WorldWideScience

Sample records for replant disease electronic

  1. Tractor-mounted, GPS-based spot fumigation system manages Prunus replant disease

    Science.gov (United States)

    Our research goal was to use recent advances in global positioning system (GPS) and computer technology to apply just the right amount of fumigant where it is most needed (i.e., in a small target treatment zone in and around each tree replanting site) to control Prunus replant disease (PRD). We deve...

  2. Integration of apple rootstock genotype with reduced Brassica seed meal application rates for replant disease control

    Science.gov (United States)

    Pre-plant soil application of Brassica seed meal (SM) formulations can provide fumigant level control of apple replant disease. However, due to high cost of the SM treatment relative to non-tarped soil fumigation, reduced application rates would likely accelerate commercial adoption of this technolo...

  3. Progress in Brassicaceae seed meal formulation and application for replant disease control in organic apple orchards

    Science.gov (United States)

    Brassicaceae seed meals when used independently do not provide uniform or sufficient control of the pathogen complex that incites apple replant disease. Trials were established at multiple sites (STM, SR and Tukey orchards) in Washington State to evaluate the efficacy of seed meal formulations for ...

  4. How to Plant Apple Trees to Reduce Replant Disease in Apple Orchard: A Study on the Phenolic Acid of the Replanted Apple Orchard.

    Science.gov (United States)

    Yin, Chengmiao; Xiang, Li; Wang, Gongshuai; Wang, Yanfang; Shen, Xiang; Chen, Xuesen; Mao, Zhiquan

    2016-01-01

    Apple replant disease (ARD) is an important problem in the production of apple. The phenolic acid is one of the causes of ARD. How phenolic acid affects the ARD was not well known. In this study, we analyzed the type, concentration and annual dynamic variation of phenolic acid in soil from three replanted apple orchards using an accelerated solvent extraction system with high performance liquid chromatography (ASE-HPLC). We found that the type and concentration of phenolic acid were significantly differed among different seasons, different sampling positions and different soil layers. Major types of phenolic acid in three replanted apple orchards were phlorizin, benzoic acid and vanillic aldehyde. The concentration of phenolic acid was highest in the soil of the previous tree holes and it was increased from the spring to autumn. Moreover, phenolic acid was primarily distributed in 30-60 cm soil layer in the autumn, while it was most abundant in 0-30 cm soil layer in the spring. Our results suggest that phlorizin, benzoic acid and vanillic aldehyde may be the key phenolic acid that brought about ARD in the replanted apple orchard.

  5. How to Plant Apple Trees to Reduce Replant Disease in Apple Orchard: A Study on the Phenolic Acid of the Replanted Apple Orchard

    Science.gov (United States)

    Yin, Chengmiao; Xiang, Li; Wang, Gongshuai; Wang, Yanfang; Shen, Xiang; Chen, Xuesen; Mao, Zhiquan

    2016-01-01

    Apple replant disease (ARD) is an important problem in the production of apple. The phenolic acid is one of the causes of ARD. How phenolic acid affects the ARD was not well known. In this study, we analyzed the type, concentration and annual dynamic variation of phenolic acid in soil from three replanted apple orchards using an accelerated solvent extraction system with high performance liquid chromatography (ASE-HPLC). We found that the type and concentration of phenolic acid were significantly differed among different seasons, different sampling positions and different soil layers. Major types of phenolic acid in three replanted apple orchards were phlorizin, benzoic acid and vanillic aldehyde. The concentration of phenolic acid was highest in the soil of the previous tree holes and it was increased from the spring to autumn. Moreover, phenolic acid was primarily distributed in 30–60 cm soil layer in the autumn, while it was most abundant in 0–30 cm soil layer in the spring. Our results suggest that phlorizin, benzoic acid and vanillic aldehyde may be the key phenolic acid that brought about ARD in the replanted apple orchard. PMID:27907081

  6. Transcriptomic analysis of molecular responses in Malus domestica 'M26' roots affected by apple replant disease.

    Science.gov (United States)

    Weiß, Stefan; Bartsch, Melanie; Winkelmann, Traud

    2017-06-01

    Gene expression studies in roots of apple replant disease affected plants suggested defense reactions towards biotic stress to occur which did not lead to adequate responses to the biotic stressors. Apple replant disease (ARD) leads to growth inhibition and fruit yield reduction in replanted populations and results in economic losses for tree nurseries and fruit producers. The etiology is not well understood on a molecular level and causal agents show a great diversity indicating that no definitive cause, which applies to the majority of cases, has been found out yet. Hence, it is pivotal to gain a better understanding of the molecular and physiological reactions of the plant when affected by ARD and later to overcome the disease, for example by developing tolerant rootstocks. For the first time, gene expression was investigated in roots of ARD affected plants employing massive analysis of cDNA ends (MACE) and RT-qPCR. In reaction to ARD, genes in secondary metabolite production as well as plant defense, regulatory and signaling genes were upregulated whereas for several genes involved in primary metabolism lower expression was detected. For internal verification of MACE data, candidate genes were tested via RT-qPCR and a strong positive correlation between both datasets was observed. Comparison of apple 'M26' roots cultivated in ARD soil or γ-irradiated ARD soil suggests that typical defense reactions towards biotic stress take place in ARD affected plants but they did not allow responding to the biotic stressors attack adequately, leading to the observed growth depressions in ARD variants.

  7. Evaluating systemic semi-selective chemicals for the management of apple replant disease in fumigated and non-fumigated orchards systems

    Science.gov (United States)

    Apple Replant Disease (ARD) is a phenomenon where apple trees are stunted when replanted onto old apple soil, as the result of apple monoculture resulting in soil microbial changes where pathogenic and parasitic organism s predominate. The main soilborne organisms that cause ARD include oomycetes, f...

  8. Apple replant disease and the –omics: interaction of apple rootstock metabolome and the soil microbiome

    Science.gov (United States)

    Apple replant disease (ARD) negatively impacts tree health and reduces crop yield in new orchard plantings. Use of tolerant rootstock cultivars can diminish the growth limiting effects of ARD; however specific rootstock attributes enabling ARD tolerance are not understood. Systems biology tools were...

  9. A bio-product as alternative to methyl bromide for replant disease control on strawberry

    Institute of Scientific and Technical Information of China (English)

    Yu ZHANG; Tongle HU; Lijing JI; Keqiang CAO

    2008-01-01

    Pre-plant soil fumigation with methyl bromide (MB) is a standard practice for controlling soil-borne diseases especially for strawberry diseases. However, the application of MB will be forbidden in China in the year 2015. For this reason, a bio-product named Kangdi 3 was tested as an alternative to MB in strawberry greenhouses in Mancheng (Hebei Province) and Donggang (Liaoning province), China in 2005 and 2006. Methyl bromide at a normal dosage of 500 kg/hm2 and Kangdi 3 at three dosages of 750, 1500 and 2250 kg/hm2 were tested. Plots without any treatment were used as the control. During the growing stage, assessments were made on fungal communities in rhizosphere, growth status of strawberry, the disease levels on roots as well as the yields. Results showed that Kangdi 3 significantly reduced the quantity of fungi and the disease index, while enhancing strawberry growth and the yields compared with the untreated control. Therefore, Kangdi 3 is a great potential substitute for methyl bromide to control replant diseases in strawberry.

  10. D3.1 Deliverable. GDAR activity on Evaluation of biological active Formulates and strains for the biological control of replant disease

    OpenAIRE

    KAYMAK, Suat

    2014-01-01

    This report presents the GDAR activity on evaluation of biological active Formulates and strains for the biological control of apple replant disease. Eleven products were evaluated with a plant growth assay in pot using plantlets of MM104 rootstock to evaluate their effectivenes in controlling Phythophtora cactorum. The trial was perfotrmed with soil artificially inoculated with the pathogen.

  11. Unfavorable results in replantation

    OpenAIRE

    Abraham G Thomas

    2013-01-01

    Reattachment of amputated parts of the body (Replantation) has become a reality since the first arm replant was carried out six decades ago. Failures were not uncommon in the beginning, leading on to the analysis of the problem and refinements in technique. Improvements in sutures, instrumentation and better microscopes further helped the surgeons to do replantation with better finesse and functional results. Evaluation of results and particularly failure and long term results help the younge...

  12. Incidence and Pathogenicity of Plant-Parasitic Nematodes Associated with Blueberry (Vaccinium spp.) Replant Disease in Georgia and North Carolina

    Science.gov (United States)

    Jagdale, Ganpati B.; Holladay, Ted; Brannen, P. M.; Cline, W. O.; Agudelo, P.; Nyczepir, A. P.; Noe, J. P.

    2013-01-01

    Blueberry replant disease (BRD) is an emerging threat to continued blueberry (Vaccinium spp.) production in Georgia and North Carolina. Since high populations of ring nematode Mesocriconema ornatum were found to be associated with commercially grown blueberries in Georgia, we hypothesized that M. ornatum may be responsible for predisposing blueberry to BRD. We therefore tested the pathogenicity of M. ornatum on 10-wk-old Rabbiteye blueberries (Vaccinium virgatum) by inoculating with initial populations (Pi) of 0 (water control), 10, 100, 1,000. and 10,000 mixed stages of M. ornatum/pot under both greenhouse (25 ± 2°C) and field microplot conditions. Nematode soil population densities and reproduction rates were assessed 75, 150, 225, and 255, and 75, 150, 225, and 375 d after inoculation (DAI) in both the greenhouse and field experiments, respectively. Plant growth parameters were recorded in the greenhouse and field microplot experiments at 255 and 375 DAI, respectively. The highest M. ornatum population density occurred with the highest Pi level, at 75 and 150 DAI under both greenhouse (P Xiphinema spp. Paratrichodorus spp. was also found only in Georgia. In Georgia, our results indicate that blueberry is a host for M. ornatum and its relationship to BRD warrants further investigation. PMID:23833323

  13. Digit and hand replantation.

    Science.gov (United States)

    Beris, Alexandros E; Lykissas, Marios G; Korompilias, Anastasios V; Mitsionis, Gregory I; Vekris, Marios D; Kostas-Agnantis, Ioannis P

    2010-09-01

    For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care. Among various factors influencing the outcome, the most important are the type and the level of injury, ischemia time, history of diabetes, age, sex, and smoking history. During the replantation procedure, bone stabilization, tendon repair, arterial anastomoses, venous anastomoses, nerve coaptation, and skin coverage should be performed. All structures should be repaired primarily, unless a large nerve gap or a flexor tendon avulsion injury is present. Adequate postoperative evaluation is mandatory to avoid early or late complications. To improve functional results, many replantation patients may need further reconstructive surgery.

  14. Unfavorable results in replantation

    Directory of Open Access Journals (Sweden)

    Abraham G Thomas

    2013-01-01

    Full Text Available Reattachment of amputated parts of the body (Replantation has become a reality since the first arm replant was carried out six decades ago. Failures were not uncommon in the beginning, leading on to the analysis of the problem and refinements in technique. Improvements in sutures, instrumentation and better microscopes further helped the surgeons to do replantation with better finesse and functional results. Evaluation of results and particularly failure and long term results help the younger surgeons to learn from the difficulties faced earlier to do better in the future. An attempt is made to list various aspects of replantation experienced by the author during the past 30 years, particularly in reference to unfavorable results, which had been occasionally total failure, or a partial failure, with poor function and cosmesis due to infection. An insensate limb with poor function is the result of inadequate or improper nerve coaptation or infection destroying the whole repair. It is apt to mention that infection is mostly the result of poor vascularity due to devitalized tissue. Difficulties arise often in identifying the viable tissue, particularly while debriding in the distal amputated part since there is no bleeding. Experience counts in this, specifically to identify the viable muscle. The factors that may lead to complications are listed with remarks to avoid them.

  15. Unfavorable results in replantation.

    Science.gov (United States)

    Thomas, Abraham G

    2013-05-01

    Reattachment of amputated parts of the body (Replantation) has become a reality since the first arm replant was carried out six decades ago. Failures were not uncommon in the beginning, leading on to the analysis of the problem and refinements in technique. Improvements in sutures, instrumentation and better microscopes further helped the surgeons to do replantation with better finesse and functional results. Evaluation of results and particularly failure and long term results help the younger surgeons to learn from the difficulties faced earlier to do better in the future. An attempt is made to list various aspects of replantation experienced by the author during the past 30 years, particularly in reference to unfavorable results, which had been occasionally total failure, or a partial failure, with poor function and cosmesis due to infection. An insensate limb with poor function is the result of inadequate or improper nerve coaptation or infection destroying the whole repair. It is apt to mention that infection is mostly the result of poor vascularity due to devitalized tissue. Difficulties arise often in identifying the viable tissue, particularly while debriding in the distal amputated part since there is no bleeding. Experience counts in this, specifically to identify the viable muscle. The factors that may lead to complications are listed with remarks to avoid them.

  16. Tetanus following replantation of an amputated finger: a case report

    Directory of Open Access Journals (Sweden)

    Hayashida Kenji

    2012-10-01

    Full Text Available Abstract Introduction Tetanus is an infectious disease caused by tetanus toxin produced by Clostridium tetani and induces severe neurological manifestations. We treated a patient who developed tetanus during hospitalization for replantation of an amputated finger. To the best of our knowledge, this is the first published case report of such an entity. Case presentation A 49-year-old Japanese man had an amputation of his right middle finger at the distal interphalangeal joint region in an accident at work. His middle finger was successfully replanted, but his fingertip was partially necrotized because of crushing and so additional reconstruction with a reverse digital arterial flap was performed 15 days after the injury. Tetanus developed 21 days after replantation of the middle finger, but symptoms remitted via rapid diagnosis and treatment. Conclusions In replantation after finger trauma with exposure of nerve and blood vessel bundles, concern over injuring nerves and blood vessels may prevent irrigation and debridement from being performed sufficiently; these treatments may have been insufficiently performed in this patient. It is likely that the replanted middle finger partially adhered, and Clostridium tetani colonized the partially necrotized region. Even when there is only limited soil contamination, administration of tetanus toxoid and anti-tetanus immunoglobulin is necessary when the fingers are injured outdoors and the finger nerves and blood vessels are exposed. The drugs should be administered just after replantation if the finger has been amputated. However, if clinicians pay attention to the possibility of tetanus development, treatment can be rapidly initiated.

  17. Successful microsurgical replantation of an amputated penis

    Directory of Open Access Journals (Sweden)

    Sanchit Garg

    2016-01-01

    Full Text Available Penile amputation is an uncommon injury for which immediate surgical replantation is warranted. Microsurgical replantation is the “standard” method for penile replantation. Early replantation yields a high success and low complication rate. We report a case of a 34-year-old male who presented with amputation at the proximal penile shaft which was successfully replanted using microsurgical techniques. Minor skin necrosis was noted post-operatively which was debrided and covered with skin graft. Follow-up at 6 months showed satisfactory cosmetic appearance, normal voiding, return of sensations and erectile function. The level of evidence was V.

  18. Spatial Distribution of Coffee Wilt Disease Under Roguing and Replanting Conditions: A Case Study from Kaweri Estate in Uganda.

    Science.gov (United States)

    Pinard, F; Makune, S E; Campagne, P; Mwangi, J

    2016-11-01

    Based on time and spatial dynamic considerations, this study evaluates the potential role of short- and long-distance dispersal in the spread of coffee wilt disease (CWD) in a large commercial Robusta coffee estate in Uganda (Kaweri, 1,755 ha) over a 4-year period (2008 to 2012). In monthly surveys, total disease incidence, expansion of infection foci, and the occurrence of isolated infected trees were recorded and submitted to spatial analysis. Incidence was higher and disease progression faster in old coffee plantings compared with young plantings, indicating a lack of efficiency of roguing for reducing disease development in old plantings. At large spatial scale (approximately 1 km), Moran indices (both global and local) revealed the existence of clusters characterized by contrasting disease incidences. This suggested that local environmental conditions were heterogeneous or there were spatial interactions among blocks. At finer spatial scale (approximately 200 m), O-ring statistics revealed positive correlation between distant infection sites across distances as great as 60 m. Although these observations indicate the role of short-distance dispersal in foci expansion, dispersal at greater distances (>20 m) appeared to also contribute to both initiation of new foci and disease progression at coarser spatial scales. Therefore, our results suggested the role of aerial dispersal in CWD progression.

  19. Function of the replanted spleen in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Velcek, F.T.; Kugaczewski, J.T.; Jongco, B.; Shaftan, G.W.; Rao, P.S.; Schiffman, G.; Kottmeier, P.K.

    1982-06-01

    The function of replanted splenic fragments was studied by comparing three groups of five dogs each, one group with intact spleens; one, post-splenectomy; and one with splenic replantation. Fifteen fragments were implanted into the omentum. Howell-Jolly bodies appeared after splenectomy but cleared in the replanted group after several months. /sup 125/I-tagged attenuated pneumococcal clearance studies showed a significant difference between control and replanted group compared with the splenectomized group. The increase of pneumococcal antibody titers after vaccination differed significantly between the splenectomized and the replanted group. All replanted fragments were viable and showed growth over a 2-year period. These studies demonstrate that omental replantation of the canine spleen leads to the maintenance of certain functional splenic parameters comparable to the normal spleen which are significantly different from the splenectomized animal.

  20. Digit Replantation The First 50 Years.

    Science.gov (United States)

    Hadley, Scott R; Capo, John T

    2015-06-01

    Since the first successful digit replantation by Japanese surgeons Komatsu and Tamai, the past half century has seen the field of digit replantation in the USA experience exponential growth followed by a steady decline in volume of cases and percentage of successful viable digits. The initial enthusiasm and technical progress of digital replantation has been tempered by mediocre functional outcomes, rising healthcare costs, and limited healthcare resources. The history and approach to digit replantation is reviewed and highlights the likely push toward the development of regional replant centers staffed by highly skilled teams to improve the functional outcomes following these complex procedures. More than 50 years have passed since the first successful digit replantation by Komatsu and Tamai who replanted a sharply amputated thumb in a 28-year-old male at the metacarpal-phalangeal joint level in a 4.5 hour procedure. Two arteries and 2 veins were anastomosed using 8-0 monofilament nylon and 7-0 braided silk suture. The patient remained in the hospital for 40 days and did not return to work for 4 months. News of this triumph of microvascular skill was heralded throughout the world as the first successful replantation of a completely amputated digit. Over the past half century, the field of digit replantation in the USA experienced exponential growth followed by a steady decline in volume of cases and percentage of successful viable digits. The initial enthusiasm and technical progress of digital replantation has been tempered by mediocre functional outcomes, rising healthcare costs, and limited healthcare resources. In the next 50 years, it is possible that the majority of digit replantation procedures in the USA may be performed in tertiary centers or regional replant centers by highly skilled teams.

  1. Delayed replantation of avulsed teeth

    Directory of Open Access Journals (Sweden)

    Adil N

    2007-05-01

    Full Text Available Dental injuries are very common and their extent has been classified by Ellis. Avulsion of tooth is a grievous injury and ranges from 1-16% among the traumatic injuries, of which maxillary anterior are commonest. Reimplantation of avulsed teeth is a standard procedure. However, it has certain limitations. Most often their management is very challenging. In this case report we are presenting the management of maxillary incisors by replantation after 36 hrs in a 12 year old girl.

  2. Replantation (Finger, Hand, or Arm)

    Science.gov (United States)

    ... per month. The number of inches from the injury to the tip of a finger gives the minimum number of months after which ... Replantation refers to the surgical reattachment of a finger, hand, or arm that has been completely cut from a person’s ... 2017 by American Society for Surgery of the Hand × Search Tips Tip 1: Start with the basics like "carpal ...

  3. Replantation of ring avulsion amputations

    Directory of Open Access Journals (Sweden)

    Sabapathy R

    2003-01-01

    Full Text Available Replantation of ring avulsion injuries is a challenge because of the long segment damage to the vessels and intrinsic damage caused to soft tissues at the proximal edge of the amputation. Eight patients with total ring avulsion amputations underwent microsurgical replantation in the period 1994 to 2002. Arterial repair was done by direct vessel suture in three patients, interposition vein grafts in two and cross anastomosis of the digital arteries in three patients. Venous anastomosis was carried out by mobilization and direct suture in seven patients and vessel transfer from the adjacent finger in one patient. Seven of the eight replantations were successful, while one patient had a partial failure. At a minimum follow-up of one year, these patients showed good functional and cosmetic recovery. All successful patients were happy with the outcome and none have requested for amputation, even those whose results were not functionally adequate. However, in addition to technical factors, it is important to evaluate the patient's motivation to undergo not only the long surgery, but also multiple secondary procedures and regular supervised physiotherapy. We also describe a simple method which prevents the soft tissues inside the degloved digit from becoming wrapped around the K wire during bony fixation, thus making one step of this technically challenging procedure a little easier.

  4. Replantation of an amputated upper lip.

    Science.gov (United States)

    Husami, T W; Cervino, A L; Pennington, G A; Douglas, B K

    1992-01-01

    Soft tissue defects of the face are a difficult reconstructive problem. Replantation of large amputated segments of the face has been rarely successful and has lagged well behind extremity trauma due in part to the relative rarity of these defects. Presented is a case of successful microvascular replantation of half of the upper lip after a dog bite.

  5. Replantation of upper extremity, hand and digits.

    Science.gov (United States)

    Bumbasirević, Marko Z; Vucković, Cedo D; Vucetić, Cedomir; Manojlović, Radovan; Andjelkovic, Sladjana Z; Palibrk, Tomislav D; Milutinović, Suzana M; Raspopović, Emilija Dubljanin

    2013-01-01

    Replantation is defined as reattachment of the part that has been completely amputated and there is no connection between the severed part and the patient. In Boston in 1962 Malt successfully replanted a completely amputated arm of a 12-year-old boy. Komatsu and Tamai reported the first successful replantation of an amputated digit by microvascular technique. There are no strict indications and contraindications for replantation. It's on surgeon to explain to the patient the chances of success of viability, expected function, length of operation, hospitalization and long rehabilitation protocol. Survival and useful function in replantation of upper extremity amputations is questionable. Success depends on microvascular anastomoses, but the final function is related with tendon, nerve, bone and joint repair.

  6. Illumina amplicon sequencing of 16S rRNA tag reveals bacterial community development in the rhizosphere of apple nurseries at a replant disease site and a new planting site.

    Directory of Open Access Journals (Sweden)

    Jian Sun

    Full Text Available We used a next-generation, Illumina-based sequencing approach to characterize the bacterial community development of apple rhizosphere soil in a replant site (RePlant and a new planting site (NewPlant in Beijing. Dwarfing apple nurseries of 'Fuji'/SH6/Pingyitiancha trees were planted in the spring of 2013. Before planting, soil from the apple rhizosphere of the replant site (ReSoil and from the new planting site (NewSoil was sampled for analysis on the Illumina MiSeq platform. In late September, the rhizosphere soil from both sites was resampled (RePlant and NewPlant. More than 16,000 valid reads were obtained for each replicate, and the community was composed of five dominant groups (Proteobacteria, Acidobacteria, Bacteroidetes, Gemmatimonadetes and Actinobacteria. The bacterial diversity decreased after apple planting. Principal component analyses revealed that the rhizosphere samples were significantly different among treatments. Apple nursery planting showed a large impact on the soil bacterial community, and the community development was significantly different between the replanted and newly planted soils. Verrucomicrobia were less abundant in RePlant soil, while Pseudomonas and Lysobacter were increased in RePlant compared with ReSoil and NewPlant. Both RePlant and ReSoil showed relatively higher invertase and cellulase activities than NewPlant and NewSoil, but only NewPlant soil showed higher urease activity, and this soil also had the higher plant growth. Our experimental results suggest that planting apple nurseries has a significant impact on soil bacterial community development at both replant and new planting sites, and planting on new site resulted in significantly higher soil urease activity and a different bacterial community composition.

  7. Successful replantation in 10-digit complete amputations.

    Science.gov (United States)

    Qing-tai, L; Chang-qing, J Z; Ke-fei, Y; Sha-ling, C; Jan, L; Zun-ying, L

    1996-08-01

    We report a case of successful replantation of 10-digit complete amputations. The conditions of the wounds over the ends of the 10 amputated digits are bound to vary; some are too severe to be replanted, while others may be light and easy for replantation. We reported a case of 10-digit complete amputations, with severe avulsion injuries over four fingers. Appropriate measures were taken during surgery, and the replanted digits all survived. The replantation operation was done by a team of surgeons, although the surgeons were physically challenged by the long and difficult procedures. However, it was the great pleasure of the surgeons to work hard and whole-heartedly for the benefit of the patient. Postoperative physiotherapy and exercises were done. After 6 months, the functions of both hands had been largely recovered. Complete amputations of 10 digits as a rule result in multiple complicated wounds. The replantation procedure for these conditions is not an easy endeavor because there are numerous blood vessels that need to be anastomosed, the time of the operation will be dreadfully long, and also there is the danger of the occurrence of vascular crises during the postoperative period. It is difficult to achieve successful survival of all 10 amputated digits after replantation.

  8. Delayed replantation after prolonged dry storage

    Directory of Open Access Journals (Sweden)

    Anita Rao

    2014-01-01

    Full Text Available Management of tooth avulsion in the permanent dentition often presents a challenge. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a patient with an avulsed maxillary permanent incisor that had been air-dried for about 40 h. The replanted incisor retained its esthetic appearance and functionality 1 year after replantation, yet the long-term prognosis is not good because of progressive replacement root resorption.

  9. The psychological rehabilitation nursing of the patients who have ten- finger complete amputation and survived after replantation

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To explore the mental dynamic change of the ten -finger replanted patients, to give psychological rehabilitation guidance, and to improve the survival of the replantation and function recovery. Methods Take psychological investigation with Scl-90 at different periods after operation, judge the exsisting negative psychological factors, and find the countermeasure of solution. Enable the patients to break away from the negative mentations in short period. Results Through the 1 -week, 8 -week and 16 -week Scl - 90 measurements after operation, we found that all the items' score of the three times measurement was higher thanthe usual modellp <0. 05), and fiufuated up and down with mental charadedstics of different phases. The assessment of the replantation of the severed finger was good. Conclusion The psychological state of the patient would affect the survivial and function recovery of the replantation of severed finger directly. 5o the psychological rehabilitation nursing should be performed throughout the disease.

  10. [Partial replantation following proximal limb injury].

    Science.gov (United States)

    Dubert, T; Malikov, S A; Dinh, A; Kupatadze, D D; Oberlin, C; Alnot, J Y; Nabokov, B B

    2000-11-01

    Proximal replantation is a technically feasible but life-threatening procedure. Indications must be restricted to patients in good condition with a good functional prognosis. The goal of replantation must be focused not only on reimplanting the amputated limb but also on achieving a good functional outcome. For the lower limb, simple terminalization remains the best choice in many cases. When a proximal amputation is not suitable for replantation, the main aim of the surgical procedure must be to reconstruct a stump long enough to permit fitting a prosthesis preserving the function of the adjacent joint. If the proximal stump beyond the last joint is very short, it may be possible to restore some length by partial replantation of spared tissues from the amputated part. We present here the results we obtained following this policy. This series included 16 cases of partial replantations, 14 involving the lower limb and 2 the upper limb. All were osteocutaneous microsurgical transfers. For the lower limb, all transfers recovered protective sensitivity following tibial nerve repair. The functional calcaeoplantar unit was used in 13 cases. The transfer of this specialized weight bearing tissue provided a stable distal surface making higher support unnecessary. In one case, we raised a 13-cm vascularized tibial segment covered with foot skin for additional length. For the upper limb, the osteocutaneous transfer, based on the radial artery, was not reinnervated, but this lack of sensitivity did not impair prosthesis fitting. One vascular failure was finally amputated. This was the only unsuccessful result. For all other patients, the surgical procedure facilitated prosthesis fitting and preserved the proximal joint function despite an initially very proximal amputation. The advantages of partial replantation are obvious compared with simple terminalization or secondary reconstruction. There is no secondary donor site and, because there is no major muscle mass in the

  11. Digital replantation teaching model in rats.

    Science.gov (United States)

    Ad-El, D D; Harper, A; Hoffman, L A

    2000-01-01

    Replant surgery is a complex procedure that requires advanced microsurgical skills and is usually performed as an emergency operation, lasting many hours. For these reasons, teaching replantation is difficult. Although teaching models exist, they are often too general or complicated for routine use and do not simulate the stages and the pitfalls of human replant surgery. We have designed a model that is simple and imitates human replant surgery. After reviewing the rat anatomy, students dissect and replant a rat hind limb that has been sharply amputated by the instructor. They follow the same principles of "real" surgery like debridement, minimizing ischemia time, and stable fixation before anatomosis of vessels. After marking the structures, bony fixation followed by vessel and nerve anastomosis are performed. Muscle is reattached to the skin and limb vascularity evaluated. After we designed this model, plastic surgery residents performed the technique on 10 rats. An 80% limb viability rate was achieved. This model is simple to perform, simulates all the relevant structures and pitfalls of human surgery, and the rats are relatively cheap and can be used for other parallel projects.

  12. The replanting campaign has begun

    CERN Multimedia

    GS-SEM Group - General Infrastructure and Services Department

    2010-01-01

    The poplars on the border of CERN's Prévessin site were felled, according to plan, on Friday, 26 February. The work was essential as the trees were showing signs of serious ageing problems (broken and dead branches, weakened trunks and root systems, etc.) and needed to be felled to ensure the safety of drivers on the D35 The trees that have been cut will be transformed into renewable energy wood chips and used to heat local schools and crèches. They will be replaced by a hedge of hornbeams, a native fast-growing tree, which will be planted in the spring.     The felling operation was entrusted to the French national forestry authorities, with the support of the Bellegarde-Pays de Gex Agence Routière et Technique. It marks the start of a vast poplar-felling and replanting campaign, which will be extended to CERN's Meyrin site.  The work is part of CERN's general renovation and site planning scheme for the future.    

  13. Timing of pulp extirpation for replanted avulsed teeth.

    LENUS (Irish Health Repository)

    Stewart, Chris

    2009-01-01

    A search was performed (April 2004) across four databases, namely Ovid Medline, Cochrane Library, PubMed and Web of Science, relevant to the proposed PICO ( Patient or problem, Intervention, Comparison, Outcome) question: (P) for a replanted avulsed permanent tooth, (I) is early pulp extirpation within 10-14 days of replantation, (C) compared with delayed pulp extirpation, (O) associated an increased likelihood of successful periodontal healing after tooth replantation. Only articles published in the English language were considered.

  14. Nonsurgical factors of digital replantation and survival rate A metaanalysis

    Directory of Open Access Journals (Sweden)

    Huawei Yu

    2015-01-01

    Full Text Available The aim of this metaanalysis was to evaluate the association between nonsurgical factors and survival rate of digital replantation. A computer search of MEDLINE, OVID, EMBASE and CNKI databases was conducted to identify literatures for digital replantation, with the keywords of "digit," "finger" and "replantation" from their inception to June 10, 2014. Based on the inclusion and exclusion criteria, data were extracted independently by two authors using piloted forms. Review Manager 5.2 software was used for data analysis. The effect of some nonsurgical factors (gender, age, amputated finger, injury mechanisms, ischemia time and the way of preservation on the survival rate of digital replantation was assessed. The metaanalysis result suggested that gender and ischemia time had no significant influence on the survival rate of amputation replantation. However, the survival rate of digital replantation of adults was significantly higher than that of children. The guillotine injury of a finger was easier to replant successfully than the crush and avulsion. The little finger was more difficult for replantation than thumb. Survival rate of fingers stored in low temperature was higher than that in common temperature. The present metaanalysis suggested that age, injury mechanism, amputated finger and the way of preservation were significantly associated with the survival rate of digital replantation.

  15. Endodontic\\\\\\'s view of replantation

    OpenAIRE

    A. Vahid

    1992-01-01

    Replantation means replacement of an avulsed tooth. The most important issue is preserving periodontal health during the process. Therefore, root irrigation or drying should be avoided and tooth should be replaced at soonest time possible. Dental socket should be irrigated by warm normal saline without any curettage. Then, it should be splinted by considering function. After 2 weeks, endodontic therapy should be commenced in order to ameliorating periodontium condition and c...

  16. Coordinated effects of root autotoxic substances and Fusarium oxysporum Schl. f. sp. fragariae on the growth and replant disease of strawberry

    Institute of Scientific and Technical Information of China (English)

    Xusheng ZHAO; Wenchao ZHEN; Yongzhi QI; Xuejing LIU; Baozhong YIN

    2009-01-01

    Effects of hydroxybenzoic acid, an important autotoxic substance in roots, on plant growth, photosynth-esis and Fusarium oxysporum occurrence in succession cropping of strawberry were evaluated in this paper. It was found that plant growth was negatively regulated by hydroxybcnzoic acid or inoculation with E oxysporum. Compared with these single factor treatments, the combination of the hydroxybenzoic acid treatment and E oxysporum inoculation caused more severe inhibition in plant growth, greatly enhanced the occurrence of disease symptoms, and significantly decreased the chlorophyll content, net photosynthetic rate, transpiration rate, stomatal conductance and intercellular CO2 concentration. In the meantime, the chlorophyll fluorescence parameters in strawberry were also significantly affected. After the application of hydroxybenzoic acid, the original chlor-ophyll fluorescence rapidly increased, resulting in a combined corresponding decrease in the maximum chlorophyll fluorescence and the chlorophyll fluorescence transformation efficiency. The effects of hydroxybenzoic acid treatment on the above chlorophyll fluorescence parameters from inoculation were delayed. Similarly, the coordination of hydroxybenzoic acid and E oxysporum showed an elevated negative effect on the degree of inhibition of leaf photosynthesis more than the single factor treatments.

  17. Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations

    Directory of Open Access Journals (Sweden)

    H Venkatramani

    2011-01-01

    Full Text Available Fingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip replantations in 24 patients done over a period of 8 years since the year 2000. Twenty-one fingertips survived. The most common affected digit in the series was thumb followed by index, middle, and ring. The overall success rate was 87%. Both arterial and venous repair were done in all cases. Replantation was not done if no suitable vein was found for anastomosis. Nine patients did not have nerve repair. Seven of them survived and all of them had satisfactory sensation when examined after 1 year. No patient suffered from cold intolerance. All patients were satisfied with the functional outcome and aesthetic appearance. This article highlights the technical considerations and the outcome of these fingertip replants.

  18. Fingertip replantations: clinical evaluation of 135 digits.

    Science.gov (United States)

    Kim, W K; Lim, J H; Han, S K

    1996-09-01

    From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base of zone II for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long-term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).

  19. Intentional extraction and replantation: the last resort.

    Science.gov (United States)

    Abdurahiman, V T; Jolly, Sanju John; Khader, M Abdul

    2013-01-01

    The importance of the first molar in the development of occlusion is well-known. The difficulties when first molar is not there during the eruption of the second molar and the premolar don't have to be explained much. The construction of a space maintainer in the area of missing first molar is difficult when seven and five are not erupted. The article highlights a case where a grossly decayed first molar with repeated endodontic failures was treated by intentional extraction and replantation as a last resort. A follow-up along with indications and considerations are documented.

  20. Intentional extraction and replantation: The last resort

    Directory of Open Access Journals (Sweden)

    V T Abdurahiman

    2013-01-01

    Full Text Available The importance of the first molar in the development of occlusion is well-known. The difficulties when first molar is not there during the eruption of the second molar and the premolar don′t have to be explained much. The construction of a space maintainer in the area of missing first molar is difficult when seven and five are not erupted. The article highlights a case where a grossly decayed first molar with repeated endodontic failures was treated by intentional extraction and replantation as a last resort. A follow-up along with indications and considerations are documented.

  1. Reverse Distal Transverse Palmar Arch in Distal Digital Replantation.

    Science.gov (United States)

    Wei, Ching-Yueh; Orozco, Oscar; Vinagre, Gustavo; Shafarenko, Mark

    2017-07-22

    Refinements in microsurgery have made distal finger replantation an established technique with high success rates and good functional and aesthetic outcomes. However, it still represents a technically demanding procedure due to the small vessel caliber and frequent lack of vessel length, requiring the use of interpositional venous grafts in some instances. We describe a new technique for anastomosis in fingertip replantation, whereby the need for venous grafts is eliminated. Applying the reverse distal transverse palmar arch technique, 11 cases of distal digital replantation were performed between January 2011 and July 2016. The described procedure was used for arterial anastomosis in 10 cases and arteriovenous shunting for venous drainage in 1 case. A retrospective case review was conducted. The technical description and clinical outcome evaluations are presented. Ten of the 11 replanted digits survived, corresponding to an overall success rate of 91%. One replant failed due to venous insufficiency. Blood transfusions were not required for any of the patients. Follow-up (range, 1.5-5 months) revealed near-normal range of motion and good aesthetic results. All of the replanted digits developed protective sensation. The average length of hospital admission was 5 days. All patients were satisfied with the results and were able to return to their previous work. The use of the reverse distal transverse palmar arch is a novel and reliable technique in distal digital replantation when an increase in vessel length is required, allowing for a tension-free arterial repair without the need for vein grafts.

  2. Replantation vs revision amputation in single digit zone II amputations.

    Science.gov (United States)

    El-Diwany, M; Odobescu, A; Bélanger-Douet, M; Berbiche, D; Arsenault, J; Bou-Merhi, J; Harris, P G; Danino, A M

    2015-06-01

    The objective of this study was to compare the functional outcomes of zone II amputations treated with either replantation or revision amputation at our institution to better aid patients in their decision making process regarding these treatment options. We conducted a comparative retrospective study. All cases of single digit amputations received at our replantation center between 2007 and 2011 were screened for single digit zone II injuries. These patients were stratified based on the treatment received: replantation vs revision amputation. Patients were called and invited to participate in the research project. Those who accepted to enter the study were asked to complete the Quick-DASH, the Beck Depression Inventory-short form, and a custom made questionnaire. There were seventeen patients with single digit zone II replantation and fourteen patients with similar injuries who underwent revision amputation and agreed to take part in the study. Our data revealed that the duration of sick leave, occupation after injury, professional and social reintegration, discontinued activities, and self-confidence were not statistically different between the two groups. The average hospital stay and the follow-up period of replanted individuals were longer. The replantation group did not have higher levels of pain or cold intolerance, and the global functional and esthetic satisfaction levels were similar between the two groups. Also, Beck Depression Inventory and Quick-DASH scores were not statistically different. Yet, significantly more patients in the replantation group would opt to repeat the replantation than revised patients would opt for revision amputation. From a functional viewpoint, our study suggests that revision amputation is not superior to replantation in zone II single digit amputations. This is valuable information that should be given to patients when deciding on the treatment process and to insure a proper informed consent. Copyright © 2015. Published by

  3. DENTAL CARE FOR CHILDREN AFTER REPLANTATION OF AVULSED PERMANENT INCISORS

    Directory of Open Access Journals (Sweden)

    Rossitza Kabaktchieva

    2016-12-01

    Full Text Available The diagnosis avulsion of permanent tooth/teeth is an emergency situation which has special requirements in respect of proper storage of the avulsed tooth, the need of urgent medical/dental care, time past till replantation and splinting, the need for endodontic treatment and long term follow up period. Those clinical actions depend on three groups: parents/people who are with the child in the moment when trauma happens and give the first aid; dental specialist- surgeon who replants the tooth/teeth; dental specialist- endodontist who takes care of the endodontic treatment and the long period after treatment for follow up and observation of the replanted teeth. The aim of the paper is to present the dental postoperative care in a couple of cases of children with trauma and replanted avulsed permanent incisors. Material and methods: We present four clinical cases of children who get 6 permanent upper incisors replanted. Replantation is made by the oral surgeon. Treatment and observation after replantation are made by dental specialists of pediatric dentistry and conservative dentistry. All 4 cases get 3 years follow up period. Results: After replantation of 2 central incisors with complete root development (first clinical case the left one has developed a resorption of the root but the right one is in a stable condition. Replantation of 3 teeth with incomplete root development (second and third clinical cases where the patients refer to specialized surgical care less than 60 minutes after injury and store the teeth in different ways lead to different clinical results. In the case of avulsed upper right incisor (second case, it is stored in milk and we observe revascularization followed by partial root canal obliteration. The tooth is scheduled for endodontic treatment. In the case of upper central incisors, both kept dry till replantation in the alveolus filled up with substitute bone, we observe fast root resorption which going to lead to early

  4. Cross-over limb replantation: a case report.

    Science.gov (United States)

    Holmes, W J M; Williams, A; Everitt, K J M; Kay, S P J; Bourke, G

    2013-10-01

    Following traumatic bilateral arm amputation in a 46-year-old woman, orthotopic replantation was not possible. The patient underwent replantation of the left forearm to the right proximal forearm. At two years she has a sensate hand, with good recovery of her long flexors of the hand and wrist extensors. DASH score is 93.9 and Chen's score is III (medium). We demonstrate a high level of function compared to the contralateral prosthetic limb. There have only been four similar cases described. Although a rare circumstance, a cross-limb replant can provide a level of function and independence superior to a simple prosthesis. Cross-limb transfer should be considered in situations where bilateral arm amputation is present and neither can be orthotopically replanted.

  5. Replantation of multiple digits and hand amputations: four case reports

    OpenAIRE

    Salah, Mohammed Murshid; Khalid, Khalid N

    2008-01-01

    This study reports four cases of hand avulsion at the proximal wrist level and multiple digits amputation were received in plastic and hand surgery unit during the year 2007–2008. All patients were male labors between 22–30 years old, and the amputation due to machine injuries. Successful replantation were achieved, after a period of follow up with occupational therapy all patients regain good functional and cosmetic results. This study proves the strong indication of replantation of multiple...

  6. [Experiment and clinical application of squeezing technique in venous crisis after replantation of finger].

    Science.gov (United States)

    Chen, H; Zhu, Z; Xu, G

    1997-11-01

    In search of a new method for treating venous crisis after replantation of the finger, the effect of instantaneous, quick and forceful squeezing on the belly of replanted finger (the so-called SQUEEZINGG TECHNIQUE) was studied. In the animal experiment, 20 SD rats were used. The femoral veins and arteries were separated in order to measure the venous pressure. The result showed that the venous pressure was (8.33 +/- 1.29) x 10(-2) kPa in normal condition, (20.61 +/- 2.34) x 10(-2) kPa in the condition simulating venous crisis and (73.9 +/- 5.74) x 10(-2) kPa on carrying out the squeezing technique. The second part of the experiment was performed on ten human fingers which were amputated because of trauma or other diseases. One of the arteriae digitales palmares propriae and two of its accompanied veins were disected, and all other blood vessels were ligated. The artery was irrigated with normal saline at a pressure of 12 kPa. When both veins were left open, the venous pressure was (1.32 +/- 0.17) kPa; (4.29 +/- 0.49) kPa, when both were ligated; and (16.88 +/- 5.25) kPa when the squeezing technique was applied at the time venous crisis developed. From May 1991 to May 1996, this method was used for 43 times in 25 cases (35 fingers) with venous crisis after replantation. It was successful for 39 times in 21 cases (30 fingers). It was very important that the performer should use the thumb and the index finger to squeeze just the belly of the involved finger, and that every squeeze should be forceful, quick and instantaneous. It was suggested that if this method was properly performed it could improve the survival rate of replanted fingers. The mechanism of squeezing technique in the treatment of venous crisis following replantation of finger was proposed.

  7. Replantation versus prosthetic fitting in traumatic arm amputations : A systematic review

    NARCIS (Netherlands)

    Otto, Iris A.; Kon, Moshe; Schuurman, AH; Van Minnen, L. Paul

    2015-01-01

    Background: Traumatic arm amputations can be treated with replantation or surgical formalization of the stump with or without subsequent prosthetic fitting. In the literature, many authors suggest the superiority of replantation. This systematic review compared available literature to analyze whethe

  8. Advantages of using volar vein repair in finger replantations.

    Science.gov (United States)

    Mersa, Berkan; Kabakas, Fatih; Pürisa, Hüsrev; Özçelik, Ismail Bülent; Yeşiloğlu, Nebil; Sezer, Ilker; Tunçer, Serdar

    2014-01-01

    Providing adequate venous outflow is essential in finger replantation surgeries. For a successful result, the quality and quantity of venous repairs should be adequate to drain arterial inflow. The digital dorsal venous plexus is a reliable source of material for venous repairs. Classically, volar digital veins have been used only when no other alternative was available. However, repairing volar veins to augment venous outflow has a number of technical advantages and gives a greater chance of survival. Increasing the repaired vein:artery ratio also increases the success of replantation. The volar skin, covering the volar vein, is less likely to be avulsed during injury and is also less likely to turn necrotic, than dorsal skin, after the replantation surgery. Primary repair of dorsal veins can be difficult due to tightness ensuing from arthrodesis of the underlying joint in flexion. In multiple finger replantations, repairing the volar veins after arterial repair and continuing to do so for each finger in the same way without changing the position of the hand and surgeon save time. In amputations with tissue loss, the size discrepancy is less for volar veins than for dorsal veins. We present the results of 366 finger replantations after volar vein repairs.

  9. Electronic tools for infectious diseases and microbiology.

    Science.gov (United States)

    Burdette, Steven D

    2007-11-01

    Electronic tools for infectious diseases and medical microbiology have the ability to change the way the diagnosis and treatment of infectious diseases are approached. Medical information today has the ability to be dynamic, keeping up with the latest research or clinical issues, instead of being static and years behind, as many textbooks are. The ability to rapidly disseminate information around the world opens up the possibility of communicating with people thousands of miles away to quickly and efficiently learn about emerging infections. Electronic tools have expanded beyond the desktop computer and the Internet, and now include personal digital assistants and other portable devices such as cellular phones. These pocket-sized devices have the ability to provide access to clinical information at the point of care. New electronic tools include e-mail listservs, electronic drug databases and search engines that allow focused clinical questions. The goal of the present article is to provide an overview of how electronic tools can impact infectious diseases and microbiology, while providing links and resources to allow users to maximize their efficiency in accessing this information. Links to the mentioned Web sites and programs are provided along with other useful electronic tools.

  10. Lower limb replantations: indications and a new scoring system.

    Science.gov (United States)

    Battiston, Bruno; Tos, Pierluigi; Pontini, Italo; Ferrero, Sebastiano

    2002-01-01

    The need for reconstruction of lower limb amputations is increasing, due to high-energy trauma in road accidents and work-related injuries. The indication for lower limb replantation is still controversial. Compared with upper limb replantations, indications are more select due to the frequent complications in lower limb salvage procedures, such as severe general complications or local complications such as necrosis, infections, nonunions, the need for secondary lengthening, or other reconstructive procedures. The satisfactory results given by artificial prosthesis, such as quicker recovery time and fewer secondary procedures, also contribute to the higher degree of selection for lower limb replantation candidates. Since 1993, we have replanted 14 amputations of the lower limb in 12 patients, including 2 bilateral cases. Although survival of the replanted segment was obtained in all patients, 5 cases were subsequently amputated for severe secondary complications. Of the remaining 9 cases, evaluated by means of Chen criteria, 7 had good results (3 Chen I and 4 Chen II), 1 sufficient (Chen III), and 1 poor (Chen IV). The best results were obtained in young patients. Our experience led us to examine the necessity for careful, objective patient selection. We developed a score evaluation system by modifying the international classifying method for severe limb traumas (mangled extremity severity score, or MESS system). This relatively simple system, based on the retrospective study of our cases, considers several parameters (patient's age, general conditions, level and type of lesion, time of injury, and associated lesions), giving each one a score. The total score gives the indication for replantation, predicts the functional outcome, and facilitates decision-making.

  11. Analysis of Bone Fixation Methods in Digital Replantation

    Science.gov (United States)

    Lee, Seung Woo; Kim, Jin Soo; Roh, Si Young; Lee, Kyung Jin

    2017-01-01

    Background Adequate fixation of replanted digits is essential not only for short-term healing but for long-term function. Various bony fixation methods using Kirschner (K-) and intraosseous wire are available in replantation. We examined clinical and radiographic outcomes of fixation methods on bone union after digital replantation. Methods A single institutional retrospective review identified 992 patients who had undergone 1,247 successful replantations between July 2009 and September 2015. Exclusion criteria included amputations of the distal phalanx, comminuted fractures, and intra-articular fractures. Patients were classified according to 5 categories of fixation methods: single K-wire, double longitudinal K-wires, cross K-wires, wire with, and wire without K-wire support. Bone union was evaluated by 5-month postoperative X-ray and fixation outcomes were compared across the 5 groups. Results The exclusion criteria were applied, and 88 patients with 103 replanted digits remained for analysis. Single K-wire fixation was used in 40 digits, double longitudinal K-wires in 30, and cross fixation in 14. Wire with and without K-wire support was required in 15 and 4 digits. Nonunion was observed in 32 digits (31.1%), of which 13 required additional operations such as bone graft or corrective osteotomy. The highest percent of nonunion was observed after cross fixation (35.7%) and the lowest after wire alone (25.0%). Conclusions In this study, contrary to general knowledge, we found that single K-wire fixation was not associated with poorer outcomes. Successful bone union outcomes may be achieved by careful selection of bone fixation methods. This study provides useful information for planning bone fixation in digital replantation. PMID:28194348

  12. Penile Replantation After Five Hours of Warm Ischemia

    Directory of Open Access Journals (Sweden)

    Fernando N. Facio Jr.

    2015-05-01

    Full Text Available Although a rare occurrence, this event may occur as a result of self-mutilation among individuals with psychiatric disturbances or due to work-related accidents, iatrogenic injuries or the actions of individuals motivated by jealously, rage and feelings of betrayal. In western societies, most penile amputations are the result of self-aggression during a psychotic episode, the treatment of victims involves resuscitation, stabilization and immediate psychiatric support. The amputated tissue must be preserved under hypothermic conditions. Micro-surgery is currently the most widely employed method for penile replantation. This paper describes a successful case of penile replantation following 5 hours of warm ischemia.

  13. Single centre experience of the upper limb replantation and revascularisation.

    Science.gov (United States)

    Visnjic, Milan M; Kovacevic, Predrag T; Paunkovic, Ljiljana M; Milenkovic, Sasa S

    2004-01-01

    Replantation is defined as reattachment of the amputated limb using the neurovascular and musculoskeletal structures in order to obtain the recovery of the limb. Fortunately, injuries causing limb amputation are rare. Adequate treatment within the optimal time scale can provide successful rehabilitation of the shape and function of the replanted part. We report the experience of our Clinical Centre (regional replantation centre) in the replantation of five forearms/hands and revascularisation of six hands between 1997 and 2001. The most frequent site of injury was the distal part of the forearm, while the major cause of injuries was a wood processing machine. The surgical procedures were performed under general anaesthesia within 2-6 hours after injury. Vascular anastomoses, nerve repair and muscle repair were performed following the external bone fixation. All patients were given anticoagulation treatment postoperatively. Thrombosis in the anastomotic site developed as an early complication in two patients who underwent thrombectomy; one of these patients developed gangrene and underwent amputation. Late postoperative results were good in 10 patients. One patient developed acral epidermolysis. Postoperative results after revascularisation were good in all patients.

  14. Delayed, bilateral, non-microvascular ear replantation after violent amputation.

    Science.gov (United States)

    García-Murray, E; Adán-Rivas, O; Salcido-Calzadilla, H

    2009-06-01

    Amputation of any body part is undoubtedly a traumatic experience leaving a terrible deformity, especially when the part or parts involved are visible and constitute an essential component of someone's facial whole. Bilateral ear amputation and successful subsequent replantation has been reported historically, but not in the modern surgical literature. We report the case of a 27-year-old female who was abducted and suffered a bilateral ear amputation at the hands of one of her captors to speed delivery of ransom money; the severed parts were sent to the parents approximately 2 hours after the amputation had taken place, and the girl was released some 48 hours after the ears were delivered. Microvascular replantation was attempted immediately after admission to the hospital some 2 hours after her release, but failed, and so a non-microvascular replantation was performed and was successful, after approximately 54 hours of ischaemia time. We consider this the first report of a complete bilateral, delayed, non-microvascular, successful ear replantation in a human being in the modern literature.

  15. Successful Replantation of Amputated Penile Shaft following Industrial Injury

    Directory of Open Access Journals (Sweden)

    M Salehipour

    2010-09-01

    Full Text Available Penile amputation is an uncommon urological emergency. Although rare, traumatic amputation of penis is a challenging injury to treat. However, modern microsurgical reconstruction techniques have improved success rate of penile replantation and become the procedure of choice for managing these patients. Herein, we report on a case of penile amputation following an industrial accident.

  16. Reorganization of human motor cortex after hand replantation.

    Science.gov (United States)

    Röricht, S; Machetanz, J; Irlbacher, K; Niehaus, L; Biemer, E; Meyer, B U

    2001-08-01

    In 10 patients, reorganizational changes of the motor cortex contralateral to a replanted hand (MCreplant) were studied one to 14 years after complete traumatic amputation and consecutive successful replantation of the hand. The organizational state of MCreplant was assessed for the deafferentated and peripherally deefferentated hand-associated motor cortex and the adjacent motor representation of the proximal arm. For this, response maps were established for the first dorsal interosseus and biceps brachii muscle using focal transcranial magnetic stimulation (TMS) on a skull surface grid. Characteristics of the maps were center of gravity (COG), number of effective stimulation sites, amplitude sum, and amplitudes and response threshold at the optimal stimulation point. The COG is defined by the spatial distribution of response amplitudes on the map and lies over the cortex region with the most excitable corticospinal neurones supplying the recorded muscle. The COG of the biceps map in MCreplant was shifted laterally by 9.8 +/- 3.6 mm (range 5.0-15.7 mm). The extension of the biceps map in MCreplant was increased and the responses were enlarged and had lowered thresholds. For the muscles of the replanted hand, the pattern of reorganization was different: Response amplitudes were enlarged but thresholds, COG, and area of the cortical response map were normal. The different reorganizational phenomena observed for the motor cortical areas supplying the replanted hand and the biceps brachii of the same arm may be influenced by a different extent of deafferentation and by their different role in hand motor control.

  17. What to do with non-replanted hands?

    NARCIS (Netherlands)

    Willian Stenekes, Martin; Nicolai, Jean-Philippe A.

    2009-01-01

    We describe a method for the preparation of amputated limbs to obtain a specimen for anatomical study of the arteries and the skeleton. The procedure is particularly applicable to hands, and prevents the destruction of a perfect hand that cannot be replanted.

  18. High-Grade Leiomyosarcoma Arising in a Previously Replanted Limb

    Directory of Open Access Journals (Sweden)

    Tiffany J. Pan

    2015-01-01

    Full Text Available Sarcoma development has been associated with genetics, irradiation, viral infections, and immunodeficiency. Reports of sarcomas arising in the setting of prior trauma, as in burn scars or fracture sites, are rare. We report a case of a leiomyosarcoma arising in an arm that had previously been replanted at the level of the elbow joint following traumatic amputation when the patient was eight years old. He presented twenty-four years later with a 10.8 cm mass in the replanted arm located on the volar forearm. The tumor was completely resected and pathology examination showed a high-grade, subfascial spindle cell sarcoma diagnosed as a grade 3 leiomyosarcoma with stage pT2bNxMx. The patient underwent treatment with brachytherapy, reconstruction with a free flap, and subsequently chemotherapy. To the best of our knowledge, this is the first case report of leiomyosarcoma developing in a replanted extremity. Development of leiomyosarcoma in this case could be related to revascularization, scar formation, or chronic injury after replantation. The patient remains healthy without signs of recurrence at three-year follow-up.

  19. Replantation versus Prosthetic Fitting in Traumatic Arm Amputations: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Iris A Otto

    Full Text Available Traumatic arm amputations can be treated with replantation or surgical formalization of the stump with or without subsequent prosthetic fitting. In the literature, many authors suggest the superiority of replantation. This systematic review compared available literature to analyze whether replantation is functionally and psychologically more profitable than formalization and prosthetic fitting in patients with traumatic arm amputation.Functional outcome and satisfaction levels were recorded of patients with amputation levels below elbow, through elbow, and above elbow.Functional outcomes of 301 replantation patients and 172 prosthesis patients were obtained. In the replantation group, good or excellent functional scores were reported in 39% of above elbow, 55% of through elbow, and 50% of below elbow amputation cases. Nearly 100% of patients were satisfied with the replanted limb. In the prosthesis group, full use of the prosthesis was attained in 48% of above elbow and in 89% of below elbow amputation patients. Here, 29% of patients elected not to use the prosthesis for reasons including pain and functional superfluity. In both replantation patients and prosthesis wearers, a below elbow amputation yielded better functional results than higher amputation levels.Replantation of a traumatically amputated arm leads to good function and higher satisfaction rates than a prosthesis, regardless of the objective functional outcome. Sensation and psychological well-being seem the two major advantages of replantation over a prosthesis. The current review of the available literature shows that in carefully selected cases replantation could be the preferred option of treatment.

  20. Sensory outcome of fingertip replantations without nerve repair.

    Science.gov (United States)

    Ozcelik, Ismail Bulent; Tuncer, Serdar; Purisa, Husrev; Sezer, Ilker; Mersa, Berkan; Kabakas, Fatih; Celikdelen, Pinar

    2008-01-01

    The sensory recovery outcomes of fingertip replantations without nerve repair were retrospectively studied. Between 2000 and 2006, 112 fingertip replantations with only arterial repair were carried out in 98 patients. About 76 of the replants survived totally, with a success rate of 67.8%. Evaluation of sensory recovery was possible in 31 patients (38 replantations). Sensory evaluation was made with Semmes-Weinstein, static and dynamic two-point discrimination, and vibration sense tests. Fingertip atrophy, nail deformities, and return to work were also evaluated. According to the Semmes-Weinstein test, 29.0% (11/38) of the fingers had normal sense, 60.5% (23/38) had diminished light touch, 7.9% (3/38) had diminished protective sensation, and 2.6% (1/38) had loss of protective sensation. Mean static and dynamic two-point discriminations were 7.2 mm (3-11 mm), and 4.60 mm (3-6 mm), respectively. Vibratory testing revealed increased vibration in 42.1% of the fingers, decreased vibration in 36.8%, and equal vibration when compared with the non-injured fingers in 21.1%. Atrophy was present in 14 (36.8%) fingers and negatively affected the results. Nail deformities, cold intolerance, return to work, and the effect of sensory education were investigated. Comparison of crush and clean cut injuries did not yield any significant difference in any of the parameters. Patients who received sensory education had significantly better results in sensory testing. The results were classified as excellent, good, and poor based on results of two-point discrimination tests. The outcome was excellent in 18 fingers and good in 20 fingers. Overall, satisfactory sensory recovery was achieved in fingertip replantations without nerve repair.

  1. Functional outcome of patients undergoing replantation of hand at wrist level-7 year experience

    OpenAIRE

    Ravi Kumar Mahajan; Seema Mittal

    2013-01-01

    Background: Replantation is defined as reattachment of amputated limb using neurovascular and musculoskeletal structures in order to obtain recovery of limb. Re-vascularisation involves all the above steps in case of limb injuries that result in a near total amputation. Aim and Objective : To study the functional outcome of patients undergoing replantation of hand at wrist level. Material and Methods: This is a retrospective study of patients who underwent replantation of total amputation of ...

  2. Crossover replantation as a salvage procedure following bilateral transhumeral upper limb amputation: a case report.

    Science.gov (United States)

    Ozçelik, Ismail Bülent; Mersa, Berkan; Kabakaş, Fatih; Saçak, Bülent; Kuvat, Samet Vasfi

    2011-04-01

    Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patient who applied to our center with bilateral transhumeral amputations. Due to the wound conditions, a cross-over replantation was performed. 24 months after the initial operation, the patient exhibits good protective sensation at the distal levels and function to some degree, whereas the active range of motion is not as promising as previously expected. In this article, we present this case together with its immediate and long-term outcomes and the consequences of the cross-over replantation.

  3. Cross-arm replantation for traumatic bilateral upper extremity amputations: a case report.

    Science.gov (United States)

    Liang, Kailu; Zhong, Gang; Yin, Jiahui; Xiang, Zhou; Cen, Shiqiang; Huang, Fuguo

    2011-02-01

    A 40-year-old woman had her right extremity avulsed at the proximal upper arm level and the wrist and hand of her left extremity irretrievably injured in a traffic accident. The right distal forearm was surgically amputated and replanted onto the stump of the left distal forearm. New strategy for nerve repair was applied and the function recovery of the cross-replanted hand was favorable. We thought that cross-extremity replantation was indicated when the patient suffered from bilateral total or subtotal amputation at different levels and orthotopic replantation was impossible.

  4. Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review

    Directory of Open Access Journals (Sweden)

    Agus Roy Rusly Hariantana Hamid

    2016-11-01

    Full Text Available Background: Replantation is the prime treatment for amputated hands and fingers due to functional and aesthetic advantages. The absolute indications for replantation are amputations of the thumb, multiple fingers, trans metacarpal or hand, and any upper extremity in a child, regardless of the amputation level. A fingertip amputation distal to the insertion of the flexor digitorum superficialis (FDS is also a good indication. Indications have been expanded to include amputation at nail level, and when there is a request from the patient, replantation is attempted even for a single finger amputation regardless of the amputation level. Based on the mechanism of injury, a clean-cut sharp amputation is more likely replanted compare to a crush and avulsion injuries. With a proper management of the amputated finger, replantation can be attempted even after 24 hours. This report was written to provide examples of finger replantation cases and the measures that can be taken in a resource-limited hospital in order to conduct a replantation. Case Series: We reported five out of nine digital replantation cases in Sanglah General Hospital between January and July 2014. Two patients were a six and an eleven years old boys who accidentally cut their finger while playing, the rests were male labors between 20-30 years old whose amputations due to machine injuries. Result: A 100% replant survival was achieved. After a period of follow up with occupational therapy, all patients regain good functional and cosmetic results. 

  5. A surgical approach for replantation of complete digital amputations.

    Science.gov (United States)

    Nissenbaum, M

    1980-01-01

    A technique of extending exposure in digital replantation using lateral incisions permits atraumatic exposure of adequate length of digital nerves, arteries, and veins, and excellent exposure for fashioning bone and debridement and repair of tendon. Increase in viability rates, the ability to repair two arteries per digit, the number of veins repaired per digit, and a higher overall arterial patency rate appear to be related to the improved exposure. Operative time was also significantly shorter.

  6. Effect of IRM root end fillings on healing after replantation.

    Science.gov (United States)

    Pitt Ford, T R; Andreasen, J O; Dorn, S O; Kariyawasam, S P

    1994-08-01

    The effect of IRM as a root end filling placed in teeth prior to replantation was examined in 21 molar teeth in monkeys. After extraction, root ends were resected, the canals contaminated with oral bacteria, root end cavities prepared, and fillings of IRM or amalgam placed prior to replantation. After 8 wk the jaws were removed and prepared for histological examination. Bacteria were demonstrated in only 9 of 15 teeth filled with IRM; 18 of the roots (60%) were associated with inflammation, which was only moderate or severe around 5 (17%), and extended > 0.1 mm around only 2 roots. In contrast, of the 6 teeth filled with amalgam, all contained bacteria in the root canals and 11 roots were associated with moderate or severe inflammation, which around 8 roots extended > 0.5 mm. The difference in severity of inflammation for the two materials was statistically significant (p IRM in replanted teeth was less severe and less extensive than that to amalgam.

  7. Crossover replantation after bilateral traumatic lower limb amputations: a case report

    Directory of Open Access Journals (Sweden)

    Fang Jun

    2012-07-01

    Full Text Available Abstract Introduction Replantation of a limb to the contralateral stump after bilateral traumatic amputations is rare. To the best of our knowledge, there are only a few reports of crossover lower limb replantation in the literature. Case presentation We treated a 37-year-old Chinese woman with bilateral lower limb crush injuries sustained in a traffic accident. Her lower limb injuries were at different anatomic levels. We performed emergency bilateral amputations followed by crossover replantation. Five years later, the woman had recovered well, and had perfect movement and stability in her replanted leg. After reviewing the literature, we thought that presentation of our patient’s case might provide useful information for clinicians. Conclusions Crossover replantation should be considered when evaluating a patient with bilateral lower limb injuries, thus allowing the patient to touch the ground and stand using their own foot.

  8. The timing of neovascularization in fingertip replantation by external bleeding.

    Science.gov (United States)

    Han, Seung-Kyu; Chung, Heung-Soo; Kim, Woo-Kyung

    2002-09-15

    To overcome venous congestion in fingertip replantation with no venous anastomosis, the authors have used a salvage procedure that consists of continuous external bleeding through a stab incision on the paraungual area and dripping a heparinized saline solution at the incision site to maintain external bleeding. Because this method requires continuous bleeding for a certain period of time, it may be a great burden on the patient; therefore, it is most important to minimize the duration of bleeding. Many authors have studied the timing of the new venous channel formation of the flap. However, to our knowledge, a study on fingertip replantations has not yet been performed. From June of 1985 to November of 1999, the authors performed fingertip replantations on 144 fingers of 137 patients using our salvage procedure at Korea University Guro Hospital. Among the 144 fingers, 101 fingers of 96 patients were successfully transplanted, including those with partial necrosis. The authors reviewed the medical records of these 101 fingers retrospectively; they compared and analyzed the necessary duration of external bleeding according to sex, age, level of injury, cause of amputation, and the type of injury. The average period of the salvage procedure was 7.6 days. Regarding age, the shortest period (5.5 days) was required for patients younger than 10 years. On the basis of the types of injuries, the duration of bleeding was shortest for the guillotine injury group (5.9 days) compared with crush (8.2 days) or avulsion (8.0 days) injuries. Sex and level of injury did not make much difference in the duration of the procedure.

  9. Treatment of Superior Lobe Central Lung Cancer with Lung Replantation

    Directory of Open Access Journals (Sweden)

    Yulun YANG

    2010-11-01

    Full Text Available Background and objective Patients suffering from lung cancer often have poor quality of life after pneumonectomy. It has clinical significances to preserve maximum lobes of the “healthy” lung. The aim of this study is to report the applications of lung replantation in treatment of superior lobe central lung cancer. Methods Three lung cancer cases were included and analysed. The bronchus and margin of lower lung lobe were encroached by cancer. Pulmonary artery was invaded and surrounded by metastatic lymph node. Complete pneumonectomy, antegrade perfusion and retroperfusion with low-potassium dextran (LPD solution in vitro were performed. The retainable lower pulmonary lobe was selected from the isolated lung and superior pulmonary vein was replaced with inferior pulmonary veins. The bronchus and pulmonary artery were inosculated by turns. Results The operative cumulative time ranged from 220 min to 250 min. The isolated time of lobus inferior pulmonary ranged from 120 min to 150 min. The chest tube was pulled out after chest X-ray confirmed the reimplant lung full re-expansion. The patients were followed up for 4 months to 8 months and accomplished adjuvant chemotherapy for 3 or 4 periodicities. The patients had a sound quality of life. Conclusion Lung replantation removing the extensive tumor tissue and retaining the maximum pulmonary normal tissue is an useful method for treatment of lung cancer.

  10. Apical Revascularization after Delayed Tooth Replantation: An Unusual Case

    Directory of Open Access Journals (Sweden)

    Marília Pacífico Lucisano

    2016-01-01

    Full Text Available The aim of this paper is to present the clinical and radiological outcome of the treatment involving a delayed tooth replantation after an avulsed immature permanent incisor, with a follow-up of 1 year and 6 months. An 8-year-old boy was referred after dental trauma that occurred on the previous day. The permanent maxillary right central incisor (tooth 11 had been avulsed. The tooth was hand-held during endodontic therapy and an intracanal medication application with calcium hydroxide-based paste was performed. An apical plug with mineral trioxide aggregate (MTA was introduced into the apical portion of the canal. When the avulsed tooth was replanted with digital pressure, a blood clot had formed within the socket, which moved the MTA apical plug about 2 mm inside of the root canal. These procedures developed apical revascularization, which promoted a successful endodontic outcome, evidenced by apical closure, slight increase in root length, and absence of signs of external root resorption, during a follow-up of 1 year and 6 months.

