简介：AbstractPurpose:Olecranon fractures are particularly vulnerable to distraction and subsequent fracture dislocation due to the high tensile forces. Surgical treatment aims at reducing the fracture and restoring the anatomical joint surface condition, as well as neutralizing the strain inhibiting fracture healing. The XS nail® (Intercus GmbH, Bad Blankenberg, Germany), an intramedullary implant exerting compression across the entire fracture surface, unlike plates, leaves a minimal extra-cortical profile, and can be secured with threaded locking wires, thereby retaining the anatomical reduction without displacement or steps within the articular surface, which was often found in tension band wiring. After encouraging initial results, the long-term outcome was assessed.Methods:This retrospective study evaluated the long-term outcome of patients surgically treated at our trauma center between January 2002 and December 2005 using the XS nail®. Patients over the age of 18 years eligible for the study must have undergone surgery for isolated, recent (less than 14 days) traumatic olecranon fractures, without concomitant injuries to the ipsilateral elbow and forearm. Further exclusion criteria were pseudarthrosis, re-fractures and osteotomy for distal humerus surgery, as well as polytraumatized patients unable to aid in their own recovery. Data were retrospectively gathered by standardised questionnaire and patient records, as well as surgery and anesthesiology reports. Data analysis was performed using Microsoft Office Excel® 2016.Results:There were 32 patients, 13 males (mean age 49.0 years) and 19 females (mean age 68.9 years) with 11 Schatzkers type D, 7 each type A and C, 5 type B and 2 type E at an average of 55.2 months, all showing complete consolidation. Of them, 6 patients had a loss of range of motion with more than 10° in the sagittal plane, and only 1 patient exceeded 10° reduction of supination. Twenty-five patients reported being pain-free under all circumstances, and all but 2 patients (93.75%) had returned to their previous activity level. The average disabilities of the arm, shoulder and hand score was 21.15 (range 0-88.3), and the overall Mayo elbow performance index was 91.87, without complications, such as wound infection, neurovascular impairment or premature hardware removal.Conclusion:Using the XS nail® system, all fracture types can be successfully treated and the rate of complications was lower than that treated by standard methods published in current literature. An excellent functional outcome, high range of motion as well as good retention of reduction without soft tissue irritation makes this a very suitable implant for fractures subject to tension.

简介：TheeffectofstressdistributionduetothechangesofthedistalscrewalignmentinrelationtotheGammanailandthefemoralshaftisthoroughlystudiedinthispaper.FailureoftheGammanailcompositeoccursthroughthecranialapertureofthedistalscrewsandtheinsertionholeforthelagscrewduetononunion,delayed-unionandcontinuedweight-bearing.Athree-dimensionalfiniteelementmodelwasusedtostudythefracturedfemur,theGammanail,thelagscrewandthedistallockingscrews.ThefirstandtheseconddistalscrewswereinsertedintotheGammanailinfourdifferentconfigurations.WefoundthatthestressoftheGammanailcompositewassubstantiallyreducedwiththetwoscrewsconfiguredintheanteriortoposteriordirection.Thisalignmentcanbeargreaterloadinginthemoredemandingfracturetypes.Inthesubtrochantericfractureorthecomminutedfracturesattheproximalfemur,theoptimalalignmentofthetwodistalscrewswasintheanteriortoposteriordirection.

简介：Harris新推出的NEXIOXS是一款独特的模块传输伺服系统，它提供SD／HD支持．集成的agile软件编解码器．可与NEXIO^TM存储局域网（SAN）连接．为SD和HD内容的制作、处理、分发和管理提供完善的系统架构。它采用了无线编解码模块．支持在单一时间线上多格式内容的背靠背回放．并提供了一系列的I／O接口，集成软件支持和编码选项。

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简介：AbstractIntroduction:Nail psoriasis has a profound negative influence on quality of life and has a more closely relationship with psoriatic arthritis. However, patients with nail changes only were often overlooked with the diagnosis of psoriasis. It is necessary to pay more attention to nail psoriatic changes.Herein, we report a 24-year-old male patient with nail changes as the initial sign of psoriasis who was finally diagnosed with nail psoriasis.Case presentation:The nails presented with white streaks, deformations, and had been missed for 8 months. Physical examination further revealed one erythematous scaly plaque on the buttock, anusand scalp respectively with positive Auspitz sign. Combined with the negative fungal microscopic, dermoscopic results and pathological results, the diagnosis of nail psoriasis was made. Oralacitretin (30 mg/day) and topical calcipotriene liniment was prescribed for 3 months followed with etanercept (50 mg once per week), and the nail symptoms were well controlled.Discussion:Nail psoriasis is usually noticed after the occurrence of skin lesions, but may occur simultaneously with or before skin psoriasis. Occasionally, nail involvement is the only manifestation of psoriasis. Nail lesions maybe one of the strongest clinical predictors of psoriatic and it has a profound negative influence on quality of life, so that timely recognition and proper treatment are improtant.Conclusion:Nail psoriasis can cause substantial physical and psychological impairment. However, nail involvement is an often overlooked feature of psoriasis. More attention should be paid to nail psoriatic changes and the administration of appropriate treatment.

