scholarly journals Application of synthetic and biological implants for fixation of rectovaginal septum in rectocele repair

2017 ◽  
Vol 176 (4) ◽  
pp. 51-54
Author(s):  
Yu. A. Shelygin ◽  
O. M. Biryukov ◽  
A. Yu. Titov ◽  
A. A. Mudrov ◽  
G. V. Zadchin
Keyword(s):  
Composite Mesh ◽  
Preoperative Period ◽  
Rectovaginal Septum ◽  
Rectocele Repair ◽  
Biological Implants ◽  
Biologic Implant ◽  
Anatomic Results ◽  
The Difference ◽  
One Year ◽  
Made In

OBJECTIVE. Comparative assessment of results was made in application of synthetic and biological implants for rectocele repair. MATERIAL AND METHODS. The patients (n = 61, aged 34-61 years old) underwent operation concerning an isolated rectocele at the period from 2012 to 2015. Diamond-shaped plasty was performed using transvaginal approach. Synthetic composite mesh was used in 33 patients of the first group and biologic implant was applied in 28 women of the second group. RESULTS. Defecography showed reduction of middle size of rectocele in both groups in term of one year after surgery. However, the difference was insignificant in patients with biological implants. According to individual comparative analysis, the patients (n =9 (32,1 %) of the second group had the same size of rectocele as it was in preoperative period, but only 3 (9,1 %) patients of the first group had the same proportion. CONCLUSIONS. The anatomic results were significantly worse after application of biological implants, which appeared to be less reliable.

scholarly journals XIX. On the difference of meridians of the Royal Observatories of Greenwich and Paris

1827 ◽  
Vol 117 ◽  
pp. 286-296 ◽  
Keyword(s):  
The Other ◽  
Detailed Account ◽  
Sidereal Time ◽  
Methods Of Calculation ◽  
Royal Observatory ◽  
The Difference ◽  
Made In

In the Philosophical Transactions for 1826, Part II. Mr. Herschel has given a detailed account of observations, which were made in the month of July, 1825, for the purpose of ascertaining the difference of the meridians of the Royal Observatories of Greenwich and Paris, with a computation of these observations, from which the most probable value of the difference of longitude appears to be 9 m 21 s. 6. But I have perceived that in the copy of the observations delivered to him from the Royal Observatory of Greenwich, an error of one second has been committed; as the true sidereal time of the observation made there on 21st July, ought to be 17 h 38 m 57·12 in place of 17 h 38 m 56 s. 10, set down in the Table p. 104, which he informs me was computed at the Observatory, and officially communicated to him from the Astronomer Royal. This error seems to have had its origin in the little Table at the bottom of page 103; for, on subtracting the error of the clock, 47 s. 37, from the time 18 h 8 m 30 s. 40, the true sidereal time is 18 h 7 m 43 s. 03, instead of 18 h 7 m 42 s. 03, there given. The error in the result of that day’s observations, arising from this cause, has been partly compensated by a mistake of three tenths of a second, which has occurred in calculating the combined observations of the same day, the gain of mean on sidereal time being stated to be — 4 s. 54 (pp. 120 and 122), in place of — 4 s. 24. On checking the other observations, a few trifling alterations appear to be necessary upon the Greenwich Table of sidereal time, from the data given along with it. These seem to be occasioned by different methods of calculation, and indeed are hardly worthy of notice. The French astronomers not having given the data on which the calculations of the sidereal times at Paris are founded, they are assumed to be correct.

Neural network processing of radar scanning data array

2021 ◽  
Author(s):  
V.E. Dmitriyev ◽  
D.V. Popov ◽  
V.A. Shakhnov
Keyword(s):  
Spatial Perception ◽  
Digital Processing ◽  
Radar Data ◽  
Information Value ◽  
Data Array ◽  
Additional Information ◽  
Distribution Of Values ◽  
The Difference ◽  
Radar Data Processing ◽  
Made In

This article deals with the digital processing of a matrix radar image. The information received from the radar scanner needs to be transformed to enable visual perception. The article describes the main methods of digital processing of matrix data, presents the images transformed by them. The aim of the article was the development of a radar data processing algorithm that identifies the contours and edges of examined objects. The authors propose an algorithm for isolating the geometric structure of the scanned area. The difference between the processing method and the known analogues is based on the nature of the change in the values of the array being processed and consists in the double operation of extracting the gradient of the distribution of values. The software implementation of the algorithm is made in C++ using methods from an open library of computer vision. The efficiency of the algorithm was estimated based on comparison with the algorithms for determining edges based on linear filtering and neural networks. The results of the work can be used to create software for mobile short-range radar devices. Imaging from object boundaries and their edges provides spatial perception of the image by the operator, and free areas are available for rendering additional information. This solution allows you to combine scanning devices and thereby increase the information value of the result.

