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Sample records for surgery including rom

  1. Analysis of reactive oxygen metabolites (ROMs) after cardiovascular surgery as a marker of oxidative stress.

    Science.gov (United States)

    Kanaoka, Yuji; Inagaki, Ei-ichirou; Hamanaka, Souhei; Masaki, Hisao; Tanemoto, Kazuo

    2010-10-01

    The transient systemic low perfusion that occurs during cardiovascular surgery leads to oxidative stress and the production of free radicals. A systemic increase of various markers of oxidative stress has been shown to occur during cardiopulmonary bypass (CPB). However, these markers have not been adequately evaluated because they seem to be reactive and short-lived. Here, oxidative stress was measured using the free radical analytical system (FRAS 4) assessing the derivatives of reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP). Blood samples were taken from 21 patients undergoing elective cardiovascular surgery. CPB was used in 15 patients, and abdominal aortic aneurysm (AAA) surgery without CPB was performed in 6. Measurements of d-ROMs and BAP were taken before surgery, 1 day, 1 week, and 2 weeks after surgery, and oxidative stress was evaluated. The d-ROM level increased gradually after cardiovascular surgery up to 2 weeks. Over time, the d-ROM level after surgery involving CPB became higher than that after AAA surgery. This difference reached statistical significance at 1 week and lasted to 2 weeks. The prolongation of CPB was prone to elevate the d-ROM level whereas the duration of the aortic clamp in AAA surgery had no relation to the d-ROM level. The BAP was also elevated after surgery, and was positively correlated with the level of d-ROMs. In this study, patients who underwent cardiovascular surgery involving CPB had significant oxidative damage. The production of ROMs was shown to depend on the duration of CPB. Damage can be reduced if CPB is avoided. When CPB must be used, shortening the CPB time may be effective in reducing oxidative stress.

  2. Producing CD-ROMs.

    Science.gov (United States)

    Hyams, Peter, Ed.

    1992-01-01

    This issue presents 11 articles that address issues relating to the production of CD-ROMs. Highlights include current uses of CD-ROM; standards; steps involved in producing CD-ROMs, including data capture, conversion, and tagging, product design, and indexing; authoring; selecting indexing and retrieval software; costs; multimedia CD-ROMs; and…

  3. The surgery of peripheral nerves (including tumors)

    DEFF Research Database (Denmark)

    Fugleholm, Kåre

    2013-01-01

    Surgical pathology of the peripheral nervous system includes traumatic injury, entrapment syndromes, and tumors. The recent significant advances in the understanding of the pathophysiology and cellular biology of peripheral nerve degeneration and regeneration has yet to be translated into improved...... surgical techniques and better outcome after peripheral nerve injury. Decision making in peripheral nerve surgery continues to be a complex challenge, where the mechanism of injury, repeated clinical evaluation, neuroradiological and neurophysiological examination, and detailed knowledge of the peripheral...... nervous system response to injury are prerequisite to obtain the best possible outcome. Surgery continues to be the primary treatment modality for peripheral nerve tumors and advances in adjuvant oncological treatment has improved outcome after malignant peripheral nerve tumors. The present chapter...

  4. Tissue-Specific Effects of Bariatric Surgery Including Mitochondrial Function

    Directory of Open Access Journals (Sweden)

    Simon N. Dankel

    2011-01-01

    Full Text Available A better understanding of the molecular links between obesity and disease is potentially of great benefit for society. In this paper we discuss proposed mechanisms whereby bariatric surgery improves metabolic health, including acute effects on glucose metabolism and long-term effects on metabolic tissues (adipose tissue, skeletal muscle, and liver and mitochondrial function. More short-term randomized controlled trials should be performed that include simultaneous measurement of metabolic parameters in different tissues, such as tissue gene expression, protein profile, and lipid content. By directly comparing different surgical procedures using a wider array of metabolic parameters, one may further unravel the mechanisms of aberrant metabolic regulation in obesity and related disorders.

  5. Emerging technologies including robotics and natural orifice transluminal endoscopic surgery (NOTES) colorectal surgery.

    Science.gov (United States)

    Whiteford, Mark H; Swanstrom, Lee L

    2007-12-15

    Endoluminal and minimally invasive techniques have a long history and bright future in colorectal surgery. First, we will examine how old (colonoscopy) and new (laparoscopy) techniques combine in the form of laparoscopically assisted colonoscopic polypectomy for removal of "colonoscopically unresectable" colon polyps. Next, we will review the early experiences with robot-assisted minimally invasive colon resections. Lastly, we will introduce the next frontier in minimally invasive surgery, natural orifice transluminal endoscopic surgery (NOTES). 2007 Wiley-Liss, Inc

  6. Creating Virtual CD-ROM Collections

    Directory of Open Access Journals (Sweden)

    Kam Woods

    2009-10-01

    Full Text Available Over the past 20 years, more than 100,000 CD-ROM titles have been published including thousands of collections of government documents and data. CD-ROMs present preservation challenges at the bit level and in ensuring usability of the preserved artifact. We present techniques we have developed to archive and support user access to a collection of approximately 2,900 CD-ROMs published under the Federal Depository Library Program (FDLP by the United States Government Printing Office (GPO. The project provides web-based access to CD-ROM contents using both migration and emulation and supports remote execution of the raw CD-ROM images. Our project incorporates off-the-shelf, primarily open-source software. The raw data and (METS metadata are made available through AFS, a standard distributed file system, to encourage sharing among libraries.

  7. Rom II-forordningen

    DEFF Research Database (Denmark)

    Pii, Tine; Nielsen, Peter Arnt

    2008-01-01

    Artiklen redegør for de vigtigste regler i Europaparlamentets og Rådets forordning om lovvalgsregler for forpligtelser uden for kontraktforhold (Rom II) og sammenligner dem med dansk ret.......Artiklen redegør for de vigtigste regler i Europaparlamentets og Rådets forordning om lovvalgsregler for forpligtelser uden for kontraktforhold (Rom II) og sammenligner dem med dansk ret....

  8. "Augenheilkunde" - Lern-CD-Rom [

    Directory of Open Access Journals (Sweden)

    Gruber, Anna

    2006-02-01

    Full Text Available [english] Problem: At present there is in general an essential improvement in the study of medicine (both in the acquisition of material as well as in examinations, including the subject "ophthalmology" in the 3rd oral examination. Method: Production of an "ophthalmology" learning CD-ROM with concomitant website within the framework of the Master of Medical Education (MME Study course in Bern, Switzerland. Results: As a result of continuing evaluation among students (since 10/2004, the enormous popularity of these additional, new teaching methods has been shown. Conclusion: A meaningful combination of the theoretical acquisition of the clinical images by means of books, lecture scripts, learning CD-ROM and the provision of material in the internet. Key terms: e-learning, students, internet, medical training. [german] Problemstellung: Es besteht derzeit eine allgemein notwendige Verbesserung des Medizinstudiums (sowohl im Erlernen des Stoffgebietes als auch bei der Prüfung, einschließlich Fach "Augenheilkunde" im 3. Rigorosum. Methode: Produktion einer "Augenheilkunde" -Lern-CD-ROM mit gleichzeitiger Website im Rahmen des Master of Medical Education (MME Studiums in Bern, Schweiz. Ergebnisse: Aufgrund laufender Evaluation unter den Studierenden (seit 10/2004 zeigt sich eine große Beliebtheit dieser zusätzlich neuen Lernmethoden. Schlussfolgerung: Es ergibt sich eine sinnvolle Kombination des theoretischen Erlernens der Krankheitsbilder mittels Bücher, Vorlesungsskripten, Lern-CD-ROM und Anbietung des Stoffes im Internet.

  9. Technology Applications Group Multimedia CD-ROM Project

    Science.gov (United States)

    McRacken, Kristi D.

    1995-01-01

    To produce a multimedia CD-ROM for the Technology Applications Group which would present the Technology Opportunity Showcase (TOPS) exhibits and Small Business Innovative Research (SBIR) projects to interested companies. The CD-ROM format is being used and developed especially for those companies who do not have Internet access, and cannot directly visit Langley through the World Wide Web. The CD-ROM will include text, pictures, sound, and movies. The information for the CD-ROM will be stored in a database from which the users can query and browse the information, and future CD's can be maintained and updated.

  10. Acquisition of CD-ROM Databases for Local Area Networks.

    Science.gov (United States)

    Davis, Trisha L.

    1993-01-01

    Discusses the acquisition of CD-ROM products for local area networks based on experiences at the Ohio State University libraries. Topics addressed include the historical development of CD-ROM acquisitions; database selection, including pricing and subscription options; the ordering process; and network licensing issues. (six references) (LRW)

  11. Syd for Rom

    DEFF Research Database (Denmark)

    Frandsen, Steen Bo

    Bogen fortæller historien om et af Europas mest berømte vildnisser, De Pontinske Sumpe, der strakte sig i kystlandet umiddelbart syd for Rom fra romertiden til tørlægningen og forvandlingen til landbrugsland i 1930'erne. Allerede under romerne vandt sumpen uophørligt terræn og forvandlede det flade...... fascistiske regimes undergang forsøgte det med nye oversvømmelser at ødelægge sit symbolske landskab. Efter krigen blev landbruget genopbygget, men selv om det i en vis forstand blev Roms køkkenhave som leverandør til metropolens grøntsagsmarkeder, lå virkeligheden fjernt fra fascismens planlagte...... mønsterlandbrugsland. Byerne voksede, statssubventioneret industri vandt indpas og badeturismen erobrede strandene. I vore dage venter landskabet lige uden for Rom på at blive opdaget som et historisk landskab, rigt på spor fra fortiden og især fra det tyvende århundredes ofte oversete italienske historie....

  12. Serials Information on CD-ROM: A Reference Perspective.

    Science.gov (United States)

    Karch, Linda S.

    1990-01-01

    Describes Ulrich's PLUS (a CD-ROM version of Ulrich's serials directories) and EBSCO's CD-ROM version of "The Serials Directory," and compares the two in terms of their use as reference tools. Areas discussed include database content, user aids, system features, search features, and a comparison of search results. Equipment requirements for both…

  13. Enhancing Your CD-ROM Services with Signage Systems.

    Science.gov (United States)

    Ekhaml, Leticia

    1994-01-01

    Describes how to use effective signage, or visual guidance, for more efficient use of CD-ROM technology in elementary and secondary school library media centers. Setting CD-ROM policies and procedures is considered; the use of posters, brochures, flowcharts, and other formats is discussed; and examples are included. (LRW)

  14. Serials Information on CD-ROM: A Reference Perspective.

    Science.gov (United States)

    Karch, Linda S.

    1990-01-01

    Describes Ulrich's PLUS (a CD-ROM version of Ulrich's serials directories) and EBSCO's CD-ROM version of "The Serials Directory," and compares the two in terms of their use as reference tools. Areas discussed include database content, user aids, system features, search features, and a comparison of search results. Equipment requirements…

  15. Understanding Childhood Cancer. [CD-ROM].

    Science.gov (United States)

    2001

    This interactive multimedia CD-ROM presentation is intended for the parents and families of children who have recently been diagnosed with cancer. It begins with an introduction by a pediatric oncologist. It features menus that include over 200 questions commonly asked about childhood cancer, with answers in a slide presentation format. Menus…

  16. Questions to Answer before You Branch out on a CD-ROM Network.

    Science.gov (United States)

    Simpson, Carol Mann

    1992-01-01

    Examines issues that librarians must address when purchasing databases on CD-ROM for networking. Highlights include network licenses; costs; restrictions on network rights; ownership of CD-ROMs; hardware requirements; fees for upgrading software; CD-ROM servers; pricing options; training materials; and disk drives. (LRW)

  17. Arkitekturen, Roms moderne bygningsværker

    DEFF Research Database (Denmark)

    Hansen, Peter Mandal

    2012-01-01

    Artikel om Roms moderne og nutidige arkitektur med beskrivelse og analyse af et udvalg af Roms markante bygningsværker.......Artikel om Roms moderne og nutidige arkitektur med beskrivelse og analyse af et udvalg af Roms markante bygningsværker....

  18. Arkitekturen, Roms moderne bygningsværker

    DEFF Research Database (Denmark)

    Hansen, Peter Mandal

    2012-01-01

    Artikel om Roms moderne og nutidige arkitektur med beskrivelse og analyse af et udvalg af Roms markante bygningsværker.......Artikel om Roms moderne og nutidige arkitektur med beskrivelse og analyse af et udvalg af Roms markante bygningsværker....

  19. A Methodological Evaluation of Volumetric Measurement Techniques including Three-Dimensional Imaging in Breast Surgery

    Directory of Open Access Journals (Sweden)

    H. Hoeffelin

    2014-01-01

    Full Text Available Breast surgery currently remains very subjective and each intervention depends on the ability and experience of the operator. To date, no objective measurement of this anatomical region can codify surgery. In this light, we wanted to compare and validate a new technique for 3D scanning (LifeViz 3D and its clinical application. We tested the use of the 3D LifeViz system (Quantificare to perform volumetric calculations in various settings (in situ in cadaveric dissection, of control prostheses, and in clinical patients and we compared this system to other techniques (CT scanning and Archimedes’ principle under the same conditions. We were able to identify the benefits (feasibility, safety, portability, and low patient stress and limitations (underestimation of the in situ volume, subjectivity of contouring, and patient selection of the LifeViz 3D system, concluding that the results are comparable with other measurement techniques. The prospects of this technology seem promising in numerous applications in clinical practice to limit the subjectivity of breast surgery.

  20. A methodological evaluation of volumetric measurement techniques including three-dimensional imaging in breast surgery.

    Science.gov (United States)

    Hoeffelin, H; Jacquemin, D; Defaweux, V; Nizet, J L

    2014-01-01

    Breast surgery currently remains very subjective and each intervention depends on the ability and experience of the operator. To date, no objective measurement of this anatomical region can codify surgery. In this light, we wanted to compare and validate a new technique for 3D scanning (LifeViz 3D) and its clinical application. We tested the use of the 3D LifeViz system (Quantificare) to perform volumetric calculations in various settings (in situ in cadaveric dissection, of control prostheses, and in clinical patients) and we compared this system to other techniques (CT scanning and Archimedes' principle) under the same conditions. We were able to identify the benefits (feasibility, safety, portability, and low patient stress) and limitations (underestimation of the in situ volume, subjectivity of contouring, and patient selection) of the LifeViz 3D system, concluding that the results are comparable with other measurement techniques. The prospects of this technology seem promising in numerous applications in clinical practice to limit the subjectivity of breast surgery.

  1. Making holograms: an educational CD-ROM

    Science.gov (United States)

    John, Pearl; Poche, Elaine J.

    2004-06-01

    The Columbia Career Center high school SPIE chapter has created an educational CD-ROM to teach holography to students on the threshold of a career path in Photonics. This paper examines the development of the CD-ROM as an educational project from the perspectives of both teacher and student. Holography has been used successfully in educational institutions as a motivational tool for students and a vehicle for the teaching of a wide variety of skills. These include problem solving, teamwork, safety, communication, research, mathematics, analysis of data, documentation, equipment handling, and knowledge of light theory, which involves the principals of reflection, refraction, diffraction, interference and polarization. All of these skills are essential to the photonics industry and, as a result, holography is considered by the Center for Occupational Research and Development (CORD)1 to be a national photonics skill standard for Laser Electro-optical Technicians (LEOTs). Thus, training in holography - using both simple and advanced techniques and equipment - prepares students for a variety of vocations involving laser technology. However, the teaching of holography can be beneficial at many different levels of education, including middle and high school students, college students and interested adults. The educational CD-ROM, "Making Holograms," is the first of its kind. It includes both simple, single beam holography using a laser pointer, and more advanced split-beam setups using helium neon lasers. This paper outlines both the benefits and challenges involved in the production of an educational CD-ROM on holography by high school students and their advisor in an SPIE high school chapter.

  2. Anesthetic complications including two cases of postoperative respiratory depression in living liver donor surgery

    Directory of Open Access Journals (Sweden)

    David Beebe

    2011-01-01

    Full Text Available Background: Living liver donation is becoming a more common means to treat patients with liver failure because of a shortage of cadaveric organs and tissues. There is a potential for morbidity and mortality, however, in patients who donate a portion of their liver. The purpose of this study is to identify anesthetic complications and morbidity resulting from living liver donor surgery. Patients and Methods: The anesthetic records of all patients who donated a segment of their liver between January 1997 and January 2006 at University of Minnesota Medical Center-Fairview were retrospectively reviewed. The surgical and anesthesia time, blood loss, hospitalization length, complications, morbidity, and mortality were recorded. Data were reported as absolute values, mean ± SD, or percentage. Significance (P < 0.05 was determined using Student′s paired t tests. Results: Seventy-four patients (34 male, 40 female, mean age = 35.5 ± 9.8 years donated a portion of their liver and were reviewed in the study. Fifty-seven patients (77% donated the right hepatic lobe, while 17 (23% donated a left hepatic segment. The average surgical time for all patients was 7.8 ± 1.5 hours, the anesthesia time was 9.0 ± 1.3 hours, and the blood loss was 423 ± 253 ml. Forty-six patients (62.2% received autologous blood either from a cell saver or at the end of surgery following acute, normovolemic hemodilution, but none required an allogenic transfusion. Two patients were admitted to the intensive care unit due to respiratory depression. Both patients donated their right hepatic lobe. One required reintubation in the recovery room and remained intubated overnight. The other was extubated but required observation in the intensive care unit for a low respiratory rate. Twelve patients (16.2% had complaints of nausea, and two reported nausea with vomiting during their hospital stay. There were four patients who developed complications related to positioning during the

  3. Nonlinear Aerodynamic ROM-Structural ROM Methodology for Inflatable Aeroelasticity in Hypersonic Atmospheric Entry Project

    Data.gov (United States)

    National Aeronautics and Space Administration — ZONA Technology proposes to develop an innovative nonlinear structural reduced order model (ROM) - nonlinear aerodynamic ROM methodology for the inflatable...

  4. A comprehensive approach including a new enlargement technique to prevent complications after De Quervain tendinopathy surgery.

    Science.gov (United States)

    Perno-Ioanna, D; Papaloïzos, M

    2016-06-01

    The goal of this study was to evaluate the outcome of our surgical approach aimed at preventing complications following surgery for De Quervain tendinopathy. Our stepwise surgical procedure is described in detail. We reviewed 56 cases operated by a senior surgeon over 5years, and re-evaluated them with a minimum 15months' follow-up. Complications mentioned in the literature (poor wound healing, adhesions, nerve injury, incomplete decompression, tendon subluxation) were not present in any of the cases; the satisfaction rate was very high. Slight residual discomfort was noted in 16 cases. Among them, 13 had an associated pathology. In summary, the outcome after the comprehensive approach presented here is highly predictable. Properly applied, good to excellent results can be expected in most patients. Potential postoperative complications are effectively prevented. Some caution is needed in cases of associated pathologies.

  5. Ethical precepts for medical volunteerism: including local voices and values to guide RHD surgery in Rwanda.

    Science.gov (United States)

    Coors, Marilyn E; Matthew, Thomas L; Matthew, Dayna B

    2015-10-01

    At the invitation of the Rwandan Government, Team Heart, a team of American healthcare professionals, performs volunteer rheumatic heart disease (RHD) surgery in Rwanda every year, and confronts ethical concerns that call for cultural sensitivity. This article describes how five standard bioethical precepts are applied in practice in medical volunteerism related to RHD surgery in Rwanda. The content for the applied precepts stems from semiscripted, transcribed conversations with the authors, two Rwandan cardiologists, a Rwandan nurse and a Rwandan premedical student. The conversations revealed that the criteria for RHD surgical selection in Rwanda are analogous to the patient-selection process involving material scarcity in the USA. Rwandan notions of benefit and harm focus more attention on structural issues, such as shared benefit, national reputation and expansion of expertise, than traditional Western notions. Harm caused by inadequate patient follow-up remains a critical concern. Gender disparities regarding biological and social implications of surgical valve choices impact considerations of justice. Individual agency remains important, but not central to Rwandan concepts of justice, transparency and respect, particularly regarding women. The Rwandan understanding of standard bioethical precepts is substantively similar to the traditionally recognised interpretation with important contextual differences. The communal importance of improving the health of a small number of individuals may be underestimated in previous literature. Moreover, openness and the incorporation of Rwandan stakeholders in difficult ethical choices and long-term contributions to indigenous medical capacity appear to be valued by Rwandans. These descriptions of applied precepts are applicable to different medical missions in other emerging nations following a similar process of inclusion. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted

  6. CD-ROM-aided Databases

    Science.gov (United States)

    Nakaike, Shin'ichi; Tanaka, Masao

    The authors describe present status of patent information service by JAPIO, new on-line system project (PATOLIS-III), Paperless Project by the Patent Office and input of domestic gazettes for patent into optical disks. They also describe CD-ROM created by using image information of the gazettes for patent which is produced under the Paperless Project, its production method, and the terminals and their functions. Some problems found in CD-ROM of JAPIO, such as time lag for the issuance, treatment of the multiple copies, and countermeasures against them are mentioned.

  7. Desmoplastic small round cell tumor: review of therapy including surgery followed by continuous hyperthermic peritoneal perfusion of chemotherapy

    Directory of Open Access Journals (Sweden)

    Andrea Hayes-Jordan

    2011-12-01

    Full Text Available Desmoplastic small round cell tumor (DSRCT is a very rare disease of children, adolescents, and young adults and involves the abdominal cavity. DSRCT has characteristic fusion gene involving EWS1 and WT1 translocation, t(11;22(p13;q12. Unlike Ewing’s sarcoma of bone, DSRCT usually presents with diffuse peritoneal implants that are prone to recur. The primary organ of origin of DSRCT is mesenchyme of the peritoneum. This makes it a very unique tumor that is difficult to treat because of the infiltrative and diffuse nature of the peritoneum. The challenge of local control is to remove dozens to hundreds of tumors studding the peritoneal cavity, and then eliminate microscopic disease. We review a sequential multimodality strategy to reduce macroscopic and microscopic disease including neoadjuvant chemotherapy, aggressive surgery including an emerging new therapy to use after surgery to treat microscopic residual disease: continuous hyperthermic peritoneal chemotherapy,

  8. Cern DD4424 ROM Diode Matrix

    CERN Multimedia

    A diode matrix is an extremely low-density form of read-only memory. It's one of the earliest forms of ROMs (dating back to the 1950s). Each bit in the ROM is represented by the presence or absence of one diode. The ROM is easily user-writable using a soldering iron and pair of wire cutters.This diode matrix board is a floppy disk boot ROM for a PDP-11, and consists of 32 16-bit words. When you access an address on the ROM, the circuit returns the represented data from that address.

  9. NASA space and Earth science data on CD-ROM

    Science.gov (United States)

    Towheed, Syed S.

    1993-01-01

    The National Space Science Data Center (NSSDC) is very interested in facilitating the widest possible use of the scientific data acquired through NASA spaceflight missions. Therefore, NSSDC has participated with projects and data management elements throughout the NASA science environment in the creation, archiving, and dissemination of data using Compact Disk-Read Only Memory (CD-ROM). This CD-ROM technology has the potential to enable the dissemination of very large data volumes at very low prices to a great many researchers, students and their teachers, and others. This catalog identifies and describes the scientific CD-ROM's now available from NSSDC including the following data sets: Einstein Observatory CD-ROM, Galileo Cruise Imaging on CD-ROM, International Halley Watch, IRAS Sky Survey Atlas, Infrared Thermal Mapper (IRTM), Magellan (MIDR), Magellan (ARCDR's), Magellan (GxDR's), Mars Digital Image Map (MDIM), Outer Planets Fields & Particles Data, Pre-Magellan, Selected Astronomical Catalogs, TOMS Gridded Ozone Data, TOMS Ozone Image Data, TOMS Update, Viking Orbiter Images of Mars, and Voyager Image.

  10. Developing Virtual CD-ROM Collections: The Voyager Company Publications

    Directory of Open Access Journals (Sweden)

    Geoffrey Brown

    2012-12-01

    Full Text Available Over the past 20 years, many thousands of CD-ROM titles were published; many of these have lasting cultural significance, yet present a difficult challenge for libraries due to obsolescence of the supporting software and hardware, and the consequent decline in the technical knowledge required to support them. The current trend appears to be one of abandonment – for example, the Indiana University Libraries no longer maintain machines capable of accessing early CD-ROM titles.In previous work, we proposed an access model based upon networked ‘virtual collections’ of CD-ROMs which can enable consortia of libraries to pool the technical expertise necessary to provide continued access to such materials for a geographically sparse base of patrons, who may have limited technical knowledge.In this paper, we extend this idea to CD-ROMs designed to operate on ‘classic’ Macintosh systems with an extensive case study – the catalog of the Voyager Company publications, which was the first major innovator in interactive CD-ROMs. The work described includes emulator extensions to support obsolete CD formats and to enable networked access to the virtual collection.

  11. Design and Implementation of a Multimedia CD-ROM-Based Directed Study Preservice Teacher Education Course.

    Science.gov (United States)

    Morse, Timothy

    This paper discusses the development and implementation of a computer-based directed study preservice teacher education course. Specifically, it explains the procedures followed to create the ten multimedia CD-ROMs that comprise the course, and how preservice teachers use the CD-ROMs. Topics to be covered include (1) rationale for course creation;…

  12. Keys to Successful Publishing of Technical Documentation on CD-ROM.

    Science.gov (United States)

    Kersten, Amy

    1992-01-01

    Discusses softcopy information publishing on CD-ROM and describes how to use it successfully for technical documentation. Four main areas are addressed: (1) characteristics of technical documentation; (2) goals for the information product, including access methods; (3) steps involved in publishing technical documentation on CD-ROM, including…

  13. Reta'maxik Qatzij--Conociendo Nuestro Idioma (Knowing Our Language). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. This CD-ROM includes six books in electronic format with interactive exercises that support improved bilingual and intercultural education and teacher training, specifically in the languages of K'iche' and Ixil. Books…

  14. Undergraduate Use of CD-ROM Databases: Observations of Human-Computer Interaction and Relevance Judgments.

    Science.gov (United States)

    Shaw, Debora

    1996-01-01

    Describes a study that observed undergraduates as they searched bibliographic databases on a CD-ROM local area network. Topics include related research, information needs, evolution of search topics, database selection, search strategies, relevance judgments, CD-ROM interfaces, and library instruction. (Author/LRW)

  15. Reta'maxik Qatzij--Conociendo Nuestro Idioma (Knowing Our Language). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. This CD-ROM includes six books in electronic format with interactive exercises that support improved bilingual and intercultural education and teacher training, specifically in the languages of K'iche' and Ixil. Books…

  16. ROM a primera vista = ROM at first sight

    Directory of Open Access Journals (Sweden)

    Hugo Ricardo, D

    2006-09-01

    Full Text Available RESUMEN Objetivo:Es por todos conocida la importancia en la medición delROM (Range of motion: Rango de movimiento de una articulación, como elemento diagnóstico y evolutivo, pero, falta de uniformidad existe respecto a como debería ser registrado el ROM, de manera tal que otros profesionales pudieran interpretar los mismos resultados. Es objetivo de este trabajo, presentar una nueva técnica, rápida y eficaz para medir el ROM activo de las articulaciones de muñeca y dedos, sin necesidad de recurrir a un goniómetro o sistema similar.Material y métodos: La técnica se basa en darle a cada rango articular, desde la posición extrema, un valor máximo de 1 y un mínimo de 0 . Por ejemplo, si la extensión de muñeca es total, entonces corresponde valor 1; si la extensión de muñeca, no existe, entonces corresponde un valor de 0. Si la extensión llega a un 25% , se considera valor¼. Si la extensión llega a un 50%, se considera valor ½ .Si la extensión llega a un 75%, se considera valor ¾. Además, si al valor del ROM obtenido, le adosamos luego de un guión el valor 0, indicaráausencia de dolor. Si adosamos el valor 1, indicará presencia de dolor.Discusión: Esta técnica tiene evidentemente ciertas ventajas respecto a los métodos convencionales: Es más rápida, más cómoda, más simple, más fácil de aprender y recordar, y otros profesionales pueden apropiadamente interpretar los mismos resultados ABSTRACTObjective: we all are aware of the importance of the measuring of ROM in an articulation, as an element for diagnosis and evolution. Notwithstanding, there is a lack of uniformity concerning its registration to facilitate theinterpretation of the same results by other professionals.So that, the aim of this work is presenting a new, quick and effective technique to measure the active ROM of wrist and fingers joints without resorting to a goniometer or similar device.Material and methods: this technique consists of giving each

  17. Stretching & Flexibility: An Interactive Encyclopedia of Stretching. [CD-ROM].

    Science.gov (United States)

    2002

    This CD-ROM offers 140 different stretches in full-motion video sequences. It focuses on the proper techniques for overall physical fitness, injury prevention and rehabilitation, and 23 different sports (e.g., golf, running, soccer, skiing, climbing, football, and baseball). Topics include stretching for sports; stretching awareness and education…

  18. Conserving Earth's Biodiversity. [CD-ROM and] Instructor's Manual.

    Science.gov (United States)

    2000

    This CD-ROM is designed as an interactive learning tool to support teaching in highly interdisciplinary fields such as conservation of biodiversity. Topics introduced in the software include the impact of humans on natural landscapes, threats to biodiversity, methods and theories of conservation biology, environmental laws, and relevant economic…

  19. Stratford Studios Proudly Liberates Romeo & Juliet [CD-ROM].

    Science.gov (United States)

    1997

    This CD-ROM product is an interactive supplement to Shakespeare's text of "Romeo and Juliet." It contains an interactive cast of characters and the entire script of the play with an accessible audio performance. Other features include: "Dr. Wacko"--a feature that calls the student's attention to the more subtle nuances of the plot by asking…

  20. Stretching & Flexibility: An Interactive Encyclopedia of Stretching. [CD-ROM].

    Science.gov (United States)

    2002

    This CD-ROM offers 140 different stretches in full-motion video sequences. It focuses on the proper techniques for overall physical fitness, injury prevention and rehabilitation, and 23 different sports (e.g., golf, running, soccer, skiing, climbing, football, and baseball). Topics include stretching for sports; stretching awareness and education…

  1. Kino'jib'alil ri Qati't Qamam--El Pensamiento de Nuestros Abuelos (Our Grandparents' Thinking). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. Groups of students from each of the four teacher training schools re-enacted various Mayan traditions and documented them in this multimedia CD-ROM. The following presentations are included on the CD-ROM: Uxe'al nutinamit…

  2. Kino'jib'alil ri Qati't Qamam--El Pensamiento de Nuestros Abuelos (Our Grandparents' Thinking). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. Groups of students from each of the four teacher training schools re-enacted various Mayan traditions and documented them in this multimedia CD-ROM. The following presentations are included on the CD-ROM: Uxe'al nutinamit…

  3. The Market Place: An Internal View of the Future of CD-ROM--The Perspective of the H. W. Wilson Company.

    Science.gov (United States)

    Miller, Frank W.; Loeding, Deborah Voigt

    1989-01-01

    Discussion of technological developments in library reference services focuses on contributions of the H. W. Wilson Company and highlights CD-ROM technology. Topics discussed include online access; menu-driven systems; CD-ROM hardware and software concerns; user response to CD-ROM; quality control of databases; pricing considerations; and future…

  4. Educational use of World Wide Web pages on CD-ROM.

    Science.gov (United States)

    Engel, Thomas P; Smith, Michael

    2002-01-01

    The World Wide Web is increasingly important for medical education. Internet served pages may also be used on a local hard disk or CD-ROM without a network or server. This allows authors to reuse existing content and provide access to users without a network connection. CD-ROM offers several advantages over network delivery of Web pages for several applications. However, creating Web pages for CD-ROM requires careful planning. Issues include file names, relative links, directory names, default pages, server created content, image maps, other file types and embedded programming. With care, it is possible to create server based pages that can be copied directly to CD-ROM. In addition, Web pages on CD-ROM may reference Internet served pages to provide the best features of both methods.

  5. Providing Access to CD-ROM Databases in a Campus Setting. Part II: Networking CD-ROMs via a LAN.

    Science.gov (United States)

    Koren, Judy

    1992-01-01

    The second part of a report on CD-ROM networking in libraries describes LAN (local area network) technology; networking software and towers; gateway software for connecting to campuswide networks; Macintosh LANs; and network licenses. Several product and software reviews are included, and a sidebar lists vendor addresses. (NRP)

  6. Building the Portes ouvertes CD-ROM.

    Science.gov (United States)

    Jones, Christopher M.; Frommer, Judith

    1999-01-01

    Describes the development of the "Portes ouvertes" CD-ROM, which was produced as an integrated part of a first-year method for elementary French. Details the design and production of the CD-ROM with reference to video and textbook elements where such reference is indispensable to an understanding of pedagogical foundations. (Author/VWL)

  7. Parallel Computation of the Regional Ocean Modeling System (ROMS)

    Energy Technology Data Exchange (ETDEWEB)

    Wang, P; Song, Y T; Chao, Y; Zhang, H

    2005-04-05

    The Regional Ocean Modeling System (ROMS) is a regional ocean general circulation modeling system solving the free surface, hydrostatic, primitive equations over varying topography. It is free software distributed world-wide for studying both complex coastal ocean problems and the basin-to-global scale ocean circulation. The original ROMS code could only be run on shared-memory systems. With the increasing need to simulate larger model domains with finer resolutions and on a variety of computer platforms, there is a need in the ocean-modeling community to have a ROMS code that can be run on any parallel computer ranging from 10 to hundreds of processors. Recently, we have explored parallelization for ROMS using the MPI programming model. In this paper, an efficient parallelization strategy for such a large-scale scientific software package, based on an existing shared-memory computing model, is presented. In addition, scientific applications and data-performance issues on a couple of SGI systems, including Columbia, the world's third-fastest supercomputer, are discussed.

  8. Regional Ocean Modeling System (ROMS): Samoa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 7-day, 3-hourly forecast for the region surrounding the islands of Samoa at approximately 3-km resolution. While considerable...

  9. Regional Ocean Modeling System (ROMS): CNMI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 7-day, 3-hourly forecast for the region surrounding the Commonwealth of the Northern Mariana Islands (CNMI) at approximately...

  10. Plastic Surgery

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Plastic Surgery KidsHealth > For Teens > Plastic Surgery Print A A ... forehead lightened with a laser? What Is Plastic Surgery? Just because the name includes the word "plastic" ...

  11. The Boreal Virtual Forest. [CD-ROM].

    Science.gov (United States)

    Indiana Univ.-Purdue Univ., Indianapolis.

    This CD-ROM is an educational CD-ROM aimed at classroom audiences in 5th grade and above. Using QuickTime Virtual Reality (QTVR), the Boreal Virtual Forest is designed so that students are able to see views from inside the central hardwood forest and look up or down or spin around 360 degrees. The program allows students to become familiar with…

  12. Maternal and neonatal evaluation of derivated reactive oxygen metabolites (d-ROMs) and biological antioxidant potential in the horse.

    Science.gov (United States)

    Sgorbini, M; Bonelli, F; Marmorini, P; Biagi, G; Corazza, M; Pasquini, A

    2015-01-01

    The aim of the present work was to evaluate derivated reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) in mares and foals to study perinatal oxidative status. A total of 60 animals were included in the present study. Maternal and foal venous blood samples were collected immediately after delivery along with a sample drawn from one of the umbilical arteries, and plasma samples were evaluated for lactatemia, d-ROMs, and BAP. The t test for unpaired data was applied between mares versus umbilical artery blood versus foals, both for d-ROMs and BAP. The Pearson test with two-tailed P value and a confidence interval of 95% was performed between d-ROMs and BAP and between d-ROMs and lactatemia, both for mares and foals. Finally, the t test for unpaired data was performed between fillies and colts. The t test showed differences between mares versus their own foals versus umbilical artery blood but not foals versus. umbilical artery blood, both for d-ROMs and BAP. A positive correlation was found both in mares and foals between BAP and d-ROMs and in mares between lactatemia and d-ROM. No differences in gender were found in BAP concentration. Our data are in line to previous studies performed in women and cattle.

  13. Do we need to establish guidelines for patients with neuromodulation implantable devices, including spinal cord stimulators undergoing nonspinal surgeries?

    Directory of Open Access Journals (Sweden)

    Ramsis F Ghaly

    2016-01-01

    Full Text Available Background: Spinal cord stimulation is currently approved to treat chronic intractable pain of the trunk and limbs. However, such implantable electronic devices are vulnerable to external electrical currents and magnetic fields. Within the hospitals and modern operating rooms (ORs, there is an abundance of electrical devices and other types of equipment that could interfere with such devices. Despite the increasing number of patients with neuromodulation implantable devices, there are no written guidelines available or consensus of cautions for such patients undergoing unrelated surgery. Case Descriptions: A 60-year-old female with a permanent St. Jude′s spinal cord stimulator (SCS presented for open total abdominal hysterectomy. Both the anesthesia and gynecology staffs were aware of the device presence, but were unaware of any precautions regarding intraoperative management. The device was found to be nonmagnetic resonance imaging compatible, and bipolar cautery was used instead of monopolar cautery. A 59-year-old female with a 9-year-old permanent Medtronic SCS, presented for right total hip arthroplasty. The device was switched off prior to entering the OR, bipolar cautery was used, and grounding pads were placed away from her battery site. In each case, the manufacturer′s representative was contacted preoperative. Both surgeries proceeded uneventfully. Conclusions: The Food and Drug Administration safety information manual warns about the use of diathermy, concomitant implanted stimulation devices, lithotripsy, external defibrillation, radiation therapy, ultrasonic scanning, and high-output ultrasound, all of which can lead to permanent implant damage if not turned off prior to undertaking procedures. Lack of uniform guidelines makes intraoperative management, as well as remote anesthesia care of patients with previously implanted SCSs unsafe.

  14. ENERDATA CD-ROM Full data service

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    The CD-ROM contains energy statistics for the years 1970 to 2000 for all countries of the world. It has detailed statistics on oil, gas electricity, coal and renewables. It give energy prices, capacities and reserves and macro-economic data, energy indicators and balances by sources, and country profiles. The data is available as sub-sets at various prices. The service is also available on the Internet. The CD-ROM can be purchased as a twice yearly, quarterly or monthly update.

  15. Rationales for Challenged Books. [CD-ROM].

    Science.gov (United States)

    National Council of Teachers of English, Urbana, IL.

    This CD-ROM presents a collection of over 200 rationales for over 170 works (mainly novels but a few films) for use by teachers combating censorship. Some rationales on the disc are from published sources; others are student papers. Although the materials in the collection range from kindergarten through grade 12, the emphasis is on the middle…

  16. Pricing Strategies for CD-ROM Products.

    Science.gov (United States)

    Rowley, J. E.

    1994-01-01

    Pricing strategies for subscriptions and licenses for CD-ROMs are different for single users and networks. The basic components of pricing strategies are charges for subscription, connect line, display/print, telecommunication, session rate, special commands, and special services. Highlights selected supplier pricing strategies for single users…

  17. Small Area ROM Design for Embedded Applications

    Institute of Scientific and Technical Information of China (English)

    CUI Wei; WU Si-liang

    2007-01-01

    The compact full custom layout design of a 16 kbit mask-programmable compl ementary metal oxide semiconductor (CMOS) read only memory (ROM) with low power dissip ation is introduced. By optimizing storage cell size and peripheral circuit stru cture, the ROM has a small area of 0.050 mm2 with a power-delay product of 0.011 pJ/bit at +1.8 V. The high packing density and the excellent power-delay product have been achieved by using SMIC 0.18 μm 1P6M CMOS technology. A novel and simple sense amplifier/driver structure is presented which restores th e signal full swing efficiently and reduces the signal rising time by 2.4 ns , as well as the memory access time. The ROM has a fast access time of 8.6 n s. As a consequence, the layout design not only can be embedded into microprocessor system as its program memory, but also can be fabricated individually as ROM ASIC .

  18. Multimedia Fluid Mechanics - Multilingual Version CD-ROM

    Science.gov (United States)

    Homsy, G. M.; Aref, H.; Breuer, K. S.; Hochgreb, S.; Koseff, J. R.; Munson, B. R.; Powell, K. G.; Robertson, C. R.; Thoroddsen, S. T.

    2004-07-01

    This CD-ROM offers an interactive tool for teaching undergraduate fluid mechanics. It features experiments that demonstrate fluid mechanical phenomena, animations of important principles and concepts, virtual laboratories in which students acquire data from the images, interactive computational exercises in which parameters can be varied, and other descriptive and illuminating material on applications. The material may be accessed randomly through a hyperlinked text, a search engine, a video library, and a glossary of terms. The new edition has been thoroughly updated and includes versions in English, Spanish and French.

  19. Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and meta-analysis of the first 30 years.

    Science.gov (United States)

    Tan, Alan; Ashrafian, Hutan; Scott, Alasdair J; Mason, Sam E; Harling, Leanne; Athanasiou, Thanos; Darzi, Ara

    2016-10-01

    Robotic surgery has been in existence for 30 years. This study aimed to evaluate the overall perioperative outcomes of robotic surgery compared with open surgery (OS) and conventional minimally invasive surgery (MIS) across various surgical procedures. MEDLINE, EMBASE, PsycINFO, and ClinicalTrials.gov were searched from 1990 up to October 2013 with no language restriction. Relevant review articles were hand-searched for remaining studies. Randomised controlled trials (RCTs) and prospective comparative studies (PROs) on perioperative outcomes, regardless of patient age and sex, were included. Primary outcomes were blood loss, blood transfusion rate, operative time, length of hospital stay, and 30-day overall complication rate. We identified 99 relevant articles (108 studies, 14,448 patients). For robotic versus OS, 50 studies (11 RCTs, 39 PROs) demonstrated reduction in blood loss [ratio of means (RoM) 0.505, 95 % confidence interval (CI) 0.408-0.602], transfusion rate [risk ratio (RR) 0.272, 95 % CI 0.165-0.449], length of hospital stay (RoM 0.695, 0.615-0.774), and 30-day overall complication rate (RR 0.637, 0.483-0.838) in favour of robotic surgery. For robotic versus MIS, 58 studies (21 RCTs, 37 PROs) demonstrated reduced blood loss (RoM 0.853, 0.736-0.969) and transfusion rate (RR 0.621, 0.390-0.988) in favour of robotic surgery but similar length of hospital stay (RoM 0.982, 0.936-1.027) and 30-day overall complication rate (RR 0.988, 0.822-1.188). In both comparisons, robotic surgery prolonged operative time (OS: RoM 1.073, 1.022-1.124; MIS: RoM 1.135, 1.096-1.173). The benefits of robotic surgery lacked robustness on RCT-sensitivity analyses. However, many studies, including the relatively few available RCTs, suffered from high risk of bias and inadequate statistical power. Our results showed that robotic surgery contributed positively to some perioperative outcomes but longer operative times remained a shortcoming. Better quality evidence is needed to

  20. Comparative analysis of length of stay, hospitalization costs, opioid use, and discharge status among spine surgery patients with postoperative pain management including intravenous versus oral acetaminophen.

    Science.gov (United States)

    Hansen, Ryan N; Pham, An T; Böing, Elaine A; Lovelace, Belinda; Wan, George J; Miller, Timothy E

    2017-05-01

    Recovery from spine surgery is oriented toward restoring functional health outcomes while reducing resource use. Optimal pain management is a key to reaching these objectives. We compared outcomes of spine surgery patients who received standard pain management including intravenous (IV) acetaminophen (APAP) vs. oral APAP. We performed a retrospective analysis of the Premier database (January 2012 to September 2015) comparing spine surgery patients who received pain management with IV APAP to those who received oral APAP, with no exclusions based on additional pain management. We performed multivariable logistic regression for the discharge and all cause 30-day readmission to the same hospital outcomes and instrumental variable regressions using the quarterly rate of IV APAP use for all hospitalizations by hospital as the instrument in two-stage least squares regressions for length of stay (LOS), hospitalization costs, and average daily morphine equivalent dose (MED) outcomes. Models adjusted for age, gender, race, admission type, 3M All Patient Refined Diagnosis Related Group severity of illness and risk of mortality, hospital size, and indicators for whether the hospital was an academic center and whether it was urban or rural. We identified 112,586 spine surgery patients with 51,835 (46%) having received IV APAP. Subjects averaged 57 and 59 years of age respectively in the IV APAP and oral APAP cohorts and were predominantly non-Hispanic Caucasians and female. In our adjusted models, IV APAP was associated with 0.68 days shorter LOS (95% CI: -0.76 to -0.59, p < .0001), $1175 lower hospitalization costs (95% CI: -$1611 to -$739, p < .0001), 13 mg lower average daily MED (95% CI: -14 mg to -12 mg, p < .0001), 34% lower risk of discharge to a skilled nursing facility (95% CI: 0.63 to 0.69, p < .0001), and 13% less risk of 30-day readmission (95% CI: 0.73 to 1.03). Compared to oral APAP, managing post-spine-surgery pain with IV APAP is

  1. Innledningsartikkel til temanummer om Barn og rom

    Directory of Open Access Journals (Sweden)

    Ellen Beate Sandseter

    2015-07-01

    Full Text Available I lys av utviklingen av barnehagens posisjon i det norske samfunnet og debatten om effekter av barnehagens fysiske miljø og organisering, dannet en gruppe tverrfaglige og tverrinstitusjonelle barnehageforskere i 2004 forskningsnettverket Barn og Rom. Nettverkets mål har vært å "skape ny og forskningsbasert kunnskap om det fysiske miljøets betydning for barn, og samtidig være et forum for kunnskapsdeling, utvikling av felles forskningsprosjekter, formidling og publisering, samt internasjonalt samarbeid med andre aktører og forskningsgrupper". Forskningsnettverket opererer med en definisjon av "Barn og Rom" som i vid forstand omfatter hele det fysiske miljøet barn vokser opp i. Dette inkluderer ulike landskap, for eksempel byen og naturen, steder, bygninger, ute- og innerom, innredning, møbler, utstyr, installasjoner og lekeapparater. Likevel har nettverket hatt et særlig fokus på barnehagens fysiske miljø og dets betydning for barn, personalet og den pedagogiske virksomheten og hvordan miljøet forstås, organiseres, skapes og endres av personalet og barn i barnehagen. Dette temanummeret er et resultat av noen av nettverksmedlemmenes arbeid de siste årene og presenterer en stor bredde både i metodisk tilnærming så vel som tematisk tilnærming til temaet "Barn og rom".

  2. Two Months to a CD-ROM: We Did It and So Can You!

    Science.gov (United States)

    Lo, Amanda Siewling; And Others

    1991-01-01

    Outlines the process of a CD-ROM desktop publishing project at Simmons College Graduate School of Library and Information Science. Highlights include the planning process; data generation and database development; data preparation, including data conversion and indexing; full text retrieval; assembly and production; and distribution. (three…

  3. The New York Trade Publishers and CD-ROM: Where Are They Heading?

    Science.gov (United States)

    Newmark, Eileen

    1994-01-01

    Discusses the strategies top trade publishers, including Putnam New Media, Paramount Communications, Random House, Penguin USA, and Reader's Digest, are taking toward CD-ROM publishing. Strategies include purchasing electronic media companies; setting up an independent business; and building a new media business by integrating new efforts into the…

  4. Kawachin na ri kitzij-kipixab' Qanan Qatat--Florezcan las palabras de los hombres de maiz (The Blossoming of Our Ancestors' Words). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. This CD-ROM contains selected radio programs for preschool students, scripted from the four storybooks created by Project "Enlace Quiche." It includes stories in K'iche', Ixil, and Spanish. (VWL)

  5. Kawachin na ri kitzij-kipixab' Qanan Qatat--Florezcan las palabras de los hombres de maiz (The Blossoming of Our Ancestors' Words). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. This CD-ROM contains selected radio programs for preschool students, scripted from the four storybooks created by Project "Enlace Quiche." It includes stories in K'iche', Ixil, and Spanish. (VWL)

  6. CD-ROM technology at the EROS data center

    Science.gov (United States)

    Madigan, Michael E.; Weinheimer, Mary C.

    1993-01-01

    The vast amount of digital spatial data often required by a single user has created a demand for media alternatives to 1/2" magnetic tape. One such medium that has been recently adopted at the U.S. Geological Survey's EROS Data Center is the compact disc (CD). CD's are a versatile, dynamic, and low-cost method for providing a variety of data on a single media device and are compatible with various computer platforms. CD drives are available for personal computers, UNIX workstations, and mainframe systems, either directly connected, or through a network. This medium furnishes a quick method of reproducing and distributing large amounts of data on a single CD. Several data sets are already available on CD's, including collections of historical Landsat multispectral scanner data and biweekly composites of Advanced Very High Resolution Radiometer data for the conterminous United States. The EROS Data Center intends to provide even more data sets on CD's. Plans include specific data sets on a customized disc to fulfill individual requests, and mass production of unique data sets for large-scale distribution. Requests for a single compact disc-read only memory (CD-ROM) containing a large volume of data either for archiving or for one-time distribution can be addressed with a CD-write once (CD-WO) unit. Mass production and large-scale distribution will require CD-ROM replication and mastering.

