The nanoscale confinement is of great important for the industrial applications of molecular sieve,desalination,and also essential in bio-logical transport systems.Massive efforts have been devoted to the influence of...The nanoscale confinement is of great important for the industrial applications of molecular sieve,desalination,and also essential in bio-logical transport systems.Massive efforts have been devoted to the influence of restricted spaces on the properties of confined fluids.However,the situation of channel-wall is crucial but attracts less attention and remains unknown.To fundamentally understand the mechanism of channel-walls in nanoconfinement,we investigated the interaction between the counter-force of the liquid and interlamellar spacing of nanochannel walls by considering the effect of both spatial confinement and surface wettability.The results reveal that the nanochannel stables at only a few discrete spacing states when its confinement is within 1.4 nm.The quantized interlayer spacing is attributed to water molecules becoming laminated structures,and the stable states are corresponding to the monolayer,bilayer and trilayer water configurations,respectively.The results can potentially help to understand the characterized interlayers spacing of graphene oxide membrane in water.Our findings are hold great promise in design of ion filtration membrane and artificial water/ion channels.展开更多
AIM:To investigate whether the two-step strategy[conjunctival flap covering surgery(CFCS)combined with secondary deep anterior lamellar keratoplasty(DALK)]is effective for patients with high-risk fungal keratitis(FK)....AIM:To investigate whether the two-step strategy[conjunctival flap covering surgery(CFCS)combined with secondary deep anterior lamellar keratoplasty(DALK)]is effective for patients with high-risk fungal keratitis(FK).METHODS:In this noncomparative,retrospective case series,10 subjects(6 males,4 females)with a mean age of 56.5±7.1(range 47-72)y with high-risk FK undergone the two-step strategy were included.Reported outcome measures were healing of the corneal ulcer,recurrence of FK,reject reaction,improvement in best corrected visual acuity(BCVA)and relevant complications.RESULTS:The average diameter of corneal infiltrates was 7.50±0.39 mm,ranging from 6.94 to 8.13 mm.The mean depth of corneal infiltrates was 422.4±77.1μm,ranging from 350 to 535μm.The mean corneal thickness was 597.4±117.3μm,ranging from 458 to 851μm.Hypopyon and endothelial plaques were presented in all patients.The period between the two steps was 3.65±0.9(ranging from 3 to 5)mo.The graft diameter was 7.75±0.39 mm.At the last follow-up(average 9.25±3.39,ranging from 5.5 to 17mo),no fungal recurrence or graft rejection appeared,and all patients showed improvement of BCVA.One patient suffered from liver function impairment due to oral voriconazole for 4wk and recovered spontaneously after 1wk of drug withdrawal.CONCLUSION:The two-step strategy is safe and effective in the treatment of high-risk FK by transforming intentional therapeutic penetrating keratoplasty during acute infection to later optical DALK.It is a practical strategy,especially in areas lacking fresh donor corneas and eye bank services.展开更多
Background: Respiratory distress syndrome (RDS) is a major cause of neonatal morbidity and mortality, affecting approximately 1% of all live births and 10% of all preterm infants. Lamellar bodies represent a storage f...Background: Respiratory distress syndrome (RDS) is a major cause of neonatal morbidity and mortality, affecting approximately 1% of all live births and 10% of all preterm infants. Lamellar bodies represent a storage form of pulmonary surfactant within Type II pneumocytes, secretion of which increases with advancing gestational age, thus enabling prediction of the degree of FLM. Preterm premature rupture of membranes (PPROM) complicates approximately 1/3 of all preterm births. Birth within 1 week is the most likely outcome for any patient with PPROM in the absence of adjunctive treatments. Respiratory distress has been reported to be the most common complication of preterm birth. Sepsis, intraventricular haemorrhage, and necrotizing enterocolitis also are associated with prematurity, but these are less common near to term. Objective: To assess the efficacy of the amniotic fluid lamellar body counting from a vaginal pool in predicting fetal lung maturity in women with preterm premature rupture of membranes. Methods: This study was conducted at Ain Shams University Maternity Hospital in the emergency ward from January 2019 to September 2019. It included 106 women with singleton pregnancies, gestational age from 28 - 36 weeks with preterm premature rupture of membranes. This study is designed to assess the efficacy of the amniotic fluid lamellar body counting (LBC) from a vaginal pool in predicting fetal lung maturity in women with preterm premature rupture of membranes. Results: The current study revealed a highly significant increase in the lamellar body count in cases giving birth to neonates without RDS compared to that cases giving birth to neonates with RDS. Also, no statistically significant difference between LBC and age, parity and number of previous miscarriages in the mother was found. Gestational age at delivery was significantly lower among cases with respiratory distress. Steroid administration was significantly less frequent among cases with respiratory distress. However, lamellar bodies had high diagnostic performance in the prediction of respiratory distress. Conclusion: Lamellar body count (LBC) is an effective, safe, easy, and cost-effective method to assess fetal lung maturity (FLM). It does not need a highly equipped laboratory or specially trained personnel, it just needs the conventional blood count analyzer. Measurement of LBC is now replacing the conventional Lecithin/Sphyngomyelin L/S ratio. LBC cut-off value of ≤42.5 × 10<sup>3</sup>/μL can be used safely to decide fetal lung maturity with sensitivity of 95.7% and specificity of 97.6%.展开更多
