Advances in the Causes and Treatment of Floating Toes after the Weil Osteotomy: A Scoping Review.

The floating toe deformity is classified as a forefoot deformity wherein the distal portion of the toe does not establish touch with the ground, resulting in a suspended or elevated position while the finger is in a relaxed state. At first, it garnered considerable interest as a complication It is worth noting that this condition is particularly common in children under the age of 8, which usually disappears as the individual reaches maturity. Studies have shown that with the aggravation of floating toe deformity, its adverse effects on patients' gait and overall quality of life also increase. Despite the prevalence of floating toe deformity in clinical settings, there is a lack of comprehensive literature investigating its underlying causes and potential preventive strategies. This scope review follows the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) statement guidelines for scope reviews. The literature was obtained from various full-text databases, including China National Knowledge Infrastructure Database (CNKI), Wanfang Database, PubMed, and Web of Science Database. Our search focused on published literature related to floating toes, Weil osteotomy, and distal metatarsal osteotomy, up until March 1, 2023. The literature search and data analysis are conducted by two independent reviewers. If there are any disagreements, a third researcher will participate in the discussion and negotiate a decision. Furthermore, two experienced foot and ankle surgeons conducted a thorough literature analysis for this review. Sixty-two articles were included. Through the clinical analysis of the structural changes of the forefoot before and after operation, the classification of floating toe was described, the causes of pathological floating toe were summarized, and the possible intervention measures for the disease were put forward under the advice of foot and ankle surgery experts. We comprehensively summarize the current knowledge system about the etiology of floating toe and put forward the corresponding intervention strategy. We recommend that future studies will focus on the improvement of surgical procedures, such as the combination of Weil osteotomy, proximal interphalangeal (PIP) arthrodesis and flexor tendon arthrodesis.

The effect of trans-provincial immediate reimbursement for healthcare expenses on inequity in the utilization of healthcare services for migrants.

BACKGROUND: Improving the accessibility of public services for migrants is an important endeavor to promote equity in economic and social development. As a response to the large-scale movement of migrants and the fragmentation of China's health insurance system, the Chinese Government has launched a policy of trans-provincial immediate reimbursement for healthcare expenses. The present study hopes to examine the effect of immediate reimbursement policy on the utilization of healthcare services for migrants in China. METHODS: This study used two waves of data from the China Migrants Dynamic Survey (CMDS) collected in 2013 and 2017, with the sample comprising 13,540 individuals. We constructed a difference-in-differences (DID) model to investigate the impact of the policy on the utilization of healthcare services for migrants. Meanwhile, we also analyzed the heterogeneity of the policy effect by grouping the samples by industry, gender, income, and education level. RESULTS: The results found that the trans-provincial immediate reimbursement significantly promoted the probability of migrants' utilization of quality healthcare services (average treatment effect on the treated = 0.072, p < 0.05). Heterogeneity analyses revealed that the policy effect was more pronounced among higher-income and better-educated migrants. In addition, the policy effect was more significant for female migrants, and the benefits were more marked for migrants in high-risk industries. CONCLUSIONS: The trans-provincial immediate reimbursement policy has improved the inequity of healthcare services utilization among migrants as a whole; however, within the migrants, inequity still exists. More attention should also be paid to low-income or low-education groups in future policy design.

Comparative efficacy of energy-restricted dietary interventions in overweight and obese populations: A systematic review and network meta-analysis.

This meta-analysis compared the effectiveness of different energy-restricted diets on body composition, glucose metabolism, and lipid metabolism in overweight and obese populations. Five databases were searched to identify relevant studies in English from inception until July 20, 2023, for randomized controlled trials of at least 2 weeks duration assessing the effects of continuous energy-restricted diets compared with any intermittent energy-restricted diet in obesity adults. The risk of bias was assessed using the Cochrane Risk of Bias Tool version 2.0, while the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was used to assess the certainty of the evidence. A non-informative prior distribution Bayesian network meta-analysis was conducted. Thirty-eight studies (3039 participants) assessing four energy-restricted diets were included. Three RCTs were at high risk of bias with a very low to moderate certainty of evidence. Combined with pairwise comparisons and surface under the cumulative ranking curve, alternate-day fasting may be the best energy restriction regimen with the potential to have the most beneficial effects on various aspects of the obesity population. More rigorously designed and long-term follow-up studies are warranted.

Uptake, translocation, and metabolism of organophosphate esters (OPEs) in plants and health perspective for human: A review.

