Ultrasound-guided modified subcostal transversus abdominis plane block and influence of recumbency position on dye spread in equine cadavers

ObjectiveTo describe and evaluate an ultrasound-guided modified subcostal approach for the transversus abdominis plane (TAP) block in horse cadavers in lateral or dorsal recumbency.Study designProspective, experimental cadaveric study.AnimalsStudy of one preserved foal and eight fresh adult horse cadavers.MethodsThe lateral and ventral abdominal wall of a preserved cadaver was dissected to identify the muscles and nerves. A unilateral standard TAP block technique was performed (60 mL of methylene blue dye–bupivacaine) on a fresh cadaver in right lateral recumbency. A modified subcostal technique was performed on the opposite side using a linear ultrasound transducer and in-plane approach. Injection points (two 30 mL dye) were at the level of the TAP (between the rectus abdominis and transversus abdominis muscles and ventral to the cutaneous trunci muscle) perpendicular to: 1) the mid-point between the xiphoid cartilage and umbilical scar; and 2) at a point between the caudal and middle thirds of the abdomen measured from the first injection point to the umbilical scar. The modified subcostal approach was performed in seven additional cadavers in both hemiabdomens, with three cadavers in lateral and four cadavers in dorsal recumbency. Ultrasound guidance was used with all injections.ResultsThe standard approach stained the sixteenth to eighteenth thoracic nerves (T16–T18). The modified subcostal approach performed in lateral recumbency provided greater spread (T9–T17) than dorsal recumbency (T12–T18) (p = 0.016).Conclusions and clinical relevanceThe modified subcostal TAP approach resulted in extensive staining exceeding the standard approach. The nerves stained are consistent with production of ventral abdominal wall anesthesia in horses. Clinical studies are needed to verify these findings.     

湖南省可再生能源开发现状及对策

描述了湖南省可再生能源开发现状，论述了可再生能源开发在湖南省经济可持续发展战略中的地位及作用，分析了影响开发速度的主要问题和障碍，并提出了加快开发可再生能源的政策、措施和建议。     

社会主义新农村建设目标及实现

“生产发展、生活宽裕、乡风文明、村容整洁、管理民主”是社会主义新农村建设的主要目标,它是物质文明、精神文明和政治文明的具体体现。这些目标的实现,有赖于党的坚强领导,农民生活条件的改善和自身素质的提高。     

A non-inferiority study comparing the ultrasound-guided parasacral with a novel greater ischiatic notch plane approach in canine cadavers

ObjectiveTo describe the gross and ultrasound anatomy of the parasacral region and an ultrasound-guided greater ischiatic notch (GIN) plane approach aimed at staining the lumbosacral trunk (LST) in canine cadavers. To evaluate if the ultrasound-guided GIN plane approach is non-inferior to the previously described ultrasound-guided parasacral approach at staining the LST.Study designProspective, randomized, non-inferiority experimental anatomic study.AnimalsA total of 17 (23.9 ± 5.2 kg) mesocephalic canine cadavers.MethodsAnatomic and echographic landmarks, and the feasibility of performing a GIN plane technique were evaluated using two canine cadavers. The remaining 15 cadavers had each hemipelvis randomly assigned to be administered either parasacral or GIN plane injection of 0.15 mL kg^–1 dye solution. The parasacral region was dissected after injections to assess the staining of LST, cranial gluteal nerve, pararectal fossa and pelvic cavity. The stained LST were removed and processed for histological evaluation of intraneural injections. A one-sided z-test for non-inferiority (non-inferiority margin –14%) was used to statistically evaluate the success of the GIN plane versus the parasacral approach. Data were considered statistically significant when p < 0.05.ResultsThe GIN plane and parasacral approach stained the LST in 100% and 93.3% of the injections, respectively. The success rate difference between treatments was 6.7% [95% confidence interval, –0.6 to 19.0%; p < 0.001 for non-inferiority]. The GIN plane and parasacral injections stained the LST for 32.7 ± 16.8 mm and 43.1 ± 24.3 mm, respectively (p = 0.18). No evidence of intraneural injection was found.Conclusions and clinical relevanceThe ultrasound-guided GIN plane technique resulted in nerve staining that was non-inferior to the parasacral technique and may be considered an alternative to the parasacral approach to block the LST in dogs.     

群井开采条件下承压含水层渗流动态模拟

根据有限差分方法 ,编制了承压含水层渗流模拟软件。对某水源地在群井开采情况下地下水渗流动态进行数值模拟。模拟结果显示 ,位于高渗区的井 ,压降漏斗较其它井大 ,压力下降快。当地层中存在裂隙时 ,平行裂隙方向压力下降比垂直裂隙方向要快得多。抽水初期 ,地层压力下降很快 ,以后 ,压力下降逐渐变缓 ,位于低渗透区的井逐渐不能满足流量要求。因此做好地下水资源规划十分重要     

ANALYTIC SOLUTION OF CYLINDRICAL SHELL ROOF UNDER GENERAL TRANSVERSE LOCAL LOADINGS

This paper uses the method of mixed-type series to derive the analyticsolution of cylindrical shell roof,being simply supported transversely,arbitra-rily restrained longitudinally and subjected to gereral transverse local loads.This paper also presents the analytic expressions of the solutions for somekinds of local load.Some examples of this kind of shell roof subjected to ainlined single force near the middle of it with free lorgitudinal edges aregiven.The computation shows that the convergence of the solution is woll     

Computation of Three-Dimensional Temperature Distribution and Thermal Analysis to Integrated Circuit Substrates

The exact three di me nsional temperatu re distribution and thermal analysiS to inte-grated circuit substrates have been presen ted by means of numerical method of a fin ite difference.Thismethed.which will overcome the di fficuItv of mathematical deduction mav be consltieredas an analytical way aided by com puters for thermal design of electron ic compon ents.     

农作物秸秆资源的开发与利用

我国每年秸秆产量约5.7亿t,这是一项巨大的资源.为此,从燃料、肥料、工业原料和饲料4个方面论述了秸秆开发利用的方法和原理,指出了秸秆资源利用的出路在于饲料业;同时,强调做好秸秆资源的开发和利用,对于解决我国饲料粮紧缺状况,缓解能源、林木减产的压力具有重要意义.     

Potential farmer contributions to the design process: Indications from Indonesia

The paper argues that conventional irrigation design processes rely heavily on predetermined design criteria, often without allowing for interactions with farmers and revising of criteria during implementation. Six cases from a tertiary development project in North Sulawesi, Indonesia are described, where farmers altered what had been designed and constructed by contracting and agency engineers. Through field inspections and farmer interviews, the farmers' alternative set of design criteria was elicited to explain why the farmers changed what had been constructed. A total of 27 cases are analyzed to show the relative importance of: