Partial anomalous pulmonary venous return associated with vascular anomalies of the aorta: multidetector computed tomography findings

Partial anomalous pulmonary venous return (PAPVR) is a congenital anomaly that involves drainage of one to three pulmonary veins directly into the right heart or systemic venous system, creating a partial left-to-right shunt. This drainage is associated with cardiac abnormalities such as mitral stenosis and pulmonary stenosis, patent ductus arteriosus, and atrial septal defects. We report a case of PAPVR associated with vascular anomalies of the aorta by multidetector computed tomography in an adult female patient

Fog-Driven Context-Aware Architecture for Node Discovery and Energy Saving Strategy for Internet of Things Environments

The consolidation of the Fog Computing paradigm and the ever-increasing diffusion of Internet of Things (IoT) and smart objects are paving the way toward new integrated solutions to efficiently provide services via short-mid range wireless connectivity. Being the most of the nodes mobile, the node discovery process assumes a crucial role for service seekers and providers, especially in IoT-fog environments where most of the devices run on battery. This paper proposes an original model and a fog-driven architecture for efficient node discovery in IoT environments. Our novel architecture exploits the location awareness provided by the fog paradigm to significantly reduce the power drain of the default baseline IoT discovery process. To this purpose, we propose a deterministic and competitive adaptive strategy to dynamically adjust our energy-saving techniques by deciding when to switch BLE interfaces ON/OFF based on the expected frequency of node approaching. Finally, the paper presents a thorough performance assessment that confirms the applicability of the proposed solution in several different applications scenarios. This evaluation aims also to highlight the impact of the nodes' dynamic arrival on discovery process performance

Subvalvular membrane on the left ventricular outflow tract: multidetector computerised tomography imaging

In this report, we describe a patient with a subvalvular membrane on the left ventricular outflow tract. Discrete subvalvular membrane is a cause of left ventricular outflow tract narrowing. Multidetector computerised tomography can demonstrate the anatomical three-dimensional view of this region and guide for surgery. (Folia Morphol 2011; 70, 4: 315–317

A Spatial and Temporal Gradient of Fgf Differentially Regulates Distinct Stages of Neural Development in the Zebrafish Inner Ear

Neuroblasts of the statoacoustic ganglion (SAG) initially form in the floor of the otic vesicle during a relatively brief developmental window. They soon delaminate and undergo a protracted phase of proliferation and migration (transit-amplification). Neuroblasts eventually differentiate and extend processes bi-directionally to synapse with hair cells in the inner ear and various targets in the hindbrain. Our studies in zebrafish have shown that Fgf signaling controls multiple phases of this complex developmental process. Moderate levels of Fgf in a gradient emanating from the nascent utricular macula specify SAG neuroblasts in laterally adjacent otic epithelium. At a later stage, differentiating SAG neurons express Fgf5, which serves two functions: First, as SAG neurons accumulate, increasing levels of Fgf exceed an upper threshold that terminates the initial phase of neuroblast specification. Second, elevated Fgf delays differentiation of transit-amplifying cells, balancing the rate of progenitor renewal with neuronal differentiation. Laser-ablation of mature SAG neurons abolishes feedback-inhibition and causes precocious neuronal differentiation. Similar effects are obtained by Fgf5-knockdown or global impairment of Fgf signaling, whereas Fgf misexpression has the opposite effect. Thus Fgf signaling renders SAG development self-regulating, ensuring steady production of an appropriate number of neurons as the larva grows

The utility of multidetector computed tomography for evaluation of congenital heart disease

Background: Congenital heart diseases (CHD) are the leading cause of birthdefect-related deaths. Multidedector computed tomography (MDCT) plays animportant role for imaging CHD in addition to echocardiography and providesa comprehensive evaluation of complex heart malformations for the referringcardiologist. The aim of the study was to evaluate the utility of MDCT in theassessment of CHD.Materials and methods: A 102 patients with CHD were investigated after initialassessment by echocardiography. The information obtained by MDCT and findingsof echocardiography were reviewed together by paediatric cardiologistsand cardiac radiologists. Perioperative anatomic descriptions, wherever available(n = 34) formed the gold standard for the comparison.Results: The clinical consensus diagnosis defined 154 cardiovascular lesions inthe patients. The results were classified in groups. We present the appearanceof various congenital cardiac lesions seen in clinical practice.Conclusions: MDCT provides important information about anatomic details ofCHD for the referring cardiologist. The evaluation of different anatomic structuressuch as heart, great vessels, lungs and abdomen is possible in one acquisitionwith this technique

