Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. ...Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. The Nd：YAG precursor powders with loosely dispersed, slightly agglomerated and YAG cubic crystal phase were synthesized at 1100 ℃ by the co-precipitation method combined with the reverse strike,展开更多
The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as ...The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and hard agglomerates brought by the chemical precipitation method. The powders were characterized by TG-DTA, XRD, FT-IR, TEM respectively and the photoluminescence (PL) spectra of (Nd0.01Y0.99)3Al5O12 green and sintered ceramic disks were measured. The results show that the forming temperature of YAG crystal phase is 850 ℃ and YAP crystal phase appearing during the calcinations transforms to pure YAG at 1050 ℃. The particle size of the powders synthesized by the LCS is in a range of 20～50 nm depending on the thermal treatment temperatures. The effectively induced cross section (σin) with the value 4.03×10-19 cm2 of (Nd0.01Y0.99)3Al5O12 ceramics is about 44% higher than that of single crystal.展开更多
substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost...substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost, large size, highly doped concentraheat conductivity, mass fabrication, multi-layers and multi-filnctions. The Nd：YAG precursor powders with persed , slightly agglomerated, super fine and YAG cubic crystal phase were synthesized at 1100 ℃ by the homogeneous precipitation method, using Nd2O3, Y2O3, Al（NO3）3·9H2O and urea as raw materials, （NH4）2SO4 as electrical stabilizer, TEOS as sintering additive. The Nd：YAG transparent ceramics were prepared after being vacuum sintered at 1700 ℃ for 5 h. The Nd：YAG ceramic materials were characterized by the TG-DTA, XRD, FT-IR, TEM, FEG-ESEM and FT-PL. The results show that the crystallization temperature of YAG is 850 ℃ and the intermediate crystal phase YAP forming during the heat treatment transforms to YAG cubic crystal phase at 1050 ℃. The lasing wavelength of （Nd0.01 Y0.99）3Al5O12 transparent ceramics is 1.065 μm and there exists a slight red-shift compared to the single crystal with the same chemical composition. The optical transmittance is 45 % in the visible light and 58 % in the near infrared light and the optical transmittance descends with the decreasing the wavelength.展开更多
BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging an...BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging and is often missed due to atypical presentations,which occasionally mimic gastric outlet obstruction symptoms such as nausea,vomiting,loss of appetite and hematemesis.The symptoms vary with stone size.Larger stones are managed with a surgical approach,but this carries increased morbidity and mortality.Over the past decade,the endoscopic approach has emerged as an alternative mode of treatment,but it is generally unsuccessful in the management of larger-sized stones.A literature review revealed cases of successful endoscopic treatment requiring multiple sessions for stone sizes measuring up to about 4.5 cm.Here we present a unique case of an elderly patient with Bouveret syndrome with a 5 cm stone mimicking a gastric mass and causing gastric outlet obstruction,who was successfully managed in a single session using a complete endoscopic approach with laser lithotripsy.CASE SUMMARY An 85-year-old female patient presented with 1-month history of intermittent abdominal pain,vomiting,decreased appetite and weight loss.An abdominal computed tomography showed a 4.5 cm×4.7 cm partially calcified mass at the gastric pylorus causing gastric outlet obstruction.Endoscopy showed an ulcerated fistulous opening and a large 5 cm impacted gallstone in the duodenal bulb.Endoscopic nets and baskets were used in an attempt to remove the stone,but this approach was unsuccessful.Given her advanced age,poor physical condition and underlying comorbidities,she was deemed to be high-risk for surgery.Thus,a minimally invasive approach using endoscopic laser lithotripsy was attempted and successfully treated the stone.Post-procedure,the patient experienced complete resolution of her symptoms with no complications and was able to tolerate her diet.She was subsequently discharged home at 48 h,with an uneventful recovery.CONCLUSION In our paper we describe Bouveret syndrome and highlight its management with a novel endoscopic approach of laser lithotripsy in addition to various other endoscopic approaches available to date and its success rates.展开更多
The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric aci...The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric acid as control. The results showed that all the dentinal tubules were closed and smeared layer disrupted following laser irradiation, It was suggested that Nd∶YAG Laser irradiation would be expectablly applied to endodontics, especially in root canal therapy (RCT).展开更多
A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped inf...A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped infiltrated papules. Histopathological examination was compatible mutinucleate cell angiohistiocytoma. We treated him with 10,464 nm Nd:YAG laser, after the second session, some of the lesions had disappeared completely while the rest has gained substantial improvement. There were no adverse reactions and no recurrence after two years of follow-up. MCAH is a rare vascular fibrohistiocytic proliferation. No standard of care exists. We believe that Nd:YAG laser should be considered the treatment of choice.展开更多
文摘Transparent polycrystaUine neodymiumdoped yttrium aluminum garnet ceramics （Nd：YAG） with better chemical stability, excellent optical and high temperature mechanical property is becoming a new laser host material. The Nd：YAG precursor powders with loosely dispersed, slightly agglomerated and YAG cubic crystal phase were synthesized at 1100 ℃ by the co-precipitation method combined with the reverse strike,
文摘The homogeneously dispersed, less agglomerated (Nd0.01Y0.99)3Al5O12 nano-sized powders were synthesized by the low temperature combustion (LCS), using Nd2O3, Y2O3, Al(NO3)3·9H2O, ammonia water and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and hard agglomerates brought by the chemical precipitation method. The powders were characterized by TG-DTA, XRD, FT-IR, TEM respectively and the photoluminescence (PL) spectra of (Nd0.01Y0.99)3Al5O12 green and sintered ceramic disks were measured. The results show that the forming temperature of YAG crystal phase is 850 ℃ and YAP crystal phase appearing during the calcinations transforms to pure YAG at 1050 ℃. The particle size of the powders synthesized by the LCS is in a range of 20～50 nm depending on the thermal treatment temperatures. The effectively induced cross section (σin) with the value 4.03×10-19 cm2 of (Nd0.01Y0.99)3Al5O12 ceramics is about 44% higher than that of single crystal.
