Background:Evidence suggests that glucocorticoids are important in the treatment of sudden hearing loss(SHL)and Meniere’s disease(MD).However,different glucocorticoid administration methods may have a significant imp...Background:Evidence suggests that glucocorticoids are important in the treatment of sudden hearing loss(SHL)and Meniere’s disease(MD).However,different glucocorticoid administration methods may have a significant impact on treatment outcomes.Objective:This study aimed to investigate effects of different glucocorticoid administration methods on sudden hearing loss and Meniere’s disease.Methods:In this study,glucocorticoids were administered orally in 18 patients,by retroauricular injection in 15 patients and by intratympanic injection in 15 patients.White blood cell(WBC)count,serum Kt,fasting plasma glucose(FPG),body temperature,heart rate and blood pressure were used to evaluate effects of glucocorticoids on patients with hearing loss.Visual analog scale(VAS)of pain and sleep disorders were also surveyed,and pure tone audiometry(PTA)results were compared among groups to evaluate efficacy of different glucocorticoids administration methods.Result:WBC count,heart rate and blood pressure were higher in patients taking oral glucocorticoids,while body temperature,serum Kt and FPG levels did not change in all three groups.However,patients who received intratympanic injection of glucocorticoids experienced more pain,while those taking oral glucocorticoids reported more sleep impairment.Treatment efficacy on hearing loss was not significantly different among the three groups.Conclusion:These findings suggest that systemic glucocorticoid administration can result in greater whole body responses than local administration,but with similar hearing treatment efficacy.展开更多
Photoelectrochemical(PEC)fuel generation from water splitting and CO_(2)reduction(CO_(2)R)utilizing solar energy holds immense potential to solve the current energy and environmental issues.In the past decades,numerou...Photoelectrochemical(PEC)fuel generation from water splitting and CO_(2)reduction(CO_(2)R)utilizing solar energy holds immense potential to solve the current energy and environmental issues.In the past decades,numerous studies have been devoted to this fast-growing research field,and it is essential to develop efficient photoelectrodes with earth-abundant materials for the practical application of PEC systems.A thorough review of earth-abundant materials and associated devices for PEC fuel generation is beneficial to uncover the inherent obstacles and pave the way for future research.Herein,we summarize the recent progress of earth-abundant light-absorbers and cocatalysts in the PEC systems.The unbiased configurations and scaling-up strategies of PEC devices using earth-abundant materials are examined.A comparison between PEC water splitting and CO_(2)R is carried out to promote better understanding of the design principles for practical materials and devices.Last,the prospects on advanced materials,underlying mechanisms,and reaction systems of PEC water splitting and CO_(2)R are proposed.展开更多
Objective: To evaluate High Resolution Computer Tomography(HRCT) in the diagnosis of external ear canal cholesteatoma.Methods: In this retrospective study, HRCTs of 27 patients with external ear canal cholesteatoma we...Objective: To evaluate High Resolution Computer Tomography(HRCT) in the diagnosis of external ear canal cholesteatoma.Methods: In this retrospective study, HRCTs of 27 patients with external ear canal cholesteatoma were reviewed. The changes in the external ear canal, tympanic membrane(TM), scutum, tympanum and mastoid were measured and categorized.Results: Fourteen patients showed no or mild destruction in the external ear canal(stage Ⅰ group). Eight patients had obvious enlargement in the external ear canal(stage Ⅱ group) but showed limited destructions of the mastoid bone and no damage of the tympanums. Five patients had serious destruction of the mastoid bone and damage of the tympanum(stage Ⅲ group). All patients in the stage Ⅲ group showed a compression of manubriums and TMs, with 3 having damages on ossicular chain. Bone destruction of the vertical section of facial nerve canal was discovered in one case in the stage Ⅲ group.Conclusion: HRCT can provide detail information about the extent of external ear canal cholesteatoma. Such information can be used to identify special situations with serious complications and to differentiate external ear canal cholesteatoma from middle ear cholesteatoma.展开更多
