Electronic Excitation Characteristics and Spectral Behavior of Phosphate Anions.

Absorption spectra are fundamental bases for the qualitative and quantitative analysis of the target chemical, and the development of an analytical model can be improved by studying its characteristics and rules. In the present study, the electronic excitation characteristics of phosphate anions (H2PO4-, HPO42-, and PO43-) were analyzed based on the charge-transfer spectrum. In addition, the absorption spectra of phosphate anions at the energy level of PBE0/6-311+G (d,p) were recorded based on the time-dependent density functional theory (TD-DFT) method. Different (HPO42-)n·(H2O)10-n molecular clusters were theoretically constructed, and the combined TD-DFT method and independent gradient model revealed that red shift of the maximum absorption wavelength (λmax) with the increase of phosphate anion concentration (0-10 mM) may be caused by the decrease of hydrogen bond interaction. In addition, the prominent dispersion in the short-wave region mainly resulted in the red shift of λmax with the increase in optical path length (1-100 mm). Moreover, with the increase in spectral bandwidth (0.4-3.0 nm), λmax slightly blue-shifted because of the increase in energy through the slit, and repeatability of the corresponding absorbance measurement at λmax gradually improved. As the spectral bandwidth increased, light monochromaticity became poor, resulting in the decrease of the linearly fitted correlation coefficient of the concentration-absorbance curve. Finally, the multivariate analysis of variance results showed that the optical path length was the most significant factor that influenced the absorption spectral characteristics of phosphate anions. This study provides a basis for the qualitative and quantitative analysis of phosphate anions by using absorption spectra and also renders a theoretical reference for absorption spectroscopy of other chemicals.

Extracting Common Mode Errors of Regional GNSS Position Time Series in the Presence of Missing Data by Variational Bayesian Principal Component Analysis.

Removal of the common mode error (CME) is very important for the investigation of global navigation satellite systems' (GNSS) error and the estimation of an accurate GNSS velocity field for geodynamic applications. The commonly used spatiotemporal filtering methods normally process the evenly spaced time series without missing data. In this article, we present the variational Bayesian principal component analysis (VBPCA) to estimate and extract CME from the incomplete GNSS position time series. The VBPCA method can naturally handle missing data in the Bayesian framework and utilizes the variational expectation-maximization iterative algorithm to search each principal subspace. Moreover, it could automatically select the optimal number of principal components for data reconstruction and avoid the overfitting problem. To evaluate the performance of the VBPCA algorithm for extracting CME, 44 continuous GNSS stations located in Southern California were selected. Compared to previous approaches, VBPCA could achieve better performance with lower CME relative errors when more missing data exists. Since the first principal component (PC) extracted by VBPCA is remarkably larger than the other components, and its corresponding spatial response presents nearly uniform distribution, we only use the first PC and its eigenvector to reconstruct the CME for each station. After filtering out CME, the interstation correlation coefficients are significantly reduced from 0.43, 0.46, and 0.38 to 0.11, 0.10, and 0.08, for the north, east, and up (NEU) components, respectively. The root mean square (RMS) values of the residual time series and the colored noise amplitudes for the NEU components are also greatly suppressed, with average reductions of 27.11%, 28.15%, and 23.28% for the former, and 49.90%, 54.56%, and 49.75% for the latter. Moreover, the velocity estimates are more reliable and precise after removing CME, with average uncertainty reductions of 51.95%, 57.31%, and 49.92% for the NEU components, respectively. All these results indicate that the VBPCA method is an alternative and efficient way to extract CME from regional GNSS position time series in the presence of missing data. Further work is still required to consider the effect of formal errors on the CME extraction during the VBPCA implementation.

ZY3-02 Laser Altimeter Footprint Geolocation Prediction.

