Aortic injuries following stents in bariatric surgery: our experience

Background: Due to the large number of laparoscopic sleeve gastrectomy (LSG) performed over the last decade, the management of the leak following LSG has been increasingly reported. The role of covered Self Expandable Metal Stents (cSEMS) for the treatment of the leak is still controversial because of the poor tolerance and high risk of complications. Objectives: The aim of the present study was to analyze the foregut wall perforation and aorta injuries, a very rare but potentially fatal complication, related to the treatment of the leak following LSG using cSEMS. Setting: Private hospital, France. Methods: An audit was conducted in 2 French tertiary bariatric endoscopic centers focusing on aortic injuries after cSEMS use for leak. We examined and classified the initial procedure, leak characteristics, primary endoscopic treatment, and outcome of endoscopic complication for each eligible case. Results: A total of 5 patients were identified with foregut wall perforation and aorta injuries. All stents were deployed for staple line leak following LSG. The recorded mortality in case of esophageal-aortic injuries related to cSEMS use was 80%. Conclusion: cSEMS are potentially effective tools for the management of foregut leaks in bariatric surgery. The biggest challenges with this approach are stent migration and poor quality of life. Caution is required due to the risk of fatal complications such as foregut wall perforation and aortic injury

THE SEPTEMBER 2013 RAIN AND FLOOD EVENTS IN THE FLAM’S VALLEY BASIN. CAUSES, CHARACTERISTICS AND THEIR IMPACT UPON THE ENVIRONMENT

Between 11.09 and 14.09 2013 the north-eastern part of Tulcea County, especially the areas located around Somova village was affected by heavy, torrential rainfall that totalized over 30 mm/sq m and triggered dangerous hydrological phenomena (important slope, stream and river flows). As a result of these heavy downpours, Flam’s Valley was affected by an exceptional flash-flood which measured a peak discharge that reached a 1% exceeding probability. Another destructive characteristic of the weather phenomena that occurred in September 2013 was that the heavy rain was accompanied by violent gusty winds that resembled tornado-like features, bringing serious threat to houses, households and roads. In this paper we have analyzed the weather features that produced the September 2013 flash flood from both a spatial and a temporal perspective. The hydrological analysis focuses on the peak discharge that was recorded during the flash flood as well as on the characteristics elements of the topographic profiles. The paper ends with a brief presentation of the consequences that the weather and hydrological phenomena had upon the environment and population as well

Simulation of Micro-Electronic FlowFET Systems

A microelectronic fluidic system has been investigated by modeling and 3D simulation of fluid flow controlled by an applied gate voltage. The simulations have helped to characterize a novel FlowFET (a fluidic Field Effect Transistor) device under fault-free conditions. The FlowFET operates by applying a voltage field from a gate electrode in the insulated side wall of a microchannel to modulate the ␣-potential at the shear plane [1]. The change in ␣-potential can be used to control both the magnitude and direction of the electroosmotic flow in the microchannel

Near-infrared colors of minor planets recovered from VISTA - VHS survey (MOVIS)

The Sloan Digital Sky Survey (SDSS) and Wide-field Infrared Survey Explorer (WISE) provide information about the surface composition of about 100,000 minor planets. The resulting visible colors and albedos enabled us to group them in several major classes, which are a simplified view of the diversity shown by the few existing spectra. We performed a serendipitous search in VISTA-VHS observations using a pipeline developed to retrieve and process the data that corresponds to solar system objects (SSo). The colors and the magnitudes of the minor planets observed by the VISTA survey are compiled into three catalogs that are available online: the detections catalog (MOVIS-D), the magnitudes catalog (MOVIS-M), and the colors catalog (MOVIS-C). They were built using the third data release of the survey (VISTA VHS-DR3). A total of 39,947 objects were detected, including 52 NEAs, 325 Mars Crossers, 515 Hungaria asteroids, 38,428 main-belt asteroids, 146 Cybele asteroids, 147 Hilda asteroids, 270 Trojans, 13 comets, 12 Kuiper Belt objects and Neptune with its four satellites. The colors found for asteroids with known spectral properties reveal well-defined patterns corresponding to different mineralogies. The distributions of MOVIS-C data in color-color plots shows clusters identified with different taxonomic types. All the diagrams that use (Y-J) color separate the spectral classes more effectively than the (J-H) and (H-Ks) plots used until now: even for large color errors (<0.1), the plots (Y-J) vs (Y-Ks) and (Y-J) vs (J-Ks) provide the separation between S-complex and C-complex. The end members A, D, R, and V-types occupy well-defined regions.Comment: 19 pages, 16 figure

