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1.
Environ Sci Technol ; 58(13): 6039-6048, 2024 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-38507701

RESUMEN

Membrane distillation (MD) has attracted considerable interest in hypersaline wastewater treatment. However, its practicability is severely impeded by the ineffective interception of volatile organic compounds (VOCs), which seriously affects the product water quality. Herein, a hypercrosslinked alginate (Alg)/aluminum (Al) hydrogel composite membrane is facilely fabricated via Alg pregel formation and ionic crosslinking for efficient VOC interception. The obtained MD membrane shows a sufficient phenol rejection of 99.52% at the phenol concentration of 100 ppm, which is the highest rejection among the reported MD membranes. Moreover, the hydrogel composite membrane maintains a high phenol interception (>99%), regardless of the feed temperature, initial phenol concentration, and operating time. Diffusion experiments and molecular dynamics simulation verify that the selective diffusion is the dominant mechanism for VOCs-water separation. Phenol experiences a higher energy barrier to pass through the dense hydrogel layer compared to water molecules as the stronger interaction between phenol-Alg compared with water-Alg. Benefited from the dense and hydratable Alg/Al hydrogel layer, the composite membrane also exhibits robust resistance to wetting and fouling during long-term operation. The superior VOCs removal efficiency and excellent durability endow the hydrogel composite membrane with a promising application for treating complex wastewater containing both volatile and nonvolatile contaminants.


Asunto(s)
Compuestos Orgánicos Volátiles , Purificación del Agua , Destilación , Hidrogeles , Membranas Artificiales , Fenol
2.
Environ Sci Technol ; 58(26): 11855-11863, 2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-38875312

RESUMEN

Polyamide (PA)-based nanofiltration (NF) membranes have demonstrated extensive applications for a sustainable water-energy-environment nexus. A rational control of interfacial polymerization (IP) is highly efficacious to enhance NF separation performance yet remains a technical challenge. Herein, we proposed a regulation strategy of constructing amphiphilic molybdenum disulfide/cetyltrimethylammonium bromide interlayer atop the Kevlar hydrogel substrate. The amphiphilic nanosheet interlayered NF membrane exhibited a crumpled PA surface with an elevated cross-linking degree of 76.9%, leading to an excellent water permeance (16.8 L m-2 h-1 bar-1) and an impressive Na2SO4 rejection (99.1%). Meanwhile, the selectivity coefficient of Na2SO4/NaCl of the optimized TFC membrane reached 91, surpassing those of the recently reported NF membranes. Moreover, the optimized membrane exhibited a desirable rejection of over 90% against Mn2+ and Cu2+ in actual textile wastewater. Importantly, the underlying NF membrane formation mechanism was elucidated via both experiments and molecular simulations. The synchronous control of mass and heat transfer of IP process offers a new methodology for the state-of-the-art membrane fabrication, which opens more avenues in softening of brackish water and purification of industrial wastewater containing heavy metal ions.


Asunto(s)
Membranas Artificiales , Polimerizacion , Purificación del Agua , Purificación del Agua/métodos , Nanoestructuras/química , Molibdeno/química
3.
Nano Lett ; 23(1): 371-379, 2023 01 11.
Artículo en Inglés | MEDLINE | ID: mdl-36441573

RESUMEN

Antibacterial amphiphiles normally kill bacteria by destroying the bacterial membrane. Whether and how antibacterial amphiphiles alter normal cell membrane and lead to subsequent effects on pathogen invasion into cells have been scarcely promulgated. Herein, by taking four antibacterial gemini amphiphiles with different spacer groups to modulate cell-mimic phospholipid giant unilamellar vesicles (GUVs), bacteria adhesion on the modified GUVs surface and bacteria engulfment process by the GUVs are clearly captured by confocal laser scanning microscopy. Further characterization shows that the enhanced cationic surface charge of GUVs by the amphiphiles determines the bacteria adhesion amount, while the involvement of amphiphile in GUVs results in looser molecular arrangement and concomitant higher fluidity in the bilayer membranes, facilitating the bacteria intruding into GUVs. This study sheds new light on the effect of amphiphiles on membrane bilayer and the concurrent effect on pathogen invasion into cell mimics and broadens the nonprotein-mediated endocytosis pathway for live bacteria.


