ABSTRACT
BACKGROUND: Ankylosing spondylitis (AS) is a chronic rheumatic disease that primarily affects the spine and the sacroiliac and peripheral joints. Juvenile-onset AS (JoAS) patients will likely present with peripheral joint symptoms. Knee flexion contracture (KFC) and hip flexion contracture (HFC) are common in these patients due to subchondral bone inflammation. The Ilizarov technique is the most commonly used technique for treating KFC. However, its use to treat JoAS-associated KFC has not been reported. CASE SUMMARY: This report presents a case study of a 31-year-old male patient with a squatting gait due to severe bilateral KFC and HFC. The patient had a normal walking pattern until the age of eight, after which he experienced knee and hip pain, leading to the gradual development of KFC and HFC. The patient's primary complaint was an inability to walk upright. The patient was diagnosed with JoAS and underwent hip dissection and release, limited soft tissue release of the hamstring, and gradual traction using the Ilizarov method. Ultimately, the patient was able to walk upright. CONCLUSION: The incidence of squatting gait due to KFC in individuals diagnosed with JoAS was low. Utilizing the Ilizarov technique has proven to be a secure and effective method for managing KFC in JoAS patients. Although the Ilizarov technique cannot substitute for total knee arthroplasty (TKA), its application can delay the need for primary TKA in JoAS patients and alleviate the intricacy and potential complications associated with the procedure.
ABSTRACT
BACKGROUND: Atypical teratoid/rhabdoid tumor (AT/RT) is well documented in children but less so in adults because of its rarity. METHOD: We report a series of five cases, a literature review and quantitative analysis of the survival outcome of adult AT/RT patients. RESULTS: Seventy-four patients including our five cases (male: female = 16: 58) were evaluated, whose median age was 32.5 years (18-80 years). The commonest location was the sellar region. Median overall survival (OS) was 12.5 months (0.5-204.00 months). Chemotherapy was associated with OS (HR: 0.349, 95%CI: 0.176-0.694, p = 0.003), while other factors did not influence OS. From Kaplan-Meier analysis, surgery combining postoperative chemotherapy and radiotherapy was associated with better prognosis (Log Rank: χ2 = 14.662, p = 0.001). CONCLUSIONS: Adult AT/RT is commoner in females and tends to recur rapidly after surgical resection. Chemotherapy may provide a survival benefit. Surgery combined with postoperative chemotherapy and radiotherapy was associated with better prognosis for adult AT/RT patients, though the overall prognosis was still poor.
ABSTRACT
Efficient removal of phenol and its derivatives from wastewater is of significant environmental concern. In the present study, the adsorption behaviors of three polymeric adsorbents with amide groups, PMVBA, PMVBC, and PMVBU, for phenol were investigated in aqueous solution. The adsorption in relation to the solution pH value was discussed and the neutral pH was optimum. The adsorption dynamic cure was determined and it was shown that the pseudo-second-order rate equation characterized the adsorption better and the intraparticle diffusion was the rate-limiting step. The adsorption isotherms were measured and correlated to Freundlich isotherms, and it was shown that PMVBU held the largest adsorption capacity. The adsorption thermodynamic parameters were calculated and it was seen that the adsorption enthalpy of phenol onto the three adsorbents follows the order PMVBU>PMVBA>PMVBC. Analysis of the adsorption mechanism suggested that hydrogen bonding played a predominant role and multiple hydrogen bonding was involved for phenol and PMVBU.
Subject(s)
Phenol/isolation & purification , Polymers/chemistry , Water Pollutants, Chemical/isolation & purification , Adsorption , Amides , Hydrogen Bonding , Hydrogen-Ion Concentration , Solutions , Water/chemistryABSTRACT
Two macroporous crosslinked poly(styrene-co-divinylbenzene) resins functionalized with methoxy and phenoxy groups, PVBME and PVBPE were prepared and their adsorption characteristics for phenol were studied in hexane as well as in aqueous solution. It was shown that the equilibrium adsorption capacity of phenol onto PVBPE was a little larger than that onto PVBME at the same temperature and equilibrium concentration. The adsorption onto PVBME in hexane can be correlated to Langmuir isotherm model, whereas the semi-empirical Freundlich isotherm model characterized the adsorption onto PVBPE better. The adsorption thermodynamic parameters were calculated and it was found that the adsorption enthalpy, adsorption free energy, and adsorption entropy were all negative, and the adsorption thermodynamic parameters onto PVBPE were more negative than the corresponding ones onto PVBME. The relationship of the adsorption capacity with the equilibrium concentration was linear in aqueous solution. The adsorption was hypersensitive to the solution pH in aqueous solution, and the optimum pH was determined to be 6.0. The adsorption dynamics of phenol onto PVBPE in aqueous solution was investigated and it was seen that the adsorption can be well fitted by the pseudo-first-order rate equation.
