Incidence Of Type Research Articles

Auto311: A Confidence-Guided Automated System for Non-emergency Calls

Emergency and non-emergency response systems are essential services provided by local governments and critical to protecting lives, the environment, and property. The effective handling of (non-)emergency calls is critical for public safety and well-being. By reducing the burden through non-emergency callers, residents in critical need of assistance through 911 will receive a fast and effective response. Collaborating with the Department of Emergency Communications (DEC) in Nashville, we analyzed 11,796 non-emergency call recordings and developed Auto311, the first automated system to handle 311 non-emergency calls, which (1) effectively and dynamically predicts ongoing non-emergency incident types to generate tailored case reports during the call; (2) itemizes essential information from dialogue contexts to complete the generated reports; and (3) strategically structures system-caller dialogues with optimized confidence. We used real-world data to evaluate the system's effectiveness and deployability. The experimental results indicate that the system effectively predicts incident type with an average F-1 score of 92.54%. Moreover, the system successfully itemizes critical information from relevant contexts to complete reports, evincing a 0.93 average consistency score compared to the ground truth. Additionally, emulations demonstrate that the system effectively decreases conversation turns as the utterance size gets more extensive and categorizes the ongoing call with 94.49% mean accuracy.

An Officer-Level Examination of the Prevalence and Correlates of Police Body-Worn Camera Activation

Body-worn cameras (BWCs) are intended to promote transparency and accountability. However, officer failure to activate BWCs remains a concern. Research has identified types of incidents associated with activation failure, but has not examined activation as a measure of performance. We examine BWC activation as an officer-level decision-making process, assessing the influence of demographics, assignments, and performance (e.g., proactivity) on activation rates over time. Negative binominal and multinomial logistic regression were used to analyze data from 149 officers assigned to wear BWCs during a randomized-controlled trial. Activation rates ranged from 0–88% of calls-for-service. Group-based trajectory modeling identified three activation trends: decreased, increased then decreased, and increased and tapered off. Limited relationships between officer-level predictors and activation were identified. Findings suggest officer characteristics and performance are not primary drivers of BWC activation. Departments should use supervision, retraining, and policy intervention to ensure BWCs are implemented as intended.

Some Criminal Procedure Aspects of Overcoming Counteraction to the Investigation of Crimes Committed by Administrative and Managerial Elite

The investigation of official malfeasance committed by administrative and managerial elites is often accompanied by a number of objective and subjective difficulties. In addition to the specifically forensically relevant features of the subjects of crimes aimed at counteracting the investigation, which is carried out both directly by these subjects or indirectly through defense attorneys and other stakeholders, a significant role is played by the drawbacks found in a number of criminal procedure norms regulating the grounds and the procedures for conducting procedural actions, especially the inspection of the crime scene and other types of inspections. Insufficient clarity of regulations, possibilities of dual interpretations, gaps and collisions lead to a lack of uniformity in their application in investigation and court practice, which acts as a fertile ground for the emergence of conflicts between the prosecution and the defense. Having analyzed the clauses of Art. 176–180 of the Criminal Procedure Code of the Russian Federation, primarily in reference to official malfeasance, the author presents his suggestions on improving the wording of specific criminal procedure norms. The author gives his own definition of the concept «the scene of the incident», and argues for its legitimization in Art. 5 of the Criminal Procedure Code of the Russian Federation, thus neutralizing both the problem of ambiguous interpretations of this term, and the correlation between the inspection of the scene of the incident and other types of inspections, aimed at studying a certain area. In connection with this suggestion, the author also presents the projects of the norms in Parts 5 and 6 of the Criminal Procedure Code of the Russian Federation that specify the procedural forms for inspecting dwellings and territories under the jurisdiction of a juridical person or an entrepreneur.

A Comparison of Mini Open Transverse Incision and Longitudinal Incision for the Release of Moderate and Severe Carpal Tunnel Syndrome.

