For the study of venae cerebri profundae of the Chinese, 50 previously fixed adult cerebral hemispheres and 11 brains of the newborn were investigated. The adult cerebral hemispheres were dissected under the stereoscopic microscope. All the 11 brains of the newborn were treated within 24 hours after death. Six percent gelatin solution containing 6% vermilion was injected into arteria carotis interna while a mixture of Indian ink with 3% gelatin was injected into vena jugularis interna. The specimens were fixed, sectioned into slices of 1～3 mm thick, cleared and observed under stereoscopic microscope. The findings were summarized as follows:1. vena cerebri interna was mostly formed by the continuation of v. thalamostriata superior after it curved inward and backward. In 38.00%?6.86 of the cases it united with v. choroidea superior and v. septi pellucidi at the site of the curvature. In 32.00%?6.6 it didn't receive any veins. In 12.00%?4.60 it united with v. septi pellucidi and 80.00%?3.84 with v. choroidea superior, while other occurrences were rare.In 80.00%?5.66 of the cases, Vena cerebri interna took its course at the posterior margin of the interventricular foramen. The rest started at the anterior one third (12.00%?4.60)and middle one third (8.00%?3.84) of the thalamus respectively.The source, position and course of v. thalamostriata superior, v. choroidea superior, v. septi pellucidi and v. ventriculi lateralis medialis were observed and described.2. v. basalis was formed by the union of the v. cerebri anterior, v. cerebri media profunda and v. ventricularis lateralis inferior. 70% of v. cerebri anterior emptied into v. basalis whereas the other 30% into the adjacent venous sinuses. v. cerebri media profundae, most of which received vv. thalamostriata inferior, emptied into v. basalis in 68.00%?6.60 cases and the adjacent venous sinuses in 32.00%?6.60 v. ventricularis lateralis inferior emptied into v. basalis in 96.00%?2.77 cases and into v. cerebri magna in 2.00%?1.98, while in 2.00%?1.98 it was absent.3. The longitudinal anastomotic vein. was formed by the "T" shaped bifurcations of the small branches of v. thalamostriata superior, v. septi pellucidi and v. ventricularis lateralis medialis in the white matter within an area of 2 mm by the lateral angle of the lateral ventricle. It received numerous radially arranged small veins in the medulla of the cerebral hemisphere. The longer ones of these veins might extend to the cortex and anastomoses between them and superficial cortical veins were demonstrated.

Intracortical distribution of arteries were studied on thick sections prepared from brains of 11 newborns after injection and fixation. The results are as follows.1. Branches from the cerebral arteries form a pial arterial network on the cortical surface. The larger pial arteries are supplied with vasa-vasorum and perivascular vessels. They send out cortical and medullary arteries penetrating the cortex vertically from the surface.2. The distribution of arteries in the entire cortical area can be represented by the pattern observed in a single gyrus, which serves as a general rule. The cortical arteries arising from the pial arteries penetrate into the cortex vertically and are arranged regularly which appear as a brush border that curves with the cerebral surface in sections. The diameter of the long cortical arteries is 16～31 ?m, while that of the short ones is 7.5～15.4 ?m. All these arteries send out branches at right angles which anastomose with one another to form a dense polygonal or irregular vascular network.The medullary arteries pass directly through the cortex into medulla. The diameter of the long medullary arteries is 48～61 ?m and that of the short ones, 35～47 ?m. Those entering from the top of each gyrus pass directly to the deep medulla, whereas those from the sulcus to the junction between the cortex and medulla exhibit various degrees of curvature. The medullary arteries send out branches at right angle, which, in turn, form T-shaped bifurcations, interconnecting each other in an oblong lattice framework.3. The central arteries penetrate the base of the brain, fan out and arch upward to reach the corpus striatum. Arteries may penetrate into the thalamus from posteriolateral, inferio-medial or superior surface. They branch with acute angles and form dense network with polygonal, triangular, circular and irregular interspaces. The arteries of the internal capsule also branch at right angles, show "T" bifurcations after a short distance and form an oblong vascular network.

