Hydroxyapatite Humidifier Vibrator Housing Fabrication and Characteristics

The humidifier vibrator housing is difficult to clean and prone to contamination due to its metallic material. To overcome these shortcomings, the humidifier vibrator housing was manufactured using Hydroxyapatite as a raw material. Although hydroxyapatite has excellent antibacterial properties and biocompatibility, it is difficult to manufacture a sintered body due to its weak fracture toughness. Therefore, hydroxyapatite sintered compacts were prepared according to the amount of plasticizer added and their physical properties were compared. The average compressive strength was 395.1 N·mm-2 at 8 % of the amount of added plasticizer, and the average bending strength was 61.8 N·mm-2 at 6 % of the amount of added plasticizer. The hydroxyapatite sintered compact showed the effect of inhibiting the production of bacteria regardless of the amount of plasticizer added. As a result of this physical property study, it was possible to develop a humidifier vibrator housing with excellent antibacterial properties and maintaining mechanical strength

Effect of Varying the Semiconducting/Metallic Tube Ratio on the Performance of Mixed Single-Walled Carbon Nanotube Network Gas Sensors

The sensing properties of mixed networks consisting of semiconducting and metallic single-walled carbon nanotubes (SWCNTs) have been found to largely vary depending on the ratio of semiconducting to metallic tubes. Solution-deposited 99% semiconductor-enriched nanotube networks exhibited a sensitivity of 1.908%/ppm, whereas the unenriched 66% and 90% enriched samples exhibited a sensitivity of 0.027%/ppm and 0.113%/ppm, respectively. These results suggest that it is extremely important to minimize the metallic pathways to achieve high sensitivity. After an oxygen plasma treatment, the unenriched 66% sample exhibited a 526% increase in sensitivity (0.142%/ppm) compared to the untreated one, whereas the 90% device demonstrated a sensitivity of 1.521%/ppm, which corresponds to an improvement in the sensitivity of 13.5 times the pristine 90% sample. In addition, the plasma-treated sensors exhibited a much faster response time than the untreated one. The significant improvement in the performance of the highly enriched network sensors was explained by the large increase in the anchoring sites for ammonia molecules on the surface of the semiconducting single-walled CNTs and the faster charge transfer from absorbed molecules

A Case of Adenocarcinoma in situ of the Distal Common Bile Duct Diagnosed by Percutaneous Transhepatic Cholangioscopy

Extrahepatic cholangiocarcinoma is often clinically challenging to diagnose. Even multidisciplinary approaches which include computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiography are unsatisfactory in some cases, especially with biliary stricture. Percutaneous transhepatic cholangioscopy (PTCS) with its direct visualization for biopsy appears to be a promising technique for detecting cholangiocarcinoma at an early stage. We report a case of adenocarcinoma in situ of the distal common bile duct (CBD) that was confirmed by PTCS. This case suggests the useful role of PTCS in the differential diagnosis of a distal CBD obstruction, particularly when other diagnostic modalities do not provide definitive information

Rescue therapy with adefovir in decompensated liver cirrhosis patients with lamivudine-resistant hepatitis B virus

Background/AimsAdefovir dipivoxil (ADV) is a nucleotide analogue that is effective against lamivudine-resistant hepatitis B virus (HBV). The aim of this study was to determine the long-term clinical outcomes after ADV rescue therapy in decompensated patients infected with lamivudine-resistant HBV.MethodsIn total, 128 patients with a decompensated state and lamivudine-resistant HBV were treated with ADV at a dosage of 10 mg/day for a median of 33 months in this multicenter cohort study.ResultsFollowing ADV treatment, 86 (72.3%) of 119 patients experienced a decrease in Child-Pugh score of at least 2 points, and the overall end-stage liver disease score decreased from 16±5 to 14±10 (mean ± SD, P<0.001) during the follow-up period. With ADV treatment, 67 patients (56.3%) had undetectable serum HBV DNA (detection limit, 0.5 pg/mL). Virologic breakthrough occurred in 38 patients (36.1%) and 9 patients had a suboptimal ADV response. The overall survival rate was 89.9% (107/119), and a suboptimal response to ADV treatment was associated with both no improvement in Child-Pugh score (≥2 points; P=0.001) and high mortality following ADV rescue therapy (P=0.012).ConclusionsThree years of ADV treatment was effective and safe in decompensated patients with lamivudine-resistant HBV

Clinical Features and Prognosis of Spontaneous Bacterial Peritonitis in Korean Patients with Liver Cirrhosis: A Multicenter Retrospective Study

BACKGROUND/AIMS: Although early recognition and treatment with effective antibiotics have lead to improvements in the prognosis of patients with spontaneous bacterial peritonitis (SBP), it remains to be a serious complication in cirrhotic patients. This study was designed to evaluate the clinical manifestations and prognosis of patients with liver cirrhosis and SBP in Korea. METHODS: This was a multicenter retrospective study examining 157 episodes of SBP in 145 patients with cirrhosis. SBP was diagnosed based on a polymorphonuclear cell count in ascitic fluid of >250 cells/mm(3) in the absence of data compatible with secondary peritonitis. RESULTS: The mean age of the cohort was 56 years, and 121 (77%) of the 157 episodes of SBP occurred in men. Microorganisms were isolated in 66 episodes (42%): Gram-negative bacteria in 54 (81.8%), Gram-positive in 11 (16.7%), and Candida in 1. Isolated Gram-negative organisms were resistant to third-generation cephalosporin in 6 cases (17%), to ciprofloxacin in 11 (20.8%), and to penicillin in 33 (62.3%). The treatment failure and in-hospital mortality rates were 12.1% and 21%, respectively. A high Model of End-Stage Liver Disease (MELD) score, SBP caused by extended-spectrum beta-lactamase-producing organisms, and hepatocellular carcinoma were independent prognostic factors of high in-hospital mortality. CONCLUSIONS: SBP remains to be a serious complication with high in-hospital mortality, especially in patients with a high MELD score.ope

Comparison of Rifaximin and Lactulose for the Treatment of Hepatic Encephalopathy: A Prospective Randomized Study

Rifaximin has been reported to be effective for the treatment of hepatic encephalopathy (HE) in Europe. However, it is unknown whether Rifaximin is effective for the treatment of HE in Koreans, therefore we conducted a open-label prospective randomized study to evaluate the efficacy of rifaximin versus lactulose in Korean patients. Fifty-four patients with liver cirrhosis and hepatic encephalopathy were enrolled. Thirty-two patients were randomized to receive rifaximin and 22 to receive lactulose both over a 7-day periods. Before and at the end of treatment, gradation of blood ammonia, flapping tremor, mental status, number connection test (NCT) were performed and estimation of HE indexes determined. Both rifaximin and lactulose were effective in the majority of patients (84.4% and 95.4%, respectively, p=0.315). Blood NH3, flapping tremor, mental status, and NCT was significantly improved by rifaximin and lactulose, and the posttreatment levels of these measures were similar for the rifaximin and lactulose-treated groups, as was the HE index (rifaximin group (10.0→4.2, p=0.000); lactulose group (11.3→5.0, p=0.000)). One patient treated with rifaximin complained of abdominal pain, which was easily controlled. There was no episode of renal function impairment in either treatment group. Rifaximin proved to be as safe and as effective as lactulose for the treatment of Korean patients with hepatic encephalopathy

Enhanced Stability and Amplified Signal Output of Single-Wall Carbon Nanotube-Based NH3-Sensitive Electrode after Dual Plasma Treatment

Pristine nanomaterials are normally prepared using finely controlled fabrication processes. Because no imperfect nanostructure remains, they cannot be used directly as electrode substrates of functional devices. This is because perfectly organized nanostructures or nanomaterials commonly require posttreatment to generate intentionally, the kinds of desirable defects inside or on their surfaces that enable effective functionalization. Plasma treatment is an easier, simpler and more widely used way (relative to other methods) to modify a variety of nanomaterials, although plasma-functionalized nano surfaces commonly have a short lifetime. We present herein a dual plasma treatment (DPT) that significantly enhances the degree and lifetime of plasma-induced surface functional groups on single-walled carbon nanotubes (SWCNTs). The DPT process consists of two individually optimized oxygen&ndash;plasma treatments. The DPT-modified SWCNT functioned as a sensing material for ammonia gas for more than a month. It also provided more than three times the degree of functionality for amplified signal output than with a single-plasma-treated SWCNT electrode

Possibility of large-area carbon nanotube films formation through spray coating

Abstract This study deals with the process of developing and optimizing the spray coating method for large-area deposition of carbon nanotubes. Carbon nanotubes have excellent electrical and thermal properties and strength, so they are used in various fields of application. However, existing deposition methods have limitations. In this study, the possibility of the spray coating method for large-area deposition of carbon nanotubes is presented, and additional conditions for this are introduced. A spray coating solution was prepared using dichlorobenzene as a solvent for 3 mg carbon nanotubes. By controlling the spray coating speed, the spray coating conditions were optimized by analyzing the surface shape, structure, and resistance of the deposited carbon nanotubes. As a result, we confirmed the possibility of depositing carbon nanotubes on a large area through the spray coating method, and it is expected to contribute to increasing the application possibilities in industrial and scientific fields