Preliminary study of the relationship between novel coronavirus pneumonia and liver function damage: a multicenter study / 中华肝脏病杂志

To analyze the clinical characteristics of cases of novel coronavirus pneumonia and a preliminary study to explore the relationship between different clinical classification and liver damage. Consecutively confirmed novel coronavirus infection cases admitted to seven designated hospitals during January 23, 2020 to February 8, 2020 were included. Clinical classification (mild, moderate, severe, and critical) was carried out according to the diagnosis and treatment program of novel coronavirus pneumonia (Trial Fifth Edition) issued by the National Health Commission. The research data were analyzed using SPSS19.0 statistical software. Quantitative data were expressed as median (interquartile range), and qualitative data were expressed as frequency and rate. 32 confirmed cases that met the inclusion criteria were included. 28 cases were of mild or moderate type (87.50%), and four cases (12.50%) of severe or critical type. Four cases (12.5%) were combined with one underlying disease (bronchial asthma, coronary heart disease, malignant tumor, chronic kidney disease), and one case (3.13%) was simultaneously combined with high blood pressure and malignant tumor. The results of laboratory examination showed that the alanine aminotransferase (ALT), aspartate aminotransferase (AST), albumin (ALB), and total bilirubin (TBil) for entire cohort were 26.98 (16.88 ~ 46.09) U/L and 24.75 (18.71 ~ 31.79) U/L, 39.00 (36.20 ~ 44.20) g/L and 16.40 (11.34- ~ 21.15) mmol/L, respectively. ALT, AST, ALB and TBil of the mild or moderate subgroups were 22.75 (16.31- ~ 37.25) U/L, 23.63 (18.71 ~ 26.50) U/L, 39.70 (36.50 ~ 46.10) g/L, and 15.95 (11.34 ~ 20.83) mmol/L, respectively. ALT, AST, ALB and TBil of the severe or critical subgroups were 60.25 (40.88 ~ 68.90) U/L, 37.00 (20.88 ~ 64.45) U/L, 35.75 (28.68 ~ 42.00) g/L, and 20.50 (11.28 ~ 25.00) mmol/L, respectively. The results of this multicenter retrospective study suggests that novel coronavirus pneumonia combined with liver damage is more likely to be caused by adverse drug reactions and systemic inflammation in severe patients receiving medical treatment. Therefore, liver function monitoring and evaluation should be strengthened during the treatment of such patients.

Biomechanical study on open fracture model with plate fixation compared with closed fracture model with intramedullary nail fixation in rats / 中国骨伤

<p><b>OBJECTIVE</b>To compare biomechanical effect of the closed fracture model with intramedullary nail fixation and the open fracture model with plate fixation in rats.</p><p><b>METHODS</b>Forty 8-week-old Spragu-Dawley male rats were divided into two groups randomly. Left femoral shaft closed fractures model was created in 20 rats, and treated with intramedullary nail. Other 20 rats received open osteotomy on the left femoral shaft, and were fixed by plate. Rats were sacrificed and draw the materials at 4, 6, 8 and 12 weeks in batch. Across section area and volume of callus were measured, peak load, restoration rate of peak load were tested. The biomechanical efficency of two methods of femoral shaft fracture fixation were compared.</p><p><b>RESULTS</b>The difference of surgical duration was statistically significant between two groups (P < 0.001). At 4, 6, 8 and 12 weeks, the difference of peak load, restoration rate of peak load, volume and area of callus was also statistically significant between two groups (P < 0.05).</p><p><b>CONCLUSION</b>Open fracture model with plate fixation led to delayed healing compared with closed fracture model with intramedullary nail. However, open fracture model with plate fixation model could be a valuable research tool to study the healing consequences of cortical bone, which may provide insight into the pathogenesis and ideal treatment of fractures or nonunions.</p>

Biomechanical differences of embalmed and PMMA femurs / 医用生物力学

Objective To compare the differences in biomechanical properties of embalmed and PMMA femurs under axial loads, so as to provide a more reliable and unified femoral model for replacement. Methods Ten embalmed femurs and ten PMMA femurs were selected, and each femur was instrumented with 49 strain gauges totally on the medial and lateral side. The axial load was applied dynamically up to a maximum of 1.2 kN, and the strain of each strain gauge and load displacement curve were recorded. Results The strain distributions on two types of femur were similar, and the load displacement presented a linear relationship, but the vertical displacements under different loads were significantly different (P<0.05). The axial stiffness value of PMMA femur and embalmed femur were (259.84±24.63) and (600.40±78.56) N/mm, respectively, showing significant difference (P<0.01). The strain concentration parts at the proximal part of two femurs were the same, but the average strain value of the PMMA femur was significantly different from that of the embalmed femur (strain gauge No. 1~5: PMMA femur (-3 420.63±373.31) με, embalmed femur (-1 289.42±417.89) με; strain gauge No. 26~27: PMMA femur (1 748.67±193.98) με, embalmed femur (673.42±104.49) με; strain gauge No. 7~10: PMMA femur (-4 028.25±267.27) με, embalmed femurs (-1 139.01±288.83) με; strain gauge No. 30~36: PMMA femur (1 599.02±194.68) με, embalmed femurs (590.52±153.18) με, P<0.01). The strain concentration parts at the distal part of the two femurs were different. The medial and lateral parts of strain transformation between positive and negative of PMMA femurs were similar to embalmed femurs. The strain-load curves of strain gauge No. 2, 26, 6, 29, 8 and 33 indicated a linear relationship, but the strain value of the two femurs had significant differences (P<0.05). Conclusions The PMMA femur can replace the embalmed femur to a certain degree in biomechanical experiments on the upper part of femur. Due to the difficulty of obtaining fresh femurs, the PMMA femurs provide a more reliable and unified femoral model for replacement.