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The diagnosis and arthroscopic treatment of angioleiomyoma presenting loose body in the knee joint: two case reports

The diagnosis and arthroscopic treatment of angioleiomyoma presenting loose body in the knee joint: two case reports

examination disclosed a tender, movable and smooth mass about 2 cm in diameter. X-ray showed a “loose body” beside the lateral femoral condyle in the knee (Fig. 3). MRI demonstrated that the nodule was spher- ical, 1.8 cm × 1.6 cm in size, well-defined and calcified. The signal of the nodule was not uniform and isointense to muscle on T1WI and T2WI (Fig. 3). MRI considered a benign lesion like a loose body, which was probable synovial origin. At arthroscopy, the mass was attached to the lateral femoral condyle (Fig. 4a) and was wholly removed, which was yellow, about 1.5 cm in diameter, covered with full envelope, firm, uneven yellow in the section and diffusely calcified (Fig. 4b). The histological examination was consistent with an angioleiomyoma with calcification, and the diagnosis was confirmed by immunohistochemistry (Fig. 4c). The patient recovered well with pain free after operation and no signs of recur- rence were seen at the 7-year follow-up.

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Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature

Giant peritoneal loose body in the pelvic cavity confirmed by laparoscopic exploration: a case report and review of the literature

females is 18:4. The age span of patients at the time of diagnosis ranges from 2 months to 79 years, and the majority occurs in patients between 50 and 70 years old. Most peritoneal loose bodies range from 5 to 25 mm in size and generally do not cause any symptoms. When the maximum diameter reaches more than 50 mm, they can be called giant peritoneal loose bodies. The largest peritoneal loose body mea- sured 95 × 86 mm and was reported by Mohri et al. [1] in 2007. Giant peritoneal loose bodies are not usually associated with specific symptoms except for chronic abdominal pain in some cases [1-3]. In our case, the giant peritoneal loose body was 50 × 40 × 40 mm in size and did not cause any discomfort; it was found incidentally on physical examination. Oc- casionally, if the peritoneal loose bodies are large enough and in a particular location, patients may be admitted to the hospital with acute urinary retention [4,5] or intestinal obstruction [6-8] due to extrinsic compression.

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Giant Loose Body of Knee Joint Presenting as Accessory Patella—A Case Report

Giant Loose Body of Knee Joint Presenting as Accessory Patella—A Case Report

Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Patients with loose bodies in knee joint presented to or- thopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is managed surgically most of the times when it becomes symptomatic. The surgical technique most commonly utilized is arthroscopy. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. In review of lite- rature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body.

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<p>Atypical musculoskeletal manifestations of gout in hyperuricemia patients</p>

<p>Atypical musculoskeletal manifestations of gout in hyperuricemia patients</p>

Abstract: Deposition of tophus is a common feature in chronic gout; however, signs and symptoms are not always well-pronounced in cases of uncommon sites. We report a case series of three patients, one with an acute locked knee suspected to be meniscus tear or intra-articular loose body, a second case with a lump on the dorsal hand suspected to be a benign lesion, and a third case with a finger flexion deformity with carpal tunnel syndrome; all three cases were later on found out to be tophaceous gout. White chalky monosodium urate crystal deposition was found to be the culprit of the symptoms of the patients.

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Methods: This was a prospective descriptive study enrolling 51 patients who underwent two portal arthroscopic procedures like diagnostic arthroscopy, meniscectomy, loose body removal and excision of plica or combination of these. A uniform home based physiotherapy protocol was used for everyone. All of them were followed up at 2nd, 4th, 6th, 8th and 12th postoperative weeks. At each follow up, 2000 International Knee Documentation Committee subjective knee evaluation form was filled and submitted for analysis.

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Arthroscopic removal of loose bodies using the accessory portals in the difficult locations of the knee: a case series and technical note

Arthroscopic removal of loose bodies using the accessory portals in the difficult locations of the knee: a case series and technical note

Background: It is often technically demanding to find and remove loose bodies in several difficult locations like the popliteus hiatus and posterior compartment arthroscopically. We aim to present the technical aspects of establishing some special accessory portals to achieve arthroscopic removal of the loose bodies in these locations. Methods: From September 2010 to July 2017, 76 patients underwent removal of loose bodies in the popliteus hiatus and posterior compartment arthroscopically using some special accessory portal techniques. An auxiliary extreme lateral approach was established to remove loose bodies in the popliteus hiatus; a double-posteromedial portal was applied to handle loose body removal in the posteromedial compartment, and the posterior trans-septal portal was needed for loose body removal in the posterolateral compartment. Functional outcomes were evaluated using Lysholm score, Tegner score, and International Knee Documentation Committee (IKDC) score, respectively. Results: Seventy-six patients (24 males and 52 females, average age 54.9 ± 11.4) finished the follow-up visit at 3 weeks after surgery. There was no statistically significant difference among the three groups in demographics. All the patients were performed following the special technique. According to a comparison of knee joint scores before and after surgery, all the patients obtained good prognosis using some special accessory portals in loose body removal.

