Effects of a periosteal activation agent on bone repair, bone growth, and bone ingrowth into a porous material in the rabbit

A periosteal activation agent (PAA) known to activate the cambium layer of the resting periosteum was applied to the femurs of rabbits for three cases of interest: (1) its effect on the healing of a circular defect in the femur, (2) its effect on bone ingrowth into a porous implant, and (3) its effect on formation of bone along the endosteal surface of the femur. In the first two cases, PAA was applied to the periosteal surface of the diaphyses of the femurs seven days after surgery at an optimal dosage of 400 mg per kg of body weight. In the empty defect series, two holes, 4 mm in diameter, were drilled through one cortex of each femur. In the implant series, two cylindrical porous implants of high density polyethylene (average pore size of 127 (mu)m and 4 mm in diameter) were implanted in one cortex of each femur. In the endosteal activation series, PAA was applied along the endosteal surface of the femurs at a dosage of 100 mg per kg of body weight (a level chosen to assure rabbit survival) through a hole bored through the trochanter fosse. The contralateral femurs served as controls in all cases;The endosteal activation series showed that PAA enhanced the natural periosteal callus formation elicited by the surgical trauma at 1 (p \u3c .05), 3, 5 (p \u3c .05), 7, 10 (p \u3c .05), and 14 days, but it did not show any enhanced healing of the defect. The implant series also showed enhanced callus formation at 1 (p \u3c .05), 3, 7, 10, and 14 days after application of PAA, but it failed to show any enhanced bone ingrowth into the interstices of the implant. The results of the endosteal activation series were inconclusive. In certain cases, larger amounts of new bone were observed; however, there was great rabbit-to-rabbit variability in the response. Possible reasons for this include the difficulty of administering the PAA to a local endosteal region of interest without causing excessive trauma to the general area of the medullary canal

Foot strike patterns after obstacle clearance during running

Purpose Running over obstacles of sufficient height requires heel strike (HS) runners to make a transition in landing strategy to a forefoot (FF) strike, resulting in similar ground reaction force patterns to those observed while landing from a jump. Identification of the biomechanical variables that distinguish between the landing strategies may offer some insight into the reasons that the transition occurs. The purpose of this study was to investigate the difference in foot strike patterns and kinetic parameters of heel strike runners between level running and running over obstacles of various heights. Methods Ten heel strike subjects ran at their self-selected pace under seven different conditions: unperturbed running (no obstacle) and over obstacles of six different heights (10%, 12.5%, 15%, 17.5%, 20%, and 22.5% of their standing height). The obstacle was placed directly before a Kistler force platform. Repeated measures ANOVAs were performed on the subject means of selected kinetic parameters. Results The statistical analysis revealed significant differences (P \u3c 0.004) for all of the parameters analyzed. The evaluation of the center of pressure and the ground reaction forces indicated that the foot strike patterns were affected by the increased obstacle height. Between the 12.5% and 15% obstacle conditions, the group response changed from a heel strike to a forefoot strike pattern. Conclusions At height \u3e 15%, the pattern was more closely related to the foot strike patterns found in jumping activities. This strategy change may represent a gait transition effected as a mechanism to protect against increased impact forces. Greater involvement of the ankle and the calf muscles could have assisted in attenuating the increased impact forces while maintaining speed after clearing the obstacle

A new US polar research vessel for the twenty-first century

Author Posting. © The Oceanography Society, 2012. This article is posted here by permission of The Oceanography Society for personal use, not for redistribution. The definitive version was published in Oceanography 25, no. 3 (2012): 204-207, doi:10.5670/oceanog.2012.96.Scientific and political interests at the poles are significant and rapidly increasing, driven in part by the effects of climate change and emerging geopolitical realities. The polar regions provide important services to global ecosystems and humankind, ranging from food and energy to freshwater and biodiversity. Yet the poles are experiencing changes at rates that far outpace the rest of the planet. Coastal Arctic communities are impacted by climate change through coastal erosion, sea level rise, ice loss, and altered marine food webs, threatening the future of their subsistence lifestyle. Climate change has dramatically increased the melt rate of ice sheets and glaciers at both poles and has the potential to significantly raise sea level worldwide. Oil and gas drilling as well as transportation in the Arctic have reached all-time high levels, in part because of reduced sea ice cover. Tourism is a growing industry at both poles, bringing more than 20,000 tourists each year to the western Antarctic Peninsula alone. The collateral effects of human activities include the potential for pollution of the marine environment, particularly through spills of hydrocarbons. Our ability to understand the effects of such activities and mishaps is limited, particularly in ice-covered areas during winter

