Characteristics of a Novel Decomposed Corn Straw-Sludge Biochar and Its Mechanism of Removing Cadmium from Water.

The utilization of high-efficiency adsorption materials to reduce cadmium pollution in aquatic environments is the focus of current environmental remediation research. Straw waste and sludge, which are available in huge amounts, can be best utilized in the preparation of environmental remediation materials. In this study, six types of biochar (SBC, CBC, DBC, SD1BC, SRDBC, and SCDBC) were prepared from straw and sludge by co-pyrolysis, and their cadmium adsorption mechanisms were explored. Cd(II) adsorption isotherms and kinetics on the biochar were determined and fitted to different models. Kinetic modeling was used to characterize the Cd(II) adsorption of biochar, and findings revealed the process of sorption followed pseudo-second-order kinetics (R2 > 0.96). The Langmuir model accurately represented the isotherms of adsorption, indicating that the process was monolayer and controlled by chemical adsorption. SCDBC had the highest capacity for Cd(II) adsorption (72.2 mg g-1), 1.5 times greater than that of sludge biochar, and 3 times greater than that of corn straw biochar. As the pH level rose within the range of pH 5.0 to 7.0 and the ionic strength decreased, the adsorption capacity experienced an increase. SCDBC contained CaCO3 mineral crystals before Cd(II) adsorption, and CdCO3 was found in SCDBC after adsorbing Cd(II) via X-ray diffraction analysis; the peak of Cd could be observed by Fourier transform infrared spectroscopy after the adsorption of Cd(II). The possible adsorption of Cd(II) by SCDBC occurred primarily via surface complexation with active sorption sites, precipitation with inorganic anions, and coordination with π electrons. Collectively, the study suggested that the six types of biochar, particularly SCDBC, could be used as highly efficient adsorbents for Cd(II) removal from aquatic environments.

Sorption and mobility of cadmium in soil impacted by irrigation waters.

Soil contamination by Cd has drawn global attention, while how irrigation waters modulate Cd sorption and mobility in soil remains obscure. We address this by investigating how cropped sandy soil irrigated with different waters altered Cd sorption and mobility using a rhizobox experiment followed by a batch experiment. Maize were planted in the rhizoboxes and irrigated by reclaimed water (RW), livestock wastewater (LW) and deionized water (CK), respectively. The bulk soil sampled from each treatment after 60 days of growth was employed to measure the Cd sorption and mobility using the isothermal adsorption and desorption experiments. The results showed that, in a small rhizobox experiment, the adsorption rate of Cd by the bulk soil in the adsorption phase was much faster than the desorption rate in desorption phase. Irrigation with RW and LW both reduced the Cd adsorption capacity of soil, and the reducing degree brought by LW was more obvious. Cd desorption rate was very low but keep increasing in the desorption stage, and pre-RW irrigation had the potential to increase Cd desorption from soil. Although the results were obtained based on the bulk soil sampled from a rhizobox experiment, our study strongly suggests that the altered Cd adsorption and desorption behavior in the soil caused by the RW and LW irrigation may risk the farmland ecosystem and deserve more concern.

Communicating the Gynecologic Brachytherapy Experience (CoGBE): Clinician perceived benefits of a graphic narrative discussion guide.

PURPOSE: Many current radiotherapy patient education materials are not patient-centered. An interprofessional team developed Communicating the Gynecologic Brachytherapy Experience (CoGBE), a graphic narrative discussion guide for cylinder, intracavitary, and interstitial high-dose-rate (HDR) gynecologic brachytherapy. This study assesses perceived clinical benefits, usability, and anxiety-reduction of CoGBE. METHODS AND MATERIALS: An electronic survey was sent to members of the American Brachytherapy Society. Participants were assigned to assess one of the three modality-specific CoGBE versions using a modified Systems Usability Scale (SUS), modified state-trait anxiety index (mSTAI), and Likert-type questions. Free response data was analyzed using modified grounded theory. RESULTS: Median modified SUS score was 76.3 (interquartile range [IQR], 71.3-82.5) and there were no significant differences between guide types. Median mSTAI was 40 (IQR, 40-43.3) for all guides collectively. The cylinder guide had a significantly higher median mSTAI than the intracavitary and interstitial guides (41.6 vs. 40.0 and 40.0; p = 0.04) suggesting the cylinder guide may have less impact on reducing anxiety. Most respondents reported that CoGBE was helpful (72%), would improve patient understanding (77%) and consultation memorability (82%), and was at least moderately likely to be incorporated into their practice (80%). Qualitative analysis themes included personalization and relatability (positive); generalizability (negative); illustrations (both). CONCLUSIONS: Clinicians rate CoGBE as usable with potential to reduce patient anxiety, especially with more invasive treatment modalities including intracavitary or interstitial high-dose-rate. CoGBE has the potential to improve patient-clinician communication for a wider range of patients due to its accessible, adaptable, and patient-centered design.

