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Sample records for minimal enterostomy case

  1. Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome. Management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report

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    Gama-Rodrigues Joaquim J.

    2000-01-01

    Full Text Available The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome. CASE REPORT: This paper reports on a 15-year-old male patient with a family history of the disease, who underwent surgery for treatment of an intestinal occlusion due to a small intestine intussusception. DISCUSSION: An intra-operative fiberscopic procedure was included for the detection and treatment of numerous polyps distributed along the small intestine. Enterotomy was performed to treat only the larger polyps, therefore limiting the intestinal resection to smaller segments. The postoperative follow-up was uneventful. CONCLUSION: We point out the importance of conservative treatment for patients with this syndrome, especially those who will undergo repeated surgical interventions because of clinical manifestation while they are still young.

  2. Surgery for necrotising enterocolitis : primary anastomosis or enterostomy?

    NARCIS (Netherlands)

    Hofman, FN; Bax, NMA; van der Zee, DC

    2004-01-01

    The ideal surgical management of neonates with necrotising enterocolitis (NEC) is still a matter of debate. The purpose of this study was to compare the results of bowel resection with primary anastomosis with the results of bowel resection with enterostomy. Sixty-three neonates with NEC had a bowel

  3. Endoscopy-based early enterostomy closure for superior mesenteric arterial occlusion

    Institute of Scientific and Technical Information of China (English)

    Takatsugu; Oida; Hisao; Kano; Kenji; Mimatsu; Atsushi; Kawasaki; Youichi; Kuboi; Nobutada; Fukino; Sadao; Amano

    2010-01-01

    AIM:To evaluate the efficacy of endoscopic examination of blood flow and edema in the remnant bowel.METHODS:We retrospectively studied 15 patients who underwent massive bowel resection with enterostomy for superior mesenteric arterial occlusion (SMAO); the patients were divided into a delayed closure group (D group) and an early closure group (E group).RESULTS:The mean duration from initial operation to enterostomy closure was significantly shorter in the E group (18.3 ± 2.1 d) than in the D group (34.3 ± 5...

  4. Minimalism

    CERN Document Server

    Obendorf, Hartmut

    2009-01-01

    The notion of Minimalism is proposed as a theoretical tool supporting a more differentiated understanding of reduction and thus forms a standpoint that allows definition of aspects of simplicity. This book traces the development of minimalism, defines the four types of minimalism in interaction design, and looks at how to apply it.

  5. Minimally Invasive Surgical Treatment of Acute Epidural Hematoma: Case Series

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    Weijun Wang

    2016-01-01

    Full Text Available Background and Objective. Although minimally invasive surgical treatment of acute epidural hematoma attracts increasing attention, no generalized indications for the surgery have been adopted. This study aimed to evaluate the effects of minimally invasive surgery in acute epidural hematoma with various hematoma volumes. Methods. Minimally invasive puncture and aspiration surgery were performed in 59 cases of acute epidural hematoma with various hematoma volumes (13–145 mL; postoperative follow-up was 3 months. Clinical data, including surgical trauma, surgery time, complications, and outcome of hematoma drainage, recovery, and Barthel index scores, were assessed, as well as treatment outcome. Results. Surgical trauma was minimal and surgery time was short (10–20 minutes; no anesthesia accidents or surgical complications occurred. Two patients died. Drainage was completed within 7 days in the remaining 57 cases. Barthel index scores of ADL were ≤40 (n=1, 41–60 (n=1, and >60 (n=55; scores of 100 were obtained in 48 cases, with no dysfunctions. Conclusion. Satisfactory results can be achieved with minimally invasive surgery in treating acute epidural hematoma with hematoma volumes ranging from 13 to 145 mL. For patients with hematoma volume >50 mL and even cerebral herniation, flexible application of minimally invasive surgery would help improve treatment efficacy.

  6. Parental Perceptions of Quality of Life in Children on Long-Term Ventilation at Home as Compared to Enterostomy Tubes.

    Directory of Open Access Journals (Sweden)

    Brahim Redouane

    Full Text Available Health related quality of life (HRQL of children using medical technology at home is largely unknown. Our aim was to examine the HRQL in children on long-term ventilation at home (LTHV in comparison to a cohort using an enterostomy tube.Participants were divided into three groups: 1 LTHV without an enterostomy tube (LTHV cohort; 2 Enterostomy tube (GT cohort; 3 LTHV with an enterostomy tube (LTHV+GT cohort. Caregivers of children ≥ 5 years and followed at SickKids, Toronto, Canada, completed three questionnaires: Health Utilities Index 2/3 (HUI2/3, Caregiver Priorities Caregiver Health Index (CPCHILD, and the Paediatric Quality of Life Inventory (PedsQL. The primary outcome was the difference in utility (HUI2/3 scores between the cohorts.One hundred and nineteen children were enrolled; 47 in the LTHV cohort, 44 in the GT cohort, and 28 in the LTHV+GT cohort. In univariate analysis, HUI2 mean (SE scores were lowest for the GT cohort, 0.4 (0.04 followed by the LTHV+GT, 0.42 (0.05 and then the LTHV cohort, 0.7 (0.04, p = 0.001. A similar trend was seen for the HUI3 mean (SE scores: GT cohort, 0.1 (0.06, followed by the LTHV +GT cohort, 0.2 (0.08 and then the LTHV cohort, 0.5 (0.06, p = 0.0001. Technology cohort, nursing hours and the severity of health care needs predicted HRQL as measured by the HUI2/3.The HRQL of these children is low. Children on LTHV had higher HRQL than children using enterostomy tubes. Further work is needed to identify modifiable factors that can improve HRQL.

  7. Nursing experience of preterm infants after enterostomy%早产儿肠造瘘术后护理体会

    Institute of Scientific and Technical Information of China (English)

    邓秋香; 刘晓聪; 赵丽洁

    2013-01-01

    Objective:To investigate the premature infants with intestinal fistula postoperative nursing,to reduce the long-term complications. Methods;35 patients with enterostomy in pretenn infants after enforcement of warm, close observation of disease condition, nutritional support, scientific nursing stoma, attach importance to education measures observation of nursing effect. Results:34 patients were in stable condition,with ostomy discharge,undergoing radical operation,one case due to multiple organ failure and death. Conclusion:The correct scientific nursing stoma,can reduce the postoperative complications occurred in children,to promote postoperative recovery,improve the survival rate and quality of life.%目的:探讨早产儿肠造瘘术后护理要点,以减少其近远期并发症.方法:通过对35例肠造瘘术后早产儿实施加强保暖、密切观察病情、营养支持、科学护理造口、重视宣教等措施观察护理效果.结果:34例患儿病情稳定,带造口袋出院,择期行根治术;1例因多器官功能衰竭死亡.结论:正确科学护理肠造口,可减少术后近远期并发症,促进患儿术后恢复,提高患儿的生存率和生活质量.

  8. Minimally invasive treatment of hepatic adenoma in special cases

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    Nasser, Felipe; Affonso, Breno Boueri; Galastri, Francisco Leonardo [Hospital Israelita Albert Einstein, São Paulo, SP (Brazil); Odisio, Bruno Calazans [MD Anderson Cancer Center, Houston (United States); Garcia, Rodrigo Gobbo [Hospital Israelita Albert Einstein, São Paulo, SP (Brazil)

    2013-07-01

    Hepatocellular adenoma is a rare benign tumor that was increasingly diagnosed in the 1980s and 1990s. This increase has been attributed to the widespread use of oral hormonal contraceptives and the broader availability and advances of radiological tests. We report two cases of patients with large hepatic adenomas who were subjected to minimally invasive treatment using arterial embolization. One case underwent elective embolization due to the presence of multiple adenomas and recent bleeding in one of the nodules. The second case was a victim of blunt abdominal trauma with rupture of a hepatic adenoma and clinical signs of hemodynamic shock secondary to intra-abdominal hemorrhage, which required urgent treatment. The development of minimally invasive locoregional treatments, such as arterial embolization, introduced novel approaches for the treatment of individuals with hepatic adenoma. The mortality rate of emergency resection of ruptured hepatic adenomas varies from 5 to 10%, but this rate decreases to 1% when resection is elective. Arterial embolization of hepatic adenomas in the presence of bleeding is a subject of debate. This observation suggests a role for transarterial embolization in the treatment of ruptured and non-ruptured adenomas, which might reduce the indication for surgery in selected cases and decrease morbidity and mortality. Magnetic resonance imaging showed a reduction of the embolized lesions and significant avascular component 30 days after treatment in the two cases in this report. No novel lesions were observed, and a reduction in the embolized lesions was demonstrated upon radiological assessment at a 12-month follow-up examination.

  9. A case of minimal change disease in a Fabry patient.

    Science.gov (United States)

    Zarate, Yuri A; Patterson, Larry; Yin, Hong; Hopkin, Robert J

    2010-03-01

    Fabry disease is an X-linked lysosomal storage disorder caused by mutations of the GLA gene and deficiency in alpha-galactosidase A activity. Glycosphingolipids accumulation causes renal injury that manifests early during childhood as tubular dysfunction and later in adulthood as proteinuria and renal insufficiency. Nephrotic syndrome as the first evidence of Fabry-related kidney damage is rare. We report the case of a teenager with known Fabry disease and normal renal function who developed acute nephrotic syndrome. He was found to have typical glycosphingolipids accumulation with no other findings suggestive of alternative causes of nephrotic syndrome on kidney biopsy. After treatment with enzyme replacement therapy and oral steroids, he went into complete remission from nephrotic syndrome, a response that is atypical for Fabry disease patients who develop heavy proteinuria as a result of longstanding disease and chronic renal injury. The nephrotic syndrome in this patient appears to have developed secondary to minimal change disease. We recommend considering immunotherapy in addition to enzyme replacement therapy in those patients with confirmed Fabry disease and acute nephrotic syndrome with clinical and microscopic findings suggestive of minimal change disease.

  10. Minimal change disease: A case report of an unusual relationship.

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    Edrees, Fahad; Black, Robert M; Leb, Laszlo; Rennke, Helmut

    2016-01-01

    Kidney injury associated with lymphoproliferative disorders is rare, and the exact pathogenetic mechanisms behind it are still poorly understood. Glomerular involvement presenting as a nephrotic syndrome has been reported, usually secondary to membranoproliferative glomerulonephritis. We report a case of a 63-year-old male who presented with bilateral leg swelling due to nephrotic syndrome and acute kidney injury. A kidney biopsy showed minimal change disease with light chain deposition; however, no circulating light chains were present. This prompted a bone marrow biopsy, which showed chronic lymphocytic leukemia (CLL) with deposition of the same kappa monoclonal light chains. Three cycles of rituximab and methylprednisolone resulted in remission of both CLL and nephrotic syndrome, without recurrence during a three-year follow-up.

  11. Impact of previous cyst-enterostomy on patients’ outcome following resection of bile duct cysts

    Institute of Scientific and Technical Information of China (English)

    Mehdi Ouaissi; Reza Kianmanesh; Emilia Ragot; Jacques Belghiti; Pietro Majno; Gennaro Nuzzo; Remi Dubois; Yann Revillon; Daniel Cherqui; Daniel Azoulay; Christian Letoublon; Fran?ois-René Pruvot; Fran?ois Paye; Patrick Rat; Karim Boudjema; Adeline Roux; Jean-Yves Mabrut; Jean-Fran?ois Gigot

    2016-01-01

    AIM:To analyze the impact of previous cyst-enterostomy of patients underwent congenital bile duct cysts(BDC) resection.METHODS:A multicenter European retrospective study between 1974 and 2011 were conducted by the French Surgical Association.Only Todani subtypes I and IVb were included.Diagnostic imaging studies and operative and pathology reports underwent central revision.Patients with and without a previous history of cystenterostomy(CE) were compared.RESULTS:Among 243 patients with Todani types I and IVb BDC,16 had undergone previous CE(6.5%).Patients with a prior history of CE experienced a greater incidence of preoperative cholangitis(75% vs 22.9%,P < 0.0001),had more complicated presentations(75% vs 40.5%,P = 0.007),and were more likely to have synchronous biliary cancer(31.3% vs 6.2%,P = 0.004) than patients without a prior CE.Overall morbidity(75% vs 33.5%;P < 0.0008),severe complications(43.8% vs 11.9%;P = 0.0026) and reoperation rates(37.5% vs 8.8%;P = 0.0032) were also significantly greater in patients with previous CE,and their Mayo Risk Score,during a median follow-up of 37.5 mo(range:4-372 mo) indicated significantly more patients with fair and poor results(46.1% vs 15.6%;P = 0.0136).CONCLUSION:This is the large series to show that previous CE is associated with poorer short-and longterm results after Todani types I and IVb BDC resection.

  12. Minimally invasive approaches in pancreatic pseudocyst: a Case report

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    Rohollah Y

    2009-09-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: According to importance of post operative period, admission duration, post operative pain, and acceptable rate of complications, minimally invasive approaches with endoscope in pancreatic pseudocyst management becomes more popular, but the best choice of procedure and patient selection is currently not completely established. During past decade endoscopic procedures are become first choice in most authors' therapeutic plans, however, open surgery remains gold standard in pancreatic pseudocyst treatment."n"nMethods: we present here a patient with pancreatic pseudocyst unresponsive to conservative management that is intervened endoscopically before 6th week, and review current literatures to depict a schema to management navigation."n"nResults: A 16 year old male patient presented with two episodes of acute pancreatitis with abdominal pain, nausea and vomiting. Hyperamilasemia, pancreatic ascites and a pseudocyst were found in our preliminary investigation. Despite optimal conservative management, including NPO (nil per os and total parentral nutrition, after four weeks, clinical and para-clinical findings deteriorated. Therefore, ERCP and trans-papillary cannulation with placement of 7Fr stent was

  13. Minimally invasive repair of Morgagni hernia - A multicenter case series.

    Science.gov (United States)

    Lamas-Pinheiro, R; Pereira, J; Carvalho, F; Horta, P; Ochoa, A; Knoblich, M; Henriques, J; Henriques-Coelho, T; Correia-Pinto, J; Casella, P; Estevão-Costa, J

    2016-01-01

    Children may benefit from minimally invasive surgery (MIS) in the correction of Morgagni hernia (MH). The present study aims to evaluate the outcome of MIS through a multicenter study. National institutions that use MIS in the treatment of MH were included. Demographic, clinical and operative data were analyzed. Thirteen patients with MH (6 males) were operated using similar MIS technique (percutaneous stitches) at a mean age of 22.2±18.3 months. Six patients had chromosomopathies (46%), five with Down syndrome (39%). Respiratory complaints were the most common presentation (54%). Surgery lasted 95±23min. In none of the patients was the hernia sac removed; prosthesis was never used. In the immediate post-operative period, 4 patients (36%) were admitted to intensive care unit (all with Down syndrome); all patients started enteral feeds within the first 24h. With a mean follow-up of 56±16.6 months, there were two recurrences (18%) at the same institution, one of which was repaired with an absorbable suture; both with Down syndrome. The application of MIS in the MH repair is effective even in the presence of comorbidities such as Down syndrome; the latter influences the immediate postoperative recovery and possibly the recurrence rate. Removal of hernia sac does not seem necessary. Non-absorbable sutures may be more appropriate.

  14. Fulminant ulcerative colitis associated with steroid-resistant minimal change disease and psoriasis: A case report

    OpenAIRE

    Lok, Ka-Ho; Hung, Hiu-Gong; Yip, Wai-Man; Li, Kin-Kong; Li, Kam-Fu; Szeto, Ming-Leung

    2007-01-01

    A 43-year-old Chinese patient with a history of psoriasis developed fulminant ulcerative colitis after immunosuppressive therapy for steroid-resistant minimal change disease was stopped. Minimal change disease in association with inflammatory bowel disease is a rare condition. We here report a case showing an association between ulcerative colitis, minimal change disease, and psoriasis. The possible pathological link between 3 diseases is discussed.

  15. Fulminant ulcerative colitis associated with steroid-resistant minimal change disease and psoriasis: a case report.

    Science.gov (United States)

    Lok, Ka-Ho; Hung, Hiu-Gong; Yip, Wai-Man; Li, Kin-Kong; Li, Kam-Fu; Szeto, Ming-Leung

    2007-08-07

    A 43-year-old Chinese patient with a history of psoriasis developed fulminant ulcerative colitis after immunosuppressive therapy for steroid-resistant minimal change disease was stopped. Minimal change disease in association with inflammatory bowel disease is a rare condition. We here report a case showing an association between ulcerative colitis, minimal change disease, and psoriasis. The possible pathological link between 3 diseases is discussed.

  16. Fulminant ulcerative colitis associated with steroid-resistant minimal change disease and psoriasis: A case report

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A 43-year-old Chinese patient with a history of psoriasis developed fulminant ulcerative colitis after immunosuppressive therapy for steroid-resistant minimal change disease was stopped. Minimal change disease in association with inflammatory bowel disease is a rare condition. We here report a case showing an association between ulcerative colitis, minimal change disease,and psoriasis. The possible pathological link between 3 diseases is discussed.

  17. A case of cutaneous paragonimiasis presented with minimal pleuritis.

    Science.gov (United States)

    Singh, T Shantikumar; Devi, Kh Ranjana; Singh, S Rajen; Sugiyama, Hiromu

    2012-07-01

    Clinically, paragonimiasis is broadly classified into pulmonary, pleuropulmonary, and extrapulmonary forms. The common extrapulmonary forms are cerebral and cutaneous paragonimiasis. The cutaneous paragonimiasis is usually presented as a slowly migrating and painless subcutaneous nodule. The correct diagnosis is often difficult or delayed or remained undiagnosed until the nodule becomes enlarged and painful and the cause is investigated. We report here a case of cutaneous paragonimiasis in a male child who presented with mild respiratory symptoms. The diagnosis of paragonimiasis was based on a history of consumption of crabs, positive specific serological test, and blood eosinophilia. The swelling and respiratory symptoms subsided after a prescribed course of praziquantel therapy.

  18. A Dual Approach for Solving Nonlinear Infinite-Norm Minimization Problems with Applications in Separable Cases

    CERN Document Server

    Gharibi, Wajeb

    2011-01-01

    In this paper, we focus on nonlinear infinite-norm minimization problems that have many applications, especially in computer science and operations research. We set a reliable Lagrangian dual aproach for solving this kind of problems in general, and based on this method, we propose an algorithm for the mixed linear and nonlinear infinite-norm minimization cases with numerical results.

  19. Minimally invasive atlantoaxial fusion: cadaveric study and report of 5 clinical cases.

    Science.gov (United States)

    Srikantha, Umesh; Khanapure, Kiran S; Jagannatha, Aniruddha T; Joshi, Krishna C; Varma, Ravi G; Hegde, Alangar S

    2016-12-01

    OBJECTIVE Minimally invasive techniques are being increasingly used to treat disorders of the cervical spine. They have a potential to reduce the postoperative neck discomfort subsequent to extensive muscle dissection associated with conventional atlantoaxial fusion procedures. The aim of this paper was to elaborate on the technique and results of minimally invasive atlantoaxial fusion. MATERIALS Minimally invasive atlantoaxial fusion was done initially in 4 fresh-frozen cadavers and subsequently in 5 clinical cases. Clinical cases included patients with reducible atlantoaxial instability and undisplaced or minimally displaced odontoid fractures. The surgical technique is illustrated in detail. RESULTS Among the cadaveric specimens, all C-1 lateral mass screws were in the correct position and 2 of the 8 C-2 screws had a vertebral canal breach. Among clinical cases, all C-1 lateral mass screws were in the correct position. Only one C-2 screw had a Grade 2 vertebral canal breach, which was clinically insignificant. None of the patients experienced neurological worsening or implant-related complications at follow-up. Evidence of rib graft fusion or C1-2 joint fusion was successfully demonstrated in 4 cases, and flexion-extension radiographs done at follow-up did not show mobility in any case. CONCLUSIONS Minimally invasive atlantoaxial fusion is a safe and effective alternative to the conventional approach in selected cases. Larger series with direct comparison to the conventional approach will be required to demonstrate clinical benefit presumed to be associated with a minimally invasive approach.

  20. Application of enterostomy in treatment of bowel perforation complicated with abdominal cavity infections%肠穿孔腹腔感染肠造口术的应用研究

    Institute of Scientific and Technical Information of China (English)

    乔小平; 张桂华; 陈名林

    2015-01-01

    OBJECTIVE To analyze the application value of enterostomy in treating bowel perforation complicated with abdominal cavity infections so as to reduce the infection rate .METHODS Totally 80 patients with intestinal perforation complicated by abdominal cavity infections between Jan .2012 and Jan .2014 in our hospital were select‐ed and divided into the treatment group (50 cases ,enterostomy) and the control group (30 cases ,open abdominal cavity therapy) .Two groups of patients were compared for serum C‐reactive protein (CRP) and serum calcitonin (PCT) ,white blood cell count (WBC) levels and APACHE Ⅱ grading preoperatively and at 10 d postoperatively . Meanwhile ,two groups of patients were compared for mortality ,length of hospital stay ,operation time and post‐operative first farting time .RESULTS CRP and PCT and WBC levels were lower in the treatment group than in the control group at postoperative 10 d and the APACHE Ⅱ grade at 4 d was lower in the treatment group than in the control group .The mortality was 0 in the treatment group and 3 .3% in the control group .Mortality ,length of hospital stay and operation time were significently lower in the treatment group than in the control group (P<0 .05) .There was no significant difference in the postoperative first farting time between the two groups . CONCLUSION Enterostomy is simple to operation ,economical ,safe and fast to recover which can cut off abdomi‐nal cavity infections from sources and is worthy promoting in the treatment of bowel perforation complicated with abdominal cavity infections .%目的:探讨肠造口术在肠穿孔并发腹腔感染中的应用价值,以降低临床肠穿孔并发腹腔感染的发生率。方法选取2012年1月-2014年1月医院收治的80例肠穿孔腹腔感染患者,将其分为治疗组50例行肠造口术,对照组30例行腹腔开放疗法,对比两组患者术前及术后10 d血清C‐反应蛋白(CRP)、血清降钙素原(PCT )、白

  1. A rare case of minimal deviation adenocarcinoma of the uterine cervix in a renal transplant recipient.

    LENUS (Irish Health Repository)

    Fanning, D M

    2009-02-03

    INTRODUCTION: We report the first described case of minimal deviation adenocarcinoma of the uterine cervix in the setting of a female renal cadaveric transplant recipient. MATERIALS AND METHODS: A retrospective review of this clinical case was performed. CONCLUSION: This rare cancer represents only about 1% of all cervical adenocarcinoma.

  2. A rare case of minimal deviation adenocarcinoma of the uterine cervix in a renal transplant recipient.

    LENUS (Irish Health Repository)

    Fanning, D M

    2012-02-01

    INTRODUCTION: We report the first described case of minimal deviation adenocarcinoma of the uterine cervix in the setting of a female renal cadaveric transplant recipient. MATERIALS AND METHODS: A retrospective review of this clinical case was performed. CONCLUSION: This rare cancer represents only about 1% of all cervical adenocarcinoma.

  3. Minimal Access Posterior Approach for Extrapleural Thoracic Sympathectomy: A Cadaveric Study and Cases.

    Science.gov (United States)

    Raskin, Jeffrey S; Liu, Jesse J; Sun, Hai; Nemecek, Andrew; Balaji, Seshadri; Raslan, Ahmed M

    2016-09-01

    Operatively, video-assisted thoracoscopic sympathectomy (VATS) involves pleural entry and poses risk in small children and patients with pulmonary disease. A conventional posterior sympathectomy is more invasive than VATS. We investigated a cadaveric feasibility study of a minimal access posterior approach for endoscopic extrapleural sympathectomy and discuss this minimal approach in children with cardiac sympathectomy. A posterior endoscopic extrapleural approach for thoracic sympathectomy was performed using lightly embalmed cadavers; surgical corridor depth, width, and associated pleural violation were recorded. Two pediatric cases undergoing secondary prevention for breakthrough cardiac dysrhythmias using this approach are discussed: case 1, a 9-year-old girl with refractory long QT syndrome; and case 2, a 13-year-old boy with hypertrophic cardiomyopathy. The cadaveric study supported 100% identification of a craniocaudal-oriented sympathetic chain using an 18-mm tubular retractor, and a 10% pleural violation rate. There were no clinically significant pneumothoracies in either proof of concept cases. Minimal access posterior extrapleural sympathectomy is feasible to expose the sympathetic chain in the thoracic region with good visualization using either endoscopic or microscopic magnification. Single-position bilateral thoracic sympathectomy can be performed in pediatric patients with life-threatening ventricular arrhythmias. Based on the cadaveric study and the 2 preliminary cases, we believe that a posterior minimal access approach allows safe and effective access to the thoracic sympathetic chain for causes requiring sympathectomy using single positioning, with minimal risk of pneumothorax or Horner syndrome. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Coloplast Ostomy Enterostomy in Children in the Application%康乐保造口袋在小儿肠造瘘中的应用

    Institute of Scientific and Technical Information of China (English)

    杨红梅; 曹小红; 蒋璐杏; 刘琴; 唐凤娇

    2012-01-01

    Objective: To explore Coloplast Ostomy intestinal fistula in the pediatric clinical effect and care. Methods: 78 cases of intestinal fistula were randomly divided into two groups and the control group 39 cases, the observation group after application of Coloplast ostomy bag, after the routine care control group were compared complications of intestinal stoma and nursing workload situation. Results: The incidence of stoma complications in 12.82% in the control group the incidence of stoma complications in 41.03%, the difference was statistically significant (P<0.01); two daily stoma care 1 patient required an average of children each time and change of clothes daily average number of sheets compared, the differences were statistically significant (P<0.01). Conclusion: Coloplast Pediatric Ostomy enterostomy in the application, children can effectively reduce the discomfort and reduce the skin stoma complication rate, reduce the workload of nurses, it is worth promoting.%目的 探索康乐保造口袋在小儿肠造瘘中的临床应用效果及护理.方法 将78 例肠造瘘患儿随机分为观察组和对照组,每组39 例,观察组术后应用康乐保造口袋,对照组术后常规护理,比较两组肠造瘘口并发症和护理工作量情况.结果 观察组造口并发症发生率12.82%,对照组造口并发症发生率41.03%,两组差异具有统计学意义(P<0.01);两组每日护理1例患儿造口所需平均时间及每日每位患儿更换衣物床单平均次数比较,差异均具有统计学意义(P<0.01).结论 康乐保造口袋在小儿肠造瘘中的应用,能有效降低患儿的不适感,减少造口皮肤并发症的发生率,减轻护士工作量.

  5. Application of ostomy bag for infants in treatment of infants with enterostomy%儿童造瘘袋在婴幼儿肠造瘘患儿中的应用研究

    Institute of Scientific and Technical Information of China (English)

    徐玉香; 徐亚娟; 陈翔; 汪殷明; 胡润仪; 张晓明

    2013-01-01

    目的 探索儿童造瘘袋最佳粘贴时间,总结降低婴幼儿肠造瘘术后并发症发生率的管理方法.方法 通过儿童造瘘袋(康乐保2115型)在因先天性或获得性疾病而接受肠造瘘术患儿中的应用,观察患儿腹部手术切口愈合情况及肠造瘘术后各种并发症的发生率.结果 肠造瘘术后立即粘贴造瘘袋对患儿的手术切口愈合没有显著影响;经过积极干预后本院婴幼儿肠造瘘术后各种并发症的总发生率为21%.结论 对每个病例进行专案管理、做好围术期管理、尽早应用造瘘袋,不仅有利于手术切口愈合、降低并发症总发生率,还能增加患儿舒适度、减轻家属心理负担.%Objective To explore the best time for using ostomy bag for infants and to summarize the administrative methods for decreasing the incidence rate of postoperative complications in infants with enterostomy.Methods Ostomy bag for infants was applied for infants with enterostomy due to congenital or acquired diseases,and healing condition of surgical incision and incidence rate of postoperative complications were observed.Results There was no significant difference of healing condition of surgical incision between infants with early application of ostomy bag and infants without early application of ostomy bag; the total incidence rate of postoperative complications was 21%.Conclusion Management for every individual case,careful perioperative management and early application of ostomy bag can promote the healing of surgical incision,reduce incidence rate of complications,improve comfortable degree of infants and reduce the mental burden of family members.

  6. Dark matter as a Bose-Einstein Condensate: the relativistic non-minimally coupled case

    Energy Technology Data Exchange (ETDEWEB)

    Bettoni, Dario; Colombo, Mattia; Liberati, Stefano, E-mail: bettoni@sissa.it, E-mail: mattia.colombo@studenti.unitn.it, E-mail: liberati@sissa.it [SISSA, Via Bonomea 265, Trieste, 34136 (Italy)

    2014-02-01

    Bose-Einstein Condensates have been recently proposed as dark matter candidates. In order to characterize the phenomenology associated to such models, we extend previous investigations by studying the general case of a relativistic BEC on a curved background including a non-minimal coupling to curvature. In particular, we discuss the possibility of a two phase cosmological evolution: a cold dark matter-like phase at the large scales/early times and a condensed phase inside dark matter halos. During the first phase dark matter is described by a minimally coupled weakly self-interacting scalar field, while in the second one dark matter condensates and, we shall argue, develops as a consequence the non-minimal coupling. Finally, we discuss how such non-minimal coupling could provide a new mechanism to address cold dark matter paradigm issues at galactic scales.

  7. Chronic Lyme borreliosis associated with minimal change glomerular disease: a case report.

    Science.gov (United States)

    Florens, N; Lemoine, S; Guebre-Egziabher, F; Valour, F; Kanitakis, J; Rabeyrin, M; Juillard, L

    2017-02-06

    There are only few cases of renal pathology induced by Lyme borreliosis in the literature, as this damage is rare and uncommon in humans. This patient is the first case of minimal change glomerular disease associated with chronic Lyme borreliosis. A 65-year-old Caucasian woman was admitted for an acute edematous syndrome related to a nephrotic syndrome. Clinical examination revealed violaceous skin lesions of the right calf and the gluteal region that occurred 2 years ago. Serological tests were positive for Lyme borreliosis and skin biopsy revealed lesions of chronic atrophic acrodermatitis. Renal biopsy showed minimal change glomerular disease. The skin lesions and the nephrotic syndrome resolved with a sequential treatment with first ceftriaxone and then corticosteroids. We report here the first case of minimal change disease associated with Lyme borreliosis. The pathogenesis of minimal change disease in the setting of Lyme disease is discussed but the association of Lyme and minimal change disease may imply a synergistic effect of phenotypic and bacterial factors. Regression of proteinuria after a sequential treatment with ceftriaxone and corticosteroids seems to strengthen this conceivable association.

  8. 肠造口俱乐部模式的健康教育效果评价%Effect Evaluation on Health Education Model of Enterostomy Club

    Institute of Scientific and Technical Information of China (English)

    王健红; 陈巧玲; 钱凤萍; 温宝玉

    2011-01-01

    Objective To implement health education model of enterostomy club and conduct a comprehensive evaluation on its effetiveness. Methods From March 2007 to March 2010, 143 patients who fully participated in the health education of enterostomy club activity were enrolled in the study. Before and after 20 times of enterostomy knowledge trainings and 7 times of practical activities, the differents were compared using the knowledge of enterostomy-related questionnaire, self-management capability evaluation questionnaire, SCL-90 the self-assessment lists of symptom and medical coping modes questionnaire. Results The passing rates of enterostomy knowledge questionnaire before and after the education were 47. 6% and 92. 3%, repectively with siginificant differences(P<0. 01). Self- managerial ability obviously higher compared to that before the education(P<0. 01). SCL-90 the self-assessment lists of symptom showed no significant differences before and after the education. The score of "problem solving" factor in medical coping modes questionnaire was significantly higher(P<0. 05). Conclusion Health education mode of enterostomy club can help patients gain knowledge and skills to solve problems,establish healthy behavior and improve their disease coping abilities and treatment adherence.%目的 实施肠造口俱乐部模式的健康教育并对其效果进行综合评价.方法 选择2007年3月全2010年3月全程参加健康教育俱乐部活动的患者143例,在肠造口俱乐部接受20次肠造口知识培训及7次学习实践活动的前后,采用肠造口相关知识问卷、自我管理能力评价量表、SCL-90症状自评量表、医学应对方式量表对健康教育效果进行评价.结果 教育前患者的肠造口知识问卷及格率为47.6%,教育后及格率为92.3%,差异有统计学意义(P<0.01);教育后患者的自我管理能力明显提升,与教育前比较差异有统计学意义(P<0.01);SCL-90症状自评量表评分在教育前

  9. Minimal change disease with acute renal failure: a case against the nephrosarca hypothesis.

    Science.gov (United States)

    Cameron, Mary Ann; Peri, Usha; Rogers, Thomas E; Moe, Orson W

    2004-10-01

    An unusual but well-documented presentation of minimal change disease is nephrotic proteinuria and acute renal failure. One pathophysiological mechanism proposed to explain this syndrome is nephrosarca, or severe oedema of the kidney. We describe a patient with minimal change disease who presented with heavy proteinuria and acute renal failure but had no evidence of renal interstitial oedema on biopsy. Aggressive fluid removal did not reverse the acute renal failure. Renal function slowly returned concomitant with resolution of the nephrotic syndrome following corticosteroid therapy. The time profile of the clinical events is not compatible with the nephrosarca hypothesis and suggests an alternative pathophysiological model for the diminished glomerular filtration rate seen in some cases of minimal change disease.

  10. Minimally invasive esthetic therapy: a case report describing the advantages of a multidisciplinary approach.

    Science.gov (United States)

    Pinto, Rodrigo Carlos; Chambrone, Leandro; Colombini, Bella Luna; Ishikiriama, Sérgio Kiyoshi; Britto, Isabella Maria; Romito, Giuseppe Alexandre

    2013-05-01

    The decision-making process for the treatment of esthetic areas is based on the achievement of a healthy, harmonious, and pleasant smile. These conditions are directly associated with a solid knowledge of tooth anatomy and proportions, as well as the smile line, soft tissue morphology, and osseous architecture. To achieve these objectives, a multidisciplinary approach may be necessary to create long-term harmony between the final restoration and the adjacent teeth, and the health of the surrounding soft and hard tissues. This case report describes the application of a minimally invasive therapy on a 33-year-old woman seeking esthetic treatment. Minimally invasive periodontal plastic surgery associated with porcelain laminate veneers yielded satisfactory esthetics and minimal trauma to dental and periodontal tissues. Such a combined approach may be considered a viable option for the improvement of "white" and "red" esthetics.

  11. Minimally Invasive Tubular Resection of Lumbar Synovial Cysts: Report of 40 Consecutive Cases.

    Science.gov (United States)

    Birch, Barry D; Aoun, Rami James N; Elbert, Gregg A; Patel, Naresh P; Krishna, Chandan; Lyons, Mark K

    2016-10-01

    Lumbar synovial cysts are a relatively common clinical finding. Surgical treatment of symptomatic synovial cysts includes computed tomography-guided aspiration, open resection and minimally invasive tubular resection. We report our series of 40 consecutive minimally invasive microscopic tubular lumbar synovial cyst resections. Following Institutional Review Board approval, a retrospective analysis of 40 cases of minimally invasive microscopic tubular retractor synovial cyst resections at a single institution by a single surgeon (B.D.B.) was conducted. Gross total resection was performed in all cases. Patient characteristics, surgical operating time, complications, and outcomes were analyzed. Lumbar radiculopathy was the presenting symptoms in all but 1 patient, who presented with neurogenic claudication. The mean duration of symptoms was 6.5 months (range, 1-25 months), mean operating time was 58 minutes (range, 25-110 minutes), and mean blood loss was 20 mL (range, 5-50 mL). Seven patients required overnight observation. The median length of stay in the remaining 33 patients was 4 hours. There were 2 cerebrospinal fluid leaks repaired directly without sequelae. The mean follow-up duration was 80.7 months. Outcomes were good or excellent in 37 of the 40 patients, fair in 1 patient, and poor in 2 patients. Minimally invasive microscopic tubular retractor resection of lumbar synovial cysts can be done safely and with comparable outcomes and complication rates as open procedures with potentially reduced operative time, length of stay, and healthcare costs. Patient selection for microscopic tubular synovial cyst resection is based in part on the anatomy of the spine and synovial cyst and is critical when recommending minimally invasive vs. open resection to patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. A Case of Nephrotic Syndrome With Minimal-Change Disease and Waldenstrom's Macroglobulinemia.

    Science.gov (United States)

    Grabe, Darren W; Li, Bo; Haqqie, Syed S

    2013-12-01

    Kidney disease is a rare complication of Waldenstrom's macroglobulinemia. We report a case of nephrotic syndrome and minimal change disease in a patient with biopsy proven Waldenstrom's macroglobulinemia. The patient presented with over 12 grams of proteinuria and was successfully treated with oral prednisone over the course of 4 weeks. Repeat serum protein electrophoresis as well as serum immunoelectrophoresis revealed no paraproteins, urine analysis was negative for protein or blood by dipstick and spot urine protein was 9 mg/dL with creatinine of 101 mg/dL at time of last office visit. This case illustrates the successful treatment with corticosteroids alone with prolonged complete remission.

  13. Nail gun injuries to the head with minimal neurological consequences: a case series.

    Science.gov (United States)

    Makoshi, Ziyad; AlKherayf, Fahad; Da Silva, Vasco; Lesiuk, Howard

    2016-03-16

    An estimated 3700 individuals are seen annually in US emergency departments for nail gun-related injuries. Approximately 45 cases have been reported in the literature concerning nail gun injuries penetrating the cranium. These cases pose a challenge for the neurosurgeon because of the uniqueness of each case, the dynamics of high pressure nail gun injuries, and the surgical planning to remove the foreign body without further vascular injury or uncontrolled intracranial hemorrhage. Here we present four cases of penetrating nail gun injuries with variable presentations. Case 1 is of a 33-year-old white man who sustained 10 nail gunshot injuries to his head. Case 2 is of a 51-year-old white man who sustained bi-temporal nail gun injuries to his head. Cases 3 and 4 are of two white men aged 22 years and 49 years with a single nail gun injury to the head. In the context of these individual cases and a review of similar cases in the literature we present surgical approaches and considerations in the management of nail gun injuries to the cranium. Case 1 presented with cranial nerve deficits, Case 2 required intubation for low Glasgow Coma Scale, while Cases 3 and 4 were neurologically intact on presentation. Three patients underwent angiography for assessment of vascular injury and all patients underwent surgical removal of foreign objects using a vice-grip. No neurological deficits were found in these patients on follow-up. Nail gun injuries can present with variable clinical status; mortality and morbidity is low for surgically managed isolated nail gun-related injuries to the head. The current case series describes the surgical use of a vice-grip for a good grip of the nail head and controlled extraction, and these patients appear to have a good postoperative prognosis with minimal neurological deficits postoperatively and on follow-up.

  14. Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE: A 3 cases report.

    Directory of Open Access Journals (Sweden)

    Roberto Arroyo

    2013-12-01

    Full Text Available Long-standing partial edentulism in the posterior segment of an atrophic maxilla is a challenging treatment. Sinus elevation via Cadwell Luc has several anatomical restrictions, post-operative discomfort and the need of complex surgical techniques. The osteotome approach is a significantly safe and efficient tecnique, as a variation of this technique the "minimal invasive antral membrane balloon elevation" (MIAMBE has been developed, which use a hydraulic system. We present three cases in which the system was used MIAMBE for tooth replacement in the posterior. This procedure seems to be a relatively simple and safe solution for the insertion of endo-osseus implants in the posterior atrophic maxilla.

  15. Minimally invasive post-mortem CT-angiography in a case involving a gunshot wound.

    Science.gov (United States)

    Ruder, Thomas D; Ross, Steffen; Preiss, Ulrich; Thali, Michael J

    2010-05-01

    Non-contrast post-mortem computed tomography (pm-CT) is useful in the evaluation of bony pathologies, whereas minimally invasive pm-CT-angiography allows for the detection of subtle vascular lesions. We present a case of an accidentally self-inflicted fatal bullet wound to the chest where pm-CT-angiography revealed a small laceration of the anterior interventricular branch of the left coronary artery and a tiny disruption of the right ventricle with pericardial and pleural effusion. Subsequent autopsy confirmed our radiological findings. Post-mortem CT-angiography has a great potential for the detection of vascular lesions and can be considered equivalent to autopsy for selected cases in forensic medicine.

  16. 27例新生儿肠造口术后的护理%Nursing care of 27 newborns receiving enterostomy

    Institute of Scientific and Technical Information of China (English)

    何碧云; 程晓英; 叶娟

    2012-01-01

    This paper summarizes the clinical data and postoperative care of 27 newborns receiving enterostomy. Effective airway management, rational nutritional support, proper stoma care and discharge guidance were the key points to improve the success rate of the operation.%总结27例新生儿肠造口术后的临床资料与护理措施.认为对肠造口术后的新生儿实施有效的呼吸道管理、合理的营养支持、细致的造口护理与全面的出院健康指导是提高择期造口还纳术成功的关键.

  17. Anterior elongation as a minimally invasive alternative for sagittal imbalance-a case series.

    Science.gov (United States)

    Marchi, Luis; Oliveira, Leonardo; Amaral, Rodrigo; Castro, Carlos; Coutinho, Thiago; Coutinho, Etevaldo; Pimenta, Luiz

    2012-07-01

    Degenerative and iatrogenic conditions may lead to flat back or even to kyphotic deformity, and sagittal imbalance can cause significant clinical impairment. Minor imbalance cases are usually treated with conservative care. Among currently popular surgical techniques for the correction of sagittal imbalance are posterior-based procedures, which are associated with access-related risks (mostly neurological) and postoperative morbidity risks. This study aims to report a minimally invasive lateral approach using hyperlordotic cages in the treatment of mild sagittal imbalance. Radiological correction, clinical improvement, and safety will be analyzed. Eight patients (mean age 71.8 years, SD 7.8; mean BMI 27.5, SD 2.3) with symptomatic sagittal imbalance were retrospectively reviewed. Eight cases were treated by anterior interbody fusion with lordotic cages. A minimally invasive lateral retroperitoneal approach was used in the surgical procedures, with or without percutaneous pedicle screw supplementation. No major complications occurred and just one case needed revision for direct decompression. Clinical outcomes Visual Analog Scale score changed from 88 at preoperative visit to 51 at 1-week visit, and Oswestry Disability Index score decreased from 82 at preoperative visit to 44 at 6-week visit. The 6-month radiological assessment revealed improvement in spinopelvic parameters: Focal lordosis improved from 2.3° ± 7.7 to 27.1° ± 6.7. Sagittal vertical alignment improved from 11.7 ± 5.3 to 6.2 ± 4.0 cm. Preoperative sacral slope improved from 20.1° ± 5.8 to 29.4° ± 10.3 and preoperative pelvic tilt improved from 35.2° ± 5.2 to 23.8° ± 4.3. Short-term results indicate that the minimally invasive lateral approach can be applied to the treatment of mild sagittal imbalance, with special advantage in elderly patients or those in which posterior approaches are relatively contraindicated.

  18. Minimal change nephrotic syndrome associated with invasive thymoma: a case report with literature review.

    Science.gov (United States)

    Long, Quan; Wu, Ping; Jiang, Gengru; Zhu, Chun

    2014-04-01

    The present report describes a case of nephrotic syndrome (NS) with invasive thymoma. A male patient was hospitalized for severe edema with reduced urine output. He had a history of thymectomy and radiotherapy because of invasive thymoma 4 years before the development of NS. Renal biopsy displayed minimal change disease (MCD). Although imaging study showed probably recurrent sign of invasive thymoma, the patient still received steroid monotherapy for ~ 9 months and he got partial remission of NS at the 8th week. Therefore, we suggest that MCD should be taken into account as a pathological lesion type in old NS patients with thymoma. In spite of longer remission time, steroid monotherapy and combination therapy with immunosuppressant are effective for thymoma-associated MCD.

  19. Moving beyond resistance to restraint minimization: a case study of change management in aged care.

    Science.gov (United States)

    Johnson, Susan; Ostaszkiewicz, Joan; O'Connell, Beverly

    2009-01-01

    This case study describes a quality initiative to minimize restraint in an Australian residential aged care facility. The process of improving practice is examined with reference to the literature on implementation of research into practice and change management. The differences between planned and emergent approaches to change management are discussed. The concepts of resistance and attractors are explored in relation to our experiences of managing the change process in this initiative. The importance of the interpersonal interactions that were involved in facilitating the change process is highlighted. Recommendations are offered for dealing with change management processes in clinical environments, particularly the need to move beyond an individual mind-set to a systems-based approach for quality initiatives in residential aged care.

  20. A tetraploid minimally differentiated acute myeloblastic leukemia with extensive erythrophagocytosis: a case report and literature review.

    Science.gov (United States)

    Li, Li; Li, Jianlan; Li, Guoxia; Tan, Yanhong; Chen, Xiuhua; Ren, Fanggang; Guo, Haixiu; Wang, Hongwei

    2012-12-01

    Tetraploidy is a rare chromosome number aberration in de novo acute myeloid leukemia (AML), and may be associated with erythrophagocytosis by leukemic blast cells. We report a 48-year-old female patient with minimally differentiated acute myeloblastic leukemia (AML-M0) exhibiting tetraploidy and erythrophagocytosis. The karyotype was 46,XX[2]/92,XXXX[18]. Bone marrow aspirate smears showed large and prominent nuclei, with erythrophagocytosis in leukemic cells. Fluorescence in situ hybridization using RUNX1 dual color break probes detected four fusion signals, accounting for 95 % (190/200), in one interphase nucleus. The mutations of TP53 and the fusion genes RUNX1/ETO, CBFβ/MYH11, and PML/RARα were all negative. This patient showed a poor response to chemotherapy, and died 66 days after the onset. To our knowledge, this is the first reported case of AML-M0 with tetraploidy and erythrophagocytosis and without additional chromosome aberrations. This case of tetraploid AML with poor prognosis suggests that further biological study of more cases of tetraploid AML will be of great importance in improving the understanding and prognosis of this tetraploid AML.

  1. Minimal change nephrotic syndrome after stem cell transplantation: a case report and literature review

    Directory of Open Access Journals (Sweden)

    Silva Sandra

    2007-10-01

    Full Text Available Abstract Graft-versus-host disease is one of the most frequent complications occurring after haematopoietic stem cell transplantation. Recently, renal involvement has been described as a manifestation of chronic graft-versus-host disease. Immunosuppression seems to play a major role: clinical disease is triggered by its tapering and resolution is achieved with the resumption of the immunosuppressive therapy. Prognosis is apparently favourable, but long term follow up data are lacking. We report a case of a 53-year-old man who developed nephrotic syndrome 142 days after allogeneic stem cell transplantation for acute myeloid leukaemia. Onset of nephrotic syndrome occurred after reduction of immunosuppressants and was accompanied by manifestations of chronic graft-versus-host disease. Histological examination of the kidney was consistent with Minimal Change Disease. After treatment with prednisolone and mycophenolate mofetil he had complete remission of proteinuria and improvement of graft-versus-host disease. Eighteen months after transplantation the patient keeps haematological remission and normal renal function, without proteinuria. Since patients with chronic graft-versus-host disease might be considered at risk for development of nephrotic syndrome, careful monitoring of renal parameters, namely proteinuria, is advisable.

  2. Minimal change nephrotic syndrome after stem cell transplantation: a case report and literature review.

    Science.gov (United States)

    Silva, Sandra; Maximino, José; Henrique, Rui; Paiva, Ana; Baldaia, Jorge; Campilho, Fernando; Pimentel, Pedro; Loureiro, Alfredo

    2007-10-30

    Graft-versus-host disease is one of the most frequent complications occurring after haematopoietic stem cell transplantation. Recently, renal involvement has been described as a manifestation of chronic graft-versus-host disease. Immunosuppression seems to play a major role: clinical disease is triggered by its tapering and resolution is achieved with the resumption of the immunosuppressive therapy. Prognosis is apparently favourable, but long term follow up data are lacking.We report a case of a 53-year-old man who developed nephrotic syndrome 142 days after allogeneic stem cell transplantation for acute myeloid leukaemia. Onset of nephrotic syndrome occurred after reduction of immunosuppressants and was accompanied by manifestations of chronic graft-versus-host disease. Histological examination of the kidney was consistent with Minimal Change Disease. After treatment with prednisolone and mycophenolate mofetil he had complete remission of proteinuria and improvement of graft-versus-host disease. Eighteen months after transplantation the patient keeps haematological remission and normal renal function, without proteinuria.Since patients with chronic graft-versus-host disease might be considered at risk for development of nephrotic syndrome, careful monitoring of renal parameters, namely proteinuria, is advisable.

  3. [A case of AKI-caused minimal change nephrotic syndrome with concomitant pleuritis].

    Science.gov (United States)

    Watanabe, Renya; Abe, Yasuhiro; Sasaki, Masaru; Hamauchi, Aki; Yasunaga, Tomoe; Kurata, Satoshi; Yasuno, Tetsuhiko; Ito, Kenji; Sasatomi, Yoshie; Hisano, Satoshi; Nakashima, Hitoshi

    2016-01-01

    A twenty-year-old man complaining of chest pain was diagnosed as nephrotic syndrome complicated with pleural effusion and ascites. Despite treatment with antibiotics, his fever and high inflammatory reaction persisted. After hospitalization, his urine volume decreased and renal function had deteriorated. As he was suffering from dyspnea, hemodialysis was performed together with chest drainage. His pleural effusion was exudative, and IVIG treatment was added to the antibiotic treatment. He was diagnosed as suspected developed minimal change nephrotic syndrome (MCNS) and administered prednisolone intravenously. His renal function ameliorated as a result of this treatment, enabling him to withdraw from hemodialysis. Inflammatory reaction gradually decreased and his general condition improved. The result of a renal biopsy examination carried out after the hemodialysis treatment confirmed MCNS, which suggested that MCNS had induced acute kidney injury (AKI) atypically in this case. Generally AKI is not induced by MCNS in youth, but it may occur under severe inflammatory conditions. Physicians should be aware that MCNS in young patients may lead to the development of AKI requiring hemodialysis treatment.

  4. A Dual Approach for Solving Nonlinear Infinity-Norm Minimization Problems with Applications in Separable Cases

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    In this paper, we consider nonlinear infinity-norm minimization problems. We device a reliable Lagrangian dual approach for solving this kind of problems and based on this method we propose an algorithm for the mixed linear and nonlinear infinitynorm minimization problems. Numerical results are presented.

  5. Minimally Invasive Pyeloplasty in Horseshoe Kidneys with Ureteropelvic Junction obstruction: A case series

    Directory of Open Access Journals (Sweden)

    Stephen Faddegon

    2013-04-01

    Full Text Available Background and Purpose Horseshoe kidney is an uncommon renal anomaly often associated with ureteropelvic junction (UPJ obstruction. Advanced minimally invasive surgical (MIS reconstructive techniques including laparoscopic and robotic surgery are now being utilized in this population. However, fewer than 30 cases of MIS UPJ reconstruction in horseshoe kidneys have been reported. We herein report our experience with these techniques in the largest series to date. Materials and Methods We performed a retrospective chart review of nine patients with UPJ obstruction in horseshoe kidneys who underwent MIS repair at our institution between March 2000 and January 2012. Four underwent laparoscopic, two robotic, and one laparoendoscopic single-site (LESS dismembered pyeloplasty. An additional two pediatric patients underwent robotic Hellstrom repair. Perioperative outcomes and treatment success were evaluated. Results Median patient age was 18 years (range 2.5-62 years. Median operative time was 136 minutes (range 109-230 min. and there were no perioperative complications. After a median follow-up of 11 months, clinical (symptomatic success was 100%, while radiographic success based on MAG-3 renogram was 78%. The two failures were defined by prolonged t1/2 drainage, but neither patient has required salvage therapy as they remain asymptomatic with stable differential renal function. Conclusions MIS repair of UPJ obstruction in horseshoe kidneys is feasible and safe. Although excellent short-term clinical success is achieved, radiographic success may be lower than MIS pyeloplasty in heterotopic kidneys, possibly due to inherent differences in anatomy. Larger studies are needed to evaluate MIS pyeloplasty in this population.

  6. Minimally invasive transforaminal lumbar interbody fusion Results of 23 consecutive cases

    Directory of Open Access Journals (Sweden)

    Amit Jhala

    2014-01-01

    Conclusion: The study demonstrates a good clinicoradiological outcome of minimally invasive TLIF. It is also superior in terms of postoperative back pain, blood loss, hospital stay, recovery time as well as medication use.

  7. Minimal-change renal disease and Graves’ disease: a case report and literature review

    OpenAIRE

    Hasnain, Wirasat; Stillman, Isaac E.; Bayliss, George P.

    2011-01-01

    Objective To describe a possible association between Graves' disease and nephrotic syndrome secondary to minimal change renal disease and to review the literature related to renal diseases in patients with Graves' disease. Methods The clinical, laboratory, and renal biopsy findings in a patient with Graves' disease and minimal change renal disease are discussed. In addition, the pertinent English-language literature published from 1966 to 2009, determined by means of a MEDLINE search, is revi...

  8. Minimal-change renal disease and Graves’ disease: a case report and literature review

    OpenAIRE

    Hasnain, Wirasat; Stillman, Isaac E.; Bayliss, George P.

    2011-01-01

    Objective: To describe a possible association between Graves' disease and nephrotic syndrome secondary to minimal change renal disease and to review the literature related to renal diseases in patients with Graves' disease. Methods: The clinical, laboratory, and renal biopsy findings in a patient with Graves' disease and minimal change renal disease are discussed. In addition, the pertinent English-language literature published from 1966 to 2009, determined by means of a MEDLINE search, is re...

  9. TACE with Ar-He Cryosurgery Combined Minimal Invasive Technique for the Treatment of Primary NSCLC in 139 Cases

    Directory of Open Access Journals (Sweden)

    Yunzhi ZHOU

    2010-01-01

    Full Text Available Background and objective TACE, Ar-He target cryosurgery and radioactive seeds implantation are the mainly micro-invasive methods in the treatment of lung cancer. This article summarizes the survival quality after treatment, the clinical efficiency and survival period, and analyzes the advantages and shortcomings of each methods so as to evaluate the clinical effect of non-small cell lung cancer with multiple minimally invasive treatment. Methods All the 139 cases were nonsmall cell lung cancer patients confirmed by pathology and with follow up from July 2006 to July 2009 retrospectively, and all of them lost operative chance by comprehensive evaluation. Different combination of multiple minimally invasive treatments were selected according to the blood supply, size and location of the lesion. Among the 139 cases, 102 cases of primary and 37 cases of metastasis to mediastinum, lung and chest wall, 71 cases of abundant blood supply used the combination of superselective target artery chemotherapy, Ar-He target cryoablation and radiochemotherapy with seeds implantation; 48 cases of poor blood supply use single Ar-He target cryoablation; 20 cases of poor blood supply use the combination of Ar-He target cryoablation and radiochemotheraoy with seeds implantation. And then the pre- and post-treatment KPS score, imaging data and the result of follow up were analyzed. Results The KPS score increased 20.01 meanly after the treatment. Follow up 3 years, 44 cases of CR, 87 cases of PR, 3 cases of NC and 5 cases of PD, and the efficiency was 94.2%. Ninety-nine cases of 1 year survival (71.2%, 43 cases of 2 years survival (30.2%, 4 cases with over 3 years survival and the median survival was 19 months. Average survival was (16±1.5months. There was no severe complications, such as spinal cord injury, vessel and pericardial aspiration. Conclusion Minimally invasive technique is a highly successful, micro-invasive and effective method with mild complications

  10. Robotic radical prostatectomy-a minimally invasive therapy for prostate cancer: results of initial 530 cases

    Directory of Open Access Journals (Sweden)

    A Tewari

    2005-01-01

    Full Text Available Context: In 2000, the number of new cases of prostate cancer was estimated at 5 13 000 worldwide [Eur J Cancer 2001; 37 (Suppl 8: S4]. In next 15 years, prostate cancer is predicted to be the most common cancer in men [Eur J Cancer 2001; 37 (Suppl 8: S4]. Radical prostatectomy is one of the most common surgical treatments for clinically localized prostate cancer. In spite of its excellent oncological results, due to the fear of pain, risk for side effects, and inconvenience (Semin Urol Oncol 2002; 20: 55, many patients seek alternative treatments for their prostate cancer. At Vattikuti Urology institute, we have developed a minimally invasive technique for treating prostate cancer, which achieves oncological results of surgical treatment without causing significant pain, large surgical incision, and side effects (BJU Int, 2003; 92: 205. This technique involves a da Vinci™ (Intuitive Surgical ®, Sunnyvale, CA surgical robot with 3-D stereoscopic visualization and ergonomic multijointed instruments. Presented herein are our results after treating 750 patients. Methods: We prospectively collected baseline demographic data such as age, race, body mass index (BMI, serum prostate specific antigen, prostate volume, Gleason score, percentage cancer, TNM clinical staging, and comorbidities. Urinary symptoms were measured with the international prostate symptom score (IPSS, and sexual health with the sexual health inventory of males (SHIM. In addition, the patients were mailed the expanded prostate inventory composite at baseline and at 1, 3, 6, 12 and 18 months after the procedure. Results: Gleason seven or more cancer grade was noted in 33.5% of patients. The average BMI was high (27.7 and 87% patients had pathological stage PT2a-b. The mean operative time was 160 min and the mean blood loss was 153 cm3. No patient required blood transfusion. At 6 months 82% of the men who were younger and 75% of those older than 60 years had return of sexual

  11. Time-Minimal Control of Dissipative Two-level Quantum Systems: the Generic Case

    CERN Document Server

    Bonnard, B; Sugny, D

    2008-01-01

    The objective of this article is to complete preliminary results concerning the time-minimal control of dissipative two-level quantum systems whose dynamics is governed by Lindblad equations. The extremal system is described by a 3D-Hamiltonian depending upon three parameters. We combine geometric techniques with numerical simulations to deduce the optimal solutions.

  12. Minimal change disease caused by exposure to mercury-containing skin lightening cream: a report of 4 cases.

    Science.gov (United States)

    Tang, Hon-Lok; Mak, Yuen-Fun; Chu, Kwok-Hong; Lee, William; Fung, Samuel Kaâ Shun; Chan, Thomas Yan-Keung; Tong, Kwok-Lung

    2013-04-01

    Mercury is a known cause of nephrotic syndrome and the underlying renal pathology in most of the reported cases was membranous nephropathy. We describe here 4 cases of minimal change disease following exposure to mercury-containing skin lightening cream for 2 - 6 months. The mercury content of the facial creams was very high (7,420 - 30,000 parts per million). All patients were female and presented with nephrotic syndrome and heavy proteinuria (8.35 - 20.69 g/d). The blood and urine mercury levels were 26 - 129 nmol/l and 316 - 2,521 nmol/d, respectively. Renal biopsy revealed minimal change disease (MCD) in all patients. The use of cosmetic cream was stopped and chelation therapy with D-penicillamine was given. Two patients were also given steroids. The time for blood mercury level to normalize was 1 - 7 months, whereas it took longer for urine mercury level to normalize (9 - 16 months). All patients had complete remission of proteinuria and the time to normalization of proteinuria was 1 - 9 months. Mercury-containing skin lightening cream is hazardous because skin absorption of mercury can cause minimal change disease. The public should be warned of the danger of using such products. In patients presenting with nephrotic syndrome, a detailed history should be taken, including the use of skin lightening cream. With regard to renal pathology, apart from membranous nephropathy, minimal change disease should be included as another pathological entity caused by mercury exposure or intoxication.

  13. Minimally invasive esophagectomy for cancer: Single center experience after 44 consecutive cases

    Directory of Open Access Journals (Sweden)

    Bjelović Miloš

    2015-01-01

    Full Text Available Introduction. At the Department of Minimally Invasive Upper Digestive Surgery of the Hospital for Digestive Surgery in Belgrade, hybrid minimally invasive esophagectomy (hMIE has been a standard of care for patients with resectable esophageal cancer since 2009. As a next and final step in the change management, from January 2015 we utilized total minimally invasive esophagectomy (tMIE as a standard of care. Objective. The aim of the study was to report initial experiences in hMIE (laparoscopic approach for cancer and analyze surgical technique, major morbidity and 30-day mortality. Methods. A retrospective cohort study included 44 patients who underwent elective hMIE for esophageal cancer at the Department for Minimally Invasive Upper Digestive Surgery, Hospital for Digestive Surgery, Clinical Center of Serbia in Belgrade from April 2009 to December 2014. Results. There were 16 (36% middle thoracic esophagus tumors and 28 (64% tumors of distal thoracic esophagus. Mean duration of the operation was 319 minutes (approximately five hours and 20 minutes. The average blood loss was 173.6 ml. A total of 12 (27% of patients had postoperative complications and mean intensive care unit stay was 2.8 days. Mean hospital stay after surgery was 16 days. The average number of harvested lymph nodes during surgery was 31.9. The overall 30-day mortality rate within 30 days after surgery was 2%. Conclusion. As long as MIE is an oncological equivalent to open esophagectomy (OE, better relation between cost savings and potentially increased effectiveness will make MIE the preferred approach in high-volume esophageal centers that are experienced in minimally invasive procedures.

  14. Minimally invasive flexor hallucis longus transfer in management of acute achilles tendon rupture associated with tendinosis: a case report.

    Science.gov (United States)

    Lui, Tun Hing

    2012-04-01

    Chronic tendinopathy is characterized by pain in the tendon, generally at the start and completion of exercise. However, tendinosis may lead to decreased blood flow, increased stiffness of the tendon and reduced tensile strength, and predispose to rupture. Operative treatment is indicated to restore the function of the Achilles tendon and alleviate the prerupture heel cord pain. A case of acute Achilles tendon rupture with extensive tendinosis that was successfully treated with minimally invasive flexor hallucis longus transfer is reported.

