Image-Guided High-Dose Rate Intracavitary Brachytherapy in the Treatment of Medically Inoperable Early-Stage Endometrioid Type Endometrial Adenocarcinoma

To report the experience with high dose rate, image guided intracavitary brachytherapy in the treatment of medically inoperable, early stage endometrial cancer. Poster presented at: American Brachytherapy Society Annual Meeting April 20-22, 2017 in Boston MA

When is it Safe for Patients to Drive after Right Total Hip Arthroplasty?

Introduction: Driving restrictions after total hip arthroplasty (THA) can be inconvenient and burdensome for patients. When patients may safely be allowed to drive remains controversial. Most studies recommend 6 weeks but recent advances in surgical approach, pain management and rapid recovery may have changed this time frame. The purpose of this study was to prospectively evaluate driving safety after THA through brake reaction time

A Cobb Douglas stochastic frontier model on measuring domestic bank efficiency in Malaysia

Banking system plays an important role in the economic development of any country.Domestic banks, which are the main components of the banking system, have to be efficient; otherwise, they may create obstacle in the process of development in any economy.This study examines the technical efficiency of the Malaysian domestic banks listed in the Kuala Lumpur Stock Exchange (KLSE) market over the period 2005–2010.A parametric approach, Stochastic Frontier Approach (SFA), is used in this analysis.The findings show that Malaysian domestic banks have exhibited an average overall efficiency of 94 percent, implying that sample banks have wasted an average of 6 percent of their inputs.Among the banks, RHBCAP is found to be highly efficient with a score of 0.986 and PBBANK is noted to have the lowest efficiency with a score of 0.918.The results also show that the level of efficiency has increased during the period of study, and that the technical efficiency effect has fluctuated considerably over time

Magnetic resonance imaging of mediastinal vessels

MRI complements echocardiography and cineangiography in the evaluation of the great vessels. Advantages of echocardiography are its low cost, ready availability, and portability. Similar to echocardiography, MRI is noninvasive and lacks ionizing radiation, but it also has the advantages of multiplanar imaging and large field of view. This article reviews the indications for MRI of the great vessels of the chest and the magnetic resonance (MR) appearance of some of the more common anomalies of the pulmonary arteries, aorta, and systemic and pulmonary veins. MRI techniques The thoracic vessels can usually be completely imaged with a T1-weighted spin-echo sequence followed by three-dimensional (3D) gadoliniumenhanced MR angiography. These sequences can be supplemented with a cine gradient-echo technique, using segmented k-space acquisition (Fastcard or Fastcine). Spin-echo and cine gradient echo techniques including segmented k-space acquisition, safety considerations, and sedation requirements have been previously described Contrast-enhanced MR angiography takes advantage of the T1 shortening property of paramagnetic agents (such as gadolinium chelates) and 3D imaging. The advantages of 3D gadoliniumenhanced MR angiography over other MRI techniques for the evaluation of the thoracic vessels include (a) rapid acquisition, (b) ability to image vessels in any plane, and (c) absence of a dephasing artifact. 3D gadolinium-enhanced MR angiography of the thoracic vessels in infants and young children is performed with a nonbreath-hold technique; in older children and adolescents, a breathhold technique can be used. A double dose (0.2 mmol/kg body weight) of gadolinium suffices for optimal visualization of the mediastinal vessels Multiplanar volume reconstructions, as well as maximum intensity projections (MIP) and subvolume MIPs, are obtained in orthogonal and oblique plains to optimally display the vessel of interest. Pulmonary arteries Abnormalities of the pulmonary arteries often occur in association with obstructive lesions of the right ventricular outflow tract (eg, pulmonary artery atresia, stenosis, and hypoplasia), truncus arteriosus and its variants, and pulmonary sling

Cardiovascular Risk Awareness, Treatment, and Control in Urban Latin America

on behalf of the CARMELA Study Investigators Effective prevention and treatment of cardiovascular diseases require regular screening for risk factors, high awareness of the condition, effective treatment of the identified risk factors, and adherence to the prescribed treatment. The Cardiovascular Risk Factor Multiple Evaluation in Latin America study was a cross-sectional, population-based, observational study of major cardiovascular risk factors-including hypertension, diabetes, and hypercholesterolemia-in 7 Latin American cities. This report presents data on assessment, diagnosis, extent, and effectiveness of treatment, adherence to treatment, and reasons for nonadherence. Data were collected through household questionnaire-based interviews administered to 5383 men and 6167 women, 25-64 years of age, living in the following cities: Barquisimeto, Venezuela; Bogota, Colombia; Buenos Aires, Argentina; Lima, Peru; Mexico City, Mexico; Quito, Ecuador; and Santiago, Chile. Participants also completed a clinic visit for anthromorphometric and laboratory assessments. Rates of prior diagnosis of hypertension and diabetes were high (64% and 78% of affected individuals, respectively) but relatively low for hypercholesterolemia (41%). The majority of affected individuals (hypercholesterolemia 88%, diabetes 67%, and hypertension 53%) were untreated. Among individuals who were receiving pharmacologic treatment, targets for control of hypertension, diabetes, and hypercholesterolemia were achieved by 51%, 16%, and 52%, respectively. Adherence to treatment was observed in 69% of individuals with hypertension, 63% with diabetes, and 66% with hypercholesterolemia. Forgetfulness was the major cause of nonadherence for all 3 conditions. There is a substantial need for increasing patient education, diagnosis, treatment, adherence, and control of cardiovascular risk factors in the 7 Latin American cities. Keywords: adherence, awareness, blood pressure, cardiovascular risk factors, diabetes, hypercholesterolemia, hypertension, treatment control CLINICAL SIGNIFICANCE (1) Although a majority of individuals knew they had hypertension or diabetes, only 41% were aware of hypercholesterolemia. (2) Forty-seven percent of hypertensive, 33% of diabetic, and 12% of hypercholesterolemic individuals were receiving pharmacological treatment, yet control of these conditions was low

