Locking Plate Alone or in Combination with Cannulated Screws for Hoffa Fractures: A Retrospective Study.

OBJECTIVE: To determine the efficacy of distal femur condyle locking plate (DFCLP) alone or in combination with cannulated screws for Hoffa fractures. METHODS: In this study, between May 2014 and February 2019, 13 patients between 26 and 64 years with isolated Hoffa fractures were enrolled during the study period and retrospectively analyzed. All patients underwent open reduction and internal fixation by DFCLP alone or in combination with cannulated screws followed by early active rehabilitation postoperatively. The primary outcome was evaluated using range of movement (ROM), Knee Society Score (KSS), International Knee Documentation Committee (IKDC) scoring system, and the fracture healing time of the patients during the 24-month follow-up period. Postoperative complications were also used to assess the patients' conditions. RESULTS: A total of 13 patients completed the 24-month follow-up assessment and achieved bone re-union at Hoffa fracture sites. The average follow-up period was 24.5 months (ranging from 24 to 28 months). Six patients were treated by DFCLP in combination with cannulated screws and the remaining seven patients were treated by DFCLP alone. The mean ROM was determined as 119° (ranging from 100° to 130°). The mean KSS score was 87.9 (ranging from 80 to 92 points), with 11 patients evaluated as excellent, two as good, and zero bad cases. The mean IKDC score was 84.2 (ranging from 74.7 to 89.7 points), with 10 evaluated as excellent, three as good, and zero bad cases. The mean IKDC score was 83.3 for patients with medial Hoffa fractures and 84.4 for those with lateral Hoffa fractures. The average time to healing was 3.5 months (ranging from 3 to 4 months), and at month 3, the fracture healing was evident in seven patients (54%), and at month 4, fracture healing was seen in six patients (46%). It is worth mentioning that two patients suffered from knee joint stiffness and osteoarthritis during the 24 months follow-up. Eleven patients (84.6%) achieved satisfactory knee joint function through early postoperative rehabilitation. CONCLUSION: In patients with Hoffa fractures, treatment with DFCLP alone or in combination with cannulated screws followed by early active rehabilitation resulted in great stability and satisfactory functional outcomes after 24 months. Our findings may provide surgeons with a new way to treat Hoffa fractures.

FGF21 attenuates pulmonary arterial hypertension via downregulation of miR-130, which targets PPARγ.

The proliferation, migration and apoptotic resistance of pulmonary artery smooth muscle cells (PASMCs) are central to the progression of pulmonary arterial hypertension (PAH). Our previous study identified that fibroblast growth factor 21 (FGF21) regulates signalling pathway molecules, such as peroxisome proliferator-activated receptor gamma (PPARγ), to play an important role in PAH treatment. However, the biological roles of miRNAs in these effects are not yet clear. In this study, using miRNA sequencing and real-time PCR, we found that FGF21 treatment inhibited miR-130 elevation in hypoxia-induced PAH in vitro and in vivo. Dual luciferase reporter gene assays showed that miR-130 directly negatively regulates PPARγ expression. Inhibition of miR-130 expression suppressed abnormal proliferation, migration and apoptotic resistance in hypoxic PASMCs, and this effect was corrected upon PPARγ knockdown. Both the ameliorative effect of FGF21 on pulmonary vascular remodelling and the inhibitory effect on proliferation, migration and apoptotic resistance in PASMCs were observed following exogenous administration of miR-130 agomir. In conclusion, this study revealed the protective effect and mechanism of FGF21 on PAH through regulation of the miR-130/PPARγ axis, providing new ideas for the development of potential drugs for PAH based on FGF21.

Disturbance compensation of a multiaperture imaging system based on a coupling rotating prism using an improved model compensation control.

In this paper, a cascade double-loop control (DLC) combined with modeling compensation methods is proposed to improve the tracking precision of the multiaperture imaging system (MAIS). The application of the flexible thin-wall ring mechanism in the coupling rotating prism (CRP) system causes a series of tracking and pointing challenges. Disturbances such as friction, shaft deformation, and model perturbation significantly deteriorate the tracking and pointing accuracy of the CRP. Two different modeling compensation methods that are interfaced with classical DLC are proposed to guarantee the tracking precision of the MAIS. Moreover, the disturbance observation and compensation performance of two different modeling compensation methods are analyzed and compared. Finally, simulation and experiment results indicate that the proposed control methods, especially model compensation based on speed close-loop control, obtain the best performance for disturbance rejection in the MAIS.

