Brachial Approach As an Alternative Technique of Fibrin Sheath Removal for Implanted Venous Access Devices.

Implanted venous access device (IVAD) late dysfunction is commonly caused by fibrin sheath formation. The standard method of endovascular fibrin sheath removal is performed via the femoral vein. However, it is not always technically feasible and sometimes contraindicated. Moreover, approximately 4-6 h of bed rest is necessary after the procedure. In this article, we describe an alternative method of fibrin sheath removal using the brachial vein approach in a young woman receiving chemotherapy for breast cancer. The right basilic vein was punctured, and a long 6°F introducer sheath was advanced into the right subclavian vein. Endovascular maneuvers consisted on advancing Atrieve™ Vascular Snare 15-9 mm after catheter insertion in the superior vena cava through a 5.2°F Judkins left catheter. IVAD patency was restored without any complication, and the patient was discharged immediately after the procedure. In conclusion, fibrin sheath removal from an obstructed IVAD could be performed via the right brachial vein. Further research is necessary in order to prove efficacy of this technique

A mobile agent strategy for grid interoperable virtual organisations

During the last few years much effort has been put into developing grid computing and proposing an open and interoperable framework for grid resources capable of defining a decentralized control setting. Such environments may define new rules and actions relating to internal Virtual Organisation (VO) members and therefore posing new challenges towards to an extended cooperation model of grids. More specifically, VO policies from the viewpoint of internal knowledge and capabilities may be expressed in the form of intelligent agents thus providing a more autonomous solution of inter-communicating members. In this paper we propose an interoperable mobility agent model that performs migration to any interacting VO member and by traveling within each domain allows the discovery of resources dynamically. The originality of our approach is the mobility mechanism based on traveling and migration which stores useful information during the route to each visited individual. The method is considered under the Foundation for Intelligent Physical Agents (FIPA) standard which provides an on demand resource provisioning model for autonomous mobile agents. Finally the decentralization of the proposed model is achieved by providing each member with a public profile of personal information which is available upon request from any interconnected member during the resource discovery process

Vertical and horizontal elasticity for dynamic virtual machine reconfiguration

Today, cloud computing applications are rapidly constructed by services belonging to different cloud providers and service owners. This work presents the inter-cloud elasticity framework, which focuses on cloud load balancing based on dynamic virtual machine reconfiguration when variations on load or on user requests volume are observed. We design a dynamic reconfiguration system, called inter-cloud load balancer (ICLB), that allows scaling up or down the virtual resources (thus providing automatized elasticity), by eliminating service downtimes and communication failures. It includes an inter-cloud load balancer for distributing incoming user HTTP traffic across multiple instances of inter-cloud applications and services and we perform dynamic reconfiguration of resources according to the real time requirements. The experimental analysis includes different topologies by showing how real-time traffic variation (using real world workloads) affects resource utilization and by achieving better resource usage in inter-cloud

Thermalization and temperature distribution in a driven ion chain

We study thermalization and non-equilibrium dynamics in a dissipative quantum many-body system -- a chain of ions with two points of the chain driven by thermal bath under different temperature. Instead of a simple linear temperature gradient as one expects from the classical heat diffusion process, the temperature distribution in the ion chain shows surprisingly rich patterns, which depend on the ion coupling rate to the bath, the location of the driven ions, and the dissipation rates of the other ions in the chain. Through simulation of the temperature evolution, we show that these unusual temperature distribution patterns in the ion chain can be quantitatively tested in experiments within a realistic time scale.Comment: 5 pages, 5 figure

From grids to clouds: a collective intelligence study for inter-cooperated infrastructures

Recently, more effort has been put into developing interoperable and distributed environments that offer users exceptional opportunities for utilizing resources over the internet. By utilising grids and clouds, resource consumers and providers, they gain significant benefits by either using or purchasing the computer processing capacities and the information provided by data centres. On the other hand, the collective intelligence paradigm is characterized as group based intelligence that emerges from the collaboration of many individuals, who in turn, define a coordinated knowledge model. It is envisaged that such a knowledge model could be of significant advantage if it is incorporated within the grid and cloud community. The dynamic load and access balancing of the grid and cloud data centres and the collective intelligence provides multiple opportunities, involving resource provisioning and development of scalable and heterogeneous applications. The contribution of this paper is that by utilizing grid and cloud resources, internal information stored within a public profile of each participant, resource providers as well as consumers, can lead to an effective mobilization of improved skills of members. We aim to unify the grid and cloud functionality as consumable computational power, for a) discussing the supreme advantages of such on-line resource utilization and provisioning models and b) analyzing the impact of the collective intelligence in the future trends of the aforementioned technologies

Risk of miscarriage following amniocentesis or chorionic villus sampling: systematic review of literature and updated meta-analysis

