Thick-skinned contractional salt structures are widely developed in the western Kuqa depression, northern Tarim basin. To understand the mechanisms that govern the development of these structures, physical experiments...Thick-skinned contractional salt structures are widely developed in the western Kuqa depression, northern Tarim basin. To understand the mechanisms that govern the development of these structures, physical experiments are conducted and the results show that they are largely governed by the activities of basement faults and the forming of paleo-uplifts and basement slopes. The model materials in this study are dry sand, vaseline and plasticene (or hard foam), simulating the suprasalt, salt, and subsalt layers respectively. The experiments show that, due to the activities of basement faults and the forming of the paleo-uplifts, salt bodies usually accumulate and thicken significantly on the middle top of the paleo-uplifts which are constrained by the pre-exiting boundary faults. The development of large-scale thrust faults and salt nappes is favored by the basement slops with larger dips. The experiments also conclude that differential structural deformation could occur between the subsalt and suprasalt layers because of the presence of salt layers. Their geometries and the locations of structural highs are different, despite of the great similarities in the uplifted areas. The pierced salt diapir is not observed in the experiments, which indicates that the contractional shortening does not effectively accelerate the development of the salt diapir.展开更多
Background Previous studies reported a close relationship between obesity and insulin resistance in the essential hypertensive patients. Objective In this study, we examined the relationship between the skin fold thic...Background Previous studies reported a close relationship between obesity and insulin resistance in the essential hypertensive patients. Objective In this study, we examined the relationship between the skin fold thickness and insulin resistance then developed a formula to estimate the insulin resistance index according to the skin fold thickness in the essential hypertensive patients. Subjects and Methods Medical records of 80 patients (37 males, 43 females) were reviewed and the data were tabulated. Anthropometric indexes (including height, weight, waist circumference, hip circumference, and skins fold thickness at 5 fatty difference points on the Erdheim diagram), fasting plasma glucose and insulin concentration were recorded. The mean age was 57.0 ?9.2 years. The insulin resistance index was calculated following the Homeostasis Model Assessment (HOMA) formula. Results Compared with the group with BMI < 23 kg/m2, the group with BMI≥23 kg/m2 had higher fasting insulin concentration (8.85±4.97 pmol/L vs 15.60±8.70 pmol/L, P<0.001 ) and higher insulin resistance index in ( 2.15±1,24 vs 3.76±2.22, P<0.001). No significant difference in fasting plasma insulin concentration, insulin resistance index between male and female was observed (P > 0.05). There was a positive correlation between skin fold thickness and the fasting insulin concentration and insulin resistance index. The skin fold thickness at point A8 had the best coefficient correlated with fasting plasma insulin(r=0.79, P < 0.001) and insulin resistance index (r= 0.79, P < 0.001). A formula to estimate the insulin resistance index by skin fold thickness at point A8 as: Insulin resistance index = 0.12×[skin fold thickness at A8 point (mm)] - 1. Conclusion: In the essential hypertensive patients, the formula to estimate insulin resistance index as 0.12×[skin fold thickness at A8 point (mm)]-1 may predict accurately the level of insulin resistance. (J Geriatr Cardiol 2005; 2(4):228-232 )展开更多
The effective neutron and proton root-meansquare radius of stable and unstable nuclei(^(12-15,17)B,^(12-20)C,^(14-21)N,^(16-24)O and ^(18-21,23-26)F) were deduced from the charge-changing cross section,σ_(cc),and the...The effective neutron and proton root-meansquare radius of stable and unstable nuclei(^(12-15,17)B,^(12-20)C,^(14-21)N,^(16-24)O and ^(18-21,23-26)F) were deduced from the charge-changing cross section,σ_(cc),and the interaction cross sections,σ_I,by using a statistical abrasion-ablation model calculation.The extracted proton radii are in good agreement with the data from the Atomic Data and Nuclear Data Tables within the errors.Furthermore,we can observe that the neutron skin thickness increases monotonously with the increasing neutron number in these isotopes,which is consistent with the systematical trend of theoretical calculations.展开更多
Backgroud and Objectives Previous studies have reported that skin fold thickness (SF) strongly correlated with insulin resistance in the metabolic syndrome (MetS). In this study, we developed a MetS definition by SF a...Backgroud and Objectives Previous studies have reported that skin fold thickness (SF) strongly correlated with insulin resistance in the metabolic syndrome (MetS). In this study, we developed a MetS definition by SF at A8 point (SFA8) on Erdheim diagram(MetSSFA8) in essential hypertensive patients. Subjects and Methods Medical records of 268 essential hypertensive patients (126males and 122 females) were analyzed, including 210 non-diabetic patients (NDM group) and 58 patients with diabetes (DM group).The mean age was 61.4 ± 9.9 and 59.0 ± 11.0 years, respectively. The control group consisted of 90 non-diabetic, non-hypertensive patients with a mean age of 58.0 ± 11.3 years. The proposed MetSSFA8 definition included SFA8 specific values ( ≥30 mm in female and ≥27 mm in male) and at least two of the following: raised triglyceride levels ( ≥1.7 mmol/L), or specific treatment for this lipid abnormality; raised blood pressure (SBP≥130 mmHg and/or DBP≥85 mmHg), or treatment of previously diagnosed hypertension;reduced HDL-cholesterol (< 1.03 mmol/L in men, <1.29 mmol/L in women), or specific treatment