Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating...Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating conditions. Methods: A team of plastic surgery volunteers was sent to Yemen by the KSHARC. Results: A successful mission was performed on 62 patients who underwent surgery, with more than 900 patients examined and receiving appropriate medications. Conclusion: Missions in disaster-affected areas are of great importance. The role of missions and humanitarian organizations should be empowered.展开更多
BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays ...BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays a critical role in surgical planning,intraoperative decision-making,and postoperative monitoring in PRS,presenting an opportunity for AI to enhance clinical outcomes.AIM To evaluate the current applications of AI in medical imaging for plastic surgery,with a focus on its use in preoperative planning,intraoperative guidance,and postoperative monitoring.METHODS A literature search was conducted using MEDLINE,EMBASE,ScienceDirect,and OVID up to February 2025.Studies were included based on relevance to AI use in plastic surgery imaging.Extracted data included AI modality,surgical context,outcomes,and limitations.The search followed PRISMA guidelines and was registered with PROSPERO(CRD420251008741).RESULTS AI tools have improved preoperative planning through three-dimensional vascular mapping,augmented reality,and thermographic imaging.Intraoperatively,AI-enabled navigation and robotic systems have increased surgical precision.Postoperative AI applications,including deep learning algorithms and sensorbased monitoring,support early complication detection and wound healing assessment.However,persistent barriers include data variability,model generalizability,surgeon unfamiliarity,and lack of regulatory standards.CONCLUSION AI-driven imaging technologies show promise in enhancing decision-making and outcomes in PRS.To ensure safe clinical integration,future efforts must focus on structured validation,standardization,and ethical oversight.展开更多
Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery...Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery department of our hospital from January 2021 to December 2023 were selected and divided into observation group(49 cases)and control group(49 cases)according to the random number table method.The observation group was treated with autologous fat granule transplantation,while the control group was treated with hyaluronic acid filling.The total effective rate of treatment,incidence of postoperative complications,improvement indicators of facial morphology(depth of depression,symmetry),and effect maintenance rate after 6 months of follow-up were compared between the two groups.Results:The total effective rate of treatment in the observation group was 93.88%(46/49),which was significantly higher than that in the control group(79.59%,39/49)(P<0.05).The incidence of postoperative complications in the observation group was 6.12%(3/49),which was lower than that in the control group(20.41%,10/49)(P<0.05).One month after surgery,the depth of depression(1.23±0.31 mm)and symmetry(1.02±0.15 points)in the observation group were better than those in the control group(P<0.05).After 6 months of follow-up,the effect maintenance rate in the observation group was 89.80%(44/49),which was significantly higher than that in the control group(67.35%,33/49)(P<0.05).Conclusion:Autologous fat granule transplantation for the treatment of facial depression can significantly improve facial morphology,enhance treatment effect and patient satisfaction,reduce the incidence of complications,and maintain a more durable effect.It is a clinically preferred facial depression plastic surgery solution.展开更多
To elucidate the mechanisms of regulating the microstructure uniformity in 7050 aluminum forgings through surface cumulative plastic deformation(SCPD),the microstructure under different solution treatments was investi...To elucidate the mechanisms of regulating the microstructure uniformity in 7050 aluminum forgings through surface cumulative plastic deformation(SCPD),the microstructure under different solution treatments was investigated using metallographic observation(OM),electron backscatter diffraction(EBSD),transmission electron microscopy(TEM),and X-ray diffraction(XRD).The findings demonstrate that the most uniform microstructure in the forgings is achieved with a solution treatment at 470℃for 30 min.The SCPD process generates a significant number of needle-shaped precipitates,resulting in a higher dislocation density and stored energy.Solution treatments alleviate the pinning effect of second-phase particles and facilitate static recrystallization(SRX)in forgings,leading to a reduction in grain size.Additionally,mechanical testing results demonstrate 7%−13%increase in tensile strength and more uniform elongation of the forgings in different directions.展开更多
The selection of carbon sources and the biosynthesis of polyhydroxybutyrate(PHB)by the Azotobacter vinelandii N-15 strain using renewable raw materials were investigated.Among the tested substrates(starch,sucrose,mola...The selection of carbon sources and the biosynthesis of polyhydroxybutyrate(PHB)by the Azotobacter vinelandii N-15 strain using renewable raw materials were investigated.Among the tested substrates(starch,sucrose,molasses,bran),molasses as the carbon source yielded the highest PHB production.The maximum polymer yield(26%of dry biomass)was achieved at a molasses concentration of 40 g/L.PHB formation was confirmed via thinlayer chromatography,gas chromatography and Fourier transform infrared spectroscopy.Composite films based on PHB,polylactic acid(PLA),and their blends were fabricated using the solvent casting.The biodegradation of these films was studied with bacteria isolated from plastic-contaminated soil.These bacteria utilized the biopolymers as their sole carbon source,with the biodegradation process lasting three months.Structural and chemical changes in the films were analyzed using FTIR spectroscopy,differential scanning calorimetry,and thermogravimetry.Among the microorganisms used to study the biodegradation of PHB,PLA,and their blends,Streptomyces sp.K2 and Streptomyces sp.K4 exhibited the highest biodegradation efficiency.PHB-containing films demonstrated significant advantages over other biodegradable polymers,as they degrade under aerobic conditions via enzymatic hydrolysis using microbial depolymerases.展开更多
