基于红外热成像技术的膝骨性关节炎患者穴位体表温度规律研究＊

目的 观察膝骨性关节炎患者穴位体表温度分布规律。方法 以256例膝骨性关节炎患者和256例健康受试者为观察对象。使用Fotric 226红外热像仪检测患者和健康受试者腧穴的温度值，每名患者每周固定时间检测1次，共检测4次，健康人检测1次，比较患者组与健康受试者组穴位温度值的差异，比较不同时间点不同部位、经脉温度值的差异。结果 膝骨性关节炎患者血海穴、鹤顶穴、梁丘穴、曲泉穴、内膝眼穴、犊鼻穴、委阳穴、阴陵泉穴、膝关穴、阳陵泉穴、大杼穴、悬钟穴、足三里穴、命门穴、腰阳关穴温度值高于健康受试者（P < 0.05）；患者组胃经的4次皮温均较高（P < 0.05），腰背部的4次皮温均较高（P < 0.05）；KOA相关腧穴4次温度值变化趋势不显著（P > 0.05）。结论 膝关节骨性关节炎患者部分腧穴皮温升高；膝骨性关节炎患者的穴位升温现象具有规律性，与经络、部位相关；膝关节骨性关节炎相关穴位升温效应具有稳定性。     

Olas de calor,temperatura ambiente y riesgo de infarto de miocardio: un estudio ecológico en la Comunidad de Madrid

Introduction and objectivesEpisodes of extreme heat are associated with increased morbidity and mortality in chronically-ill patients but there is a need to clearly establish the relationship between extreme heat and myocardial infarction. The aim of this study was to analyze the relationship between the incidence of ST-segment elevation myocardial infarction (STEMI) and maximum temperature, in particular during heat wave alert periods (HWAP).MethodsThe population studied consisted of confirmed STEMI cases registered in the Infarction Code of the Community of Madrid between June 2013 and June 2017. Incidence rate ratios (IRR) adjusted for trend and seasonality and 95%CI were estimated using time series regression models.ResultsA total of 6465 cases of STEMI were included; 212 cases occurred during the 66-day period of HWAP and 1816 cases during the nonalert summer period (IRR, 1.14; 95%CI, 0.96-1.35). The minimum incidence rate was observed at the maximum temperature of 18 °C. Warmer temperatures were not associated with a higher incidence (IRR,1.03; 95%CI, 0.76-1.41), whereas colder temperatures were significantly associated with an increased risk (IRR, 1.25; 95%CI, 1.02-1.54). No effect modification was observed by age or sex.ConclusionsWe did not find an increased risk of STEMI during the 66 days of HWAP in the Community of Madrid between June 2013 and June 2017. However, an increased risk was found during colder temperatures. No extra health resources for STEMI management are required during periods of extreme heat, but should be considered during periods of cold weather.     

Identification of vagus nerve stimulation parameters affecting rat hippocampal electrophysiology without temperature effects

BackgroundRecent experiments in rats have demonstrated significant effects of VNS on hippocampal excitability but were partially attributed to hypothermia, induced by the applied VNS parameters.ObjectiveTo allow meaningful preclinical research on the mechanisms of VNS and translation of rodent results to clinical VNS trials, we aimed to identify non-hypothermia inducing VNS parameters that significantly affect hippocampal excitability.MethodsVNS was administered in cycles of 30 s including either 0.1, 0.16, 0.25, 0.5, 1.5, 3 or 7 s of VNS ON time (biphasic pulses, 250μs/phase, 1 mA, 30 Hz) and the effect of different VNS ON times on brain temperature was evaluated. VNS paradigms with and without hypothermia were compared for their effects on hippocampal neurophysiology in freely moving rats.ResultsUsing VNS parameters with an ON time/OFF time of up to 0.5 s/30 s did not cause hypothermia, while clear hypothermia was detected with ON times of 1.5, 3 and 7 s/30 s. Relative to SHAM VNS, the normothermic 0.5 s VNS condition significantly decreased hippocampal EEG power and changed dentate gyrus evoked potentials with an increased field excitatory postsynaptic potential slope and a decreased population spike amplitude.ConclusionVNS can be administered in freely moving rats without causing hypothermia, while profoundly affecting hippocampal neurophysiology suggestive of reduced excitability of hippocampal neurons despite increased synaptic transmission efficiency.     

