Hard

  • 文章类型: Journal Article
    目的:评估海绵擦拭取样在从坚硬的无孔表面回收A类和B类非孢子形成细菌生物恐怖主义剂的潜在细菌替代物方面的功效。
    方法:一项文献调查确定了7种非致病性细菌作为选定的A类和B类非孢子形成细菌的潜在替代品。由不锈钢制成的小(2x4厘米)和大(35.6-35.6厘米)试样,塑料,或玻璃,接种并用于评估持久性,和表面采样效率,分别。三种市售预润湿海绵湿巾(3M™,Sani-Stick®,和Solar-Cult®)进行了评估。
    结果:持久性测试的平均回收率表明,三种微生物(拉氏耶尔森氏菌,大肠杆菌,和粘质沙雷菌)在所有测试材料类型中都表现出足够的持久性。大接种样品(每个样品≥107CFU)取样导致每个样品的平均回收率为6.6至3.4Log10CFU。Solar-Cult®的平均回收率,3M™海绵湿巾,所有测试生物和所有材料类型的Sani-Sticks®均≥5.7、≥3.7和≥3.4Log10CFU/样品,分别。玻璃的平均回收率,不锈钢,所有测试生物和所有海绵类型的ABS塑料为每个样品≥3.8、≥3.7和≥3.4Log10CFU,分别。
    结论:回收结果表明,海绵擦拭取样可以有效地用于从硬细菌中回收非孢子形成细菌细胞,无孔表面,如不锈钢,ABS塑料,和玻璃。
    OBJECTIVE: Evaluate the efficacy of sponge wipe sampling at recovering potential bacterial surrogates for Category A and B non-spore-forming bacterial bioterrorism agents from hard, nonporous surfaces.
    METHODS: A literature survey identified seven nonpathogenic bacteria as potential surrogates for selected Category A and B non-spore-forming bacterial agents. Small (2 × 4 cm) and large (35.6 × 35.6 cm) coupons made from either stainless steel, plastic, or glass, were inoculated and utilized to assess persistence and surface sampling efficiency, respectively. Three commercially available premoistened sponge wipes (3M™, Sani-Stick®, and Solar-Cult®) were evaluated.
    RESULTS: Mean recoveries from persistence testing indicated that three microorganisms (Yersinia ruckeri, Escherichia coli, and Serratia marcescens) demonstrated sufficient persistence across all tested material types. Sampling of large inoculated (≥107 CFU per sample) coupons resulted in mean recoveries ranging from 6.6 to 3.4 Log10 CFU per sample. Mean recoveries for the Solar-Cult®, 3M™ sponge wipes, and Sani-Sticks® across all test organisms and all material types were ≥5.7, ≥3.7, and ≥3.4 Log10 CFU per sample, respectively. Mean recoveries for glass, stainless steel, and ABS plastic across all test organisms and all sponge types were ≥3.8, ≥3.7, and ≥3.4 Log10 CFU per sample, respectively.
    CONCLUSIONS: Recovery results suggest that sponge wipe sampling can effectively be used to recover non-spore-forming bacterial cells from hard, nonporous surfaces such as stainless steel, ABS plastic, and glass.
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  • 文章类型: Journal Article
    背景:这项研究的目的是使用从人类尸体中收获的干燥上颌骨研究切开管的结构。
    方法:从成年白种人尸体中收获了七个干燥的上颌骨。用肉眼从口内角度并在20倍放大的手术显微镜下观察所有标本中的切口管。
    结果:所有标本都有一个尖锐的孔,导致不同数量的运河。两个标本有一个单管(I型),两个是双(II型),三个有三条运河(III型)。在两种I型标本中,运河位于尖锐孔的中心。II型在两条运河之间有隔膜。该隔膜在运河入口附近形状不规则,但在运河内部光滑。运河在孔内不对称地定位。III型在三个运河之间有两个隔膜。再一次,运河入口附近的不规则,而运河内的光滑。在III型运河中,管腔的方向彼此不同。
    结论:该研究确定了尖锐管解剖结构的形态学变异,强调术前计划在局部麻醉管理中的重要性,牙科植入物的放置,或去除上颌前区的受累牙齿。
    BACKGROUND: The purpose of this study was to investigate the structure of the incisive canal using dry maxillae harvested from human cadavers.
    METHODS: Seven dry maxillae were harvested from adult Caucasian human cadavers. The incisive canals in all specimens were observed from an intraoral viewpoint with the naked eye and under a surgical microscope with 20× magnification.
    RESULTS: All specimens had a single incisive foramen leading to different numbers of canals. Two specimens had a single canal (Type I), two were double (Type II), and three had triple canals (Type III). In both type I specimens, the canal was centered in the incisive foramen. Type II had a septum between the two canals. This septum was irregular in shape near the entrance of the canal but smooth inside the canal. The canals were positioned asymmetrically within the foramen. Type III had two septa between the three canals. Again, those located near the entrance of the canal were irregular while those inside the canal were smooth. The orientation of the lumina differed from one another in the type III canals.
    CONCLUSIONS: The study identified morphological variations in the anatomy of the incisive canal, underscoring the importance of pre-surgical planning in the administration of local anesthesia, placement of dental implants, or removal of impacted teeth in the anterior maxillary region.
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  • 文章类型: Journal Article
    我们介绍了两个婴儿的桌面派对五彩纸屑模仿纽扣电池的文献中的前两个案例。两名患者都被送往急诊科,偶然发现有光泽,出现金属,盘状异物撞击硬腭。这两个物体都被误诊为纽扣电池,这是可以理解的。首例患者在全身麻醉下需要ENT取出异物,而第二个在急诊室安全地进行了取回。对于怀疑有硬腭纽扣电池撞击的患者,应考虑使用桌面派对五彩纸屑,这将极大地改变临床管理方法,并可能将危害降至最低。
    We present the first two cases in the literature of tabletop party confetti mimicking button batteries in two infants. Both patients presented to the Emergency Department with an incidentally noticed shiny, metallic appearing, disc-shaped foreign body impacted in the hard palate. Both objects were understandably misdiagnosed as button batteries. The first patient required foreign body retrieval by ENT under general anaesthesia, whilst the second underwent retrieval safely in the Emergency Department. Tabletop party confetti should be considered in patients presenting with a suspected button battery impaction of the hard palate, which will drastically change the approach to clinical management and potentially minimise harms.
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  • 文章类型: Case Reports
    淀粉样变性通常是由器官和组织中淀粉样蛋白的异常细胞外积累引起的。这个条件,影响头部和颈部,通常是本地化的,也可能涉及口腔,尤其是舌头和颊粘膜。作为一种孤独的表现,骨内发生的局部淀粉样变性很少见。此外,局限性淀粉样变性复发率高。在本文中,据报道,1例50岁女性患者主诉为上颌骨前部疼痛.根据临床检查,未见明显的病理性病变。射线照相图像显示四号和五号牙齿周围有射线可透的病变。患者的治疗选择是切除活检。由于淀粉样变性的诊断在临床上具有挑战性,在这方面,活检和病变的组织学检查是必要的。因此,结论是,在局部淀粉样变性的情况下,长期随访是强制性的,因为在某些情况下可能会发生晚期复发。
    Amyloidosis is often caused by the abnormal extracellular accumulation of amyloid in organs and tissues. This condition, affecting the head and neck region, is typically localized, and may also involve the oral cavity, particularly the tongue and buccal mucosa. As a solitary manifestation, the localized amyloidosis occurring intraosseous is highly infrequent. In addition, localized amyloidosis has a great rate of recurrence. In this paper, a 50-year-old female patient with the chief complaint of pain in the anterior of the maxilla is reported. According to clinical examination, no significant pathologic lesion was seen. The radiographic image showed a radiolucent lesion around teeth four and five. The treatment of choice for the patient was an excisional biopsy. As amyloidosis diagnosis is clinically challenging, biopsy and histologic examination of lesions are necessary in this regard. Accordingly, it is concluded that long-term follow-up is mandatory in case of localized amyloidosis because late recurrence can occur in some cases.
