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This study aimed at evaluating the short-term efficacy and safety of probiotics as an aid in the treatment of Candida-associated stomatitis in a randomised controlled trial. A total of 65 patients were randomly assigned to receive oral local antifungal agents alone (gargle 2% sodium bicarbonate solution for 30 s, wait 10 min and then apply 2% nystatin paste) or these agents plus local probiotics (the mixture of Bifidobacterium longum, Lactobacillus bulgaricus and Streptococcus thermophilus) three times per day for 4 weeks. Parameters related to hyperaemia, visual analogue scale scores, culture of resting saliva and a lingual dorsum swab and adverse reactions were assessed or recorded in the beginning, middle and end of treatment. Although the baseline characteristics of the participants were similar, both groups showed a significant reduction in pain level and hyperaemia on the tongue mucosa (P = 0.000) after 4-week application. However, despite the reduction in hyperaemia in the probiotic group, these improvements did not display statistically significant differences. The detection rate of Candida spp. was 100% before treatment and 8.21% in the experimental group and 34.6% in the control group after treatment. The detection rate of Candida spp. decreased (P = 0.000) in both groups and was significantly lower in the probiotic group than the control group (P = 0.038). Other analysed micro-organisms, including the decreased detection rate for Lactobacillus spp. (P = 0.049) and the increased detection rate for Staphylococcus epidermidis (P = 0.019), did not display consistent change trends in the probiotics group. Compared with conventional antifungal therapies for oral candidiasis, the inclusion of locally administered probiotics helped improve certain clinical conditions and reduced the prevalence of Candida spp., although the impact of probiotics on oral bacterial species remains to be further studied.

An experimental study was conducted to investigate the effect ofnano-SiO2 and steel fiber content on the durability of concrete. Five different dosages of nano-SiO2 particles and five volume dosages of steel fiber were used. The durability of concretes includes permeability resistance, cracking resistance, carbonation resistance, and freezing-thawing resistance, and these were evaluated by the water permeation depth, number of cracks, total cracking area per unit area of the specimens, carbonation depth of the specimens, and the relative dynamic elastic modulus of the specimens after freezing-thawing cycles, respectively. The results indicate that the addition of nano-SiO2 particles significantly improves the durability of concrete when the content of nano-SiO2 is limited within a certain range. With the increase of nano-SiO2 content, the durability of concrete first increases and then decreases. An excessive number of nano-SiO2 particles could have an adverse effect on the durability of the concrete. The addition of the correct amount of steel fibers improves the carbonation resistance of concrete containing nano-particles, but excessive steel fiber reduces the carbonation resistance. Moreover, the addition of steel fibers reduces the permeability resistance of concrete containing nano-particles. The incorporation of steel fiber enhanced the freezing-thawing resistance and cracking resistance of concrete containing nano-particles. With increasing steel fiber content, the freezing-thawing resistance of the concrete containing nano-particles increases, and the cracking resistance of the concrete decreases gradually.

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