BACKGROUND Conventional reusable endoscopes have high disinfection costs because of their large size.In this study,we compared the effectiveness,safety,and operation performance of the portable disposable large-channe...BACKGROUND Conventional reusable endoscopes have high disinfection costs because of their large size.In this study,we compared the effectiveness,safety,and operation performance of the portable disposable large-channel endoscope that we developed with those of a conventional gastroscope in endoscopic submucosal dissection(ESD).AIM To compare two gastroscopes in ESD for effectiveness and safety.METHODS Ten Bama pigs were subjected to gastroscopy and ESD after general anesthesia.The experiment was completed by four experienced endoscopists.First,two endoscopists randomly selected the portable disposable large-channel or conventional gastroscope to complete gastroscopy procedures.The other two endoscopists assessed the quality of endoscopic images.After endoscopy,all of the endoscopists randomly used the portable disposable large-channel endoscope or the conventional gastroscope for ESD.Endoscopic operation performance,submucosal dissection time,total procedure time,total submucosal injection volume,specimen size,success rate of en bloc resection,muscular injury rate,and complications were compared between the endoscopes.RESULTS No significant differences in gastroscopy duration or in the integrity,sharpness,saturation,and brightness of the gastroscopic images were observed between the gastroscopes.For ESD,no significant differences in endoscopic operation performance,incision time,submucosal dissection time,total procedure time,total submucosal injection volume,specimen size,or success rate of en bloc resection were observed between the gastroscopes.Neither gastroscope caused muscular injury or treatment-related complica-tions.CONCLUSION The portable disposable large-channel endoscope can be used safely and effectively for gastroscopy and treatment.展开更多
In the context of global COVID-19 epidemic preparedness,the extensive use of disposable surgical masks(DSM)may lead to its emergence as a main new source of microplastics in the environment.Nowadays,DSMs have become a...In the context of global COVID-19 epidemic preparedness,the extensive use of disposable surgical masks(DSM)may lead to its emergence as a main new source of microplastics in the environment.Nowadays,DSMs have become a non-negligible source of plastic waste in aquatic environment,however,less research has been done on DSM after biofilm colonization in freshwater environment.The study investigated the microbial community of DSM-associated biofilms by 16S rRNA gene sequencing.Analysis of the microbial community in the middle and inner/outer layers of the DSM showed that the middle layer was different from the remaining two layers and that potential pathogens were enriched only in the middle layer of the DSM.Herein,we focused on the middle layer and explored the characterization properties and extracellular polymeric substances(EPS)components changes during biofilm formation.The results showed that the EPS components varied with the biofilm incubation time.As the formation of biofilm,the protein(PN)and polysaccharide(PS)in EPS showed an overall increasing trend,and the growth of PS was well synchronized with PN.Three fluorescent components of EPS were determined by the three-dimensional excitation emission matrix(3D-EEM),including humic acid-like,fulvic acid-like,and aromatic protein-like components.The percentage of fluorescent components varied with increasing biofilm development time and then stabilized.Fourier transform infrared spectroscopy(FTIR)characterization results elucidated the emergence of oxygen-containing functional groups during biofilm formation.Moreover,the hydrophilicity increased with biofilm development.In conclusion,the environmental behavior and ecological risks of DSM in aquatic environment deserve urgent attention in future studies.展开更多
The technology of expansion fracturing with liquid CO_(2)(EFLCO_(2))has attracted increasing attention due to reduced vibration and damage.The disposable fracturing tube has been developed and is gradually replacing t...The technology of expansion fracturing with liquid CO_(2)(EFLCO_(2))has attracted increasing attention due to reduced vibration and damage.The disposable fracturing tube has been developed and is gradually replacing the Cardox tube.However,there is a lack of impact pressure testing of disposable tubes under real working conditions,selection of gas explosion design parameters,and systematic analysis of blasting vibration.This limitation has constrained the widespread application of disposable fracturing tubes in engineering.A joint monitoring of the pressure-time curves in the disposable tubes and boreholes was conducted.The rock-breaking effect of varying hole spacing parameters in the EFLCO_(2)design was analyzed,and a systematic study was carried out on the vibration peak value,frequency,and energy characteristics.The results show that(1)the pressure distribution characteristics,stress peak value,and duration in the disposable tubes are different from those of Cardox tubes,which show multi-peak distribution,low-pressure peak value,and short duration.The correlation between the pressure in the disposable tube,filling pressure,and liquid CO_(2)weight is established,and a theoretical calculation method for the borehole wall pressure is proposed;(2)The hole spacing in rocks of different hardness is suggested;and(3)At the same scale distance,the peak particle velocity(PPV)caused by EFLCO_(2)(PPVCO_(2))is significantly smaller than that caused by blasting(PPVexplosive).The ratio of PPVexplosive to PPVCO_(2)is a power function related to scale distance,and a distance-related zonality exist in this relationship.The frequency composition of the vibration signal caused by EFLCO_(2)is relatively simple with a narrow frequency band.Its PPV and energy are mainly concentrated in the low-frequency band.This research contributes to the optimization of disposable fracturing tubes,gas explosion design,and vibration hazard control.展开更多
