[Combined Kocher-Langenbeck and Stoppa approach in the treatment of complex acetabulum fractures]. / Abordaje combinado Kocher-Langenbeck y Stoppa en el tratamiento de fracturas complejas de acetábulo.

INTRODUCTION: Complex acetabulum fractures are a challenge for orthopedic surgeons. An evaluation of the radiographic reduction and functional result of the patients with complex fracture of the acetabulum who underwent the combined Kocher-Langenbeck and Stoppa approach was carried out. MATERIAL AND METHODS: Cross-sectional, descriptive, ambispective design. Patients with complex acetabulum fracture who underwent the combined Kocher-Langenbeck approach plus Stoppa between 2016 and 2020 were included. The clinical records were reviewed, and the quality of the radiographic reduction was evaluated according to Matta criteria. In addition, a functional evaluation was performed with the Merle d'Aubigne and Postel scale at least 12 months after the injury. RESULTS: Of the 31 patients, the average time between the date of fractures and the surgical intervention was 13.7 days (3-38 days). In the radiographic evaluation according to Matta criteria, 21 anatomical patients (67.7%), 7 almost anatomical (22.5%), 3 imperfect (9.6%). Functional results according to the Merle d'Aubigne and Postel scale resulted in 8 (25.8%) with excellent results, 16 (51.6%) with good results, 5 (22.5%) moderate and 2 (16.1%) poor patients. There was a statistical correlation between the age of the patient and the functional result (p = 0.029), also between the body mass index and blood loss (p = 0.027). CONCLUSION: The combined Kocher-Langenbeck plus Stoppa approaches are a valid alternative in these lesions, mostly with anatomical and almost anatomical radiographic results according to the Matta radiographic scale, and with excellent and good functional results according to the Merle d'Aubigne and Postel scale.

INTRODUCCIÓN: Las fracturas de acetábulo complejas son un desafío para los cirujanos ortopedistas. Se realizó una evaluación de la reducción radiográfica y resultado funcional de los pacientes con fractura compleja de acetábulo sometidos a abordaje combinado Kocher-Langenbeck y Stoppa. MATERIAL Y MÉTODOS: Diseño transversal, descriptivo, ambispectivo. Se incluyeron pacientes con fractura compleja de acetábulo que se sometieron a abordaje combinado Kocher-Langenbeck y Stoppa entre 2016 y 2020. Se revisaron los expedientes clínicos y se evaluó la calidad de la reducción radiográfica según criterios de Matta. Además, se realizó evaluación funcional con la escala de Merle d'Aubigné y Postel pasados por lo menos 12 meses de la lesión. RESULTADOS: De los 31 pacientes, el tiempo promedio entre la fecha de fractura y la intervención quirúrgica fue de 13.7 días (de tres a 38 días). En la evaluación radiográfica según criterios de Matta, 21 pacientes tuvieron resultados radiográficos anatómicos (67.7%), siete casi anatómicos (22.5%) y tres imperfectos (9.6%). Los resultados funcionales según la escala Merle d'Aubigné y Postel dieron como resultado ocho pacientes (25.8%) con resultados excelentes, 16 (51.6%) con resultado bueno, con resultado moderado cinco (22.5%) y con resultado malo dos (16.1%). Hubo correlación estadística entre la edad del paciente con el resultado funcional (p = 0.029), también entre el índice de masa corporal y pérdida sanguínea (p = 0.027). CONCLUSIÓN: Los abordajes combinados Kocher-Langenbeck y Stoppa son una alternativa en estas lesiones, en su mayoría con resultados radiográficos anatómicos y casi anatómicos, según la escala radiográfica de Matta, y con excelentes y buenos resultados funcionales, según la escala de Merle d'Aubigné y Postel.

Effect of the administration program of 2 ß-adrenergic agonists on growth performance and carcass and meat characteristics of feedlot ram lambs.

