[Arthroscopic assistance of latissimus dorsi tendon transposition for the treatment of unrepairable rotator cuff tear].

OBJECTIVE: To explore clinical effect of arthroscopy-assisted rotator cuff tendon transfer in treating irreparable rotator cuff tears (IRCT). METHODS: From May 2015 to May 2018, 23 patients with unrepairable rotator cuff tears were treated with arthroscopy-assisted rotator cuff tendon transfer, and 21 patients were followed up finally, including 8 males and 13 females, aged from 48 to 82 years old with an average of(64.3±9.1) years old;the courses of disease ranged from 6 to 36 months with an average of (14.0±6.4) months. American Rotator and Elbow Surgeons Score(ASES) and Constant-Murley score were used to evaluate clinical efficacy before surgery and at the latest follow-up. RESULTS: All 21 patients were followed up for 36 to 54 months with an average of (39.4±4.4) months. Axillary incision of 1 patient was redness, swelling and exudation after surgery, which healed after 3 weeks of dressing change, and exudate culture was negative. At the latest follow-up, MRI showed partial tearing of the metastatic tendon in 2 patients, but pain and movement of the affected shoulder were still better than before surgery. ASES increased from preoperative (41.0±9.6) scores to the latest follow-up (75.6±14.0) scores, and had statistical difference (t=10.50, P<0.01). Constant-Murley score increased from (49.8±7.1) scores before operation to (67.5±11.6) scores at the latest follow-up (t=11.27, P<0.01). CONCLUSION: Arthroscopic assisted latissimus dorsalis tendon transposition restores physiological and anatomical structure of glenohumeral joint by reconstructing balance of horizontal and vertical couples of shoulder joint, thus achieving the stability of the shoulder joint, relieving shoulder pain and improving shoulder joint function.

Nitrogen fixation characteristics of root nodules in different peanut varieties and their relationship with yield.

Root nodules in peanut (Arachis hypogaea L.) could directly utilize nitrogen (N) in the atmosphere as N source, which plays an important role in the N supply in peanut. However, little is known about the mechanism of efficient N fixation by root nodule. In this study, 15N tracer technology was used to investigate the characteristics of N fixation by root nodule and its relationship with peanut yields of 19 varieties in a pot culture experiment. Results showed that there were significant differences in nodule number, fresh quality, internal material, N fixation amount and other related indices among different varieties. The range of number and fresh mass of root nodule was 170.59-696.15 per pot and 0.83-3.74 g per pot, with coefficients of variation (CV) of 36.1% and 41.1%, respectively. The range of leghaemoglobin content and nitrogenase activity was 15.51-23.23 mg per pot and 2.75-20.46 µmol C2H4·h-1 per pot, with CV of 13.1% and 57.2%, respectively. The CV of nitrogenase activity was significantly higher than that of leghaemoglobin content, indicating that nitrogenase activity was not only affected by leghaemoglobin content but also other factors. The range of N fixation by root nodule and total N accumulation was 0.71-1.82 and 2.16-3.72 g per pot, with CV of 21.6% and 12.9%, respectively. The CV of the former was significantly higher than that of the latter, indicating that other N sources could automatically compensate the deficit when N fixation of root nodule was insufficient. Nitrogen fixation by root nodule was one of the main N sources for peanut, while the average N supply percentage was more than 40% of the total N, with a maximum of 50%. Cultivating the variety with high N supply capacity is an effective way for N-saving cultivation in the peanut production. Except for nodule number, there were significantly positive correlations between the other indices and peanut yield, indicating that the physiological indicators of N fixation were closely related to N fixation capacity by root nodule and the final yield. Therefore, enhancing these characters would help achieve high yield of peanut and simultaneously reduce fertilizer application.

[Differences in nitrogen utilization characteristics of different peanut genotypes in high fertility soils]. / é«˜è‚¥åŠ›åœŸå£¤æ¡ä»¶ä¸‹ä¸åŒåŸºå› åž‹èŠ±ç”Ÿå¯¹æ°®ç´ åˆ©ç”¨çš„å·®å¼‚.

A total of twenty genotypes of peanut (Arachis hypogaea) were used to investigate the differences in nitrogen (N) utilization characteristics in a pot experiment with 15N isotope tracing analysis. Results showed the main N sources for peanut in high fertility soils following as soil N source > N fixed by root nodule source > fertilizer N source. The N uptake and accumulation in peanut from total N and the three N supplied sources (fertilizer N, soil N and N fixation) varied among the different genotypes. N fixation source had the largest genetic variation among the twenty genotypes while genetic variation for fertilizer N source and soil N source were lower and similar. Significant differences showed among the twenty genotypes in pod producing efficiency of N and N use efficiency, and the highest values were respectively 3.6 and 2.1 times of the lowest values. There were also significant differences among the twenty genotypes in the harvest indexes of total N, fertilizer N source, soil N source and N fixation source, and the largest variation showed in the harvest index of N fixation source. The pod yields significantly or extremely significantly corrected with N accumulation amounts from different N sources, N harvest index, pod producing efficiency of N, and N use efficiency. According to N uptake and accumulation and pod yield, four major types of peanut were classified, namely high total N accumulation high yield type, high fertilizer N source high yield type, high soil N source high yield type, and high N fixation source high yield type. Four of the twenty genotypes had all characteristics of the four major types.

[Evaluation of gingival inflammation related to different retraction agents].

OBJECTIVE: To choose the best retraction agent for the clinic by evaluating the gingival inflammation related to three kinds of retraction agents. METHODS: 40 maxillary premolars were divided into four groups according to the randomized block design: Ferric sulfate group, aluminum chloride group, epinephrine group, sodium chloride group(control group), each 10 teeth, respectively used 25% AlCl3, 15.5% Fe2(SO4)3, 0.1% HCl-epinephrine, sodium chloride as retraction agents. The quantity of gingival crevicular fluid (GCF) and the active level of aspartate amino-transferase (AST) in gingival crevicular fluid were measured before and 1, 3, 5, 7, 9 days after retracting gingiva by four kinds retraction agents. The changes of GCF were calculated. RESULTS: The change of the GCF from the smallest to the largest was sodium chloride, 0.1% HCl-epinephrine, 25% AlCl,, 15.5% Fe2 (SO)3. Compared with sodium chloride, only 15.5% Fe2 (SO)3 in AST was the significant difference in the first day and the third day (P < 0.05). AST of ferric sulfate group after 1, 3 days greater than 800 IU. CONCLUSION: 0.1% HCl-epinephrine is suggested in patient without cardiovascular disease. For patient with cardiovascular disease, the better substitute is 25% AlCl3. 15.5% Fe2 (SO4)3 will not be used until its concentration is fallen.