Exosomes derived from MSC as drug system in osteoarthritis therapy.

Osteoarthritis (OA) is the most common degenerative disease of the joint with irreversible cartilage damage as the main pathological feature. With the development of regenerative medicine, mesenchymal stem cells (MSCs) have been found to have strong therapeutic potential. However, intraarticular MSCs injection therapy is limited by economic costs and ethics. Exosomes derived from MSC (MSC-Exos), as the important intercellular communication mode of MSCs, contain nucleic acid, proteins, lipids, microRNAs, and other biologically active substances. With excellent editability and specificity, MSC-Exos function as a targeted delivery system for OA treatment, modulating immunity, inhibiting apoptosis, and promoting regeneration. This article reviews the mechanism of action of MSC-Exos in the treatment of osteoarthritis, the current research status of the preparation of MSC-Exos and its application of drug delivery in OA therapy.

Efficient Cr(VI) remediation by electrospun composite porous nanofibers incorporating biomass with metal oxides and metal-organic framework.

To develop a highly efficient adsorbent to remediate and remove hexavalent chromium ions (Cr(VI)) from polluted water, cellulose acetate (CA) and chitosan (CS), along with metal oxides (titanium dioxide (TiO2) and ferroferric oxide (Fe3O4)), and a zirconium-based metal-organic framework (UiO-66) were used to fabricate the composite porous nanofiber membranes through electrospinning. The adsorption performance, influencing factors, adsorption kinetics and isotherms of composite nanofiber membranes were comprehensively investigated. The multi-layer membrane with interpenetrating nanofibers and surface functional groups enhanced the natural physical adsorption and provided potential chemical sites. The thermal stability was improved by introducing TiO2 and UiO-66. CA/CS/UiO-66 exhibited the highest adsorption capacity (118.81 mg g-1) and removal rate (60.76%), which were twice higher than those of the control. The correlation coefficients (R2) of all the composite nanofibers regressed by the Langmuir model were significantly higher than those by the Freundlich model. The pseudo-first-order kinetic curve of CA/CS composite nanofibers showed the highest R2 (0.973), demonstrating that the whole adsorption process involved a combination of strong physical adsorption and weak chemical adsorption by the amino groups of CS. However, the R2 values of the pseudo-second-order kinetic model increased after incorporating TiO2, Fe3O4, and UiO-66 into the CA/CS composite nanofiber membranes since an enhanced chemical reaction with Cr (VI) occured during the adsorption.

Treatment of old femoral neck fractures in young adults with a medial buttress plate combined with three cannulated screws and iliac autograft: Surgical technique and preliminary results.

OBJECTIVES: Whether the application of MBP plus cannulated screws works for old femoral neck fractures (OFNF) is unknown. The purpose of this study is to present a case series of OFNF in young adults using calcar buttress plate and three cannulated screws with autologous iliac bone grafts. METHODS: We conducted a retrospective study of eleven young patients (6 males and 5 females) with femoral neck fractures who were treated with open reduction and internal fixation at a single center between 2013 and 2021. The subjects had trauma-to-surgery intervals longer than 3weeks and all were fixed with a calcar buttress plate combined with three cannulated screws, which were supplemented by autologous iliac bone grafts. RESULTS: All eleven cases achieved radiological union under the surgery technique, which occurred on average at 4.46±1.29months after surgery. Complications included femoral neck shortening in all cases, heterotopic ossification in three cases, and osteonecrosis of the femoral head in two cases. One patient with osteonecrosis of the femoral head received total hip arthroplasty. In follow-ups of 24-52months, the median Harris hip score was 81.64±15.39. CONCLUSIONS: The medial buttress plate in combination with three cannulated screws and iliac autograft may be a good choice for treating old femoral neck fractures in young adults. LEVEL OF EVIDENCE: IV, case series.

Electrospun microcrystalline cellulose/chitosan porous composite nanofibrous membranes modified by non-thermal plasma for gaseous formaldehyde adsorption.

