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The study utilized the Modified Universal Soil Loss Equation (MUSLE) to predict sediment loss and evaluate the model's performance in the Agewmariam experimental watershed in order to support the planning, management, and appropriate use of the soil and water resources in the watershed. The natural resources conservation service (NRCS) curve number method was used to model runoff energy factor. By overlaying maps of runoff energy, soil erodibility, slope length and steepness, cover management, and support practice factors with assigned values, the cumulative effect of these parameters for the suspended sediment yield was calculated using the ArcGIS raster calculator. The runoff energy factor was the most sensitive parameter, followed by slope length and steepness factor. To improve the model's fit to the local conditions, the initial abstraction to storage ratio (λ) of the runoff energy factor was reduced to 0.023, and the MUSLE model coefficient and exponent were adjusted to 1 and 0.59, respectively. During calibration, the mean observed and estimated suspended sediment yields were 0.2 and 0.23 ton/ha, respectively, while during validation, they were 0.7 and 0.53 ton/ha, respectively. The model evaluation showed that the MUSLE model, without calibration, was not appropriate for estimating runoff and sediment yield. However, with appropriate calibration, the model showed good performance with a coefficient of determination (R2), coefficient of efficiency (E), and index of agreement (d) of 0.85, 0.85, and 0.96 respectively, during calibration and 0.84, 0.65, and 0.83 respectively, during validation. Based on these findings, this study suggests that the calibrated MUSLE model can be used to prioritize soil and water conservation interventions within the watershed or can be extrapolated to neighboring similar watersheds. Further refinement of model input parameters using more data from the watershed is recommended to increase the prediction accuracy of the model.

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The sediment transport, involving the movement of the bedload and suspended sediment in the basins, is a critical environmental concern that worsens water scarcity and leads to degradation of land and its ecosystems. Machine learning (ML) algorithms have emerged as powerful tools for predicting sediment yield. However, their use by decision-makers can be attributed to concerns regarding their consistency with the involved physical processes. In light of this issue, this study aims to develop a physics-informed ML approach for predicting sediment yield. To achieve this objective, Gaussian, Center, Regular, and Direct Copulas were employed to generate virtual combinations of physical of the sub-basins and hydrological datasets. These datasets were then utilized to train deep neural network (DNN), conventional neural network (CNN), Extra Tree, and XGBoost (XGB) models. The performance of these models was compared with the modified universal soil loss equation (MUSLE), which serves as a process-based model. The results demonstrated that the ML models outperformed the MUSLE model, exhibiting improvements in Nash-Sutcliffe efficiency (NSE) of approximately 10%, 18%, 32%, and 41% for the DNN, CNN, Extra Tree, and XGB models, respectively. Furthermore, through Sobol sensitivity and Shapley additive explanation-based interpretability analyses, it was revealed that the Extra Tree model displayed greater consistency with the physical processes underlying sediment transport as modeled by MUSLE. The proposed framework provides new insights into enhancing the accuracy and applicability of ML models in forecasting sediment yield while maintaining consistency with natural processes. Consequently, it can prove valuable in simulating process-related strategies aimed at mitigating sediment transport at watershed scales, such as the implementation of best management practices.

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Sediment yield estimation along with identification of soil erosion mechanisms is essential for developing sophisticated management approaches, assessing, and balancing different management scenarios and prioritizing better soil and water conservation planning and management. At the watershed scale, land management practices are commonly utilized to minimize sediment loads. The goal of this research was to estimate sediment yield and prioritize the spatial dispersion of sediment-producing hotspot areas in the Nashe catchment using the Soil and Water Assessment Tool (SWAT). Moreover, to reduce catchment sediment output, this study also aims to assess the effectiveness of certain management practices. For calibration and validation of the model, monthly stream flow and sediment data were utilized. The model performance indicators show good agreement between measured and simulated stream flow and sediment yields. The study examined four best management practice (BMP) scenarios for the catchment's designated sub-watersheds: S0 (baseline scenario), S1 (filter strip), S2 (stone/soil bunds), S3 (contouring), and S4 (terracing). According to the SWAT model result, the watershed's mean yearly sediment output was 25.96 t/ha. yr. under baseline circumstances. The model also revealed areas producing the maximum sediment quantities indicating the model's effectiveness for implementing and evaluating the sensitivity of sediment yield to various management strategies. At the watershed scale, treating the watershed with various management scenarios S1, S2, S3, and S4 decreased average annual sediment yield by 34.88%, 57.98%, 39.55%, and 54.77%, respectively. The implementations of the soil/stone bund and terracing scenarios resulted in the maximum sediment yield reduction. The findings of this study will help policymakers to make better and well-informed decisions regarding suitable land use activities and best management strategies.