Therapeutic effect of quercetin in collagen-induced arthritis

Quercetin, a bioactive flavonoid with anti-inflammatory, immunosuppressive, and protective properties, is a potential agent for the treatment of rheumatoid arthritis (RA). Collagen-induced arthritis (CIA) is the most commonly used animal model for studying the pathogenesis of RA. This study analysed the therapeutic role of quercetin in collagen-induced arthritis in C57BL/6 mice. The animals were allocated into five groups that were subjected to the following treatments: negative (untreated) control, positive control (arthritis-induced), arthritis + methotrexate, arthritis + quercetin, and arthritis + methotrexate + quercetin. Assessments of weight, oedema, joint damage, and cytokine production were used to determine the therapeutic effect of quercetin. This study demonstrated for the first time the anti-inflammatory and protective effects of quercetin in vivo in CIA. The results also showed that the concurrent administration of quercetin and methotrexate did not offer greater protection than the administration of a single agent. The use of quercetin as a monotherapeutic agent resulted in the lowest degree of joint inflammation and the highest protection. The reduced severity of the disease in animals treated with quercetin was associated with decreased levels of TNF-α, IL-1β, IL-17, and MCP-1. In conclusion, this study determined that quercetin, which was non-toxic, produced better results than methotrexate for the protection of joints from arthritic inflammation in mice. Quercetin may be an alternative treatment for RA because it modulates the main pathogenic pathways of RA

Evaluating web-based static, animated and interactive maps for injury prevention

This is the final version of the article. Available from PAGEpress via the DOI in this record.Public health planning can benefit from visual exploration and analysis of geospatial data. Maps and geovisualization tools must be developed with the user-group in mind. User-needs assessment and usability testing are crucial elements in the iterative process of map design and implementation. This study presents the results of a usability test of static, animated and interactive maps of injury rates and socio-demographic determinants of injury by a sample of potential end-users in Toronto, Canada. The results of the user-testing suggest that different map types are useful for different purposes and for satisfying the varying skill level of the individual user. The static maps were deemed to be easy to use and versatile, while the animated maps could be made more useful if animation controls were provided. The split-screen concept of the interactive maps was highlighted as particularly effective for map comparison. Overall, interactive maps were identified as the preferred map type for comparing patterns of injury and related socio-demographic risk factors. Information collected from the user-tests is being used to expand and refine the injury web maps for Toronto, and could inform other public health-related geo-visualization projects.Partial funding for this project was provided by the Natural Sciences and Engineering Research Council of Canada and the Canadian Institutes of Health Research

Bioremoval of Phenol from Aqueous Solutions Using Native Caribbean Seaweed

Among several Puerto Rican algae, Sargassum sp. (SG) and Chaetomorpha (CM) showed the highest phenol adsorption capacity from aqueous solutions and were used in optimized adsorption batch experiments at room temperature. The effects of pH, adsorbent dose, phenol concentration, salinity and presence of interfering substances were evaluated. Initial solution pH exhibited a strong effect, mainly on the phenol aqueous chemistry; showing the maximum adsorption at pH 10. Sorption isotherm results were modelled according to the Langmuir, Tempkin and Freundlich equations. Isotherm modelling indicated a maximum adsorption capacity (qmax) of 82.10 and 17.7 mg of phenol per gram of SG and CM, respectively. Salinity and presence of detergent in the matrix solution showed a positive effect on the adsorption, suggesting that adsorption of phenol was mostly driven by polar forces and not by ionic exchange. On the other hand, presence of heavy metals like copper, lead and cobalt had a negative effect on the adsorption. According to these results, the potential formation of hydrogen bonds between the algae and phenol is proposed as the main adsorption mechanism. These results provide further insight into the adsorption mechanism of phenol and their use as inexpensive adsorbents for the treatment of phenol-containing wastewaters

Walking Activity Recognition with sEMG Sensor Array on Thigh Circumference using Convolutional Neural Network

In recognition of walking gait modes using surface electromyography (sEMG), the use of sEMG sensor array can provide sensor redundancy and less rigorous identification of sEMG electrode placements as compared to the conventional sEMG electrode placements right in the middle of muscle bellies. However, the potentially lesser discriminative and noisier sEMG signals from the sEMG sensor array pose the challenge in developing accurate and robust machine learning classifier for walking activity recognition. In this paper, we explore the use of convolution neural network (CNN) classifier with frequency gradient feature derived from EMG signal spectrogram for detecting different walking activities using an sEMG sensor array on thigh circumference. EMG dataset from five healthy subjects and an amputee for five walking activities namely walking at slow, normal and fast speed, ramp ascending and ramp descending are used to train and test the CNN-based classifier. Our preliminary findings suggest that frequency gradient feature can improve the CNN-based classifier performance for walking activity recognition using EMG sensor array on thigh circumference