To develop a green and facile adsorbent for removing indoor polluted formaldehyde (HCHO) gas, the biomass porous nanofibrous membranes (BPNMs) derived from microcrystalline cellulose/chitosan were fabricated by electrospinning. The enhanced chemical adsorption sites with diverse oxygen (O) and nitrogen (N)-containing functional groups were introduced on the surface of BPNMs by non-thermal plasma modification under carbon dioxide (CO2) and nitrogen (N2) atmospheres. The average nanofiber diameters of nanofibrous membranes and their nanomechanical elastic modulus and hardness values decreased from 341 nm to 175-317 nm and from 2.00 GPa and 0.25 GPa to 1.70 GPa and 0.21 GPa, respectively, after plasma activation. The plasma-activated nanofibers showed superior hydrophilicity (WCA = 0°) and higher crystallinity than that of the control. The optimal HCHO adsorption capacity (134.16 mg g-1) of BPNMs was achieved under a N2 atmosphere at a plasma power of 30 W and for 3 min, which was 62.42 % higher compared with the control. Pyrrolic N, pyridinic N, CO and O-C=O were the most significant O and N-containing functional groups for the improved chemical adsorption of the BPNMs. The adsorption mechanism involved a synergistic combination of physical and chemical adsorption. This study provides a novel strategy that combines clean plasma activation with electrospinning to efficiently remove gaseous HCHO.

Ambient-densified and polymer-free transparent wood film for smart food packaging window.

Wood, with its inherent hierarchical structure, presents opportunities for creating eco-friendly and cost-effective alternatives to petroleum-based plastics. We introduced a top-down and polymer-free method for engineering natural balsa wood into transparent wood film, demonstrating its potential use in food packaging windows. The wood was delignified and then proceeded with 2,2,6,6-tetramethyl-1-piperidinyloxy oxidation to soften the wood structure and introduce carboxyl groups. A robust and transparent wood film was produced by drying the wood under ambient condition without the need for additional polymers or mechanical force. Curcumin was also integrated into the wood using vacuum impregnation. The functionalized wood film with curcumin (WFC) exhibited a distinguishable redness shift in alkaline conditions. We then applied the WFC as an intelligent food packaging window to sense the freshness of shrimp based on the pH-responsive color change. This study provides a simple and scalable approach for developing sustainable and smart food packaging using wood.

Self-Luminous Wood Coatings with Carbon Dots/TiO2 Grafted Afterglow SrAl2O4: Eu, Dy Core-Shell Phosphors for Long-Lasting Formaldehyde Removal.

Long-term relief of indoor volatile pollution has become a competitive issue worldwide in both visible and dark environments. A novel self-luminous wood coating with carbon dots (CDs)/titanium dioxide (TiO2) nanomaterial coated SrAl2O4: Eu2+, Dy3+ (CDs/TiO2@SAO) composite was prepared for the long-term degradation of formaldehyde through a simple sol-gel method. The microstructure, chemical composition, ultraviolet-visible (UV-vis) spectra, and long-lasting fluorescence of the CDs/TiO2@SAO photocatalyst were analyzed to illustrate the mechanism for degrading formaldehyde. The obtained CDs with a particle size of ~2-7 nm have a good graphite structure and presented good absorption in visible light. In addition, owing to the synergistic effect of the CDs/TiO2 nanomaterial coating layer and the long-afterglow luminescence of the SAO phosphor, the CDs/TiO2@SAO composite can absorb a part of the visible light for photocatalytic degradation and store luminous energy efficiently at daytime so as to give out visible luminescence continuously for a few hours in the darkness. Furthermore, the functional wood coatings with CDs/TiO2@SAO composite presented continuous and efficient photocatalytic activity in the presence and absence of light exposure. The current research could provide a new strategy for designing an efficient photocatalyst for degrading formaldehyde pollution in the daytime with a visible light supply and in an indoor dark environment without an external light source.