Herein,a cross-linked porous Ta3N5 film was prepared via a simple solution combustion route followed by a high-temperature nitridation process for photoelectrochemical(PEC) water oxidation.Meanwhile,the metal cations(...Herein,a cross-linked porous Ta3N5 film was prepared via a simple solution combustion route followed by a high-temperature nitridation process for photoelectrochemical(PEC) water oxidation.Meanwhile,the metal cations(Mg2+ and Zr4+) were incorporated into the porous Ta3N5 to enhance the PEC performance.The porous Mg/Zr co-doped Ta3N5 photoanode yielded a photocurrent density of 1.40 mA cm^(-2) at 1.23 V vs RHE,which is 5.6 times higher than that of the dense Ta3N5 photoanode.The enhanced performance should be ascribed to the synergistic effect of porous structure and cation doping,which can enlarge the electrochemical active surface area and accelerate the charge transfer by introducing ON substitution defects.Subsequently,Co(OH)2 cocatalyst was loaded on the Mg/Zr-Ta3N5 photoanode to negatively shift the onset potential to 0.45 V vs RHE and further improve the photocurrent density to 3.5 mA cm^(-2)at 1.23 V vs.RHE,with a maximum half-cell solar to hydrogen efficiency of 0.45%.The present study provides a new strategy to design efficient Ta3N5 photoelectrodes via the simultaneous control of the morphology and composition.展开更多
A yolk-shell structured Co-C/Void/CogS8 ternary composite composed of a Co nanoparticle-embedded porous carbon core and Co9S8 shell was synthesized by the sulfidation of a Co-based zeolitic imidazolate framework and s...A yolk-shell structured Co-C/Void/CogS8 ternary composite composed of a Co nanoparticle-embedded porous carbon core and Co9S8 shell was synthesized by the sulfidation of a Co-based zeolitic imidazolate framework and subsequent pyrolysis. The composition and interior cavity of the Co-C/Void/CogS8 composite could be precisely modulated by controlling the sulfidation reaction. Due to the abundant heterointerfaces, well-controlled cavity, and magnetic-dielectric synergistic effects, the Co-C/Void/CogS8 exhibited excellent and tunable microwave- absorbing properties. The optimized Co-C/Void/Cog~ having a loading of 25 wt.% and thickness only 2.2 mm, displayed an ultrabroad absorption bandwidth of 8.2 GHz at high frequencies. Moreover, the composite could achieve an extremely high reflection loss of -54.02 dB at low frequencies by adjusting its loading to 30 wt.%. This study provides a new insight into promising lightweight microwave-absorbing materials with ultrabroad absorption bandwidths and strong low-frequency absorption.展开更多
With continuous research on photocatalytic water splitting, searching for efficient catalyst for hydrogen evolution reaction(HER) becomes popular topic in addition to main catalyst research. Transition metal phosphide...With continuous research on photocatalytic water splitting, searching for efficient catalyst for hydrogen evolution reaction(HER) becomes popular topic in addition to main catalyst research. Transition metal phosphides are receiving intense attention due to its abundance in the Earth's crust and comparable catalytic properties to noble metals. In this review, the synthesis approaches, HER reaction mechanism,photocatalytic activity, approaches to improve the activity of transition metal phosphides were reviewed and discussed. It was showed that the transition metal phosphides have great potential to reduce the cost of photocatalyst and promising application on water splitting. The stability problem and participation of poisonous reactant and product in its synthesis reaction limit its application and developing in a certain extent, but with the continuous efforts on the development and improvement of the synthesis methods,transition metal phosphides will find wide application in water splitting.展开更多
Photodynamic therapy(PDT)is a promising non-invasive therapy approach for various diseases including malignant tumor.The process of PDT involves three interrelated aspects,namely photosensitizer(PS),light source,and o...Photodynamic therapy(PDT)is a promising non-invasive therapy approach for various diseases including malignant tumor.The process of PDT involves three interrelated aspects,namely photosensitizer(PS),light source,and oxygen,among which PS is the decisive factor that determines its anticancer efficiency.There exist some defects in currently applied PDT,such as inadequate production of reactive oxygen species(ROS),poor penetration of exciting light,insufficient oxygen supply,and nonselective distribution of PS.With unique physicochemical and optical properties,two-dimensional nanomaterials(2DNMs)have aroused great interest in biomedical fields.2DNMs-based PDT is promising to significantly improve antitumor efficacy compared to conventional PDT.In this review,we will firstly introduce the underlying mechanism of PDT and how 2DNMs are absorbed and distribute inside tumor cells.After that,we will not only illustrate how 2DNMs-based PDT can enhance tumor-killing efficacy and minimize side-effects through conquering the above-mentioned defects of conventional PDT and the preparation process of 2DNMs,but also elaborate recent advances about 2DNMs-based PDT.Lastly,we will summarize the challenges and future prospects of 2DNMs-based PDT.展开更多
