简介：BackgroundThepurposeofotomicrosurgeryinmoderntimesistoachievecompleteremovalofdisease,whichisthebasisforhearingrehabilitation.Artificialossiclesareimportantforhearingrehabilitation.Oneofthematerialsishydroxyapatitethatactsasossicularreplacementprosthesis(HAprosthesis,PORP&TORP)andiscommonlyusedassubstituteboneinclinics.AlthoughHAprosthesesfeaturegoodbiocompatibility,stabilityandcertainresistancetoinfection,thestructureofthematerialcanbedecomposedandabsorbed.Baseduponanimalexperimentsandclinicalapplication,thisarticleexplorestheinfectivityofHAprosthesesandinfluencingfactors.MaterialsandMethodsHAprostheseswereimplantedinthebullainguineapigs.InfectedHAprostheseswereexaminedunderascanningelectronmicroscope.NinetypatientsimplantedwithHAprostheseswerefollowedformorethan3months.Fivecasesthathadundergonerevisionoperationswerereported.ResultsScanningelectronicmicroscopyshowedthatthenormalcompactstructureshaddisappearedandbecomelooseininfectedHAprostheses,withtheirmicroporesinfiltratedwitheffusion,fibroustissueandinflammatorycells.Asaresult,thenormalceramicstructurewasdecomposedandthemicroporesstructuredisappeared.TheinfectedmesotympanuminthereportedcasesalsoledtoHAinfection.Theshapeandstructureofboneweredestroyed,whichwasvisiblebyvisualexaminationandlightmicroscopy.Theprocessofcholesteatomarecurrencewasalwaysassociatedwithinfection,althoughtheHAprosthesiswassometimesspared.ConclusionWhileHAprosthesisisanti-infectivetosomeextent,long-terminfectionandcholesteatomarecurrencecanleadtodestructionanddecompositionofHAprostheses.Long-terminfectedmiddleearcavity,dysfunctionalEustachiantube,residualandrecurrentcholesteatomaandotherfactorscancausedecompositionofHAprosthesisandresultinhearingloss.

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简介：网膜的退化疾病可以导致外部视网膜并且接着的退化，盲目。但由于内部视网膜的维护，编码并且处理视觉神经原回答仍然能自然地被执行。因此，一台有效网膜的修复术设备可以被mimicking开发外部视网膜的功能：把视觉光变成人工的刺激并且把刺激送到试图唤起神经回答的视网膜。作为为当前的网膜的修复术的二个主要发展中方向，epiretinal(嗯)并且subretinal(SR)修复术两个都正在经历试验性的舞台并且拥有优点和限制。在电源供应的进一步的调查，biocompatibility，仍然要求的etc.are。另外，尽管他们不是足够成熟的也商业地被使用，suprachoroidaltransretinal刺激(圣)和在网膜的修复术的一些另外的选择也被看作有希望的导致neurotransmitter的刺激研究方向。

简介：AbstractHuman coronavirus (HCoV) causes potentially fatal respiratory disease. Pregnancy is a physiological state that predisposes women to viral infection. In this review, we aim to present advances in the pathogenesis, clinical features, diagnosis, and treatment in HCoV in pregnancy. We retrieved information from the Pubmed database up to June 2020, using various search terms and relevant words, including coronaviruses, severe acute respiratory syndrome coronavirus, Middle East respiratory syndrome coronavirus, 2019 coronavirus disease, and pregnancy. Both basic and clinical studies were selected. We found no evidence that pregnant women are more susceptible to HCoV infection or that those with HCoV infection are more prone to developing severe pneumonia. There is also no confirmed evidence of vertical mother-to-child transmission of HcoV infection during maternal HCoV infection. Those diagnosed with infection should be promptly admitted to a negative-pressure isolation ward, preferably in a designated hospital with adequate facilities and multi-disciplinary expertise to manage critically ill obstetric patients. Antiviral treatment has been routinely used to treat pregnant women with HCoV infection. The timing and mode of delivery should be individualized, depending mainly on the clinical status of the patient, gestational age, and fetal condition. Early cord clamping and temporary separation of the newborn for at least 2 weeks is recommended. All medical staff caring for patients with HCoV infection should use personal protective equipment. This review highlights the advances in pathogenesis, maternal-fetal outcome, maternal-fetal transmission, diagnosis and treatment in HCoV including severe acute respiratory syndrome coronavirus, Middle East respiratory syndrome coronavirus, and coronavirus disease 2019 in pregnancy.

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简介：传染病，一种使人不寒而栗的疾病。也许它的症状仅仅是小小的感冒，千万别大意，它可能就隐藏着某种严重传染病菌。

简介：AbstractIn this paper, we review the results of previous studies and summarize the effects of various factors on the regulation of bone metabolism in traumatic bone infections. Infection-related bone destruction incorporates pathogens and iatrogenic factors in the process of bone resorption dominated by the skeletal and immune systems. The development of bone immunology has established a bridge of communication between the skeletal system and the immune system. Exploring the effects of pathogens, skeletal systems, immune systems, and antibacterials on bone repair in infectious conditions can help improve the treatment of these diseases.

