Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for pelvic organ prolapses. Since commercial kits are not readily available in Japan, we have planned tailor-made mesh by informatio...Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for pelvic organ prolapses. Since commercial kits are not readily available in Japan, we have planned tailor-made mesh by information of each patient before every TVM surgery. The aim of this report is to inform methods to design mesh for individual patients with pelvic organ prolapses. We also investigated the correlations among mesh size and height, weight, and body mass index (BMI). Before the operation, we obtained a KUB (abdominal X-ray). Three factors were measured from this X-ray: the first was the distance between the bilateral ischial spine, the second was the distance between the obturator foramen, and the third was the length of the arcus tendineus fascia pelvis (ATFP). These three factors always should be considered for designing of mesh. The correlations among the bilateral ischial spine distance, obturator foramen distance, ATFP length, height, weight, and BMI were assessed using the Pearson correlation coefficient. Although these three factors described above are necessary to design a mesh for individual patients, the bilateral ischial spine and obturator foramen distance correlated with the height of the patient. On the other hand, since the length of ATFP differs in each patient and is not correlated with height, we should consider this length when we design the mesh. Well-designed, tailor-made mesh will probably fit each pelvic organ prolapsed patient very well.展开更多
Few people imagined how China would change when the country initiated its reform and opening-up policies almost 28 years ago. Without previous experience, the Chinese are following a trial-and-error approach in pressi...Few people imagined how China would change when the country initiated its reform and opening-up policies almost 28 years ago. Without previous experience, the Chinese are following a trial-and-error approach in pressing ahead with the reform process, exploiting a method of development that seemed suitable to national conditions at the time. In an article published in the 21st Century Business Herald,Lou Jiwei, Vice Minister of Finance, looks back at China's path to revitalize its long-isolated economy. E...展开更多
目的探讨个性化切迹音乐对主观性耳鸣的治疗效果,以及耳鸣频率、相关听力学频率特性对治疗效果的影响。方法选取纯音听阈在70d B HL以内的主观性耳鸣患者20名,接受1个月的个性化切迹音乐治疗。以耳鸣致残量表(tinnitus handicap invento...目的探讨个性化切迹音乐对主观性耳鸣的治疗效果,以及耳鸣频率、相关听力学频率特性对治疗效果的影响。方法选取纯音听阈在70d B HL以内的主观性耳鸣患者20名,接受1个月的个性化切迹音乐治疗。以耳鸣致残量表(tinnitus handicap inventory,THI)评价患者治疗前后变化。结果经过个性化切迹音乐治疗后,患者总THI得分明显降低,呈显著差异。治疗有效组中听力损伤患者平均耳鸣频率接近平均边缘频率,两者呈显著相关性;同时,最大听力损伤频率明显高于平均耳鸣频率,存在显著差异。然而,无效组平均耳鸣频率则接近平均最大听力损伤频率,且两者存在显著相关性;另外,无效组平均耳鸣频率明显高于边缘频率,存在显著差异。结论个性化切迹音乐治疗能有效减轻耳鸣带来的困扰,改善主观症状与生活质量。耳鸣频率与相关听力学频率特性之间的关系可能作为反映耳鸣患者中枢机制与预测个性化切迹音乐治疗效果的指标。展开更多
In Thailand, the site-specific nutrient management technology, known as “Tailor-made Fertilizer Technology (TFT)”, for rice, maize and sugarcane in the Northeastern region was developed between 1997-2007, using the ...In Thailand, the site-specific nutrient management technology, known as “Tailor-made Fertilizer Technology (TFT)”, for rice, maize and sugarcane in the Northeastern region was developed between 1997-2007, using the concepts of precision agriculture together with an approach of building capacity of small farmers. TFT, also called Smart-farming, comprises four components, namely 1) soil series identification, 2) N-P-K testing by soil test kit, 3) fertilizer recommendations using decision-aids and a simplified version of a complex model and 4) farmer empowerment. The benefit of TFT at the rice field of the Huay Kamin chairman farmer group was one example, the technology has been disseminated to the 80 members with a total planting area of about 320 ha. The results revealed chemical fertilizer reduction of 69%, and rice yield increased some 10% - 20% with the improved fertilizer application method. The farmers were encouraged to establish “Soil Clinics” in their communities. In a Soil Clinic, designated and trained farmer leaders analyze soil samples for member farmers and provide TFT recommendations while providing access to fertilizer materials available for sale at competitive prices. At present, there are about 70 soil clinics in 20 provinces with the support of many government and private sectors.展开更多
