Clinical manifestations and risk factors of shock in children with multisystem inflammatory syndrome.

BACKGROUND: Multisystem inflammatory syndrome in children (MIS-C) is a novel disease associated with COVID-19. The COVID-19 epidemic peaked in May 2022 in Taiwan, and we encountered our first case of MIS-C in late May 2022. We aimed to present patients' clinical manifestations and identify risk factors for shock. METHODS: We included patients diagnosed with MIS-C at two medical centers from May 2022 to August 2022. We separated those patients into two groups according to whether they experienced shock. We collected demographic, clinical manifestation, and laboratory data of the patients and performed statistical analysis between the two groups. RESULTS: We enrolled 28 patients, including 13 (46 %) with shock and 15 (54 %) without shock. The median age was 6.4 years (IQR: 1.9-7.5). In single variable analysis, patients with shock tended to be older, had more neurological symptoms, more conjunctivitis and strawberry tongue, lower lymphocyte count, lower platelet counts, and higher C-reactive protein, higher procalcitonin, higher ferritin, and higher D-dimer levels than those without shock. The area under the ROC curve that used procalcitonin to be the risk factor of shock with MIS-C was 0.815 (95 % CI 0.644 to 0.987). The cutoff value obtained by ROC analysis of procalcitonin was 1.68 ng/mL. With this cutoff, the test characteristics of procalcitonin were as follows: sensitivity 77 %, specificity 93 %, positive predictive value 91 %, negative predictive value 82 %. Multivariable analysis revealed that procalcitonin was the only independent risk factor of shock with MIS-C on admission (OR, 26.00, 95 % CI, 1.01-668.89). CONCLUSIONS: MIS-C patients with high initial procalcitonin levels have higher risks of experiencing shock and may need ICU admission.

Effect of novel atmospheric-pressure jet pretreatment on the drying kinetics and quality of white grapes.

BACKGROUND: Raisin is a popular snack and a common constituent of many foods owing to its good flavor and nutritional value. Conventional drying of grapes can be a slow and energy-consuming process as their waxy surface hinders efficient moisture migration. A drying pretreatment that disrupts the waxy cuticle is usually applied to increase the drying rate. RESULTS: The application of an atmospheric-pressure air plasma jet to the grape surface could effectively enhance the drying kinetics and decrease the drying time by more than 20%. Through etching of the waxy cuticle, the air plasma jet optimally improves the quality of the final product. Although the surface hydrophilicity was increased by 40%, the physical appearance, color, and texture of plasma-treated raisins were similar to the product from untreated control and chemical-treated groups. A more than twofold increase in the total phenolic content and antioxidant capacity was observed when compared to other experimental groups. CONCLUSIONS: The results indicate that atmospheric plasma could be a better option than using chemicals to pretreat grapes before drying since it leaves no toxic residue, while successfully preserving the product quality. This work shows the great potential for the application of atmospheric air plasma in the drying of food materials. © 2019 Society of Chemical Industry.

Analytical Solution for Whirling Speeds and Mode Shapes of a Distributed-Mass Shaft With Arbitrary Rigid Disks.

The purpose of this paper is to present an approach for replacing the effects of each rigid disk mounted on the spin shaft by a lumped mass together with a frequency-dependent equivalent mass moment of inertia so that the whirling motion of a rotating shaft-disk system is similar to the transverse free vibration of a stationary beam and the technique for the free vibration analysis of a stationary beam with multiple concentrated elements can be used to determine the forward and backward whirling speeds, along with mode shapes of a distributed-mass shaft carrying arbitrary rigid disks. Numerical results reveal that the characteristics of whirling motions are significantly dependent on the slopes of the associated natural mode shapes at the positions where the rigid disks are located. Furthermore, the results obtained from the presented analytical method and those obtained from existing literature or the finite element method (FEM) are in good agreement.

Weighted moments estimators of the parameters for the extreme value distribution based on the multiply type II censored sample.

We propose the weighted moments estimators (WMEs) of the location and scale parameters for the extreme value distribution based on the multiply type II censored sample. Simulated mean squared errors (MSEs) of best linear unbiased estimator (BLUE) and exact MSEs of WMEs are compared to study the behavior of different estimation methods. The results show the best estimator among the WMEs and BLUE under different combinations of censoring schemes.

A Simple Approach for Regenerating Electrolyzed Hydrogen Production Using Non-De-Ionized Water Sources.

