Reconstructive plastic surgery in hemophiliacs

Major surgery can be safely performed in hemophiliacs when adequate factor activity is provided, i.e., 100 percent activity perioperatively and 50 percent activity thereafter. These patients require complete hemostatic evaluation in order to properly titrate perioperative needs. The extreme cost of surgery and hospitalization mandates that, when possible, patients needing multiple procedures have them performed at the same time. A case is presented in which a paraplegic hemophiliac with extensive pressure sores underwent quadruple flaps following these tenets.     

Evaluation of soil aggregate stability in Algerian northwestern soils using pedotransfer functions and artificial neural networks

Since, aggregate stability is the main physical property regulating erodibility; its observations can act as a useful indicator for monitoring and managing soil degradation. In this context, this study carried out in the alluvial plain of Cheliff, a semi-arid area aimed to predict aggregate stability through Mean Weight Diameter (MWD), using pedotransfer functions (PTFs) with different stratifications (textural, salinity and organic-textural) and artificial neural networks (ANNs). Results showed that the best MWD predictions were those related to organic-textural PTFs, in this stratification the silty-clay moderately rich OM class showed the highest significant determination coefficient R² (0.65) and the lowest mean square error (0.03), whereas, the textural and salinity PTFs were a very weak predictors with a very low R². It was also found that the performances of ANNs in predicting MWD were better than those of PTFs, regarding ANNs input variables the best predictions were those obtained with a large number of input variables, furthermore, by using a large number of hidden neurons, the performances of Radial Basis Function (RBF) were better than those of Multilayer Perceptron (MLP). It was also noted that the best RBF results were always related to the Gaussian hidden activation, whereas, MLP was not related to a specific hidden activation.