2,698 research outputs found
Results of one-stage urethroplasty for hypospadias in pediatrics – single surgeon’s experience
Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods.
Materials and Methods: From January 2009 to February 2016, patients who were less than 18 years old and were operated for hypospadias were retrospectively reviewed and divided into two groups: group I (from January 2009 to February 2012) and group II (from March 2012 to February 2016). All operations were performed by the same pediatric surgeon, andsurgical outcomes of the two periods were compared.
Results: This study considered150 patients (69 in group I/81 in group II). The Mean operative age was 30.4±32.7 months in group I and 33.6±43.3 months in group II(p=0.309). The selected procedures mainly depended on the subjective anatomical analysis in the operating room and the surgeon’s preference. The mean follow-up duration was 21.7±28.31 months in group I and 13.6±16.6 months in group II (p=0.033).The overall complication rate was 44.9% in group Iand 35.8% in group II (p=0.316). The incidence of glanular disruption significantly decreased from 21.7% to 6.2% (p=0.007) because of the wide dissection of the glanular wings and the deep incision of the urethral plate, which led to tension-free sutures for glanular reconstruction.
Conclusions: One-stage repair of hypospadias may achieve satisfactory outcomes in cosmetic appearance and voiding function. Surgical outcomes could be improved by increasing practice
Modeling Typhoon Event-Induced Landslides Using GIS-Based Logistic Regression: A Case Study of Alishan Forestry Railway, Taiwan
This study develops a model for evaluating the hazard level of landslides at Alishan Forestry Railway, Taiwan, by using logistic regression with the assistance of a geographical information system (GIS). A typhoon event-induced landslide inventory, independent variables, and a triggering factor were used to build the model. The environmental factors such as bedrock lithology from the geology database; topographic aspect, terrain roughness, profile curvature, and distance to river, from the topographic database; and the vegetation index value from SPOT 4 satellite images were used as variables that influence landslide occurrence. The area under curve (AUC) of a receiver operator characteristic (ROC) curve was used to validate the model. Effects of parameters on landslide occurrence were assessed from the corresponding coefficient that appears in the logistic regression function. Thereafter, the model was applied to predict the probability of landslides for rainfall data of different return periods. Using a predicted map of probability, the study area was classified into four ranks of landslide susceptibility: low, medium, high, and very high. As a result, most high susceptibility areas are located on the western portion of the study area. Several train stations and railways are located on sites with a high susceptibility ranking
THE ACUTE EFFECT OF UPPER EXTREMITY PLYOMETRIC TRAINING
The purpose of this study was to probe the acute effect of the performance of upper extremity muscle groups after the plyometric training intervention. The participants were 13 healthy male college students. The force transducers (300kg, 200 Hz) and EMG sensor (1000 Hz) were taken to diagnose the acute effects of strength and muscle activation done by upper extremity pre and post plyometric training (load :24kg, 12 repetiiion times Iset, 3 set), and pair t-test was taken to test the significance(a=.05). The result showed that the strength after the upper extremity plyometric training intervention obviously had decreased 8% (
Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review
Purple urine bag syndrome (PUBS) is a rare occurrence, in which the patient has a purple-colored urine bag following urinary catheterization for hours to days. Most of authors believe it is a mixture of indigo (blue) and indirubin (red) that becomes purple. Previous study showed that PUBS occurred predominantly in chronically catheterized, constipated women. We collected 10 elderly patients with PUBS in two nursing homes. The first two cases were identified by chart review in 1987 and 2003, and then later eight cases (42.1%) were collected among 19 urinary catheterized elderly in the period between January 2007 and June 2007. In the present report, PUBS probably can occur in any patients with the right elements, namely urinary tract infection (UTI) with bacteria possessing these enzymes, diet with enough tryptophan, and being catheterized. Associations with bed-bound state, Alzheimer’s, or dementia from other causes are reflections of the state of such patients who are at higher risk for UTI, and hence PUBS occurred. Although we presented PUBS as a harmless problem, prevention and control of the nosocomial catheter-associated UTIs (CAUTIs) has become very important in the new patient-centered medical era. Thus, we should decrease the duration of catheterization, improve catheter care, and deploy technological advances designed for prevention, especially in the elderly cared for in nursing homes
Performance management algorithm of financial shared service center based on Internet of Things public cloud privacy protection
The Internet of Things (IoT) refers to the use of various communication technologies to achieve the interconnection of everything in cyberspace, and to achieve smart home and intelligent transportation, thus generating unprecedented amounts of data. In the financial sharing center, all businesses can extract effective data from these massive databases for analysis, and use data analysis tools to collect business, financial, human, process, knowledge and social data. At present, various types of IT (Internet Technology) systems have been widely used in financial sharing centers. However, a large number of sensitive data have also been generated. In order to protect these sensitive data, there is a high requirement for the personal information of IT system operation and financial sharing center personnel. In order to protect user data privacy, the optimal and most effective use of IT systems is an important issue that must be considered in privacy management. At present, there are many algorithms to protect data and privacy, but the effect is not ideal. Considering the balance between privacy issues, this paper proposed a K-means clustering algorithm based on IoT public cloud privacy protection technology to analyze the performance management of financial sharing center. The research results showed that before the improvement, the average number of employees who were dissatisfied with the post training ability and information platform construction ability of the financial sharing center was 57.9 and 57.8% respectively, more than half of them. After the improvement of IoT based public cloud privacy protection, the average number of employees dissatisfied with the post training ability and information platform construction ability of the financial sharing center was 5 and 3.9%, far less than the data prior to the improvement. It showed that IoT public cloud privacy protection was conducive to the performance management of the financial sharing center, and the relationship between the two was positive
miRTar: an integrated system for identifying miRNA-target interactions in human
<p>Abstract</p> <p>Background</p> <p>MicroRNAs (miRNAs) are small non-coding RNA molecules that are ~22-nt-long sequences capable of suppressing protein synthesis. Previous research has suggested that miRNAs regulate 30% or more of the human protein-coding genes. The aim of this work is to consider various analyzing scenarios in the identification of miRNA-target interactions, as well as to provide an integrated system that will aid in facilitating investigation on the influence of miRNA targets by alternative splicing and the biological function of miRNAs in biological pathways.</p> <p>Results</p> <p>This work presents an integrated system, miRTar, which adopts various analyzing scenarios to identify putative miRNA target sites of the gene transcripts and elucidates the biological functions of miRNAs toward their targets in biological pathways. The system has three major features. First, the prediction system is able to consider various analyzing scenarios (1 miRNA:1 gene, 1:N, N:1, N:M, all miRNAs:N genes, and N miRNAs: genes involved in a pathway) to easily identify the regulatory relationships between interesting miRNAs and their targets, in 3'UTR, 5'UTR and coding regions. Second, miRTar can analyze and highlight a group of miRNA-regulated genes that participate in particular KEGG pathways to elucidate the biological roles of miRNAs in biological pathways. Third, miRTar can provide further information for elucidating the miRNA regulation, i.e., miRNA-target interactions, affected by alternative splicing.</p> <p>Conclusions</p> <p>In this work, we developed an integrated resource, miRTar, to enable biologists to easily identify the biological functions and regulatory relationships between a group of known/putative miRNAs and protein coding genes. miRTar is now available at <url>http://miRTar.mbc.nctu.edu.tw/</url>.</p
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