Improved super-elastic Ti-Ni alloy wire intrusion arch for skeletal class II malocclusion combined with deep overbite: A case report.

BACKGROUND: Treatment for deep overbite cases can be difficult. This case report presents some techniques with improved super-elastic Ti-Ni alloy wire (ISW) for deep overbite correction. CASE SUMMARY: A 21-year-old woman had a chief complaint of flaring maxillary teeth. Orthodontic evaluation revealed a skeletal class II malocclusion and a convex profile appearance. A deep overbite with palatal impingement and large overjet were also noted. Bilateral maxillary first premolars were extracted, and spaces were closed using a closed-coil spring and elastic chain. The deep overbite was corrected by applying the ISW curve and ISW intrusion arch. Intermaxillary elastics was used to adjust the intermaxillary relationship. Active treatment took approximately 3 years, and the appearance and dentition alignment noticeably improved. CONCLUSION: The use of the ISW technique in a case of skeletal class II malocclusion with deep overbite achieved a desirable result, and the patient was satisfied with the treatment outcome.

Neochlorogenic Acid Attenuates Hepatic Lipid Accumulation and Inflammation via Regulating miR-34a In Vitro.

Neochlorogenic acid (5-Caffeoylquinic acid; 5-CQA), a major phenolic compound isolated from mulberry leaves, possesses anti-oxidative and anti-inflammatory effects. Although it modulates lipid metabolism, the molecular mechanism is unknown. Using an in-vitro model of nonalcoholic fatty liver disease (NAFLD) in which oleic acid (OA) induced lipid accumulation in HepG2 cells, we evaluated the alleviation effect of 5-CQA. We observed that 5-CQA improved OA-induced intracellular lipid accumulation by downregulating sterol regulatory element-binding protein 1 (SREBP1) and fatty acid synthase (FASN) expression, which regulates the fatty acid synthesis, as well as SREBP2 and HMG-CoA reductases (HMG-CoR) expressions, which regulate cholesterol synthesis. Treatment with 5-CQA also increased the expression of fatty acid ß-oxidation enzymes. Remarkably, 5-CQA attenuated OA-induced miR-34a expression. A transfection assay with an miR-34a mimic or miR-34a inhibitor revealed that miR-34a suppressed Moreover, Sirtuin 1 (SIRT1) expression and inactivated 5' adenosine monophosphate-activated protein kinase (AMPK). Our results suggest that 5-CQA alleviates lipid accumulation by downregulating miR-34a, leading to activation of the SIRT1/AMPK pathway.

An uncommon cause of vertigo: Neuromyelitis optica spectrum disorder.

Neuromyelitis optica spectrum disorder (NMOSD) is an uncommon antibody-mediated disease of the central nervous system. Its classic presentation includes long segments of spinal cord inflammation, optic neuritis with or without intractable vomiting, and hiccups. Here, we described a case of a 39-year-old woman with an atypical presentation of vertigo, which was finally diagnosed as NMOSD by a positive serum aquaporin-4 antibody.

Submicrometer-Sized Roughness Suppresses Bacteria Adhesion.

Biofilm formation is most commonly combatted with antibiotics or biocides. However, proven toxicity and increasing resistance of bacteria increase the need for alternative strategies to prevent adhesion of bacteria to surfaces. Chemical modification of the surfaces by tethering of functional polymer brushes or films provides a route toward antifouling coatings. Furthermore, nanorough or superhydrophobic surfaces can delay biofilm formation. Here we show that submicrometer-sized roughness can outweigh surface chemistry by testing the adhesion of E. coli to surfaces of different topography and wettability over long exposure times (>7 days). Gram-negative and positive bacterial strains are tested for comparison. We show that an irregular three-dimensional layer of silicone nanofilaments suppresses bacterial adhesion, both in the presence and absence of an air cushion. We hypothesize that a 3D topography can delay biofilm formation (i) if bacteria do not fit into the pores of the coating or (ii) if bending of the bacteria is required to adhere. Thus, such a 3D topography offers an underestimated possibility to design antibacterial surfaces that do not require biocides or antibiotics.