for this lipid abnormality; raised fasting plasma glucose (≥5.6 mmol/l), or previously diagnosed DM. Metabolic Syndrome by the National Cholesterol Education Program and International Diabetes Federation definitions were determined with abdominal obesity defined by Asia-Pacific criteria for waist circumference (NCEPA and IDFA). Results The percentage of MetS as defined by NCEPA, IDFA and MetSSFA8 in NDM group was lower than that of NCEPA, IDFA and MetSSFA8 in DM group [OR=7.7 (95%CI, 2.9-20.2) and 2.5 (95%CI, 1.4-4.8) and 2.7(95%CI, 1.3-5.6), respectively] and higher than that of the control group [OR=53.3 (95%CI, 16.7-170.6), 5.8 (95%CI, 2.6-13.2) and18.8 (95%CI, 7.3-48.7), respectively]. The percentage of MetS by NCEPA, IDFA and MetSSFA8 in males in NDM group was lower than the percentage of MetS by NCEPA, IDFA and MetSSFA8 in females in NDM group (50.8% and 77.9%, P< 0.001; 15,9% and 67.2%, P< 0.001; 60.3% and 73.8%, P <0.05, respectively). In subjects with normal WC or both normal WC and BMI, the percentage of MetS by SFAS was higher than that the percentage of MetS by NCEPA (36.9% and 50.8%, P< 0.05 and 36.0% and 51.0%, P< 0.05).The sensitivity, specificity, false positive rate, positive predictive value, negative predictive value of MetSSFA8 assessed with NCEPA definitions were 0.87, 0.73, 0.27, 0.79 and 0.82, respectively. There was a close agreement between MetSSFA8 and NCEPA (The coefficient of Kapa was 0.60, P< 0.001). Conclusions The MetSSFA8 definition was developed which may be useful in order to define and manage MetS in patients with normal WC or normal weight.展开更多
The dependence between neutron skin thickness and neutron abrasion cross section (σnabr) for neutron-rich nuclei is investigated within the framework of the statistical abrasion ablation model. Assuming that the de...The dependence between neutron skin thickness and neutron abrasion cross section (σnabr) for neutron-rich nuclei is investigated within the framework of the statistical abrasion ablation model. Assuming that the density distributions for proton and neutron are of Fermi-type, and adjusting the diffuseness parameter of neutron density distribution in the droplet model, we find out the good linear correlation between the neutron skin thickness and the abrasion cross section σnabr for neutron-rich nuclei. The uncertainty of neutron skin thickness determined from σnabr is very small. It is suggested that σnabr can be used as a new experimental observable to extract the neutron skin thickness for neutronrich nucleus. The scaling behaviours between neutron skin thickness and σnabr, separately, for isotopes of ^26-35Na, ^44-56Ar, ^48-60Ca, ^67-78Ni are also investigated.展开更多
Based on the newest experimentally extracted nuclear density distributions for double-magic nucleus208Pb(Tarbert et al. in Phys Rev Lett 112:242502, 2014),the sensitivity of α-decay half-life to nuclear skin thicknes...Based on the newest experimentally extracted nuclear density distributions for double-magic nucleus208Pb(Tarbert et al. in Phys Rev Lett 112:242502, 2014),the sensitivity of α-decay half-life to nuclear skin thickness is explored in the vicinity of the shell closure region around208 Pb, i.e., isotopes of Z ? 82 and isotones of N ? 126.With the two-parameter Fermi(2PF) density distributions and an analytically derived formula, the α-decay half-life is found to be closely related to the magnitude of nuclear skin thickness. For a decays to the Z ? 82 isotopes, the α-decay half-life is found to decrease with the increasing neutron skin thickness, while the opposite behavior is found for a decays to the N ? 126 isotones. Therefore, it could be a possible way to extract the nuclear skin thickness from measured α-decay half-lives.展开更多
BACKGROUND Although skin avulsions to male external genitalia are rare, they can be both physically and psychologically traumatic. Thus, the necessity for judicious management poses significant challenges to surgeons ...BACKGROUND Although skin avulsions to male external genitalia are rare, they can be both physically and psychologically traumatic. Thus, the necessity for judicious management poses significant challenges to surgeons in order to avoid potential permanent disabilities. We report a case of massive penoscrotal skin avulsion and a composite graft was creatively applied to cover the defect which achieved good results. We believe that this case is of great reference value for fellow surgeons.CASE SUMMARY A 52-year-old male presented with massive traumatic avulsion of the penile and scrotal skin following mishandling of an electric drill. The avulsed skin was missing. The patient was diagnosed with massive skin avulsion of external genitalia. Following initial complete debridement of devitalized or infected tissues, Pelnac dermal substitute was secured to the defect with the assistance of negative-pressure wound closure. In the final step, the silicone layer of Pelnac was removed and a split-thickness skin graft was applied. The defect had healed at the two-month follow-up. The patient now has normal erections and satisfactory sexual function.CONCLUSION Our experience with this wound repair demonstrated that the combination of a dermal regeneration template and a split-thickness skin graft with vacuumassisted closure is a safe, well-tolerated and efficient solution for the reconstruction of massive penoscrotal skin defects.展开更多
