The use of omentum as a free flap to reconstruct the upper portion of the mediastinum without a substernal tract.
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Biomedical subjects
Publications and source records attributed to Y H Bang.
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It is a traditional teaching that the levator aponeurosis is the main transmitter of the levator palpebrae muscle. However, there are several points that raise doubts in this fundamental concept of the levator aponeurosis as being the primary interconnecting mechanism in upper lid elevation. Despite the structural integrity of the levator complex, drooping of the upper eyelids is seen to develop in situations such as Horner's syndrome and in times of excessive fatigue and sleepiness. Amid the controversy in the literature regarding the specific role of the levator aponeurosis in the lid-elevating mechanism, we have observed that the levator aponeurosis fails to make constant attachment to the tarsal plate. This has led us to speculate on the possible role of the posterior lamella - Müller's muscle - as the primary transmitter of the levator muscle action to the tarsal plate.
A histologic study of axillary skin taken from 20 Korean bromhidrosis patients and 10 normal Korean subjects without axillary odor was undertaken. Under light microscope, the skin specimens, stained with hematoxylin and eosin, were examined. Compared with the controls, the apocrine glands were numerous and the gland size large in the bromhidrosis skin. The decapitated epithelial cell-lined contracted glands were seen intermixed with the nondecapitated cell-lined distended glands in the bromhidrosis skin. By comparison, in the normal controls, the apocrine glands were atrophic and lined with flat epithelial cells and showed no decapitation. It appears that histologic change of apocrine glands may contribute more to bromhidrosis than bacterial decomposition of apocrine sweat. Surgical removal of apocrine glands may thus be the most satisfactory and logical method of treatment.
Among the considerations in the formation of the double eyelid, two factors are considered to be important. They are the levator insertion into the skin and the amount of soft tissue between the levator aponeurosis and the skin. The author assumes that the amount of soft tissue may be more importantly related to forming the double eyelid than the levator expansion. Based on this assumption, the author undertook a modified operation to create the double eyelid by removing excessive soft tissue without any fixation to the levator aponeurosis or the tarsal plate.
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An operational-scale trial, using residual fenitrothion, for control of malaria was carried out in Central Java, Indonesia, from 1980 to 1982. Two areas, each comprising about 70 km(2) and a population of about 50 000, were treated with fenitrothion (40% water dispersible powder) at a target dosage of 2 g/m(2) for 3 cycles at 6-monthly intervals. One area was treated with full coverage (i.e., the interiors of houses and cattle shelters were sprayed to a height of 3 m) for 2 cycles, followed by a third cycle with selective coverage (i.e., the interiors of houses were sprayed with one 75 cm horizontal swath between 10 cm and 85 cm from the floor while the cattle shelters were sprayed to a height of 3 m). The other area was treated for 3 cycles with only selective coverage. While both treatment methods reduced malaria rates and vector populations to very low levels, the full coverage treatment was more rapidly effective and also reduced the Plasmodium falciparum index. However, the selective coverage treatment was 68% less expensive than full coverage and greatly reduced the degree of cholinesterase depressions among the spraymen. The trial also showed that a dosage of 1 g/m(2) with full coverage was nearly as effective as the 2 g/m(2) dosage.
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In an endemic focus of Brugia malayi in Bengkulu, Indonesia the microfilariae rate was 25%. The microfilariae showed nocturnal periodicity. Domestic cats in the same area were found to harbour B. pahangi, with a microfilariae rate of 23%. In the study area, the most prevalent man-biting Mansonia mosquitoes were Mn.bonneae (41%), followed by Mn.annulata (27%), Mn.uniformis (25%) and Mn.dives (7%). More Mansonia mosquitoes were collected outdoors than indoors between 1800-2200 hours. Natural infections with infective larvae of Brugia spp. were found in Mn.bonneae, Mn.dives, Mn.uniformis, Mn.annulata, and An.nigerrimus. Experimental infection studies revealed that Mn.annulata, Mn.bonneae, Mn.uniformis, An.nigerrimus and An.peditaeniatus permit the development of infective larvae. Under experimental condition, the vectorial competence is high in Mn.bonneae, intermediate in Mn.uniformis and low in An.hyrcanus group. It is concluded that the principal vectors of periodic B.malayi in the study area in Bengkulu are four Mansonia species (Mn.annulata, Mn.bonneae, Mn.uniformis and Mn.dives), and that the potential vectors include two Anopheles species (An.nigerrimus and An.peditaeniatus). This is the first record of Mn.bonneae being a vector of periodic B.malayi in Indonesia.
The seasonal variation in prevalence of Aedes (Stegomyia) mosquitos breeding in peridomestic water containers was assessed in an urban quarter of Enugu, Nigeria, and in two rural villages located among forest relicts in the neighbouring Udi Hills. A large number of earthenware pots, most of which contained water in the wet season, were present in the compounds around houses. Monthly determinations of the presence or absence of Aedes larvae in these containers were made for 13 consecutive months. The average Breteau index (positive containers per 100 houses) for A. aegypti during the 7-month wet season was 53 in one of the villages and 76 in the other, suggesting a high risk of yellow fever transmission; the dry-season averages were 11 and 23. In the urban quarter the wet-season average was 29; the dry-season average was 4.7, a level at which transmission is unlikely to occur. A. luteocephalus were occasionally found in containers in both the urban and rural localities, and A. africanus larvae occurred in one of the villages. Although Culex larvae were common, mixed infestations of Aedes and Culex were so uncommon that the simplified "single larva" method of sampling for Aedes gave similar results to the conventional method. The multiplicity of peridomestic containers in this part of Nigeria made the container index inadequate as a measure of larval density.