Numerical simulation of breast reduction with a new knitting condition

SUMMARY Breast reduction is one of the most common procedures in breast surgery. The aim of this work is to develop a computational model allowing one to forecast the final breast geometry according to the incision marking parameters. This model can be used in surgery simulators that provide preoperative planning and training, allowing the study of the errors origin in breast reduction. From the mathematical point of view this is a problem of calculus of variations with unusual boundary conditions, known as knitting conditions. The breast tissue is considered as a hyperelastic material, discretized with three-dimensional finite elements for the body whereas the skin is modelled with two-dimensional finite elements on the curved surface. Although the model is of low precision, we show that it is sufficient for a satisfactory analysis of errors frequently done during breast reduction surgery and allows to understand how to avoid or correct them

Estudo Comparativo da Espectrometria de Emissão Atômica com Fonte de Plasma Indutivamente Acoplado com a Espectrometria de Emissão Atômica com Fonte de Centelha para Análise Quantitativa de Aço

Este trabalho é um estudo comparativo de análise de aço de baixa liga empregando duas técnicas de mesmo fundamento básico (excitação de elétrons e emissão de fótons característicos), mas que utilizam fontes de excitação diferentes. As técnicas empregadas foram a espectrometria de emissão atômica com fonte de plasma indutivamente acoplado (ICP-AES) e a técnica de espectrometria de emissão ótica com fonte de centelha (Spark- AES).Um estudo estatístico comparou a precisão e a exatidão das técnicas. Os outros parâmetros utilizados na comparação das técnicas foram: a geometria da amostra (sua forma), tipo de amostra, tempos de preparação e análise e fator de recuperação

Isotopic signals in an agricultural watershed suggest denitrification is locally intensive in riparian areas but extensive in upland soils

© The Author(s), 2022. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Sigler, W. A., Ewing, S. A., Wankel, S. D., Jones, C. A., Leuthold, S., Brookshire, E. N. J., & Payn, R. A. Isotopic signals in an agricultural watershed suggest denitrification is locally intensive in riparian areas but extensive in upland soils. Biogeochemistry, 158, (2022): 251–268, https://doi.org/10.1007/s10533-022-00898-9.Nitrogen loss from cultivated soils threatens the economic and environmental sustainability of agriculture. Nitrate (NO3−) derived from nitrification of nitrogen fertilizer and ammonified soil organic nitrogen may be lost from soils via denitrification, producing dinitrogen gas (N2) or the greenhouse gas nitrous oxide (N2O). Nitrate that accumulates in soils is also subject to leaching loss, which can degrade water quality and make NO3− available for downstream denitrification. Here we use patterns in the isotopic composition of NO3− observed from 2012 to 2017 to characterize N loss to denitrification within soils, groundwater, and stream riparian corridors of a non-irrigated agroecosystem in the northern Great Plains (Judith River Watershed, Montana, USA). We find evidence for denitrification across these domains, expressed as a positive linear relationship between δ15N and δ18O values of NO3−, as well as increasing δ15N values with decreasing NO3− concentration. In soils, isotopic evidence of denitrification was present during fallow periods (no crop growing), despite net accumulation of NO3− from the nitrification of ammonified soil organic nitrogen. We combine previous results for soil NO3− mass balance with δ15N mass balance to estimate denitrification rates in soil relative to groundwater and streams. Substantial denitrification from soils during fallow periods may be masked by nitrification of ammonified soil organic nitrogen, representing a hidden loss of soil organic nitrogen and an under-quantified flux of N to the atmosphere. Globally, cultivated land spends ca. 50% of time in a fallow condition; denitrification in fallow soils may be an overlooked but globally significant source of agricultural N2O emissions, which must be reduced along-side other emissions to meet Paris Agreement goals for slowing global temperature increase.National Institute of Food and Agriculture, 2011–51130-31121, S. A. Ewing, 2011, S. A. Ewing, 2016–67026-25067, S. A. Ewing, Montana State University Extension, Montana Fertilizer Advisory Committee, Montana Agricultural Experiment Station, Montana State University Vice President of Research, Montana State University College of Agriculture, Montana Institute on Ecosystems, NSF EPSCoR, OIA-1757351, S. A. Ewing, OIA-1443108, S. A. Ewing, EPS-110134, S. A. Ewing

Retreatment of Patients Nonresponsive to Pegylated Interferon and Ribavirin with Daily High-Dose Consensus Interferon

Background. Current treatment of chronic hepatitis C with pegylated interferon and ribavirin has the ability to eliminate viral infection in about half of the patients treated. Therapeutic options, for those with remaining chronic hepatitis, will remain limited until novel antivirals become available in the future. Consensus interferon is currently available and has demonstrated clinical efficacy with superior invitro antiviral activity, but the maximum tolerated dose is not defined. Methods. We assessed the efficacy of daily high-dose (24 ug) consensus interferon with weight-based (1000–1200 mg daily) ribavirin in HCV genotype 1-infected non-responder patients. Results. Six adverse events were documented in five patients, and the trial was terminated with no subject achieving viral clearance. Conclusions. The occurrence of serious adverse events effectively defined the upper limit of acceptable dose, while also revealing that this dose did not offer enhanced sustained viral clearance

