Mode Of Treatment Research Articles

Beneficial utilization of ball-milled carbon sand to activate peroxymonosulfate oxidation: Quantitation of ROS using probe-based kinetic models and mechanism insights

In this study, the oil sand was treated with an integrated process of pyrolysis and ball milling, and the obtained ball-milled carbon sand (BMCS) was utilized as peroxymonosulfate (PMS) activator to treat wastewater containing aniline (AN). Quenching experiments and electron paramagnetic resonance (EPR) confirmed the existence of sulfate radical (SO4∙‐), hydroxyl radical (·OH) and singlet oxygen (O12) in the BMCS/PMS system. A probe-based kinetic model was constructed to describe the degradation process of pollutants in the BMCS/PMS system, quantified the exposure of each reactive oxygen species and their contributions to AN degradation. BMCS activated PMS to quickly produce SO4∙‐ and gradually generate ·OH. The O12 exposure showed a rapid increasing trend and the largest total exposure, while its contribution to AN degradation was small. Ball milling time and BMCS dosage demonstrated significant effect on the exposure of ·OH and O12. The main active sites for BMCS to activate PMS were iron oxides, defective carbon and oxygen-containing functional groups. This study provides a green and low-cost process for value-added transformation of pyrolytic residue of oil sand (PROS), so as to promote PROS treatment mode from harmless disposal to resource utilization.

Assessment of the level of patient satisfaction in Homoeopathy using 12 Item Japanese Short-form Satisfaction Questionnaire: A cross-sectional study

To strengthen the health care services, it is important to know the patients’ satisfaction about the quality of health care they are getting exposed to, in different modes of treatment. There are a few studies on the topic but are mostly related to modern medicine. It is desirable to make such efforts in other systems of medicine in view of recent emphasis of the Govt of India for the use of AYUSH. The present paper aims to present findings of a pilot study examining the usefulness of 12-item Japanese short-term self-administered questionnaire and the level of patient satisfaction following homoeopathic healthcare encounters. The pilot study was conducted in the OPD (out-patient department) of Bakson Homoeopathic Medical College & Hospital, Greater Noida (BHMC&H) to understand and estimate patients’ satisfaction related to health care service. The study was cross-sectional of 81 newly enrolled patients in the Hospital’s OPDs by using a bilingual 12-Item Japanese short form self-administered consultation questionnaire. The questionnaire appeared to be reliable and valid. The internal consistency scores of Cronbach’s Alpha range between 0.62 – 0.93. Most of the patients have given positive feedback against all the dimensions/ subscales related to patient’s care. It is recommended to conduct further longitudinal surveys with greater sample size in an AYUSH health care set up as being emphasized by the present national programme effort.

PSXII-8 Environmental cost effects of different manure treatment methods on dairy farms

Abstract The issue of manure disposal in dairy farms has long been a significant challenge afflicting the dairy farming industry, as manure poses various detrimental effects such as greenhouse gas emissions and land pollution. This remains an urgent concern for the industry to address. The traditional tank fermentation oxidation pond form of manure treatment and the new biogas power generation mode of manure treatment are currently widely employed in dairy farming enterprises. The evaluation and analysis of the environmental cost of new treatment modes should be conducted using scientific methods to determine which approach is more environmentally friendly. We selected two dairy farms with roughly the same number of dairy cows and the same management level, and the feed formula of the two dairy farms was basically consistent with the herd structure. Among them, the traditional tank fermentation manure treatment pasture, and the biogas power generation pasture. The Life Cycle Assessment (LCA) method of SimaPro software was used, and the software version was 9.0.0.48. In the life cycle assessment, we take into account the depletion of fossil energy, cement, metals, chemical products, electricity, heat, and mechanical pumps during the process of manure treatment. After accounting, the following conclusions are developed. During the whole life cycle of dairy farming, greenhouse gas emissions mainly fall into three types: methane (CH4), carbon dioxide (CO2), and nitrous oxide (N2O). CH4 accounts for 64% of the total emissions, which is mainly produced in the process of animal feeding, and a small part comes from manure treatment. CO2 accounts for 34% of the total emissions from the production of feed raw materials. The smallest proportion of transport and fossil energy consumption is N2O, which is mainly produced by manure treatment processes and accounts for 2% of total emissions. The environmental cost of the traditional tank fermentation oxidation pond is 17.6% greater than that of the new type of biogas power generation.

