Search Results (4)

Background: Perforator mapping is a mandatory tool for the preoperative planning of a microsurgical free flap, especially in breast reconstruction. Numerous methods for mapping have been described. In this study, we investigate the combined use of Dynamic Infrared Thermography (DIRT) and Colour Doppler Ultrasonography (CDUS) only to see whether it can eliminate the need for Computed Tomography Angiography (CTA). Methods: A prospective study was conducted on 33 patients with deep inferior epigastric perforator (DIEP) flaps for breast reconstruction. DIRT, followed by CDUS and CTA, was performed preoperatively and perforators were confirmed intraoperatively. Results: From 135 hot spots found on DIRT, 123 perforators were confirmed by CDUS (91.11%). A total of 86.66% of the perforator vessels detected on CTA have their correspondent on DIRT, while 95.12% have their correspondent on CDUS. No statistically significant difference (p > 0.05) was found comparing DIRT vs. CTA and CDU vs. CTA. The average DIRT time was 121.54 s and CDUS 232.09 s. The mean sensitivity for DIRT was 95.72% and 93.16% for CDUS. Conclusion: DIRT combined with CDUS can precisely and efficiently identify suitable perforators without the need for CTA in DIEP breast reconstruction. Full article

A crop pretreatment with silicon was combined with passive modified atmosphere packaging (PMAP) in a thermoformed recycled PET packaging format as a novel approach to minimize the quality degradation in mushrooms. This study was aimed to evaluate the effects of (a) two preharvest treatments, namely preharvest control (PHTC) and preharvest silicon treatment (PHTS) and (b) four packaging lid formats, namely PMAP1: a single hole of 1.1 mm size, PMAP2: two holes of 0.53 mm size, PMAP3: three holes of 0.53 mm size, and PMAPC: OMNI-PW micro perforated cling film as a control on the quality and shelf life of mushrooms during five days of storage at 4 °C and 99.9% RH. The results of the analysis of variance showed that packaging type, storage days, and the double interaction effects of storage days × packaging type had significant effects (p < 0.0001) on the changes in O₂, CO₂, colour L* and a* values, ΔE, total soluble solids (TSS), and the density of mushrooms. Density, electrolyte leakage (EL), and TSS were significantly affected by the double interaction effects of preharvest treatment × packaging type. Overall, PMAP1, PMAP2, and PMAP3 resulted in lower O₂ + higher CO₂ within packages compared with the conventional control. A preharvest silicon treatment had little overall effect. PMAP 1, 2 and 3 had a significantly lower ΔE (=better quality) after 5 days storage compared to PMAPC which had the highest ΔE (lowest quality) overall. PMAP1 and PMAP2 had the lowest EL values compared to PMAP3 and PMAPC. PMAP1, PMAP2, and PMAP3 all gave better TSS levels and density compared to PMAPC. Notably, this study proved that a perforation-mediated MAP design for mushrooms packaged in a thermoformed recycled PET packaging format maintained improved CO₂, lowered O₂, and reduced EL while maintaining TSS and the density of the mushrooms during the storage period. Full article

Plastic film mulching is a commonly used agricultural measure in arid/cold regions to improve crop growth. Despite previous studies on the impact of film mulching on soil water/heat status and crop growth, it is not clear how plastic film colours and perforations affect energy distribution, soil temperature, and evaporation. Six sets of column experiments were performed with three plastic film colours: transparent (T), black (B), and silver-grey (G), and two perforation ratios: 4.49% and 21.44%, to monitor soil evaporation and soil/film mulching temperature. Using these two main control factors, a soil–mulch–atmosphere system (SMAS) model was established to simulate soil evaporation and energy distribution. The simulations of soil evaporation compared well with the measurements. The available net energy was positively related to the perforation ratio and transmittance of the plastic film, which further influenced soil temperature and altered energy distribution. Both simulated and measured results gave the following order for transpiration with the plastic films: T > B > G. The SMAS model was more accurate when a mulch with weak light transmittance covered the field. Moreover, by comparing simulated evaporation mass loss with and without considering heat conduction between the plastic mulch and the soil surface, $C_{sm}$, we found that it is feasible to exclude $C_{sm}$. However, $C_{sm}$ is indispensable in the SMAS model for understanding the mechanism of plastic film mulching in agroecosystems, particularly at night. Full article

Background: Evidence has shown an association between obesity and an increased risk of wound infection after caesarean section. This study was designed to examine if abdominal subcutaneous adiposity impacts upon cutaneous perfusion dynamics. Methods: Mild cool challenge, followed by real-time video thermography, was developed to map the appearance of abdominal ‘hot spots’. Correspondence of marked ‘spots’ with audible Doppler and colour and power Doppler ultrasound was performed. Results: 60 healthy, afebrile, women (20–68 years; BMI 18.5–44 kg/m²) were recruited. Hot spot appearance consistently corresponded with audible Doppler sounds. Colour and power Doppler ultrasound revealed vessels at depths of 3–22 mm. No statistically significant interactions for BMI, abdominal circumference or environmental parameters were observed for hot spot count. The temperature of cold stimulus was significant for effects on spot count, but only for the first minute (p = 0.001). Thereafter, effects on spot numbers were not significant. Conclusions: Cutaneous ‘perforator’ mapping of the abdomen (via hot spot appearance) in healthy women, as a potential and future method for risk of perfusion-dependent wound healing complications, reveals that bedside mapping of skin perfusion is feasible over a short interval. Hot spot number was not influenced by BMI or indicators of central fat distribution (abdominal circumference) indicating variability in an individual’s vascular anatomy. This study provides the underpinning methodology for personalised perfusion assessment after incisional surgery which may be a more reliable indicator of potential healing complications than body habitus as is currently the norm. Full article