Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

2020 ◽  
Author(s):  
Cai-Yun Li ◽  
Xiao-Feng Wang ◽  
Hai-ying Zhou ◽  
Qing-Qing Fang ◽  
Weiqiang Tan
Keyword(s):  
Postoperative Complications ◽  
Complication Rate ◽  
Social Problem ◽  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Sweat Glands ◽  
High Complication Rate ◽  
Apocrine Glands ◽  
Tumescent Liposuction ◽  
Surgical Treatments

Abstract Background Axillary bromhidrosis is widespread social problem in our society. Various modalities have been developed for destruction or removal of the apocrine sweat glands to eliminate the malodor. But conventional surgical treatments often result in high complication rate and frequent recurrence. In the study, we evaluate the effect of refined tumescent liposuction-curettage with pruning in small incisions in the treatment of axillary bromhidrosis. Methods From July of 2013 to April of 2019, 110 patients (75 women and 35 men) with axillary bromhidrosis were treated by refined tumescent liposuction-curettage with pruning. The results of malodor elimination were evaluated by both the patients and doctors as very satisfied (excellent), satisfied (good), some satisfied (fair), and not satisfied (poor). Postoperative complications, including dehiscence, infection, wound contracture, cyst, subcutaneous hydrops, haematoma or seroma were evaluated as well. Preoperative and postoperative histological examinations of axillary tissue were performed in 2 patients. Results Among subjective evaluation of the 110 patients, 33 (30.0%) were graded as very satisfed results, 70 (63.6%) were satisfied, and 7 (6.4%) was some satisfied. The objective evaluation showed 43 (39.1%) were graded as excellent results and all the others were good. No serious complications were happened except three showed slightly local subcutaneous hydrops and haematoma. Histologic examinations showed the apocrine glands significant decreased or destroyed after surgery. Conclusion Refined tumescent liposuction-curettage with pruning in small incisions is an effective method for treatment of axillary bromhidrosis.

METHODOLOGY OF OBJECTIVE EVALUATION OF THE QUALITY BEARINGS BY VIBRO-ACOUSTICS AND ITS COMPARISON WITH A SUBJECTIVE METHOD

Akustika ◽  
2020 ◽  
pp. 58-66
Author(s):  
Stanislav Žiaran ◽  
Ondrej Chlebo ◽  
Ĺubomír Šooš
Keyword(s):  
Dynamic Load ◽  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Living Environment ◽  
Working Environment ◽  
Subjective Method ◽  
Auditory Organ ◽  
Objective Methodology ◽  
Fft Analysis

The quality of bearing production has an impact not only on their reliability and lifetime, but also on the dynamic load of the working and living environment by excessive vibration and thus also noise. The intensity of the noise emitted by a bearing which is perceived by man characterizes the quality of its production. Reducing the dynamic load of mechanical systems and their components is reflected in the working environment by reducing noise emissions and immissions. The article proposes an objective method of bearing quality assessment based on measuring vibro-acoustic parameters of dynamic load of a new bearing using FFT analysis and the magnitude of the amplitude of bearing vibration acceleration and compares it with a subjective method that also uses the human auditory organ to assess bearing quality. The results of vibro-acoustic measurements were analysed in terms of vibration intensity and the noise of the produced bearings. The proposed objective methodology was compared with the subjective evaluation of the quality of bearings and the results of this methodology matched. The proposed methodology is applicable to all types of bearings, and it is possible to automate this methodology in the production process.

scholarly journals Objective Evaluation of Drivability in Passenger Cars with Dual-Clutch Transmission: A Case Study of Static Gearshift Condition

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Wei Zhou ◽  
Xuexun Guo ◽  
Xiaofei Pei ◽  
Chengcai Zhang ◽  
Jun Yan ◽  
...  
Keyword(s):  
Fuzzy Ahp ◽  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Dual Clutch Transmission ◽  
Evaluation Tool ◽  
Passenger Cars ◽  
Denoising Method ◽  
Fuzzy Matrix ◽  
Predictability Score

This paper is aimed at the problem that the subjective drivability evaluation by experienced test drivers is limited in time efficiency and is of high cost and poor repeatability. In this article, an intelligent drivability objective evaluation tool (I-DOET) for passenger cars with dual-clutch transmission (DCT) is developed and verified by real vehicle testing. First, the signal denoising method and its key parameters, which are suitable for drivability evaluation, are selected based on analytic hierarchy process (AHP) and technique for order preference by similarity to ideal solution (TOPSIS). Besides, combined with the uncertainty characteristics of subjective judgment, a mathematical model of the objective drivability evaluation FARODE (fuzzy AHP-RS based on objective drivability evaluation) is proposed by using the fuzzy comprehensive assessment (FCA) method. The AHP and rough set (RS) method are used to calculate the subjective and objective weights of the drivability evaluation, respectively, and the proportion of subjective and objective weights is determined by the principle of minimum relative information entropy. The fuzzy matrix is built by membership function of the evaluation indexes. Finally, the static gearshift condition focused on by the subjective evaluation experts is taken as a case study. The predictability score is obtained by combining the drivability quantization lever vector, comprehensive weight, and fuzzy matrix. The experimental results indicate that the proposed method is applicable for objective drivability evaluation in passenger cars with DCT.