Carpal tunnel syndrome is a common condition seen in daily clinical practice. Multiple minimally invasive techniques have emerged in the last decades for median nerve decompression. However, many research are needed to study the outcome on the patients and their safety profile. We will compare group A that includes patients operated on using the minimally invasive transverse incision (number of patients = n = 221, females 76.7% and males 22.8%) versus group B that includes patients operated on using the longitudinal incision (n = 194, female 70.1% and male 29.9%) in term of clinical satisfactionand safety. The mean age of group A is 58.1±5.1 and that of group B is 58.8±4.8. The male and female distribution in both groups and the mean age were both similar with no statistically significant difference for the age (p = 0.79) or the gender distribution (p = 0.1). Data collected prospectively at regular intervals in time (preoperatively and at one month, three months, and six months post-carpal tunnel release (CTR)) between January 2006 and December 2021 were reviewed retrospectively. Patients' clinical findings, grip strength measurement using a hand dynamometer, and postoperative satisfaction measured using the BCTQ (Boston Carpal Tunnel Syndrome Questionnaire) scoring system were recorded and analyzed for each technique. A total of 415 patients were included in our study. All patients included had moderate to severe median nerve compression documented by nerve-conducted studies with positive Tinel's and Phalen's signs. Baseline demographics between group A (CTR through a longitudinal palmar mini-incision) and group B (CTR with a mini-transverse incision at the palmar crease) didn't show a statistically significant difference.Both groups showed improved grip strength and BCTQ scores at the post-operative follow-up. Median nerve decompression using both types of incisions has resulted in the same functional outcomes and patient satisfaction.

Trends in spinal cancers: Primary & metastatic. An Irish epidemiological perspective

BackgroundThe incidence and histological type of spinal cancer is diverse. It is our role as physicians to explore the epidemiology of spinal cancers so that several projections can be made. Resource allocation, cost analyses, and the requirement of rehabilitation facilities all need to be considered.The objective of this paper is to provide an account of the acute spinal oncological admissions to the National Spinal Injuries Unit (NSIU) in both 2010 and 2020 with the hypothesis that upward trends will be noted. Only by exemplifying this trend, will it highlight the need to give spinal cancer the attention it deserves in the Republic of Ireland. MethodsAll patients who were to undergo spinal surgery for primary or metastatic spinal cancer in the Mater Misericordiae University Hospital (MMUH) in 2010 and 2020 were included in this retrospective cohort study. A list of medical record numbers (MRNs) for all patients who underwent spinal surgery in the MMUH were included. Data pertaining to patient demographics were noted. Results90 patients were included in this retrospective cohort study. 37 patients in 2010, had increased to 53 by 2020. Metastatic disease to the spine was still the most prominent reason for referral. The most common spinal region affected was the thoracic spine. Breast cancer was the most prevalent metastatic cancer to the spine in 2010. Lung cancer became the most prevalent by 2020. Posterior spinal fusion was the most frequent surgical procedure performed. The length of stay in higher care facilities decreased from 5.4 days in 2010, to 4 days in 2020. Decreased were also seen in the mean length of hospital stay, plummeting from 23.6 days in 2010, to 7.6 days in 2020. The same could not be said for the 30-day mortality rate, increasing from 5.4% in 2010, to 9.4% in 2020. ConclusionThe results of this study show a substantial rise in the incidence and prevalence of both primary and metastatic spinal disease here in Ireland. One can see clear improvements in operative technique, with less patients proceeding to higher levels of post-operative care, and earlier discharge times. This data can be used for future planning. The paper highlights the economic cost of spinal oncological care, but it also identifies key areas where preventative campaigns can be targeted.

From Prevent to Protect and Prepare: The Manchester Arena Attack and Shifting Priorities in the United Kingdom’s Counter-Terrorism Strategy (CONTEST)

This article analyses the UK’s counter-terrorism strategy CONTEST from a Disaster Management perspective. The article argues that since the Manchester Arena attack in May 2017, there has been a reorientation in CONTEST away from a primary focus on Prevent towards a greater concern with Protect and Prepare. We argue this move should be welcome, given it provides the wider benefit of embedding emergency preparedness and improving multi-agency response to all types of major incident in the UK. The article analyses the inquiry into the Manchester Arena attack to identify three important lessons for the development of CONTEST.

