Bearing-Related Complications of Total Hip Arthroplasty Using Fourth-Generation Ceramic-On-Ceramic Articulations: Does Articular Noise Increase Over Time?

BACKGROUND: We previously reported the mean 6-year outcomes of total hip arthroplasty (THA) using fourth-generation ceramic-on-ceramic (CoC) articulations. With extended observations, this study aimed to report the mean 12-year outcomes focusing on bearing-related complications of CoC THA. METHODS: We reviewed primary CoC THAs performed between May 2009 and April 2012 at a single institution. Of the 831 hips (739 patients), 716 hips (635 patients) that satisfied a minimum 10-year follow-up were included. The mean age at operation was 54 years (range, 16 to 83). The occurrence of bearing-specific complications, including ceramic fractures and noise generation, was evaluated. The mean follow-up duration was 12 years (range, 10 to 14). RESULTS: A total of 2 (0.3%) ceramic liner fractures occurred, as previously reported. No additional ceramic fractures were observed during the extended follow-up period. However, the cumulative incidence of audible noise increased from 6.4 (48 of 749) to 8.2% (59 of 716). Of the 59 hips with noise, 26 (44.1%) developed noise within 1 year, whereas 13 (22.0%) presented with noise more than 5 years after THA. The noise was described as clicking in 35 hips (4.9%) and as squeaking in 24 hips (3.4%). No revision surgeries were performed for noise, except in 2 cases of concomitant liner fractures. The implant survivorship free of any revision was 98.1% at 12 years. CONCLUSIONS: No additional ceramic fractures were identified in this extension study at a minimum follow-up of 10 years. However, the prevalence of articular noise has increased from 6.4 to 8.2% since the previous report. Possible late-onset noise should be considered when performing CoC THA in younger patients.

OsLRR-RLP2 Gene Regulates Immunity to Magnaporthe oryzae in Japonica Rice.

Rice is an important cereal crop worldwide, the growth of which is affected by rice blast disease, caused by the fungal pathogen Magnaporthe oryzae. As climate change increases the diversity of pathogens, the disease resistance genes (R genes) in plants must be identified. The major blast-resistance genes have been identified in indica rice varieties; therefore, japonica rice varieties with R genes now need to be identified. Because leucine-rich repeat (LRR) domain proteins possess R-gene properties, we used bioinformatics analysis to identify the rice candidate LRR domain receptor-like proteins (OsLRR-RLPs). OsLRR-RLP2, which contains six LRR domains, showed differences in the DNA sequence, containing 43 single-nucleotide polymorphisms (SNPs) in indica and japonica subpopulations. The results of the M. oryzae inoculation analysis indicated that indica varieties with partial deletion of OsLRR-RLP2 showed susceptibility, whereas japonica varieties with intact OsLRR-RLP2 showed resistance. The oslrr-rlp2 mutant, generated using clustered regularly interspaced palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9), showed increased pathogen susceptibility, whereas plants overexpressing this gene showed pathogen resistance. These results indicate that OsLRR-RLP2 confers resistance to rice, and OsLRR-RLP2 may be useful for breeding resistant cultivars.

Magnetic hierarchical titanium ferrocyanide for the highly efficient and selective removal of radioactive cesium from water.

Selective adsorption is the most suitable technique for eliminating trace amounts of 137Cs from various volumes of 137Cs-contaminated water, including seawater. Although various metal ferrocyanide (MFC)-functionalized magnetic adsorbents have been developed for the selective removal of 137Cs and magnetic recovery of adsorbents, their adsorption capacity for Cs remains low. Here, magnetic hierarchical titanium ferrocyanide (mh-TiFC) was synthesized for the first time for enhanced Cs adsorption. Hierarchical TiFC, comprising 2-dimensional TiFC flakes, was synthesized on SiO2-coated magnetic Fe3O4 particles using a sacrificial TiO2 shell as a source of Ti4+ via a reaction with ferrocyanide under acidic conditions. The resultant mh-TiFC exhibited the highest maximum adsorption capacity (434.8 mg g-1) and enhanced Cs selectivity with an excellent Kd value (6,850,000 mL g-1) compared to those of previously reported magnetic Cs adsorbents. This enhancement was attributed to the hierarchical structure, which reduced intracrystalline diffusion and increased the surface area available for direct Cs adsorption. Additionally, mh-TiFC (0.1 g L-1) demonstrated an excellent removal efficiency of 137Cs exceeding 99.85% for groundwater and seawater containing approximately 22 ppt 137Cs. Therefore, mh-TiFC offers promising applications for the treatment of 137Cs-contaminated water.

Helical magnetic micromotors decorated with nickel ferrocyanide for the active and rapid adsorption of radiocesium in water.

Separating radioactive cesium from nuclear waste and contaminated environments is critical to mitigate radiological hazards. In response to this need, remote-controllable and Cs-selective micromotor adsorbents have been considered as a promising technology for rapid in-situ cleanup while minimizing secondary waste and radiation exposure to workers. In this study, we demonstrate the active and rapid removal of a radioactive contaminant from water by leveraging the magnetic manipulation capabilities of a helical and magnetic Ni micromotor coated with Cs-selective nickel ferrocyanide (NiFC). The use of polyvinyl alcohol fibers as a template enables the straightforward preparation of the helical wire structure, allowing for precise control over the diameter and pitch of the helix through simple twisting with Ni wires. By harnessing Ni2+ ions eluted from the Ni micromotor in an acid solution, we successfully fabricate NiFC-coated Ni (NiFC/Ni) micromotors that exhibit a selective removal efficiency greater than 98% for 137Cs, even in the presence of high concentrations of competing Na+ ions. Under the influence of an external magnetic field, the NiFC/Ni micromotor demonstrates rapid motion, achieving a pulling motion (100 body lengths per second) through a magnetic gradient and a tumbling motion (46 body lengths per second) induced by a rotating magnetic field. The tumbling motion of the NiFC/Ni micromotor substantially improves the Cs adsorption rate, resulting in a rate that surpasses that achieved under nonmoving conditions by a factor of 21. This improved adsorption rate highlights the considerable potential of magnetically manipulated micromotor self-propulsion for efficient water-pollution treatment.