Abdominovaginal fistula after incomplete removal of an intravaginal slingplasty

2014 ◽  
Vol 26 (4) ◽  
pp. 617-619
Author(s):  
Marlene Elmelund ◽  
Vibeke Logager ◽  
Niels Klarskov
2012 ◽  
Vol 5 (5) ◽  
pp. 1031-1043 ◽  
Author(s):  
M. Laborde ◽  
P. Mertes ◽  
P. Zieger ◽  
J. Dommen ◽  
U. Baltensperger ◽  
...  

Abstract. Black carbon (BC) is now mainly of anthropogenic origin. It is the dominant light absorbing component of atmospheric aerosols, playing an important role in the earth's radiative balance and therefore relevant to climate change studies. In addition, BC is known to be harmful to human beings making it relevant to policy makers. Nevertheless, the measurement of BC remains biased by the instrument-based definition of BC. The Single Particle Soot Photometer (SP2), allows the measurement of the refractory BC (rBC) mass of individual particles using laser-induced incandescence. However, the SP2 needs an empirical calibration to retrieve the rBC mass from the incandescence signal and the sensitivity of the SP2 differs between different BC types. Ideally, for atmospheric studies, the SP2 should be calibrated using ambient particles containing a known mass of ambient rBC. However, such "ambient BC" calibration particles cannot easily be obtained and thus commercially available BC particles are commonly used for SP2 calibration instead. In this study we tested the sensitivity of the SP2 to different BC types in order to characterize the potential error introduced by using non-ambient BC for calibration. The sensitivity of the SP2 was determined, using an aerosol particle mass analyzer, for rBC from thermodenuded diesel exhaust, wood burning exhaust and ambient particles as well as for commercially available products: Aquadag® and fullerene soot. Thermodenuded, fresh diesel exhaust has been found to be ideal for SP2 calibration for two reasons. First, the small amount of non-BC matter upon emission reduces the risk of bias due to incomplete removal of non-BC matter and second, it is considered to represent atmospheric rBC in urban locations where diesel exhaust is the main source of BC. The SP2 was found to be up to 16% less sensitive to rBC from thermodenuded ambient particles (≤15 fg) than rBC from diesel exhaust, however, at least part of this difference can be explained by incomplete removal of non-refractory components in the thermodenuder. The amount of remaining non-refractory matter was estimated to be below 30% by mass, according to a comparison of the scattering cross sections of the whole particles with that of the pure BC cores. The SP2 sensitivity to rBC from wood burning exhaust agrees with the SP2 sensitivity to rBC from diesel exhaust within an error of less than 14% (≤40 fg). If, due to experimental restrictions, diesel exhaust cannot be used, untreated fullerene soot was found to give an SP2 calibration curve similar to diesel exhaust and ambient rBC (within ±10% for a rBC mass ≤15 fg) and is therefore recommended although two different batches differed by ~14% between themselves. In addition, the SP2 was found to be up to 40% more sensitive to Aquadag® than to diesel exhaust rBC. Therefore Aquadag® cannot be recommended for atmospheric application without accounting for the sensitivity difference. These findings for fullerene soot and Aquadag® confirm results from previous literature.


1995 ◽  
Vol 109 (8) ◽  
pp. 710-712 ◽  
Author(s):  
T. R. Kapur

AbstractForty cases of failed combined approach tympanoplasty were analysed. The commonest cause of failure was adhesions between the facial ridge and the tympanic membrane, causing segmental attico-mastoid malaeration in 51.3 per cent of cases followed-up continually. Other causes were, large dermoids, incomplete removal of squamous epithelium, and eustachian tube obstruction. Eustachian tube dysfunction did not appear to be a major cause of failure.


Cornea ◽  
2006 ◽  
Vol 25 ◽  
pp. S41-S46 ◽  
Author(s):  
Yu-Feng Yao ◽  
Yu-Qi Jin ◽  
Bei Zhang ◽  
Ping Zhou ◽  
Yong-Ming Zhang ◽  
...  

2008 ◽  
Vol 20 (7) ◽  
pp. 877-879 ◽  
Author(s):  
Michael Grynberg ◽  
Jacques Teyssedre ◽  
Frederic Staerman

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Byung Jun Kim ◽  
Hyeonwoo Kim ◽  
Ung Sik Jin ◽  
Kyung Won Minn ◽  
Hak Chang

Background. Dermatofibrosarcoma protuberans (DFSP), a rare low-grade sarcoma of fibroblast origin, tends to extend in a finger-like fashion beyond macroscopic tumor margins. Therefore, incomplete removal and subsequent recurrence are common. This study aimed to determine the efficacy of wide local excision (WLE) for controlling local recurrence of DFSP.Methods. The medical records of 90 DFSP patients who received WLE at our hospital between June 1992 and January 2015 were retrospectively reviewed. WLE was conducted including a 3 cm (range, 1 to 5 cm) safety margin according to tumor size, location, and recurrence status. Clinical and tumor characteristics and surgical methods were evaluated for risk factor analysis and local recurrence-free survival.Results. DFSP occurred most often in patients in their 30s (30%) and on the trunk (51.1%). Five patients (5.5%) experienced local recurrence during the 43.4-month follow-up period. Recurrence was found at a mean of 10.8 months after WLE. Although no factors were significantly associated with recurrence, recurrences were more frequent in head and neck. Recurrence-free survival was 87% in 6 years and 77% in 7 years.Conclusions. WLE with adequate lateral and deep margins can effectively control local recurrence rate and is a simple and effective method to treat DFSP.


