Differences In Length Research Articles

Walking Ability After Microsurgical Reconstruction of Pediatric Popliteal Pterygium Syndrome—A Case Report

Background: Popliteal pterygium syndrome (PPS) is a rare congenital disorder characterized by orofacial, cutaneous, musculoskeletal, and genital anomalies. Surgical interventions are necessary to address the severe knee flexion contracture and equinovarus deformity, but there are no established treatment guidelines. Methods: We present the case of a one-year-old patient with PPS and discuss the challenges in managing the knee deformity. The surgical option chosen for the unilateral knee contracture of 80° consisted of skin management by a large Z-plasty, lengthening of popliteal vessels by grafts, lengthening of the tibial and peroneal nerves by autografts and allografts, capsular releases, and tendon releases to improve mobility and preserve foot sensibility. Results: With a three-year follow-up, the surgical interventions resulted in proper ability to walk freely. Wearing of a foot orthesis was necessary to balance the leg length differences and support the midfoot deformity. Furthermore, sensation of the foot could be restored in terms of touch sensibility and perfusion was always stable during growth. Discussion: The treatment of PPS requires a multidisciplinary approach, considering the rarity and complexity of the syndrome. Surgical interventions aim to release contractures, correct deformities, and preserve foot sensibility. Each treatment option has its advantages and disadvantages, highlighting the need for individualized care.

Exosomes derived from Umbilical cord mesenchymal stem cell promote hair regrowth in C57BL6 mice through upregulation of the RAS/ERK signaling pathway

Abstract Background and Objectives Androgenetic alopecia is one of the common types of hair loss and has become a medical and social problem due to its increasingly young onset. Existing therapies, although effective, have serious side effects and therefore better treatments need to be sought. The aim of this study was to evaluate the efficacy of umbilical cord mesenchymal stem cell-derived exosomes in the treatment of androgenetic alopecia and to investigate the mechanism of exosome regulation of hair growth. Methods First, we randomly divided 20 C57BL/6J mice into blank group, model group, positive control group and exosomal hydrogel group, and mice were treated with hair removal on the back. The mice were injected intraperitoneally with dihydrotestosterone solution except for the blank group. At the end of the experiment, new hairs were collected and the differences in length, diameter and number of hair follicles were compared among the groups; the histopathological changes of hair follicles were observed by HE staining; the expression of androgen receptor mRNA and protein in skin tissues were compared; and the skin tissues were analyzed by real-time PCR, western blotting, immunofluorescence staining and transcriptome sequencing. Finally, the results of transcriptome sequencing experiments were verified by real-time PCR, western blotting and other techniques for the corresponding genes and proteins. Results Compared with the blank group, mice in the model group had shorter hair length and reduced hair diameter, and pathological observation showed that the total number of hair follicles was significantly reduced and the hair follicles were miniaturized; compared with the model group, mice in the positive control and exosome groups had longer hair length, larger hair diameter and more hair follicles; the androgen receptor mRNA content and protein expression in the skin tissue of mice in the model group were significantly higher than those in the blank group, and the protein expression in the exosome gel group was lower than that in the model group. Similarly, compared with the model group, the expression of stemness-related proteins K15 and CD200 in the skin tissues of mice in the exosome group increased, and the expression of PCNA, a protein related to cell proliferation, increased. The KEGG data showed that the differential genes were mainly enriched in the RAS/ERK pathway. Conclusions In this study, we demonstrated the therapeutic effect of umbilical cord MSC-derived exosomes on androgenetic alopecia and verified that exosomes regulate hair follicle stem cell stemness through the RAS/ERK pathway to promote hair proliferation and thus hair growth in mice with androgenetic alopecia, providing a potential therapeutic strategy for androgenetic alopecia.

Insights Into Facial Surgery Trends in the United States in the Setting of Gender Dysphoria: A National Analysis From 2012 to 2019.

