Anchoring grassland sustainability with a nature-based small burrowing mammal control strategy.

Over the last 40 years, a burrowing mammal eradication policy has been prevalent on the Qinghai-Tibetan Plateau (QTP). This policy is based on similar burrowing mammal eradication programs in other areas and is justified on the assumptions that burrowing mammals compete with livestock for forage and contribute to grassland degradation. However, there is no clear theoretical or experimental evidence supporting these assumptions. This paper synthesizes the ecological functioning of small burrowing mammals in natural grasslands and discusses the irrationality and consequences of burrowing mammal eradication for sustainable livestock grazing and grassland degradation. Past burrowing mammal eradication efforts have failed because increased food availability for the remaining rodents and reduced predator populations led to rapid population rebounds. Herbivores differ in diet, and there is clear evidence that burrowing mammals, especially plateau zokors Myospalax baileyi, have a different diet than livestock. In QTP meadows, burrowing mammal eradication induces a shift towards plant communities with fewer species preferred by livestock and more species preferred by burrowing mammals. Thus, eradicating burrowing mammals has the opposite effect, a reduction in livestock preferred vegetation. We suggest that the policy of poisoning burrowing mammals needs to be reconsidered and revoked as soon as possible. We argue that incorporating density-dependent factors such as predation and food availability are essential for maintaining a low burrowing mammal density. For degraded grasslands, we suggest that the optimal sustainable approach is to decrease the intensity of livestock grazing. Lower grazing induces changes in vegetation structure and plant species composition that increases predation on burrowing mammals and decreases the abundance of plants preferred by burrowing mammals. Such a nature-based grassland management system maintains the density of burrowing mammals at a low stable density while minimizing human management and interventions.

Meniscal resection increases the risk of residual knee laxity even in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction with eight strands of hamstring autografts.

PURPOSE: To compare the midterm clinical outcomes of different meniscal surgeries in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction (DB-ACLR) with eight strands of hamstring (HT8) autografts and explore the potential predictive risk factors for residual knee laxity. METHODS: From 2010 to 2017, a total of 410 patients who underwent anatomic trans-tibial DB-ACLR with HT8 autografts (169 patients without meniscal surgery, 105 patients with meniscal repair, and 136 patients with meniscal resection) were included in this study. The equivalent graft diameter was introduced to make the total graft size of DB-ACLR comparable with that of single-bundle ACLR and calculated as the square root of the quadratic sum of the diameter for each bundle. Residual laxity was defined as excessive anterior tibial translation or residual pivot shift at any follow-up visit, while graft rupture was confirmed by second-look arthroscopy or magnetic resonance imaging. RESULTS: The mean follow-up period was 8.3 ± 2.2 years. The mean equivalent graft diameter was 9.9 ± 0.7 mm. Graft rupture was confirmed in 16 (3.9%) patients, while residual laxity was detected in 72 (17.6%) patients (34 [25.0%] in the meniscal resection group vs. 22 [13.0%] in the no meniscal surgery group, p = 0.021). In the multivariate logistic regression analysis, high-grade preoperative knee laxity (odds ratio OR 2.04, p = 0.020), equivalent graft diameter < 9 mm (OR 3.31 compared with 9-10 mm, p = 0.012; OR 3.28 compared with ≥ 10 mm, p = 0.019), and meniscal resection (OR 1.94 compared with no meniscal surgery, p = 0.045) were associated with residual laxity. CONCLUSION: During a midterm follow-up, meniscal resection increased the risk of residual knee laxity even in patients undergoing anatomic DB-ACLR with HT8 autografts. Increasing the hamstring graft diameter and preserving the menisci are important strategies for ACLR to restore knee stability. LEVEL OF EVIDENCE: Level III.

Effects of N and P enrichment on plant photosynthetic traits in alpine steppe of the Qinghai-Tibetan Plateau.

BACKGROUND: N (nitrogen) and P (phosphorus) play important roles in plant growth and fitness, and both are the most important limiting factors that affect grassland structure and function. However, we still know little about plant physiological responses to N and P enrichment in alpine grassland of the Qinghai-Tibetan Plateau. In our experiment, five dominant common herbaceous species were selected and their photosynthetic parameters, leaf N content, and aboveground biomass were measured. RESULTS: We found that species-specific responses to N and P enrichment were obvious at individual level. N addition (72 kg Nha-1 yr-1), P addition (36 kg Pha-1 yr-1) and NP addition (72 kg Nha-1 yr-1and 36 kg P ha-1 yr-1, simultaneously) significantly promoted net photosynthetic rate of Leymus secalinus. Differential responses also existed in the same functional groups. Responses of forb species to the nutrients addition varied, Aconitum carmichaeli was more sensitive to nutrients addition including N addition (72 kg Nha-1 yr-1), P addition (36 kg Pha-1 yr-1) and NP addition (72 kg Nha-1 yr-1and 36 kg P ha-1 yr-1). Responses of plant community photosynthetic traits were not so sensitive as those of plant individuals under N and P enrichment. CONCLUSIONS: Our findings highlighted that photosynthetic responses of alpine plants to N and P enrichment were species-specific. Grass species Leymus secalinus had a higher competitive advantage compared with other species under nutrient enrichment. Additionally, soil pH variation and nutrients imbalance induced by N and P enrichment is the main cause that affect photosynthetic traits of plant in alpine steppe of the Qinghai-Tibetan Plateau.

