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Medical and surgical approach to ocular surface reconstruction
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作者 Daniella Lent-Schochet Asim Dhungana +2 位作者 Inae Jang Kim Hassan Shah Asim V.Farooq 《Annals of Eye Science》 2024年第1期43-59,共17页
Ocular surface disease(OSD)can have a severe impact on patients as it can lead to visual impairment and persistent discomfort.Ocular surface reconstruction(OSR)is an approach to the management of ocular diseases that ... Ocular surface disease(OSD)can have a severe impact on patients as it can lead to visual impairment and persistent discomfort.Ocular surface reconstruction(OSR)is an approach to the management of ocular diseases that cause structural damage to the ocular surface.OSR encompasses both medical and surgical treatment options.In this review,we discuss the medical and surgical strategies used in OSR.Medical management often aims to treat tear insufficiency,inflammation,and keratinization.Surgical treatments may be employed for a variety of reasons,including failure of medical management.This may include improving the oculo-palpebral structures in order to improve lid positioning and tear film.Additional therapies focus on improving tear production,such as through salivary gland transplantation.In situations where the ocular surface is so severely damaged that there is loss of limbal stem cells,limbal stem cell transplant(LSCT)may be indicated.Other surgeries such as amniotic membrane transplant(AMT)and conjunctival flaps(CFs)can help promote corneal healing.Finally,in severe situations where the cornea is beyond salvage,corneal transplantation,such as a penetrating keratoplasty(PKP),can be considered.OSR often requires a combination of medical and surgical approaches targeted to each specific patient’s presentation in order to achieve optimal outcomes. 展开更多
关键词 Ocular surface reconstruction(OSR) ocular surface disease(OSD) amniotic membrane transplant(AMT) limbal stem cell transplant(LSCT) eyelid reconstruction
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Stabilizing iridium sites via interface and reconstruction regulations for water oxidation in alkaline and acidic media
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作者 Weibin Chen Yanhui Song +2 位作者 Lei Li Junjie Guo Zhan Lin 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第2期355-363,I0009,共10页
Exploring effective iridium(Ir)-based electrocatalysts with stable iridium centers is highly desirable for oxygen evolution reaction(OER).Herein,we regulated the incorporation manner of Ir in Co_(3)O_(4)support to sta... Exploring effective iridium(Ir)-based electrocatalysts with stable iridium centers is highly desirable for oxygen evolution reaction(OER).Herein,we regulated the incorporation manner of Ir in Co_(3)O_(4)support to stabilize the Ir sites for effective OER.When anchored on the surface of Co_(3)O_(4)in the form of Ir(OH)_6 species,the created Ir-OH-Co interface leads to a limited stability and poor acidic OER due to Ir leaching.When doped into Co_(3)O_(4)lattice,the analyses of X-ray absorption spectroscopy,in-situ Raman,and OER measurements show that the partially replacement of Co in Co_(3)O_(4)by Ir atoms inclines to cause strong electronic effect and activate lattice oxygen in the presence of Ir-O-Co interface,and simultaneously master the reconstruction effect to mitigate Ir dissolution,realizing the improved OER activity and stability in alkaline and acidic environments.As a result,Ir_(lat)@Co_(3)O_(4)with Ir loading of 3.67 wt%requires 294±4 mV/285±3 mV and 326±2 mV to deliver 10 mA cm^(-2)in alkaline(0.1 M KOH/1.0 M KOH)and acidic(0.5 M H_(2)SO_(4))solution,respectively,with good stability. 展开更多
关键词 Interface effect reconstruction Ir dissolution Ir-O-Co Oxygen evolution reaction
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Self-derivation and reconstruction of silver nanoparticle reinforced cobalt-nickel bimetallic hydroxides through interface engineering for overall water splitting
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作者 Yan Li Jie Han +5 位作者 Weiwei Bao Junjun Zhang Taotao Ai Mameng Yang Chunming Yang Pengfei Zhang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第3期590-599,I0013,共11页
Designing efficient and long-lasting non-metal electrocatalysts is an urgent task for addressing the issue of kinetic hysteresis in electrochemical oxidation reactions.The bimetallic hydroxides,catalyzing the oxygen e... Designing efficient and long-lasting non-metal electrocatalysts is an urgent task for addressing the issue of kinetic hysteresis in electrochemical oxidation reactions.The bimetallic hydroxides,catalyzing the oxygen evolution reaction(OER),have significant research potential because hydroxide reconstruction to generate an active phase is a remarkable advantage.Herein,the complete reconstruction of ultrathin CoNi(OH)_(2) nanosheets was achieved by embedding Ag nanoparticles into the hydroxide to induce a spontaneous redox reaction(SRR),forming heterojunction Ag@CoNi(OH)_(2) for bifunctional hydrolysis.Theoretical calculations and in situ Raman and ex situ characterizations revealed that the inductive effect of the Ag cation redistributed the charge to promote phase transformation to highly activate Ag-modified hydroxides.The Co-Ni dual sites in Co/NiOOH serve as novel active sites for optimizing the intermediates,thereby weakening the barrier formed by OOH^*.Ag@CoNi(OH)_(2) required a potential of 1.55 V to drive water splitting at a current density of 10 mA cm^(-2),with nearly 98.6% Faraday efficiency.Through ion induction and triggering of electron regulation in the OER via the synergistic action of the heterogeneous interface and surface reconstruction,this strategic design can overcome the limited capacity of bimetallic hydroxides and bridge the gap between the basic theory and industrialization of water decomposition. 展开更多
关键词 Surface reconstruction Bimetallic hydroxides Ag nanoparticle Operando Raman Overall water splitting
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High formability Mg-Zn-Gd wire facilitates ACL reconstruction via its swift degradation to accelerate intra-tunnel endochondral ossification
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作者 Xuan He Ye Li +14 位作者 Hongwei Miao Jiankun Xu Michael Tim-yun Ong Chenmin Wang Lizhen Zheng Jiali Wang Le Huang Haiyue Zu Zhi Yao Jie Mi Bingyang Dai Xu Li Patrick Shu-hang Yung Guangyin Yuan Ling Qin 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第1期295-315,共21页
After reconstructing the anterior cruciate ligament(ACL),unsatisfactory bone tendon interface healing may often induce tunnel enlargement at the early healing stage.With good biological features and high formability,M... After reconstructing the anterior cruciate ligament(ACL),unsatisfactory bone tendon interface healing may often induce tunnel enlargement at the early healing stage.With good biological features and high formability,Magnesium-Zinc-Gadolinium(ZG21)wires are developed to bunch the tendon graft for matching the bone tunnel during transplantation.Microstructure,tensile strength,degradation,and cytotoxicity of ZG21 wire are evaluated.The rabbit model is used for assessing the biological effects of ZG21 wire by Micro-CT,histology,and mechanical test.The SEM/EDS,immunochemistry,and in vitro assessments are performed to investigate the underlying mechanism.Material tests demonstrate the high formability of ZG21 wire as surgical suture.Micro-CT shows ZG21 wire degradation accelerates tunnel bone formation,and histologically with earlier and more fibrocartilage regeneration at the healing interface.The mechanical test shows higher ultimate load in the ZG21 group.The SEM/EDS presents ZG21 wire degradation triggered calcium phosphate(Ca-P)deposition.IHC results demonstrate upregulation of Wnt3a,BMP2,and VEGF at the early phase and TGFβ3 and Type II collagen at the late phase of healing.In vitro tests also confirmed the Ca-P in the metal extract could elevate the expression of Wnt3a,βcatenin,ocn and opn to stimulate osteogenesis.Ex vivo tests of clinical samples indicated suturing with ZG21 wire did not weaken the ultimate loading of human tendon tissue.In conclusion,the ZG21 wire is feasible for tendon graft bunching.Its degradation products accelerated intra-tunnel endochondral ossification at the early healing stage and therefore enhanced bone-tendon interface healing in ACL reconstruction. 展开更多
关键词 Magnesium wire ACL reconstruction Magnesium alloy BIOMATERIALS Endochondral ossification
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Problem identification and revitalization strategies for the recovery and reconstruction of traditional villages in the Ms 6.8 Luding Earthquake
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作者 HUANG Chao QIU Jian +3 位作者 LIU Chun JIANG Rui ZHAO Chuanrong ZHANG Yi 《Journal of Mountain Science》 SCIE CSCD 2024年第2期361-379,共19页
Post-disaster reconstruction is a topic of global concern,and traditional villages have special heritage attributes and need to face more requirements and obstacles in post-disaster reconstruction.This paper summarize... Post-disaster reconstruction is a topic of global concern,and traditional villages have special heritage attributes and need to face more requirements and obstacles in post-disaster reconstruction.This paper summarizes four concepts based on the research on post-disaster reconstruction both domestically and internationally,as well as the recovery and reconstruction of cultural heritage.Through a field survey of traditional villages in the Ms 6.8 Luding earthquake-stricken area,it is found that there are problems such as insufficient awareness of heritage value,misalignment of scientific reconstruction technology,and insufficient protection of reconstruction elements during the reconstruction process.Traditional villages face the risk of declining or even loss of heritage value.In order to effectively protect traditional villages and inherit the carrier of regional culture,four targeted reconstruction response strategies are proposed,i.e.,to"establish special planning for traditional village preservation","emphasize recovery of the authenticity of village heritage","ensure elements for village heritage recovery"and"promote the activation and utilization of village heritage",based on the problems discovered during the survey and the four concepts summarized in the research on post-disaster reconstruction of traditional villages.The research results hope to provide useful reference for ancient cultural areas affected by earthquakes on how to protect cultural heritage during the post-disaster reconstruction process. 展开更多