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  • 文章类型: Journal Article
    有限混合回归(FMR)模型中的变量选择经常用于统计建模中。FMR模型中变量选择的大多数应用都使用正态分布进行回归误差。这样的假设不适合于包含具有不对称行为的一组或多组观察的一组数据。在本文中,我们介绍了使用偏正态分布的FMR模型的变量选择过程。通过适当选择调谐参数,我们建立了我们程序的理论性质,包括变量选择的一致性和估计中的oracle属性。要估计模型的参数,开发了一种用于数值计算的改进的EM算法。通过数值实验和实际数据示例说明了该方法。
    Variable selection in finite mixture of regression (FMR) models is frequently used in statistical modeling. The majority of applications of variable selection in FMR models use a normal distribution for regression error. Such assumptions are unsuitable for a set of data containing a group or groups of observations with asymmetric behavior. In this paper, we introduce a variable selection procedure for FMR models using the skew-normal distribution. With appropriate choice of the tuning parameters, we establish the theoretical properties of our procedure, including consistency in variable selection and the oracle property in estimation. To estimate the parameters of the model, a modified EM algorithm for numerical computations is developed. The methodology is illustrated through numerical experiments and a real data example.
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  • 文章类型: Journal Article
    酵母是奶酪的重要组成部分,尤其是手工的。本研究回顾了酵母在不同奶酪品种中的发生以及酵母在奶酪制作过程中的作用。使用分子方法进行鉴定和菌株分型扩展了奶酪中酵母多样性的知识。为了研究酵母在不同奶酪类型中的发生,使用了七个类别,即:1)硬,2)半硬,3)软,其中包括软面食和乳清干酪,4)白色盐水奶酪,5)模具表面成熟,6)细菌表面成熟的奶酪,和7)蓝色奶酪。对于一些奶酪类型,酵母菌是主要的微生物群,至少在他们成熟过程的一部分,而对于其他类型,酵母不存在。工业制造的奶酪和手工奶酪之间的差异已经说明。手工奶酪拥有各种各样的酵母种类,主要属于念珠菌属,Clavisporalus,隐球菌,去细菌,Geotrichum,Issatchenkia,Kazachstania,克鲁维酵母,Kodemaea,Pichia,红霉素,酵母菌,Saturnispora,Torulaspora,Trichosporon,Yarrowia和酵母属。讨论了酵母在七个奶酪类别中的精选奶酪中的作用。
    Yeasts constitute an important part of cheeses, and especially the artisanal ones. The current study reviews the occurrence of yeasts in different cheese varieties and the role of yeasts in cheesemaking process. The use of molecular methods for identification and strain typing has extended the knowledge for yeast diversity in cheeses. For the study of the occurrence of yeasts in different cheese types, seven categories are used, that is: 1) hard, 2) semi-hard, 3) soft, which includes soft pasta-filata and whey cheeses, 4) white brined cheeses, 5) mould surface ripened, 6) bacterial surface ripened cheeses, and 7) blue cheeses. For some cheese types, yeasts are the main microbial group, at least for some part of their ripening process, while for some other types, yeasts are absent. Differences between industrially manufactured cheeses and artisanal cheeses have specified. Artisanal cheeses possess a diverse assortment of yeast species, mainly belonging to the genera Candida, Clavisporalus, Cryptococcus, Debaryomyces, Geotrichum, Issatchenkia, Kazachstania, Kluyveromyces, Kodemaea, Pichia, Rhodotorula, Saccharomyces, Saturnispora, Torulaspora, Trichosporon, Yarrowia and ZygoSaccharomyces. The role of the yeasts for selected cheeses from the seven cheese categories is discussed.
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  • 文章类型: Journal Article
    目前尚不清楚鞋底硬度对幼儿步态的影响。然而,这个功能通常被认为对幼儿的行走和发育有不同的好处。
    在三种常见类型的带柔软鞋底的幼儿鞋类中,步行和跑步时步态的时空测量有何差异?与硬鞋底相比?