Nonlinear sigma model study of a frustrated spin ladder

A model of two-leg spin-S ladder with two additional frustrating diagonal exchange couplings J_{D}, J_{D}' is studied within the framework of the nonlinear sigma model approach. The phase diagram has a rich structure and contains 2S gapless phase boundaries which split off the boundary to the fully saturated ferromagnetic phase when J_{D} and J_{D}' become different. For the S=1/2 case, the phase boundaries are identified as separating two topologically distinct Haldane-type phases discussed recently by Kim et al. (cond-mat/9910023).Comment: revtex 4 pages, figures embedded (psfig

Applications of phase-contrast velocimetry sequences in cardiovascular imaging.

AIMS: To describe and illustrate the main applications of phase-contrast flow quantification in cardiovascular imaging. CONCLUSION: Phase-contrast velocimetry sequences provide an accurate, reliable, reproducible and non-invasive study of blood flow, information which is sometimes not available from other investigation methods. The haemodynamic information obtained from these complement MRI angiography images. They appear to have a range of clinical applications, firstly improving pathophysiological understanding but also contributing to the treatment and follow-up strategy after surgical or endovascular treatment

THEORETICAL ASPECTS OF THE AERATION DRYING PROCESS WITH APPLICATION IN THE HAY TECHNOLOGY

In the current context of the development of mechanized agriculture in several directions in the field of feed storage needs appear in the effective implementation of the drying method used. In terms of maintaining higher production achieved by reducing losses of fodder harvesting and secondly by increasing the number of cycles of harvest due to reduced time of harvest (representing the time elapsed mowing fodder plant and to store hay), outline the need for a more careful study of the drying process. This paper presents some theoretical aspects that determine and control the drying process used in technology of hay

Early lung ultrasonography predicts the occurrence of acute respiratory distress syndrome in blunt trauma patients

PURPOSE: Extent of lung contusion on initial computed tomography (CT) scan predicts the occurrence of acute respiratory distress syndrome (ARDS) in blunt chest trauma patients. We hypothesized that lung ultrasonography (LUS) on admission could also predict subsequent ARDS. METHODS: Forty-five blunt trauma patients were prospectively studied. Clinical examination, chest radiography, and LUS were performed on arrival at the emergency room. Lung contusion extent was quantified using a LUS score and compared to CT scan measurements. The ability of the LUS score to predict ARDS was tested using the area under the receiver operating characteristic curve (AUC-ROC). The diagnostic accuracy of LUS was compared to that of combined clinical examination and chest radiography for pneumothorax, lung contusion, and hemothorax, with thoracic CT scan as reference. RESULTS: Lung contusion extent assessed by LUS on admission was predictive of the occurrence of ARDS within 72 h (AUC-ROC = 0.78 [95 % CI 0.64-0.92]). The extent of lung contusion on LUS correlated well with CT scan measurements (Spearman\u27s coefficient = 0.82). A LUS score of 6 out of 16 was the best threshold to predict ARDS, with a 58 % [95 % CI 36-77] sensitivity and a 96 % [95 % CI 76-100] specificity. The diagnostic accuracy of LUS was higher than that of combined clinical examination and chest radiography: (AUC-ROC) 0.81 [95 % CI 0.50-1.00] vs. 0.74 [0.48-1.00] (p = 0.24) for pneumothorax, 0.88 [0.76-1.00] vs. 0.69 [0.47-0.92] (p &lt; 0.05) for lung contusion, and 0.84 [0.59-1.00] vs. 0.73 [0.51-0.94] (p &lt; 0.05) for hemothorax. CONCLUSIONS: LUS on admission identifies patients at risk of developing ARDS after blunt trauma. In addition, LUS allows rapid and accurate diagnosis of common traumatic thoracic injuries