Iroa: the international register of open abdomen. an international effort to better understand the open abdomen: call for participants

Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development of an abdominal compartment syndrome. The mortality and morbidity rate in patients undergone to OA procedures is still high. At present many studies have been published about the OA management and the progresses in survival rate of critically ill trauma and septic surgical patients. However several issues are still unclear and need more extensive studies. The definitions of indications, applications and methods to close the OA are still matter of debate. To overcome this lack of high level of evidence data about the OA indications, management, definitive closure and follow-up, the World Society of Emergency Surgery (WSES) promoted the International Register of Open Abdomen (IROA). The register will be held on a web platform (Clinical Registers (R)) through a dedicated web site: www. clinicalregisters. org. This will allow to all surgeons and physicians to participate from all around the world only by having a computer and a web connection. The IROA protocol has been approved by the coordinating center Ethical Committee (Papa Giovanni XXIII hospital, Bergamo, Italy).Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development103713sem informaçãosem informaçã

Independent and complementary bio-functional effects of CuO and Ga2O3 incorporated as therapeutic agents in silica- and phosphate-based bioactive glasses

The incorporation of therapeutic-capable ions into bioactive glasses (BGs), either based on silica (SBGs) or phosphate (PBGs), is currently envisaged as a proficient path for facilitating bone regeneration. In conjunction with this view, the single and complementary structural and bio-functional roles of CuO and Ga2O3 (in the 2–5 mol% range) were assessed, by deriving a series of SBG and PBG formulations starting from the parent glass systems, FastOs®BG – 38.5SiO2—36.1CaO—5.6P2O5—19.2MgO—0.6CaF2, and 50.0P2O5—35.0CaO—10.0Na2O—5.0 Fe2O3 (mol%), respectively, using the process of melt-quenching. The inter-linked physico-chemistry – biological response of BGs was assessed in search of bio-functional triggers. Further light was shed on the structural role – as network former or modifier – of Cu and Ga, immersed in SBG and PBG matrices. The preliminary biological performance was surveyed in vitro by quantification of Cu and Ga ion release under homeostatic conditions, cytocompatibility assays (in fibroblast cell cultures) and antibacterial tests (against Staphylococcus aureus). The similar (Cu) and dissimilar (Ga) structural roles in the SBG and PBG vitreous networks governed their release. Namely, Cu ions were leached in similar concentrations (ranging from 10–35 ppm and 50–110 ppm at BG doses of 5 and 50 mg/mL, respectively) for both type of BGs, while the release of Ga ions was 1–2 orders of magnitude lower in the case of SBGs (i.e., 0.2–6 ppm) compared to PBGs (i.e., 9–135 ppm). This was attributed to the network modifier role of Cu in both types of BGs, and conversely, to the network former (SBGs) and network modifier (PBGs) roles of Ga. All glasses were cytocompatible at a dose of 5 mg/mL, while at the same concentration the antimicrobial efficiency was found to be accentuated by the coupled release of Cu and Ga ions from SBG. By collective assessment, the most prominent candidate material for the further development of implant coatings and bone graft substitutes was delineated as the 38.5SiO2—34.1CaO—5.6P2O5—16.2MgO—0.6CaF2—2.0CuO—3.0Ga2O3 (mol%) SBG system, which yielded moderate Cu and Ga ion release, excellent cytocompatibility and marked antibacterial efficacy.publishe

Conceptual design of a winged hybrid airship

The present study focuses on the sizing and aerodynamic contour design of a two-seater 1000 kg gross take-off mass winged hybrid airship. Unlike the conventional hybrid airships, which stay aloft and takeoff with the help of VTOL propulsion systems, a winged hybrid airship requires a certain speed to takeoff by utilizing lift coming from its aerodynamic surfaces. Heaviness fraction and takeoff ground roll are considered as measure of merit in initial sizing. Based on the design requirement of Malaysian inter-island tourism and transportation of agricultural products, range is set to 450 km and ground roll for take-off about 150 m. For the airship to be heavy enough for ground handling, the ratio of hydrostatic to hydrodynamic lift is set equal to 49:51. Summary of the results to be obtained in early design phase will give a baseline start to study the aerodynamics and stability characteristics of such airships in future

Solar Weather Event Modelling and Prediction

Key drivers of solar weather and mid-term solar weather are reviewed by considering a selection of relevant physics- and statistics-based scientific models as well as aselection of related prediction models, in order to provide an updated operational scenario for space weather applications. The characteristics and outcomes of the considered scientific and prediction models indicate that they only partially cope with the complex nature of solar activity for the lack of a detailed knowledge of the underlying physics. This is indicated by the fact that, on one hand, scientific models based on chaos theory and non-linear dynamics reproduce better the observed features, and, on the other hand, that prediction models based on statistics and artificial neural networks perform better. To date, the solar weather prediction success at most time and spatial scales is far from being satisfactory, but the forthcoming ground- and space-based high-resolution observations can add fundamental tiles to the modelling and predicting frameworks as well as the application of advanced mathematical approaches in the analysis of diachronic solar observations, that are a must to provide comprehensive and homogeneous data sets.peerReviewe