OBJECTIVETo observe therapeutic effects of locking titanium plate for the treatment of comminuted proximal humeral fracture in elderly.

METHODSFrom June 2011 to May 2013, 72 elderly patients with comminuted proximal humeral- fractures were divided into locking titanium plate group and anatomical plate group, 36 cases in each group. In locking titanium plate group, there were 16 males and 20 females aged from 60 to 79 years old with an average of (69.55±5.62) years old; 10 cases were type Neer II, 18 were type Neer III and 8 cases were type Neer IV in accordance with Neer classification; treated with locking titanium plate. In anatomical plate group, there were 15 males and 21 females aged from 60 to 81 years old with an average of (69.76±5.70) years old; 9 cases were type Neer II, 20 were type Neer III and 7 cases were type Neer IV; and treated with anatomical plate. Clinical effects, preoperative and postoperative Neer scoring, operative time, bone healing time and incidence of complications between two groups were compared.

RESULTSAll patients were followed up from 1 to 3 years with an average of 15 months. The excellent and good rate of locking titanium plate group (91.7%) was significantly higher than anatomical plate group (75.0%). Postoperative Neer score of two groups were improved obviously, but locking titanium plate group (92.51±7.85) was higher than anatomical plate group (83.64±8.56); there was no significant differences between two groups in operative time (P>0.05); bone healing time in locking titanium plate was (18.6±3.4) weeks, and shorter than anatomical plate group (24.3±3.9) weeks; incidence of complications in locking titanium plate was (5.6%) shorter than anatomical plate group (22.2%), and had obviously differences between two groups.

CONCLUSIONLocking titanium plate for the treatment of comminuted proximal humeral fracture in elderly plays an important role in good rate, bone healing time and Neer score. It has advantages of early rehabilitation exercise, less shoulder pain, rapid recovery of shoulder joint, less complications, safe and effective, and be worthy of clinical application, especially for senile osteoporosis patients.

Aged ; Aged, 80 and over ; Bone Plates ; Case-Control Studies ; Female ; Fractures, Comminuted ; surgery ; Humans ; Male ; Middle Aged ; Shoulder Fractures ; surgery ; Titanium

The effects of operational variables and reactor configurations (e.g. diameter of draft tube and the number of static mixers) on energy loss in modified airlift bioreactor were investigated at the first time. The results showed that improving the structure of draft tube could reduce energy loss in the bioreactor. When the diameter of draft tube and the number of static mixers were 4.0cm and 39, respectively, the total energy loss in the modified bioreactor was the least among all the configurations and 23.6% less than that of the conventional counterpart at the same air flowrate. The energy consumption for aeration was the smallest (43.9% less than that of the conventional counterpart) when the diameter of draft tube and the number of static mixers were 5.5cm and 13, respectively. The highest energy dissipation (70% - 80%) occurred in the riser, the bottom zone (about 20%) took the second place and the separator (less than 10%) took the third place. The energy dissipation in the downcomer was neglectable under the conditions in the research. When the energy loss per unit volume was considered, bottom zone stood the first place. It was implied that the riser was the most important zone to cut down the energy loss of the bioreactor and some attention should also be paid to the bottom zone.
Bioreactors ; Equipment Design

Animals ; CCAAT-Enhancer-Binding Proteins ; analysis ; chemistry ; physiology ; Gene Expression Regulation ; Humans ; Liver ; chemistry ; metabolism ; Liver Diseases ; etiology ; metabolism

The concept of anaerobic ammonium oxidation (ANAMMOX) is presently of great interest.The functional bacteria belonging to the Planctomycete phylum and their metabolism are investigated by microbiologists.Meanwhile,the ANAMMOX is equally valuable in treatment of ammonium-rich wastewaters.Related processes including partial nitritation-ANAMMOX and completely autotrophic nitrogen removal over nitrite (CANON) have been developed,and lab-scale experiments proved that both processes were quite feasible in engineering with appropriate control.Successful full-scale practice in the Netherlands will ac-celerate application of the process in future.This review introduces the microbiology and more focuses on application of the ANAMMOX process.