  11. Apical Revascularization after Delayed Tooth Replantation: An Unusual Case

    Science.gov (United States)

    Nelson-Filho, Paulo; Silva, Lea Assed Bezerra; Silva, Raquel Assed Bezerra; de Carvalho, Fabricio Kitazono; de Queiroz, Alexandra Mussolino

    2016-01-01

    The aim of this paper is to present the clinical and radiological outcome of the treatment involving a delayed tooth replantation after an avulsed immature permanent incisor, with a follow-up of 1 year and 6 months. An 8-year-old boy was referred after dental trauma that occurred on the previous day. The permanent maxillary right central incisor (tooth 11) had been avulsed. The tooth was hand-held during endodontic therapy and an intracanal medication application with calcium hydroxide-based paste was performed. An apical plug with mineral trioxide aggregate (MTA) was introduced into the apical portion of the canal. When the avulsed tooth was replanted with digital pressure, a blood clot had formed within the socket, which moved the MTA apical plug about 2 mm inside of the root canal. These procedures developed apical revascularization, which promoted a successful endodontic outcome, evidenced by apical closure, slight increase in root length, and absence of signs of external root resorption, during a follow-up of 1 year and 6 months. PMID:27882250

  12. Replantation of permanent incisors in children using Emdogain.

    Science.gov (United States)

    Barrett, Edward J; Kenny, David J; Tenenbaum, Howard C; Sigal, Michael J; Johnston, Douglas H

    2005-10-01

    The aim of this study was to determine whether application of an enamel matrix protein derivative, Emdogain (Biora AB Malmo, Sweden) to the root surface of avulsed permanent incisors would improve postreplantation outcomes in a pediatric population. Between June 1999 and May 2002, 25 avulsed permanent maxillary incisors (22 centrals and three laterals) were treated with Emdogain and followed for up to 32 months, mean duration 20.6 months (range: 6.9-32.5 months). Mean patient age at the time of treatment was 12.0 years (range: 7.7-17.6 years) and mean extra-alveolar duration was 185 min (range: 100-300 min). At the end of their follow-up each of the replanted incisors demonstrated radiographic evidence of replacement root resorption and clinical evidence of ankylosis. None of the replanted teeth were affected by inflammatory root resorption and there was no evidence of infection. When compared with the control samples from Barrett and Kenny (Endod Dent Traumatol 1997;15:269-72.) and Andersson et al. (Endod Dent Traumatol 1989;5:38-47.) this sample treated with the Emdogain protocol demonstrated significantly less root resorption than either of the control samples (anova, P Emdogain protocol did not produce periodontal regeneration, it did eliminate inflammatory resorption and infection and led to significantly less root resorption compared with the two historical controls.

  13. Successful replantation of both lower legs in a 41-year- old man

    Directory of Open Access Journals (Sweden)

    YU Guang

    2012-02-01

    Full Text Available 【Abstract】Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and passive exercises were initiated in both of the knee joints. Four months after surgery, the patient was capable of walking independently for 20-30 m without the aid of crutches. After 28 months’ follow-up, plantar sensitivity was defined as S3. This patient was satisfactory with the cosmetic and functional results. Key words: Replantation; Tibia; Fibula

  14. Reconstruction of the replanted hand with latissimus dorsi muscle and serratus anterior fascia combined flap.

    Science.gov (United States)

    Ozçelik, Derya; Uğurlu, Kemal; Turan, Tuğrul

    2003-04-01

    Reconstruction with the latissimus dorsi muscle flap, combined with the serratus anterior fascia flap, was performed to cover two large and separate palmar and dorsal forearm skin defects in a patient, whose hand had been replanted 20 days earlier after traumatic amputation at the distal forearm level. As a result, a total forearm amputation was salvaged by microsurgical replantation and a free combined flap of the subscapular system. This new application of the combined flap allowed the reconstruction of large and separate wounds of the replanted hand, and provided gliding surfaces for tendons.

  15. Complete penile amputation during ritual neonatal circumcision and successful replantation using postoperative leech therapy.

    Science.gov (United States)

    Banihani, Omaya I; Fox, Janelle A; Gander, Brian H; Grunwaldt, Lorelei J; Cannon, Glenn M

    2014-08-01

    Circumcision is the most common surgical procedure in males in the United States, and minor complications are not uncommon. Major complications like partial penile amputations have been reported with successful replantation. Complete penile amputations in adult males have been described, and successful replantation has been reported with increasing success. We report a case of complete penile amputation at the penopubic junction using a Mogen clamp in a 7-day-old neonate with replantation using postoperative leech therapy. To our knowledge this is the first time leech therapy has been used postoperatively for neonatal penile amputation.

  16. Ten-digit replantation with seven years follow-up: A case report.

    Science.gov (United States)

    Cong, Haibo; Sui, Haiming; Wang, Chenlin; Wang, Zhumin; Yang, Qingmin; Wang, Buxing

    2010-07-01

    In this report, we present a case of successful replantation of 10-digit complete amputation and results of postoperative rehabilitation in 7 years follow-up. The rehabilitation program included psychotherapy, physical therapy, sensory re-education, and measurements. At the 7 years postoperatively, the static two-point discriminations of replanted digits ranged from 4 to 11 mm. Grasping powers ranged from 69 to 81 lb, and pinching powers ranged from 13 to 19 lb. The patient returned to the previous employment. Our experience has demonstrated that systemic postoperative rehabilitation and measurements could achieve satisfactory recovery of the sensory and motor functions of multiple-digit replantation.

  17. [Indications for replantation of lower limbs after their traumatic amputation at the shin level].

    Science.gov (United States)

    Milanov, N O; Gusami, G M

    1994-09-01

    From analysis of the results of replantation of 37 lower limbs at the level of the leg, which were amputated as the result of injury in 33 patients, the authors determine the tactical approach to the choice of indications for replantation. The authors believe that replantation at the level of the leg is always indicated in children if it is executable technically and the patient's somatic status presents no general contraindications. In other cases the formation of a stump and subsequent prosthetics should be considered more advisable.

  18. The biomechanical role of periodontal ligament in bonded and replanted vertically fractured teeth under cyclic biting forces

    Institute of Scientific and Technical Information of China (English)

    Ya-Nan Zhu; Wei-Dong Yang; Paul V Abbott; Nicolas Martin; Wen-Jia Wei; Jing-Jing Li; Zhi Chen; Wen-Mei Wang

    2015-01-01

    After teeth are replanted, there are two possible healing responses:periodontal ligament healing or ankylosis with subsequent replacement resorption. The purpose of this study was to compare the fatigue resistance of vertically fractured teeth after bonding the fragments under conditions simulating both healing modes. Thirty-two human premolars were vertically fractured and the fragments were bonded together with Super-Bond C&B. They were then randomly distributed into four groups (BP, CP, CA, BA). The BP and CP groups were used to investigate the periodontal ligament healing mode whilst the BA and CA groups simulated ankylosis. All teeth had root canal treatment performed. Metal crowns were constructed for the CP and CA groups. The BP and BA groups only had composite resin restorations in the access cavities. All specimens were subjected to a 260 N load at 4 Hz until failure of the bond or until 23106 cycles had been reached if no fracture occurred. Cracks were detected by stereomicroscope imaging and also assessed via dye penetration tests. Finally, interfaces of the resin luting agent were examined by scanning electron microscope. The results confirmed that the fatigue resistance was higher in the groups with simulated periodontal ligament healing. Periodontal reattachment showed important biomechanical role in bonded and replanted vertically fractured teeth.

  19. Replantation of an Avulsed Central Incisor after Long Extra- Alveolar Period. (Case Report

    Directory of Open Access Journals (Sweden)

    Seraj B

    2000-05-01

    Full Text Available A case involving the replantation of an avulsed incisor after long extra-oral period (8 days is reported. After cleaning the root surface, the tooth was soaked in fluoride gel for 20 minutes and root canal therapy was performed extraorally. The tooth was stabilized by wire and composite for six weeks. The patient has been periodically recalled and the tooth monitored for 36 months after replantation. Only minor external surface resorption was observed in the periapical area on the rodiograph, which was taken immediately before removal of the splint and the rate of subsequent replacement resorption has been acceptable. It should be considered that and extended extraoral period is not an absolute contraindication to replantation. Teeth replanted after long extra- alveolar periods can function for a long period of time and thus postpone prosthetic treatment.

  20. Considerations for double-hand replantation in a resource-constrained healthcare facility

    Directory of Open Access Journals (Sweden)

    Bibhuti Bhusan Nayak

    2016-01-01

    Full Text Available Bilateral-hand amputation is extremely rare and double-hand replantation is even rarer. Only one case of successful double replantation at arm level has been reported from India. We present a case of double-hand replantation at proximal palmar level in a young adult executed in a small nursing home. The patient presented 5 h after injury with limbs preserved well in ice. There were difficulties in executing such an unusual case in a small nursing home set-up. The patient is performing his activities of daily living and basic functions independently. We share our experience of this double-hand replantation with special emphasis on problems encountered.

  1. Topical and systemic anticoagulation in the treatment of absent or compromised venous outflow in replanted fingertips.

    Science.gov (United States)

    Han, S K; Lee, B I; Kim, W K

    2000-07-01

    Adequate venous repair is not always possible in fingertip replantation. We have used topical and systemic anticoagulation for fingertip replantation to overcome venous congestion in cases without venous repair or in cases in which there is obstruction of a repaired vein. Our technique consists of continuous external bleeding via a stab incision on the paraungal area and dripping heparinized saline solution at the incision site to maintain external bleeding. From July 1985 to December 1993, 157 fingers in 140 patients with complete amputation of the fingertip were replanted at Korea University Guro Hospital. Of these, 74 fingers in 68 patients were managed by topical and systemic anticoagulation due to the impossibility of repair or obstruction of a repaired vein. The overall survival rate of the fingertip replantations was 76%; that of the topical and systemic anticoagulation group was 64%.

  2. Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review

    OpenAIRE

    Agus Roy Rusly Hariantana Hamid; Gatot Triwono

    2016-01-01

    Background: Replantation is the prime treatment for amputated hands and fingers due to functional and aesthetic advantages. The absolute indications for replantation are amputations of the thumb, multiple fingers, trans metacarpal or hand, and any upper extremity in a child, regardless of the amputation level. A fingertip amputation distal to the insertion of the flexor digitorum superficialis (FDS) is also a good indication. Indications have been expanded to include amputation at nail level,...

  3. Crossover replantation after bilateral traumatic lower limb amputations: a case report

    OpenAIRE

    Fang Jun; Li Huazhuang; Dou Honglei; Chen Jingchun; Xu Aiping; Liu Wenguo; Ding Gang

    2012-01-01

    Abstract Introduction Replantation of a limb to the contralateral stump after bilateral traumatic amputations is rare. To the best of our knowledge, there are only a few reports of crossover lower limb replantation in the literature. Case presentation We treated a 37-year-old Chinese woman with bilateral lower limb crush injuries sustained in a traffic accident. Her lower limb injuries were at different anatomic levels. We performed emergency bilateral amputations followed by crossover replan...

  4. ANALYSIS OF OIL PALM SUSTAINABLE REPLANTING MODELS, A CASE AT PT. AGROWIYANA , TUNGGUL ULU, TANJUNG JABUNG BARAT, JAMBI

    Directory of Open Access Journals (Sweden)

    Solikhin Solikhin

    2012-09-01

    Full Text Available The oil palm replanting program is becoming of importance for the next decade as some of oil palm plantations are reaching the productivity peak. This research was aimed to select the priority of oil palm replanting strategy with respect to the related factors and impacts to the share holders of PIR Trans and KPPA plantation of PT. AGROWIYANA , and to identify key success indicators of replanting model. A discriptive research methodoligy was carried out using Analytical Hierarchy Process (AHP and Focus Group Discussion (FGD involving multi stakeholders of PT. AGROWIYANA . Results of this research indicated that financial is considered as the most important factor for replanting implemention with the total cutting using standard technology as chosen replanting strategy. The funding scheme through intensive fund rising IDAPERTABUN needs to be well prepared to involve more farmer groups.Keywords: PT. AGROWIYANA , Replanting Strategy

  5. Replanting Affects the Tree Growth and Fruit Quality of Gala Apple

    Institute of Scientific and Technical Information of China (English)

    LIU En-tai; WANG Gong-shuai; LI Yuan-yuan; SHEN Xiang; CHEN Xue-sen; SONG Fu-hai; WU Shu-jing; CHEN Qiang; MAO Zhi-quan

    2014-01-01

    Apple replant disease (ARD) causes the inhibition of root system development, stunts tree growth and so on. To further investigate the effects of ARD on apple fruits, a 25-year-old apple orchard was remediated to establish a replant orchard between November 2008 and March 2009. A rotational cropping orchard was established on an adjacent wheat ifeld. The cultivar and rootstock-scion combination used in the newly established orchards was Royal Gala/M26/Malus hupehensis Rehd. Ripe fruits were collected in mid-August 2011 and mid-August 2012, meanwhile, the following indices were measured:yield per plant;fruit weight;the fruit shape index;the contents of anthocyanin, carotenoid and chlorophyll;the soluble sugar content in the lfesh;titratable acid;the sugar-acid ratio;ifrmness;and aroma components;apple plant ground diameter, plant height increment and the total length of the current-year shoots. The results showed that compared to rotational cropping, continuous cropping yielded statistically signiifcant reductions in fruit weight and yield per plant of 39.8 and 76.5%, respectively. However, there were no changes in the fruit shape index. The anthocyanin and carotenoid contents decreased by 81.7 and 37.7%, respectively, while the chlorophyll content increased by 251.0%. All of these differences in content were statistically signiifcant. The soluble sugar levels and sugar-acid ratio decreased by 25.4 and 60.9%, respectively, but the titratable acid levels and fruit ifrmness increased by 90.9 and 42.8%, respectively. Ten of the most important esters contributing to the apple aroma were analyzed, and the following changes were observed:hexyl acetate, butyl acetate, hexyl butyrate, acetate-2-methyl butyl, 2-methyl-hexyl butyrate, amyl acetate, butyl butyrate, 2-methyl-butyl butyrate, hexyl propionate and hexyl hexanoate decreased by 25.5, 78.4, 89.1, 55.5, 79.5, 77.2, 86.8, 69.9, 61.2, and 68.1%, respectively. The contents of three other aroma components, (E)-2-hexenal

  6. Electronic integrated disease surveillance system and pathogen asset control system.

    Science.gov (United States)

    Wahl, Tom G; Burdakov, Aleksey V; Oukharov, Andrey O; Zhilokov, Azamat K

    2012-06-20

    Electronic Integrated Disease Surveillance System (EIDSS) has been used to strengthen and support monitoring and prevention of dangerous diseases within One Health concept by integrating veterinary and human surveillance, passive and active approaches, case-based records including disease-specific clinical data based on standardised case definitions and aggregated data, laboratory data including sample tracking linked to each case and event with test results and epidemiological investigations. Information was collected and shared in secure way by different means: through the distributed nodes which are continuously synchronised amongst each other, through the web service, through the handheld devices. Electronic Integrated Disease Surveillance System provided near real time information flow that has been then disseminated to the appropriate organisations in a timely manner. It has been used for comprehensive analysis and visualisation capabilities including real time mapping of case events as these unfold enhancing decision making. Electronic Integrated Disease Surveillance System facilitated countries to comply with the IHR 2005 requirements through a data transfer module reporting diseases electronically to the World Health Organisation (WHO) data center as well as establish authorised data exchange with other electronic system using Open Architecture approach. Pathogen Asset Control System (PACS) has been used for accounting, management and control of biological agent stocks. Information on samples and strains of any kind throughout their entire lifecycle has been tracked in a comprehensive and flexible solution PACS.Both systems have been used in a combination and individually. Electronic Integrated Disease Surveillance System and PACS are currently deployed in the Republics of Kazakhstan, Georgia and Azerbaijan as a part of the Cooperative Biological Engagement Program (CBEP) sponsored by the US Defense Threat Reduction Agency (DTRA).

  7. Electronic Integrated Disease Surveillance System and Pathogen Asset Control System

    Directory of Open Access Journals (Sweden)

    Tom G. Wahl

    2012-06-01

    Full Text Available Electronic Integrated Disease Surveillance System (EIDSS has been used to strengthen and support monitoring and prevention of dangerous diseases within One Health concept by integrating veterinary and human surveillance, passive and active approaches, case-based records including disease-specific clinical data based on standardised case definitions and aggregated data, laboratory data including sample tracking linked to each case and event with test results and epidemiological investigations. Information was collected and shared in secure way by different means: through the distributed nodes which are continuously synchronised amongst each other, through the web service, through the handheld devices. Electronic Integrated Disease Surveillance System provided near real time information flow that has been then disseminated to the appropriate organisations in a timely manner. It has been used for comprehensive analysis and visualisation capabilities including real time mapping of case events as these unfold enhancing decision making. Electronic Integrated Disease Surveillance System facilitated countries to comply with the IHR 2005 requirements through a data transfer module reporting diseases electronically to the World Health Organisation (WHO data center as well as establish authorised data exchange with other electronic system using Open Architecture approach. Pathogen Asset Control System (PACS has been used for accounting, management and control of biological agent stocks. Information on samples and strains of any kind throughout their entire lifecycle has been tracked in a comprehensive and flexible solution PACS.Both systems have been used in a combination and individually. Electronic Integrated Disease Surveillance System and PACS are currently deployed in the Republics of Kazakhstan, Georgia and Azerbaijan as a part of the Cooperative Biological Engagement Program (CBEP sponsored by the US Defense Threat Reduction Agency (DTRA.

  8. Functional outcome of patients undergoing replantation of hand at wrist level-7 year experience

    Directory of Open Access Journals (Sweden)

    Ravi Kumar Mahajan

    2013-01-01

    Full Text Available Background: Replantation is defined as reattachment of amputated limb using neurovascular and musculoskeletal structures in order to obtain recovery of limb. Re-vascularisation involves all the above steps in case of limb injuries that result in a near total amputation. Aim and Objective : To study the functional outcome of patients undergoing replantation of hand at wrist level. Material and Methods: This is a retrospective study of patients who underwent replantation of total amputation of hand at wrist level within a period of Jan 2003-June 2010. We evaluated post operative functional outcome compared to uninjured hand taking into consideration: 1. The patient′s overall satisfaction with the hand. 2. Recovery of flexor and extensor function of thumb and fingers. 3. Recovery of thumb opposition. 4. Recovery of sensations in the median and ulnar nerve distribution. 5. Ability of surviving hand to perform daily tasks. Results: There were total seventeen patients and age range was two years to 55 years. Out of 17 patients,16 were males. All the replantations were successful except for one. Summary: The results showed that, although the replanted hands were never functionally as good as the contralateral hand the patients were able to perform most of the daily activities.

  9. Continued Root Formation after Delayed Replantation of an Avulsed Immature Permanent Tooth

    Directory of Open Access Journals (Sweden)

    Nima Moradi Majd

    2014-01-01

    Full Text Available Introduction. Tooth avulsion in the young permanent dentition is a frequent finding, and its prognosis depends on the treatment of the avulsed tooth before replantation, the extra-alveolar time, the storage medium, and the patient’s general health. The present report describes management of an immature avulsed lower central incisor 90 minutes after the accident. Methods. A right lower central incisor of a 7-year-old girl was avulsed, and it was soaked in a glass of milk. 90 minutes after avulsion, replantation was performed, and the tooth was splinted; but after two weeks the replanted tooth’s pulp was necrotic. Thus, endodontic treatment was performed and root canal was filled using a calcium hydroxide and iodoform paste (Metapex. Three months later, the intracanal medication was washed out and the canal was sealed using an apical plug of calcium enriched mixture (CEM cement. Results. 20 months after replantation the tooth was completely asymptomatic, with physiologic mobility. Also, continued root formation including an apical segment beyond the artificial apical plug was observed. Conclusion. Creation of an appropriate apical barrier following the disinfection of root canal system promoted continued root-end growth in a replanted immature permanent tooth.

  10. Evaluation of laser photobiomodulation (λ 780 nm) on repair of dental replantation in rats

    Science.gov (United States)

    Bastos de Carvalho, Fabíola; Vasconcelos, Rebeca M.; Santos, Laila; dos Santos Barbosa, Artur F.; Aguiar, Marcio C.; Cangussu, Maria Cristina T.; Pinheiro, Antônio Luiz B.; Pedreira Ramalho, Luciana M.

    2014-02-01

    Up to date the success of tooth replantation is still limited. The majority of the teeth is lost due to progressive external root resorption. The aim of this study was to assess, histologically, the effect of laser photobiomodulation on repair after tooth replantation. Sixty Wistar Albinus rats had the right upper incisor extracted and then divided into 4 groups: G1 - absence of storage medium; G2 - milk u s e d as storage medium; G3 - milk used as storage medium a n d followed by GaAlAs laser irradiation on dental surfaces and at the entrance of alveolus; G4 - milk used as storage medium associated with laser irradiation as in G3 before and after replantation on the buccal and palatal mucosa every 48 hours for 15 days. The animals were sacrificed at 15, 30 and 60 days after replantation. The results showed that after 15 days G4 exhibit more intense chronic inflammation, with presence of clastic cells and moderate inflammatory root resorption (p<0.05) when compared to G3, which presented absence of those parameters. At day 30 in G1, G2 and G4 mild to moderate chronic inflammation and severe external root resorption were observed. G3 remained with no inflammation and inflammatory root resorption with 30 and 60 days of healing experimental times. The results suggest that laser irradiation on the dental entrance of the dental alveolus prior to tooth replantation has a positive biomodulative effect on the healing process in rats.

  11. Value of electron microscopy in the diagnosis of glomerular diseases.

    Science.gov (United States)

    Darouich, Sihem; Goucha, Rym Louzir; Jaafoura, Mohamed Habib; Moussa, Fatma Ben; Zekri, Semy; Maiz, Hédi Ben

    2010-04-01

    To evaluate the contribution of electron microscopy to the final diagnosis of glomerulopathies, the authors established a prospective study during the first semester of 2006. A total of 52 kidney biopsies were performed with 3 samples for light microscopy, immunofluorescence, and electron microscopy. Among these renal biopsies, only 20 were examined with electron microscopy because the diagnosis made on the basis of conventional methods had remained unclear or doubtful. In 18 cases, electron microscopy was undertaken for the investigation of primary kidney disease. The 2 remaining cases were transplant biopsies. In this series of 20 patients, there were 3 children with an average age of 9 years and 17 adults with an average age of 35.5 years. Fifteen patients (75%) were nephrotic. The study revealed that electron microscopy was essential for diagnosis in 8 cases (40%) and was helpful in 12 cases (60%). In conclusion, the results showed that the ultrastructural study provides essential or helpful information in many cases of glomerular diseases, and therefore electron microscopy should be considered an important tool of diagnostic renal pathology. As was recommended, it is important to reserve renal tissue for ultrastructural study unless electron microscopy can be routinely used in all biopsies. Thus, this technique could be performed wherever a renal biopsy has to be ultrastructurally evaluated.

  12. Hand reconstruction using heterotopic replantation of amputated index and little fingers

    Institute of Scientific and Technical Information of China (English)

    ZHANG Gong-lin; CHEN Ke-ming; ZHANG Jun-hua; WANG Shi-yong

    2011-01-01

    In cases of severe segmental injury across the hand and wrist, but one or other fingers are still in peak condition, the fingers can be selected for replantation at the forearm bones to restore pinch function. Here we reported an unusual case with a severe crush-avulsion amputated injury to the right hand caused by a machine accident. We conducted hand reconstruction using heterotopic replantation of the amputated index and little fingers.During 19 months follow-up, the bone union healed well with satisfactory outcome. The interphalangeal and metacarpophalangeal joint of the fingers after the heterotopic replantation had a good holding activity. This is a worthwhile procedure and the patient is satisfied with the result. The major disadvantage of this method is the poor appearance of the reconstructed fingers.

  13. Lengthening of replanted or revascularized lower limbs: is length discrepancy a contraindication for limb salvage?

    Science.gov (United States)

    Parmaksizoglu, Fatih; Beyzadeoglu, Tahsin

    2002-08-01

    Some replantation cases require substantial bone shortening for primary closure. Leg-length discrepancy can be restored by lengthening of the replanted or revascularized extremities. Between 1991 and 2000, four patients with four total and two subtotal below-knee amputations had replantation or revascularization for their severely damaged extremities. All of them had extensive debridement, vascular repair, bone shortening and nerve repair for sensibility of their soles. One of the replanted extremities failed and had to undergo below-knee amputation because of sepsis. No other infection or vascular complications were encountered following the replantations or revascularizations. After bony consolidation, four legs were lengthened; for elimination of length discrepancy in three cases, and for obtaining balanced body proportion in one case in which the other leg was also amputated. In all procedures, a unilateral dynamic axial external fixator was used. The lengthening was performed from the proximal tibial metaphysis, with a subperiosteal osteotomy. Evaluation of injury according to the Mangled Extremity Severity Score (MESS) would encourage the surgeon to avoid salvage surgery with a shortened extremity, because of the required debridement of soft tissue and bone. These authors think the amount of limb shortening is not a major criterion in evaluating a traumatic total or subtotal below-knee amputation for salvage replantation or revascularization. A knee that has stable joint motion and the possibility of preservation of sensibility of the sole broadens the scope of indications for limb salvage, even with deliberate shortening that can be restored by lengthening; length discrepancy is not a contraindication for limb salvage.

  14. Evaluation of reversal osteofixation using K-wires in digital replantation

    Directory of Open Access Journals (Sweden)

    Vučetić Čedomir

    2014-01-01

    Full Text Available Introduction. Modified, reversal technique of fixation in digital replantation using K-wires was analyzed. The results obtained from the standard technique and reversal technique of fixation using K-wires were compared. Objective. The aim was to compare the results of osteofixation using K-wires in digital replantation when either standard or reversal, modified technique was used. Methods. A retrospective study included 103 replanted fingers in 72 patients. The first group included standard fixation using K-wires and the second group included fixation using K-wires, but with a modified technique. Modification consisted of the opposite order of moves during the phalanges fixation compared to the standard technique: first, K-wire was introduced intramedullary in the proximal phalanx and the top of the wire was drawn out through the skin in proximal part of the finger or hand. Second, distal part of the wire was introduced in the phalanx of the amputated part of the finger intramedullary until the wire entered the cortex. Results. Duration of bone healing after digital replantation was shorter in cases where reversal technique was used in comparison with standard technique (7.2 weeks compared to 7.5 weeks. Conclusion. The comparison of standard and reversal technique of phalangeal fixation with K-wires in digital replantation shows that both techniques are useful. Reversal technique expands the choice of operative techniques for bone fixation during the replantation. It shows some advantages and enables avoidance of vein injuries. [Projekat Ministarstva nauke Republike Srbije, br. III 41004 i br. 175095

  15. Disease and intolerability documentation in electronic patient records.

    NARCIS (Netherlands)

    Buurma, H.; Smet, P.A.G.M. de; Kruijtbosch, M.; Egberts, A.C.G.

    2005-01-01

    BACKGROUND: Documentation of diseases and intolerabilities in electronic patient records (EPRs) in pharmacies is needed to produce an alert in case a contraindicated medicine is prescribed. Limited research is available concerning EPRs in pharmacies. OBJECTIVE: To study the prevalence and quality of

  16. Replantation of an avulsed tooth with an extended extra oral period

    Directory of Open Access Journals (Sweden)

    Girish Kubasad

    2012-01-01

    Full Text Available In this study, we have reported a case of the replantation of a maxillary incisor with an extended extraoral period following a traumatic avulsion. After storage in normal saline, the root surface of the avulsed tooth was conditioned with citric acid and treated with a triple antibiotic solution. The tooth socket was filled with Emdogain before replantation. A 12 month, 18 month and a 5 year follow-up clinical examination revealed the patient to be asymptomatic, and the tooth was functional. The recall radiograph showed no evidence of renewed periradicular breakdown and apical root resorption.

  17. Penile replantation: report of two cases and review of the literature

    Institute of Scientific and Technical Information of China (English)

    LI Gui-zhong; HE Feng; HUANG Guang-ling; MAN Li-bo; LIU Kun; SHEN Yu-ming

    2013-01-01

    Penile amputation and successful replantation is very uncommon,and there is no routine standardized procedures for dealing with this medical condition.Here we report two cases of penile amputation and replantation involving different degrees of vascular insult leading to different pathogenesis,clinical presentation,surgical approach and prognosis.This report described the microsurgical procedure and postoperative care using bipedicled scrotal flap to achieve successful engraftment and function.A review of the published data and future methods to increase success of such surgical procedures is provided.

  18. Successful replantation of both lower legs in a 41-year- old man

    Institute of Scientific and Technical Information of China (English)

    YU Guang; LEI Hong-yu; GUO Shuang; YU Hao; HUANG Jian-hua; LIANG Sheng-hai

    2011-01-01

    Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and passive exercises were initiated in both of the knee joints. Four months after surgery, the patient was capable of walking independently for 20-30 m without the aid of crutches. After 28 months' follow-up, plantar sensitivity was defined as S3. This patient was satisfactory with the cosmetic and functional results.

  19. Central incisor loss after delayed replantation following avulsion: a contemporary restorative and adjunctive orthodontic management approach.

    Science.gov (United States)

    Savi, Andrea; Turillazzi, Oliviero; Cocconi, Renato; Bonanini, Mauro; Pizzi, Silvia; Manfredi, Maddalena

    2012-04-01

    Delayed replantation of an avulsed tooth may result in rapid root resorption or, more frequently, dental ankylosis with subsequent bone substitution. If this process develop slowly, it is possible to observe that tooth loss is characterized by a well conserved alveolus with regard to bone preservation, particularly in vertical dimension. This clinical case reports a dental trauma of a central incisor in a young boy characterized by tooth avulsion and its delayed replantation. After 10 years, dental ankylosis of the incisor was recorded and the patient underwent a prosthetic-orthodontic rehabilitation using CAD-CAM technology and no-prep veneers.

  20. Epidemiology of digital amputation and replantation in Taiwan: A population-based study.

    Science.gov (United States)

    Chang, Dun-Hao; Ye, Shih-Yu; Chien, Li-Chien; Ma, Hsu

    2015-10-01

    Publications on digital amputation and replantation have been mostly derived from case series in high-volume hand surgery practices, and epidemiological studies are few. This study used a population-based dataset to illustrate the incidence of digital amputation, patient and hospital characteristics, and their relationships with replantation. A claim for reimbursement dataset (2008) was provided as a research database by the Bureau of National Health Insurance, Taiwan. Patients with ICD-9-CM coded as digital amputation (885 and 886) were included. These were cross-referenced with procedure codes for replantation procedures (84.21 and 84.22). We defined the patients who underwent thumb replantation (84.21) and thumb amputation (84.01) during a single hospitalization as replantation failure. Patient and hospital characteristics were studied with statistical analysis. In total, 2358 patients with digital amputation were admitted (1859 male, 499 female), mean age 39.2 ± 15.5 years. The incidence was 10.2/100,000 person-years. The highest incidence was 14.7/100,000 person-years in the age group 45-54 years. Machinery and powered hand tools caused 68.8% of digital amputations. Thumb amputation [odds ratio (OR): 1.35, p = 0.01], private hospital (OR: 1.40, p = 0.01), medical center (OR: 2.38, p 20 digital amputations (OR: 4.23, p 65 years) had higher risk of thumb replantation failure (OR: 32.30, p = 0.045), while hospitals with >20 annual replantations had lower risk (OR: 0.11, p = 0.02). Our study of the National Health Insurance database characterized the epidemiology of digital amputation patients undergoing replantation and the facilities in Taiwan where these procedures are performed. The hospitals treating more digital amputation patients had higher attempt rates and lower thumb failure rates. Copyright © 2015. Published by Elsevier Taiwan.

  1. Different changes of soil nematode communities in replant and continuous-planting peach orchards and their indicative value for peach replant problem

    Directory of Open Access Journals (Sweden)

    Li X. Y.

    2015-09-01

    Full Text Available Long-term changes of soil nematode diversity and distribution patterns in replant peach orchard (RPO and continuous-planting peach orchard (CPPO were assessed to evaluate different effects on nematode community and function by RPO and CPPO, in relation to peach replant problem from the point of soil fauna. Observations were conducted on a silt loam soil, and soil sampling was performed four times through the growing season of peach trees in the period from 2006 to 2008 in Pinggu, Beijing. The result showed that RPO differed from CPPO by its higher abundance of plant feeding nematodes but lower abundance of bacterivore nematodes, as well as significantly higher values of plant parasite index but lower nematode biodiversity. Obviously, the absolute abundance of Paratylenchus in RPO was higher than that in CPPO, which could be a key factor for the peach replant problems from the part of soil nematode. Nematode function indices and weighted nematode fauna profile analysis were no significantly different in the two peach ecosystems, but they represented an indication of high disturbance, N-enriched, bacterial decomposition pathway.

  2. [Contralateral replantation after bilateral traumatic lower leg amputation. Case report with 6 year follow-up].

    Science.gov (United States)

    Betz, A; Stock, W; Hierner, R; Sebisch, E; Schweiberer, L

    1995-05-01

    A 66-year-old patient attempted suicide by jumping in front of a train. The lower extremities were amputated at different levels. On the right side, there was a complete amputation within the distal third of the lower leg. Proximal to the amputation site, there was an extensive soft-tissue and bone defect. On the left side, there was a crush injury of the tarsal and mid-tarsal bones. The left lower leg showed only few injuries. An ipsilateral (anatomical) replantation was not possible. In order to save one lower extremity, we decided to carry out a cross-over (contralateral) replantation of the right foot to the left lower leg. After a follow-up of six years, the patient is able to walk well with her prosthesis on the right side and the right foot hooked up to the left lower leg. Functionally, this treatment (cross-over replantation-one-side prosthesis of the lower leg) is much better than the prosthesis on both extremities, as the result has shown. Also from a psychological point of view, it seems to be better for the patient to preserve one extremity even with a cross-over replanted foot.

  3. Microsurgically aided upper lip replantation – case report and literature review

    Science.gov (United States)

    Gustafsson, Jonas; Lidén, Mattias; Thorarinsson, Andri

    2016-01-01

    Abstract A case with a patient who suffered an upper lip amputation and a lower lip laceration due to dog bite is presented. The amputated segment was replanted using microsurgical technique. The operative technique and postoperative care is presented, as well as a review of the current literature on the subject. PMID:27713916

  4. Microsurgical replantation and postoperative leech treatment of a large severed nasal segment

    DEFF Research Database (Denmark)

    Stemann Andersen, Peter; Elberg, Jens Jørgen

    2012-01-01

    The survival of a microsurgically replanted segment of nose in a 41-year-old woman was facilitated by the assistance of the medicinal leech Hirudo medicinalis. An arterial microanastomosis was made to a severed partial segment of nose with no possibility of recreating a venous anastomosis. The re...

  5. Emdogain does not prevent progressive root resorption after replantation of avulsed teeth: a clinical study.

    Science.gov (United States)

    Schjøtt, M; Andreasen, J O

    2005-02-01

    Emdogain has been shown in clinical and experimental studies to promote regeneration of all periodontal tissues: cementum with anchoring fibres, a functional, periodontal ligament and alveolar bone in connection with treatment of marginal periodontitis. The intention of this study was to analyse whether this regenerative capacity upon the periodontal ligament also worked in a trauma situation where a significant number of PDL cells have been eliminated because of unphysiologic storage or actual damage during avulsion or replantation. Furthermore if ankylosis sites already established because of earlier replantation after avulsion could be surgical removed and application of Emdogain could revert the ankylosis stage to a normal PDL situation. The first treatment situation was tested in seven patients with a total of 16 avulsed teeth with varying time of extra oral storage. The teeth were extra-orally endodontically treated and the root and socket covered with Emdogain before replantation. All teeth demonstrated subsequent ankylosis, primarily diagnosed by a percussion test. The second treatment situation where an ankylosis was already established constituted of seven patients with a total of 11 teeth because of previous replantation after avulsion. These teeth were all extracted, the ankylosis sites removed and the root and socket treated with Emdogain. After 6 months all teeth showed recurrence of ankylosis. It is concluded that Emdogain was not able to prevent or cure ankylosis.

  6. The effect of Emdogain and 24% EDTA root conditioning on periodontal healing of replanted dog's teeth.

    Science.gov (United States)

    Guzmán-Martínez, Nayelli; Silva-Herzog, Flores Daniel; Méndez, González Verónica; Martín-Pérez, Silvia; Cerda-Cristerna, Bernardino Isaac; Cohenca, Nestor

    2009-02-01

    Controversies still exist as for the regenerative role of enamel matrix derivatives and the need for removal of the periodontal ligament in replanted teeth. The purpose of this study was to evaluate the effect of Emdogain and 24% ethylenediamine tetraacetic acid (EDTA) root conditioning on periodontal healing of replanted dog's teeth. Teeth were extracted, endodontically treated and preconditioned as follows: group 1, Emdogain; group 2, Emdogain + EDTA and group 3, EDTA. Teeth were replanted after 30 min extraoral time, splinted for 15 days and animals sacrificed after 8 weeks of observation. Histological evaluation was performed using hematoxylin/eosin and Masson trichrome and results scored based on previously reported criteria for histological evaluation. Replacement root resorption was histologically diagnosed in all groups except in the negative control. A parametric analysis showed no statistically significant differences between experimental groups. Root preconditioning with Emdogain alone or in combination with 24% EDTA showed no evidence of regeneration of collagen fibers and consequently did not prevent the development of replacement root resorption on replanted dog's teeth.

  7. Simple replantation protocol to avoid ankylosis in teeth intended for orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Yuli Nugraeni

    2009-03-01

    Full Text Available Background: Dento-alveolar trauma resulted from accidents involving the oral regions mostly affect the upper central incisors. Overjet that is beyond 5 mm and incompetent lip also contribute to increase the risk. Several literatures had already discussed different methods of replantation of avulsed teeth. However, it was not meant for further orthodontic treatment. Purpose: The objective of this review is to propose a simple replantation protocol of avulsed teeth which also prevent from ankylosis. Reviews: Protruded teeth usually need orthodontic treatment; therefore, an appropriate management should be done to avoid the development of ankylosis. Ankylosis of the periodontal ligament (PDL becomes a problem in orthodontic tooth movement in repositioned or replanted teeth. In addition, ankylosed teeth also more susceptible to root resorption. Actually, it was caused by the endodontic treatment. In particular, severely protruded or unoccluded teeth are hypofunctional, therefore have narrow PDL, thus it may facilitate to ankylosis development. Ideal management protocol such as the use of root canal sealer i.e. mineral trioxide aggregate (MTA; the using of Emdogain, and resilient wiring or semi-rigid fixation with brackets has become a solution in avulsed teeth arranged for orthodontic treatment. Nevertheless, the presence of oral surgeon, endodontist and orthodontist in the same time, and also ideal preparations after an accident was difficult to achieve. Conclusion: Considering that reducing the ongoing PDL inflammation with intracanal medicaments and maintaining the functional force during mastication is possible; it is concluded that this simple replantation protocol is likely.

  8. Eight cases of nine-digit and ten-digit replantations.

    Science.gov (United States)

    Kim, W K; Lee, J M; Lim, J H

    1996-09-01

    Amputations involving nine and all ten digits are very rare because of the different lengths of the digits, and it is also unusual to have all digits suitable for replantation. At Korea University Guro Hospital, from March 1987 to April 1992, three cases of 10-digit and five cases of 9-digit complete amputations were replanted by microsurgical technique. All eight cases involved young, healthy male patients, and the causes of amputation were either a cutter of press machine. The replantations were done under general anesthesia simultaneously on both hands by eight microsurgeons divided into a total of four teams. The operating times ranged from 19 to 31 hours, and the total amounts of transfused blood ranged from 6 to 38 pints. The warm ischemic times ranged from 10 minutes to 15 hours, and the cold ischemic times ranged from 3 to 29 hours. The sequence of replantation was radial digit to ulnar digit. In five of the eight patients, all of the replanted digits survived. Necrosis occurred in one and two digits in two patients with nine-digit replantations. Also, necrosis occurred in three digits in a patient who had had nine digits amputated by a press machine, sustaining severe crush injuries. The overall survival rate was 92 percent. In multidigit replantations involving 9 or 10 digits, there are a number of problems that must be overcome, including a long operating time, long ischemic times, and a large amount of blood loss. The long ischemic times were not critically related to survival rate. The total amount of blood transfused was reduced from 38 pints in one of the initial cases to 6 pints by intermittent use of the pneumatic tourniquet and venous anastomosis before arterial anastomosis. Static two-point discrimination ranged from 3 to 22 mm, and palm to pulp distance ranged from 0 to 7 cm, 1 to 5 years postoperatively. Grasping power ranged from 13 to 65 lb, and pinching power ranged from 5 to 26 lb, which was 42 and 50 percent of the average power of a

  9. Maiden pear trees growth in replant soil after inoculation of rootstocks with mycorrhizal inoculum

    Directory of Open Access Journals (Sweden)

    Sławomir Świerczyński

    2015-03-01

    Full Text Available In the production of fruit trees it is important to set up a nursery always in a new site, alternatively to follow crop rotation rules. It is not always possible due to the size of a farm and production volume. In order to limit the effects of replant soil one can use different procedures before setting up a nursery. Chemical methods, however, must be replaced with non chemical ones due to environmental protection and reduction of production costs. In the experiment conducted in 2009-2012, growth of maiden pear trees of ‘Conference’ growing on three quince MA, MC, S1 rootstocks, cultivated in replant and non-replant soil after the use of mycorrhizal treatment, was compared. The strongest growth of maiden pear trees was obtained on non-replant soil with mycorrhizal and without mycorrhizal treatment of rootstocks. Inoculation of rootstocks influenced positively the height and fresh mass of the root system of maiden pear trees growing on two considered sites. On the other hand, inoculation did not rise the diameter of stem and number of lateral shoots of the maidens. Influence of mycorrhizal treatment of rootstocks on the length of lateral shoots was not obvious. Significantly the best results of maiden pear trees growth, except for the stem diameter, were obtained on MA quince compared to two other types. The mycorrhizal treatment gave better result of percentage obtained by maiden pear trees only in the replant site. The best efficiency of maiden pear trees in nursery production was observed for MA quince rootstock.

  10. Above-the-knee replantation in a child: a case report with a 24-year follow-up.

    Science.gov (United States)

    Durban, Claire Marie C; Lee, Seung-Yup; Lim, Hong-Chul

    2015-11-01

    Replantation of an amputated limb is generally contraindicated in crushing and traction injuries. Injury to muscle tissue and skin also creates difficulties in coverage, and bony fractures may shorten limb length which can impede lower extremity function. Numerous cases have been reported on the successful replantation of the lower limb in children; however, review of previous English literature has documented only very few replantation at the thigh level, and those with severe crushing injury resulted in subsequent amputation. We report a case of successful thigh-level replantation in a 3-year-old child who sustained a crushing-traction type of injury with a follow-up of 24 years. After the replantation, early and late complications developed but these were successfully managed. On her last visit, the patient had pain-free ambulation without assistance, had intact protective sensation distal to the injury, and was very satisfied with the outcome. Replantation of the lower limb in children with crushing or avulsion type of injuries is still a worthwhile procedure. However, both the patient and the family should be aware that multiple surgeries may be needed to accommodate to long-term complications such as joint stiffness, scar contractures, and limb length discrepancies.

  11. Long-term outcomes of microsurgical nasal replantation: review of the literature and illustrated 10-year follow-up of a pediatric case with full sensory recovery.

    Science.gov (United States)

    Marsden, Nicholas J; Kyle, Amanda; Jessop, Zita M; Whitaker, Iain S; Laing, Hamish

    2015-01-01

    We present a case of successful artery only total nose replantation in an 18-month-old child, with 10 years of follow-up and full sensory recovery despite no nerve repair. The common absence of veins for anastomosis does not prevent successful replant, as demonstrated with the use of Hirudo medicinalis use in this unique case. We comprehensively review the literature of this rare and complex injury and advocate microsurgical replantation where possible over other methods of nasal reconstruction.

  12. Replantation of an avulsive amputation of a foot after recovering the foot from the sea.

    Science.gov (United States)

    Yüksel, F; Karacaoğlu, E; Ulkür, E; Güler, M M

    2000-04-01

    A foot avulsion case, with the dismembered body part submerged in sea water for 1 hour, is presented. This report is unique in that it is the first to document the reattachment of a body part that had been submerged in sea water. It was not known how salt-water exposure would affect wound management. Differences in osmolarity and bacterial flora between the sea water and foot tissues have not caused any problems, and the patient has not suffered any vascular or infectious complications after replantation. Neurotization of the plantar surface by the tibial nerve, which was stripped off during amputation and replaced in its original traces, was the most critical part of convalescence. After management of such an interesting case, we conclude that exposure to sea water of the dismembered part should not be a contraindication for replantation surgery.

  13. Genital self-amputation or the Klingsor syndrome: Successful non-microsurgical penile replantation.

    Science.gov (United States)

    El Harrech, Y; Abaka, N; Ghoundale, O; Touiti, D

    2013-10-01

    Self-mutilations of the external genitals in psychiatric patients also known as Klingsor syndrome is a rare urologic trauma. Men with religious conflicts, low self-esteem, unresolved transsexual issues and feelings of guilt are the most vulnerable. This condition requires immediate surgical intervention. Currently replantation involves meticulous microsurgery and has become the primary method for managing these patients. In this paper, we report a case of self amputation of penis in a patient with a psychiatric history significant for schizopfrenia. Because of the unavailability of a microscope in our department, a non-microsurgical replantation without microscopic magnification was attempted. After surgery, normal appearance and function including a good normal voiding, sensation, and erections were observed.

  14. Genital self-amputation or the Klingsor syndrome: Successful non-microsurgical penile replantation

    Directory of Open Access Journals (Sweden)

    Y El harrech

    2013-01-01

    Full Text Available Self-mutilations of the external genitals in psychiatric patients also known as Klingsor syndrome is a rare urologic trauma. Men with religious conflicts, low self-esteem, unresolved transsexual issues and feelings of guilt are the most vulnerable. This condition requires immediate surgical intervention. Currently replantation involves meticulous microsurgery and has become the primary method for managing these patients. In this paper, we report a case of self amputation of penis in a patient with a psychiatric history significant for schizopfrenia. Because of the unavailability of a microscope in our department, a non-microsurgical replantation without microscopic magnification was attempted. After surgery, normal appearance and function including a good normal voiding, sensation, and erections were observed.

  15. Transient bone resorption following finger replantation: a report of 3 cases

    Institute of Scientific and Technical Information of China (English)

    Stefano Lucchina; Hillary A. Becker; Cesare Fusetti; Alexander Y. Shin

    2011-01-01

    Radiographic changes consisting of alterations in mineral content, osteopaenia or destructive neuropathy that occur following successful finger replantation have already been described. We report our experience about four fingers in three individuals in whom bone changes developed in the first three months postoperatively with complete "restitution ad integrum".Three patients, 21-49 years old (average 36 years) sustained a clean-cut amputation of four fingers. The first patient had an amputation at the base of the middle phalanx of the index finger and the second patient at the base of the proximal phalanx of the ring finger. The third had an amputation at the base of the first metacarpal bone and the proximal phalanx of the small finger in a five finger amputation. In the first case, two dorsal veins and two palmar digital arteries and nerves were repaired. In the second case, one palmar artery and one dorsal vein were reanastomosed. In the third case at the thumb, two dorsal veins and two palmar digital arteries and nerves were reconstructed. At the small finger, one dorsal vein, one palmar digital artery and two digital nerves were reconstructed. Bone fixation was achieved with two and three K-wires or tension-band wiring. Replantation was successful in all cases. Three weeks after replantation, the X-rays showed rapid development of osteopaenia in the juxtaartieular region and metaphyses of the bone. These changes were followed by subperiosteal,intracortical and endosteal bone resorption. No further surgical procedures or splintage were needed and hand therapy was not discontinued. At 10-13 weeks (average 12 weeks)postoperatively, the X-rays showed a complete recovery with new periosteal bone formation.We suggest that the radiographic changes after finger replantation are transient, first evident subperiosteally and progressing centrally. They may reflect small-vessel compromise and microinfarction and transient hyperemia secondary to neurovascular damage or to

  16. Pulp revascularization of replanted immature dog teeth after different treatment methods.

    Science.gov (United States)

    Yanpiset, K; Trope, M

    2000-10-01

    The purpose of the present study was to determine the effect of topical treatment with doxycycline and/or the application of unfilled resin to the anatomical crown on the occurrence of revascularization in reimplanted dog teeth. Ninety-six teeth in 4 young mongrel dogs were used. Eighty one teeth were atraumatically extracted and divided into four groups. Group 1, 17 teeth were kept dry for 5 min and then replanted. Group 2, 21 teeth were soaked with a freshly prepared solution of doxycycline (1 mg/20 mL saline) for 5 min before replantation. Group 3, 23 teeth were soaked with the doxycycline solution for 5 min, and then replanted. The crowns were coated with 2 layers of light cured unfilled resin. Group 4, 20 teeth were kept dry for 5 min, and then replanted. The crowns were treated as with the teeth in Group 3. Three months after surgery, radiographic evaluation revealed that 27 teeth had continued root development and 32 teeth showed arrested root development with periradicular pathosis. The remaining 17 teeth, which had arrested root development but no signs of periradicular pathosis, were all histologically evaluated for final assessment. The occurrence of revascularization according to treatment group was 29.4%, 60%, 60%, 36.8% in Group 1, 2, 3, and 4, respectively. A multiple logistic regression analysis in SAS indicated there was no significant association between vitality and dog (P = 0.7564). Soaking for 5 min in doxycycline significantly increased the revascularization rate (P = 0.024) while the addition of resin to the crown did not result in an increased incidence of pulp revascularization (P = 0.823).

  17. Unusual case of successful hand replantation with bad functional outcome: A case report

    Directory of Open Access Journals (Sweden)

    Milenković Saša

    2012-01-01

    Full Text Available Introduction. Traumatic hand amputation is a very severe and rare injury. Replantation and revascularization surgery requires the existence of specialized centres and well-educated teams of microsurgeons. In places where there are no such specialized centres for this kind of surgery, traumatic hand amputation is a major concern and quite a challenge, and a successfully performed replantation is a great accomplishment. Case Outline. We report a case of a successfully survived replanted hand in a 35-year-old male patient with unfortunately bad end result of the treatment. The patient with the amputated left hand (disarticulation had a surgery 4 hours after injury. The urgent surgical procedure required a debridement, the excision of the first row of the carpal bones, external fixation of the wrist, vascular anastomoses, nerve repair, tenorrhaphy, skin sutures and decompression skin incisions. The successful operation did not have a successful post-operative course due to the patient’s psychiatric problems and lack of rehabilitation at the psychiatric institution where the treatment was continued. Conclusion. Successful surgical performance can unfortunately be ruined due to inadequate further treatment course or the wrong selection for such a demanding surgery. The survival of the amputated hand can be achieved surgically, but achieving refunctioning does not always depend on surgery. It also depends on the very patient, his motivation, rehabilitation, as well as on the proper selection for such a demanding and complex surgical procedure.

  18. Racial Variation in Treatment of Traumatic Finger/Thumb Amputation: A National Comparative Study of Replantation and Revision Amputation

    Science.gov (United States)

    Mahmoudi, Elham; Swiatek, Peter R.; Chung, Kevin C.; Ayanian, John Z.

    2016-01-01

    Background Traumatic finger/thumb amputations are some of the most prevalent traumatic injuries affecting Americans each year. Rates of replantation after traumatic finger/thumb amputation, however, have been steadily declining across U.S. hospitals, which may make these procedures less accessible to minorities and vulnerable populations. The specific aim of this study was to examine racial variation in finger replantation after traumatic finger/thumb amputation. Methods Using a two-level hierarchical model, we retrospectively compared replantation rates for African-American patients with those of Whites, adjusting for patient and hospital characteristics. Patients younger than 65 with traumatic finger/thumb amputation injuries who sought care at a U.S. trauma center between 2007 and 2012 were included in the study sample. Results We analyzed 13,129 patients under 65 years of age with traumatic finger/thumb amputation. Replantation rates declined over time from 19% to 14% (p = 0.004). Adjusting for patient and hospital characteristics, African-Americans (OR=0.81; CI: 0.66–0.99; p = 0.049) were less likely to undergo replantation procedures than Whites, and uninsured patients (OR=0.73; CI: 0.62–0.84; p advancements in microsurgical techniques and the increasing use of reconstructive surgery in other fields, finger/thumb replantation rates are declining in the U.S. and vulnerable populations are less likely to undergo replantation after amputation injuries. Regionalization of care for these injuries may not only provide a higher quality care but also reduce variations in treatment. PMID:26910702

  19. Transient bone resorption following finger replantation: a report of 3 cases

    Directory of Open Access Journals (Sweden)

    Lucchina Stefano

    2011-06-01

    Full Text Available 【Abstract】Radiographic changes consisting of al- terations in mineral content, osteopaenia or destructive neu- ropathy that occur following successful finger replantation have already been described. We report our experience about four fingers in three individuals in whom bone changes de- veloped in the first three months postoperatively with com- plete “restitution ad integrum”. Three patients, 21-49 years old (average 36 years sus- tained a clean-cut amputation of four fingers. The first pa- tient had an amputation at the base of the middle phalanx of the index finger and the second patient at the base of the proximal phalanx of the ring finger. The third had an ampu- tation at the base of the first metacarpal bone and the proxi- mal phalanx of the small finger in a five finger amputation. In the first case, two dorsal veins and two palmar digital arter- ies and nerves were repaired. In the second case, one pal- mar artery and one dorsal vein were reanastomosed. In the third case at the thumb, two dorsal veins and two palmar digital arteries and nerves were reconstructed. At the small finger, one dorsal vein, one palmar digital artery and two digital nerves were reconstructed. Bone fixation was achieved with two and three K-wires or tension-band wiring. Replantation was successful in all cases. Three weeks after replantation, the X-rays showed rapid development of osteopaenia in the juxtaarticular region and metaphyses of the bone. These changes were followed by subperiosteal, intracortical and endosteal bone resorption. No further sur- gical procedures or splintage were needed and hand therapy was not discontinued. At 10-13 weeks (average 12 weeks postoperatively, the X-rays showed a complete recovery with new periosteal bone formation. We suggest that the radiographic changes after finger replantation are transient, first evident subperiosteally and progressing centrally. They may reflect small-vessel com- promise and microinfarction

  20. Open source electronic health records and chronic disease management.

    Science.gov (United States)

    Goldwater, Jason C; Kwon, Nancy J; Nathanson, Ashley; Muckle, Alison E; Brown, Alexa; Cornejo, Kerri

    2014-02-01

    To study and report on the use of open source electronic health records (EHR) to assist with chronic care management within safety net medical settings, such as community health centers (CHC). The study was conducted by NORC at the University of Chicago from April to September 2010. The NORC team undertook a comprehensive environmental scan, including a literature review, a dozen key informant interviews using a semistructured protocol, and a series of site visits to CHC that currently use an open source EHR. Two of the sites chosen by NORC were actively using an open source EHR to assist in the redesign of their care delivery system to support more effective chronic disease management. This included incorporating the chronic care model into an CHC and using the EHR to help facilitate its elements, such as care teams for patients, in addition to maintaining health records on indigent populations, such as tuberculosis status on homeless patients. The ability to modify the open-source EHR to adapt to the CHC environment and leverage the ecosystem of providers and users to assist in this process provided significant advantages in chronic care management. Improvements in diabetes management, controlled hypertension and increases in tuberculosis vaccinations were assisted through the use of these open source systems. The flexibility and adaptability of open source EHR demonstrated its utility and viability in the provision of necessary and needed chronic disease care among populations served by CHC.

  1. Replantation of a displaced incisor in a boy with a cleft lip and alveolus: a case report.

    Science.gov (United States)

    Schaaf, Heidrun; Kerkmann, Heiko; Pitka, Felix; Bock, Niko Christian; Attia, Sameh

    2016-09-15

    Tooth replantation after traumatic avulsion or transplantation is a challenge in oral surgery. A special method named auto-alloplastic replantation, in which a titanium post is used after extraoral endodontic treatment, combines several advantages. The treatment is performed in one step with no further endodontic intervention, no wide root canal instrumentation, no recontamination, and reduced endodontic infection. This is the first report on replantation of an ectopic tooth in a patient with a cleft lip and alveolus using this method. This case report presents the treatment of a 13-year-old white boy with a cleft lip and alveolus who had an ectopic incisor in the cleft region. His rehabilitation was performed by a tooth transposition using the auto-alloplastic replantation technique. After preparation of the displaced incisor from the vestibule, extraoral endodontic treatment followed using a titanium post prior to replantation in a newly formed socket. In the follow-up, the tooth is still in place and functioning after 2 years. This method can be used to bridge the years while a patient is young and jaw growth is incomplete until bone augmentation and implantation can be performed. The tooth will preserve the remaining alveolar ridge and help the adolescent psychologically.

  2. Replanting/underplanting strategy for old coconut plantations in Papua New Guinea

    Directory of Open Access Journals (Sweden)

    Ollivier Jean

    2001-11-01

    Full Text Available In most producing countries, the population of coconut palms is growing old, and ways of replacing them are rarely implemented to ensure that production is maintained and the future of the industry and its profitability are safeguarded. Rehabilitating/replanting coconut plantations and adopting appropriate intercropping systems is one of the main challenges to be taken up for the future of coconut in the Asia-Pacific region. The example of Papua New Guinea (PNG reveals one of the lowest yields per hectare among the countries in the Asia-Pacific zone. Almost 106,000 ha were planted between 1910 and 1940, amounting to around 40% of the current coconut plantings, hence 80 to 100,000 ha can be expected to disappear in the next twenty years. Faced with this forecast, the PNG Cocoa and Coconut Research Institute (PNG CCRI launched several operations, beginning with the creation of a coconut research centre on the PNG mainland: examination of a replanting strategy for old coconut plantings, based on hybrid planting material, distribution of improved planting material through the creation of a seed garden, and development of a system for controlling pest populations in high-risk zones. The experiments set up at the station are designed to optimize the felling date for old coconut palms, by measuring the effects of competition with the underplanted hybrids, and to determine from an economic point of view the best strategy to be applied for implementing rehabilitation and/or replanting programmes in old coconut plantings. This paper describes the results of these operations.

  3. Management of external perforating root resorption by intentional replantation followed by Biodentine restoration

    Directory of Open Access Journals (Sweden)

    Preeti Jain Pruthi

    2015-01-01

    Full Text Available Resorption of tooth structures can occur as a result of physiological, pathological, and idiopathic factors. Early diagnosis and appropriate treatment can prevent its serious complications. This case report presents surgical endodontic management of a trauma-induced perforating external root resorption, which was diagnosed with the help of cone beam computed tomography. Following root canal treatment, intentional replantation of the tooth was performed so as to expose the opening of the resorption defect to allow for complete debridement and closure. Eighteen months follow-up showed arrest of root resorption, and progressive healing of the defect.

  4. Management of external perforating root resorption by intentional replantation followed by Biodentine restoration.

    Science.gov (United States)

    Pruthi, Preeti Jain; Dharmani, Umesh; Roongta, Ruchika; Talwar, Sangeeta

    2015-01-01

    Resorption of tooth structures can occur as a result of physiological, pathological, and idiopathic factors. Early diagnosis and appropriate treatment can prevent its serious complications. This case report presents surgical endodontic management of a trauma-induced perforating external root resorption, which was diagnosed with the help of cone beam computed tomography. Following root canal treatment, intentional replantation of the tooth was performed so as to expose the opening of the resorption defect to allow for complete debridement and closure. Eighteen months follow-up showed arrest of root resorption, and progressive healing of the defect.

  5. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar

    Science.gov (United States)

    Ravi, GR

    2015-01-01

    ABSTRACT Radicular cysts are by far the most common cystic lesions of the jaw. However, those arising from primary teeth are comparatively rare, comprising only 0.5 to 3.3%. The aim of this paper is to present clinical, radiographic and histopathological characteristics of radicular cyst associated with a primary mandibular molar causing unusual displacement of the permanent successor. Extraction of primary tooth along with extirpation of cyst was done under local anesthesia. The displaced premolar was also extracted and then replanted in the socket after proper alignment. Healing was uneventful and the space of missing primary molar was maintained by band and loop space maintainer. The relationship between intracanal medicaments and rapid growth of cyst, as mentioned in literature was observed in our case too. Thus, pulpotomy treated primary teeth should receive periodic postoperative radiographic examination and absence of clinical symptoms does not mean that a pulpotomy treated tooth is healthy. How to cite this article: Lamba G, Ravi GR. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar. Int J Clin Pediatr Dent 2015;8(1):70-74. PMID:26124586

  6. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar.

    Science.gov (United States)

    Lamba, Gagandeep; Ravi, G R

    2015-01-01

    Radicular cysts are by far the most common cystic lesions of the jaw. However, those arising from primary teeth are comparatively rare, comprising only 0.5 to 3.3%. The aim of this paper is to present clinical, radiographic and histopathological characteristics of radicular cyst associated with a primary mandibular molar causing unusual displacement of the permanent successor. Extraction of primary tooth along with extirpation of cyst was done under local anesthesia. The displaced premolar was also extracted and then replanted in the socket after proper alignment. Healing was uneventful and the space of missing primary molar was maintained by band and loop space maintainer. The relationship between intracanal medicaments and rapid growth of cyst, as mentioned in literature was observed in our case too. Thus, pulpotomy treated primary teeth should receive periodic postoperative radiographic examination and absence of clinical symptoms does not mean that a pulpotomy treated tooth is healthy. How to cite this article: Lamba G, Ravi GR. Replantation of Displaced Underlying Successor and Marsupialization of Radicular Cyst associated with a Primary Molar. Int J Clin Pediatr Dent 2015;8(1):70-74.

  7. Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child

    Directory of Open Access Journals (Sweden)

    Akbar Jaleel Zubairi

    2015-01-01

    Full Text Available Replantation of the lower extremity has controversial indications but nevertheless it may be considered in carefully selected patients who present early and are expected to show good functional recoveries. Here we present a successful replantation in a 3-year-old boy who has made excellent recovery with no functional deficit evident at 12 years of follow-up. He sustained a traumatic amputation at the level of distal tibia when he fell of a “Qing Qi” (motorcycle rickshaw. Replantation was attempted at 8 hours cold ischemia time with the tibia shortened 4 cm and all tendons, vessels, and nerves repaired. Patient required a second procedure during the same hospital stay for skin coverage. Patient made good recovery with ambulation without support at 6 months, less than 3 cm limb length discrepancy, plantar and dorsiflexion power 4/5, and recovery of sensation over the foot. Now at 12 years of follow-up patient has a normal gait and has integrated into society with no functional deficit. Considering the functional outcome of our case, replantation should be attempted whenever possible and feasible especially in children.

  8. Inactivated Bone Replantation with Preservation of the Epiphysis in Children with Osteosarcoma- Clinical Report of Two Cases

    Institute of Scientific and Technical Information of China (English)

    YUXiuchun; LIUXiaoping; ZHOUYin; LIKaihua; QUZaiping

    2005-01-01

    Objective: To evaluate the value of inactivated bone replantation with preservation of the epiphysis following the effective chemotherapy in avoiding postoperative discrepancy of the affected limb in children with osteosarcoma. Methods: Two children (aged 5 and 10 years, 1 male and 1 female) with osteosarcoma underwent inactivated bone replantation with preserving epiphysis following chemotherapy (MMIA protocol, including high-dose methotrexate, adriamycin and ifosfamide). After two cycles of preoperative chemotherapy, pain vanished, the local mass shrank and there was no pain on pressing the affected parts. Sera AKP and LDH were reduced to normal levels; marked shrinkage and sclerotic changes and good margin of lesions were seen on plain radiographs and MR images. Two courses of the same protocol as preoperative chemotherapy were administered postoperatively. Results: Postoperative histological examination of the specimens demonstrated absence of vital tumor cells. Incisions healed well and no complications occurred. The replanted inactivated bone healed with host at 6 months after operation.In the two patients, no evidence was seen of metastasis and recurrence and discrepancy of the affected limbs in postoperative 36 and 48 months. Functions of the affected limbs were satisfactory. Conclusion:Inactivated bone replantation with preserving epiphysis was a viable option for osteosarcoma in children.The long-term outcomes remain to be further proven.

  9. Efficacy of enamel matrix derivatives (Emdogain) in treatment of replanted teeth--a systematic review based on animal studies.

    Science.gov (United States)

    Wiegand, Annette; Attin, Thomas

    2008-10-01

    The objective of the current systematic review was to evaluate the efficacy of enamel matrix derivative (EMD) (Emdogain) on healing of replanted or autotransplanted permanent teeth. A review of the published literature [search term: (Emdogain OR enamel matrix derivative OR enamel matrix protein] AND [avulsion OR replantation OR autotransplantation)] was conducted by two independent investigators according to defined selection criteria. For data extraction of the identified animal studies, the following histomorphometric findings were considered: (i) healed PDL, (ii) surface resorption, (iii) inflammatory resorption and (iv) replacement resorption. The heterogeneity of data collection and the small amount of identified publications did not allow for statistical analysis. Four controlled trials (CT) conducted in animals, but no randomized controlled trials (RCT) or clinical controlled trials (CCT) could be received from the systematic search. From the selected studies, two CT gave evidence of EMD treatment to be effective in inducing healing of replanted teeth, while one CT found no differences between EMD treated teeth and controls. Finally, one CT compared EMD and sodium fluoride application, but revealed no differences between the treatments. The data of controlled trials available are limited and conflicting. No firm conclusion regarding the efficacy of EMD application on healing of replanted or autotransplanted permanent teeth can be drawn because of lack of RCT and CCT.

  10. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model.

    Science.gov (United States)

    Kwan, Steven C; Johnson, James D; Cohenca, Nestor

    2012-08-01

    Although current guidelines for the treatment of traumatic injuries recommend the use of 'flexible' splints, the precise definition of what is considered flexible versus rigid has not been rigorously defined, leaving the clinician with a wide range of options for this critical factor. The purpose of this study was to quantify and compare the effect of eight different splints on tooth mobility after extraction and replantation using a human cadaveric model. Following strict selection criteria including complete root maturation, lack of periodontal disease, normal bone levels, and crown integrity, a maxillary central incisor was atraumatically extracted and splinted with eight different splints. The experimental splints included a 20-pound test (9.072-kilogram test) [corrected] monofilament nylon-composite splint and six wire-composite splints made of wires of 0.012' (0.3 mm), 0.016' (0.4 mm), or 0.020' (0.5 mm) diameter stainless steel (SS) or nickel titanium (NT). A direct composite splint represented the most rigid type of splint. These eight splints were applied five times each, and tooth mobility was measured before and after each splint was applied. The average splint effect, defined as the difference between the presplint and the postsplint measurements quantified using the Periotest, was calculated for each splint and compared. No significant differences were found between the nylon-composite and the wire-composite splints. There was significantly less tooth mobility with the direct composite splint compared to all other splints. In conclusion, the results of this study suggest that nylon and SS or NT wires up to 0.016' diameter are significantly more flexible than direct composite splints and thus may be better suited for the splinting and management of traumatized teeth. © 2011 John Wiley & Sons A/S.

  11. Knowledge of teachers and students in physical education's faculties regarding first-aid measures for tooth avulsion and replantation.