Comparative analysis of pathogen distribution in patients with fracture-related infection and periprosthetic joint infection: a retrospective study.

BACKGROUND: The purpose of this study is to investigate the microbial patterns of periprosthetic joint infection (PJI) and fracture-related infection (FRI), and guide for the formulation of more accurate empirical antimicrobial regimens based on the differences in pathogen distribution. METHODS: A comparative analysis of pathogen distribution was conducted between 153 patients (76 with PJI and 77 with FRI). Predicted analyses against isolated pathogens from two cohorts were conducted to evaluate the best expected efficacy of empirical antimicrobial regimens (imipenem + vancomycin, ciprofloxacin + vancomycin, and piperacillin/tazobactam + vancomycin). RESULTS: Our study found significant differences in pathogen distribution between the PJI and FRI cohorts. Staphylococci (61.3% vs. 31.9%, p = 0.001) and Gram-negative bacilli (GNB, 26.7% vs. 56.4%, p < 0.001) were responsible for the majority of infections both in the PJI and FRI cohorts, and their distribution in the two cohorts showed a significant difference (p < 0.001). Multi-drug resistant organisms (MDRO) were more frequently detected in the FRI cohort (29.3% vs. 44.7%, p = 0.041), while methicillin-resistant coagulase-negative Staphylococci (MRCoNS, 26.7% vs. 8.5%, p = 0.002) and Canidia albicans (8.0% vs. 1.1%, p = 0.045) were more frequently detected in the PJI cohort. Enterobacter spp. and Acinetobacter baumannii were detected only in the FRI cohort (11.7% and 8.5%, respectively). CONCLUSIONS: Staphylococci and GNB were responsible for the majority of infections in both PJI and FRI. Empirical antimicrobial therapy should focus on the coverage of Staphylococci in PJI and GNB in FRI, and infections caused by MDROs should be more vigilant in FRI, while the high incidence of MRCoNS in PJI should be noted, which could guide for the formulation of more accurate empirical antimicrobial regimens. Targeted therapy for FRI caused by A. baumannii and PJI caused by C. albicans needs to be further investigated. Our study reports significant differences in pathogen distribution between the two infections and provides clinical evidence for studies on the mechanism of implant-associated infection.

Core decompression with ß-tri-calcium phosphate grafts in combination with platelet-rich plasma for the treatment of avascular necrosis of femoral head.

BACKGROUND: This study was aimed to investigate whether the application of platelet-rich plasma (PRP) combined with ß-tri-calcium phosphate (ß-TCP) grafts after core decompression (CD) could improve the clinical outcomes of early stage of avascular necrosis of femoral head. METHODS: Forty-five (54 hips) patients with Ficat-Arlet classification stage I-II treated by CD with ß-TCP grafts with or without the application of PRP from July 2015 to October 2020 were reviewed. Group A (CD + ß-TCP grafts) included 24 patients (29 hips), while group B (CD + ß-TCP grafts + PRP) included 21 patients (25 hips). Visual analogue scale (VAS) score, Harris hip score (HHS), change in modified Kerboul angle and the hip joint survival were evaluated and compared between the groups. Patients had a mean follow-up period of 62.1 ± 17.2 months and 59.3 ± 14.8 months in group A and group B, respectively. RESULTS: The mean VAS scores in group A was significantly higher than group B at the 6 months (2.9 ± 0.7 vs 1.9 ± 0.6, p < 0.01) and final follow up postoperative (2.8 ± 1.2 vs 2.2 ± 0.7, p = 0.04). The mean HHS in group A was significantly lower than group B at the 6 months (80.5 ± 13.8 vs 89.8 ± 12.8, p = 0.02). However, at the final follow up, there is no significant difference between the groups (77.0 ± 12.4 vs 83.1 ± 9.3, p = 0.07). The mean change in modified Kerboul angle was -7.4 ± 10.6 in group A and -19.9 ± 13.9 in group B which is statistically significant (p < 0.01). Survivorship from total hip arthroplasty were 86.2%/84% (p = 0.86) at the final follow up, which was not statistically significant. No serious complications were found in both groups. CONCLUSIONS: A single dose of PRP combined with CD and ß-TCP grafts provided significant pain relief, better functional outcomes, and delayed progression in the short term compared to CD combined with ß-TCP grafts. However, the prognosis of the femoral head did not improve significantly in the long term. In the future, designing new implants to achieve multiple PRP injections may improve the hip preservation rate.

