A Multistep Iter for Functional Reconstruction in Mangled Upper Limb: A Retrospective Analysis of Integrated Surgical and Medical Approach

Background and objectives: Complex limb wounds with multiple tissue involvement are commonly due to high energy trauma. Tissue damage is a dynamic entity and the exact extent of the injury is rarely instantly perceptible. Hence, reconstruction frequently involves a multi-stage procedure concluding with tissue replacement. Materials and Methods: A retrospective study was conducted between 2006 and 2018 and included 179 patients with contaminated multi-tissue injuries treated with hyperbaric oxygen therapy, negative pressure therapy, physiotherapy and drug treatment associated with multiple surgical time in a multistep approach, focusing on pain levels and wound closure rates. Results: Despite the long-term response to traumatic events, a combined approach of delayed surgical reconstructive time in mangled upper limb yielded satisfactory functional outcomes. Conclusions: The complex upper limb wound with deep tissue exposure may be treated with a multi-stage procedure alternatively to immediate reconstruction. The integrated technique enables the preservation of existing healthy tissue and concurrent radical debridement, reducing the risk of infection, as well as avoiding the loss of free flaps and dehiscence due to incorrect wound estimation.

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1554: 6 Year Long Term Clinical and Urodynamical Outcome and Retreatment Rates of High Energy Transurethral Microwave Thermotherapy: Multicenter European Pooled Analysis

The Journal of Urology ◽

10.1016/s0022-5347(18)38762-7 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 410-410

Author(s):

Christian Seitz ◽

Bob Djavan ◽

Michael Dobrovits ◽

Matthias Waldert ◽

Saeid Alavi ◽

...

Keyword(s):

High Energy ◽

Pooled Analysis ◽

Transurethral Microwave Thermotherapy

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Intraoperative, postoperative and long-term oncosurgical safety of therapeutic mammaplasty

Orvosi Hetilap ◽

10.1556/oh.2013.29660 ◽

2013 ◽

Vol 154 (33) ◽

pp. 1291-1296 ◽

Cited By ~ 1

Author(s):

László Romics Jr. ◽

Sophie Barrett ◽

Sheila Stallard ◽

Eva Weiler-Mithoff

Keyword(s):

Recurrence Rate ◽

Tumour Size ◽

Breast Conservation ◽

Malignant Lesion ◽

Surgical Techniques ◽

Incomplete Resection ◽

Immediate Reconstruction ◽

Oncological Safety

Introduction: (Pre)malignant lesion in the breast requiring mastectomy conventionally may be treated with breast conservation by using oncoplastic breast surgical techniques, which is called therapeutic mammaplasty. However, no reliable data has been published so far as regards the oncological safety of this method. Aim: The aim of the authors was to analyse the oncological safety of therapeutic mammaplasty in a series of patients. Method: 99 patients were treated with therapeutic mammaplasty and data were collected in a breast surgical database prospectively. Results were analysed with respect to intraoperative, postoperative and long-term oncological safety. Results: Incomplete resection rate was 14.1%, which correlated with tumour size (p = 0.023), and multifocality (p = 0.012). Time between surgery (therapeutic mammaplasty) and chemotherapy was similar to time between conventional breast surgeries (wide excision, mastectomy, mastectomy with immediate reconstruction) and chemotherapy (mean 29–31 days; p<0.05). Overall recurrence rate was 6.1%, locoregional recurrence rate was 2% during 27 month (1–88) mean follow-up. Conclusions: Since literature data are based on relatively short follow-up and low patient number, it is highly important that all data on therapeutic mammaplasty is collected in a prospectively maintained breast surgical database in order to determine true recurrence after long-follow-up. Orv. Hetil., 2013, 154, 1291–1296.

