Functional testing is a complementary tool for the diagnosis of vaginitis.

OBJECTIVE: Vaginal microbiota evaluation is a methodology widely used in China to diagnose various vaginal inflammatory diseases. Although vaginal microbiota evaluation has many advantages, it is time-consuming and requires highly skilled and experienced operators. Here, we investigated a six-index functional test that analyzed pH, hydrogen peroxide (H2O2), leukocyte esterase (LEU), sialidase (SNA), ß-glucuronidase (GUS), and acetylglucossidase (NAG), and determined its diagnostic value by comparing it with morphological tests of vaginal microbiota. MATERIALS AND METHODS: The research was conducted using data extracted from the Laboratory Information System of Women and Children's Hospital. A total of 4902 subjects, ranging in age from 35.4 ± 9.7 years, were analyzed. During the consultation, a minimum of two vaginal swab specimens per patient were collected for both functional and morphological testing. Fisher's exact was used to analyze data using SPSS. RESULTS: Of the 4,902 patients, 2,454 were considered to have normal Lactobacillus morphotypes and 3,334 were considered to have normal dominant microbiota. The sensitivity and specificity of H2O2-indicating Lactobacillus morphotypes were 91.3% and 25.28%, respectively, while those of pH-indicating Lactobacillus morphotypes were 88.09% and 59.52%, respectively. The sensitivity and specificity of H2O2-indicating dominant microbiota were 91.3% and 25.3%, respectively, while those of pH-indicating dominant microbiota were 86.27% and 64.45%, respectively. The sensitivity and specificity of NAG for vulvovaginal candidiasis were 40.64% and 84.8%, respectively. For aerobic vaginitis, GUS sensitivity was low at 0.52%, while its specificity was high at 99.93%; the LEU sensitivity and specificity values were 94.73% and 27.49%, respectively. Finally, SNA sensitivity and specificity for bacterial vaginosis were 80.72% and 96.78%, respectively. CONCLUSION: Functional tests (pH, SNA, H2O2, LEU) showed satisfactory sensitivity for the detection of vaginal inflammatory diseases. However, these tests lacked specificity, making it difficult to accurately identify specific pathologies. By contrast, NAG and GUS showed excellent specificity in identifying vaginal inflammatory diseases, but their sensitivity was limited. Therefore, functional tests alone are not sufficient to diagnose various vaginal inflammatory diseases. When functional and morphological tests are inconsistent, morphological tests are currently considered the preferred reference method.

Diagnostic performance of double inversion recovery MRI sequence for synovitis of the wrist joints in rheumatoid arthritis.

PURPOSE: To assess the diagnostic accuracy of double inversion recovery (DIR) magnetic resonance imaging (MRI) sequences for synovitis of the wrist joints in patients with rheumatoid arthritis (RA). MATERIAL AND METHODS: Participants with newly diagnosed RA were enrolled between November 2019 and November 2020. MRI examinations of the wrist joints were performed using a contrast-enhanced T1-weighted imaging sequence (CE-T1WI) and DIR sequence. We measured synovitis score, number of synovial areas, synovial volume, mean synovium-to-bone signal ratio (SBR), and synovial contrast-to-noise ratio (SNR). The inter-reviewer agreement rated on a four-point scale was evaluated by calculating the weighted k statistics. Two MRI sequences were assessed using Bland-Altman analyses, and the diagnostic performance of DIR images was calculated using the chi-square test. RESULTS: A total of 47 participants were evaluated, and 282 joint regions in 5076 images were reviewed by two readers. There was no significant difference in synovitis scores (P = 0.67), number of synovial areas (P = 0.89), and synovial volume (P = 0.086) between the two MRI sequences. DIR images showed better SBR and SNR (all P < 0.01). There was good agreement between the two reviewers in terms of synovitis distribution (κ = 0.79). The synovitis was well agreed upon by the two readers according to Bland-Altman analyses. Using CE-T1WI as the reference standard, DIR imaging demonstrated a sensitivity of 94.1% and a specificity of 84.6% at the patient level. CONCLUSION: The non-contrast DIR sequence showed good consistency with CE-T1WI and potential for evaluating synovitis in patients with RA.

