Effectiveness of modified inferior oblique muscle belly transposition for V-pattern exotropia combined with mild to moderate inferior oblique muscle overaction

AIM:To investigate the effectiveness of a modified inferior oblique muscle belly transposition for treatment of V-pattern exotropia combined with mild to moderate inferior oblique muscle overaction.METHODS:Thirteen cases(23 affected eyes)of V-pattern exotropia with inferior oblique muscle overaction(+or++)who underwent the modified inferior oblique muscle belly transposition procedure were retrospectively reviewed.The amount of V-pattern,grade of inferior oblique overaction,degree of vertical strabismus,abnormal head posture,and the fovea-disc angle were evaluated before and after surgery.RESULTS:The V-pattern was corrected in all cases,and the amount of V-pattern reduced by 17.85±5.13 prism diopter(PD)on average(t=16.07,P<0.001).The surgical cure rate for mild to moderate inferior oblique muscle overaction was 87.0%(20/23).The degree of the foveadisc angle has a mean reduction of 5.45°±2.87°(t=3.95,P=0.003)after surgery.The mean vertical deviation in 5 cases with a small-angle hypertropia(5.23±3.06 PD)in the primary position reduced by 3.15±1.86 PD(t=6.10,P<0.001).No serious complications were observed.CONCLUSION:The modified inferior oblique muscle belly transposition procedure can effectively treat mild to moderate inferior oblique overaction and relieve the V-pattern,which is safe and easy to perform.

Prune Belly Syndrome: A Ten-Year Single Tertiary Centre Experience in South-South, Nigeria

Background: Prune belly syndrome (PBS) is a congenital anomaly that consists of a triad of abdominal wall defect, bilateral cryptorchidism, and urinary tract dilation. The disease is of varying severity. This study aims to highlight the challenges and peculiarities in the management of PBS in a resource-poor setting. Materials and Methods: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. The information gotten included history, duration of symptoms, examination findings, age of the patient, category of disease, and intraoperative findings. The data from the folders were collected and evaluated. Frequencies, percentages, the mean and standard deviation were used to summarize the data as appropriate. Results: Fifteen patients were included in the study. The hospital incidence of PBS was 112/100,000, twelve males and three females. The age range was from 1 day to 15 years, mean age was 14 months ± 2.3 months. Most patients presented between 3 months and 2 years and 11 months. Twelve patients had category three PBS and five patients had associated anomalies. Eleven male patients died after 5 years of follow-up from progressive renal deterioration. The female patient fared better than the males. Conclusion: PBS is rare, most patients with the condition present late. The most common cause of mortality was progressive renal deterioration.

Multiple tendons of the additional belly of flexor pollicis longus in the carpal tunnel: Embryological perspective and their clinical significance

Although the flexor pollicis longus is known to show the additional head of the origin, the occurrence of its additional tendons in the carpal tunnel are seldom reported. The presence of such additional tendons in the carpal tunnel cannot be overlooked during the radiological and surgical procedures in this region. Herein, we report a rare case of additional muscle belly of flexor pollicis longus. The additional muscle belly after a short course divided into three tendons. All three tendons entered the carpal tunnel along with flexor pollicis longus, passing deep to the flexor retinaculum. Within the carpal tunnel, two of these tendons fused and terminated by merging with the undersurface of the flexor retinaculum. The third tendon terminated by joining the flexor digitorum superficialis tendon for the index finger, in the palm. An additional slip of the first lumbrical muscle took origin from the third tendon of the additional muscle belly of flexor pollicis longus. Further, the embryological basis and clinical significance of current case is discussed.

The Cognitive Rationale for the Saying“Put the Heart in the Belly”

Metaphor and metonymy play an important role in the formation of the common saying“put the heart in the belly”.The human organs“heart”and“belly”function as container metaphors.The heart and the thought emotions produced by it are transfigured in the cognitive framework of“container and function”,and the conceptual thought emotions of goals are transferred with the remarkable“heart”.The belly and stomach exist metonymy in the cognitive framework of“container and content”,with a significant“belly”refer to non-significant target concept“stomach”;“belly”naturally becomes the most typical container of the human body.And“heart”becomes a typical member of the belly as an abstract thought and emotion;“belly”and“heart”become each other’s typical symbol;the more typical it is,the psychological connection it will be easier to establish between them.so people almost ignore the logic of this saying.

stomach、abdomen、belly、guts辨析

1.stomach在这一组词中用得最普遍,它可指腹腔内部的消化器官,尤指胃,也可指外腹部。如: It takes time for the food in the stomach to be digested. 消化胃里的食物是需要时间的。

Belly fat is Linked with lower volumes of gray matter

Belly fat has long been thought to be particularly bad for your heart, but now, a new study adds more evidence to the idea that it may also be bad for your brain. The study, from the United Kingdom, found that people who were obese and had a high waist-to-hip ratio (a measure of belly fat) had slightly lower brain volumes, on average, compared with people who were a healthy weight. Specifically, belly fat was linked with lower volumes of gray matter, the brain tissue that contains nerve cells.

