不同内固定方式治疗老年踝关节骨折的临床研究

摘要 目的：探讨老年踝关节骨折患者的内固定方式的选择情况及不同内固定方式的疗效,进而指导临床医师根据患者的具体情况选择合适的内固定方式。方法：本研究为回顾性研究,选取我院2016年1月~2018年12月期间收治的老年踝关节骨折患者40例作为研究对象,统计患者一般情况,内容包括骨折块情况、骨折类型、骨质疏松情况、软组织情况与体质。术后随访12个月,评价所有患者末次随访时的踝关节跖屈度、踝关节背伸度、美国足踝外科协会（AOFAS）踝-后足功能评分,记录所有患者的骨折愈合时间。结果：40例研究对象中,使用克氏针张力带11例,Herbert螺钉10例,解剖锁定钢板7例,解剖复合钢板6例,1/3管型钢板6例。骨折块较小、外踝撕脱性骨折的患者主要应用克氏针张力带;伴有骨质疏松的患者主要应用解剖锁定钢板;软组织条件不佳或受损的患者主要应用Herbert螺钉或1/3管型钢板;超重或肥胖患者主要应用解剖复合钢板;瘦弱患者主要应用1/3管型钢板。末次随访时,5种内固定方式患者的踝关节背伸度、踝关节跖屈度、AOFAS踝-后足功能评分比较未见显著性差异（P＞0.05）。5种内固定方式的骨折愈合时间对比差异存在统计学意义（P＜0.05）。结论：老年踝关节骨折应根据患者具体情况选择合理的内固定方式,不同内固定方式患者的骨折愈合时间虽存在差异,但最终均可获得较为满意的疗效。     

不同经皮克氏针内固定术治疗儿童GartlandⅡ、Ⅲ型肱骨髁上骨折疗效对比的回顾性分析

摘要 目的：对比不同经皮克氏针内固定术治疗GartlandⅡ、Ⅲ型肱骨髁上骨折患儿的治疗效果。方法：回顾性分析2017年3月~2020年3月期间我院收治的90例GartlandⅡ、Ⅲ型肱骨髁上骨折患儿的临床资料,根据治疗方式的不同,将患儿分为A组47例（采用切开复位经皮克氏针内固定术治疗）和B组43例（采用闭合复位经皮克氏针内固定术治疗）。观察两组疗效情况、围术期指标情况及并发症发生率。结果：A组、B组的优良率组间对比无统计学差异（P>0.05）。B组的手术时间、骨折愈合时间、住院时间均短于A组,术中失血量少于A组,组间对比差异有统计学意义（P<0.05）。两组术后并发症发生率比较差异无统计学意义（P>0.05）。结论：GartlandⅡ、Ⅲ型肱骨髁上骨折患儿采用闭合复位或切开复位经皮克氏针内固定术均可获得良好的手术效果,其中闭合复位在缩短手术时间、骨折愈合时间、住院时间和减少术中失血量方面更具备优势。     

Spawning migration of Balon's ruffe into a Danubian side branch in Austria

The migrations of Gymnocephalus baloni Balon's ruffe into the side branch of the Danube at Schönbühel were restricted to the spawning season between the end of April and mid-June. The main environmental factor correlating with the immigration is assumed to be water temperature. Water level changes influence emigration.     

应用缝合锚结合联合腱外侧半肌腱重建喙锁韧带治疗肩锁关节脱位

目的:观察治疗肩锁关节脱位的不同手术方式的治疗效果,以确定最佳的手术方法。方法:将60例肩锁关节脱位病人随机分为治疗组和对照组,分别采用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动的治疗方法及克氏针张力带内固定方法,术后3个月及6个月对患者进行JOA总体情况评定、JOA评分比较、肩锁关节疼痛VAS评定情况比较及安全性评价。结果:应用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位3个月及6个月后JOA总体评定情况结果及.JOA评分结果优于克氏针张力带治疗方法;应用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位3个月及6个月后肩锁关节疼痛程度均轻于同时期克氏针张力带治疗方法。结论:缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位是一种安全有效的临床治疗方法。     

