The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Purpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results. The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil’s irregularity. Conclusions. In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.

Discussions on hypospadius repair

Surgery for Hypospadius is fraught with complications. The very fact that there are more than a hundred techniques described for this problem is evidence enough to confirm that no single technique is the perfect answer to our efforts. The presenting author is a student of Dr.H.S.Asopa and an advocate of the perpucial island flap technique, though not dogmatic in its propagation. He has also had the opportunity to train with Mr. Aviar Bracka and uses different techniques judiciously. This presentation is about the details no author stresses upon for Hypospadius and surgery. Pre and post operative pictures are not the only teaching aids. Ten Commandments for Hypospadius surgeons. These are in themselves self explanatory for the students of Hypospadius as well as the senior specialist. We have been achieving consistant results even though we have not struck to any one technique. We have been using the modified Asopa-I technique (for almost half the cases) and Bracka technique as the two main methods for surgery. This step by step on pitfalls in hypospadius surgery is not to highlight surgical techniques but to discuss about steps which have their own importance to produce acceptable results.In spite of so many methods to perform surgery for patients of hypospadius, some general principles on tissue handling, suture management, prevention of edema, general method of dissection, dressing techniques etc go a long way in giving consistant results whatever the method used for the repair.

Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias

BackgroundHypospadias surgery has been continuously evolving, although there is no single technique which can be said to be perfect and suitable for all types of hypospadias. Tubularized incised plate (TIP) urethroplasty (Snodgrass procedure) is presently the most common surgical procedure performed for distal penile hypospadias (DPH). The aim of this study was to compare the outcome of TIP urethroplasty using Dartos flap (DF) and spongioplasty as second layer in DPH.MethodsA total of 30 patients of DPH were repaired using TIP urethroplasty with DF or spongioplasty as second layer from January 2017 to June 2018. Out of 30 patients, TIP with DF was done in 15 patients (group A) and TIP with spongioplasty was done in the remaining 15 patients (group B). Preoperative mean age and weight were comparable in both groups. Postoperative complications, namely, postoperative edema, residual chordee, urethrocutaneous fistula (UCF), meatal stenosis and final cosmesis, were recorded.ResultsIn both groups, complications included postoperative edema (Gp A-1Gp B-1), residual chordee (Gp A-1, Gp B-1), UCF (Gp A-3, Gp B-4), meatal stenosis (Gp A-1, Gp B-5) and poor cosmesis (Gp A-3, Gp B-4). Wound infection was managed with appropriate antibiotics, and meatal stenosis responded to calibration in five patients.Although it seems that DF has a better outcome clinically, the difference between the two techniques was statistically not significant.ConclusionDF as an additional cover to TIP is associated with an acceptable complication and has good cosmesis compared with spongioplasty; however, the difference is not statistically significant.

Chemical Analysis Combined with Multivariate Statistical Methods to Determine the Geographical Origin of Milk from Four Regions in China

Traceability of milk origin in China is conducive to the implementation of the protection of regional products. In order to distinguish milk from different geographical distances in China, we traced the milk of eight farms in four neighboring provinces of China (Inner Mongolia autonomous region, Hebei, Ningxia Hui autonomous and Shaanxi), and multivariate data analysis was applied to the data including elemental analysis, stable isotope analysis and fatty acid analysis. In addition, orthogonal partial least squares discriminant analysis (OPLS-DA) is used to determine the optimal classification model, and it is explored whether the combination of different technologies is better than a single technical analysis. It was confirmed that in the inter-provincial samples, the combination of the two techniques was better than the analysis using a single technique (fatty acids: R2 = 0.716, Q2 = 0.614; fatty acid-binding isotopes: R2 = 0.760, Q2 = 0.635). At the same time, milk produced by farms with different distances of less than 11 km in each province was discriminated, and the discriminant distance was successfully reduced to 0.7 km (Ningxia Hui Autonomous Region: the distance between the two farms was 0.7 km, R2 = 0.771, Q2 = 0.631). For short-distance samples, the combination multiple technologies are not completely superior to a single technique, and sometimes, it is easy to cause model over-fitting.

