Optimizing Recovery Following Mihata Superior Capsular Reconstruction Surgery with Tensor Fascia Lata Auto Graft: A Comprehensive Rehabilitation Protocol

Objective: Superior Capsular Reconstruction (SCR) using a Tensor Fascia Lata (TFL) autograft is an evolving technique for treating irreparable rotator cuff tears. The Mihata technique, initially developed in Japan, has shown promising long-term results. However, a standardized post-operative rehabilitation protocol for this procedure in the USA is lacking. Purpose: This study aims to evaluate the outcomes of a comprehensive rehabilitation protocol following SCR with TFL autograft in a cohort of nine patients. Participants and Methods: A prospective observational study was conducted at Concentra Urgent Care, San Francisco. Nine patients, aged 55 - 65 years, underwent SCR with TFL autograft performed by a specialized orthopedic surgeon. Post-operative rehabilitation was managed using a structured protocol, divided into three phases focusing on passive exercises, progressive range of motion, and strengthening. Outcomes were measured using the Visual Analogue Scale (VAS) for pain, forward flexion range of motion (FF-ROM), and Single Assessment Numeric Evaluation (SANE) scores over a six-month period. Results: Significant improvements were observed in pain reduction (mean VAS decrease of −3.67 points, p = 0.01), ROM (mean FF increase of 41.11 degrees, p = 0.014), and SANE scores (mean improvement of 42.11%, p = 0.009), indicating the efficacy of the rehabilitation protocol. Conclusion: The comprehensive rehabilitation protocol following SCR with TFL autograft significantly improved pain, range of motion, and shoulder function in patients, suggesting its potential utility in clinical practice.

乙酰胆碱、LatA和FAA对萝卜韧皮部同化物运输的影响

利用乙酰胆碱 (Ach)、微丝解聚剂 (LatA)和维管束固定剂 (FAA)处理萝卜的韧皮部 ,以叶片中可溶性糖和淀粉含量以及14 C 同化物从叶片中的输出量为指标 ,研究 3种药剂对韧皮部同化物运输的调控作用。结果表明 ,低浓度的Ach可有效地促进14 C 同化物向肉质根的运输 ,而LatA和FAA处理则有效抑制14 C 同化物向肉质根的运输。

High-quality chromosome-level genome assembly of Tibetan fox(Vulpes ferrilata)

DEAR EDITOR,Using Oxford Nanopore and Hi-C sequencing technology,we successfully assembled a chromosome-level genome of the Tibetan fox(Vulpes ferrilata),with a total size of 2.38 Gb and N50 length of 133960477 bp.The 157 contigs were further assembled into 18 chromosomes with a sequence length of2378.42 Mb,accounting for 99.95%of the total length.

特马豆克期三叶虫Dichelepyge lata Peng的个体发育

记述了产于湘西泸溪特马豆克期锅塘组的刺尾虫类三叶虫Ｄｉｃｈｅｌｅｐｙｇｅｌａｔａ的个体发育过程。其最显著的变化有头鞍形状和比例的改变，头鞍沟、颈沟与背沟的分离．鞍前箍（ｐａｒａｆｒｏｎｔａｌｂａｎｄ）的出现与消失．胸部肋区和轴部比例宽度的改变，尾部的形状和比例的变更，尾边缘的出现和肋沟深度的增加，以及后侧刺的位置逐渐前移。组成成虫期个体的前８个体节（６个胸节和前２个尾节）极有可能在分节０期（ｍｅａｓｐｉｄＤｅｇｒｅｅ０）便已形成。从分节３期（ｍｅｒａｓｐｉｄＤｅｇｒｅｅ３）起在带后侧刺的体节与轴后区（ｐｏｓｔａｘｉａｌｆｉｅｌｄ）之间又发育出一个新的体节。过渡期尾部（ｔｒａｎｓｉｔｏｒｙｐｙｇｉｄｉｕｍ）在分节０期或分节１期发育出后侧刺．在分节４期又同时长出３对侧刺，其中最后一对侧刺与后侧刺一道形成成年期尾部的尾刺。

