A preliminary clinical trial comparing wet silver dressings versus wet-to-dry povidone-iodine dressings for wound healing in pemphigus vulgaris patients.

There is insufficient evidence concerning the efficacy of wet silver-containing dressings for wound healing in pemphigus vulgaris (PV). In this randomized, controlled clinical trial, 58 patients with PV skin erosions (10%-70% body surface area) were assigned to receive either wet silver-containing dressings (n = 28) or wet to dry povidone-iodine dressings as a control (n = 30). The patients in the treatment group demonstrated a significant improvement in the number of dressing changes, wound healing time, and duration of hospital stay compared with the control group. Patients treated with wet silver dressings had significantly lower NRS pain scores and reported better subjective satisfaction compared with the control group. The only adverse reactions were an occasional abnormal discharge or infection, but there was no difference between the two groups. In our study the wet silver-containing dressings were safe and effective for the treatment of wound healing in PV patients.

[Association between S100B gene polymorphisms and hand, foot and mouth disease caused by enterovirus 71 infection].

OBJECTIVE: To investigate the association between rs9722 polymorphisms in the S100B gene and hand, foot and mouth disease (HFMD) caused by enterovirus 71. METHODS: A total of 124 HFMD children with enterovirus 71 infection were enrolled as subjects, and 56 healthy children were enrolled as control group. The rs9722 polymorphisms in the S100B gene were detected for both groups, and the serum level of S100B protein was measured for 74 HFMD children. RESULTS: The rs9722 locus of the S100B gene had three genotypes, CC, CT, and TT, and the genotype frequencies were in accordance with Hardy-Weinberg equilibrium. Compared with the control group, the HFMD group had significant increases in the frequencies of TT genotype and T allele (P<0.01). Children with severe HFMD caused by enterovirus 71 infection had significantly higher frequencies of TT genotype and T allele than those with moderate or mild HFMD (P<0.05). Compared with the cured patients, the patients with poor prognosis had significant increases in the frequencies of TT genotype and T allele in the rs9722 locus of the S100B gene (P<0.05). Among the 74 children with HFMD, the children with TT genotype had the highest serum level of S100B protein, and those with CC genotype had the lowest level (P<0.01). CONCLUSIONS: T allele in the rs9722 locus of the S100B gene might be a risk factor for severe HFMD caused by enterovirus 71 infection.

Clinical characteristics and surgical techniques of trigeminal neuralgia caused simply by venous compression.

OBJECTIVE: The objective of this study was to introduce the operation essentials for treatment of patients with vein compression so as to obtain a satisfactory decompression without sacrificing veins. METHODS: We chose 15 patients with trigeminal neuralgia caused by venous from June 15, 2010, through June 15, 2011, and performed microvascular decompression for each patient. By collecting clinical data, such as preoperative magnetic resonance imaging scans, key operative procedures, surgical outcomes, and complications, we explored the operation techniques for these patients and finally summarized our experiences and ideas. RESULTS: For all the 15 patients, 9 cases had excellent remission, 3 cases had delayed excellent remission, 1 case had good remission, and 2 cases had failed result; the total remission rate was 86.7%; 3 cases had facial numbness. CONCLUSIONS: For patients with vein compression, we combine the following 4 procedures together: (1) fully releasing the arachnoid around trigeminal nerve, (2) exploration and decompression of the whole trigeminal root from Meckel cave to pons, (3) cauterization of companioned petrosal vein tributaries by bipolar coagulation, and (4) placing Teflon between trigeminal nerve and offending petrosal vein, thus could acquire a satisfactory effect (remission rate, 86.7%).

3D-printed bioink loading with stem cells and cellular vesicles for periodontitis-derived bone defect repair.

The suitable microenvironment of bone regeneration is critically important for periodontitis-derived bone defect repair. Three major challenges in achieving a robust osteogenic reaction are the exist of oral inflammation, pathogenic bacteria invasion and unaffluent seed cells. Herein, a customizable and multifunctional 3D-printing module was designed with glycidyl methacrylate (GMA) modified epsilon-poly-L-lysine (EPLGMA) loading periodontal ligament stem cells (PDLSCs) and myeloid-derived suppressive cells membrane vesicles (MDSCs-MV) bioink (EPLGMA/PDLSCs/MDSCs-MVs, abbreviated as EPM) for periodontitis-derived bone defect repair. The EPM showed excellent mechanical properties and physicochemical characteristics, providing a suitable microenvironment for bone regeneration.In vitro, EPMs presented effectively kill the periodontopathic bacteria depend on the natural antibacterial properties of the EPL. Meanwhile, MDSCs-MV was confirmed to inhibit T cells through CD73/CD39/adenosine signal pathway, exerting an anti-inflammatory role. Additionally, seed cells of PDLSCs provide an adequate supply for osteoblasts. Moreover, MDSCs-MV could significantly enhance the mineralizing capacity of PDLSCs-derived osteoblast. In the periodontal bone defect rat model, the results of micro-CT and histological staining demonstrated that the EPM scaffold similarly had an excellent anti-inflammatory and bone regeneration efficacyin vivo. This biomimetic and multifunctional 3D-printing bioink opens new avenues for periodontitis-derived bone defect repair and future clinical application.

