Atmospheric pressure plasma jet treatment enhances the effect of Alloy Primer on the bond strength between polymethyl methacrylate and stainless steels: application for retention of magnetic attachment to resin denture base.

Magnetic attachment system is used to embed in polymethyl methacrylate (PMMA) resin denture base to improve denture stability. However, dislodgement of magnetic attachments from denture base is a major clinical problem. This study is to evaluate the bond strength between PMMA and stainless steel using metal primer and atmospheric pressure plasma jet (APPJ) treatment. Stainless steel discs were treated with Single Bond Universal Adhesive; Palfique Universal Bond; Alloy Primer; heat treatment with Alloy Primer; and 10-s, 20-s, and 30-s APPJ treatment with Alloy Primer. The shear bond strength between PMMA and surface-treated stainless steel was measured using universal testing machine. The effects of N2 flow rate (60, 50, 40, 30 SLM), thermal cycling, and air quenching on shear bond strength were also investigated. The surface of each disc was examined using X-ray photoelectron spectroscopy and a goniometer. Finally, the temperature of plasma with various N2 flow rates was measured and the optical emission spectra of the plasma were measured using spectrometer. Alloy Primer produced the highest bond strength. APPJ treatment was effective at enhancing bond strength by cleaning the surface of contaminants. Moreover, APPJ treatment with air quenching increased surface O2-/OH- and Fe2O3/FeOOH ratios, reducing the negative influence of thermal cycling on bond strength. Alloy Primer with 20 s of APPJ treatment with a 50-SLM N2 flow rate and air quenching was the most effective at increasing bond strength.

Genotypic and phenotypic correlations of biotinidase deficiency in the Chinese population.

Biotinidase deficiency is an autosomal recessive disorder that affects the endogenous recycling and release of biotin from dietary protein. This disease was thought to be rare in East Asia. In this report, we delineate the phenotype of biotinidase deficiency in our cohort. The genotypes and phenotypes of patients diagnosed with biotinidase deficiency from a medical center were reviewed. The clinical manifestations, laboratory findings, and molecular test results were retrospectively analyzed. A total of 6 patients were evaluated. Three patients (50%) were diagnosed because of a clinical illness, and the other three (50%) were identified by newborn screening. In all patients, the molecular results confirmed the BTD mutation. The three patients with clinical manifestations had an onset of seizure at the age of 2 to 3 months. Two patients had respiratory problems (one with apnea under bilevel positive airway pressure (BiPAP) therapy at night, and the other with laryngomalacia). Hearing loss and eye problems were found in one patient. Interestingly, cutaneous manifestations including skin eczema, alopecia, and recurrent fungal infection were less commonly seen compared to cases in the literature. None of the patients identified by the newborn screening program developed symptoms. Our findings highlight differences in the genotype and phenotype compared with those in Western countries. Patients with biotinidase deficiency benefit from newborn screening programs for early detection and management.

Evaluation of the necessity for chest drain placement following thoracoscopic wedge resection.

PURPOSE: To evaluate the outcomes of patients who underwent thoracoscopic wedge resection without chest drain placement. METHODS: The subjects of this retrospective study were 89 patients, who underwent thoracoscopic wedge resection at our hospital between January, 2013 and July, 2015. A total of 45 patients whose underlying condition did not meet the following criteria were assigned to the "chest drain placement group" (group A): peripheral lesions, healthy lung parenchyma, no intraoperative air leaks, hemorrhage or effusion accumulation, and no pleural adhesion. The other 44 patients whose underlying condition met the criteria were assigned to the "no chest drain placement group" (group B). Patient characteristics, specimen data, and postoperative conditions were analyzed and compared between the groups. RESULTS: Group A patients had poorer forced expiratory volume in one second (FEV1) values, less normal spirometric results, significantly higher resected lung volume, a greater maximum tumor-pleura distance, and a larger maximum tumor size. They also had a longer postoperative hospital stay. There was no difference between the two groups in postoperative complications. CONCLUSIONS: Avoiding chest drain placement after a thoracoscopic wedge resection appears to be safe and beneficial for patients who have small peripheral lesions and healthy lung parenchyma.

Antimicrobial susceptibility and resistance of chicken Escherichia coli, Salmonella spp., and Pasteurella multocida isolates.

Escherichia coli, Salmonella species, and Pasteurella multocida are the major bacterial pathogens isolated from poultry. Difference in susceptibility to antibiotics by microorganisms has become a major factor in drug choice and success of treatment. Great concerns have been raised regarding emerging antimicrobial resistance among bacteria that may result in unpredictable antimicrobial susceptibility and failure of therapy. The primary objective of the present study was to determine the levels of antimicrobial susceptibility/resistance of E. coli, Salmonella species, and P. multocida isolated from diseased chickens. A total of 445 E. coli isolates, 387 Salmonella spp. isolates, and 80 P. multocida isolates from diseased chickens during the period ranging from 2001 to 2003 were obtained. Minimal inhibitory concentrations of 14 antimicrobial agents against each bacterial isolate were determined using a microbroth dilution assay described by the Clinical Laboratory Standards Institute. Resistance of E. coli isolates measured as follows: 98.20% were resistant to tilmicosin, 79.33% to tetracycline, 51.46% to spectinomycin, 44.04% to gentamicin, and 40% to ampicillin. Resistance to tetracycline was found in 72.61% of Salmonella spp. isolated, followed by resistance to spectinomycin (68.48%), ampicillin (63.57%), gentamicin (63.31%), and ticarcillin (61.76%). The resistance rate of P. multocida isolates to all antimicrobials tested was less than 5%, except for tetracycline (6.25%). In summary, E. coli and Salmonella isolates were sensitive to ceftiofur and fluoroquinolones but were resistant to other antimicrobials tested, while P. multocida isolates remained sensitive to all the antimicrobial agents tested in a 3-yr analysis.

Detection of mutations in the gyrA gene and class I integron from quinolone-resistant Salmonella enterica serovar Choleraesuis isolates in Taiwan.

The quinolone resistance-determining regions (QRDRs) of the gyrA gene of quinolone-resistant Salmonella enterica serovar Choleraesuis isolates were sequenced. Four types of point mutation, Ser-83-to-Phe (TCC --> TTc), Ser-83-to-Tyr (TCC --> TAC), Asp-87-to-Gly (GAC --> GGC), and Asp-87-to-Asn (GAC --> AAC), were found. PCR-RFLP and MAS-touch down PCR were performed on fifty swine clinical isolates of S. enterica serovar Choleraesuis (NalR) collected during 1997-2002. The analysis indicated seven isolates with point mutations in codon 83, 13 with point mutations in codon 87, and 30 with double mutations in both codons 83 and 87. The MICs of enrofloxacin of the isolates with a single mutation in codon 83 or 87 were <2microg/ml, while the MICs of the isolates with double mutations in both codon 83 and 87 ranged from 2 to 64microg/ml. A class I integron comprised of dhfr, orfF and aad2 was also identified in both human and swine S. enterica serovar Choleraesuis isolates. These results indicate that PCR-RFLP and MAS-touchdown PCR assays can be used for surveillance of gyrA gene mutations, which are important for fluoroquinolone resistance in Salmonella. Isolates with double mutations in gyrA codons 83 and 87 are the major type of quinolone-resistant Salmonella isolated from swine in Taiwan. A surveillance system may be applied to the swine industry to monitor the emergence of fluoroquinolone and/or multi-drug-resistant S. enterica serovar Choleraesuis in Taiwan.