Gluteoplastia de aumento con implantes intramusculares para el mejoramiento del contorno corporal / Augmentation gluteoplasty with intramuscular implants to improve the physical measurement i:en

Introducción: La región glútea ha sido considerada una de las zonas más observadas tanto en mujeres como en hombres y constituye un ícono representativo de belleza corporal. En los últimos años se ha incrementado el deseo de las féminas de aumentar esta región anatómica con implantes. Objetivo: Determinar los resultados estéticos de la gluteoplastia de aumento con implantes intramusculares. Métodos: Se realizó un estudio prospectivo, longitudinal y descriptivo de 25 mujeres que acudieron a la consulta externa del Servicio de Cirugía Plástica del Hospital Clínico-Quirúrgico Hermanos Ameijeiras, desde agosto de 2016 hasta febrero de 2019, para solicitar el aumento de su región glútea con implantes. Resultados: En la serie predominaron el grupo etario de 31 a 40 años (36,0 %) y el fototipo de piel III (88,0 %); asimismo, solo 6 pacientes presentaron complicaciones (24,0 %), entre las cuales sobresalieron el seroma (20,8 %), la asimetría (12,5 %) y la dehiscencia de la sutura (8,3 %). Se observó un aumento significativo de la proyección glútea después de la intervención (α=0,05) y los resultados fueron buenos en la mayoría de las integrantes de la muestra (84,0 %). Conclusiones: La gluteoplastia de aumento con implantes intramusculares es un procedimiento seguro y ofrece resultados estéticos favorables.

Introduction: Gluteal region has been considered one of the most observed areas either in women as in men and constitutes a representative icon of corporal beauty. In the last years the desire of women to increase this anatomical region with implants has been increased. Objective: To determine the aesthetic results of the augmentation gluteoplasty with intramuscular implants. Methods: A prospective, longitudinal and descriptive study of 25 women that went to the Plastic Surgery Service outpatient consultation of Hermanos Ameijeiras Clinical Surgical Hospital was carried out from August, 2016 to February, 2019, to request the increase of the gluteal region with implants. Results: In the series there was a prevalence of the 31 to 40 age group (36.0%) and the skin phototype III (88.0%); also only 6 patients presented complications (24.0%), among which seroma (20.8%), asymmetry (12.5%) and anastomotic dehiscence (8.3%) were notable. A significant increase of the gluteal projection after the intervention was observed (α =0.05) and the results were good in most of the members of the sample (84.0%). Conclusions: The augmentation gluteoplasty with intramuscular implants is a safe procedure and offers favorable aesthetic results.

Numerical Simulation of In-Plane Crack Propagation in Aortic Dissection / 医用生物力学

Objective Based on interface damage, a numerical simulation method for in-plane propagation of false lumen (FL) was proposed to explore the regular pattern of in-plane propagation of the initial cavity. Methods Three interface damage modes were characterized by bi-linear traction separation law, and the damage parameters were calibrated by simulating peeling and shearing tests. The damage interface was introduced into the ideal double-layer cylindrical tube aortic model by means of cohesive zone model (CZM) to simulate the in-plane propagation of FL. The control variable method was used to establish several computational models to investigate the influence of cavity geometric parameters on propagation direction, critical pressure and interface damage mode. Results The interface damage was mainly opening mode (Mode I) in axial propagation and sliding mode (Mode II) in circumferential propagation. With radial depth of the initial cavity increasing, the propagation of the FL changed from circumferential direction to axial direction, the critical pressure decreased, and the axial damage tended to be pure opening mode. With circumferential angle and axial length of the initial cavity increasing, the critical pressure decreased and the circumferential damage tended to be pure sliding mode. The critical pressure of single damage was lower than that of mixed damage. Conclusions The CZM can effectively characterize interface damage behavior of elastic lamellae within the media, and it applies to numerical simulation of in-plane propagation of the FL. The results of this study is helpful to understand the complex pathophysiological process of dissection crack propagation.

Translation of Traditional Chinese Medicine terms guided by discourse cohesion theory / 国际中医中药杂志

Due to the limitations of language, culture and professional differences, there are many problems in the translation of Traditional Chinese Medicine (TCM) terms, such as unclear translation, longtarget language and confusion of the target language. Therefore, this paper puts forward the translation strategy of TCM terms based on discourse cohesion theory, which could make full use of the characteristics of discourse cohesion and make the translated TCM terms still have the original meaning and function. In translation, we should follow the cognitive and communicative principles, create new words by using roots, affixes and vowels, optimize interpretative translation, and flexibly use transliteration translation method to improve the accuracy of translation and the conciseness and standardization of the targeted termsafter tranlation.