Patterns of treatment failure in patients with sinonasal squamous cell carcinoma after chemoradiotherapy.

To investigate the failure patterns based on precision radiation treatment and to determine the predictive factors of treatment failure for sinonasal squamous cell carcinoma (SNSCC) patients. This was a retrospective study that included 214 cases of treatment failure from 441 consecutive patients. Two experienced radiation oncologists evaluated the tumour volume of cases with local recurrence. The 5-year overall survival (OS), progression-free survival (PFS) rates, and distant-metastasis-free survival (DMFS) were estimated. Investigations were performed on the factors that predicted local failure or distant metastasis. About 140 (31.7%) patients developed local recurrence, 24 (5.4%) experienced regional failure, and 65 (14.7%) underwent distant metastasis. In-field, marginal, and out-of-field failures occurred in 55.7% (78/140), 33.6% (47/140), and 10.7% (15/140) of patients with local recurrence, respectively. In logistic regression analysis, factors statistically significant for total local failure included treatment mode (P < .01), chemotherapy (P < .01), and surgical margins (P < .01). Primary tumours with poor differentiation (P = .018) and R2 resection margin (P = .009) were more prone to develop distant failure. The 5-year OS, PFS, and DMFS rates were 57.8%, 52.0%, and 56.7% for the whole cohort. In univariate and multivariate analysis, the skull base involvement was an independent predictor for poorer OS and PFS; orbital invasion was an independent predictor for poorer OS. Local recurrence and distant metastasis were the most common failure modes. Treatment mode, chemotherapy, and surgical margins were related to local recurrence. Poor differentiation and R2 resection margin were predictors for distant failure. Local recurrence is the most common failure pattern in patients with SNSCC who accepted chemoradiotherapy, and marginal and out-of-field failures occurred in 44.3% of patients with local recurrence.

Ethnobotanical survey of medicinal and ritual plants utilized by the indigenous communities of Benguet province, Philippines

BackgroundThe Sto. Niño site in Benguet province, Philippines was once a mining area that has now been transformed into an agricultural land. In this area, there has been significant integration of the three indigenous people (IPs) Ibaloi, Kankanaeys and Kalanguyas with the Ilocano community. These IPs safeguard biodiversity and traditional knowledge, including medicinal plant use. However, the documentation of these plant species and their medicinal applications has not been systematic, with the resultant loss of knowledge across generations. This study aims to document the medicinal and ritual plants used by the indigenous communities at the site, in order to preserve and disseminate traditional medicinal knowledge that would otherwise be lost.MethodsEthnobotanical data were collected in Sto. Niño, Brgy. Ambassador, Municipality of Tublay, Benguet, Philippines, and collected through semi-structured interviews, together with focus group discussions (FGD). A total of 100 residents (39 male and 61 female) were interviewed. Among them, 12 were key interviewees, including community elders and farmers, while the rest were selected through the convenience and snowball technique. Demographic information collected from the interviewees included age, gender, and occupation. Ethnobotanical information collected focused on medicinal plants, including the specific parts of plants used, methods of preparation, modes of treatment, and the types of ailments treated. Ethnobotanical quantitative indices of the relative frequency of citations (RFC) and informant consensus factor (ICF) were calculated to evaluate the plant species that were utilized by the community.ResultsA total of 28 medicinal plants from 20 different families and 6 ritual plants from 5 different families were documented. Asteraceae, Poaceae, and Lamiaceae (10.71%) family are the most mentioned medicinal plant species, followed by Myrtaceae and Euphorbiaceae (7.14%). The most widely used growth form were herbs (46.4%), while leaves (61.5%) were the most utilized plant part, and the preparation of a decoction (62.2%) was the most preferred method of processing and application. The medicinal plants were most commonly utilized for wound-healing, cough and colds, stomachache and kidney trouble, whereas ritual plants were largely used for healing, protection, and funeral ceremonies.ConclusionThis study marks the first report on the medicinal and ritual plants used by a group of indigenous communities in Sto. Niño, Brgy. Ambassador, Tublay, Benguet Province. The data collected show that plant species belonging to the Asteraceae, Poaceae, and Lamiaceae family were the most mentioned and should be further evaluated by pharmacological analysis to assess their wider use for medicinal treatment.