2009 ◽  
Vol 88 (11) ◽  
pp. 1222-1226 ◽  
Author(s):  
Virva Nyyssönen ◽  
Anne Talvensaari-Mattila ◽  
Markku Santala

1988 ◽  
Vol 20 (11-12) ◽  
pp. 125-130 ◽  
Author(s):  
J. P. Salanitro ◽  
G. C. Langston ◽  
P. B. Dorn ◽  
L. Kravetz

The primary degradation of a linear alcohol ethoxylate (AE) and a branched nonylphenol ethoxylate (NPE) was investigated in bench-scale activated sludge units treating a synthetic sewage feed. Biotreaters were gradually adapted to 10-100 mg/ℓ surfactant and effluents monitored for loss of nonionic ethoxylate, foaming, feed BOD removal, nitrification and biosolids growth. Both surfactants were degraded at influent doses of 10-40 mg/ℓ. Substantial BOD breakthrough, loss of nitrification, aerator foaming and incomplete removal of the NPE surfactant occurred when fed at 80 and 100 mg/ℓ while the unit treating AE was unaffected by high surfactant levels. Comparative aquatic toxicity of the biotreated waste at high surfactant levels indicated that the NPE effluent was acutely toxic (EC50, 7-15% effluent) to the fathead minnow and Daphnia while that of the AE unit was non-toxic (EC50, > 100% effluent) to these same species. These studies indicate that the treatment of wastes containing high levels of NPE ethoxylates may adversely impact an activated sludge process in incomplete degradation and foaming, impaired BOD removal, loss in nitrification and the formation of toxic effluents. AE surfactants, however, undergo extensive microbial degradation and cause little or no impact on the activated sludge treatment process.


2021 ◽  
Author(s):  
Andrew Yee ◽  
Manhong Dai ◽  
Stacy E. Croteau ◽  
Jordan A. Shavit ◽  
Steven W. Pipe ◽  
...  

SummaryBackgroundCorrection of von Willebrand factor (VWF) deficiency with replacement products containing VWF can lead to the development of anti-VWF alloantibodies (i.e., VWF inhibitors) in patients with severe von Willebrand disease (VWD).ObjectiveLocate inhibitor-reactive regions within VWF using phage display.MethodsWe screened a phage library displaying random, overlapping fragments covering the full length VWF protein sequence for binding to a commercial anti-VWF antibody or to immunoglobulins from three type 3 VWD patients who developed VWF inhibitors in response to treatment with plasma-derived VWF. Immunoreactive phage clones were identified and quantified by next generation DNA sequencing (NGS).ResultsNGS markedly increased the number of phage analyzed for locating immunoreactive regions within VWF following a single round of selection and identified regions not recognized in previous reports using standard phage display methods. Extending this approach to characterize VWF inhibitors from three type 3 VWD patients (including two siblings homozygous for the same VWF gene deletion) revealed patterns of immunoreactivity distinct from the commercial antibody and between unrelated patients, though with notable areas of overlap. Alloantibody reactivity against the VWF propeptide is consistent with incomplete removal of the propeptide from plasma-derived VWF replacement products.ConclusionThese results demonstrate the utility of phage display and NGS to characterize diverse anti-VWF antibody reactivities.


Author(s):  
Adel Alobaid ◽  
Abdalla Fadul ◽  
Reem Alqahtani ◽  
Norah Alqahtani

Introduction: Acacia nilotica is widely used in traditional medicine as an anti-inflammatory and anti-bacterial agent. Endodontic irrigations exhibit lot of disadvantages with incomplete removal of bacteria. Sodium Hypochlorite (NaOCl) is the prototype irrigation against primary endodontic infections, while 2% chlorhexidine gluconate (CHX) is the best for secondary endodontic infections. Aim: This study aims to examine the antimicrobial effect of Acacia nilotica against clinical isolates of endodontic microorganisms compared to traditional(NaOCl and CHX). Materials and Methods: A total of 12 random clinical samples were collected for bacterial isolation and identification. Clinical isolates were identified as (Streptococcus viridans& staphylococcus aureus). A well identified candida albicans was also used. Acacia nilotica bark was collected, washed, dried and then grounded to fine powder. Specimens were percolated in methanol, filtrated, and concentrated for crude extract. Autoclaved Mueller Hinton media were used for antimicrobial sensitivity test. Microorganisms were inoculated and test material was loaded as original and 50% for 24h. Antibacterial activity was measured by zone of inhibition Results: All tested agents showed an excellent zone of inhibition against all microorganisms tested with their original concentration. Acacia nilotica showed excellent ZOI with more linear effect in both concentrations against S. viridans and S. aureus. Conclusion: Acacia nilotica has shown an excellent zone of inhibition in both original and 50% concentration, therefore, it may be an excellent substitute or adjunct irrigation solution of hebetic origin in endodontics. We recommend taking this material to the next level as an endodontic irrigant. Key words : Antimicrobial, Acacia Nilotica, Extracts , Endodontic, Microorganisms


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