65 research outputs found

    Inflammatory pseudotumor of the liver: a case report and review of the literature

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    <p>Abstract</p> <p>Introduction</p> <p>Inflammatory pseudotumor of the liver represents a fairly uncommon pathology. Although it is a benign tumor, the correct diagnosis can be missed.</p> <p>Case presentation</p> <p>We report the case of a 55-year-old Caucasian man, who presented with a one-month history of abdominal pain and weight loss. He was diagnosed with a primary liver tumor by computed tomography and magnetic resonance imaging. Alpha-fetoprotein levels ranged within normal limits. A right posterior sectorectomy was performed. Histopathology revealed an inflammatory pseudotumor of the liver. Our patient remains in good condition one year later.</p> <p>Conclusion</p> <p>Although inflammatory pseudotumor of the liver is usually a benign process, controversy regarding its management still exists. With this case report we review the existing literature and consider hepatectomy as a safe treatment approach.</p

    Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

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    Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

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    An evolutionary game approach to P2P video streaming

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    This paper deals with the allocation of resources and the creation of distribution trees for P2P video streaming. Assuming that the video distribution is based on a Multiple Description Codec (MDC), the proposed approach performs jointly the two tasks, in a completely distributed client-based fashion, by means of an evolutionary (socially inspired) game played by all peers. The key idea of the evolutionary game is that each peer continuously measures its own utility (i.e., video quality) and, by periodical comparison with other randomly chosen peers, tries to mimic the behavior (i.e., resource allocation and video distributors) of peers with higher utility. Extensive simulation experiments by Peersim have been carried out in order to assess the performance of the proposed technique. The obtained results have highlighted remarkable benefits in terms of scalability, fast adaptation to churning, high degree of cooperation among peers and self-organization of the distribution multitree network
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