The Relationship Between Serum 25[OH]D Concentration and Orthopaedic Infection: A Case-Control Study

Background: An estimated one in two healthy adults in the United Kingdom suffer from low levels of 25[OH]D. Vitamin D is involved in modulating immune response, but there is less clarity over its role in orthopaedic infection. This study assesses the relationship between serum 25[OH]D concentration and orthopaedic infection. Methods: A total of 205 patients in a tertiary referral centre for orthopaedic infection were included in the study. They were divided into groups based on their infection status, matched by age and gender. Data were statistically analysed to determine presence and direction of relationship. Results: A total of 114 patients had an infection. There was no statistically significant difference in age or gender between the two groups. Mean serum 25[OH]D concentration was 39 nmol/L in the group with infection and 59 nmol/L in the group without an infection (p< 0.01). Overall mean serum 25[OH]D concentration was 48 nmol/L. There was a correlation between low serum 25[OH]D concentration and rate of infection (odds ratio, 5.94; 95% confidence interval [CI], 3.24 to 10.92) with a bivariate correlation of − 0.338 (p< 0.01). Conclusion: This study demonstrates an association between low levels of serum 25[OH]D and increased orthopaedic infection. Orthopaedic inpatients suffered from vitamin D insufficiency, and there was a correlation between higher levels of serum 25[OH]D and lower rates of infection. This suggests that prophylactic supplementation of 25[OH]D may improve outcomes, and provides a foundation for randomized controlled trials to assess its effectiveness in practice

Diphenyl (2-chloro­benzyl­amido)­phosphate

In the title compound, C19H17ClNO3P, the P atom exhibits a distorted tetra­hedral configuration. In the crystal, pairs of inter­molecular N—H⋯O(P) hydrogen bonds form centrosymmetric dimers

A Novel Apparatus for Simultaneous Laser-Light-Sheet Optical Particle Counting and Video Recording in the Same Measurement Chamber at High Temperature

A novel apparatus was developed, to investigate the detachment of particle structures consisting of soot and ash from a single fibre or a fibre array in hot gas flow. Key features of the novel apparatus are operation at high temperatures while two different measurement techniques are applied simultaneously in the same measurement chamber to observe particle structure detachment from a loaded fibre array. A heated inlet can heat the air stream at the position of the fibre array up to 470 °C, allowing detachment investigations at temperatures relevant for the operation of, e.g., soot particle filters. The first measurement technique integrated in the setup is video recording of the fibre array, which gives qualitative information on the rearrangement or detachment of particulate matter on the fibre. Because it is often difficult to distinguish rearrangement and detachment from pure visual observations, a second measurement technique is applied. This technique is a laser-light-sheet optical particle counter, which can detect detached particle structures and determine their size. The measurable size range is 257 to 1523 µm for glass spheres. This paper presents and discusses the novel apparatus, its calibration and first detachment measurement results

Experimental Investigation of Reactive-Inert Particulate Matter Detachment from Metal Fibres at Low Flow Velocities and Different Gas Temperatures

The detachment of particle structures from single fibres in gas flow has been investigated only for inert particle structures yet. This study investigates the detachment of particle structures containing reactive components. These reactive components disappear during the reaction and enhance detachment at low flow velocities. Soot was used as the reactive component and glass spheres as the inert component of the particle structure. The soot disappears due to combustion with oxygen leaving only the glass spheres on the fibre. Without reaction, the detachment phenomenon was observed at superficial flow velocities above 1.9 m/s and with reaction at 0.5 m/s. This shows that reacting and disappearing components of the particle structure can enhance detachment

