day253
As school approaches, I feel that things are really much better now. An experiment report of the summer course has not been finished yet. Tomorrow I will go to the city to buy clothes, and then go to the hospital for a nucleic acid test. I will go to my dad to have a meal at noon. I should be able to come back tomorrow afternoon. Remember to take online lessons in the morning.
本来可以兴高采烈捐一手钱
其实说了捐钱金额
大家心里都有数
每个人捐多少
非得给算出来干嘛
有种绑架的感觉
晚安加油
As school approaches, I feel that things are really much better now. An experiment report of the summer course has not been finished yet. Tomorrow I will go to the city to buy clothes, and then go to the hospital for a nucleic acid test. I will go to my dad to have a meal at noon. I should be able to come back tomorrow afternoon. Remember to take online lessons in the morning.
本来可以兴高采烈捐一手钱
其实说了捐钱金额
大家心里都有数
每个人捐多少
非得给算出来干嘛
有种绑架的感觉
晚安加油
赢过Le Mans勒芒24小时耐力赛冠军的美国赛车好手LMP1 Driver Gustavo Menezes 古斯塔沃·梅內塞斯，近期正在进行他私人GTS跑车的改装计画，很荣幸他选用了 Fi EXHAUST #Fi排气# ，一起期待最后成果吧！
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Gustavo Menezes Porsche Panamera GTS Sport Turismo is completely transformed into a Seek Discomfort Yes Theory Wagon.
It's able to produce almost 800 hp tuned by Gintani, fitted with an aggressive sounding, full catless Fi EXHAUST valvetronic system with quad carbon fiber tips, custom Brixton Forged Wheels VL2 Duo Series w/ Aerotech package finished in Firecracker Black (Satin / Gloss ), reviveautowerks.
#保时捷# #勒芒24小时耐力赛# #赛车## #改装#
.
Gustavo Menezes Porsche Panamera GTS Sport Turismo is completely transformed into a Seek Discomfort Yes Theory Wagon.
It's able to produce almost 800 hp tuned by Gintani, fitted with an aggressive sounding, full catless Fi EXHAUST valvetronic system with quad carbon fiber tips, custom Brixton Forged Wheels VL2 Duo Series w/ Aerotech package finished in Firecracker Black (Satin / Gloss ), reviveautowerks.
#保时捷# #勒芒24小时耐力赛# #赛车## #改装#
Squamous cell carcinoma measuring 3 cm in diameter on the scalp. The area of excision and the design of the hatchet flaps are outlined.
After excision of the lesion, double hatchet flaps were fashioned on either side of the lesion; the length of each flap was approximately 1.5 times the diameter of the initial defect and the width of the skin pedicle was equivalent to the radius of the defect. Dissection of the flap was performed in the subgaleal plane, preserving the rich supragaleal vascular network (and maintaining the periostium intact to facilitate reconstruction if necrosis of the flap should occur). The flaps were
rotated and advanced, with release of the adjacent tissues along the same plane. The site of apposition of the 2 flaps, in the midline of the area of the defect to be repaired, was closed by tissue planes, and the donor areas of the flaps in V-to-Y fashion. In large repairs, we favor leaving a drain for the first 24 hours.
The results 1 month after the operation show that a stable repair is achieved, with a cosmetic result that we havenot been able to better using other reconstruction techniques in defects of these sizes.
Credit: Versatility of Hatchet Flaps for the Repair of Scalp Defects, M. Fernández-Calderón et.al., Actas Dermosifiliogr. 2012;103(7):629---631
#医学生Medic##medicaltalks##外科#
After excision of the lesion, double hatchet flaps were fashioned on either side of the lesion; the length of each flap was approximately 1.5 times the diameter of the initial defect and the width of the skin pedicle was equivalent to the radius of the defect. Dissection of the flap was performed in the subgaleal plane, preserving the rich supragaleal vascular network (and maintaining the periostium intact to facilitate reconstruction if necrosis of the flap should occur). The flaps were
rotated and advanced, with release of the adjacent tissues along the same plane. The site of apposition of the 2 flaps, in the midline of the area of the defect to be repaired, was closed by tissue planes, and the donor areas of the flaps in V-to-Y fashion. In large repairs, we favor leaving a drain for the first 24 hours.
The results 1 month after the operation show that a stable repair is achieved, with a cosmetic result that we havenot been able to better using other reconstruction techniques in defects of these sizes.
Credit: Versatility of Hatchet Flaps for the Repair of Scalp Defects, M. Fernández-Calderón et.al., Actas Dermosifiliogr. 2012;103(7):629---631
#医学生Medic##medicaltalks##外科#
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