How traditional Norwegian outdoor activities are changing; a 10-year follow up in relation to sociodemographic factors

Introduction

The study aims to evaluate the relationship between sociodemographic factors and changes in Norwegian outdoor activities between 2008 and 2018. Traditional outdoor activities, such as family trips in nature, the gathering of mushrooms and wild berries, and growing one's own plants to eat, are believed to have a positive impact on physical activity levels and health in general.

Method

This study includes repeated cross-sectional surveys conducted in 38 randomly selected schools across two Norwegian counties. In 2008, 1,012 parents of 6th and 7th grade students from 27 schools completed a questionnaire. In 2018, 609 new parents from 25 schools participated. Variables were dichotomized. Descriptive analyses between groups were conducted using chi-square statistics. Binary logistic regression analyses were performed with the three outdoor activities as dependent variables, including year only (model 1), and then also gender, age (continuous), education (own and partners), and household income as independent variables (model 2).

Results

Participation in weekly family trips in nature increased from 22% to 28% (p = 0.002), the OR for year 2018 vs. year 2008 was 1.51. Adjusted for sociodemographic factors, the OR remained stable and significant. Education was the only significant sociodemographic factor (OR = 1.60), indicating the odds of those with a higher education to be 60% higher to engage in weekly family trips in nature. Gathering of wild mushrooms and plants remained stable with time. Being female (OR = 1.44), age (OR = 1.049) and education (OR = 1.49) was related to gathering. An increase in growing plants to eat was observed with an increase from 42% to 51% (p < 0.001), OR = 1.33. However, it did not remain significant in model 2. Education was, in general, positively related to growing food (OR = 1.35).

Conclusion

We observed a positive increase in family trips in nature over the period from 2008 to 2018. Furthermore, elder parents seem to be more involved in the long-rooted traditional Norwegian grow- and gather culture, and a social gradient is apparent as those with higher education do participate more often in traditional outdoor activities.

Development of patellofemoral osteoarthritis with knee joint malalignment and lateral patellar dislocation after hindlimb suspension in growing rats

Knee malalignment is a risk factor for patellar instability and patellofemoral osteoarthritis (PFOA), but etiologies remain unknown. We investigated the potential effects of decreased weight loading during growth on knee alignments and patellofemoral (PF) joint pathology. Hindlimb suspension (HS) was performed in 4-week-old female rats for 2, 4, and 8 weeks (HS groups). Age-matched rats were used as controls. Three-dimensional reconstructed images of the knee were obtained using X-ray computed tomography. Tibial tubercle-trochlear groove (TT-TG) distance, patellar tilt angle, and bisect offset were measured as indices of knee alignment. Histological analysis was also performed to evaluate the changes in cartilage and synovium in the PF joints. At Week 8, TT-TG distance, patella tilt angle, and bisect offset were significantly larger in the HS group than in the control group, respectively, indicating tibial external rotation, outward patellar tilt, and external displacement of the patella. Lateral patellar dislocation was frequently found in the HS group at Week 8 (five of eight knee joints, p < 0.05). Degenerative changes in the cartilage of the trochlear groove were observed at Week 8, and synovial changes such as hypertrophy and synovitis were observed at Weeks 4 and 8. Correlation analyses revealed significant relationships between the Mankin score and bisect offset, and between the OARSI synovitis score and all knee alignments indices. These results suggest that decreased weight loading on the lower extremities in growing rats resulted in knee malalignments characterized by external rotation of tibia and high incidence of lateral patellar dislocation with concomitant PFOA.

Growing and symptomatic intracranial arachnoid cyst in an elderly patient: a case report and literature review

We report an elderly patient with a symptomatic and growing arachnoid cyst. Physician should be cautious in counseling asymptomatic arachnoid cyst patients, regardless of their age, and inform them of the possibility, although rare, of growth and symptom development even in their late life.

