Bladder perforations in children

Context: Bladder perforations in children occur due to several different reasons.Aim: In this clinical series study, we focused on bladder perforations due to the pelvic injury, and our aim also was to create awareness for a rare type of bladder injuries.Setting and Design: This was a retrospective study of the patients who were treated in our clinic for bladder perforation between 2006 and 2011.Subjects and Methods: We reviewed the documents of childhood bladder perforations, and demographic and clinical characteristics of the patients were obtained. No statistical analyses were used because of the limited number of cases.Results: There were ten patients who suffered from bladder perforation in 5‑year period; 5 were male, and 5 were female. The mean age of the patients was 4.35 years. Four patients (40%) experienced iatrogenic perforation and six patients (60%) experienced perforation due to the accident. Common symptoms were hematuria, abdominal tenderness, and inability to urinate. Three patients were diagnosed via emergency laparotomy, without any radiological examinations performed before surgery. Four patients suffered from the intraperitoneal perforation, three patients suffered from extraperitoneal injury and three of them both of intraperitoneal and extraperitoneal injuries. Mean recovery time for patients was 15 days. One patient developed a urinary tract infection and one newborn died due to accompanying morbidities. Nine patients were discharged from the hospital.Conclusion: If the patients had a pelvic injury, surgeons must pay attention for the bladder perforation. Isolated bladder perforations are rare, and they are generally associated with iatrogenic injuries. Clinicians should pay attention to findings such as anuria, inability to insert a urinary catheter, and free fluid in the abdomen in order to diagnose the bladder perforation in newborns. Novice surgeons should pay more attention to avoid causing iatrogenic bladder perforation during inguinal hernia repair.Keywords: Bladder, child, iatrogenic, perforation, traum

The nonlinear diffusion limit for generalized Carleman models: the initial-boundary value problem

Consider the initial-boundary value problem for the 2-speed Carleman model of the Boltzmann equation of the kinetic theory of gases set in some bounded interval with boundary conditions prescribing the density of particles entering the interval. Under the usual parabolic scaling, a nonlinear diffusion limit is established for this problem. In fact, the techniques presented here allow treating generalizations of the Carleman system where the collision frequency is proportional to some power of the macroscopic density, with exponent in [-1,1]

Eosinophilic fasciitis presenting as a unilateral, solitary plaque

Eosinophilic fasciitis is a rare connective tissue disorder characterized by inflammation of the fascia that leads to painful, indurated skin. Because of its variable clinical presentation and overlap with conditions, such as morphea, the diagnosis of eosinophilic fasciitis can be challenging and relies on clinical presentation, histopathologic and laboratory analysis, and response to therapy. Herein, we present an unusual, solitary, isolated plaque with pathologic features and response to therapy most consistent with eosinophilic fasciitis

Realizability of metamaterials with prescribed electric permittivity and magnetic permeability tensors

We show that any pair of real symmetric tensors \BGve and \BGm can be realized as the effective electric permittivity and effective magnetic permeability of a metamaterial at a given fixed frequency. The construction starts with two extremely low loss metamaterials, with arbitrarily small microstructure, whose existence is ensured by the work of Bouchitt{\'e} and Bourel and Bouchitt\'e and Schweizer, one having at the given frequency a permittivity tensor with exactly one negative eigenvalue, and a positive permeability tensor, and the other having a positive permittivity tensor, and a permeability tensor having exactly one negative eigenvalue. To achieve the desired effective properties these materials are laminated together in a hierarchical multiple rank laminate structure, with widely separated length scales, and varying directions of lamination, but with the largest length scale still much shorter than the wavelengths and attenuation lengths in the macroscopic effective medium.Comment: 12 pages, no figure

Weak-strong uniqueness of dissipative measure-valued solutions for polyconvex elastodynamics

For the equations of elastodynamics with polyconvex stored energy, and some related simpler systems, we define a notion of dissipative measure-valued solution and show that such a solution agrees with a classical solution with the same initial data when such a classical solution exists. As an application of the method we give a short proof of strong convergence in the continuum limit of a lattice approximation of one dimensional elastodynamics in the presence of a classical solution. Also, for a system of conservation laws endowed with a positive and convex entropy, we show that dissipative measure-valued solutions attain their initial data in a strong sense after time averaging

