257 research outputs found
Simulated 3D Model of the Middle Ear for Theoretical and Practical Training for Students, Post-Graduate ENT Diseases Students and Beginning Otosurgeons
Post-graduate ENT diseases students and beginning otosurgeons go through a very important initial training period. The first steps in otosurgery are taken step by step. The transition from theoretical knowledge to temporal bone dissection courses is long and difficult. The lack of preliminary preparation vitiates and increases the cost of temporal bone dissection exercises.Simulated models bridge the gap between theory and practice and contribute to a more effective training.Aim: Developing a simulated 3D model of the mastoid process in real size and the part of the facial nerve passing through it; using a simulated 3D model of mastoid process for anatomical visualization of the hard to find and invisible structures of the middle ear and facial nerve and for nosological training.Material and methods:1. Cadaver temporal bone on which postauricular facial nerve decompression has been performed.2. Elaborating a silicone model based on a print taken from the operative cavity3. 3D printing of the models and colouring4. Putting electrical conductors and their connection to a tactile pointer and light indicatorsResults:The model:ββ presents the hard to find and invisible microstructures of the middle ear and the part of the facial nerve passing through itββ allows work in two modes: anatomical and nosologicalββ contributes to more lasting preservation of knowledge, using the principle of active learning and training visual and tactile memory.Conclusion:The model is developed for tuition, precedes training models and can be improved.Β ----------------------------------------------------------------Β Π‘ΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·Π°Π½ΡΠΈΡΠ΅ ΠΏΠΎ Π£ΠΠ Π±ΠΎΠ»Π΅ΡΡΠΈ ΠΈ Π½Π°ΡΠΈΠ½Π°Π΅ΡΠΈΡΠ΅ ΠΎΡΠΎΡ
ΠΈΡΡΡΠ·ΠΈ ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π²Π°Ρ ΠΏΡΠ΅Π· ΠΌΠ½ΠΎΠ³ΠΎ Π²Π°ΠΆΠ΅Π½ Π½Π°ΡΠ°Π»Π΅Π½ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅. ΠΡΡΠ²ΠΈΡΠ΅ ΡΡΡΠΏΠΊΠΈ Π² ΠΎΡΠΎΡ
ΠΈΡΡΡΠ³ΠΈΡΡΠ° ΡΠ΅ ΠΎΡΡΡΠ΅ΡΡΠ²ΡΠ²Π°Ρ step by step. ΠΡΠ΅Ρ
ΠΎΠ΄ΡΡ ΠΎΡ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ½ΠΈ ΠΏΠΎΠ·Π½Π°Π½ΠΈΡ ΠΊΡΠΌ ΠΊΡΡΡΠΎΠ²Π΅ΡΠ΅ ΠΏΠΎ Temporal Bone Dissection Π΅ ΡΡΡΠ΄Π΅Π½ ΠΈ ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠΈΡΠ΅Π»Π΅Π½. ΠΠΈΠΏΡΠ°ΡΠ° Π½Π° ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»Π½Π°ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° ΠΎΠΏΠΎΡΠΎΡΠ°Π²Π° ΠΈ ΠΎΡΠΊΡΠΏΡΠ²Π° ΡΠΏΡΠ°ΠΆΠ½Π΅Π½ΠΈΡΡΠ° ΠΏΠΎ Π΄ΠΈΡΠ΅ΠΊΡΠΈΡ Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠ°Π»Π½Π° ΠΊΠΎΡΡ.Π‘ΠΈΠΌΡΠ»Π°ΡΠΈΠΎΠ½Π½ΠΈΡΠ΅ ΠΌΠΎΠ΄Π΅Π»ΠΈ ΠΏΡΠ΅Ρ
Π²ΡΡΠ»ΡΡ ΠΌΠΎΡΡ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠ΅ΠΎΡΠΈΡΡΠ° ΠΈ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ°ΡΠ° ΠΈ Π΄ΠΎΠΏΡΠΈΠ½Π°ΡΡΡ Π·Π° ΠΏΠΎ-Π²ΠΈΡΠΎΠΊΠ° Π΅ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡ Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ΡΠΎ.Π¦Π΅Π»: Π‘ΡΠ·Π΄Π°Π²Π°Π½Π΅ Π½Π° ΡΠΈΠΌΡΠ»Π°ΡΠΈΠΎΠ½Π΅Π½ 3D ΠΌΠΎΠ΄Π΅Π» Π² ΡΠ΅Π°Π»Π½ΠΈ ΡΠ°Π·ΠΌΠ΅ΡΠΈ Π½Π° processus mastoideus ΠΈ ΡΠ°ΡΡΡΠ° Π½Π° Π»ΠΈΡΠ΅Π²ΠΈΡ Π½Π΅ΡΠ², ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π²Π°ΡΠ° ΠΏΡΠ΅Π· Π½Π΅Π³ΠΎ; ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½Π΅ Π½Π° ΡΠΈΠΌΡΠ»Π°ΡΠΈΠΎΠ½Π΅Π½ 3D ΠΌΠΎΠ΄Π΅Π» Π½Π° processus mastoideus Π·Π° Π°Π½Π°ΡΠΎΠΌΠΈΡΠ½ΠΎ ΠΎΠ½Π°Π³Π»Π΅Π΄ΡΠ²Π°Π½Π΅ Π½Π° ΡΡΡΠ΄Π½ΠΎ ΠΎΡΠΊΡΠΈΠ²Π°Π΅ΠΌΠΈΡΠ΅ ΠΈ Π½Π΅Π²ΠΈΠ΄ΠΈΠΌΠΈ ΡΡΡΡΠΊΡΡΡΠΈ Π½Π° ΡΡΠ΅Π΄Π½ΠΎΡΠΎ ΡΡ