Carotenoid stability during storage of yellow gari made from biofortified cassava or with palm oil

The carotenoid composition of gari made from biofortified cassava (BG) was compared to that of existing gari of similar appearance but made from white cassava with added red palm oil (RPG). Storage of both yellow gari products was modelled at ambient temperatures typical of tropical areas (19–40 °C) over a 3-month-period at constant relative humidity. Carotenoid content and hence vitamin A activity of the gari products decreased markedly with time and temperature. Trans-β-carotene degradation fitted well the kinetics predicted by the Arrhenius model, in particular for BG. Activation energies for trans-β-carotene were 60.4 and 81.0 kJ mol⁻¹ for BG and RPG respectively (R² = 0.998 and 0.997, respectively); hence the minimum energy to cause degradation of trans-β-carotene in gari was lower with BG. Rates of degradation of 9-cis-β-carotene in gari were of the same order as with trans-β-carotene. Although the initial content of trans-β-carotene was twice as high in the BG compared to RPG, trans-β-carotene in BG degraded much faster. Results showed that the average shelf life at ambient temperature for BG was significantly shorter than for RPG and therefore carotenoids in BG were less stable than in RPG.     

南京市温度对死亡的急性效应研究

目的研究南京市温度对死亡的急性效应。方法利用南京市2007—2012年死因、气象、空气污染数据,使用分布滞后非线性模型(DLNM)分析南京市非意外死亡、循环系统疾病死亡以及呼吸系统疾病死亡的冷效应、热效应、极端冷效应和极端热效应的健康风险(RR)。结果非意外死亡、循环系统死亡、呼吸系统死亡的最低死亡温度(MMT)分别为25.2、25.5、25.3℃。非意外死亡的冷效应、极端冷效应、热效应、极端热效应的RR分别为:1.39(95%CI:1.25~1.53)、1.08(95%CI:1.02~1.14)、1.13(95%CI:1.07~1.20)、1.11(95%CI:1.06~1.16);循环系统疾病死亡分别为:1.67(95%CI:1.44~1.94)、1.11(95%CI:1.03~1.20)、1.25(95%CI:1.15~1.36)、1.21(95%CI:1.13~1.29);呼吸系统疾病死亡分别为1.43(95%CI:1.04~1.96)、1.13(95%CI:0.97~1.32)、1.31(95%CI:1.09~1.56)、1.25(95%CI:1.08~1.45)。结论循环系统疾病和呼吸系统疾病为温度影响死亡的敏感疾病,尤其应关注冷效应和极端热效应的健康风险。     

The effect of mold temperature on castability of CP Ti and Ti–6Al–4V castings into phosphate bonded investment materials

OBJECTIVE: The aim of this study was to evaluate the castability of CP titanium and Ti-6Al-4V alloy castings into Rematitan Plus investment at three different mold temperatures. METHODS: A nylon mesh pattern (20 mm with 64 squares and wire of 0.7 mm in diameter) was used for the castability testing. Initially, an image of the wax pattern was obtained by means of a digital camera and the total extension of filaments (mm) was then measured, using the Leica Qwin image analysis system. The mesh sprued was placed in the Rematitan Plus investment material and the castings were made in a Discovery Plasma machine at three different mold temperatures: 430 degrees C (control group), 480 degrees C or 530 degrees C. Ten castings were made for each temperature. The images of the castings were analyzed (Leica Qwin) and the castability index determined by the number of the completely cast segments as a percentage of the wax pattern. Data were analyzed by two-way ANOVA and Tukey's multiple comparison test (a = 0.05) using materials and temperatures as discriminating variables. RESULTS: The Ti-6Al-4V alloy (60.86%) presented a better castability index than CP Ti (48.44%) (p < 0.000001). For CP Ti, the temperature of 530 degrees C (23.96%) presented better castability than at other temperatures, 480 degrees C (14.66%) and 430 degrees C (12.54%), with no difference between them (p < 0.001). For Ti-6Al-4V alloy, there was a statistically significant difference among the three temperatures: 530 degrees C (28.36%) > 480 degrees C (19.66%) > 430 degrees C (15.97%) (p < 0.002). SIGNIFICANCE: Within the limitations of this study, the increase in the mold temperature of the Rematitan Plus investment resulted in a better castability index for both materials, and Ti-6Al-4V presented a better castability index than CP Ti.     

