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Technical Feasibility (technical + feasibility)

Distribution by Scientific Domains

Medical Sciences	81%
4 Other Domains	19%

Distribution within Medical Sciences

Cardiovascular Disease	8%

Selected Abstracts

ENDOSCOPIC SUBMUCOSAL DISSECTION FOR EARLY GASTRIC CANCER: TECHNICAL FEASIBILITY, OPERATION TIME AND COMPLICATIONS FROM A LARGE CONSECUTIVE SERIES

DIGESTIVE ENDOSCOPY, Issue 1 2005
Ichiro Oda
Background:, Endoscopic mucosal resection (EMR) is a recognized treatment for early gastric cancer (EGC). One-piece resection is considered to be a gold standard of EMR, as it provides accurate histological assessment and reduces the risk of local recurrence. Endoscopic submucosal dissection (ESD) is a new technique developed to obtain one-piece resection even for large and ulcerative lesions. The present study aims to identify the technical feasibility, operation time and complications from a large consecutive series. Methods:, We reviewed all patients with EGC who underwent ESD using the IT knife at National Cancer Center Hospital in the period between January 2000 and December 2003. Results:, During the study period of 4 years we identified a total of 1033 EGC lesions in 945 consecutive patients who underwent ESD using the IT knife. We found a one-piece resection rate (OPRR) of 98% (1008/1033). Our OPRR with tumor-free margins was 93% (957/1033). On subgroup analysis it was found to be 86% (271/314) among large lesions (, 21 mm) and 89% (216/243) among ulcerative lesions. The overall non-evaluable resection rate was 1.8% (19/1033). The median operation time was 60 min (range; 10,540 min). Evidence of immediate bleeding was found in 7%. Delayed bleeding after ESD was seen in 6% and perforation in 4% of the cases. All cases with complications except one were successfully treated by endoscopic treatment. Conclusion:, The present study shows the technical feasibility of ESD, which provides one-piece resections even in large and ulcerative EGC. [source]

Fluoroscopy-Guided Endovenous Foam Sclerotherapy Using a Microcatheter in Varicose Tributaries Followed by Endovenous Laser Treatment of Incompetent Saphenous Veins: Technical Feasibility and Early Results

DERMATOLOGIC SURGERY, Issue 5 2009
SANG WOO PARK MD
OBJECTIVES To evaluate the technical feasibility and preliminary results of endovenous foam sclerotherapy using a microcatheter in varicose tributaries followed by endovenous laser treatment (EVLT) of incompetent saphenous veins. MATERIALS AND METHODS From July 2005 to August 2006, 312 patients (M:F=139:173, mean age 45.8) who presented with varicose veins with reflux in the saphenofemoral, saphenopopliteal junction or tributaries were enrolled. Under ultrasound or fluoroscopy guidance, selective microcatheterization and endovenous foam slcerotherapy were first performed in varicose tributaries, followed by EVLT (980 nm) of incompetent saphenous veins. Follow-up at 1-week and 1-, 3-, and 6-month intervals was done. RESULTS Technical success was seen in 410 of 411 limbs (99%). Continued closure of the saphenous veins and the complete sclerosis of varicose tributaries were noted in 332 of 373 limbs (89%) at the 1-month follow-up, all 307 limbs (100%) at the 3-month follow-up, and all 274 limbs (100%) at the 6-month follow-up. No serious complication was noted. CONCLUSION Endovenous foam sclerotherapy using a microcatheter in varicose tributaries followed by EVLT in incompetent saphenous veins is a safe, effective, and technically feasible treatment for varicose veins. It not only reduces additional sclerotherapy and technical failure, but also makes multiple therapeutic sessions unnecessary. [source]

