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Objective:To explore the feasibility of an "ABC" three line perforator locating method in design and harvest of free anterolateral perforator flap of calf.Methods:Between March 2021 and November 2021, 42 patients with 62 wounds on hand and foot were treated in the Department of Hand Surgery, Suzhou Ruihua Orthopaedic Hospital. The "ABC" three line perforator locating method was applied to determine the location and source of perforating branch before operation and to guide the design and harvest of flap during operation in wound reconstruction. Among the 42 patients, 24 had the injury of single digit, 7 had the injuries with 2 digits, 4 with 3 digits, 1 with 4 digits, 1 of the first web, 1 in the wrist, 2 of the great toe, 1 of second toe and 1 in dorsal foot. The sizes of soft tissue defect were 1.5 cm×2.0 cm-3.0 cm×14.0 cm. The sizes of the flaps were 2.0 cm×2.5 cm-3.5 cm×15.0 cm. All donor sites were sutured directly. In the follow-up, sensations of flaps were evaluated following the sensory function evaluation standard of British Medical Research Council(BMRC), and the recovery of the donor and recipient sites was evaluated by the flap comprehensive evaluation scale. Regular follow-up were scheduled at outpatient clinic.Results:A total of 162 perforators were located before operation. There were 95 perforating branches being explored in the operation, of which 5 patients had 1 extra perforating branch than that located before surgery. Seventy-six perforating branches were found consistent with preoperative localisation, with a coincidence rate of 84.4%(76/90). Sixty-four perforating branches were found consistent with the preoperative source with an accuracy rate of 84.2%(64/76). All the 62 flaps survived without a vascular compromise. Follow-up lasted for 6-10(mean 7.1) months. The colour and texture of the flaps were excellent. The flaps were thin and wear-resistant. The sensory function of the flaps was evaluated at S 1-S 3 by BMRC. Comprehensive evaluation scale of flap was excellent in 38 patients and good in 4 patients. Conclusion:"ABC" three line perforator locating method in design of free anterolateral calf flap is a feasible and an ideal auxiliary method in surgical practice. It combines anatomical knowledge, clinical experience and Doppler ultrasound localisation as well as accurately guides the location and source prediction of perforator before surgery.
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Identifying the ideal implantation site is important for the long-term stability and effectiveness of follow-up restorations. Implant surgical guide and navigation are used to determine the implantation site in clinic and improve the precision of implantation. However, due to difficulties in digital methods, such as multiple procedures, high cost, and actual accuracy of more than 1 mm, many physicians still prefer to operate with free hand. In preoperative, intraoperative, and postoperative procedures, time-saving and practical methods for implant site evaluation are lacking. In many cases, oral physicians found that the position deviates only by cone beam CT, which was costly to modify the position. In this article, we presented a precise implantation insertion technology that is guided by a measurable technique throughout the implantation application for all implant systems. This method was guided by a dynamic control measuring ruler, which functions together with the measuring and intraoperative locating rulers. The 3D space of the operative area was measured by a measuring ruler prior to operation, and the implant plan and quantitative guidance design were conducted according to the measured and cone beam CT data. The whole implantation process was guided by the dynamic control measuring ruler, and measuring verification results were also considered. This method can realize the quantification of the entire preoperative space analysis, intraoperative precise implantation guidance, and postoperative site measurement and evaluation. This practical technique also helps to adjust the position, improve the implantation accuracy and is suitable in generalizing dental implantation.
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Computer-Aided Design , Cone-Beam Computed Tomography , Dental Implantation, Endosseous , Dental Implants , Imaging, Three-Dimensional , Patient Care Planning , Surgery, Computer-AssistedABSTRACT
OBJECTIVE@#To study the application of surgical locating guides based on cone beam computed tomography (CBCT) and computer-aided design/computer-aided manufacturing (CAD/CAM) technique on extraction of impacted supernumerary teeth.@*METHODS@#This study included 15 patients with impacted supernumerary teeth in anterior maxillary. Surgical approach was determined by CBCT. Surgical locating guides of labial approach or palatal approach were designed and fabricated by CAD/CAM technique. Impacted supernumerary teeth were extracted under the location of surgical locating guides.@*RESULTS@#Surgical locating guides were well attached in the operation. The impacted supernumerary teeth were located and exposed rapidly, and the adjacent important anatomical structures were avoided.@*CONCLUSIONS@#Surgical locating guides benefit the accurate detection and reduction of trauma in extraction of impacted supernumerary teeth.