Modified Lemaire Lateral Extra-articular Tenodesis With the Iliotibial Band Strip Fixed on the Femoral Cortical Surface Reduces Laxity and Causes Less Overconstraint in the Anterolateral Lesioned Knee: A Biomechanical Study.

PURPOSE: To compare the biomechanical effects of femoral cortical surface fixation and intra-tunnel fixation in modified Lemaire tenodesis on the restoration of native kinematics in anterolateral structure-deficient knees. METHODS: Eight fresh-frozen cadaveric knees were mounted in a knee-customized jig to evaluate anterior translation in anterior load and internal rotation degree in internal rotation torque at 0°, 30°, 60°, and 90°, as well as anterolateral translation (ALT) in a simulated pivot-shift test at 0°, 15°, 30°, and 45°. Kinematic tests were performed in the following states: intact; anterolateral knee lesion (AL-Les); modified Lemaire lateral extra-articular tenodesis (LET) with the femoral iliotibial band (ITB) strip fixed on the cortical surface (cortical fixation), deep to the lateral collateral ligament (LCL) (deep LET-C); and LET with the femoral ITB strip fixed into a tunnel (intra-tunnel fixation), deep to the LCL (deep LET-IT) or superficial to the LCL (superficial LET-IT). The knee kinematic changes in the AL-Les state and the 3 LET states were compared with each other, with the intact state as the baseline. RESULTS: In the AL-Les state, the increased anterior translation instabilities were significantly mitigated by the 3 LETs at 30°, 60°, and 90° (all P < .001), with overconstraint observed in both the deep LET-IT and superficial LET-IT states at 60° (P = .047 and P < .001, respectively) and 90° (both P < .001). Similarly, the 3 LETs significantly reduced the internal rotation instabilities in the AL-Les state at all flexion angles. The superficial LET-IT state overconstrained the knee at 60° (P = .009) and 90° (P < .001) during internal rotation torque, and the deep LET-IT state did so at 60° (P = .012). Furthermore, the ALT instabilities found in the AL-Les state were significantly reduced by the 3 LETs during the simulated pivot-shift test. At 30° and 45°, these LET states resulted in overconstraint when compared with the intact state, but the superficial LET-IT state (P < .001) or deep LET-IT state (P = .016) presented a larger overconstraint than that in the deep LET-C at 45°, respectively. CONCLUSIONS: The 3 Lemaire LET procedures evaluated reduced the anterior, internal rotational, and ALT laxities in AL-Les knees and restored these parameters to the native baseline of the intact state at most flexion angles. However, in deep flexion, some overconstraint occurred in all LETs when compared with the intact state, of which the deep LET-C state resulted in less overconstraint in anterior translation and internal rotation than the deep LET-IT and superficial LET-IT states. CLINICAL RELEVANCE: This biomechanical study supports using the femoral cortical fixation technique to fix the ITB strip in the modified Lemaire LET, which similarly improves knee kinematic stability and causes less overconstraint compared with conventional intra-tunnel fixation. These findings need more verification in clinical scenarios.

Anterolateral Structure Reconstructions With Different Tibial Attachment Sites Similarly Improve Tibiofemoral Kinematics and Result in Different Graft Force in Treating Knee Anterolateral Instability.