This research focuses on using natural renewable water resources, filters, and performance recovery systems to reduce the cost of generating pure hydrogen for Proton Exchange Membrane Fuel Cells (PEMFCs). This study uses de-ionized (DI) water, tap water, and river water from upstream as the water source. Water from these sources passes through 1 µm PP filters, activated carbon, and reverse osmosis for filtering. The filtered water then undergoes hydrogen production experiments for a duration of 6000 min. Performance recovery experiments follow directly after hydrogen production experiments. The hydrogen production experiments show the following: DI water yielded a hydrogen production rate of 27.13 mL/min; unfiltered tap water produced 15.41 mL/min; unfiltered upstream river water resulted in 10.03 mL/min; filtered tap water yielded 19.24 mL/min; and filtered upstream river water generated 18.54 mL/min. Performance recovery experiments conducted by passing DI water into PEMFCs for 15 min show that the hydrogen generation rate of tap water increased to 25.73 mL/min, and the rate of hydrogen generation of upstream river water increased to 22.58 mL/min. In terms of cost-effectiveness, under the same volume of hydrogen production (approximately 600 kg/year), using only DI water costs 1.8-times more than the cost of using filtered tap water in experiments.

Inactivating Salmonella Enteritidis on shell eggs by using ozone microbubble water.

The major pathogen associated with eggs is Salmonella enterica subsp. enterica serovar Enteritidis (S. Enteritidis) and chlorine washing is the most widely used for sanitization. Microbubble, a novel technique and able to operate in large quantity, has been presented to be an alternative method. Thus, microbubble water combining with ozone (OMB) was applied to disinfect S. Enteritidis spiked on shells at 107 cells per egg. OMB was generated by injecting ozone into a Nikuni microbubble system, then delivered into 10 L of water. After 5, 10, or 20 min of activation time, the eggs were placed into OMB and washed for 30 or 60 s. The controls involved unwashed, water washing, ozone only, and microbubble only (MB). The highest reduction, 5.19 log CFU/egg, was achieved by the combination of 20-min activation and 60-s washing, which was used for following tests of large water quantities. Comparing with the unwashed control, 4.32, 3.73 and 3.07 log CFU/egg reductions were achieved in 25, 80, and 100 L of water, respectively. The other system, Calpeda, with higher motor power was tested in 100 L and obtained a reduction of 4.15 log CFU/egg. The average diameter of bubbles generated by Nikuni and Calpeda pump systems were 29.05 and 36.50 µm, respectively, which both were within the microbubble definition of ISO. Much lower reductions, around 1-2 log10 CFU/egg, were shown with the treatments of ozone only and MB by the same operative parameters. After 15-day storage at ambient temperature, the OMB-treated eggs showed similar sensory quality with the unwashed ones. This is the first study demonstrating that OMB effectively inactivates S. Enteritidis on shell eggs in large quantity of water and does not diminished the sensory characteristics of eggs. Furthermore, bacterial population was under the detection limit in the OMB-treated water.

Genotoxicity of dicrotophos, an organophosphorous pesticide, assessed with different assays in vitro.

Dicrotophos is a systemic insecticide with a wide range of applications. We investigated the genotoxicity of dicrotophos using the Ames test, the chromosome aberration test in CHO-K1 cells, and the comet assay in the Hep G2 cells, while this chemicals' toxicity to both the cell lines was evaluated with the MTT assay. Results showed that dicrotophos did not show any cytotoxicity to CHO-K1 cells, whereas it was cytotoxic to HepG2 cells incubated for 24 h but not for 2 h. For genotoxicity of dicrotophos, a significant change in the numbers of bacterial reveratnts using Salmomella typhimurium TA97a, TA98, TA100, TA102, and TA1535 as the tester strains, an increase in the frequencies of chromosome aberration in CHO-K1 cells, and an induced DNA damage in HepG2 cells were observed, indicating that dicrotophos was genotoxic in these three performed assays. From this study, we provide further evidence towards of genotoxic effects of dicrotophos.

Correction to "On the Performance of Proton Exchange Membrane Fuel Cells with a Catalyst Layer Fabricated Using an Inorganic Dispersant with Various Ultrasonic Mixing".

[This corrects the article DOI: 10.1021/acsomega.1c05777.].

On the Performance of Proton Exchange Membrane Fuel Cells with a Catalyst Layer Fabricated Using an Inorganic Dispersant with Various Ultrasonic Mixing.

