scholarly journals Tissue expansion as an aesthetic alternative for facial resurfacing: a single centre series of 92 patients

Author(s):  
Neeraj K. Agrawal ◽  
Aditya N. Choudhary ◽  
Preeti Agrawal

Background: The visibility, vulnerability and social stigmata of facial scars whether by burn, nevi or trauma can be compelling for the patient as well as challenging for the surgeon. Restoration to normal form and aesthetics require tissue replacement which has good colour and texture match and produce minimal visible scarring.  Although many other options are available for a given defect, tissue expansion offers the best alternative which meets almost all the criteria of an ideal procedure.Methods: Among 92 patients with deformities over various facial subunits were operated and expanders 50 ml to 300 ml inserted subcutaneously adjacent to the scar. Prior planning, accurate measurement and choice of ideal expander is extremely important. A precise and practical method of calculation for determination of amount and duration of expander was used. Any secondary deformity to adjoining vital structures was avoided.Results: Results were meticulously and critically analyzed. Different shapes, dimensions and volume of expanders were used depending on the anatomical site which was to be expanded. A total of 118 expanders were inserted in 92 patients. The average volume of tissue expanders used was 170.33 ml. Majority of the expanders used had volume of 200 ml (62.71%). Post-expansion volume was 240.67 ml and the over expansion done was 41.3% over the pre-expansion volume of 170.33 ml. Surgical outcome and cosmesis was assessed by the patient’s perspective and was considered fair by 57.61% patients.Conclusions: The study underlines the clinical application, reasons for overexpansion as well as shortcomings and complications of tissue expansion.

1977 ◽  
Vol 16 (2) ◽  
pp. 220-222
Author(s):  
Zeba A. Sathar

The book covers a wide field, touching on almost all aspects of popula¬tion change on a world-wide scale. It discusses, using world and country data, the relationships between demographic and socio-economic variables, and elaborates on" their relative importance in the determination of population problems which confront the world as a whole and nations individually. Policies designed to alleviate these problems are discussed with an emphasis on those related to population control. The first chapter is entitled "Population Growth: Past and Prospective" and reviews the various parameters associated with population change in the past and in the future. It touches upon the concept of a stable population in order to show the elements which cause a population to change (i.e. remove it from its stable condition). The main elements of change, population growth, migration, mortality and natality are discussed individually. The chapter is concluded by a description of the main differences in these elements and other socio-economic conditions as they exist in the less-developed and developed countries.


1983 ◽  
Vol 48 (1) ◽  
pp. 192-198 ◽  
Author(s):  
Tomáš Boublík

The excess entropy of mixing of mixtures of hard spheres and spherocylinders is determined from an equation of state of hard convex bodies. The obtained dependence of excess entropy on composition was used to find the accuracy of determining ΔSE from relations employed for the correlation and prediction of vapour-liquid equilibrium. Simple rules were proposed for establishing the mean parameter of nonsphericity for mixtures of hard bodies of different shapes allowing to describe the P-V-T behaviour of solutions in terms of the equation of state fo pure substance. The determination of ΔSE by means of these rules is discussed.


Author(s):  
Yang Jie ◽  
Li Haitao ◽  
Rui Chengjie ◽  
Wei Wenjun ◽  
Dong Xuezhu

All of the cutting edges on an hourglass worm gear hob have different shapes and spiral angles. If the spiral angles are small, straight flutes are usually adopted. But for the hob with multiple threads, the absolute values of the negative rake angles at one side of the cutting teeth will greatly affect the cutting performance of the hob if straight flutes are still used. Therefore, spiral flutes are usually adopted to solve the problem. However, no method of determination of the spiral flute of the hourglass worm gear hob has been put forward till now. Based on the curved surface generating theory and the hourglass worm forming principle, a generating method for the spiral flute of the planar double enveloping worm gear hob is put forward in this paper. A mathematical model is built to generate the spiral flute. The rake angles of all cutting teeth of the hob are calculated. The laws of the rake angles of the cutting teeth of four hobs with different threads from one to four threads are analyzed when straight flutes and spiral flutes are adopted respectively. The laws between the value of the negative rake angles of the hob with four threads and the milling transmission ratio are studied. The most appropriate milling transmission ratio for generating the spiral flute is obtained. The machining of the spiral flutes is simulated by a virtual manufacturing system and the results verify the correctness of the method.


2021 ◽  
Vol 11 (16) ◽  
pp. 7195
Author(s):  
Iris Dominguez-Catena ◽  
Daniel Paternain ◽  
Mikel Galar

Ordered Weighted Averaging (OWA) operators have been integrated in Convolutional Neural Networks (CNNs) for image classification through the OWA layer. This layer lets the CNN integrate global information about the image in the early stages, where most CNN architectures only allow for the exploitation of local information. As a side effect of this integration, the OWA layer becomes a practical method for the determination of OWA operator weights, which is usually a difficult task that complicates the integration of these operators in other fields. In this paper, we explore the weights learned for the OWA operators inside the OWA layer, characterizing them through their basic properties of orness and dispersion. We also compare them to some families of OWA operators, namely the Binomial OWA operator, the Stancu OWA operator and the exponential RIM OWA operator, finding examples that are currently impossible to generalize through these parameterizations.


