Continuous Local Infiltration Analgesia for Pain Control After Total Knee Arthroplasty: A Meta-analysis of Randomized Controlled Trials.

A total knee arthroplasty (TKA) has always been associated with moderate to severe pain. As more research is conducted on the use of continuous local infiltration analgesia (CLIA) to manage pain after a TKA, it is necessary to reassess the efficacy and safety of the TKA method. The purpose of this systematic review and meta-analysis of randomized controlled trials was to evaluate the efficacy and safety of pain control of CLIA versus placebo after a TKA. In January 2015, a systematic computer-based search was conducted in the Medline, Embase, PubMed, CENTRAL (Cochrane Controlled Trials Register), Web of Science, Google database, and Chinese Wanfang databases. This systematic review and meta-analysis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement criteria. The primary endpoint was the visual analog scale score after a TKA with rest or mobilization at 24, 48, and 72 hours, which represents the effect of pain control after TKA. The complications of infection, nausea, and whether it prolonged wound drainage were also compiled to assess the safety of CLIA. RevMan 5.30 software was used for the meta-analysis. After testing for publication bias and heterogeneity across studies, data were aggregated for random-effects modeling when necessary. Ten studies involving 735 patients met the inclusion criteria. The meta-analysis revealed that continuous infusion analgesia provided better pain control with rest at 24 hours (mean difference [MD] -12.54, 95% confidence interval [CI] -16.63 to 8.45), and with mobilization at 24 hours (MD -18.27, 95% CI -27.52 to 9.02) and 48 hours (MD -14.19, 95% CI -21.46 to 6.93). There was no significant difference with respect to the visual analog scale score at 48 hours (MD -6.15, 95% CI -13.51 to 1.22, P = 0.10) and 72 hours (MD -3.63, 95% CI -10.43 to 3.16, P = 0.29) with rest and at 72 hours with mobilization (MD -4.25, 95% CI -16.27 to 7.77, P = 0.49). However, CLIA increased the rate of infection (relative risk [RR] 3.16, 95% CI 1.18-8.50, P = 0.02) and the rate of nausea or vomiting (RR 0.60, 95% CI 0.37-0.96, P = 0.03). There were no significant differences in the length of hospital stay (MD -0.34, 95% CI -1.09 to 0.42, P = 0.38), deep venous thrombosis (RR 1.02, 95% CI 0.30 to 1.41, P = 0.99), or duration of surgery (MD 1.20, 95% CI -4.59 to 6.98, P = 0.69). On the basis of the current meta-analysis, CLIA was more efficacious for reducing postoperative pain than the placebo at 24 hours with rest and at 24 and 48 hours with mobilization, but it increased the risk of infection. However, CLIA did not prolong the length of hospital stay or the duration of surgery. There was also a higher heterogeneity of different analgesic drugs mixed and a high risk of selection bias in this analysis; therefore, more high-quality randomized controlled trials with standardized CLIA are necessary for proper comparisons of this technique with other methods.

[Effect of naringin on osteoclast differentiation].

OBJECTIVE: To discuss the effect of Drynariae Rhizoma's naringin on osteoclasts induced by mouse monocyte RAW264.7. METHOD: RAW264.7 cells were induced by 100 µg x L(-1) nuclear factor-κB receptor activator ligand (RANKL) and became mature osteoclasts, which were identified through TRAP specific staining and bone resorption. MTT method was sued to screen and inhibit and the highest concentration of osteoclasts. After being cultured with the screened medium containing naringin for 5 days, positive TRAP cell counting and bone absorption area analysis were adopted to observe the effect of naringin on the formation of osteoclast sells and the bone absorption function. The osteoclast proliferation was measured by flow cytometry. The effects of RANK, TRAP, MMP-9, NFATc1 and C-fos mRNA expressions on nuclear factor-κB were detected by RT-PCR. RESULT: Naringin could inhibit osteoclast differentiation, bone absorption function and proliferation activity of osteoclasts, significantly down-regulate RANK, TRAP, MMP-9 and NFATc1 mRNA expressions in the osteoclast differentiation process, and up-regulate the C-fos mRNA expression. CONCLUSION: Naringin could inhibit osteoclast differentiation, proliferation and bone absorption function. Its mechanism may be achieved by inhibiting the specific gene expression during the osteoclast differentiation process.

Complete mitochondrial genome of the common cutworm Spodoptera litura (Lepidoptera: Noctuidae).

