Clinical outcome in MPFL reconstruction with and without tuberositas transposition.

PURPOSE: There are several surgical options for recurrent patella dislocations. As the reconstruction of the medial patellofemoral ligament (MPFL) has been proven to restore stability, it has become more accepted. Aim of this study was to investigate the clinical outcome after MPFL reconstruction as an isolated procedure or in association with a transposition of the tibial tubercle (in case of patella alta or an excessive TT-TG) in a large prospective cohort study. Additionally, the effect on patellar height was analysed radiographically using the Caton-Deschamps index. METHODS: In a large prospective cohort study of 129 knees in 124 patients (81 females, 48 males, mean age 22.8 ± 7.7 years), 91 knees received primary MPFL reconstruction (group 1) and 38 were a combination with a transposition of the tibial tubercle (group 2). The clinical follow-up was evaluated using KOOS and Kujala scores preoperatively and 1 year postoperatively. Patient satisfaction, complications and revision surgery were recorded. RESULTS: Overall, Kujala improved significantly from 53.5 (SD 22.7) preoperatively to 74.7 (SD 20.5) postoperatively (p < 0.01). All KOOS subdomains improved significantly (p < 0.01). No significant difference for Kujala score between groups was noticed. Revision rate was (5/129) 3.9 %. Reconstruction was supplemented with a transfer of the tibial tuberosity in (38/129) 29.4 % of the cases and shows a comparable outcome. CONCLUSION: MPFL reconstruction is a viable treatment option for episodic patellar dislocation. A concomitant tuberositas transposition is useful in selected patients. LEVEL OF EVIDENCE: I.

False positive detection of peanut residue in liquid caramel coloring using commercial ELISA kits.

Initial food industry testing in our laboratory using enzyme-linked immunosorbent assay (ELISA) methods indicated that the darkest caramel color (class IV) unexpectedly contained traces of peanut protein, a potential undeclared allergen issue. Caramel production centers on the heating of sugars, often glucose, under controlled heat and chemical processing conditions with other ingredients including ammonia, sulfite, and/or alkali salts. These ingredients should not contain any traces of peanut residue. We sought to determine the reliability of commercially available peanut allergen ELISA methods for detection of apparent peanut residue in caramel coloring. Caramel color samples of classes I, II, III, and IV were obtained from 2 commercial suppliers and tested using 6 commercially available quantitative and qualitative peanut ELISA kits. Five lots of class IV caramel color were spiked with a known concentration of peanut protein from light roasted peanut flour to assess recovery of peanut residue using a spike and recovery protocol with either 15 ppm or 100 ppm peanut protein on a kit-specific basis. A false positive detection of peanut protein was found in class IV caramel colors with a range of 1.2 to 17.6 parts per million recovered in both spiked and unspiked liquid caramel color samples. ELISA kit spike/recovery results indicate that false negative results might also be obtained if peanut contamination were ever to actually exist in class IV caramel color. Manufacturers of peanut-free products often test all ingredients for peanut allergen residues using commercial ELISA kits. ELISA methods are not reliable for the detection of peanut in class IV caramel ingredients and their use is not recommended with this matrix.

A simulação da biomassa de aveia por elementos climáticos, nitrogênio e regulador de crescimento / The simulation of the oat biomass by climatic elements, nitrogen and growth regulator

A produção de biomassa de aveia voltada à elaboração de silagem de qualidade é dependente de elementos climáticos e nitrogênio sem ocorrência de acamamento. O objetivo do presente estudo é a definição da dose ideal do regulador de crescimento que possibilite, no máximo, 5% de acamamento de plantas de aveia, bem como a identificação das variáveis potenciais para composição do modelo de regressão linear múltipla com simulação da produtividade de biomassa à elaboração de silagem nas condições de uso do regulador, em reduzida, alta e muito alta fertilização com nitrogênio. O estudo foi conduzido em 2013, 2014 e 2015, em delineamento de blocos ao acaso, com quatro repetições em esquema fatorial 4x3, para doses de regulador (0, 200, 400 e 600mL ha-1) e doses de nitrogênio (30, 90 e 150kg ha-1), respectivamente. A dose de 495mL ha-1 de regulador se mostra eficiente na redução do acamamento de plantas de aveia em condição de reduzida, alta e muito alta fertilização com nitrogênio. A soma térmica, a precipitação, a radiação, a dose de regulador e o nitrogênio qualificam a composição do modelo de regressão linear múltipla, tornando eficiente a simulação da produtividade de biomassa da aveia para silagem ao longo do ciclo.(AU)

The production of oat biomass focused on the development of quality silage is dependent on climatic elements and nitrogen without lodging occurrence. The objective of the study is to define the optimal dose of growth regulator that allows a maximum of 5% oat plant lodging and identify potential variables for composition of multiple linear regression model with productivity simulation of biomass to the preparation of silage in the conditions of low, high and very high fertilization with nitrogen. The study was conducted in 2013, 2014, and 2015 in the randomized block design with four replications in a factorial 4x3, for regulator doses (0, 200, 400 and 600ml ha-1) and nitrogen doses (30, 90 and 150kg ha-1), respectively. The dose of 495mL ha-1 regulator is efficient in reducing the oat plant lodging in condition reduced, high, and very high fertilization with nitrogen. Thermal time, precipitation, radiation, regulator dose and nitrogen dose qualify the composition of the multiple linear regression model, making efficient the biomass oat productivity simulation for silage over the cycle.(AU)