Pectus Excavatum: A New Approach for Monitoring Cup-Suction Treatment

Author(s):  
Francesco Buonamici ◽  
Antonio Marzola ◽  
Michaela Servi ◽  
Francesca Uccheddu ◽  
Yary Volpe ◽  
...  
Author(s):  
Hyung Joo Park

Objective The multiple-momentum (MM) based multitarget (MT) approach has been developed through a single surgeon's experience to overcome the limits of the conventional Nuss procedure, which is the single target-single momentum approach that corrects only symmetric pectus excavatum (PE). The new techniques that have been devised on a morphologic basis, according to the Terrain Contour Matching (TERCOM) system, have made this approach a comprehensive one that can cover all types of pectus deformity. The aim of this study was to elucidate the difference between the conventional technique and the new approach. Methods The data of 630 PE patients who received the modified Nuss procedure, based on the MM-MT-TERCOM approach, between 1999 and 2005, were retrospectively studied. The conceptual differences between the new approach and the conventional one were determined. The techniques according to a new paradigm, for treating asymmetry, adults, and complex morphology, as well as the bar fixation technique, were analyzed. The results of the repair were assessed with a new CT index, the Asymmetry Index (AI). Results According to the morphologic classification, 269 patients were asymmetric (42.7%): 138 were eccentric (53 Grand Canyon type), 88 were unbalanced, and 36 were combined. On the basis of the MM-MT-TERCOM concept for repairing complex morphology, multiple targets were selected in 224 patients (35.6%). To correct targets simultaneously, positive momentum (630 patients, 100%) and negative momentum (124 patients, 19.7%) were applied as appropriate. The techniques used were an asymmetric bar (250 patients, 39.7%), a seagull bar (107 patients, 17%), a complex bar via TERCOM (126 patients, 20%), the crest compression technique (59 patients, 9.4%), and a compound bar (84 patients, 13.3%). The postoperative changes of the AI were from 1.03 ± 0.06 to 1.02 ± 0.13 (P = 0.117) in the symmetric group and they were from 1.1 ± 0.05 to 1.02 ± 0.02 (P < 0.001) in the asymmetric group. Conclusions Refinement of techniques in accordance with the morphology and cause-effect basis of the bar action provided reproducible results for achieving postrepair symmetry for treating complex PE. Therefore, the new approach with techniques that use multiple momentums (MM-MT-TERCOM) supports the new paradigm of the Nuss procedure is effective in repair of all morphologic types of PE.


2020 ◽  
Vol 70 ◽  
pp. 106-109
Author(s):  
Beatrice Aramini ◽  
Uliano Morandi ◽  
Giorgio De Santis ◽  
Alessio Baccarani

1999 ◽  
Vol 173 ◽  
pp. 185-188
Author(s):  
Gy. Szabó ◽  
K. Sárneczky ◽  
L.L. Kiss

AbstractA widely used tool in studying quasi-monoperiodic processes is the O–C diagram. This paper deals with the application of this diagram in minor planet studies. The main difference between our approach and the classical O–C diagram is that we transform the epoch (=time) dependence into the geocentric longitude domain. We outline a rotation modelling using this modified O–C and illustrate the abilities with detailed error analysis. The primary assumption, that the monotonity and the shape of this diagram is (almost) independent of the geometry of the asteroids is discussed and tested. The monotonity enables an unambiguous distinction between the prograde and retrograde rotation, thus the four-fold (or in some cases the two-fold) ambiguities can be avoided. This turned out to be the main advantage of the O–C examination. As an extension to the theoretical work, we present some preliminary results on 1727 Mette based on new CCD observations.