Super minimally invasive surgery changing the treatment paradigm for rectal cancer

The treatment mode for patients with low rectal cancer (LRC) is still mainly surgical treatment. With the advancement of medical technology, the current surgical mode is more inclined towards super minimally invasive surgery (SMIS) that preserves organs and functions. SMIS belongs to organ preservation surgery, including non-full thickness and full-thickness resection under digestive endoscopy, laparoscopic or robotic full-thickness resection, and transanal minimally invasive surgery, which can cover all stages of TNM staging. The paper elaborates on the importance of preoperative accurate diagnosis and risk stratification in selecting appropriate SMIS methods, the new progress of imaging technology in accurately predicting lymph node metastasis, providing preoperative TNM staging and risk stratification, and guiding SMIS treatment. Finally, the paper introduces the SMIS surgical options for the treatment of LRC that have been developed and are currently in the clinical research stage, with the aim of maximizing the quality of life for LRC patients.

Biocontrol of Grey Mold on Strawberry Fruit by Bacillus spp. and Study of the Mechanisms Involved

&lt;p&gt;Grey mold, caused by the fungus &lt;em&gt;Botrytis cinerea&lt;/em&gt;, is one of the most prevalent diseases affecting strawberry plants (&lt;em&gt;Fragaria ananassa&lt;/em&gt;). The objective of this study was to assess the antagonistic effect of 5 bacterial strains belonging to the genus &lt;em&gt;Bacillus &lt;/em&gt;spp&lt;em&gt;.&lt;/em&gt; (BA1, BF2, BB3, BI3, and BO4) against &lt;em&gt;B. cinerea&lt;/em&gt;, tested both &lt;em&gt;in vitro&lt;/em&gt; and &lt;em&gt;in vivo&lt;/em&gt; on strawberry fruits. The strains exhibited antifungal activity against &lt;em&gt;B. cinerea&lt;/em&gt; under &lt;em&gt;in vitro&lt;/em&gt; conditions, both through direct confrontations and antibiosis tests, as well as through the effect of organic compounds. Strain BO4 could inhibit mycelial growth by 62.92% through direct confrontation and 64.58% through the secretion of volatile organic compounds. Additionally, the strain BF2 demonstrated a high antibiosis effect (74.64%) compared to the control at a concentration of 25%. Treating fruits with the bacterial suspension and culture filtrate of the 5 studied strains controlled grey mold growth &lt;em&gt;in vivo&lt;/em&gt;, as indicated by low severity indices in strawberries treated with strains BI3, BF2, and BA1, marked by percentages of 24.44%, 24.44%, and 37.78%, respectively, for preventive treatment. The difference in the effectiveness of various strains depended on the treatment mode; preventive treatment proved to be more effective compared to curative treatment.&lt;/p&gt;

Impact of lung adenocarcinoma subtypes on survival and timing of brain metastases.