    Science.gov (United States)

    Jorge, Kelly Oliva; Ramos-Jorge, Maria Letícia; de Toledo, Flávia Fonseca; Alves, Laila Caldeira; Paiva, Saul Martins; Zarzar, Patrícia Maria

    2009-10-01

    The aim of the present cross-sectional study was to investigate the knowledge of undergraduate students and teachers at all physical education courses in the city of Belo Horizonte (Brazil) regarding first-aid measures to be taken following tooth avulsion as well as the need for the preventative use of mouth guards. The sample consisted of 442 individuals (Group 1: 53 teachers; Group 2: 389 undergraduate students). Data collection was carried out with the administration of a questionnaire with both objective and subjective questions addressing definitions, first-aid measures in cases of avulsion and tooth replantation, together with an assessment of the use and indication of mouth guards. Data analysis involved descriptive statistics and the chi-square test. The results revealed that 45.1% of the participants in both groups knew what a tooth replantation was. However, 91.6% judged themselves incapable of performing an immediate replantation. Among the overall sample, 45.9% has no knowledge on first-aid measures regarding tooth avulsion; sending the patient with an avulsed tooth to the dentist was the most often cited measure (42.3%). Immediate replantation was cited by 20.6% of the individuals in Group 1 and 5.9% of the individuals in Group 2 (P = 0.009). Regarding the storage medium, 17.1% of the individuals would keep the avulsed tooth in a dry medium. The majority of participants (58.3%) stated that the ideal extra-alveolar time for replantation was more than 360 min. Although 74% of the overall sample stated having knowledge of mouth guards, few reported making use or indicating the use of this piece of equipment. The present study revealed that the majority of teachers and undergraduate students of physical education courses do not have adequate knowledge regarding first-aid measures for tooth avulsion and do not use or indicate the use of mouth guards during sports activities.

  12. Foster replantation of fingertip using neighbouring digital artery in a young child.

    Science.gov (United States)

    Xu, Jing-Hong; Gao, Zheng-Jun; Yao, Jing-Ming; Tan, Wei-Qiang; Dawreeawo, Javed

    2010-06-01

    Reconstruction of an amputated fingertip in a young child demands special techniques for success. We report a 2.5-year-old female patient with an amputated left index fingertip with the vascular defect being too severe to perform the usual replantation. Comparing several methods, we used the neighbouring digital artery as the feeding artery to perform foster replantation. Finally, the patient was satisfied with the appearance and function of her fingers. The clinical case, techniques, results are described and discussed. We consider it a useful technique, especially for those with a rather severe vascular defect. A 2.5-year-old girl suffered a crush amputation of the left index fingertip. Only the flexor tendon of the amputated fingertip was connected to the proximal finger tissue and the blood supply was completely lost (Figure 1). The distal amputated fingertip was fixed using Kirschner wire under general anaesthesia. Then, microsurgery operation was carried out immediately to replant this amputated fingertip. Both ulnar and radial digital arteries were avulsed, while the dorsal vein was intact and the digital nerve was also surviving. The integrity of blood vessels was too traumatised to connect to the proximal part. In the case of the distal part of the ulnar artery of the injured index finger, the blood supply was established by anastomosing the distal end of the amputated tip and the radial artery of the middle finger, which was the feeding artery (Figure 2). A 11/0 nylon suture was used. The dorsal vein and digital nerve were repaired by means of microsurgical anastomosis. The wound was covered with the dorsal skin of the middle finger and the palmar skin of the index finger to form a skin pedicle, and then, immobility of the two fingers was maintained to prevent avulsion. The index tip obtained good blood supply and survived completely (Figure 3). Detachment of the index and middle finger was performed after 3 weeks, and both of the fingers showed good

  13. Detection And Identification Of Inflammatory Bowel Disease Electronic Nose

    Science.gov (United States)

    Covington, J. A.; Ouaret, N.; Gardner, J. W.; Nwokolo, C.; Bardhan, K. D.; Arasaradnam, R. P.

    2011-11-01

    Inflammatory bowel disease (IBD) is an inflammation of the lining of the human bowel and a major health issue in Europe. IBD carries with it significant morbidity from toxic treatment, surgery and a risk of developing bowel cancer. Thus there is a need for early identification of the disease using non-invasive tests. Present diagnostic techniques are based around invasive tests (i.e. endoscopy) and laboratory culture; the latter is limited as only 50% of the gut bacteria can be identified. Here we explore the use of an e-nose as a tool to detect and identify two IBDs (i.e. Crohn's disease (CD) & Ulcerative Colitis (UC)) based on headspace analysis from urine samples. We believe that the gut bacterial flora is altered by disease (due to fermentation) that in-turn modulates the gas composition within urine samples. 24 samples (9 CD, 6 UC, 9 controls) were analysed with an in-house e-nose and an Owlstone IMS instrument. Data analysis was performed using linear discriminant analysis (LDA and principal components analysis (PCA). Using the e-nose, LDA separates both disease groups and control, whilst PCA shows a small overlap of classes. The IMS data are more complex but shows some disease/control separation. We are presently collecting further samples for a larger study using more advanced data processing methods.

  14. 损害控制下的断指再植术%Treatment of digital replantation and shifted replantation under damage control

    Institute of Scientific and Technical Information of China (English)

    邢进峰; 丁伟航; 陈欢欢; 孙西涛; 沈金明; 童良春; 李飞; 徐海孺; 蒋云甫

    2015-01-01

    Objective To investigate the clinical application of damage control in severe multiple trauma with amputation injury at fingers.Methods Two cases of multi-trauma were included in this study,with ISS (Injury Severity Score) higher than 25.In case 1,the patient was diagnosed as left parietal subdural hematoma,left parietal bone fractures,intracranial pneumatosis,scalp defect in the left parietal area,rupture of superficial and deep flexor tendon of the left index and middle finger,rupture of the left extensor muscle,right ulnar nerve injury and amputation injury on the right thumb.In case 2,the patient were diagnosed as the left pulmonary contusion with hemopneumothorax,multiple rib fractures,the 7th cervical spine fracture,injuries on the right hand and scalp laceration.Both patients were treated under damage control and multi-department cooperation.Severed digits were preserved with sterile gauze sterile gloves at 2℃ to 4℃.The first patient was treated with in situ replantation within 63 hours after the injury.The second patient was treated with shifted replantation within 103 hours,the middle finger was shifted to reconstruct the thumb and the ring finger was shifted to reconstruct the index finger.Results All the fingers in case 1 survived,with satisfying flexion and extension function but unsatisfying sense of pain and touch.The shifted fingers all survived in case 2.Necrosis occurred partly on the proximal margin of the shifted fingers,while the defect healed after debridement and skin grafting.Recovery of finger flexion and extension was unsatisfying.Conclusion Damage control could raise the early rescue success rate of severe multiple injury and survival rate effectively.Delayed replantation and shifted replantation could reduce disability rate of patients with severe multiple trauma with severed finger injury.%目的 探讨损害控制在严重多发伤伴手指离断伤患者中的临床应用.方法 多发伤患者2例,严重度评分(ISS) ≥25

  15. [Cross-hand replantation in bilateral upper limb amputation: An anatomical emergency].

    Science.gov (United States)

    Andre, A; Rongieres, M; Laffosse, J-M; Pailhe, R; Lauwers, F; Grolleau, J-L

    2015-08-01

    Bilateral amputations of upper limbs are excessively rare clinical situations. We report an exceptional clinical case of bilateral amputation of upper limbs at different levels: destruction of the right hand and left transhumeral amputation in a patient after an attempted suicide on train lines. This special situation led us to perform a cross-hand replantation of the left hand to the right forearm. Only 4 other similar cases have been published in the literature. Once the surgical indication had been formulated collectively, and taking into account all the ethical issues surrounding such a decision, we had to solve the issue of inverting anatomical structures in emergency. We have provided a detailed description of our surgical technique. The aim was to save at least one organ used for grasping. The result obtained is presented and reviewed.

  16. Ethanol and lactic acid production using sap squeezed from old oil palm trunks felled for replanting.

    Science.gov (United States)

    Kosugi, Akihiko; Tanaka, Ryohei; Magara, Kengo; Murata, Yoshinori; Arai, Takamitsu; Sulaiman, Othman; Hashim, Rokiah; Hamid, Zubaidah Aimi Abdul; Yahya, Mohd Khairul Azri; Yusof, Mohd Nor Mohd; Ibrahim, Wan Asma; Mori, Yutaka

    2010-09-01

    Old oil palm trunks that had been felled for replanting were found to contain large quantities of high glucose content sap. Notably, the sap in the inner part of the trunk accounted for more than 80% of the whole trunk weight. The glucose concentration of the sap from the inner part was 85.2g/L and decreased towards the outer part. Other sugars found in relatively low concentrations were sucrose, fructose, galactose, xylose, and rhamnose. In addition, oil palm sap was found to be rich in various kinds of amino acids, organic acids, minerals and vitamins. Based on these findings, we fermented the sap to produce ethanol using the sake brewing yeast strain, Saccharomyces cerevisiae Kyokai no.7. Ethanol was produced from the sap without the addition of nutrients, at a comparable rate and yield to the reference fermentation on YPD medium with glucose as a carbon source. Likewise, we produced lactic acid, a promising material for bio-plastics, poly-lactate, from the sap using the homolactic acid bacterium Lactobacillus lactis ATCC19435. We confirmed that sugars contained in the sap were readily converted to lactic acid with almost the same efficiency as the reference fermentation on MSR medium with glucose as a substrate. These results indicate that oil palm trunks felled for replanting are a significant resource for the production of fuel ethanol and lactic acid in palm oil-producing countries such as Malaysia and Indonesia. Copyright 2010 The Society for Biotechnology, Japan. Published by Elsevier B.V. All rights reserved.

  17. Histopathological evaluation of the effects of variable extraoral dry times and enamel matrix proteins (enamel matrix derivatives) application on replanted dogs' teeth.

    Science.gov (United States)

    Barbizam, Joao V B; Massarwa, Rasha; da Silva, Lea Assed Bezerra; da Silva, Raquel Assed Bezerra; Nelson-Filho, Paulo; Consolaro, Alberto; Cohenca, Nestor

    2015-02-01

    The extra-alveolar dry period and storage medium in which the tooth was kept prior to replantation remain the critical factors affecting the survival and regeneration of the damaged periodontium. When the replantation is delayed, replacement root resorption is the most common complication following replantation of an avulsed tooth. The aim of this histological study was to evaluate the periodontal healing of replanted dogs' teeth after 20 min (short) and 60 min (long) extraoral dry time with and without the application of enamel matrix proteins. Eighty mature premolar roots (40 teeth) maxillary and mandibular premolars were extracted, the root canals were accessed, instrumented, and filled using a lateral condensation technique, and the access cavity was restored with amalgam. Each root was randomly assigned to one of experimental groups: Groups I and II: Roots were replanted after an extraoral dry time of 20 min. In group II, Emdogain(®) (Biora, Malmo, Sweden) was applied directly to the external root surface with complete coverage. Groups III and IV: Roots were replanted after an extraoral dry time of 60 min. In group IV, Emdogain(®) was applied to the whole external root surface before replantation. Roots that replanted within a total extraoral dry time of 10 min were used as negative controls, while those replanted after 90 min of extraoral dry time were assigned as positive controls. After 4 months, the dogs were euthanized, and the maxillary and mandibular processes were processed for histology and microscopically evaluated. Statistical analysis showed no significant differences (P = 0.1075) among the experimental groups. The results of this study show that 20 min of extraoral dry time is as detrimental to the PDL cells as 60 or 90 min of extraoral dry time, with avulsed dogs' teeth, even when replanted with an inductive material such as EMD. This study provides strong evidence in relation to the threshold of the extraoral dry time of avulsed teeth

  18. Toe-to-hand transfer from a cross-foot replantation in a traumatic four-extremity amputation.

    Science.gov (United States)

    Yildirim, Serkan; Akan, Mithat; Aköz, Tayfun

    2005-10-01

    Treatment of mutilating hand injuries often requires multiple innovative procedures. This report describes a case of multi-limbed amputations from a train injury and the extraordinary microsurgical approaches for a two-hand reconstruction. The first stage of the procedure was a cross replantation of the left foot to the right leg. The second stage was a combined second and third toe transfer from the cross replantation of the left foot to the right hand, and a sensate fibular osteocutaneous flap transfer for left hand reconstruction. Satisfactory function was restored, including good protective sensation. These kinds of extraordinary microsurgical approaches are useful salvage procedures for hand reconstruction, when presented with a case of multi-limb amputation.

  19. Successful treatment of a radicular groove by intentional replantation and Emdogain therapy: four years follow-up.

    Science.gov (United States)

    Al-Hezaimi, Khalid; Naghshbandi, Jafar; Simon, James H S; Rotstein, Ilan

    2009-03-01

    Radicular groove is an anatomical malformation that often causes severe periodontal defects. Treatments of such an anomaly present a clinical challenge to the operator. Presented is a case of successful treatment of radicular groove associated with a maxillary lateral incisor of a 15-year-old girl. A combination of endodontics, intentional replantation, and Emdogain therapy was used. At 4-year follow-up, the patient was comfortable and complete resolution of the periapical pathology was evident.

  20. Evaluating Emdogain and healing of replanted teeth using an intra-individual experimental-control study design.

    Science.gov (United States)

    Fridström, Margareta; Schollin, Jens; Crossner, Claes-Göran

    2008-06-01

    The purpose of the present investigation was to use an intra-individual experimental-control study design to explore if application of Emdogain prior to re-plantation after a dry extra-alveolar period of 60 min would promote a favorable healing of the periodontal ligament cells. Ten patients, for whom already decisions had been taken to extract two maxillary premolars because of crowding, participated in the study. The teeth were extracted and endodontic treatment was performed extra orally. The experimental tooth and its alveolar socket were covered with Emdogain prior to replantation. The contra lateral tooth served as a control and was replanted without any prior treatment. The teeth were stabilized with a retainer for 3-7 days and the patients were followed up every third week. After 13 weeks, the teeth were finally extracted and prepared for histological examination. Radiographs were taken before the study period, at day 29 and prior to the final extraction. The results were in favor of Emdogain, but the overall difference between the Emdogain-treated tooth and its control was rather small, and it seemed questionable if the registered differences could be of any obvious practical clinical importance. Histologically, all the teeth showed some degree of pathology after such a long dry extra-oral time and the outcome seemed to be more correlated to the individual than to the treatment. Given more favorable conditions regarding storage medium and/or extra-oral time, Emdogain might still be of value for an uncomplicated healing after replantation.

  1. Constraints on Biological Mechanism from Disease Comorbidity Using Electronic Medical Records and Database of Genetic Variants.

    Directory of Open Access Journals (Sweden)

    Steven C Bagley

    2016-04-01

    Full Text Available Patterns of disease co-occurrence that deviate from statistical independence may represent important constraints on biological mechanism, which sometimes can be explained by shared genetics. In this work we study the relationship between disease co-occurrence and commonly shared genetic architecture of disease. Records of pairs of diseases were combined from two different electronic medical systems (Columbia, Stanford, and compared to a large database of published disease-associated genetic variants (VARIMED; data on 35 disorders were available across all three sources, which include medical records for over 1.2 million patients and variants from over 17,000 publications. Based on the sources in which they appeared, disease pairs were categorized as having predominant clinical, genetic, or both kinds of manifestations. Confounding effects of age on disease incidence were controlled for by only comparing diseases when they fall in the same cluster of similarly shaped incidence patterns. We find that disease pairs that are overrepresented in both electronic medical record systems and in VARIMED come from two main disease classes, autoimmune and neuropsychiatric. We furthermore identify specific genes that are shared within these disease groups.

  2. Surgical Re-entry of an Intentionally Replanted Periodontally Compromised Tooth Treated with Platelet Rich Fibrin (PRF): Hopeless to Hopeful.

    Science.gov (United States)

    Ryana, Haneet Kour; Srinath, Rashmi; Prakash, Shobha

    2016-06-01

    Intentional replantation is generally contraindicated in periodontally compromised teeth however, there are reports suggesting that it can be a successful treatment alternative for periodontally involved hopeless teeth. Currently there is dearth of evidence regarding the success of this therapy, especially evidence for the effectiveness of autologous platelet rich fibrin is lacking. We present a case report of a 23-year-old male patient with periodontally hopeless left maxillary central incisor having bone loss extending beyond root apex. The tooth was gently extracted and replanted utilizing root conditioning and combined regenerative therapy (Xenograft, PRF and Type I Collagen Membrane). Surgical re-entry at nine months revealed bone formation in the apical third of the tooth. At one year, 87% radiographic bone gain was accomplished. The improvement in the clinical and radiographic parameters reinforced by the re-entry surgery findings strongly suggest that intentional replantation may be a cost-effective substitute to implants and tooth supported prosthesis in situations where conventional periodontal therapy would yield compromised outcomes.

  3. Histological and immunohistochemical analyses of the chronology of healing process after immediate tooth replantation in incisor rat teeth.

    Science.gov (United States)

    Panzarini, Sônia Regina; Okamoto, Roberta; Poi, Wilson Roberto; Sonoda, Celso Koogi; Pedrini, Denise; da Silva, Paula Ervolino; Saito, Celia Tomiko Matida Hamata; Marão, Heloísa Fonseca; Sedlacek, Paulo

    2013-02-01

    Dental tissues have special characteristics, and its regenerative capacity is noteworthy. However, understanding the circumstances that lead to regeneration is challenging. In this study, the chronology of the healing process after immediate replantation of rat incisor teeth was examined by histological and immunohistochemical analyses within a 60-day period. Thirty-six male Wistar rats had their maxillary right incisors extracted and replanted after 15 min in saline storage. The rats were sacrificed immediately 3, 7, 15, 28, and 60 days after replantation. The histological analysis showed rupture of the periodontal ligament and formation of a blood clot, which started being replaced by a connective tissue after 3 days. At 7 days, the gingival mucosa epithelium was reinserted and areas of root resorption could be seen. At 15 days, the periodontal ligament was repaired. At 3 days, the pulp presented an absence of the odontoblast layer, which started being replaced by a connective tissue. This tissue suffered gradual calcification, filling the root canal at 28 and 60 days. The root ends were closed. The immunohistochemical analysis revealed greater expression of OP, OPG, and RANK proteins in the initial periods (0 and 3 days), while TRAP expression predominated at 28 and 60 days (P process, while a predominance of bone resorption and remodeling is observed in the more advanced periods. © 2012 John Wiley & Sons A/S.

  4. Surgical Re-entry of an Intentionally Replanted Periodontally Compromised Tooth Treated with Platelet Rich Fibrin (PRF): Hopeless to Hopeful

    Science.gov (United States)

    Srinath, Rashmi; Prakash, Shobha

    2016-01-01

    Intentional replantation is generally contraindicated in periodontally compromised teeth however, there are reports suggesting that it can be a successful treatment alternative for periodontally involved hopeless teeth. Currently there is dearth of evidence regarding the success of this therapy, especially evidence for the effectiveness of autologous platelet rich fibrin is lacking. We present a case report of a 23-year-old male patient with periodontally hopeless left maxillary central incisor having bone loss extending beyond root apex. The tooth was gently extracted and replanted utilizing root conditioning and combined regenerative therapy (Xenograft, PRF and Type I Collagen Membrane). Surgical re-entry at nine months revealed bone formation in the apical third of the tooth. At one year, 87% radiographic bone gain was accomplished. The improvement in the clinical and radiographic parameters reinforced by the re-entry surgery findings strongly suggest that intentional replantation may be a cost-effective substitute to implants and tooth supported prosthesis in situations where conventional periodontal therapy would yield compromised outcomes. PMID:27504421

  5. Electronic Support for Public Health: Validated Case Finding and Reporting for Notifiable Diseases Using Electronic Medical Data

    Science.gov (United States)

    Lazarus, Ross; Klompas, Michael; Campion, Francis X.; McNabb, Scott J.N.; Hou, Xuanlin; Daniel, James; Haney, Gillian; DeMaria, Alfred; Lenert, Leslie; Platt, Richard

    2009-01-01

    Health care providers are legally obliged to report cases of specified diseases to public health authorities, but existing manual, provider-initiated reporting systems generally result in incomplete, error-prone, and tardy information flow. Automated laboratory-based reports are more likely accurate and timely, but lack clinical information and treatment details. Here, we describe the Electronic Support for Public Health (ESP) application, a robust, automated, secure, portable public health detection and messaging system for cases of notifiable diseases. The ESP application applies disease specific logic to any complete source of electronic medical data in a fully automated process, and supports an optional case management workflow system for case notification control. All relevant clinical, laboratory and demographic details are securely transferred to the local health authority as an HL7 message. The ESP application has operated continuously in production mode since January 2007, applying rigorously validated case identification logic to ambulatory EMR data from more than 600,000 patients. Source code for this highly interoperable application is freely available under an approved open-source license at http://esphealth.org. PMID:18952940

  6. Déterminants sociaux et économiques de la replantation

    Directory of Open Access Journals (Sweden)

    Ruf François

    2000-03-01

    Full Text Available Sur les bourses européennes, la notion de durabilité des investissements dans les valeurs est explicite « Développement durable rime avec investissement rentable » (La Tribune, 11 mars 2000. La maxime émerge avec le développement des fonds éthiques. Selon leurs promoteurs, plus une société commerciale aura le souci de son environnement, plus elle sera boursièrement performante. D’une certaine façon, ce raisonnement reprend des courants de l’écologie humaine et de l’économie rurale, s’appliquant fort bien aux cultures pérennes. En l’absence de pensions et de retraites, les planteurs voient dans les cultures pérennes un moyen efficace pour accumuler des richesses, épargner, et éventuellement pour les transmettre à la génération suivante [1, 2]. Les cultures pérennes représentent bien un patrimoine, et leur propriétaire est à la fois un entrepreneur qui investit et un épargnant soucieux de la valeur de son patrimoine, donc de l’environnement garantissant sa durabilité. Cette notion de durabilité peut signifier une stratégie de prolongement de vie économique de l’actif épargné, la plantation, mais peut aussi passer par des stratégies de vente, de rachat, de reconversion, replantation, diversification. Pour un planteur, tout à la fois chef de famille, entrepreneur, épargnant et consommateur, la notion de durabilité s’applique d’abord à celle des revenus disponibles pour la famille. Par rapport à un objectif de durabilité des revenus, comment, pourquoi et quand un planteur prend-il la décision de replanter ? Nous essayerons ici de répondre à cette question sous forme de réflexion et d’exemples pris dans différents pays pour diverses cultures pérennes.

  7. The Role of Electron Microscopy for the Diagnosis of Childhood Glomerular Diseases

    Directory of Open Access Journals (Sweden)

    Ahmad Ostadali Makhmalbaf

    2011-09-01

    Full Text Available Objective:Optimum diagnosis of glomerulopathies requires light microscopy, immunofluorescence and electron microcopy. In fact electron microscopy has a confirmatory role in glomerular diseases. It provides more information for patient management and can rule out other diseases. The goal of the present study is analysis the necessity of electron microscopy for the diagnosis of childhood glomerulopathies. Methods:134 cases of renal biopsy with some clinical data retrospectively were reviewed. The contribution of electron microscopy to the final diagnosis was graded as necessary - diagnosis could not be reached without it, supportive - it increased the level of confidence in the final diagnosis and noncontributory - the diagnosis dont need electron microscopy for confirmation. Findings:The contribution of electron microscopy to the final diagnosis was necessary in 51 cases (38%, supportive in 40 cases ( 30% and noncontributory in 43 cases (32%. Conclusion:In conclusion the results showed in about 68% of childhood glomerulopathies the ultrastructural study was necessary or supportive, so electron microscopy still remains an important tool in diagnosis of childhood glomerulopathies.

  8. Root removal to improve disease management in replanted Washington red raspberry fields

    Science.gov (United States)

    Washington leads the nation in the production of red raspberries for processing. Soilborne pathogens are a production constraint in this $61 million industry with growers relying on preplant soil fumigation for their management. However, current fumigation methods can be ineffective, leading to repl...

  9. A novel electronic data collection system for large-scale surveys of neglected tropical diseases.

    Directory of Open Access Journals (Sweden)

    Jonathan D King

    Full Text Available BACKGROUND: Large cross-sectional household surveys are common for measuring indicators of neglected tropical disease control programs. As an alternative to standard paper-based data collection, we utilized novel paperless technology to collect data electronically from over 12,000 households in Ethiopia. METHODOLOGY: We conducted a needs assessment to design an Android-based electronic data collection and management system. We then evaluated the system by reporting results of a pilot trial and from comparisons of two, large-scale surveys; one with traditional paper questionnaires and the other with tablet computers, including accuracy, person-time days, and costs incurred. PRINCIPLE FINDINGS: The electronic data collection system met core functions in household surveys and overcame constraints identified in the needs assessment. Pilot data recorders took 264 (standard deviation (SD 152 sec and 260 sec (SD 122 sec per person registered to complete household surveys using paper and tablets, respectively (P = 0.77. Data recorders felt a lack of connection with the interviewee during the first days using electronic devices, but preferred to collect data electronically in future surveys. Electronic data collection saved time by giving results immediately, obviating the need for double data entry and cross-correcting. The proportion of identified data entry errors in disease classification did not differ between the two data collection methods. Geographic coordinates collected using the tablets were more accurate than coordinates transcribed on a paper form. Costs of the equipment required for electronic data collection was approximately the same cost incurred for data entry of questionnaires, whereas repeated use of the electronic equipment may increase cost savings. CONCLUSIONS/SIGNIFICANCE: Conducting a needs assessment and pilot testing allowed the design to specifically match the functionality required for surveys. Electronic data collection

  10. Contribution of Electronic Medical Records to the Management of Rare Diseases

    Directory of Open Access Journals (Sweden)

    Dominique Bremond-Gignac

    2015-01-01

    Full Text Available Purpose. Electronic health record systems provide great opportunity to study most diseases. Objective of this study was to determine whether electronic medical records (EMR in ophthalmology contribute to management of rare eye diseases, isolated or in syndromes. Study was designed to identify and collect patients’ data with ophthalmology-specific EMR. Methods. Ophthalmology-specific EMR software (Softalmo software Corilus was used to acquire ophthalmological ocular consultation data from patients with five rare eye diseases. The rare eye diseases and data were selected and collected regarding expertise of eye center. Results. A total of 135,206 outpatient consultations were performed between 2011 and 2014 in our medical center specialized in rare eye diseases. The search software identified 29 congenital aniridia, 6 Axenfeld/Rieger syndrome, 11 BEPS, 3 Nanophthalmos, and 3 Rubinstein-Taybi syndrome. Discussion. EMR provides advantages for medical care. The use of ophthalmology-specific EMR is reliable and can contribute to a comprehensive ocular visual phenotype useful for clinical research. Conclusion. Routinely EMR acquired with specific software dedicated to ophthalmology provides sufficient detail for rare diseases. These software-collected data appear useful for creating patient cohorts and recording ocular examination, avoiding the time-consuming analysis of paper records and investigation, in a University Hospital linked to a National Reference Rare Center Disease.

  11. Discovering disease associations by integrating electronic clinical data and medical literature.

    Directory of Open Access Journals (Sweden)

    Antony B Holmes

    Full Text Available Electronic health record (EHR systems offer an exceptional opportunity for studying many diseases and their associated medical conditions within a population. The increasing number of clinical record entries that have become available electronically provides access to rich, large sets of patients' longitudinal medical information. By integrating and comparing relations found in the EHRs with those already reported in the literature, we are able to verify existing and to identify rare or novel associations. Of particular interest is the identification of rare disease co-morbidities, where the small numbers of diagnosed patients make robust statistical analysis difficult. Here, we introduce ADAMS, an Application for Discovering Disease Associations using Multiple Sources, which contains various statistical and language processing operations. We apply ADAMS to the New York-Presbyterian Hospital's EHR to combine the information from the relational diagnosis tables and textual discharge summaries with those from PubMed and Wikipedia in order to investigate the co-morbidities of the rare diseases Kaposi sarcoma, toxoplasmosis, and Kawasaki disease. In addition to finding well-known characteristics of diseases, ADAMS can identify rare or previously unreported associations. In particular, we report a statistically significant association between Kawasaki disease and diagnosis of autistic disorder.

  12. Clinical observation on 52 cases of traumatic dislocation teeth replantation%外伤脱位牙再植术52例临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    杨淑英

    2014-01-01

    Objective:To observe the clinical curative effect of traumatic dislocation teeth replantation.Methods:52 patients(83 teeth) with traumatic complete dislocation teeth who were taken replantation since 2010 were selected.They were followed up after replantation,then we observed the effect of treatment.Results:There were 58 teeth completely successful after replantation(69.88% );17 teeth were basic successful(20.48% );8 teeth were failure(9.64% ).54 teeth were periodontal healing(65.06%);22 teeth were bone healing(26.51%) and 7 teeth were fibrous healing(8.43%).Conclusion:If you can correct save luxated tooth and timely replantated when the complete dislocation teeth occurred,the success rate of replantation can improve effectively.%目的:观察外伤脱位牙再植术的临床疗效。方法:2010年以来收治外伤导致牙完全性脱位后再植患者52例(83颗牙),再植术后进行随访,观察治疗效果。结果:再植术后,完全成功58颗(69.88%),基本成功17颗(20.48%),失败8颗(9.64%)。牙周膜愈合54颗(65.06%),骨性愈合22颗(26.51%),纤维性愈合7颗(8.43%)。结论:发生完全性牙脱位后,正确地保存脱位牙,并及时就诊再植能够有效地提高再植成功率。

  13. Influence of enamel matrix derivative (Emdogain) and sodium fluoride on the healing process in delayed tooth replantation: histologic and histometric analysis in rats.

    Science.gov (United States)

    Poi, Wilson Roberto; Carvalho, Roberta Martinelli; Panzarini, Sônia Regina; Sonoda, Celso Koogi; Manfrin, Thais Mara; Rodrigues, Thais da Silveira

    2007-02-01

    Although it has already been shown that enamel matrix derivative (Emdogain) promotes periodontal regeneration in the treatment of intrabony periodontal defects, there is little information concerning its regenerative capacity in cases of delayed tooth replantation. To evaluate the alterations in the periodontal healing of replanted teeth after use of Emdogain, the central incisors of 24 Wistar rats (Rattus norvegicus albinus) were extracted and left on the bench for 6 h. Thereafter, the dental papilla and the enamel organ of each tooth were sectioned for pulp removal by a retrograde way and the canal was irrigated with 1% sodium hypochlorite. The teeth were assigned to two groups: in group I, root surface was treated with 1% sodium hypochlorite for 10 min (changing the solution every 5 min), rinsed with saline for 10 min and immersed in 2% acidulated-phosphate sodium fluoride for 10 min; in group II, root surfaces were treated in the same way as described above, except for the application of Emdogain instead of sodium fluoride. The teeth were filled with calcium hydroxide (in group II right before Emdogain was applied) and replanted. All animals received antibiotic therapy. The rats were killed by anesthetic overdose 10 and 60 days after replantation. The pieces containing the replanted teeth were removed, fixated, decalcified and paraffin-embedded. Semi-serial 6-microm-thick sections were obtained and stained with hematoxylin and eosin for histologic and histometric analyses. The use of 2% acidulated-phosphate sodium fluoride provided more areas of replacement resorption. The use of Emdogain resulted in more areas of ankylosis and was therefore not able to avoid dentoalveolar ankylosis. It may be concluded that neither 2% acidulated-phosphate sodium fluoride nor Emdogain were able to prevent root resorption in delayed tooth replantation in rats.

  14. A study of the interleukin-1 gene cluster polymorphisms and inflammatory external root resorption in replanted permanent teeth.

    Science.gov (United States)

    Bastos, J V; Côrtes, M I S; Silva, J F C; Goulart, E M A; Colosimo, E A; Gomez, R S; Dutra, W O

    2015-09-01

    To investigate whether single nucleotide polymorphisms (SNPs) within the interleukin-1 gene cluster (IL1) are associated with the occurrence and severity of inflammatory external root resorption (IERR) after replantation of avulsed permanent teeth. Indexes of IERR were radiographically assessed in 182 mature replanted permanent teeth from 146 patients at the onset of endodontic therapy. DNA was extracted from buccal mucosa cells and genotyped using TaqMan probes-based assays for the SNPs IL1A -889C/T (rs 180058), IL1B +3954C/T (rs1143634) and IL1RN +2018C/T (rs419598). Teeth were grouped into two categories: IERR absent to mild (indexes ≤ 4) and moderate to severe IERR (indexes > 4). Genetic variations in the IL1 gene cluster were tested for their effect on the occurrence and extension of IERR using the GEE model (generalized estimation equation). Patient's age at the moment of injury, timing of pulpectomy, extra-alveolar period and storage condition of the avulsed teeth was included as possible confounders. No association was found between SNPs IL1A -889C/T, IL1B +3954C/T (rs1143634) and IL1RN +2018C/T (rs419598) and IERR indexes. Timing of pulpectomy (OR 3.5 IC 95% 2.0-6.2 P < 0.001) and patient's age at the moment of trauma (OR 0.29 IC 95% 0.12-0.67 P = 0.004) significantly affected the risk of developing severe IERR. While timing of pulpectomy and patient's age at the moment of trauma were confirmed as important risk factors, SNPs within the IL1 gene cluster did not affect the susceptibility for IERR after replantation of permanent teeth. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  15. The effect of wind induced bottom shear stress and salinity on Zostera noltii replanting in a Mediterranean coastal lagoon

    Science.gov (United States)

    Alekseenko, E.; Roux, B.; Fougere, D.; Chen, P. G.

    2017-03-01

    The paper concerns the wind influence on bottom shear stress and salinity levels in a Mediterranean semi-enclosed coastal lagoon (Etang de Berre), with respect to a replanting program of Zostera noltii. The MARS3D numerical model is used to analyze the 3D current, salinity and temperature distribution induced by three meteorological, oceanic and anthropogenic forcings in this lagoon. The numerical model has been carefully validated by comparison with daily observations of the vertical salinity and temperature profiles at three mooring stations, for one year. Then, two modelling scenarios are considered. The first scenario (scen.#1), starting with a homogeneous salinity of S = 20 PSU and without wind forcing, studies a stratification process under the influence of a periodic seawater inflow and a strong freshwater inflow from a hydropower plant (250 m3/s). Then, in the second scenario (scen.#2), we study how a strong wind of 80 km/h can mix the haline stratification obtained at the end of scen.#1. The most interesting results concern four nearshore replanting areas; two are situated on the eastern side of EB and two on the western side. The results of scen.#2 show that all these areas are subject to a downwind coastal jet. Concerning bottom salinity, the destratification process is very beneficial; it always remains greater than 12 PSU for a N-NW wind of 80 km/h and an hydropower runoff of 250 m3/s. Special attention is devoted to the bottom shear stress (BSS) for different values of the bottom roughness parameter (for gravels, sands and silts), and to the bottom salinity. Concerning BSS, it presents a maximum near the shoreline and decreases along transects perpendicular to the shoreline. There exists a zone, parallel to the shoreline, where BSS presents a minimum (close to zero). When comparing the BSS value at the four replanting areas with the critical value, BSScr, at which the sediment mobility would occur, we see that for the smaller roughness values (ranging

  16. Using Electronic Patient Records to Discover Disease Correlations and Stratify Patient Cohorts

    DEFF Research Database (Denmark)

    Roque, Francisco S.; Jensen, Peter B.; Schmock, Henriette

    2011-01-01

    Electronic patient records remain a rather unexplored, but potentially rich data source for discovering correlations between diseases. We describe a general approach for gathering phenotypic descriptions of patients from medical records in a systematic and non-cohort dependent manner. By extracting...... phenotype information from the free-text in such records we demonstrate that we can extend the information contained in the structured record data, and use it for producing fine-grained patient stratification and disease co-occurrence statistics. The approach uses a dictionary based on the International...... Classification of Disease ontology and is therefore in principle language independent. As a use case we show how records from a Danish psychiatric hospital lead to the identification of disease correlations, which subsequently can be mapped to systems biology frameworks....

  17. The coronary artery disease quality dashboard: a chronic care disease management tool in an electronic health record.

    Science.gov (United States)

    Jung, Eunice; Schnipper, Jeffrey L; Li, Qi; Linder, Jeffrey A; Rose, Alan F; Li, Ruzhuo; Eskin, Michael S; Housman, Dan; Middleton, Blackford; Einbinder, Jonathan S

    2007-10-11

    Quality reporting tools, integrated with ambulatory electronic health records (EHRs), may help clinicians understand performance, manage populations, and improve quality. The Coronary Artery Disease Quality Dash board (CAD QD) is a secure web report for performance measurement of a chronic care condition delivered through a central data warehouse and custom-built reporting tool. Pilot evaluation of the CAD Quality Dash board indicates that clinicians prefer a quality report that combines not only structured data from EHRs but one that facilitates actions to be taken on individual patients or on a population, i.e., for case management.

  18. The interplay of mutations and electronic properties in disease-related genes

    Science.gov (United States)

    Shih, Chi-Tin; Wells, Stephen A.; Hsu, Ching-Ling; Cheng, Yun-Yin; Römer, Rudolf A.

    2012-02-01

    Electronic properties of DNA are believed to play a crucial role in many phenomena in living organisms, for example the location of DNA lesions by base excision repair (BER) glycosylases and the regulation of tumor-suppressor genes such as p53 by detection of oxidative damage. However, the reproducible measurement and modelling of charge migration through DNA molecules at the nanometer scale remains a challenging and controversial subject even after more than a decade of intense efforts. Here we show, by analysing 162 disease-related genes from a variety of medical databases with a total of almost 20,000 observed pathogenic mutations, a significant difference in the electronic properties of the population of observed mutations compared to the set of all possible mutations. Our results have implications for the role of the electronic properties of DNA in cellular processes, and hint at the possibility of prediction, early diagnosis and detection of mutation hotspots.

  19. Multidisciplinary approach in the immediate replantation of a maxillary central incisor - A six and a half year follow-up

    Directory of Open Access Journals (Sweden)

    Cristina Braga Xavier

    2015-01-01

    Full Text Available This report proposes a discussion of the various peculiarities of a tooth 21 replantation in a 9-year-old patient and describes different treatment facets and a 6-year follow-up of the case. The splint was maintained for a 3-month period. After a 1΍ year therapy with calcium hydroxide to control inflammatory resorption, the final canal obturation was performed 18 months after trauma with mineral trioxide aggregate. Two years after replantation, the orthodontic treatment had been initiated and 5 years after avulsion, whitening of tooth 21 was also done. Clinical and radiographic follow-up at regular intervals revealed that the treated tooth was still functional, showing normal mobility, resorption stabilization, and normal appearance of the bone tissue and lamina dura, testifying the treatment has been so far successful. The possibility of submitting avulsed teeth to other dental treatments once, there is close professional monitoring by controlling the risks and benefits of each therapy, as well as the patient′s cooperation, extra-oral time, and storage media for transport to the dentist among other details is emphasized.

  20. [The dynamics of morphofunctional changes in the microcirculation of the pelvic extremity after modeling the chief stages of its replantation].

    Science.gov (United States)

    Simagin, E I; Dimitrov, N G; Kiprenskiĭ, Iu V; Solntsev, A B

    1975-06-01

    Under study was the effect of autotransplantation in its "pure form" upon the morpho-functional reconstruction and structural mechanisms of adaptation of the blood and lymphatic links of the microcirculatory bed of extremities during early postoperation period up to 10 days. The pathophysiological state of the extremity sufficiently close to its autotransplantation was obtained by means of circular transection of soft tissues of the medial third of the femur together with the nerves and deep collecting lymphatic vessels. It was found that after modeling the main stages of replantation in the fascia and periosteum of the operated extremity there developed a spasm of the arteriolar link and dilatation of the venular and lymphatic links of the microcirculatory bed. The areas of leukocytic infiltration with the phenomena of diapedesis and microhemorrhages were revealed along the course of postcapillaries and venules in the paravasal connective tissue. The amount of functioning arteriole-venular anastomoses was increased. Against the background of pronounced oedema of soft tissues of the operated extremity the venous pressure increased and the rate of the capillary bloodflow in the skin and muscles decreased. The above changes tend to be reduced by the 10th day after modelling the main stages of replantation of the extremity.

  1. Treatment of replacement resorption by intentional replantation, resection of the ankylosed sites, and Emdogain--results of a 6-year survey.

    Science.gov (United States)

    Filippi, Andreas; Pohl, Yango; von Arx, Thomas

    2006-12-01

    The present clinical study investigated the outcome of intentional replantation using resection of the ankylosed sites of the root, extraoral endodontic treatment using titanium posts and Emdogain for periodontal healing following trauma-related ankylosis. During an evaluation period of 6 years, 16 ankylosed teeth affected by replacement resorption were treated as described. Evaluation parameters before treatment and during the follow-up period included Periotest scores, percussion sound and periapical radiographs. All findings were compared to those of the adjacent teeth. In a second accident, one tooth was lost after 7 months and was excluded as a dropout. Ankylosis did not recur in seven replanted teeth, which were observed for an average of 52.3 months (range: 24-68 months). Ankylosis recurred in eight teeth after an average period of 12 months (range: 4-26 months). An infraocclusion, normal or only slightly reduced Periotest scores and normal percussion sound were preoperatively found in six of seven successfully replanted teeth, which corresponded to a relatively small area of ankylosis. The majority of the teeth showing recurrent ankylosis preoperatively presented with normal position, negative Periotest scores and a high percussion sound which corresponded to an extended area of ankylosis. Statistically significant relationship between preoperative findings and the treatment outcome (P = 0.031) have become apparent. The results indicate that the treatment of minor areas of ankylosis by intentional replantation, resection of the ankylosed sites and Emdogain appeared to prevent or delay the recurrence of ankylosis in 7 of 15 teeth.

  2. Soil pH in fruit trees in relation to specific apple replant disorder (SARD). II. The first five years at Wageningen research plot

    NARCIS (Netherlands)

    Jonkers, H.; Hoestra, H.; Borsboom, O.; Pouwer, A.

    1980-01-01

    Field plots were established with 4 target pH values, viz. 4, 5, 6 and 7, to study the effect of pH on specific apple replant disorder (SARD). The target pH levels were not stable and frequently showed fluctuations. Although no significant differences have been found on tree performance, the develop

  3. 恒牙全脱位再植的研究现状%Present Studies of Replantation of Avulsed Permanent Teeth

    Institute of Scientific and Technical Information of China (English)

    钱瀚宇; 丁允鹏

    2015-01-01

    Permanent teeth are prone to avulsion by trauma.Replantation is the preferred treatment for avulsed perma-nent teeth, and the ideal prognosis of replantation is to achieve functional healing of periodontal ligament. If the avulsed teeth are immature, revascularization of the dental pulp is expected. The duration of extra-alveolar time, preservation of the root and storage media of the tooth, all of which determine the prognosis for dental replantation, but the current prognosis is not satisfactory. Present studies of replantation of avulsed permanent teeth were reviewed in the present paper.%恒牙外伤常导致牙齿全脱位,再植术是恒牙全脱位的首选治疗方法. 理想的预后是实现牙周功能性愈合,若牙根尖未完全封闭,尚有牙髓再生的可能. 恒牙再植术的预后与很多因素有关,如牙齿脱离牙槽窝的时间、牙根的保存以及牙齿的储存介质等,目前临床治疗效果尚不理想. 本文就恒牙全脱位再植的研究现状作一综述.

  4. Risk factor detection for heart disease by applying text analytics in electronic medical records.

    Science.gov (United States)

    Torii, Manabu; Fan, Jung-Wei; Yang, Wei-Li; Lee, Theodore; Wiley, Matthew T; Zisook, Daniel S; Huang, Yang

    2015-12-01

    In the United States, about 600,000 people die of heart disease every year. The annual cost of care services, medications, and lost productivity reportedly exceeds 108.9 billion dollars. Effective disease risk assessment is critical to prevention, care, and treatment planning. Recent advancements in text analytics have opened up new possibilities of using the rich information in electronic medical records (EMRs) to identify relevant risk factors. The 2014 i2b2/UTHealth Challenge brought together researchers and practitioners of clinical natural language processing (NLP) to tackle the identification of heart disease risk factors reported in EMRs. We participated in this track and developed an NLP system by leveraging existing tools and resources, both public and proprietary. Our system was a hybrid of several machine-learning and rule-based components. The system achieved an overall F1 score of 0.9185, with a recall of 0.9409 and a precision of 0.8972.

  5. La replantation digitale, résultats et complications: étude d’une série de 18 cas

    Science.gov (United States)

    Idrissi, Mohammed El; Elibrahimi, Abdelhalim; Shimi, Mohammed; Elmrini, Abdelmajid

    2016-01-01

    Les amputations digitales sont des lésions fréquentes, la majorité étant provoquée par des accidents de travail. Les techniques microchirurgicales représentent une alternative pour réparer ces amputations. L'objectif de ce travail est de rapporter notre expérience dans la replantation digitale à travers l'étude de 18 cas. Nous avons mené une étude rétrospective, étalée entre Juin 2013 et Janvier 2015, incluant 14 patients présentant une amputation totale ou subtotale des doigts. Nous avons inclus dans notre série toutes les replantations unidigitales et multidigitales réalisées en aval de l'insertion distale du tendon fléchisseur superficiel ainsi que les replantations digitales réalisées en amont de l'insertion distale du tendon fléchisseur superficiel. Nous avons opéré ces patients selon le procédé classique de réimplantation digitale. Cinq replantations ont été secondairement régularisées. Parmi les 18 replantations, huit replantions digitales ont favorablement évolué puisque la replantation a permis de restituer un secteur complet de mobilité passive et active du doigt opéré sans chirurgie de reprise et sans complication secondaire précoce et tardive. Dans notre étude nous avons noté des résultats satisfaisants, malgré les conditions difficiles notamment le conditionnement initial du doigt amputé, et le délai de prise en charge retardé. Le développement et la maîtrise de la microchirurgie a permis de changer le pronostic de ces amputations à retentissement fonctionnel et psychologique difficile, les résultats de notre série sont encourageants pour a mise en place d'un service SOS main au Maroc. PMID:27795781

  6. Automatic prediction of rheumatoid arthritis disease activity from the electronic medical records.

    Directory of Open Access Journals (Sweden)

    Chen Lin

    Full Text Available OBJECTIVE: We aimed to mine the data in the Electronic Medical Record to automatically discover patients' Rheumatoid Arthritis disease activity at discrete rheumatology clinic visits. We cast the problem as a document classification task where the feature space includes concepts from the clinical narrative and lab values as stored in the Electronic Medical Record. MATERIALS AND METHODS: The Training Set consisted of 2792 clinical notes and associated lab values. Test Set 1 included 1749 clinical notes and associated lab values. Test Set 2 included 344 clinical notes for which there were no associated lab values. The Apache clinical Text Analysis and Knowledge Extraction System was used to analyze the text and transform it into informative features to be combined with relevant lab values. RESULTS: Experiments over a range of machine learning algorithms and features were conducted. The best performing combination was linear kernel Support Vector Machines with Unified Medical Language System Concept Unique Identifier features with feature selection and lab values. The Area Under the Receiver Operating Characteristic Curve (AUC is 0.831 (σ = 0.0317, statistically significant as compared to two baselines (AUC = 0.758, σ = 0.0291. Algorithms demonstrated superior performance on cases clinically defined as extreme categories of disease activity (Remission and High compared to those defined as intermediate categories (Moderate and Low and included laboratory data on inflammatory markers. CONCLUSION: Automatic Rheumatoid Arthritis disease activity discovery from Electronic Medical Record data is a learnable task approximating human performance. As a result, this approach might have several research applications, such as the identification of patients for genome-wide pharmacogenetic studies that require large sample sizes with precise definitions of disease activity and response to therapies.

  7. Replantation methods of mini tissue mass of amputated finger%手指小组织块离断再植的临床体会

    Institute of Scientific and Technical Information of China (English)

    刘育杰; 丁小珩; 焦鸿生; 方光荣; 张宏勋; 屈志刚; 姜凯

    2011-01-01

    目的 探讨手指小组织块离断后再植的手术方法和治疗效果.方法 对手指不同部位小组织块离断20例26指,采用血管直接吻合、桥接吻合、动脉静脉化、静脉动脉化等多种血运重建方式进行原位再植.结果 再植组织块完全成活25指,部分坏死1指,经过换药后痊愈.术后随访6~12个月,再植指屈伸功能良好,外形满意.结论 对手指不同部位小组织块离断,采用显微外科重建技术原位再植,能获得较好的临床疗效.%Objective To investigate the replantation methods and outcomes of mini tissue mass of amputated finger. Methods Twenty-six fingers of 20 patients were replanted with multiple vessel anastomosis methods to restore blood supply.The methods include vascular anastomosis,vascular bridge,arteriovenolization,veno-arteriolization,et al. Results Twenty-five replanted tissues were survived completely.Partly necrosis occur in 1 case,and rehabilitation by change dressings.The patients were follow up from 6 to 12 months.The contour and function of the replantation fingers recovered satisfactory. Conclusion By using the rational anastomosis according to the traumatic condition,it could be obtain good outcome of mini tissue mass replantation

  8. Problèmes entomologiques en replantation des palmeraies et des cocoteraies

    Directory of Open Access Journals (Sweden)

    Mariau Dominique

    2000-03-01

    Full Text Available C’est aux alentours de la vingt-cinquième année que l’on envisage de replanter une palmeraie. C’est en effet vers cet âge que commencent à se poser des problèmes de récolte en raison de la taille des palmiers. En un quart de siècle, l’amélioration génétique aura suffisamment fait de progrès pour escompter un gain de production de l’ordre de 20%. Enfin, dans certaines situations, plusieurs maladies ont pu affecter les vieilles palmeraies. Avec de 15 à 25% d’arbres manquants, principalement lorsque ceux-ci se présentent sous la forme de taches, une diminution de la production se fait nettement sentir. Cela peut, par exemple, être le cas avec les maladies de la fusariose en Afrique de l’Ouest, lorsque la palmeraie n’a pas été plantée avec du matériel végétal tolérant, ou du ganoderma en Malaisie. Le renouvellement des cocoteraies se fait avec un espace de temps beaucoup plus long. En effet, la récolte des noix peut se faire au sol et la hauteur des cocotiers n’est donc pas un facteur limitant. Par ailleurs, la majorité des cocoteraies étant sous la forme de petites plantations villageoises, les agriculteurs rechignent toujours à abattre leurs cocotiers, même si des semences potentiellement plus productives leurs sont proposées. Ce sont les raisons pour lesquelles les cocoteraies de 50 ans et plus représentent la règle. L’abattage d’une plantation de palmiers à huile ou de cocotiers constitue naturellement un changement brutal de l’environnement, ce qui a des conséquences importantes notamment sur l’entomofaune, parmi laquelle des ravageurs majeurs ainsi que leurs ennemis naturels.

  9. [Optimising care structures for severe hand trauma and replantation and chances of launching a national network].

    Science.gov (United States)

    Haas, E M; Volkmer, E; Holzbach, T; Wallmichrath, J; Engelhardt, T O; Giunta, R E

    2013-12-01

    Severe hand traumata have a significant impact on our health system and on insurance companies, respectively. It is estimated that 33% of all occupational injuries and 9% of all invalidity pensions are due to severe hand trauma. Unfortunately, these high numbers are not only due to the severity of the trauma but to organisational deficiencies. Usually, the patient is treated at the general surgical emergency in the first place and only then forwarded to a microsurgeon. This redirection increases the time that is required for the patient to finally arrive at an expert for hand surgery. On the one hand, this problem can be explained by the population's lack of awareness for distinguished experts for hand and microsurgery, on the other hand, the emergency network, or emergency doctors in particular are not well informed about where to take a patient with a severe hand trauma - clearly a problem of communication between the hospitals and the ambulance. It is possible to tackle this problem, but put participating hand trauma centres have to work hand in hand as a network and thus exploit synergy effects. The French system "FESUM" is a good example for such a network and even comprises centres in Belgium and Switzerland. To improve the treatment of severe hand trauma, a similar alliance was initiated in Germany just recently. The pilot project "Hand Trauma Alliance" (www.handverletzung.com) was started in April 2013 and currently comprises two hospitals within the region of upper Bavaria. The network provides hand trauma replantation service on a 24/7 basis and aims at shortening the way from the accident site to the fully qualified hand surgeon, to improve the therapy of severe hand injuries and to optimise acute patient care in general. In order to further increase the alliance's impact it is intended to extend the project's scope from regional to national coverage - nevertheless, such an endeavour can only be done in collaboration with the German Society for Hand

  10. State and Local Chronic Disease Surveillance Using Electronic Health Record Systems.

    Science.gov (United States)

    Klompas, Michael; Cocoros, Noelle M; Menchaca, John T; Erani, Diana; Hafer, Ellen; Herrick, Brian; Josephson, Mark; Lee, Michael; Payne Weiss, Michelle D; Zambarano, Bob; Eberhardt, Karen R; Malenfant, Jessica; Nasuti, Laura; Land, Thomas

    2017-09-01

    To assess the feasibility of chronic disease surveillance using distributed analysis of electronic health records and to compare results with Behavioral Risk Factor Surveillance System (BRFSS) state and small-area estimates. We queried the electronic health records of 3 independent Massachusetts-based practice groups using a distributed analysis tool called MDPHnet to measure the prevalence of diabetes, asthma, smoking, hypertension, and obesity in adults for the state and 13 cities. We adjusted observed rates for age, gender, and race/ethnicity relative to census data and compared them with BRFSS state and small-area estimates. The MDPHnet population under surveillance included 1 073 545 adults (21.8% of the state adult population). MDPHnet and BRFSS state-level estimates were similar: 9.4% versus 9.7% for diabetes, 10.0% versus 12.0% for asthma, 13.5% versus 14.7% for smoking, 26.3% versus 29.6% for hypertension, and 22.8% versus 23.8% for obesity. Correlation coefficients for MDPHnet versus BRFSS small-area estimates ranged from 0.890 for diabetes to 0.646 for obesity. Chronic disease surveillance using electronic health record data is feasible and generates estimates comparable with BRFSS state and small-area estimates.

  11. Using Electronic Properties of Adamantane Derivatives to Analyze their Ion Channel Interactions: Implications for Alzheimer's Disease

    Science.gov (United States)

    Bonacum, Jason

    2013-03-01

    The derivatives of adamantane, which is a cage-like diamondoid structure, can be used as pharmaceuticals for the treatment of various diseases and disorders such as Alzheimer's disease. These drugs interact with ion channels, and they act by electronically and physically hindering the ion transport. The electronic properties of each compound influence the location and level of ion channel hindrance, and the specific use of each compound depends on the functional groups that are attached to the adamantane base chain. Computational analysis and molecular simulations of these different derivatives and the ion channels can provide useful insight into the effect that the functional groups have on the properties of the compounds. Using this information, conclusions can be made about the pharmaceutical mechanisms, as well as how to improve them or create new beneficial compounds. Focusing on the electronic properties, such as the dipole moments of the derivatives and amino acids in the ion channels, can provide more efficient predictions of how these drugs work and how they can be enhanced. Department of Energy Grant DE-FG02-06ER46304

  12. Application of Electronic Noses for Disease Diagnosis and Food Spoilage Detection

    Directory of Open Access Journals (Sweden)

    Paolo Di Francesco

    2006-11-01

    Full Text Available Over the last twenty years, newly developed chemical sensor systems (socalled“electronic noses" have odour analyses made possible. This paper describes theapplications of these systems for microbial detection in different fields such as medicineand the food industry, where fast detection methods are essential for appropriatemanagement of health care. Several groups have employed different electronic noses forclassification and quantification of bacteria and fungi to obtain accurate medicaldiagnosis and food quality control. So far, detection and identification of bacterial andfungal volatiles have been achieved by use of e-noses offering different correctclassification percentages. The present review includes examples of bacterial and fungalspecies producing volatile compounds and correlated to infectious diseases or fooddeterioration. The results suggest the possibility of using this new technology both inmedical diagnostics and in food control management.

  13. Elemental analysis of occupational and environmental lung diseases by electron probe microanalyzer with wavelength dispersive spectrometer.

    Science.gov (United States)

    Takada, Toshinori; Moriyama, Hiroshi; Suzuki, Eiichi

    2014-01-01

    Occupational and environmental lung diseases are a group of pulmonary disorders caused by inhalation of harmful particles, mists, vapors or gases. Mineralogical analysis is not generally required in the diagnosis of most cases of these diseases. Apart from minerals that are encountered rarely or only in specific occupations, small quantities of mineral dusts are present in the healthy lung. As such when mineralogical analysis is required, quantitative or semi-quantitative methods must be employed. An electron probe microanalyzer with wavelength dispersive spectrometer (EPMA-WDS) enables analysis of human lung tissue for deposits of elements by both qualitative and semi-quantitative methods. Since 1993, we have analyzed 162 cases of suspected occupational and environmental lung diseases using an EPMA-WDS. Our institute has been accepting online requests for elemental analysis of lung tissue samples by EPMA-WDS since January 2011. Hard metal lung disease is an occupational interstitial lung disease that primarily affects workers exposed to the dust of tungsten carbide. The characteristic pathological findings of the disease are giant cell interstitial pneumonia (GIP) with centrilobular fibrosis, surrounded by mild alveolitis with giant cells within the alveolar space. EPMA-WDS analysis of biopsied lung tissue from patients with GIP has demonstrated that tungsten and/or cobalt is distributed in the giant cells and centrilobular fibrosing lesion in GIP. Pneumoconiosis, caused by amorphous silica, and acute interstitial pneumonia, associated with the giant tsunami, were also elementally analyzed by EPMA-WDS. The results suggest that commonly found elements, such as silicon, aluminum, and iron, may cause occupational and environmental lung diseases.

  14. Electronic assessment of disease activity and functioning in patients with axial spondyloarthritis: challenges and unmet needs.

    Science.gov (United States)

    Kiltz, Uta; Boonen, Annelies; Braun, Juergen; Richter, Jutta G

    2016-01-01

    The dynamic clinical course of rheumatic conditions indicates a need for regular collection of information on health status to monitor disease activity and functional status. Patient-reported outcomes measures (PROMs) are playing a key role in the evaluation of symptoms and functioning and health, and are crucial in the initiation of treatment in those patients. In recent years, electronic assessments of PROMs (so called ePROMs) have been introduced. This report summarises some of the rationale, opportunities, and results using ePROMs in patients with spondyloarthritis (SpA).

  15. Electronic approaches to restitute vision in patients with neurodegenerative diseases of the retina.

    Science.gov (United States)

    Stingl, K; Zrenner, E

    2013-01-01

    Degenerations of the outer retina are hereditary diseases leading to significant loss of vision. Several concepts of active electrical stimulation of the remaining retinal network resulted in the development of retinal visual implants and prosthetic vision. Subretinal and epiretinal visual implants are currently the leading approaches in restoring functional vision in blind humans with retinitis pigmentosa or other outer retinal degenerations. This review gives a short overview about the principles, advantages, limitations and vision outcome of the up-to-date published artificial vision by electronic visual implants, as well as their known biocompatibility and safety issues.

  16. Esophageal epithelial surface in patients with gastroesophageal reflux disease: An electron microscopic study

    Institute of Scientific and Technical Information of China (English)

    Takane Azumi; Nobuo Ashizawa; Yoshikazu Kinoshita; Kyoichi Adachi; Kenji Furuta; Shuji Nakata; Shunji Ohara; Kenji Koshino; Masaharu Miki; Terumi Morita; Takashi Tanimura,

    2008-01-01

    AIM: To investigate the intercellular spaces between the most superficially located esophageal epithelial cells in patients with gastroesophageal reflux disease (GERD).METHODS: Eighteen patients with erosive esophagitis,10 patients with non-erosive reflux disease (NERD),and 18 normal asymptomatic volunteers were enrolled.Biopsy specimens were obtained from the lower esophageal mucosa without ulcer or erosion.Scanning electron microscopy was employed to investigate the tightness of the superficial cellular attachment.RESULTS: The intercellular space between the most superficially located epithelial cells in patients with erosive esophagitis or NERD was not different from that in asymptomatic healthy individuals.CONCLUSION: Widened luminal intercellular spaces of esophageal superficial epithelium are not responsible for the induction of reflux symptoms in patients with GERD.

  17. ISS--an electronic syndromic surveillance system for infectious disease in rural China.

    Directory of Open Access Journals (Sweden)

    Weirong Yan

    Full Text Available BACKGROUND: Syndromic surveillance system has great advantages in promoting the early detection of epidemics and reducing the necessities of disease confirmation, and it is especially effective for surveillance in resource poor settings. However, most current syndromic surveillance systems are established in developed countries, and there are very few reports on the development of an electronic syndromic surveillance system in resource-constrained settings. OBJECTIVE: This study describes the design and pilot implementation of an electronic surveillance system (ISS for the early detection of infectious disease epidemics in rural China, complementing the conventional case report surveillance system. METHODS: ISS was developed based on an existing platform 'Crisis Information Sharing Platform' (CRISP, combining with modern communication and GIS technology. ISS has four interconnected functions: 1 work group and communication group; 2 data source and collection; 3 data visualization; and 4 outbreak detection and alerting. RESULTS: As of Jan. 31(st 2012, ISS has been installed and pilot tested for six months in four counties in rural China. 95 health facilities, 14 pharmacies and 24 primary schools participated in the pilot study, entering respectively 74,256, 79,701, and 2330 daily records into the central database. More than 90% of surveillance units at the study sites are able to send daily information into the system. In the paper, we also presented the pilot data from health facilities in the two counties, which showed the ISS system had the potential to identify the change of disease patterns at the community level. CONCLUSIONS: The ISS platform may facilitate the early detection of infectious disease epidemic as it provides near real-time syndromic data collection, interactive visualization, and automated aberration detection. However, several constraints and challenges were encountered during the pilot implementation of ISS in rural China.

  18. ISS--an electronic syndromic surveillance system for infectious disease in rural China.

    Science.gov (United States)

    Yan, Weirong; Palm, Lars; Lu, Xin; Nie, Shaofa; Xu, Biao; Zhao, Qi; Tao, Tao; Cheng, Liwei; Tan, Li; Dong, Hengjin; Diwan, Vinod K

    2013-01-01

    Syndromic surveillance system has great advantages in promoting the early detection of epidemics and reducing the necessities of disease confirmation, and it is especially effective for surveillance in resource poor settings. However, most current syndromic surveillance systems are established in developed countries, and there are very few reports on the development of an electronic syndromic surveillance system in resource-constrained settings. This study describes the design and pilot implementation of an electronic surveillance system (ISS) for the early detection of infectious disease epidemics in rural China, complementing the conventional case report surveillance system. ISS was developed based on an existing platform 'Crisis Information Sharing Platform' (CRISP), combining with modern communication and GIS technology. ISS has four interconnected functions: 1) work group and communication group; 2) data source and collection; 3) data visualization; and 4) outbreak detection and alerting. As of Jan. 31(st) 2012, ISS has been installed and pilot tested for six months in four counties in rural China. 95 health facilities, 14 pharmacies and 24 primary schools participated in the pilot study, entering respectively 74,256, 79,701, and 2330 daily records into the central database. More than 90% of surveillance units at the study sites are able to send daily information into the system. In the paper, we also presented the pilot data from health facilities in the two counties, which showed the ISS system had the potential to identify the change of disease patterns at the community level. The ISS platform may facilitate the early detection of infectious disease epidemic as it provides near real-time syndromic data collection, interactive visualization, and automated aberration detection. However, several constraints and challenges were encountered during the pilot implementation of ISS in rural China.

  19. Coronary artery disease risk assessment from unstructured electronic health records using text mining.

    Science.gov (United States)

    Jonnagaddala, Jitendra; Liaw, Siaw-Teng; Ray, Pradeep; Kumar, Manish; Chang, Nai-Wen; Dai, Hong-Jie

    2015-12-01

    Coronary artery disease (CAD) often leads to myocardial infarction, which may be fatal. Risk factors can be used to predict CAD, which may subsequently lead to prevention or early intervention. Patient data such as co-morbidities, medication history, social history and family history are required to determine the risk factors for a disease. However, risk factor data are usually embedded in unstructured clinical narratives if the data is not collected specifically for risk assessment purposes. Clinical text mining can be used to extract data related to risk factors from unstructured clinical notes. This study presents methods to extract Framingham risk factors from unstructured electronic health records using clinical text mining and to calculate 10-year coronary artery disease risk scores in a cohort of diabetic patients. We developed a rule-based system to extract risk factors: age, gender, total cholesterol, HDL-C, blood pressure, diabetes history and smoking history. The results showed that the output from the text mining system was reliable, but there was a significant amount of missing data to calculate the Framingham risk score. A systematic approach for understanding missing data was followed by implementation of imputation strategies. An analysis of the 10-year Framingham risk scores for coronary artery disease in this cohort has shown that the majority of the diabetic patients are at moderate risk of CAD.

  20. The critical apical diameter to obtain regeneration of the pulp tissue after tooth transplantation, replantation, or regenerative endodontic treatment.

    Science.gov (United States)

    Laureys, Wim G M; Cuvelier, Claude A; Dermaut, Luc R; De Pauw, Guy A M

    2013-06-01

    Regeneration of pulp-like tissue in the pulp chamber after tooth transplantation, replantation, or in regenerative endodontic treatment is only possible if the apical foramen is open. According to the literature, the success of regeneration decreases considerably if the foramen is smaller than 1 mm when measured on radiographs. The aim of this study was to study histologically the relation between the width of the apical foramen and regeneration of tissue in the pulp chamber after autotransplantation. Fifteen single-rooted mature teeth of 3 adult beagle dogs were used. All experimental teeth were extracted and underwent apicoectomy. The teeth were photographed from the apical side, and the width of the foramen was calculated. The foramen width ranged from 0.24-1.09 mm. All teeth were replanted in infraocclusion. The observation period was 90 days after transplantation. The 10 teeth with the smallest apical diameter, ranging between 0.24 and 0.53 mm, showed vital tissue in at least one third of the pulp chamber. The 6 most successful teeth showing vital tissue in the entire pulp chamber had an apical diameter between 0.32 and 0.65 mm, and 80% of the experimental teeth with a diameter varying between 1.09 and 0.31 mm showed vital tissue in at least one third of the pulp chamber 90 days after transplantation. The size of the apical foramen seems not to be the all decisive factor for successful revascularization and ingrowth of new tissue after transplantation. The minimum width of the apical foramen has not been determined, but a size smaller than 1 mm does not prevent revascularization and ingrowth of vital tissue. In this animal study an apical foramen of 0.32 mm did not prevent ingrowth of new tissue in two-thirds of the pulp chamber 90 days after transplantation. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  1. Fibrous architecture of cementodentinal junction in disease: A scanning electron microscopic study

    Directory of Open Access Journals (Sweden)

    R Sudhakar

    2015-01-01

    Full Text Available Background: The cementodentinal junction (CDJ forms a biological and structural link between cementum and dentin. This biological link is regarded as a distinct tissue in its own right. Certain important proteins responsible for periodontal regeneration are said to be present in this tissue. Few studies have described the structure and composition of this layer by light and electron microscopy. Scanning electron microscopic studies pertaining to CDJ in health and disease are few and documentation of periodontal pathological changes of CDJ is unclear. In the first phase of our study, the collagenous architecture of CDJ of healthy teeth has been reported. Aim: The objective of this study is to observe and report periodontal pathological changes in the fibrous or collagenous architecture of CDJ of periodontitis-affected teeth and discuss the probable clinical implications of CDJ in disease.Materials and Methods: Twenty periodontitis-affected teeth were collected and processed for observing under a scanning electron microscope. Results: The results are as follows: Increased width of interface at CDJ in periodontitis samples (7.1 μ compared to that of healthy samples; fewer areas of fiber intermingling at CDJ in periodontitis samples as compared to healthy samples; frequent detachment of cementum from dentin during sodium hydroxide maceration of samples. Conclusion: It may be inferred from results that there is a possibility of a definite weakening of CDJ in periodontally affected root surfaces and we believe that clinical procedures such as scaling and root planning may have a detrimental effect on the cementodentinal attachment of periodontally involved root surfaces.

