A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status a...

The normal intraoperative sonographic features of the spinal canal, spinal cord, conus medullaris, and cauda equina are described and illustrated. Important observations concerning the normal spinal cord include its highly reflective dorsal and ventral surfaces, its uniform hypoechogenicity, and the presence of a central echo. Other easily identified structures within the spinal canal include t...

We study spacecraft motion near a binary asteroid by means of theoretical and computational tools from geometric mechanics and dynamical systems. We model the system assuming that one of the asteroids is a rigid body (ellipsoid) and the other a sphere. In particular, we are interested in finding periodic and quasi-periodic orbits for the spacecraft near the asteroid pair that are suitable for o...

We investigate the spectrum of elementary particles and fields arising from the superposition of string configurations weighted according to their entropy in the string phase space. We find that this superposition describes a universe with a physical content phenomenologically compatible with the experimental observations and measurements. Masses and couplings are determined as functions of the...

Observations in the region of the Pribilof Islands and Canyon (PIC) reveal a clockwise circulation around the group of islands and around each of the two largest islands, St. Paul and St. George. Six current meters deployed around St. Paul Island revealed a steady clockwise flow around the island, which was strongest south of the island and weakest to the east. We use a high-resolution tidal mo...

Introduction: Intraoperative radiotherapy is a radiotherapy technique in which a high single fraction of radiation dose is delivered to the patient after surgery and Concurrent with anesthesia time. The most frequent method for IORT implementation is Intraoperative electron radiotherapy (IOERT), in which, some dedicated and high dose per pulse electron accelerators are employe...

STUDY DESIGN A single-center prospective study. PURPOSE A magnetic resonance imaging (MRI) scan is undeniably the gold standard for the diagnosis of a lumbar disc prolapse. Unfortunately it shares a strong association with incidental findings. In this study, we aimed to determine the extent to which a 1.5 Tesla MRI correlates with the clinical features and intraoperative findings in cases of ...

background: now the vast majority of breast tumors are treated using breast conservation therapy (bct) method, including lumpectomy and radiotherapy. this study aimed to evaluate the effects of intraoperative frozen section in patients undergoing breast conservation surgery. methods: totally 237 women who included in the category for breast conservative or oncoplastic surgery and post-operative...

purpose : to compare the outcomes of microcoaxial phacoemulsification and conventional phacoemulsification techniques methods : in this prospective comparative clinical study in the negah eye center, 69 eyes of 69 patients with senile cataract of grade 3 to 4 on the lens opacities classification system iii (locsiii) were placed in two groups. thirty nine eyes were assigned to undergo surgery by...