280 research outputs found
Bound states and extended states around a single vortex in the d-wave superconductors
Making use of the Bogoliubov-de Gennes equation for the d-wave
superconductors, we investigate the quasi-particle spectrum around a single
vortex. Taking , we found that there are bound states which are
localized around the vortex core, and extended states which are rather uniform,
for where is the quasi-particle energy and is the
asymptotic value of the order parameter for away from the vortex.Comment: 4 pages, 6 figure
Low-lying excitations around a single vortex in a d-wave superconductor
A full quantum-mechanical treatment of the Bogoliubov-de Gennes equation for
a single vortex in a d-wave superconductor is presented. First, we find
low-energy states extended in four diagonal directions, which have no
counterpart in a vortex of s-wave superconductors. The four-fold symmetry is
due to 'quantum effect', which is enhanced when is small. Second,
for , a peak with a large energy gap is
found in the density of states, which is due to the formation of the lowest
bound states.Comment: 7pages, Revte
Novel vortex lattice transition in d-wave superconductors
We study the vortex state in a magnetic field parallel to the axis in the
framework of the extended Ginzburg Landau equation. We find the vortex acquires
a fourfold modulation proportional to where is the angle
makes with the -axis. This term gives rise to an attractive
interaction between two vortices when they are aligned parallel to or
. We predict the first order vortex lattice transition at
from triangular into the square lattice
tilted by from the axis. This gives the critical field
a few Tesla for YBCO and Bi2212 monocrystals at low temperatures ().Comment: 6 pages, 4 figure
Effect of Subcutaneous Adrenaline/Saline/Lidocaine Injection on Split-Thickness Skin Graft Donor Site Wound Healing
[Background] Subcutaneous injection of tumescent solution, which contains local anesthetic, adrenaline, and saline, before split-thickness skin graft harvesting, shows a significant hemostatic effect. This method can reduce the initial bleeding from the donor site. The aim of this study is to assess the benefits of controlling the bleeding from donor sites by tumescent injection. A randomized, controlled trial was performed to compare the wound healing of split-thickness skin graft donor sites treated with or without tumescent injection. [Methods] This randomized, controlled trial examined donor site healing days as the main measure of outcome. postoperative pain, donor site ulceration, and scar quality were evaluated as secondary outcome measures. Patients planned for split-thickness skin graft harvest were randomly assigned to receive either pre-harvest subcutaneous injection of local anesthetic, adrenaline, and saline solution (tumescent solution) (Group 1) or post-harvest application of adrenaline solution-soaked gauze to the skin graft donor sites (Group 2). Donor sites were treated with calcium alginate dressings after graft harvesting. On the 10th postoperative day, the dressings were removed and donor site healing were measured. Follow-up evaluation of scar quality was performed 6 months after surgery. Postoperative pain was evaluated on the 1st day after operating. [Results] Forty-five patients (26 males; average age 61.8 years) completed the late follow-up evaluation (6 months postoperatively), with 26 patients in group 1 and 19 in group 2. There were no significant differences between the two groups in any of the outcome measures. [Conclusion] Tumescent technique provides sufficient hemostasis in split skin graft donor sites, especially the initial bleeding just after graft harvesting, without any negative effects. Larger series should be studied to evaluate the effect in donor site wound healing
Stability of the vortex lattice in D-wave superconductors
Use is made of Onsager's hydrodynamic equation to derive the vibration
spectrum of the vortex lattice in d-wave superconductor. In particular the
rhombic lattice (i.e. the tilted square lattice) is found to be
stable for . Here denotes the critical field at which
the vortex lattice transition takes place.Comment: 7 pages, Revte
Hemodynamic Analysis of a Microanastomosis Using Computational Fluid Dynamics
[Background] Technical issues in free flap transfer, such as the selection of recipient vessels and the positioning and method of anastomosis of the vascular pedicle, have been the subject of vigorous debate. Recent developments in computational fluid dynamics (CFD) have enabled the analysis of blood flow within microvessels. In this study, CFD was used to analyze hemodynamics in a microanastomosis. [Methods] In the fluid calculation process, the fluid domain modelizes microvessels with anastomosis. The inlet flow conditions were measured as venous waveform, and the fluid is simulated as blood. Streamlines (SL), wall shear stress (WSS), and oscillatory shear index (OSI) at the anastomosis were visualized and analyzed for observing effects from the flow field. [Results] Some flow disruption was evident as the SL passed over the sutures. The maximum recorded WSS was 13.37 Pa where the peak of a suture was exposed in the lumen. The local maximum value of the OSI was 0.182, recorded at the base of the anastomosis on the outflow side. [Conclusion] In the ideal anastomosis, the SL is disrupted as little as possible by the sutures. The WSS indicated that thrombus formation is unlikely to occur at suture peaks, but more likely to occur at the base of sutures, where the OSI is high. Tight suture knots are important in microanastomosis