This study utilizes both an inorganic dispersant, montmorillonite, and an organic dispersant (AS-1164) with 1.6 and 3.2 mgPt/cm2 platinum coatings that underwent various frequencies of ultrasonic mixing (40, 80, and 120 kHz) to fabricate proton exchange membrane fuel cells (PEMFCs). The performance of these PEMFCs was then compared. At room temperature and a hydrogen gas flow rate of 15 sccm. After undergoing 3 h of vibration at 120 kHz, the 1.6 mgPt/cm2 platinum-coated organic sample has a power density of 3.69 mW/cm2, while its inorganic counterpart has an impressive power density of 4.49 mW/cm2. In addition, using the 1.6 mgPt/cm2 platinum-coated inorganic dispersants that underwent vibration at 40 kHz, its resulting power density is only 0.95 mW/cm2. This result shows that the distribution of platinum coating is more even under high-frequency vibrations than low-frequency ones.

Tunable optical properties of a two-dimensional square-lattice superconductor-dielectric Bragg reflector.

We numerically analyze the optical properties of a two-dimensional (2D) superconducting Bragg reflector (SBR) using the finite element method in conjunction with a two-fluid model. It is found that the wavelength-dependent reflectance spectra of the proposed 2D SBR are strongly dependent on the polarizations of incident light and can be parametrically tuned by the system temperature and the geometric parameters of embedded dielectric rods. Taking advantage of the dispersive superconductor with its zero-refractive index characteristic and the structural periodicity of the proposed superconducting structure, narrow passband filters can be generated near the threshold wavelength. Furthermore, the narrow passband features of the 2D SBR are found to be sustained up to a very large angle of incidence. The extraordinary optical properties imply that the proposed 2D SBR may be applied to the design of an omnidirectional narrowband transmission filter.

The Antibacterial Efficacy and Mechanism of Plasma-Activated Water Against Salmonella Enteritidis (ATCC 13076) on Shell Eggs.

Eggs are one of the most commonly consumed food items. Currently, chlorine washing is the most common method used to sanitize shell eggs. However, chlorine could react with organic matters to form a potential carcinogen, trihalomethanes, which can have a negative impact on human health. Plasma-activated water (PAW) has been demonstrated to inactivate microorganisms effectively without compromising the sensory qualities of shell eggs. For this study, various amounts (250, 500, 750, or 1000 mL) of PAW were generated by using one or two plasma jet(s) at 60 watts for 20 min with an air flow rate at 6 or 10 standard liters per minute (slm). After being inoculated with 7.0 log CFU Salmonella Enteritidis, one shell egg was placed into PAW for 30, 60, or 90 s with 1 or 2 acting plasma jet(s). When 2 plasma jets were used in a large amount of water (1000 mL), populations of S. Enteritidis were reduced from 7.92 log CFU/egg to 2.84 CFU/egg after 60 s of treatment. In addition, concentrations of ozone, hydrogen peroxide, nitrate, and nitrite in the PAW were correlated with the levels of antibacterial efficacy. The highest concentrations of ozone (1.22 ppm) and nitrate (55.5 ppm) were obtained with a larger water amount and lower air flow rate. High oxidation reduction potential (ORP) and low pH values were obtained with longer activation time, more plasma jet, and a lower air flow rate. Electron paramagnetic resonance (EPR) analyses demonstrated that reactive oxygen species (ROS) were generated in the PAW. The observation under the scanning electron microscope (SEM) revealed that bacterial cells were swollen, or even erupted after treatment with PAW. These results indicate that the bacterial cells lost control of cell permeability after the PAW treatment. This study shows that PAW is effective against S. Enteritidis on shell eggs in a large amount of water. Ozone, nitrate, and ROS could be the main causes for the inactivation of bacterial cells.

Determination of enantiomerization barrier of thioridazine by dynamic capillary electrophoresis using sulfated cyclodextrins as chiral selectors.