Seismic Performance of Precast Short-Limb Shear Wall with the Bundled Connection at Different Axial Compression Ratios.

In order to investigate the seismic performance of a precast shear wall with a new bundled connection under a high axial compressive ratio, three full-scale precast short-limb shear walls and one full-scale cast-in-place short-limb shear wall were manufactured and loaded under cycling loading. The results show that the precast short-limb shear wall with a new bundled connection has a similar damage mode and crack evolution to the cast-in-place shear wall. Under the same axial compression ratio, the bearing capacity, ductility coefficient, stiffness, and energy dissipation capacity of the precast short-limb shear wall were better, and its seismic performance is related to the axial compression ratio, with the increase of the axial compression ratio. The embedded bellows can limit the cracking of the wall but have little effect on the bearing capacity and stiffness degradation performance. Furthermore, the bond between the vertical steel bars extending into the preformed holes and grouting materials was demonstrated to be reliable, thus ensuring the integrity of the precast specimens.

An Approximately Isotropic Origami Honeycomb Structure and Its Energy Absorption Behaviors.

Honeycomb structures have a wide range of applications owing to their light weight and promising energy absorption features. However, a conventional honeycomb structure is designed to absorb impact energy only in the out-of-plane direction and demonstrates unsatisfactory performance when the impact energy originates from a different direction. In this study, we proposed an origami honeycomb structure with the aim of providing an approximately isotropic energy absorption performance. The structure was created by folding a conventional honeycomb structure based on the Miura origami pattern, and it was investigated using both numerical and experimental approaches. Investigations of the structural behaviors under both out-of-plane and in-plane compressions were conducted, and the results revealed significantly different deformation modes in comparison with those of a conventional honeycomb structure. To determine the influences of geometries, we conducted a series of numerical studies, considering various structural parameters, and analyzed the response surface of the mean stress in three directions. Based on the numerical and experimental results, a parameter indicating the approximate isotropy of the origami honeycomb structure was introduced. The proposed structure is promising for absorbing energy from any direction and has potential applications in future metamaterial design work.

Hypothermia impairs glymphatic drainage in traumatic brain injury as assessed by dynamic contrast-enhanced MRI with intrathecal contrast.

Introduction: The impact of hypothermia on the impaired drainage function of the glymphatic system in traumatic brain injury (TBI) is not understood. Methods: Male Sprague-Dawley rats undergoing controlled cortical impact injury (CCI) were subjected to hypothermia or normothermia treatment. The rats undergoing sham surgery without CCI were used as the control. Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with intrathecal administration of low- and high-molecular-weight contrast agents (Gd-DTPA and hyaluronic acid conjugated Gd-DTPA) was performed after TBI and head temperature management. The semiquantitative kinetic parameters characterizing the contrast infusion and cleanout in the brain, including influx rate, efflux rate, and clearance duration, were calculated from the average time-intensity curves. Results and discussion: The qualitative and semiquantitative results of DCE-MRI obtained from all examined perivascular spaces and most brain tissue regions showed a significantly increased influx rate and efflux rate and decreased clearance duration among all TBI animals, demonstrating a significant impairment of glymphatic drainage function. This glymphatic drainage dysfunction was exacerbated when additional hypothermia was applied. The early glymphatic drainage reduction induced by TBI and aggravated by hypothermia was linearly related to the late increased deposition of p-tau and beta-amyloid revealed by histopathologic and biochemical analysis and cognitive impairment assessed by the Barnes maze and novel object recognition test. The glymphatic system dysfunction induced by hypothermia may be an indirect alternative pathophysiological factor indicating injury to the brain after TBI. Longitudinal studies and targeted glymphatic dysfunction management are recommended to explore the potential effect of hypothermia in TBI.

Ratchetlike motion of helical bilayers induced by boundary constraints.

We show that application of boundary constraints generates unusual folding behaviors in responsive (swellable) helical bilayer strips. Unlike the smooth folding trajectories typical of free helical bilayers, the boundary-constrained bilayers exhibit intermittent folding behaviors characterized by rapid, steplike movements. We experimentally study bilayer strips as they swell and fold, and we propose a simple model to explain the emergence of ratchetlike behavior. Experiments and model predictions are then compared to simulations, which enable calculation of elastic energy during swelling. We investigate the dependence of this steplike behavior as a function of elastic boundary condition strength, strip length, and strip shape; interestingly, "V-shape" strips with the same boundary conditions fold smoothly.