Cellulose nanofibril/PVA/bamboo activated charcoal aerogel sheet with excellent capture for PM2.5 and thermal stability.

It is still a challenge to prepare air filtration materials with high filtration efficiency and good thermal stability from renewable materials. In this study, cellulose nanofibril (CNF), poly (vinyl alcohol) (PVA), and bamboo activated charcoal (BAC) were used to build an air filtration system with double filtration by mixing and freeze-drying. The resulting CNF/PVA/BAC aerogel sheet reached a filtration efficiency of 99.69% for PM2.5 due to its double filtration from the network structure of CNF and electrostatic adsorption of BAC. The composite material also showed high thermal stability with its filtration efficiency over 95% even after exposure to 200 °C. After modification, the hydrophobic CNF/PVA/BAC filtration sheet could be reused for over 5 times by water washing whereby the filtration efficiency remained above 95%. The environmentally friendliness excellent filtration efficiency and simplistic fabrication make the aerogel sheet a potential material choice to cope with the severe air pollution today.

Flexible and Freestanding MoS2 Nanosheet/Carbon Nanotube/Cellulose Nanofibril Hybrid Aerogel Film for High-Performance All-Solid-State Supercapacitors.

Flexible supercapacitors assembled with two-dimensional materials have become a research hotspot in recent years. Here, we have prepared two-dimensional nanomaterial MoS2 and SWCNT, CNF aerogel composite electrode, and its flexible all-solid-state supercapacitor. SWCNT can inhibit the accumulation of MoS2 nanosheets and enhance the conductivity of the composite electrode. CNF can improve the dispersion uniformity of MoS2 and SWCNT, and endow the composite electrode with a high specific surface area (328.86 m2 g-1) and excellent flexibility. MoS2-SWCNT/CNF supercapacitor has a good rectangular CV curve and symmetrical triangular GCD curve. The CV curve of the MoSCF3 supercapacitor with the highest MoS2-SWCNT content remains rectangular even at the scanning rate of 2000 mV s-1. Its voltage window can reach 1.5 V. MoS2-SWCNT/CNF supercapacitor has a specific capacity of 605.32 mF cm-2 (scanning rate of 2 mV s-1) and 30.34 F g-1 (0.01 A g-1), an area specific energy of 35.61 mWh cm-2 (area specific power of 0.03 mW cm-2), and extremely high cycle stability (91.01% specific capacity retention rate after 10 000 cycles) and good flexibility. The fine nanocomposite structure gives MoS2-SWCNT/CNF supercapacitor impressive electrochemical performance and excellent flexibility, which can be used in the field of portable electronic devices and flexible devices.

Improved Hydrophobic, UV Barrier and Antibacterial Properties of Multifunctional PVA Nanocomposite Films Reinforced with Modified Lignin Contained Cellulose Nanofibers.

In this study, we reported PVA nanocomposite films enhanced by polyethyleneimine (PEI)-lignin contained cellulose nanofibers (LCNFs) via the solvent casting method. An easy and available method was preformed to prepare LCNFs using a supermasscolloider from unbleached bamboo waste after a mild alkaline pretreatment. The results demonstrate that LCNF-PEI can greatly improve mechanical, hydrophobic, anti-UV shielding and antibacterial properties of the composite films. The tensile strength of LPP1 film was improved to 54.56 MPa, which was higher than 39.37 MPa of PVA film. The water contact angle of films increased from 35° to 104° with an increase in LCNF content from 0 to 6 wt%. Meanwhile, the nanocomposite film demonstrated the effect of full shielding against ultraviolet light when the amount of LCNF-PEI reached 6 wt%. The addition of LCNF-PEI endowed excellent antibacterial activity (against S. aureus and E. coli), which indicated potential applications in the packaging field.

