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Background: Intracranial fever or infection is one of the common complications after craniotomy, especially for complicated intracranial tumors such as deep skull base tumors.Objective: We used early cerebrospinal fluid (CSF) drainage with a preplaced lumbar drainage (LD) tube after surgery and observed whether this procedure could reduce the rate and duration of fever or infection.Material and Methods: The authors conducted a retrospective study of 142 patients who underwent complicated intracranial tumor surgery with no less than four hours of dural opening at the Center of Neurosurgery of Tangdu Hospital. The LD group underwent preoperative LD placement, intraoperative CSF release and postoperative continuous drainage, but the control group received routine craniotomy without preoperative LD. The primary outcomes included the rate, duration, and hospital length of stay (LOS) for patients with fever or infection after surgery, as compared between the two groups. The second outcome included complications related to LD and the rate of postoperative CSF leakage.Results: There were 22 patients in the LD group and 23 patients in the control group who presented with delayed fever, which was supposed to be caused by intracranial infection or aseptic inflammation. The median duration of delayed fever in the LD group was obviously lower than that in the control group (7.762 ± 3.129 days vs 11.73 ± 5.239 days), and there was a statistically significant difference (P = 0.0046). In addition, there was a significant reduction in the median postoperative LOS (12 [8,10,15,21] days in the LD group vs 15 [9,13,20,28] days in the controls). Moreover, there was no significant difference in complications related to LD between the two groups. Three patients with brain herniation were observed in the LD group compared with one patient in the control group. All four patients had contemporary mild-to-moderate neurologic disorders after surgery or conservative treatment. Additionally, the rate of CSF leakage in the LD group was 5.41% (4/74), which was lower than that in the control group (8/68, [11.76%]), although there was no significant difference (P = 0.174).Conclusions: For patients receiving complicated intracranial lesions following a long operation time, postoperative early LD was beneficial for the treatment of patients with fever or infection. It not only reduced the duration of infection or fever in postoperative patients but also decreased the postoperative LOS. We should minimize the complications related to LD by careful and standardized LD and management processes, and ensure the effectiveness and safety of this treatment. [ABSTRACT FROM AUTHOR]

Background: Infratentorial craniotomy patients have a high incidence of postoperative nausea and vomiting (PONV). Enhanced Recovery After Surgery (ERAS) protocols have been shown in multiple surgical disciplines to improve outcomes, including reduced PONV. However, very few studies have described the application of ERAS to infratentorial craniotomy. The aim of this study was to examine whether our ERAS protocol for infratentorial craniotomy could improve PONV.Methods: We implemented an evidence-based, multimodal ERAS protocol for patients undergoing infratentorial craniotomy. A total of 105 patients who underwent infratentorial craniotomy were randomized into either the ERAS group (n = 50) or the control group (n = 55). Primary outcomes were the incidence of vomiting, nausea score, and use of rescue antiemetic during the first 72 h after surgery. Secondary outcomes included postoperative anxiety level, sleep quality, and complications.Results: Over the entire 72 h post-craniotomy observation period, the cumulative incidence of vomiting was significantly lower in the ERAS group than in the control group. Meanwhile, the incidence of vomiting was significantly lower in the ERAS group on postoperative days (PODs) 2 and 3. Notably, the proportion of patients with mild nausea (VAS 0-4) was higher in the ERAS group as compared to the control group on PODs 2 or 3. Additionally, the postoperative anxiety level and quality of sleep were significantly better in the ERAS group.Conclusion: Successful implementation of our ERAS protocol in infratentorial craniotomy patients could attenuate postoperative anxiety, improve sleep quality, and reduce the incidence of PONV, without increasing the rate of postoperative complications.Trial Registration: ChiCTR-INR-16009662, 27 Oct 2016, Clinical study on the development and efficacy evaluation of Enhanced Recovery After Surgery (ERAS) in Neurosurgery. [ABSTRACT FROM AUTHOR]

Reference 1 Sha W., Hong D., Che Y., Xue Y., Kong Y., Yi X., Zhou J., Yu G., Liu B. Differences in Root Endophytic Bacterial Communities of Chinese Cork Oak (Quercus variabilis) Seedlings in Different Growth Years. DNA Extraction and PCR Amplification i " has been made to "The root samples were cleaned using ultrasonic waves 3 times and disinfected with sodium hypochlorite 2 times for DNA extraction." Differences in Root Endophytic Bacterial Communities of Chinese Cork Oak (Quercus variabilis) Seedlings in Different Growth Years. [Extracted from the article]

Bismuth (Bi)‐doped laser glasses with broadband emission are of current interest in the fields of sensing, bio‐imaging, and photonics. For practical applications, it must be considered how to improve the emission efficiency, in particular, for borate glasses with wide glass‐forming range, low melting point, and excellent fiberizing ability. Herein, we experimentally demonstrate that addition of GeO2 to aluminoborate glasses can effectively enhance Bi NIR emission by more than 300 times with prolonged decay time (~500 μs) and good homogeneity, which is, to our best knowledge, seldom achieved in Bi‐doped borate multi‐component glasses. The addition of second glass‐former GeO2, as revealed by detailed optical and structural analysis, leads to the facile regulation on local glass structure, forcing the conversion of aluminum species from AlO5 and AlO6 to AlO4 and consequently pushes the conversion of Bi3+ to Bi+ and Bi0 and stabilizes Bi NIR centers, which finally results in highly enhanced Bi NIR emission. We believe these results could contribute to designing Bi‐activated multi‐component laser glass and fibers with efficient NIR photoemission. [ABSTRACT FROM AUTHOR]

