Amount Of Loss Research Articles

Comparison of two surgical approaches in treating children with thoracolumbar junction tuberculosis: a multicenter study

ObjectivesWe conducted a multicenter retrospective analysis to compare the clinical outcomes and complications associated with the posterior-anterior and posterior-only approaches in treating Thoracolumbar Junction (TLJ) Tuberculosis (TB) in children aged 3–10 years.MethodsHerein, 52 TLJ TB patients (age range = 3–10 years; mean age = 6.8 ± 2.2 years; females = 22; males = 30) treated with debridement, fusion, and instrumentation were recruited from two hospitals in China between May 2008 and February 2022, and their clinical data were reviewed retrospectively. Among them, 24 group A patients and 28 group B patients underwent the posterior-anterior and posterior-only approaches, respectively. The two groups were assessed for surgical time, blood loss, hospitalization duration, operative complications, inflammatory indicators, Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, kyphosis angles, and neurologic functions. Results or differences with P < 0.05 were considered statistically significant.ResultsThe average follow-up period was 37.5 ± 23.3 months. Compared to group A patients, group B patients exhibited significantly lower surgical time, blood loss amount, time it took to stand, and hospitalization duration, as well as fewer complications. Notably, the Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) values of patients in both groups returned to normal one year post-surgery. Furthermore, compared to the preoperative values, patients’ VAS and ODI scores, as well as neurological functions and kyphosis angles, were significantly improved postoperatively and at the final follow-up, but with no statistically significant differences between the two groups. Moreover, there was no internal fixation failure or TB recurrence, and all patients exhibited solid bone fusion at the last follow-up.ConclusionFor pediatric TLJ TB involving no or at most two segments, both posterior-anterior and posterior-only approaches could effectively remove lesions and decompress the spinal cord, restore spinal stability, correct kyphosis, and prevent deformity deterioration. Nonetheless, the posterior-only approach can more effectively shorten the surgical time, reduce related trauma and complications, and promote rapid recovery, making it a safer and highly preferable minimally invasive approach.

Clinical effect of posterior-only approach debridement, intervertebral fusion, and internal fixation for upper thoracic tuberculosis.

This study aimed to evaluate the effectiveness and feasibility of the posterior-only approach for debridement, interbody fusion, and internal fixation in treating upper thoracic tuberculosis. This study retrospectively analysed the clinical and radiographic data of 8 patients diagnosed with upper thoracic tuberculosis. All patients underwent posterior approach debridement, interbody fusion, and internal fixation. We conducted pre- and postoperative assessments of the visual analog scale (VAS), Oswestry disability index (ODI) scores, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), ASIA score, and kyphotic Cobb angle. Back pain and lower limb weakness were the most common presenting symptoms. The mean duration of surgery, amount of blood loss, and volume of postoperative drainage were 262.5 ± 43.3 min, 625.0 ± 333.8 mL, and 285.0 ± 118.1 mL, respectively. Patients were followed up for 36 to 48 months. Three months after surgery, there was a significant improvement in VAS and ODI scores, which further improved until the final follow-up. A statistically significant difference was observed between the preoperative and postoperative periods (P < .05). At the final follow-up, lower extremity function had fully returned to normal in all 5 paralyzed patients. The ESR and CRP returned to normal, 18.1 ± 7.3 mm/h and 9.95 ± 5.41 mg/L, respectively, within 3 months postoperatively. There were statistical differences between the preoperative and postoperative periods (P < .05). The average kyphotic correction rate was (71.5 ± 7.3)%, and the average loss of correction angle was (3.5 ± 1.4)°. Intervertebral bone fusion was achieved by all patients within 15 months (mean 8.3 ± 3.2 months) postoperatively. The posterior-only approach seems an effective, safe, and reliable treatment method for upper thoracic tuberculosis, with favourable clinical and radiological outcomes. Level IV, Therapeutic study.

In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid?