Asunto(s)
Adhesión Bacteriana , Fluidez de la Membrana , Fosfolípidos , Liposomas Unilamelares , Bacterias/metabolismo , Antibacterianos/farmacología
4.
J Prosthet Dent ; 2024 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-38199946

RESUMEN

This clinical report describes a digital workflow for the rehabilitation of an 8-year-old patient diagnosed with ectodermal dysplasia. Based on the patient's digital primary casts, small custom trays and an arch tracer were designed and 3-dimensionally printed. The mandibular custom tray and retention plate with a tracing screw were assembled with tracing plate, forming an individual assembled mini-arch tracer system to record the jaw relationship together with a conventional facebow and a digital articulator. In addition, composite resin injection guides were designed and fabricated to form the predesigned targeted shape of the abutment teeth and provide a buffer. By following this workflow, complete overdentures with good fit, occlusion, and acceptable esthetics were delivered.

5.
J Prosthet Dent ; 2024 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-38782607

RESUMEN

A 6-year-old child with nonsyndromic oligodontia in the mixed dentition received a removable dental prosthesis with a polyetheretherketone framework and artificial gingiva, restoring esthetics and function. Computer-aided design and computer-aided manufacturing hemispherical glass-ceramic attachments were added to the teeth under the guidance of acid-etching and bonding guides to obtain an undercut area. The bonding and cementation of the attachments and the prosthesis delivery were completed in a single visit. This method offers a suitable prosthodontic treatment option for treating children with oligodontia in the mixed dentition.

6.
J Sci Food Agric ; 104(4): 2484-2492, 2024 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-37972116

RESUMEN

BACKGROUND: It is well known that hemp proteins have the disadvantages of poor solubility and poor emulsification. To improve these shortcomings, an alkali covalent cross-linking method was used to prepare hemp protein isolate-epigallocatechin-3-gallate biopolymer (HPI-EGCG) and the effects of different heat treatment conditions on the structure and emulsifying properties of the HPI-EGCG covalent complex were studied. RESULTS: The secondary and tertiary structures, solubility, and emulsification ability of the HPI-EGCG complexes were evaluated using particle size, zeta potential, circular dichroism (CD), and fluorescence spectroscopy indices. The results showed that the absolute value of zeta potential of HPI-EGCG covalent complex was the largest, 18.6 mV, and the maximum binding amount of HPI to EGCG was 29.18 µmol g-1 . Under heat treatment at 25-35 °C, the α-helix content was reduced from 1.87% to 0%, and the ß-helix content was reduced from 82.79% to 0% after the covalent binding of HPI and EGCG. The solubility and emulsification properties of the HPI-EGCG covalent complexes were improved significantly, and the emulsification activity index (EAI) and emulsion stability index (ESI) were increased by 2.77-fold and 1.21-fold, respectively. CONCLUSION: A new HPI-EGCG covalent complex was developed in this study to provide a theoretical basis for the application of HPI-EGCG in food industry. © 2023 Society of Chemical Industry.


Asunto(s)
Cannabis , Catequina , Catequina/análogos & derivados , Cannabis/química , Calefacción , Antioxidantes/química , Catequina/química , Biopolímeros
7.
Environ Sci Technol ; 57(41): 15725-15735, 2023 10 17.
Artículo en Inglés | MEDLINE | ID: mdl-37787747