  7. SM-ROM-GL (Strong Motion Romania Ground Level Database

    Directory of Open Access Journals (Sweden)

    Ioan Sorin BORCIA

    2015-07-01

    Full Text Available The SM-ROM-GL database includes data obtained by the processing of records performed at ground level by the Romanian seismic networks, namely INCERC, NIEP, NCSRR and ISPH-GEOTEC, during recent seismic events with moment magnitude Mw ≥ 5 and epicenters located in Romania. All the available seismic records were re-processed using the same basic software and the same procedures and options (filtering and baseline correction, in order to obtain a consistent dataset. The database stores computed parameters of seismic motions, i.e. peak values: PGA, PGV, PGD, effective peak values: EPA, EPV, EPD, control periods, spectral values of absolute acceleration, relative velocity and relative displacement, as well as of instrumental intensity (as defined bz Sandi and Borcia in 2011. The fields in the database include: coding of seismic events, stations and records, a number of associated fields (seismic event source parameters, geographical coordinates of seismic stations, links to the corresponding ground motion records, charts of the response spectra of absolute acceleration, relative velocity, relative displacement and instrumental intensity, as well as some other representative parameters of seismic motions. The conception of the SM-ROM-GL database allows for an easy maintenance; such that elementary knowledge of Microsoft Access 2000 is sufficient for its operation.

  8. Dual-layered Blu-ray disc ROM fabricated by all-spin method

    Science.gov (United States)

    Hisada, Kazuya; Hayashi, Kazuhiro; Nishikiori, Keiji; Ohno, Eiji

    2004-09-01

    We developed fabrication process using "all spin method" for dual layered Blu-ray Disc ROM. All of the light transmitting layer consisting of a space layer, a cover layer and a hard coat are formed by spin-coating method. Regarding the cover layer, the cycle time is less than 15 seconds and the efficiency of usage of the UV curable resin is 59%. The fabricated disc has sufficient property of thickness variation of the light transmitting layer for all disc area. The disc also has good performances of tilt characteristics including tilt transition caused by environmental sudden change due to the moisture control layer although the substrate material is conventional poly-carbonate. We confirmed the feasibility of the dual layered BD-ROM by "all spin method" and it shows the possibility of low cost BD-ROM disc.

  9. Brain metastases in women with epithelial ovarian cancer: multimodal treatment including surgery or gamma-knife radiation is associated with prolonged survival.

    Science.gov (United States)

    Niu, Xiaoyu; Rajanbabu, Anupama; Delisle, Megan; Peng, Feng; Vijaykumar, Dehannathuparambil K; Pavithran, Keechilattu; Feng, Yukuan; Lau, Susie; Gotlieb, Walter H; Press, Joshua Z

    2013-09-01

    To explore the impact of treatment modality on survival in patients with brain metastases from epithelial ovarian cancer. We conducted a retrospective review of cases of ovarian cancer with brain metastases treated at institutions in three countries (Canada, China, and India) and conducted a search for studies regarding brain metastases in ovarian cancer reporting survival related to treatment modality. Survival was analyzed according to treatment regimens involving (1) some form of surgical excision or gamma-knife radiation with or without other modalities, (2) other modalities without surgery or gamma-knife radiation, or (3) palliation only. Twelve patients (mean age 56 years) with detailed treatment/outcome data were included; five were from China, four from Canada, and three from India. Median time from diagnosis of ovarian cancer to brain metastasis was 19 months (range 10 to 37 months), and overall median survival time from diagnosis of ovarian cancer was 38 months (13 to 82 months). Median survival time from diagnosis of brain metastasis was 17 months (1 to 45 months). Among patients who had multimodal treatment including gamma-knife radiotherapy or surgical excision, the median survival time after the identification of brain metastasis was 25.6 months, compared with 6.0 months in patients whose treatment did not include this type of focused localized modality (P = 0.006). Analysis of 20 studies also indicated that use of gamma-knife radiotherapy and excisional surgery in multi-modal treatment resulted in improved median survival interval (25 months vs. 6.0 months, P gamma-knife radiotherapy and surgical excision.

  10. CD-ROMs: Volumes of Books on a Single 4 3/4-Inch Disk.

    Science.gov (United States)

    Angle, Melanie

    1992-01-01

    Summarizes the storage capacity, advantages, disadvantages, hardware configurations, and costs of CD-ROMs. Several available titles are described, including "Books in Print," literature study guides, the works of Shakespeare, a historical almanac of "Time Magazine" articles, a scientific dictionary and encyclopedia, and a…

  11. Mixed Media: A Roundup of CD-ROM and Electronic Products.

    Science.gov (United States)

    Bruno, Frank Alan

    2001-01-01

    Highlights multicultural materials that are useful for teaching students of all ages (elementary through college level). These include such CD-ROM products as "The Ellis Island Experience" and "The Civil Rights Movement in the United States" and such World Wide Web-based products as "Diversify Your World,""American Slavery: A Complete…

  12. First Encounters: Native Americans and Europeans in the Mississippi Valley. [CD-ROM].

    Science.gov (United States)

    Sabo, George, III; Restrepo, Luis Fernando; Jones, Linda

    This CD-ROM provides interactive, multimedia software that enables students to investigate many aspects of Native American and European encounters in the Mississippi Valley through study of original historical sources, including texts, maps, artworks, and archaeological finds. The Lower Mississippi Valley was chosen as the study area because of…

  13. Content Evaluation of Textual CD-ROM and Web Databases. Database Searching Series.

    Science.gov (United States)

    Jacso, Peter

    This book provides guidelines for evaluating a variety of database types, including abstracting and indexing, directory, full-text, and page-image databases available in online and/or CD-ROM formats. The book discusses the purpose and techniques of comparing and evaluating the most important characteristics of textual databases, such as their…

  14. Oxidative stress, d-ROMs test, and ceruloplasmin.

    Science.gov (United States)

    Colombini, Francesco; Carratelli, Mauro; Alberti, Angelo

    2016-01-01

    Human serum samples were evaluated for oxidative stress with the d-ROMs test. The ceruloplasmin (CP) and copper contents of the samples was independently measured and compared to those calculated on the basis of the d-ROMs test results for pure CP solutions. The d-ROMs readings did not show any significant correlation with either the CP or copper contents of the samples. Critical interference of CP on the d-ROMs test was therefore excluded and the usefulness of the test in the evaluation of global oxidative status of a biological sample could be reassessed.

  15. CAI System of Obunsha Co., Ltd. Using CD-ROM

    Science.gov (United States)

    Todokoro, Shigeru; Mukai, Yoshihiro

    This paper introduces the present status of R & D on CAI teaching materials in Obunsha Co., Ltd. Characteristics of CAI using CD-ROM as well as Culture-in CAI Teaching Materials System for junior high school English are described. The system consists of CD-ROM driver XM-2000 and Pasopia 700 of Toshiba Corporation having both features of CD-ROM and FD. CD-ROM stores vast amount of voice data while FD does text and graphics data. It is a frame-oriented mode system enabling to raise learning effect.

  16. A case report of thyroid carcinoma with multiple organ metastasis including brain metastasis effectively treated by surgery and [sup 131]I treatment

    Energy Technology Data Exchange (ETDEWEB)

    Shibata, Masahito; Yoshida, Satoru; Kubota, Masahiro; Tsuda, Takatoshi; Morita, Kazuo (Sapporo Medical Coll. (Japan))

    1993-12-01

    Reported is a case of a multiple organ metastases that also included a brain metastasis from a thyroid cancer for which surgery, followed by [sup 131]I therapy, proved very effective and enabled the patient to live for over 15 more years. The treatment for a differentiated thyroid cancer has somewhat been established. The outcome of this case, however, is considered extremely rare, in that a bone metastasis that was surgically removed resulted in no paraplegia and [sup 131]I therapy appeared to cause the disappearance of the brain metastasis. The authors report the encouraging news that for 15 years that followed the initial thyroidectomy, the patient's condition remained good. (author).

  17. Historisk roman fra det gamle Rom

    DEFF Research Database (Denmark)

    Kaarsted, Thomas

    2011-01-01

    Er historikere de bedst egnede til at skrive historiske romaner? Spørgsmålet er relevant i forbindelse med den på Fyn bosiddende Jo Hermann. Hun er fagperson per excellence, latin-og klassiskkyndig over en kam, og hendes " Kejserens klarsyn" om kejser Domitian, der i et længe opsparet anfald af r...... realpolitisk paranoia vil sin familie til livs, udspiller sig år 95-96 i det antikke Rom med alle de politiske og personlige intriger, man kan forestille sig....

  18. Methodology for determining rom size distribution

    OpenAIRE

    Silva, Christiane Ribeiro da; Souza, Vládia Cristina Gonçalves de; Koppe, Jair Carlos

    2014-01-01

    A metodologia para determinar a curva granulométrica de ROM foi desenvolvida em uma mina de ferro localizada no Brasil. O tamanho dos blocos maiores foi determinado a partir de fotografias, por meio das quais foi definida uma escala para analisar as dimensões dos blocos (comprimento e área). Isso foi implementado de acordo com um protocolo de amostragem específico, que envolve etapas de divisão e de homogeneização in situ de uma considerável quantidade de minério (cerca de 259 toneladas). Dur...

  19. Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases: A Meta-Analysis.

    Science.gov (United States)

    Zhang, Jianfeng; Meng, Fanxin; Ding, Yan; Li, Jie; Han, Jian; Zhang, Xintao; Dong, Wei

    2016-05-01

    To investigate the outcomes and reliability of hybrid surgery (HS) versus anterior cervical discectomy and fusion (ACDF) for the treatment of multilevel cervical spondylosis and disc diseases.Hybrid surgery, combining cervical disc arthroplasty (CDA) with fusion, is a novel treatment to multilevel cervical degenerated disc disease in recent years. However, the effect and reliability of HS are still unclear compared with ACDF.To investigate the studies of HS versus ACDF in patients with multilevel cervical disease, electronic databases (Medline, Embase, Pubmed, Cochrane library, and Cochrane Central Register of Controlled Trials) were searched. Studies were included when they compared HS with ACDF and reported at least one of the following outcomes: functionality, neck pain, arm pain, cervical range of motion (ROM), quality of life, and incidence of complications. No language restrictions were used. Two authors independently assessed the methodological quality of included studies and extracted the relevant data.Seven clinical controlled trials were included in this study. Two trials were prospective and the other 5 were retrospective. The results of the meta-analysis indicated that HS achieved better recovery of NDI score (P = 0.038) and similar recovery of VAS score (P = 0.058) compared with ACDF at 2 years follow-up. Moreover, the total cervical ROM (C2-C7) after HS was preserved significantly more than the cervical ROM after ACDF (P = 0.000) at 2 years follow-up. Notably, the compensatory increase of the ROM of superior and inferior adjacent segments was significant in ACDF groups at 2-year follow-up (P multilevel cervical spondylosis to preserve cervical ROM and reduce the risk of adjacent disc degeneration. Nonetheless, more well-designed studies with large groups of patients are required to provide further evidence for the benefit and reliability of HS for the treatment of cervical disk diseases.

  20. Complex reconstructive surgery following removal of extra-intracranial meningiomas, including the use of autologous fibrin glue and a pedicled muscle flap

    Directory of Open Access Journals (Sweden)

    Antonella Giugno, M.D.

    2014-12-01

    Conclusions: Reparation of CSF fistulas that arise after meningioma surgery can require a complex reconstructive surgery of the superficial layers; when cranioplasty is not feasible or indicated, a meticulous reconstruction of the extracranial soft tissues is possible also by using vascularized autologous distal muscular tissue, with close interdisciplinary cooperation.

  1. Catmull-Rom Curve Fitting and Interpolation Equations

    Science.gov (United States)

    Jerome, Lawrence

    2010-01-01

    Computer graphics and animation experts have been using the Catmull-Rom smooth curve interpolation equations since 1974, but the vector and matrix equations can be derived and simplified using basic algebra, resulting in a simple set of linear equations with constant coefficients. A variety of uses of Catmull-Rom interpolation are demonstrated,…

  2. NASA educational CD-ROMs: research and evaluation

    Science.gov (United States)

    Knudsen, R.

    2002-01-01

    Since the introduction of educational technology in the K-12 classroom, educators have been flooded with a seemingly endless flow of educational CD-ROMs. NASA has contributed to this new trend in educational technology by developing a wide range of some of the lastest, most high-tech CD-ROMs in the industry.

  3. NASA educational CD-ROMs: research and evaluation

    Science.gov (United States)

    Knudsen, R.

    2002-01-01

    Since the introduction of educational technology in the K-12 classroom, educators have been flooded with a seemingly endless flow of educational CD-ROMs. NASA has contributed to this new trend in educational technology by developing a wide range of some of the lastest, most high-tech CD-ROMs in the industry.

  4. Catmull-Rom Curve Fitting and Interpolation Equations

    Science.gov (United States)

    Jerome, Lawrence

    2010-01-01

    Computer graphics and animation experts have been using the Catmull-Rom smooth curve interpolation equations since 1974, but the vector and matrix equations can be derived and simplified using basic algebra, resulting in a simple set of linear equations with constant coefficients. A variety of uses of Catmull-Rom interpolation are demonstrated,…

  5. Experiences of Dissemination of UNESCO Databases on CD-ROM.

    Science.gov (United States)

    Pelissier, Denise

    1996-01-01

    To increase availability of specialized databases and information services to national institutions, UNESCO (United Nations Educational, Scientific, and Cultural Organization) developed a CD-ROM prototype and mailed it to 267 sites in 80 countries. A follow-up questionnaire determined individual sites' CD-ROM holdings, other media offerings,…

  6. de Román Chalbaud

    Directory of Open Access Journals (Sweden)

    Irida García de Molero

    2005-01-01

    Full Text Available Esta investigación muestra cómo el autor cinematográfico construye el texto/discurso fílmico como objeto cultural, en un proceso mediador interpretante, en el cual crea por operaciones, bien de apropiación o de transgresión, su propia retórica gramatical. Tiene como objetivo establecer las huellas de la retórica gramatical en el conjunto de materia significante filmográfico del cineasta venezolano Román Chalbaud. El método utilizado es el semiótico, soportado por los fundamentos teóricometodológicos de las semióticas de la producción significante (Bettetini, 1977; 1984; 1996, de la cultura y el texto (Lotman, 1996; 1998; 1999; 2000 y semiosis social (Verón, 1996. Se analiza un corpus de ocho filmes: Caín adolescente (1959, Cuentos para mayores (1963, La quema de Judas (1974, Sagrado y obsceno (1976, El pez que fuma (1977, El rebaño de los ángeles (1979, La oveja negra (1987 y Pandemónium (1997.Comoconclusión general se infiere que la retórica gramatical del cine de Román Chalbaud está inscrita en las materias significantes de su filmografía, en un sistema institucional propio, que privilegia el género cinematográfico de ficción/crónica.

  7. FPGA Based Low Power ROM Design Using Capacitance Scaling

    DEFF Research Database (Denmark)

    Bansal, Meenakshi; Bansal, Neha; Saini, Rishita

    2015-01-01

    An ideal capacitor will not dissipate any power, but a real capacitor wil l have some power dissipation. In this work, we are going to design capacitance scaling based low power ROM design. In order to test the compatibility of this ROM design with latest i7 Processor, we are operating this ROM w...... in I/O Power, saving of 0.2% occur in Leakage Power, there will be a saving of 11.54% occur in Total Power. This design is implemented on Virtex-5 FPGA using Xilinx ISE and Verilog....

  8. Regional Ocean Modeling System (ROMS): CNMI: Data Assimilating

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 3-day, 3-hourly data assimilating hindcast for the region surrounding the Commonwealth of the Northern Mariana Islands (CNMI)...

  9. CD-ROM for teaching astronomy at school

    Science.gov (United States)

    Frede, V.; Balanca, C.

    Paris observatory and Toulouse institute of teachers' training (IUFM) have decided to develop multimedia supports for astronomy lessons. The goal of this project is to provide additional didactical material as CD-ROMs to elementary and high school teachers, to be used by children in classroom. In order to develop and improve the CD-ROMs, we are interested in two points : i) Measuring the use of the CD-ROM in term of acceptability and utilisability. ii) Measuring the impact of multimedia material on the understanding of children. Indeed several studies show that children have difficulties to learn astronomical concepts from standard teaching based on textbook. We want to see if their understanding improves when using those CD-ROM. This project is a part of "Astronomie sur Mesure", a broader project hold by Paris Observatory, showing the will to imply astronomers into pedagogical material productions.

  10. Regional Ocean Modeling System (ROMS): Oahu South Shore

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 2-day, 3-hourly forecast for the region surrounding the south shore of the island of Oahu at approximately 200-m resolution....

  11. Regional Ocean Modeling System (ROMS): Main Hawaiian Islands

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 7-day, 3-hourly forecast for the region surrounding the main Hawaiian islands at approximately 4-km resolution. While...

  12. Regional Ocean Modeling System (ROMS): Samoa: Data Assimilating

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 3-day, 3-hourly data assimilating hindcast for the region surrounding the islands of Samoa at approximately 3-km resolution....

  13. Regional Ocean Modeling System (ROMS): Main Hawaiian Islands: Data Assimilating

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Regional Ocean Modeling System (ROMS) 3-day, 3-hourly data assimilating hindcast for the region surrounding the main Hawaiian islands at approximately 4-km...

  14. Programmable Nonlinear ADC Using Optimal-Sized ROM

    OpenAIRE

    K Dinesh; Anvekar, *; Sonde, BE

    1991-01-01

    A new programmable successive approximation ADC useful for realizing nonlinear transfer characteristics often required in instrumentation and communications is presented. This nonlinear ADC (NADC) requires a much smaller sized ROM than an NADC reported earlier

  15. Integration of oncologic margins in three-dimensional virtual planning for head and neck surgery, including a validation of the software pathway

    NARCIS (Netherlands)

    Kraeima, Joep; Schepers, Rutger H.; van Ooijen, Peter M. A.; Steenbakkers, Roel J. H. M.; Roodenburg, Jan L. N.; Witjes, Max J. H.

    2015-01-01

    Purpose: Three-dimensional (3D) virtual planning of reconstructive surgery, after resection, is a frequently used method for improving accuracy and predictability. However, when applied to malignant cases, the planning of the oncologic resection margins is difficult due to visualisation of tumours i

  16. A wetting and drying scheme for ROMS

    Science.gov (United States)

    Warner, John C.; Defne, Zafer; Haas, Kevin; Arango, Hernan G.

    2013-01-01

    The processes of wetting and drying have many important physical and biological impacts on shallow water systems. Inundation and dewatering effects on coastal mud flats and beaches occur on various time scales ranging from storm surge, periodic rise and fall of the tide, to infragravity wave motions. To correctly simulate these physical processes with a numerical model requires the capability of the computational cells to become inundated and dewatered. In this paper, we describe a method for wetting and drying based on an approach consistent with a cell-face blocking algorithm. The method allows water to always flow into any cell, but prevents outflow from a cell when the total depth in that cell is less than a user defined critical value. We describe the method, the implementation into the three-dimensional Regional Oceanographic Modeling System (ROMS), and exhibit the new capability under three scenarios: an analytical expression for shallow water flows, a dam break test case, and a realistic application to part of a wetland area along the Georgia Coast, USA.

  17. Comparative evaluation of plasma ROM levels in chronic periodontitis patients before and after non-surgical and surgical periodontal therapy: A clinical trial

    Directory of Open Access Journals (Sweden)

    Sohini Chaudhary

    2014-01-01

    Full Text Available Objective: Chronic periodontitis (CP is associated with increased levels of blood reactive oxygen species (ROS. So, treatment of CP may lead to decrease in blood ROS. However, not much literature is available comparing the effect of surgical and non-surgical periodontal treatment on blood ROS levels. Reactive oxygen metabolites (ROMs are a useful measure of blood ROS. The aim of this study was to investigate the effect of periodontal treatment on plasma ROM levels in CP patients. Materials and Methods: Thirty CP patients and 15 controls were monitored. Plasma samples were collected at baseline and the clinical parameters were recorded. The CP patients were randomly divided into two groups: Scaling and root planing (Group II and periodontal flap surgery (Group III. Both groups were re-evaluated 1 and 2 months after therapy. Clinical parameters were reviewed, plasma samples collected, and ROM levels were determined using a spectrophotometric technique. Results: At baseline, the ROM levels for Group II and Group III were 519.8 ± 62.4 and 513.4 ± 74.7 CARR U, respectively, which were higher than Group I value (282.9 ± 23.9, P < 0.001. Periodontal treatment in CP patients resulted in improvement of clinical parameters and a highly significant reduction in plasma ROM level (P < 0.001 after 2 months. Also, there was a more significant reduction in plasma ROM levels in Group III as compared to Group II (P < 0.05. Conclusions: In CP patients, surgical periodontal treatment was more effective in lowering the plasma ROM levels than when non-surgical periodontal treatment was performed alone and, therefore, may be more beneficial in reducing systemic oxidative stress.

  18. O reto-românico: unidade e fragmentação

    Directory of Open Access Journals (Sweden)

    Mário Eduardo Viaro

    2011-07-01

    Full Text Available Resumo: Os manuais de linguística ou filologia românica costumam incluir o reto-românico como uma das principais línguas neolatinas, ao lado do português, espanhol, francês, italiano e romeno. No entanto, tal denominação refere-se na verdade a um conjunto extremamente heterogêneo de línguas, com uma profunda fragmentação dialetal. Acresce-se a isso o recente problema da padronização da norma escrita. Este artigo  pretende especificamente apresentar a situação linguística atual dos Grisões e o problema da convivência do romanche com os dialetos alemães e o italianos. Palavras-chave: Reto-românico; dialetologia; contato linguístico. Resumen: Los manuales de linguística o filología románica costumbran incluir el reto-románico como una de las principales lenguas neolatinas, al lado del portugués, español, francés, italiano y rumano. Pero tal denominación se refere en la realidad a un conjunto extremamente heterogéneo de lenguas, con una profunda fragmentación dialectal. Se añade a eso el reciente problema de la estandarización de la norma escrita. Este artículo pretende especificamente presentar la situación linguística actual de los Grisones y el problema de la convivencia del romanche con los dialectos alemanes e italianos.Palabras-clave: Reto-románico; dialectología; contacto linguístico. Abstract: Raeto-Romance is usually included, as well as Portuguese, Spanish, French, Italian and Rumanian, among the main Neolatin languages in the handbooks about Romance Philology or Linguistics. However, an extremely heterogeneous set of very different languages, with a huge dialect splitting is meant by such denomination. The problem is also increased with the recent standardization of the written language. The current linguistic situation of the Grisons is specifically dealt in this paper, as well as the coexistence of the Rumantsch language together with the German and the Italian dialects.Keywords: Rhaeto

  19. A review of modeling applications using ROMS model and COAWST system in the Adriatic sea region

    CERN Document Server

    Carniel, Sandro

    2013-01-01

    From the first implementation in its purely hydrodynamic configuration, to the last configuration under the Coupled Ocean-Atmosphere-Wave-Sediment Transport (COAWST) system, several specific modelling applications of the Regional Ocean Modelling Systems (ROMS, www.myroms.org) have been put forward within the Adriatic Sea (Italy) region. Covering now a wide range of spatial and temporal scales, they developed in a growing number of fields supporting Integrated Coastal Zone Management (ICZM) and Marine Spatial Planning (MSP) activities in this semi-enclosed sea of paramount importance including the Gulf of Venice. Presently, a ROMS operational implementation provides every day hydrodynamic and sea level 3-days forecasts, while a second one models the most relevant biogeochemical properties, and a third one (two-way coupled with the Simulating Waves Nearshore (SWAN) model) deals with extreme waves forecast. Such operational models provide support to civil and environmental protection activities (e.g., driving su...

  20. Using CD-ROM technology to increase folic acid knowledge among physician assistant students.

    Science.gov (United States)

    Morgan, Christine; Klein, Diane Austrin; Selbst, Melissa

    2004-01-01

    The purpose of this study was to examine the effectiveness of incorporating CD-ROM technology to increase the knowledge of folic acid among physician assistant students. Participants included 76 first-year physician assistant students enrolled in a Women's Health course. A pretest and posttest was used to evaluate the knowledge gain after viewing the CD-ROM over a 2-week period. Of the 76 students in the course, 73 completed the pretest and the post-test. Posttest scores were significantly better than pretest scores (t = -11.83; p folic acid information in a clear and effective manner, (2) adequately covered the folic acid information, (3) increased student awareness and knowledge about folic acid, and (4) may promote early commitment by students to recommend daily folic acid intake to their patients.

  1. Dermatologic surgery on the chest wall in patients with a cardiac surgery history: a review of material that may be encountered intraoperatively, including potential complications and suggestions for proceeding safely.

    Science.gov (United States)

    Bucher, Elizabeth Foley; Kim, Andrew; Givan, Jason; Maloney, Mary E

    2016-03-01

    Thoracic surgical procedures and the use of cardiac devices such as pacemakers are becoming increasingly prevalent in the population. As such, dermatologists may have a greater likelihood of encountering previously implanted or abandoned surgical material in the course of dermatologic surgery on the chest wall. A basic understanding of the wire types and the tunneling paths utilized in such procedures is important in accurately anticipating the presence of these wires to effectively manage any chance encounters. We present a review on temporary epicardial pacing wires, temporary transvenous pacing wires, pacemaker leads, and surgical steel sutures in the context of dermatologic surgery. A literature review was performed on frequently used wire material in patients with a history of cardiac surgery as well as related dermatologic complications from these materials. Dermatologic surgeons should particularly be aware that temporary epicardial pacing wires and pacemaker leads are not uncommonly abandoned in the chest wall of many patients. All patients with a cardiac surgery history should be questioned about possible retained wires. If wire material is encountered intraoperatively, immediately stop the procedure and do not attempt further manipulation of the wire until suggested steps are taken to ascertain the wire type.

  2. Comparative evaluation of plasma ROM levels in chronic periodontitis patients before and after non-surgical and surgical periodontal therapy: A clinical trial

    Science.gov (United States)

    Chaudhary, Sohini; Gowda, Triveni M.; Mehta, Dhoom S.; Kumar, Tarun A. B.

    2014-01-01

    Objective: Chronic periodontitis (CP) is associated with increased levels of blood reactive oxygen species (ROS). So, treatment of CP may lead to decrease in blood ROS. However, not much literature is available comparing the effect of surgical and non-surgical periodontal treatment on blood ROS levels. Reactive oxygen metabolites (ROMs) are a useful measure of blood ROS. The aim of this study was to investigate the effect of periodontal treatment on plasma ROM levels in CP patients. Materials and Methods: Thirty CP patients and 15 controls were monitored. Plasma samples were collected at baseline and the clinical parameters were recorded. The CP patients were randomly divided into two groups: Scaling and root planing (Group II) and periodontal flap surgery (Group III). Both groups were re-evaluated 1 and 2 months after therapy. Clinical parameters were reviewed, plasma samples collected, and ROM levels were determined using a spectrophotometric technique. Results: At baseline, the ROM levels for Group II and Group III were 519.8 ± 62.4 and 513.4 ± 74.7 CARR U, respectively, which were higher than Group I value (282.9 ± 23.9, P surgical periodontal treatment was more effective in lowering the plasma ROM levels than when non-surgical periodontal treatment was performed alone and, therefore, may be more beneficial in reducing systemic oxidative stress. PMID:24872618

  3. Eliminating Postoperative Nausea and Vomiting in Outpatient Surgery with Multimodal Strategies including Low Doses of Nonsedating, Off-Patent Antiemetics: Is “Zero Tolerance“ Achievable?

    Directory of Open Access Journals (Sweden)

    Susan J. Skledar

    2007-01-01

    Full Text Available For ondansetron, dexamethasone, and droperidol (when used for prophylaxis, each is estimated to reduce risk of postoperative nausea and/or vomiting (PONV by approximately 25%. Current consensus guidelines denote that patients with 0–1 risk factors still have a 10–20% risk of encountering PONV, but do not yet advocate routine prophylaxis for all patients with 10–20% risk. In ambulatory surgery, however, multimodal prophylaxis has gained favor, and our previously published experience with routine prophylaxis has yielded PONV rates below 10%. We now propose a “zero-tolerance” antiemetic algorithm for outpatients that involves routine prophylaxis by first avoiding volatile agents and opioids to the extent possible, using locoregional anesthesia, multimodal analgesia, and low doses of three nonsedating off-patent antiemetics. Routine oral administration (immediately on arrival to the ambulatory surgery suite of perphenazine 8 mg (antidopaminergic or cyclizine 50 mg (antihistamine, is followed by dexamethasone 4 mg i.v. after anesthesia induction (dexamethasone is avoided in diabetic patients. At the end of surgery, ondansetron (4 mg i.v., now off-patent is added. Rescue therapy consists of avoiding unnecessary repeat doses of drugs acting by the same mechanism: haloperidol 2 mg i.v. (antidopaminergic is prescribed for patients pretreated with cyclizine or promethazine 6.25 mg i.v. (antihistamine for patients having been pretreated with perphenazine. If available, a consultation for therapeutic acupuncture procedure is ordered. Our approach toward “zero tolerance” of PONV emphasizes liberal identification of and prophylaxis against common risks.

  4. Range of motion (ROM) restriction influences quipazine-induced stepping behavior in postnatal day one and day ten rats.

    Science.gov (United States)

    Strain, Misty M; Brumley, Michele R

    2014-11-01

    Previous research has shown that neonatal rats can adapt their stepping behavior in response to sensory feedback in real-time. The current study examined real-time and persistent effects of ROM (range of motion) restriction on stepping in P1 and P10 rats. On the day of testing, rat pups were suspended in a sling. After a 5-min baseline, they were treated with the serotonergic receptor agonist quipazine (3.0mg/kg) or saline (vehicle control). Half of the pups had a Plexiglas plate placed beneath them at 50% of limb length to induce a period of ROM restriction during stepping. The entire test session included a 5-min baseline, 15-min ROM restriction, and 15-min post-ROM restriction periods. Following treatment with quipazine, there was an increase in both fore- and hindlimb total movement and alternated steps in P1 and P10 pups. P10 pups also showed more synchronized steps than P1 pups. During the ROM restriction period, there was a suppression of forelimb movement and synchronized steps. We did not find evidence of persistent effects of ROM restriction on the amount of stepping. However, real-time and persistent changes in intralimb coordination occurred. Developmental differences also were seen in the time course of stepping between P1 and P10 pups, with P10 subjects showing show less stepping than younger pups. These results suggest that sensory feedback modulates locomotor activity during the period of development in which the neural mechanisms of locomotion are undergoing rapid development.

  5. Hypermedia in the classroom using Earth and space science CD-ROMs.

    Science.gov (United States)

    Adams, P. E.

    The production of hypermedia CD-ROMs has greatly increased during the last five years. Many of these CD-ROMs have applications for use in the K-16 classroom. CD-ROMs have the potential to enhance student learning, motivation and metacognition. CD-ROMs can also help facilitate constructivist-based learning strategies. Commercial vendors (such as Marius Multimedia Ltd. and Expert Software) and US Government agencies (such as NASA and the US Geological Survey) are two possible sources for hypermedia CD-ROMs that are designed for the classroom. Five such CD-ROMs (Welcome to the Planets; GeoMedia 2-Interactive Multimedia CD-ROM on Global Environmental Change; The Mars Educational Multimedia CD-ROM; Redshift Multimedia Astronomy; and Expert Astronomer CD-ROM for Windows), and ideas for their use in the classroom, are discussed in this article.

  6. Explaining School Science in Book and CD-ROM Formats: Using Semiotic Analyses To Compare the Textual Construction of Knowledge.

    Science.gov (United States)

    Unsworth, Len

    1999-01-01

    Discussion of how the nature and use of visual and verbal meaning-making systems vary across formats. Focuses on a comparative study of CD-ROMs and printed books dealing with scientific concepts in upper primary grades. Topics include linguistic and visual semiosis; the use of images; and meanings in images. (Author/LRW)

  7. Dermatologic surgery on the chest wall in patients with a cardiac surgery history: a review of material that may be encountered intraoperatively, including potential complications and suggestions for proceeding safely

    Directory of Open Access Journals (Sweden)

    Elizabeth Foley Bucher, MD

    2016-03-01

    Results & Conclusion: Dermatologic surgeons should particularly be aware that temporary epicardial pacing wires and pacemaker leads are not uncommonly abandoned in the chest wall of many patients. All patients with a cardiac surgery history should be questioned about possible retained wires. If wire material is encountered intraoperatively, immediately stop the procedure and do not attempt further manipulation of the wire until suggested steps are taken to ascertain the wire type.

  8. Less invasive corrective surgery using oblique lateral interbody fusion (OLIF) including L5-S1 fusion for severe lumbar kyphoscoliosis due to L4 compression fracture in a patient with Parkinson's disease: a case report.

    Science.gov (United States)

    Wakita, Hiromasa; Shiga, Yasuhiro; Ohtori, Seiji; Kubota, Go; Inage, Kazuhide; Sainoh, Takeshi; Sato, Jun; Fujimoto, Kazuki; Yamauchi, Kazuyo; Nakamura, Junichi; Takahashi, Kazuhisa; Toyone, Tomoaki; Aoki, Yasuchika; Inoue, Gen; Miyagi, Masayuki; Orita, Sumihisa

    2015-04-07

    Corrective surgery for kyphoscoliosis patients tend to be highly invasive due to osteotomy. The present case introduce less invasive corrective surgery using anterior oblique lateral interbody fusion (OLIF) technique. An 80-year-old Japanese man with a history of Parkinson's disease presented to our hospital because of severe kyphoscoliosis and gait disturbance. Considering the postsurgical complications due to osteotomy, we performed an anterior-posterior combined corrective fusion surgery: OLIF of Lumbar (L) 2-3, L3-4, and L4-5 (Medtronic Sofamor Danek, Memphis, TN, USA) followed by L5-Sacral (S) 1 anterior lumbar fusion via the OLIF approach using an anterior intervertebral cage, and posterior L3-4 and L4-5 facetectomy and posterior fusion using percutaneous pedicle screws from Thoracic (T) 10 to S1 with a T-9 hook system. The surgery was performed in a less invasive manner with no osteotomy, and it improved the sagittal alignments with moderate restoration, which improved the patient's posture and gait disturbance. The patient showed transient muscle weakness of proximal lower extremity contralateral side to the surgical site, which fully recovered by physical rehabilitation 3 months after the surgery. The surgical corrective procedure using the minimally invasive OLIF method including L5-S1 fusion showed a great advantage in treating degenerative kyphoscoliosis in a Parkinson's disease patient in its less-invasive approac.

  9. Randomized trial of a tailored nutrition education CD-ROM program for women receiving food assistance.

    Science.gov (United States)

    Campbell, Marci K; Carbone, Elena; Honess-Morreale, Lauren; Heisler-Mackinnon, Jennifer; Demissie, Seleshi; Farrell, David

    2004-01-01

    This article describes the development and randomized evaluation of a tailored nutrition education CD-ROM program for participants in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in North Carolina. After randomization to intervention or control groups, participants completed a baseline survey and were resurveyed immediately after program use and 1 to 2 months postintervention. Two WIC clinics in central North Carolina. A total of 307 respondents to the follow-up survey (response rate 74.8%) comprised the study sample. Participants were female (96%), 20% were pregnant, and 50% were minorities (African American and other). The interactive CD-ROM consisted of a targeted video soap opera, dietary assessment, and individually tailored dietary feedback and strategies for change. Measures included total fat and fruit and vegetable intake, knowledge of low-fat and infant feeding choices, self-efficacy, and stages of change. Descriptive statistics assessed baseline comparability of study groups; analysis of covariance and F tests were used to assess program effects at follow-up. INTERVENTION group members increased self-efficacy (P <.01) and scored significantly higher (P <.05) on both low-fat and infant feeding knowledge compared with controls. No differential effect was observed for dietary intake variables. The findings suggest that one dose of an interactive CD-ROM program can impact mediators of dietary change but may be insufficient to change behavior.

  10. Regionally coupled atmosphere-ocean-sea ice-marine biogeochemistry model ROM: 1. Description and validation

    Science.gov (United States)

    Sein, Dmitry V.; Mikolajewicz, Uwe; Gröger, Matthias; Fast, Irina; Cabos, William; Pinto, Joaquim G.; Hagemann, Stefan; Semmler, Tido; Izquierdo, Alfredo; Jacob, Daniela

    2015-03-01

    The general circulation models used to simulate global climate typically feature resolution too coarse to reproduce many smaller-scale processes, which are crucial to determining the regional responses to climate change. A novel approach to downscale climate change scenarios is presented which includes the interactions between the North Atlantic Ocean and the European shelves as well as their impact on the North Atlantic and European climate. The goal of this paper is to introduce the global ocean-regional atmosphere coupling concept and to show the potential benefits of this model system to simulate present-day climate. A global ocean-sea ice-marine biogeochemistry model (MPIOM/HAMOCC) with regionally high horizontal resolution is coupled to an atmospheric regional model (REMO) and global terrestrial hydrology model (HD) via the OASIS coupler. Moreover, results obtained with ROM using NCEP/NCAR reanalysis and ECHAM5/MPIOM CMIP3 historical simulations as boundary conditions are presented and discussed for the North Atlantic and North European region. The validation of all the model components, i.e., ocean, atmosphere, terrestrial hydrology, and ocean biogeochemistry is performed and discussed. The careful and detailed validation of ROM provides evidence that the proposed model system improves the simulation of many aspects of the regional climate, remarkably the ocean, even though some biases persist in other model components, thus leaving potential for future improvement. We conclude that ROM is a powerful tool to estimate possible impacts of climate change on the regional scale.

  11. Update to the study protocol, including statistical analysis plan for a randomized clinical trial comparing comprehensive cardiac rehabilitation after heart valve surgery with control

    DEFF Research Database (Denmark)

    Sibilitz, Kirstine Laerum; Berg, Selina Kikkenborg; Hansen, Tina Birgitte

    2015-01-01

    -benefit will be assessed. A mixed-method design will be used to evaluate qualitative and quantitative findings, encompassing a survey-based study before the trial and a qualitative pre- and post-intervention study. CONCLUSION: This randomized clinical trial will contribute with evidence of whether cardiac rehabilitation...... (VO2 peak) measured by cardiopulmonary exercise testing with ventilatory gas analysis. The secondary outcome is self-assessed mental health measured by the standardized questionnaire Short Form-36. Long-term healthcare utilization and mortality as well as biochemistry, echocardiography and cost...... should be provided after heart valve surgery. The study is approved by the local regional Research Ethics Committee (H-1-2011-157), and the Danish Data Protection Agency (j.nr. 2007-58-0015). TRIAL REGISTRATION: Trial registered 16 March 2012; ClinicalTrials.gov ( NCT01558765 )....

  12. Numerical Modeling of ROM Panel Closures at WIPP

    Science.gov (United States)

    Herrick, C. G.

    2016-12-01

    The Waste Isolation Pilot Plant (WIPP) in New Mexico is a U.S. DOE geologic repository for permanent disposal of defense-related transuranic (TRU) waste. Waste is emplaced in panels excavated in a bedded salt formation (Salado Fm.) at 655 m bgs. In 2014 the U.S. EPA approved the new Run-of-Mine Panel Closure System (ROMPCS) for WIPP. The closure system consists of 100 feet of run-of-mine (ROM) salt sandwiched between two barriers. Nuclear Waste Partnership LLC (the M&O contractor for WIPP) initiated construction of the ROMPCS. The design calls for three horizontal ROM salt layers at different compaction levels ranging from 70-85% intact salt density. Due to panel drift size constraints and equipment availability the design was modified. Three prototype panel closures were constructed: two having two layers of compacted ROM salt (one closure had 1% water added) and a third consisting of simply ROM salt with no layering or added water. Sampling of the prototype ROMPCS layers was conducted to determine the following ROM salt parameters: thickness, moisture content, emplaced density, and grain-size distribution. Previous modeling efforts were performed without knowledge of these ROM salt parameters. This modeling effort incorporates them. The program-accepted multimechanism deformation model is used to model intact salt room creep closure. An advanced crushed salt model is used to model the ROM salt. Comparison of the two models' results with the prototypes' behavior is given. Our goal is to develop a realistic, reliable model that can be used for ROM salt applications at WIPP. Sandia National Laboratories is a multi-program laboratory operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U. S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000. This research is funded by WIPP programs administered by the Office of Environmental Management (EM) of the U.S Department of Energy SAND

  13. Aksum-Rom tur/retur - de sidste hundrede meter af en senantik steles rejse

    DEFF Research Database (Denmark)

    Friis, Ib

    2010-01-01

    Beskriver genopstillingen i Aksum, Etiopien, af en senantik stele, der under Mussolini blev flyttet til Rom.......Beskriver genopstillingen i Aksum, Etiopien, af en senantik stele, der under Mussolini blev flyttet til Rom....

  14. STUDY OF CHLOROPHYLL-A DISTRIBUTIONS IN LOMBOK STRAIT USING BIOGEOCHEMICAL MODEL BASED ON REGIONAL OCEAN MODELLING SYSTEM (ROMS

    Directory of Open Access Journals (Sweden)

    KADEK ARY ANGGRAENI

    2015-06-01

    Full Text Available Regional Ocean Modelling System (ROMS has been intended to be a multi-purpose, multi-disciplinary oceanic modeling tool. The Biogeochemical model have coupled to ROMS consists of a system of seven coupled partial differential equations that include: nitrate, ammonium, small and large detritus, phytoplanJ..'ton, zooplankton, and a dynamic phytoplanJ..-ton carbon to chlorophyll ratio. The study of distribution patterns of chlorophyll-a in Lombok Strait (-7 °N - ·10 •sand 114 "E - 117 °E in 2006 was analyzed using the Biogeochemical model based on ROMS. The results show that low chlorophyll-a distributions (0.20 mgChl-a/m3 observed in Lombok Strait in ,January. Chlorophyll-a estimated around the southern part of Bali Strait and low chlorophyll-a distribution in upper layer of the Lomhok Strait. Chlorophyll-a of the booming (0.32 mgChl-a/m3 observed in August. The northeast current direction moves to the west and southern part of research area through Lombok Strait. The highest chlorophyll-a concentration estimated in the northern and southwestern part of Bali Tsland and also in the southern part of Lombok Island. During dry monsoon, southeasterly wind blow from Australia generates upwelling process (low temperature and nutrient-rich water near the surface also estimated from ROMS.

  15. Tidal simulation using regional ocean modeling systems (ROMS)

    Science.gov (United States)

    Wang, Xiaochun; Chao, Yi; Li, Zhijin; Dong, Changming; Farrara, John; McWilliams, James C.; Shum, C. K.; Wang, Yu; Matsumoto, Koji; Rosenfeld, Leslie K.; Paduan, Jeffrey D.

    2006-01-01

    The purpose of our research is to test the capability of ROMS in simulating tides. The research also serves as a necessary exercise to implement tides in an operational ocean forecasting system. In this paper, we emphasize the validation of the model tide simulation. The characteristics and energetics of tides of the region will be reported in separate publications.

  16. Using CD-ROMs as a Pedagogical Tool

    Science.gov (United States)

    White, Andrew

    2007-01-01

    Purpose: This paper aims to explore the potential uses of CD-ROMs in multicultural education through an analysis of the development of a digital archive of political posters relating to the Northern Irish conflict. Design/methodology/approach: The author draws on literature on the relationship between new media platforms and the construction of…

  17. Nuevos Destinos: A CD-ROM for Advanced Beginning Spanish.

    Science.gov (United States)

    Blake, Robert J.

    1999-01-01

    Provides a description of the Nuevos Destinos CD-ROM, a joint production for students learning Spanish at the advanced-beginning, intermediate-low, or native-speaker level. Nuevos Destinos involves students in meaningful ways by asking them to solve real-world problems encountered in law offices. (Author/VWL)

  18. Assessment of CD-ROM Technology in Classroom Teaching.

    Science.gov (United States)

    Shellhart, W. Craig; Oesterle, Larry J.

    1997-01-01

    A study compared learning outcomes in an orthodontic biomechanics course when a CD-ROM was used in one group and photographic slides were used in another. Students in both groups performed at similar levels on a written examination and responded similarly to a statement reflecting how they understood the material. However, students felt the…

  19. Reading a CD-ROM without a photodiode

    Science.gov (United States)

    Wishon, Michael J.; Mourozeau, G.; Ng, K.; Sahai, A. A.; Locquet, Alexandre; Citrin, D. S.

    2016-04-01

    We use a laser diode from a commercial CD/DVD-ROM drive to detect changes in the surface of a diffraction grating without a photodiode. Specifically, we exploit the changing terminal voltage in the laser-diode due to changing feedback strength as the laser is rastered across the grating's surface.

  20. Learn about Earth Science: Weather. [CD-ROM].

    Science.gov (United States)

    2000

    This CD-ROM, designed for students in grades K-2, explores the world of weather. Students investigate weather to learn about climate and the seasons, how animals adapt to weather changes, how clouds tell us about conditions, and how weather plays a part in our everyday lives. The weather calendar lets students record and write about conditions…

  1. The Basic Economics of CD-ROM Pricing.

    Science.gov (United States)

    Erkkila, John E.

    1991-01-01

    This explanation of how the basic economic model of pricing applies to the CD-ROM industry considers the supply and demand sides of the market and compares three distinct pricing strategies: (1) pricing to maximize profits; (2) average cost pricing; and (3) marginal cost pricing. (EAM)

  2. Databases on CD-ROM: Comparative Factors for Purchase.

    Science.gov (United States)

    Peters, Charles

    1987-01-01

    Describes databases available on optical disks, compares the databases with their print and online analogs, and suggests that the librarian should call such products to the attention of users needing information available in CD-ROM format. Five features desirable to most libraries are listed. (Author/CLB)

  3. Crocodile Mathematics 1.1. [CD-ROM].

    Science.gov (United States)

    2002

    This CD-ROM consists of software that allows both teachers and students to create and experiment with mathematical models by linking shapes, graphs, numbers, and equations. It is usable for demonstrations, home learning, reinforcing concepts, illustrating concepts that are difficult to visualize, further pupil investigations, and project work.…

  4. CPU--Constructing Physics Understanding[TM]. [CD-ROM].

    Science.gov (United States)

    2000

    This CD-ROM consists of simulation software that allows students to conduct countless experiments using 20 Java simulators and curriculum units that explore light and color, forces and motion, sound and waves, static electricity and magnetism, current electricity, the nature of matter, and a unit on underpinnings. Setups can be designed by the…

  5. CD-ROM Multimodal Affordances: Classroom Interaction Perspectives in the Malaysian English Literacy Hour

    Science.gov (United States)

    Gardner, Sheena; Yaacob, Aizan

    2009-01-01

    CD-ROM affordances are explored in this article through participation in classroom interaction. CD-ROMs for shared reading of animated stories and language work were introduced to all Malaysian primary schools in 2003 for the Year 1 English Literacy Hour. We present classroom interaction extracts that show how the same CD-ROMs offer different…

  6. Oxidative stress markers in Thoroughbred horses after castration surgery under inhalation anesthesia.

    Science.gov (United States)

    Tsuzuki, Nao; Sasaki, Naoki; Kusano, Kanichi; Endo, Yoshiro; Torisu, Shidow

    2016-01-01

    Oxidative stress has been reported to occur during surgery. It is important to reduce intraoperative oxidative stress to improve the postoperative prognosis. However, there are no reports regarding oxidative stress related to surgery in horses. In the present study, we measured pre and postsurgical diacron-reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP); the oxidative stress index (OSI) was then calculated (OSI=d-ROMs/BAP × 100). d-ROMs were not significantly different between the pre and postsurgical periods. However, BAP significantly decreased after surgery (P=0.02), and OSI significantly increased after surgery (P=0.02). Based on these results, it suggested that castration surgery under inhalation anesthesia decreases the antioxidant potential and causes oxidative stress in horses.

  7. Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery.

    Science.gov (United States)

    Levy, Ellen W; Pfalzer, Lucinda A; Danoff, Jerome; Springer, Barbara A; McGarvey, Charles; Shieh, Ching-yi; Morehead-Gee, Alicia; Gerber, Lynn H; Stout, Nicole L

    2012-07-01

    The objective of this study are (1) to determine if upper extremity function, as represented by shoulder ROM, self-reported symptoms and upper extremity functional limitations in activities of daily living could be predictively related to demographic and cancer characteristics post-surgery for breast cancer. And (2) to examine if variables related to early onset impairment contribute to late onset impairments in women after breast cancer surgery. Subjects were assessed preoperatively and 1, 3, 6, 9, and 12+ months post breast cancer surgery for impairments and symptoms and at 12+ months for shoulder functional limitations using a physical therapy surveillance model. Body weight, shoulder ROM, manual muscle testing, and upper limb volume were recorded. At 12+ months, the Harvard Alumni Health Study Physical Activity Questionnaire, and an Upper Limb Disability Questionnaire were administered. Symptoms and ROM impairments were compared by functional limitations. Characteristics significantly associated with early ROM impairment (but not later impairment) were axillary lymph node dissection, removal of ≥15 nodes, mastectomy surgery and stage II breast cancer. Positive nodes, older age, and BMI≥25 were significantly associated with reduced shoulder ROM at 12+ months. At 12+ months, only 10 % of the patients experienced ROM impairments while rates of self-reported symptoms in the affected upper extremity at 12+ months were as follows: pain-49%, weakness-47.1%, numbness-55.9%, feeling tired-42.5%. The majority of patients used the affected upper extremity for reaching without limitation, but ≥35% reported limitation with household chores, carrying and lifting. Difficulty carrying and lifting could be predicted by BMI≥25 and use of the dominant affected upper limb. Different factors are associated with early versus later ROM loss. Symptoms reported by breast cancer survivors are frequently associated with functional limitations in upper extremity tasks and warrant

  8. Routine Multimodal Antiemesis Including Low-Dose Perphenazine in an Ambulatory Surgery Unit of a University Hospital: A 10-Year History

    Directory of Open Access Journals (Sweden)

    Brian A. Williams

    2007-01-01

    Full Text Available For 10 years, we have used intravenous and oral perphenazine as part of a multimodal antiemetic prophylaxis care plan for at least 10,000 outpatients. We have never encountered an adverse event, to our knowledge, when the intravenous dose was less than or equal to 2 mg, or when the single preoperative oral dose did not exceed 8 mg (with no repeated dosing. As a single-dose component of multimodal antiemetic prophylaxis therapy, we believe that this track record of anecdotal safety in adults who meet certain criteria (age 14–70, no less than 45 kg, no history of extrapyramidal reactions or of Parkinson disease, and no Class III antidysrhythmic coadministered for coexisting disease constitutes a sufficient patient safety basis for formal prospective study. We believe that future perphenazine studies should include routine coadministration with prospectively established multimodal antiemetics (i.e., dexamethasone and a 5-HT3 antagonist. In settings where droperidol is still routinely used and deemed acceptable by local scientific ethics committees, we believe that oral perphenazine 8 mg should be compared head to head with droperidol 0.625–1.25 mg in patients receiving coadministered dexamethasone and 5-HT3 antagonists in order to determine differences in synergistic efficacy, if any. Similar trials should be performed, individually evaluating cyclizine, transdermal scopolamine, and aprepitant in combination with coadministered dexamethasone and a 5-HT3 antagonist. Such studies should also quantify efficacy in preventing nausea and vomiting after discharge home, and also quantify the extent to which the prophylaxis plans reduce postanesthesia care unit (PACU requirements (i.e., increase PACU bypass, reduce the need for any nursing interventions for postoperative nausea and/or vomiting (PONV, and influence the extent to which any variable costs of postoperative nursing care are reduced.