Objective To explore the doctor-nurse integrated health care management model in perioperative nursing management of transvaginal natural orifice transluminal endoscopic surgery (NOTES). Methods A total of 70 female patients underwent transvaginal NOTES. All patients were randomly divided into the control and the study groups. The control group adopted the traditional model of care, and the study group implemented a layered panel system of integrated health care nursing mode, which consisted of three lines (leader), second line, front-line doctors, anesthesiologists consisting of the doctor series and secondary responsibility leader, a responsibility of nurses, operating room nurses laparoscopy group traveling together constituted a series of nurses′ health care integration of the health care team. The average length of stay, preoperative waiting days, awareness of the disease, early postoperative activities and reasonable diet, patient satisfaction with care, doctors′ satisfaction with nurses′ operation and overall satisfaction with health care work were compared. Results The preoperative waiting days, average length of stay, surgical satisfaction, patients′ satisfaction, doctors-nurses′overall satisfaction in the study group were (3.95±0.51) d, (11.58±1.83) d, (95.48±3.82)%, (99.26± 0.61)%, (96.33±0.29)%, the control group were (5.50±0.68) d, (15.79±2.14) d, (82.08±7.21)%, (92.18± 3.54)%, (80.03 ± 5.88)%, the differences were statistically significant (t=-4.431-6.172, P < 0.05). The patients awareness of the disease, early postoperative activities and reasonable diet (postoperative eating time) in the study group were (92.77 ± 0.59)%, (1.60 ± 0.63) d, (2.20 ± 0.54) d, the control group were (93.15 ± 0.47)%, (1.90 ± 0.42) d, (2.40 ± 0.33) d, the difference was not statistically significant (t=-0.898,-0.771,-0.201, P>0.05). Conclusions The implementation ofdoctor-nurse integrated health carenew model can optimize the collocation of medical health care integration, enhance the quality of care, improve patient experience, and improve patients′and doctors′satisfaction for nursing work.

A acquisition module with ARM and Linux as a core was developed. This paper presents the hardware configuration and the software design. It is shown that the module can extract human lung sound reliably and effectively.
Equipment Design ; Respiratory Sounds ; Signal Processing, Computer-Assisted ; instrumentation ; Software ; Software Design

Objective:To explore the methods, complications and follow-up results of limb salvage for primary malignant tumors of the femoral shaft.Methods:From October 2006 to October 2019, 41 cases of primary malignant tumors of femoral shaft were analyzed retrospectively, 37 cases were followed up, including 22 males and 15 females, aged 8-46 years with an average age of 20.56±4.72 years old. All the lesions were located in the femoral shaft, and The Enneking stage was IIB. Tumor lesion ranged in the femur from 10 cm to 24 cm, and there was no pathological fracture. Pre-operative puncture biopsy was performed in all cases.22 cases were confirmed as osteosarcoma, 8 as chondrosarcoma, 5 as Ewing sarcoma, 2 as malignant fibrous histiocytoma. Neoadjuvant chemotherapy has been used to treat both osteosarcoma and Ewing sarcoma. Among the 37 patients, 8 cases of patients received total femoral prosthesis replacement, 14 cases of intramedullary nail fixation with allogenic bone graft, 8 cases of allograft-prosthetic composite (APC), and 7 cases of 3D printed prosthesis. The limb function was graded according to MSTS 93 system.Results:37 out of 41 patients were followed up, and the average follow-up time was 23.15±16.74 months (6-62 months). There were 9 patients with pulmonary metastases (26.47%), among which 6 patients passed away due to multiple metastases. 28 patients survived without tumor at last follow-up. The MSTS score was18-28 (average of 22.55±2.57). The average score of 3D printing prosthesis group was 27±1.74, allogeneic bone transplantation group was 22.85±2.59, total femoral prosthesis replacement group was 20.25±2.25, and the APC prosthesis group was 20.5±2.07. There was statistical difference between 3D printing group and other groups. The overall excellent and good rate of lower limb function was 79.41%, in which the 3D group was 100%, allogeneic bone group was 78.5%, APC prosthesis group was 87.5%, total femoral prosthesis replacement group was 62.5%. There was no statistical difference in the excellent and good rate of limb function among the groups. There weren't any cases of hip joint dislocation after total femoral prosthesis replacement. Delayed union of bone healing was seen in 3 cases of allogeneic bone transplantation and 2 cases APC patients. One patient suffered from the postoperative hemorrhage-related diseases-sciatic nerve compression, and the nerve recovered after emergency debridement. One patient suffered from poor wound healing. The overall complication rate was 24.32% (9/37).Conclusion:The patients with primary malignant tumors of the femoral shaft can effectively recover the lower extremity function by choosing the appropriate surgical scheme, in order to achieve the purpose of limb preservation and improve the quality of life of the patients. 3D printing prosthesis provides a new choice in the treatment of femoral shaft tumors.