Continuous glucose monitoring by intravenous microdialysis

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 7 2010
O. ROOYACKERS
Background: The conflicting results from studies over tight glucose control in intensive care unit (ICU) patients ask for a continuous on-line real-time glucose monitoring in future. Here, intravenous microdialysis was tested in ICU patients and healthy volunteers. Primary aims were technical feasibility and accuracy. Methods: A microdialysis catheter was inserted into a peripheral vein. ICU patients (n=10) were studied for up to 5 days. Healthy volunteers (n=6) were studied on one occasion. Recordings were monitored during 70 min each 24-h period to allow for an estimate of variability over time. Microdialysis glucose and lactate were compared with plasma glucose and whole blood lactate. Results are presented as medians (quartiles) of the differences between microdialysis and plasma concentrations over each of the 70-min recording periods. Results: Out of the included ICU patients, no exclusions or early terminations were due to failure of the microdialysis catheter. The concordance was highly variable. The difference of medians over the recording periods differed by ,34% (,40, ,16) in patients and ,22% (,31, ,15) for the volunteers. In contrast, the overall variability within the individual measurement periods was low. Conclusion: Technical feasibility was good, but the accuracy was not sufficient and the variability between the recording periods was high without calibrations. The non-availability of suitable peripheral veins was a problem in many patients screened but not included in the study. Intravenous microdialysis to obtain continuous on-line real-time glucose monitoring is technically feasible, but accuracy needs to be improved. [source]

Fluoroscopy-Guided Endovenous Foam Sclerotherapy Using a Microcatheter in Varicose Tributaries Followed by Endovenous Laser Treatment of Incompetent Saphenous Veins: Technical Feasibility and Early Results

ENDOSCOPIC SUBMUCOSAL DISSECTION FOR EARLY GASTRIC CANCER: TECHNICAL FEASIBILITY, OPERATION TIME AND COMPLICATIONS FROM A LARGE CONSECUTIVE SERIES

fMRI of Brain Activation in a Genetic Rat Model of Absence Seizures

EPILEPSIA, Issue 6 2004
Jeffrey R. Tenney
Summary: Purpose: EEG-triggered functional magnetic resonance imaging (fMRI) was used to identify areas of brain activation during spontaneous spike-and-wave discharges (SWDs) in an epileptic rat strain under awake conditions. Methods: Spontaneous absence seizures from 10 WAG/Rij rats were imaged by using T2*-weighted echo planar imaging at 4.7 Tesla. fMRI of the blood-oxygenation-level,dependent (BOLD) signal was triggered based on EEG recordings during imaging. Images obtained during spontaneous SWDs were compared with baseline images. Results: Significant positive BOLD signal changes were apparent in several areas of the cortex and several important nuclei of the thalamus. In addition, no negative BOLD signal was found in any brain area. Conclusions: We have shown that EEG-triggered BOLD fMRI can be used to detect cortical and thalamic activation related to the spontaneous SWDs that characterize absence seizures in awake WAG/Rij rats. These results draw an anatomic correlation between areas in which increased BOLD signal is found and those in which SWDs have been recorded. In addition, no negative BOLD signal was found to be associated with these spontaneous SWDs. We also demonstrated the technical feasibility of using EEG-triggered fMRI in a genetic rat model of absence seizure. [source]

Corticothalamic Modulation during Absence Seizures in Rats: A Functional MRI Assessment

EPILEPSIA, Issue 9 2003
Jeffrey R. Tenney
Summary:,Purpose: Functional magnetic resonance imaging (fMRI) was used to identify areas of brain activation during absence seizures in an awake animal model. Methods: Blood-oxygenation-level,dependent (BOLD) fMRI in the brain was measured by using T2*-weighted echo planar imaging at 4.7 Tesla. BOLD imaging was performed before, during, and after absence seizure induction by using ,-butyrolactone (GBL; 200 mg/kg, intraperitoneal). Results: The corticothalamic circuitry, critical for spike,wave discharge (SWD) formation in absence seizure, showed robust BOLD signal changes after GBL administration, consistent with EEG recordings in the same animals. Predominantly positive BOLD changes occurred in the thalamus. Sensory and parietal cortices showed mixed positive and negative BOLD changes, whereas temporal and motor cortices showed only negative BOLD changes. Conclusions: With the BOLD fMRI technique, we demonstrated signal changes in brain areas that have been shown, with electrophysiology experiments, to be important for generating and maintaining the SWDs that characterize absence seizures. These results corroborate previous findings from lesion and electrophysiological experiments and show the technical feasibility of noninvasively imaging absence seizures in fully conscious rodents. [source]