Fascia Lata Donor Site Foreign Body Granuloma: An Unusual Presentation of a Rare Mimic of Soft Tissue Sarcoma

Background: Foreign body granuloma is a rare late complication of fascia lata graft donor site with few reported cases in the literature. It can mimic soft tissue sarcoma. Clinical and radiological findings may not be enough to solve the puzzle and histology remains the mainstay of diagnosis. Aim: Our aim is to highlight the unusual long interval between initial surgery and presentation of foreign body granuloma. Case Presentation: A 65-year-old man who presented 48 years after initial surgery with progressive painless fascia lata donor site soft tissue swelling. The management and histology findings were highlighted. Conclusion: The occurrence of foreign body granuloma remains an important differential following a history of past surgical procedure regardless of the time interval between the surgical procedure and the clinical presentation.

The Interventions of Pietro da Cortona in the Crypt of Santa Maria in Via Lata in Rome, Studied through a Morphometric Three-Dimensional Survey

Twenty years after the last archaeological researches and surveys, a new investigation has been carried out on the basement in the church of Santa Maria in Via Lata in Rome. The study has employed three-dimensional surveys with laser scanning methodology and has focused both on archaeological and architectural issues. Indeed, the present layout of the basement derives from a XVII century remodelling of early Christian and medieval spaces planned by Pietro da Cortona. The architect gave a unique setting and composition to the underground spaces, different in shapes and building materials, thanks to the refinement of his baroque language. Though he worked in small spaces with static problems connected to the foundations and to the loads of the church rising above, and with poor lighting and extreme dampness, Pietro da Cortona put skilfully together “modern” elements with ancient or historical pre-existences. The study focuses on Berrettini’s design process through a three-dimensional analysis with CAD systems, starting from the new XVII century fa?ade and from the articulated distribution of routes that led to the intimate underground interiors. Metrical processing gave the possibility to improve the knowledge about room geometry and to confirm the interpretations put forward by major scholars such as Krautheimer and Cavazzi.

再谈现代维吾尔语“Lata”一词的词源

"Lata"一词是维吾尔民族日常生活中常用的词语。本文根据作者学习不同时期具有代表性的维吾尔语文献,将"Lata"一词初步认为,不是波斯语借词,而是19中后期到20世纪初,从我国西北地区迁到新疆的汉族人跟当地的维吾尔族等各少数民族相互交融、生活、彼此学习的过程中经过音译的方式借入现代维吾尔语并且发生了词义扩大现象。

温度对长额负蝗Atractomorpha lata Motschoulsky生长发育及繁殖的影响

为预测及综合防治豆科植物的害虫长额负蝗(Atractomorpha lata Motschoulsky),研究温度对长额负蝗生长发育、存活和繁殖的影响,在室内人工气候箱16、20、24、28和32℃共5个恒温条件下,以大豆豆叶为寄主进行饲养,研究温度对长额负蝗的各虫态发育历期、发育速率及存活率的影响。结果表明:在16℃条件下长额负蝗无法完成世代发育。在试验温度范围内,卵、若虫和全世代平均发育历期随温度升高而缩短,成虫寿命为先升高再降低,通过拟合方程得出发育速率与温度呈正相关。采用直线回归法计算出长额负蝗卵期、若虫期、成虫期和全世代发育起点温度分别为10.81、14.50、18.98、15.17℃,有效积温分别为464.91、453.43、148.41和1078.41 d·℃。长额负蝗成虫产卵量在24℃时最高,为80.37粒/雌,20℃最低,为26.47粒/雌,在20~32℃条件下,种群趋势指数I均大于1,24℃时I值最大,为11.31。温度对长额负蝗存活率影响显著。研究结果可为长额负蝗发生期预测及综合防治提供理论依据。

Use of tensor fascia lata flap for reconstruction of the defect created following inguinal block dissection in a case of carcinoma penis:a case report and brief review of literature

Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation.The TFL perforator flap is a good alternative for anterolateral thigh(ALT)flap.The advantages of TFL flap are that dissection can be made through the same incision,without impairment of other donor sites.The reconstructive plan remains same as that of ALT flap.TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle.The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm×8 cm in the left inguinal region.TFL flap was raised with U-shaped incision and used for closure of the defect with good result.