The aim of our study was to evaluate the effect of different doses of intra-articular (IA) tranexamic acid (TXA) on blood loss in total knee arthroplasty surgeries and compare it to the control group. A total of 160 patients who underwent unilateral total knee arthroplasty surgery at Edirne State Hospital between 2016 and 2020 were divided into four groups. The estimated blood loss and amount of blood loss from drainage, as well as transfusion rates, were compared between the groups based on surgical pre- and post-operative blood parameters to evaluate the dose effectiveness. In our study, all TXA groups significantly reduced the estimated blood loss and amount of blood loss from drainage compared to the control group. No statistically significant difference was found between the control group and the group receiving 1 g of TXA in terms of transfusion rates (p = 0.062), and no statistically significant difference was found between the groups receiving 2 g and 3 g of TXA. The use of 2 g of IA TXA is an effective dose for controlling blood loss in total knee arthroplasty surgeries. Lower doses do not have a significant effect on transfusion rates, whereas higher doses do not significantly increase effectiveness.

Cool mama: Temperature regulation during high-intensity interval running in pregnant elite and recreational athletes

BackgroundRegular exercise during pregnancy is beneficial, but athletes often exceed the recommended 150 min of moderate-intensity activity, incorporate high-intensity exercises. The upper limit for exercise intensity and duration on fetal and maternal safety remains uncertain. A concern is a maternal core body temperature of >39.0 °C, potentially increase the risk of heat-related fetal malformations and complications during pregnancy. Blood flow redirection for thermoregulation could compromise fetal cardiovascular function, increasing the risk of miscarriage and preterm labor. This study evaluated whether pregnant women (gestational weeks 25–35) were at risk of exceeding a core body temperature of 39.0 °C during high-intensity running. We also investigated effects on skin temperature, fluid loss, and thermal sensation, comparing pregnant athletes to non-pregnant controls. MethodsIn this comparative cross-sectional study, 30 elite and recreational athletes (pregnant n = 15) completed up to five high-intensity treadmill-intervals. Core and skin temperature were continuously measured. Body weight was utilized to calculate the amount of fluid loss. ResultsHighest core body temperature were 38.76 °C and 39.56 °C in one pregnant and non-pregnant participant, respectively. Pregnant participants had lower core body temperatures (mean difference −0.47 °C, p ≤ 0.001) initially and a smaller increase (0.10 °C, p ≤ 0.003) during later intervals compared with the non-pregnant controls. Pregnant participants also showed a greater increase in skin temperature (4.08 ± 0.72 °C vs. 3.25 ± 0.86 °C, p = 0.008) and fluid loss (0.81 ± 0.19 L vs. 0.50 ± 0.12 L, p˂0.001). ConclusionPhysiological changes in pregnancy may enhance thermoregulation, indicating that high-intensity interval runs are unlikely to pose a risk of exceeding a core body temperature of 39 °C for pregnant athletes.

Simulation and Application of a New Type of Energy-Saving Steel Claw for Aluminum Electrolysis Cells

Aluminum electrolysis is a typical industry with high energy consumption, and the energy saving of aluminum electrolysis cells is conducive to the sustainable development of the ecological environment. The current density distribution on the steel claws of conventional aluminum electrolysis cells is uneven, resulting in a large amount of power loss. Therefore, a new type of current-equalized steel claw (CESC) is designed in this paper. The ANSYS simulation study shows that the CESC can achieve a more uniform current density distribution and reduce the voltage drop by about 36 mV compared with the traditional steel claw (TSC). In addition, the use of CESC optimizes the temperature distribution of the steel claws and reduces the risk of cracking and deformation. The results of the industrial application tests are highly consistent with the simulation results, confirming the accuracy of the simulation results. The economic benefit analysis shows that using CESC saves 114.1 kWh of electricity per ton of aluminum produced. If this technology can be promoted throughout China, it is expected to save up to 4.75 billion kWh of electricity annually. The development of CESC is promising and of great significance for improving the overall technical level of the aluminum electrolysis industry.

Does the length of bypassed bowel during distal gastric bypass affect weight loss?

