Injection Of Solution Research Articles

Local anaesthetic delivery through indwelling retrobulbar catheters for ocular pain control in horses

AbstractBackgroundEquine corneal disease is common and painful. Current pain mitigation strategies are often suboptimal, especially early in the disease.ObjectivesTo evaluate the effects of local anaesthetic delivery via indwelling retrobulbar catheter on corneal sensitivity, pupil size, pupillary light responses (PLRs), and ocular motility in normal horses.Study designRandomised, controlled crossover experiment.MethodsOne eye was randomly selected from seven horses. A 20‐gauge catheter was placed in the retrobulbar space and injected with 10 mL of 0.5% bupivacaine or 0.9% saline. Cochet–Bonnet esthesiometry (CBE), pupil photogrammetry, PLRs, and oculocephalic reflexes were evaluated before injection (t = 0) and t = 0.25, 1, 3, 6, 9 and 12 h after injection. Following a 7–14 day washout period, this procedure was repeated using the alternative injection solution. Corneal touch thresholds (CTTs) derived from CBE and pupillary areas (PA; as measured from photographs) were compared across time for each group. PLRs and oculocephalic reflexes were compared between groups at each evaluation time point.ResultsSaline did not affect CBE, PA, PLRs or oculocephalic reflexes at any time point. Bupivacaine reduced CTT compared with saline for 6 h, with maximum reduction at t = 1 h (bupivacaine: 0.08 ± 0.20 cm; saline: 4.21 ± 0.39 cm; p < 0.001). Bupivacaine increased PA compared with saline for 3 h, with maximum increase at t = 3 h (bupivacaine: 349.75 ± 84.80 mm2; saline: 194.65 ± 27.03 mm2; p = 0.04). Bupivacaine injection reduced PLRs for 9 h and oculocephalic reflexes for 3 h; saline had no effect. Mild adverse effects included chemosis, blepharoedema, and transiently reduced palpebral reflex.Main limitationsReduction in CTT may not directly translate to pain control in clinical horses with corneal disease. Adverse effects of repeated injections were not evaluated.ConclusionsInjection of bupivacaine via an indwelling retrobulbar catheter in horses reduces corneal sensitivity and may be useful in reducing pain in horses with corneal disease.

Techno-economic-environmental study of CO2 and aqueous formate solution injection for geologic carbon storage and enhanced oil recovery

As carbon capture, utilization, and storage (CCUS), carbon-dioxide enhanced oil recovery (CO2 EOR) has inherent shortcomings, such as inefficient oil recovery and carbon storage, and low storage security with mobile CO2. This paper presents a techno-economic-environmental analysis of using formate species, a product of CO2 electrochemical reduction, as an alternative carbon carrier for sequestration and EOR in a carbonate oil reservoir in the Gulf of Mexico Basin. CO2 injection, water-alternating-CO2 injection, and aqueous formate solution injection were compared using a compositional reservoir simulation model and an economic calculator. Formate solution injection yielded greater levels of oil recovery and net carbon storage, where the carbon-bearing species resided in the dense aqueous phase without having to rely on petrophysical trapping mechanisms (structural and capillary). The enhanced oil production, net carbon storage, and storage security can be promoted by providing formate-based CCUS with more incentives (e.g., greater tax credit) in comparison to CO2-based CCUS for EOR and the manufacture of chemicals and products. In establishing carbon storage incentive policies and regulations, policymakers should include alternative carbon carriers.

Sustainable poultry practices: integrating green light interventions to control pecking in chicken

