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1.
Biomacromolecules ; 25(2): 1246-1261, 2024 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-38305191

RESUMO

Preserving stable tooth-periodontal tissue integration is vital for maintaining alveolar bone stability under physiological conditions. However, tooth extraction compromises this integration and impedes socket healing. Therefore, it becomes crucial to provide early stage coverage of the socket to promote optimal healing. Drawing inspiration from the periodontium, we have developed a quaternized methacryloyl chitosan/dopamine-grafted oxidized sodium alginate hydrogel, termed the quaternized methacryloyl chitosan/dopamine-grafted oxidized sodium alginate hydrogel (QDL hydrogel). Through blue-light-induced cross-linking, the QDL hydrogel serves as a comprehensive wound dressing for socket healing. The QDL hydrogel exhibits remarkable efficacy in closing irregular tooth extraction wounds. Its favorable mechanical properties, flexible formability, and strong adhesion are achieved through modifications of chitosan and sodium alginate derived from biomass sources. Moreover, the QDL hydrogel demonstrates a superior hemostatic ability, facilitating swift blood clot formation. Additionally, the inherent antibacterial properties of the QDL hydrogel effectively inhibit oral microorganisms. Furthermore, the QDL hydrogel promotes angiogenesis, which facilitates the nutrient supply for subsequent tissue regeneration. Notably, the hydrogel accelerates socket healing by upregulating the expression of genes associated with wound healing. In conclusion, the periodontium-mimicking multifunctional hydrogel exhibits significant potential as a clinical tooth extraction wound dressing.


Assuntos
Quitosana , Hidrogéis , Hidrogéis/farmacologia , Biomassa , Quitosana/farmacologia , Dopamina , Periodonto , Alginatos/farmacologia , Antibacterianos/farmacologia
2.
Public Health Nutr ; 27(1): e118, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38600858

RESUMO

OBJECTIVE: This study aimed to evaluate the methodological quality of existing meta-analyses (MA) and the quality of evidence for outcome indicators to provide an updated overview of the evidence concerning the therapeutic efficacy of the Mediterranean diet (MD) for various types of CVD. DESIGN: We conducted comprehensive searches of PubMed, Cochrane Library, and Embase databases. The quality of the MA was assessed using the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) checklist, while the Grading of Recommendations Assessment, Development and Evaluation (GRADE) evidence evaluation system was employed to evaluate the quality of evidence for significant outcomes. SETTING: The CVD remains a significant contributor to global mortality. Multiple MA have consistently demonstrated the efficacy of medical interventions in managing CVD. However, due to variations in the scope, quality and outcomes of these reviews, definitive conclusions are yet to be established. PARTICIPANTS: This study included five randomized trials and twelve non-randomized studies, with a combined participant population of 716 318. RESULTS: The AMSTAR 2 checklist revealed that 54·55 % of the studies demonstrated high quality, while 9·09 % exhibited low quality, and 36·36 % were deemed critically low quality. Additionally, there was moderate evidence supporting a positive correlation between MD and CHD/acute myocardial infarction, stroke, heart failure, cardiovascular events, coronary events and major adverse cardiovascular events. CONCLUSIONS: This study indicates that although recognizing the potential efficacy of MD in managing CVD, the quality of the methodology and the evidence for the outcome indicators remain unsatisfactory.


Assuntos
Doenças Cardiovasculares , Dieta Mediterrânea , Humanos , Doenças Cardiovasculares/prevenção & controle , Dieta Mediterrânea/estatística & dados numéricos
3.
Arthroscopy ; 39(5): 1222-1231.e1, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36368520

