Folded technique of self-adherent wrap improves clinical outcomes for wounds after orbital tumour extirpation:a single-center,prospective randomized controlled trial

Background:Using a randomized controlled trial(RCT),to assess the efficacy of the folded technique of self-adherent wrap to eyes after orbital tumour extirpation and compare it with the classic technique.Methods:A single-centre,prospective,randomized,controlled study was conducted among 128 patients who underwent orbital tumour extirpation in this study.The folded and classic techniques of applying self-adherent wraps were randomly allocated to patients(1:1).The primary endpoint was the interface pressure on the affected eye.Secondary efficacy endpoints were the interface pressure above and below the ear of the affected side,above the ear of the non-affected side,and discomfort scores.Postoperative complications were observed for 24 hours.Results:The interface pressure with the folded technique on the affected eye was neither inferior nor superior to the classic technique(1.33±0.07 vs.1.41±0.09 mmHg,P=0.480).Most importantly,the pressure at three other points outside of the affected eye,including above and below the ear of the affected side,and above the ear of the non-affected side,were significantly higher when using the classic technique than when using the folded technique(P=0.041,0.019,and 0.047,respectively).Discomfort scores were higher in the classic technique group than in the folded technique group(2.93±0.30 vs.1.52±0.19,P≤0.001).Conclusions:Findings demonstrated the advantages of using folded technique to apply self-adherent wrap for wounds after orbital tumour extirpation with lower interface pressure outside of the affected eye and patient discomfort scores,without influencing pressure on the affected eye comparing with the classic technique.

Sequential Observation of Alkali-halide Gas Phase Clusters in High Resolution TOF-MS and Prediction of Their Structures

Alkali halide clusters are interesting model systems that can provide information about how crystal properties evolve. To study these properties, a high-resolution atmospheric pressure inlet time-of-flight mass spectrometry （APi-TOF-MS） study of the sequential sodium halides series, C1-（NaC1）n and Br-（NaBr）m, has been reported, and the viability of the APi-TOF- MS equipped with an electrospray ionization source in determining cluster compositions has been demonstrated. The isotopic patterns were well resolved, as n=4 and 7 were determined to be the magic numbers for C1-（NaC1）n clusters, which were particularly abundant in the mass spectra. A global minimum search based on density functional theory enabled basin hopping yield the most stable structures for the mentioned series. The structures exhibit several distinct motifs which can be roughly categorized as linear chain, rock salt, and hexag- onal ring. This work provides an effective way to discover and elucidate the nonstoichiometry sodium halide clusters. These clusters possess very high vertical detachment energies and are generally called as superhalogens, which play important roles in chemistry because they are widely used in the synthesis of new classes of charge-transfer salts.

Influence of Prosthetic Sagittal Alignment on Trans-Tibial Amputee Gait and Compensating Pattern:A Case Study

This study relates the gait asymmetry, residual limb comfort, and energy cost during walking and identifies a compensating pattern for the trans-tibial amputees when the prostheses are misaligned. One male subject with a trans-tibial amputation volunteered for the study. The knee joint moments at the prosthetic side, the phase symmetry index, and the interface pressures were discussed under three sagittal alignment settings. The results show that the subject changes the knee joint moment, gait symmetry, and interface pressure with a misaligned prosthesis to improve his comfort and movement during walking. A high-quality liner reduces the gait sensitivity to misalignment and enhances the amputee＇s ability to compensate for misalignment. Since different people have different compensation patterns, more cases will be studied in future work.

Recent developments of miniature ion trap mass spectrometers

With outstanding analytical performance and portability, miniature mass spectrometer is one of the most powerful tools for in-situ analysis. The miniaturization of mass spectrometers has lasted for more than ten years, during which a number of miniature mass spectrometers employing different techniques have been developed. Small-in-size, working at relatively high pressure region and capable of performing tandem mass spectrometry, ion trap is the most widely used mass analyzer in miniature mass spectrometer systems. The recent development of miniature ion trap mass spectrometer systems in the last ten years was reviewed in this paper. These instruments adopt different atmospheric pressure interfaces （APIs）, which are membrane inlets （MIs）, discontinuous atmospheric pressure interface （DAPI） and continuous atmospheric pressure interface （CAPI）. This review emphasizes on the mini mass spectrometry （MS） system that can be handheld by one person, but not the field-able ones that are too large to be hand-portable.