The biofragmentable anastomosis ring in elective colon resections.

Methods. Sixty-eight patients underwent elective colon resection and ìntraperitoneal anastomosis wìth thè biofragmentable anastomosis ring (BAR). Results. Anastomotic dehiscence occurred in 3 patients (4.4%). Two of them had an end-to-end ileocolostomy using a 31 mm BAR. The anastomosis failure was due to ischaemic lesion of thè small bowel dose to thè ileocolostomy, probably caused by a mismatch between thè size of small bowel and that of thè BAR. Another patient experienced anastomosis dehiscence probably due to a faecal impaction into thè BAR. Forty-eight patients (70.5%) experienced troublesome constipation and evacuated after thè sixth postoperative day. A bowel obstruction proximal to thè BAR was documented in 4 cases who have been treated conservatively. Condmions. The low rate of major complications justify thè use of thè BAR in elective colon surgery, but thè surgeon must be aware of tedious postoperative obstructive episodes frequently encountered in this series

Mutations in the SPAST gene causing hereditary spastic paraplegia arerelated to global topological alterations in brain functional networks

Aim: Our aim was to describe the rearrangements of the brain activity related to genetic mutations in the SPAST gene. Methods: Ten SPG4 patients and ten controls underwent a 5 min resting state magnetoencephalography recording and neurological examination. A beamformer algorithm reconstructed the activity of 90 brain areas. The phase lag index was used to estimate synchrony between brain areas. The minimum spanning tree was used to estimate topological metrics such as the leaf fraction (a measure of network integration) and the degree divergence (a measure of the resilience of the network against pathological events). The betweenness centrality (a measure to estimate the centrality of the brain areas) was used to estimate the centrality of each brain area. Results: Our results showed topological rearrangements in the beta band. Specifically, the degree divergence was lower in patients as compared to controls and this parameter related to clinical disability. No differences appeared in leaf fraction nor in betweenness centrality. Conclusion: Mutations in the SPAST gene are related to a reorganization of the brain topology

Probing background ionization: Positive streamers with varying pulse repetition rate and with a radioactive admixture

Positive streamers need a source of free electrons ahead of them to propagate. A streamer can supply these electrons by itself through photo-ionization, or the electrons can be present due to external background ionization. Here we investigate the effects of background ionization on streamer propagation and morphology by changing the gas composition and the repetition rate of the voltage pulses, and by adding a small amount of radioactive Krypton 85. We find that the general morphology of a positive streamer discharge in high purity nitrogen depends on background ionization: at lower background ionization levels the streamers branch more and have a more feather-like appearance. This is observed both when varying the repetition rate and when adding Krypton 85, though side branches are longer with the radioactive admixture. But velocities and minimal diameters of streamers are virtually independent of the background ionization level. In air, the inception cloud breaks up into streamers at a smaller radius when the repetition rate and therefore the background ionization level is higher. When measuring the effects of the pulse repetition rate and of the radioactive admixture on the discharge morphology, we found that our estimates of background ionization levels are consistent with these observations; this gives confidence in the estimates. Streamer channels generally do not follow the paths of previous discharge channels for repetition rates of up to 10 Hz. We estimate the effect of recombination and diffusion of ions and free electrons from the previous discharge and conclude that the old trail has largely disappeared at the moment of the next voltage pulse; therefore the next streamers indeed cannot follow the old trail.Comment: 30 pages, 13 figure

[Hemothorax in the posterior mediastinum in extramedullary hemopoiesis].

The authors describe a rare case of spontaneous haemothorax in a 19-year-old woman suffering from beta-thalassaemia major which developed as a result of extramedullary haematopoiesis. In intrathoracic disorders of obscure origin they recommend therefore to make first a cytological examination of the punctate to prevent unnecessary surgery

Single-image Bayesian Restoration and Multi-image Super-resolution Restoration for B-mode Ultrasound Using an Accurate System Model Involving Correlated Nature of the Speckle Noise