Objective To investigate the impact of adding folic acid,vitamin B12 and probucol to standard antihypertensive medication on plasma homocysteine (Hcy) and asymmetric dimethylarginine (ADMA),serum NO and eNOS of essential hypertensive patients.Method A total of 120 patients with hypertension were randomly divided to three groups (n =40 each):group 1 (standard medication),group 2 (adding folic acid 5 mg/day and vitamin B12 500 μg twice daily) and group 3 (adding folic acid 5 mg/day and vitamin B12 500 μg twice daily and probucol 500 mg twice daily).Plasma Hcy and ADMA,serum NO and eNOS levels were observed at baseline,2 and 12 weeks after various therapy.Results In group 1,concentrations of plasma Hcy [(23.06 ± 14.15) μmol/L,(23.67 ± 12.31) μmol/L,(23.25 ± 11.64)μmol/L],ADMA[(0.21 ± 0.12) μmol/L,(0.23 ± 0.13) μmol/L,(0.21 ± 0.09) μmol/L] and serum NO [(64.14 ± 15.07) μmol/L,(65.29 ± 15.04) μmol/L,(65.32 ± 13.58) μmol/L],eNOS[(20.02 ±4.50) μg/L,(20.79 ± 4.03) μg/L,(19.82 ± 5.70) μg/L] remained unchanged during the 12 weeks therapy (all P ＞0.05).In group 2,concentrations of plasma Hcy [(12.54 ±6.49) μmol/L] and ADMA [(0.18 ± 0.07)μmol/L] were significantly decresed after the treatment of 12 weeks than the treatment baseline value [(21.51 ± 7.82) μmol/L,(0.20 ± 0.12) μmol/L] and 2 weeks value[(19.38 ± 8.14)μmol/L,(0.21 ± 0.12) μmol/L],however the concentrations of serum NO and eNOS showed contrary results of the Hcy and ADMA's.(all P ＜0.05).In group 3,similar changes occurred at 2 weeks after therapy (P ＜0.05 2 weeks vs.baseline and 12 weeks vs.2 weeks).Plasma ADMA level was positively correlated with Hcy at baseline (r =0.546,P ＜ 0.05).Conclusions Supplementation of folic acid,VitB12 and/or probucol helps to improve endothelial function and reduce plasma Hcy and ADMA levels in patients with hypertension.

The concept of anaerobic ammonium oxidation (ANAMMOX) is presently of great interest. The functional bacteria belonging to the Planctomycete phylum and their metabolism are investigated by microbiologists. Meanwhile, the ANAMMOX is equally valuable in treatment of ammonium-rich wastewaters. Related processes including partial nitritation-ANAMMOX and completely autotrophic nitrogen removal over nitrite (CANON) have been developed, and lab-scale experiments proved that both processes were quite feasible in engineering with appropriate control. Successful full-scale practice in the Netherlands will accelerate application of the process in future. This review introduces the microbiology and more focuses on application of the ANAMMOX process.
Bacteria, Anaerobic ; metabolism ; Bioreactors ; Nitrites ; metabolism ; Nitrogen ; metabolism ; Oxidation-Reduction ; Quaternary Ammonium Compounds ; metabolism ; Waste Disposal, Fluid ; Water Purification ; methods

The characteristics of gas-liquid mass transfer of three-phase system comprising air, tap water/wastewater, and hollow glass beads were studied in a laboratory-scale inverse turbulent bed reactor. The influence of operational factors and liquid property on volumetric liquid-phase mass transfer coefficient kLa was investigated under the conditions of superficial gas velocity (0.53mm xs(-1) - 10mx s(-1) solid hold-up (0 - 0.3), and superficial liquid velocity (0 - 0.2mm x s(-1)). The results showed that the coefficient value was 0.0456 - 1. 414min -, which increased with superficial gas velocity and liquid velocity. The coefficient attained the maximum value at solid hold-up of 0.05 - 0.08. Compared with the coefficient value in tap water, that in synthetic wastewater and industrial wastewater is decreased by 39.0% and 50.9%, respectively. These data have provided a basis for the process analysis and mathematical simulation of inverse turbulent bed reactor.
Algorithms ; Biodegradation, Environmental ; Bioreactors ; Computer Simulation ; Gases ; chemistry ; metabolism ; Kinetics ; Models, Chemical ; Reproducibility of Results ; Temperature ; Waste Disposal, Fluid ; instrumentation ; methods ; Water ; chemistry ; metabolism ; Water Microbiology ; Water Pollutants, Chemical ; chemistry ; metabolism ; Water Purification ; instrumentation ; methods

