Custom Reconstruction of the Distal Part of the Humerus Using Compressive Osseointegration

2012 ◽  
Vol 2 (3) ◽  
pp. e54 ◽  
Author(s):  
Steven J. Hattrup ◽  
Christopher P. Beauchamp
Author(s):  
Maria Anna Pabst

In addition to the compound eyes, honeybees have three dorsal ocelli on the vertex of the head. Each ocellus has about 800 elongated photoreceptor cells. They are paired and the distal segment of each pair bears densely packed microvilli forming together a platelike fused rhabdom. Beneath a common cuticular lens a single layer of corneagenous cells is present.Ultrastructural studies were made of the retina of praepupae, different pupal stages and adult worker bees by thin sections and freeze-etch preparations. In praepupae the ocellar anlage consists of a conical group of epidermal cells that differentiate to photoreceptor cells, glial cells and corneagenous cells. Some photoreceptor cells are already paired and show disarrayed microvilli with circularly ordered filaments inside. In ocelli of 2-day-old pupae, when a retinogenous and a lentinogenous cell layer can be clearly distinguished, cell membranes of the distal part of two photoreceptor cells begin to interdigitate with each other and so start to form the definitive microvilli. At the beginning the microvilli often occupy the whole width of the developing rhabdom (Fig. 1).


2003 ◽  
Vol 42 (03) ◽  
pp. 90-93 ◽  
Author(s):  
N. Döbert ◽  
O. Rieker ◽  
W. Kneist ◽  
St. Mose ◽  
A. Teising ◽  
...  

SummaryAim: Evaluation of the influence of histopathologic sub-types and grading of primaries of oesophageal cancer, relative to their size and location, on the uptake of 18F-deoxyglucose (FDG) as measured by positron emission tomography (PET). Methods: 50 consecutive patients were evaluated. There were four drop-outs due to previous surgical and/or chemotherapeutical treatments and thus in 46 patients (28 squamous cell carcinomas and 18 adenocarcinomas) a pretherapeutic PET evalution of the primary including a standard uptake value (SUV) was obtained. In 42 cases data on tumour grading were available also. Results: Squamous cell carcinomas (SCC) were in 7/13/8 cases located in the proximal, medial and distal part of the oesophagus, respectively the grading was Gx in 3, G 2 in 12, G2-3 in 7, and G3 in 6 cases. The SUVmax showed a mean of 6.5 ± 2.8 (range 1.7-13.5). Adenocarcinomas (ACA) were located in the medial oesophagus in two cases and otherwise in its distal parts. Grading was Gx in one, G2 in 4, G2-3 in 3, G3 in 3, G3-4 in 3, and G4 in one case. The mean SUVmax was 5.2 ± 3.2 (range 1-13.6) and this was not significantly different from the SCC. Concerning the tumour grading there was a slight, statistically not relevant trend towards higher SUVmax in more dedifferentiated cancer. Discussion: SCC and ACA of the oesophagus show no relevant differences in the FDG-uptake. While there was a significant variability of tumour uptake in the overall study group, a correlation of SUV and tumour grading was not found.


2017 ◽  
Vol 120 (3) ◽  
pp. 421-432 ◽  
Author(s):  
C. Browning ◽  
M. Reid

AbstractThe Lower Carboniferous, probably Tournaisian, Kweekvlei Formation is part of the Witteberg Group (Cape Supergroup) of South Africa. Together with the overlying Floriskraal Formation, it forms an upward-coarsening succession within the Lake Mentz Subgroup. Sedimentary features of the Kweekvlei Formation suggest deposition in a storm-wave dominated marine setting, within the storm-influenced, distal part of an offshore transition zone environment. This predominantly argillaceous formation preserves a low diversity trace fossil assemblage. Reworked vascular plant debris (including the problematic genus Praeramunculus sp.) and a shark spine have been reported for the Kweekvlei Formation. There are no known stratigraphic equivalents in South Africa.


2019 ◽  
Vol 26 (6) ◽  
pp. 325-334
Author(s):  
Ivan I. Kropachev ◽  
Nikolai L. Orlov ◽  
Hoa Thi Ninh ◽  
Tao Thien Nguyen

We describe a new species of the Rhacophorus genus, which differs from all species known in Asia by the combination of characters. It strongly differs also from small and middle-sized species of Rhacophorus sensu lato: Rhacophorus calcaneus Smith, 1924, Leptomantis cyanopunctatus (Manthey et Steiof, 1998), Rhacophorus hoabinhensis Nguyen, Pham, Nguyen, Ninh et Ziegler, 2017, Rhacophorus hoanglienensis Orlov, Lathrop, Murphy et Ho, 2001, Zhangixalus jarujini (Matsui et Panha, 2006), Rhacophorus laoshan Mo, Jiang, Xie et Ohler, 2008, Rhacophorus pardalis Günther, 1858, Rhacophorus rhodopus Liu et Hu, 1960, Rhacophorus robertingeri Orlov, Poyarkov, Vassilieva, Ananjeva, Nguyen, Sang, and Geissler, 2012, Leptomantis robinsonii (Boulenger, 1903), Rhacophorus spelaeus Orlov, Gnophanxay, Phimminith, and Phomphoumy, 2010, Rhacophorus translineatus Wu, 1977, Rhacophorus turpes Smith, 1940, Rhacophorus vampyrus Rowley, Le, Thi, Stuart et Hoang, 2010, Rhacophorus viridimaculatus Ostroshabov, Orlov et Nguyen, 2013 by having brown color with two green dorsolateral stripes starting at the groin level and connecting through the distal part of eyelid with green triangle on the head, slender body and head, lower ratio HW/HL 0.86, lower HW/SVL 0.28 and lower ratio HL/SVL 0.32.


