Defining length stability in paediatric femoral shaft fractures treated with titanium elastic nails

Introduction Optimal paediatric femoral shaft fracture patterns or lengths amenable to titanium elastic nail stabilization have not been well defined. The purpose of this study is to identify radiographic parameters predictive of treatment failure with flexible intramedullary nails based upon fracture morphology. Methods A retrospective review was performed of all femoral shaft fractures treated with flexible intramedullary nails over a five-year period. All patients with at least six weeks of postoperative radiographic imaging were included. Fracture characteristics included location, pattern, length, obliquity, angulation, translation and shortening. Postoperative radiographs were reviewed to determine shortening and angulation. Results There were 58 patients with 60 femoral shaft fractures stabilized with titanium nails, with 46 healing within acceptable parameters and 14 considered malunions. Six of the 14 malunions developed complications requiring early unplanned intervention. No patients in the treatment success group had a complication. Between the treatment success and failure groups, fracture pattern, location, length, obliquity, angulation, translation or shortening were not statistically different. Mean nail canal fill was significantly lower in the failure group (0.72 versus 0.81; p = 0.0146), with a receiver operating characteristic curve identifying canal fill 76% as the optimal threshold. Conclusion This is the first study to measure the length and obliquity of paediatric femoral shaft fractures and to determine their relationship to radiographic alignment after healing. None of the preoperative fracture characteristics were predictive of malalignment or shortening. We recommend the use of larger nail sizes in the treatment of paediatric femoral shaft fractures, especially if there is concern for residual instability. Level of evidence IV

Genome-wide cell-free DNA termini in patients with cancer.

The structure, fragmentation pattern, length and terminal sequence of cell-free DNA (cfDNA) is under the influence of nucleases present in the blood. We hypothesized that differences in the diversity of bases at the end of cfDNA fragments can be leveraged on a genome-wide scale to enhance the sensitivity for detecting the presence of tumor signals in plasma. We surveyed the cfDNA termini in 572 plasma samples from 319 patients with 18 different cancer types using low-coverage whole genome sequencing. The fragment-end sequence and diversity were altered in all cancer types in comparison to 76 healthy controls. We converted the fragment end sequences into a quantitative metric and observed that this correlates with circulating tumor DNA tumor fraction (R = 0.58, p < 0.001, Spearman). Using these metrics, we were able to classify cancer samples from control at a low tumor content (AUROC of 91% at 1% tumor fraction) and shallow sequencing coverage (mean AUROC = 0.99 at >1M fragments). Combining fragment-end sequences and diversity using machine learning, we classified cancer from healthy controls (mean AUROC = 0.99, SD = 0.01). Using unsupervised clustering we showed that early-stage lung cancer (n = 13) can be classified from control or later stages based on fragment-end sequences. We observed that fragment-end sequences can be used for prognostication (hazard ratio: 0.49) and residual disease detection in resectable esophageal adenocarcinoma patients, moving fragmentomics toward a greater clinical implementation.

Structural controls on earthquake rupture revealed by the 2020 Mw 6.0 Jiashi earthquake (Kepingtag belt, SW Tian Shan, China)

The Kepingtag (Kalpin) fold-and-thrust belt of the southern Chinese Tian Shan is characterized by active shortening and intense seismic activity. Geological cross-sections and seismic reflection profiles suggest thin-skinned, northward-dipping thrust sheets detached in an Upper Cambrian décollement. The January 19 2020 Mw 6.0 Jiashi earthquake provides an opportunity to investigate how coseismic deformation is accommodated in this structural setting. Coseismic surface deformation resolved with Sentinel-1 Interferometric Synthetic Aperture Radar (InSAR) is centered on the back limb of the frontal Kepingtag anticline. Elastic dislocation modelling suggests that the causative fault is located at ~7 km depth and dips ~7° northward, consistent with the inferred position of the décollement. The narrow slip pattern (length ~37 km but width only ~9 km) implies that there is a strong structural or lithological control on the rupture extent, with up-dip slip propagation possibly halted by an abrupt change in dip angle where the Kepingtag thrust is inferred to branch off the décollement. A depth discrepancy between mainshock slip constrained by InSAR and teleseismic waveform modelling (~7 km) and well-relocated aftershocks (~10-20 km) may imply that sediments above the décollement are velocity strengthening. We also relocate 148 regional events from 1977 to 2020 to characterize the broader distribution of seismicity across the Kepingtag belt. The calibrated hypocenters combined with previous teleseismic waveform models show that thrust and reverse faulting earthquakes cluster at relatively shallow depths of ~7-15 km but include abundant out-of-sequence events both north and south of the frontal Kepingtag fault.

