Sustained acute kidney injury as an independent risk factor for neurodevelopmental and growth outcomes in a single NICU center.

PURPOSE: Acute kidney injury (AKI) is commonly seen in neonatal intensive care units (NICUs) and is potentially associated with adverse prognoses in later stages of life. Our study evaluated the impact of sustained AKI (SAKI) on both neurodevelopmental impairment (NDI) and early growth restriction (EGR) in neonates. METHODS: This case-control study retrospectively analyzed the medical records of neonates diagnosed with SAKI in the NICU of a tertiary medical center during the period from January 2007 to December 2020. Cases without subsequent follow-up and those resulting in death were excluded. We analyzed demographic, biochemical, and clinical outcome data. RESULTS: Of the 93 neonates with SAKI, 51 cases (54.8%) were included in this study, while 42 cases (45.2%) were excluded due to a lack of follow-up or death. An age-matched control group comprised 103 neonates, who had never experienced AKI or SAKI, were selected at random. In total, 59 (38.3%) cases were identified as NDI and 43 (27.9%) as EGR. Multivariate analysis revealed that patients with SAKI had significantly higher risks of developing NDI (odds ratio, [OR] = 4.013, p = 0.001) and EGR (OR = 4.894, p < 0.001). The AKI interval had an area under the receiver operating characteristic curve of 0.754 for NDI at 9.5 days and 0.772 for EGR at 12.5 days. CONCLUSIONS: SAKI is an independent risk factor for both NDI and EGR in neonates. Consequently, regular monitoring, neurological development assessments, and appropriate nutritional advice are crucial to these infants who have experienced renal injury.

Development from Jasminum sambac Flower Extracts of Products with Floral Fragrance and Multiple Physiological Activities.

To obtain a potential commercial product with floral fragrance and physiological properties from Jasminum sambac flower extracts, enfleurage was conducted for a short time and followed by further extraction through supercritical fluid extraction (SFE). The product extracted through SFE (called 100%SFE) exhibited low physiological activity (including 50.7% antityrosinase activity, 38.6%-45.9% radical scavenging activity, and 6,518-15,003 mg/L half-maximal inhibitory concentration [IC50] of antioxidant activity) and an intense jasmine-like flavor but was nontoxic to CCD-996SK and HEMn cells. By contrast, the residue (called RO) exhibited high physiological activity (94.2%-100%), light jasmine-like flavor, and slight cytotoxicity at the concentration of 4,000 mg/L. When 100%SFE and RO were mixed in the ratio 2 : 8, the resultant mixture exhibited 100% antityrosinase activity, >91.3% radical scavenging activity, strong antioxidant activity (IC50: 273-421 mg/L), high total phenolic content (172.15 mg-GAE/g-extract), noncytotoxicity, and moderately intense jasmine-like flavor; it is also economically competitive. The major antioxidants in these extracts were revealed through gas chromatography-mass spectroscopy (GC-MS). Additionally, the composition and quality of fragrance were confirmed through GC-MS and sensory evaluation, respectively. The major fragrance components in the 2 : 8 extract mixture were benzyl acetate, ß-pinene, pentadecyl-2-propyl ester, citronellol, jasminolactone, linalool, farnesol, and jasmone. On the basis of the results, we strongly suggest that the 2 : 8 mixture of extracts from J. sambac flowers can be a powerful antioxidant, whitening, and nontoxic ingredient that can be employed in the pharmaceutical, cosmeceutical, and food industries.

[Effects of Ozone Pollution on Growth, Yields, and Mineral Metallic Element Contents of Paddy Rice].

The increase in the surface ozone (O3) concentration causes air pollution, which has become a significant environmental issue that is of increasing concern. Ozone pollution not only directly harms human health, but also influences the agricultural ecosystem by impacting crop growth, which may then indirectly affect human health through food quality and the safety of agricultural products. The effects of O3 pollution on rice growth, yields, and mineral metal contents in grains were investigated through field experiments with increased O3 concentration treatment (remaining at 100 nL·L-1) in open top chambers (OTC). The crop growth and metal contents of two rice varieties were analyzed and compared. The results showed that the higher O3 concentration inhibited the photosynthesis of Nanjing 5055 and Yangdao 6 rice leaves, reduced the chlorophyll content and leaf area index, and subsequently led to a decline in the rice yield of 45.5% and 28.6%, respectively. However, compared with the natural control, the contents of most mineral metallic elements in the brown rice and glume of the harvested grains increased by 3.6%-19.8% and 3.9%-36.0%, respectively, thus resulting in a lack of essential trace elements or pollution of heavy metals; hence, the impact of O3 on rice food quality and safety requires a comprehensive evaluation.