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A Study on Seethakazhichal

A Study on Seethakazhichal

Besides passing of mucus and blood, frequent scanty stools are evacuated. During that time intense abdominal pain is observed. Due to severe pain, the patient will be always in sitting posture. The patient may pass loose stools many times a day. If it is not controlled by proper treatment, the patient gets severe discomfort, naadi appears weak and perspiration is seen. Eyes will be sunken, tongue becomes dry and symptoms of muppini will occur and may be fatal. The above mentioned features are stated in “Siddha Maruthuvam”

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Loose housing of sows – current systems

Loose housing of sows – current systems

There is no competition during feeding in service sections where the sows are housed in groups with permanent access to feeding and insemination crates. The sows can go into the crates in connection with the establishment of hierarchy or when they "mount" each other. Trial results show that young sows have a larger litter size if they are housed individually in service sections with loose hous- ing. (Report no 698) It is recommended to establish the service section in a separate building. The pens must be spacious to allow hierarchy to be formed within the first few days after penning. The floor must consist of drained

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Loose housing of sows – is this good welfare?

Loose housing of sows – is this good welfare?

stalls close behind the sow) play a role. These explana- tions deal with the attractiveness of the stalls. However, the unattractiveness of the activity area should also be addressed. Moving into a narrow area with a slippery floor to meet other sows of various ranks in relation to that of the sow itself is not a good choice for many sows. To some pig producers, however, this appears to be good system as they can continue to keep sows in stalls by using what is a sort of biological confinement where the sows stay in stalls by their own choice. There are several problems with this attitude. Firstly, according to the law sows are now to be kept loose during gestation – a law that was passed with the objective of improving sow welfare. The idea was, therefore, not to find other ways to make sows stay in stalls, but to make loose housing systems where sows could benefit from being loose housed. Secondly, the stalls are not dimensioned to accommodate sows for longer periods of time. Overall, the welfare benefits for sows in this loose housing system are highly questionable. Conclusion

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How moles destroy your lawn: the forelimb kinematics of eastern moles in loose and compact substrates

How moles destroy your lawn: the forelimb kinematics of eastern moles in loose and compact substrates

At the carpal joint, moles also perform different movements when moving loose versus compact substrates. When compressing or dislodging substrate, moles retract the manus (carpal joint flexion), but when moving loose or loosened substrates, the manus is adducted and pronated. Manus movements in eastern moles are primarily controlled by the m. flexor digitorum profundus, which is almost entirely tendinous (Rose et al., 2013). Given that this tendinous muscle originates at the medial epicondyle of the humerus, humeral pronation is proposed to place tension on the tendon to result in manus retraction (Reed, 1951; Yalden, 1966). Previous studies have speculated that carpal morphology limits carpal joint motion to retraction and protraction of the manus (Reed, 1951; Yalden, 1966). However, our results show that the manus adducts and pronates while removing relatively loose soil during the beginning of retraction in compacting strokes and at the end of retraction in scratching strokes, after the substrate has been sheared (Fig. 5C). Thus, we hypothesize that manus retraction assists the compression or dislodgement of soil by imposing a force perpendicular to the substrate surface, whereas manus adduction and pronation facilitate sweeping the substrate by covering more ground area in one stroke. As carpal joint motion is primarily controlled by the force transmitted from humeral pronation, via the tendinous m. flexor digitorum profundus, we speculate that changes in the carpal joint motions of eastern moles are largely passive responses (as opposed to being actuated by carpal joint muscles,

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Langlandian loose leaves and lost histories