Lung cancer is a devastating disease, with brain metastasis being one of the most common distant metastases of lung adenocarcinoma. This study aimed to investigate the prognostic characteristics of individuals with brain metastases originating from invasive lung adenocarcinoma of distinct pathological subtypes, providing a reference for the management of these patients. Clinical data from 156 patients with lung adenocarcinoma-derived brain metastases were collected, including age, sex, smoking status, Karnofsky Performance Status scores, pathological subtype, lymph node metastasis, tumor site, treatment mode, T stage, and N stage. Patients were classified into two groups (highly differentiated and poorly differentiated) based on their pathological subtypes. Propensity score matching was used to control for confounding factors. The prognostic value of pathological subtypes was assessed using Kaplan-Meier analysis and Cox proportional hazards regression modeling. Kaplan-Meier analysis indicated that patients in the moderately to highly differentiated group had better prognoses. Multivariate analysis revealed that being in the poorly differentiated group was a risk factor for poorer prognosis. Thoracic tumor radiation therapy, chemotherapy, and surgery positively influenced the time interval between lung cancer diagnosis and brain metastasis. The pathological subtypes of lung adenocarcinoma-derived brain metastases are associated with patient prognosis. Patients in the poorly differentiated group have worse prognoses compared to those in the moderately to highly differentiated group. Therefore, patients in the poorly differentiated group may require more frequent follow-ups and aggressive treatment.

Survival Trends for Uterine Sarcomas from a Tertiary Center: The Oxford Experience.

Uterine sarcomas are rare and aggressive gynecological malignancies. We evaluated the epidemiology, treatment outcomes and survival rates in uterine sarcoma patients managed in our institute. The medical records of women with histology proven uterine sarcoma, including leiomyosarcoma (LMS), adenosarcoma (ADS), and endometrial stromal sarcoma (ESS), treated at our institution from February 2010 to February 2022, were analyzed. In total, 41 patients were identified. In detail, LMS, ADS, and high-grade and low-grade ESS were identified, respectively, in 60.9%, 19.5%, 12.1%, and 7.3% of the cases. The majority of women affected by LMS (72%) underwent primary surgery and 40% of them also received adjuvant chemotherapy. A surgical approach was the preferred mode of treatment in 83% of the recurrences. The median OS (overall survival), DFS (disease free survival), and PFS (progression free survival) for the LMS group were 25, 44.5, and 8 months, respectively. The 5-year survival rates for LMS, ADS, and ESS groups were 30.5%, 100% and 37.5%, respectively. The 5-year survival for LMS was found to be significantly worse than for other histology types (p = 0.016). Our study provides valuable data for the evaluation of treatment strategies and survival trends among these rare cancers. The management and follow-up planning of each subtype requires a thorough patient-focused multidisciplinary discussion.

Homoeopathic Management of Acute Cholangitis in a Case of Adenocarcinoma of Gall Bladder with Metastasis: A Case Report

AbstractAcute cholangitis is a bacterial infection superimposed on an obstruction of biliary tree from a gall stone, neoplasm or stricture. The biliary obstruction is most commonly caused by choledocholithiasis benign or malignant stricture of the bile duct or hepatic ducts, pancreatic cancer, ampullary adenoma or cancer, porta hepatis tumour or metastasis, biliary stent obstruction (due to microbial biofilm formation, biliary sludge deposition and duodenal reflux of food content), primary sclerosing cholangitis and amyloid deposition in the biliary system. Classically, patients present with high fever persisting for more than 24 hours, abdominal pain and jaundice (Charcot's triad). The right upper quadrant abdominal (RUQ) pain is generally mild. When the cholangitis becomes more severe, patients become hypotensive and confused (Reynold's pentad). Charcot's triad has low sensitivity (26.4%) and high specificity (95.9%). Although the presence of Charcot's triad is suggestive of acute cholangitis, it is not diagnostic. Charcot's triad is present in 26.4 to 72% of patients with acute cholangitis. TG07 diagnostic criteria for acute cholangitis also do not have enough sensitivity and specificity and its severity criteria are also not suitable for clinical use. Antibiotics, intravenous fluid, Vitamin K supplementation and biliary drainage are the options available in conventional mode of treatment for acute cholangitis. Presented here is one case report of acute cholangitis in a patient of adenocarcinoma of gall bladder with metastasis. The case was treated using classical method of homoeopathy with complete improvement in clinical and laboratory parameters of acute cholangitis.

