Association between operative position and postoperative nausea and vomiting in patients undergoing laparoscopic sleeve gastrectomy

BACKGROUND Bariatric surgery is one of the most effective ways to treat morbid obesity,and postoperative nausea and vomiting(PONV)is one of the common complications after bariatric surgery.At present,the mechanism of the high incidence of PONV after weight-loss surgery has not been clearly explained,and this study aims to investigate the effect of surgical position on PONV in patients undergoing bariatric surgery.AIM To explore the effect of the operative position during bariatric surgery on PONV.METHODS Data from obese patients,who underwent laparoscopic sleeve gastrectomy(LSG)in the authors’hospital between June 2020 and February 2022 were divided into 2 groups and retrospectively analyzed.Multivariable logistic regression analysis and the t-test were used to study the influence of operative position on PONV.RESULTS There were 15 cases of PONV in the supine split-leg group(incidence rate,50%)and 11 in the supine group(incidence rate,36.7%)(P=0.297).The mean operative duration in the supine split-leg group was 168.23±46.24 minutes and 140.60±32.256 minutes in the supine group(P<0.05).Multivariate analysis revealed that operative position was not an independent risk factor for PONV(odds ratio=1.192,95%confidence interval:0.376-3.778,P=0.766).CONCLUSION Operative position during LSG may affect PONV;however,the difference in the incidence of PONV was not statistically significant.Operative position should be carefully considered for obese patients before surgery.

Evaluation index system for positive operation of water conservancy projects

The conditions for the positive operation of water conservancy projects are described in this paper. A scientific and effective evaluation index system was established based on frequency analysis, theoretical analysis, and expert consultation. This evaluation index system can be divided into six first-level indices： the degree to which facilities are intact and functionality standards are reached, the status of operation and management funds, the rationality and degree of advancement of the management team structure, the adaptability and rationality of the water conservancy project management system, the degree of automatization and informationization of the management techniques, and the conduciveness of the exterior environment. The weights for evaluation indices were obtained through the analytic hierarchy process method with consideration of the difference between public welfare and profit-oriented water conservancy projects. This study provides a scientific method for evaluating the positive operation of water conservancy projects.

A Comparative Study of the Short-Term Efficacy of Laparoscopic Radical Resection of Right-Sided Colon Cancer with Two Different Surgeon Positions and Trocar Placements

Objective: To investigate the short-term efficacy of laparoscopic radical resection of right-sided colon cancer with two different surgeon positions and trocar placements. Methods: The data of 78 patients who underwent laparoscopic radical resection of right-sided colon cancer between January 2018 and August 2019 were retrospectively analysed. The surgical method was selected by the patients. The patients were divided into two groups according to the surgeons’ positioning habits and trocar placements. The group with the lead surgeon standing between the patient’s legs had 35 patients, and the group with the lead surgeon standing at the left side of the patient had 43 patients. The operation time, intraoperative blood loss, postoperative anal gas evacuation time, postoperative urinary catheter indwelling time, postoperative hospital stay, C-reactive protein (CRP) level on the first day after surgery, and postoperative pathological data and complications were compared between the two groups. Results: All patients underwent the laparoscopic radical resection of right-sided colon cancer, none converting to laparotomy. No significant difference (P > 0.05) in intraoperative blood loss (57.6 ± 21.3 ml vs 60.2 ± 35.3 ml), postoperative anal gas evacuation time (3.5 ± 1.1 d vs 3.8 ± 1.3 d), postoperative urinary catheter indwelling time (2.6 ± 1.3 d vs 2.4 ± 1.2 d), postoperative hospital stay (7.1 ± 1.8 d vs 7.5 ± 2.1 d), or CRP level on the first day after surgery (54.7 ± 9.6 mg/L vs 53.9 ± 8.2 mg/L) was detected between the two groups. The operation time was shorter in the group with the lead surgeon standing between the patient’s legs (185.2 ± 25.6 min vs 196.2 ±19.7 min) (P < 0.05). The two groups did not differ significantly in the tumour length (4.2 ± 1.3 cm vs 3.9 ± 1.5 cm), number of dissected lymph nodes (27.5 ± 11.6 vs 25.1 ± 15.4), pathological type, or postoperative pathological tumour-node-metastasis stage (P > 0.05). No patients died or had anastomotic fistula during their postoperative hospital stay, and the incidence of postoperative complications did not differ between the two groups (22.9% (8/35) vs 23.3% (10/42);P > 0.05). Conclusion: Under the principle of radical resection, the surgeon should adopt the most suitable standing position and trocar placement according to the specific situation. If the surgeon stands between the patient’s legs, this might shorten the operation time and promote a smoother surgery.