Over the past decade, there has been an improvement in access to gender-affirming surgical care for the transgender population. Even with improvements, this population continues with a high level of inequity among access to specialized surgical care. While multiple studies have previously focused on trends among top and bottom surgery, this study provides trends specifically among facial gender affirmation surgery (FGAS) within the United States. The National Inpatient Sample (NIS) was utilized to identify patients who underwent FGAS from 2012 to 2019. The diagnostic codes for gender identity disorder and gender dysphoria were used to identify the desired patient population. CPT coding released in a medical policy for transgender care coverage was used to identify those who underwent FGAS. Frequency distributions from the patient population were analyzed to determine differences among characteristics. In total, 660 patients underwent FGAS from 2012 to 2019. The incidence of FGAS has increased by 1433%. Geographically, FGAS was more likely to be performed in the West and Northeast geographical regions (P<0.0001). There was a statistically significant difference in hospital length of stay and the total number of charges when stratified by race (P<0.0001 and P=0.0003), hospital location (P<0.0001 and <0.0001), and insurance type (P<0.0001 and <0.0001). The largest cohort of patients paid out-of-pocket (P<0.0001). FGAS is one of the fastest-growing GAS procedures. Currently, FGAS procedures are not equally distributed, with higher concentrations occurring among wealthier, white individuals in certain geographical regions. Future studies are warranted to understand further trends within FGAS.

A visible seedling-stage screening system for the Brassica napus hybrid breeding by a novel hypocotyl length-regulated gene BnHL.

Rapeseed (Brassica napus) is a globally significant oilseed crop with strong heterosis performance. Recessive genic male sterility (RGMS) is one of the key approaches for utilizing heterosis in B. napus. However, this method faces the inherent challenge of being time-consuming and labour-intensive for removing fertile plants during seed production. Here, we report a hypocotyl length-regulated gene, BnHL, which is closely linked to a known fertility gene, BnMs2, serving as a seedling morphology marker. This marker could be used to identify fertile plants in the breeding of RGMS lines based on hypocotyl traits. By targeting the BnHL gene, both homozygous and heterozygous edited mutants exhibited significantly longer hypocotyls than the wild type (WT). Furthermore, germination experiments revealed that 7 days after seed germination, the difference in hypocotyl length between the mutant and the WT seedlings reached its maximum, effectively distinguishing fertile plants under both white (W) and red/far-red (R/FR) light. Mutations in BnHL did not result in significant changes in main agronomic traits. Thus, this study provides a comprehensive strategy for screening and identifying a new morphological marker gene for early screening in RGMS hybrid breeding with completely non-transgene during the whole production.

Quantitative modeling of lenticulostriate arteries on 7-T TOF-MRA for cerebral small vessel disease.

We developed a framework for segmenting and modeling lenticulostriate arteries (LSAs) on 7-T time-of-flight magnetic resonance angiography and tested its performance on cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) patients and controls. We prospectively included 29 CADASIL patients and 21 controls. The framework includes a small-patch convolutional neural network (SP-CNN) for fine segmentation, a random forest for modeling LSAs, and a screening model for removing wrong branches. The segmentation performance of our SP-CNN was compared to competitive networks. External validation with different resolution was performed on ten patients with aneurysms. Dice similarity coefficient (DSC) and Hausdorff distance (HD) between each network and manual segmentation were calculated. The modeling results of the centerlines, diameters, and lengths of LSAs were compared against manual labeling by four neurologists. The SP-CNN achieved higher DSC (92.741 ± 2.789, mean ± standard deviation) and lower HD (0.610 ± 0.141 mm) in the segmentation of LSAs. It also outperformed competitive networks in the external validation (DSC 82.6 ± 5.5, HD 0.829 ± 0.143 mm). The framework versus manual difference was lower than the manual inter-observer difference for the vessel length of primary branches (median -0.040 mm, interquartile range -0.209 to 0.059 mm) and secondary branches (0.202 mm, 0.016-0.537 mm), as well as for the offset of centerlines of primary branches (0.071 mm, 0.065-0.078 mm) and secondary branches (0.072, 0.064-0.080 mm), with p < 0.001 for all comparisons. Our framework for LSAs modeling/quantification demonstrated high reliability and accuracy when compared to manual labeling. NCT05902039 ( https://clinicaltrials.gov/study/NCT05902039?cond=NCT05902039 ). The proposed automatic segmentation and modeling framework offers precise quantification of the morphological parameters of lenticulostriate arteries. This innovative technology streamlines diagnosis and research of cerebral small vessel disease, eliminating the burden of manual labeling, facilitating cohort studies and clinical diagnosis. The morphology of LSAs is important in the diagnosis of CSVD but difficult to quantify. The proposed algorithm achieved the performance equivalent to manual labeling by neurologists. Our method can provide standardized quantitative results, reducing radiologists' workload in cohort studies.