Abstract: Because of ultra‐broadband near‐infrared (NIR) emission bismuth‐activated glasses and fibers offer a new promising platform for novel photonic devices such as new type of optical amplifiers and broadly tunable fiber lasers. Yet, challenge remains to manipulate the NIR emission behavior of bismuth (Bi) in photonic glasses for efficient Bismuth‐doped fiber and fiber lasers. Here, by engineering phosphorus and aluminum's topology, broadly tunable NIR emission has been realized in Bismuth‐doped phosphate laser glass. Structural and optical analyses on 27Al magic‐angle spinning nuclear magnetic resonance (MAS NMR), 31P MAS NMR, fourier transform infrared (FTIR) and static emission spectra suggest that polymerization of glass network can be improved by proper addition of aluminum into the system, which can be evidenced by partial conversion of Q2 to Q3 species of phosphorus and the shift of P–O–P asymmetric stretching vibration toward lower frequency, and this turns out beneficial to Bi NIR emission. Embedding aluminum tetrahedra into phosphorus glass network can reduce the local crystal field around bismuth and therefore lead to the blueshift of Bi emission. This work presents new insights into the luminescent behavior of Bi ions in phosphate glass and it helps the design and fabrication of Bismuth‐doped glasses and fibers in future. [ABSTRACT FROM AUTHOR]

Bismuth-doped (Bi) glasses and fibers have raised considerable attention for broadband emission and tunable fiber lasers in the near infrared (NIR) region. However, they suffer from low efficiency and it remains challenging to enhance Bi NIR emission. Here, we propose a facile way to enhance and tune the Bi NIR emission by adjusting optical basicity and modulating the boron and aluminum coordination in borate glasses. We find that BO4 and AlO5 species favor Bi NIR emission, right followed by the analyses of static emission spectra, the Fourier transform infrared (FT-IR), and nuclear magnetic resonance (NMR) spectroscopy. Furthermore, abnormal Bi NIR luminescence phenomenon and boron anomaly were observed, which are attributed to the synthetic effect of B and Al coordination transformation. Besides, we find that BO4 tetrahedron plays a major role in enhancing Bi NIR emission at low Al content, while AlO5 hexahedron group will dominate at high Al concentration. Our investigation may give an insight into the luminescent behaviors of Bi in borate glasses and contribute to improving the performance of Bi-doped fiber and fiber lasers in future. [ABSTRACT FROM AUTHOR]

The relationship between the laser power output and its effect on Raman spectrum is investigated for a laser cleaning application of marine metal corrosion processing. First, an image feature based on a corrosion degree evaluation is implemented before cleaning. The image features include texture coarseness, texture entropy, texture intensity, texture contrast, the texture's cluster degree, and texture homogeneity. To decrease the image feature dimension for a convenient application, the Analytic Hierarchy Process (AHP) method is used to estimate the weight of each feature. Then the linear weighted sum of image features can be computed to get only one evaluation result. Second, a series of laser power outputs are implemented for the cleaning application under a typical corrosion degree. Then the analysis results of Raman spectrum can be obtained. The analyzed spectrum results include the corrosion components and their contents. Lastly, the relationship between laser power output and Raman spectrum under a typical initial corrosion degree can be constructed. This research study can build the prediction result of the cleaning effect map for the workpiece and guide the secondary processing of metal surface cleaning. [ABSTRACT FROM AUTHOR]

Background: Intracranial fever or infection is one of the common complications after craniotomy, especially for complicated intracranial tumors such as deep skull base tumors., Objective: We used early cerebrospinal fluid (CSF) drainage with a preplaced lumbar drainage (LD) tube after surgery and observed whether this procedure could reduce the rate and duration of fever or infection., Material and Methods: The authors conducted a retrospective study of 142 patients who underwent complicated intracranial tumor surgery with no less than four hours of dural opening at the Center of Neurosurgery of Tangdu Hospital. The LD group underwent preoperative LD placement, intraoperative CSF release and postoperative continuous drainage, but the control group received routine craniotomy without preoperative LD. The primary outcomes included the rate, duration, and hospital length of stay (LOS) for patients with fever or infection after surgery, as compared between the two groups. The second outcome included complications related to LD and the rate of postoperative CSF leakage., Results: There were 22 patients in the LD group and 23 patients in the control group who presented with delayed fever, which was supposed to be caused by intracranial infection or aseptic inflammation. The median duration of delayed fever in the LD group was obviously lower than that in the control group (7.762 ± 3.129 days vs 11.73 ± 5.239 days), and there was a statistically significant difference (P = 0.0046). In addition, there was a significant reduction in the median postoperative LOS (12 [8,10,15,21] days in the LD group vs 15 [9,13,20,28] days in the controls). Moreover, there was no significant difference in complications related to LD between the two groups. Three patients with brain herniation were observed in the LD group compared with one patient in the control group. All four patients had contemporary mild-to-moderate neurologic disorders after surgery or conservative treatment. Additionally, the rate of CSF leakage in the LD group was 5.41% (4/74), which was lower than that in the control group (8/68, [11.76%]), although there was no significant difference (P = 0.174)., Conclusions: For patients receiving complicated intracranial lesions following a long operation time, postoperative early LD was beneficial for the treatment of patients with fever or infection. It not only reduced the duration of infection or fever in postoperative patients but also decreased the postoperative LOS. We should minimize the complications related to LD by careful and standardized LD and management processes, and ensure the effectiveness and safety of this treatment., Competing Interests: None