Inflatable Metamorphic Origami

This study created a new type of inflatable metamorphic origami that has the advantage of being a highly simplified deployable system capable of realizing multiple sequential motion patterns with a monolithic actuation.

Infectious Disease Update in Obstetrics: A Modern Approach to the Patient with a Positive Screening Test for Syphyilis in Pregnancy

Screening for maternal syphilis has been an essential component of routine antenatal screening tests in most countries for many years. This is not only because of the virulence of the spirochete which causes the infection but also because of its vertical transmission rate and the potential severe adverse complications/morbidity that can result from its transmission to the fetus. Although the incidence of maternal syphilis and its fetal sequalae in low-income countries has been considerable for several years, the disease has been almost non-existent in high income countries with wide antenatal screening coverage and effective treatment programmes for Syphilis. The recent alarming increase in the incidence of maternal syphilis in high income countries has spawned a renewed public health interest in the infection, with several countries updating and strengthening public health guidance in an attempt to stem this dramatic trend. This is a short clinical update for the practising obstetrician on how to manage the antenatal patient with a positive syphilis screening test.

阔筋膜在成人孟氏骨折中治疗桡骨头脱位的应用

目的分析阔筋膜在成人孟氏骨折中治疗桡骨头脱位的应用效果。方法回顾性分析2015年8月至2022年7月32例孟氏骨折成年患者的临床资料,按手术方式不同分为观察组(阔筋膜治疗)和对照组(单纯韧带缝合)各16例。术后根据X线评估桡骨头复位情况及BrobergMorrey肘关节功能评分系统评估肘关节功能近、远期疗效。结果两组在术后X线检查桡骨头复位情况效果均满意。观察组1例女性患者因尺骨折延迟愈合,半年后行二次植骨术,其余患者均愈合良好,愈合时间(3.3±0.5)个月。术后3个月时Broberg-Morrey肘关节评分观察组(91.19±10.29)分,对照组(84.69±11.53)分。术后2年时Broberg-Morrey肘关节评分观察组(95.06±4.53)分,对照组(90.63±7.46)分,差异均有统计学意义(P<0.05)。结论阔筋膜在成人孟氏骨折中治疗桡骨头脱位较单纯缝合效果好。

OJU Peyronie’s Disease in an Elderly Ghanaian Gentleman—A Case-Report and Literature Review

Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deformity or significant functional impairment. Aim: To present the case of a patient with severe Peyronie’s disease who underwent surgical correction using an autologous fascia lata graft. Case Presentation: We report the case of a 77-year-old Black-African gentleman with Peyronie’s disease, presenting with a self-reported penile curvature of 70 degrees and significant sexual frustration. He was managed surgically with plaque excision followed by a tunica albuginea patch using a subcutaneously harvested autologous fascia lata graft, all performed in a single surgical session. Conclusion: This case highlights the importance of individualized surgical planning and patient-specific considerations in achieving optimal outcomes in the management of Peyronie’s disease, particularly in cases requiring grafting for severe curvature.

伴有口腔扁平湿疣及指甲损害的少见神经梅毒1例

报告1例少见的伴有口腔扁平湿疣及指甲损害的神经梅毒。患者男,49岁,因双手铜红色斑疹2个月,舌尖疣状斑块1个月,左眼黑影1周就诊。皮肤科检查:左侧大拇指、右侧食指指甲凹凸不平,部分增厚。双手散在绿豆大小铜红色斑疹,周围覆以领圈样脱屑。舌尖粘膜可见平顶、颗粒感疣状斑块。左耳听力较右耳轻度下降。矫正视力下右眼视力1.0,左眼视力0.8。实验室检查:血清TPPA>1∶1280(+),TRUST 1∶64(+),脑脊液TRUST 1∶1(+),TPPA 1∶640(+),VDRL 1∶2(+)。宏基因组二代测序技术对舌尖疣状斑块进行微生物DNA测序,确认口腔梅毒螺旋体的存在。诊断为:神经梅毒,二期梅毒(口腔扁平湿疣)。予水剂青霉素400万U每4 h 1次,治疗2周后,几乎所有临床表现均改善。3个月后复查血清TRUST降至1∶8,目前仍在随访中。

