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Introduction: Allogeneic and xenogeneic skin are recognized as the best coverings for skin burn wounds, but currently face a supply shortage. To solve this problem, our research group developed a standardized manufactured hydrogel dressing based on a new type of highly bioactive recombinant human collagen.Study Design: Prospective self-controlled trial.Objective: To evaluate the efficacy and safety of recombinant human collagen hydrogel in the treatment of partial burn wounds to the skin compared to those of xenogeneic skin.Methods: This study included twenty-one patients admitted to Shanghai Changhai Hospital within 48 h after receiving partial-thickness skin burns. The wounds were symmetrically separated along the axis and treated with recombinant human collagen hydrogel (RHCH) or a human-CTLA4-Ig gene-transferred pig skin xenotransplant. The condition of the wound surfaces was recorded on days 0 (of enrollment), 5, 10, 15, and 20, and bacterial drug sensitivity testing, hematuria examination, and electrocardiographic tests were conducted on days 0, 10, 20, or on the day of wound healing.Results: There were no statistically significant differences in wound healing time between the two groups. The median number of days to healing was 11.00 ± 0.56 for xenogeneic skin vs. 11.00 ± 1.72 for RHCH.Conclusion: During the observation period, the therapeutic effect of the RHCH developed by our group on partial-thickness burn wounds was not significantly different from that of gene-transferred xenogeneic skin. Thus, our designed RHCH shows potential for clinical use to treat burn wounds on the skin. [ABSTRACT FROM AUTHOR]

Purpose: The study was performed to estimate the diagnostic blood loss (DBL) volume during hospitalization and investigate its relationship with the development of moderate to severe hospital acquired anemia (HAA) and increased number of red blood cell (RBC) transfusion following extensive burns.Materials and Methods: This was a retrospective study of adult burned patients with total body surface area (TBSA) burn larger than 40%, who were admitted to burn center of Changhai hospital between January 2005 and December 2017.Results: We included a final number of 157 patients in the present study. Moderate to severe HAA within the fourth week postburn was developed in 46 of 121 patients who stayed over 28-day hospitalization. Patients with moderate to severe HAA had both significantly higher total DBL volume [245 (IQR: 183.75, 325.25) mL vs 168 (119, 163) mL ; P = 0.001] and DBL volume per day [10.22 (IQR: 8.57, 12.38) mL vs 6.63 (5.22, 10.42) mL/day; P = 0.005]. Logistic regression analysis revealed that both DBL volume per day and TBSA burn were independent risk factors for the development of moderate to severe HAA.Conclusions: Severely burned patients appear to be prone to develop HAA during hospitalization. The DBL volume contribute to the occurrence of moderate to severe HAA, which might be a modifiable target for preventing HAA. [ABSTRACT FROM AUTHOR]

Abstract: A comparative analysis of electronic structure and stability of endohedral metallofullerenes TM@C24 and TM@C24H12 (TM=Ti, Zr and Hf) is systematically performed with the aid of quantum chemical DFT-B3PW91 approach. Our calculated results show that TM@C24H12 display higher symmetry compared with TM@C24, and all of endohedral metallofullerenes are in a singlet spin state. Thermodynamic data reflect that endohedral metallofullerenes TM@C24 are more stable than TM@C24H12 and the Ti atom is energetically favorable to be encapsulated. However, these TM@C24H12 have higher kinetic stability. The analyses of the vertical electron affinities (VEAs) and vertical ionization potentials (VIPs) indicate the possibilities of accepting electrons of TM@C24H12 become weaker and the possibilities of denoting electrons become stronger. Additionally, natural population analysis presents that the natural charge on TM atoms dramatically increases along with increasing atomic number, and the 5d orbitals of Zr atom and 6d orbitals of Hf atom are significantly involved in their chemical bonding. [Copyright &y& Elsevier]