A digital thermocouple thermometer

Measurements of the reproducibility of a random selection of copper/constantan thermocouples were made and it was found that they agreed within 1 ° C. Based on this finding, a digital thermocouple thermometer was designed and constructed incorporating a thermocouple linearizer and cold junction compensation. The instrument

Accuracy of the Completed Digital Thermometer

     

2.

Cell Biology: Paper alert     

《Current opinion in cell biology》2000,12(5):525-535

A selection of interesting papers that were published in the two months before our press date in major journals most likely to report significant results in cell biology.

Temperature	Indicated	Error
(°C)	temperature	(°C)
	(°C)
?1.95.75	?195	0.75
?77.02	?78	0.38
0	0	0
52.49	53	0.51
Mean		0.413

     

3.

Integrity of lysosomes in the isolated perfused rat liver before and after exposure to dimethylsulphoxide.     

D Lee  R K Holland  A K Groufsky 《Cryobiology》1979,16(1):18-23

We have studied the integrity of lysosomes in isolated rat livers perfused for 3, 4, or 6 hr at 35 °C with BSA (40 g/l) in Krebs Ringer bicarbonate buffer. The latency and sedimentability of β-glucuronidase in homogenates of these livers was well maintained even after 6 hr. The latency and sedimentability of acid phosphatase remained at about control levels during the first 4 hr of perfusion but decreased between 4 and 6 hr. These decreases in latency and sedimentability correlated with a decrease in bile production and an increase in the rate of release of GOT into the perfusate and could indicate either intracellular disruption of lysosomes

Latencies, Sedimentabilities, and Specific Activities of Acid Phosphatase and β-Glucuronidase in Homogenates of Rat Liver Prepared before or at Various Times after Exposure to 1.4 m Me₂SO for 1 hr

Contents (chosen by)
525	Cytoskeleton (Desai and Holleran)
526	Cell regulation (Roche, Servant and Weiner)
528	Nucleus and gene expression (Aasland and Weinzierl)
529	Membranes and sorting (Ponnambalam)
530	Membrane permeability (Slesinger)
531	Cell-to-cell contact and extracellular matrix (Pfaff)
533	Cell differentiation (van Roessel, Kaltschmidt, Tsang and Huckriede)
534	Cell multiplication (Sclafani)

     

4.

Hemopoietic activities of cryopreserved murine fresh and postmortem bone marrow cells     

P. I. Liu  K. C. Poon  L. Crook  S. S. Liu  C. C. Hong 《Cryobiology》1979,16(6):513-516

The percentage of preservation of erythropoietic and granulopoietic precursor cells in the murine bone marrow was studied using in vitro methylcellulose clonal cell culture assays and in vivo murine spleen colony assays. This study clearly demonstrates

a. Type of Spleen Colonies Induced by 6-hr Postmortem Murine Bone Marrow Cells^a

Time (hr)	0	3	4	6
Acid phosphatase
Latency (%)	83.2 ± 0.8	64.7 ± 5.1	62.4 ± 7.9	68.9 ± 5.4
Sedimentability (%)	81.7 ± 0.6	77.6 ± 3.1	81.0 ± 3.4	79.4 ± 5.1
Specific activity (mIU/mg protein)	2.8 ± 0.4	2.8 ± 0.2	2.4 ± 0.4	1.6 ± 0.2
β-Glucuronidase
Latency (%)	06.8 ± 1.5	71.3 ± 4.3	74.2 ± 2.5	63.3 ± 4.5
Sedimentability (%)	69.5 ± 0.3	75.4 ± 3.2	75.0 ± 1.1	74.6 ± 2.0
Specific activity (mIU/mg protein)	1.8 ± 0.1	1.6 ± 0.1	1.6 ± 0.2	1.6 ± 0.2

	Mean (%)
Type of colonies	t Score	P Value	Unfrozen	Frozen
			Erythrocytic	26.283	14.100	2.09	0.059
Granulocytic	23.741	32.917	1.45	0.173
Mixed	49.321	52.700	0.55	0.59

a

$\text{N = 92}$. the presence of pluripotent hemopoietic precursor cells in cryopreserved 0-, 3-, 6-, 9-, and 12-hr postmortem murine bone marrow cells. Apparently, the erythropoietic precursor cells are more sensitive to freezing injury as compared to granulopoietic precursor cells.

