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Use of ultrasound for brachial plexus block has improved the precision of drug deposition around the plexus and hence the quality of the block. But there has been debate whether single point technique or double point technique is superior. Our aim was to compare the two techniques for the onset, completeness and quality of the block.METHODSA prospective observational study was designed. 140 patients were equally divided into Group A and Group B containing 70 posted for elbow, forearm and wrist surgery. A drug solution of 30 ml was prepared using Ropivacaine 0.75% 15ml + Lignocaine 2% with adrenaline 10 ml + 5ml of normal saline. Group A received 30ml of drug at the lower end of brachial plexus at 7 O’clock position. Group B received 15 ml of drug at site mentioned above and 15 ml was given at the upper part of brachial plexus at 11 O’clock position. Parameters noted were time taken for giving block, onset and completeness of sensory and motor block, encircle time, total duration of block. Unpaired student t test used for comparing quantitative variables and Chi-square test for qualitative variables. p < 0.05 was considered statistically significant.RESULTSThe time required for giving the block was more in Group B (198.57 ±19.56 sec) compared to Group A (151.53 ± 14.37 sec) but the encircle time in Group B (16 ± 3.32 min) was lesser than Group A (19.01 ± 3.6 min). The time of onset and completion of sensory and motor block for musculocutaneous, radial, ulnar and median nerve was faster in Group B compared to Group A. Duration of block in Group A was 367 ± 50.49 minutes, whereas in group B 388 ± 49.98 minutes.CONCLUSIONSIn ultrasound guided brachial plexus block, even though both techniques have satisfactory results, double point technique is superior to single point technique in terms of onset, completeness and duration of the block but in terms of simplicity in technicality single point technique has the upper hand.
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Objective:To investigate the feasibility and applicability of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair by using one-point-suturing fixed soft mesh.Methods:90 male patients were retrospectively analyzed from Jan.2013 to Mar.2015,all of them were diagnosed with unilateral inguinal hernia and treated with TEP surgery.Among them,there were 55 patients with free of air bag and free of fixed TEP (free fixed group) and 35 patients with free of air bag and fixed by one-point-suturing TEP (one-point-suturing fixed group),all of patients were used by soft mesh.They were analyzed about their differences of postoperative pain,gastrointestinal function recovery time,the postoperative feeding time,the bedside movement time,the hospitalization time,and the incidence of postoperative complications.Results:Compared with the free fixed group,the operation time of the one-point-suturing fixed group was significantly shorter,the bedside movement time earlier,gastrointestinal function recovery time earlier,the postoperative feeding time earlier(P＜0.05),but the difference were not statistically significant in intraoperative blood loss,the postoperative pain,the hospitalization time,the incidence of postoperative seroma (P＞0.05),and therewere no recurrence in both groups.Conclusion:Compared with the free fixed TEP,the one-point-suturing fixed TEP has significantly shorter operation time,reduce the operation difficulty,and make the postoperative recovery faster,so it is safe,feasible and appropriate to application.
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The molecular geometry of (E)-4-dimethylamino-N'-[(pyridin-2yl)methylidene-kN]benzohydrazide (C15H16N4O) complexed with M²+ (M=Zn, Cu, Ni, Fe, Mn, Ca and Co) ions was calculated, using density functional theory (B3LYP) with 6-31G(d, p) basis set. Vibrational frequencies were computed in order to verify the absence of imaginary vibrational frequencies, fact that confirms the global minimum in geometry optimization. Molecular geometry parameters (bond lengths and angles) for Cu²+ and Zn²+ complexes were compared with crystallographic data previously reported, showing good correlation. Binding energies for all complexes were computed at the B3LYP/6-31G++(d, p) level of theory. These calculations indicate that Cu-L is the lowest favorable complex, Cu²+ corresponds to the smallest cation on the present study. On the other hand, Ca-L, one of the less favorable complex, corresponds to the largest cation analyzed in the present study. Molecular orbital analysis was carried out showing variations in ΔE HOMO-LUMO values as a function of the metallic ion employed.
