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Donor-site morbidity of free fibula and DCIA flaps

Ling XF, Peng X, Samman N

J Oral Maxillofac Surg, 2013 Sep;71(9):1604-12.
PMID: 23810616 DOI: 10.1016/j.joms.2013.03.006

This study evaluated and compared the long-term donor-site morbidity of the free fibula flap with the deep circumflex iliac artery (DCIA) flap in maxillofacial reconstruction.
Fulltext Who behaves more pro-environmental in the national parks: A comparison of the tourist and the hiker

Zhang Q, Sun H, Peng X, Lin Q

PLoS One, 2023;18(6):e0287227.
PMID: 37352245 DOI: 10.1371/journal.pone.0287227

The intention of pro-environmental behavior (PEB) directly affects the sustainable development of protected areas, especially national parks, but few studies have done comparative research on tourist and hiker behaviors. This study explores the intention of tourists' and hikers' pro-environmental behavior based on theory of planned behavior (TPB) and norm activation theory (NAM). Researchers surveyed 454 tourists and 466 hikers in Wuyishan National Park a structural equation modeling data analysis method. The results demonstrate that the TPB and the NAM were accurate in describing for tourists' and hikers' pro-environmental behavior in national park. However, for specific influencing factors, hikers' attitude, awareness of consequences, and assumption of responsibility were significantly different from those of the tourists. This study sheds light on how to better comprehend and advocate for PEB in national parks and proposes different management approaches to improve the PEB of tourists and hikers.
Navigation-assisted maxillofacial reconstruction: accuracy and predictability

Soh HY, Hu LH, Yu Y, Wang T, Zhang WB, Peng X

Int J Oral Maxillofac Surg, 2021 Nov 30.
PMID: 34862088 DOI: 10.1016/j.ijom.2021.11.008

The aim of this study was to evaluate the accuracy of navigation-assisted maxillofacial reconstruction and to identify the predictors of the clinical outcomes. A total of 112 patients who underwent navigation-assisted maxillofacial reconstruction with free flaps between 2014 and 2019, performed by a single surgical team, were assessed. Accuracy was evaluated by superimposing the postoperative computed tomography data with the preoperative virtual surgical plan. Predictors of the clinical outcomes affecting the accuracy were identified and analysed. The mean deviation and root mean square (RMS) estimate of the orbital, maxillary, and mandibular reconstructions were 0.88 ± 3.25 mm and 3.38 ± 0.73 mm, 0.77 ± 3.44 mm and 3.69 ± 0.82 mm, and 1.07 ± 4.16 mm and 4.67 ± 3.95 mm, respectively (P < 0.05). There was no significant difference in orbital volume or projection between the preoperative, postoperative, and healthy orbits (P = 0.093 and P = 0.225, respectively). Multivariate linear regression analysis confirmed significant associations between the accuracy of navigation-assisted mandibular reconstruction and preservation of the condyle, type of reconstruction, type of osteosynthesis plate, and number of bony segments. Navigation-assisted midface reconstruction yielded a higher level of accuracy in the final surgical outcome when compared to mandibular reconstruction. Computer-assisted techniques and intraoperative navigation can be an alternative or adjunct to current surgical techniques to improve the final surgical outcome, especially in more complex maxillofacial reconstructions.
A Zeolite Nanoparticle-Modified Anionic Surface for Aptasensing Lipocalin-2 in Ulcerative Colitis by Dual-Electrodes

Li X, Gopinath SCB, Peng X, Lv J

J Biomed Nanotechnol, 2021 Dec 01;17(12):2495-2504.
PMID: 34974872 DOI: 10.1166/jbn.2021.3213

An aptasensor was developed on an interdigitated microelectrode (IDME) by current-volt sensing for the diagnosis of ulcerative colitis by detecting the biomarker lipocalin-2. Higher immobilization of the anti-lipocalin-2 aptamer as a probe was achieved by using sodium dodecyl benzenesulfonate-aided zeolite particles. FESEM and FETEM observations revealed that the size of the zeolite particles was <200 nm, and they displayed a uniform distribution and spherical shape. XPS analysis attested the occurrence of Si, Al, and O groups on the zeolite particles. Zeolite particles were immobilized on IDME by a (3-aminopropyl)-trimethoxysilane amine linker, and then, the aptamer as the probe was tethered on the zeolite particles through a biotin-streptavidin strategy assisted by a bifunctional aldehyde linker. Due to the high occupancy of the aptamer and the efficient electric transfer from zeolite particles, higher changes in current can be observed upon interaction of the aptamer with lipocalin-2. The lower detection of lipocalin-2 was noted as 10 pg/mL, with a linear range from 10 pg/mL to 1 μg/mL and a linear regression equation of y=8E-07x+8E-08; R² = 0.991. Control experiments with complementary aptamer and matrix metalloproteinase-9 indicate the specific detection of lipocalin-2. Furthermore, spiking lipocalin-2 in human serum does not interfere with the identification.
Improved procedure for Brown's Class III maxillary reconstruction with composite deep circumflex iliac artery flap using computer-assisted technique