RESUMEN

Membrane distillation (MD) is considered to be rather promising for high-salinity wastewater reclamation. However, its practical viability is seriously challenged by membrane wetting, fouling, and scaling issues arising from the complex components of hypersaline wastewater. It remains extremely difficult to overcome all three challenges at the same time. Herein, a nanocomposite hydrogel engineered Janus membrane has been facilely constructed for desired wetting/fouling/scaling-free properties, where a cellulose nanocrystal (CNC) composite hydrogel layer is formed in situ atop a microporous hydrophobic polytetrafluoroethylene (PTFE) substrate intermediated by an adhesive layer. By the synergies of the elevated membrane liquid entry pressure, inhibited surfactant diffusion, and highly hydratable surface imparted by the hydrogel/CNC (HC) layer, the resultant HC-PTFE membrane exhibits robust resistance to surfactant-induced wetting and oil fouling during 120 h of MD operation. Meanwhile, owing to the dense and hydroxyl-abundant surface, it is capable of mitigating gypsum scaling and scaling-induced wetting, resulting in a high normalized flux and low distillate conductivity at a concentration factor of 5.2. Importantly, the HC-PTFE membrane enables direct desalination of real hypersaline wastewater containing broad-spectrum foulants with stable vapor flux and robust salt rejection (99.90%) during long-term operation, demonstrating its great potential for wastewater management in industrial scenarios.


Asunto(s)
Aguas Residuales , Purificación del Agua , Nanogeles , Destilación/métodos , Purificación del Agua/métodos , Membranas Artificiales , Hidrogeles , Politetrafluoroetileno , Tensoactivos
8.
Support Care Cancer ; 32(1): 18, 2023 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-38091116

RESUMEN

INTRODUCTION: Bones are frequent sites of metastatic disease, observed in 30-75% of advanced cancer patients. Quality of life (QoL) is an important endpoint in studies evaluating the treatments of bone metastases (BM), and many patient-reported outcome tools are available. The primary objective of this systematic review was to compile a list of QoL issues relevant to BM and its interventions. The secondary objective was to identify common tools used to assess QoL in patients with BM, and the QoL issues they fail to address. METHODS: A search was conducted on Ovid MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases between 1946 and 27 January 2023 with the keywords "bone metastases", "quality of life", and "patient reported outcomes". Specific QoL issues in original research studies and the QoL tools used were extracted. RESULTS: The review identified the QoL issues most prevalent to BM in the literature. Physical and functional issues observed in patients included pain, interference with ambulation and daily activities, and fatigue. Psychological symptoms, such as helplessness, depression, and anxiety were also common. These issues interfered with patients' relationships and social activities. Items not mentioned in existing QoL tools were related to newer treatments of BM, such as pain flare, flu-like symptoms, and jaw pain due to osteonecrosis. CONCLUSIONS: This systematic review highlights that QoL issues for patients with BM have expanded over time due to advances in BM-directed treatments. If they are relevant, additional treatment-related QoL issues identified need to be validated prospectively by patients and added to current assessment tools.


Asunto(s)
Neoplasias Óseas , Calidad de Vida , Humanos , Neoplasias Óseas/secundario , Emociones , Ansiedad/terapia , Dolor/etiología
9.
Clin Oral Investig ; 27(1): 91-104, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36580161

RESUMEN

OBJECTIVES: We performed this network meta-analysis to determine the comparative efficacy of formocresol (FC), ferric sulfate (FS), sodium hypochlorite (NaOCl), calcium hydroxide (CH), mineral trioxide aggregate (MTA), biodentine, and laser for pulpotomy of molar teeth. MATERIALS AND METHODS: An updated search was conducted in PubMed, Embase, and the Cochrane Library to identify relevant randomized controlled trials (RCTs) published before October 30, 2022, after screening previous meta-analyses. The Cochrane risk of bias assessment tool was used to appraise the methodological quality of included studies. Clinical and radiographic success rates were assessed as outcomes. Random network meta-analysis was performed by using STATA software (version 14.0) with "network" command. RESULTS: A total of 43 RCTs were included. Network meta-analysis indicated that CH was inferior to other medicaments and techniques in all outcomes, and MTA and biodentine was better than FC, FS, and NaOCl in terms of clinical and radiographic success rates. Results of ranking probabilities suggested that MTA ranked first in all outcomes except for clinical success at both 6 months. CONCLUSIONS: Our results suggested that MTA was associated with significant improvement in both clinical and radiographic success than other pulpotomy medicaments and techniques, with the highest probability of being the optimal option. CLINICAL RELEVANCE: The current network meta-analysis determined the comparative efficacy and safety of 7 common pulpotomy medicaments in molar pulpotomy, including FC, FS, NaOCl, CH, MTA, biodentine, and laser, and the pooled results revealed comparable efficacy in clinical and radiographic success rates at 6 and 12 months between FC, FS, and NaOCl in primary molars pulpotomies. However, MTA, biodentine and laser may have more advantages than other pulpotomy medicaments for clinical and radiographic success. Therefore, in clinical practice, practitioners should select MTA, biodentine, or laser as pulpotomy medicaments in molar pulpotomy.