Successfully launched on 30 May 2016, ZY3-02 is the first Chinese surveying and mapping satellite equipped with a lightweight laser altimeter. Calibration is necessary before the laser altimeter becomes operational. Laser footprint location prediction is the first step in calibration that is based on ground infrared detectors, and it is difficult because the sample frequency of the ZY3-02 laser altimeter is 2 Hz, and the distance between two adjacent laser footprints is about 3.5 km. In this paper, we build an on-orbit rigorous geometric prediction model referenced to the rigorous geometric model of optical remote sensing satellites. The model includes three kinds of data that must be predicted: pointing angle, orbit parameters, and attitude angles. The proposed method is verified by a ZY3-02 laser altimeter on-orbit geometric calibration test. Five laser footprint prediction experiments are conducted based on the model, and the laser footprint prediction accuracy is better than 150 m on the ground. The effectiveness and accuracy of the on-orbit rigorous geometric prediction model are confirmed by the test results. The geolocation is predicted precisely by the proposed method, and this will give a reference to the geolocation prediction of future land laser detectors in other laser altimeter calibration test.

Application of waste derived magnetic acid-base bifunctional CoFe/biochar/CaO as an efficient catalyst for biodiesel production from waste cooking oil.

The loss of active components, weak acid resistance, and low recover efficiency of common Ca-based catalysts limited its further development and application. In this study, to effectively produce biodiesel from waste cooking oil (WCO), a green and recyclable magnetic acid-base bifunctional CoFe/biochar/CaO catalyst was prepared from sargassum and river snail shell waste via hydrothermal method. The catalysts' structure and properties were investigated by X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), CO2/NH3 temperature programmed desorption (CO2/NH3 TPD), etc., The prepared catalyst mainly consisted of the carbon skeleton, CoFe alloy, and CaO. CoFe alloy provided catalyst's ferromagnetism for magnetic separation as well as acid sites for transesterification of WCO. Ca and other metal species with nanoscale (∼5.64 nm) were dispersively anchored on sargassum biochar surface, thereby leading to good catalytic activity (99.21% biodiesel yield) and stability (91.70% biodiesel yield after the 5th cycle). In addition, response surface methodology-Box-Behnken design (RSM-BBD) revealed the optimal operational conditions were 16:1 methanol/oil molar ratio, 3 wt% catalyst dosage, 73 °C for 157 min. The maximum biodiesel yield predicted value was 98.29% and the experimental value was 99.21%, indicating good satisfaction of the established model. Moreover, the quality of WCO biodiesel met the ASTM D6751 standards. This study benefits magnetic waste-derived acid-base bifunctional catalysts for the disposal of WCO towards sustainable biodiesel production.

Direct determination of high-concentration As(III) by UV high-reference differential absorption spectroscopy for cleaner As(III) removal promotion via sulfurization.

The current methods for determining high-concentration As(III) in the high-acid matrix from the copper smelting industry are complex, time-consuming, and costly. This limits effective modulation of sulfurizing agent dosage for As(III) removal via sulfurization, aggravating hazardous waste generation. Herein, a simple, rapid, and nondestructive UV high-reference differential absorption spectroscopy was developed to directly determine high-concentration As(III) in simulated high-acid wastewater. Time-dependent density functional theory calculations indicated that the spectral curve redshift with As(III) concentration increasing was related to the decrease of electron transition energies and energy gaps. When using high-reference solutions, the least redshift in the maximum absorption wavelength and the highest upper limit of linear fitting concentration could be obtained. Therefore, the piecewise quantitative linear model of differential absorbance and concentration was established under high-reference. The quantitative range of the model within 0.06-20.00 g/L As(III) with a mean relative error of < 5.0 % and standard recovery rates within 98.0 %-104.0 % indicated high accuracy. Additionally, the relative standard deviations of < 1.5 % (n = 5) revealed good precision. All results indicated the high feasibility of the developed method in alleviating linear deviation caused by redshift and absorption saturation. Furthermore, it has potential significance in saving sulfurizing agent dosage and reducing hazardous waste generation from the source, thereby facilitating a cleaner process for removing As(III) via sulfurization.

High-sensitivity detection of low-concentration heavy metal ions in solution by multiple reflection enhanced absorption (MREA) spectroscopy.

