Pain sensitivity and quality of life of patients with burning mouth syndrome: a preliminary study in a Chinese population.

BACKGROUND: Burning mouth syndrome (BMS) is an oral-facial pain disorder involving the central and peripheral nervous systems, but the evidence for altered pain sensitivity remains inconclusive. The aim of this study was to investigate pain sensitivity and oral health-related quality of life (OHRQoL) in patients with BMS and to assess the relationship between them. METHODS: Fifty Chinese patients with BMS (57.82 ± 11.2 years) and fifty age- and gender-matched healthy subjects (55.64 ± 10.1 years) participated in the study. The Pain Sensitivity Questionnaire (PSQ) was used to assess participants' pain sensitivity. The Oral Health Impact Profile (OHIP-14) was used to evaluate participants' OHRQoL. RESULTS: The PSQ total score (p = 0.009), the PSQ minor score (p = 0.003) and the OHIP-14 score (p<0.05) of patients with BMS were significantly higher than those of the healthy subjects. Simple linear regression showed that the PSQ minor score was significantly associated with the OHIP-14 score in patients with BMS (ß = 0.338, p = 0.016). CONCLUSION: Patients with BMS have higher pain sensitivity than healthy subjects. Reducing pain sensitivity might help to improve the quality of life of patients with BMS.

Comparison of Oral Function: Free Anterolateral Thigh Perforator Flaps Versus Vascularized Free Forearm Flap for Reconstruction in Patients Undergoing Glossectomy.

PURPOSE: This study evaluated oral function in patients with tongue cancer who underwent immediate free flap reconstruction surgery. In addition, the efficacy of the anterolateral thigh perforator free flap (ALTFF) and the radial free forearm flap (RFFF) for reconstruction was compared in patients with glossectomy. MATERIALS AND METHODS: Sixty-seven patients undergoing complete or partial glossectomy and reconstruction with free flaps were grouped according to flap type (ALTFF vs RFFF). Oral functions were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Module, the University of Washington Quality of Life, and the 14-item Oral Health Impact Profile questionnaires at 6 and 12 months after reconstructive surgery. RESULTS: Sixty-seven of 80 questionnaires (83.75%) were returned. There were significant differences between the 2 groups concerning the style of resection (P < .005). For all oral function domains, the score improved progressively after the operation (6 and 12 months after the procedure). There were no meaningful differences between the 2 flap types for all oral function domains at 12 months. CONCLUSION: Using the RFFF or ALTFF for reconstruction of tongue defects after cancer resection meaningfully influences oral function. Free flap reconstruction of the tongue is the most critical factor in achieving a successful functional result.

Engineered crumpled graphene oxide nanocomposite membrane assemblies for advanced water treatment processes.

In this work, we describe multifunctional, crumpled graphene oxide (CGO) porous nanocomposites that are assembled as advanced, reactive water treatment membranes. Crumpled 3D graphene oxide based materials fundamentally differ from 2D flat graphene oxide analogues in that they are highly aggregation and compression-resistant (i.e., π-π stacking resistant) and allow for the incorporation (wrapping) of other, multifunctional particles inside the 3D, composite structure. Here, assemblies of nanoscale, monomeric CGO with encapsulated (as a quasi core-shell structure) TiO2 (GOTI) and Ag (GOAg) nanoparticles, not only allow high water flux via vertically tortuous nanochannels (achieving water flux of 246 ± 11 L/(m(2)·h·bar) with 5.4 µm thick assembly, 7.4 g/m(2)), outperforming comparable commercial ultrafiltration membranes, but also demonstrate excellent separation efficiencies for model organic and biological foulants. Further, multifunctionality is demonstrated through the in situ photocatalytic degradation of methyl orange (MO), as a model organic, under fast flow conditions (tres < 0.1 s); while superior antimicrobial properties, evaluated with GOAg, are observed for both biofilm (contact) and suspended growth scenarios (>3 log effective removal, Escherichia coli). This is the first demonstration of 3D, crumpled graphene oxide based nanocomposite structures applied specifically as (re)active membrane assemblies and highlights the material's platform potential for a truly tailored approach for next generation water treatment and separation technologies.

