Complications and Peri-operative Characteristics of Flaps for Reconstruction of Defects after Ablation of Squamous Cell Carcinoma of the Floor of the Mouth.

OBJECTIVE: To determine the appropriate method to use to repair defects after ablation of squamous cell carcinoma (SCC) of the floor of the mouth (FOM). METHODS: A retrospective review of 119 patients who underwent surgical resections of SCC of the FOM and flap reconstructions was conducted. A Student t test was used to examine the statistical differences in operative time, length of hospital stay and complications among groups with different reconstructions. RESULTS: Advanced-stage patients were repaired with more free flaps than local pedicled flaps that provided more reconstructions for small-to-medium defects. The most common recipient complication was wound dehiscence, and patients in the anterolateral thigh flap group developed a greater number of overall recipient site complications compared with those in other groups. Patients undergoing local flap reconstructions had shorter operative times compared with those with free flap reconstructions. CONCLUSION: In contrast to a radial forearm free flap as a more appropriate reconstruction for defects involving the tongue, an anterolateral thigh flap was better suited for defects with dead spaces. A fibular flap was appropriate for massive complex defects involving the mandible, FOM and tongue. A pectoralis major musculocutaneous flap provided the last line of reconstruction for patients with relapsed SCC or high-risk factors for microsurgical reconstructions.

Clinical evaluation of the use of laryngeal tube versus laryngeal mask airway for out-of-hospital cardiac arrest by paramedics in Singapore

INTRODUCTION@#It remains unclear which advanced airway device has better placement success and fewer adverse events in out-of-hospital cardiac arrests (OHCAs). This study aimed to evaluate the efficacy of the VBM laryngeal tube (LT) against the laryngeal mask airway (LMA) in OHCAs managed by emergency ambulances in Singapore.@*METHODS@#This was a real-world, prospective, cluster-randomised crossover study. All OHCA patients above 13 years of age who were suitable for resuscitation were randomised to receive either LT or LMA. The primary outcome was placement success. Per-protocol analysis was performed, and the association between outcomes and airway device group was compared using multivariate binomial logistic regression analysis.@*RESULTS@#Of 965 patients with OHCAs from March 2016 to January 2018, 905 met the inclusion criteria, of whom 502 (55.5%) were randomised to receive LT while 403 (44.5%) were randomised to receive LMA. Only 174 patients in the LT group actually received the device owing to noncompliance. Placement success rate for LT was lower than for LMA (adjusted odds ratio [OR] 0.52, 95% confidence interval [CI] 0.31-0.90). Complications were more likely when using LT (OR 2.82,0 95% CI 1.64-4.86). Adjusted OR for prehospital return of spontaneous circulation (ROSC) was similar in both groups. A modified intention-to-treat analysis showed similar outcomes to the per-protocol analysis between the groups.@*CONCLUSION@#LT was associated with poorer placement success and higher complication rates than LMA. The likelihood of prehospital ROSC was similar between the two groups. Familiarity bias and a low compliance rate to LT were the main limitations of this study.

LncRNA HOTAIR knockdown inhibits glycolysis by regulating miR-130a-3p/HIF1A in hepatocellular carcinoma under hypoxia.

High rate of glycolysis supports hepatocellular carcinoma (HCC) cell growth even in a hypoxic environment. However, the mechanism underlying glycolysis under hypoxia remains largely unknown. Long noncoding RNAs (lncRNAs) play essential roles in regulating glucose metabolism in cancers. This study aimed to explore the role of lncRNA homeobox transcript antisense RNA (HOTAIR) in HCC glycolysis under hypoxia. Thirty-eight HCC patients were recruited. HepG2 and Huh7 cells were used for study in vitro. The expression levels of HOTAIR, microRNA-130a-3p (miR-130a-3p) and hypoxia inducible factor 1 alpha (HIF1A) were measured by quantitative real-time polymerase chain reaction and western blot, respectively. The glycolysis under hypoxia (1 % O2) condition was investigated by glucose consumption, lactate production and hexokinase 2 (HK2) level. The target interaction between miR-130a-3p and HOTIR or HIF1A was analyzed by bioinformatics analysis, luciferase assay, RNA pull-down and RNA immunoprecipitation. We found that HOTAIR expression was enhanced in HCC tissues and cells. Under hypoxia condition, HOTAIR expression was increased and its knockdown inhibited glycolysis in HCC cells. HOTAIR was validated as a decoy of miR-130a-3p and miR-130a-3p deficiency reversed the suppressive effect of HOTAIR silence on glycolysis under hypoxia. HIF1A was indicated as a target of miR-130a-3p and miR-130a-3p overexpression repressed glycolysis under hypoxia by targeting HIF1A. Moreover, HIF1A expression was regulated by HOTAIR and miR-130a-3p. In conclusion, knockdown of HOTAIR suppressed glycolysis by regulating miR-130a-3p and HIF1A in HCC cells treated by hypoxia, elucidating a novel mechanism in HCC glycolysis.