Refractive outcomes of Carlevale IOLs compared to Artisan iris-claw IOLs considering the type of incision

Refractive outcomes of Carlevale IOLs compared to Artisan iris-claw IOLs considering the type of incision

A Robust Machine Learning Model for Cyber Incident Classification and Prioritization

Cyber incident classification and prioritization are crucial tasks in cybersecurity, enabling rapid response and resource allocation to mitigate potential threats effectively. This study presents a robust machine learning model designed for accurate classification and prioritization of cyber incidents, aiming to enhance cyber defense mechanisms. The proposed model integrates diverse machine learning algorithms, including Random Forest, Support Vector Machines, and Gradient Boosting, leveraging their complementary strengths to improve predictive performance and robustness. Extensive experimentation on real-world cyber threat datasets demonstrates the efficacy of the model, achieving high accuracy and reliability in identifying and prioritizing diverse types of cyber incidents. The model's performance is assessed using standard evaluation metrics such as accuracy, precision, recall, and F1-score, highlighting its ability to effectively distinguish between different classes of cyber threats and prioritize incidents based on their severity and potential impact on organizational assets. It was found that the model's interpretability is enhanced through feature importance analysis, providing insights into the key factors influencing cyber incident classification and prioritization decisions. The proposed machine learning model offers a promising approach to bolstering cyber defense capabilities, enabling organizations to proactively respond to cyber threats and safeguard their digital assets.

Vertical Versus Pfannenstiel Incision-Modified Stoppa Approach in the Treatment of Acetabular Fractures.

The aims of this study were to compare the patient and fracture characteristics, radiological, functional, and quality of life outcomes; the need for a lateral window approach and requirement of total hip arthroplasty; and complications in patients with simple and complex acetabular fractures who underwent a modified Stoppa approach through vertical and Pfannenstiel incisions. This was a retrospective comparison study. Level 1 trauma center. Patients with acetabular fractures (A-O-/-O-T-A type 62A-B-C) treated with vertical (group V) or Pfannenstiel (group P) incision-modified Stoppa approach between 2010 and 2020 were included. Patient characteristics, radiological evaluations (reduction quality and posttraumatic osteoarthritis), patient functional outcomes [12-item Short-Form Survey (SF-12) physical component score, SF-12 mental component score, Harris Hip Score, and Merle d'Aubigné-Postel], approach modifications and stratification by fracture type and complications were compared between those treated with vertical or Pfannenstiel incisions. One hundred four patients (mean age of 38.5 ± 14.3 years) were included. There was no significant difference between the Pfannenstiel or vertical groups regarding patient and fracture characteristics (P = 0.137), postoperative reduction quality (P = 0.130), or the mean functional and quality of life outcome scores at the last follow-up (P = 0.483 for the Harris Hip Score, P = 0.717 for the Merle d'Aubigné-Postel score, P = 0.682 for the SF-12 physical component score, and P = 0.781 for the SF-12 mental component score). In group P, significantly more patients needed additional lateral incisions (40.8% vs. 10.9%; P 0.001) and total hip replacement procedures (12.2% vs. 1.8%; P = 0.049). The total, early, and late complication rates were significantly higher in group P (P 0.001, P = 0.034, and P = 0.049, respectively). Pfannenstiel incision was associated with higher complication rates than vertical incision in acetabular fractures treated through a modified Stoppa approach. Fracture complexity is associated with the need for a lateral window approach and total hip arthroplasty, as well as a worse functional and radiological outcome regardless of incision type. However, it was not associated with the development of intraoperative or postoperative complications. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

A large dataset of annotated incident reports on medication errors

Incident reports of medication errors are valuable learning resources for improving patient safety. However, pertinent information is often contained within unstructured free text, which prevents automated analysis and limits the usefulness of these data. Natural language processing can structure this free text automatically and retrieve relevant past incidents and learning materials, but to be able to do so requires a large, fully annotated and validated corpus of incident reports. We present a corpus of 58,658 machine-annotated incident reports of medication errors that can be used to advance the development of information extraction models and subsequent incident learning. We report the best F1-scores for the annotated dataset: 0.97 and 0.76 for named entity recognition and intention/factuality analysis, respectively, for the cross-validation exercise. Our dataset contains 478,175 named entities and differentiates between incident types by recognising discrepancies between what was intended and what actually occurred. We explain our annotation workflow and technical validation and provide access to the validation datasets and machine annotator for labelling future incident reports of medication errors.

