We found that with proper postoperative congestion care, no statistically significant difference in replantation success of fingers receiving arterial anastomosis alone versus both arterial and venous were noted up to subzone III. However, in subzone IV, regardless of the postoperative congestion, compete necrosis rates are high; thus, it is speculated that a venous anastomosis is necessary for successful replantation. It is preferable to perform as many anastomoses as possible, but we believe that it is also desirable for the procedure to be fast and less invasive. In cases that have no adequate vein, fingertip replantation can be achieved on arterial anastomosis alone up to subzone III.
In 2012, Japan's Ministry of Education, Culture, Sports, Science, and Technology initiated a project entitled "Improving Higher Education for Industrial Needs" in which 147 universities have participated. One of the main purposes of this project is to identify what industrial needs and help develop university students' employability skills through active learning as there has been a growing concern that university graduates lack employability skills that industry seeks. However, Japanese university instructors are unfamiliar with or lack skills for adopting active learning approaches in their courses. This study explores what skills industry needs, examines how these skills can be developed and assessed at university, and describes a course entitled "Business Planning in Practice" that intends to develop these skills through active learning offered at the Nagoya University of Commerce and Business, one of the universities participating in the national project. Business Planning in Practice has been selected as an active learning target course for the Improving Higher Education for Industrial Needs to demonstrate how a university course can employ active learning approaches. The findings show that the skills that industry needs are discovery skills, these skills could be nurtured in the form of research skills at university, and Business Planning in Practice had positive impacts in improving these skills through active learning approaches. This paper concludes with suggestions for how Japanese universities could establish an environment to create innovative human resources.
We report two cases of acutely infected pseudoaneurysms of the iliac arteries, successfully treated with endovascular stent-grafting. Two patients underwent stent-graft treatment for erosive rupture of the iliac artery caused by surrounding infection. The first case is that of a 61-year-old man who had undergone Miles' operation for an advanced rectal cancer. Postoperatively, he developed intrapelvic abscess formation, from which methicillin-resistant Staphylococcus aureus was cultured, followed by rupture of the right external iliac artery. The second case is that of a 60-year-old man who had a pseudoaneurysm of the left common iliac artery, which was contiguous with a left psoas muscle abscess, from which Streptococcus agalactiae was cultured. Both patients were successfully treated with only a stent-graft and antibiotic therapy, and remained symptom-free 12 months and 10 months later. Although endovascular stent-grafting should not be considered standard therapy for infected aneurysms, our cases suggest that it can result in repair of infected aneurysms even in the uncontrolled active stage.
Water and salt transports through a charge-mosaic membrane prepared from a pentablock copolymer of the ISBAI type were investigated by using aqueous solutions of KC1. The membrane showed a very high permeability for KC1, pronounced negative osmosis, and piezodialysis. The data were analyzed according to the phenomenological equation by Kedem and Katchalsky.
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