458 research outputs found
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
Use of halogenated anaesthetics in Italy and their associated carbon footprint: a country‐wide study
Seebeck effect in the conducting LaAlO_{3}/SrTiO_{3} interface
The observation of metallic behavior at the interface between insulating
oxides has triggered worldwide efforts to shed light on the physics of these
systems and clarify some still open issues, among which the dimensional
character of the conducting system. In order to address this issue, we measure
electrical transport (Seebeck effect, Hall effect and conductivity) in
LaAlO_{3}/SrTiO_{3} interfaces and, for comparison, in a doped SrTiO_{3} bulk
single crystal. In these experiments, the carrier concentration is tuned, using
the field effect in a back gate geometry. The combined analysis of all
experimental data at 77 K indicates that the thickness of the conducting layer
is ~7 nm and that the Seebeck effect data are well described by a
two-dimensional (2D) density of states. We find that the back gate voltage is
effective in varying not only the charge density, but also the thickness of the
conducting layer, which is found to change by a factor of ~2, using an electric
field between -4 and +4MV/m at 77K. No enhancement of the Seebeck effect due to
the electronic confinement and no evidence for two-dimensional quantization
steps are observed at the interfaces.Comment: 15 pages, 5 figure
Two-dimensional quantum oscillations of the conductance at LaAlO3/SrTiO3 interfaces
We report on a study of magnetotransport in LaAlO3/SrTiO3 interfaces
characterized by mobilities of the order of several thousands cm/Vs. We
observe Shubnikov-de Haas oscillations that indicate a two-dimensional
character of the Fermi surface. The frequency of the oscillations signals a
multiple sub-bands occupation in the quantum well or a multiple valley
configuration. From the temperature dependence of the oscillation amplitude we
extract an effective carrier mass \,. An electric field
applied in the back-gate geometry increases the mobility, the carrier density
and the oscillation frequency.Comment: 4 pages, 4 figure
Enhancing Cyber Security of LoRaWAN Gateways under Adversarial Attacks
The Internet of Things (IoT) has disrupted the IT landscape drastically, and Long Range Wide Area Network (LoRaWAN) is one specification that enables these IoT devices to have access to the Internet. Former security analyses have suggested that the gateways in LoRaWAN in their current state are susceptible to a wide variety of malicious attacks, which can be notoriously difficult to mitigate since gateways are seen as obedient relays by design. These attacks, if not addressed, can cause malfunctions and loss of efficiency in the network traffic. As a solution to this unique problem, this paper presents a novel certificate authentication technique that enhances the cyber security of gateways in the LoRaWAN network. The proposed technique considers a public key infrastructure (PKI) solution that considers a two-tier certificate authority (CA) setup, such as a root-CA and intermediate-CA. This solution is promising, as the simulation results validate that about 66.67% of the packets that are arriving from an illegitimate gateway (GW) are discarded in our implemented secure and reliable solution
Performance of the galactomannan antigen detection test in the diagnosis of invasive aspergillosis in children with cancer or undergoing haemopoietic stem cell transplantation
AbstractSerum galactomannan (GM) antigen detection is not recommended for defining invasive aspergillosis (IA) in children undergoing aggressive chemotherapy or allogeneic haemopoietic stem cell transplantation (HSCT). The ability of the GM test to identify IA in children was retrospectively evaluated in a cohort of children. Test performance was evaluated on samples that were collected during 195 periods at risk of IA. Proven IA was diagnosed in seven periods, all with positive GM test results (true positives, 4%), and possible IA was diagnosed in 15 periods, all with negative GM test results (false negatives, 8%). The test result was positive with negative microbiological, histological and clinical features in three periods (false positives, 1%), and in 170 periods it was negative with negative microbiological, histological and clinical features (true negatives, 87%). The sensitivity was 0.32 and the specificity was 0.98; the positive predictive value was 0.70 and the negative predictive value was 0.92. The efficiency of the test was 0.91, the positive likelihood ratio was 18.3, and the negative likelihood ratio was 1.4. The probability of missing an IA because of a negative test result was 0.03. Test performance proved to be better during at-risk periods following chemotherapy than in periods following allogeneic HSCT. The GM assay is useful for identifying periods of IA in children undergoing aggressive chemotherapy or allogeneic HSCT
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