Analyzing the Factors Influencing Time Delays in Korean Railroad Accidents

Railroads play a pivotal role in the Korean national economy, necessitating a thorough understanding of factors influencing accidents for effective mitigation strategies. Unlike prior research focused on accident frequency and severity, this study delves into the often-overlooked aspect of time delays resulting from railroad accidents. Analyzing 15 years of nationwide data (2008–2022), encompassing 3244 human-related and 3350 technical events, this research identifies key factors influencing delay likelihood and duration. Factors considered include event type, season, train type, location, operator size, person type involved, facility type, and causes. Despite an overall decrease in events, variable delay times highlight the need to comprehend specific contributing factors. To address excess zeros, the study employs a two-stage model and a zero-inflated negative binomial (ZINB) model, alongside artificial neural networks (ANNs) for non-linear pattern recognition. Human-related delays are influenced by event types, seasons, and passenger categories, exhibit nuanced impacts. Technical-related delays are influenced by incident types and facility involvement. Regarding model performance, the ANN models outperform regression-based models consistently in all cases. This study emphasizes the importance of considering both human and technical factors in predicting and understanding railroad accident delays, offering valuable insights for formulating strategies to mitigate service disruptions associated with these incidents.

Incision techniques for trigger thumb release: a comparison of outcomes of four types of skin incision.

Although trigger thumb release is commonly performed, there is no consensus on the optimal skin incision. This study aimed to compare outcomes of four incision techniques, including V-shaped, oblique, transverse and longitudinal incisions. Outcomes included the Michigan Hand Outcomes Questionnaire, satisfaction with the treatment and postoperative complications. The results of 875 patients who underwent trigger thumb release were assessed. All groups demonstrated improvement in self-reported hand function (range of 10-14 points), pain (25-27 points) and aesthetics (4-7 points) from baseline to 3 months postoperatively with no differences between incision techniques. Of the patients, 76% reported good or excellent satisfaction with the outcome of treatment. Satisfaction and complication rates of the different incision techniques were similar. These findings imply that there is no clear benefit of one type of incision over another for trigger thumb release, suggesting that surgeons may use the technique of their preference.Level of evidence: III.

Scalp incision technique for decompressive hemicraniectomy: comparative systematic review and meta-analysis of the reverse question mark versus alternative retroauricular and Kempe incision techniques

Decompressive hemicraniectomy (DHC) is a critical procedure used to alleviate elevated intracranial pressure (ICP) in emergent situations. It is typically performed to create space for the swelling brain and to prevent dangerous and potentially fatal increases in ICP. DHC is indicated for pathologies ranging from MCA stroke to traumatic subarachnoid hemorrhage—essentially any cause of refractory brain swelling and elevated ICPs. Scalp incisions for opening and closing the soft tissues during DHC are crucial to achieve optimal outcomes by promoting proper wound healing and minimizing surgical site infections (SSIs). Though the reverse question mark (RQM) scalp incision has gained significant traction within neurosurgical practice, alternatives—including the retroauricular (RA) and Kempe incisions—have been proposed. As choice of technique can impact postoperative outcomes and complications, we sought to compare outcomes associated with different scalp incision techniques used during DHC. We queried three databases according to PRISMA guidelines in order to identify studies comparing outcomes between the RQM versus “alternative” scalp incision techniques for DHC. Our primary outcome of interest in the present study was postoperative wound infection rates according to scalp incision type. Secondary outcomes included estimated blood loss (EBL) and operative duration. We identified seven studies eligible for inclusion in the formal meta-analysis. The traditional RQM technique shortened operative times by 36.56 min, on average. Additionally, mean EBL was significantly lower when the RQM scalp incision was used. Postoperatively, there was no significant association between DHC incision type and mean intensive care unit (ICU) length of stay (LOS), nor was there a significant difference in predisposition to developing wound complications or infections between the RQM and retroauricular/Kempe incision cohorts. Superficial temporal artery (STA) preservation and reoperation rates were collected but could not be analyzed due to insufficient number of studies reporting these outcomes. Our meta-analysis suggests that there is no significant difference between scalp incision techniques as they relate to surgical site infection and wound complications. At present, it appears that outcomes following DHC can be improved by ensuring that the bone flap is large enough to enable sufficient cerebral expansion and decompression of the temporal lobe, the latter of which is of particular importance. Although previous studies have suggested that there are several advantages to performing alternative scalp incision techniques during DHC, the present study (which is to our knowledge the first to meta-analyze the literature on outcomes in DHC by scalp incision type) does not support these findings. As such, further investigations in the form of prospective trials with high statistical power are merited.

Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies.

Tracheostomy is a life-saving procedure in which an opening is created in the anterior wall of the trachea. Different skin incision types are administered in tracheostomy procedures, predominantly vertical and horizontal. Various literature on the skin incision types in tracheostomy had contradictory findings, with different studies observing that one skin incision type had better outcomes than its counterpart.Hence the objective of this study was to compare the outcomes associated with vertical and horizontal skin incisions in patients undergoing tracheostomy. Method The present study assessed the outcome measures between the two incision types (vertical and horizontal) in tracheostomy. A prospective longitudinal study was done based on an academic tertiary hospital in Bhopal, Madhya Pradesh. Participants above 18 years who underwent tracheostomy were enrolled in the study and followed up over six months during intraoperative, immediate, within seven days, and long-term periods. Result In intraoperative complications, bleeding was most common (n = 15, 16.7%), followed by passage of tube into false tract (n = 6, 6.7%) and saturation drop (n = 2, 2.2%). Immediate complications comprised T-tube blockage (n = 4, 4.4%) and bleeding (n = 1, 1.1%). Complications within seven days occurred only in the horizontal group in which stomal site ulceration (n = 4, 6.7%) and delayed bleeding (n = 2, 3.3%) was seen, and one participant had unintended decannulation. In the long term, complications observed were stomal granulation (n = 9, 19.1%), dysphagia (n = 7, 14.9%), and unintended decannulation (n = 4, 8.5%). Conclusion In the current study, the most common intraoperative complication was bleeding, the immediate complication was tube dislodgement, and tracheostomy site ulcer was the most common complication within seven days, similar to the literature findings.

Revealing Orbital Tumors: A 2-Year Evaluation in Clinical Profile, Histopathological Features and Surgical Technique

Abstract
 Introduction & Objectives : Incidence of orbital tumors is relatively low, but the delay in diagnosis, even if benign, can lead to vision loss and deformity. This study aims to review clinical and demographic information of orbital tumors in Sardjito General Hospital, Yogyakarta.
 Methods : We retrospectively reviewed clinical data of 138 patients who diagnosed with orbital tumors during July 2021 - March 2023. Data extracted included clinical characteristics, operative procedures, and histopathologic characteristics of orbital tumors.
 Results : There were 138 orbital tumors managed at hospital during a 2-year period. Among 138 patients, 82 patients (59%) were female and 56 patients (40%) were male. Twenty-one patients (15%) were in childhood age and 117 patients (84.8%) were in adulthood age. The common clinical manifestations were proptosis (83.3%) and decreased vision (10.4%). The main procedure used was anterior orbitotomy (54.34%). Eighty-eight patients (63.7%) have primary tumors and 51.4% of the orbital tumors were malignant. The most common orbital tumor in childhood age was a cyst (15%). On the other hand, in adult patients, the most common orbital tumor was meningioma (18%) and Non- Hodgkin Lymphoma (15.7%). There was an overall 8% complication rate after orbitotomy tumor removal, including decrease in vision (3.3%), ptosis (2.6%), and strabismus (1.3%).
 Conclusion : Orbital tumors are challenging group of tumors with proptosis become the most frequent clinical characteristic that found. The orbital tumors in childhood and adulthood differ significantly in their incidence and tumor type with the percentage of malignant tumors increasing with age.

