[Immunogenicity and influencing factors of hepatitis B vaccination based on different vaccination schedules among chronic kidney disease patients].

Objective: To explore the immunogenicity and influencing factors of hepatitis B vaccination based on different vaccination schedules among chronic kidney disease (CKD) patients. Methods: CKD patients who participated in randomized controlled trials in four hospitals in Shanxi province and completed three doses of 20 µg vaccination (at months 0, 1 and 6) and four doses of 20 µg or 60 µg vaccination (at months 0, 1, 2, and 6) were surveyed from May 2019 to July 2020.According to the ratio of 1∶1∶1, 273 CKD patients were divided into 3 groups randomly. Quantification of the anti-hepatitis B surface antigen-antibody (anti-HBs) in serum samples was performed using chemiluminescent microparticle immunoassay at months 1 and 6 after the entire course of the vaccinations. The positive rate, high-level positive rate, geometric mean concentration (GMC) of anti-HBs, and the influencing factors were analyzed by χ2 tests, analysis of variance, unconditional logistic regression analysis. Results: A total of 273 CKD patitents were participants.The positive rates in the CKD patients with four doses of 20 µg vaccination (92.96%,66/71) or 60 µg vaccination (93.15%, 68/73) were higher than that in the CKD patients with three doses of 20 µg vaccination (81.69%, 58/71) at month one after the full course of the vaccinations (P<0.05). The GMCs of anti-HBs showed similar results (2 091.11 mIU/ml and 2 441.50 mIU/ml vs. 1 675.21 mIU/ml) (P<0.05). The positive rate was higher in the CKD patients with four doses of 60 µg vaccination (94.83%,55/58) than in those with three doses of 20 µg vaccination (78.79%,52/66) (P<0.05) at month six after the full course of the vaccinations. And the GMC of anti-HBs in the patients with four doses of 60 µg vaccination (824.28 mIU/ml) was significantly higher than those in the patients with 3 or 4 doses of 20 µg vaccination (639.74 mIU/ml and 755.53 mIU/ml) (P<0.05). After controlling the confounding factors, the positive rate in the CKD patients with four doses of 60 µg vaccination were 3.19 (95%CI: 1.02-9.96) and 5.32 (95%CI: 1.27-22.19) times higher than those in the patients with three doses of 20 µg vaccination at months 1 and 6 after the full course of the vaccinations, respectively. The positive rate in CKD patients without immune suppression or hormone therapy was 3.33 (95%CI: 1.26-8.80) and 4.78 (95%CI: 1.47-15.57) times higher than those in the patients with such therapy, respectively. Conclusions: Four doses of 20 µg or 60 µg hepatitis B vaccination could improve the immunogenicity in patients with CKD. And four doses of 60 µg vaccination might play a positive role in maintaining anti-HBs in this population. The immunogenicity in the CKD patients with immune suppression or hormone therapy was poor.

Quantitative description of masseter muscle involvement in craniofacial microsomia.

Masseter deficits are common in craniofacial microsomia (CFM), however studies on masseter muscle involvement are limited. The aim of this study was to describe the morphology and functional involvement of the masseter muscles quantitatively. Ninety-eight patients with CFM who underwent three-dimensional computed tomography and surface electromyography were included. The mean action potential during maximum voluntary contraction in the intercuspal position was recorded. Asymmetry of the compound muscle action potential (ACMAP) was calculated as an indicator of functional involvement. Differences between the affected and unaffected sides, the correlation between morphology and function, and the relationship between ACMAP and the OMENS-Plus classification were assessed by paired t-test, Pearson correlation analysis, and Spearman correlation analysis. The masseter muscle was absent on the affected side in 11 patients. In the remaining 87 patients, the mean volumes of the affected and unaffected masseters were 5.22±2.47cm3 and 9.62±3.30cm3, respectively, with mean action potentials of 41.40±28.52uV and 73.78±45.90uV, respectively. Both morphology and the function of the masseter showed moderate correlation with the OMENS 'M' classification. No significant correlation was found between ACMAP and the OMENS-Plus soft tissue grading. A masseter function classification is proposed: type I, ACMAP<0.2; type II, ACMAP 0.20-0.34; type III, ACMAP 0.35-0.54; type IV, ACMAP≥0.55. The masseter function classification may be a beneficial tool in patients with CFM.

[External auditory canal HIV-associated Kaposi sarcoma: a case report].

Summary External auditory canal HIV-associated Kaposi sarcoma is rare. A 47-year-old male patient found a lump locked in the right external auditory canal gradually enlarging during the 4 months. Preoperative examination suggested that the patient had infected with HIV. After surgical removal of the mass, the result of histopathological examination is Kaposi sarcoma. Postoperatively, the patient take tenofovir, lamivudine and efavirenz regularly. After follow-up for 2 years, no local recurrence or metastasis could be found after excision.