Author(s):  
V. Mizuhira ◽  
Y. Futaesaku

Previously we reported that tannic acid is a very effective fixative for proteins including polypeptides. Especially, in the cross section of microtubules, thirteen submits in A-tubule and eleven in B-tubule could be observed very clearly. An elastic fiber could be demonstrated very clearly, as an electron opaque, homogeneous fiber. However, tannic acid did not penetrate into the deep portion of the tissue-block. So we tried Catechin. This shows almost the same chemical natures as that of proteins, as tannic acid. Moreover, we thought that catechin should have two active-reaction sites, one is phenol,and the other is catechole. Catechole site should react with osmium, to make Os- black. Phenol-site should react with peroxidase existing perhydroxide.


Author(s):  
K. Chien ◽  
R. Van de Velde ◽  
I.P. Shintaku ◽  
A.F. Sassoon

Immunoelectron microscopy of neoplastic lymphoma cells is valuable for precise localization of surface antigens and identification of cell types. We have developed a new approach in which the immunohistochemical staining can be evaluated prior to embedding for EM and desired area subsequently selected for ultrathin sectioning.A freshly prepared lymphoma cell suspension is spun onto polylysine hydrobromide- coated glass slides by cytocentrifugation and immediately fixed without air drying in polylysine paraformaldehyde (PLP) fixative. After rinsing in PBS, slides are stained by a 3-step immunoperoxidase method. Cell monolayer is then fixed in buffered 3% glutaraldehyde prior to DAB reaction. After the DAB reaction step, wet monolayers can be examined under LM for presence of brown reaction product and selected monolayers then processed by routine methods for EM and embedded with the Chien Re-embedding Mold. After the polymerization, the epoxy blocks are easily separated from the glass slides by heatingon a 100°C hot plate for 20 seconds.


Author(s):  
W. A. Chiou ◽  
N. Kohyama ◽  
B. Little ◽  
P. Wagner ◽  
M. Meshii

The corrosion of copper and copper alloys in a marine environment is of great concern because of their widespread use in heat exchangers and steam condensers in which natural seawater is the coolant. It has become increasingly evident that microorganisms play an important role in the corrosion of a number of metals and alloys under a variety of environments. For the past 15 years the use of SEM has proven to be useful in studying biofilms and spatial relationships between bacteria and localized corrosion of metals. Little information, however, has been obtained using TEM capitalizing on its higher spacial resolution and the transmission observation of interfaces. The research presented herein is the first step of this new approach in studying the corrosion with biological influence in pure copper.Commercially produced copper (Cu, 99%) foils of approximately 120 μm thick exposed to a copper-tolerant marine bacterium, Oceanospirillum, and an abiotic culture medium were subsampled (1 cm × 1 cm) for this study along with unexposed control samples.


Author(s):  
Arthur V. Jones

With the introduction of field-emission sources and “immersion-type” objective lenses, the resolution obtainable with modern scanning electron microscopes is approaching that obtainable in STEM and TEM-but only with specific types of specimens. Bulk specimens still suffer from the restrictions imposed by internal scattering and the need to be conducting. Advances in coating techniques have largely overcome these problems but for a sizeable body of specimens, the restrictions imposed by coating are unacceptable.For such specimens, low voltage operation, with its low beam penetration and freedom from charging artifacts, is the method of choice.Unfortunately the technical dificulties in producing an electron beam sufficiently small and of sufficient intensity are considerably greater at low beam energies — so much so that a radical reevaluation of convential design concepts is needed.The probe diameter is usually given by


1968 ◽  
Vol 32 (3) ◽  
pp. 279-282
Author(s):  
JI Mock ◽  
JW Grenfell ◽  
WA Richter
Keyword(s):  

1969 ◽  
Vol 34 (2) ◽  
pp. 176-176

In the November 1968 issue of this journal, Margaret M. Martyn’s name was misspelled Martin on page 315. In the same issue, page 325, column 2 (Jerger, Speaks, and Trammell, “A New Approach to Speech Audiometry”), the sentence reading “Whenever the loss is sloping, however, the PB area underestimates and the SSI area overestimates the amount of handicap” should read as follows: “Whenever the loss is sloping, however, the PB area overestimates and the SSI area underestimates the amount of the handicap.”


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