AIM: To assess the use of a simple split skin graft harvesting technique, requiring only a scalpel and a swab.METHODS: During the last 8 mo, we operated on a consecutive series of 52 patients(30 males, 22 females) wit...AIM: To assess the use of a simple split skin graft harvesting technique, requiring only a scalpel and a swab.METHODS: During the last 8 mo, we operated on a consecutive series of 52 patients(30 males, 22 females) with a mean age of 60 years(33-80). We used the technique we present in order to cover small skin defects. All procedures were performed under local anesthesia. Thirty-seven patients underwent bedside surgery, 8 patients were operated on in the outpatient department and the remaining 7 had their graft harvested in the operating room. After antiseptic preparation of the donor site, the margins of the graft were drawn by the use of a surgical marker. A No 15 scalpel was used for the graft elevation, under constant traction with a moist swab.RESULTS: All procedures were completed successfully without immediate complications. The patients tolerated the procedure well. The mean operative time was 15 min. Twenty-four donor sites were left to heal by secondary intention, whereas 28 were sutured with interrupted 3/0 silk sutures in order to heal by primary intention. All 24 sites that were left to heal by secondary intention healed completely in approximately 14 d. For the sites that were sutured, the sutures were removed on the 10 th postoperative day. Out of the 52 operated cases, 6 patients(11%) developed complications. In 4 patients, the split thickness skin grafts were partially lost, whereas in 2 patients the grafts were completely lost. Wound dehiscence was observed in 2 patients, which were treated with local antiseptic and antibiotic therapy.CONCLUSION: The skin graft technique described is simple, costless and effective and can be performed even on an outpatient basis, without the need for special equipment.展开更多
Background and objectives Recent studies have shown that abdominal obesity is an important component for the diagnosis of metabolic syndrome (MS) and MS is a high risk factor for cardiovascular disease and diabetes me...Background and objectives Recent studies have shown that abdominal obesity is an important component for the diagnosis of metabolic syndrome (MS) and MS is a high risk factor for cardiovascular disease and diabetes mellitus. The aim of this study was to develop a new formula for screening and diagnosis of MS using the waist circumference (WC) and skin fold thickness at the point A8 (SFA8) on the Erdheim diagram. Methods A total of 358 essential hypertensive patients (189 male and 169 female) with a mean age of 59.0±9.7 years were included; 151 healthy people (79 male, 72 female) with a mean age of 57.3±12.1 years (similar to hypertensive patients) who were non-hypertensive and non-diabetic served as a control group. All subjects had no evidence of hepatic, renal, or endocrine disease as determined by history, physical examination and screening blood tests. Height, weight, WC, SFA8, blood pressure (BP), fasting plasma glucose, HDL-cholesterol and triglyceride levels were measured in all subjects. Abdominal obesity measured by WC using the Asia-Pacific criteria (IDFA) was applied for meeting the MS definition. The normal value of SFA8 was measured in the non- MS group. Relationships between SFA8 and systolic BP, diastolic BP, fasting plasma glucose, HDL-cholesterol and triglyceride levels were calculated in the control group. A new formula was developed according to high SFA8 and high WC. Results The normal value of SFA8 in non-MS group was 23.6±7.2 mm in male and 26.5±4.6 mm in female, respectively. The value of SFA8 in MS group was 36.7± 7.4 mm in male and 38.9 ± 8.1 mm in female, respectively. The value of WC in MS group and non-MS group were 92.5±3.0 cm and 79.4±6. 1 cm in male and 86.3±6.4 cm and 74.7±5.4 cm in female, respectively. There was a correlation between SFA8 and systolic BP, diastolic BP, fasting plasma glucose, HDL-cholesterol and triglyceride in control group (the correlation coefficients were 0.29, 0.23, 0.25, -0.31 and 0.46, respectively, P < 0.01). A new formula for MS was suggested as high WC (≥ 90 cm in male, ≥ 80 cm in female) + high SFA8 (≥ 30 mm). The sensitivity, specificity, false positive rate, false negative rate, positive predictive value, and negative predictive value of the new formula assessed with the IDFA definition were 94%, 93%, 7%, 6%, 92% and 95%, respectively. The percentage of all patients who met the criteria for MS by conventional definition was 46.2%. The percentage of all patients who met the criteria by the new definition was 47.0%. There was no difference between the prevalence percentage of the MS according to new criteria and the IDFA criteria in all patients, in male and in female, respectively (P > 0.05). Conclusion This new formula for MS might be useful for easy screening. The advantage over current criteria is the lack of need for laboratory testing.展开更多
Microcellular propellants show a vast applicable prospect due to their special shell-pore structure. The effects of saturation pressure and desorption time on skin thickness are studied. The skin thickness is observed...Microcellular propellants show a vast applicable prospect due to their special shell-pore structure. The effects of saturation pressure and desorption time on skin thickness are studied. The skin thickness is observed and measured using scanning electron microscope (SEM). The results show that the skin thickness decreases when saturation pressure increases from 15 MPa to 30 MPa. In contrast, the skin thickness increases as the desorption time changes from 2 min to 20 min.Therefore, the microcellular propellants with adjustable skin thickness can be obtained under the variable process conditions such as saturation pressure and desorption time.展开更多