Plant uptake, accumulation, and transformation of organophosphate esters (OPEs) play vital roles in their geochemical cycles and exposure risks. Here we reviewed the recent research advances in OPEs in plants. The mean OPE concentrations based on dry/wet/lipid weight varied in 4.80-3,620/0.287-26.8/12,000-315,000 ng g-1 in field plants, and generally showed positive correlations with those in plant habitats. OPEs with short-chain substituents and high hydrophilicity, particularly the commonly used chlorinated OPEs, showed dominance in most plant samples, whereas some tree barks, fruits, seeds, and roots demonstrated dominance of hydrophobic OPEs. Both hydrophilic and hydrophobic OPEs can enter plants via root and foliar uptake, and the former pathway is mainly passively mediated by various membrane proteins. After entry, different OPEs undergo diverse subcellular distributions and acropetal/basipetal/intergenerational translocations, depending on their physicochemical properties. Hydrophilic OPEs mainly exist in cell sap and show strong transferability, hydrophobic OPEs demonstrate dominant distributions in cell wall and limited migrations owing to the interception of Casparian strips and cell wall. Additionally, plant species, transpiration capacity, growth stages, commensal microorganisms, and habitats also affect OPE uptake and transfer in plants. OPE metabolites derived from various Phase I transformations and Phase II conjugations are increasingly identified in plants, and hydrolysis and hydroxylation are the most common metabolic processes. The metabolisms and products of OPEs are closely associated with their structures and degradation resistance and plant species. In contrast, plant-derived food consumption contributes considerably to the total dietary intakes of OPEs by human, particularly the cereals, and merits specifical attention. Based on the current research limitations, we proposed the research perspectives regarding OPEs in plants, with the emphases on their behavior and fate in field plants, interactions with plant-related microorganisms, multiple uptake pathways and mechanisms, and comprehensive screening analysis and risk evaluation.

Uptake mechanism, translocation, and transformation of organophosphate esters in water hyacinth (Eichhornia crassipes): A hydroponic study.

Owing to their dominant wastewater origin, bioavailability, and toxicity, the occurrence and behavior of organophosphate esters (OPEs) in aquatic systems have attracted considerable attention over the past two decades. Aquatic plants can accumulate and metabolize OPEs in water, thereby playing an important role in their behavior and fate in waterbodies. However, their uptake, translocation and transformation mechanisms in plants remain incompletely characterized. We investigated the accumulation and transformation of OPEs in water hyacinth (Eichhornia crassipes) through a series of hydroponic experiments using three representative OPEs, tris(2-chloroethyl) phosphate (TCEP), tris(2-butoxyethyl) phosphate (TBEP), and triphenyl phosphate (TPP). These OPEs can not only be adsorbed onto and enter plant roots via passive diffusion pathways, which are facilitated by anion channels and/or aquaporins, but also can return to the solution when concentration gradients exist. After entry, hydrophilic TCEP showed a dominant distribution in the cell sap, strong acropetal transportability, and rapid translocation rate, whereas hydrophobic TPP was mostly retained in the root cell wall and therefore demonstrated weak acropetal transportability; TBEP with moderate hydrophilicity remained in the middle. All these OPEs can be transformed into diesters, which presented higher proportions in the cell sap and therefore have stronger acropetal transferability than their parent OPEs. TCEP exhibits the lowest biodegradability, followed by TPP and TBEP. These OPEs exerted apparent effects on plant growth, photosynthesis, and the diversity and composition of the rhizosphere microbial community.

Uptake, accumulation, and translocation of organophosphate esters and brominated flame retardants in water hyacinth (Eichhornia crassipes): A field study.

Mechanisms underlying the plant uptake, accumulation, and translocation of organophosphate esters (OPEs) and brominated flame retardants (BFRs) in field environments remain ambiguous. To better understand these processes, we selected a typically polluted river with steady flow and rampant water hyacinth (Eichhornia crassipes) and investigated 25 OPEs and 23 BFRs in 24 sets of matched water-plant samples. Both OPEs and BFRs showed high or ultra-high levels in field water hyacinths, statistically positive water-plant/root concentration correlations, and dominant distributions in the roots. Passive root uptake was the dominant route for OPEs and BFRs to enter the water hyacinth. Both OPEs and BFRs in water hyacinth exhibited acropetal translocation from the root and possible basipetal translocation from the leaf. The accumulation and translocation of OPEs in water hyacinth were significantly affected by their substituents and structures, including the chlorination degree, alkyl chain length, side chain, and methylation degree of aryl-substituted OPEs. The translocation of BFRs in water hyacinth also showed close association with their bromination degree, but their accumulation in roots showed anomaly, indicating possible transformations. Overall, the enrichment and behavior of OPEs and BFRs in water hyacinth seemed to be mainly controlled by physicochemical parameters. OPE/BFR concentrations in total suspended particulate (TSP), TSP-associated organic carbon content, TSP concentration, and plant biomass all showed significant effects on their root accumulation and translocations in water hyacinth. This study provides rare field evidences and novel insights into the basipetal translocation of OPEs and BFRs in plants.

Sustainable Applications for Utilizing Antimony Tailing Coarse Aggregate (ATCA) in Concrete: Characteristic of ATCA and Toxicity Risks of Concrete.