This study focused on the various surface treatments of grinding,Na OH etching,HCl pickling,micro-arc oxidation and anodic oxidation to strengthen adhesive bonding joint of Aluminum(Al)substrate and Carbon Fiber Reinf...This study focused on the various surface treatments of grinding,Na OH etching,HCl pickling,micro-arc oxidation and anodic oxidation to strengthen adhesive bonding joint of Aluminum(Al)substrate and Carbon Fiber Reinforced Plastics(CFRP).Different surface conditions were created by these treatments and simple Resin Pre-Coating(RPC)technique was further used to reduce the potential void defects at the root of those micro-cavities.Carbon Nanotubes(CNTs)were guided into the etched micro-cavities to construct quasi-Z-directional fiber bridging and form the“CNT-reinforced epoxy-pins”.The surface performance testing results imply that anodic oxidation of Al substrate created relatively even and continuous channels with higher hardness and better wettability among these treatments,which could provide quasi-vertical spaces for containing epoxy adhesive or CNTs.The single lap shear test results show combined treatments of anodic oxidation and upgraded RPC with CNTs technique on Al substrate yielded the highest bonding strength of 21.8 MPa(up to 243.3% greater than base strength).The constructed through-the-thickness“epoxy-pins”or“CNT-reinforced epoxy-pins”contributed to failure modes changing from complete debonding failure of Al substrate to peeled-off shallow fiber or delamination failure of CFRP panel.The combined treatments could be utilized to manufacture high-performance Al-CFRP composites for aviation industry application.展开更多
Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children...Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group countries.The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons.These children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery etc.These conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,etc.and require immediate surgical intervention.Some,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for surgery.Some,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous recovery.Another extremely important category is that of patients where the operative intervention is done based on their age.Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate ages.There are advantages and disadvantages of intervention at different ages.In this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic surgeons.Obstetricians,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.展开更多
Non-degradable polymers cause serious environmental pollution problem,such as the widely-used while unrecyclable coatings which significantly affect the overall degradation performance of products.It is imperative and ...Non-degradable polymers cause serious environmental pollution problem,such as the widely-used while unrecyclable coatings which significantly affect the overall degradation performance of products.It is imperative and attractive to develop biodegradable functional coatings.Herein,we proposed a novel strategy to successfully prepare biodegradable,thermoplastic and hydrophobic coatings with high transparence and biosafety by weakening the interchain interactions between cellulose chain.The natural cellulose and cinnamic acid were as raw materials.Via reducing the degree of polymerization(DP)of cellulose and regulating the degree of substitution(DS)of cinnamate moiety,the obtained cellulose cinnamate(CC)exhibited not only the thermalflow behavior but also good biodegradability,which solves the conflict between the thermoplasticity and biodegradability in cellulose-based materials.The glass transition temperature(T_(g))and thermalflow temperature(T_(f))of the CC could be adjusted in a range of 150–200℃ and 180–210℃,respectively.The CC with DS<1.2 and DP≤100 degraded more than 60%after an enzyme treatment for 7 days,and degraded more than 80%after a composting treatment for 42 days.Furthermore,CC had no toxicity to human epidermal cells even at a high concentration(0.5 mg mL^(-1)).In addition,CC could be easily fabricated into multifunctional coating with high hydrophobicity,thermal adhesion and high transparence.Therefore,after combining with cellophane and paperboard,CC coating with low DP and DS could be used to prepare fully-biodegradable heat-sealing packaging,art paper,paper cups,paper straws and food packaging boxes.展开更多
This review comprehensively explores the versatile potential of mesenchymal stem cells(MSCs)with a specific focus on adipose-derived MSCs.Ophthalmic and oculoplastic surgery,encompassing diverse procedures for ocular ...This review comprehensively explores the versatile potential of mesenchymal stem cells(MSCs)with a specific focus on adipose-derived MSCs.Ophthalmic and oculoplastic surgery,encompassing diverse procedures for ocular and periocular enhancement,demands advanced solutions for tissue restoration,functional and aesthetic refinement,and aging.Investigating immunomodulatory,regenerative,and healing capacities of MSCs,this review underscores the potential use of adipose-derived MSCs as a cost-effective alternative from bench to bedside,addressing common unmet needs in the field of reconstructive and regenerative surgery.展开更多
BACKGROUND Primary cutaneous anaplastic large cell lymphoma(PC-ALCL)poses significant diagnostic difficulties due to its similarity in the appearance of skin lesions with chronic inflammatory disorders and other derma...BACKGROUND Primary cutaneous anaplastic large cell lymphoma(PC-ALCL)poses significant diagnostic difficulties due to its similarity in the appearance of skin lesions with chronic inflammatory disorders and other dermatological conditions.This study aims to investigate these challenges by conducting a comprehensive analysis of a case presenting with PC-ALCL,emphasizing the necessity of accurate differentiation for appropriate management.CASE SUMMARY An 89-year-old female patient with diabetes and hypertension presented with arm and abdominal ulcerated mass lesions.Diagnostic procedures included skin biopsies,histopathological assessments,and immunohistochemistry,complemented by advanced imaging techniques to confirm the diagnosis.The patient’s lesions were determined as PC-ALCL,characterized by necrosis,chronic inflammation,and a distinct immunophenotypic profile,including CD30,CD3,CD4,and EBER,CD56,MUM-1,Ki 67-positive in>80%of tumor cells,CD10,but negative for anaplastic lymphoma kinase,CD5,CD20,PAX-5,Bcl-2,Bcl-6,CD8,and CD15.Recurrence was not reported at the 6-month follow-up.CONCLUSION Accurate PC-ALCL differentiation from similar conditions is crucial for effective management and requires a multidisciplinary approach.展开更多