PURPOSE: To compare the biomechanical effects of anterolateral structure reconstructions (ALSRs) with different tibial attachments on tibiofemoral kinematics and anterolateral structure (ALS) graft forces. METHODS: Eight cadaveric knees were tested in a customized knee testing system, using a novel pulley system to simulate more muscle tensions by loading the iliotibial band at 30 N and quadriceps at 10 N in all testing states. Anterior stability during anterior load and anterolateral rotatory stability during 2 simulated pivot-shift tests (PST1 and PST2) were evaluated in 5 states: intact, ALS-deficient (Def), ALSR-Ta (anterior tibial site), ALSR-Tm (middle tibial site), and ALSR-Tp (posterior tibial site). Tibiofemoral kinematics and resulting ALS graft forces against the applied loads were measured and compared in the corresponding states. RESULTS: In anterior load, 3 ALSRs mitigated the anterior laxities of the ALS Def state at all degrees, which were close to intact state at 0° and 30° but showed significantly overconstraints at 60° and 90°. In both PSTs, all ALSRs significantly reduced the anterolateral rotatory instability of ALS Def, whereas the significant overconstraints were detected in ALSR-Ta and ALSR-Tm at greater knee flexion angles. All ALS grafts carried forces in resisting anterior and pivot-shift loads. Only ALS graft force in ALSR-Ta increased continuously with knee flexion angles. The ALS graft forces carried by ALSR-Ta were significantly larger than those by ALSR-Tp and ALSR-Tm when resisting anterior load and PSTs at greater knee flexion angles. CONCLUSIONS: ALSRs with different tibial attachment sites similarly restored knee laxities close to the native tibiofemoral kinematics in an ALS-deficient knee, whereas the ALSR-Tp showed less propensity for overconstraining the knee at greater flexion angles. The ALS graft in ALSR-Ta carried more forces than those in ALSR-Tp and ALSR-Tm against simulated loads. CLINICAL RELEVANCE: Altering the tibial attachment sites of ALSRs may not significantly affect tibiofemoral kinematics at most degrees whereas the posterior may have less overconstraints at greater flexion angles. However, ALS graft positioning at a more anterior tibial attachment site may carry more forces in resisting anterior and pivot-shift loads.

Medial Patellofemoral Ligament Reconstruction Using Adductor-Transfer and Adductor-Sling at Nonanatomic Femoral Attachment Sites Leads to Unfavorable Graft-Length Change Patterns: A Descriptive Biomechanical Study.

PURPOSE: To compare the graft length change patterns in nonanatomic adductor-transfer (AT) and adductor-sling (AS) medial patellofemoral ligament (MPFL) reconstruction with those in anatomic MPFL reconstruction (MPFLR) and to investigate the favorable isometric ranges (FIRs) of knee flexion. METHODS: Eight small fresh-frozen cadaveric knees were mounted in a knee-customized jig with tensioned muscles to measure graft length changes from two patellar points to four femoral attachments using a linear variable displacement transducer. Femoral attachments were at the MPFL footprint center (MPFL-C) in anatomic MPFLR, adductor magnus (AM) footprint center (AM-C) in AT, and at 5-mm (AM-5) or 10-mm (AM-10) points proximal to AM-C in AS. The FIRs of these femoral attachments were determined after zeroing the graft length changes at different initial fixation angles. RESULTS: Anatomic MPFL-C resulted in almost isometric graft length changes from 0° to 90°. At AM-C, the graft length changes displayed an increase from 0° to 45° and significantly greater length changes than those at MPFL-C from 60° to 90°. The graft length changes at both AM-5 and at AM-10 continuously increased with knee flexion angles and presented significantly larger graft length changes than those at MPFL-C and at AM-C from 30° to 90° and 60° to 90°, respectively. After zeroing graft length changes at different fixation angles, the FIRs of the MPFL-C covered all knee flexion angles, regardless of the patellar attachments and initial fixation angles. Moreover, with the smaller FIRs of AM-C observed at any fixation angle when compared with MPFL-C, fixing the graft at 0° to 30° in AT allowed the FIRs to cover the whole functional flexion range. However, the significantly larger graft length changes of both AM-5 and AM-10 resulted in extremely limited FIRs at any fixation angle. CONCLUSION: Anatomic MPFL-C resulted in a favorable graft length change range (less than 2 mm) at 0° to 90° of knee flexion, which was close to the isometric graft behavior. However, nonanatomic attachments of AM-C in AT, and both AM-5 and AM-10 in AS caused significant anisometric graft length change patterns and limited FIRs. Moreover, AT had a smaller range of graft length change but wider FIRs compared to AS, indicating superior graft behavior for MPFLR. CLINICAL RELEVANCE: Anatomic MPFLR is preferable for the treatment of in skeletally immature patients, followed in preference by nonanatomic AT. Nonanatomic AS should be performed cautiously.

Differentiation Ability of Tendon-Derived Stem Cells and Histological Characteristics of Rotator Cuff Remnant on the Greater Tuberosity Degenerated With Age and Chronicity.

