Aluminum potassium sulfate and tannic acid sclerotherapy for Goligher Grades Ⅱ and Ⅲ hemorrhoids: Results from a multicenter study

AIM: To show that aluminum potassium sulfate and tannic acid(ALTA) sclerotherapy has a high success rate for Grade Ⅱ and Ⅲ hemorrhoids.METHODS: This study was based on the clinical data of 604 patients with hemorrhoids who underwent ALTA sclerotherapy between January 2009 and February 2015. The objective of this study was to assess the efficacy of this treatment for Grades Ⅱ and Ⅲ hemorrhoids. Preoperative and postoperative symptoms, complications and success rate were all assessed retrospectively. Follow-up consisted of a simple questionnaire, physical examination and an anoscopy. Patients were followed-up at one day, one week, two weeks, one month, one year, two years, three years, four years and five years after the ALTA sclerotherapy.RESULTS: One hundred and sixty-nine patients were diagnosed with Grade Ⅱ hemorrhoids and 435 patients were diagnosed with Grade Ⅲ hemorrhoids. The one year, three year and five year cumulative success rates of ALTA sclerotherapy for Grades Ⅱ and Ⅲ hemo-rrhoids were 95.9% and 93.1%; 89.3% and 83.7%; and 89.3% and 78.2%, respectively. No significant differences were observed in the cumulative success rates after ALTA sclerotherapy between Grades Ⅱ and Ⅲ hemorrhoids(P = 0.09). There were forty-seven post-operative complications(low grade fever; anal pain; urinary retention; rectal ulcer; and others). No serious or life-threatening complications occurred and all cases improved through conservative treatment. At univariate analysis there were no predictive factors of failure.CONCLUSION: ALTA sclerotherapy has had a high success rate for Grade Ⅱ and Ⅲ hemorrhoids during five years of post-operative treatment. However, additional studies are needed to evaluate the efficacy of this ALTA sclerotherapy in the management of hemorrhoidal disease.

Liver injury after aluminum potassium sulfate and tannic acid treatment of hemorrhoids

We are reporting a rare case of acute liver injury that developed after an internal hemorrhoid treatment with the aluminum potassium sulfate and tannic acid(ALTA) regimen. A 41-year-old man developed a fever and liver injury after undergoing internal hemorrhoid treatment with a submucosal injection of ALTA with lidocaine. The acute liver injury was classified clinically as hepatocellular and pathologically as cholestastic. We could not classify the mechanism of injury. High eosinophil and immunoglobulin E levels characterized the injury,and a drug lymphocyte stimulation test was negative on postoperative day 25. Fluid replacement for two weeks after hospitalization improved the liver injury. ALTA therapy involves injecting chemicals into the submucosa,from the rectum to the anus,and this is the first description of a case that developed a severe liver disorder after this treatment; hence,an analysis of future cases as they accumulate is desirable.

Decomposition behavior of CaSO_4 during potassium extraction from a potash feldspar-CaSO_4 binary system by calcination

The extraction of potassium from a tablet mixture of K-feldspar ore and CaSO4by roasting was studied with a focus on the effects of the decomposition behavior of CaSO4on the potassium extraction process.The roasted slags were characterized by X-ray diffraction（XRD）,scanning electron microscopy（SEM）,energy-dispersive X-ray spectroscopy,and thermogravimetric（TG）analysis.The XRD analysis revealed that hydrosoluble mischcrystal K2Ca2（SO4）3was obtained by ion exchange of Ca^2＋ in CaSO4 and K^＋ in KAlSi3O8.Meanwhile,the intermediate product,SiO2,separated from KAl Si3O8and reacted with CaSO4to decompose CaSO4.The SEM results showed that some blowholes emerged on the surface of the CaSO4particles when they reacted with SiO2at 1200℃,which indicates that SO2and O2gases were released from CaSO4.The TG curves displayed that pure CaSO4could not be decomposed below 1200℃,while the mixture of K-feldspar ore and CaSO4began to lose weight at 1000℃.The extraction rate of potassium and decomposition rate of CaSO4were 62%and 44%,respectively,at a mass ratio of CaSO4to K-feldspar ore of 3：1,temperature of 1200℃,tablet-forming pressure of6 MPa,and roasting time of 2 h.The decomposition of CaSO4reduced the potassium extraction rate;therefore,the required amount of CaSO4was more than the theoretical amount.However,excess CaSO4was also undesirable for the potassium extraction reaction because a massive amount of SO2and O2gas were derived from the decomposition of CaSO4,which provided poor contact between the reactants.The SO2released from CaSO4decomposition can be effectively recycled.