Effect of different concentrations of Copper (Cu) on growth sttributes and bioaccumulation in &lt;em&gt;Celesia argentea&lt;/em&gt; and &lt;em&gt;Amaranthus hybridus&lt;/em&gt;

Cultivation of vegetables in polluted soil has been on the increase following the perceived fertility of such soil. This study investigated the growth performance and bioaccumulation of copper (Cu) in Amaranthus hybridus and Celosia argentea planted in Cu polluted soil. The research was conducted at the University of Ilorin botanical garden. Vegetable seedlings were transplanted into soil pots pre-treated with Cu - 100, 200 and 400 mg/kg; denoted as T1, T2 and T3 respectively, and a control pot without Cu treatment. Amaranthus hybridus grown in soil polluted with 200 mg/kg of Cu gave the highest stem length at 1, 2 and 3 weeks after transplanting (WAT) i.e., 3.98, 5.00 and 7.05 cm respectively. There was no significant difference in stem girth and leaf length and breadth of Celosia argentea grown in 200 mg/kg Cu (P&lt;0.05). However, leaf length and breadth and number of leaves were significantly higher (P&lt;0.05) in C. argentea grown in soil with same Cu concentration at 3 WAT i.e., 4.63 cm, 2.27 cm and 9.17 respectively. Bioaccumulation pattern recorded in A. hybridus indicated that those grown in soil polluted with 100 mg/kg of Cu have the highest elemental Cu accumulation (73.77 mg/kg). Amaranthus hybridus and Celosia argentea recorded highest wet and dry weights in those planted in soil polluted with 200 mg/kg of Cu.

Comparing vacuum‐assisted closure against conventional approach in severe deep neck infection: A retrospective case‐control study

AbstractObjectivesTo compare the effectiveness of vacuum‐assisted closure (VAC) against traditional drainage technique, using a retrospective case‐control study design, in terms of managing deep neck infections (DNIs).MethodsPatients presenting to Peking Union Medical College Hospital diagnosed with DNIs were recruited in this study. We analyzed the clinical characteristics of DNI patients and divided them into (a) VAC placement group (26 cases) and (b) traditional drainage group (57 cases) according to whether VAC was placed. The differences in length of stay (LOS), wound healing time, and debridement frequency were compared between the two groups.ResultsEighty‐three patients had multiple‐space infections, i.e. infection at two or more sites. The debridement frequency of the VAC group was significantly lower than that of the traditional drainage group (p = 0.001). The wound healing time of the traditional drainage group and VAC group was 38 days (a range of 13–98 days) and 40 days (a range of 11–106 days), respectively; the average LOS was 15 days (a range of 2–68 days) and 16 days (a range of 4–35 days), respectively; and the debridement frequencies were one time (a range of 0–3 times) and zero times (a range of 0–2 times), respectively. The two groups did not differ significantly in wound healing time and hospitalization duration (p = 0.319 and 0.937).ConclusionsVAC treatment of DNIs has significant advantages in reducing the frequency of debridement and patient suffering, but it does not show significant advantages in wound healing. Randomized trials are still needed to demonstrate its efficacy.

A New Approach for Analyzing Root Development in Autogenous Tooth Transplants Using Computed Tomography.