B-mode ultrasound is an essential part of radiological examinations due to its low cost, safety, and portability, but has the drawbacks of the speckle noise and output of most systems is two-dimensional (2D) cross sections. Image restoration techniques, using mathematical models for image degradation and noise, can be used to boost resolution (deconvolution) as well as to reduce the speckle. In this study, new single-image Bayesian restoration (BR) and multi-image super-resolution restoration (BSRR) methods are proposed for in-plane B-mode ultrasound images. The spatially correlated nature of the speckle was modeled, allowing for examination of two different models for BR and BSRR for uncorrelated Gaussian (BR-UG, BSRR-UG) and correlated Gaussian (BR-CG, BSRR-CG). The performances of these models were compared with common image restoration methods (Wiener filter, bilateral filtering, and anisotropic diffusion). Well-recognized metrics (peak signal-to-noise ratio, contrast-to-noise ratio, and normalized information density) were used for algorithm free-parameter estimation and objective evaluations. The methods were tested using superficial tissue (2D scan data collected from volunteers, tissue-mimicking resolutions, and breast phantoms). Improvement in image quality was assessed by experts using visual grading analysis. In general, BSRR-CG performed better than all other methods. A potential downside of BSRR-CG is increased computation time, which can be addressed by the use of high-performance graphics processing units (GPUs).Scientific and Technological Research Council of Turkey (TUBITAK)Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [2211-C

Detection of Cross-Frequency Coupling Between Brain Areas: An Extension of Phase Linearity Measurement

The current paper proposes a method to estimate phase to phase cross-frequency coupling between brain areas, applied to broadband signals, without any a priori hypothesis about the frequency of the synchronized components. N:m synchronization is the only form of cross-frequency synchronization that allows the exchange of information at the time resolution of the faster signal, hence likely to play a fundamental role in large-scale coordination of brain activity. The proposed method, named cross-frequency phase linearity measurement (CF-PLM), builds and expands upon the phase linearity measurement, an iso-frequency connectivity metrics previously published by our group. The main idea lies in using the shape of the interferometric spectrum of the two analyzed signals in order to estimate the strength of cross-frequency coupling. We first provide a theoretical explanation of the metrics. Then, we test the proposed metric on simulated data from coupled oscillators synchronized in iso- and cross-frequency (using both Rössler and Kuramoto oscillator models), and subsequently apply it on real data from brain activity. Results show that the method is useful to estimate n:m synchronization, based solely on the phase of the signals (independently of the amplitude), and no a-priori hypothesis is available about the expected frequencies

Brain connectivity study by multichannel system based on superconducting quantum magnetic sensors

In the present paper, we will report results about experimental study of brain functional connectivity performed by using a multichannel magnetoencephalographic system based on superconducting quantum interference devices. Such quantum devices exhibit magnetic field sensitivity high enough as to measure the extremely weak magnetic signals generated by the electrical neuronal activity. This powerful tool allows to study the temporal relation of spatially neurophysiological events, i.e. the functional connectivity, which recently captured attention in the field of brain function exploration. The paper reports system and sensors performance as well as data acquisition system and a detailed pipeline data analysis will be described. Brain connectivity measurements relative to parents of children with autism spectrum disorder will be shown, highlighting the preliminary results in topological metrics for different sub-items of autism-spectrum quotient test

Magnetoencephalography system based on quantum magnetic sensors for clinical applications

In this paper, we present the magnetoencephalography system developed by the Institute of Applied Sciences and Intelligent Systems of the National Research Council and recently installed in a clinical environment. The system employ ultra high sensitive magnetic sensors based on superconducting quantum interference devices (SQUIDs). SQUID sensors have been realized using a standard trilayer technology that ensures good performances over time and a good signal-to-noise ratio, even at low frequencies. They exhibit a spectral density of magnetic field noise as low as 2 fT/Hz 1/2 . Our system consists of 163 fully-integrated SQUID magnetometers, 154 channels and 9 references, and all of the operations are performed inside a magnetically-shielded room having a shielding factor of 56 dB at 1 Hz. Preliminary measurement have demonstrated the effectiveness of the MEG system to perform useful measurements for clinical and neuroscience investigations. Such a magnetoencephalography is the first system working in a clinical environment in Italy