Prediction of Failure Due to Fatigue of Wire Arc Additive Manufacturing-Manufactured Product

Currently, the focus of production is shifting towards the use of innovative manufacturing techniques and away from traditional methods. Additive manufacturing technologies hold great promise for creating industrial products. The industry aims to enhance the reliability of individual components and structural elements, as well as the ability to accurately anticipate component failure, particularly due to fatigue. This paper explores the possibility of predicting component failure in parts produced using the WAAM (wire arc additive manufacturing) method by employing fractal dimension analysis. Additionally, the impact of manufacturing imperfections and various heat treatment processes on the fatigue resistance of 30CrMnSi steel has been investigated. Fatigue testing of samples and actual components fabricated via the WAAM process was conducted in this study. The destruction of the examined specimens and products was predicted by evaluating the fractal dimensions of micrographs acquired at different stages of fatigue testing. It has been established that technological defects are more dangerous in terms of fatigue failure than microstructural ones. The correctly selected mode of heat treatment for metal after electric arc welding allows for a more homogeneous microstructure with a near-complete absence of microstructural defects. A comparison of the fractal dimension method with other damage assessment methods shows that it has high accuracy in predicting part failure and is less labor-intensive than other methods.

Observation on the Effect of Sequentially Combined Multi-modal Artificial Liver Treatment on HBV-related Acute-on-chronic Liver Failure.

To observe the short-term effect of sequentially combined multimodal artificial liver treatment (SCMALT) on HBV-related acute-on-chronic liver failure (HBV-ACLF). HBV-ACLF patients 155 cases undergoing artificial liver treatment were analyzed, and they were sorted into the SCMALT group and the conventional-modal artificial liver treatment (CALT) group. The clinical data of all patients were recorded and the serum levels of interleukin-8 (IL-8), chemokine interferon-inducible protein-10 (IP-10), and interleukin-6 (IL-6) were detected. The changes in the 30-day survival rate, cytokine level, model for end-stage liver disease (MELD) score, and complications of artificial liver treatment were analyzed. After being followed up for 30 days, 104 patients survived and 51 died. At the end of the whole-course treatment, the decreases in IL-6, IP-10, and IL-8 levels and MELD scores in the SCMALT group were greater than in the CALT group. Cox regression suggested WBC (OR=1.066, 95% CI 1.012-1.123, P=0.017), AT-III activity (OR=0.935, 95% CI 0.907-0.964, p=0.000) at baseline, artificial liver treatment mode (OR=0.362, 95% CI 0.164-0.800, p=0.012), number of artificial liver treatments (OR=0.656.95% CI 0.436-0.986, p=0.043), spontaneous peritonitis (OR=0.337, 95% CI 0.165-0.689, p=0.003), and hepatic encephalopathy (OR=0.104, 95% CI 0.028-0.388, p=0.001) were independent influencing factors of 30-day survival rate. SCMALT can significantly prolong the survival period of the patient. No obvious difference was shown in the proportions of bleeding and circulation instability between the two groups (p>0.05). Compared with the CALT, SCMALT can more effectively remove inflammatory mediators and reduce the MELD score in HBV-ACLF patients, which can obviously ameliorate the prognosis, with less effect on the platelet count.