Sensor Placement to Improve the Positioning Performance Based on Angle of Arrival (AOA)

In this paper, a method for sensor placement to improve the placement quality based on angle of arrival of signal in a specific area is proposed. The installation place of sensors may be constrained with specified boundaries. In this me-thod, the criterion of maximum quality of placement is the Cramer-Rao bound. The generalized pattern search as an effective method is used to maximize error bound of the placement problem by angle of arrival. Better results are ob-tained in comparison with results of genetic algorithm. The derived results are compared from two aspects of run time and result quality.

Operator Matrix Forms of Positive Operators

If a 3-tuple (A:H_1→H_1,B:H_2→H_1,C:H_2→H_2) of operators on Hilbert spaces is given,we proved that the operator A:= on H=H_1⊕H_2 is≥0 if and only if A≥0,R(B) R(A1/2)and C≥B~* A^+ B, where A^+ is the generalized inverse of A. In general,A^+ is a closed operator,but since R(B) R(A1/2),B~* A^+ B is bounded yet.

Clinical Comparison of Airway Stent Placement in Intervention Room and Operating Room

Background and objective Airway stent placement is the effective regimen for central airway obstruction(CAO),while its application scenarios varied.This study aimed to make clinical comparison of airway stent placement in the intervention room and operating room.Methods Patients underwent airway stent placement between 2014 and 2018 were included in this retrospective case-control study.Clinical performance of airway stent placement in intervention room and operating room were compared.Results 82 patients were included in this study,including 39 in the intervention room and 43 in the operating room.Patients treated in the intervention room had lower Charlson comorbidity index(CCI)(P=0.018)and received less Y-shaped stents(P<0.001).Better clinical response(P=0.026),more stents placed(P<0.001)and longer length of stent(P<0.001)were observed in operating room,while there was no significantly statistical difference of stent-related complications and post-stent survival rate between the two groups.Extracorporeal membrane oxygenation(ECMO)supported airway stent placement procedures were performed in the operating room,which provided definitive safety support for high-risk intervention.Conclusion Patients with CAO could benefit from the operating room scenario,and airway stent placement in the operating room is more suitable for patients with higher CCI scores and receiving more complicated procedures.

THE RELATION BETWEEN SIGN-CHANGING SOLUTION AND POSITIVE-NEGATIVE SOLUTIONS FOR NONLINEAR OPERATOR EQUATIONS AND ITS APPLICATIONS

By fixed point index theory and a result obtained by Amann, existence of the solution for a class of nonlinear operator equations x = Ax is discussed. Under suitable conditions, a couple of positive and negative solutions are obtained. Finally, the abstract result is applied to nonlinear Sturm-Liouville boundary value problem, and at least four distinct solutions are obtained.

Virtual Reality Simulation of Fuzzy-logic Control during Underwater Dynamic Positioning

In this paper, graphical-user-interface （GUI） software for simulation and fuzzy-logic control of a remotely operated vehicle （ROV） using MATLABTM GUI Designing Environment is proposed. The proposed ROV＇s GUI platform allows the controller such as fuzzy-logic control systems design to be compared with other controllers such as proportional-integral-derivative （PID） and sliding-mode controller （SMC） systematically and interactively. External disturbance such as sea current can he added to improve the modelling in actual underwater environment. The simulated results showed the position responses of the fuzzy-logic control exhibit reasonable performance under the sea current disturbance.

