Search Results (9)

The Lower Congo Basin (LCB) and the Niger Delta Basin (NDB), two end-member deep-water systems along the West African passive margin, exhibit contrasting sedimentary architectures despite shared geodynamic settings. The research comprehensively utilizes seismic reflection structure, root mean square amplitude slices, drilling lithology, changes in logging curves, and previous research achievements to elucidate the controlling mechanisms behind these differences. Key findings include: (1) Stark depositional contrast: Since the Eocene, the LCB developed retrogradational narrow-shelf systems dominated by erosional channels and terminal lobes, whereas the NDB formed progradational broad-shelf complexes with fan lobes and delta-fed turbidites. (2) Primary controls: Diapir-driven topographic features and basement uplift govern architectural variability, whereas shelf-slope break configuration and oceanic relief constitute subordinate controls. (3) Novel mechanism: First quantification of how diapir-induced seafloor relief redirects sediment pathways and amplifies facies heterogeneity. These insights establish a tectono-sedimentary framework for predicting deep-water reservoirs in diapir-affected passive margins, refine the conventional “source-to-sink” model by emphasizing salt-geomorphic features coupling as the primary driver. By analyzing the differences in lithofacies assemblages and sedimentary configurations among the above-mentioned different basins, this study can provide beneficial insights for the research on related deep-water turbidity current systems and also offer guidance for deep-water oil and gas exploration and development in the West African region and other similar areas. Full article

Anomalies of coronary artery origins are rare but significant conditions that can range from benign to life-threatening. Early detection through imaging is crucial in preventing adverse outcomes. The treatment strategy varies depending on the type and severity of the anomaly, ranging from pharmacological treatment to surgery. A 22-year-old male patient, after syncope, after excluding other causes, had an exercise drill test, which was clinically negative and ECG-positive. Angio-CT revealed an undeveloped left main coronary artery (LMCA), and the circulation was supplied through the right coronary artery (RCA). The RCA provides the left anterior descending artery (LAD), and the LAD retrogradely supplies the left circumflex artery (LCX). The myocardial perfusion scintigraphy showed a slight lack of perfusion in the anterior wall (6% of total perfusion). The patient was qualified for further observation. A 77-year-old female underwent cardiac CT due to stenocardia. CT showed a lack of LMCA. The initial segment of the RCA gave rise to the left coronary artery (LCA), which encircled the aortic bulb posteriorly and bifurcated into branches resembling the LCX and LAD. After the Heart Team consultation, the patient was deemed eligible for conservative treatment. Angio-CT is a valuable tool for detecting coronary artery anomalies. Full article

Background: Retrograde Drilling (RD) is a surgical technique employed for osteochondral lesions of the talus (OCLTs) to reach the subchondral bone lesion from behind, thus preserving cartilage integrity. The aim of the present pilot study was to set up an in vitro model of OCLTs to evaluate the regenerative potential of biological approaches that could be associated with the RD technique. Methods: For this purpose, an OCLT was created in human osteochondral specimens, to try to mimic the RD technique, and to compare the regenerative potential of two biological treatments. For this purpose, three groups of treatments were performed in vitro: (1) no treatment (empty defect); (2) autologous bone graft (ABG); (3) hyaluronic membrane enriched with autologous bone marrow cells. Tissue viability; production of Collagen I and II, Vascular Endothelial Growth Factor, and Aggrecan; and histological and microCT evaluations were performed after 30 days of culture in normal culture conditions. Results: It was observed that Group 3 showed the highest viability, and Group 2 showed the highest protein production. From a histological and microtomographic point of view, it was possible to appreciate the structure of the morcellized bone with which the defect of Group 2 was filled, while it was not yet possible to observe the deposition of mineralized tissue in Group 3. Conclusions: To conclude, this pilot study shows the feasibility of an alternative in vitro model to evaluate and compare the regenerative potential of two biological scaffolds, trying to mimic the RD technique as much as possible. The tissues remained vital for up to 4 weeks and both ABG and hyaluronic acid-based scaffolds stimulated the release of proteins linked to regenerative processes in comparison to the empty defect group. Full article