Construction of Histone-Protein Complex Structures by Peptide Growing

The structures of histone complexes are master keys to epigenetics. Linear histone peptide tails often bind to shallow pockets of reader proteins via weak interactions, rendering their structure determination challenging. In the present study, a new protocol, PepGrow, is introduced. PepGrow uses docked histone fragments as seeds and grows the full peptide tails in the reader-binding pocket, producing atomic-resolution structures of histone-reader complexes. PepGrow is able to handle the flexibility of histone peptides, and it is demonstrated to be more efficient than linking pre-docked peptide fragments. The new protocol combines the advantages of popular program packages and allows fast generation of solution structures. AutoDock, a force-field-based program, is used to supply the docked peptide fragments used as structural seeds, and the building algorithm of Modeller is adopted and tested as a peptide growing engine. The performance of PepGrow is compared to ten other docking methods, and it is concluded that in situ growing of a ligand from a seed is a viable strategy for the production of complex structures of histone peptides at atomic resolution.

Autofusion With Magnetically Controlled Growing Rods: A Case Report

Magnetically controlled growing rods (MCGRs) are an effective alternative to traditional growing rods (TGRs) in the treatment of early-onset scoliosis (EOS), with comparable deformity correction despite fewer planned reoperations. This case report presents a unique case of autofusion in a patient with tetraplegic cerebral palsy, thoracic myelomeningocele, and EOS who was treated with dual MCGR instrumentation and underwent serial lengthening procedures for four years. We detail the operative and radiographic findings in a novel case of autofusion encountered after MCGR placement to treat EOS. An eight-year-old female with tetraplegic cerebral palsy causing a 94° right thoracic neuromuscular scoliosis was treated with dual MCGRs; she then underwent serial lengthenings every four months. At 12 years of age, during MCGR explantation and posterior spinal fusion, dense heterotopic autofusion was encountered around the MCGR instrumentation, limiting further deformity correction. The benefits of MCGRs make them an appealing alternative to TGRs for the treatment of EOS. Although the theoretical risk of autofusion in MCGRs is low, recent case reports propose autofusion as a possible reason for MCGRs' failure to lengthen.

Evaluation of similar dietary roughage equivalency fed to beef steers during the growing and finishing phase

The objective of this experiment was to determine the influence that similar dietary roughage equivalency offered in a single or two-diet system during a 210-d growing-finishing period has on growth performance, the efficiency of dietary net energy (NE) utilization, and carcass traits in beef steers. Beef steers (n = 46; initial shrunk [4%]; body weight [BW] = 281 ± 40.4 kg) were fed once daily, and bunks were managed according to a slick bunk management system across all 10 pens. Treatments included the following: 1) A single diet program that was formulated to provide 16% (dry matter [DM] basis) dietary roughage equivalency; SD) or 2) multiple diet programs (formulated to provide a dietary roughage equivalency (DM basis) of 25% for 98 d, 16% for 14 d, and 7% for 98 d; MD). Day 1 to 112 was considered the growing period, and day 113 to 210 (the day of harvest) was considered the finishing period, all steers were implanted on day 1 with a 100 mg trenbolone acetate (TBA) and 14 mg estradiol benzoate (EB) implant and implanted with a 200 mg TBA and 28 mg EB implant on day 112. Average daily gain tended (P = 0.06) to be 9.5% greater for SD compared to MD during the growing portion, and average daily gain (ADG) was greater by 11.3% (P = 0.01) for MD compared to SD during the finishing phase of the experiment. Cumulative ADG did not differ (P ≥ 0.86) between treatments (1.61 vs. 1.62 ± 0.046 kg) for SD and MD, respectively. Cumulative dietary NEm and NEg calculated based on performance did not differ (P ≥ 0.96) between treatments. There were no differences (P ≥ 0.18) detected between treatments for hot carcass weight, dressing percent, longissimus muscle area, rib fat, United States Department of Agriculture (USDA) marbling score, kidney, pelvic, heart fat, yield grade, retail yield, empty body fat, or body weight at 28% estimated empty body fat. These data indicate that feedlot producers can feed a single growing-finishing diet to beef steers with minimal effects on overall growth performance or carcass traits.