Objective To develop a highly sensitive and rapid nucleic acid detection method for the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Methods We designed,developed,and manufactured an integrated disposab...Objective To develop a highly sensitive and rapid nucleic acid detection method for the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Methods We designed,developed,and manufactured an integrated disposable device for SARS-CoV-2 nucleic acid extraction and detection.The precision of the liquid transfer and temperature control was tested.A comparison between our device and a commercial kit for SARS-Cov-2 nucleic acid extraction was performed using real-time fluorescence reverse transcription polymerase chain reaction(RT-PCR).The entire process,from SARS-CoV-2 nucleic acid extraction to amplification,was evaluated.Results The precision of the syringe transfer volume was 19.2±1.9μL(set value was 20),32.2±1.6(set value was 30),and 57.2±3.5(set value was 60).Temperature control in the amplification tube was measured at 60.0±0.0℃(set value was 60)and 95.1±0.2℃(set value was 95)respectively.SARS-Cov-2 nucleic acid extraction yield through the device was 7.10×10^(6) copies/mL,while a commercial kit yielded 2.98×10^(6) copies/mL.The mean time to complete the entire assay,from SARS-CoV-2 nucleic acid extraction to amplification detection,was 36 min and 45 s.The detection limit for SARS-CoV-2 nucleic acid was 250 copies/mL.Conclusion The integrated disposable devices may be used for SARS-CoV-2 Point-of-Care test(POCT).展开更多
In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture dev...In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device （DCSD）. A total of 942 patients were equally divided into three groups （conventional circumcision, Shang ring and disposable suture device group）. Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group （P 〈 0.001）. Intra-operative pain was less in the suture device group compared With the other two groups （P 〈 0.001）; whereas post-operative pain was higher in the conventional group compared to the other two groups （P 〈 0.001）. Patients in the suture device （80.57%） and Shang ring （73,57%） groups were more satisfied with penile appearances compared with the conventional circumcision group （20.06%, P 〈 0.05）. Patients in suture device group also healed markedly faster than the conventional group （P 〈 0.01）. The overall satisfaction rate was better in the suture device group （78.66%） compared with the conventional （47.13%） and Shang ring （50.00%） groups （P 〈 0.05）. The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances.展开更多
This systematic review assessed the safety and efficacy of the disposable circumcision suture device （DCSD） and conventional circumcision （CC） in the treatment of redundant prepuce and phimosis. Two independent re...This systematic review assessed the safety and efficacy of the disposable circumcision suture device （DCSD） and conventional circumcision （CC） in the treatment of redundant prepuce and phimosis. Two independent reviewers conducted a literature search for randomized controlled trials （RCTs） using the DCSD and CC for the treatment of redundant prepuce or phimosis in China and abroad. Nine RCTs （1898 cases） were included. Compared with the CC group, the DCSD group had a shorter operative time （standardized mean difference [SMD] = -21.44; 95% confidence intervals [95% CIs] [-25.08, -17.79]; P 〈 0.00001）, shorter wound healing time （SMD = -3.66; 95% CI [-5.46, -1.85]; P 〈 0.0001）, less intraoperative blood loss （SMD = -9.64; 95% CI [-11.37, -7.90]; P 〈 0.00001）, better cosmetic penile appearance （odds ratio [OR] =8.77; 95% CI [5.90, 13.02]; P 〈 0.00001）, lower intraoperative pain score, lower 24-h postoperative pain score, lower incidence of infection, less incision edema, and fewer adverse events. There were no differences between the CC and DCSD groups in the incidences of dehiscence, or hematoma. The results of this meta-analysis indicate that the DCSD appears to be safer and more effective than CC. However, additional high-quality RCTs with larger study populations are needed.展开更多
AIM: To determine the accuracy of endoscopic polyp size measurements using disposable graduated biopsy forceps(DGBF). METHODS: Gradations accurate to 1 mm were assessed with the wire of disposable graduated biopsy for...AIM: To determine the accuracy of endoscopic polyp size measurements using disposable graduated biopsy forceps(DGBF). METHODS: Gradations accurate to 1 mm were assessed with the wire of disposable graduated biopsy forceps. When a polyp was noted, endoscopists determined the width of the polyp; then, the graduated biopsy forceps was inserted and the largest diameter of the tumor was measured. After excision, during surgery or endoscopy, the polyp was measured using the vernier caliper.RESULTS: One hundred and thirty-three colorectal polyps from 119 patients were studied. The mean diameter, by post-polypectomy measurement, was 0.92 ± 0.69 cm; 83 were < 1 cm, 36 were between 1 and 2 cm, and 14 were > 2 cm. The mean diameter, by visual estimation, was 1.15 ± 0.88 cm; compared to the actual size measured using vernier calipers, the difference was statistically significant. The mean diameter measured using the DGBF was 0.93 ± 0.68 cm; compared to the actual size measured using vernier calipers, this difference was not statistically significant. The ratio between the mean size estimated by visual estimation and the actual size was significantly different from that between the mean size estimated using the DGBF and the actual size(1.26 ± 0.30 vs 1.02 ± 0.11).CONCLUSION: The accuracy of polyp size estimation was low by visual assessment; however, it improved when the DGBF was used.展开更多
Hexafluoroisopropanol(HFIP)-induced sodium dodecyl sulfate/dodecyltrimethylammonium bromide(SDS/DTAB) catanionic surfactant coacervate extraction method coupled with high performance liquid chromatography(HPLC) was us...Hexafluoroisopropanol(HFIP)-induced sodium dodecyl sulfate/dodecyltrimethylammonium bromide(SDS/DTAB) catanionic surfactant coacervate extraction method coupled with high performance liquid chromatography(HPLC) was used to detect the migration of phthalates from disposable tablewares to drinking water. The concentration factors are larger than 82 and extraction recoveries over 53% for water samples spiked with 100 or 200 ng/m L phthalates. Limit of detection is in the range of 1.0–2.6 ng/m L.Good linearity with correlation coefficients larger than 0.9985 is obtained in the concentration of20–1500 or 40–3000 ng/m L. Relative recoveries are from 82.4% to 123.6% for water samples spiked with30/60, 250/500, and 1500/3000 ng/m L phthalates, respectively. Relative standard deviations(RSDs) are0.4%–7.4% for intraday precision(n = 5) and 0.6%–7.8% for interday precision(n = 3). Four of studied phthalates are found in the drinking water samples prepared from four kinds of tablewares.展开更多