文摘substitutes tion, high loosely dis Neodymium doped-yttrium aluminum garnet （Nd ： YAG） transparent polycrystalline ceramics already become of single crystals because they are provided with easy fabrication, low cost, large size, highly doped concentraheat conductivity, mass fabrication, multi-layers and multi-filnctions. The Nd：YAG precursor powders with persed , slightly agglomerated, super fine and YAG cubic crystal phase were synthesized at 1100 ℃ by the homogeneous precipitation method, using Nd2O3, Y2O3, Al（NO3）3·9H2O and urea as raw materials, （NH4）2SO4 as electrical stabilizer, TEOS as sintering additive. The Nd：YAG transparent ceramics were prepared after being vacuum sintered at 1700 ℃ for 5 h. The Nd：YAG ceramic materials were characterized by the TG-DTA, XRD, FT-IR, TEM, FEG-ESEM and FT-PL. The results show that the crystallization temperature of YAG is 850 ℃ and the intermediate crystal phase YAP forming during the heat treatment transforms to YAG cubic crystal phase at 1050 ℃. The lasing wavelength of （Nd0.01 Y0.99）3Al5O12 transparent ceramics is 1.065 μm and there exists a slight red-shift compared to the single crystal with the same chemical composition. The optical transmittance is 45 % in the visible light and 58 % in the near infrared light and the optical transmittance descends with the decreasing the wavelength.
文摘BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging and is often missed due to atypical presentations,which occasionally mimic gastric outlet obstruction symptoms such as nausea,vomiting,loss of appetite and hematemesis.The symptoms vary with stone size.Larger stones are managed with a surgical approach,but this carries increased morbidity and mortality.Over the past decade,the endoscopic approach has emerged as an alternative mode of treatment,but it is generally unsuccessful in the management of larger-sized stones.A literature review revealed cases of successful endoscopic treatment requiring multiple sessions for stone sizes measuring up to about 4.5 cm.Here we present a unique case of an elderly patient with Bouveret syndrome with a 5 cm stone mimicking a gastric mass and causing gastric outlet obstruction,who was successfully managed in a single session using a complete endoscopic approach with laser lithotripsy.CASE SUMMARY An 85-year-old female patient presented with 1-month history of intermittent abdominal pain,vomiting,decreased appetite and weight loss.An abdominal computed tomography showed a 4.5 cm×4.7 cm partially calcified mass at the gastric pylorus causing gastric outlet obstruction.Endoscopy showed an ulcerated fistulous opening and a large 5 cm impacted gallstone in the duodenal bulb.Endoscopic nets and baskets were used in an attempt to remove the stone,but this approach was unsuccessful.Given her advanced age,poor physical condition and underlying comorbidities,she was deemed to be high-risk for surgery.Thus,a minimally invasive approach using endoscopic laser lithotripsy was attempted and successfully treated the stone.Post-procedure,the patient experienced complete resolution of her symptoms with no complications and was able to tolerate her diet.She was subsequently discharged home at 48 h,with an uneventful recovery.CONCLUSION In our paper we describe Bouveret syndrome and highlight its management with a novel endoscopic approach of laser lithotripsy in addition to various other endoscopic approaches available to date and its success rates.
文摘The canal walls of extracted human teeth, following Nd∶YAG Laser irradiation, were examined with a scanning electron microscope and compared with those prepared with conventional methods or pretreated with citric acid as control. The results showed that all the dentinal tubules were closed and smeared layer disrupted following laser irradiation, It was suggested that Nd∶YAG Laser irradiation would be expectablly applied to endodontics, especially in root canal therapy (RCT).
文摘A 50-year-old man had noticed the gradual appearance of asymptomatic skin lesions on the dorsal aspects of the hands during the last 3 years. Physical examination revealed clusters of multiple purplish dome-shaped infiltrated papules. Histopathological examination was compatible mutinucleate cell angiohistiocytoma. We treated him with 10,464 nm Nd:YAG laser, after the second session, some of the lesions had disappeared completely while the rest has gained substantial improvement. There were no adverse reactions and no recurrence after two years of follow-up. MCAH is a rare vascular fibrohistiocytic proliferation. No standard of care exists. We believe that Nd:YAG laser should be considered the treatment of choice.