Objectives: To estimate the procedure-related risks of miscarriage after amniocentesis and trans-abdominal chorionic villus sampling (CVS) based on a systematic review of the literature and an updated meta-analysis. Methods: A search of MEDLINE, EMBASE, and The Cochrane Library was carried out to identify studies reporting complications following CVS or amniocentesis. The inclusion criteria for the systematic review were studies reporting results from large controlled studies and those reporting data for pregnancy loss prior to 24 weeks’ gestation. Study authors were contacted when required to identify additional necessary data. Data for cases that had invasive procedure and controls groups were inputted in contingency tables and risk of miscarriage was estimated for each study. Summary statistics based on a fixed and random effects model were calculated after taking into account the weighting for each study included in the systematic review. Procedure-related risk of miscarriage was estimated as a weighted risk difference from the summary statistics for cases and controls. A subgroup analyses according to the similarity risk levels in the invasive testing and control groups was performed. Heterogeneity was assessed using Cochrane’s Q and I2 statistic. Egger Bias was estimated to assess reporting bias in published studies. Summary statistics for procedure-related risk of miscarriage were graphically represented in Forest plots. Results: The electronic search from the databases yielded 2,943 potential citations, from which, we selected 20 controlled studies for inclusion in the systematic review to estimate the procedure-related risk of miscarriage from invasive procedures. There were a total of 580 miscarriages from 63,273 amniocentesis procedures with a weighted risk of pregnancy loss of 0.91% (95%CI: 0.73 to 1.09). In the control group, there were 1,726 miscarriages in 330,469 pregnancies with a loss rate of 0.58% (95CI%: 0.47 to 0.70). The weighted procedure-related risk of miscarriage was 0.30% (95%CI: 0.11 to 0.49, I2=70.1%). There were a total of 163 miscarriages from 13,011 CVS procedures with a risk of pregnancy loss of 1.39% (95%CI: 0.76 to 2.02). In the control group, there were 1,946 miscarriages in 232,680 pregnancies with a loss rate of 1.23% (95CI%: 0.86 to 1.59). The weighted procedure-related risk of miscarriage following CVS was 0.20% (95%CI: -0.12 to 0.52, I2=51.9%). However, when only studies with similar risk profiles between the intervention and control groups were considered, the procedure related risk for amniocentesis became 0.03% (95%CI -0.08 to 0.14, I2=0%) and for CVS -0.38 (95% CI -1.12 to 0.36, I2=0%). Conclusion: The procedure-related risks of miscarriage following amniocentesis and CVS are lower than currently quoted to women. The risk appears to be negligible when these interventions are compared to control groups of the same risk profile

Is the construction of a sanitary landfill acceptable in a karstic area? The case of the sanitary landfill site in Fokida, Central Greece

Για τη μελέτη της καταλληλότητας μιας συγκεκριμένης θέσης ως Χ.Υ.Τ.Υ. πραγματοποιήθηκαν οι εξής ερευνητικές εργασίες. Εκπόνηση λεπτομερούς γεωλογικής χαρτογράφησης σε αρχική κλίμακα 1:5.000 και στη συνέχεια κατασκευή γεωλογικής- υδρογεωλογικής τομής που περνάει από τη θέση του Χ.Υ.Τ.Υ. Στη συνέχεια εκτελέσθηκε γεωτρητικό πρόγραμμα τόσο με βαθιά γεώτρηση για τη διαπίστωση ύπαρξης στάθμης υπόγειου υδροφόρου ορίζοντα όσο και δειγματοληπτικές γεωτρήσεις με δοκιμές εισπίεσης. Επιπλέον, εφαρμόσθηκαν μέθοδοι εκτίμησης της τρωτότητας υποκείμενου υδροφόρου στρώματος (DRASTIC και EPIC). Τέλος υπολογίσθηκε ο ετήσιος όγκος απορριμμάτων που θα τοποθετούνται στο Χ.Υ.Τ.Υ., ο οποίος δίνει και το μέγεθος του ρυπαντικού φορτίου.This paper investigates the suitability of a specific site for the construction of a sanitary landfill. The following works were performed: detailed geological mapping at a scale of 1:5,000, a geological-hydrogeological cross-section of the sanitary landfill, drilling exploration including the construction of a deep borehole for the detection of any perched aquifer, core logging and in situ permeability tests, implementation of the DRASTIC and EPIC methods to estimate the aquifer’s vulnerability. Finally estimation of the total annual amount of solid waste that will be deposited into the sanitary landfill and determination of the pollution load

Quantum Quenches in Integrable Field Theories

We study the non equilibrium time evolution of an integrable field theory in 1+1 dimensions after a sudden variation of a global parameter of the Hamiltonian. For a class of quenches defined in the text, we compute the long times limit of the one point function of a local operator as a series of form factors. Even if some subtleties force us to handle this result with care, there is a strong evidence that for long times the expectation value of any local operator can be described by a generalized Gibbs ensemble with a different effective temperature for each eigenmode

Quantum Quench from a Thermal Initial State

We consider a quantum quench in a system of free bosons, starting from a thermal initial state. As in the case where the system is initially in the ground state, any finite subsystem eventually reaches a stationary thermal state with a momentum-dependent effective temperature. We find that this can, in some cases, even be lower than the initial temperature. We also study lattice effects and discuss more general types of quenches.Comment: 6 pages, 2 figures; short published version, added references, minor change