Purpose: The heterodigital or homodigital artery island flap is a popular method of reconstruction for finger defects. Sometimes, digital artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. However, we could decrease these disadvantages by means of venous superdrainage. The aim of this study is to report usefulness and postoperative results of venous supercharging digital artery island flaps for finger reconstruction. Methods: From March of 2005 to March of 2008, a total of eight patients with soft tissue defects of the finger underwent venous supercharging digital island flap transfer. Briefly, the flap is harvested along with dorsal vein that is then anastomosed to a recipient vein in an end - to - end fashion, after flap transfer and insetting. Using this technique, eight patients were operated on, ranging in age 23 to 52 years. Results: All the flaps survived with a success rate of 100 percent, thus fully satisfying the reconstructive requirements. No postoperative flap congestion was recognized, obviating the need to take any measures for venous engorgement, such as suture removal. Among 8 cases, it was possible to make an long - term and follow - up observation more than 6 months. In these cases, the fact that light touches and temperature sensations can be detected in all the flaps. Cold intolerance and hyperesthesia were not seen in our series. Conclusion: Providing good harmony with conventional methods and microsurgery, inclusion of a vein with the heterodigital and homodigital artery island flap allows a more reliable and safer reconstructive choice for finger defects. The venous supercharged island flap is a reliable flap with a consistent arterial structure, and with its augmented venous drainage, it is more reliable, providing single - stage reconstruction of adjacent finger defects, including the fingertip.
Infrared (lR) detectors are widely used for such applications as thermoelstic stress analysis, medical diagnostics and temperature measurement. Infrared detectors commonly need to be refrigerated below 80 K, and thus a cooling system should be equipped together with the detector system. The cooling load, which should be removed by the cooling system to maintain the nominal operating temperature of the detector, critically depends on the insulation efficiency of the cryochamber housing the detector. Cryochamber considers the conduction heat transfer through a cold finger, the gases conduction and radiation heat transfer. The thermal loads of an infrared detector Cryochamber with radiation shield are investigated experimentally in present study. Since the effect of radiation heat transfer on thermal loads is significant, radiation shields is installed in the cold finger part to protect heat input through radiation. It is found that the thermal load can be substantially reduced by increasing the number of radiation shield.
Korean Journal of Air-Conditioning and Refrigeration Engineering
/
v.20
no.1
/
pp.11-16
/
2008
Infrared (IR) detectors are widely used for such applications as thermoelastic stress analysis, medical diagnostics and temperature measurement. Infrared detectors commonly need to be refrigerated below 80 K, and thus a cooling system should be equipped together with the detector system. The cooling load, which should be removed by the cooling system to maintain the nominal operating temperature of the detector, critically depends on the insulation efficiency of the cryochamber housing the detector. Thermal load of a cryochamber is attributed to the conduction heat transfer through a cold finger, the gases conduction and radiation heat transfer. The thermal loads of an infrared detector cryochamber with a radiation shield are investigated experimentally in present study. Since the effect of radiation heat transfer on thermal loads is significant, radiation shields is installed in the cold finger part to protect heat input through radiation.
Background: Type 2 diabetic mellitus (T2DM) is an emerging global pandemic which is associated with lots of co-morbidities and reported vascular dysfunctions. T2DM associated vascular dysfunctions leads to vasculopathy in the form of altered peripheral vascular dynamics. Cold stress test (CST) is a reliable sympathetic reactivity test used for assessing vascular dysfunctions. In this study we are trying to quantify vascular dysfunctions in T2DM patients non invasively by various parameters of photoplethysmography (PPG) of cold stress test. Methods: Case control study had done in referral health center AIIMS, Raipur. Parameters are recorded by finger-PPG before, during and after CST (1 min) in 2 groups, control (n = 20 healthy volunteers) and case (n = 20 diagnosed T2DM patients). Results: Due to cold stress, PPG parameter peak amplitude was significantly decreased in both healthy and T2DM groups (p <0.001 and p <0.001, respectively). However, recovery trend of amplitude was significantly slow in T2DM compared to healthy subjects. Another PPG parameter peak to peak interval was significantly higher in healthy group compared to T2DM patients. Conclusions: This study showed that T2DM patients has significant deranged pulse volume parameters like amplitude and peak to peak interval can be used to objectively quantify the vasculopathy in T2DM patients by using sympathetic reactivity to cold stress.
