scholarly journals Standardized fluoroscopy-guided implantation technique enables optimal electrode placement in sacral neuromodulation: a cadaver study

2020 ◽  
Author(s):  
C. Müller ◽  
L. F. Reissig ◽  
S. Argeny ◽  
W. J. Weninger ◽  
S. Riss
Keyword(s):  
Sacral Neuromodulation ◽  
Close Contact ◽  
Treatment Success ◽  
Cadaver Study ◽  
Electrode Placement ◽  
Implantation Technique ◽  
The Third ◽  
Median Distance ◽  
Significant Difference ◽  
The Right

Abstract Background Sacral neuromodulation (SNM) is an established treatment option for patients with faecal incontinence. The location of the stimulating electrode is considered to be essential for treatment success. The purpose of this study was to evaluate the position of SNM electrodes after using a standardized fluoroscopy-guided implantation technique. Methods For this cadaver study, SNM electrodes were implanted bilaterally in 5 lower body specimens. The lower edge of the sacroiliac joint and the medial edge of the sacral foramina were marked using fluoroscopy to draw an ‘H’ with the crossing points identifying S3. After electrode placement the pelvis was dissected to describe the exact position of the SNM electrodes. Results The electrodes were inserted at an angle with a median degree measure of 60° (range 50–65°) to the skin, with a median distance of 9 mm (range 0–13 mm) from the S3 marking. All electrodes entered the third sacral foramen. The median distance of the electrodes to the sacral nerve was 0 mm (range 0–3 mm) for the most proximal, 0.5 mm (range 0–5 mm) for the second, 2.25 mm (range 0–11 mm) for the third and 1.75 mm (range 0–16 mm) for the most distant electrode. There was neither a significant difference in the proximity of the electrodes to the nerve between the right and left side (proximal to distal electrode: p = 0.18, p = 0.16, p = 0.07, p = 0.07) nor between male and female cadavers (p = 0.25, p = 0.21, p = 0.66, p = 0.66). Conclusions A standardized fluoroscopy-guided implantation technique enables a close contact between electrode and nerve. This can potentially result in an improved clinical outcome.

scholarly journals A Study on the Optimization of High School Buildings for Evacuation Safety: Classroom Layout and Ramps in Korea

2021 ◽  
Vol 12 (5) ◽  
pp. 358-368
Author(s):  
Chang-Jun Choi, Ha-Sung Kong
Keyword(s):  
High School ◽  
Grade Level ◽  
School Buildings ◽  
Layout Analysis ◽  
The Third ◽  
School Year ◽  
Significant Difference ◽  
Left And Right ◽  
Evacuation Safety ◽  
The Right

This study used the Pathfinder program to evaluate evacuation safety by assuming evacuation training in high school buildings and changing classroom layout. Analysis of the final evacuation requirements for Scenario 2, which currently has a concentration of classrooms on the third floor of the building, showed that Scenario 2 reduced 29.6 seconds to 173.9 seconds compared to Scenario 1's 203.5 seconds. However, the analysis of Scenario 3, in which 10 classrooms and personnel of three grades were placed equally on the left and right sides of the building, showed that the final evacuation requirements were reduced 3.9 seconds to 170.0 seconds compared to Scenario 2, but there was no significant difference. Scenario 3, which has more the efficiency of school year operation by placing classroom layout on the same floor by grade level than Scenario 2, in which more classrooms and students were placed downstairs. In each scenario, an analysis of the final evacuation requirements showed that the evacuation exit T1 on the left side of the building was 28 seconds or more shorter than T3 on the right side of the building. Therefore, it was analyzed that proper classroom layout and ramp facilities in high school buildings ensure evacuation safety

scholarly journals RESPONS NAPHTHALEN ACETIC ACID DAN UNSUR MIKRO MIKOMBI SUPER TERHADAP CHERELLE WILT PADA TANAMAN KAKAO

