Introduction: Stenoses in the path of arteriovenous fistulas (AVF) for hemodialysis are a very prevalent problem and there is long experience in their treatment by percutaneous angioplasty (PTA). These procedures, however, involve non-negligible equipment requirements, exposure to radiation and intravenous contrast that are not beneficial for the patient and make their performance more complex. This study reviews our initial experience with Doppler ultrasound-guided angioplasty. Methods: Prospective cohort of patients with native AVF dysfunction due to significant venous stenosis treated by Doppler echo-guided PTA. AVF puncture, lesion catheterization, balloon localization and inflation, and outcome verification were performed under ultrasound guidance. Only one fistulography was performed before and another one after dilatation. As a control, the cases performed during the same period by the usual angiographic method were also collected. Results: Between February 2015 and September 2018, 51 PTAs were performed on native AVF, of which 27 were echogenic (mean age, 65.3 years; 63% male). The technical success rate was 96%. In 26% of cases, PTA was repeated due to residual stenosis after angiographic imaging. There were 7.3% periprocedural complications. 92% of the AVFs were punctured at 24 hours. Primary patency at 1 month, 6 months and 1 year was 100%, 64.8% and 43.6%, and assisted patency was 100%, 87.2% and 74.8%. There were no significant differences in immediate or late results with respect to angiographically guided AVF angioplasty. Conclusions: AVF-PTA can be performed safely and effectively guided by Doppler ultrasound, which simplifies the logistics required for its performance, although we still need to improve the capacity for early verification of the result with this imaging technique.
Phytomediation is an environmentally friendly green rehabilitation technology that is often incorporated with an application to improve calcium peroxide and phytohormones required for the growth of agricultural plants with the expectation to improve the effectiveness of plant rehabilitation. This study mainly consists of two parts: (1) water culture experiment and (2) pot culture experiment. In the water culture experiment, we attempt to understand the influence of the addition of calcium peroxide, phytohormones (IAA and GA3) and a chelating agent on the growth of sunflower plants. However, in the pot culture experiment, when hormones and the chelating agent EDTA are introduced to different plant groups at the same time, if the nutrition in the water required by plants is not available, the addition of the hormone cannot negate the toxicity caused by EDTA. In terms of calcium peroxide, due to quick release of oxygen in water, this study fails to apply calcium peroxide to the water culture experiment.
When the pot culture experiment is used to examine the influence of hormones at different concentration levels on the growth of sunflowers, GA3 10-8 M is reported to have the optimal effectiveness, followed by IAA 10-8 M; IAA 10-12 M has the lowest effectiveness. According to an accumulation analysis of heavy metals at different levels, GA3 concentrates in leaves to transport nutrition in soil to leaves. This results in an excellent TF value of 2.329G of GA3 than 1.845 of the control group indicating that the addition of the hormone and chelating agent to GA3 increases the TF value and the chelating agent is beneficial to the sunflower plant. If we examine phytoattenuation ability, the one-month experiment was divided into three stages for ten days each. The concentration level of heavy metals in the soil at each stage dropped continuously while that of the control group decreased from 31.63 mg/kg to 23.96 mg/kg, GA3 from 32.09 mg/kg to 23.04 mg/kg and EDTA from 30.65 mg/kg to 25.93 mg/kg indicating the quickest growth period of the sunflowers from the formation of the bud to blossom. During the stage, the quick upward transportation of nutrition results in quick accumulation of heavy metals; the accumulated speed of heavy metals is found higher than that of directly planted plants. This study shows an improvement in the effectiveness of the addition of hormones on plant extraction and when rehabilitation is incorporated with sunflowers with the beginning bud formation, better treatment effectiveness can be reached.
With the increasing demand for sustainable energy, advanced characterization methods are becoming more and more important in the field of energy materials research. With the help of X-ray imaging technology, we can obtain the morphology, structure and stress change information of energy materials in real time from two-dimensional and three-dimensional perspectives. In addition, with the help of high penetration X-ray and high brightness synchrotron radiation source, in-situ experiments are designed to obtain the qualitative and quantitative change information of samples during the charge and discharge process. In this paper, X-ray imaging technology based on synchrotron and its related applications are reviewed. The applications of several main X-ray imaging technologies in the field of energy materials, including X-ray projection imaging, transmission X-ray microscopy, scanning transmission X-ray microscopy, X-ray fluorescence microscopy and coherent diffraction imaging, are discussed. The application prospects and development directions of X-ray imaging in the future are prospected.
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