Resistant bacteria have become a global threat. Even if bacteria are killed, their carried drug‐resistant genes can remain in the environment and spread to other microbes via horizontal gene transfer. Development of antimicrobial materials with intrinsic gene break down activity can prevent the dissemination of released drug‐resistant genes from the dead bacteria. Herein, imidazolium type poly(ionic liquid) (PIL)/cerium (IV) ion‐based electrospun nanofibrous membranes (PIL‐Ce) are synthesized. The effects of PIL and Ce moieties on the antimicrobial properties against Gram‐negative Escherichia coli and kanamycin‐resistant E. coli, and Gram‐positive Staphylococcus aureus and methicillin‐resistant S. aureus (MRSA), as well as deoxyribonuclease‐mimic activities to the drug‐resistant genes of KanR (E. coli) and mecA (MRSA) are investigated. The Ce‐containing PIL membranes show the high efficiencies to eradicate bacteria and disintegrate drug‐resistant genes. A wound treatment test using MRSA infected mice as the model further demonstrate that PIL‐Ce membranes combine both antibacterial and DNase‐mimic properties, and may have the potential application as a new “green” wound dressing to block the drug resistance spread in a clinical setting.
Correction of unequal radial polydactyly in which neither thumb duplicates possess both well-developed proximal and distal components, remains challenging. Current techniques using on-top plasty techniques require circumferential incisions, often resulting in postoperative swelling and dorsal scars. We described our experience using a volar approach to achieve better aesthetic and functional results. Twenty-one patients underwent this surgery between 2008 and 2018, with a mean follow-up of 5.1 years. The mean flexion–extension arc for the metacarpophalangeal joint was 75° and that of the interphalangeal joint was 43°. Mean percentage of key, tripod and tip pinch strength were 77%, 79% and 77%, respectively, when compared with the contralateral side. The Vancouver Scar Scale showed an average score of 1.2. We conclude from our study that the volar approach to on-top plasty is a good technique for the correction of unequal radial polydactyly, with good functional and aesthetic results. Level of evidence: IV
Bacterial nanotubes are tubular membranous structures bulging from cell surface that can connect neighboring bacteria for the exchange of intercellular substances. However, little is known about the formation and function...
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