Assessing vaginal wall indexes in premenopausal versus postmenopausal women by transrectal linear array high-frequency probe.

OBJECTIVE: This study aimed to verify the feasibility of 2D measurement of full-layer thickness of vaginal wall and evaluation of its elasticity by shear wave elastic imaging using transrectal linear array high-frequency ultrasound and to investigate the differences of vaginal wall indexes in premenopausal versus postmenopausal women. METHOD: From September to November 2022, a total of 87 women in the Department of Gynecology, Nanjing First Hospital were examined by a sonographer using transrectal linear array high-frequency ultrasound, including 34 women of reproductive age and 53 postmenopausal women. The vagina was divided into upper, middle, and lower segments, and the full-layer thickness of each part was measured. Then shear wave elastography (SWE) was used, and the average value of Young's modulus was used to evaluate the degree of vaginal elasticity. RESULTS: Transrectal linear array high-frequency ultrasound can clearly display structures of vaginal wall; measurement of the full thickness of the vaginal wall and evaluation of the degree of vaginal elasticity were feasible. There was a statistically significant difference in the thickness of each part of the vaginal wall between pre- and postmenopausal women (P < 0.001); there was no significant difference in the vaginal Young's modulus of pre- and postmenopausal women (P = 0.073). CONCLUSION: Transrectal linear array high-frequency ultrasonography is a non-invasive and feasible method to measure vaginal wall thickness (VWT) and elasticity. There are significant differences in VWT between pre- and postmenopausal women.

Exploring of toxic Pb(II) removal by low-cost bio-adsorbent of camphor leaf forestry waste after camphor oil extraction.

Camphor leaf (CL) was widely used to extract camphor oil and thus led to abundant forestry waste. In order to reduce pollution, the waste CL was used to prepare bio-adsorbent for Pb(II) removal after alkali treatment and functional modification. The effects of solution pH, initial Pb(II) concentration, contact time and solution temperature were investigated on adsorption process to evaluate the potential application in heavy metal ions' removal. It was found that the massive hydroxyl groups released and plenty of micro-pores formed after the alkali treatment of CL bio-adsorbent, which obviously increased the Pb(II) adsorption. And the adsorption performance promoted continually after further functional modification by ionized 1,2,3,4-butanetetracarboxylic acid (BTCA). The increase of pH was favourable for the adsorption even though the precipitation effect was deducted. Linear fitting method was more suitable to describe the adsorption process than nonlinear fitting method, including adsorption isotherms and adsorption kinetics research. The adsorption thermodynamics was better to be described by nonlinear fitting method due to its lower root mean square error (RMSE) value and higher R2 value. Among which, the adsorption isotherm and adsorption kinetics were fitted well to Langmuir model and pseudo-second-order model, respectively. The adsorption thermodynamics was exothermic in nature and the process was spontaneous at low solution temperature. The adsorption mechanism was revealed as the combination of dominant chemical adsorption and assistant physical adsorption.