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El macizo facial es una región anatómica compleja que alberga órganos sensoriales. El desarrollo de una enfermedad oncológica, así como su tratamiento, causan defectos funcionales y estéticos con un alto costo físico y psíquico para el paciente y su entorno. Es por ello que la reconstrucción representa un reto. Las diferentes posibilidades incluyen prótesis obturatríces, colgajos libres, pediculados o microvascularizados. En este artículo se describirá el colgajo de músculo temporal y se desarrolla un caso clínico de cirugía oncológica maxilar reconstruido mediante éste en un paciente que presenta una lesión exofítica en cuadrante superior derecho, que se extiende sobre el flanco vestibular, reborde alveolar y zona palatina, desde zona de premolares hasta la zona del segundo molar inclusive, impidiéndole usar la prótesis dental. Esta cirugía es una técnica económica, que requiere menor tiempo quirúrgico que otras técnicas, asociándose a poco porcentaje de fracaso y pocas complicaciones post operatorias.

The facial mass is a complex anatomical region that houses sensory organs. The development of an oncologic disease, as well as its treatment, causes functional and esthetic defects with a high physical and psychological cost for the patient and his environment. This is why reconstruction represents a challenge. The different possibilities include obturator-root prostheses, free, pedicled or microvascularized flaps. In this article the temporal muscle flap will be described and a clinical case of maxillary oncologic surgery reconstructed by means of it is developed in a patient who presents an exophytic lesion in the right upper quadrant, which extends over the vestibular flank, alveolar ridge and palatal area, from the premolar area up to and including the second molar area, preventing him from using the dental prosthesis. This surgery is an economical technique that requires less surgical time than other techniques, and is ass

A massa facial é uma região anatômica complexa que abriga órgãos sensoriais. O desenvolvimento de uma doença oncológica, assim como seu tratamento, causa defeitos funcionais e estéticos com alto custo físico e psicológico para o paciente e seu ambiente. A reconstrução é, portanto, um desafio. As diferentes possibilidades incluem as próteses de raiz obturadora, abas livres, pediculadas ou microvascularizadas. Este artigo descreve o retalho muscular temporal e descreve um caso clínico de cirurgia oncológica maxilar reconstruída utilizando-o em um paciente com lesão exofítica no quadrante superior direito, estendendo-se pelo flanco vestibular, rebordo alveolar e área palatina, desde a área do pré-molar até a área do segundo molar inclusive, impedindo-o de utilizar a prótese dentária. Esta cirurgia é uma técnica econômica, que requer menos tempo cirúrgico que outras.

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BACKGROUND: Critically elevated compartment pressures after complicated tibial fractures may result in fibrosis and therefore scarring of muscles with impaired function. Several studies have shown a relationship between angiogenesis and more effective muscle regeneration. Cysteine-rich angiogenic inducer 61 (CYR61) is associated with angiogenesis but it is not clear whether it would restore muscle force, reduce scarring or improve angiogenesis after acute musculoskeletal trauma. OBJECTIVE: We researched whether local application of CYR61 (1) restores muscle force, (2) reduces scar tissue formation, and (3) improves angiogenesis. METHODS: We generated acute soft tissue trauma with temporary ischemia and increased compartment pressure in 22 rabbits and shortened the limbs to simulate surgical fracture debridement. In the test group, a CYR61-coated collagen matrix was applied locally around the osteotomy site. After 10 days of limb shortening, gradual distraction of 0.5 mm per 12 hours was performed to restore the original length. Muscle force was measured before trauma and on every fifth day after trauma. Forty days after trauma we euthanized the animals and histologically determined the percentage of connective and muscle tissue. Immunohistology was performed to analyze angiogenesis. RESULTS: Recovery of preinjury muscle strength was significantly greater in the CYR61 group (2.8 N; 88%) as compared to the control (1.8 N; 53%) with a moderate reduction of connective tissue (9.9% vs. 8.5%). Immunohistochemical staining showed that blood vessel formation increased significantly (trauma vs. control 38.75 ± 27.45 mm2 vs. 24.16 ± 19.81 mm2). CONCLUSIONS: Local application of CYR61 may improve restoration of muscle force and accelerate muscle force recovery by improving angiogenesis and moderately reducing connective tissue.