The purpose of this study was to determine the thickness of skin and fat folds in Kyrgyz women of various ages, taking into account their somatotypological profile. Using the method of complex anthropometry, including...The purpose of this study was to determine the thickness of skin and fat folds in Kyrgyz women of various ages, taking into account their somatotypological profile. Using the method of complex anthropometry, including the determination of the values of 21 anthropometric parameters, the physical status of 1028 Kyrgyz women of different age groups was studied youth (16 - 20 years old 310 girls), mature age (1st period, 21 - 35 years old 308 women;2nd period, 36 - 55 years 410 women) living in Osh, Kyrgyzstan. For somatotyping, we used the scheme of constitutional diagnostics. Seven somatotypes distinguished within three constitutional groups. The subcutaneous fat was measured by caliperometry. Statistical processing carried out using the statistical programs Microsoft Excel and the STATISTICA package (v. 6.0). To determine the reliability of the differences between the indicators, the Student’s test was used (p < 0.05). The results demonstrate that within each somatotype there are broad changes in the studied anthropometric indicator. Thus, the thickness of the skin and fat folds is the smallest in women of asthenic, athletic and stenoplastic (p < 0.05), and the largest in representatives of the euriplastic and pycnic somatotypes (p < 0.05). Thus, indicators of physical status in adolescence and adulthood in women have a pronounced somatotypological specificity. These materials on the physical development and constitutional and typological characteristics of the studied population of women applicable for a personalized approach in the context of a relative norm.展开更多
Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus...Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus and an unpersuasive level of evidence. We aimed to determine the efficacy of the locally manufactured non-adherent, hydroconductive Drawtex? dressing and compare it to our current standard-of-care dressing, a thin transparent polyurethane film, in the healing of split-thickness donor sites. Methods: This prospective, within-patient controlled study included 27 adult participants, each with two split-thickness skin donor sites. The 54 donor site wounds were compared with regard to time to re-epithelialisation, perceived pain and healed wound quality. Results: By day 5, complete healing of donor site wounds, defined as >90% of epithelialized surface, was significantly higher in the hydroconductive dressing group compared to the polyurethane film group (22.2% and 3.7%, respectively;p < 0.0001). The hydroconductive dressing-treated donor site wounds were significantly less painful at 24-hours, 48-hours and 7-days post-operatively, and had fewer complications and superior wound healing quality. Conclusion: We have demonstrated that the relatively cheap and readily available dressing made locally in South Africa, Drawtex? is at least as safe, and potentially superior in wound healing, when compared to our current standard-of-care dressing.展开更多
In most studies of microstrip circuits, the majority of researchers assume that the microstrip structures studied have flat metallic conductors of finite widths but without thickness. But in reality these types of str...In most studies of microstrip circuits, the majority of researchers assume that the microstrip structures studied have flat metallic conductors of finite widths but without thickness. But in reality these types of structures integrate metallic copper conductors of different thicknesses. If we neglect this thickness we introduce error in the electrical parameters of the microstrip structure, which affects the effective permittivity, the characteristic impedance, the adaptation of the circuit, the resonance frequency, etc. Given the importance of this parameter (thickness of the metal of micro rubon structures), rigorous electromagnetic modeling of the thick micro rubon line based on the skin effect phenomenon (In fact at high frequency the skin effect phenomenon occurs and the current only flows on the periphery of the conductor) has been proposed to improve the studied electric model and ensure the increase in the precision of the analysis method used: Wave concept iterative process. The good agreement between the simulated and published data justifies the improvement of the model.展开更多
目的探讨皮肤至椎板距离(skr-to-laminal distme,SLD)和皮下脂肪厚度对微创腰椎减压术后的影响。方法选择2021年1月至2023年6月在该院接受微创腰椎减压术的173例患者作为研究对象,收集患者SLD距离和皮下脂肪厚度数据,分别根据中位值分...目的探讨皮肤至椎板距离(skr-to-laminal distme,SLD)和皮下脂肪厚度对微创腰椎减压术后的影响。方法选择2021年1月至2023年6月在该院接受微创腰椎减压术的173例患者作为研究对象,收集患者SLD距离和皮下脂肪厚度数据,分别根据中位值分为低值组和高值组,观察两组患者术前、住院及出院资料差异。结果高SLD距离患者与低SLD距离患者的体质量指数(body mass index,BMI)、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒等比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS、术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。高皮下脂肪厚度患者和低皮下脂肪厚度患者的BMI、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS和术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。Pearson相关性分析显示,SLD距离和皮下脂肪厚度与BMI均存在显著相关性(r=0.703、0.712,P<0.05)。结论手术部位局部软组织厚度对腰椎微创减压术的临床结果无显著影响。展开更多
文摘Thick-skinned contractional salt structures are widely developed in the western Kuqa depression, northern Tarim basin. To understand the mechanisms that govern the development of these structures, physical experiments are conducted and the results show that they are largely governed by the activities of basement faults and the forming of paleo-uplifts and basement slopes. The model materials in this study are dry sand, vaseline and plasticene (or hard foam), simulating the suprasalt, salt, and subsalt layers respectively. The experiments show that, due to the activities of basement faults and the forming of the paleo-uplifts, salt bodies usually accumulate and thicken significantly on the middle top of the paleo-uplifts which are constrained by the pre-exiting boundary faults. The development of large-scale thrust faults and salt nappes is favored by the basement slops with larger dips. The experiments also conclude that differential structural deformation could occur between the subsalt and suprasalt layers because of the presence of salt layers. Their geometries and the locations of structural highs are different, despite of the great similarities in the uplifted areas. The pierced salt diapir is not observed in the experiments, which indicates that the contractional shortening does not effectively accelerate the development of the salt diapir.