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LONG- TERM RESULT OF IMMEDIATE RECONSTRUCTION WITH JEJUNAL FREE FLAP IN ESOPHAGEAL RUPTURE AFTER ROBOT-ASSISTED THYROIDECTOMY

10.26226/morressier.578e3b50d462b802923827af ◽

2016 ◽

Author(s):

Insuck Suh

Keyword(s):

Free Flap ◽

Esophageal Rupture ◽

Term Result ◽

Robot Assisted ◽

Immediate Reconstruction ◽

Long Term Result

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Efficient Co-Harvesting of Solar Energy and Low-Grade Heat by Molecular Photoswitches for High Energy Density, Long-Term Stable Solar Thermal Battery

10.26434/chemrxiv.9730694.v1 ◽

2019 ◽

Author(s):

Zhao-Yang Zhang ◽

Tao LI

Keyword(s):

Energy Density ◽

Solar Energy ◽

High Performance ◽

High Energy ◽

Solar Thermal ◽

High Energy Density ◽

Low Grade ◽

Thermal Battery ◽

Low Grade Heat

Solar energy and ambient heat are two inexhaustible energy sources for addressing the global challenge of energy and sustainability. Solar thermal battery based on molecular switches that can store solar energy and release it as heat has recently attracted great interest, but its development is severely limited by both low energy density and short storage stability. On the other hand, the efficient recovery and upgrading of low-grade heat, especially that of the ambient heat, has been a great challenge. Here we report that solar energy and ambient heat can be simultaneously harvested and stored, which is enabled by room-temperature photochemical crystal-to-liquid transitions of small-molecule photoswitches. The two forms of energy are released together to produce high-temperature heat during the reverse photochemical phase change. This strategy, combined with molecular design, provides high energy density of 320-370 J/g and long-term storage stability (half-life of about 3 months). On this basis, we fabricate high-performance, flexible film devices of solar thermal battery, which can be readily recharged at room temperature with good cycling ability, show fast rate of heat release, and produce high-temperature heat that is >20<sup> o</sup>C higher than the ambient temperature. Our work opens up a new avenue to harvest ambient heat, and demonstrate a feasible strategy to develop high-performance solar thermal battery.

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Efficient Co-Harvesting of Solar Energy and Low-Grade Heat by Molecular Photoswitches for High Energy Density, Long-Term Stable Solar Thermal Battery

10.26434/chemrxiv.9730694 ◽

2019 ◽

Author(s):

Zhao-Yang Zhang ◽

Tao LI

Keyword(s):

Energy Density ◽

Solar Energy ◽

High Performance ◽

High Energy ◽

Solar Thermal ◽

High Energy Density ◽

Low Grade ◽

Thermal Battery ◽

Low Grade Heat

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In-Situ Annealed Ti3C2Tx MXene Based All-Solid-State Flexible Zn-Ion Hybrid Micro Supercapacitor Array with Enhanced Stability

Nano-Micro Letters ◽

10.1007/s40820-021-00634-2 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

La Li ◽

Weijia Liu ◽

Kai Jiang ◽

Di Chen ◽

Fengyu Qu ◽

...

Keyword(s):

High Energy ◽

High Rate ◽

High Energy Density ◽

Electrochemical Performances ◽

Integrated Electronics ◽

Long Term Stability ◽

Hybrid Supercapacitors ◽

Portable Electronics

AbstractZn-ion hybrid supercapacitors (SCs) are considered as promising energy storage owing to their high energy density compared to traditional SCs. How to realize the miniaturization, patterning, and flexibility of the Zn-ion SCs without affecting the electrochemical performances has special meanings for expanding their applications in wearable integrated electronics. Ti3C2Tx cathode with outstanding conductivity, unique lamellar structure and good mechanical flexibility has been demonstrated tremendous potential in the design of Zn-ion SCs, but achieving long cycling stability and high rate stability is still big challenges. Here, we proposed a facile laser writing approach to fabricate patterned Ti3C2Tx-based Zn-ion micro-supercapacitors (MSCs), followed by the in-situ anneal treatment of the assembled MSCs to improve the long-term stability, which exhibits 80% of the capacitance retention even after 50,000 charge/discharge cycles and superior rate stability. The influence of the cathode thickness on the electrochemical performance of the MSCs is also studied. When the thickness reaches 0.851 µm the maximum areal capacitance of 72.02 mF cm−2 at scan rate of 10 mV s−1, which is 1.77 times higher than that with a thickness of 0.329 µm (35.6 mF cm−2). Moreover, the fabricated Ti3C2Tx based Zn-ion MSCs have excellent flexibility, a digital timer can be driven by the single device even under bending state, a flexible LED displayer of “TiC” logo also can be easily lighted by the MSC arrays under twisting, crimping, and winding conditions, demonstrating the scalable fabrication and application of the fabricated MSCs in portable electronics.