Thermoplastic polycarbonate polyurethanes(PCUs) are multiblock copolymers that have been applied for medical devices for long time. Aliphatic diols are common chain extenders(CE) involved in the composition of the har...Thermoplastic polycarbonate polyurethanes(PCUs) are multiblock copolymers that have been applied for medical devices for long time. Aliphatic diols are common chain extenders(CE) involved in the composition of the hard segments of PCU. However, limited knowledge was discovered about how the chemical structure of CE affects the hydrogen bonding organization within PCUs and their mechanical properties.To investigate this problem, a group of PCUs were synthesized respectively by extending the polymer chain with 1,4-butanediol(BDO),aminoethanol(MEA), ethanediol(EO) as three kinds of chain extenders. Tiny differences in the CE chemical structure results in remarkable variations in phase separation, condensed morphologies, thermal and mechanical properties, which are characterized by Fourier transform infrared spectrometer, atomic force microscopy, small-angle X-ray scattering, differential scanning calorimetry, and tensile tests. The microstructural evolution during unilateral deformation and the different mechanism induced by the different CEs was probed and unveil by in situ wide-and small-angle X-ray diffraction. Symmetry of CE can improve the organization of the hydrogen bonding. The coherence strength of the urethane/urea group also plays a key role by comparing the two PCUs with ethanediol and aminoethanol.展开更多
General situation of China plastics industry in 2009 was reviewed,including the output/sales and export/import of plastics products,synthetic resins,plastics processing machinery and additives.
Microplastic pollution represents a side-effect stemming from a global plastic waste mismanagement problem and includes degraded particles or mass produced plastic particles less than 5 mm in largest dimension.The sma...Microplastic pollution represents a side-effect stemming from a global plastic waste mismanagement problem and includes degraded particles or mass produced plastic particles less than 5 mm in largest dimension.The small nature of microplastics gives this area of pollution different environmental concerns than general plastic waste in the environment.The biological toxicity of particles,their internal components,and their surface level changes all present opportunities for these particles to adversely affect the environment around them.Thus,it is necessary to review the current literature surrounding this topic and identify areas where the study of microplastic can be pushed forward.Here we present current methods in studying microplastics,some of the ways by which microplastics affect the environment and attempt to shed light on how this research can continue.In addition,we review current recycling methods developing for the processing of mixed-plastic waste.These methods,including hydrothermal processing and solvent extraction,provide a unique opportunity to separate plastic waste and improve the viability of the plastics recycling industry.展开更多
Non-invasive brain stimulation techniques(NIBS),including repetitive transcranial magnetic stimulation(rTMS) and transcranial electric stim ulation(tES),are increasingly being adopted clinically for treatment of neuro...Non-invasive brain stimulation techniques(NIBS),including repetitive transcranial magnetic stimulation(rTMS) and transcranial electric stim ulation(tES),are increasingly being adopted clinically for treatment of neuropsychiatric and neurological disorders,albeit with varying success.The rationale behind the use of NIBS has historically been that stim ulation techniques modulate neuronal activity in the targeted region and consequently induce plasticity which can lead to therapeutic outcomes.展开更多
BACKGROUND In rhinoplasty,calcification around silicone implants is frequently observed in the tip dorsum(TD)area.Additionally,based on a review of various literature,it is presumed that calcification in silicone impl...BACKGROUND In rhinoplasty,calcification around silicone implants is frequently observed in the tip dorsum(TD)area.Additionally,based on a review of various literature,it is presumed that calcification in silicone implants occurs due to both inflammatory chemical reactions and physical friction against the tissue.The calcification of nasal silicone implants not only results in the functional loss of the implants,but also leads to material deformation.However,there is a lack of research on calcification of nasal silicone implants in the current literature.AIM To elucidate various clinical characteristics of calcification around nasal silicone implants,using histological and radiological analysis.METHODS This study analyzed data from 16 patients of calcified nasal implants,who underwent revision rhinoplasty for various reasons after undergoing augmentation rhinoplasty with silicone implants.The collected data included information on implant duration,implant types,location of calcification,presence of inflammatory reactions,and computed tomography(CT)scans.RESULTS The most common location of calcification,as visually analyzed,was in the TD area,accounting for 56%.Additionally,the analysis of CT scans revealed a trend of increasing Hounsfield Unit values for calcification with the duration of implantation,although this trend was not statistically significant(P=0.139).CONCLUSION Our study shows that reducing the frequency of calcification may be achievable by using softer silicone implants and by minimizing the damage to perioperative tissues.展开更多
On March 23,2024,at the 23rd Shanghai International Congress of Plastic and Reconstructive Surgery,a Neurofibromatosis Type 1 and Skin and Soft-Tissue Tumors Forum was unveiled.This forum aimed to foster multidiscipli...On March 23,2024,at the 23rd Shanghai International Congress of Plastic and Reconstructive Surgery,a Neurofibromatosis Type 1 and Skin and Soft-Tissue Tumors Forum was unveiled.This forum aimed to foster multidisciplinary cooperation to standardize the diagnosis and treatment of neurofibromatosis and skin and soft-tissue tumors,attracting leading experts and scholars from across the nation.It served as a pivotal platform for sharing advancements in pathology,clinical practices,and surgical techniques related to these conditions,alongside discussions on standardized care and precision medicine,marking a significant step forward in the field.展开更多
Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my ...Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my experience and the challenges of this aesthetic plastic surgery among black African women. Material and Methods: A retrospective study was conducted about the abdominoplasties, liposuctions and Brazilian butt lift (BBL) which I operated in public and private hospitals at Kinshasa (Democratic Republic of Congo) in black African women. It covers a period of 13 years, going from December 1, 2010 to December 1, 2023. For this study, I had at least 6 months period (to Juin 1, 2024) to assess the occurrence of early and late postoperative complications. Results: I performed 84 abdominoplasties, 144 liposuctions and 23 Brazilian butt lifts (BBL). The average age at the time of abdominoplasty was 44 years with extremes ranging from 26 to 55 years and a concentration of cases (60.7%) in the age group of 40 to 49 years. The age group of 20 to 29 years old represented the lowest rate of requests for abdominoplasty (4.7%). Patients with a BMI of 30 to 2 were the majority (61.9%), followed by those between 25 to 2 (29.7%). 67.8% of patients were obese (BMI ≥ 30 kg/m2). The average age at the time of liposuction was 41 years with extremes ranging from 21 years to 69 years;and more than half of cases (68%) in the age group between 30 and 49 years. As for Brazilian butt lift (BBL), the average age was 33 years with extremes ranging from 24 to 42 years and a concentration of patients (91.3%) between 20 and 39 years. The immediate postoperative complications of abdominoplasties observed were: seroma in 7% of cases, hematoma and partial infection of the surgical site in 5% of cases. Pathological scars (hypertrophic, keloid) after abdominoplasties were observed in 9% of cases. The most common complication of liposuction was contour deformity. I observed 16 patients (11.1%) with soft-tissue depressions or elevations, skin panniculus or folds. For Brazalian Butt Lift (BBL), complications like asymmetry for 2 patients (8.9%), contour irregularities for 2 patients (8.9%), and excessive fat removal for 6 patients (26%), had observed. I have not recorded any cases of death or pulmonary embolism. Conclusion: I perform aesthetic plastic surgery procedures in black African women with a high socioeconomic standard of living compared to the average of the general population. The renunciation of planned surgery is motivated by the impossibility of paying the cost of the operation as well as by popular and religious perceptions regarding cosmetic surgery. The results of these aesthetic plastic surgery procedures carried out are very satisfactory for them. The challenges to overcome are mainly threefold: the unforeseeable complications of these cosmetic plastic surgery procedures, popular and religious perceptions of cosmetic surgery as well as the poverty of the population.展开更多
Increasing production and use of various novel plastics products,a low recycling rate,and lack of effective recycling/disposal methods have resulted in an exponential growth in plastic waste accumulation in landfills ...Increasing production and use of various novel plastics products,a low recycling rate,and lack of effective recycling/disposal methods have resulted in an exponential growth in plastic waste accumulation in landfills and in the environment.To better understand the effects of plastic waste,Life Cycle Analysis(LCA)was done to compare the effects of various production and disposal methods.LCA shows the specific effects of the cradle-to-grave or cradle-to-cradle scenarios for landfill,incineration,and mechanical recycling.The analysis clearly indicates that increasing recycling of plastics can significantly save energy and eliminate harmful emissions of various carcinogens and GHGs into the environment.As recycling increases,the need for virgin-plastic production can be greatly reduced.Furthermore,the results of this study may help improve current mechanical recycling processes as well as potential future recycling methods,such as chemical recycling.Concerns about the current recycling/disposal methods for plastics have brought increasing attention to the waste accumulation problem.However,with the current COVID-19 pandemic,plastic accumulation is expected to increase significantly in the near future.A better understanding of the quantitative effects of the various disposal methods can help guide policies and future research toward effective solutions of the plastic waste problem.展开更多
Steady state plastic flow of the ideal plastic half-space surface by sliding elliptical cylinder is numerically calculated with account of contact friction effect. Numerical solution of the plane strain hyperbolic dif...Steady state plastic flow of the ideal plastic half-space surface by sliding elliptical cylinder is numerically calculated with account of contact friction effect. Numerical solution of the plane strain hyperbolic differential equations with unknown contact pressure distribution is treated as nonlinear vector equation for the steady state plastic flow condition. Pronounced effect of the ellipse boundary curvature on the plastic flow mode is shown. Engineering application of the computer model is surface plastic deformation technology to improve wear and fatigue resistance of metal parts.展开更多
Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 1...Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 10 days were compared. The cases of two groups of patients who received early plastic surgery after 10 days were compared, and 102 cases of two groups of patients who received early plastic surgery after 10 days were compared. Results: The excellent and good rates of the short-term therapeutic effects in the experimental group after the operation reached 93.99% respectively;However, in the control group, the excellent and good rate of the recent treatment after the recent treatment reached 79.29% respectively, and the comparative difference between the two was statistically significant (P<0.05). During the long-term follow-up of the patients, no case in the experimental group may have significant scar and scar hyperplasia in the operation area, so it is required to complete the secondary operation, which is equivalent to the control group. Only 19 hands may have significant scar and scar, and need to undergo the secondary operation again. The occurrence rate has reached 13.57%. The difference between the two groups has certain data and statistical significance (P<0.05). Conclusion: For patients with severe hand burn and inflammation, early reconstructive surgery should be adopted. In principle, the necessary surgical treatment should be completed. Effective surgical treatment or ideal recovery of body function should be given accordingly, which can be popularized and applied in clinical practice.展开更多
文摘Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating conditions. Methods: A team of plastic surgery volunteers was sent to Yemen by the KSHARC. Results: A successful mission was performed on 62 patients who underwent surgery, with more than 900 patients examined and receiving appropriate medications. Conclusion: Missions in disaster-affected areas are of great importance. The role of missions and humanitarian organizations should be empowered.
