Segmental correction of adolescent idiopathic scoliosis by all-screw fixation method in adolescents and young adults. minimum 5 years follow-up with SF-36 questionnaire

<p>Abstract</p> <p>Background</p> <p>In our institution, the fixation technique in treating idiopathic scoliosis was shifted from hybrid fixation to the all-screw method beginning in 2000. We conducted this study to assess the intermediate -term outcome of all-screw method in treating adolescent idiopathic scoliosis (AIS).</p> <p>Methods</p> <p>Forty-nine consecutive patients were retrospectively included with minimum of 5-year follow-up (mean, 6.1; range, 5.1-7.3 years). The average age of surgery was 18.5 ± 5.0 years. We assessed radiographic measurements at preoperative (Preop), postoperative (PO) and final follow-up (FFU) period. Curve correction rate, correction loss rate, complications, accuracy of pedicle screws and SF-36 scores were analyzed.</p> <p>Results</p> <p>The average major curve was corrected from 58.0 ± 13.0° Preop to 16.0 ± 9.0° PO(<it>p </it>< 0.0001), and increased to 18.4 ± 8.6°(<it>p </it>= 0.12) FFU. This revealed a 72.7% correction rate and a correction loss of 2.4° (3.92%). The thoracic kyphosis decreased little at FFU (22 ± 12° to 20 ± 6°, (<it>p </it>= 0.25)). Apical vertebral rotation decreased from 2.1 ± 0.8 PreOP to 0.8 ± 0.8 at FFU (Nash-Moe grading, <it>p </it>< 0.01). Among total 831 pedicle screws, 56 (6.7%) were found to be malpositioned. Compared with 2069 age-matched Taiwanese, SF-36 scores showed inferior result in 2 variables: physical function and role physical.</p> <p>Conclusion</p> <p>Follow-up more than 5 years, the authors suggest that all-screw method is an efficient and safe method.</p

Effect of high temperature and water stress on groundnuts under field conditions

Groundnuts cultivated in the semiarid tropics are often exposed to water stress (mid-season and end season) and high temperature (> 34 °C) during the critical stages of flowering and pod development. This study evaluated the effects of both water stress and high temperature under field conditions at ICRISAT, India. Treatments included two irrigations (full irrigation, 100 % of crop evapotranspiration; and water stress, 40 % of crop evapotranspiration), four temperature treatments from a combination of two sowing dates and heat tunnels with mean temperatures from sowing to maturity of 26.3° (T1), 27.3° (T2), 29.0° (T3) and 29.7 °C (T4) and two genotypes TMV2 and ICGS 11. The heat tunnels were capable of raising the day temperature by > 10 °C compared to ambient. During the 20-day high-temperature treatment at flowering, mean temperatures were 33.8° (T1), 41.6° (T2), 38.7° (T3) and 43.5°C (T4). The effects of water stress and high temperature were additive and temporary for both vegetative and pod yield, and disappeared as soon as high-temperature stress was removed. Water use efficiency was significantly affected by the main effects of temperature and cultivar and not by water stress treatments. Genotypic differences for tolerance to high temperature can be attributed to differences in flowering pattern, flower number, peg-set and harvest index. It can be inferred from this study that genotypes that are tolerant to water stress are also tolerant to high temperature under field conditions. In addition, genotypes with an ability to establish greater biomass and with a significantly greater partitioning of biomass to pod yield would be suitable for sustaining higher yields in semiarid tropics with high temperature and water stress

Role of Mineral Nutrients in Plant Growth Under Extreme Temperatures

Food productivity is decreasing with the drastic increase in population, while it is expected that the global population will be nine to ten billion in 2050. Growth, production, and development on whole plant, cell, and subcellular levels are extremely affected by environmental factors particularly with the extreme temperature events (high- or low-temperature stress). Increase in the fluidity of lipid membrane, protein accumulation, and denaturation are the direct effects of high temperature on a plant. Membrane integrity loss, protein deprivation, protein synthesis inhabitation, and inactivation of mitochondrial and chloroplast enzymes are the indirect effects of high temperature. Similarly, the oval abortion, alteration of the pollen tube, reduction in fruit set, pollen sterility, and flower abscission are the consequences of low temperature at the time of product development, which in turn lowers the yield. The judicious nutrient management is essential for improving the plant nutrition status to mitigate the drastic effects of temperature stress as well as for sustainable plant yield under extreme temperature events, because nutrient deficiency results in growth and development problems in 60% cultivars worldwide. Additionally, effective nutrient management increases the temperature stress tolerance in plants. Therefore, the appropriate nutrient application rates and timings are imperative for alleviating the heat stress in plants and can serve as an effective and decent strategy. To minimize the contrasting effects of the environmental stresses, particularly heat stress, several examples of the supplemental applications of N, P, K, Ca, Mg, Se, and Zn are given in detail in this study, to observe how these nutrients reduce the effects of temperature stress in plants. This study concluded that judicious nutrient management minimizes the heat stress and increases the growth and yield of plants