1.Research on Equipment and Technical Requirements for Pilots in Distress Ambulance
Jie WANG ; Wei SUN ; Lili ZHANG ; Xueping HAN ; Fanghu ZHONG ; Li YU
Chinese Medical Equipment Journal 1989;0(04):-
Objective To demonstrate medical aid techniques and ways of rescue helicopter,explore the variety and quantity of equipped medicines and instruments,develop medical aid equipment on board and solve the problems of lacking standard medical aid equipment in the rescue helicopter of our army.Methods The service demand of medical aid equipment in rescue helicopter was demonstrated by means of investigating and material analyzing.The medical aid equipment was developed.Results The technical specifications of technical methods,treatment principles and drugs,the volume of equipment goods and equipment were formed.The medical aid helicopter has features of small size and light weight,and has a fully furnished on fixation and spread of medical equipment.The helicopter of vibration,noise,jolt,low pressure has no effect on job status of the equipment,which performance stability and reached the design requirements.Conclusion The medical aid technique,method and equipment of rescue helicopter are researched to meet the needs of curing the wounded pilots who had to parachute in emergency situation and solve the problem of training demand in the army.
2.Study on high strength mica-based machinable glass-ceramic.
Hong LI ; Junguo RAN ; Li GOU ; Fanghu WANG
Journal of Biomedical Engineering 2004;21(1):54-61
The phase constitution, microstructure and properties of a new type of machinable glass-ceramics containing fluorophlogopite-type (FPT) Ca-mica for used in restorative dentistry were investigated. According to the results of X-ray diffraction (XRD) and energy-dispersive spectrometry(EDS), its main crystalline phases were FPT Ca-mica and t-ZrO2, together with few KxCa(1-x)/2Mg2Si4O10F2, m-ZrO2. The flexible strength was 235 MPa, which was nearly two times larger than that of the present mica-based dental materials, and the highest fracture toughness was 2.17 MPa.m1/2. The microstructure had a great effect on properties, the glass-ceramics contained a large volume, and the fine crystals showed higher strength. The material possessed typical microstructure of machinable glass-ceramics and displayed excellent machinability during drilling test and CAD/CAM.
Aluminum Silicates
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Biomechanical Phenomena
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Ceramics
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Dental Materials
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Hardness
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Materials Testing
3.Retroperitoneoscopic adrenalectomy in semilateral supine position
Fanghu SUN ; Bin FU ; Mang KE ; Rujian ZHU ; Haibo XI ; Jie CHEN ; Xianguo CAI ; Hongyuan YU ; Gongxian WANG
Chinese Journal of Urology 2011;32(8):509-511
Objective To discuss the semilateral supine position for retroperitoneoscopic adrenalectomy. Methods From Jan. 2006 to Dec. 2008, 36 patients (20 males and 16 females with mean age of 43 years) underwent retroperitoneoscopic adrenalectomy in 60° -70° semilateral supine position. There were adrenal cortex adenomas in 18 cases, pheochromocytoma in 6 cases, adrenal cysts in 3 cases, myelolipoma in 2 cases, gangliocytoma in 1 case, lymphangioma in 1 case, metastatic tumor in 1 case and corticohyporplasia in 4 cases. The mean diameter of the tumors was 2.6 cm( 0.5 - 7.7 cm ). The tumors were superior to the renal pole in 5 cases, anteromedial in 10 cases and superomedial in 17 cases. The three ports that were usually used in lateral position and were placed anteriorly to create retroperitoneal place: the first port was placed 2 -4 cm superior to the iliac crest along the anterior axillary line, the other two were placed just below the costal margin along the midaxillary line and at the same level along the midclavicular line, and dissected along the anterior surface of kidney to its superomedial aspect, so as to avoid the hampering of the kidney in the exposing of the diseased adrenal gland. Results The procedure was completed successfully in all of the cases with the operating time of 37 - 145 min ( mean 69 min) and intraoperative blood loss of 30 - 100 ml (mean 48 ml). Six cases had rupture of peritoneum, which were sutured and the procedure was continued to completion. The postoperative hospital stay was 3 -8 d (mean 5 d ). Thirty-five patients were available for follow-up of 3 - 28 months ( mean 14 months). The case of metastatic tumor died of the primary diseases in the 12th month postoperatively. No other complication was found. Conclusion With this alternative position and ports' location, the procedure of retroperitoneoscopic adrenalectomy could be easier and safer than the conventional position.