Risk Factors of Free Flap Complications in Reconstruction for Head and Neck Cancer
Background: Although head and neck reconstruction using free flaps has become a common procedure, flap complications remain a concern. This study aimed to analyze the risk factors of free flap complications and to identify the causes of these complications. Methods: We studied 97 patients with head and neck cancer with intraoral defects who underwent reconstruction using free flaps at Tottori University Hospital between 2011 and 2020. We used a retrospective cohort study design to investigate whether flap complications, including flap necrosis (total and partial) and flap dehiscence, were related to various factors, including the underlying disease condition, treatment status, and surgical factors. Results: Of the 97 patients analyzed, total flap necrosis was observed in one patient (1.0%). The incidence rate of flap complications, including flap necrosis and flap dehiscence, was 29.9%. When the time taken to perform one vascular anastomosis, including preparation of the recipient vessel and flap vessel, exceeded 30 min, the incidence rates of flap necrosis (total and partial) (odds ratio, 8.30; 95% confidence interval, 1.91-36.00; P = 0.005) and flap dehiscence (odds ratio, 3.46; 95% confidence interval, 1.05-11.36; P = 0.041) increased significantly. Conclusion: The time taken to perform one vessel anastomosis was the factor that contributed the most to the incidence of flap complications. Reconstructive surgeons should reduce the incidence of flap complications by keeping the known risk factors of the surgery in mind and by aiming to complete a vascular anastomosis time, including the time taken for the preparation of vessels, of †30 min per vessel during surgery
The Moment of Establishing Transpersonal Caring in a Grieving Adolescent Daughter beside Her Motherâs Deathbed and Hansenâs Disease Survivors Sharing Their Life Review
Evidence-based nursing (EBN) ensures the science of nursing practice, while the philosophical and ethical aspects of nursing practice are based on caring. Caring not only leads to the patient and their familyâs healing but also to the nurseâs professional and personal growth since caring includes mutual approval and reciprocity. In the latter half of the chapter, we explain how to establish Dr. Jean Watsonâs transpersonal caring using the following two events: â case study: An expert nurse unintentionally says, âYour mother continues to be near and protect you,â to a crying daughter beside her motherâs deathbed; and ⥠our project: sanatoriumâs nurses listen to Hansenâs disease survivorsâ life review
Analysis of the Optimum Tapering Angle in Microanastomosis Using Computational Fluid Dynamics
Background: In free flap transfer, size discrepancy between the vascular pedicle and recipient vessel can create a problem for microsurgeons and sometimes induces postoperative thrombus formation. When there is a major difference between the diameters of the vascular pedicle and the recipient vessel, the larger vessel is often tapered to perform the anastomosis properly. However, the decision on the tapering angle used depends mostly on the operatorâs experience. In this study, computational fluid dynamics (CFD) was used to investigate the optimum tapering angle. Methods: Using ANSYS ICEM 16.0 (ANSYS Japan, Tokyo, Japan), simulated vessels of diameters 1.5 mm and 3.0 mm were designed and then used to produce four anastomosis models with the 3.0-mm vessel tapered at angles of 15Âș, 30Âș, 60Âș, and 90Âș (no tapering). Venous perfusion with a mean value of 13.0 mL/min was simulated, and this was passed through the four anastomosis models in both the forward direction (F), from the smaller to the larger vessel, and the retrograde direction (R), from the larger to the smaller vessel. The velocity, wall shear stress (WSS), and oscillatory shear index (OSI) were measured in these eight patterns and then analyzed using OpenFOAM version 5. Results: The decrease in velocity was limiting. The WSS was greater in the R direction than the F direction at every tapering angle. The OSI also tended to be almost the same in the F direction, and lower at smaller tapering angles in the R direction. And, it was greater in the F direction than in the R direction at every tapering angle. The OSI values for 15Âș and 30Âș were almost identical in the R direction. Conclusion: The risk of thrombus formation is thought to be lower when tapering is used for anastomosis if the direction of flow is from the larger to the smaller vessel, rather than vice versa. These results also suggest that the optimum tapering angle is approximately 30Âș in both directions
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