Nymandjefferson0984

Müllerian duct anomalies are rare in the general population, occurring in less than 3% of women, but much more prevalent in female patients with anorectal malformation, occurring in up to 30% of these patients. Unicornuate uterus with a rudimentary non-communicating horn is a congenital anomaly of Mullerian development which can be seen in isolation or in conjunction with other anomalies, with several case reports described in patients with VACTERL association. These anomalies may be asymptomatic until the patient develops dysmenorrhea or devastating obstetrical complications. We describe the successful surgical management of an obstructive Müllerian anomaly in a post-pubertal female patient with anorectal malformation.[This corrects the article DOI 10.1016/j.jcot.2020.12.011.][This corrects the article DOI 10.1016/j.jcot.2020.06.004.][This corrects the article DOI 10.1016/j.jcot.2020.04.015.][This corrects the article DOI 10.1016/j.jcot.2020.12.010.][This corrects the article DOI 10.1016/j.jcot.2020.03.028.][This corrects the article DOI 10.1016/j.jcot.2020.06.018.][This corrects the article DOI 10.1016/j.jcot.2020.04.026.][This corrects the article DOI 10.1016/j.jcot.2020.03.011.][This corrects the article DOI 10.1016/j.jcot.2020.08.016.][This corrects the article DOI 10.1016/j.jcot.2020.12.015.][This corrects the article DOI 10.1016/j.jcot.2020.05.040.][This corrects the article DOI 10.1016/j.jcot.2020.02.007.][This corrects the article DOI 10.1016/j.jcot.2020.06.025.][This corrects the article DOI 10.1016/j.jcot.2020.01.013.][This corrects the article DOI 10.1016/j.jcot.2020.07.008.].[This corrects the article DOI 10.1016/j.jcot.2020.07.022.][This corrects the article DOI 10.1016/j.jcot.2020.08.015.][This corrects the article DOI 10.1016/j.jcot.2020.12.013.][This corrects the article DOI 10.1016/j.jcot.2020.10.033.][This corrects the article DOI 10.1016/j.jcot.2020.08.009.][This corrects the article DOI 10.1016/j.jcot.2020.09.028.][This corrects the article DOI 10.1016/j.jcot.2020.09.035.][This corrects the article DOI 10.1016/j.jcot.2020.04.019.][This corrects the article DOI 10.1016/j.jcot.2020.07.012.][This corrects the article DOI 10.1016/j.jcot.2020.04.033.][This corrects the article DOI 10.1016/j.jcot.2020.07.034.][This corrects the article DOI 10.1016/j.jcot.2020.07.027.][This corrects the article DOI 10.1016/j.jcot.2020.10.037.][This corrects the article DOI 10.1016/j.jcot.2020.12.016.][This corrects the article DOI 10.1016/j.jcot.2020.07.011.].[This corrects the article DOI 10.1016/j.jcot.2019.09.014.][This corrects the article DOI 10.1016/j.jcot.2019.01.027.][This corrects the article DOI 10.1016/j.jcot.2019.02.004.][This corrects the article DOI 10.1016/j.jcot.2019.05.013.][This corrects the article DOI 10.1016/j.jcot.2019.04.018.][This corrects the article DOI 10.1016/j.jcot.2019.06.007.][This corrects the article DOI 10.1016/j.jcot.2019.02.006.][This corrects the article DOI 10.1016/j.jcot.2019.06.009.][This corrects the article DOI 10.1016/j.jcot.2019.05.014.].[This corrects the article DOI 10.1016/j.jcot.2019.06.008.][This corrects the article DOI 10.1016/j.jcot.2019.06.014.][This corrects the article DOI 10.1016/j.jcot.2019.08.010.][This corrects the article DOI 10.1016/j.jcot.2019.08.021.][This corrects the article DOI 10.1016/j.jcot.2019.09.025.][This corrects the article DOI 10.1016/j.jcot.2019.01.012.][This corrects the article DOI 10.1016/j.jcot.2019.01.029.][This corrects the article DOI 10.1016/j.jcot.2019.03.007.][This corrects the article DOI 10.1016/j.jcot.2019.04.021.][This corrects the article DOI 10.1016/j.jcot.2019.05.010.][This corrects the article DOI 10.1016/j.jcot.2019.01.018.][This corrects the article DOI 10.1016/j.jcot.2019.01.007.][This corrects the article DOI 10.1016/j.jcot.2019.03.014.][This corrects the article DOI 10.1016/j.jcot.2019.04.015.][This corrects the article DOI 10.1016/j.jcot.2019.01.016.].

The reverse shoulder arthroplasty is a common orthopaedic procedure, where placement of the initial guiding wire is paramount to the implant instrumentation and position. To improve the position of the guiding wire, navigation and patient specific instrumentation have been used. These are however expensive and lengthy with many logistical issues.

We utilised in house 3D printing to create a surgical guide to help with positioning of the central guiding wire. Pre and post op CT scans were utilised to determine positioning of the central screw.

Position of the screw tip was a mean of 3.3mm away from the central point of the thickest portion of bone in the scapula with good bony purchase. There were no complications reported.

