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Chou, Yi-Hsuan,Choo, Kwang-Ho,Chen, Shiao-Shing,Yu, Jui-Hsuan,Peng, Ching-Yu,Li, Chi-Wang Elsevier 2018 Separation and purification technology Vol.198 No.-
<P><B>Abstract</B></P> <P>A chemical reduction process was proposed to recover copper from the retentate of polyelectrolyte enhanced ultrafiltration (PEUF). Three polyelectrolytes (PSS, PAA, and PEI) containing various functional groups and molecular weights were studied to explore their effects on the copper removal in PEUF and on the copper recovery by chemical reduction under various pH conditions. With PSS which contains sulfonic group, copper was removed reasonably well (ca. 75%) by PEUF even under acidic pH value of 3. With PAA which contains carboxylic group, copper removal was a bit low (∼60%) under pH 3.0 but increased substantially at pH 4.0. A branched PEI having amine group achieved the highest Cu removal of 94% at pH 3. The copper removal efficiency decreased slightly with increasing pH due to the high permeation of PEI through membrane.</P> <P>Chemical reduction achieved the complete copper recovery for solution containing PSS. The copper recovery efficiencies were more than 95% for PAA solution with pH values ranging from 3 to 9 at reaction time of one hour. For PEI, the recovery efficiencies ranged from 20 to 96% and were pH dependent. Aggregated and settled readily copper particles were produced by chemical reduction in PSS solution. XRD analysis identified cuprous oxide in all of the samples. Dependent of pH and polyelectrolytes, additional peaks matching those of elemental copper were identified. TGA analysis showed that solids produced from PSS and PAA systems contained no polyelectrolytes while solid collected from PEI system contained 32% of polyelectrolyte.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Polyelectrolytes with different functional groups and MW were applied in PEUF. </LI> <LI> Effects of polyelectrolytes and pH on the reduction of copper were studied. </LI> <LI> Both Cu<SUB>2</SUB>O and Cu<SUP>0</SUP> were identified by XRD analysis of solids obtained. </LI> </UL> </P>
Suture Repair in Endoscopic Surgery for Craniovertebral Junction
Mei-Yin Yeh,Wen-Cheng Huang,Jau-Ching Wu,Chao-Hung Kuo,Hsuan-Kan Chang,Tsung-Hsi Tu,Peng-Yuan Chang,Yu-Shu Yen,Henrich Cheng 대한척추신경외과학회 2019 Neurospine Vol.16 No.2
Objective: Endoscopic approaches to the craniovertebral junction (CVJ) have been established as viable and effective surgical treatments in the past decade. One of the major complications is leakage of the cerebrospinal fluid (CSF). This study aimed to investigate the efficacy and feasibility of suture closure at the nasopharyngeal mucosa upon durotomy. Methods: A series of consecutive patients who underwent different endoscopic approaches to the CVJ were retrospectively reviewed. The pathologies, surgical corridors, neurological and functional outcomes, radiological evaluations, and complications were analyzed. Different strategies of repair for the intraoperative CSF leakage were described and compared. Results: A total of 22 patients covering 13 years were analyzed. There were 12, 2, and 8 patients who underwent transnasal, transoral, and combined approaches, respectively. There were 8 patients (36.4%) who experienced intraoperative CSF leakage, and were grouped into 2: 4 in the nonsuture (NS) group and 4 in the suture-repaired (SR) group. The NS group had 3 (75%) persistent CSF leakages postoperation that caused 1 mortality, whereas patients of the SR group had only 1 minor CSF rhinorrhea that healed spontaneously within days. Conclusion: In this series of 22 patients who required anterior endoscopic resection of pathologies at the CVJ, there was 1 (4.5%) serious complication related to CSF leakage. For patients who had no durotomy, the mucosal incision at the nasopharynx usually healed rapidly and there were few procedure-related complications. For patients with intraoperative CSF leakage, suture closure was technically challenging but could significantly lower the risks of postoperative complications.