Adoption of Pelvic Floor Ultrasonography Under Fuzzy Theory and Wavelet Transform Algorithm in Subtype Diagnosis of Bladder Prolapse

2021 ◽  
Vol 11 (1) ◽  
pp. 216-222
Author(s):  
Guiping Zhang ◽  
Lili Zhou ◽  
Xiao Zhang ◽  
Xiaoli Gao ◽  
Lingling Li
Keyword(s):  
Wavelet Transform ◽  
Pelvic Floor ◽  
Fuzzy Theory ◽  
Measurement Data ◽  
Posterior Wall ◽  
Type Ii ◽  
Type Iii ◽  
The Difference ◽  
Ultrasonic Images ◽  
Bladder Prolapse

In order to improve the treatment accuracy of patients with different subtypes of bladder prolapse (BP), the value of ultrasonic images based on fuzzy theory (FT) and wavelet transform (WT) algorithm for detection and classification of subtypes of BP was discussed. First, the effects of fuzzy enhancement (FE) algorithm, WT enhancement algorithm, and FT combined wavelet algorithm on medical ultrasonic images were compared. Then, 144 cases of BP patients admitted to our hospital from October 2017 to October 2019 were selected as study objects. Ultrasound technology was used to examine the patient's bottom information. Finally, the data of posterior urethra-vesical angle (PUVA), rotation angle (RA) of urethra, mobility of bladder neck, lowest point of bladder and lowest point of posterior wall of bladder were measured under resting and Vslsalva conditions. According to Green classification, different subtypes of bladder prolapse were distinguished by the measurement data of pelvic floor (PF) ultrasound image. The clinical characteristics of Stress Urinary Incontinence (SUI), dysuria, and frequent urination of subtypes of BP were compared. The results showed that the ultrasonic image quality was the best by combining FT with WT; BP type II PUVA was more than 140°, BP type III PUVA was less than 140°, and the difference between the two was statistically significant (P < 0.05); the lowest point of the bladder in patients with type III BP was significantly higher than that in patients with type II BP (P < 0.05), and the neck mobility of type III bladder and the lowest point of the posterior wall of the bladder were significantly lower than that in patients with type II BP (P < 0.05); the difference of urethral RA between type II and type III of BP was not statistically significant (P > 0.05); the incidence of SUI in patients with type II BP was higher than that of type III BP (P < 0.05), and the incidence of dysuria in patients with type III BP was higher than that of type II BP (P < 0.05); the incidence of urinary frequency in patients with type II and type III BP was not statistically significant (P > 0.05), which showed that PF ultrasound based on FT and WT algorithm could effectively detect and identify different subtypes of BP.

scholarly journals Number of fiber bundles in the fetal anterior talofibular ligament

2021 ◽  
Author(s):  
Mutsuaki Edama ◽  
Tomoya Takabayashi ◽  
Hirotake Yokota ◽  
Ryo Hirabayashi ◽  
Chie Sekine ◽  
...  
Keyword(s):  
Fiber Bundle ◽  
Fiber Bundles ◽  
Anterior Talofibular Ligament ◽  
Type I ◽  
Type Ii ◽  
Crown Rump Length ◽  
Type Iii ◽  
The Difference ◽  
And Inversion

Abstract Background For the anterior talofibular ligament (ATFL), a three-fiber bundle has recently been suggested to be weaker than a single or double fiber bundle in terms of ankle plantarflexion and inversion braking function. However, the studies leading to those results all used elderly specimens. Whether the difference in fiber bundles is a congenital or an acquired morphology is important when considering methods to prevent ATFL damage. The purpose of this study was to classify the number of fiber bundles in the ATFL of fetuses. Methods This study was conducted using 30 legs from 15 Japanese fetuses (mean weight, 1764.6 ± 616.9 g; mean crown-rump length, 283.5 ± 38.7 mm; 8 males, 7 females). The ATFL was then classified by the number of fiber bundles: Type I, one fiber bundle; Type II, two fiber bundles; and Type III, three fiber bundles. Results Ligament type was Type I in 5 legs (16.7%), Type II in 21 legs (70%), and Type III in 4 legs (13.3%). Conclusions The present results suggest that the three fiber bundles of the structure of the ATFL may be an innate structure.