Effects of adhesive temperature on the early and 6-month dentin bonding

Objectives

The aim of this study was to test the effect of adhesive temperature on the bond strength to dentin (μTBS) and silver nitrate uptake (SNU) of an ethanol/water (Adper Single Bond 2 [SB]) and an acetone-based (Prime&;Bond 2.1 [PB]) etch-and-rinse adhesive system.

Methods

The bottles of each adhesive were kept in various temperatures (5 °C, 20 °C, 37 °C and 50 °C) for 1 h previously to its application in the occlusal demineralized dentin of 40 molars. Bonded sticks (0.8 mm²) were tested in tension (0.5 mm/min) immediately (IM) or after 6 months (6 M) of water storage. Two bonded sticks from each hemi-tooth were immersed in silver nitrate and analyzed by SEM. Data were analyzed by two-way repeated measures ANOVA and Tukey's test (α = 0.05).

Results

No significant difference in μTBS was detected for both adhesives at 5 °C and 20 °C. The highest bond strength for PB was observed in the 37 °C group while for SB it was in the 50 °C. Significant reductions of bond strengths were observed for PB at 37 °C and SB at 50 °C after 6 M of water storage. Silver nitrate deposition was seen in all hybrid layers, irrespective of the group. Lower silver nitrate deposition (water trees) in the adhesive layer was seen for PB and SB at higher temperatures.

Conclusions

The heating or refrigeration of the adhesives did not improve their resin–dentin bond resistance to water degradation over time.     

Effect of temperature on water sorption and solubility of dental adhesive resins

Objective

This study examined the effect of temperature on water sorption and solubility characteristics of four commercial dental adhesives. The null hypothesis tested was that temperature has no effect on the water sorption and solubility characteristics of these adhesives.

Methods

The tested materials were: three-step etch-and-rinse (All-Bond 2, AB), two-step etch-and-rinse (One-Step, OS), two-step self-etch (Clearfil SE Bond, SE) and one-step self-etch (Clearfil S3 Bond, S3) adhesives. Seven resin disks (6 mm in diameter × 1 mm in thickness) were prepared from each tested material and were stored in deionized water at 23 °C, 37 °C and 55 °C. Water sorption and solubility of the resin disks were measured before and after water immersion and desiccation following two consecutive sorption and desorption cycles. The water sorption and solubility values obtained were analyzed using two-way ANOVA and Tukey's multiple comparison tests. The relationships between maximum water sorption, solubility and kinetics of water diffusion with temperature were evaluated by means of Pearson correlation statistic.

Results

OS exhibited the highest water sorption and solubility values in the second sorption–desorption cycle at 55 °C (p < 0.001). This is followed by S3, SE and AB with no significant difference between SE and AB. Significant positive correlations were observed between maximum water sorption (r = 0.307, p < 0.01), solubility (r = 0.244, p < 0.05), water sorption (r = 0.651, p < 0.001) and desorption (r = 0.733, p < 0.001) diffusion coefficients (obtained using Fick's law of diffusion) with temperature in the second cycle.

Significance

High temperatures increased water sorption of simplified adhesives. Such water sorption may contribute to the failure of resin–dentin bonds.     

Influence of heat from light curing units and dental composite polymerization on cells in vitro

OBJECTIVES: The aim of the present study was to test the hypothesis that the use of a light curing unit (LCU) with high light power would result in a higher temperature and therefore a statistically significant lower number of living human gingiva fibroblasts within a pulp chamber model than the use of a light emitting diode (LED) LCU. MATERIALS AND METHODS: The composites Admira, Grandio, Filtek Supreme and Filtek Z250 were polymerized with the LCUs Swiss Master Light, Optilux 501 and an LED LCU prototype in a mould on top of a pulp chamber model. The temperature was recorded within the pulp chamber with a thermocouple. The cytotoxicity of the polymerized samples was tested by using the MTT test. RESULTS: In general there was no considerable difference in the temperature increase within the pulp chamber model for the different LCUs and composites. There was no statistically significant difference in the cell number (p=0.3767) when the different LCUs were used. CONCLUSIONS: Using a high power halogen LCU for a short time or a standard halogen or LED LCU for a longer time did not result in a considerable difference in the temperature increase or the number of living cells within a pulp chamber model. This study indicates not only that the temperature may have an effect on the living cells, but also that cells may be negatively affected by the unpolymerized composite or light of the LCUs.