Asunto(s)
Óxidos , Pulpotomía , Pulpotomía/métodos , Metaanálisis en Red , Óxidos/uso terapéutico , Compuestos de Calcio/uso terapéutico , Hidróxido de Calcio/uso terapéutico , Silicatos/uso terapéutico , Diente Molar/diagnóstico por imagen , Diente Molar/cirugía , Combinación de Medicamentos , Diente Primario , Compuestos de Aluminio/uso terapéutico
10.
J Prosthet Dent ; 2023 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-36966100

RESUMEN

A clinical and laboratory workflow for the digital design and fabrication of zirconia crowns and polyetheretherketone removable partial dentures for complete arch rehabilitation is described. The definitive crowns and polyetheretherketone framework can be delivered simultaneously because of the digital design and milling fabrication with retentive areas, guide planes, and rest seats in high-translucency zirconia crowns. The workflow helps simplify clinical and laboratory procedures and reduces patient visits and chairside time.

11.
J Prosthet Dent ; 2023 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-37604753

RESUMEN

Polyetheretherketone (PEEK) has become popular for removable partial denture (RPD) frameworks but reports on their clinical follow-up and repair are lacking. Two defective PEEK-framework RPDs were repaired with computer-aided design and manufacturing technology, saving costs and time and simplifying the treatment process.

12.
J Sci Food Agric ; 103(13): 6566-6573, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37229570

RESUMEN

BACKGROUND: This study used enzymatic and Ca2+ cross-linking methods to prepare edible soy protein isolate (SPI) and sodium alginate (SA) interpenetrating polymer network hydrogels to overcome the disadvantages of traditional interpenetrating polymer network (IPN) hydrogels, such as poor performance, high toxicity, and inedibility. The influence of changes in SPI and SA mass ratio on the performance of SPI-SA IPN hydrogels was investigated. RESULTS: Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM) were used to characterize the structure of the hydrogels. Texture profile analysis (TPA), rheological properties, swelling rate, and Cell Counting Kit-8 (CCK-8) were used to evaluate physical and chemical properties and safety. The results showed that, compared with SPI hydrogel, IPN hydrogels had better gel properties and structural stability. As the mass ratio of SPI-SA IPN changed from 1:0.2 to 1:1, the gel network structure of hydrogels also tended to be dense and uniform. The water retention and mechanical properties of these hydrogels, such as storage modulus (G'), loss modulus (G"), and gel hardness increased significantly and were greater than those of the SPI hydrogel. Cytotoxicity tests were also performed. The biocompatibility of these hydrogels was good. CONCLUSIONS: This study proposes a new method to prepare food-grade IPN hydrogels with mechanical properties of SPI and SA, which may have strong potential for the development of new foods. © 2023 Society of Chemical Industry.