Nitrogen dioxide(NO_(2))is a representative toxicant in air pollution that mostly arises from the exhaust gas released by automobiles.It is related to various respiratory diseases such as pneumonia and sudden infant d...Nitrogen dioxide(NO_(2))is a representative toxicant in air pollution that mostly arises from the exhaust gas released by automobiles.It is related to various respiratory diseases such as pneumonia and sudden infant death syndrome.Additionally,because the toxicity of nitrogen dioxide is high in overpopulated areas(i.e.,a capital or metropolis),the development of simple,practical,and facile sensors is highly needed.This work presents a flexible and disposable paper-based NO_(2)sensor based on a reduced graphene oxide/chitosan(r GO/CS)composite.The synthesized r GO/CS composite can be easily flexed and deformed into various shapes,which are attributed to chitosan molecules that function as a dispersion and reduction agent and support material.In addition,this composite can be attached to paper owing to its adhesive property;hence it can be utilized in versatile applications in a disposable manner.By analyzing the conductive change of the r GO/CS composite when it reacts with NO_(2),we can detect nitrogen dioxide in a concentration range of 0–100 ppm with a detection limit of 1 ppm.Moreover,we performed NO_(2)detection in the exhaust gas released by automobiles using the r GO/CS composite for practical application.The results indicated that the r GO/CS composite has the potential to be used in feasible gas sensing as a facile and disposable sensor under various conditions.展开更多
Influenced by recent COVID-19,wearing face masks to block the spread of the epidemic has become the simplest and most effective way.However,after the people wear masks,thousands of tons of medical waste by used dis-po...Influenced by recent COVID-19,wearing face masks to block the spread of the epidemic has become the simplest and most effective way.However,after the people wear masks,thousands of tons of medical waste by used dis-posable masks will be generated every day in the world,causing great pressure on the environment.Herein,con-ductive polymer composites are fabricated by simple melt blending of mask fragments(mask polypropylene,short for mPP)and multi-walled carbon nanotubes(MWNTs).MWNTs were used as modifiers for composites because of their high strength and high conductivity.The crystalline structure,mechanical,electrical and thermal enhancement effect of the composites were investigated.MWNTs with high thermal stability acted the role of promoting the crystallisation of mPP by expediting the crystalline nucleation,leading to the improvement of amount for crystalline nucleus.MWNTs fibers interpenetrate with each other in mPP matrix to form conducting network.With 2.0 wt% MWNTs loading,the tensile strength and electrical conductivity of the composites were increased by 809% and 7 orders of magnitude.MWNTs fibers interpenetrate with each other in mPP matrix to form conducting network.Thus,more conducting paths were constructed to transport carriers.The findings may open a way for high value utilization of the disposable masks.展开更多
To measure integral doses in image-guided radiation therapy, we developed a disposable mini-substrate with a 1.0-μF condenser and a silicon X-ray diode (Si-XD). The Si-XD is a high-sensitivity photodiode selected for...To measure integral doses in image-guided radiation therapy, we developed a disposable mini-substrate with a 1.0-μF condenser and a silicon X-ray diode (Si-XD). The Si-XD is a high-sensitivity photodiode selected for detecting X-rays. In the substrate with dimensions of 15 × 15 mm2, the initial charging voltage is 3.30 V, and the charging voltage is decreased by photocurrents flowing through the Si-XD during X-ray exposing. The condenser in the substrate is charged by a microcomputer dock, and the charging voltage is also measured using an analog to digital converter in the dock after exposing X-rays. The dock is connected to a personal computer through a USB cable, and integral doses are shown on the PC monitor. The doses were proportional to decreases in the charging voltage, and the calibrated doses corresponded well to those obtained using a readily available ionization chamber.展开更多
This study examined the effect of reducing disposable plastic checkout bags used in supermarkets, convenience stores, and so on in Japan. Considering that even when these checkout bags are abolished, alternative waste...This study examined the effect of reducing disposable plastic checkout bags used in supermarkets, convenience stores, and so on in Japan. Considering that even when these checkout bags are abolished, alternative waste bags should be newly produced, because these checkout bags have been reused as household waste bags so far, and the corresponding amount of oil is still necessary to produce them, the amount of oil saved by this bag reduction was found to be 0.2 L/person/year at most. Further, it was demonstrated that the necessity to purchase substitute bags may increase the household and financial burden on consumers.展开更多
The application of controlled levels of negative pressure on to a wound has been shown to accelerate evacuation of dead cells, debris and fluid which eventually encourages wound healing in a verity of surgical wounds....The application of controlled levels of negative pressure on to a wound has been shown to accelerate evacuation of dead cells, debris and fluid which eventually encourages wound healing in a verity of surgical wounds. Vacuum Assisted Closure (V.A.C.) therapy—KCI Medical Limited, the terminology by which this is widely known, became popular, especially among the plastic surgery professionals in America and soon gained recognition worldwide. It is now widely used in the UK to manage and assist healing in a wide variety of wounds. Although KCI’s V.A.C. machines were the only ones on the market for a number of years, several wound management companies have now brought out their own machines and these are now known collectively as topical negative pressure therapy (TNPT). Traditional TNPT is often considered a relatively costly procedure. It is often used in patients with large wounds to facilitate dressing management and promote rapid cleaning and granulation. This may also allow them to be discharged to the community when they would otherwise remain inpatients, thereby saving bed days. Capital purchase of the machines is expensive and hospitals often rent or lease them on a short or long term basis. This can lead to difficulties in arranging the finances for discharge to the community. Subsequent dressing changes (recommended every 48 - 72 hrs) also incur high costs and involvement of the trained medical or nursing staff. As we all know;“Need is the mother of invention”. The disposable TNPT machine (V.A.C. ViaTM KCI Medical Ltd) has been introduced to help to solve these problems. It is a single use machine, inclusive of a dressing and canister and available off the shelf. It is very cost effective, easy to use and is used for small to moderate sized wounds. Senior author is using this machine which excellent results and illustrated the use of this machine with pictures in this paper.展开更多