Does Routine Triple-Time-Point FDG PET/CT Imaging Improve the Detection of Liver Metastases?

Prior reports have demonstrated the improved ability of delayed fluorine-18 (18F) fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) imaging (dual-time-point imaging) in detecting more patients with liver metastases. To evaluate whether routine triple-time-point FDG PET/CT imaging improves the detection of liver metastasis not visualized on initial imaging. To our knowledge, no triple-time-point imaging has been reported. This retrospective study included total 310 patients with various malignancies who underwent PET/CT scans. Triple-time-point imaging including the liver was obtained. The comparison between negative and positive liver lesions on delayed imaging for patients with initial negative imaging were analyzed. Of the 310 patients, 286 did not exhibit liver lesions on initial imaging, but six of the 286 patients exhibited lesions on delayed imaging. No additional liver lesions were detected on further delayed imaging in the 286 patients. The other 24 patients with liver lesions identified on initial imaging still showed lesions on delayed and further delayed imaging. The analysis showed a significant difference in the percentage of colorectal cancer (66.7%) and liver lesions before the PET scan (50.0%) compared with unchanged results (22.1% and 3.9%, respectively). Routine triple-time-point imaging did not improve the detection of liver metastases; however, it may be recommended in patients with colorectal cancer and liver lesions before the PET scan.

Highly efficient removal of victoria blue R and bioelectricity generation from textile wastewater using a novel combined dual microbial fuel cell system.

A novel combined dual microbial fuel cell (MFC) system was developed for the continuous removal of Victoria Blue R (VBR) and electricity generation. Anaerobic and aerobic VBR-degrading bacteria, Shewanella putrefaciens and Acinetobacter calcoaceticus, respectively, were applied simultaneously. The effects of various factors on the performance of the novel system in the continuous mode were investigated, and optimal operating parameters for the system were determined. The optimal liquid retention time for continuous treatment was 36 h. The optimal external resistances of connected MFCs were 390 Ω and 1300 Ω. When artificial wastewater containing 1000 mg/l of VBR was fed continuously into the system, the VBR removal efficiency achieved was 98.7%. In addition, the acute toxicity of the effluent was decreased by a factor of 21.1-22.3, indicating that the system could detoxify VBR intermediates. VBR degradation involved a stepwise demethylation process, which occurred mainly in the first MFC, whereas aromatic ring opening, sequential deamination reaction, and carbon oxidation occurred mainly in the second MFC. When actual VBR-containing wastewater (75-262 mg/l) was introduced, the removal efficiencies of VBR, chemical oxygen demand, colority, NH3, and bioelectricity generation were >99.8%, >96.6%, >88.0%, 100%, and >194.8 mW/m2, respectively and the original inoculated strains remained dominant. Therefore, the combined dual MFC system could be applied to the treatment of actual VBR-containing wastewater.

Pigmented villous nodular synovitis mimicking metastases on 18F-FDG PET/CT in a patient with rectal mucosal melanoma: a case report.

BACKGROUND: Mucosal melanomas are rare and have a high potential for metastasizing. Surgical resection is the treatment of choice for single distant metastases. Malignant melanoma usually shows the highest uptake of fluorine-18 fluorodeoxyglucose (18F-FDG). 18F- FDG positron emission tomography /computed tomography (PET/CT) is usually used for melanoma staging. An extensive literature review revealed only 4 published case reports and an original paper involving 8 cases (12 cases in total) of patients with skin melanomas in whom pigmented villous nodular synovitis (PVNS) mimicked metastatic melanoma, however, none of the melanomas reported were of rectal mucosal origin. CASE PRESENTATION: A 60-year-old woman presented with recent diagnosis of rectal mucosal melanoma, two additional 18F-FDG-avid lesions in the left ankle and left foot were detected on 18F-FDG PET/CT. Metastases were initially suspected; however, the final diagnosis was PVNS. CONCLUSIONS: This is the first report of PVNS mimicking metastases on 18F-FDG PET/CT in a patient with rectal mucosal melanoma. Although high 18F-FDG-avid lesions in patients with rectal mucosal melanoma are highly suspected to be metastasis and warrant an meticulous examination, the present case is a reminder that in such patients, not all lesions with high 18F-FDG uptake, especially those near a joint, are metastases and that more extensive resection is unnecessary.