Preparation of lignin nanospheres based superhydrophobic surfaces with good robustness and long UV resistance.

Lignin is an ideal substance for preparation of functional materials. Specifically, lignin nanospheres (LNPs) are formed by self-assembly of lignin molecules and show great application prospects in drug delivery, electrochemistry, catalysis, etc. At present, most superhydrophobic surfaces are mainly built using non-degradable inorganic particles and are still beset by defects such as poor environmental performance, easy aging, and low mechanical strength. In this study, an aqueous mixture containing LNPs, cellulose nanocrystals (CNCs) and polyvinyl alcohol (PVA) was sprayed onto wood surfaces and then modified by 1H,1H,2H,2H-perfluorooctyltrichlorosilane (FOTS) to obtain a superhydrophobic surface. In the superhydrophobic surface, LNPs were used as the main structural materials instead of inorganic particles, CNC was used as a reinforcement material and PVA was used as an adhesive. The resulting superhydrophobic surface showed a water contact angle (WCA) of 162°, good robustness resistance and long UV resistance in which the superhydrophobicity was still retained after exposure to ultra-high UV light (power of 1000 W) for 7 h, providing more directions for high-value application of lignin.

Fabricating Graphene and Nanodiamonds from Lignin by Femtosecond Laser Irradiation.

This study demonstrates a new transformation path from lignin to graphene and nanodiamonds (NDs) by femtosecond laser writing in air at ambient temperature and pressure. Graphene nanoribbon rolls were generated at lower laser power. When the laser power was high, NDs could be obtained apart from graphene and onion-like carbon intermediates. These structures were confirmed by scanning electron microscopy, X-ray diffraction, Raman spectroscopy, X-ray photoelectron spectroscopy, and high-resolution transmission electron microscopy. The effects of laser power and laser writing speed on the structure of laser-induced patterns were investigated. The results show that the laser power was more important than the writing speed for the synthesis of carbon nanoparticles, and high laser power contributed to enhanced electrically conductive performance. Therefore, the direct laser irradiation technique leads a simple, low-cost, and sustainable way to synthesize graphene and NDs and is promising for the fabrication of sensors and electric devices.

Preoperative prognostic nutritional index is useful factor for predicting postoperative delirium after primary total joint arthroplasty.

BACKGROUND: Postoperative delirium (PD), as an acute brain failure, is widely reported as a very common postoperative complication, and it is closely associated with increased morbidity and mortality. Recently, malnutrition is reported as one of the risk factors for PD. The prognostic nutritional index (PNI) is a simple method for nutritional evaluation. However, few studies have discussed the effectiveness of PNI as a nutritional assessment in predicting PD after primary total joint arthroplasty (TJA). The aim of this study is to investigate potential risk factors including PNI for PD following primary TJA. METHODS: A retrospective analysis of 994 patients was performed to identify risk factors associated with PD after primary TJA by using univariate and multivariate analyses. A receiver operating characteristic curve and the area under the curve were applied to evaluate the significant results of the multivariate analysis and the optimal cutoff value (CV). RESULTS: Postoperatively, sixty-seven patients (67/994, 6.7 %) experienced PD. Univariate analysis demonstrated that operative time, duration of anesthesia, age, hypertension, serum albumin, and PNI differed between the PD and non-PD groups (P < 0.05). Multivariate logistic regression analysis showed that the preoperative PNI (odds ratio [OR]: 0.908; 95 % confidence interval [CI]: 0.840-0.983; CV: 47.05), age of patients (OR: 1.055; 95 % CI: 1.024-1.087; CV: 73.5 years), and hypertension (OR: 1.798; 95 % CI: 1.047-3.086), were independently associated with PD (P < 0.05). CONCLUSIONS: A low preoperative PNI associated with malnutrition was demonstrated to be an independent risk factor for PD following primary TJA. Patients with preoperative low PNI should be cautioned and provided with adequate nutritional intervention to reduce postoperative PD.

