Use of Various UVC Photofunctionalization Times to Modify Surface Characteristics and Enhance the Biologic Activity of SLA Titanium

PURPOSE

To evaluate the effect of ultraviolet-C light (UVC) photofunctionalization treatment time on the biologic activity of airborne particle-abraded and acid-etched (SLA) titanium surfaces and to analyze its physical and chemical mechanisms.

MATERIALS AND METHODS

SLA titanium was treated with UVC light for different lengths of time (10 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours), and then changes to its surface characteristics were evaluated via electron microscope scanning, X-ray photoelectron spectroscopy (XPS), water contact angle measurement, and zeta potential measurement. The effect of UVC photofunctionalization on the biologic processes of SLA titanium surfaces was assessed by analyzing the bovine serum albumin adsorption, adhesion, proliferation, morphology, and alkaline phosphatase activity of MG-63 cells.

RESULTS

UVC irradiation did not change the topography of SLA titanium surfaces. As treatment times increased, the water contact angle decreased from 120 degrees to 0 degrees, and the hydrocarbon content decreased. Zeta potential testing showed increased surface potential of photofunctionalized titanium. In vitro testing showed that cell adhesion, proliferation, morphology, and alkaline phosphate (ALP) activity on titanium surfaces were significantly improved by UVC photofunctionalization.

CONCLUSIONS

UVC photofunctionalization can improve the biologic activity of SLA titanium surfaces by removing hydrocarbons and increasing the surface potential of titanium.

Accuracy of the preparation depth in mixed targeted restorative space type veneers assisted by different guides: An in vitro study

PURPOSE

Most veneers are mixed targeted restorative space (MTRS)-type restorations that are partially within the original tooth and require inconsistent preparation depths. This study aimed to evaluate the accuracy of the preparation depth for MTRS veneer preparation.

METHODS

MTRS veneer preparation models were developed using the twisted maxillary central incisor (MCI) as the original tooth and the standard MCI as the waxing. Veneer preparations were performed using freehand (MF), silicone (MS), thermoplastic (MT), 3D-printed uniform (MD), and auto-stop (MA) guides. The prepared and original MCI were scanned and superimposed using a custom-made base. The mean absolute differences (MADs) were measured to evaluate the accuracy of the preparation depth. Statistical analysis was performed using the multivariate analysis of variance (MANOVA) test (α=0.05).

RESULTS

The accuracy of the preparation depth was 0.237±0.090, 0.191±0.099, 0.149±0.078, 0.093±0.050, and 0.059±0.040 mm in MF, MS, MT, MD, and MA, respectively. The MADs between the groups were significant (P<0.05). The accuracy of the trial restoration was 0.140±0.081 mm in the MS, and the accuracy of the guiding tube was 0.055±0.033, 0.036±0.011, and 0.033±0.010 mm in the MT, MD, and MA, respectively.

CONCLUSIONS

In MTRS veneer preparation for MCI, tooth preparation guides improved the accuracy of the preparation depth by visualizing the TRS profile and providing clear measurement points. The accuracy of the guide is influenced by its flexibility, and the accuracy of the preparation depth is affected by the accuracy of the measurement points.

Co-transport behavior and Trojan-horse effect of colloidal microplastics with different functional groups and heavy metals in porous media

The emerging global problems of microplastics pollution and their co-occurrence with other pollutants have presented major new challenges for environmental health and protection. This study used column experiments to investigate the co-transport behavior and Trojan-horse effect of colloidal microplastics (non-functional polystyrene microspheres (MS), carboxyl-modified polystyrene microspheres (CMS) and sulfonate-modified polystyrene microspheres (SMS)) and lead (Pb) in porous media. Results showed that a Trojan-horse effect occurred during the co-transport of colloidal microplastics and Pb. In the process of co-transport, colloidal microplastics and Pb mutually inhibited each other's transport at an ionic strength of 1 mM, which may be due to Pb absorption by microplastics, resulting in the destabilization of agglomerates and a reduction in the electronegativity of microplastics. At an ionic strength of 100 mM, colloidal microplastics and Pb promoted each other's transport, potentially due to their competition for adsorption in porous media. The functional groups present on colloidal microplastics inhibited the transport of Pb at low ionic strengths, while at high ionic strengths Pb transport was promoted. Furthermore, deposition experiments verified that quartz crystal microbalance with dissipation (QCM-D) monitoring could effectively account for and predict the transport and deposition behavior of microplastics in the presence or absence of Pb.