A preliminary study on the technical feasibility and outcome of retrograde root canal treatment

INTERNATIONAL ENDODONTIC JOURNAL, Issue 9 2008
P. Jonasson
Abstract Aim, To investigate the technical feasibility and outcome of retrograde root canal treatment. Summary, Endodontic access cavity preparation in abutment teeth may jeopardize the retention of the coronal restoration leading to prosthodontic failure. In such cases leaving the crown intact and performing retrograde root canal treatment might be an alternative approach. The potential to promote healing with retrograde endodontic treatment, and the technical feasibility to shape, clean and fill the canal was evaluated retrospectively. The study consisted of 21 incisors, canines and premolar teeth followed-up clinically and radiographically from 6 to 48 months. In 14 teeth the canals were completely negotiated. These cases were all judged as completely healed. In five cases no canal could be explored by files and a conventional ultrasonic root-end preparation and filling was performed. Two of these were classified as completely healed and three as ,uncertain'. In 2 two-rooted premolars a combination was performed with complete instrumentation of the buccal canal and the ultrasonic root-end preparation of the palatal root. One case was judged as a failure and the other was classified as completely healed. The results from this preliminary evaluation of retrograde root canal treatment are promising and merit a randomized clinical trial. Key learning points ,,Abutment teeth with vital pulps may develop pulp necrosis and apical periodontitis in 10% of cases. ,,Endodontic access preparation through an artificial crown may weaken its retention and jeopardize the longevity of a bridgework. ,,Retrograde root canal treatment is often feasible in maxillary teeth. ,,Results from this preliminary study suggest that treatment outcome for retrograde and orthograde root canal treatment is similar. [source]

Continuous glucose monitoring by intravenous microdialysis

The concept of the gas turbine-based hybrid vehicle: system, design and configuration issues

INTERNATIONAL JOURNAL OF ENERGY RESEARCH, Issue 9 2006
Roberto Capata
Abstract The object of this study is a theoretical and experimental analysis of a new hybrid propulsion system for a passenger sedan in which the thermal engine is a small gas turbine set. Some preliminary results on the possibility of replacing the conventional ICE of a hybrid ,series' configuration by a turbogas were presented and discussed in previous papers by the same authors: several possible designs were examined under both a thermodynamic and an operative point of view. This paper presents a summary of the project and constitutes an attempt to put things in a proper engineering perspective: the technical feasibility of the project is assessed via a calculation of the required mission loads, a preliminary design of the most important elements of the propulsive system, the choice of the mission control strategy and the implementation of a numerical system simulator. The experiments that provided a verification for the assumed component efficiencies were carried out, in cooperation with the Research Centre of ENEA-Casaccia, on an ELLIOTT TA-45 group. Our results, though only preliminary, allow for a direct comparison between a GT-hybrid vehicle and a modern diesel car, and indicate that the GT-hybrid may be actually a competitor for the FC-powered vehicle concept. Our ,optimal' configuration is a combination of a 100 kg battery pack and two turbogas set of 5 and 16 kW, respectively. Copyright © 2005 John Wiley & Sons, Ltd. [source]

On the technical feasibility of gas turbine inlet air cooling utilizing thermal energy storage

INTERNATIONAL JOURNAL OF ENERGY RESEARCH, Issue 5 2006
Y. H. Zurigat
Abstract The potential of using thermal energy storage (TES) in the form of ice or chilled water to cool gas turbine inlet air is evaluated for a remote oil field location in the Sultanate of Oman using local hourly typical meteorological year weather data. It is found that under the conditions investigated seasonal TES in chilled water storage tanks or ice bins for the location considered is prohibitively expensive and thus not recommended. Application of partial TES option shows that the cool storage does not result in any noticeable reduction in the chiller size. Hence, TES whether seasonal, partial, or full storage is not a viable option for the considered location, especially in the absence of time-of-use utility rate structure. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Beta-glucan production by Botryosphaeria rhodina in different bench-top bioreactors

