Spine deformities in patients with Ehlers-Danlos syndrome, type IV - late results of surgical treatment

<p>Abstract</p> <p>Background</p> <p>Spinal deformities in Ehlers-Danlos syndrome are usually progressive and may require operative treatment. There is limited number of studies describing late results of surgery in this disease.</p> <p>Methods</p> <p>This is a retrospective study of the records of 11 patients with Ehlers-Danlos syndrome type IV, treated surgically between 1990 and 2007. All patients underwent surgical treatment for spinal deformity. Duration of operation, type of instrumentation, intraoperative blood loss, complications and number of additional surgeries were noted. Radiographic measurement was performed on standing AP and lateral radiographs acquired before surgery, just after and at final follow up.</p> <p>Results</p> <p>The mean follow up period was 5.5 ± 2.9 years (range 1-10 years). The mean preoperative thoracic and lumbar curve were 109.5 ± 19.9° (range 83° - 142°) and 75.6 ± 26.7° (range 40° - 108°) respectively. Posterior spine fusion alone was performed on 6 patients and combined anterior and posterior fusion (one- or two stage) on 5 cases. Posterior segmental spinal instrumentation was applied with use of hooks, screws and wires. The mean postoperative thoracic and lumbar curve improved to 79.3 ± 16.1° (range 56° - 105°) and 58.5 ± 27.7° (range 10° - 95°) respectively, with a slight loss of correction during follow up. The average thoracic and lumbar correction was 26.4 ± 14.9% (range 5.3 - 50.4%) and 26.3 ± 21.2% (range 7.9 - 75%). Postoperatively, the mean kyphosis was 79.5 ± 40.3° (range 21° -170°), and lordosis was 50.8 ± 18.6° (range 20° -79°). Hyperkyphosis increased during follow up while lordosis remained stable. Mean Th12-L2 angle was -3.5 ±9.9° (range -19° - 15°) postoperatively and did not change significantly during follow up.</p> <p>Conclusions</p> <p>Huge spinal deformities in patients with Ehlers-Danlos syndrome require complex and extensive surgery. There is a big risk of sagittal imbalance in this group.</p

Genome-Wide Identification and Characterization of the Brassinazole-resistant (BZR) Gene Family and Its Expression in the Various Developmental Stage and Stress Conditions in Wheat (Triticum aestivum L.)

Brassinosteroids (BRs) play crucial roles in various biological processes, including plant developmental processes and response to diverse biotic and abiotic stresses. However, no information is currently available about this gene family in wheat (Triticum aestivum L.). In the present investigation, we identified the BZR gene family in wheat to understand the evolution and their role in diverse developmental processes and under different stress conditions. In this study, we performed the genome-wide analysis of the BZR gene family in the bread wheat and identified 20 TaBZR genes through a homology search and further characterized them to understand their structure, function, and distribution across various tissues. Phylogenetic analyses lead to the classification of TaBZR genes into five different groups or subfamilies, providing evidence of evolutionary relationship with Arabidopsis thaliana, Zea mays, Glycine max, and Oryza sativa. A gene exon/intron structure analysis showed a distinct evolutionary path and predicted the possible gene duplication events. Further, the physical and biochemical properties, conserved motifs, chromosomal, subcellular localization, and cis-acting regulatory elements were also examined using various computational approaches. In addition, an analysis of public RNA-seq data also shows that TaBZR genes may be involved in diverse developmental processes and stress tolerance mechanisms. Moreover, qRT-PCR results also showed similar expression with slight variation. Collectively, these results suggest that TaBZR genes might play an important role in plant developmental processes and various stress conditions. Therefore, this work provides valuable information for further elucidate the precise role of BZR family members in wheat