A Very High-Order Accurate Staggered Finite Volume Scheme for the Stationary Incompressible Navier–Stokes and Euler Equations on Unstructured Meshes

International audienceWe propose a sixth-order staggered finite volume scheme based on polynomial reconstructions to achieve high accurate numerical solutions for the incompressible Navier-Stokes and Euler equations. The scheme is equipped with a fixed-point algorithm with solution relaxation to speed-up the convergence and reduce the computation time. Numerical tests are provided to assess the effectiveness of the method to achieve up to sixth-order con-2 Ricardo Costa et al. vergence rates. Simulations for the benchmark lid-driven cavity problem are also provided to highlight the benefit of the proposed high-order scheme

Second-order finite volume with hydrostatic reconstruction for tsunami simulation

Tsunami modeling commonly accepts the shallow water system as governing equations where the major difficulty is the correct treatment of the nonconservative term due to bathymetry variations. The finite volume method for solving the shallow water equations with such source terms has received great attention in the two last decades. The built-in conservation property, the capacity to correctly treat discontinuities, and the ability to handle complex bathymetry configurations preserving some steady state configurations (well-balanced scheme) make the method very efficient. Nevertheless, it is still a challenge to build an efficient numerical scheme, with very few numerical artifacts (e.g., small numerical diffusion, correct propagation of the discontinuities, accuracy, and robustness), to be used in an operational environment, and that is able to better capture the dynamics of the wet-dry interface and the physical phenomena that occur in the inundation area. In the first part of this paper, we present a new second-order finite volume code. The code is developed for the shallow water equations with a nonconservative term based on the hydrostatic reconstruction technology to achieve a well-balanced scheme and an adequate dry/wet interface treatment. A detailed presentation of the numerical method is given. In the second part of the paper, we highlight the advantages of the new numerical technique. We benchmark the numerical code against analytical, experimental, and field results to assess the robustness and the accuracy of the numerical code. Finally, we use the 28 February 1969 North East Atlantic tsunami to check the performance of the code with real data.Historical data for Cascais and Lagos (1969 Lisbon Tsunami) are available at http://www.dgterritorio.pt/cartografia_e_geodesia/geodesia/redes_geodesicas/rede_maregrafica/. The tagus estuary data (typewriter document) are available at the Dom Luiz Institute library http://idl.ul.pt/node/33. This work is funded by the Portugal-France research agreement, through the research project GEONUM FCT-ANR/MAT-NAN/0122/2012. This research was financed by Portuguese Funds through FCT-Fundacao para a Ciencia e a Tecnologia, within the Project UID/MAT/00013/2013

Hemobilia and pancreatitis as complications of a percutaneous transhepatic cholangiogram

Percutaneous transhepatic cholangiography (PTC) was performed on a 23-year-old male because of an atypical progression of hepatitis B antigen-negative hepatitis. No bile duct was entered and the procedure was uneventful. However, celiac angiography the day following PTC revealed abnormal liver vessels in the target area and the patient developed hemobilia and clinical pancreatitis, causing common duct obstruction. Symptomatology persisted until celiotomy 32 days after PTC. Clots were found obstructing the common bile duct.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/44383/1/10620_2005_Article_BF01071178.pd

EUS-derived criteria for distinguishing benign from malignant metastatic solid hepatic masses

Background Detection of hepatic metastases during EUS is an important component of tumor staging. Objective To describe our experience with EUS-guided FNA (EUS-FNA) of solid hepatic masses and derive and validate criteria to help distinguish between benign and malignant hepatic masses. Design Retrospective study, survey. Setting Single, tertiary-care referral center. Patients Medical records were reviewed for all patients undergoing EUS-FNA of solid hepatic masses over a 12-year period. Interventions EUS-FNA of solid hepatic masses. Main Outcome Measurements Masses were deemed benign or malignant according to predetermined criteria. EUS images from 200 patients were used to create derivation and validation cohorts of 100 cases each, matched by cytopathologic diagnosis. Ten expert endosonographers blindly rated 15 initial endosonographic features of each of the 100 images in the derivation cohort. These data were used to derive an EUS scoring system that was then validated by using the validation cohort by the expert endosonographer with the highest diagnostic accuracy. Results A total of 332 patients underwent EUS-FNA of a hepatic mass. Interobserver agreement regarding the initial endosonographic features among the expert endosonographers was fair to moderate, with a mean diagnostic accuracy of 73% (standard deviation 5.6). A scoring system incorporating 7 EUS features was developed to distinguish benign from malignant hepatic masses by using the derivation cohort with an area under the receiver operating curve (AUC) of 0.92; when applied to the validation cohort, performance was similar (AUC 0.86). The combined positive predictive value of both cohorts was 88%. Limitations Single center, retrospective, only one expert endosonographer deriving and validating the EUS criteria. Conclusion An EUS scoring system was developed that helps distinguish benign from malignant hepatic masses. Further study is required to determine the impact of these EUS criteria among endosonographers of all experience