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

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

Antioxidant activity and growth inhibition of human colon cancer cells by crude and purified fucoidan preparations extracted from Sargassum cristaefolium

AbstractFucose-containing sulfated polysaccharides, also termed “fucoidans”, which are known to possess antioxidant, anticoagulant, anticancer, antiviral, and immunomodulating properties, are normally isolated from brown algae via various extraction techniques. In the present study, two methods (SC1 and SC2) for isolation of fucoidan from Sargassum cristaefolium were compared, with regard to the extraction yields, antioxidant activity, and inhibition of growth of human colon cancer cells exhibited by the respective extracts. SC1 and SC2 differ in the number of extraction steps and concentration of ethanol used, as well as the obtained sulfated polysaccharide extracts, namely, crude fucoidan preparation (CFP) and purified fucoidan preparation (PFP), respectively. Thin layer chromatography, Fourier transform infrared analysis, and measurements of fucose and sulfate contents revealed that the extracts were fucoidan. There was a higher extraction yield for CFP, which contained less fucose and sulfate but more uronic acid, and had weaker antioxidant activity and inhibition of growth in human colon cancer cells. In contrast, there was a lower extraction yield for PFP, which contained more fucose and sulfate but less uronic acid, and had stronger antioxidant activity and inhibition of growth in human colon cancer cells. Thus, since the difference in bioactive activities between CFP and PFP was not remarkable, the high extraction yield of SC1 might be favored as a method in industrial usage for extracting fucoidan