ΠΎ ΠΈ Π»ΠΈΡΠ΅Π²ΠΈΡ Π½Π΅ΡΠ² ΠΈ Π·Π° Π½ΠΎΠ·ΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ:1. ΡΡΡΠΏΠ½Π° ΡΠ΅ΠΌΠΏΠΎΡΠ°Π»Π½Π° ΠΊΠΎΡΡ, Π²ΡΡΡ
Ρ ΠΊΠΎΡΡΠΎ Π΅ ΠΈΠ·Π²ΡΡΡΠ΅Π½Π° Postauricular Facial Nerve decompression2. ΠΈΠ·ΡΠ°Π±ΠΎΡΠ²Π°Π½Π΅ Π½Π° ΡΠΈΠ»ΠΈΠΊΠΎΠ½ΠΎΠ² ΠΌΠΎΠ΄Π΅Π» ΠΏΠΎ Π²Π·Π΅Ρ ΠΎΡΠΏΠ΅ΡΠ°ΡΡΠΊ ΠΎΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½Π°ΡΠ° ΠΊΡΡ
ΠΈΠ½Π°3. 3Π ΠΏΡΠΈΠ½ΡΠΈΠ½Π³ Π½Π° ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠ΅ ΠΈ ΠΎΡΠ²Π΅ΡΡΠ²Π°Π½Π΅4. ΠΏΠΎΠ»Π°Π³Π°Π½Π΅ Π½Π° Π΅Π»Π΅ΠΊΡΡΠΈΡΠ΅ΡΠΊΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄Π½ΠΈΡΠΈ ΠΈ ΡΠ²ΡΡΠ·Π²Π°Π½Π΅ΡΠΎ ΠΈΠΌ ΠΊΡΠΌ ΡΠ°ΠΊΡΠΈΠ»Π½Π° ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΊΠ° ΠΈ ΡΠ²Π΅ΡΠ»ΠΈΠ½Π½ΠΈ ΠΈΠ½Π΄ΠΈΠΊΠ°ΡΠΎΡΠΈΠ Π΅Π·ΡΠ»ΡΠ°ΡΠΈ:ΠΠΎΠ΄Π΅Π»ΡΡ:ββ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Ρ ΡΡΡΠ΄Π½ΠΎ ΠΎΡΠΊΡΠΈΠ²Π°Π΅ΠΌΠΈΡΠ΅ ΠΈ Π½Π΅Π²ΠΈΠ΄ΠΈΠΌΠΈ ΠΌΠΈΠΊΡΠΎΡΡΡΡΠΊΡΡΡΠΈ Π½Π° ΡΡΠ΅Π΄Π½ΠΎΡΠΎ ΡΡ
ΠΎ ΠΈ ΡΠ°ΡΡΡΠ° Π½Π° Π»ΠΈΡΠ΅Π²ΠΈΡ Π½Π΅ΡΠ², ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π²Π°ΡΠ° ΠΏΡΠ΅Π· Π½Π΅Π³ΠΎββ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ²Π° ΡΠ°Π±ΠΎΡΠ° Π² Π΄Π²Π° ΡΠ΅ΠΆΠΈΠΌΠ°: Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅Π½ ΠΈ Π½ΠΎΠ·ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅Π½ββ Π΄ΠΎΠΏΡΠΈΠ½Π°ΡΡ Π·Π° ΠΏΠΎ-ΡΡΠ°ΠΉΠ½ΠΎ Π·Π°ΠΏΠ°Π·Π²Π°Π½Π΅ Π½Π° Π·Π½Π°Π½ΠΈΡΡΠ°, ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°ΠΉΠΊΠΈ ΠΏΡΠΈΠ½ΡΠΈΠΏΠ° Π½Π° Π°ΠΊΡΠΈΠ²Π½ΠΎΡΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ ΠΈ ΡΡΠ΅Π½ΠΈΡΠ°Π½Π΅ΡΠΎ Π½Π° Π·ΡΠΈΡΠ΅Π»Π½Π°ΡΠ° ΠΈ ΡΠ°ΠΊΡΠΈΠ»Π½Π°ΡΠ° ΠΏΠ°ΠΌΠ΅ΡΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅:ΠΠΎΠ΄Π΅Π»ΡΡ Π΅ ΡΡΠ·Π΄Π°Π΄Π΅Π½ Π·Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅, ΠΏΡΠ΅Π΄Ρ
ΠΎΠΆΠ΄Π° ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠ΅ Π·Π° ΡΡΠ΅Π½ΠΈΠ½Π³ ΠΈ ΠΌΠΎΠΆΠ΅ Π΄Π° Π±ΡΠ΄Π΅ ΡΡΡΠ²ΡΡΡΠ΅Π½ΡΡΠ²Π°Π½
Superconductivity and superconducting order parameter phase fluctuations in a weakly doped antiferromagnet
The superconducting properties of a recently proposed phenomenological model
for a weakly doped antiferromagnet are analyzed, taking into account
fluctuations of the phase of the order parameter. In this model, we assume that
the doped charge carriers can't move out of the antiferromagnetic sublattice
they were introduced. This case corresponds to the free carrier spectra with
the maximum at , as it was observed in ARPES
experiments in some of the cuprates in the insulating state [1]. The doping
dependence of the superconducting gap and the temperature-carrier density phase
diagram of the model are studied in the case of the pairing
symmetry and different values of the effective coupling. A possible relevance
of the results to the experiments on high-temperature superconductors is
discussed.Comment: 16 pages, 4 figure
Secondary peak on asymmetric magnetization loop of type-II superconductors
Asymmetric magnetization loops with a second peak effect were parameterized