文摘Background Previous studies reported a close relationship between obesity and insulin resistance in the essential hypertensive patients. Objective In this study, we examined the relationship between the skin fold thickness and insulin resistance then developed a formula to estimate the insulin resistance index according to the skin fold thickness in the essential hypertensive patients. Subjects and Methods Medical records of 80 patients (37 males, 43 females) were reviewed and the data were tabulated. Anthropometric indexes (including height, weight, waist circumference, hip circumference, and skins fold thickness at 5 fatty difference points on the Erdheim diagram), fasting plasma glucose and insulin concentration were recorded. The mean age was 57.0 ?9.2 years. The insulin resistance index was calculated following the Homeostasis Model Assessment (HOMA) formula. Results Compared with the group with BMI < 23 kg/m2, the group with BMI≥23 kg/m2 had higher fasting insulin concentration (8.85±4.97 pmol/L vs 15.60±8.70 pmol/L, P<0.001 ) and higher insulin resistance index in ( 2.15±1,24 vs 3.76±2.22, P<0.001). No significant difference in fasting plasma insulin concentration, insulin resistance index between male and female was observed (P > 0.05). There was a positive correlation between skin fold thickness and the fasting insulin concentration and insulin resistance index. The skin fold thickness at point A8 had the best coefficient correlated with fasting plasma insulin(r=0.79, P < 0.001) and insulin resistance index (r= 0.79, P < 0.001). A formula to estimate the insulin resistance index by skin fold thickness at point A8 as: Insulin resistance index = 0.12×[skin fold thickness at A8 point (mm)] - 1. Conclusion: In the essential hypertensive patients, the formula to estimate insulin resistance index as 0.12×[skin fold thickness at A8 point (mm)]-1 may predict accurately the level of insulin resistance. (J Geriatr Cardiol 2005; 2(4):228-232 )
基金supported by the Major State Basic Research Development Program of China(No.2013CB834405)the National Natural Science Foundation of China(Nos.11421505,11475244 and 11175231)
文摘The effective neutron and proton root-meansquare radius of stable and unstable nuclei(^(12-15,17)B,^(12-20)C,^(14-21)N,^(16-24)O and ^(18-21,23-26)F) were deduced from the charge-changing cross section,σ_(cc),and the interaction cross sections,σ_I,by using a statistical abrasion-ablation model calculation.The extracted proton radii are in good agreement with the data from the Atomic Data and Nuclear Data Tables within the errors.Furthermore,we can observe that the neutron skin thickness increases monotonously with the increasing neutron number in these isotopes,which is consistent with the systematical trend of theoretical calculations.