RESUMO

PURPOSE: To investigate the conversion formulas between the Miniaci angle, presurgery parameters, and changes in presurgery parameters in open-wedge high tibial osteotomy (OWHTO), including hip-knee-ankle (HKA) angle, weightbearing line (WBL) percentage, mechanical medial proximal tibial angle (mMPTA), ΔHKA angle, ΔWBL percentage, ΔmMPTA, and other parameters. METHODS: From January 2012 to December 2019, 247 lower limbs of 144 patients with medial unicompartmental knee osteoarthritis combined with proximal tibia vara were enrolled. Inclusion criteria were adults, medial unicompartmental knee osteoarthritis, Kellgren-Lawrence classification grade ≤ III, mMPTA ≤ 85°, normal mechanical lateral distal femoral angle (85°-90°), and patella facing anterior in the bipedal standing position. Exclusion criteria were history of fracture, trauma, or orthopaedic surgery; developmental dysplasia of the hip or femoral head necrosis; femoral bowing deformity; deformity of the tibial shaft; and leg length discrepancy. Using standing whole-leg radiographs, an OWHTO simulation was performed to determine the Miniaci angle by delivering the WBL to the Fujisawa point. The relationship of the Miniaci angle, the presurgery parameters, and the changes in presurgery parameters were analyzed by Spearman's correlation and linear regression analyses. The relationship between the postsurgery HKA angle and presurgery parameters was analyzed by multiple linear regression model. RESULTS: The Miniaci angle showed a near-perfect correlation with the presurgery HKA angle (y = -1.05x + 192.10, r2 = 0.99), presurgery WBL percentage (y = -0.25x + 15.14, r2 = 0.97), ΔHKA angle (y = 1.04x - 0.03, r2 = 1.00), ΔWBL percentage (y = 0.25x - 0.52, r2 = 0.97), and ΔmMPTA (y = 1.04x - 0.03, r2 = 1.00). The ΔHKA angle showed nearly perfect correlation with the ΔmMPTA (y = 1.00x, r2 = 1.00), and ΔWBL percentage (y = 0.24x - 0.47, r2 = 0.97). CONCLUSIONS: The presurgery HKA angle, presurgery WBL percentage, ΔHKA angle, ΔWBL, and ΔmMPTA percentage are nearly perfectly correlated to the Miniaci angle, whereas the ΔmMPTA and ΔWBL percentage are nearly perfectly correlated to the ΔHKA angle. With the conversion formulas determined in the current study, surgeons can calculate the Miniaci angle based on the presurgery parameters without the assistance of digital software for complex surgical simulation. The Miniaci angle is closely related to the gap of the medial opening wedge. Based on the Miniaci angle and the depth of the osteotomy, surgeons can calculate the gap required before surgery using trigonometric functions and then simply measure the gap during surgery.


Assuntos
Osteoartrite do Joelho , Adulto , Humanos , Osteoartrite do Joelho/cirurgia , Tornozelo , Estudos Retrospectivos , Articulação do Joelho/cirurgia , Extremidade Inferior , Tíbia/cirurgia , Osteotomia , Suporte de Carga
4.
Knee Surg Sports Traumatol Arthrosc ; 31(4): 1515-1523, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34491381

RESUMO

PURPOSE: The purpose of the study is to determine whether the lateral tibial intercondylar eminence (LTIE) is a reliable reference for alignment correction in high tibial osteotomy (HTO). METHODS: A total of 1954 consecutive standing whole-leg radiography (WLR) examinations of 1373 adult patients with knee osteoarthritis between 2012 and 2019 were reviewed retrospectively; 145 patients were included, 53 males and 92 females, with a mean age of 63.3 years. Virtual simulation of HTO was performed to measure weight-bearing line (WBL) percentages and hip-knee-ankle (HKA) angles when the WBL passed through the Fujisawa, top, bottom, upper 1/3, and middle points of the lateral slope of the LTIE, and the positional relationship between the Fujisawa point and the lateral slope of the LTIE was determined. RESULTS: When the WBL passed through the top, bottom, upper 1/3, and middle points of the lateral slope of the LTIE, the mean WBL percentages were 57.7% ± 2.1%, 74.6% ± 3.3%, 63.4% ± 2.1%, and 66.2% ± 2.3%, respectively, and the mean HKA angles were 182.1° ± 0.5°, 185.9° ± 0.8°, 183.3° ± 0.5°, and 184.0° ± 0.5°, respectively. When the WBL passed through the Fujisawa point, it was passing through 28.6% ± 12.7% of the width of the lateral slope (the top and bottom points were defined as 0% and 100%, respectively). When the WBL passed through the middle and upper 1/3 points of the lateral slope of the LTIE, the majority of cases (96.1%-100%) were within the limits of acceptability, as defined by the widely accepted standard of a postoperative HKA angle ranging from 183° to 186°. CONCLUSION: The upper 1/3 and middle points of the lateral slope of the LTIE are reliable references for guiding the alignment correction in HTO. In clinical application, if 62%-66% of the postoperative WBL percentage is the acceptable target range, the upper 1/3 point of the lateral slope of the LTIE may be a better alternative than the midpoint. If the postoperative HKA angle between 183° and 186° is acceptable, the midpoint of the lateral slope of the LTIE may be better than the upper 1/3 point. These findings are crucial for the accuracy of the traditional intraoperative alignment assessment techniques. LEVEL OF EVIDENCE: IV.