  9. CD-ROM and Local Area Networks.

    Science.gov (United States)

    Marks, Kenneth E.; And Others

    1993-01-01

    This special section on local area networks includes three articles: (1) a description of migration at Joyner Library, East Carolina University (North Carolina) to a new network server; (2) a discussion of factors to consider for network planning in school libraries; and (3) a directory of companies supplying cable, hardware, software, and…

  10. Chinese Language Video Clips. [CD-ROM].

    Science.gov (United States)

    Fleming, Stephen; Hipley, David; Ning, Cynthia

    This compact disc includes video clips covering six topics for the learner of Chinese: personal information, commercial transactions, travel and leisure, health and sports, food and school. Filmed on location in Beijing, these naturalistic video clips consist mainly of unrehearsed interviews of ordinary people. The learner is lead through a series…

  11. CD-ROM and Local Area Networks.

    Science.gov (United States)

    Marks, Kenneth E.; And Others

    1993-01-01

    This special section on local area networks includes three articles: (1) a description of migration at Joyner Library, East Carolina University (North Carolina) to a new network server; (2) a discussion of factors to consider for network planning in school libraries; and (3) a directory of companies supplying cable, hardware, software, and…

  12. Data on the environment. Accompanying brochure of the CD ROM; Daten zur Umwelt. Begleitbroschuere zur CD-ROM

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-15

    During the past 25 years, the Federal Environmental Office (UBA) has been publishing annual data on the environmental situation in Germany. This is the most recent publication; it contains data on climate protection, resources management, environment, health and quality of life, natural cycles and environmental media, and the economic importance of environmental protection. The CD-ROM contains data and facts on all of these subjects. It provides detailed and comprehensive information on the current condition of the environment in Germany, strategies and goals of environmental policy, books and other publications for further reading, and links. The CD-ROM also contains a system of key environmental indicators which illustrates successful activities and needs for action of environmental policy. Integrated internet access ensures access to current information on the internet. (orig.)

  13. Advanced grammar in use a self-study reference and practice book for advanced students of English : with answers and CD-ROM

    CERN Document Server

    Hewings, Martin

    2013-01-01

    An updated version of the highly successful Advanced Grammar in Use. This third edition, with answers and CD-ROM, is ideal for self-study. The book contains 100 units of grammar reference and practice materials, with illustrations in full colour and a user-friendly layout. It is ideal for learners preparing for the Cambridge Advanced, Proficiency or IELTS examinations, and is informed by the Cambridge International Corpus, which ensures the language is authentic and up-to-date. The CD-ROM includes 200 interactive exercises to reinforce the language learned in the book, plus customised tests and audio recordings to accompany the main exercises. Versions without answers and without the CD-ROM are available to purchase separately.

  14. Comparison of Intervertebral ROM in Multi-Level Cadaveric Lumbar Spines Using Distinct Pure Moment Loading Approaches

    Science.gov (United States)

    Santoni, Brandon; Cabezas, Andres F; Cook, Daniel J; Yeager, Matthew S; Billys, James B; Whiting, Benjamin

    2015-01-01

    Background Pure-moment loading is the test method of choice for spinal implant evaluation. However, the apparatuses and boundary conditions employed by laboratories in performing spine flexibility testing vary. The purpose of this study was to quantify the differences, if they exist, in intervertebral range of motion (ROM) resulting from different pure-moment loading apparatuses used in two laboratories. Methods Twenty-four (laboratory A) and forty-two (laboratory B) intact L1-S1 specimens were loaded using pure moments (±7.5 Nm) in flexion-extension (FE), lateral bending (LB) and axial torsion (AT). At laboratory A, pure moments were applied using a system of cables, pulleys and suspended weights in 1.5 Nm increments. At laboratory B, specimens were loaded in a pneumatic biaxial test frame mounted with counteracting stepper-motor-driven biaxial gimbals. ROM was obtained in both labs using identical optoelectronic systems and compared. Results In FE, total L1-L5 ROM was similar, on average, between the two laboratories (lab A: 37.4° ± 9.1°; lab B: 35.0° ± 8.9°, p=0.289). Larger apparent differences, on average, were noted between labs in AT (lab A: 19.4° ± 7.3°; lab B: 15.7° ± 7.1°, p=0.074), and this finding was significant for combined right and left LB (lab A: 45.5° ± 11.4°; lab B: 35.3° ± 8.5°, p < 0.001). Conclusions To our knowledge, this is the first study comparing ROM of multi-segment lumbar spines between laboratories utilizing different apparatuses. The results of this study show that intervertebral ROM in multi-segment lumbar spine constructs are markedly similar in FE loading. Differences in boundary conditions are likely the source of small and sometimes statistically significant differences between the two techniques in LB and AT ROM. The relative merits of each testing strategy with regard to the physiologic conditions that are to be simulated should be considered in the design of a study including LB and AT modes of loading. An

  15. Multimedia Educational CD-ROM - The Living Universe

    Science.gov (United States)

    Rosen, Ralev

    2002-01-01

    space bacteria can exist in the interstellar. And a script about interstellar bacterial colonizing finishes that theme . Another main theme is SETI. The most interesting things here are the 7 projects for searching for extraterrestrial civilizations. For each project the group found information in 4 areas: by whom it is carried out; what are the goals of the project; what are the technical meanings and how it works. The next under-themes are "Alien forms of life" and "Are we alone?". "The wonderful Universe" is a theme, in which there are included 40 interesting and curious facts about life on the Earth, planets and stars. Here there are 6 images by NASA and the rest 34 were made by me, following the nice text. "The Gallery is my favorite part of the CD-ROM. Here you can find astrophotos made with telescopes in National Astronomical Observatory -Rozhen, space pictures and photo-collages.

  16. Bariatric Surgery

    Science.gov (United States)

    ... Metabolic and Bariatric Surgery MedlinePlus What is bariatric surgery? Bariatric surgery helps people who are very obese to ... What are the endocrine-related benefits of bariatric surgery? Bariatric surgery and the weight loss that results can: ...

  17. A Randomized Trial of the Little by Little CD-ROM: Demonstrated Effectiveness in Increasing Fruit and Vegetable Intake in a Low-income Population

    Directory of Open Access Journals (Sweden)

    Gladys Block

    2004-07-01

    Full Text Available Introduction Research indicates that low fruit and vegetable intake is a risk factor for many chronic diseases. Despite large-scale education campaigns, the great majority of Americans do not consume recommended levels. We tested the ability of a single brief interactive experience of the Little by Little CD-ROM to increase fruit and vegetable intake in low-income women. Methods A randomized placebo-controlled, parallel-group trial included 481 low-income, female participants: mean age 50.1 years, 48.4% African American, 51.6% non-Hispanic white, and 92.5% below 185% of the federally designated poverty level. Participants received one of three conditions: 1 a one-time experience with the Little by Little CD-ROM, 2 the Little by Little CD-ROM plus two reminder telephone calls, or 3 a stress management CD-ROM (control condition. We assessed baseline and follow-up dietary intake with a modified 24-hour recall. Results Two months after the one-time experience with the CD-ROMs, both intervention groups reported significantly higher intakes of fruits and vegetables than the control group. The Little by Little group with reminder calls increased daily intake by 1.32 fruits/vegetables, an 86% greater increase than the control group (P = .016. The Little by Little group without reminder calls increased daily intake by 1.20 fruits/vegetables, a 69% greater increase than the control group (P = .052. Significantly greater movement in Stage of Readiness for Change also occurred in the Little by Little groups compared with the control group. Conclusion The Little by Little CD-ROM may be useful in public health and clinical situations to increase fruit and vegetable intake.

  18. New Development of CD-ROM Database Retrieval System%光盘数据库检索方式的新发展

    Institute of Scientific and Technical Information of China (English)

    郑燕华

    2000-01-01

    The main changes in the three commonly-used CD-ROM retrieval systems are introduced,including the enhancement of the window functions,the change of the field index function in SP software and the new saving and reusing functions of ProQuest for its retrieval strategies.

  19. A Community Terrain-Following Ocean Modeling System (ROMS)

    Science.gov (United States)

    2015-09-30

    coarser DOPPIO grid-a with an averaged resolution of 7km is the donor to the Hudson Canyon grid-b and the Chesapeake-Delaware Bays grid-d. The...ROMS nested grid application for the U.S. East Coast: (a) DOPPIO coarse grid, (b) Hudson Canyon refinement grid (1:3 ratio from a), (c) PIONEER array...temperature (upper panel; Celsius) and surface salinity (lower panel) for 31-Jan-2014. The refined solution for the Hudson Canyon grid is overlaid on

  20. Accomplishment of Blu-ray disc ROM by electron beam recording: dual layer with 50-GB capacity

    Science.gov (United States)

    Tsukuda, Masahiko; Ito, Eiichi; Tomiyama, Morio; Abe, Shinya; Ohno, Eiji; David, Stephane; Dubs, Martin; Bayliss, Chris; Dix, Colin; Ogilvie, Nick; Proffitt, Simon; Scott-Maxwell, David; Fantin, Bernard; Eisenhammer, Thomas

    2004-09-01

    A BD-ROM production-capable Electron Beam Recorder (EBR) has been developed, resulting from an optimization program conducted on a prior prototype. The key technical improvements are a comprehensive upgrade of the mechanical master driving system to reduce the track pitch deviations and the implementation of a dynamic focus system, including an axial run-out checker to obtain a uniform jitter. And the multi-pulse write strategy was adopted to control the pit shapes. The resulting masters show a typical radial track pitch variation comprised in the range +/-6.6nm across the entire recorded area. The corresponding push-pull signal deviation is found to be less than 18% on the whole disc and less than 14% in one revolution. The signal jitter of dual layered BD-ROM disc less than 6.1% on layer 0, and less than 6.7% on layer 1 with large enough push-pull amplitude through the whole radius. These results are fully compliant with the requirements for the dual layered BD-ROM disc of 50GB capacity.

  1. Timing of surgery in anterior cruciate ligament-injured knees.

    Science.gov (United States)

    Shelbourne, K D; Patel, D V

    1995-01-01

    Despite recent advances in the surgical techniques of anterior cruciate ligament (ACL) reconstruction in the past two decades, there is no consensus of opinion as to the ideal timing for ACL surgery. Based on the evolution of management of patients with ACL injuries over the period 1982-1994, we have found that various factors need to be considered in order to provide the best possible long-term result to the patient with minimal or no complications. In this review, we discuss the perioperative factors that one must consider to determine optimum timing for ACL surgery. Factors such as mental preparation of the patient; school, work, family, and social schedules; preoperative condition of the knee [i.e., minimal or no swelling, good strength, good leg control, and full range of motion (ROM) including full hyperextension]; and associated ligamentous and/or meniscal injuries must be considered before undertaking ACL surgery. With careful consideration of the above-mentioned factors and with our preoperative and postoperative rehabilitation program, we have been able to obtain predictable, successful, long-term results following ACL reconstruction in our athletic population. We emphasize that every patient should be treated on his or her own merit, and treatment decisions must be individualized.

  2. Heart valve surgery

    Science.gov (United States)

    ... Tricuspid valve stenosis Risks The risks of having cardiac surgery include: Death Heart attack Heart failure Bleeding requiring ... and the A.D.A.M. Editorial team. Heart Surgery Read more Heart Valve Diseases Read more Latest ...

  3. Experimental study on gamma irradiation effects of floating gate ROMs The ROM is stated for Read-only Memory

    CERN Document Server

    He Chao Hui; Chen Xiao Hua; Wang Yan Ping; Peng Hong Lun

    2002-01-01

    Experimental results of gamma irradiation effects are given for Floating gate ROMs. There is an accumulated dose threshold. Errors occur when accumulated dose is above the threshold, no error occurs when below the threshold. The errors go up with the increase of the accumulated dose. Errors occur in devices that are measured during irradiation and irradiated in power on, moreover, new data cannot be written in these devices with programmer. However, under more accumulated dose, there is no error in devices in power off mode and new data can be written in these devices with programmer

  4. Tassara: Romántico, burlador y ateo

    Directory of Open Access Journals (Sweden)

    Sebold, Russell P.

    2012-12-01

    Full Text Available Impassioned romantic with a classical soul, definer and teacher of romantic poetics, minister of Spain in Washington and London, handsome seducer, adored by the elegant ladies he dishonored, anguished atheist but in persistent dialogue with God, Gabriel García y Tassara (1817- 1875 is probably the most neglected of the great Spanish poets of his time. For the study of these facets of his figure, the principal documents utilized are his own verse, his extensive prolog to his Poems of 1872 and the Poetic Crown [necrology] that was offered him in 1878.Romántico exaltado de alma clásica, definidor y maestro de la poética romántica, ministro de España en Washington y Londres, guapo burlador, adorado de las elegantes damas que deshonraba, angustiado ateo pero persistente dialogante con Dios, Gabriel García y Tassara (1817- 1875 es probablemente el más descuidado de los grandes poetas españoles de su tiempo. Para el estudio de estas facetas de su figura, los principales documentos utilizados son su propio verso, su extenso prólogo a sus Poesías de 1872 y la Corona poética que se le ofreció en 1878.

  5. Assessment of preoperative and postoperative prealbumin in thoracic surgery – a two months experience in a Romanian university hospital / Evaluarea preoperatorie şi postoperatorie a prealbuminei în chirurgia toracică - experiența de 2 luni a unui spital universitar din România

    OpenAIRE

    Trufa Denis Iulian; Arhire Lidia Iuliana; Grigorescu Cristina; Mihalache Laura; Nita Otilia; Graur Mariana; Mihai Bogdan Mircea

    2015-01-01

    Malnutriția este o constatare frecventă și importantă în secțiile chirurgicale. Deşi consecințele sale includ complicații postoperatorii și costuri mai mari, evaluarea nutrițională nu face parte din protocoalele preoperatorii de rutină. Evaluarea nutriţională include parametri clinici și biologici și este vitală pentru a începe tratamentul și a îmbunătăți rezultatele. Prealbumina este în prezent recunoscută ca un marker fidel al malnutriției şi este inclusă în ghidurile de practică. Unul dint...

  6. Evaluation of Two CD-ROMs from a Series on Cell Biology

    Science.gov (United States)

    Sander, Uwe; Kerlen, Gertraude; Steinke, Mattias; Huk, Thomas; Floto, Christian

    2003-01-01

    Two CD-ROMs from a series dealing with various major aspects of cell biology are evaluated in this paper using quantitative and qualitative approaches. The findings delimit similarities and differences of the two CD-ROMs and shed light on how the programs could be used in the learning process and how they should not be. The overall impression, as…

  7. Evaluation of constipation in older adults: radioopaque markers (ROMs) versus wireless motility capsule (WMC).

    Science.gov (United States)

    Rao, S S C; Coss-Adame, E; Valestin, J; Mysore, K

    2012-01-01

    There is scarce information regarding assessment of constipation in older subjects. We examined regional and whole-gut transit time (WGTT) with wireless motility capsule (WMC) and compared this with radioopaque markers (ROM) transit. 39 constipated and 11 healthy older subjects (≥ 65 years) ingested a ROM capsule and WMC, wore a data receiver and kept stool diaries for 5 days. WMC recordings were analyzed for colonic transit time (CTT), WGTT and gastric emptying time (GET). Radiographs obtained on day 5 assessed ROM transit. Results for each device were compared. The CTT (p = ROM colonic transit was also slower (p = ROM). Device agreement for slow colonic transit was 88% with good correlation between WMC and ROM (CTT r=0.718, p=0.0001, WGTT r=0.693, p=0.0001). Slow transit constipation was identified in 28% with ROM and 32% with WMC. No adverse events were recorded. WMC is a safe and useful device that provides objective diagnosis of delayed colonic and whole gut transit in older constipated adults. It is a radiation-free, physiologic and ambulatory technique that provides additional diagnostic information than ROM.

  8. Independent Reading of CD-ROM Storybooks: Measuring Comprehension with Oral Retellings

    Science.gov (United States)

    Pearman, Cathy J.

    2008-01-01

    CD-ROM storybooks may facilitate reading comprehension for students who are struggling with reading comprehension. Therefore, the use of CD-ROM storybooks in the classroom as part of a reading instruction program, literacy center, or for independent reading time could benefit young readers. (Contains 2 tables and 1 figure.)

  9. CD-ROMs review 1995-1997: a multicentre pilot trial.

    Science.gov (United States)

    Grey-Lloyd, J

    1998-03-01

    This article describes an evaluation of CD-ROMs carried out at four NHS Trust Libraries in Wales. It covers interactive CD-ROMs which take the form of either computer assisted learning programs, encyclopaedia or well-known text books.

  10. Qanimarisaj Qano'jib'alil--Engrandezcamos Nuestro Pensamiento (Let's Broaden Our Thinking). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. The CD-ROMs help bilingual pre-service teachers improve their reading, writing, and listening comprehension skills in their own Mayan language. After a musical and colorful introduction, users may choose introductions to…

  11. Qanimarisaj Qano'jib'alil--Engrandezcamos Nuestro Pensamiento (Let's Broaden Our Thinking). [CD-ROM].

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    This CD-ROM is part of an interactive and dynamic multimedia package of information and games for learning K'iche' and Ixil. The CD-ROMs help bilingual pre-service teachers improve their reading, writing, and listening comprehension skills in their own Mayan language. After a musical and colorful introduction, users may choose introductions to…

  12. NODC Standard Product: NODC Taxonomic Code on CD-ROM (NODC Accession 0050418)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The content of the NODC Taxonomic Code, Version 8 CD-ROM (CD-ROM NODC-68) distributed by NODC is archived in this accession. Version 7 of the NODC Taxonomic Code...

  13. Type 1 Diabetes in Children: A Passport to Knowledge. [CD-ROM].

    Science.gov (United States)

    2001

    This educational CD-ROM is designed to provide a working knowledge of diabetes and its effect on children. It is intended for parents, health care professionals, pharmacists, teachers, coaches, and child care providers. The CD-ROM examines issues related to diabetes management (food, insulin, monitoring, hypoglycemia, and illness); lifestyle; and…

  14. Type 1 Diabetes in Children: A Passport to Knowledge. [CD-ROM].

    Science.gov (United States)

    2001

    This educational CD-ROM is designed to provide a working knowledge of diabetes and its effect on children. It is intended for parents, health care professionals, pharmacists, teachers, coaches, and child care providers. The CD-ROM examines issues related to diabetes management (food, insulin, monitoring, hypoglycemia, and illness); lifestyle; and…

  15. Integrated CD-ROM and WORM Optical Disk Systems on the Navy's Paperless Ship.

    Science.gov (United States)

    Thiel, Thomas J.

    1992-01-01

    The integration of optical disk systems employing WORM (Write Once Read Many) technology with CD-ROM systems can enhance information management. Two integrated system applications are the Paperless Ship Project of the U.S. Navy and the FEDLOG (Federal Logistics Data on CD-ROM) of the Defense Logistics Agency. These initiatives are described and…

  16. In company pre-intermediate student's book with CD-ROM

    CERN Document Server

    Clarke, Simon; Sharma, Pete

    2009-01-01

    In Company has established itself as the Business English course for professionals because of its immediate results through topic-based content, active skills, and real-world tasks that are instantly relevant to everyday business English development. In Company Second Edition builds on the success of the original but is now updated and improved with a host of new features. For extra online practice for your students, take a look at the new Second Edition In Company Practice Online solution. Accompanying the popular In Company series in British English, these online courses provide carefully designed resources to supplement the Student's Books at all levels. Units are clearly defined as Topic or Skills based NEW phrase banks with useful phrases for reference and revision 5 NEW case studies, within the Student's Book reflect real-life business scenarios Second Edition CD-ROM now includes a new interactive glossary and the class audio as a donwloadable MP3.

  17. Thyroid Surgery

    Science.gov (United States)

    ... Fax/Phone Home » Thyroid Surgery Leer en Español Thyroid Surgery GENERAL INFORMATION Your doctor may recommend that ... made in conjunction with your endocrinologist and surgeon. Thyroid Surgery FAQs QUESTIONS AND CONSIDERATIONS When thyroid surgery ...

  18. Assessment of preoperative and postoperative prealbumin in thoracic surgery – a two months experience in a Romanian university hospital / Evaluarea preoperatorie şi postoperatorie a prealbuminei în chirurgia toracică - experiența de 2 luni a unui spital universitar din România

    Directory of Open Access Journals (Sweden)

    Trufa Denis Iulian

    2015-03-01

    Full Text Available Malnutriția este o constatare frecventă și importantă în secțiile chirurgicale. Deşi consecințele sale includ complicații postoperatorii și costuri mai mari, evaluarea nutrițională nu face parte din protocoalele preoperatorii de rutină. Evaluarea nutriţională include parametri clinici și biologici și este vitală pentru a începe tratamentul și a îmbunătăți rezultatele. Prealbumina este în prezent recunoscută ca un marker fidel al malnutriției şi este inclusă în ghidurile de practică. Unul dintre cele mai importante aspecte legate de prealbumină este faptul că variațiile sale în timp sunt mai valoroase decât valorile absolute. Scopul acestui studiu a fost de a evalua și compara evoluția nutrițională perioperatorie a pacienţilor care necesită intervenţii de chirurgie toracică, cu şi fără cancer, folosind prealbumina - preoperator și postoperator - ca marker principal. Treizeci şi şase de pacienţi de la Clinica de Chirurgie Toracică au fost evaluaţi înainte de intervenţia chirurgicală, prin indicele de masă corporală, scorul de risc nutriţional Subjective Global Assessment (SGA și parametri biochimici de rutină. Prealbumina a fost evaluată înainte de intervenţia chirurgicală şi la 3 zile după operaţie.Vârstă, durata spitalizării postoperatorii și prezența complicaţiilor au fost notate. Pacienții cu cancer (n = 19 au fost semnificativ mai în vârstă decât pacienții fără cancer (p = 0,007 și au fost mai frecvent, dar nu în mod semnificativ, evaluaţi prin SGA ca fiind malnutriţi (42,1% față de 11,6%. Prealbumina preoperator și alți parametri nu diferă semnificativ între grupuri. Cu toate acestea, a existat o scădere semnificativă a prealbuminei postoperator doar la pacienții cu cancer. Prin urmare, prealbumina s-a dovedit a fi valoroasă în evaluarea malnutriţiei acute la pacienţii cu cancer, în special prin monitorizarea variaţiilor în timp, ceea ce ar

  19. A Correlative Study of CD-ROM Picture Books in Classrooms and School Children's Formation of Descriptive Concepts

    Science.gov (United States)

    Lu, Chow-Chin; Chen, Yueh-Yun; Chen, Chen-Wei

    2011-01-01

    The central focus of this study was the development, use and evaluation of CD-ROM picture books in elementary school science teaching. Three CD-ROM picture books based on the Campus Insects unit from the new elementary school science curriculum in Taiwan were developed. A quasi-experimental method was used to compare the use of the CD-ROMs and…

  20. Using Video and CD-ROM Technology in a Job Preference Inventory for Youth with Severe Disabilities.

    Science.gov (United States)

    Morgan, Robert L.; Gerity, Brent P.; Ellerd, David A.

    2000-01-01

    This article describes a motion video CD-ROM program designed to assist youth with severe disabilities in the selection of job preferences. Traditional vocational interest inventories for individuals with disabilities and video and CD-ROM career exploration programs for typical youth are presented, then the specialized CD-ROM program is described.…

  1. 东芝迷你型DVD-ROM/Video机

    Institute of Scientific and Technical Information of China (English)

    陈玮

    2001-01-01

    @@ 日前,日本东芝公司推出了一款迷你型MED300AS DVDROM/Video机.该机不仅是带有15cm 16:9液晶屏的掌上型DVD机,还是一款4倍速的DVD-ROM和24倍速的CD-ROM,既可以单独欣赏也可以与电脑连接,同时还是世界上第一款拥有D2 P-Scan输出端子的掌上型DVD机,不但内含3-2 Pull down还原处理功能,而且P-Scan视频信号还可切换为YPrPb或RGB的形式,可以与电视、投影机及PC显示器连接.

  2. Provocarea Facebook pentru bibliotecile publice din România

    Directory of Open Access Journals (Sweden)

    Octavia-Luciana Madge

    2014-01-01

    Full Text Available Reţelele sociale şi-au câştigat rapid un loc în viaţa noastră şi în activitatea multor organizaţii şi instituţii publice şi private. La nivelul bibliotecilor, reţelele sociale şi-au demonstrat utilitatea şi rolul în calitate de instrumente de marketing pentru o mai bună comunicare cu utilizatorii. Bibliotecile publice din România au cunoscut în ultimul timp transformări mari în ceea ce priveşte modul de abordare a relaţiei cu utilizatorii şi îmbunătăţirea activităţii lor. Au lansat, de asemenea, o serie de noi servicii pentru a răspunde nevoilor comunităţii pe care o servesc şi pentru a atrage noi utilizatori. Implementarea şi utilizarea de noi aplicaţii precum reţelele de socializare online, mai exact Facebook, a fost una dintre aceste dezvoltări recente. Această lucrare analizează modul în care reţelele sociale sunt utilizate la nivelul bibliotecilor publice din România prin exemplul a trei biblioteci publice mari şi a modului în care aceste biblioteci îşi promovează serviciile prin intermediul reţelei Facebook.

  3. A multimedia CD-ROM tool to improve student understanding of bile salts and bilirubin metabolism: evaluation of its use in a medical hybrid PBL course.

    Science.gov (United States)

    Azer, Samy A

    2005-03-01

    Over the last 35 years our understanding of bile salts, bilirubin metabolism, and hepatobiliary transport has progressively increased. From 1965 to the end of 2002, 3,610 articles and review papers have been published on hepatobiliary and enterocyte transport of bile salts. However, there is a lack of information in the content of current textbooks about hepatobiliary physiology, bile salt transporters, bile formation, mechanisms underlying cholestasis, and drug-induced liver injury. The use of an integrated multimedia program on the liver covering these gaps in textbooks may be useful to student learning. This study aims to 1) assess student views on a multimedia CD-ROM ("The Liver") integrating basic and clinical sciences related to the liver, bile salts, and bilirubin metabolism, 2) assess the usefulness of problem-based learning (PBL) cases included in the multimedia CD-ROM, and 3) assess student learning before and after use of the multimedia CD-ROM. A total of 106 first-year medical students (27 with and 79 without a prior university degree) at the University of Melbourne participated in this study. Students were tested on the liver, bile salts, and bilirubin metabolism before and after using the multimedia CD-ROM. After completing the multimedia CD-ROM, each student filled out a 5-point Likert scale questionnaire evaluating the features of the program and its usefulness to their learning. Results show that the aims of the package were clear to participants, the contents were logically organized and clear, the key concepts were easy to identify, the contents were pitched to an appropriate level, and the package was interactive and encouraged participants to reflect on their learning. Students also agreed that the assessment tools used in the program and the feedback provided were meaningful and helpful to their learning. No differences were found when responses were compared on the basis of academic background, gender, citizenship, or first language of

  4. Comparing a quasi-3D to a full 3D nearshore circulation model: SHORECIRC and ROMS

    Science.gov (United States)

    Haas, K.A.; Warner, J.C.

    2009-01-01

    Predictions of nearshore and surf zone processes are important for determining coastal circulation, impacts of storms, navigation, and recreational safety. Numerical modeling of these systems facilitates advancements in our understanding of coastal changes and can provide predictive capabilities for resource managers. There exists many nearshore coastal circulation models, however they are mostly limited or typically only applied as depth integrated models. SHORECIRC is an established surf zone circulation model that is quasi-3D to allow the effect of the variability in the vertical structure of the currents while maintaining the computational advantage of a 2DH model. Here we compare SHORECIRC to ROMS, a fully 3D ocean circulation model which now includes a three dimensional formulation for the wave-driven flows. We compare the models with three different test applications for: (i) spectral waves approaching a plane beach with an oblique angle of incidence; (ii) monochromatic waves driving longshore currents in a laboratory basin; and (iii) monochromatic waves on a barred beach with rip channels in a laboratory basin. Results identify that the models are very similar for the depth integrated flows and qualitatively consistent for the vertically varying components. The differences are primarily the result of the vertically varying radiation stress utilized by ROMS and the utilization of long wave theory for the radiation stress formulation in vertical varying momentum balance by SHORECIRC. The quasi-3D model is faster, however the applicability of the fully 3D model allows it to extend over a broader range of processes, temporal, and spatial scales. ?? 2008 Elsevier Ltd.

  5. Levels at Streamflow Gaging Stations--A CD-ROM Based Training Class

    Science.gov (United States)

    Nolan, K. Michael; Jacobson, Nathan; Erickson, Robert; Landon, Stanley

    2003-01-01

    Streamgages record the elevation of the water surface above some reference surface, or datum. This datum is assumed to remain unchanged throughout the life of the gage. However, the elevation of gages and their supporting structures often change over time as a result of earthmovement, floods, ice, and debris. The surveying practice of leveling is used to establish datum for new gage structures and to check for vertical movement of those structures over time. Vertical changes in gage structures can affect stage-discharge relations and, thus, could result in incorrect discharge determinations. Datum checks are used to correct stage-discharge relations and allow the USGS to document gage datum throughout the life of a gage. This training presentation describes methods currently used by the U.S. Geological Survey to run levels at gaging stations. The presentation is narrated, but you control the pace of the presentation. If the computer you are using can view 'MPEG' videos you will be able to take advantage of videos found within the presentation. A test, found at the end of the presentation, can be taken to assess how well you understood the training material. The class is registered as class SW1307 with the National Training Center of the U.S. Geologcial Survey. The presentation was developed using Macromedia Director 8.5(1) and is contained in the file 'WRI-4002.exe', which should auto-launch after the CD-ROM is inserted in the PC. The program only runs on a windows-based personal computer (PC). A sound card and speakers are necessary to take advantage of the narration that accompanies the presentation. Text of narrations is provided, if you are unable to listen to the narrations. Instructions for installing and running the presentation are included in the file ' Intro.html'. The file 'Intro.html' is on the CD-ROM containing the presentation and is available from the presentation's help menu.

  6. Remembering Apollo 11: The 30th Anniversary Data Archive CD-ROM

    Science.gov (United States)

    Cortright, Edgar M. (Editor)

    1999-01-01

    On July 20, 1969, the human race accomplished its single greatest technological achievement of all time when a human first set foot on another celestial body. Six hours after landing at 4:17 p.m. Eastern Standard Time (with less than thirty seconds of fuel remaining), Neil A. Armstrong took the "small step" into our greater future when he stepped off the Lunar Module, named Eagle, onto the surface of the Moon, from which he could look up and see Earth in the heavens as no one had done before him. He was shortly joined by Edwin "Buzz" Aldrin, and the two astronauts spent twenty-one hours on the lunar surface and returned forty-six pounds of lunar rocks. After their historic walks on the Moon, they successfully docked with Michael Collins, patiently orbiting the cold but no longer lifeless Moon alone in the Command module Columbia. This CR-ROM is intended as a collection of hard to find technical data and other interesting information about the Apollo 11 mission, as well as the apollo program in general. It includes basic overviews, such as a retrospective analysis, an annotated bibliography, and history of the lunar-orbit rendezvous concept. It also contains technical data, such as mission operations reports, press kits, and news references for all of the Apollo missions, the Apollo spacecraft, and the Saturn V launch vehicle. Rounding out this CD-ROM are extensive histories of the lunar Orbiter program (the robotic predecessor to Apollo, biographies of the Apollo astronauts and other key individuals, and interesting audio-visual materials, such as video and audio clips, photo galleries, and blueprint-like diagrams of the Apollo spacecraft.

  7. Reservoir and civil engineering geophysics (CD-Rom); Geophysique de gisement et de genie civil (CD-Rom)

    Energy Technology Data Exchange (ETDEWEB)

    Mari, J.L.; Chapellier, D.

    1999-07-01

    This CD-Rom is a pedagogical tool developed from the book 'field and civil engineering geophysics' (Technip ed., 1998). It presents the geophysical methods (surface and well geophysical surveys, radar surveys and well logging) and their application in the study of oil fields and also in civil engineering. Several cartoons illustrate the principle of methods, their domain of use and their limitations. It covers the following topics: surface seismic surveys (waves propagation, equipments, reflexion and refraction seismic surveys, surface waves); well seismic surveys (operation, data processing, imaging); well logging (acoustic, nuclear,electrical and others, methods of interpretation); radar surveys (principle, surface, wells, possibilities and limitations). (J.S.)

  8. IDC Reengineering Phase 2 & 3 Rough Order of Magnitude (ROM) Cost Estimate Summary (Leveraged NDC Case).

    Energy Technology Data Exchange (ETDEWEB)

    Harris, James M.; Prescott, Ryan; Dawson, Jericah M.; Huelskamp, Robert M.

    2014-11-01

    Sandia National Laboratories has prepared a ROM cost estimate for budgetary planning for the IDC Reengineering Phase 2 & 3 effort, based on leveraging a fully funded, Sandia executed NDC Modernization project. This report provides the ROM cost estimate and describes the methodology, assumptions, and cost model details used to create the ROM cost estimate. ROM Cost Estimate Disclaimer Contained herein is a Rough Order of Magnitude (ROM) cost estimate that has been provided to enable initial planning for this proposed project. This ROM cost estimate is submitted to facilitate informal discussions in relation to this project and is NOT intended to commit Sandia National Laboratories (Sandia) or its resources. Furthermore, as a Federally Funded Research and Development Center (FFRDC), Sandia must be compliant with the Anti-Deficiency Act and operate on a full-cost recovery basis. Therefore, while Sandia, in conjunction with the Sponsor, will use best judgment to execute work and to address the highest risks and most important issues in order to effectively manage within cost constraints, this ROM estimate and any subsequent approved cost estimates are on a 'full-cost recovery' basis. Thus, work can neither commence nor continue unless adequate funding has been accepted and certified by DOE.

  9. La presencia de la arquitectura: la arquitectura románica del Valle del rio Sousa

    OpenAIRE

    Malheiro, Davide Miguel Guimarães

    2012-01-01

    Esta tesis doctoral ha pretendido ampliar el conocimiento de la arquitectura románica en Portugal, a través de un nuevo enfoque, y tiene como tema el estudio, análisis y documentación de veintiún monumentos románicos que constituyen la Ruta del Románico del Valle de Sousa, que fueron configurando la región y su paisaje desde la Edad Media, reflejando sobre las intenciones estéticas que están subyacentes a esas arquitecturas, abordando los temas, contenidos y conceptos que consideramos relevan...

  10. Dea Computrix - another deity for the Roman Pantheon? Journeys in the Roman Empire CD-Rom

    Directory of Open Access Journals (Sweden)

    T. Sam N. Moorhead

    2002-08-01

    Full Text Available This article outlines a personal view on the content and production of a CD-Rom on the Roman world produced by The British Museum, Channel 4, Verulamium Museum and Braunarts: Journeys in the Roman Empire. I discuss some of the benefits of and problems with multimedia production and outline feedback from various evaluation projects of the CD-Rom. I also briefly discuss the future of CD-Roms in the face of a rapidly expanding internet with reference to other multimedia projects at The British Museum.

  11. [CD-ROM and pharmacy: a new means of accessing information. I. Characteristics and analysis of CD-ROMs of interest to pharmacy].

    Science.gov (United States)

    Couvreux, J; Bador, P; Locher, F

    1995-01-01

    CD-ROMs represent a new data medium which is not used enough by health professionals. This survey aimed to list current CD-ROMs useful in pharmacy field with their main characteristics. Thus, databases and directories from health information providers were consulted. A database was then made in order to exploit data collected as well as possible. The following section detailed the results of the survey: 205 CD-ROMs were selected, 95% are bibliographic or full-text data, 94% use English language, 84% present international information, 82% allow us previous years information retrieval, 65% are updated at least every three months, 97% work on PC computers, 74% are provided by american companies.

  12. Lung surgery

    Science.gov (United States)

    ... Pneumonectomy; Lobectomy; Lung biopsy; Thoracoscopy; Video-assisted thoracoscopic surgery; VATS ... You will have general anesthesia before surgery. You will be asleep and unable to feel pain. Two common ways to do surgery on your lungs are thoracotomy and video- ...

  13. Turbinate surgery

    Science.gov (United States)

    Turbinectomy; Turbinoplasty; Turbinate reduction; Nasal airway surgery; Nasal obstruction - turbinate surgery ... There are several types of turbinate surgery: Turbinectomy: All or ... This can be done in several different ways, but sometimes a ...

  14. Cataract Surgery

    Science.gov (United States)

    ... and Videos: What Do Cataracts Look Like? Cataract Surgery Written By: Kierstan Boyd Reviewed By: Elena M ... how they work. What to expect with cataract surgery Before surgery: Your ophthalmologist will measure your eye ...

  15. Development and test of a model for designing interactive CD-ROMs for teaching nursing skills.

    Science.gov (United States)

    Jeffries, P R

    2000-01-01

    The use of interactive multimedia is well documented in the education literature as a medium for learning. Many schools of nursing and healthcare agencies purchase commercially-made CD-ROM products, and, in other cases, educators develop their own. Since nurses are increasingly designing CD-ROMs, they must be aware of the instructional design needed to develop comprehensive and effective CD-ROMs that do not compromise the quality of education. This article describes a process for developing and testing an interactive, multimedia CD-ROM on oral medication administration, using an instructional design model based on Chickering and Gamson's Principles of Good Practices in Education. Results from testing the model are reported. The findings can be used to guide the work of nurse educators who are interested in developing educational software.

  16. Land and Marine Gravity Data on CD-ROM - 1999 Edition

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Land and Marine Gravity 1999 Edition 2-volume CD-ROM set contains observed and derived land and marine gravity data contributed by many national and...

  17. Hypertext markup language as an authoring tool for CD-ROM production.

    Science.gov (United States)

    Lynch, P J; Horton, S

    1998-01-01

    The Hypertext Markup Language (HTML) used to create Web pages is an attractive alternative to the proprietary authoring software that is now widely used to produce multimedia content for CD-ROMs. This paper describes the advantages and limitations of HTML as a non-proprietary and cross-platform CD-ROM authoring system, and the more general advantages of HTML as data standard for biocommunications content.

  18. A numerical investigation of the Southern Gyre using ROMS

    Science.gov (United States)

    Gamoyo, Majambo; Reason, Chris J. C.; Collins, Charine

    2017-05-01

    A numerical model (The Regional Ocean Modelling System-ROMS), configured over the western Indian Ocean and driven by monthly climatology winds and heat fluxes, is applied to examine the Southern Gyre in the Somali Current system during the Southwest Monsoon. Despite the Southern Gyre playing a role in transporting water masses and other properties northwards across the equator, it has not been much studied. The model results indicate that the Southern Gyre appears in early June in the upper ocean as a result of instability in the northward flowing Somali Current. The arrival of downwelling Rossby wave energy at the East African coast intensifies the recirculation of the Southern Gyre and causes its northward movement. The Southern Gyre is characterized as a shallow feature which deepens from 100 m in June to 300 m in July-August. The average spatial scale of the gyre is about 400 km with subsequent development of positive vorticity bursts which are identified as potential contributors to the decay of the Southern Gyre. Cool and fresh waters observed in the gyre resulted from advection via the South Equatorial Current and then through the Somali Current (SC).

  19. Computer Based Radiation Protection- A New Cd-Rom

    Energy Technology Data Exchange (ETDEWEB)

    Geringer, T.; Bammer, M.; Ablber, M.

    2004-07-01

    Within the next few years, there'll be a lot of new challenges required from radiation protection. According to EU regulation[1] and the new austrian radiation protection law [2] regular additional training are requested. Patients protection in diagnostic and therapeutic usage of ionising radiation gains also more and more importance.[3] Not really surprisingly, the general population is definitely highly aware of the risks coming with the usage of radionuclides and x-rays in medicine. Furthermore, the nuclear power plant in Temelin, near the austrian border initiated a lively discussion about risks, necessity and use of ionising radiation in medicine and industry. It turned out to be a really hard job handling these topics in public. A brilliant didactics based on independent information and viewpoints was required. ARC Seibersdorf Research GmbH, represented by the department of medical technical applications and the radiation protection academy, developed an interactive CD-ROM covering several applications: Basics on radiation protection for medical and technical personnel ; preparation for a radiation protection training. Repetition of the main topics for graduates of a radiation protection training. Basics on radiation protection and emergency management for medical staff as well as for the general public. (Author)

  20. A novel ROM compression architecture for DDFS utilizing the parabolic approximation of equi-section division.

    Science.gov (United States)

    Jeng, Shiann-Shiun; Lin, Hsing-Chen; Lin, Chi-Huei

    2012-12-01

    In this paper, we propose the parabolic approximation of equi-section division (PAESD) utilizing the symmetry property and amplitude approximation of a sinusoidal waveform to design a direct digital frequency synthesizer (DDFS). The sinusoidal phase of a one-quarter period is divided into equi-sections. The proposed method utilizes the curvature equivalence to derive each parabolic curve function, and then the value of the error function between each parabolic curve function and the sinusoidal function is stored in an error-compensation ROM to reconstruct the real sinusoidal waveform. The upper/lower bound of the maximum error value stored in the error-compensation ROM is derived to determine the minimum required memory word length relative to the number of bits of the equi-sections. Thus, the minimum size of the total ROMs of the DDFS using the PAESD without error-compensation ROM is compressed to 544 bits; the total compression ratio, compared with the minimum size of the total ROMs of the DDFS using the basic look-up table (LUT), is approximately 843:1, achieved by consuming additional circuits [71 adaptive look-up tables (ALUTs), 3 digital signal processor (DSP) block 9-bit elements]. Consequently, the results show that the proposed ROM compression method can effectively achieve a better compression ratio than the state-of-the-art solutions without affecting the spectrum performance of an average spurious-free dynamic range (SFDR) of -85 dBc.

  1. Weight Loss Surgery (Bariatric Surgery) (For Parents)

    Science.gov (United States)

    ... to Be Smart About Social Media Weight Loss Surgery (Bariatric Surgery) KidsHealth > For Parents > Weight Loss Surgery (Bariatric Surgery) ... bariatric surgery might be an option. About Bariatric Surgery Bariatric surgery had its beginnings in the 1960s, ...

  2. Arquitectura románica en la provincia de Soria, 1856-2014. Marco historiográfico y metodológico

    Directory of Open Access Journals (Sweden)

    Lorenzo Arribas, Josemi

    2014-12-01

    Full Text Available The historiography of Romanesque in the province of Soria has three different stages. The former one begins with Eduardo Saavedra’s researches (1856 and it extends until 1934, when Gaya Nuño defends his PhD Thesis (La arquitectura románica en la provincia de Soria, which will not be published until 1946. The Spanish Civil War and the post-war period mark the beginning of the second stage, which is merely transitional, lacking any important contribution. The last stage begins with the publication of the three volumes of the Enciclopedia del Románico en Castilla y León (2002. These works have largely improved the knowledge of Romanesque architectural heritage, enhanced besides by the task undertaken by the technical office of the Cultural Project Soria Románica (2007- 2012, responsible for studying and restoring more than thirty Romanesque buildings in the Southern part of province. It is within this working frame that the building recording of the churches here presented must be understood. This historiographical assessment about provincial Romanesque does not include those buildings sited in the capital city, the Cathedral of El Burgo de Osma, the Monastery of Santa Maria de Huerta and the hermitage of San Baudelio (Casillas de Berlanga.La historiografía del Románico en la provincia de Soria tiene tres etapas diferenciadas. Una inicial, que parte de los estudios de Eduardo Saavedra (1856 y se extiende hasta 1934, fecha de la lectura de la tesis doctoral de Gaya Nuño (La arquitectura románica en la provincia de Soria, cuya publicación, no obstante, se demora hasta 1946. La Guerra Civil y posguerra marcan el comienzo de la segunda etapa, transicional y sin grandes aportaciones. La última etapa se inaugura con la publicación de los tres volúmenes sorianos de la Enciclopedia del Románico en Castilla y León (2002. Esta obra ha multiplicado el conocimiento del patrimonio edilicio románico, acrecentado, después, por la labor de la

  3. [Crohn's disease surgery].

    Science.gov (United States)

    Kala, Zdeněk; Marek, Filip; Válek, Vlastimil A; Bartušek, Daniel

    2014-01-01

    Surgery of Crohns disease is an important part of the general treatment algorithm. The role of surgery is changing with the development of conservative procedures. The recent years have seen the return to early treatment of patients with Crohns disease. Given the character of the disease and its intestinal symptoms, a specific approach to these patients is necessary, especially regarding the correct choice of surgery. The paper focuses on the luminal damage of the small and large intestine including complications of the disease. We describe the individual indications for a surgical solution, including the choice of anastomosis or multiple / repeated surgeries.

  4. [Teaching and learning in surgery--The Gottingen curriculum].

    Science.gov (United States)

    König, S; Markus, P M; Becker, H

    2001-05-01

    The study of medicine in Germany is in need of reform. Oversubscribed courses, the lack of practical reference, scarce patient contact and cancelled lessons define the educational landscape for many students. Since at present we cannot carry out global reforms, the quality of medical education is highly dependent on the commitment of those responsible in the individual institution. The aim of the revised surgical curriculum in Göttingen is to demonstrate how medical education with a high didactic level including multimedia teaching can be realised despite large student numbers. Duties both in patient care and education are coordinated through integrated organisation. Educational content and structure are made transparent by online guidebooks. In the surgical examination course and the practical course in surgery, patient-oriented tuition takes place consistently in small groups. The Teaching Studio provides additional aids such as interactive CD-ROMs, online research, textbooks, ultrasound equipment, examination and suturing dummies. Curriculum-relevant information, including the weekly case examples and instruction guides for clinical practical experience, is presented on an Internet website. Constant evaluation of the curriculum not only documents student motivation, but also serves to improve the educational concepts on a continuous basis. On completion of the practical course in surgery, 65% of participants maintain that they have reached the defined learning objectives "well" or "very well" (prior to reform only 17%). In the summer semester 2000, 46% of students gave top marks in the practical course in surgery with respect to tuition in patient contact. The results of the evaluations verify the positive feedback from the student body.

  5. Differences in postoperative morbidity rates, including infection and dry socket, and differences in the healing process after mandibular third molar surgery in patients receiving 1-day or 3-day prophylaxis with lenampicillin.

    Science.gov (United States)

    Yoshii, Takashi; Hamamoto, Yoshihiko; Muraoka, Shigetada; Furudoi, Shungo; Komori, Takahide

    2002-03-01

    The aim of this study was to examine the effect of antibiotic prophylaxis for mandibular third molar surgery from the viewpoint of the duration of administration. A comparative study was conducted on postoperative infection, dry socket, and the healing process in 178 healthy patients receiving 1-day or 3-day prophylaxis with lenampicillin (LAPC; 1.5 g/day). Postoperative infection developed in only 1 (1.1%) of the 91 patients in the 3-day group, while there was no patient with infection in the 87 patients in the 1-day group. Dry socket developed in 8.0% of the 87 patients in the 1-day group and in 7.7% of the 91 patients in the 3-day group. However, the incidence of these complications, in relation to the degree of impaction of the molars, did not significantly differ between the 1-day and 3-day groups. Scores indicating clinical symptoms for the 7 days after surgery also reflected no significant difference between the groups, irrespective of the degree of impaction. These results suggest that 1-day therapy with LAPC in our regimen may at least be recommended as a prophylaxis for mandibular third molar surgery in medically healthy patients.

  6. Development of plastic surgery

    Directory of Open Access Journals (Sweden)

    Pećanac Marija Đ.

