Preventing acute infection in total hip prostheses implanted after external fixation of the femur: is there a need for a staged procedure?

We report two cases of acute infection of an uncemented femoral component in a hip prosthesis implanted after external fixation of a femoral fracture. In both cases, the surgical access did not cross over the pin scars. When the prosthesis was implanted the stem crossed one or more pin tracts. The preoperative clinical examination, laboratory tests and bone scintigraphy with marked granulocytosis did not show signs of local infection in either case. We suggest that every patient destined to receive a prosthesis after external fixation should be treated with a staged procedure, the first step being excision of the soft tissues around the pin tracts and curettage or drilling of the bony holes, followed by prosthesis implant

Tissue tolerance: an essential but elusive trait for salt-tolerant crops

For a plant to persist in saline soil, osmotic adjustment of all plant cells is essential. The more salt-tolerant species accumulate Na+ and Cl– to concentrations in leaves and roots that are similar to the external solution, thus allowing energy-efficient osmotic adjustment. Adverse effects of Na+ and Cl– on metabolism must be avoided, resulting in a situation known as ‘tissue tolerance’. The strategy of sequestering Na+ and Cl– in vacuoles and keeping concentrations low in the cytoplasm is an important contributor to tissue tolerance. Although there are clear differences between species in the ability to accommodate these ions in their leaves, it remains unknown whether there is genetic variation in this ability within a species. This viewpoint considers the concept of tissue tolerance, and how to measure it. Four conclusions are drawn: (1) osmotic adjustment is inseparable from the trait of tissue tolerance; (2) energy-efficient osmotic adjustment should involve ions and only minimal organic solutes; (3) screening methods should focus on measuring tolerance, not injury; and (4) high-throughput protocols that avoid the need for control plants and multiple Na+ or Cl- measurements should be developed. We present guidelines to identify useful genetic variation in tissue tolerance that can be harnessed for plant breeding of salt tolerance

Calcium Sulfate and Platelet-Rich Plasma make a novel osteoinductive biomaterial for bone regeneration

BACKGROUND: With the present study we introduce a novel and simple biomaterial able to induce regeneration of bone. We theorized that nourishing a bone defect with calcium and with a large amount of activated platelets may initiate a series of biological processes that culminate in bone regeneration. Thus, we engineered CS-Platelet, a biomaterial based on the combination of Calcium Sulfate and Platelet-Rich Plasma in which Calcium Sulfate also acts as an activator of the platelets, therefore avoiding the need to activate the platelets with an agonist. METHODS: First, we tested CS-Platelet in heterotopic (muscle) and orthotopic (bone) bone regeneration bioassays. We then utilized CS-Platelet in a variety of dental and craniofacial clinical cases, where regeneration of bone was needed. RESULTS: The heterotopic bioassay showed formation of bone within the muscular tissue at the site of the implantation of CS-Platelet. Results of a quantitative orthotopic bioassay based on the rat calvaria critical size defect showed that only CS-Platelet and recombinant human BMP2 were able to induce a significant regeneration of bone. A non-human primate orthotopic bioassay also showed that CS-Platelet is completely resorbable. In all human clinical cases where CS-Platelet was used, a complete bone repair was achieved. CONCLUSION: This study showed that CS-Platelet is a novel biomaterial able to induce formation of bone in heterotopic and orthotopic sites, in orthotopic critical size bone defects, and in various clinical situations. The discovery of CS-Platelet may represent a cost-effective breakthrough in bone regenerative therapy and an alternative or an adjuvant to the current treatments

Winners and losers over 35 years of dragonfly and damselfly distributional change in Germany

Aim: Recent studies suggest insect declines in parts of Europe; however, the generality of these trends across different taxa and regions remains unclear. Standardized data are not available to assess large-scale, long-term changes for most insect groups but opportunistic citizen science data are widespread for some. Here, we took advantage of citizen science data to investigate distributional changes of Odonata. Location: Germany. Methods: We compiled over 1 million occurrence records from different regional databases. We used occupancy-detection models to account for imperfect detection and estimate annual distributions for each species during 1980–2016 within 5 × 5 km quadrants. We also compiled data on species attributes that were hypothesized to affect species’ sensitivity to different drivers and related them to the changes in species’ distributions. We further developed a novel approach to cluster groups of species with similar patterns of distributional change to represent multispecies indicators. Results: More species increased (45%) than decreased (29%) or remained stable (26%) in their distribution (i.e. number of occupied quadrants). Species showing increases were generally warm-adapted species and/or running water species, while species showing decreases were cold-adapted species using standing water habitats such as bogs. Time series clustering defined five main patterns of change—each associated with a specific combination of species attributes, and confirming the key roles of species’ temperature and habitat preferences. Overall, our analysis predicted that mean quadrant-level species richness has increased over most of the time period. Main conclusions: Trends in Odonata provide mixed news—improved water quality, coupled with positive impacts of climate change, could explain the positive trends of many species. At the same time, declining species point to conservation challenges associated with habitat loss and degradation. Our study demonstrates the great value of citizen science and the work of natural history societies for assessing large-scale distributional change

High performance workspace, de business case (article)

Combinatie van laagconjunctuur en vergrijzing dwingt organisaties om structurele, integrale en wellicht onorthodoxe maatregelen te gaan nemen op het gebied van de werkomgeving, waarbij met name het rendement verder moet worden verhoogd. Het aantal kenniswerkers neemt toe. Door de huidige trends en ontwikkelingen is er meer aandacht voor het rendement van de werkomgeving in relatie tot de performance van de organisatie en de medewerkers in de vorm van een zoektocht naar de eigen ideale werkomgeving. Scriptie masteropleiding Real Estate Management (University of Greenwich

A Comparison of Homemaking Activities of Homemakers treated in Community Mental Health Clinics and Homemakers in the General Population

This study dealt with the comparison of the performance of homemaking activities of homemakers who had received out-patient treatment through community mental health clinics and homemakers in the general population, who had never received treatment. The purposes of this study were: To compare the performance of the homemaking activities of two groups of homemakers. To collect descriptive material on homemakers who had received treatment through mental health clinics. All 60 homemakers in the sample met the following criteria: (1) between the ages of 20 and 45; (2) a homemaker, not working outside the home; (3) married, with the husband living in the same household; and (4) at least one child under the age of 18 years living in the same household. Of these 60 homemakers, 30 had received treatment through community mental health clinics; 30 had not. A closed-form questionnaire was completed by each homemaker. Advisor: Lois O. Schwa

High Performance Workspace, de business case (presentatie)

Combinatie van laagconjunctuur en vergrijzing dwingt organisaties om structurele, integrale en wellicht onorthodoxe maatregelen te gaan nemen op het gebied van de werkomgeving, waarbij met name het rendement verder moet worden verhoogd. Het aantal kenniswerkers neemt toe. Door de huidige trends en ontwikkelingen is er meer aandacht voor het rendement van de werkomgeving in relatie tot de performance van de organisatie en de medewerkers in de vorm van een zoektocht naar de eigen ideale werkomgeving. Scriptie masteropleiding Real Estate Management (University of Greenwich