The enantiomerization of thioridazine (THD) using sulfated beta-CDs (S-beta-CDs) as chiral selectors in a citrate buffer at pH 3.0 was investigated by dynamic CE. The enantiomers of THD were well separated with dual CD systems consisting of S-beta-CD and a neutral CD. The electropherograms featuring a plateau formation, which indicated the occurrence of the enantiomerization of THD were obtained. The unified equation implemented in the software program DCXplorer was employed to evaluate elution profiles and to determine rate constants of the enantiomerization of THD. Activation parameters were evaluated from temperature-dependent measurements between 15 and 25 degrees C with an increment of 2 degrees C. The enantiomerization barriers of THD in two different electrophoretic systems were determined. Comparative studies on enantioseparation of THD using S-beta-CDs with different degree of substitution and positions of sulfate substituent, such as randomly sulfate-substituted beta-CD, 18-sulfate-substituted beta-CD and heptakis(2,3-dihydroxy-6-O-sulfo)-beta-CD reveal that the interactions between chiral selectors and THD plays an important role in the enantioseparation and enantiomerization of THD.

The Optimization of Plasma-Activated Water Treatments to Inactivate Salmonella Enteritidis (ATCC 13076) on Shell Eggs.

Egg is a regularly consumed food item. Currently, chlorinated water washing is the most common practice used to disinfect eggs, but this process has a negative environmental impact. A new physical technique, plasma-activated water (PAW), has been demonstrated to possess effective antibacterial activities without long-term chemical residue. In this study, air PAW was used to inactivate Salmonella enterica serovar Enteritidis on shell eggs. Different combinations of activation parameters, including water sources (reverse osmotic (RO) water, tap water), power (40 W, 50 W, 60 W) and activation time (10 min, 20 min, 30 min), were evaluated. The oxidation-reduction potential (ORP) and pH values of each combination were measured, and their antibacterial activity was tested in a bacterial suspension. Higher antibacterial activities, higher ORP values, and lower pH values were obtained with higher power, longer activation time, and lower water hardness. The antibacterial activities of PAW decreased rapidly by increasing the storage time both at room and refrigeration temperatures. Afterwards, RO water was pre-activated for 20 min at 60 W, and then the eggs inoculated with S. enteritidis were placed into PAW for 30 s, 60 s, 90 s, or 120 s with a plasma on-site treatment in the water. More than a 4 log reduction was obtained with 60-s and 120-s treatments. The results showed that the freshness indexes of the eggs treated with PAW were similar to those of the untreated controls and better than those of the eggs treated with commercial processes. In addition, observation under a scanning electron microscope also showed less surface damage of the cuticle on the PAW-treated eggs than on the commercially treated eggs. The results of this study indicate that PAW could be an effective antibacterial agent with less damage to the freshness of shell eggs than commercial methods.

Unusual Conductance Fluctuations and Quantum Oscillation in Mesoscopic Topological Insulator PbBi4Te7.

We present a detail study of Shubinikov-de-Haas (SdH) oscillations accompanied by conductance fluctuations in a mesoscopic topological insulator PbBi4Te7 device. From SdH oscillations, the evidence of Dirac fermions with π Berry phase is found and the experimentally determined two main Fermi wave vectors are correlated to two surface Dirac cones (buried one inside the other) of layered topological insulator PbBi4Te7. We have also found evidence of conductance fluctuations, the root mean square amplitude of which is much higher than the usual universal conductance fluctuations observed in nanometer size sample. Calculated autocorrelation functions indicate periodic unique fluctuations may be associated with the topological surface states in the compound.

Chiral separation of hydroxyflavanones in cyclodextrin-modified capillary zone electrophoresis using sulfated cyclodextrins as chiral selectors.

Chiral separations of three hydroxyflavanone aglycones, including 2'-, 3'-, and 4'-hydroxyflavanone, in capillary zone electrophoresis (CZE) using randomly sulfate-substituted beta-cyclodextrin (S-beta-CD) or dual cyclodextrin (CD) systems consisting of S-beta-CD and a neutral CD at low pH were investigated. The results indicate that S-beta-CD is an excellent chiral selector for enantioseparation of 2'-hydroxyflavanone and is a good chiral selector for 3'-hydroxyflavanone. Depending on the concentration of S-beta-CD ranging from 2.0 to 0.75% (w/v), the enantioresolution values were 10.5-19.5 and 1.8-3.4 for 2'- and 3'-hydroxyflavanone, respectively. The enantiomers of 4'-hydroxyflavanone could be effectively separated with S-beta-CD at a concentration of 2.0% (w/v) within 20 min. The enantioselectivity and enantioresolution follow the order 2'-hydroxyflavanone>>3'-hydroxyflavanone>4'-hydroxyflavanone. Alternatively, with the addition of sodium dodecyl sulfate (SDS) monomers at low concentrations in the electrophoretic system, enantioselectivity of these hydroxyflavanone aglycones could be enhanced with dual CD systems. In this case, SDS monomer acted as a complexing agent probably first with S-beta-CD and then subsequently with the analytes for increasing the effective electrophoretic mobility of the analytes towards the anode and as a selectivity controller for affecting the selectivity of hydroxyflavanones. Better enantioseparation between 2'-hydroxyflavanone and 3'-hydroxyflavanone could be achieved with a dual CD system consisting of S-beta-CD and gamma-CD than that with S-beta-CD and beta-CD. In addition, possible chiral recognition mechanisms of hydroxyflavanones are discussed.