EUGENIA ◽  
2012 ◽  
Vol 21 (3) ◽  
Author(s):  
Stanley A.F. Walingkas ◽  
Meity Rantung
Keyword(s):  
Plant Growth ◽  
Plant Growth Regulators ◽  
Growth Regulators ◽  
Nutrient Elements ◽  
The Third ◽  
Significant Difference ◽  
Treatment Factor ◽  
The Right ◽  
Micro Elements ◽  
Better Than

ABSTRACT This study aims to determine the effect of plant growth regulators and micro elements to cherelle wilt in cacao plants as well as finding the right business in tackling cherelle wilt in cacao plants. The research was carried out in the garden village folk Eris Eris Minahasa district for 8 months from January to August 2009. Spraying micro-nutrient elements is necessary to reduce cherelle wilt because the various treatments for the first observation is not significantly different, but the observations into two to seven observations to indicate a significant difference between treatments (percentage cherelle wilt on treatment without nutrient elements higher than sprayed). While spraying the treatment factor of plant growth regulators (NAA) is not necessary because the first observation and the two had no significant effect on the percentage of cherelle wilt affected only the third observation and further observations to a fourth, fifth, sixth and seventh again no effect. So is the treatment for fruit length and diameter showed that administration of the micro nutrients necessary for sprayed with micro nutrients result 22.10 cm higher than that is not sprayed is 19.43 cm. As for the diameter of the fruit is affected by plant growth regulators. Treatment is better than 200 ppm 100 ppm and 0 ppm (control). Keywords: NAA, cocoa, mikombi     ABSTRAK   Penelitian ini bertujuan mengetahui pengaruh pemberian zat pengatur tumbuh dan unsur mikro terhadap cherelle wilt pada tanaman kakao serta menemukan usaha yang tepat dalam menanggulangi cherelle wilt pada tanaman kakao. Penelitian ini dilaksanakan di kebun rakyat Desa Eris Kecamatan Eris Kabupaten Minahasa selama 8 bulan sejak Januari – Agustus 2009. Penyemprotan unsur hara mikro perlu dilakukan untuk mengurangi cherelle wilt sebab pada berbagai perlakuan untuk pengamatan pertama tidak berbeda nyata namun pada pengamatan ke dua sampai pengamatan ke tujuh menunjukkan adanya perbedaan nyata antar perlakuan (prosentase cherelle wilt pada perlakuan tanpa unsure hara lebih tinggi dari yang disemprot). Sementara faktor penyemprotan dengan perlakuan zat pengatur tumbuh (NAA) tidak perlu dilakukan sebab pengamatan pertama dan ke dua tidak berpengaruh nyata pada persentase cherelle wilt hanya berpengaruh pada pengamatan ke tiga dan selanjutnya pengamatan ke empat, ke lima, ke enam dan ke tujuh kembali tidak berpengaruh. Begitu juga perlakuan untuk panjang dan diameter buah menunjukkan bahwa pemberian unsur hara mikro perlu dilakukan sebab yang disemprot dengan unsur hara mikro hasilnya 22,10 cm lebih tinggi dari yang tidak disemprot yaitu 19,43 cm. Sementara untuk diameter buah dipengaruhi oleh zat pengatur tumbuh. Perlakuan 200 ppm lebih baik dari 100 ppm dan 0 ppm (kontrol). Eugenia Volume 18 No. 2  Agustus 2012 Kata kunci : NAA, kakao, mikombi

Morton’s Neuroma Excision: What Are We Really Doing? Which Retractor Is Superior?