We report our experience in creation of the 3D printed surgical jig and the pearls of its creation, detailing from CT scan image acquisition to creation of surgical guide to intraoperative usage. 3D printing is a cost effective and accurate solution for the positioning of orthopaedic instrumentation. This can be easily applied to other operations in our institution, even with a low start up cost.

We report our experience in creation of the 3D printed surgical jig and the pearls of its creation, detailing from CT scan image acquisition to creation of surgical guide to intraoperative usage. 3D printing is a cost effective and accurate solution for the positioning of orthopaedic instrumentation. This can be easily applied to other operations in our institution, even with a low start up cost.As suggested by many guidelines, a high ventilation rate is required to dilute the indoor virus particles and reduce the airborne transmission risk, i.e., dilution ventilation (DV). However, high ventilation rates may result in high energy costs. Ventilative cooling (VC), which requires high ventilation rates like DV, is an option to reduce the cooling energy consumption. By combining DV and VC, this paper investigated the operation of the mechanical ventilation system in high-rise buildings during the COVID-19 pandemic, aiming to minimizing the cooling related energy consumption and reducing COVID-19 transmission. First, a modified Wells-Riley model was proposed to calculate DV rates. The ventilation rate required to achieve VC was also introduced. Then, a new ventilation control strategy was proposed for achieving DV and VC. Finally, a case study was conducted on a real high-rise building, where the required DV rate and the impact of the settings of the mechanical ventilation on the energy savings were evaluated. The results indicate that the required ventilation rates vary from 36 m3/s to 3306 m3/s depending on the protective measures. When the occupants follow the protective measures, the proper settings of the mechanical ventilation system can reduce energy consumption by around 40%.To inform data-driven decisions in fighting the global pandemic caused by COVID-19, this research develops a spatiotemporal analysis framework under the combination of an ensemble model (random forest regression) and a multi-objective optimization algorithm (NSGA-II). It has been verified for four Asian countries, including Japan, South Korea, Pakistan, and Nepal. Accordingly, we can gain some valuable experience to better understand the disease evolution, forecast the prevalence of the disease, which can provide sustainable evidence to guide further intervention and management. Random forest with a proper rolling time-window can learn the combined effects of environmental and social factors to accurately predict the daily growth of confirmed cases and daily death rate on a national scale, which is followed by NSGA-II to find a range of Pareto optimal solutions for ensuring the minimization of the infection rate and mortality at the same time. selleck chemicals llc Experimental results demonstrate that the predictive model can alert the local government in advance, allowing the accused time to put forward relevant measures. The temperature in the category of environment and the stringency index belonging to the social factor are identified as the top 2 important features to exert a greater impact on the virus transmission. Moreover, optimal solutions provide references to design the best control strategies towards pandemic containment and prevention that can accommodate the country-specific circumstance, which are possible to decrease the two objectives by more than 95%. In particular, appropriate adjustment of social-related features needs to take priority over others, since it can bring about at least 1.47% average improvement of two objectives compared to environmental factors.Obesity has been established as a risk factor for renal cell carcinoma (RCC). Recently, studies have described obesity as a probable protecting factor in the metastatic stage of RCC. In this study, we assessed the relationship between body mass index (BMI) and overall survival in patients under systemic therapy. The correlation between BMI and overall median survival was studied in 76 patients diagnosed with metastatic RCC under systemic therapy. The groups were divided into overweight and obesity (BMI > 25 kg/m2) and underweight or normal (BMI 25 kg/m2 presented a hazards ratio of 0.54 (95% CI 0.30-0.96), P = 0.044 (Log Rank). A high BMI significantly acts as a protecting factor. We observed an increased overall survival of overweight and obese patients within the context of metastatic RCC under systemic treatment. These data confirm the findings published in other studies that suggest the role of lipid metabolism in this type of tumors.

The novel coronavirus (SARS-CoV-2) has rapidly infected people worldwide, leading to a massive public reaction. Peoples' knowledge, attitudes, and practices (KAP) toward COVID-19 are the most important for the control and prevention of the infectious disease pandemic. This study aimed to assess the knowledge, attitude, and preventive practices (KAP) toward the COVID-19 among Bangladeshi residents during the lockdown situation.

An online-based cross-sectional survey was conducted among 1765 Bangladeshi adults through the social media networks of the authors.

The respondents were older than 18years, with an average age of 24.88years (SD 6.30). Approximately 15% of our participants received online training. The mean knowledge score was 14.49 (SD 1.8, range 0-17), and the overall correct response rate on this knowledge test was 85%. Approximately 67.2% scored well (above the mean 4.5, range 1-5) regarding the practices. To avoid the infection, 96.6% wore masks outside the home, and 98.7% washed their hands with soap when they came back. COVID-19 knowledge score was significantly associated with a lower odds of (OR 0.87, 95% CI 0.79-0.92) negative attitudes. Again, the awareness score was associated with a lower likelihood of (OR 0.94, 95% CI 0.87-0.98) poor practices.

Online health education programs focusing on young people, housewives, and people with less education may potentially improve the attitudes and practices to control the COVID-19 pandemic in the long term in such a low-resource setting.

Online health education programs focusing on young people, housewives, and people with less education may potentially improve the attitudes and practices to control the COVID-19 pandemic in the long term in such a low-resource setting.