A comparative study of fatty acids profile of two Indian major carps (Gibelion catla, Hamilton, 1822 and Cirrhinus mrigala, Hamilton, 1822) using value added fish feed

Freshwater fishes are not only a major source of protein but they also possess nutritionally valuable lipids in the form of Polyunsaturated fatty acids (PUFAs), which play a crucial role in the normal growth, disease prevention, development, cardiovascular health and reproduction of human. The present study was performed to determine the incorporation rate of fatty acids profile and their composition in two common freshwater carps as Gibelion catla and Cirrhinus mrigala (in situ trial and experimental) in the different experimental time period (0 days, i.e. initial, 90 days and 180 days) by using of value added feed like flaxseed (?-linolenic acids, 51.26% – 54.94%) and soybean oil (?-linolenic acids, 7.95%-9.01%) as omega-3 supplements. To determine the specific growth pattern Length-Weight Relationships (LWRs) are analyzed where it showed positive allometric growth (b=3.20 in 90 days, b=3.11 in 180 days for Catla and b=3.18 in 90 days, b=3.1 in 180 days for Mrigala fish). The Gas Chromatography-Mass Spectrometry (GC/MS) method also confirmed that the percentages of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) increased significantly (P< 0.05) in experimental (0.096a±0.41, initial; 5.16a±0.27, 90 days; 6.21b±0.36, 180 days Catla fish species and 0.019a±0.96 initial; 3.74b±0.37, 90 days; 3.50a±0.46 180 days for Mrigal fish species) fishes rather than controls (4.28a±0.27, 90 days; 4.36b±0.36, 180 days for Catla species and 2.24b±0.31 90 days; 2.50a±0.11 180 days for Mrigal species). Therefore, it was clearly indicated that formulated diet performed significantly to maintain the positive allometric growth as well as successive enrichment of PUFAs in experimental specimens, which is beneficial for human health as high source of protein and PUFAs as well.

Association of Morphological Characteristics of Palatal Rugae Pattern with Dental Malocclusion in Himachal Population

Introduction: Palatal rugae used for the evaluation of dental movements and as a landmark in the superimposition of dental cast for orthodontic purpose as it is a stable point. So, the aims and objectives of our study is to investigate the association of morphological characteristics of palatal rugae with dental malocclusion in Himachali population. Materials and methods: 90 subjects divided into three groups (n=30 each) on the basis of Angle’s classification. Palatal rugae were marked on dental casts and evaluated for length, pattern and orientation. Obtained measurements were then statistically analysed. Conclusion: Primary palatal rugae’s length was found more in Class II followed by Class III and Class I malocclusion. Among the pattern of the primary palatal rugae, curved pattern were more evident on both right and left sides of all malocclusion groups. Horizontal directed orientation is more predominant on the right side and posteriorly directed on the left side of the first primary palatine rugae. Keywords: Rugae, Malocclusion, orientation pattern, length, morphology.

Enhanced third-order optical Kerr nonlinearity in SiN nanowires with integrated 2D graphene oxide films

Layered 2D graphene oxide (GO) films are integrated with silicon nitride (SiN) waveguides to experimentally demonstrate an enhanced Kerr nonlinearity via four-wave mixing (FWM). Owing to the strong light–matter interaction between the SiN waveguides and the highly nonlinear GO films, the FWM performance of the hybrid waveguides is significantly improved. SiN waveguides with both uniformly coated and patterned GO films are fabricated based on a transfer-free, layer-by-layer GO coating method together with standard photolithography and lift-off processes, yielding precise control of the film thickness, placement and coating length. Detailed FWM measurements are carried out for the fabricated devices with different numbers of GO layers and at different pump powers. By optimizing the trade-off between the nonlinearity and loss, we obtain a significant improvement in the FWM conversion efficiency of ≈7.3 dB for a uniformly coated device with 1 layer of GO and ≈9.1 dB for a patterned device with 5 layers of GO. We also obtain a significant increase in FWM bandwidth for the patterned devices. A detailed analysis of the influence of pattern length and position on the FWM performance is performed. Based on the FWM measurements, the dependence of GO’s third-order nonlinearity on layer number and pump power is also extracted, revealing interesting physical insights about the 2D layered GO films. Finally, we obtain an enhancement in the effective nonlinear parameter of the hybrid waveguides by over a factor of 100. These results verify the enhanced nonlinear optical performance of SiN waveguides achievable by incorporating 2D layered GO films.