Buckling suppression of a thin-walled Miura-origami patterned tube.

In order to improve energy absorption capacity of tubes under axial compression, this work introduces an octagon tube patterned by curved Miura origami pattern and aims at suppressing global buckling of the tube via an appropriate fold line scheme. By categorizing the fold lines of the tube into two types (hinge-like lines and continuous lines) and allocating them to different positions, four arrangement schemes of the lines are developed. Through numerical comparison in force-displacement curve, stress distribution and lateral deformation capacity among four 3-level patterned tubes under different schemes, Scheme 4 (inclined valley lines as hinge-like lines and the others as continuous lines) is found to outperform the others in suppressing global buckling by reducing the magnitude of lateral deformation by up to 59.9% and by delaying the occurrence of global buckling by up to 35.9% compared with the other schemes. To step further, the scheme is applied in a long tube and geometrically different tubes are compared. The results prove that the scheme is potentially an effective way to alleviate buckling instability of a long tube when appropriately designed.

Wearable Triboelectric Sensors Enabled Gait Analysis and Waist Motion Capture for IoT-Based Smart Healthcare Applications.

Gait and waist motions always contain massive personnel information and it is feasible to extract these data via wearable electronics for identification and healthcare based on the Internet of Things (IoT). There also remains a demand to develop a cost-effective human-machine interface to enhance the immersion during the long-term rehabilitation. Meanwhile, triboelectric nanogenerator (TENG) revealing its merits in both wearable electronics and IoT tends to be a possible solution. Herein, the authors present wearable TENG-based devices for gait analysis and waist motion capture to enhance the intelligence and performance of the lower-limb and waist rehabilitation. Four triboelectric sensors are equidistantly sewed onto a fabric belt to recognize the waist motion, enabling the real-time robotic manipulation and virtual game for immersion-enhanced waist training. The insole equipped with two TENG sensors is designed for walking status detection and a 98.4% identification accuracy for five different humans aiming at rehabilitation plan selection is achieved by leveraging machine learning technology to further analyze the signals. Through a lower-limb rehabilitation robot, the authors demonstrate that the sensory system performs well in user recognition, motion monitoring, as well as robot and gaming-aided training, showing its potential in IoT-based smart healthcare applications.

Enhanced Defluoridation Using Novel Millisphere Nanocomposite of La-Doped Li-Al Layered Double Hydroxides Supported by Polymeric Anion Exchanger.

A novel nanocomposite bead LaLiAl-LDH@201 was fabricated by doping a small amount of La into nanocrystalline Li/Al layered double hydroxides (LDHs) pre-confined inside polystyrene anion exchanger D201 (LiAl-LDH@201). A systematic characterisation of the resultant LaLiAl-LDH@201 (XRD, SEM-EDS, TEM-EDS, and XPS) evidenced the successful incorporation of La into the Li/Al LDHs, with their interlayer distance expanded to allow more exchangeable sites for fluoride uptake. The resultant LaLiAl-LDH@201 showed high and stable defluoridation performance over a wide range of pH from 4 to 9. The superior uptake capacity and affinity for fluoride of LaLiAl-LDH@201 over LiAl-LDH@201 were driven by both the increased anion exchange capacity of the embedded LDHs and the specific La-F interaction evidenced via XPS and TEM-EDS characterisation. Fixed-bed column test confirmed that the working capacity of LaLiAl-LDH@201 for defluoridation of authentic fluoride-rich groundwater was nearly twice that of LiAl-LDH@201. The fluoride-loaded LaLiAl-LDH@201 could be conveniently regenerated in situ by using NaOH + NaCl binary solution, achieving desorption efficiency above 98%. Moreover, negligible capacity loss, La leaching, or structure alteration was observed after five adsorption-regeneration cycles, indicating the high stability of LaLiAl-LDH@201. Therefore, the novel millisphere nanocomposite LaLiAl-LDH@201 was promising for efficient defluoridation from water and wastewater.