Asunto(s)
Alginatos , Hidrogeles , Hidrogeles/química , Alginatos/química , Polímeros/química , Proteínas de Soja , Espectroscopía Infrarroja por Transformada de Fourier
13.
Biotechnol Lett ; 44(12): 1477-1493, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36315299

RESUMEN

OBJECTIVES: As a type of agricultural waste, there is a large amount of lignocellulose in corn (Zea mays) straw, but it is difficult to utilize efficiently owing to its recalcitrance to enzymatic degradation. Three strains of actinomycetes that degrade cellulose were constructed as complex flora, and the conditions of cellulose degradation conditions and their degradative activity were optimized and evaluated. RESULTS: When the complex flora were inoculated into the fermentation medium at pH 7 and 3% (v/v), the rate of degradation of corn straw reached 38.24% after 5 d of fermentation at 28 ºC and 180 rpm. Cellulose, hemicellulose, and lignin in the corn straw were degraded by 33.97%, 34.08%, and 21.52%, respectively. The results from scanning electron microscopy showed that the waxy layer on the surface of corn straw became thin and gradually disappeared following fermentation by the complex flora. Fourier-transform infrared spectroscopy showed that the complex flora could change the internal functional groups of corn straw at different fermentation periods. The compounds detected in the fermentation system indicated that the corn straw was efficiently degraded. CONCLUSIONS: These results indicated that the constructed complex flora was more effective at degrading corn straw than the individual strains and provides research concepts for the development and utilization of biomass resources.


Asunto(s)
Actinobacteria , Zea mays , Zea mays/química , Actinobacteria/metabolismo , Actinomyces , Celulosa/metabolismo , Fermentación
14.
Plant Dis ; 2022 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-36256740

RESUMEN

China is the largest chili pepper producing country, and Hebei Province stands out as the forth with planting area at about 1500 km2 in China. Pepper (Capsicum annuum L.) is susceptible to Colletotrichum spp. infection during its growth, which seriously affects production yield and quality. In September 2020, widespread anthracnose was observed on pepper in Hebei (115.48° N, 38.77° E), China. Necrotic lesions on pepper fruits were suborbcular, sunken, with acervuli arranged in the middle of lesion (e-Xtra 1A). To perform fungal isolation, small tissue with 0.3 cm2 in size at the symptomatic tissue margin was surface disinfested with 75% ethanol for 10 s, and 0.1% HgCl2 for 40 s, then washed three times with sterile ddH2O. Fragments were placed on potato dextrose agar (PDA) amended with 100 mg·L-1 chloramphenicol and incubated at 28 ºC under darkness for 4 days. One of the strains of Colletotrichum spp., named HQY157, was purified by single-spore isolation, then used for morphological characterization, phylogenetic analysis, and pathogenicity tests. Colonies presented light grey aerial mycelium, occasionally mixed with gray-black strips, and the reverse was similar to the surface on PDA (e-Xtra 1B). Conidia were smooth-walled, aseptate, straight with obtuse to slightly rounded ends, 17.3-28.5 × 3.1-7.4 µm (n=50) (e-Xtra 1C). For molecular identification, the internal transcribed spacer (ITS) region, partial sequences of actin (ACT), ß-tublin (TUB), glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and chitin synthase (CHS) were sequenced using the specific primers (Weir et al. 2012). Sequences were deposited in GenBank with the following accession numbers OM317600-OM317604. A Maximum-Likelihood phylogenetic tree was constructed, based on the concatenated sequences (ACT, CHS, GAPDH, TUB, and ITS) of HQY157 and other closely matching Colletotrichum species obtained from GenBank, by using MEGA-X. It showed that HQY157 was grouped with the C. sojae with bootstrap values of 100% (e-Xtra 2). To confirm the pathogenicity, surface-sterilized healthy pepper fruits and healthy fruits with wounds (deal with a sterile toothpick after surface-sterilized) were then inoculated with 2 µL of conidial suspension (106 conidia/mL). The fruits inoculated with 2 µL sterile distilled water were taken as negative controls. After inoculation, the fruits were kept in a plastic box with sterilized filter paper moistened with sterilized water, and maintained at 25°C in the dark. The experiment was repeated three times. Anthracnose symptoms were observed 7 days after inoculation on the wounded pepper fruits, whereas the unwounded and negative control fruits remained symptomless (e-Xtra 1D). Colletotrichum sojae was re-isolated from the infected pepper fruits and identified by morphological and molecular analysis, fulfilling Koch's postulates. Colletotrichum sojae occurs mainly on Fabaceae plants such as Glycine max, Medicago sativa, Phaseolus vulgaris, and Vigna unguiculata (Damm et al. 2019, Talhinhas and Baroncelli, 2021), and Panax quinquefolium (Guan et al. 2021). To our knowledge, this is the first report of C. sojae causing anthracnose on pepper in China. This study provided crucial information for epidemiologic studies and appropriate control strategies for this chili pepper disease.