文摘BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays a critical role in surgical planning,intraoperative decision-making,and postoperative monitoring in PRS,presenting an opportunity for AI to enhance clinical outcomes.AIM To evaluate the current applications of AI in medical imaging for plastic surgery,with a focus on its use in preoperative planning,intraoperative guidance,and postoperative monitoring.METHODS A literature search was conducted using MEDLINE,EMBASE,ScienceDirect,and OVID up to February 2025.Studies were included based on relevance to AI use in plastic surgery imaging.Extracted data included AI modality,surgical context,outcomes,and limitations.The search followed PRISMA guidelines and was registered with PROSPERO(CRD420251008741).RESULTS AI tools have improved preoperative planning through three-dimensional vascular mapping,augmented reality,and thermographic imaging.Intraoperatively,AI-enabled navigation and robotic systems have increased surgical precision.Postoperative AI applications,including deep learning algorithms and sensorbased monitoring,support early complication detection and wound healing assessment.However,persistent barriers include data variability,model generalizability,surgeon unfamiliarity,and lack of regulatory standards.CONCLUSION AI-driven imaging technologies show promise in enhancing decision-making and outcomes in PRS.To ensure safe clinical integration,future efforts must focus on structured validation,standardization,and ethical oversight.
文摘Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery department of our hospital from January 2021 to December 2023 were selected and divided into observation group(49 cases)and control group(49 cases)according to the random number table method.The observation group was treated with autologous fat granule transplantation,while the control group was treated with hyaluronic acid filling.The total effective rate of treatment,incidence of postoperative complications,improvement indicators of facial morphology(depth of depression,symmetry),and effect maintenance rate after 6 months of follow-up were compared between the two groups.Results:The total effective rate of treatment in the observation group was 93.88%(46/49),which was significantly higher than that in the control group(79.59%,39/49)(P<0.05).The incidence of postoperative complications in the observation group was 6.12%(3/49),which was lower than that in the control group(20.41%,10/49)(P<0.05).One month after surgery,the depth of depression(1.23±0.31 mm)and symmetry(1.02±0.15 points)in the observation group were better than those in the control group(P<0.05).After 6 months of follow-up,the effect maintenance rate in the observation group was 89.80%(44/49),which was significantly higher than that in the control group(67.35%,33/49)(P<0.05).Conclusion:Autologous fat granule transplantation for the treatment of facial depression can significantly improve facial morphology,enhance treatment effect and patient satisfaction,reduce the incidence of complications,and maintain a more durable effect.It is a clinically preferred facial depression plastic surgery solution.
基金supported by the Natural Science Foundation of Hebei Province,China(Nos.E2019203075,E2021203059)the National Natural Science Foundation of China(No.52171018)+1 种基金Top Young Talents Project of the Education Department of Hebei Province,China(No.BJ2019001)the Open Research Fund of State Key Laboratory of Precision Manufacturing for Extreme Service Performance,Central South University,China(No.Kfkt2023-09).
文摘To elucidate the mechanisms of regulating the microstructure uniformity in 7050 aluminum forgings through surface cumulative plastic deformation(SCPD),the microstructure under different solution treatments was investigated using metallographic observation(OM),electron backscatter diffraction(EBSD),transmission electron microscopy(TEM),and X-ray diffraction(XRD).The findings demonstrate that the most uniform microstructure in the forgings is achieved with a solution treatment at 470℃for 30 min.The SCPD process generates a significant number of needle-shaped precipitates,resulting in a higher dislocation density and stored energy.Solution treatments alleviate the pinning effect of second-phase particles and facilitate static recrystallization(SRX)in forgings,leading to a reduction in grain size.Additionally,mechanical testing results demonstrate 7%−13%increase in tensile strength and more uniform elongation of the forgings in different directions.
基金financial support of this paper by the Ministry of Education and Science of Ukraine under grant(Biotherm/0124U000789).
文摘The selection of carbon sources and the biosynthesis of polyhydroxybutyrate(PHB)by the Azotobacter vinelandii N-15 strain using renewable raw materials were investigated.Among the tested substrates(starch,sucrose,molasses,bran),molasses as the carbon source yielded the highest PHB production.The maximum polymer yield(26%of dry biomass)was achieved at a molasses concentration of 40 g/L.PHB formation was confirmed via thinlayer chromatography,gas chromatography and Fourier transform infrared spectroscopy.Composite films based on PHB,polylactic acid(PLA),and their blends were fabricated using the solvent casting.The biodegradation of these films was studied with bacteria isolated from plastic-contaminated soil.These bacteria utilized the biopolymers as their sole carbon source,with the biodegradation process lasting three months.Structural and chemical changes in the films were analyzed using FTIR spectroscopy,differential scanning calorimetry,and thermogravimetry.Among the microorganisms used to study the biodegradation of PHB,PLA,and their blends,Streptomyces sp.K2 and Streptomyces sp.K4 exhibited the highest biodegradation efficiency.PHB-containing films demonstrated significant advantages over other biodegradable polymers,as they degrade under aerobic conditions via enzymatic hydrolysis using microbial depolymerases.