322. IMPACT OF POSTOPERATIVE NUTRITIONAL SUPPORT MODES ON CLINICAL AND PATIENT-REPORTED OUTCOMES IN ENHANCED RECOVERY AFTER ESOPHAGECTOMY FOR CANCER

Abstract Background Enhanced Recovery After Surgery (ERAS) for esophagectomy has been demonstrated to be safe and effective. However, there is significant variation in the nutritional support treatment modes during the perioperative period. We have recently developed a novel ERAS nutritional support mode. In this study, we compared this new mode with the previous ERAS nutritional support treatment mode to assess their impact on clinical and Patient-Reported Outcomes (PROs), aiming to develop an optimal approach. Methods We enrolled 357 patients who underwent esophagectomy for esophageal thoracic cancer or esophagogastric junction cancer from June 2021 to August 2023. Two different ERAS nutritional support treatment protocols were used postoperatively: the control group previously received enteral nutrition by nasojejunal tube + parenteral nutrition + early oral diet after surgery, while the study group currently received parenteral nutrition + early oral diet. We compared the two groups in terms of clinical observation indicators, hematological analysis, serum protein changes and clinical outcomes. The comparison of quality of life on PROs was assessed using the MD Anderson Symptom Inventory. Symptom changes were analyzed using a mixed-effects model. Results A total of 324 patients successfully completed the ERAS nutritional support protocols. The success rates were 91% in the control group and 90.2% in the study group, with no statistically significant difference (p&amp;gt;0.05). The incidence of complications did not significantly differ between the two groups (p&amp;gt;0.05). Compared to the control group (n=223), the study group (n=101) significantly shortened the chest drain time (6.2±2.6 days vs. 6.6±1.5 days, p&amp;lt;0.05) and elevated the levels of serum total protein and albumin on the 4th postoperative day (53±5 g/L vs. 51±4 g/L, 30±2 g/L vs. 28±2 g/L, p&amp;lt;0.05). There were no statistically significant differences in the first flatus time, first defecation time, infusion time and postoperative hospital stay between the two groups (p&amp;gt;0.05). The comparison of hematological analysis, serum protein changes, changes in body weight during the perioperative period and 30-day readmission rate showed no statistically significant differences (p&amp;gt;0.05). In the MD Anderson Symptom Inventory, the study group had significantly better scores in sadness, dry mouth, enjoyment of life, and general activity dimensions compared to the control group (p=0.013, p&amp;lt;0.001, p=0.045, p=0.008). Conclusion Based on the similar rehabilitation outcomes, the simplified ERAS nutritional support treatment mode without postoperative enteral nutrition by nasojejunal tube is more optimized because it is physiological sound and significantly improves quality of life on PROs.

To Explore the Rule and Mechanism of Traditional Chinese Medicine in the Treatment of Postmenopausal Osteoporosis Based on Data Mining, Network Pharmacology and Molecular Docking Technology

Postmenopausal osteoporosis (PMOP) is an important part of primary osteoporosis, and the current clinical treatment program for PMOP is easily limited by side effects and adverse reactions, so it is particularly important to seek more efficient, safe, and economical drug treatment for PMOP. In recent years, with the change of disease treatment mode and the gradual deepening of Traditional Chinese medicine (TCM) research on PMOP, a review of the literature reveals that there is a huge number of studies on the use of TCM in the treatment of PMOP, but there are no relevant systematic studies on the rules of its formulas and the specific mechanisms by which the core drugs exert their therapeutic effects. Therefore, in this study, we collected a total of 141 formulas used by TCM clinicians to treat PMOP, statistically analyzed their high-frequency medications, Four Qi, Five Flavors, meridians, and efficacies, and analyzed the core medications based on the association rules, which were Rehmanniae Radix Praeparata, Epimedium, Eucommia ulmoides, Rhizoma Drynariae, Angelica sinensis, Achyranthes, Astragalus propinquus, Psoralen, Cornus officinalis and licorice. A total of 87 drug pairs were obtained from the correlation analysis, and a total of 8 groups of potential core combination drugs and 4 potential new prescriptions were derived based on the cluster analysis. Subsequently, a network pharmacological analysis of the core drugs was conducted to obtain 173 active ingredients in the core drugs, including kaempferol, β-sitosterol, quercetin, etc. 298 targets of action, including MAPK3, STAT1, HSP90AA1, etc. 170 signaling pathways including AGE-RAGE, PI3 K/Akt, TNF, HIF-1 and others. The molecular docking results showed that 11 key active ingredients in the core drugs had stable binding to the target targets. This study showed that TCM treatment of PMOP is mainly based on “reinforcing liver and kidney, warmly invigorating spleen and stomach, activating blood and resolving stasis.” Core drugs therapy for PMOP is a comprehensive intervention through multi-component, multi-target, and multi-pathway approaches. The minimum binding energies between the 11 key active ingredients and the 11 key targets were calculated in a comprehensive analysis, which shows that the core drugs have good binding activities to their therapeutic targets, proving that the predictions of this study are reliable. In the future, it will provide certain medication basis and data support for TCM treatment of PMOP.