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Humans , Cone-Beam Computed Tomography , Maxilla , Tooth Extraction , Tooth, Impacted , Tooth, SupernumeraryABSTRACT
Objective To study the application value of preoperative medical adhesive locating in performing thoracoscopy for small pulmonary nodules (SPN).Methods The clinical data of 41 patients with solitary SPN,who received thoracoscopy with the help of preoperative locating procedure,were retrospective analyzed.The preoperative locating methods included medical adhesive locating (n=22,medical adhesive group) and Hook-wire locating (n=19,Hook-wire group).The locating effects,complications,the time of engagement stage and the time used for pulmonary wedge resection were determined,and the results were compared between the two groups.Results The locating of SPN was successfully accomplished in all patients of both groups.The incidences of pneumothorax,pulmonary hemorrhage and chest pain in the medical adhesive group were 18.2％,9.1％ and 4.5％ respectively,which were lower than those in the Hook-wire group;among them the difference in the incidence of pulmonary hemorrhage between the two groups was statistically significant (P＜0.01).No-complication rate in the medical adhesive group (63.6％) was higher than that in the Hook-wire group (21.1％),and the difference was statistically significant (P＜0.05).The time of engagement stage for patients in the medical adhesive group was (16.32±8.83) hours,which was longer than (3.29±4.21) hours in the Hook-wire group,the difference between the two groups was statistically significant (P＜0.01).The time used for puhnonary wedge resection in the medical adhesive group and in the Hook-wire group was (21.14±7.01) min and (18.58±5.22) min respectively,the difference between the two groups was not statistically significant (P＞0.05).Conclusion Preoperative medical adhesive locating for the performance of thoracoscopy for SPN is safe and effective,it carries less complications when compared with Hook-wirelocating method and can obtain a longer interwal period,therefore,this technique has high application valuein clinical practice.
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Objective To develop a new type of locating rod with easy installation and high reliability for radiotherapy.Methods The locating rod was composed of a joining beam,two clamping buckles and buckle holders.The joining beam had the length being 530+03 mm.One of the buckles was put at one end of the beam,and the other slided along a stool.An eccentric wheel drove the sliding buckle to determine the space between two buckles,and a returning spring was involved in to enhance the compliance of the sliding buckle.Results The rod gained easy installation and operation,and was compatible with the bed board with the width of 5300 mm.There was no sideslip occurred after locking the rod,and the sideslip shift was not more than 1 mm in case of 20 kgf (1 kgf=9.8 N) lateral traction.Conclnsion The rod has high performances and meets clinical requirements.
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The accurate location of acupoints is the prerequisite for the efficacy of acupuncture-moxibustion. Bone-length measurement, bone-proportional measurement, and proportional unit of the body measurement are commonly used in clinic for acupoints location. Based on the systematic review of the ancient literatures, this article discussed the meaning, evolution and relations of bone-length measurement, bone-proportional measurement, and proportional unit of the body measurement. It’s concluded that the bone-length measurement should be a benchmark in ancient anthropometry and an important basis for acupoints location. Bone proportional measurement, used in different genders, ages and body sizes, was based on the relatively stable proportional relations of various body parts, though some of the standards were adjusted in accordance with the correlation between meridians and acupoints. Location of points by proportional unit of the body simplified the application of bone-length measurement and bone proportional measurement, based on the ratio between short and long bones or the ratio of same body parts in anthropometry. However, proportional unit of the body measurement should be applied for the specific body parts. Bone-length measurement, bone-proportional measurement, and proportional unit of the body measurement are correspondingly the benchmark measurement, relative measurement, and simplified measurement.
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Objective To explore the feasibility of applying MRI cranial surface locating device in localization of small intracranial space-occupying lesions before the surgeries. Methods Thirty patients with small intracranial space-occupying lesion were localized by MRI cranial surface locating device before the surgeries. The clinical accuracy was verified during the surgeries and the results were compared with cases without using the device. Results According to the verifications during the surgeries , 30 cases which used MRI cranial surface locating device showed much higher accuracy than that using the traditional method. Conclusions MRI cranial surface locating device can precisely delineate the surgical target area. The device is easy to operate and also can help to design the rational surgical approach with minimum injuries , significantly improve accuracy of locating small intracranial space-occupying lesions and it is safe , effective and worthy of widely used clinically.
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Objective To study the cholesterol nuclear-cytoplasmic interaction effect and position cholesterol traits QTL in mice.Methods Improving the nuclear-cytoplasmic interaction models and methods that have been constructed, and analyzing the public database of total cholesterol and lipoprotein data of F2 group that derived from DBA/2J ( D2) and CAST/EiJ ( CAST) mice.Results Six QTL that controlling total cholesterol, HDL and nonHDL were located in 4 linkage groups in the genome.In the models constructed in this study, we found a QTL has significant interaction with cytoplasmic background, which changes the previous results of data analysis, the genetic mouse cholesterol and lipoprotein components opened up new ideas.Conclusion Mouse cholesterol trait is the result of interaction of nuclear genes and cytoplasmic background.
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[Objective] To analyze the experience and methods of removal the non-metal ic foreign bodies in the superficial tissue under the location of ul-trasonic and the guidance of acupuncture needle. [Method] First find the non-metal ic foreign bodies and observe the trauma around them by ultrasonic scanning, then use needle to puncture and approach the foreign bodies gradual y for location. Remove the foreign bodies according to the guidance of nee-dle in the end. [Result]Total foreign bodies could be removed easily without any remains in these cases, and trauma recovered wel . 33 cases were removed out smoothly the non-metal ic foreign bodies for just one time, and 1 case for two times. [Conclusion] Removal of the superficial non-metal ic foreign bodies under the location of ultrasonic and the guidance of needle is a great method of security,operating simply,being worthy of popularization through comparing with other methods.
