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kneck surgery</title> <meta name="description" content="Search results for: head and kneck surgery"> <meta name="keywords" content="head and kneck surgery"> <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 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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="head and kneck surgery"> <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> 1957</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: head and kneck surgery</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1957</span> Congenital Sublingual Dermoid Cyst with Cutaneous Fistula</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rafael%20Ricieri">Rafael Ricieri</a>, <a href="https://publications.waset.org/abstracts/search?q=Rogerio%20Barros"> Rogerio Barros</a>, <a href="https://publications.waset.org/abstracts/search?q=Francisco%20Clovis"> Francisco Clovis</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective– The Objective of this is study is to report a rare case of dermoid cyst, with a sublingual location and cutaneous fistula in a 4 year-old child.Methods: This study is a case report. The main study instrument was the medical record and the radiological and intraoperative image bank. Results: Infants with congenital cervical lesions eventually need tomography for diagnostic elucidation, and health services should be structured to perform sedation and thin tomographic sections in order to reduce morbidity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=congenital" title="congenital">congenital</a>, <a href="https://publications.waset.org/abstracts/search?q=sublingual%20dermoid%20cyst" title=" sublingual dermoid cyst"> sublingual dermoid cyst</a>, <a href="https://publications.waset.org/abstracts/search?q=fistula" title=" fistula"> fistula</a>, <a href="https://publications.waset.org/abstracts/search?q=pediatric%20surgery" title=" pediatric surgery"> pediatric surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20and%20kneck%20surgery" title=" head and kneck surgery"> head and kneck surgery</a> </p> <a href="https://publications.waset.org/abstracts/156843/congenital-sublingual-dermoid-cyst-with-cutaneous-fistula" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/156843.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">91</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">1956</span> Determination of the Pull-Out/ Holding Strength at the Taper-Trunnion Junction of Hip Implants </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Obinna%20K.%20Ihesiulor">Obinna K. Ihesiulor</a>, <a href="https://publications.waset.org/abstracts/search?q=Krishna%20Shankar"> Krishna Shankar</a>, <a href="https://publications.waset.org/abstracts/search?q=Paul%20Smith"> Paul Smith</a>, <a href="https://publications.waset.org/abstracts/search?q=Alan%20Fien"> Alan Fien</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Excessive fretting wear at the taper-trunnion junction (trunnionosis) apparently contributes to the high failure rates of hip implants. Implant wear and corrosion lead to the release of metal particulate debris and subsequent release of metal ions at the taper-trunnion surface. This results in a type of metal poisoning referred to as metallosis. The consequences of metal poisoning include; osteolysis (bone loss), osteoarthritis (pain), aseptic loosening of the prosthesis and revision surgery. Follow up after revision surgery, metal debris particles are commonly found in numerous locations. Background: A stable connection between the femoral ball head (taper) and stem (trunnion) is necessary to prevent relative motions and corrosion at the taper junction. Hence, the importance of component assembly cannot be over-emphasized. Therefore, the aim of this study is to determine the influence of head-stem junction assembly by press fitting and the subsequent disengagement/disassembly on the connection strength between the taper ball head and stem. Methods: CoCr femoral heads were assembled with High stainless hydrogen steel stem (trunnion) by Push-in i.e. press fit; and disengaged by Pull-out test. The strength and stability of the two connections were evaluated by measuring the head pull-out forces according to ISO 7206-10 standards. Findings: The head-stem junction strength linearly increases with assembly forces. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=wear" title="wear">wear</a>, <a href="https://publications.waset.org/abstracts/search?q=modular%20hip%20prosthesis" title=" modular hip prosthesis"> modular hip prosthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=taper%20head-stem" title=" taper head-stem"> taper head-stem</a>, <a href="https://publications.waset.org/abstracts/search?q=force%20assembly%20and%20disassembly" title=" force assembly and disassembly "> force assembly and disassembly </a> </p> <a href="https://publications.waset.org/abstracts/37910/determination-of-the-pull-out-holding-strength-at-the-taper-trunnion-junction-of-hip-implants" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37910.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">400</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">1955</span> Surgical Collaboration in Managing Spinal Cord Compression Due to a Pre-Vertebral Chordoma: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rose%20Virginy%20S.%20Bautista">Rose Virginy S. Bautista</a>, <a href="https://publications.waset.org/abstracts/search?q=Ida%20Marie%20Tabangay-Lim"> Ida Marie Tabangay-Lim</a>, <a href="https://publications.waset.org/abstracts/search?q=Helen%20Bongalon-Amo"> Helen Bongalon-Amo</a>, <a href="https://publications.waset.org/abstracts/search?q=Jose%20Modesto%20B.%20Abellera"> Jose Modesto B. Abellera</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Chordomas, particularly those of the spine and the head and neck region, represent a rare and locally aggressive group of malignancies. The complexity of these tumors -given the rarity, location, and involvement of neurovascular structures- imposes a challenge in the diagnosis and management. We herein report a case of spinal cord compression due to a prevertebral cervical chordoma. The patient presented with a gradually enlarging lateral neck mass, with progressive bilateral extremity weakness and urinary incontinence; preoperative biopsy showed chordoma. A multidisciplinary approach for the management of this case was made, involving neurosurgery, head and neck surgery, and radiation oncology services. Surgical collaboration between the two cutting services was done to have a radical excision of the tumor and spinal cord decompression. The patient was then referred for adjuvant radiation therapy. With this collaborative treatment strategy, more comprehensive and quality care could be provided to our patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=chordoma" title="chordoma">chordoma</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20collaboration" title=" surgical collaboration"> surgical collaboration</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=neurosurgery" title=" neurosurgery"> neurosurgery</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20and%20neck%20surgery" title=" head and neck surgery"> head and neck surgery</a> </p> <a href="https://publications.waset.org/abstracts/177775/surgical-collaboration-in-managing-spinal-cord-compression-due-to-a-pre-vertebral-chordoma-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/177775.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">69</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">1954</span> An Exploratory Study of the Effects of Head Movement on Engagement within a Telepresence Environment</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=B.%20S.%20Bamoallem">B. S. Bamoallem</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20J.%20Wodehouse"> A. J. Wodehouse</a>, <a href="https://publications.waset.org/abstracts/search?q=G.%20M.%20Mair"> G. M. Mair</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Communication takes place not only through speech, but also by means of gestures such as facial expressions, gaze, head movements, hand movements and body posture, and though there has been rapid development, communication platforms still lack this type of behavior. We believe communication platforms need to fully achieve this verbal and non-verbal behavior in order to make interactions more engaging and more efficient. In this study we decided to focus our research on the head rather than any other body part as it is a rich source of information for speech-related movement Thus we aim to investigate the value of incorporating head movements into the use of telepresence robots as communication platforms; this will be done by investigating a system that reproduces head movement manually as closely as possible. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=engagement" title="engagement">engagement</a>, <a href="https://publications.waset.org/abstracts/search?q=nonverbal%20behaviours" title=" nonverbal behaviours"> nonverbal behaviours</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20movements" title=" head movements"> head movements</a>, <a href="https://publications.waset.org/abstracts/search?q=face-to-face%20interaction" title=" face-to-face interaction"> face-to-face interaction</a>, <a href="https://publications.waset.org/abstracts/search?q=telepresence%20robot" title=" telepresence robot "> telepresence robot </a> </p> <a href="https://publications.waset.org/abstracts/18142/an-exploratory-study-of-the-effects-of-head-movement-on-engagement-within-a-telepresence-environment" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/18142.