    这项研究采用了准实验设计,条件顺序使用拉丁方序列随机化。招募了47名儿童(2-4岁)。参与者在柔软(肖氏48-53)或硬鞋底(肖氏60-65)运动鞋中以随机顺序步行或跑GAITRite垫子的长度,靴子和凉鞋条件。线性回归分析用于研究不同步态参数的鞋之间的差异,包括速度,节奏,步进时间,摆动百分比,立场百分比,双支撑时间和脚趾进/出角度。
    与软底凉鞋相比,儿童在硬底凉鞋中的步幅较短(p<0.05)。在步行或跑步过程中,软底凉鞋与硬底凉鞋的时空变量没有其他差异(p>0.05)。软底和硬底跑步者在行走或跑步过程中的任何时空步态变量没有差异,软底和硬底跑步者在行走或跑步中没有差异(p>0.05)。
    在三种不同类型的鞋类中,软底和硬底鞋类在行走和跑步中的时空参数几乎没有差异。对于鞋类设计师和制造商来说,这可能是一个积极的发现。由于较硬的鞋底似乎对时空步态参数的影响有限。
    It is unknown what the impact of sole hardness is on young children\'s gait. Yet, this feature is commonly marketed as having differing benefits for young children\'s walking and development.
    What are the differences in spatiotemporal measures of gait during walking and running in three common types of young children\'s footwear with a soft sole, compared to a hard sole?
    The study used a quasi-experimental design, with the condition order randomised using a Latin square sequence. Forty-seven children were recruited (aged 2-4 years). Participants walked or ran the length of a GAITRite mat in a randomized order in a soft (Shore 48-53) or hard soled (Shore 60-65) sneaker, boot and sandal condition. Linear regression analyses were used to investigate the difference between footwear for the different gait parameters including velocity, cadence, step time, swing percentage, stance percentage, double support time and the toe in/out angle.
    Children walked with a shorter stride length in the hard-soled sandals compared to the soft- soled sandals (p < 0.05). There were no other differences in spatiotemporal variables in the soft versus hard soled sandals during walking or running (p > 0.05). There were no differences in any spatiotemporal gait variables during walking or running in soft versus hard- soled runners and no differences in walking or running in soft versus hard-soled boots (p > 0.05).
    There were few differences in spatiotemporal parameters between soft and hard-soled footwear in both walking and running in three different types of footwear. This may be a positive finding for footwear designers and manufacturers, as a harder sole appeared to have limited impact on spatiotemporal gait parameters.
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  • 文章类型: Case Reports
    背景:我们报告了一例梅毒性睾丸胶质瘤和血管炎合并因长期使用类固醇引起的肾上腺衰竭的病例。
    方法:一位63岁的男性,在触诊时表现为严重的右眼肿胀和非常坚固的双侧睾丸,他已经有两年了。睾丸肿瘤标志物阴性,梅毒试验阳性。放射学检查提示主动脉炎和双侧睾丸恶性肿瘤。患者接受氨苄西林治疗感染,泼尼松龙治疗血管炎。进行左睾丸切除术以确认睾丸肿瘤的存在;组织学检查显示肉芽肿性睾丸炎。由于使用类固醇的复发和不良反应,调整了泼尼松龙的剂量。不幸的是,患者因血压失控和肺炎在重症监护病房死亡。
    结论:这是一例罕见的梅毒,伴有睾丸受累和血管炎。该报告显示了扩大睾丸硬度的鉴别诊断的重要性。
    BACKGROUND: We report the case of a patient with syphilitic testicular gumma and vasculitis with adrenal failure due to chronic steroid use.
    METHODS: A 63-year-old male presented with hard right eye swelling and very firm bilateral testes on palpation, which he had for 2 years. Testicular tumor markers were negative; syphilis test was positive. Radiological examination suggested aortitis and bilateral testicular malignancy. The patient received ampicillin for the infection and prednisolone for vasculitis. Left orchidectomy was performed to confirm the presence of testicular tumor; histological examinations revealed granulomatous orchitis. The prednisolone doses were adjusted because of relapses and adverse effects of steroid use. Unfortunately, the patient died in the intensive care unit because of uncontrolled blood pressure and pneumonia.
    CONCLUSIONS: This is a rare case of syphilis with testicular involvement and vasculitis. This report shows the importance of broadening the differential diagnoses of testicular firmness.