PURPOSE: To explore and measure the presence and activity of tendon-derived stem cells (TDSCs), as well as histological changes of rotator cuff remnant by age and chronicity of the rotator cuff tear (RCT). METHODS: 154 patients with a full-thickness tear of supraspinatus and/or infraspinatus tendon were included. 52 qualified remnants of the greater tuberosity were captured through arthroscopy. TDSCs in the remnants were isolated for proliferation ability, basal gene expression, and trilineage differentiation detection. Histological characteristics were evaluated by observation of staining under a light microscope and transmission electron microscopy (TEM). To observe the effect of age, samples were divided into two groups: young (＜60 years old) and old (≥60 years old). For chronicity comparison, samples were divided into three groups: acute group (＜3 months), intermediate group (3-12 months), and chronic group (≥12 months). RESULTS: Between age groups, the remnants in older patients were found to have lower TDSC proliferation ability (cell counting kit-8 results, old: .5325 ± .050, young: .6623 ± .196; P = .008) and basal expression of aggrecan (.630 ± .239; P = .002) and TGF-ß1 (transforming growth factor-ß1, .589 ± .326, P = .008), weaker ability of chondrogenic differentiation. Furthermore, the remnant tendons in chronic group was found to have weaker adipogenic and chondrogenic differentiation ability of TDSCs, lower tendon degenerative score (acute: 3.57 ± 1.902, intermediate: 5.94 ± 2.313, chronic: 6.86 ± 2.193; P = .023), increased type III collagen region ratio in insertion area (acute: 86.10% ± 8.29%, intermediate: 94.06% ± 5.36%, chronic: 98.90% ± .49%; P = .023), and larger fibril diameters. CONCLUSION: Differentiation ability of TDSCs derived from the rotator cuff remnant was reduced with age and chronicity. Histological degeneration of remnant tendon deteriorated with chronicity. Remnant in the greater tuberosity was still alive, but those in young or acute injury patients were more active after full-thickness RCT. CLINICAL RELEVANCE: TDSCs exist in rotator cuff remnant on the greater tuberosity and have multilineage differentiation ability. But the remnant degenerated with age and chronicity.

Anterolateral Structure Reconstruction Similarly Improves the Stability and Causes Less Overconstraint in Anterior Cruciate Ligament-Reconstructed Knees Compared With Modified Lemaire Lateral Extra-articular Tenodesis: A Biomechanical Study.

PURPOSE: To compare the kinematics of anterolateral structure (ALS) reconstruction (ALSR) and lateral extra-articular tenodesis (LET) in ACL-ALS-deficient knees with anterior cruciate ligament (ACL) reconstruction. METHODS: Ten fresh-frozen cadaveric knees with the following conditions were tested: (1) intact, (2) ACL-ALS deficiency, (3) ACL reconstruction (ACLR), (4) ACLR combined with ALSR (ACL-ALSR) or LET (ACLR+LET). Anterior translation and tibial internal rotation were measured with 90-N anterior load and 5 N·m internal torque at 0°, 30°, 60°, and 90°. The anterolateral translation and internal rotation were also measured during a simulated pivot-shift test at 0°, 15°, 30°, and 45°. The knee kinematic changes in all reconstructions were compared with each other, with intact knees as the baseline. RESULTS: Isolated ACLR failed to restore native knee kinematics in ACL-ALS-deficient knees. Both ACL-ALSR and ACLR+LET procedures decreased the anterior instability of the ACLR. However, ACLR+LET caused overconstraints in internal rotation at 30° (-3.73° ± 2.60°, P = .023), 60° (-4.96° ± 2.22°, P = .001) and 90° (-6.14° ± 1.60°, P < .001). ACL-ALSR also overconstrained the knee at 60° (-3.65° ± 1.90°, P < .001) and 90° (-3.18° ± 2.53°, P < .001). For a simulated pivot-shift test, both combined procedures significantly reduced the ACLR instability, with anterolateral translation and internal rotation being overconstrained in ACLR+LET at 30° (-3.32 mm ± 3.89 mm, P = .005; -2.58° ± 1.61°, P < .001) and 45° (-3.02 mm ± 3.95 mm, P = .012; -3.44° ± 2.86°, P < .001). However, the ACL-ALSR overconstrained only the anterolateral translation at 30° (-1.51 mm ± 2.39 mm, P = .046) and internal rotation at 45° (-2.09° ± 1.70°, P < .001). There were no significant differences between the two combined procedures at most testing degrees in each testing state, except for the internal rotation at 30° (P = .007) and 90° (P = .032) in internal rotation torque. CONCLUSION: ACL reconstruction alone did not restore intact knee kinematics in knees with concurrent ACL tears and severe ALS injury (ACL-ALS-deficient status). Both ACL-ALSR and ACLR+LET procedures restored knee stability at some flexion degrees, with less overconstraints in internal rotation resulting from ACL-ALSR. CLINICAL RELEVANCE: For patients with combined ACL tears and severe ALS deficiency, isolated ACLR probably results in residual rotational and pivot-shift instability. Both ACL-ALSR and ACLR+LET show promise for the improvement of knee stability, whereas ACL-ALSR has less propensity for knee overconstraint.