关键词 Seismic hazard Decision making Traditional village Cultural heritage protection Post-earthquake recovery and reconstruction Revitalization strategy
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Development of D_α band symmetrical visible optical diagnostic for boundary reconstruction on EAST tokamak
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作者 陈明 沈飊 +4 位作者 Shinichiro KADO 郭笔豪 陈大龙 蔡福瑞 肖炳甲 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第2期44-53,共10页
To investigate the potential of utilizing visible spectral imaging for controlling the plasma boundary shape during stable operation of plasma in future tokamak, a D_α band symmetric visible light diagnostic system w... To investigate the potential of utilizing visible spectral imaging for controlling the plasma boundary shape during stable operation of plasma in future tokamak, a D_α band symmetric visible light diagnostic system was designed and implemented on the Experimental Advanced Superconducting Tokamak(EAST). This system leverages two symmetric optics for joint plasma imaging. The optical system exhibits a spatial resolution less than 2 mm at the poloidal cross-section, distortion within the field of view below 10%, and relative illumination of 91%.The high-quality images obtained enable clear observation of both the plasma boundary position and the characteristics of components within the vacuum vessel. Following system calibration and coordinate transformation, the image coordinate boundary features are mapped to the tokamak coordinate system. Utilizing this system, the plasma boundary was reconstructed, and the resulting representation showed alignment with the EFIT(Equilibrium Fitting) results. This underscores the system's superior performance in boundary reconstruction applications and provides a diagnostic foundation for boundary shape control based on visible spectral imaging. 展开更多
关键词 visible optical diagnostic plasma boundary reconstruction EAST
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Magnetic diagnostics layout design for CFETR plasma equilibrium reconstruction
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作者 于庆泽 黄耀 +6 位作者 罗正平 汪悦航 刘自结 芮望颐 吴凯 肖炳甲 李建刚 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第4期537-543,共7页
Plasma equilibrium reconstruction provides essential information for tokamak operation and physical analysis.An extensive and reliable set of magnetic diagnostics is required to obtain accurate plasma equilibrium.This... Plasma equilibrium reconstruction provides essential information for tokamak operation and physical analysis.An extensive and reliable set of magnetic diagnostics is required to obtain accurate plasma equilibrium.This study designs and optimizes the magnetic diagnostics layout for the reconstruction of the equilibrium of the plasma according to the scientific objectives,engineering design parameters,and limitations of the Chinese Fusion Engineering Test Reactor(CFETR).Based on the CFETR discharge simulation,magnetic measurement data are employed to reconstruct consistent plasma equilibrium parameters,and magnetic diagnostics'number and position are optimized by truncated Singular value decomposition,verifying the redundancy reliability of the magnetic diagnostics layout design.This provides a design solution for the layout of the magnetic diagnostics system required to control the plasma equilibrium of CFETR,and the developed design and optimization method can provide effective support to design magnetic diagnostics systems for future magnetic confinement fusion devices. 展开更多
关键词 plasma equilibrium reconstruction EFIT code flux loops and magnetic probes optimization
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For LEO Satellite Networks: Intelligent Interference Sensing and Signal Reconstruction Based on Blind Separation Technology
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作者 Chengjie Li Lidong Zhu Zhen Zhang 《China Communications》 SCIE CSCD 2024年第2期85-95,共11页
In LEO satellite communication networks,the number of satellites has increased sharply, the relative velocity of satellites is very fast, then electronic signal aliasing occurs from time to time. Those aliasing signal... In LEO satellite communication networks,the number of satellites has increased sharply, the relative velocity of satellites is very fast, then electronic signal aliasing occurs from time to time. Those aliasing signals make the receiving ability of the signal receiver worse, the signal processing ability weaker,and the anti-interference ability of the communication system lower. Aiming at the above problems, to save communication resources and improve communication efficiency, and considering the irregularity of interference signals, the underdetermined blind separation technology can effectively deal with the problem of interference sensing and signal reconstruction in this scenario. In order to improve the stability of source signal separation and the security of information transmission, a greedy optimization algorithm can be executed. At the same time, to improve network information transmission efficiency and prevent algorithms from getting trapped in local optima, delete low-energy points during each iteration process. Ultimately, simulation experiments validate that the algorithm presented in this paper enhances both the transmission efficiency of the network transmission system and the security of the communication system, achieving the process of interference sensing and signal reconstruction in the LEO satellite communication system. 展开更多