Fully biobased poly(lactic acid)/lignin composites compatibilized by epoxidized natural rubber.

Biobased poly(lactic acid)/lignin (PLA/lignin) composites are limited by poor mechanical properties resulted from poor compatibility and low interfacial adhesion. Herein, we reported a novel approach to improve compatibility and interfacial adhesion of PLA/lignin composites via reactive compatibilization with epoxidized natural rubber (ENR) as a compatibilizer. Interfacial tension calculation indicated that lignin tended to act as interfacial phase between PLA and ENR, but morphology analysis demonstrated lignin was wrapped with a layer of ENR and dispersed in PLA matrix, which was attributed to the interfacial reaction of ENR with both PLA and lignin. The interfacial reaction was confirmed by Fourier transform infrared spectroscopy. The compatibility and interfacial adhesion between PLA and lignin were improved significantly by incorporation and increase in the content of ENR, as evidenced by the reduced interfacial gaps, blurry phase boundaries, and enhanced elastic response. As such, the mechanical properties of PLA/lignin composites were enhanced significantly. The tensile strength and elongation at break of PLA/lignin (W/W, 80/20) were improved by 15 % and 77 %, respectively, with the incorporation of only 1 wt% ENR. We believe this approach to compatibilize PLA/lignin composites is promising because it would not require costly modification of lignin and would not compromise the sustainability of composites.

Elucidating the production and inhibition of melanoidins products on anaerobic digestion after thermal-alkaline pretreatment.

The refractory organics released from waste activated sludge (WAS) are unwanted produced in thermal-alkaline pretreatment, which are not well documented. In this study, we refer to them as melanoidins products (MPs) with characteristics of high molecular weight and inhibition to microbes. The results showed that these MPs from thermal-alkaline (80 °C and pH 10) pretreatment of WAS were identified with a broad molecular weight (>1000 Da). Dark-colored MPs were further verified from glucose and tryptophan as the model components, with values of UV280 and UV420 increasing. The produced MPs with a molecular weight of 1220, 6835, and even 21,200,000 Da were confirmed by SEC-HPLC. Unexpectedly, MPs were found to be electroactive with higher redox peak values than that of humic acids, which were almost not degraded by anaerobes as revealed by SEC-HPLC and 3D-EEM spectra. For the first time, the results demonstrated that MPs delayed volatile fatty acids production and reduced the methane yield (22-26% lower), which was likely attributed to the toxicity and/or electrons competition with anaerobes such as Methanosaeta. Thus, it is clear that MPs negatively impact anaerobic digestion after thermal-alkaline pretreatment, which shall be re-evaluated to minimize MPs when producing biochemicals from WAS.

Release and removal of algal organic matter during prechlorination and coagulation treatment of cyanobacteria-laden water: Are we on track?

A better understanding of the physicochemical properties and fate of algae-derived organic matter (AOM) in water treatments significantly benefits the control of algae-derived disinfection byprodcuts and process parameter optimization. In this study, we conducted a comprehensive investigation of the release and treatability of dissolved organic matter during prechlorination and postcoagulation treatments of cyanobacteria-laden source water via size-exclusion chromatography-tandem diode array detector, fluorescence detector and organic carbon detector. The results revealed that the allochthonous humic substances could protect algal cell membrane from damage during prechlorination at a low level of chlorine dose. Due to the release and oxidation of biopterins during prechlorination of M. aeruginosa cells, the variation of the humic-like fluorescence can be used to indicate the chlorine dose for a sufficient membrane damage of algae cells. The prechlorination of M. aeruginosa cells induced minimal release of large MW biopolymer fractions but much more release of low MW fractions E1 and E2 (i.e., unknown carbonaceous substances and fluorescent nitrogenous biopterins). The physically extracted AOM contained a large proportion of biopolymers and could not well represent those released during prechlorination treatment. During coagulation, the negative effect of humic substances on the coagulant demand to achieve algae removal was more remarkable than AOM released by prechlorination. The high-MW biopolymers and humic substances can be removed over 50% by coagulation. Among the low-MW carbonaceous fractions, E1 released by prechlorination can also be effectively removed via coagulation while fractions C, D (possibly oligopeptides or secondary aromatic metabolites & low MW acids) and nitrogenous biopterins were recalcitrant to coagulation. This study highlights the differences of AOM properties between physical extraction and prechlorination and provides a basis for drinking water treatment plants to give more attention to the recalcitrant low MW fractions in coagulation when treating algae-laden source water.