  15. Minimally invasive two-incision total hip arthroplasty:a short-term retrospective report of 27 cases

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xian-long; WANG Qi; SHEN Hao; JIANG Yao; ZENG Bing-fang

    2007-01-01

    Background Total hip arthroplasty (THA) is widely applied for the treatment of end-stage painful hip arthrosis.Traditional THA needed a long incision and caused significant soft tissue trauma. Patients usually required long recovery time after the operation. In this research we aimed to study the feasibility and clinical outcomes of minimally invasive two-incision THA.Methods From February 2004 to March 2005, 27 patients, 12 males and 15 females with a mean age of 71 years (55-76), underwent minimally invasive two-incision THA in our department. The patients included 9 cases of osteoarthritis, 10 cases of osteonecrosis, and 8 cases of femoral neck fracture. The operations were done with VerSys cementless prosthesis and minimally invasive instruments from Zimmer China. Operation time, blood loss, length of incision, postoperative hospital stay, and complications were observed.Results The mean operation time was 90 minutes (80-170 min). The mean blood loss was 260 ml (170-450 ml) and blood transfusion was carried out in 4 cases of femoral neck fracture (average 400 ml). The average length of the anterior incision was 5.0 cm (4.6-6.5 cm) and of the posterior incision 3.7 cm (3.0-4.2 cm). All of the patients were ambulant the day after surgery. Nineteen patients were discharged 5 days post-operatively and 8 patients 7 days post-operatively. The patients were followed for 18 months (13-25 months). One patient was complicated by a proximal femoral fracture intraoperatively. No other complications, including infections, dislocations, and vascular injuries, occurred. The mean Harris score was 94.5 (92-96).Conclusions Two-incision THA has the advantage of being muscle sparing and minimally invasive with less blood loss and rapid recovery. However, this technique is time consuming, technically demanding, and requires fluoroscopy.

  16. Primary Sjögren's syndrome with minimal change disease--a case report.

    Science.gov (United States)

    Yang, Mei-Li; Kuo, Mei-Chuan; Ou, Tsan-Teng; Chen, Hung-Chun

    2011-05-01

    Glomerular involvement in patients with primary Sjögren's syndrome (pSS) has rarely been reported. Among them, membranoproliferative glomerulonephritis and membranous nephropathy are the more common types. We report a middle-aged female presenting concurrently with nephrotic syndrome and microscopic hematuria, and her pSS was diagnosed by positive anti-Ro (SSA)/anti-La (SSB) autoantibodies, dry mouth, severely diffuse impaired function of both bilateral parotid and submandibular glands, and a positive Schirmer test. Renal pathology revealed minimal change disease and thin basement membrane nephropathy. The patient's nephrotic syndrome resolved after treatment with corticosteroids. To our knowledge, this is the first report of minimal change disease in a patient with pSS.

  17. Primary Sjögren’s syndrome with minimal change disease—A case report

    Directory of Open Access Journals (Sweden)

    Mei-Li Yang

    2011-05-01

    Full Text Available Glomerular involvement in patients with primary Sjögren’s syndrome (pSS has rarely been reported. Among them, membranoproliferative glomerulonephritis and membranous nephropathy are the more common types. We report a middle-aged female presenting concurrently with nephrotic syndrome and microscopic hematuria, and her pSS was diagnosed by positive anti-Ro (SSA/anti-La (SSB autoantibodies, dry mouth, severely diffuse impaired function of both bilateral parotid and submandibular glands, and a positive Schirmer test. Renal pathology revealed minimal change disease and thin basement membrane nephropathy. The patient’s nephrotic syndrome resolved after treatment with corticosteroids. To our knowledge, this is the first report of minimal change disease in a patient with pSS.

  18. Minimally invasive intervention in a case of a noncarious lesion and severe loss of tooth structure.

    Science.gov (United States)

    Reston, Eduardo G; Corba, Vanessa D; Broliato, Gustavo; Saldini, Bruno P; Stefanello Busato, Adair L

    2012-01-01

    The present article describes a minimally invasive technique used for the restoration of loss of tooth structure caused by erosion of intrinsic etiology. First, the cause of erosion was treated and controlled. Subsequently, taking into consideration patient characteristics, especially a young age, a more conservative technique was chosen for dental rehabilitation with the use of composite resin. The advantages and disadvantages of the technique employed are discussed.

  19. Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE): A 3 cases report

    OpenAIRE

    Roberto Arroyo; Diego Cabrera

    2013-01-01

    ABSTRACT Long-standing partial edentulism in the posterior segment of an atrophic maxilla is a challenging treatment. Sinus elevation via Cadwell Luc has several anatomical restrictions, post-operative discomfort and the need of complex surgical techniques. The osteotome approach is a significantly safe and efficient tecnique, as a variation of this technique the "minimal invasive antral membrane balloon elevation" (MIAMBE) has been developed, which use a hydraulic system. We present three c...

  20. MINIMALLY-INVASIVE FIXATION OF SPINAL CORD INJURY PATIENT USING MIDLINE INCISION- AN ANALYSIS OF 11 CASES

    Directory of Open Access Journals (Sweden)

    Anand Shankar

    2017-02-01

    Full Text Available BACKGROUND Instrumenting the fractured spinal column has seen many changes in last 5 decades. Starting from Luque’s rod (Dr. Eduardo Luque, Hartshill’s rectangle, the Harrington rod (Dr. Paul Harrington, Variable Spinal Plating (VSP, pedicle screw and rod fixation being the latest. The emphasis is on minimally invasive and least possible trauma to paraspinal muscles. Percutaneous pedicle screw fixation is at present a gold standard of minimally-invasive procedure. MATERIALS AND METHODS 11 patients were operated between August 2013 till March 2016 with this method and the outcome was evaluated. RESULTS The neurological recovery is not the goal of spinal column fixation in SCI patients in most of the cases. The only goal is stabilisation of spinal column, pain relief, rehabilitation, prevention of bedsore, RTI by achieving vertical chest, UTI by preventing stasis of urine in bladder, etc. CONCLUSION The presenting operative procedure for achieving this goal of stabilisation is very well achieved in 10 out of 11 cases with minimal soft tissue trauma. The improvement in alignment and restoration of anatomy of spinal column, restoration of spinal canal diameter as judged radiologically is achieved in 9 of out of 11 cases.

  1. Percutaneous, Minimally Invasive Repair of Traumatic and Simultaneous Rupture of Both Achilles Tendons: A Case Report.

    Science.gov (United States)

    Zietek, Pawel; Karaczun, Maciej; Kruk, Bartosz; Szczypior, Karina

    2016-01-01

    Achilles injury is a common musculoskeletal disorder. Bilateral rupture of the Achilles tendon, however, is much less common and usually occurs spontaneously. Complete, traumatic, and bilateral ruptures are rare and typically require long periods of immobilization before the patient can return to full weightbearing. A 52-year-old male was hospitalized for bilateral traumatic rupture to both Achilles tendons. No risk factors for tendon rupture were found. Blood samples revealed no peripheral blood pathologic features. Both tendons were repaired with percutaneous, minimally invasive surgery using the Achillon(®) tendon suture system. Rehabilitation was begun 4 weeks later. An ankle-foot orthosis was prescribed to provide ankle support with an adjustable range of movement, and active plantar flexion was set at 0° to 30°. The patient remained non-weightbearing with the ankle-foot orthosis device and performed active range-of-motion exercises. At 8 weeks after surgery, we recommended that he begin walking with partial weightbearing using a foot-tibial orthosis with the range of motion set to 45° plantar flexion and 15° dorsiflexion. At 10 weeks postoperatively, he was encouraged to return to full weightbearing on both feet. Beginning rehabilitation as soon as possible after minimally invasive surgery, compared with 6 weeks of immobilization after surgery, provided a rapid resumption to full weightbearing. We emphasize the clinical importance of a safe, simple treatment program that can be followed for a patient with damage to the Achilles tendons. To our knowledge, ours is the first report of minimally invasive repair of bilateral simultaneous traumatic rupture of the Achilles tendon. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  2. Minimal Pairs: Minimal Importance?

    Science.gov (United States)

    Brown, Adam

    1995-01-01

    This article argues that minimal pairs do not merit as much attention as they receive in pronunciation instruction. There are other aspects of pronunciation that are of greater importance, and there are other ways of teaching vowel and consonant pronunciation. (13 references) (VWL)

  3. Persistent repeated measurements by magnetic resonance spectroscopy demonstrate minimal hepatic encephalopathy: a case report.

    Science.gov (United States)

    Scheau, C; Popa, G A; Ghergus, A E; Preda, E M; Capsa, R A; Lupescu, I G

    2013-09-15

    Minimal Hepatic Encephalopathy (MHE), previously referred to as infraclinical or subclinical is a precursor in the development of clinical hepatic encephalopathy (HE). The demonstration of MHE is done through neuropsychological testing in the absence of clinical evidence of HE, patients showing only a mild cognitive impairment. Neuropsychological tests employed consist of Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and portosystemic encephalopathy (PSE) test score. Unfortunately, there are numerous occasions when the tests prove irrelevant: in the situation of inexperienced investigators, the patient's poor education, vision problems or concurring central nervous system disease, all of which may delay or deviate from the correct diagnosis.

  4. Adverse reaction after hyaluronan injection for minimally invasive papilla volume augmentation. A report on two cases

    DEFF Research Database (Denmark)

    Bertl, Kristina; Gotfredsen, Klaus; Jensen, Simon S

    2017-01-01

    tenderness with a burning sensation on the lip next to the injection area, after the second injection session. In one of the cases, a net-like skin discoloration (livedo reticularis) was also noted. The symptoms lasted for up to 7 days, and in both cases, symptoms resolved without any signs of skin...

  5. A case of minimal change disease treated successfully with mycophenolate mofetil in a patient with systemic lupus erythematosus.

    Science.gov (United States)

    Hong, Young Hoon; Yun, Dae Young; Jung, Yong Wook; Oh, Myung Jin; Kim, Hyun Je; Lee, Choong Ki

    2011-12-01

    The World Health Organization classifies lupus nephritis as class I to V or VI. However, a few cases of minimal change glomerulopathy have been reported in association with systemic lupus erythematosus (SLE). Mycophenolate mofetil has been shown to be effective for treatment of minimal change disease and lupus nephritis. A 24-year-old woman diagnosed with SLE five years prior to presentation complained of a mild generalized edema. The urinalysis showed microscopic hematuria and proteinuria. The assessed amount of total proteinuria was 1,618 mg/24 hours. A renal biopsy demonstrated diffuse fusion of the foot processes of podocytes on electron microscopy. Mycophenolate mofetil was started in addition to the maintenance medications of prednisolone 10 mg/day and hydroxychloroquine 400 mg/day. After six months of treatment, the microscopic hematuria and proteinuria resolved, and the total urine protein decreased to 100 mg/24 hours.

  6. Optimal timing of insecticide fogging to minimize dengue cases: modeling dengue transmission among various seasonalities and transmission intensities.

    Directory of Open Access Journals (Sweden)

    Mika Oki

    2011-10-01

    Full Text Available BACKGROUND: Dengue infection is endemic in many regions throughout the world. While insecticide fogging targeting the vector mosquito Aedes aegypti is a major control measure against dengue epidemics, the impact of this method remains controversial. A previous mathematical simulation study indicated that insecticide fogging minimized cases when conducted soon after peak disease prevalence, although the impact was minimal, possibly because seasonality and population immunity were not considered. Periodic outbreak patterns are also highly influenced by seasonal climatic conditions. Thus, these factors are important considerations when assessing the effect of vector control against dengue. We used mathematical simulations to identify the appropriate timing of insecticide fogging, considering seasonal change of vector populations, and to evaluate its impact on reducing dengue cases with various levels of transmission intensity. METHODOLOGY/PRINCIPAL FINDINGS: We created the Susceptible-Exposed-Infectious-Recovered (SEIR model of dengue virus transmission. Mosquito lifespan was assumed to change seasonally and the optimal timing of insecticide fogging to minimize dengue incidence under various lengths of the wet season was investigated. We also assessed whether insecticide fogging was equally effective at higher and lower endemic levels by running simulations over a 500-year period with various transmission intensities to produce an endemic state. In contrast to the previous study, the optimal application of insecticide fogging was between the onset of the wet season and the prevalence peak. Although it has less impact in areas that have higher endemicity and longer wet seasons, insecticide fogging can prevent a considerable number of dengue cases if applied at the optimal time. CONCLUSIONS/SIGNIFICANCE: The optimal timing of insecticide fogging and its impact on reducing dengue cases were greatly influenced by seasonality and the level of

  7. Minimally invasive direct coronary artery bypass plus coronary stent for acute coronary syndrome: a case report

    Institute of Scientific and Technical Information of China (English)

    Caiyi Lu; Gang Wang; Qi Zhou; Jinwen Tian; Lei Gao; Shenhua Zhou; Jinyue Zhai; Rui Chen; Zhongren Zhao; Cangqing Gao; Shiwen Wang; Yuxiao Zhang; Ming Yang; Qiao Xue; Cangsong Xiao; Wei Gao; Yang Wu

    2008-01-01

    A 69-year old female patient was admitted because of 3 days of worsened chest pain.Coronary angiography showed60% stenosis of distal left main stem,chronic total occlusion of left anterior descending (LAD),70% stenosis at the ostium of a smallleft circumflex,70-90%stenosis at the paroxysmal and middle part of a dominant fight coronary artery (RCA),and a normal left internalmammary artery (LIMA) with normal origination and orientation.Percutaneous intervention was attempted but failed on the occludedlesion of LAD.The patient received minimally invasive direct coronary artery bypass (MIDCAB) with left LIMA isolation by Davincirobot.Eleven days later,the RCA lesion was treated by Sirolimus Rapamicin eluting stents implantation percutaneously.Then thepatient was discharged uneventfully after 3 days hospitalization.Our experience suggests that two stop shops of hybrid technique befeasible and safe in the treatment of elderly patient with multiple coronary diseases.

  8. Minimal access surgery in Castleman disease in a child, a case report

    Directory of Open Access Journals (Sweden)

    Jan F. Svensson

    2015-07-01

    Full Text Available This case report describes a child with Castleman disease. We present an overview of the disease, the investigation leading to the diagnosis, the laparoscopic approach for surgical treatment and the follow up. This rare entity must be considered in cases of long-standing abdominal pain, cross-sectional imaging is beneficial and we support the use of laparoscopic intervention in the treatment of unifocal abdominal Castleman disease.

  9. Full Mouth Rehabilitation by Minimally Invasive Cosmetic Dentistry Coupled with Computer Guided Occlusal Analysis: A Case Report.

    Science.gov (United States)

    Sarita; Thumati, Prafulla

    2014-12-01

    Evidence of dentistry dates back to 7000 B.C. and since then has come, indeed a long sophisticated way in treatment management of our dental patients. There have been admirable advances in the field of prosthodontics by the way of techniques and materials; enabling production of artificial teeth that feel, function and appear nothing but natural. The following case report describes the management of maxillary edentulousness with removable complete denture and mandibular attrition and missing teeth with onlays and FPD by the concept of minimally invasive cosmetic dentistry. Computer guided occlusal analysis was used to guide sequential occlusal adjustments to obtain measurable bilateral occlusal contacts simultaneously.

  10. MANAGEMENT OF PERIPROSTHETIC DISTAL FEMORAL FRACTURE AFTER TOTAL KNEE ARTHROPLASTY USING MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Reddy

    2015-07-01

    Full Text Available CONTEXT: The approximate incidence of periprosthetic supracondylar femur fractures after total knee arthroplasty ranges from 0.3 to 2.5 percent. Various methods of treatment of these fractures have been suggested in the past, such as conservative management, open reduction and plate fixation and intramedullary nailing. However, there were complications like pain, stiffness, infection and delayed union. Minimally invasive plate osteosynthesis (MIPO is a relatively newer technique in the treatment of distal femoral fractures, as it preserves the periosteal blood supply an d bone perfusion as well as minimizes soft tissue dissection. AIM: To evaluate the effectiveness of MIPO technique in the treatment of periprosthetic distal femoral fracture. SETTINGS AND DESIGN : In this study, we present a case report of a 54 year old female patient who sustained type 2 (Rorabeck et al. classification periprosthetic distal femoral fractures after TKA. Her fracture fixation was done with distal femoral locking plates using minimally invasive technique. METHODS AND MATERIAL : We evaluated the clinical (using Oxford knee scoring system and radiological outcomes of the patient till six months post - operatively. Radiologically, the fracture showed complete union and she regained her full range of knee motion by the end of three months. CONCLUSION: We conclude that MIPO can be considered as an effective surgical treatment option in the management of periprosthetic distal femoral fractures after TKA

  11. TRANSPORTATION MODAL CHOICE IN COOLANT IMPORTATION THROUGH TOTAL COSTS MINIMIZATION: A CASE STUDY

    Directory of Open Access Journals (Sweden)

    Marcela de Souza Leite

    2016-07-01

    Full Text Available Transportation plays a very significant role when it comes to the costs of a company representing on average 60% of logistics costs, so its management is very important for any company. The transportation modal choice is one of the most important transportation decisions. The purpose of this article is to select the transportation mode which is able to minimize total costs, and consistent with the objectives of customer service on the coolant import, which is used in plasma cutting machines. With the installation of a distribution center in Brazil and the professionalization of the logistics department of the company, it was decided to re-evaluate the transportation mode previously chosen to import some items. To determine the best mode of transportation was used basic compensation costs, in other words the cost compensation of using the shuttle service to the indirect cost of inventory related to the modal performance. Through the study, it was possible to observe it may be possible to save up to 73% on the coolant international transportation by changing the transportation mode used by the company.

  12. The case for an error minimizing set of coding amino acids.

    Science.gov (United States)

    Torabi, Noorossadat; Goodarzi, Hani; Shateri Najafabadi, Hamed

    2007-02-21

    The fidelity of the translation machinery largely depends on the accuracy by which the tRNAs within the living cells are charged. Aminoacyl-tRNA synthetases (aaRSs) attach amino acids to their cognate tRNAs ensuring the fidelity of translation in coding sequences. Based on the sequence analysis and catalytic domain structure, these enzymes are classified into two major groups of 10 enzymes each. In this study, we have generally tackled the role of aaRSs in decreasing the effects of mistranslations and consequently the evolution of the translation machinery. To this end, a fitness function was introduced in order to measure the accuracy by which each tRNA is charged with its cognate amino acid. Our results suggest that the aaRSs are very well optimized in "load minimization" based on their classes and their mechanisms in distinguishing the correct amino acids. Besides, our results support the idea that from an evolutionary point, a selectional pressure on the translational fidelity seems to be responsible in the occurrence of the 20 coding amino acids.

  13. Minimizing Spatial Variability of Healthcare Spatial Accessibility—The Case of a Dengue Fever Outbreak

    Science.gov (United States)

    Chu, Hone-Jay; Lin, Bo-Cheng; Yu, Ming-Run; Chan, Ta-Chien

    2016-01-01

    Outbreaks of infectious diseases or multi-casualty incidents have the potential to generate a large number of patients. It is a challenge for the healthcare system when demand for care suddenly surges. Traditionally, valuation of heath care spatial accessibility was based on static supply and demand information. In this study, we proposed an optimal model with the three-step floating catchment area (3SFCA) to account for the supply to minimize variability in spatial accessibility. We used empirical dengue fever outbreak data in Tainan City, Taiwan in 2015 to demonstrate the dynamic change in spatial accessibility based on the epidemic trend. The x and y coordinates of dengue-infected patients with precision loss were provided publicly by the Tainan City government, and were used as our model’s demand. The spatial accessibility of heath care during the dengue outbreak from August to October 2015 was analyzed spatially and temporally by producing accessibility maps, and conducting capacity change analysis. This study also utilized the particle swarm optimization (PSO) model to decrease the spatial variation in accessibility and shortage areas of healthcare resources as the epidemic went on. The proposed method in this study can help decision makers reallocate healthcare resources spatially when the ratios of demand and supply surge too quickly and form clusters in some locations. PMID:27983611

  14. Minimizing Spatial Variability of Healthcare Spatial Accessibility—The Case of a Dengue Fever Outbreak

    Directory of Open Access Journals (Sweden)

    Hone-Jay Chu

    2016-12-01

    Full Text Available Outbreaks of infectious diseases or multi-casualty incidents have the potential to generate a large number of patients. It is a challenge for the healthcare system when demand for care suddenly surges. Traditionally, valuation of heath care spatial accessibility was based on static supply and demand information. In this study, we proposed an optimal model with the three-step floating catchment area (3SFCA to account for the supply to minimize variability in spatial accessibility. We used empirical dengue fever outbreak data in Tainan City, Taiwan in 2015 to demonstrate the dynamic change in spatial accessibility based on the epidemic trend. The x and y coordinates of dengue-infected patients with precision loss were provided publicly by the Tainan City government, and were used as our model’s demand. The spatial accessibility of heath care during the dengue outbreak from August to October 2015 was analyzed spatially and temporally by producing accessibility maps, and conducting capacity change analysis. This study also utilized the particle swarm optimization (PSO model to decrease the spatial variation in accessibility and shortage areas of healthcare resources as the epidemic went on. The proposed method in this study can help decision makers reallocate healthcare resources spatially when the ratios of demand and supply surge too quickly and form clusters in some locations.

  15. Time-minimal control of dissipative two-level quantum systems: The Integrable case

    CERN Document Server

    Bonnard, B

    2008-01-01

    The objective of this article is to apply recent developments in geometric optimal control to analyze the time minimum control problem of dissipative two-level quantum systems whose dynamics is governed by the Lindblad equation. We focus our analysis on the case where the extremal Hamiltonian is integrable.

  16. The Significance of Minimally Invasive Core Needle Biopsy and Immunohistochemistry Analysis in 235 Cases with Breast Lesions

    Institute of Scientific and Technical Information of China (English)

    Yun Niu; Tieju Liu; Xuchen Cao; Xiumin Ding; Li Wei; Yuxia Gao; Jun Liu

    2009-01-01

    OBJECTIVE To evaluate core needle biopsy (CNB) as a mini-mally invasive method to examine breast lesions and discuss the clinical significance of subsequent immunohistochemistry (IHC)analysis.METHODS The clinical data and pathological results of 235 pa-tients with breast lesions, who Received CNB before surgery, were analyzed and compared. Based on the results of CNB done before surgery, 87 out of 204 patients diagnosed as invasive carcinoma were subjected to immunodetection for p53, c-erbB-2, ER and PR.The morphological change of cancer tissues in response to chemo-therapy was also evaluated.RESULTS In total of 235 cases receiving CNB examination, 204 were diagnosed as invasive carcinoma, reaching a 100% consistent rate with the surgical diagnosis. Sixty percent of the cases diag-nosed as non-invasive carcinoma by CNB was identified to have the presence of invading elements in surgical specimens, and simi-larly, 50% of the cases diagnosed as atypical ductal hyperplasia by CNB was confirmed to be carcinoma by the subsequent result of excision biopsy. There was no significant difference between the CNB biopsy and regular surgical samples in positive rate of im-munohistochemistry analysis (p53, c-erbB-2, ER and PR; P > 0.05).However, there was significant difference in the expression rate of p53 and c-erbB-2 between the cases with and without morphologi-cal change in response to chemotherapy (P < 0.05). In most cases with p53 and c-erbB-2 positive, there was no obvious morphologi-cal change after chemotherapy. CONCLUSION CNB is a cost-effective diagnostic method with minimal invasion for breast lesions, although it still has some limi-tations. Immunodetection on CNB tissue is expected to have great significance in clinical applications.

  17. Full-mouth adhesive rehabilitation in case of severe dental erosion, a minimally invasive approach following the 3-step technique.

    Science.gov (United States)

    Grütter, Linda; Vailati, Francesca

    2013-01-01

    A full-mouth adhesive rehabilitation in case of severe dental erosion may present a challenge for both the clinician and the laboratory technician, not only for the multiple teeth to be restored, but also for their time schedule, difficult to be included in a busy agenda of a private practice. Thanks to the simplicity of the 3-step technique, full-mouth rehabilitations become easier to handle. In this article the treatment of a very compromised case of dental erosion (ACE class V) is illustrated, implementing only adhesive techniques. The very pleasing clinical outcome was the result of the esthetic, mechanic and most of all biological success achieved, confirming that minimally invasive dentistry should always be the driving motor of any rehabilitation, especially in patients who have already suffered from conspicuous tooth destruction.

  18. A case of minimal change nephrotic syndrome with acute renal failure complicating Hashimotoâs disease.

    Science.gov (United States)

    Iwazu, Y; Nemoto, J; Okuda, K; Nakazawa, E; Hashimoto, A; Fujio, Y; Sakamoto, M; Ando, Y; Muto, S; Kusano, E

    2008-01-01

    A 63-year-old man was admitted to our hospital for evaluation of generalized edema. Coexistence of severe hypothyroidism and nephrotic syndrome was detected by laboratory examination. High titer of both antimicrosomal antibody and antithyroid peroxidase antibody indicated Hashimotoâs disease. Renal biopsy showed minimal change glomerular abnormality, but no findings of membranous nephropathy. A series of medical treatments, including steroid therapy, thyroid hormone and human albumin replacement therapy, were administered. However, acute renal failure accompanied by hypotension, was not sufficiently prevented. After 9 sessions of plasmapheresis therapy, the severe proteinuria and low serum albumin levels were improved. Even after resting hypotension was normalized, neither renal function nor thyroid function were fully recovered. After discharge, renal function gradually returned to normal, and the blood pressure developed into a hypertensive state concomitant with the normalization of thyroid function. This report is a rare case of autoimmune thyroid disease complicated with minimal change nephrotic syndrome. In most cases of nephritic syndrome, acute renal failure (ARF) has been reported to coexist with hypertension. Although pseudohypothyroidism is well-known in nephrotic pathophysiology, complications of actual hypothyroidism are uncommon. It is suggested that the development of hypotension and ARF could be enhanced not only by hypoproteinemia, but also by severe hypothyroidism.

  19. Non-inferiority of minimally invasive oesophagectomy: an 8-year retrospective case series.

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    Findlay, L; Yao, C; Bennett, D H; Byrom, R; Davies, N

    2017-01-11

    The trend towards laparoscopic surgery seen in other specialties has not occurred at the same pace in oesophagectomy. This stems from concerns regarding compromised oncological clearance, and complications associated with gastric tube necrosis and anastomotic failure. We present our experience of minimally invasive oesophagectomy (MIO) compared to open and hybrid surgery. We aim to ascertain non-inferiority of MIO by evaluating impact on survival, oncological clearance by resection margin and lymph node harvest and post-operative complications. Data were sourced retrospectively 2008-2015. Three approaches were studied. MIO (3-stage Mckeown), hybrid (2-stage Ivor Lewis, laparoscopy, thoracotomy) and open (2-stage Ivor Lewis). Five-year survival was 54.2%. Surgical approach had no significant impact on survival at any stage of disease (Stage 0/I p = 0.98; stage II p = 0.2; stage III p = 0.76). There was no statistically significant difference in oncological clearance by resection margins between procedures when compared by disease stage (p = 0.49). A higher number of nodes were harvested in hybrid [median 27.5 (6-65)] and open surgeries [median 26 (4-54)] than in MIO [median 20 (7-44)] (p > 0.01). Numbers of nodes resected did not impact risk of recurrence [recurrence, median 25 (6-54), no recurrence, 26 (4-65)] (p = 0.25). Anastomotic strictures (22.4%) and potential leaks (17.9%) were more common in MIO (strictures p > 0.01, leaks p = 0.08), although associated morbidity was lower. Respiratory complications were less common in MIO (2.9%) versus hybrid (13.3%) (p = 0.02). Wound infection and chyle leak were also lower (wound 1.5% MIO 3.5% open, p = 0.6; chyle leak 1.5% MIO, 6.7% hybrid, p = 0.2). Our results show no negative impact of MIO on survival or oncological clearance. Respiratory and wound complications are lower in MIO, but rates of anastomotic strictures and potential anastomotic leaks are increased. This may be due to the longer

  20. Optimal Insurance for a Minimal Expected Retention: The Case of an Ambiguity-Seeking Insurer

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    Massimiliano Amarante

    2016-03-01

    Full Text Available In the classical expected utility framework, a problem of optimal insurance design with a premium constraint is equivalent to a problem of optimal insurance design with a minimum expected retention constraint. When the insurer has ambiguous beliefs represented by a non-additive probability measure, as in Schmeidler, this equivalence no longer holds. Recently, Amarante, Ghossoub and Phelps examined the problem of optimal insurance design with a premium constraint when the insurer has ambiguous beliefs. In particular, they showed that when the insurer is ambiguity-seeking, with a concave distortion of the insured’s probability measure, then the optimal indemnity schedule is a state-contingent deductible schedule, in which the deductible depends on the state of the world only through the insurer’s distortion function. In this paper, we examine the problem of optimal insurance design with a minimum expected retention constraint, in the case where the insurer is ambiguity-seeking. We obtain the aforementioned result of Amarante, Ghossoub and Phelps and the classical result of Arrow as special cases.

  1. Minimally invasive maxillary sinus elevation using balloon system: A case series

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    Radha Bharathi Dhandapani

    2016-01-01

    Full Text Available The posterior maxillary segment frequently exhibits insufficient bone mass to support dental implants. Sinus floor augmentation enables implant placement in the posterior maxilla. This case series included ten sites, in which sinus floor elevation was done using sinus lift balloon system followed by augmentation utilizing irradiated cancellous bone allograft. Postoperative radiographic assessment of vertical bone gain was done at 3 and 6 months follow-up period. The mean initial and final bone height were 6.16 and 10.50 mm, respectively, with a mean increase of 4.34 mm at 6 months being observed with nil complication. The presented technique might represent a viable alternative for sinus elevation in posterior atrophied maxilla. Irradiated cancellous bone allograft can be advocated as an ideal bone graft material for sinus augmentation procedures.

  2. Minimally invasive resection of synchronous thoracic esophageal and gastric carcinomas followed by reconstruction: a case report.

    Science.gov (United States)

    Honda, Masayuki; Daiko, Hiroyuki; Kinoshita, Takahiro; Fujita, Takeo; Shibasaki, Hidehito; Nishida, Toshiro

    2015-12-01

    We report on a case of synchronous carcinomas of the esophagus and stomach. A 68-year-old man was referred to our hospital for an abnormality found during his medical examination. Further evaluation revealed squamous cell carcinoma in the thoracic lower esophagus and gastric adenocarcinoma located in the middle third of the stomach. Thoracoscopic esophagectomy in the prone position (TSEP), laparoscopic total gastrectomy (LTG) with three-field lymph node dissection, and laparoscopically assisted colon reconstruction (LACR) were performed. The patient did not have any major postoperative complications. His pathological examination revealed no metastases in 56 harvested lymph nodes and no residual tumor. He was followed up for 30 months without recurrence. To our knowledge, this is the first report of esophageal and gastric synchronous carcinomas that were successfully treated with a combination of TSEP, LTG, and LACR. These operations may be a feasible and appropriate treatment for this disease.

  3. Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report.

    Science.gov (United States)

    Wahbi, M A; Al Sharief, H S; Tayeb, H; Bokhari, A

    2013-04-01

    Gingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old female who presented with generalized gingival recession. Black triangles were present between the maxillary and mandibular anterior teeth due to loss of interdental tissues, caused by recent periodontal surgery. She also had slightly malposed maxillary anterior teeth. The patient elected to replace gingival tissue with pink composite resin and to alter the midline with composite resin veneers. The first treatment phase involved placement of pink gingival composite to restore the appearance of interdental papilla to her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) and lower (34, 33, 32, 31, 41, 42, 43, and 44) teeth. Phase two was to place direct composite resin bonded veneers on her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) teeth to alter the midline and achieve desired colour. The third treatment phase was to level the lower incisal edge shape by enameloplasty (31, 32, 41, and 42) to produce a more youthful and attractive smile. This case report and brief review attempt to describe the clinical obstacles and the current treatment options along with a suggested protocol. Use of contemporary materials such as gingival coloured composite to restore lost gingival tissue and improve aesthetics can be a simple and cost-effective way to manage patients affected by generalized aggressive periodontitis (AgP).

  4. The first description of severe anemia associated with acute kidney injury and adult minimal change disease: a case report

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    Qian Yimei

    2009-01-01

    Full Text Available Abstract Introduction Acute kidney injury in the setting of adult minimal change disease is associated with proteinuria, hypertension and hyperlipidemia but anemia is usually absent. Renal biopsies exhibit foot process effacement as well as tubular interstitial inflammation, acute tubular necrosis or intratubular obstruction. We recently managed a patient with unique clinical and pathological features of minimal change disease, who presented with severe anemia and acute kidney injury, an association not previously reported in the literature. Case presentation A 60-year-old Indian-American woman with a history of hypertension and diabetes mellitus for 10 years presented with progressive oliguria over 2 days. Laboratory data revealed severe hyperkalemia, azotemia, heavy proteinuria and progressively worsening anemia. Urine eosinophils were not seen. Emergent hemodialysis, erythropoietin and blood transfusion were initiated. Serologic tests for hepatitis B, hepatitis C, anti-nuclear antibodies, anti-glomerular basement membrane antibodies and anti-neutrophil cytoplasmic antibodies were negative. Complement levels (C3, C4 and CH50 were normal. Renal biopsy unexpectedly displayed 100% foot process effacement. A 24-hour urine collection detected 6.38 g of protein. Proteinuria and anemia resolved during six weeks of steroid therapy. Renal function recovered completely. No signs of relapse were observed at 8-month follow-up. Conclusion Adult minimal change disease should be considered when a patient presents with proteinuria and severe acute kidney injury even when accompanied by severe anemia. This report adds to a growing body of literature suggesting that in addition to steroid therapy, prompt initiation of erythropoietin therapy may facilitate full recovery of renal function in acute kidney injury.

  5. Minimization of the energy loss of nuclear power plants in case of partial in-core monitoring system failure

    Science.gov (United States)

    Zagrebaev, A. M.; Ramazanov, R. N.; Lunegova, E. A.

    2017-01-01

    In this paper we consider the optimization problem minimize of the energy loss of nuclear power plants in case of partial in-core monitoring system failure. It is possible to continuation of reactor operation at reduced power or total replacement of the channel neutron measurements, requiring shutdown of the reactor and the stock of detectors. This article examines the reconstruction of the energy release in the core of a nuclear reactor on the basis of the indications of height sensors. The missing measurement information can be reconstructed by mathematical methods, and replacement of the failed sensors can be avoided. It is suggested that a set of ‘natural’ functions determined by means of statistical estimates obtained from archival data be constructed. The procedure proposed makes it possible to reconstruct the field even with a significant loss of measurement information. Improving the accuracy of the restoration of the neutron flux density in partial loss of measurement information to minimize the stock of necessary components and the associated losses.

  6. Successful minimally-invasive management of a case of giant prostatic hypertrophy associated with recurrent nephrogenic adenoma of the prostate.

    Science.gov (United States)

    Learney, Robert M; Malde, Sachin; Downes, Mark; Shrotri, Nitin

    2013-04-08

    Benign Prostatic Hypertrophy (BPH) is said to affect at least a third of men over 60. However, the literature contains fewer than 200 reports of prostates over 200g in mass - Giant Prostatic Hypertrophy (GPH). Nephrogenic adenomas are benign lesions of the urinary tract that are believed to represent the local proliferation of shed renal tubular cells implanting at sites of urothelial injury. We present the first case in the literature of these two rare pathologies co-existing in the same patient and the successful management and 36-month follow-up of the patient's symptoms with minimally invasive therapy, including the still-uncommon selective prostatic artery embolisation. We also briefly discuss the role of PAX2 in injured renal tissues and nephrogenic adenomas. Symptomatic Giant Prostatic Hypertrophy (GPH) can be successfully managed with a combination of serial TURPs, 5 α-reductase inhibition and selective prostatic artery embolisation (SPAE).

  7. Minimal Change Disease as a Secondary and Reversible Event of a Renal Transplant Case with Systemic Lupus Erythematosus.

    Science.gov (United States)

    Gkrouzman, Elena; Kirou, Kyriakos A; Seshan, Surya V; Chevalier, James M

    2015-01-01

    Secondary causes of minimal change disease (MCD) account for a minority of cases compared to its primary or idiopathic form and provide ground for consideration of common mechanisms of pathogenesis. In this paper we report a case of a 27-year-old Latina woman, a renal transplant recipient with systemic lupus erythematosus (SLE), who developed nephrotic range proteinuria 6 months after transplantation. The patient had recurrent acute renal failure and multiple biopsies were consistent with MCD. However, she lacked any other features of the typical nephrotic syndrome. An angiogram revealed a right external iliac vein stenosis in the region of renal vein anastomosis, which when restored resulted in normalization of creatinine and relief from proteinuria. We report a rare case of MCD developing secondary to iliac vein stenosis in a renal transplant recipient with SLE. Additionally we suggest that, in the event of biopsy-proven MCD presenting as an atypical nephrotic syndrome, alternative or secondary, potentially reversible, causes should be considered and explored.

  8. Minimal Change Disease as a Secondary and Reversible Event of a Renal Transplant Case with Systemic Lupus Erythematosus

    Directory of Open Access Journals (Sweden)

    Elena Gkrouzman

    2015-01-01

    Full Text Available Secondary causes of minimal change disease (MCD account for a minority of cases compared to its primary or idiopathic form and provide ground for consideration of common mechanisms of pathogenesis. In this paper we report a case of a 27-year-old Latina woman, a renal transplant recipient with systemic lupus erythematosus (SLE, who developed nephrotic range proteinuria 6 months after transplantation. The patient had recurrent acute renal failure and multiple biopsies were consistent with MCD. However, she lacked any other features of the typical nephrotic syndrome. An angiogram revealed a right external iliac vein stenosis in the region of renal vein anastomosis, which when restored resulted in normalization of creatinine and relief from proteinuria. We report a rare case of MCD developing secondary to iliac vein stenosis in a renal transplant recipient with SLE. Additionally we suggest that, in the event of biopsy-proven MCD presenting as an atypical nephrotic syndrome, alternative or secondary, potentially reversible, causes should be considered and explored.

  9. Epithelioid pleural mesothelioma concurrently associated with miliary pulmonary metastases and minimal change nephrotic syndrome - A hitherto undescribed case.

    Science.gov (United States)

    Tsukamoto, Yoshitane; Otsuki, Taiichiro; Hao, Hiroyuki; Kuribayashi, Kozo; Nakano, Takashi; Kida, Aritoshi; Nakanishi, Takeshi; Funatsu, Eriko; Noguchi, Chihiro; Yoshihara, Shunya; Kaku, Koji; Hirota, Seiichi

    2015-12-01

    Malignant pleural mesothelioma (MPM) is the aggressive disease typically spreading along the pleural surface and encasing the lung, leading to respiratory failure or cachexia. Rare cases with atypical clinical manifestation or presentation have been reported in MPM. We experienced a unique case of MPM concurrently associated with miliary pulmonary metastases and nephrotic syndrome. A 73-year-old Japanese man with past history of asbestos exposure was referred to our hospital for the investigation of the left pleural effusion. Chest computed tomography showed thickening of the left parietal pleura. Biopsy specimen of the pleura showed proliferating epithelioid tumor cells, leading to the pathological diagnosis of epithelioid MPM with the aid of immunohistochemistry. After the diagnosis of MPM, chemotherapy was performed without effect. Soon after the clinical diagnosis of progressive disease with skull metastasis, edema and weight gain appeared. Laboratory data met the criteria of nephrotic syndrome, and renal biopsy with electron microscopic examination revealed the minimal change disease. Steroid therapy was started but showed no effect. Around the same time of onset of nephrotic syndrome, multiple miliary lung nodules appeared on chest CT. Transbronchial biopsy specimen of the nodules showed the metastatic MPM in the lung. The patient died because of the worsening of the general condition. To our knowledge, this is the first case of MPM concurrently associated with multiple miliary pulmonary metastases and nephrotic syndrome.

  10. Minimally Invasive Alveolar Ridge Preservation Utilizing an In Situ Hardening β-Tricalcium Phosphate Bone Substitute: A Multicenter Case Series

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    Minas D. Leventis

    2016-01-01

    Full Text Available Ridge preservation measures, which include the filling of extraction sockets with bone substitutes, have been shown to reduce ridge resorption, while methods that do not require primary soft tissue closure minimize patient morbidity and decrease surgical time and cost. In a case series of 10 patients requiring single extraction, in situ hardening beta-tricalcium phosphate (β-TCP granules coated with poly(lactic-co-glycolic acid (PLGA were utilized as a grafting material that does not necessitate primary wound closure. After 4 months, clinical observations revealed excellent soft tissue healing without loss of attached gingiva in all cases. At reentry for implant placement, bone core biopsies were obtained and primary implant stability was measured by final seating torque and resonance frequency analysis. Histological and histomorphometrical analysis revealed pronounced bone regeneration (24.4 ± 7.9% new bone in parallel to the resorption of the grafting material (12.9 ± 7.7% graft material while high levels of primary implant stability were recorded. Within the limits of this case series, the results suggest that β-TCP coated with polylactide can support new bone formation at postextraction sockets, while the properties of the material improve the handling and produce a stable and porous bone substitute scaffold in situ, facilitating the application of noninvasive surgical techniques.

  11. Minimally Invasive Alveolar Ridge Preservation Utilizing an In Situ Hardening β-Tricalcium Phosphate Bone Substitute: A Multicenter Case Series

    Science.gov (United States)

    Leventis, Minas D.; Fairbairn, Peter; Kakar, Ashish; Leventis, Angelos D.; Margaritis, Vasileios; Lückerath, Walter; Horowitz, Robert A.; Rao, Bappanadu H.; Lindner, Annette; Nagursky, Heiner

    2016-01-01

    Ridge preservation measures, which include the filling of extraction sockets with bone substitutes, have been shown to reduce ridge resorption, while methods that do not require primary soft tissue closure minimize patient morbidity and decrease surgical time and cost. In a case series of 10 patients requiring single extraction, in situ hardening beta-tricalcium phosphate (β-TCP) granules coated with poly(lactic-co-glycolic acid) (PLGA) were utilized as a grafting material that does not necessitate primary wound closure. After 4 months, clinical observations revealed excellent soft tissue healing without loss of attached gingiva in all cases. At reentry for implant placement, bone core biopsies were obtained and primary implant stability was measured by final seating torque and resonance frequency analysis. Histological and histomorphometrical analysis revealed pronounced bone regeneration (24.4 ± 7.9% new bone) in parallel to the resorption of the grafting material (12.9 ± 7.7% graft material) while high levels of primary implant stability were recorded. Within the limits of this case series, the results suggest that β-TCP coated with polylactide can support new bone formation at postextraction sockets, while the properties of the material improve the handling and produce a stable and porous bone substitute scaffold in situ, facilitating the application of noninvasive surgical techniques. PMID:27190516

  12. The application of continuous nursing in discharged senile enterostomy patients%延续性护理在老年肠造口出院患者中的应用

    Institute of Scientific and Technical Information of China (English)

    赖妙娟; 柯燕霞; 潘玉勤; 李文强

    2016-01-01

    Objective To investigate the application effect of continuous nursing in senile enterostomy patients.Methods 80 elderly patients with enterostomy were randomly selected and divided into two groups.40 patients in control group received routine nursing, and 40 patients in experimental group received continuous nursing on the basis of control group.Compared patients' degree of knowledge about enterostomy nursing and satisfaction degree.Results The accuracy in the knowledge of skin care methods around the stoma, replacing the ostomy bag, daily nursing method, colostomy observation in experimental group were 92.5%, 90.0%, 95.0%, 95.0% respectively, obviously better than 72.5%, 70.0%, 75.0%, 80.0% in control group, with statistically significant differences between two groups (P<0.05).The degree of satisfaction on nursing work and life quality was 97.5% in experimental group, obviously higher than 82.2% in control group, with statistically significant difference between two groups (P<0.05).Conclusion Continuous nursing could improve patients' proficiency of knowledge about senile enterostomy nursing and the degree of satisfaction.%目的 探讨延续性护理在老年肠造口患者中的应用效果.方法 选择80例老年肠造口患者为研究对象,随机抽取40例为对照组,仅给予常规的护理;另40例为实验组,在常规护理的基础上提供延续性护理.比较两组患者对肠造口护理相关知识掌握程度、患者的满意度.结果 实验组患者对造口周围皮肤护理方法、更换造口袋、日常护理方法、肠造口观察等方面健康知识项目的掌握正确率分别为92.5%、90.0%、95.0%、95.0%,明显优于对照组的72.5%、70.0%、75.0%、80.0%,两组比较差异有统计学意义(P<0.05).实验组患者对护理工作及生活质量的满意度为97.5%,明显高于对照组的82.2%,两组比较差异有统计学意义(P<0.05).结论 延续性护理能提高老年

  13. [Case of goodpasture syndrome associated with minimal change nephrotic syndrome (MCNS) in a patient with rheumatoid arthritis (RA)].

    Science.gov (United States)

    Takeda, Yoko; Abe, Aya; Toki, Takeshi; Komaba, Hirotaka; Abe, Takaya; Umezu, Michio; Joh, Kensuke; Fukagawa, Masafumi

    2009-01-01

    In early June 2004, a 50-year-old female was admitted to the hospital for slight fever, general fatigue, hemoptysis, dyspnea, and renal dysfunction (serum creatinine[Cr] : 6.05 mg/dL). She had been treated with prednisolone (PSL : 10-20 mg/day) for RA. She was diagnosed with Goodpasture syndrome based on a high titer of anti-glomerular basement membrane antibody (87 EU), and pulmonary hemorrhage. The renal and pulmonary impairments were markedly improved by the pulse therapy, plasma exchange and temporary hemodialysis. However, the Cr level remained at 2.0 mg/dL, indicating nephrotic syndrome. Light microscopy with Periodic acid-Shiff(PAS) staining demonstrated global sclerosis in three of ten glomeruli. Five glomeruli showed the formation of cellular, and fibrocellular crescents, and the formation of fibrous crescents. Tubular damage and interstitial fibrosis were severe. Immunofluorescence microscopy disclosed major depositions of IgG in a linear pattern along the glomerular basement membrane(GBM). Electron microscopy revealed foot process effacement (>50%)and no electron-dense deposits. Therefore, we diagnosed Goodpasture syndrome associated with minimal change nephrotic syndrome (MCNS). Some reports have dealt with the association of RA and Goodpasture syndrome with D-penicillamine, and of RA and antineutrophil cytoplasmic antibodies (ANCA)-related vasculitis with pulmonary hemorrhage, but none has dealt with cases complicated with RA and Goodpasture syndrome associated with MCNS. Accordingly, whether or not there is a causal relationship between RA and Goodpasture syndrome remains obscure, but since the number of reported cases is small, experience with more cases is necessary to clarify this matter.

  14. A mesh adaptivity scheme on the Landau-de Gennes functional minimization case in 3D, and its driving efficiency

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    Bajc, Iztok; Hecht, Frédéric; Žumer, Slobodan

    2016-09-01

    This paper presents a 3D mesh adaptivity strategy on unstructured tetrahedral meshes by a posteriori error estimates based on metrics derived from the Hessian of a solution. The study is made on the case of a nonlinear finite element minimization scheme for the Landau-de Gennes free energy functional of nematic liquid crystals. Newton's iteration for tensor fields is employed with steepest descent method possibly stepping in. Aspects relating the driving of mesh adaptivity within the nonlinear scheme are considered. The algorithmic performance is found to depend on at least two factors: when to trigger each single mesh adaptation, and the precision of the correlated remeshing. Each factor is represented by a parameter, with its values possibly varying for every new mesh adaptation. We empirically show that the time of the overall algorithm convergence can vary considerably when different sequences of parameters are used, thus posing a question about optimality. The extensive testings and debugging done within this work on the simulation of systems of nematic colloids substantially contributed to the upgrade of an open source finite element-oriented programming language to its 3D meshing possibilities, as also to an outer 3D remeshing module.

  15. Minimally invasive technologies in the treatment of closed fractures of the intercondylar elevation of the knee: a clinical case

    Directory of Open Access Journals (Sweden)

    Евгений Владимирович Ворончихин

    2015-12-01

    Full Text Available Тhis article presents a clinical case of the surgical treatment of a fracture in the intercondylar eminences of the knee joint in a 7-year-old child. Closed fractures of the intercondylar exaltation are mainly a characteristic of childhood. This type of damage occurs by dysfunction of the knee resulting from instability. Because the fracture of the intercondylar eminences of the knee joint in children is similar to the damage of the anterior cruciate ligament in adults, the current course of knee surgery is a minimally invasive technique. These include fixation of the intercondylar exaltation using video stroboscopy as well as the assistance of various implants (e.g., screw, wire, and Dacron. In the children's Department of Traumatology and Orthopedics of the Federal Center of Traumatology, Orthopedics and Endoprosthesis Replacement in Barnaul, various surgeries are performed, including arthroscopy of the right knee joint, intercondylar exaltation reposition, and fixation of the intercondylar exaltation latch Lupine (De PuyMitek.

  16. The clinical features of preventive enterostomy with laparoscopic radical operation for colorectal cancer and its nursing countermeasures%腹腔镜直肠癌根治预防性肠造口的临床特点与护理对策

    Institute of Scientific and Technical Information of China (English)

    谢海珊; 胡海英; 邹小红; 潘凯; 朱畅

    2014-01-01

    目的:探讨腹腔镜直肠癌根治行预防性肠造口术的临床特点及其并发症的护理对策。方法将151例腹腔镜直肠癌根治术患者分为 A 组和 B 组进行对比研究,A 组75例行预防性横结肠造口,B 组76例行预防性末端回肠造口,观察两组的临床特点及其并发症,并采取相应的护理对策。结果两组在并发症的发生率比较差异上有统计学意义,A 组的造口脱垂、造口周围感染发生率高于B 组,而造口狭窄、造口粪水性皮炎、造口回缩的发生率低于 B 组。经过积极治疗和护理后,两组患者均痊愈出院。结论根据横结肠造口和末端回肠造口的特点,分别采取针对性护理措施,可以帮助患者促进康复、改善预后。%Objective This research is to discuss clinical features of preventive enterostomy with laparoscopic radical operation for colorectal cancer and its nursing countermeasures. Methods 151 cases of colorectal cancer patients with laparoscopic radical operation were divided into two groups and studied comparatively. 75 cases of patients from group A received preventive transverse colostomy while 76 cases of patients received preventive terminal ileum colostomy. Clinical features and complications of patients from two groups were observed and corresponding nursing countermeasures were taken. Results The difference of the incidence rate of complications between the two groups is statistically significant. The incidence rate of colostomy prolapse and infection around the colostomy of patients from group A is higher than those from group B while the incidence rate of colostomy stenosis, colostomy dung water-based dermatitis and colostomy retraction of patients from group A is lower than those from group B. After active treatment and nursing, two groups of patients were recovered. Conclusions Specific and targeted nursing measures based on different characteristics of transverse colostomy and terminal

  17. A three-arm (laparoscopic, hand-assisted, and robotic) matched-case analysis of intraoperative and postoperative outcomes in minimally invasive colorectal surgery.

    Science.gov (United States)

    Patel, Chirag B; Ragupathi, Madhu; Ramos-Valadez, Diego I; Haas, Eric M

    2011-02-01

    Robotic-assisted laparoscopic surgery is an emerging modality in the field of minimally invasive colorectal surgery. However, there is a dearth of data comparing outcomes with other minimally invasive techniques. We present a 3-arm (conventional, hand-assisted, and robotic) matched-case analysis of intraoperative and short-term outcomes in patients undergoing minimally invasive colorectal procedures. Between August 2008 and October 2009, 70 robotic cases of the rectum and rectosigmoid were performed. Thirty of these were organized into triplets with conventional and hand-assisted cases based on the following 6 matching criteria: 1) surgeon; 2) sex; 3) body mass index; 4) operative procedure; 5) pathology; and 6) history of neoadjuvant therapy in malignant cases. Demographics, intraoperative parameters, and postoperative outcomes were assessed. Pathological outcomes were analyzed in malignant cases. Data were stratified by postoperative diagnosis and operative procedure. There was no significant difference in intraoperative complications, estimated blood loss (126.1 ± 98.5 mL overall), or postoperative morbidity and mortality among the groups. Robotic technique required longer operative time compared with conventional laparoscopic (P arm case-matched series, the robotic approach results in short-term outcomes comparable to conventional and hand-assisted laparoscopic approaches for benign and malignant diseases of the rectum and rectosigmoid. With 3-dimensional visualization, additional freedom of motion, and improved ergonomics, this enabling technology may play an important role when performing colorectal procedures involving the pelvic anatomy.

  18. Application of psychological crisis intervention in the management of rectal cancer patients undergoing enterostomy%心理危机干预技术在直肠癌肠造口患者中的应用

    Institute of Scientific and Technical Information of China (English)

    叶新梅; 厉群; 姚秋琼

    2012-01-01

    目的 探讨心理危机干预技术在直肠癌肠造口患者中的应用.方法 将124例直肠癌肠造口患者随机分为两组,每组各62例,对照组患者给予一般的心理护理,实验组患者应用心理危机干预技术进行心理干预,时间为1个月.比较两组患者心理干预前后负性情绪、免疫细胞及两组患者心理干预后生活质量情况.结果 干预后实验组患者焦虑、抑郁、恐惧、生活质量及T细胞亚群的CD3、CD4、CD8和自然杀伤细胞(NK Cell)明显优于对照组,两组比较,差异具有统计学意义(均P<0.01);两组患者干预后自身前后比较,对照组患者恐惧及焦虑程度明显减轻,T细胞亚群的CD3、CD4、CD8和NK Cell数量明显减少(均P<0.01),而实验组患者焦虑、抑郁及恐惧程度明显减轻(均P<0.01),CD3、CD4、CD8和自然杀伤细胞(NK Cell)无明显减少(均P> 0.05).结论 心理危机干预技术在直肠癌肠造口患者中应用,有利于改善直肠癌肠造口患者不良心理状况及提高患者生活质量.%Objective To investigate the application of psychological crisis intervention in the management of rectal cancer patients undergoing enterostomy. Methods 124 rectal cancer patients undergoing enterostomy were randomly divided into the control group and the experiment group; the formal group received general psychological nursing and the latter received psychological crisis intervention for one month. The two groups were compared in respect of negative motions, immunologieal function and life quality after intervention. Results In comparison, the experiment group could relive their anxiety, depression and terror more effectively than the controls did (P 0.05) in spite of significant reliefs in the anxiety and depress and terror in the experiment group (P < 0.01). Conclusions The application of psychological crisis intervention in rectal cancer patients undergoing enterostomy could preferably release their negative

  19. Effect of evidence-based nursing in nursing of skin mucosa membrane separation after undergoing enterostomy%循证护理在肠造口皮肤黏膜分离护理中的作用

    Institute of Scientific and Technical Information of China (English)

    裴新荣; 杜月娥

    2013-01-01

    目的:探讨缩短肠造口术后皮肤黏膜分离愈合时间、减少皮肤黏膜分离后并发症发生的最佳护理方法.方法:将发生肠造口术后皮肤黏膜分离的60例患者,运用循证护理和湿性愈合敷料进行切口护理,出院后门诊随诊2个月,观察其愈合时间,肠造口内陷及狭窄的发生情况.结果:运用循证护理和湿性愈合敷料进行切口护理后,患者7 ~28 d痊愈出院,造口内陷2例,造口狭窄1例,出院1个月后恢复正常.结论:将循证护理所获得的证据、护理经验和患者的实际情况相结合,能明显缩短患者的愈合时间及减少并发症的发生,缩短住院时间,提高肠造口患者的生活质量.%Objective:To investigate the healing time,and the beet methods of care to reduce complications after the separation of the skin and mucous membrane shorten the enterostomy postoperative skin and mucous membrane separation.Methods:After will have the intestines ostomy the skin mucous membrane separation 60 patients,used evidence-based nursing and the wet cicatrization surgical dressing carries on wound nursing,follow-up for two months after discharge,observed its cicatrization time,the intestines made the inside the mouth to fall and the narrow occurrence situation.Results:After follows card nursing and the wet cicatrization surgical dressing carried on wound nursing,hospitalizedpatients recovered and were discharged from hospital after 7-28 day,made the inside the mouth to fall 2 examples,after makes mouth narrow 1 example out of hospital after one month to restore normally.Conclusion:The evidence of evidence-based nursin care experience and the actual situation of the patients the combination can significantly shorten the healing time after the occurrence and reduce the incidence of other complications,shorter hospital stays,improve the quality of life of patients with enterostomy

  20. Nephrotic syndrome due to minimal change disease secondary to spider bite: clinico-pathological case of a non-described complication of latrodectism.

    Science.gov (United States)

    Méndez, Gonzalo P; Enos, Daniel; Moreira, José Luis; Alvaredo, Fátima; Oddó, David

    2017-04-01

    The patient was an 18-year-old man who developed nephrotic syndrome after a 'wheat spider' bite (Latrodectus mactans). Due to this atypical manifestation of latrodectism, a renal biopsy was performed showing minimal change disease. The nephrotic syndrome subsided after 1 week without specific treatment. This self-limited evolution suggests that the mechanism of podocyte damage was temporary and potentially mediated by a secondary mechanism of hypersensitivity or direct effect of the α-latrotoxin. The patient did not show signs of relapse in subsequent checkup. This is the first reported case of nephrotic syndrome due to a minimal change lesion secondary to latrodectism.

  1. Nephrotic syndrome due to minimal change disease secondary to spider bite: clinico-pathological case of a non-described complication of latrodectism

    Science.gov (United States)

    Enos, Daniel; Moreira, José Luis; Alvaredo, Fátima; Oddó, David

    2017-01-01

    Abstract The patient was an 18-year-old man who developed nephrotic syndrome after a ‘wheat spider’ bite (Latrodectus mactans). Due to this atypical manifestation of latrodectism, a renal biopsy was performed showing minimal change disease. The nephrotic syndrome subsided after 1 week without specific treatment. This self-limited evolution suggests that the mechanism of podocyte damage was temporary and potentially mediated by a secondary mechanism of hypersensitivity or direct effect of the α-latrotoxin. The patient did not show signs of relapse in subsequent checkup. This is the first reported case of nephrotic syndrome due to a minimal change lesion secondary to latrodectism. PMID:28396739

  2. Rituximab in minimal change nephropathy and focal segmental glomerulosclerosis: report of four cases and review of the literature.

    NARCIS (Netherlands)

    Peters, H.P.E.; Kar, NC van de; Wetzels, J.F.M.

    2008-01-01

    Minimal change nephropathy (MCNS) and focal segmental glomerulosclerosis (FSGS) are the main causes of the idiopathic nephrotic syndrome. MCNS usually responds to steroids and the long-term prognosis is generally good. However, some patients require prolonged treatment with immunosuppressive agents.

  3. Effect of Complications After Minimally Invasive Surgical Repair of Acute Achilles Tendon Ruptures Report on 211 Cases

    NARCIS (Netherlands)

    Metz, Roderik; van der Heijden, Geert J. M. G.; Verleisdonk, Egbert-Jan M. M.; Kolfschoten, Nicky; Verhofstad, Michiel H. J.; van der Werken, Christiaan

    2011-01-01

    Background: Complications of acute Achilles tendon rupture treatment are considered to negatively influence outcome, but the relevance of these effects is largely unknown. Purpose: The Achilles Tendon Total Rupture Score (ATRS) was used to determine level of disability in patients with minimally inv

  4. Effect of Complications After Minimally Invasive Surgical Repair of Acute Achilles Tendon Ruptures Report on 211 Cases

    NARCIS (Netherlands)

    Metz, Roderik; van der Heijden, Geert J. M. G.; Verleisdonk, Egbert-Jan M. M.; Kolfschoten, Nicky; Verhofstad, Michiel H. J.; van der Werken, Christiaan

    2011-01-01

    Background: Complications of acute Achilles tendon rupture treatment are considered to negatively influence outcome, but the relevance of these effects is largely unknown. Purpose: The Achilles Tendon Total Rupture Score (ATRS) was used to determine level of disability in patients with minimally inv

  5. Bilateral Achilles Tendon Ruptures Associated With Ciprofloxacin Use in the Setting of Minimal Change Disease: Case Report and Review of the Literature.

    Science.gov (United States)

    Kawtharani, Firas; Masrouha, Karim Z; Afeiche, Nadim

    2016-01-01

    Fluoroquinolones are widely used antibiotics; however, numerous side effects have been reported in published studies, including a spectrum of tendinopathies, affecting numerous anatomic sites. Several risk factors have been identified, including advanced age (>60 years), corticosteroid use, renal failure or dialysis, female sex, and nonobesity. We present the case of an elderly male with minimal change disease treated with glucocorticoids and acute kidney injury, who sustained spontaneous nontraumatic bilateral Achilles tendon tears 4 days after initiating ciprofloxacin.

  6. Treatment of Retinitis Pigmentosa-Associated Cystoid Macular Oedema Using Intravitreal Aflibercept (Eylea despite Minimal Response to Ranibizumab (Lucentis: A Case Report

    Directory of Open Access Journals (Sweden)

    Stacey A. Strong

    2016-09-01

    Full Text Available Background: We present an interesting case of bilateral retinitis pigmentosa (RP-associated cystoid macular oedema that responded on two separate occasions to intravitreal injections of aflibercept, despite previously demonstrating only minimal response to intravitreal ranibizumab. This unique case would support a trial of intravitreal aflibercept for the treatment of RP-associated cystoid macular oedema. Case Presentation: A 38-year-old man from Dubai, United Arab Emirates, presented to the UK with a 3-year history of bilateral RP-associated cystoid macular oedema. Previous treatment with topical dorzolamide, oral acetazolamide, and intravitreal ranibizumab had demonstrated only minimal reduction of cystoid macular oedema. Following re-confirmation of the diagnosis by clinical examination and optical coherence tomography imaging, bilateral loading doses of intravitreal aflibercept were given. Central macular thickness reduced and the patient returned to Dubai. After 6 months, the patient was treated with intravitreal ranibizumab due to re-accumulation of fluid and the unavailability of aflibercept in Dubai. Only minimal reduction of central macular thickness was observed. Once available in Dubai, intravitreal aflibercept was administered bilaterally with further reduction of central macular thickness observed. Visual acuity remained stable throughout. Conclusions: This is the first case report to demonstrate a reduction of RP-associated CMO following intravitreal aflibercept, despite inadequate response to ranibizumab on two separate occasions. Aflibercept may provide superior action to other anti-VEGF medications due to its intermediate size (115 kDa and higher binding affinity. This is worthy of further investigation in a large prospective cohort over an extended time to determine the safety and efficacy of intravitreal aflibercept for use in this condition.

