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The technique of utilizing a single gracilis functional muscle transfer to restore quadriceps function following sarcoma surgery

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Plastic and Aesthetic Research 2019年第12期6卷 37-46页

作者： Christopher M.Nguyen Imran Ratanshi Jennifer L.Giuffre Edward W.buchel Thomas E.J.Hayakawa Section of Plastic Surgery Department of SurgeryUniversity of ManitobaWinnipeg R3A 1R9Canada The Plastic Surgery Group Fraser Health AuthoritySurreyBritish Columbia V3V 1Z2Canada

Aim:Quadriceps strength and knee extension,the most important factors limiting the ability to rise from a chair,are crucial for walking at an appropriate speed,ascending and descending stairs,and performing activities such as running,dancing,and *** of the anterior compartment of the thigh,including all four quadriceps muscles,for the treatment of a sarcoma is uncommon;however,when necessary,it is very debilitating and adversely affects a patient's quality of life without functional ***,there are a limited number of complex and difficult reconstructions to restore quadriceps function that have been described with variable *** describe a simple technique that employs a single gracilis functional muscle transfer to replace essential quadriceps ***:This is a case series describing the use of either a free or pedicled single gracilis muscle to restore quadriceps function following sarcoma ***:Four patients underwent an anterior compartment sarcoma resection that resulted in a large segmental defect and/or denervation of all four quadriceps muscles such that no quadriceps function would remain without *** four patients underwent a functional reconstruction using a single *** of the living patients achieved British Medical Research Counsel Grade 4 strength,can achieve full knee extension,are able to navigate stairs,and are able to ambulate without a *** fourth patient unfortunately was deceased in under three months following his tumor ***:Despite its small size in comparison to the quadriceps muscles,with physiotherapy and training,the gracilis muscle demonstrates the capacity to hypertrophy and replace quadriceps function following limb salvage surgery.

关键词： Knee extension re-animation functional muscle transfer free flap pedicled flap sarcoma microsurgery quadriceps reconstruction

Effects of a Free Water Protocol on Inpatients in a Neuro-Rehabilitation Setting

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Open Journal of Therapy and Rehabilitation 2015年第4期3卷 132-138页

作者： Sepideh Pooyania Laura Vandurme Reesa Daun Caitlin buchel University of Manitoba Manitoba Canada Riverview Health Center 1 Morley Ave Winnipeg MB Canada 178 Niagara Street Winnipeg MB R3N 0V2 Canada

Background: Dysphagia is common among stroke and acquired brain injury (ABI) patients and may result in aspiration. To reduce the risk of thin liquid aspiration, patients are often restricted to thickened fluids. There is considerable clinical interest in the risks and benefits of offering oral water intake, in the form of water protocols, to patients with thin-liquid dysphagia. Objectives: A controlled pilot study of a free water protocol was undertaken at Riverview Health Centre, in Winnipeg, Manitoba to assess benefits, feasibility and possible complications of free water protocol. Methods: The study examined 16 individuals with stroke or ABI who were randomly assigned to either a control group on thickened fluids (six subjects) or a treatment group (ten subjects) that followed a free water protocol. The average length of time in the study was 4.3 weeks with a range of 1 - 17 weeks among all participants. Results: Throughout the study, there was no incidence of pneumonia in any of the sixteen participants. No statistically significant difference was noted in the weekly total liquid intake between the treatment group and the control group. Perceived swallowing related care results suggest statistically significant improvements from initial to final measures for both the treatment group (p = 0.004) and the control group (p = 0.02). However, a comparison of the change in both measures, between the treatment and control groups, shows no statistically significant differences. Conclusion: This pilot study suggests the need for larger scale work in order to more accurately identify the effects of free water protocols.

关键词： Free Water Protocol Dysphagia Stroke and Acquired Brain Injury

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在数字图书馆结构中融入知识组织系统

现代图书情报技术 2004年第1期 4-8页

作者： Linda Hill Olha buchel MLS Greg Janée MS 曾蕾加州大学圣巴巴拉分校亚历山大数字图书馆项目加州大学圣巴巴拉分校亚历山大数字图书馆项目肯特州立大学图书情报学院

以亚历山大数字图书馆项目将数字图书馆馆藏、知识组织系统、服务设施在数字图书馆环境中互相配合的实践为例,讨论在数字图书馆结构中将知识组织系统作为有机的组成部分的意义和具体方法,提出数字图书馆和分类学研究两方面应该探索的新... 详细信息

以亚历山大数字图书馆项目将数字图书馆馆藏、知识组织系统、服务设施在数字图书馆环境中互相配合的实践为例,讨论在数字图书馆结构中将知识组织系统作为有机的组成部分的意义和具体方法,提出数字图书馆和分类学研究两方面应该探索的新课题。

关键词：数字图书馆知识组织系统馆藏数字化叙词表

气味暗示在慢波睡眠时具有强化短期记忆的功能

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中华神经医学杂志 2007年第4期6卷 422-422页

作者： Rasch B buchel C Gais S

睡眠能够促进记忆巩固。一种被广泛接受的看法认为这是由于新编码的记忆在睡眠时被再度激活。来自德国的一篇研究报告指出，睡觉前在有玫瑰香气的房间里学习的人，之后当其处于慢波睡眠时接触同样气味，其新记忆随着气味暗示被再度激活... 详细信息

睡眠能够促进记忆巩固。一种被广泛接受的看法认为这是由于新编码的记忆在睡眠时被再度激活。来自德国的一篇研究报告指出，睡觉前在有玫瑰香气的房间里学习的人，之后当其处于慢波睡眠时接触同样气味，其新记忆随着气味暗示被再度激活而进一步强化。

关键词：慢波睡眠短期记忆气味记忆巩固新编码睡觉前激活

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在数字图书馆结构中融入知识组织系统

脂肪来源基质血管细胞群在邻近肿瘤组织与健康的乳房组织中乳腺祖细胞扩增的比较

图书馆学、信息科学、资料工作 2004年第4期

作者： Linda Hill，Ph.D. Olha buchel，MLS. Greg Janée，MS. 曾蕾，Ph.D.

来源：人大复印报刊资料评论

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中国美容整形外科杂志 2015年第10期26卷 I0001-I0007页

作者： SumantaChatterjee Mike Laliberte Sarah Blelloch Imran Ratanshi Janice Safneck Ed buchel Mshin Raouf 叶美辰高景恒张晨袁继龙加拿大马尼托巴马尼托巴大学健康科学学院免疫研究室整形外科部门外科病区病理研究室《中国美容整形外科杂志》编辑部大连大学附属新华医院整形外科辽宁省人民医院整形外科

背景在自体脂肪移植中添加脂肪来源基质血管细胞群（svr）已被应用于乳房重建和整形中。SVF包含脂肪来源干细胞，其能促进伤口的愈合，使组织再生并保证移植物的成活。尽管SVF的应用为整形手术提供一个令人兴奋的前景，但目前尚无研究证... 详细信息

背景在自体脂肪移植中添加脂肪来源基质血管细胞群（svr）已被应用于乳房重建和整形中。SVF包含脂肪来源干细胞，其能促进伤口的愈合，使组织再生并保证移植物的成活。尽管SVF的应用为整形手术提供一个令人兴奋的前景，但目前尚无研究证实SVF细胞是否对乳房组织重建起作用。本文我们主要研究SVF细胞对人乳腺上皮祖细胞的作用。方法取乳房切除后行乳房重建术患者的腹部脂肪、乳腺肿瘤邻近的相配组织（TABT）和对侧无肿瘤含有乳腺的组织（CBT）。将脂肪上皮细胞和SVF细胞进行体内共同培养，研究乳房祖细胞的扩增能力。收集乳房缩小术后的弃用组织，提取健康的乳腺细胞。结果我们观察到，健康的乳腺组织或CBT中，在有SVF存在的情况下，祖细胞扩增明显、稳健（5．2和4．8倍）。而健康的祖细胞在无SVF存在的情况下，扩增3倍，TABT祖细胞扩增需要SVF细胞，可扩增7倍，其显著高于有SVF的健康祖细胞。结论我们的研究表明，将SVF应用在乳房切除后重建乳房手术中的效果要优于健康乳房整形手术。但仍需要进一步研究SVF应用的潜在风险因素。

关键词：本文中所提到的设备产品及药物与任何一位作者均无经济利益