Gallstone ileus treated with non-surgical conservative methods: a case report

INTRODUCTION: The preoperative diagnosis of gallstone ileus is challenging due to the variability of its presentation, often resulting in late diagnosis. Controversy remains regarding the management of gallstone ileus; surgery is the standard treatment, but also less invasive approaches have proven to be successful. We present an unusual case of gallstone ileus and its conservative treatment. CASE PRESENTATION: We describe the case of a 49-year-old Caucasian woman with a bowel sub-occlusion, treated conservatively. The imaging technique (plain abdominal X-ray and computed tomography scan) led to a diagnosis of gallstones ileus. A surgical intervention was not performed. Instead, she underwent extracorporeal shock-wave lithotripsy to fragment the stones, mechanical intestinal dilatation for ileocolic stenosis and endoscopic removal of the gallstone. The presence of an apricot shell contributed to the bowel occlusion and was removed. The intervention was successful and without complications. CONCLUSIONS: Given the variability of the gallstone ileus presentation, surgery could not be the only treatment for our patient. In our case report, we show that colonoscopy could be a non-invasive approach that allows for diagnosis and treatment at the same time. The available data do not show a higher rate of recurrent biliary disease in cases where this method has been used, therefore in select patients, a conservative treatment could be an effective solution

Energy-based predictions in Lorenz system by a unified formalism and neural network modelling

In the framework of a unified formalism for Kolmogorov-Lorenz systems, predictions of times of regime transitions in the classical Lorenz model can be successfully achieved by considering orbits characterised by energy or Casimir maxima. However, little uncertainties in the starting energy usually lead to high uncertainties in the return energy, so precluding the chance of accurate multi-step forecasts. In this paper, the problem of obtaining good forecasts of maximum return energy is faced by means of a neural network model. The results of its application show promising results

Microbiological controls across the productive cycle of Dicentrarchus labrax L. and Sparus aurata L.: a study from the environment to the final product

The microbiological quality of water, sediments and seafood products of three Sicilian marine fish farms (Castellammare Gulf, Capo d'Orlando and Porto Palo) was investigated in order to draw a complete picture of the health conditions from the start (environment) to the end (seafood product) of the productive cycle. Before the beginning of fish farming, low concentrations of faecal contamination indicators (faecal coliforms, Escherichia coli, enterococci) were found in the water of each examined area. Due to the enhanced organic load released from cages, the set-up of fish farming significantly altered the distribution of faecal indicators and sometimes that of halophilic vibrios in the pelagic compartment. Significant differences in the density of heterotrophic bacteria were sometimes recorded at the sediment level. Despite this increase in microbial abundance, the microbiological conditions remained acceptable for the productive process. Pathogens (Salmonella spp., Vibrio parahaemolyticus, Listeria monocytogenes, Staphylococcus aureus) were mostly absent in seafood products. The study underlines that the achievement of good quality levels in aquaculture strongly depends on the conformity of the rearing environment to qualitative microbiological standards, highlighting the importance of sanitary controls along the different steps of the productive cycle

Coupling of phonons with orbital dynamics and magnetism in CuSb2O6

FAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL E NÍVEL SUPERIORCNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOStrongly interacting phonons and orbital excitations are observed in the same energy range for CuSb2O6, unlocking a so-far unexplored type of electron-phonon interaction. An orbital wave at similar to 550 cm(-1) softens on warming and strongly interferes with a phonon at similar to 500 cm(-1), giving rise to a merged excitation of mixed character. An electronic continuum grows on warming to the orbital ordering temperature T-oo = 400 K, generating an important phonon decay channel. This direct and simultaneous observation of orbital and vibrational excitations reveals details of their combined dynamics. In addition, phonon frequency anomalies due to magnetic correlations are observed below similar to 150 K, much above the three-dimensional magnetic ordering temperature T-N(3D) = 8.5 K, confirming one-dimensional magnetic correlations along Cu-O-O-Cu linear chains in the paramagnetic state.971715FAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL E NÍVEL SUPERIORCNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOFAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL E NÍVEL SUPERIORCNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO2012/04870-7Sem informaçãoSem informaçãoAgências de fomento estrangeiras apoiaram essa pesquisa, mais informações acesse artig