  7. INTESTINAL CANDIDASIS CAUSING SU B ACUTE SMALL BOWEL OBSTRUCTION: A RARE CASE

    Directory of Open Access Journals (Sweden)

    Patibandla

    2015-09-01

    Full Text Available Immunodeficiency is increasingly encountered in daily medical practice. As a result, the concomitant risk for opportunistic infections is higher. Immuno - compromised patients may present with uncommon clinical and radiologic conditions. We report a case of 48 - year - old man chronic alcoholic for 25yrs who presented with abdominal pain and features suggestive of small bowel obstruction. On exploratory laparotomy and enterostomy yellow, shaggy necrotic material adherent to the folds of intestine was found. After the histopathological confirmation extensive fungal enteritis due to Candida albicans with partial small bowel obstruction was diagnosed.

  8. A Line Source In Minkowski For The de Sitter Spacetime Scalar Green's Function: Massless Minimally Coupled Case

    CERN Document Server

    Chu, Yi-Zen

    2013-01-01

    We show how, for certain classes of curved spacetimes, one might obtain its retarded or advanced minimally coupled massless scalar Green's function by using the corresponding Green's functions in the higher dimensional Minkowski spacetime where it is embedded. Analogous statements hold for certain classes of curved Riemannian spaces, with positive definite metrics, which may be embedded in higher dimensional Euclidean spaces. The general formula is applied to (d >= 2)-dimensional de Sitter spacetime, and the scalar Green's function is demonstrated to be sourced by a line emanating infinitesimally close to the origin of the ambient (d+1)-dimensional Minkowski spacetime and piercing orthogonally through the de Sitter hyperboloids of all finite sizes. This method does not require solving the de Sitter wave equation directly. Only the zero mode solution to an ordinary differential equation, the "wave equation" perpendicular to the hyperboloid -- followed by a one dimensional integral -- needs to be evaluated. A t...

  9. Rare earth elements minimal harvest year variation facilitates robust geographical origin discrimination: The case of PDO "Fava Santorinis".

    Science.gov (United States)

    Drivelos, Spiros A; Danezis, Georgios P; Haroutounian, Serkos A; Georgiou, Constantinos A

    2016-12-15

    This study examines the trace and rare earth elemental (REE) fingerprint variations of PDO (Protected Designation of Origin) "Fava Santorinis" over three consecutive harvesting years (2011-2013). Classification of samples in harvesting years was studied by performing discriminant analysis (DA), k nearest neighbours (κ-NN), partial least squares (PLS) analysis and probabilistic neural networks (PNN) using rare earth elements and trace metals determined using ICP-MS. DA performed better than κ-NN, producing 100% discrimination using trace elements and 79% using REEs. PLS was found to be superior to PNN, achieving 99% and 90% classification for trace and REEs, respectively, while PNN achieved 96% and 71% classification for trace and REEs, respectively. The information obtained using REEs did not enhance classification, indicating that REEs vary minimally per harvesting year, providing robust geographical origin discrimination. The results show that seasonal patterns can occur in the elemental composition of "Fava Santorinis", probably reflecting seasonality of climate.

  10. Influenza SIRS with Minimal Pneumonitis.

    Science.gov (United States)

    Erramilli, Shruti; Mannam, Praveen; Manthous, Constantine A

    2016-01-01

    Although systemic inflammatory response syndrome (SIRS) is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca, and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement.

  11. Hybrid approach of retractor-based and conventional laparoscopy enabling minimally invasive hysterectomy in a morbidly obese patient: case report and review of the literature.

    Science.gov (United States)

    Hoellen, Friederike; Rody, Achim; Ros, Andrea; Bruns, Angela; Cirkel, Christoph; Bohlmann, Michael K

    2014-06-01

    Minimally invasive hysterectomy in obese patients may be limited by laparoscopic sight on the one hand and by intraoperative complications related to reduced ventilation due to pneumoperitoneum on the other. Retractor-based laparoscopy offers an operative technique reducing anesthesia risks. We report the case of laparoscopic hysterectomy in an obese patient of short stature. Laparoscopic supracervical hysterectomy was performed by a hybrid approach of a retractor system exerting its effects on lifting the abdominal wall through gravity and conventional laparoscopy, thus bypassing the adverse effects of pneumoperitoneum on ventilation.

  12. Minimally Invasive Treatment of Biventricular Hydrocephalus Caused by a Giant Basilar Apex Aneurysm via a Staged Combination of Endoscopy and Endovascular Embolization: A Case Report.

    Science.gov (United States)

    Setty, Pradeep; Volkov, Andrey; Richards, Boyd; Barrett, Ryan

    2015-01-01

    Biventricular hydrocephalus caused by a Giant Basilar Apex Aneurysm (GBAA) is a rare finding that presents unique and challenging treatment decisions. We report a case of GBAA causing a life-threatening biventricular hydrocephalus in which both the aneurysm and hydrocephalus were given definitive treatment through a staged, minimally invasive approach. An obtunded 82-year-old male was found to have biventricular hydrocephalus caused by an unruptured GBAA obstructing the foramina of Monro. The patient was treated via staged, minimally invasive technique that first involved endoscopic fenestration of the septum pellucidum to create communication between the lateral ventricles. A programmable ventriculo-peritoneal shunt was then placed with a high-pressure setting. The patient was then loaded with dual anti-platelet therapy prior to undergoing endovascular coiling of the GBAA with adjacent stenting of the Posterior Cerebral Artery. He remained on dual anti-platelet therapy and the shunt setting was lowered at the bedside to treat the hydrocephalus. At 6-month follow up, the patient had returned to his cognitive baseline, speaking fluently and appropriately. Biventricular hydrocephalus caused by a GBAA can successfully be treated in a minimally invasive fashion utilizing a combination of endoscopy and endovascular therapy, even when a stent-assisted coiling is needed.

  13. Minimization of heat gains in buildings: The case of domestic buildings in Cape Coast Metropolis – Ghana

    Directory of Open Access Journals (Sweden)

    Samuel Kwame Ansah

    2014-07-01

    Full Text Available This research aims at ascertaining appropriate construction designs and techniques that could be adopted to minimize excessive heat gains in buildings. Random sampling technique was used for selecting hundred (100 domestic buildings in each of the three densely populated suburbs considered within the Cape Coast Metropolis in Ghana. In total, three hundred (300 buildings were used as a sample for this study. Structured interview and observation were used as the main research methods to obtain the necessary data for the study objectives. The results show that appropriate construction designed methods and techniques were not adopted for the construction of almost all the buildings investigated. It was also realized that majority of the occupants (96% used electric fans, and air conditioners to reduce the amount of heat gains in their rooms. The study suggested that, shading techniques such as screens to walls, fixed sun breakers and attached canopies must be encouraged in the design and construction of buildings. The study also suggested that all buildings, yet to be constructed, should be positioned with their longest walls facings north and south in order to reduce intense morning and evening sun entering into the building with more window openings accommodated in both sides of the longest walls to allow for cross ventilation.

  14. $H^0 \\rightarrow Z^0 \\gamma$ channel in ATLAS. \\\\ A study of the Standard Model and \\\\ Minimal Supersymmetric SM case

    CERN Document Server

    Kiourkos, S

    1999-01-01

    One of the potentially accessible decay modes of the Higgs boson in the mass region $100 < m_H < 180$ GeV is the $H^0 \\rightarrow Z^0 \\gamma$ channel. The work presented in this note examines the Standard Model and Minimal Supersymmetric Standard Model predictions for the observability of this channel using particle level simulation as well as the ATLAS fast simulation (ATLFAST). It compares present estimates for the signal observability with previously reported ones in \\cite{unal} specifying the changes arising from the assumed energy of the colliding protons and the improvements in the treatment of theoretical predictions. With the present estimates, the expected significance for the SM Higgs does not exceed, in terms of $\\frac{S}{\\sqrt{B}}$, 1.5 $\\sigma$ (including $Z^0 \\rightarrow e^+ e^-$ and $Z^0 \\rightarrow {\\mu}^+ {\\mu}^-$) for an integrated luminosity of $10^5$ pb$^{-1}$ therefore not favouring this channel for SM Higgs searches. Comparable discovery potential is expected at most for the MSSM $...

  15. A line source in Minkowski for the de Sitter spacetime scalar Green's function: Massless minimally coupled case

    Energy Technology Data Exchange (ETDEWEB)

    Chu, Yi-Zen [Center for Particle Cosmology, Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania 19104 (United States)

    2014-09-15

    Motivated by the desire to understand the causal structure of physical signals produced in curved spacetimes – particularly around black holes – we show how, for certain classes of geometries, one might obtain its retarded or advanced minimally coupled massless scalar Green's function by using the corresponding Green's functions in the higher dimensional Minkowski spacetime where it is embedded. Analogous statements hold for certain classes of curved Riemannian spaces, with positive definite metrics, which may be embedded in higher dimensional Euclidean spaces. The general formula is applied to (d ≥ 2)-dimensional de Sitter spacetime, and the scalar Green's function is demonstrated to be sourced by a line emanating infinitesimally close to the origin of the ambient (d + 1)-dimensional Minkowski spacetime and piercing orthogonally through the de Sitter hyperboloids of all finite sizes. This method does not require solving the de Sitter wave equation directly. Only the zero mode solution to an ordinary differential equation, the “wave equation” perpendicular to the hyperboloid – followed by a one-dimensional integral – needs to be evaluated. A topological obstruction to the general construction is also discussed by utilizing it to derive a generalized Green's function of the Laplacian on the (d ≥ 2)-dimensional sphere.

  16. A line source in Minkowski for the de Sitter spacetime scalar Green's function: Massless minimally coupled case

    Science.gov (United States)

    Chu, Yi-Zen

    2014-09-01

    Motivated by the desire to understand the causal structure of physical signals produced in curved spacetimes - particularly around black holes - we show how, for certain classes of geometries, one might obtain its retarded or advanced minimally coupled massless scalar Green's function by using the corresponding Green's functions in the higher dimensional Minkowski spacetime where it is embedded. Analogous statements hold for certain classes of curved Riemannian spaces, with positive definite metrics, which may be embedded in higher dimensional Euclidean spaces. The general formula is applied to (d ≥ 2)-dimensional de Sitter spacetime, and the scalar Green's function is demonstrated to be sourced by a line emanating infinitesimally close to the origin of the ambient (d + 1)-dimensional Minkowski spacetime and piercing orthogonally through the de Sitter hyperboloids of all finite sizes. This method does not require solving the de Sitter wave equation directly. Only the zero mode solution to an ordinary differential equation, the "wave equation" perpendicular to the hyperboloid - followed by a one-dimensional integral - needs to be evaluated. A topological obstruction to the general construction is also discussed by utilizing it to derive a generalized Green's function of the Laplacian on the (d ≥ 2)-dimensional sphere.

  17. Gas permeability and thermal behavior of polypropylene films used for packaging minimally processed fresh-cut potatoes: a case study.

    Science.gov (United States)

    Siracusa, Valentina; Blanco, Ignazio; Romani, Santina; Tylewicz, Urszula; Dalla Rosa, Marco

    2012-10-01

    This work reports an experimental study on the permeability and thermal behavior of commercial polypropylene (PP) film used for fresh-cut potatoes packaging. The permeability was tested using oxygen, carbon dioxide, nitrogen, mix of these 3 gases, normally used for modified atmosphere packaging (MAP) and Air, to understand if it would be possible to extend the shelf life of this food product designed for the catering field in respect to the packaging behavior. The temperature influence on permeability data, from 5 to 40 °C, was analyzed, before and after 4, 8, 12, 15, and 20 d of food contact, pointing out the dependence between temperature and gas transmission rate (GTR), solubility (S), diffusion coefficient (D), and time lag (t(L)) parameters. The activation energies (E) of the permeation process were determined with the different gases used in the experiments. The thermal behavior of PP film was studied by differential scanning calorimetry (DSC) and thermogravimetric analysis (TG) to well understand its thermal stability. Fourier transformed-infrared with attenuated total reflectance (FT-IR/ATR) spectroscopy was also performed in order to study the influence of the food contact on the chemical characteristics of the polymer film. The results obtained were discussed and compared each other. Studied samples showed, for all investigated gases, an increase of gas permeability and S values at higher temperature. Heat resistance classification among the sample as it is and stored in modified atmospheres was made. Finally all performed experiments have showed good polymer stability for the shelf-life storage potatoes under study. Study of packaging material was performed in a range of temperature, which can simulate the service condition to assess the suitability of a commercial polymer film for modified atmosphere packaging of fresh-cut potatoes minimally processed designed for catering purpose. © 2012 Institute of Food Technologists®

  18. Cervical necrotizing fasciitis as a complication of acute epiglottitis managed with minimally aggressive surgical intervention: Case report.

    Science.gov (United States)

    Gollapalli, Rajesh Babu; Naiman, Ana Nusa; Merry, David

    2015-07-01

    Cervical necrotizing fasciitis secondary to epiglottitis is rare. The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy. We report the case of an immunocompetent 59-year-old man who developed cervical necrotizing fasciitis as a complication of acute epiglottitis. We were able to successfully manage this patient with conservative surgical treatment (incision and drainage, in addition to antibiotic therapy) that did not involve aggressive debridement.

  19. A case-study of landfill minimization and material recovery via waste co-gasification in a new waste management scheme.

    Science.gov (United States)

    Tanigaki, Nobuhiro; Ishida, Yoshihiro; Osada, Morihiro

    2015-03-01

    This study evaluates municipal solid waste co-gasification technology and a new solid waste management scheme, which can minimize final landfill amounts and maximize material recycled from waste. This new scheme is considered for a region where bottom ash and incombustibles are landfilled or not allowed to be recycled due to their toxic heavy metal concentration. Waste is processed with incombustible residues and an incineration bottom ash discharged from existent conventional incinerators, using a gasification and melting technology (the Direct Melting System). The inert materials, contained in municipal solid waste, incombustibles and bottom ash, are recycled as slag and metal in this process as well as energy recovery. Based on this new waste management scheme with a co-gasification system, a case study of municipal solid waste co-gasification was evaluated and compared with other technical solutions, such as conventional incineration, incineration with an ash melting facility under certain boundary conditions. From a technical point of view, co-gasification produced high quality slag with few harmful heavy metals, which was recycled completely without requiring any further post-treatment such as aging. As a consequence, the co-gasification system had an economical advantage over other systems because of its material recovery and minimization of the final landfill amount. Sensitivity analyses of landfill cost, power price and inert materials in waste were also conducted. The higher the landfill costs, the greater the advantage of the co-gasification system has. The co-gasification was beneficial for landfill cost in the range of 80 Euro per ton or more. Higher power prices led to lower operation cost in each case. The inert contents in processed waste had a significant influence on the operating cost. These results indicate that co-gasification of bottom ash and incombustibles with municipal solid waste contributes to minimizing the final landfill amount and has

  20. Minimal cosmography

    CERN Document Server

    Piazza, Federico

    2015-01-01

    The minimal requirement for cosmography - a nondynamical description of the universe - is a prescription for calculating null geodesics, and timelike geodesics as a function of their proper time. In this paper, we consider the most general linear connection compatible with homogeneity and isotropy, but not necessarily with a metric. A light-cone structure is assigned by choosing a set of geodesics representing light rays. This defines a "scale factor" and a local notion of distance, as that travelled by light in a given proper time interval. We find that the velocities and relativistic energies of free-falling bodies decrease in time as a consequence of cosmic expansion, but at a rate that can be different than that dictated by the usual metric framework. By extrapolating this behavior to photons redshift, we find that the latter is in principle independent of the "scale factor". Interestingly, redshift-distance relations and other standard geometric observables are modified in this extended framework, in a w...

  1. Minimal cosmography

    Science.gov (United States)

    Piazza, Federico; Schücker, Thomas

    2016-04-01

    The minimal requirement for cosmography—a non-dynamical description of the universe—is a prescription for calculating null geodesics, and time-like geodesics as a function of their proper time. In this paper, we consider the most general linear connection compatible with homogeneity and isotropy, but not necessarily with a metric. A light-cone structure is assigned by choosing a set of geodesics representing light rays. This defines a "scale factor" and a local notion of distance, as that travelled by light in a given proper time interval. We find that the velocities and relativistic energies of free-falling bodies decrease in time as a consequence of cosmic expansion, but at a rate that can be different than that dictated by the usual metric framework. By extrapolating this behavior to photons' redshift, we find that the latter is in principle independent of the "scale factor". Interestingly, redshift-distance relations and other standard geometric observables are modified in this extended framework, in a way that could be experimentally tested. An extremely tight constraint on the model, however, is represented by the blackbody-ness of the cosmic microwave background. Finally, as a check, we also consider the effects of a non-metric connection in a different set-up, namely, that of a static, spherically symmetric spacetime.

  2. Minimally invasive preparation and design of a cantilevered, all-ceramic, resin-bonded, fixed partial denture in the esthetic zone: a case report and descriptive review.

    Science.gov (United States)

    Barwacz, Christopher A; Hernandez, Marcela; Husemann, R Henry

    2014-01-01

    Resin-bonded, fixed partial dentures have the potential to offer a minimally invasive, fixed-prosthetic approach to tooth replacement in patients who may not be candidates for implant therapy. However, traditional preparation protocols often recommend extensive preparation designs on two abutment teeth, thereby potentially compromising the long-term health of the adjacent abutments and often resulting in unilateral debonding of one of the retainers in the long term. In light of advances in high-strength ceramic systems capable of being reliably bonded to tooth structure and offering improved esthetic outcomes, as well as clinical and case-series research demonstrating improved survivability of cantilevered resin-bonded fixed partial dentures, new preparation designs and methodologies can be advocated. The following case report demonstrates the clinical application of sonoabrasion, coupled with a dental operating microscope, to minimally prepare a single abutment for a cantilevered, all-ceramic resin-bonded fixed partial denture. Relevant historic and contemporary literature regarding double versus single-retainer resin-bonded fixed partial dentures are reviewed, as well as clinical conditions that are most favorable for such restorations to have an optimal long-term prognosis. If appropriate clinical conditions exist, a cantilevered, all-ceramic, resin-bonded, fixed partial denture may be the most conservative means of tooth replacement in a patient who is not a candidate for an endosseous implant. © 2013 Wiley Periodicals, Inc.

  3. Revision of Minimally Invasive Sacroiliac Joint Fixation: Technical Considerations and Case Studies Using Decortication and Threaded Implant Fixation

    Science.gov (United States)

    Fielding, Louis C

    2017-01-01

    Background Sacroiliac joint (SIJ) disease is increasingly recognized as a common source of low back pain. Arthrodesis of the SIJ has been shown to be clinically effective for this condition. In the last decade, minimally invasive (MI) SIJ fusion procedures have been developed to achieve the clinical effectiveness of open fusion procedures, with lower operative morbidity and faster recovery. However, SIJ fusion patients occasionally present with symptomatic nonunions necessitating revision. Methods Four patients who previously underwent MI SIJ arthrodesis returned with complaints of SIJ related pain confirmed by examination. Radiographic assessment showed lucency after fixation with triangular titanium interference implants. Loose implants were removed, and the patients were revised with a different MI SIJ fusion system that utilizes decortication, placement of autograft and graft extender, and fixation with cannulated threaded implants. The trajectory of the revision implants was in a more ventral-to-dorsal and caudal-to-cranial trajectory to place the implants perpendicularly through the articular portion of the SIJ. Results The triangular implants typically exhibited haloing lucency on radiographs and CT scans, and most were easily removed using the manufacturer’s instrumentation; only one implant was left in place as it was well-fixed. The removed implants exhibited little or no bony ongrowth. Decortication of the SIJ was performed, followed by placement of local autograft and fixation with 12.5 mm or 14.5mm diameter implants, as required. A more ventral-todorsal and caudal-to-cranial trajectory was established for the revision implants through the center of the articular region of the joint in order to maximize implant purchase in residual bone stock and achieve bony fusion through the articular portion of the SIJ. By six to twelve months post-revision, the presenting symptoms were successfully resolved in all patients. Conclusions Patients demonstrating

  4. Strategies to enhance waste minimization and energy conservation within organizations: a case study from the UK construction sector.

    Science.gov (United States)

    Jones, Jo; Jackson, Janet; Tudor, Terry; Bates, Margaret

    2012-09-01

    Strategies for enhancing environmental management are a key focus for the government in the UK. Using a manufacturing company from the construction sector as a case study, this paper evaluates selected interventionist techniques, including environmental teams, awareness raising and staff training to improve environmental performance. The study employed a range of methods including questionnaire surveys and audits of energy consumption and generation of waste to examine the outcomes of the selected techniques. The results suggest that initially environmental management was not a focus for either the employees or the company. However, as a result of employing the techniques, the company was able to reduce energy consumption, increase recycling rates and achieve costs savings in excess of £132,000.

  5. Appropriate small dam management for minimizing catchment-wide safety threats: International benchmarked guidelines and demonstrative cases studies

    Science.gov (United States)

    Pisaniello, John D.; Tingey-Holyoak, Joanne; Burritt, Roger L.

    2012-01-01

    Small dam safety is generally being ignored. The potential for dam failure resulting in catastrophic consequences for downstream communities, property, and the environment, warrants exploration of the threats and policy issues associated with the management of small/farm dams. The paper achieves this through a comparative analysis of differing levels of dam safety assurance policy: absent, driven, strong, and model. A strategic review is undertaken to establish international dam safety policy benchmarks and to identify a best practice model. A cost-effective engineering/accounting tool is presented to assist the policy selection process and complement the best practice model. The paper then demonstrates the significance of the small-dam safety problem with a case study of four Australian States,policy-absent South Australia, policy-driven Victoria, policy-strong New South Wales, and policy-modelTasmania. Surveys of farmer behavior practices provide empirical evidence of the importance of policy and its proper implementation. Both individual and cumulative farm dam failure threats are addressed and, with supporting empirical evidence, the need for "appropriate" supervision of small dams is demonstrated. The paper adds to the existing international dam policy literature by identifying acceptable minimum level practice in private/farm dam safety assurance policy as well as updated international best practice policy guidelines while providing case study demonstration of how to apply the guidelines and empirical reinforcement of the need for "appropriate" policy. The policy guidelines, cost-effective technology, and comparative lessons presented can assist any jurisdiction to determine and implement appropriate dam safety policy.

  6. Minimally Invasive Dentistry

    Science.gov (United States)

    ... to your desktop! more... What Is Minimally Invasive Dentistry? Article Chapters What Is Minimally Invasive Dentistry? Minimally ... techniques. Reviewed: January 2012 Related Articles: Minimally Invasive Dentistry Minimally Invasive Veneers Dramatically Change Smiles What Patients ...

  7. Minimal E$_{0}$-semigroups

    CERN Document Server

    Arveson, W

    1995-01-01

    It is known that every semigroup of normal completely positive maps of a von Neumann can be ``dilated" in a particular way to an E_0-semigroup acting on a larger von Neumann algebra. The E_0-semigroup is not uniquely determined by the completely positive semigroup; however, it is unique (up to conjugacy) provided that certain conditions of {\\it minimality} are met. Minimality is a subtle property, and it is often not obvious if it is satisfied for specific examples even in the simplest case where the von Neumann algebra is \\Cal B(H). In this paper we clarify these issues by giving a new characterization of minimality in terms projective cocycles and their limits. Our results are valid for semigroups of endomorphisms acting on arbitrary von Neumann algebras with separable predual.

  8. Global existence and minimal decay regularity for the Timoshenko system: The case of non-equal wave speeds

    Science.gov (United States)

    Xu, Jiang; Mori, Naofumi; Kawashima, Shuichi

    2015-12-01

    As a continued work of [18], we are concerned with the Timoshenko system in the case of non-equal wave speeds, which admits the dissipative structure of regularity-loss. Firstly, with the modification of a priori estimates in [18], we construct global solutions to the Timoshenko system pertaining to data in the Besov space with the regularity s = 3 / 2. Owing to the weaker dissipative mechanism, extra higher regularity than that for the global-in-time existence is usually imposed to obtain the optimal decay rates of classical solutions, so it is almost impossible to obtain the optimal decay rates in the critical space. To overcome the outstanding difficulty, we develop a new frequency-localization time-decay inequality, which captures the information related to the integrability at the high-frequency part. Furthermore, by the energy approach in terms of high-frequency and low-frequency decomposition, we show the optimal decay rate for Timoshenko system in critical Besov spaces, which improves previous works greatly.

  9. Minimally invasive presacral approach for revision of an Axial Lumbar Interbody Fusion rod due to fall-related lumbosacral instability: a case report

    Directory of Open Access Journals (Sweden)

    Cohen Anders

    2011-09-01

    Full Text Available Abstract Introduction The purpose of this study was to describe procedural details of a minimally invasive presacral approach for revision of an L5-S1 Axial Lumbar Interbody Fusion rod. Case presentation A 70-year-old Caucasian man presented to our facility with marked thoracolumbar scoliosis, osteoarthritic changes characterized by high-grade osteophytes, and significant intervertebral disc collapse and calcification. Our patient required crutches during ambulation and reported intractable axial and radicular pain. Multi-level reconstruction of L1-4 was accomplished with extreme lateral interbody fusion, although focal lumbosacral symptoms persisted due to disc space collapse at L5-S1. Lumbosacral interbody distraction and stabilization was achieved four weeks later with the Axial Lumbar Interbody Fusion System (TranS1 Inc., Wilmington, NC, USA and rod implantation via an axial presacral approach. Despite symptom resolution following this procedure, our patient suffered a fall six weeks postoperatively with direct sacral impaction resulting in symptom recurrence and loss of L5-S1 distraction. Following seven months of unsuccessful conservative care, a revision of the Axial Lumbar Interbody Fusion rod was performed that utilized the same presacral approach and used a larger diameter implant. Minimal adhesions were encountered upon presacral re-entry. A precise operative trajectory to the base of the previously implanted rod was achieved using fluoroscopic guidance. Surgical removal of the implant was successful with minimal bone resection required. A larger diameter Axial Lumbar Interbody Fusion rod was then implanted and joint distraction was re-established. The radicular symptoms resolved following revision surgery and our patient was ambulating without assistance on post-operative day one. No adverse events were reported. Conclusions The Axial Lumbar Interbody Fusion distraction rod may be revised and replaced with a larger diameter rod using

  10. Nonsurgical endodontic therapy along with minimal invasive treatment utilizing Bhasker's hypothesis for the management of infected radicular cystic lesion: A rare case report

    Directory of Open Access Journals (Sweden)

    Sanjeev Kumar Salaria

    2016-01-01

    Full Text Available Radicular cyst (RC is the most common odontogenic cyst of inflammatory origin affecting the jaws; involves the roots of the carious or traumatic non-vital tooth. Different therapeutic modalities, such as nonsurgical endodontic therapy or surgical enucleation with primary closure, decompression etc., were proposed for the management of such lesions. Presenting a case of a 28-year-old otherwise healthy male patient who reported with pain and swelling with respect to tooth #41, 31. Diagnosis of infected RC at a rare location was established on the basis of clinical, radiographical and fine needle aspiration cytological examination. Looking after the clinical characteristics, origin, extension, size of cystic lesion and patient cooperation; nonsurgical endodontic therapy utilizing Bhasker's hypothesis was opted. One year post-operative result suggested that nonsurgical endodontic therapy along with minimally invasive treatment utilizing Bhasker's hypothesis is an effective tool to transform infected radicular cystic lesion to healthy periapical periodontal tissue.

  11. On Minimal Constraint Networks

    CERN Document Server

    Gottlob, Georg

    2011-01-01

    In a minimal binary constraint network, every tuple of a constraint relation can be extended to a solution. It was conjectured that computing a solution to such a network is NP complete. We prove this conjecture true and show that the problem remains NP hard even in case the total domain of all values that may appear in the constraint relations is bounded by a constant.

  12. Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy.

    Science.gov (United States)

    Felli, Emanuele; Brunetti, Francesco; Disabato, Mara; Salloum, Chady; Azoulay, Daniel; De'angelis, Nicola

    2014-01-01

    Right colon cancer rarely presents as an emergency, in which bowel occlusion and massive bleeding are the most common clinical presentations. Although there are no definite guidelines, the first line treatment for massive right colon cancer bleeding should ideally stop the bleeding using endoscopy or interventional radiology, subsequently allowing proper tumor staging and planning of a definite treatment strategy. Minimally invasive approaches for right and left colectomy have progressively increased and are widely performed in elective settings, with laparoscopy chosen in the majority of cases. Conversely, in emergent and urgent surgeries, minimally invasive techniques are rarely performed. We report a case of an 86-year-old woman who was successfully treated for massive rectal bleeding in an urgent setting by robotic surgery (da Vinci Intuitive Surgical System®). At admission, the patient had severe anemia (Hb 6 g/dL) and hemodynamic stability. A computer tomography scanner with contrast enhancement showed a right colon cancer with active bleeding; no distant metastases were found. A colonoscopy did not show any other bowel lesion, while a constant bleeding from the right pre-stenotic colon mass was temporarily arrested by endoscopic argon coagulation. A robotic right colectomy in urgent setting (within 24 hours from admission) was indicated. A three-armed robot was used with docking in the right side of the patient and a fourth trocar for the assistant surgeon. Because of the patient's poor nutritional status, a double-barreled ileocolostomy was performed. The post-operative period was uneventful. As the neoplasia was a pT3N0 adenocarcinoma, surveillance was decided after a multidisciplinary meeting, and restoration of the intestinal continuity was performed 3 months later, once good nutritional status was achieved. In addition, we reviewed the current literature on minimally invasive colectomy performed for colon carcinoma in emergent or urgent setting. No

  13. A case-study of landfill minimization and material recovery via waste co-gasification in a new waste management scheme

    Energy Technology Data Exchange (ETDEWEB)

    Tanigaki, Nobuhiro, E-mail: tanigaki.nobuhiro@eng.nssmc.com [NIPPON STEEL & SUMIKIN ENGINEERING CO., LTD., (EUROPEAN OFFICE), Am Seestern 8, 40547 Dusseldorf (Germany); Ishida, Yoshihiro [NIPPON STEEL & SUMIKIN ENGINEERING CO., LTD., 46-59, Nakabaru, Tobata-ku, Kitakyushu, Fukuoka 804-8505 (Japan); Osada, Morihiro [NIPPON STEEL & SUMIKIN ENGINEERING CO., LTD., (Head Office), Osaki Center Building 1-5-1, Osaki, Shinagawa-ku, Tokyo 141-8604 (Japan)

    2015-03-15

    Highlights: • A new waste management scheme and the effects of co-gasification of MSW were assessed. • A co-gasification system was compared with other conventional systems. • The co-gasification system can produce slag and metal with high-quality. • The co-gasification system showed an economic advantage when bottom ash is landfilled. • The sensitive analyses indicate an economic advantage when the landfill cost is high. - Abstract: This study evaluates municipal solid waste co-gasification technology and a new solid waste management scheme, which can minimize final landfill amounts and maximize material recycled from waste. This new scheme is considered for a region where bottom ash and incombustibles are landfilled or not allowed to be recycled due to their toxic heavy metal concentration. Waste is processed with incombustible residues and an incineration bottom ash discharged from existent conventional incinerators, using a gasification and melting technology (the Direct Melting System). The inert materials, contained in municipal solid waste, incombustibles and bottom ash, are recycled as slag and metal in this process as well as energy recovery. Based on this new waste management scheme with a co-gasification system, a case study of municipal solid waste co-gasification was evaluated and compared with other technical solutions, such as conventional incineration, incineration with an ash melting facility under certain boundary conditions. From a technical point of view, co-gasification produced high quality slag with few harmful heavy metals, which was recycled completely without requiring any further post-treatment such as aging. As a consequence, the co-gasification system had an economical advantage over other systems because of its material recovery and minimization of the final landfill amount. Sensitivity analyses of landfill cost, power price and inert materials in waste were also conducted. The higher the landfill costs, the greater the

  14. A minimally invasive technique for closing an iatrogenic subclavian artery cannulation using the Angio-Seal closure device: two case reports

    Directory of Open Access Journals (Sweden)

    Szkup Peter L

    2012-03-01

    Full Text Available Abstract Introduction In the two cases described here, the subclavian artery was inadvertently cannulated during unsuccessful access to the internal jugular vein. The puncture was successfully closed using a closure device based on a collagen plug (Angio-Seal, St Jude Medical, St Paul, MN, USA. This technique is relatively simple and inexpensive. It can provide clinicians, such as intensive care physicians and anesthesiologists, with a safe and straightforward alternative to major surgery and can be a life-saving procedure. Case presentation In the first case, an anesthetist attempted ultrasound-guided access to the right internal jugular vein during the preoperative preparation of a 66-year-old Caucasian man. A 7-French (Fr triple-lumen catheter was inadvertently placed into his arterial system. In the second case, an emergency physician inadvertently placed a 7-Fr catheter into the subclavian artery of a 77-year-old Caucasian woman whilst attempting access to her right internal jugular vein. Both arterial punctures were successfully closed by means of a percutaneous closure device (Angio-Seal. No complications were observed. Conclusions Inadvertent subclavian arterial puncture can be successfully managed with no adverse clinical sequelae by using a percutaneous vascular closure device. This minimally invasive technique may be an option for patients with non-compressible arterial punctures. This report demonstrates two practical points that may help clinicians in decision-making during daily practice. First, it provides a practical solution to a well-known vascular complication. Second, it emphasizes a role for proper vascular ultrasound training for the non-radiologist.

  15. Influenza SIRS with minimal pneumonitis

    Directory of Open Access Journals (Sweden)

    Shruti Erramilli

    2016-08-01

    Full Text Available While systemic inflammatory response syndrome (SIRS, is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement.

  16. Minimally invasive periodontal therapy.

    Science.gov (United States)

    Dannan, Aous

    2011-10-01

    Minimally invasive dentistry is a concept that preserves dentition and supporting structures. However, minimally invasive procedures in periodontal treatment are supposed to be limited within periodontal surgery, the aim of which is to represent alternative approaches developed to allow less extensive manipulation of surrounding tissues than conventional procedures, while accomplishing the same objectives. In this review, the concept of minimally invasive periodontal surgery (MIPS) is firstly explained. An electronic search for all studies regarding efficacy and effectiveness of MIPS between 2001 and 2009 was conducted. For this purpose, suitable key words from Medical Subject Headings on PubMed were used to extract the required studies. All studies are demonstrated and important results are concluded. Preliminary data from case cohorts and from many studies reveal that the microsurgical access flap, in terms of MIPS, has a high potential to seal the healing wound from the contaminated oral environment by achieving and maintaining primary closure. Soft tissues are mostly preserved and minimal gingival recession is observed, an important feature to meet the demands of the patient and the clinician in the esthetic zone. However, although the potential efficacy of MIPS in the treatment of deep intrabony defects has been proved, larger studies are required to confirm and extend the reported positive preliminary outcomes.

  17. Improved Ostomy Pouch Aattachment for Children after Enterostomy%改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用

    Institute of Scientific and Technical Information of China (English)

    吴子谕; 何秋苑; 王晓琴; 张碧芳

    2015-01-01

    目的:观察改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用效果。方法选取我院2011年6月—2013年6月行肠造瘘术后患儿86例,按随机数字表法分为对照组和观察组各43例。对照组采用传统造口袋粘贴法,观察组采用改良造口袋粘贴法,即在粘贴造口袋前先粘贴1张3M水胶体敷料。比较两组患儿造口周围性皮炎发生率、皮肤损害的程度及造口袋使用时间。结果对照组患儿造瘘口周围皮肤完整7例,轻微红斑15例,明显红斑11例,融合性皮炎6例,溃疡出血4例,周围性皮炎发生率为84%,造口袋使用时间为(2.45±1.68)d。观察组患儿周围皮肤完整40例,轻微红斑3例,周围性皮炎发生率为7%,造口袋使用时间为(6.12±1.05)d。观察组周围性皮炎发生率、皮肤损害程度均低于对照组,造口袋使用时间长于对照组,差异有统计学意义(P<0.05)。结论改良造口袋粘贴法降低肠造口周围性皮炎发生率,减轻造口周围皮肤损害的程度,延长造口袋使用时间,进而减少造口袋更换次数,能有效地保护造瘘肠管及其周围娇嫩的肌肤,值得在临床推广使用。%Objective To observe the effect of improved ostomy pouch attachment for children after enterostomy. Methods Eighty-six children after enterostomy were randomly divided into observation group (n=43), in which before the pouch was attached, 3 M hydrophilic dressing was stuck to the skin and control group (n=43), in which convention attachment was applied. Dermatitis incidence, skin damage and the time when the pouch needs to be changed in two groups were compared. Results In control group, intact skin was found in 7 children, mild erythemas in 15, obvious erythemas in 11, fusion dermatitis in 6 and ulcer bleeding in 4. The incidence of dermatitis reached 84%and the ostomy pouch was changed every (2.45±1.68)d. while in observation group, intact

  18. Management experiences of newborns with temporary short bowel syndrome prior to enterostomy closure%新生儿暂时性短肠综合征治疗体会

    Institute of Scientific and Technical Information of China (English)

    颜伟慧; 戴丽娜; 陶怡菁; 陆丽娜; 王莹; 吴江; 汤庆娅; 蔡威

    2016-01-01

    目的 探索肠外营养(parenteral nutrition,PN)对新生儿暂时性短肠综合征(temporary short bowel syndrome,TSBS)患儿造瘘期间的治疗作用,并对防治并发症进行探索.方法 回顾性分析2001年1月至2015年12月在我院PN支持治疗的21例新生儿TSBS患儿的诊疗经过,并对其进行随访.结果 符合入组标准的患儿共21例,所有患儿均在新生儿期因各种原因行高位小肠造瘘术,术后需长期依赖PN.其中男12例,女9例.入院年龄1d至8个月(中位年龄2个月),随访3~140个月,中位随访时间21个月.随访至2015年12月时,存活15例,病死6例;存活组中13例关瘘,2例未关瘘;病死组中2例关瘘,4例未关瘘.经Fisher's Exact检验,病死组患儿均发生并发症,存活组仅5例发生并发症(P=0.012);病死组中3例保留回盲部,存活组中9例保留回盲部,两组间差异无统计学意义.经Studentt检验,病死组存留小肠长度(57.5±14.1)cm,显著短于存活组(115.9±46.7)cm(P=0.008).两组患儿的出生体重及入院时年龄别体重z值无统计学意义.结论 新生儿TSBS患儿存留小肠越短,并发症发生率越高,死亡风险越大.合理营养支持对该类患儿后续治疗意义重大,积极随访对预防、早期发现和治疗相关并发症作用明显.%Objective To explore the therapeutic effect of parenteral nutrition on newborns with temporary short bowel syndrome (TSBS) and examine the possibilities of preventing and curing complications.Methods Clinical diagnosis and treatment were retrospectively analyzed for 21 hospitalized children with TSBS between January 2001 and December 2015.Results A total of 21 newborns underwent high enterostomy during neonatal period and required parenteral nutrition.There were 12 boys and 9 girls with a median age of 2 months (1 day 8 months).During a median follow-up period of 21 (3-140) months,15 survived and the remainder died.And 13 patients of survival group and 2 of death group had enterostomy

  19. Clinicopathological features, diagnosis, and treatment of IgA nephropathy with minimal change disease related to exposure to mercury-containing cosmetics: a case report
.

    Science.gov (United States)

    Niu, Hong-Xin; Li, Shen-Heng; Li, Hong-Ying; Chen, Yi-Hua; Liu, Wei-Wei; Li, Pei-Lin; Long, Hai-Bo

    2017-04-01

    Membranous nephropathy and minimal change disease (MCD) have been involved in mercury-induced nephrotic syndrome. IgA nephropathy is not known to be a common pathological type. In the present article, we report a case of IgA nephropathy with MCD following exposure to mercury-containing skin lightening cream. The patient was a 39-year-old woman who presented with nephrotic syndrome. She had a 6-month history of using as many as 8 kinds of skin-lightening creams, and urinary mercury excretion was high. Renal biopsy revealed IgA nephropathy with MCD. The use of cosmetics was stopped and chelation therapy was given. After 4 courses (1 month) of chelation therapy, there was a complete remission of proteinuria and hematuria, and urine tests remained normal during the 5-year follow-up period. The unique clinical and pathological features of IgA nephropathy with MCD had raised the controversial question of whether MCD and IgA deposition are separate entities or a common pathophysiology. Repeated renal biopsy and similar cases were helpful and should be carried out as far as possible.
.

  20. Minimizing waste (off-cuts using cutting stock model: The case of one dimensional cutting stock problem in wood working industry

    Directory of Open Access Journals (Sweden)

    Gbemileke A. Ogunranti

    2016-09-01

    Full Text Available Purpose: The main objective of this study is to develop a model for solving the one dimensional cutting stock problem in the wood working industry, and develop a program for its implementation. Design/methodology/approach: This study adopts the pattern oriented approach in the formulation of the cutting stock model. A pattern generation algorithm was developed and coded using Visual basic.NET language. The cutting stock model developed is a Linear Programming (LP Model constrained by numerous feasible patterns. A LP solver was integrated with the pattern generation algorithm program to develop a one - dimensional cutting stock model application named GB Cutting Stock Program. Findings and Originality/value: Applying the model to a real life optimization problem significantly reduces material waste (off-cuts and minimizes the total stock used. The result yielded about 30.7% cost savings for company-I when the total stock materials used is compared with the former cutting plan. Also, to evaluate the efficiency of the application, Case I problem was solved using two top commercial 1D-cutting stock software.  The results show that the GB program performs better when related results were compared. Research limitations/implications: This study round up the linear programming solution for the number of pattern to cut. Practical implications: From Managerial perspective, implementing optimized cutting plans increases productivity by eliminating calculating errors and drastically reducing operator mistakes. Also, financial benefits that can annually amount to millions in cost savings can be achieved through significant material waste reduction. Originality/value: This paper developed a linear programming one dimensional cutting stock model based on a pattern generation algorithm to minimize waste in the wood working industry. To implement the model, the algorithm was coded using VisualBasic.net and linear programming solver called lpsolvedll (dynamic

  1. Molecular detection of minimal residual disease is a strong predictive factor of relapse in childhood B-lineage acute lymphoblastic leukemia with medium risk features. A case control study of the International BFM study group

    NARCIS (Netherlands)

    Biondi, A; Valsecchi, MG; Seriu, T; D'Aniello, E; Willemse, MJ; Fasching, K; Pannunzio, A; Gadner, H; Schrappe, M; Kamps, WA; Bartram, CR; van Dongen, JJM; Panzer-Grumayer, ER

    2000-01-01

    The medium-risk B cell precursor acute lymphoblastic leukemia (ALL) accounts for 50-60% of total childhood ALL and comprises the largest number of relapses still unpredictable with diagnostic criteria. To evaluate the prognostic impact of minimal residual disease (MRD) in this specific group, a case

  2. Application of AHP for the development of waste management systems that minimize infection risks in developing countries: Case studies Lesotho and South Africa

    CSIR Research Space (South Africa)

    Brent, AC

    2006-09-01

    Full Text Available This paper focuses on the establishment of waste management systems that minimize infection risks in the context of sustainable development in the developing country situations. The Analytical Hierarchy Process (AHP), a known multi-criteria decision...

  3. Sludge minimization technologies - an overview

    Energy Technology Data Exchange (ETDEWEB)

    Oedegaard, Hallvard

    2003-07-01

    The management of wastewater sludge from wastewater treatment plants represents one of the major challenges in wastewater treatment today. The cost of the sludge treatment amounts to more that the cost of the liquid in many cases. Therefore the focus on and interest in sludge minimization is steadily increasing. In the paper an overview is given for sludge minimization (sludge mass reduction) options. It is demonstrated that sludge minimization may be a result of reduced production of sludge and/or disintegration processes that may take place both in the wastewater treatment stage and in the sludge stage. Various sludge disintegration technologies for sludge minimization are discussed, including mechanical methods (focusing on stirred ball-mill, high-pressure homogenizer, ultrasonic disintegrator), chemical methods (focusing on the use of ozone), physical methods (focusing on thermal and thermal/chemical hydrolysis) and biological methods (focusing on enzymatic processes). (author)

  4. Minimal Exit Trajectories with Optimum Correctional Manoeuvres

    Directory of Open Access Journals (Sweden)

    T. N. Srivastava

    1980-10-01

    Full Text Available Minimal exit trajectories with optimum correctional manoeuvers to a rocket between two coplaner, noncoaxial elliptic orbits in an inverse square gravitational field have been investigated. Case of trajectories with no correctional manoeuvres has been analysed. In the end minimal exit trajectories through specified orbital terminals are discussed and problem of ref. (2 is derived as a particular case.

  5. On the Hopcroft's minimization algorithm

    CERN Document Server

    Paun, Andrei

    2007-01-01

    We show that the absolute worst case time complexity for Hopcroft's minimization algorithm applied to unary languages is reached only for de Bruijn words. A previous paper by Berstel and Carton gave the example of de Bruijn words as a language that requires O(n log n) steps by carefully choosing the splitting sets and processing these sets in a FIFO mode. We refine the previous result by showing that the Berstel/Carton example is actually the absolute worst case time complexity in the case of unary languages. We also show that a LIFO implementation will not achieve the same worst time complexity for the case of unary languages. Lastly, we show that the same result is valid also for the cover automata and a modification of the Hopcroft's algorithm, modification used in minimization of cover automata.

  6. A patient with minimal change disease and acute focal tubulointerstitial nephritis due to traditional medicine: a case report and small literature review.

    Science.gov (United States)

    Lee, Keun-Hyeun; Jeong, Han-Sol; Rhee, Harin

    2014-01-01

    Gongjin-dan (GJD) is a traditional formula that is widely used in Korea and China, and it has been used from 1345 AD in China to improve the circulation between the kidneys and the heart and to prevent all diseases. However, its adverse effects have not yet been reported. We present a patient with minimal change disease and focal tubulointerstitial nephritis associated with GJD. A 72-year-old man visited the clinic for generalized edema 20 days after starting GJD. His serum albumin level was low and nephrotic-range proteinuria was detected. A kidney biopsy showed minimal change disease and acute tubulointerstitial nephritis. After stopping GJD, a spontaneous complete remission was achieved. We discuss the possible pathogenesis of GJD-induced minimal change disease and review the adverse effects of GJD's ingredients and traditional Chinese medicines that can induce proteinuria. We report a new adverse effect of GJD, which might induce increased IL-13 production and an allergic response, leading to minimal change disease and focal tubulointerstitial nephritis.

  7. 18F-Fluorocholine PET–CT enables minimal invasive parathyroidectomy in patients with negative sestamibi SPECT–CT and ultrasound: A case report

    Directory of Open Access Journals (Sweden)

    Wouter P. Kluijfhout

    2015-01-01

    Conclusion: 18F-Fluorocholine PET–CT is a promising new imaging modality for localizing parathyroid adenomas and enabling minimal invasive parathyroidectomy when conventional imaging fails to do. Clinicians should consider its use as a second line modality for optimal patient care.

  8. Increasingly minimal bias routing

    Energy Technology Data Exchange (ETDEWEB)

    Bataineh, Abdulla; Court, Thomas; Roweth, Duncan

    2017-02-21

    A system and algorithm configured to generate diversity at the traffic source so that packets are uniformly distributed over all of the available paths, but to increase the likelihood of taking a minimal path with each hop the packet takes. This is achieved by configuring routing biases so as to prefer non-minimal paths at the injection point, but increasingly prefer minimal paths as the packet proceeds, referred to herein as Increasing Minimal Bias (IMB).

  9. Minimal distances between SCFTs

    Energy Technology Data Exchange (ETDEWEB)

    Buican, Matthew [Department of Physics and Astronomy, Rutgers University,Piscataway, NJ 08854 (United States)

    2014-01-28

    We study lower bounds on the minimal distance in theory space between four-dimensional superconformal field theories (SCFTs) connected via broad classes of renormalization group (RG) flows preserving various amounts of supersymmetry (SUSY). For N=1 RG flows, the ultraviolet (UV) and infrared (IR) endpoints of the flow can be parametrically close. On the other hand, for RG flows emanating from a maximally supersymmetric SCFT, the distance to the IR theory cannot be arbitrarily small regardless of the amount of (non-trivial) SUSY preserved along the flow. The case of RG flows from N=2 UV SCFTs is more subtle. We argue that for RG flows preserving the full N=2 SUSY, there are various obstructions to finding examples with parametrically close UV and IR endpoints. Under reasonable assumptions, these obstructions include: unitarity, known bounds on the c central charge derived from associativity of the operator product expansion, and the central charge bounds of Hofman and Maldacena. On the other hand, for RG flows that break N=2→N=1, it is possible to find IR fixed points that are parametrically close to the UV ones. In this case, we argue that if the UV SCFT possesses a single stress tensor, then such RG flows excite of order all the degrees of freedom of the UV theory. Furthermore, if the UV theory has some flavor symmetry, we argue that the UV central charges should not be too large relative to certain parameters in the theory.

  10. HCPT Minimally Invasive Surgery in the Treatment of Anal Fistula in 40 Cases%HCPT微创术治疗肛瘘40例

    Institute of Scientific and Technical Information of China (English)

    王宏波; 闫树勋; 薄超刚; 周秀芳; 谢桂珍; 王艳梅

    2013-01-01

    Objective:To investigate the multi-functional therapeutic instrument ( HCPT) methods and clinical efficacy in the treat-ment of anal fistula .Methods:40 patients in need of anal fistula operation were treated using HCPT minimally invasive surgery .We ob-serve the operation time , stool bleeding ,and recovery time , postoperative follow-up one year , clinical observation .Results:All patients in this group operation time is 10 ~20min, an average of 16min.No intraoperative bleeding, no postoperative pain, postoperative 24h defecation, defecation no bleeding , no pain.Recovery time is 7 ~11d, an average of 9D, the cure rate of 100%.All patients recovered to normal work, study and life, no complications, no cases of infection, anal function properly.Follow-up of 1 years, no recurrence to achieve radical purposes .Conclusion:multifunctional anorectal therapeutic apparatus in the treatment of anal fistula operation is simple , shorter operative time, less bleeding, no pain, patients do not need hospitalization , low cost, quick recovery, no obvious scars after re-covery without sequels and complications , efficacy, it is worthy of popularization and application .%目的:探讨多功能肛肠治疗仪( HCPT )治疗肛瘘的方法和临床疗效。方法:将需要手术的肛瘘患者40例采用HCPT微创术进行治疗,观察其手术时间、大便出血情况、及恢复时间,随访1年,观察疗效。结果:本组全部患者手术时间为10~20分钟,平均16分钟。术中无出血,术后无疼痛,术后24小时排便,排便后无出血、无疼痛。恢复时间7~11天,平均9天,治愈率100%。全部患者恢复正常的工作、学习和生活,无并发症,无感染病例,肛门功能正常。术后随访1年,无1例复发,达到根治目的。结论:多功能肛肠治疗仪治疗肛瘘操作简单、手术时间短、不出血、无痛苦,患者不需住院,费用低廉,恢复快,且恢复后无明显瘢痕

  11. Mimicking dark matter in clusters through a non-minimal gravitational coupling with matter: the case of the Abell cluster A586

    CERN Document Server

    Bertolami, Orfeu; Páramos, Jorge

    2011-01-01

    In this work, one shows that a specific non-minimal coupling between the scalar curvature and matter can mimic the dark matter component of relaxed galaxy clusters. For this purpose, one assesses the Abell Cluster A586, a massive strong-lensing nearby relaxed cluster of galaxies in virial equilibrium, where direct mass estimates are possible. The total density, which generally follows a cusped profile and reveals a very small baryonic component, can be effectively described within this framework.

  12. Examinations on cases of surgery for radiation-induced disorders of large intestine

    Energy Technology Data Exchange (ETDEWEB)

    Shiba, Tadaaki [Toho Univ., Tokyo (Japan). School of Medicine

    1996-11-01

    Author`s experience of surgery for radiation colitis was examined and discussed on the primary disease, radiation dose, major symptoms, surgical techniques, results and post-operative complication. Patients were 1 male and 21 females of the average age of 59.5 y. The primary diseases were bladder cancer for the male and uterine cancer for the females. The radiation dose ranged from 35-120 Gy and was 63.4 Gy in a mean. The symptoms for surgery were 14 ileuses, 4 intestinal hemorrhages, 1 perforation and 3 burrows. Colostomy was performed for 18 cases; enterostomy, 2; anastomosis, 1; and enterectomy, 1, which resulted in improvement of symptoms in 5 cases, 0, 1 and 1, respectively. The author concluded that radiation colitis should be treated preventively. (K.H.)

  13. Minimally Invasive Video-Assisted versus Minimally Invasive Nonendoscopic Thyroidectomy

    Directory of Open Access Journals (Sweden)

    Zdeněk Fík

    2014-01-01

    Full Text Available Minimally invasive video-assisted thyroidectomy (MIVAT and minimally invasive nonendoscopic thyroidectomy (MINET represent well accepted and reproducible techniques developed with the main goal to improve cosmetic outcome, accelerate healing, and increase patient’s comfort following thyroid surgery. Between 2007 and 2011, a prospective nonrandomized study of patients undergoing minimally invasive thyroid surgery was performed to compare advantages and disadvantages of the two different techniques. There were no significant differences in the length of incision to perform surgical procedures. Mean duration of hemithyroidectomy was comparable in both groups, but it was more time consuming to perform total thyroidectomy by MIVAT. There were more patients undergoing MIVAT procedures without active drainage in the postoperative course and we also could see a trend for less pain in the same group. This was paralleled by statistically significant decreased administration of both opiates and nonopiate analgesics. We encountered two cases of recurrent laryngeal nerve palsies in the MIVAT group only. MIVAT and MINET represent safe and feasible alternative to conventional thyroid surgery in selected cases and this prospective study has shown minimal differences between these two techniques.

  14. Minimizing Costs Can Be Costly

    Directory of Open Access Journals (Sweden)

    Rasmus Rasmussen

    2010-01-01

    Full Text Available A quite common practice, even in academic literature, is to simplify a decision problem and model it as a cost-minimizing problem. In fact, some type of models has been standardized to minimization problems, like Quadratic Assignment Problems (QAPs, where a maximization formulation would be treated as a “generalized” QAP and not solvable by many of the specially designed softwares for QAP. Ignoring revenues when modeling a decision problem works only if costs can be separated from the decisions influencing revenues. More often than we think this is not the case, and minimizing costs will not lead to maximized profit. This will be demonstrated using spreadsheets to solve a small example. The example is also used to demonstrate other pitfalls in network models: the inability to generally balance the problem or allocate costs in advance, and the tendency to anticipate a specific type of solution and thereby make constraints too limiting when formulating the problem.

  15. Locally minimal topological groups

    OpenAIRE

    Außenhofer, Lydia; Chasco, María Jesús; Dikranjan, Dikran; Domínguez, Xabier

    2009-01-01

    A Hausdorff topological group $(G,\\tau)$ is called locally minimal if there exists a neighborhood $U$ of 0 in $\\tau$ such that $U$ fails to be a neighborhood of zero in any Hausdorff group topology on $G$ which is strictly coarser than $\\tau.$ Examples of locally minimal groups are all subgroups of Banach-Lie groups, all locally compact groups and all minimal groups. Motivated by the fact that locally compact NSS groups are Lie groups, we study the connection between local minimality and the ...

  16. On minimal round functions

    NARCIS (Netherlands)

    Khimshiashvili, G.; Siersma, D.

    2001-01-01

    We describe the structure of minimal round functions on closed surfaces and three-folds. The minimal possible number of critical loops is determined and typical non-equisingular round function germs are interpreted in the spirit of isolated line singularities. We also discuss a version of Lusternik-

  17. Prosodic contextualization of minimal responses to yes/no-questions in aphasic talk-in-interaction: a descriptive single-case study of a Norwegian aphasic speaker.

    Science.gov (United States)

    Lind, Marianne

    2007-01-01

    The article explores aspects of the role of prosody as a contextualization cue in aphasic conversation through auditory and acoustic analysis of an aphasic speaker's use of pitch variation in responses to closed yes/no-requests. The results reveal two prosodic realizations of 'yes' and 'no' contextualizing different kinds of responses: a flat realization with no prolongation and minimal pauses, signalling decisiveness, and a realization with movement in pitch, prolongation and preceding pauses, signalling indecisiveness. The analysis also shows how the aphasic uses a particular realization manipulatively for interactional purposes. The study illustrates the vital role that seemingly unimportant details play in the co-constructive process of creating meaning in interaction. The results indicate an area of competence that seems undisturbed in this speaker.

  18. 子宫颈微偏腺癌1例报道及文献回顾%Minimal deviation adenocarcinoma of the cervix:case report and literature review

    Institute of Scientific and Technical Information of China (English)

    刘小艳; 巩丽; 李艳红; 姚丽; 封兰兰; 兰淼; 张伟

    2013-01-01

    目的:报道1例子宫颈微偏腺癌病例,探讨其临床病理学特征.方法:对1例子宫颈微偏腺癌进行临床病理学及免疫组化观察.结果:显微镜下,腺体由分泌黏液的柱状上皮构成,腺体扭曲,外形不规则,大多数腺体与正常腺体无法区别,少部分腺体的细胞核有中度不典型增生,核分裂象可见.结论:子宫颈微偏腺癌是一种少见的高分化黏液腺癌,临床诊断应排除良性腺体增生及内膜异位.因大多数病例子宫颈活检不能诊断,所以在日常临床工作中如遇到考虑恶性肿瘤,而镜检为良性时,应考虑子宫颈微偏腺癌,腺体浸润深度是诊断的关键.%Objective: To report a case of minimal deviation adenocarcinoma of the cervix, and explore its clinical and pathological features. Methods: The histopathological and immunohistochemical findings of a case of minimal deviation adenocarcinoma of the cervix were observed. Results: Microscopically, glandular organ was set up by mucilaginous of the columnar epithelium, glandular organ squirmed, irregular shape, most of the glandular organs can not distinguish between the normal glandular organ, occasionally, some glandular organs' nucleus had midrange atypical hy-perplasia, infiltration depth of the glandular organ is the key for diagnosis. Conclusion; Minimal deviation adenocarcinoma of the cervix is a rare well - differentiated mucinous adenocarcinoma. Clinical diagnosis should rule out ectopic benign glandular hyperplasia and adenomyosis. Because the majority of cases of cervical biopsy can not be diagnosed, in routine clinical work, clinical considerations in case of malignancy, while the microscopic examination as benign should be considered minimal deviation adenocarcinoma of the cervix.

  19. Non- and minimally invasive full-mouth rehabilitation of patients with loss of vertical dimension of occlusion using CAD/CAM: an innovative concept demonstrated with a case report.

    Science.gov (United States)

    Bosch, Gabriel; Ender, Andreas; Mehl, Albert

    2015-01-01

    Abrasion and erosion are two increasingly common indications for dental treatment. Thanks to modern digital technologies and new restorative materials, there are novel therapeutic approaches to restoring such losses of tooth structure in a virtually non-invasive manner. The case study in this article demonstrates one such innovative approach. The patient's severely abraded natural dentition was restored in a defect-driven, minimally invasive manner using high-performance composite materials in the posterior region, and the "sandwich technique" in the anterior region. The restorations were milled on an optimized milling machine with milling cycles adapted for the fabrication of precision-fit restorations with thin edges.

  20. Treatment of open achilles tendon ruptures by Achillon minimally invasive achilles tendon suture system in cases%Achillon微创跟腱吻合器治疗开放性跟腱断裂23例疗效观察

    Institute of Scientific and Technical Information of China (English)

    黄崧; 陈翔宇; 任小宝; 郭国宁; 任鸿

    2012-01-01

    Objective To evaluate the clinical effect of Achillon minimal invasive achilles tendon suture system on repairing of acute open achilles tendon ruptures. Methods Twenty three patients with acute open achilles tendon ruptures were treated by Achillon minimal invasive achilles tendon suture system and the follow-up was conducted. This minimal invasive treatment was performed after the debride-ment. In all cases Achilles tendons were successfully explored through the original wounds. Achillon minimal invasive achilles tendon suture system was put in to hold the rupture end of achilles tendon. Then suture threads were introduced to both proximal and distal ends. The ankle was casted with gypsum for six weeks after the surgery. Results Twenty three cases were successfully followed up for 8 to 14 months ( 10 months in average ). Accoring to Arner-Lindholm score,the clinical effect was excellent in 21 cases ( 91. 3% ),good in 2 cases ( 8. 7% ). No case of infection, Achilles tendon mal-union,sural nerve damage,recurrent achillies tendon ruptures or suture rejection was found. Conclusion Repairing acute open Achilles tendon ruptures by Achillon minimal invasive achilles tendon suture system is reliable, minimal invasive , with fast recovery of the ankle function.%目的 探讨应用Achillon微创跟腱吻合器治疗新鲜开放性跟腱断裂的临床效果.方法 采用Achillon跟腱缝合器治疗23例急性开放性跟腱断裂患者并随访.在急诊清创后,采用原创口显露跟腱断端、清理残端后,置入Achillon吻合器夹持跟腱近侧断端,引入缝线;同法在跟腱断裂远端置入缝线,拉出缝线打结,术后石膏托外固定6周.结果 23例获得随访,时间8~14个月,平均10个月,按Arner-Lindholm疗效评定标准,优21例(91.3%),良2例(8.7%),无伤口感染、跟腱愈合不良、腓肠神经损伤、复发跟腱断裂或缝线排异.结论 开放性跟腱断裂在急诊清创后,采用原创口清理显露跟腱断端,

  1. Minimally invasive percutaneous endovascular therapies in the management of complications of non-alcoholic fatty liver disease (NAFLD): A case report.

