Treatment of Thoracolumbar Fracture

The most common fractures of the spine are associated with the thoracolumbar junction. The goals of treatment of thoracolumbar fracture are leading to early mobilization and rehabilitation by restoring mechanical stability of fracture and inducing neurologic recovery, thereby enabling patients to return to the workplace. However, it is still debatable about the treatment methods. Neurologic injury should be identified by thorough physical examination for motor and sensory nerve system in order to determine the appropriate treatment. The mechanical stability of fracture also should be evaluated by plain radiographs and computed tomography. In some cases, magnetic resonance imaging is required to evaluate soft tissue injury involving neurologic structure or posterior ligament complex. Based on these physical examinations and imaging studies, fracture stability is evaluated and it is determined whether to use the conservative or operative treatment. The development of instruments have led to more interests on the operative treatment which saves mobile segments without fusion and on instrumentation through minimal invasive approach in recent years. It is still controversial for the use of these treatments because there have not been verified evidences yet. However, the morbidity of patients can be decreased and good clinical and radiologic outcomes can be achieved if the recent operative treatments are used carefully considering the fracture pattern and the injury severity

Practical Review of Olfactory Training and COVID-19

Olfactory disorders one of the most frequent distinctive symptoms of COVID-19 infection. COVID-19-induced olfactory disorder can be classified as post-infectious olfactory dysfunction (PIOD). The effect of drugs on olfactory disorder following upper respiratory infection, including PIOD, has not been clearly established, which adds to the difficulty with treating the disorder. However, the effect of olfactory training on PIOD has been confirmed by numerous studies. As such, olfactory training is gaining attention, and has taken on greater importance, as the sole treatment for COVID-19–induced olfactory disorder in this pandemic age. This review describes the effect of olfactory training for COVID-19–induced olfactory disorder by analyzing the relevant literature

Plant growth promotion and Penicillium citrinum

<p>Abstract</p> <p>Background</p> <p>Endophytic fungi are known plant symbionts. They produce a variety of beneficial metabolites for plant growth and survival, as well as defend their hosts from attack of certain pathogens. Coastal dunes are nutrient deficient and offer harsh, saline environment for the existing flora and fauna. Endophytic fungi may play an important role in plant survival by enhancing nutrient uptake and producing growth-promoting metabolites such as gibberellins and auxins. We screened roots of <it>Ixeris repenes </it>(L.) A. Gray, a common dune plant, for the isolation of gibberellin secreting endophytic fungi.</p> <p>Results</p> <p>We isolated 15 endophytic fungi from the roots of <it>Ixeris repenes </it>and screened them for growth promoting secondary metabolites. The fungal isolate IR-3-3 gave maximum plant growth when applied to waito-c rice and <it>Atriplex gemelinii </it>seedlings. Analysis of the culture filtrate of IR-3-3 showed the presence of physiologically active gibberellins, GA₁, GA₃, GA₄and GA₇(1.95 ng/ml, 3.83 ng/ml, 6.03 ng/ml and 2.35 ng/ml, respectively) along with other physiologically inactive GA₅, GA₉, GA₁₂, GA₁₅, GA₁₉, GA₂₀and, GA₂₄. The plant growth promotion and gibberellin producing capacity of IR-3-3 was much higher than the wild type <it>Gibberella fujikuroi</it>, which was taken as control during present study. GA₅, a precursor of bioactive GA₃was reported for the first time in fungi. The fungal isolate IR-3-3 was identified as a new strain of <it>Penicillium citrinum </it>(named as <it>P. citrinum </it>KACC43900) through phylogenetic analysis of 18S rDNA sequence.</p> <p>Conclusion</p> <p>Isolation of new strain of <it>Penicillium citrinum </it>from the sand dune flora is interesting as information on the presence of <it>Pencillium </it>species in coastal sand dunes is limited. The plant growth promoting ability of this fungal strain may help in conservation and revegetation of the rapidly eroding sand dune flora. <it>Penicillium citrinum </it>is already known for producing mycotoxin citrinin and cellulose digesting enzymes like cellulase and endoglucanase, as well as xylulase. Gibberellins producing ability of this fungus and the discovery about the presence of GA₅will open new aspects of research and investigations.</p

Body mass index affecting ticagrelor monotherapy vs. ticagrelor with aspirin in patients with acute coronary syndrome: A pre-specified sub-analysis of the TICO randomized trial