Steep lateral tibial slope measured on magnetic resonance imaging is the best radiological predictor of anterior cruciate ligament reconstruction failure.

PURPOSE: To identify the radiological predictive risk factors for anterior cruciate ligament reconstruction (ACLR) failure, compare the diagnostic accuracies of different parameters of conventional radiographs and magnetic resonance imaging (MRI), and determine the cutoff values for patients at higher risk. METHODS: Twenty-eight patients who were diagnosed as ACLR failure via MRI or arthroscopic examination were included in the study group. They were matched to 56 patients who underwent primary ACLR with the same surgical technique and without graft failure at the minimum 24-month follow-up by age, sex, and body mass index. On true lateral whole-leg radiographs, the posterior tibial slope (PTS) referenced to the tibial mechanical axis (PTS-mechanical), PTS referenced to the tibial proximal anatomical axis (PTS-anatomical), and anterior tibial translation (ATT) were measured. On the sagittal slices of MRI, the medial tibial slope (MTS), medial tibial plateau (MTP) subluxation (MTPsublx), lateral tibial slope (LTS), and lateral tibial plateau (LTP) subluxation (LTPsublx) were obtained. Receiver operator characteristic (ROC) curves were constructed to compare the diagnostic performance and determine the cutoff values of different radiological parameters. RESULTS: The study group demonstrated higher values of PTS-mechanical (10.7° ± 2.9° vs 8.7° ± 1.9°, p = 0.003), PTS-anatomical (13.2° ± 2.8° vs 10.5° ± 2.5°, p < 0.001), ATT (10.7 ± 3.3 mm vs 8.9 ± 2.2 mm, p = 0.014), LTS (9.4° ± 2.1° vs 5.5° ± 2.5°, p < 0.001), and LTPsublx (8.2 ± 2.8 mm vs 6.8 ± 1.9 mm, p = 0.009) as compared with the control group. The area under the ROC curve of LTS was significantly larger than that of PTS-mechanical (p = 0.006) and PTS-anatomical (p = 0.020). Based on the maximum Youden indexes, the cutoff values of PTS-mechanical, PTS-anatomical, and LTS were 10.1° (sensitivity, 64.3%; specificity, 78.6%), 12.0° (sensitivity, 71.4%; specificity, 71.4%), and 7.7° (sensitivity, 85.7%; specificity, 80.4%), respectively. CONCLUSION: Due to the morphological asymmetry of the MTP and LTP, steep LTS measured on MRI is the best radiological predictor of ACLR failure. Detailed measurement of the LTS on MRI is recommended to evaluate the risk of ACLR failure prior to the surgery. LEVEL OF EVIDENCE: III.

A Secondary Injury of the Anterolateral Structure Plays a Minor Role in Anterior and Anterolateral Instability of Anterior Cruciate Ligament-Deficient Knees in the Case of Functional Iliotibial Band.

PURPOSE: To analyze the contribution of a secondary anterolateral structure (ALS) deficiency to knee instability based on anterior cruciate ligament (ACL) deficiency, in the condition of a functional iliotibial band (ITB). METHODS: Nine freshly-frozen cadaveric knees were sectioned sequentially to create ACL deficiency and ACL-ALS deficiency, using intact knees before sectioning as controls. When ITB was tensioned with 30 N, 4 separate aspects of knee instability were tested as follows: anterior translation in 90 N anterior load, isolated internal rotation in 5 N·m internal rotational torque from 0° to 90° in 15° increments, and anterolateral translation and internal rotation during a simulated pivot-shift test at 0°, 15°, 30°, and 45°. The contribution of ACL deficiency alone and additional ALS deficiency to knee instability were evaluated. RESULTS: The addition of an ALS lesion produced no significant exacerbation of either anterior translational or pivot shift instability in ACL-deficient knees. Additional ALS deficiency in an ACL-deficient knee resulted in a significant increase in isolated internal rotation from 45° to 90° (P = .001 at 45° and P < .001 in other cases). After sequentially sectioning, the contribution to instability of additional ALS deficiency to the entire instability in ACL-ALS-deficient knees was significantly smaller than that of ACL deficiency alone during anterior load and pivot-shift test (P < .001 in all cases), but significantly contributed more to isolated internal rotational instability at 60° (P = .011) and 90° (P = .015). CONCLUSIONS: When ITB was tensioned, ALS played a minor role in controlling both anterior or pivot shift stability in ACL-deficient knees but a major role in restraining isolated internal rotation from 45° to 90°. CLINICAL RELEVANCE: In the condition of functional ITB, concomitant ALS injury might not exacerbate anterior and pivot-shift instability after ACL rupture, while affecting isolated internal rotation stability at higher flexion.

