[Closed percutaneous reduction and minimally invasive treatment of spastic hammery deformity].

Objective: To investigate the efficacy of percutaneous extensor tendon reconstruction in treating spastic hammery deformity. Methods: From February 2009 to July 2018, the clinicaldata of 36 patients with fresh sputum hammer fingers treated in Jinan People's Hospital were analyzed retrospectively. The tendon was percutaneously sutured with PDS Ⅱmonofilament suture and the distal end of the tendon was fixed to the base of the distal phalanx through the bone hole. Removal of the K-wire 6 weeks after the operation, the brace was used to fix the affected finger in the dorsal extension. For 8-10 weeks, only the brace was worn at night and the flexion and extension of the affected finger was gradually strengthened.The extension and flexion function of the interphalangeal joint of the finger was compared pre and post the operation with t test. Results: A total of 36 patients were enrolled but only 33 patientswere followed up for 6 to 15 months. The hammer-shaped deformity was corrected and there was no pain when moving fingers after the operation.The straightening angle of the interphalangeal joint of the finger improved from 46.2°±6.3° before surgery to 7.5°±0.6° after (t=35.12, P<0.05). The passive straightening angle decreased from 3.2°±0.3° before surgery to 0.9°±0.2° after (t=37.11, P<0.05). According to the Crawford functional assessment: excellent in 19 fingers, good in 10 fingers, can be in 4 fingers. The excellent rate was 87.9%. There was no knot exposure, skin necrosis and other complications. Conclusions: Percutaneous resection of the extensor tendon is fixed in the basal phalanx. It is a simple and feasible minimally invasive surgery for hammer-shaped deformity. It can obviously correct the hammer-shaped deformity and has fewer complications.

Climate and Fuel Controls on North American Paleofires: Smoldering to Flaming in the Late-glacial-Holocene Transition.

Smoldering and flaming fires, which emit different proportions of organic (OC) and black carbon (BC, in the form of char and soot), have long been recognized in modern wildfire observations but never in a paleo-record, and little is known about their interactions with climate. Here we show that in the late glacial-early Holocene transition period, when the climate was moist, relatively high quantities of char were deposited in Linsley Pond, Connecticut, USA while soot was more abundant during the warmer and drier early Holocene interval. The highest soot mass accumulation rates (MARs) occurred at the beginning of the Holocene as fuel availability increased through the climatic transition when boreal forests were locally extirpated. These variations with time are related to the different formation pathways of char and soot, which are governed by combustion efficiency. This study provides an approach for differentiating smoldering from flaming combustion in paleo-wildfire reconstructions. Our results suggest that climate and fuel loads control the occurrence of different wildfire types and precipitation may play a key role.

Reconstruction of atmospheric soot history in inland regions from lake sediments over the past 150 years.

Historical reconstruction of atmospheric black carbon (BC, in the form of char and soot) is still constrained for inland areas. Here we determined and compared the past 150-yr records of BC and polycyclic aromatic compounds (PACs) in sediments from two representative lakes, Huguangyan (HGY) and Chaohu (CH), in eastern China. HGY only receives atmospheric deposition while CH is influenced by riverine input. BC, char, and soot have similar vertical concentration profiles as PACs in both lakes. Abrupt increases in concentrations and mass accumulation rates (MARs) of soot have mainly occurred since ~1950, the establishment of the People's Republic of China, when energy usage changed to more fossil fuel contributions reflected by the variations in the concentration ratios of char/soot and individual PACs. In HGY, soot MARs increased by ~7.7 times in the period 1980-2012 relative to the period 1850-1950. Similar increases (~6.7 times) were observed in CH. The increase in soot MARs is also in line with the emission inventory records in the literature and the fact that the submicrometer-sized soot particles can be dispersed regionally. The study provides an alternative method to reconstruct the atmospheric soot history in populated inland areas.

Elemental carbon and polycyclic aromatic compounds in a 150-year sediment core from Lake Qinghai, Tibetan Plateau, China: influence of regional and local sources and transport pathways.