Injury Severity Score coding: Data analyst v. emerging m-health technology

Background. The cost of Abbreviated Injury Scale (AIS) coding has limited its utility in areas of the world with the highest incidence of trauma. We hypothesised that emerging mobile health (m-health) technology could offer a cost-effective alternative to the current goldstandard AIS mechanism in a high-volume trauma centre in South Africa.Methods. A prospectively collected sample of consecutive patients admitted following a traumatic injury that required an operation during a 1-month period was selected for the study. AISs and Injury Severity Scores (ISSs) were generated by clinician-entered data using an m-health application (ISS eTHR) as well as by a team of AIS coders at Vancouver General Hospital, Canada (ISS VGH). Rater agreements for ISSs were analysed using Bland-Altman plots with 95% limits of agreement (LoA) and kappa statistics of the ISSs grouped into ordinal categories. Reliability was analysed using a two-way mixed-model intraclass correlation coefficient (ICC). Calibration and discrimination of univariate logistic regression models built to predict in-hospital complications using ISSs coded by the two methods were also compared.Results. Fifty-seven patients were managed operatively during the study period. The mean age of the cohort was 27.2 years (range 14 - 62), and 96.3% were male. The mechanism of injury was penetrating in 93.4% of cases, of which 52.8% were gunshot injuries. The LoA fell within –8.6 - 9.4. The mean ISS difference was 0.4 (95% CI –0.8 - 1.6). The kappa statistic was 0.53. The ICC of the individual ISS was 0.88 (95% CI 0.81 - 0.93) and the categorical ISS was 0.81 (95% CI 0.68 - 0.87). Model performance to predict in-hospital complications using either the ISS eTHR or the ISS VGH was equivalent.Conclusions. ISSs calculated by the eTHR and gold-standard coding were comparable. Emerging m-health technology provides a costeffective alternative for injury severity scoring

A study on the abundance and species diversity of cynipid wasps (Hym.: Cynipidae) in West Azerbaijan province, Iran

The induced galls by oak gall wasps were collected from various oak forests of Iranian province of West Azerbaijan in the regions of Ghabre-Hossein, Mir-Abad, Vavan, Shalmash, Rabat and Dar-Ghabr during from April to November 2009. The optimum number of samples was found to be 40 oak trees. In each tree, as a sampling unit, all of the existing galls were counted. The species richness of oak gall wasps in the West Azerbaijan province was measured and the parameters such as Simpsonâs, Shannonâs H', and Sorensen similarity indexes were calculated. In this study, 35 species of oak gall wasps on the oak tree species of Quercus infectoria, Q. brantii and Q. libani were identified. Most galls were observed on Q. infectoria. All of the collected oak gall wasp species belonged to the genera Andricus Hartig, Cynips L., Neuroterus Hartig, Biorhiza Westwood, Pseudoneuroterus Kinsey, Chilaspis Mayr and Aphelonyx Mayre. The genus Andricus included 23 species of oak gall wasps. The highest Simpson and Shannon indexes were recorded for the spring galls of Mir-Abad and for the fall galls of Ghabre-Hossein and Dar-Ghabr regions. The Sorensen similarity index reached its peak for the spring galls (sexual generation of oak gall wasps) of Ghabre-Hossein and Mir-Abad and for the fall galls (asexual generation of oak gall wasps) of Ghabre-Hossein and Dar-Ghabr. The distribution of oak species and subspecies, and geographical and climatic aspects are believed to be among the key factors for the species diversity of oak gall wasps

Trauma Surveillance in Cape Town, South Africa: An Analysis of 9236 Consecutive Trauma Center Admissions.

PublishedJournal ArticleResearch Support, Non-U.S. Gov'tThis is the final version of the article. Available from American Medical Association via the DOI in this record.IMPORTANCE: Trauma is a leading cause of death and disability worldwide. In many low- and middle-income countries, formal trauma surveillance strategies have not yet been widely implemented. OBJECTIVE: To formalize injury data collection at Groote Schuur Hospital, the chief academic hospital of the University of Cape Town, a level I trauma center, and one of the largest trauma referral hospitals in the world. DESIGN, SETTING, AND PARTICIPANTS: This was a prospective study of all trauma admissions from October 1, 2010, through September 30, 2011, at Groote Schuur Hospital. A standard admission form was developed with multidisciplinary input and was used for both clinical and data abstraction purposes. Analysis of data was performed in 3 parts: demographics of injury, injury risk by location, and access to and maturity of trauma services. Geographic information science was then used to create satellite imaging of injury "hot spots" and to track referral patterns. Finally, the World Health Organization trauma system maturity index was used to evaluate the current breadth of the trauma system in place. MAIN OUTCOMES AND MEASURES: The demographics of trauma patients, the distribution of injury in a large metropolitan catchment, and the patterns of injury referral and patient movement within the trauma system. RESULTS: The minimum 34-point data set captured relevant demographic, geographic, incident, and clinical data for 9236 patients. Data field completion rates were highly variable. An analysis of demographics of injury (age, sex, and mechanism of injury) was performed. Most violence occurred toward males (71.3%) who were younger than 40 years of age (74.6%). We demonstrated high rates of violent interpersonal injury (71.6% of intentional injury) and motor vehicle injury (18.8% of all injuries). There was a strong association between injury and alcohol use, with alcohol implicated in at least 30.1% of trauma admissions. From a systems standpoint, the data suggest a mature pattern of referral consistent with the presence of an inclusive trauma system. CONCLUSIONS AND RELEVANCE: The implementation of injury surveillance at Groote Schuur Hospital improved insights about injury risk based on demographics and neighborhood as well as access to service based on patterns of referral. This information will guide further development of South Africa's already advanced trauma system.This work was supported by the Canadian Institute for Health Research and the Social Sciences and Humanities Research Council