[Removal of a giant ethmoidal sinus osteoma with orbital extension].

Osteomas are slow growing bony tumors of the nasal sinuses. Ethmoid osteomas with orbital extension are unusual. Any surgical approach has to take into account protection of the vital structures, particularly the optic nerve and internal rectus muscle, skull base. A 65-year-old man, without past medical history, was referred to our hospital with a 1-month history of double vision and persisting pain around the left eye. Three-dimensional computed tomography (CT) revealed a large calcified dense mass measuring 32 mm × 25 mm × 25 mm in the left ethmoidal sinus with orbital extension. An endoscopic endonasal approach combined with inner canthus way was planned. Most of the tumor was removed from nasal cavity, the rest part of the tumor was taken out of the inner canthus incision. The medial wall of the orbital cavity was repaired with titanium mesh. No cerebrospinal fluid (CSF) leakage was observed during the procedure. The patient recovered rapidly and had no visual impairment and occular motility disorders after operation. The double vision was alleviated and disappeared after one months. Treatment of large ethmoid osteomas requires a combined approach to prevent injury to the orbital content. The cooperation of both otolaryngologists and ophthalmologists is necessary to achieve risk-free surgery.

A sensory feedback system for prosthetic hand based on evoked tactile sensation.

The lack of reliable sensory feedback has been one of the barriers in prosthetic hand development. Restoring sensory function from prosthetic hand to amputee remains a great challenge to neural engineering. In this paper, we present the development of a sensory feedback system based on the phenomenon of evoked tactile sensation (ETS) at the stump skin of residual limb induced by transcutaneous electrical nerve stimulation (TENS). The system could map a dynamic pattern of stimuli to an electrode placed on the corresponding projected finger areas on the stump skin. A pressure transducer placed at the tip of prosthetic fingers was used to sense contact pressure, and a high performance DSP processor sampled pressure signals, and calculated the amplitude of feedback stimulation in real-time. Biphasic and charge-balanced current pulses with amplitude modulation generated by a multi-channel laboratory stimulator were delivered to activate sensory nerves beneath the skin. We tested this sensory feedback system in amputee subjects. Preliminary results showed that the subjects could perceive different levels of pressure at the tip of prosthetic finger through evoked tactile sensation (ETS) with distinct grades and modalities. We demonstrated the feasibility to restore the perceptual sensation from prosthetic fingers to amputee based on the phenomenon of evoked tactile sensation (ETS) with TENS.

Effects of electrode size and spacing on sensory modalities in the phantom thumb perception area for the forearm amputees.

Tactile sensory feedback plays a key role in accomplishing the dexterous manipulation of prosthetic hands for the amputees, and the non-invasive transcutaneous electrical nerve stimulation (TENS) of the phantom finger perception (PFP) area would be an effective way to realize sensory feedback clinically. In order to realize the high-spatial-resolution tactile sensory feedback in the PFP region, we investigated the effects of electrode size and spacing on the tactile sensations for potentially optimizing the surface electrode array configuration. Six forearm-amputated subjects were recruited in the psychophysical studies. With the diameter of the circular electrode increasing from 3 mm to 12 mm, the threshold current intensity was enhanced correspondingly under different sensory modalities. The smaller electrode could potentially lead to high sensation spatial resolution. Whereas, the smaller the electrode, the less the number of sensory modalities. For an Φ-3 mm electrode, it is even hard for the subject to perceive any perception modalities under normal stimulating current. In addition, the two-electrode discrimination distance (TEDD) in the phantom thumb perception area decreased with electrode size decreasing in two directions of parallel or perpendicular to the forearm. No significant difference of TEDD existed along the two directions. Studies in this paper would guide the configuration optimization of the TENS electrode array for potential high spatial-resolution sensory feedback.

Biological characteristics and mating type distribution of Phytophthora capsici from China.

Phytophthora capsici from seven provinces of China were investigated for their mating type, hyphal growth, zoospore production, and virulence. All of the morphological characteristics and the results of polymerase chain reaction confirmed that these isolates were indeed Phytophthora capsici. The test of mating type showed that the mating types of 19 representative isolates from China varied. The hyphal growth and the amount of zoospores produced from these isolates differed and there was no evident relationship between them, which indicated the existence of genetic diversity among the isolates in China. Also, the isolates that were more virulent on the pepper cultivars that we checked produced more zoospores than other isolates.

Development of an ultrasonic technique for in situ investigating the properties of deposited protein during crossflow ultrafiltration.

