scholarly journals Proctology in day surgery: Surgical technique

2004 ◽  
Vol 51 (2) ◽  
pp. 39-42
Author(s):  
V. Pezzangora ◽  
S. Ramuscello ◽  
G. Viola

In 2002 the law number 112 defined in Italy the Elementary Assistance Levels (Livelli Essenziali di Assistenza - L.E.A.), which are the medical procedures provided to all Italian citizens by the National Health System (Servizio Sanitario Nazionale), for free or after payment of a small fee. Each Italian Regional Government has to define for each pathology (as already categorized in Disease Related Groups - D.R.G.) a benchmark, which is the percentage of cases of each pathology which should be treated in Day Surgery. The benchmarks are thresholds that should not be exceeded to avoid fines or other penalties to the hospital. In order to meet the objectives required by Italian law, a Day Surgery Unit must be able to perform as many operations as possible with high quality, high effectiveness, high efficiency, low costs and a low percentage of complications (?zero defect? objective). To get as close as possible to this objective it is necessary to seek the best organisation and the best surgical technique.

2021 ◽  
Vol 9 (7) ◽  
pp. 691
Author(s):  
Kai Hu ◽  
Yanwen Zhang ◽  
Chenghang Weng ◽  
Pengsheng Wang ◽  
Zhiliang Deng ◽  
...  

When underwater vehicles work, underwater images are often absorbed by light and scattered and diffused by floating objects, which leads to the degradation of underwater images. The generative adversarial network (GAN) is widely used in underwater image enhancement tasks because it can complete image-style conversions with high efficiency and high quality. Although the GAN converts low-quality underwater images into high-quality underwater images (truth images), the dataset of truth images also affects high-quality underwater images. However, an underwater truth image lacks underwater image enhancement, which leads to a poor effect of the generated image. Thus, this paper proposes to add the natural image quality evaluation (NIQE) index to the GAN to provide generated images with higher contrast and make them more in line with the perception of the human eye, and at the same time, grant generated images a better effect than the truth images set by the existing dataset. In this paper, several groups of experiments are compared, and through the subjective evaluation and objective evaluation indicators, it is verified that the enhanced image of this algorithm is better than the truth image set by the existing dataset.


2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii137-ii137
Author(s):  
Gordon Chavez ◽  
Christina Proescholdt

Abstract BACKGROUND Despite the importance of Health State Utilities for health policy and medical decision making, there are no publications that provide high quality utility values estimated from glioblastoma multiforme (GBM) patients. Published health economic evaluations for GBM treatments rely on utilities determined by Garside et al. (2007), which used the standard gamble method in healthy panel members of the UK National Health System. There are no published utilities for GBM estimated from a general population sample, and there are no utility estimates whatsoever for Tumor Treating Fields (TTFields) users. METHODS We designed a study to remedy this major deficit by eliciting utilities directly from GBM patients using the EuroQol 5-Dimension (EQ-5D) survey. The EQ-5D is a widely used and NICE-recommended tool for the estimation of health state utilities. The survey is composed of a questionnaire that asks patients to specify their health state along 5 dimensions: Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Statistical models provided by EuroQol’s network of researchers convert this data into health state utility estimates. RESULTS The EQ-5D questionnaire is administered to active patients using TTFields treatment during the study duration, allowing the elicitation of health preference measures for different glioblastoma health states based on: progression status (progressed vs. non-progressed), current treatments (TTFields only vs. TTFields + others) and time-from-diagnosis (0-12 months vs. > 12 months) CONCLUSION These results are important for understanding the patient preferences using TTFields treatment and communicating these preferences to decision makers. This study is the first to provide direct, high quality utility measures in glioblastoma patients using TTFields treatment.


MRS Advances ◽  
2016 ◽  
Vol 1 (43) ◽  
pp. 2947-2952
Author(s):  
L. Chen ◽  
Z.-H. Lu ◽  
T.-M. Lu ◽  
I. Bhat ◽  
S.B. Zhang ◽  
...  