First insights into the microbiology of three antarctic briny systems of the northern Victoria land

Different polar environments (lakes and glaciers), also in Antarctica, encapsulate brine pools characterized by a unique combination of extreme conditions, mainly in terms of high salinity and low temperature. Since 2014, we have been focusing our attention on the microbiology of brine pockets from three lakes in the Northern Victoria Land (NVL), lying in the Tarn Flat (TF) and Boulder Clay (BC) areas. The microbial communities have been analyzed for community structure by next generation sequencing, extracellular enzyme activities, metabolic potentials, and microbial abundances. In this study, we aim at reconsidering all available data to analyze the influence exerted by environmental parameters on the community composition and activities. Additionally, the prediction of metabolic functions was attempted by the phylogenetic investigation of communities by reconstruction of unobserved states (PICRUSt2) tool, highlighting that prokaryotic communities were presumably involved in methane metabolism, aromatic compound biodegradation, and organic compound (proteins, polysaccharides, and phosphates) decomposition. The analyzed cryoenvironments were different in terms of prokaryotic diversity, abundance, and retrieved metabolic pathways. By the analysis of DNA sequences, common operational taxonomic units ranged from 2.2% to 22.0%. The bacterial community was dominated by Bacteroidetes. In both BC and TF brines, sequences of the most thermally tolerant and methanogenic Archaea were detected, some of them related to hyperthermophiles

The support model for people with legally modified abilities according to United Nations

Este artículo se basa en una investigación social sobre el sistema de protección jurídica de las personas con algún tipo de discapacidad o en situación de dependencia que se encuentran sometidas a las figuras de tutela o curatela, en aplicación de lo previsto y establecido en el Código Civil Español, en sus artículos 199 y 200, así como en la Ley de Enjuiciamiento Civil. La investigación se plantea como un estudio comparado entre diferentes países de la Unión Europea para ver su adecuación a lo establecido en el artículo 12 de la Convención de Naciones Unidas sobre derechos de las Personas con Discapacidad (en adelante, CDPD) en los procedimientos de incapacitación. Los resultados se analizan sobre la base de modelos técnico-sociales de intervención, los análisis jurídicos y la experiencia adquirida por las Fundación Tutelares de Castilla y León. Se proponen y diseñan algunas alternativas y servicios que pueden mejorar la calidad de vida de las personas adultas incapacitadas judicialmente y el tipo de apoyos que se les puede prestar, de acuerdo a lo establecido en la Convención de Naciones Unidas.This article is based on social research into the system of legal protection for persons with disabilities or in a situation of dependence who are subject to the figures of guardianship or conservatorship pursuant to the provisions in the Spanish Civil Code, sections 199 and 200, as well as the Code of Civil Procedure. The research is presented as a comparative study between different countries of the European Union regarding the adaptation to the provisions of Article 12 of the UN Convention on Rights of Persons with Disabilities (hereinafter CRPD) Incapacitation procedures. The results are analyzed on the basis of technical-social intervention models, legal analysis and the experience of Guardianship Foundations of Castilla y León. Some alternatives and services are proposed and designed that can improve the quality of life of legally incapacitated persons and the type of support that can be provided to them in accordance with the provisions of the United Nations Convention

On the recurrence and robust properties of Lorenz'63 model

Lie-Poisson structure of the Lorenz'63 system gives a physical insight on its dynamical and statistical behavior considering the evolution of the associated Casimir functions. We study the invariant density and other recurrence features of a Markov expanding Lorenz-like map of the interval arising in the analysis of the predictability of the extreme values reached by particular physical observables evolving in time under the Lorenz'63 dynamics with the classical set of parameters. Moreover, we prove the statistical stability of such an invariant measure. This will allow us to further characterize the SRB measure of the system.Comment: 44 pages, 7 figures, revised version accepted for pubblicatio

Microbial assemblages in pressurized antarctic brine pockets (Tarn flat, northern Victoria land): A hotspot of biodiversity and activity