The aim of this study was to evaluate root development in autotransplanted teeth using cone-beam computed tomography (CBCT) images. Twelve premolars with incomplete root formation, which were selected to replace prematurely lost upper central incisors, were analyzed by CBCT on two different occasions. The first CBCT examination (T1) was conducted before tooth autotransplantation. The second CBCT examination (T2) was performed over a follow-up period of at least 12 months and < 5 years. Three previously calibrated evaluators assessed root development. The positions of the tomographic planes were standardized. The mean root length in sagittal and coronal tomographic sections was used to validate the root length at T1 and T2. Longitudinal root development of the transplanted tooth was determined by calculating the difference in root length between T2 and T1. The intraclass correlation coefficient (ICC), paired t-test, and Pearson test were applied, with significance set at 5%. The mean time elapsed between T1 and T2 was 962 days/2.6 years. The ICC was > 0.75. The measurements obtained at T2 were significantly greater than at T1 (p = 0.001). The mean increase in root length was 2.83 mm. There was no significant correlation (p = 0.413; r = 0.261) between root length increase and the time elapsed between T1 and T2. Premolar teeth with incompletely formed roots transplanted to the upper central incisor region showed continued root development during postoperative follow-up.

Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility

IntroductionScald burns are challenging to manage due to their evolutionary nature and nuanced injury pattern. Different mediums, such as hot water, steam, or grease, each have unique physical properties that may inflict more damage and incite a different inflammatory response. While pediatric patients are often the focus of scald burn research, a significant number of adults still suffer from scald burns, especially while cooking with hot grease. Our study aimed to analyze differences in injury pattern and management between grease versus non-grease scald burns. Materials and MethodsA retrospective chart review was done on all scald burn patients at a tertiary burn care center from January 2020 to December 2022. The primary outcomes were admission and length of stay with the primary exposure being grease versus non-grease scald burns. Secondary outcomes included rates of surgical excision and changes in surgical management plans. Multivariate regressions were employed to control for sex, age, total body surface area (TBSA), and burn thickness. ResultsOf 165 patients with scald burns, 41 out of 91 (45.1 %) with grease burns and 43 out of 74 (58.1 %) with non-grease burns were admitted. No statistically significant difference in length of hospital stay existed between admitted grease and non-grease burns (p = 0.45). Additionally, no differences were observed for surgical excision (p = 0.63) and changes in surgical management plans (p = 0.47) ConclusionThe mechanism of scald burn caused by either a grease or non-grease source is not associated with any differences in admission, length of hospital stay, or surgical management. Scald burn management should still focus on patient age, TBSA, and burn thickness regardless of the causative agent.

Evaluating laser interstitial thermal therapy for newly diagnosed, deep-seated, large-volume glioblastoma: survival and outcome analysis.

Laser interstitial thermal therapy (LITT) has emerged as an alternative for treating glioblastoma (GBM) in patients deemed unsuitable for resection due to deep-seated or eloquent location, age, or comorbidities. However, its safety and efficacy in large-volume, deep-seated, newly diagnosed GBM (nGBM) tumors remain insufficiently studied. Therefore, the authors aimed to assess the outcomes of LITT in the treatment of deep-seated, large-volume nGBM. A retrospective analysis of patients with nGBM who underwent LITT between February 2013 and August 2023 was conducted. Patients with deep-seated tumor volume ≥ 10 cm3 treated with LITT were compared to patients with deep-seated tumor volume < 10 cm3. Demographic, perioperative, and follow-up data were collected and compared among both groups. Kaplan-Meier survival analysis and Cox proportional hazards regression were performed to evaluate the impact of various clinical and treatment-related factors on patient survival. A total of 33 patients in the study group (mean ± SD age 65.7 ± 10.2 years, 58% male) with mean tumor volume 36.0 ± 21.6 cm3 were compared to 23 controls (mean age 67.0 ± 12.5 years, 61% male) with mean tumor volume 5.2 ± 2.7 cm3. There were no significant differences in hospital length of stay (p = 0.494), temporary neurological deficits and edema within 30 days (p = 0.705 and p > 0.999, respectively), 30-day readmissions (p = 0.139), < 30-day complications (p = 0.918), complications between 30 days and 3 months (p = 0.903), and new motor and speech deficits within 3 months (p = 0.883 and p > 0.999, respectively) between the study and control groups. Kaplan-Meier analysis did not reveal any statistically significant difference in overall survival (OS) between groups (p = 0.227). Multivariate analysis indicated that tumor volume did not significantly affect the hazard ratio for individuals undergoing LITT (HR 1.16, 95% CI 0.83-3.29, p = 0.150). This pilot study suggests that LITT is safe for treating patients with large-volume, deep-seated nGBM compared to those with small-volume tumor. Although there appears to be improved OS in patients with smaller lesions with greater EOA, significance was not achieved in this cohort.

