B-type brain natriuretic peptide as a measure of the severity of hand-foot-mouth disease: a case-control study.

BACKGROUND: Hand-foot-mouth disease (HFMD) is an acute infectious disease caused by enteroviruses, and HFMD complicated by cardiopulmonary failure has a high mortality. B type natriuretic peptide (BNP) is widely applied in monitoring cardiovascular disorders, and thus, we investigated whether this index was associated with the severity of HFMD and the outcome in severe HFMD. METHODS: Serum BNP, lactate, and glucose levels as well as white blood cell (WBC) count, PaO2/FiO2, and cardiac output (CO) were analyzed in the 83 enrolled HFMD patients according to different conditions (common, severe, and critical; with and without complication; and survivors and non-survivors). The control group consisted of 29 patients with respiratory tract infections. RESULTS: No significant differences in CO were observed between the groups. Serum lactate, glucose, BNP, and WBC levels in the critical group were significantly higher than those in the severe, common, and control groups (p < 0.01 or 0.05). The PaO2/FiO2 ratio was significantly lower in the critical group (214.286 ± 154.346) than in the other groups. According to logistic regression analysis, the areas under the curve for serum BNP, glucose, and PaO2/FiO2 of the patients with complications were 0.774, 0.738, and 0.75, respectively. Moreover, the BNP level was significantly higher in HFMD patients with complications and non-survivors. CONCLUSION: Our findings indicate that BNP could be a biochemical indicator for severe (critical) HFMD and used for prognosis in terms of complications and death. Combined with Glu and PaO2/FiO2 and clinical symptoms of HFMD, the value of BNP as an indicator became more precise and specific. Our results may provide another valuable, objective biochemical indicator for severe HFMD. TRIAL REGISTRATION NUMBER: ChiCTR-DDT-14004576 . Name of registry: Chinese Clinical Trial Registry. Date of registration: 2014-09-21.

Low-cost and highly efficient production of bacterial cellulose from sweet potato residues: Optimization, characterization, and application.

Bacterial cellulose (BC) is an emerging biological material with unique properties and structure, which has attracted more and more attention. In this study, Gluconacetobacter xylinus was used to convert sweet potato residues (SPR) hydrolysate to BC. SPR was directly used without pretreatment, and almost no inhibitors were generated, which was beneficial to subsequent glucan conversion and SPR-BC synthesis. SPR-BC production was 11.35 g/L under the optimized condition. The comprehensive structural characterization and mechanical analysis demonstrated that the crystallinity, maximum thermal degradation temperature, and tensile strength of SPR-BC were 87.39%, 263 °C, and 6.87 MPa, respectively, which were superior to those of BC produced with the synthetic medium. SPR-BC was added to rice straw pulp to enhance the bonding force between fibers and the indices of tensile, burst, and tear of rice straw paper. The indices were increased by 83.18%, 301.27%, and 169.58%, respectively. This research not only expanded the carbon source of BC synthesis, reduced BC production cost, but also improved the quality of rice straw paper.

Porous fibrous bacterial cellulose/La(OH)3 membrane for superior phosphate removal from water.

Lanthanum (La)-based nanoparticles (NPs) are promising candidates for phosphate removal owing to their inherently high affinity towards phosphate. However, significant challenges remain to be addressed before their practical deployment, especially the problems associated with their aggregation. Herein, we fabricated a high-efficient sorbent for phosphate removal through in-situ synthesizing La(OH)3 NPs on a natural support, bacterial cellulose (BC), which is pre-modified with polyethyleneimine. The resultant La(OH)3 NPs-immobilized BC with different La contents (BPLa-X) exhibited a highly fibrous porous structure, in which BPLa-3 was selected for further phosphate adsorption studies. BPLa-3 demonstrated a high adsorption capacity of 125.5 mg P g-1, and high adsorption selectivity due to the large surface area and abundant exposed active adsorption sites for phosphate. Additionally, BPLa-3 also displayed high reusability and still possessed high adsorption capacity after four consecutive cycles of adsorption-desorption. Therefore, the present adsorbent is believed to be a promising candidate for practical phosphate removal.

[Progress in detoxification of inhibitors generated during lignocellulose pretreatment].

Lignocellulose can be hydrolyzed by cellulase into fermentable sugars to produce hydrogen, ethanol, butanol and other biofuels with added value. Pretreatment is a critical step in biomass conversion, but also generates inhibitors with negative impacts on subsequent enzymatic hydrolysis and fermentation. Hence, pretreatment and detoxification methods are the basis of efficient biomass conversion. Commonly used pretreatment methods of lignocellulose are chemical and physic-chemical processes. Here, we introduce different inhibitors and their inhibitory mechanisms, and summarize various detoxification methods. Moreover, we propose research directions for detoxification of inhibitors generated during lignocellulose pretreatment.

Features correlated to improved enzymatic digestibility of corn stover subjected to alkaline hydrogen peroxide pretreatment.

As one of the leading pretreatment approaches, alkaline hydrogen peroxide (AHP) pretreatment can enhance the enzymatic digestibility of lignocellulose significantly. In this study, the glucan conversion of AHP pretreated corn stover (CS) without and with water-wash were 28.4% and 50.0% higher than that of raw material, respectively. In order to systematically understand its mechanism, analyses of the features of AHP pretreated and raw CS, such as specific surface area, crystallinity, zeta potential, water holding capacity and swelling capacity and others were performed. The weight-average molecular weight (Mw) of the sugars in the hydrolysate and the particle size distribution of the hydrolysis residue were also analyzed. These results explained why AHP-CS was more conducive to enzymatic hydrolysis. The deeper reason was that the removal of lignin and the destruction of hydrogen bonds within cellulose and hemicellulose increased the accessibility of cellulose and reduced the non-productive adsorption of cellulase, which significantly improved the enzymatic digestibility.

