NW Adriatic Sea variability in relation to chlorophyll-<I>a</I> dynamics in the last 20 years (1986?2005)

International audienceThis paper presents a long-term time series (1986?2005) of hydrological and biogeochemical data, both published and unpublished. Data were collected in the north-western area of the Adriatic Sea, at two stations that are considered hydrodynamically and trophically different. The time series have been statistically and graphically investigated on a monthly scale in order to find not only possible chlorophyll-a trends over time, but also links between the concentrations of chlorophyll-a and the variability in the environment, as well as trophic differences between the two areas. Basically, in both cases the statistical test results show no significant trends in either the average chlorophyll-a values or in dispersion of the data, in contrast with significant trends in temperature and salinity. The two areas have similar hydrological features, yet they present significant differences in the amount of nutrient inputs: these are in fact higher at the coastal site, which is characterized by a prevalence of surface blooms, while they are lower at the offshore station, which is mainly affected by intermediate blooms. Nonetheless, throughout the whole water column, chlorophyll-a concentrations are only slightly different. Both areas are affected by riverine discharge, though in the first case considered chlorophyll-a concentrations are also driven strongly by the seasonal cycle. Finally, the results show that the two stations are not trophically different, although some controlling factors, such as zooplankton grazing in one case and light attenuation in the other, may regulate the growth of phytoplankton

NW Adriatic Sea biogeochemical variability in the last 20 years (1986–2005)

International audience; This paper presents a long-term time series (1986?2005) of hydrological and biogeochemical data, both published and unpublished. Data were collected in the north-western area of the Adriatic Sea, at two stations that are considered hydrodynamically and trophically different. The time series have been statistically and graphically analysed on a monthly scale in order to study the annual climatologies, links between the concentrations of chlorophyll-a and the variability in the environment, trophic differences between the two areas and chlorophyll-a trends over time. Basically, the two areas have similar hydrological features, yet they present significant differences in the amount of nutrient inputs: these are in fact higher at the coastal site, which is characterized by a prevalence of surface blooms, while they are lower at the offshore station, which is mainly affected by blooms at intermediate depths. Nonetheless, throughout the whole water column, chlorophyll-a concentrations are only slightly different. Both areas are affected by riverine discharge, though chlorophyll-a concentrations are also driven strongly by the seasonal cycle at the station closer to the coast. Results show that the two stations are not trophically different, although some controlling factors, such as zooplankton grazing in one case and light attenuation in the other, may further regulate the growth of phytoplankton. In both cases no significant trends are detected in either the average chlorophyll-a values or in dispersion of the data, in contrast with significant trends in temperature and salinity

NW Adriatic Sea biogeochemical variability in the last 20 years (1986–2005)

This paper presents a long-term time series (1986–2005) of hydrological and biogeochemical data, both published and unpublished. Data were collected in the north-western area of the Adriatic Sea, at two stations that are considered hydrodynamically and trophically different. The time series have been statistically and graphically analysed on a monthly scale in order to study the annual climatologies, links between the concentrations of chlorophyll-a and the variability in the environment, trophic differences between the two areas and chlorophyll-a trends over time. Basically, the two areas have similar hydrological features, yet they present significant differences in the amount of nutrient inputs: these are in fact higher at the coastal site, which is characterized by a prevalence of surface blooms, while they are lower at the offshore station, which is mainly affected by blooms at intermediate depths. Nonetheless, throughout the whole water column, chlorophyll-a concentrations are only slightly different. Both areas are affected by riverine discharge, though chlorophyll-a concentrations are also driven strongly by the seasonal cycle at the station closer to the coast. Results show that the two stations are not trophically different, although some controlling factors, such as zooplankton grazing in one case and light attenuation in the other, may further regulate the growth of phytoplankton. In both cases no significant trends are detected in either the average chlorophyll-a values or in dispersion of the data, in contrast with significant trends in temperature and salinity

Thoracoscopic resection of a paraaortic bronchogenic cyst

Bronchogenic mediastinal cysts (BMC) represent 18% of primitive mediastinal tumors and the most frequent cystic lesions in this area. Nowadays, BMC are usually treated by VATS. However, the presence of major adhesions to vital structures is often considered as an unfavourable condition for thoracoscopic treatment. The authors report the thoracoscopic treatment of a BMC having dense adhesions to the aortic arch. Diagnosis and surgical treatment is described. Review of the literature and surgical options on this topic are discussed

Surgical management of pulmonary inflammatory pseudotumors: A single center experience

<p>Abstract</p> <p>Background</p> <p>The pulmonary inflammatory pseudotumor (PIP) is a rare disease. It is still debated whether it represents an inflammatory lesion characterized by uncontrolled cell growth or a true neoplasm. PIP is characterized by a cellular polymorphism.</p> <p>Methods</p> <p>We retrospectively analyzed 8 patients with PIP treated by surgery between 2001 and 2009. Preoperative thoracic computed tomography (CT) scan was performed in all cases. All patients underwent preoperative bronchoscopy with washing and brushing and/or transbronchial biopsy and preoperative cytology examination</p> <p>Results</p> <p>There were 5 men and 3 women, aged between 38 and 69 years (mean of 58 years). 3 patients (37%) were asymptomatic. The others had symptoms characterized by chest pain, shortness of breath and persistent cough or hemoptysis. 5 patients had neutrophilic leucocytosis. CT scan demonstrated solitary nodules (maximum diameter <3 cm) in 5 patients (62%) and lung masses (maximum diameter >3 cm) in 3 patients (37%). In 2 patients there were signs of pleural infiltration. Distant lesions were excluded in all cases. A preoperative histology examination failed to reach a definitive diagnosis in all patients. At surgery, we performed two lobectomies, one segmentectomy and five wedge resections, these being performed with videothoracoscopy (VATS), except for one patient where open surgery was used. Complete tumor resection was obtained in all patients. According to the Matsubara classification, there were 2 cases of organizing pneumonia, 5 cases of fibrous histiocytoma and one case of lymphoplasmacytoma. All patients were discharged alive from hospital between 4 and 7 days after surgery. At follow-up CT scan performed annually (range 11 to 112 months) (mean 58 months), there were no residual lesions, neither local nor distant recurrences.</p> <p>Conclusions</p> <p>PIP is a rare disease. Many synonyms have been used for this disease, usually in relation to the most represented cell type. The true incidence is unclear. Preoperative diagnosis is difficult to reach, despite performing a bronchoscopy or a transparietal needle aspiration. Different classifications have been proposed for PIP. Either medical, radiation or surgical therapy has been used for PIP. Whenever possible, surgery should be considered the standard treatment. Complete surgical resection is advocated to prevent recurrence.</p

Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up

Background Congenital hip dysplasia may lead to severe acetabular and femoral abnormalities that can make total hip arthroplasty a challenging procedure. We assessed a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using cementless tapered stem and here we report the outcomes at long-term follow-up. Materials and methods Twenty-eight patients (24 women and 4 men) aged between 44 and 50 years (mean 47 years) were observed. Clinical evaluation was rated with the Harris Hip Score. Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe’s classification, 16 hips presented dysplasia grade 1, 14 grade 2, and 4 grade 3. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis). Six patients were operated bilaterally, with a totally of 34 hips operated. After surgery, the patients were clinically and radiographically checked at 3, 6, and 12 months and yearly thereafter until an average follow-up of 12 years (range 10–14 years). Results Average Harris Hip Score was 56 ± 9 (range 45–69) preoperatively, 90 ± 9 (range 81–100) 12 months after surgery, and 91 ± 8 (range 83–100) at last follow-up. Radiographic evaluation demonstrated excellent osteointegration of the implants. Signs of bone resorption were present in 6 hips, nevertheless no evidence of loosening was observed and none of the implants has been revised. Conclusions Even in dysplasic femur, the tapered stem allowed adequate stability and orientation of the implant. We consider tapered stem a suitable option for total hip arthroplasty in developmental hip dysplasia, also in case of young patients, thanks to the favourable long-term results

Frequency of left ventricular hypertrophy in non-valvular atrial fibrillation

Left ventricular hypertrophy (LVH) is significantly related to adverse clinical outcomes in patients at high risk of cardiovascular events. In patients with atrial fibrillation (AF), data on LVH, that is, prevalence and determinants, are inconsistent mainly because of different definitions and heterogeneity of study populations. We determined echocardiographic-based LVH prevalence and clinical factors independently associated with its development in a prospective cohort of patients with non-valvular (NV) AF. From the "Atrial Fibrillation Registry for Ankle-brachial Index Prevalence Assessment: Collaborative Italian Study" (ARAPACIS) population, 1,184 patients with NVAF (mean age 72 \ub1 11 years; 56% men) with complete data to define LVH were selected. ARAPACIS is a multicenter, observational, prospective, longitudinal on-going study designed to estimate prevalence of peripheral artery disease in patients with NVAF. We found a high prevalence of LVH (52%) in patients with NVAF. Compared to those without LVH, patients with AF with LVH were older and had a higher prevalence of hypertension, diabetes, and previous myocardial infarction (MI). A higher prevalence of ankle-brachial index 640.90 was seen in patients with LVH (22 vs 17%, p = 0.0392). Patients with LVH were at significantly higher thromboembolic risk, with CHA2DS2-VASc 652 seen in 93% of LVH and in 73% of patients without LVH (p &lt;0.05). Women with LVH had a higher prevalence of concentric hypertrophy than men (46% vs 29%, p = 0.0003). Logistic regression analysis demonstrated that female gender (odds ratio [OR] 2.80, p &lt;0.0001), age (OR 1.03 per year, p &lt;0.001), hypertension (OR 2.30, p &lt;0.001), diabetes (OR 1.62, p = 0.004), and previous MI (OR 1.96, p = 0.001) were independently associated with LVH. In conclusion, patients with NVAF have a high prevalence of LVH, which is related to female gender, older age, hypertension, and previous MI. These patients are at high thromboembolic risk and deserve a holistic approach to cardiovascular prevention

Influences of system uncertainties on the numerical transfer path analysis of engine systems

Practical mechanical systems operate with some degree of uncertainty. In numerical models uncertainties can result from poorly known or variable parameters, from geometrical approximation, from discretization or numerical errors, from uncertain inputs or from rapidly changing forcing that can be best described in a stochastic framework. Recently, random matrix theory was introduced to take parameter uncertainties into account in numerical modeling problems. In particular in this paper, Wishart random matrix theory is applied on a multi-body dynamic system to generate random variations of the properties of system components. Multi-body dynamics is a powerful numerical tool largely implemented during the design of new engines. In this paper the influence of model parameter variability on the results obtained from the multi-body simulation of engine dynamics is investigated. The aim is to define a methodology to properly assess and rank system sources when dealing with uncertainties. Particular attention is paid to the influence of these uncertainties on the analysis and the assessment of the different engine vibration sources. Examples of the effects of different levels of uncertainties are illustrated by means of examples using a representative numerical powertrain model. A numerical transfer path analysis, based on system dynamic substructuring, is used to derive and assess the internal engine vibration sources. The results obtained from this analysis are used to derive correlations between parameter uncertainties and statistical distribution of results. The derived statistical information can be used to advance the knowledge of the multi-body analysis and the assessment of system sources when uncertainties in model parameters are considered