The cost-benefit evaluation based on ecosystem services under different ecological restoration scenarios.

The effects of ecological restoration based on ecosystem services (ES) have attracted more and more attention, while the simulation and cost-benefit analysis of ecological restoration scenarios are not well investigated. In this study, four ecological restoration scenarios were simulated at a typical watershed on the Qinghai-Tibetan Plateau (QTP) based on the land use conversion. Scenario 1 was only grassland restoration, Scenario 2 and 3 were mainly farmland to shrub, and Scenario 4 was mainly grassland restoration with bare land converting to forest and shrub. The ecosystem services value (ESV) and the cost-benefits of these scenarios were quantified and compared in 25 years after the restoration investment. The results showed there were significant differences in the ESV under four scenarios, among which Scenario 4 had the largest ESV and Scenario 1 had the smallest ESV. The spatial distribution of ESV was uneven, and high-value regions were concentrated in the southwest and central regions. There were great variations between original scenario and simulated scenarios, but a little difference between Scenarios 2, 3, and 4. The largest loss of farmland abandonment was regulating service, followed by supporting service, provisioning service, and cultural service. From the perspective of payback period, Scenario 1 was the fastest, and it could obtain net benefits first. From the short- and long-term (6 and 25 years after investment) benefits, Scenarios 1 and 4 had the largest cumulative ESV increase, respectively. The results of this study can provide a basis for the formulation and implementation of ecological policies.

A novel morphological classification for the femoral notch based on MRI: a simple and effective assessment method for the femoral notch.

OBJECTIVE: To propose a novel morphological classification method for notches, which may provide new evidence for notchplasty based on the three-dimensional (3D) features of notches and the risk of anterior cruciate ligament (ACL) injury. MATERIALS AND METHODS: Three hundred individuals in total were included in our study, including 150 patients with ACL ruptures (75 males and 75 females) and 150 age- and gender-matched individuals without ACL ruptures. The notches were divided into four types according to the notch widths at the notch inlet, outlet, and ACL attachment based on the preoperative MRI, the notch volume was calculated, and the risk of ACL injury was compared. The surgical records were reviewed and whether these cases performed notchplasty were collected. RESULTS: The inlet-and-outlet stenosis notch type was associated with smaller notch volume (P = 0.007) and a higher risk of ACL injury (P < 0.001). There were no significant differences in morphological distribution between males and females. The rate of notchplasty in inlet-and-outlet stenosis type was higher than the others. CONCLUSIONS: The new morphological classification method efficiently reflected the association of the notch shape with the 3D notch volume and the risk of ACL injury. The knees with the inlet-and-outlet stenosis notch type and smaller notch volume tended to have a higher risk of ACL injury. Level of evidence Level III, case-control study.

Cooperative grassland management practices promoted by land tenure system transformation benefit social-ecological systems of pastoralism on the Qinghai-Tibetan plateau, China.

China has recently implemented the latest rural land tenure reform with the "Separating Three Property Rights" as non-tradable land ownership, non-tradable land contracting right and tradable land use right, leading to a dramatic change in grassland management strategies in vast pastoral areas. However, the impact of this new reform on grassland management practices is widely debated by scholars and policy analysts. To identify the factors impacting the pastoralists' choice of grassland management practice and the social, economic and ecological benefits derived from different grassland management practices, we conducted a field survey of pastoralists (n = 259) in 7 counties on the Qinghai-Tibetan Plateau. The results showed that respondents' gender, grassland area, scale and location of the village, grassland condition perception significantly exerted positive influence on pastoralists' willingness to participate in cooperative grassland management practices, while grassland fence and urban life expectation negatively influenced the willingness. We found that cooperative grassland management practices led to significantly higher household incomes, more equal gender relationships and better-managed grasslands than individual ones. In spite of this, there were still a large number of pastoralists who chose individual grassland management practices due to their long-term customary operations. In conclusion, this new rural land tenure reform has facilitated pastoralists' choice for diverse grassland management practices and the promoted voluntary large-scale cooperative grassland management practices benefit the social-ecological system of pastoralism.

A ribosomal DNA-hosted microRNA regulates zebrafish embryonic angiogenesis.

MicroRNAs (miRNAs) are single-stranded small non-coding RNAs, generally 18-25 nucleotides in length, that act as repressors of gene expression. miRNAs are encoded by independent genes or processed from a variety of different RNA species. So far, there is no evidence showing that the ribosomal DNA-hosted microRNA is implicated in vertebrate development. Currently, we found a highly expressed small RNA hosted in ribosomal DNA was predicted as a novel miRNA, named miR-ntu1, in zebrafish endothelial cells by deep sequencing analysis. The miRNA was validated by custom-designed Taqman PCR, Northern Blot, and in silico analysis. Furthermore, we demonstrated that miR-ntu1 played a crucial role in zebrafish angiogenesis via modulation of Notch signaling. Our findings provide a notable case that a miRNA hosted in ribosomal DNA is involved in vertebrate development.