Elevational distribution and seasonal dynamics of alpine soil prokaryotic communities

The alpine grassland ecosystem is a biodiversity hotspot of plants on the Qinghai-Tibetan Plateau, where rapid climate change is altering the patterns of plant biodiversity along elevational and seasonal gradients of environments. However, how belowground microbial biodiversity changes along elevational gradient during the growing season is not well understood yet. Here, we investigated the elevational distribution of soil prokaryotic communities by using 16S rRNA amplicon sequencing along an elevational gradient between 3,200 and 4,200 m, and a seasonal gradient between June and September in the Qinghai-Tibetan alpine grasslands. First, we found soil prokaryotic diversity and community composition significantly shifted along the elevational gradient, mainly driven by soil temperature and moisture. Species richness did not show consistent elevational trends, while those of evenness declined with elevation. Copiotrophs and symbiotic diazotrophs declined with elevation, while oligotrophs and AOB increased, affected by temperature. Anaerobic or facultatively anaerobic bacteria and AOA were hump-shaped, mainly influenced by moisture. Second, seasonal patterns of community composition were mainly driven by aboveground biomass, precipitation, and soil temperature. The seasonal dynamics of community composition indicated that soil prokaryotic community, particularly Actinobacteria, was sensitive to short-term climate change, such as the monthly precipitation variation. At last, dispersal limitation consistently dominated the assembly process of soil prokaryotic communities along both elevational and seasonal gradients, especially for those of rare species, while the deterministic process of abundant species was relatively higher at drier sites and in drier July. The balance between deterministic and stochastic processes in abundant subcommunities might be strongly influenced by water conditions (precipitation/moisture). Our findings suggest that both elevation and season can alter the patterns of soil prokaryotic biodiversity in alpine grassland ecosystem of Qinghai-Tibetan Plateau, which is a biodiversity hotspot and is experiencing rapid climate change. This work provides new insights into the response of soil prokaryotic communities to changes in elevation and season, and helps us understand the temporal and spatial variations in such climate change-sensitive regions.

[Safety evaluation of simultaneous administration of quadrivalent influenza split virion vaccine and 23-valent pneumococcal polysaccharide vaccine in adults aged 60 years and older]

Objective: To evaluate the safety of simultaneous administration of quadrivalent influenza split virion vaccine and 23-valent pneumococcal polysaccharide vaccine in adults aged 60 years and older. Methods: From November 2021 to May 2022, eligible participants aged 60 years and older were recruited in Taizhou City, Jiangsu Province, China, and a total of 2 461 participants were ultimately enrolled in this study. Each participant simultaneously received one dose of quadrivalent influenza split virion vaccine and one dose of 23-valent pneumococcal polysaccharide vaccine. The safety was observed within 28 days after vaccination. Safety information was collected through voluntary reporting and regular follow-ups. Results: All 2 461 participants completed the simultaneous administration of both vaccines and the safety follow-ups for 28 days after vaccination. The mean age of the participants was (70.66±6.18) years, with 54.61% (1 344) being male, and all participants were Han Chinese residents. About 22.51% (554) of the participants had underlying medical conditions. The overall incidence of adverse reactions within 0-28 days after simultaneous vaccination was 2.07% (51/2 461), mainly consisting of Grade 1 adverse reactions [1.83% (45/2 461)], with no reports of Grade 4 or higher adverse reactions or vaccine-related serious adverse events. The incidence of local adverse reactions was 0.98% (24/2 461), primarily presenting as pain at the injection site [0.93% (23/2 461)]. The incidence of systemic adverse reactions was 1.42% (35/2 461), with fever [0.85% (21/2 461)] being the main symptom. In the group with underlying medical conditions and the healthy group, their overall incidence of adverse reactions was 2.53% (14/554) and 1.94% (37/1 907), respectively. The incidence of local adverse reactions in the two groups was 1.62% (9/554) and 0.79% (15/1 907), respectively, and the incidence of systemic adverse reactions was 1.44% (8/554) and 1.42% (27/1 907), respectively, with no statistically significant differences between them (all P>0.05). Conclusion: It is safe for adults aged 60 years and older to receive quadrivalent influenza split virion vaccine and 23-valent pneumococcal polysaccharide vaccine at the same time.