Research and application status of ecological floating bed in eutrophic landscape water restoration.

Ecological floating bed (EFB) has become the preferred technology due to its reputation of green economy, convenience, and efficiency in treating eutrophic landscape water. Based on the statistical analysis of abundant literatures, this paper systematically summarizes the component elements, design parameters, purification mechanism, purification ability, strengthening methods and the correlations among various parameters of EFB, and points out some issues existing in the current research and applications. The results show that the coverage of 5% ~ 38% and water depth of 60 ~ 110 cm should be recommended for EFB design. The microbial transformation-sedimentation contributes mostly to the removal of pollutant, leading to the contribution rate of 51.9% ± 26.4% to nitrogen (N) removal and 50.8% ± 20.4% to phosphorus (P) removal in water respectively. Meanwhile, the average purification abilities of EFB for carbon (C), N and P in water are 4.59 ± 3.82, 0.43 ± 0.35 and 0.04 ± 0.04 g m-2 d-1 respectively. The purification effect is relatively superior when the initial concentration of C, N and P in water is close to C: N: P = 115: 11: 1. In order to enhance the EFB purification efficiency, the methods of artificial aeration, biological chain extension, functional filler introduction, and composite EFB construction can be used. Furthermore, the purification ability of EFB per unit area is correlated positively with water temperature and initial pollutant concentration (r ≥ 0.577, p < 0.01), and correlated negatively with EFB coverage (r ≤ -0.598, p < 0.01). The future research of EFB should focus on enhancing its purification efficiency and seasonal adaptability, studying the mechanism of algae inhibition by allelochemicals, and exploring the harvesting management and resource utilization of plants. This paper provides more reasonable design parameters, feasible management strategies and prospective research directions for environmental managers and researchers who would like to adopt EFB to purify eutrophic landscape water.

Predifferentiated amniotic fluid mesenchymal stem cells enhance lung alveolar epithelium regeneration and reverse elastase-induced pulmonary emphysema.

INTRODUCTION: Pulmonary emphysema is a major component of chronic obstructive pulmonary disease (COPD). Emphysema progression attributed not only to alveolar structure loss and pulmonary regeneration impairment, but also to excessive inflammatory response, proteolytic and anti-proteolytic activity imbalance, lung epithelial cells apoptosis, and abnormal lung remodeling. To ameliorate lung damage with higher efficiency in lung tissue engineering and cell therapy, pre-differentiating graft cells into more restricted cell types before transplantation could enhance their ability to anatomically and functionally integrate into damaged lung. In this study, we aimed to evaluate the regenerative and repair ability of lung alveolar epithelium in emphysema model by using lung epithelial progenitors which pre-differentiated from amniotic fluid mesenchymal stem cells (AFMSCs). METHODS: Pre-differentiation of eGFP-expressing AFMSCs to lung epithelial progenitor-like cells (LEPLCs) was established under a modified small airway growth media (mSAGM) for 7-day induction. Pre-differentiated AFMSCs were intratracheally injected into porcine pancreatic elastase (PPE)-induced emphysema mice at day 14, and then inflammatory-, fibrotic-, and emphysema-related indices and pathological changes were assessed at 6 weeks after PPE administration. RESULTS: An optimal LEPLCs pre-differentiation condition has been achieved, which resulted in a yield of approximately 20% lung epithelial progenitors-like cells from AFMSCs in a 7-day period. In PPE-induced emphysema mice, transplantation of LEPLCs significantly improved regeneration of lung tissues through integrating into the lung alveolar structure, relieved airway inflammation, increased expression of growth factors such as vascular endothelial growth factor (VEGF), and reduced matrix metalloproteinases and lung remodeling factors when compared with mice injected with AFMSCs. Histopathologic examination observed a significant amelioration in DNA damage in alveolar cells, detected by terminal deoxynucleotidyltransferase-mediated dUTP nick end labeling (TUNEL), the mean linear intercept, and the collagen deposition in the LEPLC-transplanted groups. CONCLUSION: Transplantation of predifferentiated AFMSCs through intratracheal injection showed better alveolar regeneration and reverse elastase-induced pulmonary emphysema in PPE-induced pulmonary emphysema mice.