JOURNAL OF APPLIED MICROBIOLOGY, Issue 5 2004
L. Selbmann
Abstract Aims:, Evaluation of the technical feasibility of transferring , -glucan production by Botryosphaeria rhodina DABAC-P82 from shaken flasks to bench-top bioreactors. Methods and Results:, Three different bioreactors were used: 3 l stirred tank reactor (STR-1) equipped with two different six-blade turbines; STR as above but equipped with a three-blade marine propeller plus draft-tube (STR-2); 2 l air-lift column reactor (ALR) equipped with an external loop. STR-1, tested at three different stirrer speeds (300, 500 and 700 rev min,1) appeared to be less suitable for , -glucan production by the fungus, being maximum production (19·4 g l,1), productivity (0·42 g l,1 h,1) and yield (0·48 g g,1 of glucose consumed) markedly lower than those obtained in shaken culture (29·7 g l,1, 1·23 g l,1 h,1 and 0·61 g g,1, respectively). Better performances were obtained with both STR-2 and ALR. With the latter, in particular, the increase of production was accompanied by reduced fermentation time (25·7 g l,1 after only 22 h); productivity and yield were highest (1·17 g l,1 h,1 and 0·62 g g,1 of glucose consumed, respectively). Conclusion:, Using an air-lift reactor with external loop, the scaling up from shaken flasks to bench-top bioreactor of the , -glucan production by B. rhodina DABAC-P82 is technically feasible. Significance and Impact of the Study:, Although culture conditions are still to be optimized, the results obtained using the ARL are highly promising. [source]

The Permanency of Pulmonary Vein Isolation Using a Balloon Cryoablation Catheter

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 7 2010
HUMERA AHMED B.A.
Chronic PV Isolation With the Cryoballoon.,Background: Because of its technical feasibility and presumed safety benefits, balloon cryoablation is being increasingly employed for pulmonary vein (PV) isolation. While acute isolation has been demonstrated in most patients, little data are available on the chronic durability of cryoballoon lesions. Methods and Results: Twelve atrial fibrillation patients underwent PV isolation using either a 23-mm or 28-mm cryoballoon. For each vein, after electrical isolation was verified with the use of a circular mapping cathether, 2 bonus balloon ablation lesions were placed. Gaps in balloon occlusion were overcome using either a spot cryocatheter or a "pull-down" technique. A prespecified second procedure was performed at 8,12 weeks to assess for long-term PV isolation. Acute PV isolation was achieved in all PVs in the patient cohort (n = 48 PVs), using the cryoballoon alone in 47/48 PVs (98%); a "pull-down" technique was employed for 5 PVs (1 right superior pulmonary vein, 2 right inferior pulmonary veins, and 2 left inferior pulmonary veins). The gap in the remaining vein was ablated with a spot cryocatheter. During the second mapping procedure, 42 of 48 PVs (88%) remained isolated. One vein had reconnected in 2 patients, while 2 veins had reconnected in another 2 patients. All PVs initially isolated with the "pull-down" technique remained isolated at the second procedure. Conclusions: Cryoballoon ablation allows for durable PV isolation with the use of a single balloon. With maintained chronic isolation in most PVs, it may represent a significant step toward consistent and lasting ablation procedures. (J Cardiovasc Electrophysiol, Vol. pp. 731-737, July 2010) [source]

Olive oil mill wastewater valorisation by fungi

JOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 9 2006
Silvia Crognale
Abstract This paper presents a brief survey of studies conducted at the Laboratory of Applied and Environmental Microbiology of the University of Tuscia on the possible biotechnological valorisation of olive mill wastewater (OMW) using fungi. Besides being a serious environmental problem, OMW might be a possible resource owing to the presence of added value products (e.g. antioxidants) and of simple and complex sugars as a basis for fermentation processes. To this end the technical feasibility of various fungal fermentative processes either to obtain products of high added value or to improve its agronomic use has been assessed. With regard to the former aspect the following cases of study are described: production of enzymes, such as lipase by Candida cylindracea NRRL Y-17506, laccase and Mn-dependent peroxidase by Panus tigrinus CBS 577.79 and pectinases by Cryptococcus albidus var. albidus IMAT 4735, and exopolysaccharide production by Botryosphaeria rhodina DABAC-P82. As far as agronomic use of the waste is concerned, a process based on the acidogenic fungus Aspergillus niger NB2 and aimed at increasing the phosphorus content of OMW is also reported. Copyright © 2006 Society of Chemical Industry [source]

