Outcome of Laparoscopic Live Donor Nephrectomy and Impact of Double Renal Arteries: Results From Two Transplant Centres

ObjectiveLive donor kidney transplantation is consistently superior to deceased donor kidney transplantation. Laparoscopic donor nephrectomy (LDN) is increasingly accepted as a safe and preferred surgical option. To evaluate the outcome of LDN and the impact of multiple arteries, a retrospective review was conducted on patients in two transplant centres.MethodsFifty patients including eight with double vessels were studied. Standard left transperitoneal LDN was performed. Grafts including those with double vessels were prepared using the bench technique. Postoperative outcomes (up to 1 year) for donors and recipients were studied. The outcomes of recipients of a single or double vessel graft were compared.ResultsAll donors had an eventful recovery. No difference was found between the single and multiple vessels groups for operating time (168.21 ± 5.712 minutes vs. 197.50 ± 15.755 minutes) or hospital stay (3.21±0.165 days vs. 4.13±0.789 days). The recipient outcomes including hospital stay (10.17±0.596 days vs. 12.13 ± 1.797 days) and creatinine levels at day 7 (106.53 ± 5.583 μmol/L vs. 107.13 ± 11.857 μmol/L) and 1 year (120.21 ± 6.562 μmol/L vs. 124.75 ± 11.857 μmol/L) were similar. No ureteric stricture or graft loss was noted at 1-year follow-up. Recipient complications included lymphocoele (n = 2), haematoma (n = 3 with 2 requiring exploration), sepsis (n = 1), renal artery stenosis (n = 2 with 1 stented), repeated anastomosis (n = 1), and incisional hernia (n = 1). No differences were noted between the two groups.ConclusionOur results showed that overall donor morbidity rate was low, as reflected by the short hospital stay. Also, the overall parameters of the recipients were good. In particular, no ureteric stricture was noted, and graft survival was 100% at 1 year. The outcomes of the reconstructed group, despite the technical challenge, were similar to those of the single-vessel group

Incremental hashing with sample selection using dominant sets

In the world of big data, large amounts of images are available in social media, corporate and even personal collections. A collection may grow quickly as new images are generated at high rates. The new images may cause changes in the distribution of existing classes or the emergence of new classes, resulting in the collection being dynamic and having concept drift. For efficient image retrieval from an image collection using a query, a hash table consisting of a set of hash functions is needed to transform images into binaryhash codeswhich are used as the basis to find similar images to the query. If the image collection is dynamic, the hash table built at one time step may not work well at the next due to changes in the collection as a result of new images being added. Therefore, the hash table needs to be rebuilt or updated at successive time steps. Incremental hashing (ICH) is the first effective method to deal with the concept drift problem in image retrieval from dynamic collections. In ICH, a new hash table is learned based on newly emerging images only which represent data distribution of the current data environment. The new hash table is used to generate hash codes for all images including old and new ones. Due to the dynamic nature, new images of one class may not be similar to old images of the same class. In order to learn new hash table that preserves within-class similarity in both old and new images,incremental hashing with sample selection using dominant sets(ICHDS) is proposed in this paper, which selects representative samples from each class for training the new hash table. Experimental results show that ICHDS yields better retrieval performance than existing dynamic and static hashing methods

Di-n-but­yl{4-hydr­oxy-N′-[(2-oxido-1-naphthyl-κO)methyl­ene]benzo­hydrazidato-κ2 O,N′}tin(IV)

The deprotonated Schiff base ligand in the title compound, [Sn(C4H9)2(C18H12N2O3)], O,N,O′-chelates to the Sn atom, which is five-coordinated in a cis-C2NO2Sn trigonal-bipyramidal environment. The apical sites are occupied by the O atoms [O—Sn—O = 155.2 (2)°]. The hydr­oxy group is a hydrogen-bond donor to the two-coordinate N atom of an adjacent mol­ecule, the hydrogen-bonding inter­action giving rise to a helical chain running along the c axis. The carbon atoms of the butyl chains are equally disordered over two positions

Ten-year consistency in neurological test performance of children without focal neurological deficit

To assess \u27soft-sign\u27 persistence and its correlates outside a referred sample, 159 members of a local birth cohort of the United National Collaborative Perinatal Project were traced and their performance on six neurological test scales was measured at age 17 by examiners blind to their status at age seven. A comparison group was also formed, who had been \u27sign-free\u27 at age seven. On four of the six tests (dysdiadochokinesis, mirror movements, dysgraphesthesia and motor slowness) index boys did significantly worse than the comparison boys; by contrast, index girls scored significantly worse than comparisons only on motor slowness