江鳕和大头鳕形态学的初步研究

通过对江鳕(LotalataLinnaeus)和大头鳕(GadusmacrocephalusTilexius)的形态学比较研究发现,江鳕和大头鳕都有胆囊、幽门盲囊,肝脏较大。脊柱和附肢骨骼种类相同,区别仅在于骨块的数量和嵴的发达程度上,尾都是等尾型。

侧颅底骨及硬脑膜缺损修复材料组织学研究

通过手术造成狗侧颅底骨及硬脑膜大面积缺损,用阔筋膜、浅筋膜修复,交对阔膜及硬脑膜进行了拉力测试,结果显示阔筋膜单位宽度承受拉力大于硬脑膜,阀筋膜体外组织培养可以存活3个月以上,并有大量成纤维细胞生长,其修复硬脑膜缺损不是起支架作用,而是其本身成活,通过1～15周连续组织学观察,修复之阔筋膜等细胞结构正常存活,有大量毛细血管及成纤维细胞增生,阔筋膜暴露组(骨缺损直径为3.0cm×4.0cm左右)肉芽组织表面可见鳞状上皮形成,与阔筋膜连于一体,逐渐向修复中心爬行,无骨移植或植皮未见脑膜脑膨出现象。

髂胫束的应用解剖

目的 :研究并确定髂胫束的形态和组织结构及体表投影等 ,为临床用应提供依据。方法 :于尸体上观测髂胫束前后区各部的长、宽、厚并做组织切片观察。结果 :髂胫束之膜性结构上界约平臀横纹或其上下 1 0mm范围内 ,前后界分别位于髂前上棘和大转子尖与胫骨外侧髁结节前后缘连线所构成的区域内。左右侧测量值均无明显差异。上述区域以外的阔筋膜均较薄。结论 :在髌骨上缘水平以下之髂胫束前后区是阔筋膜最厚处 ,与胫骨结节附着亦最紧密 ,该处用于膝交叉韧带等韧性较大的腱性结构损伤的修复材料较理想。

人工林峦大杉木材的物理力学性质

对福建省引种的24年生峦大杉的木材物理力学性质进行检测,结果表明:峦大杉木材的气干密度为0.344 g/cm3、弦向全干干缩率6.020%、弦向湿胀性6.440%、吸水性237.810%、顺纹抗压强度6.004 MPa、抗弯弹性模量7 250.810 MPa、抗弯强度59.840 MPa、顺纹抗拉强度62.800 MPa;峦大杉的材质与杉木相近,应用方面可参考杉木,在木构件加工时,其安全系数可使用杉木的量值。

阔筋膜的微血管构筑及其纤维配布

应用过滤的碳素墨汁灌注，石蜡切片，光镜观察方法，研究人大腿阔筋膜由浅至深各层次的微血管构筑的形态学特点；又应用扫描电镜观察方法研究阔筋膜内纤维配布的特点和规律性。为阔筋膜代瓣术及阔筋膜移植体的临床应用提供形态学依据。

阔筋膜结合锚钉治疗腓骨肌腱滑脱疗效观察

目的 ：探讨应用锚钉结合阔筋膜治疗腓骨肌腱滑脱。方法 ：自2011年2月至2014年3月采用自体阔筋膜条编织后结合带线锚钉重建腓骨肌腱上支持带治疗腓骨肌腱滑脱12例,其中男9例,女3例;年龄14-23岁,平均17岁。术前均存在踝关节疼痛,不能剧烈运动。结果 ：12例患者切口全部甲级愈合,无感染、不愈合。所有患者定期复查,随访时间6个月-3年,平均18个月。术后踝关节疼痛明显好转,运动功能恢复,踝关节功能应用Mazur踝关节症状与功能评分系统评分,平均（91.92±3.17）分。结论：阔筋膜结合锚钉治疗腓骨肌腱滑脱具有取材区创伤小,操作简单,术后功能恢复满意的良好效果。