    Science.gov (United States)

    Salsamendi, Jason; Pereira, Keith; Kang, Kyungmin; Fan, Ji

    2015-09-01

    Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of disorders from simple steatosis to inflammation leading to fibrosis, cirrhosis, and even hepatocellular carcinoma. With the progressive epidemics of obesity and diabetes, major risk factors in the development and pathogenesis of NAFLD, the prevalence of NAFLD and its associated complications including liver failure and hepatocellular carcinoma is expected to increase by 2030 with an enormous health and economic impact. We present a patient who developed Hepatocellular carcinoma (HCC) from nonalcoholic steatohepatitis (NASH) cirrhosis. Due to morbid obesity, she was not an optimal transplant candidate and was not initially listed. After attempts for lifestyle modifications failed to lead to weight reduction, a transarterial embolization of the left gastric artery was performed. This is the sixth such procedure in humans in literature. Subsequently she had a meaningful drop in BMI from 42 to 36 over the following 6 months ultimately leading to her being listed for transplant. During this time, the left hepatic HCC was treated with chemoembolization without evidence of recurrence. In this article, we wish to highlight the use of minimally invasive percutaneous endovascular therapies such as transarterial chemoembolization (TACE) in the comprehensive management of the NAFLD spectrum and percutaneous transarterial embolization of the left gastric artery (LGA), a novel method, for the management of obesity.

  2. Topical intraperitoneal papaverine to minimize non-viable bowel resection from non-occlusive bowel ischemia in neonatal segmental volvulus: A case report

    Directory of Open Access Journals (Sweden)

    Roger Chen Zhu

    2016-10-01

    Full Text Available Arrest in the embryologic intestinal rotation around the superior mesenteric artery prevents proper mesenteric attachment and subjects the gut to volvulus and ischemia which may lead to bowel resection. The length of non-viable resected bowel has been shown by Teitelbaum et al. to be an independent predictor of survival in patients with postoperative short bowel syndrome (RR = 5.74, P = .003. Non-occlusive mesenteric ischemia (NOMI is a feed-forward loop of vasoconstriction that aggravates the primary ischemic injury. It is an initially reversible process and a potential point of intervention for preservation of viable bowel. The Boley et al. algorithm for management of adult NOMI utilizes intravascular papaverine infusion to increase intracellular cAMP, decreasing calcium concentration and halting vasospasm. We present a modified version of this approach using topical papaverine in the setting of neonatal post-ischemic NOMI, with the goal of minimizing bowel resection.

  3. Minimal change disease

    Science.gov (United States)

    ... get worse You develop new symptoms, including side effects from the medicines used to treat the disorder Alternative Names Minimal change nephrotic syndrome; Nil disease; Lipoid nephrosis; Idiopathic nephrotic syndrome of childhood Images ...

  4. Minimal Orderings Revisited

    Energy Technology Data Exchange (ETDEWEB)

    Peyton, B.W.

    1999-07-01

    When minimum orderings proved too difficult to deal with, Rose, Tarjan, and Leuker instead studied minimal orderings and how to compute them (Algorithmic aspects of vertex elimination on graphs, SIAM J. Comput., 5:266-283, 1976). This paper introduces an algorithm that is capable of computing much better minimal orderings much more efficiently than the algorithm in Rose et al. The new insight is a way to use certain structures and concepts from modern sparse Cholesky solvers to re-express one of the basic results in Rose et al. The new algorithm begins with any initial ordering and then refines it until a minimal ordering is obtained. it is simple to obtain high-quality low-cost minimal orderings by using fill-reducing heuristic orderings as initial orderings for the algorithm. We examine several such initial orderings in some detail.

  5. Minimal Markov Models

    CERN Document Server

    Gonzalez-Lopez, Jesus E Garcia Veronica A

    2010-01-01

    In this work we introduce a new and richer class of finite order Markov chain models and address the following model selection problem: find the Markov model with the minimal set of parameters (minimal Markov model) which is necessary to represent a source as a Markov chain of finite order. Let us call $M$ the order of the chain and $A$ the finite alphabet, to determine the minimal Markov model, we define an equivalence relation on the state space $A^{M}$, such that all the sequences of size $M$ with the same transition probabilities are put in the same category. In this way we have one set of $(|A|-1)$ transition probabilities for each category, obtaining a model with a minimal number of parameters. We show that the model can be selected consistently using the Bayesian information criterion.

  6. Ruled Laguerre minimal surfaces

    KAUST Repository

    Skopenkov, Mikhail

    2011-10-30

    A Laguerre minimal surface is an immersed surface in ℝ 3 being an extremal of the functional ∫ (H 2/K-1)dA. In the present paper, we prove that the only ruled Laguerre minimal surfaces are up to isometry the surfaces ℝ (φλ) = (Aφ, Bφ, Cφ + D cos 2φ) + λ(sin φ, cos φ, 0), where A,B,C,D ε ℝ are fixed. To achieve invariance under Laguerre transformations, we also derive all Laguerre minimal surfaces that are enveloped by a family of cones. The methodology is based on the isotropic model of Laguerre geometry. In this model a Laguerre minimal surface enveloped by a family of cones corresponds to a graph of a biharmonic function carrying a family of isotropic circles. We classify such functions by showing that the top view of the family of circles is a pencil. © 2011 Springer-Verlag.

  7. A minimally invasive technique for closing an iatrogenic subclavian artery cannulation using the Angio-Seal closure device: two case reports

    OpenAIRE

    2012-01-01

    Abstract Introduction In the two cases described here, the subclavian artery was inadvertently cannulated during unsuccessful access to the internal jugular vein. The puncture was successfully closed using a closure device based on a collagen plug (Angio-Seal, St Jude Medical, St Paul, MN, USA). This technique is relatively simple and inexpensive. It can provide clinicians, such as intensive care physicians and anesthesiologists, with a safe and straightforward alternative to major surgery an...

  8. Analysis of 285 cases with infratentorial lessions operated by minimally invasive keyhole approach of ;craniotomy%微创锁孔幕下手术285例分析

    Institute of Scientific and Technical Information of China (English)

    周明卫; 傅震; 朱风仪; 赵春生; 曹胜武; 骆慧; 刘宁

    2015-01-01

    目的总结微创锁孔开颅幕下手术的临床效果。方法285例幕下病变在微创锁孔显微镜及神经内镜下完成。皮肤切口3‐5 cm ,骨瓣直径1‐3 cm。小脑半球病变共4例采用锁孔中线入路;桥小脑角区手术281例采用锁孔枕下乙状窦后入路。结果成功实施了肿瘤切除152例;其中,听神经瘤96例,脑膜瘤23例,胆脂瘤17例,三叉神经鞘瘤12例(全切除8例,4例跨中颅窝的为次全切除)。成功完成微血管减压术129例、畸形血管切除3例和巨大蛛网膜囊肿切除1例。结论显微镜下神经内镜微创锁孔入路在幕下手术中能获得有效的操作空间,具有创伤小、并发症少、恢复快等优点,可应用于小脑、桥小脑角区病变的手术。%Objective To summary the outcomes of minimally invasive keyhole approach of craniotomy for infratentorial lesions .Methods The minimally invasive keyhole approach of craniotomy was performed in 285 cases with infratentorial lesions .The skin incision was 3‐5 cm in length and the bone flap was 1‐3 cm in diameter .The post‐middle line keyhole approach was used in 4 cases with cerebellar hemisphere lesions and the suboccipital retrosigmoid keyhole approach was used in 281 cases with the lesions in cerebellopontine angle area .Results Tumor resection surgeries were performed successfully in 152 cases ,of whom 96 cases were with acoustic neurinoma ,23 cases with meningioma ,17 cases with cholesteatoma ,and 12 cases with trigeminal neurinoma(total resection in 8 cases and partial resection in 4 cases due to extending to the middle cranial fossa) .The cranial neural micro‐vascular decompression was performed in 129 cases ,and the resections of three deformed vessels and one large arachnoid cyst were carried out ,which were all successful .Conclusion Asisted by microscope and endoscope ,the minimally invasive keyhole approach of craniotomy has the advantages of providing effective space

  9. Locally minimal topological groups

    CERN Document Server

    enhofer, Lydia Au\\ss; Dikranjan, Dikran; Domínguez, Xabier

    2009-01-01

    A Hausdorff topological group $(G,\\tau)$ is called locally minimal if there exists a neighborhood $U$ of 0 in $\\tau$ such that $U$ fails to be a neighborhood of zero in any Hausdorff group topology on $G$ which is strictly coarser than $\\tau.$ Examples of locally minimal groups are all subgroups of Banach-Lie groups, all locally compact groups and all minimal groups. Motivated by the fact that locally compact NSS groups are Lie groups, we study the connection between local minimality and the NSS property, establishing that under certain conditions, locally minimal NSS groups are metrizable. A symmetric subset of an abelian group containing zero is said to be a GTG set if it generates a group topology in an analogous way as convex and symmetric subsets are unit balls for pseudonorms on a vector space. We consider topological groups which have a neighborhood basis at zero consisting of GTG sets. Examples of these locally GTG groups are: locally pseudo--convex spaces, groups uniformly free from small subgroups (...

  10. A chip off the old block—A case report of gallstone ileus in which identification of a facetted stone was essential in preventing re-laparotomy

    Directory of Open Access Journals (Sweden)

    James O’Kelly

    2017-01-01

    Full Text Available Gallstone ileus is a rare presentation, accounting for 0.1% of cases of mechanical small bowel obstruction. Patients are often elderly with significant comorbidity. Treatment is based upon laparotomy and enterolithotomy. We present the case of a 75 year old lady admitted as an emergency with a 4 day history of small bowel obstruction. She was found on CT scan to have an impacted gallstone in the distal ileum. At operation, her impacted stone was removed through a proximal enterostomy. The stone however was found to have a squared off edge, raising the suspicion of a second fragment within the proximal small bowel lumen. Failure to retrieve this could have led to re-obstruction requiring a return to theatre and repeat laparotomy in an elderly patient with the associated morbidity.

  11. Adaptive Alternating Minimization Algorithms

    CERN Document Server

    Niesen, Urs; Wornell, Gregory

    2007-01-01

    The classical alternating minimization (or projection) algorithm has been successful in the context of solving optimization problems over two variables or equivalently of finding a point in the intersection of two sets. The iterative nature and simplicity of the algorithm has led to its application to many areas such as signal processing, information theory, control, and finance. A general set of sufficient conditions for the convergence and correctness of the algorithm is quite well-known when the underlying problem parameters are fixed. In many practical situations, however, the underlying problem parameters are changing over time, and the use of an adaptive algorithm is more appropriate. In this paper, we study such an adaptive version of the alternating minimization algorithm. As a main result of this paper, we provide a general set of sufficient conditions for the convergence and correctness of the adaptive algorithm. Perhaps surprisingly, these conditions seem to be the minimal ones one would expect in ...

  12. What is the relationship between the minimally important difference and health state utility values? The case of the SF-6D

    Directory of Open Access Journals (Sweden)

    Brazier John E

    2003-04-01

    Full Text Available Abstract Background The SF-6D is a new single summary preference-based measure of health derived from the SF-36. Empirical work is required to determine what is the smallest change in SF-6D scores that can be regarded as important and meaningful for health professionals, patients and other stakeholders. Objectives To use anchor-based methods to determine the minimally important difference (MID for the SF-6D for various datasets. Methods All responders to the original SF-36 questionnaire can be assigned an SF-6D score provided the 11 items used in the SF-6D have been completed. The SF-6D can be regarded as a continuous outcome scored on a 0.29 to 1.00 scale, with 1.00 indicating "full health". Anchor-based methods examine the relationship between an health-related quality of life (HRQoL measure and an independent measure (or anchor to elucidate the meaning of a particular degree of change. One anchor-based approach uses an estimate of the MID, the difference in the QoL scale corresponding to a self-reported small but important change on a global scale. Patients were followed for a period of time, then asked, using question 2 of the SF-36 as our global rating scale, (which is not part of the SF-6D, if there general health is much better (5, somewhat better (4, stayed the same (3, somewhat worse (2 or much worse (1 compared to the last time they were assessed. We considered patients whose global rating score was 4 or 2 as having experienced some change equivalent to the MID. In patients who reported a worsening of health (global change of 1 or 2 the sign of the change in the SF-6D score was reversed (i.e. multiplied by minus one. The MID was then taken as the mean change on the SF-6D scale of the patients who scored (2 or 4. Results This paper describes the MID for the SF-6D from seven longitudinal studies that had previously used the SF-36. Conclusions From the seven reviewed studies (with nine patient groups the MID for the SF-6D ranged from 0

  13. Duplication 12p and Pallister-Killian syndrome: a case report and review of the literature toward defining a Pallister-Killian syndrome minimal critical region.

    Science.gov (United States)

    Izumi, Kosuke; Conlin, Laura K; Berrodin, Donna; Fincher, Christopher; Wilkens, Alisha; Haldeman-Englert, Chad; Saitta, Sulagna C; Zackai, Elaine H; Spinner, Nancy B; Krantz, Ian D

    2012-12-01

    Pallister-Killian syndrome (PKS) is a multisystem sporadic genetic condition characterized by facial anomalies, variable developmental delay and intellectual impairment, hypotonia, hearing loss, seizures, pigmentary skin differences, temporal alopecia, diaphragmatic hernia, congenital heart defects, and other systemic abnormalities. PKS is typically caused by the presence of a supernumerary isochromosome composed of the short arms of chromosome 12 resulting in tetrasomy 12p, which is often present in a tissue limited mosaic state. The PKS phenotype has also often been observed in individuals with complete or partial duplications of 12p (trisomy 12p rather than tetrasomy 12p) as the result of an interstitial duplication or unbalanced translocation. We have identified a proposita with PKS who has two small de novo interstitial duplications of 12p which, along with a review of previously reported cases, has allowed us to define a minimum critical region for PKS.

  14. Risk minimization through portfolio replication

    Science.gov (United States)

    Ciliberti, S.; Mã©Zard, M.

    2007-05-01

    We use a replica approach to deal with portfolio optimization problems. A given risk measure is minimized using empirical estimates of asset values correlations. We study the phase transition which happens when the time series is too short with respect to the size of the portfolio. We also study the noise sensitivity of portfolio allocation when this transition is approached. We consider explicitely the cases where the absolute deviation and the conditional value-at-risk are chosen as a risk measure. We show how the replica method can study a wide range of risk measures, and deal with various types of time series correlations, including realistic ones with volatility clustering.

  15. Minimal constrained supergravity

    Directory of Open Access Journals (Sweden)

    N. Cribiori

    2017-01-01

    Full Text Available We describe minimal supergravity models where supersymmetry is non-linearly realized via constrained superfields. We show that the resulting actions differ from the so called “de Sitter” supergravities because we consider constraints eliminating directly the auxiliary fields of the gravity multiplet.

  16. Logarithmic Superconformal Minimal Models

    CERN Document Server

    Pearce, Paul A; Tartaglia, Elena

    2013-01-01

    The higher fusion level logarithmic minimal models LM(P,P';n) have recently been constructed as the diagonal GKO cosets (A_1^{(1)})_k oplus (A_1^{(1)})_n / (A_1^{(1)})_{k+n} where n>0 is an integer fusion level and k=nP/(P'-P)-2 is a fractional level. For n=1, these are the logarithmic minimal models LM(P,P'). For n>1, we argue that these critical theories are realized on the lattice by n x n fusion of the n=1 models. For n=2, we call them logarithmic superconformal minimal models LSM(p,p') where P=|2p-p'|, P'=p' and p,p' are coprime, and they share the central charges of the rational superconformal minimal models SM(P,P'). Their mathematical description entails the fused planar Temperley-Lieb algebra which is a spin-1 BMW tangle algebra with loop fugacity beta_2=x^2+1+x^{-2} and twist omega=x^4 where x=e^{i(p'-p)pi/p'}. Examples are superconformal dense polymers LSM(2,3) with c=-5/2, beta_2=0 and superconformal percolation LSM(3,4) with c=0, beta_2=1. We calculate the free energies analytically. By numerical...

  17. Prostate resection - minimally invasive

    Science.gov (United States)

    ... invasive URL of this page: //medlineplus.gov/ency/article/007415.htm Prostate resection - minimally invasive To use ... into your bladder instead of out through the urethra ( retrograde ... on New Developments in Prostate Cancer and Prostate Diseases. Evaluation and treatment of lower ...

  18. Short-term results of microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery in Japanese eyes: initial case series.

    Science.gov (United States)

    Tanito, Masaki; Sano, Ichiya; Ikeda, Yoshifumi; Fujihara, Etsuko

    2017-08-01

    To report the first early postoperative results and safety profile after microhook ab interno trabeculotomy (μLOT). This initial retrospective observational case series included 24 consecutive glaucomatous eyes of 17 Japanese patients (7 men, 10 women; mean age ± standard deviation, 66.7 ± 17.9 years) who underwent μLOT. The trabeculotomy extent, surgical time, perioperative complications, interventions for complications and additional glaucoma surgeries during the follow-up for more than 3 months were collected by reviewing the medical and surgical records. The intraocular pressure (IOP), numbers of antiglaucoma medications, logarithm of the minimum angle of resolution visual acuity (VA), anterior chamber (AC) flare and corneal endothelial cell density (CECD) were compared preoperatively and postoperatively. The trabecular meshwork was incised for a mean of 3.6 ± 0.5 clock hours temporally, 3.7 ± 0.5 clock hours nasally and total 7.3 ± 0.6 clock hours during the 6.2 ± 1.6-min surgery. The mean preoperative IOP of 25.9 ± 14.3 mmHg and number of antiglaucoma medication of 3.3 ± 1.0 decreased significantly (p = 0.0002 and p = 0.005, respectively) to 14.7 ± 3.6 mmHg and 2.8 ± 0.8 at the final visit at 188.6 ± 68.8 days postoperatively. Compared with preoperatively, the final VA, AC flare and CECD did not change significantly. Hyphema with niveau formation (nine eyes, 38%) and washout of hyphema (two eyes, 8%) were the most common postoperative complication and intervention, respectively. At the final visit, 19 eyes (79%) achieved successful IOP control of 18 mmHg or less and a 15% reduction or greater. Microhook trabeculotomy normalizes the IOP during the early postoperative period in patients with glaucoma. © 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  19. Minimal Braid in Applied Symbolic Dynamics

    Institute of Scientific and Technical Information of China (English)

    张成; 张亚刚; 彭守礼

    2003-01-01

    Based on the minimal braid assumption, three-dimensional periodic flows of a dynamical system are reconstructed in the case of unimodal map, and their topological structures are compared with those of the periodic orbits of the Rossler system in phase space through the numerical experiment. The numerical results justify the validity of the minimal braid assumption which provides a suspension from one-dimensional symbolic dynamics in the Poincare section to the knots of three-dimensional periodic flows.

  20. Ill-Posedness of sublinear minimization problems

    Directory of Open Access Journals (Sweden)

    S. Issa

    2011-04-01

    Full Text Available It is well known that minimization problems involving sublinear regularization terms are ill-posed, in Sobolev spaces. Extended results to spaces of bounded variation functions BV were recently showed in the special case of bounded regularization terms. In this note, a generalization to sublinear regularization is presented in BV spaces. Notice that our results are optimal in the sense that linear regularization leads to well-posed minimization problems in BV spaces.

  1. Two tractable subclasses of minimal unsatisfiable formulas

    Institute of Scientific and Technical Information of China (English)

    赵希顺; 丁德成

    1999-01-01

    The minimal unsatisfiability problem is considered of the propositional formulas in CNF which in the case of variables x1,…, xn consist of n+k clauses including x1V…Vxn and (?) -(X1)V…V(?)xn. It is shown that when k≤4 the minimal unsatisfiability problem can be solved in polynomial time.

  2. The advantages of minimally invasive dentistry.

    Science.gov (United States)

    Christensen, Gordon J

    2005-11-01

    Minimally invasive dentistry, in cases in which it is appropriate, is a concept that preserves dentitions and supporting structures. In this column, I have discussed several examples of minimally invasive dental techniques. This type of dentistry is gratifying for dentists and appreciated by patients. If more dentists would practice it, the dental profession could enhance the public's perception of its honesty and increase its professionalism as well.

  3. Blackfolds, plane waves and minimal surfaces

    OpenAIRE

    Armas, Jay; Blau, Matthias

    2015-01-01

    Minimal surfaces in Euclidean space provide examples of possible non-compact horizon geometries and topologies in asymptotically flat space-time. On the other hand, the existence of limiting surfaces in the space-time provides a simple mechanism for making these configurations compact. Limiting surfaces appear naturally in a given space-time by making minimal surfaces rotate but they are also inherent to plane wave or de Sitter space-times in which case minimal surfaces can be static and comp...

  4. Transience and capacity of minimal submanifolds

    DEFF Research Database (Denmark)

    Markvorsen, Steen; Palmer, V.

    2003-01-01

    We prove explicit lower bounds for the capacity of annular domains of minimal submanifolds P-m in ambient Riemannian spaces N-n with sectional curvatures bounded from above. We characterize the situations in which the lower bounds for the capacity are actually attained. Furthermore we apply...... these bounds to prove that Brownian motion defined on a complete minimal submanifold is transient when the ambient space is a negatively curved Hadamard-Cartan manifold. The proof stems directly from the capacity bounds and also covers the case of minimal submanifolds of dimension m > 2 in Euclidean spaces....

  5. 经脐单孔腹腔镜联合胆道镜微创保胆术161例报告%Single port laparoscopic combined biliary endoscopy minimally invasive preservation of gallbladder 161 cases report

    Institute of Scientific and Technical Information of China (English)

    王旭菁; 王永坤; 陈波

    2016-01-01

    Objective:To investigate the safety and efficacy of single port laparoscopic combined with minimally invasive gallbladder preserving biliary endoscopy for the treatment of gallbladder stones (polyps).Methods:Retrospective analysis of 2012 January to 2015 January, the clinical data of 161 cases of minimally invasive preservation of bile duct by umbilical single port laparoscopy combined with biliary endoscopy.Results:The patients in this group were operated successfully , the operation time was 30-115min, the average (70. 3 ±15.8) min, the bleeding volume was 5-50ml, the average (15.5 ±5.7) ml, postoperative hospitalization days , the average was 3. 4 ±0.7.There were 6 cases of malignant vomiting , 1 cases of incision fat liquefaction , postoperative urinary retention in 1 cases, diarrhea in 1 cases, after symptomatic treatment were cured and discharged .Follow up 3-36 months, 131 cases were followed up , the rate of fail-ure was 18.6%.Recurrence occurred in 3 cases, the recurrence rate was 1.9%, and the two operation was cured.Conclusion: The safety and feasibility of laparoscopic minimally invasive gallbladder preserving biliary endoscopy for gallbladder stones ( polyps) was safe and feasible by umbilical single port laparoscopy combined with biliary endoscopy , which have the advantages of less trauma , less compli-cations, low recurrence rate and fast recovery , can improve the quality of life of patients after surgery .%目的:探讨经脐单孔腹腔镜联合胆道镜微创保胆术治疗胆囊结石(息肉)患者的安全性及手术疗效。方法:回顾性分析我院2012年1月~2015年1月行经脐单孔腹腔镜联合胆道镜微创保胆术161例患者的临床资料。结果:本组患者手术过程顺利,手术时间30~115分钟,平均70.3±15.8分钟;术中出血量5~50ml,平均15.5±5.7ml;术后住院时间2~6天,平均3.4±0.7天。术后6例出现恶性呕吐不适,1例出现切口

  6. Next-to-Minimal SOFTSUSY

    CERN Document Server

    Allanach, B C; Tunstall, Lewis C; Voigt, A; Williams, A G

    2013-01-01

    We describe an extension to the SOFTSUSY program that provides for the calculation of the sparticle spectrum in the Next-to-Minimal Supersymmetric Standard Model (NMSSM), where a chiral superfield that is a singlet of the Standard Model gauge group is added to the Minimal Supersymmetric Standard Model (MSSM) fields. Often, a $\\mathbb{Z}_{3}$ symmetry is imposed upon the model. SOFTSUSY can calculate the spectrum in this case as well as the case where general $\\mathbb{Z}_{3}$ violating (denoted as $\\,\\mathbf{\\backslash}\\mkern-11.0mu{\\mathbb{Z}}_{3}$) terms are added to the soft supersymmetry breaking terms and the superpotential. The user provides a theoretical boundary condition for the couplings and mass terms of the singlet. Radiative electroweak symmetry breaking data along with electroweak and CKM matrix data are used as weak-scale boundary conditions. The renormalisation group equations are solved numerically between the weak scale and a high energy scale using a nested iterative algorithm. This paper se...

  7. Minimal hepatic encephalopathy.

    Science.gov (United States)

    Zamora Nava, Luis Eduardo; Torre Delgadillo, Aldo

    2011-06-01

    The term minimal hepatic encephalopathy (MHE) refers to the subtle changes in cognitive function, electrophysiological parameters, cerebral neurochemical/neurotransmitter homeostasis, cerebral blood flow, metabolism, and fluid homeostasis that can be observed in patients with cirrhosis who have no clinical evidence of hepatic encephalopathy; the prevalence is as high as 84% in patients with hepatic cirrhosis. Physician does generally not perceive cirrhosis complications, and neuropsychological tests and another especial measurement like evoked potentials and image studies like positron emission tomography can only make diagnosis. Diagnosis of minimal hepatic encephalopathy may have prognostic and therapeutic implications in cirrhotic patients. The present review pretends to explore the clinic, therapeutic, diagnosis and prognostic aspects of this complication.

  8. Minimal triangulations of simplotopes

    CERN Document Server

    Seacrest, Tyler

    2009-01-01

    We derive lower bounds for the size of simplicial covers of simplotopes, which are products of simplices. These also serve as lower bounds for triangulations of such polytopes, including triangulations with interior vertices. We establish that a minimal triangulation of a product of two simplices is given by a vertex triangulation, i.e., one without interior vertices. For products of more than two simplices, we produce bounds for products of segments and triangles. Our analysis yields linear programs that arise from considerations of covering exterior faces and exploiting the product structure of these polytopes. Aside from cubes, these are the first known lower bounds for triangulations of simplotopes with three or more factors. We also construct a minimal triangulation for the product of a triangle and a square, and compare it to our lower bound.

  9. Minimal Composite Inflation

    DEFF Research Database (Denmark)

    Channuie, Phongpichit; Jark Joergensen, Jakob; Sannino, Francesco

    2011-01-01

    We investigate models in which the inflaton emerges as a composite field of a four dimensional, strongly interacting and nonsupersymmetric gauge theory featuring purely fermionic matter. We show that it is possible to obtain successful inflation via non-minimal coupling to gravity, and that the u......We investigate models in which the inflaton emerges as a composite field of a four dimensional, strongly interacting and nonsupersymmetric gauge theory featuring purely fermionic matter. We show that it is possible to obtain successful inflation via non-minimal coupling to gravity......, and that the underlying dynamics is preferred to be near conformal. We discover that the compositeness scale of inflation is of the order of the grand unified energy scale....

  10. Wetting and Minimal Surfaces

    CERN Document Server

    Bachas, C; Wiese, K J; Bachas, Constantin; Doussal, Pierre Le; Wiese, Kay Joerg

    2006-01-01

    We study minimal surfaces which arise in wetting and capillarity phenomena. Using conformal coordinates, we reduce the problem to a set of coupled boundary equations for the contact line of the fluid surface, and then derive simple diagrammatic rules to calculate the non-linear corrections to the Joanny-de Gennes energy. We argue that perturbation theory is quasi-local, i.e. that all geometric length scales of the fluid container decouple from the short-wavelength deformations of the contact line. This is illustrated by a calculation of the linearized interaction between contact lines on two opposite parallel walls. We present a simple algorithm to compute the minimal surface and its energy based on these ideas. We also point out the intriguing singularities that arise in the Legendre transformation from the pure Dirichlet to the mixed Dirichlet-Neumann problem.

  11. Minimal Walking Technicolor

    DEFF Research Database (Denmark)

    Frandsen, Mads Toudal

    2007-01-01

    I report on our construction and analysis of the effective low energy Lagrangian for the Minimal Walking Technicolor (MWT) model. The parameters of the effective Lagrangian are constrained by imposing modified Weinberg sum rules and by imposing a value for the S parameter estimated from the under...... the underlying Technicolor theory. The constrained effective Lagrangian allows for an inverted vector vs. axial-vector mass spectrum in a large part of the parameter space....

  12. Quantization of the minimal and non-minimal vector field in curved space

    CERN Document Server

    Toms, David J

    2015-01-01

    The local momentum space method is used to study the quantized massive vector field (the Proca field) with the possible addition of non-minimal terms. Heat kernel coefficients are calculated and used to evaluate the divergent part of the one-loop effective action. It is shown that the naive expression for the effective action that one would write down based on the minimal coupling case needs modification. We adopt a Faddeev-Jackiw method of quantization and consider the case of an ultrastatic spacetime for simplicity. The operator that arises for non-minimal coupling to the curvature is shown to be non-minimal in the sense of Barvinsky and Vilkovisky. It is shown that when a general non-minimal term is added to the theory the result is not renormalizable with the addition of a local Lagrangian counterterm.

  13. Minimally invasive percutaneous nephrostomy for treatment of renal milk of calcium (a report of 7 cases)%经皮肾微造瘘治疗肾钙乳(附7例报告)

    Institute of Scientific and Technical Information of China (English)

    韩兴涛; 霍庆祥; 张寒; 魏澎涛

    2014-01-01

    Objective To investigate the effect of minimally invasive surgery on renal milk of calcium.Methods The clinical data of 7 patients diagnosed with renal calcium milk in Luoyang central hospital during 2005 to 2013 were retrospective analyzed,with cysts in 3 cases,stagnant water in 4 cases,who all received minimally invasive surgery treatment,patients with cysts received sclerotherapy after surgery.Results Seven operation patients recovered well after operation,1 patient with postoperative bleeding and 2 patients with low back pain recovered well after symptomatic treatment.One patient with cystic renal milk of calcium renal cyst recurrence after 2 years followed-up,and cured after given the color Doppler ultrasound guided puncture and therapy again.One patient with UPJO combined with hydronephrosis had good short-term effect,but the long-term effect remains to be seen.Conclusions Minimally invasive percutaneous nephrostomy technology is a viable treatment for renal milk of calcium,the method is efficient with little surgical trauma,less effect on renal function and significantly better than the traditional open surgery.%目的 探讨肾钙乳症微创手术治疗的疗效.方法 回顾性分析洛阳市中心医院2005年至2013年收治的7例确诊肾钙乳症患者,其中囊肿型3例,积水型4例,均行经皮肾微造瘘治疗,囊肿型患者术后注入硬化剂.结果 7例手术患者术后近期均恢复良好,其中1例术后出血及2例腰痛患者经对症治疗后均恢复良好.1例囊肿型肾钙乳患者随访2年肾囊肿复发,经再次行彩超引导穿刺治疗后治愈,1例合并肾盂输尿管连接部狭窄(UP-JO)积水患者近期效果良好,远期效果尚待观察.结论 经皮肾微造瘘技术是治疗肾钙乳症的一种可行的微创治疗方法,该手术创伤小,疗效确切,对肾功能影响小,明显优于传统的开放手术.

  14. On Time with Minimal Expected Cost!

    DEFF Research Database (Denmark)

    David, Alexandre; Jensen, Peter Gjøl; Larsen, Kim Guldstrand

    2014-01-01

    ) timed game essentially defines an infinite-state Markov (reward) decision proces. In this setting the objective is classically to find a strategy that will minimize the expected reachability cost, but with no guarantees on worst-case behaviour. In this paper, we provide efficient methods for computing...... reachability strategies that will both ensure worst case time-bounds as well as provide (near-) minimal expected cost. Our method extends the synthesis algorithms of the synthesis tool Uppaal-Tiga with suitable adapted reinforcement learning techniques, that exhibits several orders of magnitude improvements w...

  15. Minimally Invasive Parathyroidectomy

    Directory of Open Access Journals (Sweden)

    Lee F. Starker

    2011-01-01

    Full Text Available Minimally invasive parathyroidectomy (MIP is an operative approach for the treatment of primary hyperparathyroidism (pHPT. Currently, routine use of improved preoperative localization studies, cervical block anesthesia in the conscious patient, and intraoperative parathyroid hormone analyses aid in guiding surgical therapy. MIP requires less surgical dissection causing decreased trauma to tissues, can be performed safely in the ambulatory setting, and is at least as effective as standard cervical exploration. This paper reviews advances in preoperative localization, anesthetic techniques, and intraoperative management of patients undergoing MIP for the treatment of pHPT.

  16. Minimal E6 unification

    Science.gov (United States)

    Susič, Vasja

    2016-06-01

    A realistic model in the class of renormalizable supersymmetric E6 Grand Unified Theories is constructed. Its matter sector consists of 3 × 27 representations, while the Higgs sector is 27 +27 ¯+35 1'+35 1' ¯+78 . An analytic solution for a Standard Model vacuum is found and the Yukawa sector analyzed. It is argued that if one considers the increased predictability due to only two symmetric Yukawa matrices in this model, it can be considered a minimal SUSY E6 model with this type of matter sector. This contribution is based on Ref. [1].

  17. Presentación de un caso de quiste hepático simple tratado por cirugía mínima invasiva Report of a case with simple hepatic cyst treated by minimally invasive surgery

    Directory of Open Access Journals (Sweden)

    Iris Soberón Varela

    2007-12-01

    Full Text Available Se describió el caso de una paciente con un quiste hepático simple gigante, afección poco frecuente que usualmente es asintomática y resulta de un hallazgo imaginológico. Cuando el quiste alcanza un tamaño mayor de 5cm comienza a producir manifestaciones clínicas, como ocurrió en el caso que presentamos, el cual pudo ser tratado de forma exitosa por cirugía mínima invasiva. La confirmación anatomopatológica fue de un quiste hepático simple.The case of a patient with giant simple hepatic cyst, a rare affection that is usually asymptomatic and results from an imaging finding, was described. When the cyst reaches a size over 5 cm, it starts to produce clinical manifestations, as in the case under study, that was successfully treated by minimally invasive surgery. A simple hepatic cyst was anatomopathologically confirmed.

  18. Translocation t(1;11(p32;q23 with MLL-EPS15 fusion gene formation in acute leukemias: a review and 6 new case reports. Approaches to minimal residual disease monitoring

    Directory of Open Access Journals (Sweden)

    G. A. Tsaur

    2014-07-01

    Full Text Available We performed clinical and laboratory characterization of patients with rare translocation t(1;11(p32;q23 leading to MLL-EPS15 fusion gene formation. Study cohort consisted of 33 primary acute leukemia (AL cases including 6 newly diagnosed and 27 patients previously described in literature. Among study group patients t(1;11(p32;q23 was found most frequently in infant AL cases (median age 8 months. In acute lymphoblastic leukemia (ALL male/female ratio was 1:3, in acute myeloid leukemia (AML it was 1:1. Additional cytogenetic aberrations in 38 % of patients were revealed. The most frequent breakpoint position in EPS15 gene was intron 1. Four different types of MLLEPS15 fusion gene transcripts were detected. Primers-probe-plasmid combination for MLL-EPS15 fusion gene transcript monitoring by realtime quantitative polymerase chain reaction (RQ-PCR was developed and successfully applied. In 3 patients RQ-PCR was done on genomic DNA for absolute quantification of MLL-EPS15 fusion gene. High qualitative concordance rate (92 % was noted between minimal residual disease data obtained in cDNA and genomic DNA for MLL-EPS15 fusion detection.

  19. Translocation t(1;11(p32;q23 with MLL-EPS15 fusion gene formation in acute leukemias: a review and 6 new case reports. Approaches to minimal residual disease monitoring

    Directory of Open Access Journals (Sweden)

    G. A. Tsaur

    2013-01-01

    Full Text Available We performed clinical and laboratory characterization of patients with rare translocation t(1;11(p32;q23 leading to MLL-EPS15 fusion gene formation. Study cohort consisted of 33 primary acute leukemia (AL cases including 6 newly diagnosed and 27 patients previously described in literature. Among study group patients t(1;11(p32;q23 was found most frequently in infant AL cases (median age 8 months. In acute lymphoblastic leukemia (ALL male/female ratio was 1:3, in acute myeloid leukemia (AML it was 1:1. Additional cytogenetic aberrations in 38 % of patients were revealed. The most frequent breakpoint position in EPS15 gene was intron 1. Four different types of MLLEPS15 fusion gene transcripts were detected. Primers-probe-plasmid combination for MLL-EPS15 fusion gene transcript monitoring by realtime quantitative polymerase chain reaction (RQ-PCR was developed and successfully applied. In 3 patients RQ-PCR was done on genomic DNA for absolute quantification of MLL-EPS15 fusion gene. High qualitative concordance rate (92 % was noted between minimal residual disease data obtained in cDNA and genomic DNA for MLL-EPS15 fusion detection.

  20. Minimal Reductions and Cores of Edge Ideals

    CERN Document Server

    Fouli, Louiza

    2010-01-01

    We study minimal reductions of edge ideals of graphs containing a unique even cycle, and determine restrictions on the coefficients of the generators of these minimal reductions. We focus our attention on two special subclasses of edge ideals; the first is edge ideals of even cycles and the second is edge ideals of even cycles with an arbitrary number of whiskers. We prove that $\\rm{core}(I)=\\mathfrak{m} I$, where $I$ is the edge ideal in the corresponding localized polynomial ring and $\\mathfrak{m}$ is the maximal ideal of this ring. Moreover, we show that the core is obtained as a finite intersection of homogeneous minimal reductions in the case of even cycles. The formula for the core does not hold in general for the edge ideal of any graph and we provide a counterexample. In particular, we show in this example that the core is not obtained as a finite intersection of general minimal reductions.

  1. Minimal Higgs inflation

    CERN Document Server

    Maity, Debaprasad

    2016-01-01

    In this paper we propose two simple minimal Higgs inflation scenarios through a simple modification of the Higgs potential, as opposed to the usual non-minimal Higgs-gravity coupling prescription. The modification is done in such a way that it creates a flat plateau for a huge range of field values at the inflationary energy scale $\\mu \\simeq (\\lambda)^{1/4} \\alpha$. Assuming the perturbative Higgs quartic coupling, $\\lambda \\simeq {\\cal O}(1)$, for both the models inflation energy scale turned out to be $\\mu \\simeq (10^{14}, 10^{15})$ GeV, and prediction of all the cosmologically relevant quantities, $(n_s,r,dn_s^k)$, fit extremely well with observations made by PLANCK. Considering observed central value of the scalar spectral index, $n_s= 0.968$, our two models predict efolding number, $N = (52,47)$. Within a wide range of viable parameter space, we found that the prediction of tensor to scalar ratio $r (\\leq 10^{-5})$ is far below the current experimental sensitivity to be observed in the near future. The ...

  2. Logarithmic superconformal minimal models

    Science.gov (United States)

    Pearce, Paul A.; Rasmussen, Jørgen; Tartaglia, Elena

    2014-05-01

    The higher fusion level logarithmic minimal models {\\cal LM}(P,P';n) have recently been constructed as the diagonal GKO cosets {(A_1^{(1)})_k\\oplus (A_1^ {(1)})_n}/ {(A_1^{(1)})_{k+n}} where n ≥ 1 is an integer fusion level and k = nP/(P‧- P) - 2 is a fractional level. For n = 1, these are the well-studied logarithmic minimal models {\\cal LM}(P,P')\\equiv {\\cal LM}(P,P';1). For n ≥ 2, we argue that these critical theories are realized on the lattice by n × n fusion of the n = 1 models. We study the critical fused lattice models {\\cal LM}(p,p')_{n\\times n} within a lattice approach and focus our study on the n = 2 models. We call these logarithmic superconformal minimal models {\\cal LSM}(p,p')\\equiv {\\cal LM}(P,P';2) where P = |2p - p‧|, P‧ = p‧ and p, p‧ are coprime. These models share the central charges c=c^{P,P';2}=\\frac {3}{2}\\big (1-{2(P'-P)^2}/{P P'}\\big ) of the rational superconformal minimal models {\\cal SM}(P,P'). Lattice realizations of these theories are constructed by fusing 2 × 2 blocks of the elementary face operators of the n = 1 logarithmic minimal models {\\cal LM}(p,p'). Algebraically, this entails the fused planar Temperley-Lieb algebra which is a spin-1 Birman-Murakami-Wenzl tangle algebra with loop fugacity β2 = [x]3 = x2 + 1 + x-2 and twist ω = x4 where x = eiλ and λ = (p‧- p)π/p‧. The first two members of this n = 2 series are superconformal dense polymers {\\cal LSM}(2,3) with c=-\\frac {5}{2}, β2 = 0 and superconformal percolation {\\cal LSM}(3,4) with c = 0, β2 = 1. We calculate the bulk and boundary free energies analytically. By numerically studying finite-size conformal spectra on the strip with appropriate boundary conditions, we argue that, in the continuum scaling limit, these lattice models are associated with the logarithmic superconformal models {\\cal LM}(P,P';2). For system size N, we propose finitized Kac character formulae of the form q^{-{c^{P,P';2}}/{24}+\\Delta ^{P,P';2} _{r

  3. A Review of Adult Cases with Intussusception

    Directory of Open Access Journals (Sweden)

    Özgür Korkmaz

    2007-01-01

    Full Text Available The records of twelve patients who had been treated with the diagnosis of invagination in our department between 1998 and 2005 were reviewed. There were four women and eight men with a mean age of 24,7±5.47 years. The mean duration between the symptom onset and admittance was 15,6 ±12.12 days. All patients had abdominal pain. Six patients complained from complete absence of flatus and stool. On physical examination there were signs of peritoneal irritation in ten patients and abdominal mass in two patients. One of the patients had necrotic and hemorrhagic stool on digital rectal examination. Invagination was due to benign causes in nine patients, malign causes in two patients and idiopathic in 1 patient. There were enteroenteral invagination in 11 of the patients and ileocolic invagination in 1 of them. Resection and anastomosis was performed in eight patients, deinvagination in two patients, and resection and double barrel enterostomy in two patients. Although it is encountered rarely in adults, physicians should be aware of invagination and consider it in each cases of acute abdomen because of its wide spectrum of clinical settings. The invaginated segment should be resected completely.

  4. Strong Sector in non-minimal SUSY model

    CERN Document Server

    Costantini, Antonio

    2016-01-01

    We investigate the squark sector of a supersymmetric theory with an extended Higgs sector. We give the mass matrices of stop and sbottom, comparing the Minimal Supersymmetric Standard Model (MSSM) case and the non-minimal case. We discuss the impact of the extra superfields on the decay channels of the stop searched at the LHC.

  5. Natural minimal dark matter

    CERN Document Server

    Fabbrichesi, Marco

    2015-01-01

    We show how the Higgs boson mass is protected from the potentially large corrections due to the introduction of minimal dark matter if the new physics sector is made supersymmetric. The fermionic dark matter candidate (a 5-plet of $SU(2)_L$) is accompanied by a scalar state. The weak gauge sector is made supersymmetric and the Higgs boson is embedded in a supersymmetric multiplet. The remaining standard model states are non-supersymmetric. Non vanishing corrections to the Higgs boson mass only appear at three-loop level and the model is natural for dark matter masses up to 15 TeV--a value larger than the one required by the cosmological relic density. The construction presented stands as an example of a general approach to naturalness that solves the little hierarchy problem which arises when new physics is added beyond the standard model at an energy scale around 10 TeV.

  6. Minimal Mirror Twin Higgs

    CERN Document Server

    Barbieri, Riccardo; Harigaya, Keisuke

    2016-01-01

    In a Mirror Twin World with a maximally symmetric Higgs sector the little hierarchy of the Standard Model can be significantly mitigated, perhaps displacing the cutoff scale above the LHC reach. We show that consistency with observations requires that the Z2 parity exchanging the Standard Model with its mirror be broken in the Yukawa couplings. A minimal such effective field theory, with this sole Z2 breaking, can generate the Z2 breaking in the Higgs sector necessary for the Twin Higgs mechanism, and has constrained and correlated signals in invisible Higgs decays, direct Dark Matter Detection and Dark Radiation, all within reach of foreseen experiments. For dark matter, both mirror neutrons and a variety of self-interacting mirror atoms are considered. Neutrino mass signals and the effects of a possible additional Z2 breaking from the vacuum expectation values of B-L breaking fields are also discussed.

  7. Minimal Hepatic Encephalopathy

    Directory of Open Access Journals (Sweden)

    Laura M Stinton

    2013-01-01

    Full Text Available Minimal hepatic encephalopathy (MHE is the earliest form of hepatic encephalopathy and can affect up to 80% of cirrhotic patients. By definition, it has no obvious clinical manifestation and is characterized by neurocognitive impairment in attention, vigilance and integrative function. Although often not considered to be clinically relevant and, therefore, not diagnosed or treated, MHE has been shown to affect daily functioning, quality of life, driving and overall mortality. The diagnosis of MHE has traditionally been achieved through neuropsychological examination, psychometric tests or the newer critical flicker frequency test. A new smartphone application (EncephalApp Stroop Test may serve to function as a screening tool for patients requiring further testing. In addition to physician reporting and driving restrictions, medical treatment for MHE includes non-absorbable disaccharides (eg, lactulose, probiotics or rifaximin. Liver transplantation may not result in reversal of the cognitive deficits associated with MHE.

  8. Minimally extended SILH

    Energy Technology Data Exchange (ETDEWEB)

    Chala, Mikael [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Valencia Univ. (Spain). Dept. de Fisica Teorica y IFIC; Durieux, Gauthier; Matsedonskyi, Oleksii [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Grojean, Christophe [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Humboldt-Univ. Berlin (Germany). Inst. fuer Physik; Lima, Leonardo de [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Univ. Estadual Paulista, Sao Paulo (Brazil). Inst. de Fisica Teorica

    2017-03-15

    Higgs boson compositeness is a phenomenologically viable scenario addressing the hierarchy problem. In minimal models, the Higgs boson is the only degree of freedom of the strong sector below the strong interaction scale. We present here the simplest extension of such a framework with an additional composite spin-zero singlet. To this end, we adopt an effective field theory approach and develop a set of rules to estimate the size of the various operator coefficients, relating them to the parameters of the strong sector and its structural features. As a result, we obtain the patterns of new interactions affecting both the new singlet and the Higgs boson's physics. We identify the characteristics of the singlet field which cause its effects on Higgs physics to dominate over the ones inherited from the composite nature of the Higgs boson. Our effective field theory construction is supported by comparisons with explicit UV models.

  9. Resource Minimization Job Scheduling

    Science.gov (United States)

    Chuzhoy, Julia; Codenotti, Paolo

    Given a set J of jobs, where each job j is associated with release date r j , deadline d j and processing time p j , our goal is to schedule all jobs using the minimum possible number of machines. Scheduling a job j requires selecting an interval of length p j between its release date and deadline, and assigning it to a machine, with the restriction that each machine executes at most one job at any given time. This is one of the basic settings in the resource-minimization job scheduling, and the classical randomized rounding technique of Raghavan and Thompson provides an O(logn/loglogn)-approximation for it. This result has been recently improved to an O(sqrt{log n})-approximation, and moreover an efficient algorithm for scheduling all jobs on O((OPT)^2) machines has been shown. We build on this prior work to obtain a constant factor approximation algorithm for the problem.

  10. Sequential unconstrained minimization algorithms for constrained optimization

    Science.gov (United States)

    Byrne, Charles

    2008-02-01

    The problem of minimizing a function f(x):RJ → R, subject to constraints on the vector variable x, occurs frequently in inverse problems. Even without constraints, finding a minimizer of f(x) may require iterative methods. We consider here a general class of iterative algorithms that find a solution to the constrained minimization problem as the limit of a sequence of vectors, each solving an unconstrained minimization problem. Our sequential unconstrained minimization algorithm (SUMMA) is an iterative procedure for constrained minimization. At the kth step we minimize the function G_k(x)=f(x)+g_k(x), to obtain xk. The auxiliary functions gk(x):D ⊆ RJ → R+ are nonnegative on the set D, each xk is assumed to lie within D, and the objective is to minimize the continuous function f:RJ → R over x in the set C=\\overline D , the closure of D. We assume that such minimizers exist, and denote one such by \\hat x . We assume that the functions gk(x) satisfy the inequalities 0\\leq g_k(x)\\leq G_{k-1}(x)-G_{k-1}(x^{k-1}), for k = 2, 3, .... Using this assumption, we show that the sequence {f(xk)} is decreasing and converges to f({\\hat x}) . If the restriction of f(x) to D has bounded level sets, which happens if \\hat x is unique and f(x) is closed, proper and convex, then the sequence {xk} is bounded, and f(x^*)=f({\\hat x}) , for any cluster point x*. Therefore, if \\hat x is unique, x^*={\\hat x} and \\{x^k\\}\\rightarrow {\\hat x} . When \\hat x is not unique, convergence can still be obtained, in particular cases. The SUMMA includes, as particular cases, the well-known barrier- and penalty-function methods, the simultaneous multiplicative algebraic reconstruction technique (SMART), the proximal minimization algorithm of Censor and Zenios, the entropic proximal methods of Teboulle, as well as certain cases of gradient descent and the Newton-Raphson method. The proof techniques used for SUMMA can be extended to obtain related results for the induced proximal

  11. Minimal projections with respect to various norms

    CERN Document Server

    Aksoy, Asuman Guven

    2010-01-01

    We will show that a theorem of Rudin \\cite{wr1}, \\cite{wr}, permits us to determine minimal projections not only with respect to the operator norm but with respect to quasi-norms in operators ideals and numerical radius in many concrete cases.

  12. Clinical Analysis of 160 Cases about Individual Treatment for Lower Limbs Varicose vein by Minimally Invasive Treatment%微创个体化治疗下肢静脉曲张160例分析

    Institute of Scientific and Technical Information of China (English)

    王国栋; 王红超

    2015-01-01

    Objective:To investigate the individual minimally invasive treatment for lower limbs varicose and the effect.Methods:Retrospective reviewed the 160 patients of lower limbs varicose in a variety of minimally invasive treatment from Jan.2009 to Jun.2013, total 229 limbs.21 limbs in 15 patients were cured by endovenous laser treatment ( EVLT) only;123 limbs in 80 patients were cured by high ligation combined with EVLT;63 limbs in 48patents were cured by high ligation combined with EVLT and local varicose vein mass point removal;22 limbs in 17 patients were cured by high ligation combined with EVLT and subf-endoscopic surgery ( SEPS) .Results:All incisions were primary healing.30 cases felt pain and block or a column state at great saphenous vein trunk and crus local varicose veins which were burned;19 cases were found subcutaneous flake ecchymosis;18 cases felt local skin numbness;2 cases were recurrence after operation.Patients complicated with skin ulcer healed after operation by dressing change.All the patients had a clinically significant reduction in symptoms and no lower extremity deep vein thrombosis.141 patients were followed up for 6-54 months.Conclusion:Lower limbs varicose vein of different degree treat by individualized therapy to improve cure rate and to be an effective measure.%目的:探讨下肢静脉曲张的微创个体化治疗方法及疗效.方法:回顾性分析2009年1月~2013年6月期间综合应用多种微创方法治疗160例下肢静脉曲张患者的临床资料,共229 条肢体;其中单纯应用EVLT 15例,21条肢体;高位结扎加EVLT 80例,123条肢体;高位结扎加EVLT、局部曲张静脉团块点状剥除48例,63条肢体;高位结扎加EVLT联合腔镜下交通支离断(SEPS)17例,22条肢体.结果:160例患者切口均1期愈合.术后出现大隐静脉主干及小腿局部曲张静脉烧灼处条索状硬结、疼痛30例;不同程度皮下片状瘀斑19例;出现局部皮肤麻木18例.术后复发2例.合并皮肤溃疡

  13. Minimal Log Gravity

    CERN Document Server

    Giribet, Gaston

    2014-01-01

    Minimal Massive Gravity (MMG) is an extension of three-dimensional Topologically Massive Gravity that, when formulated about Anti-de Sitter space, accomplishes to solve the tension between bulk and boundary unitarity that other models in three dimensions suffer from. We study this theory at the chiral point, i.e. at the point of the parameter space where one of the central charges of the dual conformal field theory vanishes. We investigate the non-linear regime of the theory, meaning that we study exact solutions to the MMG field equations that are not Einstein manifolds. We exhibit a large class of solutions of this type, which behave asymptotically in different manners. In particular, we find analytic solutions that represent two-parameter deformations of extremal Banados-Teitelboim-Zanelli (BTZ) black holes. These geometries behave asymptotically as solutions of the so-called Log Gravity, and, despite the weakened falling-off close to the boundary, they have finite mass and finite angular momentum, which w...

  14. Minimal dilaton model

    Directory of Open Access Journals (Sweden)

    Oda Kin-ya

    2013-05-01

    Full Text Available Both the ATLAS and CMS experiments at the LHC have reported the observation of the particle of mass around 125 GeV which is consistent to the Standard Model (SM Higgs boson, but with an excess of events beyond the SM expectation in the diphoton decay channel at each of them. There still remains room for a logical possibility that we are not seeing the SM Higgs but something else. Here we introduce the minimal dilaton model in which the LHC signals are explained by an extra singlet scalar of the mass around 125 GeV that slightly mixes with the SM Higgs heavier than 600 GeV. When this scalar has a vacuum expectation value well beyond the electroweak scale, it can be identified as a linearly realized version of a dilaton field. Though the current experimental constraints from the Higgs search disfavors such a region, the singlet scalar model itself still provides a viable alternative to the SM Higgs in interpreting its search results.

  15. Minimal log gravity

    Science.gov (United States)

    Giribet, Gaston; Vásquez, Yerko

    2015-01-01

    Minimal massive gravity (MMG) is an extension of three-dimensional topologically massive gravity that, when formulated about anti-de Sitter space, accomplishes solving the tension between bulk and boundary unitarity that other models in three dimensions suffer from. We study this theory at the chiral point, i.e. at the point of the parameter space where one of the central charges of the dual conformal field theory vanishes. We investigate the nonlinear regime of the theory, meaning that we study exact solutions to the MMG field equations that are not Einstein manifolds. We exhibit a large class of solutions of this type, which behave asymptotically in different manners. In particular, we find analytic solutions that represent two-parameter deformations of extremal Bañados-Teitelboim-Zanelli black holes. These geometries behave asymptotically as solutions of the so-called log gravity, and, despite the weakened falling off close to the boundary, they have finite mass and finite angular momentum, which we compute. We also find time-dependent deformations of Bañados-Teitelboim-Zanelli that obey Brown-Henneaux asymptotic boundary conditions. The existence of such solutions shows that the Birkhoff theorem does not hold in MMG at the chiral point. Other peculiar features of the theory at the chiral point, such as the degeneracy it exhibits in the decoupling limit, are discussed.

  16. Minimal String Theory and the Douglas Equation

    Science.gov (United States)

    Belavin, A. A.; Belavin, V. A.

    We use the connection between the Frobenius manifold and the Douglas string equation to further investigate Minimal Liouville gravity. We search for a solution of the Douglas string equation and simultaneously a proper transformation from the KdV to the Liouville frame which ensures the fulfilment of the conformal and fusion selection rules. We find that the desired solution of the string equation has an explicit and simple form in the flat coordinates on the Frobenius manifold in the general case of (p,q) Minimal Liouville gravity.

  17. Minimally invasive restorative dentistry: a biomimetic approach.

    Science.gov (United States)

    Malterud, Mark I

    2006-08-01

    When providing dental treatment for a given patient, the practitioner should use a minimally invasive technique that conserves sound tooth structure as a clinical imperative. Biomimetics is a tenet that guides the author's practice and is generally described as the mimicking of natural life. This can be accomplished in many cases using contemporary composite resins and adhesive dental procedures. Both provide clinical benefits and support the biomimetic philosophy for treatment. This article illustrates a minimally invasive approach for the restoration of carious cervical defects created by poor hygiene exacerbated by the presence of orthodontic brackets.

  18. Isolated subtalar arthrodesis through minimal incision surgery.

    Science.gov (United States)

    Carranza-Bencano, A; Tejero-García, S; Del Castillo-Blanco, G; Fernández-Torres, J J; Alegrete-Parra, A

    2013-08-01

    In recent years there has been an increase in the use of minimally invasive techniques, such as arthroscopy, percutaneous, and minimally invasive incisions, for foot and ankle surgery. The purpose of this study was to analyze the fusion rate and clinical results of isolated subtalar arthrodesis (ISA) using the novel and original technique of minimal incision surgery (MIS). There were a total of 77 feet in 76 patients who underwent ISA and were followed for 50 months on average (range, 15-108). The first 30 cases were evaluated retrospectively, and 47 cases were evaluated prospectively. MIS without tourniquet was used in all cases and fusion was assessed radiographically and clinically. Clinical outcome measures used were the Angus and Cowell Scoring System, AOFAS Ankle-Hindfoot, the SF-36, and a patient satisfaction questionnaire 12 months after the intervention. Radiographic and clinical consolidation was achieved in 92% of cases. Main outcomes were "good" in 57 patients as determined by the Angus and Cowell criteria, with 13 "fair" and 7 "poor" results. In the prospective group, AOFAS scores improved by 47.6 points (95% CI: 50.7-42.5) 12 months after surgical intervention. SF-36 outcomes improved by 14.5 points (95% CI: 11.58-17.31) in the mental summary component and 4.2 points (95% CI: 2.2-6.1) in the physical summary component. We recorded no cases of early complications such as wound infections, neurovascular damage, or delayed wound healing. To our knowledge, the present series represents the largest study on subtalar arthrodesis using minimally invasive surgery. The data obtained showed a similar rate of bony union and clinical outcomes compared with the literature, but without early wound complications. ISA using the MIS technique was a good option for patients at greater risk of wound healing complications. Level IV, case series.

  19. Late de novo minimal change disease in a renal allograft

    OpenAIRE

    Madhan Krishan; Temple-Camp Cynric

    2009-01-01

    Among the causes of the nephrotic syndrome in renal allografts, minimal change disease is a rarity with only few cases described in the medical literature. Most cases described have occurred early in the post-transplant course. There is no established treatment for the condition but prognosis is favorable. We describe a case of minimal change disease that developed 8 years after a successful transplantation of a renal allograft in a middle-aged woman. The nephrotic syndrome was accompanied by...

  20. Multiple objectives application approach to waste minimization

    Institute of Scientific and Technical Information of China (English)

    张清宇

    2002-01-01

    Besides economics and controllability, waste minimization has now become an obje ctive in designing chemical processes, and usually leads to high costs of invest ment and operation. An attempt was made to minimize waste discharged from chemic al reaction processes during the design and modification process while the opera tion conditions were also optimized to meet the requirements of technology and e conomics. Multiobjectives decision nonlinear programming (NLP) was employed to o ptimize the operation conditions of a chemical reaction process and reduce waste . A modeling language package-SPEEDUP was used to simulate the process. This p aper presents a case study of the benzene production process. The flowsheet factors affecting the economics and waste generation were examined. Constraints were imposed to reduce the number of objectives and carry out optimal calculations e asily. After comparisons of all possible solutions, best-compromise approach wa s applied to meet technological requirements and minimize waste.

  1. Multiple objectives application approach to waste minimization

    Institute of Scientific and Technical Information of China (English)

    张清宇

    2002-01-01

    Besides econormics and controllability, waste minimization has now become an objective in designing chemical processes,and usually leads to high costs of investment and operation.An attempt was mede to minimize waste discharged from chemical reaction processes during the design and modification process while the operation conditions were also optimized to meet the requirements of technology and economics.Multiob-jectives decision nonlinear programming(NLP) was emplyed optimize the operation conditions of a chemical reaction process and reduce waste. A modeling package-SPEEDUP was used to simulate the process.This paper presents a case study of the benzenc production process.The flowsheer factors affecting the economics and waste generation were examined.Constraints were imposed to reduce the number of objectives and carry out optimal calculations easily.After comparisons of all possiblle solutions,best-compromise approach was applied to meet technological requirements and minimize waste.

  2. Surgical results in cases of intestinal radiation injury

    Energy Technology Data Exchange (ETDEWEB)

    Deguchi, Hisatsugu; Ozawa, Tetsuro; Wada, Toshihiro; Tsugu, Yukio (Toho Univ., Tokyo (Japan). School of Medicine)

    1991-05-01

    Surgical procedures were performed on 25 patients suffering from late-phase intestinal tract disorders induced by irradiation. The primary diseases of these cases were almost exclusively gynecological in nature, such as cancer of the uterine cervix. Symptoms observed in these cases were overwhelming ileus followed by melena, fistulation and free perforation, as well as combination thereof. The most common portion involved was the recto-sigmoidal colon, followed by the ileo-cecum and ileum. As for the relationship of symptoms to the disordered portion, ileus was seen mainly in cases of disorders at the ileocecal portion; melena was observed exclusively in cases of disorders at the rectosigmoidal colon; fistulation was manifested mainly as recto-vaginal fistula or ileo-sigmoidal fistula; free perforation was observed at both the ileum and sigmoidal colon. Colostomy was the most frequent surgical method applied. Only 3 cases were able to undergo enterectomy. Other cases were subjected to enteroanastomosis or enterostomy. In most cases it was nearly in possible to excise the disordered portions. As for the effect of surgical procedures on symptoms, cases of melena or fistulation were all subjected to colostomy; the majority of these cases showed improvement in symptoms. Moreover, a high improvement ratio was obtained in cases of ileus which were subjected to enterectomy and enteroanastomosis. Cases of free perforation showed high improvement ratio irrespective of the surgical procedure given. As for postoperative complications, one case of free perforation at the ileum showed anastomotic leakage after partial resection. For cases suffering from late-phase intestinal tract disorders induced by irradiation, immediate resection of the disordered intestinal tract and anastomosis are ideal. However, conservative operations must be considered, based on the focal condition. (author).