Small BGK waves and nonlinear Landau damping

Consider 1D Vlasov-poisson system with a fixed ion background and periodic condition on the space variable. First, we show that for general homogeneous equilibria, within any small neighborhood in the Sobolev space W^{s,p} (p>1,s<1+(1/p)) of the steady distribution function, there exist nontrivial travelling wave solutions (BGK waves) with arbitrary minimal period and traveling speed. This implies that nonlinear Landau damping is not true in W^{s,p}(s<1+(1/p)) space for any homogeneous equilibria and any spatial period. Indeed, in W^{s,p} (s<1+(1/p)) neighborhood of any homogeneous state, the long time dynamics is very rich, including travelling BGK waves, unstable homogeneous states and their possible invariant manifolds. Second, it is shown that for homogeneous equilibria satisfying Penrose's linear stability condition, there exist no nontrivial travelling BGK waves and unstable homogeneous states in some W^{s,p} (p>1,s>1+(1/p)) neighborhood. Furthermore, when p=2,we prove that there exist no nontrivial invariant structures in the H^{s} (s>(3/2)) neighborhood of stable homogeneous states. These results suggest the long time dynamics in the W^{s,p} (s>1+(1/p)) and particularly, in the H^{s} (s>(3/2)) neighborhoods of a stable homogeneous state might be relatively simple. We also demonstrate that linear damping holds for initial perturbations in very rough spaces, for linearly stable homogeneous state. This suggests that the contrasting dynamics in W^{s,p} spaces with the critical power s=1+(1/p) is a trully nonlinear phenomena which can not be traced back to the linear level

About curvature, conformal metrics and warped products

We consider the curvature of a family of warped products of two pseduo-Riemannian manifolds $(B,g_B)$ and $(F,g_F)$ furnished with metrics of the form $c^{2}g_B \oplus w^2 g_F$ and, in particular, of the type $w^{2 \mu}g_B \oplus w^2 g_F$, where $c, w \colon B \to (0,\infty)$ are smooth functions and $\mu$ is a real parameter. We obtain suitable expressions for the Ricci tensor and scalar curvature of such products that allow us to establish results about the existence of Einstein or constant scalar curvature structures in these categories. If $(B,g_B)$ is Riemannian, the latter question involves nonlinear elliptic partial differential equations with concave-convex nonlinearities and singular partial differential equations of the Lichnerowicz-York type among others.Comment: 32 pages, 3 figure

Towards a unified theory of Sobolev inequalities

We discuss our work on pointwise inequalities for the gradient which are connected with the isoperimetric profile associated to a given geometry. We show how they can be used to unify certain aspects of the theory of Sobolev inequalities. In particular, we discuss our recent papers on fractional order inequalities, Coulhon type inequalities, transference and dimensionless inequalities and our forthcoming work on sharp higher order Sobolev inequalities that can be obtained by iteration.Comment: 39 pages, made some changes to section 1

Multidimensional Conservation Laws: Overview, Problems, and Perspective

Some of recent important developments are overviewed, several longstanding open problems are discussed, and a perspective is presented for the mathematical theory of multidimensional conservation laws. Some basic features and phenomena of multidimensional hyperbolic conservation laws are revealed, and some samples of multidimensional systems/models and related important problems are presented and analyzed with emphasis on the prototypes that have been solved or may be expected to be solved rigorously at least for some cases. In particular, multidimensional steady supersonic problems and transonic problems, shock reflection-diffraction problems, and related effective nonlinear approaches are analyzed. A theory of divergence-measure vector fields and related analytical frameworks for the analysis of entropy solutions are discussed.Comment: 43 pages, 3 figure

Character of Christ: A Proposal for Excellence in Christian Character Education

Moral teaching programs, such as character education, have been implemented nationwide in order to curb the growing trend of violence, abuse, and moral relativism within schools, both public and private. These programs represent a variety of moral training philosophies, and current research is revealing some best practices within the field. However, these programs do little to address the needs of distinctively Christian educators who seek to train their students toward the character of Jesus Christ. The research in this study promotes the development of a curriculum to meet this need. The following research indicates that character education\u27s premise and many of its practices are worthy of consideration when developing a Christian character curriculum. However, the foundation of the character traits promoted by a Christian character curriculum must not be based on the consensus of a pluralistic society. The foundation must be established solely on the person of Christ. Best practices within the field of character education are emerging through current research. These practices and the theories behind them are also examined in light of the development of a Christian character curriculum. Recommendations and implications for a Christian character curriculum are made in both theory and practice