Risk factors for surgical site infection of pilon fractures

OBJECTIVES: Pilon fracture is a complex injury that is often associated with severe soft tissue damage and high rates of surgical site infection. The goal of this study was to analyze and identify independent risk factors for surgical site infection among patients undergoing surgical fixation of a pilon fracture. METHODS: The medical records of all pilon fracture patients who underwent surgical fixation from January 2010 to October 2012 were reviewed to identify those who developed a surgical site infection. Then, we constructed univariate and multivariate logistic regressions to evaluate the independent associations of potential risk factors with surgical site infection in patients undergoing surgical fixation of a pilon fracture. RESULTS: A total of 519 patients were enrolled in the study from January 2010 to October 2012. A total of 12 of the 519 patients developed a surgical site infection, for an incidence of 2.3%. These patients were followed for 12 to 29 months, with an average follow-up period of 19.1 months. In the final regression model, open fracture, elevated postoperative glucose levels (≥125 mg/dL), and a surgery duration of more than 150 minutes were significant risk factors for surgical site infection following surgical fixation of a pilon fracture. CONCLUSIONS: Open fractures, elevated postoperative glucose levels (≥125 mg/dL), and a surgery duration of more than 150 minutes were related to an increased risk for surgical site infection following surgical fixation of a pilon fracture. Patients exhibiting the risk factors identified in this study should be counseled regarding the possible surgical site infection that may develop after surgical fixation

STUDY ON THE ANTI-DEPRESSANT EFFECT OF CHAIHU GUIZHI DECOCTION AND ITS MECHINISIMS OF ACTIONS

Background: Chaihu Guizhi has the effects of treating exogenous wind-cold; alternating episodes of chills and fever; noisy nose and retching; strong headache; chest and rib-side pain, and fullness, in clinical practice, it can also be used for the treatment of depression. The objective of this paper was to study the anti-depressant effect of Chaihu Guizhi decoction and its mechanism. Materials and Methods: The anti-depressant effect of Chaihu Guizhi decoction was investigated by forced swimming test, tail suspension test and antagonism of reserpine hypothermia test in mice. Results: Chaihu Guizhi decoction could significantly shorten immobility time of mice in the forced swimming test, and dose-dependence significantly shorten immobility time of mice in the tail suspension test, after administration of 50, 100, and 200mg/kg, Chaihu Guizhi decoction, a significant dose-dependent antagonism of reserpine-induced hypothermia was observed in mice of each treatment group. Conclusion: Chaihu Guizhi decoction has an antidepressant effect

PHARMACOLOGICAL EXPERIMENTAL STUDY OF THE ANTI-DEPRESSANT EFFECT OF TOTAL SAIKOSAPONINS.

Background: Chai Hu has the hepato-protective, choleretic, anti-tussive, analgesic, anti-inflammatory, anti-viral, hypotensive, hypolipidemic, and anti-tumor pharmacological effects. In this study, the objective of this paper was to study the anti-depressant effect of total saikosaponins. Materials and Methods: Total saikosaponins were extracted by reflux method, and were identified by thin layer chromatography (TLC). The anti-depressant effect of total saikosaponins was investigated in vitro by tail suspension test, forced swimming test, and reserpine antagonism test in mice. Results: Two times of reflux extraction, temperature of 70℃, and extraction time of 4hrs, for each extraction could improve the yield of saikosaponins. Each treatment group (100, 200, and 300 mg/kg), could significantly shorten the immobility time of mice in the tail suspension test in a somewhat dose-dependent manner. The total saikosaponins antagonized the reserpine-induced akinesia, and ptosis in mice. Conclusion: Total saikosaponins have an anti-depressant effect

The Changing Patterns in Grasslands and Soil Fertility along the Eastern Eurasian Steppe Transect across China–Mongolia–Russia

