Excessive daytime sleepiness (EDS) is a major health concern in geriatric patients. EDS affects quality of life, daytime function, and mortality. The Epworth Sleepiness Scale (ESS) is a standard tool for the assessment daytime sleepiness, but the feasibility of the ESS has never been investigated in elderly subjects. We applied the ESS to a random sample of geriatric in-hospital patients. The a...

OBJECTIVES/HYPOTHESIS Patients with a history of sinonasal malignancy can develop chronic rhinosinusitis (CRS) as a consequence of their oncologic treatment. Some patients will fail medical management and require endoscopic sinus surgery (ESS). This study reviews the use of ESS in the management of CRS in patients previously treated for sinonasal malignancy. STUDY DESIGN Retrospective review....

Although recurrent gene fusions such as JAZF1-JJAZ1 are considered driver events for endometrial stromal sarcoma (ESS) development, other genomic alterations remain largely unknown. In this study, we performed whole-exome sequencing, transcriptome sequencing and copy number profiling for five ESSs (three low-grade ESS (LG-ESS) and two undifferentiated uterine sarcomas (UUSs)). All three LG-ESSs...

Endometrial stromal sarcoma (ESS) occurs rarely and accounts for only 0.2% of all uterine malignancies. ESS usually expresses estrogen and progesterone receptors, and is regarded as hormone-sensitive. Due to the rarity of these tumors, there are only few case series on the use of aromatase inhibitors in the treatment of low-grade ESS. The present study reports the cases of two patients with res...

The Evolvable Software Systems (ESS) concept allows software to keep up with the changing requirements in work and reduces costs associated with upgrading software. Many technologies exist that can be used to create ESS-based enterprise software, and selecting the appropriate technologies can be difficult. We propose a classification scheme intended to divide software technologies into categori...

Pulmonary metastases of uterine endometrial stromal sarcoma (ESS) are uncommon. The patterns of uterine ESS metastasis to the lung are multiple pulmonary nodules, single nodule, or cystic lesions. Pulmonary intraalveolar micronodular metastases of uterine ESS are unusual and have not been reported. We experienced a case of metastatic uterine ESS presenting as pulmonary diffuse micronodules with...

The objective of the present work is to provide a detailed review of expressive speech synthesis (ESS). Among various approaches for ESS, the present paper focuses the development of ESS systems by explicit control. In this approach, the ESS is achieved by modifying the parameters of the neutral speech which is synthesized from the text. The present paper reviews the works addressing various is...

In this paper we show that there are certain limits as to what applications of Maynard Smith’s concept of evolutionarily stable strategy (ESS) can tell us about evolutionary processes. We shall argue that ESS is very similar in spirit to a particular branch of rational choice game theory, namely, the literature on refinements of Nash equilibrium. In the first place, ESS can also be viewed as a ...

OBJECTIVE To determine the most common findings in patients undergoing revision endoscopic sinus surgery (ESS) presenting to a tertiary rhinology centre. It is our aim that by identifying these findings, the common pitfalls in primary ESS can be avoided to prevent the necessity for revision ESS. METHODS The findings of 73 cases of revision ESS from July 2006 to March 2007 presenting to the St...