The arterioportal fistula syndrome: clinicopathologic features, diagnosis, and therapy

BACKGROUND & AIMS: Arterioportal fistulas (APFs) are rare vascular disorders of the mesenteric circulation. The aim of this study was to determine the etiology, anatomical location, and main symptom at presentation of APFs, and analyze the various modes of treatment. METHODS: The etiology, clinical presentation, radiographs, and treatment of 12 patients with APFs are reported in detail, and another 76 cases published since 1980 are reviewed. RESULTS: APFs result from trauma (n = 25, 28%), iatrogenic procedures (n = 14, 16%), congenital vascular malformations (n = 13, 15%), tumor (n = 13, 15%), aneurysm (n = 12, 14%), and other causes (n = 11, 12%). The origin of APFs is the hepatic artery in the majority of patients (n = 56, 65%). The main symptoms at presentation are lower or upper gastrointestinal bleeding (n = 29, 33%), ascites (n = 23, 26%), heart failure (n = 4.5%), or diarrhea (n = 4.5%). Radiological intervention provides definitive treatment in 42% (n = 33) of patients, whereas the remainder are treated by surgery alone (n = 27, 31%) or a combination of radiological intervention and surgery (n = 8, 9%). CONCLUSIONS: APFs result in a protean syndrome variously combining portal hypertension and other hemodynamic imbalances (heart failure, intestinal ischemia). Single or multiple interventional radiological procedures using arterial and/or venous approaches allow definitive treatment of most APFs. With increasing technological advances, it is anticipated that surgery will only be indicated in rare instances after failure of radiological intervention(s).     

Gastrointestinal autonomic nerve tumors. A clinicopathological, immunohistochemical, and ultrastructural study of 12 cases

The gastrointestinal autonomic nerve tumor (GAN tumor) is an uncommon stromal tumor of the intestinal tract and retroperitoneum first described by Herrera and associates in 1984. Distinction of GAN tumors from other gastrointestinal stromal tumors is based on electron microscopic findings. Thus far there have been 12 reported cases. We present an additional 12 GAN tumors, identified by us during 4 years. There were seven male and five female patients and they ranged in age from 10 to 85 years (mean: 58 years). Sites of the tumors were stomach (three), jejunum (two), ileum (four), mesentery (one), and retroperitoneum (two). Eight of the tumors measured > 10 cm in greatest dimension. Usually well circumscribed, the neoplasms were tan to light pink, sometimes hemorrhagic, and soft. There was a variety of histologic patterns including fascicles, palisades, and whorls. Mitotic activity varied from 0 to 23 mitosis per 10 high-power fields (HPF). Using a panel of 10 immunohistochemical stains, only vimentin was consistently positive. There was neuron-specific enolase reactivity in six and S-100 protein reactivity in two cases. All muscle markers were negative. Ultrastructural studies showed neuron-like cells with long axonic cytoplasmic processes ending in bulbous synapse-like structures containing dense-core neurosecretory granules and clear vesicles. Basement membrane was absent. These features are reminiscent of ganglia of the intestinal autonomic nervous system. The patients were followed for 5-125 months (mean of 26 months). Tumor recurred or metastasized to the liver in seven patients (58%) and four patients died with tumor. There were correlations between tumor size (> 10 cm), mitotic count (at least five per 10 HPF), and aggressive behavior.     

An exercise in structural congruence

Milner's structural congruence is decidable for the pi-calculus without restriction, in exponential space.     

Ozone Contactor Hydrodynamics

Tracer tests were conducted at the 6,000 pounds of ozone per day Tucson, CAP Water Treatment Plant in Tucson, Arizona. The tests were designed to determine T₁₀ values through the contactors at various operating conditions. The tests were modeled using three techniques. Peclet Number was calculated for each of the runs, which would indicate the hydrodynamic conditions inside the ozone contactor. The results indicated that the increase in water flow rate and the number of cells with gas flow increased Peclet Number. The flow rate of liquid seemed to impact the Peclet Number more than gas flow. The headloss in each cell appeared to be important in controlling the distribution of liquid and gas through the cell. A correlation was developed between the product of gas and liquid phase Reynolds Number and Peclet Number.     

Painting-91: a large scale database for computational painting categorization

Computer analysis of visual art, especially paintings, is an interesting cross-disciplinary research domain. Most of the research in the analysis of paintings involve medium to small range datasets with own specific settings. Interestingly, significant progress has been made in the field of object and scene recognition lately. A key factor in this success is the introduction and availability of benchmark datasets for evaluation. Surprisingly, such a benchmark setup is still missing in the area of computational painting categorization. In this work, we propose a novel large scale dataset of digital paintings. The dataset consists of paintings from 91 different painters. We further show three applications of our dataset namely: artist categorization, style classification and saliency detection. We investigate how local and global features popular in image classification perform for the tasks of artist and style categorization. For both categorization tasks, our experimental results suggest that combining multiple features significantly improves the final performance. We show that state-of-the-art computer vision methods can correctly classify 50 % of unseen paintings to its painter in a large dataset and correctly attribute its artistic style in over 60 % of the cases. Additionally, we explore the task of saliency detection on paintings and show experimental findings using state-of-the-art saliency estimation algorithms.     

Tool path generation framework for accurate manufacture of complex 3D sheet metal parts using single point incremental forming

The prototyping of complex sheet metal parts using single point incremental forming (SPIF) requires the generation of optimal tool paths and/or tool path sequences that ensure that the formed part is within geometric design specifications. The presence of a multitude of features on complex parts leads to multiple inaccuracy inducing phenomena occurring simultaneously due to interactions between the features. This paper proposes a network analysis methodology using topological conceptual graphs to capture the effects of different phenomena on the final accuracy of a sheet metal part manufactured by SPIF. Using this framework optimized tool paths can be generated that compensate for the inaccuracy inducing behavior. Tool path generation algorithms to create partial tool paths that account for the accuracy of specific features in the part based on the proposed framework are also presented. Finally, the creation of integrated tool paths maintaining complementarity between tool paths and desired continuity behavior using non-uniform cubic B-splines is illustrated. A number of case studies demonstrating the applicability of the integrated framework are discussed, where the maximum deviations in the part are significantly reduced and the average absolute deviations for the complete part are brought down to less than 0.5 mm.     

Development of a Five-axis Milling Tool Path Generation Algorithm based on Faceted Models

This paper describes the development of a 5-axis milling tool path generation algorithm based on faceted or tessellated models. In a first step, the developed algorithm optimises the tool inclination angle for maximal material removal rate in each cutter contact point. This is obtained by matching the tool profile of a flat end cutter with a temporary spline representing the curvature of the part surface in the tool contact point. In a second step, the elimination of gouging between the tool and the surface and a smooth behaviour of the tool inclination angle along the tool path is obtained by a combination of tool inclination angle adaptation and tool lifting along the normal vector. Finally, the paper describes some experimental results.     

Single point incremental forming: state-of-the-art and prospects

Incremental sheet metal forming in general and Single Point Incremental Forming (SPIF) specifically have gone through a period of intensive development with growing attention from research institutes worldwide. The result of these efforts is significant progress in the understanding of the underlying forming mechanisms and opportunities as well as limitations associated with this category of flexible forming processes. Furthermore, creative process design efforts have enhanced the process capabilities and process planning methods. Also, simulation capabilities have evolved substantially. This review paper aims to provide an overview of the body of knowledge with respect to Single Point Incremental Forming. Without claiming to be exhaustive, each section aims for an up-to-date state-of-the-art review with corresponding conclusions on scientific progress and outlook on expected further developments.