The aim of the study was to determine the effects of 3 feeding dose programs of the ß-adrenergic agonists (ß-AA) ractopamine hydrochloride (RH) or zilpaterol hydrochloride (ZH) for the final 30 d before slaughter on growth performance and carcass and meat characteristics of feedlot ram lambs. Eighty-four Dorper × Katahdin ram lambs (30.0 ± 1.6 kg) were blocked by BW and randomly assigned to pens (4 lambs per pen and 3 pens per treatment). Pens within a block were assigned randomly to 1 of 7 dietary treatments: 1) control (CTL) = diet without ß-AA; 2) RH constant (RHC) = 20.0 mg/kg of RH, d 1 to 30; 3) RH increasing (RHI) = 10.0 mg/kg, d 1 to 10; 20.0 mg/kg, d 11 to 20; and 30.0 mg/kg, d 21 to 30; 4) RH decreasing (RHD) = 30.0 mg/kg, d 1 to 10; 20.0 mg/kg, d 11 to 20; and 10.0 mg/kg, d 21 to 30; 5) ZH constant (ZHC) = 6.0 mg/kg of ZH, d 1 to 30; 6) ZH increasing (ZHI) = 3.0 mg/kg, d 1 to 10; 6.0 mg/kg, d 11 to 20; and 9.0 mg/kg d 21 to 30; and 7) ZH decreasing (ZHD) = 9.0 mg/kg, d 1 to 10; 6.0 mg/kg, d 11 to 20; and 3.0 mg/kg, d 21 to 30. Overall, ß-AA supplementation reduced DMI (P < 0.001) compared with CTL lambs, but lambs fed RHI and ZHI programs had greater (P < 0.05) total BW gain, ADG, and G:F. Carcass weight was improved (P < 0.05) by RHI and ZHI programs, but dressing percentage was enhanced (P < 0.05) by only ZHC or ZHI treatments. Fat thickness and yield grade were reduced (P < 0.05) by ZH or RH regardless of feeding program. Most LM characteristics (pH, moisture loss, and chemical composition) were not different among treatments (P > 0.05), with the exception of fat content that was reduced (P < 0.001) in lambs fed ß-AA, and diameter of muscle fibers that was increased (P < 0.05) by ZHI treatment. Constant and increasing doses of ZH reduced (P < 0.05) the a* value of LM and semitendinosus muscles, with no effects on L* or b* values. The mass of liver was reduced (P < 0.05) in ZHI-treated lambs compared with CTL lambs, and plasma urea concentration was reduced (P < 0.05) by RH or ZH administration regardless of feeding program, although there were no other differences in organ mass weight (P ≥ 0.35) or blood metabolites (P ≥ 0.16). Increasing doses of RH or ZH augmented the growth performance response without negative effects on organ mass weight or blood metabolites. Although a ZHI program improved carcass characteristics, the increased LM fiber diameter of lambs fed ZHI program could be unfavorable because of the potential negative effect on tenderness.

Hydrating effects of a corticoid oil formulation and its vehicle on human skin.

Factors in the treatment of atopic dermatitis include restoring skin moisture and reducing inflammation. This study evaluated a corticoid oil formulation and its components with respect to their skin hydration potential. Ten healthy Caucasians were enrolled. Five test sites on the left and right forearm of each subject were tested: one site served as a normal skin control (without treatment), whereas four were wetted by spraying distilled water (approximately 0.1 ml) over a 3-cm2 skin surface area, and spraying was repeated every 5 min for a total of three applications. Five minutes after the final application, 0.2 ml of the corticoid oil formulation, moisturizing vehicle, and plain peanut oil were applied to each pre-designated site (3 cm2); one site was kept as a blank control (water saturation only). Thirty minutes later, test sites were gently wiped with paper tissues, and visual scoring, transepidermal water loss (TEWL), and capacitance were recorded and repeated at 2 and 3 h. The corticoid oil formulation, plain peanut oil, and moisturizing vehicle significantly increased skin hydration 30 min after each single application, with no statistically significant difference among the treatments at any point. The corticoid oil formulation and plain peanut oil slightly but not significantly elevated TEWL 30 min after application. The results support intuitive dermatologic judgment of advising patients to apply moisturizing medicaments after bathing.

Seasonal variation of macro and trace mineral contents in 14 browse species that grow in northeastern Mexico.

Leaves and twigs from shrub species consumed by range goats: Acacia berlandieri, Acacia farnesiana, Acacia greggii, Acacia rigidula, Celtis pallida, Cercidium macrum, Condalia obovata, Cordia boissieri, Desmanthus virgathus, Leucaena leucocephala, Leucophyllum texanum, Opuntia lindehimieri, Porlieria angustifolia, Prosopis glandulosa, and Ziziphus obtusifolia were evaluated for comparative seasonal contents of Ca, P, Mg K, Zn, Mn, Cu and Fe. Plants were collected in summer (September 12, 1992), fall (November 20, 1992), winter (February 20, 1993) and spring (May 22, 1993) in Marín, County, Nuevo Leon, Mexico. During spring and summer mineral concentrations were higher in general. Only Ca, Mg, K, and Fe were in substantial amounts in all seasons to meet adult goat requirements. With the exception of spring, shrubs had extremely low P concentrations. Manganese, Cu and Zn in most plants had low marginal levels to meet adult goat requirements. Moreover, potential intake of P, Mn, Cu and Zn in shrub species by goats weighing 50kg BW consuming 2.0kg per day DM was low. However, plants such as D. virgathus, L. texanum, P. glandulosa, L. leucocephala and C. macrum can be considered prominent components in diets of range goats because of their high mineral concentrations. It appears that ration formulations for range goats in northeastern Mexico should include P, Mn, Cu and Zn in all seasons of the year.

Forage intake and nutrition of range goats in a shrubland in northeastern Mexico.