2021 ◽  
Vol 114 (1) ◽  
Author(s):  
Jérémy Ragusa ◽  
Lina Maria Ospina-Ostios ◽  
Pascal Kindler ◽  
Mario Sartori

AbstractThe Voirons Flysch (Caron in Eclogae Geologicae Helvetiae 69:297–308, 1976), is a flysch sequence aggregated into the sedimentary accretionary prism of the Chablais and Swiss Prealps. Its palaeogeographic location is still debated (South Piemont or Valais realm). We herein present a stratigraphic revision of the westernmost unit of the former Gurnigel Nappe sensu Caron (Eclogae Geologicae Helvetiae 69:297–308, 1976): the Voirons Flysch. This flysch is subdivided into three lithostratigraphic units at the formation level (the Voirons Sandstone, the Vouan Conglomerate, the Boëge Marl), with an additional unit (Bruant Sandstone) of uncertain attribution, ranging from the early Eocene to probably the late Eocene. We further propose a new model of the depositional setting of the deep-sea of the Voirons Flysch based on palaeocurrent directions, the overall geometry and sedimentary features. This model depicts an eastward deflected deep-sea fan. The stratigraphic record of the proximal part of this fan is fairly complete in the Voirons area, whereas its most distal part is only represented by one small exposure of thinly bedded sandstones in the Fenalet quarry. The stratigraphic evolution of the Voirons Flysch shows two major disruptions of the detrital sedimentation at the transition between Voirons Sandstone—Vouan Conglomerate and Vouan Conglomerate—Boëge Marl. The cause of these disturbances has to be constrained in the framework of the palaeogeographic location of the Voirons Flysch.


2016 ◽  
Vol 4 (1) ◽  
pp. 139-141
Author(s):  
Ali Yilmaz ◽  
Zahir Kizilay ◽  
Ayca Ozkul ◽  
Bayram Çirak

BACKGROUND: The recurrent Heubner's artery is the distal part of the medial striate artery. Occlusion of the recurrent artery of Heubner, classically contralateral hemiparesis with fasciobrachiocrural predominance, is attributed to the occlusion of the recurrent artery of Heubner and is widely known as a stroke syndrome in adults. However, isolated occlusion of the deep perforating arteries following mild head trauma also occurs extremely rarely in childhood.CASE REPORT: Here we report the case of an 11-year-old boy with pure motor stroke. The brain MRI showed an acute ischemia in the recurrent artery of Heubner supply area following mild head trauma. His fasciobrachial hemiparesis and dysarthria were thought to be secondary to the stretching of deep perforating arteries leading to occlusion of the recurrent artery of Heubner.CONCLUSION: Post-traumatic pure motor ischemic stroke can be secondary to stretching of the deep perforating arteries especially in childhood.


Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 898-904
Author(s):  
Bruno Amato ◽  
Renato Patrone ◽  
Gennaro Quarto ◽  
Rita Compagna ◽  
Roberto Cirocchi ◽  
...  

AbstractIntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Chaerim Oh ◽  
Hyun Joo Kim

In patients with intratracheal tumors, airway management while maintaining oxygenation and providing surgical access to the airway can be challenging. Here, we present a case of a two-stage operation to remove an intratracheal tumor causing partial obstruction near the carina. In the otorhinolaryngology department, a biopsy was performed during apnea under high-flow nasal oxygenation support. A few days later, a thoracic surgeon performed tracheal resection after sternotomy under general anesthesia. Mechanical ventilation was performed by inserting a sterile endotracheal tube in the resected distal part of the trachea in the surgical field for tracheal end-to-end anastomosis. Airway was successfully secured through close communication between teams of anesthesiologists and surgeons.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Tanaka ◽  
A Okamura ◽  
M Iwakura ◽  
H Nagai ◽  
A Sumiyoshi ◽  
...  

Abstract Background The strategy of intravascular ultrasound (IVUS)-guided wiring for CTO PCI, that is, leading the second guidewire into the true lumen under observing by IVUS from subintimal space, is the last resort. We developed the angiography-based 3D wiring method. During establishment of the angiography-based 3D wiring method, we deduced that observation of the guidewire tip as well as the shaft named “The tip detection method” simplifies and facilitates 3D wiring under IVUS-guided wiring. Therefore, we produced New CTO IVUS which is the upgraded version of Navifocus WR IVUS by adding the pull-back transducer system. This pull-back system enables us to detect the tip as well as the shaft of the second guidewire in real time (tip detection method), which facilitates the 3D wiring technique under IVUS-guided wiring. Objective We evaluated the efficacy of the tip detection method during 3D wiring for CTO PCI with New CTO IVUS. Method We created a target pinpoint penetration model and performed the procedures using an experimental heartbeat model. The target (a tube with a lumen 0.6 mm in diameter) was placed in the distal part of a CTO 20 mm in length made of 2.5% agar. After the second guidewire (Conquest-12g) was advanced into the CTO lesion to within 5mm of the target using the angiography-based wiring, IVUS-guided wiring was performed by using Navifocus WR or New CTO IVUS each five times. Result The frequency of the puncture time was reduced using the new CTO IVUS compared to the Navifocus WR (1.7±0.8 vs. 28.8±23.2, p=0.17). The procedure time was significantly shorter using the new CTO IVUS compared to the Navifocus WR (103±61 vs. 459±373 seconds, p=0.04). Conclusion The tip detection method during 3D wiring with the new short tip IVUS with the pull-back system enables us to easily perform 3D wiring and will change the CTO PCI strategy.


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