  2. Electronic health records and improved nursing management of chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Liu F

    2015-03-01

    Full Text Available Fengping Liu,1 Yeqing Zou,1 Qingmei Huang,2 Li Zheng,2 Wei Wang2 1Yancheng Medical College, Yancheng, Jiangsu Province, People’s Republic of China; 2The First Affiliated College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China Abstract: This paper identifies evolving trends in the diagnosis and treatment of chronic obstructive pulmonary disease (COPD, and recommends the integration of nursing strategies in COPD management via widespread implementation of electronic health records. COPD is a complex lung disease with diverse origins, both physical and behavioral, manifested in a wide range of symptoms that further increase the patient’s risk for comorbidities. Early diagnosis and effective management of COPD require monitoring of a dizzying array of COPD symptoms over extended periods of time, and nurses are especially well positioned to manage potential progressions of COPD, as frontline health care providers who obtain, record, and organize patient data. Developments in medical technology greatly aid nursing management of COPD, from the deployment of spirometry as a diagnostic tool at the family practice level to newly approved treatment options, including non-nicotine pharmacotherapies that reduce the cravings associated with tobacco withdrawal. Among new medical technologies, electronic health records have proven particularly advantageous in the management of COPD, enabling providers to gather, maintain, and reference more patient data than has ever been possible before. Thus, consistent and widespread implementation of electronic health records facilitates the coordination of diverse treatment strategies, resulting in increased positive health outcomes for patients with COPD. Keywords: COPD, epidemiology, risk factors, pathology, comorbidities, exacerbations, management

  3. Electronic medical records: recommendations for routine. Report of the eHID (Electronic Health Indicator Data Project). International comparisons of epidemiological outcomes: diabetes, health disease and mental illness.

    NARCIS (Netherlands)

    Pringle, M.; Schellevis, F.G.; Elliott, C.; Verheij, R.A.; Fleming, D.M.

    2007-01-01

    Aim: It is believed that electronic medical records generated in a routine and disciplined manner by primary care doctors can potentially provide a very cost effective approach to disease monitoring. Part of the eHID project was concerned with a comparison of the actual epidemiological data that

  4. Discovery of Disease Co-occurrence Patterns from Electronic Healthcare Reimbursement Claims Data

    Energy Technology Data Exchange (ETDEWEB)

    Ramanathan, Arvind [ORNL; Pullum, Laura L [ORNL; Hobson, Tanner C [ORNL; Quinn, Shannon [University of Pittsburgh School of Medicine, Pittsburgh PA; Chennubhotla, Chakra [University of Pittsburgh School of Medicine, Pittsburgh PA; Valkova, Silvia [IMS Government Solutions (IMSGS), Inc.

    2014-01-01

    Effective public health surveillance is important for national secu- rity. With novel emerging infectious diseases being reported across different parts of the world, there is a need to build effective bio- surveillance systems that can track, monitor and report such events in a timely manner. Additionally, there is a need to identify sus- ceptible geographic regions/populations where these diseases may have a significant impact and design preemptive strategies to tackle them. With the digitization of health related information through electronic health records (EHR) and electronic healthcare claim re- imbursements (eHCR), there is a tremendous opportunity to ex- ploit these datasets for public health surveillance. In this paper, we present our analysis on the use of eHCR data for bio-surveillance by studying the 2009-2010 H1N1 pandemic flu season. We present a novel approach to extract spatial and temporal patterns of flu in- cidence across the United States (US) from eHCRs and find that a small, but distinct set of break-out patterns govern the flu and asthma incidence rates across the entire country. Further, we ob- serve a distinct temporal lag in the onset of flu when compared to asthma across geographic regions in the US. The patterns extracted from the data collectively indicate how these break-out patterns are coupled, even though the flu represents an infectious disease whereas asthma represents a typical chronic condition. Taken to- gether, our approach demonstrates how mining eHCRs can provide novel insights in tackling public health concerns.

  5. Pulmonary vascular response during phases of canine heartworm disease: scanning electron microscopic study.

    Science.gov (United States)

    Schaub, R G; Rawlings, C A

    1980-07-01

    Pulmonary arteries and veins of 14 dogs in phases of heartworm disease (Dirofilaria immitis infection) were examined by scanning electron microscopy. Two dogs were infected with D immitis microfilaria only, whereas 12 dogs were infected with adult D immitis. Seven of the dogs infected with adult worms were untreated. Two of these 7 dogs had natural infections of unknown duration introduced by mosquito bite, whereas 5 were experimentally infected for 30 days. The remaining five dogs were experimentally infected for 1 year and had worms removed by drug therapy. These five dogs were maintained 12 months after treatment. Arteries and veins from dogs infected with microfilaria had a continuous sheet of endothelial cells. Arterial endothelium from the seven nontreated dogs infected with adult heartworms exhibited swirling patterns, pore formation, and separation of intercellular junctions. Arteries from all dogs had numerous endothelialized villus protrusions; veins had similar, less extensive changes. Arteries and veins from experimentally infected dogs were similar to naturally infected dogs, indicating the infection procedure produced lesions similar to that normally seen in heartworm disease. The extent of vascular lesions was reduced in four of the five treated dogs that had been infected with adult worms. Adult worms, not microfilaria, may produce the vascular lesions seen in heartworm disease. Lesions will regress if worms are removed from the circulation. Lesions may be caused by generation of humoral factors initiated by the presence of adult worms.

  6. 石灰氮在草莓重茬生产中的应用%The Application of CaCN2 in Replanted Strawberry Production

    Institute of Scientific and Technical Information of China (English)

    张辉明; 姜永平

    2011-01-01

    The status of replanted strawberry production and the physical and chemical properties of CaCN2 were introduced; The mechanism and efficiency conditions of CaCN2 in replanted strawberry production were elucidated; And the application of CaCN2 in solar disinfection was introduced emphatically.%在简要介绍草莓重茬生产现状、石灰氮的理化性质、石灰氮在草莓重茬生产中的作用机理和作用条件的基础上,重点介绍了利用石灰氮—太阳能消毒的技术.

  7. Community Health Worker Impact on Chronic Disease Outcomes Within Primary Care Examined Using Electronic Health Records.

    Science.gov (United States)

    Ingram, Maia; Doubleday, Kevin; Bell, Melanie L; Lohr, Abby; Murrieta, Lucy; Velasco, Maria; Blackburn, John; Sabo, Samantha; Guernsey de Zapien, Jill; Carvajal, Scott C

    2017-10-01

    To investigate community health worker (CHW) effects on chronic disease outcomes using electronic health records (EHRs). We examined EHRs of 32 147 patients at risk for chronic disease during 2012 to 2015. Variables included contact with clinic-based CHWs, vitals, and laboratory tests. We estimated a mixed model for all outcomes. Within-group findings showed statistically significant improvements in chronic disease indicators after exposure to CHWs. In health center 1, HbA1c (glycated hemoglobin) decreased 0.15 millimoles per mole (95% confidence interval [CI] = -0.24, -0.06), body mass index decreased 0.29 kilograms per meter squared (CI = -0.39, -0.20), and total cholesterol decreased 11.9 milligrams per deciliter (CI = -13.5, -10.2). In health center 2, HbA1c decreased 0.43 millimoles per mole (CI = -0.7, -0.17), body mass index decreased by 0.08 kilograms per meter squared (CI = -0.14, -0.02), and triglycerides decreased by 22.50 milligrams per deciliter (CI = -39.0, -6.0). Total cholesterol of 3.62 milligrams per deciliter (CI = -6.6, -0.6) in health center 1 was the only improvement tied to CHW contact. Although patients' chronic disease indicators consistently improved, between-group models provided no additional evidence of impact. EHRs' evolution may elucidate CHW contributions moving forward.

  8. Replantation of avulsed permanent teeth:an analysis of 32 cases%外伤脱位牙再植后的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    张月云; 徐龙博

    2011-01-01

    AIM: To analyze the factors influencing the effects of tooth replantation of avulsed permanent teeth.METHODS : Twenty-six children with 32 avulsed permantent teeth were enrolled in this study.The avulsed permantent teeth were replantated in the Department of Pediatric Dentistry, Jining Stomatology Hospital, in the years between 2004 and 2008.The patients were followed up regularly for 2 to 3 years.RESULTS : During the follow-up period, periodontal ligament healing was observed in 4/32, replacement resorption in 23/32, inflammatory resorption in 3/32 and odontoptosis in 2/32 teeth.The success rate of replatation was 84.37%.CONCLUSION: The replantation of young permanent teeth showed a higher success rate.The success of replantation was related to ex vivo time,storage medium and root development stage of the avulsed teeth.%目的:研究探讨影响再植牙临床疗效的相关因素.方法:对2004-2008到我院儿童牙病科就诊的26例8~14岁患儿32个外伤牙进行常规再植,术后定期复查,观察时间2~3年.结果:观察期内,32个外伤恒牙中牙周膜愈合4个,替代性吸收23个,炎症性吸收3个,松动脱落2个.成功率为84.37%.结论:年轻恒牙再植后的成功率较高,但与脱位牙离体时间、保存方式及牙根的发育程度等因素有密切关系.

  9. 重茬胁迫下苹果不同砧木幼苗生长及根系吸收的差异%Differences of growth and root absorption of different apple rootstock seedlings in replant stress

    Institute of Scientific and Technical Information of China (English)

    郭小静; 韩甜甜; 王荣; 张贞; 盖瑞; 毛志泉; 陈学森; 吴树敬; 沈向

    2015-01-01

    [Objective] Selecting appropriate rootstocks is one of the most effective methods of preventing apple from replant disease. In order to provide theoretic foundation for screening of anti-replant rootstock materials and breeding anti-replant rootstock varieties, differences of growth and root absorption of three apple rootstock seedlings were compared, and absorption of potassium and calcium ions under the replant stress was discussed in this study.[Methods] One-year-old seedlings of Malus hupehensis Rehd, Malus sieversii( Ledeb. ) Roem and Malus prunifolia ( Willd. ) Borkh were used as the materials, and 0-40 cm rhizosphere soil of 20 years’ orchard which‘Fuji’ apple on M . robusta stock located in Tai’an city was used as matrix. The seedlings were divided into two parts, some of the seedlings were supplied to determine the flow velocity of rhizosphere K+ and Ca2+ under the replant stress by Non-invasive Micro-test Technique on April 25 , 2012 , other seedlings were transplanted into pots of 25 cm wide and 30 cm deep. The height, stem diameter, chlorophyll content and photosynthetic rate of the seedlings were investigated from July to September. The root structure was scanned and dry weight and fresh weight of roots, branches and leaves were measured respectively after the growing season. [Results]The aboveground growth of the three rootstocks is suppressed in different levels under the replant stress. The heights of M. hupehensis have no significant differences before and after the replant stress, while the heights of the other two rootstocks are significantly decreased. The photosynthetic rates have no significant decreases except M. Sieversii. The chlorophyll contents of three rootstocks are significantly decreased and there are no obviously changes in stem diameter. The dry matter of M. sieversii seedlings is significantly decreased under the replant stress, while the root-shoot ratio is increased. Root biomass amounts of the three rootstocks are

  10. SurvNet@RKI--a multistate electronic reporting system for communicable diseases.

    Science.gov (United States)

    Faensen, D; Claus, H; Benzler, J; Ammon, A; Pfoch, T; Breuer, T; Krause, G

    2006-01-01

    In 2001 Germany implemented a new electronic reporting system for surveillance of notifiable infectious diseases (SurvNet@RKI). The system is currently being used in all 431 local health departments (LHD), the 16 state health departments (SHD) and the Robert Koch-Institut (RKI), the national agency for infectious disease epidemiology. The SurvNet@RKI software is written in MS Access 97 and Visual Basic and it supports MS Access as well as MS SQL Server database management systems as a back-end. The database is designed as a distributed, dynamic database for 73 reporting categories with more than 600 fields and about 7000 predefined entry values. An integrated version management system documents deletion, undeletion, completion and correction of cases at any time and entry level and allows reproduction of previously conducted queries. Integrated algorithms and help functions support data quality and the application of case definitions. RKI makes the system available to all LHDs and SHDs free of charge. RKI receives an average of 300,000 case reports and 6240 outbreak reports per year through this system. A public web-based query interface, SurvStat@RKI, assures extensive and timely publication of the data. During the 5 years that SurvNet@RKI has been running in all LHDs and SHDs in Germany it has coped well with a complex federal structure which makes this system particularly attractive to multinational surveillance networks. The system is currently being migrated to Microsoft C#/.NET and transport formats in XML. Based on our experiences, we provide recommendations for the design and implementation of national or international electronic surveillance systems.

  11. Automated Text Markup for Information Retrieval from an Electronic Textbook of Infectious Disease

    Science.gov (United States)

    Berrios, Daniel C.; Kehler, Andrew; Kim, David K.; Yu, Victor L.; Fagan, Lawrence M.

    1998-01-01

    The information needs of practicing clinicians frequently require textbook or journal searches. Making these sources available in electronic form improves the speed of these searches, but precision (i.e., the fraction of relevant to total documents retrieved) remains low. Improving the traditional keyword search by transforming search terms into canonical concepts does not improve search precision greatly. Kim et al. have designed and built a prototype system (MYCIN II) for computer-based information retrieval from a forthcoming electronic textbook of infectious disease. The system requires manual indexing by experts in the form of complex text markup. However, this mark-up process is time consuming (about 3 person-hours to generate, review, and transcribe the index for each of 218 chapters). We have designed and implemented a system to semiautomate the markup process. The system, information extraction for semiautomated indexing of documents (ISAID), uses query models and existing information-extraction tools to provide support for any user, including the author of the source material, to mark up tertiary information sources quickly and accurately.

  12. The University of NSW electronic practice based research network: disease registers, data quality and utility.

    Science.gov (United States)

    Taggart, J; Liaw, S T; Dennis, S; Yu, H; Rahimi, A; Jalaludin, B; Harris, M

    2012-01-01

    Accurate well-maintained registers are a prerequisite to co-ordinated care of patients with chronic diseases. Their effectiveness in enabling improved management is dependent on the quality of the information captured. This paper provides an overview into the methodology and data quality of the electronic Practice Based Research Network. Clinical records with no identifying information are routinely extracted from four general practices. The data are linked in the data warehouse. Data quality is assessed for completeness, correctness and consistency. Reports on data quality are given back to practices and semi-structured interviews provide information to interpret the results and discuss how data quality could be improved. Data quality is mostly complete for sex and date of birth but indigenous status, smoking and weight were incomplete. There are generally high levels of correctness and internal consistency. Completeness of records in assisting the management of diabetes patients using the annual cycle of care was poor. GPs often use the progress notes to enter information during the consultation and coding diagnoses was considered onerous. The routine capture of electronic clinical health records from primary health care and health services can be used to monitor performance and improve the quality of clinical records. There is a need for accurate and comprehensive clinical records to ensure the safety and quality of clinical practice. Understanding the true reasons for poor data quality is complex. Having a community-based research network may assist in answering some of these questions. Electronic health records are increasingly being used for secondary research and evaluation, beyond the primary purpose of supporting clinical care. The data must be of sufficient quality to support these purposes.

  13. High-resolution analytical imaging and electron holography of magnetite particles in amyloid cores of Alzheimer’s disease

    Science.gov (United States)

    Plascencia-Villa, Germán; Ponce, Arturo; Collingwood, Joanna F.; Arellano-Jiménez, M. Josefina; Zhu, Xiongwei; Rogers, Jack T.; Betancourt, Israel; José-Yacamán, Miguel; Perry, George

    2016-04-01

    Abnormal accumulation of brain metals is a key feature of Alzheimer’s disease (AD). Formation of amyloid-β plaque cores (APC) is related to interactions with biometals, especially Fe, Cu and Zn, but their particular structural associations and roles remain unclear. Using an integrative set of advanced transmission electron microscopy (TEM) techniques, including spherical aberration-corrected scanning transmission electron microscopy (Cs-STEM), nano-beam electron diffraction, electron holography and analytical spectroscopy techniques (EDX and EELS), we demonstrate that Fe in APC is present as iron oxide (Fe3O4) magnetite nanoparticles. Here we show that Fe was accumulated primarily as nanostructured particles within APC, whereas Cu and Zn were distributed through the amyloid fibers. Remarkably, these highly organized crystalline magnetite nanostructures directly bound into fibrillar Aβ showed characteristic superparamagnetic responses with saturated magnetization with circular contours, as observed for the first time by off-axis electron holography of nanometer scale particles.

  14. High-resolution analytical imaging and electron holography of magnetite particles in amyloid cores of Alzheimer's disease.

    Science.gov (United States)

    Plascencia-Villa, Germán; Ponce, Arturo; Collingwood, Joanna F; Arellano-Jiménez, M Josefina; Zhu, Xiongwei; Rogers, Jack T; Betancourt, Israel; José-Yacamán, Miguel; Perry, George

    2016-04-28

    Abnormal accumulation of brain metals is a key feature of Alzheimer's disease (AD). Formation of amyloid-β plaque cores (APC) is related to interactions with biometals, especially Fe, Cu and Zn, but their particular structural associations and roles remain unclear. Using an integrative set of advanced transmission electron microscopy (TEM) techniques, including spherical aberration-corrected scanning transmission electron microscopy (Cs-STEM), nano-beam electron diffraction, electron holography and analytical spectroscopy techniques (EDX and EELS), we demonstrate that Fe in APC is present as iron oxide (Fe3O4) magnetite nanoparticles. Here we show that Fe was accumulated primarily as nanostructured particles within APC, whereas Cu and Zn were distributed through the amyloid fibers. Remarkably, these highly organized crystalline magnetite nanostructures directly bound into fibrillar Aβ showed characteristic superparamagnetic responses with saturated magnetization with circular contours, as observed for the first time by off-axis electron holography of nanometer scale particles.

  15. Atomic model of rabbit hemorrhagic disease virus by cryo-electron microscopy and crystallography.

    Science.gov (United States)

    Wang, Xue; Xu, Fengting; Liu, Jiasen; Gao, Bingquan; Liu, Yanxin; Zhai, Yujia; Ma, Jun; Zhang, Kai; Baker, Timothy S; Schulten, Klaus; Zheng, Dong; Pang, Hai; Sun, Fei

    2013-01-01

    Rabbit hemorrhagic disease, first described in China in 1984, causes hemorrhagic necrosis of the liver. Its etiological agent, rabbit hemorrhagic disease virus (RHDV), belongs to the Lagovirus genus in the family Caliciviridae. The detailed molecular structure of any lagovirus capsid has yet to be determined. Here, we report a cryo-electron microscopic (cryoEM) reconstruction of wild-type RHDV at 6.5 Å resolution and the crystal structures of the shell (S) and protruding (P) domains of its major capsid protein, VP60, each at 2.0 Å resolution. From these data we built a complete atomic model of the RHDV capsid. VP60 has a conserved S domain and a specific P2 sub-domain that differs from those found in other caliciviruses. As seen in the shell portion of the RHDV cryoEM map, which was resolved to ~5.5 Å, the N-terminal arm domain of VP60 folds back onto its cognate S domain. Sequence alignments of VP60 from six groups of RHDV isolates revealed seven regions of high variation that could be mapped onto the surface of the P2 sub-domain and suggested three putative pockets might be responsible for binding to histo-blood group antigens. A flexible loop in one of these regions was shown to interact with rabbit tissue cells and contains an important epitope for anti-RHDV antibody production. Our study provides a reliable, pseudo-atomic model of a Lagovirus and suggests a new candidate for an efficient vaccine that can be used to protect rabbits from RHDV infection.

  16. Magnetic resonance spectroscopy study of proton metabolite level changes in sensorimotor cortex after upper limb replantation-revascularization.

    Science.gov (United States)

    Ertem, Kadir; Alkan, Alpay; Sarac, Kaya; Onal, Cagatay; Bostan, Haci; Yologlu, Saim; Bora, Arslan

    2005-01-01

    We aimed to investigate the changes in proton metabolite levels at the motor and somatosensory cortex by magnetic resonance spectroscopy (MRS) after upper extremity replantation or revascularization. Nine patients who referred to our clinic suffering from major total (two) and subtotal (seven) amputation of the upper extremity were enrolled in this study. Mean time value between the injury and operation was 5.1 h. Mean follow-up period or mean time between the injury and MRS analysis was 26.2 months (ranging from 7 to 41 months). Voxels (TR: 2000; TE: 136 ms) were placed onto locations in the bilateral precentral and postcentral cortex area of the cerebral hemispheres that represent the upper extremity. Contralateral sides of the brain hemisphere that represent the injured extremity were accounted as control groups. Metabolite ratios [NAA (N-acetyl aspartate)/Cr (creatine) and Cho (choline)/Cr] of the motor and somatosensory cortex were calculated. The NAA/Cr and Cho/Cr metabolite ratios between the two groups were found to be insignificant, and these results may indicate that there is no remarkable somatosensorial cortex disruption or demyelination in these patients. Fifty-six percent of patients were found as functional according to Chen's scale.

  17. SAGES: a suite of freely-available software tools for electronic disease surveillance in resource-limited settings.

    Directory of Open Access Journals (Sweden)

    Sheri L Lewis

    Full Text Available Public health surveillance is undergoing a revolution driven by advances in the field of information technology. Many countries have experienced vast improvements in the collection, ingestion, analysis, visualization, and dissemination of public health data. Resource-limited countries have lagged behind due to challenges in information technology infrastructure, public health resources, and the costs of proprietary software. The Suite for Automated Global Electronic bioSurveillance (SAGES is a collection of modular, flexible, freely-available software tools for electronic disease surveillance in resource-limited settings. One or more SAGES tools may be used in concert with existing surveillance applications or the SAGES tools may be used en masse for an end-to-end biosurveillance capability. This flexibility allows for the development of an inexpensive, customized, and sustainable disease surveillance system. The ability to rapidly assess anomalous disease activity may lead to more efficient use of limited resources and better compliance with World Health Organization International Health Regulations.

  18. Defining disease phenotypes using national linked electronic health records: a case study of atrial fibrillation.

    Directory of Open Access Journals (Sweden)

    Katherine I Morley

    Full Text Available National electronic health records (EHR are increasingly used for research but identifying disease cases is challenging due to differences in information captured between sources (e.g. primary and secondary care. Our objective was to provide a transparent, reproducible model for integrating these data using atrial fibrillation (AF, a chronic condition diagnosed and managed in multiple ways in different healthcare settings, as a case study.Potentially relevant codes for AF screening, diagnosis, and management were identified in four coding systems: Read (primary care diagnoses and procedures, British National Formulary (BNF; primary care prescriptions, ICD-10 (secondary care diagnoses and OPCS-4 (secondary care procedures. From these we developed a phenotype algorithm via expert review and analysis of linked EHR data from 1998 to 2010 for a cohort of 2.14 million UK patients aged ≥ 30 years. The cohort was also used to evaluate the phenotype by examining associations between incident AF and known risk factors.The phenotype algorithm incorporated 286 codes: 201 Read, 63 BNF, 18 ICD-10, and four OPCS-4. Incident AF diagnoses were recorded for 72,793 patients, but only 39.6% (N = 28,795 were recorded in primary care and secondary care. An additional 7,468 potential cases were inferred from data on treatment and pre-existing conditions. The proportion of cases identified from each source differed by diagnosis age; inferred diagnoses contributed a greater proportion of younger cases (≤ 60 years, while older patients (≥ 80 years were mainly diagnosed in SC. Associations of risk factors (hypertension, myocardial infarction, heart failure with incident AF defined using different EHR sources were comparable in magnitude to those from traditional consented cohorts.A single EHR source is not sufficient to identify all patients, nor will it provide a representative sample. Combining multiple data sources and integrating information on treatment and

  19. Identifying primary care patients at risk for future diabetes and cardiovascular disease using electronic health records

    Directory of Open Access Journals (Sweden)

    Shrader Peter

    2009-09-01

    Full Text Available Abstract Background Prevention of diabetes and coronary heart disease (CHD is possible but identification of at-risk patients for targeting interventions is a challenge in primary care. Methods We analyzed electronic health record (EHR data for 122,715 patients from 12 primary care practices. We defined patients with risk factor clustering using metabolic syndrome (MetS characteristics defined by NCEP-ATPIII criteria; if missing, we used surrogate characteristics, and validated this approach by directly measuring risk factors in a subset of 154 patients. For subjects with at least 3 of 5 MetS criteria measured at baseline (2003-2004, we defined 3 categories: No MetS (0 criteria; At-risk-for MetS (1-2 criteria; and MetS (≥ 3 criteria. We examined new diabetes and CHD incidence, and resource utilization over the subsequent 3-year period (2005-2007 using age-sex-adjusted regression models to compare outcomes by MetS category. Results After excluding patients with diabetes/CHD at baseline, 78,293 patients were eligible for analysis. EHR-defined MetS had 73% sensitivity and 91% specificity for directly measured MetS. Diabetes incidence was 1.4% in No MetS; 4.0% in At-risk-for MetS; and 11.0% in MetS (p MetS vs No MetS = 6.86 [6.06-7.76]; CHD incidence was 3.2%, 5.3%, and 6.4% respectively (p Conclusion Risk factor clustering in EHR data identifies primary care patients at increased risk for new diabetes, CHD and higher resource utilization.

  20. Detecting Spatial Patterns of Disease in Large Collections of Electronic Medical Records Using Neighbor-Based Bootstrapping.

    Science.gov (United States)

    Patterson, Maria T; Grossman, Robert L

    2017-09-01

    We introduce a method called neighbor-based bootstrapping (NB2) that can be used to quantify the geospatial variation of a variable. We applied this method to an analysis of the incidence rates of disease from electronic medical record data (International Classification of Diseases, Ninth Revision codes) for ∼100 million individuals in the United States over a period of 8 years. We considered the incidence rate of disease in each county and its geospatially contiguous neighbors and rank ordered diseases in terms of their degree of geospatial variation as quantified by the NB2 method. We show that this method yields results in good agreement with established methods for detecting spatial autocorrelation (Moran's I method and kriging). Moreover, the NB2 method can be tuned to identify both large area and small area geospatial variations. This method also applies more generally in any parameter space that can be partitioned to consist of regions and their neighbors.

  1. A retrospective study of upper arm replantation%上臂离断再植回顾性研究

    Institute of Scientific and Technical Information of China (English)

    糜菁熠; 芮永军; 赵刚; 华雍; 邱扬; 姚群; 俞君; 王骏

    2015-01-01

    目的:通过对上臂离断再植患者回顾性研究,探讨再植的手术指征、技术要点和康复方法。方法对2004年至2012年在我院施行的22例上臂离断再植患者进行回顾性研究。年龄平均33.3岁,81.8%为旋转及绞轧撕脱性损伤,其它为压砸切割、车轮碾压和重物压砸伤。肢体毁损严重度评分( mangled extremity severity score,MESS )平均7.5分,13例为7分,7例为8分,1例为9分,1例为10分。再植手术中,肢体缺血时间为5~10 h ,平均8.1 h,其中热缺血时间为4~7 h,平均6.2 h。术后分早、中、晚期开展不同的康复治疗。结果2例在术后第5、第10天因为肌肉坏死、严重感染及血管破裂而予以截肢,其余20例肢体成活。17例获得长期随访,随访时间3~10年,平均4.2年。17例 DASH 上肢功能评定平均为58.35±19.42;按陈中伟断肢再植功能评定标准,70.6%为良,29.4%为可,无优及差;64.7%患者对外观满意或较满意,47.1%患者对功能满意或较满意。结论除一般手术指征外,肢体通血时间必须控制在9 h 以内,正中神经和桡神经必须有效修复。创面应尽量选择皮瓣、肌瓣早期覆盖,在保护血管神经束的同时可以为晚期功能恢复创造条件。坚持长期不懈的康复治疗,是促进患者功能、心理和社交恢复的重要保障。%Objective To discuss the indication, surgical technique and rehabilitation of upper arm replantation by a retrospective study. Methods Twenty-two cases ( 2004-2012 ) of upper arm replantation were studied. The average age was 33.3 years old. In all patients, 81.8% were of rotation-twist-avulsion injury, and others were of crush-cut, wheel rolling or heavy crush injuries. The average MESS score was 7.5 points: 13 cases were 7, 7 cases were 8, 1 case was 9 and 1 case was 10. Ischemia time was 5-10 hours ( average: 8.1 hours ). Warm ischemia time was 4-7 hours ( average: 6.2 hours

  2. Risk prediction for chronic kidney disease progression using heterogeneous electronic health record data and time series analysis

    OpenAIRE

    Perotte, Adler; Ranganath, Rajesh; Hirsch, Jamie S; Blei, David; Elhadad, Noémie

    2015-01-01

    Background As adoption of electronic health records continues to increase, there is an opportunity to incorporate clinical documentation as well as laboratory values and demographics into risk prediction modeling. Objective The authors develop a risk prediction model for chronic kidney disease (CKD) progression from stage III to stage IV that includes longitudinal data and features drawn from clinical documentation. Methods The study cohort consisted of 2908 primary-care clinic patients who h...

  3. Physician assessment of disease activity in JIA subtypes. Analysis of data extracted from electronic medical records

    Directory of Open Access Journals (Sweden)

    Wang Deli

    2011-04-01

    Full Text Available Abstract Objective Although electronic medical records (EMRs have facilitated care for children with juvenile idiopathic arthritis (JIA, analyses of treatment outcomes have required paper based or manually re-entered data. We have started EMR discrete data entry for JIA patient visits, including joint examination and global assessment, by physician and patient. In this preliminary study, we extracted data from the EMR to Xenobase™ (TransMed Systems, Inc., Cupertino, CA, an application permitting cohort analyses of the relationship between global assessment to joint examination and subtype. Methods During clinic visits, data were entered into discrete fields in ambulatory visit forms in the EMR (EpicCare™, Epic Systems, Verona, WI. Data were extracted using Clarity Reports, then de-identified and uploaded for analyses to Xenobase™. Parameters included joint examination, ILAR diagnostic classification, physician global assessment, patient global assessment, and patient pain score. Data for a single visit for each of 160 patients over a 2 month period, beginning March, 2010, were analyzed. Results In systemic JIA patients, strong correlations for physician global assessment were found with pain score, joint count and patient assessment. In contrast, physician assessment for patients with persistent oligoarticular and rheumatoid factor negative patients showed strong correlation with joint counts, but only moderate correlation with pain scores and patient global assessment. Conversely, for enthesitis patients, physician assessment correlated strongly with pain scores, and moderately with joint count and patient global assessment. Rheumatoid factor positive patients, the smallest group studied, showed moderate correlation for all three measures. Patient global assessment for systemic patients showed strong correlations with pain scores and joint count, similar to data for physician assessment. For polyarticular and enthesitis patients

  4. AN EQUILIBRIUM ANALYSIS OF ANTIBIOTICS USE AND REPLANTING DECISIONS IN APPLE PRODUCTION

    OpenAIRE

    Roosen, Jutta; Hennessy, David A.

    2001-01-01

    Antibiotics are used in fruit production to control fire blight, a bacterial disease of fruit trees that causes yield losses and eventually tree death. Fearing the development of widespread antibiotic resistance, scientists and public health officials are becoming increasingly concerned about antibiotics use in agriculture. A framework is developed for assessing the impacts of changes in tree damage risk following a ban on antibiotics use in the apple industry. Allowing for entry and exit, a ...

  5. Pulp and Periodontal Regeneration of an Avulsed Permanent Mature Incisor Using Platelet-rich Plasma after Delayed Replantation: A 12-month Clinical Case Study.

    Science.gov (United States)

    Priya M, Harini; Tambakad, Pavan B; Naidu, Jaya

    2016-01-01

    Numerous publications have reported revascularization of necrotic immature permanent teeth, but the regenerative potential of pulp in mature teeth has rarely been considered. Platelet-rich plasma (PRP) meets many requirements of a scaffold for regenerative endodontics. To the best of our knowledge, no clinical study has evaluated PRP for endodontic regeneration in a mature avulsed tooth. The present case evaluated PRP for pulpal regeneration in an avulsed mature incisor (>8 hours extraoral dry time) of an 11-year-old boy after delayed replantation. The canal was disinfected after extraoral access cavity preparation and pulp extirpation. The root apex was enlarged, and the tooth was placed in doxycycline solution for 20 minutes. After tooth replantation and splinting, PRP was injected up to the level of the cementoenamel junction and sealed with glass ionomer cement. The 6-month follow-up revealed evidence of internal and external root resorption with periapical radiolucency and an apparent periodontal ligament space. Access was reopened; slurry of 2 antibiotics (minocycline and metronidazole) was inserted into the canal and sealed. Nine- and 12-month radiographs revealed resolution of periapical radiolucency with no further progression of internal resorption. The tooth showed a positive response to thermal and electric pulp tests. The findings observed in this case warrant further research under controlled conditions to evaluate endodontic and periodontal regeneration in a tooth that would otherwise be expected to have an unfavorable prognosis. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  6. First-principles calculation of structural and electronic properties of memantine (Alzheimer's disease) and adamantane (anti-flu) drugs

    Science.gov (United States)

    Middleton, Kirsten; Zhang, Guoping; George, Thomas F.

    2012-02-01

    Memantine is currently used as a treatment for mild to severe Alzheimer's disease, although its functionality is complicated. Using various density functional theory calculations and basis sets, we first examine memantine alone and then add ions which are present in the human body. This provides clues as to how the compound may react in the calcium ion channel, where it is believed to treat the disease. In order to understand the difference between calcium and magnesium ions interacting with memantine, we compute the electron affinity of each complex. We find that memantine is more strongly attracted to magnesium ions than calcium ions within the channel. By observing the HOMO-LUMO gap within memantine in comparison to adamantane, we find that memantine is more excitable than the anti-flu drug. We believe these factors to affect the efficiency of memantine as a treatment of Alzheimer's disease.

  7. Real-time monitoring of school absenteeism to enhance disease surveillance: a pilot study of a mobile electronic reporting system.

    Science.gov (United States)

    Lawpoolsri, Saranath; Khamsiriwatchara, Amnat; Liulark, Wongwat; Taweeseneepitch, Komchaluch; Sangvichean, Aumnuyphan; Thongprarong, Wiraporn; Kaewkungwal, Jaranit; Singhasivanon, Pratap

    2014-05-12

    School absenteeism is a common source of data used in syndromic surveillance, which can eventually be used for early outbreak detection. However, the absenteeism reporting system in most schools, especially in developing countries, relies on a paper-based method that limits its use for disease surveillance or outbreak detection. The objective of this study was to develop an electronic real-time reporting system on school absenteeism for syndromic surveillance. An electronic (Web-based) school absenteeism reporting system was developed to embed it within the normal routine process of absenteeism reporting. This electronic system allowed teachers to update students' attendance status via mobile tablets. The data from all classes and schools were then automatically sent to a centralized database for further analysis and presentation, and for monitoring temporal and spatial patterns of absent students. In addition, the system also had a disease investigation module, which provided a link between absenteeism data from schools and local health centers, to investigate causes of fever among sick students. The electronic school absenteeism reporting system was implemented in 7 primary schools in Bangkok, Thailand, with total participation of approximately 5000 students. During May-October 2012 (first semester), the percentage of absentees varied between 1% and 10%. The peak of school absenteeism (sick leave) was observed between July and September 2012, which coincided with the peak of dengue cases in children aged 6-12 years being reported to the disease surveillance system. The timeliness of a reporting system is a critical function in any surveillance system. Web-based application and mobile technology can potentially enhance the use of school absenteeism data for syndromic surveillance and outbreak detection. This study presents the factors that determine the implementation success of this reporting system.

  8. Effect of replanting systems on populations of Strategus aloeus (L. and Rhynchophorus palmarum (L. associated with the oil palm OxG interspecific hybrid (Elaeis oleifera × Elaeis guineensis in Southwestern Colombia

    Directory of Open Access Journals (Sweden)

    Rodrigo Andrés Ávila

    2014-08-01

    Full Text Available The oil palm replanting process produces a large amount of organic matter that, as it begins to decompose, becomes a breeding ground for various pests, including Strategus aloeus and Rhynchophorus palmarum. Different crop replanting systems are being used today. The method used depends on the plantation and it is basically associated with the costs involved in the process. However, sometimes too little attention is paid to other issues related to the new crop, such as plant health and agronomic management. This study evaluated the effect of different crop replanting alternatives in relation to two pest populations affecting oil palm plantations. Pest populations of S. aloeus and R. palmarum were assessed and monitored for 27 months using seven replanting methods. It was found that the largest number of individuals of R. palmarum and S. aloeus was associated with the stem felling and stacking method. No individuals of the two pest species were found when the felling and burying method was used. The exposed organic matter method that had the lowest number of individuals of both pest species was the felling, chipping, spreading method.

  9. 断指再植术护理配合与体会%The Surgical Nursing Cooperation and Experience of Severed Finger Replantation

    Institute of Scientific and Technical Information of China (English)

    范晓勇; 郭明琴; 李香玲

    2014-01-01

    目的:探讨断指再植手术的最佳手术配合方式。方法:对57例断指再植患者(108指)的心理护理、物品器械准备、手术中洗手、巡回护士的配合及术中出现特殊情况的护理配合等进行回顾。结果:经过3个月的随访,其中2例患者(3指)因受伤时间过长、伤口污染严重,术后出现感染,血管破裂导致截指;2例患者(4指)再植成功后因指动脉栓塞无法吻合而截指外,其他患者断指再植全部成活。结论:术前的准备工作、有效的心理护理、术中的精心护理,可以降低发生血管危象的几率;严格执行无菌操作、熟练地护理配合能有效缩短手术的时间,减少伤口感染,提高再植成活率。%Objective:To discuss the optimal surgical nursing cooperation of severed finger replantation. Method:The situations such as the psychological nursing of 57 patients(108 fingers)with severed finger replantation,the preparation of articles and instruments,the cooperation of scrub nurses and circulating nurses during the operation,the surgical nursing cooperation with special situations appeared during the operation were reviewed. Result:By 3 months of follow-up,because of too long injury time and serious wound contamination,infection and angiorrhexis occur in 2 patients(3 fingers)among them after the operation,which lead to cut the severed fingers. 2 patients(4 fingers)had been cut the severed fingers after the successful replantation because the fingers can not match on account of artery embolization. Beyond that,the other patients’severed fingers were all survived after the replantation. Conclusion:The preoperative preparation work,effective psychological nursing and intraoperative meticulous nursing can reduce the probability of vascular crisis. Strictly executing aseptic manipulation and skillfully nursing cooperation can effectively shorten the operation time,reduce the wound infection and improve the

  10. Mushroom virus disease in the Netherlands : symptoms, etiology, electron microscopy, spread and control

    NARCIS (Netherlands)

    Dieleman-van Zaayen, A.

    1972-01-01

    During the 1960s, Dutch mushroom farmers suffered severe losses from an infectious disease. Three types of virus particles were associated with the disease: isometric particles 25 and 34 run in diameter and bacilliform particles 19 run wide and 50 nm long. Symptoms were highly variable.

  11. Alcohol-inactivated autograft replantation in reconstruction of bone defects in management of malignant bone tumors%酒精灭活瘤段骨在重建恶性骨肿瘤骨缺损中的应用

    Institute of Scientific and Technical Information of China (English)

    许宋锋; 刘江; 聂鑫; 于秀淳; 徐明; 王冰; 郑凯; 付志厚; 宋若先

    2015-01-01

    .The overall 5-year survival rate was 42.5%,which was 54.5%in osteosarcoma group.Devitalized bone existed for a long time in 30 patients,among whom the overall 3-year survival rate was 57%( 30/53 ) and limb-salvage rate was 68%(36/53 ).The postoperative complications included incision infection (7.6%,4/53 ),fracture and internal ifxation breakage (9.4%,5/53),internal ifxation breakage (3.8%,2/53) and delayed union and non-union of inactivated bone (15.1%,8/53).The mean MSTS score was 27 (range: 19-33),and the mean ISOLS score was 26 (range: 22-31 ).The following results were achieved with the single factor analysis.(1) The length of alcohol-inactivated autograft was correlated with the occurrence rate of callus,the occurrence time of callus,postoperative recurrence rate,overall survival rate,MSTS score and ISOLS score (P<0.05).(2) There was a correlation between neoplasm staging and postoperative recurrence rate (P<0.05).(3) There was a correlation between joint preserving and MSTS score (P<0.05).(4) The disease course,neoplasm staging (P=0.026 ) and tumor location were correlated with the 3-year survival rate (P<0.05 ).The multiple-factor analysis showed the length of alcohol-inactivated autograft,duration of disease course and neoplasm staging were independent factors affecting the overall survival rate (P<0.05 ).Conclusions Alcohol-inactivated autograft replantation could be an option in reconstruction of bone defects in management of malignant bone tumors.Early diagnosis and treatment could increase the survival rate.The functional results will be improved with the decrease of alcohol-inactivated autograft length and preservation of articular surface.The length of alcohol-inactivated autograft,duration of disease course and neoplasm staging are independent factors affecting the overall survival rate.%目的 评价酒精灭活在重建恶性骨肿瘤骨缺损中的疗效,并分析影响疗效的相关因素.方法 回顾性分析1995年1月至2013

  12. Alternative mitochondrial electron transfer for the treatment of neurodegenerative diseases and cancers: Methylene blue connects the dots.

    Science.gov (United States)

    Yang, Shao-Hua; Li, Wenjun; Sumien, Nathalie; Forster, Michael; Simpkins, James W; Liu, Ran

    2017-10-01

    Brain has exceptional high requirement for energy metabolism with glucose as the exclusive energy source. Decrease of brain energy metabolism and glucose uptake has been found in patients of Alzheimer's, Parkinson's and other neurodegenerative diseases, providing a clear link between neurodegenerative disorders and energy metabolism. On the other hand, cancers, including glioblastoma, have increased glucose uptake and rely on aerobic glycolysis for energy metabolism. The switch of high efficient oxidative phosphorylation to low efficient aerobic glycolysis pathway (Warburg effect) provides macromolecule for biosynthesis and proliferation. Current research indicates that methylene blue, a century old drug, can receive electron from NADH in the presence of complex I and donates it to cytochrome c, providing an alternative electron transfer pathway. Methylene blue increases oxygen consumption, decrease glycolysis, and increases glucose uptake in vitro. Methylene blue enhances glucose uptake and regional cerebral blood flow in rats upon acute treatment. In addition, methylene blue provides protective effect in neuron and astrocyte against various insults in vitro and in rodent models of Alzheimer's, Parkinson's, and Huntington's disease. In glioblastoma cells, methylene blue reverses Warburg effect by enhancing mitochondrial oxidative phosphorylation, arrests glioma cell cycle at s-phase, and inhibits glioma cell proliferation. Accordingly, methylene blue activates AMP-activated protein kinase, inhibits downstream acetyl-coA carboxylase and cyclin-dependent kinases. In summary, there is accumulating evidence providing a proof of concept that enhancement of mitochondrial oxidative phosphorylation via alternative mitochondrial electron transfer may offer protective action against neurodegenerative diseases and inhibit cancers proliferation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. A wearable “electronic patch” for wireless continuous monitoring of chronically diseased patients

    DEFF Research Database (Denmark)

    Haahr, Rasmus Grønbek; Duun, Sune; Thomsen, Erik Vilain

    2008-01-01

    We present a wearable health system (WHS) for non-invasive and wireless monitoring of physiological signals. The system is made as an electronic patch where sensors, low power electronics, and radio communication are integrated in an adhesive material of hydrocolloid polymer making it a sticking...... patch. The patch is made with a reusable part and a disposable part which contains the adhesive material and the battery. This part is changed once every week. The patch has a size of 88 mm by 60 mm and a thickness of 5 mm. It is made for attachment on truncus or the greater muscle groups. The patch...... is demonstrated in two applications: Monitoring of electromyography (EMG) and arterial oxygen saturation by pulse oximetry (SpO2). The pulse oximetry sensor is made of a concentric backside Silicon photodiode with a hole in the middle for the two light sources. This makes it suitable for reflectance pulse...

  14. An electron microscopic study of clinical Paget's disease of the nipple

    DEFF Research Database (Denmark)

    Jahn, H; Osther, P J; Nielsen, E H

    1995-01-01

    An ultrastructural study of the epidermis from eight patients with clinical Paget's disease of the nipple supports the epidermotropic theory. There was no evidence that the Paget's cells originated from keratinocytes. We propose the hypothesis that Paget's cells represent transformed ductal cells...

  15. Coronary artery disease in Chinese adults with type 2 diabetes mellitus estimated by electron beam computed tomography and electron beam computed tomography angiography

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective To assess the prevalence and risk of coronary artery disease (CAD) in Chinese adults with type 2 diabetes mellitus (T2DM) using electron beam computed tomography (EBCT) and EBCT angiography (EBCTA). Methods: Ninety-four cases were enrolled in this study including diabetes (n=28), impaired glucose tolerance (IGT, n=30), coronary heart disease (CHD, n=11), and control (n=25). Cardiac EBCT plain scanning and EBCTA were performed on all of these subjects to evaluate coronary artery calcification (CAC) scores, and number of segments of stenosed coronary arteries. Both CAC and/or coronary artery stenosis were defined as patients with coronary artery lesions (CAL). Results CAC scores were not different with the control, diabetes, IGT, or CHD (P>0.05)groups. Compared to control (0.520±1.295), more stenosed coronary arteries segments (P<0.05) were detected in diabetes (2.964±1.915), IGT (2.200±2.024), and CHD (2.273±1.679). Number of stenosed artery segments were correlated with age (r=0.215, P=0.019),postprandial glucose (r=0.224, P=0.015), total cholesterol (r=0.323, P=0.000), and duration of diabetes (r=0.208, P=0.004). The incidences of CAL in diabetes (96.43%), IGT (93.33%), and CHD (90.91%) was substantially higher than that in normal control (56.00%, P<0.01).The odds ratio of CAL associated with having diabetes was estimated to be 7.514 (95% CI: 1.885-63.778). Conclusions Coronary artery lesions are prevalent in Chinese adults with type 2 diabetes, implying a high CAD risk. EBCTA holds potential in depicting the details of CAL and can be used to track the progression of CAD in diabetes patients.

  16. The comparison of DNA damage induced by micro DBD plasma and low energy electron for curing human diseases

    Science.gov (United States)

    Park, Yeunsoo

    2015-09-01

    It is well known that low energy electrons (LEE, especially below 10 eV) can generate DNA damage via indirect action named dissociative electron attachment (DEA). We can now explain some parts of the exact mechanism on DNA damage by LEE collision with direct ionization effect when cancer patients get the radiotherapy. It is kind of remarkable information in the field of radiation therapy. However, it is practically very difficult to directly apply this finding to human disease cure due to difficulty of LEE therapy actualization and request of further clinical studies. Recently, there is a novel challenge in plasma application, that is, how we can apply plasma technology to diagnosis and treatment of many serious diseases like cancer. Cold atmospheric pressure plasma (CAPP) is a very good source to apply to plasma medicine and bio-applications because of low temperature, low cost, and easy handling. Some scientists have already reported good results related to clinical plasma application. The purposes of this study are to further find out exact mechanisms of DNA damage by LEE at the molecular level, to verify new DNA damage like structural alteration on DNA subunits and to compare DNA damage by LEE and plasma source. We will keep expanding our study to DNA damage by plasma source to develop plasma-based new medical and biological applications. We will show some recent results, DNA damage by LEE and non-thermal plasma.

  17. An electron microscopic study of clinical Paget's disease of the nipple

    DEFF Research Database (Denmark)

    Jahn, H; Osther, P J; Nielsen, E H

    1995-01-01

    An ultrastructural study of the epidermis from eight patients with clinical Paget's disease of the nipple supports the epidermotropic theory. There was no evidence that the Paget's cells originated from keratinocytes. We propose the hypothesis that Paget's cells represent transformed ductal cells......, from the subjacent lactiferous ducts of the nipple, which have migrated into the epidermis, either as neoplastic cells or as normal ductal cells with secondary in situ transformation in the epidermis....

  18. Pathological and electron microscopic studies on cold water disease among cultured rainbow trout (Oncorhynchus Mykiss Walbaum

    Directory of Open Access Journals (Sweden)

    Salah Mesalhy Aly

    2013-07-01

    Full Text Available The present study aims to investigate the etiology and pathogenesis of cold water disease among cultured rainbow trout (Oncorhynchus Mykiss Walbaum reared at low water temperature on a private farm, and propose preventive and control measures to prevent the recurrence of the disease and its spread to the neighboring farms or to other countries. The disease is caused by Flavobacterium psychrophilum and is characterized clinically by high mortality rates (25% with necrotizing skin and fin lesions. Septicemia with muscular and gill involvement is observed in severely affected cases. The histopathological and ultrastructure alterations in the infected trout explain the pathogencity of this microorganism in many organs other than skin and fins either directly by these bacteria or by its extracellular products, or indirectly via the hypoxia and ion imbalance that results from skin and gill damage. Although some antibiotics, such as trimethoprime, chloramin T and oxytetracycline, are effective on the causative agent, improvement in water quality, vaccination, increasing fish resistance and strict hygiene as well as quarantine measures would all help.

  19. 阴茎根部离断伤再植成功2例报告并文献复习%Study on 2 case reports of successful replantation of penis root

    Institute of Scientific and Technical Information of China (English)

    陈永绛; 罗立旷; 廖伟强

    2012-01-01

    Objective To report experiences on 2 successful cases of penile replantation, and explore method and key points for attention in penile amputation after replantation.Methods The application of microsurgical instruments was used in penile amputation for replantation.Results 2 cases after replantation of the penis survived completely,postoperative follow-up for 4 ~ 6 years,two patients with penile pain tactile recovered well,as well as the replantation of penis erectile function recovery,being able to engage in normal sexual life,without any complications such as urethral stricture.Conclusion To be familiar with the relevant anatomy,try to shorten the penile ischemia time during preoperative and intraoperative operation,high quality of anastomosis of penile vascular and nerve,postoperative care and rational drug use,are all the keys for successful penis replantation.%目的 报告2例阴茎离断伤再植成功的经验和体会,探讨阴茎离断伤后再植的方法及注意要点.方法 应用显微外科手段对阴茎离断伤进行再植.结果 本组2例患者术后再植阴茎均完全成活,术后随访4~6年,2例患者阴茎痛触觉恢复较好,再植成活的阴茎勃起功能恢复,能进行正常性生活,无尿道狭窄等并发症.结论 熟悉相应的解剖,术前、术中尽量缩短阴茎缺血时间,高质量吻合阴茎重要血管、神经,术后加强护理、合理用药,是阴茎再植成功的关键.

  20. "Smart Forms" in an Electronic Medical Record: documentation-based clinical decision support to improve disease management.

    Science.gov (United States)

    Schnipper, Jeffrey L; Linder, Jeffrey A; Palchuk, Matvey B; Einbinder, Jonathan S; Li, Qi; Postilnik, Anatoly; Middleton, Blackford

    2008-01-01

    Clinical decision support systems (CDSS) integrated within Electronic Medical Records (EMR) hold the promise of improving healthcare quality. To date the effectiveness of CDSS has been less than expected, especially concerning the ambulatory management of chronic diseases. This is due, in part, to the fact that clinicians do not use CDSS fully. Barriers to clinicians' use of CDSS have included lack of integration into workflow, software usability issues, and relevance of the content to the patient at hand. At Partners HealthCare, we are developing "Smart Forms" to facilitate documentation-based clinical decision support. Rather than being interruptive in nature, the Smart Form enables writing a multi-problem visit note while capturing coded information and providing sophisticated decision support in the form of tailored recommendations for care. The current version of the Smart Form is designed around two chronic diseases: coronary artery disease and diabetes mellitus. The Smart Form has potential to improve the care of patients with both acute and chronic conditions.

  1. Cape Saint Paul Wilt Disease of coconut in Ghana: surveillance and management of disease spread

    Directory of Open Access Journals (Sweden)

    Nkansah-Poku Joe

    2009-03-01

    Full Text Available The Cape Saint Paul Wilt Disease (CSPWD, a lethal-yellowing type disease of coconut has been in Ghana since 1932. Aerial and/or ground surveys were undertaken to assess the current status of the disease spread. The survey showed that the spread of the disease for the past 5 years has mainly been the expansion of existing foci. However, new outbreaks were identified at Glidzi in the Volta, Bawjiase and Efutu Breman in Central regions. After the resurgence in the Volta region in 1995, the Woe-Tegbi-Dzelukope corridor has remained endemic, but less aggressive. Pockets of healthy groves remain along all the coastline and inland of known disease zones. Eradication of diseased palms at Ampain focus lying just about 60 km to the Ivorian border, and disease situations on new replanting with MYD × VTT hybrid are discussed.

  2. The role of nanotechnology and nano and micro-electronics in monitoring and control of cardiovascular diseases and neurological disorders

    Science.gov (United States)

    Varadan, Vijay K.

    2007-04-01

    Nanotechnology has been broadly defined as the one for not only the creation of functional materials and devices as well as systems through control of matter at the scale of 1-100 nm, but also the exploitation of novel properties and phenomena at the same scale. Growing needs in the point-of-care (POC) that is an increasing market for improving patient's quality of life, are driving the development of nanotechnologies for diagnosis and treatment of various life threatening diseases. This paper addresses the recent development of nanodiagnostic sensors and nanotherapeutic devices with functionalized carbon nanotube and/or nanowire on a flexible organic thin film electronics to monitor and control of the three leading diseases namely 1) neurodegenerative diseases, 2) cardiovascular diseases, and 3) diabetes and metabolic diseases. The sensors developed include implantable and biocompatible devices, light weight wearable devices in wrist-watches, hats, shoes and clothes. The nanotherapeutics devices include nanobased drug delivery system. Many of these sensors are integrated with the wireless systems for the remote physiological monitoring. The author's research team has also developed a wireless neural probe using nanowires and nanotubes for monitoring and control of Parkinson's disease. Light weight and compact EEG, EOG and EMG monitoring system in a hat developed is capable of monitoring real time epileptic patients and patients with neurological and movement disorders using the Internet and cellular network. Physicians could be able to monitor these signals in realtime using portable computers or cell phones and will give early warning signal if these signals cross a pre-determined threshold level. In addition the potential impact of nanotechnology for applications in medicine is that, the devices can be designed to interact with cells and tissues at the molecular level, which allows high degree of functionality. Devices engineered at nanometer scale imply a

  3. Replantation of digits

    Science.gov (United States)

    ... The bones are rejoined with wires or a plate and screws. Tendons are repaired, followed by nerves ... SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Operative Hand Surgery . 7th ed. Philadelphia, ...

  4. Electronic health records: a new tool to combat chronic kidney disease?

    Science.gov (United States)

    Navaneethan, Sankar D; Jolly, Stacey E; Sharp, John; Jain, Anil; Schold, Jesse D; Schreiber, Martin J; Nally, Joseph V

    2013-03-01

    Electronic health records (EHRs) were first developed in the 1960s as clinical information systems for document storage and retrieval. Adoption of EHRs has increased in the developed world and is increasing in developing countries. Studies have shown that quality of patient care is improved among health centers with EHRs. In this article, we review the structure and function of EHRs along with an examination of its potential application in CKD care and research. Well-designed patient registries using EHRs data allow for improved aggregation of patient data for quality improvement and to facilitate clinical research. Preliminary data from the United States and other countries have demonstrated that CKD care might improve with use of EHRs-based programs. We recently developed a CKD registry derived from EHRs data at our institution and complimented the registry with other patient details from the United States Renal Data System and the Social Security Death Index. This registry allows us to conduct a EHRs-based clinical trial that examines whether empowering patients with a personal health record or patient navigators improves CKD care, along with identifying participants for other clinical trials and conducting health services research. EHRs use have shown promising results in some settings, but not in others, perhaps attributed to the differences in EHRs adoption rates and varying functionality. Thus, future studies should explore the optimal methods of using EHRs to improve CKD care and research at the individual patient level, health system and population levels.

  5. Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of healthcare.

    Science.gov (United States)

    Stoves, John; Connolly, John; Cheung, Chee Kay; Grange, Angela; Rhodes, Penny; O'Donoghue, Donal; Wright, John

    2010-10-01

    Chronic kidney disease is increasingly recognised in the UK, leading to a greater demand for specialist services. Traditional means of meeting this demand rely on GP referral of patients to see a nephrologist. Hospital assessment may be inconvenient for patients and inefficient for health services. 17 general practices and a secondary care nephrology service in Bradford, UK. A before and after evaluation comparing nephrology referrals from implementation and non-implementation practices following the introduction of electronic consultations (e-consultations) for chronic kidney disease. The number, appropriateness and quality of new referrals (paper and electronic) from primary care, the timeliness of responses and the satisfaction of patients and health professionals with the new service. Strategies for change Electronic sharing of primary care electronic health records with the nephrology service was introduced to implementation practices. Participating GPs attended education workshops and received paper and e-guidance about the new service. There was a significant reduction in paper referrals from implementation practices. E-consultation provided nephrologists with access to more clinical information. GPs reported that the service was convenient, provided timely and helpful advice, and avoided outpatient referrals. Specialist recommendations were well followed, and GPs felt more confident about managing chronic kidney disease in the community. E-consultation promotes effective management of patients with mild-to-moderate chronic kidney disease in primary care, allowing specialist resources to be directed towards supporting patients with more complex needs. There is a potential role for e-consultation in other chronic disease specialties.

  6. Text mining applied to electronic cardiovascular procedure reports to identify patients with trileaflet aortic stenosis and coronary artery disease.

    Science.gov (United States)

    Small, Aeron M; Kiss, Daniel H; Zlatsin, Yevgeny; Birtwell, David L; Williams, Heather; Guerraty, Marie A; Han, Yuchi; Anwaruddin, Saif; Holmes, John H; Chirinos, Julio A; Wilensky, Robert L; Giri, Jay; Rader, Daniel J

    2017-08-01

    Interrogation of the electronic health record (EHR) using billing codes as a surrogate for diagnoses of interest has been widely used for clinical research. However, the accuracy of this methodology is variable, as it reflects billing codes rather than severity of disease, and depends on the disease and the accuracy of the coding practitioner. Systematic application of text mining to the EHR has had variable success for the detection of cardiovascular phenotypes. We hypothesize that the application of text mining algorithms to cardiovascular procedure reports may be a superior method to identify patients with cardiovascular conditions of interest. We adapted the Oracle product Endeca, which utilizes text mining to identify terms of interest from a NoSQL-like database, for purposes of searching cardiovascular procedure reports and termed the tool "PennSeek". We imported 282,569 echocardiography reports representing 81,164 individuals and 27,205 cardiac catheterization reports representing 14,567 individuals from non-searchable databases into PennSeek. We then applied clinical criteria to these reports in PennSeek to identify patients with trileaflet aortic stenosis (TAS) and coronary artery disease (CAD). Accuracy of patient identification by text mining through PennSeek was compared with ICD-9 billing codes. Text mining identified 7115 patients with TAS and 9247 patients with CAD. ICD-9 codes identified 8272 patients with TAS and 6913 patients with CAD. 4346 patients with AS and 6024 patients with CAD were identified by both approaches. A randomly selected sample of 200-250 patients uniquely identified by text mining was compared with 200-250 patients uniquely identified by billing codes for both diseases. We demonstrate that text mining was superior, with a positive predictive value (PPV) of 0.95 compared to 0.53 by ICD-9 for TAS, and a PPV of 0.97 compared to 0.86 for CAD. These results highlight the superiority of text mining algorithms applied to electronic

  7. [THE CHARACTERISTICS OF MORPHOLOGY OF BIOFILM OF PERIODONTIUM UNDER INFLAMMATORY DISEASES OF GUMS (CHRONIC CATARRHAL GINGIVITIS, CHRONIC PERIODONTITIS, CANDIDA-ASSOCIATED PERIODONTITIS) ACCORDING RESULTS OF ELECTRONIC MICROSCOPY].

    Science.gov (United States)

    Ippolitov, E V; Didenko, L V; Tzarev, V N

    2015-12-01

    The study was carried out to analyze morphology of biofilm of periodontium and to develop electronic microscopic criteria of differentiated diagnostic of inflammatory diseases of gums. The scanning electronic microscopy was applied to analyze samples of bioflm of periodont from 70 patients. Including ten patients with every nosologic form of groups with chronic catarrhal periodontitis. of light, mean and severe degree, chronic catarrhal gingivitis, Candida-associated paroperiodontitis and 20 healthy persons with intact periodontium. The analysis was implemented using dual-beam scanning electronic microscope Quanta 200 3D (FEI company, USA) and walk-through electronic micJEM 100B (JEOL, Japan). To detect marker DNA of periodont pathogenic bacteria in analyzed samples the kit of reagentsfor polymerase chain reaction "MultiDent-5" ("GenLab", Russia). The scanning electronic microscopy in combination with transmission electronic microscopy and polymerase chain reaction permits analyzing structure, composition and degree of development of biofilm of periodontium and to apply differentiated diagnostic of different nosologic forms of inflammatory diseases of periodontium, including light form of chronic periodontitis and gingivitis. The electronic microscopical indications of diseases ofperiodontium of inflammatory character are established: catarrhal gingivitis, (coccal morphological alternate), chronic periodontitis (bacillary morphological alternate), Candida-associated periodontitis (Candida morphological alternate of biofilm ofperiodontium).

  8. Shared genetic etiology of autoimmune diseases in patients from a biorepository linked to de-identified electronic health records

    Directory of Open Access Journals (Sweden)

    Nicole A. Restrepo

    2016-10-01

    Full Text Available Autoimmune diseases represent a significant medical burden affecting up to 5-8% of the U.S. population. While genetics is known to play a role, studies of common autoimmune diseases are complicated by phenotype heterogeneity, limited sample sizes, and a single disease approach. Here we performed a targeted genetic association study for cases of multiple sclerosis (MS, rheumatoid arthritis (RA, and Crohn’s disease (CD to assess which common genetic variants contribute individually and pleiotropically to disease risk. Joint modeling and pathway analysis combining the three phenotypes were performed to identify common underlying mechanisms of risk of autoimmune conditions. European American cases of MS, RA, and CD, (n=119, 53, and 129, respectively and 1,924 controls were identified using de-identified electronic health records (EHRs through a combination of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM billing codes, Current Procedural Terminology (CPT codes, medications lists, and text matching. As expected, hallmark SNPs in MS, such as DQA1 rs9271366 (OR=1.91; p=0.008, replicated in the present study. Both MS and CD were associated with TIMMDC1 rs2293370 (OR = 0.27, p=0.01; OR=0.25, p=0.02; respectively. Additionally, PDE2A rs3781913 was significantly associated with both CD and RA (OR=0.46, p=0.02; OR=0.32, p=0.02; respectively. Joint modeling and pathway analysis identified variants within the KEGG NOD-like receptor signaling pathway and Shigellosis pathway as being correlated with the combined autoimmune phenotype. Our study replicated previously reported genetic associations for MS and CD in a population derived from de-identified EHRs. We found evidence to support a shared genetic etiology between CD/MS and CD/RA outside of the major histocompatibility complex region and identified KEGG pathways indicative of a bacterial pathogenesis risk for autoimmunity in a joint model. Future work to

  9. Internet and electronic resources for inflammatory bowel disease: a primer for providers and patients.

    Science.gov (United States)

    Fortinsky, Kyle J; Fournier, Marc R; Benchimol, Eric I

    2012-06-01

    Patients with inflammatory bowel disease (IBD) are increasingly turning to the Internet to research their condition and engage in discourse on their experiences. This has resulted in new dynamics in the relationship between providers and their patients, with misinformation and advertising potentially presenting barriers to the cooperative patient-provider partnership. This article addresses important issues of online IBD-related health information and social media activity, such as quality, reliability, objectivity, and privacy. We reviewed the medical literature on the quality of online information provided to IBD patients, and summarized the most commonly accessed Websites related to IBD. We also assessed the activity on popular social media sites (such as Facebook, Twitter, and YouTube), and evaluated currently available applications for use by IBD patients and providers on mobile phones and tablets. Through our review of the literature and currently available resources, we developed a list of recommended online resources to strengthen patient participation in their care by providing reliable, comprehensive educational material.

  10. Electronic clinical records in primary care for estimating disease burden and management. An example of COPD.

    Science.gov (United States)

    Verde-Remeseiro, Luis; López-Pardo, Estrella; Ruano-Ravina, Alberto; Gude-Sampedro, Francisco; Castro-Calvo, Ramón

    2015-01-01

    Chronic obstructive pulmonary disease (COPD) is a significant health problem in developed countries. We aimed to estimate the prevalence of COPD in a single Spanish healthcare area. We also aimed to assess if there are any differences in prevalence and spirometry use among primary care services by utilizing already registered information. We designed a cross-sectional study to determine the prevalence of COPD and the performance of spirometries in each primary care service. A total of 8,444 patients were diagnosed with COPD, with a prevalence of 2.6% for individuals older than 39 years. The prevalence increased with age and was much higher in men. Significant heterogeneity was found in the prevalence of COPD and spirometry use among primary care services. COPD was underdiagnosed and there was wide variability in spirometry use in our area. Greater efforts are needed to diagnose COPD in order to improve its clinical outcomes and to refine registries so that they can be used as reliable sources of information. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

  11. An electron microscopic study of MDBK cells persistently infected with Newcastle disease virus.

    Science.gov (United States)

    McNulty, M S; Gowans, E J; Louza, A C; Fraser, G

    1977-01-01

    Ultrastructural examination of a line of MDBK cells persistently infected with Newcastle disease virus (MDBKpi cells) revealed the presence of cytoplasmic aggregates of both smooth and granular nucleocapsids. Only granular nucleocapsids aligned under modified areas of plasma membrane and were incorporated into virus particles. On the grounds of morphogenesis, there was no apparent explanation for the persistent, not-cytocidal nature of the infection. Both nuclear and cytoplasmic aggregates of smooth nucleocapsids were present in MDBKpi cells which had been held without subculture for between 40 and 130 days (aged MDBKpi cells). Modified areas of plasma membrane with associated alignment of nucleocapsids were not present in aged MDBKpi cells, and neither budding nor released virus particles were observed, indicating a block in virus maturation. It is suggested that the granular material coating granular nucleocapsids allows them to interact with modified areas of plasma membrane, thereby inducing virus budding. A deficiency of this material, as apparently occurs in aged MDBKpi cells, would therefore cause a block in virus maturation. The nature of this granular material is discussed, and we suggest that it consists of M protein.