Zhang WB, Soh HY, Yu Y, Guo CB, Yu GY, Peng X

Comput Assist Surg (Abingdon), 2021 12;26(1):9-14.
PMID: 33503386 DOI: 10.1080/24699322.2021.1876168

Reconstruction of Brown's Class III maxillary defect can be challenging due to the complex geometry of maxilla. We aimed to introduce an improved method for maxillary reconstruction with a composite deep circumflex iliac artery (DCIA) flap aided by virtual surgical planning and intraoperative navigation. A 27-year-old woman diagnosed with left maxillary fibromyxoma was admitted to our institution in December 2018. Pre-operative facial and iliac computed tomography data were obtained for virtual surgical planning. Personalized cutting template, tooth-supported surgical guide, and rapid prototype model with reconstructed orbital floor were printed for pre-operative preparation. Surgery was completely guided by the intraoperative navigation system. The root mean square estimate of the reconstructed area was 3.68 mm. The average errors measured on the lateral and medial DCIA segments were 0.61 and 0.85 mm, respectively. Application of virtual surgical planning and intraoperative navigation could potentially enhance the reconstruction outcomes.
Porphyrin Acceptors with Two Perylene Diimide Dimers for Organic Solar Cells

Pan X, Wu J, Xiao L, Yap B, Xia R, Peng X

ChemSusChem, 2021 Sep 06;14(17):3614-3621.
PMID: 34107177 DOI: 10.1002/cssc.202100787

Three small-molecule acceptors (Por-PDI, TEHPor-PDI, and BBOPor-PDI) with different side chains were synthesized by using a porphyrin core as the electron-donating unit and connecting electron-withdrawing perylene diimide dimers via acetylene bridges. The bulk heterojunction organic solar cells based on the three acceptors and a polymer donor provided power conversion efficiencies (PCEs) of 3.68-5.21 % when the active layers were fabricated with pyridine additives. Though the synthesis of Por-PDI is easier with fewer reaction steps and higher yields, the devices based on Por-PDI showed the best performance with a PCE of 5.21 %. The more ordered intermolecular packing due to the reduced steric hindrance at the porphyrin core of Por-PDI could contribute to the more balanced hole/electron mobilities, higher maximum charge generation rate, and less bimolecular recombination in Por-PDI devices, which are beneficial for the higher PCE.
Which somatic symptoms are associated with an unfavorable course in Chinese patients with major depressive disorder?

Novick D, Montgomery WS, Aguado J, Peng X, Brugnoli R, Haro JM

Asia Pac Psychiatry, 2015 Dec;7(4):427-35.
PMID: 26047023 DOI: 10.1111/appy.12189

This was an analysis of the impact of somatic symptoms on the severity and course of depression in Chinese patients treated for an acute episode of major depressive disorder (MDD).
Accuracy of globe-sparing orbital reconstruction using individually bent titanium mesh: A comparative study

Soh HY, Sun Q, Hu LH, Wang Y, Mao C, Peng X, et al.

J Plast Reconstr Aesthet Surg, 2022 Jan 23.
PMID: 35168922 DOI: 10.1016/j.bjps.2022.01.032

Accurate reconstruction of orbital and midfacial defects following extensive globe-sparing maxillectomy is challenging, due to the complex anatomy of facial skeleton. The aim of this study is to evaluate the outcomes of individually bent titanium mesh in navigation-assisted reconstruction of post-ablative orbits in comparison with that without intraoperative navigation. Forty-one patients undergone globe-sparing maxillectomy and orbital floor reconstruction using individually bent titanium mesh with or without intraoperative navigation were assessed. Pre- and postoperative orbital projection and volume measurements were performed on both orbits. The unaffected orbit was used as a control for comparison. True-to-original orbital reconstruction was achieved in this study. The average difference of globe projection and orbital volume between unaffected and reconstructed orbits was 0.8 ± 0.5 mm and 0.9 ± 1.2cm3, respectively, in navigation-assisted group. In non-navigation-assisted group, the average difference of globe projection and orbital volume of unaffected and reconstructed orbit was 0.7 ± 0.5 mm and 1.3 ± 1.3cm3, respectively. There was no statistical significance in mean differences between unaffected and affected globe projection (P = 0.744) and orbital volume (P = 0.677) in both groups. There was also no significant difference observed when comparing the mean differences between pre- and postoperative globe projection (P = 0.659) and orbital volume (P = 0.582) in both groups. While intraoperative navigation system was shown to be effective in orbital reconstruction in the past decade, equal satisfactory post-ablative orbital reconstruction can be achieved with individually bent titanium mesh with or without intraoperative navigation.
Fulltext Accuracy of Mixed Reality Combined With Surgical Navigation Assisted Oral and Maxillofacial Tumor Resection

