825 research outputs found

    Letter Written by George A. Bunnell, Jr. to the Bryant College Service Club Dated April 6, 1943

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    [Transcription begins] April 6, 1943. From: BUNNELL, George Alva Jr. Y3c. To: The Bryant Service Club. Subject: Change of Address. 1. I wish to take this opportunity to inform you of a change of address. From Boston, I have moved to Washington D. C. and am now working in the Bureau of Personnel. Here is the new address: George A. Bunnell, Jr. 3516 10th Street N. W. Washington, D. C. 2. I am a little late in doing this, but thanks very much for the Christmas present. The sweater which you sent me came in very handy during guard duty on cold nights in Boston. From the weather we have been getting here in Washington I am going to have to use it again soon. 3. You have received many letters from other Bryant graduates saying that they had found no other schools with a service club like yours. I will echo their statements. I have met many fellows who have attended many different business schools and collegs [sic], and none of them have attended schools that have service clubs like Bryant’s. 4. A word of advice to those of you studying typing. Learn how to use carbon. If you ever have to do any work for the Army, Navy, or any governmental agency you will use carbon, carbon, and more carbon. George A. Bunnell, Jr. [Transcription ends

    Letter Written by George A. Bunnell, Jr. to the Bryant College Service Club Dated July 2, 1943

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    [Transcription begins] 3516 10th St. N. W. Washington 10, D. C. July 2, 1943 Dear Friends: Again I say Thank you very much! Your package containing two “Flat Fifties” of Camels arrived the other day, and it was a most welcome present. There is only a slight change of address and that is the adding of the figure 10 after Washington. And again I say Thanks Yours truly George Bunnell 1/3c [Transcription ends

    Bunnell or cross-lock Bunnell suture for tendon repair? Defining the biomechanical role of suture pretension

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    Background Suture pretension during tendon repair is supposed to increase the resistance to gap formation. However, its effects on the Bunnell suture technique are unknown. The purpose of this study was to determine the biomechanical effects of suture pretension on the Bunnell and cross-lock Bunnell techniques for tendon repair. Methods Eighty porcine hindlimb tendons were randomly assigned to four different tendon repair groups: those repaired with or without suture pretension using either a simple Bunnell or cross-lock Bunnell technique. Pretension was applied as a 10 % shortening of the sutured tendon. After measuring the cross-sectional diameter at the repair site, static and cyclic biomechanical tests were conducted to evaluate the initial and 5-mm gap formation forces, elongation during cyclic loading, maximum tensile strength, and mode of failure. The suture failure mechanism was also separately assessed fluoroscopically in two tendons that were repaired with steel wire. Results Suture pretension was accompanied by a 10 to 15 % increase in the tendon diameter at the repair site. Therefore, suture pretension with the Bunnell and cross-lock Bunnell repair techniques noticeably increased the resistance to initial gap formation and 5-mm gap formation. The tension-free cross-lock Bunnell repair demonstrated more resistance to initial and 5-mm gap formation, less elongation, and higher maximum tensile strength than the tension-free Bunnell repair technique. The only difference between the tensioned cross-lock Bunnell and tensioned Bunnell techniques was a larger resistance to 5-mm gap formation with the cross-lock Bunnell technique. Use of the simple instead of cross-lock suture configuration led to failure by suture cut out, as demonstrated fluoroscopically. Conclusion Based on these results, suture pretension decreases gapping and elongation after tendon repair, and those effects are stronger when using a cross-lock, rather than a regular Bunnell suture. However, pretension causes an unfavorable increase in the tendon diameter at the repair site, which may adversely affect wound healing

    Adaptação da técnica de Paul-Bunnell-Davidsohn a micrométodo

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    After doing a revision about infectious mononucleosis and its methods of diagnosis, the author presents a micromethod adapted from the Paul-Bunnell-Davidsohn reaaction. Because it is easily and quicklyperformed, the micromethodis particularly useful for epidemiological studies.info:eu-repo/semantics/publishedVersio

