Cost effective endoscopic anal surgery – Initial experience

2015 ◽  
Vol 12 ◽  
pp. S21-S22
Author(s):  
Ramraj Vemala Nagendra Gupta ◽  
Govind Nandakumar
Keyword(s):  
Cost Effective ◽  
Initial Experience ◽  
Anal Surgery

scholarly journals ReStNeuMap: a tool for automatic extraction of resting-state functional MRI networks in neurosurgical practice

2019 ◽  
Vol 131 (3) ◽  
pp. 764-771 ◽  
Author(s):  
Domenico Zacà ◽  
Jorge Jovicich ◽  
Francesco Corsini ◽  
Umberto Rozzanigo ◽  
Franco Chioffi ◽  
...  
Keyword(s):  
Network Analysis ◽  
Functional Mri ◽  
Resting State ◽  
Cost Effective ◽  
Awake Surgery ◽  
Spatial Proximity ◽  
Initial Experience ◽  
Analysis Tools ◽  
Presurgical Mapping ◽  
Fmri Analysis

OBJECTIVEResting-state functional MRI (rs-fMRI) represents a promising and cost-effective alternative to task-based fMRI for presurgical mapping. However, the lack of clinically streamlined and reliable rs-fMRI analysis tools has prevented wide adoption of this technique. In this work, the authors introduce an rs-fMRI processing pipeline (ReStNeuMap) for automatic single-patient rs-fMRI network analysis.METHODSThe authors provide a description of the rs-fMRI network analysis steps implemented in ReStNeuMap and report their initial experience with this tool after performing presurgical mapping in 6 patients. They verified the spatial agreement between rs-fMRI networks derived by ReStNeuMap and localization of activation with intraoperative direct electrical stimulation (DES).RESULTSThe authors automatically extracted rs-fMRI networks including eloquent cortex in spatial proximity with the resected lesion in all patients. The distance between DES points and corresponding rs-fMRI networks was less than 1 cm in 78% of cases for motor, 100% of cases for visual, 87.5% of cases for language, and 100% of cases for speech articulation mapping.CONCLUSIONSThe authors’ initial experience with ReStNeuMap showed good spatial agreement between presurgical rs-fMRI predictions and DES findings during awake surgery. The availability of the rs-fMRI analysis tools for clinicians aiming to perform noninvasive mapping of brain functional networks may extend its application beyond surgical practice.

scholarly journals Assessment of the Efficacy of Different Methods of Second Trimester Abortion: An Initial Experience in Eastern Nepal

2015 ◽  
Vol 7 (3) ◽  
pp. 182-184
Author(s):  
Shailaja Chhetri ◽  
Hanoon Pokharel ◽  
Rohit Rijal ◽  
Sushma Lama
Keyword(s):  
Cost Effective ◽  
Medical Abortion ◽  
Outpatient Setting ◽  
Complication Rates ◽  
Safe Procedure ◽  
Initial Experience ◽  
Second Trimester ◽  
Trimester Abortion ◽  
Surgical Methods ◽  
Second Trimester Abortion

ABSTRACT Background Abortions performed in the second trimester account for a disproportionate amount of abortion-related morbidity and mortality. Materials and methods To assess the effectiveness of medical vs the surgical methods for second trimester abortions. Results A total number of 141 patients were included in the study from September 2009 till August 2012 who underwent second trimester abortion. A total number of 75 patients underwent medical abortion and 66 patients underwent surgical dilatation and evacuation (D&E). Surgical treatment with D&E was more effective and safer than medical treatment for second trimester abortion, The overall complications were seen more in the medically treated cohort with 20 vs 6% in the surgical cohort (p = 0.02), with higher incidence of incomplete abortion (13 vs 0) and a higher amount of blood loss (129.4 ± 20.6 ml vs 69.6 ± 11.4 ml, p < 0.001) requiring transfusion. Conclusion This study demonstrates that the surgical method of second trimester abortion is more effective and safe procedure in experienced centers and as compared to medical methods. The complication rates are lower and it also is more cost-effective as it can be performed in an outpatient setting and does not require hospital admission. How to cite this article Chhetri S, Pokharel H, Rijal R, Lama S. Assessment of the Efficacy of Different Methods of Second Trimester Abortion: An Initial Experience in Eastern Nepal. J South Asian Feder Obst Gynae 2015;7(3):182-184.

