Basilic vein variation encountered during surgery for arm vein port: A case report.

BACKGROUND: Venous variations are uncommon and usually hard to identify, and basilic vein variation is particularly rare. Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration. This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port. CASE SUMMARY: We documented and analyzed an uncommon anatomical variation in the basilic vein encountered during arm port insertion. This peculiarity has hitherto remained undescribed in the literature. We offer remedial strategies for addressing this anomaly in the future and precautionary measures to circumvent its occurrence. We conducted a comprehensive review of analogous cases in the literature, offering pertinent therapeutic recommendations and solutions, with the aim of enhancing the efficacy and safety of future arm port implantations. CONCLUSION: Venous variation is rare and requires detailed intraoperative and postoperative examination to ensure accuracy, so as not to affect subsequent treatment.

[Combination effects of enhanced UV-B radiation and O3 stress on photosynthetic characteristics of winter wheat].

Experiments were conducted under open-top-chambers conditions to assess the photosynthetic responses of wheat plants (Triticum aestivum L., YangMail6) to supplemental UV-B radiation (10%-10.9% higher then control group, T1) and enhanced ozone [(100 +/- 9) nmol x mol(-1), T2], separately and in combination (combination treatment, T3), making use of LCpro + Portable Photosynthesis System and DIVING-PAM Fluorometer to determine gas exchange and chlorophyll fluorescence parameters. Results indicated that P(n), G(s), T(r), P(m) and I(k) of T1, T2 and T3 treatments decreased significantly compared to CK (control group, natural air and UV-B radiant intensity condition), while there were no differences between T3 and T1 or T2 or both in major growth stages. UV-B fiercely inhibited the stomatal conductance and transpiration of plants, while T1 stimulated stomata opening and transpiration in jointing stage. Dark respiration (R(d)) of T1 was increased, while no significance difference was found between T2 and CK or T3 and CK in most stages. T1 and T2 reduced F(v)/F(m) value only in booting stage, while T3 was significant lower than CK except jointing stage. qP value declined significantly in treatments of T1, T2 and T3 as Compared to CK, with decreasing amplitude occurring in the order T3 > T1 > T2. NPQ, Y (NPQ), Y (NO) value of T1, T2 and T3 treatments increased significantly compared to CK, with maximum increasing amplitude occurring in the order T3 > T1 > T2, of which NPQ of T1 and T2 turned to decrease since filling stage, and T3 turned to decrease since flowering stage to a greater degree than T1 and T2. T1, T2 and T3 also caused significance reduction in Y (II), with reducing amplitude occurring in the order T3 > T1 > T2. Obviously, supplemental UV-B radiation and enhanced ozone caused a significant decrease in gas exchange capacity, maximum photochemical capacity and photosynthetic activity of winter wheat, and the photoprotective mechanism was damage, leading to greater proportion of excitation energy dissipated in the form of non-regulated heat and fluorescence. The photosystems of winter wheat were damaged by both excess energy and UV-B or excess energy and O3, or excess energy, UV-B and O3 together. UV-B and O3 in combination enhanced the negative effects on photo-protective mechanisms and excitation energy distribution in PS II compared to UV-B or O3 alone, while the interactive effects were less than addition.

[Effects of long-term ozone exposure on chlorophyll a fluorescence and gas exchange of winter-wheat leaves].

In order to provide basis for evaluating the effects of air pollutant such as O3 on crops yield and food security, the effects of O3 fumigation (ambient air, CK; 100 nL x L(-1), T1; 150 nL x L(-1), T2) on chlorophyll a fluorescence and gas exchange of a field-grown winter-wheat (Triticum aestivum L. Yang Mai 13) in different growing period were conducted via open-top chamber technique in conjunction with Diving-PAM fluorometer and LC pro + photosynthesis system. Results indicated that Fv/Fm caused by T1 was higher than 0.8, while the Pm, qP, (1-qP)/NPQ and Y(NO) were similar to those of CK, the NPQ and Y(NPQ) were increased by 13.5%-29.0% and 13.3%-22.7% respectively due to O3 stress. Under nature light (rapid light curve, RLC) and after dark adaptation (induction curve in steady-state, IC) the Yield of T1 was decreased by 4.6%-7.6% and 11.3%-19.3% respectively, with 8.0%-9.8% and 11.0%-23.1% reductions in Pn, and Gs compared to CK, respectively. In heading stage and blooming stage, the Ls of T, was greater than CK, but in filling stage and mature stage, it became lower compared to CK. The Fv/Fm was slightly lower than 0.8 under T2 treatment, with the Y(NO), (1-qP)/NPQ and c(i) were increased by 37.9%-75.6%, 157.1%-325.8% and 3.4%-18.1% relative to CK. Under RLC and IC condition, the Yield of T2 was respectively decreased by 10.2%-13.6% and 21.4%-29.1%, and the Pn, Ls, qP, Pm, NPQ and Y(NPQ) were decreased by 28.1%-39.9%, 5.2%-21.3%, 15.8%-30.4%, 27.6%-45.6%, 3.3%-52.9% and 5.7%-17.9% in comparison, respectively. Obviously the enhanced O3 causes a significant decrease in the capacity of photosynthesis of winter wheat, and the influence mechanism presents a series of dynamic changes according to growing seasons. The reduction of Fv/Fm under T1 treatment is a response of PS II reaction center to the increase of NPQ, and the decrease in Pn and Yield is a consequence of protective adjustment, by this approach, the antioxidant system and energy dissipation mechanism can thus prevent light damage to the PS II reaction center of winter wheat. Under T2 treatment, the CO2 assimilation and Q(A) re-oxidizing during actinic illumination are restricted, the energy dissipation mechanism was destroyed, and the reduction of photosynthesis was mainly due to damage in photosystem caused by O3 and excess light. The critical loads for O3 of PS II reaction center is between 100 nL x L(-1) and 150 nL x L(-1) close to 100 nL x L(-1). While the Fv/Fm value is not an effective index for assessing O3 influence on winter-wheat. Although the winter-wheat can have certain adapted ability to O3 stress, the growing enhancement of surface O3 is still a great threat to agricultural production in China.