Assuntos
Articulação do Joelho , Osteoartrite do Joelho , Adulto , Masculino , Feminino , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Tíbia/diagnóstico por imagem , Tíbia/cirurgia , Osteoartrite do Joelho/diagnóstico por imagem , Osteoartrite do Joelho/cirurgia , Osteotomia/métodos
5.
Osteoarthritis Cartilage ; 30(1): 100-109, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34699993

RESUMO

OBJECTIVE: This study aimed to investigate the abnormal subchondral trabecular bone (STB) remodeling in knee osteoarthritis (OA) under the influence of knee alignment [hip-knee-ankle (HKA) angle]. DESIGN: Forty-one patients with knee OA underwent radiographic examination before total knee arthroplasty (TKA) for the measurement of HKA angle. Tibial plateau specimens obtained during TKA were used for histomorphometric analyses to assess STB remodeling and cartilage degradation. Tartrate-resistant acidic phosphatase (TRAP) staining was used to test osteoclast activity. Osterix, osteocalcin, and sclerostin expression in the STB were determined using immunohistochemistry. RESULTS: The interaction between HKA angle and side (medial vs lateral of tibial plateau) was the main significant influence factor for STB remodeling and microstructure. The STB with the deviation of the knee alignment was accompanied by obvious abnormal bone remodeling and microstructural sclerosis. Bone volume fraction (BV/TV) was the only significant influence factor for OARSI score, the larger the BV/TV of STB, the higher the OARSI score of cartilage. Moreover, the tibial plateau affected by alignment had more TRAP + osteoclasts, Osterix + osteoprogenitors, and osteocalcin + osteoblasts and fewer sclerostin + osteocytes. CONCLUSIONS: The variation of tibial plateau STB remodeling activity and microstructure was associated with HKA angle and cartilage degradation. Knee malalignment may cause abnormal STB remodeling and microstructural sclerosis, which may potentially affect load stress transmission from the cartilage to the STB, thus resulting in accelerated knee OA progression.


Assuntos
Remodelação Óssea , Osso Esponjoso/patologia , Osteoartrite do Joelho/patologia , Idoso , Articulação do Tornozelo/diagnóstico por imagem , Cartilagem Articular , Estudos Transversais , Feminino , Articulação do Quadril/diagnóstico por imagem , Humanos , Articulação do Joelho/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade
6.
Ecotoxicol Environ Saf ; 246: 114189, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36265404

RESUMO

Chongqing Fuling shale gas field, the largest shale gas exploration site in China, produces a large amount of oil-based drill cuttings (OBDC) every year, which is a hazardous waste. Traditional treatment methods such as solidification/stabilization did not recycle the valuable components such as petroleum hydrocarbons. Pyrolysis is proven to be an efficient method that can recover those components. This study firstly investigated the pyrolysis kinetics by two different methods on the basis of detailed material characterization, and then taking the workers and the surrounding ecological environment as the analysis object, the human health risk assessment (HHRA) and ecological risk assessment were evaluated respectively before and after pyrolysis. The results showed that the pyrolysis of OBDC was divided into three stages, and the cracking of light hydrocarbons stage was the key control step for pyrolysis process. The activation energy E increased gradually during the pyrolysis progress. The HHRA results showed that pyrolysis could greatly reduce the non-carcinogenic risk, carcinogenic risk and ecological risk by 59.6 %, 62.8 % and 75 % respectively. However, the carcinogenic risk after pyrolysis was still higher than the critical value 10-6.


