No abstract

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.

Propane dehydrogenation (PDH) is an industrial technology for direct propylene production, which has received extensive attention and realized large-scale application. At present, the commercial Pt/Cr-based catalysts suffer from fast deactivation...

Pt electrocatalysts with high activity and durability have still crucial issues for the oxygen reduction reaction (ORR) in proton exchange membrane fuel cells (PEMFCs). In this study, a novel catalyst consisting of Pt nanoparticles (NPs) on TiO x /C composites (TiO x -V o -H/C) with abundant oxygen vacancies (V o ) is proposed, which is abbreviated as PTO-V o -H/C. The introduction of V o helps anchor highly dispersed Pt NPs with low loading and strengthen the strong metal−support interaction (SMSI), which benefits to the enhanced ORR catalytic activity. Moreover, the accelerated durability test (ADT) demonstrates the higher retention of ORR activity for PTO-V o -H/C. Experimental and theoretical analyses reveal that electronic interactions between Pt NPs and TiO x /C composite support give rise to an electron-rich Pt NPs and strong SMSI effect, which is favorable for the electron transfer and stabilization of Pt NPs. More importantly, the assembled PEMFC with PTO-V o -H/C shows only 6.9% of decay on maximum power density after 3000 ADT cycles while the performance of Pt/C sharply decreased. This work provides a new insight into the unique vacancy regulation of dispersive Pt on metal oxides for superior ORR performance.

Ileoileostomy in the region adjacent to the ileocecal valve is safe and results in fewer complications than ileotransversanastomosis in infants.