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71.
72.
Sutureless microvascular anastomoses by a biodegradable laser-activated solid protein solder. 总被引:2,自引:0,他引:2
P K Maitz R I Trickett P Dekker P Tos J M Dawes J A Piper M Lanzetta E R Owen 《Plastic and reconstructive surgery》1999,104(6):1726-1731
A new sutureless technique to successfully anastomose the abdominal aorta of rats (1.3 mm in diameter) by using a fully biodegradable, laser-activated protein solder is presented. A total of 90 rats were divided into two groups randomly. In group one, the anastomoses were performed by using conventional microsuturing technique, whereas in group two, the anastomoses were performed by using a new laser welding technique. In addition, each of the two groups were divided into five subgroups and evaluated at different follow-up periods (10 minutes, 1 hour, 1 day, 1 week, and 6 weeks). At these intervals, the anastomoses were evaluated for patency and tensile strength. Three anastomoses in each subgroup were processed for light and electron microscopy. All anastomoses were found to be patent. The mean clamp time of the anastomoses performed with conventional suturing was 20.6 minutes compared with 7.2 minutes for the laser-activated welded anastomoses (p < 0.001). The strain measurements showed a stronger mechanical bond of the sutured anastomoses in the initial phase. However, at 6 weeks the tensile strength of the laser-welded anastomoses was higher compared with the conventional suture technique. Histologic evaluations revealed a near complete resorption of the solder after 6 weeks. The junction site of the vessel ends cannot be determined on the luminal side of the artery. In conclusion, a resorbable protein used as a solder, activated by a diode laser, can provide a reliable, safe, and rapid arterial anastomosis, which could be performed by any microsurgeon faster than conventional suturing after a short learning curve. 相似文献
73.
74.
Antonia Dawes 《Ethnic and racial studies》2017,40(1):114-132
This qualitative empirical study explores the articulation of meanings about difference, belonging and positionality that are emerging in English talk across transcultural boundaries in Naples, Southern Italy. It shows that the fraught encounters that take place on street markets, on public transport and at community events lead both to tactics of racialized closure, exclusion and division; as well as to the formation of innovative and ambivalent convivialities. In stressing the importance of talking English in intersubjective interactions it not only tells a story about the particular context and history of race relations in the city – where different sorts of speaking are central to a history of internal subordination and mass emigration – but also offers new ways of thinking about the complex and ambiguous multilingual reality that has resulted from intensified migration across the world. 相似文献
75.
76.
Tainá CC Monte Rosana Gentile Juberlan Garcia Ester Mota Jeannie N Santos Arnaldo Maldonado Júnior 《Memórias do Instituto Oswaldo Cruz》2014,109(8):1057-1063
Angiostrongylus cantonensis is the etiologic agent of eosinophilic
meningoencephalitis in humans. Cases have been recorded in many parts of the world,
including Brazil. The aim of this study was to compare the differences in the biology
and morphology of two different Brazilian haplotypes of A. : ac8 and
ac9. A significantly larger number of L1 larvae eliminated in the faeces of rodents
at the beginning of the patent period was observed for ac9 haplotype and compared to
the total of L1 larvae eliminated, there was a significant difference between the two
haplotypes. The ac9 haplotype showed a significant difference in the proportion of
female and male specimens (0.6:1), but the same was not observed for ac8 (1.2:1). The
morphometric analysis showed that male and female specimens isolated from ac8
haplotype were significantly larger with respect to body length, oesophagus length,
spicule length (male) and distance from the anus to the rear end (female) compared to
specimens from ac9. The morphological analysis by light microscopy showed little
variation in the level of bifurcations at the lateral rays in the right lobe of the
copulatory bursa between the two haplotypes. The biological, morphological and
morphometric variations observed between the two haplotypes agree with the observed
variation at the molecular level using the cytochrome oxidase subunit I marker and
reinforce the possible influence of geographical isolation on the development of
these haplotypes. 相似文献
77.
78.
Shun Zhang Shanell L. McGoy Daniel Dawes Mesfin Fransua George Rust David Satcher 《PloS one》2014,9(4)
Objectives
The purpose of this study was to explore the racial and ethnic disparities in initiation of antiretroviral treatment (ARV treatment or ART) among HIV-infected Medicaid enrollees 18–64 years of age in 14 southern states which have high prevalence of HIV/AIDS and high racial disparities in HIV treatment access and mortality.Methods
We used Medicaid claims data from 2005 to 2007 for a retrospective cohort study. We compared frequency variances of HIV treatment uptake among persons of different racial- ethnic groups using univariate and multivariate methods. The unadjusted odds ratio was estimated through multinomial logistic regression. The multinomial logistic regression model was repeated with adjustment for multiple covariates.Results
Of the 23,801 Medicaid enrollees who met criteria for initiation of ARV treatment, only one third (34.6%) received ART consistent with national guideline treatment protocols, and 21.5% received some ARV medication, but with sub-optimal treatment profiles. There was no significant difference in the proportion of people who received ARV treatment between black (35.8%) and non-Hispanic whites (35.7%), but Hispanic/Latino persons (26%) were significantly less likely to receive ARV treatment.Conclusions
Overall ARV treatment levels for all segments of the population are less than optimal. Among the Medicaid population there are no racial HIV treatment disparities between Black and White persons living with HIV, which suggests the potential relevance of Medicaid to currently uninsured populations, and the potential to achieve similar levels of equality within Medicaid for Hispanic/Latino enrollees and other segments of the Medicaid population. 相似文献79.
Technique improvement and cost reduction of branch culture, micropropagation, and callus production of carrageenan-yielding seaweeds Kappaphycus alvarezii and Eucheuma denticulatum is presented. Low cost branch culture is possible by enriching seawater with 0.1% coconut water with 1 mg l–1 indole-3-butyric acid for 24 h wk–1 or continuous culture with 0.01% Algafer, a Philippine fertilizer. Micropropagation of 0.5 cm explants had almost 100% new branch production demonstrating the viability of callus regenerated plants. The use of carrageenan as a media for callus production was not effective when compared to agar. Propagules of both species, transferred from the University of the Philippine Marine Science Institute (UPMSI) culture facility to the field, showed daily percent growth rates of 5 to 5.5% d–1 over 84 days. Based on the costs of the UPMSI laboratory, a culture facility in the seaweed farming area is estimated to cost about U. S. $22000 during the initial year and 58% less the second year. 相似文献
80.
Novak V Yang AC Lepicovsky L Goldberger AL Lipsitz LA Peng CK 《Biomedical engineering online》2004,3(1):39