Traumatic haemarthrosis causing femoral head subluxation

We report seven children in whom traumatic haemarthrosis of the hip had produced lateral subluxation of the femoral head, which is different from the apparent displacement seen in Perthes' disease. In all seven cases, aspiration of the haemarthrosis allowed reduction of the femoral head, and follow-up for a mean of 14 months revealed no evidence of avascular necrosis of the proximal femoral epiphysis. Traumatic haemarthrosis of the hip in children appears to be a clinical entity which can produce femoral head subluxation. Aspiration and traction is the treatment of choice and can cure the condition.     

Calcium antagonizes the magnesium-induced high affinity state of the hepatic vasopressin receptor for the agonist interaction.

1. The present study describes the role of Ca2+ in the regulation of the hepatic vasopressin V1 receptor. With low concentrations of Ca2+, there was a small increase in [3H]-arginine vasopressin [( 3H]-AVP) binding, but above 10 mM, Ca2+ decreased the binding of this agonist. In contrast, low concentrations of Mg2+ were associated with a dramatic concentration-dependent increase in [3H]-AVP binding, reaching a maximal effect of 650% above control at concentrations ranging between 1-5 mM. At higher concentrations of Mg2+, the stimulatory effect of this cation was less pronounced, falling to 210% of control at 100 mM Mg2+. Strikingly, Ca2(+)-inhibited the stimulatory effect of Mg2+ in a concentration-dependent fashion. 2. Saturation binding data revealed that Ca2+ (2 to 10 mM) per se promotes the high affinity conformation of the V1 receptor for the agonist binding with the KD decreased from a control value of 2.3 nM to 0.5 nM in the presence of 10 mM Ca2+. This effect was attenuated with an increase in Ca2+ above 10 mM. With an increase in Ca2+ to 20 mM, however, the Bmax for [3H]-AVP binding was decreased. Ca2+ also decreased the high affinity/high capacity state (KD 100 pM) of the receptor induced by 1 mM Mg2+ for agonist interaction. 3. [3H]-V1 antagonist binding was inhibited by both Ca2+ and Mg2+. The IC50 values (mean +/- s.e. mean) for Ca2+ and Mg2+ were 32 +/- 8 and 53 +/- 9 mM respectively. Maximal inhibition achieved at 100 mM was 29% for Ca2+ and 42% for Mg2+.(ABSTRACT TRUNCATED AT 250 WORDS)     

Pleomorphic adenoma of the nasal septum

Despite the common occurrence of pleomorphic adenoma of major salivary glands, intranasal pleomorphic adenoma are rare. We present a ease of pleomorphic adenoma of the nasal septum along with a brief review of literature. The histological nature of this lesion in comparison to other salivary gland tumours and the importance of an accurate diagnosis has been stressed.     

Tracheoesophageal fistula following blunt trauma to the right chest

Tracheoesophageal fistula after blunt trauma is very rare. Typically the patient is a young male driving a car and is thrust onto the steering wheel following sudden deceleration as in a high speed road traffic accident. In our case that victim is a motorcyclist who fell down on his right side and developed such a fistula after 3 days. We report the clinical summary and a brief review of literature.     

Lipoma of the left ventricle

A 36-year-old female was admitted with dyspnea on exertion of one year's duration. Echocardiography revealed a tumor arising from interventricular septum with dynamic left ventricular outflow tract obstruction. On cardiopulmonary bypass with cardioplegic arrest, the tumor was approached through a transverse aortotomy, and excised from the interventricular septum through the aortic valve. Postoperative recovery was uneventful and the patient was asymptomatic with no recurrence at follow-up after one year.     

Synthesis,characterization, surface properties and energy device characterstics of 2D borocarbonitrides, (BN)xC1−x,covalently cross-linked with sheets of other 2D materials

Covalent cross-linking of 2D structures such as graphene, MoS₂ and C₃N₄ using coupling reactions affords the generation of novel materials with new or improved properties. These covalently cross-linked structures provide the counter point to the van der Waals heterostructures, with an entirely different set of features and potential applications. In this article, we describe the materials obtained by bonding borocarbonitride (BCN) layers with BCN layers as well as with other layered structures such as MoS₂ and C₃N₄. While cross-linking BCN layers with other 2D sheets, we have exploited the existence of different surface functional groups on the graphene (COOH) and BN(NH₂) domains of the borocarbonitrides as quantitatively determined by FLOSS. Hence, we have thus obtained two different BCN–BCN assemblies differing in the location of the cross-linking and these are designated as GG/BCN–BCN and GBN/BCN–BCN, depending on which domains of the BCN are involved in cross-linking. In this study, we have determined the surface areas and CO₂ and H₂ adsorption properties of the cross-linked structures of two borocarbonitride compositions, (BN)_0.75C_0.25 and (BN)_0.3C_0.7. We have also studied their supercapacitor characteristics and photochemical catalytic activity for hydrogen generation. The study reveals that the covalently cross-linked BCN–BCN and BCN–MoS₂ assemblies exhibit increased surface areas and superior supercapacitor performance. The BCN composite with MoS₂ also shows high photochemical HER activity besides electrochemical HER activity comparable to Pt. This observation is significant since MoS₂ in the nanocomposite is in the 2H form. The present study demonstrates the novelty of this new class of materials generated by cross-linking of 2D sheets of inorganic graphene analogues and their potential applications.

Covalent cross-linking of 2D structures such as graphene, MoS₂ and C₃N₄ using coupling reactions affords the generation of novel materials with new or improved properties.