Evaluation of internal adaptation of flowable and bulk-fill resin-based composites

@#This study aimed to evaluate and compare the internal adaptation of bulk-fill resin-based composite restorative materials with flowable composites as lining materials using self-etch adhesive system. Class I cavities (2mmx4mm) were prepared on flattened occlusal surfaces of fifty extracted human premolars and randomly assigned into five groups (n=10) according to the materials used: Beautifil Bulk-fill Restorative (BR); Beautifil Bulk-fill Flowable (BF); Beautifil Flow Flowable F10 (BF10); and Self-etch adhesive (SEA). Group A: SEA+BR; Group B: SEA+BF10+BR; Group C: SEA+BF+BR; Group D: SEA+BF10+SEA+BR and Group E: SEA+BF+SEA+BR. The samples were thermocycled for 500 cycles, then sectioned mesiodistally, polished and pre-treated prior to scanning electron microscopy (SEM) evaluation. From SEM images, measurement of adhesive and cohesive adaptation failures was recorded at multiple sites of the pulpal floor and in between materials. Data were analysed using one-way ANOVA and post-hoc Tukey tests (p<0.05). Cohesive failure in SEA was observed at the pulpal floor with the lowest percentage in Group A (5.14%), and highest in Group C and E (>16%). However, there were no significant difference among all groups. Adhesive failure was seen at the pulpal floor between SEA+BF/BF10/BR and between SEA+dentine with the highest percentage of gaps formed in Group A between SEA+dentine (6.62%) and SEA+BR (5.30%). Nonetheless, no significant differences were observed among all groups with p=0.89 and p=0.70, respectively. With the use of BF/BF10 at the pulpal floor, adhesive failure was reduced but resulted in increased of cohesive failure. However, both adaptation failures were absent between materials (BF/BF10 and BR) regardless with or without application of SEA.

Comparative evaluation of the effect of a resin modified glass ionomer cement universal adhesive on the shear bond strength of glass ionomer cements

The present study compared and evaluated the shear bond strength (SBS) of two types of glass ionomer cement (GIC), Riva Self Cure HVTM (SDI Ltd., Victoria, Australia) and GC Fuji IX GP EXTRATM (GC America Inc., Alsip, USA) with and without the use of Riva Bond LCTM (SDI Ltd., Victoria, Australia), a lighted cured resin-modified glass ionomer cement (RMGIC) universal adhesive. Sixty extracted sound premolars with prepared exposure of the dentine on the occlusal surface were randomly assigned into four groups according to the tested restorative materials. Shear bond strength (SBS) tests were performed by using the Shimadzu Universal Testing Machine at a crosshead speed of 0.5 mm/minute, and the values obtained were statistically analysed using one-way ANOVA and Tukey tests. The inter-group comparison showed statistically significant differences in the SBS values between all the test groups (p 80%) compared to higher cohesive failures found in the non-adhesive groups (>86%). A Spearman's rho correlation test performed to determine the association between SBS values and mode of failures had indicated positive correlations between the adhesive failure and SBS values in the adhesive groups (rs=0.86, p<0.001; rs=0.85, p<0.001) and the cohesive failure and SBS values in the non-adhesive groups (rs=0.87, p<0.001). These findings support the improvement in adhesion of GICs to tooth structure with the use of RMGIC adhesive.

Effect of zirconia surface treatment using nitric acid-hydrofluoric acid on the shear bond strengths of resin cements

PURPOSE: The aim of this study was to compare the surface roughness of zirconia when using Zircos E etching system (ZSAT), applying a nitric acid-hydrofluoric acid compound as a pretreatment agent, and also to compare the shear bonding strength according to different resin cements. MATERIALS AND METHODS: ZSAT, air abrasion, and tribochemical silicacoating were applied on prepared 120 zirconia specimens (10 mm in diameter, 7 mm in height) using CAD/CAM. Each 12 specimens with 4 different resin cements (Panavia F 2.0, Rely X Unicem, Superbond C&B, and Hot bond) were applied to test interfacial bond strength. The statistical analysis was performed using SAS 9.1 (SAS Institute Inc., Cary, NC, USA). The results are as follows: after application of the ZSAT on the zirconia specimens, surface roughness value after 2-hour etching was higher than those after 1- and 3-hour etching on SEM images. RESULTS: For Superbond C&B and Rely X Unicem, the specimens treated with ZSAT showed higher shear bond strength values than those treated with air abrasion and tribochemical silicacoating system. Regarding the failure mode of interface over cement and zirconia surface, Rely X Unicem and Hot bond showed cohesive failures and Panavia F 2.0 and Superbond C&B showed mixed failures. CONCLUSION: Zircos E etching system in zirconia restoration could increase its shear bond strength. However, its long term success rate and clinical application should be further evaluated.