Positioning for Emergency Laparoscopic Splenectomy for Traumatic Splenic Rupture.

To determine whether the right-lateral decubitus or supine position is superior for emergency laparoscopy for traumatic splenic rupture. Descriptive study. Place and Duration of the Study: Department of General Surgery, Central Hospital of Shaoxing, Affiliated Hospital of China Medical University, Zhejiang, China, from January 2015 to December 2022. Clinical data of 96 patients who underwent laparoscopic surgery (LS) for traumatic splenic rupture were analysed. The patients were divided into two groups according to surgical position. Group A (n = 42) patients were placed in the right-lateral decubitus position and Group B (n = 54) patients were placed in the supine position. The operation time, intraoperative blood loss, conversion to laparotomy rate, postoperative length of hospital stay, and complications rates were compared between the two groups. Compared with Group B, Group A had a shorter operation time (145.5 ± 24.4 min vs. 169.0 ± 15.3 min, p = 0.0001), less intraoperative blood loss (75.3 ± 35.3 ml vs. 110.3 ± 50.6 ml, p = 0.0002), fewer conversions to laparotomy (2.4% vs. 16.7%, p = 0.023), fewer cases of postoperative pancreatic leakage (7.1% vs. 24.1%, p = 0.027), and fewer complications (23.8% vs. 53.7%, p = 0.003); all differences were significant. There was no statistically significant difference in the postoperative length of hospital stay, hospital cost, or rate of complications such as fever, postoperative abdominal infection, postoperative bleeding or venous thrombosis between the two groups. For patients with traumatic splenic rupture, the right-lateral decubitus position is best for LS. Laparoscopy, Traumatic splenic rupture, Splenectomy, Surgical position.

Safety and efficacy of cangrelor in endovascular thrombectomy compared with glycoprotein IIb/IIIa Inhibitors.

Cangrelor, an intravenous P2Y12-receptor inhibitor, is a reversible and short-acting antithrombotic medication non-inferior to irreversible glycoprotein IIb/IIIa inhibitors (GPIs) like eptifibatide. There are insufficient data to compare the medications in endovascular thrombectomies (EVTs) requiring emergent platelet inhibition. To review our institution's experience with cangrelor in EVT and compares its safety and efficacy against GPIs. A large healthcare system retrospective review identified all patients who had received cangrelor or eptifibatide intraoperatively during EVT between December 2018 and March 2023 for this cohort study. Clinical data were reviewed. Functional status was defined by the modified Rankin Scale (mRS) and National Institutes of Health Stroke Scale (NIHSS) at multiple time points. Multivariate regression was performed. Of 1010 EVT patients, 36 cangrelor and 104 eptifibatide patients were selected. There were no differences in baseline function or presentations. Cangrelor was frequently administered for stenting tandem occlusions (n=16, 44.4%), and successful reperfusion occurred in 30 (83.3%) patients. On multivariate analysis, cangrelor was associated with decreased odds of hemorrhagic conversion (adjusted OR (aOR)=0.76, P=0.004) and symptomatic hemorrhage (aOR=0.86, P=0.021). There were no differences in thrombotic re-occlusion. Cangrelor was associated with a lower 24-hour NIHSS score (7.0 vs 12.0, P=0.013) and discharge NIHSS score (3.0 vs 9.0, P=0.004). There were no differences in in-hospital mortality or length of stay. Cangrelor was associated with improved odds of favorable outcome, defined as mRS score 0-2, at discharge (aOR=2.69, P=0.001) and on 90-day follow-up (aOR=2.23, P=0.031). Cangrelor was associated with a decreased risk of hemorrhagic conversion and might lead to favorable functional outcomes for patients during hospitalization in comparison with GPIs. Prospective studies are warranted to investigate its use in EVT.