Elemental carbon (EC) and polycyclic aromatic compounds (PACs) are potential proxies for the reconstruction of change in human activities and the origin of air masses in historic times. In this study, the historic deposition of char and soot (the two subtypes of EC) and PACs in a 150-year sediment core from different topographic subbasins of Lake Qinghai on the Qinghai Tibetan Plateau (QTP) were reconstructed. The objective was to explore how the variations in the concentrations of EC and PACs, in the ratios of char to soot and of oxygenated polycyclic aromatic hydrocarbons (OPAHs) to parent PAHs, and in the composition of the PAC mixtures reflect historical changes in climate and human activity and the origin of air masses arriving at the QTP. The deposition fluxes of soot in the different subbasins were similar, averaging 0.18 (range of 0.15-0.25) and 0.16 (0.13-0.23) g m(-2) year(-1), respectively, but they varied for char (averaging 0.11 and 0.22 g m(-2) year(-1), respectively), suggesting ubiquitous atmospheric deposition of soot and local river inputs of char. The different vertical distributions of the char/soot ratios in the different subbasins can be interpreted in terms of the different transport mechanisms of char and soot. An abrupt increase in soot concentrations since 1980 coincides with results from the QTP ice cores that were interpreted to be indicative of soot transport from South Asia. Similar concentration patterns of PAHs with soot and 9,10-anthraquinone/anthracene (9,10-AQ/ANT) ratios all >2.0 suggest regional PAC sources. Increasing PAH/soot ratios and decreasing 9,10-AQ/ANT ratios since the beginning of the 1970s indicate increasing local emissions. The historical trends of these diagnostic ratios indicate an increase in the fossil-fuel contribution since the beginning of the 1970s. The increase of perylene concentrations with increasing core depth and the ratio of perylene to its penta-aromatic isomers indicate that perylene originates mainly from in situ biogenic diagenesis. We demonstrate that the concentrations of EC, char, soot, and PACs in sediments can be used to reconstruct local, regional, and remote sources and transport pathways of pollutants to the QTP.

Stronger association of polycyclic aromatic hydrocarbons with soot than with char in soils and sediments.

The knowledge of the association of polycyclic aromatic hydrocarbons (PAHs) with organic matter and carbonaceous materials is critical for a better understanding of their environmental transport, fate, and toxicological effects. Extensive studies have been done with regard to the relationship of PAHs with total organic carbon (TOC) and elemental carbon (EC) in different environmental matrices. The relationship between PAHs and the two subtypes of EC, char (combustion residues) and soot (produced via gas-to-particle conversion) also has been tested in field and laboratory experiments using reference materials. However, a direct comparison of associations of PAHs between with char and with soot in real environmental matrices has to our knowledge not yet been reported because of a lack of methodology to differentiate them. In this study, char and soot were measured using the IMPROVE method to test their associations with 12 EPA priority PAHs measured in topsoil samples (N=22, top 10 cm) collected from the Guanzhong Plain and in surface sediment samples (N=32, top 5 cm) from the Wei River (central China). In both soils and sediments, ∑12PAHs were more strongly associated with soot than with char, mainly due to the fact that soot and PAHs were produced in the same gas phase during combustion, had a strong affinity for each other, and were transported and deposited together, while char, the combustion residue, was transported differently to PAHs due to its large particle size. Stronger correlations between PAHs and the different carbon fractions (TOC, soot, and char) in sediments than in soils were observed, which is associated with the redistribution of PAHs among the organic matter pools in water because of the processes during soil erosion and sedimentation in the river.

Comparison of elemental carbon in lake sediments measured by three different methods and 150-year pollution history in Eastern China.

Concentrations of elemental carbon (EC) were measured in a 150 yr sediment record collected from Lake Chaohu in Anhui Province, eastern China, using three different thermal analytical methods: IMPROVE_A thermal optical reflectance (TOR), STN_thermal optical transmittance (TOT), and chemothermal oxidation (CTO). Distribution patterns for EC concentrations are different among the three methods, most likely due to the operational definition of EC and different temperature treatments prescribed for each method. However, similar profiles were found for high-temperature EC fractions among different methods. Historical soot(TOR) (high-temperature EC fractions measured by the IMPROVE_A TOR method) from Lake Chaohu exhibited stable low concentrations prior to the late 1970s and a sharp increase thereafter, corresponding well with the rapid industrialization of China in the last three decades. This may suggest that high-temperature thermal protocols are suitable for differentiating between soot and other carbon fractions. A similar soot(TOR) record was also obtained from Lake Taihu (~200 km away), suggesting a regional source of soot. The ratio of char(TOR) (low-temperature EC fraction measured by the IMPROVE_A TOR method, after correction for pyrolysis) to soot(TOR) in Lake Chaohu shows an overall decreasing trend, consistent with gradual changes in fuel use from wood burning to increasing fossil fuel combustions. Average higher char(TOR)/soot(TOR) was observed in Lake Taihu than in Lake Chaohu in the past 150 years, consistent with the longer and more extensive industrialization around the Taihu region.