2018 ◽  
Vol 12 (3) ◽  
pp. 272-277
Author(s):  
Zachariah Pinter ◽  
Christopher Odom ◽  
Andrew McGee ◽  
Kyle Paul ◽  
Samuel Huntley ◽  
...  
Keyword(s):  
Cadaver Study ◽  
Common Complication ◽  
Morton’S Neuroma ◽  
Dorsal Approach ◽  
Levels Of Evidence ◽  
The Third ◽  
Significant Difference ◽  
Fresh Frozen ◽  
Morton's Neuroma ◽  
The Mean

Background: When using a dorsal approach for Morton’s neuroma excision, the most common complication is recurrent Morton’s neuroma. The present cadaveric study demonstrates how far proximally the nerve is resected during a dorsal approach and examines both the laminar spreader and Gelpiretractor to determine which instrument facilitates maximal proximal resection of the nerve. Methods: This study involved 12 fresh-frozen cadaver specimens, each of which underwent a dorsal approach to the interdigital nerve with proximal resection. Either a laminar spreader or a Gelpi retractor was used to improve visualization of the intermetatarsal space. The interdigital nerve was then resected, and the lengths of the cut nerves were compared based on the retractor employed. Results: The mean length of proximal resection in the second intermetatarsal space was 2.42 cm when using the laminar spreader and 1.93 cm when using the Gelpi retractor (P = .252). In the third intermetatarsal space, the mean length of proximal resection was 2.14 cm when using the Laminar spreader and 1.48 cm when using the Gelpi retractor (P = .166). Conclusion: This study demonstrates how far proximal the interdigital nerve is resected during a dorsal approach to Morton’s neuroma and shows no statistically significant difference between the Laminar spreader and the Gelpi retractor. Levels of Evidence: Level V: Cadaver study

The effect of ultrasonography in predicting medical treatment success in ectopic pregnancy

2019 ◽  
Vol 1 (1) ◽  
pp. 5-7
Author(s):  
Meric Balikoglu ◽  
Burak Bayraktar ◽  
Mert Mevlüt Akar
Keyword(s):  
Single Dose ◽  
Medical Treatment ◽  
Ectopic Pregnancy ◽  
Adnexal Mass ◽  
Treatment Success ◽  
Dose Methotrexate ◽  
Treatment Prediction ◽  
Significant Difference ◽  
Mass Size ◽  
The Right

Ectopic pregnancy(EP) treatment success in a single dose methotrexate(MTX) regimen is decided by more than 15% β chorionic gonadotropin reduction in the 4th and 7th days after administration of 50mg/m² of medication.  In our study , it was aimed whether the EP mass size less than 40mm detected by ultrasonography and the adnexal side on which it was located had an effect on the success of medical treatment. 82 patients who treated with MTX included in the study were divided into two groups as those with a single dose of methotrexate success and those without (n:67 vs n:15). The groups were compared in terms of age, parity, size of adnexal mass detected on ultrasonography, and the side of ectopic pregnancy. The parity rates and the age of patients were similar in both groups(p = 0.615, p = 0.742). Although the average adnexal mass size was found to be higher in the patient group those single dose MTX treatment was not successful, there was no statistically significant difference(p = 0.098). Ectopic pregnancy was frequently observed on the right side in the group in which the medical treatment was successful(66 % vs 33%). The effect of ectopic pregnancy mass size on medical treatment prediction was investigated in cases with mass size less than 40mm. Ectopic pregnancy mass size, even if it is below 40 mm, may not indicate the medical treatment success.

scholarly journals Possibilty of the lower third molar eruption: Radiographic analysis

2006 ◽  
Vol 63 (2) ◽  
pp. 159-162
Author(s):  
Nenad Nedeljkovic ◽  
Zorana Stamenkovic ◽  
Zoran Tatic ◽  
Alek Racic
Keyword(s):  
Third Molar ◽  
Occlusal Plane ◽  
Third Molars ◽  
The Third ◽  
Crown Width ◽  
Significant Difference ◽  
Mutual Relations ◽  
The Right ◽  
B Lines ◽  
Third Molar Eruption