by the extended critical state model. The magnetic field distribution in a
sample is considered. Expression is suggested for a peak of the critical
current density and corresponding depression on field dependence of the depth
of surface layer with equilibrium magnetization. These functions determine the
width and the asymmetry of a magnetization loop. Asymmetry of the secondary
peak height on magnetization branches for increasing and decreasing field is
reproduced on the computed magnetization curves.Comment: 6 pages, 2 figures, Equation 6 is modified to be f=0 at B=
Our experience in the surgical treatment of Obstructive Sleep Apnea
Background: Obstructive Sleep Apnea (OSA) is a sleep-related breathing disorder, leading to decreased quality of life, increased risk of cardiovascular morbidity and mortality, increased frequency of automobile accidents. Continuous positive airway pressure (CPAP) remains the first line of treatment for OSA. Many patients are unwilling or incapable to tolerate the treatment and therefore turn to surgical options to alleviate symptoms and sequela of the disease.Πim: To present our experience in the surgical treatment of OSA.Materials and Methods: 50 patients (48 male / 2 female) underwent surgical treatment for OSA in our clinic for a period of 10 years. Subjective complaints were evaluated by interview of the patient and partner pre- and postoperatively, with key factors studied being snoring level (visual analogue 1β10) and Epworth Sleepiness Scale (ESS). Objective data were Body Mass Index (BMI), nasal endoscopy, pre and postoperative polysomnographic data, rhinomanometry, Mallampati score, diagnostic imaging of the nose and sinuses.Results: The mean BMI of the patients was 29.8Β± 3.4. 21 patients had nasal obstruction for which they underwent surgical treatment. 5 patients had micro or retrognathia. 37 Pateints had a Mallampati score of 3 and 13 of 4. All 50 patients underwent Uvulopalatopharyngoplasty (UPPP) and 6 patients also had Radiofrequency tongue base reduction. There were no serious complications. Subjective improvement in the severity of the symptoms was obtained in 88% (44) of patients. Objective success was obtained in 56% (28) of the patients.Conclusions: Surgical treatment of OSA leads to a significant subjective improvement in the severity of symptoms and acceptable objective results. For maximal results a multidisciplinary approach is required for the complex treatment of OSA
Estimation of errors in text and data processing
The company Adiss Lab Lts. obtained 1 000 000 medical reports that are either in free form text, or in XML format. One of the main goals of their development is to integrate an algorithm for information extraction (IE) in their platform. The verification of the algorithmβs output for a report is done by a medical doctor (MD) for a certain fee. Validating the correctness of all data would be overwhelming and very expensive. Hence, the problem, as presented by the company, is to provide a method (algorithm) which determines the minimum amount of reports that will validate the correctness of the IE algorithm and a procedure for selecting these reports.