An Effective Method for Preparation of Liquid Phosphoric Anhydride and Its Application in Flame Retardant Epoxy Resin.

A novel liquid phosphorous-containing flame retardant anhydride (LPFA) with low viscosity was synthesized from 9,10-dihydro-9-oxa-10-phosphaphenanthrene-10-oxide (DOPO) and methyl tetrahydrophthalic anhydride (MeTHPA) and further cured with bisphenol-A epoxy resin E-51 for the preparation of the flame retardant epoxy resins. Both Fourier transform infrared spectroscopy (FT-IR), mass spectrometry (MS) and nuclear magnetic resonance (NMR) measurements revealed the successful incorporation of DOPO on the molecular chains of MeTHPA through chemical reaction. The oxygen index analysis showed that the LPFA-cured epoxy resin exhibited excellent flame retardant performance, and the corresponding limiting oxygen index (LOI) value could reach 31.2%. The UL-94V-0 rating was achieved for the flame retardant epoxy resin with the phosphorus content of 2.7%. With the addition of LPFA, the impact strength of the cured epoxy resins remained almost unchanged, but the flexural strength gradually increased. Meanwhile, all the epoxy resins showed good thermal stability. The glass transition temperature (Tg) and thermal decomposition temperature (Td) of epoxy resin cured by LPFA decreased slightly compared with that of MeTHPA-cured epoxy resin. Based on such excellent flame retardancy, low viscosity at room temperature and ease of use, LPFA showed potential as an appropriate curing agent in the field of electrical insulation materials.

Tibial component coverage affects tibial bone resorption and patient-reported outcome measures for patients following total knee arthroplasty.

PURPOSE: The aim of this study is to investigate the prognostic value of tibial component coverage (over-hang and under-hang) and the alignment of total knee arthroplasty (TKA) components 1 week after surgery. We select patient-reported outcome measures (PROMS) (the Knee Society score (KSS score) and the Western Ontario and McMaster Universities Osteoarthritis Index-pain score (WOMAC pain score)) and tibial bone resorption (TBR) 2 years after surgery as the end points. METHODS: The study retrospectively analyzed 109 patients undergoing TKA (fixed-bearing prosthesis with asymmetrical tibial tray) from January 2014 to December 2017 in Huashan Hospital. By using standard long-leg X-rays, anteroposterior (AP) and lateral X-rays of the knee, tibial component coverage (under-hang or over-hang), AP tibial-femoral anatomical angle (AP-TFA), AP femoral angle (AP-FA), AP tibial angle (AP-TA), and lateral tibial angle (L-TA) were measured at 1 week after surgery, while TBR was measured through postoperative 1-week and 2-year AP and lateral radiographs of the knee on three sides (medial side, lateral side on AP radiograph, and anterior side on lateral radiograph). The Pearson correlation analysis, simple linear regression, multiple linear regression, the Student's t test, and one-way ANOVA together with Tukey's post hoc test (or Games-Howell post hoc test) were used in the analyses. RESULTS: Tibial under-hang was more likely to appear in our patients following TKA (42%, medially, 39%, laterally, and 25%, anteriorly). In multivariate linear regression analysis of TBR, tibial under-hang (negative value) 1 week after surgery was positively correlated with TBR 2 years later on the medial (p = 0.003) and lateral (p = 0.026) side. Tibial over-hang (positive value) 1 week after surgery on the medial side was found negatively related with KSS score (p = 0.004) and positively related with WOMAC pain score (p = 0.036) 2 years later in multivariate linear regression analysis of PROMS. Both scores were better in the anatomically sized group than in the mild over-hang group (or severe over-hang) (p < 0.001). However, no significant relationship was found between the alignment of TKA components at 1 week after surgery and the end points (TBR and PROMS) 2 years later. CONCLUSION: Under-hang of the tibial component on both the medial and lateral sides can increase the risk of TBR 2 years later. Over-hang of tibial component on the medial side decreases the PROMS (KSS score and WOMAC pain score) 2 years later. An appropriate size of tibial component during TKA is extremely important for patient's prognosis, while the alignment of components might not be as important.