We determined the complete mitochondrial genome of the common cutworm Spodoptera litura (Lepidoptera: Noctuidae), which is one of the most destructive polyphagous insect pests worldwide. The genome is 15,383 bp in length (GenBank accession number: KF701043) with an A+T content of 81.08%, and contains 37 typical animal mitochondrial genes (13 protein-coding genes, 2 rRNA genes and 22 tRNA genes) with the typical arrangement found in Lepidoptera. All the protein-coding genes (PCGs) start with ATN start codon except for cox1, which begins with CGA. Eight PCGs stop with complete termination codons (TAA or TAG), whereas five PCGs use incomplete stop codon T. The A+T-rich region is located between rrnS and trnM with a length of 326 bp and an A+T content of 93.87%, and harbors three tandem repeat elements.

Complete mitochondrial genome of the oriental armyworm Mythimna separata (Walker) (Lepidoptera: Noctuidae).

We determined the complete mitochondrial genome of the oriental armyworm Mythimna separata (Walker) (Lepidoptera: Noctuidae), which is one of the serious cereal pests in Asia and Australia. The circular genome of 15,332 bp in length contains 37 typical animal mitochondrial genes and a non-coding A+T-rich region. Its gene content and order are typical of lepidopteran mitochondrial genomes described to date. All protein-coding genes (PCGs) start with an ATN codon except for cox1 and nad1, which use CGA and TTG as their start codon, respectively. Ten PCGs use complete stop codon TAA, whereas three PCGs end with single T. The A+T-region is located between rrnS and trnM with a length of 374 bp. The mitochondrial genome sequence benefits future studies of molecular phylogenetics and pest control.

Dynamics of analytical three-dimensional solutions in Bose-Einstein condensates with time-dependent gain and potential.

Using the F-expansion method we systematically present exact solutions of the three-dimensional nonlinear generalized Gross-Pitaevskii equation, with time-varying gain or loss, in both attractive and expulsive harmonic confinement regimes. This approach allows us to obtain solitons for a large variety of solutions depending on the time-varying potential and the gain or loss profiles. The dynamics of these matter waves, including quasibreathing solitons, double-quasibreathing solitons, and three-quasibreathing solitons, is discussed. The explicit functions that describe the evolution of the amplitude, width, and trajectory of the soliton's wave center are presented exactly. It is demonstrated that an arbitrary additional time-dependent gain function can be added to the model to control the amplitude and width of the soliton and the nonlinearity without affecting the motion of the solitons' wave center. Additionally, a number of exact traveling waves, including the Faraday pattern formation, have been found. The obtained results may raise the possibility of relative experiments and potential applications.

New analysis and design of a RF rectifier for RFID and implantable devices.

New design and optimization of charge pump rectifiers using diode-connected MOS transistors is presented in this paper. An analysis of the output voltage and Power Conversion Efficiency (PCE) is given to guide and evaluate the new design. A novel diode-connected MOS transistor for UHF rectifiers is presented and optimized, and a high efficiency N-stage charge pump rectifier based on this new diode-connected MOS transistor is designed and fabricated in a SMIC 0.18-µm 2P3M CMOS embedded EEPROM process. The new diode achieves 315 mV turn-on voltage and 415 nA reverse saturation leakage current. Compared with the traditional rectifier, the one based on the proposed diode-connected MOS has higher PCE, higher output voltage and smaller ripple coefficient. When the RF input is a 900-MHz sinusoid signal with the power ranging from -15 dBm to -4 dBm, PCEs of the charge pump rectifier with only 3-stage are more than 30%, and the maximum output voltage is 5.5 V, and its ripple coefficients are less than 1%. Therefore, the rectifier is especially suitable to passive UHF RFID tag IC and implantable devices.

[Jaw bone density assessments of implant sites using spiral CT and Simplant software].

PURPOSE: To assess the bone density of dental implant sites using spiral CT and simplant software, and classify them by Lekholm and Zarb grouping. METHODS: 53 patients' jaw bone were scanned by spiral CT, the scanned images were reconstructed by the Simplant software.The bone density of 136 designed implant sites was measured and the results were recorded using Hounsfield units(HU).The data was analyzed with SPSS11.0 software package for Mann-Whitney U test, and classified by Lekholm and Zarb grouping. RESULTS: The mean bone density in all implant sites was (714.66+/-273.72) HU.The anterior mandible mean bone density was (962.96+/-92.21)HU>anterior maxilla, (786.15+/-188.74) HU>posterior mandible, (785.79+/-290.91) HU>posterior maxilla, (569.67+/-244.34)HU. Bone class IV was least in anterior mandible and most in posterior maxilla(P<0.01), accounting for 26.5% in all implant sites. CONCLUSIONS: Anterior mandible has the highest mean bone density and posterior maxilla has the lowest mean bone density. There are class I and II/III in most of the implant sites. Spiral CT is a useful tool for determining the bone density, which is important for preoperative design and postoperative assessment.