BACKGROUND Liver cirrhosis is the main cause of portal hypertension.The leading cause of death in patients with liver cirrhosis is its most common complication,esophageal variceal bleeding(EVB).Endoscopic variceal lig...BACKGROUND Liver cirrhosis is the main cause of portal hypertension.The leading cause of death in patients with liver cirrhosis is its most common complication,esophageal variceal bleeding(EVB).Endoscopic variceal ligation(EVL)is recommended by many guidelines to treat EVB and prevent rebleeding;however,esophageal ulcers occur after treatment.Delayed healing of ulcers and unhealed ulcers lead to high rebleeding and mortality rates.Thus,the prevention of early postoperative rebleeding is of great significance in improving the quality of life and prognosis of patients.AIM To evaluate the efficacy of aluminum phosphate gel(APG)plus a proton pump inhibitor(PPI)in the prevention of early rebleeding after EVL in patients with EVB.METHODS The medical records of 792 patients who were diagnosed with EVB and in whom bleeding was successfully stopped by EVL at Shenzhen People’s Hospital,Guangdong Province,China from January 2015 to December 2020 were collected.According to the study inclusion and exclusion criteria,401 cases were included in a PPI-monotherapy group(PPI group),and 377 cases were included in a PPI and APG combination therapy(PPI+APG)group.We compared the incidence rates of early rebleeding and other complications within 6 wk after treatment between the two groups.The two-sample t-test,Wilcoxon rank-sum test,and chisquared test were adopted for statistical analyses.RESULTS No significant differences in age,sex,model for end-stage liver disease score,coagulation function,serum albumin level,or hemoglobin level were found between the two groups.The incidence of early rebleeding in the PPI+APG group(9/337;2.39%)was significantly lower than that in the PPI group(30/401;7.48%)(P=0.001).Causes of early rebleeding in the PPI group were esophageal ulcer(3.99%,16/401)and esophageal varices(3.49%,14/401),while those in the PPI+APG group were also esophageal ulcers(5/377;1.33%)and esophageal varices(4/377;1.06%);such causes were significantly less frequent in the PPI+APG group than in the PPI group(P=0.022 and 0.024,respectively).The early mortality rate within 6 wk in both groups was 0%,which was correlated with the timely rehospitalization of all patients with rebleeding and the conduct of emergency endoscopic therapy.The incidence of adverse events other than early bleeding in the PPI+APG group(28/377;7.43%)was significantly lower than that in the PPI group(63/401;15.71%)(P<0.001).The incidence of chest pain in the PPI+APG group(9/377;2.39%)was significantly lower than that in the PPI group(56/401;13.97%)(P<0.001).The incidence of constipation in the PPI+APG group(16/377;4.24%)was significantly higher than that in the PPI group(3/401;0.75%)(P=0.002)but constipation was relieved after patients drank more water or took lactulose.In the PPI and PPI+APG groups,the incidence rates of spontaneous peritonitis within 6 wk after discharge were 0.50%(2/401)and 0.53%(2/377),respectively,and those of hepatic encephalopathy were 0.50%(2/401)and 0.27%(1/377),respectively,presenting no significant difference(P>0.999).CONCLUSION PPI+APG combination therapy significantly reduces the incidence of early rebleeding and chest pain in patients with EVB after EVL.展开更多
Al-doped ZnO(AZO) powders were prepared by using metal chloride precursors and the sol-gel technique. IR peaks observed at 1590 cm-1 and 1620 cm-1indicated the formation of metal chelate as a consequence of the additi...Al-doped ZnO(AZO) powders were prepared by using metal chloride precursors and the sol-gel technique. IR peaks observed at 1590 cm-1 and 1620 cm-1indicated the formation of metal chelate as a consequence of the addition of acetylacetone to the metal chloride solution. TG-DSC analysis of the AZO gels confirmed the formation of metal chelate as evidenced by the development of several weight loss peaks accompanied by the introduction of new endothermic peaks. The resulting AZO gels were annealed at 500, 600, and 800 ℃ to study the effect of annealing temperature. XRD and SEM results showed that crystallization of AZO gels takes place around 600 ℃. Hexagonal wurtzite structure was identified as the main phase for all the samples. In addition, small shift of the XRD(002) peak coupled with XPS results from the AZO powders confirmed the successful doping of the ZnO powders. Micron sized rod-like AZO powders were uniform in dimension and morphology and remained stable even at 800 ℃.展开更多
The homogeneously dispersed, less agglomerated YAG nanopowders are synthesized by the citrate-gel method followed by low-temperature self-propagating combustion reaction, using Y2O3, Al(NO3)3?9H2O and citric acid as s...The homogeneously dispersed, less agglomerated YAG nanopowders are synthesized by the citrate-gel method followed by low-temperature self-propagating combustion reaction, using Y2O3, Al(NO3)3?9H2O and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and the hard ag-glomerates brought by the chemical precipitation method. The powders are characterized by TG-DTA, XRD, FT-IR and TEM respectively. The experiments show that the forming temperature of YAG crystal phase is 850°C and the pseudo-YAG crystalline appears during the calcination and transforms to pure YAG at 1050°C. The powders with sizes less than 50 nm are observed by TEM micrography, which is consistent with the result calculated by Scherrer's formula. The powders consist of single grains.展开更多