In order to provide ultraviolet barrier, antifungal and antibacterial properties, nano-zinc oxide (ZnO) was added to lamellar zirconium phosphate (ZrP). The phosphate was synthesized via reaction of zirconium oxychlor...In order to provide ultraviolet barrier, antifungal and antibacterial properties, nano-zinc oxide (ZnO) was added to lamellar zirconium phosphate (ZrP). The phosphate was synthesized via reaction of zirconium oxychloride octahydrate and phosphoric acid following its chemical modification with Jeffamine and nano-ZnO. Diffractometric, morphological, thermal, structural and relaxometric evaluations were conducted. Fourier transform infrared spectroscopy (FTIR) revealed increase of the area between 4000 - 3000 cm<sup>-1</sup> due to the formation of ionic specie PO? <sup>+</sup>NH<sub>3</sub>-[C-(H)(CH<sub>3</sub>)-CH<sub>2</sub>-O-(C-(H)(CH<sub>3</sub>)-CH<sub>2</sub>-O)<sub>8</sub>-(CH<sub>2</sub>-CH<sub>2</sub>-O-CH<sub>3</sub>)] and nano-ZnO particles. Wide-angle X-ray diffraction indicated that intercalation of Jeffamine was successful. Thermogravimetry confirmed that nano-ZnO particle forced the expulsion of Jeffamine outside ZrP galleries. Scanning electron microscopy evidenced the Jeffamine intercalation and sample heterogeneity. Hydrogen molecular relaxation indicated the increase of molecular rigidity owing to the formation of ionic specie and the addition of nano-ZnO particles. It was postulated that a multifunctional and miscellaneous material constituted by as prepared ZrP, some delaminated ZrP platelets and nano-ZnO particles was achieved. The material has potential for usage as filler in polymeric composites.展开更多
Deep anterior lamellar keratoplasty(DALK) has recently been introduced as an alternative procedure to penetrating keratoplasty(PK) for corneal pathologies not affecting the corneal endothelium. DALK does not rely on d...Deep anterior lamellar keratoplasty(DALK) has recently been introduced as an alternative procedure to penetrating keratoplasty(PK) for corneal pathologies not affecting the corneal endothelium. DALK does not rely on donor endothelium and requires less rigid criteria for donor corneal tissue quality. Therefore, DALK makes it possible to use donor corneas deemed unsuitable for PK. Furthermore, lamellar keratoplasty allows acellular corneal tissue to be transplanted. As a result, long-term preservation techniques are being revisited to increase the availability of donor corneas and subsequently alleviate constraints of availability, cost, storage, and transportation in many countries. The recent alterations in corneal transplantation techniques and hence the type of donor cornea tissues used for each technique, may require corneal surgeons and eye banks to reevaluate their selection criteria. The purpose of this systematic review is to present an updated analysis on the type and quality of donor corneas used for PK and DALK, assess the influence of donor and eye bank factors on the quality of donor corneas, and determine whether any of these donor factors affect clinical outcomes, complications, and graft survivals.展开更多
TiAl-based alloys are potentially used as high-temperature structural materials with a high specific strength in the range of^900°C.However,the mechanical properties of TiAl-based alloys are extremely anisotropic...TiAl-based alloys are potentially used as high-temperature structural materials with a high specific strength in the range of^900°C.However,the mechanical properties of TiAl-based alloys are extremely anisotropic with respect to the lamellar orientation of the microstructures.A balance combination of room-temperature ductility and strength can be achieved when the lamellar orientation are aligned parallel to the tensile stress direction.Lamellar orientation control of TiAl-based alloys by directional solidification technique has been widely studied in recent years.Two different directional solidification processes can be used to modify the lamellar orientation.One is a seeding technique and the other is adjusting the solidification path.This paper reviews the principles of the two methods and their progress.The influence of alloy composition and solidification parameters on lamellar orientation control is also discussed.展开更多
The microstructural stability of lamellar TiAl base alloys at high temperatures was studied by conventional and high resolution transmission electron microscopy. The influence of substructures on the thermal stability...The microstructural stability of lamellar TiAl base alloys at high temperatures was studied by conventional and high resolution transmission electron microscopy. The influence of substructures on the thermal stability of lamellar structure was emphasized. These substructures produced by thermal mechanical treatments include the interfacial dislocations and ledges, the subgrain boundaries, the impinged T(Q) twins and misorientated lamellar interfaces. The microstructural change of three kinds of lamellar TiAl base alloys containing differents type and densities of substructures were compared during exposure at 800～1 000 ℃. It was found that the existence of such substructures could accelerate the degeneration of lamellar structure, leading to the rapid necking and break up of α 2 plates, the coarsening of γ plates, and the formation of new γ grains. As a result, the lamellar structure with substructures started to degenerate after thermal exposure at 800℃ for 4.5 h. While only slight coarsening was observed at the colony boundaries in the lamellar structure without substructures even after exposure at 900 ℃ for 7 d.展开更多
·AIM: To describe the initial outcomes and safety of femtosecond laser-assisted deep anterior lamellar keratoplasty(DALK) for keratoconus and post-LASIK keratectasia.·METHODS: In this non-comparative case se...·AIM: To describe the initial outcomes and safety of femtosecond laser-assisted deep anterior lamellar keratoplasty(DALK) for keratoconus and post-LASIK keratectasia.·METHODS: In this non-comparative case series, 10 eyes of 9 patients underwent DALK procedures with a femtosecond laser(Carl Zeiss Meditec AG, Jena,Germany). Of the 9 patients, 7 had keratoconus and 2had post-LASIK keratectasia. A 500 kHz VisuMax femtosecond laser was used to perform corneal cuts on both donor and recipient corneas. The outcome measures were the uncorrected visual acuity(UCVA),best-corrected visual acuity(BCVA), corneal thickness,astigmatism, endothelial density count(EDC), and corneal power.·RESULTS: All eyes were successfully treated. Early postoperative evaluation showed a clear graft in all cases. Intraoperative complications included one case of a small Descemet's membrane perforation.Postoperatively, there was one case of stromal rejection,one of loosened sutures, and one of wound dehiscence.A normal corneal pattern topography and transparency were restored, UCVA and BCVA improved significantly,and astigmatism improved slightly. There was no statistically significant decrease in EDC.· CONCLUSION: Our early results indicate that femtosecond laser-assisted deep anterior lamellar keratoplasty could improve UCVA and BCVA in patients with anterior corneal pathology. This approach shows promise as a safe and effective surgical choice in the treatment of keratoconus and post-LASIK keratectasia.展开更多