Mechanism of endometrial MUC2 in reproductive performance in mice through PI3K/AKT signaling pathway after lipopolysaccharide treatment.

The objective of this study was to investigate the effects of exposure to endotoxin on the reproductive performance of humans and animals in pregnancy and delivery period. Mucin is considered to play a critical role in protecting the tissue epithelium. At pregnancy period, the MUC2 expression of uterus in the High LPS group was significantly higher than that in the Control group. The glycosaminoglycans of gland cells were secreted into the uterine cavity to protect the uterus. Then, the MUC2 layer became thinner, and LPS entered the lamina propria of the uterus. The mRNA expression of tight junction proteins showed a marked drop, and morphological damage of the uterus occurred. Subsequently, the glycosaminoglycans of gland cells in the High LPS and Low LPS groups increased with the increasing LPS dose, and the damage to the endometrial epithelium was repaired in female mice at Day 5 postdelivery. A low dose of LPS activated the PI3K/AKT signaling pathways to increase the glycosaminoglycans particles, while a high dose of LPS inhibited the PI3K/AKT signaling pathway to decrease the glycosaminoglycans particles. Taken together, our results suggest that gland cells secreted glycosaminoglycans particles into the uterine cavity by exocytosis to increase the thickness of the mucus layer to protect the uterus and that this process was regulated by PI3K/AKT signaling pathways.

Nomogram for predicting the distal adding-on phenomenon in severe and rigid scoliosis.

Background: The distal adding-on phenomenon has attracted extensive discussion in the field of spine surgery due to the continual occurrence after scoliosis correction. Previous work has mainly focused on adolescent idiopathic scoliosis (AIS), and a relatively high number of theories for the mechanism of the distal adding-on phenomenon has been proposed for these kinds of patients. Severe and rigid scoliosis, as a special disease form, has a unique etiology, clinical manifestations and internal mechanisms distinct from those of AIS. Given the uniqueness of this disease, the mechanism and causes of the distal adding-on phenomenon have been infrequently studied in depth. Objective: To define clinical and radiological factors associated with distal adding-on in patients with severe and rigid scoliosis. Methods: Radiographic parameters and demographic data of patients with severe and rigid scoliosis were evaluated preoperatively, after posterior instrumentation and fusion surgery, and at the final follow-up via radiographs. According to the appearance of distal adding-on at the final follow-up, the patients were grouped into the Adding-on and the Non-adding-on groups. Various radiological parameters were analyzed in stepwise multivariate logistic regression to identify the variables associated with distal adding-on, which were then incorporated into a nomogram. The predictive performance and calibration of the nomograms for distal adding-on were assessed using C statistics and calibration plots. Results: 93 patients (21 in the Adding-on and 72 in the Non-adding-on group) were included. The incidence of distal adding-on was 22.6%. The variables associated with distal adding-on were the anterior release, posterior internal distraction, and later posterior spinal fusion (IP) procedure, the posterior vertebral column resection and posterior spinal fusion (PVCR) procedure, postoperative apical vertebral translation (Post-AVT) and preoperative slope of the line linking the pedicles on the concave side of the upper- and lower-end vertebrae (Tan α). Combining these factors, the nomogram achieved a concordance index of 0.92 in predicting distal adding-on and had well-fitted calibration curves. Conclusions: For patient with a negative Tanα in severe and rigid scoliosis, the risk of distal adding-on tended to increase, and it is recommended to give priority to IP or PVCR. In the final correction, a smaller Post-AVT should not be pursued excessively.

3D-Printed Multifunctional Polyetheretherketone Bone Scaffold for Multimodal Treatment of Osteosarcoma and Osteomyelitis.