Background: In endoscopic dacryocystorhinostomy (DCR), surgical landmarks such as the maxillary line (ML) and the axilla of the middle turbinate (MT) guide the surgeon in identifying the lacrimal sac. The primary surgical risk associated with the classical technique, which involves directly opening the lacrimal sac, is the height of the bone drilling on the projection of the lateral wall of the nasal fossa. This poses a significant risk of damaging the orbit, the floor of the frontal sinus, and the anterior skull base. Furthermore, the anatomical variability in size and location of the lacrimal sac poses a risk for difficult and precise surgical identification. Recently, a ‘retrograde’ technique has been introduced to safely identify and expose the lacrimal sac. The aim of this study is to compare the results of retrograde DCR (rDCR) to a classic technique (clDCR), in terms of clinical recurrence and complications. Methods: A retrospective study on a cohort of 35 patients who underwent DCR at the ENT Department of the Modena University Hospital between January 2010 and October 2022 (18 clDCR and 17 rDCR) was performed. Minimum postoperative follow-up for inclusion was 12 months. We used the Fisher’s exact test to compare the two techniques, comparing functional outcomes and clinical recurrence rates. Results: Clinical recurrence of nasolacrimal stenosis in clDCR patients was 50%, compared to 6% in those who underwent rDCR (p-value 0.005). Postoperative surgical complications were not significantly different between the two groups (p > 0.05). Conclusions: rDCR is a safe technique and has been shown to be a statistically more effective surgical technique than clDCR in reducing clinical recurrence rates. Full article

Background: Recently, the T2 alpha nailing system (Stryker, Inc.), which has advanced locking screws that can attach a screw to a rod, has been used worldwide and is expected to improve fracture fixation. We analyzed two cases of supracondylar femoral fractures in older adult patients, in which intraoperative fractures occurred during the insertion of advanced locking screws of the T2 alpha femur retrograde intramedullary nail. Case presentation: A 93-year-old and an 82-year-old woman each underwent T2 alpha femur retrograde nail fixation for supracondylar femur fractures at separate hospitals, and advanced locking screws were used as the proximal transverse locking screws. In both patients, a fracture line was observed at the proximal screw postoperatively, and the fractures were refixed with distal cable wiring and/or femoral distal plates. The patients were subsequently discharged from the same facility with no remarkable pain. Conclusions: When inserting advanced locking screws, it is necessary to enlarge the screw hole in the near-bone cortex with a counterbore drill, which might add torque to the bone cortex that could result in fractures. If the sleeve is distant from the bone, the counterbore drill will not reach the bone, the screw hole will not expand, and the insertion of advanced locking screws will apply a strong torque to the bone cortex and may result in fracture. Moreover, it is important to confirm that the counterbore drill is securely inserted under fluoroscopy and to carefully enlarge the bony foramen manually to prevent fractures during screw insertion. Full article