Two distinct pressurized hypersaline brine pockets (named TF4 and TF5), separated by a thin ice layer, were detected below an ice-sealed Antarctic lake. Prokaryotic (bacterial and archaeal) diversity, abundances (including virus-like particles) and metabolic profiles were investigated by an integrated approach, including traditional and new-generation methods. Although similar diversity indices were computed for both Bacteria and Archaea, distinct bacterial and archaeal assemblages were observed. Bacteroidetes and Gammaproteobacteria were more abundant in the shallowest brine pocket, TF4, and Deltaproteobacteria, mainly represented by versatile sulphate-reducing bacteria, dominated in the deepest, TF5. The detection of sulphate-reducing bacteria and methanogenic Archaea likely reflects the presence of a distinct synthrophic consortium in TF5. Surprisingly, members assigned to hyperthermophilic Crenarchaeota and Euryarchaeota were common to both brines, indicating that these cold habitats host the most thermally tolerant Archaea. The patterns of microbial communities were different, coherently with the observed microbiological diversity between TF4 and TF5 brines. Both the influence exerted by upward movement of saline brines from a sub-surface anoxic system and the possible occurrence of an ancient ice remnant from the Ross Ice Shelf were the likely main factors shaping the microbial communities

“Fantasmas” na mecânica quântica

CNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIORFAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOCan you pick a complex subject in quantum mechanics and discuss it with a minimum number of equations, in a simplified form that the general scientific public could understand? This was a question presented to graduate students of the one-year Quantum Mechanics course based on the text book Modern Quantum Mechanics by J. J. Sakurai and Jim Napolitano, at the State University of Campinas (UNICAMP), Brazil. The first seven authors of this paper are graduate students (alphabetical order) that accepted to try it. The chosen subject was "delocalized quantum states", and it will be discussed using colloquial terms like quantum ghosts, spooky action, splitting beings and invisibility cloak. © Sociedade Brasileira de Física. Printed in Brazil.Can you pick a complex subject in quantum mechanics and discuss it with a minimum number of equations, in a simplified form that the general scientific public could understand? This was a question presented to graduate students of the one-year Quantum Mechanics course based on the text book Modern Quantum Mechanics by J. J. Sakurai and Jim Napolitano, at the State University of Campinas (UNICAMP), Brazil. The first seven authors of this paper are graduate students (alphabetical order) that accepted to try it. The chosen subject was "delocalized quantum states", and it will be discussed using colloquial terms like quantum ghosts, spooky action, splitting beings and invisibility cloak.383111CNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIORFAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOCNPQ - CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOCAPES - COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIORFAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOSem informaçãoSem informaçãoSem informaçãoPode-se escolher um topico complexo em mecanica quantica e discuti-lo com um numero mınimo de equações, e de forma simplificada para que um publico com apenas conhecimento basico em fısica possa entender? Essa foi a pergunta apresentada aos alunos de pos-graduação das disciplinas de um ano de Mecanica Quantica I e II da Universidade Estadual de Campinas (UNICAMP), baseadas no livro “Quantum Mechanics” de J. J. Sakurai e Jim Napolitano. Os primeiros sete autores desse artigosão os alunos de pos-graduação (em ordem alfabetica) que aceitaram o desafio. O topico escolhido foi estados quanticos delocalizados, e sera discutido utilizando termos coloquiais como fantasmas quanticos, ações fantasmagoricas, entidades divididas e capa de invisibilidade.G.M.A., D.T.M, M.M. and M.A.P.L acknowledge support from the Brazilian agency “Conselho Nacional de Desenvolvimento Científico e Tecnológico” (CNPq). D.Q.A., L.F.M.C, and S.I.C.G acknowledge support from the Brazilian agency “Coordenação de Aperfeiçoamento de Pessoal de Nível Superior” (CAPES), and L.F.C.F acknowledges support from the Brazilian state of São Paulo agency “Fundação de Amparo à Pesquisa do Estado de São Paulo” (FAPESP). The authors thank Amanda A. R. Lima for drawing the inspiring figure 2. The authors are grateful to Profs. Michael Brunger, Prof. Amir Caldeira and Prof. José A. Roversi for their critical reading of the manuscript and constructive comments and suggestions. The authors also thank for critical reading of this manuscript, the following group of people of the aimed public target: Paulo S. P. Lima (Mechanical Engineer), Martín E. Navarro Maldonado (Chemical Engineer), and Luis Quesada (Professor of Computer Science and Informatics)