Three-Stage Single-Chambered Microbial Fuel Cell Biosensor Inoculated with Exiguobacterium aestuarii YC211 for Continuous Chromium (VI) Measurement.

Chromium (VI) [Cr(VI)] compounds display high toxic, mutagenic, and carcinogenic potential. Biological analysis techniques (e.g., such as enzyme-based or cell-based sensors) have been developed to measure Cr(VI); however, these biological elements are sensitive to the environment, limited to measuring trace Cr(VI), and require deployment offsite. In this study, a three-stage single-chambered microbial fuel cell (SCMFC) biosensor inoculated with Exiguobacterium aestuarii YC211 was developed for in situ, real-time, and continuous Cr(VI) measurement. A negative linear relationship was observed between the Cr(VI) concentration (5⁻30 mg/L) and the voltage output using an SCMFC at 2-min liquid retention time. The theoretical Cr(VI) measurement range of the system could be extended to 5⁻90 mg/L by connecting three separate SCMFCs in series. The three-stage SCMFC biosensor could accurately measure Cr(VI) concentrations in actual tannery wastewater with low deviations (<7%). After treating the wastewater with the SCMFC, the original inoculated E. aestuarii remained dominant (>92.5%), according to the next-generation sequencing analysis. The stable bacterial community present in the SCMFC favored the reliable performance of the SCMFC biosensor. Thus, the three-stage SCMFC biosensor has potential as an early warning device with wide dynamic range for in situ, real-time, and continuous Cr(VI) measurement of tannery wastewater.

A Green Microbial Fuel Cell-Based Biosensor for In Situ Chromium (VI) Measurement in Electroplating Wastewater.

The extensive use of Cr(VI) in many industries and the disposal of Cr(VI)-containing wastes have resulted in Cr(VI)-induced environmental contamination. Cr(VI) compounds are associated with increased cancer risks; hence, the detection of toxic Cr(VI) compounds is crucial. Various methods have been developed for Cr(VI) measurement, but they are often conducted offsite and cannot provide real-time toxicity monitoring. A microbial fuel cell (MFC) is an eco-friendly and self-sustaining device that has great potential as a biosensor for in situ Cr(VI) measurement, especially for wastewater generated from different electroplating units. In this study, Exiguobacterium aestuarii YC211, a facultatively anaerobic, Cr(VI)-reducing, salt-tolerant, and exoelectrogenic bacterium, was isolated and inoculated into an MFC to evaluate its feasibility as a Cr(VI) biosensor. The Cr(VI) removal efficiency of E. aestuarii YC211 was not affected by the surrounding environment (pH 5-9, 20-35 °C, coexisting ions, and salinity of 0-15 g/L). The maximum power density of the MFC biosensor was 98.3 ± 1.5 mW/m² at 1500 Ω. A good linear relationship (r² = 0.997) was observed between the Cr(VI) concentration (2.5-60 mg/L) and the voltage output. The developed MFC biosensor is a simple device that can accurately measure Cr(VI) concentrations in the actual electroplating wastewater that is generated from different electroplating units within 30 min with low deviations (-6.1% to 2.2%). After treating the actual electroplating wastewater with the MFC, the predominant family in the biofilm was found to be Bacillaceae (95.3%) and was further identified as the originally inoculated E. aestuarii YC211 by next generation sequencing (NGS). Thus, the MFC biosensor can measure Cr(VI) concentrations in situ in the effluents from different electroplating units, and it can potentially help in preventing the violation of effluent regulations.

[Long non-coding RNA HOTAIR in plasma as a potential biomarker for breast cancer diagnosis].