Backgraund/Aim. To assess the possibility of the eruption of the lower third molar on the basis of the measured parameters: retromolar space, mesiodistal crown width of a molar and the third molar angulation. Methods. The investigation included 104 patients both sexes (43 boys, and 61 girls), 16 to 25 years old (meanage, 18 years). It was performed using the orthopanthomographic radiographs analysis of those patients. Each radiograph was covered by tracing paper, and the contoures of the followiny anatomic details were drawn: a) the crown and root contours of third molars, upper and lower central incisors, distal molars in occlusion, anterior edge of ramus mandible, b) lines: 1. the occlusal plane, 2. the line of retromolar space, 3. the mesiodistal crown width of third molar, 4. the axial shaft of the third molar and the distal angle between occlusal plane and the axial shaft of the third molar. The values were measured with an orthodontic caliper: the diameter of retromolar space, diameter of mesiodistal width, the value of distal angle between occlusal plane and axial shaft of molar. Results. A favourable angulation of the lower third molar (more than 60?) was found in, boys (left 27.90%, right 32.55%), girls (left 39.34%, right 37.77%). A favourable relationship between the diameters of mesiodistal width of the third molar and retromolar space was found in, boys, (left 13.59%, right 16.27%), girls, (left 8.19%, right 14.75%). A favorable relationship between the diameters of mesiodistal width of the third molar and the retromolar space and the angulation was found in boys, (left 9.30%, right 11.62%), girls, (left 6.56%, right 9.83%). Conclusion. There was not any statistically significant difference found between the relation of the retromolar value, third molar mesiodistal diameter, or of the third molar angulation to the left and the right side nor of their mutual relations in comparing boys and girls. A favorable prognosis was found in 9.33% of the patients.

scholarly journals Rare patterns of dorsal puncture inPterostichus oblongopunctatus(Coleoptera: Carabidae)

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4657
Author(s):  
Axel Schwerk ◽  
Radomir Jaskuła
Keyword(s):  
Habitat Characteristics ◽  
The Third ◽  
Identification Keys ◽  
Significant Difference ◽  
Males And Females ◽  
Study Sites ◽  
The Right ◽  
Moisture Conditions ◽  
Long Term Studies

BackgroundThe carabid beetle speciesPterostichus oblongopunctatusis common in different types of forests in Poland and Europe. With respect to this species, some unclarities exist concerning the morphological feature of punctures on the elytra.P. oblongopunctatushas dorsal pits in the third interval of the elytra, the available identification keys, however, provide inconsistent information concerning the puncture in other intervals. During long-term studies at different study sites in Poland, the first author rarely but regularly discovered individuals with unusual dorsal puncture patterns, i.e., pits in the fifth and even in the seventh interval of the elytra. Since such rare patterns might be connected with special habitat characteristics, and thus have a potential as an indicator, the aim of the study was to test if they are connected with specific subpopulations (interaction groups), if they are related to the sex or size of the beetles, and if they are related to specific habitat conditions.Material and MethodsWe counted the pits on the elytra, determined the sex, and measured the length of the right elytron of individuals ofP. oblongopunctatuscollected at numerous study sites located within the borders of the Regional Directory of National Forests in Piła (Western Poland) over the period 2014–2016.ResultsAltogether, 1,058 individuals ofP. oblongopunctatuswere subjected to statistical analysis. Almost 19% of the individuals had a dorsal puncture in the fifth interval of the elytra and about 0.7% had a dorsal puncture in the seventh interval of the elytra. In 2014 and 2015, significantly more females exhibited such unusual patterns of dorsal puncture than males. Even if not statistically significant, in 2016 also relatively more females showed such a pattern. Neither males nor females of the analysed individuals with usual puncture patterns showed a significant difference in the length of the right elytron from those with unusual puncture patterns, and neither for males nor for females a significant correlation of the percentage share of the individuals with unusual puncture patterns with the age of the study sites could be detected. However, both males and females with unusual patterns had more dorsal pits than those without. Moreover, males as well as females showed in all those years a trend that the individuals with unusual patterns have more pits in the third interval of the elytra.DiscussionThe results indicate that females are more likely to exhibit unusual patterns. Since individuals ofP. oblongopunctatuswith a higher number of pits on the elytra are supposed to prevail in more wet habitats, such patterns might be related to moisture conditions. The possibility of pits in the seventh interval of the elytra should be added to identification keys.

scholarly journals Some Uterine and Ovarian Biometric Changes in Pregnant Maradi Female Goats (Capra aegagrus hircus L.)