The application of electron microscopy to diagnosis in gynecologic neoplasms and tumor-like conditions

1984 ◽  
Vol 42 ◽  
pp. 102-105
Author(s):  
Lawrence M. Roth
Keyword(s):  
Electron Microscopy ◽  
Reproductive Tract ◽  
Malignant Tumors ◽  
Frozen Section ◽  
Cost Effective ◽  
Female Reproductive Tract ◽  
Ultrastructural Examination ◽  
Specific Diagnosis ◽  
Potential Value ◽  
Gynecologic Neoplasms

The female reproductive tract may be the site of a wide variety of benign and malignant tumors, as well as non-neoplastic tumor-like conditions, most of which can be diagnosed by light microscopic examination including special stains and more recently immunoperoxidase techniques. Nevertheless there are situations where ultrastructural examination can contribute substantially to an accurate and specific diagnosis. It is my opinion that electron microscopy can be of greatest benefit and is most cost effective when applied in conjunction with other methodologies. Thus, I have developed an approach which has proved useful for me and may have benefit for others. In cases where it is deemed of potential value, glutaraldehyde-fixed material is obtained at the time of frozen section or otherwise at operation. Coordination with the gynecologic oncologist is required in the latter situation. This material is processed and blocked and is available if a future need arises.

The IBM-PC in electron microscopy

1996 ◽  
Vol 54 ◽  
pp. 612-613
Author(s):  
James F. Mancuso
Keyword(s):  
Head Start ◽  
Image Acquisition ◽  
Cost Effective ◽  
Financial Applications ◽  
Number Of Factors ◽  
Instrument Control ◽  
The Cost ◽  
Training And Support ◽  
Control Image ◽  
Ibm Pc

IBM PC compatible computers are widely used in microscopy for applications ranging from control to image acquisition and analysis. The choice of IBM-PC based systems over competing computer platforms can be based on technical merit alone or on a number of factors relating to economics, availability of peripherals, management dictum, or simple personal preference.IBM-PC got a strong “head start” by first dominating clerical, document processing and financial applications. The use of these computers spilled into the laboratory where the DOS based IBM-PC replaced mini-computers. Compared to minicomputer, the PC provided a more for cost-effective platform for applications in numerical analysis, engineering and design, instrument control, image acquisition and image processing. In addition, the sitewide use of a common PC platform could reduce the cost of training and support services relative to cases where many different computer platforms were used. This could be especially true for the microscopists who must use computers in both the laboratory and the office.

A Review of 21 iPad Applications for Augmentative and Alternative Communication Purposes

2012 ◽  
Vol 21 (2) ◽  
pp. 60-71 ◽  
Author(s):  
Ashley Alliano ◽  
Kimberly Herriger ◽  
Anthony D. Koutsoftas ◽  
Theresa E. Bartolotta
Keyword(s):  
Augmentative And Alternative Communication ◽  
Cost Effective ◽  
Alternative Form ◽  
Alternative Communication ◽  
Text To Speech ◽  
Reference Guide ◽  
Expressive Communication ◽  
Communication Needs ◽  
User Friendly ◽  
Ipad Applications

Abstract Using the iPad tablet for Augmentative and Alternative Communication (AAC) purposes can facilitate many communicative needs, is cost-effective, and is socially acceptable. Many individuals with communication difficulties can use iPad applications (apps) to augment communication, provide an alternative form of communication, or target receptive and expressive language goals. In this paper, we will review a collection of iPad apps that can be used to address a variety of receptive and expressive communication needs. Based on recommendations from Gosnell, Costello, and Shane (2011), we describe the features of 21 apps that can serve as a reference guide for speech-language pathologists. We systematically identified 21 apps that use symbols only, symbols and text-to-speech, and text-to-speech only. We provide descriptions of the purpose of each app, along with the following feature descriptions: speech settings, representation, display, feedback features, rate enhancement, access, motor competencies, and cost. In this review, we describe these apps and how individuals with complex communication needs can use them for a variety of communication purposes and to target a variety of treatment goals. We present information in a user-friendly table format that clinicians can use as a reference guide.

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