Effect Of Heparin In Hereditary Antithrombin III Deficiency

1981 ◽  
Author(s):  
H Losonczy ◽  
I Nagy
Keyword(s):  
Antithrombin Iii ◽  
Type I ◽  
Type Ii ◽  
Type Iii ◽  
Significant Difference ◽  
At Iii ◽  
History Of ◽  
The Difference ◽  
And Function ◽  
Plasma Heparin

Hereditary antithrombin III (AT III) deficiency was divided into three types: In type I,both quantity and function of AT III were diminished, in type II, AT III was normal in quantity but abnormal in function,and in type III, quantity and function were normal but activation of AT III by heparin was diminished. In the present study,the response to heparin of the different types of AT III deficiency was examined. Tests were carried out on 10 healthy volunteers and on 14 patients with known AT III deficiencies who had suffered from recurring thrombotic episodes. In addition, 7 relatives of these patients without a history of thromboembolism were examined. Three patients belonged to type 1,7 to type II, and 4 to type III. All patients and controls received an intravenous infusion of 10,000 I.U. heparin within 1 hour. On a second occasion, 20,000 I.U. heparin was given in the same way. Activities of AT III and plasma heparin levels were assayed by amidolytic methods (Coatest AT III and Coa- test Heparin, KABI).AT III activity of the controls was between 80% and 130% of the normal average. This activity was not influenced by the two doses of heparin. In type I,averaqe AT III activity was 57.5% (minimum 25%, maximum 80%). After heparin,a further 20% decrease of AT III activity was observed. In type 11,the heparin-induced decrease of AT III activity averaged 15.4% whilst in type III AT III activity was not influenced by heparin. Though the difference of plasma heparin levels after the two different doses of heparin was comparatively small,there was a significant difference of the AT III decreasing effect.

Labelling of non-A, non-B hepatitis infected chimpanzee hepatocytes with nuclease-gold conjugates

1984 ◽  
Vol 42 ◽  
pp. 250-251
Author(s):  
G. D. Gagne ◽  
M. F. Miller ◽  
D. A. Peterson
Keyword(s):  
Endoplasmic Reticulum ◽  
Experimental Infection ◽  
Uranyl Acetate ◽  
Type I ◽  
Cellular Injury ◽  
Type Ii ◽  
Tubular Structures ◽  
Type Iii ◽  
Type Iv ◽  
Infected Chimpanzee

Experimental infection of chimpanzees with non-A, non-B hepatitis (NANB) or with delta agent hepatitis results in the appearance of characteristic cytoplasmic alterations in the hepatocytes. These alterations include spongelike inclusions (Type I), attached convoluted membranes (Type II), tubular structures (Type III), and microtubular aggregates (Type IV) (Fig. 1). Type I, II and III structures are, by association, believed to be derived from endoplasmic reticulum and may be morphogenetically related. Type IV structures are generally observed free in the cytoplasm but sometimes in the vicinity of type III structures. It is not known whether these structures are somehow involved in the replication and/or assembly of the putative NANB virus or whether they are simply nonspecific responses to cellular injury. When treated with uranyl acetate, type I, II and III structures stain intensely as if they might contain nucleic acids. If these structures do correspond to intermediates in the replication of a virus, one might expect them to contain DNA or RNA and the present study was undertaken to explore this possibility.

scholarly journals Perforator preservation technologies (PPT) based on a new neuro-interventional classification in endovascular treatment of perforator involving aneurysms (piANs)

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chen Li ◽  
Ao-Fei Liu ◽  
Han-Cheng Qiu ◽  
Xianli Lv ◽  
Ji Zhou ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Saccular Aneurysm ◽  
Type I ◽  
Type Ii ◽  
Fusiform Aneurysm ◽  
Type Iii ◽  
Perforating Artery ◽  
Protection Technology ◽  
Perforating Arteries