Rigid-rod structured palladium complexes

Mononuclear and homobimetallic palladium complexes of structural type [trans-(Me(O)CS-4-C₆H₄)(Ph₃P)₂Pd(N^∩N)]OTf (8a, N^∩NC₄H₄N₂; 8b, N^∩NC₅H₄N-4-CN) and {[trans-(Me(O)CS-4-C₆H₄)(Ph₃P)₂Pd]₂N^∩N}(OTf)₂ (9a, N^∩N = 4,4′-bipyridine (=bipy); 9b, N^∩N = C₆H₄-1,4-(CN)₂; 9c, N^∩N = (C₆H₄-4-CN)₂) are accessible by the reaction of trans-(Ph₃P)₂Pd(C₆H₄-4-SC(O)Me)(OTf) (6) with 1 or 0.5 equivalents of the Lewis-bases N^∩N (7a, N^∩N = C₄H₄N₂; 7b, N^∩N = C₅H₄N-4-CN; 7c, N^∩N = bipy; 7d, N^∩N = C₆H₄-1,4-(CN)₂; 7e, N^∩N = (C₆H₄-4-CN)₂) in high yield. Complex 6 can be prepared in a two-step synthesis procedure. Oxidative addition of I-1-C₆H₄-4-SC(O)Me (2) to Pd(PPh₃)₄ (3) gives trans-(Ph₃P)₂Pd(C₆H₄-4-SC(O)Me)(I) (4), which further reacts with [AgOTf] (5) to afford 6.The formation of 8 and 9 strongly depends on the size of the Lewis-bases N^∩N. It is obvious that the co-ordination of the second N-ligated site of 8a or 8b to a further bulky[(PPh₃)₂Pd(C₆H₄-4-SC(O)Me)]⁺ unit is not possible. In contrast, more extended N^∩N species such as 7c-7e will result in the formation of linear structured homobimetallic 9a-9c.The solid-state structures of 4 and 4 · CH₂Cl₂ are reported. Complex 4 is packed in the orthorhombic space group Pbca. The assembly of dichloromethane into the crystal lattice breaks the symmetry, whereby 4 · CH₂Cl₂ crystallises in the triclinic space group . In both modifications a square-planar palladium(II) ion is present, with the iodo atom and the Me(O)CS-C₆H₄ unit trans-positioned. The different crystal packing has no significant influence onto the geometry around the d⁸-configurated palladium atoms.     

Concepts on charge transfer through naturally vibrating DNA molecule

Delocalization of charges thorough DNA occurs due to the natural and continuous movements of molecule which stimulates the charge transfer through the molecule. A model is presented showing that the mechanism of electrical conduction occurs mainly by thermally-activated drift motion of holes under control of the localized carriers; where electrons are localized in the conduction band. These localized (stationary-trapped) electrons control the movements of the positive charges and do not play an effective role in the electrical conduction itself. It is found that the localized charge-carriers in the bands have characteristic relaxation times at 5×10(^-2)s, 1.94×10(^-4)s, 5×10(^-7)s, and 2×10(^-11)s respectively which are corresponding to four intrinsic thermal activation energies 0.56eV, 0.33eV, 0.24eV, and 0.05eV respectively. The ac-conductivity of some published data are well fitted with the presented model and the total charge density in DNA molecule is calculated to be n=1.88×10(^19)cm(^-3) at 300K which is corresponding to a linear electron density n=8.66×10(^3)cm(^-1) at 300K. The model shed light on the role of transfer and/or localization of charges through DNA which has multiple applications in medical, nano-technical, bio-sensing and different domains. So, repair DNA by adjusting the charge transport through the molecule is future challenges to new medical applications.     

Targeted disruption of the Pak5 and Pak6 genes in mice leads to deficits in learning and locomotion

PAK6 is a member of the group B family of PAK serine/threonine kinases, and is highly expressed in the brain. The group B PAKs, including PAK4, PAK5, and PAK6, were first identified as effector proteins for the Rho GTPase Cdc42. They have important roles in filopodia formation, the extension of neurons, and cell survival. Pak4 knockout mice die in utero, and the embryos have several abnormalities, including a defect in the development of motor neurons. In contrast, Pak5 knockout mice do not have any noticeable abnormalities. So far nothing is known about the biological function of Pak6. To address this, we have deleted the Pak6 gene in mice. Since Pak6 and Pak5 are both expressed in the brain, we also generated Pak5/Pak6 double knockout mice. These mice were viable and fertile, but had several locomotor and behavioral deficits. Our results indicate that Pak5 and Pak6 together are not required for viability, but are required for a normal level of locomotion and activity as well as for learning and memory. This is consistent with a role for the group B PAKs in the nervous system.     

Begg矫治器和直丝弓矫治器联合治疗安氏Ⅱ类1 分类错颌畸形的临床 疗效分析

目的:探讨Begg矫治器和直丝弓矫治器联合治疗安氏Ⅱ类1分类错颌畸形的临床疗效。方法:采取回顾性分析方法,调阅2010-2013年徐州矿务集团总医院安氏Ⅱ类1分类错颌畸形患者病历资料,选择病历资料完整且符合本研究要求的正畸病人病历44例进行分析,实验组22例为Begg矫治器和直丝弓矫治器联合治疗组,对照组22例为单纯直丝弓治疗组。对治疗前后的头影测量片进行扫描分析,对治疗时间及辅助支抗应用情况进行统计分析。结果:治疗完成时,Begg矫治器和直丝弓矫治器联合治疗组和单纯直丝弓治疗组的前牙覆合覆盖均减少,上切牙切缘均向远中移动,上下磨牙均伸长,前下面高度均增加,两组治疗结束后硬组织的变化无统计学差异(P0.05)。Begg矫治器和直丝弓矫治器联合治疗组与单纯直丝弓治疗组相比,治疗时间短,使用辅助支抗少,差异具有统计学意义(P0.05)。结论:Begg矫治器和直丝弓矫治器联合矫治安氏Ⅱ类1分类错颌畸形是临床上一种速度快,费用低,效果优的治疗方法。