The Use of Venous Coupler Device in Free Tissue Transfers for Oral and Maxillofacial Reconstruction.

PURPOSE: Microvascular anastomosis remains the most challenging and important technique affecting the success of free tissue transfers. A microvascular anastomotic coupling device is often used. This study is a retrospective review of the use of a venous coupler for head and neck reconstruction during a 2-year period at the Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University (Zhengzhou, China). MATERIALS AND METHODS: Sixty-nine consecutive cases of microvascular free flaps from December 2012 through December 2014 were retrospectively reviewed. Patients' demographic information (age and gender), defect location, flap type, recipient vein, anastomotic time, coupler size, microvascular complications, and flap survival rate were collected and analyzed. RESULTS: Sixty-nine anastomotic coupler devices were used for 69 flaps. Of the 69 flaps performed, there were 26 anterior lateral thigh flaps (37.68%), 25 radial forearm flaps (36.23%), 17 fibula flaps (24.64%), and 1 deep inferior epigastric perforator flap (1.45%). The branch of the internal jugular vein was the most common recipient vein (n = 29; 40.03%), followed by the facial vein (n = 25; 36.23%) and the external jugular vein (n = 15; 21.74%). Coupler sizes ranged from 1.5 to 3.5 mm, with most being 2.5 mm (n = 41; 59.42%), followed by 3.0 mm (n = 19; 27.54%), 2.0 mm (n = 7; 10.14%), 1.5 mm (n = 1; 1.45%), and 3.5 mm (n = 1; 1.45%). The average operation time was 3 to 11 minutes for venous anastomosis (∼6 minutes on average). Postoperative complications were seen in 7 of 69 flaps (10.14%), and no complications led to complete flap loss. The overall flap success rate was 100%. Total coupler venous thrombosis rate was 4.35% (3 of 69). CONCLUSION: The microvascular coupler shows reliability for venous anatomosis in head and neck reconstruction free tissue transfers. Use of a microvascular anastomotic coupler could simplify vascular anatomosis, considerably shorten operative time, and achieve excellent vessel patency and flap success rate.

Analysis of 126 hospitalized elder maxillofacial trauma victims in central China.

BACKGROUND: The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China. MATERIAL AND METHODS: We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management. RESULTS: Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF). CONCLUSIONS: Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to develop more effective treatment and possibly prevent such injuries.

Modified visor approach applied to total or subtotal glossectomy and reconstruction: avoidance of lip splitting and mandibulotomy and cutting off mental nerve.

A lower lip-splitting incision has traditionally been performed with different types of mandibulotomy approaches for obtaining wide access to total or subtotal glossectomy. However, lip splitting can be associated with unfavorable aesthetic and function results. We describe our new modification of a traditional visor approach without lip splitting, mandibulotomy, and reserve mental nerve to avoid these morbidities and to compare aesthetic, functional, and patient subjective outcomes between the two access procedures.Of the patients undergoing total or subtotal glossectomy and reconstruction with flaps, 99 were grouped according to a surgical access procedure performed (lip split and mandibulotomy [LSM] or modified visor approach [MVA]). Data on surgical morbidity and outcomes were compared. All the tumors were safely removed by means of our modified visor approach through the combined intraoral and transcervical routes with adequate resection margins. There were no troublesome difficulties in reconstruction of the surgical defects with various flaps. Recurrence rates, swallowing, chewing, and speech were similar for both groups. Rates of postoperative fistulae were 9.3 % (LSM) vs 0 % (MVA). There were significant differences between the two groups in the temporomandibular joint (TMJ) signs (p = 0.000) and for appearance domains (p = 0.01). Avoiding lip splitting and mandibulotomy reduces patient morbidity and hospital stay and gets excellent aesthetic consequences; reserve mental nerve can avoid lower lip numbness after surgery. In our experience, the lower lip-splitting and mandibulotomy procedure for surgical exposure is unnecessary for both oncologic resection and reconstruction of tongue cancers.