Abstract Background Treatment of perforator involving aneurysm (piAN) remains a challenge to open and endovascular neurosurgeons. Our aim is to demonstrate a primary outcome of endovascular therapy for piANs with the use of perforator preservation technologies (PPT) based on a new neuro-interventional classification. Methods The piANs were classified into type I: aneurysm really arises from perforating artery, type II: saccular aneurysm involves perforating arteries arising from its neck (IIa) or dome (IIb), and type III: fusiform aneurysm involves perforating artery. Stent protection technology of PPT was applied in type I and III aneurysms, and coil-basket protection technology in type II aneurysms. An immediate outcome of aneurysmal obliteration after treatment was evaluated (satisfactory obliteration: the saccular aneurysm body is densely embolized (I), leaving a gap in the neck (IIa) or dome (IIb) where the perforating artery arising; fusiform aneurysm is repaired and has a smooth inner wall), and successful perforating artery preservation was defined as keeping the good antegrade flow of those perforators on postoperative angiography. The periprocedural complication was closely monitored, and clinical and angiographic follow-ups were performed. Results Six consecutive piANs (2 ruptured and 4 unruptured; 1 type I, 2 type IIa, 2 type IIb, and 1 type III) in 6 patients (aged from 43 to 66 years; 3 males) underwent endovascular therapy between November 2017 and July 2019. The immediate angiography after treatment showed 6 aneurysms obtained satisfactory obliteration, and all of their perforating arteries were successfully preserved. During clinical follow-up of 13–50 months, no ischemic or hemorrhagic event of the brain occurred in the 6 patients, but has one who developed ischemic event in the territory of involving perforators 4 h after operation and completely resolved within 24 h. Follow-up angiography at 3 to 10M showed patency of the parent artery and perforating arteries of treated aneurysms, with no aneurysmal recurrence. Conclusions Our perforator preservation technologies on the basis of the new neuro-interventional classification seem feasible, safe, and effective in protecting involved perforators while occluding aneurysm.

scholarly journals Outcomes of one-stage reconstruction for chronic multiligament injuries of knee

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Tarun Goyal ◽  
Souvik Paul ◽  
Sushovan Banerjee ◽  
Lakshmana Das
Keyword(s):  
Cruciate Ligament ◽  
Lysholm Score ◽  
Activity Level ◽  
Type Ii ◽  
Hamstring Tendons ◽  
Peroneus Longus ◽  
Type Iii ◽  
Type Iv ◽  
Ikdc Score

Abstract Purpose This article aims to evaluate patterns of chronic multiligament injuries and outcomes of treatment with single-stage reconstruction using autografts. Methods All patients with clinicoradiologically diagnosed multiligament knee injury (MKI) were included in this prospective observational study. As the time since injury was more than 6 weeks in all of the patients, they were categorized as having chronic MKI. Patients were assessed clinically for laxity, and the diagnosis was confirmed radiologically. Ipsilateral hamstring tendons were used for medial collateral ligament (MCL) or posterolateral corner reconstruction in a patient with Schenck knee dislocation (KD) type III. In these cases, the posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) were reconstructed by using the peroneus longus and contralateral hamstring tendons respectively. Ipsilateral hamstring tendons were used for ACL reconstruction and an ipsilateral peroneus longus tendon graft was used for reconstruction of the PCL in a KD type II injury. In two cases of KD type IV injury, the lateral laxity was only grade II and was managed conservatively; the rest of the ligaments were addressed like a KD type III injury. Outcome evaluation was done using a visual analogue scale (VAS) for pain, International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner activity level, preoperatively and postoperatively at 2 years’ follow-up. Results A total of 27 patients of mean age 33.48 ± 9.9 years with MKI were included in the study. The patients were classified as eight KD type II, 17 KD type III, and two KD type IV. The majority of the patients had associated meniscal (59.2%) or chondral (40.7%) injuries. At the 2 years’ follow-up visit, there were significant improvements in VAS score (p = 0.0001) IKDC score (p = 0.0001), Lysholm score (p = 0.0001), and range of motion (p = 0.001). None of the patients had residual laxity on clinical examination of the knee joint at the 2 years’ follow-up. All but two of the patients went back to their previous activity level. These two patients had progressive knee arthritis and needed knee arthroplasty. Conclusion Single-stage surgical reconstruction for chronic MKI has favourable functional outcomes. Level of evidence Level IV, case series.

scholarly journals Intracellular and Extracellular Markers of Lethality in Osteogenesis Imperfecta: A Quantitative Proteomic Approach

2021 ◽  
Vol 22 (1) ◽  
pp. 429
Author(s):  
Luca Bini ◽  
Domitille Schvartz ◽  
Chiara Carnemolla ◽  
Roberta Besio ◽  
Nadia Garibaldi ◽  
...  
Keyword(s):  
Osteogenesis Imperfecta ◽  
Type I Collagen ◽  
Type I ◽  
Tandem Mass ◽  
Type Ii ◽  
Type Iii ◽  
Bioinformatic Tools ◽  
Proteomic Approach ◽  
Fibrillin 1 ◽  
Heritable Disorder