Tang ZN, Hu LH, Soh HY, Yu Y, Zhang WB, Peng X

Front Oncol, 2021;11:715484.
PMID: 35096559 DOI: 10.3389/fonc.2021.715484

Objective: To evaluate the feasibility and accuracy of mixed reality combined with surgical navigation in oral and maxillofacial tumor surgery.
Methods: Retrospective analysis of data of seven patients with oral and maxillofacial tumors who underwent surgery between January 2019 and January 2021 using a combination of mixed reality and surgical navigation. Virtual surgical planning and navigation plan were based on preoperative CT datasets. Through IGT-Link port, mixed reality workstation was synchronized with surgical navigation, and surgical planning data were transferred to the mixed reality workstation. Osteotomy lines were marked with the aid of both surgical navigation and mixed reality images visualized through HoloLens. Frozen section examination was used to ensure negative surgical margins. Postoperative CT datasets were obtained 1 week after the surgery, and chromatographic analysis of virtual osteotomies and actual osteotomies was carried out. Patients received standard oncological postoperative follow-up.
Results: Of the seven patients, four had maxillary tumors and three had mandibular tumors. There were total of 13 osteotomy planes. Mean deviation between the planned osteotomy plane and the actual osteotomy plane was 1.68 ± 0.92 mm; the maximum deviation was 3.46 mm. Chromatographic analysis showed error of ≤3 mm for 80.16% of the points. Mean deviations of maxillary and mandibular osteotomy lines were approximate (1.60 ± 0.93 mm vs. 1.86 ± 0.93 mm). While five patients had benign tumors, two had malignant tumors. Mean deviations of osteotomy lines was comparable between patients with benign and malignant tumors (1.48 ± 0.74 mm vs. 2.18 ± 0.77 mm). Intraoperative frozen pathology confirmed negative resection margins in all cases. No tumor recurrence or complications occurred during mean follow-up of 15.7 months (range, 6-26 months).
Conclusion: The combination of mixed reality technology and surgical navigation appears to be feasible, safe, and effective for tumor resection in the oral and maxillofacial region.
Fulltext Sclerosing odontogenic carcinoma of maxilla: A case report

Soh HY, Zhang WB, Yu Y, Zhang R, Chen Y, Gao Y, et al.

World J Clin Cases, 2023 Mar 16;11(8):1878-1887.
PMID: 36970007 DOI: 10.12998/wjcc.v11.i8.1878

BACKGROUND: Sclerosing odontogenic carcinoma is a rare primary intraosseous neoplasm that was featured recently as a single entity in the World Health Organization classification of Head and Neck Tumors 2017, with only 14 cases published to date. The biological characteristics of sclerosing odontogenic carcinoma remain indistinct because of its rarity; however, it appears to be locally aggressive, with no regional or distant metastasis reported to date.
CASE SUMMARY: We reported a case of sclerosing odontogenic carcinoma of the maxilla in a 62-year-old woman, who presented with an indolent right palatal swelling, which progressively increased in size over 7 years. Right subtotal maxillectomy with surgical margins of approximately 1.5 cm was performed. The patient remained disease free for 4 years following the ablation surgery. Diagnostic workups, treatment, and therapeutic outcomes were discussed.
CONCLUSION: More cases are needed to further characterize this entity, understand its biological behavior, and justify the treatment protocols. Resection with wide margins of approximately 1.0 to 1.5 cm is proposed, while neck dissection, post-operative radiotherapy, or chemotherapy are deemed unnecessary.
Evaluating an economic application of renewable generated hydrogen: A way forward for green economic performance and policy measures

Wu B, Zhai B, Mu H, Peng X, Wang C, Patwary AK

Environ Sci Pollut Res Int, 2022 Feb;29(10):15144-15158.
PMID: 34628612 DOI: 10.1007/s11356-021-16770-6

