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No blood transfusions were required. Two thoracoscopic patients had a type-3 postoperative complication.

Pediatric robotic lung lobectomy is feasible and safe, with excellent visualization and bi-manual hand-wrist dissection - useful properties in difficult cases of infectious pathologies. However, instrumentation dimensions limit use in smaller thoraxes.

Pediatric robotic lung lobectomy is feasible and safe, with excellent visualization and bi-manual hand-wrist dissection - useful properties in difficult cases of infectious pathologies. However, instrumentation dimensions limit use in smaller thoraxes.

Omphalocele is a major congenital anomaly associated with significant morbidity and mortality. Regardless, the influence of maternal use of prescription drugs on the risk of omphalocele has only been addressed in a handful of studies. The aim of this study was to assess the influence of maternal risk factors and prescription drugs in early pregnancy on the risk of omphalocele.

We performed a nationwide register-based case-control study in Finland. The analysis is based on the Finnish Register of Congenital Malformations and Drugs and Pregnancy databases, both upheld by the Finnish Institute for Health and Welfare. All omphalocele cases were identified between Jan 1, 2004, and Dec 31, 2014. Five age-matched controls from the same geographical region were randomly selected for each case. The main outcome measures were maternal risk factors for omphalocele. Our analysis compared the maternal characteristics and the use of prescription drugs during the first trimester of pregnancy between case and control mott risk factors for omphalocele.

In conclusion, these findings may suggest that extended spectrum penicillins in the first trimester reduces the risk of omphalocle formation. Additionally, consistent with earlier studies, previous repeated miscarriages, maternal obesity, and diabetes were significant risk factors for omphalocele.

The present study aimed to investigate the association between estradiol, n-octanoylated, des-octanoylated, total ghrelin, and ghrelin/des-octanoylated ghrelin ratio levels along with pathological parameters and epithelial ovarian cancer (EOC) odds in postmenopausal women.

A case-control study was carried out on 45 patients with EOC and 33 age-matched postmenopausal women as the control group. Plasma levels of estradiol, n-octanoylated, des-octanoylated, and total ghrelin were measured by ELISA method.

Estradiol's plasma levels were significantly higher in patients with EOC than in control women (p <0.001). Although the ratio levels of n-octanoylated, des-octanoylated, total ghrelin, and ghrelin/des-octanoylated ghrelin were not associated with EOC in logistic regression models, estradiol levels were significantly related to the increase in EOC odds (OR 1.083, 95% CI 1.037-1.13, p <0.001). However, estradiol levels in the two first quartiles (Q

, Q

) were associated with decreased odds of EOC (OR 0.011, 95% CI 0.001-0.118, p <0.001, and OR 0.030, 95% CI 0.003-0.284, p=0.002, respectively). For those patients in the third quartile of plasma des-octanoylated and total ghrelin compared to those in the highest (Q4), the multivariate odds ratios of EOC were respectively 0.192 and 0.25.

In conclusion, higher concentrations of des-octanoylated and total ghrelin might be associated with the decreased EOC odds. Furthermore, the findings suggest that high levels of estradiol might be a potential odds factor in EOC, however, lower estradiol levels may have a protective effect on EOC development.

In conclusion, higher concentrations of des-octanoylated and total ghrelin might be associated with the decreased EOC odds. Furthermore, the findings suggest that high levels of estradiol might be a potential odds factor in EOC, however, lower estradiol levels may have a protective effect on EOC development.An adaptive controller is developed that is based on the multidimensional Taylor network (MTN). This controller is used for multi-input and multi-output (MIMO) uncertain discrete-time nonlinear systems. This newly developed MTN is dissimilar with the neural network, in which only multiplication and addition are needed for this controller. Thus, real-time control is more easily to be achieved. The theoretical analysis shows that the output errors of the system are convergent and the output signals are semi-globally, uniformly and ultimately bounded. To illustrate the validity of MTN-based adaptive controller (MTNAC), a numerical example is given. The simulation data demonstrate that this MNTAC has better real-time performance and higher robustness compared with neural networks.Unmanned systems like autonomous surface vessels are being enhanced with the communication infrastructure to improve their reliability, efficiency and sustainability. Regardless of the significance advantages, their open communication network and connectivity renders these systems to a variety of cyber-attacks. Selleckchem IK-930 This paper considers the resilient consensus problem of multi-agent systems (MASs) under an integrity attack. Unlike the existing works in the time domain, a resilient consensus controller is designed and analyzed for MASs in the frequency domain. To this end, analysis and modeling of MASs under the integrity attacks (MU-IA) are addressed in the frequency domain in which each agent is a linear continuous system with an input time delay. A resilient H∞ controller is proposed to tackle the tampering of information due to an integrity attack. The proposed H∞ controller is designed based on an internal stability method for performance tracking and robustness of the MU-IA. A significant strength of this scheme is that the current approach does not enforce any limit on the number of agents or neighboring agents under the integrity attacks. A quantitative tuning method is used to trade off the nominal performance and robustness of the MU-IA. Simulation results show the effectiveness of the proposed control strategy.In this paper, a nonlinear low-pass filter is presented, which produces significantly less phase lag than linear and some nonlinear filters. The proposed filter employs a saturation function to enhance the linear filter's performance. The gain and phase responses of the filter are derived analytically using a modified describing function, and the efficiency of the proposed method is examined through numerical examples. Based on the required cut-off frequency and noise to signal ratio, a rule of thumb is given to set the filter's parameters. In the frequency domain, simulation results show that the filter's gain response is near 0dB in the pass-band, and the noise attenuation rate is -40dB∕dec, while the phase lag is three times lesser compared to 2nd order Butterworth low-pass filter. Moreover, comparing with Jin et al.'s parabolic sliding mode filter and feed-forwarded parabolic sliding mode filter the gain and phase of the proposed filter are closer to zero in the pass-band and before cut-off frequency. Furthermore, the filter's performance is also evaluated in case of different noise color and concluded that the proposed filter is superior to linear and nonlinear filters in case of white, blue, or purple noise Finally, the filter's effectiveness and the tuning guideline are validated by simulating a precision motion control system in the discrete-time domain.

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