The thoracic shape of hominoids

In hominoids, the broad thorax has been assumed to contribute to their dorsal scapular position. However, the dorsoventral diameter of their cranial thorax was found in one study to be longer in hominoids. There are insufficient data on thoracic shape to explain the relationship between broad thorax and dorsal scapular position. The current study presents data on multilevel cross-sectional shape and volume distribution in a range of primates. Biplanar radiographs of intact fluid-preserved cadavers were taken to measure the cross-sectional shape of ten equally spaced levels through the sternum (called decisternal levels) and the relative volume of the nine intervening thoracic segments. It was found that the cranial thorax of hominoids is larger and broader (except in the first two decisternal levels) than that of other primates. The cranial thorax of hominoids has a longer dorsoventral diameter because the increase in dorsoventral diameter caused by the increase in the volume of the cranial thorax overcompensates for the decrease caused by the broadening of the cranial thorax. The larger and broader cranial thorax in hominoids can be explained as a locomotor adaptation for scapular gliding and as a respiratory adaptation for reducing the effects of orthograde posture on ventilation-perfusion inequality.published_or_final_versio

Cadaveric Study of Zone 2 Flexor Hallucis Longus Tendon Sheath

Purpose: The purpose of this study was to investigate the anatomy of the zone 2 flexor hallucis longus (FHL) tendon sheath. Methods: Dissection of the zone 2 FHL tendon sheath was performed in 12 feet of 6 cadavers. The tendon sheath was subdivided into proximal fibrous (zone 2A) and distal fascial (zone 2B) parts. The lengths of the zone 2A and 2B FHL tendon were measured and represented the length of the corresponding tendon sheaths, and the relation of the medial plantar nerve to each part of the zone 2 FHL tendon sheath was studied. Results: In all specimens there were fibrous and fascial components of the zone 2 FHL tendon sheath. The medial plantar nerve crossed the zone 2B tendon sheaths and then became plantar lateral to the sheath in 7 specimens. The distance between the medial plantar nerve and the orifice of the zone 2A tendon sheath averaged 7.6 mm. The distance between the medial plantar nerve and the junction between zones 2A and 2B averaged 3.2 mm. The distance between the medial plantar nerve and the distal end of the zone 2B tendon sheath averaged 4.2 mm. The mean length of the zone 2A tendon sheath was 35.9 mm, and the mean length of the zone 2B tendon sheath was 30.5 mm. Conclusions: The zone 2 FHL tendon sheath can be subdivided into a proximal fibrous zone (2A) and a distal fascial zone (2B). Because of the close proximity of the medial plantar nerve to the tendon sheath, there is a significant risk of iatrogenic nerve injury when surgical procedures are performed in zone 2B. Clinical Relevance: An understanding of the anatomy of the zone 2 FHL tendon sheath is useful for the safe practice of zone 2 FHL tendoscopy. © 2010 Arthroscopy Association of North America.postprin

Designing problem-based curricula: The role of concept mapping in scaffolding learning for the health sciences

While the utility of concept mapping has been widely reported in primary and secondary educational contexts, its application in the health sciences in higher education has been less frequently noted. Two case studies of the application of concept mapping in undergraduate and postgraduate health sciences are detailed in this paper. The case in undergraduate dental education examines the role of concept mapping in supporting problem-based learning and explores how explicit induction into the principles and practices of CM has add-on benefits to learning in an inquiry-based curriculum. The case in postgraduate medical education described the utility of concept mapping in an online inquiry-based module design. Specific attention is given to applications of CMapTools™ software to support the implementation of Novakian concept mapping in both inquiry-based curricular contexts.published_or_final_versio

Incidence of neurosensory deficits and recovery after lower third molar surgery: a prospective clinical study of 4338 cases