基金supported financially by the National Natural Science Foundations of China(No.52102115)the Natural Science Foundation of Sichuan Province,China(No.2025HJRC0019)+1 种基金the Basalt Fiber and Composite Key Laboratory of Sichuan Province,China(No.XXKFJJ202308)Shock and Vibration of Engineering Materials and Structures Key Lab of Sichuan Province,China(No.23kfgk06)。
文摘This study focused on the various surface treatments of grinding,Na OH etching,HCl pickling,micro-arc oxidation and anodic oxidation to strengthen adhesive bonding joint of Aluminum(Al)substrate and Carbon Fiber Reinforced Plastics(CFRP).Different surface conditions were created by these treatments and simple Resin Pre-Coating(RPC)technique was further used to reduce the potential void defects at the root of those micro-cavities.Carbon Nanotubes(CNTs)were guided into the etched micro-cavities to construct quasi-Z-directional fiber bridging and form the“CNT-reinforced epoxy-pins”.The surface performance testing results imply that anodic oxidation of Al substrate created relatively even and continuous channels with higher hardness and better wettability among these treatments,which could provide quasi-vertical spaces for containing epoxy adhesive or CNTs.The single lap shear test results show combined treatments of anodic oxidation and upgraded RPC with CNTs technique on Al substrate yielded the highest bonding strength of 21.8 MPa(up to 243.3% greater than base strength).The constructed through-the-thickness“epoxy-pins”or“CNT-reinforced epoxy-pins”contributed to failure modes changing from complete debonding failure of Al substrate to peeled-off shallow fiber or delamination failure of CFRP panel.The combined treatments could be utilized to manufacture high-performance Al-CFRP composites for aviation industry application.
文摘Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents.The global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group countries.The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons.These children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery etc.These conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,etc.and require immediate surgical intervention.Some,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for surgery.Some,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous recovery.Another extremely important category is that of patients where the operative intervention is done based on their age.Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate ages.There are advantages and disadvantages of intervention at different ages.In this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic surgeons.Obstetricians,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.
基金supported by the National Natural Science Foundation of China(No.52173292)the National Key Research and Development Project of China(No.2020YFC1910303)the Youth Innovation Promotion Association CAS(No.2018040).
文摘Non-degradable polymers cause serious environmental pollution problem,such as the widely-used while unrecyclable coatings which significantly affect the overall degradation performance of products.It is imperative and attractive to develop biodegradable functional coatings.Herein,we proposed a novel strategy to successfully prepare biodegradable,thermoplastic and hydrophobic coatings with high transparence and biosafety by weakening the interchain interactions between cellulose chain.The natural cellulose and cinnamic acid were as raw materials.Via reducing the degree of polymerization(DP)of cellulose and regulating the degree of substitution(DS)of cinnamate moiety,the obtained cellulose cinnamate(CC)exhibited not only the thermalflow behavior but also good biodegradability,which solves the conflict between the thermoplasticity and biodegradability in cellulose-based materials.The glass transition temperature(T_(g))and thermalflow temperature(T_(f))of the CC could be adjusted in a range of 150–200℃ and 180–210℃,respectively.The CC with DS<1.2 and DP≤100 degraded more than 60%after an enzyme treatment for 7 days,and degraded more than 80%after a composting treatment for 42 days.Furthermore,CC had no toxicity to human epidermal cells even at a high concentration(0.5 mg mL^(-1)).In addition,CC could be easily fabricated into multifunctional coating with high hydrophobicity,thermal adhesion and high transparence.Therefore,after combining with cellophane and paperboard,CC coating with low DP and DS could be used to prepare fully-biodegradable heat-sealing packaging,art paper,paper cups,paper straws and food packaging boxes.
文摘This review comprehensively explores the versatile potential of mesenchymal stem cells(MSCs)with a specific focus on adipose-derived MSCs.Ophthalmic and oculoplastic surgery,encompassing diverse procedures for ocular and periocular enhancement,demands advanced solutions for tissue restoration,functional and aesthetic refinement,and aging.Investigating immunomodulatory,regenerative,and healing capacities of MSCs,this review underscores the potential use of adipose-derived MSCs as a cost-effective alternative from bench to bedside,addressing common unmet needs in the field of reconstructive and regenerative surgery.
文摘BACKGROUND Primary cutaneous anaplastic large cell lymphoma(PC-ALCL)poses significant diagnostic difficulties due to its similarity in the appearance of skin lesions with chronic inflammatory disorders and other dermatological conditions.This study aims to investigate these challenges by conducting a comprehensive analysis of a case presenting with PC-ALCL,emphasizing the necessity of accurate differentiation for appropriate management.CASE SUMMARY An 89-year-old female patient with diabetes and hypertension presented with arm and abdominal ulcerated mass lesions.Diagnostic procedures included skin biopsies,histopathological assessments,and immunohistochemistry,complemented by advanced imaging techniques to confirm the diagnosis.The patient’s lesions were determined as PC-ALCL,characterized by necrosis,chronic inflammation,and a distinct immunophenotypic profile,including CD30,CD3,CD4,and EBER,CD56,MUM-1,Ki 67-positive in>80%of tumor cells,CD10,but negative for anaplastic lymphoma kinase,CD5,CD20,PAX-5,Bcl-2,Bcl-6,CD8,and CD15.Recurrence was not reported at the 6-month follow-up.CONCLUSION Accurate PC-ALCL differentiation from similar conditions is crucial for effective management and requires a multidisciplinary approach.