Hydrogen （H2） production from lignocellulosic materials may be enhanced by removing lignin and increasing the porosity of the material prior to enzymatic hydrolysis. Alkaline pretreatment conditions, used to deligni...Hydrogen （H2） production from lignocellulosic materials may be enhanced by removing lignin and increasing the porosity of the material prior to enzymatic hydrolysis. Alkaline pretreatment conditions, used to delignify disposable wooden chopsticks （DWC） waste, were investigated. The effects of NaOH concentration, temperature and retention time were examined and it was found that retention time had no effect on lignin removal or carbohydrate released in enzymatic hydrolysate. The highest percentage of lignin removal （41%） was obtained with 2% NaOH at 100℃, correlated with the highest carbohydrate released （67 mg/gpretreated DWC） in the hydrolysate. An enriched culture from a hot spring was used as inoculum for fermentative H2 production, and its optimum initial pH and temperature were determined to be 7.0 and 50℃, respectively. Furthermore, enzymatic hydrolysate from pretreated DWC was successfully demonstrated as a substrate for fermentative H2 production by the enriched culture. The maximum H2 yield and production rate were achieved at 195 mL H2/g total sugarsconsumed and 1 16 mL Hz/（L.day）, respectively.展开更多
Objective: To choose a reasonably priced and low-cost treatment towel suitable for clinical application of hospital so as to reduce the cost of the hospital and make a reasonable use of resources through the cost anal...Objective: To choose a reasonably priced and low-cost treatment towel suitable for clinical application of hospital so as to reduce the cost of the hospital and make a reasonable use of resources through the cost analysis and comparison of the plain cotton and disposable non-woven treatment towels. Methods: The cost of the single pack plain cotton towel and disposable non-woven towel were analyzed and at the same time, 49185 packs of plain cotton towels which were the total consumption quantity of our hospital in 2017 and the same quantity of disposable non-woven towers were analyzed in the cost for comparison. Results:A single pack of disposable non-woven towel was RMB 2.50 cheaper than the plain cotton towel and the use of disposable non-woven towel can save the cost of RMB 2.50 per pack. In 2017, 49185 packs of plain cotton towel were used in total, which cost RMB 122962.50 less than the same quantity of disposable non-woven towels and using the disposable non-woven towel could save RMB 122962.50 annually. Conclusion: Compared with the plain cotton towel, the non-woven shares the advantages of none flocculation, longer storage time and better antibacterial effect as well as the material, cleaning and labor costs-saving. The cost of the disposable non-woven treatment towel is lower than that of the reusable plain cotton towel. Therefore, it is recommended to use the disposable non-woven treatment towel.展开更多
Several hotels in Changsha, Shanghai and Kunming have recently staged a Green Hotel campaign: hotels will not offer disposable toothbrushes, toothpaste, slippers, combs or bottled shampoo and body lotion to their gues...Several hotels in Changsha, Shanghai and Kunming have recently staged a Green Hotel campaign: hotels will not offer disposable toothbrushes, toothpaste, slippers, combs or bottled shampoo and body lotion to their vips unless requested. Meanwhile a Green Hotel Standard has been issued, proscribing "disposable articles, such as toothbrushes, soap, combs and slippers," and stipulating that "textiles, such as bathrobes, towels and pillowslips, in hotel rooms are to be changed strictly at the request of vips,展开更多
Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and ...Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and effect of skin scald of children. Due to young children's age and low self-care ability, the probability of accidental scald in early childhood is higher than that of adults. Once scald occurs, most of them are treated by applying scald ointment locally and exposing the wound surface at the same time. The whole process increases the difficulty of nursing the family members. At the same time, the whole treatment cycle is long, the pain time of children is also long, the prognosis effect is poor, and severe scars will be left. It seriously affects the psychology of the children and increases the anxiety of the family members. The timely delivery of infants to the hospital and the reasonable compliance of anti-infection treatment according to their illness can greatly shorten the pain time of infants and reduce their pain as much as possible, reduce the occurrence of complications, and especially reduce the generation of scar tissue. In this case, the disposable foam dressing was used to nurse a child with superficial second degree scald, which not only effectively shortened the course of the disease, but also effectively reduced the pain of the child, and was more convenient for parents to effectively nurse the child after discharge.展开更多
Objective: to analyze the application effect of disposable drainage bag in continuous bladder irrigation. Methods:76 patients with continuous bladder irrigation in our hospital were selected for this study from May 20...Objective: to analyze the application effect of disposable drainage bag in continuous bladder irrigation. Methods:76 patients with continuous bladder irrigation in our hospital were selected for this study from May 2020 to May 2021. They were randomly divided into the control group (38 cases with traditional one-time drainage bag) and the observation group (38 cases with 5000mL one-time drainage bag), and the effects of the two groups were compared. Results: compared with the control group, the scores of physical function, mental function and social function in the observation group were significantly higher (P < 0.05). Compared with the control group, the SAS score, SDS score and the incidence of complications in the observation group were significantly lower (P < 0.05);compared with the control group, the nursing satisfaction of the observation group was significantly higher (P < 0.05). Conclusion: continuous bladder irrigation with 5000mL disposable drainage bag can effectively prevent complications, improve the level of physical and mental health and nursing satisfaction of patients, and has the value of promotion.展开更多