  12. 电镜技术在植物病害研究中的应用%Application of Electron Microscopy Technology in the Research of Plant Diseases

    Institute of Scientific and Technical Information of China (English)

    马丹丹; 邓雨青; 周彦; 周常勇; 李中安

    2016-01-01

    Electron microscopy(EM)is the most important invention in the 20th century. The EM plays a great role in detection of the plant disease and observation of ultrastructure and morphology because of its high resolution. The principles of electron microscopes commonly used at present and their applications in the plant disease research were introduced in this article,including transmission electron microscope (TEM),scanning electron microscope(SEM),environmental scanning electron microscope(ESEM),scanning tunneling microscope(STM) and atomic force microscope(AFM). This article is aimed to provide reference for the better utilization of electron microscopy.%电子显微镜(electron microscopy,EM)是20世纪最重要的发明之一,其特有的高分辨率,在植物病害检测、超微结构及形态观察中发挥了重要作用。对目前常用的透射电子显微镜,扫描电子显微镜、环境扫描电子显微镜、扫描隧道显微镜及原子力显微镜等新型电镜的原理及其在植物病害研究中的应用作一介绍,旨在为更好的运用电镜技术提供参考。

  13. A retrospective study of 50 replanted permanent teeth in children%儿童50 颗恒牙再植后的回顾性研究

    Institute of Scientific and Technical Information of China (English)

    管悦; 秦满

    2009-01-01

    Objective:To analyze the prognosis of replanted permanent teeth in children and associated factors. To determine the onset time of root resorption and related factors. Methods: Clinical data of replanted teeth treated in Department of Pediatric Dentistry, Peking University, School and Hospital of Stomatology, from January 2000 to December 2006,were collected, and the follow-up period was no less than six months. The Fisher's exact test and cox regression were used for statistical analysis. Results: The study comprised of 39 patients with 50 replanted permanent teeth. The periodontium healing rate was 18%, while root resorption rate was 82%. Replacement resorption was the most common type of root resorption (64%).The factors significantly affecting periodontium healing were stage of root development and storage of avulsed teeth.Stage of root development and the time of endodontic treatment significantly affected the onset time of root resorption(P<0.05). Conclusion: Replacement resorption is the most common type of root resorption. The factors significantly affecting periodontium healing are stage of root development and storage of avulsed teeth. Stage of root development and the time of endodontic treatment significantly affect the onset time of root resorption.%目的:分析再植牙的预后及影响预后的相关因素,观察再植后牙根吸收出现时间及影响因素.方法:对2000~2006 年于北京大学口腔医学院儿童口腔科注册的系统病历中,观察期≥6 个月的全脱位牙再植病历进行回顾性研究,记录患者及再植牙信息.应用卡方检验和生存分析(cox regression)进行统计学分析.结果:符合纳入标准的外伤病历39 份,涉及再植牙50 颗.牙周膜愈合的发生率为18%,牙根吸收发生率为82%,替代性吸收是最常见的牙周组织预后形式(64%).牙根发育情况和保存方式与牙周组织预后具有显著相关性;牙根发育情况、牙髓治疗时机可以影响牙

  14. Principios de evaluación y resultados funcionales en los reimplantes de miembro superior Principles of evaluation and functional results in upper extremity replantation surgery

    Directory of Open Access Journals (Sweden)

    D. Camporro Fernández

    2012-09-01

    Full Text Available El objetivo de este trabajo es evaluar nuestros resultados funcionales y subjetivos en pacientes sometidos a reimplante de miembro superior. Medimos rango de movilidad articular, fuerza de la prensión y otros tests en 41 pacientes con edad media 44,8 años que sufrieron amputación de miembro superior y fueron sometidos a reimplante quirúrgico en nuestro hospital entre enero del 2005 y diciembre del 2009. Los resultados funcionales se midieron con la tabla de Mayo modificada para lesiones de pulgar, dedos largos y mano, distal a muñeca. Las amputaciones proximales a muñeca se evaluaron según los criterios de Chen. Los resultados subjetivos fueron documentados aplicando a todos los casos el cuestionario de Russell. La mayoría de las lesiones fueron provocadas por mecanismos de avulsión y 30 (74 % fueron accidentes laborales. La tasa final de supervivencia fue del 85 % (35 pacientes incluyendo 2 pacientes en los que se realizó trasplante de pie a mano para salvar la amputación. Aplicando la tabla de Mayo modificada, los resultados fueron buenos en pulgar y discretos en mano y dedos largos. En reimplantes proximales obtuvimos 1 resultado excelente y 2 discretos. Diecinueve pacientes retornaron al mundo laboral en una media de 10 meses. Veintisiete manifiestan satisfacción alta con los resultados obtenidos. Los resultados de cualquier reimplante deben superar los del cierre simple de una amputación. Aunque los resultados objetivos de la serie son moderados, muchos pacientes retornan al trabajo y la mayoría es capaz de realizar sus actividades cotidianas.The aim of this study was to evaluate functional and subjective outcome after upper limb replantation, with assessment or range of motions, grip strength, and additional functional tests. Forty-one patients, mean age 44.8 years old, with upper limb amputations were treated in our hospital with replantation between January 2005 and December 2009. Functional results were assessed by

  15. Electronic tongue response to chemicals in orange juice that change concentration in relation to harvest maturity and citrus greening or Huanglongbing (HLB) disease

    Science.gov (United States)

    In an earlier study, the electronic tongue system (etongue) was used to differentiate between orange juice made from healthy fruit and from fruit affected by the citrus greening or Huanglongbing (HLB) disease. This study investigated the reaction of an etongue system to the main chemicals in orange ...

  16. Respiratory bronchiolitis-associated interstitial lung disease secondary to electronic nicotine delivery system use confirmed with open lung biopsy.

    Science.gov (United States)

    Flower, Mark; Nandakumar, Lakshmy; Singh, Mahendra; Wyld, David; Windsor, Morgan; Fielding, David

    2017-05-01

    As a modern phenomenon, there is currently limited understanding of the possible toxic effects and broader implications of electronic nicotine delivery systems (ENDS). Large volumes of aerosolized particles are inhaled during "vaping" and there are now an increasing number of case reports demonstrating toxic effects of ENDS, as well as human studies demonstrating impaired lung function in users. This article presents a case of respiratory bronchiolitis interstitial lung disease (RB-ILD) precipitated by vaping in a 33-year-old male with 10 pack years of traditional cigarette and prior treatment for mixed germ cell tumour. The patient had started vaping 10-15 times per day while continuing to smoke 10 traditional cigarettes per day. After 3 months of exposure to e-cigarette vapour, chest computed tomography demonstrated multiple new poorly defined pulmonary nodules with fluffy parenchyma opacification centred along the terminal bronchovascular units. Video-assisted thoracoscopy with lung biopsy of the right upper and right middle lobes was undertaken. The microscopic findings were overall consistent with RB-ILD. This case demonstrates toxicity with use of ENDS on open lung biopsy with resolution of radiographic findings on cessation. We believe that this is the first case where open lung biopsy has demonstrated this and our findings are consistent with RB-ILD.

  17. Effects of long-term continuous cropping on soil nematode community and soil condition associated with replant problem in strawberry habitat

    Science.gov (United States)

    Li, Xingyue; Lewis, Edwin E.; Liu, Qizhi; Li, Heqin; Bai, Chunqi; Wang, Yuzhu

    2016-08-01

    Continuous cropping changes soil physiochemical parameters, enzymes and microorganism communities, causing “replant problem” in strawberry cultivation. We hypothesized that soil nematode community would reflect the changes in soil conditions caused by long-term continuous cropping, in ways that are consistent and predictable. To test this hypothesis, we studied the soil nematode communities and several soil parameters, including the concentration of soil phenolic acids, organic matter and nitrogen levels, in strawberry greenhouse under continuous-cropping for five different durations. Soil pH significantly decreased, and four phenolic acids, i.e., p-hydroxybenzoic acid, ferulic acid, cinnamic acid and p-coumaric acid, accumulated with time under continuous cropping. The four phenolic acids were highly toxic to Acrobeloides spp., the eudominant genus in non-continuous cropping, causing it to reduce to a resident genus after seven-years of continuous cropping. Decreased nematode diversity indicated loss of ecosystem stability and sustainability because of continuous-cropping practice. Moreover, the dominant decomposition pathway was altered from bacterial to fungal under continuous cropping. Our results suggest that along with the continuous-cropping time in strawberry habitat, the soil food web is disturbed, and the available plant nutrition as well as the general health of the soil deteriorates; these changes can be indicated by soil nematode community.

  18. Detection of coronary calcium with electron beam tomography in coronary artery disease; Stellenwert der Kalkbestimmung mit Elektronenstrahltomographie bei koronarer Herzkrankheit

    Energy Technology Data Exchange (ETDEWEB)

    Haberl, R.; Knez, A.; Becker, A. [Muenchen Univ. (Germany). Medizinische Klinik 1; Becker, C.; Bruening, R.; Reiser, M. [Muenchen Univ. (Germany). Inst. fuer Radiologische Diagnostik; Maass, A.; Steinbeck, G.

    1998-12-01

    Purpose: Coronary calcium is a powerful indicator of arteriosclerosis and can be detected very precisely with electron beam tomography. The method can be applied in patients with known coronary artery disease or in asymptomatic patients at risk of arteriosclerotic disease. Results: At the University of Munich we performed an EBT scan of the heart in 1100 patients within the last year. In 567 patients coronary angiography was performed also ({+-}3 days). Confirming previous reports in the literature, we found a correlation of the calcium score with the age and gender of the patients. Severe coronary artery disease (stenoses {>=} 75%) was associated with significantly more calcium than less severe CAD. The calcium score did not discriminate between one-, two- and three-vessel disease. The site of calcification does not correlate with the localization of stenoses. Thirty-three percent of the patients with significant coronary artery disease showed a normal age-adjusted calcium score; a total of 8.1% of patients with severe stenoses did not reveal any coronary calcification (score =0). With asymptomatic patients there are only a few studies available. Soft plaques cannot be detected with EBT, but in most patients soft plaques occur together with hard plaques. Our results show that spiral CT of the newest generation may also be used for calcium screening. There was an excellent correlation of the calcium scores of EBT and spiral CT at all levels of calcification. Discussion: Coronary calcium is a sensitive marker of coronary artery disease. In the clinical setting EBT is indicated in patients with known coronary artery disease (to evaluate prognosis), in patients who are unable to perform a stress test, and in patients with atypical chest pain. However, lack of calcification may be associated with severe stenoses in a minority of patients. The clinical value in asymptomatic patients needs to be defined: Randomized studies are necessary. We see a possible indication in

  19. Replantation of thumb or fingers with skin degloving injury in 30 patients: an outcomes evaluation%30例手指皮肤套脱伤再植术后疗效及评价

    Institute of Scientific and Technical Information of China (English)

    纪秉青; 侯瑞兴; 巨积辉; 金光哲; 王凯

    2016-01-01

    目的 报告应用再植术治疗手指皮肤套脱伤术后的疗效.方法 对我院自2007年至2012年30例共42指采用再植术治疗手指皮肤套脱伤的病例进行2~7年(平均4年)的随访观察,并将示指、中指、环指、小指套脱伤按撕脱平面分为Ⅰ度套脱伤和Ⅱ度套脱伤,应用中华医学会手外科学会断指再植功能评定试用标准及MHQ手功能评价标准对手指功能进行评定.结果 根据中华医学会手外科学会断指再植功能评定试用标准评定,30例手指皮肤套脱伤患者术后恢复优良率达93.3%,其中Ⅰ度皮肤套脱伤术后恢复优良率达100%,Ⅱ度皮肤套脱伤术后恢复优良率87.5%.根据MHQ手功能评价标准,患者主观评价得分较高.结论 运用再植术治疗手指皮肤套脱伤,修复的手指可最大限度地恢复外形和功能,其中Ⅰ度套脱伤术后恢复效果高于Ⅱ度套脱伤术.患者对术后恢复的满意程度较高.%Objective To report the clinical outcomes of replantation of thumb and fingers with skin degloving injuries.Methods Thirty patients with 42 avulsed thumb and fingers treated with replantation from 2007 to 2012 were follow-up for 2 to 7 years (average,4 years).Based on the level of the degloving injury,avulsion of the index,middle,ring and little fingers was categorized into grade Ⅰ avulsion and grade Ⅱavulsion.The results of replantation were assessed by the provisional functional assessment criteria for thumb and finger replantation issued by the Hand Surgery Society of Chinese Medical Association and by the Michigan hand outcomes questionnaire (MHQ).Results According to the provisional functional assessment criteria for thumb and finger replantation issued by the Hand Surgery Society of Chinese Medical Association,93.3 % of the cases achieved excellent and good results.This satisfactory rate was 100% in grade Ⅰ avulsions and 87.5% in grade Ⅱ avulsions.MHQ revealed high patient satisfaction

  20. Halo-vest头环在全头皮撕脱伤再植术中的应用%Application of Halo-vest head ring in replantation of total scalp avulsion

    Institute of Scientific and Technical Information of China (English)

    林涧; 吴立志; 郭宇华; 张天浩; 顾仕林; 王成; 陈忠义; 陈海啸

    2015-01-01

    Objective To investigate the clinical effect of Halo-vest head ring in the treatment of replantation of total scalp avulsion.Methods We treated 11 cases of total scalp avulsion with the anastomosis of arteriovenous vessels and Halo-vest head ring from December 2006 to February 2015.Results One patient' s replanted scalp got necrosis because of serious contusion which was healed without hair growth after free skin graft and dressing.All the scalp flaps in the other 10 patients survived.After 3-96 months follow-up, the wound completely healed, the scalp and hair grew well with satisfactory appearance.Conclusions The use of Halo-vest head ring for replantation of total scalp avulsion can effectively improve the survival rate and survival area.%目的 探讨采用Halo-vest头环进行全头皮撕脱伤再植治疗的临床疗效.方法 2006年12月至2015年2月,我们采取吻合动静脉血管+ Halo-vest头环治疗11例全头皮撕脱伤.结果 本组1例患者因头皮撕挫严重,再植术后坏死,给予游离植皮和换药后创面愈合,无毛发生长.其余10例患者再植全部成活,经过3 ~96个月随访,创面完全愈合,头皮、毛发生长良好,获得满意的外观.结论 利用Halo-vest头环进行全头皮撕脱伤再植处理,能够有效提高成活率和成活面积.

  1. Development and use of touch - screen computer-assisted self interviewing in Portuguese patients with chronic immune diseases: evaluation of an electronic version of sf-36v2 .

    Science.gov (United States)

    Ribeiro, Claudia; Moreira, Luis; Silveira, Augusta; Silva, Isabel; Gestal, Juan; Vasconcelos, Carlos

    2010-01-01

    The major purpose of this study was to evaluate alternative automated methods of collecting data on health related quality of life (HR-QoL). In order to achieve this, we developed a study with the following objectives: (1) to evaluated the feasibility of electronic version in patients with different chronic pathologies of the immune system using Short Form 36version2 (SF-36v2), (2) to evaluate the construct validity of SF-36v2 using the electronic data capture, and (3) to compare electronic version questionnaires with paper questionnaires in terms of patients' acceptance, data quality, and reliability. Out-patients with chronic immune diseases (HIV infection, lupus, scleroderma, rheumatoid arthritis, Behçet and Sjögren), were randomly selected to completed electronic and paper SF-36v2 (n=50) before consultation in Clinical Immunology Unit, in Hospital Santo António-Centro Hospitalar do Porto (CI-HGSA). There were very high correlations in SF-36v2 responses (pcomputer and paper. There were no missing data in electronic version or paper. About 84% of the patients prefer to use the computer version in future. The electronic HR-QoL assessment is technically possible and it can provide reliable and valid clinically significant information which can either be used in routine care appointments.

  2. 37例小儿断指再植不利因素分析及护理对策%Unfavorable factors of digital replantation in children and the relevant nursing strategies

    Institute of Scientific and Technical Information of China (English)

    彭爱萍; 王小艳; 陈亚兰

    2013-01-01

    目的 探讨小儿断指再植护理特点、方法及临床护理效果.方法 分析总结2010年7月至2012年7月37例小儿断指再植护理,针对小儿依从性差35例、情绪不稳定32例、体温波动31例、血管危象11例、父母日常护理知识缺乏35例,采用镇静、制动、保暖、禁烟、早期家属健康指导等护理措施.结果 再植指体动脉栓塞坏死1例,静脉栓塞坏死1例,成活35例,总成活率94.6%.结论 小儿断指再植难配合治疗护理,影响再植指体治愈和功能恢复的因素多而复杂,护理较困难.采用镇静、制动、保暖、禁烟、家属健康教育等方法,可取得了满意的疗效.%Objective To investigate the characteristics,methods,and clinical effects of nursing for children undergoing digital replantation.Methods The data on nursing for 37 pediatric patients who had undergone digital replantation during the period of July July 2010 to July 2012 were analyzed.Of the 37 patients,35 had poor compliance,32 had emotional instability,31 had unstable body temperature,and 11 had vascular crisis.The parents of 35 children lacked of a knowledge about daily care.The nursing measures including sedation,immobilization,keeping warm,non-smoking,and early family health education were taken.Results Arterial embolization and necrosis in the replanted finger developed in one child and venous thrombosis and necrosis occurred in one patient.The inplanted fingers survived in 35 children,with an overall survival rate of 95.2%.Conclusions It is difficult for pediatric patients undergoing digital replantation to cooperate with treatment and nursing care.The factors affecting the healing and functional recovery are various and complicated and thus nursing is difficult.Application of sedation,immobilization,keeping warm,non-smoking,family health education can obtain a satisfactory efficacy.

  3. Large-Scale Electron Microscopy Maps of Patient Skin and Mucosa Provide Insight into Pathogenesis of Blistering Diseases

    NARCIS (Netherlands)

    Sokol, Ena; Kramer, Duco; Diercks, Gilles F. H.; Kuipers, Jeroen; Jonkman, Marcel F.; Pas, Hendri H.; Giepmans, Ben N. G.

    2015-01-01

    Large-scale electron microscopy ("nanotomy") allows straight forward ultrastructural examination of tissue, cells, organelles, and macromolecules in a single data set. Such data set equals thousands of conventional electron microscopy images and is freely accessible (www.nanotomy.org). The software

  4. Reimplante intencional en diente geminado con lesión endoperio tipo IV: Reporte de caso Intentional replantation gemina injured in tooth type IV endoperio: Case report

    Directory of Open Access Journals (Sweden)

    R.S. Rodríguez Rodríguez

    2012-10-01

    , persistent fistula, large periapical lesions, periodontal pocket, root anatomy of the tooth organ palate (palatine canal alleged and that the anatomy tooth is favorable to perform the procedure. The extraction and intentional replantation is the treatment in cases where the endodontic treatment fails and the anomaly dental periapical surgery also fail because only temporarily remove the lesion but not the cause it is the communication between the oral cavity and apical area. However, it is known that this treatment option can have risks and benefits, including tooth loss or possible ankylosis and with a success rate of 42.9%. The present case report describes the extraction and intentional replantation geminate tooth with a persistent periapical lesion of periodontal origin, with symptoms and fistula, after endodontic treatment complex, its evolution and success.

  5. A baseline measure of tree and gastropod biodiversity in replanted and natural mangrove stands in malaysia: langkawi island and sungai merbok.

    Science.gov (United States)

    Hookham, Brenda; Shau-Hwai, Aileen Tan; Dayrat, Benoit; Hintz, William

    2014-08-01

    THE DIVERSITIES OF MANGROVE TREES AND OF THEIR ASSOCIATED GASTROPODS WERE ASSESSED FOR TWO MANGROVE REGIONS ON THE WEST COAST OF PENINSULAR MALAYSIA: Langkawi Island and Sungai Merbok. The mangrove area sampled on Langkawi Island was recently logged and replanted, whereas the area sampled in Sungai Merbok was part of a protected nature reserve. Mangrove and gastropod diversity were assessed in four 50 m(2) (10 × 5 m) sites per region. The species richness (S), Shannon Index (H') and Evenness Index (J') were calculated for each site, and the mean S, H' and J' values were calculated for each region. We report low tree and gastropod S, H' and J' values in all sites from both regions. For Langkawi Island, the mean S, H' and J' values for mangrove trees were S = 2.00±0, H' = 0.44±0.17 and J' = 0.44±0.17; the mean S, H' and J' values for gastropods were S = 4.00±1.63, H' = 0.96±0.41 and J' = 0.49±0.06. In Sungai Merbok, the mean S, H' and J' values for mangrove trees were S = 1.33±0.58, H' = 0.22±0.39 and J' = 0.22 ±0.39; the mean S, H' and J' values for gastropods were S = 4.75±2.22, H' = 1.23±0.63 and J' = 0.55±0.12. This study emphasises the need for baseline biodiversity measures to be established in mangrove ecosystems to track the impacts of anthropogenic disturbances and to inform management and restoration efforts.

  6. 阴茎完全离断再植二例报告并文献复习%Penile replantation : two case reports and review of the literature

    Institute of Scientific and Technical Information of China (English)

    李贵忠; 何峰; 黄广林; 满立波; 刘坤; 沈余明

    2012-01-01

    nonabsorbable sutures.The second case was a 25-year-old man,presented to the emergency room 15 hours after distal penile amputation,which had 2 wounds as a result of self-mutilation caused by psychiatric problems.The urethra mucosa and corpus spongiosum were anastomosed.The cavernous body of the penis was reattached by suturing the tunics albuginea of each corpus cavemosum to the corresponding proximal segment using 4-0 polyglactic acid sutures.Results In the first case,the tourniquet was released after replantation,and the distal penis appeared to revascularize,as noted by the gradual increase in redness and size.An arterial pulse was detected,and the superficial penile veins displayed normal turgor,and no bleeding was found.On postoperative day 3,the penile skin started to necrotize.On day 12,the necrotic skin was superficially debrided,and a fistula was observed in the corresponding urethral segment.Two weeks later,the fistula was sutured with 4-0 interrupted synthetic absorbable suture,and a transposition flap to embed the whole injured penis shaft was created from the proximal scrotal skin.The glans was exposed.Two months after the second operation,the embedded penis was released from the scrotum.After follow-up of two years,the patient had glans re-epithelialization with normal voiding,sensation,and erections.In the second case,the glans was still pink,but the penile skin started to necrotize on postoperative day 3.On day 14,serious infections were noted,the necrotic skin was superficially debrided,and the amputated penis was relieved.Conclusions Prompt diagnosis and early treatment are essential to avoid the potential complications of ischemic necrosis and autoamputation.Venous outflow is a critical factor for success of replantation.Microsurgical reanastomosing of the dorsal penile vein,penile arteries,and dorsal nerves can be identified as the "standard" method for penile replantation.The bipedicled scrotal flap can provide adequate skin cover for penis defects.

  7. [Depiction of the structure of the vitreous body in horses without ocular diseases and in horses with equine recurrent uveitis (ERU) using transmission electron microscopy].

    Science.gov (United States)

    Niedermaier, G; Wollanke, B; Hoffmann, R; Matiasek, K; Gerhards, H

    2006-06-01

    Neither the ultrastructure of the vitreous body from horses without ocular diseases, nor the pathomorphological changes in the vitreous body associated with equine recurrent uveitis (ERU) have been described. However, the vitreous body plays an important role in the pathogenesis of ERU. Ten vitreous body samples obtained from 5 horses without ocular disease, and 38 vitreous body samples from horses with ERU (collected during vitrectomy) were examined by transmission electron microscopy. The vitreous body samples of horses without ocular diseases were characterized by a loose network of unbranched fibrils 10-12 nm in width. In the vitreous body samples of horses with ERU numerous dense bundles of fibrils, mononuclear inflammatory cells and necrotic cells represent the destruction of the vitreous fibrillar network. In this study, equine vitreous body ultrastructure was described for the first time. Thus, demonstrating ultramorphologically, the clinically apparent changes of the vitreous body associated with ERU.

  8. DISEASES

    DEFF Research Database (Denmark)

    Pletscher-Frankild, Sune; Pallejà, Albert; Tsafou, Kalliopi;

    2015-01-01

    Text mining is a flexible technology that can be applied to numerous different tasks in biology and medicine. We present a system for extracting disease-gene associations from biomedical abstracts. The system consists of a highly efficient dictionary-based tagger for named entity recognition...... of human genes and diseases, which we combine with a scoring scheme that takes into account co-occurrences both within and between sentences. We show that this approach is able to extract half of all manually curated associations with a false positive rate of only 0.16%. Nonetheless, text mining should...... not stand alone, but be combined with other types of evidence. For this reason, we have developed the DISEASES resource, which integrates the results from text mining with manually curated disease-gene associations, cancer mutation data, and genome-wide association studies from existing databases...

  9. Scanning electron microscopy and in vitro cultivation of endophytic bacteria from potato tubers related to Zebra Chip disease

    Science.gov (United States)

    Zebra chip disease (ZCD) drastically reduces the quality and market value of potatoes in North America. The disease is associated with a phloem-limited alpha-proteobacterium, “Candidatus Liberibacter solanacearum”. No effective measure is currently available to control ZCD. It is known that endoph...

  10. The replantation method of upper limb's biplane mutilation in conjunction with soft tissue defect%上肢双平面离断合并软组织缺损的断肢(手)再植

    Institute of Scientific and Technical Information of China (English)

    喜占荣; 彭鹏; 周朝清

    2014-01-01

    Objective To explore the replantation method of upper limb's biplane mutilation in conjunction with soft tissue defect.Methods From January 2003 to January 2013,29 patients with upper limb's biplane mutilation in conjunction with soft tissue defect were treated.There were 21 males and 8 females with the average age of 28.6 years.The youngest one was 1 year old and the oldest one was 70 years old.All the cases underwent different replantation order and transplantation by using vascular and nerve and flap according to the lesion they suffered,including the defected plane and soft tissue.Results All replantation limbs were survived besides 2 cases with infection and 3 cases of delaying healed due to the part of tissue necrosis.Among all 29 cases,9 cases got excellent recovery,14 cases were in good condition,4 cases were poor and 2 cases were bad.The totally excellent and good rate of upper limb function was 79.3% according to the limb reattachment function evaluation criteria of Hand Surgery of the Chinese Medical Association.Conclusion It can obtain higher survival rate due to our different replantations and method of tissue replantation to cure double plane mutilation in conjunction with soft tissue defect of upper limb.%目的 探讨上肢双平面离断合并软组织缺损的再植方法.方法 自2003年1月至2013年1月,共完成各种上肢双平面离断再植的患者29例,其中男21例,女8例,年龄1~70岁,平均28.6岁.根据离断平面及软组织缺损情况的不同,采用不同的再植顺序并联合血管神经、皮瓣移植等方法进行处理.结果 29例再植肢体全部成活,但有2例患者出现伤口感染及3例患者出现局部软组织坏死而发生延迟愈合.所有患者采用中华医学会手外科学会断肢再植功能评定标准进行评分,优9例,良14例,差4例,劣2例,优良率为79.3%.结论 上肢双平面离断合并组织缺损需要根据离断平面的不同采用不同的再植顺序及合理的组织

  11. 双干型静脉皮瓣在撕脱性断指再植中的应用%Application of arterialized venous flap with double vein trunks in replantation of degloved fingers

    Institute of Scientific and Technical Information of China (English)

    周晓; 芮永军; 许亚军; 寿奎水; 姚群

    2011-01-01

    目的 报告双干型静脉皮瓣在撕脱性断指再植中的应用和临床效果.方法 2007年3月至2009年6月,采用前臂双干型静脉皮瓣游离移植修复伴有皮肤软组织缺损的撕脱性断指6例,损伤至入院时间为30 min至8 h,切取皮瓣面积为1.8cm×1.8cm~2.2 cm×5.8cm,供区创面直接缝合.结果 术后6例伤口均Ⅰ期愈合,断指再植全部存活;5例静脉皮瓣无肿胀,顺利存活;1例皮瓣早期肿胀明显,紫红色,并见散在小水泡,经拆除部分缝线、换药等对症处理后顺利存活.术后随访时间为6个月至2年.皮瓣及再植手指血运好,皮瓣质地软,弹性好、耐磨.根据中华医学会手外科学会断指再植功能评定试用标准评定;优4例,良1例,可1例;优良率为82.5%.结论 采用前臂掌侧双干型静脉皮瓣游离移植修复伴有皮肤软组织缺损的撕脱性断指,能最大程度地恢复手指的功能和外形.%Objective To report the application and results of venous flap with double vein trunks in replantation of degloved fingers.Methods From March 2007 to June 2009, 6 cases of soft tissue defect in the degloved finger were replanted with venous flap with double vein trunks.The interval between injury and operation was 30 minutes to 8 hours.All fingers were replanted by arterialized free venous flap from the ipsilateral forearm with double vein trunks.The flap was 1.8 cm×1.8 cm to 2.2 cm× 5.8 cm in size.The donor site was directly closed.Results Primary wound healing was observed in all 6 cases postoperatively.All the replanted fingers survived completely.In 5 cases the venous flaps survived uneventfully.In 1 case there was partial superficial necrosis of the flap which healed with conservative management.Postoperative follow-up ranged from 6 to 24 months.The flaps and fingers had good circulation, good texture and color match.According to the criteria for functional assessment of amputated finger issued by the Chinese Hand Surgery Society, the

  12. Replantation of composite tissue masses severed from dorsal fingers by vein bridging%桥接静脉法再植手指背侧离断复合组织块

    Institute of Scientific and Technical Information of China (English)

    从飞; 宋保平; 欧学海; 蔡鹰; 付华; 冯东旭

    2013-01-01

    Objective To explore the clinical effect of replantation of composite tissue masses severed from dorsal fingers by vein bridging. Methods 13 cases with composite tissue masses severed from dorsal fingers were replanted by vein bridging (only venous anastomosis) from June 2006 to August 2011. The effectiveness was evaluated after operation by observing the survival and complications of the composite tissue masses. Postoperative follow up ranged from 6 to 24 months, evaluating the appearance and function of the hand. Results Complete survival of the replanted composite tissue masses of the hand was achieved in 9 cases. Partial necrosis was seen in 2 cases. 2 cases had complete loss of the tissue masses. By 6 months to 2 years follow-up, the replanted tissue masses had a better appearance and lower elasticity. According to the function evaluation of the total active motion (TAM) scales, the result was excellent in 8,good in 3 and fair in 2, and the excellent and good rate was 84.6%. Conclusion It is an effective method that replantation of composite tissue masses severed from dorsal fingers by vein bridging, which has a high survival rate and good effect.%目的:探讨通过桥接静脉建立血液循环的方法再植手指背离断复合组织块的疗效。方法2006年6月-2011年8月,对13例合并肌腱或骨质离断的手指背复合组织块离断伤患者,急诊应用桥接静脉建立血液循环的方法再植离断组织块,术后观察其成活情况及并发症。结果本组9例再植组织块完全成活,2例完全坏死,2例部分坏死。所有病例随访6~24个月,再植组织块外观可,弹性稍差。依据中华医学会手外科分会上肢功能评定标准,优8例,良3例,差2例,优良率84.6%。结论桥接静脉法再植手指背侧离断复合组织块成活率较高,临床效果良好,是一种有效的治疗方法。

  13. 自残性断指再植患者心理评估及护理干预%Psychological assessment of patients with replantation of self-mutilation amputated finger and nursing intervention

    Institute of Scientific and Technical Information of China (English)

    陈永霞; 刘莉; 赵霞; 李玲; 刘华

    2012-01-01

    目的:探讨自残性断指再植患者心理状态及心理护理干预的方法和效果.方法:将56例自残性断指再植患者随机分为对照组和观察组各28例,对照组给予常规护理,观察组在常规护理的基础上给予心理护理干预.应用症状自评量表(SCL-90)分别在术前及术后10 d进行评估分析.结果:术后10 d观察组SCL-90躯体化症状、人际关系敏感、抑郁、恐惧、焦虑、精神病性因子分值均低于对照组(P<0.05).结论:自残性断指再植患者术前心理症状复杂,实施心理护理干预能有效地缓解躯体化症状,促进患者身心康复,降低手术应激反应及再植指体血管危象的发生,提高患者自残性断指再植的成活率.%Objective: To analyze the psychological assessment of patients with replantation of self - mutilation amputated finger and investigate the method of psychological nursing intervention and its effect. Methods: 56 patients with replantation of self- mutilation amputated finger were randomly divided into an observation group and a control group ( 28 cases in each group ). The patients in the control group received routine nursing care and the patients in the observation group received extra psychological nursing intervention on the basis of the routine nursing care. The Symptom Checklist ( SCL - 90 ) was used to make a psychological assessment of the patients before operation and on 10 days after operation. Results: The somatic symptoms and the factor scores of interpersonal sensitivity, depression, fear, anxiety and psychosis of SCL - 90 on 10 days after operation were lower in the observation group than those of control group ( P <0. 05 ). Conclusion: The preoperative psychological symptoms of the patients with replantation of self - mutilation amputated finger are so complex. The implementation of psychological nursing intervention can effectively relieve somatic symptoms,promote physical and psychological rehabilitation of the

  14. Reimplantes nas amputações por mecanismo de avulsão: táticas e técnicas para o sucesso Limb replantation after avulsion injuries: techniques and tactics for success

    Directory of Open Access Journals (Sweden)

    Renata Gregorio Paulos

    2012-01-01

    Full Text Available OBJETIVOS: Avaliação retrospectiva criteriosa de casos de reimplantes após amputação por avulsão. Avaliação de técnicas e táticas utilizadas que determinaram evolução satisfatória e bom resultado funcional. METÓDOS: Foram avaliados, retrospectivamente, prontuários de 43 pacientes que tiveram membros amputados por mecanismo de avulsão e reimplantados nos últimos 21 anos. RESULTADOS: A maior parte dos casos envolvia homens adultos jovens. A localização de amputação mais frequente foi do polegar. As técnicas e táticas cirúrgicas utilizadas isoladas ou conjuntamente incluem: enxertos de nervo, enxertos vasculares (veia ou artéria, transposição de feixe vascular digital, encurtamento do membro e reimplante heterotópico. A técnica mais frequentemente utilizada foi o emprego de enxertos venosos. A taxa de sobrevida dos reimplantes foi alta (93%, assim como a satisfação dos pacientes. CONCLUSÃO: Os reimplantes por mecanismo de avulsão dependem do correto diagnóstico de viabilidade anatômica e utilização de técnicas e táticas cirúrgicas apropriadas para cada caso. A experiência da equipe cirúrgica e estrutura hospitalar adequada são fundamentais para obtenção de bons resultados. Existem poucos relatos na literatura sobre indicação, tática, técnicas e resultados de procedimentos de reimplantes em amputações por avulsão. Acreditamos que a avaliação retrospectiva desta série de casos possa trazer novas informações e contribuições no atendimento desta situação de alta complexidade. Nível de evidência IV, Série de casos.OBJECTIVES: Retrospective evaluation of cases of limb replantation after avulsion injuries. Evaluation of the techniques and tactics used, that contributed to success and good functional results. METHODS: Forty-three patients' records were assessed. All the cases had been submitted to limb replantation after avulsion injuries. RESULTS: The majority of the cases were young men. The

  15. 十指与双前臂同时离断再植成功一例及文献复习%A case of successful replantation of simultaneous amputation of 10 fingers and both forearms and the literature review

    Institute of Scientific and Technical Information of China (English)

    张子清; 杨延军; 马立峰; 刘铭波; 王克列; 李木卫

    2016-01-01

    目的 探讨十指与双前臂同时离断再植手术方法和术后功能康复. 方法 2014年9月,应用显微外科技术,对一例十指、双前臂同时离断患者实施断肢、断指再植术.手术分3个再植团队,术中应用顺行再植与逆行再植方法交替,精确的血管、神经吻合,手术历时11h55min,术后2周康复团队介入,物理治疗与作业治疗相结合. 结果 术后再植肢体、手指全植全活.术后随访14个月,腕关节屈、伸活动功能正常,双手浅、深感觉功能恢复良好,拇、手指握、捏及对掌功能部分恢复,两点辨别觉8 ~ 10 mm;按中华医学会手外科学会上肢部分功能评定试用标准为良好. 结论 十指、双前臂同时离断,只要精心组织团队协作、应用娴熟的显微外科技术精细的吻合血管、神经,术后早期功能康复介入,再植肢、指可获得满意的功能恢复.%Objective To investigate the replantation and postoperative rehabilitation methods for simultaneous amputation of 10 fingers and both forearms.Methods A case of replantation for simultaneous amputation of both forearms and 10 fingers was carried out with microsurgery method in September,2014.The replantation involved 3 teams over 11 hours and 55 minutes to consequently conduct alternate anterograde and retrograde replantation and accurate blood vessels,nerve anastomosis and further followed with physical therapy and occupational therapy treatment in 2 weeks of the surgery.Results All the amputated arms and fingers revived after the surgery.After 14 months follow-up,function of wrist flexion and expansion was normal,superficial and deep sensory functions on hands were good,function of thumb and finger grip,pinch and opposition had partially recovered,the two-point discrimination was 8-10 mm,and all of above rated good according to the temporary criteria of the upper limb functionality set forth by Hand Surgery Branch of China Medical Association.Conclusion For the case

  16. Faecal gas analysis by electronic nose as novel, non-invasive method for assessment of active and quiescent paediatric inflammatory bowel disease: Proof of principle study.

    Science.gov (United States)

    de Meij, Tim G J; de Boer, Nanne K H; Benninga, Marc A; Lentferink, Yvette E; de Groot, Evelien F J; van de Velde, Mirjam E; van Bodegraven, Adriaan A; van der Schee, Marc P

    2014-09-22

    Inflammatory bowel disease (IBD) and its two phenotypes ulcerative colitis (UC) and Crohn's disease (CD) are essentially assessed by endoscopy, both in initial diagnostic work-up and during follow-up. This carries a high burden, especially on paediatric patients. Faecal volatile organic compounds (VOCs) are considered potential non-invasive biomarkers for intestinal diseases linked to gut microbiota alterations. We hypothesized that faecal VOC analysis by electronic nose allows discrimination of children with CD, UC and controls during active disease and remission. Faecal VOC patterns of children with newly diagnosed IBD and controls were studied by an electronic nose (Cyranose 320®), at baseline and upon achieving remission at 6-weeks of follow-up. Disease activity was assessed by global physician's assessment, substantiated by serum C-reactive protein and faecal calprotectin. Internally cross-validated receiver-operator-characteristic curves and corresponding sensitivity and specificity for detection of IBD were calculated RESULTS: Faecal VOC profiles of patients with UC (26) and CD (29) differed from controls (28); in active disease (AUC±95% CI, p-value, sensitivity, specificity: 1.00±0.00; p<0.001, 100%, 100%) and (0.85±0.05, p<0.001, 86%, 67%) and in clinical remission (0.94±0.06, p<0.001, 94%, 94%) and (0.94±0.06, p<0.001, 94%, 94%), respectively. Furthermore, CD-patients differed from UC-patients during active disease (0.96±0.03; p<0.001, 97%, 92%), and upon achieving clinical remission (0.81±0.08, p=0.002, 88%, 72%). Faecal VOC analysis allowed discrimination of paediatric patients with IBD from controls, both during active disease and remission. It therefore has potential as non-invasive test, in both diagnostic work-up and assessment of disease activity in IBD. Copyright © 2014 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

  17. The Surveillance of the People with Chronicle Diseases Making the Personal Electronic Folder in Pharmacies for these Patients.

    Science.gov (United States)

    Mihalache, Delia Carmen; Achimas-Cadariu, Andrei; Mihalache, Richard

    2005-01-01

    The aim of the project is to create a database in pharmacy, which will include all the medications and treatment schedules of the supervised patients for increase the quality of the health services, identify the possible drug interaction of the chronicle diseases therapy with treatment for acute disease, the possible reaction which could appear during the therapy and avoid the self medication, which could harm results of the therapy instituted by the specialists.

  18. State synergies and disease surveillance: creating an electronic health data communication model for cancer reporting and comparative effectiveness research in kentucky.

    Science.gov (United States)

    Reams, Christopher; Powell, Mallory; Edwards, Rob

    2014-01-01

    This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new standards in patient care, and conduct disease surveillance in a learning health system. We document and assess the statewide efforts of early health information technology (HIT) adopters in Kentucky to facilitate the nation's first electronic transmission of a clinical document architecture (CDA) from a physician office to a state cancer surveillance registry in November 2012. Successful transmission of the CDA not only represented a landmark for technology innovators, informaticists, and clinicians, but it also set in motion a new communication mechanism by which state and federal agencies can capture and trade vital cancer statistics in a way that is safe, secure, and timely. The corresponding impact this has on cancer surveillance and comparative effective research is immense. With guidance from the Centers for Disease Control and Prevention (CDC), the Kentucky Cancer Registry (KCR), the Kentucky Health Information Exchange (KHIE), and the Kentucky Regional Extension Center (KREC) have moved one step further in transforming the interoperable health environment for improved disease surveillance. This case study describes the efforts of established and reputable agencies, including the KCR, the state department of health, state and federal governmental

  19. Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: Gradient versus valve area

    NARCIS (Netherlands)

    Piers, Lieuwe Hendrik; Dikkers, Riksta; Tio, R.A.; van den Berg, M.P.; Willems, Els; Oudkerk, M.; Zijlstra, F.

    2006-01-01

    Background. Transthoracic echocardiography (TTE) is routinely used to evaluate aortic valve stenosis. However, it does not give reliable results in every patient. There is growing interest in electron-beam tomography (EBT) as a noninvasive cardiac imaging technique. The usefulness of EBT to evaluate

  20. 疼痛控制在吸烟患者断指再植术后血管危象护理中的应用%Pain Control in the Application of Nursing Care of Smoking Patients With Vascular Crisis After Replantation of Severed Fingers

    Institute of Scientific and Technical Information of China (English)

    郝敬红; 渠红; 施静

    2015-01-01

    Objective To study the value of pain control for vascular crisis of nursing in smoking patients after replantation of amputated finger. Methods 86 cases of replantation of severed finger smoking patients in our hospital were taken as the research object and diviede into the observation group and control group,The data were compared between groups. Results In the observation group,vascular crisis was significantly lower than that of the control group(P<0.05),observation group had significant advantages in comparison with data of replantation and nursing satisfaction rate(P<0.05). Conclusion Pain control for nursing in smoking patients after replantation of severed fingers can effectively reduce vascular crisis,so as to improve the survival rate of replantation,improve nursing satisfaction rate.%目的:对疼痛控制用于吸烟患者断指再植术后血管危象护理中的价值进行研究。方法选取我院86例行断指再植术的吸烟患者为研究对象,将其分为观察组和对照组,对相关数据进行组间比较。结果观察组血管危象发生率低于对照组(P<0.05);在再植成活率及护理满意率等数据的比较中观察组均具有优势(P<0.05)。结论疼痛控制用于吸烟患者断指再植术后护理中能够有效降低血管危象,改善再植成活率,提高护理满意率。

  1. A Review of Correlative Light and Electron Microscopy (CLEM) Methods, Markers, and Instrument Set Ups to Study Infectious Disease

    Science.gov (United States)

    2016-12-12

    with the oxidation reaction [43], and limited penetration [43, 72]. In fixed and non-fixed cells mitochondria generate reactive oxygen species (ROS... mitochondria during apoptosis. Nat Cell Biol, 2007. 9(9): p. 1057-65. 22. Kong, D. and J. Loncarek, Correlative light and electron microscopy analysis...there is need to study, at nanoscale, objects of interest which are commonly part of rare transient events or afflict a particular cell among a

  2. Light and electron microscopic characterization of the evolution of cellular pathology in the Hdh(CAG)150 Huntington's disease knock-in mouse.

    Science.gov (United States)

    Bayram-Weston, Zubeyde; Torres, Eduardo M; Jones, Lesley; Dunnett, Stephen B; Brooks, Simon P

    2012-06-01

    Huntington's disease is an autosomal dominant, progressive neurodegenerative disease in which a single mutation in the gene responsible for the protein huntingtin leads to a primarily striatal and cortical neuronal loss, resulting progressive motor, cognitive and psychiatric disability and ultimately death. The mutation induces an abnormal protein accumulation within cells, although the precise role of this accumulation in the disease process is unknown. Several animal models have been created to model the disease. In the present study, the pathology of the Hdh(CAG(150)) mouse model was analyzed longitudinally over 24 months. At 5 months of age, the mutant N-terminal antibody S830 found dense nuclear staining and nuclear inclusions in the olfactory tubercle and striatum of the Hdh(Q150/Q150) mice. Nuclear inclusions increased in number and size with age and disease progression, and spread in ventral to dorsal, and anterior to posterior pattern. Electron microscopy observations at 14 months of age revealed that the neurons showed a normal nucleus having a circular shape and regular membranes in a densely packed cytoplasm, whereas by 21 months the cytoplasm was vacuolated and contained swollen mitochondria with many degenerated cytoplasmic organelles. Immunogold labelling of the S830 antibody was found to be specifically localised to the inner area of the neuronal intra-nuclear inclusions. Our data demonstrate a marked and progressive cellular phenotype that begins at 5 months of age and progresses with time. The pathology the Hdh(Q150/Q150) line was focused on the striatum and cortex until the late stage of the disease, consistent with the human condition.

  3. 尿激酶和肝素钠在断指再植术后的应用%Comparison of curative effect of urokinase and heparin sodium after digital replantation

    Institute of Scientific and Technical Information of China (English)

    吴晓华; 樊涛; 严明忠

    2013-01-01

    Objective To contrast the curative effect of urokinase and heparin sodium after digital replantation.Methods All of 259 patients were randomly divided into urokinase group with 130 cases(217 fingers) and Heparin sodium group with 129 cases (199 fingers).Two groups received the same basic therapy,and respectively injected with urokinase and heparin sodium.The incidence rate of vascular crisis,survival percent of fingers and the recovery of finger function of two group were compared.Results The incidence rate of vascular crisis was 26.7 % and 36.7 % (P < 0.05),the survival percent of fingers was 88.9 % and 81.9 % (P < 0.05),the excellent and good rate of finger function was 69.3 % and 53.8% (P < 0.05),in 2 groups respectively.Conclusion Urokinase has more advantages than heparin sodium in treatment after digital replantation,with reducing the occurrence of vascular crisis,improving the survival rate of replantation of finger and promoting the finger function recovery.%目的 对比分析尿激酶和肝素钠应用在断指再植术后的治疗效果.方法 将259例断指伤患者随机分成尿激酶组130例(217指)和肝素钠组129例(199指),在基础治疗相同的情况下,分别使用尿激酶、肝素钠对再植术后断指进行治疗,比较2组的血管危象发生率、患指成活率、功能恢复等情况.结果 在尿激酶组、肝素钠组中,血管危象发生率分别为26.7%和36.7%(P<0.05),患指成活率分别为88.9%和81.9% (P <0.05),活动功能优良率分别为69.3%和53.8% (P <0.05).结论 在断指再植术后治疗中,尿激酶较肝素钠更能减少血管危象的发生率,提高患指的成活率,促进患指功能恢复.

  4. 凯时用于断指再植术后血管危象防治的临床研究%Clinical study of alprostadil injection for the prevention and treatment for vascular crisis after severed fingers replantation

    Institute of Scientific and Technical Information of China (English)

    戎晓敏; 李俊

    2014-01-01

    Object:to explore the effect of alprostadil injection used for the prevention of vascular crisis after replantation of severed fingers. Method:86 patients with 112 replanted fingers were randomly devided into 2 groups. The control group was given conventional treatment and the patients in treatment group were given alprostadil injection besides the conventional treatment. The incidence of vascular crisis, the coagulation function and blood rheology were analyze to evaluate the curative effect. Result:Compared with the control group, the treatment group was with low incidence of vascular crisis and reduce blood viscosity. The coagulation function was no significant difference between the 2 groups. Conclusion:It suggests thar in the finger replantation surgery, the alprostadil was of great clinical value for its prevention of thrombosis and reduction of the vascular crisis.%目的:凯时(前列腺素E1)在手足外科中用于断指再植术后预防血管危象的临床效果。方法我科86例112指断指再植病例,随机分为两组,对照组给予常规治疗,实验组在常规治疗的基础上使用凯时。对两组患者术后血管危象发生率、凝血功能及血液流变学进行统计分析,比较两组疗效。结果与对照组相比,实验组血管危象发生率低,血液粘度降低,两组凝血功能无明显差别。讨论凯时用于断指再植手术,能够预防血栓形成,降低血管危象的发生率,有较好的临床应用价值。

  5. Text mining electronic hospital records to automatically classify admissions against disease: Measuring the impact of linking data sources.

    Science.gov (United States)

    Kocbek, Simon; Cavedon, Lawrence; Martinez, David; Bain, Christopher; Manus, Chris Mac; Haffari, Gholamreza; Zukerman, Ingrid; Verspoor, Karin

    2016-12-01

    Text and data mining play an important role in obtaining insights from Health and Hospital Information Systems. This paper presents a text mining system for detecting admissions marked as positive for several diseases: Lung Cancer, Breast Cancer, Colon Cancer, Secondary Malignant Neoplasm of Respiratory and Digestive Organs, Multiple Myeloma and Malignant Plasma Cell Neoplasms, Pneumonia, and Pulmonary Embolism. We specifically examine the effect of linking multiple data sources on text classification performance. Support Vector Machine classifiers are built for eight data source combinations, and evaluated using the metrics of Precision, Recall and F-Score. Sub-sampling techniques are used to address unbalanced datasets of medical records. We use radiology reports as an initial data source and add other sources, such as pathology reports and patient and hospital admission data, in order to assess the research question regarding the impact of the value of multiple data sources. Statistical significance is measured using the Wilcoxon signed-rank test. A second set of experiments explores aspects of the system in greater depth, focusing on Lung Cancer. We explore the impact of feature selection; analyse the learning curve; examine the effect of restricting admissions to only those containing reports from all data sources; and examine the impact of reducing the sub-sampling. These experiments provide better understanding of how to best apply text classification in the context of imbalanced data of variable completeness. Radiology questions plus patient and hospital admission data contribute valuable information for detecting most of the diseases, significantly improving performance when added to radiology reports alone or to the combination of radiology and pathology reports. Overall, linking data sources significantly improved classification performance for all the diseases examined. However, there is no single approach that suits all scenarios; the choice of the

  6. Electronics and electronic systems

    CERN Document Server

    Olsen, George H

    1987-01-01

    Electronics and Electronic Systems explores the significant developments in the field of electronics and electronic devices. This book is organized into three parts encompassing 11 chapters that discuss the fundamental circuit theory and the principles of analog and digital electronics. This book deals first with the passive components of electronic systems, such as resistors, capacitors, and inductors. These topics are followed by a discussion on the analysis of electronic circuits, which involves three ways, namely, the actual circuit, graphical techniques, and rule of thumb. The remaining p

  7. Using an Electronic Medical Records Database to Identify Non-Traditional Cardiovascular Risk Factors in Nonalcoholic Fatty Liver Disease.

    Science.gov (United States)

    Corey, Kathleen E; Kartoun, Uri; Zheng, Hui; Chung, Raymond T; Shaw, Stanley Y

    2016-05-01

    Among adults with nonalcoholic fatty liver disease (NAFLD), 25% of deaths are attributable to cardiovascular disease (CVD). CVD risk reduction in NAFLD requires not only modification of traditional CVD risk factors but identification of risk factors unique to NAFLD. In a NAFLD cohort, we sought to identify non-traditional risk factors associated with CVD. NAFLD was determined by a previously described algorithm and a multivariable logistic regression model determined predictors of CVD. Of the 8,409 individuals with NAFLD, 3,243 had CVD and 5,166 did not. On multivariable analysis, CVD among NAFLD patients was associated with traditional CVD risk factors including family history of CVD (OR 4.25, P=0.0007), hypertension (OR 2.54, P=0.0017), renal failure (OR 1.59, P=0.04), and age (OR 1.05, Prisk factors including albumin, sodium, and Model for End-Stage Liver Disease (MELD) score were associated with CVD. On multivariable analysis, an increased MELD score (OR 1.10, Prisk of CVD. Albumin (OR 0.52, P0.676 than those with a score ≤0.676 (39 vs. 20%, Prisk factors, as well as higher MELD scores and lower albumin and sodium levels. Individuals with evidence of advanced fibrosis were more likely to have CVD. These findings suggest that the drivers of NAFLD may also promote CVD development and progression.

  8. Light and electron microscopic features of surgically excised left atrial appendage in rheumatic heart disease patients with atrial fibrillation and sinus rhythm.

    Science.gov (United States)

    Sharma, Shruti; Sharma, Gautam; Hote, Milind; Devagourou, V; Kesari, Vikas; Arava, Sudhir; Airan, Balram; Ray, Ruma

    2014-01-01

    There are few studies comparing the pathology of the remodeled substrate in patients of rheumatic heart disease with atrial fibrillation (AF) and normal sinus rhythm (NSR). The study group comprised 30 patients with rheumatic heart disease undergoing mitral valve replacement. Excised left atrial appendages of these patients [17 with persistent AF and 13 NSR (control group)] were subjected to light and electron microscopic examination. The histopathological findings of the myocardium were characterized by cardiomyocyte hypertrophy (CH), nuclear enlargement (NE), perinuclear clearing (PC), sarcoplasmic vacuolation (SV), fibrosis, and inflammation in the patients with AF and NSR. NE (17/17 vs. 4/13; P=.004), PC (17/17 vs. 4/13; P=.004), SV (17/17 vs. 9/13; P=.06), and fibrosis (15/17 vs. 3/13; P=.001) were all significantly more common in patients with AF. Inflammatory cells were observed in 9/17 patients of AF as compared to 1 in NSR patients (9/17 vs. 1/13; P=.02). CH was common in the patients with AF as compared with those in NSR (17/17 vs. 10/13; P=.103). In AF patients, electron microscopy revealed cardiomyocytes with depletion of the contractile elements (Z-bands), glycogen particle accumulation, and an increase in mitochondria. Cells severely affected by AF showed loss of contractile elements with extensive areas of SV, presence of myelin figures, and mitochondrial aggregates. Majority of AF cases showed extensive fibrosis in the form of collagen bundles in the interstitium. The left atrial substrate in AF as compared with NSR, in rheumatic heart disease patients, is associated with significant degenerative remodeling and ongoing inflammation that is associated with extensive fibrosis. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Electronic Tongue Response to Chemicals in Orange Juice that Change Concentration in Relation to Harvest Maturity and Citrus Greening or Huanglongbing (HLB) Disease.

    Science.gov (United States)

    Raithore, Smita; Bai, Jinhe; Plotto, Anne; Manthey, John; Irey, Mike; Baldwin, Elizabeth

    2015-12-02

    In an earlier study, an electronic tongue system (e-tongue) has been used to differentiate between orange juice made from healthy fruit and from fruit affected by the citrus greening or Huanglongbing (HLB) disease. This study investigated the reaction of an e-tongue system to the main chemicals in orange juice that impact flavor and health benefits and are also impacted by HLB. Orange juice was spiked with sucrose (0.2-5.0 g/100 mL), citric acid (0.1%-3.0% g/100 mL) and potassium chloride (0.1-3.0 g/100 mL) as well as the secondary metabolites nomilin (1-30 µg/mL), limonin (1-30 µg/mL), limonin glucoside (30-200 µg/mL), hesperidin (30-400 µg/mL) and hesperetin (30-400 µg/mL). Performance of Alpha MOS sensor sets #1 (pharmaceutical) and #5 (food) were compared for the same samples, with sensor set #1 generally giving better separation than sensor set #5 for sucrose, sensor set #5 giving better separation for nomilin and limonin, both sets being efficient at separating citric acid, potassium chloride, hesperitin and limonin glucoside, and neither set discriminating hesperidin efficiently. Orange juice made from fruit over the harvest season and from fruit harvested from healthy or HLB-affected trees were separated by harvest maturity, disease state and disease severity.

  10. Electronic Tongue Response to Chemicals in Orange Juice that Change Concentration in Relation to Harvest Maturity and Citrus Greening or Huanglongbing (HLB Disease

    Directory of Open Access Journals (Sweden)

    Smita Raithore

    2015-12-01

    Full Text Available In an earlier study, an electronic tongue system (e-tongue has been used to differentiate between orange juice made from healthy fruit and from fruit affected by the citrus greening or Huanglongbing (HLB disease. This study investigated the reaction of an e-tongue system to the main chemicals in orange juice that impact flavor and health benefits and are also impacted by HLB. Orange juice was spiked with sucrose (0.2–5.0 g/100 mL, citric acid (0.1%–3.0% g/100 mL and potassium chloride (0.1–3.0 g/100 mL as well as the secondary metabolites nomilin (1–30 µg/mL, limonin (1–30 µg/mL, limonin glucoside (30–200 µg/mL, hesperidin (30–400 µg/mL and hesperetin (30–400 µg/mL. Performance of Alpha MOS sensor sets #1 (pharmaceutical and #5 (food were compared for the same samples, with sensor set #1 generally giving better separation than sensor set #5 for sucrose, sensor set #5 giving better separation for nomilin and limonin, both sets being efficient at separating citric acid, potassium chloride, hesperitin and limonin glucoside, and neither set discriminating hesperidin efficiently. Orange juice made from fruit over the harvest season and from fruit harvested from healthy or HLB-affected trees were separated by harvest maturity, disease state and disease severity.

  11. 前臂再植术后患者早期预防手内在肌挛缩的康复护理%Rehabilitation nursing of patients after forearm replantation to prevent contracture of intrinsic muscle of hand

    Institute of Scientific and Technical Information of China (English)

    傅育红; 徐敏; 朱丽萍

    2013-01-01

    This paper introduces the rehabilitation methods and outcomes of patients after forearm replantation to prevent contracture of intrinsic muscle of hand.Nine patients with forearm replantation were treated by different orthosis for fixation and received physical therapy and occupational therapy to prevent contracture of intrinsic muscle of hand.Based on the test of finger joints functional recovery of hands(TAM) system,seven cases achieved to excellent grade of functional recovery;the two point discrimination of the finger pulp was 5~10cm;the touch sensation recovered to normal,the hand grip strength reached to 30kg,equal to 90% function of healthy side.One case achieved to good grade of functional recovery and one case was bad.Only one case was treated by functional reconstruction of hand intrinsic muscles.%报告了前臂离断再植术后预防手内在肌挛缩的康复训练过程和效果.对9例前臂离断再植术后患者在术后不同阶级采用不同的支具固定方法,进行相应的物理、作业疗法,预防前臂再植术后手内在肌挛缩.根据手关节活动范围系统评价标准,7例手功能恢复优,两点辨别觉5~10cm,触摸觉正常,握力30kg,相当于健侧手90%功能,中1例,差1例.本组仅1例行内在肌功能重建.

  12. The MURDOCK Study: a long-term initiative for disease reclassification through advanced biomarker discovery and integration with electronic health records

    Science.gov (United States)

    Tenenbaum, Jessica D; Christian, Victoria; Cornish, Melissa A; Dolor, Rowena J; Dunham, Ashley A; Ginsburg, Geoffrey S; Kraus, Virginia B; McHutchison, John G; Nahm, Meredith L; Newby, L Kristin; Svetkey, Laura P; Udayakumar, Krishna; Califf, Robert M

    2012-01-01

    Background Facing critically low return per dollar invested on clinical research and clinical care, the American biomedical enterprise is in need of a significant transformation. A confluence of high-throughput “omic” technologies and increasing adoption of the electronic health record has fueled excitement for a new paradigm for biomedical research and practice. The ability to simultaneously measure thousands of molecular variables and assess their relationships with clinical data collected during the course of care could enable reclassification of disease not only by gross phenotypic observation but according to underlying molecular mechanism and influence of social determinants.In turn, this reclassification could enable development of targeted therapeutic interventions as well as disease prevention strategies at the individual and population levels. Methods/Design The MURDOCK Study consists of distinct project “horizons” or stages. Horizon 1 entailed the generation and analysis of molecular data for existing large,clinically well-annotated cohorts in four disease areas. Horizon 1.5 involves creating and maintaining a 50,000-person,community volunteer registry for biomarker signature validation and prospective studies, including integration of environmental and social data. Horizon 2 leverages and prospectively recruits Horizon 1.5 volunteers, and extends the study to additional disease areas of interest. Horizon 3 will expand the study through regional, national,and international partnerships. Discussion The MURDOCK Study embodies a new model of team science investigation and represents a significant resource for translational research. The study team invites inquiries to form new collaborations to exploit the rich resources provided by these biospecimens and associated study data. PMID:22937207

  13. [Progress in improvement of continuous monoculture cropping problem in Panax ginseng by controlling soil-borne disease management].

    Science.gov (United States)

    Wang, Rui; Dong, Lin-Lin; Xu, Jiang; Chen, Jun-Wen; Li, Xi-Wen; Chen, Shi-Lin

    2016-11-01

    The continuous monoculture cropping problem severely has hindered the land resource of Panax ginseng cultivation and threatened the sustainable development of ginseng industry. There are comprehensive factors causing the continuous monoculture cropping problem, such as deterioration of soil physical and chemical properties, accumulation of allelochemical, increase of pesticide residue and heavy metal, imbalance of rhizospheric micro-ecosystem, and increase of soil-borne diseases. Among soil-borne disease was one of the key factors. More than 40 soil-borne diseases have been reported in the ginseng cultivation, especially, the diseases were more serious in the ginseng replanting land. Here main soil-borne diseases and their prevention way have been summarized, and we try to provide the effective improvement strategy of continuous monoculture cropping problem focusing on the disease control and offer reference for overcoming the ginseng continuous monoculture cropping problem. Copyright© by the Chinese Pharmaceutical Association.

  14. Improving Care for Patients With or at Risk for Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster-Randomized Trial Protocol

    Directory of Open Access Journals (Sweden)

    Danielle M. Nash

    2017-04-01

    Full Text Available Background: Many patients with or at risk for chronic kidney disease (CKD in the primary care setting are not receiving recommended care. Objective: The objective of this study is to determine whether a multifaceted, low-cost intervention compared with usual care improves the care of patients with or at risk for CKD in the primary care setting. Design: A pragmatic cluster-randomized trial, with an embedded qualitative process evaluation, will be conducted. Setting: The study population comes from the Electronic Medical Record Administrative data Linked Database®, which includes clinical data for more than 140 000 rostered adults cared for by 194 family physicians in 34 clinics across Ontario, Canada. The 34 primary care clinics will be randomized to the intervention or control group. Intervention: The intervention group will receive resources from the “CKD toolkit” to help improve care including practice audit and feedback, printed educational materials for physicians and patients, electronic decision support and reminders, and implementation support. Measurements: Patients with or at risk for CKD within participating clinics will be identified using laboratory data in the electronic medical records. Outcomes will be assessed after dissemination of the CKD tools and after 2 rounds of feedback on performance on quality indicators have been sent to the physicians using information from the electronic medical records. The primary outcome is the proportion of patients aged 50 to 80 years with nondialysis-dependent CKD who are on a statin. Secondary outcomes include process of care measures such as screening tests, CKD recognition, monitoring tests, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker prescriptions, blood pressure targets met, and nephrologist referral. Hierarchical analytic modeling will be performed to account for clustering. Semistructured interviews will be conducted with a random purposeful sample of

  15. Development of an integrated e-health tool for people with, or at high risk of, cardiovascular disease: The Consumer Navigation of Electronic Cardiovascular Tools (CONNECT) web application.

    Science.gov (United States)

    Neubeck, Lis; Coorey, Genevieve; Peiris, David; Mulley, John; Heeley, Emma; Hersch, Fred; Redfern, Julie

    2016-12-01

    Cardiovascular disease is the leading killer globally and secondary prevention substantially reduces risk. Uptake of, and adherence to, face-to-face preventive programs is often low. Alternative models of care are exploiting the prominence of technology in daily life to facilitate lifestyle behavior change. To inform the development of a web-based application integrated with the primary care electronic health record, we undertook a collaborative user-centered design process to develop a consumer-focused e-health tool for cardiovascular disease risk reduction. A four-phase iterative process involved ten multidisciplinary clinicians and academics (primary care physician, nurses and allied health professionals), two design consultants, one graphic designer, three software developers and fourteen proposed end-users. This 18-month process involved, (1) defining the target audience and needs, (2) pilot testing and refinement, (3) software development including validation and testing the algorithm, (4) user acceptance testing and beta testing. From this process, researchers were able to better understand end-user needs and preferences, thereby improving and enriching the increasingly detailed system designs and prototypes for a mobile responsive web application. We reviewed 14 relevant applications/websites and sixteen observational and interventional studies to derive a set of core components and ideal features for the system. These included the need for interactivity, visual appeal, credible health information, virtual rewards, and emotional and physical support. The features identified as essential were: (i) both mobile and web-enabled 'apps', (ii) an emphasis on medication management, (iii) a strong psychosocial support component. Subsequent workshops (n=6; 2×1.5h) informed the development of functionality and lo-fidelity sketches of application interfaces. These ideas were next tested in consumer focus groups (n=9; 3×1.5h). Specifications for the application were

  16. [Detection of leptospira in the vitreous body of horses without ocular diseases and of horses with equine recurrent uveitis (ERU) using transmission-electron microscopy].

    Science.gov (United States)

    Niedermaier, G; Wollanke, B; Hoffmann, R; Brem, S; Gerhards, H

    2006-11-01

    Equine recurrent uveitis (ERU) is caused by persistent intraocular leptospira, which appear to use the vitreous body as a refuge. The detection of leptospira in the vitreous body of horses with spontaneous ERU by histological methods has not yet been described. Thirty eight vitreous body samples from 36 horses with ERU (collected during vitrectomy), and 10 vitreous body samples obtained from 5 horses without ocular disease (control group) were examined by transmission electron microscopy. Prior to sample collection, 2 ml of a leptospira culture suspension were injected into the vitreous body of 2 eyes enucleated from horses of the control group. The detection of leptospira in samples, experimentally inoculated with these bacteria was uncomplicated; in vitreous body samples from horses with spontaneous ERU the detection was successful in only a few cases (3/38). The morphologically varying envelope of leptospira in vitreous body samples of horses which developed ERU spontaneously suggests the existence of a bacterial masquerade in vivo.

  17. Ethnicity and the first diagnosis of a wide range of cardiovascular diseases: Associations in a linked electronic health record cohort of 1 million patients

    Science.gov (United States)

    Mathur, Rohini; Shah, Anoop Dinesh; Pujades-Rodriguez, Mar; Denaxas, Spiros; Smeeth, Liam; Timmis, Adam; Hemingway, Harry

    2017-01-01

    Background While the association of ethnic group with individual cardiovascular diseases has been studied, little is known about ethnic differences in the initial lifetime presentation of clinical cardiovascular disease in contemporary populations. Methods and results We studied 1,068,318 people, aged ≥30 years and free from diagnosed CVD at baseline (90.9% White, 3.6% South Asian and 2.9% Black), using English linked electronic health records covering primary care, hospital admissions, acute coronary syndrome registry and mortality registry (CALIBER platform). During 5.7 years median follow-up between 1997–2010, 95,224 people experienced an incident cardiovascular diagnosis. 69.9% (67.2%-72.4%) of initial presentation in South Asian <60 yrs were coronary heart disease presentations compared to 47.8% (47.3%-48.3%) in White and 40.1% (36.3%-43.9%) in Black patients. Compared to White patients, Black patients had significantly lower age-sex adjusted hazard ratios (HRs) for initial lifetime presentation of all the coronary disease diagnoses (stable angina HR 0.80 (95% CI 0.68–0.93); unstable angina– 0.75 (0.59–0.97); myocardial infarction 0.49 (0.40–0.62)) while South Asian patients had significantly higher HRs (stable angina– 1.67 (1.52–1.84); unstable angina 1.82 (1.56–2.13); myocardial infarction– 1.67 (1.49–1.87). We found no ethnic differences in initial presentation with heart failure (Black 0.97 (0.79–1.20); S Asian 1.04(0.87–1.26)). Compared to White patients, Black patients were more likely to present with ischaemic stroke (1.24 (0.97–1.58)) and intracerebral haemorrhage (1.44 (0.97–2.12)). Presentation with peripheral arterial disease was less likely for Black (0.63 (0.50–0.80)) and South Asian patients (0.70 (0.57–0.86)) compared with White patients. Discussion While we found the anticipated substantial predominance of coronary heart disease presentations in South Asian and predominance of stroke presentations in Black

  18. Use of an electronic drug monitoring system for ambulatory patients with chronic disease: how does it impact on nurses' time spent documenting clinical care?

    Science.gov (United States)

    Hordern, Antonia; Callen, Joanne; Gibson, Kathryn; Robertson, Louise; Li, Ling; Hains, Isla M; Westbrook, Johanna I

    2012-01-01

    Medication monitoring of ambulatory rheumatology patients on Disease Modifying Anti-Rheumatic Drugs (DMARDS) is time consuming and complex, with possibilities for error. Electronic systems have the potential to improve the process. The aim of this study was to evaluate the impact of an electronic Drug Monitoring System (eDMS) on the time nurses' spent on clinical documentation associated with monitoring. The study was conducted with all nurses (n=4) in the Rheumatology Department of a large metropolitan Australian teaching hospital. The eDMS was designed as a module of the Hospital Clinical Information System (HCIS) to assist clinicians in monitoring rheumatology patients on DMARDS. Timing data were collected using a modified time and motion work measurement technique using software on a handheld computer. Data included the time nurses spent on documentation regarding medication monitoring before and after the implementation of the eDMS. Results showed that following implementation of the eDMS nurses spent significantly less time documenting medication monitoring information (13.6% to 7.2%, PeDMS. Consequently, there was a significant decrease in the time nurses spent using the HCIS (13.01% to 2.8%, peDMS made the process of drug monitoring quicker and simpler for nurses and thus permitted them to increase their time spent in direct patient care.

