Treatment of a rapidly expanding thoracoabdominal aortic aneurysm after endovascular repair of descending thoracic aortic aneurysm in an old patient.

Background: Aortic pathology progression and/or procedure related complications following endovascular repair should always be considered mostly in older patients. We herein describe a hybrid procedure for treatment of rapidly expanding thoracoabdominal aneurysm following endovascular treatment of a descending thoracic aortic aneurysm in an older patient. Case presentation: A 82-year-old man at 18 months after endovascular surgery for a contained rupture of descending thoracic aortic aneurysm revealed a type IV thoracoabdominal aneurysm with significant increase of the aortic diameters at superior mesenteric and renal artery levels. A hybrid approach consisting of preventive visceral vessel revascularization and endovascular repair of entire abdominal aorta was performed. Under general anaesthesia and by xyphopubic laparotomy, the infrarenal aneurysmatic aorta and common iliac arteries were replaced by a bifurcated woven prosthetic graf. From each of the prosthetic branches two reverse 14x7 mm bifurcated PTFE prosthetic grafts were anastomized to both renal arteries and to the celiac axis and superior mesenteric artery, respectively. Vessel ischemia was restricted to the time required for anastomosis. Three 10 cm Gore endovascular stent-grafts for a total length of 15 cm, were used. The overlapping of the stent-grafts was carried out from the bottom upwards, starting from the aorto-iliac prosthetic body up to the healthy segment of thoracic aorta, 40 mm from the previous stent-grafts. The patient was discharged on the 9th postoperative day. Conclusion: This technique offers the advantage of a less invasive treatment, reducing the risk of paraplegia, visceral ischaemia and pulmonary complications, mostly in older patients

A Large Area Tactile Sensor Patch Based on Commercial Force Sensors

This paper reports the design of a tactile sensor patch to cover large areas of robots and machines that interact with human beings. Many devices have been proposed to meet such a demand. These realizations are mostly custom-built or developed in the lab. The sensor of this paper is implemented with commercial force sensors. This has the benefit of a more foreseeable response of the sensor if its behavior is understood as the aggregation of readings from all the individual force sensors in the array. A few reported large area tactile sensors are also based on commercial sensors. However, the one in this paper is the first of this kind based on the use of polymeric commercial force sensing resistors (FSR) as unit elements of the array or tactels, which results in a robust sensor. The paper discusses design issues related to some necessary modifications of the force sensor, its assembly in an array, and the signal conditioning. The patch has 16 × 9 force sensors mounted on a flexible printed circuit board with a spatial resolution of 18.5 mm. The force range of a tactel is 6 N and its sensitivity is 0.6 V/N. The array is read at a rate of 78 frames per second. Finally, two simple application examples are also carried out with the sensor mounted on the forearm of a rescue robot that communicates with the sensor through a CAN bus

The language of the urban domestic architecture as an expression of identity in the Roman world

[EN] This volume reveals the results of the International Seminars “Il linguaggio dell’architettura domestica urbana come espressione d’identità”, which took place in Rome on February 25th, 2020 and “The language of urban domestic architecture as an expression of identity in the Roman world. The African and Eastern provinces”, which was held online on March 18th, 2021. These forums were framed within the line of research of the Archaeology of political spaces: urban domestic architecture of Roman ages developed in Escuela Española de Historia y Arqueología en Roma (CSIC) and the Universidad Pablo de Olavide de Sevilla. The different case studies analysed throughout the nine chapters of this book make up a significant cast at a spatial level that includes general reflections on Roman houses and their Etruscan and Greek influences, the residential spaces of the city of Rome, as well as the expansion of the lifestyle of Roman society to the western and eastern provinces. For all these reasons, this publication can be considered a solid base and a framework for projecting broader questions about the urban domestic space in the Roman Empire.[ES] En el presente volumen se exponen los resultados de los Seminarios Internacionales “Il linguaggio dell’architettura domestica urbana come espressione d’identità”, que tuvo lugar en Roma el 25 de febrero de 2020 y “The language of urban domestic architecture as an expression of identity in the Roman world. The African and Eastern provinces”, que se celebró online el 18 de marzo de 2021. Estos foros se enmarcaron dentro de la línea de investigación de la Arqueología de los espacios políticos: arquitectura doméstica urbana de época romana desarrollada en la Escuela Española de Historia y Arqueología en Roma (CSIC) y la Universidad Pablo de Olavide de Sevilla. Los distintos estudios de casos analizados a lo largo de los nueve capítulos de este libro componen un elenco significativo a nivel espacial que abarca reflexiones generales sobre las casas romanas y sus influencias etruscas y griegas, los espacios residenciales de la ciudad de Roma, así como la expansión del estilo de vida de la sociedad romana a las provincias occidentales y orientales. Por todo ello, esta publicación puede considerarse una sólida base y un marco de trabajo para proyectar cuestiones más amplias sobre el espacio doméstico urbano en el Imperio Romano.Esta publicación ha sido posible gracias a la Ayuda Juan de la Cierva-Incorporación de la Agencia Estatal de Investigación: Arqueología de los espacios políticos. Arquitectura doméstica urbana romana (IJC2018- 037041-I); al Proyecto del Ministerio de Ciencia e Innovación (MICINN) y Agencia Estatal de Investigación (AEI): Vivere In Urbe. Arquitectura residencial y espacio urbano en Augusta Emerita (PID2019-105376GB-C44) y al Proyecto FEDER-UPO: La creación y trasmisión de modelos adrianeos en el mediterráneo. Villa Adriana y la Bética (UPO-1266148).Peer reviewe

