scholarly journals Prospektív vizsgálat a sigmoideoscopia diagnosztikai érzékenységének meghatározására vastagbelet infiltráló endometriosisban

2017 ◽  
Vol 158 (7) ◽  
pp. 264-269
Author(s):  
Péter Lukovich ◽  
Noémi Csibi ◽  
Réka Brubel ◽  
Krisztina Tari ◽  
Szilvia Csuka ◽  
...  

Abstract: Introduction and aim: In the treatment of colorectal endometriosis a multidisciplinary laparoscopic resection is suggested, for this reason the correct selection of bowel infiltration is essential before surgery. Patients and method: Between 2009 and 2015, 383 sigmoidoscopies were performed in patients with endometriosis. Where mucosal invasion was absent secondary signs (wall rigidity, impression, kinking, pain during the examination, suffusion) were analysed. In endoscopically confirmed cases multidisciplinary surgery was performed, the remaining patients were operated by a gynecologic team only. Results: Endometriosis was endoscopically confirmed in 224 patients (58.49%), 108 of them underwent multidisciplinary operation, the negative 135 cases received gynaecological surgery. Bowel endometriosis was confirmed in 103 out of 108 cases intraoperatively, while in 8 cases of the sigmoidoscopically negative patients bowel infiltration was diagnosed intraoperatively by the gynaecological team. Complete sigmoidoscopy was performed in 43.47% of the cases. Intraluminal endometriosis was found in 4.91%, secondary signs as rigidity in 38.39%, impression in 45.54%, kinking in 57.14%, pain (in cases of examination without narcosis) in 26.06% and suffusion in 3.82% of the cases was found during sigmoidoscopy. Sigmoidoscopic examination has a 92.8% specificity and 96.2% sensitivity in cases of bowel endometriosis. Conclusion: Sigmoidoscopy performed by an experienced gastroenterologist is a highly sensitive examination for the diagnosis of bowel endometriosis. Orv. Hetil., 2017, 158(7), 264–269.

Author(s):  
Alexander Gillespie

This book examines the idea of sustainable development, made up of economic, social, and environmental parts over the period of human history. This work suggests humanity has been unsustainable in all three areas for most of its history, although in the last few hundred years the scale of unsustainability has increased, while, simultaneously, answers have started to emerge. This conclusion can be seen in two parts, namely the economic and social sides of sustainable development and then the environmental ones. This work suggests that, with the correct selection of tools, solid and positive foundations for the economic and social sides of sustainable development is possible as the world globalizes. This is not, however, a foregone conclusion. Despite a number of recent positive indicators in this area, there are still very large unanswered questions with existing mechanisms and other gaps in the international architecture which, if not fixed, could quickly make problems of economic and social sustainability worse, not better. With the third leg of sustainable development, that for the environment, the optimism is not as strong. The good news is that science, laws, and policies have evolved and expanded to the level that, in theory, there is no environmental problem which cannot be solved. In many areas, especially in the developed world, success is already easy to measure. Where it is not easy to measure, and pessimism creeps in, is in the developing world, which is now inheriting a scale and mixture of environmental difficulties which are simply unprecedented.


2021 ◽  
Vol 11 (2) ◽  
pp. 466
Author(s):  
Włodzimierz Kęska ◽  
Jacek Marcinkiewicz ◽  
Łukasz Gierz ◽  
Żaneta Staszak ◽  
Jarosław Selech ◽  
...  

The continuous development of computer technology has made it applicable in many scientific fields, including research into a wide range of processes in agricultural machines. It allows the simulation of very complex physical phenomena, including grain motion. A recently discovered discrete element method (DEM) is used for this purpose. It involves direct integration of equations of grain system motion under the action of various forces, the most important of which are contact forces. The method’s accuracy depends mainly on precisely developed mathematical models of contacts. The creation of such models requires empirical validation, an experiment that investigates the course of contact forces at the moment of the impact of the grains. To achieve this, specialised test stations equipped with force and speed sensors were developed. The correct selection of testing equipment and interpretation of results play a decisive role in this type of research. This paper focuses on the evaluation of the force sensor dynamic properties’ influence on the measurement accuracy of the course of the plant grain impact forces against a stiff surface. The issue was examined using the computer simulation method. A proprietary computer software with the main calculation module and data input procedures, which presents results in a graphic form, was used for calculations. From the simulation, graphs of the contact force and force signal from the sensor were obtained. This helped to clearly indicate the essence of the correct selection of parameters used in the tests of sensors, which should be characterised by high resonance frequency.


Polymers ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 1737
Author(s):  
Milan Banić ◽  
Dušan Stamenković ◽  
Aleksandar Miltenović ◽  
Dragan Jovanović ◽  
Milan Tica

The selection of a rubber compound has a determining influence on the final characteristics of rubber-metal springs. Therefore, the correct selection of a rubber compound is a key factor for development of rubber-metal vibration isolation springs with required characteristics. The procedure for the selection of the rubber compound for vibration isolation of rubber-metal springs has been proposed, so that the rubber-metal elements have the necessary characteristics, especially in terms of deflection. The procedure is based on numerical simulation of spring deflection with Bergström-Boyce constitutive model in virtual experiment, with a goal to determine which parameters of the constitutive model will lead to spring required deflection. The procedure was verified by case study defined to select rubber compound for a rubber–metal spring used in railway engineering.