BackgroundAlthough ticagrelor monotherapy after 3-month dual antiplatelet therapy (DAPT) results in a significantly greater net clinical benefit over that with ticagrelor-based 12-month DAPT in patients with acute coronary syndrome (ACS), it remains uncertain whether this effect is dependent on body mass index (BMI). We aimed to evaluate the BMI-dependent effect of these treatment strategies on clinical outcomes.MethodsThis was a pre-specified subgroup analysis from the TICO trial (Ticagrelor Monotherapy After 3 Months in Patients Treated With New Generation Sirolimus-eluting Stent for Acute Coronary Syndrome), evaluating the interaction between BMI and treatment strategies for the primary outcome [composite of major bleeding and adverse cardiac and cerebrovascular events (MACCE): death, myocardial infarction, stent thrombosis, stroke, or target-vessel revascularization]. The secondary outcomes were major bleeding and MACCE.ResultsBased on a pre-specified BMI threshold of 25 kg/m2, 3,056 patients were stratified. Patients with BMI &lt;25 kg/m2 had a higher risk of primary and secondary outcomes than those with BMI ≥25 kg/m2. Regardless of the BMI subgroup, the effects of ticagrelor monotherapy after 3-month DAPT on the primary outcome (pint = 0.61), major bleeding (pint = 0.76), and MACCE (pint = 0.80) were consistent without significant interaction compared with ticagrelor-based 12-month DAPT. The treatment effects according to the BMI quartiles and age, sex, and diabetic status were also consistent without significant interaction.ConclusionThe BMI-dependent impact of ticagrelor monotherapy after 3-month DAPT compared with 12-month DAPT on clinical outcomes was not heterogeneous in patients with ACS.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT02494895]

Simple, Rapid and Cost-Effective Method for High Quality Nucleic Acids Extraction from Different Strains of Botryococcus braunii

This study deals with an effective nucleic acids extraction method from various strains of Botryococcus braunii which possesses an extensive extracellular matrix. A method combining freeze/thaw and bead-beating with heterogeneous diameter of silica/zirconia beads was optimized to isolate DNA and RNA from microalgae, especially from B. braunii. Eukaryotic Microalgal Nucleic Acids Extraction (EMNE) method developed in this study showed at least 300 times higher DNA yield in all strains of B. braunii with high integrity and 50 times reduced working volume compared to commercially available DNA extraction kits. High quality RNA was also extracted using this method and more than two times the yield compared to existing methods. Real-time experiments confirmed the quality and quantity of the input DNA and RNA extracted using EMNE method. The method was also applied to other eukaryotic microalgae, such as diatoms, Chlamydomonas sp., Chlorella sp., and Scenedesmus sp. resulting in higher efficiencies. Cost-effectiveness analysis of DNA extraction by various methods revealed that EMNE method was superior to commercial kits and other reported methods by >15%. This method would immensely contribute to area of microalgal genomics

Lumped-element tunable absorptive bandstop filter and its applications

To avoid the cost, large size, and complexity of going off-chip between individually packaged components, it is desirable to integrate as many components as possible. For on-chip passive filter design, size constraints and the quality factor limit the amount of attenuation that can be achieved. This work demonstrates the use of absorptive bandstop filters which gives anomalously deep notches for a given Q-factor. A lumped-element-only topology enables a realization on a chip for the first time. For reconfigurable RF front-ends, a frequency-agile design is newly developed with Q-tunable resonators because an absorptive bandstop filter must balance both intrinsic Q of the resonators and the resonant frequency of the filter. Despite using small-size, low-Q resonators in the bandstop filter design, a large stopband attenuation with a capability of frequency tuning is achieved with potential to suppress potential interference or an image frequency signal. Higher-order absorptive bandstop filters which give higher selectivity are also demonstrated. The sensing of the unused bands is a pre-requisite and important function so that the cognitive radio system can track and use available frequencies. When the ultra-wideband ADC is utilized for sensing to find the unused bands or read the spectrum availability, both the high power interferences and small power signals are the signals we are interested, but the wideband ADC has a limited dynamic range. Since we have the signals with various frequencies and power levels, it is required to have something that can give different gains at different frequencies. This work proposes a frequency equalizer which gives selective attenuation at desired different frequencies, and absorptive bandstop filter with variable attenuation is proposed in this work. For a wide-band receiver or application, it is not typical for AGC to control different gain or attenuation levels at different frequencies. Using frequency selective attenuation, it is desirable in order to suppress a large signal before the signal compresses a wideband sampler, but still allowing us to receive and monitor the signal