Nonanatomical Reduction of Femoral Neck Fractures in Young Patients (≤65 Years Old) with Internal Fixation Using Three Parallel Cannulated Screws.

PURPOSE: The study is aimed at investigating the association between different reduction classifications (anatomic reduction, positive buttress position reduction, and negative buttress position reduction) and two end points (complications and reoperations). METHODS: The study retrospectively analyzed 110 patients undergoing internal fixation with three parallel cannulated screws from January 2012 to January 2019 in Huashan Hospital. Based on the principles of the "Gotfried reduction," all enrolled patients were divided into three groups: anatomic reduction, positive buttress position reduction, and negative buttress position reduction intraoperatively or immediately after surgery. Clinical characteristics including age, sex, side, Garden classification, Pauwels classification, fracture level, reduction classification, Garden alignment index angles, cortical thickness index (CTI), tip-caput distance (TCD), angle of the inferior screw, and the two ending points (complications and reoperations) were included in the statistical analysis. The Mann-Whitney U-test, the chi-square test, Fisher's exact test, and multiple logistic regression analysis were used in the study. RESULTS: Of the 110 patients included in our study, the mean ± standard deviation (SD) of age was 51.4 ± 10.4 years; 41 patients showed anatomic reduction, 35 patients showed positive buttress position reduction, and 34 patients showed negative buttress position reduction. For the outcomes, 24 patients (anatomic reduction: 6 [14.6%]; positive buttress position reduction: 5 [14.3%]; negative buttress position reduction: 13 [38.2%]) had complications, while 18 patients (anatomic reduction: 5 [12.2%]; positive buttress position reduction: 3 [8.6%]; negative buttress position reduction: 10 [29.4%]) underwent reoperations after surgery. In the multivariate logistic regression analysis of complications, negative buttress position reduction (negative buttress position reduction vs. anatomic reduction, OR = 4.309, 95%CI = 1.137 to 16.322, and p = 0.032) was found to be correlated with higher risk of complications. The same variable (negative buttress position reduction vs. anatomic reduction, OR = 5.744, 95%CI = 1.177 to 28.042, and p = 0.031) was also identified as risk factor in the multivariate logistic regression analysis of reoperations. However, no significant difference between positive reduction and anatomical reduction was investigated in the analysis of risk factors for complications, not reoperations. CONCLUSION: Positive buttress position reduction of femoral neck fractures in young patients showed a similar incidence of complications and reoperations compared with those of anatomic reduction. For irreversible femoral neck fractures, if positive buttress position reduction has been achieved intraoperatively, it is not necessary to pursue anatomical reduction; however, negative reduction needs to be avoided.

Bioinformatics analysis of miRNA and mRNA expression profiles to reveal the key miRNAs and genes in osteoarthritis.