Embracing Her Belly

At the 2011 Asian Belly Dance Competition, Liu Xinyi took third place with a dance called ＂Daughter of the Nile.＂ Liu’s dream is to become a belly dance master. She shares her experiences with ChinAfrica.

Guido Reni’s Infant Bacchus: “In vino veritas”

This article delves into the significance of Guido Reni’s Infant Bacchus,created during the Italian Baroque period.By examining historical and iconographic elements,the study aims to interpret the symbolism depicted in the painting.The historical aspects include the birth of Dionysus or Bacchus in classical and Italian Renaissance imagery and literary and visual sources that influenced Reni’s solo painting.The iconographic components encompass the infant’s nude body,the child’s bodily functions,and the attributes associated with Bacchus,the God of Agriculture,Revelry,and Wine,such as the grapevines,grapes,ivy,glass flask,kantharos(wine cup),and wine barrel.The emblematic and cosmological associations of Bacchus’s divinity are considered as well.

Belly Armor为中国宝宝提供最好的开始

6月2日，Belly Armor（贝莉安雅）在上海818广场workcafe举办了产品发布会。作为备受信赖的美国生活品牌，Belly Armor（贝莉安雅）采用独特的RadiaShield面料，帮助准妈妈们保护宝宝免于日常辐射的危害。

IN THE BELLY,THE BEAST

According to a well-known saying in Zhongxiang city,Hubei province,'It can be never called a banquet without a dragon.'But those seeking a mythical beast on the menu need not worry about procuring some hard-to-source dragon’s eggs.The phrase refers to a famous imperial platter—the'coiled dragon'dish(蟠龙菜)—that alludes,in more ways than one,to one of China’s most famous emblems.The legendary snake-like creature with four legs has been regarded

Study of the Activation Process of a 2 m3 Pilot Biodigester on a Microfarm Site

A domestic balloon-type digester with 1200 liters of substrate and a 700-litre gas reserve was installed at the Université Gaston Berger pilot farm, which has 4 cows. After an initial load of 1000 L of water, 90 L of bovine rumen and 145 L of cow dung, the functional parameters of the reaction medium, i.e., temperature, pH, salinity and conductimetry, were regularly monitored at a rate of 3 tests per day until the thirtieth day, corresponding to the flame test and the start of analysis and daily loading of the biodigester. The analysis of the biogas obtained after the flame test showed us the considerable contribution of bovine hindquarters to the CH4 fraction, which reached 72.2% from the start of the production phase. As anaerobic digestion is both a complex and multiparametric process, microbiological analysis revealed the presence of several strains of bacteria in the substrate used. Among the most abundant were Escherichia coli, Klebsiella spp, non-fermentative Gram-negative bacilli and Enterococcus sp. However, the bacterial strain that interests us most in anaerobic digestion is the non-fermentative Gram-negative family. We see the identification and temporal monitoring of these families of bacteria as a major step forward in the control of anaerobic fermentation processes in the Sahelian context and in Senegal in particular.

Pseudomyxoma peritonei

Pseudomyxoma peritonei (PMP) is an uncommon "bor-derline malignancy" generally arising from a perforated appendiceal epithelial tumour. Optimal treatment involves a combination of cytoreductive surgery (CRS) with heated intraperitoneal chemotherapy (HIPEC). Controversy persists regarding the pathological classification and its prognostic value. Computed tomography scanning is the optimal preoperative staging technique. Tumour marker elevations correlate with worse prognosis and increased recurrence rates. Following CRS with HIPEC, 5-year survival ranges from 62.5% to 100% for low grade, and 0%-65% for high grade disease. Treat-ment related morbidity and mortality ranges from 12 to 67.6%, and 0 to 9%, respectively. Surgery and HIPEC are the optimal treatment for PMP which is at best a "borderline" peritoneal malignancy.

Effects of fi lleting methods on composition, gelling properties and aroma profi le of grass carp surimi

Traditionally,fi sh carcass is headed and gutted to prepare a skin-on fi llet in surimi production.In this study,tail and/or belly of grass carp carcass were further cut off in the fi lleting step.Yield,composition,gelling properties and aroma profile of surimi as affected by filleting methods were investigated by SDS-PAGE,ELISA,SEM,magnetic resonance imaging(MRI)and electron nose.Cutting tail off increased surimi yield by 14.0%,whereas cutting belly off decreased it by 11.2%.Cutting tail or belly off signifi cantly decreased fat content,but did not change protein content,ash content,cathepsin(B,H and L)contents,nor protein patterns.Both breaking force and whiteness of surimi gel signifi cantly increased after cutting tail off.Cutting belly off slightly increased whiteness of surimi gel.The microstructure of all the surimi gels was compact and uniform,with fractal dimensions(Df)ranging from 2.81 to 2.85.As for the macrostructure,cutting tail off apparently improved the integrity of surimi gel while cutting belly off did not.Aroma profi les of the surimi prepared under different fi lleting methods could be clearly distinguished by linear discriminant analysis(LDA).Our results indicate that cutting tail off contribute positively to surimi production.

Trigger finger at the wrist caused by an intramuscular lipoma within the carpal tunnel:A case report

BACKGROUND Trigger finger at the wrist,which occurs with finger movement,is an uncommon presentation.Few reports describing cases of trigger finger at the wrist have been published.Thus,we present a case of an intramuscular lipoma arising from an anomalous flexor digitorum muscle belly in a 48-year-old female patient causing painful finger triggering at the wrist and carpal tunnel syndrome(CTS).CASE SUMMARY A 48-year-old woman with complaints of a catching sensation during wrist motion and a progressive tingling sensation on the palmar aspect of the right hand for approximately 2 years was referred to our hospital.Triggering of the index to middle finger was evident with a palpable and audible clunk over the carpal tunnel during passive motion.Tinel’s sign was positive over the carpal tunnel of the right wrist with a positive Phalen’s test.Nerve conduction studies of the median nerve demonstrated a right CTS.Ultrasound examination revealed a 2.5 cm×2.0 cm subcutaneous hyperechoic mass with no obvious blood flow at the wrist of the right arm.Surgical excision of the tumor and muscle mass led to a resolution of the patient’s symptoms,and any triggering or discomfort disappeared.The patient has had no evidence of recurrence at more than 1 year of follow-up.CONCLUSION Triggering of the fingers at the wrist is rare. It must be noted that there are manypossible causes and types of triggering or clicking around the wrist. Accuratediagnosis is mandatory to avoid inaccurate treatment of patients with triggerwrist. During the diagnosis and treatment of CTS, attention should be paid to thevariation of tendon tissue in the carpal tunnel, to avoid only focusing on therelease of transverse carpal ligament and ignoring the removal of anomalousmuscle belly.

让狗狗吃上冰淇淋

假如冰淇淋里没有巧克力，甚至没有甜甜的奶油和糖，而是添加了鸡肉或牛肉，那会是什么味道？假如你还不了解科恩的新发明，你一定会瞪大眼睛，满脸迷茫。要知道，在科恩的所有产品中，目前最时髦的是南瓜风味的冰淇淋。当然，那绝不是你所熟悉的南瓜派。

Frequency of Emerging Parasites in HIV/AIDS and Oncological Patients Stool by Coprological and Molecular Analysis

The purpose of this study was to determine the frequency of emerging parasites in two groups of immunosuppressed patients, including individuals infected with the human immunodeficiency virus (AIDS) (HIV) or having acute lymphoblastic leukemia (ALL) with or without diarrhea. Stool samples were collected from 96 HIV and 77 ALL patients from March 2010 through December 2011. Screening for opportunistic parasites was carried out by the coproparasitoscopic Faust method, Ziehl Neelsen staining, and Polymerase Chain Reaction (PCR). Results showed that 22.9% of HIV fecal samples were positive for emerging parasites, including Cryptosporidium spp. (7.3%), Microsporidium spp. (5.2%), Isospora belli (1.0%), Giardia intestinalis (2.6%), and Cyclospora spp. (7.3%). On the other hand, 32.5% of ALL fecal samples were positive for emerging parasites, including Cryptosporidium spp. (9.1%), Microsporidium spp. (19.5%), Isospora belli (1.3%), and Giardia intestinalis (2.6%). Our results highlighted the need for specific, efficient, and reliable diagnostic methods to identify the presence of emerging parasites in immunocompromised patients susceptible to different infectious diseases or neoplastic processes and avoid the consequences for the host as an increased disease rate, alterations in the clinical manifestation of the infection or even exacerbation of its course.