关键词 blind source separation greedy optimization algorithm interference sensing LEO satellite communication networks signal reconstruction
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A technique for enhancing tight oil recovery by multi-field reconstruction and combined displacement and imbibition
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作者 LEI Zhengdong WANG Zhengmao +6 位作者 MU Lijun PENG Huanhuan LI Xin BAI Xiaohu TAO Zhen LI Hongchang PENG Yingfeng 《Petroleum Exploration and Development》 SCIE 2024年第1期152-163,共12页
A seepage-geomechanical coupled embedded fracture flow model has been established for multi-field coupled simulation in tight oil reservoirs,revealing the patterns of change in pressure field,seepage field,and stress ... A seepage-geomechanical coupled embedded fracture flow model has been established for multi-field coupled simulation in tight oil reservoirs,revealing the patterns of change in pressure field,seepage field,and stress field after long-term water injection in tight oil reservoirs.Based on this,a technique for enhanced oil recovery(EOR)combining multi-field reconstruction and combination of displacement and imbibition in tight oil reservoirs has been proposed.The study shows that after long-term water flooding for tight oil development,the pressure diffusion range is limited,making it difficult to establish an effective displacement system.The variation in geostress exhibits diversity,with the change in horizontal minimum principal stress being greater than that in horizontal maximum principal stress,and the variation around the injection wells being more significant than that around the production wells.The deflection of geostress direction around injection wells is also large.The technology for EOR through multi-field reconstruction and combination of displacement and imbibition employs water injection wells converted to production and large-scale fracturing techniques to restructure the artificial fracture network system.Through a full lifecycle energy replenishment method of pre-fracturing energy supplementation,energy increase during fracturing,well soaking for energy storage,and combination of displacement and imbibition,it effectively addresses the issue of easy channeling of the injection medium and difficult energy replenishment after large-scale fracturing.By intensifying the imbibition effect through the coordination of multiple wells,it reconstructs the combined system of displacement and imbibition under a complex fracture network,transitioning from avoiding fractures to utilizing them,thereby improving microscopic sweep and oil displacement efficiencies.Field application in Block Yuan 284 of the Huaqing Oilfield in the Ordos Basin has demonstrated that this technology increases the recovery factor by 12 percentage points,enabling large scale and efficient development of tight oil. 展开更多
关键词 tight oil complex fracture network energy increase by fracturing multi-field reconstruction displacement and imbibition combination EOR
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Trends in Event Understanding and Caption Generation/Reconstruction in Dense Video:A Review
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作者 Ekanayake Mudiyanselage Chulabhaya Lankanatha Ekanayake Abubakar Sulaiman Gezawa Yunqi Lei 《Computers, Materials & Continua》 SCIE EI 2024年第3期2941-2965,共25页
Video description generates natural language sentences that describe the subject,verb,and objects of the targeted Video.The video description has been used to help visually impaired people to understand the content.It... Video description generates natural language sentences that describe the subject,verb,and objects of the targeted Video.The video description has been used to help visually impaired people to understand the content.It is also playing an essential role in devolving human-robot interaction.The dense video description is more difficult when compared with simple Video captioning because of the object’s interactions and event overlapping.Deep learning is changing the shape of computer vision(CV)technologies and natural language processing(NLP).There are hundreds of deep learning models,datasets,and evaluations that can improve the gaps in current research.This article filled this gap by evaluating some state-of-the-art approaches,especially focusing on deep learning and machine learning for video caption in a dense environment.In this article,some classic techniques concerning the existing machine learning were reviewed.And provides deep learning models,a detail of benchmark datasets with their respective domains.This paper