In this research, the sustainable applications for utilizing antimony tailing coarse aggregate (ATCA) in concrete is investigated. Comprehensive verifications were performed by a series of experiments on the characteristic of ATCA and the toxicity risks of concrete. Firstly, a real case study of utilization of ATCA as a complete substitute for natural coarse aggregate (NCA) in high strength concrete was conducted. Then, chemical composition of ATCA was tested. It is demonstrated that the essential mineral is SiO2 and the lithology of ATCA is quartzite. The mechanical properties, coarse quality of ATCA, and NCA were studied and compared. The compressive strength, splitting tensile strength, and compressive elastic modulus of ATWR are 221.51 MPa, 5.93 MPa, and 3.33 × 104 MPa, which are 1.31, 2.22, 1.40 times of that of NR, respectively. All of the quality control indices of ATCA meet the requirements of the current industry standards of China. Finally, the toxicity risks of ATCA concrete were investigated. It is illustrated that the leaching of main heavy metals including Sb, As, Hg, Pb, Cd, and Zn in the ATCA concrete under different pH conditions are below the regulatory limits. The utilization of antimony tailing has significant environmental and economic benefits.

Strength and Durability Properties of Antimony Tailing Coarse Aggregate (ATCA) Concrete.

Antimony (Sb) is a trace element applied widely in modern industry. A large number of tailing solid wastes are left and accumulated in the mining area after purifying the precious antimony from the antimony ores, causing serious pollution to the environment. The major aim of this study is to investigate the feasibility of utilizing antimony tailing coarse aggregate (ATCA) as a complete substitute for natural coarse aggregate (NCA) in high-strength concrete. Concrete specimens with 25%, 50%, 75%, and 100% ATCA replacing the NCA in conventional concrete were prepared for evaluating the performance of ATCA concrete. The investigators find that ATCA concrete has good workability, and the mechanical properties and long-term behavior (shrinkage and creep) of ATCA concrete with all replacement levels are superior to those of NCA concrete. The durability indices of ATCA concrete, such as the frost-resistant, chloride permeability, and resistance to carbonation, are better than those of NCA concrete. While the alkali activity and cracking sensitivity behavior of ATCA concrete seem to be decreased, nevertheless, the difference is not significant and can be neglected. The researchers demonstrate that all of the control indices of ATCA concrete meet the requirements of the current industry standards of China. Overall, ATCA can be used in concrete to minimize environmental problems and natural resources depletion.

Effects of anti-osteoporosis therapy on plasma aldosterone and renin.

OBJECTIVE: This study aimed to investigate the effect of anti-osteoporosis therapy on plasma aldosterone concentration (PAC), plasma renin concentration (PRC) and the aldosterone/renin ratio (ARR) in patients with postmenopausal osteoporosis. METHODS: In 60 patients with postmenopausal osteoporosis, bone mineral density (BMD), PAC and PRC were measured before and after treatment with alendronate (70 mg/week, n=22) or recombinant human parathyroid hormone (20 µg/day, n=35) for 48 weeks. RESULTS: PAC was negatively correlated with the T-score of lumbar spine BMD and femoral neck BMD (lumbar r=-0.386, p<0.01; femoral neck r=-0.262, p<0.05). With the improvement in lumbar BMD after anti-osteoporosis treatment (T-score -3.4±0.5 vs. -3.1 ±0.4, p<0.0001), PAC decreased from 182.8±53.2 to 143.7±68.6 pg/mL (p<0.0001), PRC increased from 7.8±11.6 to 39.2±50.0 µIU/mL (p<0.0001) and the ARR decreased from 74.8±75.2 to 13.1±17.1 pg/µIU (p<0.0001). At baseline, 58% (35/60) of the patients had an ARR >37 pg/µIU, and the proportion decreased to 8% (5/57) after treatment. CONCLUSION: Treatment with alendronate or parathyroid hormone causes decreased PAC and increased PRC, resulting in a decreased ARR in postmenopausal women with osteoporosis.

Hydrothermal control, characterization, growth mechanism, and photoluminescence properties of highly crystalline 1D Eu(OH)3 nanostructures.

Six types of 1D Eu(OH)3 nanostructures with typical morphologies, including short hexagonal prism, long hexagonal prism, coiling rod, short rod, long rod, and nanobunch, were synthesized via the hydrothermal route using EuCl3 and NaOH as raw materials. The morphologies, sizes, structures, and compositions of the as-prepared products were characterized by scanning electron microscopy, transmission electron microscopy, selected area electron diffraction, X-ray diffraction, and Fourier transform infrared spectroscopy. The effects of different reaction conditions on the morphology and size of the products were also investigated, and the relevant growth mechanism was assessed. Results showed that the geometric features of Eu(OH)3 are affected by the precursor pH and reaction time and temperature; among these factors, precursor pH played a key role in controlling the morphologies of the resulting Eu(OH)3 nanostructures. The fluorescence properties of the six Eu(OH)3 nanostructures were analyzed, and typical photoluminescence emission peaks due to the 5D0-7F J (J = 1-4) transition of Eu3+ were noted. Moreover, the intensity of the emission peak of the products at 616 nm was slightly weaker than that at 592 nm. This finding reflects the high site symmetry of Eu3+ in the Eu(OH)3 nanostructures.