scholarly journals Early and Late Career Surgeon Deficiencies in Complex Cases

Author(s):  
Marc R. Moon
Keyword(s):  
2007 ◽  
Vol 177 (4S) ◽  
pp. 458-458
Author(s):  
Erik P. Castle ◽  
Michael E. Woods ◽  
Raju Thomas ◽  
Rodney Davis

Author(s):  
Jean-Philippe Bernardy ◽  
Stergios Chatzikyriakidis ◽  
Aleksandre Maskharashvili

AbstractIn this paper, we propose a framework capable of dealing with anaphora and ellipsis which is both general and algorithmic. This generality is ensured by the compination of two general ideas. First, we use a dynamic semantics which reperent effects using a monad structure. Second we treat scopes flexibly, extending them as needed. We additionally implement this framework as an algorithm which translates abstract syntax to logical formulas. We argue that this framework can provide a unified account of a large number of anaphoric phenomena. Specifically, we show its effectiveness in dealing with pronominal and VP-anaphora, strict and lazy pronouns, lazy identity, bound variable anaphora, e-type pronouns, and cataphora. This means that in particular we can handle complex cases like Bach–Peters sentences, which require an account dealing simultaneously with several phenomena. We use Haskell as a meta-language to present the theory, which also consitutes an implementation of all the phenomena discussed in the paper. To demonstrate coverage, we propose a test suite that can be used to evaluate computational approaches to anaphora.


2013 ◽  
Vol 57 (5) ◽  
pp. 2391-2393 ◽  
Author(s):  
Jop Jans ◽  
Roger J. M. Brüggemann ◽  
V. Christmann ◽  
Paul E. Verweij ◽  
Adilia Warris

ABSTRACTInvasiveCandidainfections associated with medical devices are very difficult to cure without device removal. We present a case of neonatal cerebrospinal fluid shunt-associatedCandidameningitis, in which removal of the device was precluded, that was successfully treated with caspofungin. Pharmacokinetic assessment of caspofungin concentrations in cerebrospinal fluid showed that exposure was adequate in the presence of a high systemic exposure. In complex cases of neonatalCandidainfections involving medical devices, the addition of caspofungin might be beneficial.


2013 ◽  
Vol 11 (6) ◽  
pp. 697-703 ◽  
Author(s):  
Gurpreet S. Gandhoke ◽  
Paolo Frassanito ◽  
Nagesh Chandra ◽  
Bal K. Ojha ◽  
Anoop Singh

Object In this paper the authors' goal was to investigate the clinical usefulness of Gd-enhanced MR ventriculography (MRV) in pediatric patients affected by multiloculated hydrocephalus. Methods Eighteen patients (11 boys and 7 girls, age range 2–14 months) with a diagnosis of multiloculated hydrocephalus were included in the study. After injection of gadodiamide (0.02–0.04 mmol) into the lateral ventricle by tapping the anterior fontanel, sagittal, coronal, and axial T1-weighted MR images were acquired. The location of the septations and the sites of obstruction of CSF flow were assessed. Postoperative MRV was obtained to confirm the results of endoscopic treatment in most complex cases. Results No adverse events were observed after injection of contrast medium into the ventricular system. Preoperative MRV accurately defined the exact morphology of septae and ventricular walls in all cases. In 1 case the diagnosis of multiloculated hydrocephalus was ruled out. Sites of obstruction of CSF flow within the ventricular system were also well established. In 4 cases the multiple compartments were proven to intercommunicate. Postoperative MRV was useful in assessing the functional status of third ventriculostomy, aqueductoplasty, and other endoscopic fenestrations. Conclusions Magnetic resonance ventriculography is a safe, effective, and reliable technique. The accurate definition of the anatomy of the ventricles and the site of obstruction in multiloculated hydrocephalus can help to plan the most appropriate treatment and minimize the number of procedures. Although MRV is also useful during postoperative follow-up to determine the results of endoscopic treatment, it should be limited to particularly complex cases, due to its invasiveness.


1949 ◽  
Vol 16 (3) ◽  
pp. 295-300
Author(s):  
Rodney Hill

Abstract New complete solutions based upon the Reuss equations are obtained for various plastic-elastic problems. These include the expansion of a spherical shell and of a cylindrical hole in an infinite medium. The solutions are used to exemplify certain features common to all plastic-elastic problems, with a view to introducing valid approximations in more complex cases.


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