In vitro and in vivo studies on biocompatibility of carbon fibres

In the present study we focused on the in vitro and in vivo evaluation of two types of carbon fibres (CFs): hydroxyapatite modified carbon fibres and porous carbon fibres. Porous CFs used as scaffold for tissues regeneration could simultaneously serve as a support for drug delivery or biologically active agents which would stimulate the tissue growth; while addition of nanohydroxyapatite to CFs precursor can modify their biological properties (such as bioactivity) without subsequent surface modifications, making the process cost and time effective. Presented results indicated that fibre modification with HAp promoted formation of apatite on the fibre surface during incubation in simulated body fluid. The materials biocompatibility was determined by culturing human osteoblast-like cells of the line MG 63 in contact with both types of CFs. Both tested materials gave good support to adhesion and growth of bone-derived cells. Materials were implanted into the skeletal rat muscle and a comparative analysis of tissue reaction to the presence of the two types of CFs was done. Activities of marker metabolic enzymes: cytochrome c oxidase (CCO) and acid phosphatase were examined to estimate the effect of implants on the metabolic state of surrounding tissues. Presented results evidence the biocompatibility of porous CFs and activity that stimulates the growth of connective tissues. In case of CFs modified with hydroxyapatite the time of inflammatory reaction was shorter than in case of traditional CFs

Surgical and conservative treatment of patients with congenital scoliosis: α search for long-term results

<p>Abstract</p> <p>Background</p> <p>In view of the limited data available on the conservative treatment of patients with congenital scoliosis (CS), early surgery is suggested in mild cases with formation failures. Patients with segmentation failures will not benefit from conservative treatment. The purpose of this review is to identify the mid- or long-term results of spinal fusion surgery in patients with congenital scoliosis.</p> <p>Methods</p> <p>Retrospective and prospective studies were included, reporting on the outcome of surgery in patients with congenital scoliosis. Studies concerning a small numbers of cases treated conservatively were included too. We analyzed mid-term (5 to 7 years) and long-term results (7 years or more), both as regards the maintenance of the correction of scoliosis and the safety of instrumentation, the early and late complications of surgery and their effect on quality of life.</p> <p>Results</p> <p>A small number of studies of surgically treated patients were found, contained follow-up periods of 4-6 years that in the most cases, skeletal maturity was not yet reached, and few with follow-up of 36-44 years. The results of bracing in children with congenital scoliosis, mainly in cases with failure of formation, were also studied.</p> <p>Discussion</p> <p>Spinal surgery in patients with congenital scoliosis is regarded in short as a safe procedure and should be performed. On the other hand, early and late complications are also described, concerning not only intraoperative and immediate postoperative problems, but also the safety and efficacy of the spinal instrumentation and the possibility of developing neurological disorders and the long-term effect these may have on both lung function and the quality of life of children.</p> <p>Conclusions</p> <p>Few cases indicate the long-term results of surgical techniques, in the natural progression of scoliosis. Similarly, few cases have been reported on the influence of conservative treatment.</p> <p>In conclusion, patients with segmentation failures should be treated surgically early, according to the rate of deformity formation and certainly before the pubertal growth spurt to try to avoid cor- pulmonale, even though there is lack of evidence for that in the long-term. Furthermore, in patients with formation failures, further investigation is needed to document where a conservative approach would be necessary.</p