Design, synthesis and evaluate of novel dual FGFR1 and HDAC inhibitors bearing an indazole scaffold.

Both histone deacetylase (HDAC) and fibroblast growth factor receptor (FGFR) are important targets for cancer therapy. Although combining dual HDAC pharmacophore with tyrosine kinase inhibitors (TKIs) had achieved a successful progress, dual HDAC/FGFR1 inhibitors haven't been reported yet. Herein, we designed a series of hybrids bearing 1H-indazol-3-amine and benzohydroxamic acids scaffold with scaffold hopping and molecular hybridization strategies. Among them, compound 7j showed the most potent inhibitory activity against HDAC6 with IC50 of 34 nM and exhibited the great inhibitory activities against a human breast cancer cell line MCF-7 with IC50 of 9 µM in vitro. Meanwhile, the compound also exhibited moderate FGFR1 inhibitory activities. This study provides new tool compounds for further exploration of dual HDAC/FGFR1 inhibition.

Enhanced fluoride removal by La-doped Li/Al layered double hydroxides.

In this study La intercalated Li/Al layered double hydroxide (LDH) was developed for efficient water defluoridation. The La-modified material, i.e., La doped Li/Al-LDH, exhibits more preferable fluoride adsorption than Li/Al-LDH in a broad pH range of 5-9, with the working capacity twice of the latter and seven times of magnitude higher than activated alumina. The fluoride removal kinetics is well fitted by pseudo-second order model, and the adsorption isotherm is well described by Freundlich model. Effect of pH and competing ions was examined during fluoride sequestration. The underlying mechanism for such enhanced adsorption of fluoride by La doped Li/Al-LDH was further revealed based on XPS and FTIR analysis. The presence of La and Al was found to be responsible for the satisfactory defluoridation of La doped Li/Al-LDH, and chloride replacement with fluoride occurred from both LDHs during fluoride adsorption. Also, the capacity of La doped Li/Al-LDH could be refreshed by alkaline solution (pH = 12) for cyclic runs. All the results implied that La doped Li/Al-LDH could serve asa potential adsorbent for efficient fluoride removal from water.

Efficient defluoridation of water using reusable nanocrystalline layered double hydroxides impregnated polystyrene anion exchanger.

Water decontamination from fluoride is still a challenging task of global concern. Recently, Al-based layered double hydroxides (LDHs) have been extensively studied for specific fluoride adsorption from water. Unfortunately, they cannot be readily applied in scaled-up application due to their ultrafine particles as well as the regeneration issues caused by their poor stability at alkaline pHs. Here, we developed a novel (LDH)-based hybrid adsorbent, i.e., LALDH-201, by impregnating nanocrystalline Li/Al LDHs (LADLH) inside a commercial polystyrene anion exchanger D201. TEM image and XRD spectra of the resultant nanocomposite confirmed that the LDHs particles were nanosized inside the pores of D201 of highly crystalline nature and well-ordered layer structure. After impregnation, the chemical and mechanical stability of LALDH were significantly improved against pH variation, facilitating its application at a wide pH range (3.5-12). Fluoride adsorption onto LALDH-201 was compared to D201 and activated alumina, evidencing the preferable removal fluoride of LALDH-201. Fluoride adsorption onto LALDH-201 followed pseudo-second-order model, with the maximum capacity (62.5 mg/g from the Sips model) much higher than the other two adsorbents. Fixed-bed adsorption run indicated the qualified treatable volume of the fluoride contaminated groundwater (4.1 mg/L initially) with LALDH-201 was about 11 times as much as with the anion exchanger D201 when the breakthrough point was set as 1.5 mg/L. The capacity of LALDH-201 could be effectively refreshed for continuous column operation without observable loss by using the mixed solution of 0.01 M NaOH + 1 M NaCl. The above results suggested that the hybrid adsorbent LALDH-201 is very promising for water defluoridation in scaled-up application.

Arsenate Adsorption by Hydrous Ferric Oxide Nanoparticles Embedded in Cross-linked Anion Exchanger: Effect of the Host Pore Structure.

Three composite adsorbents were fabricated via confined growth of hydrous ferric oxide (HFO) nanoparticles within cross-linked anion exchangers (NS) of different pore size distributions to investigate the effect of host pore structure on the adsorption of As(V). With the decrease in the average pore size of the NS hosts from 38.7 to 9.2 nm, the mean diameter of the confined HFO nanoparticles was lessened from 31.4 to 11.6 nm as observed by transmission electron microscopy (TEM), while the density of active surface sites was increased due to size-dependent effect proved by potentiometric titration. The adsorption capacity of As(V) yielded by Sips model was elevated from 24.2 to 31.6 mg/g via tailoring the pore size of the NS hosts, and the adsorption kinetics was slightly accelerated with the decrease of pore size in background solution containing 500 mg/L of Cl(-). Furthermore, the enhanced adsorption of As(V) was achieved over a wide pH range from 3 to 10, as well as in the presence of competing anions including Cl(-), SO4(2-), HCO3(-), NO3(-) (up to 800 mg/L), and PO4(3-) (up to 10 mg P/L). In addition, the fixed-bed working capacity increased from 2200 to 2950 bed volumes (BV) owing to the size confinement effect, which did not have adverse effect on the desorption of As(V) as the cumulative desorption efficiency reached 94% with 10 BV of binary solution (5% NaOH + 5% NaCl) for all the three adsorbents. Therefore, this study provided a promising strategy to regulate the reactivity of the nanoparticles via the size confinement effect of the host pore structure.

Minor dammarane saponins from the hongshen extract of Shenmai injection.

A new dammarane-type triterpenoid saponin, (20R)-ginsenoside ST(2) (1), along with five known saponins was isolated from the hongshen extract of Shenmai injection. The structure of 1 was elucidated to be (20R)-dammar-23(E)-ene-3ß,6α,12ß,20,25-pentol 6-O-ß-D-glucopyranoside by means of spectroscopic methods.

Tumor antigen delivered by Salmonella III secretion protein fused with heat shock protein 70 induces protection and eradication against murine melanoma.

Attenuated Salmonella typhimurium possess the ability to stimulate innate immune responses and preferentially allocate within the solid tumor. These two main characteristics make attenuated Salmonella one of the most attractive vehicles for development of vaccine and also targeted cancer therapies. However, location of Salmonella prevents the process of antigen presentation. Salmonella Type III secretion system can be utilized to circumvent this problem because this system secretes the protein it encoded outside the cells. Heat shock protein 70 (Hsp70) is referred to as an "immunochaperone" for its capacity to elicit tumor-specific adaptive immune responses in the form of Hsp70-TAA (tumor associated antigen) complex. Hsp70 facilitates the cross-presentation of exogenous antigens through its receptor on antigen-presenting cells and therefore activates an antigen-specific cytotoxic T lymphocyte (CTL) response, which can directly contribute to potent anti-tumor immunity. Here, we designed a novel therapeutic vaccine utilizing the type III secretion system and Hsp70 to deliver and present the tumor-specific antigen. This live recombinant bacteria vaccine, when administrated orally, successfully broke the immune tolerance, induced a specific CTL response against tumor cells, and therefore revealed protective and therapeutic effects against generation and growth of B16F10 melanoma in C57BL/6J mice.

The treatment and prevention of mouse melanoma with an oral DNA vaccine carried by attenuated Salmonella typhimurium.

Therapeutic vaccines of cancer are attractive for their capacity of breaking the immune tolerance and invoking long-term immune response targeting cancer cells without autoimmunity. An efficient antigen delivery system is the key issue of developing an effective cancer vaccine. Attenuated Salmonella typhimurium as the carrier of cancer vaccine are able to transfer DNA from the prokaryote to the eukaryote and preferentially replicate within the tumor tissue. Heat shock protein 70 delivers the tumor-associated antigens to antigen presenting cells through its polypeptide-binding domain and breaks immune tolerance of the cancer cells. Here we described a novel low-copy-number DNA vaccine based on the Hsp70-TAA complex and carried by the attenuated S. typhimurium strain SL3261. Oral administration of this vaccine elicited specific CTL-mediated lysis of the melanoma tumor cells and marked activation of the T-cells. The therapeutic vaccine effectively protected 57.1% C57BL/6J mice from lethal challenge with B16F10 melanoma tumor cells in prophylactic settings and eraicated 62.5% tumor growth in therapeutic settings. This approach may provide a new strategy for the prevention and treatment of cancer.