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Computed tomography angiography and microsurgical flaps for traumatic wounds: What is the added value?

Clinical Hemorheology and Microcirculation ◽

10.3233/ch-200986 ◽

2021 ◽

pp. 1-9

Author(s):

Lucas Sousa Macedo ◽

Renato Polese Rusig ◽

Gustavo Bersani Silva ◽

Alvaro Baik Cho ◽

Teng Hsiang Wei ◽

...

Keyword(s):

Computed Tomography ◽

Upper Limb ◽

Computed Tomography Angiography ◽

Lower Limb ◽

High Energy ◽

Lower Limbs ◽

Added Value ◽

Vascular Lesions ◽

Limb Injuries ◽

Significant Difference

BACKGROUND: Microsurgical flaps are widely used to treat complex traumatic wounds of upper and lower limbs. Few studies have evaluated whether the vascular changes in preoperative computed tomography angiography (CTA) influence the selection of recipient vessel and type of anastomosis and the microsurgical flaps outcomes including complications. OBJECTIVE: The aim of this study was to evaluate if preoperative CTA reduces the occurrence of major complications (revision of the anastomosis, partial or total flap failure, and amputation) of the flaps in upper and lower limb trauma, and to describe and analyze the vascular lesions of the group with CTA and its relationship with complications. METHODS: A retrospective cohort study was undertaken with all 121 consecutive patients submitted to microsurgical flaps for traumatic lower and upper limb, from 2014 to 2020. Patients were divided into two groups: patients with preoperative CTA (CTA+) and patients not submitted to CTA (CTA–). The presence of postoperative complications was assessed and, within CTA+, we also analyzed the number of patent arteries on CTA and described the arterial lesions. RESULTS: Of the 121 flaps evaluated (84 in the lower limb and 37 in the upper limb), 64 patients underwent preoperative CTA. In the CTA+ group, 56% of patients with free flaps for lower limb had complete occlusion of one artery. CTA+ patients had a higher rate of complications (p = 0.031), which may represent a selection bias as the most complex limb injuries and may have CTA indicated more frequently. The highest rate of complications was observed in chronic cases (p = 0.034). There was no statistically significant difference in complications in patients with preoperative vascular injury or the number of patent arteries. CONCLUSIONS: CTA should not be performed routinely, however, CTA may help in surgical planning, especially in complex cases of high-energy and chronic cases, since it provides information on the best recipient artery and the adequate level to perform the microanastomosis, outside the lesion area.

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Overfeeding Extends the Period of Annual Cyclicity but Increases the Risk of Early Embryonic Death in Shetland Pony Mares

Animals ◽

10.3390/ani11020361 ◽

2021 ◽

Vol 11 (2) ◽

pp. 361

Author(s):

Nicky M. M. D’Fonseca ◽

Charlotte M. E. Gibson ◽

Iris Hummel ◽

David A. van Doorn ◽

Ellen Roelfsema ◽

...

