Endoport Assisted Endoscopic Surgery for Hypertensive Basal Ganglia Hemorrhage by Transsylvian Approach: Technical Nuances and Preliminary Clinical Results.

BACKGROUND: There is no clear evidence on the indication and surgical approaches on evacuating basal ganglia hemorrhage caused by hypertensive bleeding. Some studies have shown that minimally invasive approaches have therapeutic potentials, but its benefits remain inconclusive. We describe an endoport assisted endoscopic transsylvian approach for basal ganglia hemorrhage evacuation. We evaluate the safety and efficacy of this approach in a cohort study. METHODS: We included 19 patients (mean age 57 years) who underwent the surgery at a single county-level hospital in Yunan Province, China. The majority had a Glasgow coma scale between 9 and 12 on admission. The midline shift ranged from 16-29 mm (mean 19 mm). Hematoma volume ranged from 46 to 106 ml (mean 67 ml). Six patients (31.6%) presented with intraventricular hemorrhage. RESULTS: All patients achieved greater than 90% decrease in hematoma volume at postoperative computed tomography scan. The average operative time was 115 minutes and average blood loss of 44 ml. The most common postoperative complication was pulmonary infection (63.2%). No rebleeding, seizure, infectious meningitis, or postoperative mortality was observed. A total of 17 patients (89.5%) achieved good functional recovery at follow up within 90 days after surgery (Glasgow outcome scale 4-5) and 2 patients had severe disability (Glasgow outcome scale 3). CONCLUSIONS: Endoport assisted endoscopic surgery through transsylvian approach is safe and effective treatment for hypertensive basal ganglia hemorrhage. The majority of patients have good functional recovery and the rate of severe complications is low.

Substituent control of photophysical properties for excited-state intramolecular proton transfer (ESIPT) of o-LHBDI derivatives: a TD-DFT investigation.

The substituted effect on excited-state intramolecular proton transfer (ESIPT) of o-LHBDI derivatives (4R-o-LHBDI) was investigated by DFT and TD-DFT methods. The structures of 4R-o-LHBDI (R: OH, NH2, CN, NO2, CF3) were fully optimized, and the H-bond distances, bond angles, and infrared spectra of the atoms involved in PT process in the S0 and S1 states were analyzed. The absorption and fluorescence spectra were calculated, and the potential energy curves in both S0 and S1 states were constructed. Moreover, the effects of different substituents on the ESIPT mechanism of 4R-o-LHBDI (R: OH, NH2, CN, NO2, CF3) were studied. The results indicate that ESIPT in the 4R-o-LHBDI is a little harder to proceed than that in o-LHBDI since the ESIPT barrier of 4R-o-LHBDI is slightly bigger than that value of o-LHBDI. When the substituent has stronger electron-withdrawing ability or weaker electron-donating ability, the ESIPT process has the smaller potential barrier. Graphical abstract.

Theoretical investigation on the ESIPT mechanism and fluorescent sensing mechanism of 2-(2'-hydroxyphenyl) thiazole-4-carboxaldeyde in methanol.

2-(2'-Hydroxyphenyl) thiazole-4-carboxaldeyde (aldehyde 1) and hemiacetal 2 were selected to study the mechanism of excited-state intramolecular proton transfer and the detecting of Al3+ ion in methanol by using density functional theory (DFT) and time-dependent density functional theory (TDDFT) methods. Our theoretical results are in good agreement with the experimental values. The intramolecular H-bond is enhanced in the first excited-state based on the analyses of structural parameters, frontier molecular orbitals and electronic spectra. The stronger intramolecular H-bond is more favorable for ESIPT process. In order to further demonstrate the proton transfer process, we constructed the potential energy curves of probe 1 and 2 in both ground- and excited-states, and concluded that proton transfer processes in probe 1 and 2 are apt to happen in the S1 state. In addition, the Mayer bond order, energy gap and absorption and fluorescence spectra were applied to interpret the process of detection of Al3+ ion.