A critical comparison between dosage forms in traditional Persian pharmacy and those reported in current pharmaceutical sciences

There were many natural pharmaceutical dosage forms cited by Persian pharmacists and physicians in the historical pharmacopeias (Qarabadins). This work aimed to perform a comprehensive study on “Qarābādin-e-Sālehi” (1765 A.D.), one of the main Persian pharmaceutical manuscripts defining traditional dosage forms. All traditional dosage forms as well as their definitions, descriptions and considerations were extracted by reviewing “Qarābādin-e-Sālehi”. Then, the textbook of “Aulton's Pharmaceutics; the design and manufacture of medicines” was considered to compare the medieval knowledge of pharmaceutics with current ones. Overall, there were 226 different dosage forms which have been cited in traditional Persian pharmacy. Since many of them were related to the preparation method, the final list of dosage form was shortened to nearly 60 items including solid, semisolid, liquid and gaseous forms. On the other hand, almost 40 forms with oral, topical, nasal, parenteral, vaginal and rectal routes of administration are mentioned as current dosage forms. Some of the dosage forms are similar or as the same in traditional and current pharmacy. But, there were too many novel dosage forms in traditional Persian pharmacy. There were 11 types of traditional nasal forms whereas, this route is still known as a novel route of administration. Also 5 different ophthalmic dosage forms have been cited in the textbook. Many of traditional dosage forms were designed according to the medical purposes. Several current dosage forms have roots in the historical definitions and can be found in Persian medicine. However, there are forgotten traditional dosage forms which can be modified and optimized in pharmacy nowadays

B Cell Epitopes of Four Fimbriae Antigens of Klebsiella pneumoniae: A Comprehensive In Silico Study for Vaccine Development

Klebsiella pneumoniae is one of the major causes of nosocomial infections worldwide which can cause several diseases in children and adults. The globally dissemination of hyper-virulent strains of K. pneumoniae and the emergence of antibiotics-resistant isolates of this pathogen narrows down the treatment options and has renewed interest in its vaccines. Vaccine candidates of Klebsiella pneumoniae have not been adequately protective, safe and globally available yet. In K. pneumoniae infection, it is well known that B cells that induce robust humoral immunity are necessary for the host complete protection. Identifying the B cell epitopes of antigens is valuable to design novel vaccine candidates. In the present study using immunoinformatics approaches we found B cell epitopes of four K. pneumoniae type 1 fimbriae antigens namely FimA, FimF, FimG, and FimH. Linear and conformational B cell epitopes of each antigen were predicted using different programs. Subsequently, many bioinformatics assays were applied to choose the best epitopes including prediction antigenicity, toxicity, human similarity and investigation on experimental records. These assays resulted in final four epitopes (each for one Fim protein). These final epitopes were modeled and their physiochemical properties were estimated to be used as potential vaccine candidates. Altogether, we found four B cell epitopes of K. pneumoniae Fim antigens that are immunogen, antigenic, not similar to human peptides, not allergen and not toxic. Also, they have suitable physiochemical properties to administrate as vaccine, although their complete efficacy should be also shown in vitro and in vivo. © 2020, Springer Nature B.V