  19. Mapping the subcellular distribution of α-synuclein in neurons using genetically encoded probes for correlated light and electron microscopy: implications for Parkinson's disease pathogenesis.

    Science.gov (United States)

    Boassa, Daniela; Berlanga, Monica L; Yang, Mary Ann; Terada, Masako; Hu, Junru; Bushong, Eric A; Hwang, Minju; Masliah, Eliezer; George, Julia M; Ellisman, Mark H

    2013-02-06

    Modifications to the gene encoding human α-synuclein have been linked to the development of Parkinson's disease. The highly conserved structure of α-synuclein suggests a functional interaction with membranes, and several lines of evidence point to a role in vesicle-related processes within nerve terminals. Using recombinant fusions of human α-synuclein, including new genetic tags developed for correlated light microscopy and electron microscopy (the tetracysteine-biarsenical labeling system or the new fluorescent protein for electron microscopy, MiniSOG), we determined the distribution of α-synuclein when overexpressed in primary neurons at supramolecular and cellular scales in three dimensions (3D). We observed specific association of α-synuclein with a large and otherwise poorly characterized membranous organelle system of the presynaptic terminal, as well as with smaller vesicular structures within these boutons. Furthermore, α-synuclein was localized to multiple elements of the protein degradation pathway, including multivesicular bodies in the axons and lysosomes within neuronal cell bodies. Examination of synapses in brains of transgenic mice overexpressing human α-synuclein revealed alterations of the presynaptic endomembrane systems similar to our findings in cell culture. Three-dimensional electron tomographic analysis of enlarged presynaptic terminals in several brain areas revealed that these terminals were filled with membrane-bounded organelles, including tubulovesicular structures similar to what we observed in vitro. We propose that α-synuclein overexpression is associated with hypertrophy of membrane systems of the presynaptic terminal previously shown to have a role in vesicle recycling. Our data support the conclusion that α-synuclein is involved in processes associated with the sorting, channeling, packaging, and transport of synaptic material destined for degradation.

  20. Designing and Implementation of Fuzzy Case-based Reasoning System on Android Platform Using Electronic Discharge Summary of Patients with Chronic Kidney Diseases

    Science.gov (United States)

    Tahmasebian, Shahram; Langarizadeh, Mostafa; Ghazisaeidi, Marjan; Mahdavi-Mazdeh, Mitra

    2016-01-01

    Introduction: Case-based reasoning (CBR) systems are one of the effective methods to find the nearest solution to the current problems. These systems are used in various spheres as well as industry, business, and economy. The medical field is not an exception in this regard, and these systems are nowadays used in the various aspects of diagnosis and treatment. Methodology: In this study, the effective parameters were first extracted from the structured discharge summary prepared for patients with chronic kidney diseases based on data mining method. Then, through holding a meeting with experts in nephrology and using data mining methods, the weights of the parameters were extracted. Finally, fuzzy system has been employed in order to compare the similarities of current case and previous cases, and the system was implemented on the Android platform. Discussion: The data on electronic discharge records of patients with chronic kidney diseases were entered into the system. The measure of similarity was assessed using the algorithm provided in the system, and then compared with other known methods in CBR systems. Conclusion: Developing Clinical fuzzy CBR system used in Knowledge management framework for registering specific therapeutic methods, Knowledge sharing environment for experts in a specific domain and Powerful tools at the point of care. PMID:27708490

  1. Estudo por microscopia eletrônica em doenças neurodegenerativas na infância Electron microscopical study in neurodegenerative diseases in infancy

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Bleggi Torres

    1997-01-01

    Full Text Available As doenças neuro degenerativas infantis compõem grupo variado de entidades em que os erros inatos do metabolismo induzem a defeitos enzimáticos intrínsecos às células com eventual acúmulo de material intracelular. A microscopia eletrônica (ME pode auxiliar na caracterização do produto acumulado. Os autores relatam a experiência no diagnóstico das doenças neurodegenerativas na infância através da análise por ME de amostras teciduais provenientes de biópsias, principalmente de pele, conjuntiva e reto e em 2 casos material de necrópsia. As amostras teciduais eram de pacientes com quadro de encefalopatia progressiva a esclarecer. As biópsias de 89 pacientes com quadro de encefalopatia progressiva foram estudadas por microscopia eletrônica. A idade dos pacientes variou de 49 dias a 13 anos, com pico de incidência no primeiro ano de vida (n=28, sendo 50 pacientes do sexo feminino e 39 do masculino. Quanto à origem do material, houve predomínio de pele e conjuntiva. Dos 89 pacientes, 15 tiveram diagnóstico de certeza (16,8% sendo 4 casos de gangliosidose, 3 casos de mucopolissacaridose, 1 caso de doença de Gaucher, 1 caso de doença de Niemann-Pick, 3 casos de lipofuscinose ceróide e 3 casos sugestivos de doença de acúmulo não podendo ser especificadas. Os autores analisaram os aspectos clínicos e os achados ultraestruturais e concluem que a ME é um método complementar valioso no diagnóstico de doença hereditária metabólica de acúmulo, porém de baixa acurácia diagnóstica quando feito como único método de "screening" laboratorial em uma população com encefalopatia progressiva a esclarecer.Neurodegenerative diseases are a group of disorders in which there is storage of abnormal material in cells throughout the body due to an enzyme defect. The authors present the experience in the diagnosis of the neurodegenerative diseases in infancy by electron microscopical study of skin, conjunctival and rectum material of

  2. 臂丛阻滞镇痛与自控镇静用于断指再植患者的护理%Nursing of replantation of amputated finger patients accepting brachial plexus block analgesia and patient-controlled sedation

    Institute of Scientific and Technical Information of China (English)

    岳红; 徐鹏; 郭俊光

    2010-01-01

    Objective To probe into nursing management methods of replantation of amputated finger patients accepting brachial plexus block analgesia and patient-controlled sedation (PCS) after operation.Methods 48 patients of replantation of amputated fingers accept continuous brachial plexus block analgesia and PCS after operation,Analgesia was 0.2% ropivaeaine,sedation was 0.05% midazolam or compositive liquid mixed 0.05% midazolam and 0.0005% fentanyl,the visual analogue scale (VAS),sedation scores and the changes of vital signs and side effocts after operation were recorded before the operation and at time intervals of 6,12,24,48,72 hours after the operation.Results The visual analogue scale(VAS)in the post-operation was obviously lower than the pre-operation,the Ramsay scores of PCS were higher than the pro-operation.There was no inadequate or excessive sedation.No influence was seen on respiration,circulation system and no other side effects happened.Conclusions Brachial plexus block analgesia and patient-controlled sedation (PCS) can offer a good Analgesia and sedation effect for patients of amputated fingers replantation,in period of analgesia and sedation,we should strengthen nursing and monitoring of vital signs to avoid accident.%目的 探讨臂从阻滞镇痛及自控镇静(PCS)用于断指再植患者术后镇痛镇静处理的效果及护理管理方法.方法 收集48例断指再植患者,术后行持续臂丛阻滞镇痛及静脉自控镇静,镇痛药物为0.2%罗哌卡囚,镇静药物采用0.05%咪唑地西泮或0.05%咪唑地西泮与0.0005%芬太尼复合液,观察术前及术后6,12,24,48,72 h时镇痛镇静评分、术后生命体征变化及不良反应.结果 术后镇痛评分明显低于术前;PCS后各时间点的镇静评分均高于术前,无一例镇静不足或镇静过度发生.患者术后呼吸循环稳定,无明显不良反应发生.结论 臂从阻滞镇痛及自控镇静能为断指再植患者提供良好的镇痛镇静效果,镇痛镇

  3. The impact of music on replantation rehabilitation of patients with negative emotions%音乐对断指再植术后康复训练患者负性情绪的影响

    Institute of Scientific and Technical Information of China (English)

    张扬云

    2015-01-01

    目的:探讨音乐对断指再植术后康复训练患者的负性情绪影响,并进行分析,以供参考。方法选取2011年10月~2014年10月我院收治的断指再植术后康复训练患者共72例,以此作为研究对象。并对其进行随机分为两组,每组各有36例患者。一组为实验组,该组患者采用音乐护理的方式进行临床护理;另一组为对照组,该组患者采用常规性护理法进行临床护理。两组在经过1个月的护理干预之后,运用抑郁自评表(SDS)和焦虑自评表(SAS)评估两组患者的抑郁、焦虑状况,并进行比较分析。结果对比两组患者的抑郁、焦虑状况,可以得出:实验组患者的抑郁、焦虑发生率均要明显低于对照组,且差异具有统计学意义(P <0.05)。结论音乐护理的方式在护理断指再植术后康复训练患者中有肯定的应用价值,其可以有效降低患者的抑郁、焦虑发生率,提高患者的生活质量,值得在临床医学护理中推广。%Objective To investigate the effects of music on negative emotions replantation rehabilitation patients, and analyzed for reference. Methods Selected October 2011 - 2014 October our hospital replantation rehabilitation patients with a total 72 cases, as the research object. And its randomly divided into two groups of 36 patients each. One group was the experimental group, the group treated with the music the way clinical nursing care; the other was the control group, the group of patients for clinical nursing care using conventional methods. Group 2 after a month in nursing intervention, the use of self-rating depression table (SDS) and anxiety self-assessment form (SAS) to assess depression, anxiety condition two groups of patients, and compared. Results Comparison of depression, anxiety condition two groups of patients, can be drawn: the experimental group were depression, anxiety incidence rate was significantly lower than the

  4. Relationship Between Dislocation Time and Prognosis in Vertical Fractured Posterior Teeth Replantation%纵折后牙黏结再植术中离体时间与愈合方式的关系

    Institute of Scientific and Technical Information of China (English)

    张珂; 盛乾斌; 王淑敏; 俞立英

    2012-01-01

    Objective;To investigate the relationship between dislocation time and prognosis in vertical fractured posterior teeth replantation. Methods; A total of 109 vertical fractured posterior teeth were extracted, treated with root canal therapy and spliced in vitro. The dentists treated root surfaces, adjusted occlusion; then replanted the teeth, sutured and fixed them. Followed up the patients and prognosis was evaluated by clinical examination, radiological examination and chief complaints of the patients. Results; The dislocation time of 109 vertical fractured posterior teeth varied from 25 minutes to 121 minutes. The total success rate was 81.6% (PLH 44.9%; OIH 36.7%). The success rate was 100% [pcriodontal ligament healing (PLH) 50% ; osscointcgration healing (OIH) 50%^] when the dislocation time was less than 30 minutes. The success rate was 89. 48% (PLH 42. 11% ; OIH 47. 37%) when the dislocation time was not less than 60 minutes. Conclusions; There was no correlation between dislocation time and prognosis in vertical fractured posterior teeth replantation.%目的:探讨纵折后牙黏结再植术中离体时间与愈合方式及效果的关系.方法:对109颗纵折后牙行牙拔除术,体外根管治疗后黏结,清除龈上龈下结石、刮除肉芽组织、根面处理、调合、再植、缝合.随访后分别从临床症状、X线片和患者主诉评价治疗效果,分析纵折牙在黏结再植术中不同的再植牙离体时间对愈合方式及效果的影响.结果:109颗牙纵折后黏结再植术中牙离体时间为25 ~121 min;再植成功率81.6%,其中牙周膜愈合率为44.9%,骨性愈合率为36.7%.离体时间<30 min者牙周膜愈合率和骨性愈合率均为50%,离体时间≥60 min者牙周膜愈合率与骨性愈合率分别为42.11%和47.37%.结论:纵折后牙黏结再植术中牙离体时间在25~121 min之间时,其与愈合方式及疗效无显著相关性.

  5. Rehablitation of the devitalization and replantation after resection of malignant tumor segment around the knee%膝关节周围骨恶性肿瘤瘤段切除灭活再植术的康复治疗

    Institute of Scientific and Technical Information of China (English)

    俞光荣; 蔡宣松; 梅炯; 郭获萍; 袁锋

    2000-01-01

    Objective To study the rehabilitation related to recovery of the limb function for the devitalizationand replantation after resection of malignant tumor segment around the knee. Methods Seventy nine patients with themalignant tumor around the knee (proximal tibia 21 cases, distal femur 58 cases) were reviewed. There were 35 malesand 44 females, aged ranged from 8 to 66 years (mean, 31.5 years). The tumors commonly seen were osteosarcomas(57), giant cell tumors (6), MFH (6) and chondrosarcomas (5). The devitalization and replantation after intraarticu-lar resection of tumor segment (CRIRT) was performed in 75 cases, that after extraarticular resection of tumor seg-ment (CRERT) was used in 4 cases. Functional training with different programs were performed in three periods aftersurgery. Results Seventy nine patients were followed up for 1~ 7 years (mean, 4.2 years). 5 years survival rate was42 % (33 cases). Functional assessment using Ennekings criteria was evaluated. The mean score in 44 cases of CRIRTwas 20(14~25) points and satisfactory (good or excellent results were 77% (34/44). The mean score in 4 CRERTcases was 24(22~28) points and all were satisfactory. Conclusion The devitalization and replantation after resectionof tumor segment is a good limb salvage surgery for malignant tumor segment around the knee. Rehabilitation programshelp recovery of the limb function. (Shanghai Med J, 2000,23:724-727)%目的 探讨膝关节周围骨恶性肿瘤瘤段切除灭活再植术功能恢复相关的康复治疗。方法本组79例,其中胫骨上端21例,股骨远端58例。常见肿瘤中骨肉瘤57例,巨细胞瘤6例,恶性纤维组织细胞瘤6例,软骨肉瘤5例。关节内瘤段切除灭活再植75例,关节外瘤段切除灭活再植4例。术后分3个阶段采用不同的康复计划进行功能训练。结果79例随访1~7年(平均4.2年),5年生存率42%(33例)。按Enneking法功能评定,关节内瘤段切除灭活再植44

  6. Simulated electronic health record (Sim-EHR) curriculum: teaching EHR skills and use of the EHR for disease management and prevention.

    Science.gov (United States)

    Milano, Christina E; Hardman, Joseph A; Plesiu, Adeline; Rdesinski, Rebecca E; Biagioli, Frances E

    2014-03-01

    Electronic health records (EHRs) can improve many aspects of patient care, yet few formal EHR curricula exist to teach optimal use to students and other trainees. The Simulated EHR (Sim-EHR) curriculum was introduced in January 2011 at Oregon Health & Science University (OHSU) to provide learners with a safe hands-on environment in which to apply evidence-based guidelines while learning EHR skills. Using an EHR training platform identical to the OHSU EHR system, learners review and correct a simulated medical chart for a complex virtual patient with chronic diseases and years of fragmented care. They write orders and prescriptions, create an evidence-based plan of care for indicated disease prevention and management, and review their work in a small-group setting. Third-year students complete the Sim-EHR curriculum as part of the required family medicine clerkship; their chart work is assessed using a rubric tied to the curriculum's general and specific objectives. As of January 2014, 406 third-year OHSU medical students, on campus or at remote clerkship sites, and 21 OHSU internal medicine interns had completed simulated charts.In this article, the authors describe the development and implementation of the Sim-EHR curriculum, with a focus on use of the curriculum in the family medicine clerkship. They also share preliminary findings and lessons learned. They suggest that the Sim-EHR curriculum is an effective, interactive method for providing learners with EHR skills education while demonstrating how a well-organized chart helps ensure safe, efficient, and quality patient care.

  7. 依达拉奉对深低温冻存大鼠断肢再植后缺血再灌注损伤骨骼肌细胞膜及线粒体的保护效应%Protective influence of edaravone on cellular membrane and mitochondria of replanted rat extremities following ischemia/reperfusion injury due to cryopreservation and rewarming

    Institute of Scientific and Technical Information of China (English)

    段永壮; 钟世镇; 王增涛; 徐达传; 丁自海; 付庆林; 郝丽文; 何波

    2007-01-01

    肌缺血再灌注损伤,对骨骼肌细胞膜及线粒体有保护作用.其作用可能与依达拉奉直接抑制羟自由基、提高骨骼肌超氧化物歧化酶活性、减少丙二醛的产生,使细胞进行正常的氧化磷酸化有关.%BACKGROUND: A lot of important organs are worthless for clinical application because they are hard to store for a long time. In addition, tissues or organs which are dealt with cryopreservation also attack ischemia/reperfusion injury with the recovery of blood flow; especially, skeletal muscle is the most involved tissue.OBJECTIVE: To observe the protective influence of edaravone on cellular membrane and mitochondria of replanted rat extremities following ischemia/reperfusion injury due to cryopreservation and rewarming.DESIGN: Randomized contrast animal study.SETTING: Basic Medical College of Southern Medical University; Department of Hand and Foot Surgery, Shandong Provincial Hospital.MATERIALS: The experiment was carried out in the Cryopreservation Laboratory, Shandong Provincial Hospital from April to November 2006. A total of 36 healthy adult male Wistar rats were provided by Experimental Animal Center of Medical College of Shandong University. All rats were randomly divided into control group, cryopreservation group and edaravone group with 12 in each group.METHODS: Femoral artery and vein of rats in control group were exposured, but extremities were not blocked. Rats in other two groups were used to establish ischemia/reperfusion injury models of replanted extremities. Before cryopreservation, their right hindlimbs were cut off and maintained in liquid nitrogen container for 1 month. After the operation mentioned above, the broken limbs were rewarmed, perfused with routine eluant and replanted. Four hours later, blood supply of extremities was recirculated and the samples were selected. Eluant in edaravone group contained 0.5 mg/kg edaravone. Samples of skeletal muscle were selected at the same time point to

  8. Impact of two interventions on timeliness and data quality of an electronic disease surveillance system in a resource limited setting (Peru: a prospective evaluation

    Directory of Open Access Journals (Sweden)

    Quispe Jose A

    2009-03-01

    Full Text Available Abstract Background A timely detection of outbreaks through surveillance is needed in order to prevent future pandemics. However, current surveillance systems may not be prepared to accomplish this goal, especially in resource limited settings. As data quality and timeliness are attributes that improve outbreak detection capacity, we assessed the effect of two interventions on such attributes in Alerta, an electronic disease surveillance system in the Peruvian Navy. Methods 40 Alerta reporting units (18 clinics and 22 ships were included in a 12-week prospective evaluation project. After a short refresher course on the notification process, units were randomly assigned to either a phone, visit or control group. Phone group sites were called three hours before the biweekly reporting deadline if they had not sent their report. Visit group sites received supervision visits on weeks 4 & 8, but no phone calls. The control group sites were not contacted by phone or visited. Timeliness and data quality were assessed by calculating the percentage of reports sent on time and percentage of errors per total number of reports, respectively. Results Timeliness improved in the phone group from 64.6% to 84% in clinics (+19.4 [95% CI, +10.3 to +28.6]; p Conclusion Regular phone reminders significantly improved timeliness of reports in clinics and ships, whereas supervision visits led to improved data quality only among clinics. Further investigations are needed to establish the cost-effectiveness and optimal use of each of these strategies.

  9. Measurement of coronary calcium scores by electron beam computed tomography or exercise testing as initial diagnostic tool in low-risk patients with suspected coronary artery disease

    Energy Technology Data Exchange (ETDEWEB)

    Geluk, Christiane A.; Perik, Patrick J.; Tio, Rene A.; Goette, Marco J.W.; Hillege, Hans L.; Zijlstra, Felix [University Medical Center Groningen, Thoraxcenter, Department of Cardiology, Groningen (Netherlands); Dikkers, Riksta; Vliegenthart, Rozemarijn; Houwers, Janneke B.; Willems, Tineke P.; Oudkerk, Matthijs [University Medical Center Groningen, Department of Radiology, Groningen (Netherlands)

    2008-02-15

    We determined the efficiency of a screening protocol based on coronary calcium scores (CCS) compared with exercise testing in patients with suspected coronary artery disease (CAD), a normal ECG and troponin levels. Three-hundred-and-four patients were enrolled in a screening protocol including CCS by electron beam computed tomography (Agatston score), and exercise testing. Decision-making was based on CCS. When CCS{>=}400, coronary angiography (CAG) was recommended. When CCS<10, patients were discharged. Exercise tests were graded as positive, negative or nondiagnostic. The combined endpoint was defined as coronary event or obstructive CAD at CAG. During 12{+-}4 months, CCS{>=}400, 10-399 and <10 were found in 42, 103 and 159 patients and the combined endpoint occurred in 24 (57%), 14 (14%) and 0 patients (0%), respectively. In 22 patients (7%), myocardial perfusion scintigraphy was performed instead of exercise testing due to the inability to perform an exercise test. A positive, nondiagnostic and negative exercise test result was found in 37, 76 and 191 patients, and the combined endpoint occurred in 11 (30%), 15 (20%) and 12 patients (6%), respectively. Receiver-operator characteristics analysis showed that the area under the curve of 0.89 (95% CI: 0.85-0.93) for CCS was superior to 0.69 (95% CI: 0.61-0.78) for exercise testing (P<0.0001). In conclusion, measurement of CCS is an appropriate initial screening test in a well-defined low-risk population with suspected CAD. (orig.)

  10. Developing a communitywide electronic health record disease registry in primary care practices: lessons learned from the Western new york beacon community.

    Science.gov (United States)

    Heider, Arvela R; Maloney, Nancy A; Satchidanand, Nikhil; Allen, Geoffrey M; Mueller, Raymond; Gangloff, Steven; Singh, Ranjit

    2014-01-01

    Disease registries, as part of electronic health records (EHRs), have shown promise in improving care and outcomes. However, little is known about how best to implement them across communities, especially in communities that are not highly integrated. The Western New York (WNY) primary care community consists largely of independent practices using at least 20 different EHR products. This paper discusses the processes undertaken to develop a communitywide EHR disease registry in WNY, improvements it engendered, barriers overcome, and the lessons learned. HEALTHeLINK, under the Office of the National Coordinator for Health Information Technology Beacon Community Initiative, reached out to 98 primary care practices in the WNY region to establish EHR-based diabetes registries. Working with practices, community partners, and vendors, registry specifications were created. The registry was piloted with practices using one local vendor's EHR product and then rolled out to other practices, including five other EHR products. Using identified and de-identified registry datasets, quality benchmarking within and between practices and population health management were undertaken. From 2011 to 2013, the WNY Beacon Community assisted 98 practices (344 providers) serving over 50,000 adult diabetic patients. A major focus was on EHR registry development across diverse systems, and overcoming the challenges this presented. The Beacon diabetes registry was implemented at 85 of the 98 targeted practices. Of these registries, 65 met the criteria described in a later section for quality benchmarking and population health management purposes. Practices received quarterly benchmark reports summarizing their performance on key diabetes quality metrics and were compared to community practice averages. Practices used their registries for population health management by identifying and targeting patients in need of follow-up or specific diabetes-related care. The creation of the registry

  11. Diagnostic electron microscopy

    Energy Technology Data Exchange (ETDEWEB)

    Dickersin, G.R.

    1988-01-01

    In this book the author presents a comprehensive reference text on diagnostic electron microscopy. Throughout the book he illustrates how ultrastructural identification can be helpful for the recognition of cell type and the identification of mechanisms of pathogenesis in various diseases. In addition to electron microscopy photographs, there are also numerous light microscopy photographs for comparison. This text presents the classification of neoplasms in the order and arrangement most familiar to the pathologist. Contents: Introduction; Diagram of a Normal Cell; Normal Cell Function; Embryology; Neoplasms; Infectious Agents; Metabolic Diseases; Renal Diseases; Skeletal Muscle and Peripheral Nerve Diseases; Index.

  12. Hard electronics; Hard electronics

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    In the fields of power conversion devices and broadcasting/communication amplifiers, high power, high frequency and low losses are desirable. Further, for electronic elements in aerospace/aeronautical/geothermal surveys, etc., heat resistance to 500degC is required. Devices which respond to such hard specifications are called hard electronic devices. However, with Si which is at the core of the present electronics, the specifications cannot fully be fulfilled because of the restrictions arising from physical values. Accordingly, taking up new device materials/structures necessary to construct hard electronics, technologies to develop these to a level of IC were examined and studied. They are a technology to make devices/IC of new semiconductors such as SiC, diamond, etc. which can handle higher temperature, higher power and higher frequency than Si and also is possible of reducing losses, a technology to make devices of hard semiconducter materials such as a vacuum microelectronics technology using ultra-micro/high-luminance electronic emitter using negative electron affinity which diamond, etc. have, a technology to make devices of oxides which have various electric properties, etc. 321 refs., 194 figs., 8 tabs.

  13. Electronic Cigarettes

    Science.gov (United States)

    ... New FDA Regulations Text Size: A A A Electronic Cigarettes Electronic cigarettes (e-cigarettes) are battery operated products designed ... more about: The latest news and events about electronic cigarettes on this FDA page Electronic cigarette basics ...

  14. The Electron

    Energy Technology Data Exchange (ETDEWEB)

    Thomson, George

    1972-01-01

    Electrons are elementary particles of atoms that revolve around and outside the nucleus and have a negative charge. This booklet discusses how electrons relate to electricity, some applications of electrons, electrons as waves, electrons in atoms and solids, the electron microscope, among other things.

  15. Hard electronics; Hard electronics

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    Hard material technologies were surveyed to establish the hard electronic technology which offers superior characteristics under hard operational or environmental conditions as compared with conventional Si devices. The following technologies were separately surveyed: (1) The device and integration technologies of wide gap hard semiconductors such as SiC, diamond and nitride, (2) The technology of hard semiconductor devices for vacuum micro- electronics technology, and (3) The technology of hard new material devices for oxides. The formation technology of oxide thin films made remarkable progress after discovery of oxide superconductor materials, resulting in development of an atomic layer growth method and mist deposition method. This leading research is expected to solve such issues difficult to be easily realized by current Si technology as high-power, high-frequency and low-loss devices in power electronics, high temperature-proof and radiation-proof devices in ultimate electronics, and high-speed and dense- integrated devices in information electronics. 432 refs., 136 figs., 15 tabs.

  16. The ATXN2-SH2B3 locus is associated with peripheral arterial disease: an electronic medical record-based genome-wide association study

    Directory of Open Access Journals (Sweden)

    Iftikhar eKullo

    2014-06-01

    Full Text Available Objectives: In contrast to coronary heart disease, genetic variants that influence susceptibility to peripheral arterial disease (PAD remain unknown. Background: We performed a two-stage genomic association study leveraging an electronic medical record linked-biorepository to identify genetic variants that mediate susceptibility to PAD.Methods: PAD was defined as a resting/post-exercise ankle-brachial index (ABI ≤0.9 or ≥1.4 and/or history of lower extremity revascularization. Controls were patients without history of PAD. In Stage I we performed a genome-wide association analysis adjusting for age and sex, of 561,490 SNPs in 1641 PAD cases (66±11 y, 64% men and 1604 control subjects (61±7 y, 60% men of European ancestry. In Stage II we genotyped the top 48 SNPs that were associated with PAD in Stage I, in a replication cohort of 740 PAD cases (70±11 y, 63% men and 1051 controls (70±12 y, 61% men. Results: The SNP rs653178 in the ATXN2-SH2B3 locus was significantly associated with PAD in the discovery cohort (OR: 1.23; P=5.59x10-5, in the replication cohort (OR=1.22; 8.9x10-4 and in the combined cohort (OR=1.22; P-value: P=6.46x10-7. In the combined cohort this SNP remained associated with PAD after additional adjustment for cardiovascular risk factors including smoking (OR: 1.22; P=2.15x10-6 and after excluding patients with ABI >1.4 (OR: 1.237; P=3.98x10-7. The SNP is in near-complete linkage disequilibrium (r2=0.99 with a missense SNP (rs3184504 in SH2B3, a gene encoding an adapter protein that plays a key role in immune and inflammatory response pathways and vascular homeostasis. The SNP has pleiotropic effects and has been previously associated with multiple phenotypes including myocardial infarction. Conclusions: Our findings suggest that the ATXN2-SH2B3 locus influences susceptibility to PAD.

  17. Mapping the subcellular distribution of alpha-synuclein in neurons using genetically encoded probes for correlated light and electron microscopy: Implications for Parkinson’s disease pathogenesis

    Science.gov (United States)

    Boassa, D.; Berlanga, M.L.; Yang, M.-L.; Terada, M.; Hu, J.; Bushong, E.A.; Hwang, M.; Masliah, E.; George, J.M.; Ellisman, M.H.

    2013-01-01

    Modifications to the gene encoding human alpha-synuclein have been linked to development of Parkinson’s disease. The highly conserved structure of alpha-synuclein suggests a functional interaction with membranes, and several lines of evidence point to a role in vesicle-related processes within nerve terminals. Using recombinant fusions of human alpha-synuclein including new genetic tags developed for correlated LM and EM (the tetracysteine-biarsenical labeling system or the new fluorescent protein for EM, MiniSOG), we determined the distribution of alpha-synuclein when over-expressed in primary neurons at supramolecular and cellular scales, in three dimensions (3D). We observed specific association of alpha-synuclein with a large and otherwise poorly characterized membranous organelle system of the presynaptic terminal, as well as with smaller vesicular structures within these boutons. Furthermore, alpha-synuclein was localized to multiple elements of the protein degradation pathway, including multivesicular bodies in the axons and lysosomes within neuronal cell bodies. Examination of synapses in brains of transgenic mice over-expressing human alpha-synuclein revealed alterations of the presynaptic endomembrane systems similar to our findings in cell culture. 3D electron tomographic analysis of enlarged presynaptic terminals in several brain areas revealed that these terminals were filled with membrane-bounded organelles, including tubulo-vesicular structures similar to what observed in vitro. We propose that alpha-synuclein over-expression is associated with hypertrophy of membrane systems of the presynaptic terminal previously shown to have a role in vesicle recycling. Our data support the conclusion that alpha- synuclein is involved in processes associated with the sorting, channeling, packaging and transport of synaptic material destined for degradation. PMID:23392688

  18. Ambient Electronics

    Science.gov (United States)

    Sekitani, Tsuyoshi; Someya, Takao

    2012-10-01

    We report the recent research progress and future prospects of flexible and printed electronics, focusing on molecular electronic material-based thin-film transistors, which are expected to usher in a new era of electronics.

  19. Electron cooling

    Science.gov (United States)

    Meshkov, I.; Sidorin, A.

    2004-10-01

    The brief review of the most significant and interesting achievements in electron cooling method, which took place during last two years, is presented. The description of the electron cooling facilities-storage rings and traps being in operation or under development-is given. The applications of the electron cooling method are considered. The following modern fields of the method development are discussed: crystalline beam formation, expansion into middle and high energy electron cooling (the Fermilab Recycler Electron Cooler, the BNL cooler-recuperator, cooling with circulating electron beam, the GSI project), electron cooling in traps, antihydrogen generation, electron cooling of positrons (the LEPTA project).

  20. Clinical retrospective analysis of children for mixed dentition traumatic anterior teeth completely dislocation replantation%替牙期外伤性前牙完全脱位再植术的临床分析

    Institute of Scientific and Technical Information of China (English)

    赵然; 李凤和; 陈光

    2012-01-01

    目的:探讨替牙期完全脱位前牙再植术后的效果和相关影响因素.方法:对48例患儿58颗完全脱位前牙治疗方法和临床疗效进行分析.脱位前牙再植后复诊行牙髓测试、牙周检查,2周牙髓活力阴性的患牙行根尖诱导成形术,6个月~3年根尖孔完全形成后行根管永久充填治疗.结果:再植术后3年,5颗患牙活力存在,牙髓存活率达8.62%; 53颗患牙行根管治疗术后行X线检查,25颗患牙牙根牙周膜愈合,30颗患牙牙根部分牙周膜愈合和部分骨性愈合,3颗患牙不同程度牙根内外吸收,但无1例脱落.结论:早就诊且合理处理脱落牙、牙髓血管再生是牙再植术成功的关键,根尖诱导成形术可使替牙期牙根再度形成,牙骨质沉积于根端、封闭根尖孔,是替牙期脱位前牙治疗的重要手段,根管治疗可预防或减少脱位牙牙根的吸收.%Objective To explore the effects and related influential factors of replantation after complete dislocation of anterior teeth/tooth on mixed dentition patients experiencing tooth transitions. Methods Analysis of 48 patients with 58 traumatic anterior teeth were made based on treatments recieved and clinical observations.After the reimplantation for the traumatic anterior teeth, patients returned for dental pulp test and periodontal examination. 2 weeks later, apexification was performed after the dental pulp test had indicated a negative result.Six months to 3 years after apexification, permanent canal filling treatment was made once the apical had been fully formed. Results three years after the replantation,5 teeth exist vitality with a dental pulp survival rate of 8.62%; X-ray examination indicates that out of the 53 teeth have had apexification and canal filling treatment:25 teeth's tooth roots have periodontal ligament fully recovered (bined together or have been healed),30 teeth's teeth root have fully recovered iodontal ligaments and partial recover of the bone

  1. Rhizosphere microbial community variation of apple orchard soil with different tree age and the effect on replanted apple rootstock%不同树龄苹果园土壤微生物的差异及对苹果砧木生长的影响

    Institute of Scientific and Technical Information of China (English)

    王树桐; 梁魁景; 王亚南; 邹庆甲; 曹克强

    2011-01-01

    以平顶海棠(Malus robusta Rehd.)为试验材料,以4个不同树龄苹果园的土壤为对象,研究了不同树龄苹果园土壤对再植平顶海棠幼苗生长的影响.结果表明,在前茬树龄为3、8、15和24 a苹果园土种植的平顶海棠幼苗比正茬土对照的平均株高分别减少31.22%、46.38%、57.66%和63.10%;再植平顶海棠幼苗地上部干质量分别减少0.96%、57.58%、76.88%和78.10%;地下部干质量分别减少40.38%、48.79%、64.03%和79.43%.在24 a生苹果树土壤中再植海棠幼苗校正发病率达到了72.73%,而在3 a生苹果树的土壤中再植海棠幼苗校正发病率只有18.18%.对不同树龄的苹果园土壤根际细菌和真菌群落结构的差异进行分析,其结果为,随着苹果树龄的提高,根际土壤中真菌种类和数量显著增加,而细菌的种类和数量则随着树龄的增加显著减少.%Malus robusta Rehd. seedlings were planted in the soil collected from four apple orchards with different tree ages located in Qingyuan County to explore the influence of the soil with different tree ages on the plant growth and disease severity of replanted M. robusta seedlings. The results indicated that the seedlings planted in 3, 8, 15 and 24-year old orchard soils decreased by an average of 31.22%, 46.38%,57.66% and 63.10% in height; 0.96% ,57.58% ,76.88% and 78.10% in shoot dry weight, 40.38%、48.79% ,64.03% and 79.43% in root dry weight. The corrected disease incidence of the seedlings in the 24-year old soil reached 72.73% while only 18.18% in the 3 year-old soil. The total DNA was extracted from the soil and amplified by PCR with the 16S rDNA and 18S rDNA specific primer pairs, Subsequently, the rhizosphere bacteria and fungal community structure differences among the apple orchard soil with different tree age were analyzed by denaturing gradient gel eleetrophoresis (DGGE). The results showed that the composition of soil fungal species increased

  2. 自体富血小板纤维蛋白用于延迟牙再植1例%Using platelet-rich fibrin as an autologous media for delayed teeth replantation:a cases report

    Institute of Scientific and Technical Information of China (English)

    王伟; 黄超; 刘艳丽; 赵寅华; 张旻; 陈永进

    2016-01-01

    PRF ( platelet rich fibrin) is a kind of second generation platelet concentrate with a three dimensional reticular structure which can regulate inflammation, accelerate tissue healing, and release a variety of growth factors slowly and continuously. However, no clinical study has used PRF for the treatment of avulsed tooth. In this study, a delayed and dry-reserved avulsion tooth was replanted with autologous PRF. 12-month follow-up showed that the tooth recovered well, the peridental membrane was healed, no root resorption occurred, and the height of alveolar bone was restored.%富血小板纤维蛋白( PRF)是一种立体三维网状结构的第二代血小板浓缩物,它能够调节炎症,促进组织愈合。并且能够缓慢持续释放多种生长因子。大量文献报道PRF可以促进口腔软硬组织的愈合,但尚未将其应用于临床牙再植的治疗中。本文联合自体PRF颗粒对1例撕脱2 h且干燥保存的离体牙进行延迟再植、复位固定及后续牙髓治疗。随访1年,脱位牙恢复良好,达到牙周膜性愈合,没有出现牙根吸收,且牙槽骨高度得到恢复。

  3. A analysis of nursing cooperation during intentional replantation microsurgery%四手操作应用于意向性牙再植术的护理探讨

    Institute of Scientific and Technical Information of China (English)

    李雪; 贾春蓉; 赵晓曦

    2016-01-01

    目的:   探讨意向性牙再植术中护理配合的操作流程与规范。方法  选取难治性根尖周炎且需要行意向性牙再植的患牙14例,护士配合医生在显微镜下四手操作进行意向性牙再植术。结果  初步建立了意向性牙再植术的护理操作流程与规范,术后复查,除1例牙因松动拔出外,其余13例收到满意的临床效果。结论  高效规范的护理配合对确保意向性牙再植术的成功具有重要作用。%Objective   To discuss the nuring procedure and criteria of intentional replantation(IR) microsurgery. Methods  Fourteen cases of apical periodontitis were included according to including criteria. During the surgery, nurse helped the endodotic specialist  to finish IR with four-hand operation method. Results   The nuring procedure and criteria of IR was established. Thirteen teeth have no periapical symptoms with normal gingival attachment and tooth mobility. One tooth was extracted because of root resorption. Conclusion  The effective and qualified nursing cooperation play an important role to enhance the success rate of IR.

  4. An electronic clinical decision support tool to assist primary care providers in cardiovascular disease risk management: development and mixed methods evaluation.

    Science.gov (United States)

    Peiris, David P; Joshi, Rohina; Webster, Ruth J; Groenestein, Patrick; Usherwood, Tim P; Heeley, Emma; Turnbull, Fiona M; Lipman, Alexandra; Patel, Anushka A

    2009-12-17

    Challenges remain in translating the well-established evidence for management of cardiovascular disease (CVD) risk into clinical practice. Although electronic clinical decision support (CDS) systems are known to improve practitioner performance, their development in Australian primary health care settings is limited. Study aims were to (1) develop a valid CDS tool that assists Australian general practitioners (GPs) in global CVD risk management, and (2) preliminarily evaluate its acceptability to GPs as a point-of-care resource for both general and underserved populations. CVD risk estimation (based on Framingham algorithms) and risk-based management advice (using recommendations from six Australian guidelines) were programmed into a software package. Tool validation: Data from 137 patients attending a physician's clinic were analyzed to compare the tool's risk scores with those obtained from an independently programmed algorithm in a separate statistics package. The tool's management advice was compared with a physician's recommendations based on a manual review of the guidelines. Field test: The tool was then tested with 21 GPs from eight general practices and three Aboriginal Medical Services. Customized CDS-based recommendations were generated for 200 routinely attending patients (33% Aboriginal) using information extracted from the health record by a research assistant. GPs reviewed these recommendations during each consultation. Changes in CVD risk factor measurement and management were recorded. In-depth interviews with GPs were conducted. Validation testing: the tool's risk assessment algorithm correlated very highly with the independently programmed version in the separate statistics package (intraclass correlation coefficient 0.999). For management advice, there were only two cases of disagreement between the tool and the physician. Field test: GPs found 77% (153/200) of patient outputs easy to understand and agreed with screening and prescribing

  5. Analysis of the Changes in Circulation of Sub-dermal Vascular Network Flap Made from Flap-type Skin Avulsion and Replanted to Origin Site%皮瓣型皮肤撕脱伤修成暴露真皮下血管网皮瓣回植创面的血循环变化分析

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective: To find out the characteristics of the changes in circulation of sub-dermal vascular network flap made from flap-type skin avulsion Injury and replanted to origin site. Method: Pig skin avulsion model was used in this experiment. Flap's blood circulation was monitored and surviving flap length measured. Result. Flap blood circulation was markedly improved. Conclusion: Sub-dermal vascular network flap made from skin avulsion flap and replanted to origin site can improved the survival length of the flap.%目的:了解皮肤撕脱伤修成暴露真皮下血管网皮瓣回植创面的血循环变化特点和对皮瓣成活的影响。方法:以猪为实验对象,制作皮肤撕脱伤模型,观察皮瓣的血循环变化和成活情况。结果:将撕脱瓣修成暴露真皮下血管网的皮瓣再回植,可以使皮瓣血循环显著改善。结论:将撕脱瓣修成暴露真皮下血管网的皮瓣再回植,可以使皮瓣成活长度显著增加。

  6. Coronary artery calcium score using electron beam tomography in the patients with acute obstructive coronary arterial disease : comparative study within asymptomatic high-risk group of atherosclerosis and chronic obstructive coronary arterial disease group

    Energy Technology Data Exchange (ETDEWEB)

    Ryu, Seok Jong; Choi, Byoung Wook; Choe, Kyu Ok [Yonsei Univ. College of Medicine, Seoul (Korea, Republic of)

    2001-04-01

    To compare, through analysis of the coronary artery calcium (CAC) score and the risk factors for atherosclerosis, the characteristics of acute coronary syndrome between an asymptomatic high-risk group of atherosclerosis patients and a chronic coronary arterial obstructive disease(CAOD) group. The CAC scores of an asymptomatic high-risk group of atherosclerosis patients (group I, n=284), a chronic CAOD croup (group II, n=39) and an acute coronary syndrome group (group III, n=21) were measured by electron beam tomography. Forty-seven patients with CAOD from groups II and III underwent coronary angiography, and we scrutinized age, sex and risk factors including diabetes mellitus, hypertension, obesity, smoking, hypercholesterolemia and low high-density lipoproteinemia. The numbers of stenotic coronary arterial branches and degree of stenosis revealed by coronary angiography were also recorded. We determined the differences between the three groups in terms of CAC score and the risk factors, the relationship between CAC score and risk factors, and the characteristic features of each type of CAOD group. The mean CA score of group III (135.1) was not statistically different from that of group I (135.7) or group II (365.8). Among patients aged below 50, the mean CAC score of group III (127.4) was significantly higher than that of group I (6.2), (p=0.0006). The mean CAC score at the sixth decade was also significantly different between group I(81.5) and group II (266.9). The mean age of group III (54.2 years) was significantly lower than that of group I (58.1 years) (p=0.047) and of group II (60.1) (p=0.022). There was significant correlation between the number of stenotic coronary arterial branches and log(CAC +1) (p<.01). The square root of the CAC score and the maximal degree of stenosis was also well correlated (p<.01). There was no difference in the mean number of risk factors among the three groups, though the incidence of smoking in group III was significantly

  7. Electron Microscopy.

    Science.gov (United States)

    Beer, Michael

    1980-01-01

    Reviews technical aspects of structure determination in biological electron microscopy (EM). Discusses low dose EM, low temperature microscopy, electron energy loss spectra, determination of mass or molecular weight, and EM of labeled systems. Cites 34 references. (CS)

  8. Electron Microscopy.

    Science.gov (United States)

    Beer, Michael

    1980-01-01

    Reviews technical aspects of structure determination in biological electron microscopy (EM). Discusses low dose EM, low temperature microscopy, electron energy loss spectra, determination of mass or molecular weight, and EM of labeled systems. Cites 34 references. (CS)

  9. Changes in expression of matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in pathological scar tissue of rabbit ears after scar-skin replantation%兔耳病理性瘢痕皮回植术后组织中基质金属蛋白酶-1及金属蛋白酶组织抑制剂-1表达的变化

    Institute of Scientific and Technical Information of China (English)

    赵雪莲; 苏晓光; 张锤; 张春莉; 张卓男; 郑宝恒

    2014-01-01

    目的 通过建立兔耳模型观察基质金属蛋白酶-1 (matrix metalloproteinase-1,MMP-1)及金属蛋白酶组织抑制剂-1(tissue inhibitor of metalloproteinase-1,TIMP-1)在病理性瘢痕皮回植术后组织中表达的变化,探讨瘢痕皮回植治疗病理性瘢痕的机制.方法 建立兔耳病理性瘢痕模型,共分为3组:正常皮肤组(对照组,A组)、病理性瘢痕组(B组)及瘢痕皮回植组(C组).切取标本行HE染色和Masson特殊组织化学染色及免疫组织化学染色,观察各组标本MMP-1、TIMP-1的表达情况.结果 病理性瘢痕经瘢痕皮回植术后,MMP-1及TIMP-1均较A组明显升高(P<0.01),MMP-1的表达较TIMP-1明显增强(P<0.01).结论 瘢痕皮回植术治疗瘢痕的机制与瘢痕组织内MMP-1和TIMP-1相互作用的失衡有关.%Objective To observe the changes of MMP-1 and TIMP-1 expression in the pathological scar tissue after scar-skin replantation and to explore the mechanism of treating pathological scars with scar-skin replantation through a rabbit ear model.Methods Rabbit ears were used to establish the hypertrophic scar animal model in this study.Specimens were taken for three times:normal skin,hypertrophic scar and scar-skin replantion separately.We then performed HE staining,Masson staining and immunohistochemical staining to observe the expression of MMP-1 and TIMP-1 in these three groups of specimens.Results The expression of both MMP-1 and TIMP-1 significantly increased in the hypertrophic scar tissue after scar-skin replantation compared with the control group (P<0.01).The expression of MMP-1 increased more significantly than that of TIMP-1 (P<0.01).Conclusions The mechanism of scar-skin replantation's effect in the treatment for hypertrophic scar is relevant to the imbalance in the interaction between MMP-1 and TIMP-1 in the scar tissue.

  10. Understand electronics

    CERN Document Server

    Bishop, Owen

    2013-01-01

    Understand Electronics provides a readable introduction to the exciting world of electronics for the student or enthusiast with little previous knowledge. The subject is treated with the minimum of mathematics and the book is extensively illustrated.This is an essential guide for the newcomer to electronics, and replaces the author's best-selling Beginner's Guide to Electronics.The step-by-step approach makes this book ideal for introductory courses such as the Intermediate GNVQ.

  11. Electronic components

    CERN Document Server

    Colwell, Morris A

    1976-01-01

    Electronic Components provides a basic grounding in the practical aspects of using and selecting electronics components. The book describes the basic requirements needed to start practical work on electronic equipment, resistors and potentiometers, capacitance, and inductors and transformers. The text discusses semiconductor devices such as diodes, thyristors and triacs, transistors and heat sinks, logic and linear integrated circuits (I.C.s) and electromechanical devices. Common abbreviations applied to components are provided. Constructors and electronics engineers will find the book useful

  12. Project and construction of energy degrading and scattering plates for electron beam radiotherapy for skin diseases; Projeto e construcao de placas espalhadoras e degradadoras de energia para uso em radioterapia com feixes de eletrons para doencas de pele

    Energy Technology Data Exchange (ETDEWEB)

    Fonseca, Gabriel Paiva

    2010-07-01

    There are many radiosensitive epidermotropics diseases such as mycosis fungo-ids and the syndrome of Sezary, coetaneous neoplasics originated from type T lymphocytes. Several studies indicate the eradication of the disease when treated with linear accelerators emitting electron beams with energies between 4 to 10 MeV. However, this treatment technique presents innumerable technical challenges since the disease in general reaches all patient's body, becoming necessary not only a very large field size radiation beam, but also deliver superficial doses limited to the skin depth. To reach the uniformity in the dose distribution, many techniques had already been developed. Based on these previous studies and guided by the report no. 23 of the American Association of Physicists in Medi-cine (AAPM), the present study developed an energy scattering and degrading plates and made dosimetry (computational and experimental), supplying subsidies for a future installation of Total Skin Electron Therapy (TSET) at the Servico de Radioterapia do Hospital das Clinicas de Sao Paulo. As part of the plates design, first of all, the energy spectrum of the 6 MeV electron beam of the VARIAN 2100C accelerator was reconstructed through Monte Carlo simulations using the MCNP4C code and based on experimental data. Once the spectrum is built, several materials were analyzed for the plates design based on radial and axial dose distribution, production of rays-x and dose attenuation. The simulation results were validated by experimental measurements in order to obtain a large field of radiation with 200 cm x 80 cm that meets the specifications of the AAPM protocol. (author)

  13. Electronic Prescribing

    Science.gov (United States)

    ... Do you prescribe electronically?” For more information about electronic prescribing, call 1-800-MEDICARE (1-800-633- ... TTY users should call 1-877-486-2048 . Electronic eRx Prescribing I went to the pharmacy, and ...

  14. Impacto do manejo de resíduos orgânicos durante a reforma de plantios de eucalipto sobre indicadores de qualidade do solo Impact of organic residue management on soil quality indicators during replanting of eucalypt stands

    Directory of Open Access Journals (Sweden)

    Guilherme Montandon Chaer

    2007-12-01

    priorizaram a conservação dos resíduos orgânicos por ocasião da reforma do povoamento. Contrariamente, as áreas onde ocorreu a remoção ou a queima do material orgânico da superfície do solo foram as que mais se distanciaram da área de referência. Esses resultados demonstram que o sistema de manejo adotado na reforma dos povoamentos de eucalipto analisados influencia, em médio prazo, o potencial dos solos de estocar e ciclar nutrientes por meio da biomassa microbiana e das atividades bioquímicas ligadas a ela. A maior aproximação entre a área com vegetação nativa e a de eucalipto com 11 anos leva a supor que ciclos mais longos nas florestas de eucalipto, contrastando com o padrão atualmente em uso no Brasil (cerca de sete anos, pode ser relevante para se manter a sustentabilidade da atividade florestal em longo prazo, a despeito de uma menor produtividade média anual. Nesse caso, a opção pela produtividade de curto ou médio prazo, ou pela sustentabilidade do uso do solo, com a conseqüente manutenção da sua qualidade para as gerações futuras, poderá ser repensada a partir dos dados aqui apresentados.Agricultural soil use induces changes in soil physical, chemical, and microbiological characteristics. These changes can eventually lead to a loss of soil quality and a consequent reduction in plant growth and productivity. The analysis of biochemical and microbiological soil quality indicators is relevant to monitor changes in soil quality and in the performance of key soil functions, such as the capacity of nutrient cycling and storage. This study reports on physical, chemical, and biochemical/microbiological quality indicators of soil under eucalyptus plantation, evaluated 5.5 years after the site had undergone different management practices during stand replanting. Evaluations were based on the determination of 18 physical or chemical besides 12 biochemical or microbiological attributes that are considered soil quality indicators. The

  15. Basic electronics

    CERN Document Server

    Holbrook, Harold D

    1971-01-01

    Basic Electronics is an elementary text designed for basic instruction in electricity and electronics. It gives emphasis on electronic emission and the vacuum tube and shows transistor circuits in parallel with electron tube circuits. This book also demonstrates how the transistor merely replaces the tube, with proper change of circuit constants as required. Many problems are presented at the end of each chapter. This book is comprised of 17 chapters and opens with an overview of electron theory, followed by a discussion on resistance, inductance, and capacitance, along with their effects on t

  16. Reconstruction of foot flexion-extension function after replantation of amputated leg%小腿中段离断再植后重建足跖屈背伸功能

    Institute of Scientific and Technical Information of China (English)

    陈秋生; 余斌; 杨建成; 江浩; 陈霞; 竺筠雯

    2001-01-01

    Objective To investigate the foot function reconstruction after replantation of amputated leg. Methods The n erveless injury muscle in the amputated limbs was cut off, a section tensor fascia lata was resected off to replace the injured muscle. Meanwhile, transfer biceps femoris muscle and sartoriu s muscle to strengthen extensive muscles, and transfer semimembranosus muscle an d gracilis muscle to strengthen flexion muscles. Postoperation functional exer cises of the ankle was carried out. Results 2 patients were tre ated with this t echnique, followed up for more than 2 years. The extension and flexion muscle st rength reached MRC4 with satisfactory ankle function, the range of motion of ank le was restored nearly to normal. Conclusion The technique is e ffective to reconstruct most functions of the normal muscles and restore foot function.%目的 探讨小腿中段离断再植后足跖屈背伸功能重建的方法 。方法 常规断肢再植,术中将离断肢远段失神经支配的肌组织切除,只 保留肌腱及肌腱膜,切取髂胫束条桥接远端背伸肌腱和近端肌腹,同时和前移缝匠肌、股二 头肌长头缝接,加强足背伸肌力;桥接远端跖屈肌腱和近端肌腹,同时和游离的半腱肌、股 薄肌缝接,加强足跖屈肌力。结果 治疗2例,分别随访2年8个月及2年5个 月,足背伸、跖屈肌力达Ⅳ~Ⅳ+,踝关节活动度近正常。结论 应用髂 胫束条桥接远断端的肌腱和近断端的正常肌组织,同时利用缝匠肌、股二头肌、半腱肌、股 薄肌加强足的背伸、跖屈肌力,是一种有效的功能重建方法。

  17. Replantation of severed limbs(fingers) at high altitude district:a clinical analysis of 248 cases%高原断肢(指)再植248例临床分析

    Institute of Scientific and Technical Information of China (English)

    韩国栋

    2001-01-01

    Objective To study the influence of coldness and hypoxia on thesevered limbs (fingers).Methods Retrospective analysis was done for 248 cases of severed limbs(fingers) at high altitude district in Qinghai province. The replantation sequence followed as normal procedure. But the number of arteries and veins anastomosed should be as many as possible. Sufficient blood volume and oxygen should be maintained with room temperature over 25 ℃.Results Overal viability rate was 90.8 % in 248 cases. 23 cases resulted in failure due to ischemic time over 10 hours.Conclusions Coldness at high altitude district provided tolerated ischemic warm time for detached limbs(fingers). People at high altitude district living in long - term hypoxia environment may increase adhensiveness of red blood cell and platelet, resulting in thrombosis after vessel anastomosis.%目的分析高寒、缺氧对断肢(指)再植的影响。方法对在青海省高原环境条件下行断肢(指)再植的248例病史作回顾性分析。再植顺序按断肢(指)再植常规,但应尽可能多地吻合动脉和静脉。在术中、术后保持一定的血容量、充足的氧气,室温需维持在25℃以上。结果248例的总成活率达90.8%。失败23例,大都为再植时限在10h以上者。结论高原地区的寒冷给离断肢(指)体提供了很好的冷藏条件,有利于提高成活率;高原地区人群的长期缺氧可增加血小板、红血球的粘附性,容易导致吻合后血管的血栓形成。

  18. Electronic Government and Electronic Participation

    NARCIS (Netherlands)

    Tambouris, E.; Scholl, H.J.; Janssen, M.F.W.H.A.; Wimmer, M.A.; Tarabanis, K.; Gascó, M.; Klievink, A.J.; Lindgren, I.; Milano, M.; Panagiotopoulos, P.; Pardo, T.A.; Parycek, P.; Sæbø, O.

    2015-01-01

    Electronic government and electronic participation continue to transform the public sector and society worldwide and are constantly being transformed themselves by emerging information and communication technologies. This book presents papers from the 14th International Federation for Information P

  19. Electron Tree

    DEFF Research Database (Denmark)

    Appelt, Ane L; Rønde, Heidi S

    2013-01-01

    The photo shows a close-up of a Lichtenberg figure – popularly called an “electron tree” – produced in a cylinder of polymethyl methacrylate (PMMA). Electron trees are created by irradiating a suitable insulating material, in this case PMMA, with an intense high energy electron beam. Upon discharge......, during dielectric breakdown in the material, the electrons generate branching chains of fractures on leaving the PMMA, producing the tree pattern seen. To be able to create electron trees with a clinical linear accelerator, one needs to access the primary electron beam used for photon treatments. We...... appropriated a linac that was being decommissioned in our department and dismantled the head to circumvent the target and ion chambers. This is one of 24 electron trees produced before we had to stop the fun and allow the rest of the accelerator to be disassembled....

  20. Electron Tree

    DEFF Research Database (Denmark)

    Appelt, Ane L; Rønde, Heidi S

    2013-01-01

    The photo shows a close-up of a Lichtenberg figure – popularly called an “electron tree” – produced in a cylinder of polymethyl methacrylate (PMMA). Electron trees are created by irradiating a suitable insulating material, in this case PMMA, with an intense high energy electron beam. Upon discharge......, during dielectric breakdown in the material, the electrons generate branching chains of fractures on leaving the PMMA, producing the tree pattern seen. To be able to create electron trees with a clinical linear accelerator, one needs to access the primary electron beam used for photon treatments. We...... appropriated a linac that was being decommissioned in our department and dismantled the head to circumvent the target and ion chambers. This is one of 24 electron trees produced before we had to stop the fun and allow the rest of the accelerator to be disassembled....

  1. Technological Advances in Huanglongbing (HLB or Citrus Greening Disease Management

    Directory of Open Access Journals (Sweden)

    Krishna Prasad Paudyal

    2015-12-01

    Full Text Available Huanglongbing (HLB, previously citrus greening disease, is the most destructive of citrus species causing major threat to the world citrus industry. The disease was reported from China in 1919 and now known to occur in more than 40 different countries of Asia, Africa, South and North America. Three species of gram negative bacterium namely Candidatus Liberibacter asiaticus, Candidatus Liberibacter africanus and Candidatus Liberibacter americanus are the casual organisms of HLB, respectively prevailing in the continent of Asia, Africa and South America. It is one of the most extensively researched subjects in citriculture world. HLB was detected in 2004 and 2005, respectively in San Paulo of Brazil and Florida of USA: the two leading citrus production hub of the world causing huge economic loss within 5 years of first detection. Since then research on HLB detection and management was further accelerated in American continents. This paper presents the scientific advancement made on detection, spread, economic losses caused by HLB in different parts of the world and controlling management strategies. Remarkable achievements have been made on HLB detection techniques including iodine test, qPCR and more recently in spectroscopy. While efforts are being made to develop resistance varieties using conventional and biotechnological tools management strategy which includes reduction of inoculums source, vector control and replant with disease-free planting materials still remains major option for HLB control. Citrus intercropping with guava have shown promising results for vector reduction.

  2. Measurement of coronary calcium scores by electron beam computed tomography or exercise testing as initial diagnostic tool in low-risk patients with suspected coronary artery disease

    NARCIS (Netherlands)

    Geluk, Christiane A.; Dikkers, Riksta; Perik, Patrick J.; Tio, Rene A.; Gotte, Marco J. W.; Hillege, Hans L.; Vliegenthart, Rozemarijn; Houwers, Janneke B.; Willems, Tineke P.; Oudkerk, Matthijs; Zijlstra, Felix

    2008-01-01

    We determined the efficiency of a screening protocol based on coronary calcium scores (CCS) compared with exercise testing in patients with suspected coronary artery disease (CAD), a normal ECG and troponin levels. Three-hundred-and-four patients were enrolled in a screening protocol including CCS b

  3. Experimental study on micro replantation repair of rabbit model of the foot skin degloving injury%显微回植修复兔模型前足皮肤脱套伤的研究

    Institute of Scientific and Technical Information of China (English)

    邱中杰; 尹宗生

    2015-01-01

    目的 探讨在显微镜下回植皮肤,修复兔模型前足皮肤脱套伤的应用效果.方法 选择新西兰大白兔48只,通过装置模拟利器切割撕脱、重物挤压前足等场景,造成大白兔前足脱套伤合并胫骨、跖骨、指(趾)骨骨折等,建立大白兔前足皮肤脱套伤的动物模型,成功41只,并采用内固定趾骨或胫骨骨折,在显微镜下修复断裂肌腱,吻合前足断裂的动脉及相应神经,并将背侧皮肤向远侧掀起,通过直接吻合、转位吻合、移植桥接等方法,逐平面的吻合背侧的动静脉,使皮肤复位,至创缘时吻合创缘皮下浅静脉,缝合皮缘,并放置橡皮引流条.术后石膏固定兔模型前足,抗炎抗感染.结果 41只兔模型回植的皮肤全部成活,3只兔模型创缘皮肤部分坏死,经换药创面愈合.术后X线复查,趾骨胫骨骨折对位好.对兔模型随访3~9个月,平均5个月,骨折和皮肤创面愈合良好,前足可正常行走.结论 在显微镜下回植皮肤,修复兔模型的前足皮肤脱套伤,有效恢复了伤足的供血,加速了骨折的愈合,可有效恢复大白兔模型伤是的行走功能.%Objective To investigate the replanting the skin under the microscope,the repair of rabbit model of anterior foot application effect of skin degloving injury.Methods 48 New Zealand rabbits,by means of simulation tool cutting avulsion,crush fore foot scene,resulting in the big white rabbit forefoot degloving injury combined with tibia,metatarsal,finger (toe) bone fracture,the establishment of rabbit animal model of the foot skin degloved injury,41 cases were successful,and the use of internal fixation of tibial fracture phalanx or repair of tendon rupture,under the microscope,the artery anastomosis front foot fractureand corresponding nerve,the dorsal skin and set off to the far side,through the direct anastomosis,anastomosed graft bridging method,such asby plane,arteriovenous anastomosis of dorsal,enable the skin to reset

  4. 儿童恒牙全脱出牙周组织预后的回顾性研究%Retrospective study about periodontal ligament healing of replanted permanent teeth in children

    Institute of Scientific and Technical Information of China (English)

    白洁; 赵玉鸣; 秦满

    2015-01-01

    Objective:To analyze the prognosis about periodontal ligament healing of replanted perma-nent teeth in children and to examine the associated factors.Methods: The sample consisted of 49 children with 61 avulsed permanent teeth, whose injuries had been managed in the period from 2000 to 2012.The clinical data of replanted teeth were collected, and the follow-up period was no less than 12 months .The factors were analyzed in relation to postoperative outcomes, classified as functional periodon-tal healing ( FH ) , infection-related ( inflammatory ) resorption ( IRR ) and replacement resorption ( RR) .Results:The functional healing rate was 23.0%, while replacement resorption rate was 72.1%. The replacement resorption ( ankylosis ) was usually observed earlier by clinical examination than by radiographic examination.86.0% (40/47) resorptive processes were diagnosed within the first year. Physiological storages, such as milk, saline and saliva were significantly better to periodontal ligament healing than nonphysiological storages, such as tap water and sterilizing solutions ( chloramine and alco-hol) .Functional healing was found significantly more frequent in canines and premolars.Conclusion:The factor significantly affecting periodontal ligament healing is storage medium.Replacement resorption is the most common type of root resorption.The replacement resorption diagnosis must combine the radio-graphic examination with the clinical examination.It is better to follow up more than 1 year after tooth re-plantation.%目的:对儿童恒牙全脱出后再植的病例进行回顾性研究,观察再植牙的牙周组织预后类型和各类根吸收出现的时间,分析影响再植牙牙周组织预后的可能因素。方法:对2000年至2012年在北京大学口腔医院就诊的儿童恒牙全脱出系统病历进行回顾性研究,要求观察期大于12个月,记录再植牙的预后和各类牙根吸收出现的时间,分析影响再植牙预后的相

  5. Electronic Commerce

    Directory of Open Access Journals (Sweden)

    Slavko Đerić

    2016-12-01

    Full Text Available Electronic commerce can be defined in different ways. Any definition helps to understand and explain that concept as better as possible.. Electronic commerce is a set of procedures and technologies that automate the tasks of financial transactions using electronic means. Also, according to some authors, electronic commerce is defined as a new concept, which is being developed and which includes process of buying and selling or exchanging products, services or information via computer networks, including the Internet. Electronic commerce is not limited just to buying and selling, but it also includes all pre-sales and after-sales ongoing activities along the supply chain. Introducing electronic commerce, using the Internet and Web services in business, realizes the way to a completely new type of economy - internet economy.

  6. Micropower electronics

    CERN Document Server

    Keonjian, Edward

    1964-01-01

    Micropower Electronics deals with the operation of modern electronic equipment at micropower levels and the problems associated with micropower electronics. Topics covered include the relations between minimum required power density and frequency response for semiconductor triode amplifiers; physical realization of digital logic circuits; micropower microelectronic subsystems; and metal-oxide-semiconductor field-effect devices for micropower logic circuitry. This book is comprised of 10 chapters and begins with an analysis of fundamental relationships and basic requirements pertinent to the ph

  7. Morphometric and microscopic evaluation of the effect of gallium nitrate as a root canal dressing in rat teeth submitted to late replantation Avaliação morfométrica e microscópica do efeito do nitrato de gálio usado como curativo intracanal em dentes de ratos reimplantados tardiamente

    Directory of Open Access Journals (Sweden)

    Graziela Garrido Mori

    2006-12-01

    Full Text Available The purpose of this study was to test a gallium nitrate solution, a resorption inhibitor, employed as a root canal dressing in teeth submitted to late replantation. Thirty maxillary right central incisors of rats were avulsed and kept dry for thirty minutes. The teeth were instrumented and the root surfaces were treated with 1% hypochlorite solution followed by application of 2% sodium fluoride. Thereafter, the teeth were divided into two groups according to the root canal dressing: Group I, solution of gallium nitrate; and Group II, calcium hydroxide paste. The teeth were then replanted in their respective sockets. The animals were killed at 15, 30 and 60 days after replantation and the samples were processed for morphometric and microscopic analysis. The results demonstrated that the gallium nitrate solution and the calcium hydroxide paste limited the root resorption, yet they did not impair its occurrence. It may be concluded that gallium nitrate solution and calcium hydroxide paste demonstrated similar performance.Este trabalho tem como objetivo testar a solução de nitrato de gálio, um inibidor da reabsorção, como curativo intracanal para dentes reimplantados tardiamente. Trinta incisivos centrais superiores direitos de ratos foram avulsionados e mantidos a seco por trinta minutos. Todos os dentes tiveram os canais radiculares instrumentados e a superfície radicular tratada com hipoclorito de sódio a 1%, seguido de fluoreto de sódio a 2%. Após isso, os dentes foram divididos em dois grupos de acordo com a medicação intracanal: no grupo I, foi usada solução de nitrato de gálio e grupo II, pasta de hidróxido de cálcio. Todos os dentes foram, então, reimplantados em seus respectivos alvéolos. Passados 15, 30 e 60 dias do reimplante, os animais foram sacrificados e as peças obtidas, processadas em laboratório para análise microscópica e morfométrica. Os resultados mostraram que a solução de nitrato de gálio e a pasta de

  8. Application of evidence-based nursing for the prevention of vascular crisis after the operation of replantation of amputated finger%循证护理在预防断指再植术后血管危象中的应用

    Institute of Scientific and Technical Information of China (English)

    孟宪玲

    2009-01-01

    Objective To explore the effective intervention method to prevent vascular crisis after the operation of replantation of amputated finger with Application of evidenced based nursing. Methods 84 cases of replantation of amputated finger were randomly divided into two groups: observe group and compare group. Applicating usual nursing in compare group and evidence-based nursing in observe group. Results To search the cause and the effective intervention method of vascular crisis after the operation of replanlafion of ampu-tated finger with evidenced based nursing. Conclusion Applicatia of evidence-based nursing for the prevention of vascular crisis after the operation of replantation of amputated finger, so as to raise the survival rate of replanta-fion of amputated finger and promote the nursing quality.%目的 应用循证护理(EBM)探索断指再植术后血管危象的有效干预方法.方法 将84例断指再植患者随机分为观察组和对照组,各42例.对照组采用常规护理方法,观察组采用循证护理的方法实施血管危象的护理干预.结果 应用循证护理找出断指再植术后血管危象的原因及有效干预方法对断指再植术后的患者进行护理降低了血管危险的发生率.结论 循证护理在预防断指再植术后血管危象中的应用,使护理活动由被动变主动,有效地降低了血管危象的发生,提高了断指再植成活率,促进了护理质量的提高.

