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The "Ins and Outs" of Dynamic Magnetic Resonance Imaging for Female Pelvic Organ Prolapse.
Int Urogynecol J
November 2024
Department of Gynecologic Surgery & Obstetrics Urogynecology Division, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD, 20889, USA.
Article Synopsis
- * Key measurements from MRI, like the pubococcygeal line (PCL), H line, and M line, help evaluate the size and function of the pelvic floor and identify abnormalities such as rectocele or rectal prolapse.
- * Dynamic pelvic MRI is particularly valuable for patients with complex conditions or incongruent symptoms, allowing surgeons to make informed treatment decisions and effectively communicate with patients.
Dynamic Changes of the Genital Hiatus at the Time of Prolapse Surgery: 1-Year Follow-Up Study.
Urogynecology (Phila)
July 2024
Center for Urogynecology and Pelvic Reconstructive Surgery, Women's Health Institute, Cleveland Clinic, Cleveland, OH.
Importance: The genital hiatus (GH) has been identified as a predictor of pelvic organ prolapse. An enlarged preoperative GH is a risk factor for recurrent prolapse after surgery.
Objective: The objective of this study was to determine the changes in preoperative and postoperative GH size compared with the intraoperative resting GH at 6 weeks and 12 months after native-tissue pelvic organ prolapse surgery.
Enhanced Runge-Kutta-driven feature selection model for early detection of gastroesophageal reflux disease.
Comput Biol Med
June 2024
General Surgery, Cancer Center, Department of Hernia Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital). Hangzhou Medical College, Hangzhou, Zhejiang, China. Electronic address:
Article Synopsis
- * The study introduces a new prediction model for GERD using an enhanced Runge Kutta algorithm combined with fuzzy k-nearest neighbors, achieving high predictive accuracy by improving local search capabilities and convergence.
- * A dataset of 179 cases from a hospital study was analyzed, revealing key features that impact GERD prediction, with the proposed model achieving a predictive accuracy of 93.824%, demonstrating its effectiveness compared to other algorithms.
Iatrogenic eventration of the hemidiaphragm in a post-bariatric surgery patient.
J Surg Case Rep
March 2024
Department of Surgery, St George Hospital, Grey St, Kogarah, NSW 2217, Australia.
The aim of this report is to describe the management of an iatrogenic diaphragmatic eventration following surgery to relieve neurogenic symptoms of thoracic outlet syndrome in a patient with a prior history of sleeve gastrectomy. We discuss the case of a 46-year-old woman with a 6-month history of gastro-oesophageal reflux and dyspnoea. Imaging demonstrated a left hemidiaphragm eventration and hiatus hernia.
View Article and Find Full Text PDFHow do animals weigh conflicting information about reward sources over time? Comparing dynamic averaging models.
Anim Cogn
March 2024
Department of Psychology, Utah State University, Logan, Utah, USA.
Optimal foraging theory suggests that animals make decisions which maximize their food intake per unit time when foraging, but the mechanisms animals use to track the value of behavioral alternatives and choose between them remain unclear. Several models for how animals integrate past experience have been suggested. However, these models make differential predictions for the occurrence of spontaneous recovery of choice: a behavioral phenomenon in which a hiatus from the experimental environment results in animals reverting to a behavioral allocation consistent with a reward distribution from the more distant past, rather than one consistent with their most recently experienced distribution.
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