  3. Thoracoscopically assisted minimally invasive Nuss procedure for pectus excavatum correction: Report of 35 cases%胸腔镜辅助下微创Nuss矫治术治疗漏斗胸(附35例报道)

    Institute of Scientific and Technical Information of China (English)

    戎保林; 王君; 梅新宇; 余美青; 马冬春; 魏大中; 郭明发; 徐世斌; 柯立; 田界勇

    2011-01-01

    目的:探讨Nuss手术治疗漏斗胸的临床效果.方法:2008年4月~2010年10月采用胸腔镜辅助下微创Nuss矫治术治疗漏斗胸35例,男29例,女6例,平均年龄(12.23±5.7)岁,其中15~24岁15例.结果:35例均顺利完成手术,畸形均达到满意矫正.手术时间60~120 min,出血量3~15 ml,手术后住院时间5~9d.无心包心脏损伤发生.l例切口感染钢板外露,经换药痊愈;l例切口医用胶粘合切口裂开重新缝合愈合;1例术后7个月出现钢板反应,换药至今未愈;3例术后出现气胸(2例少量未处理痊愈,1例抽气痊愈);1例双钢板植入患者1个月后复查,下钢板轻度移位.全组均获长期随访.结论:Nuss手术矫治小儿先天性漏斗胸安全有效,具有损伤小,恢复快及改善外观的优点.%Objective;To assess the clinical efficacy of Nuss procedure in correction of pectus excavatum. Methods: Between Apr. 2008 and Oct. 2010,we treated 35 patients with pectus excavatum by minimally invasive Nuss procedure assisted with thoracosoope. Of the 35 cases, 19 were male and 6 .female. The age ranged from 3 to 24 .with an average of (12.23 ± 5.7) years. Results .We successfully corrected the pectus excavatum for the total 35 patients. The operation time was from 60 to 120 min with an average of 70 min. Operative blood loss ranged from 3 to 15 ml .and hospital stay was 7 d on average (5 to 9 d). No pericardial or heart injury occurred during the procedure. One case of incision infection resulted in plate exposure was managed by conventional dressing change, one required secondary stitches due to failure of adhesive surgical dressing and another one case refused to recover due to plate rejection in 7 month of the surgery. Pneumothorax occurred in 3 cases in whom 2 were managed conservatively and 1 by puncture. One case with double plates implantation was found plate dislocation by follow-up in 1 month of the operation. Conclusion: Nuss procedure appears safe and

  4. Blackfolds, plane waves and minimal surfaces

    Science.gov (United States)

    Armas, Jay; Blau, Matthias

    2015-07-01

    Minimal surfaces in Euclidean space provide examples of possible non-compact horizon geometries and topologies in asymptotically flat space-time. On the other hand, the existence of limiting surfaces in the space-time provides a simple mechanism for making these configurations compact. Limiting surfaces appear naturally in a given space-time by making minimal surfaces rotate but they are also inherent to plane wave or de Sitter space-times in which case minimal surfaces can be static and compact. We use the blackfold approach in order to scan for possible black hole horizon geometries and topologies in asymptotically flat, plane wave and de Sitter space-times. In the process we uncover several new configurations, such as black helicoids and catenoids, some of which have an asymptotically flat counterpart. In particular, we find that the ultraspinning regime of singly-spinning Myers-Perry black holes, described in terms of the simplest minimal surface (the plane), can be obtained as a limit of a black helicoid, suggesting that these two families of black holes are connected. We also show that minimal surfaces embedded in spheres rather than Euclidean space can be used to construct static compact horizons in asymptotically de Sitter space-times.

  5. On stable compact minimal submanifolds

    CERN Document Server

    Torralbo, Francisco

    2010-01-01

    Stable compact minimal submanifolds of the product of a sphere and any Riemannian manifold are classified whenever the dimension of the sphere is at least three. The complete classification of the stable compact minimal submanifolds of the product of two spheres is obtained. Also, it is proved that the only stable compact minimal surfaces of the product of a 2-sphere and any Riemann surface are the complex ones.

  6. Inverse Kinematics of a Manipulator for Minimally Invasive Surgery

    OpenAIRE

    Hermann Mayer; Istvan Nagy; Alois Knoll

    2017-01-01

    In this report we describe the inverse kinematics of our robotic system for minimally invasive surgery. Special respect is given to an intuitive operability of the user interface. Therefore we apply the concept of so-called trocar kinematics. Meaning that the manipulator (in our case an instrument for minimally invasive surgery) has to pass a fixed opening through the surface of the patient's body. It is the principle idea of minimally invasive surgery to perform all surgical tasks through sm...

  7. Global Analysis of Minimal Surfaces

    CERN Document Server

    Dierkes, Ulrich; Tromba, Anthony J

    2010-01-01

    Many properties of minimal surfaces are of a global nature, and this is already true for the results treated in the first two volumes of the treatise. Part I of the present book can be viewed as an extension of these results. For instance, the first two chapters deal with existence, regularity and uniqueness theorems for minimal surfaces with partially free boundaries. Here one of the main features is the possibility of 'edge-crawling' along free parts of the boundary. The third chapter deals with a priori estimates for minimal surfaces in higher dimensions and for minimizers of singular integ

  8. Minimal surfaces for architectural constructions

    Directory of Open Access Journals (Sweden)

    Velimirović Ljubica S.

    2008-01-01

    Full Text Available Minimal surfaces are the surfaces of the smallest area spanned by a given boundary. The equivalent is the definition that it is the surface of vanishing mean curvature. Minimal surface theory is rapidly developed at recent time. Many new examples are constructed and old altered. Minimal area property makes this surface suitable for application in architecture. The main reasons for application are: weight and amount of material are reduced on minimum. Famous architects like Otto Frei created this new trend in architecture. In recent years it becomes possible to enlarge the family of minimal surfaces by constructing new surfaces.

  9. Against Explanatory Minimalism in Psychiatry.

    Science.gov (United States)

    Thornton, Tim

    2015-01-01

    The idea that psychiatry contains, in principle, a series of levels of explanation has been criticized not only as empirically false but also, by Campbell, as unintelligible because it presupposes a discredited pre-Humean view of causation. Campbell's criticism is based on an interventionist-inspired denial that mechanisms and rational connections underpin physical and mental causation, respectively, and hence underpin levels of explanation. These claims echo some superficially similar remarks in Wittgenstein's Zettel. But attention to the context of Wittgenstein's remarks suggests a reason to reject explanatory minimalism in psychiatry and reinstate a Wittgensteinian notion of levels of explanation. Only in a context broader than the one provided by interventionism is that the ascription of propositional attitudes, even in the puzzling case of delusions, justified. Such a view, informed by Wittgenstein, can reconcile the idea that the ascription mental phenomena presupposes a particular level of explanation with the rejection of an a priori claim about its connection to a neurological level of explanation.

  10. On minimal artinian modules and minimal artinian linear groups

    Directory of Open Access Journals (Sweden)

    Leonid A. Kurdachenko

    2001-01-01

    minimal artinian linear groups. The authors prove that in such classes of groups as hypercentral groups (so also, nilpotent and abelian groups and FC-groups, minimal artinian linear groups have precisely the same structure as the corresponding irreducible linear groups.

  11. Minimizing ADMs on WDM Directed Fiber Trees

    Institute of Scientific and Technical Information of China (English)

    ZHOU FengFeng (周丰丰); CHEN GuoLiang (陈国良); XU YinLong (许胤龙); GU Jun (顾钧)

    2003-01-01

    This paper proposes a polynomial-time algorithm for Minimum WDM/SONET Add/Drop Multiplexer Problem (MADM) on WDM directed fiber trees whether or not wavelength converters are used. It runs in time O(m2n), where n and m are the number of nodes of the tree and the number of the requests respectively. Incorporating T. Erlebach et al.'s work into the proposed algorithm, it also reaches the lower bound of the required wavelengths with greedy algorithms for the case without wavelength converters. Combined with some previous work, the algorithm reduces the number of required wavelengths greatly while using minimal number of ADMs for the case with limited wavelength converters. The experimental results show the minimal number of required ADMs on WDM directed fiber trees.

  12. Minimally legally invasive dentistry.

    Science.gov (United States)

    Lam, R

    2014-12-01

    One disadvantage of the rapid advances in modern dentistry is that treatment options have never been more varied or confusing. Compounded by a more educated population greatly assisted by online information in an increasingly litigious society, a major concern in recent times is increased litigation against health practitioners. The manner in which courts handle disputes is ambiguous and what is considered fair or just may not be reflected in the judicial process. Although legal decisions in Australia follow a doctrine of precedent, the law is not static and is often reflected by community sentiment. In medical litigation, this has seen the rejection of the Bolam principle with a preference towards greater patient rights. Recent court decisions may change the practice of dentistry and it is important that the clinician is not caught unaware. The aim of this article is to discuss legal issues that are pertinent to the practice of modern dentistry through an analysis of legal cases that have shaped health law. Through these discussions, the importance of continuing professional development, professional association and informed consent will be realized as a means to limit the legal complications of dental practice.

  13. 腔镜辅助下McKeown术式切除食管癌507例临床体会%McKeown minimally invasive esophagectomy for the treatment of esophageal cancer: a report of 507 cases

    Institute of Scientific and Technical Information of China (English)

    陈保富; 孔敏; 朱成楚; 张波; 叶中瑞; 王春国; 马德华; 叶敏华

    2013-01-01

    after McKeown minimally invasive esophagectomy(MMIE) for the treatment of esophageal cancer.Methods From August 1997 to December 2012,MMIE was performed in 507 patients.Esophageal tumors located in the upper in 39(7.69%),middle in 312(61.54%),lower in 156(30.77%).Preoperative neoadjuvant chemoradiotherapy was used in 21 cases (4.14 %).Resection was performed for squamous cancer (463 cases,91.32 %),adenocarcinoma and other histologic types (44 cases,8.68%) in patients with stages 0 (55,10.85%),Ⅰ (167,32.94%),Ⅱ (203,40.04%),Ⅲ (69,13.61%),and Ⅳ (13,2.56%) disease.Surgery were completed by thoracoscopic and laparotomy(281 cases,55.42%),total thoracoscopic/laparoscopic approach(179 cases,35.31%),thoracotomy and laparoscopic (32 cases,6.31%),conversion to thoracotomy/laparotomy (15 cases,2.96%).Results MMIE was successfully completed in 492(97.04%) patients.The operative time of thoracoscopic the esophagus free and pleural lymph node dissection was(81.5 ±34.7)min(60-180 min),laparoscopic stomach free and abdominal area lymphadenectomy was 60.3 ± 17.5)min(40-105 min).The blood loss of thoracoscopic surgery was(105.2 ±73.1) m1(55-1080 ml),laparoscopic surgery (43.5 ±21.4)m1(30-350ml).The total number of lymph node dissection was 5-48[(23.7 ± 11.5)/case],the number of thoracic lymph node dissection was 3-32 [(14.6 ± 7.7)/case],abdominal lymph node dissection 2-29 [(8.7 ±5.2)/case)],and neck lymph node dissection 0-7 [(1.3 ± 1.1)/case].198 cases of esophageal reconstruction after esophageal bed,309 cases through the sternum approach.The whole group were no deaths,intraoperative bleeding in 3 cases due to the azygos vein/spleen injury,the hook cautery/ultrasound surgery the knife accidentally injure trachea 3 cases,the non-focal cause 13 cases of thoracic duct injury,9 cases of atrial fibrillation,esophageal resection margin-positive R1 resection in 3 cases.Major complications in the early postoperative period,lung infection rate was

  14. Minimally invasive treatment of multilevel spinal epidural abscess.

    Science.gov (United States)

    Safavi-Abbasi, Sam; Maurer, Adrian J; Rabb, Craig H

    2013-01-01

    The use of minimally invasive tubular retractor microsurgery for treatment of multilevel spinal epidural abscess is described. This technique was used in 3 cases, and excellent results were achieved. The authors conclude that multilevel spinal epidural abscesses can be safely and effectively managed using microsurgery via a minimally invasive tubular retractor system.

  15. An algorithm for minimization of quantum cost

    OpenAIRE

    Banerjee, Anindita; Pathak, Anirban

    2009-01-01

    A new algorithm for minimization of quantum cost of quantum circuits has been designed. The quantum cost of different quantum circuits of particular interest (eg. circuits for EPR, quantum teleportation, shor code and different quantum arithmetic operations) are computed by using the proposed algorithm. The quantum costs obtained using the proposed algorithm is compared with the existing results and it is found that the algorithm has produced minimum quantum cost in all cases.

  16. Heroin-associated anthrax with minimal morbidity.

    Science.gov (United States)

    Black, Heather; Chapman, Ann; Inverarity, Donald; Sinha, Satyajit

    2017-03-08

    In 2010, during an outbreak of anthrax affecting people who inject drugs, a heroin user aged 37 years presented with soft tissue infection. He subsequently was found to have anthrax. We describe his management and the difficulty in distinguishing anthrax from non-anthrax lesions. His full recovery, despite an overall mortality of 30% for injectional anthrax, demonstrates that some heroin-related anthrax cases can be managed predominately with oral antibiotics and minimal surgical intervention.

  17. Autonomous Preservation Tools in Minimal Effort Ingest

    DEFF Research Database (Denmark)

    Jurik, Bolette Ammitzbøll; Blekinge, Asger Askov; Andersen, Thorbjørn Ravn

    2016-01-01

    This poster presents the concept of Autonomous Preservation Tools, as developed by the State and University Library, Denmark. The work expands the idea of Minimal Effort Ingest, where most preservation actions such as Quality Assurance and enrichment of the digital objects are performed after...... content is ingested for preservation, rather than before. We present our Newspaper Digitisation Project as a case-study of real-world implementations of Autonomous Preservation Tools....

  18. Minimal massive 3D gravity

    NARCIS (Netherlands)

    Bergshoeff, Eric; Hohm, Olaf; Merbis, Wout; Routh, Alasdair J.; Townsend, Paul K.

    2014-01-01

    We present an alternative to topologically massive gravity (TMG) with the same 'minimal' bulk properties; i.e. a single local degree of freedom that is realized as a massive graviton in linearization about an anti-de Sitter (AdS) vacuum. However, in contrast to TMG, the new 'minimal massive gravity'

  19. Uniqueness of PL Minimal Surfaces

    Institute of Scientific and Technical Information of China (English)

    Yi NI

    2007-01-01

    Using a standard fact in hyperbolic geometry, we give a simple proof of the uniqueness of PL minimal surfaces, thus filling in a gap in the original proof of Jaco and Rubinstein. Moreover, in order to clarify some ambiguity, we sharpen the definition of PL minimal surfaces, and prove a technical lemma on the Plateau problem in the hyperbolic space.

  20. Guidelines for mixed waste minimization

    Energy Technology Data Exchange (ETDEWEB)

    Owens, C.

    1992-02-01

    Currently, there is no commercial mixed waste disposal available in the United States. Storage and treatment for commercial mixed waste is limited. Host States and compacts region officials are encouraging their mixed waste generators to minimize their mixed wastes because of management limitations. This document provides a guide to mixed waste minimization.

  1. Minimal changes in health status questionnaires: distinction between minimally detectable change and minimally important change

    Directory of Open Access Journals (Sweden)

    Knol Dirk L

    2006-08-01

    Full Text Available Abstract Changes in scores on health status questionnaires are difficult to interpret. Several methods to determine minimally important changes (MICs have been proposed which can broadly be divided in distribution-based and anchor-based methods. Comparisons of these methods have led to insight into essential differences between these approaches. Some authors have tried to come to a uniform measure for the MIC, such as 0.5 standard deviation and the value of one standard error of measurement (SEM. Others have emphasized the diversity of MIC values, depending on the type of anchor, the definition of minimal importance on the anchor, and characteristics of the disease under study. A closer look makes clear that some distribution-based methods have been merely focused on minimally detectable changes. For assessing minimally important changes, anchor-based methods are preferred, as they include a definition of what is minimally important. Acknowledging the distinction between minimally detectable and minimally important changes is useful, not only to avoid confusion among MIC methods, but also to gain information on two important benchmarks on the scale of a health status measurement instrument. Appreciating the distinction, it becomes possible to judge whether the minimally detectable change of a measurement instrument is sufficiently small to detect minimally important changes.

  2. [Minimally Invasive Treatment of Esophageal Benign Diseases].

    Science.gov (United States)

    Inoue, Haruhiro

    2016-07-01

    As a minimally invasive treatment of esophageal achalasia per-oral endoscopic myotomy( POEM) was developed in 2008. More than 1,100 cases of achalasia-related diseases received POEM. Success rate of the procedure was more than 95%(Eckerdt score improvement 3 points and more). No serious( Clavian-Dindo classification III b and more) complication was experienced. These results suggest that POEM becomes a standard minimally invasive treatment for achalasia-related diseases. As an off-shoot of POEM submucosal tumor removal through submucosal tunnel (per-oral endoscopic tumor resection:POET) was developed and safely performed. Best indication of POET is less than 5 cm esophageal leiomyoma. A novel endoscopic treatment of gastroesophageal reflux disease (GERD) was developed. Anti-reflux mucosectomy( ARMS) is nearly circumferential mucosal reduction of gastric cardia mucosa. ARMS is performed in 56 consecutive cases of refractory GERD. No major complications were encountered and excellent clinical results. Best indication of ARMS is a refractory GERD without long sliding hernia. Longest follow-up case is more than 10 years. Minimally invasive treatments for esophageal benign diseases are currently performed by therapeutic endoscopy.

  3. Minimal Webs in Riemannian Manifolds

    DEFF Research Database (Denmark)

    Markvorsen, Steen

    2008-01-01

    are of instrumental importance for the applications. We apply these properties to show that minimal webs in ambient Riemannian spaces share several analytic and geometric properties with their smooth (minimal submanifold) counterparts in such spaces. In particular we use appropriate versions of the divergence......)$ into Riemannian manifolds $(N^{n}, h)$. Such immersions we call {\\em{minimal webs}}. They admit a natural 'geometric' extension of the intrinsic combinatorial discrete Laplacian. The geometric Laplacian on minimal webs enjoys standard properties such as the maximum principle and the divergence theorems, which...... theorems together with the comparison techniques for distance functions in Riemannian geometry and obtain bounds for the first Dirichlet eigenvalues, the exit times and the capacities as well as isoperimetric type inequalities for so-called extrinsic $R-$webs of minimal webs in ambient Riemannian manifolds...

  4. Waste minimization handbook, Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Boing, L.E.; Coffey, M.J.

    1995-12-01

    This technical guide presents various methods used by industry to minimize low-level radioactive waste (LLW) generated during decommissioning and decontamination (D and D) activities. Such activities generate significant amounts of LLW during their operations. Waste minimization refers to any measure, procedure, or technique that reduces the amount of waste generated during a specific operation or project. Preventive waste minimization techniques implemented when a project is initiated can significantly reduce waste. Techniques implemented during decontamination activities reduce the cost of decommissioning. The application of waste minimization techniques is not limited to D and D activities; it is also useful during any phase of a facility`s life cycle. This compendium will be supplemented with a second volume of abstracts of hundreds of papers related to minimizing low-level nuclear waste. This second volume is expected to be released in late 1996.

  5. Minimally invasive surgical techniques in periodontal regeneration.

    Science.gov (United States)

    Cortellini, Pierpaolo

    2012-09-01

    A review of the current scientific literature was undertaken to evaluate the efficacy of minimally invasive periodontal regenerative surgery in the treatment of periodontal defects. The impact on clinical outcomes, surgical chair-time, side effects and patient morbidity were evaluated. An electronic search of PUBMED database from January 1987 to December 2011 was undertaken on dental journals using the key-word "minimally invasive surgery". Cohort studies, retrospective studies and randomized controlled clinical trials referring to treatment of periodontal defects with at least 6 months of follow-up were selected. Quality assessment of the selected studies was done through the Strength of Recommendation Taxonomy Grading (SORT) System. Ten studies (1 retrospective, 5 cohorts and 4 RCTs) were included. All the studies consistently support the efficacy of minimally invasive surgery in the treatment of periodontal defects in terms of clinical attachment level gain, probing pocket depth reduction and minimal gingival recession. Six studies reporting on side effects and patient morbidity consistently indicate very low levels of pain and discomfort during and after surgery resulting in a reduced intake of pain-killers and very limited interference with daily activities in the post-operative period. Minimally invasive surgery might be considered a true reality in the field of periodontal regeneration. The observed clinical improvements are consistently associated with very limited morbidity to the patient during the surgical procedure as well as in the post-operative period. Minimally invasive surgery, however, cannot be applied at all cases. A stepwise decisional algorithm should support clinicians in choosing the treatment approach.

  6. High-dose urokinase via minimally invasive approach for the treatment of 90 cases of ventricular hemorrhage%微创大剂量尿激酶治疗脑室出血90例临床分析

    Institute of Scientific and Technical Information of China (English)

    左毅; 王海燕; 陈尚军

    2013-01-01

    Objective To analyze the clinical effect of high-dose urokinase via minimally invasive approach for the treatment of ventricular hemorrhage.Methods A total of 90 cases of ventricular hemorrhage were divided into control group and treatment group randomly.Lateral ventricular injection of urokinase after external ventricular drainage plus drainage of lumbar cistern were performed in control group,and lateral ventricular injection of urokinase after external ventricular drainage plus drainage of lumbar cistern with injection of urokinase were performed in treatment group.Results In treatment group,the time of lumbar cistern drainage was 6 d in average,and the time of ventricular hematoma elimination was (5 ±1.47) d.In control group,the average time of lumbar cistern drainage was 12 d and the time of ventricular hematoma elimination was (11 ±3.76) d.Conclusion Compared with control group,ventricular injection of urokinase after external ventricular drainage plus lumbar cistern injection of urokinase are helpful for the hematoma elimination and increase of survival rate.%目的 分析微创大剂量尿激酶对脑室出血的临床治疗作用.方法 90例脑室出血患者随机分为治疗组和对照组,对照组:脑室外引流术后侧脑室注入尿激酶+腰大池引流术;治疗组:脑室外引流术后侧脑室注入尿激酶+腰大池引流术后经引流管注入尿激酶.结果 治疗组腰大池置管持续引流平均时间为6d,脑室内血肿消失时间平均为(5±1.47)d.对照组腰大池置管持续引流平均时间为12 d,脑室内血肿消失时间平均为(11±3.76)d.结论 较单纯腰大池置管引流,微创超大剂量尿激酶双向治疗重度脑室出血,能显著加快脑室血肿溶解,提高生存率.

  7. Superspace geometry and the minimal, non minimal, and new minimal supergravity multiplets

    Energy Technology Data Exchange (ETDEWEB)

    Girardi, G.; Grimm, R.; Mueller, M.; Wess, J.

    1984-11-01

    We analyse superspace constraints in a systematic way and define a set of natural constraints. We give a complete solution of the Bianchi identities subject to these constraints and obtain a reducible, but not fully reducible multiplet. By additional constraints it can be reduced to either the minimal nonminimal or new minimal multiplet. We discuss the superspace actions for the various multiplets.

  8. Blackfolds, Plane Waves and Minimal Surfaces

    CERN Document Server

    Armas, Jay

    2015-01-01

    Minimal surfaces in Euclidean space provide examples of possible non-compact horizon geometries and topologies in asymptotically flat space-time. On the other hand, the existence of limiting surfaces in the space-time provides a simple mechanism for making these configurations compact. Limiting surfaces appear naturally in a given space-time by making minimal surfaces rotate but they are also inherent to plane wave or de Sitter space-times in which case minimal surfaces can be static and compact. We use the blackfold approach in order to scan for possible black hole horizon geometries and topologies in asymptotically flat, plane wave and de Sitter space-times. In the process we uncover several new configurations, such as black helicoids and catenoids, some of which have an asymptotically flat counterpart. In particular, we find that the ultraspinning regime of singly-spinning Myers-Perry black holes, described in terms of the simplest minimal surface (the plane), can be obtained as a limit of a black helicoid...

  9. Locally minimal topological groups 1

    OpenAIRE

    Chasco, María Jesús; Dikranjan, Dikran N.; Außenhofer, Lydia; Domínguez, Xabier

    2015-01-01

    The aim of this paper is to go deeper into the study of local minimality and its connection to some naturally related properties. A Hausdorff topological group ▫$(G,tau)$▫ is called locally minimal if there exists a neighborhood ▫$U$▫ of 0 in ▫$tau$▫ such that ▫$U$▫ fails to be a neighborhood of zero in any Hausdorff group topology on ▫$G$▫ which is strictly coarser than ▫$tau$▫. Examples of locally minimal groups are all subgroups of Banach-Lie groups, all locally compact groups and all mini...

  10. Minimal flows and their extensions

    CERN Document Server

    Auslander, J

    1988-01-01

    This monograph presents developments in the abstract theory of topological dynamics, concentrating on the internal structure of minimal flows (actions of groups on compact Hausdorff spaces for which every orbit is dense) and their homomorphisms (continuous equivariant maps). Various classes of minimal flows (equicontinuous, distal, point distal) are intensively studied, and a general structure theorem is obtained. Another theme is the ``universal'' approach - entire classes of minimal flows are studied, rather than flows in isolation. This leads to the consideration of disjointness of flows, w

  11. On balanced minimal repeated measurements designs

    Directory of Open Access Journals (Sweden)

    Shakeel Ahmad Mir

    2014-10-01

    Full Text Available Repeated Measurements designs are concerned with scientific experiments in which each experimental unit is assigned more than once to a treatment either different or identical. This class of designs has the property that the unbiased estimators for elementary contrasts among direct and residual effects are obtainable. Afsarinejad (1983 provided a method of constructing balanced Minimal Repeated Measurements designs p < t , when t is an odd or prime power, one or more than one treatment may occur more than once in some sequences and  designs so constructed no longer remain uniform in periods. In this paper an attempt has been made to provide a new method to overcome this drawback. Specifically, two cases have been considered                RM[t,n=t(t-t/(p-1,p], λ2=1 for balanced minimal repeated measurements designs and  RM[t,n=2t(t-t/(p-1,p], λ2=2 for balanced  repeated measurements designs. In addition , a method has been provided for constructing              extra-balanced minimal designs for special case RM[t,n=t2/(p-1,p], λ2=1.

  12. Minimally invasive surgery. Future developments.

    OpenAIRE

    1994-01-01

    The rapid development of minimally invasive surgery means that there will be fundamental changes in interventional treatment. Technological advances will allow new minimally invasive procedures to be developed. Application of robotics will allow some procedures to be done automatically, and coupling of slave robotic instruments with virtual reality images will allow surgeons to perform operations by remote control. Miniature motors and instruments designed by microengineering could be introdu...

  13. Cost minimization and asset pricing

    OpenAIRE

    Robert G. Chambers; John Quiggin

    2005-01-01

    A cost-based approach to asset-pricing equilibrium relationships is developed. A cost function induces a stochastic discount factor (pricing kernel) that is a function of random output, prices, and capital stockt. By eliminating opportunities for arbitrage between financial markets and the production technology, firms minimize the current cost of future consumption. The first-order conditions for this cost minimization problem generate the stochastic discount factor. The cost-based approach i...

  14. Minimally invasive colopexy for pediatric Chilaiditi syndrome.

    Science.gov (United States)

    Blevins, Wayne A; Cafasso, Danielle E; Fernandez, Minela; Edwards, Mary J

    2011-03-01

    Chilaiditi syndrome is a rare disorder characterized by abdominal pain, respiratory distress, constipation, and vomiting in association with Chilaiditi's sign. Chilaiditi's sign is the finding on plain roentgenogram of colonic interposition between the liver and diaphragm and is usually asymptomatic. Surgery is typically reserved for cases of catastrophic colonic volvulus or perforation because of the syndrome. We present a case of a 6-year-old boy who presented with Chilaiditi syndrome and resulting failure to thrive because of severe abdominal pain and vomiting, which did not improve with laxatives and dietary changes. He underwent a laparoscopic gastrostomy tube placement and laparoscopic colopexy of the transverse colon to the falciform ligament and anterior abdominal wall. Postoperatively, his symptoms resolved completely, as did his failure to thrive. His gastrostomy tube was removed 3 months after surgery and never required use. This is the first case of Chilaiditi syndrome in the pediatric literature we are aware of that was treated with an elective, minimally invasive colopexy. In cases of severe Chilaiditi syndrome refractory to medical treatment, a minimally invasive colopexy should be considered as a possible treatment option and potentially offered before development of life-threatening complications such as volvulus or perforation.

  15. Systemic mastocytosis associated with minimal change disease

    Directory of Open Access Journals (Sweden)

    Tony Amin

    2016-07-01

    Full Text Available Systemic Mastocytosis (SM has not previously been reported in association with minimal change disease (MCD. Mastocytosis is a rare myeloproliferative disease that is characterised by uncontrolled proliferation of aberrant mast cells. This can lead to a wide variety of symptoms and can present as either a cutaneous or a systemic disease. Systemic manifestations usually include bone marrow, intestine, liver and splenic infiltration of mast cells, with reports of renal manifestations being rare. This is a case report of a 70-year-old man who was known to have Systemic Mastocytosis and who presented with nephrotic range proteinuria. Renal biopsy diagnosed Minimal Change Disease with mast cell infiltration being an identified by C-kit staining. The patient was treated with steroids and is currently in remission of the proteinuria.

  16. Activity recognition from minimal distinguishing subsequence mining

    Science.gov (United States)

    Iqbal, Mohammad; Pao, Hsing-Kuo

    2017-08-01

    Human activity recognition is one of the most important research topics in the era of Internet of Things. To separate different activities given sensory data, we utilize a Minimal Distinguishing Subsequence (MDS) mining approach to efficiently find distinguishing patterns among different activities. We first transform the sensory data into a series of sensor triggering events and operate the MDS mining procedure afterwards. The gap constraints are also considered in the MDS mining. Given the multi-class nature of most activity recognition tasks, we modify the MDS mining approach from a binary case to a multi-class one to fit the need for multiple activity recognition. We also study how to select the best parameter set including the minimal and the maximal support thresholds in finding the MDSs for effective activity recognition. Overall, the prediction accuracy is 86.59% on the van Kasteren dataset which consists of four different activities for recognition.

  17. Autonomous Preservation Tools in Minimal Effort Ingest

    DEFF Research Database (Denmark)

    Jurik, Bolette Ammitzbøll; Blekinge, Asger Askov; Andersen, Thorbjørn Ravn

    2016-01-01

    This poster presents the concept of Autonomous Preservation Tools, as developed by the State and University Library, Denmark. The work expands the idea of Minimal Effort Ingest, where most preservation actions such as Quality Assurance and enrichment of the digital objects are performed after con...... content is ingested for preservation, rather than before. We present our Newspaper Digitisation Project as a case-study of real-world implementations of Autonomous Preservation Tools.......This poster presents the concept of Autonomous Preservation Tools, as developed by the State and University Library, Denmark. The work expands the idea of Minimal Effort Ingest, where most preservation actions such as Quality Assurance and enrichment of the digital objects are performed after...

  18. Minimal flavour violation and SU(5)-unification

    Energy Technology Data Exchange (ETDEWEB)

    Barbieri, Riccardo, E-mail: barbieri@sns.it; Senia, Fabrizio, E-mail: fabrizio.senia@sns.it [Scuola Normale Superiore and INFN, Piazza dei Cavalieri 7, 56126, Pisa (Italy)

    2015-12-17

    Minimal flavour violation in its strong or weak versions, based on U(3){sup 3} and U(2){sup 3}, respectively, allows suitable extensions of the standard model at the TeV scale to comply with current flavour constraints in the quark sector. Here we discuss considerations analogous to minimal flavour violation (MFV) in the context of SU(5)-unification, showing the new effects/constraints that arise both in the quark and in the lepton sector, where quantitative statements can be made controlled by the CKM matrix elements. The case of supersymmetry is examined in detail as a particularly motivated example. Third generation sleptons and neutralinos in the few hundred GeV range are shown to be compatible with current constraints.

  19. Minimally invasive techniques in Acoustic Neurinoma Microneurosurgery

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The present report should summarize our experience using minimally invasive techniques in acoustic neurinoma surgery at the Neurosurgical Department,University of Vienna,Austria .Based on the experience of about 687 cases ub a 20year time period our mostly used techniques will be presented. This is a minimal innvasive individual adapted approach,specified intraoperative strategy and dissection tech-niques (e.g.water jet dissection,ultrasonic aspirator CUSA),the use of neuronavigational systems and the use of endoscope assisted surgery.With respect to the Limited space of place precise citations to further textbooks of the authors handling with this topic will be given. Finally our results using these techniques are presented and further future perspectives in the treatment of these pathology(radiosurgery)will be dis-cussed.

  20. Minimally disruptive schedule repair for MCM missions

    Science.gov (United States)

    Molineaux, Matthew; Auslander, Bryan; Moore, Philip G.; Gupta, Kalyan M.

    2015-05-01

    Mine countermeasures (MCM) missions entail planning and operations in very dynamic and uncertain operating environments, which pose considerable risk to personnel and equipment. Frequent schedule repairs are needed that consider the latest operating conditions to keep mission on target. Presently no decision support tools are available for the challenging task of MCM mission rescheduling. To address this capability gap, we have developed the CARPE system to assist operation planners. CARPE constantly monitors the operational environment for changes and recommends alternative repaired schedules in response. It includes a novel schedule repair algorithm called Case-Based Local Schedule Repair (CLOSR) that automatically repairs broken schedules while satisfying the requirement of minimal operational disruption. It uses a case-based approach to represent repair strategies and apply them to new situations. Evaluation of CLOSR on simulated MCM operations demonstrates the effectiveness of case-based strategy. Schedule repairs are generated rapidly, ensure the elimination of all mines, and achieve required levels of clearance.

  1. 小儿肠套叠(附385例临床分析)%Intussusception in Children:An Analysis of 385 Cases

    Institute of Scientific and Technical Information of China (English)

    宋育麟; 江泽熙; 李民驹; 罗正利

    1983-01-01

    From Jan.,1978 to Dec.,1982,385 children suffering from intussusception,(accounting for 16.55% of acute abdomen cases of the same period) were treated in our hospital.of 348 cases treated with rectal inflation,233 were reduced,with a cure rate of 66.95%.Perforation occurred in 8 cases during the procedure,which was repaired by immediate operation.Surgical intervention was indicated in 152 cases.The operations included manual reduction (103 cases,making up 6.78%),intestinal resection followed by end-to-end anastomosis (25 cases,16.44%) and intestinal resection with enterostomy (24 cases,15.78%).The mortality was 3.94%.In addition,the authors give an accentuated discussion about the early diagnosis,indications to rectal inflation and the problem of inflation pressure.The authors also note that intestinal resection should be imminent wherever its vitality recovery hangs in balance.Accoraing to the authors.rectal infla tion is safe for the diagnosis and treatment of intussusception.%@@ 小儿肠套叠占我院同期小儿急腹症总数2,326例的16.55%.现将1978年1月~1982年12月收治的小儿肠套叠385例(不包括门诊结肠注气治愈病例)总结分析如下.

  2. Minimal Marking: A Success Story

    Directory of Open Access Journals (Sweden)

    Anne McNeilly

    2014-11-01

    Full Text Available The minimal-marking project conducted in Ryerson’s School of Journalism throughout 2012 and early 2013 resulted in significantly higher grammar scores in two first-year classes of minimally marked university students when compared to two traditionally marked classes. The “minimal-marking” concept (Haswell, 1983, which requires dramatically more student engagement, resulted in more successful learning outcomes for surface-level knowledge acquisition than the more traditional approach of “teacher-corrects-all.” Results suggest it would be effective, not just for grammar, punctuation, and word usage, the objective here, but for any material that requires rote-memory learning, such as the Associated Press or Canadian Press style rules used by news publications across North America.

  3. Minimal-change disease secondary to etanercept.

    Science.gov (United States)

    Koya, Mariko; Pichler, Raimund; Jefferson, J Ashley

    2012-10-01

    Etanercept is a soluble tumor necrosis factor alpha (TNFα) receptor which is widely used in the treatment of rheumatoid arthritis, psoriasis and other autoimmune inflammatory disorders. It is known for its relative lack of nephrotoxicity; however, there are reports on the development of nephrotic syndrome associated with the treatment with TNFα antagonists. Here, we describe a patient with psoriasis who developed biopsy-proven minimal-change disease (MCD) shortly after initiating etanercept. Our case is unique in that the MCD resolved after discontinuation of this medication, notably without the use of corticosteroids, strongly suggesting a drug-related phenomenon.

  4. Consistency of non-minimal renormalisation schemes

    CERN Document Server

    Jack, I

    2016-01-01

    Non-minimal renormalisation schemes such as the momentum subtraction scheme (MOM) have frequently been used for physical computations. The consistency of such a scheme relies on the existence of a coupling redefinition linking it to MSbar. We discuss the implementation of this procedure in detail for a general theory and show how to construct the relevant redefinition up to three-loop order, for the case of a general theory of fermions and scalars in four dimensions and a general scalar theory in six dimensions.

  5. Asymptotic Safety, Emergence and Minimal Length

    CERN Document Server

    Percacci, R

    2010-01-01

    There seems to be a common prejudice that asymptotic safety is either incompatible with, or at best unrelated to, the other topics in the title. This is not the case. In fact, we show that 1) the existence of a fixed point with suitable properties is a promising way of deriving emergent properties of gravity, and 2) there is a precise sense in which asymptotic safety implies a minimal length. In so doing we also discuss possible signatures of asymptotic safety in scattering experiments.

  6. Minimally Invasive Approach of a Retrocaval Ureter

    Science.gov (United States)

    Pinheiro, Hugo; Ferronha, Frederico; Morales, Jorge; Campos Pinheiro, Luís

    2016-01-01

    The retrocaval ureter is a rare congenital entity, classically managed with open pyeloplasty techniques. The experience obtained with the laparoscopic approach of other more frequent causes of ureteropelvic junction (UPJ) obstruction has opened the method for the minimally invasive approach of the retrocaval ureter. In our paper, we describe a clinical case of a right retrocaval ureter managed successfully with laparoscopic dismembered pyeloplasty. The main standpoints of the procedure are described. Our results were similar to others published by other urologic centers, which demonstrates the safety and feasibility of the procedure for this condition. PMID:27635277

  7. Minimal model for spoof acoustoelastic surface states

    Energy Technology Data Exchange (ETDEWEB)

    Christensen, J., E-mail: jochri@fotonik.dtu.dk; Willatzen, M. [Department of Photonics Engineering, Technical University of Denmark, DK-2800 Kgs. Lyngby (Denmark); Liang, Z. [College of Electronic Science and Technology, Shenzhen University, Shenzhen (China)

    2014-12-15

    Similar to textured perfect electric conductors for electromagnetic waves sustaining artificial or spoof surface plasmons we present an equivalent phenomena for the case of sound. Aided by a minimal model that is able to capture the complex wave interaction of elastic cavity modes and airborne sound radiation in perfect rigid panels, we construct designer acoustoelastic surface waves that are entirely controlled by the geometrical environment. Comparisons to results obtained by full-wave simulations confirm the feasibility of the model and we demonstrate illustrative examples such as resonant transmissions and waveguiding to show a few examples of many where spoof elastic surface waves are useful.

  8. Minimal model for spoof acoustoelastic surface states

    Directory of Open Access Journals (Sweden)

    J. Christensen

    2014-12-01

    Full Text Available Similar to textured perfect electric conductors for electromagnetic waves sustaining artificial or spoof surface plasmons we present an equivalent phenomena for the case of sound. Aided by a minimal model that is able to capture the complex wave interaction of elastic cavity modes and airborne sound radiation in perfect rigid panels, we construct designer acoustoelastic surface waves that are entirely controlled by the geometrical environment. Comparisons to results obtained by full-wave simulations confirm the feasibility of the model and we demonstrate illustrative examples such as resonant transmissions and waveguiding to show a few examples of many where spoof elastic surface waves are useful.

  9. Minimal model for spoof acoustoelastic surface states

    DEFF Research Database (Denmark)

    Christensen, Johan; Liang, Z.; Willatzen, Morten

    2014-01-01

    Similar to textured perfect electric conductors for electromagnetic waves sustaining artificial or spoof surface plasmons we present an equivalent phenomena for the case of sound. Aided by a minimal model that is able to capture the complex wave interaction of elastic cavity modes and airborne...... sound radiation in perfect rigid panels, we construct designer acoustoelastic surface waves that are entirely controlled by the geometrical environment. Comparisons to results obtained by full-wave simu- lations confirm the feasibility of the model and we demonstrate illustrative examples...

  10. Two-Higgs Leptonic Minimal Flavour Violation

    CERN Document Server

    Botella, F J; Nebot, M; Rebelo, M N

    2011-01-01

    We construct extensions of the Standard Model with two Higgs doublets, where there are flavour changing neutral currents both in the quark and leptonic sectors, with their strength fixed by the fermion mixing matrices $V_{CKM}$ and $V_{PMNS}$. These models are an extension to the leptonic sector of the class of models previously considered by Branco, Grimus and Lavoura, for the quark sector. We consider both the cases of Dirac and Majorana neutrinos and identify the minimal discrete symmetry required in order to implement the models in a natural way.

  11. On minimalism in architecture - space as experience

    Directory of Open Access Journals (Sweden)

    Vasilski Dragana

    2016-01-01

    Full Text Available Architecture has to be experienced to be understood. The complexity of the experience is seen through a better understanding of the relationship between objectivity (architecture and subjectivity (our life. Being physically, emotionally and psychologically aware of the space we occupy is an experience that could be described as being present, which is a sensation that is personal and difficult to explicitly describe. Research into experience through perception and emotion positions architecture within scientific fields, in particular psychological disciplines. Relying on the standpoints of Immanuel Kant, the paper considers the juxtaposition between (minimalism in architecture and philosophy on the topic of experience. Starting from the basic aspects of perception and representation of the world around us, a thesis is presented in which the notions of silence and light as experienced in minimalism (in architecture are considered as adequate counterparts to Kant’s factors of experience - the awareness of the objective order of events and the impossibility to perceive time itself. Through a case study we verify the starting hypothesis on minimalism (in architecture whereby space becomes an experience of how the world touches us.

  12. Late de novo minimal change disease in a renal allograft

    Directory of Open Access Journals (Sweden)

    Madhan Krishan

    2009-01-01

    Full Text Available Among the causes of the nephrotic syndrome in renal allografts, minimal change disease is a rarity with only few cases described in the medical literature. Most cases described have occurred early in the post-transplant course. There is no established treatment for the condition but prognosis is favorable. We describe a case of minimal change disease that developed 8 years after a successful transplantation of a renal allograft in a middle-aged woman. The nephrotic syndrome was accompanied by deterioration of allograft function. Treatment with mycophenolate mofetil was successful in inducing remission and stabilizing allograft function.

  13. Late de novo minimal change disease in a renal allograft.

    Science.gov (United States)

    Madhan, Krishan K; Temple-Camp, Cynric R E

    2009-03-01

    Among the causes of the nephrotic syndrome in renal allografts, minimal change disease is a rarity with only few cases described in the medical literature. Most cases described have occurred early in the post-transplant course. There is no established treatment for the condition but prognosis is favorable. We describe a case of minimal change disease that developed 8 years after a successful transplantation of a renal allograft in a middle-aged woman. The nephrotic syndrome was accompanied by deterioration of allograft function. Treatment with mycophenolate mofetil was successful in inducing remission and stabilizing allograft function.

  14. Minimizing Symbol Error Rate for Cognitive Relaying with Opportunistic Access

    KAUST Repository

    Zafar, Ammar

    2012-12-29

    In this paper, we present an optimal resource allocation scheme (ORA) for an all-participate(AP) cognitive relay network that minimizes the symbol error rate (SER). The SER is derived and different constraints are considered on the system. We consider the cases of both individual and global power constraints, individual constraints only and global constraints only. Numerical results show that the ORA scheme outperforms the schemes with direct link only and uniform power allocation (UPA) in terms of minimizing the SER for all three cases of different constraints. Numerical results also show that the individual constraints only case provides the best performance at large signal-to-noise-ratio (SNR).

  15. Loop transfer recovery with minimal-order observers

    DEFF Research Database (Denmark)

    Søgaard-Andersen, Per

    1987-01-01

    A solution to the problem of loop transfer recovery with minimal order observers is obtained for the control loop broken at the plant input. Three distinct cases are treated - depending on the properties of the first Markov parameter of the plant model. For two of these cases a LQG-type design...

  16. Minimal Flavor Constraints for Technicolor

    DEFF Research Database (Denmark)

    Sakuma, Hidenori; Sannino, Francesco

    2010-01-01

    We analyze the constraints on the the vacuum polarization of the standard model gauge bosons from a minimal set of flavor observables valid for a general class of models of dynamical electroweak symmetry breaking. We will show that the constraints have a strong impact on the self-coupling and mas...

  17. Dubin's Minimal Linkage Construct Revisited.

    Science.gov (United States)

    Rogers, Donald P.

    This paper contains a theoretical analysis and empirical study that support the major premise of Robert Dubin's minimal-linkage construct-that restricting communication links increases organizational stability. The theoretical analysis shows that fewer communication links are associated with less uncertainty, more redundancy, and greater…

  18. Minimal Surfaces for Hitchin Representations

    DEFF Research Database (Denmark)

    Li, Qiongling; Dai, Song

    2016-01-01

    Given a reductive representation $\\rho: \\pi_1(S)\\rightarrow G$, there exists a $\\rho$-equivariant harmonic map $f$ from the universal cover of a fixed Riemann surface $\\Sigma$ to the symmetric space $G/K$ associated to $G$. If the Hopf differential of $f$ vanishes, the harmonic map is then minimal...

  19. Acquiring minimally invasive surgical skills

    NARCIS (Netherlands)

    Hiemstra, Ellen

    2012-01-01

    Many topics in surgical skills education have been implemented without a solid scientific basis. For that reason we have tried to find this scientific basis. We have focused on training and evaluation of minimally invasive surgical skills in a training setting and in practice in the operating room.

  20. What is minimally invasive dentistry?

    Science.gov (United States)

    Ericson, Dan

    2004-01-01

    Minimally Invasive Dentistry is the application of "a systematic respect for the original tissue." This implies that the dental profession recognizes that an artifact is of less biological value than the original healthy tissue. Minimally invasive dentistry is a concept that can embrace all aspects of the profession. The common delineator is tissue preservation, preferably by preventing disease from occurring and intercepting its progress, but also removing and replacing with as little tissue loss as possible. It does not suggest that we make small fillings to restore incipient lesions or surgically remove impacted third molars without symptoms as routine procedures. The introduction of predictable adhesive technologies has led to a giant leap in interest in minimally invasive dentistry. The concept bridges the traditional gap between prevention and surgical procedures, which is just what dentistry needs today. The evidence-base for survival of restorations clearly indicates that restoring teeth is a temporary palliative measure that is doomed to fail if the disease that caused the condition is not addressed properly. Today, the means, motives and opportunities for minimally invasive dentistry are at hand, but incentives are definitely lacking. Patients and third parties seem to be convinced that the only things that count are replacements. Namely, they are prepared to pay for a filling but not for a procedure that can help avoid having one.

  1. On Minimal Norms on Mn

    Directory of Open Access Journals (Sweden)

    Madjid Mirzavaziri

    2007-01-01

    norms ‖⋅‖1 and ‖⋅‖2 on ℂn such that N(A=max{‖Ax‖2:‖x‖1=1, x∈ℂn} for all A∈ℳn. This may be regarded as an extension of a known result on characterization of minimal algebra norms.

  2. Implications of minimally invasive therapy

    NARCIS (Netherlands)

    Banta, H.D.; Schersten, T.; Jonsson, E.

    1993-01-01

    The field of minimally invasive therapy (MIT) raises many important issues for the future of health care. It seems inevitable that MIT will replace much conventional surgery. This trend is good for society and good for patients. The health care system, however, may find the change disruptive. The

  3. Local Risk-Minimization for Defaultable Claims with Recovery Process

    Energy Technology Data Exchange (ETDEWEB)

    Biagini, Francesca, E-mail: biagini@mathematik.uni-muenchen.de [LMU, Department of Mathematics (Germany); Cretarola, Alessandra, E-mail: alessandra.cretarola@dmi.unipg.it [Universita degli Studi di Perugia, Dipartimento di Matematica e Informatica (Italy)

    2012-06-15

    We study the local risk-minimization approach for defaultable claims with random recovery at default time, seen as payment streams on the random interval [0,{tau} Logical-And T], where T denotes the fixed time-horizon. We find the pseudo-locally risk-minimizing strategy in the case when the agent information takes into account the possibility of a default event (local risk-minimization with G-strategies) and we provide an application in the case of a corporate bond. We also discuss the problem of finding a pseudo-locally risk-minimizing strategy if we suppose the agent obtains her information only by observing the non-defaultable assets.

  4. Clarithromycin-induced acute interstitial nephritis and minimal change disease

    OpenAIRE

    Russell, Wendy; Smith, William

    2009-01-01

    Drug associated acute interstitial nephritis and minimal change disease has been well documented but the simultaneous presentation of both is rare and has not been reported with clarithromycin. We describe a case of simultaneous acute tubulointerstitial nephritis and minimal change disease induced by clarithromycin. The patient had acute kidney injury, nephrotic syndrome, eosinophilic pneumonitis and a maculopapular skin rash. The role of steroid therapy in acute interstitial nephritis is con...

  5. A minimally invasive approach for a compromised treatment plan.

    Science.gov (United States)

    Maibaum, Wayne W

    2016-01-01

    A primary goal in dentistry is the execution of appropriate treatment plans that are minimally invasive and maintainable. However, it is sometimes necessary to repair existing dental restorations or revise treatment plans to accommodate changes in a patient's condition. In the present case, a patient who was satisfied with a removable partial overdenture lost a critical abutment tooth. A creative, minimally invasive approach enabled the patient to keep his existing partial prosthesis and avoid the need for a full reconstruction or complete denture.

  6. Clarithromycin-induced acute interstitial nephritis and minimal change disease.

    Science.gov (United States)

    Russell, Wendy; Smith, William

    2009-10-01

    Drug associated acute interstitial nephritis and minimal change disease has been well documented but the simultaneous presentation of both is rare and has not been reported with clarithromycin. We describe a case of simultaneous acute tubulointerstitial nephritis and minimal change disease induced by clarithromycin. The patient had acute kidney injury, nephrotic syndrome, eosinophilic pneumonitis and a maculopapular skin rash. The role of steroid therapy in acute interstitial nephritis is controversial but is accepted as beneficial in minimal change nephrotic syndrome. Steroid therapy in our patient resulted in complete clinical resolution.

  7. An Aristotelian account of minimal chemical life.

    Science.gov (United States)

    Bedau, Mark A

    2010-12-01

    This paper addresses the open philosophical and scientific problem of explaining and defining life. This problem is controversial, and there is nothing approaching a consensus about what life is. This raises a philosophical meta-question: Why is life so controversial and so difficult to define? This paper proposes that we can attribute a significant part of the controversy over life to use of a Cartesian approach to explaining life, which seeks necessary and sufficient conditions for being an individual living organism, out of the context of other organisms and the abiotic environment. The Cartesian approach contrasts with an Aristotelian approach to explaining life, which considers life only in the whole context in which it actually exists, looks at the characteristic phenomena involving actual life, and seeks the deepest and most unified explanation for those phenomena. The phenomena of life might be difficult to delimit precisely, but it certainly includes life's characteristic hallmarks, borderline cases, and puzzles. The Program-Metabolism-Container (PMC) model construes minimal chemical life as a functionally integrated triad of chemical systems, which are identified as the Program, Metabolism, and Container. Rasmussen diagrams precisely depict the functional definition of minimal chemical life. The PMC model illustrates the Aristotelian approach to life, because it explains eight of life's hallmarks, one of life's borderline cases (the virus), and two of life's puzzles.

  8. An Aristotelian Account of Minimal Chemical Life

    Science.gov (United States)

    Bedau, Mark A.

    2010-12-01

    This paper addresses the open philosophical and scientific problem of explaining and defining life. This problem is controversial, and there is nothing approaching a consensus about what life is. This raises a philosophical meta-question: Why is life so controversial and so difficult to define? This paper proposes that we can attribute a significant part of the controversy over life to use of a Cartesian approach to explaining life, which seeks necessary and sufficient conditions for being an individual living organism, out of the context of other organisms and the abiotic environment. The Cartesian approach contrasts with an Aristotelian approach to explaining life, which considers life only in the whole context in which it actually exists, looks at the characteristic phenomena involving actual life, and seeks the deepest and most unified explanation for those phenomena. The phenomena of life might be difficult to delimit precisely, but it certainly includes life's characteristic hallmarks, borderline cases, and puzzles. The Program-Metabolism-Container (PMC) model construes minimal chemical life as a functionally integrated triad of chemical systems, which are identified as the Program, Metabolism, and Container. Rasmussen diagrams precisely depict the functional definition of minimal chemical life. The PMC model illustrates the Aristotelian approach to life, because it explains eight of life's hallmarks, one of life's borderline cases (the virus), and two of life's puzzles.

  9. Minimally invasive approach of panfacial fractures

    Directory of Open Access Journals (Sweden)

    Yudi Wijaya

    2017-08-01

    Full Text Available Background. Panfacial fractures involves fractures of several bones of face. They are associated with malocclusion, dish face deformity, enopthalmos, diplopia, cerebrospinal fluid leak and soft tissue injuries. Purpose. The purpose of this paper is to present a case of minimizing surgical wound and morbidity. Case. A 40 year old female presented with severe maxillofacial injuries caused by motor vehicle collisions about 5 days prior to admission. The assessment of the patient is mild head injury, panfacial fractures, lacerated wound at face,  rupture of globe of occular sinistra. An open reduction and internal fixation  (ORIF and enucleation of globe occular sinistra was performed.  Intraoral vestibular incision is made in the upper and lower vestibular region. Mucoperiosteal flap elevation of vestibular will exposure of the anterior maxilla and mandibular fractures. Intermaksilary fixation within 3 week and restore aesthetic with prosthesis fitting eyeball and denture. Discusion. The goal of  treatment of  panfacial fracture is to restore both the functions and pre-injury 3-dimensional facial contours. To achieve this goal two common  sequences of management of Panfacial fractures are proposed, “Bottom up and inside out” or “Top down and outside in”. Other sequences exist but there are variations of these two major approaches. Conclusion. A minimally invasive approach to  the fracture site is an alternative method  to manage panfacial fracture with a simple, effective and lower complication rate.

  10. Harm minimization among teenage drinkers

    DEFF Research Database (Denmark)

    Jørgensen, Morten Hulvej; Curtis, Tine; Christensen, Pia Haudrup

    2007-01-01

    AIM: To examine strategies of harm minimization employed by teenage drinkers. DESIGN, SETTING AND PARTICIPANTS: Two periods of ethnographic fieldwork were conducted in a rural Danish community of approximately 2000 inhabitants. The fieldwork included 50 days of participant observation among 13......-16-year-olds (n = 93) as well as 26 semistructured interviews with small self-selected friendship groups of 15-16-year-olds (n = 32). FINDINGS: The teenagers participating in the present study were more concerned about social than health risks. The informants monitored their own level of intoxication....... In regulating the social context of drinking they relied on their personal experiences more than on formalized knowledge about alcohol and harm, which they had learned from prevention campaigns and educational programmes. CONCLUSIONS: In this study we found that teenagers may help each other to minimize alcohol...

  11. A Minimally Symmetric Higgs Boson

    CERN Document Server

    Low, Ian

    2014-01-01

    Models addressing the naturalness of a light Higgs boson typically employ symmetries, either bosonic or fermionic, to stabilize the Higgs mass. We consider a setup with the minimal amount of symmetries: four shift symmetries acting on the four components of the Higgs doublet, subject to the constraints of linearly realized SU(2)xU(1) electroweak symmetry. Up to terms that explicitly violate the shift symmetries, the effective lagrangian can be derived, irrespective of the spontaneously broken group G in the ultraviolet, and is universal in all models where the Higgs arises as a pseudo-Nambu-Goldstone boson (PNGB). Very high energy scatterings of vector bosons could provide smoking gun signals of a minimally symmetric Higgs boson.

  12. Consistency of trace norm minimization

    CERN Document Server

    Bach, Francis

    2007-01-01

    Regularization by the sum of singular values, also referred to as the trace norm, is a popular technique for estimating low rank rectangular matrices. In this paper, we extend some of the consistency results of the Lasso to provide necessary and sufficient conditions for rank consistency of trace norm minimization with the square loss. We also provide an adaptive version that is rank consistent even when the necessary condition for the non adaptive version is not fulfilled.

  13. Principle of minimal work fluctuations.

    Science.gov (United States)

    Xiao, Gaoyang; Gong, Jiangbin

    2015-08-01

    Understanding and manipulating work fluctuations in microscale and nanoscale systems are of both fundamental and practical interest. For example, in considering the Jarzynski equality 〈e-βW〉=e-βΔF, a change in the fluctuations of e-βW may impact how rapidly the statistical average of e-βW converges towards the theoretical value e-βΔF, where W is the work, β is the inverse temperature, and ΔF is the free energy difference between two equilibrium states. Motivated by our previous study aiming at the suppression of work fluctuations, here we obtain a principle of minimal work fluctuations. In brief, adiabatic processes as treated in quantum and classical adiabatic theorems yield the minimal fluctuations in e-βW. In the quantum domain, if a system initially prepared at thermal equilibrium is subjected to a work protocol but isolated from a bath during the time evolution, then a quantum adiabatic process without energy level crossing (or an assisted adiabatic process reaching the same final states as in a conventional adiabatic process) yields the minimal fluctuations in e-βW, where W is the quantum work defined by two energy measurements at the beginning and at the end of the process. In the classical domain where the classical work protocol is realizable by an adiabatic process, then the classical adiabatic process also yields the minimal fluctuations in e-βW. Numerical experiments based on a Landau-Zener process confirm our theory in the quantum domain, and our theory in the classical domain explains our previous numerical findings regarding the suppression of classical work fluctuations [G. Y. Xiao and J. B. Gong, Phys. Rev. E 90, 052132 (2014)].

  14. Risk minimization and portfolio diversification

    OpenAIRE

    Farzad Pourbabaee; Minsuk Kwak; Traian A. Pirvu

    2014-01-01

    We consider the problem of minimizing capital at risk in the Black-Scholes setting. The portfolio problem is studied given the possibility that a correlation constraint between the portfolio and a financial index is imposed. The optimal portfolio is obtained in closed form. The effects of the correlation constraint are explored; it turns out that this portfolio constraint leads to a more diversified portfolio.

  15. Outcomes After Minimally Invasive Esophagectomy

    Science.gov (United States)

    Luketich, James D.; Pennathur, Arjun; Awais, Omar; Levy, Ryan M.; Keeley, Samuel; Shende, Manisha; Christie, Neil A.; Weksler, Benny; Landreneau, Rodney J.; Abbas, Ghulam; Schuchert, Matthew J.; Nason, Katie S.

    2014-01-01

    Background Esophagectomy is a complex operation and is associated with significant morbidity and mortality. In an attempt to lower morbidity, we have adopted a minimally invasive approach to esophagectomy. Objectives Our primary objective was to evaluate the outcomes of minimally invasive esophagectomy (MIE) in a large group of patients. Our secondary objective was to compare the modified McKeown minimally invasive approach (videothoracoscopic surgery, laparoscopy, neck anastomosis [MIE-neck]) with our current approach, a modified Ivor Lewis approach (laparoscopy, videothoracoscopic surgery, chest anastomosis [MIE-chest]). Methods We reviewed 1033 consecutive patients undergoing MIE. Elective operation was performed on 1011 patients; 22 patients with nonelective operations were excluded. Patients were stratified by surgical approach and perioperative outcomes analyzed. The primary endpoint studied was 30-day mortality. Results The MIE-neck was performed in 481 (48%) and MIE-Ivor Lewis in 530 (52%). Patients undergoing MIE-Ivor Lewis were operated in the current era. The median number of lymph nodes resected was 21. The operative mortality was 1.68%. Median length of stay (8 days) and ICU stay (2 days) were similar between the 2 approaches. Mortality rate was 0.9%, and recurrent nerve injury was less frequent in the Ivor Lewis MIE group (P < 0.001). Conclusions MIE in our center resulted in acceptable lymph node resection, postoperative outcomes, and low mortality using either an MIE-neck or an MIE-chest approach. The MIE Ivor Lewis approach was associated with reduced recurrent laryngeal nerve injury and mortality of 0.9% and is now our preferred approach. Minimally invasive esophagectomy can be performed safely, with good results in an experienced center. PMID:22668811

  16. Minimal Length, Measurability and Gravity

    Directory of Open Access Journals (Sweden)

    Alexander Shalyt-Margolin

    2016-03-01

    Full Text Available The present work is a continuation of the previous papers written by the author on the subject. In terms of the measurability (or measurable quantities notion introduced in a minimal length theory, first the consideration is given to a quantum theory in the momentum representation. The same terms are used to consider the Markov gravity model that here illustrates the general approach to studies of gravity in terms of measurable quantities.

  17. Optimizing Processes to Minimize Risk

    Science.gov (United States)

    Loyd, David

    2017-01-01

    NASA, like the other hazardous industries, has suffered very catastrophic losses. Human error will likely never be completely eliminated as a factor in our failures. When you can't eliminate risk, focus on mitigating the worst consequences and recovering operations. Bolstering processes to emphasize the role of integration and problem solving is key to success. Building an effective Safety Culture bolsters skill-based performance that minimizes risk and encourages successful engagement.

  18. BDD Minimization for Approximate Computing

    OpenAIRE

    Soeken, Mathias; Grosse, Daniel; Chandrasekharan, Arun; Drechsler, Rolf

    2016-01-01

    We present Approximate BDD Minimization (ABM) as a problem that has application in approximate computing. Given a BDD representation of a multi-output Boolean function, ABM asks whether there exists another function that has a smaller BDD representation but meets a threshold w.r.t. an error metric. We present operators to derive approximated functions and present algorithms to exactly compute the error metrics directly on the BDD representation. An experimental evaluation demonstrates the app...

  19. Torsional Rigidity of Minimal Submanifolds

    DEFF Research Database (Denmark)

    Markvorsen, Steen; Palmer, Vicente

    2006-01-01

    We prove explicit upper bounds for the torsional rigidity of extrinsic domains of minimal submanifolds $P^m$ in ambient Riemannian manifolds $N^n$ with a pole $p$. The upper bounds are given in terms of the torsional rigidities of corresponding Schwarz symmetrizations of the domains in warped...... for the torsional rigidity are actually attained and give conditions under which the geometric average of the stochastic mean exit time for Brownian motion at infinity is finite....