Weight recurrence (WR) affects > 20% of patients following Roux-en-Y gastric bypass (RYGB). Shortening of the common channel (CC) after RYGB (distal bypass) has been proposed for additional weight loss in patients with WR, but results vary, and concerns for vitamin deficiencies/malnutrition exist. Our aim was to determine whether the percentage of bowel bypassed after distal bypass is associated with the amount of postoperative weight loss. Patients undergoing distal bypass between 2018 and 2022 were reviewed. Small bowel limb lengths before and after distal bypass were measured, and the percentage of bypassed bowel was calculated (= bypassed biliopancreatic limb/total small bowel length). Patients were dichotomized into two groups based on the percentage bypassed bowel (≤ 50% vs. > 50%). Weight loss (measured as excess BMI loss; EBIL%), comorbidities resolution, complications, and nutritional deficiencies were reviewed. Thirty female patients underwent distal bypass during the study period. After distal bypass, the Roux was lengthened to 150cm (75-175cm) from 75cm (20-200cm), and the CC shortened to 150cm (100-310cm) from 510cm (250-1000cm). These changes resulted in an increase in the size of the bypassed biliopancreatic limb from 40cm (15-90cm) to 330cm (180-765cm) and a total alimentary limb (TALL; Roux + CC) shortening from 590cm (400-1075cm) to 300cm (250-400cm). The group with > 50% bowel bypassed had higher EBIL%. Overall EBIL% was 36.9 ± 14.7%, 53.3 ± 25.6%, and 62.1 ± 36.9% at 0.5, 1, and 2years, respectively. There were minimal vitamin deficiencies. Diabetes resolved in 100% (n = 3/3), HTN in 67% (n = 10/15), and GERD in 73% (n = 11/15). Complication rate was 23%. No reintervention for malnutrition or vitamin deficiencies was required. Distal bypass effectively leads to considerable weight loss and comorbidity improvement in patients with WR after RYGB, but the amount of weight loss depends on the percentage of bypassed bowel. An exact threshold of bypassed bowel that optimizes weight loss outcomes and simultaneously minimizes the nutritional complications needs to be determined. Meanwhile, close monitoring for vitamin deficiencies is recommended.

The Effect of Partial Shadings on the Output Power of the Photovoltaic Modules Connected with Different Current and Voltage Characteristics

A mismatch in the output power of photovoltaic (PV) modules in a PV array can occur due to partial shading or a module replacement. Substitution of a module in a PV array with a new one might lead to different current and voltage characteristics between the new and existing modules and result in power losses. The amount of power loss might be increased more if the PV array experiences partial shading. For this reason, this study aims to investigate the effect of partial shadings on the power output of photovoltaic arrays with different current and voltage characteristics. The PV array under test consists of 25 units of solar modules with a total cross-tied (TCT) configuration. There are five shading conditions applied to the test PV array, i.e., the short narrow (ShN), the short wide (ShW), the long narrow (LnN), the long wide (LnW), and the diagonal. A magic square method is applied to reduce the power loss when the PV modules experience partial shading conditions. The results show that the power loss due to partial shadings, either on all identical modules or partially identical, is the same. The most significant power loss occurs in the long comprehensive shading scenario, where 80% of the modules experience shading, which is 41.30%.

Co-encapsulation of borage seed oil and peppermint oil blends within ultrasound-assisted soy protein isolate/purity gum ultra complex nanoparticles: Fabrication, structural interaction mechanisms, and in vitro digestion studies