     

Cell Biology: Paper alert

A selection of interesting papers that were published in the two months before our press date in major journals most likely to report significant results in cell biology.

Integrity of lysosomes in the isolated perfused rat liver before and after exposure to dimethylsulphoxide.

We have studied the integrity of lysosomes in isolated rat livers perfused for 3, 4, or 6 hr at 35 °C with BSA (40 g/l) in Krebs Ringer bicarbonate buffer. The latency and sedimentability of β-glucuronidase in homogenates of these livers was well maintained even after 6 hr. The latency and sedimentability of acid phosphatase remained at about control levels during the first 4 hr of perfusion but decreased between 4 and 6 hr. These decreases in latency and sedimentability correlated with a decrease in bile production and an increase in the rate of release of GOT into the perfusate and could indicate either intracellular disruption of lysosomes

Latencies, Sedimentabilities, and Specific Activities of Acid Phosphatase and β-Glucuronidase in Homogenates of Rat Liver Prepared before or at Various Times after Exposure to 1.4 m Me₂SO for 1 hr

Hemopoietic activities of cryopreserved murine fresh and postmortem bone marrow cells

The percentage of preservation of erythropoietic and granulopoietic precursor cells in the murine bone marrow was studied using in vitro methylcellulose clonal cell culture assays and in vivo murine spleen colony assays. This study clearly demonstrates

a. Type of Spleen Colonies Induced by 6-hr Postmortem Murine Bone Marrow Cells^a

An experimental study using tissue culture medium as preservation and perfusion fluid

A commercially available tissue culture medium has been proven capable of preserving dog kidney function for at least 24 hr after simple cooling. The advantages of using tissue culture medium as preservation fluid instead of plasma or albumin solutions from the infectious and immunological points of view are obvious. An in vitro study was completed using the tissue

1.

     

6.

DNA synthesis catalysed by endogenous templates and DNA-dependent DNA polymerases in spermatogenic cells from rat     

Norman B. Hecht  Martti Parvinen 《Experimental cell research》1981,135(1):103-114

The activity levels of DNA polymerases α and β have been measured by autoradiography in squash preparations from rat testis of sexually mature animals. Similar results were obtained with ‘fixed’ samples (dipped in acetone: ethanol for 5 min at 25 °C) or ‘unfixed’ samples (frozen in liquid nitrogen and freeze-dried). The activities of DNA polymerases α and β in situ were distinguished by differential assay conditions and by selective inhibition with compounds such as N-ethylmaleimide and aphidicolin. Using the endogenous chromatin as template, maximal activity for both enzymes was obtained in the presence of all four deoxyribonucleoside triphosphates, MgCl₂ and ethylene glycol. When DNA polymerase activities in several predominant testicular cell types (pre-leptotene primary spermatocytes, pachytene primary spermatocytes, round spermatids and elongated spermatids) were quantitatively compared, on a per cell basis, the following percentage distribution was observed:

Code (animal No.)	Perfusion time (br)	Perfusion pressure mm/Hg	Flow ml/min	Weight gain	pH	pO2 mm/Hg	Histological appearance
1	24	70-60 systolic	96	35	7.3	150–180	Grossly normal
2	24		45-40 diastolic	108	30
3	24		96	30
4	48	70-60 systolic	80	35	7.3	150–180	Grossly normal
5	48	45-40 diastolic	120	40	7.4
6	48		100	40
7	72	70-60 systolic	115	40	7.4	150–180	Slight vacuolization of the tubular cells
8	72	45-40 diastolic	96	40
9	72		80	40
10	24	70-60 systolic	110	35	7.3	150–180	Used for transplantation
11	24	45-40 diastolic	120	35
12	24		140	40
13	24		100	30
14	24		96	30

     

7.

