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stenosis</title> <meta name="description" content="Search results for: spinal canal stenosis"> <meta name="keywords" content="spinal canal stenosis"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none 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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="spinal canal stenosis"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 402</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: spinal canal stenosis</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">402</span> Correction of Urinary Incontinence in Severe Spinal Canal Stenosis, Treated Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ilirian%20La%C3%A7i">Ilirian Laçi</a>, <a href="https://publications.waset.org/abstracts/search?q=Alketa%20Spahiu"> Alketa Spahiu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Ageing causes an increase in the number of patients with spinal canal stenosis. Most of the patients have back pain, leg pain, numbness of the legs, as well as urinary incontinence as a very common symptoms. Urinary incontinence impairs the quality of life. Correction of the symptom of urinary incontinence is possible in the early and adequate treatment of spinal stenosis. Methods: This study observed patients with urinary incontinence and spinal canal stenosis. These patients underwent mechanical decompression of the spinal stenosis through surgery. At the same time, these patients were observed clinically with clinical consultations. Cystoscopy and urodynamic tests were conducted at intervals of 2 and 6 months. As a result of treatment, 60% of patients did recover. The patients in this group who benefit from treatment were the patients who were early diagnosed and treated. Conclusions: An important factor in the prognosis of this pathology is the early diagnosis and treatment. The proper treatment of this pathology makes it curable in most cases. An important role in this pathology is played by the neurosurgeon. Surgery accompanied by laminotomy and mechanical decompression is the best way of treatment. Other factors that played a role in this pathology are also a large number of childbirths for women, obesity, etc. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=urinary%20incontinence" title="urinary incontinence">urinary incontinence</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis" title=" spinal canal stenosis"> spinal canal stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=early%20diagnosis" title=" early diagnosis"> early diagnosis</a>, <a href="https://publications.waset.org/abstracts/search?q=treatment" title=" treatment"> treatment</a> </p> <a href="https://publications.waset.org/abstracts/152503/correction-of-urinary-incontinence-in-severe-spinal-canal-stenosis-treated-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/152503.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">99</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">401</span> Structural and Morphological Characterization of Inorganic Deposits in Spinal Ligaments</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sylwia%20Orzechowska">Sylwia Orzechowska</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrzej%20Wr%C3%B3bel"> Andrzej Wróbel</a>, <a href="https://publications.waset.org/abstracts/search?q=Eugeniusz%20Rokita"> Eugeniusz Rokita</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The mineralization is a curious problem of connective tissues. Factors which may play a decisive role in the regulation of the yellow ligaments (YL) mineralization are still open questions. The aim of the studies was a detailed description of the chemical composition and morphology of mineral deposits in the human yellow ligaments. Investigations of the structural features of deposits were used to explain the impact of various factors on mineralization process. The studies were carried out on 24 YL samples, surgically removed from patients suffer from spinal canal stenosis and the patients who sustained a trauma. The micro-computed tomography was used to describe the morphology of mineral deposits. The X-ray fluorescence method and Fourier transform infrared spectroscopy were applied to determine the chemical composition of the samples. In order to eliminate the effect of blur in microtomographic images, the correction method of partial volume effect was used. The mineral deposits appear in 60% of YL samples, both in patients with a stenosis and following injury. The mineral deposits have a heterogeneous structure and they are a mixture of the tissue and mineral grains. The volume of mineral grains amounts to (1.9 ± 3.4)*10-3 mm3 while the density distribution of grains occurs in two distinct ranges (1.75 - 2.15 and 2.15-2.5) g/cm3. Application of the partial volume effect correction allows accurate calculations by eliminating the averaging effect of gray levels in tomographic images. The B-type carbonate-containing hydroxyapatite constitutes the mineral phase of majority YLs. The main phase of two samples was calcium pyrophosphate dihydrate (CPPD). The elemental composition of minerals in all samples is almost identical. This pathology may be independent on the spine diseases and it does not evoke canal stenosis. The two ranges of grains density indicate two stages of grains growth and the degree of maturity. The presence of CPPD crystals may coexist with other pathologies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=FTIR" title="FTIR">FTIR</a>, <a href="https://publications.waset.org/abstracts/search?q=micro-tomography" title=" micro-tomography"> micro-tomography</a>, <a href="https://publications.waset.org/abstracts/search?q=mineralization" title=" mineralization"> mineralization</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20ligaments" title=" spinal ligaments "> spinal ligaments </a> </p> <a href="https://publications.waset.org/abstracts/23266/structural-and-morphological-characterization-of-inorganic-deposits-in-spinal-ligaments" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/23266.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">377</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">400</span> Efficacy of Hemi-Facetectomy in Treatment of Lumbar Foraminal Stenosis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Manoj%20Deepak">Manoj Deepak</a>, <a href="https://publications.waset.org/abstracts/search?q=N.%20Mathivanan"> N. Mathivanan</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20Venkatachalam"> K. Venkatachalam</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nerve root stenosis is one of the main cause for back pain. There are many methods both conservative and surgical to treat this disease. It is pertinent to decompress the spine to a proper extent so as to avoid the recurrence of symptoms. But too much of an aggressive approach also has its disadvantages. We present one of the methods to effectively decompress the nerve with better results. Our study was carried out in 52 patients with foramina stenosis between 2008 to 2011.We carried out the surgical procedure of shaving off the medial part of the facet joint so as to decompress the root. We selected those patients who had symptoms of claudication for more than 2 years. They had no signs of instability and they underwent conservative treatment for a period of 2 months before the procedure. Oswersty scoring was used to record the functional level of the patient before and after the procedure. All patients were followed up for a period of minimum 2.5 years. After evaluation for a minimum of 2.5 years, 34 patients had no evidence of recurrence of symptoms with improvement in the functional level.7 patients complained of minimal pain but their functional quality had improved postop. Six patients had symptoms of lumbar canal disease which reduced with conservative treatment. 5 patients required spinal fusion surgeries in the later period. Conclusion: Thus, we can effectively conclude that our procedure is safe and effective in reducing the symptoms in those patients with neurogenic claudication. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=facetectoemy" title="facetectoemy">facetectoemy</a>, <a href="https://publications.waset.org/abstracts/search?q=stenosis" title=" stenosis"> stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=decompression" title=" decompression"> decompression</a>, <a href="https://publications.waset.org/abstracts/search?q=Lumbar%20Foraminal%20Stenosis" title=" Lumbar Foraminal Stenosis"> Lumbar Foraminal Stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=hemi-facetectomy" title=" hemi-facetectomy"> hemi-facetectomy</a> </p> <a href="https://publications.waset.org/abstracts/15953/efficacy-of-hemi-facetectomy-in-treatment-of-lumbar-foraminal-stenosis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/15953.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">350</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">399</span> Morphometry of Cervical Spinal Cord in Rabbit Using Design-Based Stereology</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hamed%20Chavoshi%20Pour">Hamed Chavoshi Pour</a>, <a href="https://publications.waset.org/abstracts/search?q=Javad%20Sadeghinejad"> Javad Sadeghinejad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The spinal cord is a long structure that starts at the end of the medulla oblongata and is located within the vertebral canal. Physiologically, the spinal cord connects the brain with the peripheral nervous system for sensory and motor activities. The cervical spinal cord is an area of particular interest in medicine and veterinary medicine due to the high prevalence of diseases in this region. This study describes the morphometric features of the cervical spinal cord in rabbits using design-unbiased stereology. The cervical spinal cords of five male rabbits were dissected, and slabs were taken according to systematic uniform random sampling. Each slab was embedded in paraffin and cut into a 6-µm thick section, and stained with cresyl violet 0.1% for stereological estimations. The total spinal cord volume, volume fraction of grey and white matter, and also dorsal and ventral horns were estimated using point counting and Cavalieri's estimator. The total cervical spinal cord volume was 0.98 ± 0.07 cm³. The relative volume of white matter and grey matter was 70.6 ± 1.7% and 29.31 ± 1.67%, respectively. The dorsal horn and ventral horn volume were 13.86 ± 1.36% and 14.9 ± 0.62% of the whole cervical spinal cord. This knowledge of rabbit spinal cord findings may serve as a foundation for a translational model in spinal cord experimental research and provide basic findings for the diagnosis and treatment of spinal cord disorders. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=stereology" title="stereology">stereology</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord" title=" spinal cord"> spinal cord</a>, <a href="https://publications.waset.org/abstracts/search?q=rabbit" title=" rabbit"> rabbit</a>, <a href="https://publications.waset.org/abstracts/search?q=cervical" title=" cervical"> cervical</a> </p> <a href="https://publications.waset.org/abstracts/161334/morphometry-of-cervical-spinal-cord-in-rabbit-using-design-based-stereology" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/161334.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">76</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">398</span> Anal Repair and Diamond Flap in Moderate Anal Stenosis Patient After an Open Hemorrhoidectomy Surgery: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Andriana%20Purnama">Andriana Purnama</a>, <a href="https://publications.waset.org/abstracts/search?q=Reno%20Rudiman"> Reno Rudiman</a>, <a href="https://publications.waset.org/abstracts/search?q=Kezia%20Christy"> Kezia Christy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Anal stenosis which develops due to anoderm scarring usually caused by secondary to surgical trauma, has become common, causing significant decrease patient’s quality of life. Even though mild anal stenosis was treated with non-surgical treatment, but surgical reconstruction in unavoidable for moderate to severe anal stenosis that cause distressing, severe anal pain and inability to defecate. In our study, we intend to share our result with the use of diamond flap in treatment of anal stenosis. This case report illustrates a 57-year-old male patient who presented with difficulty and discomfort in defecation caused by anal stenosis after 2 years of open hemorrhoidectomy surgery. At physical examination, there was requirement of forceful dilatation when the index finger was inserted or precisely 6mm as measured by hegar dilator (moderate anal stenosis). Blood test result was within normal limits. The patient underwent anal repair and diamond flap where the scar tissue at 6 and 9 o’clock directions was excised and diamond graft was incised carefully while paying attention to the vascular supply. Finally, the graft was fixated without any tension to the anal canal, resulting in diameter of 2 cm after operation. After 2 days post operation, the patient was in stable condition, without any complication, and discharged. There was no abnormality concerning the stool. Ten days after the operation, diamond flap was in normal condition and without any complication. He was scheduled for futher follow up at the Digestive Surgery Department. Anal stenosis due to overzealous hemorrhoidectomy is a complication that is preventable when performed in experienced hands. Diamond flap was one of the options for the anal stenosis treatment with less complication. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anal%20stenosis" title="anal stenosis">anal stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=diamond%20flap" title=" diamond flap"> diamond flap</a>, <a href="https://publications.waset.org/abstracts/search?q=post%20hemorrhoidectomy" title=" post hemorrhoidectomy"> post hemorrhoidectomy</a>, <a href="https://publications.waset.org/abstracts/search?q=anal%20repair" title=" anal repair"> anal repair</a> </p> <a href="https://publications.waset.org/abstracts/159843/anal-repair-and-diamond-flap-in-moderate-anal-stenosis-patient-after-an-open-hemorrhoidectomy-surgery-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/159843.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">92</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">397</span> Impact of Lined/Unlined Canal on Groundwater Recharge in the Lower Bhavani Basin, Tamilnadu, India</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=K.%20Mirudhula">K. Mirudhula</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Saravanan"> R. Saravanan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Bhavani basin is the fourth largest Sub Basin in the Cauvery basin. The entire command area of all three major canals that takes off from the Bhavani river falls within the Erode District i.e. Lower Bhavani Project (LBP), Kodiveri and Kalingarayan canals. The LBP canal is a major source of irrigation in Erode District. Many of these canals are unlined and leakage takes place from them. Thus the seepage from the canal helps in recharging the wells in the area, enabling to get adequate water supply for the crops when water was not released from Bhavanisagar Dam. In this study, the groundwater recharge is determined by groundwater flow modeling using Visual MODFLOW model. For this purpose, three major natural sources of groundwater recharge are taken into consideration such as rainfall infiltration, canal seepage and return flow of irrigation. The model was run and ZONEBUDGET gives an idea about the amount of recharge from lined/unlined canal to the field. Unlined canal helps to recharge the groundwater about 20% more than the lined canal. The analysis reveals that the annual rainfall also has rapidly changed in this region. In the LBP canal Head reach meets their requirement with available quantity of water from the canal system. Tail end reach does not receive the required quantity of water because of seepage loss and conveyance loss. Hence the lined canal can be provided for full length of the main canal. Branch canals and minor distributaries are suggested to maintain the canals with unlined canal system. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=lower%20Bhavani%20basin" title="lower Bhavani basin">lower Bhavani basin</a>, <a href="https://publications.waset.org/abstracts/search?q=erode" title=" erode"> erode</a>, <a href="https://publications.waset.org/abstracts/search?q=groundwater%20flow%20modeling" title=" groundwater flow modeling"> groundwater flow modeling</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigation%20practice" title=" irrigation practice"> irrigation practice</a>, <a href="https://publications.waset.org/abstracts/search?q=lined%20canal%20system" title=" lined canal system"> lined canal system</a> </p> <a href="https://publications.waset.org/abstracts/23156/impact-of-linedunlined-canal-on-groundwater-recharge-in-the-lower-bhavani-basin-tamilnadu-india" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/23156.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">302</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">396</span> A Fully Automated New-Fangled VESTAL to Label Vertebrae and Intervertebral Discs</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.%20Srinivas">R. Srinivas</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20V.%20Ramana"> K. V. Ramana</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper presents a novel method called VESTAL to label vertebrae and inter vertebral discs. Each vertebra has certain statistical features properties. To label vertebrae and discs, a new equation to model the path of spinal cord is derived using statistical properties of the spinal canal. VESTAL uses this equation for labeling vertebrae and discs. For each vertebrae and inter vertebral discs both posterior, interior width, height are measured. The calculated values are compared with real values which are measured using venires calipers and the comparison produced 95% efficiency and accurate results. The VESTAL is applied on 50 patients 350 MR images and obtained 100% accuracy in labeling. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spine" title="spine">spine</a>, <a href="https://publications.waset.org/abstracts/search?q=vertebrae" title=" vertebrae"> vertebrae</a>, <a href="https://publications.waset.org/abstracts/search?q=inter%20vertebral%20disc" title=" inter vertebral disc"> inter vertebral disc</a>, <a href="https://publications.waset.org/abstracts/search?q=labeling" title=" labeling"> labeling</a>, <a href="https://publications.waset.org/abstracts/search?q=statistics" title=" statistics"> statistics</a>, <a href="https://publications.waset.org/abstracts/search?q=texture" title=" texture"> texture</a>, <a href="https://publications.waset.org/abstracts/search?q=disc" title=" disc"> disc</a> </p> <a href="https://publications.waset.org/abstracts/22624/a-fully-automated-new-fangled-vestal-to-label-vertebrae-and-intervertebral-discs" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/22624.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">363</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">395</span> Simulation to Detect Virtual Fractional Flow Reserve in Coronary Artery Idealized Models</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nabila%20Jaman">Nabila Jaman</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20E.%20Hoque"> K. E. Hoque</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Sawall"> S. Sawall</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Ferdows"> M. Ferdows </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Coronary artery disease (CAD) is one of the most lethal diseases of the cardiovascular diseases. Coronary arteries stenosis and bifurcation angles closely interact for myocardial infarction. We want to use computer-aided design model coupled with computational hemodynamics (CHD) simulation for detecting several types of coronary artery stenosis with different locations in an idealized model for identifying virtual fractional flow reserve (vFFR). The vFFR provides us the information about the severity of stenosis in the computational models. Another goal is that we want to imitate patient-specific computed tomography coronary artery angiography model for constructing our idealized models with different left anterior descending (LAD) and left circumflex (LCx) bifurcation angles. Further, we want to analyze whether the bifurcation angles has an impact on the creation of narrowness in coronary arteries or not. The numerical simulation provides the CHD parameters such as wall shear stress (WSS), velocity magnitude and pressure gradient (PGD) that allow us the information of stenosis condition in the computational domain. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CAD" title="CAD">CAD</a>, <a href="https://publications.waset.org/abstracts/search?q=CHD" title=" CHD"> CHD</a>, <a href="https://publications.waset.org/abstracts/search?q=vFFR" title=" vFFR"> vFFR</a>, <a href="https://publications.waset.org/abstracts/search?q=bifurcation%20angles" title=" bifurcation angles"> bifurcation angles</a>, <a href="https://publications.waset.org/abstracts/search?q=coronary%20stenosis" title=" coronary stenosis"> coronary stenosis</a> </p> <a href="https://publications.waset.org/abstracts/85911/simulation-to-detect-virtual-fractional-flow-reserve-in-coronary-artery-idealized-models" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/85911.