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">455</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">1953</span> High Temperature Creep Analysis for Lower Head of Reactor Pressure Vessel</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Dongchuan%20Su">Dongchuan Su</a>, <a href="https://publications.waset.org/abstracts/search?q=Hai%20Xie"> Hai Xie</a>, <a href="https://publications.waset.org/abstracts/search?q=Naibin%20Jiang"> Naibin Jiang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Under severe accident cases, the nuclear reactor core may meltdown inside the lower head of the reactor pressure vessel (RPV). Retaining the melt pool inside the RPV is an important strategy of severe accident management. During this process, the inner wall of the lower head will be heated to high temperature of a thousand centigrade, and the outer wall is immersed in a large amount of cooling water. The material of the lower head will have serious creep damage under the high temperature and the temperature difference, and this produces a great threat to the integrity of the RPV. In this paper, the ANSYS program is employed to build the finite element method (FEM) model of the lower head, the creep phenomena is simulated under the severe accident case, the time dependent strain and stress distribution is obtained, the creep damage of the lower head is investigated, the integrity of the RPV is evaluated and the theoretical basis is provided for the optimized design and safety assessment of the RPV. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=severe%20accident" title="severe accident">severe accident</a>, <a href="https://publications.waset.org/abstracts/search?q=lower%20head%20of%20RPV" title=" lower head of RPV"> lower head of RPV</a>, <a href="https://publications.waset.org/abstracts/search?q=creep" title=" creep"> creep</a>, <a href="https://publications.waset.org/abstracts/search?q=FEM" title=" FEM"> FEM</a> </p> <a href="https://publications.waset.org/abstracts/53511/high-temperature-creep-analysis-for-lower-head-of-reactor-pressure-vessel" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/53511.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">233</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">1952</span> Optimum Flight Altitude</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ravi%20Nandu">Ravi Nandu</a>, <a href="https://publications.waset.org/abstracts/search?q=Anmol%20Taploo"> Anmol Taploo</a> </p> <p class="card-text"><strong>Abstract:</strong></p> As per current scenario, commercial aircrafts have been very well functioning with higher efficiency, but there is something that affects it. Every aircraft runs with the combustion produced by mixture of fuel and air. For example: A flight to travel from Mumbai to Kolkata it takes 2h: 30 min and from Kolkata to Mumbai it takes 2h: 45 min. It happens due to head and tail wind. Due to head wind air craft travels faster than its usual velocity and it takes 2h: 30 min to reach to Kolkata, while it takes 2h;45min vis versa. This lag in time is caused due to head wind that increases the drag and reduces the relative velocity of the plane. So in order to reduce this wastage of fuel there is an optimal flight altitude at which the head and tail wind action is reduced compared to the present scenario. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=drag" title="drag">drag</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20wind" title=" head wind"> head wind</a>, <a href="https://publications.waset.org/abstracts/search?q=tail%20wind" title=" tail wind"> tail wind</a>, <a href="https://publications.waset.org/abstracts/search?q=aircraft" title=" aircraft"> aircraft</a> </p> <a href="https://publications.waset.org/abstracts/16394/optimum-flight-altitude" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/16394.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">468</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">1951</span> Mike Hat: Coloured-Tape-in-Hat as a Head Circumference Measuring Instrument for Early Detection of Hydrocephalus in an Infant</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nyimas%20Annissa%20Mutiara%20Andini">Nyimas Annissa Mutiara Andini</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Every year, children develop hydrocephalus during the first year of life. If it is not treated, hydrocephalus can lead to brain damage, a loss in mental and physical abilities, and even death. To be treated, first, we have to do a proper diagnosis using some examinations especially to detect hydrocephalus earlier. One of the examination that could be done is using a head circumference measurement. Increased head circumference is a first and main sign of hydrocephalus, especially in infant (0-1 year age). Head circumference is a measurement of a child's head largest area. In this measurement, we want to get the distance from above the eyebrows and ears and around the back of the head using a measurement tape. If the head circumference of an infant is larger than normal, this infant might potentially suffer hydrocephalus. If early diagnosis and timely treatment of hydrocephalus could be done most children can recover successfully. There are some problems with early detection of hydrocephalus using regular tape for head circumference measurement. One of the problem is the infant’s comfort. We need to make the infant feel comfort along the head circumference measurement to get a proper result of the examination. For that, we can use a helpful stuff, like a hat. This paper is aimed to describe the possibility of using a head circumference measuring instrument for early detection of hydrocephalus in an infant with a mike hat, coloured-tape-in-hat. In the first life, infants’ head size is about 35 centimeters. First three months after that infants will gain 2 centimeters each month. The second three months, infant’s head circumference will increase 1 cm each month. And for the six months later, the rate is 0.5 cm per month, and end up with an average of 47 centimeters. This formula is compared to the WHO’s head circumference growth chart. The shape of this tape-in-hat is alike an upper arm measurement. This tape-in-hat diameter is about 47 centimeters. It contains twelve different colours range by age. If it is out of the normal colour, the infant potentially suffers hydrocephalus. This examination should be done monthly. If in two times of measurement there still in the same range abnormal of head circumference, or a rapid growth of the head circumference size, the infant should be referred to a pediatrician. There are the pink hat for girls and blue hat for boys. Based on this paper, we know that this measurement can be used to help early detection of hydrocephalus in an infant. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head%20circumference" title="head circumference">head circumference</a>, <a href="https://publications.waset.org/abstracts/search?q=hydrocephalus" title=" hydrocephalus"> hydrocephalus</a>, <a href="https://publications.waset.org/abstracts/search?q=infant" title=" infant"> infant</a>, <a href="https://publications.waset.org/abstracts/search?q=mike%20hat" title=" mike hat"> mike hat</a> </p> <a href="https://publications.waset.org/abstracts/58285/mike-hat-coloured-tape-in-hat-as-a-head-circumference-measuring-instrument-for-early-detection-of-hydrocephalus-in-an-infant" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/58285.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">266</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">1950</span> Structural Analysis of Hydro-Turbine Head Cover Using Ansys</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Surjit%20Angra">Surjit Angra</a>, <a href="https://publications.waset.org/abstracts/search?q=Manisha%20Kumari"> Manisha Kumari</a>, <a href="https://publications.waset.org/abstracts/search?q=Vinod%20Kumar"> Vinod Kumar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The objective of the Hydro Turbine Head Cover is to support the guide bearing, guide vane regulating mechanism and even in some design for generator thrust bearing support. Mechanical design of head cover deals with high static as well as fluctuating load acting on the structure. In the present work structural analysis of hydro turbine Head-cover using ANSYS software is carried out. Finite element method is used to calculate stresses on head cover. These calculations were done for the maximum possible loading under operating condition “LCI Quick Shut Down”. The results for equivalent Von-Mises stress, total deformation and directional deformation have been plotted and compared with the existing results whether the design is safe or not. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=ANSYS" title="ANSYS">ANSYS</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20cover" title=" head cover"> head cover</a>, <a href="https://publications.waset.org/abstracts/search?q=hydro-turbine" title=" hydro-turbine"> hydro-turbine</a>, <a href="https://publications.waset.org/abstracts/search?q=structural%20analysis" title=" structural analysis"> structural analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=total%20deformation" title=" total deformation"> total deformation</a>, <a href="https://publications.waset.org/abstracts/search?q=Von-Mises%20stress" title=" Von-Mises stress"> Von-Mises stress</a> </p> <a href="https://publications.waset.org/abstracts/23056/structural-analysis-of-hydro-turbine-head-cover-using-ansys" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/23056.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">535</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">1949</span> Documentation of Verbal and Written Head Injury Advice Given to All Adults Presenting Following a Head Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rania%20Mustafa">Rania Mustafa</a>, <a href="https://publications.waset.org/abstracts/search?q=Anfal%20Gadour"> Anfal Gadour</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Specialty area: Manchester University NHS Foundation Trust, Wythenshawe Hospital Accident and Emergency Department. About, Documentation of verbal and written head injury advice given to all adults presenting following a head injury. Our aim was to assess verbal & written head injury advice for an adult patient attending ED in Wythenshawe hospital during the period from January 2022 to May 2022, with a view to evaluating the NICE head injury guidelines concerning discharge advice and also to review the clinical notes to ensure that all adult patients presenting with a head injury are documented to have received both verbal & written head injury advice as per the NICE guidelines. Here we collected data from a random sample over a 1 month period. This data was furtherly filtered to include the adult patient >16 years and resulted in 54 patients with head injuries attending ED during this time period; then patient’s age, sex and hospital number were used to identify the discharge advice for the purpose of chart review and to assess the documentation of head injuries compliance with recommendation for NICE assessment. Data were checked between January 2022 up to May 2022 to allow more intervals for better assessment. Our finding indicates that documentation of verbal advice, 26% of patients were not recorded to have received this in January compared to only 3% in May & Written advice was not recorded in 44% of patients studied in January compared to 1% in May. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head" title="head">head</a>, <a href="https://publications.waset.org/abstracts/search?q=injuries" title=" injuries"> injuries</a>, <a href="https://publications.waset.org/abstracts/search?q=advice" title=" advice"> advice</a>, <a href="https://publications.waset.org/abstracts/search?q=leaflets" title=" leaflets"> leaflets</a> </p> <a href="https://publications.waset.org/abstracts/154481/documentation-of-verbal-and-written-head-injury-advice-given-to-all-adults-presenting-following-a-head-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/154481.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">88</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">1948</span> The Current Level of Shared Decision-Making in Head-And-Neck Oncology: An Exploratory Study – Preliminary Results</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Anne%20N.%20Heirman">Anne N. Heirman</a>, <a href="https://publications.waset.org/abstracts/search?q=Song%20Duimel"> Song Duimel</a>, <a href="https://publications.waset.org/abstracts/search?q=Rob%20van%20Son"> Rob van Son</a>, <a href="https://publications.waset.org/abstracts/search?q=Lisette%20van%20der%20Molen"> Lisette van der Molen</a>, <a href="https://publications.waset.org/abstracts/search?q=Richard%20Dirven"> Richard Dirven</a>, <a href="https://publications.waset.org/abstracts/search?q=Gyorgi%20B.%20Halmos"> Gyorgi B. Halmos</a>, <a href="https://publications.waset.org/abstracts/search?q=Julia%20van%20Weert"> Julia van Weert</a>, <a href="https://publications.waset.org/abstracts/search?q=Michiel%20W.M.%20van%20den%20Brekel"> Michiel W.M. van den Brekel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: Treatments for head-neck cancer are drastic and often significantly impact the quality of life and appearance of patients. Shared decision-making (SDM) beholds a collaboration between patient and doctor in which the most suitable treatment can be chosen by integrating patient preferences, values, and medical information. SDM has a lot of advantages that would be useful in making difficult treatment choices. The objective of this study was to determine the current level of SDM among patients and head-and-neck surgeons. Methods: Consultations of patients with a non-cutaneous head-and-neck malignancy facing a treatment decision were selected and included. If given informed consent, the consultation was recorded with an audio recorder, and the patient and surgeon filled in a questionnaire immediately after the consultation. The SDM level of the consultation was scored objectively by independent observers who judged audio recordings of the consultation using the OPTION5-scale, ranging from 0% (no SDM) to 100% (optimum SDM), as well as subjectively by patients (using the SDM-Q-9 and Control preference scale) and clinicians (SDM-Q-Doc, modified control preference scale) percentages. Preliminary results: Five head-neck surgeons have each at least seven recorded conversations with different patients. One of them was trained in SDM. The other four had no experience with SDM. Most patients were male (74%), and oropharyngeal carcinoma was the most common diagnosis (41%), followed by oral cancer (33%). Five patients received palliative treatment of which two patients were not treated recording guidelines. At this moment, all recordings are scored by the two independent observers. Analysis of the results will follow soon. Conclusion: The current study will determine to what extent there is a discrepancy between the objective and subjective level of shared decision-making (SDM) during a doctor-patient consultation in Head-and-Neck surgery. The results of the analysis will follow shortly. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head-and-neck%20oncology" title="head-and-neck oncology">head-and-neck oncology</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20involvement" title=" patient involvement"> patient involvement</a>, <a href="https://publications.waset.org/abstracts/search?q=physician-patient%20relations" title=" physician-patient relations"> physician-patient relations</a>, <a href="https://publications.waset.org/abstracts/search?q=shared%20decision%20making" title=" shared decision making"> shared decision making</a> </p> <a href="https://publications.waset.org/abstracts/154163/the-current-level-of-shared-decision-making-in-head-and-neck-oncology-an-exploratory-study-preliminary-results" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/154163.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">95</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">1947</span> Arginase Activity and Nitric Oxide Levels in Patients Undergoing Open Heart Surgery with Cardiopulmonary Bypass</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mehmet%20Ali%20Kisa%C3%A7am">Mehmet Ali Kisaçam</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Sema%20Temizer%20Ozan"> P. Sema Temizer Ozan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ay%C5%9Fe%20Do%C4%9Fan"> Ayşe Doğan</a>, <a href="https://publications.waset.org/abstracts/search?q=Gonca%20Ozan"> Gonca Ozan</a>, <a href="https://publications.waset.org/abstracts/search?q=F.%20Sarper%20T%C3%BCrker"> F. Sarper Türker</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cardiovascular disease which is one of the most common health problems worldwide has crucial importance because of its’ morbidity and mortality rates. Nitric oxide synthase and arginase use L-arginine as a substrate and produce nitric oxide (NO), citrulline and urea, ornithine respectively. Endothelial dysfunction is characterized by reduced bioavailability of vasodilator and anti-inflammatory molecule NO. The purpose of the study to assess endothelial function via arginase activity and NO levels in patients undergoing coronary artery bypass grafting (CABG) surgery. The study was conducted on 26 patients (14 male, 12 female) undergoing CABG surgery. Blood samples were collected from the subjects before surgery, after the termination and after 24 hours of the surgery. Arginase activity and NO levels measured in collected samples spectrophotometrically. Arginase activity decreased significantly in subjects after the termination of the surgery compared to before surgery data. 24 hours after the surgery there wasn’t any significance in arginase activity as it compared to before surgery and after the termination of the surgery. On the other hand, NO levels increased significantly in the subject after the termination of the surgery. However there was no significant increase in NO levels after 24 hours of the surgery, but there was an insignificant increase compared to before surgery data. The results indicate that after the termination of the surgery vascular and endothelial function improved and after 24 hours of the surgery arginase activity and NO levels returned to normal. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=arginase" title="arginase">arginase</a>, <a href="https://publications.waset.org/abstracts/search?q=bypass" title=" bypass"> bypass</a>, <a href="https://publications.waset.org/abstracts/search?q=cordiopulmonary" title=" cordiopulmonary"> cordiopulmonary</a>, <a href="https://publications.waset.org/abstracts/search?q=nitric%20oxide" title=" nitric oxide"> nitric oxide</a> </p> <a href="https://publications.waset.org/abstracts/74877/arginase-activity-and-nitric-oxide-levels-in-patients-undergoing-open-heart-surgery-with-cardiopulmonary-bypass" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/74877.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">205</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">1946</span> Shunt Placement in Treatment of Hydrocephalus in Patients with Myelomeningocele</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=M.%20M.%20Akhmediev">M. M. Akhmediev</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20R.%20Ashrapov"> J. R. Ashrapov</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20M.%20Akhmediev"> T. M. Akhmediev</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Hydrocephalus frequently occurs with spina bifida, and up to 80% of such patients need to be shunted. Objective: It’s sought to improve the results of the surgical treatment of hydrocephalus in children with spina bifida. Methods: We have analyzed the results of the surgical treatment of 80 patients aged between 1 month and 1,5-year-old with hydrocephalus and myelomeningocele. All patients underwent surgery in the period of 2013-2018. Results: In all patients, spina bifida was associated with hydrocephalus with a predominant extension of the posterior horns of the lateral ventricles in the form of colpocephaly, Chiari malformation type 2. Based on the method “Choose right shunt” the determination of the point of critical deformation of the ventricular system was established, 47 (58.8%) patients for the 1st stage underwent ventriculoperitoneal (VP) shunt surgery with a low-pressure valve, 28 (35.0%) patients with medium pressure and 5 (6.2%) with high-pressure valve. Under or over drainage complications were not observed in the postoperative period. The 2nd stage of surgery for myelomeningocele repair was planned in 1-2 months with the follow-up head ultrasonography and electromyography study. Conclusion: The implantable shunt systems parameters chosen before surgery in the surgical management of hydrocephalus in children with myelomeningocele are important in the causes of under or over drainage states, cerebrospinal fluid leakage from the myelomeningocele sac. Management of hydrocephalus should be performed by considering myelomeningocele affecting craniospinal compliance. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hydrocephalus" title="hydrocephalus">hydrocephalus</a>, <a href="https://publications.waset.org/abstracts/search?q=spina%20bifida" title=" spina bifida"> spina bifida</a>, <a href="https://publications.waset.org/abstracts/search?q=myelomeningocele" title=" myelomeningocele"> myelomeningocele</a>, <a href="https://publications.waset.org/abstracts/search?q=ventriculoperitoneal%20%28VP%29%20shunt" title=" ventriculoperitoneal (VP) shunt"> ventriculoperitoneal (VP) shunt</a> </p> <a href="https://publications.waset.org/abstracts/116446/shunt-placement-in-treatment-of-hydrocephalus-in-patients-with-myelomeningocele" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/116446.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">117</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">1945</span> Robotic Mini Gastric Bypass Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Arun%20Prasad">Arun Prasad</a>, <a href="https://publications.waset.org/abstracts/search?q=Abhishek%20Tiwari"> Abhishek Tiwari</a>, <a href="https://publications.waset.org/abstracts/search?q=Rekha%20Jaiswal"> Rekha Jaiswal</a>, <a href="https://publications.waset.org/abstracts/search?q=Vivek%20Chaudhary"> Vivek Chaudhary</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Robotic Roux en Y gastric bypass is being done for some time but is technically difficult, requiring operating in both the sub diaphragmatic and infracolic compartments of the abdomen. This can mean a dual docking of the robot or a hybrid partial laparoscopic and partial robotic surgery. The Mini /One anastomosis /omega loop gastric bypass (MGB) has the advantage of having all dissection and anastomosis in the supracolic compartment and is therefore suitable technically for robotic surgery. Methods: We have done 208 robotic mini gastric bypass surgeries. The robot is docked above the head of the patient in the midline. Camera port is placed supra umbilically. Two ports are placed on the left side of the patient and one port on the right side of the patient. An assistant port is placed between the camera port and right sided robotic port for use of stapler. Distal stomach is stapled from the lesser curve followed by a vertical sleeve upwards leading to a long sleeve pouch. Jejunum is taken at 200 cm from the duodenojejunal junction and brought up to do a side to side gastrojejunostomy. Results: All patients had a successful robotic procedure. Mean time taken was 85 minutes. There were major intraoperative or post operative complications. No patient needed conversion or re-explorative surgery. Mean excess weight loss over a period of 2 year was about 75%. There was no mortality. Patient satisfaction score was high and was attributed to the good weight loss and minimal dietary modifications that were needed after the procedure. Long term side effects were anemia and bile reflux in a small number of patients. Conclusions: MGB / OAGB is gaining worldwide interest as a short simple procedure that has been shown to very effective and safe bariatric surgery. The purpose of this study was to report on the safety and efficacy of robotic surgery for this procedure. This is the first report of totally robotic mini gastric bypass. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=MGB" title="MGB">MGB</a>, <a href="https://publications.waset.org/abstracts/search?q=mini%20gastric%20bypass" title=" mini gastric bypass"> mini gastric bypass</a>, <a href="https://publications.waset.org/abstracts/search?q=OAGB" title=" OAGB"> OAGB</a>, <a href="https://publications.waset.org/abstracts/search?q=robotic%20bariatric%20surgery" title=" robotic bariatric surgery"> robotic bariatric surgery</a> </p> <a href="https://publications.waset.org/abstracts/47463/robotic-mini-gastric-bypass-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/47463.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">297</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">1944</span> Modelling the Effect of Head and Bucket Splitter Angle on the Power Output of a Pelton Turbine</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=J.%20A.%20Ujam">J. A. Ujam</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20L.%20Chukwuneke"> J. L. Chukwuneke</a>, <a href="https://publications.waset.org/abstracts/search?q=C.%20H.%20Achebe"> C. H. Achebe</a>, <a href="https://publications.waset.org/abstracts/search?q=G.%20O.%20R.%20Ikwu"> G. O. R. Ikwu </a> </p> <p class="card-text"><strong>Abstract:</strong></p> This work investigates the effect of head and bucket splitter angle on the power output of a pelton turbine (water turbine), so as to boost the efficiency of Hydro-electric power generation systems. A simulation program was developed using MatLab to depict the force generated by the bucket as the water jet strikes the existing splitter angle (100 to 150) and predicted (10 to 250) splitter angles. Result shows that in addition to the existing splitter angle, six more angles have been investigated for the two operating conditions to give maximum power. The angles are 250, 60 and 190 for high head and low flow with increased pressure while low head and high flow with decreased pressure are 230, 210 and 30 in order of the maximum generating power. The Turbine power output for simulation was more than that of the experiment. This was as a result of their head conditions and the bucket splitter angle. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bucket%20splitter%20angle" title="bucket splitter angle">bucket splitter angle</a>, <a href="https://publications.waset.org/abstracts/search?q=force" title=" force"> force</a>, <a href="https://publications.waset.org/abstracts/search?q=head" title=" head"> head</a>, <a href="https://publications.waset.org/abstracts/search?q=modelling" title=" modelling"> modelling</a>, <a href="https://publications.waset.org/abstracts/search?q=pelton%20turbine" title=" pelton turbine"> pelton turbine</a>, <a href="https://publications.waset.org/abstracts/search?q=power%20output" title=" power output"> power output</a>, <a href="https://publications.waset.org/abstracts/search?q=shaft%20output" title=" shaft output"> shaft output</a> </p> <a href="https://publications.waset.org/abstracts/21923/modelling-the-effect-of-head-and-bucket-splitter-angle-on-the-power-output-of-a-pelton-turbine" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/21923.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">355</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">1943</span> An Audit of the Care in Recovery in Women after an Obstetrics Procedure</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20Haddick">A. Haddick</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Soltan"> A. Soltan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: During the period of recovery from an operative obstetric procedure, a woman is not only at risk of the life-threatening complications accompanying labour but also those associated with surgery and anaesthesia. It is speculated that women in the recovery area may receive a lower standard of care over a night shift. Thus obstetric recovery room care should be evaluated regularly to ensure all women receive an equally high standard of care 24/7. Aim: The aim of this audit was to undertake an audit in the Liverpool Women’s Hospital on the care in recovery, and to ascertain the extent to which the standards were met. This audit included the full audit cycle. Method: Standards were taken from the AAGBI, RCOA, NICE and CNST guidelines. There were 12 standards including appropriate documentation of vital signs and appropriate length of stay after surgery. Notes from 100 patients were analysed from March 2011-March 2012. There were 52 day notes and 48 night notes; these were accessed to gain the relevant data. In the re audit 35 notes were accessed from March 14-September 14. Results: The Liverpool Women’s Hospital met in total 10 of these standards. 10 were met during the day shift (83%) and 0 met during the night shift. In the re audit, there was a significant improvement in the standards met at night. 9 of the standards were met during the day and 7 of the standards were met at night. Clearly there are still improvements to be made. Conclusions: In the original audit, an audit action plan was formulated. This was following discussion of the results of this audit in an MDT meeting and presentation with a consultant Obstetrician, the head of Midwifery, the head of Obstetrics theatres and a recovery nurse. This audit will be further discussed in the Liverpool Woman's Hospital in July 2015 for further implementation for improvement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=care" title="care">care</a>, <a href="https://publications.waset.org/abstracts/search?q=recovery" title=" recovery"> recovery</a>, <a href="https://publications.waset.org/abstracts/search?q=room" title=" room"> room</a>, <a href="https://publications.waset.org/abstracts/search?q=women" title=" women"> women</a> </p> <a href="https://publications.waset.org/abstracts/31345/an-audit-of-the-care-in-recovery-in-women-after-an-obstetrics-procedure" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/31345.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">301</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">1942</span> The Predictors of Head and Neck Cancer-Head and Neck Cancer-Related Lymphedema in Patients with Resected Advanced Head and Neck Cancer</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shu-Ching%20Chen">Shu-Ching Chen</a>, <a href="https://publications.waset.org/abstracts/search?q=Li-Yun%20Lee"> Li-Yun Lee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The purpose of the study was to identify the factors associated with head and neck cancer-related lymphoedema (HNCRL)-related symptoms, body image, and HNCRL-related functional outcomes among patients with resected advanced head and neck cancer. A cross-sectional correlational design was conducted to examine the predictors of HNCRL-related functional outcomes in patients with resected advanced head and neck cancer. Eligible patients were recruited from a single medical center in northern Taiwan. Consecutive patients were approached and recruited from the Radiation Head and Neck Outpatient Department of this medical center. Eligible subjects were assessed for the Symptom Distress Scale–Modified for Head and Neck Cancer (SDS-mhnc), Brief International Classification of Functioning, Disability and Health (ICF) Core Set for Head and Neck Cancer (BCSQ-H&N), Body Image Scale–Modified (BIS-m), The MD Anderson Head and Neck Lymphedema Rating Scale (MDAHNLRS), The Foldi’s Stages of Lymphedema (Foldi’s Scale), Patterson’s Scale, UCLA Shoulder Rating Scale (UCLA SRS), and Karnofsky’s Performance Status Index (KPS). The results showed that the worst problems with body HNCRL functional outcomes. Patients’ HNCRL symptom distress and performance status are robust predictors across over for overall HNCRL functional outcomes, problems with body HNCRL functional outcomes, and activity and social functioning HNCRL functional outcomes. Based on the results of this period research program, we will develop a Cancer Rehabilitation and Lymphedema Care Program (CRLCP) to use in the care of patients with resected advanced head and neck cancer. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head%20and%20neck%20cancer" title="head and neck cancer">head and neck cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=resected" title=" resected"> resected</a>, <a href="https://publications.waset.org/abstracts/search?q=lymphedema" title=" lymphedema"> lymphedema</a>, <a href="https://publications.waset.org/abstracts/search?q=symptom" title=" symptom"> symptom</a>, <a href="https://publications.waset.org/abstracts/search?q=body%20image" title=" body image"> body image</a>, <a href="https://publications.waset.org/abstracts/search?q=functional%20outcome" title=" functional outcome"> functional outcome</a> </p> <a href="https://publications.waset.org/abstracts/74767/the-predictors-of-head-and-neck-cancer-head-and-neck-cancer-related-lymphedema-in-patients-with-resected-advanced-head-and-neck-cancer" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/74767.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">258</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">1941</span> Totally Robotic Gastric Bypass Using Modified Lonroth Technique</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Arun%20Prasad">Arun Prasad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Robotic Bariatric Surgery is a good option for the super obese where laparoscopy demands challenging technical skills. Gastric bypass can be difficult due to inability of the robot to work in two quadrants at the same time. Lonroth technique of gastric bypass involves a totally supracolic surgery where all anastomosis are done in one quadrant only. Methods: We have done 78 robotic gastric bypass surgeries using the modified Lonroth technique. The robot is docked above the head of the patient in the midline. Camera port is placed supra umbilically. Two ports are placed on the left side of the patient and one port on the right side of the patient. An assistant port is placed between the camera port and right sided robotic port for use of stapler. Gastric pouch is made first followed by the gastrojejunostomy that is a four layered sutured anastomosis. Jejuno jejunostomy is then performed followed by a leak test and then the jejunum is divided. A 150 cm biliopancreatic limb and a 75 cm alimentary limb are finally obtained. Mesenteric and Petersen’s defects are then closed. Results: All patients had a successful robotic procedure. Mean time taken in the first 5 cases was 130 minutes. This reduced to a mean of 95 minutes in the last five cases. There were no intraoperative or post operative complications. Conclusions: While a hybrid technique of partly laparoscopic and partly robotic gastric bypass has been done at many centres, we feel using the modified Lonroth technique, a totally robotic gastric bypass surgery fully utilizes the potential of robotic bariatric surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=robot" title="robot">robot</a>, <a href="https://publications.waset.org/abstracts/search?q=bariatric" title=" bariatric"> bariatric</a>, <a href="https://publications.waset.org/abstracts/search?q=totally%20robotic" title=" totally robotic"> totally robotic</a>, <a href="https://publications.waset.org/abstracts/search?q=gastric%20bypass" title=" gastric bypass"> gastric bypass</a> </p> <a href="https://publications.waset.org/abstracts/46009/totally-robotic-gastric-bypass-using-modified-lonroth-technique" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/46009.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">258</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">1940</span> Development of Femoral Head Osteonecrosis Due to Corticosteroids Consumption; Probable Role of OCP: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=S.%20Alireza%20Mirghasemi">S. Alireza Mirghasemi</a>, <a href="https://publications.waset.org/abstracts/search?q=Shervin%20Rashidinia"> Shervin Rashidinia</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20Saleh%20Sadeghi"> Mohammad Saleh Sadeghi</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohsen%20Talebizadeh"> Mohsen Talebizadeh</a>, <a href="https://publications.waset.org/abstracts/search?q=Narges%20Rahimi%20Gabaran"> Narges Rahimi Gabaran</a>, <a href="https://publications.waset.org/abstracts/search?q=Seyed%20Shahin%20Eftekhari"> Seyed Shahin Eftekhari</a>, <a href="https://publications.waset.org/abstracts/search?q=Sara%20Shahmoradi"> Sara Shahmoradi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Avascular necrosis of femoral head is a pathologic condition that the main cause is decreased blood supply of femoral head. Among predisposing risk factors, chronic use of corticosteroids, alcoholism, smocking and hip traumas have more important role. Also we can mention OCP consumption as a risk factor among less common predisposing factors that lead to AVNF, in this study we introduce another cause of AVNF with a period of treatment with moderate dose of corticosteroids accompanied by OCP as a probable facilitating factor that leads to AVNF. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=AVN" title="AVN">AVN</a>, <a href="https://publications.waset.org/abstracts/search?q=corticosteroids%20consumption" title=" corticosteroids consumption"> corticosteroids consumption</a>, <a href="https://publications.waset.org/abstracts/search?q=femoral%20head%20osteonecrosis" title=" femoral head osteonecrosis"> femoral head osteonecrosis</a>, <a href="https://publications.waset.org/abstracts/search?q=OCP" title=" OCP"> OCP</a> </p> <a href="https://publications.waset.org/abstracts/34781/development-of-femoral-head-osteonecrosis-due-to-corticosteroids-consumption-probable-role-of-ocp-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/34781.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">466</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">1939</span> Variation in Complement Order in English: Implications for Interlanguage Syntax</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Juliet%20Udoudom">Juliet Udoudom</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Complement ordering principles of natural language phrases (XPs) stipulate that Head terms be consistently placed phrase initially or phrase-finally, yielding two basic theoretical orders – Head – Complement order or Complement – Head order. This paper examines the principles which determine complement ordering in English V- and N-bar structures. The aim is to determine the extent to which complement linearisations in the two phrase types are consistent with the two theoretical orders outlined above given the flexible and varied nature of natural language structures. The objective is to see whether there are variation(s) in the complement linearisations of the XPs studied and the implications which such variations hold for the inter-language syntax of English and Ibibio. A corpus-based approach was employed in obtaining the English data. V- and -N – bar structures containing complement structures were isolated for analysis. Data were examined from the perspective of the X-bar and Government – theories of Chomsky’s (1981) Government-Binding format. Findings from the analysis show that in V – bar structures in English, heads are consistently placed phrase – initially yielding a Head – Complement order; however, complement linearisation in the N – bar structures studied exhibited parametric variations. Thus, in some N – bar structures in English the nominal head is ordered to the left whereas in others, the head term occurs to the right. It may therefore be concluded that the principles which determine complement ordering are both Language – Particular and Phrase – specific following insights provided within Phrasal Syntax. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=complement%20order" title="complement order">complement order</a>, <a href="https://publications.waset.org/abstracts/search?q=complement%E2%80%93head%20order" title=" complement–head order"> complement–head order</a>, <a href="https://publications.waset.org/abstracts/search?q=head%E2%80%93complement%20order" title=" head–complement order"> head–complement order</a>, <a href="https://publications.waset.org/abstracts/search?q=language%E2%80%93particular%20principles" title=" language–particular principles"> language–particular principles</a> </p> <a href="https://publications.waset.org/abstracts/55951/variation-in-complement-order-in-english-implications-for-interlanguage-syntax" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/55951.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">348</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">1938</span> Semi-Automated Tracking of Vibrissal Movements in Free-Moving Rodents Captured by High-Speed Videos</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hyun%20June%20Kim">Hyun June Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Tailong%20Shi"> Tailong Shi</a>, <a href="https://publications.waset.org/abstracts/search?q=Seden%20Akdagli"> Seden Akdagli</a>, <a href="https://publications.waset.org/abstracts/search?q=Sam%20Most"> Sam Most</a>, <a href="https://publications.waset.org/abstracts/search?q=Yuling%20Yan"> Yuling Yan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Quantitative analysis of mouse whisker movement can be used to study functional recovery and regeneration of facial nerve after an injury. However, it is challenging to accurately track mouse whisker movements, and most whisker tracking methods require manual intervention, e.g. fixing the head of the mouse during a study. Here we describe a semi-automated image processing method that is applied to high-speed video recordings of free-moving mice to track whisker movements. We first track the head movement of a mouse by delineating the lower head contour frame-by-frame to locate and determine the orientation of its head. Then, a region of interest is identified for each frame, with subsequent application of the Hough transform to track individual whisker movements on each side of the head. Our approach is used to examine the functional recovery of damaged facial nerves in mice over a course of 21 days. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mystacial%20macrovibrissae" title="mystacial macrovibrissae">mystacial macrovibrissae</a>, <a href="https://publications.waset.org/abstracts/search?q=whisker%20tracking" title=" whisker tracking"> whisker tracking</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20tracking" title=" head tracking"> head tracking</a>, <a href="https://publications.waset.org/abstracts/search?q=facial%20nerve%20recovery" title=" facial nerve recovery "> facial nerve recovery </a> </p> <a href="https://publications.waset.org/abstracts/20157/semi-automated-tracking-of-vibrissal-movements-in-free-moving-rodents-captured-by-high-speed-videos" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/20157.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">590</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">1937</span> A Retrospective Analysis of the Impact of the Choosing Wisely Canada Campaign on Emergency Department Imaging Utilization for Head Injuries</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sameer%20Masood">Sameer Masood</a>, <a href="https://publications.waset.org/abstracts/search?q=Lucas%20Chartier"> Lucas Chartier</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Head injuries are a commonly encountered presentation in emergency departments (ED) and the Choosing Wisely Canada (CWC) campaign was released in June 2015 in an attempt to decrease imaging utilization for patients with minor head injuries. The impact of the CWC campaign on imaging utilization for head injuries has not been explored in the ED setting. In our study, we describe the characteristics of patients with head injuries presenting to a tertiary care academic ED and the impact of the CWC campaign on CT head utilization. This retrospective cohort study used linked databases from the province of Ontario, Canada to assess emergency department visits with a primary diagnosis of head injury made between June 1, 2014 and Aug 31, 2016 at the University Health Network in Toronto, Canada. We examined the number of visits during the study period, the proportion of patients that had a CT head performed before and after the release of the CWC campaign, as well as mode of arrival, and disposition. There were 4,322 qualifying visits at our site during the study period. The median presenting age was 44.12 years (IQR 27.83,67.45), the median GCS was 15 (IQR 15,15) and the majority of patients presenting had intermediate acuity (CTAS 3). Overall, 43.17% of patients arrived via ambulance, 49.24 % of patients received a CT head and 10.46% of patients were admitted. Compared to patients presenting before the CWC campaign release, there was no significant difference in the rate of CT heads after the CWC (50.41% vs 47.68%, P = 0.07). There were also no significant differences between the two groups in mode of arrival (ambulance vs ambulatory) (42.94% vs 43.48%, P = 0.72) or admission rates (9.85% vs 11.26%, P = 0.15). However, more patients belonged to the high acuity groups (CTAS 1 or 2) in the post CWC campaign release group (12.98% vs 8.11% P <0.001). Visits for head injuries make up a significant proportion of total ED visits and approximately half of these patients receive CT imaging in the ED. The CWC campaign did not seem to impact imaging utilization for head injuries in the 14 months following its launch. Further efforts, including local quality improvement initiatives, are likely needed to increase adherence to its recommendation and reduce imaging utilization for head injuries. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=choosing%20wisely" title="choosing wisely">choosing wisely</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20department" title=" emergency department"> emergency department</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20injury" title=" head injury"> head injury</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20improvement" title=" quality improvement"> quality improvement</a> </p> <a href="https://publications.waset.org/abstracts/66586/a-retrospective-analysis-of-the-impact-of-the-choosing-wisely-canada-campaign-on-emergency-department-imaging-utilization-for-head-injuries" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/66586.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">225</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">1936</span> Uncommon Case of Falx Subdural Hematoma</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Thu%20Nguyen">Thu Nguyen</a>, <a href="https://publications.waset.org/abstracts/search?q=Jane%20Daugherty-Luck"> Jane Daugherty-Luck</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Falx subdural hematoma is a life-threatening condition associated with high mortality. We present a patient case who had fallen with no head injury or loss of conspicuousness. She had tenderness along cervical and thoracic lumbar spine. CT head revealed falx subdural hematoma. The patient was managed medically. The pathophysiology of falx subdural hematoma is linked to laceration of bridging veins provoked by frontal or occipital impact. Posttraumatic subdural hematoma is commonly caused by inertia instead of facture or cerebral contusion resulting from direct impact. The theory is consistent with the lack of fracture in most cases in the literature. Our patient had neither contusion nor fracture. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=falx%20subdural%20hematoma" title="falx subdural hematoma">falx subdural hematoma</a>, <a href="https://publications.waset.org/abstracts/search?q=traumatic%20head%20injury" title=" traumatic head injury"> traumatic head injury</a>, <a href="https://publications.waset.org/abstracts/search?q=CT%20head%20scan" title=" CT head scan"> CT head scan</a>, <a href="https://publications.waset.org/abstracts/search?q=bridging%20veins" title=" bridging veins"> bridging veins</a>, <a href="https://publications.waset.org/abstracts/search?q=inertia" title=" inertia"> inertia</a> </p> <a href="https://publications.waset.org/abstracts/135186/uncommon-case-of-falx-subdural-hematoma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/135186.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">140</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">1935</span> Evaluation of the MCFLIRT Correction Algorithm in Head Motion from Resting State fMRI Data</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=V.%20Sacca">V. Sacca</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Sarica"> A. Sarica</a>, <a href="https://publications.waset.org/abstracts/search?q=F.%20Novellino"> F. Novellino</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Barone"> S. Barone</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20Tallarico"> T. Tallarico</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20Filippelli"> E. Filippelli</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Granata"> A. Granata</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Valentino"> P. Valentino</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Quattrone"> A. Quattrone</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In the last few years, resting-state functional MRI (rs-fMRI) was widely used to investigate the architecture of brain networks by investigating the Blood Oxygenation Level Dependent response. This technique represented an interesting, robust and reliable approach to compare pathologic and healthy subjects in order to investigate neurodegenerative diseases evolution. On the other hand, the elaboration of rs-fMRI data resulted to be very prone to noise due to confounding factors especially the head motion. Head motion has long been known to be a source of artefacts in task-based functional MRI studies, but it has become a particularly challenging problem in recent studies using rs-fMRI. The aim of this work was to evaluate in MS patients a well-known motion correction algorithm from the FMRIB's Software Library - MCFLIRT - that could be applied to minimize the head motion distortions, allowing to correctly interpret rs-fMRI results. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head%20motion%20correction" title="head motion correction">head motion correction</a>, <a href="https://publications.waset.org/abstracts/search?q=MCFLIRT%20algorithm" title=" MCFLIRT algorithm"> MCFLIRT algorithm</a>, <a href="https://publications.waset.org/abstracts/search?q=multiple%20sclerosis" title=" multiple sclerosis"> multiple sclerosis</a>, <a href="https://publications.waset.org/abstracts/search?q=resting%20state%20fMRI" title=" resting state fMRI"> resting state fMRI</a> </p> <a href="https://publications.waset.org/abstracts/85136/evaluation-of-the-mcflirt-correction-algorithm-in-head-motion-from-resting-state-fmri-data" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/85136.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">212</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">1934</span> Changing Pattern and Trend of Head of Household in India: Evidence from Various Rounds of National Family Health Survey</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Moslem%20Hossain">Moslem Hossain</a>, <a href="https://publications.waset.org/abstracts/search?q=Mukesh%20Kumar"> Mukesh Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20C.