  20. Reservoir Operation to Minimize Sedimentation

    Directory of Open Access Journals (Sweden)

    Dyah Ari Wulandari

    2013-10-01

    Full Text Available The Wonogiri Reservoir capacity decreases rapidly, caused by serious sedimentation problems. In 2007, JICA was proposed a sediment storage reservoir with a new spillway for the purpose of sediment flushing / sluicing from The Keduang River. Due to the change of reservoir storage and change of reservoir system, it requires a sustainable reservoir operation technique. This technique is aimed to minimize the deviation between the input and output of sediments. The main objective of this study is to explore the optimal Wonogiri reservoir operation by minimizing the sediment trap. The CSUDP incremental dynamic programming procedure is used for the model optimization.  This new operating rules will also simulate a five years operation period, to show the effect of the implemented techniques. The result of the study are the newly developed reservoir operation system has many advantages when compared to the actual operation system and the disadvantage of this developed system is that the use is mainly designed for a wet hydrologic year, since its performance for the water supply is lower than the actual reservoir operations.Doi: 10.12777/ijse.6.1.16-23 [How to cite this article:  Wulandari, D.A., Legono, D., and Darsono, S., 2014. Reservoir Operation to Minimize Sedimentation. International Journal of Science and Engineering, 5(2,61-65. Doi: 10.12777/ijse.6.1.16-23] Normal 0 false false false EN-US X-NONE X-NONE

  1. Minimally invasive paediatric cardiac surgery.

    Science.gov (United States)

    Bacha, Emile; Kalfa, David

    2014-01-01

    The concept of minimally invasive surgery for congenital heart disease in paediatric patients is broad, and has the aim of reducing the trauma of the operation at each stage of management. Firstly, in the operating room using minimally invasive incisions, video-assisted thoracoscopic and robotically assisted surgery, hybrid procedures, image-guided intracardiac surgery, and minimally invasive cardiopulmonary bypass strategies. Secondly, in the intensive-care unit with neuroprotection and 'fast-tracking' strategies that involve early extubation, early hospital discharge, and less exposure to transfused blood products. Thirdly, during postoperative mid-term and long-term follow-up by providing the children and their families with adequate support after hospital discharge. Improvement of these strategies relies on the development of new devices, real-time multimodality imaging, aids to instrument navigation, miniaturized and specialized instrumentation, robotic technology, and computer-assisted modelling of flow dynamics and tissue mechanics. In addition, dedicated multidisciplinary co-ordinated teams involving congenital cardiac surgeons, perfusionists, intensivists, anaesthesiologists, cardiologists, nurses, psychologists, and counsellors are needed before, during, and after surgery to go beyond apparent technological and medical limitations with the goal to 'treat more while hurting less'.

  2. RADIAL MINIMIZER OF P-GINZBURG-LANDAU FUNCTIONAL WITH A WEIGHT

    Institute of Scientific and Technical Information of China (English)

    Lei Yutian

    2004-01-01

    The author discusses the asymptotic behavior of the radial minimizer of the p-Ginzburg-Landau functional with a weight in the case p > n ≥ 2. The location of the zeros and the uniqueness of the radial minimizer are derived. Moreover, the W1,p convergence of the radial minimizer of this functional is proved.

  3. Minimally invasive percutaneous nephrolithotomy for the treatment of upper ureteral calculi:A Report of 216 cases%微创经皮肾镜取石术治疗输尿管上段结石216例

    Institute of Scientific and Technical Information of China (English)

    马宇杰; 黄志远; 杨建设; 张毅; 王威; 何育霖

    2010-01-01

    目的 探讨微创经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy,MPCNL)治疗输尿管上段结石的疗效.方法 2004年7月至2010年1月对采用MPCNL治疗的216例输尿管上段结石患者的临床资料进行回顾性分析.结果 216例均为一期取石,结石清除率98.5%,平均手术时间70 min,术中平均估计出血量50 ml,无严重并发症发生.结论 MPCNL治疗输尿管上段结石,结石清除率高,创伤小,出血少,恢复快,安全有效.

  4. Multiple healthcare-associated infections in a patient with Crohn's disease: Case report

    Directory of Open Access Journals (Sweden)

    Jorge Bélem Oliveira Júnior

    2016-07-01

    Full Text Available Background and Objective: Healthcare-associated infections (HAIs are the main cause of death in hospitalized individuals worldwide, related with preexisting disease and invasive procedures. The present study aimed to identify the microorganisms in a immunosuppressed patient and their antimicrobial resistance profile. Case report: A 33-year-old man with Crohn's disease was admitted in a hospital for an enterostomy and cholecystectomy, with postoperative fever and gastrointestinal bleeding. Infections of the urinary tract, into the bloodstream and associated with vascular catheter were evaluated by collect of urine, blood and secretions from catheter tips, individually plated on specific media for direct identification and antibiogram in VITEK® 2. Two different vascular catheters samples and a hemoculture revealed Staphylococcus aureus strains β-lactamases producers, with macrolide-lincosamide-streptogramin B (MLS B and methicillin resistance phenotypes (MRSA, and one indication of VISA (Vancomycin-intermediate S. aureus. Pseudomonas aeruginosa and P. luteola were detected in catheter tips with different resistance profile, whereas Trichosporon asahii and Klebsiella pneumonia (ciprofloxacin/levofloxacin resistant were isolated from urine. Amikacin, meropenem polymyxin B, piperacillin/tazobactam, ciprofloxacin, cefepime and amphotericin B were administered to this patient. Conclusions: The patient survived even after multiple infections with pathogens usually envolved in HAIs and mortality in brazilian hospitals.

  5. Gastric bezoar after Roux-en-Y gastric bypass for morbid obesity: A case report

    Science.gov (United States)

    Ertugrul, Ismail; Tardum Tardu, Ali; Tolan, Kerem; Kayaalp, Cuneyt; Karagul, Servet; Kirmizi, Serdar

    2016-01-01

    Introduction We aimed to present a patient with gastric pouch bezoar after having a bariatric surgery. Presentation of case Sixty-three years old morbid obese female had a laparoscopic Roux-en-Y gastric bypass surgery 14 months ago. She has lost 88% of her excess body mass index; but started to suffer from nausea, abdominal distention and vomiting lately, especially for the last two months. The initial evaluation by endoscopy, computed tomography (CT) and an upper gastrointestinal contrast series overlooked the pathology in the gastric pouch and did not display any abnormality. However, a second endoscopy revealed a 5 cm in diameter phytobezoar in the gastric pouch which was later endoscopically removed. After the bezoar removal, her complaints relieved completely. Discussion The gastric bezoars may be confused with the other pathologies because of the dyspeptic complaints of these patients. The patients that had a bariatric surgery; are more prone to bezoar formation due to their potential eating disorders and because of the gastro-enterostomy made to a small gastric pouch after the Roux-en-Y gastric bypass surgery. Conclusion Possibility of a bezoar formation should be kept in mind in Roux-en-Y gastric bypass patients who has nausea and vomiting complaints. Removal of the bezoar provides a dramatic improvement in the complaints of these patients. PMID:27107501

  6. Minimal lepton flavor violating realizations of minimal seesaw models

    CERN Document Server

    Sierra, Diego Aristizabal; Kamenik, Jernej F

    2012-01-01

    We study the implications of the global U(1)R symmetry present in minimal lepton flavor violating implementations of the seesaw mechanism for neutrino masses. In the context of minimal type I seesaw scenarios with a slightly broken U(1)R, we show that, depending on the R-charge assignments, two classes of generic models can be identified. Models where the right-handed neutrino masses and the lepton number breaking scale are decoupled, and models where the parameters that slightly break the U(1)R induce a suppression in the light neutrino mass matrix. We show that within the first class of models, contributions of right-handed neutrinos to charged lepton flavor violating processes are severely suppressed. Within the second class of models we study the charged lepton flavor violating phenomenology in detail, focusing on mu to e gamma, mu to 3e and mu to e conversion in nuclei. We show that sizable contributions to these processes are naturally obtained for right-handed neutrino masses at the TeV scale. We then ...

  7. Leptonic minimal flavour violation in warped extra dimensions

    Indian Academy of Sciences (India)

    Abhishek M Iyer; Sudhir K Vempati

    2012-10-01

    Lepton mass hierarchies and lepton flavour violation are revisited in the framework of Randall–Sundrum models. Models with Dirac-type as well as Majorana-type neutrinos are considered. The five-dimensional -parameters are fit to the charged lepton and neutrino masses and mixings using 2 minimization. Leptonic flavour violation is shown to be large in these cases. Schemes of minimal flavour violation are considered for the cases of an effective LLHH operator and Dirac neutrinos and are shown to significantly reduce the limits from lepton flavour violation.

  8. Treatment of 50 Cases with Congenial Heart Disease by Minimal Invasive Surgery%微创心脏手术治疗先天性心脏病50例临床分析

    Institute of Scientific and Technical Information of China (English)

    裴韶华; 缪华新; 姚俊红

    2012-01-01

    Objective:To explore the clinical efficacy of the minimally invasive cardiac surgery to treat the congenial heart disease . Methods: The clinical data of 50 patients who accepted the minimally invasive car -diac surgery were retrospectively summarized . Among them ,20 in 21 VSD ( Ventricular Septal Defect ) patients accepted the interference shutoff operation , 1 VSD patient underwent the repair operation under right oxter little incision. 18 PDA( Patent duktus arteriosus ) patients accepted the interference shutoff operation ; 6 in 10 ASD (atrial septal defect) patients accepted the interference shutoff operation under the UCG (cardiac color ultra-sonography) bedside with little incision. Those patients were central ASD. The rest ASD patients with ASD diameter beyond 30mm accepted the repair operation via cardiopulmonary bypass without heartbeat halted under right oxter little incision. 1 aortic sinus hump patient accepted the operation of interference shutoff operation un -der the fiuoroscopy. Results:All patients were alive. 50 patients were followed up 2 ~6 months. All patients had no cardiac souffi e and the remnants of detour. All heart functions were Grade I and the effect was satisfy -ing. Conclusions : Little incision and interference shutoff operation have the superiority of little incision ( or no incision) ,less bleeding ,less time in hospital, minimally invasive surgery and good shape . Therefore, this operation formula has wide prospect.%目的:探讨微创心脏手术(MICS)治疗先天性心脏病的临床疗效.方法:采用微创心脏手术中小切口和介入封堵术治疗先天性心脏病患者50例.21例VSD中20例在电透下行介入封堵术,1例封堵失败改行右腋下小切口体外循环下修补术;18例PDA全部行介入封堵术;10例ASD中,6例中央型行小切口直视下配合床边心超封堵术,4例非中央型或长径在30 mm以上病例行右腋下小切口体外循环心脏不停跳下修补术; 1例主动脉窦瘤在

  9. Minimal families of curves on surfaces

    KAUST Repository

    Lubbes, Niels

    2014-11-01

    A minimal family of curves on an embedded surface is defined as a 1-dimensional family of rational curves of minimal degree, which cover the surface. We classify such minimal families using constructive methods. This allows us to compute the minimal families of a given surface.The classification of minimal families of curves can be reduced to the classification of minimal families which cover weak Del Pezzo surfaces. We classify the minimal families of weak Del Pezzo surfaces and present a table with the number of minimal families of each weak Del Pezzo surface up to Weyl equivalence.As an application of this classification we generalize some results of Schicho. We classify algebraic surfaces that carry a family of conics. We determine the minimal lexicographic degree for the parametrization of a surface that carries at least 2 minimal families. © 2014 Elsevier B.V.

  10. Minimally invasive PCNL-MIP.

    Science.gov (United States)

    Zanetti, Stefano Paolo; Boeri, Luca; Gallioli, Andrea; Talso, Michele; Montanari, Emanuele

    2017-01-01

    Miniaturized percutaneous nephrolithotomy (mini-PCNL) has increased in popularity in recent years and is now widely used to overcome the therapeutic gap between conventional PCNL and less-invasive procedures such as shock wave lithotripsy (SWL) or flexible ureterorenoscopy (URS) for the treatment of renal stones. However, despite its minimally invasive nature, the superiority in terms of safety, as well as the similar efficacy of mini-PCNL compared to conventional procedures, is still under debate. The aim of this chapter is to present one of the most recent advancements in terms of mini-PCNL: the Karl Storz "minimally invasive PCNL" (MIP). A literature search for original and review articles either published or e-published up to December 2016 was performed using Google and the PubMed database. Keywords included: minimally invasive PCNL; MIP. The retrieved articles were gathered and examined. The complete MIP set is composed of different sized rigid metallic fiber-optic nephroscopes and different sized metallic operating sheaths, according to which the MIP is categorized into extra-small (XS), small (S), medium (M) and large (L). Dilation can be performed either in one-step or with a progressive technique, as needed. The reusable devices of the MIP and vacuum cleaner efect make PCNL with this set a cheap procedure. The possibility to shift from a small to a larger instrument within the same set (Matrioska technique) makes MIP a very versatile technique suitable for the treatment of almost any stone. Studies in the literature have shown that MIP is equally effective, with comparable rates of post-operative complications, as conventional PCNL, independently from stone size. MIP does not represent a new technique, but rather a combination of the last ten years of PCNL improvements in a single system that can transversally cover all available techniques in the panorama of percutaneous stone treatment.

  11. Minimal dispersion refractive index profiles.

    Science.gov (United States)

    Feit, M D

    1979-09-01

    The analogy between optics and quantum mechanics is exploited by considering a 2-D quantum system whose Schroedinger equation is closely related to the wave equation for light propagation in an optical fiber. From this viewpoint, Marcatili's condition for minimal-dispersion-refractive-index profiles, and the Olshansky- Keck formula for rms pulse spreading in an alpha-profile fiber may be derived without recourse to the WKB approximation. Besides affording physical insight into these results, the present approach points out a possible limitation in their application to real fibers.

  12. Minimal sets of Reidemeister moves

    CERN Document Server

    Polyak, Michael

    2009-01-01

    It is well known that any two diagrams representing the same oriented link are related by a finite sequence of Reidemeister moves O1, O2 and O3. Depending on orientations of fragments involved in the moves, one may distinguish 4 different versions of each of the O1 and O2 moves, and 8 versions of the O3 move. We introduce a minimal generating set of oriented Reidemeister moves, which includes two moves of types O1 and O2, and only one move of type O3. We then consider other sets of moves and show that only few of them generate all Reidemeister moves.

  13. About the ZOOM minimization package

    Energy Technology Data Exchange (ETDEWEB)

    Fischler, M.; Sachs, D.; /Fermilab

    2004-11-01

    A new object-oriented Minimization package is available for distribution in the same manner as CLHEP. This package, designed for use in HEP applications, has all the capabilities of Minuit, but is a re-write from scratch, adhering to modern C++ design principles. A primary goal of this package is extensibility in several directions, so that its capabilities can be kept fresh with as little maintenance effort as possible. This package is distinguished by the priority that was assigned to C++ design issues, and the focus on producing an extensible system that will resist becoming obsolete.

  14. Prepulse minimization in KALI-5000

    Science.gov (United States)

    Kumar, D. Durga Praveen; Mitra, S.; Senthil, K.; Sharma, Vishnu K.; Singh, S. K.; Roy, A.; Sharma, Archana; Nagesh, K. V.; Chakravarthy, D. P.

    2009-07-01

    A pulse power system (1 MV, 50 kA, and 100 ns) based on Marx generator and Blumlein pulse forming line has been built for generating high power microwaves. The Blumlein configuration poses a prepulse problem and hence the diode gap had to be increased to match the diode impedance to the Blumlein impedance during the main pulse. A simple method to eliminate prepulse voltage using a vacuum sparkgap and a resistor is given. Another fundamental approach of increasing the inductance of Marx generator to minimize the prepulse voltage is also presented. Experimental results for both of these configurations are given.

  15. Adoption of waste minimization technology to benefit electroplaters

    Energy Technology Data Exchange (ETDEWEB)

    Ching, E.M.K.; Li, C.P.H.; Yu, C.M.K. [Hong Kong Productivity Council, Kowloon (Hong Kong)

    1996-12-31

    Because of increasingly stringent environmental legislation and enhanced environmental awareness, electroplaters in Hong Kong are paying more heed to protect the environment. To comply with the array of environmental controls, electroplaters can no longer rely solely on the end-of-pipe approach as a means for abating their pollution problems under the particular local industrial environment. The preferred approach is to adopt waste minimization measures that yield both economic and environmental benefits. This paper gives an overview of electroplating activities in Hong Kong, highlights their characteristics, and describes the pollution problems associated with conventional electroplating operations. The constraints of using pollution control measures to achieve regulatory compliance are also discussed. Examples and case studies are given on some low-cost waste minimization techniques readily available to electroplaters, including dragout minimization and water conservation techniques. Recommendations are given as to how electroplaters can adopt and exercise waste minimization techniques in their operations. 1 tab.

  16. The Minimal Model of the Hypothalamic-Pituitary-Adrenal Axis

    DEFF Research Database (Denmark)

    Vinther, Frank; Andersen, Morten; Ottesen, Johnny T.

    2011-01-01

    thereof. The second part of the paper concerns a specific realization of the minimal model in which feedback functions are built explicitly using receptor dynamics. Using physiologically reasonable parameter values, along with the results of the general case, it is demonstrated that un...... that influence the dynamics of the HPA axis, i.e. a negative feedback from cortisol on CRH and ACTH. Therefore we term our model the minimal model. The minimal model, encompasses a wide class of different realizations, obeying only a few physiologically reasonable demands. The results include the existence...... emerge from the model. Sufficient criteria for local stability of the fixed point, and an easily applicable sufficient criteria guaranteeing global stability of the fixed point, is formulated. If the latter is fulfilled, ultradian rhythm is an impossible outcome of the minimal model and all realizations...

  17. Minimally invasive "pocket incision" aortic valve surgery.

    Science.gov (United States)

    Yakub, M A; Pau, K K; Awang, Y

    1999-02-01

    A minimally invasive approach to aortic valve surgery through a transverse incision ("pocket incision") at the right second intercostal space was examined. Sixteen patients with a mean age of 30 years underwent this approach. The third costal cartilage was either excised (n = 5) or dislocated (n = 11). The right internal mammary artery was preserved. Cardiopulmonary bypass (CPB) was established with aortic-right atrial cannulation in all except the first case. Aortic valve replacements (AVR) were performed in 15 patients and one had aortic valve repair with concomitant ventricular septal defect closure. There was no mortality and no major complications. The aortic cross-clamp, CPB and operative times were 72 +/- 19 mins, 105 +/- 26 mins and 3 hrs 00 min +/- 29 mins respectively. The mean time to extubation was 5.7 +/- 4.0 hrs, ICU stay of 27 +/- 9 hrs and postoperative hospital stay of 5.1 +/- 1.2 days. Minimally invasive "pocket incision" aortic valve surgery is technically feasible and safe. It has the advantages of central cannulation for CPB, preservation of the internal mammary artery and avoiding sternotomy. This approach is cosmetically acceptable and allows rapid patient recovery.

  18. Minimalism in architecture: Abstract conceptualization of architecture

    Directory of Open Access Journals (Sweden)

    Vasilski Dragana

    2015-01-01

    Full Text Available Minimalism in architecture contains the idea of the minimum as a leading creative tend to be considered and interpreted in working through phenomena of empathy and abstraction. In the Western culture, the root of this idea is found in empathy of Wilhelm Worringer and abstraction of Kasimir Malevich. In his dissertation, 'Abstraction and Empathy' Worringer presented his thesis on the psychology of style through which he explained the two opposing basic forms: abstraction and empathy. His conclusion on empathy as a psychological basis of observation expression is significant due to the verbal congruence with contemporary minimalist expression. His intuition was enhenced furthermore by figure of Malevich. Abstraction, as an expression of inner unfettered inspiration, has played a crucial role in the development of modern art and architecture of the twentieth century. Abstraction, which is one of the basic methods of learning in psychology (separating relevant from irrelevant features, Carl Jung is used to discover ideas. Minimalism in architecture emphasizes the level of abstraction to which the individual functions are reduced. Different types of abstraction are present: in the form as well as function of the basic elements: walls and windows. The case study is an example of Sou Fujimoto who is unequivocal in its commitment to the autonomy of abstract conceptualization of architecture.

  19. Minimally invasive treatment options in fixed prosthodontics.

    Science.gov (United States)

    Edelhoff, Daniel; Liebermann, Anja; Beuer, Florian; Stimmelmayr, Michael; Güth, Jan-Frederik

    2016-03-01

    Minimally invasive treatment options have become increasingly feasible in restorative dentistry, due to the introduction of the adhesive technique in combination with restorative materials featuring translucent properties similar to those of natural teeth. Mechanical anchoring of restorations via conventional cementation represents a predominantly subtractive treatment approach that is gradually being superseded by a primarily defect-oriented additive method in prosthodontics. Modifications of conventional treatment procedures have led to the development of an economical approach to the removal of healthy tooth structure. This is possible because the planned treatment outcome is defined in a wax-up before the treatment is commenced and this wax-up is subsequently used as a reference during tooth preparation. Similarly, resin- bonded FDPs and implants have made it possible to preserve the natural tooth structure of potential abutment teeth. This report describes a number of clinical cases to demonstrate the principles of modern prosthetic treatment strategies and discusses these approaches in the context of minimally invasive prosthetic dentistry.

  20. Minimally invasive pediatric surgery: Our experience

    Directory of Open Access Journals (Sweden)

    Saravanan K

    2008-01-01

    Full Text Available Aim: Departmental survey of the pediatric laparoscopic and thoracoscopic procedures. Materials and Methods: It is a retrospective study from January 1999 to December 2007. The various types of surgeries, number of patients, complications and conversions of laparoscopic and thoracoscopic procedures were analyzed. Results: The number of minimally invasive procedures that had been performed over the past 9 years is 734, out of which thoracoscopic procedures alone were 48. The majority of the surgeries were appendicectomy (31%, orchiopexy (19% and diagnostic laparoscopy (16%. The other advanced procedures include laparoscopic-assisted anorectoplasty, surgery for Hirschprung′s disease, thoracosocpic decortication, congenital diaphragmatic hernia repair, nephrectomy, fundoplication, etc. Our complications are postoperative fever, bleeding, bile leak following choledochal cyst excision and pneumothorax following bronchogenic cyst excision. A case of empyema thorax following thoracoscopic decortication succumbed due to disseminated tuberculosis. Our conversion rate was around 5% in the years 1999 to 2001, which has come down to 3% over the past few years. Conversions were for sliding hiatus hernia, nephrectomy, perforated adherent appendicitis, Meckel′s diverticulum, thoracoscopic decortication and ileal perforation. Conclusion: The minimally invasive pediatric surgical technique is increasingly accepted world wide and the need for laparoscopic training has become essential in every teaching hospital. It has a lot of advantages, such as less pain, early return to school and scarlessness. Our conversion rate has come down from 5% to 3% with experience and now we do more advanced procedures with a lower complication rate.

  1. Gamma ray tests of Minimal Dark Matter

    Energy Technology Data Exchange (ETDEWEB)

    Cirelli, Marco [Institut de Physique Théorique, Université Paris Saclay, CNRS, CEA, Orme des Merisiers, F-91191 Gif-sur-Yvette (France); Hambye, Thomas [Service de Physique Theórique, Université Libre de Bruxelles, Boulevard du Triomphe, CP225, 1050 Brussels (Belgium); Panci, Paolo [Institut d’Astrophysique de Paris, UMR 7095 CNRS, Université Pierre et Marie Curie, 98 bis Boulevard Arago, Paris 75014 (France); Sala, Filippo; Taoso, Marco [Institut de Physique Théorique, Université Paris Saclay, CNRS, CEA, Orme des Merisiers, F-91191 Gif-sur-Yvette (France)

    2015-10-12

    We reconsider the model of Minimal Dark Matter (a fermionic, hypercharge-less quintuplet of the EW interactions) and compute its gamma ray signatures. We compare them with a number of gamma ray probes: the galactic halo diffuse measurements, the galactic center line searches and recent dwarf galaxies observations. We find that the original minimal model, whose mass is fixed at 9.4 TeV by the relic abundance requirement, is constrained by the line searches from the Galactic Center: it is ruled out if the Milky Way possesses a cuspy profile such as NFW but it is still allowed if it has a cored one. Observations of dwarf spheroidal galaxies are also relevant (in particular searches for lines), and ongoing astrophysical progresses on these systems have the potential to eventually rule out the model. We also explore a wider mass range, which applies to the case in which the relic abundance requirement is relaxed. Most of our results can be safely extended to the larger class of multi-TeV WIMP DM annihilating into massive gauge bosons.

  2. Risk minimization by experimental mechanics

    Energy Technology Data Exchange (ETDEWEB)

    1992-01-01

    Experimental mechanics has to undertake new functions to confirm theoretical perceptions and to check results of numerical analysis, because such results are dependent on the validity of assumptions and suppositions which generally are necessary to enable mathematical analysis of complex problems. Methods of experimental mechanics have become essential to design structures and products of a large variety to save raw materials and energy, to improve safety against failure and reliability of products, structures and even complex technical systems. Experimental methods are applied in system identification of complex structures. They are developed also as tools for supervising operating systems, machinery and installations as well as engineering structures, in order to get reliable informations on the life-time, to guarantee a higher degree of safety and to minimize risks. Therefore, methods of experimental mechanics are quite essential in developing strategies of riskmanagement. The contributions to this report are dealing with new theoretical perceptions, practical applications and experiences according to the objectives of the international symposium on 'Risk Minimization by Experimental Mechanics'. (orig.).

  3. Noise Tolerance under Risk Minimization

    CERN Document Server

    Manwani, Naresh

    2011-01-01

    In this paper we explore the problem of noise tolerant learning of classifiers. We formulate the problem as follows. We assume that there is an ${\\bf unobservable}$ training set which is noise-free. The actual training set given to the learning algorithm is obtained from this ideal data set by corrupting the class label of each example where the probability that the class label on an example is corrupted is a function of the feature vector of the example. This would account for almost all kinds of noisy data one may encounter in practice. We say that a learning method is noise tolerant if the classifiers learnt with the ideal noise-free data and with noisy data have the same classification accuracy on the noise-free data. In this paper we analyze the noise tolerant properties of risk minimization, which is a generic method for learning classifiers. We consider different loss functions such as 0-1 loss, hinge loss, exponential loss, squared error loss etc. We show that the risk minimization under 0-1 loss func...

  4. Concentrator design to minimize LCOE

    Science.gov (United States)

    McDonald, Mark; Horne, Steve; Conley, Gary

    2007-09-01

    The Levelized Cost of Energy (LCOE) takes into account more than just the cost of power output. It encompasses product longevity, performance degradation and the costs associated with delivering energy to the grid tie point. Concentrator optical design is one of the key components to minimizing the LCOE, by affecting conversion efficiency, acceptance angle and the amount of energy concentrated on the receiver. Optical systems for concentrators, even those at high concentrations ( >350X) can be designed by straightforward techniques, and will operate under most circumstances. Adding requirements for generous acceptance angles, non-destructive off-axis operation, safety and high efficiency however, complicate the design. Furthermore, the demands of high volume manufacturing, efficient logistics, minimal field commissioning time and low cost lead to quite complicated, system level design trade-offs. The technology which we will discuss features an array of reflective optics, scaled to be fabricated by techniques used in the automotive industry. The design couples a two-element imaging system to a non-imaging total internal reflection tertiary in a very compact design, with generous tolerance margins. Several optical units are mounted in a housing, which protects the optics and assists with dissipating waste heat. This paper outlines the key elements in the design of SolFocus concentrator optics, and discusses tradeoffs and experience with various design approaches.

  5. 腔镜辅助下小切口甲状腺切除术-119例病例回顾%Minimally invasive video-assisted thyroidectomy:A report of 119 cases

    Institute of Scientific and Technical Information of China (English)

    王子璋; 冯海波; 戚新春; 郭晓东; 任文艳; 刘芳; 梁秦龙

    2015-01-01

    Objective:To explore the feasibility and clinical application of minimal invasive video-assisted thy-roidectomy( MIVAT). Methods:A retrospective study of 119 consecutive patients who underwent MIVAT was con-ducted,to summarize the clinical effects and complications. Results:MIVAT was successfully performed in all 119 pa-tients. 62 patients underwent lobectomy and 57 patients underwent total thyroidectomy,the mean operation time was (98. 5 ± 26. 7)min vs(126. 7 ± 37. 1)min respectively. In the final pathology report,there were 42 nodular goiter,32 adenomatous goiter,9 follicular adenoma,26 papillary thyroid cancers,6 follicular cancers and 4 Hashimoto disease. Transient versus permanent recurrent laryngeal nerve injury was 4 and 2 respectively. Postoperative transient hypocal-cemia was diagnosed in 2 and 7 patients following thyroid lobectomy versus total thyroidectomy,respectively. No per-manent hypocalcemia was found. Cosmetic effects were assessed after 1 and 6 months of follow-up as very good or excellent by 101(84%)and 112(94%)patients,respectively. Conclusion:MIVAT was a safe and feasible opera-tion,with good cometic effects and no more complications.%目的:探讨腔镜辅助下小切口甲状腺切除术( minimally invasive video -assisted thyroidectomy,MI-VAT)的可行性和临床应用。方法:自2012年1月-2013年12月,回顾性分析119例行MIVAT病人的临床资料,总结临床效果及并发症情况。结果:119例均手术成功,其中甲状腺单叶切除62人,全切除57人,平均手术时间(98.5±26.7)min vs(126.7±37.1)min。术后病理结果:结节性甲状腺肿42人,腺瘤性甲状腺肿32人,腺瘤9人,乳头状癌26人,滤泡状癌6人,桥本氏病4人。暂时性和永久性的喉返神经损伤分别为4人和2人。暂时性的低钙血症单叶和全切术分别为2人和7人。无永久性低钙血症发生。美容效果在术后1月及6月评价为好或非常好的分别为101人(84

  6. Complications in gynecological minimal-access oncosurgery.

    Science.gov (United States)

    Becker, Sven; De Wilde, Rudy Leon

    2016-08-01

    Complications are the limiting factors of all surgeries. More than performing the actual surgery, learning how to avoid complications before, during, and after surgery is the most important task of every surgeon. Severe complications can lead to patient death. Complications such as ureterovaginal fistulas, resulting from <2 s of inattentive preparation, can lead to years of hardship, suffering, accusation, and litigation. Excellent surgery is about performing the right surgery for the right patient without any complications. Minimally invasive surgery in complex cases is technically challenging. This article details the major causes of complications in laparoscopy for the gynecologic cancer patient and present strategies for prevention, early detection, and intra- and postoperative management.

  7. Laparoscopic colonic resection in inflammatory bowel disease: minimal surgery, minimal access and minimal hospital stay.

    LENUS (Irish Health Repository)

    Boyle, E

    2008-11-01

    Laparoscopic surgery for inflammatory bowel disease (IBD) is technically demanding but can offer improved short-term outcomes. The introduction of minimally invasive surgery (MIS) as the default operative approach for IBD, however, may have inherent learning curve-associated disadvantages. We hypothesise that the establishment of MIS as the standard operative approach does not increase patient morbidity as assessed in the initial period of its introduction into a specialised unit, and that it confers earlier postoperative gastrointestinal recovery and reduced hospitalisation compared with conventional open resection.

  8. Minimally invasive percutaneous posterior lumbar interbody fusion.

    Science.gov (United States)

    Khoo, Larry T; Palmer, Sylvain; Laich, Daniel T; Fessler, Richard G

    2002-11-01

    The wide exposure required for a standard posterior lumbar interbody fusion (PLIF) can cause unnecessary trauma to the lumbar musculoligamentous complex. By combining existing microendoscopic, percutaneous instrumentation and interbody technologies, a novel, minimally invasive, percutaneous PLIF technique was developed to minimize such iatrogenic tissue injury (MIP-PLIF). The MIP-PLIF technique was validated in three cadaveric torsos with six motion segments decompressed and fused. Preoperative variables measured from imaging included interpedicular distance, pedicular height and width, interspinous distance, lordosis, intervertebral height, Cobb angle, and foraminal height and volume. Using the METRx and MD spinal access systems (Medtronic Sofamor Danek, Memphis, TN), bilateral laminotomies were performed using a hybrid of microsurgical and microendoscopic techniques. The intervertebral disc spaces were then distracted and prepared with the Tangent (Medtronic Sofamor Danek) interbody instruments. Either a 10 or 12 by 22 mm interbody graft was then placed. Using the Sextant (Medtronic Sofamor Danek) system, percutaneous pedicle screw-rod fixation of the motion segment was completed. We then applied MIP-PLIF in three patients. For segments with preoperative intervertebral/foraminal height loss, MIP-PLIF was effective in restoring both heights in all cases. The amount of improvement (9.7 to 38% disc height increase; 7.7 to 29.9% foraminal height increase) varied directly with the size of the graft used and the original degree of disc and foraminal height loss. Segmental lordosis improved by 29% on average. Graft and screw placement was accurate in the cadavers, except for a single Grade 1 screw violation of one pedicle. The average operative time was 3.5 hours per level. In our three clinical cases, the MIP-PLIF procedure required a mean of 5.4 hours, estimated blood loss was 185 ml, and inpatient stay was 2.8 days, with no intravenous narcotic use after 2 days in

  9. Rituximab in Minimal Change Disease

    Directory of Open Access Journals (Sweden)

    Nima Madanchi

    2017-03-01

    Full Text Available Treatment with rituximab, a monoclonal antibody against the B-lymphocyte surface protein CD20, leads to the depletion of B cells. Recently, rituximab was reported to effectively prevent relapses of glucocorticoid-dependent or frequently relapsing minimal change disease (MCD. MCD is thought to be T-cell mediated; how rituximab controls MCD is not understood. In this review, we summarize key clinical studies demonstrating the efficacy of rituximab in idiopathic nephrotic syndrome, mainly MCD. We then discuss immunological features of this disease and potential mechanisms of action of rituximab in its treatment based on what is known about the therapeutic action of rituximab in other immune-mediated disorders. We believe that studies aimed at understanding the mechanisms of action of rituximab in MCD will provide a novel approach to resolve the elusive immune pathophysiology of MCD.

  10. Minimally packed phases in holography

    CERN Document Server

    Donos, Aristomenis

    2015-01-01

    We numerically construct asymptotically AdS black brane solutions of $D=4$ Einstein-Maxwell theory coupled to a pseudoscalar. The solutions are holographically dual to $d=3$ CFTs held at constant chemical potential and magnetic field that spontaneously break translation invariance leading to the spontaneous formation of abelian and momentum magnetisation currents flowing around the plaquettes of a periodic Bravais lattice. We analyse the three-dimensional moduli space of lattice solutions, which are generically oblique, and show that the free energy is minimised by the triangular lattice, associated with minimal packing of circles in the plane. The triangular structure persists at low temperatures indicating the existence of novel crystalline ground states.

  11. A minimally invasive smile enhancement.

    Science.gov (United States)

    Peck, Fred H

    2014-01-01

    Minimally invasive dentistry refers to a wide variety of dental treatments. On the restorative aspect of dental procedures, direct resin bonding can be a very conservative treatment option for the patient. When tooth structure does not need to be removed, the patient benefits. Proper treatment planning is essential to determine how conservative the restorative treatment will be. This article describes the diagnosis, treatment options, and procedural techniques in the restoration of 4 maxillary anterior teeth with direct composite resin. The procedural steps are reviewed with regard to placing the composite and the variety of colors needed to ensure a natural result. Finishing and polishing of the composite are critical to ending with a natural looking dentition that the patient will be pleased with for many years.

  12. Determining Knots by Minimizing Energy

    Institute of Scientific and Technical Information of China (English)

    Cai-Ming Zhang; Hui-Jian Han; Fuhua Frank Cheng

    2006-01-01

    A new method for determining knots to construct polynomial curves is presented. At each data point, a quadric curve which passes three consecutive points is constructed. The knots for constructing the quadric curve are determined by minimizing the internal strain energy, which can be regarded as a function of the angle. The function of the angle is expanded as a Taylor series with two terms, then the two knot intervals between the three consecutive points are defined by linear expression. Between the two consecutive points, there are two knot intervals, and the combination of the two knot intervals is used to define the final knot interval. A comparison of the new method with several existing methods is included.

  13. [MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT].

    Science.gov (United States)

    Tabata, Minoru

    2016-03-01

    Minimally invasive aortic valve replacement (MIAVR) is defined as aortic valve replacement avoiding full sternotomy. Common approaches include a partial sternotomy right thoracotomy, and a parasternal approach. MIAVR has been shown to have advantages over conventional AVR such as shorter length of stay and smaller amount of blood transfusion and better cosmesis. However, it is also known to have disadvantages such as longer cardiopulmonary bypass and aortic cross-clamp times and potential complications related to peripheral cannulation. Appropriate patient selection is very important. Since the procedure is more complex than conventional AVR, more intensive teamwork in the operating room is essential. Additionally, a team approach during postoperative management is critical to maximize the benefits of MIAVR.

  14. Minimization over randomly selected lines

    Directory of Open Access Journals (Sweden)

    Ismet Sahin

    2013-07-01

    Full Text Available This paper presents a population-based evolutionary optimization method for minimizing a given cost function. The mutation operator of this method selects randomly oriented lines in the cost function domain, constructs quadratic functions interpolating the cost function at three different points over each line, and uses extrema of the quadratics as mutated points. The crossover operator modifies each mutated point based on components of two points in population, instead of one point as is usually performed in other evolutionary algorithms. The stopping criterion of this method depends on the number of almost degenerate quadratics. We demonstrate that the proposed method with these mutation and crossover operations achieves faster and more robust convergence than the well-known Differential Evolution and Particle Swarm algorithms.

  15. Minimally invasive aortic valve replacement

    DEFF Research Database (Denmark)

    Foghsgaard, Signe; Schmidt, Thomas Andersen; Kjaergard, Henrik K

    2009-01-01

    In this descriptive prospective study, we evaluate the outcomes of surgery in 98 patients who were scheduled to undergo minimally invasive aortic valve replacement. These patients were compared with a group of 50 patients who underwent scheduled aortic valve replacement through a full sternotomy....... The 30-day mortality rate for the 98 patients was zero, although 14 of the 98 mini-sternotomies had to be converted to complete sternotomies intraoperatively due to technical problems. Such conversion doubled the operative time over that of the planned full sternotomies. In the group of patients whose...... is an excellent operation in selected patients, but its true advantages over conventional aortic valve replacement (other than a smaller scar) await evaluation by means of randomized clinical trial. The "extended mini-aortic valve replacement" operation, on the other hand, is a risky procedure that should...

  16. Surgical Treatment of Neonatal Necrotic Enterocolitis: An Analysis of 17 Cases%新生儿坏死性小肠结肠炎的外科处理(附17例报告)

    Institute of Scientific and Technical Information of China (English)

    陈永田; 谷兴琳

    1983-01-01

    @@ 新生儿坏死性小肠结肠炎(简写NNE)是新生儿严重的消化道疾病.虽然近年来外科处理有很大进展,但手术死亡率仍高达39~68(1~5)%.%Neonatal necrotic enterocolitis, a lethal disease in premature infancy, is common in newborns. This report details surgical treatment of 17 infants (13 males and 4 females) in the past 10 years.Asphyxia -was noted only in 2 cases. All the patients had abdominal distension. Other physical findings include: vomiting (6 cases), diarrhea (2), lower abdomen mass (1), blood in stool (6)and fiery swelling in the abdominal wall (8).In 16 cases, the X-rays demonstrated intestinal distension with fluid levels resulting from:pneumoperitoneum (12 cases), pneu-motosis (4), portal vein gas (2) and ascites (2).Surgical interventions were indicated to 11 patients with pneumoperitoneum, 2 with clinical deterioration and 1 with positive paracentesis findings.Procedures applied in this series consist of: simple repairing of restricted perforation (4), simple explorative laparotomy or colonic resection followed by primary anastomosis or enterostomy. But in one case, the necrosis was not clearly bordered, so only the completely necrotic segment of the intestine was resected while the less affected part left untouched. Then, an anastomosis. Yet, short-bowel syndrome developed afterwards.Mortality was recorded as 30%.

  17. Null-polygonal minimal surfaces in AdS_4 from perturbed W minimal models

    CERN Document Server

    Hatsuda, Yasuyuki; Satoh, Yuji

    2012-01-01

    We study the null-polygonal minimal surfaces in AdS_4, which correspond to the gluon scattering amplitudes/Wilson loops in N=4 super Yang-Mills theory at strong coupling. The area of the minimal surfaces with n cusps is characterized by the thermodynamic Bethe ansatz (TBA) integral equations or the Y-system of the homogeneous sine-Gordon model, which is regarded as the SU(n-4)_4/U(1)^{n-5} generalized parafermion theory perturbed by the weight-zero adjoint operators. Based on the relation to the TBA systems of the perturbed W minimal models, we solve the TBA equations by using the conformal perturbation theory, and obtain the analytic expansion of the remainder function around the UV/regular-polygonal limit for n=6 and 7. We compare the rescaled remainder function for n=6 with the two-loop one, to observe that they are close to each other similarly to the AdS_3 case.

  18. Null-polygonal minimal surfaces in AdS{sub 4} from perturbed W minimal models

    Energy Technology Data Exchange (ETDEWEB)

    Hatsuda, Yasuyuki [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Ito, Katsushi [Tokyo Institute of Technology (Japan). Dept. of Physics; Satoh, Yuji [Tsukuba Univ., Sakura, Ibaraki (Japan). Inst. of Physics

    2012-11-15

    We study the null-polygonal minimal surfaces in AdS{sub 4}, which correspond to the gluon scattering amplitudes/Wilson loops in N=4 super Yang-Mills theory at strong coupling. The area of the minimal surfaces with n cusps is characterized by the thermodynamic Bethe ansatz (TBA) integral equations or the Y-system of the homogeneous sine-Gordon model, which is regarded as the SU(n-4){sub 4}/U(1){sup n-5} generalized parafermion theory perturbed by the weight-zero adjoint operators. Based on the relation to the TBA systems of the perturbed W minimal models, we solve the TBA equations by using the conformal perturbation theory, and obtain the analytic expansion of the remainder function around the UV/regular-polygonal limit for n = 6 and 7. We compare the rescaled remainder function for n=6 with the two-loop one, to observe that they are close to each other similarly to the AdS{sub 3} case.

  19. THE CURATIVE EFFECT OF MINIMALLY INVASIVE TREATMENT OF 27 CASE OF GOUTY ARTHRI-TIS OF KNEE JOINT%微创治疗膝关节痛风性关节炎27例疗效观察

    Institute of Scientific and Technical Information of China (English)

    陶建峰; 王爱军; 陈德生; 赵立彦

    2014-01-01

    目的:探讨关节镜手术治疗膝关节痛风性关节炎的方法及疗效。方法应用关节镜微创技术对27例膝关节痛风性关节炎患者行关节清理、滑膜切除、半月板修整或切除及关节软骨修整,术后辅助药物治疗及功能康复练习。结果27例痛风性关节炎患者术中均可见不同程度的尿酸盐结晶沉积,术后肿痛症状均得到明显缓解,关节功能得到改善,随访6~36个月均得到满意疗效。结论对于内科治疗无效,反复发作或痛风石形成的膝关节痛风性关节炎,关节镜手术治疗具有诊断明确、创伤小、方法简单、效果显著等优点,可作为膝关节痛风性关节炎的外科治疗首选方法。%Objective To investigate the methods and efficacy of arthroscopic surgical treatment of knee gouty arthritis .Methods Arthroscopic minimally invasive techniques which included joint clean -up ,sy-novectomy ,trimming or removal of the meniscus and articular cartilage dressing were used in 27 patients with knee gouty arthritis ,postoperative assisted drug treatment and functional rehabilitation exercises .Re-sults Twenty -seven patients with gouty arthritis were seen in different levels of urate crystal deposition , postoperative swelling and pain symptoms were eased significantly improved joint function ,the outcome of followed up for 6~36 months were satisfied .Conclusions Arthroscopic surgery in the treatment of gouty arthritis of the knee has a clear diagnosis ,less invasive ,simple method ,significant effect .It can be used as the preferred method of surgical treatment of knee gouty arthritis .

  20. Smooth surfaces from bilinear patches: Discrete affine minimal surfaces

    KAUST Repository

    Käferböck, Florian

    2013-06-01

    Motivated by applications in freeform architecture, we study surfaces which are composed of smoothly joined bilinear patches. These surfaces turn out to be discrete versions of negatively curved affine minimal surfaces and share many properties with their classical smooth counterparts. We present computational design approaches and study special cases which should be interesting for the architectural application. 2013 Elsevier B.V.

  1. The maximum number of minimal codewords in long codes

    DEFF Research Database (Denmark)

    Alahmadi, A.; Aldred, R.E.L.; dela Cruz, R.;

    2013-01-01

    Upper bounds on the maximum number of minimal codewords in a binary code follow from the theory of matroids. Random coding provides lower bounds. In this paper, we compare these bounds with analogous bounds for the cycle code of graphs. This problem (in the graphic case) was considered in 1981...

  2. O-minimal homotopy and generalized (co)homology

    CERN Document Server

    Piȩkosz, Artur

    2008-01-01

    This article gives a version of the homotopy theory (giving also generalized homology and cohomology theories), developed by H. Delfs and M. Knebusch in the semialgebraic case, extended to regular paracompact locally definable spaces and weakly definable spaces over a model R of an o-minimal theory T extending RCF, with some restrictions on T.

  3. Surface Reconstruction and Image Enhancement via $L^1$-Minimization

    KAUST Repository

    Dobrev, Veselin

    2010-01-01

    A surface reconstruction technique based on minimization of the total variation of the gradient is introduced. Convergence of the method is established, and an interior-point algorithm solving the associated linear programming problem is introduced. The reconstruction algorithm is illustrated on various test cases including natural and urban terrain data, and enhancement oflow-resolution or aliased images. Copyright © by SIAM.

  4. Non-Minimally Coupled Cosmology as Geodesic Motion

    CERN Document Server

    Elias, L A; Elias, Luciana A.; Saa, Alberto

    2007-01-01

    Recent works showing that homogeneous and isotropic cosmologies involving scalar fields correspond to geodesics of certain augmented spaces are generalized to the non-minimal coupling case. As the Maupertuis-Jacobi principle in classical mechanics, this result allows us, in principle, to infer some of the dynamical properties of the cosmologies from the geometry of the associated augmented spaces.

  5. Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management

    OpenAIRE

    Yadav, Siddharth; Singh, Animesh; Singh, Prabhjot

    2015-01-01

    Percutaneous nephrolithotomy (PCNL) is a standard procedure for large renal calculi but has potential for complications. Rarely, biliary tract injury can occur during PCNL that can lead to biliary peritonitis with sepsis. Such cases are usually managed by emergent cholecystectomy. We present a case of biliary peritonitis resulting from gall bladder injury during PCNL, managed minimally invasively with an abdominal drain and endoscopic retrograde cholangiography with common bile duct stenting.

  6. Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management.

    Science.gov (United States)

    Yadav, Siddharth; Singh, Animesh; Singh, Prabhjot

    2015-01-01

    Percutaneous nephrolithotomy (PCNL) is a standard procedure for large renal calculi but has potential for complications. Rarely, biliary tract injury can occur during PCNL that can lead to biliary peritonitis with sepsis. Such cases are usually managed by emergent cholecystectomy. We present a case of biliary peritonitis resulting from gall bladder injury during PCNL, managed minimally invasively with an abdominal drain and endoscopic retrograde cholangiography with common bile duct stenting.

  7. Lithium-induced minimal change disease and acute kidney injury

    OpenAIRE

    Parul Tandon; Natalie Wong; Zaltzman, Jeffrey S.

    2015-01-01

    Context: Lithium carbonate is a psychiatric medication commonly used in the treatment of bipolar disorder. It has been implicated in inducing nephrogenic diabetes inspidus, chronic tubulointerstitial nephropathy, and acute tubular necrosis. We describe a case of lithium-induced minimal change disease (MCD) and acute kidney injury (AKI). Case Report: A 32-year-old female with a medical history of bipolar disorder treated with chronic lithium therapy presented with anasarca, fatigue, and tremor...

  8. Training minimal invasive approaches in hepatopancreatobilliary fellowship: the current status

    Science.gov (United States)

    Subhas, Gokulakkrishna; Mittal, Vijay K

    2011-01-01

    Background There has been an increasing role of advanced minimally invasive procedures in hepatopancreatobilliary (HPB) surgery. However, there are no set minimum laparoscopic case requirements. Methods A 14-question electronic survey was sent to 82 worldwide HPB fellowship programme directors. Results Forty-nine per cent (n = 40) of the programme directors responded. The programmes were predominantly university based (83%). Programmes had either one (55%) or two fellows (40%) each year. Programmes (35–48%) had average annual volumes of 51–100 hepatic, 51–100 pancreatic and 25–50 biliary cases. For many programmes, <10% of hepatic (48%), pancreatic (40%) and biliary (70%) cases were done laparoscopically. The average annual fellow case volumes for hepatic, pancreatic and biliary surgeries were 25–50 (62%), 25–50 (47%) and <25 (50%), respectively. The average annual number of hepatic, pancreatic and biliary cases done laparoscopically by a fellow was 9, 9 and 4, which constitutes 36%, 36% and 16%, respectively, of the International Hepato-Pancreato-Billiary Association (IHPBA) requirement. Conclusion We surmise that the low average number of surgeries performed by minimally-invasive techniques by HPB fellows is not sufficient in today's practice. Should there be an increase in the minimal number of hepatic, pancreatic and complex biliary cases to 50, 50, and 25, with at least 50% of these performed laparoscopically? PMID:21309929

  9. Minimal change disease caused by mercury-containing cosmetics: 7 cases report%七例化妆品汞中毒相关肾小球微小病变病报告

    Institute of Scientific and Technical Information of China (English)

    王艳艳; 谌贻璞; 王国勤; 董鸿瑞; 孙丽君; 王长江; 唐艳玲; 程虹

    2013-01-01

    目的 探讨化妆品汞中毒相关微小病变病(MCD)的临床病理表现及治疗方法.方法 回顾性分析首都医科大学附属北京安贞医院肾内科确诊的7例化妆品汞中毒相关MCD患者的临床及病理资料.结果 7例患者均为女性,平均年龄37.2岁,均曾间断使用美白祛斑化妆品.7例患者尿汞均明显升高,为正常值的2.2~ 59.1倍.其中2例患者化妆品的汞检测,汞浓度为国家规定化妆品汞限量的1000多倍.7例患者均表现为肾病综合征,肾组织病理检查符合MCD诊断.经停用含汞化妆品,并予糖皮质激素及驱汞治疗,7例患者肾病综合征均在应用激素后1~2个月完全缓解.结论 对非少年儿童及老年的MCD女性患者,要注意询问美白祛斑化妆品的应用史,检测尿和血汞浓度,以早期发现化妆品汞中毒相关MCD.%Objective To enhance the understanding of mercury poisoning related minimal change disease (MP-MCD).Methods A retrospective analysis about the clinical,laboratory and pathological manifestations,diagnosis,treatment and outcome of 7 patients with MP-MCD caused by skin-lightening cosmetics were conducted.Results All of the 7 patients were female with mean age 37.2 years.One patient had intermittently used skin-lightening cosmetics for 15 years and the other 6 patients continuously used the cosmetics for 2 ~ 6 months.Urine mercury levels of the 7 patients were significantly increased,reaching to 2.2 ~ 59.1 times of the normal value.The mercury content of 2 cosmetics used by patients was 1200 to 1560 times the mercury limit in cosmetics set by the government in 1987.Seven patients all presented as nephrotic syndrome,and all had MCD on renal biopsy.After the diagnosis of MP-MCD was confirmed,all the patients stopped using the mercurycontain cosmetics and accepted corticosteroid and chelation therapy.The nephrotic syndrome underwent complete remission after 1 ~ 2 months of therapy.Urine mercury levels in the 5 patients

  10. case

    Directory of Open Access Journals (Sweden)

    Guojun Shi

    2000-01-01

    Full Text Available In this paper we consider the Finite Signal-to-Noise ratio model for linear stochastic systems. It is assumed that the intensity of noise corrupting a signal is proportional to the variance of the signal. Hence, the signal-to-noise ratio of each sensor and actuator is finite – as opposed to the infinite signal-to-noise ratio assumed in LQG theory. Computational errors in the controller implementation are treated similarly. The objective is to design a state feedback control law such that the closed loop system is mean square asymptotically stable and the output variance is minimized. The main result is a controller which achieves its maximal accuracy with finite control gains – as opposed to the infinite controls required to achieve maximal accuracy in LQG controllers. Necessary and sufficient conditions for optimality are derived. An optimal control law which involves the positive definite solution of a Riccati-like equation is derived. An algorithm for solving the Riccati-like equation is given and its convergence is guaranteed if a solution exists.

  11. Mini-Med School Planning Guide

    Science.gov (United States)

    National Institutes of Health, Office of Science Education, 2008

    2008-01-01

    Mini-Med Schools are public education programs now offered by more than 70 medical schools, universities, research institutions, and hospitals across the nation. There are even Mini-Med Schools in Ireland, Malta, and Canada! The program is typically a lecture series that meets once a week and provides "mini-med students" information on some of the…

  12. Robotic-assisted minimally invasive liver resection

    Directory of Open Access Journals (Sweden)

    Yao-Ming Wu

    2014-04-01

    Conclusion: Robotic assistance increased the percentage of minimally invasive liver resections and the percentage of major minimally invasive liver resections with comparable perioperative results. Robotic-assisted minimally invasive liver resection is feasible, but its role needs more accumulated experience to clarify.

  13. 微创下加长型PHILOS钢板治疗肱骨近端伴肱骨干骨折17例报告%Clinical research on long-PHLOS plate combined with minimally invasive treatment for 17 cases of proximal humerus with humeral shaft fracture

    Institute of Scientific and Technical Information of China (English)

    汤瑞新; 唐淼; 万安营; 芦磊磊; 刘长征

    2015-01-01

    Objective:To investigate the clinical curative effect of the long proximal humerus internal locking system (long-PHILOS) plate combined with minimally invasive treatment for proximal humerus with humeral shaft fracture .Methods:17 cases with proximal humerus with hu-meral shaft fracture were treated with long-PHLOS plate combined with minimally invasive surgery from May 2010 to December 2013.Results:All cases were followed up for the average of 14 months (from 6 to 20).All cases obtained bone union, with no occurrence of complications such as breaking and loosening of internal fixation.Postoperative symptoms of radial nerve injury appeared in 1 case, which were cured about 16 weeks after the effective treatment.Mild pain in shoulder joints presented in 2 cases, but the symptom was gradually relieved with the application of physical therapy and oral analgesics.The function of shoulder joints under Neer criteria was evaluated as excellent in 10 cases and good in 5 cases, with the excellent and good rate 88.2%.By HSS standard, 15 cases of the function of elbow joints were graded as excellent, and 2 cases of that as good, with the excellent and good rate 100%.Conclusion:It is a favorable way to treat proximal humerus with humeral shaft fracture with long -PHLOS plate combined with minimally invasive surgery, which provides a solid fixation, less damage to blood supply and fast function recovery with high degree of satisfaction.%目的:探讨微创结合加长型肱骨近端锁定钢板( PHILOS钢板)治疗肱骨近端伴肱骨干骨折的临床疗效。方法:从2010年5月至2013年12月,采用微创技术结合加长型PHILOS钢板治疗肱骨近端伴肱骨干骨折17例。结果:17例患者均随访6~20个月,平均14个月。所有病例均达到骨性愈合,无内固定断裂及退钉等并发症出现。1例患者术后出现桡神经损伤症状,经对症治疗后于16周恢复。2例出现肩关节轻度疼痛,经理疗及口服止

  14. Minimally invasive procedures for nasal aesthetics

    Directory of Open Access Journals (Sweden)

    Alessio Redaelli

    2012-01-01

    Full Text Available Nose has an important role in the aesthetics of face. It is easy to understand the reason of the major interest that has revolved around the correction of its imperfections for several centuries, or even from the ancient times. In the last decade, all the surgical or medical minimal-invasive techniques evolved exponentially. The techniques of rejuvenation and corrections of nasal imperfections did not escape this development that is much widespread in the medicine of the third millennium. In many cases, the techniques of surgical correction involve invasive procedure that necessitates, for the majority of cases, hospitalisation. The author, using a different approach, has developed mini-invasive techniques using botulinum toxin A (BTxA and absorbable fillers for the correction of nasal imperfections. BTxA allows to reduce the imperfections due to hypertension of muscles, while the absorbable fillers allow to correct all the imperfections of the nasal profile from the root to the tip in total safety. The correction is based on the precise rules that allow avoiding the majority of side effects. Results are long lasting and well appreciated by patients.

  15. Truly Minimal Unification Asymptotically Strong Panacea ?

    CERN Document Server

    Aulakh, Charanjit S

    2002-01-01

    We propose Susy GUTs have a UV {\\it{attractor}} at $E\\sim \\Lambda_{cU} \\sim 10^{17} GeV $ where gauge symmetries ``confine'' forming singlet condensates at scales $E\\sim\\Lambda_{cU}$. The length $l_U\\sim \\Lambda_{cU}^{-1}$ characterizies the {\\it{size}} of gauge non- singlet particles yielding a picture dual to the Dual Standard model of Vachaspati. This Asymptotic Slavery (AS) fixed point is driven by realistic Fermion Mass(FM) Higgs content which implies AS. This defines a dynamical morphogenetic scenario dependent on the dynamics of UV strong N=1 Susy Gauge-Chiral(SGC) theories. Such systems are already understood in the AF case but ignored in the AS case. Analogy to the AFSGC suggests the perturbative SM gauge group of the Grand Desert confines at GUT scales i.e GUT symmetry is ``non-restored''. Restoration before confinement and self-inconsistency are the two other (less likely) logical possibilities. Truly Minimal (TM) SU(5) and SO(10) models with matter and FM Higgs only are defined; AM (adjoint multip...

  16. Minimally invasive procedures for nasal aesthetics.

    Science.gov (United States)

    Redaelli, Alessio; Limardo, Pietro

    2012-04-01

    Nose has an important role in the aesthetics of face. It is easy to understand the reason of the major interest that has revolved around the correction of its imperfections for several centuries, or even from the ancient times. In the last decade, all the surgical or medical minimal-invasive techniques evolved exponentially. The techniques of rejuvenation and corrections of nasal imperfections did not escape this development that is much widespread in the medicine of the third millennium. In many cases, the techniques of surgical correction involve invasive procedure that necessitates, for the majority of cases, hospitalisation. The author, using a different approach, has developed mini-invasive techniques using botulinum toxin A (BTxA) and absorbable fillers for the correction of nasal imperfections. BTxA allows to reduce the imperfections due to hypertension of muscles, while the absorbable fillers allow to correct all the imperfections of the nasal profile from the root to the tip in total safety. The correction is based on the precise rules that allow avoiding the majority of side effects. Results are long lasting and well appreciated by patients.

  17. Minimally Invasive Management of Ectopic Pancreas.

    Science.gov (United States)

    Vitiello, Gerardo A; Cavnar, Michael J; Hajdu, Cristina; Khaykis, Inessa; Newman, Elliot; Melis, Marcovalerio; Pachter, H Leon; Cohen, Steven M

    2017-03-01

    The management of ectopic pancreas is not well defined. This study aims to determine the prevalence of symptomatic ectopic pancreas and identify those who may benefit from treatment, with a particular focus on robotically assisted surgical management. Our institutional pathology database was queried to identify a cohort of ectopic pancreas specimens. Additional clinical data regarding clinical symptomatology, diagnostic studies, and treatment were obtained through chart review. Nineteen cases of ectopic pancreas were found incidentally during surgery for another condition or found incidentally in a pathologic specimen (65.5%). Eleven patients (37.9%) reported prior symptoms, notably abdominal pain and/or gastrointestinal bleeding. The most common locations for ectopic pancreas were the duodenum and small bowel (31% and 27.6%, respectively). Three out of 29 cases (10.3%) had no symptoms, but had evidence of preneoplastic changes on pathology, while one harbored pancreatic cancer. Over the years, treatment of ectopic pancreas has shifted from open to laparoscopic and more recently to robotic surgery. Our experience is in line with existing evidence supporting surgical treatment of symptomatic or complicated ectopic pancreas. In the current era, minimally invasive and robotic surgery can be used safely and successfully for treatment of ectopic pancreas.

  18. Medical waste: a minimal hazard.

    Science.gov (United States)

    Keene, J H

    1991-11-01

    Medical waste is a subset of municipal waste, and regulated medical waste comprises less than 1% of the total municipal waste volume in the United States. As part of the overall waste stream, medical waste does contribute in a relative way to the aesthetic damage of the environment. Likewise, some small portion of the total release of hazardous chemicals and radioactive materials is derived from medical wastes. These comments can be made about any generated waste, regulated or unregulated. Healthcare professionals, including infection control personnel, microbiologists, public health officials, and others, have unsuccessfully argued that there is no evidence that past methods of treatment and disposal of regulated medical waste constitute any public health hazard. Historically, discovery of environmental contamination by toxic chemical disposal has followed assurances that the material was being disposed of in a safe manner. Therefore, a cynical public and its elected officials have demanded proof that the treatment and disposal of medical waste (i.e., infectious waste) do not constitute a public health hazard. Existent studies on municipal waste provide that proof. In order to argue that the results of these municipal waste studies are demonstrative of the minimal potential infectious environmental impact and lack of public health hazard associated with medical waste, we must accept the following: that the pathogens are the same whether they come from the hospital or the community, and that the municipal waste studied contained waste materials we now define as regulated medical waste.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Robotic assisted minimally invasive surgery

    Directory of Open Access Journals (Sweden)

    Palep Jaydeep

    2009-01-01

    Full Text Available The term "robot" was coined by the Czech playright Karel Capek in 1921 in his play Rossom′s Universal Robots. The word "robot" is from the check word robota which means forced labor.The era of robots in surgery commenced in 1994 when the first AESOP (voice controlled camera holder prototype robot was used clinically in 1993 and then marketed as the first surgical robot ever in 1994 by the US FDA. Since then many robot prototypes like the Endoassist (Armstrong Healthcare Ltd., High Wycombe, Buck, UK, FIPS endoarm (Karlsruhe Research Center, Karlsruhe, Germany have been developed to add to the functions of the robot and try and increase its utility. Integrated Surgical Systems (now Intuitive Surgery, Inc. redesigned the SRI Green Telepresence Surgery system and created the daVinci Surgical System ® classified as a master-slave surgical system. It uses true 3-D visualization and EndoWrist ® . It was approved by FDA in July 2000 for general laparoscopic surgery, in November 2002 for mitral valve repair surgery. The da Vinci robot is currently being used in various fields such as urology, general surgery, gynecology, cardio-thoracic, pediatric and ENT surgery. It provides several advantages to conventional laparoscopy such as 3D vision, motion scaling, intuitive movements, visual immersion and tremor filtration. The advent of robotics has increased the use of minimally invasive surgery among laparoscopically naοve surgeons and expanded the repertoire of experienced surgeons to include more advanced and complex reconstructions.