Evaluation of growth performance, carcass characteristics, and methane and CO2 emissions of growing and finishing cattle raised in extensive or partial-intensive cow-calf production systems

An experiment was conducted over 2 yr to measure performance and greenhouse gas (GHG) emissions of weaned calves from two cow-calf production systems. Crossbred steers and heifers (n = 270, initial body weight (BW) = 207 kg, SD = 35) were used in a randomized complete block design, with treatments applied to the cow-calf system. Treatments were: 1) a traditional system consisting of April to June calving with smooth bromegrass pasture and grazed corn residue as forage resources (TRAD); 2) an alternative system consisting of July to September calving utilizing partial-drylot feeding, summer-planted oats, and corn residue grazing (ALT). Calves from both production systems were weaned at the same age and grown (diet NEg = 1.05 Mcal kg-1) for approximately 117 d. The calves then transitioned to a high-grain finishing diet (year 1: NEg = 1.32 Mcal kg-1; year 2: NEg = 1.39 Mcal kg-1) and fed to a targeted 1.52 cm backfat. Growth performance in the grower phase resulted in greater (P < 0.01) average daily gain (1.39 vs. 1.22 ± 0.02 kg), greater gain:feed (P < 0.01; 0.157 vs. 0.137 ± 0.003) for ALT calves compared to TRAD calves, However, a lower initial BW (P < 0.01; 185 vs. 229 ± 4.9 kg) resulted in a lower ending BW (P < 0.01; 347 vs. 371 ± 2.9 kg) for ALT calves compared to TRAD calves in spite of improved growth performance. In the finisher phase, ALT calves gained less (1.52 vs. 1.81 ± 0.218 kg; P = 0.02), were less efficient (0.139 vs. 173 ± 0.0151; P = 0.01) but exhibited similar hot carcass weights (HCW) (388 vs. 381 ± 3.8 kg; P = 0.14) compared to TRAD calves. Each pen of calves was put into a large pen-scale chamber that continuously measured carbon dioxide (CO2) and methane (CH4) for 5 d during the grower and finisher phases. The average CH4 and CO2 production per unit of feed intake was used to calculate total GHG emissions over the entire grower and finisher phase. Overall, there were no differences (P ≥ 0.17) between treatments for CH4 per day and per kilogram dry matter intake (DMI). However, ALT calves tended to produce less (P ≤ 0.10) CO2 per day and per kilogram DMI than TRAD calves. Overall, methane emissions were greater in ALT calves (110.7 vs. 92.2 ± 8.3 g CH4 kg-1 HCW; P = 0.04) than TRAD calves. The ALT calves required 27 additional days on feed to market, which resulted in more total CH4 per animal across the entire feeding period (P = 0.02) than TRAD calves. Production systems that reduce days to market to achieve similar HCW may reduce GHG emissions.

Manger space restriction does not negatively impact growth efficiency of feedlot heifers program fed a concentrate-based diet to gain 1.36 kg daily

The objective of this research was to determine the influence manger space restriction had on program-fed feedlot heifers during the growing phase. Charolais × Angus heifers [initial body weight (BW) = 329 ± 22.1 kg] were used in a 109-d backgrounding study. Heifers were received approximately 60 d prior to study initiation. Initial processing (53 d before study initiation) included individual BW, application of an identification tag, vaccination against viral respiratory pathogens and clostridial species, and administration of doramectin pour-on for control of internal and external parasites. All heifers were administered 36 mg of zeranol at study initiation and were assigned to 1 of 10 pens (n = 5 pens/treatment with 10 heifers/pen) in a randomized complete block design (blocked by location). Each pen was randomly assigned to 1 of 2 treatments: 20.3 cm (8IN) or 40.6 cm (16IN) of linear bunk space/heifer. Heifers were individually weighed on days 1, 14, 35, 63, 84, and 109. Heifers were programmed to gain 1.36 kg daily based on predictive equations set forth by the California Net Energy System. To calculate predictive values, a final BW of 575 kg was assumed to be the mature BW of the heifers and tabular net energy values of 2.05 NEm and 1.36 NEg from days 1 to 22, 2.00 NEm and 1.35 NEg from days 23 to 82, and 1.97 NEm and 1.32 NEg from days 83 to 109 were used. Data were analyzed using the GLIMMIX procedure of SAS 9.4 with manger space allocation as the fixed effect and block as the random effect. No differences (P > 0.35) were observed between 8IN or 16IN heifers for initial BW, final BW, average daily gain, dry matter intake, feed efficiency, variation in daily weight gain within each pen or applied energetic measures. No differences (P > 0.50) were observed between treatments for morbidity. Although not statistically analyzed, 8IN heifers appeared to have looser stools during the first 2 weeks compared to the 16IN heifers. These data suggest restricting manger space allocation from 40.6 to 20.3 cm did not negatively influence gain efficiency or the efficiency of dietary net energy utilization in heifers programmed fed a concentrate-based diet to gain 1.36 kg daily. The use of tabular net energy values and required net energy of maintenance and retained energy equations are effective means to program cattle to a desired rate of daily gain during the growing phase.

