On Love-type waves in a finitely deformed magnetoelastic layered half-space

In this paper, the propagation of Love-type waves in a homogeneously and finitely deformed layered half-space of an incompressible non-conducting magnetoelastic material in the presence of an initial uniform magnetic field is analyzed. The equations and boundary conditions governing linearized incremental motions superimposed on an underlying deformation and magnetic field for a magnetoelastic material are summarized and then specialized to a form appropriate for the study of Love-type waves in a layered half-space. The wave propagation problem is then analyzed for different directions of the initial magnetic field for two different magnetoelastic energy functions, which are generalizations of the standard neo-Hookean and Mooney–Rivlin elasticity models. The resulting wave speed characteristics in general depend significantly on the initial magnetic field as well as on the initial finite deformation, and the results are illustrated graphically for different combinations of these parameters. In the absence of a layer, shear horizontal surface waves do not exist in a purely elastic material, but the presence of a magnetic field normal to the sagittal plane makes such waves possible, these being analogous to Bleustein–Gulyaev waves in piezoelectric materials. Such waves are discussed briefly at the end of the paper

Functional outcome after sacrospinous hysteropexy for uterine descensus

The study aimed to evaluate urogenital symptoms, defecatory symptoms and quality of life before and after a sacrospinous hysteropexy for uterovaginal prolapse. Seventy-two women with symptomatic uterovaginal prolapse were treated with sacrospinous hysteropexy. Before and after surgery, urogenital and defecatory symptoms and quality of life were assessed with a validated questionnaire. Anatomical outcome was assessed by means of pelvic examination before and after surgery. The mean follow-up time was 12.7 months. Scores on all domains of urogenital symptoms and defecatory symptoms, except for the pain and fecal incontinence domain, improved significantly. Also, quality of life improved on all domains. No major complications were encountered

Treatment of uterine prolapse stage 2 or higher: a randomized multicenter trial comparing sacrospinous fixation with vaginal hysterectomy (SAVE U trial)

Contains fulltext : 97471.pdf (publisher's version ) (Open Access)BACKGROUND: Pelvic organ prolapse is a common health problem, affecting up to 40% of parous women over 50 years old, with significant negative influence on quality of life. Vaginal hysterectomy is currently the leading treatment method for patients with symptomatic uterine prolapse. Several studies have shown that sacrospinous fixation in case of uterine prolapse is a safe and effective alternative to vaginal hysterectomy. However, no large randomized trials with long-term follow-up have been performed to compare efficacy and quality of life between both techniques.The SAVE U trial is designed to compare sacrospinous fixation with vaginal hysterectomy in the treatment of uterine prolapse stage 2 or higher in terms of prolapse recurrence, quality of life, complications, hospital stay, post-operative recovery and sexual functioning. METHODS/DESIGN: The SAVE U trial is a randomized controlled multi-center non-inferiority trial. The study compares sacrospinous fixation with vaginal hysterectomy in women with uterine prolapse stage 2 or higher. The primary outcome measure is recurrence of uterine prolapse defined as: uterine descent stage 2 or more assessed by pelvic organ prolapse quantification examination and prolapse complaints and/or redo surgery at 12 months follow-up. Secondary outcomes are subjective improvement in quality of life measured by generic (Short Form 36 and Euroqol 5D) and disease-specific (Urogenital Distress Inventory, Defecatory Distress Inventory and Incontinence Impact Questionnaire) quality of life instruments, complications following surgery, hospital stay, post-operative recovery and sexual functioning (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire). Analysis will be performed according to the intention to treat principle. Based on comparable recurrence rates of 3% and considering an upper-limit of 7% to be non-inferior (beta 0.2 and one sided alpha 0.025), 104 patients are needed per group. DISCUSSION: The SAVE U trial is a randomized multicenter trial that will provide evidence whether the efficacy of sacrospinous fixation is similar to vaginal hysterectomy in women with uterine prolapse stage 2 or higher. TRIAL REGISTRATION: Netherlands Trial Register (NTR): NTR1866

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Study of "Functional Structure" Emilie Durkheim Reviewed From Educational Anthropology on Character and Behavior Society

Emile Durkheim saw the social order of society emphasizes the importance of consensus, harmony, and equilibrium. To emerge the consensus harmony and equality of community-oriented should do creating the homogeneity and cultural values aimed for maintaining the social community order. This paper reveals the thought of Durkheim about the theory of consensus harmony and equilibrium based on maintaining a balance between knowledge, moral practice reasoning with ethical values ​​ in the society through character education. The thinking side revealed how the public responds to changes in a dynamic culture of uncertainty with built social and cultural functions based on functional structure theory. This study discovers the education role in creating a moral being in modern society and moral being in building harmonic. It balanced with social functions through the solution to prevent and resolve any social pathology as the impact of the negative perception from social media. This expected explanation from this library research providing a positive contribution to character education and behavior to the society reviewed from the anthropological education study. The implication of this study for educators is the importance of building character and behavior order in the community comprehensively, kept up-to instill moral values, virtues, honest, law-abiding, and tolerance in creating a Madani's social life

STUDY OF " FUNCTIONAL STRUCTURE " EMILIE DURKHEIM REVIEWED FROM EDUCATIONAL ANTHROPOLOGY ON CHARACTER AND BEHAVIOR SOCIETY

Emile Durkheim saw the social order of society emphasizes the importance of consensus, harmony, and equilibrium. To emerge the consensus harmony and equality of community - oriented should do creating the homogeneity and cultural values aimed for maintaining the social community order. This paper reveals the thought of Durkheim about the theory of consensus harmony and equilibrium based on maintaining a balance between knowledge, moral practice reasoning with ethical values in the society through character education. The thinking side revealed how the public responds to changes in a dynamic culture of uncertainty with built social and cultural functions based on functional structure theory. This study discovers the education role in creating a moral being i n modern society and moral being in building harmonic. It balanced with social functions through the solution to prevent and resolve any social pathology as the impact of the negative perception from social media. This expected explanation from this librar y research providing a positive contribution to character education and behavior to the society reviewed from the anthropological education study. The implication of this study for educators is the importance of building character and behavior order in the community comprehensively, kept up - to instill moral values, virtues, honest, law - abiding, and tolerance in creating a Madani's social life