Assuntos
Gás Natural , Petróleo , Humanos , Pirólise , Óleos , Hidrocarbonetos
7.
J Orthop Sci ; 26(6): 1036-1042, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33127211

RESUMO

BACKGROUND: The D-dimer test is easily available to detect periprosthetic joint infection (PJI). This study aimed to estimate the diagnostic accuracy of the D-dimer test in PJI diagnosis and identify possible independent factors affecting the diagnostic value of this test. METHODS: MEDLINE and EMBASE databases identified literature until February 2020 that utilized the D-dimer test for PJI diagnosis. The pooled sensitivity, specificity, area under the curve (AUC), diagnostic odds ratio (DOR), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were calculated to evaluate the diagnostic accuracy of the D-dimer test. Meta-regression and subgroup analyses were performed to assess potential heterogeneity. RESULTS: The databases identified 243 records, and eight studies were included in the final analysis. The pooled sensitivity and specificity of the D-dimer test for PJI diagnosis were 0.78 (95% confidence interval [CI], 0.69-0.84) and 0.74 (95% CI, 0.85-0.99), respectively. The AUCs and DORs of the D-dimer test were 0.83 (95% CI, 0.79-0.86) and 10 (95% CI, 4-24), respectively. The PLR and NLR of the D-dimer test for PJI detection were 3.0 (95% CI, 1.9-4.8) and 0.30 (95% CI, 0.20-0.47), respectively. The results of the meta-regression and subgroup analyses indicated that studies that excluded patients with hypercoagulation disorder had higher sensitivity (0.85 vs 0.86) and specificity (0.83 vs 0.62). The sensitivity of the D-dimer test also improved in studies that excluded patients with inflammatory arthritis (0.81 vs 0.75). CONCLUSION: The D-dimer test is a practical method for PJI diagnosis, especially in patients without history of hypercoagulation disorder and inflammatory arthritis.


Assuntos
Artrite Infecciosa , Infecções Relacionadas à Prótese , Biomarcadores , Produtos de Degradação da Fibrina e do Fibrinogênio , Humanos , Infecções Relacionadas à Prótese/diagnóstico , Sensibilidade e Especificidade
8.
Langmuir ; 36(14): 3862-3870, 2020 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-32109066

RESUMO

The commercial coconut shell-activated carbon was modified to change the number of oxygen-containing functional groups. N2 adsorption/desorption isotherms, Fourier transform infrared (FT-IR), and Boehm titration were adopted to describe the physical and chemical properties of the samples. The adsorption isotherms of CO2 and CH4 on both the unmodified and modified samples were measured. To better understand the effects of surface oxygen-containing functional groups on adsorption of CO2 and CH4, the overall adsorption could be considered as the result of adsorption within the pores and adsorption onto the oxygen-containing functional groups. Thus, a new way to understand different adsorption mechanisms by calculation was proposed. On the basis of the results, there is a significant correlation between the saturation adsorption capacity of CO2 and the number of oxygen-containing functional groups, especially carboxyl and hydroxyl. According to the values of enthalpy (-12.2 to -20 kJ/mol), it can be known that the adsorption caused by oxygen-containing functional groups is exothermic and belongs to physisorption. A semiempirical relationship between the variation of the surface oxygen-functional groups and the variation of the adsorbed amount was established. The method proposed in this paper provides a new way to study the effects of surface functional groups on the adsorption of CO2 and CH4 and can be even promoted in studying the adsorption mechanism of other adsorbates.

9.
J Clin Periodontol ; 47(12): 1476-1484, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32991010

RESUMO

AIM: To identify the molecular mechanisms mediating the persistent defensive functions of the self-renewing junctional epithelium (JE). MATERIALS AND METHODS: Two strains of Wnt reporter mice, Axin2CreErt2/+ ;R26RmTmG/+ and Axin2LacZ/+ , were employed, along with three clinically relevant experimental scenarios where the function of the JE is disrupted: after tooth extraction, after a partial gingivectomy, and after a complete circumferential gingivectomy. RESULTS: Using transgenic Wnt reporter strains of mice, we established the JE is a Wnt-responsive epithelium beginning at the time of its formation and that it maintains this status into adulthood. After tooth extraction, progeny of the initial Wnt-responsive JE population directly contributed to healing and ultimately adopted an oral epithelium (OE) phenotype. In the traditional partial gingivectomy model, the JE completely regenerated and did so via progeny of the original Wnt-responsive population. However, following circumferential gingivectomy, the OE was incapable of re-establishing a functional JE. CONCLUSIONS: A Wnt-responsive niche at the interface between tooth and oral epithelia is required for a functional JE.