    2015-01-01

    Full Text Available Introduction. Plastic surgery is a medical specialty dealing with corrections of defects, improvements in appearance and restoration of lost function. Ancient Times. The first recorded account of reconstructive plastic surgery was found in ancient Indian Sanskrit texts, which described reconstructive surgeries of the nose and ears. In ancient Greece and Rome, many medicine men performed simple plastic cosmetic surgeries to repair damaged parts of the body caused by war mutilation, punishment or humiliation. In the Middle Ages, the development of all medical braches, including plastic surgery was hindered. New age. The interest in surgical reconstruction of mutilated body parts was renewed in the XVIII century by a great number of enthusiastic and charismatic surgeons, who mastered surgical disciplines and became true artists that created new forms. Modern Era. In the XX century, plastic surgery developed as a modern branch in medicine including many types of reconstructive surgery, hand, head and neck surgery, microsurgery and replantation, treatment of burns and their sequelae, and esthetic surgery. Contemporary and future plastic surgery will continue to evolve and improve with regenerative medicine and tissue engineering resulting in a lot of benefits to be gained by patients in reconstruction after body trauma, oncology amputation, and for congenital disfigurement and dysfunction.

  7. Computational Vibroacoustics in Low- and Medium- Frequency Bands: Damping, ROM, and UQ Modeling

    Directory of Open Access Journals (Sweden)

    Roger Ohayon

    2017-06-01

    Full Text Available Within the framework of the state-of-the-art, this paper presents a summary of some common research works carried out by the authors concerning computational methods for the prediction of the responses in the frequency domain of general linear dissipative vibroacoustics (structural-acoustic systems for liquid and gas in the low-frequency (LF and medium-frequency (MF domains, including uncertainty quantification (UQ that plays an important role in the MF domain. The system under consideration consists of a deformable dissipative structure, coupled with an internal dissipative acoustic fluid including a wall acoustic impedance, and surrounded by an infinite acoustic fluid. The system is submitted to given internal and external acoustic sources and to prescribed mechanical forces. An efficient reduced-order computational model (ROM is constructed using a finite element discretization (FEM for the structure and the internal acoustic fluid. The external acoustic fluid is treated using a symmetric boundary element method (BEM in the frequency domain. All the required modeling aspects required for the analysis in the MF domain have been introduced, in particular the frequency-dependent damping phenomena and model uncertainties. An industrial application to a complex computational vibroacoustic model of an automobile is presented.

  8. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  9. Dental Implant Surgery

    Science.gov (United States)

    ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  10. Using your shoulder after replacement surgery

    Science.gov (United States)

    Joint replacement surgery - using your shoulder; Shoulder replacement surgery - after ... You have had shoulder replacement surgery to replace the bones of your shoulder joint with artificial parts. The parts include a stem made of metal and a ...

  11. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  12. Hyperoxaluria and Bariatric Surgery

    Science.gov (United States)

    Asplin, John R.

    2007-04-01

    Bariatric surgery as a means to treat obesity is becoming increasingly common in the United States. An early form of bariatric surgery, the jejunoileal bypass, had to be abandoned in 1980 due to numerous complications, including hyperoxaluria and kidney stones. Current bariatric procedures have not been systematically evaluated to determine if they cause hyperoxaluria. Presented here are data showing that hyperoxaluria is the major metabolic abnormality in patients with bariatric surgery who form kidney stones. Further studies are needed to assess the prevalence of hyperoxaluria in all patients with bariatric surgery.

  13. Nose Surgery

    Science.gov (United States)

    ... Patient Health Home Copyright © 2017 American Academy of Otolaryngology–Head and Neck Surgery. Reproduction or republication strictly ... Terms of Use © Copyright 2017. American Academy of Otolaryngology — Head and Neck Surgery 1650 Diagonal Rd Alexandria, ...

  14. After Surgery

    Science.gov (United States)

    ... side effects. There is usually some pain with surgery. There may also be swelling and soreness around ... the first few days, weeks, or months after surgery. Some other questions to ask are How long ...

  15. The CD-ROM experience at Loma Linda: the issues of training, logistics, and creative financing.

    Science.gov (United States)

    Abella, G V; Kittle, P W

    1992-01-01

    Since the end of 1987, the Medical Center and University libraries at Loma Linda have progressed from stand-alone CD-ROM-based workstations for access to MEDLINE to networked CD-ROM access to a variety of databases. T.O.M.M.I. (Total Online Medical Material Integration) is a CD-ROM-based wide area network linking the Loma Linda University Medical Center, Loma Linda University, and other entities in Loma Linda, California. T.O.M.M.I., a microcomputer-based system, represents the implementation of IAIMS at Loma Linda. In addition to discussing the issue of "downsizing" campus-wide information networks, this article focuses on the issues of training, handling of logistical problems, and the use of creative financing.

  16. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws and ... Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, and is best performed by ...

  17. Causas y caracterización de las etapas del duelo romántico

    OpenAIRE

    Sánchez Aragón, Rozzana; Martínez Cruz,Rebeca

    2014-01-01

    Aun cuando la experiencia romántica trae al individuo sensaciones agradables, perder al ser amado acarrea sentimientos de dolor, desesperación y enojo ante la decepción de afrontar una realidad en la cual las expectativas que habían sido colocadas en la ex pareja no resultaron posibles (Argyle & Furnham, 1983). Durante el duelo romántico, el individuo puede vivir bajo el tormento de la esperanza del retorno y por ende, la constante reactivación de emociones dolorosas (Zaragoza-Toscano, 20...

  18. Experimental study on x-rays dose enhancement effects for floating gate ROMs

    CERN Document Server

    Guo Hong Xia; Chen Yu Sheng; Han Fu Bin; He Chao Hui; Zhao Hui

    2002-01-01

    Experimental results of x-ray dose enhancement effects are given for floating gate read-only memory (ROMs) irradiated in the Beijing Synchrotron Radiation Facility. The wrong byte numbers vs. total irradiation dose have been tested and the equivalent relation of total dose damage is provided compared the response of devices irradiated with sup 6 sup 0 Co gamma-ray source. The x-ray dose enhancement factors for floating gate ROMs are obtained firstly in China. These results can be an effective evaluation data for x-rays radiation hardening technology

  19. Public census data on CD-ROM at Lawrence Berkeley Laboratory. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1992-07-02

    In connection with the Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socioeconomic and geographic data files which are available to CEDR and PAREP collaborators via LBL`s computing network. At this time 67 CD-ROM diskettes (approximately 35 gigabytes) are on line via the Unix file server cedrcd.lbl.gov. Most of the files are from the US Bureau of the Census, and most pertain to the 1990 Census of Population and Housing. This paper contains a list of the CD-ROMs available.

  20. Public census data on CD-ROM at Lawrence Berkeley Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1992-07-02

    In connection with the Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socioeconomic and geographic data files which are available to CEDR and PAREP collaborators via LBL's computing network. At this time 67 CD-ROM diskettes (approximately 35 gigabytes) are on line via the Unix file server cedrcd.lbl.gov. Most of the files are from the US Bureau of the Census, and most pertain to the 1990 Census of Population and Housing. This paper contains a list of the CD-ROMs available.

  1. MULTIMEDIA COLLECTION TO AN ORGANIZATIONAL GUIDE TO POLLUTION PREVENTION ( DVD-ROM ); WORKSHOP SERIES, MANUAL, SUPPLEMENTAL CD

    Science.gov (United States)

    This Multimedia Collection to An Organizational Guide to Pollution Prevention (DVD-ROM) provides videos and slides of a three-day workshop series conducted in each of the ten US EPA Regions, and is based on the publication An Organizational Guide to Pollution Prevention CD-ROM (E...

  2. The Intelligent Reference Information System Project. A Merger of CD-ROM LAN and Expert System Technologies.

    Science.gov (United States)

    Bailey, Charles W., Jr.

    1992-01-01

    Describes the development of a prototype Intelligent Reference Information System (IRIS) at the University of Houston library which integrated a CD-ROM local area network (LAN) and expert system technologies. Evaluations of the CD-ROM LAN performance and user reactions are reported, and possible future developments are discussed. (13 references)…

  3. Oyster Reef Communities in the Chesapeake Bay. Virginia Institute of Marine Science Educational Series. [CD-ROM].

    Science.gov (United States)

    Harding, Juliana M.; Mann, Roger; Clark, Vicki P.

    This CD-ROM, Oyster Reef Communities in the Chesapeake Bay, describes oyster reefs, reef communities, and their roles in the Chesapeake Bay ecosystem. Detailed descriptions of scientific research methods and techniques used to monitor and describe oyster reef communities as well as applications of the resulting data are provided. The CD-ROM was…

  4. Analysis of the Acceptance Behaviour of Medical Librarians and Their Patrons with Regards to Medline on CD-ROM.

    Science.gov (United States)

    Eger, A. J.

    1988-01-01

    Two questionnaires sent to medical librarians and users of the Core Medline/Ebsco CD-ROM disc in the Netherlands gathered data on librarians' attitudes toward the various forms in which Medline is offered--i.e., printed, online, and CD-ROM. Tables and graphs present data on product attributes, availability, use, relevance, subjects searched,…

  5. The Use of LDOCE4 on CD-ROM in EFL Students’Writing:a Case Study

    Institute of Scientific and Technical Information of China (English)

    柳轶群; 赵鹏

    2013-01-01

    This case study examines the use of LDOCE4 on CD-ROM in EFL students’writing. Four participants at different proficiency levels were invited to write a composition on a given title. They were then asked to revise their compositions twice, first using the paper dictionary, and secondly using the CD-ROM. Based on a comparison of the two versions, the following conclusions were drawn:1 The CD-ROM is generally more beneficial to EFL students’writing than the paper dictionary. 2 Al-though the CD-ROM is helpful, it is not a panacea. 3 The CD-ROM can provide little help to lower intermediate learners.

  6. Standing equine sinus surgery.

    Science.gov (United States)

    Barakzai, Safia Z; Dixon, Padraic M

    2014-04-01

    Trephination of the equine sinuses is a common surgical procedure in sedated standing horses. Standing sinus flap surgery has become increasingly popular in equine referral hospitals and offers several advantages over sinusotomy performed under general anesthesia, including reduced patient-associated risks and costs; less intraoperative hemorrhage, allowing better visualization of the operative site; and allows surgeons to take their time. Other minimally invasive surgical procedures include sinoscopic surgery, balloon sinuplasty, and transnasal laser sinonasal fenestration. Despite the procedure used, appropriate indications for surgery, good patient selection, and familiarity with regional anatomy and surgical techniques are imperative for good results. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Chemistry Comes Alive!, Volume 4: Abstract of Special Issue 25 on CD-ROM

    Science.gov (United States)

    Jacobsen, Jerrold J.; Bain, Gordon; Bruce, Kara; Moore, John W.

    2000-06-01

    The answers can be found on p676 of the PDF version of the Table of Contents. Chemistry Comes Alive!, Volume 4 is the fourth in a series of CD-ROMs for Macintosh and Windows computers. (Chemistry Comes Alive!, Volumes 1, 2, and 3 (1-3), are also available from JCE Software.) Volume 4 contains two main topics, Reactions in Aqueous Solution and Reactions of the Elements. Chemistry truly does come to life through this collection of pictures, animations, and movies depicting chemical reactions. Topic I. Reactions in Aqueous Solution Reactions in Aqueous Solution includes video of the mixing and subsequent reaction, if any, of aqueous solutions of inorganic compounds. The compounds and ions included are listed below. Reactions with a specific compound can be accessed either by selecting the compound from an alphabetical list of the compounds or from a matrix of reactions. There are more than 200 movies of reactions from which to choose. There are also still images of each reaction. Reactions are shown in which reactants are mixed in either order; there are images of solution 2 being added to solution 1 as well as images of solution 1 being added to solution 2. In addition to videos of reactions, a quiz is available in which a matrix of unknown solutions is presented. Students attempt to identify the solutions by viewing video of each unknown solution as it is mixed with another unknown solution. Students may compare their observations from mixing the unknowns with reactions of known solutions. Topic II. Reactions of the Elements Reactions of the Elements includes video of the elements reacting with air, water, acids, and base. (This video is also used in JCE Software's popular Periodic Table Live! (4) and is included here to allow you greater freedom to use the video in your own presentations under the Chemistry Comes Alive! license.) In addition you may purchase an additional license that allows you to place all or a portion of the video on your WWW site. Contact JCE

  8. Serum concentrations of the derivatives of reactive oxygen metabolites (d-ROMs) in dogs with leishmaniosis.

    Science.gov (United States)

    Paltrinieri, Saverio; Ravicini, Sara; Rossi, Gabriele; Roura, Xavier

    2010-12-01

    Leishmania infantum interferes with the oxidative metabolism of phagocytes. In order to assess whether derivatives of reactive oxygen metabolites (d-ROMs) decrease due to infection or increase due to inflammation, d-ROMs were measured in serum collected from control dogs (Group 1; n = 12), from dogs seropositive for Leishmania either symptomatic (Group 2; n = 27) or not (Group 3; n = 14), and from dogs with other diseases (Group 4; n = 16). The concentrations of d-ROMs in the four groups, expressed in Carratelli Units (U CARR) were, respectively, 75.4 ± 39.5 (median, 81.6), 108.2 ± 96.3 (73.4), 73.5 ± 62.2 (62.0), 127.7 ± 97.3 (94.3). There were no significant differences between groups, but dogs with values higher than the reference interval were found, mostly in Groups 2 and 4 (which had serum C-reactive protein levels consistent with inflammation), whilst low values were occasionally found in Groups 2 and 3. Inflammation may mask decreases in d-ROMs induced by Leishmania infection.

  9. Criteria Affecting Pre-Service TESOLTeachers' Attitudes towards Using CD-ROM Dictionaries

    Science.gov (United States)

    Issa, Jinan Hatem; Jamil, Hazri

    2012-01-01

    Undoubtedly, CD-ROM dictionaries assist in removing the fear of inadequacy in language usage and ameliorating the panic of being-on-the-spot especially with the rapid development of information technology. This research was conducted to find out whether there is a relationship between pre-service TESOL teachers' attitudes towards using CD-ROM…

  10. A Leader's Guide to What Do You Stand for? For Kids CD-ROM

    Science.gov (United States)

    Lewis, Barbara A.

    2010-01-01

    Kids of any age can learn the basics of good character and figure out what they stand for. This leader's guide is a companion to the children's book, "What Do You Stand For? For Kids". The 11 lessons on the CD-ROM provide a complete course for kids on caring, citizenship, cooperation, fairness, forgiveness, honesty, relationships, respect,…

  11. Review of Discovering Craven, Richard Harland Collection and Craven Museum Lithics Collections CD-Roms

    Directory of Open Access Journals (Sweden)

    Gail Falkingham

    2003-07-01

    Full Text Available Discovering Craven is aimed at the general reader, and provides a beautifully illustrated and presented interactive CD-Rom, created with Illuminatus Interactive. Craven is one of the seven districts within the county of North Yorkshire, a large area of which falls within the Yorkshire Dales National Park.

  12. Trainer's Guide to Building Blocks for Teaching Preschoolers with Special Needs [CD-ROM

    Science.gov (United States)

    Joseph, Gail E.; Sandall, Susan R.; Schwartz, Ilene S.

    2010-01-01

    An essential teaching companion for instructors of pre-K educators, this convenient CD-ROM is a vivid blueprint for effective inclusive education using the popular "Building Blocks" approach. Following the structure of the bestselling textbook, this comprehensive guide helps teacher educators provide effective instruction on the three types of…

  13. Students Working with an English Learners' Dictionary on CD-ROM.

    Science.gov (United States)

    Winkler, Birgit

    This paper examines the growing literature on pedagogical lexicography and the growing focus on how well the learner uses the dictionary in second language learning. Dictionaries are becoming more user-friendly. This study used the writing task to reveal new insights into how students use a CD-ROM dictionary. It found a lack of dictionary-using…

  14. Reduced Order Model Basis Vector Generation: Generates Basis Vectors fro ROMs

    Energy Technology Data Exchange (ETDEWEB)

    2016-03-03

    libROM is a library that implements order reduction via singular value decomposition (SVD) of sampled state vectors. It implements 2 parallel, incremental SVD algorithms and one serial, non-incremental algorithm. It also provides a mechanism for adaptive sampling of basis vectors.

  15. Ambient Temperature Based Thermal Aware Energy Efficient ROM Design on FPGA

    DEFF Research Database (Denmark)

    Saini, Rishita; Bansal, Neha; Bansal, Meenakshi

    2015-01-01

    Thermal aware design is currently gaining importance in VLSI research domain. In this work, we are going to design thermal aware energy efficient ROM on Virtex-5 FPGA. Ambient Temperature, airflow, and heat sink profile play a significant role in thermal aware hardware design life cycle. Ambient...

  16. Integreret cd-rom- og Internet-koncept til elektronisk referenceværk

    DEFF Research Database (Denmark)

    Almind, Richard; Bergenholtz, Henning

    1998-01-01

    Der foreslås en teoretisk ramme for en elektronisk ordbog, der integrerer internettets dynamiske formidlingskanaler med en cd-roms statiske lagre af information. Formålet er at formindske søgetiderne, løbende at kunne opdatere den tilgængelige viden og at sikre et acceptabelt brugerniveau. Samtid...

  17. RADIUS: Research Archive on Disability in the United States. [CD-ROMs].

    Science.gov (United States)

    Sociometrics Corp., Los Altos, CA.

    This Research Archive on Disability in the United States (RADIUS), a database on CD-ROM, contains 19 data sets on the prevalence, incidence, correlates, and consequences of disability in the United States. The 19 data sets are: (1) 1991 National Maternal and Infant Health Follow-Up Survey; (2) National Pediatric Trauma Registry, 1988-1994; (3)…

  18. EP and CD-ROM products - Current trends of production and market development -

    Science.gov (United States)

    Watanabe, Kazuhiko

    The printed books and magazines/journals have been, and still even now are, dominant materials for public reading and reference usage. Microform publications have been also adopted for library collection build-up, but it is still within a very limited scale and coverage. As the first "new media" product, we should approve the fact that "CD-ROM" keeps amazingly large information storage capacity and also quite flexible application utility. So far, among the firstly released CD-ROMS, bibliographic databases, both for Japanese and English publications, look already quite widely purchased and now installed in many workstations of libraries. The users should evaluate its cost-effectiveness not only by its great data storage capacity but also by its frequent usage merit for library work rationalization. Multiple applied usage of CD-ROM will surely serve to such library routine works as searching, cataloguing, reading list preparation, inventory checking and new order placing, etc. 'CD-ROM' is the first EP product for quite wide usage.

  19. Two CD-ROM Products for Social Studies Classrooms. Instructional Technology.

    Science.gov (United States)

    White, Charles

    1995-01-01

    Provides reviews of two CD-ROM products currently available for social studies education. Describes the content, technical requirements, and instructional strategies of "Who Built America?" and "The Revolutionary War." Also contains a review of a videotape about the internment of Japanese Americans during World War II. (CFR)

  20. The Phenomenal World of Physics. The Science Club. Ages 10-14. [CD-ROM].

    Science.gov (United States)

    1999

    This CD-ROM allows students to learn about physics principles and the scientists who discovered them through genius or luck. The simplicity of these physical laws and how the discovery of these laws has improved the daily lives of humans is discussed. The computer program explores the physics behind the earth's rotation, Archimedes' Principles,…

  1. Hybrid finite-volume-ROM approach to non-linear aerospace fluid-structure interaction modelling

    CSIR Research Space (South Africa)

    Mowat, AGB

    2011-06-01

    Full Text Available frame, describe the fluid domain while the structure is represented by a quadratic modal reduced order model (ROM). A Runge-Kutta dual-timestepping method is employed for the fluid solver, and three upwind schemes are considered viz. AUSM+ -up, HLLC...

  2. Our Crowded Shores: Balancing Growth and Resource Protection. [CD-ROM].

    Science.gov (United States)

    National Oceanic and Atmospheric Administration (DOC), Washington, DC. Environmental Data Service.

    This interactive educational CD-ROM is designed for the general public and examines the extent of coastal population growth and development and their impact on coastal resources. High schools will find it a useful complement to environmental sciences curricula while science and visitors centers, museums, and aquariums will discover it to be a…

  3. Energy-Smart Choices for Schools. An HVAC Comparison Tool. [CD-ROM].

    Science.gov (United States)

    Geothermal Heat Pump Consortium, Inc., Washington, DC.

    A CD ROM program provides comparison construction cost capabilities for heating, ventilation, and air conditioning (HVAC) systems in educational facilities. The program combines multiple types of systems with square footage data on low and high construction cost and school size to automatically calculate HVAC comparative construction costs. (GR)

  4. Energy-Smart Choices for Schools. An HVAC Comparison Tool. [CD-ROM].

    Science.gov (United States)

    Geothermal Heat Pump Consortium, Inc., Washington, DC.

    A CD ROM program provides comparison construction cost capabilities for heating, ventilation, and air conditioning (HVAC) systems in educational facilities. The program combines multiple types of systems with square footage data on low and high construction cost and school size to automatically calculate HVAC comparative construction costs. (GR)

  5. Access Education Literature with ERIC on CD-ROM: An Introductory Workshop.

    Science.gov (United States)

    Roberts, Deanna

    This report provides instructional materials for a voluntary introductory workshop in the use of the Educational Resources and Information Clearinghouse (ERIC) database on CD-ROM. The workshop instruction is based on Leslie J. Brigg's Theories of Instructional Design with instructional objectives based on Robert Gagne's Learning Taxonomy. Library…

  6. S.Meijeres romāna "Krēsla" popularitātes fenomens

    OpenAIRE

    Jurgevica, Ineta

    2010-01-01

    Šī bakalaura darba mērķis is atklāt romāna “Krēsla” popularitātes iemeslus, salīdzināt to ar citiem populāriem un klasiskiem darbiem, kā arī analizēt romānu “Krēsla” no struktūras elementu parauga viedokļa. Pētījuma pamatā izmantoti teorētiskie materiāli par intertekstualitāti un strukturālo analīzi. Bakalaura darbā tika izmantota romānam “Krēsla” veltīto kritikas materiālu analīze, pētīšana un salīdzināšana ar Dž. Ostinas “Lepnums un aiszpriedumi “, E. Brontē “Kalnu aukas”, V. Šekspīra “Rom...

  7. Factors Affecting Pre-Service TESOL Teachers' Attitudes towards Using CD-ROM Dictionary

    Science.gov (United States)

    Issa, Jinan Hatem; Jamil, Hazri

    2011-01-01

    Rapid technological advances in communication technologies and computational power are altering the nature of knowledge, skills, talents and the know-how of individuals. A CD-ROM dictionary is an interesting and effective teaching tool, which captures pre-service teachers' interest and does much more than just translates especially with the…

  8. [Haemorrhage after thyroid surgery].

    Science.gov (United States)

    Swirta, Jarosław S; Barczyński, Marcin

    2014-01-01

    Haemorrhage after thyroid surgery is rare, but if it occurs it is a life-threatening condition necessitating emergency surgery. The aim of this study was to evaluate prevalence and risk factors of haemorrhage after thyroid surgery. A retrospective analysis was undertaken in a group of 8931 consecutive patients with various thyroid diseases treated in 2004-2013 at our institution. Potential risk factors for postoperative haemorrhage after thyroid surgery were analysed using logistic regression model. Haemorrhage after thyroid operation necessitating emergency surgery occurred in 40 (0.45%) of 8931 patients. None of the patients died within the perioperative period. Bleeding occurred within first 24 hours following surgery in 38 (95%) patients, and in the remaining 2 (5%) patients in more than 24 hours after initial surgery. The following risk factors for bleeding after thyroid operation were identified: male sex (OR 3.618; 1.762-7.430; p or = 70 years (OR 3.052; 1.275-7.304; p = 0.012), surgery for hyperthyroidism (OR 2.873; 1.511-5.462; p = 0.001), smoking (OR 2.855; 1.502-5.428; p = 0.001), subtotal thyroidectomy in contrast to total thyroidectomy or lobectomy (OR 2.853; 1.356-6.004; p=0.006), and thyroid operation undertaken by resident in training in general surgery (OR 2.596; 1.393-4.837; p = 0.003). Haemorrhage after thyroid operation necessitating emergency surgical intervention occurs most frequently within first 24 hour following surgery. Hence, for safety reasons a minimum of 24-hour hospital stay is recommended in all patients with risk factors for postoperative bleeding after thyroid operation. Quality monitoring of thyroid surgery should include also risk factors for postoperative bleeding.

  9. Endodontic surgery.

    Science.gov (United States)

    Chong, B S; Rhodes, J S

    2014-03-01

    A better understanding of endodontic disease and the causes of treatment failure has refined the role of surgery in endodontics. The advent of newer materials, advances in surgical armamentarium and techniques have also led to an improved endodontic surgical outcome. The aim of this article is to provide a contemporary and up-to-date overview of endodontic surgery. It will focus primarily on the procedures most commonly performed in endodontic surgery.

  10. Simulation of Lake Victoria Circulation Patterns Using the Regional Ocean Modeling System (ROMS).

    Science.gov (United States)

    Nyamweya, Chrispine; Desjardins, Christopher; Sigurdsson, Sven; Tomasson, Tumi; Taabu-Munyaho, Anthony; Sitoki, Lewis; Stefansson, Gunnar

    2016-01-01

    Lake Victoria provides important ecosystem services including transport, water for domestic and industrial uses and fisheries to about 33 million inhabitants in three East African countries. The lake plays an important role in modulating regional climate. Its thermodynamics and hydrodynamics are also influenced by prevailing climatic and weather conditions on diel, seasonal and annual scales. However, information on water temperature and circulation in the lake is limited in space and time. We use a Regional Oceanographic Model System (ROMS) to simulate these processes from 1st January 2000 to 31st December 2014. The model is based on real bathymetry, river runoff and atmospheric forcing data using the bulk flux algorithm. Simulations show that the water column exhibits annual cycles of thermo-stratification (September-May) and mixing (June-August). Surface water currents take different patterns ranging from a lake-wide northward flow to gyres that vary in size and number. An under flow exists that leads to the formation of upwelling and downwelling regions. Current velocities are highest at the center of the lake and on the western inshore waters indicating enhanced water circulation in those areas. However, there is little exchange of water between the major gulfs (especially Nyanza) and the open lake, a factor that could be responsible for the different water quality reported in those regions. Findings of the present study enhance understanding of the physical processes (temperature and currents) that have an effect on diel, seasonal, and annual variations in stratification, vertical mixing, inshore-offshore exchanges and fluxes of nutrients that ultimately influence the biotic distribution and trophic structure. For instance information on areas/timing of upwelling and vertical mixing obtained from this study will help predict locations/seasons of high primary production and ultimately fisheries productivity in Lake Victoria.

  11. Simulation of Lake Victoria Circulation Patterns Using the Regional Ocean Modeling System (ROMS.

    Directory of Open Access Journals (Sweden)

    Chrispine Nyamweya

    Full Text Available Lake Victoria provides important ecosystem services including transport, water for domestic and industrial uses and fisheries to about 33 million inhabitants in three East African countries. The lake plays an important role in modulating regional climate. Its thermodynamics and hydrodynamics are also influenced by prevailing climatic and weather conditions on diel, seasonal and annual scales. However, information on water temperature and circulation in the lake is limited in space and time. We use a Regional Oceanographic Model System (ROMS to simulate these processes from 1st January 2000 to 31st December 2014. The model is based on real bathymetry, river runoff and atmospheric forcing data using the bulk flux algorithm. Simulations show that the water column exhibits annual cycles of thermo-stratification (September-May and mixing (June-August. Surface water currents take different patterns ranging from a lake-wide northward flow to gyres that vary in size and number. An under flow exists that leads to the formation of upwelling and downwelling regions. Current velocities are highest at the center of the lake and on the western inshore waters indicating enhanced water circulation in those areas. However, there is little exchange of water between the major gulfs (especially Nyanza and the open lake, a factor that could be responsible for the different water quality reported in those regions. Findings of the present study enhance understanding of the physical processes (temperature and currents that have an effect on diel, seasonal, and annual variations in stratification, vertical mixing, inshore-offshore exchanges and fluxes of nutrients that ultimately influence the biotic distribution and trophic structure. For instance information on areas/timing of upwelling and vertical mixing obtained from this study will help predict locations/seasons of high primary production and ultimately fisheries productivity in Lake Victoria.

  12. En teoretisk utdyping av rom og materialitet som pedagogisk ressurs i barnehagen

    Directory of Open Access Journals (Sweden)

    Solveig Nordtømme

    2015-07-01

    Full Text Available Abstract: This article is a theoretical exploration with the aim of discussing an ontological basis for space and materiality as educational resources in kindergarten. Attention is directed on children’s play experiences interacting with space and materiality, and how children use and create space. The metaphors front stage, space in between, and backstage (inspired from Erving Goffman, 1969, which form the study's main findings, are used as the backdrop for the issue and analyzes. The empirical material used in this exploration has been collected with an ethnographic methodological approach in two kindergartens. Maurice Merleau-Ponty’s (1962 focus on bodily experience and presence in space, along with concepts from Latour’s (2005 actor-network theory, is used to explore the data. The article contributes with theoretical tools for professionals in kindergarten teaching, to shed light on the importance of space, materiality and play in children's everyday life in kindergarten.Sammendrag: Denne artikkelen diskuterer et ontologisk grunnlag og er en teoretisk utforskning av rom og materialitet som en pedagogisk ressurs i barnehagen. Oppmerksomheten er rettet mot barns lekeerfaringer i samspill med rom og materialitet, og hvordan barn bruker og skaper rom. Metaforene hovedrom, mellomrom, og bakrom (inspirert fra Erving Goffman, 1969, som danner studiens hovedfunn, blir brukt som et bakteppe for problemstilling og analyser av det empiriske materialet fra to barnehager. Maurice Merleau-Ponty publikasjoner The Phenomenology of Perception (Merleau-Ponty, 1962 med sitt fokus på kroppslig erfaring i levd rom, blir brukt sammen med begreper fra Latours aktør-nettverksteori (Latour 2005 til å utforske hvordan rom og materialitet kan være pedagogiske ressurser. Artikkelens kunnskapsbidrag er å presentere et teoretisk verktøy for barnehageprofesjonen og kunnskaper om lekens betydning i barns hverdag i barnehagen.

  13. Anaesthesia for robotic gynaecological surgery.

    Science.gov (United States)

    Gupta, K; Mehta, Y; Sarin Jolly, A; Khanna, S

    2012-07-01

    Robotic surgery is gaining widespread popularity due to advantages such as reduced blood loss, reduced postoperative pain, shorter hospital stay and better visualisation of fine structures. Robots are being used in urological, cardiac, thoracic, orthopaedic, gynaecological and general surgery. Robotic surgery received US Food and Drug Administration approval for use in gynaecological surgery in 2005. The various gynaecological robotic operations being performed are myomectomy, total and supracervical hysterectomy, ovarian cystectomy, sacral colpopexy, tubal reanastomosis, lymph node dissection, surgery of retroperitoneal ectopic pregnancy, Moskowitz procedure and endometriosis surgery. The anaesthetic considerations include difficult access to the patient intraoperatively, steep Trendelenburg position, long surgical duration and the impact of pneumoperitoneum. We highlight the complications encountered in these surgeries and methods to prevent these complications. Robotic gynaecological surgery can be safely performed after considering the physiological effects of the steep Trendelenburg position and of pneumoperitoneum. The benefits of the surgical procedure should be weighed against the risks in patients with underlying cardiorespiratory problems.

  14. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Dental Implant Surgery Dental implant surgery is, of course, surgery, and is best performed by a trained ... Dental Implant Surgery Dental implant surgery is, of course, surgery, and is best performed by a trained ...

  15. Thyroid Surgery

    Science.gov (United States)

    ... etc.). Surgery is also an option for the treatment of hyperthyroidism (Grave’s disease or a “toxic nodule” (see Hyperthyroidism brochure ), for large and multinodular goiters and for any goiter that may be causing ... MEANS OF TREATMENT? Surgery is definitely indicated to remove nodules suspicious ...

  16. Choosing surgery

    DEFF Research Database (Denmark)

    Thorstensson, Carina; Lohmander, L; Frobell, Richard

    2009-01-01

    ABSTRACT: BACKGROUND: The objective was to understand patients' views of treatment after acute anterior cruciate ligament (ACL) injury, and their reasons for deciding to request surgery despite consenting to participate in a randomised controlled trial (to 'cross-over'). METHODS: Thirty-four in......-depth qualitative interviews were conducted with young (aged 18-35), physically active individuals with ACL rupture who were participating in a RCT comparing training and surgical reconstruction with training only. 22/34 were randomised to training only but crossed over to surgery. Of these, 11 were interviewed...... before surgery, and 11 were interviewed at least 6 months after surgery. To provide additional information, 12 patients were interviewed before randomisation. Interviews were audio-recorded, transcribed and analysed using the Framework approach. RESULTS: Strong preference for surgery was commonplace...

  17. Complications in neonatal surgery.

    Science.gov (United States)

    Escobar, Mauricio A; Caty, Michael G

    2016-12-01

    Neonatal surgery is recognized as an independent discipline in general surgery, requiring the expertise of pediatric surgeons to optimize outcomes in infants with surgical conditions. Survival following neonatal surgery has improved dramatically in the past 60 years. Improvements in pediatric surgical outcomes are in part attributable to improved understanding of neonatal physiology, specialized pediatric anesthesia, neonatal critical care including sophisticated cardiopulmonary support, utilization of parenteral nutrition and adjustments in fluid management, refinement of surgical technique, and advances in surgical technology including minimally invasive options. Nevertheless, short and long-term complications following neonatal surgery continue to have profound and sometimes lasting effects on individual patients, families, and society. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Archive of mass spectral data files on recordable CD-ROMs and creation and maintenance of a searchable computerized database.

    Science.gov (United States)

    Amick, G D

    1999-01-01

    A database containing names of mass spectral data files generated in a forensic toxicology laboratory and two Microsoft Visual Basic programs to maintain and search this database is described. The data files (approximately 0.5 KB/each) were collected from six mass spectrometers during routine casework. Data files were archived on 650 MB (74 min) recordable CD-ROMs. Each recordable CD-ROM was given a unique name, and its list of data file names was placed into the database. The present manuscript describes the use of search and maintenance programs for searching and routine upkeep of the database and creation of CD-ROMs for archiving of data files.

  19. On the Feasibility of Using LDOCE4 on CD-ROM to Assist EFL Students’Writing

    Institute of Scientific and Technical Information of China (English)

    柳轶群; 赵鹏

    2013-01-01

    Various kinds of paper dictionaries cannot satisfy the productive needs of EFL/ESL learners. With this in mind, McAlp-ine and Myles designed a new type of monolingual electronic dictionary. Coincidentally, the fourth edition of the Longman Dic-tionary of Contemporary English (LDOCE) (Summers 2003) was published with a supporting CD-ROM in 2003. The per-ceived guiding principle of the CD-ROM design was remarkably similar to that of McAlpine and Myles ’design. It can be as-sumed that the CD-ROM will provide EFL/ESL learners with strong support in their writing.

  20. Complications of pancreatic surgery

    Directory of Open Access Journals (Sweden)

    Åke Andrén-Sandberg

    2011-01-01

    Full Text Available Many diseases, including pancreatitis benign tumors and cancer, may require pancreas surgery. Pancreatic resection can lead to a prolonged survival in pancreatic cancer and even a potential chance for cure. However, the pancreatic surgery can result in complications, and high postoperative morbidity rates are still presence. This article reviews the pancreatic abstracts of American Pancreas Club 2011, which involves the more common complications, their prevention and treatment.

  1. Less extensive surgery compared to extensive surgery

    DEFF Research Database (Denmark)

    Lauszus, Finn F; Petersen, Astrid C; Neumann, Gudrun

    2014-01-01

    OBJECTIVE: To describe the outcome of adult granulosa cell tumor (AGCT) with respect to initial clinical findings, methods of surgery, and perioperative treatment. STUDY DESIGN: Retrospective follow-up study. Setting: All hospitals in Jutland. Sample: 163 women diagnosed with AGCT. Methods: Follow......-up by hospital data files, general practitioner, death certificate, and autopsy report. Revision of histopathology by a single pathologist. Main outcome measures: Survival and relapse by clinical data, stage, and type of surgery. RESULTS: The incidence of AGCT was 1.37 per year per 100,000 women (95% CI: 1.08, 1...... in postmenopausal women was associated with surgery including hysterectomy and bilateral oophorectomy (psurgery. Endometrial carcinoma was found 138 times (95% CI: 48, 275) more prevalent than the expected rate. CONCLUSION...

  2. Poemele homerice în veșminte românești. O analiză diacronică (I

    Directory of Open Access Journals (Sweden)

    Petre Gheorghe Bârlea

    2015-07-01

    Full Text Available Lucrarea pe care o propunem vizează istoria traducerilor românești ale poemelor homerice, din perspectiva evoluției limbii române literare. Pornim de la premisa că orice asemenea traducere reprezintă o probă de virtuozitate nu numai pentru traducătorul în cauză, ci și pentru limba și cultura modernă respectivă, așa încît este interesant de studiat modul în care dezvoltarea exegezei homerice și a teoriilor traductologice se manifestă în paralel cu etapele evoluției limbilor moderne. Grila de analiză va include, așadar, principii, metode și instrumente de lucru ale domeniilor amintite aici (istoria limbii, traductologie, dar și elemente împrumutate din gramatica constrastiv-tipologică, din filologie, în sensul restrîns al conceptului, din teoria mentalităților, istoria culturală ș.a. Demersul nostru evidențiază faptul că evoluția istorică a actului traducerii este marcată, în mod firesc, de personalitatea traducătorului (opțiuni teoretice, ideologice, pe lîngă competențe lingvistice, har poetic etc., dar și de contextul cultural al epocii și al spațiului respectiv. Pentru cultura română, cel puțin, putem constata că, în ansamblu, versiunea cea mai recentă este și cea mai reușită.

  3. A high-performance MUX-direct digital frequency synthesizer with quarter ROMs

    Institute of Scientific and Technical Information of China (English)

    Hao Zhikun; Zhang Qiang; Ni Weining; Shi Yin

    2012-01-01

    This paper presents a detailed description of a high-performance direct digital frequency synthesizer (DDFS) using optimized quarter ROMs.To improve the working frequency and spectral purity,an original quarter ROMs structure in 0.13 μm CMOS is brought forward and implemented.The working frequency is increased by 40% compared with Yuan Ling's method[1] of implementing a segmented DAC based DDFS.It has been implemented in 0.13 μm CMOS technology.The DDFS has a resolution of 10 bits with a measured SFDR 54 dBc.Its maximum operating frequency is 1.2 GHz by using six pipelining stages.Analytical investigation of improving spectral performances by using dual-slope approximation and pipeline is also presented.

  4. Adolescencia, relaciones románticas y actividad sexual: una revisión

    Directory of Open Access Journals (Sweden)

    Elvia Vargas

    2002-01-01

    Full Text Available Se presenta una revisión de algunas de las investigaciones más recientes sobre la adolescencia y los factores asociados a las relaciones románticas y la actividad sexual durante la adolescencia. Se parte de la premisa de que el análisis de la iniciación romántica y sexual durante la adolescencia requiere de modelos de causalidad múltiple que permitan dar cuenta, conjuntamente, de los factores que se encuentran en los contextos individual, familiar y social asociados con estos dos procesos. Se destaca el papel de los padres en el desarrollo de hijos adolescentes autónomos, capaces de manejar la influencia negativa del grupo de pares. Se hacen algunas recomendaciones a los responsables de diseñar programas de prevención y a los interesados en el estudio de la adolescencia y en el desarrollo de la disciplina

  5. Relaciones románticas en el trabajo: una revisión

    Directory of Open Access Journals (Sweden)

    DAVID MARTÍNEZ-IÑIGO

    2000-01-01

    Full Text Available El artículo recoge los resultados de las investigaciones realizadas sobre las relaciones románticas en el trabajo. La revisión incluye aspectos como la definición de las relaciones citadas, los datos disponibles sobre su incidencia y las distintas tipologías y clasificaciones. Además se analizan los factores que promueven su formación y desarrollo, así como las consecuencias, individuales, grupales y organizacionales que se derivan de las relaciones románticas. Finalmente, se describen las estrategias y políticas para su manejo y se incluyen una serie de recomendaciones para futuros trabajos de investigación en este área.

  6. A forma do paradoxo: Friedrich Schlegel e a ironia romântica

    Directory of Open Access Journals (Sweden)

    Constantino Luz de Medeiros

    2014-04-01

    Full Text Available Definida como beleza lógica e forma do paradoxo, a ironia romântica de Friedrich Schlegel (1772-1829 assimila a antiga ironia socrática e a reinterpreta, inserindo-a como elemento central de sua teorização crítico-literária. O presente artigo analisa a ironia romântica, buscando situar sua alteração e abrangência no final do século XVIII, quando o conceito passa a significar metacrítica, reflexão filosófica, ruptura ficcional, distância estética e forma de exposição da arte literária.

  7. Total hip arthroplasty (S-ROM stem and subtrochanteric osteotomy for Crowe type IV developmental dysplasia of the hip

    Directory of Open Access Journals (Sweden)

    Liangtao Li

    2016-01-01

    Conclusions: In the primary THA for the treatment of irreducible DDH, subtrochanteric oblique osteotomy combined with the freely-rotatable S-ROM stem provided favorable short term outcomes by affording both morphological and functional advantages.

  8. CARDIOTHORACIC SURGERY

    African Journals Online (AJOL)

    lbadan, Nigeria. Reprint requests to: Dr. V. O. Adegboye, Department Of Surgery, University College Hospital, Iberian,. Nigeria. ... been shown to be related to the rate of bleeding. .... patients after an interval of conservative/medical treatment.

  9. General Surgery

    African Journals Online (AJOL)

    bbshehu

    underwent major colonic restorative resection between July 1997 and September 199 in order to ... factors, the level of anastomosis and the experience of the surgeon are perhaps the ... indications for surgery and cancer stage were similar.

  10. Brain surgery

    Science.gov (United States)

    Craniotomy; Surgery - brain; Neurosurgery; Craniectomy; Stereotactic craniotomy; Stereotactic brain biopsy; Endoscopic craniotomy ... cut depends on where the problem in the brain is located. The surgeon creates a hole in ...

  11. Hemorrhoid surgery

    Science.gov (United States)

    ... and hemorrhoidectomy. In: Delaney CP, ed. Netter's Surgical Anatomy and Approaches . Philadelphia, PA: Elsevier Saunders; 2014:chap 26. Review Date 4/5/2015 Updated by: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason ...

  12. GENERAL SURGERY

    African Journals Online (AJOL)

    The traditional operative approach is an open surgical one to drain the cysts and ... early outcomes of laparoscopic treatment of liver hydatid cysts at our institution. .... O. Radical vs. conservative surgery for hydatid liver cysts: Experience from ...

  13. Outpatient Surgery

    Science.gov (United States)

    ... thirds of all operations are performed in outpatient facilities, according to the Centers for Disease Control and Prevention. Outpatient surgery provides patients with the convenience of recovering at home, and can cost less. ...

  14. Laparoscopic Surgery

    Science.gov (United States)

    ... surgeon’s perspective, laparoscopic surgery may allow for easier dissection of abdominal scar tissue (adhesions), less surgical trauma, ... on Facebook About ACG ACG Store ACG Patient Education & Resource Center Home GI Health and Disease Recursos ...

  15. Surgery for childhood epilepsy

    Directory of Open Access Journals (Sweden)

    Sita Jayalakshmi

    2014-01-01

    Full Text Available Approximately 60% of all patients with epilepsy suffer from focal epilepsy syndromes. In about 15% of these patients, the seizures are not adequately controlled with antiepileptic drugs; such patients are potential candidates for surgical treatment and the major proportion is in the pediatric group (18 years old or less. Epilepsy surgery in children who have been carefully chosen can result in either seizure freedom or a marked (>90% reduction in seizures in approximately two-thirds of children with intractable seizures. Advances in structural and functional neuroimaging, neurosurgery, and neuroanaesthesia have improved the outcomes of surgery for children with intractable epilepsy. Early surgery improves the quality of life and cognitive and developmental outcome and allows the child to lead a normal life. Surgically remediable epilepsies should be identified early and include temporal lobe epilepsy with hippocampal sclerosis, lesional temporal and extratemporal epilepsy, hemispherical epilepsy, and gelastic epilepsy with hypothalamic hamartoma. These syndromes have both acquired and congenital etiologies and can be treated by resective or disconnective surgery. Palliative procedures are performed in children with diffuse and multifocal epilepsies who are not candidates for resective surgery. The palliative procedures include corpus callosotomy and vagal nerve stimulation while deep brain stimulation in epilepsy is still under evaluation. For children with "surgically remediable epilepsy," surgery should be offered as a procedure of choice rather than as a treatment of last resort.

  16. Emergency surgery

    DEFF Research Database (Denmark)

    Stoneham, M; Murray, D; Foss, N

    2014-01-01

    National reports recommended that peri-operative care should be improved for elderly patients undergoing emergency surgery. Postoperative mortality and morbidity rates remain high, and indicate that emergency ruptured aneurysm repair, laparotomy and hip fracture fixation are high-risk procedures...... undertaken on elderly patients with limited physiological reserve. National audits have reported variations in care quality, data that are increasingly being used to drive quality improvement through professional guidance. Given that the number of elderly patients presenting for emergency surgery is likely...

  17. CD-ROM (Compact Disc Read Only Memory) Library of the Future

    Science.gov (United States)

    1988-06-01

    The external CD-ROM drive sells for $705 and the internal one for $610. 10. Danton Caccuum, Inc. has the DiscLine-500. It can reportedly metalise 500...and design criteria branch at WESTDIV was used primarily because of its proximity to the Naval Postgraduate School. Mr. George Rauch and Mr. Gary...Interview between Mr. Scott Day of Engineering Manage- ment Concepts, Inc., and authors, 18 February 1988. 25. Telephone conversation between George Thomas

  18. Metathesis Cascade Strategies (ROM-RCM-CM): A DOS approach to Skeletally Diverse Sultams

    OpenAIRE

    Jeon, Kyu Ok; Rayabarapu, Dinesh; Rolfe, Alan; Volp, Kelly; Omar, Iman; Hanson, Paul R.

    2009-01-01

    The development of a ring-opening metathesis/ring-closing metathesis/cross metathesis (ROM-RCM-CM) cascade strategy to the synthesis of a diverse collection of bi- and tricyclic sultams is reported. In this study, functionalized sultam scaffolds derived from intramolecular Diels-Alder (IMDA) reactions undergo metathesis cascades to yield a collection tricyclic sultams. Additional appendage based diversity was achieved by utilizing a variety of CM partners.

  19. O andarilho e o romântico: o mito do Judeu Errante em Castro Alves

    Directory of Open Access Journals (Sweden)

    Kenia Maria de Almeida Pereira

    2014-11-01

    Full Text Available O poema “Ahasverus e o gênio”, de Castro Alves dá relevo à lenda do Judeu Errante. Este artigo analisará esse poema e outros textos que apresentem temas judaicos. Levaremos também em consideração alguns estudos anteriores que retomam as questões românticas relacionadas ao poeta gênio e vate de um povo.

  20. Public census data on CD-ROM at Lawrence Berkeley Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1993-01-16

    The Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socioeconomic and geographic data files which are available to CEDR and PAREP collaborators via LBL's computing network. At this time 72 CD-ROM diskettes (approximately 37 gigabytes) are on line via the Unix file server cedrcd.lbl.gov''. Most of the files are from the US Bureau of the Census, and many of these pertain to the 1990 Census of Population and Housing. All the CD-ROM diskettes contain documentation in the form of ASCII text files. In addition, printed documentation for most files is available for inspection at University of California Data and Technical Assistance (UC DATA), tel. (510) 642-6571, or the UC Documents Library, tel. (510) 642-2569, both located on the UC Berkeley Campus. Many of the CD-ROM diskettes distributed by the Census Bureau contain software for PC compatible computers, for easily accessing the data. Shared access to the data is maintained through a collaboration among the CEDR and PAREP projects at LBL, and UC DATA, and the UC Documents Library. LBL is grateful to UC DATA and the UC Documents Library for the use of their CD-ROM diskettes. Shared access to LBL facilities may be restricted in the future if costs become prohibitive. Via the Sun Network File System (NFS), these data can be exported to Internet computers for direct access by the user's application program(s). Due to the size of the files, this access method is preferred over File Transfer Protocol (FTP) access. Please contact Deane Merrill (dwmerrill lbl.gov) if you wish to make use of the data.

  1. Public census data on CD-ROM at Lawrence Berkeley Laboratory. Revision 4

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1993-03-12

    The Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socioeconomic and geographic data files which are available to CEDR and PAREP collaborators via LBL`s computing network. At this time 89 CD-ROM diskettes (approximately 45 gigabytes) are on line via the Unix file server cedrcd.lbl.gov. Most of the files are from the US Bureau of the Census, and many of these pertain to the 1990 Census of Population and Housing. All the CD-ROM diskettes contain documentation in the form of ASCII text files. In addition, printed documentation for most files is available for inspection at University of California Data and Technical Assistance (UC DATA), tel. (510) 642-6571, or the UC Documents Library, tel. (510) 642-2569, both located on the UC Berkeley Campus. Many of the CD-ROM diskettes distributed by the Census Bureau contain software for PC compatible computers, for easily accessing the data. Shared access to the data is maintained through a collaboration among the CEDR and PAREP projects at LBL, and UC DATA, and the UC Documents Library. LBL is grateful to UC DATA and the UC Documents Library for the use of their CD-ROM diskettes. Shared access to LBL facilities may be restricted in the future if costs become prohibitive. Via the Sun Network File System (NFS), these data can be exported to Internet computers for direct access by the user`s application program(s). Due to the size of the files, this access method is preferred over File Transfer Protocol (FTP) access.