A multi-center 1H MRS study of the AIDS dementia complex: Validation and preliminary analysis

JOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 6 2003
Patricia Lani Lee PhD
Abstract Purpose To demonstrate the technical feasibility and reliability of a multi-center study characterizing regional levels of the brain metabolite ratios choline (Cho)/creatine (Cr) and myoinositol (MI)/Cr, markers of glial cell activity, and N-acetyl aspartate (NAA)/Cr, a marker of mature neurons, in subjects with AIDS dementia complex (ADC). Materials and Methods Using an automated protocol (GE PROBE-P), short echo time spectra (TE = 35 msec) were obtained at eight sites from uniformly prepared phantoms and from three brain regions (frontal white matter, basal ganglia, and parietal cortex) of normal volunteers and ADC and HIV-negative subjects. Results A random-effects model of the phantom and volunteer data showed no significant inter-site differences. Feasibility of a multi-center study was further validated by detection of significant differences between the metabolite ratios of ADC subjects and HIV-negative controls. ADC subjects exhibited significantly higher Cho/Cr and MI/Cr in the basal ganglia and significantly reduced NAA/Cr and significantly higher MI/Cr in the frontal white matter. These results are consistent with the predominantly subcortical distribution of the pathologic abnormalities associated with ADC. Conclusion This is the first study to ascertain and validate the reliability and reproducibility of a short echo time 1H-MRS acquisition sequence from multiple brain regions in a multi-center setting. It should now be possible to examine the regional effects of HIV infection in the brain in a large number of subjects and to study the metabolic effects of new therapies for the treatment of ADC in a clinical trial setting. J. Magn. Reson. Imaging 2003;17:625,633. © 2003 Wiley-Liss, Inc. [source]

Technique and outcome of autologous portal Y-graft interposition for anomalous right portal veins in living donor liver transplantation

LIVER TRANSPLANTATION, Issue 4 2009
Shin Hwang
This study was intended to describe in detail the surgical technique and long-term outcome of autologous portal vein (PV) Y-graft interposition for adult living donor liver transplantation (LDLT). We assessed the outcome of 841 patients who underwent right lobe LDLT from January 2002 to December 2007 with respect to the reconstruction of double-graft PVs. PV anatomy of the donor livers was classified as type I in 796 patients (94.6%), type II in 15 patients (1.8%), and type III in 30 patients (3.6%). Seven type II grafts and all type III PV grafts had double PV orifices. Autologous PV Y-graft interposition was used in 31 patients, and complications occurred in only 1 patient during a median follow-up of 27 months. Overall, the 1- and 3-year graft survival rates were 87.5% and 80.6%, respectively. Use of a Y-graft was not a risk factor for biliary complications, but the liver anatomy of anomalous PV per se seems to be associated with a higher occurrence of biliary complications, especially during the early posttransplant period. The favorable outcome and technical feasibility of autologous portal Y-graft interposition imply that this technique could be the standard procedure for reconstruction of right lobe grafts with double PV orifices. Liver Transpl 15:427,434, 2009. © 2009 AASLD. [source]

In vivo MR elastography of the prostate gland using a transurethral actuator

MAGNETIC RESONANCE IN MEDICINE, Issue 3 2009
Rajiv Chopra
Abstract Conventional approaches for MR elastography (MRE) using surface drivers have difficulty achieving sufficient shear wave propagation in the prostate gland due to attenuation. In this study we evaluate the feasibility of generating shear wave propagation in the prostate gland using a transurethral device. A novel transurethral actuator design is proposed, and the performance of this device was evaluated in gelatin phantoms and in a canine prostate gland. All MRI was performed on a 1.5T MR imager using a conventional gradient-echo MRE sequence. A piezoceramic actuator was used to vibrate the transurethral device along its length. Shear wave propagation was measured transverse and parallel to the rod at frequencies between 100 and 250 Hz in phantoms and in the prostate gland. The shear wave propagation was cylindrical, and uniform along the entire length of the rod in the gel experiments. The feasibility of transurethral MRE was demonstrated in vivo in a canine model, and shear wave propagation was observed in the prostate gland as well as along the rod. These experiments demonstrate the technical feasibility of transurethral MRE in vivo. Further development of this technique is warranted. Magn Reson Med, 2009. © 2009 Wiley-Liss, Inc. [source]