OBJECTIVETo investigate the clinical effect of penile augmentation with superficial fascia retrocession.

METHODSThe first annular incision line was designed, reserving the inner plate 0.5 -0.8 cm. The second annular incision line was determined, according to the length of penile erection. The skin tissue between the double loops was stripped, reserving the superficial fascia and the superficial dorsal veins. Before the closure of two annual incision with no tension, the superficial fascia tissue was pushed proximally and fixed sectionally to augment penis.

RESULTSFrom Jun 2009 to Jun 2011, 60 patients with redundant prepuce or phimosis were treated with this method. During 3 to 12 months follow-up, the postoperative penile perimeter increased significantly. The glans were exposed and the prepuce looked smooth. The function of the penis maintained undamaged.

CONCLUSIONSThe penile augmentation with superficial fascia retrocession can make full use of autologous tissue to augment penis, meanwhile, redundant prepuce can be resected. It is very practical for clinical application.

Adolescent ; Adult ; Circumcision, Male ; methods ; Humans ; Male ; Middle Aged ; Penis ; surgery ; Subcutaneous Tissue ; surgery ; Transplantation, Autologous ; Young Adult

Objective To explore the relationship of vascular endothelial growth factor(VEGF),IFN-? and IL-4 and effect of Bude-sonide on their in asthmatic rats.Methods Thirty-six male SD rats were randomly divided into 3 groups:asthma group,Budesonide-treatment group and control group.On the first day of the experiment and the 8th day,the rat models of the asthma group and Budesonid treatment group were allergized by the OVA/Al(OH)3 through intraperitoneal injection,respectively.And starting from the 15th day,they were challenged by the OVA through atomization for 2 weeks.Control group was allergized and challenged by NS atomization.Budesonid treatment group was interfered in Budesonide inhalation before suscitation in 0.5 h.After 12 h the same inhal done was again in Budesonide group.Twenty-four hours after the last challenge,the rats in 3 groups were sacrificed,and blood and bronchoalveolar lavage fluid(BALF) were collected.The concentrations of IL-4,IFN-? and VEGF in serum and BALF were measured by enzyme-linked immunosorbent assay.Results The concentrations of IL-4 in serum and BALF in asthma group and Budesonide treatment group were significantly increased than those in control group(P

Objective To explore the effects of physiological deep-sea water(PDSW) on hyperthermal tolerance of Kunming (KM ) mice in the 45 .0 ℃ environment .Methods Deep-sea water from the south Chinese sea was processed ,and the metallic ele-ments dissolved in the DSW were analysed .The mice were randomly divided into 2 groups :the control group received tap water ;the experimental group treated with PDSW for 15 d .And then the mice were fed in the 45 .0 ℃ conditions .The survival time and histo-morphometric analyses of the brain ,lung ,heart ,liver and kidney were investigated .Results The survival time in PDSW-fed group was significantly longer than that of the control group (P< 0 .05) .Moreover ,histomorphometric analyses showed that PDSW could protect the brain ,lung ,heart ,liver and kidney of KM mice from the 45 .0 ℃ conditions .The results of western blot revealed that ex-pression of HSP72 of liver tissues for PDSW-fed group substantially increased ,when compared with the control mice(P< 0 .05) . Conclusion PDSW could improve hyperthermal tolerance of KM mice ,which maybe in the relation with expression of HSP72 pro-moted by PDSW .