Laparoscopic-assisted percutaneous internal ring ligation in children

Aim To evaluate the feasibility and safety of laparoscopic ligation of internal ring in congenital inguinal hernia in children.Patients and methods Laparoscopic percutaneous ligation of internal inguinal ring has been performed on 97 children with 133 hernias. The age ranged between 6 months and 11.5 years. The procedure was carried out under general anesthesia, through skin puncture opposite to the lateral edge of the internal ring. The needle was passed under direct vision to encircle the internal ring without touching the vas or testicular vessels. The heel of the needle is backed through the subcutaneous tissue and out of the original stab puncture. The contralateral side was examined and the internal ring was closed if it was patent.Results All children were subjected to a follow-up schedule for 1 year to evaluate both efficacy and reliability of the technique. The mean operative time in our series was 15 (± 3) and 20 (± 5) min for bilateral cases, without anesthesia time. Of 133 hernias repaired, two hernias recurred at 1 and 2 months postoperatively. Conversion rate was 0% in our hands. Five (3.8%) cases developed minimal extraperitoneal hemorrhage during surgery. Six (4.5%) cases developed mild hydrocele, which was successfully treated conservatively.Conclusion Laparoscopic percutaneous ligation of internal inguinal ring repair of congenital hernia is proved to be a safe, simple, and easy procedure and can be performed routinely. The procedure has better cosmetic effect because we use a single umbilical port only. The high safety of the procedure we devised is because the cord contents remained untouched during the procedure.Keywords: extracorporeal, inguinal hernia, laparoscopy, subcutaneous ligatio

Effects of Lateral Diffusion on the Dynamics of Desorption

The adsorbate dynamics during simultaneous action of desorption and lateral adsorbate diffusion is studied in a simple lattice-gas model by kinetic Monte Carlo simulations. It is found that the action of the coverage-conserving diffusion process during the course of the desorption has two distinct, competing effects: a general acceleration of the desorption process, and a coarsening of the adsorbate configuration through Ostwald ripening. The balance between these two effects is governed by the structure of the adsorbate layer at the beginning of the desorption process

Choosing the most suitable classifier For supporting assistive technology adoption In people with Parkinson’s disease: a fuzzy Multi-criteria approach

Parkinson’s disease (PD) is the second most common neurodegenerative disorder which requires a long-term, interdisciplinary disease management. While there remains no cure for Parkinson’s disease, treatments are available to help reduce the main symptoms and maintain quality of life for as long as possible. Owing to the global burden faced by chronic conditions such as PD, Assistive technologies (AT’s) are becoming an increasingly common prescribed form of treatment. Low adoption is hampering the potential of digital technologies within health and social care. It is then necessary to employ classification algorithms have been developed for differentiating adopters and non-adopters of these technologies; thereby, potential negative effects on people with PD and cost overruns can be further minimized. This paper bridges this gap by extending the Multi-criteria decision-making approach adopted in technology adoption modeling for people with dementia. First, the fuzzy Analytic Hierarchy Process (FAHP) is applied to estimate the initial relative weights of criteria and sub-criteria. Then, the Decisionmaking Trial and Evaluation Laboratory (DEMATEL) is used for evaluating the interrelations and feedback among criteria and sub-criteria. The Technique for Order of Preferences by Similarity to Ideal Solution (TOPSIS) is finally implemented to rank three classifiers (Lazy IBk – knearest neighbors, Naïve bayes, and J48 decision tree) according to their ability to model technology adoption. A real case study considering is presented to validate the proposed approach

The 10 Research Topics in the Internet of Things

Since the term first coined in 1999 by Kevin Ashton, the Internet of Things (IoT) has gained significant momentum as a technology to connect physical objects to the Internet and to facilitate machine-to-human and machine-to-machine communications. Over the past two decades, IoT has been an active area of research and development endeavours by many technical and commercial communities. Yet, IoT technology is still not mature and many issues need to be addressed. In this paper, we identify 10 key research topics and discuss the research problems and opportunities within these topics.Comment: 10 pages. IEEE CIC 2020 vision pape

Exploring copyrolysis characteristics and thermokinetics of peach stone and bituminous coal blends

Copyrolysis, being an active area of research due to its synergistic impact in utilizing diverse fuel resources, including waste materials, like, peach stone (PS), has been the focal point for this study. PS, produced in vast quantities annually and typically intended for landscaping or insulation purposes, is being studied in combination with low‐grade bituminous coal for energy utilization focusing on thermokinetics and synergistic aspects. Coal‐peach stone (C‐PS) blends were formulated at different ratios and subjected to comprehensive characterization techniques, including ultimate analysis (CHN‐S), gross calorific value (GCV), Fourier transform infrared spectroscopy, and thermogravimetric analyzer (TGA). The ultimate analysis revealed an enhancement in carbon and hydrogen content from 45.38% to 68.08% and from 3.89% to 6.96%, respectively. Additionally, a reduction in sulfur and nitrogen content from 0.54% to 0.11% and from 1.16% to 0.42%, respectively, was observed with an increase in the ratio of PS in the C‐PS blends. The GCV of C‐PS blends ranged from 20.75 to 26.01 MJ kg−1. The pyrolysis conditions simulated in TGA are pivotal for evaluating thermokinetics and synergistic effects. The 60C:40PS blend shows a positive synergy index (SI) value of 0.0203% concerning total mass loss (MLT) indicating a favorable condition for bio‐oil generation. Coats–Redfern model‐fitting method reveals that the activation energy (Ea) of C‐PS blends increases in Section II with the addition of PS, and conversely, it decreases in Section III. The Ea for 100PS and 100C was 106.76 and 45.85 kJ mol−1 through (D3) and (F1), respectively, which was improved through the optimal blend 60C:40PS with an Ea of 94.56 and 27.58 kJ mol−1 through (D3) and (F2), respectively. The values obtained from linear regression prove that the kinetic models are effective while the thermodynamic analysis indicates that the pyrolytic behavior of C‐PS blends is characterized as endothermic, nonspontaneous, and capable of achieving thermodynamic equilibrium more rapidly