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BACKGROUND: The correction of anomalous head posture associated with infantile nystagmus syndrome (INS) is carried out by the Kestenbaum procedure (KP) combining bilateral horizontal yoke muscle recession with resection of their antagonists or by the Anderson procedure (AP) which is confined to yoke muscle recession alone. AIM OF THE STUDY: To compare the results of highly dosed AP and KP for anomalous head turn (HT). PATIENTS AND METHODS: The AP (2013-2019) and KP (2003-2013) were used as the exclusive procedures during the respective time periods. A highly dosed AP was performed in a case series of 33 consecutive orthotropic patients with INS and KP in 19 orthotropic patients with INS. Medians and ranges (min-max) in groups AP/KP were: age at surgery 7 years (4-44 years)/6 years (4-27 years), HT 32.5° (20-45°)/30° (17-40°) and surgery on each eye AP 13 mm (10-16 mm) (standard dose), KP 10 mm (6-12 mm) + 10 mm (6-12 mm) (mean 0.6 mm/°HT). RESULTS: The HT was diminished to 10° (-3-20°)/10° (-7-20°) ca. 3 months after surgery. At the late visit (8-153 months), the residual HT was 10° (0-20°)/10° (-27-30°). The HT was reduced by 67% (20-100%)/64% (14-100%) at the last control. A residual HT ≤15° was present in 79%/81% of cases (91% after AP ≥13 mm; n = 23) and HT ≤10° in 55%/57%, (65% after AP ≥13 mm). The maximum adduction/abduction towards the recessed muscles was 30°/30° (10-37°/15-45°) after AP and 32°/30° (10-40°/12-45°) after KP. An associated head tilt was not improved by the intervention. Mean binocular visual acuity increased by <1 line in both procedures. After AP the mean increase was 1 line in children ≤6 years old and there was no increase in patients >6 years of age. CONCLUSION: The effectiveness and success rates of AP and KP were similar with the dosing used. Less invasive surgery is an advantage in favor of AP as the primary procedure.

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OBJECTIVE: To investigate clinical effect of gastrocnemius muscle flap for repairing postoperative infection of patellar internal fixation. METHODS: From January 2011 to January 2017, 15 patients with postoperative infection of patellar internal fixation were treated, including 9 males and 6 females ranged from 31 to 66 years old with an average age of (42.5±11.2) years old. The courses of disease ranged from 2 to 8 months with an average of (4.3±1.5) months. All wounds were repaired by gastrocnemius muscle flap after debridement. The coverage of muscle flap was performed by free skin graft and donor site was closed directly. Survival of muscle flap, healing of incision were observed. HUANG Yong-xin clinical criteria and KSS score criteria were used to evaluate knee joint function 9 after operation. RESULTS: All muscle flaps were survived without necrosis. Incision of 13 patients were healed at stageI, and 2 patients had wound dehiscence after operation and healed after symptomatic treatment. All patients were followed up from 9 months to 30 months with an average of(20.6±8.3) months. No recurrence of infection was observed, and texture of muscle flap, skin color, appearance were good. According to HUANG Yong-xin clinical criteria, 13 excellent and 2 moderate. The clinical score of KSS score was 83.3±7.8, and functional score of KSS score was 86.3±10.4. CONCLUSIONS: Gastrocnemius muscle flap is an effective method in repairing postoperative infection of patellar internal fixation with stable curative effect and low recurrence rate, which is worthy popularizing.

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<p><b>OBJECTIVE</b>To investigate clinical effect of gastrocnemius muscle flap for repairing postoperative infection of patellar internal fixation.</p><p><b>METHODS</b>From January 2011 to January 2017, 15 patients with postoperative infection of patellar internal fixation were treated, including 9 males and 6 females ranged from 31 to 66 years old with an average age of (42.5±11.2) years old. The courses of disease ranged from 2 to 8 months with an average of (4.3±1.5) months. All wounds were repaired by gastrocnemius muscle flap after debridement. The coverage of muscle flap was performed by free skin graft and donor site was closed directly. Survival of muscle flap, healing of incision were observed. HUANG Yong-xin clinical criteria and KSS score criteria were used to evaluate knee joint function 9 after operation.</p><p><b>RESULTS</b>All muscle flaps were survived without necrosis. Incision of 13 patients were healed at stageI, and 2 patients had wound dehiscence after operation and healed after symptomatic treatment. All patients were followed up from 9 months to 30 months with an average of(20.6±8.3) months. No recurrence of infection was observed, and texture of muscle flap, skin color, appearance were good. According to HUANG Yong-xin clinical criteria, 13 excellent and 2 moderate. The clinical score of KSS score was 83.3±7.8, and functional score of KSS score was 86.3±10.4.</p><p><b>CONCLUSIONS</b>Gastrocnemius muscle flap is an effective method in repairing postoperative infection of patellar internal fixation with stable curative effect and low recurrence rate, which is worthy popularizing.</p>