The fracture behavior of fully lamellar binaryγ-TiAl alloys is extremely anisotropic with respect to the lamellar orientation.For the fully lamellar Ti-46Al-0.5W-0.5Si alloy,the existence of silicide clusters plays a...The fracture behavior of fully lamellar binaryγ-TiAl alloys is extremely anisotropic with respect to the lamellar orientation.For the fully lamellar Ti-46Al-0.5W-0.5Si alloy,the existence of silicide clusters plays a critical role on the fracture behavior.In the present study,tensile test and three point bending test were performed at room temperature with the loading axis parallel and perpendicular to the lamellar orientation,respectively.To investigate the influence of silicide clusters on the initiation and propagation of cracks,the fracture surface and the cracks adjacent to the fracture zone of the specimens have been analyzed.Results show that the fracture process is related to the morphology and distribution of the silicide clusters.Crack preferentially initiates at and propagates along the interface of silicide andα 2 /γlamellar with the loading axis perpendicular to the length direction of silicide.While the silicide can prevent the propagation of cracks from running across with the crack growth direction perpendicular to the length direction of silicide.展开更多
AIM:To compare visual,surgical and topographic outcomes of deep anterior lamellar keratoplasty(DALK)and penetrating keratoplasty(PK)for keratoconus(KC).METHODS:In this multicenter,prospective,randomized clinical trial...AIM:To compare visual,surgical and topographic outcomes of deep anterior lamellar keratoplasty(DALK)and penetrating keratoplasty(PK)for keratoconus(KC).METHODS:In this multicenter,prospective,randomized clinical trial 76 eyes of 71 KC patients operated between January 2011 and July 2014 in 2 tertiary referral hospitals were included. Consecutive patients were alternately selected to receive one of the two surgical methods. Thirty eight eyes underwent DALK with the big-bubble technique and 38 eyes underwent PK.RESULTS:Mean best spectacle corrected visual acuity(BSCVA)at the first postoperative week(P=0.012)and the first postoperative month(P<0.001)was statistically significantly higher in DALK group. The mean BSCVA at12 mo was not significantly different for DALK(0.30±1.99 log MAR)versus PK(0.40±0.33 log MAR)(P=0.104). The76.3% of the eyes had a BSCVA over 0.5 in DALK and 47.4%in PK group(P=0.009). The 7.9% of the eyes had a BSCVA of 1.0 in DALK and 5.3% in PK group(P=0.644). Mean spherical equivalent was-2.94 D in DALK and-3.09 D in PK group.Mean topographic astigmatism was 4.62 D and 4.18 D respectively. Regular topographic patterns were observed in 31(81.6%)of DALK and 29(76.3%)of PK(P=0.574). The most frequent topographic pattern was oblate asymmetric bow tie,seen in 39.5% in DALK and 23.7% in PK. CONCLUSION:Big bubble DALK provides an earlier visual improvement compare to PK. However,visual and topographic outcomes are similar to those in PK at 1y. Postoperative complications including rejection and intraocular pressure elevation are more frequent in PK. DALK is a safer alternative to PK for KC. However,intraoperativeperforation of the Descemet's membrane is a significant complication.展开更多
The fracture behavior of fully lamellar γ-TiAl alloys depends on the angle between the lamellar orientation and loading axis,but the role of the presentation of grain boundary cannot be ignored.To investigate the inf...The fracture behavior of fully lamellar γ-TiAl alloys depends on the angle between the lamellar orientation and loading axis,but the role of the presentation of grain boundary cannot be ignored.To investigate the influence of the grain boundary on the initiation and propagation of cracks,the tensile test of the alloy was conducted at room temperature with loading axis parallel and perpendicular to the lamellar orientation,respectively.The cracks adjacent to the fracture zone of the tensile specimens have been investigated to analyze the fracture behavior.Results show that the grain boundary has dual influences on the fracture behavior.When the loading axis is parallel to the lamellar orientation,cracks are preferentially initiated at and propagate along the grain boundaries.When the loading axis is perpendicular to the lamellar orientation,the grain boundaries can prevent the propagation of cracks from running across.Additionally,serrated-shape grain boundaries have a better inhibiting effect on the propagation of cracks than planar boundaries.展开更多
Dear Editor,I read with great interest the article by Gawdat et al^([1]).The authors evaluated the functional and aesthetic outcomes of upper eyelid cicatricial entropion correction using anterior lamellar recession(A...Dear Editor,I read with great interest the article by Gawdat et al^([1]).The authors evaluated the functional and aesthetic outcomes of upper eyelid cicatricial entropion correction using anterior lamellar recession(ALR)combined with procedures addressing the associated conditions including dermatochalasis。展开更多
Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells d...Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells deficiency after treatment with ring-shaped lamellar keratoplasty secondary to Terrien marginal degeneration. During 3展开更多
AIM:To study the tear film stability after lamellar keratoplasty.· METHODS:Five female and eight male patients with lamellar keratoconus,aged from 18 to 32,were involved.After lamellar keratoplasty,SchirmerⅠtes...AIM:To study the tear film stability after lamellar keratoplasty.· METHODS:Five female and eight male patients with lamellar keratoconus,aged from 18 to 32,were involved.After lamellar keratoplasty,SchirmerⅠtest(SⅠt),tear break-up time(BUT) test,fluorescein staining test were used to judge the effect of the surgery at different time point.· RESULTS:The SⅠt were greatly increased in 7 days post operation (11.86±2.28-25.14±1.97,19.86±1.61) (P <0.05),there is no significant difference between 2nd month,3rd month post-operative and pre-operation(11.86±2.28-14.57±1.48,8.14±0.86) (P >0.05).The mean break-up time decreased in 7 days post operation (5.00±1.31-2.71±0.18,2.57±0.20,2.71±0.36,2.43±0.20)(P <0.05).The mean scores of fluorescence increased post-operatively (0.14±0.14-8.00±0.00,8.00±0.00,8.00±0.00,7.57±0.20) (P <0.01).· CONCLUSION:Lamellar keratoplaty influence the tear film stability,artificial tears and improving corneal epithelium cured medicine should be used after surgery.展开更多
