Endoscopic meatotomy in the treatment of ureterocele: results in adult patients

To evaluate the efficacy of endoscopic meatotomy in the treatment of ureterocele in adults. A retrospective study of adult patients with ureterocele, treated between January 1987 and December 2014. In 47 patients, 55 intravesical ureteroceles were diagnosed and classified as 18 right, 21 left and eight bilateral (38%, 44% and 17% respectively). According to the Bruézière classification, 41 (75%) ureteroceles were type A and 14 (25%) others were type C. These ureteroceles were complicated by calculus formation in 22 cases, moderately dilated excretory pathways in 16 cases and both complications in a total of 9 cases. Four patients had a complicated ureterocele with pyelonephritis, one of which was emphysematous. The endoscopic treatment was performed in cases of complicated and/or symptomatic ureteroceles. Fifty one cases were treated by a "smiling mouth" meatotomy consisting in a transverse horizontal incision, with the treatment of any associated complication. The mean operative time was 35 minutes (10-90). The operative follow-up was uneventful in 42 patients and complications occurred in 5 patients (2 urinary retentions, 2 infectious complications and one hematuria). The mean duration of postoperative stay was 1-2 days. The mean follow-up was 15 months. Four patients developed vesicoureteral reflux and no stenosis was noted. The endoscopic incision of the ureteroceles seems today, after reviewing the results, to be a good treatment of adult ureterocele. It is a simple, minimally invasive and has a low morbidity rate

Explicit Control of Dataflow Graphs with MARTE/CCSL

International audienceProcess Networks are a means to describe streaming embedded applications. They rely on explicit representation of task concurrency, pipeline and data-flow. Originally, Data-Flow Process Network (DFPN) representations are independent from any execution platform support model. Such independence is actually what allows looking next for adequate mappings. Mapping deals with scheduling and distribution of computation tasks onto processing resources, but also distribution of communications to interconnects and memory resources. This design approach requires a level of description of execution platforms that is both accurate and simple. Recent platforms are composed of repeated elements with global interconnection (GPU, MPPA). A parametric description could help achieving both requirements. Then, we argue that a model-driven engineering approach may allow to unfold and expand an original DFPN model, in our case a so-called Synchronous DataFlow graph (SDF) into a model such that: a) the original description is a quotient refolding of the expanded one, and b) the mapping to a platform model is a grouping of tasks according to their resource allocation. Then, given such unfolding, we consider how to express the allocation and the real-time constraints. We do this by capturing the entire system in CCSL (Clock Constraint Specification Language). CCSL allows to capture linear but also synchronous constraints. Lastly, the system can be checked for the existence of a schedule satisfying all the constraints using a state space exploration technique. The approach is validated on a typical embedded system application allocated on a multi-core platform

Diagenetic processes and sediment-water exchanges of heavy metals in the Mejerda River Delta (Gulf of Tunis)

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Bioavailability and assessment of heavy metal pollution in sediment cores off the Mejerda River Delta (Gulf of Tunis): How useful is a multiproxy approach ?

International audienceThree core samples were taken from zones offshore from the Mejerda River Delta (Tunisia) and analyzed formajor and trace elements to assess their relationships with organic matter, monosulfides and carbonates, aswell as for pollution and bioavailability. Chemical speciation,ΣSEM/AVS, the enrichment factor (EF) and thegeo-accumulation index (I-geo) were used. Iron, cadmium, lead and zinc – the most frequently mined metalsin the Mejerda catchment – were found as contaminants in the offshore areas. Estimations of trace elementaccumulation using the EF and the I-geo index show that lead, and to a lesser extent zinc, are the most pollutingmetals off the Mejerda outlet. According to their bioavailability, these metals are also the most toxic. Only cadmiumis heavily present in delta sediment (EF N 100) though deeply sequestrated (100% bound to the residualfraction) and thus presents no toxicity

Nutrient exchange and oxygen demand at the sediment–water interface during dry and wet seasons off the Medjerda River Delta (Tunis Gulf, Tunisia)

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Suspended particulate matter fluxes along with their associated metals, organic matter and carbonates in a coastal Mediterranean area affected by mining activities

International audienceA study of suspended particulate matter (SPM) fluxes along with their associated metals, organic matter and carbonates, was conducted off the Mejerda River outlet in May 2011 and in March and July 2012 at depths of 10, 20 and 40 m using sediment traps. SPM fluxes are more significant near the Mejerda outlet, especially in winter, but dissipate further offshore. Normalization reveals that the Mejerda is a major source of Pb, Zn, Cd, Cu, Ni, and Co, all of which are the result of human activities. In contrast, Fe, Mn and N are of authigenic origin. The enrichment factor shows that Pb, Zn and especially Cd are the most highly polluting metals off the Mejerda outlet. This confirms the trend observed on the shores of the Mejerda prodelta and is consistent with the type of mining activities conducted in the Mejerda catchment

Metal transfer budgets in a Mediterranean marine environment subjected to natural and anthropogenic inputs: case of the Mejerda River Delta (Gulf of Tunis, northern Tunisia)

International audienceDeltaic sediments are important for biogeochemical metal cycling since they are hotspots for metal inputs. In addition, they are potential sites for diagenetic processes leading to either the burial of inorganic contaminants or their release. Diffusive fluxes of certain metals (Fe, Mn, Pb, Zn, Cu and Cd) in the sediments of the Mejerda River Delta (MRD) (Gulf of Tunis, Tunisia) were quantified by modeling the available concentration profiles in the pore water. The metals’ burial and sedimentation fluxes were also calculated using both the asymptotic concentrations of available metal profiles and sediment trap results. These fluxes were assembled with the exchange fluxes at the sedimentwater interface in order to develop complete metal transfer budgets. The results showed that budgets of Cu and Zn are almost neutral. The sediment appears tobe a good trap for iron since its average burial flux at the three studied stations is about 332.6 g m−2 year−1. Organic matter degradation, carbonate dissolution, and oxyhydroxide reduction are the main mechanisms which accelerate the release of metals associated with the suspended particle matter once they reach the pore water in the seabed

Chemical speciation of Fe, Mn, Pb, Zn, Cd, Cu, Co, Ni and Cr in the suspended particulate matter off the Mejerda River Delta (Gulf of Tunis, Tunisia)

International audienceFluxes of suspended particulate matter (SPM) and their associated metals were performed off the Mejerda River Delta during both the wet (March) and the dry (July) seasons in 2012, using sediment traps at study stations at depths of 10, 20 and 40 m. Fluxes nearest to the Mejerda outlet were more significant, especially during winter (36 g m−2 day−1), but dissipated further offshore, 24.5–6 g m−2 day−1 at the 20 m and 21.8–4.8 g m−2 day−1 at the 40 m stations. Many variations observed in seasonal and spatial metal fluxes are similar to those of SPM, in particular Pb and Zn, probably because they are associated with the mining activity characteristic of the Mejerda catchment. Chemical speciation reveals that most of the metals (20–100%) are bound to the residual fraction. The most toxic metals (Pb, Zn) are bound in part to the exchangeable fraction (20–50% for Pb and 5–15% for Zn) making them relatively bioavailable and therefore potentially toxic. While Cu and Cd fluxes are not always clearly established according to season, both metals are apparently sequestered deep in the sediment, bound especially to clays (40–80% for Cd and up to 100% for Cu)