Hyperosmotic injury in mammalian cells. Volume and alkali cation alterations of CHO cells in unprotected and DMSO-treated cultures.     

S Mironescu 《Cryobiology》1978,15(2):178-191

Correlated studies on volume distributions and cation (Na⁺ and K⁺) content of CHO cells in suspension were carried out after various exposures to hypertonic NaCl or sucrose (500–7550 mOsm in both the presence and absence of DMSO (5–20%; $\text{w}\text{v}$). The effects superimposed by ouabain (10^?2–10^?4m), amphotericin B (6–18 μg/ml), and glutaraldehyde (1.25%) on the above-mentioned parameters were also investigated. Volumetric analysis of CHO cells with the Coulter Channelyzer indicated a biphasic dose-dependent response to hypertonic media, the duration of the

TABLE 2. Correlation between Volume, Survival, and Cation Content of CHO Cells Exposed to Hypertonic Media in Suspension

	Pre-leptotene primary spermatocyte %	Pachytene primary spermatocyte %	Round spermatid %	Elongated spermatid %
DNA polymerase α	25	42	30	3
DNA polymerase β	29	34	36	1

     

8.

Reproductive potential and endocrinological responses of sheep kept under controlled lighting. I. Comparative reproductive performance of four breed types of ewe     

G. Evans  T.J. Robinson 《Animal reproduction science》1980,3(1):23-37

Five ewes of each of four breed types were kept in each of two environmentally-controlled rooms over a period of 2.5 years. The daylength varied between 20 and 9 h on a 6-monthly cycle, including a period of 22 weeks during which daylength was decreased by 0.5 h per week, 2 weeks in which it increased from 9 to 20 h, and 2 weeks at 20 h; each room operated 3 months out of phase with the other. Towards the end of the period of decreasing daylength each ewe was synchronised with a progestagen sponge for 12 days, given an injection (i.m.) of 750 I.U. pregnant mares' serum gonadotrophin (PMSG) on withdrawal, and inseminated 48 and 58 h later (500 million fresh undiluted sperm per insemination). Thus, insemination occurred at a single synchronised oestrus every 6 months. Progesterone pregnancy diagnosis was performed on blood samples taken 18 days later and parturition was induced by an injection (i.m.) of 16 mg dexamethasone on day 143 of gestation. Lambs were weaned at birth, allowing the ewes approximately 5.5 weeks to recover before the next insemination and a ‘successive’ conception.The performance of the four types of ewe, starting as maidens, is tabulated.

Osmolality mOsm	Exposure (min)								Hypertonic agent
					NaCl				Sucrose
		$\text{V}{}^{\mathrm{a}}$	Na+	K+	$\text{S}{}^{\mathrm{b}}$	V	Na+	K+	S
1000	60 or less	Small	High	High	High	Normal	Low	High	High
1500–2000	60 or less	Small	High	Low	Low	Normal	Low	High	High
2000 or over	60 or more	Small or largec	High	Very low	Very low	Small	Very low	Very low	Very low

     

9.

Heat exchange in the cryosurgery of Menière's disease: Experimental and clinical studies     

S. Harly  J.E. Aastrup  O. Elbrønd 《Cryobiology》1977,14(5):609-613

The temperature course in the lateral semicircular canal and in the facial canal was studied in experiments during freezing of the semicircular canal. The course of the temperature was measured with thermocouples. Concurrently, the heat flow was measured, and also the total heat exchange was measured throughout the freezing period by a thermoelectric heat flowmeter incorporated in the cryotip. The measurements showed correlation between the total amount of heat exchanged, the freezing time, and the temperature in the semicircular canal. This correlation was utilized to assess and calculate (the temperature of the lateral semicircular canal) the course of the cryoprocess in vivo, where it is possible to measure the heat flow and the total heat exchange during the freezing period only.