A prospective study of all lower third molar surgery performed in the outpatient extraction clinic of a teaching dental hospital was conducted from January 1998 through October 2005 to determine the incidence of subsequent neurosensory deficit due to inferior alveolar nerve (IAN) and lingual nerve (LN) injury, to examine possible contributing risk factors and to describe the pattern of recovery. 3595 patients were included (61% female, 39% male; age range, 14-82 years). Of the 4338 lower third molar extractions performed by various grades of operators, 0.35% developed IAN deficit and 0.69% developed LN deficit. Distoangular impaction was found to increase the risk of LN deficit significantly (p < 0.001). Depth of impaction was related to the risk of IAN deficit (p < 0.001). Undergraduates caused more LN deficits (p < 0.001). Sex, age, raising of a lingual flap, protection of LN with a retractor, removal of distolingual cortex, tooth sectioning and difficulty in tooth elevation were not significantly related to IAN or LN injury. Postoperative recovery from IAN and LN deficits was noted most significantly at 3 and 6 months, respectively. By the end of the follow-up period, 67% of IAN deficits and 72% of LN deficits had recovered completely. © 2009 International Association of Oral and Maxillofacial Surgeons.postprin

An efficient handoff management scheme for mobile wireless ATM networks

A new handoff management scheme for wireless ATM networks is proposed. In this scheme, all cells are connected to their neighboring cells by permanent virtual circuits (PVCs) and to the access switch (AS) by switched virtual circuits (SVCs) which are only for new calls. Some carefully chosen cells, called rerouting cells, are also connected to the AS by PVCs. In summary, if a mobile roams to an ordinary neighboring cell, its traffic path is simply elongated by a PVC connecting the old and new cells. If a mobile roams to a rerouting cell, its traffic path is rerouted to a PVC between the AS and rerouting cell. By using PVC's for handoff calls, we can guarantee fast and seamless handoff. At the same time, our scheme improves the path efficiency by limiting the maximum number of hops that a path can be extended. Also, allowing path rerouting at a suitable time means the network resources are more efficiently utilized.published_or_final_versio

Learning needs in a medical curriculum in Hong Kong

Objective To survey medical graduates from the University of Hong Kong on how well they perceived their learning needs had been fulfilled by the old (before 1997) and the new (after 1997) curricula. Design Retrospective questionnaire survey. Setting The University of Hong Kong, Hong Kong. Participants Medical graduates from the University of Hong Kong who graduated between 1997 and 2006 were invited to complete a questionnaire online or in paper form; 1997-2001 graduates were trained under the old curriculum, and 2002-2006 graduates under the new curriculum. Results The response rate was 23%.Thesurvey showed thatthe graduates of both curricula felt that research skills, population health, and ophthalmology were not emphasised enough in the medical programme. In addition, some graduates of the old curriculum mentioned interpersonal skills, ethics and professionalism, and language skills, which were pinpointed in the curriculum reform in 1997. Some graduates of the new curriculum mentioned anatomy, microbiology, and diagnostic radiology. Graduates of both the old and the new curricula perceived the same top five areas as being lacking in their respective curricula, in relationship to their clinical career and personal growth, namely: business administration, law, professional English, life coaching, and humanities. A small percentage of graduates also took courses in these areas after graduation. Conclusions The survey showed that the curriculum reform in 1997 at the University of Hong Kong had correctly pinpointed some of the learning needs. The survey also identified educational needs in the existing curriculum that need to be dealt with in the forthcoming curriculum reform in 2012.published_or_final_versio

Q-switched alexandrite laser for the treatment of nevus of Ota increase viscoelasticity of the treated area

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Epidermal cooling in improving the patient tolerability of Q-switched laser for the treatment of nevus of Ota

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Use of FBG optical sensors for structural health monitoring: Practical application

This paper describes the development of FBG Optical sensors for their practical application on structural health monitoring. The sensors were installed on the Tsing Ma Bridge for a trial run. The results using FBG sensors were in excellent agreement with those acquired by the bridge WASHMS

The use of Q-switched Alexandrite (QS Alex) laser in the treatment of acquired bilateral nevus of Ota-like macules (ABNOM)

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