Sensitivity and effect of key operational parameters on performance of a dual-cylinder free-piston engine generator

The free-piston engine generator(FPEG)is regarded as the next generation of energy conversion system which may replace traditional engines in the future.The effect of key operational parameters like excess air ratio of input mixture and ignition position on the engine performance of a dual-cylinder FPEG was investigated,and their sensitivity was analyzed in this paper.The operating compression ratio of the system is susceptible to changes in excess air ratio and ignition position.At the same time,it decreases from 15.8 to 6.6 when excess air ratio increases from 0.85 to 1.15,but it increases from 6.1 to 13.3 as ignition position increases from 15 mm to 20 mm.The operating frequency and indicated power are more sensitive to changes in excess air ratio than ignition position.But it is the opposite for the indicated thermal efficiency and friction loss.Excess air ratio and ignition position have a quite similar influence on heat transfer.Therefore,from the perspective of system operation and performance,it is preferable to keep excess air coefficient slightly below 1.0.In contrast,when selecting ignition position,it is of great importance to comprehensively consider the risk of structural damage caused by the increase in the compression ratio and in-cylinder gas pressure.

A New Class of Exactly Solvable Models within the Schrodinger Equation with Position Dependent Mass

The study of physical systems endowed with a position-dependent mass (PDM) remains a fundamental issue of quantum mechanics. In this paper we use a new approach, recently developed by us for building the quantum kinetic energy operator (KEO) within the Schrodinger equation, in order to construct a new class of exactly solvable models with a position varying mass, presenting a harmonic-oscillator-like spectrum. To do so we utilize the formalism of supersymmetric quantum mechanics (SUSY QM) along with the shape invariance condition. Recent outcomes of non-Hermitian quantum mechanics are also taken into account.

Implementation of positive-operator-value measurements for single spin qubit via Heisenberg model

This paper shows that a proposal for implementing all possible two-operator positive-operator-value measurements of single spin qubit can be obtained via introducing another spin qubit as ancilla. The realization process is accomplished from the free evolution of the Heisenberg XX model by considering nearest-neighbour spin interaction. A controlled- NOT gate, which is a significant operator for this scheme is also constructed and the generalisation to multiple-operator is considered finally.

MEAN CONVERGENCE OF SOME POSITIVE OPERATORS

L'convergence with 0<p<infinity of the positive operators F.(da,f) and G.(da,f), introduced by Nevai P. [3], and Qn,8(da,f), introduced by Hermann T. and Vertesi P. [1] to f is an element of C[-1,1] is proved to hold for very general measures.

Advances in Dental Implant Positioning Techniques and Their Clinical Implications

Background: Advancing surgical reconstructive methods and demanding prosthetics need accurate and precise implant placements. Positioning dental implant is vital in both prosthetic and aesthetic perspectives. The optimal three-dimensional placement not only reduces biomechanical complications but also imprecates the odds of implant failure. Materials & Methods: By using robust text mining, searching and retrieval tools, 350 relevant articles were found and then out of them 161 articles were short listed for our review. They included systematic reviews, meta-analyses, case series and experimental studies. Conclusions & Results: Conventional freehand implant placement techniques remain experts’ favorite for uncompromised cases. However, for compromised cases that demand accuracy and predictability, various computer-based methods are in use. While computerized tomography techniques and use of interactive software prevalent in treatment planning, computer-aided design or computer-aided manufacturing (CAD/ CAM) fabricated surgical guides enable implantologists for more successful implantations.

The Spectrum of Positive Operators on Hilbert Lattices

Some spectral characterizations of positive operators on Hilbert lattices are presented. The application of these results can yield some equivalent relations of an irreducible positive operator. Some related results for positive operators on Hilbert lattice are also obtained.