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Males of the damselfly Hetaerina rosea may defend mating sites along river margins (resident males) or, alternatively, wander among different areas presumably searching for mates (nonterritorial males). Although the occurrence of territorial and nonterritorial males of H. rosea is very common in Brazil, studies examining which factors may be responsible for the adoption of alternative mate-locating tactics in this species are inexistent. We investigated the relationship between the adoption of these alternative mate-locating tactics by males of H. rosea and two possible causes: body weight and male abundance. We carried the study in three areas: sites 1, 2 and 3. Samples were monthly undertaken in sites 1 and 2 between September/2001 and August/2002 and in site 3 between May/1999 and January/2001. Using the scan method with fixed areas and mark-resighting techniques, we did not find any relationship between the proportion of nonterritorial males and male abundance per month on sites 2 (n=6) and 3 (n=7), indicating that the adoption of alternative mate-locating tactics is not affected by competition for territories. In the same way, nonterritorial and resident males showed similar body and thoracic weight measures (n=30 and n=27 for sites 2 and 3 respectively). Maybe the nonterritorial tactic is adopted by individuals searching for better territories or males that were evicted from their defended sites. The absence of relationship between weight and male territorial status is in accordance with other Hetaerina species. However, other traits not investigated here such as parasitic load, fat content and age may influence the adoption of different mate-acquisition tactics in H. rosea males. Rev. Biol. Trop. 57 (1-2): 361-370. Epub 2009 June 30.
Los machos de la libélula Hetaerina rosea pueden defender sus sitios de apareamiento a lo largo de márgenes de ríos (machos residentes) o, alternativamente, deambulan entre diferentes áreas presumiblemente buscando pareja (machos no territoriales). Aunque la existencia de machos territoriales y no territoriales de H. rosea es muy común en Brasil, no hay estudios que examinen cuáles factores pueden ser responsables para la adopción de tácticas alternativas para localizar pareja en esta especie. Investigamos la relación entre la adopción de estas tácticas alternativas para localizar pareja por machos de H. rosea, y dos posibles causas: peso del cuerpo y abundancia de machos. Realizamos el estudio en tres áreas: sitios 1, 2 y 3. Las muestras se tomaron mensualmente en sitios 1 y 2 entre setiembre 2001 y agosto 2002, y en sitio 3 entre mayo 1999 y enero 2001. La adopción de tácticas alternativas de localización de machos no se ve afectada por competencia por territorios. La ausencia de relación entre peso y estatus del macho territorial coincide con otras especies de Hetaerina. No obstante, otros rasgos que no fueron estudiados aquí, como la carga de parásitos, contenido de grasa y edad, pueden influenciar la adopción de diferentes tácticas de adquisición de pareja en machos de H. rosea.
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Animals , Female , Male , Insecta/physiology , Sexual Behavior, Animal/physiology , Territoriality , Brazil , Insecta/anatomy & histology , Insecta/classification , Population Density , Seasons , Sex RatioABSTRACT
Objective To identify the location of medicines in combat readiness medicine cabinet.Methods RFID system was used in combination with series antennas separated in space in combat readiness medicine cabinet.Results The combat readiness medicine cabinet equipped with RFID system could identify the location of medicines in medicine cabinet.It realized the location management and automatic classification statistics for medicines without opening cabinet.It greatly shortened the time in taking medicine in field emergency care.Conclusion Intelligent medicine cabinet based on RFID technology can upgrade the modernization level of sanitation logistics and provide a modern management method for iatrical material of combat readiness of PLA.
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Objective With the help of B-US,we studied the dealing method of latent breast lesion of lower echo discovered by B-US in order to find early breast cancer.Methods The latent breast lesion was located using B-US and injection of methylene blue into them, then excised the dyed lesion.the advantages of the method and the rate of lesion excision was analyzed.Results With the above method,we excised 38 latent breast lesion discovered by B-US only. 4 cases of them were early breast cancer.Conclusions It is mini-traumatic,simple and practical that to locate the latent breast lesion, to inject methylene blue into them with the help of B-US,it has higher successful rate to excise lesion . This method can help to deal with nonpalable breast lesion and find early breast cancer.
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Objective To study way of unloading and positioning of the new type medical shelter. Methods Through repeated testing and practical application, the ways of "3-lines" is used in the ground precession standardization. The first line is guard line of the left marginal of the shelter, the second is allocation line of the end part of the shelter and the third is front wheel alignment line of the whole unloading vehicles. Based on the lines, vehicles carrying shelters access to the ground in accordance with the order of three channel shelters ahead of five functional shelters. Results The real time of the shelter started is reduced to 35min, much lower than the time designed of 4h. Conclusion The application can be carried out precise positioning and improve the speed of the equipment spread.