Evaluating the ability of the Sodergren score to guide the management of internal haemorrhoidal disease

AIM

The Sodergren score was developed to objectively measure the severity of haemorrhoidal symptoms. This study aimed to determine if there was a difference in the Sodergren score between patients who were offered surgery and patients who underwent successful rubber band ligation of internal haemorrhoidal disease and to assess its performance in guiding management.

METHOD

This is a prospective, observational study. The preintervention Sodergren scores of subjects with internal haemorrhoidal disease were recorded and blinded to the surgeon in charge. Sodergren scores of subjects in the two arms were unblinded and compared at the end of the study.

RESULTS

The results for 290 patients were available for final analysis. The median scores of those offered surgery and those who underwent successful rubber band ligation differed significantly [4 (interquartile range 3-10) vs 0 (interquartile range 0-4), P = 0.001]. In predicting treatment, the Sodergren score had an area under the receiver operating characteristic curve of 0.735 (95% CI 0.675-0.795).

CONCLUSION

There is a significant difference in scores between patients who were offered surgery and patients with successful rubber band ligation. Our study suggests that the Sodergren score has an acceptable discrimination in predicting the need for surgery in internal haemorrhoidal disease. We propose that patients with a Sodergren score of 6 or more be considered for upfront surgery. This score could potentially be used to standardize outcomes of future haemorrhoid trials.

[The reliability of electrochemical enzyme-linked immunosorbent assay for detection of dentin sialophosphoprotein in gingival crevicular fluid]

OBJECTIVE

To investigate the reliability of electrochemical enzyme-linked immunosorbent assay(ELISA)for the detection of dentin sialophosphoprotein(DSPP)in gingival crevicular fluid(GCF)of orthodontic patients.

METHODS

GCF were collected from the orthodontic patients, and then the amount of DSPP in GCF were detected by electrochemical ELISA and spectroscopic ELISA respectively. The difference between the results of two methods were analyzed.

RESULTS

In electrochemical ELISA, the second order derivative linear sweep voltammetric peak current was linear with DSPP concentration in the range from 0.25-800.00 ng/L. It was found that the detection limit of the electrochemical method(0.25 ng/L)was much lower than that of the spectroscopic method. The paired-samples rank sum test showed no significant difference between the DSPP concentrations in human GCF samples measured by spectroscopic ELISA procedure and those measured by electrochemical ELISA procedure(P=0.063).

CONCLUSIONS

Electrochemical ELISA is a viable way of detecting DSPP in GCF with higher sensitivity than spectroscopic ELISA.

Removal efficiency of high-concentration H2S in a pilot-scale biotrickling filter

A pilot-scale biotrickling filter (BTF) packed with polyurethane (PU) foam was installed at one pharmaceutical factory in Zhejiang Province to study the removal of high-concentration H2S from water treatment plant. Experiments were performed at different empty bed residence times (EBRTs), H2S input load, ratio of liquid flow rate to gas inlet rate (L/G) and sulfate concentration in recirculating liquid to examine their effects on the performance of the BTF. The performance of this bioreactor was monitored continuously over a period of 56 days. After the start-up within 8 days, H2S removal efficiency remained between 90% and 100% with inlet concentration fluctuating from 238 to 590 mg m(-3). H2S removal efficiency was consistently greater than 90%, even at a short EBRT of 9 s and inlet H2S load higher than 187 g m(-3) h(-1). Profiles over the height of the reactor indicated that H2S removal took place mostly in the first section of the column. The performance of BTF could be maintained at high and stable levels when L/G was below 0.005 and sulfate concentration down to 28 g l(-1). The results led to the conclusion that BTF is the optimal choice for treating high-concentration H2S.