal post-treatment.

Nitrogen fixation is the second most important chemical process in nature, next to photosynthesis. Herein, we report a novel g-C3N4/ZnMoCdS heterojunction photocatalyst with outstanding nitrogen photofixation ability under visible light prepared by hydrothermal post-treatment. The as-prepared ZnMoCdS is the ternary metal sulfide Zn(0.12)Mo(0.12)Cd(0.9)S(1.14) with many sulfur vacancies, not a mixture of ZnS, MoS2 and CdS. Strong electronic coupling, as evidenced by the UV-Vis, XPS and EIS results, exists between two components in g-C3N4/ZnMoCdS heterojunction photocatalysts, leading to more effective separation of photogenerated electron-hole pairs and faster interfacial charge transfer. The sulfur vacancies on ternary metal sulfides not only serve as active sites to adsorb and activate N2 molecules but also promote interfacial charge transfer from the catalyst to N2 molecules, thus significantly improving their nitrogen photofixation ability. With an optimal ZnMoCdS mass percentage of 80%, the as-prepared heterojunction photocatalyst exhibits the highest NH4(+) generation rate under visible light, which is 13.5-fold and 1.75-fold greater than those of individual g-C3N4 and ZnMoCdS, respectively.

Hydrothermal synthesis of oxygen functionalized S-P codoped g-C3N4 nanorods with outstanding visible light activity under anoxic conditions.

Extending the application of photocatalytic oxidation technology to the anoxic removal of organic pollutants that exist under some oxygen-free conditions is attractive but challenging. In this study, oxygen functionalized S-P codoped g-C3N4 nanorods with outstanding visible light activity under anoxic conditions are synthesized using a hydrothermal post-treatment. S and P codoping inhibits the crystal growth of graphitic carbon nitride, enhances the SBET, decreases the band gap energy, and increases the separation efficiency of photogenerated electrons and holes, which increases the anoxic photocatalytic RhB degradation constant by approximately 6.5 times. Oxygen functionalization not only increases the adsorption ability of graphitic carbon nitride but also captures the photogenerated electrons to produce photogenerated holes for RhB degradation under anoxic conditions, leading to a doubling of the RhB degradation constant. This study provides new insight into the design and fabrication of anoxic photocatalysts.

Band gap-tunable potassium doped graphitic carbon nitride with enhanced mineralization ability.

Band gap-tunable potassium doped graphitic carbon nitride with enhanced mineralization ability was prepared using dicyandiamide monomer and potassium hydrate as precursors. X-ray diffraction (XRD), N2 adsorption, UV-Vis spectroscopy, Fourier transform infrared (FT-IR) spectroscopy, scanning electron microscopy (SEM), photoluminescence (PL) and X-ray photoelectron spectroscopy (XPS) were used to characterize the prepared catalysts. The CB and VB potentials of graphitic carbon nitride could be tuned from -1.09 and +1.56 eV to -0.31 and +2.21 eV by controlling the K concentration. Besides, the addition of potassium inhibited the crystal growth of graphitic carbon nitride, enhanced the surface area and increased the separation rate for photogenerated electrons and holes. The visible-light-driven Rhodamine B (RhB) photodegradation and mineralization performances were significantly improved after potassium doping. A possible influence mechanism of the potassium concentration on the photocatalytic performance was proposed.

The influence of preparation method, nitrogen source, and post-treatment on the photocatalytic activity and stability of N-doped TiO2 nanopowder.

NH(3) plasma, N(2) plasma, and annealing in flowing NH(3) were used to prepare N doped TiO(2), respectively. XRD, UV-vis spectroscopy, N(2) adsorption, FT-IR, Zeta-potential measurement, and XP spectra were used to characterize the prepared TiO(2) samples. The nitridation procedure did not change the phase composition and particle sizes of TiO(2) samples, but extended its absorption edges to the visible light region. The photocatalytic activities were tested in the degradation of an aqueous solution of a reactive dyestuff, methylene blue, under visible light. The photocatalytic activity and stability of TiO(2) prepared by NH(3) plasma were much higher than that of samples prepared by other nitridation procedures. The visible light activity of the prepared N doped TiO(2) was improved by increasing the lattice-nitrogen content and decreasing adsorbed NH(3) on catalyst surface. The lattice-nitrogen stability of N-doped TiO(2) samples improved after HCl solution washing. The possible mechanism for the photocatalysis was proposed.

Hydrothermal synthesis of ionic liquid [Bmim]OH-modified TiO2 nanoparticles with enhanced photocatalytic activity under visible light.

TiO(2) nanocomposites modified with the ionic liquid [Bmim]OH are synthesized by a hydrothermal procedure. X-ray diffraction, Zeta-potential measurement, TEM, thermogravimetric analysis, photoluminescence, UV/Vis, FTIR, and X-ray photoelectron spectroscopy are used to characterize the TiO(2) nanocomposites. The TiO(2) nanocomposites consist of pure anatase particles of about 10 nm. The modification of [Bmim]OH on the surface of the TiO(2) particles extends the TiO(2) absorption edge to the visible-light region. The electrochemical redox potentials indicated that the highest occupied molecular orbital (HOMO) and lowest unoccupied molecular orbital (LUMO) of [Bmim]OH match well with the valence band (VB) and conduction band (CB) of the TiO(2) semiconductor. [Bmim]OH-modified TiO(2) is much more active than pristine TiO(2) under visible-light irradiation in the photocatalytic degradation of methylene blue in aqueous solution. [Bmim]OH is chemically bonded to the surface Ti-OH of TiO(2) particles rather than adsorbed on the surface. A possible mechanism for the photocatalysis is proposed.