Linearly thermal-tunable near-infrared ultra-narrowband metamaterial perfect absorber with low power and a large modulation depth based on a four-nanorod-coupled a-silicon resonator.

The bandwidths of thermal-tunable metamaterial perfect absorbers (MPAs) based on the phase change materials such as Ge2Sb2Te5 and VO2 are usually hundreds of nanometers at near-infrared frequency. Amorphous silicon (a-Si) provides the approach to achieve linearly thermal-tunable ultra-narrowband MPAs, if the absorption band is narrow enough. Four-nanorod-coupled a-Si resonators are proposed in this Letter. An absorption band at 1064 nm is obtained with ultra-narrow bandwidth (FWHM) only 1.4 nm by exciting the coupled magnetic dipole (CMD) mode, which exhibits great linearity to the temperature. In addition, the thermo-optical sensitivity (S=Δλ/ΔT) is about 0.08 nm/°C. The figure of merit of the thermal tunability performance FOM=S/FWHM=0.06. As a modulator, the critical temperature of absorptivity at 1064 nm is only 40°C, which is much lower than the Ge2Sb2Te5 (GST) and VO2. In addition, the modulation depth is up to 82% at near-infrared frequency.

Risk assessment of soil heavy metals associated with land use variations in the riparian zones of a typical urban river gradient.

Urbanization-induced land use changes in riparian area alter soil and water regimes in complex ways, which may also affect the migration and transformation of soil heavy metals and increase the risk of release. In this study, soil samples from the riparian zone of Beiyun River, which located in the rapidly urbanized Beijing metropolis, were collected and analyzed for heavy metals (As, Cd, Cr, Cu, Mn, Ni, Pb, and Zn). Then their zoning distribution pattern along river (section 1 to section 4 from upper to low reaches) and the correlation of heavy metals between riparian soils and riverine sediments were investigated. Results showed that the average soil heavy metal concentrations of Cd, Cr, Cu and Zn in riparian zone were approximately 2.2, 1.7, 1.9 and 2.0 times higher than the background values. Sectionally, the concentrations of Cd, Ni, Pb and Zn displayed a decreasing order with section 2 > section 3 > section 4 > section 1, while the highest values of Cr and Cu were found in section 3. The concentrations of all heavy metals except Cr in artificial garden land were higher than those in other land use types, and the concentrations of Cr among five land use types were in the order of grass land > farmland > artificial garden land > forest land > forest-grass land. Generally, most of the heavy metals in the riverine sediments had higher contents than those in riparian zones, especially Cu and Zn. There was a decreasing order for the average geo-accumulation index (Igeo) of measured heavy metals in the soils of riparian zone: Zn (0.15) > Cr (0.08) > Cu (0.07) > Cd (-0.08) > As (-0.57) > Pb (-0.67) > Mn (-0.75) > Ni (-0.86), whereas they had different "high-low" orders in different land use types. The Igeo index indicated most regions of riparian zone were moderately polluted with Cd, Cr, Cu and Zn, especially in grass land and forest land. Also, Cd, Cr and Zn in riparian zone have positive relationships with the concentrations in riverine sediments. Health risk assessment showed that the contribution of ingestion HQ to HI was the highest among the three exposure pathways (ingestion, inhalation and dermal contact), and children had higher non-carcinogenic risk and carcinogenic risk index than adult. Our findings suggest that land use and soil in riparian zone should be protected and managed scientifically to control the riverine pollution and ensure human health.

Theoretical design of twelve-band infrared metamaterial perfect absorber by combining the dipole, quadrupole, and octopole plasmon resonance modes of four different ring-strip resonators.

Multiband metamaterial perfect absorbers (MPAs) have promising applications in many fields like microbolometers, infrared detection, biosensing, and thermal emitters. In general, the single resonator can only excite a fundamental mode and achieve single absorption band. The multiband MPA can be achieved by combining several different sized resonators together. However, it's still challenging to design the MPA with absorption bands of more than four and average absorptivity of more than 90% due to the interaction between differently sized resonators. In this paper, three absorption bands are successfully achieved with average absorptivity up to 98.5% only utilizing single one our designed ring-strip resonator, which can simultaneously excite a fundamental electric dipole mode, a higher-order electric quadrupole mode, and a higher-order electric octopole mode. As the biosensor, the sensing performance of the higher-order modes is higher than the fundamental modes. Then we try to increase the absorption bands by combining different sized ring-strip resonators together and make the average absorptivity above 90% by optimizing the geometry parameters. A six-band MPA is achieved by combining two different sized ring-strip resonators with average absorptivity up to 98.8%, which can excite two dipole modes, two quadrupole modes, and two octopole modes. A twelve-band MPA is achieved by combining four different sized ring-strip resonators with average absorptivity up to 93.7%, which can excite four dipole modes, four quadrupole modes, and four octopole modes.

