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Vaginal Birth after Cesarean after Zavanelli Maneuver: A Woman’s Right to Choose

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Open Journal of Obstetrics and Gynecology 2024年第7期14卷 1091-1095页

作者： Nicole Jenkins gregory Vurture Jonathan d. Baum department of Obstetrics and Gynecology Jersey Shore University Medical Center Neptune NJ USA

Introduction: Vaginal birth after cesarean (VBAC) plays an essential role in lowering cesarean rates. despite endorsement, trial of labor after cesarean (TOLAC) attempt rates remain low, in part due to fear of lawsuits. Zavanelli maneuver is a last resort procedure in the management of shoulder dystocia. We discuss a case of a woman determined to have a vaginal birth after her prior birth was complicated by shoulder dystocia requiring a Zavanelli maneuver. Her physicians were reluctant to allow her a TOLAC given her prior obstetric history. Case: A 34-year-old para 1 with prior cesarean delivery due to shoulder dystocia that required Zavanelli maneuver presents determined to pursue VBAC in her current pregnancy. She considered her delivery route options and addressed her modifiable risk factors. She consulted with multiple perinatologists who agreed that a TOLAC was reasonable, however she had to travel more than 70 miles (from Pennsylvania to New Jersey) to find an obstetrical practice and hospital willing to consider VBAC. She transferred care and the remainder of her prenatal course was uncomplicated. She went into labor at 41 weeks and had a successful VBAC without complication. In a thank you letter to her obstetrician, she described her birth experience as euphoric. Conclusion: This case illustrates how a woman’s choice of delivery route may be impacted by fear of litigation. Local providers focused on her prior delivery instead of her overall improved risk profile. delivery route decisions should be based on a thorough evaluation of all risk factors and individualized to meet the reproductive goals of each woman. .

关键词： Vaginal Birth after Cesarean Zavanelli Autonomy Case Report

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一颗自由进动的磁星

科学通报 2024年第25期69卷 3675-3677页

作者：高勇 gregory desvignes 邵立晶 Max Planck Institute for Gravitational Physics (Albert Einstein Institute) Max Planck Institute for Radio Astronomy 北京大学科维理天文与天体物理研究所中国科学院国家天文台

磁星是一类具有强磁场和长自转周期的年轻中子星.这些天体极其致密,半径约为12 km,但质量却可达太阳的1～2倍.在已知的30颗磁星中,只有少数会偶尔产生射电辐射.磁星转动时,射电束像灯塔一样扫过天空,天文学家正是从这些规律的脉冲信号... 详细信息

磁星是一类具有强磁场和长自转周期的年轻中子星.这些天体极其致密,半径约为12 km,但质量却可达太阳的1～2倍.在已知的30颗磁星中,只有少数会偶尔产生射电辐射.磁星转动时,射电束像灯塔一样扫过天空,天文学家正是从这些规律的脉冲信号中探索中子星的奥秘. 2018年末,磁星XTE J1810-197在经历了X射线爆发后再次产生射电辐射,结束了其长达十年的射电静默期.通过长时间、高频次的监测,我们在射电偏振信号中发现射电束相对于地球的倾角发生了显著变化,并且这种变化在几个月内逐渐消失[1].我们认为这种变化是由磁星的自由进动引起的,并提出了衰减的进动模型来解释这一观测现象.这一发现不仅帮助我们更深入地理解了磁星的内部结构和辐射几何,而且很可能排除了自由进动作为重复快速射电暴起源的理论模型.

关键词：射电辐射磁星中子星 X射线爆发脉冲信号强磁场理论模型高频次

PETG:Applications in Modern Medicine

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Engineered Regeneration 2024年第1期5卷 45-55页

作者： Catherine Yan Corinne Kleiner Aaron Tabigue Veer Shah gregory Sacks darshi Shah Vincent deStefano Renaissance School of Medicine at Stony Brook University Stony BrookNYUSA department of Biology Niagara UniversityLewistonNYUSA Stony Brook University Stony BrookNYUSA department of Mechanical and Industrial Engineering Northeastern UniversityBostonMAUSA

Polyethylene terephthalate glycol,PETG,is a miscible,transparent thermoplastic known to have strong tensile properties,high ductility,as well as resistance to heat and chemical *** may be manufactured in several ways,most notably 3d printing *** such,PETG has emerged as a viable biomaterial for a variety of medical applications such as tissue engineering,dentistry,optometry,vascular health,cardiology,orthopedics,neurology,gynecology,and *** also serves a valuable role in biomedical research and engineering by offering improvements in cell studies,drug carriers,and anti-bacterial *** medical research and innovation utilizing PETG will better characterize its value as an inexpensive and versatile biomaterial.