Biomechanical influence of the surgical approaches, implant length and density in stabilizing ankylosing spondylitis cervical spine fracture

Ankylosing spondylitis cervical spine fractures (ASCFs) are particularly unstable and need special consideration when selecting appropriate internal fixation technology. However, there is a lack of related biomechanical studies. This study aimed to investigate the biomechanical influence of the pattern, length, and density of instrumentation for the treatment of ASCF. Posterior, anterior, and various combined fixation approaches were constructed using the finite element model (FEM) to mimic the surgical treatment of ASCFs at C5/6. The rate of motion change (RMC) at the fractured level and the internal stress distribution (ISD) were observed. The results showed that longer segments of fixation and combined fixation approaches provided better stability and lowered the maximal stress. The RMC decreased more significantly when the length increased from 1 to 3 levels (302% decrease under flexion, 134% decrease under extension) than from 3 to 5 levels (22% decrease under flexion, 23% decrease under extension). Longer fixation seems to be more stable with the anterior/posterior approach alone, but 3-level posterior fixation may be the most cost-effective option. It is recommended to perform surgery with combined approaches, which provide the best stability. Long skipped-screwing posterior fixation is an alternative technique for use in ASCF patients.

Synthesis of gold, platinum, and gold-platinum alloy nanoparticle colloids with high-power megahertz-repetition-rate lasers: the importance of the beam guidance method

Nanoparticles of noble metals and their alloys are of particular interest for biomedicine and catalysis applications. The method of laser ablation of bulk metals in liquids gives facile access to such particles as high-purity colloids and is already used in industrial research. However, the method still lacks sufficient productivity for industrial implementation into series production. The use of innovative laser technology may help to further disseminate this colloid synthesis method in the near future. Ultrashort-pulsed lasers with high powers and megahertz-repetition-rates became available recently, but place high demands on the accurate optical laser pulse delivery on the target. Full lateral pulse separation is necessary to avoid a reduction of nanoparticle productivity due to pulse shielding. In this study, we compare flexible but rather slow galvanometer scanning with much faster but more expensive polygon-wheel scanning in their performance in the production of colloidal nanoparticles by laser ablation in liquid. Both beam guidance technologies are applied in the laser ablation of gold, platinum, and a gold-rich platinum alloy in micromolar saline water. We found that the dimensions of the scan pattern are crucial. A threshold pattern length exists, at which one scan technology becomes more productive than the other one. In addition, a much lower productivity was found for the ablation of gold compared to that of platinum. Alloying gold with only 10 at.% of platinum improved the productivity nearly to the level of platinum, reaching 8.3 g/h.

Advances in understanding plant root hairs in relation to nutrient acquisition and crop root function

Root hairs are found on most terrestrial flowering plant species. They form from epidermal cells at a predetermined distance behind the growing root tip in three main patterns. Their presence, pattern, length, density and function are genetically controlled and numerous genes are expressed solely in root hairs. Their growth and proliferation are attenuated by the environment and root hairs growing in soil are generally shorter and less dense than those in laboratory studies. Root hairs have a number of functions including anchorage, root soil contact and bracing to enable roots to penetrate hard soils. However, their primary function is acquisition of nutrients and water, in particular phosphate. They are the site of transporters, exudation of active compounds and infection point of symbiotic microbial interactions. They have a profound effect on rhizosphere characteristics and are a potentially useful target for breeding crops for future agricultural sustainability.

Enhanced FWM in SiN waveguides with GO films Advanced Optical Materials

Layered 2D graphene oxide (GO) films are integrated with silicon nitride (SiN) waveguides to experimentally demonstrate an enhanced Kerr nonlinearity via four-wave mixing (FWM). Owing to the strong light–matter interaction between the SiN waveguides and the highly nonlinear GO films, the FWM performance of the hybrid waveguides is significantly improved. SiN waveguides with both uniformly coated and patterned GO films are fabricated based on a transfer-free, layer-by-layer GO coating method together with standard photolithography and lift-off processes, yielding precise control of the film thickness, placement and coating length. Detailed FWM measurements are carried out for the fabricated devices with different numbers of GO layers and at different pump powers. By optimizing the trade-off between the nonlinearity and loss, we obtain a significant improvement in the FWM conversion efficiency of ≈7.3 dB for a uniformly coated device with 1 layer of GO and ≈9.1 dB for a patterned device with 5 layers of GO. We also obtain a significant increase in FWM bandwidth for the patterned devices. A detailed analysis of the influence of pattern length and position on the FWM performance is performed. Based on the FWM measurements, the dependence of GO’s third-order nonlinearity on layer number and pump power is also extracted, revealing interesting physical insights about the 2D layered GO films. Finally, we obtain an enhancement in the effective nonlinear parameter of the hybrid waveguides by over a factor of 100. These results verify the enhanced nonlinear optical performance of SiN waveguides achievable by incorporating 2D layered GO films.