Assuntos
Inserção Epitelial , Dente , Animais , Epitélio , Gengiva , Gengivectomia , Camundongos , Regeneração
10.
BMC Musculoskelet Disord ; 21(1): 623, 2020 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-32957942

RESUMO

BACKGROUND: The purpose of this study was to investigate the association between the severity of Developmental dysplasia of the hip (DDH) and the abnormality in pelvic incidence (PI). METHODS: This was a retrospective study analyzing 53 DDH patients and 53 non-DDH age-matched controls. Computed tomography images were used to construct three-dimensional pelvic model. The Crowe classification was used to classify the severity of DDH. The midpoint of the femoral head centers and sacral endplates were projected to the sagittal plane of the pelvis. The PI was defined as the angle between a line perpendicular to the sacral plate at its midpoint and a line connecting this point to the axis of the femoral heads. Independent sample t-tests were used to compare the differences between the PI of DDH group and the non-DDH controls group. Kendall's coefficient of concordance was used to determine the correlation between the severity of DDH and PI. RESULTS: Patients with DDH had a significantly (p = 0.041) higher PI than the non-DDH controls (DDH 47.6 ± 8.2°, normal 44.2 ± 8.8°). Crowe type I patients had a significantly (p = 0.038) higher PI (48.2 ± 7.6°) than the non-DDH controls. No significant difference between the PI in Crowe type II or III patients and the PI in non-DDH controls were found (Crowe type II, 50.2 ± 9.6°, p = 0.073; Crowe type III, 43.8 ± 7.2°, p = 0.930). No correlation was found between the severity of DDH and the PI (r = 0.091, p = 0.222). CONCLUSIONS: No correlation was found between the severity of DDH and the PI. The study confirmed that the PI in DDH (Crowe type I) group was higher than that of the non-DDH control group, while the PI does not correlate with the severity of DDH.


Assuntos
Artroplastia de Quadril , Displasia do Desenvolvimento do Quadril , Luxação Congênita de Quadril , Cabeça do Fêmur/diagnóstico por imagem , Luxação Congênita de Quadril/diagnóstico por imagem , Luxação Congênita de Quadril/epidemiologia , Luxação Congênita de Quadril/cirurgia , Humanos , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
11.
Ecotoxicol Environ Saf ; 191: 110181, 2020 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-31951901

RESUMO

The treatment of plants with heavy metals, whether they grow naturally in heavy metal contaminated soil or are used for remediation of heavy metal contaminated soil has attracted increasing attention. Pyrolysis is often used for the disposal of plants with heavy metals because it stabilizes heavy metals effectively and produces biochar. The resulting products of pyrolysis are in the form of solid components (char and ash), liquid components (bio-oil and tar), together with gas components (condensable and non-condensable vapor gas). The metal amount in the char or liquid and gaseous phases can be maximized or minimized via treating a plant feedstock containing heavy metals under different conditions. In addition, the potential risk of biochar produced from plants after pyrolysis becomes a research hotspot in the field of pyrolysis technology of plants containing heavy metals. Herein, we review current literatures that emphasize the influencing factors on the metal content in the biochar, liquid and gaseous phases, as well as the potential risk of biochar.


Assuntos
Carvão Vegetal/química , Metais Pesados/química , Plantas/metabolismo , Poluentes do Solo/química , Biodegradação Ambiental , Carvão Vegetal/toxicidade , Metais Pesados/análise , Metais Pesados/metabolismo , Pirólise , Eliminação de Resíduos , Poluentes do Solo/análise , Poluentes do Solo/metabolismo
12.
Ecotoxicol Environ Saf ; 188: 109906, 2020 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-31708226

RESUMO

Despite the toxicity of mercury for mammal has been widely studied in recent years, little is known on its impact on the soil microbiome. In this paper, the effects of mercury in soils microbial communities along a gradient of contamination from no to high concentration was assessed by the richness and diversity of microbial community using high throughput sequencing method. The richness of microbial community decreased gradually with the increase of culture time, while the low and medium concentration of mercury had little effect on the evenness of soil microbial community. Proteobacteria tolerated the mercury contamination, while Acidobacteria, Planctomycetes and Chloroflexi were sensitive to mercury pollution in phylum level. Omnitrophica and Ignavibacteriae microorganisms were very sensitive to mercury contamination and dead quickly when contaminated with mercury. Mercury contamination selected two mercury tolerance genuses which were Massilia and Burkholderia in genus level and at least 22 microorganisms such as Alkanindiges, Geothrix, Polycyclovorans and Sporichthya in genus which mainly from the Acidobacteria, Proteobacteria, Bacteroides, Chloroflexi and Omnitrophica phylum were sensitive to mercury. The bacteria tolerant to mercury in soil were Massilia and Burkholderia from Betaproteobacteria and Lysobacter, Luteimonas from Gammaproteobacteria, separately, they were Gram-negative bacteria with thin cell walls and complex ingredients that responded quickly to pollution stress.