  2. Public census data on CD-ROM at Lawrence Berkeley Laboratory. Revision 3

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1993-01-16

    The Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socioeconomic and geographic data files which are available to CEDR and PAREP collaborators via LBL`s computing network. At this time 72 CD-ROM diskettes (approximately 37 gigabytes) are on line via the Unix file server ``cedrcd.lbl.gov``. Most of the files are from the US Bureau of the Census, and many of these pertain to the 1990 Census of Population and Housing. All the CD-ROM diskettes contain documentation in the form of ASCII text files. In addition, printed documentation for most files is available for inspection at University of California Data and Technical Assistance (UC DATA), tel. (510) 642-6571, or the UC Documents Library, tel. (510) 642-2569, both located on the UC Berkeley Campus. Many of the CD-ROM diskettes distributed by the Census Bureau contain software for PC compatible computers, for easily accessing the data. Shared access to the data is maintained through a collaboration among the CEDR and PAREP projects at LBL, and UC DATA, and the UC Documents Library. LBL is grateful to UC DATA and the UC Documents Library for the use of their CD-ROM diskettes. Shared access to LBL facilities may be restricted in the future if costs become prohibitive. Via the Sun Network File System (NFS), these data can be exported to Internet computers for direct access by the user`s application program(s). Due to the size of the files, this access method is preferred over File Transfer Protocol (FTP) access. Please contact Deane Merrill (dwmerrill@lbl.gov) if you wish to make use of the data.

  3. [Robotic surgery].

    Science.gov (United States)

    Moreno-Portillo, Mucio; Valenzuela-Salazar, Carlos; Quiroz-Guadarrama, César David; Pachecho-Gahbler, Carlos; Rojano-Rodríguez, Martín

    2014-12-01

    Medicine has experienced greater scientific and technological advances in the last 50 years than in the rest of human history. The article describes relevant events, revises concepts and advantages and clinical applications, summarizes published clinical results, and presents some personal reflections without giving dogmatic conclusions about robotic surgery. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) defines robotic surgery as a surgical procedure using technology to aid the interaction between surgeon and patient. The objective of the surgical robot is to correct human deficiencies and improve surgical skills. The capacity of repeating tasks with precision and reproducibility has been the base of the robot´s success. Robotic technology offers objective and measurable advantages: - Improving maneuverability and physical capacity during surgery. - Correcting bad postural habits and tremor. - Allowing depth perception (3D images). - Magnifying strength and movement limits. - Offering a platform for sensors, cameras, and instruments. Endoscopic surgery transformed conceptually the way of practicing surgery. Nevertheless in the last decade, robotic assisted surgery has become the next paradigm of our era.

  4. [Aesthetic surgery].

    Science.gov (United States)

    Bruck, Johannes C

    2006-01-01

    The WHO describes health as physical, mental and social well being. Ever since the establishment of plastic surgery aesthetic surgery has been an integral part of this medical specialty. It aims at reconstructing subjective well-being by employing plastic surgical procedures as described in the educational code and regulations for specialists of plastic surgery. This code confirms that plastic surgery comprises cosmetic procedures for the entire body that have to be applied in respect of psychological exploration and selection criteria. A wide variety of opinions resulting from very different motivations shows how difficult it is to differentiate aesthetic surgery as a therapeutic procedure from beauty surgery as a primarily economic service. Jurisdiction, guidelines for professional conduct and ethical codes have tried to solve this question. Regardless of the intention and ability of the health insurances, it has currently been established that the moral and legal evaluation of advertisements for medical procedures depends on their purpose: advertising with the intent of luring patients into cosmetic procedures that do not aim to reconstruct a subjective physical disorder does not comply with a medical indication. If, however, the initiative originates with the patient requesting the amelioration of a subjective disorder of his body, a medical indication can be assumed.

  5. The Application of a Modified d-ROMs Test for Measurement of Oxidative Stress and Oxidized High-Density Lipoprotein

    Science.gov (United States)

    Ito, Fumiaki; Ito, Tomoyuki; Suzuki, Chinatsu; Yahata, Tomoyo; Ikeda, Kazuyuki; Hamaoka, Kenji

    2017-01-01

    Reactive oxygen species (ROS) are involved in the initiation and progression of atherosclerosis. ROS-derived hydroperoxides, as an indicator of ROS production, have been measured by using the diacron reactive oxygen metabolites (d-ROMs) test, which requires iron-containing transferrin in the reaction mixture. In this study we developed a modified d-ROMs test, termed the Fe-ROMs test, where iron ions were exogenously added to the reaction mixture. This modification is expected to exclude the assay variation that comes from different blood iron levels in individuals. In addition, this Fe-ROMs test was helpful for determining the class of plasma lipoproteins that are hydroperoxidized. Low-density lipoprotein/very low-density lipoprotein (LDL/VLDL) and high-density lipoprotein (HDL) were purified by use of an LDL/VLDL purification kit and the dextran sulfate-Mg2+ precipitation method, respectively; their hydroperoxide contents were assessed by performing the Fe-ROMs test. The majority of the hydroperoxides were detected only in the HDL fraction, not in the LDL/VLDL. Further detailed analysis of HDLs by size-exclusion high-performance liquid chromatography revealed that the hydroperoxide-containing molecules were small-sized HDLs. Because HDL was shown to be the principal vehicle for the plasma hydroperoxides, this Fe-ROMs test is a beneficial method for the assessment of oxidized-HDL levels. Indeed, Fe-ROMs levels were strongly associated with the levels of oxidized HDL, which were determined by performing the malondialdehyde-modified HDL enzyme immunoassay. In conclusion, the Fe-ROMs test using plasma itself or the HDL fraction after dextran sulfate-Mg2+ precipitation is useful to assess the functionality of HDL, because the oxidation of HDL impairs its antiatherogenic capacity. PMID:28230785

  6. The Application of a Modified d-ROMs Test for Measurement of Oxidative Stress and Oxidized High-Density Lipoprotein.

    Science.gov (United States)

    Ito, Fumiaki; Ito, Tomoyuki; Suzuki, Chinatsu; Yahata, Tomoyo; Ikeda, Kazuyuki; Hamaoka, Kenji

    2017-02-21

    Reactive oxygen species (ROS) are involved in the initiation and progression of atherosclerosis. ROS-derived hydroperoxides, as an indicator of ROS production, have been measured by using the diacron reactive oxygen metabolites (d-ROMs) test, which requires iron-containing transferrin in the reaction mixture. In this study we developed a modified d-ROMs test, termed the Fe-ROMs test, where iron ions were exogenously added to the reaction mixture. This modification is expected to exclude the assay variation that comes from different blood iron levels in individuals. In addition, this Fe-ROMs test was helpful for determining the class of plasma lipoproteins that are hydroperoxidized. Low-density lipoprotein/very low-density lipoprotein (LDL/VLDL) and high-density lipoprotein (HDL) were purified by use of an LDL/VLDL purification kit and the dextran sulfate-Mg(2+) precipitation method, respectively; their hydroperoxide contents were assessed by performing the Fe-ROMs test. The majority of the hydroperoxides were detected only in the HDL fraction, not in the LDL/VLDL. Further detailed analysis of HDLs by size-exclusion high-performance liquid chromatography revealed that the hydroperoxide-containing molecules were small-sized HDLs. Because HDL was shown to be the principal vehicle for the plasma hydroperoxides, this Fe-ROMs test is a beneficial method for the assessment of oxidized-HDL levels. Indeed, Fe-ROMs levels were strongly associated with the levels of oxidized HDL, which were determined by performing the malondialdehyde-modified HDL enzyme immunoassay. In conclusion, the Fe-ROMs test using plasma itself or the HDL fraction after dextran sulfate-Mg(2+) precipitation is useful to assess the functionality of HDL, because the oxidation of HDL impairs its antiatherogenic capacity.

  7. The Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", Vol.1.

    Science.gov (United States)

    Vieira, Millena Maria Ramalho Matta; Berretin-Felix, Giédre; Brasolotto, Alcione Ghedini

    2009-01-01

    The CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine" was developed as a teaching tool for people interested in the production of the spoken or sung human voice. Its content comprises several subjects concerning the anatomy and physiology of spoken and sung voice. A careful assessment becomes necessary in order to ensure the effectiveness of teaching and learning educational materials, whether related to education or health, within the proposal of education mediated by technology. This study aimed to evaluate the efficacy of the Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", as a self-learning material, in two different populations: Speech-Language Pathology and Audiology students and Lyrical Singing students. The participants were instructed to study the CD-ROM during 1 month and answer two questionnaires: one before and another one after studying the CD-ROM. The quantitative results were compared statistically by the Student's t-test at a significance level of 5%. Seventeen out of the 28 students who completed the study, were Speech-Language Pathology and Audiology students, while 11 were Lyrical Singing students (dropout rate of 44%). Comparison of the answers to the questionnaires before and after studying the CD-ROM showed a statistically significant increase of the scores for the questionnaire applied after studying the CD-ROM for both Speech-Language Pathology and Audiology and Lyrical Singing students, with pAudiology and Lyrical Singing students' knowledge before and after learning from the CD-ROM allowed concluding that the participants made significant improvement in their knowledge of the proposed contents after studying the CD-ROM. Based on this, it is assumed that this didactic material is an effective instrument for self-learning of this population.

  8. Argila: uma visão romântica do Brasil?

    Directory of Open Access Journals (Sweden)

    Cid Vasconcelos

    2011-01-01

    Full Text Available O artigo pretende efetivar uma leitura do filme Argila (1940, de Humberto Mauro, sob o prisma de suas influências românticas, enfatizando as relações afetivas do triangulo amoroso, aconstrução dos personagens e de símbolos identitários nacionais como elementos importantes na construção da mesma. O ideário romântico demonstra ser um importante aliado na defesa de uma caracterização do popular que procura se distanciar do preconceito a ele dirigido pelos intelectuais da Primeira República, aproximando-se do ideário estado-novista. Os comentários se apóiam no próprio texto fílmico como igualmente em material bibliográfico sobre o filme e o cineasta, além detextos sobre e contemporâneos ao período histórico em questão. Com relação à estética romântica são utilizados tanto os textos de José de Alencar, como comentaristas dos mesmos e do romantismo de modo mais amplo.

  9. COPPER RESISTANT STRAIN CANDIDA TROPICALIS RomCu5 INTERACTION WITH SOLUBLE AND INSOLUBLE COPPER COMPOUNDS

    Directory of Open Access Journals (Sweden)

    Ie. P. Prekrasna

    2015-10-01

    Full Text Available The focus of the study was interaction of Candida tropicalis RomCu5 isolated from highland Ecuador ecosystem with soluble and insoluble copper compounds. Strain C. tropicalis RomCu5 was cultured in a liquid medium of Hiss in the presence of soluble (copper citrate and CuCl2 and insoluble (CuO and CuCO3 copper compounds. The biomass growth was determined by change in optical density of culture liquid, composition of the gas phase was measured on gas chromatograph, redox potential and pH of the culture fluid was defined potentiometrically. The concentration of soluble copper compounds was determined colorimetrically. Maximal permissible concentration of Cu2+ for C. tropicalis RomCu5 was 30 000 ppm of Cu2+ in form of copper citrate and 500 ppm of Cu2+ in form of CuCl2. C. tropicalis was metabolically active at super high concentrations of Cu2+, despite the inhibitory effect of Cu2+. C. tropicalis immobilized Cu2+ in the form of copper citrate and CuCl2 by it accumulation in the biomass. Due to medium acidification C. tropicalis dissolved CuO and CuCO3. High resistance of C. tropicalis to Cu2+ and ability to interact with soluble and insoluble copper compounds makes it biotechnologically perspective.

  10. Scrisul epistolar românesc: o perspectivă cultural-retorică (II

    Directory of Open Access Journals (Sweden)

    Gabriela-Iuliana Morcov

    2016-08-01

    Full Text Available Articolul se concentrează asupra particularităților ce definesc scrisul epistolar românesc în perioada sa de formare și de consolidare. Analiza structurii și trăsăturilor stilistice ale textului epistolar are în vedere compoziția vechilor documente românești, în conformitate cu standardele impuse de formularul creat după model slavon, dar și raportarea textelor vechi la doctrina celor trei ipostaze ale elocuției – stilul simplu, stilul moderat și stilul înalt. Descrierea vechiului stil epistolar românesc este întregită prin propunerea unei clasificări funcționale a documentelor pe baza modelului comunicativ dezvoltat de Roman Jakobson (1964; într-un cadru delimitat de cei șase factori ai comunicării, scrierile epistolare sînt organizate în diferite categorii, în funcție de aparteneța socio-culturală a emițătorului și de competența comunicativă a acestuia și, respectiv, a receptorului, precum și în funcție de raportarea mesajului epistolar la context, la codul lingvistic utilizat și la specificul canalului comunicativ.

  11. A perspectiva evolucionista sobre relações românticas

    Directory of Open Access Journals (Sweden)

    Victor Kenji M. Shiramizu

    2013-04-01

    Full Text Available As relações românticas possuem um forte impacto no nosso cotidiano. Todavia, a compreensão do motivo pelo qual alguns relacionamentos românticos duram mais do que outros se torna mais consistente integrando perspectivas biológicas e sociais. Este trabalho tem como objetivo revisar de forma crítica os conceitos sobre Amor, Teoria do Apego e as Estratégias Sexuais a partir de uma perspectiva evolucionista, a fim de contribuir com a revisão para a literatura no Brasil. As lacunas observadas sobre a temática conjuntamente com resultados obtidos em algumas pesquisas em nosso país são encorajadores para a manutenção da integração teórica na área de pesquisa, que pode ser aplicada na orientação de casais, contribuindo para a satisfação dentro dos relacionamentos românticos.

  12. Public census data on CD-ROM at Lawrence Berkeley Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1992-10-01

    The Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socio-economic and geographic data files which are available to CEDR and PAREP collaborators via LBL`s computing network. At this time 70 CD-ROM diskettes (approximately 36 gigabytes) are on line via the Unix file server cedrcd. lbl. gov. Most of the files are from the US Bureau of the Census, and most pertain to the 1990 Census of Population and Housing. All the CD-ROM diskettes contain documentation in the form of ASCII text files. Printed documentation for most files is available for inspection at University of California Data and Technical Assistance (UC DATA), or the UC Documents Library. Many of the CD-ROM diskettes distributed by the Census Bureau contain software for PC compatible computers, for easily accessing the data. Shared access to the data is maintained through a collaboration among the CEDR and PAREP projects at LBL, and UC DATA, and the UC Documents Library. Via the Sun Network File System (NFS), these data can be exported to Internet computers for direct access by the user`s application program(s).

  13. Public census data on CD-ROM at Lawrence Berkeley Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Merrill, D.W.

    1992-10-01

    The Comprehensive Epidemiologic Data Resource (CEDR) and Populations at Risk to Environmental Pollution (PAREP) projects, of the Information and Computing Sciences Division (ICSD) at Lawrence Berkeley Laboratory (LBL), are using public socio-economic and geographic data files which are available to CEDR and PAREP collaborators via LBL's computing network. At this time 70 CD-ROM diskettes (approximately 36 gigabytes) are on line via the Unix file server cedrcd. lbl. gov. Most of the files are from the US Bureau of the Census, and most pertain to the 1990 Census of Population and Housing. All the CD-ROM diskettes contain documentation in the form of ASCII text files. Printed documentation for most files is available for inspection at University of California Data and Technical Assistance (UC DATA), or the UC Documents Library. Many of the CD-ROM diskettes distributed by the Census Bureau contain software for PC compatible computers, for easily accessing the data. Shared access to the data is maintained through a collaboration among the CEDR and PAREP projects at LBL, and UC DATA, and the UC Documents Library. Via the Sun Network File System (NFS), these data can be exported to Internet computers for direct access by the user's application program(s).

  14. CD-ROM Applications in Professional Military Education (PME)

    Science.gov (United States)

    1992-10-01

    Software from several vendors operates with these networks, including Novell Netware, Microsoft LAN Manager, and Banyan Vines . For the sake of long-term...90503 Epson America 2780 Lomita Blvd. 800/922-8911 Torrance, CA 90505 310/782-0770 Hewlett Packard 19310 Prune Ridge Ave. 800/752-9000 Cupertino, CA

  15. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... find out more. Dental and Soft Tissue Surgery Dental and Soft Tissue Surgery Oral and facial surgeons ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, ...

  16. Tennis elbow surgery

    Science.gov (United States)

    Lateral epicondylitis - surgery; Lateral tendinosis - surgery; Lateral tennis elbow - surgery ... Surgery to repair tennis elbow is usually an outpatient surgery. This means you will not stay in the hospital overnight. You will be given ...

  17. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  18. Mohs micrographic surgery

    Science.gov (United States)

    Skin cancer - Mohs surgery; Basal cell skin cancer - Mohs surgery; Squamous cell skin cancer - Mohs surgery ... Mohs surgery usually takes place in the doctor's office. The surgery is started early in the morning and is ...

  19. Corrective Jaw Surgery

    Science.gov (United States)

    ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  20. RCRA and operational monitoring (ROM): Multi-year program plan and fiscal year 96 work plan. WBS 1.5.3, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The RCRA & Operational Monitoring (ROM) Program Office manages the Hanford Site direct funded Resource Conservation and Recovery Act (RCRA) and Operational Monitoring under Work Breakdown Structure (WBS) 1.01.05.03. The ROM Program Office is included in Hanford Technical Services, a part of Projects & Site Services of Westinghouse Hanford Company (WHC). The 1996 Multi-Year Program Plan (MYPP) includes the Fiscal Year Work Plan (FYWP). The Multi-Year Program Plan takes its direction from the Westinghouse Planning Baseline Integration Organization. The MYPP provides both the near term, enhanced details and the long term, projected details for the Program Office to use as baseline Cost, Scope and Schedule. Change Control administered during the fiscal year is against the baseline provided by near term details of this document. The MYPP process has been developed by WHC to meet its internal planning and integration needs and complies with the requirements of the US Department of Energy, Richland Operations Office (RL) Long Range Planning Process Directive (RLID 5000.2). Westinghouse Hanford Company (WHC) has developed the multi-year planning process for programs to establish the technical, schedule and cost baselines for program and support activities under WHC`s scope of responsibility. The baseline information is developed by both WHC indirect funded support services organization, and direct funded programs in WHC. WHC Planning and Integration utilizes the information presented in the program specific MYPP and the Program Master Baseline Schedule (PMBS) to develop the Site-Wide Integrated Schedule.

  1. An algorithmic approach to rehabilitation following arthroscopic surgery for arthrofibrosis of the knee: A case series.

    Science.gov (United States)

    Eckenrode, Brian J

    2017-09-01

    Loss of knee range of motion (ROM) has been reported as the most common complication following anterior cruciate ligament reconstruction (ACLR). Arthrofibrosis of the knee, or specifically Cyclops syndrome, has been described as the formation of a scar tissue nodule adjacent to the tibial tunnel of the anterior cruciate ligament (ACL) graft. This lesion often results in loss of knee extension ROM, pain, and impaired function. Three consecutive patients were referred to physical therapy following arthroscopic knee surgery for lysis of adhesions of a Cyclops lesion from a previous ACLR. Arthroscopic debridement was performed between 3 and 12 months post ACLR. An algorithmic progression of extension ROM was the initial focus of physical therapy, which then advanced to strengthening, neuromuscular reeducation, and sport specific training. Following knee surgery for debridement of the Cyclops lesion, mean knee joint ROM at the initial physical therapy evaluation was 7.0° ± 8.6° to 118.3° ± 7.6° that progressed to -1.0° ± 1.7° to 127° ± 2.6° at discharge. Mean numeric pain rating improved from 3.0 ± 1.0 at the evaluation to 0.7 ± 1.1 at discharge. Mean Lower Extremity Functional Scale (LEFS) improved from 56.3 ± 13.6 to 77.0 ± 4.3 at discharge. Arthroscopic debridement of knee joint arthrofibrosis after ACLR in conjunction with a postoperative physical therapy algorithmic approach to maximizing knee joint extension ROM can be beneficial in gaining symmetrical knee extension range of motion and improved function. Further studies may help to understand the optimal mode, frequency, and duration of stretching to achieve full symmetrical knee extension in this population.

  2. Role of Rom protein in copy number control of plasmid pBR322 at different growth rates in Escherichia coli K-12

    DEFF Research Database (Denmark)

    Tove, Atlung; Christensen, Bjarke Bak; Hansen, Flemming G.

    1999-01-01

    The copy number per cell mass of plasmid pBR322 and a rom(-) derivative was measured as a function of generation time. In fast growing cells the copy number per cell mass was virtually identical for rom(+) and rom(-) derivatives. However, the copy number of pBR322 only increased 3- to 4-fold from...... a 20- to 80-min generation time, whereas the copy number of the torn derivative increased 7- to 10-fold. The copy number stayed constant for the rom(+) and rom(-) plasmids at generation times longer than 80-100 min. Thus, the presence of the rom gene decreased the copy number of plasmid pBR322...... effect on the copy number of pBR322 rom(-) at fast growth, but it decreased its copy number at slow growth to the same level as found for pBR322, i.e., complemented the pBR322 rom(-) plasmid. The pACYC184 plasmid and its rom(+) derivatives showed copy numbers similar to those of pBR322 rom(-) and pBR322...

  3. Occupational Safety and Health Guide (OSH Guide) (CD-ROM)

    Science.gov (United States)

    Federal agencies in assessing their compliance with the standards of the Occupational Safety and Health Administration, and it may be used in...combination with an agency-specific manual. The OSH Guide is based on Title 29, Code of Federal Regulations (CFR), Part 1910, Occupational Safety and Health...Standards, and Part 1926, Safety and Health Regulations for Construction. Part 1960, Basic Program Elements for Federal Employee Occupational Safety and Health Programs and Related Mafters, is also included.

  4. Robotic surgery.

    Science.gov (United States)

    Diana, M; Marescaux, J

    2015-01-01

    Proficiency in minimally invasive surgery requires intensive and continuous training, as it is technically challenging for unnatural visual and haptic perceptions. Robotic and computer sciences are producing innovations to augment the surgeon's skills to achieve accuracy and high precision during complex surgery. This article reviews the current use of robotically assisted surgery, focusing on technology as well as main applications in digestive surgery, and future perspectives. The PubMed database was interrogated to retrieve evidence-based data on surgical applications. Internal and external consulting with key opinion leaders, renowned robotics laboratories and robotic platform manufacturers was used to produce state-of-the art business intelligence around robotically assisted surgery. Selected digestive procedures (oesophagectomy, gastric bypass, pancreatic and liver resections, rectal resection for cancer) might benefit from robotic assistance, although the current level of evidence is insufficient to support widespread adoption. The surgical robotic market is growing, and a variety of projects have recently been launched at both academic and corporate levels to develop lightweight, miniaturized surgical robotic prototypes. The magnified view, and improved ergonomics and dexterity offered by robotic platforms, might facilitate the uptake of minimally invasive procedures. Image guidance to complement robotically assisted procedures, through the concepts of augmented reality, could well represent a major revolution to increase safety and deal with difficulties associated with the new minimally invasive approaches. © 2015 BJS Society Ltd. Published by John Wiley & Sons Ltd.

  5. Advances in percutaneous stone surgery

    Directory of Open Access Journals (Sweden)

    Christopher Hartman

    2015-01-01

    Full Text Available Treatment of large renal stones has changed considerably in recent years. The increasing prevalence of nephrolithiasis has mandated that urologists perform more surgeries for large renal calculi than before, and this has been met with improvements in percutaneous stone surgery. In this review paper, we examine recent developments in percutaneous stone surgery, including advances in diagnosis and preoperative planning, renal access, patient position, tract dilation, nephroscopes, lithotripsy, exit strategies, and post-operative antibiotic prophylaxis.

  6. Alberta Surface Rights Board; CD-ROM ed.

    Energy Technology Data Exchange (ETDEWEB)

    Purves, C.J. [Surface Rights Board, Edmonton, AB (Canada)

    1996-06-01

    The difference between surface and mineral rights in Alberta was defined. By definition, surface rights give ownership only to the surface of the land and the right to work it. Mineral rights in contrast give ownership and the right to explore and develop or extract minerals beneath the surface. Oil and gas are the most common minerals in Alberta, however, gold silver, uranium and salt are also included under mineral rights, but sand, gravel, clay, marl and peat, are not. Conditions which limit the mineral owner`s right to explore and develop were summarized. Some case studies of appeals to the court regarding mineral and surface rights were presented.

  7. Orthognathic Surgery

    DEFF Research Database (Denmark)

    Kjærgaard Larsen, Marie; Thygesen, Torben Henrik

    2016-01-01

    The literature shows that the indications for orthognathic surgery (OS) are often functional problems and unsatisfactory facial esthetics. This study investigated the esthetic outcomes and overall satisfaction following OS. Somatosensory change is a relatively common complication and its influence...... on the level of satisfaction was studied. The social-networking web site Facebook was used to identify the study population. An online questionnaire was performed using the website SurveyMonkey. In all, 105 (9%) respondents from the Danish Facebook group about OS, called Kaebeoperation (jaw surgery), were...... in beauty than women (P = 0.030). Sixty-four percent replied that their attractiveness had been increased after OS. Eighty-six percent were happy with the results and 89% would recommend the surgery to others in need. No significant differences in esthetic results and satisfaction were seen with regard...

  8. [Geriatric surgery].

    Science.gov (United States)

    Paulino-Netto, Augusto

    2005-10-01

    Modern medicine, which is evidence-based and overly scientific, has forgotten its artistic component, which is very important for surgery in general and for geriatric surgery in particular. The surgeon treating an old patient must be a politician more than a technician, more an artist than a scientist. Like Leonardo da Vinci, he or she must use scientific knowledge with intelligence and sensitivity, transforming the elderly patient's last days of life into a beautiful and harmonious painting and not into something like an atomic power station which, while no doubt useful, is deprived of beauty and sometimes very dangerous.

  9. Analytical performances of d-ROMs test and BAP test in canine plasma. Definition of the normal range in healthy Labrador dogs.

    Science.gov (United States)

    Pasquini, A; Luchetti, E; Marchetti, V; Cardini, G; Iorio, E L

    2008-02-01

    An high level of ROS (Reactive Oxygen Species), due to an increased production of oxidant species and/or a decreased efficacy of antioxidant system, can lead to oxidative stress, an emerging health risk factor involved in the aging and in many diseases, including inflammatory, infectious and degenerative disorders, either in humans or in animals. In the last years some assays panels have been developed to globally evaluate the oxidative balance by means of the concomitant assessment of ROS production and antioxidant system capability. In this report, the validation trials of d-ROMs (Reactive Oxygen Metabolites- derived compounds) and BAP (Biological Antioxidant Potential) tests in canine specie are described and also the specific referral ranges are calculated in a Labrador population. The results of linearity, precision and accuracy trials show that both tests exhibit good to excellent analytical performances. The possibility of measuring oxidative stress in vivo with simple, cheap and accurate tests, d-ROMs test and BAP test, provides for the veterinarians a very suitable tool to monitor oxidative stress and to correctly choice of eventual antioxidant supplementations in diseases proven related to oxidative stress in animals and particularly in dogs. Further studies will be useful to confirm this possibility.

  10. Current peripheral bypass surgery: various clinical studies

    NARCIS (Netherlands)

    Slaa, Alexander te

    2011-01-01

    Substantial post-operative edema occurs in the majority of patients who undergo peripheral bypass surgery due to severe peripheral arterial disease (PAD). The pathophysiological mechanisms that underlay edema formation following peripheral bypass surgery include hyperemia, an increased capillary per

  11. Current peripheral bypass surgery: various clinical studies

    NARCIS (Netherlands)

    Slaa, Alexander te

    2011-01-01

    Substantial post-operative edema occurs in the majority of patients who undergo peripheral bypass surgery due to severe peripheral arterial disease (PAD). The pathophysiological mechanisms that underlay edema formation following peripheral bypass surgery include hyperemia, an increased capillary per

  12. American Academy of Facial Plastic and Reconstructive Surgery

    Science.gov (United States)

    ... is the world's largest specialty association for facial plastic surgery. It represents more than 2,700 facial plastic ... the American Board of Otolaryngology , which includes facial plastic surgery. Others are certified in plastic surgery, ophthalmology, and ...

  13. Aesthetic adjuncts with orthognathic surgery.

    Science.gov (United States)

    Mohamed, Waheed V; Perenack, Jon D

    2014-11-01

    Traditional orthognathic surgery aligns the patient's bony jaws into a desired, more appropriate position but may leave other cosmetic issues unaddressed. Soft tissue deformities may be treated concomitantly with orthognathic surgery, including soft tissue augmentation (fillers), reduction (liposuction), hard tissue augmentation, cosmetic lip procedures, and rhinoplasty. Some cosmetic adjunctive procedures may be performed at a later date after soft tissue edema from orthognathic surgery has resolved to achieve a more predictable outcome. Undesired cosmetic changes may occur months to years after orthognathic surgery and may be addressed by adjunctive cosmetic procedures.

  14. Endocrine Surgery: A Hopkins Legacy.

    Science.gov (United States)

    Udelsman, Robert

    2017-09-06

    : The field of Endocrine Surgery is linked to extraordinary contributions made by Hopkins leaders in surgery including William Stewart Halsted, Harvey Cushing, and John L Cameron. Halsted's contributions to the anatomic basis of thyroid and parathyroid surgery were based on his experimental and clinical work performed at Johns Hopkins Hospital. Halsted's disciple, Harvey Cushing, created the field of modern neurosurgery and recognized the disease and syndrome that are immortalized with his name. The Halstedian principles promulgated and transmitted by John L Cameron to subsequent generations of endocrine surgeons at Hopkins have transformed the field of Endocrine Surgery with the stamp of Johns Hopkins Hospital.

  15. GENERAL SURGERY

    African Journals Online (AJOL)

    Globally, the entry of female students into medical schools has ... how female registrars perceived the impact of gender on their training and practice of surgery. ... male-dominated specialty, their choice of mentors and the challenges that they encountered ..... Social Determinants of Health2007 (Accessed on 23 Sep 2016).

  16. Carotid artery surgery

    Science.gov (United States)

    Carotid endarterectomy; CAS surgery; Carotid artery stenosis - surgery; Endarterectomy - carotid artery ... through the catheter around the blocked area during surgery. Your carotid artery is opened. The surgeon removes ...

  17. Comparison of use and appreciation of a print-delivered versus CD-ROM-delivered, computer-tailored intervention targeting saturated fat intake: randomized controlled trial.

    Science.gov (United States)

    Kroeze, Willemieke; Oenema, Anke; Campbell, Marci; Brug, Johannes

    2008-04-29

    Computer-tailored health education, a promising health education technique, is increasingly being delivered interactively, for example, over the Internet. It has been suggested that there may be differences in use and appreciation between print and interactive delivery of computer-tailored interventions, which may influence information processing. This may especially be the case for women, older people, and people of lower socioeconomic status. Knowledge about differences in use and appreciation could help in choosing the appropriate delivery mode for a particular target audience. The study investigates a content-identical, computer-tailored intervention addressing saturated fat intake delivered via print or CD-ROM. We analyzed consumer use and appreciation of the feedback information and explored whether possible differences exist among gender, age, and education subgroups. Healthy Dutch adults (18-65 years), none of whom were under treatment for hypercholesterolemia, were randomly allocated to receive a computer-tailored program on CD-ROM (n = 151) or in print (n = 141). At baseline, data were collected on gender, age, and education level. One month post-intervention, data were collected on the use (feedback information read, saved, discussed) and appreciation (trustworthiness, perceived individualization, perceived personal relevance, and user-friendliness) of the feedback. Statistical analyses on the use and appreciation items were performed using chi-square tests and independent-samples t tests. After exclusion of individuals with missing values, a total of 257 and 240 respondents were included in the analyses of the use outcomes of feedback read and saved, respectively. The results indicate that among the total population, the print feedback was read more often than the CD-ROM feedback (95% vs 81%; P = .001) and saved more often than the CD-ROM feedback (97% vs 77%; P values, a total of 208-223 respondents were included in the analyses of the use outcome of

  18. Significance of measuring oxidative stress in lifestyle-related diseases from the viewpoint of correlation between d-ROMs and BAP in Japanese subjects.

    Science.gov (United States)

    Fukui, Toshiki; Yamauchi, Kazuhiro; Maruyama, Mie; Yasuda, Tadashi; Kohno, Masakazu; Abe, Youichi

    2011-09-01

    In recent years, oxidative stress has been postulated to be an important factor in the pathogenesis and development of lifestyle-related diseases. In this study, we investigated the association between the derivatives of reactive oxygen metabolites (d-ROMs), as an index of products of reactive oxygen species (ROS), and biological antioxidant potential (BAP), as an index of antioxidant potential. We also investigated the associations between d-ROMs or BAP and the risk factors for lifestyle-related diseases or metabolic syndrome-associated factors to evaluate their usefulness in preventive medicine. There were 442 subjects who underwent health checkup examination in our facilities. In addition to standard medical checkup items, we analyzed d-ROMs, BAP, brachial-ankle pulse wave velocity, high-sensitivity C-reactive protein level and visceral fat area (VFA) visualized on a computed tomography scan. The mean d-ROM value in females was significantly higher than that in males. There was a positive correlation between the d-ROM and VFA levels. On correlation analysis, there was a negative correlation between the d-ROM and creatinine levels. As factors that influence d-ROMs, the level of VFA was selected, suggesting the significance of oxidative stress measurement with d-ROMs. In addition, there was a positive correlation between d-ROMs and BAP values. Further research is required to resolve whether increased production of ROS or the antioxidant potential that can compensate for such an increase of ROS is more important in vivo.

  19. Tendon Transfer Surgery

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... include: Repair or transfer of nerves Repair of muscle or tendon Splinting or fusion of joints Find a hand surgeon in your area to discuss the best ...

  20. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... which will probably include orthodontics before and after surgery, may take several years to complete. Your OMS and orthodontist understand that this is a long-term commitment for you and your family, and will try to realistically estimate the time ...

  1. CD-ROM optics for flying height measurement in hard disk drives

    Science.gov (United States)

    Tunstall, Glen; Jenkins, David F. L.; Clegg, Warwick W.; Li, Amei; Davey, Paul

    2001-12-01

    One of the most critical and effective parameters in increasing areal density is the flying height or spacing between the read-write head and the recording disk medium. As the flying height reduces to near contact, the head flies around 5 nm about the disk surface. To date, optical interferometry has been the major means for the characterization of this parameter. However, it is difficult to use it directly to measure the flying height on a sealed drive. To circumvent this limitation, a system based upon CD-ROM optics has been designed. The results from the system are correlated to measurements of suspension arm movement and disk flutter using poly-vinylidine-flouride (PVdF) strain sensors. A CD-ROM drive utilizes a laser with photodiodes to read data from the disk. The photo detector output responds linearly to changes in the lens-disk separation. In our system two CD-ROM heads are located within a rig that allows independent positioning in all three planes. The optics are configured to reflect off of a typical hard disk drive disk and the slider. To validate its performance a thin (110 micron) sheet of poly vinylidine flouride (PVdF) piezoelectric material is bonded to the suspension arm to measure the average induced strain. A further PVdF sensor was used to measure the edge displacement of the disk due to disk bending. The sensor used was in a cantilever configuration, with one end rigidly bonded to the drive chassis in a manner that pre-tensions the cantilever against the disk. Any movement of the disk would change the strain induced in the cantilever.

  2. Volcanoes of México: An Interactive CD-ROM From the Smithsonian's Global Volcanism Program

    Science.gov (United States)

    Siebert, L.; Kimberly, P.; Calvin, C.; Luhr, J. F.; Kysar, G.

    2002-12-01

    The Smithsonian Institution's Global Volcanism Program is nearing completion of an interactive CD-ROM, the Volcanoes of México. This CD is the second in a series sponsored by the U.S. Department of Energy Office of Geothermal Technologies to collate Smithsonian data on Quaternary volcanism as a resource for the geothermal community. It also has utility for those concerned with volcanic hazard and risk mitgation as well as an educational tool for those interested in Mexican volcanism. We acknowledge the significant contributions of many Mexican volcanologists to the eruption reports, data, and images contained in this CD, in particular those contributions of the Centro Nacional de Prevencion de Desastres (CENAPRED), the Colima Volcano Observatory of the University of Colima, and the Universidad Nacional Autónoma de México (UNAM). The Volcanoes of México CD has a format similar to that of an earlier Smithsonian CD, the Volcanoes of Indonesia, but also shows Pleistocene volcanic centers and additional data on geothermal sites. A clickable map of México shows both Holocene and Pleistocene volcanic centers and provides access to individual pages on 67 volcanoes ranging from Cerro Prieto in Baja California to Tacaná on the Guatemalan border. These include geographic and geologic data on individual volcanoes (as well as a brief paragraph summarizing the geologic history) along with tabular eruption chronologies, eruptive characteristics, and eruptive volumes, when known. Volcano data are accessible from both geographical and alphabetical searches. A major component of the CD is more than 400 digitized images illustrating the morphology of volcanic centers and eruption processes and deposits, providing a dramatic visual primer to the country's volcanoes. Images of specific eruptions can be directly linked to from the eruption chronology tables. The Volcanoes of México CD includes monthly reports and associated figures and tables cataloging volcanic activity in M

  3. Development of a CD-ROM on written language for the continuing education of elementary school teachers

    Directory of Open Access Journals (Sweden)

    Thaís dos Santos Gonçalves

    2011-12-01

    Full Text Available Distance education has emerged to minimize the anxiety of many professionals who need to update their knowledge, but do not have the time and opportunity to travel to educational centers. Objectives: To describe the development of a CD-ROM to provide distance continuing education to basic school teachers that addresses issues related to written language. Material and Methods: Previously, a script was developed with themes related to the acquisition and development of written language. Subsequently, a technical team transformed the texts in multimedia language. Results: The titles of each content area addressed are available on buttons and links. The files can be viewed in a linear sequence, allowing the teacher to start learning at the desired moment and go straight to the file that he or she wants to access. Videos that show practical applications of the concepts available in text are included. Conclusions: Brazil is a developing country. The use of technologies for education reduces cultural isolation among education professionals. It is necessary to focus on making teaching materials for distance education. In order to provide an effective learning environment, the learners reality should be considered. A multidisciplinary team should prepare the materials. The development of educational material for distance education on the acquisition and development of written language seems not only appropriate, but also warranted to provide professional growth opportunity for teachers who need time flexibility and/or live far away from academic centers.

  4. Development of a CD-ROM on written language for the continuing education of elementary school teachers.

    Science.gov (United States)

    Gonçalves, Thaís Dos Santos; Crenitte, Patrícia Abreu Pinheiro

    2011-01-01

    Distance education has emerged to minimize the anxiety of many professionals who need to update their knowledge, but do not have the time and opportunity to travel to educational centers. To describe the development of a CD-ROM to provide distance continuing education to basic school teachers that addresses issues related to written language. Previously, a script was developed with themes related to the acquisition and development of written language. Subsequently, a technical team transformed the texts in multimedia language. The titles of each content area addressed are available on buttons and links. The files can be viewed in a linear sequence, allowing the teacher to start learning at the desired moment and go straight to the file that he or she wants to access. Videos that show practical applications of the concepts available in text are included. Brazil is a developing country. The use of technologies for education reduces cultural isolation among education professionals. It is necessary to focus on making teaching materials for distance education. In order to provide an effective learning environment, the learners reality should be considered. A multidisciplinary team should prepare the materials. The development of educational material for distance education on the acquisition and development of written language seems not only appropriate, but also warranted to provide professional growth opportunity for teachers who need time flexibility and/or live far away from academic centers.

  5. THE EFFECT OF THE UPPER LIMB TENSION TEST IN THE MANAGEMENT OF ROM LIMITATION AND PAIN IN CERVICAL RADICULOPATHY

    Directory of Open Access Journals (Sweden)

    Shah Sarfraznawaz F

    2015-06-01

    Full Text Available Aim and Objectives: To study the effect of the upper limb tension test in the management of limitation of range of motion and pain in patients with cervical radiculopathy compared with a control group. Intervention and Outcomes: A total of 40 patients were treated with two types of interventions. The Control group received a conservative management protocol and the Experimental group received an experimental protocol that included mobilization using the Upper Limb Tension Test in addition to the conservative protocol .The outcomes measures were flexion, extension, right side flexion and left side flexion ranges of the cervical spine and VAS score for Pain. Results: All data collected was statistically analysed on the Stat Pac 3.0. Pre and Post test values were taken for both cervical range of motion and pain for both the Control and Experimental groups. Paired ‘t’ test was used for within the group comparison. Unpaired ‘t’ test was used for between the group comparison which showed a highly significant difference in favor of the experimental group at 99.9%(P<0.001 between the ROM of Flexion, Extension, right Side Flexion and left Side Flexion of the cervical spine. Conclusion: The results of the study showed that adding neural mobilization using ULLT certainly benefits patients of cervical radiculopathy as far as the cervical range of motion and pain is considered.

  6. Effects of Using Human Patient Simulator (HPS versus a CD-ROM on Cognition and Critical Thinking

    Directory of Open Access Journals (Sweden)

    Don Johnson, PhD

    2008-01-01

    Full Text Available Background: Very little prospective randomized experimental research exists on the use of simulation as a teaching method, and no studies have compared the two strategies of using the HPS and a CD-ROM. In addition, no researchers have investigated the effects of simulation on various levels of cognition, specifically lower-level and higher-level cognition or critical thinking.Objectives: A prospective pretest-posttest experimental mixed design (within and between was used to determine if there were statistically significant differences in HPS and CD-ROM educational strategies in lower-level, higher-level cognition and critical thinking.Results: A repeated measures multivariate analysis of variance (RMANOVA with LSD post-hoc tests were used to analyze the data. There were no significant differences between the HPS and CD-ROM groups on lower-level cognition scores. The HPS group did significantly better than the CD-ROM group on higher-level cognition and critical thinking scores.Conclusion: This study demonstrated that the choice of teaching strategies for lower-level cognition does not make a statistically significant difference in outcome. However, the HPS is superior to using CD-ROM and should be considered as the choice in teaching.

  7. Jekaterinas Metelicas ,,Anna Kareņina”: romāna transformācija komiksā.

    OpenAIRE

    Šlahota, Olga

    2013-01-01

    Jekaterinas Metelicas «Anna Kareņina»: romāna transformācija komiksā: bakalaura darbs. – Rīga, 2013. - 55 lpp. Šis darbs ir veltīts romāna transformācijaj L. N. Tolstova «Anna Kareņina» grafiskā novelē. Darbā tiek identificēta grafiska romāna žanra īpatnības un transformācijas kuras notiek ar romānu kad tas nonāk dažādu mākslu. Pētījuma materiāls ir romāns «Anna Kareņina» un komikss «Anna Kareņina by Leo Tolstoy» kas ir iesniegts divās valodās: angļu un krievu. Darbs ir paredzēts zin...

  8. Jekaterinas Metelicas ,,Anna Kareņina”: romāna transformācija komiksā.

    OpenAIRE

    Šlahota, Olga

    2013-01-01

    Jekaterinas Metelicas «Anna Kareņina»: romāna transformācija komiksā: bakalaura darbs. – Rīga, 2013. - 55 lpp. Šis darbs ir veltīts romāna transformācijaj L. N. Tolstova «Anna Kareņina» grafiskā novelē. Darbā tiek identificēta grafiska romāna žanra īpatnības un transformācijas kuras notiek ar romānu kad tas nonāk dažādu mākslu. Pētījuma materiāls ir romāns «Anna Kareņina» un komikss «Anna Kareņina by Leo Tolstoy» kas ir iesniegts divās valodās: angļu un krievu. Darbs ir paredzēts zin...

  9. La antigua iglesia parroquial románica de San Pelayo de Olloniego

    OpenAIRE

    Vigil Montes, Néstor

    2009-01-01

    Nuestra investigación pretende aportar un mayor conocimiento sobre la antigua iglesia románica de Olloniego, de la que actualmente sólo se conserva una pequeña capilla situada dentro del cementerio de esta localidad, que a pesar de ser declarada Bien de Interés Cultural en 1991 como componente del Conjunto Histórico de Olloniego, comparte la misma situación de abandono que los restantes monumentos del conjunto. Para ello se ha planteado un análisis histórico y artístico, basado en bibliografí...

  10. Development of educational CD-ROMs in astronomy: Information on a collaborative project

    Science.gov (United States)

    Frede, Valerie

    The observatory of Paris and the institute of teacher training (IUFM) in Toulouse have collaborated to develop multimedia support for astronomy lessons. The goal of this project is to provide additional didactical material such as CD-ROMs to elementary and high school teachers which will be used by children in the classroom. In this paper, we present the aims of the project and describe briefly the contents that have been developed so far. The project is a part of “Astrophysique sur Mesure”, a broader project led by the observatory of Paris which encourages the involvement of astronomers in the development of pedagogical tools.

  11. Nanomechanical recognition of prognostic biomarker suPAR with DVD-ROM optical technology

    DEFF Research Database (Denmark)

    Bache, Michael; Bosco, Filippo; Brøgger, Anna Line

    2013-01-01

    In this work the use of a high-throughput nanomechanical detection system based on a DVD-ROM optical drive and cantilever sensors is presented for the detection of urokinase plasminogen activator receptor inflammatory biomarker (uPAR). Several large scale studies have linked elevated levels...... of soluble uPAR (suPAR) to infectious diseases, such as HIV, and certain types of cancer. Using hundreds of cantilevers and a DVD-based platform, cantilever deflection response from antibody–antigen recognition is investigated as a function of suPAR concentration. The goal is to provide a cheap and portable...

  12. Rom2-dependent phosphorylation of Elo2 controls the abundance of very long chain fatty acids

    DEFF Research Database (Denmark)

    Olson, Daniel K; Fröhlich, Florian; Christiano, Romain

    2015-01-01

    Sphingolipids are essential components of eukaryotic membranes, where they serve to maintain membrane integrity. They are important components of membrane trafficking and function in signaling as messenger molecules. Sphingolipids are synthesized de novo from very long chain fatty acids (VLCFA...... that Elo2, a key enzyme of VLCFA synthesis, is controlled by signaling of the guanine nucleotide exchange factor Rom2, initiating at the plasma membrane. This pathway controls Elo2 phosphorylation state and VLCFA synthesis. Our data identify a regulatory mechanism for coordinating VLCFA synthesis...

  13. Sexismo, amor romántico y violencia de género en la adolescencia

    OpenAIRE

    Merino Verdugo, María Emma

    2016-01-01

    Las investigaciones acerca del sexismo y la violencia de género en la adolescencia indican que se han producido avances, sobre todo en las aspiraciones académicas de ellas, pero importantes limitaciones, sobre todo en la esfera socioemocional de ellos, y que la violencia de género en dicha edad está aumentando con el creciente uso de las nuevas tecnologías. La resistencia de los hombres hacia el avance de las mujeres, a través del estrés de rol de género, los mitos del amor romántico y el pap...

  14. Microchip发布ROM PIC微处理器PIC 16CR

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Microchip日前发布的新型ROM PIC微控制器扩充已有的PIC16产品系列。这些Microchip PIC16及PIC18系列的新ROM微控制器包括:PIC16CR73,PIC16CR74.PIC16CR76与PIC16CR77(PIC16CR7X),新器件首次提供了对Microchip广为应用的PIC16F73,

  15. Whose Beowulf is it anyway? Review of Electronic Beowulf [CD-Rom

    Directory of Open Access Journals (Sweden)

    William Kilbride

    2001-01-01

    Full Text Available 'Beowulf? .... that's by Seamus Heaney. Sorry we're sold out.' It is hardly surprising that Heaney's new translation of Beowulf should seem like a completely new work. It has been a very long time since Grendel's mother was on the archaeology reading list, let alone among the best sellers. The new translation has a parallel, less popular but in many respects more interesting, product from the British Library in the shape of Electronic Beowulf, a CD-Rom (or two which provides virtual access to the medieval manuscript itself.

  16. Global cancer surgery: delivering safe, affordable, and timely cancer surgery.

    Science.gov (United States)

    Sullivan, Richard; Alatise, Olusegun Isaac; Anderson, Benjamin O; Audisio, Riccardo; Autier, Philippe; Aggarwal, Ajay; Balch, Charles; Brennan, Murray F; Dare, Anna; D'Cruz, Anil; Eggermont, Alexander M M; Fleming, Kenneth; Gueye, Serigne Magueye; Hagander, Lars; Herrera, Cristian A; Holmer, Hampus; Ilbawi, André M; Jarnheimer, Anton; Ji, Jia-Fu; Kingham, T Peter; Liberman, Jonathan; Leather, Andrew J M; Meara, John G; Mukhopadhyay, Swagoto; Murthy, Shilpa S; Omar, Sherif; Parham, Groesbeck P; Pramesh, C S; Riviello, Robert; Rodin, Danielle; Santini, Luiz; Shrikhande, Shailesh V; Shrime, Mark; Thomas, Robert; Tsunoda, Audrey T; van de Velde, Cornelis; Veronesi, Umberto; Vijaykumar, Dehannathparambil Kottarathil; Watters, David; Wang, Shan; Wu, Yi-Long; Zeiton, Moez; Purushotham, Arnie

    2015-09-01

    Surgery is essential for global cancer care in all resource settings. Of the 15.2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, affordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and financing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US $6.2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery--e.g., pathology and imaging--are also inadequate. Our analysis identified substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.