A length-adjustable vacuum-powered artificial muscle for wearable physiotherapy assistance in infants

Soft pneumatic artificial muscles are increasingly popular in the field of soft robotics due to their light-weight, complex motions, and safe interfacing with humans. In this paper, we present a Vacuum-Powered Artificial Muscle (VPAM) with an adjustable operating length that offers adaptability throughout its use, particularly in settings with variable workspaces. To achieve the adjustable operating length, we designed the VPAM with a modular structure consisting of cells that can be clipped in a collapsed state and unclipped as desired. We then conducted a case study in infant physical therapy to demonstrate the capabilities of our actuator. We developed a dynamic model of the device and a model-informed open-loop control system, and validated their accuracy in a simulated patient setup. Our results showed that the VPAM maintains its performance as it grows. This is crucial in applications such as infant physical therapy where the device must adapt to the growth of the patient during a 6-month treatment regime without actuator replacement. The ability to adjust the length of the VPAM on demand offers a significant advantage over traditional fixed-length actuators, making it a promising solution for soft robotics. This actuator has potential for various applications that can leverage on demand expansion and shrinking, including exoskeletons, wearable devices, medical robots, and exploration robots.

A Data Driven Approach to Assess Complex Colour Profiles in Plant Tissues

The ability to quantify the colour of fruit is extremely important for a number of applied fields including plant breeding, postharvest assessment, and consumer quality assessment. Fruit and other plant organs display highly complex colour patterning. This complexity makes it challenging to compare and contrast colours in an accurate and time efficient manner. Multiple methodologies exist that attempt to digitally quantify colour in complex images but these either require a priori knowledge to assign colours to a particular bin, or fit the colours present within segment of the colour space into a single colour value using a thresholding approach. A major drawback of these methodologies is that, through the process of averaging, they tend to synthetically generate values that may not exist within the context of the original image. As such, to date there are no published methodologies that assess colour patterning using a data driven approach. In this study we present a methodology to acquire and process digital images of biological samples that contain complex colour gradients. The CIE (Commission Internationale de l'Eclairage/International Commission on Illumination) ΔE2000 formula was used to determine the perceptually unique colours (PUC) within images of fruit containing complex colour gradients. This process, on average, resulted in a 98% reduction in colour values from the number of unique colours (UC) in the original image. This data driven procedure summarised the colour data values while maintaining a linear relationship with the normalised colour complexity contained in the total image. A weighted ΔE2000 distance metric was used to generate a distance matrix and facilitated clustering of summarised colour data. Clustering showed that our data driven methodology has the ability to group these complex images into their respective binomial families while maintaining the ability to detect subtle colour differences. This methodology was also able to differentiate closely related images. We provide a high quality set of complex biological images that span the visual spectrum that can be used in future colorimetric research to benchmark colourimetric method development.

Effects of feeding corn distillers dried grains with solubles diets without or with supplemental enzymes on growth performance of pigs: a meta-analysis