Complete Positivity of Elementary Operators on C^＊—algebras

Let E(x) = be an elementary operator on a C-algebra A. We prove that if A is prime with soc(A) = 0, or there is a family of irreducible representation of A such that is faithful and (A) does not contain compact operator,or A has a faithful repre sentation π such that π(A)″with no central portions of type In for n>1 then E is positive if and only if E is completely positive.

A New Class of Generalized Landau Linear Positive Operator Sequence and Its Properties of Approximation

In this paper two sequences of generalized Landau linear positive operators are introduced. They can be applied in approximating continuous functions with arbitrary growth order, defined on a finite interval or the whole real axis. The properties of approximation are studied and their asymptotic formulae are presented. These results show that their degrees of approximation are the best among existing operator sequences of Landau type, for example, their degrees of approximation for C 2[0, 1] are O(1/n 2) but corresponding degree of ordinary Landau operators are only O(1/n).

A Longitudinal Study of Patient Reported Positioning-Related Discomfort and Pain after Laparoscopic Surgery in the Lithotomy Position

Background: Our hypothesis was that only established and persistent injuries and complications after positioning in the Trendelenburg position are reported and detected, despite that patients may have great discomfort after surgery. Aim: The aim of this study was to explore patient reported discomfort, pain and functional decrease two hours, 24 hours and four weeks after laparoscopic resection of the colon in the prone lithotomy position, as well as factors potentially associated with reported pain. Methods: A longitudinal self-report questionnaire study was conducted at three time-points. Results: A total of 37 patients responded. Findings show that patients mostly reported pain in relation to the surgical area, but also related to other areas that may be linked to positioning. Conclusion: Even though patients reported mild pain, several of the patients still reported this, four weeks postoperatively, as well as some functional decrease. Our findings support the need to focus on preventing positioning injuries.

Application Of Jessen＇s Type Inequality For Positive C0-Semigroup Of Operators

Recently in [4], the Jessen＇s type inequality for normalized positive C0-semigroups is obtained. In this note, we present few results of this inequality, yielding Holder＇s Type and Minkowski＇s type inequalities for corresponding semigroup. Moreover, a Dresher＇s type inequality for two-parameter family of means, is also proved.

A new approach to obtaining positive-definite Wigner operator for two entangled particles with different masses

Based on our previously proposed Wigner operator in entangled form, we introduce the generalized Wigner operator for two entangled particles with different masses, which is expected to be positive-definite. This approach is able to convert the generalized Wigner operator into a pure state so that the positivity can be ensured. The technique of integration within an ordered product of operators is used in the discussion.

Feynman Path Integral Using Operator Integration in Banach Space

Feynman-Path Integral in Banach Space: In 1940, R.P. Feynman attempted to find a mathematical representation to express quantum dynamics of the general form for a double-slit experiment. His intuition on several slits with several walls in terms of Lagrangian instead of Hamiltonian resulted in a magnificent work. It was known as Feynman Path Integrals in quantum physics, and a large part of the scientific community still considers them a heuristic tool that lacks a sound mathematical definition. This paper aims to refute this prejudice, by providing an extensive and self-contained description of the mathematical theory of Feynman Path Integration, from the earlier attempts to the latest developments, as well as its applications to quantum mechanics. About a hundred years after the beginning of modern physics, it was realized that light could in fact show behavioral characteristics of both waves and particles. In 1927, Davisson and Germer demonstrated that electrons show the same dual behavior, which was later extended to atoms and molecules. We shall follow the method of integration with some modifications to construct a generalized Lebesgue-Bochner-Stieltjes (LBS) integral of the form , where u is a bilinear operator acting in the product of Banach spaces, f is a Bochner summable function, and μ is a vector-valued measure. We will demonstrate that the Feynman Path Integral is consistent and can be justified mathematically with LBS integration approach.