  17. [Indication for bariatric surgery].

    Science.gov (United States)

    Hanusch-Enserer, Ursula; Enserer, Christian; Rosen, Harald R; Prager, Rudolf

    2004-01-01

    Morbid obesity is defined as obesity with body mass index (BMI) > or = 40 kg/m2 with secondary serious diseases. Conservative treatment generally fails to produce long-term weight loss in these patients, since several bariatric surgical techniques have been developed which are based on gastric restriction and/or gastric malabsorption resulting in permanent weight loss over years. Preoperative evaluation might detect suitable patients and reduce both non-surgical and surgical complications. Postoperative follow-up in a multidisciplinary program, including specialists in various fields of medicine, e.g. surgery, internal medicine, radiology, paediatrics and nutritional surveillance are mandatory in the treatment of patients after obesity surgery. Bariatric surgery results in a major weight loss, with amelioration of most obesity-associated conditions. The most serious side effect of some surgical procedere is malnutrition.

  18. Stereolithography for craniofacial surgery.

    Science.gov (United States)

    Sinn, Douglas P; Cillo, Joseph E; Miles, Brett A

    2006-09-01

    Advances in computer technology have aided in the diagnostic and clinical management of complex congenital craniofacial deformities. The use of stereolithographic models has begun to replace traditional milled models in the treatment of craniofacial deformities. Research has shown that stereolithography models are highly accurate and provide added information in treatment planning for the correction of craniofacial deformities. These include the added visualization of the complex craniofacial anatomy and preoperative surgical planning with a highly accurate three-dimensional model. While the stereolithographic process has had a beneficial impact on the field of craniofacial surgery, the added cost of the procedure continues to be a hindrance to its widespread acceptance in clinical practice. With improved technology and accessibility the utilization of stereolithography in craniofacial surgery is expected to increase. This review will highlight the development and current usage of stereolithography in craniofacial surgery and provide illustration of it use.

  19. Percutaneous forefoot surgery.

    Science.gov (United States)

    Bauer, T

    2014-02-01

    Percutaneous methods can be used to perform many surgical procedures on the soft tissues and bones of the forefoot, thereby providing treatment options for all the disorders and deformities seen at this site. Theoretical advantages of percutaneous surgery include lower morbidity rates and faster recovery with immediate weight bearing. Disadvantages are the requirement for specific equipment, specific requirements for post-operative management, and lengthy learning curve. At present, percutaneous hallux valgus correction is mainly achieved with chevron osteotomy of the first metatarsal, for which internal fixation and a minimally invasive approach (2 cm incision) seem reliable and reproducible. This procedure is currently the focus of research and evaluation. Percutaneous surgery for hallux rigidus is simple and provides similar outcomes to those of open surgery. Lateral metatarsal malalignment and toe deformities are good indications for percutaneous treatment, which produces results similar to those of conventional surgery with lower morbidity rates. Finally, fifth ray abnormalities are currently the ideal indication for percutaneous surgery, given the simplicity of the procedure and post-operative course, high reliability, and very low rate of iatrogenic complications. The most commonly performed percutaneous techniques are described herein, with their current indications, main outcomes, and recent developments.

  20. What Is Refractive Surgery?

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ...

  1. LASIK - Laser Eye Surgery

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center ...

  2. Pediatric heart surgery

    Science.gov (United States)

    Heart surgery - pediatric; Heart surgery for children; Acquired heart disease; Heart valve surgery - children ... the type of defect, and the type of surgery that was done. Many children recover completely and lead normal, active lives.

  3. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... implant surgery is, of course, surgery, and is best performed by a trained surgeon with specialized education ... implant surgery is, of course, surgery, and is best performed by a trained surgeon with specialized education ...

  4. Surgery for Breast Cancer

    Science.gov (United States)

    ... Pregnancy Breast Cancer Breast Cancer Treatment Surgery for Breast Cancer Surgery is a common treatment for breast cancer, ... Relieve symptoms of advanced cancer Surgery to remove breast cancer There are two main types of surgery to ...

  5. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ...

  6. Preparing for Surgery

    Science.gov (United States)

    ... Events Advocacy For Patients About ACOG Preparing for Surgery Home For Patients Search FAQs Preparing for Surgery ... Surgery FAQ080, August 2011 PDF Format Preparing for Surgery Gynecologic Problems What is the difference between outpatient ...

  7. Refractive corneal surgery - discharge

    Science.gov (United States)

    Nearsightedness surgery - discharge; Refractive surgery - discharge; LASIK - discharge; PRK - discharge ... You had refractive corneal surgery to help improve your vision. This surgery uses a laser to reshape your cornea. It corrects mild-to-moderate nearsightedness, ...

  8. Preparing for Surgery

    Science.gov (United States)

    ... Events Advocacy For Patients About ACOG Preparing for Surgery Home For Patients Search FAQs Preparing for Surgery ... Surgery FAQ080, August 2011 PDF Format Preparing for Surgery Gynecologic Problems What is the difference between outpatient ...

  9. Corrective Jaw Surgery

    Science.gov (United States)

    ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ...

  10. Dental Implant Surgery

    Science.gov (United States)

    ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ...

  11. Facial Cosmetic Surgery

    Science.gov (United States)

    ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ...

  12. Facial Cosmetic Surgery

    Science.gov (United States)

    ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ...

  13. Introducing students to ocean modeling via a web-based implementation for the Regional Ocean Modeling System (ROMS) river plume case study

    Science.gov (United States)

    Harris, C. K.; Overeem, I.; Hutton, E.; Moriarty, J.; Wiberg, P.

    2016-12-01

    Numerical models are increasingly used for both research and applied sciences, and it is important that we train students to run models and analyze model data. This is especially true within oceanographic sciences, many of which use hydrodynamic models to address oceanographic transport problems. These models, however, often require a fair amount of training and computer skills before a student can run the models and analyze the large data sets produced by the models. One example is the Regional Ocean Modeling System (ROMS), an open source, three-dimensional primitive equation hydrodynamic ocean model that uses a structured curvilinear horizontal grid. It currently has thousands of users worldwide, and the full model includes modules for sediment transport and biogeochemistry, and several options for turbulence closures and numerical schemes. Implementing ROMS can be challenging to students, however, in part because the code was designed to provide flexibility for the choice of model parameterizations and processes, and to run on a variety of High Performance Computing (HPC) platforms. To provide a more accessible tool for classroom use, we have modified an existing idealized ROMS implementation to be run on a High Performance Computer (HPC) via the WMT (Web Modeling Toolkit), and developed a series of lesson plans that explore sediment transport within the idealized model domain. This has addressed our goal to provide a relatively easy introduction to the numerical modeling process that can be used within upper level undergraduate and graduate classes to explore sediment transport on continental shelves. The model implementation includes wave forcing, along-shelf currents, a riverine source, and suspended sediment transport. The model calculates suspended transport and deposition of sediment delivered to the continental shelf by a riverine flood. Lesson plans lead the students through running the model on a remote HPC, modifying the standard model. The lesson

  14. Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients.

    Science.gov (United States)

    Foucher, Kharma C; Hurwitz, Debra E; Wimmer, Markus A

    2007-01-01

    The purpose of this study was to evaluate whether preoperative gait adaptations persist one year after THR in the same set of subjects. The hypothesis tested was that hip dynamic range of motion and peak external moments during walking return to normal after THR. Hip kinematics and kinetics were measured for 28 subjects before and one year after THR and compared to those of 25 subjects with radiographically normal hips. All THR subjects improved clinically after surgery with Harris hip scores improving from 33-85 (average 53) to 61-100 (average 95) (sign test pPreoperatively dynamic hip range of motion (ROM), and all peak external moments were reduced compared to normal (Mann-Whitney ppreoperative and postoperative values of the ROM, and peak flexion, abduction and external rotation moments were all significantly correlated (Spearman prehabilitation before and after surgery.

  15. Assessment of oxidative stress in serum by d-ROMs test.

    Science.gov (United States)

    Kilk, K; Meitern, R; Härmson, O; Soomets, U; Hõrak, P

    2014-08-01

    Assessment of oxidative stress is an important but technically challenging procedure in medical and biological research. The reactive oxygen metabolites (d-ROMs) test is a simple assay marketed for analyzing the total amount of hydroperoxides in serum via the Fenton's reaction. Earlier reports have raised a suspicion that a part of the signal detected in the assay comes from sources other than metabolites generated by oxidative stress. The aim of this study was to identify which serum components interfere with the d-ROMs signal. By application of sodium azide, ethylenediaminetetraacetic acid, sodium dodecylsulphate, varying temperature, and spiking endogenous substances we demonstrate that in the case of mammalian sera the assay determines ceruloplasmin (CP) activity with potential interferences from hydroperoxides, iron level, thiols, and albumin. In sera of avian species hydroperoxides contribute more to the test outcome, but the CP part is insensitive to inhibition by azide. In conclusion, this assay has deficiencies in terms of detecting realistic concentrations of hydroperoxides, is mostly measuring CP and is also interfered with other serum components, making it very difficult to interpret in most biological systems.

  16. LOYALTY – THE NUCLEUS OF BRAND CAPITAL. CASE STUDY: ROM CHOCOLATE BAR

    Directory of Open Access Journals (Sweden)

    Brindusa Mariana Amalancei

    2014-01-01

    Full Text Available It is considered that loyalty to the brand of some primary customers is the core of the brand capital. A brand, however, may have substantial value, which is given to it by its symbol and slogans, if it is continued with the purchase of a brand after the buyers have made a comparison with the competing products that have superior characteristics. Structured on several levels, which are each a different marketing challenge, the loyalty to the brand consists of many factors, among which the most important is the user experience. The paper aims to highlight, starting from a series of articles in online media, the manner in which a traditional Romanian brand, ROM chocolate bar, continuously repositions itself, attempting to maintain and even increase the loyalty of its consumers, as well as to answer the consumer’s authenticity, accessibility, credibility and modernity needs. Even though in specialized literature there are opinions according to which traditional brands are commonly old-fashioned or dull, ROM chocolate bar shows the opposite view, being considered a successful brand which is appreciated both at national and international levels.

  17. The development of "Nutrition in Medicine" interactive CD-ROM programs for medical nutrition education.

    Science.gov (United States)

    Plaisted, C S; Kohlmeier, M; Cooksey, K; Zeisel, S H

    2000-01-01

    In 1995 and in 1998 the University of North Carolina at Chapel Hill received R25 grant support to create interactive CD-ROMs for teaching nutrition and nutritional biochemistry to medical students, the Nutrition In Medicine (NIM) series. Seven of the proposed ten titles have been created. Three series (Disease, Lifecycle, and Special Topics in Nutrition) teach nutrition concepts using computer-aided instruction (CAI) with emphasis on interactive learning. Patient cases with television-quality interactive videos allow students to apply nutrition knowledge to clinical problems. Pop quizzes, text-based interactions, and multiple-choice examinations help the student self-evaluate progress via immediate feedback. Educators using the programs get instructional support and updates through a dedicated Web site, printed material, telephone support, e-mail, and CD-ROM-based computer programs. Implementation at medical and osteopathic schools is continuously surveyed through questionnaires and follow-up telephone interviews. By 1999, 120 of 137 eligible U.S. medical schools owned copies of NIM CAI programs, of which 76 indicated that they were currently implementing the programs.

  18. CD-ROM COMO INSTRUMENTO DE APRENDIZAGEM SIGNIFICATIVA SOBRE A BIOESPELEOLOGIA SERGIPANA

    Directory of Open Access Journals (Sweden)

    Christiane Ramos Donato

    2009-12-01

    Full Text Available For those restricts tags about caves in didactic books, and knowledge from teachers and students about Bioespeleology of Sergipe, was elaborated a Cd-rom based on preview knowledge of a public school students from Sergipe´s interior (Brazil about Bioespeleology. To build an education subject was given aquiz with questions referring to Bioespeleology, those ones was analyzed for check the presence of basic content about this topic, such as myths and untwisted knowledge. The Cd-rom was elaborated with the PowerPoint software with videos/documentaries, photos, pictures and hypertexts which can be accessed by the order and time that the user wants it. This didactic resource can be used to support the significant learning process for the students, because it is a tool from the considerate "New Technology" and become as a dynamic supply instead of dull and traditional classes, however, its construction brings protection from many ways, for individual and group use, to a scientific knowledge formation.

  19. Animal Surgery and Resources Core

    Data.gov (United States)

    Federal Laboratory Consortium — The ASR services for NHLBI research animals include: animal model development, surgery, surgical support, post-operative care as well as technical services such as...

  20. Cleft Lip and Palate Surgery

    Science.gov (United States)

    ... correct a physical defect caused by a cleft lip or cleft palate, which occur once in every 600 live ... recommend additional treatment for complications caused by cleft lip and cleft palate. Additional treatments may include: • Surgery to correct ...

  1. Cataract Surgery in Uveitis

    Directory of Open Access Journals (Sweden)

    Rupesh Agrawal

    2012-01-01

    Full Text Available Cataract surgery in uveitic eyes is often challenging and can result in intraoperative and postoperative complications. Most uveitic patients enjoy good vision despite potentially sight-threatening complications, including cataract development. In those patients who develop cataracts, successful surgery stems from educated patient selection, careful surgical technique, and aggressive preoperative and postoperative control of inflammation. With improved understanding of the disease processes, pre- and perioperative control of inflammation, modern surgical techniques, availability of biocompatible intraocular lens material and design, surgical experience in performing complicated cataract surgeries, and efficient management of postoperative complications have led to much better outcome. Preoperative factors include proper patient selection and counseling and preoperative control of inflammation. Meticulous and careful cataract surgery in uveitic cataract is essential in optimizing the postoperative outcome. Management of postoperative complications, especially inflammation and glaucoma, earlier rather than later, has also contributed to improved outcomes. This manuscript is review of the existing literature and highlights the management pearls in tackling complicated cataract based on medline search of literature and experience of the authors.

  2. The Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", Vol.1

    Directory of Open Access Journals (Sweden)

    Millena Maria Ramalho Matta Vieira

    2009-01-01

    Full Text Available The CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine" was developed as a teaching tool for people interested in the production of the spoken or sung human voice. Its content comprises several subjects concerning the anatomy and physiology of spoken and sung voice. A careful assessment becomes necessary in order to ensure the effectiveness of teaching and learning educational materials, whether related to education or health, within the proposal of education mediated by technology. OBJECTIVE: This study aimed to evaluate the efficacy of the Virtual Man Project's CD-ROM "Voice Assessment: Speech-Language Pathology and Audiology & Medicine", as a self-learning material, in two different populations: Speech-Language Pathology and Audiology students and Lyrical Singing students. The participants were instructed to study the CD-ROM during 1 month and answer two questionnaires: one before and another one after studying the CD-ROM. The quantitative results were compared statistically by the Student's t-test at a significance level of 5%. RESULTS: Seventeen out of the 28 students who completed the study, were Speech-Language Pathology and Audiology students, while 11 were Lyrical Singing students (dropout rate of 44%. Comparison of the answers to the questionnaires before and after studying the CD-ROM showed a statistically significant increase of the scores for the questionnaire applied after studying the CD-ROM for both Speech-Language Pathology and Audiology and Lyrical Singing students, with p<0.001 and p<0.004, respectively. There was also a statistically significant difference in all topics of this questionnaire for both groups of students. CONCLUSION: The results concerning the evaluation of the Speech-Language Pathology and Audiology and Lyrical Singing students' knowledge before and after learning from the CD-ROM allowed concluding that the participants made significant improvement in their knowledge of the proposed

  3. La cosmovisión romántica: siete síntomas y cinco metáforas

    OpenAIRE

    Russell P. Sebold

    2011-01-01

    La vivencia psicológica del romanticismo tanto para los escritores románticos como para sus lectores estriba en el efecto unido de siete síntomas y cinco metáforas de hondo sentido humano. Los siete síntomas son: el predominio del sentimiento sobre el pensamiento; la fusión del alma del poeta con la de la naturaleza; la seudo-divinidad del romántico; la sensación de la soledad; la actitud de superioridad; el fastidio universal; y el goce en el dolor. Las cinco metáforas son: la pérdida de la ...

  4. Acciones Estratégicas para enfrentar la inseguridad ciudadana en la Provincia de San Román

    OpenAIRE

    Nuñez Quispe , Mariluz

    2015-01-01

    El presente estudio desarrollado trata esencialmente sobre las acciones estratégicas para enfrentar la inseguridad ciudadana en la provincia de San Román, situación que se presenta a nivel del país, prueba de ello son las informaciones que a diario se describen por los diferentes medios de comunicación. Tiene como objetivo, determinar las acciones estratégicas para enfrentar la inseguridad ciudadana en la provincia de San Román; esta situación se realizan en el marco de...

  5. Navegando las románticas aguas del Río de la Plata: El Corsario (Montevideo, 1840)

    OpenAIRE

    Martino, Luis Marcelo

    2016-01-01

    En el presente artículo nos proponemos determinar en qué medida el semanario El Corsario puede ser considerado una publicación romántica. Para ello analizaremos la sección del periódico denominada Literatura romántica y la polémica que mantiene con el diario montevideano El Correo, entre otros elementos. In this paper we seek to determine to what extent the weekly magazine El Corsario can be considered a romantic newspaper. Whit this aim we will analyze the section of the magazine called “...

  6. Non c’è proprio niente da ridere. Sulle strategie di gestione del quotidiano scolastico di alcuni alunni rom

    OpenAIRE

    Saletti Salza, Carlotta

    2017-01-01

    Introduzione Questo articolo approfondisce alcuni temi sviluppati altrove (Saletti Salza, 2003), coniugando un’etnografia svolta in ambiente scolastico e un’etnografia svolta all’interno di una comunità di romá xoraxané bosniaci immigrati a Torino. Esplorando alcuni temi trattati dall’antropologia dell’educazione, oggetto dell’analisi proposta è il modello educativo familiare che l’alunno rom porta a scuola, nonché il modello educativo istituzionale scolastico rivolto all’alunno «nomade». Il ...

  7. Oculocardiac reflex during strabismus surgery

    Directory of Open Access Journals (Sweden)

    Mehryar Taghavi Gilani

    2016-12-01

    Full Text Available The activation of oculucardiac reflex (OCR is common during the strabismus surgeries. OCR is known as a trigemino-vagal reflex, which leads to the various side effects including bradycardia, tachycardia, arrhythmia, or in some cases cardiac arrest. This reflex could be activated during intraorbital injections, hematomas, and mechanical stimulation of eyeball and extraocular muscles surgeries. The incidence of OCR varies in a wide range, from 14% to 90%, that depends on anesthetic strategy and drug used for the surgery. The efficacy of various anticholinergic and anesthetic agents on declining the OCR reflex has been evaluated in different studies, especially in children. Although the detection of OCR goes back to 1908, its exact effect is not well recognized during strabismus surgery. In this review, we aimed to summarize the studies investigated the efficacy and potential of various anesthetic medications on inhibiting the OCR in children undergoing strabismus surgery.

  8. Accidental burns during surgery.

    Science.gov (United States)

    Demir, Erhan; O'Dey, Dan Mon; Pallua, Norbert

    2006-01-01

    The purpose of this report is to increase awareness of intraoperative burns during standard procedures, to discuss their possible causes and warning signs and to provide recommendations for prevention and procedures to follow after their occurrence. A total of 19 patients associated with intraoperative burn accidents were treated surgically and analyzed after a mean follow-up of 5 +/- 3.5 months. Review included retrospective patient chart analysis, clinical examination, and technical device and equipment testing. A total of 15 patients recently underwent cardiac surgery, and 4 pediatric patients recovered after standard surgical procedures. A total of 15 patients had superficial and 4 presented with deep dermal or full-thickness burns. The average injured TBSA was 2.1 +/- 1% (range, 0.5-4%). Delay between primary surgery and consultation of plastic surgeons was 4.5 +/- 3.4 days. A total of 44% required surgery, including débridment, skin grafting or musculocutaneous gluteus maximus flaps, and the remaining patients were treated conservatively. Successful durable soft-tissue coverage of the burn region was achieved in 18 patients, and 1 patient died after a course of pneumonia. Technical analysis demonstrated one malfunctioning electrosurgical device, one incorrect positioned neutral electrode, three incidents occurred after moisture under the negative electrode, eight burns occurred during surgery while fluid or blood created alternate current pathways, five accidents were chemical burns after skin preparation with Betadine solution, and in one case, the cause was not clear. The surgical team should pay more attention to the probability of burns during surgery. Early patient examination and immediate involvement of plastic and burn surgeons may prevent further complications or ease handling after the occurrence.

  9. 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.

  10. [Intraoperative neuromonitoring in thyroid surgery].

    Science.gov (United States)

    Motos-Micó, José Jacob; Felices-Montes, Manuel; Abad-Aguilar, Teresa

    Intraoperative neuromonitoring of the recurrent laryngeal nerve in thyroid surgery facilitates the identification of anatomical structures in cervical endocrine surgery reducing the frequency of vocal cord paralysis. To study the normal electrophysiological values of the vague and recurrent laryngeal nerves before and after thyroid surgery. To compare rates of injury of recurrent nerve before and after the introduction of the intraoperative neuromonitoring in thyroid surgery. An observational, descriptive and prospective study in which a total of 490 patients were included. Between 2003-2010, surgery was performed on 411 patients (703 nerves at risk) with systematic identification of recurrent laryngeal nerves. Between 2010-2011 neuromonitorization was also systematically performed on 79 patients. Before the introduction of intraoperative neuromonitoring of 704 nerves at risk, there were 14 recurrent laryngeal nerve injuries. Since 2010, after the introduction of the intraoperative neuromonitoring in thyroid surgery, there has been no nerve injury in 135 nerves at risk. We consider the systematic identification of the recurrent laryngeal nerve is the 'gold standard' in thyroid surgery and the intraoperative neuromonitoring of nerves can never replace surgery but can complement it. Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  11. The Virtual 3D Reconstruction of the East Pediment of the Temple of Zeus at Olympia – Presentation of an Interactive CD-ROM

    Directory of Open Access Journals (Sweden)

    András PATAY-HORVÁTH Patay-Horváth

    2011-12-01

    Full Text Available The paper gives an overview of a two-years project concerning a major monument of ancient Greek art and presents the interactive, bilingual (English/Hungarian CD-ROM, which is intended to summarize and visualize its final results. The presented project approaches a century-old controversy in a new way by producing a virtual 3D reconstruction of a monumental marble group. Digital models of the statues were produced by scanning the original fragments and by reconstructing them virtually. The virtual model of the pediment surrounding the sculptures was prepared on the basis of the latest architectural studies and afterwards the reconstructed models were inserted in this frame, in order to test the technical feasibility and aesthetic effects the four possible arrangements. The resulting models enable easy and very instructive experimentation, which would be otherwise impossible with the originals and/or very expensive and not very practicable with traditional tools (e.g. real-size plaster models. The complete model can effectively be used to verify the results of earlier or more recent reconstructions presented only in simple drawings. In addition, the 3D models of the individual fragments can be used for further research and for visualization.  The documentary CD-ROM presenting the full background, the methods and the conclusions of the project contains beside a comprehensive text various kinds of supporting documents (images, 3D models, papers, broadcasts, audiovisual material. It is addressed to a mixed audience: a picture gallery, a short documentary movie some other attachments including a selected bibliography is intended for the general public, but scholarly publications, presentations on related problems are also included for specialists interested in certain details.

  12. Endodontic surgery prognostic factors.

    Science.gov (United States)

    Azarpazhooh, Amir; Shah, Prakesh S

    2011-01-01

    Medline, (PubMed) and the Cochrane databases together with hand searching of the following journals: Journal of Endodontics, International Endodontic Journal, Oral Surgery Oral Medicine Oral Pathology (name changed to Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics in 1995), Endodontics and Dental Traumatology (name changed to Dental Traumatology in 2001), Journal of Oral and Maxillofacial Surgery, and International Journal of Oral and Maxillofacial Surgery. Clinical studies evaluating apical surgery with placement of a root-end filling were included. Studies on apical surgery with orthograde root canal filling or about apicectomy alone without root-end filling were excluded, as were experimental and animal studies. Only studies with ≥ ten patients with a minimum six month follow-up period and clearly defined radiographic and clinical healing criteria, with healing reported for at least two categories of a specific prognostic factor were accepted. Studies reporting in English, German, French, Spanish, Italian, Portuguese and Scandinavian languages were included. All studies were assessed separately by two of the three authors, with disagreements resolved by discussion. Prognostic factors were divided into patient related, tooth-related or treatment-related factors. The reported percentages of healed teeth were pooled per category. The statistical method of Mantel-Haenszel was applied to estimate the odds ratios and their 95% confidence intervals. Homogeneity was assessed using Woolf's test. With regard to tooth-related factors, the following were identified as predictors of healing: absence of preoperative pain or signs, good density of the root canal filling and a periapical lesion size of ≤ 5 mm. With regard to treatment-related factors, teeth treated with the use of an endoscope tended to have higher healed rates than teeth treated without the use of an endoscope. Although the clinician may be able to control treatment

  13. Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery.

    Science.gov (United States)

    Craig, Jocelyn B; Noblett, Karen L; Conner, Caroline A; Budd, Michael; Lane, Felicia L

    2008-12-01

    The purpose of this study was to address the safety of combining aesthetic and pelvic floor reconstructive procedures. Fifty-four subjects were included in a case-control study; 18 patients undergoing combined pelvic and plastic reconstructive surgery, age and procedure matched to 18 pelvic surgery and 18 plastic surgery only controls. Chi-square, t test, and Kruskal-Wallis analysis were used to compare the estimated blood loss (EBL), body mass index (BMI), hospital days, operative times, and complications between the groups. No differences were seen with regards to age, BMI, or EBL. There was, however, a significant increase in minor complications and hospital stay after combined procedures relative to the pelvic surgery control group but not the aesthetic control group. Operative times were only greater during combined procedures relative to isolated pelvic floor procedures. Combining pelvic and aesthetic procedures may increase complications, operative times, and length of hospital stay when compared to pelvic reconstructive surgery alone.

  14. Robotic rectal surgery: what are the benefits?

    Science.gov (United States)

    Kim, C W; Baik, S H

    2013-10-01

    Robotic rectal surgery is not a rare event for colorectal surgeons any more. Even patients with colorectal diseases obtain information through the mass media and are asking surgeons about robotic surgery. Since laparoscopic rectal surgery has proved to have some benefits compared to open rectal surgery, many surgeons became interested in robotic rectal surgery. Some of them have reported the advantages and disadvantages of robotic rectal surgery over the last decade. This review will report on the outcomes of robotic rectal surgery. Robotic rectal surgery requires a longer operation time than laparoscopic or open surgery, but many authors reduced the gap as they were accustomed to the robotic system and used various additional techniques. The high cost for purchasing and maintaining the robotic system is still a problem, though. However, except for this reason, robotic rectal surgery shows comparable and even superior results in some parameters than laparoscopic or open surgery. They include pathologic and functional outcomes as well as short-term outcomes such as complication rates, length of hospital stay, time to recover normal bowel function or first flatus, time to start diet, and postoperative pain. Moreover, studies on oncologic outcomes show acceptable results. Robotic rectal surgery is safe and feasible and has a number of benefits. Therefore, it can be an alternative option to conventional laparoscopic and open surgery with strict indications.

  15. Applications of piezoelectric surgery in endodontic surgery: a literature review.

    Science.gov (United States)

    Abella, Francesc; de Ribot, Joan; Doria, Guillermo; Duran-Sindreu, Fernando; Roig, Miguel

    2014-03-01

    Piezosurgery (piezoelectric bone surgery) devices were developed to cut bone atraumatically using ultrasonic vibrations and to provide an alternative to the mechanical and electrical instruments used in conventional oral surgery. Indications for piezosurgery are increasing in oral and maxillofacial surgery, as in other disciplines, such as endodontic surgery. Key features of piezosurgery instruments include their ability to selectively cut bone without damaging adjacent soft tissue, to provide a clear operative field, and to cut without generating heat. Although piezosurgery instruments can be used at most stages of endodontic surgery (osteotomy, root-end resection, and root-end preparation), no published data are available on the effect of piezosurgery on the outcomes of endodontic surgery. To our knowledge, no study has evaluated the effect of piezosurgery on root-end resection, and only 1 has investigated root-end morphology after retrograde cavity preparation using piezosurgery. We conducted a search of the PubMed and Cochrane databases using appropriate terms and keywords related to the use and applications of piezoelectric surgery in endodontic surgery. A hand search also was conducted of issues published in the preceding 2 years of several journals. Two independent reviewers obtained and analyzed the full texts of the selected articles. A total of 121 articles published between January 2000 and December 2013 were identified. This review summarizes the operating principles of piezoelectric devices and outlines the applications of piezosurgery in endodontic surgery using clinical examples. Piezosurgery is a promising technical modality with applications in several aspects of endodontic surgery, but further studies are necessary to determine the influence of piezosurgery on root-end resection and root-end preparation. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  16. Teaching about Human Relationships Education for Primary School Student-Teachers Using an Interactive CD-ROM

    Science.gov (United States)

    Goldman, Juliette D. G.; Torrisi-Steele, Geraldine

    2009-01-01

    Human Relationships Education is a very important part of primary school student-teacher education. All primary school children need sound guidance and enhanced knowledge about puberty, growing up successfully, and feeling competent and confident in themselves. An interactive multimedia CD-ROM was designed and developed for some Australian…

  17. STUDY OF CHLOROPHYLL-A DISTRIBUTIONS IN LOMBOK STRAIT USING BIOGEOCHEMICAL MODEL BASED ON REGIONAL OCEAN MODELLING SYSTEM (ROMS

    Directory of Open Access Journals (Sweden)

    KADEK ARY ANGGRENI

    2015-05-01

    Full Text Available Regional Ocean Modelling System atau Sistem Pemodelan Laut Regional (ROMS telah digunakan untuk bermacam keperluan, bermacam pemodelan kelautan. Model Biogeokimia yang dipasangkan dengan ROMS terdiri dari tujuh pasang bagian persamaan yang berbeda-beda mencakup: nitrat, amonium, detritus kecil dan besar, fitoplankton, zooplankton, dan karbon fitoplankton yang dinamis menjadi suatu rasio klorofi.1. Studi pola penyebaran klorofil-a di Selat Lombok (-7 °N - -10 °5 dan 114 °E - 117 °E pada tahun 2006 telah dianalisis menggunakan model Biogeokimia berdasar pada ROMS. Hasil penelitian menunjukkan bahwa sebaran klorofil-a teramati rendah (0,20 mgChl-a/m3 di Selat Lombok pada bulan Januari. Klorofil-a diperkirakan di bagian sebelah selatan Selat Bali dan penyebaran klorofil-a rendah pada lapisan atas dari Selat Lombok. Klorofil-a berlimpah (0,32 mgChl-a/m3 teramati di bulan Agustus. Arah arus timur laut bergerak kearah barat clan bagian selatan di daerah penelitian melalui Selat Lombok. Konsentrasi klorofil-a tertinggi diperkirakan di sebelah utara hingga bagian barat daya Pulau Bali clan juga di bagian selatan Pulau Lombok. Selama musim kering, angin arah tenggara berhembus dari Australia memicu terjadinya proses upwelling ( temperatur rendah clan air yang kaya nutrien di dekat permukaan juga diperkirakan berdasarkan ROMS.

  18. Student Interactions with CD-ROM Storybooks: A Look at Potential Relationships between Multiple Intelligence Strengths and Levels of Interaction

    Science.gov (United States)

    Huffman, Celia A.

    2012-01-01

    This study looked at the potential relationship that may exist between students' intelligence strengths, in particular their spatial and kinesthetic strengths, and their combined cognitive and metacognitive levels of interaction with a CD-ROM storybook. The multiple intelligence strengths of a sample of students, measured via the MIDAS/My…

  19. Adventures in Evaluation: Reviewing a CD-ROM Based Adventure Game Designed for Young People Recovering from Psychosis

    Science.gov (United States)

    Shrimpton, Bradley; Hurworth, Rosalind

    2005-01-01

    Recently the Centre for Program Evaluation (CPE) at the University of Melbourne was approached by a mental health agency to undertake the unique and challenging task of evaluating a prototype CD-ROM based adventure game designed for young people recovering from psychosis. This unusual and inventive game, titled Pogo's Pledge, used…

  20. Recovery of Data from the Narragansett Bay Project, 1985-1992: User's Manual and CD-ROM

    Science.gov (United States)

    Data from the 1985-1992 era of the Narragansett Bay Project, an estuary of the National Estuary Program, were recovered from numerous storage media, updated to modern software, and burned to CD-ROM. The data will be used by, among others, EPA researchers working on long-term tren...

  1. Intertekstualitāte Dž.K. Roulingas "Harija Potera" romānu serijā

    OpenAIRE

    Strunga-Raude, Aija

    2009-01-01

    Šī bakalaura darba tēma ir „Intertekstualitāte Dž. K. Roulingas "Harija Potera" romānu sērijā”. Es izvēlējos šo tēmu, jo 2008. gadā tika izdota pēdējā septītā grāmata šajā romānu sērijā un šīs grāmatas jau ir izraisījušas plašas diskusijas dažādās sabiedrības grupās. Šī ir lieliska iespēja izpētīt ko tieši Džoanna Ketlīna Roulinga ir izmantojusi savā romānā “Harijs Poters”. Šī darba mērķis ir ilustrēt kā Dž. K. Roulinga, rakstot „Harija Potera” romānu sēriju, ir izmantojusi intertekstualit...

  2. Virtual Collaborations in the Spanish Class: From E-Mail to Web Design and CD-ROM Development.

    Science.gov (United States)

    Hellebrandt, Josef

    1999-01-01

    Modern technologies can provide language students with authentic content and contextualized, collaborative learning situations. This article illustrates how e-mail exchanges, Web exercises, and CD-ROM development between students in the United States and organizations in Ecuador can promote contextualized and authentic practice of Spanish language…

  3. [Robotic surgery in gynecology].

    Science.gov (United States)

    Hibner, Michał; Marianowski, Piotr; Szymusik, Iwona; Wielgós, Mirosław

    2012-12-01

    Introduction of robotic surgery in the first decade of the 21 century was one of the biggest breakthroughs in surgery since the introduction of anesthesia. For the first time in history the surgeon was placed remotely from the patient and was able to operate with the device that has more degrees of freedom than human hand. Initially developed for the US Military in order to allow surgeons to be removed from the battlefield, surgical robots quickly made a leap to the mainstream medicine. One of the first surgical uses for the robot was cardiac surgery but it is urology and prostate surgery that gave it a widespread popularity Gynecologic surgeons caught on very quickly and it is estimated that 31% of hysterectomies done in the United States in 2012 will be done robotically. With over half a million hysterectomies done each year in the US alone, gynecologic surgery is one of the main driving forces behind the growth of robotic surgery Other applications in gynecology include myomectomy oophorectomy and ovarian cystectomy resection of endometriosis and lymphadenectomy Advantages of the surgical robot are clearly seen in myomectomy The wrist motion allows for better more precise suturing than conventional "straight stick" laparoscopy The strength of the arms allow for better pulling of the suture and the third arm for holding the suture on tension. Other advantage of the robot is scaling of the movements when big movement on the outside translates to very fine movement on the inside. This enables much more precise surgery and may be important in the procedures like tubal anastomosis and implantation of the ureter Three-dimensional vision provides excellent depth of field perception. It is important for surgeons who are switching from open surgeries and preliminary evidence shows that it may allow for better identification of lesions like endometriosis. Another big advantage of robotics is that the surgeon sits comfortably with his/her arms and head supported. This

  4. Bariatric Surgery and Precision Nutrition

    Directory of Open Access Journals (Sweden)

    Carolina F. Nicoletti

    2017-09-01

    Full Text Available This review provides a literature overview of new findings relating nutritional genomics and bariatric surgery. It also describes the importance of nutritional genomics concepts in personalized bariatric management. It includes a discussion of the potential role bariatric surgery plays in altering the three pillars of nutritional genomics: nutrigenetics, nutrigenomics, and epigenetics. We present studies that show the effect of each patient’s genetic and epigenetic variables on the response to surgical weight loss treatment. We include investigations that demonstrate the association of single nucleotide polymorphisms with obesity phenotypes and their influence on weight loss after bariatric surgery. We also present reports on how significant weight loss induced by bariatric surgery impacts telomere length, and we discuss studies on the existence of an epigenetic signature associated with surgery outcomes and specific gene methylation profile, which may help to predict weight loss after a surgical procedure. Finally, we show articles which evidence that bariatric surgery may affect expression of numerous genes involved in different metabolic pathways and consequently induce functional and taxonomic changes in gut microbial communities. The role nutritional genomics plays in responses to weight loss after bariatric surgery is evident. Better understanding of the molecular pathways involved in this process is necessary for successful weight management and maintenance.

  5. Lossless compression of image data products on th e FIFE CD-ROM series

    Science.gov (United States)

    Newcomer, Jeffrey A.; Strebel, Donald E.

    1993-01-01

    How do you store enough of the key data sets, from a total of 120 gigabytes of data collected for a scientific experiment, on a collection of CD-ROM's, small enough to distribute to a broad scientific community? In such an application where information loss in unacceptable, lossless compression algorithms are the only choice. Although lossy compression algorithms can provide an order of magnitude improvement in compression ratios over lossless algorithms the information that is lost is often part of the key scientific precision of the data. Therefore, lossless compression algorithms are and will continue to be extremely important in minimizing archiving storage requirements and distribution of large earth and space (ESS) data sets while preserving the essential scientific precision of the data.

  6. Celso Román: el oficio de relatar el universo

    Directory of Open Access Journals (Sweden)

    Jorge H. Cadavid

    2007-10-01

    Full Text Available Celso Román, un tipo con tendencia a la ternura y la ensoñación, a quien le cuesta trabajo decir "no", y que le gustaría vivir en el campo, con fuertes raíces en el pasado, "ese otro país donde las cosas son diferentes", añorando los grandes bosques de robles en Viotá, dibujados por Riou en 18000, altos como columnas de una catedral, las selvas primigenias que fui a buscar al Amazonas y encontré que los árboles de cuatrocientos años los habían derribado el siglo pasado, las dantas y los jaguares que ya no tienen dónde vivir.

  7. Outcomes in Endoscopic Ear Surgery.

    Science.gov (United States)

    Kiringoda, Ruwan; Kozin, Elliott D; Lee, Daniel J

    2016-10-01

    Endoscopic ear surgery (EES) provides several advantages compared with traditional binocular microscopy, including a wide-field view, improved resolution with high magnification, and visual access to hidden corridors of the middle ear. Although binocular microscopic-assisted surgical techniques remain the gold standard for most otologists, EES is slowly emerging as a viable alternative for performing otologic surgery at several centers in the United States and abroad. In this review, we evaluate the current body of literature regarding EES outcomes, summarize our EES outcomes at the Massachusetts Eye and Ear Infirmary, and compare these results with data for microscopic-assisted otologic surgery.

  8. New technologies in thyroid surgery.

    Science.gov (United States)

    Becker, Adam M; Gourin, Christine G

    2008-01-01

    Recent technological innovations are facilitating new approaches to surgery of the thyroid gland, including minimally invasive approaches that have the added advantage of allowing the surgeon to avoid drains, thus enabling outpatient surgery. Laryngeal nerve monitoring may be a useful adjunct in identification of the recurrent laryngeal nerve, particularly for the low-volume endocrine surgeon. Endoscopic surgical techniques allow improved visualization and permit thyroidectomy to be performed through small incisions, often less than 3 cm, which may improve cosmetic outcomes. Finally, surgical robotics, with the promise of further enhanced visualization and surgical dexterity better than that possible with traditional endoscopic approaches, may have future applications to thyroid surgery.

  9. Advances in mucogingival surgery.

    Science.gov (United States)

    Prato, G P

    2000-01-01

    The term Mucogingival Surgery was proposed by Friedman in 1957 to indicate any surgery "designed to preserve attached gingiva, to remove frena or muscle attachment, and to increase the depth of the vestibule". The aim of this type of surgery was to maintain an adequate amount of attached gingiva and to prevent continuous loss of attachment. This philosophy was supported by many horizontal observations in humans that confirmed the need for a certain band of attached gingiva to maintain periodontal tissue in a healthy state. Subsequently, clinical and experimental studies by Wennström and Lindhe (1983) demonstrated that as long as plaque buildup is kept under careful control there is no minimum width of keratinised gingiva necessary to prevent the development of periodontal disease. These observations reduce the importance of Mucogingival Surgery. Surgical techniques are used mostly to solve aesthetic problems, since the term "Periodontal Plastic Surgery" has been suggested to indicate surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa. More recently the Consensus Report of the American Academy of Periodontology (1996) defines Mucogingival Therapy as "non surgical and surgical correction of the defects in morphology, position and/or amount of soft tissue and underlying bone". This assigns importance to non-surgical therapy and to the bone condition because of its influence on the morphology of the defects. In this respect the Mucogingival Therapy includes: Root coverage procedures, Gingival augmentation, Augmentation of the edentulous ridge, Removing of the aberrant frenulum, Prevention of ridge collapse associated with tooth extraction, Crown lengthening, Teeth that are not likely to erupt, Loss of interdental papilla which presents an aesthetic and/or phonetic problem.

  10. Environmental Factor(tm) system: Superfund site information from five EPA databases (on cd-rom). Database

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

    Environmental Factor puts today`s technology to work to provide a better, more cost-efficient and time-saving way to access EPA information on hazardous waste sites. Environmental consultants, insurers, and reinsurers, corporate risk assessors and companies actively involved in the generation, transport, storage or cleanup of hazardous waste materials can use its user-friendly information retrieval system to gain rapid access to vital information in immediately-usable form. Search, retrieve, and export information in real time. No more waiting for the mail or overnight delivery services to deliver hard copies of voluminous listings and individual site reports. More than 200,000 pages of EPA hazardous waste site information are contained in 5 related databases: (1) Site data from the National Priority List (NPL) and CERCLIS databases, Potentially Responsible Parties (PRP) and Records of Decision (RODs) summaries; (2) Complete PRP information; (3) EPA Records of Decision (Full Text); (4) entire Civil Enforcement Docket; and (5) Glossary of EPA terms, abbreviations and acronyms. Environmental Factor`s powerful database management engine gives even the most inexperienced computer user extensive search capabilities, including wildcard, phonetic and direct cross reference searches across multiple databases. The first menu option delivers information from the NPL, CERCLIS site data, PRP and RODs summary information. Enter a set of search criteria and then immediately access displays containing information from all of these databases. Get full PRP information and Full Text RODs by using their respective menu options. If your search turns up multiple items, a list of site names appears. To bring up the data, highlight the specific site you want and hit Enter. That`s how easy it is to access the vast amount of data stored in the Environmental Factor CD-ROM.

  11. [Minimally invasive surgery and robotic surgery: surgery 4.0?].

    Science.gov (United States)

    Feußner, H; Wilhelm, D

    2016-03-01

    Surgery can only maintain its role in a highly competitive environment if results are continuously improved, accompanied by further reduction of the interventional trauma for patients and with justifiable costs. Significant impulse to achieve this goal was expected from minimally invasive surgery and, in particular, robotic surgery; however, a real breakthrough has not yet been achieved. Accordingly, the new strategic approach of cognitive surgery is required to optimize the provision of surgical treatment. A full scale integration of all modules utilized in the operating room (OR) into a comprehensive network and the development of systems with technical cognition are needed to upgrade the current technical environment passively controlled by the surgeon into an active collaborative support system (surgery 4.0). Only then can the true potential of minimally invasive surgery and robotic surgery be exploited.

  12. The commercialization of plastic surgery.

    Science.gov (United States)

    Swanson, Eric

    2013-09-01

    The last decade has brought a major challenge to the traditional practice of plastic surgery from corporations that treat plastic surgery as a commercial product and market directly to the public. This corporate medicine model may include promotion of a trademarked procedure or device, national advertising that promises stunning results, sales consultants, and claims of innovation, superiority, and improved safety. This article explores the ethics of this business practice and whether corporate medicine is a desirable model for patients and plastic surgeons.

  13. [What's new in forefoot surgery].

    Science.gov (United States)

    Ray, Adrien; Crevoisier, Xavier; Assal, Mathieu

    2010-12-22

    New implants and instruments have recently emerged in foot surgery. However, an additional and important development is the technique of minimally invasive surgery. As a result of new surgical approaches some common foot deformities can be corrected in a percutaneous manner. The benefits include improved wound healing, less pain, faster recovery, and less need for outpatient care. The main indications for such a technique are hallux valgus, correction of the lesser metatarsals, hallux rigidus, and some diabetic foot deformities.

  14. Open heart surgery

    Science.gov (United States)

    Heart surgery - open ... lung machine is used in most cases during open heart surgery. While the surgeon works on the ... with these procedures, the surgeon may have to open the chest to do the surgery.

  15. Bariatric Surgery Procedures

    Science.gov (United States)

    ... Center Access to Care Toolkit EHB Access Toolkit Bariatric Surgery Procedures Bariatric surgical procedures cause weight loss by restricting the ... Online Education Directory Search Patient Learning Center Bariatric Surgery ... Surgery Procedures BMI Calculator Childhood and Adolescent Obesity ...

  16. Tennis elbow surgery - discharge

    Science.gov (United States)

    ... epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge ... long as you are told. This helps ensure tennis elbow will not return. You may be prescribed a ...

  17. Plastic Surgery Statistics

    Science.gov (United States)

    ... PSN PSEN GRAFT Contact Us News Plastic Surgery Statistics Plastic surgery procedural statistics from the American Society of Plastic Surgeons. Statistics by Year Print 2016 Plastic Surgery Statistics 2015 ...

  18. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Soft Tissue Surgery Dental Implant Surgery Facial Cosmetic Surgery Head, Neck and Oral Pathology Obstructive Sleep Apnea TMJ and Facial Pain Treatment of Facial Injury Wisdom Teeth Management Procedures Administration of Anesthesia Administration of Anesthesia Oral ...

  19. Who Needs Heart Surgery?

    Science.gov (United States)

    ... this page from the NHLBI on Twitter. Who Needs Heart Surgery? Heart surgery is used to treat ... will work with you to decide whether you need heart surgery. A cardiologist specializes in diagnosing and ...

  20. Gastric Sleeve Surgery

    Science.gov (United States)

    ... A Week of Healthy Breakfasts Shyness Gastric Sleeve Surgery KidsHealth > For Teens > Gastric Sleeve Surgery Print A ... buying healthy food ) continue Preparing for Gastric Sleeve Surgery Preparing for this major operation takes months of ...

  1. Cavus Foot Surgery

    Science.gov (United States)

    ... All Site Content AOFAS / FootCareMD / Treatments Cavus Foot Surgery Page Content What is a cavus foot? A ... problems. What are the goals of cavus foot surgery? The main goal of surgery is to reduce ...

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Do Who We Are News Videos Contact Find a Surgeon What We Do Administration of Anesthesia Administration ... Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more surgeries ...

  3. Laser surgery - skin

    Science.gov (United States)

    Surgery using a laser ... used is directly related to the type of surgery being performed and the color of the tissue ... Laser surgery can be used to: Close small blood vessels to reduce blood loss Remove warts , moles , sunspots, and ...

  4. Smoking and surgery

    Science.gov (United States)

    Surgery - quitting smoking; Surgery - quitting tobacco; Wound healing - smoking ... Smokers who have surgery have a higher chance than nonsmokers of blood clots forming in their legs. These clots may travel to and ...

  5. Lung surgery - discharge

    Science.gov (United States)

    ... Lung biopsy - discharge; Thoracoscopy - discharge; Video-assisted thoracoscopic surgery - discharge; VATS - discharge ... milk) for 2 weeks after video-assisted thoracoscopic surgery and 6 to 8 weeks after open surgery. ...

  6. Weight Loss Surgery (Bariatric Surgery) (For Parents)

    Science.gov (United States)

    ... Health Growth & Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & ... Surgery Types of Surgery Gastric Bypass ... or intestines removed due to ulcers or cancer tended to lose a lot of weight after ...

  7. Diplopia after strabismus surgery.

    Science.gov (United States)

    Holgado, Sandra

    2012-01-01

    The presence of diplopia is an undesirable result following strabismus surgery. There are a variety of scenarios where diplopia exists prior to strabismus surgery, and, after surgery, has either been alleviated or decreased to a magnitude amenable to prism correction. In other cases, the patient does not experience diplopia prior to the strabismus surgery, but there exists a definite risk of diplopia after the surgery. In the current review, I examine the literature to help determine the incidence of diplopia after strabismus surgery.

  8. Single incision laparoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    Arun; Prasad

    2010-01-01

    As a complement to standard laparoscopic surgery and a safe alternative to natural orifice transluminal endoscopic surgery,single incision laparoscopic surgery is gaining popularity.There are expensive ports,disposable hand instruments and flexible endoscopes that have been suggested to do this surgery and would increase the cost of operation.For a simple surgery like laparoscopic cholecystectomy,these extras are not needed and the surgery can be performed using standard ports,instruments and telescopes.Tri...