Superhigh Uniform Magnetic Cr Substitution in a 2D Mo2 C Superconductor for a Macroscopic-Scale Kondo Effect.

Substitutional doping provides an effective strategy to tailor the properties of 2D materials, but it remains an open challenge to achieve tunable uniform doping, especially at high doping level. Here, uniform lattice substitution of a 2D Mo2 C superconductor by magnetic Cr atoms with controlled concentration up to ≈46.9 at% by chemical vapor deposition and a specifically designed Cu/Cr/Mo trilayer growth substrate is reported. The concentration of Cr atoms can be easily tuned by simply changing the thickness of the Cr layer, and the samples retain the original structure of 2D Mo2 C even at a very high Cr concentration. The controlled uniform Cr doping enables the tuning of the competition of the 2D superconductor and the Kondo effect across the whole sample. Transport measurements show that with increasing Cr concentration, the superconductivity of the 2D Cr-doped Mo2 C crystals disappears along with the emergence of the Kondo effect, and the Kondo temperature increases monotonously. Using scanning tunneling microscopy/spectroscopy, the mechanism of the doping level effect on the interplay and evolution between superconductivity and the Kondo effect is revealed. This work paves a new way for the synthesis of 2D materials with widely tunable doping levels, and provides new understandings on the interplay between superconductivity and magnetism in the 2D limit.

Sugar based nanotube assembly for the construction of sonication triggered hydrogel: an application of the entrapment of tetracycline hydrochloride.

A sugar functionalized naphthalimide derivative (H1) self-assembles into supramolecular nanotubes (25 nm pore diameter) by the reaction of 4-N-ethylaminenaphthalimide-N-propinyl and delta-gluconolactone in refluxed ethanol. The suspension of the tube assembly in water can directly form hydrogels when triggered by sonication, without change in morphology or molecular aggregates in the pH range of 5-8. Modified with aminocarproic acid, H2 with more hydrogen bonding sites can form pH tolerant hydrogels in the widest range of pH values from 1-14 accelerated by sonication. The gelation mechanism was studied in detail. To the best of our knowledge, this is the first paradigm wherein hydrogels were constructed from naphthalimide derivatives. Finally, the potential of the hydrogel as a drug delivery and release system for hydrophilic medicine was explored.

Enantioselectivity in degradation and transformation of quizalofop-ethyl in soils.

The enantioselective degradation of quizalofop-ethyl and its metabolite quizalofop-acid in two soils, a Wuhan acidic soil and a Baoding alkaline soil, was investigated. The dissipation of quizalofop-ethyl consisted of two phases, a rapidly deceasing first phase that lasted 1 day and a slowly decreasing second phase that extended till the end of the incubation. It is shown that S-quizalofop-ethyl degraded slightly faster than R-quizalofop-ethyl in the two soils. Further incubation of enantiopure enaniomers showed that quizalofop-ethyl was configurationally stable in soil. Quizalofop-acid was produced quickly, and its amount reached a maximum at 1-6 days time and then decreased slowly with half-lives ranging from 11 to 21 days. The results also showed that quizalofop-acid degraded faster in the acidic Wuhan soil than in the alkaline Baoding soil. At last, significant enantiomerization from S-quizalofop-acid to R-quizalofop-acid was observed, and the enantiomerization was fast, resulting in residues enriched with R-quizalofop-acid whatever racemic quizalofop-ethyl or pure enantiomers were initially applied in the soils.

Effects of fluid viscoelasticity on the performance of an axial blood pump model.