This study aimed at co-encapsulating borage seed oil (BSO)- and peppermint oil (PO) blends in ultrasound-assisted complex nanoparticles stabilized by soy protein isolate (SPI) and purity gum ultra (PGU) in different ratios: SPI/PGU-1:0 (NP1), 0:1 (NP2), 1:1 (NP3), 1:3 (NP4), and 3:1 (NP5). The BSO- and PO-loaded SPI/PGU complex nanoparticles (BP-loaded SPNPs) coded as NP4 (SPI-PGU-1:3) revealed a zeta potential of −33.27 mV, a PDI of 0.14, and the highest encapsulation efficiency (81.38 %). The main interactions observed among SPI, PGU, BSO, PO, and a blend of BSO and PO, as determined by FTIR and molecular docking, involved hydrophobic effects, electrostatic attraction, and H-bonding. These interactions played crucial roles in the production of BP-loaded SPNPs. XRD results validated the alterations in the structure of BP-loaded SPNPs caused by varying proportions of SPI and PGU. The thermal capacity of BP-loaded SPNPs (NP4), as determined by TGA, exhibited the lowest amount of weight loss compared to other BP-loaded SPNPs. Morphological results revealed that NP4 and NP5 exhibited a spherical surface and two distinguishable layers, indicating successful coating of PGU onto the droplet surface. In addition, BP-loaded SPNPs (NP4) exhibited a higher antioxidant effect due to their improved progressive release and prolonged release of co-encapsulated BSO and PO during in vitro digestion. The comprehensive investigation of the co-encapsulation of BSO and PO in complex nanoparticles, dietary supplements, and double-layered emulsified systems provides valuable insights into the development of functional foods.

Comparative study of statistical computational approaches to investigate the degraded compressive strength of concrete under the freeze-thaw effect

The primary cause of frost damage and early failure in concrete structures is the repeated freezing and thaw cycles (FTC). The evolution of internal fractures and scaling at the surface of concrete can be used to assess the impact of frost damage. Surface scaling mechanisms and interior frost damage are contingent upon numerous environmental factors, including the rate of freezing, low temperature, and duration of the freezing point. However, evaluating the amount of strength loss of concrete material is a challenging factor to consider. This work explores the application of predictive modelling tools, including random forest (RF), multilayer perceptron (MLP), decision tree (DT), and bagging, to evaluate the degraded compressive strength (D-CS) of concrete. The models use five input variables: initial compressive strength (I-CS), water-to-cement ratio (W/C), FTC, minimum temperature (Tmin), and maximum temperature (Tmax), with D-CS as the output. Model performance was compared using mean absolute error (MAE), root mean square error (RMSE), and coefficient of determination (R²) metrics, with the bagging model achieving the highest predictive performance at 92 %. A 10-fold cross-validation approach validated the model's accuracy. The influence of each variable was assessed using SHapley Additive exPlanations (SHAP) analysis. Importantly, a user-friendly Graphical User Interface (GUI) was developed based on the models, making it easy for researchers and professionals to make predictions and thereby increasing the practicality and accessibility of this research. This study aids the research community in selecting appropriate models to forecast the strength of various concrete types, thereby enhancing the practical application of this research.

Comparison of renal function between the artery and vein clamp and artery-only clamp in robot-assisted partial nephrectomy for moderate- to high-complexity renal masses: A propensity-matched study.

Artery and vein (AV) clamps can control venous bleeding in the surgical field and prevent carbon dioxide embolism, especially when large veins are expected to open. However, whether AV clamps cause more renal damage than artery-only (AO) clamps remains unclear. This study aimed to compare renal function and blood loss in surgeries using AO and AV clamps based on high RENAL nephrometry scores (RNS) in robot-assisted partial nephrectomy (RAPN). We retrospectively analyzed the medical records of 500 patients who underwent RAPN between March 2016 and December 2021. We performed 1:1 propensity matching for these patients. A total of 340 patients with pathological malignancies who were followed up for at least 12 months were included in this analysis. A total of 291 patients with AO clamping and 49 patients with AV clamping were included. Overall, the AV clamp group had higher total RNSs and larger diameters than the AO clamp group. Propensity score-matched analysis included 37 patients in each clamp group. The median warm ischemia times of the AV and AO clamps were 25 and 22 min, respectively, with no significant difference. There were no statistically significant differences between the groups in the amount of blood loss, rate of acute kidney injury (AKI), or renal function at 1, 3, or 12 months post-RAPN. Compared with the AO clamp, the AV clamp did not have a detrimental impact on blood loss or renal dysfunction. Consequently, AV clamps may be considered for patients presenting with moderate-to-high-complexity RNSs.

Preparation and InVitro Evaluation of Protective Effects of Quercetin-Loaded Solid Lipid Nanoparticles on Human Hair Against UV-B Radiation.