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">157</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">394</span> Functions and Pathophysiology of the Ventricular System: Review of the Underlying Basic Physics</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Abdelrahman%20Abdalla">Mohamed Abdelrahman Abdalla</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Apart from their function in producing CSF, the brain ventricles have been recognized as the mere remnant of the embryological neural tube with no clear role. The lack of proper definition of the function of the brain ventricles and the central spinal canal has made it difficult to ascertain the pathophysiology of its different disease conditions or to treat them. This study aims to review the simple physics that could explain the basic function of the CNS ventricular system and to suggest new ways of approaching its pathology. There are probably more physical factors to consider than only the pressure. Monro-Killie hypothesis focuses on volume and subsequently pressure to direct our surgical management in different disease conditions. However, the enlarged volume of the ventricles in normal pressure hydrocephalus does not move any blood or brain outside the skull. Also, in idiopathic intracranial hypertension, the very high intracranial pressure rarely causes brain herniation. On this note, the continuum of the intracranial cavity with the spinal canal makes it a whole unit and hence the defect in the theory. In this study, adding different factors to the equation like brain and CSF density and positions of the brain in space, in addition to the volume and pressure, aims to identify how the ventricles are important in the CNS homeostasis. In addition, increasing the variables that we analyze to treat different CSF pathological conditions should increase our understanding and hence accuracy of treatment of such conditions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=communicating%20hydrocephalus" title="communicating hydrocephalus">communicating hydrocephalus</a>, <a href="https://publications.waset.org/abstracts/search?q=functions%20of%20the%20ventricles" title=" functions of the ventricles"> functions of the ventricles</a>, <a href="https://publications.waset.org/abstracts/search?q=idiopathic%20intracranial%20hypertension%20physics%20of%20CSF" title=" idiopathic intracranial hypertension physics of CSF"> idiopathic intracranial hypertension physics of CSF</a> </p> <a href="https://publications.waset.org/abstracts/129705/functions-and-pathophysiology-of-the-ventricular-system-review-of-the-underlying-basic-physics" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/129705.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">106</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">393</span> Predictors of Clinical Failure After Endoscopic Lumbar Spine Surgery During the Initial Learning Curve</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Daniel%20Scherman">Daniel Scherman</a>, <a href="https://publications.waset.org/abstracts/search?q=Daniel%20Madani"> Daniel Madani</a>, <a href="https://publications.waset.org/abstracts/search?q=Shanu%20Gambhir"> Shanu Gambhir</a>, <a href="https://publications.waset.org/abstracts/search?q=Marcus%20Ling%20Zhixing"> Marcus Ling Zhixing</a>, <a href="https://publications.waset.org/abstracts/search?q=Yingda%20Li"> Yingda Li</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: This study aims to identify clinical factors that may predict failed endoscopic lumbar spine surgery to guide surgeons with patient selection during the initial learning curve. Methods: This is an Australasian prospective analysis of the first 105 patients to undergo lumbar endoscopic spine decompression by 3 surgeons. Modified MacNab outcomes, Oswestry Disability Index (ODI) and Visual Analogue Score (VAS) scores were utilized to evaluate clinical outcomes at 6 months postoperatively. Descriptive statistics and Anova t-tests were performed to measure statistically significant (p<0.05) associations between variables using GraphPad Prism v10. Results: Patients undergoing endoscopic lumbar surgery via an interlaminar or transforaminal approach have overall good/excellent modified MacNab outcomes and a significant reduction in post-operative VAS and ODI scores. Regardless of the anatomical location of disc herniations, good/excellent modified MacNab outcomes and significant reductions in VAS and ODI were reported post-operatively; however, not in patients with calcified disc herniations. Patients with central and foraminal stenosis overall reported poor/fair modified MacNab outcomes. However, there were significant reductions in VAS and ODI scores post-operatively. Patients with subarticular stenosis or an associated spondylolisthesis reported good/excellent modified MacNab outcomes and significant reductions in VAS and ODI scores post-operatively. Patients with disc herniation and concurrent degenerative stenosis had generally poor/fair modified MacNab outcomes. Conclusion: The outcomes of endoscopic spine surgery are encouraging, with a low complication and reoperation rate. However, patients with calcified disc herniations, central canal stenosis or a disc herniation with concurrent degenerative stenosis present challenges during the initial learning curve and may benefit from traditional open or other minimally invasive techniques. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=complications" title="complications">complications</a>, <a href="https://publications.waset.org/abstracts/search?q=lumbar%20disc%20herniation" title=" lumbar disc herniation"> lumbar disc herniation</a>, <a href="https://publications.waset.org/abstracts/search?q=lumbar%20endoscopic%20spine%20surgery" title=" lumbar endoscopic spine surgery"> lumbar endoscopic spine surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=predictors%20of%20failed%20endoscopic%20spine%20surgery" title=" predictors of failed endoscopic spine surgery"> predictors of failed endoscopic spine surgery</a> </p> <a href="https://publications.waset.org/abstracts/181406/predictors-of-clinical-failure-after-endoscopic-lumbar-spine-surgery-during-the-initial-learning-curve" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/181406.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">154</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">392</span> “Protection” or “Destruction”: Taking the Cultural Heritage Protection of the Grand Canal in Huaxian and Xunxian Sections of Henan Province as Example</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yue%20Sun">Yue Sun</a>, <a href="https://publications.waset.org/abstracts/search?q=Yuan%20Wang"> Yuan Wang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The Grand Canal of China has been in use for more than two thousand years. It runs through the central and eastern regions of China and communicates with the five major river systems of Haihe River, Yellow River, Huaihe River, Yangtze River and Qiantang River from north to south. It is a complex, systematic and comprehensive water conservancy project in the period of agricultural civilization and includes the three parts of the Beijing-Hangzhou Canal, the Sui and Tang Dynasties Canal and the Eastern Zhejiang Canal. It covers eight provinces and cities including Beijing, Tianjin, Hebei, Shandong, Jiangsu, Zhejiang, Henan and Anhui. The Grand Canal is an important channel connecting the Central Plains and the Beijing-Hangzhou Canal, and it is also an important waterway trade channel. Nowadays, although the Grand Canal no longer bears the burden of communicating water transportation between the north and the south, the site of the Grand Canal is still a “historical museum” of the lifestyle of people who lived on the canal from the Ming and Qing Dynasties to the Republic of China. By means of literature reading and field investigation, this paper compares the different protection strategies of the Grand Canal in the region between the ancient villages of Huaxian and Xunxian, which witness the vicissitudes of canal water transport, to explore whether the protective renovation of historical and cultural routes is “protection” or “destruction”, and puts forward some protection suggestions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=The%20Grand%20Canal" title="The Grand Canal">The Grand Canal</a>, <a href="https://publications.waset.org/abstracts/search?q=heritage%20conservation" title=" heritage conservation"> heritage conservation</a>, <a href="https://publications.waset.org/abstracts/search?q=cultural%20route" title=" cultural route"> cultural route</a>, <a href="https://publications.waset.org/abstracts/search?q=ancient%20villages" title=" ancient villages"> ancient villages</a>, <a href="https://publications.waset.org/abstracts/search?q=strategies" title=" strategies"> strategies</a> </p> <a href="https://publications.waset.org/abstracts/102854/protection-or-destruction-taking-the-cultural-heritage-protection-of-the-grand-canal-in-huaxian-and-xunxian-sections-of-henan-province-as-example" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/102854.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">153</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">391</span> Use of Short Piles for Stabilizing the Side Slope of the Road Embankment along the Canal </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Monapat%20Sasingha">Monapat Sasingha</a>, <a href="https://publications.waset.org/abstracts/search?q=Suttisak%20Soralump"> Suttisak Soralump </a> </p> <p class="card-text"><strong>Abstract:</strong></p> This research presents the behavior of slope of the road along the canal stabilized by short piles. In this investigation, the centrifuge machine was used, modelling the condition of the water levels in the canal. The centrifuge tests were performed at 35 g. To observe the movement of the soil, visual analysis was performed to evaluate the failure behavior. Conclusively, the use of short piles to stabilize the canal slope proved to be an effective solution. However, the certain amount of settlement was found behind the short pile rows. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=centrifuge%20test" title="centrifuge test">centrifuge test</a>, <a href="https://publications.waset.org/abstracts/search?q=slope%20failure" title=" slope failure"> slope failure</a>, <a href="https://publications.waset.org/abstracts/search?q=embankment" title=" embankment"> embankment</a>, <a href="https://publications.waset.org/abstracts/search?q=stability%20of%20slope" title=" stability of slope"> stability of slope</a> </p> <a href="https://publications.waset.org/abstracts/64172/use-of-short-piles-for-stabilizing-the-side-slope-of-the-road-embankment-along-the-canal" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/64172.