Enhancing cell adhesive and antibacterial activities of glass-fibre-reinforced polyetherketoneketone through Mg and Ag PIII

Glass-fibre-reinforced polyetherketoneketone (PEKK-GF) shows great potential for application as a dental implant restoration material; however, its surface bioinertness and poor antibacterial properties limit its integration with peri-implant soft tissue, which is critical in the long-term success of implant restoration. Herein, functional magnesium (Mg) and silver (Ag) ions were introduced into PEKK-GF by plasma immersion ion implantation (PIII). Surface characterization confirmed that the surface morphology of PEKK-GF was not visibly affected by PIII treatment. Further tests revealed that PIII changed the wettability and electrochemical environment of the PEKK-GF surface and enabled the release of Mg²⁺ and Ag⁺ modulated by Giavanni effect. In vitro experiments showed that Mg/Ag PIII-treated PEKK-GF promoted the proliferation and adhesion of human gingival fibroblasts and upregulated the expression of adhesion-related genes and proteins. In addition, the treated samples inhibited the metabolic viability and adhesion of Streptococcus mutans and Porphyromonas gingivalis on their surfaces, distorting bacterial morphology. Mg/Ag PIII surface treatment improved the soft tissue integration and antibacterial activities of PEKK-GF, which will further support and broaden its adoption in dentistry.

Multi-mitigation strategies in medical supplies for epidemic outbreaks

The outbreak of Coronavirus disease 2019 (COVID-19) highlights the importance of sufficient medical supplies stockpiling at the pre-event stage. In contrast, the potential disadvantages of maintaining adequate items at strategic locations (i.e., reserves) are considerable inventory-related costs. Unpredicted demand leads to a high degree of uncertainty. Efforts to mitigate the uncertainty should rely not only on prepositioning supplies at reserves but also on integrating various channels of medical materials. This paper proposes multi-mitigation strategies in medical supplies to ensure uninterrupted supply for hospitals and significant savings by introducing two-type suppliers, reserving and manufacturing suppliers. Thus, each hospital with uncertain demand is enabled to be served by various channels during pandemics: prepositioning in reserves, backups served by reserving suppliers, and medical commodities produced by manufacturing suppliers. Stochasticity is also incorporated into the raw materials available to produce. This research aims to develop an emergency response application that integrates preparedness action (reserve location, inventory level, and contract supplier's selection) with post-event operations (allocating medical materials from various channels). We formulate a two-stage stochastic mixed integer program to determine prepositioning strategy, including two-type suppliers' selection, and post-event allocation of multiple sources. A branch-and-Benders-cut method is developed for this problem and significantly outperforms both the classical Benders decomposition and Gurobi in the solution time. Different-sized test instances also verify the robustness of the proposed method. Based on a realistic and typical case study (inspired by the COVID-19 pandemic in Wuhan, China), significant savings, an increase in inventory utilization and an increase in demand fulfilment are obtained by our approach.

Distinct chemistry between Zn and Li at varied temperature

The operating temperature of batteries is an essential consideration in actual applications. Understanding the temperature dependence is conducive to battery design. The experience in lithium-ion batteries (LIBs) indicates that the dendrite issue is exacerbated at lower temperatures and suppressed at higher temperatures. In this study, we revealed the dendrite evolution in aqueous rechargeable zinc-based batteries (RZBs), for which the opposite temperature dependence was observed. Detailed investigations elucidate that the degree of matching of the interface reaction rate and ion diffusivity, together with side reactions, are the key factors that determine the cycling performance. The different properties of organic and aqueous electrolytes result in a reversed temperature dependence. We further conducted a detailed investigation of hybrid electrolytes (organic and aqueous) for balancing the ion diffusivity and side reactions to broaden the working temperature window for RZBs. This work reveals a completely opposite temperature dependence for LIBs and RZBs and discloses the underlying mechanism, reminding one of the differences between LIBs and RZBs in many aspects.