  9. Art and epilepsy surgery.

    Science.gov (United States)

    Ladino, Lady Diana; Hunter, Gary; Téllez-Zenteno, José Francisco

    2013-10-01

    The impact of health and disease has led many artists to depict these themes for thousands of years. Specifically, epilepsy has been the subject of many famous works, likely because of the dramatic and misunderstood nature of the clinical presentation. It often evokes religious and even mythical processes. Epilepsy surgical treatment has revolutionized the care of selected patients and is a relatively recent advance. Epilepsy surgery has been depicted in very few artistic works. The first portrait showing a potential surgical treatment for patients with epilepsy was painted in the 12th century. During the Renaissance, Bosch famously provided artistic commentary on traditional beliefs in "The stone of madness". Several of these works demonstrate a surgeon extracting a stone from a patient's head, at one time believed to be the source of all "folly", including epileptic seizures, psychosis, intellectual disability, depression, and a variety of other illnesses. There are some contemporary art pieces including themes around epilepsy surgery, all of them depicting ancient Inca Empire procedures such as trepanning. This article reviews the most relevant artistic works related with epilepsy surgery and also its historical context at the time the work was produced. We also present a painting from the Mexican artist Eduardo Urbano Merino that represents the patient's journey through refractory epilepsy, investigations, and ultimately recovery. Through this work, the artist intends to communicate hope and reassurance to patients going through this difficult process.

  10. Optical modulator including grapene

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Ming; Yin, Xiaobo; Zhang, Xiang

    2016-06-07

    The present invention provides for a one or more layer graphene optical modulator. In a first exemplary embodiment the optical modulator includes an optical waveguide, a nanoscale oxide spacer adjacent to a working region of the waveguide, and a monolayer graphene sheet adjacent to the spacer. In a second exemplary embodiment, the optical modulator includes at least one pair of active media, where the pair includes an oxide spacer, a first monolayer graphene sheet adjacent to a first side of the spacer, and a second monolayer graphene sheet adjacent to a second side of the spacer, and at least one optical waveguide adjacent to the pair.

  11. [Cosmetic eyelid surgery].

    Science.gov (United States)

    Ruban, J-M; Barbier, J; Malet, T; Baggio, E

    2014-01-01

    Cosmetic eyelid surgery is becoming increasingly popular. It can rejuvenate the patient's appearance with relatively minor side effects. Its risk/benefit ratio is one of the best in facial cosmetic surgery. However, the patient does not always accurately assess the aesthetic appearance of his or her eyelids. This underscores the importance of clinical examination in order to determine the patient's wishes, and then make an accurate diagnosis and potential surgical plan. We currently oppose, in general, surgical techniques involving tissue removal (skin-muscle and/or fat) in favor of those involving tissue repositioning and grafting (autologous fat pearl transposition, obtained by liposuction, and lipostructure). Furthermore, the place of adjuvant therapies to blepharoplasty is steadily increasing. They mainly include surface treatments (peels and lasers), dermal fillers and anti-wrinkle botulinum toxin injections. They are also increasingly used in isolation in novel ways. In all cases, a perfect knowledge of anatomy and relevant skills and experience remain necessary.

  12. Visual Impairment, Including Blindness

    Science.gov (United States)

    ... Who Knows What? Survey Item Bank Search for: Visual Impairment, Including Blindness Links updated, April 2017 En ... doesn’t wear his glasses. Back to top Visual Impairments in Children Vision is one of our ...

  13. Biblioteca Naţională a României: obiective şi perspective în valorificarea patrimoniului cultural

    Directory of Open Access Journals (Sweden)

    Elena Tîrziman

    2008-01-01

    Biblioteca Naţională a României este implicată în proiecte internaţionale care au ca scop crearea de conţinut digital relevant pentru memoria culturală europeană: The European Library – TEL (Biblioteca europeană, Manuscriptorium şi ENRICH – European Networking Resources and Information concerning Cultural Heritage, proiecte coordonate de Biblioteca Naţională a Cehiei. Biblioteca Naţională a României a contribuit la proiectele Manuscriptorium / ENRICH prin carte românească veche din perioada corespunzătoare secolelor XVI-XVII.

  14. 經由校園網路存取圖書館光碟資料庫之研究 Studies on Multiuser Access Library CD-ROM Database via Campus Network

    Directory of Open Access Journals (Sweden)

    Ruey-shun Chen

    1992-06-01

    Full Text Available 無Library CD-ROM with its enormous storage, retrieval capabilities and reasonable price. It has been gradually replacing some of its printed counterpart. But one of the greatest limitation on the use of stand-alone CD-ROM workstation is that only one user can access the CD-ROM database at a time. This paper is proposed a new method to solve this problem. The method use personal computer via standard network system Ethernet high speed fiber network FADDY and standard protocol TCP/IP can access library CD-ROM database and perform a practical CD-ROM campus network system. Its advantage reduce redundant CD-ROM purchase fee and reduce damage by handed in and out and allows multiuser to access the same CD-ROM disc simultaneously.

  15. Value of Pediatric Orthopaedic Surgery.

    Science.gov (United States)

    Kocher, Mininder S

    2015-01-01

    Value has become the buzzword of contemporaneous health care reform. Value is defined as outcomes relative to costs. Orthopaedic surgery has come under increasing scrutiny due to high procedural costs. However, orthopaedic surgery may actually be a great value given the benefits of treatment. The American Academy of Orthopaedic Surgeons (AAOS) Value Project team was tasked to develop a model for assessing the benefits of orthopaedic surgery including indirect costs related to productivity and health-related quality of life. This model was applied to 5 orthopaedic conditions demonstrating robust societal and economic value. In all cost-effectiveness models, younger patients demonstrated greater cost-effectiveness given increased lifespan and productivity. This has tremendous implications within the field of pediatric orthopedic surgery. Pediatric orthopaedics may be the best value in medicine!

  16. [Future aspect of robotic surgery].

    Science.gov (United States)

    Shimada, Mitsuo; Sugimachi, Keizo

    2002-04-01

    Minimally invasive surgery has become a standard options of surgery. We have introduced a master-slave manipulator "da Vinci" to the clinical situation in July 2000, and developed new operative techniques, which are safer and more tender for patients than before. Up to now, a total of 45 patients underwent a robot-assisted endoscopic surgery using "da Vinci" system. Several procedures including laparoscopic splenectomy and thoracoscopic mediastinal tumor extirpation were first performed in the world. This system provided surgeons with motion scaling, physiological tremor elimination, and high-resolution 3-dimensional vision. Thanks to those sophisticated functions, all surgical procedures, which have been limited due to endoscopic circumstances, were performed much easily and safely than before. Every effort to develop a new type of robotic has been made in collaboration with other fields of scientists. A next-generation robotic surgery is required to equip new functions including tactile sensation system, a real-time navigation system and tele-operation system. Robotic surgery is believed to be one of the most promising and important fields of surgery in the near future.

  17. Pediatric robotic urologic surgery-2014

    Directory of Open Access Journals (Sweden)

    James T Kearns

    2014-01-01

    Full Text Available We seek to provide a background of the current state of pediatric urologic surgery including a brief history, procedural outcomes, cost considerations, future directions, and the state of robotic surgery in India. Pediatric robotic urology has been shown to be safe and effective in cases ranging from pyeloplasty to bladder augmentation with continent urinary diversion. Complication rates are in line with other methods of performing the same procedures. The cost of robotic surgery continues to decrease, but setting up pediatric robotic urology programs can be costly in terms of both monetary investment and the training of robotic surgeons. The future directions of robot surgery include instrument and system refinements, augmented reality and haptics, and telesurgery. Given the large number of children in India, there is huge potential for growth of pediatric robotic urology in India. Pediatric robotic urologic surgery has been established as safe and effective, and it will be an important tool in the future of pediatric urologic surgery worldwide.

  18. Rojas Zorrilla ante la crítica romántica

    Directory of Open Access Journals (Sweden)

    Pedraza Jiménez, Felipe B

    2007-06-01

    Full Text Available To Romantic Criticism, Rojas Zorrilla’s fame becomed obscure by the figure of his contemporary, friend and collaborator, Pedro Calderón de la Barca. This logical situation is clearly evident in the great german critics: Rojas Zorrilla is scarcely mentioned by the Schlegel brothers. To other historians he occupied a secondary place and the only exception was Johann Ludwig Tieck, who exalted his works even above Calderón masterpieces. It can be affirmed that Rojas Zorrilla reception was irregular. If we examine Musso Valiente’s library, Agustín Durán’s Discurso, and the romantic period editions, we will find some interest in his figure and that it was situated in a secondary place in relation to our great theater. It seems clear that Martínez de la Rosa and Alberto Lista were the critics who pay more attention to him. Martínez de la Rosa established an approach based in the neoclassic topics about our writer, meanwhile Alberto Lista developed a closer and original reading, specially centered in the poet’s tragic dimension and elements that, from his point of view, anticipated romantic Aesthetics. Rojas Zorrilla inclusion in romantic Literary Histories, and his edition in the «Biblioteca de Autores Españoles», prepared by Mesonero Romanos, make him enter the canon among the «six great stars» in Spanish Golden Age Theater.Para la crítica romántica, la fama de Rojas Zorrilla quedó oscurecida, de forma perfectamente lógica, por la de su coetáneo, amigo y colaborador don Pedro Calderón de la Barca. Esta situación es muy patente en los grandes críticos alemanes. Los hermanos Schlegel apenas citan a nuestro dramaturgo. Otros historiadores le conceden un lugar secundario, con la excepción de Johann Ludwig Tieck, que lo exaltó incluso por encima del autor de La vida es sueño. La recepción de su obra en España fue irregular. Del análisis de la biblioteca y escritos de Musso Valiente, del discurso de Agustín Durán, de las

  19. [Bariatric surgery: an update].

    Science.gov (United States)

    Moreno Esteban, B; Zugasti Murillo, A

    2004-01-01

    The indication of bariatric surgery as therapeutic procedure for morbid obese patients requires the application of selection criteria which deal with the degree of obesity, associated complications and previous failure of conventional therapy. Alcohol or drug addiction and concomitant serious disease are contraindications for bariatric surgery. Before operation, a full assessment is needed to identify possible eating behaviour disturbances and associated comorbidity such as cardiovascular disease, sleep apnoea, metabolic and psychiatric alterations which might induce intra and postoperative complications. Surgical techniques can be classified as restrictive, malabsortive and mixed procedures. Gastroplasty and adjustable gastric banding are restrictive techniques, which are indicated in obese patients with body mass index less than 45 kg/m2. Mixed techniques are the most used procedures. They include gastric by-pass which causes a reduction of 60-70% of weight excess, biliopancreatic diversion and duodenal switch which can eliminate a 75% of body weight excess. Following bariatric surgery a dramatic improvement in associated comorbidity can be demonstrated, specially in what refers to diabetes, hypertension, dislipidaemia and apnoea. Postoperative mortality is around 1-2%. Peritonitis and venous thromboembolism are the most serious complications. Postoperative follow-up should be lifelong and requires a progressive nutrition planning and vitamin supplementation.

  20. Robotic surgery in gynecology

    Directory of Open Access Journals (Sweden)

    Jean eBouquet De Jolinière

    2016-05-01

    Full Text Available Abstract Minimally invasive surgery (MIS can be considered as the greatest surgical innovation over the past thirty years. It revolutionized surgical practice with well-proven advantages over traditional open surgery: reduced surgical trauma and incision-related complications, such as surgical-site infections, postoperative pain and hernia, reduced hospital stay, and improved cosmetic outcome. Nonetheless, proficiency in MIS can be technically challenging as conventional laparoscopy is associated with several limitations as the two-dimensional (2D monitor reduction in-depth perception, camera instability, limited range of motion and steep learning curves. The surgeon has a low force feedback which allows simple gestures, respect for tissues and more effective treatment of complications.Since 1980s several computer sciences and robotics projects have been set up to overcome the difficulties encountered with conventional laparoscopy, to augment the surgeon's skills, achieve accuracy and high precision during complex surgery and facilitate widespread of MIS. Surgical instruments are guided by haptic interfaces that replicate and filter hand movements. Robotically assisted technology offers advantages that include improved three- dimensional stereoscopic vision, wristed instruments that improve dexterity, and tremor canceling software that improves surgical precision.

  1. Robotic assisted andrological surgery

    Institute of Scientific and Technical Information of China (English)

    Sijo J Parekattil; Ahmet Gudeloglu

    2013-01-01

    The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy,unparalleled to any previous visual loop or magnification techniques.This technology revolutionized techniques for microsurgery in andrology.Today,we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology.Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields,such as ophthalmology,hand surgery,plastics and reconstructive surgery.The potential advantages of robotic assisted platforms include elimination of tremor,improved stability,surgeon ergonomics,scalability of motion,multi-input visual interphases with up to three simultaneous visual views,enhanced magnification,and the ability to manipulate three surgical instruments and cameras simultaneously.This review paper begins with the historical development of robotic microsurgery.It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures,such as vasectomy reversal,subinguinal varicocelectomy,targeted spermatic cord denervation (for chronic orchialgia) and robotic assisted microsurgical testicular sperm extraction (microTESE).

  2. Analytic device including nanostructures

    KAUST Repository

    Di Fabrizio, Enzo M.

    2015-07-02

    A device for detecting an analyte in a sample comprising: an array including a plurality of pixels, each pixel including a nanochain comprising: a first nanostructure, a second nanostructure, and a third nanostructure, wherein size of the first nanostructure is larger than that of the second nanostructure, and size of the second nanostructure is larger than that of the third nanostructure, and wherein the first nanostructure, the second nanostructure, and the third nanostructure are positioned on a substrate such that when the nanochain is excited by an energy, an optical field between the second nanostructure and the third nanostructure is stronger than an optical field between the first nanostructure and the second nanostructure, wherein the array is configured to receive a sample; and a detector arranged to collect spectral data from a plurality of pixels of the array.

  3. Cell response to surgery.

    LENUS (Irish Health Repository)

    Ni Choileain, Niamh

    2012-02-03

    OBJECTIVES: To describe the profound alterations in host immunity that are produced by major surgery as demonstrated by experimental and clinical studies, and to evaluate the benefits of therapeutic strategies aimed at attenuating perioperative immune dysfunction. DATA SOURCES: A review of the English-language literature was conducted, incorporating searches of the MEDLINE, EMBASE, and Cochrane collaboration databases to identify laboratory and clinical studies investigating the cellular response to surgery. STUDY SELECTION: Original articles and case reports describing immune dysfunction secondary to surgical trauma were included. DATA EXTRACTION: The results were compiled to show outcomes of different studies and were compared. DATA SYNTHESIS: Current evidence indicates that the early systemic inflammatory response syndrome observed after major surgery that is characterized by proinflammatory cytokine release, microcirculatory disturbance, and cell-mediated immune dysfunction is followed by a compensatory anti-inflammatory response syndrome, which predisposes the patient to opportunistic infection, multiple organ dysfunction syndrome, and death. Because there are currently no effective treatment options for multiple organ dysfunction syndrome, measures to prevent its onset should be initiated at an early stage. Accumulating experimental evidence suggests that targeted therapeutic strategies involving immunomodulatory agents such as interferon gamma, granulocyte colony-stimulating factor, the prostaglandin E(2) antagonist, indomethacin, and pentoxifylline may be used for the treatment of systemic inflammatory response syndrome to prevent the onset of multiple organ dysfunction syndrome. CONCLUSIONS: Surgical trauma produces profound immunological dysfunction. Therapeutic strategies directed at restoring immune homeostasis should aim to redress the physiological proinflammatory-anti-inflammatory cell imbalance associated with major surgery.

  4. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient's appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems. Jaw Surgery can have a dramatic effect on ...

  5. Gastric bypass surgery

    Science.gov (United States)

    ... Roux-en-Y; Weight-loss surgery - gastric bypass; Obesity surgery - gastric bypass ... bypass surgery is not a quick fix for obesity. It will greatly change your lifestyle. After this surgery, you must eat healthy foods, control portion sizes of ...

  6. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require ...

  7. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may ...

  8. TRAUMA SURGERY

    African Journals Online (AJOL)

    utilisation of multiple resources, including blood products, anaesthetic ... surgical management of AVC injuries in the trauma centre at ... Sciences Human Research Ethics Committee. ..... Karinos N, Hayes PM, Nicol AJ, Kahn D. Avoiding futile.

  9. The stability of the reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) tests on stored horse blood.

    Science.gov (United States)

    Celi, P; Sullivan, M; Evans, D

    2010-02-01

    Increasing interest in the role of oxidative stress (OS) in equine medicine has highlighted the need to develop reliable methods to quantify it. In this study we describe the effect of refrigeration (at 4 degrees C) on the stability of the reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) tests carried out on 15 healthy horses. Blood samples, collected from the jugular vein, were immediately placed on ice and analysed using both the d-ROMs and BAP tests. Samples were also refrigerated at 4 degrees C and tested after 3, 7 and 24 h. The average results were similar for up to 24 h and minimal variations were found for each horse. The findings suggest that refrigeration is suitable for preserving equine blood samples for these assays and this approach will provide veterinarians with a technically simple, reliable test to measure OS under field conditions.

  10. The effects of a CD-ROM textbook on student achievement and cognition-level attainment of undergraduate biology students

    Science.gov (United States)

    Ludrick, Brad Burton

    Purpose of the study. This study was designed to measure the effects of CD-ROM textbook integration on student achievement and student cognition-level-attainment for undergraduate general biology students. Four sections of general biology were selected as the study group. Two sections served as the experimental group receiving CD-ROM textbook integration. The remaining two sections served as the control group, and were taught biological content utilizing a traditional textbook. Procedure. This study employed a pre-experimental research design, static group comparison (Ary, Jacobs, & Razavieh, 1996: 331), to determine if a CD-ROM textbook had significant effects on student cognition-level-attainment and content achievement of undergraduate biology students. The study was conducted during the 2001 spring semester at Southeastern Oklahoma State University. The duration of the treatment was approximately sixteen weeks. Four sections of general biology (N = 101) were selected as the study group. Two of the four sections of general biology (n = 48) were randomly selected by the researcher via coin toss to serve as the experimental group, Group A, and were taught biological content utilizing a CD-ROM Textbook. The remaining two sections of general biology (n = 53) served as the control group, Group B, and were taught biological content utilizing a traditional textbook. Various statistical tests were used in analysis of the data. The ten null hypotheses were tested at the .05 level of significance. The Statistical Package for the Social Sciences program (SPSS), version 9.0 (SPSS, 1999), was used to process the data. Results. The results determined by this study were the overall effects of the CD-ROM textbook did not significantly differ from the effects of the traditional textbook on student content achievement and cognition-level-attainment. Conclusions. The utilization of CD-ROM textbook instruction is not superior at improving student achievement of biology content, as

  11. Sobre a noção de “ironia romântica” e sua presença na escrita de Freud

    Directory of Open Access Journals (Sweden)

    Ines Loureiro

    Full Text Available O artigo apresenta a noção de ironia romântica e indica alguns sinais de sua presença na escrita de Freud. A ironia romântica diz respeito a uma atitude perante a existência, a um modo específico de lidar com os limites da linguagem e da representação. Em Freud, estão ausentes as ambições totalizantes que justificam o caráter romântico da ironia. Porém, em seus confrontos com o texto, nota-se o movimento pendular característico da ironia romântica.

  12. Prethrombotic state gene predictions and diagnosis of venous thromboembolism after large traumatic surgery including orthopedic joint replacement and implant placement%骨科关节置换、植入物置入等较大创伤型手术后静脉血栓前状态的基因预测诊断

    Institute of Scientific and Technical Information of China (English)

    王强; 赵学凌

    2012-01-01

    BACKGROUND: At present, we pay more attention on the early genetic diagnosis of venous thromboembolism after traumatic or orthopedic surgery.OBJECTIVE: To summarize the mature gene research used to diagnosis the venous thromboembolism after orthopedic surgery.METHODS: CNKI database and PubMed database (2000-01/2011-01) were searched through Web with the key words of “venous thrombosis, deep venous thrombosis, pulmonary embolism, genes, diagnosis” or “thrombosis, DVT, PE, gene”.RESULTS AND CONCLUSION: Recent clinical and basic research showed that venous thromboembolism was a typical polygenic hereditary disease. And we also found some mutant gene related to high blood coagulation was closely related with venous thrombosis. These mutant gene included prothrombinase V, antithrombin Ⅲ, protein C, protein S, plasminogen, fibrinogen, heparin cofactor Ⅱ, thrombomodulin and prothrombinase Ⅻ. Understanding of the hereditary pathogenic gene mechanism for venous thromboembolism was in favor of early diagnosis and treatment and reduced the harm.%背景:目前创伤或骨科手术后的静脉血栓栓塞症早期基因诊断日益受到重视.目的:综述目前用于预测诊断骨科术后静脉血栓栓塞症较为成熟的一些基因的研究进展.方法:通过网络检索CNKI和PubMed数据库等2000-01/2011-01关于骨科术后静脉血栓基因诊断的文章,在标题和摘要中以"静脉血栓形成,深静脉血栓,肺栓塞,基因,诊断"或"thrombosis;DVT;PE;gene"为关键词.结果与结论:近年来临床和基础研究证实,骨科术后的静脉血栓栓塞症是人类典型的多基因遗传性疾病,至今发现了一些和血液高凝有关的突变基因与静脉血栓形成有密切关系,分别是:凝血因子V,抗凝血酶Ⅲ,蛋白C,蛋白S,纤溶酶原,纤维蛋白原,肝素辅因子Ⅱ,血栓调节蛋白和凝血因子Ⅻ.了解骨科术后静脉血栓栓塞症的遗传性致病基因机制,有利于早诊断、早治疗,降低其危害.

  13. The Virtual Man Project’s CD-ROM “Voice Assessment: Speech-Language Pathology and Audiology & Medicine”, Vol.1

    Science.gov (United States)

    VIEIRA, Millena Maria Ramalho Matta; BERRETIN-FELIX, Giédre; BRASOLOTTO, Alcione Ghedini

    2009-01-01

    ABSTRACT The CD-ROM “Voice Assessment: Speech-Language Pathology and Audiology & Medicine” was developed as a teaching tool for people interested in the production of the spoken or sung human voice. Its content comprises several subjects concerning the anatomy and physiology of spoken and sung voice. A careful assessment becomes necessary in order to ensure the effectiveness of teaching and learning educational materials, whether related to education or health, within the proposal of education mediated by technology. Objective: This study aimed to evaluate the efficacy of the Virtual Man Project’s CD-ROM “Voice Assessment: Speech-Language Pathology and Audiology & Medicine”, as a self-learning material, in two different populations: Speech-Language Pathology and Audiology students and Lyrical Singing students. The participants were instructed to study the CD-ROM during 1 month and answer two questionnaires: one before and another one after studying the CD-ROM. The quantitative results were compared statistically by the Student’s t-test at a significance level of 5%. Results: Seventeen out of the 28 students who completed the study, were Speech-Language Pathology and Audiology students, while 11 were Lyrical Singing students (dropout rate of 44%). Comparison of the answers to the questionnaires before and after studying the CD-ROM showed a statistically significant increase of the scores for the questionnaire applied after studying the CD-ROM for both Speech-Language Pathology and Audiology and Lyrical Singing students, with pAudiology and Lyrical Singing students’ knowledge before and after learning from the CD-ROM allowed concluding that the participants made significant improvement in their knowledge of the proposed contents after studying the CD-ROM. Based on this, it is assumed that this didactic material is an effective instrument for self-learning of this population. PMID:21499654

  14. Preliminary results of assessing the mixing of wave transport flux residualin the upper ocean with ROMS

    Science.gov (United States)

    Shi, Yongfang; Wu, Kejian; Yang, Yongzeng

    2016-04-01

    The effects of the mixing of wave transport flux residual (Bvl) on the upper ocean is studied through carrying out the control run (CR) and a series of sensitive runs (SR) with ROMS model. In this study, the important role of Bvl is revealed by comparing the ocean temperature, statistical analysis of errors and evaluating the mixed layer depth. It is shown that the overestimated SST is improved effectively when the wave-induced mixing is incorporated to the vertical mixing scheme. As can be seen from the vertical structure of temperature 28°C isotherm changes from 20 min CR to 35 m in SR3, which is more close to the observation. Statistic analysis shows that the root-mean-square errors of the temperature in 10 m are reduced and the correlation between model results and observation data are increased after considering the effect of Bvl. The numerical results of the ocean temperature show improvement in summer and in tropical zones in winter, especially in the strong current regions in summer. In August the mixed layer depth (MLD) which is defined as the depth that the temperature has changed 0.5°C from the reference depth of 10 m is further analyzed. The simulation results have a close relationship with undetermined coefficient of Bvl, sensitivity studies show that a coefficient about 0.1 is reasonable value in the model.

  15. Nanomechanical recognition of prognostic biomarker suPAR with DVD-ROM optical technology

    Science.gov (United States)

    Bache, Michael; Bosco, Filippo G.; Brøgger, Anna L.; Frøhling, Kasper B.; Sonne Alstrøm, Tommy; Hwu, En-Te; Chen, Ching-Hsiu; Eugen-Olsen, Jesper; Hwang, Ing-Shouh; Boisen, Anja

    2013-11-01

    In this work the use of a high-throughput nanomechanical detection system based on a DVD-ROM optical drive and cantilever sensors is presented for the detection of urokinase plasminogen activator receptor inflammatory biomarker (uPAR). Several large scale studies have linked elevated levels of soluble uPAR (suPAR) to infectious diseases, such as HIV, and certain types of cancer. Using hundreds of cantilevers and a DVD-based platform, cantilever deflection response from antibody-antigen recognition is investigated as a function of suPAR concentration. The goal is to provide a cheap and portable detection platform which can carry valuable prognostic information. In order to optimize the cantilever response the antibody immobilization and unspecific binding are initially characterized using quartz crystal microbalance technology. Also, the choice of antibody is explored in order to generate the largest surface stress on the cantilevers, thus increasing the signal. Using optimized experimental conditions the lowest detectable suPAR concentration is currently around 5 nM. The results reveal promising research strategies for the implementation of specific biochemical assays in a portable and high-throughput microsensor-based detection platform.

  16. Eumenes II. als persona non grata: Pergamon, Rom und der 3. Makedonische Krieg

    Directory of Open Access Journals (Sweden)

    Christoph Kenkel

    2012-11-01

    Full Text Available Christoph Kenkel treads on difficult terrain with his Bachelor Thesis Eumenes II als persona non grata: Pergamon, Rom und der 3. Makedonische Krieg ( Eumenes II as persona non grata: Pergamon, Rome and the Third Macedonian War, but manages to develop his own convincing interpretation of a research topic subjected to strong discourse.Starting with the deprecatory demeanor of the Roman Senate towards Eumenes II Sotor (197-159 in 167 B.C., the author begins a search for this unusual rejection, facing the challenge of a confusing array of sources and the many diverging opinions of researchers. Further complications arise from the complex political situation at the eve of the Third Macedonian War that raises a variety of new issues.Nevertheless Kenkel manages to see through the machinations and rumors of Roman politics by applying logical thought, and explains plausibly why Eumenes, who unjustly got caught in the crossfire, has always been an ally of Rome, despite of many contemporary rumors and keen allegations.

  17. Astronomy Classroom Activities Using the ``Ultraviolet/Visible Sky Gallery" CD-ROM

    Science.gov (United States)

    Cheng, K.-P.; Angione, R.; Talbert, F.; Sievers, J.; Jang, C.

    1998-05-01

    The ``Ultraviolet/Visible Sky Gallery" CD-ROM we published in April 1997 contains hundreds of images of astronomical objects such as galaxies, cluster of galaxies, globular clusters, associations of stars, supernova remnants, planetary nebulae, and selected fields of the Large and Small Magellanic clouds. This CD is a unique dataset that combines science data from space and ground-based missions. All the ultraviolet (UV) images on the CD were observed by the Ultraviolet Imaging Telescope during the ASTRO-1 Space Shuttle mission, and the matching visible images were obtained by us from Kitt Peak, Cerro Tololo, and Mount Laguna Observatories. The view of the ``invisible" UV sky has lead to many important discoveries, such as previously undetected hot stars in globular clusters, starburst nuclei in barred spirals, and faint external dust arms in spiral galaxies. Our UV and visible comparisons have provided new insights on these cosmic phenomena. We have developed some educational exercises that make use of this CD. These curriculum-related activities are designed to be used interactively by students for understanding astronomical concepts. Each of these exercises has two versions, one for college and another for high school students. They will be fully tested then donated to the Astronomical Society of the Pacific along with our CD.

  18. Earth in Space: A CD-ROM Version for Pre-College Teachers

    Science.gov (United States)

    Pedigo, P.

    2003-12-01

    Earth in Space, a magazine about the Earth and space sciences for pre-college science teachers, was published by AGU between 1987 and 2001 (9 issues each year). The goal of Earth in Space was to make research at the frontiers of the geosciences accessible to teachers and students and engage them in thinking about scientific careers. Each issue contained two or three recent research articles, rewritten for a high school level audience from the original version published in peer-reviewed AGU journals, which were supplemented with short news items and biographic information about the authors. As part of a 2003 summer internship with AGU, sponsored by the AGU Committee on Education and Human Resources (CEHR) and the American Institute of Physics, this collection of Earth in Space magazines was converted into an easily accessible electronic resource for K-12 teachers and students. Every issue was scanned into a PDF file. The entire collection of articles was cataloged in a database indexed to key topic terms (e.g., volcanoes, global climate change, space weather). A front-page was designed in order to facilitate rapid access to articles concerning specific topics within the Earth and space sciences of particular interest to high school students. A compact CD-ROM version of this resource will be distributed to science teachers at future meetings of the National Science Teachers Association and will be made available through AGU's Outreach and Research Support program.

  19. La imagen romántica en la prensa valenciana del siglo XIX

    Directory of Open Access Journals (Sweden)

    Dr. J. Enrique Peláez Malagón

    2002-01-01

    Full Text Available El presente artículo recoge la temática y evolución del grabado romántico que aparece en la prensa valenciana a lo largo del siglo XIX. El grabado, como técnica artística, no es ajeno al romanticismo que en otras artes se está desarrollando en esta época y por ello se sumerge en su estilo y en sus temas. Temas, que, dado el nuevo soporte de este tipo de arte: la prensa, adquieren una mayor relevancia dadas sus posibilidades de difusión, apareciendo por consiguiente nuevas posibilidades de llegar al lector por medio de la imagen. De esta forma podemos ver desarrollados los relatos de viajes, las modas, las escenas de costumbres, la vida cotidiana... materias todas ellas que tratan de ilustrar al lector. En definitiva, podríamos afirmar que el grabado en la prensa será uno de los mejores elementos que dispondrá el romanticismo para llegar a hacerse popular. Valencia, como otras partes de España y de Europa, no es ajena a este proceso y cuenta con un amplio ejemplo de esta circunstancia.

  20. Cecilia Böhl de Faber entre los románticos

    Directory of Open Access Journals (Sweden)

    Arroyo Almaraz, Antonio

    2014-06-01

    Full Text Available Cecilia Böhl de Faber and Francisca Ruiz de Larrea were both involved in the publication of the story La madre o El combate de Trafalgar published in the illustrated magazine El Artista, a staunch defender of Romanticism. The story was written by Cecilia Böhl de Faber and sent to the magazine by Francisca Ruiz de Larrea, after she had translated it from French and slightly adapted it. This made Cecilia Böhl de Faber the only woman writer to have been published in the romantic magazine, where she advocated aesthetic principles that would later characterise her work.Cecilia Böhl de Faber y Francisca Ruiz de Larrea participan en la edición del cuento La madre o El combate de Trafalgar publicado en la revista ilustrada El Artista, de gran trascendencia en la defensa del Romanticismo. El relato fue escrito por la primera y enviado a la revista por la segunda, una vez que lo tradujo del francés modificando en parte el mismo. A partir de este hecho aparece Cecilia como la única escritora que publicó en la revista romántica defendiendo a su vez principios estéticos que veremos posteriormente en su obra.

  1. El violón de Domingo Román (Valladolid, 1724

    Directory of Open Access Journals (Sweden)

    Reula Baquero, Pedro

    2009-12-01

    Full Text Available Domingo Roman’s cello is one of the very few surviving Spanish bowed instruments from the eighteenth century. This article basically pretends to present and describe this recently rediscovered instrument by analising it’s very peculiar way of construction, comparing it with the informations we have about the Spanish school of making from sixteen till eighteenth century and other contemporary schools like the fl amish and the german one.

    El violón de Domingo Román (Valladolid, 1724 viene a enriquecer la escasa nómina de instrumentos de arco españoles conservados del siglo XVIII. Este artículo pretende ser, básicamente, una presentación y descripción del violón. El análisis del contexto estilístico trata de poner en relación sus peculiares características constructivas con las de la escuela española de los violeros de los siglos XVI a XVIII y con otras europeas como la fl amenca y alemana.

  2. Complications in colorectal surgery.

    Science.gov (United States)

    Frischer, Jason S; Rymeski, Beth

    2016-12-01

    Colorectal pediatric surgery is a diverse field that encompasses many different procedures. The pullthrough for Hirschsprung disease, the posterior sagittal anorectoplasty for anorectal malformations including complex cloaca reconstructions and the ileal pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis present some of the most technically challenging procedures pediatric surgeons undertake. Many children prevail successfully following these surgical interventions, however, a small number of patients suffer from complications following these procedures. Anticipated postoperative problems are discussed along with medical and surgical strategies for managing these complications. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Monitoring in microvascular surgery.

    Science.gov (United States)

    Furnas, H; Rosen, J M

    1991-03-01

    The importance of monitoring in microvascular surgery is underscored by the high reported salvage rates of failing free flaps and replants. In this overview, we begin by defining the physiology of ischemic tissue with emphasis given to the no-reflow phenomenon and the secondary critical ischemia times. Based on the physiological changes accompanying ischemia, several variables are defined that can be monitored to reflect the vascular state of a free flap or replant. Multifarious monitoring systems are then reviewed, including clinical observation, temperature, isotope clearance, ultrasonic Doppler, laser Doppler, transcutaneous oxygen tension, reflection plethysmography, dermofluorometry, pH, electromagnetic flowmetry, serial hematocrits, interstitial fluid pressure, and magnetic resonance imaging.

  4. Linkage of autosomal recessive primary congenital glaucoma to the GLC3A locus in Roms (Gypsies) from Slovakia.

    Science.gov (United States)

    Plásilová, M; Feráková, E; Kádasi, L; Poláková, H; Gerinec, A; Ott, J; Ferák, V

    1998-01-01

    The autosomal recessive form of primary congenital glaucoma (gene symbol GLC3) has been recently mapped to two different loci, GLC3A (at 2p21), and GLC3B (at 1p36), respectively, on families of Turkish and Saudi Arabian provenance. This disorder is known to occur with an extremely high incidence in Roms (Gypsies) in Slovakia. We performed a standard linkage analysis on a sample of 7 Slovak Gypsy families comprising 18 affected members, and found significant linkage with four STR markers from the chromosomal region of 2p21 (D2S1788, D2S1346, D2S2328, and D2S1356), without heterogeneity. This finding demonstrates that in the Rom population of Slovakia, primary congenital glaucoma is due to the locus GLC3A, and consequently, to the mutation(s) in the cytochrome P4501B1 gene, which has been recently identified as the principal cause of the disease. Roms represent the third population, in which the disorder has been mapped to GLC3A.

  5. La visibilité à éclipses dans les représentations mémorielles des Roms

    Directory of Open Access Journals (Sweden)

    Véronique Klauber

    2006-10-01

    Full Text Available Une étude critique examinera la production historiographique centrée sur une communauté de Roms (Tsiganes. Les membres du groupe furent tour à tour forgerons, armuriers itinérants, maréchaux-ferrants sédentaires, journaliers sur les terres des paysans gadje (non-roms, ouvriers du complexe sidérurgique d’Ozd (ville au nord-est de la Hongrie, ferrailleurs. Les Roms font l’objet de trois types de textes : ceux de l’historiographie roumaine et hongroise, ceux de l’ethno-histoire, enfin ceux de l’histoire orale, recueillis par mes soins (2000-2004 auprès d’anciens sidérurgistes et leurs descendants. La comparaison des différents textes permettra de montrer une corrélation entre les contextes socio-économiques de leur production, les modalités de représentation — pluralistes ou monolithisantes — et la visibilité ethnique de la plus grande minorité européenne.

  6. Nutritional deficiencies after bariatric surgery.

    Science.gov (United States)

    Bal, Bikram S; Finelli, Frederick C; Shope, Timothy R; Koch, Timothy R

    2012-09-01

    Lifestyle intervention programmes often produce insufficient weight loss and poor weight loss maintenance. As a result, an increasing number of patients with obesity and related comorbidities undergo bariatric surgery, which includes approaches such as the adjustable gastric band or the 'divided' Roux-en-Y gastric bypass (RYGB). This Review summarizes the current knowledge on nutrient deficiencies that can develop after bariatric surgery and highlights follow-up and treatment options for bariatric surgery patients who develop a micronutrient deficiency. The major macronutrient deficiency after bariatric surgery is protein malnutrition. Deficiencies in micronutrients, which include trace elements, essential minerals, and water-soluble and fat-soluble vitamins, are common before bariatric surgery and often persist postoperatively, despite universal recommendations on multivitamin and mineral supplements. Other disorders, including small intestinal bacterial overgrowth, can promote micronutrient deficiencies, especially in patients with diabetes mellitus. Recognition of the clinical presentations of micronutrient deficiencies is important, both to enable early intervention and to minimize long-term adverse effects. A major clinical concern is the relationship between vitamin D deficiency and the development of metabolic bone diseases, such as osteoporosis or osteomalacia; metabolic bone diseases may explain the increased risk of hip fracture in patients after RYGB. Further studies are required to determine the optimal levels of nutrient supplementation and whether postoperative laboratory monitoring effectively detects nutrient deficiencies. In the absence of such data, clinicians should inquire about and treat symptoms that suggest nutrient deficiencies.

  7. On the cutting edge of robotic surgery.

    Science.gov (United States)

    Tabor, Wendy

    2007-02-01

    Joysticks meet scalpels in a new computer-enhanced surgery system. A new robotic surgical system is taking laparoscopic surgery to new horizons. With the potential for greater surgical precision, shorter hospital stays, and better patient outcomes, this minimally invasive surgical technique offers an exciting new option for many patients undergoing various surgical procedures. Read on to learn more about robotic surgery, including your role in patient care.

  8. Oral surgery: part 2. Endodontic surgery.

    Science.gov (United States)

    Pop, I

    2013-09-01

    In the past, the interaction between dentoalveolar surgery and restorative dentistry has been limited to the removal of teeth with pulp and/or periradicular disease or those that were unrestorable. However, with the increasing dental awareness of the population and the retention of teeth into later life, the interaction between dentoalveolar surgery and restorative dentistry is becoming a fundamental aspect of clinical practice. Indeed, endodontic and implant surgery are core activities that facilitate the retention of a functional dentition.

  9. Advanced laparoscopic bariatric surgery Is safe in general surgery training.

    Science.gov (United States)

    Kuckelman, John; Bingham, Jason; Barron, Morgan; Lallemand, Michael; Martin, Matthew; Sohn, Vance

    2017-05-01

    Bariatric surgery makes up an increasing percentage of general surgery training. The safety of resident involvement in these complex cases has been questioned. We evaluated patient outcomes in resident performed laparoscopic bariatric procedures. Retrospective review of patients undergoing a laparoscopic bariatric procedure over seven years at a tertiary care single center. Procedures were primarily performed by a general surgery resident and proctored by an attending surgeon. Primary outcomes included operative volume, operative time and leak rate with perioperative outcomes evaluated as secondary outcomes. A total of 1649 bariatric procedures were evaluated. Operations included laparoscopic bypass (690) and laparoscopic sleeve gastrectomy (959). Average operating time was 136 min. Eighteen leaks (0.67%) were identified. Graduating residents performed an average of 89 laparoscopic bariatric cases during their training. There were no significant differences between resident levels with concern to operative time or leak rate (p 0.97 and p = 0.54). General surgery residents can safely perform laparoscopic bariatric surgery. When proctored by a staff surgeon, a resident's level of training does not significantly impact leak rate. Published by Elsevier Inc.

  10. Impact of implementation of a pediatric surgery fellowship on general surgery resident operative volume.

    Science.gov (United States)

    Snyder, Rebecca A; Phillips, Sharon E; Terhune, Kyla P

    2012-01-01

    The purpose of this study was to determine the impact of the initiation of a pediatric surgery fellowship on general surgery resident operative volume at 1 major academic institution. Retrospective review of operative records obtained from the Accreditation Council for Graduate Medical Education (ACGME) general surgery resident and pediatric surgery fellow case logs. Data collected included number and type of pediatric index cases per year, number of total pediatric surgery cases per year, and number of total cases logged as primary surgeon to date. Vanderbilt University School of Medicine Department of Surgery, which has an accredited general surgery program, finishes 7 chief residents per year during the study period, and instituted a new pediatric surgery fellowship in 2007. Case logs submitted by third and fourth year general surgery residents and first and second year pediatric surgery fellows were studied. The number of pediatric attending surgeons, relative value units (RVUs), and hospital admissions increased from 2003 to 2011. The median number of pediatric index cases performed by a resident decreased after the onset of fellowship from 34 cases to 23.5 cases per year (p pediatric surgery rotation also decreased from 74 to 53 cases per year after onset of the fellowship (p surgery resident index and overall case volume in pediatric surgery. Although operative volume is only 1 measure of surgical educational value, these findings suggest that the addition of surgical fellowships affects the educational experience of general surgery residents. We recommend that residency programs establish goals and calculate any potential impact on general surgery resident case volume before initiating a new surgical fellowship. Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  11. Pediatric deformity treatment update, including 3D correction concepts%Pediatric deformity treatment update,including 3D correction concepts

    Institute of Scientific and Technical Information of China (English)

    Randal R. Betz; Patrick J. Cahill; Joshua M. Pahys; Amer F. Samdani

    2011-01-01

    The purpose of this article is to highlight some of the new developments in the treatment of adolescent idiopathic scoliosis,including 3D correction of deformity,posterior and minimally invasive surgery,and fusionless strategies.

  12. Infections in outpatient surgery.

    Science.gov (United States)

    Nazarian Mobin, Sheila S; Keyes, Geoffrey R; Singer, Robert; Yates, James; Thompson, Dennis

    2013-07-01

    In the plastic surgery patient population, outpatient surgery is cost effective and will continue to grow as the preferred arena for performing surgery in healthy patients. Although there is a widespread myth that outpatient surgery centers may suffer from increased infection rates due to lax infection control, the data presented from American Association for Accreditation of Ambulatory Surgery Facilities-accredited facilities prove the contrary. There is a lack of data investigating infection prevention in the perioperative period in plastic surgery patients. As data collection becomes more refined, tracking the postoperative care environment should offer additional opportunities to lower the incidence of postoperative infections.

  13. Advances in optics for biotechnology, medicine and surgery

    OpenAIRE

    Fitzmaurice, Maryann; Pogue, Brian W.; Tearney, Guillermo J.; Tunnell, James W.; Yang, Changhuei

    2014-01-01

    The editors introduce the Biomedical Optics Express feature issue, “Advances in Optics for Biotechnology, Medicine and Surgery,” which includes 12 contributions from attendees of the 2011 conference Advances in Optics for Biotechnology, Medicine and Surgery XII.

  14. Advances in optics for biotechnology, medicine and surgery.

    Science.gov (United States)

    Hillman, Elizabeth M C; Elson, Daniel S; Bigio, Irving J; Levenson, Richard M; So, Peter T C

    2012-03-01

    The editors introduce the Biomedical Optics Express feature issue, "Advances in Optics for Biotechnology, Medicine and Surgery," which includes 12 contributions from attendees of the 2011 conference Advances in Optics for Biotechnology, Medicine and Surgery XII.

  15. HCUP State Ambulatory Surgery Databases (SASD) - Restricted Access Files

    Data.gov (United States)

    U.S. Department of Health & Human Services — The State Ambulatory Surgery Databases (SASD) contain the universe of hospital-based ambulatory surgery encounters in participating States. Some States include...

  16. [Erythropoietin in plastic surgery].

    Science.gov (United States)

    Günter, C I; Rezaeian, F; Harder, Y; Lohmeyer, J A; Egert, S; Bader, A; Schilling, A F; Machens, H-G

    2013-04-01

    EPO is an autologous hormone, which is known to regulate erythropoiesis. For 30 years it has been used for the therapy of diverse forms of anaemia, such as renal anaemia, tumour-related anaemias, etc. Meanwhile, a multitude of scientific publications were able to demonstrate its pro-regenerative effects after trauma. These include short-term effects such as the inhibition of the "primary injury response" or apoptosis, and mid- and long-term effects for example the stimulation of stem cell recruitment, growth factor production, angiogenesis and re-epithelialisation. Known adverse reactions are increases of thromboembolic events and blood pressure, as well as a higher mortality in patients with tumour anaemias treated with EPO. Scientific investigations of EPO in the field of plastic surgery included: free and local flaps, nerve regeneration, wound healing enhancement after dermal thermal injuries and in chronic wounds.Acute evidence for the clinical use of EPO in the field of plastic surgery is still not satisfactory, due to the insufficient number of Good Clinical Practice (GCP)-conform clinical trials. Thus, the initiation of more scientifically sound trials is indicated.

  17. A lumbar disc surgery predictive score card.

    Science.gov (United States)

    Finneson, B E

    1978-06-01

    A lumbar disc surgery predictive score card or questionnaire has been developed to assess potential candidates for excision of a herniated lumbar disc who have not previously undergone lumbar spine surgery. It is not designed to encompass patients who are being considered for other types of lumbar spine surgery, such as decompressive laminectomy or fusion. In an effort to make the "score card" usable by almost all physicians who are involved in lumbar disc surgery, only studies which have broad acceptance and are generally employed are included. Studies which have less widespread use such as electromyogram, discogram, venogram, special psychologic studies (MMPI, pain drawings) have been purposely excluded.

  18. Plastic surgery after solid organ transplantations

    Institute of Scientific and Technical Information of China (English)

    QI Fa-zhi; ZHANG Yong; YANG Zhen; FENG Zi-hao; GU Jian-ying

    2009-01-01

    Background More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery.Long-term use of immunosuppressive agents raises some serious problems. Therefore, this study aimed to introduce our experience about the safety and effectiveness of plastic surgeries after solid organ allograft transplantation.Methods A retrospective review of 17 transplant recipients who underwent different reconstructive or cosmetic operations was carried out. The subjects included 1 heart transplant, 1 liver transplant and 15 kidney transplant recipients.Results "All patients tolerated the plastic surgery procedures well. Flaps and skin grafts were the main constructive methods. There were no postoperative infections and wound dehiscence. Transferred flaps survived completely. Skin grafts took well. Three of the cosmetic surgery patients were satisfied with the results.Conclusions Immunosuppressed organ transplant recipients can successfully undergo major reconstructive and cosmetic surgery when given special attention.

  19. Sex reassignment surgery

    Directory of Open Access Journals (Sweden)

    Bižić Marta

    2015-01-01

    Full Text Available Transsexualism, or gender incongruence, presents a state in which a person's assigned sex at birth conflicts with their psychological gender. It is classified in International Classification of Diseases as F64. Treating these persons require multidisciplinary approach, including psychiatrist, endocrinologist, gynecologist, urologist, plastic and reconstructive surgeon. Genital reconstruction is the final step in transition, and can be performed when all other conditions required by World Professional Association for Transgender Health (WPATH are accomplished. Female to male sex reassignment surgery Several surgical procedures can be done in female to male transsexuals, including mastectomy, removal of female genitalia, metoidioplasty, scrotoplasty with implantation of testicular implants, as well as total phalloplasty. The current operative technique of metoidioplasty comprise the following steps: vaginal removal, the release of the ventral chordee and clitoral ligaments, straightening and lengthening of the clitoris, urethroplasty by combining buccal mucosa graft and genital flaps and scrotoplasty with insertion of testicle prostheses. The goal is to perform all these procedures in one stage, and that makes our team famous worldwide. Metoidioplasty results in excellent cosmetic outcome with completely preserved sensitivity and sexual arousal, enables voiding while standing, but without ability to penetrate due to small size of the neophallus. Considering these advantages, including low complication rate, patients often choose this option. For those who require bigger phallus which enables implantation of penile prosthesis, several surgical techniques have been reported using either available local vascularized tissue or microvascular tissue transfer. However, none of them satisfy all the goals of modern penile construction, i.e. reproducibility, tactile and erogenous sensation, a competent neourethra with a meatus at the top of the neophallus

  20. [Thymus surgery in a general surgery department].

    Science.gov (United States)

    Mega, Raquel; Coelho, Fátima; Pimentel, Teresa; Ribero, Rui; Matos, Novo de; Araújo, António

    2005-01-01

    Evaluation of thymectomy cases between 1990-2003, in a General Surgery Department. Evaluation of the therapeutic efficacy in Miastenia Gravis patients. Retrospective study based on evaluation of data from Serviço de Cirurgia, Neurologia and Consult de Neurology processes, between 1990-2003, of 15 patients submitted to total thymectomy. 15 patients, aged 17 to 72, 11 female and 4 male. Miastenia Gravis was the main indication for surgery, for uncontrollable symptoms or suspicion of thymoma. In patients with myasthenia, surgery was accomplish after compensation of symptoms. There weren't post-surgery complications. Pathology were divided in thymic hyperplasia and thymoma. Miastenia patients have there symptoms diminished or stable with reduction or cessation of medical therapy. Miastenia was the most frequent indication for thymectomy. Surgery was good results, with low morbimortality, as long as the protocols are respected.

