An infant case of ruptured umbilical hernia with eviscerated omentum after acupuncture

Serious acupuncture-related complications are rare in infants. We experienced a case of a 58-day-old infant with an umbilical hernia who received acupuncture from a non-professional guardian. Upon initial examination in the emergency department, the omentum protruded through the skin defect caused by acupuncture performed on top of the hernia. The infant underwent emergency surgery, and subsequently recovered uneventfully

Are Histrionic Personality Traits Associated with Irritability during Conscious Sedation Endoscopy?

Aim. We aimed to evaluate whether histrionic personality traits are associated with irritability during conscious sedation endoscopy (CSE). Materials and Methods. A prospective cross-sectional study was planned. Irritability during CSE was classified into five grades: 0, no response; I, minimal movement; II, moderate movement; III, severe movement; IV, fighting against procedure. Patients in grades III and IV were defined as the irritable group. Participants were required to complete questionnaire sheet assessing the extent of histrionic personality traits, extraversion-introversion, and current psychological status. The present authors also collected basic sociodemographic data including alcohol use history. Results. A total of 32 irritable patients and 32 stable patients were analyzed. The histrionic personality trait score of the irritable group was higher than that of the stable group (9.5 ± 3.1 versus 6.9 ± 2.9; P = 0.001), as was the anxiety score (52.8 ± 8.6 versus 46.1 ± 9.6; P = 0.004). Heavy alcohol use was more frequently observed in the irritable group (65.6% versus 28.1%; P = 0.003). In multivariate analysis, all these three factors were independently correlated with irritability during CSE. Conclusion. This study revealed that histrionic personality traits, anxiety, and heavy alcohol use can affect irritability during CSE

Heterologous Expression of Plant Cell Wall Degrading Enzymes for Effective Production of Cellulosic Biofuels

A major technical challenge in the cost-effective production of cellulosic biofuel is the need to lower the cost of plant cell wall degrading enzymes (PCDE), which is required for the production of sugars from biomass. Several competitive, low-cost technologies have been developed to produce PCDE in different host organisms such as Escherichia coli, Zymomonas mobilis, and plant. Selection of an ideal host organism is very important, because each host organism has its own unique features. Synthetic biology-aided tools enable heterologous expression of PCDE in recombinant E. coli or Z. mobilis and allow successful consolidated bioprocessing (CBP) in these microorganisms. In-planta expression provides an opportunity to simplify the process of enzyme production and plant biomass processing and leads to self-deconstruction of plant cell walls. Although the future of currently available technologies is difficult to predict, a complete and viable platform will most likely be available through the integration of the existing approaches with the development of breakthrough technologies.open8

Effect of accumulated vs continuous exercise on excess post-exercise oxygen consumption

Background: A continuous aerobic exercise program is an effective method of improving calorie consumption on the metabolism of skeletal muscle. However, studies report that accumulated exercise of 30 minutes divided into three sessions of 10 minutes is as effective as one continuous exercise session for 30 minutes. As yet, no study has compared the excess post-exercise oxygen consumption associated with accumulated exercise and continuous exercise over these timeframes. Objective: The primary purpose of this study was to compare the excess post-exercise oxygen consumption associated with performing continuous exercise for 30 minutes and three sessions of accumulated exercise for 10 minutes at the same intensity of 60% VO2max. Method: Posters about the study were posted on the February 2019 Konkuk university homepage and bulletin board, and a total of 34 college students (males, n=18; females, n=16) volunteered to participate. Using a balanced repeated-measures crossover design, the subjects randomly took two exercises: continuous exercise (1 x 30 minutes) or accumulated exercise (3 x 10 minutes), and the washout period between the two exercises was a week. All exercises were performed using an ergometer at 60% maximal oxygen consumption. Oxygen consumption and heart rate were monitored and measured during exercise and after exercise. Lipid profile and lactate acid were measured at rest, exercise end, exercise end plus 30 minutes, and exercise end plus 60 minutes. IBM SPSS Statistics 23 was used to perform a paired t-test, and the statistically significant difference was set at <.05. Results: Excess post-exercise oxygen consumption parameters (e.g., total oxygen consumption, total calorie, and summation of heart rate) were higher in accumulated exercise than in continuous exercise (p<.05). No significant difference in the calorie during exercise between CEx and AEx (p = .140). No significant difference was observed in the lipid profile between accumulated exercise and continuous exercise (p>.05). No significant differences were observed at rest, exercise end plus 30 minutes, exercise end plus 60 minutes in lactic acid in the blood (p <.05). However, at exercise end, it was significantly higher in the accumulated exercise (p<.01). Conclusions: This study confirmed that after equalizing energy expenditure for continuous exercise and accumulated exercise in participants in their 20s, accumulated exercise results in higher excess post-exercise oxygen consumption than continuous exercise. The data suggests that accumulated exercise may be more effective in reducing body fat than continuous exercise for a given amount of energy expenditure. [Ethiop.J. Health Dev. 2020;34(Special issue-3):84-90] Keywords: Continuous exercise, accumulated exercise, excess post-exercise oxygen consumptio

Surgical management of pilon fractures with large segmental bone defects using fibular strut allografts: a report of two cases

We present two patients with open pilon fractures with large bone defects treated successfully with fibular strut allografts. The patients were initially treated by massive irrigation, wound debridement, and temporary external fixation. After complete wound healing, the bone defects were managed. Because autologous iliac crest or fibular bone grafts were impossible to be harvested due to multiple fractures, the bone defects were reconstructed with fibular strut allografts. Fixation was performed with a periarticular distal tibia locking plate. At 2 months postoperatively, the patients ambulated with partial weight-bearing; at 6 months, they had full range of motion of the ankle joint and full weight-bearing