Determination of Fatty Acid Content of Rice during Storage Based on Feature Fusion of Olfactory Visualization Sensor Data and Near-Infrared Spectra

This study innovatively proposes a feature fusion technique to determine fatty acid content during rice storage. Firstly, a self-developed olfactory visualization sensor was used to capture the odor information of rice samples at different storage periods and a portable spectroscopy system was employed to collect the near-infrared (NIR) spectra during rice storage. Then, principal component analysis (PCA) was performed on the pre-processed olfactory visualization sensor data and the NIR spectra, and the number of the best principal components (PCs) based on the single technique model was optimized during the backpropagation neural network (BPNN) modeling. Finally, the optimal PCs were fused at the feature level, and a BPNN detection model based on the fusion feature was established to achieve rapid measurement of fatty acid content during rice storage. The experimental results showed that the best BPNN model based on the fusion feature had a good predictive performance where the correlation coefficient (RP) was 0.9265, and the root mean square error (RMSEP) was 1.1005 mg/100 g. The overall results demonstrate that the detection accuracy and generalization performance of the feature fusion model are an improvement on the single-technique data model; and the results of this study can provide a new technical method for high-precision monitoring of grain storage quality.

Integrated Traceability Approach for an Effective Impact Analysis

Change is inevitable, software undergoes continuous change during its life cycle. A small change can trigger high evolution because of the ripple effect identified during the activity of impact analysis. However, it depends on the traceability information, which is the connection between software development artifacts. The current traceability techniques lack the breadth and depth to carryout informative impact analysis. We have performed a detailed literature survey of traceability techniques from the year 2008-2018. These techniques are evaluated on the criteria for effective impact analysis present in the literature. The results highlight that no single technique fulfills the criteria for effective impact analysis alone, they can be combined together to achieve promising results. We have presented a hybrid approach that combines four traceability techniques to achieve the entire criteria for an effective impact analysis after careful evaluation. The techniques combined are: Information Retrieval, Pre-Requirement Specification Traceability, Value based Requirements Traceability Technique and Goal Centric Traceability Technique. Our proposed hybrid approach is empirically validated via a field experiment. Results are analyzed for time and effort utilized in maintaining and retrieving the traceability information. The results are promising as the hybrid approach achieves effective impact analysis within minimal time and effort. We plan to extend the validation to real world impact analysis situation via case study.

Towards Inter-Technique Co-Location of GNSS and VLBI Observations

<p>The current realisation of the ITRF2014, features the estimation of polar motion (x-pole and y-pole) based on the combination of the four space geodetic techniques, whereas polar motion rates are based on two techniques, and UT1-UTC and LOD are taken only from the solution of a single technique (VLBI). Moreover,the combination of troposphere parameters (from VLBI and GNSS) with tropospheric ties and the combination of common clocks at the fundamental sites are not yet exploited in this combination strategy. Therefore, a rigorous combination of all common parameter types, with consistent Earth Orientation Parameters (EOPs) and with appropriate inter-technique tropospheric and clock ties, is still a considerable way to go.</p><p>The guiding principle for a rigorous combination is that all parameter types common to more than one space geodetic observation technique should be combined, including their full variance-covariance information as well as the corresponding ties. Based on this fact, and keeping in mind that both, GNSS and geodetic VLBI are based on microwave frequencies, and that their physical models and their parameter types (site coordinates and velocities, troposphere estimates, EOPs and -possibly- clock estimates) are closely related, we used data from the CONT17 campaign to study the benefits to be expected from a more rigorous combination approach, and we developed a processing scheme, based on a tailored version of the Bernese V5.2 software, for the consistent estimation of all EOPs, with daily and sub-daily resolution of polar motion and UT1-UTC, and for realising inter-technique tropospheric ties. We discuss the challenges and results of this rigorous inter-technique combination of VLBI and GNSS observations, and provide evidence of the need of such an approach.</p>

Cleft Rhinoplasty

Cleft rhinoplasty is one of the most difficult and challenging aesthetic surgeries to carry out and bears a significant impact on the overall nasal aesthetics and function. Two reasons understood for this are the simultaneous involvement of all the layers of the nose including the skin, cartilage, skeleton and vestibular lining (this being the principal reason) and the significant scarring that is the consequence of multiple previous surgical interventions. There is a mention of numerous techniques for ultimate correction of unilateral and bilateral cleft nasal deformities but no single technique has till date provided a definite solution for correction of all the problems that accompany these deformities. There is a revised interest in performing primary rhinoplasties at the time of lip repair with or without presurgical orthopedics but these procedures may still warrant definitive rhinoplasty at a later date. The purpose of this chapter is to provide a comprehensive review of cleft rhinoplasty in the most systematic manner beginning with the pathologic anatomy followed by surgical timing, pre-operative evaluation and surgical correction. The chapter also discusses the use of various grafts in a typical cleft rhinoplasty case as well as treatment strategy for management of both, unilateral and bilateral cleft nasal deformities. The outcomes as well as complications and a note on further revisions have also been presented.