Creep experiments have been conducted on five powder metallurgy TiAl alloys with fine grains (65～80 μm), fine lamellar spacings (0.1～0.16 μm), and different compositions [Ti 47Al(+Cr, Nb, Ta, W, Si)] at temperatur...Creep experiments have been conducted on five powder metallurgy TiAl alloys with fine grains (65～80 μm), fine lamellar spacings (0.1～0.16 μm), and different compositions [Ti 47Al(+Cr, Nb, Ta, W, Si)] at temperatures of 760 ℃ and 815 ℃ and stresses from 35 to 723 MPa. Results show that at a given lamellar spacing 1% Nb(mole fraction) with 1% Ta and replacing 0.2% Ta with 0.2% W induced little effect, but addition of 0.3% Si decreased the creep resistance by a factor of 3～4 under otherwise identical conditions. These different effects of different alloying elements are interpreted in terms of the interaction of alloy segregants with misfit and/or misorientaion dislocations at the lamellar interface. That is, the interaction retards or facilitates the climb of interfacial dislocations, which is rate controlling during creep, depending on the size of the segregants relative to the host atoms.展开更多
AIM:To compare the functional and anatomic results of femtosecond laser(FSL)-assisted deep anterior lamellar keratoplasty(DALK) associated with phototherapeutic keratectomy(PTK) and FSL-assisted DALK performed using t...AIM:To compare the functional and anatomic results of femtosecond laser(FSL)-assisted deep anterior lamellar keratoplasty(DALK) associated with phototherapeutic keratectomy(PTK) and FSL-assisted DALK performed using the big-bubble technique in keratoconus.METHODS:During the first phase of the study,an electron microscopy histopathology pilot study was conducted that included four unsuitable donor corneas divided into two groups:in FSL group,FSL lamellar cuts were performed on two corneas and in FSL+PTK group,PTK was performed at the stromal beds of two corneas after FSL lamellar cuts were made.During the second phase of the study,a randomized clinical trial was conducted that included two treatment groups of patients with keratoconus:group 1(n=14 eyes) underwent FSL-assisted DALK associated with PTK and group 2(n=12 eyes) underwent FSL-assisted DALK associated with the bigbubble technique.The main outcome measures were the postoperative visual acuity(VA) and optical coherence tomography(OCT) measurements,confocal microscopic findings,and contrast sensitivity.RESULTS:In the pilot study,histopathology showed a more regular stromal bed in the FSL+PTK group.In the clinical trial,group 1 had significantly worse best spectaclecorrected VA and contrast sensitivity(P<0.05 for both comparisons).The residual stromal bed measured by OCT was significantly(P<0.05) thicker in group 1.Confocal microscopy detected opacities only at the donor-receptor interface in group 1.CONCLUSION:Patients with keratoconus treated with FSL-assisted DALK performed using the big-bubble technique fare better than treated with FSL-assisted DALK associated with PTK.展开更多
AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalasis,br...AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS:Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS:Sixty eight patients(97 eyelids) were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo(range,6.0-24.0 mo).Concomitantly,levator tucking was performed in 19 eyelids(19.6%),upper lid retractor recession in 18 eyelids(18.6%),and internal browpexy in 31 eyelids(32.0%).In 95.8% of patients(95%CI:0.85-0.96),satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION:Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.展开更多
AIM: To compare long-term postoperative outcomes of manual and femtosecond assisted corneal trephination in deep anterior lamellar keratoplasty(FS-DALK) for keratoconus.METHODS: In the retrospective study, 17 consecut...AIM: To compare long-term postoperative outcomes of manual and femtosecond assisted corneal trephination in deep anterior lamellar keratoplasty(FS-DALK) for keratoconus.METHODS: In the retrospective study, 17 consecutive eyes that underwent vertical side cut incision FS-DALK and 22 eyes that underwent trephine incision DALK were collected over a 2-year period. Main measurements included postoperative uncorrected-visual acuity(UCVA), corrected distance visual acuity(CDVA), refractive sphere and cylinder, manifest refraction spherical equivalent(MRSE), flat and steep corneal keratometry(K1 and K2), endothelial cell density(ECD), and time of epithelium healing and suture removal.RESULTS: Groups were comparable for diagnosis and preoperative visual acuity. Follow-up averaged 23 mo(range, 12-36 mo). At 12 mo, the mean UCVA was better in the manual-DALK group(P=0.039), and the refractive sphere was lower in the FS-DALK group(P=0.040). MRSE between groups differed at 1, 6, and 12 mo postoperatively(P=0.047, 0.025, 0.042, respectively). Mean CDVA, cylinder, K1, K2,corneal astigmatism, ECD, and time of epithelium healing were similar between groups. Stability of MRSE, ECD, and K1 returned sooner after FS-DALK. Initial loosened suture removal time was earlier in the manual-DALK group(P=0.042) while complete suture removal time was similar(P=0.122).CONCLUSION: Manual and femtosecond assisted corneal trephination in DALK are options for advanced keratoconus. FS-DALK do not result in improved visual acuity but it is more stable during the follow-up period. FSDALK in the present form show limited benefit, so surgical design and parameters still need to be optimized and explored.展开更多
· AIM: To compare the corneal endothelial cell density (ECD) of clear grafts after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK). · METHODS: The study included 44 and 54 patien...· AIM: To compare the corneal endothelial cell density (ECD) of clear grafts after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK). · METHODS: The study included 44 and 54 patients treated with PK and DALK, respectively, between March 2006 and April 2010. Corneal ECD was examined using specular microscopy at postoperative 1, 3, 6, 12, and 18 months, and the values were compared. · RESULTS: Corneal ECD reduction in the PK group was 7.4%, 15.2%, 23.5%, and 28.9% at 3, 6, 12 and 18 months respectively after surgery, compared with 4.2 % in the first month (P <0.01). These figures were 3.0%, 6.7%, 7.2%, and 7.7% at 3, 6, 12 and 18 months respectively, compared with 2.2 % in the first month in the DALK group (P >0.05). · CONCLUSION: Compared with DALK,PK significantly reduced ECD of the clear grafts. These results suggest that survival of endothelial cells in grafts is better after DALK than after PK. ·展开更多
基金support from the National Natural Science Foundation of China(Grant Nos.12372327,12372109,11972171)National Key R&D Program of China(Grant No.2023YFB4605101).
