Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged bet...Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged between 40 - 70 years;admitted to department of Neurosurgery from March 2011 till august 2016 in King Fahad Hospital in Saudi Arabia. Study groups are consisted of group A as patients managed with classical laminectomy, group B as patients managed with endoscopic spinal procedures and group C as patients managed with microscopic decompression facilitated by the Metrex Tubular System. SPSS was used in data entry and analysis, and ethical considerations taken into consideration and participants filled the required inform consents. Results: Age of particaoncet ranged from 45 - 63 years, Mean +/‒50. The degenerative canal stenosis with acute disc single level (cauda equina syndrome) was the most common type of lumbar canal stenosis encountered in group A;the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group B;while the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group C. Classic laminectomy and disectomy used mostly in group A;endoscopic unilateral decompression lamino-foraminotomy without discectomy used mostly in group B and bilateral microscopic laminectomy without discectomy followed by unilateral microscopic laminoforaminotomy without discectomy used mostly in group C. Mean of operation duration was the highest in both gender of group A, followed by group B, then group C. Unintended durotomy was the most common intra operative complications occurred in the whole study especially in group A. Mean of blood lost was the highest in both gender of group A, followed by group B, then group C. Postop complications in the patients of study groups were the highest in group A (33.3%), followed by group B (8.5%) and then group C (2%). Conclusion: Microscopic decompression facilitated by the Metrex Tubular System is the most effective technique of Surgery for Lumbar Spinal Stenosis and the least intra-operative and post-operative complications.展开更多
Background: The accuracy of the final prosthesis is affected by the final impression technique and master cast production. The aim of the present study was to evaluate the effect of the functional impression technique...Background: The accuracy of the final prosthesis is affected by the final impression technique and master cast production. The aim of the present study was to evaluate the effect of the functional impression technique with various impression materials on the surface characteristic of dental stone casts and their clinical effect on the retention of complete dentures. Method: Specimens of three impression materials/stone casts were fabricated. The specimens of the impression materials/stone casts were divided into three equal groups (I, II, and III). The impression materials used were as follows: tissue conditioner group (I), zinc oxide (ZEO) (group II) and poly (vinyl siloxane) (PVS) (group III). Cylindrical split aluminium moulds were designed to receive the impression materials and the stone mixture. The surface roughness of the stone cast specimens of the three groups (I, II, and III) was measured with a surface profilometer and analyzed by a scanning electron microscope. A clinical study included five severely resorbed mandibular edentulous alveolar ridges and edentulous maxillary arches. Each subject received three heat-cured acrylic resin dentures, fabricated using the functional impression technique. The three dentures were identical except for the different impression materials used from Groups I, II and III. The retentive force of each denture for each subject was measured. Result: The results of this study revealed that the mean value of surface roughness of the stone cast surface of group I was higher than group II and group III. A statistically significant difference was observed in surface roughness and the retentive dislodging force between the three studied groups. Although using a tissue conditioner as a functional impression material led to a high level of surface roughness and good retention, it could not produce the same smooth surface quality of PVS or ZEO. These data were supported by SEM analysis. The complete dentures for these patients require important oral and denture hygiene care. Conclusion: Complete dentures made using functional impression technique with PVC as a final impression material are more comfortable, retentive and stable.展开更多
Based on the reaction microscope at the institute of modern physics, the reaction mechanism in molecular ion-atom collisions is investigated experimentally. The features of this system is illustrated by a kinematicall...Based on the reaction microscope at the institute of modern physics, the reaction mechanism in molecular ion-atom collisions is investigated experimentally. The features of this system is illustrated by a kinematically complete experhnent performed for the collision process. Using the so-called list-mode data recording technique and the coincidence measurement, the momentum vector of each fragment from the molecular ion were recorded event by event. The orientation of the molecular axis for H2^+ dissociation reactions could be determined for each event in the off-line analysis. The measured orientation of the molecular ion is believed the same as the one at the instance of collision under axial recoil approximation. The polar angle resolution of the molecular orientation of ±8° was obtained.展开更多
[Objectives]Some Chinese medicinal materials of Jianjin Zhuanggu Paste were microscopically identified,and several active ingredients were studied by thin-layer identification,which provides reference for further impr...[Objectives]Some Chinese medicinal materials of Jianjin Zhuanggu Paste were microscopically identified,and several active ingredients were studied by thin-layer identification,which provides reference for further improving the quality standards of hospital preparations.[Methods]The effective components of Jianjin Zhuanggu Paste were qualitatively identified by thin-layer chromatography(TLC).[Results]The microscopic identification of the three Chinese medicinal materials in Jianjin Zhuanggu Paste showed the microscopic characteristics of Radix Codonopsis,Radix Astragali and Radix Notoginseng.TLC identification showed that there were characteristic spots of Radix Codonopsis,Radix Astragali,Radix Rehmanniae Preparata and Radix Notoginseng in Jianjin Zhuanggu Paste.[Conclusions]This study established the quality standard research method of Jianjin Zhuanggu Paste,which further strengthens the safety standards of hospital preparations,and improves the clinical efficacy of drugs,as well as the quality standards of hospital preparations to a certain extent.展开更多