Enhanced enzymatic digestibility of poplar wood by quick hydrothermal treatment.

To elevate the glucose yield from the enzymatic hydrolysis of poplar wood for bio-ethanol production, quick hydrothermal treatment (QHT) was conducted at 200 °C for a short period of time from 5 min to 25 min. It was found that the QHT could remove >85% of the hemicelluloses and ~30% of the lignin in the poplar wood, and achieve 82% cellulose conversion at a low cellulase dosage of 10 FPU/g substrate. The enhancement digestibility of poplar wood was ascribed to the higher accessibility of cellulose, as the specific surface area of the substrate increased from 3.0 m2/g to 7.1 m2/g from the of untreated wood to the QHT-treated wood. The results demonstrate the improvements in digestibility and hydrolysis rates after QHT.

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis.

OBJECTIVE: This meta-analysis aimed to investigate the efficacy and safety of plastic wrap applied after birth and during NICU in preterm infants for prevention of heat loss in preterm infants. STUDY METHODS: The Medline (1950 to August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL, Issue 7, 2015), CINAHL (1982 to August 2015) and the Embase (1974 to August 2015) databases were searched for randomized controlled trials (RCTs) or quasi-RCTs with main outcomes related to the core temperature (baseline temperature and/or post-stabilization temperature), hypothermia, mortality rate and hyperthermia. RESULT: The included studies were of low to moderate quality. Compared with unwrapped infants, plastic wrap was associated with a significantly higher baseline temperature and post-stabilization temperature both in infants < 28 weeks of gestation (mean difference [MD] = 0.62, 95% CI 0.38 to 0.85; MD = 0.41, 95% CI 0.33 to 0.50, respectively), and in infants between 28 to 34 weeks of gestation (MD = 0.54, 95% CI 0.21 to 0.87; MD = 0.64, 95% CI 0.45 to 0.82, respectively). Use of plastic wrap was associated with lower incidence of hypothermia (relative risk [RR] = 0.70, 95% CI 0.63 to 0.78). However, use of plastic wrap in preterm infants was not associated with decrease in mortality (RR: 0.88, 95% CI 0.70 to 1.12, P = 0.31). Incidence of hyperthermia was significantly higher in the plastic wrap group as compared to that in the control group (RR = 2.55, 95% CI: 1.56 to 4.15, P = 0.0002). Hyperthermia in the plastic wrap group was resolved within one or two hours after unwrapping the babies. CONCLUSION: Plastic wrap can be considered an effective and safe additional intervention to prevent hypothermia in preterm infants. However, its cost-effectiveness and long-term effect on mortality needs to be ascertained by conducting well-designed studies with longer follow-up period.

Fractionation of oil palm empty fruit bunch by bisulfite pretreatment for the production of bioethanol and high value products.

In this work, fractionation of empty fruit bunch (EFB) by bisulfite pretreatment was studied for the production of bioethanol and high value products to achieve biorefinery of EFB. EFB was fractionated to solid and liquor components by bisulfite process. The solid components were used for bioethanol production by quasi-simultaneous saccharification and fermentation. The liquor components were then converted to furfural by hydrolysis with sulfuric acid. Preliminary results showed that the concentration of furfural was highest at 18.8g/L with 0.75% sulfuric acid and reaction time of 25min. The conversion of xylose to furfural was 82.5%. Furthermore, we attempted to fractionate the liquor into hemicellulose sugars and lignin by different methods for producing potential chemicals, such as xylose, xylooligosaccharide, and lignosulfonate. Our research showed that the combination of bisulfite pretreatment and resin separation could effectively fractionate EFB components to produce bioethanol and other high value chemicals.

Bisulfite pretreatment changes the structure and properties of oil palm empty fruit bunch to improve enzymatic hydrolysis and bioethanol production.

Bisulfite pretreatment is a proven effective method for improving the enzymatic hydrolysis of empty fruit bunch (EFB) from oil palm for bioethanol production. In this study, we set out to determine the changes that occur in the structure and properties of EFB materials and fractions of hemicellulose and lignin during the bisulfite pretreatment process. The results showed that the crystallinity of cellulose in EFB increased after bisulfite pretreatment, whereas the EFB surface was damaged to various degrees. The orderly structure of EFB, which was maintained by hydrogen bonds, was destroyed by bisulfite pretreatment. Bisulfite pretreatment also hydrolyzed the glycosidic bonds of the xylan backbone of hemicellulose, thereby decreasing the molecular weight and shortening the xylan chains. The lignin fractions obtained from EFB and pretreated EFB were typically G-S lignin, and with low content of H units. Meanwhile, de-etherification occurred at the ß-O-4 linkage, which was accompanied by polymerization and demethoxylation as a result of bisulfite pretreatment. The adsorption ability of cellulase differed for the various lignin fractions, and the water-soluble lignin fractions had higher adsorption capacity on cellulase than the milled wood lignin. In general, the changes in the structure and properties of EFB provided insight into the benefits of bisulfite pretreatment.