Advanced endoscopic ultrasound management techniques for preneoplastic pancreatic cystic lesions

Pancreatic cystic lesions can be benign, premalignant or malignant. The recent increase in detection and tremendous clinical variability of pancreatic cysts has presented a significant therapeutic challenge to physicians. Mucinous cystic neoplasms are of particular interest given their known malignant potential. This review article provides a brief but comprehensive review of premalignant pancreatic cystic lesions with advanced endoscopic ultrasound (EUS) management approaches. A comprehensive literature search was performed using PubMed, Cochrane, OVID and EMBASE databases. Preneoplastic pancreatic cystic lesions include mucinous cystadenoma and intraductal papillary mucinous neoplasm. The 2012 International Sendai Guidelines guide physicians in their management of pancreatic cystic lesions. Some of the advanced EUS management techniques include ethanol ablation, chemotherapeutic (paclitaxel) ablation, radiofrequency ablation and cryotherapy. In future, EUS-guided injections of drug-eluting beads and neodymium:yttrium aluminum agent laser ablation is predicted to be an integral part of EUS-guided management techniques. In summary, International Sendai Consensus Guidelines should be used to make a decision regarding management of pancreatic cystic lesions. Advanced EUS techniques are proving extremely beneficial in management, especially in those patients who are at high surgical risk

Uso de las redes sociales en los estudiantes del 1° grado, Sección “A” del Nivel Secundaria del Centro de Educación Básica Alternativa “Lord Kelvin” del distrito y provincia de Moyobamba, año 2018

La presente investigación denominada: “Uso de las redes sociales en los estudiantes del 1° grado, Sección “A” del Nivel Secundaria del Centro de Educación Básica Alternativa “Lord Kelvin” del distrito y provincia de Moyobamba, año 2018”, es de tipo de No experimental, con un enfoque cuantitativo. El objetivo de la investigación fue de describir que redes sociales utilizan más los estudiantes del 1° grado, Sección “A” del Nivel Secundaria, teniendo en cuenta que en la actualidad y tras los avances tecnológicos existe mayor acceso a las redes sociales. La metodología utilizada corresponde a una investigación de tipo descriptivo simple, en donde se utilizó la encuesta y el cuestionario para la recolección de datos aplicado a una muestra de 28 alumnos en total, de los cuales 20 estudiantes son hombres y 08 estudiantes son mujeres. Para el análisis de datos se ha utilizado las tablas de frecuencia simples y de doble entrada para relacionar la variable de estudio y para visualizar los resultados se utilizó los gráficos. En la investigación se obtuvo a los siguientes resultados y conclusiones que el 43% de estudiantes utilizan de manera excesiva las redes sociales, mientras que 25% lo utiliza de manera moderada; sin embargo, el 32% utiliza las redes sociales de manera eventual. Siendo el Facebook la red social más utilizada con un 93% de estudiantes

Noise Reduction in Photoacoustic Imaging using Wavelet Transform

Fotoakustik mikroskop (Photoacoustic Microscopy, PAM) fotoakustik etki temeline dayanan ve son yıllarda geliştirilmeye başlayan hibrid bir görüntüleme tekniğidir. Optik kontrastı akustik olarak algılayan sistem yapısı sayesinde optik difüzyon sınırının ötesinde derin bir görüntülemeyi yüksek çözünürlükle sunabilmektedir. PAM sistemi ile görüntülemede kaydedilen sinyaller, sistem bileşenleri ve çevresel etkilerle gürültüye maruz kalmaktadır. Yapılan çalışmanın ilk aşamasında akustik dalga denkleminin çözümüyle oluşturulan akustik sinyal üzerine belirli oranlarda sentetik gürültüler eklenmiştir. Gürültülü sinyallere farklı ana dalgacıklar kullanılarak ayrık dalgacık dönüşümü ile filtreleme işlemi uygulanmış ve filtreleme performansının değerlendirilmesi için sinyaller üzerinde gürültü metrikleri hesaplanmıştır. İkinci aşamada, ilk aşamada elde edilen veriler doğrultusunda PA sinyallerin filtrelenmesi için uygun ana dalgacıklar seçilmiş filtrelenen sinyaller ile görüntüler oluşturularak, görüntüler üzerinde gürültü metrikleri incelenmiştir // Photoacoustic microscopy (PAM) is a hybrid imaging technique based on the photoacoustic effect and which has begun to develop in recent years. Thanks to the system structure that senses the optical contrast acoustically, it is able to present deep imaging with high resolution beyond the optical diffusion limit. Signals recorded in imaging with the PAM system are exposed to noise by system components and environmental effectcs. In the first stage of the work, a synthetic noise is added at a certain rate on the acoustic signal generated by the solution of the acoustic wave equation. Noisy signals are filtered using discrete wavelet transforms using different main wavelets and noise metrics are calculated on the signals to evaluate the filtering performance. In the second step, the noise metrics are examined on the images by generating the images with the filtered wavelet signals, which are suitable for filtering the PA signals in the direction of the data obtained in the first stage