Death is one of the important crises rites in human society which invariably occur during the lifecycle of an individual. Death means the termination of the life of an individual along with its biological functions. I...Death is one of the important crises rites in human society which invariably occur during the lifecycle of an individual. Death means the termination of the life of an individual along with its biological functions. It is one of the indispensable aspects of many traditions and organizations and is an important feature of every culture and civilization in the world. In common parlance death refers to the moment at which life ends and one of the difficult tasks of defining death is to distinguish it from the life of an individual. When a death occurs to an individual, it requires drawing precise conceptual boundaries between life and death. The life of an individual is defined on the basis of consciousness and when consciousness ceases, a person is said to have died. Death has an integral relationship with religion, especially with rites and rituals through which the departed soul is appeased with the intervention of the supernatural. In every society, there are certain customs related to death as well as the disposal of the corpse which reflect the parochial belief system associated with the event. In this paper, an attempt has been made to examine the pattern of disposal of death, integral religious rites, and rituals among the Tengapania Deoris of Assam.展开更多
文摘BACKGROUND Conventional reusable endoscopes have high disinfection costs because of their large size.In this study,we compared the effectiveness,safety,and operation performance of the portable disposable large-channel endoscope that we developed with those of a conventional gastroscope in endoscopic submucosal dissection(ESD).AIM To compare two gastroscopes in ESD for effectiveness and safety.METHODS Ten Bama pigs were subjected to gastroscopy and ESD after general anesthesia.The experiment was completed by four experienced endoscopists.First,two endoscopists randomly selected the portable disposable large-channel or conventional gastroscope to complete gastroscopy procedures.The other two endoscopists assessed the quality of endoscopic images.After endoscopy,all of the endoscopists randomly used the portable disposable large-channel endoscope or the conventional gastroscope for ESD.Endoscopic operation performance,submucosal dissection time,total procedure time,total submucosal injection volume,specimen size,success rate of en bloc resection,muscular injury rate,and complications were compared between the endoscopes.RESULTS No significant differences in gastroscopy duration or in the integrity,sharpness,saturation,and brightness of the gastroscopic images were observed between the gastroscopes.For ESD,no significant differences in endoscopic operation performance,incision time,submucosal dissection time,total procedure time,total submucosal injection volume,specimen size,or success rate of en bloc resection were observed between the gastroscopes.Neither gastroscope caused muscular injury or treatment-related complica-tions.CONCLUSION The portable disposable large-channel endoscope can be used safely and effectively for gastroscopy and treatment.
基金Supported by the Natural Science Foundation of Shandong Province(Nos.ZR2022MD115,ZR202111160067)。
文摘In the context of global COVID-19 epidemic preparedness,the extensive use of disposable surgical masks(DSM)may lead to its emergence as a main new source of microplastics in the environment.Nowadays,DSMs have become a non-negligible source of plastic waste in aquatic environment,however,less research has been done on DSM after biofilm colonization in freshwater environment.The study investigated the microbial community of DSM-associated biofilms by 16S rRNA gene sequencing.Analysis of the microbial community in the middle and inner/outer layers of the DSM showed that the middle layer was different from the remaining two layers and that potential pathogens were enriched only in the middle layer of the DSM.Herein,we focused on the middle layer and explored the characterization properties and extracellular polymeric substances(EPS)components changes during biofilm formation.The results showed that the EPS components varied with the biofilm incubation time.As the formation of biofilm,the protein(PN)and polysaccharide(PS)in EPS showed an overall increasing trend,and the growth of PS was well synchronized with PN.Three fluorescent components of EPS were determined by the three-dimensional excitation emission matrix(3D-EEM),including humic acid-like,fulvic acid-like,and aromatic protein-like components.The percentage of fluorescent components varied with increasing biofilm development time and then stabilized.Fourier transform infrared spectroscopy(FTIR)characterization results elucidated the emergence of oxygen-containing functional groups during biofilm formation.Moreover,the hydrophilicity increased with biofilm development.In conclusion,the environmental behavior and ecological risks of DSM in aquatic environment deserve urgent attention in future studies.
基金financially supported by the National Key R&D Program of China(Grant No.2020YFA0711802)the Wuhan Science and Technology Bureau of China(Grant No.2023020201010081)the National Nature Science Foundation of China(Grant No.U22A20239).
文摘The technology of expansion fracturing with liquid CO_(2)(EFLCO_(2))has attracted increasing attention due to reduced vibration and damage.The disposable fracturing tube has been developed and is gradually replacing the Cardox tube.However,there is a lack of impact pressure testing of disposable tubes under real working conditions,selection of gas explosion design parameters,and systematic analysis of blasting vibration.This limitation has constrained the widespread application of disposable fracturing tubes in engineering.A joint monitoring of the pressure-time curves in the disposable tubes and boreholes was conducted.The rock-breaking effect of varying hole spacing parameters in the EFLCO_(2)design was analyzed,and a systematic study was carried out on the vibration peak value,frequency,and energy characteristics.The results show that(1)the pressure distribution characteristics,stress peak value,and duration in the disposable tubes are different from those of Cardox tubes,which show multi-peak distribution,low-pressure peak value,and short duration.The correlation between the pressure in the disposable tube,filling pressure,and liquid CO_(2)weight is established,and a theoretical calculation method for the borehole wall pressure is proposed;(2)The hole spacing in rocks of different hardness is suggested;and(3)At the same scale distance,the peak particle velocity(PPV)caused by EFLCO_(2)(PPVCO_(2))is significantly smaller than that caused by blasting(PPVexplosive).The ratio of PPVexplosive to PPVCO_(2)is a power function related to scale distance,and a distance-related zonality exist in this relationship.The frequency composition of the vibration signal caused by EFLCO_(2)is relatively simple with a narrow frequency band.Its PPV and energy are mainly concentrated in the low-frequency band.This research contributes to the optimization of disposable fracturing tubes,gas explosion design,and vibration hazard control.
基金supported by National Key R&D Program of China[2021YFC2301103 and 2022YFE0202600]Shenzhen Science and Technology Program[JSGG20220606142605011].
