Objective: Keloids are exuberant cutaneous scars that form due to abnormal growth of fibrous tissue fol- lowing an injury. The primary aim of this study was to assess the efficacy and mechanism of hyperbaric oxygen t...Objective: Keloids are exuberant cutaneous scars that form due to abnormal growth of fibrous tissue fol- lowing an injury. The primary aim of this study was to assess the efficacy and mechanism of hyperbaric oxygen therapy (HBOT) to reduce the keloid recurrence rate after surgical excision and radiotherapy. Methods: (1) A total of 240 patients were randomly divided into two groups. Patients in the HBOT group (O group) received HBOT after surgical excision and radiotherapy. Patients in the other group were treated with only surgical excision and radiotherapy (K group). (2) Scar tissue from recurrent patients was collected after a second operation. Hematoxylin and eosin (H&E) staining was used to observe keloid morphology. Certain inflammatory factors (interleukin-6 (IL-6), hypoxia-inducible factor-1α (HIF-1α), tumor necrosis factor-α (TNF-α), nuclear factor KB (NF-κB), and vascular endothelial growth factor (VEGF)) were measured using immunohistochemical staining. Results: (1) The recurrence rate of the O group (5.97%) was significantly lower than that of the K group (14.15%), P〈0.05. Moreover, patients in the O group reported greater satisfaction than those in the K group (P〈0.05). (2) Compared with the recurrent scar tissue of the K group, the expression levels of the inflammatory factors were lower in the recurrent scar tissue of the O group. Conclusions: Adjunctive HBOT effectively reduces the keloid recurrence rate after surgical excision and radiotherapy by improving the oxygen level of the tissue and alleviating the inflammatory process.展开更多
The room temperature brittleness has been a long standing problem in bulk metallic glasses realm.This has seriously limited the application potential of metallic glasses and their composites.The elastic deformation be...The room temperature brittleness has been a long standing problem in bulk metallic glasses realm.This has seriously limited the application potential of metallic glasses and their composites.The elastic deformation behaviors of metallic glass matrix composites are closely related to their plastic deformation states.The elastic deformation behaviors of Cu48-xZr48Al4Nbx(x=0,3at.%)metallic glass matrix composites(MGMCs)with different crystallization degrees were investigated using an in-situ digital image correlation(DIC)technique during tensile process.With decreasing crystallization degree,MGMC exhibits obvious elastic deformation ability and an increased tensile fracture strength.The notable tensile elasticity is attributed to the larger shear strain heterogeneity emerging on the surface of the sample.This finding has implications for the development of MGMCs with excellent tensile properties.展开更多
基金Project supported by the National Natural Science Foundation of China(No.81471885)the Beijing Natural Science Foundation(No.7172172),China
文摘Objective: Keloids are exuberant cutaneous scars that form due to abnormal growth of fibrous tissue fol- lowing an injury. The primary aim of this study was to assess the efficacy and mechanism of hyperbaric oxygen therapy (HBOT) to reduce the keloid recurrence rate after surgical excision and radiotherapy. Methods: (1) A total of 240 patients were randomly divided into two groups. Patients in the HBOT group (O group) received HBOT after surgical excision and radiotherapy. Patients in the other group were treated with only surgical excision and radiotherapy (K group). (2) Scar tissue from recurrent patients was collected after a second operation. Hematoxylin and eosin (H&E) staining was used to observe keloid morphology. Certain inflammatory factors (interleukin-6 (IL-6), hypoxia-inducible factor-1α (HIF-1α), tumor necrosis factor-α (TNF-α), nuclear factor KB (NF-κB), and vascular endothelial growth factor (VEGF)) were measured using immunohistochemical staining. Results: (1) The recurrence rate of the O group (5.97%) was significantly lower than that of the K group (14.15%), P〈0.05. Moreover, patients in the O group reported greater satisfaction than those in the K group (P〈0.05). (2) Compared with the recurrent scar tissue of the K group, the expression levels of the inflammatory factors were lower in the recurrent scar tissue of the O group. Conclusions: Adjunctive HBOT effectively reduces the keloid recurrence rate after surgical excision and radiotherapy by improving the oxygen level of the tissue and alleviating the inflammatory process.
基金the financial support by the National Natural Science Foundation of China(51371078,51671067)
文摘The room temperature brittleness has been a long standing problem in bulk metallic glasses realm.This has seriously limited the application potential of metallic glasses and their composites.The elastic deformation behaviors of metallic glass matrix composites are closely related to their plastic deformation states.The elastic deformation behaviors of Cu48-xZr48Al4Nbx(x=0,3at.%)metallic glass matrix composites(MGMCs)with different crystallization degrees were investigated using an in-situ digital image correlation(DIC)technique during tensile process.With decreasing crystallization degree,MGMC exhibits obvious elastic deformation ability and an increased tensile fracture strength.The notable tensile elasticity is attributed to the larger shear strain heterogeneity emerging on the surface of the sample.This finding has implications for the development of MGMCs with excellent tensile properties.