Heavy metal ions (Cr6+, Co2+, Ni2+, and Cu2+) in the electroplating and electrolysis industries are significantly related to process parameters and product quality, even at lower concentrations. Absorption spectroscopy is widely used for substance qualitative and quantitative analysis, which is an analytical method with the potential for real-time monitoring of heavy metal ions concentration in industrial processes. In this paper, a low-concentration heavy metal ion analysis method based on multiple reflection enhanced absorption (MREA) is proposed. Compared with traditional absorption, MREA has the advantages of low concentration detection limit and high-sensitivity. First, a reflective film (Al-SiO2) was prepared and a multiple reflection optical structure was designed to realize multiple parallel reflections of light in the solution medium. Then absorption spectra of low-concentration Cr6+, Co2+, Ni2+ and Cu2+ solutions were measured by MREA and traditional absorption methods. Finally, spectral bandwidth and incident light spots were optimized to obtain a superior absorption enhancement effect. The results showed that MREA could effectively increase the substance absorbance compared with traditional absorption. At the same time, with the optimal spectral bandwidth (0.4 nm) and incident light spot (1 mm), the detection limit of Cr6+, Co2+, Ni2+ and Cu2+ was reduced by 81.48%, 82.52%, 80.92% and 82.93%, respectively. The sensitivity was improved by 5-6 times, which was more obvious for low-concentration detection. In addition, the MREA method can achieve ion concentration analysis when Cr6+, Co2+, Ni2+, and Cu2+ coexist, and the linear correlative coefficients of the C-A curves were all greater than 0.999. Moreover, by adjusting reflectivity of the reflective film and the number of reflections in the optical structure, the results of the MREA method can be further optimized for the low-concentration heavy metal ion analysis. The MREA method has the advantages of simplicity, rapidity and versatility, which can provide the technical foundation for real-time monitoring method development of low-concentration heavy metal ions in industrial processes.

The characteristics of ultraviolet absorption and electronic excitation of sulfate at high concentrations.

The variation of spectra and the characteristics of electronic excitation are critical for establishing a model for quantifying sulfate at high concentrations. The absorption characteristics of sulfate are affected by the optical pathlength and sulfate concentration. The absorption coefficient declines by approximately 86.09-96.20% with an increasing concentration (0-130 g/L) at different optical pathlengths (1-100 mm). Moreover, a high sensitivity and accuracy can be achieved at weak absorption wavelengths or at lower optical pathlengths when high concentrations of sulfate are detected. In addition, the maximum absorption wavelength of sulfate redshifts by approximately 0-10 nm with an increasing concentration and optical pathlength, which is significantly affected by the optical pathlength. The (H2SO4)n‧(H2O)4-n models were established at the PBEPBE/6-311++G(d, p) level of theory. There absorption spectra were calculated by the time-dependent density functional theory (TD-DFT) method. As a result, the maximum absorption wavelength redshifted from 180.16 nm to 192.71 nm with an increasing sulfate concentration, and the corresponding absorption coefficient demonstrated a declining trend. Furthermore, the electron-hole and natural bond orbital (NBO) analysis indicate that the type of electronic excitation changes from a n(O) â†’ σ*(S-O) localized excitation to n â†’ σ* charge-transfer excitation as the sulfate concentration increases. This study provides a theoretical foundation for understanding the spectral behavior of sulfates and constructing the quantification models or methods that can also be applied to analyze the spectroscopy of other chemicals.

HIV-infection resistance in PMBC-derived dendritic cells modified with recombinant virus.