文摘Backgroud and Objectives Previous studies have reported that skin fold thickness (SF) strongly correlated with insulin resistance in the metabolic syndrome (MetS). In this study, we developed a MetS definition by SF at A8 point (SFA8) on Erdheim diagram(MetSSFA8) in essential hypertensive patients. Subjects and Methods Medical records of 268 essential hypertensive patients (126males and 122 females) were analyzed, including 210 non-diabetic patients (NDM group) and 58 patients with diabetes (DM group).The mean age was 61.4 ± 9.9 and 59.0 ± 11.0 years, respectively. The control group consisted of 90 non-diabetic, non-hypertensive patients with a mean age of 58.0 ± 11.3 years. The proposed MetSSFA8 definition included SFA8 specific values ( ≥30 mm in female and ≥27 mm in male) and at least two of the following: raised triglyceride levels ( ≥1.7 mmol/L), or specific treatment for this lipid abnormality; raised blood pressure (SBP≥130 mmHg and/or DBP≥85 mmHg), or treatment of previously diagnosed hypertension;reduced HDL-cholesterol (< 1.03 mmol/L in men, <1.29 mmol/L in women), or specific treatment for this lipid abnormality; raised fasting plasma glucose (≥5.6 mmol/l), or previously diagnosed DM. Metabolic Syndrome by the National Cholesterol Education Program and International Diabetes Federation definitions were determined with abdominal obesity defined by Asia-Pacific criteria for waist circumference (NCEPA and IDFA). Results The percentage of MetS as defined by NCEPA, IDFA and MetSSFA8 in NDM group was lower than that of NCEPA, IDFA and MetSSFA8 in DM group [OR=7.7 (95%CI, 2.9-20.2) and 2.5 (95%CI, 1.4-4.8) and 2.7(95%CI, 1.3-5.6), respectively] and higher than that of the control group [OR=53.3 (95%CI, 16.7-170.6), 5.8 (95%CI, 2.6-13.2) and18.8 (95%CI, 7.3-48.7), respectively]. The percentage of MetS by NCEPA, IDFA and MetSSFA8 in males in NDM group was lower than the percentage of MetS by NCEPA, IDFA and MetSSFA8 in females in NDM group (50.8% and 77.9%, P< 0.001; 15,9% and 67.2%, P< 0.001; 60.3% and 73.8%, P <0.05, respectively). In subjects with normal WC or both normal WC and BMI, the percentage of MetS by SFAS was higher than that the percentage of MetS by NCEPA (36.9% and 50.8%, P< 0.05 and 36.0% and 51.0%, P< 0.05).The sensitivity, specificity, false positive rate, positive predictive value, negative predictive value of MetSSFA8 assessed with NCEPA definitions were 0.87, 0.73, 0.27, 0.79 and 0.82, respectively. There was a close agreement between MetSSFA8 and NCEPA (The coefficient of Kapa was 0.60, P< 0.001). Conclusions The MetSSFA8 definition was developed which may be useful in order to define and manage MetS in patients with normal WC or normal weight.
基金Project supported by the National Natural Science Foundation of China (Grant Nos 10775168,10405032,10535010,10405033,10605036 and 10475108)the Shanghai Development Foundation for Science and Technology (Grant Nos 06QA14062,06JC14082 and 05XD14021)+1 种基金the State Key Program of Basic Research of China (Grant No 2007CB815004)the Knowledge Innovation Program of the Chinese Academy of Sciences (Grant No KJCX3.SYW.N2)
文摘The dependence between neutron skin thickness and neutron abrasion cross section (σnabr) for neutron-rich nuclei is investigated within the framework of the statistical abrasion ablation model. Assuming that the density distributions for proton and neutron are of Fermi-type, and adjusting the diffuseness parameter of neutron density distribution in the droplet model, we find out the good linear correlation between the neutron skin thickness and the abrasion cross section σnabr for neutron-rich nuclei. The uncertainty of neutron skin thickness determined from σnabr is very small. It is suggested that σnabr can be used as a new experimental observable to extract the neutron skin thickness for neutronrich nucleus. The scaling behaviours between neutron skin thickness and σnabr, separately, for isotopes of ^26-35Na, ^44-56Ar, ^48-60Ca, ^67-78Ni are also investigated.
基金supported by the National Natural Science Foundation of China(Nos.11175085,11235001,11375086,and 11120101005)the 973 Program of China(No.2013CB834400)+1 种基金the Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)the Open Project Program of the State Key Laboratory of Theoretical Physics,Institute of Theoretical Physics,Chinese Academy of Sciences,China(No.Y5KF141CJ1)
文摘Based on the newest experimentally extracted nuclear density distributions for double-magic nucleus208Pb(Tarbert et al. in Phys Rev Lett 112:242502, 2014),the sensitivity of α-decay half-life to nuclear skin thickness is explored in the vicinity of the shell closure region around208 Pb, i.e., isotopes of Z ? 82 and isotones of N ? 126.With the two-parameter Fermi(2PF) density distributions and an analytically derived formula, the α-decay half-life is found to be closely related to the magnitude of nuclear skin thickness. For a decays to the Z ? 82 isotopes, the α-decay half-life is found to decrease with the increasing neutron skin thickness, while the opposite behavior is found for a decays to the N ? 126 isotones. Therefore, it could be a possible way to extract the nuclear skin thickness from measured α-decay half-lives.