The Effect Of Different Dental Adhesive Systems On Hybrid Layer Qualities

The study aimed to evaluate the quality of the hybridlayer form by three different adhesive systems. Class Vcavities were prepared on the buccal surface of fourtyextracted human premolars. The prepared teeth wererandomly assigned into four groups according to theadhesive system and application mode. The systemswere: Optibond S (OS, total-etch); Optibond Versa (OV,two-bottles, self-etch); Single Bond Universal (SBU,one-bottle, self-etch) and Single Bond Universal withetchant (SBU + etchant). All cavities were restored withcomposite (Filtek Z350XT). The samples were sectioned,polished and pretreated to remove minerals, proteinand water prior to SEM evaluation. From the images,thickness of the hybrid layers was measured. Present ofresin tags and adaptation failure were also recorded. Thedata obtained were analyzed using ANOVA, Dunnett’sT3, Kruskal-Wallis and Mann-Whitney tests. OS groupshowed the highest average hybrid layer thickness (4.34µm), followed by SBU + etchant (3.06 µm), OV (1.91 µm)and SBU (0.95 µm). Both adhesive and cohesive failureswere observed in SBU group. Present of prominent resintags were seen in both OS and OV groups. In conclusion,all the investigated adhesive systems were able to performdistinguishable actions as shown in micro-morphologicalalteration and hybrid layer thickness. Two-bottles, selfetchadhesive (OV) was proven to produce negligibleadaptation failure compared to other adhesive systems inthe present study. Combined all-in-one adhesive (SBU)was found to render a superior bonding performance intotal-etch mode comparing to self-etch mode.

Finite element study on the microdamage progression within bone / 医用生物力学

Objective To study the effects of mineral-collagen interfacial behavior on the microdamage progression within bone tissue. Methods Based on the finite element model, cohesive elements were introduced and the traction-separation law was used to simulate the role of ionic interactions, hydrogen bonds and van der waals forces. The effects of aforementioned interactions on the microdamage progression within bone were studied by the random field theory and probabilistic failure analysis. Results Strong interfaces (ionic interactions in both opening and sliding modes) between the mineral and collagen phases might encourage the formation of linear cracks in bone, whereas weak interfaces (van der Waals in opening mode and viscous shear in sliding mode) might facilitate the formation of diffuse damages. In addition, there existed a transitional interfacial bonding strength (hydrogen/van der Waals bonds) that governed the transition of microdamage accumulation from linear microcrack to diffuse damage.Conclusions The results from this study will help to understand the effects of mineral collagen interfacial behavior on microdamage accumulation in bone and further investigate the underlying mechanism of bone fracture due to osteoporosis or ageing.

Rupture of the Cohesive Silicone Gel Implant after Breast Augmentation

PURPOSE: Breast augmentation with cohesive silicone gel implant has been popular but there remains the risk of implant rupture. We investigated the diagnosis and treatment of cohesive gel implant rupture. METHODS: Ten cases of cohesive gel implant rupture between August 2006 and August 2010 in ooo were reviewed in this study. The diagnostic role of Magnetic resonance imaging (MRI) and ultrasonography (US), and operative findings of cases were studied retrospectively. RESULTS: The mean interval from previous surgery was 14.7 months ranging from 3 to 44 months. Nine cases were visited due to abrupt changes in texture of implants and 1 case for revision of capsular contracture. Seven of 10 cases had capsular contracture, simultaneously. We diagnosed the first case by US and MRI but only US was used in the other 9 cases. US showed discontinuity of the implant membrane and multiple parallel echogenic lines within the implant interior (stepladder sign), and MRI showed the presence of multiple curvilinear low-signal-intensity lines seen within the high-signal-intensity silicone gel (linguine sign). All the ruptured gel remained in place within the capsule and did not migrate into the surrounding area. Surgeries were implant replacement in 3, replacement with capsulectomy in 6 with capsular contracture, and subpectoral conversion with capsulectomy and mastopexy in 1 case. CONCLUSION: US without MRI has asatisfactoryrole in the screening method for detection of cohesive silicone gel implant rupture in symptomatic cases. Ruptured implants were removed and replaced easily due to their highly cohesive nature.