  20. Minimal hepatic encephalopathy: A review.

    Science.gov (United States)

    Nardone, Raffaele; Taylor, Alexandra C; Höller, Yvonne; Brigo, Francesco; Lochner, Piergiorgio; Trinka, Eugen

    2016-10-01

    Minimal hepatic encephalopathy (MHE) is the earliest form of hepatic encephalopathy and can affect up to 80% of patients with liver cirrhosis. By definition, MHE is characterized by cognitive function impairment in the domains of attention, vigilance and integrative function, but obvious clinical manifestation are lacking. MHE has been shown to affect daily functioning, quality of life, driving and overall mortality. The diagnosis can be achieved through neuropsychological testing, recently developed computerized psychometric tests, such as the critical flicker frequency and the inhibitory control tests, as well as neurophysiological procedures. Event related potentials can reveal subtle changes in patients with normal neuropsychological performances. Spectral analysis of electroencephalography (EEG) and quantitative analysis of sleep EEG provide early markers of cerebral dysfunction in cirrhotic patients with MHE. Neuroimaging, in particular MRI, also increasingly reveals diffuse abnormalities in intrinsic brain activity and altered organization of functional connectivity networks. Medical treatment for MHE to date has been focused on reducing serum ammonia levels and includes non-absorbable disaccharides, probiotics or rifaximin. Liver transplantation may not reverse the cognitive deficits associated with MHE. We performed here an updated review on epidemiology, burden and quality of life, neuropsychological testing, neuroimaging, neurophysiology and therapy in subjects with MHE.

  1. Unoriented Minimal Type 0 Strings

    CERN Document Server

    Carlisle, J E; Carlisle, James E; Johnson, Clifford V

    2004-01-01

    We define a family of string equations with perturbative expansions that admit an interpretation as an unoriented minimal string theory with background D-branes and R-R fluxes. The theory also has a well-defined non-perturbative sector and we expect it to have a continuum interpretation as an orientifold projection of the non-critical type~0A string for \\hat{c}=0, the (2,4) model. There is a second perturbative region which is consistent with an interpretation in terms of background R-R fluxes. We identify a natural parameter in the formulation that we speculate may have an interpretation as characterizing the contribution of a new type of background D-brane. There is a non-perturbative map to a family of string equations which we expect to be the \\hat{c}=0 type 0B string. The map exchanges D-branes and R-R fluxes. We present the general structure of the string equations for the (2,4k) type 0A models.

  2. Cosine tuning minimizes motor errors.

    Science.gov (United States)

    Todorov, Emanuel

    2002-06-01

    Cosine tuning is ubiquitous in the motor system, yet a satisfying explanation of its origin is lacking. Here we argue that cosine tuning minimizes expected errors in force production, which makes it a natural choice for activating muscles and neurons in the final stages of motor processing. Our results are based on the empirically observed scaling of neuromotor noise, whose standard deviation is a linear function of the mean. Such scaling predicts a reduction of net force errors when redundant actuators pull in the same direction. We confirm this prediction by comparing forces produced with one versus two hands and generalize it across directions. Under the resulting neuromotor noise model, we prove that the optimal activation profile is a (possibly truncated) cosine--for arbitrary dimensionality of the workspace, distribution of force directions, correlated or uncorrelated noise, with or without a separate cocontraction command. The model predicts a negative force bias, truncated cosine tuning at low muscle cocontraction levels, and misalignment of preferred directions and lines of action for nonuniform muscle distributions. All predictions are supported by experimental data.

  3. Study of constrained minimal supersymmetry

    CERN Document Server

    Kane, G L; Roszkowski, Leszek; Wells, J D; Chris Kolda; Leszek Roszkowski; James D Wells

    1994-01-01

    Taking seriously phenomenological indications for supersymmetry, we have made a detailed study of unified minimal SUSY, including effects at the few percent level in a consistent fashion. We report here a general analysis without choosing a particular unification gauge group. We find that the encouraging SUSY unification results of recent years do survive the challenge of a more complete and accurate analysis. Taking into account effects at the 5-10% level leads to several improvements of previous results, and allows us to sharpen our predictions for SUSY in the light of unification. We perform a thorough study of the parameter space. The results form a well-defined basis for comparing the physics potential of different facilities. Very little of the acceptable parameter space has been excluded by LEP or FNAL so far, but a significant fraction can be covered when these accelerators are upgraded. A number of initial applications to the understanding of the SUSY spectrum, detectability of SUSY at LEP II or FNAL...

  4. Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation

    Directory of Open Access Journals (Sweden)

    Terrence T. Kim

    2016-01-01

    Full Text Available We present our perioperative minimally invasive spine surgery technique using intraoperative computed tomography image-guided navigation for the treatment of various lumbar spine pathologies. We present an illustrative case of a patient undergoing minimally invasive percutaneous posterior spinal fusion assisted by the O-arm system with navigation. We discuss the literature and the advantages of the technique over fluoroscopic imaging methods: lower occupational radiation exposure for operative room personnel, reduced need for postoperative imaging, and decreased revision rates. Most importantly, we demonstrate that use of intraoperative cone beam CT image-guided navigation has been reported to increase accuracy.

  5. Minimal surfaces in symmetric spaces with parallel second fundamental form

    Indian Academy of Sciences (India)

    XIAOXIANG JIAO; MINGYAN LI

    2017-09-01

    In this paper, we study geometry of isometric minimal immersions of Riemannian surfaces in a symmetric space by moving frames and prove that the Gaussian curvature must be constant if the immersion is of parallel second fundamental form. In particular, when the surface is $S^2$, we discuss the special case and obtain a necessary and sufficient condition such that its second fundamental form is parallel. We alsoconsider isometric minimal two-spheres immersed in complex two-dimensional Kählersymmetric spaces with parallel second fundamental form, and prove that the immersionis totally geodesic with constant Kähler angle if it is neither holomorphic nor antiholomorphicwith Kähler angle $\\alpha\

  6. Frobenius manifolds, Integrable Hierarchies and Minimal Liouville Gravity

    CERN Document Server

    Belavin, A A

    2014-01-01

    We use the connection between the Frobrenius manifold and the Douglas string equation to further investigate Minimal Liouville gravity. We search a solution of the Douglas string equation and simultaneously a proper transformation from the KdV to the Liouville frame which ensure the fulfilment of the conformal and fusion selection rules. We find that the desired solution of the string equation has explicit and simple form in the flat coordinates on the Frobenious manifold in the general case of (p,q) Minimal Liouville gravity.

  7. Tachyon field non-minimally coupled to massive neutrino matter

    Science.gov (United States)

    Ahmad, Safia; Myrzakulov, Nurgissa; Myrzakulov, R.

    2016-07-01

    In this paper, we consider rolling tachyon, with steep run-away type of potentials non-minimally coupled to massive neutrino matter. The coupling dynamically builds up at late times as neutrino matter turns non-relativistic. In case of scaling and string inspired potentials, we have shown that non-minimal coupling leads to minimum in the field potential. Given a suitable choice of model parameters, it is shown to give rise to late-time acceleration with the desired equation of state.

  8. Properties of the periodic Hartree-Fock minimizer

    CERN Document Server

    Ghimenti, Marco

    2008-01-01

    We study the periodic Hartree-Fock model used for the description of electrons in a crystal. The existence of a minimizer was previously shown by Catto, Le Bris and Lions (Ann. Inst. H. Poincare Anal. Non Lineaire} 18 (2001), no.6, 687--760). We prove in this paper that any minimizer is necessarily a projector and that it solves a certain nonlinear equation, similarly to the atomic case. In particular we show that the Fermi level is either empty or totally filled.

  9. 关节镜下微创手术治疗运动性肩袖损伤50例康复护理%Rehabilitation nursing care in the treatment of 50 cases of sport rotator cuff injury with minimally invasive arthroscopic surgery

    Institute of Scientific and Technical Information of China (English)

    宋学良; 于红英; 钭晓帆

    2011-01-01

    目的:探讨关节镜下微创手术治疗运动性肩袖损伤患者的康复护理方法.方法:对50例运动性肩袖损伤患者行关节镜下微创手术治疗,并给予个性化心理护理、疼痛护理及有计划的阶段性康复训练.结果:50例患者均未出现肩关节僵硬强直、创伤性骨性关节炎及神经损伤等并发症.随访3个月~1.5 年,根据美国UCLA肩关节评分标准评分优35例、良10例、可5例,优良率90%.患者自我满意度高.结论:关节镜下微创手术后早期阶段性康复训练能促进肩关节功能恢复,提高手术治疗的效果.%Objective: To explore the rehabilitation nursing methods in the treatment of sport rotator cuff injury with minimally invasive arthroscopic surgery. Methods: 50 patients with sport rotator cuff injury were treated with minimally invasive arthroscopic surgery and given individualized psychological care, pain care and planned staged rehabilitation training. Results: There was no occurrence of stiffness and rigidity of shoulder joint, traumatic osteoarthritis and nerve damage in these 50 patients. The patients were followed up for 3 months to 1.5 years, the scoring showed 35 cases were excellent, 10 cases good and 5 cases fair according to U.S. UCLA shoulder grading standard. The excellent and good rate was 90%. The patient's self - satisfaction was high. Conclusions: The early staged rehabilitation training can promote the functional recovery of shoulder joint and improve surgical outcome after minimally invasive arthroscopic surgery.

  10. Global regularity for minimal sets and counterexamples

    CERN Document Server

    Liang, Xiangyu

    2011-01-01

    We discuss the global regularity for 2 dimensional minimal sets, that is, whether all global minimal sets in $\\R^n$ are cones or not. Every minimal set looks like a minimal cone $C$ at infinity, hence the main point is to use the topological properties of a minimal set at large scale to control its topology at smaller scales. Such arguments depend on the cone $C$, thus we have to discuss them one by one. Recall that this is the idea to prove that 1-dimensional Almgren-minimal sets in $\\R^n$, and 2-dimensional Mumford-Shah minimal sets in $\\R^3$ are cones. In this article we discuss three types of 2-dimensional minimal sets: Almgren-minimal set in $\\R^3$ whose blow-in limit is a $\\T$ set; topological minimal sets in $\\R^4$ whose blow-in limit is a $\\T$ set; and Almgren minimal sets in $\\R^4$ whose blow-in limit is the union $P_\\theta$ of two almost orthogonal planes. For the first one we eliminate an existing potential counterexample that was proposed by several people, and show that a real counterexample shou...

  11. A study of minimally invasive treatment for hepatolithiasis

    Directory of Open Access Journals (Sweden)

    CUI Long

    2013-06-01

    Full Text Available ObjectiveTo investigate the feasibility and therapeutic effect of minimally invasive treatment for hepatolithiasis. MethodsAn investigation was conducted in 15 patients with hepatolithiasis who underwent total laparoscopic treatment from May 2006 to November 2012. The procedures included simple laparoscopic hepatectomy, simple laparoscopic bile duct exploration, and Oddi sphincter-preserved subcutaneous tunnel and hepatocholangioplasty with the use of gallbladder or free jejunum. ResultsAll cases completed the operation, with no perioperative mortality, and postoperative residual stones were found in 26% of all cases (4/15. The follow-up rate was 100%; the mean follow-up was 29 months (range, 2-80 months. There was one case of postoperative anastomotic stenosis, and no recurrence of hepatolithiasis was seen. ConclusionMinimally invasive treatment for hepatolithiasis can be achieved if the operative indications are fully understood, the procedures are carefully performed, and the choledochoscope and subcutaneous tunnel are properly used.

  12. Minimal models of multidimensional computations.

    Directory of Open Access Journals (Sweden)

    Jeffrey D Fitzgerald

    2011-03-01

    Full Text Available The multidimensional computations performed by many biological systems are often characterized with limited information about the correlations between inputs and outputs. Given this limitation, our approach is to construct the maximum noise entropy response function of the system, leading to a closed-form and minimally biased model consistent with a given set of constraints on the input/output moments; the result is equivalent to conditional random field models from machine learning. For systems with binary outputs, such as neurons encoding sensory stimuli, the maximum noise entropy models are logistic functions whose arguments depend on the constraints. A constraint on the average output turns the binary maximum noise entropy models into minimum mutual information models, allowing for the calculation of the information content of the constraints and an information theoretic characterization of the system's computations. We use this approach to analyze the nonlinear input/output functions in macaque retina and thalamus; although these systems have been previously shown to be responsive to two input dimensions, the functional form of the response function in this reduced space had not been unambiguously identified. A second order model based on the logistic function is found to be both necessary and sufficient to accurately describe the neural responses to naturalistic stimuli, accounting for an average of 93% of the mutual information with a small number of parameters. Thus, despite the fact that the stimulus is highly non-Gaussian, the vast majority of the information in the neural responses is related to first and second order correlations. Our results suggest a principled and unbiased way to model multidimensional computations and determine the statistics of the inputs that are being encoded in the outputs.

  13. Minimal information in velocity space

    CERN Document Server

    Evrard, Guillaume

    1995-01-01

    Jaynes' transformation group principle is used to derive the objective prior for the velocity of a non-zero rest-mass particle. In the case of classical mechanics, invariance under the classical law of addition of velocities, leads to an improper constant prior over the unbounded velocity space of classical mechanics. The application of the relativistic law of addition of velocities leads to a less simple prior. It can however be rewritten as a uniform volumetric distribution if the relativistic velocity space is given a non-trivial metric.

  14. 微创胫骨远端L型锁定钢板治疗Pilon骨折16例临床分析%Clinical Analysis of 16 Cases of Pilon Fracture Treated with Distal Tibia L Locking Plate of Minimally Invasive

    Institute of Scientific and Technical Information of China (English)

    黄绪奎

    2015-01-01

    Objective:To disscuss the operation main points and clinical therapeutic effect of Pilon fracture treated with distal tibia L locking plate of minimally invasive.Method:The data of 16 cases of Pilon fracture patients treated with distal tibia minimally invasive limited open reduction of side L locking plate internal fixation were retrospectively analyzed in our hospital from January 2013 to June 2014.11 cases of fibula segment or external ankle fractures were performed after the lateral and longitudinal incision,the decision to choose reset 1/3 tubular or reconstruction plate fixation or fibula distal lateral plate fixation according to the fracture situation.Result:6-18 months follow-up after operation,all fracture patients were reached clinical healing. No internal fixation loosening or fracture,fracture displacement,skin flap necrosis,infection of incision,complications,etc.The Johner-wruhs grading system was used to evaluate surgical curative effect,10 cases were good,4 cases were well,2 cases were medium,0 case was poor,no incision infection.Conclusion:Distal tibia L minimally invasive locking plate for Pilon fractures is with a small surgical trauma,periosteal stripping significantly reduced,thus protect fracture blood supply effectively,improve the cure rate of fracture and reduce the fracture complications.At the same time,patients in clinic are able to take early ankle function exercises,it can obtain satisfactory clinical effect.%目的:探讨采用微创胫骨远端L型锁定钢板治疗Pilon骨折的手术要点与临床治疗效果。方法:回顾分析笔者所在医院2013年1月-2014年6月16例Pilon骨折患者的资料,采用胫骨远端前侧微创有限切开复位L型锁定钢板内固定。其中合并腓骨下段或外踝骨折则作后外侧纵切口11例,复位后根据骨折情况决定选用1/3管形或重建钢板固定或腓骨远端外侧钢板固定。结果:术后随访6~18个月,所有患者均达到临床愈合。无

  15. Reaction route graphs. III. Non-minimal kinetic mechanisms.

    Science.gov (United States)

    Fishtik, Ilie; Callaghan, Caitlin A; Datta, Ravindra

    2005-02-24

    The concept of reaction route (RR) graphs introduced recently by us for kinetic mechanisms that produce minimal graphs is extended to the problem of non-minimal kinetic mechanisms for the case of a single overall reaction (OR). A RR graph is said to be minimal if all of the stoichiometric numbers in all direct RRs of the mechanism are equal to +/-1 and non-minimal if at least one stoichiometric number in a direct RR is non-unity, e.g., equal to +/-2. For a given mechanism, four unique topological characteristics of RR graphs are defined and enumerated, namely, direct full routes (FRs), empty routes (ERs), intermediate nodes (INs), and terminal nodes (TNs). These are further utilized to construct the RR graphs. One algorithm involves viewing each IN as a central node in a RR sub-graph. As a result, the construction and enumeration of RR graphs are reduced to the problem of balancing the peripheral nodes in the RR sub-graphs according to the list of FRs, ERs, INs, and TNs. An alternate method involves using an independent set of RRs to draw the RR graph while satisfying the INs and TNs. Three examples are presented to illustrate the application of non-minimal RR graph theory.

  16. Chemical basis for minimal cognition

    DEFF Research Database (Denmark)

    Hanczyc, Martin; Ikegami, Takashi

    We have developed a simple chemical system capable of self-movement in order to study the chemical-molecular origins of movement, perception and cognition. The system consists simply of an oil droplet in an aqueous environment. The aqueous phase contains a surfactant that modulates the interfacial...... tension between the drop of oil and its environment. We embed a chemical reaction in the oil phase that reacts with water when an oily precursor comes in contact with the water phase at the liquidliquid interface. This reaction not only powers the droplet to move in the aqueous phase but also allows......H and the environmental gradient. In our modeling, we demonstrated that a computational autopoietic cell could move by continuously self-repairing the membrane, but in this case failed to show any gradientclimbing behavior (Suzuki et al., 2008, Artificial Life, in press). This may be due to the fact that the autopoietic...

  17. On o-minimal homotopy groups

    CERN Document Server

    Baro, Elias

    2008-01-01

    We work over an o-minimal expansion of a real closed field. The o-minimal homotopy groups of a definable set are defined naturally using definable continuous maps. We prove that any two semialgebraic maps which are definably homotopic are also semialgebraically homotopic. This result together with the study of semialgebraic homotopy done by H. Delfs and M. Knebusch allows us to develop an o-minimal homotopy theory. In particular, we obtain o-minimal versions of the Hurewicz theorems and the Whitehead theorem.

  18. Automatic Generation of Minimal Cut Sets

    Directory of Open Access Journals (Sweden)

    Sentot Kromodimoeljo

    2015-06-01

    Full Text Available A cut set is a collection of component failure modes that could lead to a system failure. Cut Set Analysis (CSA is applied to critical systems to identify and rank system vulnerabilities at design time. Model checking tools have been used to automate the generation of minimal cut sets but are generally based on checking reachability of system failure states. This paper describes a new approach to CSA using a Linear Temporal Logic (LTL model checker called BT Analyser that supports the generation of multiple counterexamples. The approach enables a broader class of system failures to be analysed, by generalising from failure state formulae to failure behaviours expressed in LTL. The traditional approach to CSA using model checking requires the model or system failure to be modified, usually by hand, to eliminate already-discovered cut sets, and the model checker to be rerun, at each step. By contrast, the new approach works incrementally and fully automatically, thereby removing the tedious and error-prone manual process and resulting in significantly reduced computation time. This in turn enables larger models to be checked. Two different strategies for using BT Analyser for CSA are presented. There is generally no single best strategy for model checking: their relative efficiency depends on the model and property being analysed. Comparative results are given for the A320 hydraulics case study in the Behavior Tree modelling language.

  19. Minimal realizations of supersymmetry for matrix Hamiltonians

    Energy Technology Data Exchange (ETDEWEB)

    Andrianov, Alexander A., E-mail: andrianov@icc.ub.edu; Sokolov, Andrey V., E-mail: avs_avs@rambler.ru

    2015-02-06

    The notions of weak and strong minimizability of a matrix intertwining operator are introduced. Criterion of strong minimizability of a matrix intertwining operator is revealed. Criterion and sufficient condition of existence of a constant symmetry matrix for a matrix Hamiltonian are presented. A method of constructing of a matrix Hamiltonian with a given constant symmetry matrix in terms of a set of arbitrary scalar functions and eigen- and associated vectors of this matrix is offered. Examples of constructing of 2×2 matrix Hamiltonians with given symmetry matrices for the cases of different structure of Jordan form of these matrices are elucidated. - Highlights: • Weak and strong minimization of a matrix intertwining operator. • Criterion of strong minimizability from the right of a matrix intertwining operator. • Conditions of existence of a constant symmetry matrix for a matrix Hamiltonian. • Method of constructing of a matrix Hamiltonian with a given constant symmetry matrix. • Examples of constructing of 2×2 matrix Hamiltonians with a given symmetry matrix.

  20. Reaction path synthesis methodology for waste minimization

    Institute of Scientific and Technical Information of China (English)

    HU; Shanying; LI; Mingheng; LI; Yourun; SHEN; Jingzhu; LIU

    2004-01-01

    It is a key step for reducing waste generation in chemical processes to design optimal reaction paths. In this paper, methods of waste minimization for reaction path synthesis problems are proposed to realize eco-industrial production mode with minimum waste emission. A new conception of simple stoichiometric reaction is presented for reaction path synthesis problem. All simple stoichiometric reactions can be obtained by mathematical transformation for atom matrix of a reaction system. Based on the conception, a two-tier optimization method for complex reaction path synthesis problems is addressed. The first step is to determine the economic optimal overall reactions, and the second step to decompose each overall reaction into several sub-reactions and find out the best thermodynamic feasible reaction path. Further, a method of reaction path synthesis with waste closed-cycle is proposed based on simple stoichiometric reactions for achieving zero waste emission to poly-generation problem of multi-products. Case studies show that the proposed methods can efficiently solve practical reaction path synthesis problems.

  1. Locating Minimal Fault Interaction in Combinatorial Testing

    Directory of Open Access Journals (Sweden)

    Wei Zheng

    2016-01-01

    Full Text Available Combinatorial testing (CT technique could significantly reduce testing cost and increase software system quality. By using the test suite generated by CT as input to conduct black-box testing towards a system, we are able to detect interactions that trigger the system’s faults. Given a test case, there may be only part of all its parameters relevant to the defects in system and the interaction constructed by those partial parameters is key factor of triggering fault. If we can locate those parameters accurately, this will facilitate the software diagnosing and testing process. This paper proposes a novel algorithm named complete Fault Interaction Location (comFIL to locate those interactions that cause system’s failures and meanwhile obtains the minimal set of target interactions in test suite produced by CT. By applying this method, testers can analyze and locate the factors relevant to defects of system more precisely, thus making the process of software testing and debugging easier and more efficient. The results of our empirical study indicate that comFIL performs better compared with known fault location techniques in combinatorial testing because of its improved effectiveness and precision.

  2. Likelihood analysis of the minimal AMSB model

    Energy Technology Data Exchange (ETDEWEB)

    Bagnaschi, E.; Weiglein, G. [DESY, Hamburg (Germany); Borsato, M.; Chobanova, V.; Lucio, M.; Santos, D.M. [Universidade de Santiago de Compostela, Santiago de Compostela (Spain); Sakurai, K. [Institute for Particle Physics Phenomenology, University of Durham, Science Laboratories, Department of Physics, Durham (United Kingdom); University of Warsaw, Faculty of Physics, Institute of Theoretical Physics, Warsaw (Poland); Buchmueller, O.; Citron, M.; Costa, J.C.; Richards, A. [Imperial College, High Energy Physics Group, Blackett Laboratory, London (United Kingdom); Cavanaugh, R. [Fermi National Accelerator Laboratory, Batavia, IL (United States); University of Illinois at Chicago, Physics Department, Chicago, IL (United States); De Roeck, A. [Experimental Physics Department, CERN, Geneva (Switzerland); Antwerp University, Wilrijk (Belgium); Dolan, M.J. [School of Physics, University of Melbourne, ARC Centre of Excellence for Particle Physics at the Terascale, Melbourne (Australia); Ellis, J.R. [King' s College London, Theoretical Particle Physics and Cosmology Group, Department of Physics, London (United Kingdom); CERN, Theoretical Physics Department, Geneva (Switzerland); Flaecher, H. [University of Bristol, H.H. Wills Physics Laboratory, Bristol (United Kingdom); Heinemeyer, S. [Campus of International Excellence UAM+CSIC, Madrid (Spain); Instituto de Fisica Teorica UAM-CSIC, Madrid (Spain); Instituto de Fisica de Cantabria (CSIC-UC), Cantabria (Spain); Isidori, G. [Physik-Institut, Universitaet Zuerich, Zurich (Switzerland); Luo, F. [Kavli IPMU (WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba (Japan); Olive, K.A. [School of Physics and Astronomy, University of Minnesota, William I. Fine Theoretical Physics Institute, Minneapolis, MN (United States)

    2017-04-15

    We perform a likelihood analysis of the minimal anomaly-mediated supersymmetry-breaking (mAMSB) model using constraints from cosmology and accelerator experiments. We find that either a wino-like or a Higgsino-like neutralino LSP, χ{sup 0}{sub 1}, may provide the cold dark matter (DM), both with similar likelihoods. The upper limit on the DM density from Planck and other experiments enforces m{sub χ{sup 0}{sub 1}} 0) but the scalar mass m{sub 0} is poorly constrained. In the wino-LSP case, m{sub 3/2} is constrained to about 900 TeV and m{sub χ{sup 0}{sub 1}} to 2.9 ± 0.1 TeV, whereas in the Higgsino-LSP case m{sub 3/2} has just a lower limit >or similar 650 TeV (>or similar 480 TeV) and m{sub χ{sup 0}{sub 1}} is constrained to 1.12 (1.13) ± 0.02 TeV in the μ > 0 (μ < 0) scenario. In neither case can the anomalous magnetic moment of the muon, (g-2){sub μ}, be improved significantly relative to its Standard Model (SM) value, nor do flavour measurements constrain the model significantly, and there are poor prospects for discovering supersymmetric particles at the LHC, though there are some prospects for direct DM detection. On the other hand, if the χ{sup 0}{sub 1} contributes only a fraction of the cold DM density, future LHC E{sub T}-based searches for gluinos, squarks and heavier chargino and neutralino states as well as disappearing track searches in the wino-like LSP region will be relevant, and interference effects enable BR(B{sub s,d} → μ{sup +}μ{sup -}) to agree with the data better than in the SM in the case of wino-like DM with μ > 0. (orig.)

  3. Diagnosis and treatment of acute rejection in the first case of human living-related small bowel transplantation with a long-term survival in China

    Institute of Scientific and Technical Information of China (English)

    Wei-Liang Song; Wei-Zhong Wang; Guo-Sheng Wu; Meng-Bin Li; Ji-Peng Li; Gang Ji; Guang-Long Dond; Hong-Wei Zhang

    2005-01-01

    AIM: To report the comprehensive diagnosis and treatment of acute rejection in the first case of living-related small bowel transplantation with a long-term survival in China.METHODS: A 18-year-old boy with short gut syndrome underwent living-related small bowel transplantation, with the graft taken from his father (44-year old). A segment of 150-cm distal small bowel was resected from the donor. The ilea-colic artery and vein from the donor were anastomosed to the infrarenal aorta and vena cava of the recipient respectively. The intestinal continuity was restored with an end-to-end anastomosis between the recipient jejunum and donor ileum, and the distal end was fistulized. FK506, MMF and prednisone were initially used for post-transplant immunosuppression. Endoscopic observation and mucosal biopsies of the graft were carried out through the terminal ileum enterostomy; serum was collected to detect the levels of IL-2R, IL-4, IL-6 and IL-8.The change of the graft secretion and absorption was observed.RESULTS: Acute rejection was diagnosed promptly and cured. The patient was in good health, 5 years after livingrelated small bowel transplantation.CONCLUSION: The correct diagnosis and treatment of acute rejection are the key to the long-term survival after living-related small bowel transplantation.

  4. Reducing the number of counterterms with new minimally doubled actions

    CERN Document Server

    Capitani, Stefano

    2014-01-01

    We study a class of nearest-neighbor minimally doubled actions which depend on 2 continuous parameters. We calculate the contributions of the 3 possible counterterms in perturbation theory, and we find that for each counterterm there are curves in the parameter space on which its coefficient vanishes. One can thus construct renormalized actions that contain only 2 counterterms instead of the 3 of the standard Karsten-Wilczek or Borici-Creutz actions. Our investigations suggest the usefulness of analogous nonperturbative searches for values of the parameters for which the number of counterterms can be reduced. They can also be an inspiration to undertake a search for ultralocal minimally doubled actions with even better counterterm-reducing properties, including the optimal case in which all counterterms can be removed. Simulations of the latter actions will be much cheaper than the cases in which one needs to add counterterms to the bare actions, like the already conveniently inexpensive standard Karsten-Wilc...

  5. Contemporary review of minimally invasive pancreaticoduodenectomy.

    Science.gov (United States)

    Dai, Rui; Turley, Ryan S; Blazer, Dan G

    2016-12-27

    To assess the current literature describing various minimally invasive techniques for and to review short-term outcomes after minimally invasive pancreaticoduodenectomy (PD). PD remains the only potentially curative treatment for periampullary malignancies, including, most commonly, pancreatic adenocarcinoma. Minimally invasive approaches to this complex operation have begun to be increasingly reported in the literature and are purported by some to reduce the historically high morbidity of PD associated with the open technique. In this systematic review, we have searched the literature for high-quality publications describing minimally invasive techniques for PD-including laparoscopic, robotic, and laparoscopic-assisted robotic approaches (hybrid approach). We have identified publications with the largest operative experiences from well-known centers of excellence for this complex procedure. We report primarily short term operative and perioperative results and some short term oncologic endpoints. Minimally invasive techniques include laparoscopic, robotic and hybrid approaches and each of these techniques has strong advocates. Consistently, across all minimally invasive modalities, these techniques are associated less intraoperative blood loss than traditional open PD (OPD), but in exchange for longer operating times. These techniques are relatively equivalent in terms of perioperative morbidity and short term oncologic outcomes. Importantly, pancreatic fistula rate appears to be comparable in most minimally invasive series compared to open technique. Impact of minimally invasive technique on length of stay is mixed compared to some traditional open series. A few series have suggested that initiation of and time to adjuvant therapy may be improved with minimally invasive techniques, however this assertion remains controversial. In terms of short-terms costs, minimally invasive PD is significantly higher than that of OPD. Minimally invasive approaches to PD show

  6. Minimally invasive surgery colloidal cystic thyroid nodules

    Directory of Open Access Journals (Sweden)

    V G Petrov

    2013-12-01

    Full Text Available An analysis of the use of minimally invasive interventions - laser-induced thermotherapy (LITT, ethanol destruction (ED under ultrasound guidance, a combination of these methods in the treatment of сystic-col- loidal nodes (CCN of thyroid nodules in 120 patients. ED carried out in 31 patients with cystic destruction of a site of more than 70%. Marked decrease in the average volume with 4.68 ± 2.25 cm3 to 1.15 ± 0.9 cm3. In 4 patients remained cystic cavity of small size, which required a combination of LITT (CombiLITT. Nine patients underwent LITT solid residue of more than 1 cm3. The average size of nodules within 6 months after the primary surgery was 0.9 ± 0.3 cm3. СombiLITT performed in 42 patients with cystic cavity from 20 to 70%. The volume of units decreased from 7.98 ± 4.56 to 1.87 ± 0.9 cm3. After 3 months, 11 patients with the size of a solid residue of more than 1 cm3 held LITT. All of them when viewed after 3 months observed decrease of more than 50%. LITT performed 23 patients with major nodes and cystic cavities less than 20% of the node. Marked decrease in the amount of nodes with 2.89 ± 1.25 cm3 to 1.42 ± 0.8 cm3. Retesting LITT took 2 patients. After 6 months, the average amount of units was 0.7 ± 0.2 cm3 LITT conducted in 24 patients with small cystic nodes to 1 cm3. Marked decrease in size from 0.69 ± 0.23 cm3 to 0.29 ± 0.12 cm3. Varied selection of minimally inva- sive treatment of CCN is effective and in most cases, to achieve reduction of the size of nodes.

  7. UNIQUENESS THEOREM OF THE REGULARIZABLE RADIAL GINZBURG-LANDAU TYPE MINIMIZERS

    Institute of Scientific and Technical Information of China (English)

    雷雨田

    2002-01-01

    The author proves the uniqueness of the regularizable radial minimizers of a Ginzburg-Landau type functional in the case n - 1 < p < n,and the location of the zeros of the regularizable radial minimizers of this functional is discussed.

  8. On massless dyadic forms and no minimal coupling theorem

    CERN Document Server

    Kassiteridis, Alexis

    2016-01-01

    We use spinor helicity formalism in order to derive the dyadic forms for massless fields of various spins. We also give an iterated form of this approach in case higher spin theories are under study. This reduces calculations at hard and soft scattering problems in gauge theories drastically. We also state and prove a theorem of gauge symmetry violation in the presence of minimal coupling with light in higher spin theories ($j>1/2$).

  9. Loss Minimization and Voltage Control in Smart Distribution Grid

    DEFF Research Database (Denmark)

    Juelsgaard, Morten; Sloth, Christoffer; Wisniewski, Rafal

    2014-01-01

    This work presents a strategy for increasing the installation of electric vehicles and solar panels in low-voltage grids, while obeying voltage variation constraints. Our approach employs minimization of active power losses for coordinating consumption and generation of power, as well as reactive...... power control to maintain satisfactory grid operation. Numerical case studies illustrate how our approach can significantly increase installation of both electric vehicles and solar panels, while avoiding unsatisfactory over- and under-voltages throughout the grid....

  10. A minimally invasive treatment of severe dental fluorosis

    OpenAIRE

    Ardu, Stefano; Stavridakis, Minos; Krejci, Ivo

    2007-01-01

    This article describes a minimally invasive technique to treat a severe case of enamel fluorosis using microabrasion to eliminate the hypermineralized, white-colored, superficial enamel layer, followed by home bleaching treatment and chairside re-creation of superficial enamel microstructure. The proposed technique may improve the esthetics of fluorotic teeth without requiring other restorative procedures. Microabrasion followed by home bleaching may be an interesting alternative for the rest...

  11. Minimally invasive rehabilitation of a patient with amelogenesis imperfecta

    OpenAIRE

    Büchi, Dominik; Fehmer, Vincent; Sailer, Irena; Wolleb, Karin; Jung, Ronald

    2014-01-01

    This case report describes a minimally invasive step-by-step approach to treat a patient with amelogenesis imperfecta. This is a genetic developmental disorder of the dental enamel, which clinically manifests as white and dark discolorations of the teeth. The clinical examination did not reveal the true depth of the staining. Therefore, a step-wise treatment approach was chosen. The first step consisted of a home bleaching procedure, which led to a slight improvement of the esthetic appearanc...

  12. Minimization of Fuzzy Finite Generalized Automata

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Some concepts in Fuzzy Generalized Automata (FGA) are established. Then an important new algorithm which would calculate the minimal FGA is given. The new algorithm is composed of two parts: the first is called E-reduction which contracts equivalent states, and the second is called RE-reduction which removes retrievable states. Finally an example is given to illuminate the algorithm of minimization.

  13. The relative volume growth of minimal submanifolds

    DEFF Research Database (Denmark)

    Markvorsen, Steen; Palmer, V.

    2002-01-01

    The volume growth of certain well-defined subsets of minimal submanifolds in riemannian spaces are compared with the volume growth of balls and spheres ill space forms of constant curvature.......The volume growth of certain well-defined subsets of minimal submanifolds in riemannian spaces are compared with the volume growth of balls and spheres ill space forms of constant curvature....

  14. Medial displacement calcaneal osteotomy using minimally invasive technique.

    Science.gov (United States)

    Kheir, Ehab; Borse, Vishal; Sharpe, Jon; Lavalette, David; Farndon, Mark

    2015-03-01

    Medial displacement calcaneal osteotomy is a common procedure often used as part of pes planovalgus deformity correction. Traditionally the osteotomy is performed using a direct lateral or extended lateral approach, which may carry the risk of wound problems, infection and neurovascular injury. The authors describe a minimally invasive technique to perform the osteotomy and achieve the desired correction. The article illustrates our experience and learning curve with the use of this technique as an option for calcaneal osteotomy. We retrospectively reviewed the records of a sequential series of patients since 2011 whose calcaneal osteotomies were performed by 2 surgeons, after cadaveric training using a minimally invasive operative approach. Prior to 2011, similar surgeries, performed by the senior authors, were undertaken using a direct lateral approach. Thirty cases were identified; 29 had tibialis posterior reconstruction coupled with calcaneal osteotomy for acquired flexible planovalgus deformity and 1 patient had surgery for a malunited calcaneal fracture. Radiological and clinical union occurred in all 30 cases (100%). The radiographs of all cases were reviewed by a specialist musculoskeletal radiologist. There were no neurovascular or wound complications. All patients had restoration of neutral hindfoot alignment. One patient required screw removal after union, resolving all symptoms. This series suggests that minimally invasive calcaneal osteotomy surgery can achieve excellent union rates aiding correction of deformity with no observed neurovascular or soft tissue complications. For surgeons experienced in open surgery, there is a short learning curve after appropriate training. © The Author(s) 2014.

  15. The diagnostic utility of the minimal carcinoma triple stain in breast carcinomas.

    Science.gov (United States)

    Ross, Dara S; Liu, Yi-Fang; Pipa, Jennifer; Shin, Sandra J

    2013-01-01

    Pathologists are expected to accurately diagnose increasingly smaller breast carcinomas. Correct classification (ie, lobular vs ductal or in situ vs invasive) directly affects subsequent management, especially when the focus is near a surgical margin or present in a needle core biopsy and is further challenging if the lesion is morphologically ambiguous. We assessed the diagnostic utility of a multiplex, trichromogen immunostain of 3 commonly employed antibodies (CK7, p63, and E-cadherin) developed in our laboratory to evaluate these small lesions. Of the 147 specimens containing minimal (defined as ≤3 mm in size) invasive carcinoma, 81 also contained in situ carcinoma. In each case, the Minimal Carcinoma Triple Stain was prepared with a parallel H&E-stained slide. Observations of staining characteristics in the focus of interest were recorded. The Minimal Carcinoma Triple Stain was diagnostically useful in all but 1 case. In a case of invasive lobular carcinoma in an excisional biopsy, the Minimal Carcinoma Triple Stain stained only the surrounding breast tissue (appropriately) and not the focus of interest. Also, a subset of 29 of 81 excisional biopsies had minimal invasive carcinoma located 2 mm or less from the inked surgical margin, in which in all cases the Minimal Carcinoma Triple Stain was fully interpretable despite morphologic distortion due to concomitant cautery artifact and tissue disruption in some cases. The Minimal Carcinoma Triple Stain offers an accurate and tissue-conserving method to diagnose small, morphologically problematic foci of breast carcinoma while ideally leaving more tissue for additional adjunctive studies.

  16. A Wiring-Aware Approach to Minimizing Built-In Self-Test Overhead

    Institute of Scientific and Technical Information of China (English)

    Abdil Rashid Mohamed; Zebo Peng; Petru Eles

    2005-01-01

    This paper describes a built-in self-test (BIST) hardware overhead minimization technique used during a BIST synthesis process. The technique inserts a minimal amount of BIST resources into a digital system to make it fully testable.The BIST resource insertion is guided by the results of symbolic testability analysis. It takes into consideration both BIST register cost and wiring overhead in order to obtain the minimal area designs. A Simulated Annealing algorithm is used to solve the overhead minimization problem. Experiments show that considering wiring area during BIST synthesis results in smaller final designs as compared to the cases when the wiring impact is ignored.

  17. Minimally Coupled Dirac Field to the Mielke-Baekler Model of Gravity

    CERN Document Server

    Sert, Özcan

    2013-01-01

    We consider a Dirac field coupled minimally to the Mielke-Baekler model of gravity and investigate cosmological solutions in three dimensions. We arrive at a family of solution which is valid even the case of zero cosmological constant.

  18. Minimal change disease: a CD80 podocytopathy?

    Science.gov (United States)

    Ishimoto, Takuji; Shimada, Michiko; Araya, Carlos E; Huskey, Janna; Garin, Eduardo H; Johnson, Richard J

    2011-07-01

    Minimal change disease is the most common nephrotic syndrome in children. Although the etiology of minimal change disease remains to be elucidated, it has been postulated that it is the result of a circulating T-cell factor that causes podocyte cytoskeleton disorganization leading to increased glomerular capillary permeability and/or changes in glomerular basement membrane heparan sulfate glycosaminoglycans resulting in proteinuria. Minimal change disease has been associated with allergies and Hodgkin disease. Consistent with these associations, a role for interleukin-13 with minimal change disease has been proposed. Furthermore, studies evaluating podocytes also have evolved. Recently, increased expression of CD80 (also termed B7-1) on podocytes was identified as a mechanism for proteinuria. CD80 is inhibited by binding to CTLA-4, which is expressed on regulatory T cells. Recently, we showed that urinary CD80 is increased in minimal change disease patients and limited studies have suggested that it is not commonly present in the urine of patients with other glomerular diseases. Interleukin-13 or microbial products via Toll-like receptors could be factors that induce CD80 expression on podocytes. CTLA-4 appears to regulate CD80 expression in podocytes, and to be altered in minimal change disease patients. These findings lead us to suggest that proteinuria in minimal change disease is caused by persistent CD80 expression in podocytes, possibly initiated by stimulation of these cells by antigens or cytokines.

  19. Theories of minimalism in architecture: Post scriptum

    Directory of Open Access Journals (Sweden)

    Stevanović Vladimir

    2012-01-01

    Full Text Available Owing to the period of intensive development in the last decade of XX century, architectural phenomenon called Minimalism in Architecture was remembered as the Style of the Nineties, which is characterized, morphologically speaking, by simplicity and formal reduction. Simultaneously with its development in practice, on a theoretical level several dominant interpretative models were able to establish themselves. The new millennium and time distance bring new problems; therefore this paper represents a discussion on specific theorization related to Minimalism in Architecture that can bear the designation of post scriptum, because their development starts after the constitutional period of architectural minimalist discourse. In XXI century theories, the problem of definition of minimalism remains important topic, approached by theorists through resolving on the axis: Modernism - Minimal Art - Postmodernism - Minimalism in Architecture. With regard to this, analyzed texts can be categorized in two groups: 1 texts of affirmative nature and historical-associative approach in which minimalism is identified with anything that is simple and reduced, in an idealizing manner, relied mostly on the existing hypotheses; 2 critically oriented texts, in which authors reconsider adequacy of the very term 'minimalism' in the context of architecture and take a metacritical attitude towards previous texts.

  20. Minimal invasive surgery in pediatric solid tumors.

    Science.gov (United States)

    Chan, Kin Wai; Lee, K H; Tam, Y H; Yeung, C K

    2007-12-01

    There is only limited experience of using the minimally invasive surgery (MIS) technique in resecting pediatric solid tumors. In this paper, we report our experience of using the MIS technique in the management of pediatric solid tumors. A retrospective review was undertaken on all children who had undergone MIS for their solid tumors between 1995 and 2005. Over a 10-year period, there were 38 patients who had undergone MIS for tumor resection. The mean age at the time of surgery was 7.5 years (range, 1 day to 15 years). There were 22 ovarian tumors, 4 sacrococcygeal tumors, 3 adrenal tumors, 3 retroperitoneal tumors, 1 kidney tumor, 1 liver mass, 1 intra-abdominal testicular tumor, and 3 intrathoracic masses. Thirty of 38 patients had undergone a successful resection using the MIS technique (78.9%). Eight patients required a conversion to the open procedure because of limited intraperitoneal space in 7 and excessive bleeding in 1. Of the 28 successfully MIS-resected intra-abdominal tumors, 18 required enlargement of the umbilical incision and 5 required an additional Pfannenstiel incision for tumor retrieval. Enlargement of the thoracic port site for specimen retrieval was required in the 2 successfully MIS-resected intrathoracic masses. The mean operation time was 171 minutes (range, 45-275). There was no postoperative complication encountered. On an average follow-up of 3.1 years, there was no recurrence observed, even in the 7 patients with malignant tumors, and all patients with successful MIS tumor excision had good cosmetic results. With the advance of laparoscopic instruments and techniques, a variety of pediatric solid tumors can be resected safely by the MIS technique. This has the potential benefit of a more rapid postoperative recovery and better cosmetic results. The role of the MIS technique in resecting malignant tumors is uncertain, as the number of cases in the current series is too small to draw any conclusion.

  1. Minimal sufficient statistical experiments on von Neumann algebras

    Science.gov (United States)

    Kuramochi, Yui

    2017-06-01

    A statistical experiment on a von Neumann algebra is a parametrized family of normal states on the algebra. This paper introduces the concept of minimal sufficiency for statistical experiments in such operator algebraic situations. We define equivalence relations of statistical experiments indexed by a common parameter set by completely positive or Schwarz coarse-graining and show that any statistical experiment is equivalent to a minimal sufficient statistical experiment unique up to normal isomorphism of outcome algebras. We also establish the relationship between the minimal sufficiency condition for a statistical experiment in this paper and those for subalgebra. These concepts and results are applied to the concatenation relation for completely positive channels with general input and outcome von Neumann algebras. In the case of the quantum-classical channel corresponding to the positive-operator valued measure (POVM), we prove the equivalence of the minimal sufficient condition previously proposed by the author and that in this paper. We also give a characterization of the discreteness of a POVM up to postprocessing equivalence in terms of the corresponding quantum-classical channel.

  2. An algorithm for constructing minimal order inverses

    Science.gov (United States)

    Patel, R. V.

    1976-01-01

    In this paper an algorithm is presented for constructing minimal order inverses of linear, time invariant, controllable and observable, multivariable systems. By means of simple matrix operations, a 'state-overdescribed' system is first constructed which is an inverse of the given multivariable system. A simple Gauss-Jordan type reduction procedure is then used to remove the redundancy in the state vector of the inverse system to obtain a minimal order inverse. When the given multivariable system is not invertible, the algorithm enables a minimal order inverse of an invertible subsystem to be constructed. Numerical examples are given to illustrate the use of the algorithm.

  3. Minimal covariant observables identifying all pure states

    Energy Technology Data Exchange (ETDEWEB)

    Carmeli, Claudio, E-mail: claudio.carmeli@gmail.com [D.I.M.E., Università di Genova, Via Cadorna 2, I-17100 Savona (Italy); I.N.F.N., Sezione di Genova, Via Dodecaneso 33, I-16146 Genova (Italy); Heinosaari, Teiko, E-mail: teiko.heinosaari@utu.fi [Turku Centre for Quantum Physics, Department of Physics and Astronomy, University of Turku (Finland); Toigo, Alessandro, E-mail: alessandro.toigo@polimi.it [Dipartimento di Matematica, Politecnico di Milano, Piazza Leonardo da Vinci 32, I-20133 Milano (Italy); I.N.F.N., Sezione di Milano, Via Celoria 16, I-20133 Milano (Italy)

    2013-09-02

    It has been recently shown by Heinosaari, Mazzarella and Wolf (2013) [1] that an observable that identifies all pure states of a d-dimensional quantum system has minimally 4d−4 outcomes or slightly less (the exact number depending on d). However, no simple construction of this type of minimal observable is known. We investigate covariant observables that identify all pure states and have minimal number of outcomes. It is shown that the existence of this kind of observables depends on the dimension of the Hilbert space.

  4. Minimal representations, geometric quantization, and unitarity.

    Science.gov (United States)

    Brylinski, R; Kostant, B

    1994-06-21

    In the framework of geometric quantization we explicitly construct, in a uniform fashion, a unitary minimal representation pio of every simply-connected real Lie group Go such that the maximal compact subgroup of Go has finite center and Go admits some minimal representation. We obtain algebraic and analytic results about pio. We give several results on the algebraic and symplectic geometry of the minimal nilpotent orbits and then "quantize" these results to obtain the corresponding representations. We assume (Lie Go)C is simple.

  5. Laguerre Minimal Surfaces in R3

    Institute of Scientific and Technical Information of China (English)

    Yu Ping SONG; Chang Ping WANG

    2008-01-01

    Laguerre geometry of surfaces in R3 is given in the book of Blaschke,and has been studied by Musso and Nicolodi,Palmer,Li and Wang and other authors.In this paper we study Laguerre minimal surface in 3-dimensional Euclidean space R3.We show that any Laguerre minimal surface in R3 can be constructed by using at most two holomorphic functions.We show also that any Laguerre minimal surface in R3 with constant Laguerre curvature is Laguerre equivalent to a surface with vanishing mean curvature in the 3-dimensional degenerate space R30.

  6. Minimal free resolutions over complete intersections

    CERN Document Server

    Eisenbud, David

    2016-01-01

    This book introduces a theory of higher matrix factorizations for regular sequences and uses it to describe the minimal free resolutions of high syzygy modules over complete intersections. Such resolutions have attracted attention ever since the elegant construction of the minimal free resolution of the residue field by Tate in 1957. The theory extends the theory of matrix factorizations of a non-zero divisor, initiated by Eisenbud in 1980, which yields a description of the eventual structure of minimal free resolutions over a hypersurface ring. Matrix factorizations have had many other uses in a wide range of mathematical fields, from singularity theory to mathematical physics.

  7. The impact of non-minimally coupled gravity on vacuum stability

    CERN Document Server

    Czerwińska, Olga; Lewicki, Marek; Olszewski, Paweł

    2016-01-01

    We consider vacuum decay in the presence of a non-minimal coupling to gravity. We extend the usual thin-wall solution to include the non-minimal coupling. We also perform a full numerical study and discuss the validity of the new thin-wall approximation. Implications of a large cosmological constant, whose influence on the geometry boosts the tunnelling rate, are discussed. Our results show that the influence of the non-minimal coupling differs significantly between the cases of Minkowski and deSitter backgrounds. In the latter the decay probability quickly decreases when the coupling grows and in fact the vacuum can be made absolutely stable simply due to introduction of the non-minimal coupling. In the case of Minkowski background the effect is much weaker and the decay rate even increases for small values of the non-minimal coupling.

  8. Application of the injection of calcium sulfate combined with minimally invasive internal ifxation in the treatment of 20 cases of patients with thoracolumbar fractures%注射硫酸钙在20例胸腰椎骨折微创内固定治疗中的应用研究

    Institute of Scientific and Technical Information of China (English)

    汤志坚; 刘小勇; 肖蝉; 刘凡汝; 王芳

    2016-01-01

    Objective:To discuss the value of the application of the injection of calcium sulfate combined with minimally invasive internal ifxation in the patients with thoracolumbar fractures.Methods: Forty patients with thoracolumbar fractures were selected and randomly divided into an observation group (receiving injectable calcium sulfate in combination with minimally invasive internal ifxation) and a control group (receiving only minimally invasive internal ifxation) with 20 cases each according to the method for their treatment. The dysfunction degree of patients was assessed by the Oswestry disability index (ODI) and all the patients were followed up for six months. Injection volume of ifller, length of hospital stay, postoperative ambulation time, Cobb angle and the height of anterior vertebrae and preoperative and postoperative ODI were statistically analyzed. Results:Injection volume of ifller was obviously bigger in the observation group than in the control group while the hospital stay time and postoperative ambulation time were signiifcantly shorter and the preoperative ODI, Cobb angle and the compression rate of the height of anterior vertebrae after 1, 3, 6 months observation were signiifcantly less or lower in the observation group. Conclusion: Calcium sulfate injection therapy combined with the minimally invasive internal ifxation can effectively improve vertebral stability and reduce the loss of Cobb angle, which is of beneift to promoting fracture healing, improving dysfunction and accelerating the recovery of patients and worthy of further clinical practice.%目的:探讨注射硫酸钙在胸腰椎骨折微创内固定治疗中的应用价值。方法:选择胸腰椎骨折患者40例,依据治疗方法分为观察组(注射硫酸钙联合微创内固定治疗)和对照组(常规微创内固定治疗)各20例,采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者功能障碍情况,随访6个月,统计分析所

  9. Minimally Invasive Surgery Survey: A Survey of Surgical Team Members' Perceptions for Successful Minimally Invasive Surgery.

    Science.gov (United States)

    Yurteri-Kaplan, Ladin A; Andriani, Leslie; Kumar, Anagha; Saunders, Pamela A; Mete, Mihriye M; Sokol, Andrew I

    2017-07-08

    To develop a valid and reliable survey to measure surgical team members' perceptions regarding their institution's requirements for successful minimally invasive surgery (MIS). Questionnaire development and validation study (Canadian Task Force classification II-2). Three hospital types: rural, urban/academic, and community/academic. Minimally invasive staff (team members). Development and validation of a minimally invasive surgery survey (MISS). Using the Safety Attitudes questionnaire as a guide, we developed questions assessing study participants' attitudes regarding the requirements for successful MIS. The questions were closed-ended and responses based on a 5-point Likert scale. The large pool of questions was then given to 4 focus groups made up of 3 to 6 individuals. Each focus group consisted of individuals from a specific profession (e.g., surgeons, anesthesiologists, nurses, and surgical technicians). Questions were revised based on focus group recommendations, resulting in a final 52-question set. The question set was then distributed to MIS team members. Individuals were included if they had participated in >10 MIS cases and worked in the MIS setting in the past 3 months. Participants in the trial population were asked to repeat the questionnaire 4 weeks later to evaluate internal consistency. Participants' demographics, including age, gender, specialty, profession, and years of experience, were captured in the questionnaire. Factor analysis with varimax rotation was performed to determine domains (questions evaluating similar themes). For internal consistency and reliability, domains were tested using interitem correlations and Cronbach's α. Cronbach's α > .6 was considered internally consistent. Kendall's correlation coefficient τ closer to 1 and with p high test-retest reliability (τ = .3-.7, p < .05). The final questionnaire was made up of 29 questions from the original 52 question set. The MISS is a reliable and valid tool that

  10. Minimal regular 2-graphs and applications

    Institute of Scientific and Technical Information of China (English)

    FAN; Hongbing; LIU; Guizhen; LIU; Jiping

    2006-01-01

    A 2-graph is a hypergraph with edge sizes of at most two. A regular 2-graph is said to be minimal if it does not contain a proper regular factor. Let f2(n) be the maximum value of degrees over all minimal regular 2-graphs of n vertices. In this paper, we provide a structure property of minimal regular 2-graphs, and consequently, prove that f2(n) = n+3-i/3where 1 ≤i≤6, i=n (mod 6) andn≥ 7, which solves a conjecture posed by Fan, Liu, Wu and Wong. As applications in graph theory, we are able to characterize unfactorable regular graphs and provide the best possible factor existence theorem on degree conditions. Moreover, f2(n) and the minimal 2-graphs can be used in the universal switch box designs, which originally motivated this study.

  11. Waste minimization and pollution prevention awareness plan

    Energy Technology Data Exchange (ETDEWEB)

    1991-05-31

    The purpose of this plan is to document the Lawrence Livermore National Laboratory (LLNL) Waste Minimization and Pollution Prevention Awareness Program. The plan specifies those activities and methods that are or will be employed to reduce the quantity and toxicity of wastes generated at the site. The intent of this plan is to respond to and comply with (DOE's) policy and guidelines concerning the need for pollution prevention. The Plan is composed of a LLNL Waste Minimization and Pollution Prevention Awareness Program Plan and, as attachments, Program- and Department-specific waste minimization plans. This format reflects the fact that waste minimization is considered a line management responsibility and is to be addressed by each of the Programs and Departments. 14 refs.

  12. Minimally Invasive Transcatheter Aortic Valve Replacement (TAVR)

    Medline Plus

    Full Text Available Watch a Broward Health surgeon perform a minimally invasive Transcatheter Aortic Valve Replacement (TAVR) Click Here to view the BroadcastMed, Inc. Privacy Policy and Legal Notice © 2017 BroadcastMed, Inc. ...

  13. Biharmonic Maps and Laguerre Minimal Surfaces

    Directory of Open Access Journals (Sweden)

    Yusuf Abu Muhanna

    2013-01-01

    Full Text Available A Laguerre surface is known to be minimal if and only if its corresponding isotropic map is biharmonic. For every Laguerre surface Φ is its associated surface Ψ=1+u2Φ, where u lies in the unit disk. In this paper, the projection of the surface Ψ associated to a Laguerre minimal surface is shown to be biharmonic. A complete characterization of Ψ is obtained under the assumption that the corresponding isotropic map of the Laguerre minimal surface is harmonic. A sufficient and necessary condition is also derived for Ψ to be a graph. Estimates of the Gaussian curvature to the Laguerre minimal surface are obtained, and several illustrative examples are given.

  14. Proton Decay in Minimal Supersymmetric SU(5)

    OpenAIRE

    Bajc, Borut; Perez, Pavel Fileviez; Senjanovic, Goran

    2002-01-01

    We systematically study proton decay in the minimal supersymmetric SU(5) grand unified theory. We find that although the available parameter space of soft masses and mixings is quite constrained, the theory is still in accord with experiment.

  15. Global minimizers of coexistence for competing species

    OpenAIRE

    2010-01-01

    A class of variational models describing ecological systems of k species competing for the same resources is investigated. The occurrence of coexistence in minimal energy solutions is discussed and positive results are proven for suitably differentiated internal dynamics.

  16. Genetic algorithms for minimal source reconstructions

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, P.S.; Mosher, J.C.

    1993-12-01

    Under-determined linear inverse problems arise in applications in which signals must be estimated from insufficient data. In these problems the number of potentially active sources is greater than the number of observations. In many situations, it is desirable to find a minimal source solution. This can be accomplished by minimizing a cost function that accounts from both the compatibility of the solution with the observations and for its ``sparseness``. Minimizing functions of this form can be a difficult optimization problem. Genetic algorithms are a relatively new and robust approach to the solution of difficult optimization problems, providing a global framework that is not dependent on local continuity or on explicit starting values. In this paper, the authors describe the use of genetic algorithms to find minimal source solutions, using as an example a simulation inspired by the reconstruction of neural currents in the human brain from magnetoencephalographic (MEG) measurements.

  17. Cigarette price minimization strategies used by adults

    National Research Council Canada - National Science Library

    Pesko, Michael F; Kruger, Judy; Hyland, Andrew

    2012-01-01

    .... We explored use of cigarette price minimization strategies, such as purchasing cartons of cigarettes, purchasing in states with lower after-tax cigarette prices, and purchasing on the Internet...

  18. Minimally Invasive Transcatheter Aortic Valve Replacement (TAVR)

    Medline Plus

    Full Text Available Watch a Broward Health surgeon perform a minimally invasive Transcatheter Aortic Valve Replacement (TAVR) Click Here to view the BroadcastMed, Inc. Privacy Policy and Legal Notice © 2017 BroadcastMed, Inc. ...

  19. Minimally processed fruit salad enriched with Lactobacillus ...

    African Journals Online (AJOL)

    paula

    2015-06-17

    Jun 17, 2015 ... compounds in the preservation of color ... of probiotic microorganisms in minimally processed fruit. (Rößle et al., 2010a, b; ... MATERIALS AND METHODS ..... (2009). The use of packaging techniques to maintain freshness in.

  20. Design and Demonstration of Minimal Lunar Base

    Science.gov (United States)

    Boche-Sauvan, L.; Foing, B. H.; Exohab Team

    2009-04-01

    Introduction: We propose a conceptual analysis of a first minimal lunar base, in focussing on the system aspects and coordinating every different part as part an evolving architecture [1-3]. We justify the case for a scientific outpost allowing experiments, sample analysis in laboratory (relevant to the origin and evolution of the Earth, geophysical and geochemical studies of the Moon, life sciences, observation from the Moon). Research: Research activities will be conducted with this first settlement in: - science (of, from and on the Moon) - exploration (robotic mobility, rover, drilling), - technology (communication, command, organisation, automatism). Life sciences. The life sciences aspects are considered through a life support for a crew of 4 (habitat) and a laboratory activity with biological experiments performed on Earth or LEO, but then without any magnetosphere protection and therefore with direct cosmic rays and solar particle effects. Moreover, the ability of studying the lunar environment in the field will be a big asset before settling a permanent base [3-5]. Lunar environment. The lunar environment adds constraints to instruments specifications (vacuum, extreme temperature, regolith, seism, micrometeorites). SMART-1 and other missions data will bring geometrical, chemical and physical details about the environment (soil material characteristics, on surface conditions …). Test bench. To assess planetary technologies and operations preparing for Mars human exploration. Lunar outpost predesign modular concept: To allow a human presence on the moon and to carry out these experiments, we will give a pre-design of a human minimal lunar base. Through a modular concept, this base will be possibly evolved into a long duration or permanent base. We will analyse the possibilities of settling such a minimal base by means of the current and near term propulsion technology, as a full Ariane 5 ME carrying 1.7 T of gross payload to the surface of the Moon

  1. Minimally Invasive Osteotomies of the Calcaneus.

    Science.gov (United States)

    Guyton, Gregory P

    2016-09-01

    Osteotomies of the calcaneus are powerful surgical tools, representing a critical component of the surgical reconstruction of pes planus and pes cavus deformity. Modern minimally invasive calcaneal osteotomies can be performed safely with a burr through a lateral incision. Although greater kerf is generated with the burr, the effect is modest, can be minimized, and is compatible with many fixation techniques. A hinged jig renders the procedure more reproducible and accessible. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. On Quantum Channel Estimation with Minimal Resources

    CERN Document Server

    Zorzi, M; Ferrante, A

    2011-01-01

    We determine the minimal experimental resources that ensure a unique solution in the estimation of trace-preserving quantum channels with both direct and convex optimization methods. A convenient parametrization of the constrained set is used to develop a globally converging Newton-type algorithm that ensures a physically admissible solution to the problem. Numerical simulations are provided to support the results, and indicate that the minimal experimental setting is sufficient to guarantee good estimates.

  3. Minimally Invasive Forefoot Surgery in France.

    Science.gov (United States)

    Meusnier, Tristan; Mukish, Prikesht

    2016-06-01

    Study groups have been formed in France to advance the use of minimally invasive surgery. These techniques are becoming more frequently used and the technique nuances are continuing to evolve. The objective of this article was to advance the awareness of the current trends in minimally invasive surgery for common diseases of the forefoot. The percutaneous surgery at the forefoot is less developed at this time, but also will be discussed.