Research on the provenance of sedimentary systems is key to better understanding the sedimentary framework and improving exploration-associated decision-making and deployment. With regard to the provenance of sedimentary systems, there is still poor understanding in the initial rifting stage due to imbalanced and insufficient exploration and a common lack of seismic data, which have seriously hindered oil exploration in the Qintong Sag, Subei Basin. This study aimed at investigating the provenance in the direction of the fault-terrace zone in the southeast part of the Qintong Sag and aimed to examine whether large-scale sedimentary systems are formed by these sediment sources. Integrated analysis of heavy minerals, sandstone petrologic maturity, drilling cutting dates, 3D seismic data, and well logs was employed to identify the provenance. This study is the first time that large-scale provenance from the direction of the fault-terrace zone has been discovered in the third member of the Paleocene Funing Formation (referred to as the third Mbr of the Funing Fm in this paper) in the Subei Basin, east China. The documentation shows that sediments from the northwest Wubao Low Uplift and the southeast Taizhou Uplift can be distinguished in the Qintong Sag, with the large-scale delta system in the central and eastern part of the Qintong Sag comprising sediments from the Taizhou Uplift, improving upon previous understanding of the sedimentary framework. The deposition formed by the Taizhou Uplift provenance system was characterized by gradual weakening of the hydrodynamic forces, a decreasing sediment supply, and shrinking of the retrogradational delta depositional systems with good reservoir qualities, which are characterized by high-quality source–reservoir–cap combinations and are likely to develop into a hydrocarbon-rich belt. The discovery of the Taizhou Uplift provenance proves that there may be major provenance and large-scale sedimentary systems from the fault-terrace zone of the rift basins in the initial rifting stage. The experience of rapid retrogradation showed that these large-scale delta systems are likely to only flourish in the initial rifting stage. This study is helpful for improving the understanding of sediment provenance and the sedimentary framework of lacustrine rift basins in the initial rifting stage. Full article

The all-inside anterior cruciate ligament reconstruction (ACLR) technique was developed to improve patient outcomes by reducing the procedure’s invasiveness, minimizing complications and pain, and enabling faster postoperative recovery. This study presents a detailed description of the all-inside ACLR technique, which involves the use of quadrupled semitendinosus (ST) graft and suspension devices at both tibial and femoral sites, as well as valuable tips for avoiding complications that may arise during the procedure. The surgical procedure employs retrograde drills to create bony sockets for graft passage, which are then fixed with suspension devices at both the tibial and femoral sites. This technique has no specific restrictions and may be applied to all patients with anterior cruciate ligament (ACL) injuries. The literature reports the advantages, good clinical outcomes, and medium- to long-term graft survival achieved with the all-inside ACLR technique. However, the complications and disadvantages associated with the technique must be considered. Full article

A new method incorporating geophysical analysis and geological analysis is proposed to define the sedimentary characteristics and distributions in basins with few drilling wells to promote the exploration of reservoirs. This method is applied to a study, through which its principles, closed-loop workflow and technologies are introduced in detail and the sedimentary characteristics and distributions of the study area are accurately defined. During the application process of the method, a compatible geological model is established, based on which the seismic data are interpreted and the results derived from the interpretation are further verified via seismic forward modeling. The study results exhibit a successive sand-rich deposition from the retrogradational gully-filling gravity flow deposition including near-shore fans, slope fans and basin-floor fans delimited by different slope break belts in transgressive sequences to the progradational delta deposition in a retrogressive sequence including braided river deltas with a long extension distance and fan deltas developed along a steep slope belt. And the potential reservoirs are located at the point-out sites of sand bodies with lower average P-wave velocities than those of muddy sediments. The proposition and application of this method are of great significance for oil and gas exploration. Full article

Background: Retrograde drilling (RD) is a minimally invasive surgical procedure mainly used for non-displaced osteochondral lesions (OCL) of the talus, dealing with subchondral necrotic sclerotic lesions or subchondral cysts without inducing iatrogenic articular cartilage injury, allowing the revascularization of the subchondral bone and new bone formation. Methods: This systematic review collected and analyzed the clinical studies of the last 10 years of literature, focusing not only on the clinical results but also on patients’ related factors (gender, BMI, age and complications). Results: Sixteen clinical studies were retrieved, and differences in the type of study, follow-up, number and age of patients, lesion type, dimensions, grades and comparison groups were observed, making it difficult to draw conclusions. Nevertheless, lesions on which RD showed the best results were those of I–III grades and not exceeding 150 mm² in size, showing overall positive results, a good rate of patient satisfaction, improvements in clinical scores, pain reduction and return to daily activities and sports. Conclusions: There are still few studies dealing with the issue of post-surgical complications and gender-related responses. Further clinical or preclinical studies are thus mandatory to underline the success of this technique, also in light of gender differences. Full article