Radiographic Analysis of Preoperative and Postoperative 3DCT Images of Trochanteric Femoral Fractures

The present study compared a 3-dimensional computed tomography (3DCT) classification (Nakano classification) with conventional x-ray classifications (Jensen classification and AO classification) in 44 patients with trochanteric femoral fractures, and evaluated the patterns of fracture lines using 3DCT images. The concordance rate between the Jensen and 3DCT classification, and between the AO and 3DCT classification was 65.9% and 75.0%, respectively. 3DCT scans enabled the creation of detailed images of fracture lines. The anterior fracture line was found to run along the intertrochanteric crest in 90.9% of patients, while the location of the posterior fracture line was in the same approximate position in all patients, including those with comminuted fractures (34.1%). Posterior destruction along lateral fracture lines was present in 63.6% of patients. Furthermore, the preoperative and postoperative CT images of 33 patients with fractures treated via insertion of short femoral nails demonstrated that there was difficulty reducing greater trochanteric fractures. This included reducing fracture sites separated by nail insertion (42.4%) and greater trochanteric fracture sites displaced after surgery (54.5%), suggesting that the use of short femoral nails is limited

Constructing the Optimal Solutions to the Undiscounted Continuous-Time Infinite Horizon Optimization Problems

We aim to construct the optimal solutions to the undiscounted continuous-time infinite horizon optimization problems, the objective functionals of which may be unbounded. We identify the condition under which the limit of the solutions to the finite horizon problems is optimal for the infinite horizon problems under the overtaking criterion

Taurine in health and diseases: consistent evidence from experimental and epidemiological studies

Taurine (T) was first noted as beneficial for stroke and cardiovascular diseases (CVD) prevention in genetic rat models, stroke-prone spontaneously hypertensive rats (SHRSP). The preventive mechanisms of T were ascribed to sympathetic modulation for reducing blood pressure (BP) and anti-inflammatory action. Recent epidemiological surveys revealed the involvement of inflammatory mediators in the pathogenesis of stroke and also atherosclerosis for which T was proven to be effective experimentally. Arterio-lipidosis prone rats, a substrain of SHRSP selectively bred for higher reactive hypercholesterolemia, quickly develop not only arterial fat deposition but also fatty liver which could be attenuated by dietary T supplementation. CARDIAC (CVD and Alimentary Comparison) Study was a WHO-coordinated multi-center epidemiological survey on diets and CVD risks and mortalities in 61 populations. Twenty-four-hour urinary (24U) T was inversely related significantly with coronary heart disease mortality. Higher 24U-T excreters had significantly lower body mass index, systolic and diastolic BP, total cholesterol (T-Cho), and atherogenic index (AI: T-Cho/high density lipoprotein-cholesterol) than lower T excreters. T effects on CVD risks were intensified in individuals whose 24U-T and -magnesium (M) excretions were higher. Furthermore, higher Na excreters with higher heart rate whose BP were significantly higher than those with lower heart rate were divided into two groups by the mean of 24U-T, high and low T excreters. Since the former showed significantly lower BP than the latter, T may beneficially affect salt-sensitive BP rise. Included among the typical 61 populations, were Guiyang, China or St. John’s, Newfoundland, Canada where in which the means of both 24U-T and -M were high or low, respectively. The former and the latter had low and high CVD risks, respectively. Australian Aboriginals living at the coastal area in Victoria were supposed to eat T- and M-rich bush and sea foods and be free from CVD 200 years ago, but they presently have nearly the highest CVD risks indicating that T- and/or M-containing seafood, vegetables, fruits, nuts, milk, etc, similar to prehistoric hunters’ and gatherers’ food should be good for CVD prevention. The preventive effects of T, good for health and longevity, first noted experimentally, were also proven epidemiologically in humans

Possible Association of High Urinary Magnesium and Taurine to Creatinine Ratios with Metabolic Syndrome Risk Reduction in Australian Aboriginals

Background. Because of the epidemic of metabolic syndrome (MS) in Australian Aboriginals known for their higher cardiovascular mortality and shorter life expectancy, we analyzed the possible relationship of their MS risks with the current dietary custom. Methods. The subjects were 84 people aged 16–79 years. The health examination was conducted according to the basic protocol of WHO-CARDIAC (Cardiovascular Diseases and Alimentary Comparison) Study. Results. The highest prevalence among MS risks was abdominal obesity (over 60%). After controlling for age and sex, the odds of obesity decreased significantly with high level of urinary magnesium/creatinine ratio (Mg/cre) (OR, 0.11; 95% CI, 0.02–0.57; P < .05). The significant inverse associations of fat intake with Mg/cre and of fast food intake with urinary taurine/creatinine ratio were revealed. Conclusions. The high prevalence of obesity in the Aboriginal people of this area may partly be due to the reduction of beneficial nutrients intake including Mg and taurine

Morphology control of clay-mineral particles as supports for metallocene catalysts in propylene polymerization

Spray dry granulation of clay minerals was studied to obtain clay mineral base support material for metallocene supported olefin polymerization catalysts. The morphology of the granules was strongly influenced by the nature of the clay mineral itself. Because of swelling characteristics of montmorillonite, its water dispersion was highly viscous even in the low slurry concentration (< 4 wt %). Therefore, it was very difficult to control the granule characteristics such as size, shape, and inside structure by the spray dry with the clay mineral slurry. Then we examined some methods in order to change the clay mineral surface properties for getting less viscous dispersion. It was found that the milling of montmorillonite increased the amount of surface OH groups. This surface characteristic change should promote the interaction between the edges and basal planes of the primary particles of milled montmorillonite, resulting in the lowering the slurry viscosity. The milling is effective for overcoming difficulty in use of high concentration montmorillonite slurry in spray dry granulation which is indispensable for producing granules in the wide range of size (10–50 μm). The spray-dried montmorillonite granules are useful as a "Support-Activator" for an olefin polymerization catalyst combined with metallocenes