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简介：ThetherapyofUBI(TheUltravioletirradiationoxygenateBloodItself-transfu-sion)isusedtotreat69casesofthepatientswithcerebralinfarctionwhichareallprovedtobecerebralinfarctionbythescanningofCT.TheeffectsofUBIonthenailfoldmicrocirculationofthepatientswerestudiedwith“WeightedMultipleScoreofthenailfoldmicrocirculation”workedoutbythemicrocirculationalspecialgroupP.L.A.Comparedwiththesameagedhealthyperson,theMultiplescoreofthenail

简介：XS42杏鲍菇，是用我自己培育的1株重达2100克的特大丛杏鲍菇子实体，经孢子分离纯化培养、新型温光调控驯化培育成功的具有商业开发潜力的特高产型名贵食用菌珍品。　　一、子实体特征　　菇体高10－30厘米，群生或丛生，形如肥大的水葫芦，粗壮如玉色的保龄球。菌盖初期圆形，后平展，直径5－15厘米，中央稍下凹呈漏斗形，表面有绒毛，浅灰色至浅黄白色，菌肉白色，具杏仁香味。菌柄长10－30厘米，直径5－8厘米，白色，偏生至侧生，棒状至球茎状，腰圆鼓起。菌褶向下延生，密集，乳白色，孢子白色或浅黄色。

简介：群晖科技Synology。近日推出专为大型企业设计的XS系列旗舰产品线全新服务器，包括支持12颗硬盘的DiskStationDS3612xs和10颗硬盘的RackStationRS3412（RP）XS。与XS系列同时推出的还有Synology第一台支持8颗硬盘的DiskStationDSl812＋，为中小企业提供更好的扩充性。SynologyXS系列和DSl812＋采用处理器被动式散热技术和系统风扇备援机制。

简介：AbstractNail involvement is common in psoriasis and is considered a risk factor for and a predictor of the development of psoriatic arthritis. The treatment of nail psoriasis is challenging because of the unique anatomical structure of nails and the absence of standardized treatment protocols. Herein, we provide an up-to-date overview of the treatment options for nail psoriasis, including topical drugs and penetration enhancement strategies, traditional and novel oral drugs, and biologic agents. In addition, we highlight the available individualized management strategies in special patient populations such as pediatric patients, geriatric patients, women of childbearing age, and patients with concomitant onychomycosis or psoriatic arthritis.

简介：ObjectiveStudies证明代替的midclavicular破裂的钉的有弹性的稳定的intramedullary(ESIN)有优秀结果，以及高复杂并发症率和特定的问题。目的fractures.MethodsTotally是讨论midshaft的ESIN锁骨的60个合格病人(年老的18-63年)被使随机化到在2007年1月和2008年5月之间的ESIN组或非起作用的组。锁骨的弄短在损伤和骨状的巩固以后被测量。X光线照相术的联合和复杂并发症被估计。包括经常的肩膀分数和手臂，肩膀和手(破折号)的残疾的功能分析得分在15月的follow-up.ResultsESIN导致了一signifcantly更短的时间到联合以后，被执行，特别为简单破裂。在ESIN组，所有病人得到了骨折联合，5个盒子有中间的皮激怒，因为，1个病人需要修订外科植入失败。在nonoperative组，有3个不属于工会的盒子，2征兆的malunions发展了要求校正截骨术。在在intramedullary稳定以后的15个月，在ESIN组的病人是对肩膀和全面结果的外观满意的更多，并且他们从traumatic以后的大改进有益于很多锁骨的弄短。而且，破折号分数更低，经常的分数与非起作用的group.ConclusionESIN相对照是显著地更高的是有更低的复杂并发症率，到每日的活动的更快的回来，优秀化妆品和更好功能的结果的一种安全最低限度地侵略的外科的技术，为对待中间柄的锁骨的破裂的锁骨的长度的恢复，导致高全面的满足，它能作为板固定或mid-shaf的nonoperative治疗的一种选择是问候

