The Use of Pedicled Perforator Flaps in Chest Reconstruction: A Systematic Review of Outcomes and Reliability

BACKGROUND: In recent years, pedicled perforator flaps have revolutionized plastic surgery by reducing donor site morbidity and ensuring larger and deeper reconstructions with local pedicled cutaneous flaps. The aim of the study was to make a systematic review of perforator pedicled propeller flaps (PPPFs) in chest reconstruction. METHODS: Pubmed and Cochrane databases were searched from 1989 to October 2016 for articles describing the use of PPPFs in chest reconstruction. The preferred reporting items for systematic reviews and meta analyses statement was used in the selection process. The review was registered on international prospective register of systematic reviews. Furthermore, operative technique, indications and complications were searched. RESULTS: Twenty-four articles were selected (174 patients and 182 flaps). Oncological surgery was the first etiology (34.5%), followed by infections (11.5%), chest keloid scars (6.23%), malformations (4.6%), burns (3.4%), chronic ulcers (2.3%), Verneuil disease (1.8%), and acute wounds (1.8%). The arc of rotation was between 90° and 120° in 24.2%. The mean surface of flaps was 127.45 ± 123.11 cm. Dissection was subfascial in 78.5% of the cases. Complications were found in 9.9% of patients and included mainly wound dehiscence (4.4%) and hematoma/seroma (2.2%). One case of total necrosis (0.5%) and 2 cases of partial necrosis (1.1%) were found. CONCLUSIONS: The possibility of numerous pedicles makes it possible for PPPFs to offset most areas of wall chest defects. Furthermore, this surgical technique is reliable and reproducible, with lower donor site morbidity than that in the case of muscular flaps, which are classically used in this location

Magnetization reversal processes in epitaxial Fe/GaAs(001) films

Copyright © 1994 American Institute of PhysicsIn this article we present the results of a detailed study of the switching behavior observed in epitaxial single Fe films of thickness between 30 and 450 Å, and a wedge shaped Fe film with a thickness range of 10–60 Å grown on GaAs (001). These films have cubic and uniaxial anisotropies which change with film thickness. For the fixed thickness films the values of the anisotropy constants were accurately determined by Brillouin light scattering (BLS) measurements together with polar magneto‐optic Kerr effect (MOKE) measurements that gave the value of the magnetization. The switching behavior of these samples was observed with in‐plane MOKE magnetometry as a function of the angle between the applied field and the in‐plane crystallographic axes. Measurements of the component of magnetization perpendicular to the applied field allow a precise determination of the relative orientation of the hard and easy in‐plane anisotropy axes. This can be used to accurately determine the ratio of uniaxial to cubic anisotropy constants, when this ratio is less than one. The ratios obtained from MOKE agree well with those obtained from BLS. Minimum energy calculations predict that the reversal process should proceed by a continuous rotation of the magnetization vector with either one or two irreversible jumps, depending on the applied field orientation and the nature of the anisotropy of the film. The calculations provide a good qualitative description of the observed reversal process, although the magnetic microstructure influences the exact values of the switching fields

P/2010A2 LINEAR - I: An impact in the Asteroid Main Belt

Comet P/2010A2 LINEAR is a good candidate for membership with the Main Belt Comet family. It was observed with several telescopes (ESO NTT, La Silla; Gemini North, Mauna Kea; UH 2.2m, Mauna Kea) from 14 Jan. until 19 Feb. 2010 in order to characterize and monitor it and its very unusual dust tail, which appears almost fully detached from the nucleus; the head of the tail includes two narrow arcs forming a cross. The immediate surroundings of the nucleus were found dust-free, which allowed an estimate of the nucleus radius of 80-90m. A model of the thermal evolution indicates that such a small nucleus could not maintain any ice content for more than a few million years on its current orbit, ruling out ice sublimation dust ejection mechanism. Rotational spin-up and electrostatic dust levitations were also rejected, leaving an impact with a smaller body as the favoured hypothesis, and ruling out the cometary nature of the object. The impact is further supported by the analysis of the tail structure. Finston-Probstein dynamical dust modelling indicates the tail was produced by a single burst of dust emission. More advanced models, independently indicate that this burst populated a hollow cone with a half-opening angle alpha~40degr and with an ejection velocity v_max ~ 0.2m/s, where the small dust grains fill the observed tail, while the arcs are foreshortened sections of the burst cone. The dust grains in the tail are measured to have radii between a=1-20mm, with a differential size distribution proportional to a^(-3.44 +/- 0.08). The dust contained in the tail is estimated to at least 8x10^8kg, which would form a sphere of 40m radius. Analysing these results in the framework of crater physics, we conclude that a gravity-controlled crater would have grown up to ~100m radius, i.e. comparable to the size of the body. The non-disruption of the body suggest this was an oblique impact.Comment: 15 pages, 11 figures, in pres