Supported γ-Al2O3 membranes without defects were prepared by the sol-gel procedure. The sol-gel method involved peptization of a boehmite (AlOOH) sol prepared from ammonium aluminium sulphate. The morphology of the s...Supported γ-Al2O3 membranes without defects were prepared by the sol-gel procedure. The sol-gel method involved peptization of a boehmite (AlOOH) sol prepared from ammonium aluminium sulphate. The morphology of the supported membranes was characterized by scanning electron microscopy (SEM) and 3D rotational microscopy. Furthermore, the effects of different preparing conditions on morphological characteristics of the membrane were also investigated. The results show that PVA is a good crack-preventing agent and the morphology of supported membranes is affected by many factors, such as Al2O3 and PVA contents of the sol, drying and sintering procedures and intrinsic defects on the substrate surface.展开更多
Al<sub>2</sub>O<sub>3</sub>/PVFM/Al<sub>2</sub>O<sub>3</sub> trilayer membranes are prepared by means of simple coating of PVA-Al<sub>2</sub>O<sub>3<...Al<sub>2</sub>O<sub>3</sub>/PVFM/Al<sub>2</sub>O<sub>3</sub> trilayer membranes are prepared by means of simple coating of PVA-Al<sub>2</sub>O<sub>3</sub> solution onto both sides of PVFM thin membranes, which is prepared via phase inversion method. The characteristics of the trilayer membranes and gel polymer electrolytes are investigated using FESEM, tensile testing apparatus, thermal shrinkage test, EIS and charge-discharge test. When inorganic Al<sub>2</sub>O<sub>3</sub> particles are used to coat the PVFM membrane, drawbacks associated with gel-type membranes, namely, poor mechanical strength and thermal stability are greatly improved. Lithium ion cell with the Al<sub>2</sub>O<sub>3</sub>/PVFM/Al<sub>2</sub>O<sub>3</sub> based GPE matched with LiFePO<sub>4</sub> shows excellent electrochemical performance.展开更多
基金Natural Science Foundation of Guangdong Province of China,No.2018A0303130278.
文摘BACKGROUND Liver cirrhosis is the main cause of portal hypertension.The leading cause of death in patients with liver cirrhosis is its most common complication,esophageal variceal bleeding(EVB).Endoscopic variceal ligation(EVL)is recommended by many guidelines to treat EVB and prevent rebleeding;however,esophageal ulcers occur after treatment.Delayed healing of ulcers and unhealed ulcers lead to high rebleeding and mortality rates.Thus,the prevention of early postoperative rebleeding is of great significance in improving the quality of life and prognosis of patients.AIM To evaluate the efficacy of aluminum phosphate gel(APG)plus a proton pump inhibitor(PPI)in the prevention of early rebleeding after EVL in patients with EVB.METHODS The medical records of 792 patients who were diagnosed with EVB and in whom bleeding was successfully stopped by EVL at Shenzhen People’s Hospital,Guangdong Province,China from January 2015 to December 2020 were collected.According to the study inclusion and exclusion criteria,401 cases were included in a PPI-monotherapy group(PPI group),and 377 cases were included in a PPI and APG combination therapy(PPI+APG)group.We compared the incidence rates of early rebleeding and other complications within 6 wk after treatment between the two groups.The two-sample t-test,Wilcoxon rank-sum test,and chisquared test were adopted for statistical analyses.RESULTS No significant differences in age,sex,model for end-stage liver disease score,coagulation function,serum albumin level,or hemoglobin level were found between the two groups.The incidence of early rebleeding in the PPI+APG group(9/337;2.39%)was significantly lower than that in the PPI group(30/401;7.48%)(P=0.001).Causes of early rebleeding in the PPI group were esophageal ulcer(3.99%,16/401)and esophageal varices(3.49%,14/401),while those in the PPI+APG group were also esophageal ulcers(5/377;1.33%)and esophageal varices(4/377;1.06%);such causes were significantly less frequent in the PPI+APG group than in the PPI group(P=0.022 and 0.024,respectively).The early mortality rate within 6 wk in both groups was 0%,which was correlated with the timely rehospitalization of all patients with rebleeding and the conduct of emergency endoscopic therapy.The incidence of adverse events other than early bleeding in the PPI+APG group(28/377;7.43%)was significantly lower than that in the PPI group(63/401;15.71%)(P<0.001).The incidence of chest pain in the PPI+APG group(9/377;2.39%)was significantly lower than that in the PPI group(56/401;13.97%)(P<0.001).The incidence of constipation in the PPI+APG group(16/377;4.24%)was significantly higher than that in the PPI group(3/401;0.75%)(P=0.002)but constipation was relieved after patients drank more water or took lactulose.In the PPI and PPI+APG groups,the incidence rates of spontaneous peritonitis within 6 wk after discharge were 0.50%(2/401)and 0.53%(2/377),respectively,and those of hepatic encephalopathy were 0.50%(2/401)and 0.27%(1/377),respectively,presenting no significant difference(P>0.999).CONCLUSION PPI+APG combination therapy significantly reduces the incidence of early rebleeding and chest pain in patients with EVB after EVL.