REVEALING ORBITAL TUMORS: 2-YEAR EVALUATION IN CLINICAL PROFILE, HISTOPATHOLOGICAL FEATURES AND SURGICAL TECHNIQUE

Introduction: Incidence of orbital tumors is relatively low, but the delay in diagnosis, even if benign, can lead to vision loss and deformity. Purposes: This study aims to review clinical and demographic information of orbital tumors in Sardjito General Hospital, Yogyakarta. Method: We retrospectively reviewed clinical data of 138 patients who diagnosed with orbital tumors during July 2021 - March 2023. Data extracted included clinical characteristics, operative procedures, and histopathologic characteristics of orbital tumor. Result: There were 138 orbital tumors managed at hospital during 2-year period. Among 138 patients, 82 patients (59%) were female and 56 patients (40%) were male. Twenty-one patients (15%) were in childhood age and 117 patients (84.8%) were in adulthood age. The common clinical manifestations were proptosis (83.3%) and decreased vision (10.4%). The main procedure used was anterior orbitotomy (54.34%). Eighty-eight patients (63.7%) have primary tumors and 51.4% of the orbital tumors were malignant. The most cases in children were benign tumors (61.9%) meanwhile in adults were malignant (54.7%). The main orbital tumor in childhood age was a Non-Hodgkin Lymphoma (NHL) (19%) and cyst (14.3%). On the other hand, in adult patient, the most common orbital tumor was meningioma (18%) and NHL (15.7%). Conclusion: Orbital tumors are challenging group of tumors with proptosis become the most frequent clinical characteristic that found. The orbital tumors in childhood and adulthood differ significantly in their incidence and tumor type with the percentage of malignant tumors increasing with age.

A COMPARATIVE ANALYSIS OF INFORMATION SECURITY INCIDENTS IN PUBLIC ADMINISTRATION IN SELECTED EUROPEAN UNION COUNTRIES

The article presents the issue of information security incident management in public administration. The goal of security incident management is to minimize the negative impact of incidents and ensure the continuity of the organization's operations. It is critical to know what the threats are, including the number and types of incidents reported. The article outlines key incident management and legal issues related to the topic of security incidents and the work of computer incident response teams. Examples of incidents that took place recently in public administration units in Poland were also presented. This was followed by an analysis of statistical data on reported incidents in Poland in the years 2020-2022, and the results were compared with the number of incidents reported in selected European Union countries. The results of the study show that the dominant type of incidents is fraud (mainly phishing), and public administration is one of the main targets of cybercriminals' attacks. Difficulties in conducting such comparative analysis have also been demonstrated.

Molecular prevalence and associated risk factors of Cryptosporidium spp. infection in dairy cattle in Khon Kaen, Thailand

Background and Aim: Cryptosporidium spp. are important parasites in the small intestines of humans and animals, particularly cattle. The aim of this study was to estimate the molecular prevalence and associated risk factors of Cryptosporidium infection in dairy cattle in five districts of Khon Kaen province, Thailand, and to identify Cryptosporidium spp. Materials and Methods: From July 2020 to October 2021, 296 fecal samples were collected from three groups of dairy cattle: Calves aged <3 months, calves aged 3 months–1 year, and calves aged >1 year. Cryptosporidium spp. were detected by polymerase chain reaction (PCR) amplifying the 18s RNA gene. Both genus-specific and species-specific primers were used to identify Cryptosporidium confirmed by DNA sequencing. Age, house floor type, and water trough type were evaluated as risk factors. We analyzed all associated risk factor information using the logistic regression test in the Statistical Package for the Social Sciences. Results: PCR results showed that 40 (13.51%) out of 296 samples were positive for Cryptosporidium spp., including Cryptosporidium bovis (57.50%) and Cryptosporidium ryanae (2.50%). There was a significant association between Cryptosporidium incidence, cattle age, and house floor type (p = 0.05). National Center for Biotechnology Information Basic Local Alignment Search Tool displayed 99.48%–100% nucleotide similarity of each Cryptosporidium spp. isolate with references recorded on GenBank. Conclusion: C. bovis and C. ryanae are commonly found in dairy cattle, especially calves, in Khon Kaen, Thailand, and the incidence was associated with age and house floor type. A molecular technique may be influential for species identification. The results of the present study would provide useful information for veterinarians and animal owners to understand better Cryptosporidium spp. and how to manage farms properly. Keywords: bovine cryptosporidiosis, Cryptosporidium, dairy cattle, molecular prevalence.

