A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的疗效观察

目的:探讨A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的治疗效果和对患者满意度的影响,为临床提供参考。方法:选取2015年6月至2016年6月间因眼周皮肤松弛来我院治疗的患者60例。患者根据自身意愿选择治疗方式,按其选择的治疗方式分组为对照组(n=28)和治疗组(n=32)。对照组采用单纯眼袋整形术进行治疗,治疗组采用A型肉毒毒素联合眼袋整形术治疗。治疗后对两组患者均随访6个月。观察记录患者手术后鱼尾纹的改善效果、眼袋减轻的情况和眼周皮肤光泽的改善效果。观察患者并发症的发生情况。随访结束时采用自制的满意度调查问卷对患者满意度进行调查。结果:经过治疗,治疗组鱼尾纹改善率为100.00%,明显高于对照组的60.71%;治疗组眼袋改善率为96.88%,明显高于对照组的32.14%;治疗组皮肤光泽改善率为87.50%,明显高于对照组的53.57%,差异均具有统计学意义(均P0.05)。治疗后,两组患者切口红肿、少量分泌物、小血肿的发生率比较无明显差异(P0.05),治疗组术眼红肿与外眦部切口瘀痕发生率明显少于对照组(P0.05)。治疗组总满意率为93.75%(30/32),明显高于对照组的67.86%(19/28),差异具有统计学意义(P0.05)。结论:A型肉毒毒素与眼袋整形术联合应用在眼周皮肤松弛的治疗上有较好的疗效和安全性,能明显降低患者术眼红肿与外眦部切口瘀痕的发生,并提高患者满意率,值得在临床上推广应用。     

Limnology of a Warm Hypertrophic Wastewater Reservoir in Israel I. The Physical Environment

This paper deals with stratification in a small reservoir (50 000 m³ volume, 5.5 m depth) receiving wastewater with a BOD of 80 mg/1 during the winter in order to irrigate agricultural areas during the dry summer. The reservoir goes through three partially overlapping annual cycles: solar radiation, water temperature and reservoir operation. It presents both permanent (deep) and ephemeral (shallow) stratification during the summer in spite of the strong breeze, due to both thermal and biogenic chemical gradients. There are stratified and non-stratified wastewater reservoirs in Israel. Stratification in hypertrophic impoundments seems to depend also on parameters derived from the chemical composition of hypertrophic waters. (e. g., turbidity, biogenic gradients, wind/water friction coefficient, viscosity).     

Inhibition of embryo implantation in mice through vaginal administration of a proprotein convertase 6 inhibitor

Uterine proprotein convertase 6 (PC6) plays a critical role in embryo implantation in both mice and women. It was hypothesized that inhibiting uterine PC6 could prevent pregnancy. Vaginal administration of a PC6 inhibitor presents the ideal route for local drug delivery. A peptide-based PC6 inhibitor, C-30k-PEG Poly R that was previously shown to have properties of increased vaginal absorption and penetration was tested for its contraceptive potential in mice following vaginal administration. The study demonstrated that this approach could inhibit embryo implantation in some mice (24% completely and 47% partially inhibited).     

Cell surface appendages of lactobacilli

Abstract Seventeen vaginal isolates of lactobacillus were negatively stained using 1% phosphotungstic acid and examined by transmission electron microscopy. One or two flagella were observed in a polar or, less frequently, sub-polar position on 14 of the 17 isolates. The structures, measuring 12 nm in diameter and up to 12 μm long, were seen on cells cultured in both solid and liquid MRS medium. Fimbriae, measuring 3.5 nm in diameter and 0.1 μm to 1.0 μm in length, extended from the cell surface of 15 of the 17 lactobacillus isolates. Production of fimbriae was maximal when the lactobacilli were cultured on solid medium in an anaerobic atmosphere. Fimbriation significantly increased adhesion of lactobacilli to vaginal epithelial cells in vitro.     

阴道菌群结构分析在 宫腔粘连患者中的临床意义

目的对宫腔粘连患者菌群结构进行评价,探讨阴道微生态在宫腔粘连中的临床意义。方法选取2014年8月至2016年8月在我院计划生育病区诊断为宫腔粘连的患者100例为试验组,同期门诊100例健康体检者为对照组。对其阴道分泌物进行湿片镜检及微生态学检测,比较两组研究对象的阴道微生态情况。结果宫腔粘连组与对照组在阴道分泌物的多样性、密集度、优势菌、pH、清洁度和病原体检出率等方面比较差异有统计学意义(Ps0.05)。宫腔粘连组阴道微生态失调检出率(48%)高于对照组(31%),差异有统计学意义(P0.05)。结论宫腔粘连患者阴道微生态失调发生率明显增高,阴道微生态失调可能与宫腔粘连的发生有关。     