Neuroprotective microRNA-381 Binds to Repressed Early Growth Response 1 (EGR1) and Alleviates Oxidative Stress Injury in Parkinson's Disease

As a common and disabling disease of the elderly, the standard therapies of Parkinson's disease (PD) fail to curb the ongoing neurodegeneration, thus calling for newer strategies. This work was conducted to examine the effect of microRNA-381 (miR-381) on oxidative stress injury to dopaminergic neurons in PD in vivo and in vitro. We established an in vivo mouse model of PD using 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) and an in vitro cell model of PD by treating dopaminergic neuron MN9D cells with 1-methyl-4-phenylpyridinium (MPP⁺). It was established that miR-381 was poorly expressed in the substantia nigra pars compacta (SNc) of MPTP-lesioned mice. The motor function of MPTP-lesioned mice was evaluated in the presence of ectopic miR-381 expression, and oxidative stress and dopaminergic neuron injury were also characterized. Restoration of miR-381 was demonstrated to diminish oxidative stress and damage in dopaminergic neurons, accompanied by enhanced motor functions. Mechanistically, the putative binding sites of miR-381 were retrieved through the starBase database, and the luciferase activity assay confirmed that it bound to EGR1 and repressed its expression, which then upregulated the expression of PTEN and p53. The neuroprotective effects of miR-381 on the motor function and dopaminergic neuronal damage were counteracted by ectopic EGR1 expression. Together, this study indicates that the binding of miR-381 to EGR1 upregulates PTEN/p53 to alleviate PD, which provides novel insights for a neuroprotective mechanism in PD.

An intrinsically disordered region-containing protein mitigates the drought-growth trade-off to boost yields

Drought stress poses a serious threat to global agricultural productivity and food security. Plant resistance to drought is typically accompanied by a growth deficit and yield penalty. Herein, we report a previously uncharacterized, dicotyledon-specific gene, Stress and Growth Interconnector (SGI), that promotes growth during drought in the oil crop rapeseed (Brassica napus) and the model plant Arabidopsis (Arabidopsis thaliana). Overexpression of SGI conferred enhanced biomass and yield under water-deficient conditions, whereas corresponding CRISPR SGI mutants exhibited the opposite effects. These attributes were achieved by mediating reactive oxygen species (ROS) homeostasis while maintaining photosynthetic efficiency to increase plant fitness under water-limiting environments. Further spatial-temporal transcriptome profiling revealed dynamic reprogramming of pathways for photosynthesis and stress responses during drought and the subsequent recovery. Mechanistically, SGI represents an intrinsically disordered region-containing protein that interacts with itself, catalase isoforms, dehydrins, and other drought-responsive positive factors, restraining ROS generation. These multifaceted interactions stabilize catalases in response to drought and facilitate their ROS-scavenging activities. Taken altogether, these findings provide insights into currently underexplored mechanisms to circumvent trade-offs between plant growth and stress tolerance that will inform strategies to breed climate-resilient, higher yielding crops for sustainable agriculture.

Low-Concentration Redox-Electrolytes for High-Rate and Long-Life Zinc Metal Batteries

The uncontrolled zinc electrodeposition and side reactions severely limit the power density and lifespan of Zn metal batteries. Herein, the multi-level interface adjustment effect is realized with low-concentration redox-electrolytes (0.2 m KI) additives. The iodide ions adsorbed on the zinc surface significantly suppress water-induced side reactions and by-product formation and enhance the kinetics of zinc deposition. The distribution of relaxation times results reveal that iodide ions can reduce the desolvation energy of hydrated zinc ions and guide the deposition of zinc ions due to their strong nucleophilicity. As a consequence, the Zn||Zn symmetric cell achieves superior cycling stability (>3000 h at 1 mA cm^-2 , 1 mAh cm^-2 ) accompanied by a uniform deposition and a fast reaction kinetics with a low voltage hysteresis (<30 mV). Additionally, coupled with an activated carbon (AC) cathode, the assembled Zn||AC cell delivers a high-capacity retention of 81.64% after 2000 cycles at 4 A g^-1 . More importantly, the operando electrochemical UV-vis spectroscopies show that a small number of I₃ ^- can spontaneously react with the dead zinc as well as basic zinc saltsand regenerate iodide ions and zinc ions; thus, the Coulombic efficiency of each charge-discharge process is close to 100%.

