Semi-structured geographical problems are often addressed by groups of decisionmakers. Each group member is likely to have a specific set of objectives that they wish to address and a unique perspective on the way in which the problem should be solved. The solution to such problems often requires consensus building and compromise among decision-makers as they attempt to optimize their own criteria. The set of criteria adopted by a particular decision-maker constrains the set of solutions he/she will deem acceptable. Compromise among multiple decisionmakers can occur at the intersection of these constrained solution sets. Knowledge about the criteria space, the solution space, and the relation between the two is often incomplete for semi-structured problems. New tools are needed to explore, analyze, and visualize the solution space of a problem with respect to multiple analytical models and criteria. In this research we explore the utility of genetic algorithms as an effective means to: (1) search the solution space of geographical problems; (2) visualize the spatial ramifications of alternative criteria spaces; and (3) identify compromise solutions.
We present a report of a completely intracorporeal robotic-assisted laparoscopic ileovesicostomy with long term follow-up. The patient was a 55-year-old man with paraplegia secondary to tropical spastic paresis resulting neurogenic bladder dysfunction. The procedure was performed using a da Vinci Surgical system (Intuitive Surgical, Sunnyvale, CA) and took 330 minutes with an estimated blood loss of 100 mL. The patient recovered without perioperative complications. He continues to have low pressure drainage without urethral incontinence over two years postoperatively.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.