Amniotic membrane transplantation for ocular surface reconstruction in patients with chemical and thermal burns

OBJECTIVE: The purpose of the study is to examine the usefulness of preserved human amniotic membrane transplantation in patients with chemical and thermal burns. DESIGN: The study design was a nonrandomized clinical trial. PARTICIPANTS: Seven eyes of six patients with severe chemical (n = 5) and thermal (n = 2) burns were studied. INTERVENTION: Eyes were treated with excision of cicatricial tissues followed by a placement of amniotic membrane on the sclera. Transplantation of limbal grafts from an opposite eye (n = 4) or from donor eyes preserved at -80 degrees C (n = 2) was performed simultaneously. MAIN OUTCOME MEASURES: Reconstruction of ocular surface epithelia and visual acuity were measured. RESULTS: With the mean observation period of 53.3 weeks, central corneal epithelium was reconstructed successfully in all eyes. Neither amniotic membrane nor limbal grafts were rejected. A persistent epithelial defect developed in one eye, which was treated successfully by tarsorrhaphy. After surgery, the corneal epithelium showed normal arrangements on specular microscopy, and its barrier function recovered to seminormal. Corrected visual acuity markedly improved in each eye. Regenerated conjunctiva on the amniotic membrane was stable and uninflammed with minimum-to-mild scarring. Slight recurrence of conjunctivalization was noted in three eyes. However, because these eyes were stable and central cornea was clear, no further surgery was needed. CONCLUSIONS: Amniotic membrane transplantation promotes normal conjunctival epithelialization while suppressing fibrosis formation. The procedure, especially when performed with limbal autograft transplantation, appears to be effective for the treatment of chemical or thermal burns of the ocular surface.     

Sensory evaluation and chemical analysis of exhaled and dermally emitted bioeffluents

Conditions in which exhaled and dermally emitted bioeffluents could be sampled separately or together (whole‐body emission) were created. Five lightly dressed males exhaled the air through a mask to another, identical chamber or without a mask to the chamber in which they were sitting; the outdoor air supply rate was the same in both chambers. The carbon dioxide concentration in the chamber with exhaled air was 2000 ppm. Chamber temperatures were 23°C or 28°C, and ozone was present or absent in the supply airflow. When dermally emitted bioeffluents were present, the perceived air quality (PAQ) was less acceptable, and the odor intensity was higher than when only exhaled bioeffluents were present. The presence or absence of exhaled bioeffluents in the unoccupied chamber made no significant difference to sensory assessments. At 28°C and with ozone present, the odor intensity increased and the PAQ was less acceptable in the chambers with whole‐body bioeffluents. The concentrations of nonanal, decanal, geranylacetone, and 6‐MHO were higher when dermally emitted bioeffluents were present; they increased further when ozone was present. The concentration of squalene then decreased and increased again at 28°C. Dermally emitted bioeffluents seem to play a major role in the sensory nuisance experienced when occupied volumes are inadequately ventilated.     

Fluorous Surface‐Active Distannoxane Catalysts

Fluorous distannoxanes (XR^f₂SnOSnR^f₂X)₂⋅n H₂O (R_f=C₆F₁₃C₂H₄) ( 1 : X=C₈F₁₇SO₃, n=10; 4 : X=Cl, n=0) ( 1 ) catalyze the Mukaiyama aldol reaction and the allylation of aldehydes with tetraallyltin at room temperature in fluorous/organic biphasic solvent systems, in which the reactions proceed more rapidly than in a single organic or fluorous solvent. Due to the unique surface activity of 1 , the catalyst, organic substrate(s), and reagent(s) are distributed in both organic and fluorous phases to facilitate smooth reactions. Upon dilution with toluene after the reaction, the catalyst concentrates to the fluorous phase, while the organic substances migrate to the organic phase to effect facile catalyst recovery and recycling. By virtue of such a unique solvophilicity, a new version of fluorous biphase technology has been developed.     

