An alternative technique for minimally invasive aortic valve replacement and atrial septal defect repair is described. After a 5-cm skin incision, a key-lock type sternotomy is made. Excellent exposure of the right atrium and aortic valve was achieved. The configuration of the mini-sternotomy (or the lock) limits the movement of the sternal surfaces (or the key) on the lateral and craniocaudal ...

A configuration of misfit dislocation dipoles is observed in a Ga0.5In0.5P heterostructure grown by solid-source molecular-beam epitaxy on GaAs. The dipole dislocations are mostly of 60° type, separated by ;3.5 nm. The dislocations are not produced by conventional lattice mismatch, rather, they could be the result of lateral compositional modulation in the Ga0.5In0.5P epilayer. © 2000 American ...

An accurate understanding of the morphology of the root canal system is a prerequisite for successful root canal treatment. Invaginated teeth have a complex root canal configuration that cannot be instrumented effectively. Correct diagnosis and treatment planning are fundamental to treatment of dens invaginatus. Periapical surgery is indicated in cases where a nonsurgical approach fails. A case...

The field resulting from a beam incident upon a planar dielectric layer placed between media having different refractive indices is examined by using both an approximate approach and a highly accurate Gaussian-beam analysis. We find that, if the incidence angle is adjusted to couple energy to a leaky wave that may be guided by the layer, both the reflected and the transmitted beams may undergo ...

BACKGROUND Elastic stable intramedullary nailing (ESIN) is the standard treatment for displaced diaphyseal femoral fractures in children. However, high complication rates (10-50%) are reported in complex fractures. This biomechanical study compares the stiffness with a 3rd nail implanted to that in the classical 2C-shaped configuration and presents the application into clinical practice. METH...

Knee osteoarthritis (OA) commonly occurs in the medial compartment of the knee and has been linked to overloading of the medial articular cartilage. Gait modification represents a non-invasive treatment strategy for reducing medial compartment knee force. The purpose of this study was to evaluate the effectiveness of a variety of gait modifications that were expected to alter medial contact for...

typically, two configurations are used for energy harvesting, with different advantages: piezoelastic and piezomagnetoelastic. best performance of piezoelastic configuration is limited to its narrow bandwidth around the resonance frequency. if the excitation frequency slightly deviates from the resonance frequency, the power-out is severely reduced. to overcome this, the piezomagnetoelastic has...

OBJECTIVES To review the anatomy and dynamics of the hanging columella and to describe a technique to correct the causative anatomical deformity. DESIGN Case series. SETTING A facial plastic surgery private practice in Highland Park, NJ. PATIENTS Consecutive sample of 10 patients (6 women and 4 men), aged from 27 to 52 years (mean age, 32 years). INTERVENTIONS Through an external approa...

The segmental and zonal variations in the quantitative relationships between elastic and collagen fibers within the lateral costotransverse ligaments have been investigated in the vervet monkey. The lateral costotransverse ligaments of the caudal segments have a largely elastic structure in contrast to those of the cranial segments, which are characteristically collagenous. In the transitional ...

BACKGROUND The standard treatment for severe displaced pediatric supracondylar humeral fracture (SCHF) is closed reduction and percutaneous pin fixation. However, controversy persists concerning the optimal pin fixation technique. The purpose of this study was to compare the safety and efficacy on the configuration of lateral entry only with crossed entry pin fixation for SCHF, including Gartla...