  4. Lectures on flips and minimal models

    OpenAIRE

    Corti, Alessio; Hacking, Paul; Kollár, János; Lazarsfeld, Robert; Mustaţă, Mircea

    2007-01-01

    This document contains notes from the lectures of Corti, Koll\\'ar, Lazarsfeld, and Musta\\c{t}\\u{a} at the workshop ``Minimal and canonical models in algebraic geometry" at MSRI, Berkeley, April 2007. The lectures give an overview of the recent advances on canonical and minimal models of algebraic varieties obtained by Hacon--McKernan and Birkar--Cascini--Hacon--McKernan.

  5. L1-norm minimization for quaternion signals

    CERN Document Server

    Wu, Jiasong; Wang, Xiaoqing; Senhadji, Lotfi; Shu, Huazhong

    2012-01-01

    The l1-norm minimization problem plays an important role in the compressed sensing (CS) theory. We present in this letter an algorithm for solving the problem of l1-norm minimization for quaternion signals by converting it to second-order cone programming. An application example of the proposed algorithm is also given for practical guidelines of perfect recovery of quaternion signals. The proposed algorithm may find its potential application when CS theory meets the quaternion signal processing.

  6. Minimalism in Art, Medical Science and Neurosurgery.

    Science.gov (United States)

    Ökten, Ali İhsan

    2016-12-21

    The word ''minimalism'' is a word derived from French the word ''minimum''. Whereas the lexical meaning of minimum is ''the least or the smallest quantity necessary for something'', its expression in mathematics can be described as ''the lowest step a variable number can descend, least, minimal''. Minimalism, which advocates an extreme simplicity of the artistic form, is a current in modern art and music whose origins go to 1960s and which features simplicity and objectivity. Although art, science and philosophy are different disciplines, they support each other from time to time, sometimes they intertwine and sometimes they copy each other. A periodic schools or teaching in one of them can take the others into itself, so, they proceed on their ways empowering each other. It is also true for the minimalism in art and the minimal invasive surgical approaches in science. Concepts like doing with less, avoiding unnecessary materials and reducing the number of the elements in order to increase the effect in the expression which are the main elements of the minimalism in art found their equivalents in medicine and neurosurgery. Their equivalents in medicine or neurosurgery have been to protect the physical integrity of the patient with less iatrogenic injury, minimum damage and the same therapeutic effect in the most effective way and to enable the patient to regain his health in the shortest span of time.

  7. Economic impact of minimally invasive lumbar surgery

    Science.gov (United States)

    Hofstetter, Christoph P; Hofer, Anna S; Wang, Michael Y

    2015-01-01

    Cost effectiveness has been demonstrated for traditional lumbar discectomy, lumbar laminectomy as well as for instrumented and noninstrumented arthrodesis. While emerging evidence suggests that minimally invasive spine surgery reduces morbidity, duration of hospitalization, and accelerates return to activites of daily living, data regarding cost effectiveness of these novel techniques is limited. The current study analyzes all available data on minimally invasive techniques for lumbar discectomy, decompression, short-segment fusion and deformity surgery. In general, minimally invasive spine procedures appear to hold promise in quicker patient recovery times and earlier return to work. Thus, minimally invasive lumbar spine surgery appears to have the potential to be a cost-effective intervention. Moreover, novel less invasive procedures are less destabilizing and may therefore be utilized in certain indications that traditionally required arthrodesis procedures. However, there is a lack of studies analyzing the economic impact of minimally invasive spine surgery. Future studies are necessary to confirm the durability and further define indications for minimally invasive lumbar spine procedures. PMID:25793159

  8. 3D motion analysis via energy minimization

    Energy Technology Data Exchange (ETDEWEB)

    Wedel, Andreas

    2009-10-16

    This work deals with 3D motion analysis from stereo image sequences for driver assistance systems. It consists of two parts: the estimation of motion from the image data and the segmentation of moving objects in the input images. The content can be summarized with the technical term machine visual kinesthesia, the sensation or perception and cognition of motion. In the first three chapters, the importance of motion information is discussed for driver assistance systems, for machine vision in general, and for the estimation of ego motion. The next two chapters delineate on motion perception, analyzing the apparent movement of pixels in image sequences for both a monocular and binocular camera setup. Then, the obtained motion information is used to segment moving objects in the input video. Thus, one can clearly identify the thread from analyzing the input images to describing the input images by means of stationary and moving objects. Finally, I present possibilities for future applications based on the contents of this thesis. Previous work in each case is presented in the respective chapters. Although the overarching issue of motion estimation from image sequences is related to practice, there is nothing as practical as a good theory (Kurt Lewin). Several problems in computer vision are formulated as intricate energy minimization problems. In this thesis, motion analysis in image sequences is thoroughly investigated, showing that splitting an original complex problem into simplified sub-problems yields improved accuracy, increased robustness, and a clear and accessible approach to state-of-the-art motion estimation techniques. In Chapter 4, optical flow is considered. Optical flow is commonly estimated by minimizing the combined energy, consisting of a data term and a smoothness term. These two parts are decoupled, yielding a novel and iterative approach to optical flow. The derived Refinement Optical Flow framework is a clear and straight-forward approach to

  9. Thin film photovoltaic devices with a minimally conductive buffer layer

    Science.gov (United States)

    Barnes, Teresa M.; Burst, James

    2016-11-15

    A thin film photovoltaic device (100) with a tunable, minimally conductive buffer (128) layer is provided. The photovoltaic device (100) may include a back contact (150), a transparent front contact stack (120), and an absorber (140) positioned between the front contact stack (120) and the back contact (150). The front contact stack (120) may include a low resistivity transparent conductive oxide (TCO) layer (124) and a buffer layer (128) that is proximate to the absorber layer (140). The photovoltaic device (100) may also include a window layer (130) between the buffer layer (128) and the absorber (140). In some cases, the buffer layer (128) is minimally conductive, with its resistivity being tunable, and the buffer layer (128) may be formed as an alloy from a host oxide and a high-permittivity oxide. The high-permittivity oxide may further be chosen to have a bandgap greater than the host oxide.

  10. Regularisable and minimal orbits for group actions in infinite dimensions

    CERN Document Server

    Arnaudon, M

    1995-01-01

    We introduce a class of regularisable infinite dimensional principal fibre bundles which includes fibre bundles arising in gauge field theories like Yang-Mills and string theory and which generalise finite dimensional Riemannian principal fibre bundles induced by an isometric action. We show that the orbits of regularisable bundles have well defined, both heat-kernel and zeta function regularised volumes. We introduce two notions of minimality (which extend the finite dimensional one) for these orbits, using both heat-kernel and zeta function regularisation methods and show they coincide. For each of these notions, we give an infinite dimensional version of Hsiang's theorem which extends the finite dimensional case, interpreting minimal orbits as orbits with extremal (regularised) volume.

  11. [Treatment of primary retinal detachment. Minimal extraocular or intraocular?].

    Science.gov (United States)

    Kreissig, I

    2002-06-01

    The developments in treatment modalities for a primary retinal detachment over the last 70 years have been reviewed. There was a change from a surgery limited to the area of the break to a form of prophylactic surgery including the extent of the detachment. In between Rosengren had limited the treatment to the break with an intraocular gas bubble. A change was brought about by Custodis in 1953 who limited surgery to the break and omitted drainage. This procedure had serious postoperative complications which were eliminated by Lincoff by developing the cryosurgical detachment operation which was subsequently refined to extraocular minimal surgery. The ultimate realization of a minimal extraocular approach was the operation with a temporary balloon. Two additional intraocular procedures evolved, pneumatic retinopexy and primary vitrectomy, following one or the other pattern of treatment. With all four methods reattachment can result in 94-99% of the cases but differences can be seen in the morbidity and rate of reoperations.

  12. Restricted Quantum Affine Symmetry of Perturbed Minimal Models

    CERN Document Server

    Felder, G

    1992-01-01

    We study the structure of superselection sectors of an arbitrary perturbation of a conformal field theory. We describe how a restriction of the q-deformed $\\hat{sl(2)}$ affine Lie algebra symmetry of the sine-Gordon theory can be used to derive the S-matrices of the $\\Phi^{(1,3)}$ perturbations of the minimal unitary series. This analysis provides an identification of fields which create the massive kink spectrum. We investigate the ultraviolet limit of the restricted sine-Gordon model, and explain the relation between the restriction and the Fock space cohomology of minimal models. We also comment on the structure of degenerate vacuum states. Deformed Serre relations are proven for arbitrary affine Toda theories, and it is shown in certain cases how relations of the Serre type become fractional spin supersymmetry relations upon restriction.

  13. Session: Avoiding, minimizing, and mitigating avian and bat impacts

    Energy Technology Data Exchange (ETDEWEB)

    Thelander, Carl; Kerlinger, Paul

    2004-09-01

    This session at the Wind Energy and Birds/Bats workshop consisted of two presentations followed by a discussion/question answer period. The session addressed a variety of questions related to avoiding, minimizing, and mitigating the avian and bat impacts of wind power development including: what has been learned from operating turbines and mitigating impacts where they are unavoidable, such as at Altamont Pass WRA, and should there be mitigation measures such as habitat creation or land conservation where impacts occur. Other impact minimization and mitigation approaches discussed included: location and siting evaluations; options for construction and operation of wind facilities; turbine lighting; and the physical alignment/orientation. Titles and authors of the presentations were: 'Bird Fatalities in the Altamont Pass Wind Resource Area: A Case Study, Part II' by Carl Thelander and 'Prevention and Mitigation of Avian Impacts at Wind Power Facilities' by Paul Kerlinger.

  14. Dark matter within the minimal flavour violation ansatz

    CERN Document Server

    Lopez-Honorez, Laura

    2013-01-01

    Minimal Flavour Violation hypothesis can provide an attractive framework for Dark Matter (DM). We consider scalar DM candidates carrying flavour quantum numbers and whose representation under the flavour group guarantees DM stability. They interact with the Standard Model fields through Higgs portal at renormalisable level and also to quarks through dimension-6 operators. We provide a systematic analysis of the viable parameter space for the DM fields, which are triplet of the flavour group, considering several DM-quark interactions. In this framework, we analyse in which cases the viable parameter space differs from Higgs portal models thanks to the underlying flavour structure. In contrast to minimal Higgs portal scenarios, we find that light DM in the GeV mass range as well as heavier candidates above Higgs resonance could be allowed by colliders, direct and indirect DM detection searches as well as flavour constraints. The large mass regime above the top mass could even be beyond the reach of future exper...

  15. Does Current Data Prefer a Non-minimally Coupled Inflaton?

    CERN Document Server

    Boubekeur, Lotfi; Mena, Olga; Ramírez, Héctor

    2015-01-01

    We examine the impact of a non-minimal coupling of the inflaton to the Ricci scalar, $\\frac12 \\xi R\\phi^2$, on the inflationary predictions. Such a non-minimal coupling is expected to be present in the inflaton Lagrangian on fairly general grounds. As a case study, we focus on the simplest inflationary model governed by the potential $V\\propto \\phi^2$, using the latest combined 2015 analysis of Planck and BICEP2/Keck Array. We find that, for all the data combinations used in this study, a small positive value of the coupling $\\xi$ is favoured at the $2\\sigma$ level. When considering the cross-correlation polarization spectra from BICEP2/Keck Array and Planck, a value of $r>0$ is found at $95%$ CL.

  16. Optimal experiment design revisited: fair, precise and minimal tomography

    CERN Document Server

    Nunn, J; Puentes, G; Lundeen, J S; Walmsley, I A

    2009-01-01

    Given an experimental set-up and a fixed number of measurements, how should one take data in order to optimally reconstruct the state of a quantum system? The problem of optimal experiment design (OED) for quantum state tomography was first broached by Kosut et al. [arXiv:quant-ph/0411093v1]. Here we provide efficient numerical algorithms for finding the optimal design, and analytic results for the case of 'minimal tomography'. We also introduce the average OED, which is independent of the state to be reconstructed, and the optimal design for tomography (ODT), which minimizes tomographic bias. We find that these two designs are generally similar. Monte-Carlo simulations confirm the utility of our results for qubits. Finally, we adapt our approach to deal with constrained techniques such as maximum likelihood estimation. We find that these are less amenable to optimization than cruder reconstruction methods, such as linear inversion.

  17. Minimal Invasive Urologic Surgery and Postoperative Ileus

    Directory of Open Access Journals (Sweden)

    Fouad Aoun

    2015-07-01

    Full Text Available Postoperative ileus (POI is the most common cause of prolonged length of hospital stays (LOS and associated healthcare costs. The advent of minimal invasive technique was a major breakthrough in the urologic landscape with great potential to progress in the future. In the field of gastrointestinal surgery, several studies had reported lower incidence rates for POI following minimal invasive surgery compared to conventional open procedures. In contrast, little is known about the effect of minimal invasive approach on the recovery of bowel motility after urologic surgery. We performed an overview of the potential benefit of minimal invasive approach on POI for urologic procedures. The mechanisms and risk factors responsible for the onset of POI are discussed with emphasis on the advantages of minimal invasive approach. In the urologic field, POI is the main complication following radical cystectomy but it is rarely of clinical significance for other minimal invasive interventions. Laparoscopy or robotic assisted laparoscopic techniques when studied individually may reduce to their own the duration and prevent the onset of POI in a subset of procedures. The potential influence of age and urinary diversion type on postoperative ileus is contradictory in the literature. There is some evidence suggesting that BMI, blood loss, urinary extravasation, existence of a major complication, bowel resection, operative time and transperitoneal approach are independent risk factors for POI. Treatment of POI remains elusive. One of the most important and effective management strategies for patients undergoing radical cystectomy has been the development and use of enhanced recovery programs. An optimal rational strategy to shorten the duration of POI should incorporate minimal invasive approach when appropriate into multimodal fast track programs designed to reduce POI and shorten LOS.

  18. Minimally invasive plate osteosynthesis in treatment of complex distal tibia fracture: an analysis of 49 cases%微创钢板接骨技术治疗复杂胫骨远端骨折49例临床分析

    Institute of Scientific and Technical Information of China (English)

    谢加兵; 徐祝军; 杨民; 汪正宇; 周茂生; 朱劲松; 丁国正

    2012-01-01

    目的 探讨微创钢板接骨技术(MIPO)治疗复杂胫骨远端骨折的临床效果.方法 对49例复杂胫骨远端骨折采用MIPO技术治疗,术后3个月均行膝踝关节功能Johner-Wruhs疗效评定标准评价疗效.结果 49例均获8~16个月随访,术后复查X线片示骨折对位、对线佳,骨折均愈合,无钢板、螺钉断裂和松动,术后3个月Johner-Wruhs疗效评定:优29例,良17例,可3例,优良率为93.88%.结论 应用微创钢板接骨技术能达到最低限度的伤害,减少对软组织的剥离,以及减少骨折端和骨折碎片的骨膜剥离,血供得以保护,降低骨折不愈合和感染率,膝、踝关节功能得到较好的恢复,为复杂胫骨远端骨折的治疗提供了安全可靠、有效的方法之一,值得在临床骨科进一步推广.%Objective To explore the clinical effect of minimally invasive plate osteosynthesis (MIPO) in complex fractures of the distal tibia. Methods All of 49 cases of complicated distal tibial fracture were treated with MIPO technology. The knee and ankle joint function were based on Johner-Wruhs standard for the evaluation of curative effect after the operation by 3 months. Results All the 49 cases were followed up for 8-16 months. The X ray film showed well replaced fractures, good fracture healing, no plate and screw breakage and loose, the score according to Johner-Wruhs standard after the operation by 3 months: excellent in 29 cases, good in 17, fair in 3, the rate of the excellent and good ones was 93.88%. Conclusion Minimally invasive plate osteosynthesis brings a minimum of harm to the affected limb, reduces the split of soft tissue, as well as reducing fracture and fracture fragments of periosteal stripping so that the blood supply can be protected. The rate of no-healing fracture and infection is decreased, better recovery of the knee and ankle joint function is achieved. For the treatment of complex fractures of distal tibia, it provides a safe, reliable

  19. Minimal-Change Disease Secondary to Borrelia burgdorferi Infection.

    Science.gov (United States)

    Kwiatkowska, Ewa; Gołembiewska, Edyta; Ciechanowski, Kazimierz; Kędzierska, Karolina

    2012-01-01

    Lyme borreliosis is a chronic illness caused by tick-transmitted spirochete Borrelia burgdorferi. Borreliosis can be extremely threatening if it is not diagnosed and treated in early stages. Kidneys are not typically involved in the disease. However, in infected dogs, Lyme nephritis is present in 5-10% of cases. It is associated with rapidly progressing renal failure. Histopathological examination shows mesangial proliferative glomerulonephritis with diffuse tubular necrosis, (Dambach et al. (1997)). In available literature, there were reports of human's glomerulonephritis associated with Borrelia burgdorferi infection. These cases refer to membranous and mesangial proliferative glomerulonephritis (Kirmizis and Chatzidimitriou (2010), Zachäus (2008), and Kirmizis et al. (2004)). In this paper, we present the case of minimal-change disease (MCD) as a result of Borrelia burgdorferi infection.

  20. Use of additive dentistry decreases risk by minimizing reduction.

    Science.gov (United States)

    Palmer, K Michael

    2012-05-01

    This case required enhancement of esthetics and reduction of long-term risk of pathologic tooth wear and decay, as well as minimizing erosion caused by innate and environmental influences. The author weighed patient expectations, diet, treatment of teeth, and age to create a treatment plan that would conserve tooth structure while accomplishing the goals of the case. The patient's dentition was restored utilizing intact enamel, adhesive dentistry, and etchable ceramic materials that require less than 1 mm of occlusal reduction without a significant loss of strength. In this case, opening the vertical dimension of occlusion--which was done to increase the height of both the maxillary and mandibular arches, in keeping with the patient's esthetic desires--eliminated the need to remove excessive amounts of healthy tooth structure and facilitated treatment of the occlusal dysfunction.

  1. Minimal-Change Disease Secondary to Borrelia burgdorferi Infection

    Directory of Open Access Journals (Sweden)

    Ewa Kwiatkowska

    2012-01-01

    Full Text Available Lyme borreliosis is a chronic illness caused by tick-transmitted spirochete Borrelia burgdorferi. Borreliosis can be extremely threatening if it is not diagnosed and treated in early stages. Kidneys are not typically involved in the disease. However, in infected dogs, Lyme nephritis is present in 5–10% of cases. It is associated with rapidly progressing renal failure. Histopathological examination shows mesangial proliferative glomerulonephritis with diffuse tubular necrosis, (Dambach et al. (1997. In available literature, there were reports of human's glomerulonephritis associated with Borrelia burgdorferi infection. These cases refer to membranous and mesangial proliferative glomerulonephritis (Kirmizis and Chatzidimitriou (2010, Zachäus (2008, and Kirmizis et al. (2004. In this paper, we present the case of minimal-change disease (MCD as a result of Borrelia burgdorferi infection.

  2. Minimally invasive procedures on the lumbar spine

    Science.gov (United States)

    Skovrlj, Branko; Gilligan, Jeffrey; Cutler, Holt S; Qureshi, Sheeraz A

    2015-01-01

    Degenerative disease of the lumbar spine is a common and increasingly prevalent condition that is often implicated as the primary reason for chronic low back pain and the leading cause of disability in the western world. Surgical management of lumbar degenerative disease has historically been approached by way of open surgical procedures aimed at decompressing and/or stabilizing the lumbar spine. Advances in technology and surgical instrumentation have led to minimally invasive surgical techniques being developed and increasingly used in the treatment of lumbar degenerative disease. Compared to the traditional open spine surgery, minimally invasive techniques require smaller incisions and decrease approach-related morbidity by avoiding muscle crush injury by self-retaining retractors, preventing the disruption of tendon attachment sites of important muscles at the spinous processes, using known anatomic neurovascular and muscle planes, and minimizing collateral soft-tissue injury by limiting the width of the surgical corridor. The theoretical benefits of minimally invasive surgery over traditional open surgery include reduced blood loss, decreased postoperative pain and narcotics use, shorter hospital length of stay, faster recover and quicker return to work and normal activity. This paper describes the different minimally invasive techniques that are currently available for the treatment of degenerative disease of the lumbar spine. PMID:25610845

  3. Image denoising by a direct variational minimization

    Directory of Open Access Journals (Sweden)

    Pilipović Stevan

    2011-01-01

    Full Text Available Abstract In this article we introduce a novel method for the image de-noising which combines a mathematically well-posdenes of the variational modeling with the efficiency of a patch-based approach in the field of image processing. It based on a direct minimization of an energy functional containing a minimal surface regularizer that uses fractional gradient. The minimization is obtained on every predefined patch of the image, independently. By doing so, we avoid the use of an artificial time PDE model with its inherent problems of finding optimal stopping time, as well as the optimal time step. Moreover, we control the level of image smoothing on each patch (and thus on the whole image by adapting the Lagrange multiplier using the information on the level of discontinuities on a particular patch, which we obtain by pre-processing. In order to reduce the average number of vectors in the approximation generator and still to obtain the minimal degradation, we combine a Ritz variational method for the actual minimization on a patch, and a complementary fractional variational principle. Thus, the proposed method becomes computationally feasible and applicable for practical purposes. We confirm our claims with experimental results, by comparing the proposed method with a couple of PDE-based methods, where we get significantly better denoising results specially on the oscillatory regions.

  4. 微创经椎间孔椎间融合术治疗35例腰椎退行性疾病的疗效分析%Analysis of the Efficacy of Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of 35 Cases of Lumbar Degenerative Disease

    Institute of Scientific and Technical Information of China (English)

    杨林; 廖绪强; 赵新建; 吴锐辉; 曾志超; 李世渊

    2014-01-01

    Objective To explore minimally invasive transforaminal lumbar interbody fusion (MiTLIF) treatment of 35 cases of lumbar degenerative disease effect. Methods 70 cases of lumbar degenerative disease patients according to surgical indications and patient willingness divided into study group and the control group, 35 cases in each group. Study Groups MiTLIF treatment, the control group received conventional transforaminal lumbar fusion between (TLIF) treatment. Results The study group blood loss, intraoperative blood transfusion, postoperative drainage was significantly lower than the control group (P0.05). Study group VAS scores, time in bed than the control group (P0.05). Conclusion MiTLIF treatment of lumbar degenerative disease a significant effect, can effectively reduce surgical blood loss, intraoperative blood transfusion and postoperative drainage, improve postoperative pain conditions, reducing time in bed, safe, reliable, and suitable for clinical application.%目的:探讨微创经椎间孔椎间融合术(MiTLIF)治疗35例腰椎退行性疾病的疗效。方法将70例腰椎退行性疾病患者根据手术指征及患者意愿分为研究组与对照组,每组各35例。研究组采取MiTLIF治疗,对照组采取常规椎间孔腰椎间融合术(TLIF)治疗。结果研究组手术出血量、术中输血量、术后引流量明显低于对照组(P<0.05);两组手术时间对比,差异无统计学意义(P>0.05)。研究组术后VAS评分、卧床时间均优于对照组(P<0.05);JOA评分差异无统计学意义(P>0.05)。结论 MiTLIF治疗腰椎退行性疾病疗效显著,可以有效降低手术出血量、术中输血量及术后引流量,改善术后疼痛情况,减少卧床时间,安全可靠,适于临床推广与应用。

  5. Minimal perceptrons for memorizing complex patterns

    Science.gov (United States)

    Pastor, Marissa; Song, Juyong; Hoang, Danh-Tai; Jo, Junghyo

    2016-11-01

    Feedforward neural networks have been investigated to understand learning and memory, as well as applied to numerous practical problems in pattern classification. It is a rule of thumb that more complex tasks require larger networks. However, the design of optimal network architectures for specific tasks is still an unsolved fundamental problem. In this study, we consider three-layered neural networks for memorizing binary patterns. We developed a new complexity measure of binary patterns, and estimated the minimal network size for memorizing them as a function of their complexity. We formulated the minimal network size for regular, random, and complex patterns. In particular, the minimal size for complex patterns, which are neither ordered nor disordered, was predicted by measuring their Hamming distances from known ordered patterns. Our predictions agree with simulations based on the back-propagation algorithm.

  6. Responsiveness and minimal clinically important change

    DEFF Research Database (Denmark)

    Christiansen, David Høyrup; Frost, Poul; Falla, Deborah

    2015-01-01

    Study Design A prospective cohort study nested in a randomized controlled trial. Objectives To determine and compare responsiveness and minimal clinically important change of the modified Constant score (CS) and the Oxford Shoulder Score (OSS). Background The OSS and the CS are commonly used...... to assess shoulder outcomes. However, few studies have evaluated the measurement properties of the OSS and CS in terms of responsiveness and minimal clinically important change. Methods The study included 126 patients who reported having difficulty returning to usual activities 8 to 12 weeks after...... were observed for the CS and the OSS. Minimal clinically important change ROC values were 6 points for the OSS and 11 points for the CS, with upper 95% cutoff limits of 12 and 22 points, respectively. Conclusion The CS and the OSS were both suitable for assessing improvement after decompression surgery....

  7. Best practices for minimally invasive procedures.

    Science.gov (United States)

    Ulmer, Brenda C

    2010-05-01

    Techniques and instrumentation for minimally invasive surgical procedures originated in gynecologic surgery, but the benefits of surgery with small incisions or no incisions at all have prompted the expansion of these techniques into numerous specialties. Technologies such as robotic assistance, single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and video-assisted thoracoscopic surgery have led to the continued expansion of minimally invasive surgery into new specialties. With this expansion, perioperative nurses and other members of the surgical team are required to continue to learn about new technology and instrumentation, as well as the techniques and challenges involved in using new technology, to help ensure the safety of their patients. This article explores the development of minimally invasive procedures and offers suggestions for increasing patient safety.

  8. Minimal flavour violation and anomalous top decays

    Energy Technology Data Exchange (ETDEWEB)

    Faller, Sven; Mannel, Thomas [Theoretische Physik 1, Department Physik, Universitaet Siegen, D-57068 Siegen (Germany); Gadatsch, Stefan [Nikhef, National Institute for Subatomatic Physics, P.O. Box 41882, 1009 Amsterdam (Netherlands)

    2013-07-01

    Any experimental evidence of anomalous top-quark couplings will open a window to study physics beyond the standard model (SM). However, all current flavour data indicate that nature is close to ''minimal flavour violation'', i.e. the pattern of flavour violation is given by the CKM matrix, including the hierarchy of parameters. In this talk we present results of the conceptual test of minimal flavour violation for the anomalous charged as well as flavour changing top-quark couplings. Our analysis is embedded in two-Higgs doublet model of type II (2HDM-II). Including renormalization effects, we calculate the top decay rates taking into account anomalous couplings constrained by minimal flavour violation.

  9. Minimal Length Scale Scenarios for Quantum Gravity

    Directory of Open Access Journals (Sweden)

    Sabine Hossenfelder

    2013-01-01

    Full Text Available We review the question of whether the fundamental laws of nature limit our ability to probe arbitrarily short distances. First, we examine what insights can be gained from thought experiments for probes of shortest distances, and summarize what can be learned from different approaches to a theory of quantum gravity. Then we discuss some models that have been developed to implement a minimal length scale in quantum mechanics and quantum field theory. These models have entered the literature as the generalized uncertainty principle or the modified dispersion relation, and have allowed the study of the effects of a minimal length scale in quantum mechanics, quantum electrodynamics, thermodynamics, black-hole physics and cosmology. Finally, we touch upon the question of ways to circumvent the manifestation of a minimal length scale in short-distance physics.

  10. Minimal Length Scale Scenarios for Quantum Gravity.

    Science.gov (United States)

    Hossenfelder, Sabine

    2013-01-01

    We review the question of whether the fundamental laws of nature limit our ability to probe arbitrarily short distances. First, we examine what insights can be gained from thought experiments for probes of shortest distances, and summarize what can be learned from different approaches to a theory of quantum gravity. Then we discuss some models that have been developed to implement a minimal length scale in quantum mechanics and quantum field theory. These models have entered the literature as the generalized uncertainty principle or the modified dispersion relation, and have allowed the study of the effects of a minimal length scale in quantum mechanics, quantum electrodynamics, thermodynamics, black-hole physics and cosmology. Finally, we touch upon the question of ways to circumvent the manifestation of a minimal length scale in short-distance physics.

  11. Cogging Torque Minimization in Transverse Flux Machines

    Energy Technology Data Exchange (ETDEWEB)

    Husain, Tausif; Hasan, Iftekhar; Sozer, Yilmaz; Husain, Iqbal; Muljadi, Eduard

    2017-02-16

    This paper presents the design considerations in cogging torque minimization in two types of transverse flux machines. The machines have a double stator-single rotor configuration with flux concentrating ferrite magnets. One of the machines has pole windings across each leg of an E-Core stator. Another machine has quasi-U-shaped stator cores and a ring winding. The flux in the stator back iron is transverse in both machines. Different methods of cogging torque minimization are investigated. Key methods of cogging torque minimization are identified and used as design variables for optimization using a design of experiments (DOE) based on the Taguchi method. A three-level DOE is performed to reach an optimum solution with minimum simulations. Finite element analysis is used to study the different effects. Two prototypes are being fabricated for experimental verification.

  12. Laboratory diagnosis of acute myeloid leukemia with minimal differentiation switching to mixed phenotype acute leukemia: one case report%急性微分化型髓细胞白血病转换为急性混合表型白血病一例诊断分析

    Institute of Scientific and Technical Information of China (English)

    许晓东; 陈倩; 崔巍

    2011-01-01

    目的 分析1例急性微分化型髓细胞白血病转换为不另作特定分类急性混合表型白血病的诊断过程,并探索其与其他急性微分化型髓细胞白血病和急性混合表型白血病病例的异同.方法 采用细胞涂片染色或化学染色方法对1例原发急性微分化型髓细胞白血病转换为不另作特定分类急性混合表型白血病病例进行细胞形态学分析;采用流式细胞术进行免疫表型分析;采用染色体G显带技术进行核型分析;应用RT-PCR技术进行融合基因的检测.并与2例急性微分化型髓细胞白血病和1例急性混合表型白血病进行实验室诊断结果比较,了解这一罕见的急性白血病发生转化的特征.结果 转换前急性微分化型髓细胞白血病在形态上表现为骨髓原始细胞占0.82,可见明显核仁,无Auer小体;免疫表型为造血相关抗原CD38和HLA-DR阳性,部分髓系抗原(CD13、CD56和CD11b)阳性,淋系抗原CD7阳性;其他髓系抗原(MPO、CD33和CD15)阴性,B系抗原(CD79a、CD19和CD22)阴性,T系抗原(胞内CD3、CD4和CD8)阴性.而转换后不另作特定分类急性混合表型白血病在形态上表现为骨髓原始细胞极度增生,占0.42,嗜酸粒细胞增多,嗜碱粒细胞可见;免疫表型为造血相关抗原CD38和HLA-DR阳性,髓系抗原(MPO和CD13)阳性,B系抗原(CD19和CD79a)阳性,T系抗原(胞内CD3)阳性,淋系抗原CD7阳性.对照组白血病具有典型的形态学和免疫表型特点,均未见异常染色体核型和融合基因.结论 该病例诊断复杂,临床少见,综合分析急性微分化型髓细胞白血病和不另作特定分类急性混合表型白血病的实验室特征对确诊十分重要,而免疫表型的变化是关键.%Objective To analyze the diagnostic process of a rare case of acute myeloid leukemia with minimal differentiation undergoing a lineage switch to mixed phenotype acute leukemia, NOS-rare types,and to investigate its difference from other

  13. Review of Minimal Flavor Constraints for Technicolor

    DEFF Research Database (Denmark)

    S. Fukano, Hidenori; Sannino, Francesco

    2010-01-01

    We analyze the constraints on the the vacuum polarization of the standard model gauge bosons from a minimal set of flavor observables valid for a general class of models of dynamical electroweak symmetry breaking. We will show that the constraints have a strong impact on the self-coupling and mas......We analyze the constraints on the the vacuum polarization of the standard model gauge bosons from a minimal set of flavor observables valid for a general class of models of dynamical electroweak symmetry breaking. We will show that the constraints have a strong impact on the self...

  14. A New Minimal Rough Set Axiom Group

    Institute of Scientific and Technical Information of China (English)

    DAI Jian-hua

    2004-01-01

    Rough set axiomatization is one aspect of rough set study, and the purpose is to characterize rough set theory using independable and minimal axiom groups. Thus, rough set theory can be studied by logic and axiom system methods. To characterize rough set theory, an axiom group named H consisting of 4 axioms, is proposed. That validity of the axiom group in characterizing rough set theory is reasonable, is proved. Simultaneously, the minimization of the axiom group, which requires that each axiom is an inequality and each is independent, is proved. The axiom group is helpful for researching rough set theory by logic and axiom system methods.

  15. Minimally invasive treatments for perforator vein insufficiency.

    Science.gov (United States)

    Kuyumcu, Gokhan; Salazar, Gloria Maria; Prabhakar, Anand M; Ganguli, Suvranu

    2016-12-01

    Incompetent superficial veins are the most common cause of lower extremity superficial venous reflux and varicose veins; however, incompetent or insufficient perforator veins are the most common cause of recurrent varicose veins after treatment, often unrecognized. Perforator vein insufficiency can result in pain, skin changes, and skin ulcers, and often merit intervention. Minimally invasive treatments have replaced traditional surgical treatments for incompetent perforator veins. Current minimally invasive treatment options include ultrasound guided sclerotherapy (USGS) and endovascular thermal ablation (EVTA) with either laser or radiofrequency energy sources. Advantages and disadvantages of each modality and knowledge on these treatments are required to adequately address perforator venous disease.

  16. The concept of minimally invasive dentistry.

    Science.gov (United States)

    Ericson, Dan

    2007-01-01

    This paper reviews Minimally Invasive Dentistry (MID) from a day-to-day dentistry perspective, focusing mostly on cariology and restorative dentistry, even though it embraces many aspects of dentistry. The concept of MID supports a systematic respect for the original tissue, including diagnosis, risk assessment, preventive treatment, and minimal tissue removal upon restoration. The motivation for MID emerges from the fact that fillings are not permanent and that the main reasons for failure are secondary caries and filling fracture. To address these flaws, there is a need for economical re-routing so that practices can survive on maintaining dental health and not only by operative procedures.

  17. Minimal Superstrings and Loop Gas Models

    CERN Document Server

    Gaiotto, D; Takayanagi, T; Gaiotto, Davide; Rastelli, Leonardo; Takayanagi, Tadashi

    2005-01-01

    We reformulate the matrix models of minimal superstrings as loop gas models on random surfaces. In the continuum limit, this leads to the identification of minimal superstrings with certain bosonic string theories, to all orders in the genus expansion. RR vertex operators arise as operators in a Z_2 twisted sector of the matter CFT. We show how the loop gas model implements the sum over spin structures expected from the continuum RNS formulation. Open string boundary conditions are also more transparent in this language.

  18. Linear embedding of free energy minimization

    CERN Document Server

    Moussa, Jonathan E

    2016-01-01

    Exact free energy minimization is a convex optimization problem that is usually approximated with stochastic sampling methods. Deterministic approximations have been less successful because many desirable properties have been difficult to attain. Such properties include the preservation of convexity, lower bounds on free energy, and applicability to systems without subsystem structure. We satisfy all of these properties by embedding free energy minimization into a linear program over energy-resolved expectation values. Numerical results on small systems are encouraging, but a lack of size consistency necessitates further development for large systems.

  19. Linearized non-minimal higher curvature supergravity

    Directory of Open Access Journals (Sweden)

    Fotis Farakos

    2015-05-01

    Full Text Available In the framework of linearized non-minimal supergravity (20/20, we present the embedding of the R+R2 model and we analyze its field spectrum. As usual, the auxiliary fields of the Einstein theory now become propagating, giving rise to additional degrees of freedom, which organize themselves into on-shell irreducible supermultiplets. By performing the analysis both in component and superspace formulations we identify the new supermultiplets. On top of the two massive chiral superfields reminiscent of the old-minimal supergravity embedding, the spectrum contains also a consistent physical, massive, vector supermultiplet and a tachyonic ghost, massive, vector supermultiplet.

  20. Linearized non-minimal higher curvature supergravity

    Science.gov (United States)

    Farakos, Fotis; Kehagias, Alex; Koutrolikos, Konstantinos

    2015-05-01

    In the framework of linearized non-minimal supergravity (20/20), we present the embedding of the R +R2 model and we analyze its field spectrum. As usual, the auxiliary fields of the Einstein theory now become propagating, giving rise to additional degrees of freedom, which organize themselves into on-shell irreducible supermultiplets. By performing the analysis both in component and superspace formulations we identify the new supermultiplets. On top of the two massive chiral superfields reminiscent of the old-minimal supergravity embedding, the spectrum contains also a consistent physical, massive, vector supermultiplet and a tachyonic ghost, massive, vector supermultiplet.

  1. Linearized Non-Minimal Higher Curvature Supergravity

    CERN Document Server

    Farakos, Fotis; Koutrolikos, Konstantinos

    2015-01-01

    In the framework of linearized non-minimal supergravity (20/20), we present the embedding of the $R + R^2$ model and we analyze its field spectrum. As usual, the auxiliary fields of the Einstein theory now become propagating, giving rise to additional degrees of freedom, which organize themselves into on-shell irreducible supermultiplets. By performing the analysis both in component and superspace formulations we identify the new supermultiplets. On top of the two massive chiral superfields reminiscent of the old-minimal supergravity embedding, the spectrum contains also a consistent physical, massive, vector supermultiplet and a tachyonic ghost, massive, vector supermultiplet.

  2. MINIMAL IMMERSIONS OF SPHERES INTO SPHERES

    Science.gov (United States)

    Do Carmo, Manfredo P.; Wallach, Nolan R.

    1969-01-01

    In this paper we announce a qualitative description of an important class of closed n-dimensional submanifolds of the m-dimensional sphere, namely, those which locally minimize the n-area in the same way that geodesics minimize the arc length and are themselves locally n-spheres of constant radius r; those r that may appear are called admissible. It is known that for n = 2 each admissible r determines a unique element of the above class. The main result here is that for each n ≥ 3 and each admissible r ≥ [unk]8 there exists a continuum of distinct such submanifolds. PMID:16591771

  3. Minimal change disease versus IgA nephropathy.

    Science.gov (United States)

    Jabur, Wael Latif

    2009-01-01

    IgA nephropathy is the most common type of the glomerulonephritis all over the world. However, its clinical presentation is variable, as is the underlying histopathological lesion. We report herein a case of an adult with steroid responsive minimal change disease and IgA mesangial deposits. During the first two weeks of therapy with prednisolone, the patient reported dramatic improvement in his clinical condition and remitted his disease. Unfortunately, at the end of the second month of prednisolone therapy, an acute flare of viral hepatitis was diagnosed. Interes-tingly, the acute viral flare was without a concomitant relapse of proteinuria.

  4. Minimal change disease versus IgA nephropathy

    Directory of Open Access Journals (Sweden)

    Jabur Wael

    2009-01-01

    Full Text Available IgA nephropathy is the most common type of the glomerulonephritis all over the world. However, its clinical presentation is variable, as is the underlying histopathological lesion. We report herein a case of an adult with steroid responsive minimal change disease and IgA mesangial deposits. During the first two weeks of therapy with prednisolone, the patient reported dramatic improvement in his clinical condition and remitted his disease. Unfortunately, at the end of the second month of prednisolone therapy, an acute flare of viral hepatitis was diagnosed. Interes-tingly, the acute viral flare was without a concomitant relapse of proteinuria.

  5. Cerebral infarction in patient with minimal change nephrotic syndrome.

    Science.gov (United States)

    Babu, A; Boddana, P; Robson, S; Ludeman, L

    2013-01-01

    We report a case of 68-year-old Caucasian man who presented with cerebral infarcts secondary to arterial thrombosis associated with nephrotic syndrome. His initial presentation included edema of legs, left hemiparesis, and right-sided cerebellar signs. Investigations with computed tomography and magnetic resonance imaging of brain showed multiple cerebral infarcts in middle cerebral and posterior cerebral artery territory. Blood and urine investigations also showed impaired renal function, hypercholesterolemia, hypoalbuminaemia, and nephrotic range proteinuria. Renal biopsy showed minimal change disease. Cerebral infarcts were treated with antiplatelet agents and nephrotic syndrome was treated with high dose steroids. Patient responded well to the treatment and is all well till date.

  6. Minimal flavour violation and neutrino masses without R-parity

    DEFF Research Database (Denmark)

    Arcadi, G.; Di Luzio, L.; Nardecchia, M.

    2012-01-01

    We study the extension of the Minimal Flavour Violation (MFV) hypothesis to the MSSM without R-parity. The novelty of our approach lies in the observation that supersymmetry enhances the global symmetry of the kinetic term and in the fact that we consider as irreducible sources of the flavour...... times SU(4) and SU(3)(5). In the former case the total lepton number and the lepton flavour number are broken together, while in the latter the lepton number can be broken independently by an abelian spurion, so that visible effects and peculiar correlations can be envisaged in flavour changing charged...

  7. AdS5 magnetized solutions in minimal gauged supergravity

    Directory of Open Access Journals (Sweden)

    Jose Luis Blázquez-Salcedo

    2017-08-01

    Full Text Available We construct a generalization of the AdS charged rotating black holes with two equal magnitude angular momenta in five-dimensional minimal gauged supergravity. In addition to the mass, electric charge and angular momentum, the new solutions possess an extra-parameter associated with a non-zero magnitude of the magnetic potential at infinity. In contrast with the known cases, these new black holes possess a non-trivial zero-horizon size limit which describes a one parameter family of spinning charged solitons. All configurations reported in this work approach asymptotically an AdS5 spacetime in global coordinates and are free of pathologies.

  8. Esthetics with minimal tooth preparation achieved through a digital approach.

    Science.gov (United States)

    Ercus, Sebastian; Chung, Edwin; McLaren, Ed

    2013-06-01

    In both the clinical and dental laboratory environments, computer-assisted technology along with new materials are leading to a paradigm shift in what many practitioners regard as standard of care for patients. The case described uses digital solutions for smile design, patient communication, minimal tooth preparation, scanning, digitally generated models, and a nanohybrid transitional mock-up (bonded functional esthetic prototype BFEP). It also highlights a novel technique for digitally generated alveolar models duplicated in refractory dies layered with feldspathic porcelain for the optimum esthetic outcome.

  9. Principal component analysis of minimal excitatory postsynaptic potentials.

    Science.gov (United States)

    Astrelin, A V; Sokolov, M V; Behnisch, T; Reymann, K G; Voronin, L L

    1998-02-20

    'Minimal' excitatory postsynaptic potentials (EPSPs) are often recorded from central neurones, specifically for quantal analysis. However the EPSPs may emerge from activation of several fibres or transmission sites so that formal quantal analysis may give false results. Here we extended application of the principal component analysis (PCA) to minimal EPSPs. We tested a PCA algorithm and a new graphical 'alignment' procedure against both simulated data and hippocampal EPSPs. Minimal EPSPs were recorded before and up to 3.5 h following induction of long-term potentiation (LTP) in CA1 neurones. In 29 out of 45 EPSPs, two (N=22) or three (N=7) components were detected which differed in latencies, rise time (Trise) or both. The detected differences ranged from 0.6 to 7.8 ms for the latency and from 1.6-9 ms for Trise. Different components behaved differently following LTP induction. Cases were found when one component was potentiated immediately after tetanus whereas the other with a delay of 15-60 min. The immediately potentiated component could decline in 1-2 h so that the two components contributed differently into early (reflections of synchronized quantal releases. In general, the results demonstrate PCA applicability to separate EPSPs into different components and its usefulness for precise analysis of synaptic transmission.

  10. Primary Dural Repair in Minimally Invasive Spine Surgery

    Directory of Open Access Journals (Sweden)

    Raqeeb M. Haque

    2013-01-01

    Full Text Available We describe an effective surgical technique in primary repair of the spinal dura during minimally invasive spine surgery (MISS. Objective. Minimally invasive spine surgery includes the treatment of intradural lesions, and proper closure of the dura is necessary. However, primary dural closure can be difficult due to the restricted space of MIS retractors and the availability of appropriate surgical instrumentation. Methods. We describe the use of a needle already used in the pediatric neurosurgical arena that can facilitate easier and safer closure of spinal dura through MISS retractors in two illustrative intradural cases. Results and Discussion. The primary dural closure technique is described and patient demographics are included. The instruments specifically used for the intradural closure through MIS retractor systems include (1 4-0 Surgilon braided nylon (Covidien, Dublin, Ireland with a CV-20 taper 1/2 circle, 10 mm diameter needle; (2 Scanlan (Saint Paul, MN, USA dura closure set. Conclusion. Successful primary dural repair can be performed on primary and incidental durotomies during minimally invasive spinal surgery. We describe the novel use of a 10 mm diameter needle to help surgeons safely and efficiently close the dura with more ease than previously described.

  11. Food waste minimization from a life-cycle perspective.

    Science.gov (United States)

    Bernstad Saraiva Schott, A; Andersson, T

    2015-01-01

    This article investigates potentials and environmental impacts related to household food waste minimization, based on a case study in Southern Sweden. In the study, the amount of avoidable and unavoidable food waste currently being disposed of by households was assessed through waste composition analyses and the different types of avoidable food waste were classified. Currently, both avoidable and unavoidable food waste is either incinerated or treated through anaerobic digestion. A hypothetical scenario with no generation of avoidable food waste and either anaerobic digestion or incineration of unavoidable food waste was compared to the current situation using the life-cycle assessment method, limited to analysis of global warming potential (GWP). The results from the waste composition analyses indicate that an average of 35% of household food waste is avoidable. Minimization of this waste could result in reduction of greenhouse gas emissions of 800-1400 kg/tonne of avoidable food waste. Thus, a minimization strategy would result in increased avoidance of GWP compared to the current situation. The study clearly shows that although modern alternatives for food waste treatment can result in avoidance of GWP through nutrient and energy recovery, food waste prevention yields far greater benefits for GWP compared to both incineration and anaerobic digestion.

  12. Minimal stratifications for line arrangements and positive homogeneous presentations for fundamental groups

    CERN Document Server

    Yoshinaga, Masahiko

    2011-01-01

    The complement of a complex hyperplane arrangement is known to be homotopic to a minimal CW complex. There are several approaches to the minimality. In this paper, we restrict our attention to real two dimensional cases, and introduce the "dual" objects so called minimal stratifications. The strata are explicitly described as semialgebraic sets. The stratification induces a partition of the complement into a disjoint union of contractible spaces, which is minimal in the sense that the number of codimension $k$ pieces equals the $k$-th Betti number. We also discuss presentations for the fundamental group associated to the minimal stratification. In particular, we show that the fundamental groups of complements of a real arrangements have positive homogeneous presentations.

  13. Gross hepatomegaly due to ‘minimal change’ liver disease in a young female alcoholic

    OpenAIRE

    Majumdar, Sisir K.; Shaw, G K; Aps, E. J.; Thomson, Allan D.; O Gorman, P.; Bugler, J.

    1982-01-01

    The case of a grossly enlarged liver due to alcohol excess in a woman of 21 is reported. This case further demonstrates that a chronic alcoholic can have gross hepatomegaly with normal histology and normal liver function tests. The possible pathogenetic basis of ethanol-induced hepatomegaly (‘minimal change’ liver disease) is discussed.

  14. Minimal Binary Abelian Codes of length $p^m q^n$

    CERN Document Server

    Chalom, Gladys; Guerreiro, Marinês; Milies, César Polcino

    2012-01-01

    We consider binary abelian codes of length $p^m q^n$, where $p$ and $q$ are prime rational integers under some restrictive hypotheses. In this case, we determine the idempotents generating minimal codes and either the respective weights or bounds of these weights. We give examples showing that these bounds are attained in some cases.

  15. Flexible Sensors for Minimally Invasive Medical Instruments

    NARCIS (Netherlands)

    Mimoun, B.A.Z.

    2013-01-01

    Being able to measure medical parameters directly inside the body in a minimally invasive way allows for a more accurate, faster, safer and cheaper diagnosis. A typical example can be found in the diagnosis of coronary artery diseases, where simultaneous measurement of intracoronary blood flow and p

  16. Mesonic spectroscopy of Minimal Walking Technicolor

    DEFF Research Database (Denmark)

    Del Debbio, Luigi; Lucini, Biagio; Patella, Agostino

    2010-01-01

    We investigate the structure and the novel emerging features of the mesonic non-singlet spectrum of the Minimal Walking Technicolor (MWT) theory. Precision measurements in the nonsinglet pseudoscalar and vector channels are compared to the expectations for an IR-conformal field theory and a QCD...

  17. MULTIOBJECTIVE PARALLEL GENETIC ALGORITHM FOR WASTE MINIMIZATION

    Science.gov (United States)

    In this research we have developed an efficient multiobjective parallel genetic algorithm (MOPGA) for waste minimization problems. This MOPGA integrates PGAPack (Levine, 1996) and NSGA-II (Deb, 2000) with novel modifications. PGAPack is a master-slave parallel implementation of a...

  18. Waste Minimization Program. Air Force Plant 6.

    Science.gov (United States)

    1986-02-01

    coolant’s life, it can cause the formation of gummy residues on machines and parts and cause corrosion of the machine and work tools. i 3-91e 0 _ b-4 LA...consists primarily of cans, applicators and rags contaminated with the - chrome- bearing hardened sealant. No opportunities to minimize this waste stream

  19. Maximally Minimal Preons in Four Dimensions

    CERN Document Server

    Grover, J; Sabra, W A; Grover, Jai; Gutowski, Jan B.; Sabra, Wafic A.

    2006-01-01

    Killing spinors of N=2, D=4 supergravity are examined using the spinorial geometry method, in which spinors are written as differential forms. Using this method, we show that there are no exactly 3/4 supersymmetric solutions of minimal N=2, D=4 gauged supergravity.

  20. Waste minimization in a petrochemical company

    Energy Technology Data Exchange (ETDEWEB)

    Anan, Marcelo [Oxiteno S.A., Industria e Comercio, Sao Paulo, SP (Brazil)

    1993-12-31

    A way to manage industrial effluents consists in reducing their generation or treating them when elimination or minimization is economically unachievable. This work aims to present the modifications adopted in a petrochemical plant to adequate and, or, reduce the generation of industrial effluent. 8 refs., 3 figs.

  1. Higher-Order Minimal Functional Graphs

    DEFF Research Database (Denmark)

    Jones, Neil D; Rosendahl, Mads

    1994-01-01

    We present a minimal function graph semantics for a higher-order functional language with applicative evaluation order. The semantics captures the intermediate calls performed during the evaluation of a program. This information may be used in abstract interpretation as a basis for proving...

  2. New Diagnostic Terminology for Minimal Brain Dysfunction.

    Science.gov (United States)

    Shaywitz, Bennett A.; And Others

    1979-01-01

    Minimal brain dysfunction has been redefined by the American Psychological Association as attention deficit disorder (ADD) and subdivided into categories with and without hyperactivity. The revised 'Diagnostic and Statistical Manual' (DSM III) is now undergoing field trials. Journal Availability: C. V. Mosby Company, 11830 Westline Industrial…

  3. Minimal Mimicry: Mere Effector Matching Induces Preference

    Science.gov (United States)

    Sparenberg, Peggy; Topolinski, Sascha; Springer, Anne; Prinz, Wolfgang

    2012-01-01

    Both mimicking and being mimicked induces preference for a target. The present experiments investigate the minimal sufficient conditions for this mimicry-preference link to occur. We argue that mere effector matching between one's own and the other person's movement is sufficient to induce preference, independent of which movement is actually…

  4. Minimally invasive surgery for Achilles tendon pathologies

    Directory of Open Access Journals (Sweden)

    Nicola Maffulli

    2010-07-01

    Full Text Available Nicola Maffulli1, Umile Giuseppe Longo2, Filippo Spiezia2, Vincenzo Denaro21Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, London, England; 2Department of Orthopedic and Trauma Surgery, Campus Bio-Medico University, Rome, ItalyAbstract: Minimally invasive trauma and orthopedic surgery is increasingly common, though technically demanding. Its use for pathologies of the Achilles tendon (AT hold the promise to allow faster recovery times, shorter hospital stays, and improved functional outcomes when compared to traditional open procedures, which can lead to difficulty with wound healing because of the tenuous blood supply and increased chance of wound breakdown and infection. We present the recent advances in the field of minimally invasive AT surgery for tendinopathy, acute ruptures, chronic tears, and chronic avulsions of the AT. In our hands, minimally invasive surgery has provided similar results to those obtained with open surgery, with decreased perioperative morbidity, decreased duration of hospital stay, and reduced costs. So far, the studies on minimally invasive orthopedic techniques are of moderate scientific quality with short follow-up periods. Multicenter studies with longer follow-up are needed to justify the long-term advantages of these techniques over traditional ones.Keywords: tendinopathy, rupture, percutanous repair, less invasive

  5. Minimal Function Graphs are not Instrumented

    DEFF Research Database (Denmark)

    Mycroft, Alan; Rosendahl, Mads

    1992-01-01

    The minimal function graph semantics of Jones and Mycroft is a standard denotational semantics modified to include only `reachable' parts of a program. We show that it may be expressed directly in terms of the standard semantics without the need for instrumentation at the expression level and, in...

  6. Minimizing convex functions by continuous descent methods

    Directory of Open Access Journals (Sweden)

    Sergiu Aizicovici

    2010-01-01

    Full Text Available We study continuous descent methods for minimizing convex functions, defined on general Banach spaces, which are associated with an appropriate complete metric space of vector fields. We show that there exists an everywhere dense open set in this space of vector fields such that each of its elements generates strongly convergent trajectories.

  7. Minimizing driver's irritation at a roadblock

    CERN Document Server

    Vleugels, C J J; Anthonissen, M J H; Seidman, T I

    2013-01-01

    Urban traffic is a logistic issue which can have many societal implications, especially when, due to a too high density of cars, the network of streets of a city becomes blocked, and consequently, pedestrians, bicycles, and cars start sharing the same traffic conditions potentially leading to high irritations (of people) and therefore to chaos. In this paper we focus our attention on a simple scenario: We model the driver's irritation induced by the presence of a roadblock. As a natural generalization, we extend the model for the two one-way crossroads traffic presented by M.E. Fouladvand and M. Nematollahi to that of a roadblock. Our discrete model defines and minimizes the total waiting time. The novelty lies in introducing the (total) driver's irritation and its minimization. Finally, we apply our model to a real-world situation: rush hour traffic in Hillegom, The Netherlands. We observe that minimizing the total waiting time and minimizing the total driver's irritation lead to different traffic light stra...

  8. Minimal requirements for rotation of bacterial flagella.

    OpenAIRE

    Ravid, S; Eisenbach, M

    1984-01-01

    An in vitro system of cell envelopes from Salmonella typhimurium with functional flagella was used to determine the minimal requirements for flagellar rotation. Rotation in the absence of cytoplasmic constituents could be driven either by respiration or by an artificially imposed chemical gradient of protons. No specific ionic requirements other than protons (or hydroxyls) were found for the motor function.

  9. An algorithm for reduct cardinality minimization

    KAUST Repository

    AbouEisha, Hassan M.

    2013-12-01

    This is devoted to the consideration of a new algorithm for reduct cardinality minimization. This algorithm transforms the initial table to a decision table of a special kind, simplify this table, and use a dynamic programming algorithm to finish the construction of an optimal reduct. Results of computer experiments with decision tables from UCI ML Repository are discussed. © 2013 IEEE.

  10. Positive Formulas in Intuitionistic and Minimal Logic

    NARCIS (Netherlands)

    de Jongh, D.; Zhao, Z.; Aher, M.; Hole, D.; Jeřábek, E.; Kupke, C.

    2015-01-01

    In this article we investigate the positive, i.e. ¬,⊥-free formulas of intuitionistic propositional and predicate logic, IPC and IQC, and minimal logic, MPC and MQC. For each formula φ of IQC we define the positive formula φ+ that represents the positive content of φ. The formulas φ and φ+ exhibit t

  11. Minimally inconsistent reasoning in Semantic Web

    Science.gov (United States)

    Zhang, Xiaowang

    2017-01-01

    Reasoning with inconsistencies is an important issue for Semantic Web as imperfect information is unavoidable in real applications. For this, different paraconsistent approaches, due to their capacity to draw as nontrivial conclusions by tolerating inconsistencies, have been proposed to reason with inconsistent description logic knowledge bases. However, existing paraconsistent approaches are often criticized for being too skeptical. To this end, this paper presents a non-monotonic paraconsistent version of description logic reasoning, called minimally inconsistent reasoning, where inconsistencies tolerated in the reasoning are minimized so that more reasonable conclusions can be inferred. Some desirable properties are studied, which shows that the new semantics inherits advantages of both non-monotonic reasoning and paraconsistent reasoning. A complete and sound tableau-based algorithm, called multi-valued tableaux, is developed to capture the minimally inconsistent reasoning. In fact, the tableaux algorithm is designed, as a framework for multi-valued DL, to allow for different underlying paraconsistent semantics, with the mere difference in the clash conditions. Finally, the complexity of minimally inconsistent description logic reasoning is shown on the same level as the (classical) description logic reasoning. PMID:28750030

  12. Construction and minimality of coordinated linear systems

    NARCIS (Netherlands)

    Kempker, P.L.; Ran, A.C.M.; Schuppen, J.H. van

    2014-01-01

    Coordinated linear systems are a particular class of hierarchical systems with a top-to-bottom information structure, consisting of a coordinator system and two or more subsystems. This paper deals with the construction and minimality of coordinated linear systems. Construction procedures are given

  13. Minimal Interventions in the Teaching of Mathematics

    Science.gov (United States)

    Foster, Colin

    2014-01-01

    This paper addresses ways in which mathematics pedagogy can benefit from insights gleaned from counselling. Person-centred counselling stresses the value of genuineness, warm empathetic listening and minimal intervention to support people in solving their own problems and developing increased autonomy. Such an approach contrasts starkly with the…

  14. Off-Critical Logarithmic Minimal Models

    CERN Document Server

    Pearce, Paul A

    2012-01-01

    We consider the integrable minimal models ${\\cal M}(m,m';t)$, corresponding to the $\\varphi_{1,3}$ perturbation off-criticality, in the {\\it logarithmic limit\\,} $m, m'\\to\\infty$, $m/m'\\to p/p'$ where $p, p'$ are coprime and the limit is taken through coprime values of $m,m'$. We view these off-critical minimal models ${\\cal M}(m,m';t)$ as the continuum scaling limit of the Forrester-Baxter Restricted Solid-On-Solid (RSOS) models on the square lattice. Applying Corner Transfer Matrices to the Forrester-Baxter RSOS models in Regime III, we argue that taking first the thermodynamic limit and second the {\\it logarithmic limit\\,} yields off-critical logarithmic minimal models ${\\cal LM}(p,p';t)$ corresponding to the $\\varphi_{1,3}$ perturbation of the critical logarithmic minimal models ${\\cal LM}(p,p')$. Specifically, in accord with the Kyoto correspondence principle, we show that the logarithmic limit of the one-dimensional configurational sums yields finitized quasi-rational characters of the Kac representatio...

  15. Non-minimally flavour violating dark matter

    CERN Document Server

    Blanke, Monika

    2015-01-01

    Flavour symmetries provide an appealing mechanism to stabilize the dark matter particle. I present a simple model of quark flavoured dark matter that goes beyond the framework of minimal flavour violation. I discuss the phenomenological implications for direct and indirect dark matter detection experiments, high energy collider searches as well as flavour violating precision data.

  16. Minimal Guidelines for Authors of Web Pages.

    Science.gov (United States)

    ADE Bulletin, 2002

    2002-01-01

    Presents guidelines that recommend the minimal reference information that should be provided on Web pages intended for use by students, teachers, and scholars in the modern languages. Suggests the inclusion of information about responsible parties, copyright declaration, privacy statements, and site information. Makes a note on Web page style. (SG)

  17. Minimal Flat Resolutions of Artinian Modules

    Institute of Scientific and Technical Information of China (English)

    Sh. Payrovi

    2005-01-01

    The purpose of this paper is to establish connection between the minimal flat resolutions of Artinian modules and the concept of cosequences in commutative algebra.The main result of this paper leads to a characterization of local Cohen-Macaulay rings in terms of vanishing property of the dual Bass numbers of certain Artinian modules.

  18. Kundt spacetimes minimally coupled to scalar field

    Energy Technology Data Exchange (ETDEWEB)

    Tahamtan, T. [Charles University, Institute of Theoretical Physics, Faculty of Mathematics and Physics, Prague 8 (Czech Republic); Astronomical Institute, Czech Academy of Sciences, Prague (Czech Republic); Svitek, O. [Charles University, Institute of Theoretical Physics, Faculty of Mathematics and Physics, Prague 8 (Czech Republic)

    2017-06-15

    We derive an exact solution belonging to the Kundt class of spacetimes both with and without a cosmological constant that are minimally coupled to a free massless scalar field. We show the algebraic type of these solutions and give interpretation of the results. Subsequently, we look for solutions additionally containing an electromagnetic field satisfying nonlinear field equations. (orig.)

  19. The Rings Characterized by Minimal Left Ideals

    Institute of Scientific and Technical Information of China (English)

    Jun Chao WEI

    2005-01-01

    We study these rings with every minimal left ideal being a projective, direct summand and a p-injective module, respectively. Some characterizations of these rings are given, and the relations among them are obtained. With these rings, we characterize semisimple rings. Finally, we introduce MC2 rings, and give some characterizations of MC2 rings.

  20. Leptogenesis in minimal predictive seesaw models

    CERN Document Server

    Björkeroth, Fredrik; Varzielas, Ivo de Medeiros; King, Stephen F

    2015-01-01

    We estimate the Baryon Asymmetry of the Universe (BAU) arising from leptogenesis within a class of minimal predictive seesaw models involving two right-handed neutrinos and simple Yukawa structures with one texture zero. The two right-handed neutrinos are dominantly responsible for the "atmospheric" and "solar" neutrino masses with Yukawa couplings to $(\