Voluntary intake and nutritive value of diets selected by goats grazing a shrubland at Marin county, N.L., Mexico were determined. Four esophageally cannulated Spanish female goats (average BW 35 kg), were used to collect extrusa samples monthly throughout 1 yr (June 1987 to May 1988). Organic matter intake (OMI) was estimated by total fecal collections from four castrated Spanish male goats (average BW 42 kg). Diets selected by goats were high in CP throughout the year (means = 18.9%). Available CP represented only about half the total CP. The ADF content of extrusa samples differed (P less than .05) among months, with high ADF values during winter months. Dietary lignin followed a similar pattern during the year. Goats consumed forage with sufficient amounts of Ca, Na, K, Mg, Cu, ZN, Mn, and Fe to meet requirements. The OMI of goats was different (P less than .05) among sampling periods. On the average, estimated OMI (means = 878.7 g/d) compared well with results of other studies in the area. Amounts of DE consumed by goats (1.1 Mcal DE/d) were not sufficient to meet requirements for maintenance plus low activity. High levels of browse in the diets presumably were responsible for low in vitro OM digestibility (means = 34.1%) throughout the year. Thus, productivity of range goats in these areas should be improved by supplementing with protein and energy.

Influence of pecan shells and hulls as a roughage source on milk production, rumen fermentation, and digestion in ruminants.

In Experiment 1, 20 lambs (36 kg) were fed five diets containing 0, 5, or 10% pecan shells or hulls to evaluate digestion and nitrogen balance. Digestion was not depressed by diets containing 5% shells. Protein digestibility was not reduced and nitrogen balance was higher for lambs fed 5% hulls than for lambs in other groups. In Experiment 2, 8 Holstein cows (29.3 kg milk/d) were assigned to two diets: basal and basal with 5% shells in the grain mix. Cows fed diets containing shells produced the same amount of milk and milk fat as control cows. In Experiment 3, 12 Holstein cows (27.3 kg milk/d) were assigned to the same two diets used in Experiment 2 and a third treatment received 5% pecan hulls in the grain mix. Cows fed shells or hull diets reduced concentrate intake and milk production. In Experiment 4, 12 Hereford X Angus steers (474.5 kg) were fed diets used in Experiment 3 to examine rumen fermentation, digestion, and passage rates. Steers fed hulls had lower rumen ammonia N and higher rumen pH compared with steers fed the basal diet. Total rumen volatile fatty acid concentration was not different among treatments. Generally, rumen fluid from steers fed hulls had higher proportions of acetate and lower proportions of butyrate. Rumen fluid and particulate passage rates and digestion measurements were not affected by addition of shells or hulls.

Influence of steam-flaked, steamed-whole or whole shelled corn on performance and digestion in beef steers.

Three trials were conducted to evaluate finishing diets containing 67% steam-flaked corn (SFC), steamed-whole corn (SWC) or whole corn (WC). In a feeding trial, steers fed SWC consumed more (P less than .05) dry matter per day (7.6 kg) than those fed WC (7.0 kg) or SFC (6.7 kg). Average daily gain was greater (P less than .05) for steers fed SFC (1.33 kg) and SWC (1.31 kg) than for those fed WC (1.25 kg), and feed efficiency was better (P less than .05) for steers fed SFC (5.06 kg dry matter/kg gain) than for those fed WC (5.62) and SWC (5.79). Carcass characteristics were not different among the three groups. In a digestion trial, method of corn processing did not affect digestibility of dry matter and crude protein. Starch digestibility was greater (P less than .05) for SFC (99.1%) than for SWC (93.8%) and WC (93.0%). There were no differences in nitrogen (N) intake or fecal N among the three diets; however, urinary N was less (P less than .05) for SWC (19 g/d) than for SFC (27 g/d) and WC (32 g/d), and N retention was higher (P less than .05) for the SWC diet. In vitro dry matter digestibility of the SFC diet was higher (P less than .05) than for WC at 4 and 8 h of incubation and higher (P less than .05) than the SWC diet at 8, 12 and 24 h of incubation. In vitro gas production after 6 h was greater (P less than .05) for SFC than for SWC grain, which was greater (P less than .05) than WC.(ABSTRACT TRUNCATED AT 250 WORDS)

What is the mechanism of carbon monoxide toxicity?

The probable toxic action is CO is on the cellular respiration, in which CO competes with O2 for cytochrome a3. Our studies indicate that a relatively high concentration of COHb (50%) does not interfere with the O2-carrying capacity of the blood. The dissolved CO in plasma, which is necessary for CO to enter the tissue, probably occurs when the exchange takes place between alveolar air and the blood in the lungs. This would explain why the central nervous system could be impaired when COHb levels are below 10% and death could occur at 35%.

In vivo study of a new radioisotope-powered cardiac pacer.

A new radioisotopic pulse generator has been developed. It is 6 cm. long, 4.7 cm. high, 1.92 cm. wide, and weighs 61 Gm. (2 oz.). It is the smallest pulse generator made and has a life expectancy of over 20 years. The circuit is a conventional ventricular-inhibited (V.V.I.) type. In vitro testing has passed all Atomic Energy Commission requirements. The present study is concerned with in vivo testing of the complete pacemaker system, by means of both myocardial and endocranial electrodes, in 20 dogs with and without induced heart block. Extensive testing for electromagnetic compatability was carried out on 1 animal with induced heart block and a special, fast-rate pulse generator. Based on studies to date, the Atomic Energy Commission has issued a license for limited clinical trial which has already begun at the collaborating institutions.