A causal relationship between right paraduodenal hernia and superior mesenteric artery syndrome: a case report

<p>Abstract</p> <p>Introduction</p> <p>Cases of right paraduodenal hernia and superior mesenteric artery syndrome have been reported separately, but their occurrence in combination has not been reported.</p> <p>Case presentation</p> <p>A 46-year-old Japanese man who had never undergone laparotomy was admitted to our hospital due to an acute abdomen. An enhanced multidetector-row computed tomography scan of our patient showed a cluster of small intestines with ischemic change in his right lateral abdominal cavity. Emergency surgery was subsequently performed, and strangulation of the distal jejunum along with incidental right paraduodenal hernia was found. His necrotic ileum was resected, and the jejunum encapsulated by the sac was repaired manually without reduction.</p> <p>Three days after the operation, however, our patient developed vomiting. An upper gastrointestinal series revealed a straight line cut-off sign on the third portion of his duodenum. A second enhanced multidetector-row computed tomography scan showed that he had a lower aortomesenteric angle and a shorter aortomesenteric distance compared to his condition before his right paraduodenal hernia was surgically repaired. We strongly suspected that the right paraduodenal hernia repair may have induced superior mesenteric artery syndrome. On the 21st post-operative day, duodenojejunostomy was performed because conservative management had failed.</p> <p>Conclusions</p> <p>In this case, enhanced multidetector-row computed tomography, which permits reconstructed multiplanar imaging, helped us to visually identify these diseases easily. It is important to recognize that surgical repair of a right paraduodenal hernia may cause superior mesenteric artery syndrome.</p

Individual determinants of social fairness assessments : the case of Germany

In this contribution we study the determinants of how individuals assess the social fairness of a given income distribution. We propose an analytical framework distinguishing between potential impact factors related to the following fields: first fairness preferences, second beliefs on the sources of economic success and the functioning of democracy and third selfinterest. We test this framework on representative survey data for Germany for the years 1991, 2000 and 2004. Our results indicate that self-interest, beliefs and fairness preferences jointly shape fairness assessments. In addition, a number of personal characteristics are found to be important: Compared to their western fellow citizens, people born in GDR have a more critical view at social fairness. A particularly strong impact is related to the belief on the functioning of the democratic system. This points an important role of procedural fairness for the acceptance of a given distribution

Evaluating the quality of photogrammetric point-clouds in challenging geo-environments: a case study in an Alpine valley

Precise and accurate three-dimensional geospatial data has become increasingly available thanks to advances in both Terrestrial Laser Scanning (TLS) and Structure-from-Motion Photogrammetry (SfM). These tools provide valuable information for mapping geomorphological features and detect surface changes in mountainous environments. The exploitation of 3D point-clouds has been proven tremendously useful in the field of geosciences. It remains, however, controversial whether cost efficient photogrammetry can provide as accurate and reliable geospatial information as the significantly more expensive laser scanning or not. In this study, a rockfall case site in the territory of Obergurgl, Austria, is investigated in order to provide answers to the above question in a complex environment. The analysis includes different terrestrial photogrammetry configurations aiming to comprehensively define the strengths and limitations of terrestrial photogrammetry over TLS. The latter constitutes an optimized methodology that provides guidelines for costly future assessments as part of the site investigation phase in geohazard management. There are no doubts that compared to traditional and conventional surveying methods TLS and Photogrammetry both offer products much faster and with a much higher data density. In the current study, we show that when photogrammetry is applied following a well-defined optimized strategy, it can be potentially an adequate alternative to more costly TLS datasets for mass movement assessment and monitoring purposes

Involving local communities for effective citizen science: determining game species' reproductive status to assess hunting effects in tropical forests

These three datasets are related to the analyses conducted in the article "Involving local communities for effective citizen science: determining game species' reproductive status to assess hunting effects in tropical forests". The first dataset (1_Archive_Interviews_Pregnancy_Diagnoses_Final) consists of interviews through which diagnoses of reproductive status of lowland paca (Cuniculus paca) were performed by local people in the Amazon. The second dataset (2_Archive_Hunting_Registers_Pregnancy_Immatures) consists of all records of pacas hunted voluntarily collected by local people over a 17-years citizen science project in one of the study sites. The third dataset (3_Archive_Hunting_Registers_CPUE) consists of data on the catch-per-unit-effort of lowland paca hunting events in the same site over 17 years. Specific explanations of columns' attributes are presented in the sheet "Explanations" within each dataset. The study areas and the coordinates related to the dataset are: Amanã Sustainable Development Reserve: -64.538 W; -2,492 S Yavarí-Mirín River:-71,958 W; - 4,357 S Juruá River: -67,659 W; -5,517