文摘The nanoscale confinement is of great important for the industrial applications of molecular sieve,desalination,and also essential in bio-logical transport systems.Massive efforts have been devoted to the influence of restricted spaces on the properties of confined fluids.However,the situation of channel-wall is crucial but attracts less attention and remains unknown.To fundamentally understand the mechanism of channel-walls in nanoconfinement,we investigated the interaction between the counter-force of the liquid and interlamellar spacing of nanochannel walls by considering the effect of both spatial confinement and surface wettability.The results reveal that the nanochannel stables at only a few discrete spacing states when its confinement is within 1.4 nm.The quantized interlayer spacing is attributed to water molecules becoming laminated structures,and the stable states are corresponding to the monolayer,bilayer and trilayer water configurations,respectively.The results can potentially help to understand the characterized interlayers spacing of graphene oxide membrane in water.Our findings are hold great promise in design of ion filtration membrane and artificial water/ion channels.
基金Supported by the National Natural Science Foundation of China(No.82171025No.82070934)+2 种基金the Fundamental Research Funds for the Central Universities(No.HUST:2019kfy XMBZ065)the Key Research and Development Program of Hubei Province(No.2021BCA146)the Clinical Research Foundation of Wuhan Union Hospital(No.2021xhlcyj03)。
文摘AIM:To investigate whether the two-step strategy[conjunctival flap covering surgery(CFCS)combined with secondary deep anterior lamellar keratoplasty(DALK)]is effective for patients with high-risk fungal keratitis(FK).METHODS:In this noncomparative,retrospective case series,10 subjects(6 males,4 females)with a mean age of 56.5±7.1(range 47-72)y with high-risk FK undergone the two-step strategy were included.Reported outcome measures were healing of the corneal ulcer,recurrence of FK,reject reaction,improvement in best corrected visual acuity(BCVA)and relevant complications.RESULTS:The average diameter of corneal infiltrates was 7.50±0.39 mm,ranging from 6.94 to 8.13 mm.The mean depth of corneal infiltrates was 422.4±77.1μm,ranging from 350 to 535μm.The mean corneal thickness was 597.4±117.3μm,ranging from 458 to 851μm.Hypopyon and endothelial plaques were presented in all patients.The period between the two steps was 3.65±0.9(ranging from 3 to 5)mo.The graft diameter was 7.75±0.39 mm.At the last follow-up(average 9.25±3.39,ranging from 5.5 to 17mo),no fungal recurrence or graft rejection appeared,and all patients showed improvement of BCVA.One patient suffered from liver function impairment due to oral voriconazole for 4wk and recovered spontaneously after 1wk of drug withdrawal.CONCLUSION:The two-step strategy is safe and effective in the treatment of high-risk FK by transforming intentional therapeutic penetrating keratoplasty during acute infection to later optical DALK.It is a practical strategy,especially in areas lacking fresh donor corneas and eye bank services.
文摘Background: Respiratory distress syndrome (RDS) is a major cause of neonatal morbidity and mortality, affecting approximately 1% of all live births and 10% of all preterm infants. Lamellar bodies represent a storage form of pulmonary surfactant within Type II pneumocytes, secretion of which increases with advancing gestational age, thus enabling prediction of the degree of FLM. Preterm premature rupture of membranes (PPROM) complicates approximately 1/3 of all preterm births. Birth within 1 week is the most likely outcome for any patient with PPROM in the absence of adjunctive treatments. Respiratory distress has been reported to be the most common complication of preterm birth. Sepsis, intraventricular haemorrhage, and necrotizing enterocolitis also are associated with prematurity, but these are less common near to term. Objective: To assess the efficacy of the amniotic fluid lamellar body counting from a vaginal pool in predicting fetal lung maturity in women with preterm premature rupture of membranes. Methods: This study was conducted at Ain Shams University Maternity Hospital in the emergency ward from January 2019 to September 2019. It included 106 women with singleton pregnancies, gestational age from 28 - 36 weeks with preterm premature rupture of membranes. This study is designed to assess the efficacy of the amniotic fluid lamellar body counting (LBC) from a vaginal pool in predicting fetal lung maturity in women with preterm premature rupture of membranes. Results: The current study revealed a highly significant increase in the lamellar body count in cases giving birth to neonates without RDS compared to that cases giving birth to neonates with RDS. Also, no statistically significant difference between LBC and age, parity and number of previous miscarriages in the mother was found. Gestational age at delivery was significantly lower among cases with respiratory distress. Steroid administration was significantly less frequent among cases with respiratory distress. However, lamellar bodies had high diagnostic performance in the prediction of respiratory distress. Conclusion: Lamellar body count (LBC) is an effective, safe, easy, and cost-effective method to assess fetal lung maturity (FLM). It does not need a highly equipped laboratory or specially trained personnel, it just needs the conventional blood count analyzer. Measurement of LBC is now replacing the conventional Lecithin/Sphyngomyelin L/S ratio. LBC cut-off value of ≤42.5 × 10<sup>3</sup>/μL can be used safely to decide fetal lung maturity with sensitivity of 95.7% and specificity of 97.6%.