Keyword(s):

Embryo Transfer ◽

Reproductive Activity ◽

High Energy ◽

Morphometric Parameters ◽

Net Energy ◽

Conceptus Development ◽

And Control ◽

Annual Duration ◽

Embryonic Death

Obesity has been associated with altered reproductive activity in mares, and may negatively affect fertility. To examine the influence of long-term high-energy (HE) feeding on fertility, Shetland pony mares were fed a diet containing 200% of net energy (NE) requirements during a three-year study. The incidence of hemorrhagic anovulatory follicles (HAF) and annual duration of cyclicity were compared to those in control mares receiving a maintenance diet. Day-7 embryos were flushed and transferred between donor and recipient mares from both groups; the resulting conceptuses were collected 21 days after transfer to assess conceptus development. HE mares became obese, and embryos recovered from HE mares were more likely to succumb to early embryonic death. The period of annual cyclicity was extended in HE compared to control mares in all years. The incidence of HAFs did not consistently differ between HE and control mares. No differences in embryo morphometric parameters were apparent. In conclusion, consuming a HE diet extended the duration of cyclicity, and appeared to increase the likelihood of embryos undergoing early embryonic death following embryo transfer.

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Investigation of Sliding Friction Pairs With Electro-Pulse Sprayed Micro-Coats

World Tribology Congress III, Volume 2 ◽

10.1115/wtc2005-63975 ◽

2005 ◽

Cited By ~ 1

Author(s):

Albinas Andriusis ◽

Vytenis Jankauskas ◽

Juozas Padgurskas ◽

Raimundas Rukuiza ◽

Audrius Zunda

Keyword(s):

Tribological Properties ◽

Sliding Friction ◽

Copper Films ◽

Dense Structure ◽

Coating Technology ◽

Conductive Materials ◽

Multi Stage ◽

Wire Conductor ◽

Control Version

Electro-pulse spraying (EPS) is the coating technology of “electric explosion of conductive materials” when high-voltage and powerful impulse flows through a wire conductor. Object of our investigation — tribological properties of sliding pairs with copper micro-coats made by EPS after one time explosion. Small-grained dense structure coat with evaluated thickness about 4–6 ?m was obtained. Tribological tests, performed at marginal lubrication with multi-stage load, shows that using EPS-specimens the value of friction coefficient is lower as control version. At instantaneous setting of load for long-term running the copper films adopts well to the change of load. The wear of friction pairs according to worn mass show that EPS-specimens worn 79% less than CV-specimens. The investigations point out that copper micro-coats have better tribological properties comparing to control version of friction pairs.

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Characterizing the γ-ray long-term variability of PKS 2155−304 with H.E.S.S. and Fermi-LAT

Astronomy and Astrophysics ◽

10.1051/0004-6361/201629419 ◽

2017 ◽

Vol 598 ◽

pp. A39 ◽

Cited By ~ 20

Author(s):

◽

H. Abdalla ◽

A. Abramowski ◽

F. Aharonian ◽

F. Ait Benkhali ◽

...

Keyword(s):

Flicker Noise ◽

High Energy ◽

Long Term Results ◽

Noise Power ◽

Quiescent State ◽

Physical Processes ◽

Bl Lac Objects ◽

Power Spectral ◽

Bl Lac

Studying the temporal variability of BL Lac objects at the highest energies provides unique insights into the extreme physical processes occurring in relativistic jets and in the vicinity of super-massive black holes. To this end, the long-term variability of the BL Lac object PKS 2155−304 is analyzed in the high (HE, 100 MeV < E < 300 GeV) and very high energy (VHE, E > 200 GeV) γ-ray domain. Over the course of ~9 yr of H.E.S.S. observations the VHE light curve in the quiescent state is consistent with a log-normal behavior. The VHE variability in this state is well described by flicker noise (power-spectral-density index βVHE = 1.10+0.10-0.13) on timescales larger than one day. An analysis of ~5.5 yr of HE Fermi-LAT data gives consistent results (βHE = 1.20+0.21-0.23, on timescales larger than 10 days) compatible with the VHE findings. The HE and VHE power spectral densities show a scale invariance across the probed time ranges. A direct linear correlation between the VHE and HE fluxes could neither be excluded nor firmly established. These long-term-variability properties are discussed and compared to the red noise behavior (β ~ 2) seen on shorter timescales during VHE-flaring states. The difference in power spectral noise behavior at VHE energies during quiescent and flaring states provides evidence that these states are influenced by different physical processes, while the compatibility of the HE and VHE long-term results is suggestive of a common physical link as it might be introduced by an underlying jet-disk connection.

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