182 research outputs found

    Physiological Effect of Nursery Water Management on the Drought Tolerance of Loblolly Pine

    Get PDF
    Forest Resource

    Pulmonary sequestration: a review of 26 cases

    Get PDF
    Objectives: Pulmonary sequestration is a continuum of lung anomalies for which no single embryonic hypothesis is yet available. The aim of this study was to assess the diagnostic tools and treatment for the rare condition, pulmonary sequestration, in an unspecialised centre. Methods: We performed an analysis of 26 cases of pulmonary sequestration (paediatric and adult) operated at the Centre Hospitalier Universitaire Vaudois between May 1959 and May 1997. A review of the extralobar and intralobar types of sequestrations is discussed. Angiography is compared to other diagnostic tools in this condition, and treatment is discussed. Results: Twenty-six cases of pulmonary sequestrations, a rare congenital pulmonary malformation, were operated on in the defined time period. Seventy-three percent (19) of the cases were intralobar and 27% (seven) extralobar. Extralobar localisation was basal in 71% and situated between the upper and the lower lobe in 29%. In six cases, the diagnosis was made by exploratory thoracotomy. In the other 20 cases, diagnosis was evoked on chest X-ray and confirmed by angiography. Lobectomy (46%) was the most common treatment procedure. Segmental resection was performed in 30% of the cases and bilobectomy in 4%. Post-operative morbidity was low. The most significant complications were pleural empyema, haemothorax and haemopneumoperitoneum in case of extralobar sequestration. There was no evidence of metaplasia or pre-neoplastic changes. Conclusions: Despite its rarity, some radiological features are sufficiently suggestive of diagnosis of pulmonary sequestration. Investigations are necessary in order to avoid unexpected pathology at the time of operation. Resection of the involved lung leads to excellent results and the long-term outcome is highly favourabl

    Impact of water stress on plant water relations, growth and mycorhization of Acacia tortilis ssp. raddiana: Interactions of the stress severity and duration, and the AM fungal species.

    Get PDF
    Mycorrhizae are commonly reported to improve drought resistance of the host plant. Investigating factors controlling the plant-resistance strategy to water stress can however lead to a suitable management of mycorrhizal plants under drought. Here, we focused on the impact of interactions of the AM fungal species and water stress severity and duration on mycorrhizal Acacia tortilis ssp. raddiana in terms of plant growth, mycorhization and water relations. We used three Glomus species, which were G. mosseae, G. deserticola and G. intraradices. We applied three watering regimes that were maximum water holding non-stress regime, mild-severe water stress and severe water stress. Measurements were performed at four stage durations named pre-drought (one day before applying water stress), early-drought (30 days after applying water stress), mid-drought (60 days after applying water stress), and late-drought (90 days after applying water stress). Under maximum water holding regime, G. mosseae was more infective than G. deserticola and G. intraradices, but differences were not significantly different (P < 0.05). Predawn water potential was analogous for both mycorrhizal and control treatments whilst midday water potential was lower for control than for AMF treatments. Under mild and late drought, G. deserticola and G. intraradices were more infective than G. mosseae. Plants inoculated with G. intraradices had the highest predawn water potential and MWP. Mid-morning and midday stomatal conductance were similar and higher in seedlings inoculated with G. deserticola and G. intraradices. Under severe and late drought, infectivity was comparable and higher for both G. deserticola and G. intraradices. However, plants inoculated with G. intraradices displayed the highest growth, midday water potential, stomatal conductance and relative water content. Seedlings inoculated with G. mosseae and the controls had lost their leaves at -4 MPa water potential. Difference between Glomus species in the host response to water stress seemed to be related to the severity and duration of the stress. On the whole, inoculation of A. tortilis ssp. raddiana with G. intraradices resulted in increased plant growth and improved water status under severe and long-lasting drought, relative to G. deserticola and G. mosseae

    Perinatal arrhythmias.