The aim of this study was to investigate the protective effect of quercetin loaded on solid lipid nanoparticles (SLN) in protecting human hair from ultraviolet-B (UV-B) light invitro. In this study, solvent-emulsified diffusion method was used to fabricate nanoparticle formulations and then particle size, loading, and drug release tests were performed from different formulations. Variables include oily part proportion, liquid to solid oil part ratio, and surfactant to lipid ratio. The optimal formulation was prepared by examining the eight formulations and optimizing them. Six groups of hair with different treatments were exposed to UV light for 600 h and the changes were investigated by examining four factors: RMS (root mean square average, the microscopic profile peaks and valleys), peak to valley roughness, the amount of chemical changes by Fourier transform infrared spectroscopy (FTIR), and the amount of protein loss. The selected formulation had a suitable particle size, loading percent, and release rate for penetration to hair. Quercetin-loaded SLN controlled RMS factor, peak to valley roughness, and reduced chemical changes and protein loss compared to other treatments. The optimize formulation showed positive effects in protecting the hair strands from UV-B radiation.

Investigation and thermodynamic analysis of hydrogen liquefaction cycles: Energy and exergy study

The use of hydrogen as a clean fuel has drawn the attention of many scientists due to the problem of energy and environmental pollution caused by fossil fuels. One of the important requirements for expanding the use of hydrogen is the investigation and thermodynamic analysis of liquefaction cycle; this includes the thermodynamic investigation of different cycles of hydrogen liquefaction in pre-cooling and cryogenic cooling. Thermodynamic analysis comprises an examination of the cycle's energy and exergy, as well as the equipment employed. In this research, three liquefaction cycles with different pre-cooling cycle and cryo-cooling cycle have been evaluated. The use of organic Rankine cycle (ORC) and liquefied natural gas (LNG) has also been applied in the cycles and the arrangement of the equipment. Simulations and analyzes have been done in Aspen HYSYS V12. The results show that in the pre-cooling process of cycles 1, 2, and 3, the amount of useful exergy is 49.87 %, 58.87 %, and 61.21 %, respectively, which means that the third cycle uses the input exergy better. Also, in the pre-cooling process of cycles 1, 2, and 3, the amount of exergy loss is 33.86 %, 26.77 %, and 19.73 %, respectively, which means that the third cycle has less exergy loss in the pre-cooling process. The findings indicate that in each of the three cycles, over 50 % of the input exergy is wasted in the cryo-cooling process. Value of specific energy consumption (SEC) for cycle 1,2, and 3 is equal to 6.605 kWh/kgLH2 , 6.601 kWh/kgLH2 and 6.618 kWh/kgLH2, respectively. The three cycles under examination had COP values of 0.19945, 0.19936, and 0.19884, in that order. Also, the values for EXE cycles 1, 2, and 3 are 45.816 %, 45.883 %, and 45.797 %, respectively. Analyzing the energy and exergy of liquefaction cycles is a good step toward increasing cycle efficiency, identifying weak places, and altering cycles to improve efficiency.

622. COMPARISON OF ROBOT-ASSISTED MINIMALLY INVASIVE ESOPHAGECTOMY WITH CONVENTIONAL MINIMALLY INVASIVE ESOPHAGECTOMY FOR ESOPHAGEAL CANCER: A MULTI-INSTITUTIONAL COHORT STUDY