Assuntos
Mercúrio/toxicidade , Microbiota/efeitos dos fármacos , Microbiologia do Solo , Poluentes do Solo/toxicidade , Bactérias/classificação , Bactérias/efeitos dos fármacos , Bactérias/genética , Tolerância a Medicamentos , Mercúrio/análise , RNA Ribossômico 16S/genética , Solo , Poluentes do Solo/análise , Especificidade da Espécie , Estresse Fisiológico
13.
J Clin Periodontol ; 46(7): 766-775, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31038760

RESUMO

AIM: This study aims to explore the effect of two commercially available haemostatic agents (i.e., collagen sponge and oxide cellulose) on early healing of the extraction socket. MATERIAL AND METHODS: In a murine model, bilateral maxillary first molars were extracted and the sockets were filled with or without haemostatic agents. Histology, histomorphometry and immunostaining assays were performed on samples harvested on postextraction day 1, 3, 7 and 14. In vitro studies were also designed to investigate the effect of agents on the dynamics of pH and viability of cells. RESULTS: Early socket healing was delayed by both agents but with different patterns. The migration of cells was impeded by oxide cellulose on postextraction day 1 compared with the collagen and the control group. The proliferation and osteogenic differentiation of cells were delayed by both materials. Moreover, apoptosis of periodontal ligament cells was present in the haemostatic agent groups. These effects are attributed to the compression to periodontal ligament by both agents, the acidic niche caused by oxide cellulose, and the intense foreign body reaction and inflammatory response caused by the agents. CONCLUSIONS: The placement of haemostatic agents delay the early extraction socket healing via different biological mechanism.


Assuntos
Hemostáticos , Ligamento Periodontal , Animais , Camundongos , Osteogênese , Extração Dentária , Alvéolo Dental
14.
BMC Musculoskelet Disord ; 20(1): 530, 2019 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-31711458

RESUMO

BACKGROUND: The purpose of this study was to investigate the relationship between the three dimensional (3D) femoral head displacement in patients with developmental dysplasia of the hip (DDH) and Crowe classification. METHODS: Retrospectively, CT scans of 60 DDH patients and 55 healthy demography-matched healthy control subjects were analyzed. Using the anterior pelvic plane a pelvic anatomic coordinate system was established. The center coordinates of the femoral heads of both the DDH patients and control subjects were quantified relative to the pelvic coordinate system and were mapped proportionally to a representative normal pelvis for comparison. RESULTS: In the anteroposterior (AP) direction, the center of the femoral head was significantly more anterior in the DDH patients (type I, II, and III, respectively45.0 ± 5.5, 42.9 ± 7.1, and 43.9 ± 4.6 mm) when compared to the controls (50.0 ± 5.2 mm) (p < 0.001 for all). In the medial-lateral (ML) direction, the center of the femoral head was significantly more lateral in the DDH patients (type I, II, and III =103.5 ± 8.6, 101.5 ± 6.6, 102.1 ± 11.2 mm) when compared to the controls (87.5 ± 5.1 mm) (p < 0.001 for all). In the superior-inferior (SI) direction, the center of the femoral head was significantly more proximal in the DDH patients (type I, II, and III =62.4 ± 7.3, 50.0 ± 6.3, and 43.2 ± 6.6 mm) when compared to the controls (66.0 ± 6.2 mm) (p < 0.001 for all). CONCLUSIONS: The severity of DDH using the Crowe classification was related to the degree of the femoral head displacement in the SI direction, but not in the ML or AP directions. By assessing the 3D femoral head displacement in DDH patients, individualized component positioning might benefit surgical outcome.