Effects of calcium channel blockers on glucose tolerance, inflammatory state, and circulating progenitor cells in non-diabetic patients with essential hypertension: a comparative study between Azelnidipine and amlodipine on glucose tolerance and endothelial function - a crossover trial (AGENT)

<p>Abstract</p> <p>Background</p> <p>Hypertension is associated with impaired glucose tolerance and insulin resistance. Medical treatment that interferes with various steps in the renin-angiotensin system improves glucose tolerance and insulin resistance. However, it remains unclear if long-acting calcium channel blockers (CCBs) such as azelnidipine and amlodipine affect glucose tolerance and insulin resistance in clinical practice.</p> <p>Methods</p> <p>Seventeen non-diabetic patients with essential hypertension who had controlled blood pressure levels using amlodipine (5 mg/day) were enrolled in this study. After randomization, either azelnidipine (16 mg/day) or amlodipine (5 mg/day) was administered in a crossover design for 12-weeks. At baseline and the end of each CCB therapy, samples of blood and urine were collected and 75 g oral glucose tolerance test (OGTT) was performed. In addition, hematopoietic progenitor cells (HPCs) were measured at each point by flow cytometry and endothelial functions were measured by fingertip pulse amplitude tonometry using EndoPAT.</p> <p>Results</p> <p>Although blood pressure levels were identical after each CCB treatment, the heart rate significantly decreased after azelnidipine administration than that after amlodipine administration (<it>P </it>< 0.005). Compared with amlodipine administration, azelnidipine significantly decreased levels of glucose and insulin 120 min after the 75 g OGTT (both <it>P </it>< 0.05). Serum levels of high-sensitivity C-reactive protein (<it>P </it>= 0.067) and interleukin-6 (<it>P </it>= 0.035) were decreased. Although endothelial functions were not different between the two medication groups, the number of circulating HPCs was significantly increased after azelnidipine administration (<it>P </it>= 0.016).</p> <p>Conclusions</p> <p>These results suggest that azelnidipine treatment may have beneficial effects on glucose tolerance, insulin sensitivity, the inflammatory state, and number of circulating progenitor cells in non-diabetic patients with essential hypertension.</p

Enhanced production of nitric oxide, reactive oxygen species, and pro-inflammatory cytokines in very long chain saturated fatty acid-accumulated macrophages

<p>Abstract</p> <p>Background</p> <p>Deterioration of peroxisomal β-oxidation activity causes an accumulation of very long chain saturated fatty acids (VLCSFA) in various organs. We have recently reported that the levels of VLCSFA in the plasma and/or membranes of blood cells were significantly higher in patients with metabolic syndrome and in patients with coronary artery disease than the controls. The aim of the present study is to investigate the effect of VLCSFA accumulation on inflammatory and oxidative responses in VLCSFA-accumulated macrophages derived from X-linked adrenoleukodystrophy (X-ALD) protein (ALDP)-deficient mice.</p> <p>Results</p> <p>Elevated levels of VLCSFA were confirmed in macrophages from ALDP-deficient mice. The levels of nitric oxide (NO) production stimulated by lipopolysaccharide (LPS) and interferon-γ (IFN-γ), intracellular reactive oxygen species (ROS), and pro-inflammatory cytokines, including tumor necrosis factor-α (TNF-α), interluekin-6 (IL-6), and interleukin-12p70 (IL-12p70), were significantly higher in macrophages from ALDP-deficient mice than in those from wild-type mice. The inducible NO synthase (iNOS) mRNA expression also showed an increase in macrophages from ALDP-deficient mice.</p> <p>Conclusion</p> <p>These results suggested that VLCSFA accumulation in macrophages may contribute to the pathogenesis of inflammatory diseases through the enhancement of inflammatory and oxidative responses.</p

Assessment of Humeral Retroversion Angle in Baseball Players: A Chronological Study

The objective of this study was to compare the humeral retroversion angles (HRA) between baseball players, including children, and those without a history of playing baseball, clarify the characteristics of the HRA in baseball players, and to determine whether or not chronological changes of the HRA are affected by a throwing motion. We studied 32 young baseball players (Group A), 10 elementary and junior high school students who had never played competitive overhead throwing sports (Group B), 65 adult baseball players who had been playing baseball since childhood in a little league or boy\u27s baseball team (Group C), and 11 adults who had never played competitive overhead throwing sports such as baseball or handball (Group D). Computed tomography of both humeri in these subjects was taken with a 5mm slice thickness. For the measurement of HRA, slices from the center of the humeral head and slices from the humeral epicondyle were examined. In baseball players, the mean HRA on the throwing side was larger than that on the non-throwing side, regardless of age and carrier. The HRAs of the elementary and junior high school baseball players as well as those of adult baseball players were larger on the throwing side. The HRA of the throwing side was significantly greater than that of the non-throwing side in both groups of baseball players. Furthermore, the mean HRA on the throwing side of young baseball players was significantly larger than that of adult baseball players, suggesting that the adaptive bony change of the humerus was caused by throwing stress and might occur in the early formative years of a player\u27s career