黄柏,黄连中药合剂对抗生素所致家兔阴道菌群失调的调整作用

本实验应用阴道细菌学检查与光镜,电镜观察相结合方法,初步研究了黄柏,黄连中药合剂对抗生素所致家兔阴道菌群人调的调整作用。结果表明,盐酸林可霉素可造成家兔阴道菌群失调,乳杆菌比正常对照组明显减少,类杆菌,肠杆菌显示增加、同时家兔阴道粘膜充血,炎性细胞浸润。     

节点控制在手术安全管理中的运用与实践

运用节点控制理念,对围手术期患者高危环节进行风险评估,确定从患者手术申请至术后回病房或重症监护室等8个影响手术质量与安全的关键节点,运用信息化和人工辅助相结合的方式,实施节点控制和流程管控,实现手术全程流程化、可控化安全监管和无缝对接,从而确保医疗核心制度的规范执行,降低围手术期差错发生率、提高手术运行效率,实现手术患者安全管理的目标。

     

From Lithium‐Oxygen to Lithium‐Air Batteries: Challenges and Opportunities

Lithium ‐ air batteries have become a focus of research on future battery technologies. Technical issues associated with lithium‐air batteries, however, are rather complex. Apart from the sluggish oxygen reaction kinetics which demand efficient oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) catalysts, issues are also inherited from the nature of an open battery system and the use of reactive metal lithium as anode. Lithium‐air batteries, which exchange oxygen directly with ambient air, face more challenges due to the additional oxidative agents of moisture, carbon dioxide, etc. which degrade the metal lithium anode, deteriorating the performance of the batteries. In order to improve the cycling performance one must hold a full picture of lithium‐oxygen electrochemistry in the presence of carbon dioxide and/or moisture and fully understand the fundamentals of chemistry reactions therein. Recent advances in the exploration of the effect of moisture and CO₂ contaminants on Li‐O₂ batteries are reviewed, and the mechanistic understanding of discharge/charge process in O₂ at controlled level of moisture and/or CO₂ are illustrated. Prospects for development opportunities of Li‐air batteries, insight into future research directions, and guidelines for the further development of rechargeable Li‐air batteries are also given.     

Process development of a New Haemophilus influenzae type b conjugate vaccine and the use of mathematical modeling to identify process optimization possibilities

Vaccination is one of the most successful public health interventions being a cost‐effective tool in preventing deaths among young children. The earliest vaccines were developed following empirical methods, creating vaccines by trial and error. New process development tools, for example mathematical modeling, as well as new regulatory initiatives requiring better understanding of both the product and the process are being applied to well‐characterized biopharmaceuticals (for example recombinant proteins). The vaccine industry is still running behind in comparison to these industries. A production process for a new Haemophilus influenzae type b (Hib) conjugate vaccine, including related quality control (QC) tests, was developed and transferred to a number of emerging vaccine manufacturers. This contributed to a sustainable global supply of affordable Hib conjugate vaccines, as illustrated by the market launch of the first Hib vaccine based on this technology in 2007 and concomitant price reduction of Hib vaccines. This paper describes the development approach followed for this Hib conjugate vaccine as well as the mathematical modeling tool applied recently in order to indicate options for further improvements of the initial Hib process. The strategy followed during the process development of this Hib conjugate vaccine was a targeted and integrated approach based on prior knowledge and experience with similar products using multi‐disciplinary expertise. Mathematical modeling was used to develop a predictive model for the initial Hib process (the ‘baseline’ model) as well as an ‘optimized’ model, by proposing a number of process changes which could lead to further reduction in price. © 2016 American Institute of Chemical Engineers Biotechnol. Prog., 32:568–580, 2016     

Testing plasmid stability of Escherichia coli using the Continuously Operated Shaken BIOreactor System

Plasmids are common vectors to genetically manipulate Escherichia coli or other microorganisms. They are easy to use and considerable experience has accumulated on their application in heterologous protein production. However, plasmids can be lost during cell growth, if no selection pressure like, e.g., antibiotics is used, hampering the production of the desired protein and endangering the economic success of a biotechnological production process. Thus, in this study the Continuously Operated Shaken BIOreactor System (COSBIOS) is applied as a tool for fast parallel testing of strain stability and operation conditions and to evaluate measures to counter such plasmid loss. In specific, by applying various ampicillin concentrations, the lowest effective ampicillin dosage is investigated to secure plasmid stability while lowering adverse ecological effects. A significant difference was found in the growth rates of plasmid‐bearing and plasmid‐free cells. The undesired plasmid‐free cells grew 30% faster than the desired plasmid‐bearing cells. During the testing of plasmid stability without antibiotics, the population fraction of plasmid‐bearing cells rapidly decreased in continuous culture to zero within the first 48 h. An initial single dosage of ampicillin did not prevent plasmid loss. By contrast, a continuous application of a low dosage of 10 µg/mL ampicillin in the feed medium maintained plasmid stability in the culture. Consequently, the COSBIOS is an apt reactor system for measuring plasmid stability and evaluating methods to enhance this stability. Hence, decreased production of heterologous protein can be prevented. © 2016 American Institute of Chemical Engineers Biotechnol. Prog., 32:1418–1425, 2016