Single-Round Infectious Particle Antiviral Screening Assays for the Japanese Encephalitis Virus.

Japanese Encephalitis virus (JEV) is a mosquito-borne flavivirus with a positive-sense single-stranded RNA genome that contains a big open reading frame (ORF) flanked by 5'- and 3'- untranslated regions (UTRs). Nearly 30,000 JE cases with 10,000 deaths are still annually reported in East Asia. Although the JEV genotype III vaccine has been licensed, it elicits a lower protection against other genotypes. Moreover, no effective treatment for a JE case is developed. This study constructed a pBR322-based and cytomegaloviruses (CMV) promoter-driven JEV replicon for the production of JEV single-round infectious particles (SRIPs) in a packaging cell line expressing viral structural proteins. Genetic instability of JEV genome cDNA in the pBR322 plasmid was associated with the prokaryotic promoter at 5' end of the JEV genome that triggers the expression of the structural proteins in E. coli. JEV structural proteins were toxic E. coli, thus the encoding region for structural proteins was replaced by a reporter gene (enhanced green fluorescent protein, EGFP) that was in-frame fused with the first eight amino acids of the C protein at N-terminus and the foot-and-mouth disease virus (FMDV) 2A peptide at C-terminus in a pBR322-based JEV-EGFP replicon. JEV-EGFP SRIPs generated from JEV-EGFP replicon-transfected packaging cells displayed the infectivity with cytopathic effect induction, self-replication of viral genomes, and the expression of EGFP and viral proteins. Moreover, the combination of JEV-EGFP SRIP plus flow cytometry was used to determine the half maximal inhibitory concentration (IC50) values of antiviral agents according to fluorescent intensity and positivity of SRIP-infected packaging cells post treatment. MJ-47, a quinazolinone derivative, significantly inhibited JEV-induced cytopathic effect, reducing the replication and expression of JEV-EGFP replicon in vitro. The IC50 value of 6.28 µM for MJ-47 against JEV was determined by the assay of JEV-EGFP SRIP infection in packaging cells plus flow cytometry that was more sensitive, effective, and efficient compared to the traditional plaque assay. Therefore, the system of JEV-EGFP SRIPs plus flow cytometry was a rapid and reliable platform for screening antiviral agents and evaluating antiviral potency.

[Preparation and transfection of GFP plasmid DNA/cationic liposome complex].

OBJECTIVE: This work was directed at obtaining a better gene carrier to improve the effects of gene delivery. METHODS: Cationic liposomes made from cholesterol, lecithin and Eighteenth Amic by reverse evaporation technique were used for encapsulating plasmid DNA containing gfp gene. The DNA/liposome complexes differed in quantity of plasmid DNA. The sizes of complexes and the efficiency of encapsulation were detected. MTT assay was used to measure the cytotoxicities of complexes. The efficiency of transfection into COS1 cells was shown by observation of green fluorescent and measurement of fluorescent intensity. RESULTS: The average size of complexes was 562 nm, the encapsulating efficiency of DNA in microspheres reached 55%-65%. These DNA/Cationic liposome complexes could be transfected into mammalian cells, but they were different from each other in efficiency of transfection. The cytotoxicities of these complexes varied with the concentration of DNA in complexes, the quantities of complexes and the time of treatment by complexes. CONCLUSION: DNA/Cationic liposome complexes prepared by reverse evaporation technique could be applied in DNA delivery system.

Enhanced optical clearing of skin in vivo and optical coherence tomography in-depth imaging.

The strong optical scattering of skin tissue makes it very difficult for optical coherence tomography (OCT) to achieve deep imaging in skin. Significant optical clearing of in vivo rat skin sites was achieved within 15 min by topical application of an optical clearing agent PEG-400, a chemical enhancer (thiazone or propanediol), and physical massage. Only when all three components were applied together could a 15 min treatment achieve a three fold increase in the OCT reflectance from a 300 µm depth and 31% enhancement in image depth Z(threshold).

[Determination of kinetic parameters of activated sludge in an MBR wastewater treatment plant].