15.
J Prosthet Dent ; 2022 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-36357192

RESUMEN

STATEMENT OF PROBLEM: The accuracy and optimal dimensions of computer numerical control (CNC)-milled polyetheretherketone (PEEK) removable partial denture (RPD) clasps are unclear. PURPOSE: The purpose of this in vitro study was to investigate the trueness and precision of CNC-milled PEEK clasps with different thicknesses and lengths. MATERIAL AND METHODS: Ladder-shaped specimens of 2 thicknesses with 5 lengths of clasps were designed and milled with PEEK and commercially pure titanium (CP Ti) (n=6). All milled specimens were scanned and superimposed onto the design data. Three-dimensional and 2-dimensional deviation analyses were carried out to evaluate the trueness of milled PEEK clasps. The scanning data of each group were superimposed pairwise, and the 3-dimensional deviations were analyzed to evaluate the precision. Nonparametric tests, ANOVA, the Pearson correlation, and univariate linear regression were used for statistical analysis (α=.05). RESULTS: The deviation of trueness of the PEEK clasps (0.047 to 0.164 mm) was higher than that of the CP Ti clasps (0.037 to 0.060 mm) (P<.001). Increasing the length of the clasps increased the deviations (P<.001). Deviation in the 2 thicknesses was not significantly different (P=.210). The correlation coefficients of 1.0-mm-thick and 1.5-mm-thick PEEK and CP Ti clasps were 0.843, 0.794, 0.638, and 0.405. The positive correlation coefficients of PEEK were higher than those of CP Ti and those of 1.0-mm-thick clasps was higher than those of 1.5-mm-thick clasps. The deviations were evenly distributed in the 9-mm length of the clasp for CP Ti and in the 6-mm length of the clasp for PEEK. Beyond these lengths, deviations increased with increased length. The increasing amplitude of CP Ti was smaller than that of the PEEK group, and that of the 1.5-mm-thick clasp was smaller than that of the1.0-mm-thick clasp. The measured range of precision of PEEK clasps was 0.079 to 0.152 mm, while that of CP Ti clasps was 0.036 to 0.096 mm. CP Ti clasps tended to have better precision than PEEK clasps, except for the 1.0-mm-thick clasps with a length greater than 9 mm and the 1.5-mm-thick clasp with a 12-mm length. The correlation of the clasp length with precision showed that the lengths of 1.0-mm-thick clasps strongly influenced precision (PEEK, P=.020; CP Ti, P<.001); this correlation decreased sharply when the thickness of clasps was 1.5 mm (PEEK, P=.199; CP Ti, P=.107). CONCLUSIONS: Greater elasticity increased the deviations of milled clasps. The increased thickness helped the clasp remain stable during the milling process. The 1.5-mm-thick PEEK clasps in the 3-mm and 6-mm lengths were the optimal design tested.

16.
J Prosthodont ; 31(9): 738-743, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35946867

RESUMEN

Children with ectodermal dysplasia and complete anodontia experience difficulties in oral rehabilitation because of the small arch size. A case of a 7-year-old boy, whose arch size (length and width) was 30-40% smaller than that of a male adult and who presented with difficulties in jaw relation recording using commercially available devices is described. A digital workflow involving a mini arch tracer was introduced. Primary impressions were made using three-dimensionally (3D) printed mini trays produced based on the patient's computed tomography images, and digital primary casts were obtained based on the scanned and reversed primary impressions. The final custom impression trays with mini tracing plates were designed based on the primary casts. In addition, the hand shank, retention plate, and retainers were placed on the designed custom trays and 3D-printed to produce an individual arch tracer system. In addition, two height-checking buckles were designed to help adjust the height of a tracing screw. Finally, the jaw relation of the patient was recorded and transferred, and a set of complete dentures were delivered, satisfying both the patient and his family.