文摘In order to provide ultraviolet barrier, antifungal and antibacterial properties, nano-zinc oxide (ZnO) was added to lamellar zirconium phosphate (ZrP). The phosphate was synthesized via reaction of zirconium oxychloride octahydrate and phosphoric acid following its chemical modification with Jeffamine and nano-ZnO. Diffractometric, morphological, thermal, structural and relaxometric evaluations were conducted. Fourier transform infrared spectroscopy (FTIR) revealed increase of the area between 4000 - 3000 cm<sup>-1</sup> due to the formation of ionic specie PO? <sup>+</sup>NH<sub>3</sub>-[C-(H)(CH<sub>3</sub>)-CH<sub>2</sub>-O-(C-(H)(CH<sub>3</sub>)-CH<sub>2</sub>-O)<sub>8</sub>-(CH<sub>2</sub>-CH<sub>2</sub>-O-CH<sub>3</sub>)] and nano-ZnO particles. Wide-angle X-ray diffraction indicated that intercalation of Jeffamine was successful. Thermogravimetry confirmed that nano-ZnO particle forced the expulsion of Jeffamine outside ZrP galleries. Scanning electron microscopy evidenced the Jeffamine intercalation and sample heterogeneity. Hydrogen molecular relaxation indicated the increase of molecular rigidity owing to the formation of ionic specie and the addition of nano-ZnO particles. It was postulated that a multifunctional and miscellaneous material constituted by as prepared ZrP, some delaminated ZrP platelets and nano-ZnO particles was achieved. The material has potential for usage as filler in polymeric composites.
基金Supported by The Ophthalmic Research Center,Shahid Beheshti University of Medical Sciences,Tehran,Iran
文摘Deep anterior lamellar keratoplasty(DALK) has recently been introduced as an alternative procedure to penetrating keratoplasty(PK) for corneal pathologies not affecting the corneal endothelium. DALK does not rely on donor endothelium and requires less rigid criteria for donor corneal tissue quality. Therefore, DALK makes it possible to use donor corneas deemed unsuitable for PK. Furthermore, lamellar keratoplasty allows acellular corneal tissue to be transplanted. As a result, long-term preservation techniques are being revisited to increase the availability of donor corneas and subsequently alleviate constraints of availability, cost, storage, and transportation in many countries. The recent alterations in corneal transplantation techniques and hence the type of donor cornea tissues used for each technique, may require corneal surgeons and eye banks to reevaluate their selection criteria. The purpose of this systematic review is to present an updated analysis on the type and quality of donor corneas used for PK and DALK, assess the influence of donor and eye bank factors on the quality of donor corneas, and determine whether any of these donor factors affect clinical outcomes, complications, and graft survivals.
基金supported by the 973 project(2011CB610406,2011CB605504)NSFC project(51331005)Heilongjiang project(JC201209)
文摘TiAl-based alloys are potentially used as high-temperature structural materials with a high specific strength in the range of^900°C.However,the mechanical properties of TiAl-based alloys are extremely anisotropic with respect to the lamellar orientation of the microstructures.A balance combination of room-temperature ductility and strength can be achieved when the lamellar orientation are aligned parallel to the tensile stress direction.Lamellar orientation control of TiAl-based alloys by directional solidification technique has been widely studied in recent years.Two different directional solidification processes can be used to modify the lamellar orientation.One is a seeding technique and the other is adjusting the solidification path.This paper reviews the principles of the two methods and their progress.The influence of alloy composition and solidification parameters on lamellar orientation control is also discussed.
文摘The microstructural stability of lamellar TiAl base alloys at high temperatures was studied by conventional and high resolution transmission electron microscopy. The influence of substructures on the thermal stability of lamellar structure was emphasized. These substructures produced by thermal mechanical treatments include the interfacial dislocations and ledges, the subgrain boundaries, the impinged T(Q) twins and misorientated lamellar interfaces. The microstructural change of three kinds of lamellar TiAl base alloys containing differents type and densities of substructures were compared during exposure at 800～1 000 ℃. It was found that the existence of such substructures could accelerate the degeneration of lamellar structure, leading to the rapid necking and break up of α 2 plates, the coarsening of γ plates, and the formation of new γ grains. As a result, the lamellar structure with substructures started to degenerate after thermal exposure at 800℃ for 4.5 h. While only slight coarsening was observed at the colony boundaries in the lamellar structure without substructures even after exposure at 900 ℃ for 7 d.
基金National Natural Science Foundation of China (No. 81270979)Natural Science Foundation of Jiangsu Province, China (No.BK2012777)
文摘·AIM: To describe the initial outcomes and safety of femtosecond laser-assisted deep anterior lamellar keratoplasty(DALK) for keratoconus and post-LASIK keratectasia.·METHODS: In this non-comparative case series, 10 eyes of 9 patients underwent DALK procedures with a femtosecond laser(Carl Zeiss Meditec AG, Jena,Germany). Of the 9 patients, 7 had keratoconus and 2had post-LASIK keratectasia. A 500 kHz VisuMax femtosecond laser was used to perform corneal cuts on both donor and recipient corneas. The outcome measures were the uncorrected visual acuity(UCVA),best-corrected visual acuity(BCVA), corneal thickness,astigmatism, endothelial density count(EDC), and corneal power.·RESULTS: All eyes were successfully treated. Early postoperative evaluation showed a clear graft in all cases. Intraoperative complications included one case of a small Descemet's membrane perforation.Postoperatively, there was one case of stromal rejection,one of loosened sutures, and one of wound dehiscence.A normal corneal pattern topography and transparency were restored, UCVA and BCVA improved significantly,and astigmatism improved slightly. There was no statistically significant decrease in EDC.· CONCLUSION: Our early results indicate that femtosecond laser-assisted deep anterior lamellar keratoplasty could improve UCVA and BCVA in patients with anterior corneal pathology. This approach shows promise as a safe and effective surgical choice in the treatment of keratoconus and post-LASIK keratectasia.
