1,070 research outputs found
Brachial plexus injury during axillary thoracotomy
SummaryBrachial plexus injury is a severe neurologic injury that results in functional impairment of the affected upper limb, and it can be difficult to diagnose and manage. We report a woman aged 51 years who developed brachial plexus injury of the right arm after axillary thoracotomy with removal of a mediastinal tumor. Aggressive rehabilitation was promptly neurologic instituted, and the impairment of her arm recovered completely 69 days after surgery
Spontaneous Migration of Central Venous Catheter to Anterior Mediastinum
Central venous devices are routinely used in delivering chemotherapy and total parenteral nutrition. Spontaneous migration of central venous catheters is a very rare complication, but the etiology of this problem is not clear. We report here a case of migration of a port catheter to the anterior mediastinum in a patient with stage IVC nasopharyngeal cancer during chemotherapy. The patient presented with pulmonary manifestations in form of shortness of breath and chest tightness caused by left massive pleural effusion. The pleural effusion was resolved by thoracocentesis and the migrated catheter was retrieved surgically
Endoscopic Treatment of Vesicoureteral Reflux in Children with Dextranomer/Hyaluronic Acid—A Single Surgeon's 6-Year Experience
Endoscopic treatment for vesicoureteral reflux (VUR) has become an established alternative to long-term antibiotic prophylaxis and ureteral reimplantation. We present the outcome of endoscopic treatment with dextranomer/hyaluronic acid copolymer (Deflux) for VUR in children by a single surgeon at our institute from October 2003 to October 2009. We reviewed the cases of 150 patients (total 239 ureters), 56 girls (37%) and 94 boys (63%), with a mean age of 2.2 years and a median followup of 2.5 years (range 3–68 months). Among the 239 ureters treated, 67.4% (161/239) were cured with a single injection, and a second and third injection raised the cure rate to 86.6% (207/239) and 88.3% (211/239), respectively. None had postoperative ureteral obstruction
Results of one-stage urethroplasty for hypospadias in pediatrics – single surgeon’s experience
Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods.
Materials and Methods: From January 2009 to February 2016, patients who were less than 18 years old and were operated for hypospadias were retrospectively reviewed and divided into two groups: group I (from January 2009 to February 2012) and group II (from March 2012 to February 2016). All operations were performed by the same pediatric surgeon, andsurgical outcomes of the two periods were compared.
Results: This study considered150 patients (69 in group I/81 in group II). The Mean operative age was 30.4±32.7 months in group I and 33.6±43.3 months in group II(p=0.309). The selected procedures mainly depended on the subjective anatomical analysis in the operating room and the surgeon’s preference. The mean follow-up duration was 21.7±28.31 months in group I and 13.6±16.6 months in group II (p=0.033).The overall complication rate was 44.9% in group Iand 35.8% in group II (p=0.316). The incidence of glanular disruption significantly decreased from 21.7% to 6.2% (p=0.007) because of the wide dissection of the glanular wings and the deep incision of the urethral plate, which led to tension-free sutures for glanular reconstruction.
Conclusions: One-stage repair of hypospadias may achieve satisfactory outcomes in cosmetic appearance and voiding function. Surgical outcomes could be improved by increasing practice
Investigation of morphological changes in the tamsui river estuary using an integrated coastal and estuarine processes model
© 2020 by the authors. This study is to investigate morphological changes in the Tamsui River Estuary in Taiwan driven by multiple physical processes, such as river flows, tides, waves, and storm surges, and then to study the impacts of sediment flushing operated at the Shihmen reservoir upstream on the river estuary. An integrated coastal and estuarine processes model (CCHE2D-Coast) (Center for Computational Hydroscience and Engineering Two-Dimensional-Coast) was validated by simulating these physical processes in the estuary driven by three historical typhoons in 2008. The site-specifically validated model was then applied to simulate morphological changes in the estuary in response to reservoir sediment flush scenarios from the upstream. For the impact assessment of sediment flushing, a synthetic hydrological event was designed by including a historical typhoon and a typical monsoon. It was found that during the typhoon, the sediments will be mostly deposited in the estuarine river reach of Tamsui and the Wazihwei sandy beach. During the monsoon period, most of the sediments tend to be deposited in the second fishing port of Tamsui, the northern breakwater, and the estuary, while the Wazihwei sandy beach in the river mouth would be scoured by backflow. Simulations of the complex flow fields and morphological changes will facilitate the best practice of sediment management in the coastal and estuarine regions
Condition Monitoring of Squirrel-Cage Induction Motors Fed by PWM-Based Drives Using a Parameter Estimation Approach
Abstract:
A rotor condition monitoring technique is presented in this paper based on a parameter estimation approach. In this technique, the stator currents, voltages and motor speed are used as the input signals, where the outputs will be the rotor\u27s inductance, resistance and consequently rotor time constant. This approach is verified by simulation of two different induction motor cases. These simulations are buttressed by experimental data obtained for a 2-hp induction motor in the case of healthy as well as one, three and five rotor bar breakages. In these tests, the induction motor was energized from a PWM-based drive, in order to demonstrate the capability of using this method for rotor condition monitoring purposes
Analysis and Diagnostics of Adjacent and Nonadjacent Broken-Rotor-Bar Faults in Squirrel-Cage Induction Machines
In this paper, faults associated with the rotor of an induction machine are considered. More specifically, effects of adjacent and nonadjacent bar breakages on rotor fault diagnostics in squirrel-cage induction machines are studied. It is shown that some nonadjacent bar breakages may result in the masking of the commonly used fault indices and, hence, may lead to a possible misdiagnosis of the machine. A discussion of the possible scenarios of these breakages as well as some conclusions regarding the types of squirrel-cage induction machines (number of poles, number of squirrel-cage bars, etc.) that may be more prone to these nonadjacent types of failures are presented. This discussion is supported through both simulation and experimental results. It is also shown that secondary fault effects can be used to diagnose such nonadjacent bar breakages
Chinese Herbal Medicine Therapy and the Risk of Mortality for Chronic Hepatitis B Patients with Concurrent Liver Cirrhosis: a Nationwide Population-Based Cohort Study
Chronic hepatitis B (CHB) is increasingly recognized as a public health problem in Taiwan. After affected patients are diagnosed with contaminant liver cirrhosis (LC), adverse clinical outcomes, especially death, are common. This study aimed to investigate the effect of Chinese herbal medicine (CHM), an essential branch of Traditional Chinese medicine (TCM), on the mortality risk among CHB patients with contaminant LC. This longitudinal cohort study used the Taiwanese National Health Insurance Research Database to identify 1522 patients 20–70 years of age with newly diagnosed CHB with LC during 1998–2007. Among them, 508 (33.37%) had received CHM products after the onset of CHB (CHM users), and the remaining 1014 patients (66.63%) were designated as a control group (non-CHM users). All enrollees were followed until the end of 2012 to determine deaths during the study period. We applied the Cox proportional hazards regression model to compute the hazard ratio for the association of CHM use and the subsequent risk of death. During the follow-up period, 156 CHM users and 493 non-CHM users died. After controlling for potential confounders, CHM users were found to have a significantly reduced risk of death compared with non-CHM users by 56%, and the effect was predominantly observed among those treated with CHM for \u3e 180 days. CHM therapy lowered the risk of death among CHB patients with contaminant LC, which supported CHM might provide further treatment options for those with chronic liver diseases
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