2. Results upon Vertigo

Conceptions	Merino	Dorset Horn × Merino	Border Leic. × Merino	South Suffolk × Merino	$\text{P}$
Successive (%)	20.0	12.5	11.1	47.6	$\text{< 0.01}$
Non-successive (%)	76.0	76.9	66.7	95.0	$\text{< 0.05}$
Overall (%)	51.1	52.4	44.4	70.7	$\text{< 0.05}$
Mean litter size	1.7	1.5	1.5	2.2	$\text{< 0.05}$
Mean lambs per ewe per year	1.8	1.6	1.3	3.1	$\text{< 0.01}$

     

10.

A simple system for extending refrigerated, nonfrozen preservation of biological material using pressure.     

S E Charm  H E Longmaid  J Carver 《Cryobiology》1977,14(5):625-636

High pressure (above 238 atmg) substantially extends the refrigerated storage of highly perishable biological material in a nonfrozen state.

5. Calculated Equivalent Values of Pressure and Temperature for Reducing Reaction Rates of Horseradish Peroxidase

	No Vertigo	Improved	Unchanged
Number of patients	7	5	3

Pressure (atmg)	Temperature (°K)	$\text{T}\text{T}{}_0$a
0	296	0.999
272	289	0.975
340	287	0.969
408	285	0.963

a

$\text{T}{}_0\text{= 296 °}\text{K}$It has been known for some time that high pressure stops microbial growth. The effect of high pressure is to reduce further the enzyme activity at refrigerated temperatures. Two enzymes studied, peroxidase and crude trypsin from red crab intestine, demonstrated this effect.A number of food materials such as fish, beef, and chicken were tested for microbial growth and organoleptic qualities after high-pressure storage in a simple 14-liter pressure chamber. Pressure was generated by a hand pump. The results indicated that after 30 days those items held in a non-frozen state at ?3 °C and 238 atmg were not significantly different microbiologically and organoleptically from frozen controls at atmospheric pressure and ?20 °C.This system should be useful for the preservation of biological materials where freezing or thawing effects are undesirable or unknown.The energy saved compared to freezing should also be considered. Only 62% of the energy is required for storage at ?3 °C as compared with frozen storage at ?20 °C, and about 28 cal/g must be removed in cooling to ?3 °C as compared with 120 cal/g in cooling to ?20 °C.

     

DNA synthesis catalysed by endogenous templates and DNA-dependent DNA polymerases in spermatogenic cells from rat

The activity levels of DNA polymerases α and β have been measured by autoradiography in squash preparations from rat testis of sexually mature animals. Similar results were obtained with ‘fixed’ samples (dipped in acetone: ethanol for 5 min at 25 °C) or ‘unfixed’ samples (frozen in liquid nitrogen and freeze-dried). The activities of DNA polymerases α and β in situ were distinguished by differential assay conditions and by selective inhibition with compounds such as N-ethylmaleimide and aphidicolin. Using the endogenous chromatin as template, maximal activity for both enzymes was obtained in the presence of all four deoxyribonucleoside triphosphates, MgCl₂ and ethylene glycol. When DNA polymerase activities in several predominant testicular cell types (pre-leptotene primary spermatocytes, pachytene primary spermatocytes, round spermatids and elongated spermatids) were quantitatively compared, on a per cell basis, the following percentage distribution was observed:

Hyperosmotic injury in mammalian cells. Volume and alkali cation alterations of CHO cells in unprotected and DMSO-treated cultures.