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Not AvailableThis study assessed the vulnerability of 16 floodplain wetlands (beels) of the Lower Brahmaputra Valley, Assam, India, in relation to a range of natural and anthropogenic factors including climate change. The total water-spread area of the selected beels varied widely (8–50 ha), with 68.75% of the beels showing a reduction in water-spread area over the past 30 years. High levels of siltation and encroachment and detachment of marginal areas through the construction of roads were the major factors responsible for the reduction in the water-spread area of the beels. The reduction was observed to be in the range of over 33% in three beels (Raghunath Sora, Chulkani, and Dudua beel) to 83% in Bhoishpuri beel. In addition, one beel (Chulkani) experienced reduction in its deep pool area, which is an important wetland area that provides shelter to brood fishes during the dry season. Only 12.5% of the beels studied practiced enclosure (pen) culture for rearing fish. None practiced cage culture. Our study showed that only two beels (Bhoishpuri and Tariachora) were free from exotic fishes; the remaining surveyed beels reported exotic species such as, Cyprinus carpio (Common Carp), Ctenopharyngodon idella (Grass Carp), Hypophthalmichthys molitrix (Silver Carp), H. nobilis (Bighead Carp) and Piaractus brachypomus (Pacu). The prevalence of exotic fishes in the majority of the beels (due both to escape from nearby aquaculture ponds during floods and intentional stocking in certain beels) would have adversely affected the diversity of indigenous fishes in those wetlands. From discussion with the fishers, 50% of the beels surveyed experienced a reduction in the number of fish species from that recorded 10–20 years ago. In addition to climate change-related factors (e.g. abnormal rains, floods, or drought-like situations), other factors – both natural (e.g. hyper-nutrification) and anthropogenic (e.g. construction of roads, houses, and other structures) – also adversely affected the studied wetlands. To help cope with these factors and increase the adaptive capacity of fishers, four measures aimed at mitigation are suggested. These are: the practice of enclosure aquaculture in beels; the construction of floating macrophyte refuges (katal); deep pool refuges; and stock enhancement programmes with climate-resilient indigenous fishes.Not Availabl

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Not AvailableOccurrence of abnormally developed gonads in fish is rather more uncommon in freshwater fish than marine fish. It is therefore worthwhile to disseminate the information of occurrence of a single-lobed ovary in Cirrhinus mrigala brood fish as an abnormal phenomenon. During April 2011 to March 2013, around 500 brood fish samples of Indian major carps (Labeo rohita, Catla catla and C. mrigala) were collected from different government and private fish farms of Assam and Tripura located in the Northeast of India. Among them, one C. mrigala specimen measuring 41 cm in total length and 640 g in weight collected from Ulubari fish seed farm of Guwahati, Assam during June, 2012 was found to have a single-lobed ovary instead of the normal bilobed structure. The ovary occupied the entire body cavity and the majority of ova were round and translucent. The ovary contributed substantially to the total body weight with gonado-somatic index of 32.81 which was the highest among all the mrigal specimens examined. The study indicates possibility of artificially inducing development of single-lobed ovary in C. mrigala for achieving possible higher spawn outputs in induced breeding of the cultivable species.Not Availabl

Effect of extreme climatic events on fish seed production in Lower Brahamaputra Valley, Assam, India: Constraint analysis and adaptive strategies

Not AvailableThe climate of Brahmaputra valley (located in the North-eastern Indian state of Assam) witnesses considerable changes with sub-tropical rain-storm atmosphere and has four well-defined seasons (monsoon, post-monsoon, winter and pre-monsoon) in a year. The state is experiencing extreme climatic events like erratic rainfall patterns (causing abnormally high floods) and drought-like situations in recent years, which adversely affects fish seed production thereby affecting pond aquaculture and fisheries enhancements in open-waters of the region. The present paper describes the major constraints faced by fish seed producers of the region because of extreme climatic events (abnormally high floods and prolonged dry spells) based on field studies in 27 fish seed production farms (randomly selected) located in three districts of Lower Brahmaputra Valley Zone of Assam, India. Primary data on different aspects of constraints faced by the fish seed producers because of extreme climatic events were collected and analysed. Rank Based Quotient values were calculated, based on ranks given by the fish seed producers for each constraint to prioritize them. Dominant constraint related to abnormally high floods faced by the fish seed producers was ‘loss of brood stock’ (Rank based quotient = 99.1) whereas the least important constraint was ‘entry of weeds/macrophytes’ during floods (Rank Based Quotient = 25.5). Constraints related to drought-like situations ranged from the least important ones like ‘low milt production of male brood fishes’ that had the lowest value (12.5) to the over-arching constraint of ‘inadequate water depth in fish ponds’ during pre-monsoon and prolonged dry spells (Rank Based Quotient = 100.0). Adaptive strategies developed by fish seed producers of the study region to overcome the major constraints have been outlined in the paper. The need for developing improved risk management at macro-level through appropriate policy support to fish seed producers in the fish-deficit region and suggested policy support measures for ensuring sustainability are discussed.Not Availabl