Localizing cross-linguistic variation in Tense systems: On telicity and stativity in Swedish and English

2012 ◽  
Vol 35 (1) ◽  
pp. 27-70
Author(s):  
Björn Lundquist
Keyword(s):  
Romance Languages ◽  
Linguistic Variation ◽  
Verb Morphology ◽  
Reference Time ◽  
Lexical Aspect ◽  
Temporal Interpretation ◽  
Viewpoint Aspect ◽  
The Difference ◽  
Made In

It is well known that the aktionsart/lexical aspect of a predicate influences the temporal interpretation and the aspectual marking of a sentence, and also that languages differ with respect to which aktionsart properties feed into the tense-aspect system (see e.g. Bohnemeyer & Swift 2004). In this paper, I try to pin down the exact locus of variation between languages where the stative–dynamic distinction is mainly grammaticized (e.g. English, Saamáka) and languages where the telic–atelic distinction is mainly grammaticized (e.g. Swedish, Chinese and Russian). The focus will be on the differences between English and Swedish, and I will argue that these two languages crucially differ in the nature of Assertion Time (or Topic/Reference Time, Klein 1994, Demirdache & Uribe-Etxebarria 2000): whereas the assertion time in English is always punctual in imperfective contexts, assertion time in Swedish can extend to include minimal stages of events. The Assertion Time is introduced by a (viewpoint) aspect head that is present in both languages, but not phonologically realized. The difference can thus not be ascribed to the presence or absence of overt tense, aspect or verb morphology, or to a special tense value, as argued in one way or other by, for example, Giorgi & Pianesi (1997), Demirdache & Uribe-Etxebarria (2000) and Ramchand (2012). Once this factor (i.e. the nature of Assertion Time) has been isolated, it becomes evident that all verbs in English and Swedish, regardless of telicity or dynamicity, can be assigned either a perfective or an imperfective value. Moreover, I will argue that the English progressive–non-progressive (or ‘simple’) distinction is independent of viewpoint aspect (i.e. the perfective– imperfective distinction) made in, for example, the Romance languages.

scholarly journals ADOLESCENT IDIOPATHIC SCOLIOSIS AND SIMILAR CONDITIONS: NEW TOOL TO MEASURE THE CORONAL PLANE

2018 ◽  
Vol 17 (4) ◽  
pp. 281-285
Author(s):  
Enguer Beraldo Garcia ◽  
Guilherme Brescia Payão ◽  
Liliane Faria Garcia ◽  
Enguer Beraldo Garcia Jr ◽  
Marcos Felipe Camarinha ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Postoperative Period ◽  
Central Line ◽  
Coronal Plane ◽  
Fixation Method ◽  
Preoperative Period ◽  
Level Of Evidence ◽  
Proximal Extension ◽  
The Difference ◽  
Third Line

ABSTRACT Objective: To create a method to measure the overall coronal plane of the spine, called the sacral clavicular angle (SCA). Methods: A line is drawn at the base of the sacrum; a second central line is drawn perpendicular to the first one in the proximal extension of the spine. A third line is drawn passing through the intersections of the superior points of the clavicles with the two second ribs, forming two angles, the greater of which is measured. Therefore, the degrees exceeding 90° are the SCA values. This tool was tested retrospectively in a study of 46 patients with idiopathic scoliosis who underwent short, apical, single or multiple fixations. Third generation instrumentation was used and the SCA was evaluated in the pre- and postoperative periods, which were compared with another group of 46 patients treated with the traditional technique. Results: Patients submitted to the traditional fixation method presented a median SCA of 3° in the preoperative period, and in the postoperative period, the SCA remained in 3°. Therefore, there was a 0% reduction. Patients submitted to short, apical, single or multiple fixation method presented a median preoperative SCA of 6°, and a postoperative median SCA of 1°, a reduction of approximately 83%. Conclusions: The group treated with short, apical, single or multiple instrumentation presented a reduction in the SCA of approximately 83% in the postoperative period compared to the preoperative period. The difference between preoperative and postoperative values was considered statistically significant. Level of Evidence II; Retrospective study.

scholarly journals XXXIV. Observations on the transit of Ve­nus, June the 6th, 1761, made in Spital-Square; the longitude of which is 4' 11" west of the Royal Observatory at Green­wich, and the latitude 51° 31' 15" north

1761 ◽  
Vol 52 ◽  
pp. 182-183
Keyword(s):  
The Sun ◽  
Royal Observatory ◽  
The Mean ◽  
The Difference ◽  
Made In

Having measured the diameter of Venus, on the sun, three times, with the object-glass micrometer, the mean was found to be 58 seconds; and but 6/10 of a second, the difference of the extremes.

scholarly journals Estimates of Prevalence of Pulmonary Hypertension according to Different International Definitions

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Richa Tyagi ◽  
Surya Kant ◽  
Akshyaya Pradhan ◽  
Anupam Wakhlu ◽  
Darshan Kumar Bajaj ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Troponin T ◽  
Chronic Respiratory Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Difference ◽  
Considerable Morbidity ◽  
One Year ◽  
Definition Of ◽  
Dreaded Disease

Background. Pulmonary hypertension is a dreaded disease associated with considerable morbidity and mortality. The pulmonary hypertension developing due to chronic respiratory disease is a unique subset with symptoms often getting masqueraded by the underlying respiratory condition. The importance of early detection of this complication has been realized worldwide, and recently, the definition of pulmonary hypertension was revised to set the cutoff of mean pulmonary artery pressure (mPAP) at 20 mmHg instead of 25 mmHg at rest. In our study, we have tried to estimate the difference this new definition brings to the prevalence of pulmonary hypertension among interstitial lung disease patients at our centre. Methods. This was a cross-sectional study in which all the patients of ILDs (n = 239) attending the outdoor and indoor Department of Respiratory Medicine, King George’s Medical University, India, for the duration of one year were subjected to transthoracic echocardiography along with measurement of serum pro-B-type natriuretic peptide (BNP) and troponin T values. The data were analyzed using the different definitions, and the prevalence was compared. Result. Incidence of pulmonary hypertension among ILD patients at mPAP cutoff ≥ 25 was 28.9%, while that at value ≥20 mmHg, incidence of pulmonary hypertension increased to 46.0%. An increment of 15–20% in incidence of pulmonary hypertension was observed among different types of ILD when cutoff of mPAP was changed. Conclusion. The new definition helps in a significant increase in the detection of pulmonary hypertension, which certainly helps in earlier detection and better management of patients.

scholarly journals LIVER BIOPSY

2011 ◽  
Vol 18 (04) ◽  
pp. 709-714
Author(s):  
FUAD AHMAD SIDDIQI ◽  
RIZWANA KITCHLEW ◽  
ASIF HASHMI
Keyword(s):  
Liver Biopsy ◽  
Liver Tissue ◽  
Blood Donors ◽  
Carrier State ◽  
Military Hospital ◽  
Histopathologic Diagnosis ◽  
Right Lobe ◽  
The Mean ◽  
One Year ◽  
Made In

Objective: To study the safety and efficacy of Surecut needle in obtaining the liver tissue by percutaneous liver biopsy. Design: Single centered prospective hospital based study. Place and duration of study: Department of Internal medicine (Unit-1) & Family ward, Combined military hospital Lahore for more than one year from August 2002 to March 2004. Materials and Methods: One hundred and fifty patients of either gender having asymptomatic hepatitis C carrier state, healthy blood donors, with positive HCV-PCR were included in study. The patients liver biopsy was done with Surecut needle 16G with patient breath suspended in expiration from the periphery of right lobe of liver. Result: Majority of patients, 135 ( 90% ) were male and 15 (10%) were female. The mean age was 30.3 years with range of 25-55years. In 146(97.31%)patients successful biopsy was done while the biopsy was non-diagnostic in 4(2.69%) patients. Mean core length of liver tissue obtained was Mean+sd(1.2+0.42cm) and histopathologic diagnosis was made in 97.31% cases. Total number of attempts were 1-2. In 99% single attempt was done. No major complications related to procedure was seen. Conclusions: liver biopsy with Surecut needle is safe and effective in establishing the diagnosis of Chronic hepatitis.

scholarly journals The COVID-19 pandemic shifted the Veterans Affairs System toward being a payer and virtual care provider: is it sustainable?

2021 ◽  
Author(s):  
Liam Rose ◽  
Linda Diem Tran ◽  
Steven M Asch ◽  
Anita Vashi
Keyword(s):  
Financial Incentives ◽  
Care Delivery ◽  
Data Extraction ◽  
Medical Personnel ◽  
Extraction Methods ◽  
Virtual Care ◽  
Large Expansion ◽  
Virtual Visits ◽  
The Difference ◽  
One Year

Objective: To examine how VA shifted care delivery methods one year into the pandemic. Study Setting: All encounters paid or provided by VA between January 1, 2019 and February 27, 2021. Study Design: We aggregated all VA paid or provided encounters and classified them into community (non-VA) acute and non-acute visits, VA acute and non-acute visits, and VA virtual visits. We then compared the number of encounters by week over time to pre-pandemic levels. Data Extraction Methods: Aggregation of administrative VA claims and health records. Principal Findings: VA has experienced a dramatic and persistent shift to providing virtual care and purchasing care from non-VA providers. Before the pandemic, a majority (63%) of VA care was provided in-person at a VA facility. One year into the pandemic, in-person care at VA's constituted just 33% of all visits. Most of the difference made up by large expansions of virtual care; total VA provided visits (in person and virtual) declined (4.9 million to 4.2 million) while total visits of all types declined only 3.5%. Community provided visits exceeded prepandemic levels (2.3 million to 2.9 million, +26%). Conclusion: Unlike private health care, VA has resumed in-person care slowly at its own facilities, and more rapidly in purchased care with different financial incentives a likely driver. The very large expansion of virtual care nearly made up the difference. With a widespread physical presence across the U.S., this has important implications for access to care and future allocation of medical personnel, facilities, and resources.

scholarly journals The difference in outcome of patients with open inguinal hernia repair by using delayed absorbable sutures instead of non-absorbable sutures for mesh fixation

2020 ◽  
Vol 8 (1) ◽  
pp. 24
Author(s):  
Ali G. Mohammed Redha ◽  
Adil A. Jaber ◽  
Aqeel M. Nasser
Keyword(s):  
Hernia Repair ◽  
Mesh Fixation ◽  
Good Alternative ◽  
P Value ◽  
Absorbable Sutures ◽  
Significant Difference ◽  
The Difference ◽  
Group 2 ◽  
One Year ◽  
Group 1

Background: Different methods are found for mesh fixation in inguinal hernioplasty both open and laparoscopic. In open technique, sutures have been the method of choice for their reduced costs and surgeons’ habits. Whether absorbable instead of non-absorbable sutures can be used still a matter of debate in view of hernia recurrence and post-operative complications.Methods: This is a prospective done on 158 male patients with uncomplicated unilateral inguinal hernias. Two groups of 69 patients were evaluated after periods up to 1 year after open hernioplasty by using delayed absorbable sutures in one group (group 1) and non-absorbable sutures in the other group (group 2) for fixation of mesh.Results: In spite of a noticeable reduction in complication in the group 1 in term of number and percentage when compared with group 2 mainly chronic pain, there is no significant difference (p value>0.05). However, these results are associated with zero recurrence in both groups during a period of one year follow up.Conclusions: Delayed absorbable sutures are good alternative of non-absorbable sutures in open mesh hernia repair associated with less complications and almost no increase in chance of recurrence.  

scholarly journals Extrém magas B típusú natriureticus prohormon prognosztikai szerepe a szívelégtelenség miatt kezelt betegek kórházi halálozására

2017 ◽  
Vol 158 (20) ◽  
pp. 779-782
Author(s):  
Béla Bózsik ◽  
Erzsébet Nagy ◽  
Miklós Somlói ◽  
János Tomcsányi
Keyword(s):  
Heart Failure ◽  
Hospital Mortality ◽  
Hospital Stay ◽  
Natriuretic Peptide ◽  
Natriuretic Peptides ◽  
Prognostic Value ◽  
Response To Therapy ◽  
Cardiology Department ◽  
The Difference ◽  
One Year

Abstract: Introduction: Patients hospitalized for heart failure have a very high in-hospital as well as one-year mortality. Natriuretic peptides play both a diagnostic and a prognostic role in this disease. Changes of natriuretic peptide levels in response to therapy are a well-known prognostic marker. Regarding in-hospital mortality, however, little is known about the prognostic value of extremely high levels of natriuretic peptides measured on admission. Aim: To decide whether extremely high levels of B-type natriuretic peptide have a prognostic value with regard to in-hospital mortality. Method: NT-proBNP levels on admission and in-hospital mortality were extracted retrospectively from the data of patients treated with heart failure in the cardiology department of the Hospital of St. John of God in Budapest. We separately analyzed the data of patients hospitalized for heart failure in 2015 with extremely high initial NT-proBNP levels. The cut-off value in this regard was 10 000 ng/l. We also analyzed the comorbidities of these patients. Results: The median NT-proBNP level of those patients who survived beyond the index hospital stay in the last 10 years was 4842 ng/l, whereas the median NT-proBNP level of those 182 patients who died during their hospital stay was 10 688 ng/l (p<0.001). In the year 2015, we treated 118 patients with an NT-proBNP level above 10 000 ng/l. Thirteen of these patients died, which means that their in-hospital mortality exceeded 10%. In comparison, the in-hospital mortality of all heart failure patients was 5.8%. The difference of median NT-proBNP levels of surviving versus deceased patients in this group with extremely high NT-proBNP levels was no longer significant (17 080 ng/l vs. 19 152 ng/l). Conclusions: Patients with an NT-proBNP level of >10 000 ng/l on admission have a significantly higher in-hospital mortality. The difference of NT-proBNP levels of surviving versus deceased patients in the group with admission NT-proBNP levels >10 000 ng/l is no longer significant. We could not identify any etiological factors that would explain these extremely high NT-proBNP levels or the excess in-hospital mortality. Orv Hetil. 2017; 158(20): 779–782.

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