DIADEM: implementation of a comprehensive disease management programme for type 2 diabetes

PRACTICAL DIABETES INTERNATIONAL (INCORPORATING CARDIABETES), Issue 3 2005
Dr S Luzio PhD Clinical Trials Manager
Abstract The purpose of the study was to evaluate the feasibility and acceptance of an IT-based diabetes disease management programme. The study was performed at two test sites in Aachen (Germany) and Cardiff (UK) including 166 and 137 patients respectively. The study focused on the technical feasibility of a web-based communication platform and its acceptance among medical professionals, the patient acceptance of entering self-measured data via phone and of service-centre support, the acceptance of implementing quality management measures, and the effects of all these measures on glycaemic control. The maximum programme duration was four months at Aachen and six months at Cardiff. The main outcomes were utilisation data, and satisfaction of both patients and physicians with the different components of DIADEM. HbA1c concentrations improved significantly from 7.1±1.0% to 6.8±1.1% in Aachen and from 7.7±1.0% to 7.1±1.1% in Cardiff (each p<0.001). The platform as a hosted ASP (application service provider) solution was accessible using a standard Internet enabled PC. Following training, a fast and efficient introduction of the software to professional users was obtained. Patient acceptance was very high both in terms of utilisation of the system (13 000 data entries performed during 6800 calls) and in terms of patient satisfaction assessed by a patient survey (93% very satisfied or satisfied). Patients strongly preferred a DTMF (dual tone multi-frequency) interface entering data by telephone key-pad rather than voice recognition. This study showed that an IT-based diabetes disease management service improved glycaemic control in patients with type 2 diabetes and could find acceptance by patients and professionals if convenient pathways for data entry and transmission are provided. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Assessment of Intraoperative Safety in Transoral Robotic Surgery,

THE LARYNGOSCOPE, Issue 2 2006
Neil G. Hockstein MD
Abstract Introduction: Robotic technology has been safely integrated into thoracic and abdominopelvic surgery, and the early experience has been very promising with very rare complications related to robotic device failure. Recently, several reports have documented the technical feasibility of transoral robotic surgery (TORS) with the daVinci Surgical System. Proposed pharyngeal and laryngeal applications include radical tonsillectomy, base-of-tongue resection, supraglottic laryngectomy, and phonomicrosurgery. The safety of transoral placement of the robotic endoscope and instruments has not been established. Potential risks specific to the transoral use of the surgical robot include facial skin laceration, tooth injury, mucosal laceration, mandible fracture, cervical spine fracture, and ocular injury. We hypothesize that these particular risks of transoral surgery are similar with robotic assistance compared with conventional transoral surgery. Methods: To test this hypothesis, we attempted to intentionally injure a human cadaver with the daVinci Surgical System by impaling the facial skin and pharyngeal and laryngeal mucosa with the robotic instruments and endoscope. We also attempted to extract or fracture teeth and fracture the cadaver's mandible and cervical spine by applying maximal pressure and torque with the robotic arms. Experiments were documented with still and video photography. Results: Impaling the cadaver's skin and mucosa resulted in only superficial lacerations. Tooth, mandible, and cervical spine fracture could not be achieved. Conclusions: Initial experiments performing TORS on a human cadaver with the daVinci Surgical System demonstrate a safety profile similar to conventional transoral surgery. Additionally, we discuss several strategies to increase patient safety in TORS. [source]