2017 ◽  
Vol 9 (1) ◽  
pp. 54-58 ◽  
Author(s):  
Chidozie Nwabuisi OKOYE ◽  
Clifford Nwabugwu ABIAEZUTE ◽  
Okezie Samuel EKERE
Keyword(s):  
Significant Variation ◽  
Longitudinal Axis ◽  
Left Ovary ◽  
The Third ◽  
Significant Difference ◽  
Capra Aegagrus ◽  
The Mean ◽  
Uterine Length ◽  
The Right ◽  
Linear Manner

This study aimed to determine the changes in the biometry of the ovaries, of the uteri and its contents in the Maradi doe-goat during the three terms of pregnancy. Pregnant uteri from 28 female goats and their corresponding ovaries were used to study the biometric changes in the ovaries, gravid uteri, amniotic and allantoic fluids volumes, fetuses and plancentomes during the three terms of pregnancy. The results revealed that there was no significant variation in the ovarian weight during the three terms of pregnancy. However, there were significant variations in the ovarian length (left ovary 2.15 ± 0.16 cm; right ovary 2.10 ± 0.10 cm) and width (left ovary 1.77 ± 0.19 cm; right ovary 1.60 ± 0.10 cm) in the third term of pregnancy compared to the ovarian length and width in the first term of pregnancy. The uterine weight showed significant variation in the first term, second term   and in the third term of pregnancy. The uterine length of both horns also showed significant variations in the first term (left side 31.40 ± 1.79 cm; right side 28.22 ± 0.98 cm), second term (left side 51.58 ± 4.14 cm; right side 50.51 ± 3.62 cm) and in the third term (left side 70.67 ± 1.76 cm; right side 80.38 ± 2.75 cm) of pregnancy but only in the third term of pregnancy was a significant difference in the lengths of the left side uterine horn (70.67 ± 1.76 cm) compared to the right side (80.38 ± 2.75 cm). The number of plancentomes was constant in both uterine horns throughout gestation; however the mean caruncular diameter increased progressively from the first term of gestation through the third term of pregnancy. The smallest and largest caruncles were observed on the ventral surfaces of the uterine horns, and the plancentomes were observed to be aligned in a linear manner along the longitudinal axis of the uterine horns. This study shows that there are differences in the biometrics of the ovary and uterus in Maradi goats compared to some other breed.

scholarly journals Effects of Extraction and Nonextraction Treatment on Third Molar Angulation

2015 ◽  
Vol 5 (1) ◽  
pp. 17-21
Author(s):  
Ajay Sudhakar Nitturkar ◽  
Sachin Doshi ◽  
Girish Karandikar ◽  
Samay Tahilramani ◽  
Bhavisha Gandhi
Keyword(s):  
Third Molar ◽  
Positive Influence ◽  
Occlusal Plane ◽  
Third Molars ◽  
Premolar Extraction ◽  
The Third ◽  
Significant Difference ◽  
The Mean ◽  
Mandibular Third Molars ◽  
The Right