基金financially supported by the National Natural Science Foundation of China (No.21774135)。
文摘Thermoplastic polycarbonate polyurethanes(PCUs) are multiblock copolymers that have been applied for medical devices for long time. Aliphatic diols are common chain extenders(CE) involved in the composition of the hard segments of PCU. However, limited knowledge was discovered about how the chemical structure of CE affects the hydrogen bonding organization within PCUs and their mechanical properties.To investigate this problem, a group of PCUs were synthesized respectively by extending the polymer chain with 1,4-butanediol(BDO),aminoethanol(MEA), ethanediol(EO) as three kinds of chain extenders. Tiny differences in the CE chemical structure results in remarkable variations in phase separation, condensed morphologies, thermal and mechanical properties, which are characterized by Fourier transform infrared spectrometer, atomic force microscopy, small-angle X-ray scattering, differential scanning calorimetry, and tensile tests. The microstructural evolution during unilateral deformation and the different mechanism induced by the different CEs was probed and unveil by in situ wide-and small-angle X-ray diffraction. Symmetry of CE can improve the organization of the hydrogen bonding. The coherence strength of the urethane/urea group also plays a key role by comparing the two PCUs with ethanediol and aminoethanol.
文摘General situation of China plastics industry in 2009 was reviewed,including the output/sales and export/import of plastics products,synthetic resins,plastics processing machinery and additives.
文摘Microplastic pollution represents a side-effect stemming from a global plastic waste mismanagement problem and includes degraded particles or mass produced plastic particles less than 5 mm in largest dimension.The small nature of microplastics gives this area of pollution different environmental concerns than general plastic waste in the environment.The biological toxicity of particles,their internal components,and their surface level changes all present opportunities for these particles to adversely affect the environment around them.Thus,it is necessary to review the current literature surrounding this topic and identify areas where the study of microplastic can be pushed forward.Here we present current methods in studying microplastics,some of the ways by which microplastics affect the environment and attempt to shed light on how this research can continue.In addition,we review current recycling methods developing for the processing of mixed-plastic waste.These methods,including hydrothermal processing and solvent extraction,provide a unique opportunity to separate plastic waste and improve the viability of the plastics recycling industry.
基金supported by the Bryant Stokes Neurological Research Fund (to JM)a fellowship from Multiple Sclerosis Western Australia (MSWA)+1 种基金the Perron Institute for Neurological and Translational Sciencethe Bryant Stokes Neurological Research Fund (to JR)。
文摘Non-invasive brain stimulation techniques(NIBS),including repetitive transcranial magnetic stimulation(rTMS) and transcranial electric stim ulation(tES),are increasingly being adopted clinically for treatment of neuropsychiatric and neurological disorders,albeit with varying success.The rationale behind the use of NIBS has historically been that stim ulation techniques modulate neuronal activity in the targeted region and consequently induce plasticity which can lead to therapeutic outcomes.
基金Supported by The Soonchunhyang University Research Fund,No.2024-0022.
文摘BACKGROUND In rhinoplasty,calcification around silicone implants is frequently observed in the tip dorsum(TD)area.Additionally,based on a review of various literature,it is presumed that calcification in silicone implants occurs due to both inflammatory chemical reactions and physical friction against the tissue.The calcification of nasal silicone implants not only results in the functional loss of the implants,but also leads to material deformation.However,there is a lack of research on calcification of nasal silicone implants in the current literature.AIM To elucidate various clinical characteristics of calcification around nasal silicone implants,using histological and radiological analysis.METHODS This study analyzed data from 16 patients of calcified nasal implants,who underwent revision rhinoplasty for various reasons after undergoing augmentation rhinoplasty with silicone implants.The collected data included information on implant duration,implant types,location of calcification,presence of inflammatory reactions,and computed tomography(CT)scans.RESULTS The most common location of calcification,as visually analyzed,was in the TD area,accounting for 56%.Additionally,the analysis of CT scans revealed a trend of increasing Hounsfield Unit values for calcification with the duration of implantation,although this trend was not statistically significant(P=0.139).CONCLUSION Our study shows that reducing the frequency of calcification may be achievable by using softer silicone implants and by minimizing the damage to perioperative tissues.
文摘On March 23,2024,at the 23rd Shanghai International Congress of Plastic and Reconstructive Surgery,a Neurofibromatosis Type 1 and Skin and Soft-Tissue Tumors Forum was unveiled.This forum aimed to foster multidisciplinary cooperation to standardize the diagnosis and treatment of neurofibromatosis and skin and soft-tissue tumors,attracting leading experts and scholars from across the nation.It served as a pivotal platform for sharing advancements in pathology,clinical practices,and surgical techniques related to these conditions,alongside discussions on standardized care and precision medicine,marking a significant step forward in the field.