OBJECTIVE: To investigate the expression of long non-coding RNA HOTAIR in the plasma of breast cancer patients and its value in the diagnosis of breast cancer. METHODS: HOTAIR levels were measured in 24 tumor tissues and 70 plasma samples from breast cancer patients using quantitative real-time PCR. The correlations of plasma HOTAIR level with the clinicopathological features of the patients were analyzed. A multivariate logistic regression model was established to analyze the value of plasma HOTAIR in comparison with plasma CA153 and CEA levels for breast cancer diagnosis. We further detected HOTAIR levels in the plasma and breast cancer tissues of 24 patients before and after operation and investigated their correlation. RESULTS: Breast cancer patients had increased expressions of HOTAIR in the tumor tissues and plasma, and plasma HOTAIR level was significantly correlated with estrogen receptor (ER) level (P=0.004) and lymph node metastasis (P=0.010). Receiver operating characteristic (ROC) curve and the multivariable logistic regression model showed that the area under ROC curve (AUC) of plasma HOTAIR was 0.82 (P<0.001) for breast cancer diagnosis with a diagnostic sensitivity and a specificity of 73.3% and 93.3%, respectively. The diagnostic power and specificity of plasma HOTAIR was much higher than those of CA153 (AUC=0.66, P=0.030) and CEA (AUC=0.52, P=0.001), and the combination of the 3 markers further enhanced the diagnostic power (AUC=0.84) and specificity (96.7%). Plasma HOTAIR level was significantly reduced in the patients after the operation (P<0.0001) and showed a moderate correlation with its expression in tumor tissues (r=0.62, P<0.0001). CONCLUSION: Plasma HOTAIR may serve as a potential biomarker for breast cancer diagnosis.

Ground movement analysis based on stochastic medium theory.

In order to calculate the ground movement induced by displacement piles driven into horizontal layered strata, an axisymmetric model was built and then the vertical and horizontal ground movement functions were deduced using stochastic medium theory. Results show that the vertical ground movement obeys normal distribution function, while the horizontal ground movement is an exponential function. Utilizing field measured data, parameters of these functions can be obtained by back analysis, and an example was employed to verify this model. Result shows that stochastic medium theory is suitable for calculating the ground movement in pile driving, and there is no need to consider the constitutive model of soil or contact between pile and soil. This method is applicable in practice.

The removal of kaolinite suspensions by acid-soluble and water-soluble chitosans.

Chitosan is a potential substitute for traditional aluminium salts in water treatment systems. This research compared the coagulant performance of acid-soluble chitosan with water-soluble chitosan and with coagulant mixtures of chitosan and aluminium sulfate (alum). We also assessed the coagulant performance of chitosan and poly-aluminium chloride (PAC) to remove kaolinite from turbid water. In addition, we evaluated their respective coagulation efficiencies under different coagulant concentrations, degrees of turbidity (NTU) and pH levels. Furthermore, we determined the size and settling velocity of flocs formed by these coagulants in order to illustrate major factors affecting kaolinite coagulation. The optimal concentrations of acid- versus water- soluble chitosan required to remove kaolinite from a 300 NTU suspension were 4.0 and 10.0 mg/l, respectively-with individual efficiencies of 79.3 and 92.4%, in that order. Optimum concentrations ofwater-soluble chitosan demonstrated a broader range than that of acid-soluble chitosan. In addition, it is of note that chitosan/alum and chitosan/PAC water-soluble coagulant mixtures demonstrated much wider ranges of optimal concentrations for turbidity reduction than either alum or PAC alone. Moreover, our water-soluble chitosan coagulant mixtures produced denser floc with elevated settling velocities that favour cost savings relevant to both installation and operational expenses. Based on our observations of these noteworthy performances, we confidently propose that a coagulant mixture with a 1:1 mass ratio of chitosan and alum presents a remarkably more cost-effective alternative to the use of chitosan alone in water treatment systems.

Comparison of clinical effects of au-pt based and ni-cr based porcelain crowns / 中国医学科学杂志(英文版)

<p><b>OBJECTIVE</b>To compare the long-term clinical effects of two kinds of crowns and bridges made of porcelain fused to Au-Pt alloy and Ni-Cr alloy.</p><p><b>METHODS</b>A total of 131 teeth (64 patients) were rehabilitated using porcelain-fused-to-metal crowns, among which 59 were rehabilitated with Au-Pt alloy metal ceramic crown and 72 with Ni-Cr alloy metal ceramic crown.The porcelain fracture, shade, marginal adaptation, gingival discoloration, and gingival status after finishing restoration and 36 months of follow-up were evaluated.</p><p><b>RESULTS</b>After 36 months of restoration, porcelain fused to Au-Pt alloy crown showed better clinical effects than porcelain fused to Ni-Cr alloy crown in shade, marginal adaptation, gingival discoloration, as well as gingival status (all P < 0.05).</p><p><b>CONCLUSION</b>The Au-Pt alloy ceramic crown is superior to Ni-Cr alloy ceramic crown in long-term clinical effects.</p>

Removal of high concentrations of NH(3) by a combined photoreactor and biotrickling filter system.