BackgroundThe present study aimed to investigate the impact of the light-emitting diode (LED) green light alone or in combination with melatonin on pecking-related hormone regulation during incubation under normal and under hormonal stress conditions in breeder eggs. This study was divided into 2 experiments: In the first experiment effect of LED green light incubation on pecking-related hormones under normal conditions, on Hy-line brown (low pecking phenotype) and Roman pink (high pecking phenotype) eggs were tested. The 296 eggs of each strain were divided into two groups: LED green light incubation and dark incubation (control), each containing four replicates (37 eggs/replicate). The second experiment was conducted to evaluate the effect of LED green light incubation alone or in combination with melatonin under hormonal stress conditions on Roman pink eggs. A total of 704 Roman pink eggs were taken and divided into four groups, each consisting of 176 eggs. Each group was further divided into 2 subgroups, LED green light-regulated incubation and dark incubation with 88 eggs per subgroup, having 4 replicates of 22 eggs each. The groups were as follows: corticosterone solution injection (CI), corticosterone + melatonin mixed solution injection (CMI), Phosphate buffer solution injection (PI), and no injection (UI).ResultsResults of the first experiment revealed a higher level of serotonin hormone and lower corticosterone hormone in Hy-Line brown embryos compared to Roman pink embryos during dark incubation. The LED green light incubation significantly (P < 0.05) increased the level of 5-HT while decreasing the CORT level in Roman pink embryos indicating its regulatory effect on pecking-related hormones. Results of the second experiment showed that LED green light incubation significantly (P < 0.05) alleviated the CORT-induced hyperactivity of plasma 5-HT in Roman pink embryos. Furthermore, Melatonin (MLT) injection and LED green light together significantly (P < 0.05) reduced the hormonal stress caused by corticosterone injection in the eggs.ConclusionsOverall, the LED green light regulatory incubation demonstrated a regulatory effect on hormones that influence pecking habits. Additionally, when coupled with MLT injection, it synergistically mitigated hormonal stress in the embryos. So, LED green light incubation emerged as a novel method to reduce the damaging pecking habits of poultry birds.

An Experimental Study of Morphofunctional Features of Hair Follicles Early Response in Cyclophosphamide-Induced Alopecia

The aim of the study was to determine the effect of 3-β-methoxy-Δ18-oleanene (miliacin) on the structural and functional reorganization of hair follicles at the early response stage in the simulated cyclophosphamide-induced alopecia. Material and methods. The study involved 30 male C57BL/6 mice with the anagen stage induced by depilation of hair shafts from the skin of the back. The animals were divided into five groups: I and II – control groups, III, IV and V groups – experimental ones. The animals of group I were exposed to depilation only. The animals of group IV was daily exposed to topical skin applications of 3-β-methoxy-Δ18- oleanene (miliacin) diluted in polyoxyethylated (20) sorbitan oleate in the area of depilation. The animals of group V were only exposed to polyoxyethylated (20) sorbitan oleate. In 9 days after depilation, the animals of the experimental groups received a single injection of cyclophosphamide solution, dosage 125 mg/kg, intraperitoneally; the animals of the control group II received the same volume of 0.9% sodium chloride solution. All animals were withdrawn from the experiment on day 15. The skin of the back in the depilation zone was studied using light microscopy, morphometry and statistics. Results. In 15 days after anagen induction, all hair follicles were synchronized at the anagen VI stage in the skin of mice in the control groups. Exclusively dystrophic forms of hair follicles were detected in the skin of mice of groups III and V. In the skin of animals of group IV, hair follicles predominated in the early and middle anagen stages without signs of dystrophy; the portion of hair follicles in the late dystrophic catagen stage accounted for only 9.2±3.27% of the total number of hair follicles. Conclusion. Topical use of a composition with 3-β-methoxy-Δ18-oleanene (miliacin) leads to an accelerated transition of chemically damaged hair follicles from the anagen VI stage to the dystrophic catagen and a shortening of the telogen stage, which resulted in the entry of the overwhelming majority of hair follicles of mice in this group into the next new cycle of hair follicle development (anagen stages I, II, III).

Oocytes Vitrification Using Automated Equipment Based on Microfluidic Chip.