Degradation of Ibuprofen in flow-through system by the Electro-Fenton Process activated by two iron sources

The electrochemical degradation of ibuprofen (IBP) by electro-Fenton process has been studied in a flow-through system by evaluating the performance of two different iron sources, sacrificial cast iron anode and FeSO4 salt. The effect of operating conditions, including initial IBP concentration, cast iron anode location, initial FeSO4 concentration, applied current, the split current on the iron anode, solution pH, and flow rate on the efficacy of the process was evaluated. The sequence of the electrodes significantly influences ibuprofen removal. When using cast iron anode as iron source, placing the iron anode upstream achieved the best IBP removal rate. Split current of 3 mA applied on the iron anode out of 120 mA total current is the optimum current for remove 1 mg/L of IBP under a flow rate of 3 mL/min. There is a linear correlation between the applied current and the Fe2+ concentration in the FeSO4-system. The initial IBP concentration does not influence the rate of Fenton reaction. Flow rate influences the degradation efficiency as high flow rate dilutes the concentration of OH radicals in the electrolyte. FeSO4-system was less affected by the flow rate compared to the iron anode-system as the concentration of the Fe2+ was steady and not diluted by the flow rate. Both systems prefer acidic operation conditions than neutral and alkaline conditions. Iron-anode can be used as an external Fe2+ supply for the treatment for iron-free. These findings contribute in several ways to our understanding of the electro-Fenton process under flow conditions and provide a basis for how to design the reactor for the water treatment.

The Loss-Function of KNL1 Causes Oligospermia and Asthenospermia in Mice by Affecting the Assembly and Separation of the Spindle through Flow Cytometry and Immunofluorescence

KNL1 (kinetochore scaffold 1) has attracted much attention as one of the assembly elements of the outer kinetochore, and the functions of its different domains have been gradually revealed, most of which are associated with cancers, but few links have been made between KNL1 and male fertility. Here, we first linked KNL1 to male reproductive health and the loss-function of KNL1 resulted in oligospermia and asthenospermia in mice (an 86.5% decrease in total sperm number and an 82.4% increase in static sperm number, respectively) through CASA (computer-aided sperm analysis). Moreover, we introduced an ingenious method to pinpoint the abnormal stage in the spermatogenic cycle using flow cytometry combined with immunofluorescence. Results showed that 49.5% haploid sperm was reduced and 53.2% diploid sperm was increased after the function of KNL1 was lost. Spermatocytes arrest was identified at the meiotic prophase I of spermatogenesis, which was induced by the abnormal assembly and separation of the spindle. In conclusion, we established an association between KNL1 and male fertility, providing a guide for future genetic counseling regarding oligospermia and asthenospermia, and a powerful method for further exploring spermatogenic dysfunction by utilizing flow cytometry and immunofluorescence.

[Analysis of clinical features and genetic variant in a neonate with Au-Kline syndrome due to a de novo variant of the HNRNPK gene]

OBJECTIVE

To explore the clinical phenotype and genetic basis of a neonate with Au-Kline syndrome (AKS).

METHODS

Clinical data and result of genetic testing of a neonate with AKS who was admitted to the Affiliated Provincial Children's Hospital of Anhui Medical University in January 2021 were retrospectively analyzed. Relevant literature was searched from the Wanfang Data Knowledge Service Platform, China National Knowledge Infrastructure and PubMed databases using key words "Au Kline syndrome", "Au-Kline syndrome", "HNRNPK" and "AKS". The research period was set as from January 1, 2000 to December 31, 2020.