reviews various evaluation metrics,including Bilingual EvaluationUnderstudy(BLEU),Metric for Evaluation of Translation with Explicit Ordering(METEOR),WordMover’s Distance(WMD),and Recall-Oriented Understudy for Gisting Evaluation(ROUGE)with their pros and cons.Finally,this article listed some future directions and proposed work for context enhancement using key scene extraction with object detection in a particular frame.Especially,how to improve the context of video description by analyzing key frames detection through morphological image analysis.Additionally,the paper discusses a novel approach involving sentence reconstruction and context improvement through key frame object detection,which incorporates the fusion of large languagemodels for refining results.The ultimate results arise fromenhancing the generated text of the proposedmodel by improving the predicted text and isolating objects using various keyframes.These keyframes identify dense events occurring in the video sequence. 展开更多
关键词 Video description video to text video caption sentence reconstruction
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Equalization Reconstruction Algorithm Based on Reference Signal Frequency Domain Block Joint for DTMB-Based Passive Radar
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作者 Shuai Ma Zeqi Yang +2 位作者 Hua Zhang Yiheng Liu Xiaode Lyu 《Journal of Beijing Institute of Technology》 EI CAS 2024年第1期41-53,共13页
Channel equalization plays a pivotal role within the reconstruction phase of passive radar reference signals.In the context of reconstructing digital terrestrial multimedia broadcasting(DTMB)signals for low-slow-small... Channel equalization plays a pivotal role within the reconstruction phase of passive radar reference signals.In the context of reconstructing digital terrestrial multimedia broadcasting(DTMB)signals for low-slow-small(LSS)target detection,a novel frequency domain block joint equalization algorithm is presented in this article.From the DTMB signal frame structure and channel multipath transmission characteristics,this article adopts a unconventional approach where the delay and frame structure of each DTMB signal frame are reconfigured to create a circular convolution block,facilitating concurrent fast Fourier transform(FFT)calculations.Following equalization,an inverse fast Fourier transform(IFFT)-based joint output and subsequent data reordering are executed to finalize the equalization process for the DTMB signal.Simulation and measured data confirm that this algorithm outperforms conventional techniques by reducing signal errors rate and enhancing real-time processing.In passive radar LSS detection,it effectively suppresses multipath and noise through frequency domain equalization,reducing false alarms and improving the capabilities of weak target detection. 展开更多
关键词 passive radar frequency domain equalization reference signal reconstruction digital terrestrial multimedia broadcasting(DTMB)
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Limb Lengthening and Reconstruction Society orthopedic surgeons in the United States:An analysis of geographical distribution,academic,leadership,and demographic characteristics
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作者 Amir Human Hoveidaei Reza Niakan +2 位作者 Seyed Hossein Hosseini-Asl Abijith Annasamudram Janet D Conway 《World Journal of Orthopedics》 2024年第2期147-155,共9页
BACKGROUND The Limb Lengthening and Reconstruction Society(LLRS)is a premier orthopedic specialty organization that promotes limb reconstruction for all ages.LLRS membership characteristics,however,are poorly reported... BACKGROUND The Limb Lengthening and Reconstruction Society(LLRS)is a premier orthopedic specialty organization that promotes limb reconstruction for all ages.LLRS membership characteristics,however,are poorly reported.This study delineates orthopedic surgeon LLRS members’demographic traits,academic achievement,leadership attainment,and geographical distribution across the United States.AIM To inform aspiring orthopedic professionals,as well as to promote growth and diversity in both the LLRS organization and overarching field.METHODS This cross-sectional study examined United States LLRS members’academic,leadership,demographic,and geographical attributes.After reviewing the 2023 LLRS member directory,Google search results were matched to the listings and appended to the compiled data.Sex and ethnicity were evaluated visually utilizing retrieved images.The Hirsch index(H-index)of academic activity,residency and fellowship training,other graduate degrees,leadership positions,practice type(academic or non-academic),and spoken languages were categorized.LLRS members per state and capita determined geographic distribution.The Mann Whitney U test was applied to compare H-index between males and females,as well as to assess member differences pertaining to affiliation with academic vs non-academic practice facilities.RESULTS The study included 101 orthopedic surgeons,78(77.23%)Caucasian and 23(22.77%)non-Caucasian,79(78.22%)male and 22(21.78%)female.Surgeons with DO degrees comprised only 3.96%(4)of the cohort,while the vast majority held MDs[96.04%(97)].Mean H-index was 10.55,with