Effect of calcium peroxide on the water quality and bacterium community of sediment in black-odor water.

This study investigated how efficiently CaO2 could treat black-odor landscape water caused by low dissolved oxygen (DO) in a field experiment of 600 m2. The study demonstrated that CaO2 could significantly elevate the DO concentration in waters and the oxidation-reduction potential (ORP) level in sediments (p = 0.003 and p = 0), which is conducive to improving the anoxic environment of landscape water. The concentrations of total chemical oxygen demand (TCOD) and S2- in overlying and interstitial waters were considerably decreased. The average concentrations of TCOD in the overlying and interstitial waters of the test zone (TZ) were 52.98% and 66.05% of those of the control zone (CZ), and the average concentrations of S2- in the overlying and interstitial waters of TZ were 29.63% and 39.79% of those of CZ. Meanwhile, CaO2 could obviously reduce turbidity but increase the transparency in the overlying water. The mean value of turbidity in the overlying water of TZ was 39.46% of that of CZ, whereas the transparency in the overlying water of TZ was 2.07 times that of CZ. Furthermore, CaO2 changed the microbial community structure in the sediments, where the relative abundance of anaerobic bacteria was decreased but that of the aerobic bacteria was increased with some functional bacteria. In summary, CaO2 could significantly increase the DO and ORP in black-odor landscape water, obviously inhibit the release of pollutants from sediment, and increase the diversity of microbial strains. Consequently, the black-odor phenomenon of landscape water could be alleviated effectively by adding CaO2.

Release characteristics of nitrogen and phosphorus from sediments formed under different supplemental water sources in Xi'an moat, China.

The endogenous release of nutrients from sediments contributes to the eutrophication of landscape water to a certain degree, which depends on the characteristics of sediments. The study explored the characteristics of nitrogen (N) and phosphorus (P) released from two different sediments, which were deposited from reclaimed water (SRW) or surface water (SSW) respectively in Xi'an moat. This paper aimed to compare the effects of nutrient release from SRW and SSW on the water quality. Results showed that the maximum increase rates reached 1.21 mg TN/(L·day) and 0.11 mg TP/(L·day), respectively, in the overlying water of SRW, which were 1.6 and 2.8 times those of SSW. The released amounts of SRW were 0.192 mg TN/g and 0.038 mg TP/g, which were 4.1 and 12.7 times those of SSW. Meanwhile, the densities of benthic algae in SRW and SSW were 5.605 × 109 and 2.846 × 108 cells/L, respectively. Moreover, the species number and individual sizes of benthic algae in SRW were also larger than those in SSW, which played an important role in the nitrogen circulation. Unexpectedly, oxidation reduction potential (ORP) level of SRW was lower than that of SSW, although SRW has a higher dissolved oxygen level. Therefore, the N and P concentrations in the overlying water of SRW were considerably higher than those of SSW, which was mainly attributed to the higher nutrient contents and lower ORP in SRW.

Effects and mechanisms of calcium peroxide on purification of severely eutrophic water.

