Early functional rehabilitation compared with traditional immobilization for acute Achilles tendon ruptures : a meta-analysis.

Aims: The aim of this meta-analysis was to assess the prognosis after early functional rehabilitation or traditional immobilization in patients who underwent operative or nonoperative treatment for rupture of the Achilles tendon.

Methods: PubMed, Embase, Web of Science, and Cochrane Library were searched for randomized controlled trials (RCTs) from their inception to 3 June 2020, using keywords related to rupture of the Achilles tendon and rehabilitation. Data extraction was undertaken by independent reviewers and subgroup analyses were performed based on the form of treatment.

[Distribution and Removal of Antibiotic Resistance Genes in Two Sequential Wastewater Treatment Plants].

Wastewater treatment plants (WWTPs) have been regarded as important point-sources of antibiotic resistance genes (ARGs) in aquatic environments. To investigate the distribution and removal of ARGs in WWTPs, a pharmaceutical wastewater treatment plant (PWWTP) and an integrated wastewater treatment plant (IWWTP) in a fine-chemical industrial park were chosen, and polymerase chain reaction (PCR) and real-time PCR techniques were used to determine the occurrence and abundances of ARGs along the treatment processes. Ten and fifteen ARGs were detected initially in the influents of PWWTP and IWWTP respectively, in which tetracycline and sulfonamide resistance genes were frequently reported, while was first reported in WWTPs.

[Abundance of Cell-associated and Cell-free Antibiotic Resistance Genes in Two Wastewater Treatment Systems].

For revealing the characteristics of antibiotic resistance genes (ARGs) in wastewater treatment systems, real-time PCR was adopted to investigate the variation of abundances of cell-associated ARGs and cell-free ARGs, in a municipal wastewater treatment system (M for short) and a coking wastewater treatment system (C for short). In system M, the absolute abundances of the cell-associated ARGs, , and , were much higher than those of the cell-free fractions in the influent. The biological treatment process did not enrich antibiotic resistance bacteria (ARBs) and membrane filtration of the MBR effectively reduced both cell-associated and cell-free DNA in water.