Cor triatriatum sinister: two cases diagnosed in adulthood and a review of literature

Cor triatriatum sinister is a rare condition caused by a membrane within left atrium that separates pulmonary veins from mitral valve (10). While the condition is usually diagnosed at childhood, rare presentation during adulthood is observed when the membrane is incomplete. We report two cases of incomplete cor triatriatum sinister diagnosed during adulthood and review literature for this rare anomaly

Non-invasive detection of biliary leaks using Gd-EOB-DTPA-enhanced MR cholangiography: Comparison with T2-weighted MR cholangiography

Objective: To evaluate the added role of T1-weighted (T1w) gadolinium ethoxybenzyl diethylenetriamine penta-acetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance cholangiography (MRC) compared with T2-weighted MRC (T2w-MRC) in the detection of biliary leaks. Methods: Ninety-nine patients with suspected biliary complications underwent routine T2w-MRC and T1w contrast-enhanced (CE) MRC using Gd-EOB-DTPA to identify biliary leaks. Two observers reviewed the image sets separately and together. MRC findings were compared with those of surgery and percutaneous transhepatic cholangiopancreatography. The sensitivity, specificity and accuracy of the techniques in identifying biliary leaks were calculated. Results: Accuracy of locating biliary leaks was superior with the combination of Gd-EOB-DTPA-enhanced MRC and T2w-MRC (P < 0.05).The mean sensitivities were 79 % vs 59 %, and the mean accuracy rates were 84 % vs 58 % for combined CE-MRC and T2w-MRC vs sole T2w-MRC. Nineteen out of 21 patients with biliary-cyst communication, 90.4 %, and 12/15 patients with post-traumatic biliary extravasations, 80 %, were detected by the combination of Gd-EOB-DTPA-enhanced MRC and T2w-MRC images, P < 0.05. Conclusions: Gd-EOB-DTPA-enhanced MRC yields information that complements T2w-MRC findings and improves the identification and localisation of the bile extravasations (84 % accuracy, 100 % specificity, P < 0.05). We recommend Gd-EOB-DTPA-enhanced MRC in addition to T2w-MRC to increase the preoperative accuracy of identifying and locating extravasations of bile. Key Points: • Magnetic resonance cholangiography (MRC) does not always detect bile leakage and cysto-biliary communications. • Gd-EOB-DTPA-enhanced MRC helps by demonstrating extravasation of contrast material into fluid collections. • Gd-EOB-DTPA-enhanced MRC also demonstrates the leakage site and bile duct injury type. • Combined Gd-EOB-DTPA-enhanced and T2w-MRC can provide comprehensive information about biliary system. • Gd-EOB-DTPA-enhanced MRC is non-invasive and does not use ionising radiation. © 2013 The Author(s)