We report here on a diode-pumped pulsed mid-infrared laser source based on gas-filled hollow-core fibers(HCFs)towards an all-fiber structure by the tapering method. The pump laser is coupled into an acetylene-filled H...We report here on a diode-pumped pulsed mid-infrared laser source based on gas-filled hollow-core fibers(HCFs)towards an all-fiber structure by the tapering method. The pump laser is coupled into an acetylene-filled HCF through a tapered single-mode fiber. By precisely tuning the wavelength of the diode to match different absorption lines of acetylene near 1.5 μm, mid-infrared emission around 3.1–3.2 μm is generated. With 2 m HCFs and3 mbar acetylene gas, a maximum average power of 130 m W is obtained with a laser slope efficiency of ~24%.This work provides a potential scheme for all-fiber mid-infrared fiber gas lasers.展开更多
Middle and outer ear diseases are common otological diseases worldwide.Otoscopy and otoendoscopy exami-nations are essential first steps in the evaluation of patients with otological diseases.Misdiagnosis often occurs...Middle and outer ear diseases are common otological diseases worldwide.Otoscopy and otoendoscopy exami-nations are essential first steps in the evaluation of patients with otological diseases.Misdiagnosis often occurs when the doctor lacks experience in interpreting the results of otoscopy or otoendoscopy,leading to delays in treatment or complications.Using deep learning to process otoscopy images and developing otoscopic artificial-intelligence-based decision-making systems will become a significant trend in the future.However,the uneven quality of otoscopy images is among the major obstacles to development of such artificial intelligence systems,and no standardized process for data acquisition,and annotation of otoscopy images in intelligent medicine has yet been fully established.The standards for data storage and data management are unified with those of other specialties and are introduced in detail here.This expert recommendation criterion improved and standardized the collection and annotation procedures for otoscopy images and fills the current gap in otologic intelligent medicine;it would thus lay a solid foundation for the standardized collection,storage,and annotation of oto-scopy images and the application of training algorithms,and promote the development of automatic diagnosis and treatment for otological diseases.The full text introduced image collection(including patient preparation,equipment standards,and image storage),image annotation standards,and quality control.展开更多
基金the Science and Technology Program of Guangzhou(#201803010093)Special Cultivation Project of Sun Yat-sen University(#2018122819965)。
文摘Background:Evidence suggests that glucocorticoids are important in the treatment of sudden hearing loss(SHL)and Meniere’s disease(MD).However,different glucocorticoid administration methods may have a significant impact on treatment outcomes.Objective:This study aimed to investigate effects of different glucocorticoid administration methods on sudden hearing loss and Meniere’s disease.Methods:In this study,glucocorticoids were administered orally in 18 patients,by retroauricular injection in 15 patients and by intratympanic injection in 15 patients.White blood cell(WBC)count,serum Kt,fasting plasma glucose(FPG),body temperature,heart rate and blood pressure were used to evaluate effects of glucocorticoids on patients with hearing loss.Visual analog scale(VAS)of pain and sleep disorders were also surveyed,and pure tone audiometry(PTA)results were compared among groups to evaluate efficacy of different glucocorticoids administration methods.Result:WBC count,heart rate and blood pressure were higher in patients taking oral glucocorticoids,while body temperature,serum Kt and FPG levels did not change in all three groups.However,patients who received intratympanic injection of glucocorticoids experienced more pain,while those taking oral glucocorticoids reported more sleep impairment.Treatment efficacy on hearing loss was not significantly different among the three groups.Conclusion:These findings suggest that systemic glucocorticoid administration can result in greater whole body responses than local administration,but with similar hearing treatment efficacy.
基金supported by the Basic Science Center Program for Orderised Energy Conversion of the National Natural Science Foundation of China(No.51888103)。
文摘Photoelectrochemical(PEC)fuel generation from water splitting and CO_(2)reduction(CO_(2)R)utilizing solar energy holds immense potential to solve the current energy and environmental issues.In the past decades,numerous studies have been devoted to this fast-growing research field,and it is essential to develop efficient photoelectrodes with earth-abundant materials for the practical application of PEC systems.A thorough review of earth-abundant materials and associated devices for PEC fuel generation is beneficial to uncover the inherent obstacles and pave the way for future research.Herein,we summarize the recent progress of earth-abundant light-absorbers and cocatalysts in the PEC systems.The unbiased configurations and scaling-up strategies of PEC devices using earth-abundant materials are examined.A comparison between PEC water splitting and CO_(2)R is carried out to promote better understanding of the design principles for practical materials and devices.Last,the prospects on advanced materials,underlying mechanisms,and reaction systems of PEC water splitting and CO_(2)R are proposed.