Abstract Background The Japanese public insurance system approved robot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer in 2018. Since then, an increasing number of RAMIE has been performed every year. However, it is unclear whether RAMIE is more beneficial than conventional minimally invasive esophagectomy (MIE) in terms of short-term and long-term outcomes. Methods A total of 396 patients (RAMIE, 145; MIE, 251) with resectable esophageal cancer who underwent esophagectomy between 2016 and 2019 at 6 institutions were included. A propensity score matching analysis was performed to compare the short-term outcome. Two-stage esophagectomy, salvage surgery, and palliative resection were excluded. Individual propensity scores were calculated based on the following 15 variables: age, sex, body mass index, American Society of Anesthesiologists Physical Status (ASA-PS), hemodialysis, oral steroid use, obstructive pulmonary disease, histology, tumor location, clinical T, N, M classification, preoperative therapy, field of lymphadenectomy, and organ used for reconstruction. Results After matching 272 patients were analyzed. RAMIE took the significantly longer operating time (629min; 570min, p=0.0005), but the amount of blood loss (90g; 84g), number of harvested mediastinal nodes (24; 25), and in-hospital mortality (1.5%; 0.7%) were comparable. RAMIE group showed a trend of less severe post-operative morbidity (Clavien–Dindo grade III or higher) (18%; 27%) and significant reduction of recurrent laryngeal nerve palsy (23%; 35%, p=0.046). The 5-year overall and relapse-free survival in the RAMIE and MIE groups were 65%; 61% [hazard ratio (HR), 0.77; 95% CI: 0.51, 1.17], and 61%; 51% (HR, 0.73; 95% CI: 0.51, 1.06), respectively. Conclusion RAMIE was safely performed even during the early period of its application. Despite the longer operating time, RAMIE would be a promising alternative to MIE, with a better trend of short- and long-term outcomes, including a significantly lower incidence of postoperative recurrent laryngeal nerve palsy.

Enhancing heat transfer performance in forced convective systems using experimental study with crystalline nano cellulose-dispersed H2O/C2H6O2 nanofluids

This work examines the heat transfer properties of a forced convection circular tube heat exchange system employing a nanofluid made of crystalline nano cellulose (CNC) diluted in a 60:40 ratio of distilled water (H2O) and ethylene glycol (C2H6O2). The objective is to measure the generated nano-fluid's thermal characteristics and analyze its potential for usage as a cooling agent in thermal systems, with a focus on encouraging the use of this biodegradable green coolant. A single pipe forced convection system was used for the experimental experiments, which were focused on a temperature range of 30 °C to 100 °C and nanoparticle volume concentrations of 0.1% to 0.9%. The investigation looks at the density, heat conductivity, and viscosity of the nanofluid, among other important thermo-physical characteristics. The findings show that the coolant's density exhibits an inverse relationship with temperature, increasing as nanoparticle dispersion occurs. At a concentration of 0.9% and room temperature, the dynamic viscosity was 0.0096 kg m−1.sec. A 0.9% concentration of nanoparticle dispersion resulted in a significant increase in thermal conductivity of 27.8%. The effectiveness of the nanofluid is demonstrated by the measurement of pressure drop and convective heat transfer coefficients across the flow channel. The maximum convective heat transfer coefficient of 262.2 W m−2K−1 was recorded at a discharge rate of 17.5LPM and a concentration of 0.9% of nanoparticles. A temperature of 70 °C was found to yield the best heat transfer coefficient and the least amount of pressure loss when the nanoparticle volume percentage was 0.65%.

Tranexamic acid in prevention of postpartum hemorrhage: a case-control study from Nepal

Introduction: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in low-income countries. WHO recommends the use of tranexamic acid in addition to oxytocin for the prevention and treatment of PPH. However, it is not yet standardized. Our study aims to assess the effectiveness of tranexamic acid in preventing PPH in low-risk patients. Method: This hospital-based case-control study included 60 patients, 30 undergoing vaginal delivery and 30 cesarean delivery. Fifteen cases undergoing vaginal delivery received 1 g tranexamic acid in addition to 10 units of oxytocin, while 15 controls received only oxytocin. 15 cases undergoing cesarean section received 1 g tranexamic acid followed by 6 units of oxytocin after delivery, while 15 controls received only oxytocin. Blood loss after placental delivery and hemoglobin were measured 12 h postpartum. Results: Mean volume of blood loss was lower in the case as compared to the control group in both vaginal delivery (134.05 ± 8.7.85 mL vs. 334.22 ± 280.57 mL, P = 0.01) and cesarean delivery (333.35 ± 139.18 mL vs. 553.74 ± 321.37 mL, P = 0.03). The incidence of PPH was lower in the case as compared to the control group in both vaginal delivery (0% vs 16.66%, P = 0.01) and cesarean delivery (3.33% vs 23.33%, P = 0.02). Mean change in hemoglobin was lower in the case as compared to the control group in both vaginal delivery (0.50 ± 0.65 g/dl vs. 1.77 ± 2.11, P = 0.03) and cesarean section (1.52 ± 1.15 g/dL vs. 2.69 ± 1.81 g/dL, P = 0.00). Blood transfusion was lower in the case as compared to the control group in both vaginal delivery (0% vs. 13.33%, P = 0.03) and cesarean delivery (0% vs. 16.66%, P = 0.01). Conclusion: Tranexamic acid, in addition to oxytocin, reduces the mean amount of blood loss during delivery and helps prevent PPH.