Correlated studies on volume distributions and cation (Na⁺ and K⁺) content of CHO cells in suspension were carried out after various exposures to hypertonic NaCl or sucrose (500–7550 mOsm in both the presence and absence of DMSO (5–20%; $\text{w}\text{v}$). The effects superimposed by ouabain (10^?2–10^?4m), amphotericin B (6–18 μg/ml), and glutaraldehyde (1.25%) on the above-mentioned parameters were also investigated. Volumetric analysis of CHO cells with the Coulter Channelyzer indicated a biphasic dose-dependent response to hypertonic media, the duration of the

TABLE 2. Correlation between Volume, Survival, and Cation Content of CHO Cells Exposed to Hypertonic Media in Suspension

Reproductive potential and endocrinological responses of sheep kept under controlled lighting. I. Comparative reproductive performance of four breed types of ewe

Five ewes of each of four breed types were kept in each of two environmentally-controlled rooms over a period of 2.5 years. The daylength varied between 20 and 9 h on a 6-monthly cycle, including a period of 22 weeks during which daylength was decreased by 0.5 h per week, 2 weeks in which it increased from 9 to 20 h, and 2 weeks at 20 h; each room operated 3 months out of phase with the other. Towards the end of the period of decreasing daylength each ewe was synchronised with a progestagen sponge for 12 days, given an injection (i.m.) of 750 I.U. pregnant mares' serum gonadotrophin (PMSG) on withdrawal, and inseminated 48 and 58 h later (500 million fresh undiluted sperm per insemination). Thus, insemination occurred at a single synchronised oestrus every 6 months. Progesterone pregnancy diagnosis was performed on blood samples taken 18 days later and parturition was induced by an injection (i.m.) of 16 mg dexamethasone on day 143 of gestation. Lambs were weaned at birth, allowing the ewes approximately 5.5 weeks to recover before the next insemination and a ‘successive’ conception.The performance of the four types of ewe, starting as maidens, is tabulated.

Heat exchange in the cryosurgery of Menière's disease: Experimental and clinical studies

The temperature course in the lateral semicircular canal and in the facial canal was studied in experiments during freezing of the semicircular canal. The course of the temperature was measured with thermocouples. Concurrently, the heat flow was measured, and also the total heat exchange was measured throughout the freezing period by a thermoelectric heat flowmeter incorporated in the cryotip. The measurements showed correlation between the total amount of heat exchanged, the freezing time, and the temperature in the semicircular canal. This correlation was utilized to assess and calculate (the temperature of the lateral semicircular canal) the course of the cryoprocess in vivo, where it is possible to measure the heat flow and the total heat exchange during the freezing period only.

2. Results upon Vertigo

A simple system for extending refrigerated, nonfrozen preservation of biological material using pressure.

High pressure (above 238 atmg) substantially extends the refrigerated storage of highly perishable biological material in a nonfrozen state.

5. Calculated Equivalent Values of Pressure and Temperature for Reducing Reaction Rates of Horseradish Peroxidase

Proffered Papers 10.30–11.15 Monday 15 September 2003 3 5 year outcome of women with borderline and mild dyskaryosis smears 3 5 year outcome of women with borderline and mild dyskaryosis smears

Aims

• 1 To identify the outcome status of women with borderline and mild dyskaryosis smears.
• 2 To determine whether the presence or absence of koilocytosis influences the outcome status.
• 3 To identify the proportion of women with borderline smears showing koilocytosis.

Materials and methods Borderline and mild dyskaryosis cervical smears diagnosed during January to March 1997 were identified from the laboratory database. Each slide was reviewed by two researchers independently, who then agreed a final consensus diagnosis. All slides were classified according to the presence or absence of koilocytosis. Slides were excluded from the study if the review diagnosis was negative, inadequate or high‐grade dyskaryosis. The outcome status was classified according to the worst lesion identified histologically and/or cytologically during the 5‐year follow‐up period. Results 1974 women were identified with borderline or mild dyskaryosis cervical smears of which 1597 were included in the study. Table 1 shows the outcome status of these women.