An aqueous Xanthan gum solution (XGS) was used as blood analog fluid to explore the influence of fluid viscoelasticity on the performance of an axial blood pump model. For comparison, a 39 wt% Newtonian aqueous glycerin solution (GS), the common fluid in blood pump tests, was also used as a working fluid. The experimental results showed that a higher head curve was obtained using XGS in the pump than using GS. The heads of the XGS that were computed using the viscoelastic turbulence model agreed well with the measured data. In contrast, the standard k-ε turbulence model failed to provide satisfactory predictions for the XGS. The computational results revealed that in most parts of the pump model flow fields, the Reynolds shear stress values and turbulent dissipation rates of the XGS were all lower than those of the GS. The hemolysis index of the pump model using the XGS was calculated to be only one-third of that using the GS.

An experimental study of Newtonian and non-Newtonian flow dynamics in an axial blood pump model.

The head curves of a 1.5:1 new axial blood pump model were measured using five working fluids at five rotational speeds. The working fluids were water, a 39wt% aqueous glycerin solution (GS), and three aqueous xanthan gum solutions (XGSs) with different concentrations. The flow velocities and shear stresses in the mechanical clearance between the casing and rotor were investigated using a laser Doppler velocimeter and hot-film sensor. At every rotational speed, the experiment in which viscous GS was used in the pump model showed a head curve lower than that obtained using water, whereas the head obtained using viscoelastic XGS was higher than that generated using water. A maximum difference of 65.8% between the heads measured in the 0.06% XGS and GS experiments was detected. The higher head produced by the XGS may have originated from the drag-reduction effect of XGS viscoelasticity. The measurements showed that a reverse washout flow at a velocity of 0.05-0.11m/s occurs in the clearance. This reverse washout flow is crucial to preventing flow stagnation and accompanying thrombus formation. The wall shear stress and the Taylor number of the rotating Couette-like flow in the clearance both indicated that it is a turbulent flow.

Enantioselective degradation, abiotic racemization, and chiral transformation of triadimefon in soils.

Triadimefon is a widely used triazole fungicide with one chiral carbon center. In soils, plants, and animals, triadimefon could be metabolized to triadimenol by reduction of the carbonyl group to an alcohol, resulting in the occurrence of a second chiral carbon in triadimenol. The enantioselective degradation of triadimefon and its chiral transformation to triadimenol in two soils, a Baoding alkaline yellow soil and a Wuhan acidic red soil, were investigated. The results showed the occurrence of enantioselectivity with R-(-)-triadimefon preferentially degraded in both soils. Abiotic racemization was observed by incubation of enantiopure triadimefon enantiomers. The racemization was clearly pH dependent and took place much more rapidly in Baoding alkaline soil than in Wuhan acidic soil. Further enantioselective analysis of converted triadimenol showed that triadimenol stereoisomer concentration invariably followed the order 1R,2R>1S,2S>1S,2R>1R,2S in Baoding soil, regardless of racemic triadimefon or single enantiomers initially treated. However, in the case of Wuhan soil, different triadimenol stereoisomer patterns could be produced depending on initial triadimefon composition at the time of application. The abiotic racemization was documented to have a great influence on the chiral profiles of triadimefon and its metabolite triadimenol. The mechanism and structural consideration of the racemization were further discussed, underscoring the importance of considering configurational stability in proper evaluation of environmental fate and risk of chiral pesticides.

Characterization of racemization of chiral pesticides in organic solvents and water.

Eight chiral pesticides, which were selected to cover different pesticide species and origins of chirality, were investigated to explore their chiral stability in organic solvents and water. Profenophos, fenamiphos, quizalofop-ethyl, dichlorprop-methyl (DCPP-methyl) and acetochlor were showed stable under all test conditions. However, significant racemization was observed for malathion, phenthoate and fenpropathrin in methanol, ethanol and water, but not in n-hexane, isopropanol, acetone or methylene chloride. The kinetic parameters (rate constant k and half-life T(1/2)) of the abiotic racemization were calculated through a mathematical model of the first-order reaction. Furthermore, the extent of racemization varied among the solvents and was also affected by temperature dependence. The racemization of malathion, phenthoate and fenpropathrin in water was documented to be pH-dependent and took place more rapidly at pH 7.0 than at pH 5.8. The observed racemization was deduced to occur via a proton exchange process at the chiral center, and the relationship between the abiotic racemization and pesticide structure was further explored. Findings from this study are useful for better understanding enantioselectivity of chiral pesticides in environment and also for proper analysis, formulating or handling of enantiopure products.