male surgeons having a significantly higher score(P=0.002).Most orthopedic surgeons(88.12%,)practiced in academic centers.Of those professionals who occupied leadership positions,14%were women,while 86%were men.Additionally,19(37.25%)United States regions and the District of Columbia lacked an LLRS-member orthopedic surgeon.Total per capita rate across the United States was 0.30 LLRS orthopedic surgeons per 1 million people.CONCLUSION Over 21%of LLRS members are women,surpassing prior benchmarks noted in orthopedic faculty reporting.LLRS members’high research productivity scores imply field dedication that can refine expertise in the limb lengthening and reconstruction space.Gender disparities in leadership remain,however,necessitating greater equity efforts.A low rate of LLRS representation per capita must be addressed geographically as well,to affect improvements in regional care access.This study can serve to support aspiring orthopedic professionals,inform diversity,leadership,and field advancement strategies,and maintain the continued goal of enhanced patient care worldwide. 展开更多
关键词 Limb lengthening and reconstruction Orthopedic surgeon demographics Orthopedic surgeon societal membership Orthopedic fellowships
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Correlation of Hamstring Tendon Size in Pre-Operative MRI Measurement with Intra-Operative Graft Size in Primary Anterior Cruciate Ligament (ACL) Reconstruction
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作者 Nurhanani Abu Bakar Mohamad Razip Sirat +1 位作者 Hairiah Abas Saiful Safuan Md Sani 《Journal of Biosciences and Medicines》 2024年第3期150-158,共9页
Background: The size of Hamstring autograft of less than 8.0 mm in ACL re-construction is one of the key factors that may contribute to the failure of the graft. In this study, we are going to assess the correlation o... Background: The size of Hamstring autograft of less than 8.0 mm in ACL re-construction is one of the key factors that may contribute to the failure of the graft. In this study, we are going to assess the correlation of pre-operative MRI measurement of Hamstring tendons with the intra-operative ACL graft. Thus, it may help surgeons to anticipate the needs for graft augmentation should the final graft size be smaller than expected. Methods: We retrospectively re-viewed 41 cases of ACL reconstructions in which MRI were done pre-operatively, in Hospital Pakar Sultanah Fatimah (HPSF), Muar between January 2019 until December 2022. MRI measurements of Hamstring tendon (semitendinosus: ST, and gracilis) were done by a radiologist, and the in-tra-operative notes were reviewed for the final graft size. Pearson’s correlation coefficients were calculated to determine the relationship between graft size and tendon cross-sectional area. The intraclass correlation (ICC) by using two-way mixed model with type consistency, the reliability based on average measure was 0.41 (95% CI: ?0.10, 0.69). A p-value < 0.05 was considered sig-nificant. Results: Of 105 patients with primary ACL reconstruction done be-tween January 2019 to December 2022, only 41 patients were included in this study. There was fair correlation (p = 0.048) between pre-operative MRI measurement and the graft diameter intra-operatively. The mean of 17.0 mm of combined diameter of ST and gracilis tendon in MRI may results in graft diameter of 8.3 mm. There was also positive correlation between patients’ height and the intra-operative graft size. Conclusion: These results showed good correlation between pre-operative MRI measurement of Hamstring ten-don size with the intra-operative graft size, hence it is a reliable tool to predict the Hamstring autograft size in ACL reconstruction. 展开更多
关键词 ACL reconstruction Pre-Operative MRI Hamstring Tendon
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Evaluation of Functional and Radiological Outcome of Arthroscopic-Assisted Anatomical Coracoclavicular (CC) and Acromioclavicular (AC) Ligament Reconstruction in Chronic AC Joint Dislocation
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作者 Muhammad Hafiz Daud Lim Wee Cheong +2 位作者 Ang Xi Yuan Che Wan Mohd Shaiful Nizam Siti Hawa Tahir 《Journal of Biosciences and Medicines》 2024年第3期223-237,共15页
Introduction: Acromioclavicular (AC) joint dislocation is a common shoulder injury, comprising 9% - 12% of shoulder girdle injuries. Optimal management remains challenging, with treatment decisions guided by the Rockw... Introduction: Acromioclavicular (AC) joint dislocation is a common shoulder injury, comprising 9% - 12% of shoulder girdle injuries. Optimal management remains challenging, with treatment decisions guided by the Rockwood classification system. Controversies surround grade III injuries, necessitating further classification. Non-operative treatment has shown favorable outcomes, while surgical interventions vary. Anatomical coracoclavicular reconstruction (ACCR) has demonstrated biomechanical advantages over traditional methods. Arthroscopic techniques offer advantages, minimizing deltoid detachment and allowing concurrent pathology identification. This study evaluates the outcomes of arthroscopic-assisted ACCR in chronic AC joint dislocation. Surgical Technique: Arthroscopic-assisted ACCR involves meticulous portal placement, tendon graft harvesting, diagnostic arthroscopy, and coracoid exposure. The clavicle tunnels were made to mimic the conoid and trapezoid ligament positions, using FibreTape#2 loop and Dog Bone Button for correct placement against the coracoid base, and passing the semitendinosus graft through to reconstruct the conoid ligament, reduction done and graft follow through for anatomical reconstruction. Methods: A retrospective cohort study at Hospital Kuala Lumpur analyzed 35 patients undergoing arthroscopic-assisted ACCR for Rockwood grade III - V AC joint dislocations. Inclusion criteria encompassed trauma ≥ 3 weeks prior, no prior shoulder injuries, and ≥12-month follow-up. Functional and radiological assessments utilized ASES scores and coracoclavicular distances, respectively. Statistical analysis employed descriptive statistics and logistic regression. Results: The mean age was 38.9 years (SD 11.26), and 34 of 35 patients were male. Grade IV injuries were predominant (37.1%). Waiting time for surgery averaged 234.9 days. Functional improvement was substantial postoperatively (ASES: 55.5 to 88.9). Radiological outcomes demonstrated reduced coracoclavicular distances and maintained reduction. No significant correlation was observed between injury grade and outcomes. Conclusion: Arthroscopic-assisted ACCR for chronic AC joint dislocation yields significant functional and radiological improvement, irrespective of injury grade. Waiting time for surgery exhibits minor impact on outcomes, emphasizing the procedure’s efficacy. Concomitant injuries do not impede success, highlighting the versatility of this approach in managing shoulder instability. The study contributes valuable insights into the nuanced management of chronic AC joint dislocations and supports the adoption of arthroscopic-assisted ACCR as a viable treatment option. 展开更多
关键词 Arthroscopic-Assisted Anatomical Coracoclavicular and Acromioclavicular Ligament reconstruction (AACR) Chronic Acromioclavicular Dislocation ASES Score Rockwood Classification
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Analysis of Bridge Inspection Technology for Highway Reconstruction and Expansion
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作者 Xu Meng Bo Liu +1 位作者 Ji Li Zhi Tu 《Journal of World Architecture》 2024年第1期40-44,共5页
This article focuses on bridge testing technologies in highway construction and expansion projects.It provides an overview of the inspection process for bridges in highway reconstruction and expansion projects,the mai... This article focuses on bridge testing technologies in highway construction and expansion projects.It provides an overview of the inspection process for bridges in highway reconstruction and expansion projects,the main inspections,and strategies for improving the quality of inspections.Relevant units should conduct bridge inspections using appearance inspections,special inspections,and bearing capacity assessments in highway reconstruction and expansion projects.To effectively improve testing quality,relevant units should also focus on establishing and improving testing standards,strengthening material testing,and improving the overall quality of the testing personnel.This research aims to enhance the quality of highway reconstruction and expansion projects by supporting the sensible application of bridge inspection technology. 展开更多
关键词 EXPRESSWAY reconstruction and expansion Bridge engineering Detection technology
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Design Method for Road Reconstruction and Expansion
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作者 Wei Gan Haonan Ding Zhipang Yang 《Journal of Architectural Research and Development》 2024年第2期31-36,共6页
This article analyzes the method for designing routes in road reconstruction and expansion projects,using an actual engineering project as an example.This includes an overview of a specific road reconstruction and exp... This article analyzes the method for designing routes in road reconstruction and expansion projects,using an actual engineering project as an example.This includes an overview of a specific road reconstruction and expansion project,an analysis of the preexisting road,the basic principles of the design road project,and an analysis of the design methods and steps.This study aims to offer some guidance for road reconstruction and expansion design. 展开更多
关键词 Road engineering reconstruction and expansion Line design Design principles
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Analysis and Comparison of Slope-cutting Widening Schemes in Highway Reconstruction and Expansion Project Based on MIDAS Software
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作者 Zhiqiang Qiu Yun Shi Lei Jiang 《Journal of Architectural Research and Development》 2024年第2期75-83,共9页