In order to solve the problem we have considered an algorithm-centric approach uses active learning and semi-supervised learning
The application of ultrasound examination in the treatment of Acute Sinusitis. Comparing X-ray to ultrasound of paranasal sinuses
Background: Acute rhinosinusitis (ARS) is one of the most common diseases encountered in the out-patient setting. X-ray of the paranasal sinuses is the gold standard in the diagnosis of ARS with its accessibility and accuracy. Ultrasound examination of the paranasal sinuses is a noninvasive diagnostic method which is an acceptable alternative in the follow-up of the treatment.Aim: To present the application of portable sinuson in the out-patient setting on patients with ARS and its effectiveness.Materials and Methods: 22 patients (12m/10f) underwent X-ray of the paranasal sinuses, which resulted in ARS. The results of the X-rays were compared with the ultrasound examination of the paranasal sinuses with a portable sinuson (SINUSULTRA ULTRAMAX). The examination was repeated on the 1-st and 2-nd week and 2 months after the treatment for ARS.Results: From the 22 patients β 10 were with unilateral maxillary sinusitis, 7 with bilateral sinusitis and 5 with pansinusitis. 5 (22%) false positives were registered from the ultrasound examination on the initial check-up, 3 (13%) false negatives were registered on the follow-ups on the 1-st and the 2-nd week, 2 (9%) false negatives were registered 2 months after the treatment for ARS.Conclusion: Ultrasound examination of the paranasal sinuses is a noninvasive, painless, fast and with an adequate degree of accuracy. It is a good alternative for children and pregnant women. Ultrasound examination can be applied in the follow-up of ARS
Rare earth elements materials production from apatite ores
The paper deals with the study of processing apatite ores with nitric acid and extraction of the rare earth elements. The rare earth elements can be successfully separated and recovered by extraction from the nitrate- phosphate solution, being an tributyl phosphate as extraction agent. The developed scheme of the processing apatite concentrate provides obtaining rare earth concentrates with high qualitative characteristics
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Balancing Specificity and Promiscuity in Enzyme Evolution: Multidimensional Activity Transitions in the Alkaline Phosphatase Superfamily
Highly proficient, promiscuous enzymes can be springboards for functional evolution, able to avoid loss of function during adaptation by their capacity to promote multiple reactions. We employ systematic comparative study of structure, sequence and substrate specificity to track the evolution of specificity and reactivity between promiscuous members of clades of the alkaline phosphatase (AP) superfamily. Construction of a phylogenetic tree of protein sequences maps out the likely transition zone between arylsulfatases (ASs) and phosphonate monoester hydrolases (PMHs). Kinetic analysis shows that all enzymes characterized have four chemically distinct phospho- and sulfoesterase activities, with rate accelerations ranging from 1011-1017-fold for their primary and 109-1012-fold for their promiscuous reactions, suggesting that catalytic promiscuity is widespread in the AP-superfamily. This functional characterization and crystallography reveal a novel class of ASs that is so similar in sequence to known PMHs that it had not been recognized as having diverged in function. Based on analysis of snapshots of catalytic promiscuity βin transitionβ we develop possible models that would allow functional evolution and determine scenarios for trade-off between multiple activities. For the new ASs we observe largely invariant substrate specificity that would facilitate the transition from ASs to PMHs via trade-off-free molecular exaptation, i.e. evolution without initial loss of primary activity and specificity toward the original substrate. This ability to bypass low activity generalists provides a molecular solution to avoid adaptive conflict.BBSR
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