The outcomes of component separation technique versus no component separation technique in the repair of large ventral hernias and impact on quality of life: a multicenter retrospective cohort study.

This study aimed to compare the results of patients who underwent anterior component separation techniques (ACST) and those who did not undergo component separation techniques (non-CST) in complicated ventral hernia repairs (VHRs) and to investigate the effect of these techniques on quality of life (QoL). A total of 105 patients who were operated for large ventral hernias were retrospectively analyzed. The patients were divided into the ACST group (n = 48) and the non-CST group (n = 57). Demographic, intraoperative, and postoperative data were recorded. Postoperative follow-up was conducted at 2 and 4 weeks, and 6, 12, and 24 months. The primary and secondary outcomes and QoL were measured. The female ratio was higher in both groups (P = 0.512). There was no significant difference between age and body mass index between the groups (P = 0.705 and P = 0.803). The mean defect size and mesh size were similar between the groups (P = 0.775 and P = 0.245). The mean operation duration and amount of blood loss were similar between the groups (P = 0.801 and P = 0.142). There was no statistically significant difference in the median visual analog scale scores between the groups (P = 0.551). During follow-up, only 3 patients (6.3%) in the ACST group and 4 patients (7.0%) in the non-CST group had recurrence. There was no significant difference in the short- and long-term QoL between the groups. The ACST is a feasible surgical option for patients with complicated VHRs. In addition, by improving QoL, the recurrence rate is similar to patients undergoing standard VHR.

Real-Time CNN Training and Compression for Neural-Enhanced Adaptive Live Streaming.

We propose a real-time convolutional neural network (CNN) training and compression method for delivering high-quality live video even in a poor network environment. The server delivers a low-resolution video segment along with the corresponding CNN for super resolution (SR), after which the client applies the CNN to the segment in order to recover high-resolution video frames. To generate a trained CNN corresponding to a video segment in real-time, our method rapidly increases the training accuracy by promoting the overfitting property of the CNN while also using curriculum-based training. In addition, assuming that the pretrained CNN is already downloaded on the client side, we transfer only residual values between the updated and pretrained CNN parameters. These values can be quantized with low bits in real time while minimizing the amount of loss, as the distribution range is significantly narrower than that of the updated CNN. Quantitatively, our neural-enhanced adaptive live streaming pipeline (NEALS) achieves higher SR accuracy and a lower CNN compression loss rate within a constrained training time compared to the state-of-the-art CNN training and compression method. NEALS achieves 15 to 48% higher quality of the user experience compared to state-of-the-art neural-enhanced live streaming systems.

Modeling the impact of long-term land use changes on deep soil hydrological processes in the Loess Plateau, China