文摘Objective To develop a highly sensitive and rapid nucleic acid detection method for the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Methods We designed,developed,and manufactured an integrated disposable device for SARS-CoV-2 nucleic acid extraction and detection.The precision of the liquid transfer and temperature control was tested.A comparison between our device and a commercial kit for SARS-Cov-2 nucleic acid extraction was performed using real-time fluorescence reverse transcription polymerase chain reaction(RT-PCR).The entire process,from SARS-CoV-2 nucleic acid extraction to amplification,was evaluated.Results The precision of the syringe transfer volume was 19.2±1.9μL(set value was 20),32.2±1.6(set value was 30),and 57.2±3.5(set value was 60).Temperature control in the amplification tube was measured at 60.0±0.0℃(set value was 60)and 95.1±0.2℃(set value was 95)respectively.SARS-Cov-2 nucleic acid extraction yield through the device was 7.10×10^(6) copies/mL,while a commercial kit yielded 2.98×10^(6) copies/mL.The mean time to complete the entire assay,from SARS-CoV-2 nucleic acid extraction to amplification detection,was 36 min and 45 s.The detection limit for SARS-CoV-2 nucleic acid was 250 copies/mL.Conclusion The integrated disposable devices may be used for SARS-CoV-2 Point-of-Care test(POCT).
文摘In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device （DCSD）. A total of 942 patients were equally divided into three groups （conventional circumcision, Shang ring and disposable suture device group）. Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group （P 〈 0.001）. Intra-operative pain was less in the suture device group compared With the other two groups （P 〈 0.001）; whereas post-operative pain was higher in the conventional group compared to the other two groups （P 〈 0.001）. Patients in the suture device （80.57%） and Shang ring （73,57%） groups were more satisfied with penile appearances compared with the conventional circumcision group （20.06%, P 〈 0.05）. Patients in suture device group also healed markedly faster than the conventional group （P 〈 0.01）. The overall satisfaction rate was better in the suture device group （78.66%） compared with the conventional （47.13%） and Shang ring （50.00%） groups （P 〈 0.05）. The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances.
文摘This systematic review assessed the safety and efficacy of the disposable circumcision suture device （DCSD） and conventional circumcision （CC） in the treatment of redundant prepuce and phimosis. Two independent reviewers conducted a literature search for randomized controlled trials （RCTs） using the DCSD and CC for the treatment of redundant prepuce or phimosis in China and abroad. Nine RCTs （1898 cases） were included. Compared with the CC group, the DCSD group had a shorter operative time （standardized mean difference [SMD] = -21.44; 95% confidence intervals [95% CIs] [-25.08, -17.79]; P 〈 0.00001）, shorter wound healing time （SMD = -3.66; 95% CI [-5.46, -1.85]; P 〈 0.0001）, less intraoperative blood loss （SMD = -9.64; 95% CI [-11.37, -7.90]; P 〈 0.00001）, better cosmetic penile appearance （odds ratio [OR] =8.77; 95% CI [5.90, 13.02]; P 〈 0.00001）, lower intraoperative pain score, lower 24-h postoperative pain score, lower incidence of infection, less incision edema, and fewer adverse events. There were no differences between the CC and DCSD groups in the incidences of dehiscence, or hematoma. The results of this meta-analysis indicate that the DCSD appears to be safer and more effective than CC. However, additional high-quality RCTs with larger study populations are needed.
基金Supported by National Nature Science Foundation of China,No.3097383 and No.81273944grants from The Nanjing Medical Technology Development Project,No.NJYX201203
文摘AIM: To determine the accuracy of endoscopic polyp size measurements using disposable graduated biopsy forceps(DGBF). METHODS: Gradations accurate to 1 mm were assessed with the wire of disposable graduated biopsy forceps. When a polyp was noted, endoscopists determined the width of the polyp; then, the graduated biopsy forceps was inserted and the largest diameter of the tumor was measured. After excision, during surgery or endoscopy, the polyp was measured using the vernier caliper.RESULTS: One hundred and thirty-three colorectal polyps from 119 patients were studied. The mean diameter, by post-polypectomy measurement, was 0.92 ± 0.69 cm; 83 were < 1 cm, 36 were between 1 and 2 cm, and 14 were > 2 cm. The mean diameter, by visual estimation, was 1.15 ± 0.88 cm; compared to the actual size measured using vernier calipers, the difference was statistically significant. The mean diameter measured using the DGBF was 0.93 ± 0.68 cm; compared to the actual size measured using vernier calipers, this difference was not statistically significant. The ratio between the mean size estimated by visual estimation and the actual size was significantly different from that between the mean size estimated using the DGBF and the actual size(1.26 ± 0.30 vs 1.02 ± 0.11).CONCLUSION: The accuracy of polyp size estimation was low by visual assessment; however, it improved when the DGBF was used.
基金the National Natural Science Foundation of China(Grant no.81373045)the Provincial Natural Science Foundation of Hubei of China(Grant no.2015CFA139)
文摘Hexafluoroisopropanol(HFIP)-induced sodium dodecyl sulfate/dodecyltrimethylammonium bromide(SDS/DTAB) catanionic surfactant coacervate extraction method coupled with high performance liquid chromatography(HPLC) was used to detect the migration of phthalates from disposable tablewares to drinking water. The concentration factors are larger than 82 and extraction recoveries over 53% for water samples spiked with 100 or 200 ng/m L phthalates. Limit of detection is in the range of 1.0–2.6 ng/m L.Good linearity with correlation coefficients larger than 0.9985 is obtained in the concentration of20–1500 or 40–3000 ng/m L. Relative recoveries are from 82.4% to 123.6% for water samples spiked with30/60, 250/500, and 1500/3000 ng/m L phthalates, respectively. Relative standard deviations(RSDs) are0.4%–7.4% for intraday precision(n = 5) and 0.6%–7.8% for interday precision(n = 3). Four of studied phthalates are found in the drinking water samples prepared from four kinds of tablewares.