RESULTS

The male newborn has manifested feeding difficulties, hypotonia, absence of the upper jaw to the uvula and facial dysmorphism. Trio-whole exome sequencing revealed that he has harbored a frameshift c.478dupA (p.Ile160AsnfsTer7) variant of the HNRNPK gene, which was varified by Sanger sequencing to have a de novo origin. The variant has not been included in the databases. Based on the guidelines from the American College of Medical Genetics and Genomics, the variant was rated as pathogenic (PVS1+PS2+PM2_Supporting). Literature retrieval has identified 14 children with AKS and de novo mutations of the HNRNPK gene. Their clinical manifestations have included growth and motor retardation, various degree of mental retardation, facial dysmorphism and a high frequency of congenital heart malformations.

CONCLUSION

The AKS in this child may be attributed to the c478dupA frameshifting variant of the HNRNPK gene. Diagnosis of AKS should be suspected for children with mental retardation and multiple congenital malformation syndromes including Kabuki syndrome.

Performance and emissions of a diesel engine fueled by coal-based diesel fuels and their blends with polyoxymethylene dimethyl ethers

The objective of this study was to investigate the performance and emissions of a diesel engine fueled by coal-based diesel fuels and their blends with oxygenated fuel polyoxymethylene dimethyl ethers (PODEn). First, coal-based Fischer-Tropsch (FT) diesel fuel was blended with hydrogenated diesel fuel at three volume ratios of 40%/60%, 50%/50%, and 60%/40%, denoted as T6W4, T5W5, and T4W6, respectively. Then, PODEn were added into the T4W6 fuel with the volume ratios of 10%, 20%, and 30% to evaluate its effects on the performance and emissions of a coal-based diesel engine. The results showed that the output torques and powers of the three coal-based diesel blends were slightly lower than those of the petroleum diesel fuel. The brake specific fuel consumption (BSFC) of the coal-based diesel fuels was almost the same as that of the petroleum diesel fuel. The brake thermal efficiencies (BTE) of the coal-based diesel blends were slightly lower than that of the petroleum diesel fuel, and the maximum reduction was 1.59%. The pollutant emissions of T5W5 were the closest to those of petroleum diesel fuel. The nitrogen oxides (NOx) emissions of T4W6 were lower, with a maximum decrease of 11.18% compared with the petroleum diesel. The carbon monoxide (CO) and hydrocarbon (HC) emissions of T6W4 were the highest, with maximum increases of 36.79% and 29.05%, respectively. The smoke emissions of T4W6 and T6W4 were higher than those of petroleum diesel fuel. Adding PODEn into T4W6 lowered the engine power and torque but increased the BSFC and BTE. The output torque and power of the diesel engine were further reduced when PODEn were blended with T4W6, with the maximum reductions of 17.76% and 16.96%, respectively. With an increase in the PODEn blending ratio, BSFC and BTE increased gradually, and the maximum increase in the BTE was 1.57%. Blending PODEn with the fuel effectively improved the emission characteristics of the coal-based diesel fuels. The NOx emissions increased slightly, but the emissions of HC, CO, and smoke were reduced significantly, with maximum reductions of 24.42%, 31.67%, and 82.35%, respectively.

Ginseng-containing traditional medicine preparations in combination with fluoropyrimidine-based chemotherapy for advanced gastric cancer: A systematic review and meta-analysis

BACKGROUND

Ginseng-containing traditional medicine preparations (G-TMPs) in combination with fluoropyrimidine-based chemotherapy (FBC) are well-known treatments for advanced gastric cancer (AGC), with a superior efficacy to FBC alone. However, evidence regarding their efficacy remains limited. The purpose of this meta-analysis is to evaluate the efficacy and safety of G-TMPs in combination with FBC for the treatment of AGC.

METHODS

Eight electronic databases were searched for randomized controlled trials (RCTs) using G-TMPs with FBC for the treatment of AGC. The primary outcome included the tumor response, while the secondary outcomes included the quality of life (QoL), proportions of peripheral blood lymphocytes, adverse drug reactions (ADRs), and levels of cancer biomarkers. The quality of evidence for each outcome was assessed using GRADE profilers.

