Progress in evaluating the postoperative effect of cleft lip / 口腔疾病防治

@#The postoperative evaluation of cleft lip is an important means to improve the operation method and the effect of the restoration. In recent years, the methods of cleft lip repair, such as Chinese western rotary propulsion, reconstruction of labial and nasal muscle tension band+trefoil flap, etc., have been developed. However, at present, there are still many secondary deformities, such as obvious scars and alar collapse. In this paper, in a review of the previous literature, the existing methods, advantages and disadvantages, and the application of the evaluation of the postoperative effect of cleft lip were reviewed. To date, there are many methods that can be used to evaluate the effect of cleft lip surgery. These research methods can be divided into subjective evaluation and objective evaluation, such as subjective evaluation, direct measurement, photo measurement, and three-dimensional scanning measurement. Among them, the subjective evaluation is simple, but the reliability is poor, and this method is suitable for all patients with cleft lip. The direct measurement has a low cost and is only suitable for one-dimensional information measurement, but the accuracy is poor, so it is difficult to determine the endpoints. The time of the photo measurement method is short, which can avoid tissue deformation, but it is easy to produce errors; this method is suitable for patients with cleft lip who can cooperate. The three-dimensional scanning measurement has a high accuracy, is time consuming and is a simple method but has a high cost and is suitable for areas with appropriate equipment conditions. Overall, the evaluation of the postoperative effect of cleft lip surgery should combine subjective evaluation with objective evaluation, dynamic evaluation with static evaluation, and utilize long-term follow-up to obtain comprehensive and accurate information and provide a reference for clinicians to carry out cleft lip surgery.

Evaluatoin of the accuracy of 4 impression materials by a 3D optical scanner / 实用口腔医学杂志

Objective:To study the 3D accuracy of 4 impression materials.Methods:A metal mould with a custom tray was prepared for the measurement.Impression samples of 2 alginate and 2 rubber impression materials were prepared in the metal mould(n =3)re-spectively.The length of three tagged lines,along X,Y,Z axis directions of the samples was measured with a 3D optical scanner.Re-sults:120 min after sampling the variable rates of the length along X,Y,Z axis of Zhermark alginate samples were 3.615%,3.037%and 2.836%,those of CAVEX alginate samples were 2.836%,3.358% and 4.276% respectively;8 h after sampling the variable rates of Impregum Penta polyether rubber samples were 0.039%,0.071% and 0.057%,those of ExpressXT Penta H addition-curing silicone rubber samples were 0.033%,0.088% and 0.084% respectively.Conclusion:The variable rates of the 4 impression materi-als are in accordance with ISO1563∶1990.The variable rate of alginate impression material is greater than that of rubber.

Difference of Second to Fourth Digit Ratio according to the Methods of Measuring Length / 체질인류학회지

The 2nd to 4th digit ratio (2D : 4D) reflects exposure level of sex hormones in fetal period and there are various methods for finger length measurement. The aim of this study is to identify an accurate and effective method for finger length measurement. This study was done on 272 individuals (115 males, 157 females). Data were collected by measuring index and ring finger length on both hands by calipers, ruler, photocopy, and radiography. The data were analyzed through independent t-test, paired t-test, Pearson correlation analysis using SPSS win 19.0. This study showed that the 2nd and 4th finger measured by radiography were the longest finger both of males and females and revealed the largest length difference between 2nd and 4th finger. There were significant sex differences all of 4 measurement methods in 2D : 4D, especially remarkable sex difference by radiography and photography. The 2D : 4D by indirect measurement was lower than that of direct measurement. Correlation between digit ratio by radiography and by photocopy was 0.590 and correlation between digit ratio by radiography and by calipers was 0.586. The results of this study suggest that indirect measurement by radiography can be alternated by photocopy primarily and by calipers secondarily.

Direct Measurement of High-Density Lipoprotein Cholesterol Evaluated / 대한임상병리학회지

BACKGROUND: Serum high density lipoprotein (HDL)-cholesterol level is used as an assessment of the risk of coronary heart disease. In this study, we evaluated direct measurement of HDL- cholesterol in serum with polyethylene-modified enzymes and sulfated alpha-cyclodextrin. METHODS: We evaluated the precision, the lower limit of detection, the recovery rate, the linearity, the interference for hemoglobin and the comparision with the result of HDL-cholesterol measured by selective precipitation method. We also studied the specificity of this direct method for very low density lipoprotein (VLDL) and low density lipoprotein (LDL). RESULTS: The total imprecision was 3.8% (low), 3.5% (middle), 3.2% (high). The lower limit of detection was 0 mg/L. The recovery rate was satisfactory. The linearity was also (r2=0.99). This method showed a good correlation (r2=0.97) with the selective precipitation method in HDL- cholesterol measurement. VLDL-cholesterol (up to 300 mg/L) increased HDL-cholesterol only less than 3% but increased VLDL-cholesterol to 400 mg/L, more than 750 mg/L caused 5% and 15% of overestimation of HDL-cholesterol, respectively. LDL-cholesterol (142-1,073 mg/L) increased or decreased HDL-cholesterol by some degree (about 15%). Hemoglobin (up to 3,000 mg/L) did not influence this assay. CONCLUSIONS: The direct measurement of HDL-cholesterol is satisfactory method in HDL- cholesterol measurement in good analytical performance and may be anticipated to reduce workload of laboratory because the sample pretreatment is not necessary.

Direct measurement of high-density lipoprotein cholesterol compared with the precipitation-based methods.

We compared the performance of the direct measurement for quantifying high-density lipoprotein cholesterol (HDL-C) with the precipitation-based method for HDL-C, using samples with a wide range of HDL-C concentrations (7-144 mg/dL). The coefficient of correlation for the two methods was 0.98 (n=500). Both methods were precise with a run-to-rum CV of < 4.4 per cent. By using direct measurement for HDL-C we can reduce errors which occurred in the precipitation-based method, especially from centrifugation and recovery of the supernatant. The direct measurement method strongly appears to successfully discriminate between the serum HDL fractions and completely measures the HDL-C.