Objective: To evaluate the clinical and radiographic results and complications of arthroscopic subcapital realignment osteotomy for the treatment of chronic and stable proximal femoral epiphysiolysis (PFE) in an initial series of patients. According to the literature review, the study presents the first description of an arthroscopic technique of this type of osteotomy. Methods: Between June 2012 and December 2014, seven patients underwent arthroscopic subcapital realignment osteotomy for the treatment of chronic, stable PFE. The mean age of the patients was 11 years and four months. Minimum follow-up ranged from 6 to 36 months (mean, 16.5 months). Patients were clinically evaluated according to the Harris Hip Score modified by Byrd and radiographically according to Southwick’s quantitative classification and the epiphyseal-diaphyseal angle. Postoperative complications were analyzed. Results: With regard to the evaluation of the Harris Hip Score Modified by Byrd clinical score, a preoperative mean of 35.8 points and a postoperative mean of 97.5 points were observed (p < 0.05). Radiographically, five patients were classified as Southwick grade II and two as grade III. A mean correction of the epiphyseal-diaphyseal angle of 40° was observed. There were no immediate postoperative complications. One patient developed avascular necrosis of the femoral head, without collapse or chondrolysis at the last follow-up (22 months). Conclusion: The arthroscopic technique presented by the authors for the treatment of chronic, stable PFE resulted in clinical and radiographic improvement of the patients in this initial series.
Endosulfan (6,7,8,9,10,10-Hexachloro-1,5,5a,6,9,9a-hexahydro-6,9-methano-2,4,3-benzodioxathiepine-3-oxide) is an off-patent insecticide used in agricultural farms. Its usage as a pesticide has become highly controversial over the last few decades. This is due to its reported hazardous nature to health and side effects like growth retardation, hydrocephalus, and undesired changes in the male and female hormones leading to complications in sexual maturity. Endosulfan is the main culprit among all pesticide poisoning incidents around the world. Though the usage of this dreaded pesticide is banned by most countries, the high stability of this molecule to withstand degradation for a long period poses a threat to mankind even today. So, it has become highly essential to detect the presence of this poisonous pesticide in the drinking water and milk around these places. It is also advisable to check the presence of this toxic material in the blood of the population living in and around these places so that an early and appropriate management strategy can be adopted. With this aim, we have developed a sensor for endosulfan that displayed high selectivity and sensitivity among all other common analytes in water and biological samples, with a wide linear concentration range (2 fM to 2 mM), a low detection limit (2 fM), and rapid response. A citrate-functionalized cadmium-selenium quantum dot was used for this purpose, which showed a concentration-dependent fluorescence enhancement, enabling easy and sensitive sensing. This sensor was utilized to detect endosulfan in different sources of water, human blood serum, and milk samples with good recoveries. It is also noted that the quantum dot forms a stable complex with endosulfan and is easy to separate from the contaminated source, paving the way for purifying the contaminated water. More detailed tests and validation of the sensor are needed to confirm these observations.
This study examines how circular economy (CE) practices contribute to energy resilience by mitigating the impacts of energy shocks and supporting sustainable development. Through a systematic literature review (SLR) of recent studies, we analyze the ways in which CE strategies—such as resource recovery, renewable energy integration, and closed-loop supply chains—enhance energy security and reduce vulnerability to energy disruptions. Our research draws on academic databases, focusing on publications from 2018 to 2024, to identify key themes and practices that illustrate the transformative potential of the circular economy. Findings reveal that CE practices at macro, mezzo, and micro levels support resilience by fostering efficient resource use, reducing dependency on non-renewable energy sources, and promoting sustainable economic growth. Additionally, we highlight the roles of foreign direct investment (FDI), research and development (R&D), and supportive policies in accelerating the adoption of circular systems. The study concludes with recommendations for future research to address identified gaps, suggesting a roadmap for advancing circular economy practices as a means to enhance energy resilience and sustainability aims to reveal how wide array of factors affect transition towards more sustainable or circular economy.
The journey towards better healthcare sustainability in Asian nations demands a comprehensive investigation into the impact of urban governance, poverty, and female literacy on infant mortality rates. This study undertakes a rigorous exploration of these key factors to pave the way for evidence-based policy interventions, utilizing data from a panel of six selected Asian countries: Pakistan, China, India, Indonesia, Malaysia, and the Philippines, spanning the years 2001 to 2020. The findings reveal that adequate sanitation facilities, higher female literacy rates, and sustained economic growth contribute to a reduction in infant mortality. Conversely, increased poverty levels and limited women’s autonomy exacerbate the infant mortality rates observed in these countries. The Granger causality analysis validates the reciprocal relationship between urban sanitation (and poverty) and infant mortality rates. Furthermore, the study establishes a causal relationship where female literacy rates Granger-cause infant mortality rates, and conversely, infant mortality rates Granger-cause women’s autonomy in these countries. The variance decomposition analysis indicates that sustained economic growth, improved female literacy rates, and enhanced women’s empowerment will likely impact infant mortality rates in the coming decade. Consequently, in low-income regions where numerous children face potentially hazardous circumstances, it is imperative to allocate resources towards establishing and maintaining accessible fundamental knowledge regarding sanitation services, as this will aid in reducing infant mortality rates.
This study delves into the role of pig farming in advancing Sustainable Development Goal (SDG) 8—Decent work and economic growth in Buffalo City, Eastern Cape. The absence of meaningful employment opportunities and genuine economic progress has remained a significant economic obstacle in South Africa for an extended period. Through a mixed-method approach, the study examines the transformative impact of pig farming as an economic avenue in achieving SDG 8. Through interviews and questionnaires with employed individuals engaged in pig farming in Buffalo City, the study further examines pig farming’s vital role as a source of decent work and economic growth. The study reveals inadequate government support and empowerment for pig farming in Buffalo City despite pig farming’s resilience and potential in mitigating socio-economic vulnerabilities and supporting community’s livelihoods. To enhance pig farming initiatives, this study recommends government’s prioritization of an enabling environment and empowerment measures for the thriving of pig farming in Buffalo City. By facilitating supportive policies and infrastructures, the government can empower locals in Buffalo City to leverage pig farming’s potential in achieving SDG 8.
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