In this work, we developed the first 3D-printed polyetheretherketone (PEEK)-based bone scaffold with multi-functions targeting challenging bone diseases such as osteosarcoma and osteomyelitis. A 3D-printed PEEK/graphene nanocomposite scaffold was deposited with a drug-laden (antibiotics and/or anti-cancer drugs) hydroxyapatite coating. The graphene nanosheets within the scaffold served as effective photothermal agents that endowed the scaffold with on-demand photothermal conversion function under near-infrared laser irradiation. The bioactive hydroxyapatite coating significantly boosted the stem cell proliferation in vitro and promoted new bone growth in vivo. The presence of antibiotics and anti-cancer drugs enabled eradication of drug-resistant bacteria and ablation of osteosarcoma cancer cells, the treatment efficacy of which can be further enhanced by on-demand laser-induced heating. The promising results demonstrate the strong potential of our multi-functional scaffold in applications such as bone defect repair and multimodal treatment of osteosarcoma and osteomyelitis.

Supplying silicon alters microbial community and reduces soil cadmium bioavailability to promote health wheat growth and yield.

Soil amendments of black bone (BB), biochar (BC), silicon fertilizer (SI), and leaf fertilizer (LF) play vital roles in decreasing cadmium (Cd) availability, thereby supporting healthy plant growth and food security in agroecosystems. However, the effect of their additions on soil microbial community and the resulting soil Cd bioavailability, plant Cd uptake and health growth are still unknown. Therefore, in this study, BB, BC, SI, and LF were selected to evaluate Cd amelioration in wheat grown in Cd-contaminated soils. The results showed that relative to the control, all amendments significantly decreased both soil Cd bioavailability and its uptake in plant tissues, promoting healthy wheat growth and yield. This induced-decrease effect in seeds was the most obvious, wherein the effect was the highest in SI (52.54%), followed by LF (43.31%), and lowest in BC (35.24%) and BB (31.98%). Moreover, the induced decrease in soil Cd bioavailability was the highest in SI (29.56%), followed by BC (28.85%), lowest in LF (17.55%), and BB (15.30%). The significant effect in SI likely resulted from a significant increase in both the soil bioavailable Si and microbial community (Acidobacteria and Thaumarchaeota), which significantly decreased soil Cd bioavailability towards plant roots. In particular, a co-occurrence network analysis indicated that soil microbes played a substantial role in wheat yield under Si amendment. Therefore, supplying Si alters the soil microbial community, positively and significantly interacting with soil bioavailable Si and decreasing Cd bioavailability in soils, thereby sustaining healthy crop development and food quality.

Developing a lncRNA Signature to Predict the Radiotherapy Response of Lower-Grade Gliomas Using Co-expression and ceRNA Network Analysis.

BACKGROUND: Lower-grade glioma (LGG) is a type of central nervous system tumor that includes WHO grade II and grade III gliomas. Despite developments in medical science and technology and the availability of several treatment options, the management of LGG warrants further research. Surgical treatment for LGG treatment poses a challenge owing to its often inaccessible locations in the brain. Although radiation therapy (RT) is the most important approach in this condition and offers more advantages compared to surgery and chemotherapy, it is associated with certain limitations. Responses can vary from individual to individual based on genetic differences. The relationship between non-coding RNA and the response to radiation therapy, especially at the molecular level, is still undefined. METHODS: In this study, using The Cancer Genome Atlas dataset and bioinformatics, the gene co-expression network that is involved in the response to radiation therapy in lower-grade gliomas was determined, and the ceRNA network of radiotherapy response was constructed based on three databases of RNA interaction. Next, survival analysis was performed for hub genes in the co-expression network, and the high-efficiency biomarkers that could predict the prognosis of patients with LGG undergoing radiotherapy was identified. RESULTS: We found that some modules in the co-expression network were related to the radiotherapy responses in patients with LGG. Based on the genes in those modules and the three databases, we constructed a ceRNA network for the regulation of radiotherapy responses in LGG. We identified the hub genes and found that the long non-coding RNA, DRAIC, is a potential molecular biomarker to predict the prognosis of radiotherapy in LGG.

Subsurface drip irrigation reduces cadmium accumulation of pepper (Capsicum annuum L.) plants in upland soil.