A meta-analysis was conducted to determine the effects of the dietary energy system (net energy or metabolizable energy), oil content of corn distillers dried grains with solubles (cDDGS), diet inclusion levels, and pig age on growth performance of pigs fed cDDGS-based diets. Mean differences of average daily gain (ADG), average daily feed intake (ADFI), and gain:feed (G:F) were calculated and expressed as a percentage change relative to feeding corn-soybean meal (SBM)- and cDDGS-based diets to nursery [body weight (BW) < 25 kg] and growing-finishing (BW > 25 kg) pigs, and to compare the effects of supplementing various types of exogenous enzymes without or with phytase on growth performance. A total of 27 studies with 106 growth performance observations were included in the cDDGS dataset, and 34 studies with 84 observations for enzyme responses in cDDGS diets were used in the enzyme dataset. Approximately, 64.7% of the observations showed no change, and 26.7% of observations showed a reduction in ADG, ADFI, and G:F when feeding cDDGS-based diets to the nursery and growing-finishing pigs compared with feeding corn-SBM-based diets. Furthermore, feeding cDDGS diets resulted in decreased (P < 0.01) mean difference of ADG (-4.27%) and G:F (-1.99%) for nursery pigs, and decreased (P < 0.01) mean difference of ADG (-1.68%) and G:F (-1.06%) for growing-finishing pigs. Every percentage unit increase in the inclusion level of cDDGS in growing-finishing pig diet was associated with a decrease (P < 0.01) in ADG (-0.10%) and ADFI (-0.09%). Feeding high oil (≥10% ether extract) cDDGS-based diets to pigs resulted in a 2.96% reduction in ADFI whereas feeding reduced-oil (<10% ether extract) cDDGS-based diets reduced G:F by 1.56% compared with pigs fed corn-SBM-based diets. Supplementation of exogenous enzymes improved (P < 0.05) the mean difference of ADG and G:F by 1.94% and 2.65%, respectively, in corn-SBM-based diets, and by 2.67% and 1.87%, respectively, in cDDGS diets. Supplementation of exogenous protease, enzyme cocktail, or xylanase improved (P < 0.05) ADG by 7.29%, 2.64%, and 2.48% in pigs fed corn-SBM-based diets, respectively. There were no differences between the dietary addition of single enzymes and enzyme combinations for any growth performance parameters in corn-SBM- or cDDGS-based diets. In conclusion, feeding cDDGS-based diets slightly reduces the growth performance of nursery and growing-finishing pigs, but supplementation of xylanase or enzyme cocktail can improve G:F of pigs fed cDDGS-based diets.

Effectiveness of current hygiene practices on minimization of Listeria monocytogenes in different mushroom production-related environments

BACKGROUND

The commercial production of Agaricus bisporus is a three stage process: 1) production of compost, also called "substrate"; 2) production of casing soil; and 3) production of the mushrooms. Hygiene practices are undertaken at each stage: pasteurization of the substrate, hygiene practices applied during the production of casing soil, postharvest steam cookout, and disinfection at the mushroom production facilities. However, despite these measures, foodborne pathogens, including Listeria monocytogenes, are reported in the mushroom production environment. In this work, the presence of L. monocytogenes was evaluated before and after the application of hygiene practices at each stage of mushroom production with swabs, samples of substrate, casing, and spent mushroom growing substrates.

RESULTS

L. monocytogenes was not detected in any casing or substrate sample by enumeration according to BS EN ISO 11290-2:1998. Analysis of the substrate showed that L. monocytogenes was absent in 10 Phase II samples following pasteurization, but was then present in 40% of 10 Phase III samples. At the casing production facility, 31% of 59 samples were positive. Hygiene improvements were applied, and after four sampling occasions, 22% of 37 samples were positive, but no statistically significant difference was observed (p > .05). At mushroom production facilities, the steam cookout process inactivated L. monocytogenes in the spent growth substrate, but 13% of 15 floor swabs at Company 1 and 19% of 16 floor swabs at Company 2, taken after disinfection, were positive.

CONCLUSION

These results showed the possibility of L. monocytogenes recontamination of Phase III substrate, cross-contamination at the casing production stage and possible survival after postharvest hygiene practices at the mushroom growing facilities. This information will support the development of targeted measures to minimize L. monocytogenes in the mushroom industry.