Eruptive mechanisms and processes at Udo tuff cone can be inferred from indicative characters of products, bedforms and lithofacies, and ring faults. In terms of bedforms and lithofa-cies in particular, massive lapilli tuff beds and chaotic lapilli tuff beds are derived from subaerial falls of aggregated tephra of wet tephra finger jets, occurring dominantly at the lower sequences of proximal part at the tuff cone. Crudely stratified lapilli tuff are derived from subaerial falls of slightly aggregated tephra of less wet tephra finger jets, whereas reversely graded lapilli tuff beds are from slightly disaggregated subaerial falls of continuous uprush. Both beds frequently occur in the middle sequences at proximal and near medial part of the tuff cone. Block and lapilli tephra lenses, ash-coated lapilli tephra beds(lenses) and thin-bedded tuff beds are derived from extremely disaggregated subaerial falls of dry tephra in the continuous uprush, frequently occurring at the upper sequences of medial part at the tuff cone. Udo tuff cone is a basaltic volcano emergent through the sea water surface while water could flood across or into the vent area. Emergence of the tuff cone was from the type-Surtseyan eruption characterized by earlier tephra finger jets and later continuous uprush columns of tephra with copious volumes of steam. Explosions began when boiling of wter produced a bubble column reducing the hydrostatic pres-sure, allowing exsolution of gases from the magma. This expansion of magma into a vesiculating froth fragmented the magma and permitted mixing of magma and water so that a more vigorous generation of steam could proceed. Tephra finger jetting explosions continued to build the crater rims, then remove water from the vent that their deposits flowed like slsurries until the continuous uprush explosion ensued. Continuous uprush explosions were associated with most rapid accumula-tion of tephra. The increasing volume rate led to partial removal of water from the vent area by the newly tephra ring so that more vigorous activity could be attended by a reducing water supply. This might restrain surplus of cold water entering the vent and thus enhance the vigour of the eruption by allowing optimal heat exchange. Eventually the crater became so deep and unsuported that piecemeal sliding, or massive subsidence on indipping ring faults, filled and closed the vent, and the cycle of explosions and collapse began anew.
Choi, Young Doo;Jo, Su Jeong;Jung, Chan Yung;Kim, Kap Sung;Lee, Seung Deok
Journal of Acupuncture Research
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v.33
no.2
/
pp.77-87
/
2016
Objectives : This is a pilot study for a large randomized controlled trial to investigate the efficacy and safety of a newly developed contrast therapy device-- alternating topical heat and cold -- for patients with chronic low back pain. The main objective of this study is to confirm the feasibility of the study design. Methods : The design was a randomized, 2-arm, parallel-group, single-blind, placebo controlled trial. Patients in each group received real or sham contrast therapy in an acupuncture point 10 times over four weeks. The primary outcome measure was pain intensity on a 100-mm visual analogue scale (VAS). The secondary outcomes were back-related dysfunction based on the Oswestry Disability Index (ODI), the Roland-Morris disability questionnaire (RMDQ), and range of motion of lumbar spine based on the modified Schober test (mSchober test), Finger-to-Floor distance (FTF distance), and Finger-to-Thigh distraction (FTT distraction). Results : A total of 30 subjects with chronic low back pain were randomly assigned to a contrast therapy group (n=15) or a sham group (n=15). A repeated-measures analysis of variance showed statistically significant group time interaction for VAS, RMDQ, mSchober test and FTF distance (p<0.05). The treatment group showed significant improvement in pain intensity and functional disability as compared to the sham group. Conclusion : Contrast therapy may be an effective and safe treatment for chronic low back pain.
We have previously isolated a CCCH type zinc-finger protein gene, OsZF2 (Oryza sativa Zinc Finger 2), from the cold-treated rice cDNA library. To investigate the potential role of OsZF2, transgenic rice lines over-expressing OsZF2 under the control of CaMV 35S promoter have been developed through Agrobacterium-mediated transformation. Elevated level of OsZF2 transcripts was confirmed by RNA gel blot analysis in transgenic rice. Under the 100 mM NaCl condition, the transgenic rice showed significantly enhanced growth rate in terms of shoot length and fresh weight, implicating that OsZF2 is likely to be involved in salt response of rice. In the field condition, however, the transgenic rice showed a dwarf phenotype and flowering time was delayed. Genome expression profiling analysis of transgenic plants using the 20K NSF rice oligonucleotide array revealed many up-regulated genes related to stress responses and signaling pathways such as chaperone protein dnaJ 72, salt stress-induced protein, PR protein, disease resistance proteins RPM1 and Cf2/Cf5 disease resistance protein, carbohydrate/ sugar transporter, OsWAK kinase, brassinosteroid LRR receptor kinase, and jasmonate O-methyltransferase. These data suggest that the CCCH type zinc-finger protein OsZF2 is a upstream transcriptional factor regulating growth and stress responsiveness of rice.