One of the main problems in application of MBR technology is lack of reliable kinetic parameters for process design. The activated sludge in the aerobic tank of an MBR municipal wastewater treatment plant was investigated therefore. Using oxygen utilization rate method, following kinetic parameters were measured: heterotrophic yield coefficient YH = 0.693, autotrophic yield coefficient Y(A) = 0.263, heterotrophic decay coefficient KdH, = 0.108 d(-1), autotrophic yield coefficient KdA = 0.089 d(-1), specific maximum COD removal rate v(mS), = 1.94 mg x (mg x d)(-1), half saturation constant for COD removal K(S) = 34.6 mg x L(-1), specific maximum ammonia removal rate vmN = 0.18 mg x (mg x d)(-1), half saturation constant for ammonia removal K(N) = 1.06 mg x L(-1). Compared with the normal reported data of conventional activated sludge process (CAS), Y(H), KdH obtained are higher and vmS, vmN are lower. The high sludge concentration condition of MBR process may account for those differences.

[Effect of ozone on membrane fouling in water and wastewater treatment: a research review].

As a high efficient water and wastewater treatment technology, membrane filtration has been mainly used in wastewater treatment as membrane bioreactor, in reclaiming secondary effluent,treating surface water and potable water, and etc. Membrane fouling is a main obstacle to the wide application of membrane technology. Ozone has strong oxidizing power and has been utilized widely in water and wastewater treatment. In recent years, researches on combined process of ozone-membrane filtration are increasing. This paper does reviews and analysis of these researches. It is noticed that there has been a few of researches on the ozone treatment plus MBR process. Pre-ozonation of feed to MBR and slight ozonation of the mixed liquid in MBR may be used to relieve membrane fouling.Combined processes of ozone-membrane filtration can be divided into three classes in terms of the function of ozone and the system configuration: (1) cleaning the fouled membrane with ozone; (2) separate ozone-membrane filtration process; (3) integrated ozone-membrane filtration process. Although most reports supported that ozonation can control membrane fouling development,there were contrary results. At present, researches on the mechanisms of ozone's effect on membrane fouling control concentrated on the change of organic composition of the filtration influent under ozonation, however, particulate substances, microbial and inorganic substances may also be affected and then play roles in membrane fouling, depending on source water quality and process configuration. Moreover, there have not been common parameters to evaluate the ozone diffusion equipment and efficiency. The authors suggest that further researches should emphasize on integrated ozone-membrane process, and more attention should be paid to the cost-effectiveness of the combined process.

Sugarcane bagasse mild alkaline/oxidative pretreatment for ethanol production by alkaline recycle process.

In order to decrease the alkali and water consumptions in the sugarcane bagasse alkaline/oxidative pretreatment for ethanol production, an alkaline recycle process was carried out. Two recycles of NaOH/H2O2 pretreatment did not decrease the pretreatment and enzymatic hydrolysis efficiencies and the consumptions of NaOH and water would be saved by 26% and 40%, respectively. A simultaneous saccharification and fermentation (SSF) culture with pretreated bagasse as substrate was developed giving 25 g ethanol l(-1) with a yield of 0.2 g g(-1) bagasse and productivity of 0.52 g l(-1) h(-1).

[Production of ligninolytic enzymes in bioreactor].

Production of ligninolytic enzymes under nitrogen limited conditions(C/N = 56/2.2) was studied in a 5-L stirred tank bioreactor with a working volume of 2 L for obtaining higher production of ligninolytic enzymes by white rot fungus Phanerochaete chrysosporium BKM-F-1767 and its control strategy. Results show that the manganese peroxidase (MnP) and laccase (Lac) reached peak at the sixth day and the seventh day, respectively, and the variation of them with time in a batch cultivation are similar to the results by agitated Erlenmeyer flasks; however higher enzyme activity was not achieved by applying a fed-batch strategy, in which nitrogen limited medium was fed to the reactor. In addition, variation of pH during cultivation was related to the growth of P. chrysosporium and enzymes production during both batch and fed-batch cultivation. The pH value of liquid medium began to decline when the enzyme activity occurred in the system, and the decline became more and more slow along with the decrease of enzyme activity at the end of fermentation. So, pH would be as a control parameter to find out the growth of P. chrysosporium and enzymes production during incubating P. chrysosporium. However, fed-batch strategy still need further study.

[Resistance analyses for recirculated membrane bioreactor].

The resistance analyses for recirculated membrane bioreactor by the resistance-in-series model and the modified gel-polarization model respectively were extended to the turbulent ultrafiltration system. The experiments are carried out by dye wastewater in a tubular membrane module, it is found that the permeate fluxes are predicted very well by these models for turbinate systems. And the resistance caused by the concentration polarization is studied; the gel layer resistance is the most important of all the resistances.