4.On the active mechanism of hydroxyapatite modified by cold plasma.
Baohui SU ; Junguo RAN ; Li GOU ; Fanghu WANG
Journal of Biomedical Engineering 2005;22(4):711-714
The surface modification using cold plasma technique was introduced to hydroxyapatite(HA). The methods adopted in the study included the formation of bone-like apatite in simulated body fluid and the use of SEM, XPS and XRD. The results showed that the formation of bone-like apatite on HA modified by cold plasma was easier than that without modification. The active mechanism involves the impact of the particles with high energy and high activity against HA, which roughens and etches the surface of HA, heads to the distortion of HA crystal, and thus increases the dissolvability of HA and the local concentration of the Ca and P ions. This approach is helpful to the formation of bone-like appetite. The data demonstrate that the surface modification using cold plasma technique can increase the activity of HA.
Apatites
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chemistry
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Biocompatible Materials
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chemistry
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Cold Temperature
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Durapatite
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chemistry
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Humans
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Plasma
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chemistry
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Surface Properties
6.Implications of Sarcopenia and Glucometabolism Parameters of Muscle Derived From Baseline and End-of-Treatment 18 F-FDG PET/CT in Diffuse Large B-Cell Lymphoma
Xiaoyue TAN ; Xiaolin SUN ; Yang CHEN ; Fanghu WANG ; Yuxiang SHANG ; Qing ZHANG ; Hui YUAN ; Lei JIANG
Korean Journal of Radiology 2024;25(3):277-288
Objective:
We previously found that the incidence of sarcopenia increased with declining glucose metabolism of muscle in patients with treatment-naïve diffuse large B-cell lymphoma (DLBCL). This study aimed to investigate the relationship between sarcopenia and muscle glucometabolism using 18 F-FDG PET/CT at baseline and end-of-treatment, analyze the changes in these parameters through treatment, and assess their prognostic values.
Materials and Methods:
The records of 103 patients with DLBCL (median 54 years [range, 21–76]; male:female, 50:53) were retrospectively reviewed. Skeletal muscle area at the third lumbar vertebral (L3) level was measured, and skeletal muscle index (SMI) was calculated to determine sarcopenia, defined as SMI < 44.77 cm 2 /m 2 and < 32.50 cm 2 /m 2 for male and female, respectively. Glucometabolic parameters of the psoas major muscle, including maximum standardized uptake value (SUVmax) and mean standardized uptake value (SUVmean), were measured at L3 as well. Their changes across treatment were also calculated as ΔSMI, ΔSUVmax, and ΔSUVmean; Δbody mass index was also calculated. Associations between SMI and the metabolic parameters were analyzed, and their associations with progression-free survival (PFS) and overall survival (OS) were identified.
Results:
The incidence of sarcopenia was 29.1% and 36.9% before and after treatment, respectively. SMI (P = 0.004) was lower, and sarcopenia was more frequent (P = 0.011) at end-of-treatment than at baseline. The SUVmax and SUVmean of muscle were lower (P < 0.001) in sarcopenia than in non-sarcopenia at both baseline and end-of-treatment. ΔSMI was positively correlated with ΔSUVmax of muscle (P = 0.022). Multivariable Cox regression analysis showed that sarcopenia at end-of-treatment was independently negatively associated with PFS (adjusted hazard ratio [95% confidence interval], 2.469 [1.022–5.965]), while sarcopenia at baseline was independently negatively associated with OS (5.051 [1.453–17.562]).
Conclusion
Sarcopenic patients had lower muscle glucometabolism, and the muscular and metabolic changes across treatment were positively correlated. Sarcopenia at baseline and end-of-treatment was negatively associated with the prognosis of DLBCL.