Given that Cd pollution in dry land has aroused wide public concern, numerous remediation technologies has been utilized, yet there are limited cost-effective techniques that do not affect the original planting patterns. Fortunately, irrigation management can meet these requirements, while the effects of irrigation practices on Cd uptake by crops in slightly Cd-polluted upland soil remain elusive. Here, we aimed to investigate how the irrigation methods altered the Cd availability in soil, Cd accumulation in plants, microorganism population in soil, root morphology, and enzyme activities in soil and plants. We examined three irrigation treatments - surface drip irrigation (DI), subsurface drip irrigation (SDI), alternate-rows irrigation (ARI), and the control conventional furrow irrigation (CFI). The results showed that SDI remarkably reduced Cd content in roots, shoots and fruits, increased yield, and improved root growth and activity in soil of 20-40 cm compared to other treatments, though the Cd concentration in rhizosphere was not decreased significantly. The microbial population and enzyme activities in rhizosphere and enzyme activities in leaves and roots in SDI and ARI were basically higher than DI and CFI. Therefore, SDI has the prominent potential to reduce Cd uptake by crops in upland soil polluted with low Cd.

Genes Involved in the PD-L1 Pathway Might Associate with Radiosensitivity of Patients with Gastric Cancer.

The PD-1/PD-L1 pathway plays an important role in the treatment of cancers as immune checkpoint. However, the association of genes involved in the PD-L1 pathway and radiosensitivity of gastric cancer has not been fully characterized. This study aims to explore the relationship between the expression levels of genes involved in the PD-L1 pathway and radiosensitivity for gastric cancer patients. A total of 367 patients with clinical survival information and radiotherapy information were obtained in The Cancer Genome Atlas (TCGA). Genes involved in the PD-L1 pathway were categorized into high and low expression level groups according to the median value. The Cox proportional hazards model was used to find the association between gene expression level and radiosensitivity. The results show that high expression levels of CD274, EGFR, RAF1, RPS6KB1, PIK3CA, MTOR, CHUK, NFKB1, TRAF6, FOS, NFATC1, and HIF1A were associated with radiosensitivity of gastric cancer. While low expression level of HRAS was also associated with radiosensitivity in gastric cancer. The rates of a new tumor event and disease progression were lower for radiosensitivity patients than other patients. The relationship between the expression level of CD274 and other genes involved in the PD-L1 pathway is significant. GO (Gene Ontology) analysis shows that the biological process of 13 genes was mainly related to innate immune response activating the cell surface receptor signaling pathway. KEGG analysis demonstrated that 13 genes in gastric cancer are mainly related to the PD-L1 expression and PD-1 checkpoint pathway in cancer. The correlation between the expression level of CD274 and other genes involved in the PD-L1 pathway is significant. The present study offered more evidence for using PD-L1 and genes involved in the PD-L1 pathway as potential biomarkers to predict radiosensitive patients with gastric cancer.

Hidden blood loss and the risk factors after posterior lumbar fusion surgery: A retrospective study.

Hidden blood loss (HBL) plays an important role in perioperative rehabilitation of patients underwent posterior lumbar fusion surgery. This study was to calculate the volume of HBL and evaluate the risk factors among patients after posterior lumbar fusion surgery.A retrospective analysis was made on the clinical data of 143 patients underwent posterior lumbar fusion surgery from March 2017 to December 2017. Recording preoperative and postoperative hematocrit to calculate HBL according to Gross formula and analyzing its related factors including age, sex, height, weight, body mass index (BMI), surgery levels, surgical time, surgery types, duration of symptoms, disorder type, specific gravity of urine (SGU), plasma albumin (ALB), glomerular filtration rate (GFR), glucose (GLU), drainage volume, hypertension. Risk factors were further analyzed by multivariate linear regression analysis and t test.Eighty-six males and 57 females, mean age 52.7 ±â€Š11.4 years, mean height 162 ±â€Š7.0, mean weight 61.5 ±â€Š9.4, were included in this study. The HBL was 449 ±â€Š191 mL, with a percentage of 44.2% ±â€Š16.6% in the total perioperative blood loss. Multivariate linear regression analysis revealed that patients with higher BMI (P = .026), PLIF procedures (P = .040), and more surgical time (P = .018) had a greater amount of HBL. Whereas age (P = 0.713), sex (P = .276), surgery levels (P = .921), duration of symptoms (P = .801), disorder type (P = .511), SGU (P = .183), ALB (P = .478), GFR (P = .139), GLU (P = .423), hypertension (P = .337) were not statistically significant differences with HBL.HBL is a large proportion of total blood loss in patients after posterior lumbar fusion surgery. BMI >24 kg/m, PLIF procedures, and more surgical time are risk factors of HBL. Whereas age, sex, surgery levels, duration of symptoms, disorder type, SGU, ALB, GFR, GLU, hypertension were not associated with HBL.

Total and hidden blood loss between open posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by Wiltse approach.