The compositional and evolutionary logic of metabolism

Metabolism displays striking and robust regularities in the forms of modularity and hierarchy, whose composition may be compactly described. This renders metabolic architecture comprehensible as a system, and suggests the order in which layers of that system emerged. Metabolism also serves as the foundation in other hierarchies, at least up to cellular integration including bioenergetics and molecular replication, and trophic ecology. The recapitulation of patterns first seen in metabolism, in these higher levels, suggests metabolism as a source of causation or constraint on many forms of organization in the biosphere. We identify as modules widely reused subsets of chemicals, reactions, or functions, each with a conserved internal structure. At the small molecule substrate level, module boundaries are generally associated with the most complex reaction mechanisms and the most conserved enzymes. Cofactors form a structurally and functionally distinctive control layer over the small-molecule substrate. Complex cofactors are often used at module boundaries of the substrate level, while simpler ones participate in widely used reactions. Cofactor functions thus act as "keys" that incorporate classes of organic reactions within biochemistry. The same modules that organize the compositional diversity of metabolism are argued to have governed long-term evolution. Early evolution of core metabolism, especially carbon-fixation, appears to have required few innovations among a small number of conserved modules, to produce adaptations to simple biogeochemical changes of environment. We demonstrate these features of metabolism at several levels of hierarchy, beginning with the small-molecule substrate and network architecture, continuing with cofactors and key conserved reactions, and culminating in the aggregation of multiple diverse physical and biochemical processes in cells.Comment: 56 pages, 28 figure

Bootstrapping the energy flow in the beginning of life.

This paper suggests that the energy flow on which all living structures depend only started up slowly, the low-energy, initial phase starting up a second, slightly more energetic phase, and so on. In this way, the build up of the energy flow follows a bootstrapping process similar to that found in the development of computers, the first generation making possible the calculations necessary for constructing the second one, etc. In the biogenetic upstart of an energy flow, non-metals in the lower periods of the Periodic Table of Elements would have constituted the most primitive systems, their operation being enhanced and later supplanted by elements in the higher periods that demand more energy. This bootstrapping process would put the development of the metabolisms based on the second period elements carbon, nitrogen and oxygen at the end of the evolutionary process rather than at, or even before, the biogenetic even

Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop

<p>Abstract</p> <p>Background</p> <p>Envenomation by crotaline snakes (rattlesnake, cottonmouth, copperhead) is a complex, potentially lethal condition affecting thousands of people in the United States each year. Treatment of crotaline envenomation is not standardized, and significant variation in practice exists.</p> <p>Methods</p> <p>A geographically diverse panel of experts was convened for the purpose of deriving an evidence-informed unified treatment algorithm. Research staff analyzed the extant medical literature and performed targeted analyses of existing databases to inform specific clinical decisions. A trained external facilitator used modified Delphi and structured consensus methodology to achieve consensus on the final treatment algorithm.</p> <p>Results</p> <p>A unified treatment algorithm was produced and endorsed by all nine expert panel members. This algorithm provides guidance about clinical and laboratory observations, indications for and dosing of antivenom, adjunctive therapies, post-stabilization care, and management of complications from envenomation and therapy.</p> <p>Conclusions</p> <p>Clinical manifestations and ideal treatment of crotaline snakebite differ greatly, and can result in severe complications. Using a modified Delphi method, we provide evidence-informed treatment guidelines in an attempt to reduce variation in care and possibly improve clinical outcomes.</p

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability