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Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review

  • Simon Roh
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.165-171
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    • 2023
  • Trauma remains a significant healthcare burden, causing over five million yearly fatalities. Notably, the liver is a frequently injured solid organ in abdominal trauma, especially in patients under 40 years. It becomes even more critical given that uncontrolled hemorrhage linked to liver trauma can have mortality rates ranging from 10% to 50%. Liver injuries, mainly resulting from blunt trauma such as motor vehicle accidents, are traditionally classified using the American Association for the Surgery of Trauma grading scale. However, recent developments have introduced the World Society of Emergency Surgery classification, which considers the patient's physiological status. The diagnostic approach often involves multiphase computed tomography (CT). Still, newer methods like split-bolus single-pass CT and contrast-enhanced ultrasound (CEUS) aim to reduce radiation exposure. Concerning management, nonoperative strategies have emerged as the gold standard, especially for hemodynamically stable patients. Incorporating angiography with embolization has also been beneficial, with success rates reported between 80% and 97%. However, it is essential to identify the specific source of bleeding for effective embolization. Given the severity of liver trauma and its potential complications, innovations in diagnostic and therapeutic approaches have been pivotal. While CT remains a primary diagnostic tool, methods like CEUS offer safer alternatives. Moreover, nonoperative management, especially when combined with angiography and embolization, has demonstrated notable success. Still, the healthcare community must remain vigilant to complications and continuously seek improvements in trauma care.

A Deep Belief Network for Electricity Utilisation Feature Analysis of Air Conditioners Using a Smart IoT Platform

  • Song, Wei;Feng, Ning;Tian, Yifei;Fong, Simon;Cho, Kyungeun
    • Journal of Information Processing Systems
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    • v.14 no.1
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    • pp.162-175
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    • 2018
  • Currently, electricity consumption and feedback mechanisms are being widely researched in Internet of Things (IoT) areas to realise power consumption monitoring and management through the remote control of appliances. This paper aims to develop a smart electricity utilisation IoT platform with a deep belief network for electricity utilisation feature modelling. In the end node of electricity utilisation, a smart monitoring and control module is developed for automatically operating air conditioners with a gateway, which connects and controls the appliances through an embedded ZigBee solution. To collect electricity consumption data, a programmable smart IoT gateway is developed to connect an IoT cloud server of smart electricity utilisation via the Internet and report the operational parameters and working states. The cloud platform manages the behaviour planning functions of the energy-saving strategies based on the power consumption features analysed by a deep belief network algorithm, which enables the automatic classification of the electricity utilisation situation. Besides increasing the user's comfort and improving the user's experience, the established feature models provide reliable information and effective control suggestions for power reduction by refining the air conditioner operation habits of each house. In addition, several data visualisation technologies are utilised to present the power consumption datasets intuitively.

A determination of occlusal plane comparing different levels of the tragus to form ala-tragal line or Camper's line: A photographic study

  • Kumar, Sandeep;Garg, Sandeep;Gupta, Seema
    • The Journal of Advanced Prosthodontics
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    • v.5 no.1
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    • pp.9-15
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    • 2013
  • PURPOSE. The purpose of this study was to determine accurately the part of the tragus to be used to form the Ala-Tragal line or Camper's line in orthognathic profile patients. MATERIALS AND METHODS. 150 dentate subjects with age of 18-40 years with orthognathic profile were sampled. Life-size lateral digital photographs of the face with fox plane were taken in natural head position. Different angles between Eye-Ear plane and occlusal plane ($OT_1$-OP), Eye-Ear plane and ala-superior border of tragus ($OT_1-AT_1$), Eye-Ear plane and ala-middle border of tragus ($OT_1-AT_2$) and Eye-Ear plane and ala-inferior border of tragus ($OT_1-AT_3$) were calculated using computer software package, AutoCAD 2004. From the three angles formed by the Eye-ear plane ($OT_1$ or FH plane) and the ala-tragal lines, the one closest to the angle formed between Eye-Ear plane ($OT_1$) and occlusal plane (OP) was used to determine the occlusal plane of orientation. The obtained results were subjected to ANOVA F test, Tukey's Honestly significant difference test, followed by Karl Pearson coefficient of correlation test. P values of less than 0.05 were taken as statistically significant. RESULTS. The mean of base line angle i.e. $OT_1$-OP angle ($11.96{\pm}4.36$) was found to be close to $OT_1-AT_2$ angle ($13.67{\pm}1.93$) and $OT_1-AT_3$ angle ($10.31{\pm}2.03$), but $OT_1$-OP angle was found to be more closer to $OT_1-AT_3$ angle. Comparison of mean angles showed that $OT_1$-OP angle in both males (11.68) and females (12.51) is close to $OT_1-AT_3$ angle (males- 11.01, females- 11.95). CONCLUSION. The line joining from ala to the lower border of the tragus was parallel to the occlusal plane in 53.3% of the subjects. There was no influence of the sex on the level of occlusal plane.