Distribution and ecotoxicological significance of trace element contamination in a ~150 yr record of sediments in Lake Chaohu, Eastern China.

This paper presents the concentrations, vertical profiles and possible sources of selected major and trace elements in a sediment core covering ∼150 years of sedimentation in Lake Chaohu, eastern China. Element concentrations were measured by portable X-ray Fluorescence Spectroscopy (XRF) and were used to evaluate possible environmental consequences of the recent industrialization in China. Statistical analyses identify four groups: (1) organic carbon (OC), total nitrogen (TN), Pb, Zn, and As associated with the use of chemical fertilizers and pesticides; (2) Mn, Cr, Ni and Cu from industrial and mining activities; (3) Fe, Rb, K, Co, Ti and Ca influenced by post-depositional processes and land exploitation; and (4) Zr and Sr from the soil. The vertical profiles of elements placed in the first two groups show distinct increases in concentrations above depths of 20 cm (~1978), coincident with the timing of industrialization in China, and the anthropogenic-derived fluxes are higher than the lithogenic-derived fluxes over the last three decades. With the exception of Zr and Sr, association of the measured metals with organic carbon and nitrogen suggests that organic matter may act as a carrier phase. The geoaccumulation index (I(geo)) reveals increased contamination from elements in the first two groups in recent years. Element concentrations, compared with the Effects Range-Low (ERL) and Effects Range-Median (ERM) levels set by NOAA, suggest that adverse biological effects from Ni contamination are very likely.

The effect of acidification on the determination of elemental carbon, char-, and soot-elemental carbon in soils and sediments.

We studied the influence of acid pretreatment on the effective distinction between elemental carbon (EC) and organic carbon (OC), and between char-EC and soot-EC. Though widely employed in the pretreatment of soils and sediments for EC quantification, the use of HCl, HF, and HNO(3) could decrease soot thermal stability as acid remains, leading to an underestimation of soot-EC by thermal methods. We compared thermal optical reflectance (TOR) measurements of EC concentrations in char reference materials and in lacustrine and marine sediments following pretreatment with various acids. The results showed that pretreatment with 2M HCl, concentrated HNO(3), 7 M HNO(3), and 1 M HNO(3) did not result in EC oxidation. However, hot concentrated HNO(3) oxidized EC significantly, leading to lower concentrations of EC, char-EC and soot-EC. By comparing the removal of potentially interfering materials, which contain little fire-derived carbon, with different acid pretreatments, we recommend the HCl-HF-HCl and concentrated (not hot) HNO(3)-HF-HCl pretreatments for the determination of EC, char-EC, and soot-EC in soils and sediments using the TOR method.

Global iron connections between desert dust, ocean biogeochemistry, and climate.

The environmental conditions of Earth, including the climate, are determined by physical, chemical, biological, and human interactions that transform and transport materials and energy. This is the "Earth system": a highly complex entity characterized by multiple nonlinear responses and thresholds, with linkages between disparate components. One important part of this system is the iron cycle, in which iron-containing soil dust is transported from land through the atmosphere to the oceans, affecting ocean biogeochemistry and hence having feedback effects on climate and dust production. Here we review the key components of this cycle, identifying critical uncertainties and priorities for future research.

A high-resolution absolute-dated late Pleistocene Monsoon record from Hulu Cave, China.

Oxygen isotope records of five stalagmites from Hulu Cave near Nanjing bear a remarkable resemblance to oxygen isotope records from Greenland ice cores, suggesting that East Asian Monsoon intensity changed in concert with Greenland temperature between 11,000 and 75,000 years before the present (yr. B.P.). Between 11,000 and 30,000 yr. B.P., the timing of changes in the monsoon, as established with 230Th dates, generally agrees with the timing of temperature changes from the Greenland Ice Sheet Project Two (GISP2) core, which supports GISP2's chronology in this interval. Our record links North Atlantic climate with the meridional transport of heat and moisture from the warmest part of the ocean where the summer East Asian Monsoon originates.