Advances in Meta-Heuristic Optimization Algorithms in Big Data Text Clustering

This paper presents a comprehensive survey of the meta-heuristic optimization algorithms on the text clustering applications and highlights its main procedures. These Artificial Intelligence (AI) algorithms are recognized as promising swarm intelligence methods due to their successful ability to solve machine learning problems, especially text clustering problems. This paper reviews all of the relevant literature on meta-heuristic-based text clustering applications, including many variants, such as basic, modified, hybridized, and multi-objective methods. As well, the main procedures of text clustering and critical discussions are given. Hence, this review reports its advantages and disadvantages and recommends potential future research paths. The main keywords that have been considered in this paper are text, clustering, meta-heuristic, optimization, and algorithm

Homologous and heterologous desensitization of guanylyl cyclase-B signaling in GH3 somatolactotropes

The guanylyl cyclases, GC-A and GC-B, are selective receptors for atrial and C-type natriuretic peptides (ANP and CNP, respectively). In the anterior pituitary, CNP and GC-B are major regulators of cGMP production in gonadotropes and yet mouse models of disrupted CNP and GC-B indicate a potential role in growth hormone secretion. In the current study, we investigate the molecular and pharmacological properties of the CNP/GC-B system in somatotrope lineage cells. Primary rat pituitary and GH3 somatolactotropes expressed functional GC-A and GC-B receptors that had similar EC50 properties in terms of cGMP production. Interestingly, GC-B signaling underwent rapid homologous desensitization in a protein phosphatase 2A (PP2A)-dependent manner. Chronic exposure to either CNP or ANP caused a significant down-regulation of both GC-A- and GC-B-dependent cGMP accumulation in a ligand-specific manner. However, this down-regulation was not accompanied by alterations in the sub-cellular localization of these receptors. Heterologous desensitization of GC-B signaling occurred in GH3 cells following exposure to either sphingosine-1-phosphate or thyrotrophin-releasing hormone (TRH). This heterologous desensitization was protein kinase C (PKC)-dependent, as pre-treatment with GF109203X prevented the effect of TRH on CNP/GC-B signaling. Collectively, these data indicate common and distinct properties of particulate guanylyl cyclase receptors in somatotropes and reveal that independent mechanisms of homologous and heterologous desensitization occur involving either PP2A or PKC. Guanylyl cyclase receptors thus represent potential novel therapeutic targets for treating growth-hormone-associated disorders

Requirements for Membrane Attack Complex Formation and Anaphylatoxins Binding to Collagen-Activated Platelets

The activation of complement during platelet activation is incompletely understood.We sought to explore the formation of C5b-9 and anaphylatoxins binding to collagen-activated platelets.C5b-9, anaphylatoxins C3a, C4a and C5a, and anaphylatoxin receptors C3aR1 and C5aR were measured by flow cytometry and/or confocal microscopy. Platelet microparticles were quantified by flow cytometry, and their C5b-9 content was determined by western blot analyses. In all experiments, sodium citrate was used for blood anticoagulation.C5b-9 rapidly formed on the platelet surface following activation with collagen, TRAP, ADP or A23187, but was surprisingly restricted to a subset of platelets (1 to 15%) independently of P-selectin or phosphatidylserine exposure. Following collagen activation, C5b-9-positive platelets in thrombi were found associated with collagen fibres. C5b-9 formation was obliterated by Mg(2+)-EGTA and significantly reduced by the thrombin inhibitor hirudin (-37%, p<0.05), but was unaffected by chondroitinase, compstatin, SCH79797 (PAR-1 inhibitor), or in the PRP of a MBL-deficient donor. Compstatin and Mg(2+)-EGTA, but not hirudin, SCH79797 or chondroitinase, inhibited the formation of collagen-induced microparticles (-71% and -44%, respectively, p<0.04). These microparticles contained greater amounts of C5b-9 compared with the other agonists. Platelet activation by collagen or convulxin resulted in the strong binding of anaphylatoxins and the exposure of receptors C3aR1 and C5aR (CD88) on their surface.C5b-9 formation on collagen-activated platelets is i) partially controlled by thrombin, ii) restricted to a subset of platelets, and iii) can occur without P-selectin expression or phosphatidylserine exposure. Activated platelets bind anaphylatoxins on their surface and express C3a and C5a receptors, which may contribute to the localization of inflammatory processes during thrombosis