1986 ◽  
Vol 11 (4) ◽  
pp. 300-308 ◽  
Author(s):  
Robert H. Horner ◽  
Richard W. Albin ◽  
Ginevera Ralph

For generalization to be functional, it must occur with a precision that results in acquired responses occurring under appropriate, nontrained conditions, and acquired responses not occurring under inappropriate, nontrained conditions. This study examines the effect of differing types of negative teaching examples on the precision with which generalized grocery item selection is learned. Within a split-multiple baseline design, six young adults identified as mildly, moderately, or severely mentally retarded were trained to select or to reject grocery items using picture cards as cues. The dependent variables were correct selection of 10 trained “positive” grocery items and the correct rejection of 20 nontrained “negative” grocery items in a nontrained grocery store. Participants were trained in a grocery store to select 10 positive grocery examples matching their picture cards and to reject either (a) a set of negative examples that were maximally different from the positive examples, or (b) a set of negative examples that were minimally different from the positive examples. Both training sets resulted in participants correctly selecting the 10 positive items in a nontrained store. Training with the “minimally different” negative examples was functionally related to improved rejection of nontrained negative items in the nontrained store. The implications of teaching with minimally different, negative examples are discussed.


2003 ◽  
Vol 11 (3) ◽  
pp. 162-167 ◽  
Author(s):  
Linda Wang ◽  
Paulo Henrique Perlatti D'Alpino ◽  
Lawrence Gonzaga Lopes ◽  
José Carlos Pereira

A wide variety of dental products that are launched on the market becomes the correct selection of these materials a difficult task. Although the mechanical properties do not necessarily represent their actual clinical performance, they are used to guide the effects of changes in their composition or processing on these properties. Also, these tests might help somehow the clinician to choose once comparisons between former formulations and new ones, as well as, with the leading brand, are highlighted by manufactures. This paper presents a review of the most important laboratory tests. In this manner, the knowledge of these tests will provide a critical opinion related to the properties of different dental materials.


2021 ◽  
pp. 22-27
Author(s):  
Elena Dmitrievna Pserovskaya ◽  
◽  
Anna Pavlovna Grefenshteyn ◽  

For the determination of a potential benefit from creation of a distribution centre the paper proposes a method and presents results of calculation of a decrease of total number of rides and total run of automobiles at various variants of goods consolidation. The authors have established a positive influence of the centre on intracity transportation. At the same time, high efficiency of the considered technology can be reached by involvement of a bigger number of consignees and by consolidation of a relatively small number of goods batches in one automobile at efficient routing and correct selection of location of a distribution centre.


Author(s):  
A. S. Ivanova ◽  
N. V. Dunaeva

Increasing the production of pork meat requires careful work not only in terms of breeding, but also in the organization of complete feeding of animals, the correct selection of feed and feed additives containing the necessary nutrients. The purpose of the work was to analyze the use of premix in feeding young pigs on fattening. Two groups of fattening young pigs (Large White×Landrace) have been selected for the researches using the method of analogous groups, taking into account the breed, age, and live weight per 20 heads in each group with a live weight of 35 kg. Pigs of the control group have received the main economic diet, and animals of the experimental group have received an additional premix Khutorok at the rate of 10 g of premix per 1 kg of feed. The results have shown that the best age to reach 100 kg was in the experimental group of pigs – 215,8 days, which received premix with feed that characterizes their higher precocity by 36,3 days (P < 0,001) than in the control group of animals. The use of this premix had a positive impact on the livability of young animals, in the experimental group it was by 9,3 abs.% more than in the control group of animals. Thus, the best fattening traits have been possessed by young pigl of the experimental group have been received the premix Khutorok in their diet at the rate of 10 g of premix per 1 kg of feed. The obtained data indicate the feasibility of using the premix Khutorok in the feeding pigs for fattening.


Talanta ◽  
2018 ◽  
Vol 176 ◽  
pp. 214-220 ◽  
Author(s):  
Taofeng Lu ◽  
Qin Ma ◽  
Wenzhuo Yan ◽  
Yuanzhi Wang ◽  
Yuanyuan Zhang ◽  
...  

2018 ◽  
Vol 66 (45) ◽  
pp. 12102-12110 ◽  
Author(s):  
Yuanyuan Zhang ◽  
Taofeng Lu ◽  
Yue Wang ◽  
Chenxi Diao ◽  
Yan Zhou ◽  
...  

2002 ◽  
Vol 80 (3) ◽  
pp. 241-254 ◽  
Author(s):  
Mahamadi Dianda ◽  
François-P. Chalifour

Sahelian soils are recognized for their low N content, but their mineral N concentrations can often be high enough to inhibit N2 fixation in cultivated legumes. However, the quest for symbiotic plant genotypes tolerant of mineral N is poorly documented for nitrogen-fixing trees. The behaviour of N2 fixing symbioses with regard to nitrogen fertilization was observed in different Faidherbia albida (Del) A. Chev. genotypes. Twelve distinct lineages of the species, obtained from four regions of western Africa, were cultivated for 75 days in the presence of 0–6 mol·m–3 N provided as NH4NO3. Plants were separately inoculated with two Bradyrhizobium strains, and cultivated on sandy soil in a nursery. Aerial and root parts lengths and masses, collar diameters, and ratios of height to length (H/P) of taproot, and aerial to root (MA/MR) parts masses increased with increased N level. Plants showed significant growth differences linked with seed origin, and with lineage for a same origin. Genotypical variations were observed for concentrations as well as C and N total uptakes, C/N ratio measured in aerial parts, and N2 fixation. Nodule number and mass were greatly reduced in the presence of 2 mol·m–3 N. The extent of this reduction was dependent, to a lesser degree, on seed origin and Bradyrhizobium strain. Data show that F. albida – Bradyrhizobium symbiosis is highly sensitive to mineral N. It is suggested that selection of symbiotic partners for tolerance to mineral N might greatly improve the agronomic behaviour of F. albida.Key words: Faidherbia albida, lineages, Bradyrhizobium, symbiosis, nodulation, growth, ammonium nitrate.


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