Aqueous aggregation and surface deposition processes of engineered superparamagnetic iron oxide nanoparticles for environmental applications.

Engineered, superparamagnetic, iron oxide nanoparticles (IONPs) have significant potential as platform materials for environmental sensing, imaging and remediation due to their unique size, physicochemical and magnetic properties. To this end, controlling the size and surface chemistry of the materials is crucial for such applications in the aqueous phase, and in particular, for porous matrixes with particle-surface interaction considerations. In this study, superparamagnetic, highly monodispersed 8 nm IONPs were synthesized and transferred into water as stable suspensions (remaining monodispersed) by way of an interfacial oleic acid bilayer surface. Once stabilized and characterized, particle-particle and model surface interactions (deposition and release) were quantitatively investigated and described systematically as a function of ionic strength (IS) and type with time-resolved dynamic light scattering (DLS), zeta potential, and real-time quartz crystal microbalance with dissipation monitoring (QCM-D) measurements. The critical coagulation concentration (CCC) for oleic acid bilayer coated iron oxide nanoparticles (OA-IONPs) were determined to be 710 mM for NaCl (matching DLVO predictions) and 10.6 mM for CaCl2, respectively. For all conditions tested, surface deposition kinetics showed stronger, more favorable interactions between OA-IONPs and polystyrene surfaces compared to silica, which is hypothesized to be due to increased particle-surface hydrophobic interactions (when compared to silica surfaces).

Reduction of hydroxylated fullerene (fullerol) in water by zinc: reaction and hemiketal product characterization.

Water-soluble, hydroxylated fullerene (fullerol) materials have recently gained increasing attention as they have been identified as the primary product(s) during the exposure of fullerenes (as water stable, nanoscale aggregated C60) to UV light in water. The physical properties and chemical reactivity of resulting fullerols, however, have not been thoroughly studied. In this paper, we identified and characterized the reductive transformation of fullerol (C60(OH)x(ONa)y) by solid zinc metal (Zn(0)) through a series of batch reaction experiments and product characterization, including (13)C NMR, FTIR, XPS, UV-vis, DLS, and TEM. Results indicated the facile formation of water stable, pH sensitive hemiketal functionality as part of a relatively reduced fullerol product. Further, aqueous physical behavior of the product fullerol, as measured by octanol partitioning and surface deposition rates, was observed to significantly differ from the parent material and is consistent with a relative increase in molecular (product) hydrophobicity.

Ultralow protein adsorbing coatings from clickable PEG nanogel solutions: benefits of attachment under salt-induced phase separation conditions and comparison with PEG/albumin nanogel coatings.

Clickable nanogel solutions were synthesized by using the copper catalyzed azide/alkyne cycloaddition (CuAAC) to partially polymerize solutions of azide and alkyne functionalized poly(ethylene glycol) (PEG) monomers. Coatings were fabricated using a second click reaction: a UV thiol-yne attachment of the nanogel solutions to mercaptosilanated glass. Because the CuAAC reaction was effectively halted by the addition of a copper-chelator, we were able to prevent bulk gelation and limit the coating thickness to a single monolayer of nanogels in the absence of the solution reaction. This enabled the inclusion of kosmotropic salts, which caused the PEG to phase-separate and nearly double the nanogel packing density, as confirmed by quartz crystal microbalance with dissipation (QCM-D). Protein adsorption was analyzed by single molecule counting with total internal reflection fluorescence (TIRF) microscopy and cell adhesion assays. Coatings formed from the phase-separated clickable nanogel solutions attached with salt adsorbed significantly less fibrinogen than other 100% PEG coatings tested, as well as poly(L-lysine)-g-PEG (PLL-g-PEG) coatings. However, PEG/albumin nanogel coatings still outperformed the best 100% PEG clickable nanogel coatings. Additional surface cross-linking of the clickable nanogel coating in the presence of copper further reduced levels of fibrinogen adsorption closer to those of PEG/albumin nanogel coatings. However, this step negatively impacted long-term resistance to cell adhesion and dramatically altered the morphology of the coating by atomic force microscopy (AFM). The main benefit of the click strategy is that the partially polymerized solutions are stable almost indefinitely, allowing attachment in the phase-separated state without danger of bulk gelation, and thus producing the best performing 100% PEG coating that we have studied to date.