Effects of feeding high-protein corn distillers dried grains and a mycotoxin mitigation additive on growth performance, carcass characteristics, and pork fat quality of growing-finishing pigs

Two experiments investigated the effects of feeding diets containing 30% of novel high-protein distillers dried grains (HP-DDG) sources to growing–finishing pigs on growth performance, carcass characteristics, and pork fat quality. A four-phase feeding program was used in both experiments, and diets within phases were formulated based on National Research Council (NRC; 2012) recommendations for metabolizable energy and standardized ileal digestible amino acid content of HP-DDG. In Exp. 1, a total of 144 pigs (body weight [BW] = 20.3 ± 1.6 kg) were fed either corn-soybean meal control diets (CON) or 30% HP-DDG diets (HP-DDG) containing 0.7 mg/kg deoxynivalenol (DON), 0.1 mg/kg fumonisins (FUM), and 56 μg/kg zearalenone (ZEA) for 8 wk. On week 9, a mycotoxin mitigation additive (MA) was added to CON and HP-DDG diets, resulting in a 2 × 2 factorial arrangement of treatments consisting of: CON, CON + MA, HP-DDG, and HP-DDG + MA. Pigs fed HP-DDG had lower (P < 0.01) average daily gain (ADG) and average daily feed intake (ADFI) compared with those fed CON during the first 8 wk. After MA was added to diets, pigs fed HP-DDG diets without MA had lower (P < 0.05) overall ADG than those fed HP-DDG + MA and less (P < 0.05) final BW than pigs fed CON or CON + MA. Adding MA to HP-DDG diets containing relatively low concentrations of mycotoxins was effective in restoring growth performance comparable to feeding CON. In Exp. 2, a different source of HP-DDG was used, and mycotoxin MAs were added to all diets at the beginning of the trial. A total of 144 pigs (BW = 22.7 ± 2.3 kg) were fed either a corn-soybean meal control diet or a 30% HP-DDG diet containing 0.5 mg/kg DON and 0.8 mg/kg FUM for 16 wk. Pigs fed HP-DDG diets had less (P < 0.01) final BW and ADG than pigs fed CON, but there were no differences in ADFI. Feeding the HP-DDG diets reduced (P < 0.01) hot carcass weight, carcass yield, longissimus muscle area (LMA), and percentage of carcass fat-free lean compared with pigs fed CON but did not affect backfat (BF) depth. Pigs fed HP-DDG had less (P < 0.01) saturated fatty acid (SFA) and monounsaturated fatty acid (MUFA) content and greater (P < 0.01) polyunsaturated fatty acid (PUFA) and iodine value in BF than pigs fed CON. These results suggest that feeding diets containing relatively low concentrations of co-occurring mycotoxins can be detrimental to growth performance, and the addition of MA alleviated the growth reduction. Feeding 30% HP-DDG reduced BW, ADG, carcass yield, LMA, and percentage of fat-free lean of growing–finishing pigs but yielded acceptable pork fat quality.

Weight adjustment equation for hair sheep raised in warm conditions

To estimate the nutritional requirements of hair sheep, knowledge about the animal's weight and its relationships with growth performances is essential. A study was carried with the objective to establish the relationships between BW, fasting BW (FBW), empty BW (EBW), average daily gain (ADG) and empty BW gain (EBWG) for hair sheep in growing and finishing phases in Brazilian conditions. Databases were obtained from 32 studies, for a total of 1145 observations; there were 3 sex classes (non-castrated male, castrated male and female) and 2 feeding systems (pasture and feedlot). The most representative breeds in the database were Santa Ines (n = 473), Morada Nova (n = 70) and Brazilian Somali (n = 47). The other animals in the database were crossbreeds (n = 555). The FBW (kg), EBW and EBWG (kg/day) were estimated according to linear regression. A random coefficient model was adopted, considering the study as a random effect and including the possibility of covariance between the slope and the intercept. The coefficients obtained from the linear regression of the FBW against the BW, EBW against the FBW and EBWG against the ADG did not differ between sex class (P > 0.05) and genotype (P > 0.05). The equations generated to estimate FBW from the BW, EBW from the FBW and EBWG from the ADG are as follows: FBW = -0.5470 (±0.2025) + 0.9313(±0.019) × BW, EBW = -1.4944 (±0.3639) + 0.8816 (±0.018) × FBW and EBWG = 0.906 (±0.019) × ADG, respectively. The low mean squared error values found in the cross-validation confirmed the reliability of these equations. Considering a sheep with a BW of 30 kg and a 100 g ADG, the estimated FBW, EBW and EBWG calculated using the generated equations are 27, 22.65 and 0.090 kg, respectively. In conclusion, the generated equations can be used in growing hair sheep. The validation procedure applied to the generated equations showed that its use for hair sheep seems to be appropriate.