scholarly journals Subjective Product Evaluation System Based on Kansei Engineering and Analytic Hierarchy Process

Symmetry ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 1340 ◽  
Author(s):  
Yaxue Zuo ◽  
Zhenya Wang
Keyword(s):  
Evaluation System ◽  
Comprehensive Evaluation ◽  
Subjective Evaluation ◽  
Reliability And Validity ◽  
Objective Evaluation ◽  
Product Evaluation ◽  
Kansei Engineering ◽  
Analytic Hierarchy ◽  
Evaluation Indexes ◽  
Hierarchy Process

Product evaluation is very important for product improvement and development, and subjective product evaluation determines customer’s evaluation of products to some extent, so the purpose of this study is to establish a reasonable subjective product evaluation system. In this study, we comprehensively determine the evaluation indexes based on Kansei engineering (KE), establish an overall product evaluation system by using analytic hierarchy process (AHP), and establish the subjective product evaluation system by classifying the evaluation indexes in the overall product evaluation system into “objective evaluation index” and “subjective evaluation index”, removing the objective evaluation indexes, and retaining the subjective evaluation indexes. Additionally, we select some modern chairs as experimental samples to verify the reliability and validity of this subjective product evaluation system by means of questionnaires. The experimental results show that, in this subjective product evaluation system, the subjective evaluation of the product is positively correlated with the “favorite” level of the product in comprehensive evaluation, and negatively correlated with the “least favorite” level of the product in comprehensive evaluation, indicating that this subjective product evaluation system realizes a symmetry between subjective product evaluation and comprehensive product evaluation. Therefore, it can be concluded that this subjective product evaluation system based on KE and AHP proposed in this study has reliability and validity, and can be used for product evaluation to judge the popularity of products and enhance the competitiveness of products.

scholarly journals The Impact of Urban Recreation Environment on Residents’ Happiness—Based on a Case Study in China

2021 ◽  
Vol 13 (10) ◽  
pp. 5549
Author(s):  
Lei Kang ◽  
Zhaoping Yang ◽  
Fang Han
Keyword(s):  
Low Income ◽  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Income Group ◽  
High Income Group ◽  
Rapid Urbanization ◽  
Indirect Impact ◽  
Negative Effect ◽  
The Impact ◽  
Urban Recreation

Rapid urbanization promotes the expansion of urban tourism and recreation functions, but it also brings many problems, which affect residents’ happiness. Previous studies have emphasized the direct impact of urban recreation environment on happiness, and few have explored the indirect impact of urban recreation environment on happiness through subjective evaluation. Based on the survey data of nearly 10,000 permanent residents in 40 key tourism cities in China, this paper establishes a theoretical framework of the direct and indirect impact of urban recreation environment on happiness. The objective evaluation of natural recreation environment and sociocultural recreation environment has an important influence on happiness, but the influence of natural recreation environment is greater than that of sociocultural recreation environment. Individual subjective satisfaction with urban recreation environment mediates the relationship between urban objective environment and happiness. Urban parks have a positive effect on happiness, while tourist attractions have a negative effect. The influence of urban location on happiness is nonlinear. The high-income group is more sensitive to the recreation environment, while the low-income group is less sensitive to the recreation environment. These findings provide insights for further improving citizens’ quality of life and designing urban construction in developing countries under the conditions of rapid urbanization.

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

scholarly journals Annoyance evaluation of noise emitted by urban substation

2021 ◽  
pp. 146134842110143
Author(s):  
Li Jun ◽  
Li Li ◽  
Zhang Yongxiang ◽  
Chu Zhigang ◽  
Fan Xiaopeng
Keyword(s):  
Regression Model ◽  
Urban Areas ◽  
Subjective Evaluation ◽  
Noise Pollution ◽  
Objective Evaluation ◽  
Semantic Differential ◽  
Differential Method ◽  
Practical Application ◽  
Noise Evaluation ◽  
Objective And Subjective Evaluation

In China, noise pollution from substations in urban areas is becoming more and more serious. An annoyance evaluation of the noise emitted by urban substations is presented. First, the subjective evaluation is conducted on the noise samples from urban substations via the semantic differential method. Subsequently, according to the typical characteristics of urban substation noise, 14 acoustical metrics are used to describe the noise samples for objective evaluation. Then the correlation analysis and regression analysis between the objective and subjective evaluation results are carried out. Finally, a regression model for urban substation noise evaluation is established. Practical application shows that the regression model can correctly predict the subjective annoyance of urban substation noise.

scholarly journals Breast softness in patients randomised to postmastectomy breast reconstruction with an expander prosthesis or DIEP flap

2021 ◽  
Author(s):  
Linda Tallroth ◽  
Håkan Brorson ◽  
Nathalie Mobargha ◽  
Patrik Velander ◽  
Stina Klasson ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Applanation Tonometry ◽  
Diep Flap ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Delayed Breast Reconstruction ◽  
Level I ◽  
Therapeutic Study