Free fibula flap: assessment of quality of life of patients with head and neck cancer who have had defects reconstructed.

This study investigated the quality of life (QoL) of patients with head and neck cancer undergoing immediate reconstruction of the mandible with free fibula flap. From March 2006 to January 2011, the QoL of 42 patients was assessed using the Medical Outcomes Study Short Form 36 and the University of Washington QoL (version 4) questionnaires. The assessments were performed at least 24 months after surgery. A total of 31 of the 42 questionnaires (73.8%) were returned. The length of harvested fibula varied from 17.5 to 26.1 cm. In the Short Form 36, the lowest-scoring domain was vitality, whereas the highest scores occurred in physical role. According to the University of Washington QoL, the key domains affected by surgery are chewing, speech, and appearance. The domain of pain has the best score. There was a significant effect on the QoL of patients with head and neck cancer with resections of the mandible who had undergone free fibula flap reconstruction. Data from this study may provide useful information for physicians and patients, which may be of value during discussion of treatment modalities for head and neck cancers.

Quality of life in patients younger than 40 years treated for anterior tongue squamous cell carcinoma.

This study investigated the quality of life in patients younger than 40 years with tongue squamous cell carcinoma. We used the University of Washington Head and Neck Quality of Life scale to compare the quality of life outcomes between young and old patients. Cases were patients younger than 40 years who were treated for anterior tongue squamous cell carcinoma. Controls were patients older than 40 years who were matched to the cases regarding diagnosis, sex, and TNM classification. Two controls were matched for each case; thus, 21 cases and 42 controls were selected. Twenty-one of 33 questionnaires (63.6%) were returned. The median follow-up duration was 3.7 years (range, 1-12 y). In the group of young patients, the best-scoring domains were pain, chewing, and swallowing, whereas the lowest scores were for appearance, mood, and anxiety. Young patients (40 years or younger) reported better function, notably regarding activity, recreation, shoulder, taste, and saliva compared with the old patients with anterior tongue squamous cell carcinoma. The patients younger than 40 years tend to have a good quality of life. Most of them were not significantly affected by pain. Quality of life should be used as part of our treatment of anterior tongue squamous cell carcinoma.

Clinical parameters predictors of malignant transformation of recurrent parotid pleomorphic adenoma.

Malignant transformation (MT) in recurrent parotid pleomorphic adenomas (PAs) is rare; therefore its occurrence lacks reliable predictive factors. Our goal was to clarify the predictors for MT of recurrent parotid PAs based on preoperative clinical parameters. Patients with a clinical diagnosis of recurrent parotid PA were retrospectively enrolled. The association between clinicopathologic variables and MT of PA was assessed using univariate and multivariate analyses. MT occurred in 11.8% of the 467 patients. In univariate analysis, three or more previous recurrences, newly developed facial nerve paralysis, difficulty in mouth opening, tumors with the largest tumor diameter ≥ 2.4 cm, and abnormal neck lymph node enlargement were associated with MT occurrence. Further, multivariate analysis showed that three or more previous recurrences, newly developed facial nerve paralysis, difficulty in mouth opening, and abnormal neck lymph node enlargement were independently related to MT. MT of recurrent PA was not uncommon. Clinical signs of malignancy included newly developed facial nerve paralysis, difficulty in mouth opening, three or more previous recurrences, and abnormal neck lymph node enlargement.

Effects of microplastics on the water characteristic curve of soils with different textures.