%20Das"> K. C. Das</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Household headship is the crucial decision-maker as well as the economic provider of the household. In Indian society, household heads occupied by men from the pre-colonial period. This study attempt to examine the changes in household headship in India. Methods: The study used univariate and multivariate analysis to examine the trends and patterns of different characteristics of the household head using the various rounds of national family health survey data. Results: The female household head is gradually increasing; on the other hand, the male-dominant is decreasing over the four national family and health surveys. The mean age of the household head is higher in rural areas than urban India. Only ten percentage of Households are higher educated, and 83 percent of the male household head has a low standard of living. The mean family size of the household has a decreasing trend in both the urban and rural areas during the study period. Conclusions: The result indicates that women's autonomy is increasing and leading to inclusive growth, which introduced in the eleven five year plan, especially focuses on the woman and young people in the country. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=household%20head" title="household head">household head</a>, <a href="https://publications.waset.org/abstracts/search?q=national%20family%20health%20survey" title=" national family health survey"> national family health survey</a>, <a href="https://publications.waset.org/abstracts/search?q=mean%20age" title=" mean age"> mean age</a>, <a href="https://publications.waset.org/abstracts/search?q=mean%20family%20size" title=" mean family size"> mean family size</a> </p> <a href="https://publications.waset.org/abstracts/122910/changing-pattern-and-trend-of-head-of-household-in-india-evidence-from-various-rounds-of-national-family-health-survey" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/122910.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">1933</span> A Machine Learning Framework Based on Biometric Measurements for Automatic Fetal Head Anomalies Diagnosis in Ultrasound Images</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hanene%20Sahli">Hanene Sahli</a>, <a href="https://publications.waset.org/abstracts/search?q=Aymen%20Mouelhi"> Aymen Mouelhi</a>, <a href="https://publications.waset.org/abstracts/search?q=Marwa%20Hajji"> Marwa Hajji</a>, <a href="https://publications.waset.org/abstracts/search?q=Amine%20Ben%20Slama"> Amine Ben Slama</a>, <a href="https://publications.waset.org/abstracts/search?q=Mounir%20Sayadi"> Mounir Sayadi</a>, <a href="https://publications.waset.org/abstracts/search?q=Farhat%20Fnaiech"> Farhat Fnaiech</a>, <a href="https://publications.waset.org/abstracts/search?q=Radhwane%20Rachdi"> Radhwane Rachdi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Fetal abnormality is still a public health problem of interest to both mother and baby. Head defect is one of the most high-risk fetal deformities. Fetal head categorization is a sensitive task that needs a massive attention from neurological experts. In this sense, biometrical measurements can be extracted by gynecologist doctors and compared with ground truth charts to identify normal or abnormal growth. The fetal head biometric measurements such as Biparietal Diameter (BPD), Occipito-Frontal Diameter (OFD) and Head Circumference (HC) needs to be monitored, and expert should carry out its manual delineations. This work proposes a new approach to automatically compute BPD, OFD and HC based on morphological characteristics extracted from head shape. Hence, the studied data selected at the same Gestational Age (GA) from the fetal Ultrasound images (US) are classified into two categories: Normal and abnormal. The abnormal subjects include hydrocephalus, microcephaly and dolichocephaly anomalies. By the use of a support vector machines (SVM) method, this study achieved high classification for automated detection of anomalies. The proposed method is promising although it doesn't need expert interventions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=biometric%20measurements" title="biometric measurements">biometric measurements</a>, <a href="https://publications.waset.org/abstracts/search?q=fetal%20head%20malformations" title=" fetal head malformations"> fetal head malformations</a>, <a href="https://publications.waset.org/abstracts/search?q=machine%20learning%20methods" title=" machine learning methods"> machine learning methods</a>, <a href="https://publications.waset.org/abstracts/search?q=US%20images" title=" US images"> US images</a> </p> <a href="https://publications.waset.org/abstracts/93496/a-machine-learning-framework-based-on-biometric-measurements-for-automatic-fetal-head-anomalies-diagnosis-in-ultrasound-images" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/93496.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">288</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">1932</span> Insufficiency Fracture of Femoral Head in Patients Treated With Intramedullary Nailing for Proximal Femur Fracture </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jai%20Hyung%20Park">Jai Hyung Park</a>, <a href="https://publications.waset.org/abstracts/search?q=Eugene%20Kim"> Eugene Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Jin%20Hun%20Park"> Jin Hun Park</a>, <a href="https://publications.waset.org/abstracts/search?q=Min%20Joon%20Oh"> Min Joon Oh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Subchondral insufficiency fracture of the femoral head (SIF) is a rare complication; however, it has been recognized to cause femoral head collapse. Subchondral insufficiency fracture (SIF) is caused by normal or physiological stress without any trauma. It has been reported in osteoporotic patients after the fixation of the proximal femur with an Intramedullary nail. Case presentation: We reported 5 cases with SIF of the femoral head after proximal femur fracture fixation with Intra-medullary nail. All patients had osteoporosis as an underlying disease. Good reduction was achieved in all 5 patients. SIF was found from about 3 months to 4 years after the initial operation, and all the fractures were solidly united at the final diagnosis. We investigated retrospectively the feature of those cases and several factors that affected the occurrence of SIF. Discussion: There are a few discussions regarding the SIF of the femoral head. These discussions may include the predisposing risk factors, how to diagnose the SIF in osteoporotic patients, and the peri-operative factors to prevent SIF. Conclusion: Subchondral insufficiency fracture of the femoral head is a considerable complication after the internal fixation of the proximal femur. There are several factors that can be modified. If they could be controlled in the peri-operative period, SIF could be prevented or handled in advance. Other options related to arthroplasty can be considered in old osteoporotic patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=insufficiency%20fracture%20of%20femoral%20head" title="insufficiency fracture of femoral head">insufficiency fracture of femoral head</a>, <a href="https://publications.waset.org/abstracts/search?q=intra-medullary%20nail" title=" intra-medullary nail"> intra-medullary nail</a>, <a href="https://publications.waset.org/abstracts/search?q=osteoporosis" title=" osteoporosis"> osteoporosis</a>, <a href="https://publications.waset.org/abstracts/search?q=proximal%20femur%20fracture" title=" proximal femur fracture"> proximal femur fracture</a> </p> <a href="https://publications.waset.org/abstracts/117685/insufficiency-fracture-of-femoral-head-in-patients-treated-with-intramedullary-nailing-for-proximal-femur-fracture" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/117685.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">128</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">1931</span> Arthroscopic Superior Capsular Reconstruction Using the Long Head of the Biceps Tendon (LHBT)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ho%20Sy%20Nam">Ho Sy Nam</a>, <a href="https://publications.waset.org/abstracts/search?q=Tang%20Ha%20Nam%20Anh"> Tang Ha Nam Anh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Rotator cuff tears are a common problem in the aging population. The prevalence of massive rotator cuff tears varies in some studies from 10% to 40%. Of irreparable rotator cuff tears (IRCTs), which are mostly associated with massive tear size, 79% are estimated to have recurrent tears after surgical repair. Recent studies have shown that superior capsule reconstruction (SCR) in massive rotator cuff tears can be an efficient technique with optimistic clinical scores and preservation of stable glenohumeral stability. Superior capsule reconstruction techniques most commonly use either fascia lata autograft or dermal allograft, both of which have their own benefits and drawbacks (such as the potential for donor site issues, allergic reactions, and high cost). We propose a simple technique for superior capsule reconstruction that involves using the long head of the biceps tendon as a local autograft; therefore, the comorbidities related to graft harvesting are eliminated. The long head of the biceps tendon proximal portion is relocated to the footprint and secured as the SCR, serving to both stabilize the glenohumeral joint and maintain vascular supply to aid healing. Objective: The purpose of this study is to assess the clinical outcomes of patients with large to massive RCTs treated by SCR using LHBT. Materials and methods: A study was performed of consecutive patients with large to massive RCTs who were treated by SCR using LHBT between January 2022 and December 2022. We use one double-loaded suture anchor to secure the long head of the biceps to the middle of the footprint. Two more anchors are used to repair the rotator cuff using a single-row technique, which is placed anteriorly and posteriorly on the lateral side of the previously transposed LHBT. Results: The 3 men and 5 women had an average age of 61.25 years (range 48 to 76 years) at the time of surgery. The average follow-up was 8.2 months (6 to 10 months) after surgery. The average preoperative ASES was 45.8, and the average postoperative ASES was 85.83. The average postoperative UCLA score was 29.12. VAS score was improved from 5.9 to 1.12. The mean preoperative ROM of forward flexion and external rotation of the shoulder was 720 ± 160 and 280 ± 80, respectively. The mean postoperative ROM of forward flexion and external rotation were 1310 ± 220 and 630 ± 60, respectively. There were no cases of progression of osteoarthritis or rotator cuff muscle atrophy. Conclusion: SCR using LHBT is considered a treatment option for patients with large or massive RC tears. It can restore superior glenohumeral stability and function of the shoulder joint and can be an effective procedure for selected patients, helping to avoid progression to cuff tear arthropathy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=superior%20capsule%20reconstruction" title="superior capsule reconstruction">superior capsule reconstruction</a>, <a href="https://publications.waset.org/abstracts/search?q=large%20or%20massive%20rotator%20cuff%20tears" title=" large or massive rotator cuff tears"> large or massive rotator cuff tears</a>, <a href="https://publications.waset.org/abstracts/search?q=the%20long%20head%20of%20the%20biceps" title=" the long head of the biceps"> the long head of the biceps</a>, <a href="https://publications.waset.org/abstracts/search?q=stabilize%20the%20glenohumeral%20joint" title=" stabilize the glenohumeral joint"> stabilize the glenohumeral joint</a> </p> <a href="https://publications.waset.org/abstracts/163250/arthroscopic-superior-capsular-reconstruction-using-the-long-head-of-the-biceps-tendon-lhbt" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/163250.