Introduction: Neoadjuvant cisplatin-based combination chemotherapy (NAC) followed by radical cystectomy is the standard of care for cisplatin-fit patients harboring muscle-invasive bladder cancer (MIBC). Prediction of response to NAC is essential for clinical decision-making regarding alternatives in case of non-response, and bladder-sparing in case of complete response. This research aimed to assess the performance of machine learning in predicting therapeutic response following NAC treatment in patients with MIBC.
View Article and Find Full Text PDFObjective: To provide an updated view on the role of cell-free DNA as a predictor of pathological response to neoadjuvant therapy in patients with muscle-invasive bladder cancer.
Methods: A systematic review was conducted from September 2023 to October 2023. Selected studies from the MEDLINE and clinical trial databases were critically analyzed regarding the clinical efficacy of cell-free DNA as a predictive instrument after neoadjuvant therapy in bladder cancer.
Accurate estimation of hip joint center (HJC) position is crucial during gait analysis. HJC is obtained with predictive or functional methods. But in the functional method, there is no consensus on where to place the skin markers and which combination to use.
View Article and Find Full Text PDFIntroduction: Surgical intervention is the treatment of choice in patients with urachal carcinoma. Due to complications and to reduce hospital stay from open surgery, minimally invasive approaches are desirable. Nowadays, robotic-assisted surgery has become increasingly popular, and robot-assisted cystectomy can be performed in patients with urachal carcinoma with low complication rates.
View Article and Find Full Text PDFBackground: After total knee arthroplasty (TKA), patients have limited knee range of motion (ROM), trophic changes and pain. Cryotherapy and compression are recommended in the literature, but no study has shown that cryotherapy and compression combined leads to better results than cryotherapy alone. The primary objective was to compare knee ROM after 21 days of rehabilitation post-TKA between patients who underwent rehabilitation with compressive cryotherapy with those who had cryotherapy alone.
View Article and Find Full Text PDFBackground: Several tools exist to measure tightness of the gastrocnemius muscles; however, few of them are reliable enough to be used routinely in the clinic. The primary objective of this study was to evaluate the intra- and inter-rater reliability of a new equinometer. The secondary objective was to determine the load to apply on the plantar surface of the metatarsal heads to achieve the highest reliability when measuring gastrocnemius tightness.
View Article and Find Full Text PDFIntroduction: Clinical and functional improvement after minimally invasive total hip arthroplasty (THA) has become increasingly controversial. The minimally invasive anterolateral approach (MIALA) allows rapid recovery resulting in a reduced need for rehabilitation. Alterations in muscle and static balance have previously been demonstrated.
View Article and Find Full Text PDFIntroduction: Total Hip Arthroplasty (THA) leads to excellent clinical and functional results. The Minimally Invasive Anterior Approach (MIAA) theoretically allows rapid recovery and a reduction in the need for rehabilitation, but alterations in muscle and static balance have previously been demonstrated. Kinetic, kinematic and muscular alterations have been shown to persist up to 1year postoperatively but data beyond 1year postoperatively is lacking.
View Article and Find Full Text PDFIntroduction: After total hip arthroplasty (THA), patients continue to have muscular, functional and postural deficits. The literature seems to support the use of postoperative rehabilitation, especially self-directed programs. However, there is no set protocol for the management of postural disorders.
View Article and Find Full Text PDFThe antidepressant effect of ketamine has been widely acknowledged and the use of one of its enantiomers, S-ketamine (esketamine), has recently been approved for the clinical management of treatment-resistant depression. As with ketamine, the non-selective opioid receptor-interacting drug buprenorphine is reported to have antidepressant and anxiolytic properties in humans and rodents. Given the fact that antidepressant drugs are also first line treatment for panic disorder, it is surprising that the potential panicolytic effect of these compounds has been scarcely (ketamine), or not yet (buprenorphine) investigated.
View Article and Find Full Text PDFBackground: Lateralization of the glenoid implant improves functional outcomes in Reverse Shoulder Arthroplasty. Lateralization does not appear to impact the Deltoid's Moment Arm. Therefore, the stabilizing effect described in the literature would not be the result of an increase this moment arm.
View Article and Find Full Text PDFBackground: Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death worldwide, with acute coronary syndromes accounting for most of the cases. While the benefit of early revascularization has been clearly demonstrated in patients with ST-segment-elevation myocardial infarction (STEMI), diagnostic pathways remain unclear in the absence of STEMI. We aimed to characterize OHCA patients presenting to 2 tertiary cardiology centers and identify predicting factors associated with survival.
View Article and Find Full Text PDFAs an artificial intelligence technique, case-based reasoning has considerable potential to build intelligent systems for smart agriculture, providing farmers with advice about farming operation management. A proper case representation method plays a crucial role in case-based reasoning systems. Some methods like textual, attribute-value pair, and ontological representations have been well explored by researchers.
View Article and Find Full Text PDFWeb Ontology Language (OWL) is designed to represent varied knowledge about things and the relationships of things. It is widely used to express complex models and address information heterogeneity of specific domains, such as underwater environments and robots. With the help of OWL, heterogeneous underwater robots are able to cooperate with each other by exchanging information with the same meaning and robot operators can organize the coordination easier.
View Article and Find Full Text PDFAs the demand for food grows continuously, intelligent agriculture has drawn much attention due to its capability of producing great quantities of food efficiently. The main purpose of intelligent agriculture is to plan agricultural missions properly and use limited resources reasonably with minor human intervention. This paper proposes a Precision Farming System (PFS) as a Multi-Agent System (MAS).
View Article and Find Full Text PDFThe deployment of the nodes in a Wireless Sensor and Actuator Network (WSAN) is typically restricted by the sensing and acting coverage. This implies that the locations of the nodes may be, and usually are, not optimal from the point of view of the radio communication. Additionally, when the transmission power is tuned for those locations, there are other unpredictable factors that can cause connectivity failures, like interferences, signal fading due to passing objects and, of course, radio irregularities.
View Article and Find Full Text PDFGender-based violence is a widespread and muted problem in public health that particularly affects millions of women worldwide. The situation being relegated to the private sphere is difficult to know the exact number of women who suffer and causes much of the morbidity and the mortality of women. However, at some point in their lives women visit health services and health professionals, especially nursing, is supposed to be the first to detect cases of abuse.
View Article and Find Full Text PDFThe solutions to cope with new challenges that societies have to face nowadays involve providing smarter daily systems. To achieve this, technology has to evolve and leverage physical systems automatic interactions, with less human intervention. Technological paradigms like Internet of Things (IoT) and Cyber-Physical Systems (CPS) are providing reference models, architectures, approaches and tools that are to support cross-domain solutions.
View Article and Find Full Text PDFWireless Sensor Networks (WSNs) are generally used to collect information from the environment. The gathered data are delivered mainly to sinks or gateways that become the endpoints where applications can retrieve and process such data. However, applications would also expect from a WSN an event-driven operational model, so that they can be notified whenever occur some specific environmental changes instead of continuously analyzing the data provided periodically.
View Article and Find Full Text PDFThis project studied domestic wastewater treatment by horizontal subsurface flow (HSSF) constructed wetlands (CW) and compared the effect of four different plant species on the operating conditions, dissolved oxygen (DO), and redox potential (ORP), and their efficiency on pollutants removal. Five HSSF CWs were fed for 10 months with low loaded synthetic domestic wastewater, using theoretical hydraulic residence time of 7.6 days.
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