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">268</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">390</span> Spinal Hydatidosis: Therapeutic Management of 5 Cases</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ghoul%20Rachid%20Brahim">Ghoul Rachid Brahim</a>, <a href="https://publications.waset.org/abstracts/search?q=Trad%20Khodja%20Rafik"> Trad Khodja Rafik</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Vertebral localization of the hydatid cyst is a severe form of bone hydatidosis, is a parasitic infection caused by the larval forms of the tapeworms Echinococcus granulosus, The disease is slowly remaining silent (a long incubation period) which may explain why this pathology is often discovered at the stage of neurological complications. The objective of this study is to recall the clinical and radiological aspects of this condition and the importance of early diagnosis and appropriate management. We report a study of 5 patients with vertebral hydatidosis, four men and one woman, four (04) patients operated in the emergency setting for spinal cord compression (decompression by wide laminectomy with evacuation of intra and extra canal vesicles).Albendazole-based medical treatment is instituted in all patients. Results: The evolution was favorable for three patients, the other two patients reoperated for a local recurrence. Conclusion: Vertebral hydatidosis is a rare condition with a poor prognosis due to the risk of neurological damage, the infiltrating nature of bone lesions, the frequency of relapses and therapeutic difficulties. The only curative method remains surgery, which must aim for complete and large excision of the lesions as if it were a “malignant tumour”. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hydatidosis" title="hydatidosis">hydatidosis</a>, <a href="https://publications.waset.org/abstracts/search?q=Echinococcosis%20granulosus" title=" Echinococcosis granulosus"> Echinococcosis granulosus</a>, <a href="https://publications.waset.org/abstracts/search?q=hydatid%20cyst" title=" hydatid cyst"> hydatid cyst</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20compression" title=" spinal cord compression"> spinal cord compression</a>, <a href="https://publications.waset.org/abstracts/search?q=laminectomy" title=" laminectomy"> laminectomy</a> </p> <a href="https://publications.waset.org/abstracts/154755/spinal-hydatidosis-therapeutic-management-of-5-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/154755.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">97</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">389</span> Biomechanical Evaluation for Minimally Invasive Lumbar Decompression: Unilateral Versus Bilateral Approaches</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yi-Hung%20Ho">Yi-Hung Ho</a>, <a href="https://publications.waset.org/abstracts/search?q=Chih-Wei%20Wang"> Chih-Wei Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Chih-Hsien%20Chen"> Chih-Hsien Chen</a>, <a href="https://publications.waset.org/abstracts/search?q=Chih-Han%20Chang"> Chih-Han Chang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Unilateral laminotomy and bilateral laminotomies were successful decompressions methods for managing spinal stenosis that numerous studies have reported. Thus, unilateral laminotomy was rated technically much more demanding than bilateral laminotomies, whereas the bilateral laminotomies were associated with a positive benefit to reduce more complications. There were including incidental durotomy, increased radicular deficit, and epidural hematoma. However, no relative biomechanical analysis for evaluating spinal instability treated with unilateral and bilateral laminotomies. Therefore, the purpose of this study was to compare the outcomes of different decompressions methods by experimental and finite element analysis. Three porcine lumbar spines were biomechanically evaluated for their range of motion, and the results were compared following unilateral or bilateral laminotomies. The experimental protocol included flexion and extension in the following procedures: intact, unilateral, and bilateral laminotomies (L2–L5). The specimens in this study were tested in flexion (8 Nm) and extension (6 Nm) of pure moment. Spinal segment kinematic data was captured by using the motion tracking system. A 3D finite element lumbar spine model (L1-S1) containing vertebral body, discs, and ligaments were constructed. This model was used to simulate the situation of treating unilateral and bilateral laminotomies at L3-L4 and L4-L5. The bottom surface of S1 vertebral body was fully geometrically constrained in this study. A 10 Nm pure moment also applied on the top surface of L1 vertebral body to drive lumbar doing different motion, such as flexion and extension. The experimental results showed that in the flexion, the ROMs (±standard deviation) of L3–L4 were 1.35±0.23, 1.34±0.67, and 1.66±0.07 degrees of the intact, unilateral, and bilateral laminotomies, respectively. The ROMs of L4–L5 were 4.35±0.29, 4.06±0.87, and 4.2±0.32 degrees, respectively. No statistical significance was observed in these three groups (P>0.05). In the extension, the ROMs of L3–L4 were 0.89±0.16, 1.69±0.08, and 1.73±0.13 degrees, respectively. In the L4-L5, the ROMs were 1.4±0.12, 2.44±0.26, and 2.5±0.29 degrees, respectively. Significant differences were observed among all trials, except between the unilateral and bilateral laminotomy groups. At the simulation results portion, the similar results were discovered with the experiment. No significant differences were found at L4-L5 both flexion and extension in each group. Only 0.02 and 0.04 degrees variation were observed during flexion and extension between the unilateral and bilateral laminotomy groups. In conclusions, the present results by finite element analysis and experimental reveal that no significant differences were observed during flexion and extension between unilateral and bilateral laminotomies in short-term follow-up. From a biomechanical point of view, bilateral laminotomies seem to exhibit a similar stability as unilateral laminotomy. In clinical practice, the bilateral laminotomies are likely to reduce technical difficulties and prevent perioperative complications; this study proved this benefit through biomechanical analysis. The results may provide some recommendations for surgeons to make the final decision. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=unilateral%20laminotomy" title="unilateral laminotomy">unilateral laminotomy</a>, <a href="https://publications.waset.org/abstracts/search?q=bilateral%20laminotomies" title=" bilateral laminotomies"> bilateral laminotomies</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20stenosis" title=" spinal stenosis"> spinal stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=finite%20element%20analysis" title=" finite element analysis "> finite element analysis </a> </p> <a href="https://publications.waset.org/abstracts/36871/biomechanical-evaluation-for-minimally-invasive-lumbar-decompression-unilateral-versus-bilateral-approaches" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/36871.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">399</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">388</span> Expression of uPA, tPA, and PAI-1 in Calcified Aortic Valves</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20M.%20Alzahrani">Abdullah M. Alzahrani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Our physiopathological assumption is that u-PA, t-PA, and PAI-1 are released by calcified aortic valves and play a role in the calcification of these valves. Sixty-five calcified aortic valves were collected from patients suffering from aortic stenosis. Each valve was incubated for 24 hours in culture medium. The supernatants were used to measure u-PA, t-PA, and PAI-1 concentrations; the valve calcification was evaluated using biphotonic absorptiometry. Aortic stenosis valves expressed normal plasminogen activators concentrations and overexpressed PAI-1 (u-PA, t-PA, and PAI-1 mean concentrations were, resp., 1.69 ng/mL ± 0.80, 2.76 ng/mL ± 1.33, and 53.27 ng/mL ± 36.39). There was no correlation between u-PA and PAI-1 (r = 0.3) but t-PA and PAI-1 were strongly correlated with each other (r = 0.6). Over expression of PAI-1 was proportional to the calcium content of theAS valves. Our results demonstrate a consistent increase of PAI-1 proportional to the calcification. The over expression of PAI-1 may be useful as a predictive indicator in patients with aortic stenosis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=aortic%20valve" title="aortic valve">aortic valve</a>, <a href="https://publications.waset.org/abstracts/search?q=PAI-1" title=" PAI-1"> PAI-1</a>, <a href="https://publications.waset.org/abstracts/search?q=tPA%20gene" title=" tPA gene"> tPA gene</a>, <a href="https://publications.waset.org/abstracts/search?q=uPA%20gene" title=" uPA gene"> uPA gene</a> </p> <a href="https://publications.waset.org/abstracts/24878/expression-of-upa-tpa-and-pai-1-in-calcified-aortic-valves" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/24878.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">474</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">387</span> Embolization of Spinal Dural Arteriovenous Fistulae: Clinical Outcomes and Long-Term Follow-Up: A Multicenter Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Walid%20Abouzeid">Walid Abouzeid</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Shadad"> Mohamed Shadad</a>, <a href="https://publications.waset.org/abstracts/search?q=Mostafa%20Farid"> Mostafa Farid</a>, <a href="https://publications.waset.org/abstracts/search?q=Magdy%20El%20Hawary"> Magdy El Hawary</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The most frequent treatable vascular abnormality of the spinal canal is spinal dural arteriovenous fistulae (SDAVFs), which cause progressive para- or quadriplegia mostly affecting elderly males. SDAVFs are present in the thoracolumbar region. The main goal of treatment must be to obliterate the shunting zone via superselective embolization with the usage of a liquid embolic agent. This study aims to evaluate endovascular technique as a safe and efficient approach for the treatment SDAVFs, especially with long-term follow-up clinical outcomes. Study Design: A retrospective clinical case study. From May 2010 to May 2017, 15 patients who had symptoms attributed to SDAVFs underwent the operation in the Departments of Neurosurgery in Suhag, Tanta, and Al-Azhar Universities and Interventional Radiology, Ain Shams University. All the patients had varying degrees of progressive spastic paraparesis with and without sphincteric disturbances. Endovascular embolization was used in all cases. Fourteen were males, with ages ranging from 45 to 74 years old. After the treatment, good outcome was found in five patients (33.3%), a moderate outcome was delineated in six patients (40 %), and four patients revealed a poor outcome (26.7%). Spinal AVF could be treated safely and effectively by the endovascular approach. Generally, there is no correlation between the disappearance of MRI abnormalities and significant clinical improvement. The preclinical state of the patient is directly proportional to the clinical outcome. Due to unexpected responses, embolization should be attempted even the patient is in a bad clinical condition. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spine" title="spine">spine</a>, <a href="https://publications.waset.org/abstracts/search?q=arteriovenous" title=" arteriovenous"> arteriovenous</a>, <a href="https://publications.waset.org/abstracts/search?q=fistula" title=" fistula"> fistula</a>, <a href="https://publications.waset.org/abstracts/search?q=endovascular" title=" endovascular"> endovascular</a>, <a href="https://publications.waset.org/abstracts/search?q=embolization" title=" embolization"> embolization</a> </p> <a href="https://publications.waset.org/abstracts/147643/embolization-of-spinal-dural-arteriovenous-fistulae-clinical-outcomes-and-long-term-follow-up-a-multicenter-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/147643.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">108</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">386</span> A Comparative CFD Study on the Hemodynamics of Flow through an Idealized Symmetric and Asymmetric Stenosed Arteries</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=B.%20Prashantha">B. Prashantha</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Anish"> S. Anish</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The aim of the present study is to computationally evaluate the hemodynamic factors which affect the formation of atherosclerosis and plaque rupture in the human artery. An increase of atherosclerosis disease in the artery causes geometry changes, which results in hemodynamic changes such as flow separation, reattachment, and adhesion of new cells (chemotactic) in the artery. Hence, geometry plays an important role in the determining the nature of hemodynamic patterns. Influence of stenosis in the non-bifurcating artery, under pulsatile flow condition, has been studied on an idealized geometry. Analysis of flow through symmetric and asymmetric stenosis in the artery revealed the significance of oscillating shear index (OSI), flow separation, low WSS zones and secondary flow patterns on plaque formation. The observed characteristic of flow in the post-stenotic region highlight the importance of plaque eccentricity on the formation of secondary stenosis on the arterial wall. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=atherosclerotic%20plaque" title="atherosclerotic plaque">atherosclerotic plaque</a>, <a href="https://publications.waset.org/abstracts/search?q=oscillatory%20shear%20index" title=" oscillatory shear index"> oscillatory shear index</a>, <a href="https://publications.waset.org/abstracts/search?q=stenosis%20nature" title=" stenosis nature"> stenosis nature</a>, <a href="https://publications.waset.org/abstracts/search?q=wall%20shear%20stress" title=" wall shear stress"> wall shear stress</a> </p> <a href="https://publications.waset.org/abstracts/48939/a-comparative-cfd-study-on-the-hemodynamics-of-flow-through-an-idealized-symmetric-and-asymmetric-stenosed-arteries" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/48939.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">350</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">385</span> Study of the Facilities in the Cultural and Ecotourism Route in the Area of Om Nont Canal, Nonthaburi Provice, Thailand</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Supattra%20Suanlim">Supattra Suanlim</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nonthaburi province is one of the provinces in the central region of Thailand. There is the Chao Phraya River, which is a large and important river of Thailand passing through the province. With the way of life and social changes since the past. There is a digging canal called Lat canal or Om canal, communities along the canal have dense settlements. Important in life and culture. This research has 3 objectives as follows. 1.To explore cultural and ecotourism attractions in the Om Nont canal area. 2.To explore the facilities in the Om Nont canal tourist attraction. To suggest facilities for tourist attractions in the Om Nont canal, Nonthaburi, Thailand. This research is a qualitative research, using research methods by collecting data and surveying tourist attractions by water traffic. The results of the research can be concluded that There are 21 tourist attractions that have the potential to welcome tourists who want to travel cultural. 16 temples or places of worship, 2 government offices, 1 market, 2 landmarks. Each should be improved to increase the potential of the paths. There should be improvements in the road landscape that is a connection to water traffic. Districts should have signage and signage installation within tourist sites and have guidelines for architectural improvements. And the Nodes should improve the public space of the community. Such as the Nonthaburi pier area to have the idea of designing a tourist center Provide information in both Thai and English. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Community" title="Community">Community</a>, <a href="https://publications.waset.org/abstracts/search?q=Cultural" title=" Cultural"> Cultural</a>, <a href="https://publications.waset.org/abstracts/search?q=Ecotourism" title=" Ecotourism"> Ecotourism</a>, <a href="https://publications.waset.org/abstracts/search?q=Facility" title=" Facility"> Facility</a> </p> <a href="https://publications.waset.org/abstracts/123364/study-of-the-facilities-in-the-cultural-and-ecotourism-route-in-the-area-of-om-nont-canal-nonthaburi-provice-thailand" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/123364.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">133</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">384</span> Analysis of Bed Load Sediment Transport Mataram-Babarsari Irrigation Canal</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Agatha%20Padma%20Laksitaningtyas">Agatha Padma Laksitaningtyas</a>, <a href="https://publications.waset.org/abstracts/search?q=Sumiyati%20Gunawan"> Sumiyati Gunawan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Mataram Irrigation Canal has 31,2 km length, is the main irrigation canal in Special Region Province of Yogyakarta, connecting Progo River on the west side and Opak River on the east side. It has an important role as the main water carrier distribution for various purposes such as agriculture, fishery, and plantation which should be free from sediment material. Bed Load Sediment is the basic sediment that will make the sediment process on the irrigation canal. Sediment process is a simultaneous event that can make deposition sediment at the base of irrigation canal and can make the height of elevation water change, it will affect the availability of water to be used for irrigation functions. To predict the amount of drowning sediments in the irrigation canal using two methods: Meyer-Peter and Muller’s Method which is an energy approach method and Einstein Method which is a probabilistic approach. Speed measurement using floating method and using current meters. The channel geometry is measured directly in the field. The basic sediment of the channel is taken in the field by taking three samples from three different points. The result of the research shows that by using the formula Meyer -Peter Muller get the result of 60,75799 kg/s, whereas with Einsten’s Method get result of 13,06461 kg/s. the results may serve as a reference for dredging the sediments on the channel so as not to disrupt the flow of water in irrigation canal. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bed%20load" title="bed load">bed load</a>, <a href="https://publications.waset.org/abstracts/search?q=sediment" title=" sediment"> sediment</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigation" title=" irrigation"> irrigation</a>, <a href="https://publications.waset.org/abstracts/search?q=Mataram%20canal" title=" Mataram canal"> Mataram canal</a> </p> <a href="https://publications.waset.org/abstracts/82951/analysis-of-bed-load-sediment-transport-mataram-babarsari-irrigation-canal" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/82951.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">228</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">383</span> The Evaluation of Caustic and Corrosive Poisoning in Children</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sabiha%20Sahin">Sabiha Sahin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: We have planned this study because of the increasing number of corrosive substance poisoning who admitted to the Pediatric Emergency Department. Method: 636 corrosive substance poisoning cases applied to the Osmangazi University PED between 1 January 2015 - 31 December 2017 were retrospectively analyzed. Results: 438 (69%) cases were male.The poisoning rate of groups 0-4 was significantly higher and occurred by accident. A total of 616 cases (96.9%) were poisoned by the oral route, and 20 cases were poisoned by inhalation.462 Patients were admitted to the hospital within an hour (72.8%). Of the 134 patients who had only erosion and redness around the mouth, 24 patients had salivation and dysphagia symptoms besides these. Of the 28 cases of 158 patients with symptoms, eusaphegeal stenosis was detected. on third day examination. Although there was no statistically significant correlation between esophageal stenosis and erosion and redness around the mouth, there was a statistically significant correlation between dysphagia and salivation between esophageal stenosis Conclusion: The increased salivation and the dysphagia are important signs of risk of devoloping esophageal stenosis at first examination corrosive poisoning in children. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=caustic" title="caustic">caustic</a>, <a href="https://publications.waset.org/abstracts/search?q=corrosive" title=" corrosive"> corrosive</a>, <a href="https://publications.waset.org/abstracts/search?q=poisoning" title=" poisoning"> poisoning</a>, <a href="https://publications.waset.org/abstracts/search?q=children" title=" children"> children</a> </p> <a href="https://publications.waset.org/abstracts/88933/the-evaluation-of-caustic-and-corrosive-poisoning-in-children" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/88933.