La geometría molecular de la (E)-4-dimetilamino-N'-[(piridin-2-il) metilideno-kN] benzohidrazida (C15H16N4O) acomplejada con iones M²+ (M=Zn, Cu, Ni, Fe, Mn, Ca y Co) se calculó usando la teoría funcional de densidad (B3LYP) empleando un conjunto de bases 6-31G(d, p). Las frecuencias vibracionales fueron calculadas con el propósito de comprobar la ausencia de frecuencias vibracionales imaginarias, hecho que confirma el mínimo global en la optimización de la geometría. Los parámetros de la geometría molecular (longitudes de enlace y ángulos) para los complejos de Cu²+ y Zn²+ fueron comparados con datos cristalográficos previamente reportados, mostrando una buena correlación. Las energías de asociación para todos los complejos fueron determinadas a un nivel de teoría B3LYP/6-31G++(d, p) mostrando que el complejo menos favorable es Cu-L, correspondiente al catión más pequeño del estudio. Por otro lado Ca-L, uno de los menos estables, corresponde al catión más grande analizado. Se llevó a cabo un análisis de orbitales moleculares en el cual los complejos exhibieron diferentes valores de ΔE HOMO-LUMO en función del metal empleado.
A geometria molecular da (E)-4-dimetilamino-N'-[(piridin-2-il) metilideno-kN] benzohidrazida (C15H16N4O) acomplexada com íons M²+ (M=Zn, Cu, Ni, Fe, Mn, Ca y Co) foi calculada usando a teoria funcional da densidade (B3LYP) utilizando um conjunto de bases 6-31G(d, p). As frequências vibracionais foram calculadas com o objetivo de comprovar a ausência de frequências vibracionais imaginárias, fato que confirma o mínimo global na otimização da geometria. Os parâmetros da geometria molecular (longitudes de enlace e ângulos) para os complexos de Cu²+ y Zn²+ foram comparados com dados cristalográficos previamente reportados e mostraram boa correlação. As energias de associação para todos os complexos foram determinadas ao nível de teoria B3LYP/6-31G++(d, p) mostrando que o complexo menos favorável é Cu-L, correspondente ao cátion mais pequeno do estudo. Por outro lado Ca-L, um dos menos estáveis, corresponde ao cátion mais grande analisado. Foi feita uma análise de orbitais moleculares no qual os complexos exibiram diferentes valores de ΔE HOMO-LUMO em função do metal utilizado.
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Abstract Introduction The implantable devices are having enormous market. These products are basically made by traditional manufacturing process, but for the custom-made implants Incremental Sheet Forming is a paramount alternative. Single Point Incremental Forming (SPIF) is a manufacturing process to form intricate, asymmetrical components. It forms the component using stretching and bending by maintaining materials crystal structure. SPIF process can be performed using conventional Computer Numerical Control (CNC) milling machine. Review This review paper elaborates the various manufacturing processes carried on various biocompatible metallic and nonmetallic customised implantable devices. Conclusion Ti-6Al-4V alloy is broadly used for biomedical implants, but in this alloy, Vanadium is toxic so this alloy is not compatible for implants. The attention of researchers is towards the non toxic and suitable biocompatible materials. For this reason, a novel approach was developed in order to enhance the mechanical properties of this material. . The development of incremental forming technique can improve the formability of existing alloys and may meet the current strict requirements for performance of dies and punches.
