The syndrome of left ventricular dysfunction in patients without obstructive coronary artery disease following central nervous system injury is termed neurogenic stunned myocardium (NSM). It has been described most commonly in association with aneurysmal subarachnoid hemorrhage. Nonspecific electrocardiogram (ECG) abnormalities, elevated troponin I levels, and reversible regional-wall motion ab...

Near-surface mounted (NSM) fiber-reinforced polymer (FRP) reinforcement has been found to perform efficiently as a flexural/shear strengthening technology for reinforced concrete (RC) members, while offering some additional practical advantages with respect to the most widespread technique of externally bonded laminates. This paper presents a design procedure for flexural and shear strengthenin...

The fifth-order accurate Weighted Essentially Nonoscillatory space discretization developed by Jiang and Shu (WENO-JS) is studied theoretically. An exact Nonlinear Spectral Method (NSM) based on an innovative yet simple methodology. NSM explains the behaviour of nonsmooth solutions because it valid for arbitrary modified wave numbers (MWN). clarifies effects time integration methods Courant num...

Although nipple-sparing mastectomy (NSM) is being used more frequently, the oncological safety of NSM remains unclear, particularly in young patients (<35 years). The aim of the present study was to compare the rates of local recurrence (LR), disease-free survival (DFS) and overall survival (OS) in young patients with breast cancer who had undergone NSM or conventional mastectomy (CM). The clin...

Tomato spotted wilt virus (TSWV) has one negative sense (L) and two ambisense (M and S) RNAs. The lack of a tractable TSWV reverse genetics system has impeded direct demonstration of gene function and prevented the usual types of pathogen characterization. The TSWV NSm (non-structural) protein has been presumed to be the viral movement protein (MP) based on a few lines of indirect evidence. We ...

BACKGROUND With the evolution of breast reconstruction and oncoplastic techniques, more aesthetic mastectomies are being offered to patients. Nipple-sparing mastectomy (NSM) has been controversial, but an expanding body of published experience has allowed this concept to gain momentum. OBJECTIVES The authors review their experience with NSM. METHODS From 2007 to 2009, 112 consecutive patien...

BACKGROUND Nipple-sparing mastectomy through an inframammary fold incision (NSM-IMF) with implant-based reconstruction (IBR) is a cosmetically preferable approach to breast cancer treatment in appropriate candidates. However, patients who have undergone prior cosmetic breast surgery (CBS) may be at increased risk for postoperative complications secondary to existing surgical scars. OBJECTIVE ...

Nipple-sparing mastectomy (NSM) is challenging in patients with significant ptosis and skin excess. We previously described the first use of a surgical delay (a supraareolar incision with undermining off the breast mound) to facilitate a second-stage pedicled NSM and reconstruction. Here, we present an improvement in our surgical delay technique-a total skin and NSM through Wise incisions. This...

Upper tract urothelial carcinoma (UTUC) is rare and its management presents many challenges. Outside of distal ureterectomy for select cases, management has been primarily radical nephroureterectomy. Endoscopic nephron sparing management (NSM) is recognized to have some role in UTUC treatment; however, it is yet to gain firm footing in the treatment algorithm. In this review, we discuss the ben...

The computationally efficient vector quantization for a discrete time source can be performed using lattices over block linear codes or convolutional codes. For high rates (low distortion) and uniform distribution the performance of a multidimensional lattice depends mainly on the normalized second moment (NSM) of the lattice. For relatively low rates (high distortions) and non-uniform distribu...