6,511 research outputs found

    Iatrogenic superior mesenteric artery syndrome

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    We have carefully read the article "Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction" by José Barquín-Yagüez et al. and we would like to report one case with the same diagnosis but with another etiology.info:eu-repo/semantics/publishedVersio

    Dysphagia lusoria: uncommon cause of dysphagia in children

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    Dysphagia lusoria (lusus naturae, latin for "freak of nature") describes dysphagia because of vascular compression of the esophagus. Symptoms, when present, occur at the two extremes of life. Owing to the more flexible and compressible nature of the trachea, children usually present with respiratory symptoms, in contrast to adults, who more often present with dysphagia. Here, we report the case of a six-year-old child presenting with a history of progressive dysphagia without respiratory symptoms. A barium esophagogram showed a diagonal impression in the proximal esophagus, while at esophagogastroduodenoscopy there was an extrinsic pulsatile bulging area suggesting an extrinsic compression by an aberrant vessel. Angio-CT (computed tomography) scan confirmed the presence of an aberrant right subclavian artery.info:eu-repo/semantics/publishedVersio

    Sex differences and correlates of poor glycaemic control in type 2 diabetes: a cross-sectional study in Brazil and Venezuela.

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    OBJECTIVE: Examine whether glycaemic control varies according to sex and whether the latter plays a role in modifying factors associated with inadequate glycaemic control in patients with type 2 diabetes (T2D) in Brazil and Venezuela. DESIGN, SETTING AND PARTICIPANTS: This was a cross-sectional, nationwide survey conducted in Brazil and Venezuela from February 2006 to June 2007 to obtain information about glycaemic control and its determinants in patients with diabetes mellitus attending outpatient clinics. MAIN OUTCOME MEASURES: Haemoglobin A1c (HbA1c) level was measured by liquid chromatography, and patients with HbA1c ≥7.0% (53 mmol/mol) were considered to have inadequate glycaemic control. The association of selected variables with glycaemic control was analysed by multivariate linear regression, using HbA1c as the dependent variable. RESULTS: A total of 9418 patients with T2D were enrolled in Brazil (n=5692) and in Venezuela (n=3726). They included 6214 (66%) women and 3204 (34%) men. On average, HbA1c levels in women were 0.13 (95% CI 0.03 to 0.24; p=0.015) higher than in men, after adjusting for age, marital status, education, race, country, body mass index, duration of disease, complications, type of healthcare, adherence to diet, adherence to treatment and previous measurement of HbA1c. Sex modified the effect of some factors associated with glycaemic control in patients with T2D in our study, but had no noteworthy effect in others. CONCLUSIONS: Women with T2D had worse glycaemic control than men. Possible causes for poorer glycaemic control in women compared with men include differences in glucose homeostasis, treatment response and psychological factors. In addition, sex modified factors associated with glycaemic control, suggesting the need to develop specific treatment guidelines for men and women

    Evaluation of T-joints in aluminium structures under different geometries

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    30th International Conference on Flexible Automation and Intelligent Manufacturing (FAIM2021) -15-18 June 2021, Athens, GreeceThe adhesive bonding technique is nowadays very popular in industrial applications, and is gradually replacing other more traditional bonding methods (fastened, welded and riveted joints) due to some advantages. However, its application supposes accurate methods for strength prediction. As a result, the techniques to predict the strength of adhesive joints has highly evolved. The eXtended Finite Element Method (XFEM) is a recent innovation implemented over the (Finite Element Method) FEM that enables crack growth to be modelled. However, its application to adhesive joints is still scarce. This work consists of an experimental and XFEM analysis of aluminium alloy T-joints, adhesively-bonded with three adhesive types. A parametric study is undertaken regarding the curved adherends’ thickness (tP2), with values between 1 and 4 mm. The adhesives Araldite® AV138 (strong but brittle), Araldite® 2015 (less strong but moderately ductile) and the Sikaforce® 7752 (with the smallest strength but highly ductile) were tested. A comparative analysis between the different joints conditions was undertaken by plotting peel (σу) and shear (τxy) stresses. The XFEM predictive capabilities were tested with different damage initiation criteria. It was found that, provided that the modelling conditions are properly set, accurate numerical results can be found.info:eu-repo/semantics/publishedVersio

    Thermostatistics of overdamped motion of interacting particles

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    We show through a nonlinear Fokker-Planck formalism, and confirm by molecular dynamics simulations, that the overdamped motion of interacting particles at T=0, where T is the temperature of a thermal bath connected to the system, can be directly associated with Tsallis thermostatistics. For sufficiently high values of T, the distribution of particles becomes Gaussian, so that the classical Boltzmann-Gibbs behavior is recovered. For intermediate temperatures of the thermal bath, the system displays a mixed behavior that follows a novel type of thermostatistics, where the entropy is given by a linear combination of Tsallis and Boltzmann-Gibbs entropies.Comment: 4 pages, 2 figure

    High Adherence to Mediterranean Diet Is Not Associated with an Improved Sodium and Potassium Intake

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    Prevention and control of hypertension and cerebro-cardiovascular diseases are associated with adequate sodium and potassium intake and adherence to a Mediterranean dietary pattern. The aim of this study was to assess the association between adherence to a Mediterranean diet (MD) and the excretion of sodium and potassium as surrogate measures of intake. This is a cross-sectional analysis as part of a larger study (the iMC SALT randomized controlled trial) among workers of a public university. A food frequency questionnaire was used to assess the adherence to MD, using the alternative Mediterranean diet (aMED) score; sodium and potassium excretions were estimated by 24-h urine collections. Sociodemographic and other lifestyle characteristics were also obtained. The associations between the adherence to MD and Na and K excretion were calculated by logistic regression, adjusting for confounding variables. From the 109 selected participants, seven were excluded considering urine screening and completeness criteria, leaving a final sample of 102 subjects (48% male, average age 47 years). Mean sodium and potassium excretion were 3216 mg/day and 2646 mg/day, respectively. Sodium and potassium excretion were significantly higher in men, but no differences were found according to different levels of MD adherence. In logistic regression analysis, sodium, potassium, and sodium-to-potassium ratio urinary excretion tertiles were not associated with MD adherence (low/moderate versus high), even after adjustment for confounding variables. A high adherence to MD was thus not associated with a different level of sodium and potassium intake
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