Theoretical excitation of 2-D (1, 1) cavity mode with asymmetric sword-shaped notched square resonators for metamaterial perfect multiband absorbers in infrared range.

1-D cavity modes in 1-D resonators, such as strips, have been used to design multiband metamaterial perfect absorbers. As for 2-D resonators, such as squares and crosses, most studies still focus on exciting the 1-D cavity modes. In this paper, a symmetry-breaking idea is proposed for 2-D cavity mode excitation. An asymmetric sword-shaped notched square resonator is proposed to excite a new 2-D (1, 1) cavity mode, in addition to the 1-D (1, 0) and (3, 0) cavity modes. Thus, a triple-band MPA was successfully produced with average absorptivity of 98.8% in the infrared range. The 2-D cavity mode provides better performance as a biosensor than the 1-D cavity modes do. To obtain more absorption bands, a six-band metamaterial perfect absorber with average absorptivity of 97.2% was successfully produced by combining two sword-shaped notched square resonators with different sizes. A nine-band metamaterial perfect absorber was successfully produced with average absorptivity of 94.5% by combining three sword-shaped notched square resonators with different sizes.

All-metal frequency-selective absorber/emitter for laser stealth and infrared stealth.

In this paper, an all-metal nanostructure is designed with a large frequency ratio (∼6) and a large bandwidth ratio (∼32), and consists of period slit-box cavities and nanodisk clusters. It is a nearly perfect absorber at 1.064 µm to achieve laser stealth, a frequency-selective emitter with low emissivity in wavelength ranges 3-5 and 8-14 µm to achieve infrared stealth, and also an emitter with near unity emissivity at 2.709 µm and 6.107 µm to compensate for the decrease of radiation heat transfer owing to the low emissivity. The absorption/emission peaks are all the Lorentzian shape, and the bandwidths, defined as full width at half-maximum, are 35, 408, and 1124 nm at 1.064, 2.709, and 6.107 µm, respectively. The electric and magnetic field distribution shows that the slit behaves like a capacitor, the box behaves like an inductance, and the nanodisk clusters can excite electric dipole resonance. Considering the solar irradiation, the nanostructure maintains middle-wavelength infrared signal reduction rates greater than 80% from 450 to 1000 K, and long-wavelength infrared signal reduction rates greater than 90% from room temperature to 1000 K. The laser and infrared stealth performances of our nanostructure at 473 K are also studied with different incident angles and polarization angles.

Native Enthesis Preservation Versus Removal in Rotator Cuff Repair in a Rabbit Model.

PURPOSE: The purpose of this study was to explore whether preservation of native enthesis during rotator cuff repair (RCR) results in a histologically and biomechanically better rotator cuff-greater tuberosity (RC-GT) connection in an animal model. METHODS: Thirty-six New Zealand white rabbits were used in this study. The supraspinatus tendons were cut from the footprint to create a rotator cuff tear (RCT) on both shoulders, followed by immediate repair, with a 1 mm thick tendon stump remaining on the footprint. On one side, RCR was performed by attaching the medial rotator cuff to the GT over the footprint stump layer (enthesis preservation [EP] approach). On the other side, the footprint stump and enthesis were fully removed and the footprint was decorticated. The repair was performed by attaching the medial rotator cuff onto the spongy bone surface in the footprint area (enthesis removal [ER] approach). Twelve rabbits were sacrificed at 4, 8, and 12 weeks, of which 6 were used for histological analysis and 6 for biomechanical evaluation. RESULTS: Histological examination revealed that in the EP group, the native enthesis healed well with the reattached cuff tendon, and continuous collagen crossed the tendon-tendon interface area at 12 weeks. However, in the ER group, there was only fibrous scar tissue formation at the tendon-bone interface. Biomechanical testing revealed a significantly higher load to failure (P = .001) of the RC-GT structure in the EP group than that in the ER group at 12 weeks. CONCLUSIONS: For acute RCT with remnant enthesis, EP-RCR incorporates the native enthesis functionally in the restored RC-GT connection and enhances the RC-GT connection when compared with ER-RCR at 12 weeks in a rabbit model. CLINICAL RELEVANCE: This finding justifies a human trial because in RCR with a remnant footprint, the EP technique may be adopted for a better RC-GT connection.