  1. Comparison of Topping-off and posterior lumbar interbody fusion surgery in lumbar degenerative disease:a retrospective study

    Institute of Scientific and Technical Information of China (English)

    LIU Hai-ying; ZHOU Jian; WANG Bo; WANG Hui-min; JIN Zhao-hui; ZHU Zhen-qi; MIAO Ke-nan

    2012-01-01

    Background Topping-off surgery is a newly-developed surgical technique which combines rigid fusion with an interspinous process device in the adjacent segment to prevent adjacent segment degeneration.There are few reports on Topping-off surgery and its rationality and indications remains highly controversial.Our study aims to investigate the short-term and mid-term clinical results of Topping-off surgery in preventing adjacent segment degeneration when mild or moderate adjacent segment degeneration existed before surgery.Methods The 25 cases that underwent L5-S1 posterior lumbar interbody fusion(PLIF)+L4-L5 interspinous process surgeries between April 2008 and March 2010 formed Topping-off group.The 42 cases undergoing L5-S1 PLIF surgery formed PLIF group.Both groups matched in gender,age,body mass index and Pfirrmann grading(4 to 6).The patients were evaluated with visual analogue scale(VAS)and Japanese orthopaedic association(JOA)scores before surgery and in the last follow-up.Modic changes of endplates were recorded.Results The follow-up averaged 24.8 and 23.7 months.No symptomatic or radiological adjacent segment degeneration was observed.There was no significant difference in intraoperative blood loss or postoperative drainage.VAS and lumbar JOA scores improved significantly in both groups(t=12.1 and 13.5,P<0.05).Neither anterior nor posterior disc height was significantly changed.Segmental lordosis of L4-L5 and total lordosis were all increased significantly(Topping-off group:t=-2.30 and-2.24,P<0.05;PLIF group:t=-2.76 and-1.83,P<0.01).In the hyperextension and hyperflexion view,Topping-off group's range of motion(ROM)and olisthesis in the L4-L5 segment did not significantly change in flexion,but decreased in extension.In PLIF group,ROM(t=-7.82 and-4.90,P<0.01)and olisthesis(t=-15.67and-18.58,P<0.01)both significantly increased in extension and flexion.Conclusions Compared with single segment PLIF surgery,Topping-off surgery can achieve similar

  2. Evaluation and application of the ROMS 1-way embedding procedure to the central california upwelling system

    Science.gov (United States)

    Penven, Pierrick; Debreu, Laurent; Marchesiello, Patrick; McWilliams, James C.

    What most clearly distinguishes near-shore and off-shore currents is their dominant spatial scale, O (1-30) km near-shore and O (30-1000) km off-shore. In practice, these phenomena are usually both measured and modeled with separate methods. In particular, it is infeasible for any regular computational grid to be large enough to simultaneously resolve well both types of currents. In order to obtain local solutions at high resolution while preserving the regional-scale circulation at an affordable computational cost, a 1-way grid embedding capability has been integrated into the Regional Oceanic Modeling System (ROMS). It takes advantage of the AGRIF (Adaptive Grid Refinement in Fortran) Fortran 90 package based on the use of pointers. After a first evaluation in a baroclinic vortex test case, the embedding procedure has been applied to a domain that covers the central upwelling region off California, around Monterey Bay, embedded in a domain that spans the continental U.S. Pacific Coast. Long-term simulations (10 years) have been conducted to obtain mean-seasonal statistical equilibria. The final solution shows few discontinuities at the parent-child domain boundary and a valid representation of the local upwelling structure, at a CPU cost only slightly greater than for the inner region alone. The solution is assessed by comparison with solutions for the whole US Pacific Coast at both low and high resolutions and to solutions for only the inner region at high resolution with mean-seasonal boundary conditions.

  3. Review of The Earl of Abergavenny. Historical Record and Wreck Excavation CD-Rom

    Directory of Open Access Journals (Sweden)

    David Petts

    2003-06-01

    Full Text Available In early February 1805 a small fleet of East Indiamen accompanied by the frigate Weymouth set sail from Portsmouth heading first for Bengal and ultimately for China. However, barely had the voyage began when, following bad weather and confusion, one of the boats, the Earl of Abergavenny, struck the Shambles bank just off Portland Bill. Although the crew managed to free it, it was so badly damaged it sank while trying to make for the safety of Weymouth. Over 250 crew and passengers drowned. The wreck has until now been best known for causing the death of John Wordsworth, the ship's commander and brother of the poet William Wordsworth. This excellent CD report of archaeological investigations on the wreck site carried out since 1980 by the Weymouth Underwater Archaeological Group (WUAG brings us the full picture of the events leading up to the wreck, and a record of the remains found by the team of divers (Fig.1. The complex campaigns of diving have been carried out alongside extensive documentary and historical work. The huge amount of data created by this project has inevitably led to challenges for the WUAG regarding its publication (Cumming 2002. The decision to publish via a CD-ROM has allowed very large quantities of data and discussion to be published. The current version of the CD contains over 100,000 words of text, 1560 files and over 1000 illustrations (JPEGS. All for the grand price of 10 GBP. The volume can be browsed using a commercially available browser but is also supplied as compiled file using Web Compiler, which has the advantage of a search facility.

  4. Capteurs monopodes pour mesures accélérométriques

    Science.gov (United States)

    Delaite, R.; Valentin, J.-P.

    1993-08-01

    A new design for accelerometric measurements sensors is described. It uses a plate vibrating in thickness shear mode, maintained by the means of a single holder located at the crystal edge. This mounting does cancel the mechanical and thermal stresses which generally modify the sensor output signal. So the ratio signal/noise of a thickness shear accelerometer is improved and the intrinsic sensitivity is multiplied by a factor 40, by comparison with the sensitivity of a thickness shear plate bonded by the means of two opposite holders. Un nouveau dispositif destiné aux mesures d'accélération est présenté. Il met en œuvre une lame vibrant en cisaillement d'épaisseur, fixée à sa structure de maintien par l'intermédiaire d'une unique liaison. Ce montage permet d'éliminer les contraintes mécaniques et thermiques qui perturbent habituellement le signal de mesure, et qui sont liées soit au montage des éléments du capteur, soit aux variations rapides de température qui interviennent lors de la mise en fonctionnement du capteur. Le rapport signal/bruit d'un accéléromètre à lame vibrant en cisaillement d'épaisseur s'en trouve amélioré et la sensibilité à l'accélération est multipliée par un facteur 40, comparée à celle d'un capteur qui serait constitué d'une lame vibrant en cisaillement d'épaisseur, fixée par deux liaisons diamétralement opposées.

  5. [Timing of the surgery of rupture of the anterior cruciate ligament. Effects of acute or delayed surgery on arthrofibrosis rate and work disability].

    Science.gov (United States)

    Berbig, R; Rillmann, P

    2000-09-01

    The optimal time to perform acute ACL reconstruction with respect to arthrofibrosis is discussed. Most authors prefer delayed surgery. The definition of the term "acute" varies between 48 hours and 4 weeks. In this study the limit was set at 60 hours. Acute ACL reconstruction was performed in 39 patients and delayed surgery in 35 patients after they had regained full ROM. The incidence of arthrofibrosis was not higher in the acutely operated group whereas overall inability to work was 44% lower in this population. When the indication is clear, we think that acute ACL reconstruction may be performed within 60 hours without a higher risk of postoperative development of arthrofibrosis. Nowadays, this strategy should also be considered for economic reasons.

  6. Thoracocentesis in cardiac surgery patients.

    Science.gov (United States)

    Wickbom, Anders; Cha, Soon Ok; Ahlsson, Anders

    2015-01-01

    Pleural effusion following cardiac surgery is a common complication that sometimes requires invasive treatment. Conventional methods for evacuation include needle aspiration and chest tube insertion. We present an effective, easy and potentially time-saving method of thoracocentesis, using a single-lumen central venous catheter.

  7. Energy systems in surgery

    Directory of Open Access Journals (Sweden)

    Pantelić Miloš

    2015-01-01

    Full Text Available Introduction. The systems of energy in surgery are applied in order to achieve better and more effective performing of procedures. Whereas various energy sources, including electricity, ultrasound, laser and argon gas, may be used, the fundamental principle involves tissue necrosis and hemostasis by heating. Electro Surgery. Electro Surgery is a surgical technique by which surgical procedures are performed by focused heating of the tissue using devices based on high-frequency currents. It represents one of the most frequently used energy systems in laparoscopy. Ultrasound Energy. The basic principle of operation of the ultrasound surgical instruments is the usage of low-frequency mechanic vibrations (ultrasound energy within the range of 20-60 kHz for cutting and coagulation of tissue. Laser. Laser is the abbreviation for Light Amplification by Stimulated Emission of Radiation, aimed at increasing light by stimulated emission of radiation and it is the name of the instrument which generates coherent beam of light. Argon Plasma Coagulation. It has been in use since 1991 for endoscopic hemostasis. It uses highfrequency electric current and ionized gas argon. The successful application of devices depends on the type of surgical procedure, training of the surgeon and his knowledge about the device. Surgeons do not agree on the choice of device which would be optimal for a certain procedure. Conclusion. The whole team in the operating room must have the basic knowledge of the way an energy system works so as to provide a safe and effective treatment of patients. The advantages and shortcomings of different systems of energy have to be taken into account while we use a special mode.

  8. Bariatric Surgery Procedures

    Science.gov (United States)

    ... Center Access to Care Toolkit EHB Access Toolkit Bariatric Surgery Procedures Bariatric surgical procedures cause weight loss by ... Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic ...

  9. Complications of Sinus Surgery

    Science.gov (United States)

    ... further intracranial surgeries. Impaired sense of taste or smell : The sense of smell usually improves after the procedure because airflow is ... in their voice after sinus surgery. Impairment of smell or taste: (see above) Infection: The most common ...

  10. Bariatric Surgery Misconceptions

    Science.gov (United States)

    ... from depression or anxiety and to have lower self-esteem and overall quality of life than someone who ... is a Candidate for Bariatric Surgery? Childhood and Adolescent Obesity Find a Provider Benefits of Bariatric Surgery ...

  11. Pediatric heart surgery - discharge

    Science.gov (United States)

    ... discharge; Heart valve surgery - children - discharge; Heart surgery - pediatric - discharge; Heart transplant - pediatric - discharge ... Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 434. ...

  12. Breast Reduction Surgery

    Science.gov (United States)

    ... breastfeeding: A systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2010;63:1688. Kerrigan CL, et al. Evidence-based medicine: Reduction mammoplasty. Plastic and Reconstructive Surgery. 2013;132: ...

  13. Aids and Surgery

    African Journals Online (AJOL)

    user

    HIV/AIDS patients require surgery sometimes during their illness. ... risks to surgical equipes and analysing preventive strategies to HIV ... problems in patients presenting HIV, AIDS and ... Dentistry, Surgery of Awolowo University in Nigeria3.

  14. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... best performed by a trained surgeon with specialized education and training. Click here to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures involving skin, muscle, ...

  15. Weight Loss Surgery

    Science.gov (United States)

    Weight loss surgery helps people with extreme obesity to lose weight. It may be an option if you ... caused by obesity. There are different types of weight loss surgery. They often limit the amount of food ...

  16. Ear Plastic Surgery

    Science.gov (United States)

    ... ENTCareers Marketplace Find an ENT Doctor Near You Ear Plastic Surgery Ear Plastic Surgery Patient Health Information ... they may improve appearance and self-confidence. Can Ear Deformities Be Corrected? Formation of the ear during ...

  17. Scoliosis surgery - child

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007383.htm Scoliosis surgery - child To use the sharing features on this page, please enable JavaScript. Scoliosis surgery repairs abnormal curving of the spine ( scoliosis ). ...

  18. Cosmetic breast surgery - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000273.htm Cosmetic breast surgery - discharge To use the sharing features on this page, please enable JavaScript. You had cosmetic breast surgery to change the size or shape ...

  19. LASIK Eye Surgery

    Science.gov (United States)

    ... are nearsighted. You may need another refractive surgery (enhancement surgery) within a year to remove more tissue. ... may happen due to certain conditions, such as abnormal wound healing, hormonal imbalances or pregnancy. Visual loss ...

  20. Laparoscopic Spine Surgery

    Science.gov (United States)

    ... Exhibit Opportunities Sponsorship Opportunities Log In Laparoscopic Spine Surgery Patient Information from SAGES Download PDF Find a SAGES Surgeon Laparoscopic Spine Surgery Your spine surgeon has determined that you need ...

  1. Types of Heart Surgery

    Science.gov (United States)

    ... from the NHLBI on Twitter. Types of Heart Surgery Coronary Artery Bypass Grafting Coronary artery bypass grafting ( ... TAHs) might be used to treat these patients. Surgery To Place Ventricular Assist Devices or Total Artificial ...

  2. Cosmetic ear surgery

    Science.gov (United States)

    Otoplasty; Ear pinning; Ear surgery - cosmetic; Ear reshaping; Pinnaplasty ... Cosmetic ear surgery may be done in the surgeon's office, an outpatient clinic, or a hospital. It can be performed under ...

  3. Hip fracture surgery

    Science.gov (United States)

    ... neck fracture repair; Trochanteric fracture repair; Hip pinning surgery; Osteoarthritis - hip ... You may receive general anesthesia for this surgery. This means you ... spinal anesthesia . With this kind of anesthesia, medicine is ...

  4. Surgery for Testicular Cancer

    Science.gov (United States)

    ... Stage Testicular Cancer Treating Testicular Cancer Surgery for Testicular Cancer Surgery is typically the first treatment for all ... Testicular Cancer, by Type and Stage More In Testicular Cancer About Testicular Cancer Causes, Risk Factors, and Prevention ...

  5. Otoplasty (Cosmetic Ear Surgery)

    Science.gov (United States)

    ... By Mayo Clinic Staff Otoplasty — also known as cosmetic ear surgery — is a procedure to change the ... Society of Plastic Surgeons. http://www.plasticsurgery.org/Cosmetic-Procedures/Ear-Surgery.html. Accessed June 16, 2015. ...

  6. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... best performed by a trained surgeon with specialized education and training. Click here to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures involving skin, muscle, ...

  7. Bariatric surgery in hypothalamic obesity

    Directory of Open Access Journals (Sweden)

    Nathan eBingham

    2012-02-01

    Full Text Available Craniopharyngiomas (CP are epithelial neoplasms generally found in the area of the pituitary and hypothalamus. Despite benign histology, these tumors and/or their treatment often result in significant, debilitating disorders of endocrine, neurological, behavioral, and metabolic systems. Severe obesity is observed in a high percentage of patients with CP resulting in significant comorbidities and negatively impacting quality of life. Obesity occurs as a result of hypothalamic damage and disruption of normal homeostatic mechanisms regulating energy balance. Such pathological weight gain, termed hypothalamic obesity (HyOb, is often severe and refractory to therapy.Unfortunately, neither lifestyle intervention nor pharmacotherapy has proven truly effective in the treatment of CP-HyOb. Given the limited choices and poor results of these treatments, several groups have examined bariatric surgery as a treatment alternative for patients with CP-HyOb. While a large body of evidence exists supporting the use of bariatric surgery in the treatment of exogenous obesity and its comorbidities, its role in the treatment of HyOb has yet to be well defined. To date, the existing literature on bariatric surgery in CP-HyOb is largely limited to case reports and series with short term follow-up. Here we review the current reports on the use of bariatric surgery in the treatment of CP-HyOb. We also compare these results to those reported for other populations of HyOb, including Prader-Willi Syndrome and patients with melanocortin signaling defects. While initial reports of bariatric surgery in CP-HyOb are promising, their limited scope makes it difficult to draw any substantial conclusions as to the long term safety and efficacy of bariatric surgery in CP-HyOb. There continues to be a need for more robust, controlled, prospective trials with long term follow-up in order to better define the role of bariatric surgery in the treatment of all types of hypothalamic

  8. ChemSkill Builder 2000, Version 6.1 [CD-ROM] (by James D. Spain and Harold J. Peters)

    Science.gov (United States)

    Keeney-Kennicutt, Reviewed By Wendy L.

    2000-07-01

    One of the major challenges for faculty teaching general chemistry is how to encourage students to practice solving problems. We know that for students to develop chemical intuition and problem-solving skills, they must "get their hands dirty" as they decipher and unravel problems inherent to our discipline. One tool that I've used since its release in 1996 is the ChemSkill Builder, an electronic homework package. The latest version, ChemSkill Builder (CSB) 2000, version 6.1, is an excellent, effective integration of teaching and testing most quantitative and conceptual learning objectives in an interactive way. It is inexpensive and easy to use for both students and faculty. The CSB 2000 package of personalized problem sets, specifically designed to complement most general chemistry courses, is a program on CD-ROM for PC Windows users (3.1, 95, or 98), with more than 1500 questions and a 3 1/2-in. record-management disk. There is a separate grade-management disk for the instructor. It has 24 gradable chapters, each with 5 or 6 sections, plus two new chapters that are not graded: Polymer Chemistry and an Appendix of Chemical Skills. Each section begins with a short review of the topic and many have interactive explanations. If students miss an answer, they are given a second chance for 70% credit. If they still miss, the worked-out solution is presented in detail. Students can work each section as many times as they wish to improve their scores. Periodically, the students download their data directly into a PC set up by the instructor. The data can be easily converted into an ASCII file and merged with a spreadsheet. The use of CD-ROM solves the sporadic problems associated with previous versions on 3 1/2-in. disks: software glitches, failed disks, and system incompatibilities. The quality and number of graphics and interactive exercises are much improved in this latest version. I particularly enjoyed the interactive explanations of significant figures and

  9. Surgical packages for laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Bhattacharya K

    2005-01-01

    Full Text Available ′Packages′ are in fashion today for most surgical procedures in various corporate hospitals and this has included laparoscopic procedures too. A package system enables the hospitals to get cost settlements done more easily. Also, it is more convenient for the patients who are aware upfront of the charges. The principal disadvantages seems to be for the surgeon, who may face displeasure of the patient, hospital or insurance agencies apart from forfeiting his personal charges if (a he is a novice in laparoscopic surgery and takes extra time to complete a procedure, (b unforeseen problems occur during surgery, or (c new pathologies are discovered on exploration.

  10. Breast Cancer Surgery

    Science.gov (United States)

    FACTS FOR LIFE Breast Cancer Surgery The goal of breast cancer surgery is to remove the whole tumor from the breast. Some lymph nodes ... might still be in the body. Types of breast cancer surgery There are two types of breast cancer ...

  11. EFFECT OF AUDITORY & VISUAL BIOFEEDBACK WITH ELECTRICAL STIMULATION OF THE TIBIALIS ANTERIOR MUSCLE ON ACTIVE ROM & SELECTIVE MOTOR CONTROL OF ANKLE OF CHILDREN WITH SPASTIC CEREBRAL PALSY

    Directory of Open Access Journals (Sweden)

    Mayuri Sharma

    2015-06-01

    Full Text Available Background & Objective: Cerebral palsy (CP is the most common cause of movement disability in childhood, with an incidence of 1.5–2.5 per 1000 live born children. It is a non-progressive disorder that covers a number of neurological conditions, resulting in an abnormal development of movement and postural control. It is believed that an inability to maximally activate their muscles contributed to this weakness. Visual and auditory feedback cues have been shown to improve ROM & VMC in patients with movement disorders. The aim of this work was to investigate the efficacy of using biofeedback and neuromuscular electrical stimulation applied on tibialis anterior in children with cerebral palsy. The present work was designed to compare the effect of treatment with or without biofeedback applied to children with diplegic CP. Materials and Method: The 30 children with CP were divided in to 2 groups(experimental & control.The control group received NMES on tibialis anterior for 20 min. a day ,6 days in a week for a period of 6 weeks.the experimental group received NMES +biofeedback +conventional treatment.pre and post treatment evaluation included range of motion ,VMC and GMFM scoring. Results: Results showed that there was main effect for time, f(1,28;0.05=4.37, p<0.046 & a main effect for time, f(1,28;0.05=1.30, p<0.00,however there main effects were qualified by a group × time interaction, f (1,28;0.05=219.37, p<0.00.There was main effect for time, f(1,28;0.05=4.64. p<0.04 & a main effect for group, f(1,28;0.05=485.96, p<0.00,however there main effects were qualified by a group × time interaction, f (1,28;0.05=65.96, p <0.00 in right and left ankle joint. Conclusion: A significant improvement in range of motion, VMC & GMFM in experimental group as compare to control group. The study determined that biofeedback have positive clinical effects on the ROM & VMC of ankle of spastic diplegic.

  12. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine

    OpenAIRE

    Gong, Wontae

    2015-01-01

    [Purpose] The aim of this study was to determine the effect of cervical posture manipulation, based on passive motion analysis (MBPMA) and general mobilization, on cervical lordosis, forward head posture (FHP), and cervical ROM in university students with problems in cervical posture and range of motion (ROM). [Subjects] The Subjects were 40 university students in their 20s who displayed problems in cervical posture and ROM; they were divided into an MBPMA group (n=20) and a mobilization grou...

  13. Diplopia secondary to orbital surgery.

    Science.gov (United States)

    Silbert, David I; Matta, Noelle S; Singman, Eric L

    2012-01-01

    Diplopia may occur following any type of ocular or pericocular surgery. The surgeries most frequently associated with postoperative diplopia include: repair of orbital fracture, endoscopic sinus surgery (from inadvertent orbital penetration), and orbital decompression for thyroid-related immune orbitopathy (TRIO). Postoperative diplopia after orbital tumor resection has been reported--e.g., after excision of fibrous dysplasia and osteoma. However, a recent case series suggests diplopia after orbital tumor resection is uncommon and transient. Surgical intervention for orbital trauma carries the highest risk of postoperative diplopia and will be the focus of this review. We will also present a case report of worsening diplopia following repair of orbital floor fracture to highlight potential motility issues that can arise when implants are employed to treat orbital floor fractures.

  14. Shoulder Pain After Thoracic Surgery

    DEFF Research Database (Denmark)

    Blichfeldt-Eckhardt, Morten R; Andersen, Claus; Ørding, Helle

    2017-01-01

    OBJECTIVES: To study the time course of ipsilateral shoulder pain after thoracic surgery with respect to incidence, pain intensity, type of pain (referred versus musculoskeletal), and surgical approach. DESIGN: Prospective, observational cohort study. SETTING: Odense University Hospital, Denmark...... for musculoskeletal involvement (muscle tenderness on palpation and movement) with follow-up 12 months after surgery. Clinically relevant pain was defined as a numeric rating scale score>3. Of the 60 patients included, 47 (78%) experienced ipsilateral shoulder pain, but only 25 (42%) reported clinically relevant...... shoulder pain. On postoperative day 4, 19 patients (32%) still suffered shoulder pain, but only 4 patients (7%) had clinically relevant pain. Four patients (8%) still suffered shoulder pain 12 months after surgery. In 26 patients (55%), the shoulder pain was classified as referred versus 21 patients (45...

  15. Applications of robotics in surgery.

    Science.gov (United States)

    Panait, L; Doarn, C R; Merrell, R C

    2002-01-01

    The end of the 20th century brought an increased use of computerized technology in medicine and surgery. The development of robotic surgical systems opened new approaches in general and cardiac surgery. Two leading robotic companies, Computer Motion, Inc. and Intuitive Surgical, Inc. have developed the Zeus and Da Vinci respectively, as very effective tools for surgeons to use. Both of them consist of a surgeon console, located far from the operating table, and three robotic arms, which reproduce inside the patient's body the movements performed by the surgeon at the console. The advantages of robotic surgery over laparoscopy and open surgery include: better eye-hand coordination, tremor filtration, steadiness of camera, 3-D vision, motion scale, more degrees of freedom for instruments etc. Of course, there are also some disadvantages, like the lack of tactile feedback, long time of set up, long learning curve, high cost etc. However, the advantages seem to overcome the disadvantages and more and more operations are conducted using robots. The impact of robotics in surgery is therefore very promising and in the future it will probably open even more new ways in the surgical practice and education both in Romania and across the globe.

  16. Unfavourable outcomes in orthognathic surgery

    Directory of Open Access Journals (Sweden)

    Krishnamurthy Bonanthaya

    2013-01-01

    Full Text Available Unfavourable outcomes are part and parcel of performing surgeries of any kind. Unfavourable outcomes are results of such work, which the patient and or the clinician does not like. This is an attempt to review various causes for unfavorable outcomes in orthognathic surgery and discuss them in detail. All causes for unfavorable outcomes may be classified as belonging to one of the following periods A Pre- Treatment B During treatment Pre-Treatment: In orthognathic surgery- as in any other discipline of surgery- which involves changes in both aesthetics and function, the patient motivation for seeking treatment is a very important input which may decide, whether the outcome is going to be favorable or not. Also, inputs in diagnosis and plan for treatment and its sequencing, involving the team of the surgeon and the orthodontist, will play a very important role in determining whether the outcome will be favorable. In other words, an unfavorable outcome may be predetermined even before the actual treatment process starts. During Treatment: Good treatment planning itself does not guarantee favorable results. The execution of the correct plan could go wrong at various stages which include, Pre-Surgical orthodontics, Intra and Post-Operative periods. A large number of these unfavorable outcomes are preventable, if attention is paid to detail while carrying out the treatment plan itself. Unfavorable outcomes in orthognathic surgery may be minimized If pitfalls are avoided both, at the time of treatment planning and execution.

  17. Surgery, sterilization and sterility.

    Science.gov (United States)

    Green, V W

    1993-03-01

    The history of sterilization was not linked from the first with surgery. Surgery came first, fully 600 years before the principles of asepsis and anesthesia were even introduced in the middle of the 1800s. Also in the 1800s, the beginnings of thermal sterilization were being developed in the food industry. The basic principles of antisepsis and prevention of wound suppuration, including the destruction of germs on instruments, dressings, the hands of the surgeon and his assistants, and everything else in contact with the wound were clearly elucidated by Lister in the 1870s and remain the inviolate principles of surgical asepsis today. In general, the marriage between the surgeons and the sterilizers was a successful one; the major handicap to eternal bliss and harmony, however, was an incompatibility between the partners. As in many marriages, the partners made unwarranted demands upon each other, and became frustrated when these demands were unfulfilled. The field of surgical sterilization and surgical safety is less confused by technical inconsistencies than it is by semantic nightmares, such that we will never reach a universal definition of sterility. However, we do not really need a universal definition of sterility. Rather we should learn how to translate sterility tests in terms of the real world infections hazards.

  18. [Pressure sore revision surgery].

    Science.gov (United States)

    Dorsche, Karin Marion

    2010-02-22

    Pressure sores are a major problem for patients as well as society in general. Immobilised patients are especially at risk. This group of patients with pressure sores should be hospitalised to perform surgical revision of the wound and reconstruction using a flap. Such surgery demands extensive postoperative relief of the flap. The University Centre for Wound Healing at Odense University Hospital has tested the effects of a reduction of the formerly recommended relief period from three to two weeks. In this article we report results covering all patients who have undergone surgery and reconstruction of pressure sores during the period from 1st October 2001 to 1st November 2008. The results are divided into two periods: the period before and the period after the introduction of the reduced relief period. A total of 80 patients were included; 34 in the first period and 46 in the second period. We achieved a considerable reduction in median length of stay from 38 to 27 days with no increase in surgical or complication frequency. Furthermore, the share of fully healed remained unchanged. We believe that there is no risk in shortening the immobile postoperative relief phase following reconstruction of pressure wounds in immobilised patients.

  19. Surgery Videos: MedlinePlus

    Science.gov (United States)

    ... Winston-Salem, NC, 1/15/2009) Weight Loss Surgery Laparoscopic Gastric Bypass Surgery (University of Miami Hospital ... Boston, Boston, MA, 6/08/2010) Weight Loss Surgery Laparoscopic Gastric Bypass Surgery (University of Miami Hospital ...

  20. A role for exercise after bariatric surgery?

    Science.gov (United States)

    Coen, Paul M; Goodpaster, Bret H

    2016-01-01

    Obesity predisposes an individual to develop numerous comorbidities, including type 2 diabetes, and represents a major healthcare issue in many countries worldwide. Bariatric surgery can be an effective treatment option, resulting in profound weight loss and improvements in metabolic health; however, not all patients achieve similar weight loss or metabolic improvements. Exercise is an excellent way to improve health, with well-characterized physiological and psychological benefits. In the present paper we review the evidence to determine whether there may be a role for exercise as a complementary adjunct therapy to bariatric surgery. Objectively measured physical activity data indicate that most patients who undergo bariatric surgery do not exercise enough to reap the health benefits of exercise. While there is a dearth of data on the effects of exercise on weight loss and weight loss maintenance after surgery, evidence from studies of caloric restriction and exercise suggest that similar adjunctive benefits may be extended to patients who perform exercise after bariatric surgery. Recent evidence from exercise interventions after bariatric surgery suggests that exercise may provide further improvements in metabolic health compared with surgery-induced weight loss alone. Additional randomized controlled exercise trials are now needed as the next step to more clearly define the potential for exercise to provide additional health benefits after bariatric surgery. This valuable evidence will inform clinical practice regarding much-needed guidelines for exercise after bariatric surgery.

  1. Analysis of NHSLA claims in orthopedic surgery.

    Science.gov (United States)

    Khan, Irfan H; Jamil, Wiqqas; Lynn, Sam Mathew; Khan, Osman H; Markland, Kate; Giddins, Grey

    2012-05-01

    National Health Service (NHS) statistics in the United Kingdom demonstrate an increase in clinical negligence claims over the past 30 years. Reasons for this include elements of a cultural shift in attitudes toward the medical profession and the growth of the legal services industry. This issue affects medical and surgical health providers worldwide.The authors analyzed 2117 NHS Litigation Authority (NHSLA) orthopedic surgery claims between 1995 and 2001 with respect to these clinical areas: emergency department, outpatient care, surgery (elective or trauma operations), and inpatient care. The authors focused on the costs of settling and defending claims, costs attributable to clinical areas, common causes of claims, and claims relating to elective or trauma surgery. Numbers of claims and legal costs increased most notably in surgery (elective and trauma) and in the emergency department. However, claims are being defended more robustly. The annual cost for a successful defense has remained relatively stable, showing a slight decline. The common causes of claims are postoperative complication; wrong, delayed, or failure of diagnosis; inadequate consent; and wrong-site surgery. Certain surgical specialties (eg, spine and lower-limb surgery) have the most claims made during elective surgery, whereas upper-limb surgery has the most claims made during trauma surgery.The authors recommend that individual trusts liaise with orthopedic surgeons to devise strategies to address areas highlighted in our study. Despite differences in health care systems worldwide, the underlying issues are common. With improved understanding, physicians can deliver the service they promise their patients.

  2. Bariatric Surgery and Kidney-Related Outcomes.

    Science.gov (United States)

    Chang, Alex R; Grams, Morgan E; Navaneethan, Sankar D

    2017-03-01

    The prevalence of severe obesity in both the general and the chronic kidney disease (CKD) populations continues to rise, with more than one-fifth of CKD patients in the United States having a body mass index of ≥35 kg/m(2). Severe obesity has significant renal consequences, including increased risk of end-stage renal disease (ESRD) and nephrolithiasis. Bariatric surgery represents an effective method for achieving sustained weight loss, and evidence from randomized controlled trials suggests that bariatric surgery is also effective in improving blood pressure, reducing hyperglycemia, and even inducing diabetes remission. There is also observational evidence suggesting that bariatric surgery may diminish the long-term risk of kidney function decline and ESRD. Bariatric surgery appears to be relatively safe in patients with CKD, with postoperative complications only slightly higher than in the general bariatric surgery population. The use of bariatric surgery in patients with CKD might help prevent progression to ESRD or enable selected ESRD patients with severe obesity to become candidates for kidney transplantation. However, there are also renal risks in bariatric surgery, namely, acute kidney injury, nephrolithiasis, and, in rare cases, oxalate nephropathy, particularly in types of surgery involving higher degrees of malabsorption. Although bariatric surgery may improve long-term kidney outcomes, this potential benefit remains unproved and must be balanced with potential adverse events.

  3. The history of women in surgery.

    Science.gov (United States)

    Wirtzfeld, Debrah A

    2009-08-01

    The history of women in surgery in Western civilization dates to 3500 before common era (BCE) and Queen Shubad of Ur. Ancient history reveals an active role of women in surgery in Egypt, Italy and Greece as detailed in surgical texts of the time. During the middle ages, regulations forbade women from practising surgery unless they assumed their husbands' practices upon their deaths or unless they were deemed fit by a "competent" jury. King Henry VIII proclaimed that "No carpenter, smith, weaver or women shall practise surgery." The modern period of surgery opens with women impersonating men to practise medicine and surgery (Dr. Miranda Stewart). The first female physicians (Dr. Elizabeth Blackwell and Dr. Emily Jennings Stowe) and surgeons (Dr. Mary Edwards Walker and Dr. Jennie Smillie Robertson) in North America found it difficult to obtain residency education after completing medical school. Dr. Jessie Gray was Canada's "First Lady of Surgery" and the first woman to graduate from the Gallie program at the University of Toronto in the 1940s. Currently, the ratio of women in surgical training is far less than that of women in medical school. The reasons that women choose surgery include appropriate role models and intellectual/technical challenge. Lack of mentorship and lifestyle issues are the strongest deterrents. Consideration of a "controllable lifestyle" by surgical administrators will help with the recruitment of women into surgery.

  4. The development and evaluation of Student Training, Education and Practice for Dietetics CD-ROM: a computer-assisted instruction programme for dietetic students.

    Science.gov (United States)

    Herriot, A M; Bishop, J A; Truby, H

    2004-02-01

    The Student Training, Education and Practice for Dietetics (STEP-DIET) CD-ROM was developed at the University of Surrey to prepare dietetic students for the practical dietetic training component of their Nutrition/Dietetics degree. This study aimed to evaluate student response to the programme and its effectiveness as a teaching tool, based on the evaluation framework of D.L. Kirkpatrick (Evaluating a Course, 2nd edn. London, Kogan Page). Quantitative and qualitative methodologies were employed, with 41 dietetic students, separated by year group, completing questionnaires and taking part in six focus groups, at the University of Surrey. Student attitudes towards the instruction method and the STEP-DIET programme itself were investigated, in conjunction with their perceived learning achievements. Students rated the programme highly in terms of design and content, however, there was a reluctance to accept computer-assisted instruction (CAI) as a sole teaching method. A number of learning achievements relevant to dietetic practice were reported including a perceived increase in ability to conduct a dietetic interview and an increased understanding of the management of Type 2 diabetes. In general students reacted positively to the STEP-DIET programme and it was perceived by students to be effective in preparing them for the practical component of their dietetic training.

  5. Teksta un mūzikas intermediāla saspēle Tomasa Manna romānā „Doktors Fausts”

    OpenAIRE

    Černiševa, Evija

    2012-01-01

    Šajā darbā – teksta un mūzikas intermediāla saspēle Tomasa Manna romānā „Doktors Fausts” - lielākā uzmanība tiek pievērsta mūzikas tematikai, kura tiek atspoguļota Tomasa Manna romānā „Doktor Faustus”, kas kļuva par iemeslu dažādiem pētījumiem. Šī darba mērķis ir aplūkot romāna teoriju un mūzikas tēmas nozīmi romānā „Doktor Faustus”, proti, tiek izsekota romāna mākslinieciskās un kompozicionālās formas attīstība, tiek pētītas savstarpējās sakarības starp mūziku un literatūru, kā arī mūzika...

  6. Configuración formal de los rosetones románicos de la ciudad de Zamora

    OpenAIRE

    Vargas Martínez, Edgar Javier

    2015-01-01

    La presente tesis estudia los rosetones románicos de la ciudad de Zamora. La elección del tema tiene como objetivo profundizar en el conocimiento de estos elementos ya que la información existente sobre ellos es muy escasa. El análisis de estos rosetones se ha realizado desde una perspectiva globalizadora que abarca aspectos tales como los geográficos, morfológicos, funcionales, compositivos, constructivos, geométricos, ornamentales, otros. Así mismo, para el desarrollo de esta investigación...

  7. Museo de arte gótico y románico en León

    OpenAIRE

    Puente Castro, Octavio

    2013-01-01

    Proyecto final de carrera que propone la transformación de una parte del casco antiguo de León, el conocido Barrio Húmedo, mediante la incorporación de un Museo de arte gótico y románico. Con una superficie útil de 2100 m2 se exponen piezas de diferentes tamaños y materialidades en diferentes tipos de salas así como se pretende sacar a la luz los tesoros que esconde la ciudad, como sus propias murallas absorbidas debido al crecimiento urbano pasado.

  8. Lo visible y lo invisible en el románico: fuentes y simbología de lo profano

    OpenAIRE

    Antonio Ledesma González

    2010-01-01

    Lo profano se define como “aquello que no es sagrado ni sirve a usos sagrados”, sin embargo,enlaculturamedieval resultará excesivamente complejo independizar mundo profanoy religioso, así como el conocimiento específico de la función que desempeñan las imágenes desacralizadas, dentro de contextos estrictamente eclesiásticos. En el marco de estas interrogantes, se genera la necesidad de abordar un estudio específico sobre lo profano en la escultura románica en Salamanca, que nos permita ofrece...

  9. Preoperative alcohol cessation prior to elective surgery

    DEFF Research Database (Denmark)

    Oppedal, Kristian; Møller, Ann Merete; Pedersen, Bolette

    2012-01-01

    Hazardous drinking has been associated with an increased postoperative complication rate after surgery. Common complications include postoperative infections, cardiopulmonary complications, and bleeding episodes. Preoperative abstinence may to some degree reverse alcohol-induced pathophysiological...

  10. Robotics and general surgery.

    Science.gov (United States)

    Jacob, Brian P; Gagner, Michel

    2003-12-01

    Robotics are now being used in all surgical fields, including general surgery. By increasing intra-abdominal articulations while operating through small incisions, robotics are increasingly being used for a large number of visceral and solid organ operations, including those for the gallbladder, esophagus, stomach, intestines, colon, and rectum, as well as for the endocrine organs. Robotics and general surgery are blending for the first time in history and as a specialty field should continue to grow for many years to come. We continuously demand solutions to questions and limitations that are experienced in our daily work. Laparoscopy is laden with limitations such as fixed axis points at the trocar insertion sites, two-dimensional video monitors, limited dexterity at the instrument tips, lack of haptic sensation, and in some cases poor ergonomics. The creation of a surgical robot system with 3D visual capacity seems to deal with most of these limitations. Although some in the surgical community continue to test the feasibility of these surgical robots and to question the necessity of such an expensive venture, others are already postulating how to improve the next generation of telemanipulators, and in so doing are looking beyond today's horizon to find simpler solutions. As the robotic era enters the world of the general surgeon, more and more complex procedures will be able to be approached through small incisions. As technology catches up with our imaginations, robotic instruments (as opposed to robots) and 3D monitoring will become routine and continue to improve patient care by providing surgeons with the most precise, least traumatic ways of treating surgical disease.

  11. Liposuction with facelift surgery.

    Science.gov (United States)

    Chrisman, B B

    1990-07-01

    During the past six years, the procedure now known as liposuction has revolutionized many aspects of cosmetic surgery, including the facelift, and is now finding applicability in other fields of medicine. The profound psychological benefits afforded to persons by facelifting have become increasingly available through the rapid public acceptance of outpatient surgery for this procedure. The latter has been assisted in no small way by the ancillary use of liposuction for facelifting, since liposuction has certainly made the facelift procedure easier and safer. Prior to the advent of liposuction, there were a number of reports in the medical literature about significant complication rates from facelifting, ranging in frequency from 1 to 8%. These included postoperative hematomas, infection, skin slough, significant hair loss, and nerve injury. The author has experienced none of these complications using adjunctive liposuction in over 100 facelifts. Liposuction has allowed treatment of facial areas previously almost unapproachable in facelifting, except perhaps by the most experienced hands. It has permitted the use of facial fat grafting, a further adjunct to the facelift procedure. Liposuction speeds the facelift procedure, lessening operator fatigue while shortening surgical and anesthesia time for the patient. These factors alone would provoke the rapid adoption of liposuction for facelifting, but its use is further solidified by the excellent results possible without resorting to the various complex and sometimes dangerous platysma-splitting and SMAS-undermining procedures often advocated in the past decade. Documentation of such results is provided by Figures 12 through 17. Thus, it seems reasonable to state that liposuction has had a tremendous and lasting impact on the surgical rejuvenation of the face and neck, whether used alone or in conjunction with facelift. It is in facelifting that the nuances and full potential of liposuction come to the fore.

  12. The impact of robotic surgery on gynecologic oncology

    OpenAIRE

    Nick, Alpa M; Ramirez, Pedro T.

    2011-01-01

    The objective of this article was to review the published scientific literature pertaining to robotic surgery and its applications in gynecologic malignancies and to summarize the impact of robotic surgery on the field of gynecologic oncology. Summarizing data from different gynecologic disease-sites, robotic-assisted surgery is safe, feasible, and demonstrates equivalent histopathologic and oncologic outcomes. In general, benefits to robotic surgery include decreased blood loss, fewer periop...

  13. Surgery preceding orthodontics in bimaxillary cases

    Directory of Open Access Journals (Sweden)

    B Saravana Kumar

    2015-01-01

    Full Text Available Orthognathic surgery is performed to alter the shape of the jaws to increase the facial esthetic and improve the occlusions. Surgery prior orthodontics reduces the total length of the treatment of the patients, followed by orthodontics treatment. Advantages is positive outcome in short period of time. Surgical procedure includes Anterior Maxillary osteotomy and Anterior subapical mandibular osteotomy. Complication includes haemorrhage, paraesthesia, malunion of bone, etc.

  14. Surgery preceding orthodontics in bimaxillary cases

    Science.gov (United States)

    Kumar, B. Saravana; Dakir, Abu; Krishnan, Bala; Ebenezer, Vijay; Muthumani; Kumar, Kishore; Arvind, Waikhom

    2015-01-01

    Orthognathic surgery is performed to alter the shape of the jaws to increase the facial esthetic and improve the occlusions. Surgery prior orthodontics reduces the total length of the treatment of the patients, followed by orthodontics treatment. Advantages is positive outcome in short period of time. Surgical procedure includes Anterior Maxillary osteotomy and Anterior subapical mandibular osteotomy. Complication includes haemorrhage, paraesthesia, malunion of bone, etc. PMID:26015684

  15. An historical analysis of the California Current circulation using ROMS 4D-Var: System configuration and diagnostics

    Science.gov (United States)

    Neveu, Emilie; Moore, Andrew M.; Edwards, Christopher A.; Fiechter, Jérôme; Drake, Patrick; Crawford, William J.; Jacox, Michael G.; Nuss, Emma

    2016-03-01

    The Regional Ocean Modeling System (ROMS) 4-dimensional variational (4D-Var) data assimilation tool has been used to compute two sequences of circulation analyses for the U.S. west coast. One sequence of analyses spans the period 1980-2010 and is subject to surface forcing derived from relatively low resolution atmospheric products from the Cross-Calibrated Multi-Platform wind product (CCMP) and the European Centre for Medium Range Weather Forecasts (ECMWF) reanalysis project. The second sequence spans the shorter period 1999-2012 and is subject to forcing derived from a high resolution product from the Naval Research Laboratory Coupled Ocean Atmosphere Mesoscale Prediction System (COAMPS). The two analysis periods are divided into eight day windows, and all available satellite observations of sea surface temperature and sea surface height, as well as in situhydrographic profiles are assimilated into ROMS using 4D-Var. The performance of the system is monitored in terms of the cost function and the statistics of the innovations, and the impact of data assimilated on the circulation is assessed by comparing the posterior circulation estimates with the prior circulation and the circulation from a run of the model without data assimilation, with particular emphasis on eddy kinetic energy. This is part I of a two part series, and the circulation variability of the 4D-Var analyses will be documented in part II.

  16. S-ROM modular arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of hip

    Institute of Scientific and Technical Information of China (English)

    ZHONG Cheng; CAI Xun-zi; YAN Shi-gui; HE Rong-xin

    2011-01-01

    Background This work was carried out to evaluate the clinical efficacy and the complications of S-ROM modular hip arthroplasty combined with transverse subtrochanteric shortening for Crowe type IV congenital dislocation of the hip (CDH).Methods A totoal of 28 consecutive patients with Crowe type IV CDH received treatment using this surgical technique from June 2003 to June 2010.The follow-up was conducted at 3 days,1,6,and 12 months after the operation and later annually at the outpatient of our hospital.Sequential pelvic plain film and normotopia film of the affected hip joint were taken.The limp and the Trendelenburg sign were also assessed,the ischiadic nerve injury was also evaluated by electromyogram,and Harris hip scores were recorded.Results After operation,both the alignment and the position of the transverse osteotomies were good.None of the patients had presented complications of joint infection,prosthesis loosening,joint dislocation,or nerve injury.Conclusions S-ROM modular hip arthroplasty combined with transverse subtrochanteric shortening was a satisfactory and safe technique for the Crowe type IV congenital hip dislocation within a mean follow up of 53 months.Transverse subtrochanteric shortening could effectively prevent the distraction injury of sciatic nerve.

  17. Gramaticalização e lexicalização no limite: demonstrativos românicos

    Directory of Open Access Journals (Sweden)

    César Nardelli Cambraia

    2012-04-01

    Full Text Available Resumo: As teorias que se ocupam dos processos de gramaticalização e lexicalização têm apresentado grande progresso nos últimos tempos. No domínio românico, os demonstrativos são uma categoria que desafiam os atuais postulados das referidas teorias. Analisamse aqui três fenômenos, no português e no espanhol, que assinalam a necessidade de revisão desses postulados: a lexicalização e a antilexicalização da sequência demonstrativo + indefinido; a gênese da posposição não-articulada de demonstrativos; e a adjunção de advérbios locativos a sintagmas nominais com demonstrativos.Palavras-chave: Linguística românica; gramaticalização; lexicalização; demonstrativos.Abstract: Theories dealing with processes of grammaticalization and lexicalization have made great progress in recent times. In Romance linguistics, the demonstratives are a category that challenge current assumptions of these theories. Here three phenomena in Portuguese and in Spanish which stress the need for review of these postulates are examined: lexicalization and antilexicalization of the sequence demonstrative + indefinite; the genesis of postposition of nonarticulated demonstratives; and the adjunction of locative adverbs to noun phrases with demonstratives.Keywords: Romance linguistics; grammaticalization; lexicalization; demonstratives.

  18. Individualismo romântico e modernidade democrática: uma configuração mútua

    Directory of Open Access Journals (Sweden)

    Rosmália Ferrreira Santos

    2004-11-01

    Full Text Available Este artigo propõe como objeto de análise a formação de uma concepção moderna de democracia no século XIX e as relações que essa concepção guarda com a afirmação de um novo paradigma de individualismo que chamo de individualismo romântico. Minha tese é de que esses dois eventos são mutuamente configuradores, ou seja, de que a conformação de novas instituições e de uma teoria moderna da democracia guardam íntimas relações com os pressupostos do novo paradigma de individualismo. O texto começa delimitando um terreno em que podemos lidar com a idéia de uma teoria homogênea da democracia ou de romantismo, investigando, em seguida, as condições em que é possível falar de individualismo propriamente romântico e da forma como essa noção é incorporada nos discursos dos democratas liberais como Stuart Mill, Tocqueville e Schumpeter.

  19. La reconstrucción de un palimpsesto románico mediante técnicas no destructivas

    Directory of Open Access Journals (Sweden)

    i Ginovart, J. Lluis

    2014-12-01

    Full Text Available The Gothic Cathedral of Tortosa (1346, is superposed over a Romanesque building (1178 as a palimpsest, which there is no physical evidence. The geophysical survey (2102-13, has provided some relevant data from the previous seo, which have enabled the location of some of its main features: apse, pillars of the nave and façade. With these data it is possible to understand the fitting of the process, constructive/ deconstructive of both buildings. The study concludes that the main structural elements of both buildings fit as a gear, and the possible dimensions of the Romanesque Seo are deducted through the evidences found in the subsoil.La catedral gótica de Tortosa (1346, se superpone sobre una construcción románica (1178 a modo de alimpsesto, de la cual no existe ninguna evidencia física. La prospección geofísica (2102-13, ha aportado algunos datos relevantes de la anterior seo, que han precisado la ubicación de alguna de sus partes principales: ábside, pilares de la nave y fachada. Con estos datos se puede entender el encaje del proceso, constructivo/deconstructivo de ambos edificios. El estudio concluye que los elementos estructurales más importantes de ambas edificaciones encajan a manera de engranaje, y se deducen las posibles dimensiones de la Seo románica en base a las evidencias encontradas en el subsuelo.

  20. Elementos románicos repintados. Planteamiento de una cuestión incómoda

    Directory of Open Access Journals (Sweden)

    José Ángel Esteras Martínez

    2009-08-01

    Full Text Available Se trata un tema polémico, negligido por la bibliografía: ¿qué hacer en las restauraciones arquitectónicas de edificios románicos cuando sus elementos escultóricos (capiteles, columnas, canecillos… están repintados según el gusto popular de los dos últimos siglos con colores chillones? Es una cuestión de canon estético y de gusto, ambos mudables según las épocas y el cambio de los criterios. Mientras, se va perdiendo un patrimonio que, además de testimonio histórico, también es artístico, y que entronca, de alguna manera, con el gusto románico de cubrir la arquitectura y sus elementos monumentales de colores vivos y contrastantes, sospechosamente en la misma línea de los repintes que hoy tienden a eliminarse sin demasiada reflexión previa.