The purpose of this study was to calculate and compare the volume of hidden blood loss (HBL) and perioperative blood loss between open posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) by Wiltse approach.We retrospectively analyzed 143 patients between March 2017 and December 2017, they were randomly divided into PLIF group and TLIF group. The following information were collected on admission: patient's age, gender, height, weight, body mass index (BMI), surgery levels, surgical time, duration time, disorder type, intraoperative bleeding, wound drainage, visual analog scale (VAS) scores, neurological complications, transfusion rate. Preoperative and postoperative hematocrit (Hct) were recorded in order to calculate total blood loss (TBL) according to Gross's formula. To calculate each patient's HBL, chi-square test and Student's t test were used to analyze data.Patients in PLIF had a mean TBL of 1144 ±â€Š356 mL, and the mean HBL was 486 ±â€Š203 mL, 43.9 ±â€Š16.2% of the TBL. While patients in TLIF, the mean TBL was 952 ±â€Š303 mL, and the mean HBL was 421 ±â€Š178 mL, 44.7 ±â€Š17.0% of the TBL. Hence, there was significant difference in TBL and HBL between 2 groups, respectively (P = .000, P = .044). However, there was no difference in the ratio of the HBL between 2 groups (P = .797).The volume of HBL is lower in open TLIF by Wiltse approach than that in PLIF, which may be a large proportion of TBL in posterior lumbar fusion surgery. Comprehensive understanding of HBL can contribute to keep patient safety and better to rehabilitation in perioperative.

Formation of iron plaque on roots of Iris pseudacorus and its consequence for cadmium immobilization is impacted by zinc concentration.

The impact of iron plaque (IP) on bioavailability of heavy metals to plants has been well documented, but the role of zinc (Zn) in modulating the associated processes remains elusive. We took Iris pseudacorus used in wetland for remediating Cd-contaminated water as an example and systematically studied the combined influence of Cd and Zn concentration on formation of IP and its consequence for immobilization and plant uptake of Cd. The experiment was conducted in hydroponic culture and in each treatment, we measured the physiological traits, activity of antioxidant enzymes (SOD, POD, CAT), mass of the IP, as well as the Cd content in both plant tissues and IP. The results showed that increasing Cd concentration resulted in a steady reduction in IP while the impact of zinc on IP was complicated and appeared to be coupled with Cd. When the Cd concentration was low (0.5 mg L-1 measured as CdCl2 2·5H2O) increasing Zn concentration reduced IP, while when the Cd concentration was increased to 5 mg L-1 increasing zinc concentration led to an increase in IP mass first followed by a decline after Zn concentration exceeded 100 mg L-1 (measured as ZnSO4·7H2O). The change in IP as affected by Zn had a strong consequence for immobilization and plant uptake of Cd. When Cd concentration was low, the IP was comparatively abundant and hence adsorbed most Cd. In contrast, when Cd concentration was high, the IP reduced and the amount of Cd taken up by plant roots and translocated to shoots and leaves increased. Both Cd immobilization and its plant uptake were modulated by Zn concentration. At low Cd concentration the combined Cd immobilized and taken up by plant peaked when the Zn concentration was 50 mg L-1, while at high Cd concentration the combined Cd reached maxima when theZn concentration was 100 mg L-1. The activity of the antioxidant enzymes changed significantly with Zn rather than with Cd. Regardless of Cd concentration, the activity of all three antioxidant enzymes increased first with zinc concentration before declining when the Zn concentration exceeded approximately 100 mg L-1 in all treatments, comparable with the change in immobilization and plant uptake of Cd as the Zn concentration increased. SEM analysis did prove the formation and variation of IP on the root surface of Iris pseudacorus in different treatments. We also found that the plant developed a survival strategy by scarifying its leaves with high Cd content. The results presented in this paper has wide implications as it revealed that care needs to be taken in applying Zn to enhance Cd immobilization and its plant uptake as exceeding the optimal application rate might reduce remediating efficiency rather than increase it.

Low Expression of GLIS2 Gene Might Associate with Radiosensitivity of Gastric Cancer.