文摘Aim: To compare between classic open surgeries and minimally invasive surgeries in Lumbar Spinal Stenosis. Methods: A comparative descriptive study, involved 117 patients suffering from lumbar canal stenosis, aged between 40 - 70 years;admitted to department of Neurosurgery from March 2011 till august 2016 in King Fahad Hospital in Saudi Arabia. Study groups are consisted of group A as patients managed with classical laminectomy, group B as patients managed with endoscopic spinal procedures and group C as patients managed with microscopic decompression facilitated by the Metrex Tubular System. SPSS was used in data entry and analysis, and ethical considerations taken into consideration and participants filled the required inform consents. Results: Age of particaoncet ranged from 45 - 63 years, Mean +/‒50. The degenerative canal stenosis with acute disc single level (cauda equina syndrome) was the most common type of lumbar canal stenosis encountered in group A;the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group B;while the unilateral foraminal and lateral recess stenosis without disc prolapse was the most common type of lumbar canal stenosis encountered in group C. Classic laminectomy and disectomy used mostly in group A;endoscopic unilateral decompression lamino-foraminotomy without discectomy used mostly in group B and bilateral microscopic laminectomy without discectomy followed by unilateral microscopic laminoforaminotomy without discectomy used mostly in group C. Mean of operation duration was the highest in both gender of group A, followed by group B, then group C. Unintended durotomy was the most common intra operative complications occurred in the whole study especially in group A. Mean of blood lost was the highest in both gender of group A, followed by group B, then group C. Postop complications in the patients of study groups were the highest in group A (33.3%), followed by group B (8.5%) and then group C (2%). Conclusion: Microscopic decompression facilitated by the Metrex Tubular System is the most effective technique of Surgery for Lumbar Spinal Stenosis and the least intra-operative and post-operative complications.
文摘Background: The accuracy of the final prosthesis is affected by the final impression technique and master cast production. The aim of the present study was to evaluate the effect of the functional impression technique with various impression materials on the surface characteristic of dental stone casts and their clinical effect on the retention of complete dentures. Method: Specimens of three impression materials/stone casts were fabricated. The specimens of the impression materials/stone casts were divided into three equal groups (I, II, and III). The impression materials used were as follows: tissue conditioner group (I), zinc oxide (ZEO) (group II) and poly (vinyl siloxane) (PVS) (group III). Cylindrical split aluminium moulds were designed to receive the impression materials and the stone mixture. The surface roughness of the stone cast specimens of the three groups (I, II, and III) was measured with a surface profilometer and analyzed by a scanning electron microscope. A clinical study included five severely resorbed mandibular edentulous alveolar ridges and edentulous maxillary arches. Each subject received three heat-cured acrylic resin dentures, fabricated using the functional impression technique. The three dentures were identical except for the different impression materials used from Groups I, II and III. The retentive force of each denture for each subject was measured. Result: The results of this study revealed that the mean value of surface roughness of the stone cast surface of group I was higher than group II and group III. A statistically significant difference was observed in surface roughness and the retentive dislodging force between the three studied groups. Although using a tissue conditioner as a functional impression material led to a high level of surface roughness and good retention, it could not produce the same smooth surface quality of PVS or ZEO. These data were supported by SEM analysis. The complete dentures for these patients require important oral and denture hygiene care. Conclusion: Complete dentures made using functional impression technique with PVC as a final impression material are more comfortable, retentive and stable.
基金V. ACKNOWLEDGMENTS This work was supported by the National Natural Science Foundation of China (No.10434100) and the Knowledge Innovation Project of Chinese Academy of Sciences.
文摘Based on the reaction microscope at the institute of modern physics, the reaction mechanism in molecular ion-atom collisions is investigated experimentally. The features of this system is illustrated by a kinematically complete experhnent performed for the collision process. Using the so-called list-mode data recording technique and the coincidence measurement, the momentum vector of each fragment from the molecular ion were recorded event by event. The orientation of the molecular axis for H2^+ dissociation reactions could be determined for each event in the off-line analysis. The measured orientation of the molecular ion is believed the same as the one at the instance of collision under axial recoil approximation. The polar angle resolution of the molecular orientation of ±8° was obtained.
基金Supported by The Self-financing Project of Guangxi Zhuang Autonomous Region Administration of Traditional Chinese Medicine(GZZC2020496)Wuzhou Science and Technology Planning Project(201902214)Scientific Research Project of Health Commission of Wuzhou(WZWS-Z2023036).
文摘[Objectives]Some Chinese medicinal materials of Jianjin Zhuanggu Paste were microscopically identified,and several active ingredients were studied by thin-layer identification,which provides reference for further improving the quality standards of hospital preparations.[Methods]The effective components of Jianjin Zhuanggu Paste were qualitatively identified by thin-layer chromatography(TLC).[Results]The microscopic identification of the three Chinese medicinal materials in Jianjin Zhuanggu Paste showed the microscopic characteristics of Radix Codonopsis,Radix Astragali and Radix Notoginseng.TLC identification showed that there were characteristic spots of Radix Codonopsis,Radix Astragali,Radix Rehmanniae Preparata and Radix Notoginseng in Jianjin Zhuanggu Paste.[Conclusions]This study established the quality standard research method of Jianjin Zhuanggu Paste,which further strengthens the safety standards of hospital preparations,and improves the clinical efficacy of drugs,as well as the quality standards of hospital preparations to a certain extent.