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Objective To study the correlation between single point pulse wave velocity (PWVβ)of different peripheral arteries and coronary artery stenosis quantity obtained by coronary arteriongraphy so as to explore the diagnostic value of PWVβin coronary heart disease.Methods We made a retrospective analysis of 183 patients receiving coronary arteriongraphy in our hospital from October 2013 to May 2014.Based on stenosis quantity of coronary artery,the patients were divided into one-vessel lesion group,double-vessel lesion group,multi-vessel lesion group,and nonstenosis as control group.Clinical data of all the patients were collected before coronary arteriongraphy.Different peripheral artery PWVβwas measured with vascular echo tracking (ET)technology for statistical analysis.Results As the lesion vessel number increased,PWVβandβvalues in three peripheral arteries presented a rising tendency.Correlation analysis indicated that PWVβvalues in the three peripheral arteries showed a positive correlation with coronary artery involvement degree.The correlation between PWVβvalue of the common carotid artery and coronary artery involvement degree was most obvious,followed by the femoral artery and the popliteal artery.The sensitivity,specificity,positive predictive value,negative predictive value and Youden index of the common carotid artery PWVβvalue to diagnose coronary heart disease were 91.2%,84.5%,92.7%,81.7 and 0.76,respectively.Non-conditional multi-factor Logistic regression analysis was implemented by choosing age, sex,smoking history,hypertension history,diabetes history,hyperlipemia,BMI,HDL-C,LDL-C,TC,TG,GLU,SBP,DBP,UA,Cr,and PWVβ value as independent variables,and the degree of coronary artery disease as dependent variable.The results revealed that age,hypertension history,diabetes history,and PWVβ value were independent risk factors for coronary heart disease.Conclusion PWVβ value can be regarded as one index for observing artherosclerosis lesion degree and predicting early lesion.PWVβvalue of the common carotid artery can be an important index for dynamically observing the occurrence and development of artherosclerosis.
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[Objective]Acute lumbar sprain is a common disease in clinical acupuncture treatment, inconvenient in patients with daily life, this paper system-atical y analyses a single point in treatment of acute lumbar sprain. [Method] The research through the literature and some clinical physician experience, and the treating principle analysis. [Results] Summarized the clinical on commonly used and effective acupuncture point, proving its real y good effect on acute lumbar sprain. [Conclusion] The treatment of acute lumbar sprain with single point method is simple, fast and effective.
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Obiective To descript the method and the equipment of implantable single-point electric stimulation which is designed to continionsly and effectively treat the chronic diseases that harm the people's health. Methods The system is constructed with two parts, outside power transfer and implanted power receiver. The bypass capacitor of transistor and transformer inductor make up of power transmitter, which is half series resonant. With using transeutaneous power transform, the efficiency of this transform is studied. Experiments choose proper transmitting parameters: transformer winding is a 20 turns hollow coil of 35mm diameter, and the frequency is 150-200 kHz; the receiver winding is a 100 turns hollow coil of 10ram diameter. Results Finally the completed prototype of the system and the receiver can generate about 5-10 mA current to stimulation tissue with 5mm gap between receiver and radiator, which meets the requirement of application.ConclusionThis instrument can be used in all kinds of single-point stimulation experiment.
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Objective To evaluate the outcomes of single-point anastomosis of the fallopian tube under a laparoscope.Methods Totally,31 patients(58 fallopian tubes)were treated with laparoscopic single-point anastomosis using 3-mm laparoscopic instruments after ligation(17 cases)or failed hysteroscopic recanalization(14)of the fallopian tubes.Ureteral catheter or transcervical guidewire or stents were used if the sizes of the tubes were irregular.Results The 58 fallopian tubes were anastomosed successfully by a single operation.Radiography performed 3 months postoperation showed bilateral fallopian tube occlusion in 2 patients,and lateral tube occlusion in 5.The postoperative patency rate was 84.5%(49/58).A 6-to 36-month follow-up was carried out in 26 of the 31 patients.Among the 26 patients,17 had uterine pregnancy with a pregnancy rate of 65.4%(17/26),2 patients had fallopian tubal pregnancy,and 7 had no pregnancy.Conclusions Laparoscopic single-point anastomosis is feasible after ligation or failed recanalization of the fallopian tube.Patients have less surgical trauma,faster recovery and less intra-abdominal injury by treating with the procedure.