关键词： Polyethylene terephthalate glycol Tissue Engineering 3d Printing Clinical Applications Biomedical Research

Management of stage Ⅳ rectal cancer: Palliative options

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World Journal of Gastroenterology 2011年第7期17卷 835-847页

作者： Sean M Ronnekleiv-Kelly gregory d Kennedy department of Surgery Section of Colon and Rectal Surgery University of Wisconsin School of Medicine and Public Health 600 HighlandAvenue G4/701A CSC Madison WI 53792 United States

Approximately 30% of patients with rectal cancer present with metastatic disease. Many of these patients have symptoms of bleeding or obstruction. Several treatment options are available to deal with the various complications that may afflict these patients. Endorectal stenting, laser ablation, and operative resection are a few of the options available to the patient with a malignant large bowel obstruction. A thorough understanding of treatment options will ensure the patient is offered the most effective therapy with the least amount of associated morbidity. In this review, we describe various options for palliation of symptoms in patients with metastatic rectal cancer. Additionally, we briefly discuss treatment for asymptomatic patients with metastatic disease.

关键词： Palliative therapy Rectal cancer Malignant bleeding Malignant obstruction Endorectal stenting Laser ablation

Association between Placental Malaria and Severe Pre-Eclampsia in Two University Hospitals of Yaounde City

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1488-1511页

作者： Ayissi gregory Astrid Ruth Ndolo Kondo Ndoumba Afouba Alice Noa Ndoua Claude Cyrille Essiben Félix Meka Esther Belinga Etienne Metogo Junie Engo Engo Samuel désiré Bodo Edmond Lemaire Tchente Nguefack Charlotte Foumane Pascal Mboudou Emile Télésphore department of Obstetrics and Gynecology Faculty of Medicine and Biomedicals Sciences University of Yaound I Yaounde Cameroon department of Obstetrics and Gynecology Faculty of Medicine and Pharmaceuticals Sciences University of Douala Douala Cameroon department of Morphological and Anatomo-Pathological Sciences Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon. department of Morphological and Anatomo-Pathological Sciences Faculty of Medicine and Biomedicals Sciences University of Yaound I Yaounde Cameroon

Context: Pre-eclampsia and placental malaria, are two diseases that share pathophysiological similarities, such as placental ischemia, endothelial dysfunction and production of pro-inflammatory cytokines. Objective: The objective of our study was to investigate the association between placental malaria lesions and severe pre-eclampsia. Methodology: We conducted a prospective analytical cross-sectional study in two University Hospitals in the city of Yaounde (Yaounde Central Hospital and the Gynaecological Obstetrics and Paediatrics Hospital), and in the laboratory of the Centre Pasteur in Yaounde over an eight-month period (1st January 2021 – 1st September 2021). All patients with pre-eclampsia diagnosed according to the criteria of the International Society for the Study of Hypertension (ISSHP) and free of chronic metabolic or infectious pathology were included in this study. The patients were divided into two groups: group 1 (mild pre-eclampsia) and group 2: severe pre-eclampsia. Socio-demographic, clinical and histopathological characteristics specific to pre-eclampsia and placental malaria were investigated. Statistical analysis was performed with SPSS 23.0 software, Chi 2 was used to compare categorical variables, Student t-test was used to compare means, and logistic regression was used to assess the association between placental malaria lesions and PES. Results: The mean age of our study population was 29.93 ± 7.36 years versus 28.28 ± 7.18 years in patients with mild and severe pre-eclampsia respectively. Pre-eclampsia placental lesions (accelerated villous maturation, infarction) were significantly greater in patients with severe pre-eclampsia (p Conclusion: Placental malaria lesions were significantly associated with severe pre-eclampsia and increased the risk of developing severe pre-eclampsia placental lesions by a factor of 10.

关键词： Mild Pre-Eclampsia Severe Pre-Eclampsia Malaria Placental Lesions Association

Reduced texaphyrin:A ratiometric optical sensor for heavy metals in aqueous solution

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Frontiers of Chemical Science and Engineering 2020年第1期14卷 19-27页

作者： Harrison d.Root gregory Thiabaud Jonathan L.Sessler department of Chemistry The University of Texas at AustinAustinTX 78712-1224USA

We report here a water-soluble metal cation sensor system based on the as-prepared or reduced form of an expanded porphyrin,*** metal complexation,a change in the redox state of the ligand occurs that is accompanied by a color change from red to *** long employed for synthesis in organic media,we have now found that this complexation-driven redox behavior may be used to achieve the naked eye detectable colorimetric sensing of several number of less-common metal ions in aqueous *** to In(Ⅲ),Hg(Ⅱ),Cd(Ⅱ),Mn(Ⅱ),Bi(Ⅲ),Co(Ⅱ),and Pb(Ⅱ)cations leads to a colorimetric response within 10 *** process is selective for Hg(Ⅱ)under conditions of competitive ***,among the subset of responseproducing cations,In(Ⅲ)proved unique in giving rise to a ratiometric change in the ligand-based fluorescence features,including an overall increase in *** cation selectivity observed in aqueous media stands in contrast to what is seen in organic solvents,where a wide range of texaphyrin metal complexes may be *** formation of metal cation complexes under the present aqueous conditions was confirmed by reversed phase highperformance liquid chromatography,ultra-violet-visible absorption and fluorescence spectroscopies,and highresolution mass spectrometry.