  9. Microfluidic electronics.

    Science.gov (United States)

    Cheng, Shi; Wu, Zhigang

    2012-08-21

    Microfluidics, a field that has been well-established for several decades, has seen extensive applications in the areas of biology, chemistry, and medicine. However, it might be very hard to imagine how such soft microfluidic devices would be used in other areas, such as electronics, in which stiff, solid metals, insulators, and semiconductors have previously dominated. Very recently, things have radically changed. Taking advantage of native properties of microfluidics, advances in microfluidics-based electronics have shown great potential in numerous new appealing applications, e.g. bio-inspired devices, body-worn healthcare and medical sensing systems, and ergonomic units, in which conventional rigid, bulky electronics are facing insurmountable obstacles to fulfil the demand on comfortable user experience. Not only would the birth of microfluidic electronics contribute to both the microfluidics and electronics fields, but it may also shape the future of our daily life. Nevertheless, microfluidic electronics are still at a very early stage, and significant efforts in research and development are needed to advance this emerging field. The intention of this article is to review recent research outcomes in the field of microfluidic electronics, and address current technical challenges and issues. The outlook of future development in microfluidic electronic devices and systems, as well as new fabrication techniques, is also discussed. Moreover, the authors would like to inspire both the microfluidics and electronics communities to further exploit this newly-established field.

  10. Paper electronics.

    Science.gov (United States)

    Tobjörk, Daniel; Österbacka, Ronald

    2011-05-03

    Paper is ubiquitous in everyday life and a truly low-cost substrate. The use of paper substrates could be extended even further, if electronic applications would be applied next to or below the printed graphics. However, applying electronics on paper is challenging. The paper surface is not only very rough compared to plastics, but is also porous. While this is detrimental for most electronic devices manufactured directly onto paper substrates, there are also approaches that are compatible with the rough and absorptive paper surface. In this review, recent advances and possibilities of these approaches are evaluated and the limitations of paper electronics are discussed.

  11. Electron holography

    CERN Document Server

    Tonomura, Akira

    1993-01-01

    Holography was devised for breaking through the resolution limit of electron microscopes The advent of a "coherent" field emission electron beam has enabled the use of Electron Holography in various areas of magnetic domain structures observation, fluxon observation in superconductors, and fundamental experiments in physics which have been inaccessible using other techniques After examining the fundamentals of electron holography and its applications to the afore mentioned fields, a detailed discussion of the Aharonov-Bohm effect and the related experiments is presented Many photographs and illustrations are included to elucidate the text

  12. Polymer electronics

    CERN Document Server

    Hsin-Fei, Meng

    2013-01-01

    Polymer semiconductor is the only semiconductor that can be processed in solution. Electronics made by these flexible materials have many advantages such as large-area solution process, low cost, and high performance. Researchers and companies are increasingly dedicating time and money in polymer electronics. This book focuses on the fundamental materials and device physics of polymer electronics. It describes polymer light-emitting diodes, polymer field-effect transistors, organic vertical transistors, polymer solar cells, and many applications based on polymer electronics. The book also disc

  13. Electronic Photography

    Science.gov (United States)

    Payne, Meredith Lindsay

    1995-01-01

    The main objective was to assist in the production of electronic images in the Electronic Photography Lab (EPL). The EPL is a new facility serving the electronic photographic needs of the Langley community. The purpose of the Electronic Photography lab is to provide Langley with access to digital imaging technology. Although the EPL has been in operation for less than one year, almost 1,000 images have been produced. The decision to establish the lab was made after careful determination of the centers needs for electronic photography. The LaRC community requires electronic photography for the production of electronic printing, Web sites, desktop publications, and its increased enhancement capabilities. In addition to general use, other considerations went into the planning of the EPL. For example, electronic photography is much less of a burden on the environment compared to conventional photography. Also, the possibilities of an on-line database and retrieval system could make locating past work more efficient. Finally, information in an electronic image is quantified, making measurements and calculations easier for the researcher.

  14. Electron Bifurcation

    Energy Technology Data Exchange (ETDEWEB)

    Peters, John W.; Miller, Anne-Frances; Jones, Anne K.; King, Paul W.; Adams, Michael W. W.

    2016-04-01

    Electron bifurcation is the recently recognized third mechanism of biological energy conservation. It simultaneously couples exergonic and endergonic oxidation-reduction reactions to circumvent thermodynamic barriers and minimize free energy loss. Little is known about the details of how electron bifurcating enzymes function, but specifics are beginning to emerge for several bifurcating enzymes. To date, those characterized contain a collection of redox cofactors including flavins and iron-sulfur clusters. Here we discuss the current understanding of bifurcating enzymes and the mechanistic features required to reversibly partition multiple electrons from a single redox site into exergonic and endergonic electron transfer paths.

  15. Printed Electronics

    Science.gov (United States)

    Crain, John M. (Inventor); Lettow, John S. (Inventor); Aksay, Ilhan A. (Inventor); Korkut, Sibel (Inventor); Chiang, Katherine S. (Inventor); Chen, Chuan-Hua (Inventor); Prud'Homme, Robert K. (Inventor)

    2016-01-01

    Printed electronic device comprising a substrate onto at least one surface of which has been applied a layer of an electrically conductive ink comprising functionalized graphene sheets and at least one binder. A method of preparing printed electronic devices is further disclosed.

  16. Automatic identification of type 2 diabetes, hypertension, ischaemic heart disease, heart failure and their levels of severity from Italian General Practitioners' electronic medical records: a validation study

    Science.gov (United States)

    Schuemie, Martijn J; Mazzaglia, Giampiero; Lapi, Francesco; Francesconi, Paolo; Pasqua, Alessandro; Bianchini, Elisa; Montalbano, Carmelo; Roberto, Giuseppe; Barletta, Valentina; Cricelli, Iacopo; Cricelli, Claudio; Dal Co, Giulia; Bellentani, Mariadonata; Sturkenboom, Miriam; Klazinga, Niek

    2016-01-01

    Objectives The Italian project MATRICE aimed to assess how well cases of type 2 diabetes (T2DM), hypertension, ischaemic heart disease (IHD) and heart failure (HF) and their levels of severity can be automatically extracted from the Health Search/CSD Longitudinal Patient Database (HSD). From the medical records of the general practitioners (GP) who volunteered to participate, cases were extracted by algorithms based on diagnosis codes, keywords, drug prescriptions and results of diagnostic tests. A random sample of identified cases was validated by interviewing their GPs. Setting HSD is a database of primary care medical records. A panel of 12 GPs participated in this validation study. Participants 300 patients were sampled for each disease, except for HF, where 243 patients were assessed. Outcome measures The positive predictive value (PPV) was assessed for the presence/absence of each condition against the GP's response to the questionnaire, and Cohen's κ was calculated for agreement on the severity level. Results The PPV was 100% (99% to 100%) for T2DM and hypertension, 98% (96% to 100%) for IHD and 55% (49% to 61%) for HF. Cohen's kappa for agreement on the severity level was 0.70 for T2DM and 0.69 for hypertension and IHD. Conclusions This study shows that individuals with T2DM, hypertension or IHD can be validly identified in HSD by automated identification algorithms. Automatic queries for levels of severity of the same diseases compare well with the corresponding clinical definitions, but some misclassification occurs. For HF, further research is needed to refine the current algorithm. PMID:27940627

  17. Isolation, Identification and Interaction of Rhizosphere Microorganisms Involved in Peach Replant Diseases%与桃树再植病相关的根际微生物的分离鉴定及相互作用

    Institute of Scientific and Technical Information of China (English)

    邬瑞杰; 王兴华; 刘志民; 刘正坪; 胡昊; 马焕普

    2009-01-01

    [目的]研究桃树再植病与根际微生物的关系.[方法]以MФller氰化钾培养基为选择培养基进行桃根际微生物的筛选,采用16S rDNA序列分析并结合生物学特性对所获菌株进行鉴定,并通过温室盆栽试验对所获拮抗菌的生防效果进行初步观察.[结果]从桃根际土壤中分离筛选出3株能以扁桃苷为碳源产生氢化氰(HCN)的细菌(CN-X4、CN-X9、CN-X17)和3株分别能对上述细菌有不同抑制作用的放线菌(CN-G2、CN-G3、CN-G5).鉴定结果表明菌株CN-X4、CN-X17均为农杆菌属中的根癌农杆菌(Agrobacterium tumefaciens),但分属不同的变种;菌株CN-X9为假单胞杆菌(Pseudomonas sp.),菌株CN-G2和CN-G5分别为细黄链霉菌(Streptomycesmicroflavus)、淡紫灰链霉菌(Streptomyces lavendulae),菌株CN-G3可能是灰色链霉菌(Streptomyces griseus)的近缘种;拮抗菌盆栽生防效果显著.[结论]桃根际不仅存在能以扁桃苷为碳源并产生HCN的细菌而且同时存在与其相拮抗的耐氰放线菌,根际微生物区系平衡的破坏是导致再植病的关键因素之一.

  18. 根际微生物与植物再植病的发生发展关系%Association of rhizosphere soil microbiome with the occurrence and development of replant disease-A review

    Institute of Scientific and Technical Information of China (English)

    张蕾; 徐慧敏; 朱宝利

    2016-01-01

    植物再植病严重危害农作物的生长发育,形成原因复杂,最新的研究显示它与根际微生态的变化相关,其中主要涉及根际微生物菌群结构的变化.现代高通量测序技术的迅速推广使得根际微生物和再植病间关系成为新的研究热点;本文根据国内外植物再植病病因、根际土壤微生物多样性以及它们与植物生长发育关系等多方面的研究成果,综合分析植物再植病与根际微生物间的关系,以期从根际微生物种群动态变化的角度认识植物再植病的病因并为防治提供新的思路.

  19. Electron optics

    CERN Document Server

    Grivet, Pierre; Bertein, F; Castaing, R; Gauzit, M; Septier, Albert L

    1972-01-01

    Electron Optics, Second English Edition, Part I: Optics is a 10-chapter book that begins by elucidating the fundamental features and basic techniques of electron optics, as well as the distribution of potential and field in electrostatic lenses. This book then explains the field distribution in magnetic lenses; the optical properties of electrostatic and magnetic lenses; and the similarities and differences between glass optics and electron optics. Subsequent chapters focus on lens defects; some electrostatic lenses and triode guns; and magnetic lens models. The strong focusing lenses and pris

  20. Electronic diagrams

    CERN Document Server

    Colwell, Morris A

    1976-01-01

    Electronic Diagrams is a ready reference and general guide to systems and circuit planning and in the preparation of diagrams for both newcomers and the more experienced. This book presents guidelines and logical procedures that the reader can follow and then be equipped to tackle large complex diagrams by recognition of characteristic 'building blocks' or 'black boxes'. The goal is to break down many of the barriers that often seem to deter students and laymen in learning the art of electronics, especially when they take up electronics as a spare time occupation. This text is comprised of nin

  1. Digital electronics

    CERN Document Server

    Morris, John

    2013-01-01

    An essential companion to John C Morris's 'Analogue Electronics', this clear and accessible text is designed for electronics students, teachers and enthusiasts who already have a basic understanding of electronics, and who wish to develop their knowledge of digital techniques and applications. Employing a discovery-based approach, the author covers fundamental theory before going on to develop an appreciation of logic networks, integrated circuit applications and analogue-digital conversion. A section on digital fault finding and useful ic data sheets completes th

  2. Electronic identity

    CERN Document Server

    de Andrade, Norberto Nuno Gomes; Argles, David

    2014-01-01

    With the increasing availability of electronic services, security and a reliable means by which identity is verified is essential.Written by Norberto Andrade the first chapter of this book provides an overview of the main legal and regulatory aspects regarding electronic identity in Europe and assesses the importance of electronic identity for administration (public), business (private) and, above all, citizens. It also highlights the role of eID as a key enabler of the economy.In the second chapter Lisha Chen-Wilson, David Argles, Michele Schiano di Zenise and Gary Wills discuss the user-cent

  3. Stretchable electronics

    CERN Document Server

    Someya, Takao

    2012-01-01

    With its comprehensive coverage this handbook and ready reference brings together some of the most outstanding scientists in the field to lay down the undisputed knowledge on how to make electronics stretchable.As such, it focuses on gathering and evaluating the materials, designs, models and technologies that enable the fabrication of fully elastic electronic devices which can sustain high strain. Furthermore, it provides a review of those specific applications that directly benefit from highly compliant electronics, including transistors, photonic devices and sensors. In addition to stre

  4. Starting electronics

    CERN Document Server

    Brindley, Keith

    2005-01-01

    Starting Electronics is unrivalled as a highly practical introduction for hobbyists, students and technicians. Keith Brindley introduces readers to the functions of the main component types, their uses, and the basic principles of building and designing electronic circuits. Breadboard layouts make this very much a ready-to-run book for the experimenter; and the use of multimeter, but not oscilloscopes, puts this practical exploration of electronics within reach of every home enthusiast's pocket. The third edition has kept the simplicity and clarity of the original. New material

  5. Polymer electronics

    CERN Document Server

    Geoghegan, Mark

    2013-01-01

    Polymer electronics is the science behind many important new developments in technology, such as the flexible electronic display (e-ink) and many new developments in transistor technology. Solar cells, light-emitting diodes, and transistors are all areas where plastic electronics is likely to, or is already having, a serious impact on our daily lives. With polymer transistors and light-emitting diodes now being commercialised, there is a clear need for a pedagogic text thatdiscusses the subject in a clear and concise fashion suitable for senior undergraduate and graduate students. The content

  6. electron microscope observation on pathogens of banana bunchy top disease%香蕉束顶病病原的电镜观察

    Institute of Scientific and Technical Information of China (English)

    伦璇; 钟毅敏; 陆东雯

    2000-01-01

    @@ 香蕉是岭南佳果之一,也是在广东拥有较大种植面积的重要经济果林.而香蕉束顶病 (banana bunchy top disease) 是一种危害性甚大的黄化型病害.其特点是新叶易张开、叶片短而窄、越出越小、在植株顶部聚焦成丛.晚期感染的植株花蕾抽出后直立而不结果实,少数晚期受害的则果形变细、果味变淡,失去商品价值.本文通过对蕉蚜传染的病株和健康植株作对照进行电镜观察,报道如下.

  7. Electronic Cigarettes for Curbing the Tobacco-Induced Burden of Noncommunicable Diseases: Evidence Revisited with Emphasis on Challenges in Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Jobert Richie N. Nansseu

    2016-01-01

    Full Text Available Introduction. This review examines whether electronic cigarettes (e-cigs implementation or vulgarization in sub-Saharan Africa (SSA could be helpful in curtailing the toll of tobacco smoking in the region. Discussion. There are about 1.3 billion smokers worldwide, with nearly 80% of them living in developing countries where the burden of tobacco-related illnesses and deaths is the heaviest. Studies report that e-cigs may facilitate smoking cessation, reduction, or abstinence and may pose only a small fraction of the risks of traditional tobacco cigarettes; e-cigs may also considerably reduce second-hand smoking. Thereby, implementation of e-cig use could help to substantially reduce the burden driven by tobacco smoking in SSA, in a particular context of lack of regulations and control policies towards this threat. However, the evidence is not clear on whether e-cigs are risk-free, especially if used in the long term. Conclusions. On the whole, if e-cigs were to be introduced in SSA, they should be strictly recommended to current and/or ex-smokers as a method to quit smoking or prevent relapse and never-smokers should be strongly encouraged to avoid using these devices. Bans on sales of e-cigs to youngsters should be legislated, e-cig advertisements prohibited, and their usage continuously controlled and monitored.

  8. Electronic Cigarettes for Curbing the Tobacco-Induced Burden of Noncommunicable Diseases: Evidence Revisited with Emphasis on Challenges in Sub-Saharan Africa

    Science.gov (United States)

    Nansseu, Jobert Richie N.

    2016-01-01

    Introduction. This review examines whether electronic cigarettes (e-cigs) implementation or vulgarization in sub-Saharan Africa (SSA) could be helpful in curtailing the toll of tobacco smoking in the region. Discussion. There are about 1.3 billion smokers worldwide, with nearly 80% of them living in developing countries where the burden of tobacco-related illnesses and deaths is the heaviest. Studies report that e-cigs may facilitate smoking cessation, reduction, or abstinence and may pose only a small fraction of the risks of traditional tobacco cigarettes; e-cigs may also considerably reduce second-hand smoking. Thereby, implementation of e-cig use could help to substantially reduce the burden driven by tobacco smoking in SSA, in a particular context of lack of regulations and control policies towards this threat. However, the evidence is not clear on whether e-cigs are risk-free, especially if used in the long term. Conclusions. On the whole, if e-cigs were to be introduced in SSA, they should be strictly recommended to current and/or ex-smokers as a method to quit smoking or prevent relapse and never-smokers should be strongly encouraged to avoid using these devices. Bans on sales of e-cigs to youngsters should be legislated, e-cig advertisements prohibited, and their usage continuously controlled and monitored. PMID:28116156

  9. 两种保存液对脱位牙再植术效果影响的实验研究%Experimental research into the influence of two kinds of storage media on the replantation of avulsed tooth

    Institute of Scientific and Technical Information of China (English)

    朱泽群; 陈铭清; 刘茜; 蔡琴; 王珏; 周红艳; 梅予锋

    2014-01-01

    目的:比较常温下脱脂牛奶与汉克斯平衡盐溶液(Hank′s balanced salt solution,HBSS)保存脱位牙对再植牙牙根愈合过程的影响。方法:48只6周龄 SPF级 Wistar雄性大鼠,随机抽取3只为空白对照,直接处死取材拍摄根尖 X线片,标本切片组织学观察;余45只随机分为3组,将上颌第一磨牙脱位后分别采用 HBSS、脱脂牛奶浸泡或干燥室温保存,30 min 后植回牙槽窝,术后1、3、7、14、21 d处死大鼠,拍摄根尖 X线片进行图像分析,标本切片进行组织学观察。结果:再植后各时间点牛奶组与 HBSS 组近中根阴影面积无统计学差异,皆小于干燥组(P<0.01);牛奶组根尖组织炎症反应较轻,根吸收少,根周修复类型与HBSS 基本相同。结论:脱脂牛奶与HBSS 在常温下均为良好的脱位牙体外保存液,可在普通人群中作为再植牙保存液推广使用。%Objective:To evaluate the effect of skimmed milk and Hank′s balanced salt solution(HBSS)as preservation medium on the root healing and root resorption of the avulsed tooth.Methods:3 out of 48 6-week-old SPF Wistar male rats were picked randomly as blank control,and the rest 45 rats were divided into three groups randomly:HBSS group,milk group and dry group.The bilateral maxillary first molars of rats in the three groups was extracted and replanted back into the sockets after being placed seperately in HB-SS,skimmed milk and in the air for 30 min right after extraction.The rats were sacrificed on day 1,day 3,day 7,day 14 and day 21 af-ter the operation.Then the maxillae were scanned with X-ray and the shadow areas around the mesial roots of maxillary first molars were measured with IPP software.After decalcification,the specimens were made into slices and stained with HE for histological obser-vation.Results:There was no statistically significant difference between milk group and HBSS group regarding the shadow area around

  10. Power Electronics

    DEFF Research Database (Denmark)

    Iov, Florin; Ciobotaru, Mihai; Blaabjerg, Frede

    2008-01-01

    is to change the electrical power production sources from the conventional, fossil (and short term) based energy sources to renewable energy resources. The other is to use high efficient power electronics in power generation, power transmission/distribution and end-user application. This paper discuss the most...... emerging renewable energy sources, wind energy, which by means of power electronics are changing from being a minor energy source to be acting as an important power source in the energy system. Power electronics is the enabling technology and the presentation will cover the development in wind turbine...... technology from kW to MW, discuss which power electronic solutions are most feasible and used today....

  11. Electronic Elections

    DEFF Research Database (Denmark)

    Schürmann, Carsten

    2009-01-01

    Electronic voting technology is a two edged sword. It comes with many risks but brings also many benefits. Instead of flat out rejecting the technology as uncontrollably dangerous, we advocate in this paper a different technological angle that renders electronic elections trustworthy beyond...... the usual levels of doubt. We exploit the trust that voters currently have into the democratic process and model our techniques around that observation accordingly. In particular, we propose a technique of trace emitting computations to record the individual steps of an electronic voting machine...... for a posteriori validation on an acceptably small trusted computing base. Our technology enables us to prove that an electronic elections preserves the voter’s intent, assuming that the voting machine and the trace verifier are independent....

  12. Electronic plants

    Science.gov (United States)

    Stavrinidou, Eleni; Gabrielsson, Roger; Gomez, Eliot; Crispin, Xavier; Nilsson, Ove; Simon, Daniel T.; Berggren, Magnus

    2015-01-01

    The roots, stems, leaves, and vascular circuitry of higher plants are responsible for conveying the chemical signals that regulate growth and functions. From a certain perspective, these features are analogous to the contacts, interconnections, devices, and wires of discrete and integrated electronic circuits. Although many attempts have been made to augment plant function with electroactive materials, plants’ “circuitry” has never been directly merged with electronics. We report analog and digital organic electronic circuits and devices manufactured in living plants. The four key components of a circuit have been achieved using the xylem, leaves, veins, and signals of the plant as the template and integral part of the circuit elements and functions. With integrated and distributed electronics in plants, one can envisage a range of applications including precision recording and regulation of physiology, energy harvesting from photosynthesis, and alternatives to genetic modification for plant optimization. PMID:26702448

  13. ELECTRONIC SIGNATURES

    African Journals Online (AJOL)

    10332324

    'electronic signature' means data attached to, incorporated in, or logically ... See Cwele v S 2012 4 All SA 497 (SCA); Mohlabeng v Minister of Safety and Security ... ZAKZPHC 51 (2 September 2010); Delta Finance, a Division of Wesbank, ...

  14. Electron Microprobe

    Data.gov (United States)

    Federal Laboratory Consortium — The JEOL JXA-8600 is a conventional hairpin filament thermal emission electron microprobe that is more than 20 years old. It is capable of performing qualitative and...

  15. Search for alternate hosts of the coconut Cape Saint Paul Wilt Disease pathogen

    Directory of Open Access Journals (Sweden)

    Yankey Egya Ndede

    2009-03-01

    Full Text Available Lethal Yellowing disease locally called Cape Saint Paul wilt disease (CSPWD is the bane of the coconut industry in Ghana and is caused by a phytoplasma. In Ghana, there are areas where the disease has re-infected re-plantings long after decimating all the palms in the area. This brings to the fore the possibility of alternate hosts in the spread of the disease because the pathogen is an obligate parasite. In this work, a number of plants were screened for their host status to the CSPWD pathogen. The presence of phytoplasmas in these plants was tested by polymerase chain reaction analysis using universal phytoplasma primers P1/P7 and CSPWD-specific primers G813/GAKSR. Although Desmodium adscendens tested positive to the CSPWD-specific primers, cloning and sequencing did not confirm it as an alternate host. The identification of alternate hosts will help us to evolve sound control strategies against the spread of the disease.

  16. Electronic commerce

    OpenAIRE

    Veselková, Zdeňka

    2012-01-01

    The thesis deals with a description of electronic commerce from its beginning up to present situation in this area. It explains basic terms connected with electronic commerce and it summarizes the relevant legislation. Moreover it describes e-contracts and rights and duties of both contractual parties. The main view is the view of Internet retailer, which is reflected in the practical part focused on concrete problems of retailers.

  17. Molecular Electronics

    DEFF Research Database (Denmark)

    Jennum, Karsten Stein

    This thesis includes the synthesis and characterisation of organic compounds designed for molecular electronics. The synthesised organic molecules are mainly based on two motifs, the obigo(phenyleneethynylenes) (OPE)s and tetrathiafulvalene (TTF) as shown below. These two scaffolds (OPE and TTF......) are chemically merged together to form cruciform-like structures that are an essential part of the thesis. The cruciform molecules were subjected to molecular conductance measurements to explore their capability towards single-crystal field-effect transistors (Part 1), molecular wires, and single electron......, however, was obtained by a study of a single molecular transistor. The investigated OPE5-TTF compound was captured in a three-terminal experiment, whereby manipulation of the molecule’s electronic spin was possible in different charge states. Thus, we demonstrated how the cruciform molecules could...

  18. Power Electronics

    DEFF Research Database (Denmark)

    Iov, Florin; Ciobotaru, Mihai; Blaabjerg, Frede

    2008-01-01

    energy at the end-user should also be set up. Deregulation of energy has in the past lowered the investment in larger power plants, which means the need for new electrical power sources will be high in the near future. Two major technologies will play important roles to solve the future problems. One...... is to change the electrical power production sources from the conventional, fossil (and short term) based energy sources to renewable energy resources. The other is to use high efficient power electronics in power generation, power transmission/distribution and end-user application. This paper discuss the most...... emerging renewable energy sources, wind energy, which by means of power electronics are changing from being a minor energy source to be acting as an important power source in the energy system. Power electronics is the enabling technology and the presentation will cover the development in wind turbine...

  19. Electron Spectroscopy

    Science.gov (United States)

    Siegbahn, Kai

    Wilhelm Conrad Röntgen's discovery of X radiation in 1895 in Wörzburg resulted in an immediate break-through not only in physics but also in Society, the latter mainly because of its sensational radiological applications. Within a short time it furthermore indirectly led to the discovery of radioactivity by Henri Becquerel. The discovery of X radiation opened the gate to modern atomic physics, and radioactivity to nuclear physics. Later on, the discovery of X-ray diffraction by Laue, Friedrich and Knipping in 1912 initiated the field of X-ray spectroscopy with its fundamental contributions to atomic and crystal structures. Secondary electrons were early observed in the scattered radiation when X-rays were hitting a sample. The development of the corresponding electron spectroscopy had to wait a much longer time for its maturity. A survey of electron spectroscopy is presented.

  20. Electronic Commerce

    Energy Technology Data Exchange (ETDEWEB)

    Laird, N. [NRG Information Services Inc., Calgary, AB (Canada)

    1995-11-01

    The concept of electronic commerce in the gas industry was discussed. It was defined as the integration of communication technology, advanced information processing capability and business standards, to improve effectiveness of the business process. Examples of electronic data interchange from the automotive, airline, and banking industry were given. The objective of using this technology in the gas industry was described as the provision of one electronic facility to make seamless contractual and operational arrangements for moving natural gas across participating pipelines. The benefit of seamless integration - one readily available standard system used by several companies - was highlighted. A list of value-added services such as the free movement of bulletins, directories, nominations,and other documents was provided.

  1. Spin electronics

    CERN Document Server

    Buhrman, Robert; Daughton, James; Molnár, Stephan; Roukes, Michael

    2004-01-01

    This report is a comparative review of spin electronics ("spintronics") research and development activities in the United States, Japan, and Western Europe conducted by a panel of leading U.S. experts in the field. It covers materials, fabrication and characterization of magnetic nanostructures, magnetism and spin control in magnetic nanostructures, magneto-optical properties of semiconductors, and magnetoelectronics and devices. The panel's conclusions are based on a literature review and a series of site visits to leading spin electronics research centers in Japan and Western Europe. The panel found that Japan is clearly the world leader in new material synthesis and characterization; it is also a leader in magneto-optical properties of semiconductor devices. Europe is strong in theory pertaining to spin electronics, including injection device structures such as tunneling devices, and band structure predictions of materials properties, and in development of magnetic semiconductors and semiconductor heterost...

  2. Molecular Electronics

    DEFF Research Database (Denmark)

    Jennum, Karsten Stein

    ) are chemically merged together to form cruciform-like structures that are an essential part of the thesis. The cruciform molecules were subjected to molecular conductance measurements to explore their capability towards single-crystal field-effect transistors (Part 1), molecular wires, and single electron......This thesis includes the synthesis and characterisation of organic compounds designed for molecular electronics. The synthesised organic molecules are mainly based on two motifs, the obigo(phenyleneethynylenes) (OPE)s and tetrathiafulvalene (TTF) as shown below. These two scaffolds (OPE and TTF......, however, was obtained by a study of a single molecular transistor. The investigated OPE5-TTF compound was captured in a three-terminal experiment, whereby manipulation of the molecule’s electronic spin was possible in different charge states. Thus, we demonstrated how the cruciform molecules could...

  3. Greening Electronics

    DEFF Research Database (Denmark)

    Pizzol, Massimo; Søes Kokborg, Morten; Thomsen, Marianne

    Based on a literature review with focus on hazardous substances in waste electric and electronic equipment (WEEE) and numbers from a Danish treatment facility a flow analysis for specific substances has been conducted. Further, the accessible knowledge on human and environmental effects due...

  4. Superconducting electronics

    NARCIS (Netherlands)

    Rogalla, Horst

    1994-01-01

    During the last decades superconducting electronics has been the most prominent area of research for small scale applications of superconductivity. It has experienced quite a stormy development, from individual low frequency devices to devices with high integration density and pico second switching

  5. Electronic Portfolios.

    Science.gov (United States)

    Purves, Alan C.

    1996-01-01

    Outlines three forms of electronic portfolio based on a student's work, a class project about a specific topic, and a class seminar on a broad topic. Discusses logistical problems of management, access, and cross-referencing; technical problems of input, access, and copying; and theoretical issues of the lack of realia, of ownership and copyright,…

  6. Electronic Money.

    Science.gov (United States)

    Schilling, Tim

    Thirty years ago a cashless society was predicted for the near future; paper currency and checks would be an antiquated symbol of the past. Consumers would embrace a new alternative for making payments: electronic money. But currency is still used for 87% of payments, mainly for "nickel and dime" purchases. And checks are the payment…

  7. Electronic spectroscopies

    NARCIS (Netherlands)

    Weckhuysen, B.M.; Schoonheydt, R.A.

    2000-01-01

    Diffuse reflectance spectroscopy (DRS) in the ultraviolet, visible and near-infrared region is a versatile spectroscopic technique, as both d-d and charge transfer transitions of supported TMI can be probed. One of the advantages of electronic spectroscopy is that the obtained information is

  8. Electronic Homework.

    Science.gov (United States)

    Lee, Fong-lok; Heyworth, Rex M.

    The Electronic Homework assistant system is composed of two components: the Computer Tutor and the Homework Administrator. The Computer Tutor is an intelligent tutoring system that can provide personal assistance like supplying hints, checking errors, providing remediation and prioritizing problems. The Homework Administrator is a teacher's…

  9. Greening Electronics

    DEFF Research Database (Denmark)

    Pizzol, Massimo; Søes Kokborg, Morten; Thomsen, Marianne

    Based on a literature review with focus on hazardous substances in waste electric and electronic equipment (WEEE) and numbers from a Danish treatment facility a flow analysis for specific substances has been conducted. Further, the accessible knowledge on human and environmental effects due to po...

  10. Electronic Government

    DEFF Research Database (Denmark)

    Wimmer, Maria A.; Traunmüller, Roland; Grönlund, Åke

    This book constitutes the refereed proceedings of the 4th International Conference on Electronic Government, EGOV 2005, held in Copenhagen, Denmark, in August 2005. The 30 revised papers presented were carefully reviewed and selected from numerous submissions, and assess the state-of-the-art in e...

  11. Electronic detectors for electron microscopy.

    Science.gov (United States)

    Faruqi, A R; McMullan, G

    2011-08-01

    Electron microscopy (EM) is an important tool for high-resolution structure determination in applications ranging from condensed matter to biology. Electronic detectors are now used in most applications in EM as they offer convenience and immediate feedback that is not possible with film or image plates. The earliest forms of electronic detector used routinely in transmission electron microscopy (TEM) were charge coupled devices (CCDs) and for many applications these remain perfectly adequate. There are however applications, such as the study of radiation-sensitive biological samples, where film is still used and improved detectors would be of great value. The emphasis in this review is therefore on detectors for use in such applications. Two of the most promising candidates for improved detection are: monolithic active pixel sensors (MAPS) and hybrid pixel detectors (of which Medipix2 was chosen for this study). From the studies described in this review, a back-thinned MAPS detector appears well suited to replace film in for the study of radiation-sensitive samples at 300 keV, while Medipix2 is suited to use at lower energies and especially in situations with very low count rates. The performance of a detector depends on the energy of electrons to be recorded, which in turn is dependent on the application it is being used for; results are described for a wide range of electron energies ranging from 40 to 300 keV. The basic properties of detectors are discussed in terms of their modulation transfer function (MTF) and detective quantum efficiency (DQE) as a function of spatial frequency.

  12. Observation on changes of nailfold microcirculation and hemorheological indexes of severed limb replantation patients with postoperative infections%断肢再植术后感染患者甲襞微循环及血流指标的变化观察

    Institute of Scientific and Technical Information of China (English)

    张全英; 朱玉花; 李琼; 李中锋; 王丽娜

    2016-01-01

    目的:分析断肢再植术后感染患者甲襞微循环及血流变指标的变化,为断肢再植术后感染患者的诊治及预防控制提供依据。方法选取2012年1月-2015年9月收治的56例断肢再植术后感染患者为观察组,同时间段56例断肢再植术后未发生感染患者为对照组,将两组患者的甲襞微循环及血流变指标进行检测与比较,并比较观察组中浅层感染及深部感染者的检测结果。结果观察组甲襞微循环加权积分中的襻周积分、流态积分、管襻积分及总积分分别为(1.64±0.21)、(2.31±0.27)、(1.25±0.14)及(3.32±0.32),其均高于对照组(0.88±0.12)、(1.18±0.15)、(0.64±0.06)及(2.30±0.24),其他甲襞微循环指标及血流变指标也均高于对照组,且观察组中深部感染患者的检测结果高于浅层感染的患者,各个比较指标间差异均有统计学意义(P<0.05)。结论断肢再植术后感染患者甲襞微循环及血流变指标均较高,且浅部感染与深部感染患者的检测结果也存在明显差异,因此应重视对此类患者进行微循环状态的改善。%OBJECTIVE To investigate the changes of nailfold microcirculation and hemorheological indexes of se‐vered limb replantation patients with postoperative infections so as to provide guidance for clinical diagnosis ,treat‐ment ,and prevention of the postoperative infections in the severed limb replantation patients .METHODS Totally 56 patients who underwent the replantation of severed limb and had postoperative infections from Jan 2012 to Sep 2015 were recruited as the observation group ,meanwhile ,56 patients who underwent the replantation of severed limb but did not have postoperative infections were set as the control group ,then the nailfold microcirculation and hemorheological indexes were detected and compared between the two groups of patients ,and the test

  13. 双侧丘脑底核慢性电刺激治疗原发性帕金森病%Treatment of idiopathic Parkinson's disease with chronic electronic deep brain stimulation of bilateral subthalamic nucleus

    Institute of Scientific and Technical Information of China (English)

    骆承章; 曹胜武; 赵春生

    2013-01-01

    Objective To evaluate the surgical approaches and clinical efficacy of electronic deep brain stimulation(DBS) in bilateral subthalamic nucleus (STN) for the treatment of Parkinson's disease.Methods Fourteen patients with idiopathic Parkinson's disease were treated with chronic electronic bilateral subthalamic nucleus deep brain stimulation(STN-DBS).The target was established by cranial magnetic resonance(MRI) and intraoperative microelectrode recording(MER).The patients were followed up for 6 months to 8 years.The outcomes of motor symptoms and medication dose in the 6th month after surgery were analyzed.Results The Unified Parkinson's Disease Rating Scale (UPDRS) motor score was significantly improved in the 6th month after surgery (P<0.05).The UPDRS motor score was improved on an average by 41.8% under on-status and 51.6% under offstatus.Patients were able to gain a better life quality by a long-term stimulation parameters and medication dose adjustment.The medication dose was reduced averagely by 55.6% in the 6th month after surgery.Conclusion The bilateral subthalamic nucleus stimulation is an effective method for the treatment of idiopathic Parkinson's disease.%目的 探讨双侧丘脑底核-脑深部电刺激(STN-DBS)治疗原发性帕金森病(PD)的手术方法及临床疗效.方法 采用头颅核磁共振及术中微电极记录电生理技术明确靶点定位,对14例原发性PD患者行STN-DBS手术.随访6个月-8年,评估手术对患者运动症状的改善及术后6个月患者服药剂量减少情况.结果 术后6个月患者统一用帕金森评分量表(UPDRS),运动检查评分有明显改善(P<0.05):“开”状态下平均改善率为41.8%,“关”状态下平均改善率为51.6%.患者术后通过调整刺激参数及药物剂量,均能获得满意的生活质量.于术后6个月左右评估,患者服用抗帕金森药物剂量平均减少55.6% (P<0.05).结论 STN-DBS术治疗原发性PD疗效确切.

  14. Electronic Aggression

    Centers for Disease Control (CDC) Podcasts

    2007-11-20

    Aggression is no longer limited to the school yard. New forms of electronic media, such as blogs, instant messaging, chat rooms, email, text messaging, and the internet are providing new arenas for youth violence to occur.  Created: 11/20/2007 by National Center for Injury Prevention and Control, Division of Violence Prevention.   Date Released: 11/28/2007.

  15. Interacting Electrons

    Science.gov (United States)

    Martin, Richard M.; Reining, Lucia; Ceperley, David M.

    2016-06-01

    Preface; Part I. Interacting Electrons: Beyond the Independent-Particle Picture: 1. The many electron problem: introduction; 2. Signatures of electron correlation; 3. Concepts and models for interacting electrons; Part II. Foundations of Theory for Many-Body Systems: 4. Mean fields and auxiliary systems; 5. Correlation functions; 6. Many-body wavefunctions; 7. Particles and quasi-particles; 8. Functionals in many-particle physics; Part III. Many-Body Green's Function Methods: 9. Many-body perturbation theory: expansion in the interaction; 10. Many-body perturbation theory via functional derivatives; 11. The RPA and the GW approximation for the self-energy; 12. GWA calculations in practice; 13. GWA calculations: illustrative results; 14. RPA and beyond: the Bethe-Salpeter equation; 15. Beyond the GW approximation; 16. Dynamical mean field theory; 17. Beyond the single-site approximation in DMFT; 18. Solvers for embedded systems; 19. Characteristic hamiltonians for solids with d and f states; 20. Examples of calculations for solids with d and f states; 21. Combining Green's functions approaches: an outlook; Part IV. Stochastic Methods: 22. Introduction to stochastic methods; 23. Variational Monte Carlo; 24. Projector quantum Monte Carlo; 25. Path integral Monte Carlo; 26. Concluding remarks; Part V. Appendices: A. Second quantization; B. Pictures; C. Green's functions: general properties; D. Matsubara formulation for Green's functions for T ̸= 0; E. Time-ordering, contours, and non-equilibrium; F. Hedin's equations in a basis; G. Unique solutions in Green's function theory; H. Properties of functionals; I. Auxiliary systems and constrained search; J. Derivation of the Luttinger theorem; K. Gutzwiller and Hubbard approaches; References; Index.

  16. ELECTRON GUN

    Science.gov (United States)

    Christofilos, N.C.; Ehlers, K.W.

    1960-04-01

    A pulsed electron gun capable of delivering pulses at voltages of the order of 1 mv and currents of the order of 100 amperes is described. The principal novelty resides in a transformer construction which is disposed in the same vacuum housing as the electron source and accelerating electrode structure of the gun to supply the accelerating potential thereto. The transformer is provided by a plurality of magnetic cores disposed in circumferentially spaced relation and having a plurality of primary windings each inductively coupled to a different one of the cores, and a helical secondary winding which is disposed coaxially of the cores and passes therethrough in circumferential succession. Additional novelty resides in the disposition of the electron source cathode filament input leads interiorly of the transformer secondary winding which is hollow, as well as in the employment of a half-wave filament supply which is synchronously operated with the transformer supply such that the transformer is pulsed during the zero current portions of the half-wave cycle.

  17. Application of laminoplasty of pedicled complex replantation on reconstruction of spinal canal at excision of intraspinal tumor%带蒂椎板复合体回植钛网固定在椎管内肿瘤治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    李同相; 肖睿; 官清; 李兴波; 魏书一

    2012-01-01

    目的 探讨带蒂椎板复合体回植、钛网固定,在椎管内肿瘤切除术中椎管重建的应用价值.方法 对13例椎管内肿瘤患者保留双侧关节突关节,根据椎管内肿瘤的大小,采用磨钻或微型咬骨钳沿双侧关节突内侧缘打开一个或多个椎板,切断一端棘上和棘间韧带,将椎板复合体翻转,椎管内肿瘤切除后再将其原位回植,钛网固定,重建椎管完整性和脊柱的稳定性.结果 13例椎管内肿瘤全部成功切除,切除椎板数2~4个,平均(2.5±0.5)个.1例因粘连致硬脊膜破损,1例哑铃型神经鞘瘤术后6个月复发.随访12~27个月,平均(13±0.5)个月,所有病例回植物稳定,无塌陷及椎管狭窄,术后肢体瘫痪Frankel分级均有不同程度提高.结论 椎管内肿瘤术中将带蒂椎板复合体翻转,术后用钛网回植固定,方法简便、安全,有利于保持椎管的完整性及脊柱的稳定性.%Objective To study the value of laminoplasty of pedicled complex replantation on reconstruction of spinal canal at excision of intraspinal tumor. Methods 13 patients with intraspinal canal tumors were treated in our hospital. Each case was reserved bilateral facet joint, one or several vertebral lamina were cut by burr drill or micro rongeur a-long the inner edge of bilateral facet joint, Superspinal and interspinal ligaments of one side were cut, then pedicelar vertebral lamina complex was retroflexed and intraspinal canal was exposured. After resection of the tumor, pedicelar verte-bral lamina complex was replanted and titanic mesh was fixated to reconstruct the integrity of vertebral canal and the sta-bility of spinal column. Results The tumors of 13 cases were totally resected, 2-4(2. 5±0. 5 on average) lamina were removed. 1 case of dura mater was injured for the adhesion, 1 case Dumbbell Schwannoma was recurred after 6 months. The patients were followed up for 12 to 27 months(13±0. 5 months on average),during which no collapse of the

  18. Application of Laminoplasty of Pedicled Complex Replantation on Reconstruction of Spinal Canal at Degenerative Lumbar Spinal Stenosis%带蒂椎板复合体回植钛网固定在退变性腰椎管狭窄治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    肖睿; 李同相; 官清; 李兴波; 魏书一

    2015-01-01

    Objective To investigate the therapeutic effects of laminoplasty of pedicled complex replantation on recon-struction of spinal canal at lumbar spinal stenosis. Methods The involved segments were determinged by symptoms, clinical fea-tures and radiographic at the initial examination. 15patients with lumbar spinal stenosis were treated in our hospital. Each case was reserved bilateral facet joint,one or several vertebral lamina were cut by burr drill or micro-rongeur along the inner edge of bilateral facet joint,Superspinal and interspinal ligaments of one side were cut,then pedicelar vertehral lamina complex was retroflexed and intraspinal canal was exposured. After Lumbar spinal canal decompression,pedicelar vertebral lamina complex was replanted and ti-tanic mesh was fixated to reconstruct the integrity of vertebral canal and the stability of spinal column. Application VAS and ODI scoring method for subjective and objective evaluation of clinical curative effect before and after operation. Results The patients were followed up for 12 to 28 months[(13 ± 0. 5) months on average],during which no collapse of the replanted tissues or spinal canal stenosis occurred. Postoperative patients VAS and ODI score significantly higher than before,the difference was statistically sig-nificant(P<0. 05). Conclusion Retroflexing pedicelar vertebral plate complex and fixating with titanium plate in the lumbar spi-nal stenosis is simple,safe. The spinal column active naturelv without limit postoperatively,the technique can maintain the spinal col-umn good stability and protect the spinal column from degradation.%目的:探讨带蒂椎板复合体回植、钛网固定行椎管成形术治疗退行性腰椎管狭窄症的临床疗效。方法根据临床表现和影像学检查确定减压部位,对15例退行性腰椎管狭窄患者保留双侧关节突关节,采用磨钻或微型咬骨钳沿双侧关节突内侧缘打开一个或多个椎板,切断一端棘上和棘间韧

  19. The electronic stethoscope.

    Science.gov (United States)

    Leng, Shuang; Tan, Ru San; Chai, Kevin Tshun Chuan; Wang, Chao; Ghista, Dhanjoo; Zhong, Liang

    2015-07-10

    Most heart diseases are associated with and reflected by the sounds that the heart produces. Heart auscultation, defined as listening to the heart sound, has been a very important method for the early diagnosis of cardiac dysfunction. Traditional auscultation requires substantial clinical experience and good listening skills. The emergence of the electronic stethoscope has paved the way for a new field of computer-aided auscultation. This article provides an in-depth study of (1) the electronic stethoscope technology, and (2) the methodology for diagnosis of cardiac disorders based on computer-aided auscultation. The paper is based on a comprehensive review of (1) literature articles, (2) market (state-of-the-art) products, and (3) smartphone stethoscope apps. It covers in depth every key component of the computer-aided system with electronic stethoscope, from sensor design, front-end circuitry, denoising algorithm, heart sound segmentation, to the final machine learning techniques. Our intent is to provide an informative and illustrative presentation of the electronic stethoscope, which is valuable and beneficial to academics, researchers and engineers in the technical field, as well as to medical professionals to facilitate its use clinically. The paper provides the technological and medical basis for the development and commercialization of a real-time integrated heart sound detection, acquisition and quantification system.

  20. The Effects of Antagonistic Actinomycetes G19 on Microbial Diversity in Replanted Peach Rhizosphere%拮抗放线菌G19对模拟再植毛桃根际微生物多样性的影响

    Institute of Scientific and Technical Information of China (English)

    邸宁; 刘志民; 马焕普

    2011-01-01

    为了了解不同处理对微生物多样性变化的影响,试验采用Biolog技术对施用拮抗放线菌发酵液后的毛桃根际微生物的多样性进行了分析,结果表明:施放线菌G-19后,其根际细菌和放线菌数量增加,真菌数量明显减少,与正常土的变化趋势相似;再植土则相反,真菌数量大幅上升,细菌数量下降.微生物代谢活性及微生物群落多样性指数显示施用了放线菌G-19的根际微生物也是最丰富和稳定的,毛桃幼苗的生长也以施放线菌G-19发酵液的效果最好,这说明拮抗放线菌G-19有改善桃再植土壤微生态的作用.%The aim was to compare the difference in microbial diversity of different treatments. In this study, microbial diversity of peach rhizosphere which fermented antagonistic actinomycetes was measured by Biolog Eco plate facilities. The results showed that the number of bacteria and actinomycetes in peach rhizosphere increased significantly and the number of fungi decreased. That was similar to the normal soil. By contrast, the number of fungi increased significantly and the number of bacteria and actinomycetes decreased in replant soil. Microbial metabolic activity and microbial community diversity index application of actinomycetes G19 in rhizosphere microorganisms was the most abundant and stable. Seedling growth of peach was the best after strains G19 fermentation broth treatment. It indicated that antagonistic actinomycetes G19 could improve the ecological environment of the soil in replant peach rhizosphere.

  1. 桩钉辅助玻璃离子粘结固定冠根纵折后牙再植治疗临床观察%Clinical observation on replantation of vertical fractured posterior teeth after bonding with glass ionomer cement and fixation with metal post

    Institute of Scientific and Technical Information of China (English)

    黎石坚; 陈燕; 陆兆威; 罗菊芬; 李民东

    2012-01-01

    Objective To investigate the therapeutic results on replantation of vertical fractured posterior teeth after bonding with glass ionomer cement and fixation with metal post. Methods A total of 40 vertical fractured posterior teeth were treated by extraction,root canal therapy,bonding with glass ionomer cement.fixation with metal post, replantation and coronal restoration. 36 of the 40 posterior teeth were completely followed up for 2 years and evaluated. Results Among 36 vertical fractured posterior teeth observed,the the successful reserved rate of 6 months was 100.00% (36/36),one year was 88.89% (32/36),two years was 80.56% (29/36) There were statistical significant differences of the reserved rate in difference period after therapy, the reserved rate became lower with observation time became longer. Conclusion The therapeutic results were satisfied with a 2-year reserved rate, and the method can be worth of clinical application.%目的:对桩钉辅助玻璃离子粘结固定冠根纵折的后牙行再植术并行冠修复的临床效果进行观察、评价.方法:选择40例牙体相对完好、牙周情况良好的纵裂的后牙,拔牙后即刻体外完成根管治疗,用玻璃离子粘固剂粘结并复位,冠部横向钻通,插入并粘结根管桩钉辅助固定,再植入牙槽窝,2个月后行全冠或连冠修复,随访2年,观察疗效.结果:除失访4例外,6个月的成功保存率为100.00%(36/36),1年的保存率为88.89%(32/36),2年的保存率为80.56%(29/36),成功率随术后时间延长而下降.结论:正确选择适应证,对桩钉辅助玻璃离子粘结固定冠根纵折的后牙再植治疗,可获得一定的效果满意,为临床保存治疗提供多一种选择.

  2. Basic electronics

    CERN Document Server

    Tayal, DC

    2010-01-01

    The second edition of this book incorporates the comments and suggestions of my friends and students who have critically studied the first edition. In this edition the changes and additions have been made and subject matter has been rearranged at some places. The purpose of this text is to provide a comprehensive and up-to-date study of the principles of operation of solid state devices, their basic circuits and application of these circuits to various electronic systems, so that it can serve as a standard text not only for universities and colleges but also for technical institutes. This book

  3. Electronic materials

    CERN Document Server

    Kwok, H L

    2010-01-01

    The electronic properties of solids have become of increasing importance in the age of information technology. The study of solids and materials, while having originated from the disciplines of physics and chemistry, has evolved independently over the past few decades. The classical treatment of solid-state physics, which emphasized classifications, theories and fundamental physical principles, is no longer able to bridge the gap between materials advances and applications. In particular, the more recent developments in device physics and technology have not necessarily been driven by new conc

  4. Electronic Router

    Science.gov (United States)

    Crusan, Jason

    2005-01-01

    Electronic Router (E-Router) is an application program for routing documents among the cognizant individuals in a government agency or other organization. E-Router supplants a prior 14 NASA Tech Briefs, May 2005 system in which paper documents were routed physically in packages by use of paper slips, packages could be lost, routing times were unacceptably long, tracking of packages was difficult, and there was a need for much photocopying. E-Router enables a user to create a digital package to be routed. Input accepted by E-Router includes the title of the package, the person(s) to whom the package is to be routed, attached files, and comments to reviewers. Electronic mail is used to notify reviewers of needed actions. The creator of the package can, at any time, see the status of the package in the routing structure. At the end of the routing process, E-Router keeps a record of the package and of approvals and/or concurrences of the reviewers. There are commercial programs that perform the general functions of E-Router, but they are more complicated. E-Router is Web-based, easy to use, and does not require the installation or use of client software.

  5. 电子支气管镜术在婴幼儿反复喘息性疾病中的诊疗价值%The value of electronic bronchoscopy in diagnosis and treatment of asthmatic disease in infants

    Institute of Scientific and Technical Information of China (English)

    方识进

    2014-01-01

    目的:探讨电子支气管镜术对婴幼儿反复喘息性疾病的诊断以及相关的治疗价值。方法将68例以反复喘息经常规治疗无效的患儿予表面局部麻醉后行电子支气管镜术,通过镜下直视观察及灌洗液病原学检查进一步明确病因,同时进行支气管肺泡灌洗和灌注抗生素等局部治疗,并评判其疗效和并发症发生情况。结果68例患儿经电子支气管镜检查,镜下明确诊断支气管内膜炎改变32例(47.05%),镜下表现炎症改变重、分泌物黏稠、痰栓阻塞,患儿经电子支气管镜支气管冲洗后,咳喘明显缓解,取得较好疗效。支气管狭窄14例(20.58%),支气管异物11例(16.17%),后经电子支气管镜成功取出4例,其余7例转入我院耳鼻喉科取出,支气管软化症9例(13.23%),支气管内膜结核2例。镜下表现为支气管内膜炎症的32例患儿,支气管肺泡灌洗液病原学检查阳性11例(34.37%),其中肺炎支原体6例,肺炎链球菌和结核杆菌各2例,肺炎克雷伯杆菌1例。并发症:3例患儿在术中出现一过性口唇紫绀或咳嗽剧烈,相应处理后均缓解,5例患儿在术后出现发热和咳嗽加重,经抗感染、雾化等相应对症处理后以上并发症均在2~3天内消失。结论电子支气管镜检查对反复喘息经常规治疗无效的小儿,在病因诊断及治疗具有一定的价值。%Objective To study the clinical value of electronic bronchoscopy in diagnosis and treatment of asthmatic disease in in-fants.Methods Total 68 infants who failed to respond to a routine therapy were examined by electronic bronchoscopy.It was used to identify the pathogeny with the methods of straight inspecting,collecting and examining bronchoalveolar lavage fluid (BALF)specimen.At the same time,therapy with bronchoalveolar lavage(BAL)and inject medicine were performed.Results All the 68 cases diagnosed

  6. Practical electronics handbook

    CERN Document Server

    Sinclair, Ian R

    2013-01-01

    Practical Electronics Handbook, Third Edition provides the frequently used and highly applicable principles of electronics and electronic circuits.The book contains relevant information in electronics. The topics discussed in the text include passive and active discrete components; linear and digital I.C.s; microprocessors and microprocessor systems; digital-analogue conversions; computer aids in electronics design; and electronic hardware components.Electronic circuit constructors, service engineers, electronic design engineers, and anyone with an interest in electronics will find the book ve

  7. Polypharmacy in chronic diseases-Reduction of Inappropriate Medication and Adverse drug events in older populations by electronic Decision Support (PRIMA-eDS): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Sönnichsen, Andreas; Trampisch, Ulrike S; Rieckert, Anja; Piccoliori, Giuliano; Vögele, Anna; Flamm, Maria; Johansson, Tim; Esmail, Aneez; Reeves, David; Löffler, Christin; Höck, Jennifer; Klaassen-Mielke, Renate; Trampisch, Hans Joachim; Kunnamo, Ilkka

    2016-01-29

    Multimorbidity is increasing in aging populations with a corresponding increase in polypharmacy as well as inappropriate prescribing. Depending on definitions, 25-50 % of patients aged 75 years or older are exposed to at least five drugs. Evidence is increasing that polypharmacy, even when guidelines advise the prescribing of each drug individually, can potentially cause more harm than benefit to older patients, due to factors such as drug-drug and drug-disease interactions. Several approaches reducing polypharmacy and inappropriate prescribing have been proposed, but evidence showing a benefit of these measures regarding clinically relevant endpoints is scarce. There is an urgent need to implement more effective strategies. We therefore set out to develop an evidence-based electronic decision support (eDS) tool to aid physicians in reducing inappropriate prescribing and test its effectiveness in a large-scale cluster-randomized controlled trial. The "Polypharmacy in chronic diseases-Reduction of Inappropriate Medication and Adverse drug events in older populations" (PRIMA)-eDS tool is a tool comprising an indication check and recommendations for the reduction of polypharmacy and inappropriate prescribing based on systematic reviews and guidelines, the European list of inappropriate medications for older people, the SFINX-database of interactions, the PHARAO-database on adverse effects, and the RENBASE-database on renal dosing. The tool will be evaluated in a cluster-randomized controlled trial involving 325 general practitioners (GPs) and around 3500 patients across five study centres in the United Kingdom, Germany, Austria and Italy. GP practices will be asked to recruit 11 patients aged 75 years or older who are taking at least eight medications and will be cluster-randomized after completion of patient recruitment. Intervention GPs will have access to the PRIMA-eDS tool, while control GPs will treat their patients according to current guidelines (usual care

  8. Delayed tooth replantation after root surface treatment with sodium hypochlorite and sodium fluoride: histomorphometric analysis in rats Reimplante dentário tardio após o tratamento da superfície radicular com hipoclorito de sódio e fluoreto de sódio: análise histomorfométrica em ratos

    Directory of Open Access Journals (Sweden)

    André Dotto Sottovia

    2006-04-01

    Full Text Available In cases of delayed tooth replantation, non-vital periodontal ligament remnants have been removed with sodium hypochlorite in an attempt to control root resorption. Nevertheless, reports of its irritating potential in contact with the alveolar connective tissue have been described. Therefore, this study evaluated the healing process on delayed replantation of rat teeth, after periodontal ligament removal by different treatment modalities. Twenty-four rats, assigned to 3 groups (n=8, had their upper right incisor extracted and left on the workbench for desiccation during 60 min. Afterwards, the teeth in group I were immersed in saline for 2 min. In group II, root surfaces were scrubbed with gauze soaked in saline for 2 min; and in group III, scrubbing was done with gauze soaked in 1% sodium hypochlorite solution. Thereafter, root surfaces were etched with 37% phosphoric acid and immersed in 2% acidulate-phosphate sodium fluoride solution, at pH 5.5. Root canals were filled with a calcium hydroxide-based paste and the teeth were replanted. The animals were sacrificed 60 days postoperatively and the pieces containing the replanted teeth were processed and paraffin- embedded. Semi-serial transversally sections were obtained from the middle third of the root and stained with hematoxylin and eosin for histomorphometric analysis. Data were analyzed statistically using Kruskal-Wallis and Dunn's tests. The results showed that root structure and cementum extension were more affected by resorption in group III (pEm reimplante dentário tardio, o ligamento periodontal desvitalizado tem sido removido empregando-se o hipoclorito de sódio, buscando o controle da reabsorção radicular. Relatos de efeito irritante no tecido conjuntivo alveolar após o seu uso, têm sido descritos. Isso justificou a realização deste trabalho buscando minimizar esse inconveniente. Para isso 24 ratos, divididos em 3 grupos de 8 animais, tiveram o incisivo superior direito extra

  9. 瘤段截骨加热70℃蒸馏水中15 min:灭活回植治疗腓骨近端骨肿瘤%Replantation of inactivated tumor segment boiled in 70℃ distilled water for 15 minutes in the treatment of proximal fibular tumors

    Institute of Scientific and Technical Information of China (English)

    包毅敏; 张国梁; 杜佩晋; 王跃文

    2014-01-01

    BACKGROUND:Apart from a complete resection of tumor tissues, the therapeutic goal for bone tumors is to maximize the repair and restoration of tissue defects and damaged functions. Autologous inactivated bone graft is of practical value for transplantation and reconstruction. OBJECTIVE:To investigate the effect of improved Malawer method combined with replantation of inactivated tumor segment in the treatment of proximal fibular tumors. METHODS: Since 2007, five patients with proximal fibular tumors (six sides) were admitted in the Affiliated Hospital of Inner Mongolia Medical University. These five patients were subjected to distal femoral amputation, intralesional curettage and bone grafting, upper fibular osteotomy + tumor segment heating (boiling in 70℃ distiled water for 15 minutes) + inactivated bone replantation. Therapeutic effects were folowed. RESULTS AND CONCLUSION: One case of amputation had no recurrence and systemic metastasis during 4 years of folow-up; one case of intralesional curettage and bone grafting relapsed 1 year after operation; three cases of upper fibular osteotomy + tumor segment heating + inactivated bone replantation folowed for 5 months recovered walking function and exhibited good healing of the outer structure of the knee, showing non-healing of inactivated tumor segment, non-remarkable calus formation, no local tumor recurrence, no loosening of internal fixation, and inactivated bone without fracture and absorption. These results confirmed that the tumor curettage and amputation both have obvious limitations; based on Malawer method, the replantation of inactive tumor segment can better ensure the structure integrity of the lower leg and in suit reconstruct the lateral biceps femoris tendon and the lateral colateral ligament, but geneticaly the revascularization and healing of inactivated bones wil be difficult and slow with temperature increases, and therefore the period of postoperative brace protection should be relatively

  10. Electronic Preprints

    Science.gov (United States)

    Hanisch, R.

    1999-12-01

    Despite the tremendous advances in electronic publications and the increasing rapidity with which papers are now moving from acceptance into ``print,'' preprints continue to be an important mode of communication within the astronomy community. The Los Alamos e-preprint service, astro-ph, provides for rapid and cost-free (to authors and readers) dissemination of manuscripts. As the use of astro-ph has increased the number of paper preprints in circulation to libraries has decreased, and institutional preprint series appear to be waning. It is unfortunate, however, that astro-ph does not function in collaboration with the refereed publications. For example, there is no systematic tracking of manuscripts from preprint to their final, published form, and as a centralized archive it is difficult to distribute the tracking and maintenance functions. It retains documents that have been superseded or have become obsolete. We are currently developing a distributed preprint and document management system which can support both distributed collections of preprints (e.g., traditional institutional preprint series), can link to the LANL collections, can index other documents in the ``grey'' literature (observatory reports, telescope and instrument user's manuals, calls for proposals, etc.), and can function as a manuscript submission tool for the refereed journals. This system is being developed to work cooperatively with the refereed literature so that, for example, links to preprints are updated to links to the final published papers.

  11. Sustainable Management of Electronics

    Science.gov (United States)

    To provide information on EPAs strategy for electronics stewardship, certified electronics recyclers and the Challenge; as well as where to donate unwanted electronics, how to calculate benefits, and what's going on with electronics mgmt in their states.

  12. EDITORIAL: Synaptic electronics Synaptic electronics

    Science.gov (United States)

    Demming, Anna; Gimzewski, James K.; Vuillaume, Dominique

    2013-09-01

    Conventional computers excel in logic and accurate scientific calculations but make hard work of open ended problems that human brains handle easily. Even von Neumann—the mathematician and polymath who first developed the programming architecture that forms the basis of today's computers—was already looking to the brain for future developments before his death in 1957 [1]. Neuromorphic computing uses approaches that better mimic the working of the human brain. Recent developments in nanotechnology are now providing structures with very accommodating properties for neuromorphic approaches. This special issue, with guest editors James K Gimzewski and Dominique Vuillaume, is devoted to research at the serendipitous interface between the two disciplines. 'Synaptic electronics', looks at artificial devices with connections that demonstrate behaviour similar to synapses in the nervous system allowing a new and more powerful approach to computing. Synapses and connecting neurons respond differently to incident signals depending on the history of signals previously experienced, ultimately leading to short term and long term memory behaviour. The basic characteristics of a synapse can be replicated with around ten simple transistors. However with the human brain having around 1011 neurons and 1015 synapses, artificial neurons and synapses from basic transistors are unlikely to accommodate the scalability required. The discovery of nanoscale elements that function as 'memristors' has provided a key tool for the implementation of synaptic connections [2]. Leon Chua first developed the concept of the 'The memristor—the missing circuit element' in 1971 [3]. In this special issue he presents a tutorial describing how memristor research has fed into our understanding of synaptic behaviour and how they can be applied in information processing [4]. He also describes, 'The new principle of local activity, which uncovers a minuscule life-enabling "Goldilocks zone", dubbed the

  13. AN APPLICATION OF ELECTRONIC AMPLIFIER STETHOSCOPE

    Directory of Open Access Journals (Sweden)

    Alper KAÇAR

    2014-05-01

    Full Text Available Electronic stethoscopes are one of the important medical devices which affects the self-diagnostic or remote diagnostic in medical area. Rather the general stethoscopes, electronic ones increases the sound amplitude and quality. By filtering ambient noise, they can be used for advance analysis of heart or lung related diseases.

  14. Ampiify : Opening oportunities on outdated electronics

    OpenAIRE

    Oko Mambo-Matala, Ngatye-Brian

    2012-01-01

    The disposal of electronic waste is becoming one of the growing problems that the planet is facing. Tons of electronic waste is dumped illegally to 3rd world countries. Consequently the local people in those countries are exposed to levels of toxicity that could cause them serious diseases as well as the degradation on the natural ecosystems. The electronic waste is perceived as useless by our society, and this project aims to challenge that idea by looking at sustainable ways of manipulating...

  15. Electronic Mimosa

    Science.gov (United States)

    Gupta, Sanjay; Datta, Meera S.; Rana, Vivek; Grover, Shailesh

    1996-04-01

    This paper describes the design of a low-cost, 2D, electromagnetic tracking device for personal computers. This interface makes use of the well-known principle of electromagnetic induction to locate the position of a transmitter in an x-y plane. This device has a ring which is worn by the user on the index finger. The computer monitor is overlaid with a transparent screen equipped with tuned electromagnetic sensors. These sensors pick up the signals transmitted by the transmitter coil on the finger. The receiver circuit extracts the envelope of the received signal and digitizes it. These digitized values of x and y axis signals are read by the computer through the standard parallel port. The system software running on the computer calculates the x and y co-ordinates of the transmitter coil and displays a cursor at that location. The transmitter also has a button which can be used like a mouse button. This keypress information is also transmitted by the electromagnetic means. The device driver for this tracker replaces the standard mouse driver. Hence most applications which use a mouse can also use this tracker. Its name `Mimosa' indicates that the user need not touch the screen (Mimosa Pudica is the Latin name of a plant whose leaves wilt when touched). Presently work is on to achieve uniform sensitivity over the entire screen and reducing transmitter power consumption. In order to demonstrate its working, a small, 3D game was written. The player has to reach a pre-defined location after traversing through a maze. The paper describes the interface electronics, system software, mechanical design and the sample application.

  16. Carbon Nanotube Electron Gun

    Science.gov (United States)

    Nguyen, Cattien V. (Inventor); Ribaya, Bryan P. (Inventor)

    2013-01-01

    An electron gun, an electron source for an electron gun, an extractor for an electron gun, and a respective method for producing the electron gun, the electron source and the extractor are disclosed. Embodiments provide an electron source utilizing a carbon nanotube (CNT) bonded to a substrate for increased stability, reliability, and durability. An extractor with an aperture in a conductive material is used to extract electrons from the electron source, where the aperture may substantially align with the CNT of the electron source when the extractor and electron source are mated to form the electron gun. The electron source and extractor may have alignment features for aligning the electron source and the extractor, thereby bringing the aperture and CNT into substantial alignment when assembled. The alignment features may provide and maintain this alignment during operation to improve the field emission characteristics and overall system stability of the electron gun.

  17. 社区慢性病患者电子健康档案真实性研究%Authenticity of Electronic Health Records of Community Chronic Disease Patients

    Institute of Scientific and Technical Information of China (English)

    潘晓雅; 刘妙兰; 叶玉妹; 王梦月; 陈大庆

    2016-01-01

    Objective To investigate the authenticity of electronic health records( EHRs)of community chronic disease patients,in order to provide corresponding suggestions for the quality management of community EHRs. Methods In August 2014,using simple random sampling method,we collected electronic health records of 500 chronic disease patients from Wutian Community Health Service Centre of Ouhai District in Wenzhou. Using 2013 Zhejiang Hytertension/ Diabetes Health Record Verification form revised according to the pre - survey results,we collected information from the included records,and the telephone interview was made on the patients. Results The rate of loss to follow - up was 35. 6% (178 / 500),and the authenticity rate of the records with complete follow - up was 70. 2% (226 / 322). The situation of unauthentic records was as follows:26(27. 1% )patients who had records of hypertension/ diabetes denied having hypertension/ diabetes;25(26. 0% ) patients who had physical examination records denied having physical examination;42(43. 8% )patients who had follow - up records denied having face - to - face follow - up;6(6. 3% )patients had≥3 follow - up items inconsistent with their answers;and 3(3. 1% )patients had physical records inconsistent with face - to face follow - up records. Conclusion The authenticity rate of the EHRs of chronic disease patients in the community health centers is low and the lost rate is high. Government should improve relevant policy;primary health care settings should strengthen supervision and management;people who establish records should participate in the quality assessment of EHRs,in order to improve the authenticity of EHRs.%目的:了解社区慢性病患者电子健康档案的真实性,为社区电子健康档案质量管理提出相应建议。方法于2014年8月,采用简单随机抽样的方法,在温州市瓯海区梧田街道社区卫生服务中心抽取慢性病患者电子健康档案500份。采用根据

  18. Efficacy and safety of glycopyrrolate/eFlow(®) CS (nebulized glycopyrrolate) in moderate-to-very-severe COPD: Results from the glycopyrrolate for obstructive lung disease via electronic nebulizer (GOLDEN) 3 and 4 randomized controlled trials.

