Metastasis to Sartorius Muscle from a Muscle Invasive Bladder Cancer

Bladder cancer constitutes the ninth most common cancer worldwide and approximately only 30% of cases are muscle invasive at initial diagnosis. Regional lymph nodes, bones, lung, and liver are the most common metastases from bladder cancer and generally from genitourinary malignancies. Muscles constitute a rare site of metastases from distant primary lesions even though they represent 50% of total body mass and receive a large blood flow. Skeletal muscles from urothelial carcinoma are very rare and up to date only few cases have been reported in the literature. We present a rare case of 51-year-old patient with metastases to sartorius muscle 8 months after the radical cystectomy performed for a muscle invasive bladder cancer

THE REORGANIZATION OF THE GREEK PARLIAMENTARISM AFTER 1911

Greece’s defeat in the war with Turkey in 1897 resulted in submitting the state’s finances to the control by an international committee and provoked the necessity to introduce systemic reforms. The role of the father of modernization was vested in the new Prime Minister, Alexandros Zaimis, who on 29 October 1898 submitted to King George an extensive memorandum specifying the directions of essential reforms, indispensable to stabilize the country’s situation. The main goal was to “rebuild the state and the country”, and the means to achieve it was a fundamental modernization in such spheres as organization of the state, administration of justice, fiscal system, as well as education and social welfare. The main achievement of the modernization policy was the passing of the Constitution (27 May 1911), amending the fundamental law of 1864. The Constitution mainly improved the lawmaking process and until Greece joined the Second World War, it had been the basic point of reference in systemic issues

Multi-level

application-based traffic characterization in a large-scale wireless networ

On the performance of network coding and forwarding schemes with different degrees of redundancy for wireless mesh networks

This work explores the throughput and delay that can be achieved by various forwarding schemes, employing multiple paths and different degrees of redundancy, focusing on linear network coding. The key contribution of the study is an analytical framework for modeling the throughput and delay forvarious schemes, considering wireless mesh networks where unicast traffic is forwarded and hop-by-hop retransmissions are employed for achieving reliability. The analytical framework is generalized for an arbitrary number of paths and hops per path. Another key contribution of the study is the evaluation and extension of the numerical results, drawn from the analysis, through system-level simulations. Our results show that, in scenarios with significant interference, the best throughput-delay tradeoff is achieved by single path forwarding. Moreover, when significant interference is present and network coding employs the larger packet generation size, it experiences higher delay than the other schemes. This is due to the inter-arrival times aggregating over all coded packets required to decode a packet generation. (C) 2015 Elsevier B.V. All rights reserved.Funding Agencies|HERACLEITUS II - University of Crete</p

Excision robot assistée d'un GIST para-rectal chez un patient précédement opéré d'une néo-vessie iléale

Gastrointestinal stromal tumors (GISTs) are the most frequent mesenchymal tumors of the gastrointestinal tract with surgical resection remaining the cornerstone of therapy. Pararectal lesions are considered to be technically difficult and pose in some cases a challenge. We report, to the best of our knowledge, the first robotic-assisted pararectal GIST excision. A 43-year-old man was referred to our center with pararectal GIST recurrence, despite treatment with targeted therapy. Eleven years ago, he underwent extensive abdominal surgery including cystoprostatectomy with ileal neobladder diversion due to GIST resection in the rectoprostatic space. Robot-assisted surgical resection was successfully performed without the need for temporary colostomy. The postoperative course of the patient was uneventful, and the pathology report confirmed a GIST recurrence with negative surgical margins and pelvic lymph nodes free of any tumor. Robotic-assisted pelvic surgery can be extended to incorporate excision of pararectal GISTs, as a safe, less invasive surgical alternative with promising oncological results and minimal injury to adjacent structures