Horticulturae ◽  
2021 ◽  
Vol 7 (8) ◽  
pp. 206
Author(s):  
Cheng Zhang ◽  
Yue Su ◽  
Yanyou Wu ◽  
Haitao Li ◽  
Ying Zhou ◽  
...  

The nutrient metabolism, growth and development of plants are strongly affected by its nutrient plunder, and plants have different adaptive mechanisms to low-nutrient environments. The electrophysiological activities involve almost all life processes of plants. In this study, the active transport flow of nutrient (NAF) and nutrient plunder capacity (NPC) of plants were defined based on leaf intrinsic impedance (IZ), capacitive reactance (IXc), inductive reactance (IXL) and capacitance (IC) to evaluate the nutrient plunder capacity of plants for the first time. The results indicate that Orychophragmus violaceus had higher (p < 0.01) NPC and IC and lower (p < 0.01) IR, IXc, IXL and IZ as compared to Brassica napus L., which supports a superior ion affinity and that it could be better adapted to low-nutrient environments. UAF and NPC of plants exhibited good correlations with crude protein, crude ash and water content, and precisely revealed the plunder capacity and adaptive strategies of plants to nutrients. The present work highlights that O. violaceus had superior NPC and ion affinity compared with B. napus, and provided a novel, rapid, reliable method based on the plant’s electrophysiological information for real-time determination of the nutrient plunder capacity of plants.


Toxins ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 394
Author(s):  
Sevasti-Kiriaki Zervou ◽  
Kimon Moschandreou ◽  
Aikaterina Paraskevopoulou ◽  
Christophoros Christophoridis ◽  
Elpida Grigoriadou ◽  
...  

Cyanotoxins (CTs) produced by cyanobacteria in surface freshwater are a major threat for public health and aquatic ecosystems. Cyanobacteria can also produce a wide variety of other understudied bioactive metabolites such as oligopeptides microginins (MGs), aeruginosins (AERs), aeruginosamides (AEGs) and anabaenopeptins (APs). This study reports on the co-occurrence of CTs and cyanopeptides (CPs) in Lake Vegoritis, Greece and presents their variant-specific profiles obtained during 3-years of monitoring (2018–2020). Fifteen CTs (cylindrospermopsin (CYN), anatoxin (ATX), nodularin (NOD), and 12 microcystins (MCs)) and ten CPs (3 APs, 4 MGs, 2 AERs and aeruginosamide (AEG A)) were targeted using an extended and validated LC-MS/MS protocol for the simultaneous determination of multi-class CTs and CPs. Results showed the presence of MCs (MC-LR, MC-RR, MC-YR, dmMC-LR, dmMC-RR, MC-HtyR, and MC-HilR) and CYN at concentrations of <1 μg/L, with MC-LR (79%) and CYN (71%) being the most frequently occurring. Anabaenopeptins B (AP B) and F (AP F) were detected in almost all samples and microginin T1 (MG T1) was the most abundant CP, reaching 47.0 μg/L. This is the first report of the co-occurrence of CTs and CPs in Lake Vegoritis, which is used for irrigation, fishing and recreational activities. The findings support the need for further investigations of the occurrence of CTs and the less studied cyanobacterial metabolites in lakes, to promote risk assessment with relevance to human exposure.


2008 ◽  
Vol 40 (01) ◽  
pp. 31-48
Author(s):  
Markus Kiderlen

We discuss the determination of the mean normal measure of a stationary random set Z ⊂ ℝ d by taking measurements at the intersections of Z with k-dimensional planes. We show that mean normal measures of sections with vertical planes determine the mean normal measure of Z if k ≥ 3 or if k = 2 and an additional mild assumption holds. The mean normal measures of finitely many flat sections are not sufficient for this purpose. On the other hand, a discrete mean normal measure can be verified (i.e. an a priori guess can be confirmed or discarded) using mean normal measures of intersections with m suitably chosen planes when m ≥ ⌊d / k⌋ + 1. This even holds for almost all m-tuples of k-dimensional planes are viable for verification. A consistent estimator for the mean normal measure of Z, based on stereological measurements in vertical sections, is also presented.


1982 ◽  
Vol 39 (4) ◽  
pp. 548-553 ◽  
Author(s):  
Dilip Mathur ◽  
Robert M. Schutsky ◽  
Edmund J. Purdy Jr.

Acute temperature selection and avoidance responses of the crayfish, Orconectes obscurus, acclimated at field collection temperatures of 1.5–26.0 °C and determined in a spatial thermal gradient, were similar to those noted for fishes. Acclimation temperature was positively correlated with the acute preferred and avoided temperatures; both were several degrees higher than the acclimation temperature. A large proportion of the total variance in these data was unexplained. Most variable responses occurred at low acclimation temperatures. The estimated final preferred temperature ranged from 29.8 to 33.9 °C depending upon the method of calculation. Methods of estimating final preferenda from acute tests are considered arbitrary due to statistical problems and the associated high variability. Statistical problems were also noted in the determination of avoidance temperatures of crayfish due to nonindependence of observations on the same organism. No differences were noted (P < 0.05) between the preferred or avoided temperatures when the direction of field temperatures was rising or falling. A statistical comparison of the new and published data on this species revealed general similarities, particularly over an acclimation temperature range of 18.0–30.0 °C. The analysis minimizes the importance of site-specific studies on this species using the current acute testing methods.Key words: crayfish, temperature preference, avoidance, populational variation, statistics, experimental and statistical problems


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