Search results for "soft"
showing 10 items of 9809 documents
Minimally invasive plate fixation in femoral shaft fractures
1997
Bridge-plating with its advantages in terms of vascularity and bone healing is a well established procedure today in the treatment of comminuted femoral fractures. Bridge-plating means that the fracture site is not interfered with during the operative procedure. This paper introduces a surgical technique in which the plate is inserted through isolated proximal and distal incisions only, behind the vastus lateralis. Alignment is secured by the plates, the fracture site remains untouched, fixation and screw insertion is restricted to the proximal and distal main fragments. Longitudinal femoral fractures extending right into the trochanteric and or condylar areas are the main indication for mi…
Surgical technique of the supraorbital key-hole craniotomy.
2003
BACKGROUND The enormous development of microsurgical techniques and instrumentation together with preoperative planning using the excellent preoperative diagnostic facilities available, enables neurosurgeons to treat more complicated diseases through smaller and more specific approaches. METHODS The technical details of the supraorbital key-hole craniotomy are described in this article as it has been evolving in our experience for more than 10 years. After an eyebrow skin incision with careful soft tissue dissection and single frontobasal burr-hole trephination, a supraorbital craniotomy is carried out with a diameter of about 1.5 x 2.5 cm. As a real frontolateral approach, the supraorbital…
Texture analysis on preoperative contrast-enhanced magnetic resonance imaging identifies microvascular invasion in hepatocellular carcinoma
2019
Abstract Background Radiomic texture analysis quantifies tumor heterogeneity. The aim of this study is to determine if radiomics can predict biologic aggressiveness in HCC and identify tumors with MVI. Methods Single-center, retrospective review of HCC patients undergoing resection/ablation with curative intent from 2009 to 2017. DICOM images from preoperative MRIs were analyzed with texture analysis software. Texture analysis parameters extracted on T1, T2, hepatic arterial phase (HAP) and portal venous phase (PVP) images. Multivariate logistic regression analysis evaluated factors associated with MVI. Results MVI was present in 52.2% (n = 133) of HCCs. On multivariate analysis only T1 mea…
Teaching Technology Usage in the ENT Medical Subdomain via a Flipped Classroom Approach
2018
The flipped classroom approach is supporting a continuous interaction of students and instructors via online communication and strengthens the ability to solve problems by self-organization. This is especially important in medical domains, like the one of ENT-Head/Neck (ENT: Ear-Nose-Throat) surgeries and treatment. Surgical corrections of the nasal airways, like FESS (Functional Endoscopy Sinus Surgery) or in the field of plastic surgery, are the second frequent surgical interventions in otorhinolaryngology. They have to be prepared very carefully and airflow simulation with Computational Fluid Dynamics (CFD) is gaining importance for diagnostics here. New in silico procedures, like imagin…
The rorschach test evaluation in chronic childhood migraine: A preliminary multicenter case-control study
2017
Object Migraine headache prevalence ranges from 1.2 to 3.2% at 7 years of age, increasing with age up to 4-19% in adolescents.1 The aim of the present study is investigating the personality style associated with children and adolescent affected by Migraine without aura (MwA), through administration of the projective Rorschach test and statistical comparison with a group of age- and sex matched healthy controls. Methods 137 patients (74 males and 63 females), aged 7.3–17.4 years (mean age 11.4, SD 3.02 years), affected by MwA according to the IHs-3 criteria. The projective Rorschach test has been administrered to all the cases and controls. Statistical comparisons of groups were performed th…
Tactile enumeration: A case study of acalculia
2018
Abstract Enumeration is one of the building blocks of arithmetic and fingers are used as a counting tool in early steps. Subitizing—fast and accurate enumeration of small quantities—has been vastly studied in the visual modality, but less in the tactile modality. We explored tactile enumeration using fingers, and gray matter (GM) changes using voxel-based morphometry (VBM), in acalculia. We examined JD, a 22-year-old female with acalculia following a stroke to the left inferior parietal cortex. JD and a neurologically healthy normal comparison (NC) group reported how many fingers were stimulated. JD was tested at several time points, including at acute and chronic phases. Using the sensory …
Towards a Framework for Agent-Enabled Semantic Web Service Composition
2004
The article presents the framework for agent-enabled dynamic Web service composition. The core of the methodology is the new understanding of a Web service as an agent capability having proper ontological description. It is demonstrated how diverse Web services may be composed and mediated by dynamic coalitions of software agents collaboratively performing tasks for service requestors. Middle Agent Layer is introduced to conduct service request to task transformation, agent-enabled cooperative task decomposition and performance. Discussed are the formal means to arrange agents’ negotiation, to represent the semantic structure of the task-activity-service hierarchy and to assess fellow-agent…
An Integrated Framework for Web Services Orchestration
2009
International audience; Currently, Web services give place to active research and this is due both to industrial and theoretical factors. On one hand, Web services are essential as the design model of applications dedicated to the electronic business. On the other hand, this model aims to become one of the major formalisms for the design of distributed and cooperative applications in an open environment (the Internet). In this article, the authors will focus on two features of Web services. The first one concerns the interaction problem: given the interaction protocol of a Web service described in BPEL, how to generate the appropriate client? Their approach is based on a formal semantics fo…
Dynamic, Behavior-Based User Profiling Using Semantic Web Technologies in a Big Data Context
2013
pp. 363-372; International audience; The success of shaping the e-society is crucially dependent on how well technology adapts to the needs of each single user. A thorough understanding of one's personality, interests, and social connections facilitate the integration of ICT solutions into one's everyday life. The MindMinings project aims to build an advanced user profile, based on the automatic processing of a user's navigation traces on the Web. Given the various needs underpinned by our goal (e.g. integration of heterogeneous sources and automatic content extraction), we have selected Semantic Web technologies for their capacity to deliver machine-processable information. Indeed, we have…
Integrated case scripts to enhance diagnostic competency
2015
Background The overwhelmingly high burden of disease and disorder especially in developing countries requires oral physicians to provide optimal dental treatment without complicating individuals’ general health. The opportunity for learners to extract the multiple aspects of a systemic condition and to relate them with the presenting complaint in order to devise an appropriate dental treatment plan is limited by time in chair- side teaching. To overcome the necessity of exposing students to real patients with varying degrees of underlying disease, those in medical and nursing education unanimously employ imaginary scenarios similar to real cases. However, such clinical scripts are seldom pr…