[Skull base aneurysms: a retrospective review of fifteen cases focusing on the involvement of internal carotid artery]

Objective: To explore the diagnosis and clinical features of internal carotid artery aneurysm in the skull base. Methods: The data of 15 patients with internal carotid aneurysms in the skull base diagnosed and treated by digital subtraction angiography (DSA) or CT angiography (CTA) in the Provincial Hospital Affiliated to Shandong First Medical University from 1995 to 2017 were collected and analyzed. Among the 15 patients, 12 were males, and 3 were females, aging from 17 to 67 years old, with a median age of 44 years. Thirteen patients were diagnosed by DSA; the other two patients were diagnosed by CTA. Thirteen patients were diagnosed with pseudoaneurysm with the first symptom of epistaxis, in which eight patients underwent head trauma and 5 underwent radiotherapy of skull base tumor. The other two patients were diagnosed with true aneurysm presented headache and cranial nerve disorder. All patients were followed up for 2 to 12 years after treatment to see whether they were cured and survived. Results: Among the eight patients with a history of trauma, five patients were cured by embolization, two patients without embolization died of massive epistaxis, one patient died of progressive cerebral infarction after embolization. Among the five patients with radiotherapy of skull base tumor, one patient died of cerebral infarction after embolization, two patients died out of the hospital due to the recurrence of the primary tumor and intracranial invasion, one patient recovered well after embolization and surgical operation, one patient gave up treatment and died of massive hemorrhage out of hospital. In the other two patients with symptom of headache, one received embolization treatment outside the hospital after receiving mistake operation, and another one gave up treatment and died due to personal reasons. In total, four patients died in hospital, four died out of the hospital, and seven patients survived. Conclusions: Internal carotid artery aneurysm is a high-risk disease of anterior and middle skull base. For patients with epistaxis with a history of trauma and radiotherapy or patients with headaches and cranial nerve disorders, the possibility of the internal carotid artery aneurysm should be considered, in which DSA or CTA examination is essentially required for ensured diagnosis and disease evaluation.. The correct diagnosis and treatment by the otolaryngologist are crucial to the prognosis of the patient.

[Clinical analyses of the diagnosis and treatment of invasive fungal rhinosinusitis: report of 14 cases]

OBJECTIVE

Through the retrospective analysis of the clinical data in 14 cases of invasive fungal rhinosinusitis (IFRS), the clinical characteristics, diagnosis and treatment of this disease were evaluated.

METHODS

Fourteen clinically confirmed cases of IFRS since January 2008 to October 2015 were evaluated.collected, the clinical features, diagnosis, treatment and prognosis were analyzed to obtain a more comprehensive understanding for clinical reference. Fourteen patients were confirmed by pathological examination as IFRS, including 9 cases of aspergillus, 4 cases of mucor, and 1 case of rhinocerebral zygomycosis; including 5 cases of acute IFRS, 9 cases of chronic IFRS. All patients were treated with endoscopic surgery and intravenous antifungal therapy.

RESULTS

Nine cases of chronic IFRS (including 1 case of mucor, 7 cases of aspergillus and 1 case of rhinocerebral zygomycosis) were cured, but the vision loss, diplopia or blindness, hard palate perforation remained. Five cases of acute IFRS included 3 cases of mucor and 2 cases of aspergillus. Among the 3 cases of mucor, 2 cases were died and 1 case was cured. Among the 2 cases of aspergillus, 1 patient was cured and the other patient died of electrolyte disorder after discharge from hospital.

CONCLUSIONS

Patients with IFRS usually have diabetes. After the active surgical cleaning of lesion tissue and the systematic antifungal treatment with adequate dosage, these patients would have a better result. IFRS caused by mucor is ofen dangerous.

Bipolaron Formation and Nonlinear Optical Properties in Bis-Thienyl Polyenes

Bipolaron-like dications have been produced in both diphenyl and bis-thienyl polyenes by oxidative doping in solution. However, until now spectroscopie studies of the charge state generation beyond the hexaene have been precluded due to lack of solubility and processibility. We have now been able to extend these studies to the decaene by incorporating solubilizing substituents on the thienyl end caps. For the neutral species, degenerate four wave Mixing (DFWM) studies indicate that χ(3) is still increasing as a function of conjugation length. Introduction of mesomerically interactive RS groups on the thiophene rings further increases both solubility and optical nonlinearity.

Plasma currents and electron distribution functions under a dc electric field of arbitrary strength

The currents induced by arbitrarily strong dc electric fields in plasma and the evolution of electron distributions have been studied by Fokker-Planck simulations. We find that the electron distributions evolve distinctly under different fields; especially, the electron distribution is well represented by the sum of a stationary and drifting Maxwellian at the moderate field. A set of hydrodynamiclike equations, similar to Spitzer's but without the weak-field limit, is given for calculating the current. It is more suitable for application in hybrid particle-in-cell simulations and may extend plasma transport theory in models that do not employ a kinetic description of the electrons.

[Study on adductive reaction of Ni[(C4H9O)2PS2]2 with nitrogen base by spectrographic method]

Reactions of Ni[(C4H9O)2PS2]2 (NiL2) with Pyridine, 4-methylpyridine, 3,5-lutidine, 2,4-lutidine and 2,4,6-lutidine have been studied by spectrophotometry in ethanol at 32 degrees C. With B = 2,4-lutidine and 2,4,6-lutidine, the formation of NiL2.B2 only is concluded. For other nitrogen bases(B), the adduct formation of NiL2.B and NiL2.B2 is established, and their adductive equilibrium constants (lg beta n) and molecules (n) have been discussed. All the NiL2.B and NiL2.B2 complexes exhibit virtually the same electronic spectra arising from the five-coordinate NiNS4 and six-coordinate NiN2S4 chromophore respectively. The adductive equilibrium constants (lg beta n) increase with basicity (pKa) of nitrogen bases and can be described by experimental formulas: lg beta 1 = -0.186 + 0.352 pKa; lg beta 2 = 3.16 + 0.083 pKa.