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简介：客观：为了在臀部以后学习大腿骨的新潮的修复术的压力分发，连接代替。方法：在新潮的联合代替以后，腿节和修复术什么时候完美地被认为柱体同样同心与banded接口，模仿界面的压力转移的一个相对完美的理论模型被建立。结果：最大值界面砍应力发生在Z=0。在大腿骨的颈的剖面图，界面砍应力随Z的增加指数地减少了。砍应力在Z0.1m变得很小，它意味着在大腿骨的新潮的修复术的远目的shear压力是很小的。为了避免压力集中和大腿骨的新潮的修复术，下沉、界面的应力必须在Z=0仍然保持与压力负担不变、平衡。大腿骨的新潮的修复术的半径随着变化了界面砍应力。半径的最大的价值发生在Z=0，然后，它在m减少了。特殊，在Z=10公里的a=18.2公里，在Z=98公里的a=5.36公里，这些是理想的半径。结论：模仿界面的压力的一个理论模型被证实腿节和修复术是否被认为柱体同样同心。分布界面砍并且有轴的位置的光线的压力被获得。为修复术的设计的一本理论参考书被提供。

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简介：AbstractGroup B streptococcus (GBS) is a leading cause of neonatal infection. Maternal vaginal-rectal colonization with GBS during the intrapartum period is a prerequisite for GBS early-onset disease (EOD). The obstetric measures for effective prevention of GBS EOD include universal prenatal screening by vaginal-rectal culture, correct specimen collection and processing, appropriate implementation of intrapartum antibiotic prophylaxis, and coordination with pediatric care providers. It is now recommended to universal screen GBS between 360/7 and 376/7 weeks of gestation and to identify groups of women who are eligible for intravenous intrapartum antibiotic prophylaxis as a means of preventing GBS EOD.

简介：<正>Manyvirusesestablishlife-longinfectionsintheirnaturalhostwithfewifanyclinicalmanifestations.Therelationshipbetweenvirusandhostisadynamicprocessinwhichthevirushasevolvedthemeanstocoexistbyreducingitsvisibility,whilethehostimmunesystemattemptstosuppressandeliminateinfectionwithoutdamagetoitself.Wearenowbeginningtounderstandthatvirusescanemployavarietyofstrategiestoevadehostimmuneresponses.TheseincludeescapefromTcellrecognition,resistanceto

简介：MACAO,WHICHISlocatedinthesoutheasterncoastofChina,becameaSpecialAdministrativeRegionofChinaintheyear1999.Previoustothis,MacaowasundertheadministrationofthePortugueseGovernment.AlthoughpartofChina,Macaocontinuestohaveitsownpoliticalandlegislationsystems,whicharequitedifferentfromthesystemsexistinginmainlandChina.Inthelast20years,significantdevelopmenthasoccurredintheeconomy.

简介：AbstractBrucellosis is an important zoonotic infectious disease and is an important public health problem that causes serious economic consequences to the livestock industry. Brucella spp. comprise one of the most common pathogens causing laboratory-acquired infections (LAIs) and are becoming an increasingly important biosafety issue. To understand the significance of Brucella LAIs in China, related papers were search based on three Chinese databases (CNKI, Wanfang, and VIP), as well as PubMed. After assessment, 37 total cases were evaluated, including 27 students, seven laboratory technicians (one pregnant), two housekeeping staff, and one instructor. The age, sex, incubation period, pathogen detection results, and potential routes of infections were collected and analyzed. All LAIs occurred due to improper operations, inadequate biosafety training, and substandard laboratory safety conditions. Therefore, it is urgent to establish a comprehensive and systematic biosafety prevention/control system in laboratories to protect staff members from accidental exposures and LAIs; further, possible risks and control measures for the management of such infections were proposed.

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简介：ＤＥＶＥＬＯＰＥＤＡＮＤＣＬＩＮＩＣＡＬＡＰＰＬＩＣＡＴＩＯＮＯＦＬＯＣＫ－ＲＩＮＧＴＹＰＥＢＩＰＯＬＡＲＨＩＰＰＲＯＳＴＨＥＳＩＳＤＥＶＥＬＯＰＥＤＡＮＤＣＬＩＮＩＣＡＬＡＰＰＬＩＣＡＴＩＯＮＯＦＬＯＣＫ－ＲＩＮＧＴＹＰＥＢＩＰＯＬＡＲＨＩＰＰＲＯ...

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简介：AbstractIntra-abdominal infection (IAI) is a deadly condition in which the outcome is associated with urgent diagnosis, assessment and management, including fluid resuscitation, antibiotic administration while obtaining further laboratory results, attaining precise measurements of hemodynamic status, and pursuing source control. This last item makes abdominal sepsis a unique treatment challenge. Delayed or inadequate source control is an independent predictor of poor outcomes and recognizing source control failure is often difficult or impossible. Further complicating issue in the debate is surrounding the timing, adequacy, and procedures of source control. This review evaluated and summarized the current approach and challenges in IAI management, which are the future research directions.

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简介：AbstractDecidualization is the differentiation of endometrial stromal cells into secretory decidual stromal cells. Human decidualization involves some amount of signaling molecules and pathways as well as genetic reprogramming, which is driven by the postovulatory rise in progesterone levels and local cyclic adenosine monophosphate production. Decidualization extends from the primary decidual zone to the secondary decidual zone, and then exits through apoptosis. Evidences support that decidual fibroblasts function as the pool of decidual stromal cells during pregnancy. Decidualization undergoes an acute inflammatory phase, an anti-inflammatory secretory phase to the final recession phase. The decidualization of the inner layer of endometrium, termed decidua, is the most critical determinant of pregnancy success, which can promote placenta formation, modulate immune tolerance, foster resistance to oxidative stress, sense embryo quality, and control labor. Failure to adequate decidualization in terms of hormones, biochemistry, and immunology leads to adverse pregnancy outcomes, including diseases such as preeclampsia, miscarriage, premature labor, repeated implantation failures, and some age-related decline in reproductive capacity. The development of animal models and in vitro culture systems combined with emerging technologies provides a powerful system to explore the mechanism of decidualization. However, decidualization is a dynamic, multi-step process, and translating of current research progress into disease predictions and interventions for pregnancy complications remains to be achieved. The study of periodic regeneration and spontaneous decidualization of the endometrium will be beneficial to the diagnosis and treatment of pregnancy diseases.