This study aimed to identify the characteristics of recombinant-adenovirus-modified PBMC-derived dendritic cells and their resistance to HIV-1 infection by integrating the CCR5∆32, CCR5siRNA, HIV-1 pol and HIV-1 int genes into a recombinant adenovirus vector using the AdEasy system. Dendritic cells (DCs) were isolated from human PBMCs from blood of healthy donors. The expression of CCR5∆32, CCR5, CXCR4 and HIV-1 p24 in PBMCs or modified cells was measured by western blot, p24 expression in cell lysates was measured by ELISA, and HIV-1 entry was measured by ß-galactosidase assay. Furthermore, T-cell immunity induced by the recombinant adenovirus was measured by ELISPOT assay. After the cells were modified by Ad-R5∆32siRNA, the expression of CCR5∆32 increased, while the expression of CCR5 and CXCR4 decreased. There was no adverse effect of adenoviral gene transfer on DC development. CD83 expression on the surface of mature DCs did not change after gene transfer. The expression of p24 remained at low levels in modified cells when challenged by HIV-1. The modified cells showed resistance to HIV-1 infection. Results indicated that recombinant-adenovirus-modified cells demonstrated good resistance to HIV-1 infection. Modification of HSC-derived immune cells, such as DCs, may be a potent strategy to resist HIV-1 infection.

Effect of surgical castration on expression of TRPM8 in urogenital tract of male rats.

Trpm8 (melastatin-related transient receptor potential member 8), a member of the transient receptor potential (TRP) superfamily, encoding a cation channel named TRPM8, has been shown to be a primary androgen-responsive gene and play an important role in prostate physiology. To investigate the expression feature of TRPM8 in urogenital tract of male rats, and whether TRPM8 was also regulated by androgen receptor in these organs, male Sprague-Dawley rats were divided into three groups of 35 animals as follows: sham-operated (SHAM), orchidectomized (ORX), orchidectomized plus DHT treatment (O + D). Organs in urogenital tract, including kidney, prostate, seminal vesicle (SV), testis, epididymis and penis, were collected at different post-castration periods. RT-PCR, real-time PCR and Western blotting were used to detect the expression of androgen receptor (AR) and trpm8 in these tissue. As a result, AR and trpm8 can be detected in all these organs at mRNA or/and protein level. The mRNA expression of trpm8 in kidney, prostate, SV and penis decreased 24 or 72 h after castration and kept decreasing in a time-dependant manner. However, treatment of dihydrotestosterone (DHT) could reverse the effect of surgical castration. Collectively, our data provide evidence that TRPM8 and AR were expressed generally in urogenital tract of male rats, and in these organs, expression of trpm8 was regulated by serum androgen.

Imaging features and pathologic characteristics of ovarian thecoma.

OBJECTIVE: To analyze the imaging findings of ovarian thecoma and to better understand the tumor features based on aspect of computed tomography and magnetic resonance images. METHODS: Nineteen ovarian thecomas confirmed by histopathologic examination were analyzed retrospectively. Image characteristics were analyzed and compared with those of the pathologic features. RESULTS: The mean diameter of tumors was 9.6 cm. The masses were well defined (n = 17) or ill defined (n = 2) and appeared solid with cystic areas (n = 11), entirely solid (n = 4), or cystic with solid components (n = 4). On T2-weighted/spectral adiabatic inversion recovery (T2WI/SPAIR) images, 12 cases appeared isointense or slightly hyperintense. Of the 12 cases, 8 had patchy hypersignal areas. On computed tomographic images, 7 cases showed hypodensity or isodensity. All tumors exhibited mild enhancement. On pathologic examination, the tumor was composed of spindle cells with a moderate amount of cytoplasm. CONCLUSION: Imaging manifestations of ovarian thecoma are various and nonspecific. However, a large, well-defined mildly enhanced solid mass with cystic areas and especially isointense or slightly hyperintense on T2WI/SPAIR sequence in pelvic cavity may suggest the diagnosis of ovarian thecoma.

Association of FAS and FAS ligand polymorphisms with the susceptibility and severity of lumbar disc degeneration in Chinese Han population.

CONTEXT: Apoptosis is involved in the mechanism of lumbar disc degeneration (LDD). OBJECTIVE: We aim to determine whether the polymorphisms of FAS and FASL are associated with the presence and severity of LDD. METHODS: A total of 348 patients with LDD and 215 healthy controls were genotyped. RESULTS: Patients with LDD showed higher frequency of-1377GA and AA, as well as-844CT and TT genotypes than normal controls. These genotypes were found to be associated with the risk of higher grades of LDD. CONCLUSION: The polymorphisms of FAS and FASL may be associated with the presence and severity of LDD.