Primary acquired nasolacrimal duct obstruction - epidemiology, clinical signs and surgical treatment.

The aim of this study was to discuss the epidemiological aspects, clinical picture and the mode of surgical treatment in patients with primary acquired nasolacrimal duct obstruction (PANDO).

Features of Increasing the Wear Resistance of 90CrSi Tool Steel Surface under Various Electrophysical Parameters of Plasma Electrolytic Treatment

The paper investigates the feasibility of plasma electrolytic treatment (PET) of 90CrSi tool steel to enhance hardness and wear resistance. The influence of electrophysical parameters of PET (polarity of the active electrode, chemical-thermal treatment, and polishing modes) on the composition, structure, morphology, and tribological properties of the surface was studied. Tribological tests were carried out under dry friction conditions according to the shaft-bushing scheme with fixation of the friction coefficient and temperature in the friction contact zone, measurements of surface microgeometry parameters, morphological analysis of friction tracks, and weight wear. The formation of a surface hardened to 1110–1120 HV due to the formation of quenched martensite is shown. Features of nitrogen diffusion during anodic PET and cathodic PET were revealed, and diffusion coefficients were calculated. The wear resistance of the surface of 90CrSi steel increased by 5–9 times after anodic PET followed by polishing, by 16 times after cathodic PET, and up to 32 times after subsequent polishing. It is shown that in all cases, the violation of frictional bonds occurs through the plastic displacement of the material, and the wear mechanism is fatigue wear during dry friction and plastic contact.

Development and application of metal–organic frameworks and spherical carbon particles for efficient recovery of phenols and oils from coal chemical wastewater: A new full-process adsorption treatment mode

To address the challenges of high energy consumption and low efficiency in recovering phenols and oils from coal chemical wastewater (CCW), this study focused on the design and synthesis of metal–organic frameworks and spherical carbon particle (MOFs/SCP) adsorbents with a high adsorption capacity and ease of desorption. Additionally, a new comprehensive treatment mode named “adsorption-desorption-regeneration-recovery” (ADRR) was developed to efficiently recover phenols and oils from CCW. The results revealed that the ADRR treatment mode maintained high adsorption and desorption efficiencies of MOFs/SCP, which remained consistently above 95 %. Additionally, methanol regeneration reached ∼ 90 %, and the recovery efficiency of phenols and oils was ∼ 83 %. The analysis of the adsorption behavior model indicated that the adsorption of phenols and oils by MOFs/SCP mainly involved monolayer chemical adsorption characterized by spontaneity, heat absorption, and disorder. The dynamic adsorption model exhibited a strong correlative ability to predict and assess the adsorption capacity, rate, equilibrium, and operating parameters. Finally, structural analyses and molecular dynamics simulations revealed that the micro-interaction mechanisms between MOFs/SCP and phenols and oils mainly depended on the distinctive hydrophobic nature and porous adsorption capabilities of MOFs/SCP. These interactions were mainly facilitated by electrostatic interactions, π–π interactions, and hydrogen bonding. The findings of the study are crucial for achieving high-value recovery of phenols and oils from CCW and, promoting the clean and sustainable growth of the coal chemical industry.