Table 1. . The outcome status of these women

Posters. P9 A case of carcinosarcoma presenting in a cervical ThinPrep® sample

Introduction Direct endometrial sampling with cytology and or histology is used at our hospital as part of the investigation of abnormal uterine bleeding. It is used in cases where there is a low clinical suspicion of malignancy. The advantage of the technique is that it can be done as an outpatient procedure with minimal patient discomfort. Reports in the literature give mixed results. We present a 3‐year retrospective of our experience with follow‐up.

Simian Parvoviruses: Biology and Implications for Research

The simian parvoviruses (SPVs) are in the genus Erythrovirus in the family Parvoviridae and are most closely related to the human virus B19. SPV has been identified in cynomolgus, rhesus, and pigtailed macaques. All of the primate erythroviruses have a predilection for erythroid precursors. Infection, which is common in macaques, is usually clinically silent. Disease from SPV is associated with immunosuppression due to infection with various retroviruses (SIV, simian retrovirus, and simian–human immunodeficiency virus), surgery, drug toxicity studies, and posttransplantation immunosuppressive treatment and therefore is of concern in studies that use parvovirus-positive macaques.Abbreviations: SHIV, chimeric simian–human immunodeficiency virus, SPV, simian parvovirus, SRV, type D simian retrovirus, SIV, simian immunodeficiency virusIn 1959, a small, nonenveloped virus (rat virus) was isolated from rat tissue cultures.²¹ Over the next decade, similar viruses were identified as the etiologic agents of severe enteritis in cats and mink and of facial abnormalities in newborn hamsters.^44,45 The nonenveloped viruses are among the smallest viruses that infect mammalian cells, with a genome size of approximately 5 kb. They are named parvoviruses, from the Latin parvum, meaning small. The virion has icosahedral symmetry, is composed of 2 or 3 structural proteins (VP1, VP2, and sometimes VP3), and contains a linear single-stranded DNA genome. The viral DNA also encodes 1 or 2 nonstructural proteins (NS1 and NS2).Currently the family Parvoviridae is divided into 2 subfamilies, the Parvovirinae, which infect vertebrates, and the Densovirinae, invertebrates (2 Although many parvoviruses are associated with severe disease, others cause inapparent infections. The adeno-associated viruses are replication-defective parvoviruses, identified as contaminants of adenovirus stocks, and require coinfection with adenovirus or herpesvirus.

Table 1.

Parvovirus taxonomy

Calorimetric determination of base-stacking enthalpies in double-helical DNA molecules

Differential scanning calorimetry was used to directly determine the transition enthalpies accompanying the duplex-to-single-strand transition of poly[d(AT)], poly(dA)·poly(dT), poly[d(AC)]·poly[d(TG)], and d(GCGCGC). The calorimetric data allow us to define the following average base-stacking enthalpies:

Comparison of the Efficacy of the Two Tetracycline‐Containing Sequential Therapy Regimens for the Eradication of Helicobacter Pylori: 5 days Versus 14 days Amoxicillin

Aim: To compare the efficacy of 14‐day and 5‐day amoxicillin treatment on the eradication rate during tetracycline containing sequential H. pylori therapy, and also to compare the eradication rate of this regimen with those used in similar studies performed in Turkey. Method: This study included 112 patients infected with H. pylori that were randomized into 2 groups. In group A, patients (n = 56) received pantoprazole (40 mg BID) and amoxicillin (1 g BID) for 5 days, followed by pantoprazole (40 mg BID), tetracycline (500 mg QID), and metronidazole (500 mg TID) for the remaining 9 days. In group B, patients (n = 56) received pantoprazole (40 mg BID) and amoxicillin (1 g BID) for 5 days, followed by pantoprazole (40 mg BID), tetracycline (500 mg QID), metronidazole (500 mg TID), and amoxicillin (1 g BID) for the remaining 9 days. Eradication rates were calculated using both intention‐to‐treat (ITT) and per‐protocol (PP) analyses. Results: In all, 112 patients were subjected to ITT analysis and 109 patients completed the study. In group A, H. pylori eradication was achieved in 46 (82.1%) of the 56 patients included in the ITT analysis and in 46 (83.6%) of the 55 patients included in the PP analysis. In group B, H. pylori eradication was achieved in 44 (78.57%) of the 56 patients included in the ITT analysis and in 44 (81.48%) of the 54 patients included in the PP analysis ( Table 2 ). The eradication rates were not statistically significant between the 2 groups (p > .005).