Abstract Background Objectively measured breast softness in reconstructed breasts and its relation to patients’ subjective satisfaction with breast softness has not yet been investigated. The aim of this study was to evaluate breast softness in patients 1 year following delayed breast reconstruction with an expander prosthesis (EP) or deep inferior epigastric perforator (DIEP) flap, using objective and subjective methods. Methods Seventy-three patients were randomised to breast reconstruction with an EP or DIEP flap between 2012 and 2018. Of these, 69 completed objective evaluation at a mean of 25 (standard deviation, SD 9.4) months following breast reconstruction. Objective evaluation included measurements of breast volume, jugulum-nipple distance, clavicular-submammary fold distance, ptosis and Baker scale grading. Breast softness was assessed with applanation tonometry. Subjective evaluation was performed using the BREAST-Q questionnaire. Results Objectively, DIEP flaps were significantly softer than EP breast reconstructions. Non-operated contralateral breasts were significantly softer compared with reconstructed breasts. In the subjective evaluation, the median score on the question (labelled 1.h) “How satisfied or dissatisfied have you been with the softness of your reconstructed breast (s)?” was higher in the DIEP flap group corresponding to greater satisfaction in this group. A fair correlation was found between the applanation tonometry and the patient-reported satisfaction with the reconstructed breast’s softness (rs = 0.37). Conclusions In terms of breast softness, breast reconstructions with DIEP flaps result in more satisfied patients. Concerning applanation tonometry as an objective tool for softness assessment, future studies on interobserver agreement are warranted. Level of evidence: Level I, therapeutic study

1239 Postoperative Complication Rate of Facial Injury Repairs Treated by Maxillofacial On-Call Team: Surgical Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Dhanjal ◽  
M Ghouri ◽  
S Crank
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Maxillofacial Surgery ◽  
General Anaesthetic ◽  
Facial Injury ◽  
Postoperative Complication Rate ◽  
Female Ratio ◽  
Facial Injuries

Abstract Introduction A significant aspect of Oral and Maxillofacial Surgery workload relates to trauma, particularly soft-tissue injuries. Contingent on the aetiology of injury, facial wounds require debridement and rapid closure to reduce risk of infection and degree of scarring. The aim was to identify possible risks and frequency of postoperative complications, including problems identified by patients following treatment of facial injuries by the Maxillofacial on-call team. Method Data was retrospectively collected from patients who sustained soft-tissue facial injuries treated by the Maxillofacial team and provided with follow-up appointments from January to August 2020. Computerised clinical notes were accessed to determine patient demographics, mechanism and site of injury, location and time of repair, operator grade and postoperative complications (if any). Results 153 patients required debridement and suturing of a facial injury under local or general anaesthetic. Among these, the male to female ratio was 65:35. 47% of facial injuries resulted from mechanical fall. Lips were found to be the most common site (31%) of injury. Postoperative complication rate was 8% within the 8-month period, with reports of infection, wound dehiscence and haematoma requiring further treatment. 58% of complications resulted from treatment carried out between 5pm-5am with a sole operator (DCT/SHO). 83% of complications followed treatment carried out within the Emergency Department rather than Maxillofacial clinical setting. Conclusion Following facial injury repair, just less than 8% of patients experienced complications, which required corrective treatment. Although facial injuries require immediate care, careful planning and performing treatment in a specialised setup may improve perioperative care, thus clinical outcomes.

Design and Compliant Control of a Piggyback Transfer Robot

2021 ◽  
pp. 1-54
Author(s):  
Yuxin Liu ◽  
Shijie Guo ◽  
Yuting Yin ◽  
Zhiwen Jiang ◽  
Teng Liu
Keyword(s):  
Subjective Evaluation ◽  
Objective Evaluation ◽  
Patient Transfer ◽  
Test Results ◽  
Passive Stiffness ◽  
Control Approach ◽  
Challenging Tasks ◽  
Compliant Control ◽  
Stiffness Control ◽  
Transfer Tasks

Abstract Patient transfer, such as lifting and moving a bedridden patient from a bed to a wheelchair or a pedestal pan, is one of the most physically challenging tasks in nursing care. Although many transfer devices have been developed, they are rarely used because of the large time consumption in performing transfer tasks and the lack of safety and comfortableness. We developed a piggyback transfer robot that can conduct patient transfer by imitating the motion when a person holds another person on his/her back. The robot consisted of a chest holder that moves like a human back. In this paper, we present an active stiffness control approach for the motion control of the chest holder, combined with a passive cushion, for lifting a care-receiver comfortably. A human-robot dynamic model was built and a subjective evaluation was conducted to optimize the parameters of both the active stiffness control and the passive cushion of the chest holder. The test results of 10 subjects demonstrated that the robot could transfer a subject safely and the combination of active stiffness and passive stiffness were essential to a comfortable transfer. The objective evaluation demonstrated that an active stiffness of k= 4 kPa/mm along with a passive stiffness lower than the stiffness of human chest was helpful for a comfort feeling.

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