Management of Slipped Capital Femoral Epiphysis: The Hawai'i Experience

Slipped capital femoral epiphysis (SCFE) is a growing problem amongst children in Hawai'i as well as throughout the world. With increasing rates of childhood obesity, SCFEs are affecting more patients at younger ages. This makes the treatment of SCFEs critical as many children with SCFEs have significant growth remaining. There are a host of treatment options based on different classification schemes which can make it difficult to determine the appropriate care for a SCFE patient. In our practice, patients are treated based on a combination of angular displacement, stability as defined by Loder, and patient age. The procedures vary from single screw in-situ fixation for a mild deformity to a modified Dunn procedure for a high-grade deformity in the skeletally immature patient. For all our open fixation methods, epiphyseal perfusion is monitored with an 18-gauge needle attached to an arterial monitor and we routinely remove fixation after physeal closure. Excellent outcomes have been noted for the modified Dunn in our practice. This article describes the algorithm used to treat SCFE in Hawai'i at a tertiary children's medical center.

Effects of Protein Restriction on Performances and Meat Quality of Cinta Senese Pig Reared in an Organic System

Simple Summary

Fat contained in meat is an important contributor to sensory traits: it increases meat tenderness and flavor. In commercial pigs, increasing meat’s fat was obtained by feeding, until the fattening period, a diet slightly lower in protein respect to their requirements. Local pig breeds, such as Cinta Senese, are known as obese pigs because their great potential to deposit fat, which is mainly stored in backfat deposits. This study was aimed to assess if protein restriction in growing can further increase meat’s fat without alter overall body fatness of obese pigs. The normal feeding management and the restricted one were compared in two groups of Cinta Senese pigs. Results showed that protein restriction during the growing phase affected only few traits. The restricted animal was more able to use the protein in feeding, but few modifications were found in the chemical composition of meat, including the meat’s fat, that remained unchanged. So, obese genotype might be less responsive to this kind of feeding management.

Abstract

In lean genotypes, protein restriction during growing increases intramuscular fat content without affecting the overall carcass fatness. The present study aims to assess the feasibility of applying this feeding management on an obese pig, the Cinta Senese, since obese genotypes are characterized by great lipogenic potential often leading to excessively high backfat deposits. Twenty pigs of average weight 38 kg, were divided in two groups, the first group was fed a protein restricted diet (9% of crude protein), while the second one a normal diet (13.5% of crude protein). During finishing, both groups were fed the same diet (10% of crude protein). Average daily gain, protein conversion index, backfat thickness, carcass weight, and prime cuts were determined. A loin sample joint was dissected in intermuscular fat, bone, subcutaneous fat, longissimus lumborum, and psoas major. On longissimus lumborum, physical and chemical analysis was carried out. The fatty acid profile of longissimus lumborum and loin subcutaneous fat were determined. Data were analyzed by analysis of variance. Protein conversion index resulted lower in the restricted group, while backfat was slightly greater. Meat quality traits were not affected by feeding management. Slightly modifications in subcutaneous outer layer fatty acids profile were observed. The protein restriction during growing did not seem a suitable mode of feeding management for Cinta Senese pigs.

Circumferential wall enhancement in evolving intracranial aneurysms on magnetic resonance vessel wall imaging

OBJECTIVE: Recent MR vessel wall imaging studies have indicated intracranial aneurysms in the active state could show circumferential enhancement along the aneurysm wall (CEAW). While ruptured aneurysms frequently show CEAW, CEAW in unruptured aneurysms at the evolving state (i.e., growing or symptomatic) has not been studied in detail. The authors quantitatively assessed the degree of CEAW in evolving unruptured aneurysms by comparing it separately to that in stable unruptured and ruptured aneurysms. METHODS: A quantitative analysis of CEAW was performed in 26 consecutive evolving aneurysms using MR vessel wall imaging. Three-dimensional T1-weighted fast spin echo sequences were obtained before and after contrast media injection, and the contrast ratio of the aneurysm wall against the pituitary stalk (CRstalk) was calculated as the indicator of CEAW. Aneurysm characteristics of evolving aneurysms were compared with those of 69 stable unruptured and 67 ruptured aneurysms. RESULTS: The CRstalk values in evolving aneurysms were significantly higher than those in stable aneurysms (0.54 vs 0.34, p < 0.0001), and lower than those in ruptured aneurysms (0.54 vs 0.83, p < 0.0002). In multivariable analysis, CRstalk remained significant when comparing evolving with stable aneurysms (odds ratio [OR] 12.23, 95% confidence interval [CI] 3.53-42.41), and with ruptured aneurysms (OR 0.083, 95% CI 0.022-0.310). CONCLUSIONS: The CEAW in evolving aneurysms was higher than those in stable aneurysms, and lower than those in ruptured aneurysms. The degree of CEAW may indicate the process leading to rupture of intracranial aneurysms, which can be useful additional information to determine an indication for surgical treatment of unruptured aneurysms.

