Certain fractures and/or dislocations of the femoral head are known to cause arterial injury and result in post-traumatic osteonecrosis. However, the more complex etiology of non-traumatic osteonecrosis is multifactorial and includes chemotherapy, radiotherapy, thermal injuries, and especially coagulopathies, which are now commonly observed in these patients. Intravascular coagulation with fibrin thrombosis begins in the capillaries and sinusoids of the intraosseous microcirculation, and residual venous thrombosis is more likely to occur if there is coexistent hypofibrinolysis. Coagulopathies are intermediary events, which are always activated by some underlying etiologic risk factor(s). Conditions capable of triggering intravascular coagulation include familial thrombophilia (resistance to activated protein C, decreased protein C, protein S, or antithrombin III, and hyperhomocystinemia), hyperlipemia and embolic lipid (alcoholism and hypercortisonism), hypersensitivity reactions (allograft organ rejection, immune complexes, and antiphospholipid antibodies), bacterial endotoxic (Shwartzman) reactions and various viral infections, proteolytic enzymes (pancreatitis), tissue factor release (inflammatory bowel disease, malignancies, neurotrauma, and pregnancy), and other thrombophilic and hypofibrinolytic disorders. Currently known risk factors for non-traumatic osteonecrosis of the femoral head are described briefly in this review article.

Introduction: Paging is a vital part of patient care that allows quick contact between physicians and other hospital personnel. There was no structured way to send a page to physicians at our institution. We hypothesized that by standardizing paging format, scheduling laboratory draw times, and using order clean-up sheets, through a bundle of interventions called Better Etiquette for Effective Paging, we would decrease the number of pages received on the pediatric intensive care unit (PICU) resident pager by 15%. Methods: This project was a quality improvement initiative in a 25-bed multidisciplinary PICU in a tertiary children’s hospital. Baseline data collection was performed in December 2015, categorized by time of day received and type of page. Interventions were paging standards to include relevant information, scheduling laboratory draw times, and order clean-up sheets. We collected postintervention data over 3 years to monitor for sustained change. Results: The average number of pages decreased from a baseline of 4.71 pages/patient/d in 2015 to 3.70 in 2016 (21% decrease), 3.32 in 2017 (30% decrease), and 2.74 in 2018 (42% decrease). The average PRISM 3 score remained similar in all sets (2.52, 2.50, 2.10, and 2.35). The standardized mortality ratio was not adversely affected by the decrease in pages (0.58, 1.07, 1.19, and 0). Conclusion: Standardizing the format of pages and using scheduled laboratory times with order clean-up sheets has decreased the number of pages/patient/d in the PICU by 42% without adversely affecting patient care. We can continue to improve communication among the patient care team by emphasizing efficient, standardized communication using Better Etiquette for Effective Paging.

Breast cancer remains as one of the most prevalent types of cancer in the world. Although Western industrialized nations rely on a contemporary approach to modern medicine, many developing countries, such as Peru, rely on traditional medicine and alternative natural remedies. Therefore, the focus of this study was to determine the extent to which natural remedies and nutrition, contribute to the prevention and incidence of cancer. Here, we focus on the use of certain fruits, like papaya and the noni fruit, as natural remedies for illness. First, survey data was collected in Cusco, Peru regarding which fruits are consumed as natural remedies for illness. Then, molecular techniques such as MTT assay and LDH Cytotoxicity assay were used to test the effect these fruits have on HeLa cells. The survey results showed, papaya and noni as the most commonly used fruits for illness. Noni powder and papaya fruit were extracted with ethyl acetate and ethanol and used in MTT and cytotoxicity assays. Preliminary results in mammalian cells showed no effect of the ethyl acetate extracts on the viability of HeLa cells. However, MTT assay results for the ethanol extraction of papaya skin showed a decrease in mammalian cell viability at high concentrations. Further experiments will be conducted to test fresh noni and papaya as well as other commonly eaten fruits in Peru for their anticancer properties.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

P53 is a tumor suppressor protein that binds to the DNA and is responsible for regulating cell growth. Mutations of p53 are associated with numerous types of cancers in patients worldwide. Mutants of p53 affect not only its structure, but its original function, causing p53 to gain oncogenic functions. The focus of this research is to clone the DNA binding domain (DBD) from the wild type p53 as well as its most common mutants and to characterize their p53 DBD. It is proposed that when missense mutations are present within the p53 DBD, p53 will destabilize, leading to its aggregation within the cell. We used molecular cloning techniques such as PCR to isolate the DBD from p53. We also utilized mammalian cell viability assays such as MTT and cytotoxicity to determine the effects of p53 on human cells. PCR results showed that DBD was amplified from full length p53 and cloned into expression vectors pET28 and pcDNA3.1. In our preliminary results both the MTT and cytotoxicity assays showed that WT p53 decreases the viability of mammalian cells. Therefore, we successfully cloned the DBD from p53 and are in the process of characterizing the effects of mutant p53 on cell viability and aggregation propensity.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

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