简介：联锁钉的Intramedullary是为胫骨的柄破裂的治疗的一个标准答案。对损伤第二等的一根钉子弯曲是稀罕复杂并发症，它可以被遇到在愈合或unhealed胫骨的柄破裂。如此的弄弯的钉子的移动总是是挑战。我们报导了这个案例为弄弯的钉子的移动讨论各种各样的技术并且在在被同意进入我们的部门与的一个30岁的人移开一根弄弯的胫骨的intramedullary钉子分享我们的经验由于一个路边事故恰好胫骨的柄重新断裂在起始的外科的治疗以后的二年。intramedullary钉子，由30度的偏好并且在anterioposterior上以及在侧面的拍上可见，被部分切凸的墙第一削弱，然后由使用外部力量弄直，并且最后由使用标准钉子移动方法搬迁了。

简介：客观：为了调查汽车的效果，控制在试验性的骨折愈合和它的机制上锁钉子(AMLN)的微运动。方法：经历大腿骨的柄的横向的截骨术的双方的16只山羊分别地是有AMLN和Gross-Kempf(GK)钉子的固定intramedullary。后续时间是7，14，28和56天。Roentgenographic，简历机械，组织学，显微镜的扫描电镀物品和生物化学的分析是done.Results：(1)在在修理AMLN的组的fractural结束的反压缩，反屈曲和反扭转的力量比GK修理钉子的组的高；而，在折断的结束的压力躲蔽处的率显著地减少了(P<0.01)。(2)在修理AMLN的组的全部的骨胶原，不可溶解的骨胶原，钙和磷酸盐的内容在GK修理钉子的组比那高(P<0.05)。(3)胼胝的组织学的观察和定量分析表明AMLN能支持桥胼胝和骨膜胼胝的生长。因此愈合的制造和早完成的remolding过程，它比传统的GK好一些钉固定。(P<0.05)。(4)7-14天张贴操作，AMLN-fixedgroup的胼胝繁荣并且camellarly安排了，骨胶原纤丝在骨头trabecula的吸收空隙常常形成了。28-56天柱子操作，骨胶原纤丝是在吸收空隙附近繁荣并且与骨头平行“s纵的轴。活跃多骨的吸收和形成被看见，那么是remolding并且重建。Haversian系统是未经触动的，因为钙盐的免职，多骨的结构的网是很强的。任何一个都没在GK修理钉子的组上述调查结果被观察。结论：AMLN的设计与塑料固定理论一致很好。因为无变态的系统由theintramedullary固定仪器和破裂的近似、远侧的结束组成了的几何学是很坚挺的ands，搁置，到在fractural结束散布的物理压力的骚乱是轻的。在fractural部分之间的断断续续的物理压力的Thegeneration和行为能到达在压力行为和压力保护之间的平衡。特征愈合和remolding同时发生加快愈合的fractural过程。

简介：摘要目的正确的使用XS-1000i,并对血细胞分析仪进行初步评价。方法利用SysmexXS-1000i全自动血液细胞分析仪对血液标本进行测量，计数,分别计算分析仪的精密度，携带污染率，总重复性。结果Sysmex全自动血细胞分析仪精密度表现优异，总重复性好，携带污染率低。结论SysmexXS-1000i血细胞分析仪是较为理想的血细胞分析仪，适用于日常检验。

简介：摘要：随着国家层面巡视、审计等进一步强化对招投标领域的监督，对国有企业采购方式、采购的效率效益监管逐年加强，对采购资金的使用关注度不断攀升，重合规、强监管的新举措对国有企业的招标投标工作提出了更高的要求。招标采购业务是也是法律风险、合规风险、廉洁风险的高危领域。近年来，各级巡视、审计及专项检查监管力度不断加大，发现了企业招标采购方面一些多发、易发、频发问题，为企业发展带来管理隐患和负面影响。因此开展企业招标业务突出问题自查有利于深入查找解决公司在招投标领域存在的突出问题，进一步规范招投标工作秩序，完善招投标体制机制，提高招投标管理水平，有效遏制招标投标活动中的违规违法行为，推进依法合规经营。

简介：Objective:　Toanalyzethecausesofdistalfemoralnonunionanddelayedunionandassesstheoutcomeofthecorrespondingtreatment,retrogradeintramedullaryinterlockingnail(RIIN).　　Methods:　FromJune1995toDecember1998,15patients(9malesand6females)withdistalfemoralnonunionanddelayedunionweretreatedwithRIIN.Theaverageageofthepatientswas34.5years(23-46years).Bonegraftingwasperformedin10patients,closedreamingwasdoneintheother5patients.Correctionosteotomywasperformedin2patients,andintra-articularreleaseofkneeadhesionin11patients.X-rayexaminationandkneesocietyclinicalratingsystem(KSS)wereusedtoevaluatetheresults.　　Results:　Allfractureswerefollowedupforatleast9monthswithaveragefollow-updurationof14.5months(9-33months).Solidunionwasdocumentedinallpatientsat6.4monthsonaverage.Therewerenoinfectionsormalunionsinthisseries.Basedonthefinalfollow-updata,acceptablefunctionalrangeofmotion(ROM)ofover90°wasachievedinmostpatients.TheaverageROMwas93.5°withsignificantimprovementof28°(42.7%,P＜0.05)comparedwiththepreoperativeROM.Theaveragekneescorewas96.ExcellentROMemergedin13patients.Thekneefunctionscorewas90.5onaverage.　　Conclusions:　Themaincausesofdistalfemoralnonunionanddelayedunionareimproperindicationsandimproperuseoftheimplants.RIINisaneffectivealternativefortreatmentofdistalfemoralnonunionanddelayedunionbecauseitcanprovideastableandreliablefixationwhichisbeneficialforearlyfunctionalexerciseofknee.Bonegrafting,closedreamingandintra-articularreleaseofkneeadhesionshouldbeconsideredinordertoenhancethebonehealingandimproveROMandthekneefunction.

