1,430 research outputs found
Prospective study on Efficacy of Mechanical Obliteration of Dead Space following Axillary Clearance for Carcinoma Breast in reducing the Incidence of Seroma Formation
BACKGROUND:
Seroma formation and its sequelae including infection, flap necrosis, delayed wound healing and patient discomfort form one of most commonly encountered complication following mastectomy and axillary dissection. Mechanical closure of dead space by flap fixation is a simple surgical procedure that eliminates dead space after mastectomy, by decreasing the movement of flap over chest wall and thereby reducing the exudate.
OBJECTIVE:
The objective of this study is to evaluate the effect of mechanical closure of dead space after mastectomy in prevention of seroma formation.
METHOD:
A total of 80 patients of Carcinoma Breast who underwent Modified Radical Mastectomy in Department of general surgery, Government Rajaji Hospital, Madurai during the period from March 2016 to August 2016, were included in this prospective study, and randomized into two groups based on in-patient number. 42 patients with odd IP no in conventional simple wound closure (Group A) and 38 patients with even IP no in Flap fixation (Group B). Patients were evaluated for day 1 drain volume, total drain volume, drain removal day, seroma, and wound complications.
RESULT:
Of the 80 women, 42 women with mean age 48±8 years belongs to group A and 38 women with mean age 46±7 years belongs to group B. Average size of the tumor at presentation was 3.4cm. 36 (45%) women presented with stage IIA disease and 44 (55%) with stage IIB disease.
Drain volume in first post-operative day varied from 100 to 200ml with average of 170ml in group A and 163ml in group B. There was no statistically significant difference in the drain volume in first post-operative day (p > 0.05).
The average total drain volume in the post-operative period in group A was 1426ml and 932ml in group B. p value was found to be significant (< 0.001).
The average day of drain removal in group A was 13 days and 8 days in group B. p value was found to be significant (< 0.001).
8 patients developed seroma in Group A Vs none in group B. p value was found to be significant (> 0.05).
One patient developed wound complication (cellulitis) Vs none in group B. There was no statistically significant difference in the incidence of wound complications in both groups.
CONCLUSION:
The present prospective study demonstrated that the mechanical obliteration of dead space by flap fixation significantly decreases the incidence of seroma formation. So when performing modified radical mastectomy, the flap-fixation technique is a valuable technique for reducing seroma formation allowing early drain removal and increased patient satisfaction
Nonintegrability of (2+1)-dimensional continuum isotropic Heisenberg spin system: Painlev\'e analysis
While many integrable spin systems are known to exist in (1+1) and (2+1)
dimensions, the integrability property of the physically important (2+1)
dimensional isotropic Heisenberg ferromagnetic spin system in the continuum
limit has not been investigated in the literature. In this paper, we show
through a careful singularity structure analysis of the underlying nonlinear
evolution equation that the system admits logarithmic type singular manifolds
and so is of non-Painlev\'e type and is expected to be nonintegrable.Comment: 11 pages. to be published in Phys. Lett. A (2006
Equatorial and related non-equilibrium states in magnetization dynamics of ferromagnets: Generalization of Suhl's spin-wave instabilities
We investigate the nonlinear dynamics underlying the evolution of a 2-D
nanoscale ferromagnetic film with uniaxial anisotropy in the presence of
perpendicular pumping. Considering the associated Landau-Lifshitz spin
evolution equation with Gilbert damping together with Maxwell equation for the
demagnetization field, we study the dynamics in terms of the stereographic
variable. We identify several new fixed points for suitable choice of external
field in a rotating frame of reference. In particular, we identify explicit
equatorial and related fixed points of the spin vector in the plane transverse
to the anisotropy axis when the pumping frequency coincides with the amplitude
of the static parallel field. We then study the linear stability of these novel
fixed points under homogeneous and spin wave perturbations and obtain a
generalized Suhl's instability criterion, giving the condition for exponential
growth of P-modes under spin wave perturbations. Two parameter phase diagrams
(in terms of amplitudes of static parallel and oscillatory perpendicular
magnetic fields) for stability are obtained, which differ qualitatively from
those for the conventional ferromagnetic resonance near thermal equilibrium and
are amenable to experimental tests.Comment: 23 pages, 5 figures, To appear in Physica
Scaling and synchronization in a ring of diffusively coupled nonlinear oscillators
Chaos synchronization in a ring of diffusively coupled nonlinear oscillators
driven by an external identical oscillator is studied. Based on numerical
simulations we show that by introducing additional couplings at -th
oscillators in the ring, where is an integer and is the maximum
number of synchronized oscillators in the ring with a single coupling, the
maximum number of oscillators that can be synchronized can be increased