ABSTRACTEpitaxial Ge films are useful as a substrate for high-efficiency solar cell applications. It is possible to grow epitaxial Ge films on low cost, cube textured Ni(001) sheets using CaF2(001) as a buffer layer. Transmission electron microscopy (TEM) analysis indicates that the CaF2(001) lattice has a 45o in-plane rotation relative to the Ni(001) lattice. The in-plane epitaxy relationships are CaF2[110]//Ni[100] and CaF2[$\bar 1$10]//Ni[010]. Energy dispersive spectroscopy (EDS) shows a sharp interface between Ge/CaF2 as well as between CaF2/Ni. Electron backscatter diffraction (EBSD) shows that the Ge(001) film has a large grain size (∼50 μm) with small angle grain boundaries (< 8o). The epitaxial Ge thin film has the potential to be used as a substrate to grow high quality III-V and II-VI semiconductors for optoelectronic applications.


2020 ◽  
Vol 14 (1) ◽  
pp. 61-66
Author(s):  
Betti Bolló

Treatment of municipal effluents has long been a challenge for modern technologies combining high effectiveness of degradation of pollutants with low costs of the process. Hydrodynamic cavitation is a promising application in wastewater treatment due to its simple reactor design. In this work, for a system available in the laboratory a hydrodynamic reactor is designed based on literature recommendations. On the designed Venturi tube, two-dimensional numerical simulations were investigated by the means of CFD computations using the commercial software package, Ansys Fluent. The resulting cavitation bubbles were analysed at different inlet pressures.


2009 ◽  
Vol 58 (5) ◽  
pp. 3193
Author(s):  
Zhang Yu-Ping ◽  
Zhang Hui-Yun ◽  
Zhong Kai ◽  
Wang Peng ◽  
Li Xi-Fu ◽  
...  

2014 ◽  
Vol 902 ◽  
pp. 344-350
Author(s):  
Xiang Jia Li ◽  
Ning Dai ◽  
Wen He Liao ◽  
Yu Chun Sun ◽  
Yong Bo Wang

Offsetting of measured data, as a basic geometric operation, has already been widely used in many areas, like reverse engineering, rapid prototyping and NC machining. However, measured data always carry typical defects like caves and singular points. A fault-tolerant offset method is proposed to create the high quality offset surface of measured data with such defects. Firstly, we generated an expansion sphere model of measured data with the radius equivalent to the offset length. Secondly, using the computational geometry application of convex hull, we acquire the data of outermost enveloping surface of this expansion sphere model. Finally, we use local MLS projection fitting method to wipe out existing defects, and generate the high-quality triangular mesh surface of the offset model. The offset surface generated by this method is suitable for practical engineering application due to its high efficiency and accuracy.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Li Cui ◽  
Ming Hao ◽  
Fei Wang ◽  
Baizeng Fang ◽  
Jinsheng Liang ◽  
...  

The unique structure of two-dimensional molybdenum disulfide (MoS2) with rich active sites makes it a promising catalyst, whereas it also brings structural instability. Surfactant-assisted synthesis of MoS2 can be regarded as a simple way to regulate the microstructure. In this work, the surfactant additives were adopted to optimize the microstructure of MoS2/sepiolite nanocomposite, and the effects of surfactants type and concentration were investigated. For the sample prepared with 1 mol/L sodium dodecyl benzene sulfonate (SDBS), it exhibits the highest intensity for the peak of MoS2 at 14.2°, highly dispersed MoS2 nanosheet on the sepiolite, the lowest absorption intensity of Rhodamine B (RhB) at 553 nm of the wavelength, and the highest photocatalytic activity which is 2.5 times and 4.2 times higher than those prepared with 1 mol/L hexadecyl trimethyl ammonium bromide (CTAB) and 1 mol/L polyvinyl pyrrolidone (PVP) after a 150-minute irradiation, respectively. The above results suggest SDBS is the optimal surfactant to optimize the microstructure of MoS2/sepiolite nanocomposite. This work could provide new insights into the fabrication of high-quality MoS2-based nanocomposite.


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