Results 131 to 140 of about 273,199 (309)

Reappraisal of Real‐World Management of Acute Cholecystitis in Elderly Patients Based on the Adherence to Tokyo Guidelines 2018 (TG18): A Multicenter Study on Anzu HPB Surgical Meeting

open access: yesAnnals of Gastroenterological Surgery, EarlyView.
This multicenter retrospective study analyzes real‐world management of acute cholecystitis in patients aged ≥ 70 years across five institutions, focusing on adherence and intentional deviation from TG18 recommendations. By classifying treatment strategies as TG18‐accordant, more aggressive, or more conservative, we reappraise current practice patterns.
Yuta Kobayashi   +7 more
wiley   +1 more source

Emergency Cholecystectomy in Patients Classified as High Risk According to the Tokyo Guidelines 2018: A Real‐World Analysis

open access: yesAnnals of Gastroenterological Surgery, EarlyView.
Emergency cholecystectomy was evaluated in patients with acute cholecystitis classified as non‐recommended for surgery by the Tokyo Guidelines 2018. Major postoperative complications, rather than mortality, better reflected operative risk. Physiological instability, particularly ASA‐PS ≥ 3 and shock status, identified high‐risk patients, suggesting ...
Satoshi Mii   +9 more
wiley   +1 more source

An overview of excavatability classification for bedded and non bedded rock in a tropical region

open access: yesGeomechanics and Geophysics for Geo-Energy and Geo-Resources
Surface excavation works in tropically weathered rock are often reported to be challenging due to too many uncertainties such as rock mass and rock properties, environment, selection of the best excavation method, machine characteristics, cost and ...
Eka Kusmawati Suparmanto   +6 more
doaj   +1 more source

Short‐Term Outcomes and Cost Drivers of Emergency Surgery for Acute Abdominal Disease in Super‐Elderly Patients: A Study in the Japanese Tertiary Care Hospital

open access: yesAnnals of Gastroenterological Surgery, EarlyView.
This retrospective study analyzed patients aged ≥ 85 years undergoing emergency abdominal surgery, focusing on short‐term outcomes and inpatient cost structure under the Japanese DPC system. Although major complications occurred in 19.4% of patients, more than 70% were discharged home.
Yuta Kobayashi   +8 more
wiley   +1 more source

Design, Control, and Clinical Applications of Magnetic Actuation Systems: Challenges and Opportunities

open access: yesAdvanced Intelligent Systems, Volume 7, Issue 3, March 2025.
This review aims to provide a broad understanding for interdisciplinary researchers in engineering and clinical applications. It addresses the development and control of magnetic actuation systems (MASs) in clinical surgeries and their revolutionary effects in multiple clinical applications.
Yingxin Huo   +3 more
wiley   +1 more source

An engineering geological appraisal of the Chamshir dam foundation using DMR classification and kinematic analysis, southwest of Iran

open access: yesEarth Sciences Research Journal, 2011
This paper describes the results of engineering geological  investigations and rock mechanics studies carried out at the proposed Chamshir dam site. It is proposed that a 155 m high solid concrete gravity-arc dam be built across the Zuhreh River to the ...
Torabi Kaveh Mehdi, Heidari Mojtaba
doaj  

Optimizing 3D Bin Packing of Heterogeneous Objects Using Continuous Transformations in SE(3)

open access: yesAdvanced Intelligent Systems, EarlyView.
This article presents a method for solving the three‐dimensional bin packing problem for heterogeneous objects using continuous rigid‐body transformations in SE(3). A heuristic optimization framework combines signed‐distance functions, neural network approximations, point‐cloud bin modeling, and physics simulation to ensure feasibility and stability ...
Michele Angelini, Marco Carricato
wiley   +1 more source

A novel proposed classification system for rock slope stability assessment

open access: yesScientific Reports
The present study introduces “rock slope instability score (RSIS)” a novel classification system for assessing rock slope stability. It takes into account geological and geotechnical parameters, as well as the impact of human activities and triggering ...
Amit Jaiswal, A. K. Verma, T. N. Singh
doaj   +1 more source

Lost in aggregation? On the importance of local food price data for food poverty estimates

open access: yesAmerican Journal of Agricultural Economics, EarlyView.
Abstract This paper explores within‐country variations in food price dynamics and food poverty estimates by employing local market price data and national consumer price index (CPI) data. Our results show that national CPI data may be useful for approximating national trends but they fail to detect and identify spatial variations in local trends, which
Stephan Dietrich   +4 more
wiley   +1 more source

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