Purpose:
Infantile hepatic hemangioendothelioma (IHHE) is the most common hepatic vascular tumor in children. We report on the treatment outcome of our large single-center experience of patients with IHHE over a 9-year period.
Materials and Methods:
A retrospective analysis of all IHHE patients treated at the Children Cancer Hospital Egypt from April 2008 through April 2017.
Results:
In total, 28 patients (18 females, 10 males) were diagnosed with IHHE with a median age at diagnosis of 3 months. The lesions were multifocal (n=12), focal (n=10), and diffuse (n=6). Six (21.4%) patients initially had low T3 and T4. Eleven patients did not receive any treatment, whereas 1 patient underwent resectional surgery. Sixteen patients received drug treatment, 9 of whom responded well to first-line propranolol/prednisolone, whereas 7 patients needed salvage treatment. Twenty-five patients are alive, whereas 3 patients have died.
Conclusions:
Overall, patients with IHHE do well, a significant percentage of whom do not require drug therapy, particularly for those with small focal lesions. In patients with multifocal/diffuse disease, there is a high incidence of low T3 and T4 and while some of these patients did well without additional therapy, those with rapidly progressive lesions during treatment may do poorly.
In this paper, evaluation of stretching strain capabilities to harvest energy from a piezoelectric clamped–clamped beam is theoretically modeled and experimentally tested. The utilization of stretching strain has many advantages as: elimination of any substrate material, and the simple electrode configuration. The doubly clamped structure exhibits a highly nonlinear frequency response (Hardening Duffing) that widens the bandwidth during the frequency up-ward sweep. The wide bandwidth makes it suitable for practical applications. A design of
(
piezoelectric material +
proof mass) energy harvester was tested using PVDF (polyvinylidene fluoride) that can generate up to 15 μW from vibrations of
at
and 2 MΩ load. The design can also generate up to
from vibrations of
at
and 2 MΩ load.
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