文摘Objective: To evaluate High Resolution Computer Tomography(HRCT) in the diagnosis of external ear canal cholesteatoma.Methods: In this retrospective study, HRCTs of 27 patients with external ear canal cholesteatoma were reviewed. The changes in the external ear canal, tympanic membrane(TM), scutum, tympanum and mastoid were measured and categorized.Results: Fourteen patients showed no or mild destruction in the external ear canal(stage Ⅰ group). Eight patients had obvious enlargement in the external ear canal(stage Ⅱ group) but showed limited destructions of the mastoid bone and no damage of the tympanums. Five patients had serious destruction of the mastoid bone and damage of the tympanum(stage Ⅲ group). All patients in the stage Ⅲ group showed a compression of manubriums and TMs, with 3 having damages on ossicular chain. Bone destruction of the vertical section of facial nerve canal was discovered in one case in the stage Ⅲ group.Conclusion: HRCT can provide detail information about the extent of external ear canal cholesteatoma. Such information can be used to identify special situations with serious complications and to differentiate external ear canal cholesteatoma from middle ear cholesteatoma.
基金the financial support from the China National Key Research and Development Plan Project (No. 2018YFB1502003)the National Natural Science Foundation of China (No. 21606175)the Shaanxi Technical Innovation Guidance Project (Grant no. 2018HJCG-14)。
文摘Herein,a cross-linked porous Ta3N5 film was prepared via a simple solution combustion route followed by a high-temperature nitridation process for photoelectrochemical(PEC) water oxidation.Meanwhile,the metal cations(Mg2+ and Zr4+) were incorporated into the porous Ta3N5 to enhance the PEC performance.The porous Mg/Zr co-doped Ta3N5 photoanode yielded a photocurrent density of 1.40 mA cm^(-2) at 1.23 V vs RHE,which is 5.6 times higher than that of the dense Ta3N5 photoanode.The enhanced performance should be ascribed to the synergistic effect of porous structure and cation doping,which can enlarge the electrochemical active surface area and accelerate the charge transfer by introducing ON substitution defects.Subsequently,Co(OH)2 cocatalyst was loaded on the Mg/Zr-Ta3N5 photoanode to negatively shift the onset potential to 0.45 V vs RHE and further improve the photocurrent density to 3.5 mA cm^(-2)at 1.23 V vs.RHE,with a maximum half-cell solar to hydrogen efficiency of 0.45%.The present study provides a new strategy to design efficient Ta3N5 photoelectrodes via the simultaneous control of the morphology and composition.
基金Acknowledgements The work was supported by the National Natural Science Foundation of China (Nos. 51432002, 50121091, 51290272, and 51222201), the National Basic Research Program of China (Nos. 2013CB932603, 2012CB933404, 2011CB933003, 2011CB921903, and 2012CB921404), and the Ministry of Education (No. 20120001130010).
基金Acknowledgements This work was financially supported by the National Basic Research Program of China (Nos. 2013CB932603, 2012CB933404, 2011CB921903, and 2013CB934600), the National Natural Science Foundation of China (Nos. 51432002, 51290272, 51121091, 51~201, and 11222434), the Ministry of Education (No. 20120001130010) and the Beijing Municipal Sdence and Technology Planning Project (No. Z151100003315013).
基金financial support from the National Natural Science Foundation of China (21606175)the grant support from China Postdoctoral Science Foundation (2014M560768)China Fundamental Research Funds for the Central Universities (xjj2015041)
文摘A yolk-shell structured Co-C/Void/CogS8 ternary composite composed of a Co nanoparticle-embedded porous carbon core and Co9S8 shell was synthesized by the sulfidation of a Co-based zeolitic imidazolate framework and subsequent pyrolysis. The composition and interior cavity of the Co-C/Void/CogS8 composite could be precisely modulated by controlling the sulfidation reaction. Due to the abundant heterointerfaces, well-controlled cavity, and magnetic-dielectric synergistic effects, the Co-C/Void/CogS8 exhibited excellent and tunable microwave- absorbing properties. The optimized Co-C/Void/Cog~ having a loading of 25 wt.% and thickness only 2.2 mm, displayed an ultrabroad absorption bandwidth of 8.2 GHz at high frequencies. Moreover, the composite could achieve an extremely high reflection loss of -54.02 dB at low frequencies by adjusting its loading to 30 wt.%. This study provides a new insight into promising lightweight microwave-absorbing materials with ultrabroad absorption bandwidths and strong low-frequency absorption.