基金Funded by the Project of Instituto Politecnico Nacional(SIPIPN-20182176)
文摘Al-doped ZnO(AZO) powders were prepared by using metal chloride precursors and the sol-gel technique. IR peaks observed at 1590 cm-1 and 1620 cm-1indicated the formation of metal chelate as a consequence of the addition of acetylacetone to the metal chloride solution. TG-DSC analysis of the AZO gels confirmed the formation of metal chelate as evidenced by the development of several weight loss peaks accompanied by the introduction of new endothermic peaks. The resulting AZO gels were annealed at 500, 600, and 800 ℃ to study the effect of annealing temperature. XRD and SEM results showed that crystallization of AZO gels takes place around 600 ℃. Hexagonal wurtzite structure was identified as the main phase for all the samples. In addition, small shift of the XRD(002) peak coupled with XPS results from the AZO powders confirmed the successful doping of the ZnO powders. Micron sized rod-like AZO powders were uniform in dimension and morphology and remained stable even at 800 ℃.
基金This work is financially supported by the Excellent Teachers Fund by the Ministry of Education of China (No. KB200226).
文摘The homogeneously dispersed, less agglomerated YAG nanopowders are synthesized by the citrate-gel method followed by low-temperature self-propagating combustion reaction, using Y2O3, Al(NO3)3?9H2O and citric acid as starting materials. This method effectively solves the problems caused by solid-state reaction at high temperature and the hard ag-glomerates brought by the chemical precipitation method. The powders are characterized by TG-DTA, XRD, FT-IR and TEM respectively. The experiments show that the forming temperature of YAG crystal phase is 850°C and the pseudo-YAG crystalline appears during the calcination and transforms to pure YAG at 1050°C. The powders with sizes less than 50 nm are observed by TEM micrography, which is consistent with the result calculated by Scherrer's formula. The powders consist of single grains.
基金the National Natural Science Foundation of China (NSFC 20503015)
文摘Supported γ-Al2O3 membranes without defects were prepared by the sol-gel procedure. The sol-gel method involved peptization of a boehmite (AlOOH) sol prepared from ammonium aluminium sulphate. The morphology of the supported membranes was characterized by scanning electron microscopy (SEM) and 3D rotational microscopy. Furthermore, the effects of different preparing conditions on morphological characteristics of the membrane were also investigated. The results show that PVA is a good crack-preventing agent and the morphology of supported membranes is affected by many factors, such as Al2O3 and PVA contents of the sol, drying and sintering procedures and intrinsic defects on the substrate surface.
文摘Al<sub>2</sub>O<sub>3</sub>/PVFM/Al<sub>2</sub>O<sub>3</sub> trilayer membranes are prepared by means of simple coating of PVA-Al<sub>2</sub>O<sub>3</sub> solution onto both sides of PVFM thin membranes, which is prepared via phase inversion method. The characteristics of the trilayer membranes and gel polymer electrolytes are investigated using FESEM, tensile testing apparatus, thermal shrinkage test, EIS and charge-discharge test. When inorganic Al<sub>2</sub>O<sub>3</sub> particles are used to coat the PVFM membrane, drawbacks associated with gel-type membranes, namely, poor mechanical strength and thermal stability are greatly improved. Lithium ion cell with the Al<sub>2</sub>O<sub>3</sub>/PVFM/Al<sub>2</sub>O<sub>3</sub> based GPE matched with LiFePO<sub>4</sub> shows excellent electrochemical performance.