文摘Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my experience and the challenges of this aesthetic plastic surgery among black African women. Material and Methods: A retrospective study was conducted about the abdominoplasties, liposuctions and Brazilian butt lift (BBL) which I operated in public and private hospitals at Kinshasa (Democratic Republic of Congo) in black African women. It covers a period of 13 years, going from December 1, 2010 to December 1, 2023. For this study, I had at least 6 months period (to Juin 1, 2024) to assess the occurrence of early and late postoperative complications. Results: I performed 84 abdominoplasties, 144 liposuctions and 23 Brazilian butt lifts (BBL). The average age at the time of abdominoplasty was 44 years with extremes ranging from 26 to 55 years and a concentration of cases (60.7%) in the age group of 40 to 49 years. The age group of 20 to 29 years old represented the lowest rate of requests for abdominoplasty (4.7%). Patients with a BMI of 30 to 2 were the majority (61.9%), followed by those between 25 to 2 (29.7%). 67.8% of patients were obese (BMI ≥ 30 kg/m2). The average age at the time of liposuction was 41 years with extremes ranging from 21 years to 69 years;and more than half of cases (68%) in the age group between 30 and 49 years. As for Brazilian butt lift (BBL), the average age was 33 years with extremes ranging from 24 to 42 years and a concentration of patients (91.3%) between 20 and 39 years. The immediate postoperative complications of abdominoplasties observed were: seroma in 7% of cases, hematoma and partial infection of the surgical site in 5% of cases. Pathological scars (hypertrophic, keloid) after abdominoplasties were observed in 9% of cases. The most common complication of liposuction was contour deformity. I observed 16 patients (11.1%) with soft-tissue depressions or elevations, skin panniculus or folds. For Brazalian Butt Lift (BBL), complications like asymmetry for 2 patients (8.9%), contour irregularities for 2 patients (8.9%), and excessive fat removal for 6 patients (26%), had observed. I have not recorded any cases of death or pulmonary embolism. Conclusion: I perform aesthetic plastic surgery procedures in black African women with a high socioeconomic standard of living compared to the average of the general population. The renunciation of planned surgery is motivated by the impossibility of paying the cost of the operation as well as by popular and religious perceptions regarding cosmetic surgery. The results of these aesthetic plastic surgery procedures carried out are very satisfactory for them. The challenges to overcome are mainly threefold: the unforeseeable complications of these cosmetic plastic surgery procedures, popular and religious perceptions of cosmetic surgery as well as the poverty of the population.
基金The authors would like to thank the University of Massachusetts Lowell for providing start-up funds.N.F.andW.-T.C.would like to thank the financial support by the U.S.Department of Energy’s Office of Energy Efficiency and Renewable Energy(EERE)under the Advanced Manufacturing Office Award No.DE-EE0007897。
文摘Increasing production and use of various novel plastics products,a low recycling rate,and lack of effective recycling/disposal methods have resulted in an exponential growth in plastic waste accumulation in landfills and in the environment.To better understand the effects of plastic waste,Life Cycle Analysis(LCA)was done to compare the effects of various production and disposal methods.LCA shows the specific effects of the cradle-to-grave or cradle-to-cradle scenarios for landfill,incineration,and mechanical recycling.The analysis clearly indicates that increasing recycling of plastics can significantly save energy and eliminate harmful emissions of various carcinogens and GHGs into the environment.As recycling increases,the need for virgin-plastic production can be greatly reduced.Furthermore,the results of this study may help improve current mechanical recycling processes as well as potential future recycling methods,such as chemical recycling.Concerns about the current recycling/disposal methods for plastics have brought increasing attention to the waste accumulation problem.However,with the current COVID-19 pandemic,plastic accumulation is expected to increase significantly in the near future.A better understanding of the quantitative effects of the various disposal methods can help guide policies and future research toward effective solutions of the plastic waste problem.
文摘Steady state plastic flow of the ideal plastic half-space surface by sliding elliptical cylinder is numerically calculated with account of contact friction effect. Numerical solution of the plane strain hyperbolic differential equations with unknown contact pressure distribution is treated as nonlinear vector equation for the steady state plastic flow condition. Pronounced effect of the ellipse boundary curvature on the plastic flow mode is shown. Engineering application of the computer model is surface plastic deformation technology to improve wear and fatigue resistance of metal parts.
文摘Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 10 days were compared. The cases of two groups of patients who received early plastic surgery after 10 days were compared, and 102 cases of two groups of patients who received early plastic surgery after 10 days were compared. Results: The excellent and good rates of the short-term therapeutic effects in the experimental group after the operation reached 93.99% respectively;However, in the control group, the excellent and good rate of the recent treatment after the recent treatment reached 79.29% respectively, and the comparative difference between the two was statistically significant (P<0.05). During the long-term follow-up of the patients, no case in the experimental group may have significant scar and scar hyperplasia in the operation area, so it is required to complete the secondary operation, which is equivalent to the control group. Only 19 hands may have significant scar and scar, and need to undergo the secondary operation again. The occurrence rate has reached 13.57%. The difference between the two groups has certain data and statistical significance (P<0.05). Conclusion: For patients with severe hand burn and inflammation, early reconstructive surgery should be adopted. In principle, the necessary surgical treatment should be completed. Effective surgical treatment or ideal recovery of body function should be given accordingly, which can be popularized and applied in clinical practice.