Human gene GLIS family zinc finger 2 (GLIS2) is a member of GLI-similar zinc finger protein family. Previous studies indicated GLIS2 gene involved in tumorigenesis mechanisms. However, the association between GLIS2 expression and radiosensitivity of gastric cancer has not been well understood. In this study, we used the gastric cancer database in TCGA, and significant association was observed between the low expression of GLIS2 and radiosensitivity of patients with gastric cancer. The adjusted HR values for radiotherapy were 0.162(0.035-0.756) and 0.089(0.014-0.564), with p values 0.021 and 0.010, respectively, in training and testing data, for these patients with low expression of GLIS2, while for patients with high expression of GLIS2, there was no significant survival difference between radiotherapy and nonradiotherapy groups. The adjusted HR were 0.676(0.288-1.586) and 0.508(0.178-1.450), with p values 0.368 and 0.206 in training and testing data, respectively. Further study showed that, for low expression patients, radiotherapy did not significantly increase new tumor event rate and disease progression rate, which partially supported our assumption. These results suggested that low expression of GLIS2 might significantly associate with the radiosensitivity of patients with gastric cancer. The GLIS2 gene might be a potential effective molecular marker of gastric cancer for precise radiotherapy.

Impact of the occiput and external acoustic meatus to axis angle on dysphagia in patients suffering from anterior atlantoaxial subluxation after occipitocervical fusion.

BACKGROUND CONTEXT: Dysphagia is a complication that sometimes occurs after occipitocervical fusion (OCF). An appropriate O-C2 angle (O-C2a) is recognized as a critical factor for preventing dysphagia. The occiput and external acoustic meatus to axis angle (O-EAa) has some advantages over the O-C2a and is now recognized to outperform O-C2a in predicting dysphagia. However, there are no data on this topic from patients with anterior atlantoaxial subluxation (AAS). PURPOSE: To evaluate the relationship between the O-EAa and dysphagia in patients suffering from AAS after OCF surgery. STUDY DESIGN: A retrospective clinical study. PATIENT SAMPLE: Data from 22 consecutive AAS patients who had undergone OCF were reviewed retrospectively. OUTCOME MEASURES: The outcome measures included the O-EAa, O-C2a, the narrowest oropharyngeal airway space (nPAS), and the morbidity of dysphagia after OCF. METHODS: Between September 2011 and September 2017, data from 22 consecutive AAS patients who had undergone OCF were reviewed retrospectively. The patients were divided into two groups according to whether they had suffered postoperative dysphagia by face-to-face questioning or telephone interview. Lateral radiographs were analyzed to determine the pre- and postoperative O-EAa, O-C2a, angle formed by the inferior endplate of C2 and the EA-line (C2Ta), and smallest anteroposterior diameter of the oropharynx between the levels of the uvula and the tip of the epiglottis (nPAS). RESULTS: The incidence of dysphagia after OCF was 18.18% (4/22). The pre- and postoperative mean nPAS values were significantly different between the groups (p<.05). The postoperative mean O-EAa of the group with dysphagia was significantly smaller than that of the group without dysphagia (p<.05). The mean change in nPAS was significantly larger in the group with dysphagia than that in the group without dysphagia (p<.05). The changes in the O-EAa, O-C2a, and nPAS were linearly correlated within patients. The marginal R2 values for the patients were 0.452 and 0.202 for the O-EAa and O-C2a, respectively. CONCLUSIONS: The O-EAa impacts dysphagia in patients with AAS after OCF. Measuring this angle intraoperatively may be a simple and effective procedure. The O-EAa may be used as a practical index to avoid postoperative dysphagia in patients with AAS after OCF.

Surgical treatment for severe and rigid scoliosis: a case-matched study between idiopathic scoliosis and syringomyelia-associated scoliosis.