Purpose: High-pressure injection(HPI) injury is an injury caused by accidental injection of substances by industrial equipment. HPI injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment and its functional outcome of these hands. Unfortunately, the clinical outcomes were unsatisfactory following an initial treatment approach of digital expression of the injection material, elevation, soaks, dressing changes, and antibiotics. Methods: A 43-year-old right handed man sustained a high pressure injection injury to the tip of the left index finger. The injected material was industrial paint thinner. Tissue necrosis was noted at the pulp of the finger. Several debridements and irrigation were required. A pedicled chest flap transfer was performed on the eighteenth day after injury as the dorsal nail complex remained viable. This is a retrospective review of our experience with high-pressure finger injection injury caused by paint. A literature review, retrospective chart and radiologic review were presented. Results: Follow-up length was about 1 year. The injuried hand was left nondominant hand, the index. Patient complaints were cold intolerance, paresthesia, contact pain, and impairment of activities of daily living. Conclusion: The outcome of high-pressure injection injuries of the hand is affected by many factors. The time between injury and operative treatment has been regarded as a key determinant by a number of authors. The nature of the injected material is probably more important. It has been noted by many authors that injuries with paints have a worse outcome than those with oil or grease. This study confirms the fact that high-pressure injection injury caused by paint thinner to the hand is a significant problem. Virtually a patient suffers sequelae of this injury. The injury has significant repercussions for future function and reintegration into the work force.
The purpose of this study is to survey various recips of the roasted skewered beef (Sanjuk) with twenty three classical cookbooks written before 1943 in Korea. The recipes of the roasted skewered beef are found thirty times in the records, which can be classified into six groups such as the palm-type skewered beef (Sulhamyukjuk), little finger-type skewered beef, mixed skewered beef, juice skewered beef, little finger-type skewered internal organs, and wide-cut skewered internal organs. The palm-type skewered beef and the mixed skewered beef most frequently appeared in the records. The 'Sulhamyukjuk' in the 17th century were inherited while changing its name to 'Sanjuk' in the late 18th century, which is the origin of 'Bulkoki'. There were two types of the roasted skewered beef, the palm-type and the little finger-type; and the palm type preceded the little finger-type. They were used with no change until the 19th century. Actually the roasted skewered beef existed even in the 16th century, but were put down in the early 17th century. In the cooking of 'Sulhamyukjuk' the process of dipping shortly into cold water in the midst of roast seems to absolutely disappeared. Some recipes of the roasted skewered beef were lost, but most have been inherited in the similar way with simplification including little use of internal organs. The main ingredients consisted of parts of cattle such as fresh meat, intestines, heart, liver, omasum, tripe, head, sweet bread, and lung with various vegetables and mushroom. And the main seasonings were mixtures of oil, soy sauce, sesame seed powder, scallion stalk, pepper, sesame seed oil, and salt. And sometimes wine, vinegar, ginger, garlic, and sugar were added.
An integral crank driven Stirling cryocooler is solidly based on concepts of direct IR detector mounting on the cryocooler's cold finger, and the integral construction of the cryocooler and Dewar envelope. Performance factors of the cryocooler depend on operating conditions of the cryocooler such as a cyclic mean pressure of the working fluid, a rotational speed of driving mechanism, a thermal environment, a targeted operation temperature and etc.. At given charging condition of helium gas, the cyclic mean pressure of helium gas in the cryocooler changes with temperatures of the cold end and the environment. In this study, effects of the cyclic mean pressure of helium gas on performances of the Stirling cryocooler were investigated by numerical analyses using the Sage software. The simulation model takes into account thermodynamic losses due to an inefficiency of regenerator, a pressure drop, a shuttle heat transfer and solid conductions. Simulations are performed for the performance variation according to the cyclic mean pressure induced by the temperature of the cold end and the environment. This paper presents P-V works in the compression and expansion space, cooling capacity, contribution of losses in the expansion space.
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