Telomere Length and Biological Aging: The Role of Strength Training in 4814 US Men and Women

Telomere length is an index of cellular aging. Healthy lifestyles are associated with reduced oxidative stress and longer telomeres, whereas unhealthy behaviors are related to shorter telomeres and greater biological aging. This investigation was designed to determine if strength training accounted for differences in telomere length in a random sample of 4814 US adults. Data from the National Health and Nutrition Examination Survey (NHANES) were employed to answer the research questions using a cross-sectional design. Time spent strength training was calculated by multiplying days of strength training per week by minutes per session. Participation in other forms of physical activity was also calculated based on reported involvement in 47 other activities. Weighted multiple regression and partial correlation were used to calculate the mean differences in telomere length across levels of strength training, adjusting for differences in potential confounders. With the demographic covariates controlled, strength training and telomere length were linearly related (F = 14.7, p = 0.0006). Likewise, after adjusting for all the covariates, the linear association remained strong and significant (F = 14.7, p = 0.0006). In this national sample, 90 min per week of strength training was associated with 3.9 years less biological aging, on average. Regular strength training was strongly related to longer telomeres and less biological aging in 4814 US adults.

Correlation Analysis of Limb Length Differences and Surgical Approaches Following Unilateral Total Hip Arthroplasty

Aim: This research aims to analyze the transition from the posterolateral approach (PLA) to the direct anterior approach (DAA) in 101 cases of unilateral total hip arthroplasty (THA). In addition, the study specifically aims to evaluate limb length discrepancy (LLD). Methods: We conducted a retrospective analysis of 101 patients who had unilateral THA from September 2021 to August 2024. The causes of THA included femoral neck fracture (n = 28), osteoarthritis (n = 23), osteonecrosis of the femoral head (n = 25), and developmental dysplasia of the hip (n = 25). The mean age was 61.50 years in the PLA group and 63.00 years in the DAA group. Safety feasibility was assessed by analyzing procedure time, incision length, and bleeding volume. LLD was indirectly evaluated by measuring the difference in central edge angles of the postoperative pelvic orthotopic plate. This was done to assess the superiority of the DAA. Results: The DAA group had a longer operation time, less blood loss, and a shorter incision length compared to the PLA group, with a statistically significant difference (P &lt; 0.05). Additionally, body mass index was found to be linearly correlated with operation length. The LLD in the DAA group was significantly smaller than that in the PLA group (P &lt; 0.05). Moreover, this LLD was linearly associated with the difference in the central edge angle. Conclusion: DAA may effectively control LLD after THA, resulting in less blood loss and shorter incisions, though it may require longer operative time.

Physiological traits and population dynamics of Schizothorax niger (Heckel, 1838): Insights from Dal Lake and the Jhelum River, Kashmir, Himalayan region.

This study examines the physicochemical characteristics, morphometric features, biometric growth parameters, biological indices, physiological parameters, and biochemical profiles of Schizothorax niger population. The physicochemical analysis revealed a maximum temperature of 12.93 ± 1.33°C and hardness of 156.53 ± 12.82 mg/L in Dal Lake, whereas the Jhelum River had a minimum level of 10.94 ± 1.12°C temperature and 128.31 ± 11.62 mg/L of hardness. Dal Lake had a neutral pH (7.5 ± 0.2) and lower dissolved oxygen (6.8 ± 0.4 mg/L) compared to the Jhelum River (pH 7.2 ± 0.3; dissolved oxygen 7.5 ± 0.5 mg/L). Morphometric analysis showed significant differences (p < 0.05) in fish length (Dal Lake: 18.4 ± 2.1 cm; the Jhelum River: 21.0 ± 1.8 cm) and weight (Dal Lake: 74.5 ± 9.8 g; the Jhelum River: 92.2 ± 7.4 g) between the sites. Biometric growth parameters demonstrated a positive allometric growth pattern, with Dal Lake having a steeper slope (b = 3.15) than the Jhelum River (b = 2.98). Biological indices revealed gender-based variations in the gonado-somatic index (GSI) and hepato-somatic index (HSI), with GSI being higher in Dal Lake (0.21 ± 0.02) and HSI in the Jhelum River (1.04 ± 0.09). Haematological and biochemical analyses showed significant differences in parameters such as haematocrit (Dal Lake: 29.2 ± 2.1%; the Jhelum River: 32.4 ± 1.8%), glucose (Dal Lake: 85.3 ± 5.4 mg/dL; the Jhelum River: 68.1 ± 4.2 mg/dL), and total protein (Dal Lake: 6.2 ± 0.4 g/dL; the Jhelum River: 5.8 ± 0.3 g/dL) between sites. These findings provide valuable insights into the physiological traits and population dynamics of S. niger, informing species-specific conservation strategies and ecosystem management practices.

