262 research outputs found
Diaphragmatic hernia following oesophagectomy for oesophageal cancer – Are we too radical?
Background:
Diaphragmatic herniation (DH) of abdominal contents into the thorax after oesophageal resection is a recognised and serious complication of surgery. While differences in pressure between the abdominal and thoracic cavities are important, the size of the hiatal defect is something that can be influenced surgically. As with all oncological surgery, safe resection margins are essential without adversely affecting necessary anatomical structure and function. However very little has been published looking at the extent of the hiatal resection. We aim to present a case series of patients who developed DH herniation post operatively in order to raise discussion about the ideal extent of surgical resection required.
Methods:
We present a series of cases of two male and one female who had oesophagectomies for moderately and poorly differentiated adenocarcinomas of the lower oesophagus who developed post-operative DH. We then conducted a detailed literature review using Medline, Pubmed and Google Scholar to identify existing guidance to avoid this complication with particular emphasis on the extent of hiatal resection.
Discussion:
Extended incision and partial resection of the diaphragm are associated with an increased risk of postoperative DH formation. However, these more extensive excisions can ensure clear surgical margins. Post-operative herniation can be an early or late complication of surgery and despite the clear importance of hiatal resection only one paper has been published on this subject which recommends a more limited resection than was carried out in our cases.
Conclusion:
This case series investigated the recommended extent of hiatal dissection in oesophageal surgery. Currently there is no clear guidance available on this subject and further studies are needed to ascertain the optimum resection margin that results in the best balance of oncological parameters vs. post operative morbidity
Comparison between the effect of a self-administered and a trainer-administered surgical checklist on the laparoscopic task performance
Quantitative phase evolution during mechano-synthesis of Ti-Ni-Cu shape memory alloys
Cataloged from PDF version of article.Ti-41Ni-9Cu shape memory alloy was synthesized by mechanical alloying of pure elemental Ti, Ni, and Cu powders using high-energy ball milling. The qualitative and quantitative phase analyses of the as-milled powders were done by X-ray diffraction (XRD) using Rietveld refinement and the alloys microstructure was studied by scanning electron microscopy (SEM) and high resolution transmission electron microscopy (HRTEM). Concerning the results, by milling evolution, the dissolution of the primary materials occurred at different rates and a considerable amount of the amorphous phase as well as B19′-martensite and B2-austenite was created. The formation of Ni solid solution was also evidenced prior to its dissolution. It was found that at sufficient milling time, the mechano-crystallization of the amorphous phase occurred and at the end of milling, the B19′-martensite is the dominant phase of the structure. © 2012 Elsevier B.V. All rights reserve
Estimation of genetic parameters and comparison of random regression animal and sire models of production traits in the first three lactations of Iranian Holsteins
This study was conducted to compare of random regression (RR) animal and sire models for estimation of the genetic parameters for production traits of Iranian Holstein dairy cows. For this purpose, the test day records were used belonged to first three lactations of cows and for, milk, fat and protein yields traits where, collected from 2003 to 2010, by the national breeding center of Iran. The genetic parameters were estimated using restricted maximum likelihood algorithm. To compare the model, different criterion -2logL value, AIC, BIC and RV were used for considered traits. Residual variances were considered homogeneous over the lactation period. Obtained results showed that additive genetic variance was highest in the beginning and end lactation and permanent environmental variance was highest in beginning of lactation than other lactation period. Heritabilities estimate for milk, fat and protein yields by RR animal and sire models were found to be lowest during early lactation (0.05, 0.04 and 0.07; 0.05, 0.19 and 0.13; 0.14, 0.19 and 0.15, for milk, fat and protein yields and in first, second and third lactation respectively). However, estimated heritabilities during lactation did not vary among different order Legendre polynomials, and also between RR animal and sire models. The variation in genetic correlations estimate in the RR animal and sire models was larger in the first lactation than in the second and third lactations. Thus, based on the results obtained, it can be inferred that the RR animal model is better for modeling yield traits in Iranian Holsteins
Effect of milling Time on the Structure, Micro-hardness, and Thermal Behavior of Amorphous/Nanocrystalline TiNiCu Shape Memory Alloys Developed by Mechanical Alloying