Average emission levels as high as 800 ppm(v) NH(3) have often been found during the anaerobic fermentation process. At these levels, NH(3) is regarded as an environmental toxic compound. High concentrations of NH(3) gas are difficult to treat in a single treatment process, suggesting that, in terms of economic cost and treatment performance, a coupled system may be a feasible technological alternative. In the coupled TiO(2) photocatalytic-biological treatment system evaluated here, the optimal gas retention time for NH(3) removal--in terms of removal efficiency and capital cost--was 26 s. High gas temperatures, high NH(3) concentrations, and low oxygen contents were unfavorable conditions for NH(3) removal by the photoreactor. The coupled system successfully removed concentrated NH(3) gas (R % > 97 %) under disrupted and shutdown conditions. The photoreactor component of the system successfully fulfilled its role as a pretreatment process and enhanced the performance of the biotrickling filter at a high inlet NH(3) load (2,277 g-N m(-3) day(-1)). Potential ammonia-oxidizing bacteria, including Bacillus cereus, Pseudomonas aeruginosa, and Stenotrophomonas sp., were isolated under the high inlet NH(3) load condition. These microbial strains have a potential as biological agents in the removal of high concentrations of NH(3) in waste gas or wastewater.

[Reflections on fostering a gender friendly environment in nursing education].

Gender mainstreaming is a worldwide issue. The United Nations and World Health Organization have emphasized the importance of incorporating gender perspectives and gender equity into government policy decisions. In traditional nursing education, females and female nurses play increasingly important, albeit still silent, roles in traditionally patriarchal working places. Increasing attention is now paid to gender issues, and nursing has become an important field in which to discuss and address gender issues. Nurses should take into consideration patient privacy and prevalent cultural mores when working to accomplish gender equality as well as encourage mutual participation in an open-minded and equitable environment. This article describes how gender bias and insensitivity may result from nursing education and learning processes. In addition, this article reflects on how to leverage self-awareness, gender sensitivity, education strategies and role modeling to create a gender-friendly environment in nursing education.

[Study on 31 cases with cesarean scar pregnancy treated by transvaginal surgery].

OBJECTIVE: To study clinical efficacy on cesarean scar pregnancy (CSP) treated by transvaginal surgery. METHODS: From Jan. 2008 to Mar. 2011, 31 cases with CSP were managed by transvaginal surgery in Anshan Women and Children Hospital. Based on ultrasonograpy examination and intraoperative exposure of lesion, variable surgical options were executed. Fifteen cases in group A were treated by debridement resection and vaginal repair of uterine wall, 7 cases in group B were treated by transvaginal uterine artery ligation and curettage, 9 cases were treated by cutting the anterior wall in the lower uterine segment and repairing uterine. The intraoperative blood loss, operation time, hospital stay, hCG fluctuation at postoperative period and complications were analyzed among those groups. RESULTS: All cases in 3 groups were cured well in one time. (1) The intraoperative blood loss were (41 ± 21) ml in group A, (27 ± 7) ml in group B and (148 ± 132) ml in group C. There was no statistically different blood loss between group A and group B (P > 0.05), however, the amount blood loss in group C was significantly more than those in group A and group B (P < 0.05). (2) The average surgical time, the mean hospital stay, postoperative recovery time of blood hCG were (40 ± 11) minutes, (4.7 ± 0.8) days and (2.7 ± 1.0) weeks in group A, (44 ± 5) minutes, (4.0 ± 0.8) days and (2.9 ± 1.0) weeks in group B, (40 ± 12) minutes, (4.9 ± 1.0) days and (2.8 ± 0.9) weeks in group C. Those clinical index were no statistically different among those 3 groups (P > 0.05). (3) No bladder injury and other complications were observed in those groups. CONCLUSIONS: Transvaginal surgery is efficacy, easy to operate, to keep the uterus, safe and economy in treatment of CSP. Surgery in group A is suitable to treat early and exogenous lesions; surgery in group B is suitable to treat endogenous lesions; surgery in group C is suitable to treat failure cases in group A and B, however, the injury is greater than those in group A and B.