Endoscopic Staple Diverticulostomy for Recurrent Zenker's Diverticulum,

THE LARYNGOSCOPE, Issue 1 2003
Richard L. Scher MD
Abstract Objectives The purpose of this study was to evaluate the technical feasibility, effectiveness, and morbidity of using endoscopic staple diverticulostomy (ESD) as treatment for Zenker's diverticulum (ZD) recurring after either prior endoscopic treatment or external diverticulectomy or diverticulopexy. Study Design A retrospective review of a case series of 18 patients with recurrent ZD. Methods All patients cared for with ZD were evaluated to identify those patients with recurrent ZD. The clinical records of patients with recurrent ZD were reviewed for: demographics, prior treatment, time to recurrence, factors associated with recurrence, technical feasibility of treatment, complications, effectiveness and duration of symptom relief. Results Between March 1995 and July 2001, a total of 127 consecutive patients with ZD received care. Eighteen of these patients were treated for recurrent ZD: nine treated originally by ESD, and nine by external approach (seven by diverticulectomy and two by diverticulopexy), with three of these patients treated twice. Seventeen patients had partial or complete relief of symptoms after their initial treatment, with recurrence of symptoms noted 0 to 60 months later. Specific factors associated with recurrence of symptoms were identified in only one patient. Treatment of recurrent ZD by ESD was technically feasible in 16 of the patients. Complete or improved symptom relief has been reported by 16 of the patients after revision ESD, with follow-up from 9 to 69 months. No significant treatment complications occurred. Fifteen patients resumed clear liquid diet on the day of surgery, and one on the day after surgery. All patients were discharged from the hospital by the second postoperative day (mean = 0.6 d). Conclusions ESD is an effective, technically feasible, and safe treatment for patients with ZD recurring after prior endoscopic or external treatment, and it should be the initial treatment of choice for these patients. [source]

Growth performances for monoculture and polyculture of hatchery-reared juvenile spotted babylon, Babylonia areolata Link, 1807, in large-scale earthen ponds

AQUACULTURE RESEARCH, Issue 14 2008
Sirusa Kritsanapuntu
Abstract This study was conducted to determine the feasibility of growing out hatchery-reared spotted babylon juvenile (Babylonia areolata) in earthen ponds. The growth, survival and water quality for monoculture of spotted babylon were compared with the two polyculture trials with sea bass (Lates calcarifer) or milkfish (Chanos chanos). This study provided good results for growth and survival of spotted babylon in earthen ponds. The mean body weight gain of snails held in the monoculture was 5.39±0.08 g, and 4.07±0.16 and 4.25±0.11 g for those held in the polyculture with sea bass or milkfish respectively. Food conversion ratios (FCR) were 2.69, 2.96 and 2.71 for snails held in the monoculture and polyculture with sea bass and milkfish, respectively, and the final survival rates were 84.94%, 74.30% and 81.20% respectively. There were no significant differences in each parameter of water quality among the treatments but significant differences among the culture period were present (P<0.05). Salinity and total alkalinity showed the greatest changes during the culture period for all treatments. Seawater temperature, pH, dissolved oxygen, nitrite,nitrogen and ammonia,nitrogen gradually changed over the culture period for all the treatments. The present study indicated the technical feasibility for monoculture and polyculture of B. areolata to marketable sizes in earthen ponds. [source]

Single-port surgery: Current applications and limitations

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 3 2009
GV Rao
Abstract Introduction: In an attempt to further enhance the benefits of cosmesis and reduced morbidity of minimally invasive surgery, single-port (incision) laparoscopic surgery (SPS) has emerged as a bridge between conventional laparoscopy and natural orifice transluminal endoscopic surgery. As the expertise and instrumentation required are an extension of standard laparoscopic techniques, SPS has been adapted for a variety of procedures and specialties in a short span of time. Discussion: In this article, we discuss the various SPS techniques, as well as the new devices and instrumentation available for facilitating SPS. We also review current applications reported for SPS in various surgical specialties. We present a comprehensive review of the potential benefits, limitations and risks of these novel techniques. Conclusion: Initial reports have demonstrated the technical feasibility and safety of SPS for a wide range of surgical applications. With specialized instrumentation and refinement of technique, its role will increase in coming years. Future work is necessary to improve existing instrumentation, to increase clinical experience and to assess the benefits of this surgical approach. [source]