A taxonomic re-evaluation of Pittosporum roimata Gemmill &amp; S.N. Carter (Pittosporaceae, Apiales)

Pittosporum roimata Gemmill &amp; S.N. Carter (Pittosporaceae, Apiales) was established in 2018 as an endemic species confined to the Poor Knights Islands group, off the eastern coastline of Northland Aotearoa / New Zealand. The new species was distinguished from P. cornifolium A. Cunn. on the basis of vegetative characters (leaf length, width, petiole length), floral characters (pedicel length, flower colour), and numbers of fruit per stem. The new species was also reported as differing from P. cornifolium by a single substitution within the nrITS cistron, with that data obtained from a paper that did not provide a phylogenetic interpretation of this result, nor specify whether the cultivated plants used were derived from seed obtained from multiple individuals or from cutting grown plants from a limited wild-sourced selection. In this paper the same morphological characters used to separate P. roimata are examined using a much wider sampling of P. cornifolium, and the specimens available for P. roimata. There are very slight differences in leaf width and length, petiole length, and pedicel length in Poor Knights Islands P. roimata specimens seen also in some collections from other northern Aotearoa / New Zealand offshore islands and some mainland stations. Flower colour is not a useful character as this is variable in P. roimata and P. cornifolium, as it is also in many other Aotearoa / New Zealand Pittosporum. On the basis of our morphological assessment we conclude that to maintain the segregation of P. roimata from P. cornifolium at the species rank is impractical, as there is a grading of characters between both species. As plants corresponding to P. roimata occur throughout the range of P. cornifolium, already a variable species, we suggest that, in line with other treatments of Aotearoa / New Zealand Pittosporum, it is better to reduce P. roimata into synonymy of P. cornifolium.

Quantification of the Surface Coverage of Gold Nanoparticles with Mercaptosulfonates Using Isothermal Titration Calorimetry (ITC).

This manuscript presents a comprehensive study on the quantification of modifier molecules adsorbed on gold nanoparticles (AuNPs) using two complementary techniques Ellman's method (UV-vis spectroscopy) and isothermal titration calorimetry (ITC). In this paper, we compare the feasibility of using the ITC technique and Ellman's method to study the interactions of mercaptosulfonate compounds (sodium mercaptoethanesulfonate, MES, and sodium mercaptoundecanesulfonate, MUS) with the surface of AuNPs of various sizes. The thermodynamic functions of the attachment of mercaptosulfonates to AuNPs were determined, revealing a linear relationship between the number of adsorbed molecules and the surface area of the nanoparticles. The amount of MES and MUS determined by Ellman's method (7 and 11 molecules per square nm, respectively) is more than twice that measured by the ITC technique (3 and 4 molecules per square nm, respectively). The slight differences in the adsorption of MES and MUS on the gold surface are due to differences in the carbon chain length of the ligand molecules. In the case of MES, the formation of the Au-S bond is the dominant stage of the adsorption process, whereas for MUS, the ordering process and self-assembly of molecules on the gold surface are dominant.