Harnessing AI in depression therapy: Integrating technology with traditional approaches

Depression is a pervasive mental health disorder affecting millions worldwide, with traditional therapeutic approaches such as medication and psychotherapy serving as the primary modes of treatment. However, the limitations of these methods, including variable patient responses and challenges in accessibility, have driven the exploration of innovative solutions. This paper investigates the integration of Artificial Intelligence (AI) into traditional therapies, proposing a hybrid approach to enhance the efficacy of depression treatment. AI technologies, including chatbots, predictive analytics, and personalized virtual therapy, offer significant potential to complement existing treatments by providing continuous support, tailoring interventions to individual needs, and improving patient adherence. Through a review of current literature, this paper discusses the applications, benefits, and ethical considerations of AI in mental health, highlighting its transformative role in augmenting traditional therapeutic practices.

Efficacy of Platelet-Rich Plasma Versus Steroids In Patients of Tennis Elbow

Objective: To compare the efficacy of Platelet Rich Plasma versus Steroids among patients managed for Tennis elbow at our Orthopaedic unit. Study Design: Quasi-experimental study. Place and Duration of Study: Orthopaedic Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2021 to Jul 2022. Methodology: Patients with Tennis Elbow diagnosed by a consultant orthopaedic surgeon were included in the study. They were randomly allocated treatment with platelet-rich plasma and steroid injections. The team assessed them after three months of treatment using the Disabilities of Arm, Shoulder, and Hand score. Different factors, including mode of treatment, were associated with significant improvement in these patients at the end of three months. Results: Out of 250 patients with tennis elbow included in the final analysis, 193(77.2%) were male, and 57(22.3%) were female. Patients were divided into two groups for comparison, and Group-1 had significant improvement, while Group-2 had no improvement. Out of the total, 117(46.8%) patients received platelet-rich plasma, while 133(53.2%) patients were managed with corticosteroids. The presence of comorbid illnesses and the use of platelet-rich plasma was statistically significantly found in a group with significant improvement in Disabilities of Arm, Shoulder, and Hand score (p-value&lt;0.05) as compared to a group of patients without significant improvement. Conclusion: Most patients had significant improvement in symptoms at the end of three months. In our study, patients who were managed with platelet-rich plasma and had no comorbid illness had more chances of significant improvement at the end of three months.

Antibiotic-free ocular sterilization while suppressing immune response to protect corneal transparency in infectious keratitis treatment

Clinical guidelines for infectious keratitis treatment require that anti-inflammatory drugs can only be used after infection elimination, which causes irreversible inflammatory damage to the cornea. In this work, photodynamic metal organic frameworks (PCN-224) were used as drug carrier to load Pt NPs with catalase-like activity and anti-inflammatory drug (Dexamethasone, DXMS) for endogenous oxygen generation and reduced corneal damage, respectively. The photodynamic therapy (PDT) effect was greatly enhanced in bacteria elimination and bacterial biofilms removal through catalysis of overexpressed hydrogen peroxide (H2O2, ∼8.0 and 31.0 μM in bacterial solution and biofilms, respectively) into oxygen by Pt NPs. More importantly, the cationic liposome modified PCN-224@Pt@DXMS@Liposomes (PPDL NPs) greatly enhanced the adhesion to negatively charged ocular surface and penetration into corneal barrier and bacterial biofilms. Both in vitro cell viability test and in vivo eye irritation tests proved good biocompatibility of PPDL NPs under 660 nm laser irradiation. Furthermore, PDT of PPDL NPs in rapid bacteria killing was verified through infectious keratitis animal model. The superior bactericidal effect of antibacterial materials could largely replace the bactericidal effect of the immune system. It is worth mentioning that this simultaneous sterilization and anti-inflammation treatment mode is a new exploration against the clinical treatment guidelines.