BACKGROUND CONTEXT: Treatment guidelines for severe and rigid syringomyelia-associated scoliosis (SRSMS) are limited. Typically, surgeons apply practice guidelines for severe and rigid idiopathic scoliosis (SRIS) to treat SRSMS. No study has directly compared the results of surgical treatment between patients with SRSMS and those with SRIS. PURPOSE: The present study was performed to compare the outcomes of surgical correction of SRSMS and SRIS from clinical and radiographic perspectives. STUDY DESIGN: This is a retrospective, case-matched, single-center, institutional review board-approved study. PATIENT SAMPLE: A total of 26 patients with SRSMS or SRIS treated by an anterior and posterior vertebral column resection approach or an internal distraction approach were enrolled. OUTCOME MEASURES: The SRSMS and SRIS groups were compared on the following variables: fusion length, screw number, operation time, estimated blood loss, follow-up duration, different radiological parameters (including main thoracic curve, cranial compensatory curve, caudal compensatory curve, thoracic kyphosis, lumbar lordosis, thoracic apical vertebral translation, coronal balance, and sagittal vertical axis), Scoliosis Research Society (SRS)-22 scores, and complication rate. METHODS: Thirteen patients with SRSMS were matched with patients with SRIS on curve magnitude, the flexibility of the main curve, surgical procedure, age, and gender. All patients had a minimum of 2 years of follow-up. The radiographic parameters and demographic data from patients were evaluated before surgery, immediately after surgery, and at the latest follow-up. RESULTS: The case matches were relatively ideal except one pair with the main curve in the opposite direction. There was no significant difference in fusion length, screw number, operation time, estimated blood loss, or follow-up duration between the two groups. No significant differences were found between the two groups in the main curve or caudal compensatory curve before surgery, immediately after the operation, or at the final follow-up. The correction of thoracic apical vertebral translation in the SRIS group was better than that in the SRSMS group. The SRSMS group had a larger preoperative, postoperative, and final follow-up cranial compensatory curve and a lower correction rate than did the SRIS group. There was no significant difference in preoperative coronal balance between the two groups. After surgery, the coronal balance in the SRSMS and SRIS groups averaged 24.4±13.2 mm and 12.1±7.9 mm, respectively, which was significantly different (p=.04). At the most recent follow-up, the coronal balance in the SRSMS group improved to 14.8±12.6 mm, and it was 11.8±8.6 mm in the SRIS group. No significant difference was found between the two groups (p=.56). There was no significant difference in thoracic kyphosis, lumbar lordosis, or sagittal vertical axis before surgery, immediately after the operation, or at the final follow-up. Before surgery and at the final follow-up, the two groups had similar scores on function, pain, self-image, mental health, and satisfaction. There was no significant difference in complication rates between the two groups. CONCLUSIONS: Typically, surgical correction outcomes are similar in patients with SRSMS and SRIS. Patients with SRIS tended to have a smaller cranial compensatory curve and better correction of the cranial compensatory curve and thoracic apical vertebral translation. Patients with SRSMS tended to have a higher proportion and greater amount of postoperative coronal imbalance, which may be improved during follow-up.

Surgical management for middle or lower thoracic spinal tuberculosis (T5-T12) in elderly patients: Posterior versus anterior approach.

BACKGROUND: Spinal tuberculosis accounts for more than 50% of bone tuberculosis cases. This study compared clinical, radiological and functional outcomes between anterior and posterior approaches for treatment of middle or lower thoracic spinal tuberculosis in elderly patients. METHODS: We retrospectively examined middle or lower thoracic spinal tuberculosis (T5-T12) in patients over 65 years. All procedures included debridement, decompression, autologous bone graft and fixation. Surgical procedure, surgical duration, estimated blood loss during surgery and laboratory results were recorded. Pleural effusion volume, thoracic cavity volume, Oswestry Disability Index score, neurological status, radiological parameters and complication rate were evaluated. RESULTS: No significant difference was found in surgical duration, blood loss, kyphosis angle correction, loss of correction, thoracic cavity volume, or complication rate between the two groups (P > 0.05). Average postoperative pleural effusion volumes were 605.9 ± 209.5 mL (377-1074 mL) and 262.9 ± 228.1 mL (0-702.4 mL) in the anterior and posterior groups, respectively (P = 0.004). Average hospitalization durations were 26.4 ± 10.5 days (17-53 days) and 19.2 ± 5.0 days (14-30 days) (P = 0.04). Average postoperative serum albumin levels were 24.19 ± 3.84 g/L (19-29.5 g/L) and 28.24 ± 2.52 g/L (24.4-31.6 g/L) (P = 0.01). No relapse or reinfection was observed in either group at the final follow-up. Surgical revision was not required in either group. CONCLUSIONS: Both anterior and posterior surgeries can be used to treat middle or lower thoracic spinal (T5-T12) tuberculosis in elderly patients. In general, the posterior approach might be superior, especially for patients with poor general health.

A well-resolved fern nuclear phylogeny reveals the evolution history of numerous transcription factor families.