Oocyte vitrification has a wide range of applications in assisted reproduction and fertility preservation. It requires precise cryoprotectant agents (CPAs) loading and removal sequences to alleviate osmotic shock, which requires manual manipulation by an embryologist. In this study, a microfluidic system was developed to facilitate the precise adjustment of the CPA concentration around the oocyte by linear loading and removal of CPA. In addition, the microfluidic-based automated vitrification (MAV) device combines CPA loading/removal process, with vitrification process, thereby achieving automated oocyte vitrification. Oocytes were vitrified by Cryotop/QC manual method and MAV method. The results showed that the survival, cleavage, and blastocyst rates of oocytes were 80.44, 54.17, and 32.95% for the MAV method, which were significantly higher than Cryotop manual method (73.35, 43.73, and 23.67%) (p < 0.05). In MAV, solution injection rate during CPA loading/removal process was designed as a 1-segment, 2-segment, and 4-segment function. Accordingly, three concave loading and convex removal protocols were adopted to vitrify oocytes. Oocytes vitrified using the 4-segment function group exhibited increased survival (86.18%), cleavage (63.29%), and blastocyst (45.58%) rates compared to those vitrified using the 1-segment and 2-segment groups. The oocytes vitrification with the highest concentration of CPA, denoted as VS1-TS1, exhibited the highest survival rate after rewarming (86.18%). In contrast, the VS3-TS3 group, characterized by a CPA concentration half that of VS1-TS1, exhibited lower survival (74.14%) and cleavage (59.31%) rates, but displayed the higher blastocyst rate (50.79%) following oocyte activation. Our study demonstrates potential of the MAV device for oocyte or embryo vitrification.

Impedance-Modified Injection Solutions in Endoscopic Removal of Gastrointestinal Lesions: A Randomized Controlled Trial

Background: The efficiency of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) is related to the electrical impedance of the injection solutions. It is therefore possible to postulate that improving impedance may enhance resection rates while minimizing the risks. Objective: To assess the effectiveness and the side effects of impedance-modified injection solutions in the endoscopic resection of gastrointestinal lesions. Methods: This study was a randomized controlled trial of patients with gastrointestinal lesions greater than 20mm in size The patients were randomly assigned to receive standard saline solution or an impedance-modified injection solution during EMR/ESD. The first end-point of the study was the en-bloc resection rate. Other related measures were procedure duration, complication profiles, and histological characteristics. Data were analyzed using SPSS version 27.0 and statistical significance was set at p≤0.05. Results: The impedance-modified group had a statistically higher en-bloc resection rate as compared to the standard saline group at 85 percent against 65 percent respectively, p&lt;0.05 The procedure taking times were less in the impedance-modified group and complication rates are also less though not reaching the statistical difference. Conclusion: The enhancement of EMR/ESD by using impedance-modified injection solutions indicates new direction in endoscopic practice.

Carpal tunnel release under local anesthesia with or without distal median nerve block: Double-blind randomized clinical trial

Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity, and its surgical treatment is carpal tunnel release (CTR). It is mostly performed in local anesthesia. There are no clinical randomized controlled trials (RCTs) comparing local infiltration anesthesia with or without a distal median nerve block in CTR. The aim of the PERSONNEL trial (carPal tunnEl ReleaSe lOcal iNfiltratioN mEdian bLockade) is to assess whether a distal median nerve block reduces pain during and after the procedure in addition to local anesthesia. Methods: This is a single-center randomized clinical superiority trial comparing local anesthesia alone and local anesthesia with a distal median nerve block for CTR in patients with CTS. Adult patients will be randomized in one university hospital in Finland, and the intended sample size is 118. The primary outcome is the mean pain level after the procedure during 72 h using a visual analogue scale (VAS). The secondary outcomes include expected pain; pain during the injection of the anesthetic solution caused by pressure, burning, needle sting, and total pain; worst pain during the surgery; duration of anesthesia; number of experienced needle stings; Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ); pain killer consumption;, patient satisfaction using Net Promoter Score (NPS); and complications. Discussion: Patient satisfaction is a crucial factor in modern healthcare. A distal median nerve block may reduce pain during and after CTR, potentially increasing patient satisfaction with the given treatment. It can also be hypothesized that better postoperative pain control may prevent complications, for example, complex regional pain syndrome. However, we lack adequate evidence to justify the use of distal median nerve block, which can itself predispose patients to complications, for example, median nerve injury. Therefore, there is a need for adequate RCTs to assess its efficacy. The results of this study can be used to optimize anesthesia for carpal tunnel surgery, improve patient satisfaction, and possibly prevent complications. Registration: ClinicalTrials.gov NCT05372393.