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The aim of this work is to assess mercury content in the great cormorant in the Trebon region pond systems (Czech Republic) in terms of its potential to accumulate mercury from common carp. Selected tissues samples were taken from 51 cormorants and 30 common carp. In the food chain the cormorant was found to have the potential to accumulate mercury, where the muscle total mercury was roughly 35 times higher compared to the total mercury content in the carp muscle as its food. A statistically significantly higher overall mercury content (p < 0.01) has been found in the kidney and liver (2.23 ± 0.30, 2.12 ± 0.22 mg/kg) compared to other tissues examined in cormorants. The proportion of muscle methylmercury in the total mercury content of the cormorant was within the range 64.3%-87.3%. The results can help us to gain a better understanding of how mercury is distributed and accumulated in the aquatic food chain.

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The Soil and Water Assessment Tool (SWAT) is used worldwide for water quality assessment and planning. This paper aimed to assess and adapt SWAT hillslope sediment yield model (Modified Universal Soil Loss Equation, MUSLE) for applications in large basins, i.e. when spatial data is coarse and model units are large; and to develop a robust sediment calibration method for large regions. The Upper Danube Basin (132,000km(2)) was used as case study representative of large European Basins. The MUSLE was modified to reduce sensitivity of sediment yields to the Hydrologic Response Unit (HRU) size, and to identify appropriate algorithms for estimating hillslope length (L) and slope-length factor (LS). HRUs gross erosion was broadly calibrated against plot data and soil erosion map estimates. Next, mean annual SWAT suspended sediment concentrations (SSC, mg/L) were calibrated and validated against SSC data at 55 gauging stations (622 station-years). SWAT annual specific sediment yields in subbasin reaches (RSSY, t/km(2)/year) were compared to yields measured at 33 gauging stations (87station-years). The best SWAT configuration combined a MUSLE equation modified by the introduction of a threshold area of 0.01km(2) where L and LS were estimated with flow accumulation algorithms. For this configuration, the SSC residual interquartile was less than +/-15mg/L both for the calibration (1995-2004) and the validation (2005-2009) periods. The mean SSC percent bias for 1995-2009 was 24%. RSSY residual interquartile was within +/-10t/km(2)/year, with a mean RSSY percent bias of 12%. Residuals showed no bias with respect to drainage area, slope, or spatial distribution. The use of multiple data types at multiple sites enabled robust simulation of sediment concentrations and yields of the region. The MUSLE modifications are recommended for use in large basins. Based on SWAT simulations, we present a sediment budget for the Upper Danube Basin.

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Objective To explore the diagnosis and treatment of increased intracranial pressure caused by temporal muscle swelling after decompressive craniectomy in patients with severe traumatic brain injury.Methods A retrospective analysis was performed on 46 patients with increased intracranial pressure caused by temporal muscle swelling after decompressive craniectomy,admitted to our hospital from January 2004 and January 2012.Among them,22 were treated with conservative therapy,and the other 24 were treated with operative therapy.Results Based on Glascow Outcome Scale scores,23 recovered well,12 had moderate disability,8 had severe disability,3 were at vegetative state and no death was noted.Conclusions Temporal muscle swelling after decompressive craniectomy may cause secondary increased intracranial pressure,and this will lead a negative effect on recovery of patients with severe traumatic brain injury.Early prophylaxis,early diagnosis and early treatment are necessary for these patients.

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Objective: To dicuss the regulation of expression of cGMP-dependent protein kinase I_? (PKG I_?) by calcineurin (CaN) in vascular smooth musle cells (VSMCs) proliferation. Methods: Cultured wistar rat aortic VSMCs were used as an experimental model. CaN was inhibited by its special inhibitor cyclosporin A (CsA). Phenylephrine (PE) was given to stimulate VSMCs to proliferate. All of cultured cells were divided into four groups:control group, 0.5 mg/L CsA group, 5 mg/L CsA group and 5 mg/L CsA+10 ?mol/L PE group. The mRNA and protein expressions were assayed by RT-PCR, immunocytochemistry and Western blot analysis. Results: The OD ratio of PKG I_? mRNA expression in 0.5 mg/L CsA group resembled that in the control group while that in 5 mg/L CsA group was significantly higher than that in the control group (P