Energy security and environmental measurements are incomplete without renewable energy; therefore, there is a dire need to explore new energy sources. Hence, this study aimed to measure the wind power potential to generate renewable hydrogen (H2), including its production and supply cost. This study used first-order engineering model and net present value to measure the levelized cost of wind-generated renewable hydrogen by using the data source of the Pakistan Meteorological Department and State Bank of Pakistan. Results showed that the use of surplus wind and renewable hydrogen energy for green economic production is suggested as an innovative project option for large-scale hydrogen use. The key annual running expenses for hydrogen are electricity and storage costs, which have a significant impact on the costs of renewable hydrogen. The results also indicated that the project can potentially cut carbon dioxide (CO2) pollution by 139 million metric tons and raise revenue for wind power plants by US$2998.52 million. The renewable electrolyzer plants avoided CO2 at a rate of US$24.9-36.9/ton under baseload service, relative to US$44.3/ton for the benchmark. However, in the more practical mid-load situation, these plants have significant benefits. Further, the wind-generated renewable hydrogen delivers 6-11% larger annual rate of return than the standard CO2 catch plant due to their capacity to remain running and supply hydrogen to the consumer through periods of plentiful wind and heat. Also, the measured levelized output cost of hydrogen (LCOH) was US$6.22/kgH2, and for the PEC system, it was US$8.43/kgH2. Finally, it is a mutually agreed consensus among environmental scientists that the integration of renewable energy is the way forward to increase energy security and environmental performance by ensuring uninterrupted clean and green energy. This application has the potential to address Pakistan's urgent issues of large-scale surplus wind- and solar-generated energy, as well as rising energy demand.
Fulltext MicroRNA in medication related osteonecrosis of the jaw: a review

Mohd Yunus SS, Soh HY, Abdul Rahman M, Peng X, Guo C, Ramli R

Front Physiol, 2023;14:1021429.
PMID: 37179831 DOI: 10.3389/fphys.2023.1021429

Medication related osteonecrosis of the jaw (MRONJ) is a condition caused by inhibition of the osteoclast activity by the anti-resorptive and anti-angiogenic drugs. Clinically, there is an exposure of the necrotic bone or a fistula which fails to heal for more than 8 weeks. The adjacent soft tissue is inflamed and pus may be present as a result of the secondary infection. To date, there is no consistent biomarker that could aid in the diagnosis of the disease. The aim of this review was to explore the literature on the microRNAs (miRNAs) related to medication related osteonecrosis of the jaw, and to describe the role of each miRNA as a biomarker for diagnostic purpose and others. Its role in therapeutics was also searched. It was shown that miR-21, miR-23a, and miR-145 were significantly different in a study involving multiple myeloma patients as well as in a human-animal study while miR-23a-3p and miR-23b-3p were 12- to 14-fold upregulated compared to the control group in an animal study. The role of the microRNAs in these studies were for diagnostics, predictor of progress of MRONJ and pathogenesis. Apart from its potential diagnostics role, microRNAs have been shown to be bone resorption regulator through miR-21, miR-23a and miR-145 and this could be utilized therapeutically.
Discrete Heteropolynuclear Yb/Er Assemblies: Switching on Molecular Upconversion Under Mild Conditions

Wang J, Jiang Y, Liu JY, Xu HB, Zhang YX, Peng X, et al.

Angew Chem Int Ed Engl, 2021 Oct 04;60(41):22368-22375.
PMID: 34383376 DOI: 10.1002/anie.202107637

The salts {[Ln2 Ln*(Hhmq)3 (OAc)3 (hfac)2 ]+ [Ln*(hfac)3 (OAc)(MeOH)]- } (Hhmq=2-methanolquinolin-8-oxide, hfac=hexafluoroacetylacetonate; Ln, Ln*=Er, Gd, Yb) feature a discrete heteronuclear cation consisting of two types of lanthanide atoms. The quinolinoxy O-atom serves as a μ2 -bridge to two Ln atoms and as a μ3 -bridge to all three atoms, with metal⋅⋅⋅metal distances being around 3.7 Å. For 1 ([Yb2 Er]+ ), near-infrared downshifted luminescence is switched to competitive upconversion luminescence upon irradiation by a 980 nm laser under an extremely low excitation power (0.288 W cm-2 ) through introduction of fluoride ions. The stability of 1 after addition of fluoride was confirmed by powder X-ray diffraction and multistage mass spectrometry, associated with the 1 H NMR of 6 ([La2 Eu]+ ). More importantly, the at least 20-fold enhancement of the quantum yield in non-deuterated solvents at room temperature under low power densities (2 W cm-2 ) is the highest among the few molecular examples reported.

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