In consideration of severe eutrophication of scenic water caused by pollutants released from sediments in summer, calcium peroxide (CaO2) was adopted as the slow release peroxide to improve the water quality in a field experiment of 600 m2. The effect of CaO2 on the overlying water, interstitial water, sediment, and sediment microorganisms of scenic water was studied. Results for two months indicated that the dissolved oxygen (DO) concentration of the overlying water in the test zone was 3.78 times that in the control zone; the oxidation-reduction potential (ORP) in the overlying water and sediment increased significantly (p = 0.002 and p = 0). Meanwhile, CaO2 could effectively inhibit the release of nitrogen (N) and phosphorus (P) from the sediment and could obviously reduce the concentrations of N and P in the overlying water by enhancing the microbiological action. Moreover, the average concentrations of total nitrogen and total phosphorus in the overlying water of the test zone were 46.27% and 50.51% of those in control zone, respectively, and the concentrations of N and P in the interstitial water decreased during the entire experiment. In addition, CaO2 decreased the relative abundance of anaerobic bacteria in the sediment, whereas it increased that of aerobic bacteria and promoted the appearance of the functional bacteria, such as Nitrospirae and Thermodesulfoba. In conclusion, CaO2 can improve the DO and ORP in the eutrophic water effectively and change the microbial community in the sediment to a certain extent, thereby controlling the pollutants released from the sediment and reducing the N and P concentrations in the overlying water. Thus, CaO2 can effectively realize the purification and restoration of the severely eutrophic scenic water.

Clinical Efficacy of Xiaoer Anorexia Granule Combined with Saccharomyces Brassicus in Treatment of Pediatric Anorexia and Its Effect on Serum Cytokines / 中国实验方剂学杂志

Objective: To investigate the clinical efficacy of Xiaoer anorexia granule combined with Saccharomyces brassicus in the treatment of infantile anorexia and its effect on serum cytokines. Method: Totally 240 cases of infantile anorexia treated in Jinhua People's Hospital from October 2015 to October 2017 were randomly divided into three groups. Group A (combination group) orally took Xiaoer anorexia granule, 1 pack/time for 1-3 years old, 2 packs/time for 4-6 years old, 3 times a day, and combined with saccharomyces brasiliensis, 0.5 g/time, 2 times a day, 15-30 min before meal. Group B took saccharomyces brasiliensis by the same method as the combination group. Group C took Xiaoer anorexia granules by the same method as above,with 80 cases in each group. 8 weeks is a course of treatment. Serum inflammatory cytokines leptin, SP and Ghrelin were also detected. The clinical efficacy, body weight, height improvement and serum cytokine levels were observed in 3 groups. Result: The total improvement rate of group A was 91.25%, which was significantly higher than 71.25%of group B and 73.75%of group C, with statistically significant differences (PPPPPPPConclusion: Treatment of infantile anorexia with Xiaoer anorexia granules combined with Saccharomyces cerevisiae can improve the total clinical effective rate, adjust serum cytokine levels and increase height and body mass.

Clinical Efficacy of Modified Sinisan Combined with Saccharomyces Brasiliensis on Functional Dyspepsia in Children and Its Effect on Serum Cytokines / 中国实验方剂学杂志

Objective: To discuss the clinical efficacy of modified Sinisan (Qizhi Weitong granule) and saccharomyces boulardi in treating functional dyspepsia (FD) in children, and its effect on changes in serum cytokine and gastrointestinal hormones.Method: Totally 156 cases were divided into control group (78 cases) and observation group (78 cases). The control group was treated with saccharomyces boulardi, 0.25 g, po, bid, after meal. In addition to the therapy of control group, the observation group was also given modified Sinisan (Qizhi Weitong granule), 2.5 g, po, tid, 30 minutes before meal. Four weeks was a course of treatment. Then the clinical efficacy, the time of symptom improvement and the change of serum cytokine and gastrointestinal hormones were observed.Result: The total effective rate of observation group (96.15%) was higher than that of control group (82.05%), with statistical difference (Pγ(IFN-γ), tumor necrosis factor-α(TNF-α), plasma motilin(MTL) and Leptin of both groups had no statistical difference before treatment. After treatment, the serum levels of IL-10, MTL of both group were increased, while the serum levels of IFN-γ, TNF-α, Leptin of both group were decreased. However, the decreasing range and the increasing range of observation group were statistically obvious than those of control group (PConclusion: Modified Sinisan(Qizhi Weitong granule) combined with saccharomyces boulardi have an obvious clinical efficacy in treating child's FD, with a low recurrence. The mechanism may be correlated with the effect of integrated Chinese and Western medicines in regulating serum cytokine and gastrointestinal hormones levels.