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  • 文章类型: Journal Article
    光周期持续时间(16h光照:8h黑暗与22h光照:2h黑暗)和不同剂量(0.5x和1x)的Murashige和Skoog培养基对硬草的产量和抗氧化特性的影响,对中硬小麦和软小麦品种进行了分析。在正常光周期下以及在延长光周期下,MS培养基中的平均麦草高度和麦草产量均增加。在正常光周期下,在不同强度的MS培养基中,麦草的总酚含量(TPC)和三价铁还原抗氧化能力(FRAP)均增加。然而,蛋白质含量增加,叶绿素(Chl)a,Chlb,总Chl,平均TPC,在延长的光周期下,观察到在水中生长的不同品种的小麦草的DPPH抑制和FRAP值。92kDa的多肽(PPs)的积累,33kDa,23kDa,14kDa,12kDa,不同品种的麦草枝粉和10kDa受MS培养基强度和光周期持续时间的影响。相反,在不同强度的MS培养基和延长的光周期下,小麦草汁粉显示出PPs33kDa和23kDaPPs的积累发生了重大变化。
    The effect of photoperiod durations (16 h light:8 h dark vs 22 h light:2 h dark) and different doses (0.5x and 1x) of Murashige and Skoog medium on the yield and antioxidant characteristics of wheatgrass from hard, medium-hard and soft wheat varieties were analyzed. The average wheatgrass height and wheatgrass yield increased in MS media both under normal photoperiod as well as in water under prolonged photoperiod. An increase in total phenolic content (TPC) and ferric reducing antioxidant power (FRAP) of wheatgrass in different strengths of MS media under normal photoperiod was observed. Whereas, increase in protein content, chlorophyll (Chl) a, Chl b, total Chl, average TPC, DPPH inhibition and FRAP values were observed for wheatgrass of different varieties grown in water under prolonged photoperiod. The accumulation of polypeptides (PPs) of 92 kDa, 33 kDa, 23 kDa, 14 kDa, 12 kDa, and 10 kDa for wheatgrass shoot powder of different varieties was affected by strength of MS media and duration of photoperiod. On the contrary, wheatgrass juice powder showed major changes in the accumulation of PPs 33 kDa and 23 kDa PPs under varied strength of MS media and prolonged photoperiod.
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  • 文章类型: Journal Article
    这项回顾性队列研究旨在确定预测上牙槽后动脉(PSAA)位置的最佳解剖学参考。评估了90个上颌窦的计算机断层扫描图像。我们研究了五个参考文献,包括牙槽骨,上颌窦底,合子肺泡嵴,硬腭和软腭,并测量了它们与PSAA之间的距离。通过标准偏差和变异系数(CV)评估距离的变化。合子牙槽骨是一个不稳定的参考,由于其较高的标准偏差和CV。最小的CV是肺泡c和PSAA之间的距离,尽管无牙颌的距离比无牙颌的距离小。男性和无牙患者的窦底与PSAA之间的距离较大。PSAA的检出率为40.0%,44.4%,第一和第二前磨牙以及第一和第二磨牙位置的窦壁的54.4%和56.7%,分别。在这些牙齿位置,硬腭上方的高度分别为11.2±4.9、8.2±4.9、6.2±2.8和8.1±2.9毫米。硬腭是预测PSAA位置最稳定的参考,不论性别,年龄和牙列。
    This retrospective cohort study aimed to identify the best anatomical reference for predicting the posterior superior alveolar artery (PSAA) location. Computed tomographic images of 90 maxillary sinuses were evaluated. We studied five references, including the alveolar crest, maxillary sinus floor, zygomatoalveolar crest, hard palate and soft palate, and measured the distances between them and the PSAA. Variations in the distance were evaluated by the standard deviation and coefficient of variation (CV). The zygomatoalveolar crest was an unstable reference, owing to its high standard deviation and CV. The smallest CV was for the distance between the alveolar crest and PSAA, although the distance was smaller in edentulous jaws than dentulous jaws. The distance between the sinus floor and PSAA was larger in male and edentulous patients. The PSAA was detected in 40.0%, 44.4%, 54.4% and 56.7% of the sinus walls at the first and second premolar and the first and second molar positions, respectively. At these tooth positions, the respective heights above the hard palate were 11.2 ± 4.9, 8.2 ± 4.9, 6.2 ± 2.8 and 8.1 ± 2.9 mm. The hard palate was the most stable reference for predicting the location of the PSAA, irrespective of sex, age and dentition.
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