Background: Acute cholecystitis is common surgical
problem, which was treated previously by conservative
treatment .Later early open has been introduced as an
alternative to interval for treatment of acute cholecystitis.
Early open was found to be a safe, successful with
comparable postoperative complication rate. With the
advent of laparoscopy laparoscopic have been used for
chronic cholecystitis and became the first line of
treatment. New reports have shown that laparoscopic can
be used as an alternative to open for surgical treatment of
acute cholecystitis.
Objectives: to compare the success, safety of early
laparoscopic versus early open as a primary treatment of
acute cholecystitis.
Methods: out of 68 patients were treated for clinical
acute cholecystitis between January 2002 and February
2004 in the department of surgery, at Al – Kindy teaching
hospital. A total of 62 patients underwent early for acute
cholecystitis as soon as possible after diagnosis. The
preferred preoperative imaging technique was ultrasound.
30 (48.3%) of the operations were attempted
laparoscopically, whereas the remaining 32 patients
(51.7%) underwent initial open .
Results: The mean operative time for the open cases
was 75 minutes versus 60 minutes for the laparoscopic
group. There was no perioperative mortality in either
group. The incidence of conversion to open was 10% (3
patients). Surgical complications related to laparoscopic
and open occurred in 2 (6.6%) and 3 (9.3%) cases,
respectively. There was no difference between the open
and laparoscopic groups in regard to the major
postoperative complications.
Conclusion: The current study shows that early
(whether performed by open or laparoscopically) is a
safe and effective treatment for acute cholecystitis. Low
conversion rates can be maintained with strict guidelines
for appropriate patient selection, adequate experience,
and proper laparoscopic technique.
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In this paper, we consider a two-phase Stefan problem in one-dimensional space for parabolic heat equation with non-homogenous Dirichlet boundary condition. This problem contains a free boundary depending on time. Therefore, the shape of the problem is changing with time. To overcome this issue, we use a simple transformation to convert the free-boundary problem to a fixed-boundary problem. However, this transformation yields a complex and nonlinear parabolic equation. The resulting equation is solved by the finite difference method with Crank-Nicolson scheme which is unconditionally stable and second-order of accuracy in space and time. The numerical results show an excellent accuracy and stable solutions for tw
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In this study, an approach inspired by a standardized calibration method was used to test a laser distance meter (LDM). A laser distance sensor (LDS) was tested with respect to an LDM and then a statistical indicator explained that the former functions in a similar manner as the latter. Also, regression terms were used to estimate the additive error and scale the correction of the sensors. The specified distance was divided into several parts with percent of longest one and observed using two sensors, left and right. These sensors were evaluated by using the regression between the measured and the reference values. The results were computed using MINITAB 17 package software and excel office package. The accuracy of the results in this wo
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With the growth of mobile phones, short message service (SMS) became an essential text communication service. However, the low cost and ease use of SMS led to an increase in SMS Spam. In this paper, the characteristics of SMS spam has studied and a set of features has introduced to get rid of SMS spam. In addition, the problem of SMS spam detection was addressed as a clustering analysis that requires a metaheuristic algorithm to find the clustering structures. Three differential evolution variants viz DE/rand/1, jDE/rand/1, jDE/best/1, are adopted for solving the SMS spam problem. Experimental results illustrate that the jDE/best/1 produces best results over other variants in terms of accuracy, false-positive rate and false-negative
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The present study deals with successive stages of productive
operations happened to produce a production within each stage befo re it moves to the next one. ll cou ld be deduced that this study is an extension to what bas been mentioned in (1 ) .ln (I), the optimum distribution of di!Terent jobs of workers and machines in the productive operations has been st ud ied whi le the study invol ves the optimum schedule for the succession of these operations presuming that thay have already been distributed on machines and workers (2).A mathematical form has been put for this study to define the "Object.ive Function "
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