基金supported by National Natural Science Foundation of China(Grant Nos.50975060,50901025)the National Basic Research Program of China(Grant No.2011CB610406)+2 种基金the China Postdoctoral Science Foundation(Grant Nos.201104420,20090450840)the Fundamental Research Funds for the Central Universities(Grant No.HIT.BRET1.2010008)Scientific and Technological Project in Heilongjiang Province(Grant No.GZ09A206)
文摘The fracture behavior of fully lamellar binaryγ-TiAl alloys is extremely anisotropic with respect to the lamellar orientation.For the fully lamellar Ti-46Al-0.5W-0.5Si alloy,the existence of silicide clusters plays a critical role on the fracture behavior.In the present study,tensile test and three point bending test were performed at room temperature with the loading axis parallel and perpendicular to the lamellar orientation,respectively.To investigate the influence of silicide clusters on the initiation and propagation of cracks,the fracture surface and the cracks adjacent to the fracture zone of the specimens have been analyzed.Results show that the fracture process is related to the morphology and distribution of the silicide clusters.Crack preferentially initiates at and propagates along the interface of silicide andα 2 /γlamellar with the loading axis perpendicular to the length direction of silicide.While the silicide can prevent the propagation of cracks from running across with the crack growth direction perpendicular to the length direction of silicide.
文摘AIM:To compare visual,surgical and topographic outcomes of deep anterior lamellar keratoplasty(DALK)and penetrating keratoplasty(PK)for keratoconus(KC).METHODS:In this multicenter,prospective,randomized clinical trial 76 eyes of 71 KC patients operated between January 2011 and July 2014 in 2 tertiary referral hospitals were included. Consecutive patients were alternately selected to receive one of the two surgical methods. Thirty eight eyes underwent DALK with the big-bubble technique and 38 eyes underwent PK.RESULTS:Mean best spectacle corrected visual acuity(BSCVA)at the first postoperative week(P=0.012)and the first postoperative month(P<0.001)was statistically significantly higher in DALK group. The mean BSCVA at12 mo was not significantly different for DALK(0.30±1.99 log MAR)versus PK(0.40±0.33 log MAR)(P=0.104). The76.3% of the eyes had a BSCVA over 0.5 in DALK and 47.4%in PK group(P=0.009). The 7.9% of the eyes had a BSCVA of 1.0 in DALK and 5.3% in PK group(P=0.644). Mean spherical equivalent was-2.94 D in DALK and-3.09 D in PK group.Mean topographic astigmatism was 4.62 D and 4.18 D respectively. Regular topographic patterns were observed in 31(81.6%)of DALK and 29(76.3%)of PK(P=0.574). The most frequent topographic pattern was oblate asymmetric bow tie,seen in 39.5% in DALK and 23.7% in PK. CONCLUSION:Big bubble DALK provides an earlier visual improvement compare to PK. However,visual and topographic outcomes are similar to those in PK at 1y. Postoperative complications including rejection and intraocular pressure elevation are more frequent in PK. DALK is a safer alternative to PK for KC. However,intraoperativeperforation of the Descemet's membrane is a significant complication.
基金financially supported by the National Natural Science Foundation of China (50975060,50901025)the National Basic Research Program of China (2011CB610406)+2 种基金the China Postdoctoral Science Foundation (201104420,20090450840)the Fundamental Research Funds for the Central Universities (HIT.BRET1.2010008)the Scientific and Technological Project in Heilongjiang Province (GZ09A206)
文摘The fracture behavior of fully lamellar γ-TiAl alloys depends on the angle between the lamellar orientation and loading axis,but the role of the presentation of grain boundary cannot be ignored.To investigate the influence of the grain boundary on the initiation and propagation of cracks,the tensile test of the alloy was conducted at room temperature with loading axis parallel and perpendicular to the lamellar orientation,respectively.The cracks adjacent to the fracture zone of the tensile specimens have been investigated to analyze the fracture behavior.Results show that the grain boundary has dual influences on the fracture behavior.When the loading axis is parallel to the lamellar orientation,cracks are preferentially initiated at and propagate along the grain boundaries.When the loading axis is perpendicular to the lamellar orientation,the grain boundaries can prevent the propagation of cracks from running across.Additionally,serrated-shape grain boundaries have a better inhibiting effect on the propagation of cracks than planar boundaries.
文摘Dear Editor,I read with great interest the article by Gawdat et al^([1]).The authors evaluated the functional and aesthetic outcomes of upper eyelid cicatricial entropion correction using anterior lamellar recession(ALR)combined with procedures addressing the associated conditions including dermatochalasis。
基金National Natural Science Foundation of China (No. 30973247)Shanghai Excellent University Teacher Foundation, China (No. 1500144019)
文摘Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells deficiency after treatment with ring-shaped lamellar keratoplasty secondary to Terrien marginal degeneration. During 3
基金Supported by National Natural Science Foundation of China (No.81000385)Youth Research Project of Health Department of Fujian Province,China (No.2010-2-119)
文摘AIM:To study the tear film stability after lamellar keratoplasty.· METHODS:Five female and eight male patients with lamellar keratoconus,aged from 18 to 32,were involved.After lamellar keratoplasty,SchirmerⅠtest(SⅠt),tear break-up time(BUT) test,fluorescein staining test were used to judge the effect of the surgery at different time point.· RESULTS:The SⅠt were greatly increased in 7 days post operation (11.86±2.28-25.14±1.97,19.86±1.61) (P <0.05),there is no significant difference between 2nd month,3rd month post-operative and pre-operation(11.86±2.28-14.57±1.48,8.14±0.86) (P >0.05).The mean break-up time decreased in 7 days post operation (5.00±1.31-2.71±0.18,2.57±0.20,2.71±0.36,2.43±0.20)(P <0.05).The mean scores of fluorescence increased post-operatively (0.14±0.14-8.00±0.00,8.00±0.00,8.00±0.00,7.57±0.20) (P <0.01).· CONCLUSION:Lamellar keratoplaty influence the tear film stability,artificial tears and improving corneal epithelium cured medicine should be used after surgery.