Ferns account for 80% of nonflowering vascular plant species and are the sister lineage of seed plants. Recent molecular phylogenetics have greatly advanced understanding of fern tree of life, but relationships among some major lineages remain unclear. To better resolve the phylogenetic relationships of ferns, we generated transcriptomes from 125 ferns and two lycophytes, with three additional public datasets, to represent all 11 orders and 85% of families of ferns. Our nuclear phylogeny provides strong supports for the monophyly of all four subclasses and nearly all orders and families, and for relationships among these lineages. The only exception is Gleicheniales, which was highly supported as being paraphyletic with Dipteridaceae sister to a clade with Gleicheniaceae + Hymenophyllales. In addition, new and strongly supported phylogenetic relationships are found for suborders and families in Polypodiales. We provide the first dated fern phylogenomic tree using many nuclear genes from a large majority of families, with an estimate for separation of the ancestors of ferns and seed plants in early Devonian at ∼400 Mya and subsequent gradual divergences of fern orders from ∼380 to 200 Mya. Moreover, the newly obtained fern phylogeny provides a framework for gene family analyses, which indicate that the vast majority of transcription factor families found in seed plants were already present in the common ancestor of extant vascular plants. In addition, fern transcription factor genes show similar duplication patterns to those in seed plants, with some showing stable copy number and others displaying independent expansions in both ferns and seed plants. This study provides a robust phylogenetic and gene family evolution framework, as well as rich molecular resources for understanding the morphological and functional evolution in ferns.

Magnetic molecularly imprinted polymer nanoparticles-based solid-phase extraction coupled with gas chromatography-mass spectrometry for selective determination of trace di-(2-ethylhexyl) phthalate in water samples.

Novel magnetic molecularly imprinted polymer nanoparticles (MMIPs) were synthesized by surface imprinting technology with a sol-gel process, using di(2-ethylhexyl)phthalate (DEHP) as the template. The MMIPs were characterized using Fourier transform-infrared spectroscopy (FT-IR), transmission electron microscopy (TEM), and vibrating sample magnetometry (VSM). The MMIPs displayed good adsorption selectivity for DEHP, with selectivity coefficients of 5.2 and 4.8 with respect to di-n-octyl phthalate and dibutyl phthalate, respectively. The reusability of MMIPs was demonstrated for at least eight repeated cycles without significant loss in adsorption capacity. A novel method for selective preconcentration and determination of trace DEHP in aqueous solutions was developed by using the magnetic DEHP-imprinted nanoparticles as adsorbent for solid-phase extraction (SPE) coupled with gas chromatography-mass spectrometry (GC-MS). The optimum SPE conditions were as follows: adsorbent amount, 50 mg; sample volume, 100 mL; adsorption time, 20 min; eluent, chloroform; and desorption time, 5 min. Results showed that the limit of detection (LOD) and limit of quantification (LOQ) for DEHP were 0.02 and 0.075 µg L-1, respectively. The proposed method was applied to the determination of DEHP in different real water samples, with spiked recovery of 93.3-103.2 % and RSD of 1.2-3.2 %. Therefore, the developed analytical method is rapid, sensitive, and accurate, which provides a new option for the detection of trace DEHP in aqueous samples.

Amending the seedling bed of eggplant with biochar can further immobilize Cd in contaminated soils.

Untreated municipal sewage is a potential source of Cd but has been used for irrigating vegetables in many countries in recent years. In growing vegetables and fruits in greenhouses, seedling breeding method is generally used in which the seedlings are transplanted into soils together with their seedling culture. Biochar has been increasingly used to amend soils contaminated by heavy metals, but there are few studies on the effectiveness of different ways of applying the biochar. In this paper, we investigated the efficacy of immobilizing Cd by amending eggplant seedling bed with biochar before transplanting them to biochar-amended soil contaminated by Cd. The results showed that, in comparison with traditional seedling method (without adding biochar), amending the seedling bed by biochar not only had a positive effect on plant growth and production, but further reduced the Cd concentration in the roots, shoots and the fruits by 12.2%, 12.5% and 18.5%, respectively. Furthermore, it increased the pH in rhizosphere to 8.83, reduced the exchangeable Cd concentration in soil by 28.6%, and decreased the Cd bio-accumulation factor from 0.36 to 0.32. Phytochelatin synthesis could be induced when plants are exposed to Cd and it has been used in the literature as a biomarker for evaluating metal toxicity. Our results showed that the seedling culture amended with biochar reduced phytochelatin synthesis in both roots and shoots. It can therefore be concluded that amending the eggplant seedlings bed with biochar can further enhance the effectiveness of remediating Cd contamination in soil after transplanting the plants into soil also amended with biochar. CAPSULE ABSTRACT: We found a new method to further immobilize Cd in contaminated soils by amending the seedling bed with biochar.