Solid–liquid Phase Equilibria in the Aqueous Ternary System Containing Lithium,Potassium,and Sulfate ions at 288.15 K

1 Introduction Salt lakes are widely distributed in the western of China,especially in the area of Qinghai-Xizang(Tibet)Plateau.A series of salt lakes in the Qaidam Basin,located in Qinghai Province,China,is famous for their abundance of lithium,potassium and boron resources(Zheng et al,1988;Deng et al,2012).It is well known that the

Effects of Different Application Rates of Pesticides and Chemical Fertilizers on Wheat Stripe Rust and Wheat Yield

[Objectives]The paper was to investigate the effects of different application rates of pesticides and fertilizers on wheat stripe rust and wheat yield.[Methods]Two-factor split block design was adopted.[Results]Different application rates of pesticides and chemical fertilizers would affect the incidence of wheat stripe rust,and further affect the yield of wheat.Triadimefon had no significant effect on wheat yield,and potassium sulfate compound fertilizer had significant effect on wheat yield,while their interaction had no significant effect on wheat yield.There were significant differences in wheat yield among the 15 treatment combinations,which may be due to the fact that the application rate of potassium sulfate compound fertilizer had extremely significant effect on wheat yield.[Conclusions]Under the wheat/green manure/maize zonal rotation system in Bijie,the sowing width of wheat is guaranteed to be 0.5 m under the 1.65 m zonal cropping system,and the sowing rate of wheat is arranged according to the basic seedling of 1.2 million plants/hm^(2).In the early stage of wheat stripe rust,15%triadimefon WP can be sprayed evenly at the dose of 1050 g/hm^(2)by a high-power sprayer in a sunny day.

The Study of Dissolution Kinetics of K_2SO_4 Crystal in Aqueous Ethanol Solutions with a Statistical Rate Theory

Dissolution kinetics of K2SO4 crystal in aqueous ethanol solutions was studied on-line with ion selective electrode. The concentration of K2SO4 was calculated from the determined electromotive force in which the activity coefficient of components in the liquid phase was calculated with the Pitzer equation. Dissolution kinetic parameters in the modified statistical rate theory were regressed. The correlation results show that dissolution rate of K2SO4 is slower in aqueous ethanol solutions than that in aqueous solutions. The two most important reasons are as follows: (1) The solubility of K2SO4 in aqueous ethanol solutions is lower than that in aqueous solutions, which causes a decrease of the driving force of mass transfer. (2) The process of surface reaction of K2SO4 became slower due to the addition of ethanol, so that the whole process is mainly dominated by the surface reaction instead of mass transfer.

Toxicity detection of sodium nitrite,borax and aluminum potassium sulfate using electrochemical method

Based on the inhibition effect on the respiratory chain activity of microorganisms by toxicants, an electrochemical method has been developed to measure the current variation of a mediator in the presence of microorganisms contacted with a toxicant. Microelectrode arrays were adopted in this study, which can accelerate the mass transfer rate of an anaiyte to the electrode and also increase the total current signal, resulting in an improvement in detection sensitivity. We selected Escherichia coli as the testee and the standard glucose- glutamic acid as an exogenous material. Under oxygen restriction, the experiments in the presence of toxicant were performed at optimum conditions （solution pH 7.0, 37℃ and reaction for 3 hr）. The resulting solution was then separated from the suspended microorganisms and was measured by an electrochemical method, using ferricyanide as a mediator. The current signal obtained represents the reoxidation of ferrocyanide, which was transformed to inhibiting efficiency, IC50, as a quantitative measure of toxicity. The IC50 values measured were 410, 570 and 830 mg/L for sodium nitrite, borax and aluminum potassium sulfate, respectively. The results show that the toxicity sequence for these three food additives is consistent with the value reported by other methods. Furthermore, the order of damage degree to the microorganism was also observed to be： sodium nitrite 〉 borax 〉 aluminum potassium sulfate 〉 blank, according to the atomic force microscopy images of E. coli after being incubated for 3 hr with the toxic compound in buffer solutions. The electrochemical method is expected to be a sensitive and simple alternative to toxicity screening for chemical food additives.