Single port surgery: Review of the literature and our initial experience

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 2 2009
Kazuhiro Yasuda
Abstract This review summarizes the published data regarding single port surgery (SPS) in order to evaluate the current status of SPS. SPS is a rapidly evolving technique in minimally invasive surgery. A wide variety of SPS have been performed since 1992, including appendectomy, cholecystectomy, colectomy, inguinal hernia repair, liver cyst fenestration, and bariatric surgery, and the technical feasibility has been demonstrated. Further advancements in technology and technique may allow the broad acceptance of this new method. Prospective randomized trials comparing SPS to laparoscopic surgery are essential to further determine the advantages and disadvantages of SPS. [source]

Laparoscopically assisted sigmoid colon vaginoplasty in women with Mayer,Rokitansky,Kuster,Hauser syndrome: feasibility and short-term results

BJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 12 2007
B Cai
Objectives, To evaluate the technical feasibility and anatomical and functional outcomes of laparoscopically assisted sigmoid colon vaginoplasty (LASV) in women with Mayer,Rokitansky,Kuster,Hauser (MRKH) syndrome. Design, A retrospective review of prospectively collected data. Setting, Shanghai First People's Hospital, Shanghai Jiao Tong University. Population, Twenty-six women with MRKH syndrome. Methods, A record was made of mean operating time, length of hospital stay, perioperative complications and the anatomical and functional outcomes of surgery. Main outcome measures, The perioperative results, complications and anatomical and functional outcomes of LASV (with median 20 months follow up, range 5,48 months). Results, The mean operating time and hospital stay were 238 minutes and 9.8 days, respectively. The mean fall in haemoglobin was 2.0 g/dl. The only significant perioperative complications were one case with blood transfusion and three cases with infection (one with urinary tract and two with adjunctive incision). A functioning vagina 10 to 15 cm in length and 4 cm in width was created in all women. Introital stenosis occurred in only two women (2 months later). Twenty-two women subsequently had intercourse and 20 women (91%) were satisfied with the surgery and subsequent sexual activity. Conclusions, LASV is an effective approach for women with MRKH syndrome. Both the anatomical and functional outcomes are satisfactory. [source]

Percutaneous implantation of an aortic valve prosthesis

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, Issue 2 2005
J.C. Laborde MD
Abstract Recently, percutaneous aortic valve implantation has become an alternative technique to surgical valve replacement in patient at high risk for surgery. Our animal experimentation evaluated the technical feasibility of aortic valve replacement using a bovine pericardium valve sutured on a self-expandable stent in a sheep model. Precise implantation with satisfactory attachment on the adjacent tissues and absence of migration was obtain in 8 out of 14 animals. This study confirmed the feasibility of the endovascular implantation of a pericardium valve sutured on a self-expandable stent in a sheep model. © 2005 Wiley-Liss, Inc. [source]

Emergency Medicine Clerkship Encounter and Procedure Logging Using Handheld Computers

ACADEMIC EMERGENCY MEDICINE, Issue 8 2007
CCFP(EM), Rick Penciner MD
BackgroundTracking medical student clinical encounters is now an accreditation requirement of medical schools. The use of handheld computers for electronic logging is emerging as a strategy to achieve this. ObjectivesTo evaluate the technical feasibility and student satisfaction of a novel electronic logging and feedback program using handheld computers in the emergency department. MethodsThis was a survey study of fourth-year medical student satisfaction with the use of their handheld computers for electronic logging of patient encounters and procedures. The authors also included an analysis of this technology. ResultsForty-six students participated in this pilot project, logging a total of 2,930 encounters. Students used the logs an average of 7.6 shifts per rotation, logging an average of 8.3 patients per shift. Twenty-nine students (63%) responded to the survey. Students generally found it easy to complete each encounter (69%) and easy to synchronize their handheld computer with the central server (83%). However, half the students (49%) never viewed the feedback Web site and most (79%) never reviewed their logs with their preceptors. Overall, only 17% found the logging program beneficial as a learning tool. ConclusionsElectronic logging by medical students during their emergency medicine clerkship has many potential benefits as a method to document clinical encounters and procedures performed. However, this study demonstrated poor compliance and dissatisfaction with the process. In order for electronic logging using handheld computers to be a beneficial educational tool for both learners and educators, obstacles to effective implementation need to be addressed. [source]