Clinical outcomes of closed, displaced phalangeal neck fractures in children with different types of kirschner wire fixation: A retrospective observational study

ObjectivesInappropriate treatment of Closed displaced phalangeal neck fractures (CDPNF) in children usually leads to poor outcomes.This study was to evaluate the clinical outcomes of closed/open reduction, age, and different types of fracture and Kirschner wire (K-wire) fixation in the treatment of CDPNF.Materials and methodsParticipants: Sixty patients (male, 46 and female,14; right-handed, 35 and left-handed, 25; mean age, 7.9-years-old [range, 1.0–14.5 years]) who had CDPNF were included. Preoperative x-rays showed that the fractures were displaced and exhibited obvious deformities. Interventions: First, reduction (four cases of open reduction and 56 cases of closed reduction) was performed followed by percutaneous K-wire fixation (cross fixation, 24 cases; longitudinal and slanting fixation, 17 cases; homolateral fixation, four cases; and single longitudinal fixation, 15 cases,) and immobilized by cast. x-ray examination following removal of the K-wires showed that the fractures were healed; the criteria for fracture healing were callus formation and the absence of fracture lines. Clinical outcome and radiographs between groups were compared.ResultsAccording to the visual analogue scale, the pain scores were excellent. According to the Al-Qattan Grade system(AGS),all the patients presented with closed, type II phalangeal neck fractures,the results were excellent in 36 cases (36/60, 60%), good in 15 cases (15/60, 25%), fair in 5 cases (5/60, 8.3%) and poor in 4 cases (4/60, 6.7%). There were significant differences in different fracture type groups (P = 0.013*), operation age groups (P = 0.025*) and open/closed reduction groups (P = 0.042*). There was no significant difference in K-wire fixation type groups (P > 0.05).ConclusionsPatients with open reduction, the more serious fracture type, the older at the operation, were more likely to have poor AGS result. Different K-wire fixation types for CDPNF in children had the same satisfactory results

YTHDF1 Regulates Tumorigenicity and Cancer Stem Cell-Like Activity in Human Colorectal Carcinoma

YTH N6-methyladenosine (m6A) RNA binding protein 1 (YTHDF1) is a core factor in RNA methylation modification. Recent studies have shown that m6A is closely related to multiple tumors, thus YTHDF1 may also play a role in tumorigenesis. This study, aimed to explore the role of YTHDF1 in the colorectal cancer (CRC). In this study, we identified YTHDF1 as being highly expressed at the mRNA and protein levels in TCGA, GEO CRC and primary CRC. Furthermore, the YTHDF1 gene copy number was positively correlated with YTHDF1 mRNA expression in CRC. Knocking down the expression of YTHDF1 significantly inhibited the CRC cell's tumorigenicity in vitro and murine xenograft tumor growth in vivo. Furthermore, silencing of YTHDF1 inhibited the colonosphere formation ability in vitro. Mechanistically, we found that silencing YTHDF1 significantly inhibited Wnt/β-catenin pathway activity in CRC cells. Together, YTHDF1 is overexpressed in CRC and plays a vital oncogenic role in CRC, and this novel finding may provide a potential therapeutic target for CRC

Correction of anterior bowing complicating tibial osteofibrous dysplasia in preadolescents by osteotomy and telescopic nailing without lesional resection: a preliminary study of four-case reports

Abstract Background Osteofibrous dysplasia (OFD) occurs most frequently in the tibia and may result in deformity and pathological fracture. Surgical treatment such as curettage or segment excision has been performed but remains controversial due to high complication rates and surgical burden. This study introduces a new method to manage OFD with anterior bowing of the tibia using minimally invasive tibial osteotomy and telescopic rod (TR) osteosynthesis without extensive lesion resection. Methods A retrospective study of 4 children with OFD and tibia bowing deformity treated with minimally invasive tibial wedge osteotomy and TR fixation between January 2015 and November 2020 was performed. Results including bone healing, complications, function based on MSTS score, and recurrance of deformity were assessed. Results The median follow-up was 29 months. Radiographs showed the median time for union was 3 months. There were no instances of refracture or recurrence of deformity. The mean post-operative MSTS score was significantly higher than preoperative score. Conclusions This method avoids large bone defects and reconstructive procedures. It is an effective and minimally invasive approach for managing anterior bowing deformity secondary to OFD while improving function and quality of life. Level of evidence Level IV; Case Series; Treatment Study

Adaptive Responses of the Sea Anemone Heteractis crispa to the Interaction of Acidification and Global Warming