How to Coat the Inside of Narrow and Long Tubes with a Super-Liquid-Repellent Layer-A Promising Candidate for Antibacterial Catheters.

Fouling of thin tubes is a major problem, leading to various infections and associated morbidities, while cleaning is difficult or even impossible. Here, a generic method is introduced to activate and coat the inside of meter-long and at the same time thin (down to 1 mm) tubes with a super-liquid-repellent layer of nanofilaments, exhibiting even antibacterial properties. Activation is facilitated by pumping an oxidative Fenton solution through the tubes. Subsequent pumping of a silane solution renders the surface of the tubes super-liquid-repellent. The wide applicability of the method is demonstrated by coating stiff and flexible tubes made of polymers, inorganic/organic hybrids, metals, and ceramics. Coated medical catheters show excellent antibacterial properties. Notably, the nanofilaments retain their antibacterial properties even in the superhydrophilic state. These findings open new avenues toward the design of biocide-free, antibacterial tubings and catheters.

[Establishing a Nursing Informatics System to Improve the Completion Rate of Computed Tomography Simulation With Contrast Injection].

BACKGROUND & PROBLEMS: Problems that influence the safety and quality of the patient-positioning process during computed tomography (CT) simulation with contrast injection include: 1) inconsistent and incomplete procedures performed by medical staffs, 2) poor prevention of developer leakage and handling of side-effects, and 3) the lack of a standardized protocol. Desire to improve this situation encouraged us to do this project. Adverse events during CT simulation with contrast injection procedures are largely attributable to the lack of a standardized nursing informatics system, with other causes including nurses incorrectly performing allergy history assessments, incorrect communications with the doctor due to verbal orders given by phone, failure to perform proper patient identification and intravenous catheterization procedures, lack of assessment and knowledge about contrasts, lack of guidelines for warming contrast in the incubator, and lack of oxygen and sputum suction equipment. PURPOSE: To improve the rate of completion of CT simulation with contrast injection procedures from 65% to 95%. RESOLUTION: This project was conducted between April 2016 and December 2016. Our strategy included establishing a nursing informatics system for the CT simulation with contrast injection process. This system included a standard patient-identification procedure, protocol for the correct placement of intravenous needles, standard specifications for the using an incubator with contrast, installation of oxygen and sputum suction equipment, and implementation of a nursing education and training program. RESULTS: This project with associated strategies improved CT simulation with contrast injection completion rates in all domains from the original 65% to 95% at the end of the project period. CONCLUSIONS: This project improved significantly the completion rates of the CT simulation with contrast injection process. We want to share this experience to help other hospitals and to improve patient safety and quality of care.

Study on Tripping Risks in Fast Walking through Cadence-Controlled Gait Analysis.

Fast walking is a common exercise for most people to promote health. However, a higher cadence due to fast walking on ordinary or uneven ground raises the risk of tripping. To investigate the tripping issue, research to observe the gait in fast walking is needed. To explore the relationship between fast gait and the risk of tripping, a gait recording system with a specific synchronization mechanism was developed in this work. The system can acquire gait signals from wearable sensors and action cameras at different cadences. Meanwhile, algorithms for gait cycle segmentation and characteristic extraction were proposed for analyzing a fast gait. In the gait analysis, the correlations of low, moderate, and high cadence in cueing and no cueing gaits were computed, and two results were obtained. First, the higher the cadence is, the larger the motion strength in the terminal foot swing will be and the smaller the motion strength at the starting foot swing. Second, the decreased distance of foot clearance becomes more conspicuous as the cadence increased, especially if one is walking more than 120 beats. The results indicate that fast walking with bigger strides and lower cadence is the best way to maintain safety in moving over ordinary ground.

Bioinspired Diatomite Membrane with Selective Superwettability for Oil/Water Separation.

