275 research outputs found
Incomplete ovarian tissue removal in female dogs and cats
Incomplete ovariectomy (IO) is the unintentional partial or complete lack of removal of one or both ovaries during an ovariohysterectomy or ovariectomy procedure, and is often referred to as ‘ovarian remnant syndrome’. It usually has a clear clinical presentation, although there are a number of other conditions that may have similar presenting signs. In female cats and dogs these include: non-oestrous mounting behaviour, non-oestrous vulval discharge and, solely in bitches, sexual interest from males and iatrogenic pseudopregnancy. This article considers the causes, presentation, methods of diagnosis and management of IO in bitches and queens
Phenological observations belonging to vegetation period of some native and exotic plant species in KTU Kanuni campus
It is possible to determine specific periods in plants during the vegetation period making phenological observations. When making phenological observations, one can be collect information about occurrence time of some events, such as sowing, germination and bud bursting. Particularly, this evidence will contribute s to the selection of species in site conditions, when making decisions about the species to be left in the field. Therefore, it is important to know blossoming time and lifespan of flowers during the seasons. If coloration of the plants to be used in the landscape design is known to depend on the season, much better compositions with the plants can be created. The aim of the paper is to reveal the differences in the beginning of vegetation of some native and exotic plant species found in the campus of Karadeniz Technical University. In this study, bud bursting times of 19 species of bud bursting dates, including 10 native trees, 5 exotic trees, 2 native shrubs and 2 exotic shrub species were investigated during the 4 phases. Thus, when observations were made for the times from swelling of the buds to the completion of the bud burst, it appeared that the bursting period for Acer platanoides L. was completed in the longest time and those for Carpinus betulus L. and Liquidambar orientalis Mill. – over the shortest time from the native species. The same period for Wisteria sinensis (Sims) DC. was completed in the longest time, while for Prunus serrulata Lindl. «Kandzan» it was completed in the shortest time for the exotic species
Uniportal pure robotic-assisted thoracic surgery—technical aspects, tips and tricks
The uniportal access for robotic thoracic surgery presents itself as a natural evolution of minimally invasive thoracic surgery (MITS). It was developed by surgeons who pioneered the uniportal video-assisted thoracic surgery (U-VATS) in all its aspects following the same principles of a single incision by using robotic technology. The robotic surgery was initially started as a hybrid procedure with the use of thoracoscopic staplers by the assistant. However, due to the evolution of robotic modern platforms, the staplers can be nowadays controlled by the main surgeon from the console. The pure uniportal robotic-assisted thoracic surgery (U-RATS) is defined as the robotic thoracic surgery performed through a single intercostal (ic) incision, without rib spreading, using the robotic camera, robotic dissecting instruments and robotic staplers. There are presented the advantages, difficulties, the general aspects and specific considerations for U-RATS. For safety reasons, the authors recommend the transition from multiportal-RATS through biportal-RATS to U-RATS. The use of robotic dissection and staplers through a single incision and the rapid undocking with easy emergent conversion when needed (either to U-VATS or to thoracotomy) are safety advantages over multi-port RATS that cannot be overlooked, offering great comfort to the surgeon and quick and smooth recovery to the patient.info:eu-repo/semantics/publishedVersio
A Performance Comparison According to Number of Wavelengths and Topologies on PCSA Reservation Mechanism for OBS
Abstract A performance comparison according to different number of wavelengths and topologies on OBS has been studied in this paper. Preemptive Channel Scheduling Algorithm (PCSA) has been used as reservation mechanism in OBS. In terms of performance criteria, loss rate in bytes, access delay and end-to-end delay are considered. A 2-state MMPP (Markov Modulated Poisson Process) traffic generator is used. Four different types of Mesh and Ring topologies are used. NS2 Network Simulation tool is used for our tests. In OBS algorithms, bursts are created using a hybrid model that takes into account both timeout and maximum length threshold mechanisms. In nodes, in order to satisfy QoS requirements, priority based queuing and Regulative Wavelength Grouping (RWG) are used. In priority based queuing, packets (bursts) are sent according to their priority order. In this study, the effects of generated traffic according to the topologies and the effects of increased number of wavelengths are shown by access delays. According to the simulation studies, the success of byte drop rate increases while the number of wavelengths increases. The results that obtained on mesh topologies are better than the results of ring topologies according to our simulation results
Comparison of uniportal robotic-assisted thoracic surgery pulmonary anatomic resections with multiport robotic-assisted thoracic surgery: a multicenter study of the European experience
Background: Robotic-assisted thoracic surgery (RATS) has seen increasing interest in the last few years, with most procedures primarily being performed in the conventional multiport manner. Our team has developed a new approach that has the potential to convert surgeons from uniportal video-assisted thoracic surgery (VATS) or open surgery to robotic-assisted surgery, uniportal-RATS (U-RATS). We aimed to evaluate the outcomes of one single incision, uniportal robotic-assisted thoracic surgery (U-RATS) against standard multiport RATS (M-RATS) with regards to safety, feasibility, surgical technique, immediate oncological result, postoperative recovery, and 30-day follow-up morbidity and mortality.
Methods: We performed a large retrospective multi-institutional review of our prospectively curated database, including 101 consecutive U-RATS procedures performed from September 2021 to October 2022, in the European centers that our main surgeon operates in. We compared these cases to 101 consecutive M-RATS cases done by our colleagues in Barcelona between 2019 to 2022.
Results: Both patient groups were similar with respect to demographics, smoking status and tumor size, but were significantly younger in the U-RATS group [M-RATS =69 (range, 39-81) years; U-RATS =63 years (range, 19-82) years; P<0.0001]. Most patients in both operative groups underwent resection of a primary non-small cell lung cancer (NSCLC) [M-RATS 96/101 (95%); U-RATS =60/101 (59%); P<0.0001]. The main type of anatomic resection was lobectomy for the multiport group, and segmentectomy for the U-RATS group. In the M-RATS group, only one anatomical segmentectomy was performed, while the U-RATS group had twenty-four (24%) segmentectomies (P=0.0006). All M-RATS and U-RATS surgical specimens had negative resection margins (R0) and contained an equivalent median number of lymph nodes available for pathologic analysis [M-RATS =11 (range, 5-54); U-RATS =15 (range, 0-41); P=0.87]. Conversion rate to thoracotomy was zero in the U-RATS group and low in M-RATS [M-RATS =2/101 (2%); U-RATS =0/101; P=0.19]. Median operative time was also statistically different [M-RATS =150 (range, 60-300) minutes; U-RATS =136 (range, 30-308) minutes; P=0.0001]. Median length of stay was significantly lower in U-RATS group at four days [M-RATS =5 (range, 2-31) days; U-RATS =4 (range, 1-18) days; P<0.0001]. Rate of complications and 30-day mortality was low in both groups.
Conclusions: U-RATS is feasible and safe for anatomic lung resections and comparable to the multiport conventional approach regarding surgical outcomes. Given the similarity of the technique to uniportal VATS, it presents the potential to convert minimally invasive thoracic surgeons to a robotic-assisted approach.info:eu-repo/semantics/publishedVersio
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