Ocean acidification and warming are two of the most important threats to the existence of marine organisms and are predicted to co-occur in oceans. The present work evaluated the effects of acidification (AC: 24 ± 0.1 °C and 900 μatm CO2), warming (WC: 30 ± 0.1 °C and 450 μatm CO2), and their combination (CC: 30 ± 0.1 °C and 900 μatm CO2) on the sea anemone, Heteractis crispa, from the aspects of photosynthetic apparatus (maximum quantum yield of photosystem II (PS II), chlorophyll level, and Symbiodiniaceae density) and sterol metabolism (cholesterol content and total sterol content). In a 15-day experiment, acidification alone had no apparent effect on the photosynthetic apparatus, but did affect sterol levels. Upregulation of their chlorophyll level is an important strategy for symbionts to adapt to high partial pressure of CO2 (pCO2). However, after warming stress, the benefits of high pCO2 had little effect on stress tolerance in H. crispa. Indeed, thermal stress was the dominant driver of the deteriorating health of H. crispa. Cholesterol and total sterol contents were significantly affected by all three stress conditions, although there was no significant change in the AC group on day 3. Thus, cholesterol or sterol levels could be used as important indicators to evaluate the impact of climate change on cnidarians. Our findings suggest that H. crispa might be relatively insensitive to the impact of ocean acidification, whereas increased temperature in the future ocean might impair viability of H. crispa

Spatial and Temporal Characteristics of Phytoplankton Communities in Drinking Water Source Reservoirs in Shenzhen, China

Phytoplankton diversity and community characteristics are closely associated with aquatic environmental factors. Understanding these dynamics can provide insights into the ecological health of water bodies. We investigate the spatial and temporal characteristics of phytoplankton communities in 27 drinking water source reservoirs in Shenzhen, China. As a method, we collected samples during the dry season in 2021 and the wet season in 2022, analyzed the alpha and beta diversities of phytoplankton communities, and correlated these with the environmental factors. The results reveal that Cyanobacteria dominate the phytoplankton communities in the Shenzhen reservoirs. Phytoplankton diversity is greater during the dry season. The algal composition varies spatially, and the phytoplankton diversity tends to decrease with increasing eutrophication. A co-occurrence network analysis indicates denser and stronger correlations among phytoplankton nodes during the wet season than dry season. Reservoirs with moderate eutrophication levels exhibit denser nodes and stronger correlations compared to those with low or high eutrophication levels. The chemical oxygen demand, water temperature, pH, and total nitrogen are identified as key influencers of the phytoplankton community structure. Our results contribute to the enhanced understanding of the spatial and temporal dynamics of phytoplankton communities in reservoirs in South China and provides insights into the management and conservation of these drinking water reservoirs

Individual and combined effects of microplastics and cadmium on intestinal histology and microflora of Procypris merus

Microplastics (MPs) and their interactions with heavy metals have attracted considerable attention worldwide. In Guangxi, China, cadmium (Cd) pollution is ubiquitous in aquatic environments. Rice flower carp (Procypris merus) is popular in Guangxi, playing an important role in the economic development of the region. The effects of combined exposure to MPs and Cd on P. merus remain unclear consequently the present study was performed to determine the individual (500 µg/L Cd (Cd) or 500 µg/L MPs (MP)) and combined effects of MPs and Cd (500 µg/L Cd + 500 µg/L MPs (Cd + MP)) on the intestinal histology and microflora of P. merus after an exposure of 14 days. The intestinal structure was damaged in all treatment groups, and severe necrosis of the mucous layer was found in the MP and Cd + MP groups. Similarly, the number of goblet cells increased in all treatment groups, but was higher in the MP and Cd + MP groups. Alpha diversity indices of the gut microbiota were influenced by the individual or combined effects of exposure. At the phylum level, the abundance of Firmicutes was lower in MP group than Cd and Cd + MP group, and the Firmicutes/Bacteroidetes ratio was significantly decreased (p = 0.021) in MP group. At the genus level, Streptococcus, a genus that might be involved in controlling the incidence of intestinal inflammation, was also found to be significantly decreased in the MP group (p = 0.029). Consistent with these results, gut metabolic function was disrupted in the present study. Overall, the above results suggest that exposure to combined Cd and MPs could result in inflammatory disease in P. merus, which was potentially mainly due to MPs stress

Using Tc-99m pertechnetate scintigraphy to predict the outcome of sialoendoscopy in obstructive submaxillaritis

Purpose: The purpose of this study was to investigate whether the findings of Tc-99m pertechnetate salivary gland scintigraphy (SGS) can predict the outcome of sialoendoscopic intervention in patients with obstructive submaxillaritis. Materials and Methods: Eleven patients with obstructive submaxillaritis were prospectively recruited. All patients underwent sialoendoscopy. Tc-99m pertechnetate SGS was performed both before and after sialoendoscopy. Results: Sialoendoscopy was effective in the glands with tracer uptake (n = 9) demonstrated on SGS before the procedure, evidenced by not only relief of the symptoms but also improvement in excretion in post therapy salivary gland scintigraphy. In contrast, sialoendoscopy was ineffective in the glands without tracer uptake (n = 2) in pretherapy scans. Conclusions: In patients with submaxillaritis, whether a sialoendoscopy should be performed depends on the results of salivary gland scintigraphy. © 2010 by Lippincott Williams & Wilkins.link_to_subscribed_fulltex