Numerous surgical procedures have been developed for urinary diversion in patients who have undergone a radical cystectomy for bladder cancer or, less frequently, a benign condition. Because urinary diversion procedures are complex, early and late postsurgical complications frequently occur. Possible complications include alterations in bowel motility, anastomotic leaks, fluid collections (absc...

Muscle invasive and recurrent nonmuscle invasive bladder cancers have been traditionally treated with a radical cystectomy and urinary diversion. The urinary diversion is generally accomplished through the creation of an incontinent ileal conduit, continent catheterizable reservoir, or orthotopic neobladder utilizing small or large intestine. While radical extirpation of the bladder is often su...

Flow diversion is a novel concept for treating anatomically challenging intracranial aneurysms and has gained increasing acceptance. Flow diverter stents, such as the Pipeline Embolization Device (PED) (ev3-Covidien, Irvine, CA, USA), are approved for treating unruptured large and giant aneurysms from the internal carotid artery between the superior hypophyseal and cavernous segments. However, ...

This paper presents a kernel fuzzy clustering with a novel differential harmony search algorithm to coordinate with the diversion scheduling scheme classification. First, we employed a self-adaptive solution generation strategy and differential evolution-based population update strategy to improve the classical harmony search. Second, we applied the differential harmony search algorithm to the ...

The purpose of this cross-sectional study was to examine the relative contributions of negative symptomatology, insight, and coping to quality of life (QOL) in a sample of 92 consecutive outpatients with stable schizophrenia referring to the Department of Neuroscience, Psychiatric Section, University of Turin, Struttura Semplice di Coordinamento a Valenza Dipartimentale (SSCVD), Department of M...

OBJECTIVES Orthotopic diversion, initially performed solely in men, has now become a viable option in women. Approximately 15 yr ago, at several centres, urethra-sparing cystectomy and orthotopic diversion were initiated in women with bladder cancer. Several studies have since addressed both the oncologic and functional outcomes of this procedure. METHODS We describe our surgical technique of...

BACKGROUND The use of bowel segments incorporated into the urinary tract is well established in urological surgery. OBJECTIVE To describe and compare the use of absorbable and nonabsorbable staples for creation of a urine reservoir after radical cystectomy. MATERIALS AND METHODS This review is based on a systematic Medline search assessing the period 1950-2010. RESULTS Use of the autosutu...

Bladder cancer is the second most common urologic cancer in the United States resulting in over 61,000 new cases in 2006 (American Cancer Society, 2006). Approximately 30% of all new cases present with muscle-invasive disease that requires a radical cystectomy and a urinary diversion for the best cure rate. Surgical options for a urinary diversion include an ileal conduit diversion or the forma...

Changes in water diversion flow are the major disturbance sources daily operation of projects. Ensuring efficient and safe project while dealing with different degrees is crucial for real-time control operation. Based on historical projects China abroad, this study constructs conditions, selects typical lines, objectives lines. The discrete state space equation multi-channel pool integral time-...

Selecting the most appropriate traffic control strategy for incident congestion management can have a major impact on the extent and duration of the resulting congestion. This research investigated the effective-nesses of several control strategies on various incident conditions. The selected control strategies representing possible ITS technologies included traffic metering (ATMS), traffic div...