A case report of iodine-125 seed placement during operation for the treatment of advanced gallbladder carcinoma with septic shock

This case report describes a patient with advanced gallbladder cancer who developed septic shock associated with iodine-125(^(125)I)seed implantation.The treatment process is described to provide a clinical reference for similar cases.A 52-year-old woman with recurrence of advanced gallbladder cancer underwent ^(125)I seed implantation and developed postoperative sepsis with septic shock.The blood culture suggested infection with Aeromonas caviae and Enterococcus faecalis.Vancomycin and imipenem were immediately administered according to the drug sensitivity results,along with immunoglobulin therapy and vasoactive drugs.The patient’s condition gradually stabilized after comprehensive treatment.Sepsis with septic shock is a rare but potentially fatal complication of ^(125)I seed implantation.Timely administration of broad-spectrum antibiotics,immunoglobulin therapy,and vasoactive drugs is very important to stabilize the patient’s condition.Our treatment of this patient can serve as a reference for clinicians to manage this complication in similar cases.

Rice Hull Mulch Affects Germination of Bittercress and Creeping Woodsorrel in Container Plant Culture

Mulches are commonly used to control weeds in container nursery crops, especially in sites where preemergence herbicides are either not labeled or potentially phytotoxic to the crop. Parboiled rice hulls have been shown to provide effective weed control when applied 1.25 to 2.5 cm deep over the container substrate surface. The objective of this research was to determine if weed seed placement, above or below the mulch layer, affects flexuous bittercress or creeping woodsorrel establishment. Seeds of both species were placed either above or below rice hull mulch layers 0, 0.6, 1.3, or 2.5 cm deep in nursery containers with a 80 pine bark: 20 sphagnum peat moss substrate. Establishment of both weeds decreased with increasing mulch depth. Establishment of both species was generally greater from beneath the mulch compared to when seed were applied above the mulch. Light penetration through varying depths of rice hulls was determined with a spectroradiometer. Photosynthetically active radiation (PAR) decreased exponentially with increasing rice hull depth, and was less than 1 μmol·m-2·s-1 beneath depths greater than 1 cm. Germination of both species was determined in Petri dishes placed beneath varying densities of shade cloth. Flexuous bittercress germination responded quadratically to decreasing light level, but still germinated (13%) in complete darkness after 3 weeks. Creeping woodsorrel germination was not affected by light level and was high (92%) after 3 weeks. The role of light exclusion by rice hulls as a mechanism for controlling buried weed seed is discussed. Water retention immediately after irrigation, and for 24 hr following irrigation, was determined for a 2.5 cm layer of rice hulls, sphagnum peat moss, and pine bark. Rice hulls retained less water, and dried more quickly than peat moss or pine bark. The volumetric water content of the rice hull layer is less than 0.20 cm·cm-1 and what has been shown necessary for plant growth. Lack of water availability in the rice hull layer is discussed as the primary mechanism of control of weed seed above the mulch layer.