Assuntos
Cabeça do Fêmur/diagnóstico por imagem , Luxação Congênita de Quadril/diagnóstico por imagem , Articulação do Quadril/diagnóstico por imagem , Imageamento Tridimensional , Tomografia Computadorizada Multidetectores , Adulto , Idoso , Pontos de Referência Anatômicos , Tomada de Decisão Clínica , Feminino , Cabeça do Fêmur/cirurgia , Luxação Congênita de Quadril/cirurgia , Articulação do Quadril/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Seleção de Pacientes , Valor Preditivo dos Testes , Prognóstico , Interpretação de Imagem Radiográfica Assistida por Computador , Estudos Retrospectivos , Índice de Gravidade de Doença
15.
Ecotoxicol Environ Saf ; 183: 109517, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31394377

RESUMO

The study aimed to determine the biochar yield of four aquatic plants, the leaching toxicity of copper (Cu) and cadmium (Cd) in the biochar, and the stabilization characteristics of the biochar produced under different pyrolysis conditions (at 350 °C for 1, 2, and 3 h and absence/presence of zeolite powder). The results showed that different plant species required a different pyrolysis duration and the presence or absence of zeolite powder. The stabilization of Cu and Cd was significantly affected by the pyrolysis duration and the external materials for different plant species and different types of admixtures. Pyrolysis temperatures over 350 °C for 1 h without zeolite powder generated stable Cu and Cd in goldfish algae (Ceratophyllum demersum L.), foxtail algae (Myriophyllum verticillatum L.), and penny grass (Hydrocotyle vulgaris). Pyrolysis temperatures over 350 °C for 1 h with zeolite powder made Cu and Cd stable in water celery (Oenanthe javanica (Bl.) DC). The addition of zeolite powder during pyrolysis was possible due to the weight reduction efficiency in plants with Cu and Cd. Furthermore, the surface of the biochar with the zeolite powder showed honeycombs and a spongy porous structure. The duration of the pyrolysis had little effect on the honeycomb pore structure.


Assuntos
Organismos Aquáticos/química , Cádmio/análise , Carvão Vegetal/química , Cobre/análise , Pirólise , Poluentes Químicos da Água/análise , Zeolitas/química , Biomassa , Cádmio/toxicidade , Cobre/toxicidade , Temperatura Alta , Oenanthe/química , Saxifragales/química , Fatores de Tempo , Poluentes Químicos da Água/toxicidade
16.
Ecotoxicol Environ Saf ; 165: 160-163, 2018 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-30195208

RESUMO

With the flourish of shale gas industry in China, the characteristic hazardous waste, oil-based drill cuttings (OBDC), was also produced in large quantities. Unlike traditional petroleum industry, shale gas exploitation covers a wider area and there are more well sites, the adverse effects of OBDC piled up around well sites are even greater. This study investigated the pollution status and leaching toxicity of eight heavy metals (Cd, Cr, Cu, Hg, Mn, Ni, Pb and Zn) in OBDC of shale gas exploitation, and evaluated the health risks of the drilling workers. The results showed that heavy metal pollution in OBDC was moderate, and the leaching toxicity was far below the standard value. Non-carcinogenic and carcinogenic risks of drilling workers were within an acceptable range. Meanwhile, in order to reduce the health risks of drilling workers, some suggestions are proposed to reduce the exposure risks of workers and the content of heavy metals in OBDC.


Assuntos
Poluição Ambiental/análise , Resíduos Industriais/análise , Metais Pesados/análise , Exposição Ocupacional/análise , Indústria de Petróleo e Gás , Poluentes do Solo/análise , Chuva Ácida , China , Humanos , Metais Pesados/química , Metais Pesados/toxicidade , Gás Natural , Exposição Ocupacional/prevenção & controle , Medição de Risco , Poluentes do Solo/química , Poluentes do Solo/toxicidade
17.
Ecotoxicol Environ Saf ; 160: 171-177, 2018 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-29804013

RESUMO

The present study investigated remediation of mercury-contaminated soils using Oxalis corniculata L. combined with various enhancers (sodium thiosulfate, ammonium thiosulfate, ethylenediaminetetraacetic acid and diethylenetriaminepentaacetic acid). The experiment was conducted using Oxalis corniculata seedlings planted in pots containing mercury loaded soils. Investigations included analysis of soil properties, plant growth conditions, ability of the plants to accumulate and extract mercury, and rhizosphere microorganism distribution. The maximal mercury content of the aerial parts and the mercury-translocation ratio of Oxalis corniculata treated with enhancers increased compared to Oxalis corniculata without enhancers. Compared with no enhancers, the theoretical reduction in phytoremediation time was about 50%, 25%, 20% and 21% when Oxalis corniculata was treated with sodium thiosulfate (Na2S2O3), ammonium thiosulfate ((NH4)2S2O3), ethylenediaminetetraacetic acid (EDTA) and diethylenetriaminepentaacetic acid (DTPA), respectively. The results indicated that the dominant species in rhizosphere soils varied with different enhancers. However, the evenness of background soils, rhizosphere soils of Oxalis corniculata, Oxalis corniculata treated with Na2S2O3, (NH4)2S2O3, EDTA and DTPA was not largely different at 0.62, 0.61, 0.57, 0.64, 0.61 and 0.63, respectively. These findings demonstrate that Oxalis corniculata treated with Na2S2O3 has the potential to recover and reclaim mercury-contaminated soils in pots.