Mechanism study of YangJing ZhongYu decoction on regulating mitochondrial dynamics of ovarian granular cells and improving diminished ovarian reserve

ObjectiveDiminished ovarian reserve (DOR) encompasses both reproductive and endocrine disorders, resulting in a decline in female fertility. This paper explored the mechanism of Yangjing Zhongyu Decoction (YJZYD) regulating mitochondrial dynamics of ovarian granulosa cells (GCs) to improve DOR.MethodsDOR patients were treated with YJZYD, with ovarian volume (OV), antral follicle count (AFC), and endometrial thickness (EMT) detected. C57BL/6 female mice were treated by cyclophosphamide (Cy) intraperitoneal injection and YJZYD solution daily gavage, with serum anti-Mullerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2) levels determined. Ovarian GCs (KGN) were interfered with 4-Hydroperoxy-Cyclophosphamide (4-HC) and treated with the MAPK/ERK pathway inhibitor or activator.ResultsDOR patients showed increased levels of serum AMH, E2, OV, AFC and EMT, while reduced FSH and LH levels after YJZYD treatment. After Cy induction, DOR mice exhibited irregular estrous cycles, diminished serum AMH and E2 levels, elevated FSH and LH levels, reduced follicle number and atresia follicle number, disorderly arranged GCs, and severe interstitial fibrosis. After 4-HC treatment, KGN proliferation and Bcl-2, MFN1, and MFN2 were suppressed, while apoptotic rate, Bax, Cleaved-caspase-3, and p-Drp1 (Ser616) levels, and mitochondrial fission and quantity increased. YJZYD promoted 4-HC-treated KGN proliferation, boosted mitochondrial fusion, and inhibited apoptosis and mitochondrial fission via the MAPK/ERK pathway.ConclusionYJZYD promoted ovarian GC proliferation and mitochondrial fusion, suppressed cell apoptosis and mitochondrial fission, and effectively improved DOR in mice by activating the MAPK/ERK pathway, providing a theoretical basis for the clinical application value of YJZYD in DOR treatment.

Predictors of stricture after endoscopic submucosal dissection of the esophagus and steroids application.

Endoscopic submucosal dissection (ESD) is a reliable method to resect early esophageal cancer. Esophageal stricture is one of the major complications after ESD of the esophagus. Steroid prophylaxis for esophageal strictures, particularly local injection of triamcinolone acetonide (TA), is a relatively effective method to prevent esophageal strictures. However, even with steroid prophylaxis, stenosis still occurs in up to 45% of patients. Predicting the risk of stenosis formation after local TA injection would enable additional interventions in risky patients. To identify the predictors of esophageal strictures after steroids application. Patients who underwent esophageal ESD and steroid prophylaxis and who were comprehensively assessed for lesion- and ESD-related factors at Southeast University Affiliated Zhongda Hospital between February 2018 and March 2023 were included in the study. The univariate and multivariate regression analyses were conducted to identify the predictors of stricture among patients undergoing steroid prophylaxis. A total of 120 patients were included in the analysis. In the oral prednisone and oral prednisone combined with local tretinoin injection groups, the stenosis rates were 44/53 (83.0%) and 56/67 (83.6%), respectively. Among them, univariate analysis showed that the lesion circumference (P = 0.01) and submucosal injection solution (P = 0.04) showed significant correlation with the risk of stenosis formation. Logistic regression analyses were then performed using predictors that were significant in the univariate analyses and combined with known predictors from previous reports, such as additional chemoradiotherapy and tumor location. We identified a lesion circumference < 5/6 (OR = 0.19; P = 0.02) and submucosal injection of sodium hyaluronate (OR = 0.15; P = 0.03) as independent predictors of on esophageal stricture formation. Steroid prophylaxis effectively prevents stenosis. Moreover, the lesion circumference and submucosal injection of sodium hyaluronate were independent predictors of esophageal strictures. Additional interventions should be considered in high-risk patients.

Safety and Efficacy of an Injectable Solution Enriched With Sodium Hyaluronate, Amino Acids, and Peptides in Relation to Superficial Facial Connective Tissues (Dermis and Retinacular Cutis).

Skin aging research often focuses on the dermis, overlooking the significance of the retinacular cutis (RC) in aging. This study aimed to investigate the efficacy, safety, and effect of an injectable solution containing hyaluronic acid, amino acids, and peptides, on facial sagging and laxity by targeting the RC. This single-center observational study recruited 28 female volunteers aged 25-65 years. The participants received four monthly injections of the studied solution. Objective measures included skin hydration, elasticity, color, thickness, collagen density evaluated via DermaLab Combo and high-resolution ultrasound imaging. Subjective measures included participant satisfaction evaluated using the Global Aesthetic Improvement Scale (GAIS). Adverse effects were monitored throughout the study period. Significant improvements were observed in skin hydration, elasticity, and collagen density after treatment. Hydration increased by 25.9% at T1 (30 days after last session), sustaining a 15.9% increase at T2 (120 days after last session). Elasticity improved by 29.2% at T1 and 20.7% at T2. Collagen density increased by 20.27% at T1 and 16.71% at T2. Self-reported GAIS scores showed consistent increases. Adverse effects were minimal and included only transient ecchymosis and mild pain. Injections of the solution had a substantial hydrating effect, enhanced elasticity, and increased collagen density in the RC and dermis. Results persisted at the 120-day follow-up, indicating sustained benefits. Hence, this injectable solution may offer a safe and effective non-invasive treatment option for improving skin laxity and sagging, targeting the RC and other deep connective tissue such as retaining ligaments.

Strategy for treating MAFLD: Electroacupuncture alleviates hepatic steatosis and fibrosis by enhancing AMPK mediated glycolipid metabolism and autophagy in T2DM rats

BackgroundRecent studies have highlighted type 2 diabetes (T2DM) as a significant risk factor for the development of metabolic dysfunction-associated fatty liver disease (MAFLD). This investigation aimed to assess electroacupuncture’s (EA) impact on liver morphology and function in T2DM rats, furnishing experimental substantiation for its potential to stall MAFLD progression in T2DM.MethodsT2DM rats were induced by a high-fat diet and a single intraperitoneal injection of streptozotocin, and then randomly assigned to five groups: the T2DM group, the electroacupuncture group, the metformin group, combination group of electroacupuncture and metformin, combination group of electroacupuncture and Compound C. The control group received a standard diet alongside intraperitoneal citric acid - sodium citrate solution injections. After a 6-week intervention, the effects of each group on fasting blood glucose, lipids, liver function, morphology, lipid droplet infiltration, and fibrosis were evaluated. Techniques including Western blotting, qPCR, immunohistochemistry, and immunofluorescence were employed to gauge the expression of key molecules in AMPK-associated glycolipid metabolism, insulin signaling, autophagy, and fibrosis pathways. Additionally, transmission electron microscopy facilitated the observation of liver autophagy, lipid droplets, and fibrosis.ResultsOur studies indicated that hyperglycemia, hyperlipidemia and IR promoted lipid accumulation, pathological and functional damage, and resulting in hepatic steatosis and fibrosis. Meanwhile, EA enhanced the activation of AMPK, which in turn improved glycolipid metabolism and autophagy through promoting the expression of PPARα/CPT1A and AMPK/mTOR pathway, inhibiting the expression of SREBP1c, PGC-1α/PCK2 and TGFβ1/Smad2/3 signaling pathway, ultimately exerting its effect on ameliorating hepatic steatosis and fibrosis in T2DM rats. The above effects of EA were consistent with metformin. The combination of EA and metformin had significant advantages in increasing hepatic AMPK expression, improving liver morphology, lipid droplet infiltration, fibrosis, and reducing serum ALT levels. In addition, the ameliorating effects of EA on the progression of MAFLD in T2DM rats were partly disrupted by Compound C, an inhibitor of AMPK.ConclusionsEA upregulated hepatic AMPK expression, curtailing gluconeogenesis and lipogenesis while boosting fatty acid oxidation and autophagy levels. Consequently, it mitigated blood glucose, lipids, and insulin resistance in T2DM rats, thus impeding liver steatosis and fibrosis progression and retarding MAFLD advancement.