Study of imidaclothiz residues in cabbage and soil by HPLC with UV detection.

The HPLC method for determination of imidaclothiz residue in cabbage and soil was developed, and its degradation and final residue were studied. The mean accuracies of the analytical method were 92.0-93.0% in soil and 88-93% in cabbage. The precision in cabbage ranged from 2.2% to 5.6%, and in soil from 2.0% to 5.0%. The minimum detectable amount of imidacothiz was 1 x 10(-10)g. The minimum detectable concentration was 0.0075 mg kg(-1) in cabbage and 0.003 mg kg(-1) in soil. The results showed that imidaclothiz degradation in soil and cabbage coincided with C = 0.0427e(-0.0923t), C = 0.739e(-0.279t). The half-lives were about 3.1 days in soil and 2.2 days in cabbage.

The intrabody targeting of hTERT attenuates the immortality of cancer cells.

hTERT (human telomerase reverse transcriptase) plays a key role in the process of cell immortalization. Overexpression of hTERT has been implicated in 85% of malignant tumors and offers a specific target for cancer therapy. In this paper, we describe an effective approach using a single-chain variable fragment (scFv) intrabody derived from monoclonal hybridoma directed against hTERT to attenuate the immortalization of human uterine cervix and hepatoma cells. The scFv we constructed had a high affinity to hTERT, and specifically neutralized over 70% of telomere synthesis activity, thereby inhibiting the viability and proliferation of the cancer cells. Our results indicate that this anti-hTERT intrabody is a promising tool to target hTERT and intervene in the immortalization process of cancer cells.

Adsorption of phenolic compounds from aqueous solutions by aminated hypercrosslinked polymers.

Two novel polymers (NJ-1 and NJ-2) were synthesized by chemically modified a hypercrosslinked polymer NJ-0 with dimethylamine and trimethylamine, respectively. The comparison of the adsorption properties of the three polymers toward phenol, resorcin and phloroglucin was made. The study focused on the static equilibrium adsorption behaviors and the adsorption thermodynamics. Freundlich equation was found to fit the adsorption results well. The effect of amino groups introduced onto the surface of the resin and the structure of phenolic compounds on the adsorption were also studied. The hydrogen-bonding interaction and electrostatic interaction could happen between the amino groups and the adsorbates. The adsorption impetus increased as quantity of hydroxyl groups increased, but the adsorption capacity decreased due to the drop of the matching degree of the aperture of resins and the diameter of adsorbate molecules.

Supercritical carbon dioxide extraction of oil and squalene from amaranthus grain.

Supercritical carbon dioxide (SC CO(2)) was used for the extraction of oil and squalene from Amaranthus grain. Very small amounts of oil could be extracted by SC CO(2) from undisrupted grains, although SC CO(2) possesses higher diffusivity. Grinding increased the extraction rate and oil yield, and smaller particle size gave higher extraction rate. The oil yield and initial extraction rate increased linearly with the increasing SC CO(2) flow rate from 1 to 2 L/min. Increasing the flow rate of SC CO(2) above 2 L/min resulted in only a slight increase of oil yield and extraction rate. In the pressure range of 150-250 bar, extraction decreased with increasing temperature at a constant pressure, whereas at a pressure of 300 bar, the extraction yield increased with increasing temperature. Possible reasons for this are discussed. Effects of temperature and pressure on squalene yield were different from those on oil yield. A good oil yield (4.77 g of oil/100 g of grain) was obtained at 40 degrees C and 250 bar. The highest squalene yield (0.31 g of squalene/100 g of grain) and concentration (15.3% in extract) were obtained at 50 degrees C and 200 bar, although the oil yield under this condition was low (2.07 g of oil/100 g of grain). The moisture content within 0-10% had little influence on yields of oil and squalene at 40 degrees C and 250 bar. Finally, the oil yield and the squalene concentration in the extracts by SC CO(2) were compared to those by solvent extraction.