Osteogenesis imperfecta (OI) is a heritable disorder that mainly affects the skeleton. The inheritance is mostly autosomal dominant and associated to mutations in one of the two genes, COL1A1 and COL1A2, encoding for the type I collagen α chains. According to more than 1500 described mutation sites and to outcome spanning from very mild cases to perinatal-lethality, OI is characterized by a wide genotype/phenotype heterogeneity. In order to identify common affected molecular-pathways and disease biomarkers in OI probands with different mutations and lethal or surviving phenotypes, primary fibroblasts from dominant OI patients, carrying COL1A1 or COL1A2 defects, were investigated by applying a Tandem Mass Tag labeling-Liquid Chromatography-Tandem Mass Spectrometry (TMT LC-MS/MS) proteomics approach and bioinformatic tools for comparative protein-abundance profiling. While no difference in α1 or α2 abundance was detected among lethal (type II) and not-lethal (type III) OI patients, 17 proteins, with key effects on matrix structure and organization, cell signaling, and cell and tissue development and differentiation, were significantly different between type II and type III OI patients. Among them, some non–collagenous extracellular matrix (ECM) proteins (e.g., decorin and fibrillin-1) and proteins modulating cytoskeleton (e.g., nestin and palladin) directly correlate to the severity of the disease. Their defective presence may define proband-failure in balancing aberrances related to mutant collagen.

scholarly journals Brachial supporting structure of Spiriferida (Brachiopoda)

2020 ◽  
pp. 1-15
Author(s):  
Zhiwei Yuan ◽  
Wen Guo ◽  
Dan Lyu ◽  
Yuanlin Sun
Keyword(s):  
Mantle Cavity ◽  
Family Type ◽  
Type I ◽  
Type Ii ◽  
Feeding Apparatus ◽  
Single Family ◽  
Supporting Structure ◽  
Type Iii ◽  
Type Iv ◽  
Evolutionary Lineages

Abstract The filter-feeding organ of some extinct brachiopods is supported by a skeletal apparatus called the brachidium. Although relatively well studied in Atrypida and Athyridida, the brachidial morphology is usually neglected in Spiriferida. To investigate the variations of brachidial morphology in Spiriferida, 65 species belonging to eight superfamilies were analyzed. Based on the presence/absence of the jugal processes and normal/modified primary lamellae of the spiralia, four types of brachidium are recognized. Type-I (with jugal processes) and Type-II (without jugal processes), both having normal primary lamellae, could give rise to each other by losing/re-evolving the jugal processes. Type-III, without jugal processes, originated from Type-II through evolution of the modified lateral-convex primary lamellae, and it subsequently gave rise to Type-IV by evolving the modified medial-convex primary lamellae. The evolution of brachidia within individual evolutionary lineages must be clarified because two or more types can be present within a single family. Type-III and Type-IV are closely associated with the prolongation of the crura, representing innovative modifications of the feeding apparatus in response to possible shift in the position of the mouth towards the anterior, allowing for more efficient feeding on particles entering the mantle cavity from the anterior gape. Meanwhile, the modified primary lamellae adjusted/regulated the feeding currents. The absence of spires in some taxa with Type-IV brachidium might suggest that they developed a similar lophophore to that in some extant brachiopods, which can extend out of the shell.

scholarly journals Fully Developed Opposing Mixed Convection Flow in the Inclined Channel Filled with a Hybrid Nanofluid

Nanomaterials ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1107
Author(s):  
Xiangcheng You ◽  
Shiyuan Li
Keyword(s):  
Flow Reversal ◽  
Convection Flow ◽  
Uniform Heat Flux ◽  
Hybrid Nanofluid ◽  
Type Ii ◽  
Inclined Channel ◽  
Volume Fractions ◽  
Type Iii ◽  
Hybrid Nanofluids ◽  
Temperature And Pressure

This paper studies the convective heat transfer of a hybrid nanofluid in the inclined channel, whose walls are both heated by the uniform heat flux. The governing ordinary differential equations are made nondimensional and solved analytically, in which explicit distributions of velocity, temperature and pressure are obtained. The effects of flow reversal, wall skin friction and Nusselt number with the hybrid nanofluid depend on the nanoparticle volume fractions and pressure parameters. The obtained results indicate that the nanoparticle volume fractions play a key role in delaying the occurrence of the flow reversal. The hybrid nanofluids hold more delayed range than conventional nanofluids, which is about 2.5 times that of nanofluids. The calculations have been compared with the base fluid, nanofluid and two kinds of hybrid models (type II and type III). The hybrid model of type III is useful and simplified in that it omits the nonlinear terms due to the interaction of different nanoparticle volumetric fractions, with the relative error less than 3%. More results are discussed in the results section below.

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