Table 2. Eradication rates in the two study groups

ALGAL RESPONSE TO NUTRIENT ENRICHMENT IN FORESTED OLIGOTROPHIC STREAM1

Nutrient input in streams alters the density and species composition of attached algal communities in open systems. However, in forested streams, the light reaching the streambed (rather than the local nutrient levels) may limit the growth of these communities. A nutrient‐enrichment experiment in a forested oligotrophic stream was performed to test the hypothesis that nutrient addition has only minor effects on the community composition of attached algae and cyanobacteria under light limitation. Moderate nutrient addition consisted of increasing basal phosphorus (P) concentrations 3‐fold and basal nitrogen (N) concentrations 2‐fold. Two upstream control reaches were compared to a downstream reach before and after nutrient addition. Nutrients were added continuously to the downstream reach for 1 year. Algal biofilms growing on ceramic tiles were sampled and identified for more than a year before nutrient addition to 12 months after. Diatoms were the most abundant taxonomic group in the three stream reaches. Nutrient enrichment caused significant variations in the composition of the diatom community. While some taxa showed significant decreases (e.g., Achnanthes minutissima, Gomphonema angustum), increases for other taxa (such as Rhoicosphenia abbreviata and Amphora ovalis) were detected in the enriched reach (for taxonomic authors, see Table 2 ). Epiphytic and adnate taxa of large size were enhanced, particularly during periods of favorable growth conditions (spring). Nutrients also caused a change in the algal chl a, which increased from 0.5–5.8 to 2.1–10.7 μg chl · cm^?2. Our results indicate that in oligotrophic forested streams, long‐term nutrient addition has significant effects on the algal biomass and community composition, which are detectable despite the low light availability caused by the tree canopy. Low light availability moderates but does not detain the long‐term tendency toward a nutrient‐tolerant community. Furthermore, the effects of nutrient addition on the algal community occur in spite of seasonal variations in light, water flow, and water chemical characteristics, which may confound the observations.

Table 2. Percent abundances of the most frequent taxa in three reaches of the Fuirosos stream. U1 and U2 untreated; E, enriched both in the periods before (bef) and after (aft) the enrichment of the E reach. Acronyms identifying the taxa are indicated.

Perioperative Opioid Counseling Reduces Opioid Use Following Primary Total Joint Arthroplasty

BackgroundPreoperative counseling may reduce postoperative opioid requirements; however, there is a paucity of randomized controlled trials (RCTs) demonstrating efficacy. The purpose of this study was to perform an interventional, telehealth-based RCT evaluating the effect of peri-operative counseling on quantity and duration of opioid consumption following primary total joint arthroplasty (TJA).MethodsParticipants were randomized into three groups: 1. Control group, no perioperative counseling; 2. Intervention group, preoperative educational video; 3. Intervention group, preoperative educational video and postoperative acceptance and commitment therapy (ACT). Opioid consumption was evaluated daily for 14 days and at 6 weeks postoperatively. Best-case and worse-case intention to treat analyses were performed to account for non-responses. Bonferroni corrections were applied.Results183 participants were analyzed (63 in Group 1, 55 in Group 2, and 65 in Group 3). At 2 weeks postoperatively, there was no difference in opioid consumption between Groups 1, 2, and 3 (p>0.05 for all). At 6 weeks postoperatively, Groups 2 and 3 had consumed significantly less opioids than Group 1 (p=0.04, p<0.001) (