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">77</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">1930</span> Optic Nerve Sheath Measurement in Children with Head Trauma </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>, <a href="https://publications.waset.org/abstracts/search?q=Kursad%20Bora%20Carman"> Kursad Bora Carman</a>, <a href="https://publications.waset.org/abstracts/search?q=Coskun%20Yarar"> Coskun Yarar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Measuring the diameter of the optic nerve sheath is a noninvasive and easy to use imaging technique to predict intracranial pressure in children and adults. The aim was to measure the diameter of the optic nerve sheath in pediatric head trauma. Methods: The study group consisted of 40 children with healthy and 40 patients with head trauma. Transorbital sonographic measurement of the optic nerve sheath diameter was performed. Conclusion: The mean diameters of the optic nerve sheath of right and left eyes were 0.408 ± 0.064 mm and 0.417 ± 0.065 mm, respectively, in the trauma group. These results were higher in patients than in control group. There was a negative correlation between optic nerve sheath diameters and Glasgow Coma Scales in patients with head trauma (p < 0.05). There was a positive correlation between optic nerve sheath diameters and positive CT findings, systolic blood pressure in patients with head trauma. The clinical status of the patients at admission, blood pH and lactate level were related to the optic nerve sheath diameter. Conclusion: Measuring the diameter of the optic nerve sheath is not an invasive technique and can be easily used to predict increased intracranial pressure and to prevent secondary brain injury. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=head%20trauma" title="head trauma">head trauma</a>, <a href="https://publications.waset.org/abstracts/search?q=intracranial%20pressure" title=" intracranial pressure"> intracranial pressure</a>, <a href="https://publications.waset.org/abstracts/search?q=optic%20nerve" title=" optic nerve"> optic nerve</a>, <a href="https://publications.waset.org/abstracts/search?q=sonography" title=" sonography"> sonography</a> </p> <a href="https://publications.waset.org/abstracts/104676/optic-nerve-sheath-measurement-in-children-with-head-trauma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/104676.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">158</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">1929</span> Strabismus Management in Retinoblastoma Survivors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Babak%20Masoomian">Babak Masoomian</a>, <a href="https://publications.waset.org/abstracts/search?q=Masoud%20Khorrami%20Nejad"> Masoud Khorrami Nejad</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamid%20Riazi%20Esfahani"> Hamid Riazi Esfahani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: To report the result of strabismus surgery in eye-salvaged retinoblastoma (Rb) patients. Methods: A retrospective case series including 18 patients with Rb and strabismus who underwent strabismus surgery after completing tumor treatment by a single pediatric ophthalmologist. Results: A total of 18 patients (10 females and 8 males) were included with a mean age of 13.3 ± 3.0 (range, 2-39) months at the time tumor presentation and 6.0 ± 1.5 (range, 4-9) years at the time of strabismus surgery. Ten (56%) patients had unilateral, and 8(44%) had bilateral involvement, and the most common worse eye tumor’s group was D (n=11), C (n=4), B (n=2) and E (n=1). Macula was involved by the tumors in 12 (67%) patients. The tumors were managed by intravenous chemotherapy (n=8, 47%), intra-arterial chemotherapy (n=7, 41%) and both (n=3, 17%). After complete treatment, the average time to strabismus surgery was 29.9 ± 20.5 (range, 12-84) months. Except for one, visual acuity was equal or less than 1.0 logMAR (≤ 20/200) in the affected eye. Seven (39%) patients had exotropia, 11(61%) had esotropia (P=0.346) and vertical deviation was found in 8 (48%) cases. The angle of deviation was 42.0 ± 10.4 (range, 30-60) prism diopter (PD) for esotropic and 35.7± 7.9 (range, 25-50) PD for exotropic patients (P=0.32) that after surgery significantly decreased to 8.5 ± 5.3 PD in esotropic cases and 5.9±6.7 PD in exotropic cases (P<0.001). The mean follow-up after surgery was 15.2 ± 2.0 (range, 10-24) months, in which 3 (17%) patients needed a second surgery. Conclusion: Strabismus surgery in treated Rb is safe, and results of the surgeries are acceptable and close to the general population. There was not associated with tumor recurrence or metastasis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=retinoblastoma" title="retinoblastoma">retinoblastoma</a>, <a href="https://publications.waset.org/abstracts/search?q=strabismus" title=" strabismus"> strabismus</a>, <a href="https://publications.waset.org/abstracts/search?q=chemotherapy" title=" chemotherapy"> chemotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a> </p> <a href="https://publications.waset.org/abstracts/173512/strabismus-management-in-retinoblastoma-survivors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173512.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">61</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">1928</span> Assessment of Post-surgical Donor-Site Morbidity in Vastus lateralis Free Flap for Head and Neck Reconstructive Surgery: An Observational Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ishith%20Seth">Ishith Seth</a>, <a href="https://publications.waset.org/abstracts/search?q=Lyndel%20Hewitt"> Lyndel Hewitt</a>, <a href="https://publications.waset.org/abstracts/search?q=Takako%20Yabe"> Takako Yabe</a>, <a href="https://publications.waset.org/abstracts/search?q=James%20Wykes"> James Wykes</a>, <a href="https://publications.waset.org/abstracts/search?q=Jonathan%20Clark"> Jonathan Clark</a>, <a href="https://publications.waset.org/abstracts/search?q=Bruce%20Ashford"> Bruce Ashford</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Vastus lateralis (VL) can be used to reconstruct defects of the head and neck. Whilst the advantages are documented, donor-site morbidity is not well described. This study aimed to assess donor-site morbidity after VL flap harvest. The results will determine future directions for preventative and post-operative care to improve patient health outcomes. Methods: Ten participants (mean age 55 years) were assessed for the presence of donor-site morbidity after VL harvest. Musculoskeletal (pain, muscle strength, muscle length, tactile sensation), quality of life (SF-12), and lower limb function (lower extremity function, gait (function and speed), sit to stand were assessed using validated and standardized procedures. Outcomes were compared to age-matched healthy reference values or the non-operative side. Analyses were conducted using descriptive statistics and non-parametric tests. Results: There was no difference in muscle strength (knee extension), muscle length, ability to sit-to-stand, or gait function (all P > 0.05). Knee flexor muscle strength was significantly less on the operated leg compared to the non-operated leg (P=0.02) and walking speed was slower than age-matched healthy values (P<0.001). Thigh tactile sensation was impaired in 89% of participants. Quality of life was significantly less for the physical health component of the SF-12 (P<0.001). The mental health component of the SF-12 was similar to healthy controls (P=0.26). Conclusion: There was no effect on donor site morbidity with regards to knee extensor strength, pain, walking function, ability to sit-to-stand, and muscle length. VL harvest affected donor-site knee flexion strength, walking speed, tactile sensation, and physical health-related quality of life. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=vastus%20lateralis" title="vastus lateralis">vastus lateralis</a>, <a href="https://publications.waset.org/abstracts/search?q=morbidity" title=" morbidity"> morbidity</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20and%20neck" title=" head and neck"> head and neck</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=donor-site%20morbidity" title=" donor-site morbidity"> donor-site morbidity</a> </p> <a href="https://publications.waset.org/abstracts/141308/assessment-of-post-surgical-donor-site-morbidity-in-vastus-lateralis-free-flap-for-head-and-neck-reconstructive-surgery-an-observational-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/141308.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">242</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=head%20and%20kneck%20surgery&page=2">2</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=head%20and%20kneck%20surgery&page=3">3</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=head%20and%20kneck%20surgery&page=4">4</a></li> <li class="page-item"><a class="page-link" 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