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">160</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">382</span> Irrigation Potential Assessment for Eastern Ganga Canal, India Using Geographic Information System </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Deepak%20Khare">Deepak Khare</a>, <a href="https://publications.waset.org/abstracts/search?q=Radha%20Krishan"> Radha Krishan</a>, <a href="https://publications.waset.org/abstracts/search?q=Bhaskar%20Nikam"> Bhaskar Nikam</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The present study deals with the results of the Ortho-rectified Cartosat-1 PAN (2.5 m resolution) satellite data analysis for the extraction of canal networks under the Eastern Ganga Canal (EGC) command. Based on the information derived through the remote sensing data, in terms of the number of canals, their physical status and hydraulic connectivity from the source, irrigation potential (IP) created in the command was assessed by comparing with planned/design canal-wise irrigation potentials. All the geospatial information generated in the study is organized in a geodatabase. The EGC project irrigates the command through one main canal, five branch canals, 36 distributaries and 186 minors. The study was conducted with the main objectives of inventory and mapping of irrigation infrastructure using geographic information system (GIS), remote sensing and field data. Likewise, the assessment of irrigation potential created using the mapped infrastructure was performed as on March 2017. Results revealed that the canals were not only pending but were also having gap/s, and hydraulically disconnected in each branch canal and also in minors of EGC. A total of 16622.3 ha of commands were left untouched with canal water just due to the presence of gaps in the EGC project. The sum of all the gaps present in minor canals was 11.92 km, while in distributary, it was 2.63 km. This is a very good scenario that balances IP can be achieved by working on the gaps present in minor canals. Filling the gaps in minor canals can bring most of the area under irrigation, especially the tail reaches command. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=canal%20command" title="canal command">canal command</a>, <a href="https://publications.waset.org/abstracts/search?q=GIS" title=" GIS"> GIS</a>, <a href="https://publications.waset.org/abstracts/search?q=hydraulic%20connectivity" title=" hydraulic connectivity"> hydraulic connectivity</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigation%20potential" title=" irrigation potential"> irrigation potential</a> </p> <a href="https://publications.waset.org/abstracts/121041/irrigation-potential-assessment-for-eastern-ganga-canal-india-using-geographic-information-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/121041.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">147</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">381</span> The Analgesic Impact of Adding Intrathecal Ketamine to Spinal Anaesthesia for Hip or Knee Arthroplasty: A Clinical Audit</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Carl%20Ashworth">Carl Ashworth</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthys%20Campher"> Matthys Campher</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Spinal anaesthesia has been identified as the “gold standard” for primary elective total hip and knee arthroplasty, which is most commonly performed using longer-acting local anaesthetics, such as hyperbaric bupivacaine, to prolong the duration of anaesthesia and analgesia suitable for these procedures. Ketamine is known to have local anaesthetic effects with potent analgesic properties and has been evaluated as a sole anaesthetic agent via intrathecal administration; however, the use of intrathecal ketamine as an adjunct to intrathecal hyperbaric bupivacaine, morphine, and fentanyl has not been extensively studied. The objective of this study was to identify the potential analgesic effects of the addition of intrathecal ketamine to spinal anaesthesia and to compare the efficacy and safety of adding intrathecal ketamine to spinal anaesthesia for hip- or knee arthroplasty with spinal anaesthesia for hip- or knee arthroplasty without intrathecal ketamine. The medical records of patients who underwent elective hip- or knee arthroplasty under spinal anaesthesia performed by an individual anaesthetist with either intrathecal hyperbaric bupivacaine, morphine and fentanyl or intrathecal hyperbaric bupivacaine, morphine, fentanyl and ketamine between June 4, 2020, and June 4, 2022, were retrospectively reviewed. These encounters were reviewed and analyzed from a perioperative pain perspective, with the primary outcome measure as the oral morphine equivalent (OME) usage in the 48 hours post-spinal anaesthesia, and secondary outcome measures including time to breakthrough analgesia, self-reported pain scores at rest and during movement at 24 and 48 hours after surgery, adverse effects of analgesia, complications, and length of stay. There were 26 patients identified who underwent TKR between June 4, 2020, and June 4, 2022, and 25 patients who underwent THR with the same conditions. It was identified that patients who underwent traditional spinal anaesthesia with the addition of ketamine for elective hip- or knee arthroplasty had a lower mean total OME in the 48 hours immediately post-spinal anaesthesia yet had a shorter time to breakthrough analgesia administration. The proposed mechanism of action for intrathecal ketamine as an additive to traditional spinal anaesthesia for elective hip- or knee arthroplasty is that it may prolong and attenuate the analgesic effect of traditional spinal anaesthesia. There were no significant differences identified in comparing the efficacy and safety of adding intrathecal ketamine to spinal anaesthesia for hip- or knee arthroplasty with spinal anaesthesia for hip- or knee arthroplasty without intrathecal ketamine. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anaesthesia" title="anaesthesia">anaesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal" title=" spinal"> spinal</a>, <a href="https://publications.waset.org/abstracts/search?q=intra-thecal" title=" intra-thecal"> intra-thecal</a>, <a href="https://publications.waset.org/abstracts/search?q=ketamine" title=" ketamine"> ketamine</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal-morphine" title=" spinal-morphine"> spinal-morphine</a>, <a href="https://publications.waset.org/abstracts/search?q=bupivacaine" title=" bupivacaine"> bupivacaine</a> </p> <a href="https://publications.waset.org/abstracts/173833/the-analgesic-impact-of-adding-intrathecal-ketamine-to-spinal-anaesthesia-for-hip-or-knee-arthroplasty-a-clinical-audit" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173833.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">52</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">380</span> Analysis of the Impact of Suez Canal on the Robustness of Global Shipping Networks</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Zimu%20Li">Zimu Li</a>, <a href="https://publications.waset.org/abstracts/search?q=Zheng%20Wan"> Zheng Wan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The Suez Canal plays an important role in global shipping networks and is one of the most frequently used waterways in the world. The 2021 canal obstruction by ship Ever Given in March 2021, however, completed blocked the Suez Canal for a week and caused significant disruption to world trade. Therefore, it is very important to quantitatively analyze the impact of the accident on the robustness of the global shipping network. However, the current research on maritime transportation networks is usually limited to local or small-scale networks in a certain region. Based on the complex network theory, this study establishes a global shipping complex network covering 2713 nodes and 137830 edges by using the real trajectory data of the global marine transport ship automatic identification system in 2018. At the same time, two attack modes, deliberate (Suez Canal Blocking) and random, are defined to calculate the changes in network node degree, eccentricity, clustering coefficient, network density, network isolated nodes, betweenness centrality, and closeness centrality under the two attack modes, and quantitatively analyze the actual impact of Suez Canal Blocking on the robustness of global shipping network. The results of the network robustness analysis show that Suez Canal blocking was more destructive to the shipping network than random attacks of the same scale. The network connectivity and accessibility decreased significantly, and the decline decreased with the distance between the port and the canal, showing the phenomenon of distance attenuation. This study further analyzes the impact of the blocking of the Suez Canal on Chinese ports and finds that the blocking of the Suez Canal significantly interferes withChina's shipping network and seriously affects China's normal trade activities. Finally, the impact of the global supply chain is analyzed, and it is found that blocking the canal will seriously damage the normal operation of the global supply chain. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=global%20shipping%20networks" title="global shipping networks">global shipping networks</a>, <a href="https://publications.waset.org/abstracts/search?q=ship%20AIS%20trajectory%20data" title=" ship AIS trajectory data"> ship AIS trajectory data</a>, <a href="https://publications.waset.org/abstracts/search?q=main%20channel" title=" main channel"> main channel</a>, <a href="https://publications.waset.org/abstracts/search?q=complex%20network" title=" complex network"> complex network</a>, <a href="https://publications.waset.org/abstracts/search?q=eigenvalue%20change" title=" eigenvalue change"> eigenvalue change</a> </p> <a href="https://publications.waset.org/abstracts/143972/analysis-of-the-impact-of-suez-canal-on-the-robustness-of-global-shipping-networks" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/143972.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">182</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">379</span> Visibility of the Borders of the Mandibular Canal: A Comparative in Vitro Study Using Digital Panoramic Radiography, Reformatted Panoramic Radiography and Cross Sectional Cone Beam Computed Tomography</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Keerthilatha%20Pai">Keerthilatha Pai</a>, <a href="https://publications.waset.org/abstracts/search?q=Sakshi%20Kamra"> Sakshi Kamra</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: Determining the position of the mandibular canal prior to implant placement and surgeries of the posterior mandible are important to avoid the nerve injury. The visibility of the mandibular canal varies according to the imaging modality. Although panoramic radiography is the most common, slowly cone beam computed tomography is replacing it. This study was conducted with an aim to determine and compare the visibility of superior and inferior borders of the mandibular canal in digital panoramic radiograph, reformatted panoramic radiograph and cross-sectional images of cone beam computed tomography. Study design: digital panoramic, reformatted panoramic radiograph and cross sectional CBCT images of 25 human mandibles were evaluated for the visibility of the superior and inferior borders of the mandibular canal according to a 5 point scoring criteria. Also, the canal was evaluated as completely visible, partially visible and not visible. The mean scores and visibility percentage of all the imaging modalities were determined and compared. The interobserver and intraobserver agreement in the visualization of the superior and inferior borders of the mandibular canal were determined. Results: The superior and inferior borders of the mandibular canal were completely visible in 47% of the samples in digital panoramic, 63% in reformatted panoramic and 75.6% in CBCT cross-sectional images. The mandibular canal was invisible in 24% of samples in digital panoramic, 19% in reformatted panoramic and 2% in cross-sectional CBCT images. Maximum visibility was seen in Zone 5 and least visibility in Zone 1. On comparison of all the imaging modalities, CBCT cross-sectional images showed better visibility of superior border in Zones 2,3,4,6 and inferior border in Zones 2,3,4,6. The difference was statistically significant. Conclusion: CBCT cross-sectional images were much superior in the visualization of the mandibular canal in comparison to reformatted and digital panoramic radiographs. The inferior border was better visualized in comparison to the superior border in digital panoramic imaging. The mandibular canal was maximumly visible in posterior one-third region of the mandible and the visibility decreased towards the mental foramen. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cone%20beam%20computed%20tomography" title="cone beam computed tomography">cone beam computed tomography</a>, <a href="https://publications.waset.org/abstracts/search?q=mandibular%20canal" title=" mandibular canal"> mandibular canal</a>, <a href="https://publications.waset.org/abstracts/search?q=reformatted%20panoramic%20radiograph" title=" reformatted panoramic radiograph"> reformatted panoramic radiograph</a>, <a href="https://publications.waset.org/abstracts/search?q=visualization" title=" visualization"> visualization</a> </p> <a href="https://publications.waset.org/abstracts/108093/visibility-of-the-borders-of-the-mandibular-canal-a-comparative-in-vitro-study-using-digital-panoramic-radiography-reformatted-panoramic-radiography-and-cross-sectional-cone-beam-computed-tomography" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/108093.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">127</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">378</span> The Relationship Between Spirituality and Quality of Life in Patients with Spinal Cord Injury, Iran</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Khadije%20Khazaeli">Khadije Khazaeli</a>, <a href="https://publications.waset.org/abstracts/search?q=Farzane%20Saberi"> Farzane Saberi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Spinal cord injury is one of the traumatic events which has a great impact on the quality of life. spirituality has been used to improve many disorders and abnormalities in recent years and positive results have been seen; accordingly, the present study investigated the relationship between spirituality and quality of life in these patients. This study is a cross-sectional study of the correlation type was conducted on 100 people with spinal cord injury in Isfahan province in 2016 by the available sample method. Spirituality was assessed through the Spiritual Attitude Questionnaire and quality of life through the World Health Organization Quality of Life Questionnaire. Pearson correlation and regression tests were used to analyze the data. The results of this study showed that spirituality has a significant relationship with the quality of life of patients with spinal cord injury. It was also proved that all sub-units of spirituality, including attitude and spiritual ability, can affect all components of quality of life. The findings suggest that spirituality, along with other factors, can lead to a significant improvement in quality of life and, ultimately, general health of patients with SCI. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title="spinal cord injury">spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=spirituality" title=" spirituality"> spirituality</a>, <a href="https://publications.waset.org/abstracts/search?q=patients" title=" patients"> patients</a> </p> <a href="https://publications.waset.org/abstracts/163044/the-relationship-between-spirituality-and-quality-of-life-in-patients-with-spinal-cord-injury-iran" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/163044.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">98</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">377</span> Value of Unilateral Spinal Anaesthesia For Hip Fracture Surgery In The Elderly (75 Cases)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fedili%20Benamar">Fedili Benamar</a>, <a href="https://publications.waset.org/abstracts/search?q=Beloulou%20Mohamed%20Lamine"> Beloulou Mohamed Lamine</a>, <a href="https://publications.waset.org/abstracts/search?q=Ouahes%20Hassane"> Ouahes Hassane</a>, <a href="https://publications.waset.org/abstracts/search?q=Ghattas%20Samir"> Ghattas Samir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and aims: While in Western countries, unilateral spinal anesthesia has been widely practiced for a long time, it remains little known in the local anesthesia community, and has not been the object of many studies. However, it is a simple, practical and effective technique. Our objective was to evaluate this practice in emergency anesthesia management in frail patients and to compare it with conventional spinal anesthesia. Methods: This is a prospective, observational, comparative study between hypobaric unilateral and conventional spinal anaesthesia for hip fracture surgery carried out in the operating room of the university military hospital of Staoueli. The work was spread over of 12-month period from 2019 to 2020. The parameters analyzed were hemodynamic variations, vasopressor use, block efficiency, postoperative adverse events, and postoperative morphine consumption. Results: -75 cases (mean age 72±14 years) -Group1= 41 patients (54.6%) divided into (ASA1=14.6% ASA2=60.98% ASA3=24.39%) single shoot spinal anaesthesia -Group2= 34 patients (45.3%) divided into (ASA1=2.9%, ASA2=26.4% ASA3=61.7%, ASA4=8.8%) unilateral hypobaric spinal anesthesia. -Hemodynamic variations were more severe in group 1 (51% hypotension) compared to 30% in group 2 RR=1.69 and odds ratio=2.4 -these variations were more marked in the ASA3 subgroup (group 1=70% hypotension versus group 2=30%) with an RR=2.33 and an odds ratio=5.44 -39% of group 1 required vasoactive drugs (15mg +/- 11) versus 32% of group 2 (8mg+/- 6.49) - no difference in the use of morphine in post-op. Conclusions: Within the limits of the population studied, this work demonstrates the clinical value of unilateral spinal anesthesia in ortho-trauma surgery in the frail patient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20anaesthesia" title="spinal anaesthesia">spinal anaesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=vasopressor" title=" vasopressor"> vasopressor</a>, <a href="https://publications.waset.org/abstracts/search?q=morphine" title=" morphine"> morphine</a>, <a href="https://publications.waset.org/abstracts/search?q=hypobaric%20unilateral%20%20spinal%20anesthesia" title=" hypobaric unilateral spinal anesthesia"> hypobaric unilateral spinal anesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=ropivacaine" title=" ropivacaine"> ropivacaine</a>, <a href="https://publications.waset.org/abstracts/search?q=hip%20surgery" title=" hip surgery"> hip surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=eldery" title=" eldery"> eldery</a>, <a href="https://publications.waset.org/abstracts/search?q=hemodynamic" title=" hemodynamic"> hemodynamic</a> </p> <a href="https://publications.waset.org/abstracts/174506/value-of-unilateral-spinal-anaesthesia-for-hip-fracture-surgery-in-the-elderly-75-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/174506.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">74</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">376</span> Semi-Autonomous Surgical Robot for Pedicle Screw Insertion on ex vivo Bovine Bone: Improved Workflow and Real-Time Process Monitoring </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Robnier%20Reyes">Robnier Reyes</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrew%20J.%20P.%20Marques"> Andrew J. P. Marques</a>, <a href="https://publications.waset.org/abstracts/search?q=Joel%20%20Ramjist"> Joel Ramjist</a>, <a href="https://publications.waset.org/abstracts/search?q=Chris%20R.%20Pasarikovski"> Chris R. Pasarikovski</a>, <a href="https://publications.waset.org/abstracts/search?q=Victor%20X.%20D.%20Yang"> Victor X. D. Yang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Over the past three decades, surgical robotic systems have demonstrated their ability to improve surgical outcomes. The LBR Med is a collaborative robotic arm that is meant to work with a surgeon to streamline surgical workflow. It has 7 degrees of freedom and thus can be easily oriented. Position and torque sensors at each joint allow it to maintain a position accuracy of 150 µm with real-time force and torque feedback, making it ideal for complex surgical procedures. Spinal fusion procedures involve the placement of as many as 20 pedicle screws, requiring a great deal of accuracy due to proximity to the spinal canal and surrounding vessels. Any deviation from intended path can lead to major surgical complications. Assistive surgical robotic systems are meant to serve as collaborative devices easing the workload of the surgeon, thereby improving pedicle screw placement by mitigating fatigue related inaccuracies. Moreover, robotic spinal systems have shown marked improvements over conventional freehanded techniques in both screw placement accuracy and fusion quality and have greatly reduced the need for screw revision, intraoperatively and post-operatively. However, current assistive spinal fusion robots, such as the ROSA Spine, are limited in functionality to positioning surgical instruments. While they offer a small degree of improvement in pedicle screw placement accuracy, they do not alleviate surgeon fatigue, nor do they provide real-time force and torque feedback during screw insertion. We propose a semi-autonomous surgical robot workflow for spinal fusion where the surgeon guides the robot to its initial position and orientation, and the robot drives the pedicle screw accurately into the vertebra. Here, we demonstrate feasibility by inserting pedicle screws into ex-vivo bovine rib bone. The robot monitors position, force and torque with respect to predefined values selected by the surgeon to ensure the highest possible spinal fusion quality. The workflow alleviates the strain on the surgeon by having the robot perform the screw placement while the ability to monitor the process in real-time keeps the surgeon in the system loop. The approach we have taken in terms of level autonomy for the robot reflects its ability to safely collaborate with the surgeon in the operating room without external navigation systems. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=ex%20vivo%20bovine%20bone" title="ex vivo bovine bone">ex vivo bovine bone</a>, <a href="https://publications.waset.org/abstracts/search?q=pedicle%20screw" title=" pedicle screw"> pedicle screw</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20robot" title=" surgical robot"> surgical robot</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20workflow" title=" surgical workflow"> surgical workflow</a> </p> <a href="https://publications.waset.org/abstracts/103298/semi-autonomous-surgical-robot-for-pedicle-screw-insertion-on-ex-vivo-bovine-bone-improved-workflow-and-real-time-process-monitoring" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/103298.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">168</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">375</span> The Dead Alexandrian Historic Vein: The Revitalization of Mahmoudiyah Canal 'The Forgotten Environmental Asset'</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sara%20S.%20Fouad">Sara S. Fouad</a>, <a href="https://publications.waset.org/abstracts/search?q=Omneya%20Messallam"> Omneya Messallam</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In 1818, a seventy-five kilometer long canal was dug (called the Mahmoudiyah canal) connecting between Alexandria city in Egypt and the western branch of the Nile. It was a productive resource and vital to its environment, context, transportation, and recreation. It played a significant role in people’s lives and Alexandria city’s shape. The canal, which was the main vein of goods’ transporting from Alexandria’s seaport to the different parts of Egypt, was still in use today as a major source of clear water in the city. But nowadays, Mahmoudiyah canal is converting into ‘dead waterway’. The canal became sources of pollution as a result of solid and industrial waste thus causing many diseases, destroying communities and biodiversity, with urban invasion, the loss of community aesthetic value and healthy environment. Therefore, this paper aims to propose an urban strategy, as a solution to revive the forgotten canal, through recreating a cultural promenade on its shore. The main aim of this research is to formulate decent quality of life, unpolluted space, an area gathering the city space for nature, tourism and investments. As a case study, this paper investigates Mahmoudiyah canal through urban and ecological analyses, aiming to design an urban strategy for reviving it by creating a cultural promenade enriched with public spaces and green areas, which can most probably enhance the quality of life, city re-living and development. Community participation is also considered as vital and intrinsic implementation stage. The empirical research involved using several data assembly methods such as interviews, mental mapping, structural observations and questionnaires. The paper ends with a set of conclusions leading to proposals for the Mahmoudiyah canal revitalization considering the complex challenges and processes of sustainable regeneration focusing on city’s rehabilitation and lost identity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mahmoudiyah%20canal" title="Mahmoudiyah canal">Mahmoudiyah canal</a>, <a href="https://publications.waset.org/abstracts/search?q=community%20aesthetic%20value" title=" community aesthetic value"> community aesthetic value</a>, <a href="https://publications.waset.org/abstracts/search?q=city%20re-living" title=" city re-living"> city re-living</a>, <a href="https://publications.waset.org/abstracts/search?q=cultural%20promenade" title=" cultural promenade"> cultural promenade</a> </p> <a href="https://publications.waset.org/abstracts/98561/the-dead-alexandrian-historic-vein-the-revitalization-of-mahmoudiyah-canal-the-forgotten-environmental-asset" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/98561.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">132</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">374</span> Effect of Eddy Irrigant Activation on Cleanliness of the Root Canal Wall during Pulpectomy of Primary Teeth </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rasha%20Sharaf">Rasha Sharaf</a>, <a href="https://publications.waset.org/abstracts/search?q=Nehal%20Sharaf"> Nehal Sharaf</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Pulpectomy of primary teeth aims to remove the necrotic pulp tissue from the infected root canal and clean the root canal walls from any remnant of pulp tissue. Different irrigant activation systems have been recently used, and one of these devices is the Eddy which helps in removal of smear layer and improves the intimate contact between the filling material and the root canal wall. Aim: To evaluate the efficacy of Eddy in cleanliness of the root canal during pulpectomy of primary teeth. Materials and methods: 45 freshly extracted primary anterior teeth were divided into 3 equal groups, in the 1st group sodium hypochlorite only was used during pulpectomy, in the 2nd group irrigation using sodium hypochlorite with file agitation was performed and in the 3rd group sodium hypochlorite was used with Eddy for irrigant activation. All samples were sectioned longitudinally and scanned using scanning electron microscope to evaluate the cleanliness of the root canals. Results: It was found that Eddy showed high efficacy in removal of smear layer during pulpectomy of primary teeth. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Eddy" title="Eddy">Eddy</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigant%20activation" title=" irrigant activation"> irrigant activation</a>, <a href="https://publications.waset.org/abstracts/search?q=irrigation" title=" irrigation"> irrigation</a>, <a href="https://publications.waset.org/abstracts/search?q=pulpectomy" title=" pulpectomy"> pulpectomy</a> </p> <a href="https://publications.waset.org/abstracts/131150/effect-of-eddy-irrigant-activation-on-cleanliness-of-the-root-canal-wall-during-pulpectomy-of-primary-teeth" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/131150.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">152</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">373</span> Investigations into the in situ Enterococcus faecalis Biofilm Removal Efficacies of Passive and Active Sodium Hypochlorite Irrigant Delivered into Lateral Canal of a Simulated Root Canal Model</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Saifalarab%20A.%20Mohmmed">Saifalarab A. Mohmmed</a>, <a href="https://publications.waset.org/abstracts/search?q=Morgana%20E.%20Vianna"> Morgana E. Vianna</a>, <a href="https://publications.waset.org/abstracts/search?q=Jonathan%20C.%20Knowles"> Jonathan C. Knowles</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The issue of apical periodontitis has received considerable critical attention. Bacteria is integrated into communities, attached to surfaces and consequently form biofilm. The biofilm structure provides bacteria with a series protection skills against, antimicrobial agents and enhances pathogenicity (e.g. apical periodontitis). Sodium hypochlorite (NaOCl) has become the irrigant of choice for elimination of bacteria from the root canal system based on its antimicrobial findings. The aim of the study was to investigate the effect of different agitation techniques on the efficacy of 2.5% NaOCl to eliminate the biofilm from the surface of the lateral canal using the residual biofilm, and removal rate of biofilm as outcome measures. The effect of canal complexity (lateral canal) on the efficacy of the irrigation procedure was also assessed. Forty root canal models (n = 10 per group) were manufactured using 3D printing and resin materials. Each model consisted of two halves of an 18 mm length root canal with apical size 30 and taper 0.06, and a lateral canal of 3 mm length, 0.3 mm diameter located at 3 mm from the apical terminus. E. faecalis biofilms were grown on the apical 3 mm and lateral canal of the models for 10 days in Brain Heart Infusion broth. Biofilms were stained using crystal violet for visualisation. The model halves were reassembled, attached to an apparatus and tested under a fluorescence microscope. Syringe and needle irrigation protocol was performed using 9 mL of 2.5% NaOCl irrigant for 60 seconds. The irrigant was either left stagnant in the canal or activated for 30 seconds using manual (gutta-percha), sonic and ultrasonic methods. Images were then captured every second using an external camera. The percentages of residual biofilm were measured using image analysis software. The data were analysed using generalised linear mixed models. The greatest removal was associated with the ultrasonic group (66.76%) followed by sonic (45.49%), manual (43.97%), and passive irrigation group (control) (38.67%) respectively. No marked reduction in the efficiency of NaOCl to remove biofilm was found between the simple and complex anatomy models (p = 0.098). The removal efficacy of NaOCl on the biofilm was limited to the 1 mm level of the lateral canal. The agitation of NaOCl results in better penetration of the irrigant into the lateral canals. Ultrasonic agitation of NaOCl improved the removal of bacterial biofilm. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=3D%20printing" title="3D printing">3D printing</a>, <a href="https://publications.waset.org/abstracts/search?q=biofilm" title=" biofilm"> biofilm</a>, <a href="https://publications.waset.org/abstracts/search?q=root%20canal%20irrigation" title=" root canal irrigation"> root canal irrigation</a>, <a href="https://publications.waset.org/abstracts/search?q=sodium%20hypochlorite" title=" sodium hypochlorite"> sodium hypochlorite</a> </p> <a href="https://publications.waset.org/abstracts/70597/investigations-into-the-in-situ-enterococcus-faecalis-biofilm-removal-efficacies-of-passive-and-active-sodium-hypochlorite-irrigant-delivered-into-lateral-canal-of-a-simulated-root-canal-model" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/70597.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">230</span> </span> </div> </div> <ul class="pagination"> <li class="page-item disabled"><span class="page-link">&lsaquo;</span></li> <li class="page-item active"><span class="page-link">1</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=2">2</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=3">3</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=4">4</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=5">5</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=6">6</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=7">7</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=8">8</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=9">9</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=10">10</a></li> <li class="page-item disabled"><span class="page-link">...</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis&page=13">13</a></li> <li class="page-item"><a class="page-link" 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