Assuntos
Mercúrio/metabolismo , Oxalidaceae/efeitos dos fármacos , Rizosfera , Poluentes do Solo/metabolismo , Tiossulfatos/farmacologia , Biodegradação Ambiental , Ácido Edético/farmacologia , Oxalidaceae/crescimento & desenvolvimento , Oxalidaceae/metabolismo , Oxalidaceae/microbiologia , Ácido Pentético/farmacologia , Componentes Aéreos da Planta/efeitos dos fármacos , Componentes Aéreos da Planta/crescimento & desenvolvimento , Componentes Aéreos da Planta/metabolismo , Desenvolvimento Vegetal/efeitos dos fármacos , Microbiologia do Solo
19.
Arch Orthop Trauma Surg ; 137(9): 1219-1222, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28725919

RESUMO

Cephalomedullary fixations are commonly used in the treatment of intertrochanteric fractures. In clinical practice, one of the difficulties is when we exit the guide wire in a wrong position of femoral neck and insert near the hole again, the guide wire often flow into the previous track. This study develops a surgical technique to direct the guide wire to slip away the previous track and slip into a right position. When guide wire is exited to the cortex of femoral, we let the wire in and out at the cortical layer for several times to enlarge the entry hole. After that, electric drill is inverted, rubbed and entered slowly at a right angle. When guide wire encountered new resistance, the electric drill is turned back instantly. This technique can help trauma and orthopedic surgeons to obtain precision placement of the lag screw after the first try is failed.


Assuntos
Parafusos Ósseos , Fios Ortopédicos , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Fraturas do Quadril/cirurgia , Fêmur/cirurgia , Humanos
20.
Appl Microbiol Biotechnol ; 100(3): 1221-1230, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26433969

RESUMO

Epstein-Barr virus (EBV) is a ubiquitous human herpesvirus that is linked to the development of various malignancies. There is an urgent need for effective vaccines against EBV. EBV envelope glycoprotein gp350 is an attractive candidate for a prophylactic vaccine. This study was undertaken to produce the truncated (codons 1-443) gp350 protein (gp350(1-443)) in Pichia pastoris and evaluate its immunogenicity. The gp350(1-443) protein was expressed as a secretory protein with an N-terminal His-tag in P. pastoris and purified through Ni-NTA chromatography. Immunization with the recombinant gp350(1-443) could elicit high levels of gp350(1-443)-specific antibodies in mice. Moreover, gp350(1-443)-immunized mice developed strong lymphoproliferative and Th1/Th2 cytokine responses. Furthermore, the recombinant gp350(1-443) could stimulate CD4(+) and CD8(+) T cell responses in vaccinated mice. Collectively, these findings demonstrated that the yeast-expressed gp350(1-443) retained strong immunogenicity. This study will provide a useful source for developing EBV subunit vaccine candidates.


Assuntos
Infecções por Vírus Epstein-Barr/virologia , Herpesvirus Humano 4/imunologia , Proteínas do Envelope Viral/genética , Proteínas do Envelope Viral/imunologia , Vacinas Virais/imunologia , Animais , Infecções por Vírus Epstein-Barr/imunologia , Feminino , Herpesvirus Humano 4/genética , Humanos , Imunização , Camundongos , Camundongos Endogâmicos BALB C , Células Th1/imunologia , Células Th2/imunologia , Vacinas de Subunidades Antigênicas/administração & dosagem , Vacinas de Subunidades Antigênicas/genética , Vacinas de Subunidades Antigênicas/imunologia , Proteínas do Envelope Viral/administração & dosagem , Vacinas Virais/administração & dosagem , Vacinas Virais/genética
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