The printing and manufacturing of anatomical 3D models has gained popularity in complex surgical cases for surgical planning, simulation and training, the evaluation of anatomical relations, medical device testing and patient–professional commu...
Despite the prevalence of game-based learning (GBL), most applications of GBL focus on teaching routine skills that are easily teachable, drill-able, and testable. Much less work has examined complex cognitive skills such as computational thinking, a...
Background/Objectives: The COVID-19 pandemic intensified concerns regarding the resilience and financing architecture of mental health services, yet it remains unclear whether crisis-induced adjustments fundamentally altered hospital case-mix complex...
The article considers the tasks of intellectual support for decision support in relation to a complex technological object. The relevance is determined by a high level of responsibility, together with a variety of possible situations at a complex tec...
Background: Patients with Complex Trauma (CT) may have an impaired ability to trust others and build intimate relationships due to non-integrated representations of self and others. This sometimes leads to an oscillation between needing and fearing i...
Background: The integration of artificial intelligence (AI), particularly large language models (LLMs) like ChatGPT-4, is transforming healthcare. ChatGPT’s potential to assist in decision-making for complex cases, such as spinal metastasis tre...
Objectives: The integration of multimodal capabilities into GPT-4 represents a transformative leap for artificial intelligence in ophthalmology, yet its utility in scenarios requiring advanced reasoning remains underexplored. This study evaluates GPT...
The involvement of the central nervous system in sarcoidosis can manifest with a variety of neurological symptoms, and most of them can be nonspecific. The diagnosis of neurosarcoidosis (NS) can therefore be very challenging without a tissue biopsy....
Introduction: A subependymal giant cell astrocytoma (SEGA) is a benign tumor typically associated with tuberous sclerosis complex (TSC), an autosomal dominant syndrome. Case report: The patient, a 15-year-old male, presented with headaches, nausea, a...
14 February 2024
Meeting customer requirements in software project management, even for large digital enterprises, proves challenging due to unpredictable human factors. It involves meticulous planning and environmental factor analysis, ultimately benefiting both com...
Complex chromosomal rearrangements are rare events compatible with survival, consisting of an imbalance and/or position effect of one or more genes, that contribute to a range of clinical presentations. The investigation and diagnosis of these cases...
This paper is a continuation of our previous work on solving source code authorship identification problems. The analysis of heterogeneous source code is a relevant issue for copyright protection in commercial software development. This is related to...
Background: There are multiple conservative treatment options for plantar warts, but none have proven to be universally effective. Nitric acid is often used empirically by podiatrists in the treatment of plantar warts. A novel medical device or topic...
For over two decades, robotic-assisted thoracic surgery (RATS) has revolutionized thoracic oncology. With enhanced visualization, dexterity, and precision, RATS has reduced blood loss, shortened hospital stays, and sped up recovery compared to tradit...
Background and Objectives: In the context of complex aerodigestive cervical traumas, the prognosis and outcome heavily depend on risk factors, particularly injuries to the larynx, trachea, major digestive tissues, cervical vertebrae, and vascular str...
Background/Objectives: This article presents a novel approach that combines the Palatal Silicone Key and Injection Molding techniques as a viable alternative for complex anterior cases with high esthetic demands, where layering multiple shades is ess...
Background: Since the 1980s, numerous case reports have explored the use of intramuscular botulinum toxin (BoNT) for Complex Regional Pain Syndrome (CRPS), with significant variation in rationale, dosing, guidance techniques, and outcome measures. Th...
Background: anatomic lung segmentectomies allow accurate resection of pulmonary lesions, maximizing healthy tissue preservation, and reducing unnecessary loss of lung function. In this setting, accurate preoperative planning is crucial. We present ou...
The Lattice String Approximation algorithm (or LSA algorithm) of M. L. Lapidus and M. van Frankenhuijsen is a procedure that approximates the complex dimensions of a nonlattice self-similar fractal string by the complex dimensions of a lattice self-s...
Pediatric abdominal surgery is constantly evolving, alongside the advent of new surgical technologies. A combined use of new tools and traditional surgical approaches can be useful in the management of complex cases, allowing less invasive procedures...
Several extensions of the basic scalar variable logistic density to the multivariate and matrix-variate cases, in the real and complex domains, are given where the extended forms end up in extended zeta functions. Several cases of multivariate and ma...
Background/Objectives: Robotic-assisted abdominal wall reconstruction is increasingly used for ventral hernias; however, implementation in low-volume settings and early adoption of technically complex cases remain controversial. This study aimed to e...
While public-sector management problems are steeped in positivistic and socially constructed complexity, public management education in the management of complexity lags behind that of business schools, particularly in the application of simulation-b...
Objective: To compare perioperative outcomes between robotic and conventional total laparoscopic hysterectomy in terms of operative time, intraoperative blood loss, and postoperative recovery in surgically complex cases. Methods: This retrospective c...
Objective: To describe the surgical technique and early clinical outcomes of prone-transpsoas single-position corpectomy (PTP-corpectomy) for the management of complex thoracolumbar spinal pathology. Background: PTP-corpectomy is an emerging techniqu...