    Science.gov (United States)

    Kerwin, Edward; Donohue, James F; Goodin, Thomas; Tosiello, Robert; Wheeler, Alistair; Ferguson, Gary T

    2017-07-19

    SUN-101 is a combination of glycopyrrolate delivered through an innovative, electronic nebulizer, intended for the treatment of patients with COPD. The objective of this study was to assess the efficacy and safety of this new drug device combination. Replicate Phase III randomized, double-blind, placebo-controlled studies were conducted to evaluate the efficacy and safety of glycopyrrolate solution administered by an investigational eFlow(®) Closed System (eFlow(®) CS) nebulizer in subjects with moderate-to-very-severe COPD, including those with continued background use of a long-acting beta2-agonist ± inhaled corticosteroid and/or history of cardiovascular (CV) disease. Subjects were randomized in a 1:1:1 ratio to receive placebo or glycopyrrolate (25 μg or 50 μg twice daily [BID]) for 12 weeks. The primary efficacy endpoint was the change from baseline in trough forced expiratory volume in 1 s (FEV1) at Week 12 compared with placebo. Secondary endpoints included change from baseline in forced vital capacity (FVC) after 12 weeks, change from baseline in health status measured by St George's Respiratory Questionnaire (SGRQ) at 12 weeks/end of study (EOS), and change in rescue medication use, as well as change from baseline in FEV1 area under the curve from 0 to 12 h after 12 weeks in the GOLDEN 3 sub-study. Daytime and night-time symptoms were recorded using an electronic diary. Safety was monitored throughout the study, including major adverse cardiovascular events. A total of 653 subjects were randomized in GOLDEN 3 and 641 in GOLDEN 4. Treatment with glycopyrrolate 25 μg BID and 50 μg BID resulted in statistically significant and clinically important changes from baseline in trough FEV1 compared with placebo at Week 12 (GOLDEN 3: 0.105 L and 0.126 L; p ≤ 0.0001; GOLDEN 4: 0.084 L and 0.082 L; p ≤ 0.0001). Nebulized glycopyrrolate 25 μg BID and 50 μg BID also resulted in improvements in FVC change from baseline versus placebo at

  19. Comparing electronic news media reports of potential bioterrorism-related incidents involving unknown white powder to reports received by the United States Centers for Disease Control and Prevention and the Federal Bureau of Investigation: U.S.A., 2009-2011.

    Science.gov (United States)

    Fajardo, Geroncio C; Posid, Joseph; Papagiotas, Stephen; Lowe, Luis

    2015-01-01

    There have been periodic electronic news media reports of potential bioterrorism-related incidents involving unknown substances (often referred to as "white powder") since the 2001 intentional dissemination of Bacillus anthracis through the U.S. Postal System. This study reviewed the number of unknown "white powder" incidents reported online by the electronic news media and compared them with unknown "white powder" incidents reported to the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Federal Bureau of Investigation (FBI) during a 2-year period from June 1, 2009 and May 31, 2011. Results identified 297 electronic news media reports, 538 CDC reports, and 384 FBI reports of unknown "white powder." This study showed different unknown "white powder" incidents captured by each of the three sources. However, the authors could not determine the public health implications of this discordance.

  20. Heart Disease

    Science.gov (United States)

    ... type of heart disease you have. Symptoms of heart disease in your blood vessels (atherosclerotic disease) Cardiovascular disease ... can sometimes be found early with regular evaluations. Heart disease symptoms caused by abnormal heartbeats (heart arrhythmias) A ...

  1. Nano-Electronics and Bio-Electronics

    Science.gov (United States)

    Srivastava, Deepak; Kwak, Dochan (Technical Monitor)

    2001-01-01

    Viewgraph presentation on Nano-Electronics and Bio-Electronics is discussed. Topics discussed include: NASA Ames nanotechnology program, Potential Carbon Nanotube (CNT) application, CNT synthesis,Computational Nanotechnology, and protein nanotubes.

  2. Electronics for LHC Experiments

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This document gathers the abstracts of most presentations made at this workshop on electronics for the large hadron collider (LHC) experiments. The presentations were arranged into 6 sessions: 1) electronics for tracker, 2) trigger electronics, 3) detector control systems, 4) data acquisition, 5) electronics for calorimeters and electronics for muons, and 6) links, power systems, grounding and shielding, testing and quality assurance.

  3. Efeito do alopurinol e terapia com oxigênio hiperbárico em modelo de reimplante de membro após isquemia quente em ratos Effect of allopurinol and hyperbaric oxygen therapy in a limb replantation model after warm ischemia in rats

    Directory of Open Access Journals (Sweden)

    Marcelo Sacramento Cunha

    2005-04-01

    Full Text Available OBJETIVO: A isquemia prolongada leva a alterações na microcirculação tecidual e liberação de radicais livres do oxigênio conhecidas como fenômeno de não reperfusão. Foi testado um modelo experimental de reimplante de membro após isquemia quente e os efeitos do fármaco alopurinol e da terapia com oxigênio hiperbárico. MÉTODO: Foram realizadas amputações com preservação dos vasos e nervos dos membros posteriores direitos em 95 ratos. Os grupos modelos M1, M2, M3, M4 e M5 foram submetidos à isquemia quente de 0, 2, 4, 6 e 8 horas. As taxas de viabilidade dos membros isquêmicos após sete dias de avaliação foram 100%, 80%, 63,6%, 50% e 20%. Os grupos experimentais E1 e E2 foram tratados, respectivamente, com alopurinol e terapia com oxigênio hiperbárico após isquemia de 6 horas. As taxas de viabilidade foram 70% e 30%. Os resultados foram analisados estatisticamente pelo teste do Qui-quadrado. RESULTADOS: Os grupos M1, M2, M3, M4 e M5 foram estatisticamente diferentes entre si exceto os grupos M3 e M4. E1 resultou em uma viabilidade de membros maior que M4 e E2 resultou em uma viabilidade de membros menor que M4(resultados estatisticamente significantes. CONCLUSÕES: Os resultados sugerem que a administração do alopurinol após isquemia do membro por 6 horas aumenta a taxa de viabilidade dos membros isquêmicos, e a terapia com oxigênio hiperbárico diminuiu a viabilidade dos membros isquêmicos.BACKGROUND: Prolonged ischemia leads to alterations in tissue microcirculation and oxygen free radicals production. This event is called no reflow phenomenon and its management is a challenge to the surgeon dealing with replantation. It was tested a replantation model after warm ischemia in rats and the effectiveness of allopurinol and hyperbaric oxigen therapy. METHODS: Amputation with preservation of vessels and nerves of the right hind limb was proceeded in 95 rats. The groups M1, M2, M3, M4 and M5 were submitted to 0, 2, 4, 6

  4. Effect of self-efficacy intervention on the self-management behavior of patients with replantation of severed fingers%自我效能干预对断指再植患者自我管理行为的影响

    Institute of Scientific and Technical Information of China (English)

    王桂芝; 王维维

    2012-01-01

    Objective: To investigate the effect of self - efficacy intervention on the self - management behavior of patients with replantation of severed fingers. Methods: 60 patients were randomly divided into observation and control groups ( 30 cases in each group ). The conventional microsurgical nursing care was implemented in the control group, including observation on the blood supply of limbs, prohibition of active or passive smoking, immobilization of the affected limb, etc. ; the patients in the observation group were given intervention on self - management behavior in the light of self - efficacy theory based on the conventional nursing care, including incentives, social support, alternative experience, goal setting and avoiding negative stimulus. Results: There were statistically significant differences in the comparison of the self - efficacy and self - management behavior scores between the two groups before and after the intervention, the difference in the comparison of the difference value of score of each factor of self - management behavior was statistically significant between the two groups before and after the intervention ( P <0. 05 ). Conclusion: The self - efficacy intervention can effectively improve self - management behavior of patients with replantation of severed fingers and reduce the incidence of vascular crisis.%目的:探讨自我效能干预对断指再植患者自我管理行为的影响.方法:将60例患者随机分为观察组和对照组各30例.对照组给予断指再植术后显微外科常规护理,包括肢体血运观察、禁止主动或被动吸烟、患肢制动等;观察组在常规护理基础上,运用自我效能理论对患者进行自我管理行为的干预,包括激励、社会支持、替代经验、目标设置、负性刺激回避.结果:两组患者干预前后自我效能和自我管理行为得分差值比较差异有统计学意义,且两组患者干预前后自我管理行为各项因子分差值比

  5. Interface Electronic Circuitry for an Electronic Tongue

    Science.gov (United States)

    Keymeulen, Didier; Buehler, Martin

    2007-01-01

    Electronic circuitry has been developed to serve as an interface between an electronic tongue and digital input/output boards in a laptop computer that is used to control the tongue and process its readings. Electronic tongues can be used for a variety of purposes, including evaluating water quality, analyzing biochemicals, analyzing biofilms, and measuring electrical conductivities of soils.

  6. Flexible Transparent Electronic Gas Sensors.

    Science.gov (United States)

    Wang, Ting; Guo, Yunlong; Wan, Pengbo; Zhang, Han; Chen, Xiaodong; Sun, Xiaoming

    2016-07-01

    Flexible and transparent electronic gas sensors capable of real-time, sensitive, and selective analysis at room-temperature, have gained immense popularity in recent years for their potential to be integrated into various smart wearable electronics and display devices. Here, recent advances in flexible transparent sensors constructed from semiconducting oxides, carbon materials, conducting polymers, and their nanocomposites are presented. The sensing material selection, sensor device construction, and sensing mechanism of flexible transparent sensors are discussed in detail. The critical challenges and future development associated with flexible and transparent electronic gas sensors are presented. Smart wearable gas sensors are believed to have great potential in environmental monitoring and noninvasive health monitoring based on disease biomarkers in exhaled gas.

  7. Surgical technique of alcohol-inactivated autograft replantation with articulation preservation in management of malignant bone tumor around knee%保留关节的瘤段切除酒精灭活再植术在膝关节周围恶性骨肿瘤治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    许宋锋; 于秀淳; 徐明; 刘晓平; 宋若先; 付志厚

    2012-01-01

    Objective To evaluate the clinical outcome of alcohol-inactivated autograft replantation with articulation preservation in management of malignant bone tumor around knee, and explain the surgical technique. Methods Seven patients were treated with alcohol-inactivated autograft replantation with articulation preservation from January 2010 to November 2011, including six males and one female, with the median age of 21 years (16 to 23 years). Five neoplasms were located in left distal femur, one in right distal femur, and one in left proximal fibula involving tibia. According to Enneking tumor staging, six patients were identified as stage ⅡB,one as stage Ⅲ. Six patients were diagnosed as osteosarcoma and one as non-Hodgkin' s lymphoma. The postoperative results were evaluated by MSTS limb function score system and ISOLS composite graft evaluation method. Combining the operation process, surgical technique and perioperative key points were explained. Results All seven patients achieved primary healing. With the mean follow-up time of 17 months (8 to 24 months), there was no infection, recurrence, loosening or limb length inequality. The mean ISOLS graft score was 31 (87% ) (range 30 -34). The mean MSTS function score was 25 (84%) (range 22-25 ). Conclusions These results suggest that alcohol-inactivated autograft replantation with articulation preservation could improve the short-term limb function, avoiding complications of prosthesis. With strict indications, good surgical technique and perioperative managements, fine clinical outcome could be achieved. It is relatively economic- applicable for patients and could be an option among surgical treatments. The clinical outcomes in long-term still need to be investigated.%目的 探讨保留关节的酒精灭活骨再植术在膝关节周围恶性骨肿瘤治疗中的应用,并阐述其手术技术要点.方法 2010年1月至2011年5月采用保留关节的瘤段切除酒精灭活再植术治疗

  8. DISEASE MANAGEMENT INFORMATION SYSTEM

    OpenAIRE

    Bens Pardamean; Anindito; Anjela Djoeang; Nana Tobing

    2013-01-01

    The study designed an information system model for Disease Management (DisMan) that met the specifications and needs of a consumer electronics manufacturer. The diseases monitored by this study were diabetes, hypertension and tuberculosis. Data were collected through interviews with the companyâs human resources department and occupational health provider. As for the model, literature and online research were conducted to collect health standards and information system standards on existing D...

  9. Electron beam focusing system

    Energy Technology Data Exchange (ETDEWEB)

    Dikansky, N.; Nagaitsev, S.; Parkhomchuk, V.

    1997-09-01

    The high energy electron cooling requires a very cold electron beam. Thus, the electron beam focusing system is very important for the performance of electron cooling. A system with and without longitudinal magnetic field is presented for discussion. Interaction of electron beam with the vacuum chamber as well as with the background ions and stored antiprotons can cause the coherent electron beam instabilities. Focusing system requirements needed to suppress these instabilities are presented.

  10. Electronics and Information

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ Previously founded as CCPITMachinery and Electronics Sub-council and CCOIC Machinery and Electronics Chamber of Corn-merce in June, 1988, CCPIT Electronics Sub-Council and CCOIC Electronics Chamber of Commerce were established in May, 1993, and then renamed as CCPIT Electronics and Information Industry Sub-council and CCOIC Electronics and Infor-mation Industry Chamber of Commerce (CCPITECC) in September 1999.

  11. Electronic Correlations in Electron Transfer Systems

    Science.gov (United States)

    Bulla, Ralf; Tornow, Sabine; Anders, Frithjof

    Electron transfer processes play a central role in many chemical and biological systems. Already the transfer of a single electron from the donor to the acceptor can be viewed as a complicated many-body problem, due to the coupling of the electron to the infinitely many environmental degrees of freedom, realized by density fluctuations of the solvent or molecular vibrations of the protein matrix. We focus on the quantum mechanical modelling of two-electron transfer processes whose dynamics is governed by the Coulomb interaction between the electrons as well as the environmental degrees of freedoms represented by a bosonic bath. We identify the regime of parameters in which concerted transfer of the two electrons occurs and discuss the influence of the Coulomb repulsion and the coupling strength to the environment on the electron transfer rate. Calculations are performed using the non-perturbative numerical renormalization group approach for both equilibrium and non-equilibrium properties.

  12. The Electronic Patient Reported Outcome Tool: Testing Usability and Feasibility of a Mobile App and Portal to Support Care for Patients With Complex Chronic Disease and Disability in Primary Care Settings

    Science.gov (United States)

    Gill, Ashlinder; Khan, Anum Irfan; Hans, Parminder Kaur; Kuluski, Kerry; Cott, Cheryl

    2016-01-01

    Background People experiencing complex chronic disease and disability (CCDD) face some of the greatest challenges of any patient population. Primary care providers find it difficult to manage multiple discordant conditions and symptoms and often complex social challenges experienced by these patients. The electronic Patient Reported Outcome (ePRO) tool is designed to overcome some of these challenges by supporting goal-oriented primary care delivery. Using the tool, patients and providers collaboratively develop health care goals on a portal linked to a mobile device to help patients and providers track progress between visits. Objectives This study tested the usability and feasibility of adopting the ePRO tool into a single interdisciplinary primary health care practice in Toronto, Canada. The Fit between Individuals, Fask, and Technology (FITT) framework was used to guide our assessment and explore whether the ePRO tool is: (1) feasible for adoption in interdisciplinary primary health care practices and (2) usable from both the patient and provider perspectives. This usability pilot is part of a broader user-centered design development strategy. Methods A 4-week pilot study was conducted in which patients and providers used the ePRO tool to develop health-related goals, which patients then monitored using a mobile device. Patients and providers collaboratively set goals using the system during an initial visit and had at least 1 follow-up visit at the end of the pilot to discuss progress. Focus groups and interviews were conducted with patients and providers to capture usability and feasibility measures. Data from the ePRO system were extracted to provide information regarding tool usage. Results Six providers and 11 patients participated in the study; 3 patients dropped out mainly owing to health issues. The remaining 8 patients completed 210 monitoring protocols, equal to over 1300 questions, with patients often answering questions daily. Providers and patients

  13. Electron Microscopy Center (EMC)

    Data.gov (United States)

    Federal Laboratory Consortium — The Electron Microscopy Center (EMC) at Argonne National Laboratory develops and maintains unique capabilities for electron beam characterization and applies those...

  14. Lung disease

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000066.htm Lung disease To use the sharing features on this page, ... fibrosis and sarcoidosis are examples of lung tissue disease. Lung circulation diseases -- These diseases affect the blood vessels ...

  15. Gaucher disease

    OpenAIRE

    POSPÍŠILOVÁ, Iva

    2012-01-01

    This thesis is about the disease called Gaucher disease, or Morbus Gaucher. There is described the history of the disease, various forms of disease, effect of bones, visceral organs, hematological changes, changes in metabolism etc.; differential diagnosis, diagnosis and therapy.

  16. Investigations on Electronic Materials

    OpenAIRE

    E. Pugnor; T. Kormány

    1982-01-01

    Electronics has been described as a materials oriented technology. In this sense a short review is given concerning: the connection of materials characterization to the design and processing of electronic components; the most important materials characterization methods used for electronic materials; the strategy of organizing a complete material characterization system for selected electronic components.

  17. Electron-attachment processes

    Science.gov (United States)

    Christophorou, L. G.; McCorkle, D. L.; Christodoulides, A. A.

    Topics covered include: modes of production of negative ions, techniques for the study of electron attachment processes, dissociative electron attachment to ground state molecules, dissociative electron attachment to hot molecules (effects of temperature on dissociative electron attachment), molecular parent negative ions, and negative ions formed by ion pair processes and by collisions of molecules with ground state and Rydberg atoms.

  18. Electronic Health Records

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Electronic Health Records KidsHealth > For Teens > Electronic Health Records Print A A A What's in ... t happen overnight, they are coming. Understanding EHRs Electronic health records (EHR) — also called electronic medical records ( ...

  19. Introduction to electronics

    CERN Document Server

    CERN. Geneva

    2005-01-01

    Electronics in HEP experiments: specificities and evolution The Art of Electronics: is there something beyond Ohm's law? Basic building blocks of Analog electronics: quickly understanding a schematic Charge preamps, current preamps and future preamps, shaping and the rest Electronics noise: fundamental and practical Evolution of technology: ASICs, FPGAs...

  20. Introduction to Electronics course

    CERN Document Server

    CERN. Geneva HR-RFA

    2006-01-01

    Electronics in HEP experiments: specificities and evolution The Art of Electronics: is there something beyond Ohm's law? Basic building blocks of Analog electronics: quickly understanding a schematic Charge preamps, current preamps and future preamps, shaping and the rest Electronics noise: fundamental and practical Evolution of technology: ASICs, FPGAs...

  1. Electronic Health Records

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Electronic Health Records KidsHealth > For Teens > Electronic Health Records A A A What's in this ... t happen overnight, they are coming. Understanding EHRs Electronic health records (EHR) — also called electronic medical records ( ...

  2. Introduction to Electronic Marketing.

    Science.gov (United States)

    Dilbeck, Lettie

    These materials for a five-unit course were developed to introduce secondary and postsecondary students to the use of electronic equipment in marketing. The units cover the following topics: electronic marketing as a valid marketing approach; telemarketing; radio electronic media marketing; television electronic media marketing; and cable TV…

  3. Hybrid printed electronics

    NARCIS (Netherlands)

    Koetse, M.; Smits, E.; Rubingh, E.; Teunissen, P.; Kusters, R.; Abbel, R.; Brand, J. van den

    2016-01-01

    Although many electronic functionalities can be realized by printed or organic electronics, short-term marketable products often require robust, reproducible, and nondisturbing technologies. In this chapter we show how hybrid electronics, a combination of printed circuitry, thin-film electronics,

  4. Electron transfer reactions

    CERN Document Server

    Cannon, R D

    2013-01-01

    Electron Transfer Reactions deals with the mechanisms of electron transfer reactions between metal ions in solution, as well as the electron exchange between atoms or molecules in either the gaseous or solid state. The book is divided into three parts. Part 1 covers the electron transfer between atoms and molecules in the gas state. Part 2 tackles the reaction paths of oxidation states and binuclear intermediates, as well as the mechanisms of electron transfer. Part 3 discusses the theories and models of the electron transfer process; theories and experiments involving bridged electron transfe

  5. Electronics engineer's reference book

    CERN Document Server

    Mazda, F F

    1989-01-01

    Electronics Engineer's Reference Book, Sixth Edition is a five-part book that begins with a synopsis of mathematical and electrical techniques used in the analysis of electronic systems. Part II covers physical phenomena, such as electricity, light, and radiation, often met with in electronic systems. Part III contains chapters on basic electronic components and materials, the building blocks of any electronic design. Part IV highlights electronic circuit design and instrumentation. The last part shows the application areas of electronics such as radar and computers.

  6. Practical microwave electron devices

    CERN Document Server

    Meurant, Gerard

    2013-01-01

    Practical Microwave Electron Devices provides an understanding of microwave electron devices and their applications. All areas of microwave electron devices are covered. These include microwave solid-state devices, including popular microwave transistors and both passive and active diodes; quantum electron devices; thermionic devices (including relativistic thermionic devices); and ferrimagnetic electron devices. The design of each of these devices is discussed as well as their applications, including oscillation, amplification, switching, modulation, demodulation, and parametric interactions.

  7. Electronics engineer's reference book

    CERN Document Server

    Turner, L W

    1976-01-01

    Electronics Engineer's Reference Book, 4th Edition is a reference book for electronic engineers that reviews the knowledge and techniques in electronics engineering and covers topics ranging from basics to materials and components, devices, circuits, measurements, and applications. This edition is comprised of 27 chapters; the first of which presents general information on electronics engineering, including terminology, mathematical equations, mathematical signs and symbols, and Greek alphabet and symbols. Attention then turns to the history of electronics; electromagnetic and nuclear radiatio

  8. Single electron-ics with carbon nanotubes

    NARCIS (Netherlands)

    Götz, G.T.J.

    2010-01-01

    We experimentally investigate Quantum Dots, formed in Carbon Nanotubes. The first part of this thesis deals with charge sensing on such quantum dots. The charge sensor is a metallic Single-electron-transistor, sensitive to the charge of a single electron on the quantum dot. We use this technique for

  9. Electron-electron interactions in disordered systems

    CERN Document Server

    Efros, AL

    1985-01-01

    ``Electron-Electron Interactions in Disordered Systems'' deals with the interplay of disorder and the Coulomb interaction. Prominent experts give state-of-the-art reviews of the theoretical and experimental work in this field and make it clear that the interplay of the two effects is essential, especially in low-dimensional systems.

  10. Monitoring the Halitosis with an Electronic Nose

    Science.gov (United States)

    Marchetti, Enrico; Pennazza, Giorgio; Santonico, Marco; Capuano, Rosamaria; Mummolo, Stefano; Marzo, Giuseppe; Di Natale, Corrado

    2011-09-01

    Halitosis disease results in a distinctive volatile fingerprint of the individual exhaled breath. Here a QMB based electronic nose has been used to study such fingerprints. This study aimed at following the time evolution of halitosis conditions in patients undergoing two different treatments. Professional operators assessed oral odor, and their evaluation was used for classifier training. Results show that the electronic nose can identify the presence of oral malodor and the attenuation of the condition achieved by the application of the treatment.

  11. Mitochondrial dysfunctions in neurodegenerative diseases: relevance to Alzheimer's disease.

    Science.gov (United States)

    Hroudová, Jana; Singh, Namrata; Fišar, Zdeněk

    2014-01-01

    Mitochondrial dysfunctions are supposed to be responsible for many neurodegenerative diseases dominating in Alzheimer's disease (AD), Parkinson's disease (PD), and Huntington's disease (HD). A growing body of evidence suggests that defects in mitochondrial metabolism and particularly of electron transport chain may play a role in pathogenesis of AD. Structurally and functionally damaged mitochondria do not produce sufficient ATP and are more prominent in producing proapoptotic factors and reactive oxygen species (ROS), and this can be an early stage of several mitochondrial disorders, including neurodegenerative diseases. Mitochondrial dysfunctions may be caused by both mutations in mitochondrial or nuclear DNA that code mitochondrial components and by environmental causes. In the following review, common aspects of mitochondrial impairment concerned about neurodegenerative diseases are summarized including ROS production, impaired mitochondrial dynamics, and apoptosis. Also, damaged function of electron transport chain complexes and interactions between pathological proteins and mitochondria are described for AD particularly and marginally for PD and HD.

  12. VIRTUAL ELECTRONIC COMPONENTS OF THE ELECTRONIC EQUIPMENT

    Directory of Open Access Journals (Sweden)

    E. Lazarevich

    2013-01-01

    Full Text Available The article is present new idea of the creation, developments and improvements of the electronic equipment of complex systems by means of the virtual electronic components. The idea of the virtual electronic components is a presentation and perception of the creation and developments of the equipment on two forming: real – in the manner of standard marketed block of the intellectual property and image – in the manner of virtual component. The real component in most cases slows the development of the electronic equipment. The imaginary component is the «locomotive» of development of the electronic equipment. The Imaginary component contains the scientific has brushed against developer. The scientific has brushed against developer reveals of itself in the manner of virtual component on the modern level of the design rates of microelectronics.

  13. Electron transporting semiconducting polymers in organic electronics.

    Science.gov (United States)

    Zhao, Xingang; Zhan, Xiaowei

    2011-07-01

    Significant progress has been achieved in the preparation of semiconducting polymers over the past two decades, and successful commercial devices based on them are slowly beginning to enter the market. However, most of the conjugated polymers are hole transporting, or p-type, semiconductors that have seen a dramatic rise in performance over the last decade. Much less attention has been devoted to electron transporting, or n-type, materials that have lagged behind their p-type counterparts. Organic electron transporting materials are essential for the fabrication of organic p-n junctions, organic photovoltaic cells (OPVs), n-channel organic field-effect transistors (OFETs), organic light-emitting diodes (OLEDs) and complementary logic circuits. In this critical review we focus upon recent developments in several classes of electron transporting semiconducting polymers used in OLEDs, OFETs and OPVs, and survey and analyze what is currently known concerning electron transporting semiconductor architecture, electronic structure, and device performance relationships (87 references).

  14. Assessment of Basal Stem Rot Disease Distribution in Palm Oil Plantation Using Geographical Information System

    Directory of Open Access Journals (Sweden)

    Tengku Mohd Azahar

    2014-12-01

    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE The concurrent advances in global positioning systems (GPS and Geographical Information Systems (GIS techniques have provided powerful analysis tools for precision agriculture. This study will focus on how Geographical Information System (GIS can help to assess the distribution Basal Stem Rot Diseases (BSR on oil palm plantation. Basal Stem Rot (BSR is caused by Ganoderma Boninense, and it is the most serious disease for oil palm trees in Malaysia. The fungus infects oil palm trees, initially causing yield loss and finally killing the trees. Various factors were previously reported to influence incidence of BSR, such as previous crops, techniques for replanting, types of soils, density and the age of trees. At present, effective and sustainable management strategies to control BSR are hampered mainly by a lack of understanding of mechanisms of disease establishment, development and spread. The study aims to apply spatial analysis methods to investigate the behaviours of BSR. Data for analysis were obtained from oil palm plantation at Teluk Intan, Perak, Malaysia. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";}

  15. Electronics for dummies

    CERN Document Server

    Shamieh

    2015-01-01

    Explore the basic concepts of electronics, build your electronics workbench, and begin creating fun electronics projects right away! Electronics For Dummies, 3rd Edition is your guide to the world of electronics. Spanning circuitry, wiring, robotics, transmitters, amplifiers, and more, this book demystifies electricity basics and beyond. The third edition offers new content revised to reflect the latest advancements in the electronics field, and it offers full color project examples to spark your creativity and inspire you to put your new skills to use! Packed with projects that can be comple

  16. High energy electron cooling

    Energy Technology Data Exchange (ETDEWEB)

    Parkhomchuk, V. [Budker Institute of Nuclear Physics, Novosibirsk (Russian Federation)

    1997-09-01

    High energy electron cooling requires a very cold electron beam. The questions of using electron cooling with and without a magnetic field are presented for discussion at this workshop. The electron cooling method was suggested by G. Budker in the middle sixties. The original idea of the electron cooling was published in 1966. The design activities for the NAP-M project was started in November 1971 and the first run using a proton beam occurred in September 1973. The first experiment with both electron and proton beams was started in May 1974. In this experiment good result was achieved very close to theoretical prediction for a usual two component plasma heat exchange.

  17. RHIC electron lenses upgrades

    Energy Technology Data Exchange (ETDEWEB)

    Gu, X. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Altinbas, Z. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Bruno, D. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Binello, S. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Costanzo, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Drees, A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Fischer, W. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Gassner, D. M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Hock, J. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Hock, K. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Harvey, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Luo, Y. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Marusic, A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Mi, C. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Mernick, K. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Minty, M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Michnoff, R. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Miller, T. A. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Pikin, A. I. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Robert-Demolaize, G. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Samms, T. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Shrey, T. C. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Schoefer, V. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Tan, Y. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Than, R. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; Thieberger, P. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.; White, S. M. [Brookhaven National Lab. (BNL), Upton, NY (United States). Collider-Accelerator Dept.

    2015-05-03

    In the Relativistic Heavy Ion Collider (RHIC) 100 GeV polarized proton run in 2015, two electron lenses were used to partially compensate for the head-on beam-beam effect for the first time. Here, we describe the design of the current electron lens, detailing the hardware modifications made after the 2014 commissioning run with heavy ions. A new electron gun with 15-mm diameter cathode is characterized. The electron beam transverse profile was measured using a YAG screen and fitted with a Gaussian distribution. During operation, the overlap of the electron and proton beams was achieved using the electron backscattering detector in conjunction with an automated orbit control program.

  18. Electronic Commerce and Competitive Procurement

    Science.gov (United States)

    1991-06-01

    Explains the application of electronic commerce techniques (electronic data interchange (EDI), electronic mail (E-mail), electronic bulletin boards...purchase procedures of the Federal Acquisition Regulation (FAR). Changes to the FAR to recognize electronic commerce are recommended. Also discussed...are opportunities to use electronic commerce and small business and legal considerations of electronic commerce . This report describes how electronic

  19. A preliminary electron microscopic investigation into the interaction between Aβ1-42 peptide and a novel nanoliposome- coupled retro-inverso peptide inhibitor, developed as a potential treatment for Alzheimer's disease

    Science.gov (United States)

    Sherer, M.; Fullwood, N. J.; Taylor, M.; Allsop, D.

    2015-10-01

    Alzheimer's disease (AD) is a progressive neurodegenerative condition that results in severe cognitive and functional decline in sufferers and for which there are currently no effective treatments to halt or reverse disease progression. AD is the most common form of dementia and age is the major risk factor for this disease. With worldwide population structures changing as increasing number of individuals survive into old age, there is urgent need for novel disease modifying treatments for this condition, which has profound effects upon sufferers in addition to those around them. Some of us have previously developed a peptide inhibitor of Aβ1-42 aggregation (RI-OR2-TAT) that has been shown to reduce Aβ1-42 pathology in vivo in mouse models of AD. ∼1690 copies of RI-OR2-TAT have been covalently attached to nanoliposome carrier particles forming Peptide Inhibitor NanoParticles (PINPs), and this study investigated the effect of PINPs upon Aβ1-42 aggregation at the molecular level. Our results show that PINPs are able to reduce Aβ1-42 aggregation and do so by binding early (oligomers) and late (fibrillar) stage aggregates. These results highlight the ability of PINPs to disrupt the formation of multiple Aβ1-42 aggregates capable of causing neurotoxicity and thus provide a strong case for PINPs to be carried forward into early stage clinical trials as a novel therapeutic option for the treatment of AD.

  20. Hashimoto's Disease

    Science.gov (United States)

    ... is Hashimoto’s disease? Hashimoto’s disease, also called chronic lymphocytic thyroiditis or autoimmune thyroiditis, is an autoimmune disease. An ... Points to Remember • Hashimoto’s disease, also called chronic lymphocytic thyroiditis or autoimmune thyroiditis, is an autoimmune disease. • Hashimoto’s ...

  1. Mycosis fungoides. Electron beam therapy.

    Science.gov (United States)

    Spittle, M F

    1977-01-01

    The most effective treatment of late mycosis fungoides is total skin electron beam therapy. The beam at the Hammersmith Hospital in London has been adapted to treat these patients. Patients with advanced disease who have failed more conservative methods of treatment are irradiated. The electron beam is modified by the use of carbon and copper scatterers to produce an 80 percent depth dose at 5.5, 8 and 11.5 millimeters below the skin surface. The dose achieved in most patients is between 1500 rads and 2600 rads given in 10 to 13 treatments over 5-7 weeks. Recently the higher dose range has been employed and lithium flouride studies have shown that giving these doses from each of 4 fields, the dose achieved on the skin is approximately twice the given dose. The management of patients and the effects of treatment are discussed.

  2. Certified Electronics Recyclers

    Science.gov (United States)

    Learn how EPA encourages all electronics recyclers become certified by demonstrating to an accredited, independent third-party auditor and that they meet specific standards to safely recycle and manage electronics.

  3. Chapter 9: Electronics

    OpenAIRE

    Spieler, Helmuth G

    2008-01-01

    Sophisticated front-end electronics are a key part of practically all modern radiation detector systems. This chapter introduces the basic principles and their implementation. Topics include signal acquisition, electronic noise, pulse shaping (analog and digital), and data readout techniques.

  4. Chapter 9: Electronics

    Energy Technology Data Exchange (ETDEWEB)

    Grupen, Claus; Shwartz, Boris A.

    2006-12-19

    Sophisticated front-end electronics are a key part of practically all modern radiation detector systems. This chapter introduces the basic principles and their implementation. Topics include signal acquisition, electronic noise, pulse shaping (analog and digital), and data readout techniques.

  5. Presidential Electronic Records Library

    Data.gov (United States)

    National Archives and Records Administration — PERL (Presidential Electronic Records Library) used to ingest and provide internal access to the Presidential electronic Records of the Reagan, Bush, and Clinton...

  6. THE ELECTRONIC SIGNATURE

    Directory of Open Access Journals (Sweden)

    Voiculescu Madalina Irena

    2009-05-01

    Full Text Available Article refers to significance and the digital signature in electronic commerce. Internet and electronic commerce open up many new opportunities for the consumer, yet, the security (or perceived lack of security of exchanging personal and financial data

  7. Electronic Submission of Labels

    Science.gov (United States)

    Pesticide registrants can provide draft and final labels to EPA electronically for our review as part of the pesticide registration process. The electronic submission of labels by registrants is voluntary but strongly encouraged.

  8. Chapter 9: Electronics

    Energy Technology Data Exchange (ETDEWEB)

    Grupen, Claus; Shwartz, Boris A.

    2006-12-19

    Sophisticated front-end electronics are a key part of practically all modern radiation detector systems. This chapter introduces the basic principles and their implementation. Topics include signal acquisition, electronic noise, pulse shaping (analog and digital), and data readout techniques.

  9. Laboratory Handbook Electronics

    CERN Multimedia

    1966-01-01

    Laboratory manual 1966 format A3 with the list of equipment cables, electronic tubes, chassis, diodes transistors etc. One of CERN's first material catalogue for construction components for mechanical and electronic chassis.

  10. Electron shuttles in biotechnology.

    Science.gov (United States)

    Watanabe, Kazuya; Manefield, Mike; Lee, Matthew; Kouzuma, Atsushi

    2009-12-01

    Electron-shuttling compounds (electron shuttles [ESs], or redox mediators) are essential components in intracellular electron transfer, while microbes also utilize self-produced and naturally present ESs for extracellular electron transfer. These compounds assist in microbial energy metabolism by facilitating electron transfer between microbes, from electron-donating substances to microbes, and/or from microbes to electron-accepting substances. Artificially supplemented ESs can create new routes of electron flow in the microbial energy metabolism, thereby opening up new possibilities for the application of microbes to biotechnology processes. Typical examples of such processes include halogenated-organics bioremediation, azo-dye decolorization, and microbial fuel cells. Herein we suggest that ESs can be applied widely to create new microbial biotechnology processes.

  11. Electronics materials research

    Science.gov (United States)

    1982-01-01

    The electronic materials and is aimed at the establishment of quantitative relationships underlying crystal growth parameters, materials properties, electronic characteristics and device applications. The overall program evolves about the following main thrust areas: (1) crystal growth novel approaches to engineering of semiconductor materials; (2) investigation of materials properties and electronic characteristics on a macro and microscale; (3) surface properties and surface interactions with the bulk and ambients; (4) electronic properties controlling device applications and device performance.

  12. Thermography of electronic devices

    OpenAIRE

    Panfilova S. P.; Vlasov A. I.; Gridnev V. N.; Chervinsky A. S.

    2007-01-01

    The possibility of application of thermography to diagnose the electronic devices is analyzed in the article. Typical faults of electronic devices which can be found by means of thermography are given. Advantages of noncontact thermal inspection in comparison with the contact one are described. Some features of thermography of electronic devices are considered. Thermography apparatus is viewed and some pieces of advice about choosing it for electronic devices diagnosis are given. An example o...

  13. Electronics and computer acronyms

    CERN Document Server

    Brown, Phil

    1988-01-01

    Electronics and Computer Acronyms presents a list of almost 2,500 acronyms related to electronics and computers. The material for this book is drawn from a number of subject areas, including electrical, electronics, computers, telecommunications, fiber optics, microcomputers/microprocessors, audio, video, and information technology. The acronyms also encompass avionics, military, data processing, instrumentation, units, measurement, standards, services, organizations, associations, and companies. This dictionary offers a comprehensive and broad view of electronics and all that is associated wi

  14. Extreme environment electronics

    CERN Document Server

    Cressler, John D

    2012-01-01

    Unfriendly to conventional electronic devices, circuits, and systems, extreme environments represent a serious challenge to designers and mission architects. The first truly comprehensive guide to this specialized field, Extreme Environment Electronics explains the essential aspects of designing and using devices, circuits, and electronic systems intended to operate in extreme environments, including across wide temperature ranges and in radiation-intense scenarios such as space. The Definitive Guide to Extreme Environment Electronics Featuring contributions by some of the world's foremost exp

  15. Mechanical Engineering for Electronics.

    OpenAIRE

    Was, Loïc

    2012-01-01

    Schlumberger drilling tools are exposed to very hard loading conditions (shocks, vibrations, thermal cycling) while performing a job. As these tools are full of electronics, issues can quickly come from electronics failure. Mechanisms of failure occurring in electronics are very complex but can be predicted in some cases. The first part of the thesis describes in which context mechanical engineering applied to electronics is used in Schlumberger. The different kinds of failure which will be i...

  16. Handbook on electronic commerce

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, M. [Illinois Univ., Urbana, IL (United States). Beckman Inst. for Advanced Science and Technology; Blanning, R. [Vanderbilt Univ., Nashville, TN (United States). Owen Graduate School of Management; Strader, T. [Iowa State Univ., Ames, IA (United States). Management Information Systems; Whinston, A. [eds.] [Texas Univ., Austin, TX (United States). Dept. of Management Science and Information Systems

    2000-07-01

    The world is undergoing a revolution to a digital economy, with pronounced implications for corporate strategy, marketing, operations, information systems, customer services, global supply-chain management, and product distribution. This handbook examines the aspects of electronic commerce, including electronic storefront, on-line business, consumer interface, business-to-business networking, digital payment, legal issues, information product development, and electronic business models. Indispensable for academics, students and professionals who are interested in Electronic Commerce and Internet Business. (orig.)

  17. Atomicity in Electronic Commerce,

    Science.gov (United States)

    1996-01-01

    tremendous demand for the ability to electronically buy and sell goods over networks. Electronic commerce has inspired a large variety of work... commerce . It then briefly surveys some major types of electronic commerce pointing out flaws in atomicity. We pay special attention to the atomicity...problems of proposals for digital cash. The paper presents two examples of highly atomic electronic commerce systems: NetBill and Cryptographic Postage Indicia.

  18. Kawasaki Disease

    Science.gov (United States)

    Kawasaki disease is a rare childhood disease. It makes the walls of the blood vessels in the ... veins, and capillaries. No one knows what causes Kawasaki disease. Symptoms include High fever that lasts longer ...

  19. Alzheimer Disease

    Science.gov (United States)

    ... CPR: A Real Lifesaver Kids Talk About: Coaches Alzheimer Disease KidsHealth > For Kids > Alzheimer Disease Print A A ... slow it down. When Someone You Love Has Alzheimer Disease You might feel sad or angry — or both — ...

  20. Crohn's Disease

    Science.gov (United States)

    Crohn's disease causes inflammation of the digestive system. It is one of a group of diseases called inflammatory ... small intestine called the ileum. The cause of Crohn's disease is unknown. It may be due to an ...

  1. Crohn disease

    Science.gov (United States)

    ... from doing your everyday activities. You have side effects from medicines you are taking for your condition. Alternative Names Crohn's disease; Inflammatory bowel disease - Crohn's disease; Regional enteritis; Ileitis; ...

  2. Meniere's Disease

    Science.gov (United States)

    ... Meniere's disease can affect your social life, your productivity and the overall quality of your life. Learn ... www.mayoclinic.org/diseases-conditions/menieres-disease/basics/definition/CON-20028251 . Mayo Clinic Footer Legal Conditions and ...

  3. Kawasaki disease

    Science.gov (United States)

    ... lymph node syndrome; Infantile polyarteritis Images Kawasaki's disease - edema of the hand Kawasaki's disease, peeling of the fingertips References Dominguez SR, Anderson MS. Advances in the treatment of Kawasaki disease. Curr Opin Pediatr . 2013;25( ...

  4. Gaucher's Disease

    Science.gov (United States)

    ... of developing the most common variety of Gaucher's disease. Gaucher's disease may increase the risk of: Growth delays ... illness can be difficult, but having a rare disease like Gaucher's may be even harder. Few people know about ...

  5. Huntington's Disease

    Science.gov (United States)

    Huntington's disease (HD) is an inherited disease that causes certain nerve cells in the brain to waste ... express emotions. If one of your parents has Huntington's disease, you have a 50 percent chance of ...

  6. Sever's Disease

    Science.gov (United States)

    ... take place on hard surfaces, such as track, basketball, soccer, and gymnastics. Sever's disease also can result ... diagnosing Sever's disease, some doctors order them to rule out other problems, such as fractures. Sever's disease ...

  7. Celiac Disease

    Science.gov (United States)

    ... digestive problems called inflammatory bowel disease (IBD) or lactose intolerance . And in some cases, a kid won't ... for Kids With Celiac Disease Inflammatory Bowel Disease Lactose Intolerance Are Your Bowels Moving? Indigestion Nut and Peanut ...

  8. Syringe-injectable electronics.

    Science.gov (United States)

    Liu, Jia; Fu, Tian-Ming; Cheng, Zengguang; Hong, Guosong; Zhou, Tao; Jin, Lihua; Duvvuri, Madhavi; Jiang, Zhe; Kruskal, Peter; Xie, Chong; Suo, Zhigang; Fang, Ying; Lieber, Charles M

    2015-07-01

    Seamless and minimally invasive three-dimensional interpenetration of electronics within artificial or natural structures could allow for continuous monitoring and manipulation of their properties. Flexible electronics provide a means for conforming electronics to non-planar surfaces, yet targeted delivery of flexible electronics to internal regions remains difficult. Here, we overcome this challenge by demonstrating the syringe injection (and subsequent unfolding) of sub-micrometre-thick, centimetre-scale macroporous mesh electronics through needles with a diameter as small as 100 μm. Our results show that electronic components can be injected into man-made and biological cavities, as well as dense gels and tissue, with >90% device yield. We demonstrate several applications of syringe-injectable electronics as a general approach for interpenetrating flexible electronics with three-dimensional structures, including (1) monitoring internal mechanical strains in polymer cavities, (2) tight integration and low chronic immunoreactivity with several distinct regions of the brain, and (3) in vivo multiplexed neural recording. Moreover, syringe injection enables the delivery of flexible electronics through a rigid shell, the delivery of large-volume flexible electronics that can fill internal cavities, and co-injection of electronics with other materials into host structures, opening up unique applications for flexible electronics.

  9. Technology of Electronic Signatur

    OpenAIRE

    2004-01-01

    An electronic signature uses a hash of message and an asymetrical algorithm of encryption for its generation. During verification of message on receiver side the hash of original message must be identical with the hash of received message. Electronic message is secured autentization of author and integrity of transmission date. By electronic signature it is possible to sign everything what is in digital form.

  10. ELECTRONS IN NONPOLAR LIQUIDS.

    Energy Technology Data Exchange (ETDEWEB)

    HOLROYD,R.A.

    2002-10-22

    Excess electrons can be introduced into liquids by absorption of high energy radiation, by photoionization, or by photoinjection from metal surfaces. The electron's chemical and physical properties can then be measured, but this requires that the electrons remain free. That is, the liquid must be sufficiently free of electron attaching impurities for these studies. The drift mobility as well as other transport properties of the electron are discussed here as well as electron reactions, free-ion yields and energy levels, Ionization processes typically produce electrons with excess kinetic energy. In liquids during thermalization, where this excess energy is lost to bath molecules, the electrons travel some distance from their geminate positive ions. In general the electrons at this point are still within the coulombic field of their geminate ions and a large fraction of the electrons recombine. However, some electrons escape recombination and the yield that escapes to become free electrons and ions is termed G{sub fi}. Reported values of G{sub fi} for molecular liquids range from 0.05 to 1.1 per 100 eV of energy absorbed. The reasons for this 20-fold range of yields are discussed here.

  11. Syringe injectable electronics

    Science.gov (United States)

    Hong, Guosong; Zhou, Tao; Jin, Lihua; Duvvuri, Madhavi; Jiang, Zhe; Kruskal, Peter; Xie, Chong; Suo, Zhigang; Fang, Ying; Lieber, Charles M.

    2015-01-01

    Seamless and minimally-invasive three-dimensional (3D) interpenetration of electronics within artificial or natural structures could allow for continuous monitoring and manipulation of their properties. Flexible electronics provide a means for conforming electronics to non-planar surfaces, yet targeted delivery of flexible electronics to internal regions remains difficult. Here, we overcome this challenge by demonstrating syringe injection and subsequent unfolding of submicrometer-thick, centimeter-scale macroporous mesh electronics through needles with a diameter as small as 100 micrometers. Our results show that electronic components can be injected into man-made and biological cavities, as well as dense gels and tissue, with > 90% device yield. We demonstrate several applications of syringe injectable electronics as a general approach for interpenetrating flexible electronics with 3D structures, including (i) monitoring of internal mechanical strains in polymer cavities, (ii) tight integration and low chronic immunoreactivity with several distinct regions of the brain, and (iii) in vivo multiplexed neural recording. Moreover, syringe injection enables delivery of flexible electronics through a rigid shell, delivery of large volume flexible electronics that can fill internal cavities and co-injection of electronics with other materials into host structures, opening up unique applications for flexible electronics. PMID:26053995

  12. Arduino electronics blueprints

    CERN Document Server

    Wilcher, Don

    2015-01-01

    This book is intended for those who want to learn about electronics and coding by building amazing devices and gadgets with Arduino. If you are an experienced developer who understands the basics of electronics, then you can quickly learn how to build smart devices using Arduino. The only experience needed is a desire to learn about electronics, circuit breadboarding, and coding.

  13. Electron measurement in PHENIX

    Energy Technology Data Exchange (ETDEWEB)

    Akiba, Y. [Univ. of Tokyo, Tanashi (Japan)

    1995-07-15

    Electron Measurement in PHENIX detector at RHIC is discussed. The yield and S/N ratio at vector meson peaks ({phi}, {omega}, {rho}{sup o}, and J/{psi}) are evaluated. The electrons from open charm decay, and its consequence to the di-electron measurements is discussed.

  14. EFFECTIVE ELECTRONIC TUTORIAL

    Directory of Open Access Journals (Sweden)

    Andrei A. Fedoseev

    2014-01-01

    Full Text Available The article analyzes effective electronic tutorials creation and application based on the theory of pedagogy. Herewith the issues of necessary electronic tutorial functional, ways of the educational process organization with the use of information and communication technologies and the logistics of electronic educational resources are touched upon. 

  15. Ribbing disease

    Directory of Open Access Journals (Sweden)

    Mukkada Philson

    2010-01-01

    Full Text Available Ribbing disease is a rare sclerosing dysplasia that involves long tubular bones, especially the tibia and femur. It occurs after puberty and is reported to be more common in women. In this article we describe how Ribbing disease can be differentiated from diseases like Engelmann-Camurati disease, van Buchem disease, Erdheim-Chester disease, osteoid osteoma, chronic osteomyelitis, stress fracture, etc.

  16. Bladder Diseases

    Science.gov (United States)

    ... frequent, urgent urination Bladder cancer Doctors diagnose bladder diseases using different tests. These include urine tests, x- ... National Institute of Diabetes and Digestive and Kidney Diseases

  17. 不同浓度有机物料发酵流体对连作苹果幼树叶片光合荧光参数和根系抗氧化酶活性的影响%Effect of Different Concentrations of Organic Matter Fermentation Fluid on the Young Apple Tree Leaf Photosynthesis Fluorescent Parameters and Root Antioxidant Activity Under Replant Conditions

    Institute of Scientific and Technical Information of China (English)

    尹承苗; 张先富; 胡艳丽; 沈向; 陈学森; 吴树敬; 毛志泉

    2014-01-01

    %处理的苹果幼树叶片中叶绿素a、叶绿素b、类胡萝卜素和叶绿素(a+b)含量呈现逐渐升高的趋势,在春、夏、秋季3%处理的各色素含量均为最高,在春季3%的各色素含量分别为同期对照的1.17、1.34、1.09和1.22倍;在夏季3%处理的各色素含量分别为同期对照的1.18、1.29、1.11和1.21倍;在秋季3%的各色素含量分别为同期对照的1.52、2.23、1.42和1.65倍;3%处理的连作苹果幼树叶片Pn、Tr、Gs分别比对照增加了13.8%、27.3%和17.3%。【结论】不同浓度的机物料发酵流体对连作苹果幼树的株高、叶片光合特性和根系相关抗氧化酶活性的影响不同,1%、3%、5%浓度有机物料发酵流体均可减轻苹果连作障碍,浓度高于5%的有机物料发酵流体则抑制了苹果幼树的生长。综合研究结果,推荐使用3%浓度的有机物料发酵流体,可较有效地减轻苹果连作障碍。%Objective The Fuji/Malus robusta biennial plants were selected as the test materials, and potted with continuous cropping soil. Effect of different concentrations of organic matter fermentation fluid on the young apple tree leaf photosynthesis fluorescent parameters and root antioxidant activity under replant conditions was studied.[Method]Fuji/Malus robusta biennial grafted plants were planted in clay basins. Six organic matter concentrations in the fermentation fluid were designed: CK, CK+1% (T1), CK+3% (T2), CK+5% (T3), CK+7% (T4) and CK+9% (T5). The plant height and basal diameter of young apple tree, superoxide dismutase (SOD) activities, catalase (CAT) activities, peroxidase (POD) activities of roots of young apple tree, the net photosynthetic rate (Pn), transpiration rate (Tr), stomatal conductance (Gs), intercellular carbon dioxide concentration (Ci), actual PSⅡefficiency (ΦPSⅡ), efficiency of light energy capture by open PSⅡ reaction centers (Fv′/Fm′), non-photochemical quenching of PSⅡ(NPQ), quantum

  18. Polarized Electron Source Developments

    Energy Technology Data Exchange (ETDEWEB)

    Charles K. Sinclair

    1990-02-23

    Presently, only two methods of producing beams of polarized electrons for injection into linear accelerators are in use. Each of these methods uses optical pumping by circularly polarized light to produce electron polarization. In one case, electron polarization is established in metastable helium atoms, while in the other case, the polarized electrons are produced in the conduction band of appropriate semiconductors. The polarized electrons are liberated from the helium metastable by chemi-ionization, and from the semiconductors by lowering the work function at the surface of the material. Developments with each of these sources since the 1988 Spin Physics Conference are reviewed, and the prospects for further improvements discussed.

  19. Soldering in electronics assembly

    CERN Document Server

    Judd, Mike

    2013-01-01

    Soldering in Electronics Assembly discusses several concerns in soldering of electronic assemblies. The book is comprised of nine chapters that tackle different areas in electronic assembly soldering. Chapter 1 discusses the soldering process itself, while Chapter 2 covers the electronic assemblies. Chapter 3 talks about solders and Chapter 4 deals with flux. The text also tackles the CS and SC soldering process. The cleaning of soldered assemblies, solder quality, and standards and specifications are also discussed. The book will be of great use to professionals who deal with electronic assem

  20. Ultracold Ordered Electron Beam

    Science.gov (United States)

    Habs, D.; Kramp, J.; Krause, P.; Matl, K.; Neumann, R.; Schwalm, D.

    1988-01-01

    We have started an experimental program to develop an ultracold electron beam, which can be used together with a standard electron cooling device in the Heidelberg Test Storage Ring TSR. In contrast to the standard-type design using electron beam extraction from a heated cathode, the ultracold beam is produced by photoemission of electrons from a cooled semiconductor crystal irradiated with an intense near-infrared laser light beam. Adiabatic acceleration is expected to provide ordering of the electron beam itself. Besides the cooling of ion beams to extremely low temperatures, with the aim of obtaining crystallization, the ultracold beam will constitute an excellent target for atomic physics experiments.

  1. Ultracold ordered electron beam

    Energy Technology Data Exchange (ETDEWEB)

    Habs, D.; Kramp, J.; Krause, P.; Matl, K.; Neumann, R.; Schwalm, D.

    1988-01-01

    We have started an experimental program to develop an ultracold electron beam, which can be used together with a standard electron cooling device in the Heidelberg Test Storage Ring TSR. In contrast to the standard-type design using electron beam extraction beam extraction from a heated cathode, the ultracold beam is produced by photoemission of electrons from a cooled semiconductor crystal irradiated with an intense near-infrared laser light beam. Adiabatic acceleration is expected to provide ordering of the electron beam itself. Besides the cooling of ion beams to extremely low temperatures, with the aim of obtaining crystallization, the ultracold beam will constitute an excellent target for atomic physics experiments.

  2. Electronic equipment packaging technology

    CERN Document Server

    Ginsberg, Gerald L

    1992-01-01

    The last twenty years have seen major advances in the electronics industry. Perhaps the most significant aspect of these advances has been the significant role that electronic equipment plays in almost all product markets. Even though electronic equipment is used in a broad base of applications, many future applications have yet to be conceived. This versatility of electron­ ics has been brought about primarily by the significant advances that have been made in integrated circuit technology. The electronic product user is rarely aware of the integrated circuits within the equipment. However, the user is often very aware of the size, weight, mod­ ularity, maintainability, aesthetics, and human interface features of the product. In fact, these are aspects of the products that often are instrumental in deter­ mining its success or failure in the marketplace. Optimizing these and other product features is the primary role of Electronic Equipment Packaging Technology. As the electronics industry continues to pr...

  3. Advanced adhesives in electronics

    CERN Document Server

    Bailey, C

    2011-01-01

    Adhesives are widely used in the manufacture of electronic devices to act as passive and active components. Recently there has been considerable interest in the use of conductive adhesives. This book reviews key types of conductive adhesives, processing methods, properties and the way they can be modelled as well as potential applications.$bAdhesives for electronic applications serve important functional and structural purposes in electronic components and packaging, and have developed significantly over the last few decades. Advanced adhesives in electronics reviews recent developments in adhesive joining technology, processing and properties. The book opens with an introduction to adhesive joining technology for electronics. Part one goes on to cover different types of adhesive used in electronic systems, including thermally conductive adhesives, isotropic and anisotropic conductive adhesives and underfill adhesives for flip-chip applications. Part two focuses on the properties and processing of electronic ...

  4. Electron crystallography and aquaporins.

    Science.gov (United States)

    Schenk, Andreas D; Hite, Richard K; Engel, Andreas; Fujiyoshi, Yoshinori; Walz, Thomas

    2010-01-01

    Electron crystallography of two-dimensional (2D) crystals can provide information on the structure of membrane proteins at near-atomic resolution. Originally developed and used to determine the structure of bacteriorhodopsin (bR), electron crystallography has recently been applied to elucidate the structure of aquaporins (AQPs), a family of membrane proteins that form pores mostly for water but also other solutes. While electron crystallography has made major contributions to our understanding of the structure and function of AQPs, structural studies on AQPs, in turn, have fostered a number of technical developments in electron crystallography. In this contribution, we summarize the insights electron crystallography has provided into the biology of AQPs, and describe technical advancements in electron crystallography that were driven by structural studies on AQP 2D crystals. In addition, we discuss some of the lessons that were learned from electron crystallographic work on AQPs.

  5. Automotive electronics design fundamentals

    CERN Document Server

    Zaman, Najamuz

    2015-01-01

    This book explains the topology behind automotive electronics architectures and examines how they can be profoundly augmented with embedded controllers. These controllers serve as the core building blocks of today’s vehicle electronics. Rather than simply teaching electrical basics, this unique resource focuses on the fundamental concepts of vehicle electronics architecture, and details the wide variety of Electronic Control Modules (ECMs) that enable the increasingly sophisticated "bells & whistles" of modern designs.  A must-have for automotive design engineers, technicians working in automotive electronics repair centers and students taking automotive electronics courses, this guide bridges the gap between academic instruction and industry practice with clear, concise advice on how to design and optimize automotive electronics with embedded controllers.

  6. Coconut lethal yellowing diseases: a phytoplasma threat to palms of global economic and social significance

    Directory of Open Access Journals (Sweden)

    Gurr M Geoff

    2016-10-01

    Full Text Available The recent discovery of Bogia Coconut Syndrome in Papua New Guinea is the first report of a lethal yellowing disease (LYD in Oceania. Numerous outbreaks of LYDs of coconut have been recorded in the Caribbean and Africa since the late 19th century and have caused the death of millions of palms across several continents during the 20th century. Despite the severity of economic losses, it was only in the 1970s that the causes of LYDs were identified as phytoplasmas, a group of insect-transmitted bacteria associated with diseases in many other economically important crop species. Since the development of polymerase chain reaction (PCR technology, knowledge of LYDs epidemiology, ecology and vectors has grown rapidly. There is no economically viable treatment for LYDs and vector-based management is hampered by the fact that vectors have been positively identified in very few cases despite many attempted transmission trials. Some varieties and hybrids of coconut palm are known to be less susceptible to LYD but none are completely resistant. Optimal and current management of LYD is through strict quarantine, prompt detection and destruction of symptomatic palms, and replanting with less susceptible varieties or crop species. Advances in technology such as loop mediated isothermal amplification (LAMP for detection and tracking of phytoplasma DNA in plants and insects, remote sensing for identifying symptomatic palms, and the advent of clustered regularly interspaced short palindromic repeats (CRISPR-based tools for gene editing and plant breeding are likely to allow rapid progress in taxonomy as well as understanding and managing LYD phytoplasma pathosystems.

  7. Metabolic composition of apple rootstock rhizodeposits differs in a genotype-specific manner and affects growth of subsequent plantings

    Science.gov (United States)

    The percolated rhizodeposit composition and quantity of 4 apple rootstock genotypes grown in sand was examined via liquid chromatography mass spectrometry time-of-flight, specifically contrasting the rhizodeposits of apple replant disease susceptible genotypes (M26, M9Nic29) with apple replant disea...

  8. Totally impermeable film (TIF) reduces emissions in perennial crop fumigation

    Science.gov (United States)

    Orchard/vineyard replanting for fruit trees, nut trees, and grapevines in many situations still depends on soil fumigation for control of soil-borne pests and replanting diseases in California. Perennial tree and grapevine nurseries also rely heavily on soil fumigation to meet the state’s requiremen...

  9. Medan Electronic Mall Arsitektur Ikonik

    OpenAIRE

    David,, A.

    2014-01-01

    With present the Medan Electronic Mall is intended to meet the needs of electronic goods from electronic of communication, Office Electronics, Household Electronics, Hobbies or electronic game, Medan Electronic Mall also hosts for the people of North Sumatra Province especially for people of Medan City to get particular information will be the development of electronic goods and also enjoy all kinds of things related to electronics such as Game Center, Cyber/Virtual Game, Internet...

  10. Fifth Disease

    Science.gov (United States)

    ... roseola. Fifth disease is sometimes called “slapped cheek disease.” The illness’s bright red rash on the face looks like ... disease Most children and adults who get fifth disease experience only mild illness. They recover completely and have no complications. But ...

  11. Heart Diseases

    Science.gov (United States)

    ... you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. ... of disability. There are many different forms of heart disease. The most common cause of heart disease is ...

  12. Whipple's Disease

    Science.gov (United States)

    ... more common conditions with similar symptoms, including inflammatory rheumatic disease—characterized by inflammation and loss of function in ... Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información de la salud en ...

  13. Engineered phages for electronics.

    Science.gov (United States)

    Cui, Yue

    2016-11-15

    Phages are traditionally widely studied in biology and chemistry. In recent years, engineered phages have attracted significant attentions for functionalization or construction of electronic devices, due to their specific binding, catalytic, nucleating or electronic properties. To apply the engineered phages in electronics, these are a number of interesting questions: how to engineer phages for electronics? How are the engineered phages characterized? How to assemble materials with engineered phages? How are the engineered phages micro or nanopatterned? What are the strategies to construct electronics devices with engineered phages? This review will highlight the early attempts to address these questions and explore the fundamental and practical aspects of engineered phages in electronics, including the approaches for selection or expression of specific peptides on phage coat proteins, characterization of engineered phages in electronics, assembly of electronic materials, patterning of engineered phages, and construction of electronic devices. It provides the methodologies and opens up ex-cit-ing op-por-tu-ni-ties for the development of a variety of new electronic materials and devices based on engineered phages for future applications.

  14. Scanning ultrafast electron microscopy.

    Science.gov (United States)

    Yang, Ding-Shyue; Mohammed, Omar F; Zewail, Ahmed H

    2010-08-24

    Progress has been made in the development of four-dimensional ultrafast electron microscopy, which enables space-time imaging of structural dynamics in the condensed phase. In ultrafast electron microscopy, the electrons are accelerated, typically to 200 keV, and the microscope operates in the transmission mode. Here, we report the development of scanning ultrafast electron microscopy using a field-emission-source configuration. Scanning of pulses is made in the single-electron mode, for which the pulse contains at most one or a few electrons, thus achieving imaging without the space-charge effect between electrons, and still in ten(s) of seconds. For imaging, the secondary electrons from surface structures are detected, as demonstrated here for material surfaces and biological specimens. By recording backscattered electrons, diffraction patterns from single crystals were also obtained. Scanning pulsed-electron microscopy with the acquired spatiotemporal resolutions, and its efficient heat-dissipation feature, is now poised to provide in situ 4D imaging and with environmental capability.

  15. Scanning ultrafast electron microscopy

    Science.gov (United States)

    Yang, Ding-Shyue; Mohammed, Omar F.; Zewail, Ahmed H.

    2010-01-01

    Progress has been made in the development of four-dimensional ultrafast electron microscopy, which enables space-time imaging of structural dynamics in the condensed phase. In ultrafast electron microscopy, the electrons are accelerated, typically to 200 keV, and the microscope operates in the transmission mode. Here, we report the development of scanning ultrafast electron microscopy using a field-emission-source configuration. Scanning of pulses is made in the single-electron mode, for which the pulse contains at most one or a few electrons, thus achieving imaging without the space-charge effect between electrons, and still in ten(s) of seconds. For imaging, the secondary electrons from surface structures are detected, as demonstrated here for material surfaces and biological specimens. By recording backscattered electrons, diffraction patterns from single crystals were also obtained. Scanning pulsed-electron microscopy with the acquired spatiotemporal resolutions, and its efficient heat-dissipation feature, is now poised to provide in situ 4D imaging and with environmental capability. PMID:20696933

  16. Metamaterials for Ballistic Electrons

    CERN Document Server

    Dragoman, D; Dragoman, Daniela; Dragoman, Mircea

    2007-01-01

    The paper presents a metamaterial for ballistic electrons, which consists of a quantum barrier formed in a semiconductor with negative effective electron mass. This barrier is the analogue of a metamaterial for electromagnetic waves in media with negative electrical permittivity and magnetic permeability. Besides applications similar to those of optical metamaterials, a nanosized slab of a metamaterial for ballistic electrons, sandwiched between quantum wells of positive effective mass materials, reveals unexpected conduction properties, e.g. single or multiple room temperature negative differential conductance regions at very low voltages and with considerable peak-to-valley ratios, while the traversal time of ballistic electrons can be tuned to larger or smaller values than in the absence of the metamaterial slab. Thus, slow and fast electrons, analogous to slow and fast light, occur in metamaterials for ballistic electrons.

  17. Electrons in Nanostructures

    DEFF Research Database (Denmark)

    Flindt, Christian

    2007-01-01

    or a few electrons. Such few-electron devices are expected to form the building blocks of future electrical circuits and it is thus necessary to develop a thorough theoretical understanding of the physics of electrons in nanostructures. Re- garding applications there is a particular interest......-based communication. The statistical description of electron transport through nanostructures is based on rate equations, and the primary contribution of the thesis in that respect is the development of a method that allows for the calculation of the distribution of electrons passing through a device. The method......This thesis concerns theoretical aspects of electrons in man-made nanostruc- tures. Advances in nanofabrication technology during recent decades have made it possible to produce electrical devices on the nano-scale, whose func- tionality is determined by the quantum mechanical nature of a single...

  18. Single electron spintronics.

    Science.gov (United States)

    Dempsey, Kari J; Ciudad, David; Marrows, Christopher H

    2011-08-13

    Single electron electronics is now well developed, and allows the manipulation of electrons one-by-one as they tunnel on and off a nanoscale conducting island. In the past decade or so, there have been concerted efforts in several laboratories to construct single electron devices incorporating ferromagnetic components in order to introduce spin functionality. The use of ferromagnetic electrodes with a non-magnetic island can lead to spin accumulation on the island. On the other hand, making the dot also ferromagnetic introduces new physics such as tunnelling magnetoresistance enhancement in the cotunnelling regime and manifestations of the Kondo effect. Such nanoscale islands are also found to have long spin lifetimes. Conventional spintronics makes use of the average spin-polarization of a large ensemble of electrons: this new approach offers the prospect of accessing the quantum properties of the electron, and is a candidate approach to the construction of solid-state spin-based qubits.

  19. Electron transfer in proteins

    DEFF Research Database (Denmark)

    Farver, O; Pecht, I

    1991-01-01

    Electron migration between and within proteins is one of the most prevalent forms of biological energy conversion processes. Electron transfer reactions take place between active centers such as transition metal ions or organic cofactors over considerable distances at fast rates and with remarkable...... specificity. The electron transfer is attained through weak electronic interaction between the active sites, so that considerable research efforts are centered on resolving the factors that control the rates of long-distance electron transfer reactions in proteins. These factors include (in addition......-containing proteins. These proteins serve almost exclusively in electron transfer reactions, and as it turns out, their metal coordination sites are endowed with properties uniquely optimized for their function....

  20. Application of Residents Electronic Health Records in Drug Budget Management of Community Chronic Disease%居民电子健康档案在社区慢性病药品预算管理中的应用

    Institute of Scientific and Technical Information of China (English)

    黄煊; 范启勇; 刘天威; 沈佳妮

    2014-01-01

    Shanghai implemented medical insurance amount prepaid policy in community health service center. The drug using effect weight of diabetes and hypertension as the leading group of cardiovascular and cerebrovascular diseases accounting total control of more than 50%. Chronic disease medication can be divided into two major categories of treatment and auxiliary two kinds, in the limited amount, to ensure the full application of therapeutic drugs is one of the key for improvement of chronic disease control. By using the related data of residents health records, to subdivided quantitative statistics for long-term using of community health service center groups and subgroups of contracting services with GPs, and to establish the related budget framework, for conduct budget management of suppliers and GP individuals, and to establish the supporting mechanism, making the suppliers and GP individuals have clear expectations, in order to ensure the stable, orderly medication, the efficiency in the use of drug resources be improved.%上海对社区卫生服务中心实施医保总量预付政策,糖尿病、高血压为主导的心脑血管疾病组相关的用药对总量控制的影响权重在50%以上。慢性病用药可分成治疗性和辅助性两大类,有限总量中,确保治疗性药物充分应用是慢性病控制结果改善的关键之一。利用居民健康档案相关的数据,对长期利用社区卫生服务中心的群体和与全科医生签约服务的亚群进行细分量化统计,并建立相关预算框架,对供应商、全科医生个体进行预算管理,配套建立机制,使供应方和全科医生个体有明确预期,从而保证用药的平稳有序,药品资源使用效率得到提升。