2 research outputs found
Fundamentals of optimization of training algorithms for artificial neural networks
In the modern IT industry, the basis for the nearest progress is artificial intelligence technologies and, in particular, artificial neuron systems. The so-called neural networks are constantly being improved within the framework of their many learning algorithms for a wide range of tasks. In the paper, a class of approximation problems is distinguished as one of the most common classes of problems in artificial intelligence systems. The aim of the paper is to study the most recommended learning algorithms, select the most optimal one and find ways to improve it according to various characteristics. Several of the most commonly used learning algorithms for approximation are considered. In the course of computational experiments, the most advantageous aspects of all the presented algorithms are revealed. A method is proposed for improving the computational characteristics of the algorithms under study
Delivery in a woman with ileostomy after total coloproctectomy (clinical case)
P.A. Kuznetsov1–3, A.S. Olenev2, A.V. Tyagunova1, L.S. Dzhohadze1,3, L.V. Kornev2
1 Pirogov Russian National Research Medical University, Moscow, Russian Federation
2 City Hospital 24, Moscow, Russian Federation
3 Research Institute of Public Health and Medical Management, Moscow, Russian Federation
There are no regulating guidelines on the management of pregnancy and childbirth in patients with ileostomy because these clinical scenarios are rare. These patients have no decline in fertility. However, pregnancy is associated with stoma problems. Delivery method choice remains a concern. There are several potential complications of vaginal delivery, i. e., ruptures of pelvic scar tissues behind posterior vaginal wall and stoma leakage under dramatic fluctuations of intra-abdominal pressure. The paper describes successful pregnancy in a woman with total coloproctectomy and ileostomy for sigmoid cancer resulted from ulcerative colitis and provides a basis for optimal delivery method.
Keywords: stoma, coloproctectomy, ulcerative colitis, sigmoid adenocarcinoma, delivery.
For citation: Kuznetsov P.A., Olenev A.S., Tyagunova A.V. et al. Delivery in a woman with ileostomy after total coloproctectomy (clinical case). Russian Journal of Woman and Child Health. 2019;2(3):262–264.
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