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Stahl's ear is a congenital malformation of the auricle, which is uncommon in non-Oriental societies. A number of different treatment modalities have been suggested, many of which yield unpredictable results. We review current treatment modalities from the English literature and describe a novel, simple surgical method of repair. First, a helical rim incision is made to expose the abnormal third crus and upper pole of the ear. The third crus is excised as a narrow wedge of cartilage and posterior skin, and the defect is closed primarily. The free third crus cartilage is then grafted onto the scaphal cartilage in an anatomically correct position to form a superior crus. The anterior skin flap is redraped and bolstered over this graft. Only a very small scar on the helical rim remains visible anteriorly. 相似文献
193.
A sequencing batch reactor (SBR) treating the effluent of a motorway service station in the south of England situated on a major tourist route was investigated. Wastewater from the kitchens, toilets and washrooms facilities was collected from the areas on each side of the motorway for treatment on-site. The SBR was designed for a population equivalent (p.e.) of 500, assuming an average flow of 100 m3/d, influent biochemical oxygen demand (BOD) of 300 mg/l, and influent suspended solids (SS) of 300 mg/l. Influent monitoring over 8 weeks revealed that the average flow was only 65 m3/d and the average influent BOD and SS were 480 mg/l and 473 mg/l respectively. This corresponded to a high sludge loading rate (F:M) of 0.42 d(-1) which accounted for poor performance. Therefore the cycle times were extended from 6 h to 7 h and effluent BOD improved from 79 to 27 mg/l. 相似文献
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We evaluated the ability of a portable ozone generating machine (Viroforce 1000) to inactivate 13 different species of environmental fungi. Samples, prepared as wet or dried films, were subjected to one or two cycles of treatment (35 ppm ozone for 20 minutes, with a short burst of?>90%?relative humidity), and measured for residual viability. Treatments could inactivate 3 log10 cfu (colony forming units) of most of the fungi, both in the laboratory and in simulated field conditions, on various surfaces. We conclude that the ozone generator would be a valuable decontamination tool for mold removal in buildings. 相似文献
199.
Brian Shelmadine Matt Cooke Thomas Buford Geoffrey Hudson Liz Redd Brian Leutholtz Darryn S Willoughby 《Journal of the International Society of Sports Nutrition》2009,6(1):16
Purpose
This study determined the effects of 28 days of heavy resistance exercise combined with the nutritional supplement, NO-Shotgun?, on body composition, muscle strength and mass, markers of satellite cell activation, and clinical safety markers. 相似文献200.
C. -F. Tsang O. Stephansson J. A. Hudson 《International Journal of Rock Mechanics and Mining Sciences》2000,37(1-2)
The design of a nuclear waste repository involves modeling a complex system of physical mechanisms that operate over a long period of time. The perturbations caused by both the engineering excavation and the waste heat have to be modeled, taking into account the short and long term thermo–hydro–mechanical (THM) processes. In this paper, we discuss the approach philosophy and we comment on heterogeneity, multi-stage data needs and modeling phases. 相似文献