This paper analyses the adaptation and change in species along the north-south Eastern Eurasian Steppe Transect across China – Mongolia – Russia and considers the implications for climate change and management. The plant community diversity, above-ground biomass, N:P ratios of community and of dominant species, soil N (nitrogen), soil P (phosphorus) and AP (available phosphorus) contents were studied along a 1400 km north-south transect. The main findings were: (1) the community diversity and productivity decreased with the increase in latitude and a significant negative correlation was found between the many plant characteristics and latitude (P \u3c 0.05) – decreasing diversity, biomass and N:P ratios; (2) soil AP content was lowest in Inner Mongolia, whereas no significant change in soil total P with latitude was found in China-Mongolia-Russia transect, a significant positive correlation was detected between the soil nutrient (N and AP) and latitude (P \u3c 0.05); (3) a significant positive correlation was evident between plant community P content and soil AP content (P \u3c 0.01), but a negative correlation was found between community N:P ratio and soil AP content (P \u3c 0.05). The soil AP content can be used as a soil properties indicator to reflect the plant communities P content and N: P ratio. It is suggested that greater human activities in Inner Mongolia may be an important factor affecting soil AP content, community N:P and plant growth

Environmental Controls on Multi-Scale Dynamics of Net Carbon Dioxide Exchange From an Alpine Peatland on the Eastern Qinghai-Tibet Plateau

Peatlands are characterized by their large carbon storage capacity and play an essential role in the global carbon cycle. However, the future of the carbon stored in peatland ecosystems under a changing climate remains unclear. In this study, based on the eddy covariance technique, we investigated the net ecosystem CO2 exchange (NEE) and its controlling factors of the Hongyuan peatland, which is a part of the Ruoergai peatland on the eastern Qinghai-Tibet Plateau (QTP). Our results show that the Hongyuan alpine peatland was a CO2 sink with an annual NEE of -226.61 and -185.35 g C m(-2) in 2014 and 2015, respectively. While, the non-growing season NEE was 53.35 and 75.08 g C m(-2) in 2014 and 2015, suggesting that non-growing seasons carbon emissions should not be neglected. Clear diurnal variation in NEE was observed during the observation period, with the maximum CO2 uptake appearing at 12:30 (Beijing time, UTC+8). The Q(10) value of the non-growing season in 2014 and 2015 was significantly higher than that in the growing season, which suggested that the CO2 flux in the non-growing season was more sensitive to warming than that in the growing season. We investigated the multi-scale temporal variations in NEE during the growing season using wavelet analysis. On daily timescales, photosynthetically active radiation was the primary driver of NEE. Seasonal variation in NEE was mainly driven by soil temperature. The amount of precipitation was more responsible for annual variation of NEE. The increasing number of precipitation event was associated with increasing annual carbon uptake. This study highlights the need for continuous eddy covariance measurements and time series analysis approaches to deepen our understanding of the temporal variability in NEE and multi-scale correlation between NEE and environmental factors

Effects of Heat Shock on Photosynthetic Properties, Antioxidant Enzyme Activity, and Downy Mildew of Cucumber (Cucumis sativus L.)

Heat shock is considered an abiotic stress for plant growth, but the effects of heat shock on physiological responses of cucumber plant leaves with and without downy mildew disease are still not clear. In this study, cucumber seedlings were exposed to heat shock in greenhouses, and the responses of photosynthetic properties, carbohydrate metabolism, antioxidant enzyme activity, osmolytes, and disease severity index of leaves with or without the downy mildew disease were measured. Results showed that heat shock significantly decreased the net photosynthetic rate, actual photochemical efficiency, photochemical quenching coefficient, and starch content. Heat shock caused an increase in the stomatal conductance, transpiration rate, antioxidant enzyme activities, total soluble sugar content, sucrose content, soluble protein content and proline content for both healthy leaves and downy mildew infected leaves. These results demonstrate that heat shock activated the transpiration pathway to protect the photosystem from damage due to excess energy in cucumber leaves. Potential resistance mechanisms of plants exposed to heat stress may involve higher osmotic regulation capacity related to an increase of total accumulations of soluble sugar, proline and soluble protein, as well as higher antioxidant enzymes activity in stressed leaves. Heat shock reduced downy mildew disease severity index by more than 50%, and clearly alleviated downy mildew development in the greenhouses. These findings indicate that cucumber may have a complex physiological change to resist short-term heat shock, and suppress the development of the downy mildew disease

Rotatable precipitates change the scale-free to scale dependent statistics in compressed Ti nano-pillars.

Compressed nano-pillars crackle from moving dislocations, which reduces plastic stability. Crackling noise is characterized by stress drops or strain bursts, which scale over a large region of sizes leading to power law statistics. Here we report that this "classic" behaviour is not valid in Ti-based nanopillars for a counterintuitive reason: we tailor precipitates inside the nano-pillar, which "regulate" the flux of dislocations. It is not because the nano-pillars become too small to sustain large dislocation movements, the effect is hence independent of size. Our precipitates act as "rotors": local stress initiates the rotation of inclusions, which reduces the stress amplitudes dramatically. The size distribution of stress drops simultaneously changes from power law to exponential. Rotors act like revolving doors limiting the number of passing dislocations. Hence each collapse becomes weak. We present experimental evidence for Ti-based nano-pillars (diameters between 300 nm and 2 μm) with power law distributions of crackling noise P(s) ∼ s-τ with τ ∼ 2 in the defect free or non-rotatable precipitate states. Rotors change the size distribution to P(s) ∼ exp(-s/s0). Rotors are inclusions of ω-phase that aligns under stress along slip planes and limit dislocation glide to small distances with high nucleation rates. This opens new ways to make nano-pillars more stable

Multifunctional magnetic Fe3O4 nanoparticles combined with chemotherapy and hyperthermia to overcome multidrug resistance

Yanyan Ren1,2,*, Haijun Zhang1,2,*, Baoan Chen1, Jian Cheng1, Xiaohui Cai1, Ran Liu1, Guohua Xia1, Weiwei Wu1, Shuai Wang1, Jiahua Ding1, Chong Gao1, Jun Wang1, Wen Bao1, Lei Wang1, Liang Tian1, Huihui Song1, Xuemei Wang1,2 1Department of Hematology and Oncology, Key Medical Discipline, Jiangsu Province, Zhongda Hospital, and Faculty of Oncology, Medical School, Nanjing, 2State Key Laboratory of Bioelectronics, Southeast University, Nanjing, People's Republic of China*These authors contributed equally to this workBackground: Multidrug resistance in cancer is a major obstacle for clinical therapeutics, and is the reason for 90% of treatment failures. This study investigated the efficiency of novel multifunctional Fe3O4 magnetic nanoparticles (Fe3O4-MNP) combined with chemotherapy and hyperthermia for overcoming multidrug resistance in an in vivo model of leukemia.Methods: Nude mice with tumor xenografts were randomly divided into a control group, and the treatment groups were allocated to receive daunorubicin, 5-bromotetrandrine (5-BrTet) and daunorubicin, Fe3O4-MNP, and Fe3O4-MNP coloaded with daunorubicin and 5-bromotetrandrine (Fe3O4-MNP-DNR-5-BrTet), with hyperthermia in an alternating magnetic field. We investigated tumor volume and pathology, as well as P-glycoprotein, Bcl-2, Bax, and caspase-3 protein expression to elucidate the effect of multimodal treatment on overcoming multidrug resistance.Results: Fe3O4-MNP played a role in increasing tumor temperature during hyperthermia. Tumors became significantly smaller, and apoptosis of cells was observed in both the Fe3O4-MNP and Fe3O4-MNP-DNR-5-BrTet groups, especially in the Fe3O4-MNP-DNR-5-BrTet group, while tumor volumes in the other groups had increased after treatment for 12 days. Furthermore, Fe3O4-MNP-DNR-5-BrTet with hyperthermia noticeably decreased P-glycoprotein and Bcl-2 expression, and markedly increased Bax and caspase-3 expression.Conclusion: Fe3O4-MNP-DNR-5-BrTet with hyperthermia may be a potential approach for reversal of multidrug resistance in the treatment of leukemia.Keywords: magnetic nanoparticles, daunorubicin, 5-bromotetrandrine, multidrug resistance, hyperthermi