Simultaneous arthroscopic cystectomy and unicompartmental knee arthroplasty for the management of partial knee osteoarthritis with a popliteal cyst: A case report

IntroductionPopliteal cysts are secondary to degenerative changes in the knee joint. After total knee arthroplasty (TKA), 56.7% of patients with popliteal cysts at 4.9 years follow-up remained symptomatic in the popliteal area. However, the result of simultaneous arthroscopic cystectomy and unicompartmental knee arthroplasty (UKA) was uncertain.Case presentationA 57-year-old man was admitted to our hospital with severe pain and swelling in his left knee and the popliteal area. He was diagnosed with severe medial unicompartmental knee osteoarthritis (KOA) with a symptomatic popliteal cyst. Subsequently, arthroscopic cystectomy and unicompartmental knee arthroplasty (UKA) were performed simultaneously. A month after the operation, he returned to his normal life. There was no progression in the lateral compartment of the left knee and no recurrence of the popliteal cyst at the 1-year follow-up.ConclusionFor KOA patients with a popliteal cyst seeking UKA, simultaneous arthroscopic cystectomy and UKA are feasible with great success if managed appropriately

A tau fragment links depressive-like behaviors and cognitive declines in Alzheimer’s disease mouse models through attenuating mitochondrial function

IntroductionAlzheimer’s disease (AD) is the most prevalent neurodegenerative disease characterized by extracellular senile plaques including amyloid-β peptides and intracellular neurofibrillary tangles consisting of abnormal Tau. Depression is one of the most common neuropsychiatric symptoms in AD, and clinical evidence demonstrates that depressive symptoms accelerate the cognitive deficit of AD patients. However, the underlying molecular mechanisms of depressive symptoms present in the process of AD remain unclear.MethodsDepressive-like behaviors and cognitive decline in hTau mice were induced by chronic restraint stress (CRS). Computational prediction and molecular experiments supported that an asparagine endopeptidase (AEP)-derived Tau fragment, Tau N368 interacts with peroxisome proliferator-activated receptor delta (PPAR-δ). Further behavioral studies investigated the role of Tau N368-PPAR-δ interaction in depressive-like behaviors and cognitive declines of AD models exposed to CRS.ResultsWe found that mitochondrial dysfunction was positively associated with depressive-like behaviors and cognitive deficits in hTau mice. Chronic stress increased Tau N368 and promoted the interaction of Tau N368 with PPAR-δ, repressing PPAR-δ–mediated transactivation in the hippocampus of mice. Then we predicted and identified the binding sites of PPAR-δ. Finally, inhibition of AEP, clearance of Tau N368 and pharmacological activation of PPAR-δ effectively alleviated CRS-induced depressive-like behaviors and cognitive decline in mice.ConclusionThese results demonstrate that Tau N368 in the hippocampus impairs mitochondrial function by suppressing PPAR-δ, facilitating the occurrence of depressive-like behaviors and cognitive decline. Therefore, our findings may provide new mechanistic insight in the pathophysiology of depression-like phenotype in mouse models of Alzheimer’s disease

Wavelet Coherence Analysis with an Application of Brain Images

Wavelet analysis has become an emerging method in a wide range of applications with non-stationary data. In this work, we apply wavelets to tackle the problem of estimating dynamic association in a collection of multivariate non-stationary time series. Coherence is a common metric for linear dependence across signals. However, it assumes static dependence and does not sufficiently model many biological processes with time-evolving dependence structures. We explore continuous wavelet analysis for modeling and estimating such dynamic dependence under the replicated multivariate time series settings. Wavelet transformation provides a decomposition of signals that localizes in both time and frequency domains, hence extracts time-evolving and scale-specific features. Under this setting, we rigorously define and estimate wavelet coherency, standardized wavelet coherency, and partial wavelet coherency. While the first two coherency measure marginal linear dependence for bivariate time series, the last one measures the conditional linear dependence in multivariate settings, which identifies the direct association. The properties and consistency of the proposed estimators are established. We further develop the permutation test and bootstrap confidence intervals for the power spectrum of coherency and partial coherency. The presented methodology is demonstrated via simulations and applied to the fMRI data in a study of Alzheimer’s Disease

Factors affecting stock returns of firms listed on the Singapore Stock Exchange

To examine cross-sectional relationships between average and long run returns of a firm and its size coupled with its book-to-market equity ratio. Our analysis included all firms continually listed on the SGX Mainboard and SESDAQ and conducted for the five-period from June 1998 to June 2003

Formation of side discharges in dielectric barrier discharge

Pattern formation and self-organization are fascinating phenomena found widely in nature and in laboratory environment such as dielectric barrier discharge (DBD). Significant efforts have been made to explain the dynamic pattern formation. In DBD, the formation of side discharges is generally supposed to be a key factor responsible for diversity and spatial-temporal symmetry breaking of pattern formation. However, it is still not clear how such discharges are induced. Here, we present the observations of side discharges in a filamentary dielectric barrier discharge from both numerical simulations and experiments. Two-dimensional particle-in-cell simulations with Monte Carlo collisions included have revealed formation dynamics of side discharges, suggesting that transverse plasma diffusion and ion induced secondary electron emission play critical roles. Moreover, a novel honeycomb superlattice pattern is observed in experiment, where the side discharges associated with honeycomb superlattice are verified by utilizing a high speed camera. Experimental observations and numerical simulation are in good agreement

Does Masked Hypertension Cause Early Left Ventricular Impairment in Youth?

