Reoperación coronaria por toracotomía izquierda sin circulación extracorpórea después de laringuectomía: seguimiento a nueve años

The use of left thoracotomy is an alternative approach in redo coronary surgery in selected patients for whom median sternotomy is potentially hazardous. We present a patient in whom a redo reoperative coronary revascularization was performed off-pump via left thoracotomy to avoid a tracheal stoma. Nine years after reoperation the patient remains free of cardiac symptoms. In selected patients, redo coronary bypass grafting can be performed without cardiopulmonary bypass through a left thoracotomy, with a low perioperative morbidity and mortality rate and good long-term symptomatic improvement.La toracotomía izquierda es una vía de acceso alternativa en las reoperaciones coronarias en algunos enfermos en los cuales la reesternotomía puede ser peligrosa. Presentamos un enfermo en quien realizamos una reoperación coronaria sin circulación extracorpórea a través de una toracotomía izquierda para evitar una incisión quirúrgica en las proximidades de una traqueotomía permanente. Nueve años después el enfermo permanece asintomático. En casos seleccionados se pueden realizar reoperaciones coronarias sin circulación extracorpórea a través de una toracotomía izquierda con morbilidad y mortalidad bajas y con buenos resultados a largo plazo

A novel performance metric for Virtual Network Embedding combining aspects of Blocking Probability and Embedding Cost

Network Virtualization offers a solution for Future Internet and it is a key enabler for cloud computing applications. Virtual Network Embedding (VNE) problem deals with resource allocation of a physical infrastructure to Virtual Network Requests (VNRs). Several performance metrics are employed in order to evaluate the efficiency of specific VNE approaches. These existing metrics, mostly related to Infrastructure Provider profit, are computed at the end of the VNE process, after embedding many VNRs. This work proposes a novel performance metric, VNE-NP (VNE Normalized Profit) which combines aspects of the two metrics most used in the literature: Blocking Probability and Embedding Cost.XII Workshop de Arquitecturas, Redes y Sistemas Opearativos (WARSO).Red de Universidades con Carreras en Informática (RedUNCI

Insights onto the magnetic coupling at hexaferrite-based hard/soft bilayer systems

IBERTRIVA 2019 X Iberian Conference on Tribology – IBERTRIB, XI Iberian Vacuum Conference - RIVA, Seville, Spain,June 26-28Magnets are used in a variety of applications, such as generators, magnetic recording media, components in RF and microwave devices. However, many of these magnets contain s rare earths, critical elements whose extraction is environmentally harmful and that present price volatility risks. Their replacement by cheaper and more environmentally friendly materials is therefore sought. In our case, we have focused on magnetically hard strontium hexaferrite (SrFe 12O19, SFO) as the base for alternative permanent magnets (Figure 1a). The atomic arrangement of this ferrite results in a high magnetocrystalline anisotropy and a coercive field, however, its magnetization is moderate (1). It is well known that the coupling between a magnetically hard and soft material improved magnetization while avoiding a high cost in coercitivity loss (2). However, results have been disappointing so far as structural and geometrical limitations make it extremely challenging to fabricate. In this work, we aim at further understanding the magnetic coupling at hard -soft interfaces involving ferrites, for which we have deposited soft iron and cobalt metals on top of SrFe12O19 thin films with controlled easy-axis of magnetization. SFO thin films have been obtained by RF magnetron sputtering at 260W followed by a subsequent annealing in air of 850ºC. Their structure and composition was characterized by Raman spectroscospy (Figure 1b), Mössbauer spectroscopy, X-ray photoemission spectroscopy and low-energy electron microscopy (LEEM). We have grown the magnetically soft layer by molecular-beam epitaxy and we have analyzed the resulting bilayer system through photoemission electron microscopy, LEEM and vibrating-sample magnetometry. References [1] R.C. Pullar, Hexagonal ferrites: a review of the synthesis, properties and applications of hexaferrite ceramics, Progress in Materials Science 57 (2012), pp 1191¿1334. [2] Eric E. Fullerton, J. S. Jiang, M. Grimsditch, C. H. Sowers, and S. D. Bader, Exchange-spring behavior in epitaxial hard/soft magnetic bilayers, Phys. Rev. B 58 (1998) 1219

Avaliação preliminar de variedades de polinização aberta de milho em Santa Catarina nas safras 2009/10 e 2010/11.

Introdução; Material e Métodos; Resultados e Discussão; Conclusão; Referências bibliográficas; Tabelas

Comportamento de genótipos de feijão caupi "Moita" branco em Passo Fundo, RS.

bitstream/CNPT-2010/40357/1/p-ci18.pd

Comportamento de genótipos de feijão caupi "Moita" branco em Passo Fundo, RS.

bitstream/item/155690/1/Bevilaqua-p-ci18.pd

Safety and outcomes of routine endovascular thrombectomy in large artery occlusion recorded in the SITS Register: An observational study

