Effects of different initial bundle tensioning strategies on the outcome of double-bundle ACL reconstruction: a cohort study

<p>Abstract</p> <p>Background</p> <p>This study was performed to investigate the effects of different strategies and initial tension applied to each one of the bundles, antero-medial (AM) and postero-lateral (PL), on clinical outcome in double bundle (DB) ACL reconstruction.</p> <p>Methods</p> <p>One hundred fifty-one primary unilateral DB ACL reconstructions performed by a single surgeon from 1994 through 2002 were included in the study with a follow-up of at least 24 months. They were divided in the following 3 groups: Group I - Higher initial tension applied manually in the AM bundle compared to PL. II - Higher tension applied in the PL bundle compared to AM. III - The 2 bundles were attempted to be equally tensioned. All fixations were performed in 30 degrees of flexion. Group I = 59 patients, group II = 53 patients and group III = 39 patients. The groups had no statistical differences concerning demographic distribution. Clinical outcome was retrospectively evaluated by use of knee range of motion, manual knee laxity tests, KT-1000, Lysholm knee scale, subjective recovery scale and sports performance recovery scale. The differences of data were analyzed among the three groups.</p> <p>Results</p> <p>Group I showed a significant extension deficit compared with groups II and III. ANOVA revealed a significant difference of anterior laxity measured by the KT-1000 (average KT difference of 2.1, 2.1 and 1.2 mm in Group I, II and III, respectively). A statistical difference was found among the three groups regarding subjective and sports performance recovery scales with Group II showing higher scores in recovery than Group I.</p> <p>Conclusions</p> <p>The current clinical study does not recommend manual maximum of initial tension applied to the anteromedial or posterolateral bundles with graft tension imbalance at 30 degrees of flexion in double-bundle ACL reconstruction to achieve a better clinical outcome.</p

The Heterochromatin Block That Functions as a Rod Cell Microlens in Owl Monkeys Formed within a 15-Myr Time Span

In rod cells of many nocturnal mammals, heterochromatin localizes to the central region of the nucleus and serves as a lens to send light efficiently to the photoreceptor region. The genus Aotus (owl monkeys) is commonly considered to have undergone a shift from diurnal to nocturnal lifestyle. We recently demonstrated that rod cells of the Aotus species Aotus azarae possess a heterochromatin block at the center of its nucleus. The purpose of the present study was to estimate the time span in which the formation of the heterochromatin block took place. We performed three-dimensional hybridization analysis of the rod cell of another species, Aotus lemurinus. This analysis revealed the presence of a heterochromatin block that consisted of the same DNA components as those in A. azarae. These results indicate that the formation was complete at or before the separation of the two species. Based on the commonly accepted evolutionary history of New World monkeys and specifically of owl monkeys, the time span for the entire formation process was estimated to be 15 Myr at most

Intracellular secretion analysis of therapeutic antibodies in engineered high- producible CHO cells

The Chinese Hamster Ovary (CHO) cell is the most commonly used cell line for the production of therapeutic recombinant proteins. The improvements in target gene amplification and culture method have contributed in achieving a very high productivity. Some studies have focused on post-translational secretion processes, and overexpression of proteins which work in the secretion pathway successfully increased the productivity [1]. However, those studies were performed based on the knowledge obtained from the normal, adherent cultured cells, and the detailed secretion processes of recombinant proteins in engineered, suspension cultured cells is still unclear. To clarify problems and to find new targets for a more efficient establishment of high producers, the basic analyses about the secretion in engineered, high-producible CHO cells were performed. Please click Additional Files below to see the full abstract

TCP Using Adaptive FEC to Improve Throughput Performance in High-Latency Environments

Packet losses significantly degrade TCP performance in high-latency environments. This is because TCP needs at least one round-trip time (RTT) to recover lost packets. The recovery time will grow longer, especially in high-latency environments. TCP keeps transmission rate low while lost packets are recovered, thereby degrading throughput. To prevent this performance degradation, the number of retransmissions must be kept as low as possible. Therefore, we propose a scheme to apply a technology called “forward error correction” (FEC) to the entire TCP operation in order to improve throughput. Since simply applying FEC might not work effectively, three function, namely, controlling redundancy level and transmission rate, suppressing the return of duplicate ACKs, interleaving redundant packets, were devised. The effectiveness of the proposed scheme was demonstrated by simulation evaluations in high-latency environments

Compressing Packets Adaptively Inside Networks

Introducing adaptive online data compression at network-internal nodes is considered for alleviating traffic congestion on the network. In this paper, we assume that advanced relay nodes, which possess both a relay function (network resource) and a processing function (computational and storage resources), are placed inside the network, and we propose an adaptive online lossless packet compression scheme utilized at these nodes. This scheme selectively compresses a packet according to its waiting time in the queue during congestion. Through preliminary investigation using actual traffic datasets, we investigate the compression ratio and processing time of packet-by-packet compression in actual network environments. Then, by means of computer simulations, we show that the proposed scheme reduces the packet delay time and discard rate and investigate factors necessary in achieving efficient packet relay

Effect of introduction of chondroitin sulfate into polymer-peptide conjugate responding to intracellular signals

We recently developed a novel tumor-targeted gene delivery system responding to hyperactivated intracellular signals. Polymeric carrier for gene delivery consists of hydrophilic neutral polymer as main chains and cationic peptide substrate for target enzyme as side chains, and was named polymer-peptide conjugate (PPC). Introduction of chondroitin sulfate (CS), which induces receptor-medicated endocytosis, into polymers mainly with a high cationic charge density such as polyethylenimine can increase tumor-targeted gene delivery. In the present study, we examined whether introduction of CS into PPC containing five cationic amino acids can increase gene expression in tumor cells. Size and zeta potential of plasmid DNA (pDNA)/PPC/CS complex were <200 nm and between -10 and -15 mV, respectively. In tumor cell experiments, pDNA/PPC/CS complex showed lower stability and gene regulation, compared with that of pDNA/PPC. Moreover, no difference in gene expression was identified between positive and negative polymer. These results were caused by fast disintegration of pDNA/PPC/CS complexes in the presence of serum. Thus, we suggest that introduction of negatively charged CS into polymers with a low charge density may lead to low stability and gene regulation of complexes

Analysis of human synovial and bone marrow mesenchymal stem cells in relation to heat-inactivation of autologous and fetal bovine serums

<p>Abstract</p> <p>Background</p> <p>Though sera are essential for Mesenchymal stem cells (MSCs), the effect of heat-inactivation remains unknown. Autologous human serum is recommended for clinical use; however, it is unclear whether differentiation potentials are maintained. To examine whether heat-inactivation of serum affected the proliferation and whether autologous human serum influenced their multipotentiality.</p> <p>Methods</p> <p>After whole blood collection, human synovium and bone marrow were harvested. Nucleated cells were expanded with autologous human serum and FBS.</p> <p>Results</p> <p>Heat-inactivation of autologous human serum enhanced proliferation of synovial MSCs. Heat-inactivation of each types of serum didn't affect calcification of synovial MSCs. The induction of calcification increased ALP activity, with the exception of bone marrow MSCs with autologous human serum. For adipogenesis of synovial MSCs, the Oil Red-O positive colony forming efficiency with autologous human serum was similar to or less than that with FBS.</p> <p>Conclusion</p> <p>These clarified the processing of human autologous serum and the influence of different sera for differentiation of synovial and bone marrow MSCs.</p