Hemangiomas of the maxillofacial area: Case Report, Classification and Treatment Planning

Vascular lesions of the maxillofacial area are even more challenging than in other different body district, because of the high aesthetic and functional relevance of this area for the sense organs presence like eye, brain, tongue, ear and nose. For these reasons, we propose an accurate classification based on hemodynamic and histologic aspects usefulthat is for diagnostic and therapeutic planning. A female, 60 years old patient came to our observation showing a vascular lesion of the lower left lip, and complaining for aesthetical and functional impairment. To confirm the diagnosis of vascular malformation and to detect lesion flow rate or other possible localization, a Tc red blood cell scintigraphy was carried out. Result was a venous low flow lesion; hence, sclerotherapy by a 3% Polidocanol solution (Atossisclerol) followed by surgery was planned. The aim of this work was to propose a diagnostic and therapeutic scheme with an integration of ISSVA and a flow rate classifications for a three-step planning based on 1) the biological findings in an early age at the lesion discover with a pharmacological treatment; 2) Hemodynamic study of the lesions at growing age followed by sclerotherapy or embolization; 3) Imaging study of these lesions for patients candidate to surgery when after step 1 and step 2 diagnostic and therapeutic planning results were incompletely successful

Triorchidism: which therapy?

Polyorchidism is an anomaly characterized by more than two gonads; triorchidism is the most common variant. Its management is controversial, mostly when surgical treatment is occasional. CB, 14 year-old, came to the hospital due to right-sided testicular torsion. During surgery, testis was rotated and the contralateral testis, which presented as an anatomically continuum with a gonadic structure similar to the other testes but with a smaller diameter, was fixed. We performed biopsy on both left testes and decided to preserve the supernumerary one. Following the anatomic and functional classification of polyorchidism by Singer, preservation is justified on the grounds of the presence of a supernumerary testis that drains into the epididymis of the normal testis, merging into one single deferent duct (Singer Type 1). At biopsy, both testes had a valid spermatogenic asset. The diagnostic follow-up at 6 and 12 months did not show any pathological alteration. Diagnosis of polyorchidism is occasional. Its treatment varies depending on the site, dimension, and anatomy of the drainage system of the supernumerary testis. If the supernumerary testis is preserved, a standardized diagnostic follow-up is recommended

Hemangiomas of the maxillofacial area: Case Report, Classification and Treatment Planning

Vascular lesions of the maxillofacial area are even more challenging than in other different body district, because of the high aesthetic and functional relevance of this area for the sense organs presence like eye, brain, tongue, ear and nose. For these reasons, we propose an accurate classification based on hemodynamic and histologic aspects usefulthat is for diagnostic and therapeutic planning. A female, 60 years old patient came to our observation showing a vascular lesion of the lower left lip, and complaining for aesthetical and functional impairment. To confirm the diagnosis of vascular malformation and to detect lesion flow rate or other possible localization, a Tc red blood cell scintigraphy was carried out. Result was a venous low flow lesion; hence, sclerotherapy by a 3% Polidocanol solution (Atossisclerol) followed by surgery was planned. The aim of this work was to propose a diagnostic and therapeutic scheme with an integration of ISSVA and a flow rate classifications for a three-step planning based on 1) the biological findings in an early age at the lesion discover with a pharmacological treatment; 2) Hemodynamic study of the lesions at growing age followed by sclerotherapy or embolization; 3) Imaging study of these lesions for patients candidate to surgery when after step 1 and step 2 diagnostic and therapeutic planning results were incompletely successful

Local manifold learning and its link to domain-based physics knowledge

In many reacting flow systems, the thermo-chemical state-space is known or assumed to evolve close to a low-dimensional manifold (LDM). Various approaches are available to obtain those manifolds and subsequently express the original high-dimensional space with fewer parameterizing variables. Principal component analysis (PCA) is one of the dimensionality reduction methods that can be used to obtain LDMs. PCA does not make prior assumptions about the parameterizing variables and retrieves them empirically from training data. In this paper, we show that PCA applied in local clusters of data (local PCA) is capable of detecting physically meaningful parameterization of the thermo-chemical state-space. We first demonstrate that utilizing three common combustion models of varying complexity: the Burke–Schumann model, the chemical equilibrium model, and the homogeneous reactor. Parameterization of these models is known a priori which allows for benchmarking with the local PCA approach. We further extend the application of local PCA to a more challenging case of a turbulent non-premixed n-heptane/air jet flame for which the parameterization is no longer obvious. Our results suggest that meaningful parameterization can be obtained also for more complex datasets. We show that local PCA finds variables that can be linked to local stoichiometry, reaction progress and soot formation processes. We shed the light on how data-driven techniques, such as local PCA, can be enhanced by using the available knowledge of the system

New Techniques in Relation to New Concepts of the Aesthetic of the Face: Technical Considerations and Aesthetic Evaluation

ABSTRACT: Aesthetic of the face is greatly changed in relation to common standards of the past. Modern concepts of beauty from popular models of beautiful faces to actors show a biprotrusive asset with high tension for soft tissues. Facial symmetry has been proposed as a marker of developmental stability that may be important in human mate choice. Any deviation from perfect symmetry can be considered a reflection of imperfect development. The goal of maxillofacial surgery should be to give the best results for both aesthetic and functional aspects. Following these new concepts of aesthetic of the face, new surgical procedure by osteodistraction techniques will lead to a very natural final result by harmonizing the face. The aim of this study was to detect aesthetic results on 10 patients operated for skeletal discrepancies by maxillary distraction and jaw repositioning compared with other 10 patients operated by conventional techniques on a 5-point scale by Likert