RESUMO
We present a rare case of congenital thoracic aortic aneurysm (TAA) complicated with dissection in a nine-year-old girl with Noonan syndrome and atrial septal defect. She presented with rapid breathing and upper respiratory tract symptoms. Chest X-ray revealed a huge upper mediastinum with cardiomegaly. Echocardiogram showed possible ascending TAA. Computerized tomography angiogram of the aorta revealed huge aortic root-ascending TAA with small aortic dissection. Despite immediate treatment, the patient passed away due to severe airway compromise.
RESUMO
ABSTRACT: Oral and maxillofacial fractures are the most common injuries among multiple trauma. About 5% to 10% of trauma patients having facial fractures. The objectives of this case study are to focus the most common mid-face fractures types' and to determine the relationship of the midface fracture in maxillofacial trauma among the patient who attended the outpatient clinic in a Hospital Universiti Sains Malaysia. In this research paper, an advanced statistical tool was chosen through the multilayer perceptron neural network methodology (MLPNN). Multilayer perceptron neural network methodology was applied to determine the most associated predictor important toward maxillary bone injury. Through the predictor important classification analysis, the relationship of each bone will be determined, and sorting according to their contribution. After sorting the most associated predictor important toward maxillary bone injury, the validation process will be applied through the value of training, testing, and validation. The input variables of MLPNN were zygomatic complex fracture, orbital wall fracture, nasal bone fracture, frontal bone fracture, and zygomatic arch fracture. The performance of MLPNN having high accuracy with 82.2%. As a conclusion, the zygomatic complex fracture is the most common fracture trauma among the patient, having the most important association toward maxillary bone fracture. This finding has the highest potential for further statistical modeling for education purposes and the decision-maker among the surgeon.
Assuntos
Fraturas Maxilares , Traumatismos Maxilofaciais , Fraturas Cranianas , Fraturas Zigomáticas , Ossos Faciais , Humanos , Fraturas Maxilares/epidemiologia , Traumatismos Maxilofaciais/epidemiologia , Estudos Retrospectivos , Fraturas Cranianas/epidemiologia , Fraturas Zigomáticas/epidemiologiaRESUMO
Abstract Objective: To build an exponential regression model based on parameter estimation. Material and Methods: We developed a simple mathematical model to simulate the growth of bacteria and the exponential growth is often used to model population growth as such cell growth while the exponential decay is portraying a declining or decreases in the size of the population. An exponential regression method was used to fit the data and estimate growth parameter values Streptococcus sobrinus using statistical software SPSS version 20. Results: Based on the results of the parameter estimates, which is constant are 83.039 and b1 is 0.005 while R-square is 0.952. According to the R-Square results obtained, the model is good and appropriate. Conclusion: The model can be used to find the potential biological parameters, which may be able to predict the treatment outcome. This study helps researchers to understand the specific growth rate(s), which can be used to best grow the organism.