Membranes with selective superwettability for oil/water separation have received significant attention during the past decades. Hierarchical structures and surface roughness are believed to improve the oil repellency and the stability of Cassie-Baxter state. Diatoms, unicellular photosynthetic algae, possess sophisticated skeletal shells (called frustules) which are made of hydrated silica. Motivated by the hierarchical micro- and nanoscale features of diatom, we fabricate a hierarchical diatomite membrane which consists of aligned micro-sized channels by the freeze casting process. The fine nano-porous structures of frustules are well preserved after the post sintering process. The bioinspired diatomite membrane performs both underwater superoleophobicity and superhydrophobicity under various oils. Additionally, we demonstrate the highly efficient oil/water separation capabililty of the membranes in various harsh environments. The water flux can be further adjusted by tuning the cooling rates. The eco-friendly and robust bioinspired membranes produced by the simple, cost-effective freeze casting method can be potentially applied for large scale and efficient oil/water separation.

Synthesis of hierarchically porous structured CaCO3 and TiO2 replicas by sol-gel method using lotus root as template.

Intensive attention has been put in mimicking the morphologies in nature owing to their uniqueness, complexity, and diversity. One of the effective approaches to mimic bio-morphologies is through biotemplating - the technique of using biological structures as template to reproduce intricate structure in other forms of materials. This work presents a facile sol-gel technique that can be widely used to convert various carbon-rich bio-structures into different materials. Lotus root, a biomorphic template with high porosity at varying length scales, was selected as the example to demonstrate this approach. The experiment was conducted by infiltrating precursors - titanium (IV) n-butoxide (TnBT) and acetic acid calcium solution - into the lotus root template under vacuum system, followed by calcination. After the treatment, the replicas were calcite CaCO3 and anatase TiO2. In both CaCO3 and TiO2 replicas, the intact structure of the template was preserved. In spite of the overall similarity of the CaCO3 and TiO2 lotus root replicas, some respective differences were found. TiO2 replica was covered with nanowire bundles of 100-200nm in diameter, formed by preferable crystallization of particles, while CaCO3 replica presented the gradient-distributed pores of 10-100µm, which greatly resembled the microstructure of lotus root template. In the BET result, TiO2 replica was mesoporous structure with pores centralizing in 3-4nm. On the other hand, CaCO3 replica had pores in a wider distribution ranging from micro to macro scale. In addition, the surface area was greatly enhanced in both cases. The synthesized materials with hierarchical biomorphic structures may have great potential for purification applications due to their large specific surface area, photocatalytic property, and high adsorption rate.

Effective Electrocardiogram Steganography Based on Coefficient Alignment.

This study presents two types of data hiding methods based on coefficient alignment for electrocardiogram (ECG) signals, namely, lossy and reversible ECG steganographys. The lossy method is divided into high-quality and high-capacity ECG steganography, both of which are capable of hiding confidential patient data in ECG signals. The reversible data hiding method can not only hide secret messages but also completely restore the original ECG signal after bit extraction. Simulations confirmed that the perceived quality generated by the lossy ECG steganography methods was good, while hiding capacity was acceptable. In addition, these methods have a certain degree of robustness, which is rare in conventional ECG stegangraphy schemes. Moreover, the proposed reversible ECG steganography method can not only successfully extract hidden messages but also completely recover the original ECG data.

The heat transfer analysis of nanoparticle heat source in alanine tissue by molecular dynamics.

The purpose of this study is to simulate the heat transfer problem when the 3-D Alanine tissue is heated by the gold nanoparticle in the field of molecular dynamics. In this paper, the Alanine molecule is adopted and its parameters are available in the GROMACS protein data bank. A computing algorithm is developed to evaluate the heat transfer phenomena in the nano-scale biological system based on the molecular dynamics and the protein data bank. The value of the thermal conductivity of Alanine is calculated from the autocorrelation function of the Green-Kubo formalism and this result has a roughly approximation with the bulk thermal conductivity reported by experimental data . Two kinds of problems are investigated in the paper. One is the Alanine tissue heated by the constant heat source and the other is by the time-varying heat source. The numerical results show that a temperature jump exists around the source and the temperature profiles drop to the environmental temperature within a very short distance. It concludes that only a small region around the nano-scale heat source is affected by the heated process. Therefore, the results of the nanoparticle-heated method could be applied to the clinical therapy of tumor, and the normal cells are destroyed only within a smaller region than those of chemotherapy or surgery.