BACKGROUND: Osteoarthritis (OA) is a chronic degenerative joint disease and the most frequent type of arthritis. This study aimed to identify the key miRNAs and genes associated with OA progression. METHODS: The GSE105027 (microRNA [miRNA/miR] expression profile; 12 OA samples and 12 normal samples) and GSE48556 (messenger RNA [mRNA] expression profile; 106 OA samples and 33 normal samples) datasets were selected from the Gene Expression Omnibus database. Differentially expressed genes (DEGs) and miRNAs (DEMs) were analyzed using the limma and ROCR packages in R, respectively. The target genes that negatively correlated with the DEMs were predicted, followed by functional enrichment analysis and construction of the miRNA-gene and miRNA-transcription factor (TF)-gene regulatory networks. Additionally, key miRNAs and genes were screened, and their expression levels were verified by real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR). RESULTS: A total of 1696 DEGs (739 upregulated and 957 downregulated) and 108 DEMs (56 upregulated and 52 downregulated) were identified in the OA samples. Furthermore, 56 target genes that negatively correlated with the DEMs were predicted and found to be enriched in three functional terms (e.g., positive regulation of intracellular protein transport) and three pathways (e.g., human cytomegalovirus infection). In addition, three key miRNAs (miR-98-5p, miR-7-5p, and miR-182-5p) and six key genes (murine double minute 2, MDM2; glycogen synthase kinase 3-beta, GSK3B; transmembrane P24-trafficking protein 10, TMED10; DDB1 and CUL4-associated factor 12, DCAF12; caspase 3, CASP3; and ring finger protein 44, RNF44) were screened, among which the miR-7-5p → TMED10/DCAF12, miR-98-5p → CASP3/RNF44, and miR-182-5p → GSK3B pairs were observed in the regulatory network. Moreover, the expression levels of TMED10, miR-7-5p, CASP3, miR-98-5p, GSK3B, and miR-182-5p showed a negative correlation with qRT-PCR verification. CONCLUSION: MiR-98-5p, miR-7-5p, miR-182-5p, MDM2, GSK3B, TMED10, DCAF12, CASP3, and RNF44 may play critical roles in OA progression.

A facile preparation of superhydrophobic L-CNC-coated meshes for oil-water separation.

A superhydrophobic stainless steel mesh (called "mesh" in short) is an ideal device to solve oil pollution accidents by oil-water separation. However, its widespread application is prevented by complicated preparation, weak durability, and particularly poor mechanical strength. It is well known that the used adhesives play a key role in the mechanical strength of superhydrophobic coatings. In this study, polyvinylidene fluoride (PVDF) and polydimethylsiloxanes (PDMSs) were respectively used as adhesives and lignin-nanocellulose crystal (L-CNC) particles as main structure materials to prepare L-CNC coated superhydrophobic meshes. Moreover, the meshes coated with L-CNC/PVDF and L-CNC/PDMS were compared with respect to the properties of wettability, sandpaper abrasion, oil-water separation, etc. The results showed that the L-CNC/PVDF-coated mesh had a higher water contact angle (WCA = 154.2°) than the L-CNC/PDMS-coated one (WCA = 152.6°), but worse abrasion resistance. Both of them showed high-efficiency oil/water separation with collection rates above 94.5% and stable reusable ability as the oil collection rates for toluene was still above 93.8% after reusing thirty times, meanwhile showing good heat, UV, acid and alkaline resistance properties.

Preparation of CNF/PDMS Superhydrophobic Coatings with Good Abrasion Resistance Using a One-Step Spray Method.

Complex preparation methods and weak mechanical properties of superhydrophobic coatings hinder their applicability. To address these problems, cellulose nanofibers (CNFs) were used as structural materials to augment the roughness properties, while polydimethylsiloxane (PDMS) was used as the adhesive. Based on the results of previous studies, superhydrophobic coatings with good mechanical properties can be prepared by spraying the mixture onto a substrate surface; herein, the mixture comprised modified CNFs and PDMS. The resulting coating possessed excellent superhydrophobicity, which allowed a maximum water contact angle (WCA) of 158°. Furthermore, it exhibited great knife-scratch-resistance properties and good abrasion performance, which was evaluated by abrading with 800-grit sandpaper for 19 cycles (abrasion length of 380 cm) under a 100 g load. Based on the simple operation and abrasion resistance, the coating shows great potential for practical application.