    Adaptação da técnica de Paul-Bunnell-Davidsohn a micrométodo

    No full text
    After doing a revision about infectious mononucleosis and its methods of diagnosis, the author presents a micromethod adapted from the Paul-Bunnell-Davidsohn reaaction. Because it is easily and quicklyperformed, the micromethodis particularly useful for epidemiological studies.info:eu-repo/semantics/publishedVersio

    Steamships Adeline Smith, Nann Smith and Redondo loading at the mills of the C. A. Smith Lumber and M'f'g. Co., Marshfield, Oregon

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    Copyright claimant's address: Pasadena, Cal.No. 818.Marshfield renamed Coos Bay in 1944.Copyright deposit; S. U. Bunnell; March 15, 1915; DLC/PP-1915:44932

    Blood product usage and factors associated with transfusions in cats with hemoperitoneum: 33 cases (2018–2022)

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    Objective: To evaluate blood product usage in cats with hemoperitoneum. To secondarily evaluate factors associated with transfusion administration and the outcome of cats with hemoperitoneum. Design: Retrospective study between the years 2018–2022. Setting: University veterinary teaching hospital and private practice hospital. Animals: 33 cats admitted to the hospital diagnosed with hemoperitoneum from January 2018 to September 2022. Measurements and main results: Medical records were retrospectively reviewed; signalment, point-of-care diagnostics, effusion characteristics, and transfusion administration information was recorded. The most common etiology associated with hemoperitoneum was neoplasia (51.5%). Fifty-one percent (51.5%) of cats received a blood transfusion during hospitalization with the majority of cats receiving multiple transfusion types (69%). The etiology of hemoperitoneum was not associated with receiving a transfusion (p = 0.28) Point-of-care diagnostics including packed cell volume (PCV), total solids (TS) and platelet count were not significantly associated with receiving a transfusion (p = 0.317, p = 0.11 and p = 0.82, respectively). The PCV and TS of the effusion was also not significantly associated with transfusions (p = 0.91 and p = 0.63, respectively). Sixteen cats (48%) survived to discharge. Transfusions were significantly associated with outcome and cats that received a transfusion were more likely to survive to discharge (p = 0.008). Conclusion: In conclusion, hemoperitoneum from a variety of etiologies in cats is associated with a high proportion of transfusions. None of the evaluated point-of-care diagnostics were associated with transfusion administration in this study. Cats that received a transfusion were more likely to survive to discharge.This article is published as Bunnell N, Blong A, Kundu D, Mochel JP and Walton R (2023) Blood product usage and factors associated with transfusions in cats with hemoperitoneum: 33 cases (2018–2022). Front. Vet. Sci. 10:1204864. doi: 10.3389/fvets.2023.1204864. Posted with permission.This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms

    Accuracy of virtual planned surgery versus conventional free-hand surgery for reconstruction of the mandible with osteocutaneous free flaps

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    Virtual surgical planning (VSP) promises higher accuracy, efficiency, and superior patient outcomes, helping normalize outcomes from surgeons of different experience levels. A systematic review was conducted in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The objective was to evaluate the accuracy and secondarily efficiency of VSP compared with free-hand surgery, for mandibular reconstruction with free flaps. Six studies met inclusion criteria and had quantitative data suitable for meta-analysis. Intercondylar distance and gonion angle were used to assess accuracy, evaluated by mean change from preoperative VSP and postoperative imaging. The mean weighted difference in VSP intercondylar distance was 2.0 mm, compared with 3.9 mm for free hand (P = 0.101) and mean change in gonion angle for VSP was 3.6°, compared with 7.7° for free hand (P < 0.05). Efficiency assessed by mean ischemia time, was 73.8 min and 109.9 min, for VSP and free hand, respectively (P = 0.203), and by total operative time, which was 391.8 min and 457.6 min in the VSP and free hand, respectively (P = 0.340). VSP is consistently proven to be more accurate and efficient than traditional free-hand surgery; however, a standardized method for accuracy and efficiency measurements is still missing, causing heterogeneity among the scientific reports