Microplastic (MP) pollution in the soil severely damages the soil structure and affects the soil water-holding property, thereby affecting the soil water characteristic curve (SWCC). After polyethylene MP (PE-MP) addition at three concentrations (0.5%, 1%, and 2%) under three particle sizes (150 µm, 550 µm, and 950 µm) and two soil textures (sandy soil and loamy soil), SWCCs were measured and fitted with the van Genuchten model. The soil pore structure characteristics were obtained based on CT scanning combined with soil pore three-dimensional reconstruction to quantitatively analyze the relationships between MP properties and soil structure and the SWCC. Low concentrations (0.5%) of PE-MPs did not significantly affect the soil water content, while the accumulation of PE-MPs at a high concentration (2%) strongly affected the soil water-holding property, with small PE-MPs (150 µm) exerting significantly positive effects on the water-holding capacity of loamy soil and 950-µm MPs reducing the soil water content more strongly in sandy soil. The contributions of MP properties and soil textures to the SWCCs differed, and the impact of soil texture on the SWCCs was significantly higher than those of MP concentrations and particle sizes. Differences in MP occurrence characteristics and soil textures also led to variations in the fitted hydraulic parameters of the SWCCs. The addition of 2% 150-µm PE-MPs to loamy soil increased the soil porosity and surface area, while the addition of a higher concentration of large PE-MPs (2%, 950 µm) to sandy soil reduced soil porosity and circularity. This is related to the addition of a large number of small MPs, which may adsorb and bind many smaller soil particles to form larger, water-stable agglomerated structures, while the addition of high concentrations of large MPs in sandy soils may be related to the destruction of the original capillary pore structure of sandy soils and the weakening of soil capillarity. This study provides a theoretical basis for agroecological risk assessments.

Impacts of microplastics addition on sediment environmental properties, enzymatic activities and bacterial diversity.

Environmental microplastic accumulation can lead to a range of problems and the potential loss of ecosystem services. However, the impacts of microplastics on sediment environmental properties and microbial ecosystems remain unclear. Therefore, this article aimed to better elucidate the effects of microplastics on sediment physicochemical properties, enzymatic activities and the diversity and composition of sediment microbial communities. We conducted a 60-day sediment-incubation experiment using sediments with three concentrations (2%, 5%, and 10%, w/w) and two types (polyethylene (PE) and polyvinyl chloride (PVC)) of microplastics (550 µm) in a climate-controlled chamber. The addition of both PE and PVC microplastics reduced sediment catalase, polyphenol oxidase (PO), and urease activities, and decreased physicochemical indicators, including total organic carbon (TOC), total nitrogen (TN), and pH value. In addition, microplastics reduced bacterial community diversity and inhibited the recovery of community richness, implying that microplastics may compete with sediment microorganisms for niches. Stronger effects were generally detected under a high microplastic concentration (10%), reflecting the influence of the concentration of microplastic exposure on the bacterial community. The dominant bacterial phyla were Chloroflexi, Proteobacteria, Bacteroidota, Firmicutes, and Actinobacteriota, and the relative abundances of Proteobacteria, and Bacteroidota significantly increased in the microplastic treatments during the late incubation period, indicating that microplastic addition may have improved nutritional conditions later in the incubation process. Structural equation modeling indicated that shifts in PO activity had a significant correlation with changes in Proteobacteria abundance (P < 0.01), and important drivers affecting the dissimilarity of Bacteroidota abundance were the changes of TN content and catalase activity (P < 0.05). These results indicated that microplastics with diverse characteristics affected the environmental properties of the sediment, while the physicochemical properties and enzymatic activity of the sediment could directly or indirectly exert different impacts on the dominant bacteria. This study can provide a theoretical basis for the ecological effects of microplastic contamination.

Predictors predisposing to orocutaneous fistula occurrence following free flap reconstruction.

Objectives: To explore the possible risk factors of orocutaneous fistula (OCF) development in free flap reconstruction of the tongue/floor of the mouth (TFOM). Methods: Data of patients who underwent free flap reconstruction of the TFOM were retrospectively analyzed. The association between clinicopathologic variables and OCF occurrence was analyzed using univariate and multivariate analyses. Results: Altogether, 469 patients were enrolled. OCF occurred in 43 patients with a rate of 9.2%. The univariate analysis revealed the negative effects of smoking, preoperative albumin level, cachexia, T4 stage, neck dissection, entire resection of the floor of the mouth (FOM), segmental mandibulectomy, and surgical site infection on OCF occurrence. The multivariate analysis confirmed the independence of cachexia (p<0.001, 4.386[1.883-9.472]), tumor stage (p<0.001, 2.738[1.482-6.629]), entire FOM resection (p<0.001, 6.332[2.110-14.432]), and surgical site infection (p<0.001, 5.376[1.998-11.218]) in affecting the OCF development. Conclusions: OCF development following free flap reconstruction of the TFOM was relatively uncommon, but significantly associated with presence of cachexia, T4 stage, entire FOM resection, and surgical site infection.

Intrapore energy barriers govern ion transport and selectivity of desalination membranes.

State-of-the-art desalination membranes exhibit high water-salt selectivity, but their ability to discriminate between ions is limited. Elucidating the fundamental mechanisms underlying ion transport and selectivity in subnanometer pores is therefore imperative for the development of ion-selective membranes. Here, we compare the overall energy barrier for salt transport and energy barriers for individual ion transport, showing that cations and anions traverse the membrane pore in an independent manner. Supported by density functional theory simulations, we demonstrate that electrostatic interactions between permeating counterion and fixed charges on the membrane substantially hinder intrapore diffusion. Furthermore, using quartz crystal microbalance, we break down the contributions of partitioning at the pore mouth and intrapore diffusion to the overall energy barrier for salt transport. Overall, our results indicate that intrapore diffusion governs salt transport through subnanometer pores due to ion-pore wall interactions, providing the scientific base for the design of membranes with high ion-ion selectivity.

[Influencing factors on the quality of life and medical coping style of patients with oral cancer].

OBJECTIVE: To evaluate the influencing factors on the postoperative quality of life and to analyze the coping styles of patients with oral cancer. METHODS: A total of 131 oral cancer cases confirmed through diagnostic criteria were investigated to analyze the influencing factors on the quality of life (QOL) and the relationship between coping style and QOL of these patients by using the fourth edition of the University of Washington Quality of Life Questionnaire (UWQOL) and medical coping modes questionnaires (MCMQ), respectively. RESULTS: Among the 131 questionnaires collected, only 126 were valid with a recovery rate of 96.18% (126/131). Single factor analysis showed that age, marital status, educational level, other systemic diseases, personal income level, tooth loss, operation times, adjuvant radiotherapy, cancer staging, cervical lymph node dissection, recurrence, and jaw resection yielded different UWQOL scale scores (P<0.05). Multiple regression analysis showed that the loss of teeth, cancer staging, recurrence, and jaw resection yielded statistically significant differences in the total score of UWQOL (P<0.05). Among the coping styles, the average scores of  "confrontation", "avoidance", and "yielding" were 17.54±4.97, 17.79±2.19, and 12.97±5.70, respectively. Compared with the norm, the difference was statistically significant (P<0.05). Correlation analysis showed that "confrontation" and "avoidance" were positively correlated, whereas "yielding" was negatively correlated to QOL (P<0.05). CONCLUSIONS: Age, marital status, educational level, other systemic diseases, personal income level, tooth loss, operation times, adjuvant radiotherapy, cancer staging, cervical lymph node dissection, recurrence, and jaw resection have different effects on the quality of QOL. Tooth loss, cancer staging, recurrence, and jaw resection are the main causative factors affecting the patients' perceived QOL. Personalized treatment and nursing care should be strengthened to improve the coping style and quality of life of patients.

Real-time evaluation of natural organic matter deposition processes onto model environmental surfaces.