ABSTRACT Objective To compare the angular changes in the developing third molars in both first premolar extraction and nonextraction cases and to determine if premolar extraction results in greater mesial movement of mandibular buccal segment and also causes favorable rotational changes in the third molar tip, which can improve later eruption of the third molars. Materials and Methods Pretreatment (T1) and post-treatment (T2) panoramic radiographs were obtained 31 subjects were taken who had been treated by extraction of all first premolars and for 21 subjects treated with nonextraction theray. Occlusal plane was used to measure and compare the changes in the angles of the developing maxillary and mandibular third molars. Results The mean uprighting of the third molars seen in the extraction group was 8.7° ± 10.29° and 2.97° ± 11.11° on the right side, and 5.14° ± 9.04° and 2.77° ± 12.10° on the left side following treatment (T2 – T1). For the nonextraction group, the mean difference was – 1.52 ± 6.43 and – 6.430 ± 12.21° on the right side, and – 3.90° ± 7.67° and – 5.7° ± 7.23° on the left side. There was a statistically significant difference between the groups (p < 0.001). Conclusion Premolar extractions had a positive influence on the developing third molar angulations. Nonextraction therapy did not have any adverse effects. How to cite this article Nitturkar AS, Doshi S, Krishnan RV, Karandikar G, Tahilramani S, Gandhi B. Effects of Extraction and Nonextraction Treatment on Third Molar Angulation. J Contemp Dent 2015;5(1):17-21.

Learning Limits of Deaf Children for Coded Speech

1969 ◽  
Vol 12 (1) ◽  
pp. 83-94 ◽  
Author(s):  
Daniel Ling ◽  
Donald G. Doehring
Keyword(s):  
Deaf Children ◽  
Control Group ◽  
Programmed Instruction ◽  
Auditory Cues ◽  
The Third ◽  
Significant Difference ◽  
Spoken Words ◽  
The Right

Programmed instruction was used to train profoundly deaf subjects to crude limits of learning in the association of pictures and spoken words. The words differed only in consonant structure. The performance of three groups of six subjects were compared. One group received linearly amplified speech to both ears; another, coded speech to both ears; and the third, linearly amplified speech to the left ear and coded speech to the right. A control group of six children was trained without auditory cues. The three experimental groups showed significant improvement with training, but there was no significant difference between groups with respect to either performance at the limits of learning or number of repetitions required to reach the limits. Transposition of speech through coding did not improve the discrimination of consonants by the deaf children tested.

scholarly journals Incidence of Third Trochanter in Human Femora and It’s Morphometry in Indian Population

2021 ◽  
Vol 9 (1.3) ◽  
pp. 7890-7895
Author(s):  
Salma Sadaf ◽  
◽  
Padmalatha K ◽  
Giridhar Dasegowda ◽  
Priyanka Prasanna Kumar Belaguthi ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Indian Population ◽  
Gluteus Maximus ◽  
Careful Examination ◽  
Greater Trochanter ◽  
Medical College ◽  
The Third ◽  
Significant Difference ◽  
The Mean ◽  
The Right

Background: The third trochanter is an osseous-cartilaginous-tendinous complex. It is a term used for a prominent oval structure usually confined under the greater trochanter in the superior end of gluteal tuberosity. The third trochanter results from increased pull of the gluteus maximus. The third trochanter gives the muscle better grip, helps to alter the direction of tendon and improves effective function. Purpose of the study: The present study was undertaken to compare the incidence of the third trochanter in human femora with other series and to correlate with its morphometry. Materials and Methods: 56 dry human femurs (28 each of right and left side) of unknown age and sex were obtained from fellow undergraduate students at ESIC Medical College and PGIMSR, Bangalore, Karnataka, India. Trochanters with damaged upper ends were excluded from the study. After careful examination two femurs were excluded and the rest were subjected to identification of third trochanter. Results: The incidence of the third trochanter in the present study was 14.28% with the right side predominant (10.71%). The mean length and width were 17.87mm and 7mm respectively. The femurs with the third trochanter were found to have better developed greater trochanter and all the osteometric measurements were found to be higher compared to the ones without. No significant difference was noted in the morphometric indices, as all the osteometric measurements were uniformly increased. Conclusion: This study was performed to increase the understanding of this post-cranial non metric trait on Indian population because of scarcity of information on this variation of human femora. We find the incidence more on the right side indicative of dominant side in most people. The femurs were uniformly bulkier as seen in better built human femurs. Hence, it is a change to meet the functional demands. KEY WORDS: third trochanter, trochanter, femur, morphometry, gluteus maximus, bony projection, non-metric variant, post-cranial.

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