Land use change can significantly affect soil hydrology in arid and semi-arid regions, making it crucial to understand the relationship between vegetation roots and soil moisture. Current models often fail to predict root growth and its impacts on water dynamics accurately. Our work presents a novel model that seamlessly integrates the Community Land Model (CLM) with the Soil & Water Assessment Tool (SWAT). Furthermore, it enhances the root module within the CLM, enabling more accurate simulations of dynamic root depth and distribution across varying tree ages. This improvement particularly considers the crucial processes of dormancy and plant maturity. Soil moisture and root patterns under apple trees of varying ages and in wheat fields on the Loess Plateau was analyzed. Our findings indicate that our dynamic root depth model outperforms traditional static models, and can accurately reflect soil moisture levels with high precision (R2 = 0.80–0.81; Nash-Sutcliffe efficiency (NSE) = 0.65–0.75). In contrast to methods that utilize fixed root depths, dynamic root simulation can provide new insights. As apple orchards mature, the roots of 22-year-old apple trees have been found to reach a depth of 21 m in the soil. Conversely, the maximum root depth of wheat is limited to 1.9 m. This latter finding aligns more closely with the measured root depths, highlighting the accuracy of dynamic simulations. This model reveals that older apple orchards show decreased soil moisture at greater depths (>20 m), contrasting with wheat fields that affect moisture mostly within the top 2 m. Our results underscore the crucial role of dynamic modeling in comprehending root-soil water interactions. Furthermore, they imply that extended orchard cultivation practices can lead to a substantial depletion of deep soil moisture. Specifically, over a period of 1 to 22 years, a water deficit of up to 85 mm yr−1 has been observed. For a 22-year-old forest, the D-D (dynamic distributions of coarse and fine roots) method calculates a significant cumulative deep Soil Water Storage loss. Over the course of 22 years, this loss amounts to 1664 mm, which is almost three times compare to the annual rainfall recorded. Such a large loss has the potential to significant impact on groundwater recharge. This highlights the need for careful consideration in future afforestation efforts to prevent increased soil aridity.

Examining the impact of weight loss and exercise on pelvic organ prolapse (POP) management

Introduction: Pelvic organ prolapse is a descent of pelvic organs such as the bladder, cervix, apex of the vagina, and rectum which create herniation and slide into the direction of the vagina entrance. Pelvic prolapse is caused by ligament and muscle weakness, and its risk increases with age, parity, and obesity. Proper exercise and weight loss can be a key component of pelvic prolapse management, especially in the I-III stages. Those interventions may decrease the need for pelvic surgery and the risk of complications that can arise from it. Purpose of the study: This study aimed to explore the effectiveness of weight loss and exercise on pelvic organ prolapse (POP) symptoms and staging. Materials and methods: A comprehensive analysis of research papers available on PubMed, and Google Scholar was undertaken using the keywords: ‘weight loss pelvic prolapse’, ‘exercise in pelvic prolapse’, ‘pelvic floor dysfunction’, ‘pelvic floor muscle training’, ‘hypopressive exercises’, ‘biofeedback prolapse’ Results: Conventional weight loss does not reduce the intensity of the pelvic prolapse symptoms. However, weight loss that is achieved via bariatric surgery is effective in reducing symptoms arising from pelvic organ prolapse. Furthermore, the bigger the amount of weight loss the greater improvement in symptoms. Pelvic floor muscle training showed improvement in symptoms and in the staging of pelvic organ prolapse. Hypopressive exercises are not as effective as pelvic floor muscle training. Biofeedback and supervised exercises are helpful in proper exercise execution, and thus may improve the strength of the pelvic floor muscles.

PERFORMANCE EVALUATION OF PRECISION GROUNDNUT DIGGER-INVERTER

Conventional groundnut digger blades are labor-intensive, time-consuming, and have high yield losses (up to 30%). The objective of this study was to adopt a precision groundnut harvesting technology in the country to reduce groundnut harvesting losses and to compare its performance with the conventional digger blade. Agricultural Engineering Institute, NARC, PARC imported a precision groundnut digger-inverter from the USA. This machine was tested at farmer’s fields and its performance was compared with the conventional digger. Data from both machines were collected for total digging losses, viz exposed pod losses, unexposed pod losses, damaged pod losses, and undug pod losses from different locations in the Pothohar region of Punjab, Pakistan. Results revealed that total pod losses using an imported precision digger shaker harvesting machine were 4.76%, whereas the total losses of a conventional digger were 28.26%. The operational cost using a conventional digger was Rs. 4,400/a, which was reduced to Rs. 2,350/a using a precision digger-inverter. The net benefit in terms of recoverable losses was Rs. 14,050 per acre. It is concluded that a significant amount of losses is reduced and farmer profit increases by adopting precision groundnut digger-inverter. There is a need to upscale this technology in the country's groundnut growing areas to reduce harvesting losses.