Replacement of hazardous chromium impregnating agent from silver/copper/chromium-impregnated active carbon using triethylenediamine to remove hydrogen sulfide, trichloromethane, ammonia, and sulfur dioxide.

Activated carbon (AC) is widely used as an effective adsorbent in many applications, including industrial-scale air purification systems and air filter systems in gas masks. In general, ACs without chemical impregnation are good adsorbents of organic vapors but poor adsorbents of low-molecular-weight or polar gases such as chlorine, sulfur dioxide (SO2), formaldehyde, and ammonia (NH3). Impregnated ACs modified with metallic impregnating agents (ASC-carbons; e.g., copper, chromium, and silver) enhance the adsorbing properties of the ACs for simultaneously removing specific poisonous gases, but disposal of the chromium metal salt used to impregnate the ACs has the potential to result in situations that are toxic to both humans and the environment, thereby necessitating the search for replaceable organic impregnating agents that represent a much lower risk. The aim of this study was to assess the gas removal efficiency of an AC in which the organic impregnating agent triethylenediamine (TEDA) largely replaced the metallic impregnating agent chromium. We assessed batch and continuous adsorption capacities in situ for removing simulated hydrogen sulfide (H2S), trichloromethane (CHCl3), NH3, and SO2 gases. Brunauer-Emmet-Teller measurements and scanning electron microscopy analyses identified the removal mechanism by which TEDA-impregnated AS-carbon (dechromium ASC-carbon) adsorbs gases and determined the removal capacity for H2S, CHCl3, NH3, and SO2 to be 311, 258, 272, and 223 mg/g-C, respectively. These results demonstrate that TEDA-impregnated AS-carbon is significantly more efficient than ASC-carbon in adsorbing these four gases. Organic TEDA-impregnating agents have also been proven to be a reliable and environmental friendly agent and therefore a safe replacement of the hazardous chromium found in conventional ASC-carbon used in removing toxic gases from the airstream.

Removal of ethylene and bioaerosol by chlorine dioxide using a chemical scrubbing system in a fruit and vegetable storage facility.

Ethylene (C2H4) and bioaerosol are commonly present in the inside atmosphere of postharvest fruit and vegetable storage facilities, which may affect the aging of postharvest fruit and human health. We have assessed the feasibility of chlorine dioxide (ClO2) as the scrubbing solution in a chemical scrubbing tower for simultaneously removing C2H4 and bioaerosol emissions from a gas stream. Parameters such as the ClO2concentration, contact time, and liquid-to-gas (L/G) ratio were examined with the aim of determining the optimal operating conditions. Using the system reported here, the optimal C2H4 removal efficiency was 99.5% when 500 ppm ClO2 was used at a reaction time of 30-60 s under a continuous non-recycle ClO2 flow mode. In terms of C2H4 removal, a greater L/G resulted in a higher C2H4 removal efficiency up to the optimal ratio of 12.5. In terms of the simultaneous removal of C2H4 and bioaerosol, the removal efficiency of C2H4 was 99.2% and those for the bioaersols of Escherichia coli and Staphylococcus aureus were 99.92 and 99.10%, respectively, under a continuous non-recycle flow mode. Our results also indicate that oxidation reduction potential (ORP) can be a valuable indicator for the timing of the replacement of the scrubbing solution in the system under a continuous recycle flow mode. Additional confirmation of the feasibility of the ORP as an indicator of C2H4 and bioaerosol removal in situ was obtained in a 3-month test of our system in continuous recycle flow mode with the periodical replacement of scrubbing solution, ClO2. The removal efficiencies for C2H4, bacterial and fungus aerosol, and total hydrocarbon compounds (THC) were 83.4, 96.8, 96.1, and 76.5%, respectively. Our results prove that ClO2 is an excellent scrubbing solution in the chemical scrubbing tower for the removal of C2H4 emissions and bioaerosol. We demonstrate, for the first time, the feasibility of this system in a fruit and vegetable storage facility.

Tuberculosis among foreign-born persons in Taiwan, 2002-2005.