Langlandian loose leaves and lost histories

not an integral part of the original, ‘ur-B’, text. Rather, he claims, they represent materials from an early draft of the C version, now witnessed in part only by N. These draft materials were incorporated into the common ancestor of all B manuscripts, Bx, on loose leaves and were copied by the scribe of beta, the ancestor of all the manuscripts of that genetic branch. The passages were subsequently revised into their final, C-text form. The loose sheets, having been recalled by the poet to make his final revisions or else lost, had been removed from Bx by the time the alpha scribe came to copy it, explaining the absence of these passages from R and F, the sole witnesses to this branch of transmission. The 93 individual readings where N agrees with beta against the shared reading of RF and C witness a further stage of development: the scribe of alpha was provided with a set of new readings, perhaps, Warner speculates, to compensate for his lack of access to the passages provided to the beta scribe, with the readings of N+beta representing the unrevised, ‘ur-C’ forms. The ‘ur-B’ version of Piers Plowman was thus

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Loose Seton: A Misnomer of Cutting Seton

Loose Seton: A Misnomer of Cutting Seton

nuous drainage of the fistula tract in order to achieve control of sepsis [4]-[6]. Either cutting or loosing seton followed by the two-stage fistulotomy are the most commonly used techniques based on same surgical prin- ciples. The cutting seton works as a cutter by tightening the tissue mass around the fistula tract periodically, which is extremely painful. It may have divided the sphincter muscle in an uncontrolled way depending on the squeezing period and the nature of seton material. Loose seton is left around the tissue loosely encircled by the fistula. By the progressive migration of the loosely tied, seton gradually transected the anal sphincter muscles and besides promoted peri-sphincteric fibrosis, thus preventing taking apart of sphincter muscles and decreasing the chances of anal incontinence development in postoperative period [6]. Theoretically known, this information has been proven once again. The loose seton technique resulted in the gradual healing of the fistula tract in all of patients (n = 50), with no recurrence in our study. The sphincter movements during the defecation probably caused a gentle pull down to the anus on the silk seton, resulting in cutting the fistula tract gradually but conti- nually, at the same time becoming the seton looser synchronously. Loose seton completely worked on their way up to the surface in 11 patients (22%) and there was no need for a second operation in these group of patients (Group 1), Heavy silk was the material of choice for this purpose in our study since it may cause more inflam- mation than in any inert material used for seton in the literature. Migration of the seton loop occurred in a time- frame equal to two months in our patients. This proved with measured the length of the fistula tract was 6 ± 0.78 cm (first operation) and 3 ± 0.27 cm (second operation). This result proved that the loose seton technique by us- ing silk material caused a shortening of the fistula tract length (Figure 1

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Coreference Resolution with Loose Transitivity Constraints

Coreference Resolution with Loose Transitivity Constraints

directly. In global phase, instead of determining each coreference pair independently in a greedy fashion, we employ an integer linear programming (ILP) formulation for this problem. Extending (De- nis and Baldridge, 2007) and (Finkel and Manning, 2008)’s work, we introduce a loose selection strat- egy for transitivity constraints, attempting to over- come huge computation complexity brought by tran- sitivity closure constraints. Details are described in section 2.3.

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A Proposal of Loose Asymmetric Cryptography Algorithm

A Proposal of Loose Asymmetric Cryptography Algorithm

Although traditional asymmetric algorithm along with its implementations are successful in keeping important documents confidential, it uses only one private key. In other words, private key is distributed to only one person or one group. In some situations, it is required to generate many private keys and each private key is granted to one user. This research proposes a so-called loose asymmetric (LA) algorithm to satisfy this requirement. The demand is real because a group of members needs to retrieve same documents but each member requires confidentiality in access. Moreover, it is possible to keep track access log for restricting access attack. LA algorithm is based on theory of linear algebra. It is “loose” because many generated private keys can be revealed. In other words, it is less restricted than traditional asymmetric algorithm with only one private key. Generated private keys in LA algorithm are called access keys. The next section “LA Algorithm” is description of LA algorithm. Consequently, section “Schemes of LA Algorithm” describes two schemes of how to implement LA algorithm. I do not deploy such scheme yet and so I will build up the software that deploys it in the future. Final section is the discussion.