文摘Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for pelvic organ prolapses. Since commercial kits are not readily available in Japan, we have planned tailor-made mesh by information of each patient before every TVM surgery. The aim of this report is to inform methods to design mesh for individual patients with pelvic organ prolapses. We also investigated the correlations among mesh size and height, weight, and body mass index (BMI). Before the operation, we obtained a KUB (abdominal X-ray). Three factors were measured from this X-ray: the first was the distance between the bilateral ischial spine, the second was the distance between the obturator foramen, and the third was the length of the arcus tendineus fascia pelvis (ATFP). These three factors always should be considered for designing of mesh. The correlations among the bilateral ischial spine distance, obturator foramen distance, ATFP length, height, weight, and BMI were assessed using the Pearson correlation coefficient. Although these three factors described above are necessary to design a mesh for individual patients, the bilateral ischial spine and obturator foramen distance correlated with the height of the patient. On the other hand, since the length of ATFP differs in each patient and is not correlated with height, we should consider this length when we design the mesh. Well-designed, tailor-made mesh will probably fit each pelvic organ prolapsed patient very well.
文摘Few people imagined how China would change when the country initiated its reform and opening-up policies almost 28 years ago. Without previous experience, the Chinese are following a trial-and-error approach in pressing ahead with the reform process, exploiting a method of development that seemed suitable to national conditions at the time. In an article published in the 21st Century Business Herald,Lou Jiwei, Vice Minister of Finance, looks back at China's path to revitalize its long-isolated economy. E...
文摘目的探讨个性化切迹音乐对主观性耳鸣的治疗效果,以及耳鸣频率、相关听力学频率特性对治疗效果的影响。方法选取纯音听阈在70d B HL以内的主观性耳鸣患者20名,接受1个月的个性化切迹音乐治疗。以耳鸣致残量表(tinnitus handicap inventory,THI)评价患者治疗前后变化。结果经过个性化切迹音乐治疗后,患者总THI得分明显降低,呈显著差异。治疗有效组中听力损伤患者平均耳鸣频率接近平均边缘频率,两者呈显著相关性;同时,最大听力损伤频率明显高于平均耳鸣频率,存在显著差异。然而,无效组平均耳鸣频率则接近平均最大听力损伤频率,且两者存在显著相关性;另外,无效组平均耳鸣频率明显高于边缘频率,存在显著差异。结论个性化切迹音乐治疗能有效减轻耳鸣带来的困扰,改善主观症状与生活质量。耳鸣频率与相关听力学频率特性之间的关系可能作为反映耳鸣患者中枢机制与预测个性化切迹音乐治疗效果的指标。
文摘In Thailand, the site-specific nutrient management technology, known as “Tailor-made Fertilizer Technology (TFT)”, for rice, maize and sugarcane in the Northeastern region was developed between 1997-2007, using the concepts of precision agriculture together with an approach of building capacity of small farmers. TFT, also called Smart-farming, comprises four components, namely 1) soil series identification, 2) N-P-K testing by soil test kit, 3) fertilizer recommendations using decision-aids and a simplified version of a complex model and 4) farmer empowerment. The benefit of TFT at the rice field of the Huay Kamin chairman farmer group was one example, the technology has been disseminated to the 80 members with a total planting area of about 320 ha. The results revealed chemical fertilizer reduction of 69%, and rice yield increased some 10% - 20% with the improved fertilizer application method. The farmers were encouraged to establish “Soil Clinics” in their communities. In a Soil Clinic, designated and trained farmer leaders analyze soil samples for member farmers and provide TFT recommendations while providing access to fertilizer materials available for sale at competitive prices. At present, there are about 70 soil clinics in 20 provinces with the support of many government and private sectors.