RESULTS

A total of 1,960 participants were involved in the 26 RCTs included. Patients treated with FBC plus G-TMPs had better objective response (risk ratio [RR] = 1.23, 95% confidence interval [CI]: 1.13 to 1.35, p < 0.00001) and disease control (RR = 1.13, 95% CI: 1.08 to 1.19, p < 0.00001) rates than those treated with FBC alone. Additionally, the combination group had a better QoL, higher proportions of CD3+ T cells, CD4+ T cells, and natural killer cells, as well as a higher CD4+/CD8+ T-cell ratio. Furthermore, lower levels of CA19-9, CA72-4, and CEA were confirmed in the combination treatment group. In addition, G-TMPs reduced the incidence of ADRs during chemotherapy.

CONCLUSION

In combination with FBC, G-TMPs can potentially enhance efficacy, reduce ADRs, and improve prognosis for patients with AGC. However, high-quality randomized studies remain warranted.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO Number: CRD42021264938.

Effects of acupuncture on age-related macular degeneration: A systematic review and meta-analysis of randomized controlled trials

BACKGROUND

In recent years, an increasing number of patients with age-related macular degeneration (AMD) have received acupuncture treatment, but there has been no systematic review to evaluate the effect of acupuncture on patients with AMD.

PURPOSE

This meta-analysis aims to review the clinical efficacy of acupuncture in the treatment of AMD.

METHODS

Randomized controlled trials up to September 4, 2022 were searched in the following databases: PubMed, Ovid Medline, Embase, Cochrane Library, The Chinese National Knowledge Infrastructure Database, VIP, Wanfang, and SINOMED. Two reviewers independently performed literature screening and data extraction. RevMan 5.4 was used for the meta-analysis.

RESULTS

Nine of the 226 articles were finally included. A total of 508 AMD patients (631 eyes) were enrolled, including 360 dry eyes and 271 wet eyes. The results showed that acupuncture alone or as an adjunct therapy improved both the clinical efficacy and best-corrected visual acuity (BCVA) of AMD patients and reduced their central macular thickness. The certainty of the evidence ranged from "low" to "very low".

CONCLUSION

There is no high-quality evidence that acupuncture is effective in treating patients with AMD; patients with dry AMD may benefit from acupuncture treatment. Considering the potential of acupuncture treatment for AMD, it is necessary to conduct a rigorously designed randomized controlled trials to verify its efficacy.

Advances in soot particles from gasoline direct injection engines: A focus on physical and chemical characterisation

With an increasing market share of gasoline direct injection (GDI) vehicles, high particulate emissions of GDI engines are of increasing concern due to their adverse impacts on both human health and the ecological environment. A thorough understanding of GDI nanoparticulate properties is required to develop advanced particulate filters and assess the exhaust toxicity and environmental impacts. To this end, this paper aims to provide a comprehensive review of the physical and chemical characteristics of GDI nanoparticles from a distinctive perspective, including soot oxidation reactivity, morphology, nanostructure, surface chemistry, chemical components, and their correlations. This review begins with a brief description of nanoparticle characterisation methods. Then, the nanoparticle characteristics of GDI engines are reviewed with the following aspects: in-cylinder soot, exhaust particulate features, and a comparison between GDI and diesel nanoparticles. Previous studies showed that exhaust nanoparticle presents a more stable nanostructure and is less prone to oxidation if compared with in-cylinder soot. Additionally, GDI particles are less-ordered, more inorganic and metallic containing, and more reactive than diesel particles. Afterwards, the impacts of engine operating parameters and aftertreatments on GDI soot features are discussed in detail. Finally, the conclusions and future research recommendations are presented.