基金supported by the National Natural Science Foundation of China (51202186,21606175 and 51323011)the Fundamental Research Funds for the Central University (xjj2016039)
文摘With continuous research on photocatalytic water splitting, searching for efficient catalyst for hydrogen evolution reaction(HER) becomes popular topic in addition to main catalyst research. Transition metal phosphides are receiving intense attention due to its abundance in the Earth's crust and comparable catalytic properties to noble metals. In this review, the synthesis approaches, HER reaction mechanism,photocatalytic activity, approaches to improve the activity of transition metal phosphides were reviewed and discussed. It was showed that the transition metal phosphides have great potential to reduce the cost of photocatalyst and promising application on water splitting. The stability problem and participation of poisonous reactant and product in its synthesis reaction limit its application and developing in a certain extent, but with the continuous efforts on the development and improvement of the synthesis methods,transition metal phosphides will find wide application in water splitting.
基金The research was partially supported by the National Natural Science Fundation of China(Nos.61875138,61435010,and 61961136001)Science and Technology Innovation Commission of Shenzhen(No.JCYJ20170811093453105).Authors also acknowledge the support from Instrumental Analysis Center of Shenzhen University(Xili Campus).
文摘Photodynamic therapy(PDT)is a promising non-invasive therapy approach for various diseases including malignant tumor.The process of PDT involves three interrelated aspects,namely photosensitizer(PS),light source,and oxygen,among which PS is the decisive factor that determines its anticancer efficiency.There exist some defects in currently applied PDT,such as inadequate production of reactive oxygen species(ROS),poor penetration of exciting light,insufficient oxygen supply,and nonselective distribution of PS.With unique physicochemical and optical properties,two-dimensional nanomaterials(2DNMs)have aroused great interest in biomedical fields.2DNMs-based PDT is promising to significantly improve antitumor efficacy compared to conventional PDT.In this review,we will firstly introduce the underlying mechanism of PDT and how 2DNMs are absorbed and distribute inside tumor cells.After that,we will not only illustrate how 2DNMs-based PDT can enhance tumor-killing efficacy and minimize side-effects through conquering the above-mentioned defects of conventional PDT and the preparation process of 2DNMs,but also elaborate recent advances about 2DNMs-based PDT.Lastly,we will summarize the challenges and future prospects of 2DNMs-based PDT.
基金supported by the Outstanding Youth Science Fund Project of Hunan Provincial Natural Science Foundation(No.2019JJ20023)the National Natural Science Foundation of China(NSFC)(No.61705266)
文摘We report here on a diode-pumped pulsed mid-infrared laser source based on gas-filled hollow-core fibers(HCFs)towards an all-fiber structure by the tapering method. The pump laser is coupled into an acetylene-filled HCF through a tapered single-mode fiber. By precisely tuning the wavelength of the diode to match different absorption lines of acetylene near 1.5 μm, mid-infrared emission around 3.1–3.2 μm is generated. With 2 m HCFs and3 mbar acetylene gas, a maximum average power of 130 m W is obtained with a laser slope efficiency of ~24%.This work provides a potential scheme for all-fiber mid-infrared fiber gas lasers.
基金This work was financially supported by the National Natural Science Foundation of China (Grant Nos. 51222201, 51290272, 51121091, and 21073003), and the Ministry of Science and Technology of China (Grant Nos. 2012CB921404, 2011CB921903, 2011CB933003, and 2012CB933404).
基金The Science and Technology Planning Projects of Guangdong Province(Grant No.2018B010109008)National Key R&D Program of China(Grant No.2018YFC0116500)+1 种基金Key R&D Program of Guang-dong Province,China(Grant No.2018B030339001)Medical artifi-cial intelligence project of Sun Yat-Sen Memorial Hospital(Grant No.YXYGZN201904).
文摘Middle and outer ear diseases are common otological diseases worldwide.Otoscopy and otoendoscopy exami-nations are essential first steps in the evaluation of patients with otological diseases.Misdiagnosis often occurs when the doctor lacks experience in interpreting the results of otoscopy or otoendoscopy,leading to delays in treatment or complications.Using deep learning to process otoscopy images and developing otoscopic artificial-intelligence-based decision-making systems will become a significant trend in the future.However,the uneven quality of otoscopy images is among the major obstacles to development of such artificial intelligence systems,and no standardized process for data acquisition,and annotation of otoscopy images in intelligent medicine has yet been fully established.The standards for data storage and data management are unified with those of other specialties and are introduced in detail here.This expert recommendation criterion improved and standardized the collection and annotation procedures for otoscopy images and fills the current gap in otologic intelligent medicine;it would thus lay a solid foundation for the standardized collection,storage,and annotation of oto-scopy images and the application of training algorithms,and promote the development of automatic diagnosis and treatment for otological diseases.The full text introduced image collection(including patient preparation,equipment standards,and image storage),image annotation standards,and quality control.