Asunto(s)
Anodoncia , Displasia Ectodérmica , Humanos , Niño , Masculino , Anodoncia/rehabilitación , Dentadura Completa , Displasia Ectodérmica/complicaciones , Técnica de Impresión Dental
17.
J Oral Maxillofac Surg ; 79(11): 2257-2266, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34119477

RESUMEN

PURPOSE: The rational time for intubation during early mandibular distraction osteogenesis (MDO) in infants is unknown. To investigate the differences in clinical outcomes following MDO before and after a standardized extubation protocol implementation in infants. METHODS: A retrospective cohort study was performed for infant patients under 1 year old undergoing MDO. The study population was composed of all patients presenting for evaluation and management who underwent MDO between November 2016 and February 2021. We divided them into 2 groups: the pre-protocol group and the protocol group. The inpatient charts of infants were assessed. The primary outcome was respiratory events after extubation. The secondary outcomes were duration of mechanical ventilation (MV), postoperative length of stay (LOS), and success rate of the first extubation. Other variables included age, sex, weight, height, and information related to diagnosis, distraction, anesthesia, and operation. The logistic regression model and linear regression model were used to calculate unadjusted and adjusted relative risk (RR) and mean difference (MD) for associations between 2 groups and the primary and secondary outcomes. RESULTS: There were 142 infants in the pre-protocol group and 135 infants in the protocol group. The patients in the protocol group were heavier in weight than those in the pre-protocol group (P<.05). The Cormack-Lehane grade and the duration of operation and anesthesia were higher and longer in the pre-protocol group than in the protocol group (P<.05). Respiratory events after extubation were significantly more common in the pre-protocol group than in the protocol group [21.1 vs. 9.6%, adjusted relative risk 0.46 (95% CI 0.22-0.89), P <.01]. CONCLUSIONS: Among infants undergoing MDO, the standardization of extubation practices can reduce respiratory events after extubation compared with traditional management.


Asunto(s)
Extubación Traqueal , Osteogénesis por Distracción , Humanos , Lactante , Mandíbula/cirugía , Respiración Artificial , Estudios Retrospectivos
18.
J Prosthodont ; 30(5): 376-383, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33639025

RESUMEN

Making impressions in patients with microstomia is often rather problematic due to their restricted mouth opening. Herein, this report describes a novel digital workflow for making impressions with computer-aided design and computer-aided manufacturing (CAD/CAM) custom sectional trays for a 58-year-old female patient with scleroderma and microstomia. CAD/CAM custom sectional trays were made based on digital dentition models from another case with similar arch scale. After the sectional impressions were obtained, the sectional casts were scanned and digitally aligned to form the final dentition models. The removable partial dentures were designed on the final digital models and printed using a 3D printer. This procedure was executed with a successful prosthetic outcome that included good fit and acceptable esthetics. The patient also reported a high level of satisfaction.


Asunto(s)
Microstomía , Diseño Asistido por Computadora , Técnica de Impresión Dental , Estética Dental , Femenino , Humanos , Microstomía/complicaciones , Persona de Mediana Edad , Flujo de Trabajo
19.
J Virol ; 93(8)2019 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-30728253