Effects of ionic strength and particle size on transport of microplastic and humic acid in porous media

As an emerging pollutant, the transport behavior of colloidal microplastic particles (CMPs) in saturated porous media may be affected by the simultaneous presence of other substances in the natural environment. In this study, colloidal polystyrene microplastic particles (PSMPs) were selected as the representative of CMPs to investigate the cotransport behaviors of CMPs in the presence of humic acid (HA) under varied environmental conditions (ionic strength: 1, 100 mM KCl; HA concentration: 0, 5, 10, 20 mg⋅L^-1) in porous media. The presence of HA with different concentrations was found to increase the mobility of 1.0-μm and 0.2-μm CMPs in porous media in a non-linear and non-monotonic manner. Furthermore, the HA-facilitated transport of CMPs occurred under both electrostatically unfavorable and favorable attachment conditions (limited to the conditions examined in this study, corresponding to 1 and 100 mM KCl, respectively). The transport behavior of the smaller-sized CMPs (0.2-μm CMPs) was more sensitive to the change of ionic strength and the presence of HA than that of the larger-sized CMPs (1.0-μm CMPs). The cotransport process of CMPs and HA was affected by many factors. Modeling results showed that a small amount of competitive blocking occurred during the cotransport process. Moreover, both the presence of HA and change in ionic strength could affect the surface properties of CMPs. Thus, the cotransport behavior of CMPs with HA was different from the transport of individual CMPs in porous media. Experimental results revealed that HA induced complexity in the transport behavior of CMPs in the aqueous environment. Therefore, undeniably, a lot more systematic explorations are further demanded to better comprehend the CMPs cotransport mechanism in the presence of other substances.

Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm

Preterm infants face a significant risk of brain injury in the perinatal period, as well as potential long-term neurodevelopmental disabilities. However, preterm children with brain injury lack specific clinical manifestations in the early days. Therefore, timely and accurate diagnosis of brain injury is of vital importance. This study was to explore the diagnostic efficiency of myelin basic protein (MBP) and 8-oxo-deoxyguanosine (8-oxo-dG) serum levels in brain injury of premature infants. A total of 75 preterm infants with gestational age between 28 and 32 weeks and birth weight higher than 1,000 g were prospectively included. MBP serum levels were significantly higher in premature infants with white matter injury (WMI). 8-oxo-dG serum levels were significantly increased in both WMI and periventricular–intraventricular hemorrhages (PIVH). MBP and 8-oxo-dG were significantly correlated. The area under the curve was 0.811 [95% confidence interval (CI) 0.667–0.955; p = 0.002] in MBP and 0.729 (95% CI 0.562–0.897; p = 0.020) in 8-oxo-dG. Therefore, the results showed that high MBP levels indicated a possibility of WMI in the premature brain during the early postnatal period, while high 8-oxo-dG levels were closely related to both WMI and PIVH, thus suggesting that MBP and 8-oxo-dG could be used as potential neuro-markers of preterm brain injury.

Physical and biological implications of accelerated aging on stereolithographic additive-manufactured zirconia for dental implant abutment

PURPOSE

This study aimed to comparatively investigate the effects of accelerated aging on the physical and biological features of zirconia manufactured by digital light processing (DLP) and conventional subtractive manufacturing (SM) with similar composition.

METHODS

Both the DLP- and SM-fabricated zirconia samples (7 mm × 7.5 mm × 1.5 mm) were grouped according to aging (134 °C, 0.2 MPa, 100% humidity) times, including 0 h, 5 h, and 10 h. Phase assemblage and surface topography of zirconia manufactured by different technologies were evaluated before and after aging. The biological effects of zirconia on human gingival fibroblast (HGF) cell events, including cell viability, proliferation, morphology and adhesion, were also evaluated by live/dead viability assay, cck-8 assay, scanning electron microscopy and confocal laser scanning microscopy respectively.

RESULTS

The DLP-fabricated zirconia showed a higher initial cubic phase content and rate of phase transformation than the SM-fabricated zirconia. Among the different aging time-based groups, the 5 h-aged group exhibited significantly lower sub-micron scale surface roughness compared with the other groups. Aging did not significantly alter cellular behavior in any zirconia type, except for minor changes in adhesive cell numbers recorded in an aging time/culturing time-dependent manner. In addition to small differences in cell alignment patterns and overall cell morphology, the two zirconia types presented comparable biological performance before and after aging.

CONCLUSION

Although the microstructure and surface characteristics of DLP-fabricated zirconia can be affected by autoclave aging, this newly manufactured zirconia is likely to maintain desirable long-term biocompatibility as an implant abutment material.