Background: Complex hindfoot pathologies involving critical-sized bone defects of the talus are difficult to manage. The current management involves arthrodesis and bone grafting with the defective talus, which have limitations in restoring structura...
7 August 2018
Recently, concepts and principles from the Complexity Theory (or, generally speaking, the complexity sciences) have been applied as a perspective for capturing the influence of the context, interaction, and adaption in the innovation processes, such...
The recovery of severely altered cadavers (i.e., extensively decomposed, mummified, charred or dismembered) can be a challenge for forensic pathologists due to the difficulties in identification, PMI estimation and manner and cause of death determina...
21 December 2019
Community empowerment interventions, which aim to build greater individual and community control over health, are shaped by the community systems in which they are implemented. Drawing on complex systems thinking in public health research, this paper...
The paper presents a computing procedure with the goal of suggesting applicable solutions to improve complex cases of major recurrent depression. The focus is on identifying the patients’ illness patterns and on finding solutions for alleviatin...
Background and Clinical Significance: SWI/SNF chromatin remodeling complex-deficient malignancies constitute an aggressive group of undifferentiated tumors defined by inactivation of core subunits including SMARCA4 (BRG1) or SMARCB1 (INI1). In the he...
This study focused on the learning of interprofessional skills through an interdisciplinary university course provided to student teachers, and social work and law students. This study explored the development of the course, the aim of which was to r...
A real scalar variable integral is known in the literature by different names in different disciplines. It is basically a Bessel integral called specifically Krätzel integral. An integral transform with this Krätzel function as kernel is kn...
Background/Objectives: Infective Endocarditis (IE) presents both a challenging diagnostic and treatment task. Methods: The incidence of IE has grown with the advancement in treatment technologies offered to patients, including intra-cardiac electrica...
Managing product variety is a challenging problem given the increasing complexity of supply chain networks. To overcome this complexity, managing integration in the supply chain is essential for companies to coordinate effectively. By managing the in...
For medical genetic counseling, estimating the chance of a child being born with chromosome abnormality is crucially important. Cytogenetic diagnostics of parents with a balanced karyotype are a special case. Such chromosome rearrangements cannot be...
There is a problem in coping with design errors in ship design. Ships are generally very large and often very complex. Yet, we rarely invest in full-scale prototypes so design errors are frequently revealed once ships are at sea and certain errors ca...
Systems-of-systems (SoSs) integrate constituents that retain operational and managerial independence, and that independence leaves their engineering artifacts prone to drift: changes fail to propagate, misalignment surfaces late, and outputs accumula...
Background: The child psychiatry unit of the Cochin Hospital in Paris is specialized in a transcultural clinical approach and treatment of psychotraumatism. The clinical demands addressed to the service often combine several levels of vulnerability:...
Background and Clinical Significance: Complex abdominal aortic aneurysms (AAAc) involving visceral and renal vessels can be treated via open surgery or less invasive fenestrated endovascular aneurysm repair (FEVAR). Intravascular ultrasound (IVUS) mi...
The retrieval mechanism of traditional CBR methods has limitations when applied to complex multi-layer objects, mainly due to their nonlinearity and emergent properties. This paper proposes an improved case-based reasoning method with cascaded retrie...
Background/Objectives: According to the guidelines of the EndoCert initiative, certified maximum-care arthroplasty centers (ACmax) are obliged to admit patients from certified arthroplasty centers (AC) if these patients need to be transferred to the...
Mucormycosis is a rapidly progressive angioinvasive fungal infection caused by Mucorales, predominantly affecting immunocompromised individuals and associated with substantial morbidity and mortality. Despite advances in standard care involving surgi...
Background: Acute SARS-CoV-2 infection may induce cardiac arrhythmias associated with viral myocarditis, which typically disappear in the convalescent phase after healing of the myocardial inflammation. Methods: We report the case of a 37-year-old wo...
Background/Objectives: On 22 February 2021, a coastal landslide in Italy caused the collapse of an old cemetery, displacing approximately 370 coffins, with over 200 plunging into the sea. This disaster necessitated the recovery and identification of...
This study systematically investigates the gas-tightness evolution of three threaded casing connections (511 straight-thread, TPG2, and BGT2) under extreme downhole temperature–pressure conditions through multi-cycle experiments. A novel cyclic testi...
This article examines the roles of stewardship, ownership, and public participation in the conservation of architectural heritage from the perspective of the Theory of Complex Property Rights (TCPR). The analysis addresses three research questions: (...
Cervical cancer remains a significant health challenge globally, with locally advanced cervical cancer (LACC) representing a particularly complex subset due to its diverse definitions and varied treatment approaches. The absence of randomized control...
Background and Objectives: Advanced gynecomastia/pseudogynecomastia (Simon grades IIb–III) in post-bariatric patients presents both esthetic and technical challenges. Conventional excisional methods often result in flattened chest contours, ext...
Augmented reality (AR) is a promising technology to enhance image guided surgery and represents the perfect bridge to combine precise virtual planning with computer-aided execution of surgical maneuvers in the operating room. In craniofacial surgical...
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