The Assessment of Prostate Cancer Aggressiveness Using a Combination of Quantitative Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced Magnetic Resonance Imaging.

OBJECTIVE: To explore the value of combining dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) quantitative parameters with apparent diffusion coefficient (ADC) values in the diagnosis of prostate cancer. METHODS: The clinical data of 146 patients with prostate lesions, including 87 patients with prostate cancer (PCa) and 59 with benign prostatic hyperplasia (BPH), were collected. After DCE-MRI and diffusion-weighted imaging (DWI) prostate scans, the magnitude of the DCE-MRI transfer constant (Ktrans ), rate constant (kep ), the volume of the extravascular extracellular space (ve ), and the ADC between the groups were compared, and the correlations between the DCE-MRI parameters and Gleason scores were analyzed. The diagnostic efficacy of these quantitative parameters was assessed by the area under the receiver operating characteristic (ROC) curve. RESULTS: The DCE-MRI parameters Ktrans and kep were significantly greater in the PCa group than in the BPH group (p < 0.05). The ROC curve showed the area under the Ktrans, kep , and ADC curves to be 0.665, 0.658, and 0.782, respectively. When all three quantitative indicators were combined, the area under the ROC curve was 0.904, with sensitivity and specificity rates of 83.6% and 93.7%, respectively. The Gleason scores were positively correlated with the Ktrans, kep , and ve (r = 0.39, 0.572, 0.30, respectively; p < 0.05) and negatively correlated with the ADC (r = -0.525; p < 0.05). CONCLUSION: The DCE-MRI quantitative parameters Ktrans and kep , as well as the ADC value, provided effective references for the differential diagnosis of PCa and BPH, as well as more precise and reliable quantitative parameters for grading the aggressiveness of PCa.

A Facile Surface Preservation Strategy for the Lithium Anode for High-Performance Li-O2 Batteries.

Protecting an anode from deterioration during charging/discharging has been seen as one of the key strategies in achieving high-performance lithium (Li)-O2 batteries and other Li-metal batteries with a high energy density. Here, we describe a facile approach to prevent the Li anode from dendritic growth and chemical corrosion by constructing a SiO2/GO hybrid thin layer on the surface. The uniform pore-preserving layer can conduct Li ions in the stripping/plating process, leading to an effective alleviation of the dendritic growth of Li by guiding the ion flux through the microstructure. Such a preservation technique significantly enhances the cell performance by enabling the Li-O2 cell to cycle up to 348 times at 1 A·g-1 with a capacity of 1000 mA·h·g-1, which is several times the cycles of cells with pristine Li (58 cycles), Li-GO (166 cycles), and Li-SiO2 (187 cycles). Moreover, the rate performance is improved, and the ultimate capacity of the cell is dramatically increased from 5400 to 25,200 mA·h·g-1. This facile technology is robust and conforms to the Li surface, which demonstrates its potential applications in developing future high-performance and long lifespan Li batteries in a cost-effective fashion.

Improving the cyclability and capacity of Li-O2 batteries via low rate pre-activation.

Simple low rate pre-activation effectively prolonged the cycle life of Li-O2 batteries with MWNT cathodes in a 1 M LiClO4/DMSO electrolyte from 55 to 290 cycles, and the ultimate capacity and rate performance were also significantly enhanced, attributed to reconstructed homogeneous and compact SEI layers on the Li anodes by pre-activation.

Comparisons between magnetic resonance/ultrasound fusion-guided biopsy and standard biopsy in the diagnosis of prostate cancer: A prospective cohort study.