In this paper,the geological condition of the right-side slope of the K114+694–K115+162 section of Yong-tai-wen Expressway is investigated and analyzed with the results showing that the strength of rock mass is the m... In this paper,the geological condition of the right-side slope of the K114+694–K115+162 section of Yong-tai-wen Expressway is investigated and analyzed with the results showing that the strength of rock mass is the main contributor to the stability of the slope.Then,two widening schemes are proposed,which are the steep slope with strong support and the gentle slope with general support schemes.The static/slope module of MIDAS GTS finite element analysis software and the strength reduction method were used to compare the two schemes.The results show that the steep slope with a strong support scheme has obvious advantages in land requisition,environmental protection,and safety and is more suitable for reconstructing and expanding the highway slope. 展开更多
关键词 Highway reconstruction and expansion Slope excavation MIDAS GTS Scheme selection
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Multi-Segmental Osteocutaneous Free Fibula Flap for Three-Dimensional Post-Traumatic Thumb and Wrist Reconstruction
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作者 Jack D. Sudduth Shireen Dogar +1 位作者 Narges L. Horriat Marc E. Walker 《Modern Plastic Surgery》 2023年第1期23-31,共9页
Thumb reconstruction following a traumatic injury challenge depends on the extent of the injury. Ideally, reconstruction should restore thumb length and position and retain thumb stability, mobility, and strength, whi... Thumb reconstruction following a traumatic injury challenge depends on the extent of the injury. Ideally, reconstruction should restore thumb length and position and retain thumb stability, mobility, and strength, while preserving sensation and aesthetics. Achieving these outcomes can be especially challenging in severe cases of soft tissue and bony loss. The authors present a case of a 20-year-old right-hand dominant female involved in a motor vehicle accident who sustained severe crush injuries and burns to her right hand. Her injuries included soft tissue and bony defects extending from the thumb to the distal radius, namely avulsion of the thumb and significant loss of the distal radial and carpal column, resulting in severe wrist instability. We employed a three-segment vascularized osteocutaneous fibula flap to reconstruct the thumb and wrist to restore bony construct, carpal support, and soft tissue coverage. Thumb motion could not be achieved, but this technique offered a sensate, functional post for opposition and the appearance of an anatomic hand. Because of this surgery, the patient was enabled to graduate from college and pursue full-time employment. The authors hope that this report will add to the fund of knowledge and surgeon armamentarium for similar devastating injuries demanding thumb and wrist reconstruction. 展开更多
关键词 Thumb reconstruction Wrist reconstruction Microvascular reconstruction Free Fibula Flap Thumb Amputation
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Data-driven simultaneous vertex and energy reconstruction for large liquid scintillator detectors
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作者 Gui-Hong Huang Wei Jiang +2 位作者 Liang-Jian Wen Yi-Fang Wang Wu-Ming Luo 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2023年第6期103-113,共11页
High-precision vertex and energy reconstruction are crucial for large liquid scintillator detectors such as that at the Jiangmen Underground Neutrino Observatory(JUNO),especially for the determination of neutrino mass... High-precision vertex and energy reconstruction are crucial for large liquid scintillator detectors such as that at the Jiangmen Underground Neutrino Observatory(JUNO),especially for the determination of neutrino mass ordering by analyzing the energy spectrum of reactor neutrinos.This paper presents a data-driven method to obtain a more realistic and accurate expected PMT response of positron events in JUNO and develops a simultaneous vertex and energy reconstruction method that combines the charge and time information of PMTs.For the JUNO detector,the impact of the vertex inaccuracy on the energy resolution is approximately 0.6%. 展开更多
关键词 JUNO Liquid scintillator detector Neutrino experiment Vertex reconstruction Energy reconstruction
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Breast reconstruction:Review of current autologous and implantbased techniques and long-term oncologic outcome
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作者 Mahdi Malekpour Fatemeh Malekpour Howard Tz-Ho Wang 《World Journal of Clinical Cases》 SCIE 2023年第10期2201-2212,共12页
Implant-based reconstruction is the most common method of breast reconstruction.Autologous breast reconstruction is an indispensable option for breast reconstruction demanding keen microsurgical skills and robust anat... Implant-based reconstruction is the most common method of breast reconstruction.Autologous breast reconstruction is an indispensable option for breast reconstruction demanding keen microsurgical skills and robust anatomical understanding.The reconstructive choice is made by the patient after a discussion with the plastic surgeon covering all the available options.Advantages and disadvantages of each technique along with long-term oncologic outcome are reviewed. 展开更多
关键词 Breast reconstruction MAMMAPLASTY Breast Implant Autologous reconstruction Oncologic Outcome Breast Neoplasms
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