Evaluation of selected rice cultivars' phenotypic traits and chlorophyll content under sub-mergence stress

Currently, rice production in Nigeria is on the increase with the aim of meeting the nation’s need but floods (mainly seasonal) has been among the major factors limiting rice production. Rice is generally a semi aquatic plant well adapted to partially flooded fields but flash flooding may leads to complete submergence there by resulting into huge economic losses mainly due to reduction in gases (hypoxia) and light intensity needed for photosynthesis. The research was conducted at the Biological Garden, Department of Biological Sciences, Federal University Birnin Kebbi. The experiment was set off in a Completely Randomized Design (CRD) consisting of four rice cultivars with control and three replications. Length of internodes, number of nodes per plant, plant height, root length and chlorophyll contents were evaluated using standard methods and protocols. The study analyzed the impact of flooding on rice cultivars, finding significant differences in node number, internode length, plant height, root lengths, and chlorophyll content. The highest number of nodes was found in CP Yartunga, followed by Faro with 6.33 per plant. The highest plant height was 15.50 cm in Faro, while the highest chlorophyll content was 0.41 mg/g in CP 44. The research reveals that rice cultivars recover from flooding stress, with CP Yartunga having the highest number of nodes per plant and Faro having the highest internode length. No significant differences were found in plant height, root length, or chlorophyll content among the evaluated cultivars. Faro had the lowest chlorophyll content. The study reveals that under stress, chlorophyll content in various locations decreases significantly, with a significant drop in recovery and node numbers. Lastly, node recovery is substantial, suggesting lower injury levels. The present study suggests that cultivars like Faro and CP 44 show better resilience, suggesting potential breeding programs focusing on structural traits.

Effectiveness and Safety of the ESC-TROP (European Society of Cardiology 0h/1h Troponin Rule-Out Protocol) Trial.

European guidelines recommend the use of a 0h/1h hs-cTn (high-sensitivity cardiac troponin) protocol in patients with acute chest pain. We aimed to determine the performance of this protocol in routine care when supplemented with patient history and ECG and a recommendation to refrain from noninvasive testing in low-risk patients. This was a pre- and postimplementation study with concurrent controls. Patients with chest pain were enrolled at 5 Swedish emergency departments (EDs) during a 10-month period in both 2017 and 2018. All hospitals used a 0h/3h hs-cTnT protocol in 2017 and 3 EDs implemented a 0h/1h hs-cTnT protocol during 10 months in 2018. The 2 coprimary outcomes were the incidence of acute myocardial infarction and all-cause death within 30 days and ED length of stay. The study included 26 040 consecutive patients. In the intervention hospitals, 21 (0.40%) of the discharged patients had an acute myocardial infarction/death event during the control period (0h/3h testing) and 22 (0.45%) in the intervention period (0h/1h testing), which met the criteria for noninferiority. There was no significant difference in ED length of stay (ratio 0.99, P=0.48) or ED discharge rate between the periods in the intervention versus the control hospitals. A total of 3142 patients met low-risk 0h/1h hs-cTnT criteria and were discharged, of whom 2 had an acute myocardial infarction/death event. A 0h/1h hs-cTnT protocol incorporating patient history and ECG was as safe as using a 0h/3h protocol but did not reduce ED length of stay or increase the discharge rate. Refraining from noninvasive testing in patients identified as low risk was safe. URL: https://www.clinicaltrials.gov; Unique identifier: NCT03421873.

Development of graphitic and non-graphitic carbons using different grade biopitch sources

The growing demand for bio-renewable alternatives to fossil fuels in the production of sustainable carbon materials, aimed at reducing environmental impact, is crucial for advancing a greener future. This research explores an innovative approach for producing biopitches from bio-oils, which are subsequently utilized as a sustainable precursor for developing advanced graphitic carbons (GC) and non-graphitic carbons (NGC) through carbonization and graphitization processes. The study emphasizes the impact of the chemical composition of bio-oils and biopitches, including heteroatom structures, aromatic/aliphatic ratio, and oxygen content with oxygen-bearing functional groups, on the production of GC and NGC. The research also examines their structural parameters at various heating temperatures using characterization techniques such as X-ray diffraction (XRD), high-resolution transmission electron microscopy (HRTEM), and Raman spectroscopy. XRD analysis revealed that GC samples have lower interplanar spacing (d002) and larger crystallite size than NGC, while Raman shows more short-range order and defects in NGC. Furthermore, HRTEM images and fringe analysis demonstrated differences in lamellae structures, tortuosity, and fringe length. These observations, unveiling differences in crystallite size and degree of graphitization between GC and NGC, underscore the influence of temperature on structural order and defect annealing, which is crucial for optimizing material properties.