Dynamic optimization of a gas-liquid reactor

The final publication is available at Springer via http://dx.doi.org/10.1007/s10910-011-9941-1A dynamic gas-liquid transfer model without chemical reaction based on unsteady film theory is considered. In this case, the mathematical model presented for gas-liquid mass-transfer processes is based on mass balances of the transferred substance in both phases. The identificability property of this model is studied in order to confirm the possible identifiable parameters of the model from a given set of experimental data. For that, a different modeled of the system is given. A procedure for the identification is proposed. On the other hand, the aim of this work is to solve the quadratic optimal control problem, using an explicit representation of the model. The problem includes some results on controllability, observability and stability criteria and the relation between these properties and the parameters of the model. Using the optimal control problem we study the stability of the system and show how the choice of the weighting matrices can improve the behavior of the system but with an increase of the energy control cost. © 2011 Springer Science+Business Media, LLC.This work has been partially supported by PAID-05-10-003-295 and by MTM2010-18228.Cantó Colomina, B.; Cardona Navarrete, SC.; Coll, C.; Navarro-Laboulais, J.; Sánchez, E. (2012). Dynamic optimization of a gas-liquid reactor. Journal of Mathematical Chemistry. 50(2):381-393. https://doi.org/10.1007/s10910-011-9941-1S381393502Bayón L., Grau J.M., Ruiz M.M., Suárez P.M.: Initial guess of the solution of dynamic optimization of chemical processes. J. Math. Chem. Model. 48, 28–37 (2010)Ben-Zvi A., McLellan P.J., McAuley K.B.: Ind. Eng. Chem. Res. 42, 6607–6618 (2003)Cantó B., Coll C., Sánchez E.: Structural identifiability of a model of dialysis. Math. Comp. Model. 50, 733–737 (2009)Cantó B., Coll C., Sánchez E.: Identifiability of a class of discretized linear partial differential algebraic equations. Math. Probl. Eng. 2011, 1–12 (2011)Craciun G., Pantea C.: Identifiability of chemical reaction networks. J. Math. Chem. 44, 244–259 (2008)Dai L.: Descriptor Control Systems. Springer, New York (1989)Deckwer W.D.: Bubble Column Reactors. Wiley, Chichester (1992)Kantarci N., Borak F., Ulgen K.O.: Bubble column reactors. Proc. Biochem. 40(7), 2263–2283 (2005)Kawakernaak H., Sivan R.: Linear Optimal Control Systems. Wiley-Interscience, New York (1972)Kuo B.C.: Automatic Control Systems, 6th edn. Prentice-Hall, Englewood Cliffs (1991)Navarro-Laboulais J., Cardona S.C., Torregrosa J.I., Abad A., López F.: Practical identifiability analysis in dynamic gas-liquid reactors. Optimal experimental design for mass-transfer parameters determination. Comp. Chem. Eng. 32, 2382–2394 (2008)Navarro-Laboulais J., López F., Torregrosa J.I., Cardona S.C., Abad A.: Transient response, model structure and systematic errors in hybrid respirometers: structural identifiabilit analysis based on OUR and DO measurements. J. Math. Chem. 44(4), 969–990 (2007)Patel R., Munro N.: Multivariable Systen. Theory and Design. Pergamon Press, New York (1982)Sondergeld K.: A generalization of the Routh–Hurwitz stability criteria and a application to a problem in robust controller design. IEEE Trans. Automat. Contr. AC-28(10), 965–970 (1983

Genetic variation in the myeloperoxidase gene and cognitive impairment in Multiple Sclerosis

There is evidence that multiple sclerosis (MS) may associated with cognitive impairment in 25 to 40% of cases. The gene encoding myeloperoxidase (MPO) is involved in molecular pathways leading to β-amyloid deposition. We investigated a functional biallelic (G/A) polymorphism in the promoter region (-463) of the MPO gene in 465 patients affected by MS, divided into 204 cognitively normal and 261 impaired. We did not find significant differences in allele or genotype distributions between impaired and preserved MS patients. Our findings suggest that MPO polymorphism is not a risk factor for cognitive impairment in MS

Magnetic resonance diagnostic markers in clinically sporadic prion disease: a combined brain magnetic resonance imaging and spectroscopy study

The intra vitam diagnosis of prion disease is challenging and a definite diagnosis still requires neuropathological examination in non-familial cases. Magnetic resonance imaging has gained increasing importance in the diagnosis of prion disease. The aim of this study was to compare the usefulness of different magnetic resonance imaging sequences and proton magnetic resonance spectroscopy in the differential diagnosis of patients with rapidly progressive neurological signs compatible with the clinical diagnosis of sporadic prion disease. Twenty-nine consecutive patients with an initial diagnosis of possible or probable sporadic prion disease, on the basis of clinical and electroencephalography features, were recruited. The magnetic resonance protocol included axial fluid-attenuated inversion recovery-T2- and diffusion-weighted images, and proton magnetic resonance spectroscopy of the thalamus, striatum, cerebellum and occipital cortex. Based on the clinical follow-up, genetic studies and neuropathology, the final diagnosis was of prion disease in 14 patients out of 29. The percentage of correctly diagnosed cases was 86% for diffusion-weighted imaging (hyperintensity in the striatum/cerebral cortex), 86% for thalamic N-acetyl-aspartate to creatine ratio (cutoff ≤1.21), 90% for thalamic N-acetyl-aspartate to myo-inositol (mI) ratio (cutoff ≤1.05) and 86% for cerebral spinal fluid 14-3-3 protein. All the prion disease patients had N-acetyl-aspartate to creatine ratios ≤1.21 (100% sensitivity and 100% negative predictive value) and all the non-prion patients had N-acetyl-aspartate to myo-inositol ratios >1.05 (100% specificity and 100% positive predictive value). Univariate logistic regression analysis showed that the combination of thalamic N-acetyl-aspartate to creatine ratio and diffusion-weighted imaging correctly classified 93% of the patients. The combination of thalamic proton magnetic resonance spectroscopy (10 min acquisition duration) and brain diffusion-weighted imaging (2 min acquisition duration) may increase the diagnostic accuracy of the magnetic resonance scan. Both sequences should be routinely included in the clinical work-up of patients with suspected prion disease