Effect of a strengthened ecological floating bed on the purification of urban landscape water supplied with reclaimed water.

A floating bed (FB) system vegetated with calamus, iris, lythrum, and Hydrocotyle vulgaris, and a strengthened FB (SFB) system with zeolite and sponge iron as fillers were simultaneously applied to purify urban landscape water in different zones. The urban landscape water, an artificial lake of approximately 326m2, was supplied with reclaimed water during a six-month experiment. Results indicated that the concentrations of nitrogen (N) and phosphorus (P) in the SFB zone (SFBZ) were significantly lower than those in the control zone (CZ) and the FB zone (FBZ) after six months of operation. The average removal efficiencies (AREs) in the SFBZ, FBZ and CZ were 89.98%, 77.39% and 56.37%, respectively, for ammonia nitrogen (NH4+-N); 92.49%, 79.55% and 47.85%, respectively, for phosphate (PO43--P). Meanwhile, the average concentration of Chlorophyll a and the algae density in SFBZ during the experiment were 12.54µg/L and 1.31×104cells/mL, which were lower, obviously, than those in the FBZ and CZ. Moreover, the contribution rates analysis of nutrient removal exhibited that the plant absorption in the removal of N and P occupied 27.85% and 26.36%, whereas the filler adsorption occupied 7.93% and 11.93%, respectively, in the SFB. Thus, the water quality of the artificial lake was improved greatly by the SFB which hybridized fillers and FB together. Finally, it was found that the AREs of NH4+-N and PO43--P in the SFBZ could reach 73.93% and 84.56%, approximately 1.39 and 1.41 times that of the FBZ during the winter. Therefore, the application of an SFB can keep a stable water quality in urban landscape water and avoid the lower removal rate of an FB at low-temperature. In summary, the SFB could effectively improve the water quality of urban landscape water supplied with reclaimed water even in winter.

Mating Compatibility and Restriction Analysis of Ganoderma Isolates from Oil Palm and Other Palm Hosts.

Mating compatibility and restriction analyses of Internal Transcribed Spacer (ITS) regions were performed to determine the relations between Ganoderma boninense, the most common species associated with basal stem rot in oil palm and Ganoderma isolates from infected oil palm, two ornamental palms, sealing wax palm (Cyrtostachys renda) and MacArthur palm (Ptychosperma macarthurii), an isolate from coconut stump (Cocos nucifera), Ganoderma miniatocinctum, Ganoderma zonatum and Ganoderma tornatum. The results showed that G. boninense was compatible with Ganoderma isolates from oil palm, G. miniatocinctum and G. zonatum, Ganoderma isolates from sealing wax palm, MacArthur palm and coconut stump. G. boninense was not compatible with G. tornatum. Therefore, the results suggested that the G. boninense, G. miniatocinctum, G. zonatum, and Ganoderma isolates from oil palm, ornamental palms and coconut stump could represent the same biological species. In performing a restriction analysis of the ITS regions, variations were observed in which five haplotypes were generated from the restriction patterns. An unweighted pair-group method with arithmetic averages (UPGMA) cluster analysis showed that all the Ganoderma isolates were grouped into five primary groups, and the similarity values of the isolates ranged from 97% to 100%. Thus, a restriction analysis of the ITS regions showed that G. boninense and the Ganoderma isolates from other palm hosts were closely related. On the basis of the mating compatibility test and the restriction analysis of the ITS regions performed in this study, a diverse group of Ganoderma species from oil palm and other palm hosts are closely related, except for G. tornatum and Ganoderma isolates from tea and rubber.

[Effect of triptergium wilfordii polyglycosidium on content of Th1 and Th2 in child recurrent nephrotic syndrome].