关键词： texaphyrin fluorescent sensor ion-sensing indium mercury

Spatio-temporal patterns and changes in environmental attitudes and place attachment in Gauteng, South Africa

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Geo-Spatial Information Science 2021年第4期24卷 666-677页

作者： Simangele dlamini Solomon G.Tesfamichael gregory d.Breetzke Tholang Mokhele department of Geography Environmental Management and Energy StudiesUniversity of JohannesburgJohannesburgSouth Africa Geospatial Analytics eResearch Knowledge CentreHuman Sciences Research CouncilPretoriaSouth Africa department of Geography Geoinformatics and MeteorologyUniversity of PretoriaPretoriaSouth Africa

In this study,we employed a number of geospatial techniques to examine the spatiotemporal patterns and changes of environmental attitudes and place attachment values in the Gauteng province of South *** data were obtained from the Gauteng City Region Observatory’s Quality of Life Survey collected at three separate points in time,namely 2013,2015,and *** indicated that wards(smallest administrative and analysis units)located on the urban periphery of Gauteng,which are generally less affluent,largely held more negative environmental attitudes and place attachment values during the three time *** contrast,centrally located wards,which are generally more affluent,expressed more positive environmental attitudes but less place attachment values,especially in *** findings of this research not only highlight the complex spatio-temporal distribution of environmental attitudes and place attachment values throughout Gauteng but also empha-size the need for spatially targeted state interventions for future environmental planning within the province.

关键词： Spatio-temporal changes environmental attitudes place attachment Gauteng spatial patterns

Option Pricing Models and Volatility Using Excel-VBA 1

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All-optical switching in silicon photonic waveguides with an epsilon-near-zero resonant cavity [Invited]

丛书名： Wiley Finance

2007年

作者： Fabrice d. Rouah gregory Vainberg

ISBN: (数字)9780470125755

ISBN: (纸本)9780471794646;9780470125755;9781118429204

This comprehensive guide offers traders, quants, and students the tools and techniques for using advanced models for pricing options. The accompanying website includes data files, such as options prices, stock prices, or index prices, as well as all of the codes needed to use the option and volatility models described in the book. Praise for Option Pricing Models & Volatility Using Excel-VBA''Excel is already a great pedagogical tool for teaching option valuation and risk management. But the VBA routines in this book elevate Excel to an industrial-strength financial engineering toolbox. I have no doubt that it will become hugely successful as a reference for option traders and risk managers.''—Peter Christoffersen, Associate Professor of Finance, desautels Faculty of Management, McGill University''This book is filled with methodology and techniques on how to implement option pricing and volatility models in VBA. The book takes an in-depth look into how to implement the Heston and Heston and Nandi models and includes an entire chapter on parameter estimation, but this is just the tip of the iceberg. Everyone interested in derivatives should have this book in their personal library.''—Espen Gaarder Haug, option trader, philosopher, and author of derivatives Models on Models''I am impressed. This is an important book because it is the first book to cover the modern generation of option models, including stochastic volatility and GARCH.''—Steven L. Heston, Assistant Professor of Finance, R.H. Smith School of Business, University of Maryland

关键词： Options (Finance)--Prices Capital investments--Evaluation--Mathematical models Options (Finance)--Mathematical models

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Photonics Research 2018年第5期6卷 I0026-I0030页

作者： ANdRES d.NEIRA gregory A.WURTZ ANATOLY V.ZAYATS department of Physics King's College London

Strong nonlinearity of plasmonic metamaterials can be designed near their effective plasma frequency in the epsilon-near-zero(ENZ) regime. We explore the realization of an all-optical modulator based on the Au nonlinearity using an ENZ cavity formed by a few Au nanorods inside a Si photonic waveguide. The resulting modulator has robust performance with a modulation depth of about 30 dB/μm and loss less than 0.8 dB for switching energies below 600 fJ. The modulator provides a double advantage of high mode transmission and strong nonlinearity enhancement in the few-nanorod-based design.

关键词： All-optical switching silicon photonic waveguides an epsilon-near-zero resonant cavity