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1.
OBJECTIVE: To report our experience with erosion of permanent suture or mesh material after abdominal sacrocolpopexy. METHODS: A retrospective chart review was performed to identify patients who underwent sacrocolpopexy by the same surgeon over 8 years. Demographic data, operative notes, hospital records, and office charts were reviewed after sacrocolpopexy. Patients with erosion of either suture or mesh were treated initially with conservative therapy followed by surgical intervention as required. RESULTS: Fifty-seven patients underwent sacrocolpopexy using synthetic mesh during the study period. The mean (range) postoperative follow-up was 19.9 (1.3-50) months. Seven patients (12%) had erosions after abdominal sacrocolpopexy with two suture erosions and five mesh erosions. Patients with suture erosion were asymptomatic compared with patients with mesh erosion, who presented with vaginal bleeding or discharge. The mean (+/-standard deviation) time to erosion was 14.0+/-7.7 (range 4-24) months. Both patients with suture erosion were treated conservatively with estrogen cream. All five patients with mesh erosion required transvaginal removal of the mesh. CONCLUSION: Mesh erosion can follow abdominal sacrocolpopexy over a long time, and usually presents as vaginal bleeding or discharge. Although patients with suture erosion can be managed successfully with conservative treatment, patients with mesh erosion require surgical intervention. Transvaginal removal of the mesh with vaginal advancement appears to be an effective treatment in patients failing conservative management.  相似文献   
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The levels of nitrite used in curing pork are in excess of those required to produce an adequate cured colour, but the minimum level for pink coloration to be visible has not been established experimentally. This paper demonstrates the effect of low nitrite levels from local surface application to pork muscle, simulating inadvertent contamination from work surfaces. An homogenate is used for comparison in which the nitrite was evenly distributed throughout the product. The results indicate that surface contact with nitrite produces essentially the same pattern of colour change as in the homogenate. Visible pink coloration was evident from 1-2 mg kg(-1) sodium nitrite absorbed.  相似文献   
3.
Optical fibre-based sensor systems are being used increasingly in civil engineering applications where structural integrity monitoring is of interest or concern. This paper reports on an optimisation scheme for an optical fibre-based sensor protection system designed to protect and enhance the strain-transfer characteristic when it is embedded in concrete. The sensor protection system consisted of a stainless steel tube with specified flange designs. Three flange designs were considered: disc, cone and inverted cone. Non-linear finite element analysis incorporating contact logic was performed to select and optimise the shape and dimensions of the flange. The analysis showed high stress concentrations in the vicinity of the flanges. However, this effect was localised and was not transmitted to the intended location of the sensor. The results showed that all three flange designs were effective but the 5 mm diameter disc-shaped flange gave the best results in terms of the magnitude and symmetry of the shear stress at the tube-concrete interface.  相似文献   
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OBJECTIVE: The purpose of this study is to determine the efficacy of initial trabeculotomy in the patient with aniridic glaucoma. DESIGN: Clinical charts were reviewed. PARTICIPANTS: Twenty-nine eyes of 16 patients with aniridia were studied. INTERVENTION: Glaucoma surgery was performed. As an initial procedure, trabeculotomy was performed in 12 eyes, other surgery was performed in 17 eyes (trabeculectomy, 5; goniotomy, 5; other, 7). MAIN OUTCOME MEASURES: Success was defined as an intraocular pressure (IOP) of 21 mmHg or lower, and no further surgery was performed. RESULTS: Ten (83%) of 12 eyes obtained IOP control after first (6 eyes) or second (4 eyes) trabeculotomy with a mean follow-up period of 9.5 years. Five eyes maintained visual acuity of 20/40 to 20/200. No serious complications were found after trabeculotomy. Three (18%) of 17 eyes were controlled with the first glaucoma surgery other than trabeculotomy (goniotomy, trabeculectomy, trabeculectomy combined with trabeculotomy, and Molteno implant). Good IOP control was obtained in 8 (47%) of 17 eyes after several surgeries with a mean follow-up period of 10.4 years. Four of 17 eyes became phthisical. CONCLUSION: This study suggests that trabeculotomy is the preferred initial operation for uncontrolled glaucoma with aniridia.  相似文献   
6.
Knowledge of the inter-relationships among objective physical and optical measurements and their relation with sensory perception of foods can be applied to improve quality control and consumer acceptance. Changes in the optical and mechanical properties of tomatoes were found to be related to the perceived ripeness of the fruit over a storage period. The sensory attributes and instrumental parameters significant in the assessment of ripening tomatoes were translucency, green, orange, lightness, hue and chroma. The chromatic co-ordinate a* was significantly correlated with the mechanical modulus of the fruit, which in turn was inversely related to ripening associated with colour changes from green to red. It is feasible that mechanical and optical data may be combined to provide an on-line system for the evaluation of ripeness of tomato fruit.  相似文献   
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This paper describes the organization that has been evolved for the collection and analysis of field failure data. A summary breakdown is given of the data collection organization, the Data Format and the methodology of Data Analysis. Preliminary studies show the system is working. The concept of superpopulation has been established in order to judge the relative importance of data as it is accumulated.  相似文献   
9.
Topiramate (TOP) is a novel anticonvulsant drug with multiple mechanisms of action used in the treatment of epilepsy. Measurements of cerebral GABA were obtained in six controls using 1H MRS at baseline and at 3 and 6 hours following the administration of 3 mg/kg of TOP. Brain GABA concentrations rose by 72% at 3 hours and by 64% at 6 hours compared with baseline (p < 0.004). This study demonstrates that TOP significantly increases human cerebral GABA concentrations in healthy individuals.  相似文献   
10.
Recent reviews of research on child and adolescent psychopathology have highlighted the consistently high rates of co-occurring dimensions of psychopathology, particularly between internalizing and externalizing disorders, and have suggested that further research examining the causes of co-occurring syndromes is needed. The authors examined this question in a national sample of 720 same-sex adolescent siblings between 10 and 18 years of age consisting of monozygotic and dizygotic twins, full siblings, half siblings, and unrelated siblings. Composite measures of adolescent and parent reports and observational measures of depressive symptoms and antisocial behavior were subjected to behavioral genetic models that examine the genetic and environmental influences on individual differences in each dimension as well as in the co-occurrence between dimensions. Results indicated that approximately half of the variability in depressive symptoms and antisocial behavior is attributed to genetic factors; shared and nonshared environmental influences were also significant. The co-occurrence of depressive and antisocial symptoms was explained by genetic and shared and nonshared environmental influences. Specifically, approximately 45% of the observed covariation between depressive and antisocial symptoms could be explained by a common genetic liability. Results are interpreted in light of contribution of genetic studies to debates on child and adolescent psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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