Objectives: Masked hypertension (MH) is not uncommon in the youth and may increase risks of long-term cardiovascular impairment. However, little is known about the subclinical heart damage in this group of patients. Currently, 3-layer speckle tracking imaging based on two-dimensional echocardiography is feasible to detect the early signs of myocardial damage. We therefore aimed to investigate whether subtle changes of cardiac function occurred in the young MH patients by using advanced quantification with layer-specific speckle tracking.Methods: A total of 40 adolescents with MH (age 18 ± 3 years, 73% males) and 40 age-, gender-, race-, and height-matched normotensive volunteers were enrolled in our study. MH was defined as one or more of the ambulatory blood pressure (BP) parameters (24-h, daytime and night-time average BPs) higher than ≥ 95th percentile for gender and height according to the local reference. Both comprehensive two-dimensional echocardiography with layer-specific strain analysis and 24-h ambulatory BP monitoring were performed. Longitudinal strain and circumferential strain in endocardial, mid-myocardial, and epicardial layers were determined accordingly with the dedicated software (EchoPAC software version 201, GE Healthcare, Horten, Norway).Results: Compared with normotensive controls, youths with MH had higher ambulatory pulse rate and left ventricular mass index, and were more obese. Interestingly, similar ventricular volumes and ejection fraction were observed in the study groups, but further analysis with layer-specific strains revealed that endocardial and mid-myocardial longitudinal and circumferential mechanical function were decreased in the young MH subjects when compared to normotensive individuals (all p < 0.05). However, there were no difference regarding radial strain and apical rotation derived from traditional speckle tracking analysis.Conclusion: Subclinical change of LV mechanic function assessed by layer-specific speckle tracking is present in youth with MH despite considered as normal with conventional ways.Thus, MH in youth should be monitored closely instead of labeling as an entirely benign entity

Prevalence and factors associated with nonalcoholic fatty liver disease in shanghai work-units

Abstract Backgrounds Nonalcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease in Asians. However, data on prevalence and factors associated with NAFLD in Asians are lacking. The aim of this study is to investigate the prevalence of NAFLD in Shanghai employees to assess the relationship between NAFLD and age, gender, metabolic risk factors in this studied population. Methods We selected 7152 employees of Shanghai work-units. Each of them underwent detailed medical history-taking, physical examination, laboratory assessments and abdominal ultrasonography. The diagnosis of NAFLD was done according to established criteria. Receiver operating characteristics (ROC) curves were applied to detect areas under the ROC curves for each index. Nominal logistic regression analysis was used to estimate the odds ratio for risk factors of NAFLD. Results About 38.17% employees had NAFLD, more in men than in women. The prevalence of NAFLD increased with increasing age. In both genders, the prevalence of metabolic factors was higher in the NAFLD group. Body max index, waist circumference, weight-to-height ratio, blood pressure, blood glucose, total cholesterol, triglyceride, low density lipoprotein, high density lipoprotein and uric acid were found to have a diagnostic value for NAFLD. Body max index is a better index for diagnosing NAFLD. Uric acid is a new diagnosing index not inferior to lipid metabolic factors. Metabolic factors can increase the risk of NAFLD up to 1.5 ~ 3.8 times. Conclusions Older age, male gender, metabolic factors such as obesity, abdominal obesity, dyslipidemia, hypertension or type 2 diabetes are risk factors for NAFLD. Prevalence of NAFLD in Shanghai employees is high. Prevention is extremely important. Those achieve the critical point should have early intervention.</p

Predicting future distributions and dispersal pathways for precautionary management of human-raccoon dog conflicts in metropolitan landscapes

Human-wildlife conflicts in cities are becoming increasingly common worldwide and are a challenge to urban biodiversity management and landscape planning. In comparison to compensatory management, which often focuses on addressing emergency conflicts, precautionary management allows decision-makers to better allocate limited resources on prioritized areas and initiate long-term actions in advance. However, precautionary approaches have rarely been developed or applied in biodiversity conservation. Since 2020, human-raccoon dog conflicts in Shanghai, one of the largest cities in the world, have tripled in reported number due to the rapid spread of the species in the city from 70 residential districts in 2020 to 249 residential districts in 2022. Here, we use ensemble and circuit modeling to predict suitable raccoon dog habitat and identify their potential dispersal pathways to aid the development of precautionary management strategies. We find that raccoon dog distribution is positively associated with several anthropogenic factors, including residential buildings and nighttime light, which could be signs that the species’ foraging behavior has adapted to the urban environment. We find that raccoon dogs only occupy 10.1% of its suitable habitat, and thus there is a high potential for the expansion of the raccoon dog population and more frequent human-raccoon dog conflicts in the near future. We predict 60 potential dispersal pathways across Shanghai, seven of which cross densely human populated areas and are likely to trigger excessive conflicts. Based on our findings, we propose priority areas where precautionary management strategies, such as constraining stray animal feeding and wildlife-vehicle collision prevention, would potentially alleviate human-raccoon dog conflicts. We present the first study on the precautionary approach of human-wildlife conflict in China’s major cities, and provide a practical example of how comprehensive modeling approaches can be used as the foundation of precautionary management in urban landscapes