Effect of microstructures on dielectric breakdown strength of sintered reaction-bonded silicon nitride ceramics

Silicon nitride (Si₃N₄) was prepared from silicon by a sintered reaction-bonded silicon nitride method using yttria and magnesia as sintering additives. Post-sintering (PS) of nitrided compacts was carried out at 1850°C under a nitrogen pressure of 1 MPa. Effect of PS time on microstructure and dielectric breakdown strength (DBS) of the prepared Si₃N₄ ceramics was evaluated. The DBS was measured using specimens with four different thicknesses (0.30, 0.20, 0.10, and 0.05 mm) in order to examine the thickness dependence. The porosity of the sintered Si₃N₄ decreased by prolonging the PS time, and the full density could be achieved at the PS time of over 6 h. After full densification, rod-like β-Si₃N₄ grains grew up, and their maximum grain size increased from 45.1 to 154.7 μm by prolonging the PS time from 6 to 48 h. The DBS of the thick Si₃N₄ substrates (0.30 mm) showed little variation from 35.4 to 47.0 kV/mm, regardless of the PS time. On the other hand, that of the thin ones (0.05 mm) dramatically decreased from 99.5 to 9.8 kV/mm with increased the PS time from 6 to 48 h. Because the DBS sharply decreased at the thin substrate sintered for longer time in which some large-elongated grains might span the substrate thickness-wise throughout, it was inferred that the interface between β-Si₃N₄ grains and grain boundary phase/intergranular glassy films might be a path of the dielectric breakdown.     

Bioaccumulation, temporal trend, and geographical distribution of synthetic musks in the marine environment

Bioaccumulation of synthetic musks in a marine food chain was investigated by analyzing marine organisms at various trophic levels, including lugworm, clam, crustacean, fish, marine mammal, and bird samples collected from tidal flat and shallow water areas of the Ariake Sea, Japan. Two of the polycyclic musks, HHCB and AHTN, were the dominant compounds found in most of the samples analyzed, whereas nitro musks were not detected in any of the organisms, suggesting greater usage of polycyclic musks relative to the nitro musks in Japan. The highest concentrations of HHCB were detected in clams (258-2730 ng/g lipid wt.), whereas HHCB concentrations in mallard and black-headed gull were low, and comparable with concentrations in fish and crab. These results are in contrast to the bioaccumulation pattern of polychlorinated biphenyls; for which a positive correlation between the concentration and the trophic status of organisms was found. Such a difference in the bioaccumulation is probably due to the metabolism and elimination of HHCB in higher trophic organisms. Temporal trends in concentrations of synthetic musks were examined by analyzing tissues of marine mammals from Japanese coastal waters collected during 1977-2005. HHCB concentrations in marine mammals have shown significant increase since the early 1990s, suggesting a continuous input of this compound into the marine environment. Comparison of the time trend for HHCB with those for PCBs and PBDEs suggested that the rates of increase in HHCB concentrations were higher than the other classes of pollutants. To examine the geographical distribution of HHCB, we have analyzed tissues of fish, marine mammals, and birds collected from several locations. Synthetic musks were not detected in a sperm whale (pelagic species) from Japanese coastal water and in eggs of south polar skua from Antarctica. While the number of samples analyzed is limited, these results imply a lack of long-range transportation potential of synthetic musks in the environment.     

Catalytic Rearrangement of Epoxide Compounds

Products formed by rearrangement of epoxide compounds provide useful intermediates in organic syntheses and some of them are valuable as raw materials in the chemical industry. Many studies on the catalytic rearrangement of the epoxides have been made. The reactions which have been used most frequently are homogeneous with acid or base catalysts such as BF3, MgBr2, t-BuOK, or lithium dialkylamides; the acid catalysts form mainly carbonyl compounds (ketone and aldehyde) and the base catalysts in most cases yield allylic alcohols. Recently the heterogeneous reaction over solid catalysts was also investigated, but the catalysts used were just alumina and silica gel, solid acid and base catalysts, and it is very recent that various kinds of the solid acids and bases have been used as catalysts for epoxide isomerization, especially by the authors (Section VI-A). Studies with molten salts are few, and investigations with metal complex and organometal catalysts have just begun.     

Secular change in characteristics of thyristors used in HVDC valve

The Hokkaido-Honshu HVDC link entered service in 1979 for the first phase (150 MW, 125 kV-1200 A) and in 1980 for the second phase (300 MW, 250 kV-1200 A) and has since been operating in good condition. In the Kamikita converter station situated on the Honshu side, the thyristor valves for the first and second phases use 1344 thyristors rated 4 kV-1.5 kA. To examine secular changes in the characteristics of thyristors and estimate their life expectancy, we picked up eight thyristors from the thyristor valves, measured the main characteristics and compared measurements with the corresponding values measured before they entered service. Further, two thyristors were subjected to temperature and voltage acceleration tests to check for a change over time of leakage current. From the results of these investigations it was verified that the thyristors that have been in service for 16 years have the characteristics and service life equivalent to those of the new ones. But further investigation is required as to the change of turn-off characteristics