20 resultados para video-assisted thoracoscopic surgery (VATS)


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Esta es una colección de 6 vídeos tutoriales que pueden ser empleados como material educativo en los cursos de fonética en el ámbito universitario. Tratan principalmente del cómo se puede obtener información desde las palabras aisladas, como se observa en las técnicas de los vídeos 1-2, pasando por datos obtenidos con participación del investigador, característica aún presente en los vídeos 3-4, hasta enunciados íntegros sin necesidad del investigador presente, tal como se ilustra en los vídeos 5-6. Se trata de establecer una reflexión entre la necesidad de identificar el grado de espontaneidad a la hora de brindar información por parte del hablante y la posibilidad (o la necesidad) de cuantificar los datos que se obtienen.

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Esta es una colección de 6 vídeos tutoriales que pueden ser empleados como material educativo en los cursos de fonética en el ámbito universitario. Tratan principalmente del cómo se puede obtener información desde las palabras aisladas, como se observa en las técnicas de los vídeos 1-2, pasando por datos obtenidos con participación del investigador, característica aún presente en los vídeos 3-4, hasta enunciados íntegros sin necesidad del investigador presente, tal como se ilustra en los vídeos 5-6. Se trata de establecer una reflexión entre la necesidad de identificar el grado de espontaneidad a la hora de brindar información por parte del hablante y la posibilidad (o la necesidad) de cuantificar los datos que se obtienen.

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Background: Non-alcoholic fatty liver disease (NAFLD) is caused by abnormal accumulation of lipids within liver cells. Its prevalence is increasing in developed countries in association with obesity, and it represents a risk factor for non-alcoholic steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma. Since NAFLD is usually asymptomatic at diagnosis, new non-invasive approaches are needed to determine the hepatic lipid content in terms of diagnosis, treatment and control of disease progression. Here, we investigated the potential of magnetic resonance imaging (MRI) to quantitate and monitor the hepatic triglyceride concentration in humans. Methods: A prospective study of diagnostic accuracy was conducted among 129 consecutive adult patients (97 obesity and 32 non-obese) to compare multi-echo MRI fat fraction, grade of steatosis estimated by histopathology, and biochemical measurement of hepatic triglyceride concentration (that is, Folch value). Results: MRI fat fraction positively correlates with the grade of steatosis estimated on a 0 to 3 scale by histopathology. However, this correlation value was stronger when MRI fat fraction was linked to the Folch value, resulting in a novel equation to predict the hepatic triglyceride concentration (mg of triglycerides/g of liver tissue = 5.082 + (432.104 * multi-echo MRI fat fraction)). Validation of this formula in 31 additional patients (24 obese and 7 controls) resulted in robust correlation between the measured and estimated Folch values. Multivariate analysis showed that none of the variables investigated improves the Folch prediction capacity of the equation. Obese patients show increased steatosis compared to controls using MRI fat fraction and Folch value. Bariatric surgery improved MRI fat fraction values and the Folch value estimated in obese patients one year after surgery. Conclusions: Multi-echo MRI is an accurate approach to determine the hepatic lipid concentration by using our novel equation, representing an economic non-invasive method to diagnose and monitor steatosis in humans.

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Service provisioning in assisted living environments faces distinct challenges due to the heterogeneity of networks, access technology, and sensing/actuation devices in such an environment. Existing solutions, such as SOAP-based web services, can interconnect heterogeneous devices and services, and can be published, discovered and invoked dynamically. However, it is considered heavier than what is required in the smart environment-like context and hence suffers from performance degradation. Alternatively, REpresentational State Transfer (REST) has gained much attention from the community and is considered as a lighter and cleaner technology compared to the SOAP-based web services. Since it is simple to publish and use a RESTful web service, more and more service providers are moving toward REST-based solutions, which promote a resource-centric conceptualization as opposed to a service-centric conceptualization. Despite such benefits of REST, the dynamic discovery and eventing of RESTful services are yet considered a major hurdle to utilization of the full potential of REST-based approaches. In this paper, we address this issue, by providing a RESTful discovery and eventing specification and demonstrate it in an assisted living healthcare scenario. We envisage that through this approach, the service provisioning in ambient assisted living or other smart environment settings will be more efficient, timely, and less resource-intensive.