Chemistry-driven Hit-to-lead Optimization Guided by Structure-based Approaches

For several decades, hit identification for drug discovery has been facilitated by developments in both fragment-based and high-throughput screening technologies. However, a major bottleneck in drug discovery projects continues to be the optimization of primary hits from screening campaigns in order to derive lead compounds. Computational chemistry or molecular modeling can play an important role during this hit-to-lead (H2L) stage by both suggesting putative optimizations and decreasing the number of compounds to be experimentally synthesized and evaluated. However, it is also crucial to consider the feasibility of organically synthesizing these virtually designed compounds. Furthermore, the generated molecules should have reasonable physicochemical properties and be medicinally relevant. This review focuses on chemistry-driven and structure-based computational methods that can be used to tackle the difficult problem of H2L optimization, with emphasis being placed on the strategy developed in our laboratory.

Biomechanical considerations in slipped capital femoral epiphysis and insights into prophylactic fixation

PURPOSE

Slipped capital femoral epiphysis (SCFE) is a deformity of the proximal femur secondary to widened and unstable physis. In stabilising the slip, gold standard treatments stop growth and involve premature physeal closure, which prevents the remodelling of the acquired deformity and creates a leg length discrepancy that may be significant in younger patients.

METHODS

We measured the impact of placing threaded screws across the proximal femoral physis by measuring the centre-trochanteric distance (CTD) and articulo-trochanteric distance (ATD) in participants with or without prophylactic fixation. We then compared the mechanical performance of static (stainless and titanium cannulated Synthes screws) and potentially growing implants (Synthes SCFE screw and Pega Medical Free Gliding screw) in a validated synthetic bone model.

RESULTS

In the review of 30 non-fixed and 60 fixated hips over a mean follow-up of 1.9 years, we have noted a significant difference in pre/post CTD and ATD, as well as the change in CTD and ATD over time. In the biomechanical study, the newer implants allowing growth (Synthes SCFE screw and Pega Medical Free Gliding screw) were both shown to be at least non-inferior.

CONCLUSIONS

The primary deformity of a SCFE in itself alters hip mechanics. Also, as confirmed in this study, there is a secondary deformity that is created by static fixation and relative trochanteric overgrowth. To help remodel mild deformities and prevent secondary trochanteric overgrowth, growing implants seem to be non-inferior to the more standard means of fixation in static testing.

New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system

Early-onset scoliosis is a complex condition with multiple facets. The goal of treating any spinal deformity is to improve the condition of the patient with the least intervention necessary. A system that allows for continuation of natural spinal growth while correcting the deformity should be the goal of treating this complex condition. The SHILLA growth guidance system allows for continued growth of the pediatric spine while correcting and guiding the apex and guiding the future growth of the curvature. The system involves selective fusion across the apex of the curvature, and minimally invasive instrumentation is then used above and below the apex to allow for continued growth of the spine. A review of recent literature on the SHILLA growth guidance system shows promising results. Early animal models showed continued growth across unfused levels with minimal facet articular damage. Comparative studies to traditional growing rods showed significantly less total surgeries along with comparable correction and longitudinal growth. The SHILLA growth guidance system is a good option for this complex patient group. Results are comparable with other growing constructs with significantly less operative interventions. The SHILLA system allows for natural growth of the pediatric spine while correcting the scoliotic deformity in a minimally invasive method. The goal of this article is to present a comprehensive review of the SHILLA system surgical technique and the associated literature concerning this topic.