Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objectiv...Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.展开更多
Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomas...Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory (APT) asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis (SMA) to analyze the allometric rela- tionship (slope) and intercept between biomass traits (root, stem, leaf and total biomass) of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was 'true' in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained uncha展开更多
文摘Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.
基金funded by grants from the National Basic Research Program of China(2009CB421303)the National Science&Technology Pillar Program(2011BAC07B02)the National Natural Science Foundation of China(40871004)
文摘Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory (APT) asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis (SMA) to analyze the allometric rela- tionship (slope) and intercept between biomass traits (root, stem, leaf and total biomass) of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was 'true' in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained uncha