基金supported by the National Research Foundation of Korea(NRF)under Grant Nos.NRF-2017M3A9F1031229,NRF2017R1E1A1A01075439,and NRF-2019R1C1C1005668The Korea Environment Industry&Technology Institute(KEITI)through its Ecological Imitation-based Environmental Pollution Management Technology Development Project+1 种基金funded by the Korea Ministry of Environment(MOE)(2019002800009)And Korea University(Grant No.K2111511)。
文摘Nitrogen dioxide(NO_(2))is a representative toxicant in air pollution that mostly arises from the exhaust gas released by automobiles.It is related to various respiratory diseases such as pneumonia and sudden infant death syndrome.Additionally,because the toxicity of nitrogen dioxide is high in overpopulated areas(i.e.,a capital or metropolis),the development of simple,practical,and facile sensors is highly needed.This work presents a flexible and disposable paper-based NO_(2)sensor based on a reduced graphene oxide/chitosan(r GO/CS)composite.The synthesized r GO/CS composite can be easily flexed and deformed into various shapes,which are attributed to chitosan molecules that function as a dispersion and reduction agent and support material.In addition,this composite can be attached to paper owing to its adhesive property;hence it can be utilized in versatile applications in a disposable manner.By analyzing the conductive change of the r GO/CS composite when it reacts with NO_(2),we can detect nitrogen dioxide in a concentration range of 0–100 ppm with a detection limit of 1 ppm.Moreover,we performed NO_(2)detection in the exhaust gas released by automobiles using the r GO/CS composite for practical application.The results indicated that the r GO/CS composite has the potential to be used in feasible gas sensing as a facile and disposable sensor under various conditions.
基金M.Xiang and S.Dong wishes to thank the National Natural Science Foundation of China(21908086 and 51801083)Changzhou Sci&Tech Program(CJ20190035)+1 种基金Jiangsu Higher Education Institutions in China(19KJB610011)Natural Science Foundation of Jiangsu Province(BK20181044).
文摘Influenced by recent COVID-19,wearing face masks to block the spread of the epidemic has become the simplest and most effective way.However,after the people wear masks,thousands of tons of medical waste by used dis-posable masks will be generated every day in the world,causing great pressure on the environment.Herein,con-ductive polymer composites are fabricated by simple melt blending of mask fragments(mask polypropylene,short for mPP)and multi-walled carbon nanotubes(MWNTs).MWNTs were used as modifiers for composites because of their high strength and high conductivity.The crystalline structure,mechanical,electrical and thermal enhancement effect of the composites were investigated.MWNTs with high thermal stability acted the role of promoting the crystallisation of mPP by expediting the crystalline nucleation,leading to the improvement of amount for crystalline nucleus.MWNTs fibers interpenetrate with each other in mPP matrix to form conducting network.With 2.0 wt% MWNTs loading,the tensile strength and electrical conductivity of the composites were increased by 809% and 7 orders of magnitude.MWNTs fibers interpenetrate with each other in mPP matrix to form conducting network.Thus,more conducting paths were constructed to transport carriers.The findings may open a way for high value utilization of the disposable masks.
文摘To measure integral doses in image-guided radiation therapy, we developed a disposable mini-substrate with a 1.0-μF condenser and a silicon X-ray diode (Si-XD). The Si-XD is a high-sensitivity photodiode selected for detecting X-rays. In the substrate with dimensions of 15 × 15 mm2, the initial charging voltage is 3.30 V, and the charging voltage is decreased by photocurrents flowing through the Si-XD during X-ray exposing. The condenser in the substrate is charged by a microcomputer dock, and the charging voltage is also measured using an analog to digital converter in the dock after exposing X-rays. The dock is connected to a personal computer through a USB cable, and integral doses are shown on the PC monitor. The doses were proportional to decreases in the charging voltage, and the calibrated doses corresponded well to those obtained using a readily available ionization chamber.
文摘This study examined the effect of reducing disposable plastic checkout bags used in supermarkets, convenience stores, and so on in Japan. Considering that even when these checkout bags are abolished, alternative waste bags should be newly produced, because these checkout bags have been reused as household waste bags so far, and the corresponding amount of oil is still necessary to produce them, the amount of oil saved by this bag reduction was found to be 0.2 L/person/year at most. Further, it was demonstrated that the necessity to purchase substitute bags may increase the household and financial burden on consumers.
文摘The application of controlled levels of negative pressure on to a wound has been shown to accelerate evacuation of dead cells, debris and fluid which eventually encourages wound healing in a verity of surgical wounds. Vacuum Assisted Closure (V.A.C.) therapy—KCI Medical Limited, the terminology by which this is widely known, became popular, especially among the plastic surgery professionals in America and soon gained recognition worldwide. It is now widely used in the UK to manage and assist healing in a wide variety of wounds. Although KCI’s V.A.C. machines were the only ones on the market for a number of years, several wound management companies have now brought out their own machines and these are now known collectively as topical negative pressure therapy (TNPT). Traditional TNPT is often considered a relatively costly procedure. It is often used in patients with large wounds to facilitate dressing management and promote rapid cleaning and granulation. This may also allow them to be discharged to the community when they would otherwise remain inpatients, thereby saving bed days. Capital purchase of the machines is expensive and hospitals often rent or lease them on a short or long term basis. This can lead to difficulties in arranging the finances for discharge to the community. Subsequent dressing changes (recommended every 48 - 72 hrs) also incur high costs and involvement of the trained medical or nursing staff. As we all know;“Need is the mother of invention”. The disposable TNPT machine (V.A.C. ViaTM KCI Medical Ltd) has been introduced to help to solve these problems. It is a single use machine, inclusive of a dressing and canister and available off the shelf. It is very cost effective, easy to use and is used for small to moderate sized wounds. Senior author is using this machine which excellent results and illustrated the use of this machine with pictures in this paper.