RESUMEN

Animal models of Zika virus (ZIKV) infection have recently been established in mice, guinea pigs, and nonhuman primates. Tree shrews (Tupaia belangeri) are an emerging experimental animal in biomedical applications, but their susceptibility to ZIKV infection has not been explored. In the present study, we show that subcutaneous inoculation of ZIKV led to rapid viremia and viral secretion in saliva, as well as to typical dermatological manifestations characterized by massive diffuse skin rash on the trunk. Global transcriptomic sequencing of peripheral blood mononuclear cells isolated from ZIKV-infected animals revealed systematic gene expression changes related to the inflammatory response and dermatological manifestations. Importantly, ZIKV infection readily triggered the production of high-titer neutralizing antibodies, thus preventing secondary homologous infection in tree shrews. However, neonatal tree shrews succumbed to ZIKV challenge upon intracerebral infection. The tree shrew model described here recapitulates the most common dermatological manifestations observed in ZIKV-infected patients and may greatly facilitate the elucidation of ZIKV pathogenesis and the development of novel vaccines and therapeutics.IMPORTANCE The reemergence of Zika virus (ZIKV) has caused a global public health crisis since 2016, and there are currently no vaccines or antiviral drugs to prevent or treat ZIKV infection. However, considerable advances have been made in understanding the biology and pathogenesis of ZIKV infection. In particular, various animal models have been successfully established to mimic ZIKV infection and its associated neurological diseases and to evaluate potential countermeasures. However, the clinical symptoms in these mouse and nonhuman primate models are different from the common clinical manifestations seen in human ZIKV patients; in particular, dermatological manifestations are rarely recapitulated in these animal models. Here, we developed a new animal model of ZIKV infection in tree shrews, a rat-sized, primate-related mammal. In vitro and in vivo characterization of ZIKV infection in tree shrews established a direct link between ZIKV infection and the immune responses and dermatological manifestations. The tree shrew model described here, as well as other available animal models, provides a valuable platform to study ZIKV pathogenesis and to evaluate vaccines and therapeutics.


Asunto(s)
Enfermedades Cutáneas Virales , Tupaia , Infección por el Virus Zika , Virus Zika/metabolismo , Animales , Línea Celular , Cricetinae , Modelos Animales de Enfermedad , Femenino , Humanos , Inflamación/metabolismo , Inflamación/patología , Inflamación/veterinaria , Inflamación/virología , Masculino , Saliva/metabolismo , Saliva/virología , Enfermedades Cutáneas Virales/metabolismo , Enfermedades Cutáneas Virales/patología , Enfermedades Cutáneas Virales/veterinaria , Enfermedades Cutáneas Virales/virología , Tupaia/metabolismo , Tupaia/virología , Viremia/metabolismo , Viremia/patología , Viremia/virología , Infección por el Virus Zika/metabolismo , Infección por el Virus Zika/patología , Infección por el Virus Zika/veterinaria
20.
Soft Matter ; 15(46): 9458-9467, 2019 Dec 14.
Artículo en Inglés | MEDLINE | ID: mdl-31742300

RESUMEN

Peptide surfactants have shown many potential applications in biology and medicine; however, the mechanism of their interactions with biomembranes is still unclear. This work has studied the interactions of cationic peptide gemini surfactants based on lysine spacers (12-(Lys)n-12, n = 2, 4, and 6) with model biological membranes, which are represented by the vesicles separately formed by zwitterionic unsaturated phospholipid 1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC), anionic unsaturated phospholipid 1,2-dioleoyl-sn-glycero-3-phospho-(1'-rac-glycerol) (DOPG, sodium salt) and the DOPC/DOPG (1 : 1) mixture. The experiment results show that the presence of negatively charged DOPG slightly affects the interaction manners of 12-(Lys)n-12 with the vesicles, while the interaction of 12-(Lys)2-12 with the phospholipid vesicles is significantly different from that of 12-(Lys)4-12 and 12-(Lys)6-12 with the vesicles. The binding strength decreases in the order of 12-(Lys)4-12 > 12-(Lys)6-12 > 12-(Lys)2-12. The 12-(Lys)4-12 surfactant solubilizes the DOPC vesicles, and makes the DOPC molecules join the surfactant stiff fibers and changes them into long and flexible wormlike micelles, while the 12-(Lys)6-12 and 12-(Lys)2-12 aggregates are disassembled by the DOPC vesicles, and the surfactant molecules join the DOPC vesicles and convert the unilamellar vesicles into multilamellar vesicles. This work should be helpful in understanding the interaction of peptide surfactants with phospholipid membranes.


Asunto(s)
Liposomas/química , Lisina/química , Fosfolípidos/química , Tensoactivos/química , Péptidos/química , Unión Proteica , Conformación Proteica
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