Emerging horizons and prospects of polysaccharide-constructed gels in the realm of wound healing.

Polysaccharides, with the abundant availability, biodegradability, and inherent safety, offer a vast array of promising applications. Leveraging the remarkable attributes of polysaccharides, biomimetic and multifunctional hydrogels have emerged as a compelling avenue for efficacious wound dressing. The gels emulate the innate extracellular biomatrix as well as foster cellular proliferation. The distinctive structural compositions and profusion of functional groups within polysaccharides confer excellent physical/chemical traits as well as distinct restorative involvements. Gels crafted from polysaccharide matrixes serve as a robust defense against bacterial threats, effectively shielding wounds from harm. This comprehensive review delves into wound physiology, accentuating the significance of numerous polysaccharide-based gels in the wound healing context. The discourse encompasses an exploration of polysaccharide hydrogels tailored for diverse wound types, along with an examination of various therapeutic agents encapsulated within hydrogels to facilitate wound repair, incorporating recent patent developments. Within the scope of this manuscript, the perspective of these captivating gels for promoting optimal healing of wounds is vividly depicted. Nevertheless, the pursuit of knowledge remains ongoing, as further research is warranted to bioengineer progressive polysaccharide gels imbued with adaptable features. Such endeavors hold the promise of unlocking substantial potential within the realm of wound healing, propelling us toward multifaceted and sophisticated solutions.

Evaluating the efficiency of municipal solid waste collection and disposal in the Yangtze River Delta of China: A DEA-model.

As the "sixth largest city group in the world", the Yangtze River Delta region is an important economic growth point and core economic area in China. While achieving rapid economic growth, the amount of waste generated is increasing day by day, and the investment in environmental protection is constantly increasing. Among them, MSW collection and disposal funds accounted for 57.40% of the fixed assets investment in environmental sanitation in 2017. To improve the efficiency of existing environmental protection investment, this paper is based on the existing academic research at China and abroad, with the help of the Data Envelopment Analysis (DEA) model. This paper analyzed the economic indicators of 27 cities in the Yangtze River Delta for MSW collection, transportation and disposal to measure economic efficiency, identify and improve inefficiencies. The research results show that the average efficiency of the 27 cities in the Yangtze River Delta is at a relatively high level. Six cities have the most effective comprehensive technical efficiency. These six cities constitute the effective frontier of the municipal solid waste transfer system. The overall efficiency has a comparative advantage; 9 cities have the best pure technical efficiency, accounting for 33 of all cities. %, the pure technical efficiency of the remaining 18 cities is low, indicating that these cities have not fully utilized their resource input under the current scale, and the efficiency of resource utilization needs to be improved. Finally, this paper proposes suggestions for improvement from the perspective of environmental sustainability. To improve MSW collection and disposal efficiency, differentiated management should be implemented in cities in the Yangtze River Delta.Implications: This paper conducts an empirical analysis on the efficiency of MSW collection and disposal in the Yangtze River Delta in China in 2017. Based on the calculation of the DEA model, our conclusion is that although the collection and disposal system of MSW in the Yangtze River Delta has been significantly improved, the level of collection and disposal of some MSW has not reached the optimal level: (1) Comprehensive technical efficiency is the most effective Cities accounted for 22% of the total number of cities studied. (2) 33% of the cities in the Yangtze River Delta achieve the best pure technical efficiency; (3) Among the 27 cities, 6 cities have the best scale efficiency, and the remaining 21 cities have not reached the best scale efficiency.

Biomechanical comparison of four tibial fixation techniques for meniscal root sutures in posterior medial meniscus root repair: A porcine study.

OBJECTIVE: This study hypothesized that the suture anchor of tibial fixation method of PMMR repair technique is the main factor which reduce the gap formation or over displacement of tear site in initial healing, and then investigated the fixation stability of 4 different tibial fixations through cyclic and ultimate failure load testing of meniscal root sutures. METHODS: Twenty-four porcine tibiae with intact medial meniscus roots were randomly assigned into 4 groups: transosseous suture, washer, suture anchor, or screw with washer. Each sample underwent cyclic loading followed by a load-to-failure test. Displacement, maximum load to failure, stiffness, and elongation at failure load were recorded. RESULTS: The maximum average load and displacement at failure for each of the repair groups were as follows: transosseous suture, 232.8 N and 12.16 mm; washer, 189.9 N and 21.5 mm; suture anchor, 140.6 N and 13.8 mm; and screw with washer, 167.9 N and 18.9 mm. The maximum stiffness values for each of the repair groups were as follows: transosseous suture, 19.5 ± 0.7 N/mm; washer, 21.5 ± 1.4 N/mm; suture anchor, 13.8 ± 0.7 N/mm; and screw with washer, 18.9 ± 3.9 N/mm. The mean elongation across the repairs for each of the repair groups after 1000 loading cycles was: transosseous suture, 3.74 ± 0.28 mm; washer, 3.04 ± 0.13 mm; suture anchor, 2.25 ± 0.33 mm; and screw with washer, 2.43 ± 0.19 mm. The mean elongation was significantly less with the suture anchor than with the other techniques (p < .05). CONCLUSION: Under physiological loading, our results indicate that a slower rehabilitation program with limited flexion and only partial weight bearing is advised when using a suture anchor because of the lower maximum load and stiffness. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Tibial fixation using a washer or a screw with a washer is an effective and cost-saving technique when an option is required with high stiffness and low displacement at failure.

Pseudoaneurysm following hamstring tendon harvest in arthroscopic anterior cruciate ligament reconstruction: a case report.

BACKGROUND: Vascular injury is a very rare complication following arthroscopic knee surgery. This is the first report of pseudoaneurysm at the saphenous branch of the descending genicular artery complicating semitendinosus tendon harvest in arthroscopic anterior cruciate ligament reconstruction. CASE PRESENTATION: A 19-year-old male had developed large ecchymosis, focal swelling and tenderness around his posteromedial knee after an arthroscopic anterior cruciate ligament reconstruction. Compartment syndrome of the lower leg and deep vein thrombosis were ruled out. A pseudoaneurysm formation was confirmed through an angiography and coil embolization was performed. At one year follow up, the patient reported improved functional outcome with good stability of the knee. However, mild paresthesia over the posteromedial calf was noted due to the compression injury of the saphenous nerve by the hematoma. CONCLUSIONS: The pseudoaneurysm was presumed to result from accidental vascular injury while dissecting the accessory bands of the semitendinosus and was successfully treated by coil embolization. Care must be taken to section the expansions of the hamstring tendon, especially when the patient presents with underlying coagulopathy or vascular disease.