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We explore the question of whether adenosine 5'-triphosphate (ATP) acts as an excitatory neurotransmitter in guinea-pig gastric smooth muscle. In an organ bath system, isometric force of the circular smooth muscle of guinea-pig gastric antrum was measured in the presence of atropine and guanethidine. Under electrical field stimulation (EFS) at high frequencies (>20 Hz), NO-mediated relaxation during EFS was followed by a strong contraction after the cessation of EFS (a "rebound-contraction"). Exogenous ATP mimicked the rebound-contraction. A known P2Y-purinoceptor antagonist, reactive blue 2 (RB-2), blocked the rebound-contraction while selective desensitization of P2x-purinoceptor with alpha, beta-MeATP did not affect it. ATP and 2-MeSATP induced smooth muscle contraction, which was effectively blocked by RB-2 and suramin, a nonselective P2-purinoceptor antagonist. Particularly, in the presence of RB-2, exogenous ATP and 2-MeSATP inhibited spontaneous phasic contractions, suggestingthe existence of different populations of purinoceptors. Both the rebound-contraction and the agonist-induced contraction were not inhibited by indomethacin. The rank orders of agonists' potency were 2-MeSATP > ATP gtoreq UTP for contraction and alpha, beta-MeATP gtoreq beta, gamma-MeATP for inhibition of the phasic contraction, that accord with the commonly accepted rank order of the classical P2Y-purinoceptor subtypes. Electrical activities of smooth muscles were only slightly influenced by ATP and 2-MeSATP, whereas alpha, beta-MeATP attenuated slow waves with membrane hyperpolarization. From the above results, it is suggested that ATP acts as an excitatory neurotransmitter, which mediates the rebound-contraction via P2Y-purinoceptor in guinea-pig gastric antrum.

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In the present study, we examined whether GLUT4 concentration in rat skeletal muscle is dependent on local muscle activity level or not. In ten male Sprague-Dawley rats, one side of gastrocnemius muscle was tenotomized, and the other side contralateral muscle was treated sham operation as a control. Gastrocnemius and plantaris muscles were excised from both legs at the five weeks after surgery. After the muscles were weighed, GLUT 4 concentration and citrate synthase (CS) activity were measured. The results are summarized as follows:<BR>In gastrocnemius muscle, tenotomy induced decreases of 25% in muscle weight, 16% in CS activity, and 25% in GLUT 4 concentration as compared with the control muscle. These data suggest that although extramuscular environment is similar, different GLUT 4 concen-tration in both muscles is induced by different muscle activity level. Therefore, it is con-cluded that muscle activity level regulates GLUT 4 concentration in skeletal muscle. In over-loaded synergistic plantaris muscle, muscle weight and GLUT 4 content per whole muscle were increased by 18% and 17%, respectively, but GLUT 4 concentration and CS activity were not changed as compared with the control muscle. These data could be interpreted that GLUT 4 concentration and mitochondrial oxidative enzyme activity in skeletal muscle are coregulated.

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Objective:To study the effects of whole body vibration(WBV)on resistance fracture after postmenopausal obesity women.Methods:A 12-weeks prospective and randominzed trial of 100 postmenopausal women with body mass index(BMI)≥23.The subjects were exposed to three 10-minutes treaments/week,low-magnitude(2.0m/s)and 30Hz vertical accelerations. Dual-energy X-ray absorptiometry(DXA)was used to measure bone mineral density(BMD)at the L_2～L_4 and the neck of left femur at baseline after 12weeks.Mobility Evaluation System was measured the mass and force of music in lower limbs and the force of resistance fracture in femoralneck after 12weeks intervention.Results:Ninty-six women completed the 12-weeks trial. BMD of treatment subjects increased 62.96% with a gain 0.65% in the L_2～L_4,whereas,contral group was increase 26.83% with a loss 0.89%.In the femoralneck,the 72.22% increase observed in the vibration group,contral group was increase 19.51%,the benefit were 1.62% and-1.38% in two groups.The left musle force exhibited a increase 83.33%with benefit of 12.14% in treament group and little increase 29.27% with loss of-8.15% in non-vibration group.The resistance fracture of force of femoralneck was significantly increase in the mechanical group,the increase and gain rate were 83.33%,2.65%,19.51% and -1.52%.Conclusion:WBV of low-level and high-frequency may be effecies for inhibiting the decline in BMD after postmenopausal obesity women,in addition,the musle force in lower limbs and the force of resistance fracture were significantly increase.