Controlled two-step synthesis of n-type conjugated ladder polymers using a flow reactor

The coplanar backbone of conjugated ladder polymers (cLPs) enhances electron transfer and π-π interactions, making cLPs promising materials for various applications in organic electronics and optoelectronics. Nevertheless, the limited solubility and intricate synthetic processes for cLPs make it challenging to control their molecular weight and corresponding properties, and pose as significant obstacles to their widespread application. Here, an n-type cLP, PNDI-2BocL, was synthesized using a flow reactor for the first time, with controlled molecular weights. The polymerization reaction conditions to synthesize a precursor polymer, PNDI-2Boc, were first optimized in flow, followed by sequential ladderization in batch through the injection of an acid solution. The reaction time of polymerization was varied from 7.5 to 15 min, yielding soluble PNDI-2BocL with a number-averaged molecular weight (Mn) ranging from 9.8 to 54.0 kg/mol with a deviation of 11 %. Additionally, 15 min of polymerization and ladderization were successfully conducted in a single flow system sequentially for the first time. In the molecular weight-dependent studies, higher optical absorption at longer wavelengths, increased degrees of crystallinity, and higher electron mobilities in organic field-effect transistors (OFETs) were observed for higher molecular weight PNDI-2BocL. Our results highlight the importance of controlling the molecular weights of cLPs and demonstrate that the flow synthesis technique provides a viable solution for synthesizing soluble cLPs in a controlled, reproducible, and rapid manner.

Experience with the use of hyaluronic acid solution (Diart) in the treatment of patients with degenerative-dystrophic diseases of the hip joint

Background. Degenerative-dystrophic diseases of the joints are chronic progressive pathological conditions, accompanied by such features as presence of pain syndrome, impaired functional capacity, muscle weakness, deformation and instability of the joints. The high prevalence of degenerative-dystrophic diseases of the hip joint necessitates the search for optimal non-invasive treatment methods. Objectives. This study aims to analyze the clinical results of intra-articular injections of hyaluronic acid solution (Diart) in the treatment of patients with II–III stages of degenerative-dystrophic diseases of the hip joint. Materials and methods. The clinical results of 30 patients with II–III stages of degenerative-dystrophic diseases of the hip joint were analyzed. The group included 11 (36.67%) males and 19 (63.33%) females. The mean age of group was 61.43±7.98 years. All patients underwent a course of drug therapy using hyaluronic acid solution (Diart), which included 3 intra-articular injections of the drug, which were performed with the 7-day interval. Clinical results were evaluated at the initial visit, at 7, 14, 30 and 90 days after the first injection of Diart by objective examination of patients and analysis of subjective data using the WOMAC questionnaire. Statistical analysis was performed using Statistica 13 software package. Results. The high effectiveness of intra-articular injections of hyaluronic acid (Diart) in the treatment of patients with II-III stages of degenerative-dystrophic diseases of the hip joint and the absence of complications associated with intra-articular injection of the drug have been established. Signs of post-injection sy- novitis, discomfort, swelling or other unpleasant sensations weren’t observed in any of the examined patients. Comparing the results established during remote period, on the 90th day of observation, and indicators determined at the initial visit, we proved a decrease in the intensity of the pain syndrome in the hip joint by 30.35%, in stiffness — by 29.57%, an improvement in the indicators characterizing the functional capacity by 21.34 % and the total values of the WOMAC index — by 27.37%, after a treatment course using Diart. Conclusion. The high efficiency of using intra-articular injections of hyaluronic acid solution (Diart) in the treatment of patients with II–III stages of degen- erative-dystrophic diseases of the hip joint has been proven.

Thiel cadaver eye as a training model for sub-Tenon’s blocks: a feasibility study