    Accuracy of virtual planned surgery versus conventional free-hand surgery for reconstruction of the mandible with osteocutaneous free flaps

    No full text
    Virtual surgical planning (VSP) promises higher accuracy, efficiency, and superior patient outcomes, helping normalize outcomes from surgeons of different experience levels. A systematic review was conducted in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The objective was to evaluate the accuracy and secondarily efficiency of VSP compared with free-hand surgery, for mandibular reconstruction with free flaps. Six studies met inclusion criteria and had quantitative data suitable for meta-analysis. Intercondylar distance and gonion angle were used to assess accuracy, evaluated by mean change from preoperative VSP and postoperative imaging. The mean weighted difference in VSP intercondylar distance was 2.0 mm, compared with 3.9 mm for free hand (P = 0.101) and mean change in gonion angle for VSP was 3.6°, compared with 7.7° for free hand (P < 0.05). Efficiency assessed by mean ischemia time, was 73.8 min and 109.9 min, for VSP and free hand, respectively (P = 0.203), and by total operative time, which was 391.8 min and 457.6 min in the VSP and free hand, respectively (P = 0.340). VSP is consistently proven to be more accurate and efficient than traditional free-hand surgery; however, a standardized method for accuracy and efficiency measurements is still missing, causing heterogeneity among the scientific reports

    Biomechanical Head-to-Head Comparison of 2 Sutures and the Giftbox Versus Bunnell Techniques for Midsubstance Achilles Tendon Ruptures

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    Background: Acute midsubstance Achilles tendon ruptures are a common orthopaedic problem for which the optimal repair technique and suture type remain controversial. Head-to-head comparisons of current fixation constructs are needed to establish which stitch/suture combination is most biomechanically favorable. Hypothesis: Of the tested fixation constructs, Giftbox repairs with Fiberwire will exhibit superior stiffness and strength during biomechanical testing. Study Design: Controlled laboratory study. Methods: Two biomechanical trials were performed, isolating stitch technique and suture type, respectively. In trial 1, 12 transected fresh-frozen cadaveric Achilles tendon pairs were randomized to receive either the Giftbox-modified Krackow or the Bunnell stitch with No. 2 Fiberwire suture. Each repair underwent cyclic loading, oscillating between 10 and 100 N at 2 Hz for 1000 cycles, with repair gapping measured at 500 and 1000 cycles. Load-to-failure testing was then performed, and clinical and catastrophic failure values were recorded. In trial 2, 10 additional paired cadaveric Achilles tendons were randomized to receive a Giftbox repair with either No. 2 Fiberwire or No. 2 Ultrabraid. Testing and data collections protocols in trial 2 replicated those used in trial 1. Results: In trial 1, the Bunnell group had 2 failures during cyclic loading while the Giftbox had no failures. The mean tendon gapping after cyclic loading was significantly lower in the Giftbox repairs (0.13 vs 2.29 mm, P = .02). Giftbox repairs were significantly stiffer than Bunnell (47.5 vs 38.7 N/mm, P = .019) and showed more tendon elongation (5.9 ± 0.8 vs 4.5 ± 1.0 mm, P = .012) after 1000 cycles. Mean clinical load to failure was significantly higher for Giftbox repairs (373 vs 285 N, P = .02), while no significant difference in catastrophic load to failure was observed (mean, 379 vs 336 N; P = .61). In trial 2, there were no failures during cyclic loading. The Giftbox + Fiberwire repairs recorded higher clinical load-to-failure values compared with Giftbox + Ultrabraid (mean, 361 vs 239 N; P = .005). No other biomechanical differences were observed in trial 2. Conclusion: Simulated early rehabilitation biomechanical testing showed that Giftbox-modified Krackow Achilles repair technique with Fiberwire suture was stronger and more resistant to gap formation at the repair site than combinations that incorporated the Bunnell stitch or Ultrabraid suture. Clinical Relevance: A more in-depth understanding of the biomechanical properties of the Giftbox repair will help inform surgical decision making because stronger repairs are less likely to fail during accelerated postoperative rehabilitation. </jats:sec
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