    Get PDF
    Cardiac arrhythmias are very frequent in fetuses and newborns. The prognosis depends on the nature of the arrhythmias but is most often either spontaneously benign or following short-term medication administration. A correct diagnosis is essential for both management and prognosis. It is based on echocardiography during the fetal period and mainly on history, physical exam, and electrocardiogram after birth, but other modalities are available to record transient arrhythmic events. Irregular rhythms are mostly benign and rarely require therapy. In most fetuses and infants, tachyarrhythmias resolve spontaneously or require short-term administration of antiarrhythmics. Approximately one third of these may recur later on, especially during adolescence. Persistent bradyarrhythmias might require pacemaker implantation when associated with failure to thrive or with risk of sudden death. CONCLUSION: Arrhythmias in fetuses and infants are very common and mostly benign. History, physical exam, and recording of the arrhythmia are essential to make a correct diagnosis and establish an appropriate management for the rare potentially harmful arrhythmias

    Images in clinical medicine. Hepatosplenic candidiasis

    Get PDF

    Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

    Get PDF
    Background: Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. Methods: More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. Results: In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks22, 23, and 25, and 13 were in the third trimester, weeks27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies. Conclusion: From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetu

    Caspofungin for prevention of intra-abdominal candidiasis in high-risk surgical patients

    Get PDF
    Purpose: Thirty to forty percent of patients with recurrent gastrointestinal perforation/anastomotic leakage or acute necrotizing pancreatitis develop intra-abdominal invasive candidiasis (IC). A corrected Candida colonization index (CCI) ≥0.4 is a powerful predictor of IC. Fluconazole prevents intra-abdominal IC in this setting, but azole-resistant Candida species are emerging. The aim of this study was to explore the efficacy and safety of caspofungin for prevention of intra-abdominal IC in high-risk surgical patients. Methods: Prospective non-comparative single-center study in consecutive adult surgical patients with recurrent gastrointestinal perforation/anastomotic leakage or acute necrotizing pancreatitis. Preventive caspofungin therapy (70mg, then 50mg/day) was given until resolution of the surgical condition. Candida colonization index and CCI, occurrence of intra-abdominal IC and adverse events were monitored. Results: Nineteen patients were studied: 16 (84%) had recurrent gastrointestinal perforation/anastomotic leakage and 3 (16%) acute necrotizing pancreatitis. The median duration of preventive caspofungin therapy was 16days (range 4-46). The colonization index decreased significantly during study therapy, and the CCI remained <0.4 in all patients. Caspofungin was successful for prevention of intra-abdominal IC in 18/19 patients (95%, 1 breakthrough IC 5days after inclusion). No drug-related adverse event requiring caspofungin discontinuation occurred. Conclusion: Caspofungin may be efficacious and safe for prevention of intra-abdominal candidiasis in high-risk surgical patients. This needs to be further investigated in randomized trial

    Phenols, essential oils and carotenoids of Rosa canina from Tunisia and their antioxidant activities

    Get PDF
    The antioxidant activity of leaf extracts of Rosa canina from diverse localities of Tunisia were evaluated by ABTS and DPPH methods, whereas in those of essential oils and carotenoids extracts such activity was determined only by the ABTS method. Total phenols determined by the Folin method revealed that at Aindraham, samples showed a great variability of phenol content in contrast to those from Feija. After chemical analysis of the essential oils by gas chromatography (GC) and gas chromatography coupled to mass spectra (GC-MS), revealed that the oils of Feija were predominantly composed of palmitic acid, vitispirane, linoleic acid, lauric acid, myristic acid and phytol acetate, while in thosesamples from Aindraham predominated vitispirane, palmitic acid, linoleic acid and phytol acetate. Higher concentrations of b-carotene and lycopene were found in the samples from Aindraham after determination by high performance liquid chromatography (HPLC). All samples possess antioxidant activity, nevertheless much more significant in phenol extracts in contrast to the carotenoid extracts, which possess the lowest activity

    Refactorings and Technical Debt for Docker Projects

    Full text link
    http://deepblue.lib.umich.edu/bitstream/2027.42/170138/1/ASE2021_DockerRefactoring__Copy_.pdfSEL
    corecore