BackgroundRegional anaesthesia education, especially for ocular procedures, necessitates reliable surgical training models. While cadaveric models offer anatomical fidelity, conventional embalming methods may compromise tissue integrity. We aimed to assess the effectiveness of Thiel cadavers for training in sub-Tenon’s blocks by evaluating ocular tissues and measuring insertion forces.MethodsExperimental design, using twenty eyes from ten Thiel cadaver heads. These cadavers were specifically prepared to test the administration of sub-Tenon’s blocks. The research was conducted in a controlled laboratory setting appropriate for handling cadaveric materials and conducting precise measurements. Each cadaver eye underwent an initial ultrasound examination, and its axial length was noted. An intravitreal injection of heptastarch solution followed, to re-establish the eye’s sphericity. After this volume injection, the axial length and intraocular pressure were measured again. Mock sub-Tenon’s blocks were administered in 2 separate quadrants of the eye, with insertion forces measured using a pressure gauge. These were compared to a data set of insertion forces measured in a series of isolated pig’s eyes on which STBs had been performed. Main outcome measurements were macroscopic assessment of the ocular tissue layers and the insertion forces required for the sub-Tenon’s blocks. In a second set of 10 Thiel cadaver heads, 5 ml of sodium chloride were injected as sub-Tenon’s blocks and the emergence of a periocular “T-sign” ascertained and measured by ultrasound.ResultsFour of twenty eyes (20%) retained near-natural sphericity, with the remaining requiring volume injection to approximate physiological shape and pressure. The conjunctiva and Tenon’s layer were intact, and correct cannula placement was achieved in all cases. In 16 of 20 eyes where T-signs could be measured, the median thickness of the T-sign amounted to 2.72 mm (range 1.34 mm–5.28 mm). The average maximum cannula insertion force was 2.92 Newtons. Insertion forces in intact Thiel cadaver heads were consistently higher than in isolated pig’s eyes (3.6 N vs 2.0 N).ConclusionThese findings suggest that Thiel cadavers are a promising model for training in sub-Tenon’sblocks, despite the challenge of often desiccated and involuted eyes.

Infliximab (Remsima SC)

Reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class. The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada’s federal, provincial, and territorial governments, with the exception of Quebec. This review assesses Description infliximab (Remsima SC), 120 mg/mL solution for subcutaneous injection. Indication: Maintenance treatment of adults with moderately to severely active Crohn disease who have had an inadequate response to or were intolerant of conventional therapy. Remsima SC should be used only as maintenance therapy after the completion of an induction period with IV infliximab.

Catalase: A Potential Pharmacologic Target for Hydrogen Peroxide in the Treatment of COVID-19.

This manuscript is a meta-analysis performed according to PRISMA guidelines. It shows that acute respiratory distress syndrome in COVID-19 complicated by airway obstruction with sputum and mucus, as well as cases of asphyxia with blood, serous fluid, pus, or meconium, can sometimes cause hypoxemia because the medical standard does not include intrapulmonary solutions that release oxygen. One promising avenue for finding and developing the necessary drugs may be the physical-chemical repurposing of hydrogen peroxide solution from antiseptics into inhaled and intrapulmonary mucolytics, pyolytics, and oxygen-releasing antihypoxants by replacing the acidic properties of hydrogen peroxide with alkaline properties. The fact is that an alkaline hydrogen peroxide solution liquefies said biological masses through alkaline saponification of lipid and protein-lipid complexes and simultaneously "blasts" the masses through catalase cleavage of hydrogen peroxide into water and oxygen gas, since these masses are rich in catalase. The results of the first experiments show that inhalation and intrapulmonary injections of alkaline hydrogen peroxide solutions can significantly optimize the treatment of suffocation and hypoxemia. Value of the data: 1. Why are these data useful? These data provide a new perspective way for intrapulmonary drugs and new technologies for the emergency increase of blood oxygenation through the lungs in asphyxia with thick sputum, mucus, pus, meconium and blood. 2. Who can benefit from these data? New drug developers, drug manufacturers, medical professionals providing emergency medical care, as well as pulmonologists, physiatrists, obstetricians and gynecologists can benefit from the data presented in this article. 3. How can these data be used/reused for further insights or development of experiments? These data can be used to develop new drugs and new technologies for the treatment of suffocation and hypoxia in the final stage of COVID-19, severe asthma attacks, purulent obstructive bronchitis, blood asphyxia in cancer and wounded lung in intensive care and anesthesiology departments. In addition, these data can be used to modernize expectorant, mucolytic, pyolytic, hemolytic and meconiolytic and expand the arsenal of intrapulmonary drugs.

Transglutaminase-catalyzed covalent anti-myostatin peptide depots

Nature realizes protein and peptide depots by catalyzing covalent bonds with the extracellular matrix (ECM) of tissues. We are translating this natural blueprint for the sustained delivery of a myostatin-inhibiting peptide (Anti-Myo), resulting in an enzyme depot established from injectable solutions. For that, we fused Anti-Myo to the D-domain of insulin-like growth factor I, a transglutaminase (TG) substrate. TG catalyzed the covalent binding of the D-domain to ECM proteins, such as laminin and fibronectin, on bioengineered ECM and in mice. ECM decorated with Anti-Myo suppressed myostatin activity and pathway activation and reduced the differentiation of preconditioned bone marrow-derived macrophages into osteoclasts in vitro.