Exchange Anisotropy in Epitaxial and Polycrystalline NiO/NiFe Bilayers

(001) oriented NiO/NiFe bilayers were grown on single crystal MgO (001) substrates by ion beam sputtering in order to determine the effect that the crystalline orientation of the NiO antiferromagnetic layer has on the magnetization curve of the NiFe ferromagnetic layer. Simple models predict no exchange anisotropy for the (001)-oriented surface, which in its bulk termination is magnetically compensated. Nonetheless exchange anisotropy is present in the epitaxial films, although it is approximately half as large as in polycrystalline films that were grown simultaneously. Experiments show that differences in exchange field and coercivity between polycrystalline and epitaxial NiFe/NiO bilayers couples arise due to variations in induced surface anisotropy and not from differences in the degree of compensation of the terminating NiO plane. Implications of these observations for models of induced exchange anisotropy in NiO/NiFe bilayer couples will be discussed.Comment: 23 pages in RevTex format, submitted to Phys Rev B

The Main Belt Comets and ice in the Solar System

We review the evidence for buried ice in the asteroid belt; specifically the questions around the so-called Main Belt Comets (MBCs). We summarise the evidence for water throughout the Solar System, and describe the various methods for detecting it, including remote sensing from ultraviolet to radio wavelengths. We review progress in the first decade of study of MBCs, including observations, modelling of ice survival, and discussion on their origins. We then look at which methods will likely be most effective for further progress, including the key challenge of direct detection of (escaping) water in these bodies

Effects of metal-contaminated soils on the accumulation of heavy metals in gotu kola (Centella asiatica) and the potential health risks: a study in Peninsular Malaysia

Centella asiatica is a commonly used medicinal plant in Malaysia. As heavy metal accumulation in medicinal plants which are highly consumed by human is a serious issue, thus the assessment of heavy metals in C. asiatica is important for the safety of consumers. In this study, the heavy metal accumulation in C. asiatica and the potential health risks were investigated. Samples of C. asiatica and surface soils were collected from nine different sites around Peninsular Malaysia. The concentration of six heavy metals namely Cd, Cu, Ni, Fe, Pb and Zn were determined by air-acetylene flame atomic absorption spectrophotometer (AAS). The degree of anthropogenic influence was assessed by calculating the enrichment factor (EF) and index of geoaccumulation (Igeo). The heavy metal uptake into the plant was estimated through the calculation of translocation factor (TF), bioconcentration factor (BCF) and correlation study. Estimated daily intakes (EDI) and target hazard quotients (THQ) were used to determine the potential health risk of consuming C. asiatica. The results showed that the overall surface soil was polluted by Cd, Cu and Pb, while the uptake of Zn and Ni by the plants was high. The value of EDI and THQ showed that the potential of Pb toxicity in C. asiatica was high as well. As heavy metal accumulation was confirmed in C. asiatica, daily consumption of the plant derived from polluted sites in Malaysia was not recommended

Investigation of an Aluminized Binder/AP Composite Propellant Containing FOX-7

This paper presents the results of thermodynamical calculations and investigations of the thermochemical and balistic properties of aluminized composite solid propellants Binder/AP/A1 containing FOX-7. The calculation was conducted by using ICT-Thermodynamic Code. The heat of combustion was determined in a stationary bomb calorimeter IKA C 4000. The breakdown temperatures were taken with the DTA 551 Ex measuring apparatus and the burning rate was measured in a subscale rocket motor utilizing the ESAM v. 3.3.0 system. It was revealed that the introduction of FOX -7 into the propellant composition causes a reduction of the energetic characteristics and the burning rate of the propellant