BACKGROUND/PURPOSE: The foreign-born population has been growing in Taiwan. Most foreign-born persons come from countries with a high burden of tuberculosis (TB). Monitoring the trend and characteristics of TB in this population is essential for TB control in Taiwan. METHODS: Information about foreign-born persons residing in Taiwan and data of all foreign-born TB cases notified during 2002-2005 were obtained from the national authorities and analyzed. RESULTS: A total of 2,444 foreign-born TB cases were notified during 2002-2005, which accounted for 3.6% of all notified TB cases during that period in Taiwan. The proportion of foreign-born TB cases was constant, without any significant yearly variation. The average annual TB notification rate in the foreign-born population was higher than that in the Taiwan-born population (94.0/100,000 vs. 72.0/100,000). There were significant differences in age, sex and regional distribution between foreign-born and Taiwan-born TB cases (p < 0.001). Foreign-born cases were predominantly female (65.4%) and aged 25-44 years (70.9%), whereas the majority of cases among the Taiwan-born population were male (69.4%) and aged > or = 65 years (49.6%). Most foreign-born TB patients (62.7%) lived in northern Taiwan but only about one-third (36.1%) of Taiwan-born TB cases were notified from that region. Among foreign-born TB cases whose original countries were recorded, the majority came from Mainland China and Vietnam, which accounted for 73.0% of all cases, followed by the Philippines (7.4%), Thailand (7.3%) and Indonesia (6.0%). CONCLUSION: Foreign-born TB patients have different profiles and a higher case rate compared to Taiwan-born patients. Monitoring the epidemiologic trend of TB among foreign-born persons, especially those who come from high TB-burden countries, is essential in the fight against TB in Taiwan.

[Clinical analysis of immediate implant and implant-supported complete denture for 12 patients with severe periodontitis].

OBJECTIVE: To evaluate clinical results of implant-supported complete denture of 12 patients with severe chronic periodontitis. METHODS: After systematically periodontic treatment and controlling the inflammation, 12 cases with severe chronic periodontitis were extracted the residual teeth and received immediate implant placement. The implant-supported complete dentures were finished at 5 or 6 months after operation. Restorative results were evaluated with clinical examination, radiological examination and chief complaints of the patients. RESULTS: A total of 108 implants were placed into 20 dental arches, including 37 immediate implants. Average loading was for 3 years and all implants were stable. Progressive bone resorption was observed around two implants. The average bone resorption of other peri-implants was (1.33 +/- 0.10) mm. The implant survival rate was 98.1%. The immediate implant survival rate was 97.3%. CONCLUSIONS: After periodontic treatment, the patients with severe chronic periodontitis could be restored using immediate implant placement and implant-supported complete denture. It can shorten the treatment period, reduce absorption of alveolar and obtain a favorable result by oral health care.

Relationship between carbon dioxide/methane emissions and the water quality/sediment characteristics of Taiwan's main rivers.

River and sediment have unique carbon dynamics and are important sources of the dominant greenhouse gases (GHG), carbon dioxide (CO2) and methane (CH4). To understand the relationship between CO2/CH4 emissions and water quality/sediment characteristics, we have investigated critical parameters in the river water. Eight parameters of water quality (dissolved oxygen, oxidation-reduction potential [ORP], chemical oxygen demand, biochemical oxygen demand [BOD5], suspended solid, nitrate [NO3-], NH4+, and bacteria) and four sediment characteristics (total organic carbon [TOC], total nitrogen [T-N], NO3-, and ammonium [NH4+]) were measured in two of the larger rivers in Taiwan, and relevant environmental conditions were recorded. The experimental results indicated that CO2 emissions from the river were mainly affected by BOD5 concentrations and the levels of bacteria. CH4 emissions, on the other hand, were greatly affected by the ORP in the river. The correlation between CO2 emissions and sediment characteristics was insignificant (R2 < 0.3). However, TOC and T-N in the sediment may lead to increases in CH4 emissions into the atmosphere. A deeper analysis of the relationship between the different parameters and GHG emissions by ANOVA and the multiple regression method revealed that CO2 emission (y) was significantly related to bacteria number (x1) and BOD concentration (X2). The regression equation takes the form y = 0.00032x1 + 3.18089x2 + 25.37304. Also, the regression relationship between CH4 emission (y) and ORP (x) in the river can be described as y = -0.825216x + 169.02257. The relationship between CH4 emission and sediment characteristics may be described as y = 5.073962x1(TOC) + 2.871245x2(T-N) - 12.3262. Extra sampling data were collected to examine the feasibility of the developed multiple regression equations. The experimental results suggest that the emissions of such GHGs as CO2 and CH4 from rivers can be predicted using the regression equations developed here. Moreover, the emissions may be reduced by manipulating the proper factors.