Bladder-uterine fistulas

Three cases of the bladder-uterine fistulas treated within the last three years (1982-1984) have been presented. All patients underwent cesarean sections (two patients once, and the third - thrice). The patients were treated surgically. Each one has undergone hysterectomy, and the opening of the fistula into the bladder has been operated by incision of the bladder in two cases and through extracystic approach in one case. Mechanism of development, symptoms, various types, diagnosis, and therapy of the bladder-uterine fistulas have been discussed.     

Path planning for minimally-invasive knee surgery using a hybrid optimization procedure

The aim of this study was to develop a procedure for medical tool path planning in minimally-invasive knee surgery. The collision-free paths for the tool were obtained using the control locations method with a hybrid optimization strategy. The tool and knee elements were described with surface meshes. The knee model allowed for bones displacement and variable incision size and location. The proposed procedure was proven to be effective in path planning for minimally-invasive surgery. It can serve as a valuable aid in surgery planning and may also be used in systems for autonomous or semi-autonomous knee surgery.     

Predicting live birth by combining cleavage and blastocyst-stage time-lapse variables using a hierarchical and a data mining-based statistical model

Prolonged embryo culture is increasingly used as a way of improving pregnancy rates, especially in the context of single embryo transfer. So far, only a handful of studies examined the relation between implantation potential and time-lapse parameters extracted from later stages (morula and blastocyst) of embryo development. For this retrospective study all 285 single vitrified-thawed blastocyst transfers (SVBT) from all consecutive unselected patients whose fertilized oocytes were submitted to time-lapse monitoring (TLM) from a two-year cohort were analysed. Two different statistical models were created; a hierarchical one including the two strongest live birth (LB) predictors (t2 and texpB₂) and a more complex model based on principal component analysis (PCA) and logistic regression methods. The first, four-category, hierarchical model effectively distinguished between blastocysts of increasing LB rates (8, 30, 40, 53%). For the second data-mining model quartiles of the created Sc parameter had increasing LB rates (12, 19, 40, 49%). AUC values were comparable for both models (0.723, 95CI%:0.66–0.79 versus 0.717, 95CI%:0.65–0.78). The combination of cleavage- and blastocyst-stage variables through hierarchical or data mining-based algorithms was used successfully to predict live birth. However, due to the lack of internal / external validation the predictive capacities of this model could differ largely in different datasets.     

The development of plant-parasitic nematode infestations on micro-propagated banana plants following field control measures in Côte d'Ivoire

Of the weeds that were found in banana production areas, only Asystasia gangetica was parasitised by Radopholus similis; Helicotylenchus multicinctus and Hoplolaimus pararobustus were able to parasitise all weed species. Field trials were carried out in Cote d'Ivoire to assess the potential for using nematode-free micro-propagated banana plants following cultural and chemical methods for nematode control. Banana (Musa acuminata) cv. Poyo was examined for nematodes after weed fallow, flooding and chemical treatment. Before replanting bananas, nematode assays showed that: i) all nematode species declined but were not eliminated after a 1,3-dichloropropene soil treatment; ii) H. multicinctus, H. pararobustus and Cephalenchus emarginatus were still present after either a 2-year weed fallow (dominated by Chromolaena odorata or Asystasia gangetica) or a 10-week flooding; iii) R. similis did not persist after fallowing or flooding. All nematode species were found in plots treated with 1,3-dichloropropene and that had been planted with bullheads, suckers or nematode-free micropropagated plants. After both fallow and flooding, R. similis was reintroduced on infested planting materials (bullheads and suckers) even when they were pre-treated with a nematicide. When fallow and flooded plots were planted with nematode-free materials (vitro-plants), R. similis did not appear in the roots for two vegetative cycles. The other species, still present in the soil, invaded the roots and increased slowly in numbers. These results were confirmed in commercial banana plantations.     

“海洋微生物学实验”课程思政探索和实践

"海洋微生物学实验"课程是高等院校海洋科学类专业的重要基础课程,在海洋科学人才培养过程中发挥重要作用。开展"海洋微生物学实验"课程的思政建设,是落实高校全员全程全方位培养青年海洋微生物人才的重要途径。本文以"海洋微生物学实验"课程为例,挖掘提炼课程中蕴含的思政元素,从课程建设、教学理念、教学目标、教学方法、考核评价体系、教学反思等方面开展课程思政教育的探索和实践,旨在将专业知识和思政元素有机融合,实现知识传授和价值引领同频共振。     

不同训练负荷太极拳运动对早中期帕金森病患者康复疗效

目的 通过对比对照组和太极拳运动组，评价太极拳运动在早中期帕金森病患者康复作用。方法 45例帕金森病患者随机分为：对照组（n=15），不接受干预；太极拳1组（n=15）采用24式简化太极拳练习，40 min/次，3次/周；太极拳2组（n=15）采用24式简化太极拳练习，60 min/次，3次/周。在基线、12周、24周运动后采用患者跌倒功效量表（FES）、起立-行走计时测试（TUGT）、Berg平衡量表评分（BBS）、统一帕金森病评定量表（UPDRS） Ⅲ评分、汉密尔顿焦虑抑郁量表评分（HAMD、HAMA）、匹兹堡睡眠质量指数评分（PSQI）进行评估。结果 太极拳1组，24周对比基线在TUGT、BBS评分的改善上有统计学意义（P<0.05）。太极拳2组，24周对比基线在TUGT、 BBS评分的改善上有统计学意义（P<0.05）,24周对比12周在TUGT的改善上有统计学意义（P<0.05）。结论 太极拳运动可以改善早中期帕金森病患者的平衡障碍，可降低跌倒风险。