OBJECTIVE: To study the effect of triptergium wilfordii polyglycosidium on the content of Th1 and Th2 in the treatment child patients of rcurrent nephrotic syndrome. METHOD: Patients were randomized into treatment group and health group. Sixty-one patients in treatment group were treated with triptergium wilfordii polyglycosidium 1 mg x kg(-1) x d(-1) orally tid for 12 weeks. However, patients in health group was not treated with any drugs. Twelve weeks constituted one course of treatment and the content of IL-12, IL-2, TNF-alpha, IL-13, IL-6, IL-4 in peripheral blood was measured before and behind therapy. RESULT: In treatment group, the content of serum cytokines behind therapy was significantly lower than that before therapy, except for IL-12. CONCLUSION: Triptergium wilfordii polyglycosidium could reduce the cytokine level (except for IL-12) of Th1 and Th2, which could lead a therapeutic effect of in the child patients of RNS.

[Effects of immunotherapy with infantile recurrent respiratory tract infection by Chinese materia medica].

OBJECTIVE: To explore the effect of Chinese materia medica on immune intervention of infantile recurrent respiratory tract infection. METHOD: Thirty-one children of recurrent respiratory tract infection were randomly divided into two groups: therapy group was treated with oral Chinese materia medica (b. i. d), control group was only treated with oral carboxymethyl liquor (< 4 years, 3 mL; 4-7 years, 5 mL; > 7 years, 7 mL, t. i. d). The change of IL-12,TNF-alpha, IL-6, IL-13, IL-6 and IL-4 in different time were observed and analyzes. RESULT: Compared with the control group, the level of IL-12 and IL-2 was significantly increased after treatment of oral Chinese materia medica (P < 0.01), however, the level of TNF-alpha, IL-13, IL-4, and IL-6 was decreased after treatment (P < 0.01). During one years follow-up study, the frequency of respiratory infection every year of therapy group was significantly decreased than that of control group. CONCLUSION: Chinese materia medica could prevent infantile recurrent respiratory tract infection effectively, increase humoral immunity function and ensure normal growth in children.

Effect of triptergium wilfordii polyglycosidium on content of Th1 and Th2 in child recurrent nephrotic syndrome / 中国中药杂志

<p><b>OBJECTIVE</b>To study the effect of triptergium wilfordii polyglycosidium on the content of Th1 and Th2 in the treatment child patients of rcurrent nephrotic syndrome.</p><p><b>METHOD</b>Patients were randomized into treatment group and health group. Sixty-one patients in treatment group were treated with triptergium wilfordii polyglycosidium 1 mg x kg(-1) x d(-1) orally tid for 12 weeks. However, patients in health group was not treated with any drugs. Twelve weeks constituted one course of treatment and the content of IL-12, IL-2, TNF-alpha, IL-13, IL-6, IL-4 in peripheral blood was measured before and behind therapy.</p><p><b>RESULT</b>In treatment group, the content of serum cytokines behind therapy was significantly lower than that before therapy, except for IL-12.</p><p><b>CONCLUSION</b>Triptergium wilfordii polyglycosidium could reduce the cytokine level (except for IL-12) of Th1 and Th2, which could lead a therapeutic effect of in the child patients of RNS.</p>

Effects of immunotherapy with infantile recurrent respiratory tract infection by Chinese materia medica / 中国中药杂志

<p><b>OBJECTIVE</b>To explore the effect of Chinese materia medica on immune intervention of infantile recurrent respiratory tract infection.</p><p><b>METHOD</b>Thirty-one children of recurrent respiratory tract infection were randomly divided into two groups: therapy group was treated with oral Chinese materia medica (b. i. d), control group was only treated with oral carboxymethyl liquor (< 4 years, 3 mL; 4-7 years, 5 mL; > 7 years, 7 mL, t. i. d). The change of IL-12,TNF-alpha, IL-6, IL-13, IL-6 and IL-4 in different time were observed and analyzes.</p><p><b>RESULT</b>Compared with the control group, the level of IL-12 and IL-2 was significantly increased after treatment of oral Chinese materia medica (P < 0.01), however, the level of TNF-alpha, IL-13, IL-4, and IL-6 was decreased after treatment (P < 0.01). During one years follow-up study, the frequency of respiratory infection every year of therapy group was significantly decreased than that of control group.</p><p><b>CONCLUSION</b>Chinese materia medica could prevent infantile recurrent respiratory tract infection effectively, increase humoral immunity function and ensure normal growth in children.</p>