Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) hemorrhoidal patients who underwent modified combined method rubber ligation sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared hemorrhoidectomy. study consisted 56 respondents hemorrhoidectomy, other experienced PILA pac...

Youth and adolescents are routinely engaged in manual material handling (MMH) tasks that may exceed their strength capability to perform the task and may place them at excessive risk for musculoskeletal disorders. This paper reports on a two-dimensional biomechanical model that was developed to assess MMH tasks performed by youth 3–21 years of age. The model uses age, gender, posture of the you...

PURPOSE The aim of this study was to evaluate the incidence of postoperative complications after Harmonic Scalpels hemorrhoidectomy and to identify any predisposing factors leading to postoperative complications. METHODS Five hundred consecutive cases of Harmonic Scalpel hemorrhoidectomy were studied in a prospective manner. Postoperative complications were recorded, and any predisposing fact...

A 7-year-old girl presented in semicomatose condition. She had received a ventriculoperitoneal shunt using a Codman-Hakim programmable valve. Head computed tomography demonstrated hydrocephalus and head radiography showed that the pressure setting of the shunt valve had changed to 60 mmH(2)O from 40 mmH(2)O. The pressure setting was returned to 40 mmH(2)O, and she was discharged because her cli...

Universal hashing, discovered by Carter and Wegman in 1979, has many important applications in computer science. The following family, called MMH∗ by Halevi and Krawczyk in 1997, is well known: Let p be a prime and k be a positive integer. Define MMH := {gx : Z k p → Zp | x ∈ Z k p}, where gx(m) := m · x (mod p) = k

The clinical diagnosis of fibroid uterus is based on physical examination findings and/or ultrasound. However, it is not uncommon for routine pathology examination to report no significant fibroids in such cases. Myometrial hyperplasia (MMH) is a structural variation with irregular zones of hypercellularity and increased nucleus/cell ratio that appears in adolescence, can progress during the ch...

Flanagan (1991) was the first contemporary philosopher to suggest that a modularity of morals hypothesis (MMH) was worth consideration by cognitive science. There is now a serious empirically informed proposal that moral competence is best explained in terms of moral modules-evolutionarily ancient, fast-acting, automatic reactions to particular sociomoral experiences (Haidt & Joseph, 2007). MMH...

To gain an atomistic-level understanding on physical and chemical processes occurring at the interfaces of hypergolic propellants, we carried out the first reactive dynamic (ReaxFF) simulations to study the reactive hypergolic mixture of monomethylhydrazine (MMH) and dinitrogen tetroxide (NTO), in comparison with the ethanol (EtOH) and NTO mixture that is reactive but nonhypergolic. Our studies...

The gas-phase chemistry of the hypergolic system CH3NHNH2 – monomethylhydrazine (MMH), with oxidizers NO2/N2O4 at room temperature and 1 atm N2 was investigated experimentally using a gold-coated chamber reactor, coupled with a Fourier transform infrared (FTIR) spectrometer. The IR-active species identified in the early reactions include HONO, monomethylhydrazinium nitrite (MMH HONO), methyl di...