considerably beyond the limit restricted by size instability. We also
demonstrate that there exists an exponential relation between the number of
oscillators that can support stable synchronization in the ring with the
external drive and the critical coupling strength with a scaling
exponent . The critical coupling strength is calculated by numerically
estimating the synchronization error and is also confirmed from the conditional
Lyapunov exponents (CLEs) of the coupled systems. We find that the same scaling
relation exists for couplings between the drive and the ring. Further, we
have examined the robustness of the synchronous states against Gaussian white
noise and found that the synchronization error exhibits a power-law decay as a
function of the noise intensity indicating the existence of both noise-enhanced
and noise-induced synchronizations depending on the value of the coupling
strength . In addition, we have found that shows an
exponential decay as a function of the number of additional couplings. These
results are demonstrated using the paradigmatic models of R\"ossler and Lorenz
oscillators.Comment: Accepted for Publication in Physical Review
Wheat Growth, Yield, and Yield Contributing Attributes as a Function of Nitrogen Levels
To evaluate the effect of different levels of nitrogen on growth and yield of wheat a field experiment was conducted in 2017-18 at research area of cereals and pulses section, Ayyub agricultural research institute, Faisalabad. Eight levels of nitrogen i.e. 0, 29, 58, 87, 116, 145, 174, 203 kg ha-1 were evaluated. Experiment was laid out under randomized complete block design (RCBD) with three replications with a net plot size of 10×5m. Data were recorded for growth and yield parameters like number of tillers, plant height, spiklets per spike, seeds per spike, biological yield, 1000 grain weight, grain yield and harvest index. Different levels of nitrogen significantly increased all the growth and yield parameters. Maximum number of tillers, highest plant height and biological yield was recorded from the treatment where nitrogen was applied @ 203 Kg ha-1 while 1000 grain yield, seeds per spike and grain yield was achieved highest from where nitrogen applied @ 145 Kg ha-1
Nonlinear Dynamics of Moving Curves and Surfaces: Applications to Physical Systems
The subject of moving curves (and surfaces) in three dimensional space (3-D)
is a fascinating topic not only because it represents typical nonlinear
dynamical systems in classical mechanics, but also finds important applications
in a variety of physical problems in different disciplines. Making use of the
underlying geometry, one can very often relate the associated evolution
equations to many interesting nonlinear evolution equations, including soliton
possessing nonlinear dynamical systems. Typical examples include dynamics of
filament vortices in ordinary and superfluids, spin systems, phases in
classical optics, various systems encountered in physics of soft matter, etc.
Such interrelations between geometric evolution and physical systems have
yielded considerable insight into the underlying dynamics. We present a
succinct tutorial analysis of these developments in this article, and indicate
further directions. We also point out how evolution equations for moving
surfaces are often intimately related to soliton equations in higher
dimensions.Comment: Review article, 38 pages, 7 figs. To appear in Int. Jour. of Bif. and
Chao
Analysis of Mechanical Properties of Hybrid Burmese Silk Orchid and Glass Fibers Composite Material
No Abstrac
Quantal Two-Centre Coulomb Problem treated by means of the Phase-Integral Method I. General Theory
The present paper concerns the derivation of phase-integral quantization
conditions for the two-centre Coulomb problem under the assumption that the two
Coulomb centres are fixed. With this restriction we treat the general
two-centre Coulomb problem according to the phase-integral method, in which one
uses an {\it a priori} unspecified {\it base function}. We consider base
functions containing three unspecified parameters and .
When the absolute value of the magnetic quantum number is not too small, it
is most appropriate to choose . When, on the other hand,
is sufficiently small, it is most appropriate to choose .
Arbitrary-order phase-integral quantization conditions are obtained for these
choices of . The parameters and are determined from the
requirement that the results of the first and the third order of the
phase-integral approximation coincide, which makes the first-order
approximation as good as possible.
In order to make the paper to some extent self-contained, a short review of
the phase-integral method is given in the Appendix.Comment: 23 pages, RevTeX, 4 EPS figures, submitted to J. Math. Phy
Painlev{\'e} singularity structure analysis of three component Gross-Pitaevskii type equations
In this paper, we have studied the integrability nature of a system of three
coupled Gross-Pitaevskii type nonlinear evolution equations arising in the
context of spinor Bose-Einstein condensates by applying the Painlev\'e
singularity structure analysis. We show that only for two sets of parametric
choices, corresponding to the known integrable cases, the system passes the
Painlev\'e test.Comment: 17 pages. Accepted in Journal of Mathematical Physic
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