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Factors Influencing the Adoption of Paddy Straw Management Practices by Farmers of Karnataka (India)

Factors Influencing the Adoption of Paddy Straw Management Practices by Farmers of Karnataka (India)

In TBP command area, 81 per cent of farmers harvesting paddy crop through the machine (i.e. combine harvesters). The majority of farmers are practicing removal of loose straw and burning of stubbles (42.45 %) in TBP command area. The major factors, which influence to the decision to burn paddy crop residue are the use of combine harvesters and scarcity of labour for collection of residue. The highest livestock possession was found in case of removal of loose straw and burning of stubbles method of paddy residue management. Around 10.09 per cent of the total costs on residue management were constituted by labour and machine for field preparation in case of removal of loose straw and burning of stubbles method. In total more than 67 per cent of farmers were practicing partial and complete burning of paddy residue. Therefore, there is a need to introduce and subsidize farm equipments required for the incorporation of paddy residue in the soils. It was found that higher cost is required for collection of residues compared to burning, to overcome this, government should provide subsidize equipment/ machines required for baling of paddy residue using reaper binder and transport it to fodder scarcity areas or thereby created fodder banks. In this connection, the Government could promote the reaper binder by subsidized price. Paddy residue burning causing many health problems for both human and animals during burning season, to reduce this problems, there is need of agricultural extension services for creating awareness and education regarding the

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Loose Col-Pick Equipment

Loose Col-Pick Equipment

In general, harvester always using traditional method to collect loose oil palm fruits. The traditional method still been practiced widely today which is the loose oil palm fruits will be collected using hand and will be put into bucket, plastic bag or gunny. Every worker who done these routine needs to bent down regularly and this is for sure add to fatigue and thus slow down the harvesting process for complete. Tired is the one of issue where workers non-stop bent down to collect the loose oil palm fruits and for sure they need to rest for several times after moving from tree to another tree.

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A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study

A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study

The plasma fibrinogen concentration had a negative correlation with age. This finding is in accordance with the study by Harvey et  al. [29] and Santos et  al. [30], both of which reported the plasma fibrinogen concentra- tion to be highest at the age of 3–5 months after which it decreases gradually until the age of 6–12  months. The mean age of the weanlings in the present study was 6.2  months at the time of the first examination. The plasma fibrinogen concentration in healthy Thorough- breds in the same age group as used in this study was reported to be less than 4.5 g/L [29, 30]. At the first exam- ination, the mean fibrinogen concentration in this study in clinically healthy horses (4.9 g/L) was higher than in previous reports but the range was wide (3.5–7.8  g/L). The fibrinogen concentration was associated with clini- cal disease at the first (P = 0.004) but not at the second examination. It seems that the younger weanlings espe- cially, caught respiratory infections when moved to new herd but they recovered during the study period. The weanlings that had a high fibrinogen concentration at the first examination were however likely to have a higher fibrinogen concentration and a low body condition score at the end of the study period.

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Antioxidant Activity of Different Forms of Green Tea: Loose Leaf, Bagged and Matcha

Antioxidant Activity of Different Forms of Green Tea: Loose Leaf, Bagged and Matcha

this study was to assess and compare the effect of different forms of green tea such as loose leaf (Bud white, Lipton and Laplant loose), bagged (Lipton and Laplant bag) and powdered (Gourmet and Wow matcha) on their antioxidant potential at conditions usually used for tea preparations at home.

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BLUE BRAIN TECHNOLOGY

BLUE BRAIN TECHNOLOGY

Today we are developed because of our intelligence. Intelligence is the in born quality that cannot be created .Some people have this quality, so that they can think up to such an extent where other cannot reach. Human society is always in need of such intelligence and such an intelligent brain to have with. But the intelligence is lost along with the body after the death. The virtual brain is a solution to it. The brain and intelligence will be alive even after the death. We often face difficulties in remembering things such as people names, their birthdays, and the spellings of words, proper grammar, important dates, history facts, and etcetera. In the busy life everyone wants to be relaxed. Can’t we use any machine to assist for all these? Virtual brain may be a better solution for it. What will happen if we upload ourselves into computer, we were simply aware of a computer, or maybe, what will happen if we lived in a computer as a program?

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Delegation and Loose Commitment

Delegation and Loose Commitment

The literature that has analyzed delegation and the stabilization bias typically assumed that central banks operate with full discretion. This seems to be, to some extent, unrealistic. Central banks may have some credibility problems, but assuming that central banks have no credibility at all seems to be rather extreme. Indeed, it is not clear that central banks lack commitment. Blinder (1998) stated that commitment problems are dealt with by ”norms of behavior” (Blinder, 1998 p. 49)”. Obviously if one considers that central banks have full commitment then there is no role for delegation. However, there is a role for delegation in a setting where there is a continuum of loose commitment possibilities ranging from full commitment to full discretion. In such setting, the central bank has partial commitment (or imperfect credibility to maintain promises). These loose commitment settings are modeled as in Roberds (1987), Schaumburg and Tambalotti (2007), and Debortoli and Nunes (2007, 2008a).

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