Natural organic matter (NOM) is ubiquitous in aqueous systems and dynamically partitions onto/from environmental surfaces. However, such interfacial processes have not been uniformly quantified in situ and in real time. In this work, adsorption and deposition processes of Suwannee River humic acid (SRHA) and Suwannee River fulvic acid (SRFA), as model NOM, were evaluated for a series of environmentally relevant interfaces. Real-time, interfacial phenomenon, including deposition, release, and adlayer viscoelastic properties, were quantified over a variety of water chemistries via quartz crystal microbalance with dissipation monitoring (QCM-D). Specifically, adlayer mass and deposition rates of SRHA and SRFA were evaluated as a function of NOM concentration/molecular weight (fraction), pH, electrolyte composition (type and concentration), and collector surface type. For these, the adsorption of SRHA onto aluminum oxide (Al2O3) and polystyrene (PS) surfaces follows the Langmuir isotherm model. Rapid, near-monolayer formation of SRHA/SRFA adlayers were observed on Al2O3, hydroxyapatite (HAP), and poly (l-lysine) (PLL) surfaces, but not on PS or iron oxide (Fe3O4) surfaces. The presence of divalent cations (Ca2+/Mg2+) at relatively low concentrations (0.5-5.0 mM) significantly enhances the mass of SRHA/SRFA deposited onto the surfaces of silica (SiO2), Al2O3, and PS. Viscoelastic properties of the adsorbed layer based on the ratio of dissipation to frequency revealed a relatively unique adlayer structure for SRHA in the presence of 5.0 mM Ca2+.

[Study of psychological distress and quality of life in patients with oral cancer].

PURPOSE: To explore the relationship between the status quo and influencial factors of oral cancer patients and their quality of life. METHODS: Using the Distress Themometer (DT) and the University of Washington Quality of Life Questionnaire (UW-QOL), 250 patients admitted to the First Affiliated Hospital of Zhengzhou University from October 2016 to September 2017 with oral cancer were investigated. Chi-square test, t test, logistic regression analysis and Spearman correlation analysis were used to analyze the data with SPSS20.0 software package. RESULTS: A total of 250 questionnaires were issued, 239 valid questionnaires were available for analysis. In 239 oral cancer patients, 139 (58.2%) had DT score ≥4. The average total score of UWQOL scale was 53.3±17.1, score <4 was noted in 100 patients (41.8%); the average UWQOL scale was 52.8±17.4. Univariate analysis showed that psychological distress was related to age, educational level, income level, pathological stage, jaw resection and recurrence (χ2 values were 5.12,21.31,34.2,10.69,31.3 and 7.84, respectively, P<0.05 ). Logistic regression analysis showed that age, jaw resection and relapse were the risk factors of psychological distress in patients with oral cancer (OR=4.06, 5.12 and 5.79, respectively; P<0.05). Spearman correlation analysis showed that the scores of pain, recreation, emotion and anxiety in UWQOL scale were negatively correlated with psychological distress scores (r=-0.58, -0.84, -0.66 and -0.69, respectively; P<0.05). CONCLUSIONS: Oral cancer patients have a higher incidence of psychological distress. Younger patients,and those with maxillectomy and recurrence have more serious symptoms of distress.

Factors that affect the quality of life of patients with oral cancer who have had their defects reconstructed immediately after excision of the tumour.

Physical, social, and psychological factors profoundly affect the quality of life (QoL) of patients with oral cancer. Here we have investigated these factors in patients who have had resection and reconstruction of their oral cancer. We have assessed patients who had reconstructions with a pectoralis major myocutaneous (PMM) flap or a free anterolateral thigh (ALT) perforator flap using the University of Washington Quality of Life version 4 questionnaires (Chinese version). Data were analysed to investigate how age, sex, type of neck dissection, size of resection, dental condition, use of radiotherapy and need for mandibulotomy affected their QoL. Of the 72 patients who were sent a questionnaire, 61 (85%) returned them completed. Twenty-eight patients(46%) had had ALT perforator flaps and 33 patients (54%) PMM flaps. In the group who had ALT perforator flaps, age, sex, type of neck dissection, mandibulotomy, and the use of radiotherapy affected QoL. Among those who the PMM flaps, age, neck dissection, mandibulotomy, and use of radiotherapy affected QoL. The only factors that the two flaps had in common were age, neck dissection, use of radiotherapy, and mandibulotomy.