Prostate-specific antigen is not useful for detection of prostate cancer in Chinese men. The major problems in prostate cancer patients are overdiagnosis and overtreatment. The objective of the study was to test the hypothesis that targeted biopsy is an accurate diagnostic tool for prostate cancer detection than standard biopsy in Chinese men.Total, 998 patients whom multiparticulate multiparametric magnetic resonance imaging had revealed at least 1 lesion in the prostate were included in a cohort. Patients were subjected to magnetic resonance imaging (MRI)/ultrasound (US) fusion-guided biopsy followed US-guided biopsy. Benefits of a diagnostic test were evaluated by decision curve analysis. Patients who were diagnosed as having prostate cancer by either of biopsies were subjected to radical prostatectomies followed by whole-mounted pathology (n = 578). Spearman rank correlation was performed between the biopsy results and the subtype of prostate cancer at 99% of confidence level.With respect to whole-mounted pathology, for US-guided biopsy, MRI/US fusion-guided biopsy, and combined data of both biopsies, sensitivities were 0.973, 0.983, and 0.973 and accuracies were 0.837, 0.91, and 0.917, respectively. MRI/US fusion-guided biopsy (P = .165) and combined data of both biopsies (P = .182) had the same specificity to whole-mount pathology. However, a US-guided biopsy had not the same specificity to whole-mount pathology (P = .0003). Decision-making zones for radical prostatectomy of different biopsies were in the order of combined data of both biopsies >MRI/US fusion-guided biopsy >US-guided biopsy.Only the targeted biopsy is recommended for the diagnosis of prostate cancer.

Expression of TRPC5 is decreased in the sperm of patients with varicocele-associated asthenozoospermia.

The present study aimed to determine whether the expression of transient receptor potential channel 5 (TRPC5) protein is altered in spermatozoa of patients with varicocele-associated asthenozoospermia. TRPC5 expression in spermatozoa was determined by polymerase chain reaction and western blotting analyses, and indirect immunofluorescence was used for identification and immunolocalization of the TRPC5 channel in human sperm. Sperm motility and superoxide dismutase (SOD) activity were also determined with a computer-assisted semen analysis system and assay kit, respectively. Compared with levels in control subjects, it was identified that TRPC5 protein expression, SOD activity and cellular motility in the sperm of patients with varicocele-associated asthenozoospermia were reduced (P<0.001). Furthermore, the expression of TRPC5 was positively correlated with sperm motility (r=0.781, P<0.001) and SOD activity (r=0.933, P<0.001), indicated by partial correlation analysis. The present study may provide a novel target for the study and treatment of varicocele-associated asthenozoospermia.

Tetramethylpyrazine reduces blood-brain barrier permeability associated with enhancement of peripheral cholinergic anti-inflammatory effects for treating traumatic brain injury.

Traumatic brain injury (TBI) is a diverse group of intracranial injuries resulting from external mechanical insults to the brain. While basic and clinical research for TBI has been conducted for decades, it has not identified cost-effective medical interventions for treating TBI. Tetramethylpyrazine (TMP), which is derived from the Chinese herb, Ligusticum chuanxiong Hort (Chuan Xiong), has been clinically used for treating ischemic brain injury for years. However, whether TMP could provide effective benefits for improving the outcomes following TBI is unknown. In the present study, using controlled cortical impact (CCI) injury to create an animal model of TBI, the potential effects of TMP on improving blood-brain barrier (BBB) permeability in the early phase of the secondary injury, as well as the splenic anti-inflammatory activities, were evaluated. Cognitive functions were also assessed by Morris water maze trials following TBI. Results demonstrated that, at 24 h after CCI injury, BBB permeability was significantly reduced (P<0.05) by the application of TMP. In addition, within 24 h after CCI injury, the plasma levels of interleukin (IL)-1ß and tumor necrosis factor (TNF)-α, and protein and mRNA expression levels of IL-1ß and TNF-α in the spleen were significantly lowered by TMP (P<0.05). Furthermore, within 24 h after CCI injury, the activation of the splenic anti-inflammatory effects mediated by nicotinic acetylcholine receptor α7 (nAChRa7) stimulation were significantly enhanced by TMP (P<0.05). Additionally, impaired spatial memory acquisition and consolidation were significantly improved by TMP after CCI injury (P<0.05). Together, in light of these data, in the treatment of TBI, TMP could effectively reduce BBB permeability, which may be closely associated with the enhanced splenic anti-inflammatory effects activated by nAChRa7 stimulation, and potentially improve cognitive recovery concerning spatial learning and memory.