基金Supported by National Natural Science Foundation of China,No.81702135Zhejiang Traditional Chinese Medicine Research Program,No.2016ZA124 and No.2017ZB057+1 种基金Zhejiang Medicine and Hygiene Research Program,No.2016KYB101 and No.2015KYA100Zhejiang Medical Association Clinical Scientific Research Program,No.2013ZYC-A19 and No.2015ZYC-A12
文摘BACKGROUND Although skin avulsions to male external genitalia are rare, they can be both physically and psychologically traumatic. Thus, the necessity for judicious management poses significant challenges to surgeons in order to avoid potential permanent disabilities. We report a case of massive penoscrotal skin avulsion and a composite graft was creatively applied to cover the defect which achieved good results. We believe that this case is of great reference value for fellow surgeons.CASE SUMMARY A 52-year-old male presented with massive traumatic avulsion of the penile and scrotal skin following mishandling of an electric drill. The avulsed skin was missing. The patient was diagnosed with massive skin avulsion of external genitalia. Following initial complete debridement of devitalized or infected tissues, Pelnac dermal substitute was secured to the defect with the assistance of negative-pressure wound closure. In the final step, the silicone layer of Pelnac was removed and a split-thickness skin graft was applied. The defect had healed at the two-month follow-up. The patient now has normal erections and satisfactory sexual function.CONCLUSION Our experience with this wound repair demonstrated that the combination of a dermal regeneration template and a split-thickness skin graft with vacuumassisted closure is a safe, well-tolerated and efficient solution for the reconstruction of massive penoscrotal skin defects.
文摘AIM: To assess the use of a simple split skin graft harvesting technique, requiring only a scalpel and a swab.METHODS: During the last 8 mo, we operated on a consecutive series of 52 patients(30 males, 22 females) with a mean age of 60 years(33-80). We used the technique we present in order to cover small skin defects. All procedures were performed under local anesthesia. Thirty-seven patients underwent bedside surgery, 8 patients were operated on in the outpatient department and the remaining 7 had their graft harvested in the operating room. After antiseptic preparation of the donor site, the margins of the graft were drawn by the use of a surgical marker. A No 15 scalpel was used for the graft elevation, under constant traction with a moist swab.RESULTS: All procedures were completed successfully without immediate complications. The patients tolerated the procedure well. The mean operative time was 15 min. Twenty-four donor sites were left to heal by secondary intention, whereas 28 were sutured with interrupted 3/0 silk sutures in order to heal by primary intention. All 24 sites that were left to heal by secondary intention healed completely in approximately 14 d. For the sites that were sutured, the sutures were removed on the 10 th postoperative day. Out of the 52 operated cases, 6 patients(11%) developed complications. In 4 patients, the split thickness skin grafts were partially lost, whereas in 2 patients the grafts were completely lost. Wound dehiscence was observed in 2 patients, which were treated with local antiseptic and antibiotic therapy.CONCLUSION: The skin graft technique described is simple, costless and effective and can be performed even on an outpatient basis, without the need for special equipment.
文摘Background and objectives Recent studies have shown that abdominal obesity is an important component for the diagnosis of metabolic syndrome (MS) and MS is a high risk factor for cardiovascular disease and diabetes mellitus. The aim of this study was to develop a new formula for screening and diagnosis of MS using the waist circumference (WC) and skin fold thickness at the point A8 (SFA8) on the Erdheim diagram. Methods A total of 358 essential hypertensive patients (189 male and 169 female) with a mean age of 59.0±9.7 years were included; 151 healthy people (79 male, 72 female) with a mean age of 57.3±12.1 years (similar to hypertensive patients) who were non-hypertensive and non-diabetic served as a control group. All subjects had no evidence of hepatic, renal, or endocrine disease as determined by history, physical examination and screening blood tests. Height, weight, WC, SFA8, blood pressure (BP), fasting plasma glucose, HDL-cholesterol and triglyceride levels were measured in all subjects. Abdominal obesity measured by WC using the Asia-Pacific criteria (IDFA) was applied for meeting the MS definition. The normal value of SFA8 was measured in the non- MS group. Relationships between SFA8 and systolic BP, diastolic BP, fasting plasma glucose, HDL-cholesterol and triglyceride levels were calculated in the control group. A new formula was developed according to high SFA8 and high WC. Results The normal value of SFA8 in non-MS group was 23.6±7.2 mm in male and 26.5±4.6 mm in female, respectively. The value of SFA8 in MS group was 36.7± 7.4 mm in male and 38.9 ± 8.1 mm in female, respectively. The value of WC in MS group and non-MS group were 92.5±3.0 cm and 79.4±6. 1 cm in male and 86.3±6.4 cm and 74.7±5.4 cm in female, respectively. There was a correlation between SFA8 and systolic BP, diastolic BP, fasting plasma glucose, HDL-cholesterol and triglyceride in control group (the correlation coefficients were 0.29, 0.23, 0.25, -0.31 and 0.46, respectively, P < 0.01). A new formula for MS was suggested as high WC (≥ 90 cm in male, ≥ 80 cm in female) + high SFA8 (≥ 30 mm). The sensitivity, specificity, false positive rate, false negative rate, positive predictive value, and negative predictive value of the new formula assessed with the IDFA definition were 94%, 93%, 7%, 6%, 92% and 95%, respectively. The percentage of all patients who met the criteria for MS by conventional definition was 46.2%. The percentage of all patients who met the criteria by the new definition was 47.0%. There was no difference between the prevalence percentage of the MS according to new criteria and the IDFA criteria in all patients, in male and in female, respectively (P > 0.05). Conclusion This new formula for MS might be useful for easy screening. The advantage over current criteria is the lack of need for laboratory testing.