Note: Making tens of centimeter long uniform microfluidic channels using commercial glass pipette.

Producing microchannels with diameters between 10 and 20 µm and with lengths in the tens of centimeters is reported. The method can be modified to obtain diameters as narrow as 350 nm. Length-to-diameter aspect ratios that surpass 104 can be produced for a fraction of current production costs. The controllable channel is produced by applying a flame to the narrow end of a commercial pipette that is made from a soda-lime silicate. In combination with a pulling mechanism, applying heat to the composite material lengthens the pipette in a highly uniform way. Given that the materials and methods in this research are cost-effective when compared to femtosecond laser micromachining on 2D silicon-based surfaces, further research into producing microchannels from soda-lime silicates may revolutionize access to 3D controllable microchannels.

Author Correction: Wound Healing in Streptozotocin-Induced Diabetic Rats Using Atmospheric-Pressure Argon Plasma Jet.

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper.

Wound Healing in Streptozotocin-Induced Diabetic Rats Using Atmospheric-Pressure Argon Plasma Jet.

In this study, we used an argon-based round atmospheric-pressure plasma jet (APPJ) for enhancing wound healing in streptozotocin (STZ) induced diabetic rats. The APPJ was characterized by optical emission spectroscopy. We induced Type 1 and Type 2 diabetes in rats with different amounts of STZ combined with normal and high-fat diets, respectively. The wound area ratio of all the plasma-treated normal and diabetic groups was greatly reduced (up to 30%) compared with that of the untreated groups during healing. Histological analysis revealed faster re-epithelialization, collagen deposition, less inflammation, and a complete skin structure in the plasma-treated groups was found as compared with the untreated control groups. In addition, the new blood vessels of plasma-treated tissues decreased more than untreated tissues in the middle (Day 14) and late (Day 21) stages of wound healing. The plasma-treated wounds demonstrated more transforming growth factor beta (TGF-ß) expression in the early stage (Day 7), whereas they decreased in the middle and late stages of wound healing. The levels of superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase (CAT) increased after plasma treatment. In addition, plasma-treated water had a higher concentration of hydrogen peroxide, nitrite and nitrate when the plasma treatment time was longer. In summary, the proposed argon APPJ based on the current study could be a potential tool for treating diabetic wounds.

Primary undifferentiated pleomorphic sarcoma of the left atrium that presented as acute pulmonary edema.

A 37-year-old woman was admitted to Dong-A University Hospital for rapidly progressive congestive heart failure. Transthoracic echocardiography demonstrated a large mass with a stalk that appeared to be a myxoma on the posterior wall of the left atrium. However, the histological diagnosis was undifferentiated pleomorphic sarcoma. We report a case of primary undifferentiated pleomorphic sarcoma of the left atrium with acute pulmonary edema caused by mitral inflow obstruction.

Elevated expression of RNA methyltransferase BCDIN3D predicts poor prognosis in breast cancer.

BACKGROUND: BCDIN3D is a member of the Bin3 methyl-transferase family that targets the 5' mono-phosphate of nucleic acids. Although BCDIN3D has been shown to increase tumorigenic phenotypes and invasiveness in MDA-MB-231 cells, its the clinical implications in breast cancer remain unclear. METHODS: We screened for BCDIN3D using tissue microarrays constructed from 250 patients who were histologically confirmed to have invasive ductal breast carcinoma at the Fudan University Shanghai Cancer Center. RESULTS: The survival analysis by Kaplan-Meier and Cox regression showed that BCDIN3D expression level served as a prognostic factor for disease-free survival (P = 0.042). The prognostic value of BCDIN3D was most significant in triple-negative breast cancer (TNBC) patients (P = 0.007). CONCLUSIONS: BCDIN3D might serve as an important prognostic factor for TNBC patients.