简介：AbstractBackground:The reverse obliquity inter-trochanteric fracture is a distinct fracture pattern that is mechanically different from most inter-trochanteric fractures and the optional treatment of it is still controversial. The purpose of this study was to compare differences in the efficacy of a novel nail (medial support nail [MSN-II]) and proximal femoral nail anti-rotation (PFNA-II) in the treatment of reverse obliquity inter-trochanteric fractures (Arbeitsgemeinschaft fur Osteosynthesfrogen/Orthopedic Trauma Association [AO/OTA] 31-A3.1) using finite-element analysis.Methods:Modeling software was used to establish a three-dimensional model of MSN-II and PFNA-II and an A3.1 inter-trochanteric fracture model. Abaqus software was used to implement different force loads to compare finite-element biomechanical parameters such as the maximum stress in implant and the displacement of fracture site.Results:The femoral stress, implant stress and fracture site displacement of MSN-II was less than that of PFNA-II. The results indicated that the maximal femoral stress was 581 MPa for PFNA-II and 443 MPa for the MSN-II. The maximum stress values in the PFNA-II and MSN-II models were 291 and 241 MPa, respectively. The maximal displacements of the fracture site were 1.47 and 1.16 mm in the PFNA-II and MSN-II models, respectively.Conclusions:Compared with PFNA-II for inter-trochanteric fracture (AO/OTA 31-A3.1), MSN-II which was designed with a triangular stability structure can provide better biomechanical stability. The MSN-II may be a feasible option for the treatment of reverse obliquity inter-trochanteric fracture.

简介：摘要目的回顾性评价磁力导航META-NAIL髓内钉治疗胫骨骨折的临床疗效，并探讨磁力导航META-NAIL髓内钉治疗胫骨骨折的适应证。方法选择首都医科大学良乡教学医院2014年5月至2018年5月采用磁力导航META-NAIL髓内钉治疗的胫骨骨折患者42例为观察对象。其中，男29例、女13例；年龄范围28～55岁（平均35.5岁）。按骨折AO分型：A1型18例，A2型10例，A3型14例。患者均为闭合性骨折。记录并分析手术时间、出血量、远端锁钉操作时间、锁定过程透视次数，患者骨折愈合时间。结果所有患者术后获得随访10~16个月（平均12.3个月），手术时间（50.2±8.5）min，出血量为（40±8.6）mL，远端锁钉操作时间为（7.5±1.5）min，透视次数为0次、骨折愈合时间为（16.3±2.6）周，无患者出现患肢膝关节疼痛；无畸形愈合、伤口感染、髓内钉断裂等并发症。采用Johner-Wruhs评分，优23例，良17例，可2例，临床优良率为95%。结论应用磁力导航META-NAIL髓内钉治疗胫骨骨折，手术时间短、出血少，远端锁钉操作时间短，锁钉成功率高，能有效降低医患双方的放射线暴露，并可避免切开髌腱等组织，减少膝前疼痛率，临床优势明显，临床效果满意。

简介：摘要目的对XS-500i血细胞分析仪的性能进行评价。方法按照国际血液学标准化委员会(ICSH)公布的评价方案进行性能评价。结果白细胞(WBC)、红细胞(RBC)、血红蛋白(HGB)和血小板(PLT)红细胞压积(HCT),线性良好(相关系数r接近于1)，携带污染率低于1.18%，精密度符合要求(CV<5%),准确度高。结论XS-500i血细胞分析仪性能良好，基本上能满足临床诊断和治疗的需要。

简介：摘要为改善注塑机传统电气控制存在的局限性和不足，采用西门子S7-300型系列PLC对XS-ZY250A普通卧式注塑机控制系统进行改造。阐述了PLC控制系统程序设计，给出了XS-ZY250A注塑机的PLC控制梯形图。