The aim of this study was to develop a safe and fast method SNS-032 for preparing PMMC island flaps using preoperative ultrasonography for vessel detection.\n\nMethods Forty-one PMMC island flaps were used for one-stage reconstruction of head and neck defects, including 21 cases in the treatment group and 20 cases in the control group. In the treatment group, ultrasonography was used to mark out the course of the thoracic branches of the thoracoacromial artery and the lower end of this artery perforating from the fascia into the muscles, as well as the largest perforating branch of the fourth or fifth internal mammary artery entering the PMMC flap.

A line, from the lower end of the thoracic MLN4924 manufacturer branch to the largest perforating branch of the fourth or fifth internal mammary artery, was drawn to determine the axis

of the PMMC flap. In the control group, PMMC island flaps were designed according to conventional methods without using ultrasonography.\n\nResults According to the ultrasonic marks, the distance from lower end of thoracic branch to the midpoint of the margin of the inferior clavicular was (5.1 +/- 1.2) cm. The time from designing to transferring the island flap was significantly shorter in the treatment group ((51.0 +/- 10.5) minutes) compared with the control group ((78.0 +/- 13.9) minutes, P <0.01). The rate of partial necrosis was 4.7% (1/21) in the treatment group and 35.0% (7/20) in the control group. There was one case of flap failure in the control TGFbeta inhibitor group due to vascular injury during vascular pedicle dissection.\n\nConclusion Preoperative vessel detection by ultrasonography facilitates easy and safe harvesting of the true PMMC island flap. Chin Med J 2012;125(4):667-670″
“Objective: To determine whether metformin-treated patients with type 2 diabetes given an analogue mixture of basal and rapid-acting insulins (insulin lispro protamine suspension plus insulin lispro) would have less glycemic variability

than patients given basal insulin glargine.\n\nMethods: Two post hoc analyses were used to compare 7-point blood glucose profiles from 3 published studies comparing basal plus prandial premixed insulin lispro mixtures with insulin glargine in metformin-treated patients with type 2 diabetes. Glycemic variability indices used included standard deviation of mean daily blood glucose, coefficient of variation, M-value, mean amplitude of glycemic excursion, and J-index.\n\nResults: Patients oil the twice-daily insulin lispro mix 75/25 (75% insulin lispro protamine suspension/25% insulin lispro) plus metformin regimen had significantly lower standard deviation, M-value, and J-index than patients on the insulin glargine plus metformin regimen, but not lower coefficient of variation or mean amplitude of glycemic excursion.