Cataloged from PDF version of article.In the present paper, the effect of milling process on the chemical composition, structure, microhardness, and thermal behavior of Ti-41Ni-9Cu compounds developed by mechanical alloying was evaluated. The structural characteristic of the alloyed powders was evaluated by X-ray diffraction (XRD). The chemical composition homogeneity and the powder morphology and size were studied by scanning electron microscopy coupled with electron dispersive X-ray spectroscopy. Moreover, the Vickers micro-indentation hardness of the powders milled for different milling times was determined. Finally, the thermal behavior of the as-milled powders was studied by differential scanning calorimetery. According to the results, at the initial stages of milling (typically 0-12 h), the structure consisted of a Ni solid solution and amorphous phase, and by the milling evolution, nanocrystalline martensite (B19') and austenite (B2) phases were initially formed from the initial materials and then from the amorphous phase. It was found that by the milling development, the composition uniformity is increased, the inter-layer thickness is reduced, and the powders microhardness is initially increased, then reduced, and afterward re-increased. It was also realized that the thermal behavior of the alloyed powders and the structure of heat treated samples is considerably affected by the milling time. (C) 2013 Elsevier Ltd. All rights reserved
Augmented Terminal Feedback Influences Cognitive Ability of Surgical Trainees:A Randomized Controlled Trial
Scientific Productions and Authorship Patterns of Top Ten Iranian Scientists
Using bibliographic records from the Social Science Citation Index, Science Citation Index, and Arts & Humanities Index, this paper tries to give a complete view of the characteristics of top ten Iranian authors during 1990-2007 according to their authorship pattern. Findings revealed that during 1990-2007 a total of 2650 articles were written by top ten Iranian authors. Findings showed that M. Shamsipour with 463 articles is the most productive scientist of Iran during the studied period. M. M. Heravi with 365 articles and M. Ganjali with 283 articles appeared in the table at second and third positions, respectively. Findings revealed that overwhelmingly the majority of articles (97/69%) written by Iranian top authors are the result of collaborative works and the authors are highly inclined towards collaborative rather than non-collaborative research. There was a remarkable relationship between co-authorship and number of citations. More-than-three-author articles received the most number of citations. On the other hand, it seems that international collaboration of Iranian top authors is not significant
Scientometric Analysis of the Scientometric Literature
 Using bibliographic records from the Social Science Citation Index, Science Citation Index, and Arts & Humanities Citation Index, this paper tries to give a complete view of the evolution of the field of Scientometrics based on its literature published during 1980 to 2009. This is a descriptive survey using scientometric indicators.Findings revealed that out of 691 articles in the field of Scientometrics, a total number of 183 articles (26.48%) were written during 1980 to 2009 by the top ten authors. Some of these articles were produced in authors’ collaboration and some of them were by single authors.   Geographical analysis indicated that the field had evolved considerably in different regions of the world. Hungarian Academy of Science with 40 records (5.71%) was the most productive institution in the field of Scientometrics. Furthermore, chronological analysis disclosed that the scientific production in the field of Scientometrics showed a slow increase from 1980 to 2009. The overwhelming majority of documents were in English, and the international journal of Scientometrics was the most prolific journal in the field. It has also been declared that 67.87% of the literature was published in the area of Library and Information Science
Capping agent effect on Pd-supported nanoparticles in the hydrogenation of furfural
The catalytic performance of a series of 1 wt % Pd/C catalysts prepared by the sol-immobilization method has been studied in the liquid-phase hydrogenation of furfural. The temperature range studied was 25\u201375 \ub0C, keeping the H2 pressure constant at 5 bar. The effect of the catalyst preparation using different capping agents containing oxygen or nitrogen groups was assessed. Polyvinyl alcohol (PVA), polyvinylpyrrolidone (PVP), and poly (diallyldimethylammonium chloride) (PDDA) were chosen. The catalysts were characterized by ultraviolet-visible spectroscopy (UV-Vis), Fourier transform infrared spectroscopy (FTIR), transmission electron microscopy (TEM), and X-ray photoelectron spectroscopy (XPS). The characterization data suggest that the different capping agents affected the initial activity of the catalysts by adjusting the available Pd surface sites, without producing a significant change in the Pd particle size. The different activity of the three catalysts followed the trend: PdPVA/C > PdPDDA/C > PdPVP/C. In terms of selectivity to furfuryl alcohol, the opposite trend has been observed: PdPVP/C > PdPDDA/C > PdPVA/C. The different reactivity has been ascribed to the different shielding effect of the three ligands used; they influence the adsorption of the reactant on Pd active sites
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