基金supported by the Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT) (Monbukagakusho Scholarship)MEXT-ARDA under the Asia Core Program (ACP)
文摘Hydrogen （H2） production from lignocellulosic materials may be enhanced by removing lignin and increasing the porosity of the material prior to enzymatic hydrolysis. Alkaline pretreatment conditions, used to delignify disposable wooden chopsticks （DWC） waste, were investigated. The effects of NaOH concentration, temperature and retention time were examined and it was found that retention time had no effect on lignin removal or carbohydrate released in enzymatic hydrolysate. The highest percentage of lignin removal （41%） was obtained with 2% NaOH at 100℃, correlated with the highest carbohydrate released （67 mg/gpretreated DWC） in the hydrolysate. An enriched culture from a hot spring was used as inoculum for fermentative H2 production, and its optimum initial pH and temperature were determined to be 7.0 and 50℃, respectively. Furthermore, enzymatic hydrolysate from pretreated DWC was successfully demonstrated as a substrate for fermentative H2 production by the enriched culture. The maximum H2 yield and production rate were achieved at 195 mL H2/g total sugarsconsumed and 1 16 mL Hz/（L.day）, respectively.
文摘Objective: To choose a reasonably priced and low-cost treatment towel suitable for clinical application of hospital so as to reduce the cost of the hospital and make a reasonable use of resources through the cost analysis and comparison of the plain cotton and disposable non-woven treatment towels. Methods: The cost of the single pack plain cotton towel and disposable non-woven towel were analyzed and at the same time, 49185 packs of plain cotton towels which were the total consumption quantity of our hospital in 2017 and the same quantity of disposable non-woven towers were analyzed in the cost for comparison. Results:A single pack of disposable non-woven towel was RMB 2.50 cheaper than the plain cotton towel and the use of disposable non-woven towel can save the cost of RMB 2.50 per pack. In 2017, 49185 packs of plain cotton towel were used in total, which cost RMB 122962.50 less than the same quantity of disposable non-woven towels and using the disposable non-woven towel could save RMB 122962.50 annually. Conclusion: Compared with the plain cotton towel, the non-woven shares the advantages of none flocculation, longer storage time and better antibacterial effect as well as the material, cleaning and labor costs-saving. The cost of the disposable non-woven treatment towel is lower than that of the reusable plain cotton towel. Therefore, it is recommended to use the disposable non-woven treatment towel.
文摘Several hotels in Changsha, Shanghai and Kunming have recently staged a Green Hotel campaign: hotels will not offer disposable toothbrushes, toothpaste, slippers, combs or bottled shampoo and body lotion to their vips unless requested. Meanwhile a Green Hotel Standard has been issued, proscribing "disposable articles, such as toothbrushes, soap, combs and slippers," and stipulating that "textiles, such as bathrobes, towels and pillowslips, in hotel rooms are to be changed strictly at the request of vips,
文摘Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and effect of skin scald of children. Due to young children's age and low self-care ability, the probability of accidental scald in early childhood is higher than that of adults. Once scald occurs, most of them are treated by applying scald ointment locally and exposing the wound surface at the same time. The whole process increases the difficulty of nursing the family members. At the same time, the whole treatment cycle is long, the pain time of children is also long, the prognosis effect is poor, and severe scars will be left. It seriously affects the psychology of the children and increases the anxiety of the family members. The timely delivery of infants to the hospital and the reasonable compliance of anti-infection treatment according to their illness can greatly shorten the pain time of infants and reduce their pain as much as possible, reduce the occurrence of complications, and especially reduce the generation of scar tissue. In this case, the disposable foam dressing was used to nurse a child with superficial second degree scald, which not only effectively shortened the course of the disease, but also effectively reduced the pain of the child, and was more convenient for parents to effectively nurse the child after discharge.
文摘Objective: to analyze the application effect of disposable drainage bag in continuous bladder irrigation. Methods:76 patients with continuous bladder irrigation in our hospital were selected for this study from May 2020 to May 2021. They were randomly divided into the control group (38 cases with traditional one-time drainage bag) and the observation group (38 cases with 5000mL one-time drainage bag), and the effects of the two groups were compared. Results: compared with the control group, the scores of physical function, mental function and social function in the observation group were significantly higher (P < 0.05). Compared with the control group, the SAS score, SDS score and the incidence of complications in the observation group were significantly lower (P < 0.05);compared with the control group, the nursing satisfaction of the observation group was significantly higher (P < 0.05). Conclusion: continuous bladder irrigation with 5000mL disposable drainage bag can effectively prevent complications, improve the level of physical and mental health and nursing satisfaction of patients, and has the value of promotion.
文摘Death is one of the important crises rites in human society which invariably occur during the lifecycle of an individual. Death means the termination of the life of an individual along with its biological functions. It is one of the indispensable aspects of many traditions and organizations and is an important feature of every culture and civilization in the world. In common parlance death refers to the moment at which life ends and one of the difficult tasks of defining death is to distinguish it from the life of an individual. When a death occurs to an individual, it requires drawing precise conceptual boundaries between life and death. The life of an individual is defined on the basis of consciousness and when consciousness ceases, a person is said to have died. Death has an integral relationship with religion, especially with rites and rituals through which the departed soul is appeased with the intervention of the supernatural. In every society, there are certain customs related to death as well as the disposal of the corpse which reflect the parochial belief system associated with the event. In this paper, an attempt has been made to examine the pattern of disposal of death, integral religious rites, and rituals among the Tengapania Deoris of Assam.
