A standardized formula for aesthetic mandibular reconstruction using an osteocutaneous fibular free flap

Ameloblastoma is the most common benign odontogenic tumor of the jaw, and expansional growth of a huge untreated ameloblastoma can result in disturbances in facial aesthetics and function, such as difficulty with mouth opening, swallowing, chewing, breathing, neurologic deficits, and pathologic fractures. Radical wide resection with safety margins and subsequent reconstruction is generally recommended. A fibular free flap (FFF) is commonlyused to reconstruct the mandible in order to adequately restore both aesthetic appearance and function. The aim of this brief clinical report is to present a case of huge ameloblastoma after wide resection with free safety margins, and describe the immediate one-step mandibular reconstruction using a vascularized composite FFF. The sterolithographic(rapid prototype, RP) model, a wax pattern of the resected mandible, and a surgical fibular stent made from the wax pattern were constructed preoperatively. We suggest a standardized surgical protocol for mandibular reconstruction with FFF.Funding: Supported by the International Research & Development Program of the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2015K1A3A9A01028230)Keywords: Mandibular reconstruction, fibular osteocutaneous free flap, huge ameloblastoma, stereolithographicmodel, standardized formul

Review: Magnetic Resonance Spectroscopy Studies of Pediatric Major Depressive Disorder

Introduction. This paper focuses on the application of Magnetic Resonance Spectroscopy (MRS) to the study of Major Depressive Disorder (MDD) in children and adolescents. Method. A literature search using the National Institutes of Health's PubMed database was conducted to identify indexed peer-reviewed MRS studies in pediatric patients with MDD. Results. The literature search yielded 18 articles reporting original MRS data in pediatric MDD. Neurochemical alterations in Choline, Glutamate, and N-Acetyl Aspartate are associated with pediatric MDD, suggesting pathophysiologic continuity with adult MDD. Conclusions. The MRS literature in pediatric MDD is modest but growing. In studies that are methodologically comparable, the results have been consistent. Because it offers a noninvasive and repeatable measurement of relevant in vivo brain chemistry, MRS has the potential to provide insights into the pathophysiology of MDD as well as the mediators and moderators of treatment response

Electronic and Magnetic Properties of Electron-doped Superconductor, Sm_{1.85}Ce_{0.15}CuO_{4-delta}

Temperature-dependent magnetization (M(T)) and specific heat (C_p(T)) measurements were carried out on single crystal Sm_{1.85}Ce_{0.15}CuO_{4-delta} (T_c = 16.5 K). The magnetic anisotropy in the static susceptibility, chi {equiv} M/H, is apparent not only in its magnitude but also in its temperature dependence, with chi_{perp} for H{perp}c larger than chi_{parallel} for H{parallel}c. For both field orientations, chi does not follow the Curie-Weiss behavior due to the small energy gap of the J = 7/2 multiplet above the J = 5/2 ground-state multiplet. However, with increasing temperature, chi_{parallel}(T) exhibits a broad minimum near 100 K and then a slow increase while chi_{perp}(T) shows a monotonic decrease. A sharp peak in C_p(T) at 4.7 K manifests an antiferromagnetic ordering. The electronic contribution, gamma, to C_p(T) is estimated to be gamma = 103.2 (7) mJ/moleSmK^2. The entropy associated with the magnetic ordering is much smaller than Rln2, where R is the gas constant, which is usually expected for the doublet ground state of Sm^{+3}. The unusual magnetic and electronic properties evident in M(T) and C_p(T) are probably due to a strong anisotropic interaction between conduction electrons and localized electrons at Sm^{+3} sites.Comment: 5 pages, 5 encapsulated postscript figures, late

Directed evolution of CRISPR-Cas9 to increase its specificity

The use of CRISPR-Cas9 as a therapeutic reagent is hampered by its off-target effects. Although rationally designed S. pyogenes Cas9 (SpCas9) variants that display higher specificities than the wild-type SpCas9 protein are available, these attenuated Cas9 variants are often poorly efficient in human cells. Here, we develop a directed evolution approach in E. coli to obtain Sniper-Cas9, which shows high specificities without killing on-target activities in human cells. Unlike other engineered Cas9 variants, Sniper-Cas9 shows WT-level on-target activities with extended or truncated sgRNAs with further reduced off-target activities and works well in a preassembled ribonucleoprotein (RNP) format to allow DNA-free genome editing.

Cultural Construction of Success and Epistemic Motives Moderate American-Chinese Differences in Reward Allocation Biases

When the relative contribution of the self and the group to a group success is unclear, Americans tend to exhibit a self-serving bias (rewarding the self more than what the self deserves), whereas the Chinese tend to exhibit an other-serving bias (rewarding the group more than the group deserves). In a study comparing the reward allocation biases of Americans and Chinese in different group outcome conditions, the authors showed that the abovementioned cultural difference is found (a) only for culturally congruent success experience (attaining approach goals for Americans and avoidance goals for Chinese) and (b) among individuals who are motivated by the need for cognitive closure to exhibit culturally typical responses. This finding has important implications for understanding the dynamic nature of cultural influences on social behaviors. © The Author(s) 2012

The Better-Than-Average Effect in Hong Kong and the United States: The Role of Personal Trait Importance and Cultural Trait Importance

People tend to make self-aggrandizing social comparisons on traits that are important to the self. However, existing research on the better-than-average effect (BTAE) and trait importance does not distinguish between personal trait importance (participants’ ratings of the importance of certain traits to themselves) and cultural trait importance (participants’ perceptions of the importance of the traits to the cultural group to which they belong). We demonstrated the utility of this distinction by examining the joint effects of personal importance and cultural importance on the BTAE among Hong Kong Chinese and American participants. Results showed that the BTAE was more pronounced for personally important traits among both Chinese and American participants. More important, the magnitude of the BTAE was smaller on culturally important traits among Chinese participants only. Chinese participants displayed the strongest BTAE on personally important and culturally unimportant traits, and the smallest BTAE on personally unimportant and culturally important ones. American participants showed the smallest BTAE on personally and culturally unimportant traits. These findings underscore the importance of distinguishing personal trait importance and cultural trait importance in understanding the cultural effects on self-aggrandizing social comparisons. They further suggest that in cultures where people are expected to be modest in self-expression (e.g., Chinese culture), people would avoid claiming superiority on highly culturally important traits even when these traits are important to the self