A Nonliearly Dispersive Fifth Order Integrable Equation and its Hierarchy

In this paper, we study the properties of a nonlinearly dispersive integrable system of fifth order and its associated hierarchy. We describe a Lax representation for such a system which leads to two infinite series of conserved charges and two hierarchies of equations that share the same conserved charges. We construct two compatible Hamiltonian structures as well as their Casimir functionals. One of the structures has a single Casimir functional while the other has two. This allows us to extend the flows into negative order and clarifies the meaning of two different hierarchies of positive flows. We study the behavior of these systems under a hodograph transformation and show that they are related to the Kaup-Kupershmidt and the Sawada-Kotera equations under appropriate Miura transformations. We also discuss briefly some properties associated with the generalization of second, third and fourth order Lax operators.Comment: 11 pages, LaTex, version to be published in Journal of Nonlinear Mathematical Physics, has expanded discussio

Lie-Algebraic Characterization of 2D (Super-)Integrable Models

It is pointed out that affine Lie algebras appear to be the natural mathematical structure underlying the notion of integrability for two-dimensional systems. Their role in the construction and classification of 2D integrable systems is discussed. The super- symmetric case will be particularly enphasized. The fundamental examples will be outlined.Comment: 6 pages, LaTex, Talk given at the conference in memory of D.V. Volkov, Kharkhov, January 1997. To appear in the proceeding

Urgent cesarean delivery following a spontaneous coronary artery dissection

Objective: Rare disease Background: Spontaneous coronary artery dissection is the most common etiology of pregnancy-associated myocardial infarction. It is characterized by high rates of maternal morbidity and mortality and may cause fetal complications and death as well. Case Report: A 44-year-old female (G2P1) suffered from pregnancy-related spontaneous coronary artery dissection with dissection of distal left anterior descending coronary artery. The patient was hemodynamically stable and did not required revascularization, but signs of fetal distress were detected and thus an urgent cesarean delivery was performed. This emergency procedure was undertaken in the catheterization laboratory (Cath-Lab) right after coronary angiography, thanks to a multidisciplinary team. Health conditions of the newborn were good. The patient instead suffered from a recurrence of spontaneous coronary artery dissection 6 days later, complicated by left ventricular apical thrombus and epistenocardial pericarditis. The dissection self-healed in 1 month. Conclusions: Careful evaluation of pregnancy-related spontaneous coronary artery dissection is needed to assess and manage both maternal and fetal complications. Under specific circumstances, a cesarean delivery may be required and be even performed in the Cath-Lab after coronary catheterization

Metastasectomy for colorectal pulmonary metastases: a survey among members of the European Society of Thoracic Surgeons.

Surgical management of pulmonary metastases in colorectal cancer patients is a debated topic. There is currently no consensus on this matter, which sparks considerable risk for international practice variation. The European Society of Thoracic Surgeons (ESTS) ran a survey to assess current clinical practices and to determine criteria for resection among ESTS members. All ESTS members were invited to complete an online questionnaire of 38 questions on current practice and management of pulmonary metastases in colorectal cancer patients. In total, 308 complete responses were received (response rate: 22%) from 62 countries. Most respondents consider that pulmonary metastasectomy for colorectal pulmonary metastases improves disease control (97%) and improves patients' survival (92%). Invasive mediastinal staging in case of suspicious hilar or mediastinal lymph nodes is indicated (82%). Wedge resection is the preferred type of resection for a peripheral metastasis (87%). Minimally invasive approach is the preferred approach (72%). For a centrally located colorectal pulmonary metastasis, the preferred form of treatment is a minimally invasive anatomical resection (56%). During metastasectomy, 67% of respondents perform mediastinal lymph node sampling or dissection. Routine chemotherapy is rarely or never given following metastasectomy (57% of respondents). This survey among the ESTS members underlines the change in practice of pulmonary metastasectomy with an increasing tendency in favour of minimally invasive metastasectomy and surgical resection is preferred over other types of local treatment. Criteria for resectability vary and controversy remains regarding lymph node assessment and the role of adjuvant treatment

Topology Induced Spatial Bose-Einstein Condensation for Bosons on Star-Shaped Optical Networks

New coherent states may be induced by pertinently engineering the topology of a network. As an example, we consider the properties of non-interacting bosons on a star network, which may be realized with a dilute atomic gas in a star-shaped deep optical lattice. The ground state is localized around the star center and it is macroscopically occupied below the Bose-Einstein condensation temperature T_c. We show that T_c depends only on the number of the star arms and on the Josephson energy of the bosonic Josephson junctions and that the non-condensate fraction is simply given by the reduced temperature T/T_c.Comment: 20 Pages, 5 Figure

The values of intrapleural pressure before the removal of chest tube in non-complicated pulmonary lobectomies

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Identification of Fusarium oxysporum f. sp. lactucae race 1 as the causal agent of lettuce wilt in Brazil.

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Value of a Multidisciplinary Approach in Sinonasal Inverted Papilloma with Extensive Ossification

Objective: Background: Casa Report: Conclusions: Rare disease Inverted papilloma is a benign epithelial lesion of the nasal cavities. Although commonly encountered in clinical practice, it rarely presents with extensive ossification and few cases have been described in the literature. Herein, we describe the case of a 51-year-old man who presented to clinical attention for persistent right nasal obstruction. Magnetic resonance imaging (MRI) and computed tomography (CT) scans of the facial bones showed a lobated lesion with ossification occupying most of the right nasal cavity. The lesion was removed by endoscopic sinus surgery, leaving the surrounding bone structures intact. On pathological examination, mature bone tissue was found within an inverted papilloma. The pathologist contacted the surgeon, who confirmed that no healthy bone tissue was removed during the procedure. Therefore, a diagnosis of inverted papilloma with ossification could be made without the use of ancillary techniques. Inverted papilloma with ossification is a common lesion with a rare feature. Our report investigates the diagnostic difficulties of a paradigmatic case, highlighting the importance of multidisciplinary teamwork in reach-ing the final diagnosis

Urothelial bladder carcinoma metastasizing to the eye: A systematic review and case report

The eye is a rare site for disseminated malignancies; nevertheless, several tumors may metastasize to ocular structures. Few cases of urothelial and bladder cancer with eye involvement have been described in the literature thus far. The rarity of metastatic ocular localization implies an accurate differential diagnosis among the possible primary tumor sites. However, a specific diagnostic algorithm is not currently available, nor a defined therapeutic approach. Eye metastases are associated with advanced disease and poor prognosis. Physicians should be made aware of the possibility of eye involvement in patients with a past medical history of urothelial bladder cancer associated with ocular symptoms. The present case reports discusses the first documented case, to the best of our knowledge, of an urothelial bladder cancer metastasizing to the retro bulbar region that infiltrates the lacrimal gland. Furthermore, the report provides a systematic qualitative review of the current literature on eye metastases from urothelial bladder cancer using the Preferred Reporting Items for Systematic Reviews and Meta Analyses