Although an amount of research has reported that a flux minimum occurs at the isoionic/isoelectric points (pH 4.6-5.0) in the absence of salts in the ultrafiltration of bovine serum albumin (BSA), the real mechanism remains incompletely understood due to the lack of additional techniques in real time to detect the properties of deposited BSA (gel) layers formed during ultrafiltration (UF). An ultrasonic technique was developed as an analytical noninvasive tool to in situ investigate the properties of deposited BSA layers at pH 4.9 (isoionic or isoelectric point, IEP) and 6.9 during crossflow ultrafiltration. The membrane was a polysulfone (PSf) UF membrane with molecular weight cut-off (MWCO) 35 kDa. The feed used was 0.5 g/l BSA solution. Results show good correspondence between the ultrasonic signal responses and the development of BSA gel layers on the membranes. The deposit is thicker at pH 6.9 than at pH 4.9. However, the deposited gel layers are more compressible at pH 4.9 than at pH 6.9. The flux decline is mainly controlled by the density (packing) of the deposit layer. At pH 6.9, protein mainly deposits on the membrane surface. Around the isoelectric point, protein absorbs within and on the membranes. A functional relationship between acoustic signals and fouling resistance exists. The fouling resistance is mainly attributed to pore blocking or pore constriction.

Smooth-muscle contraction without smooth-muscle myosin.

Here we have used gene-targeting to eliminate expression of smooth-muscle myosin heavy chain. Elimination of this gene does not affect expression of non-muscle myosin heavy chain, and knockout individuals typically survive for three days. Prolonged activation, by KCl depolarisation, of intact bladder preparations from wild-type neonatal mice produces an initial transient state (phase 1) of high force generation and maximal shortening velocity, which is followed by a sustained state (phase 2) characterized by low force generation and maximal shortening velocity. Similar preparations from knockout neonatal mice do not undergo phase 1, but exhibit a normal phase 2. We propose that, in neonatal smooth muscle phase 1 is generated by recruitment of smooth-muscle myosin heavy chain, whereas phase 2 can be generated by activation of non-muscle myosin heavy chain. We conclude that phase 1 becomes indispensable for survival and normal growth soon after birth, particularly for functions such as homeostasis and circulation.

[Effect of nickel sulfate on the concentrations of T3, T4 and TSH in serum of rat].

The effect of nickel sulfate on the concentrations of T3, T4 and TSH in sera of rats was studied. Forty wistar male rats were divided into four groups. The rats in groups 1, 2 and 3 were injected with 0.005 mol/L NiSO4, 0.01 mol/L NiSO4 and 0.02 mol/L NiSO4 [1 ml/(kg x d)] respectively, while the rats of group 4 were injected with normal saline, serving as control. Forty days later, the concentrations of T3 and T4 in sera of 0.01 mol/L NiSO4 and 0.02 mol/L NiSO4 groups were obviously decreased (P<0.05 or P<0.01). The concentrations of T4 in sera of 0.005 mol/L NiSO4 group was also decreased, compared with control group. There was no difference in the concentrations of T3 and T4 in sera among the groups with different doses of NiSO4. Between different dose groups and the control group, the concentrations of TSH in sera showed no significant difference (P>0.05). The proliferation of the epithelial cells of thyroid gland was noticed. The rough endoplasmic reticulam was exceedingly expanded. The nuclei were transformed. The results suggest that Ni may injure thyroid gland.

[Ultrastructural characteristics of Lyme disease spirochetes (Borrelia burgdorferi) isolated from Ixodes persulcatus in China].

This paper analyzed morphological characteristics of Lyme disease spirochetes (Borrelia burgdorferi), isolated from Ixodes persulcatus from different areas of China, with scanning and transmissive electron microscopies. Cells of 8 strains were 8.4-36.0 microns long and 0.12-0.35 micron wide. There were 1-9 left-handed spires with wavelength of 1.09-4.30 microns and amplitude of 0.38-2.10 microns. Ends of the cells were pointed or spindle. 7, 8 or 9 flagella were inserted subterminally at each end of the cell. Inner structures of cells were no tubles. A few cells were at stage of division. These results showed that Ixodes persulcatus spirochetes possessed morphological characteristics of Borrelia burgdorferi and there were many types of morphological characteristics.

[Isolation and characteristics of Borrelia burgdorferi from Ixodes persulcatus].

We reported the detailed characteristics of Lyme disease spirochetes (Borrelia burgdorferi), strain H7, isolated from Ixodes persulcatus in Heilongjiang. Cells of strain H7 were 9.8--26.5 microns long and 0.13--0.35 microns wide. There were 1--11 waves with a wavelength of 1.2--3.0 microns and an amplitude of 0.59--1.13 microns. Direction of spires was left. Seven flagella were inserted subterminally at each end of the cell and ends were pointed. 31 degrees C was the optimum cultural temperature in vitro. The major constitutional and antigenic proteins were 21k, 32k and 34k proteins. H7 could react on the patient sera of Xinjiang and Heilongjiang with IFA and western blot. These findings demonstrated that strain H7 belonged to species Borrelia burgdorferi, but was a new "subtype" which differed from the strains isolated from other areas and vectors.