scholarly journals COMBINED USE OF TURNOVER AND PIVOT FLAP FOR DOUBLE LAYER CLOSURE OF POSTAURICULAR FISTULA

2020 ◽  
Vol VOLUME 8 (ISSUE 2) ◽  
pp. 1-5
Author(s):  
Mukesh Kumar Sharma

ABSTRACT Repair of post auricular stula are challenging owing to scarred tissue and poor blood supply in this area. Various techniques including locoregional ap cover and cavity obliteration have been utilized to repair this complicated problem. In our report, we introduce a novel technique using a double layer closure utilising local skin ap successful lasting results. Two young adults of age 18 Male and 21 year female. Size of stulas were ranging from 1x2 and 2x2 cm respectively in size. Once the stulous tract was excised two aps were planned for double layer closure of stula. First ap for inner lining was turnover ap. Then another local pivot ap is planned to cover the secondary defect or the raw area. It can be either simple rotation ap as in rst case or Limberg type local transposition nd defect (2 case) ap. Both stulas were healed well. KEYWORDS : Fistula , Post auricular, Flap Closure

SLEEP ◽  
2021 ◽  
Author(s):  
Scott Graupensperger ◽  
Anne M Fairlie ◽  
Michael V Vitiello ◽  
Jason R Kilmer ◽  
Mary E Larimer ◽  
...  

Abstract Study Objectives Simultaneous alcohol and marijuana (SAM) use is increasingly prevalent among young adults but has adverse health consequences. The current study examined daily-level associations between perceived sleep health and SAM use, relative to non-substance-use days and alcohol- or marijuana-only days. We also estimated linear associations between alcohol/marijuana use and perceived sleep health and explored whether effects were moderated by combined use of alcohol and marijuana. Methods A community sample of SAM-using young adults (N=409; Mage=21.61, SD=2.17; 50.9% female; 48.2% White; 48.9% college students) completed twice-daily surveys for five 14-day sampling bursts. Daily measurements assessed substance use and perceived sleep health in terms of subjective sleep quality, negative impact of sleep on functioning, and symptoms of insomnia. Results Multilevel models indicated that, relative to non-substance-use days, participants reported poorer perceived sleep health on alcohol-only days, better perceived sleep health on marijuana-only days, and mixed evidence regarding SAM use (i.e., fewer perceived symptoms of insomnia, but poorer perceived next day functioning attributed to sleep). Daily-level estimates showed increased alcohol use was associated with poorer perceived sleep health, while stronger effects from marijuana were associated with better perceived sleep health. Across all indices of sleep health, only one linear association was moderated by combined use: The adverse association between alcohol and next day functioning was weaker on days alcohol was combined with marijuana. Conclusions Findings provide additional evidence for daily-level effects of alcohol and marijuana use on perceived sleep health and address an important literature gap regarding potential adverse effects of SAM use.


2014 ◽  
Vol 41 (4) ◽  
pp. 565-574 ◽  
Author(s):  
Cem Turan ◽  
Esra Esim Büyükbayrak ◽  
Aylin Onan Yilmaz ◽  
Yasemin Karageyim Karsidag ◽  
Meltem Pirimoglu

2021 ◽  
Vol 2116 (1) ◽  
pp. 012118
Author(s):  
E Zanetti ◽  
A Berto ◽  
M Meneghetti ◽  
D Del Col

Abstract In this paper a novel technique for the in-line evaluation of the absorption rate of solar radiation by nanofluids in a volumetric solar receiver is presented. This method allows to experimentally investigate the optical behaviour of a nanofluid when circulating in a volumetric solar receiver under non-concentrated solar irradiance and it is based on the combined use of pyranometers. This technique is used in the present work to study the absorption capability of a Single-Wall-Carbon-NanoHorns (SWCNHs) based nanofluid. From the experiments, it can be seen that after some hours of circulation, the absorption rate of the nanofluid decreases, due to a loss of nanoparticles in the suspension.


Author(s):  
Michelle Sieffert ◽  
James Ouellette ◽  
Michael Johnson ◽  
Todd Hicks ◽  
Minia Hellan

Surgery Today ◽  
2015 ◽  
Vol 45 (10) ◽  
pp. 1335-1339 ◽  
Author(s):  
Masatoku Arai ◽  
Shigeki Kushimoto ◽  
Shiei Kim ◽  
Tomohiko Masuno ◽  
Jun Hagiwara ◽  
...  

2014 ◽  
Vol 46 (9) ◽  
pp. 1751-1755 ◽  
Author(s):  
Zhou Shen ◽  
Wenqiang He ◽  
Dong Liu ◽  
Feng Pan ◽  
Wencheng Li ◽  
...  

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