Modeling the Transmission Dynamics and Optimal Control Strategy for Huanglongbing

Huanglongbing (HLB), also known as citrus greening disease, represents a severe and imminent threat to the global citrus industry. With no complete cure currently available, effective control strategies are crucial. This article presents a transmission model of HLB, both with and without nutrient injection, to explore methods for controlling disease spread. By calculating the basic reproduction number (R0) and analyzing threshold dynamics, we demonstrate that the system remains globally stable when R0&lt;1, but persists when R0&gt;1. Sensitivity analyses reveal factors that significantly impact HLB spread on both global and local scales. We also propose a comprehensive optimal control model using the pontryagin minimum principle and validate its feasibility through numerical simulations. Results show that while removing infected trees and spraying insecticides can significantly reduce disease spread, a combination of measures, including the production of disease-free budwood and nursery trees, nutrient solution injection, removal of infected trees, and insecticide application, provides superior control and meets the desired control targets. These findings offer valuable insights for policymakers in understanding and managing HLB outbreaks.

A Comprehensive Review on Injectable Solutions as Dosage Forms

A Comprehensive Review on Injectable Solutions as Dosage Forms

A CO2-Modified Surfactant for Chemical Flooding

Summary Carbon dioxide (CO2) modification of a nonionic surfactant alkyl polyglycoside (C-APG) was conducted based on a commercial APG product under mild synthesis conditions, including a low temperature (50°C) and a low pressure (2.5 bar). Using this method, CO2 was incorporated into APG molecules through the formation of carbonyl structures. The effectiveness and performance of C-APG as a novel surfactant for enhanced oil recovery (EOR) application in carbonate reservoirs were investigated and compared with its precursor—the unmodified APG. The key factors in the chemical structure of C-APG were characterized by Fourier transform infrared spectroscopy (FTIR) to confirm successful CO2 modification. The properties, including compatibility, surface tension, wettability alteration, interfacial tension (IFT), phase behavior, and static and dynamic adsorption of both APG and C-APG, were evaluated by various techniques and methods. Crude oil displacement efficiency of the surfactants was investigated via spontaneous imbibition, visualized micromodel, and coreflooding tests, respectively. Both surfactants were compatible with a high-salinity water (HSW), they exhibited a similar critical micelle concentration (CMC) of 8.5 mg/L and 13.5 mg/L for APG and C-APG, respectively, and had the same contact angle of around 135°. Interestingly, C-APG was found more effective in reducing IFT between oil and water phases. The IFT of oil in the C-APG solution was 0.058 ±0.001 mN/m, one order of magnitude lower than the value of 0.47 ±0.02 mN/m obtained from the solution of original APG, suggesting a better performance of C-APG in chemical flooding for oil displacement. A Winsor Type I microemulsion was formed by APG within the salinity range, while a transition of Type I to Type II microemulsion was observed for C-APG. The static adsorption of APG and C-APG at 2 g/L in carbonate were 0.93 mg/g rock and 1.08 mg/g rock, and the adsorption decreased to 0.11 mg/g rock and 0.13 mg/g rock under dynamic conditions for APG and C-APG, respectively. The spontaneous imbibition test demonstrated a higher oil imbibition recovery of 18.0% from C-APG solution compared to the result of 10.2% obtained from APG solution. A micromodel test showed that more crude oil was displaced by injection of APG or C-APG solution after waterflooding, while C-APG injection exhibited a stronger emulsification. The oil displacement by coreflood test showed that C-APG injection led to a lower differential pressure and a higher cumulative oil production (48%) compared to APG chemical flooding with a cumulative oil production of 41%. The produced fluids containing displaced crude oil from C-APG flooding, and subsequent waterflooding demonstrated very strong emulsification compared to the fluids produced after APG injection. This study demonstrates the significant potential of C-APG in two aspects—CO2 reduction and chemical EOR for the upstream petroleum industry.