Past Achievements and Future Challenges in 3D Photonic Metamaterials

Photonic metamaterials are man-made structures composed of tailored micro- or nanostructured metallo-dielectric sub-wavelength building blocks that are densely packed into an effective material. This deceptively simple, yet powerful, truly revolutionary concept allows for achieving novel, unusual, and sometimes even unheard-of optical properties, such as magnetism at optical frequencies, negative refractive indices, large positive refractive indices, zero reflection via impedance matching, perfect absorption, giant circular dichroism, or enhanced nonlinear optical properties. Possible applications of metamaterials comprise ultrahigh-resolution imaging systems, compact polarization optics, and cloaking devices. This review describes the experimental progress recently made fabricating three-dimensional metamaterial structures and discusses some remaining future challenges

New Insights into the mineralogy of the Atlantis II deep metalliferous sediments, Red Sea

The Atlantis II Deep of the Red Sea hosts the largest known hydrothermal ore deposit on the ocean floor and the only modern analog of brine pool-type metal deposition. The deposit consists mainly of chemical-clastic sediments with input from basin-scale hydrothermal and detrital sources. A characteristic feature is the millimeter-scale layering of the sediments, which bears a strong resemblance to banded iron formation (BIF). Quantitative assessment of the mineralogy based on relogging of archived cores, detailed petrography, and sequential leaching experiments shows that Fe-(oxy)hydroxides, hydrothermal carbonates, sulfides, and authigenic clays are the main “ore” minerals. Mn-oxides were mainly deposited when the brine pool was more oxidized than it is today, but detailed logging shows that Fe-deposition and Mn-deposition also alternated at the scale of individual laminae, reflecting short-term fluctuations in the Lower Brine. Previous studies underestimated the importance of nonsulfide metal-bearing components, which formed by metal adsorption onto poorly crystalline Si-Fe-OOH particles. During diagenesis, the crystallinity of all phases increased, and the fine layering of the sediment was enhanced. Within a few meters of burial (corresponding to a few thousand years of deposition), biogenic (Ca)-carbonate was dissolved, manganosiderite formed, and metals originally in poorly crystalline phases or in pore water were incorporated into diagenetic sulfides, clays, and Fe-oxides. Permeable layers with abundant radiolarian tests were the focus for late-stage hydrothermal alteration and replacement, including deposition of amorphous silica and enrichment in elements such as Ba and Au

The Thermal Behaviour of Three Different Auger Pressure Grouted Piles Used as Heat Exchangers

Three auger pressure grouted (APG) test piles were constructed at a site in Richmond, Texas. The piles were each equipped with two U-loops of heat transfer pipes so that they could function as pile heat exchangers. The piles were of two different diameters and used two different grouts, a standard APG grout and a thermally enhanced grout. Thermal response tests, where fluid heated at a constant rate is circulated through the pipe loops, were carried out on the three piles, utilising either single or double loops. The resulting test data can be used to determine the surrounding soil thermal conductivity and the pile thermal resistance, both essential design parameters for ground source heat pump systems using pile heat exchangers. This paper uses parameter estimation techniques to fit empirical temperature response curves to the thermal response test data and compares the results with standard line source interpretation techniques. As expected, the thermal response tests with double loops result in smaller thermal resistances than the same pile when the test was run with a single loop. Back analysis of the pile thermal resistance also allows calculation of the grout thermal properties. The thermally enhanced grout is shown to have inferior thermal properties than the standard APG grout. Together these analyses demonstrate the importance of pile size, grout thermal properties and pipe positions in controlling the thermal behaviour of heat exchanger piles

Total Synthesis of Paracaseolide A

The total synthesis of paracaseolide A, a valuable cell-cycle progression inhibitor, was accomplished in 8 steps from known compounds, with 6.6% overall yield. The synthetic strategy creates strong potential for diversification