Knockdown of TRPM8 suppresses cancer malignancy and enhances epirubicin-induced apoptosis in human osteosarcoma cells.

As the function of transient receptor potential melastatin member 8 (TRPM8) in osteosarcoma is still unknown, we aim to investigate the possible effects and potential mechanisms of TRPM8 on cell proliferation, metastasis and chemosensitivity in osteosarcoma cells. We find that TRPM8 is aberrantly over-expressed in human osteosarcoma tissues and cell lines. Knockdown of TRPM8 by siRNA in osteosarcoma cells leads to the impaired regulation of intracellular Ca(2+) concentration and then the Akt-GSK-3ß pathway and the phosphorylation of p44/p42 and FAK are suppressed. Knockdown of TRPM8 not only negatively influences the cell proliferation and metastasis but also enhances epirubicin-induced cell apoptosis. Such results reveal that TRPM8 is worthy further investigation for its potential as a clinical biomarker and therapeutic target in osteosarcoma.

Bipolar plasmakinetic transurethral resection of prostate in 132 consecutive patients with large gland: three-year follow-up results.

OBJECTIVE: To assess the safety, efficacy, and medium-term durability of bipolar plasmakinetic transurethral resection of the prostate (PK-TURP) for the treatment of bladder outlet obstruction due to benign prostatic hyperplasia in a prospective study. METHODS: From March 2007 to May 2008, 132 consecutive patients underwent PK-TURP at our institution. All patients were assessed perioperatively and followed up at 1, 3, 6, 12, 18, 24, and 36 months postoperatively. The parameters included the International Prostate Symptom Score, quality of life scores, maximal urinary flow rates, transrectal ultrasonography, postvoid residual urine volume, and serum prostate-specific antigen level. RESULTS: The mean patient age was 64.55±4.03 years. The prostate volume was 79.66±12.36 g. The operative time was 78.83±17.41 minutes, and the resected weight was 58.12±7.29 g. The catheterization time was 69.00±17.99 hours, and the hospital stay was 117.00±17.99 hours. The decrease in hemoglobin and sodium was 1.55±0.48 g/dL and 1.57±0.38 mmol/L, respectively. A significant improvement occurred in the maximal urinary flow rate (22.34±3.1 mL/s), International Prostate Symptom Score (2.90±1.60), and quality of life (1.12±0.60) at the 3-year follow-up compared with baseline (P<.001). Of the 132 patients, 6 (4.5%) required reoperation. CONCLUSION: PK-TURP represents an effective surgical intervention for the treatment of bladder outlet obstruction for large prostates. Furthermore, the functional results at 3 years demonstrated durability. Therefore, the PK-TURP technique could play an important role in the surgical treatment of patients with symptomatic benign prostatic hyperplasia with a large prostate gland.

Clinical and imaging findings in thalassemia patients with extramedullary hematopoiesis.

The purpose was to analyze the imaging features of thalassemia with extramedullary hematopoiesis in 17 patients. The 17 patients were analyzed and examined retrospectively by X-ray, ultrasonography, computed tomography, and magnetic resonance imaging. Nine cases appeared with hepatic enlargement; 12 cases presented with megalocardia or hypodensity; 15 cases had skeletal manifestations, with involvement of the ribs (66.7%), spine vertebra (40.0%), skull (46.7%), and other bones (20%). Five cases showed nonskeletal manifestations, and extramedullary hematopoiesis was found in three cases. A case presented with cholelithiasis, and hemosiderosis of the liver was found in three cases. The signs of the skeletal manifestations and nonskeletal manifestations may be useful for clinical diagnosis.