29 research outputs found
Pedestrian Crowd Management Experiments: A Data Guidance Paper
Understanding pedestrian dynamics and the interaction of pedestrians with
their environment is crucial to the safe and comfortable design of pedestrian
facilities. Experiments offer the opportunity to explore the influence of
individual factors. In the context of the project CroMa (Crowd Management in
transport infrastructures), experiments were conducted with about 1000
participants to test various physical and social psychological hypotheses
focusing on people's behaviour at railway stations and crowd management
measures. The following experiments were performed: i) Train Platform
Experiment, ii) Crowd Management Experiment, iii) Single-File Experiment, iv)
Personal Space Experiment, v) Boarding and Alighting Experiment, vi) Bottleneck
Experiment and vii) Tiny Box Experiment. This paper describes the basic
planning and implementation steps, outlines all experiments with parameters,
geometries, applied sensor technologies and pre- and post-processing steps. All
data can be found in the pedestrian dynamics data archive.Comment: 58 pages, 19 figures, under review Collective Dynamic
The potentıal causatıve factors ın dıscıtıs after lumbar macrodıscectomy
Objective: Development of discitis after lumbar discectomy is one of the most important complications of disc surgery. This retrospective study investigated the influence of potential contributing factors in 9 cases of postoperative discitis occurring in 2901 patients who underwent macrodiscectomy
The Influence of Mechanic Factors in Disc Degeneration Disease as a Determinant for Surgical Indication
Objective Low back pain is the most common reason for physician visit in Western population. It’s one of the factors that affect health-related quality of life. Intervertebral disc degeneration is one of the leading factors for low back pain and disc degeneration needs serious attention. In this article, we try to summarize biomechanical factors on the degenerative process. Methods Patients with low back pain in Neurosurgery Department between January 2012 and June 2019 are searched for this study. The patients were gathered under 2 groups; surgical intervention and conservative treatment groups. Intervertebral disc degeneration was assessed by Pfirrmann grading system. All spinopelvic parameters were measured by using standardized lateral plain standing lumbar radiographs. Results There were 165 patients in the surgical group (60 females, 105 males) and 84 patients in the conservative group (57 females, 27 males) after randomization. One hundred fifty patients had microdiscectomy and 15 patients had spinal instrumentation with transforaminal lumbar interbody fusion. There was not a statistically significant difference between surgical intervention and conservative treatment groups when comparing disc degeneration status. There was a statistically significant difference in parameters lumbar lordosis (LL), L4–S1, and pelvic incidence-LL (PI–LL) between the 2 treatment groups. In the surgical group when we further analyze the spinopelvic parameters in between the 2 different surgical techniques; L4–S1, pelvic tilt, and PI–LL showed a statistically significant difference. Conclusion Degenerative disc disease is related with multiple factors which can be detailed under the mechanic components and the genetic components. Of these factors, spinopelvic parameters seem highly penetrating to patients’ surgery needs with degenerative disc disease independently
Ectopic Pituitary Neuroendocrine Tumors/Adenomas Around the Sella Turcica
Functional or non-secretory ectopic pituitary neuroendocrine tumors (PitNET) can form around the sella turcica during the development of the adenohypophysis by differentiating and detaching from the pharyngeal roof. These tumors usually appear in the sphenoid sinus, clivus, cavernous sinus, infundibulum, and suprasellar cistern. Ectopic PitNETs typically display the characteristic magnetic resonance imaging findings of pituitary adenomas. However, preoperative diagnosis of PitNETs is usually challenging because of the variety of clinical and imaging presentations, locations, and sizes. Ectopic suprasellar PitNETs resemble mass lesions in the pituitary stalk. Ectopic cavernous sinus of PitNETs are typically microadenomas in the medial wall. Ectopic sphenoclival tumors are characterized by more aggressive tumor activity than the other ectopic PitNETs. Although ectopic PitNETs are exceedingly rare, they should be considered as a differential diagnosis for masses around the sella turcica. Treatment of the disease should be individualized and may include medical care, surgical resection, gamma-knife radiosurgery, and radiotherapy