文摘Creep experiments have been conducted on five powder metallurgy TiAl alloys with fine grains (65～80 μm), fine lamellar spacings (0.1～0.16 μm), and different compositions [Ti 47Al(+Cr, Nb, Ta, W, Si)] at temperatures of 760 ℃ and 815 ℃ and stresses from 35 to 723 MPa. Results show that at a given lamellar spacing 1% Nb(mole fraction) with 1% Ta and replacing 0.2% Ta with 0.2% W induced little effect, but addition of 0.3% Si decreased the creep resistance by a factor of 3～4 under otherwise identical conditions. These different effects of different alloying elements are interpreted in terms of the interaction of alloy segregants with misfit and/or misorientaion dislocations at the lamellar interface. That is, the interaction retards or facilitates the climb of interfacial dislocations, which is rate controlling during creep, depending on the size of the segregants relative to the host atoms.
文摘AIM:To compare the functional and anatomic results of femtosecond laser(FSL)-assisted deep anterior lamellar keratoplasty(DALK) associated with phototherapeutic keratectomy(PTK) and FSL-assisted DALK performed using the big-bubble technique in keratoconus.METHODS:During the first phase of the study,an electron microscopy histopathology pilot study was conducted that included four unsuitable donor corneas divided into two groups:in FSL group,FSL lamellar cuts were performed on two corneas and in FSL+PTK group,PTK was performed at the stromal beds of two corneas after FSL lamellar cuts were made.During the second phase of the study,a randomized clinical trial was conducted that included two treatment groups of patients with keratoconus:group 1(n=14 eyes) underwent FSL-assisted DALK associated with PTK and group 2(n=12 eyes) underwent FSL-assisted DALK associated with the bigbubble technique.The main outcome measures were the postoperative visual acuity(VA) and optical coherence tomography(OCT) measurements,confocal microscopic findings,and contrast sensitivity.RESULTS:In the pilot study,histopathology showed a more regular stromal bed in the FSL+PTK group.In the clinical trial,group 1 had significantly worse best spectaclecorrected VA and contrast sensitivity(P<0.05 for both comparisons).The residual stromal bed measured by OCT was significantly(P<0.05) thicker in group 1.Confocal microscopy detected opacities only at the donor-receptor interface in group 1.CONCLUSION:Patients with keratoconus treated with FSL-assisted DALK performed using the big-bubble technique fare better than treated with FSL-assisted DALK associated with PTK.
文摘AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS:Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS:Sixty eight patients(97 eyelids) were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo(range,6.0-24.0 mo).Concomitantly,levator tucking was performed in 19 eyelids(19.6%),upper lid retractor recession in 18 eyelids(18.6%),and internal browpexy in 31 eyelids(32.0%).In 95.8% of patients(95%CI:0.85-0.96),satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION:Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.
基金Supported by the Innovation Project of Shandong Academy of Medical Sciences。
文摘AIM: To compare long-term postoperative outcomes of manual and femtosecond assisted corneal trephination in deep anterior lamellar keratoplasty(FS-DALK) for keratoconus.METHODS: In the retrospective study, 17 consecutive eyes that underwent vertical side cut incision FS-DALK and 22 eyes that underwent trephine incision DALK were collected over a 2-year period. Main measurements included postoperative uncorrected-visual acuity(UCVA), corrected distance visual acuity(CDVA), refractive sphere and cylinder, manifest refraction spherical equivalent(MRSE), flat and steep corneal keratometry(K1 and K2), endothelial cell density(ECD), and time of epithelium healing and suture removal.RESULTS: Groups were comparable for diagnosis and preoperative visual acuity. Follow-up averaged 23 mo(range, 12-36 mo). At 12 mo, the mean UCVA was better in the manual-DALK group(P=0.039), and the refractive sphere was lower in the FS-DALK group(P=0.040). MRSE between groups differed at 1, 6, and 12 mo postoperatively(P=0.047, 0.025, 0.042, respectively). Mean CDVA, cylinder, K1, K2,corneal astigmatism, ECD, and time of epithelium healing were similar between groups. Stability of MRSE, ECD, and K1 returned sooner after FS-DALK. Initial loosened suture removal time was earlier in the manual-DALK group(P=0.042) while complete suture removal time was similar(P=0.122).CONCLUSION: Manual and femtosecond assisted corneal trephination in DALK are options for advanced keratoconus. FS-DALK do not result in improved visual acuity but it is more stable during the follow-up period. FSDALK in the present form show limited benefit, so surgical design and parameters still need to be optimized and explored.
文摘· AIM: To compare the corneal endothelial cell density (ECD) of clear grafts after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK). · METHODS: The study included 44 and 54 patients treated with PK and DALK, respectively, between March 2006 and April 2010. Corneal ECD was examined using specular microscopy at postoperative 1, 3, 6, 12, and 18 months, and the values were compared. · RESULTS: Corneal ECD reduction in the PK group was 7.4%, 15.2%, 23.5%, and 28.9% at 3, 6, 12 and 18 months respectively after surgery, compared with 4.2 % in the first month (P <0.01). These figures were 3.0%, 6.7%, 7.2%, and 7.7% at 3, 6, 12 and 18 months respectively, compared with 2.2 % in the first month in the DALK group (P >0.05). · CONCLUSION: Compared with DALK,PK significantly reduced ECD of the clear grafts. These results suggest that survival of endothelial cells in grafts is better after DALK than after PK. ·