文摘Microcellular propellants show a vast applicable prospect due to their special shell-pore structure. The effects of saturation pressure and desorption time on skin thickness are studied. The skin thickness is observed and measured using scanning electron microscope (SEM). The results show that the skin thickness decreases when saturation pressure increases from 15 MPa to 30 MPa. In contrast, the skin thickness increases as the desorption time changes from 2 min to 20 min.Therefore, the microcellular propellants with adjustable skin thickness can be obtained under the variable process conditions such as saturation pressure and desorption time.
文摘The purpose of this study was to determine the thickness of skin and fat folds in Kyrgyz women of various ages, taking into account their somatotypological profile. Using the method of complex anthropometry, including the determination of the values of 21 anthropometric parameters, the physical status of 1028 Kyrgyz women of different age groups was studied youth (16 - 20 years old 310 girls), mature age (1st period, 21 - 35 years old 308 women;2nd period, 36 - 55 years 410 women) living in Osh, Kyrgyzstan. For somatotyping, we used the scheme of constitutional diagnostics. Seven somatotypes distinguished within three constitutional groups. The subcutaneous fat was measured by caliperometry. Statistical processing carried out using the statistical programs Microsoft Excel and the STATISTICA package (v. 6.0). To determine the reliability of the differences between the indicators, the Student’s test was used (p < 0.05). The results demonstrate that within each somatotype there are broad changes in the studied anthropometric indicator. Thus, the thickness of the skin and fat folds is the smallest in women of asthenic, athletic and stenoplastic (p < 0.05), and the largest in representatives of the euriplastic and pycnic somatotypes (p < 0.05). Thus, indicators of physical status in adolescence and adulthood in women have a pronounced somatotypological specificity. These materials on the physical development and constitutional and typological characteristics of the studied population of women applicable for a personalized approach in the context of a relative norm.
文摘Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus and an unpersuasive level of evidence. We aimed to determine the efficacy of the locally manufactured non-adherent, hydroconductive Drawtex? dressing and compare it to our current standard-of-care dressing, a thin transparent polyurethane film, in the healing of split-thickness donor sites. Methods: This prospective, within-patient controlled study included 27 adult participants, each with two split-thickness skin donor sites. The 54 donor site wounds were compared with regard to time to re-epithelialisation, perceived pain and healed wound quality. Results: By day 5, complete healing of donor site wounds, defined as >90% of epithelialized surface, was significantly higher in the hydroconductive dressing group compared to the polyurethane film group (22.2% and 3.7%, respectively;p < 0.0001). The hydroconductive dressing-treated donor site wounds were significantly less painful at 24-hours, 48-hours and 7-days post-operatively, and had fewer complications and superior wound healing quality. Conclusion: We have demonstrated that the relatively cheap and readily available dressing made locally in South Africa, Drawtex? is at least as safe, and potentially superior in wound healing, when compared to our current standard-of-care dressing.
文摘In most studies of microstrip circuits, the majority of researchers assume that the microstrip structures studied have flat metallic conductors of finite widths but without thickness. But in reality these types of structures integrate metallic copper conductors of different thicknesses. If we neglect this thickness we introduce error in the electrical parameters of the microstrip structure, which affects the effective permittivity, the characteristic impedance, the adaptation of the circuit, the resonance frequency, etc. Given the importance of this parameter (thickness of the metal of micro rubon structures), rigorous electromagnetic modeling of the thick micro rubon line based on the skin effect phenomenon (In fact at high frequency the skin effect phenomenon occurs and the current only flows on the periphery of the conductor) has been proposed to improve the studied electric model and ensure the increase in the precision of the analysis method used: Wave concept iterative process. The good agreement between the simulated and published data justifies the improvement of the model.
文摘目的探讨皮肤至椎板距离(skr-to-laminal distme,SLD)和皮下脂肪厚度对微创腰椎减压术后的影响。方法选择2021年1月至2023年6月在该院接受微创腰椎减压术的173例患者作为研究对象,收集患者SLD距离和皮下脂肪厚度数据,分别根据中位值分为低值组和高值组,观察两组患者术前、住院及出院资料差异。结果高SLD距离患者与低SLD距离患者的体质量指数(body mass index,BMI)、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒等比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS、术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。高皮下脂肪厚度患者和低皮下脂肪厚度患者的BMI、肥胖、年龄、ASA分级、高血压、糖尿病、饮酒比较,差异存在统计学意义(P<0.05);两组患者性别、心脏病、脑血管疾病、慢性肾脏病、吸烟、手术类型、相邻节段病变、住院时间、即时并发症、住院并发症、出院并发症、总并发症、术前ODI、术后1年ODI、术前腰痛VAS、术后1年腰痛VAS、术前腿痛VAS和术后1年腿痛VAS比较,差异均无统计学意义(P>0.05)。Pearson相关性分析显示,SLD距离和皮下脂肪厚度与BMI均存在显著相关性(r=0.703、0.712,P<0.05)。结论手术部位局部软组织厚度对腰椎微创减压术的临床结果无显著影响。