[Background and objective] We aimed to evaluate the safety and outcomes of thrombectomy in anterior circulation acute ischaemic stroke recorded in the SITS–International Stroke Thrombectomy Register (SITS-ISTR) and compare them with pooled randomized controlled trials (RCTs) and two national registry studies.[Methods] We identified centres recording ≥10 consecutive patients in the SITS-ISTR with at least 70% of available modified Rankin Scale (mRS) at 3 months during 2014–2019. We defined large artery occlusion as intracranial internal carotid artery, first and second segment of middle cerebral artery and first segment of anterior cerebral artery. Outcome measures were functional independence (mRS score 0-2) and death at 3 months and symptomatic intracranial haemorrhage (SICH) per modified SITS-MOST.[Results] Results are presented in the following order: SITS-ISTR, RCTs, MR CLEAN Registry and German Stroke Registry (GSR). Median age was 73, 68, 71 and 75 years; baseline NIHSS score was 16, 17, 16 and 15; prior intravenous thrombolysis was 62%, 83%, 78% and 56%; onset to reperfusion time was 289, 285, 267 and 249 min; successful recanalization (mTICI score 2b or 3) was 86%, 71%, 59% and 83%; functional independence at 3 months was 45.5% (95% CI: 44–47), 46.0% (42–50), 38% (35–41) and 37% (35–41), respectively; death was 19.2% (19–21), 15.3% (12.7–18.4), 29.2% (27–32) and 28.6% (27–31); and SICH was 3.6% (3–4), 4.4% (3.0–6.4), 5.8% (4.7–7.1) and not available.[Conclusion] Thrombectomy in routine clinical use registered in the SITS-ISTR showed safety and outcomes comparable to RCTs, and better functional outcomes and lower mortality than previous national registry studies.SITS (Safe Implementation of Treatment in Stroke) is financed directly and indirectly by grants from Karolinska Institutet, Stockholm County Council, the Swedish Heart-Lung Foundation, the Swedish Order of St. John, Friends of Karolinska Institutet and private donors, as well as from an unrestricted sponsorship from Boehringer Ingelheim. SITS has previously received grants from the European Union Framework 7, the European Union Public Health Authority, Ferrer International and EVER Pharma. SITS is currently conducting studies supported by Boehringer Ingelheim and Biogen, as well as in collaboration with Karolinska Institutet, supported by Stryker, Covidien and Phenox. N Ahmed is supported by grants provided by the Stockholm County Council and the Swedish Heart-Lung Foundation. S Holmin is supported by grants provided by the Söderberg Foundations, the Stockholm County Council, the Erling Persson Foundation, VINNOVA and HMT. Irene Escudero-Martínez has received a grant from ‘Fundación Progreso y Salud, Junta de Andalucía’ (grant EF-0437-2018). RM has been supported by the project no. LQ1605 from the National Program of Sustainability II (MEYS CR). RH has been supported by the grants no. DRO–UHHK 00179906 from the Ministry of Health of the Czech Republic and no. PROGRES Q40 from Charles University, Czech Republic.Peer reviewe

Marjolin's ulcers at a university teaching hospital in Northwestern Tanzania: a retrospective review of 56 cases

Marjolin's ulcer is a rare but highly aggressive squamous cell cancer that is most often associated with chronic burn wounds. Although many individual case reports exist, no comprehensive evaluation of Marjolin's ulcer patients has been conducted in our setting. This study was conducted to describe the clinicopathological presentation and treatment outcome of this condition in our local setting and to identify predictors of outcome. This was a retrospective study of histologically confirmed cases of Marjolin's ulcer seen at Bugando Medical Centre over a period of 10-years between January 2001 and December 2010. Data were retrieved from patients' files and analyzed using SPSS computer software version 15.0 A total of 56 patients were studied. Male to female ratio was 2.1:1. Burn scars (89.3%) were the most common causative lesions of Marjolin's ulcer. The mean latent period between original injury and diagnosis of Marjolin's ulcer was 11.34 ± 6.14 years. Only 12.0% of the reported cases were grafted at the time of injury (P < 0.00). Most patients (48.2%) presented between one and five years of onset of illness. The lower limb (42.9%) was the most frequent site for Marjolin's ulcers. The median tumor size at presentation was 8 cm and the vast majority of patients (85.7%) presented with large tumors of ≥ 5 cm in diameter. Lymph node metastasis at the time of diagnosis was recorded in 32.1% of cases and distant metastasis accounted for 26.9% of cases. Squamous cell carcinoma (91.1%) was the most common histopathological type. Wide local excision was the most common surgical procedure performed in 80.8% of cases. Post-operative complication rate was 32.1% of which surgical site infection was the most common complication in 38.9% of patients. Local recurrence was noted in 33.3% of cases who were treated surgically. The mean length of hospital stay for in-patients was 7.9 ± 2.3 days. Mortality rate was 7.1%. According to multivariate logistic regression analysis, stage and grade of the tumor and presence of local recurrence were the main predictors of death (P < 0.001). Marjolin's ulcers are not rare in our environment and commonly occur in burn scars that were not skin grafted and were left to heal secondarily. A high index of suspicion is required in the management of chronic non-healing ulcers and all suspected lesions should be biopsed. Early recognition and aggressive treatment of Marjolin's ulcers and close follow-up are urgently needed to improve outcomes in our environment