Validation of Urostomy Parastomal Herniation Incisional Prevention Strategies

ObjectiveTo evaluate simulated parastomal herniation forces in in vitro abdominal fascial models. Our group previously illustrated how incision type may play a consequential role in bowel herniation force generated across an incision using several abdominal fascia models. We sought to 1)Confirm findings in fresh human tissue 2)Assess correlation between herniation force and incision size 3)Determine whether incision type impacts drainage in a simulated ex vivo ileal conduit. Materials and MethodsAxial tension force(N) of herniation was measured using our previously published protocol, pulling a Foley catheter balloon 3.8cm diameter affixed to a dynamometer through silicone/fascial incisions ranging 3cm-5.8cm. We simulated ileal conduits using bovine small intestine with stoma matured through human fascia using 3.0 cm linear or cruciate incisions. The conduit’s caudal end was catheterized and filled at 20mL/minute. Drainage was measured by pad weight change. Two-sided α<0.05 was used to reject the null hypothesis. ResultsMean(±SD) herniation forces in fresh human fascia varied significantly across linear longitudinal, linear transverse, and cruciate incisions (20.9±3.7, 23.3±8.8, and 8.9±3.8N, respectively[p=0.011]). Fresh human fascial linear incisions 3cm in diameter had a herniation force of 22.1±6.3 vs 3.5±0.7N for 5.8cm incisions when herniating a 3.8cm balloon(p=0.002). All observations were similar in silicone. In simulated ileal conduit, mean drainage: 70.8±3.6 vs 82.1±9.7mL (linear vs cruciate) after 100mL instilled, respectively(p=0.05). ConclusionsThis ex-vivo study further suggests incision type has predictable influence on herniation force. These data support standardization of urostomy construction techniques and evaluating the clinical impact of stomal maturation techniques on parastomal hernia rates.

Correlation between type of surgery and incidence of postoperative venous thromboembolism (VTE)

Venous thromboembolism (VTE) is a significant complication in patients after undergoing major surgery. The type of surgery is believed correlated with the incidence of VTE. This study aimed to evaluate the correlation between type of surgery and incidence of VTE among patients who underwent major surgery. It was a retrospective study conducted in Dr. Sardjito General Hospital, Yogyakarta using medical record data of patients who underwent major surgery and were diagnosed with VTE between 2016 and 2020. Patients were grouped by surgery type, and length of stay (LoS). All caused deaths were also analyzed. Among 29,120 patients who underwent major surgery, 76 (0.26%) experienced VTE with females patients accounting for 75%. The mean age of the patients was 55 yr. All VTE cases had the mean LoS of 25 d. The highest proportion of patients who experienced VTE were patients who underwent tumor removal (67.0%) followed by trauma patients (18.4%). A significant difference in the incidence of mortality between the surgical groups was reported (p = 0.02). Post-cardiology had the highest risk of mortality (OR=7.46; 95% CI: 0.322 - 172.61) while age had the lowest risk of mortality (OR=1.01; 95% CI: 0.953 - 1.071). In conclusion, surgery type is correlated with the incidence of VTE. Surgery due to cancer and trauma has a higher risk of VTE compared to the others.