Predicting the Degree of Breast Size in Augmentation with Cohesive Gel Implant

PURPOSE: Predicting the change in breast size for a specific patient's need is a challenging problem in breast augmentation. We intended to investigate the post-augmentation degree of breast size according to the size of cohesive silicone gel implant. METHODS: To predict post-augmentation breast size, we measured 100 patients' pre-and postoperative 3 month's bust circumference. All patients were performed by total subfascial breast augmentation with moderate profile cohesive silicone gel implant through areolar omega (transareolar-perinipple) incision. RESULTS: According to this study, each additional one pair of 100mL in implant size yielded an approximate 1.5cm increase in bust circumference(p=0.006). CONCLUSION: From this result, we conclude that each additional one pair of 100mL in implant volume yielded about 1.5cm increase in bust circumference. Although this result may not be applied to every patient, we believe that it yields a practical chart that can help to predict the amount of increase in breast size with the use of cohesive silicone gel implant of a specific size preoperatively.

The effect of cyanate methacrylate on the shear bond strengths to dentin / 대한치과보존학회지

The purpose of this study was to evaluate the effects of cyanate methacylate on the shear bond strengths to bovine dentin surfaces as a dentin primers. Seven experimental adhesives were made with different mass fraction of Isocyanatoetylmethacrylate (IEM), 40wt% HEMA (Wako Pure Chemical Industries Osaka, Japan), 0.6% camphoroquinone, 0.4% amine and ethanol as balance. dentin bonding agents (0, 2, 4, 6, 8, 10, 12%) were made and applied on the surface of bovine dentin specimens of 7 experimental groups. Shear bond strengths were measured using a universal testing machine (Instro 4466). To identify the ratio and modes of cohesive failures, microscopic examinationn was performed. The ultra-structure of resin tags were observed under scanning electron microscope. The results were as follows ; 1) A higher shear bond strengths (33.62 MPa) in group 8% of Cyanate methacrylate to dentin were found, but there were no statistically significancy between Groups (p > 0.05). 2) The higher ratio of cohesive failures mode in group 2, 6, an 10% could be seen than that in any other groups. 3) A shorter resin tags were observed in all experimental groups. This could be resulted that the preventing from the cyanate methacrylate penetrate into dentin owing to reacting it with dentin collagen. Therefore the resin tags were shorter in lengths. Whether the higher bonding strengths of dentin bonding agents can be affected was not been assured with statistic results. The results indicated that the relation between tensile strengths of the dentin adhesives to bovine dentin and resin tags formed into the dentin could not affected. The main reason of increasing the shear bond strength to bovine dentin in experimental groups could not be assured.

The effect of cyanate methacrylate on the shear bond strengths to dentin / 대한치과보존학회지

The purpose of this study was to evaluate the effects of cyanate methacylate on the shear bond strengths to bovine dentin surfaces as a dentin primers. Seven experimental adhesives were made with different mass fraction of Isocyanatoetylmethacrylate (IEM), 40wt% HEMA (Wako Pure Chemical Industries Osaka, Japan), 0.6% camphoroquinone, 0.4% amine and ethanol as balance. dentin bonding agents (0, 2, 4, 6, 8, 10, 12%) were made and applied on the surface of bovine dentin specimens of 7 experimental groups. Shear bond strengths were measured using a universal testing machine (Instro 4466). To identify the ratio and modes of cohesive failures, microscopic examinationn was performed. The ultra-structure of resin tags were observed under scanning electron microscope. The results were as follows ; 1) A higher shear bond strengths (33.62 MPa) in group 8% of Cyanate methacrylate to dentin were found, but there were no statistically significancy between Groups (p > 0.05). 2) The higher ratio of cohesive failures mode in group 2, 6, an 10% could be seen than that in any other groups. 3) A shorter resin tags were observed in all experimental groups. This could be resulted that the preventing from the cyanate methacrylate penetrate into dentin owing to reacting it with dentin collagen. Therefore the resin tags were shorter in lengths. Whether the higher bonding strengths of dentin bonding agents can be affected was not been assured with statistic results. The results indicated that the relation between tensile strengths of the dentin adhesives to bovine dentin and resin tags formed into the dentin could not affected. The main reason of increasing the shear bond strength to bovine dentin in experimental groups could not be assured.