Infrequent association: massive inguinoscrotal bladder hernia, multiple scrotal lithiasis, and bilateral obstructive uropathy]

BACKGROUND AND AIMS OF THE STUDY: Surgical treatment of functional tricuspid regurgitation associated with advanced valvular disease remains controversial, mainly due to the difficulty in choosing between valve replacement or reconstructive surgery. Failure to correct tricuspid regurgitation during valvular surgery carries a poor prognosis, as reoperation may represent a significant risk to the patient. Thus correct tricuspid valve surgery is vital to achieve improved early and long-term clinical results. METHODS: A total of 142 patients underwent concomitant tricuspid annuloplasty with mitral valve replacement and their clinical outcome was assessed. RESULTS: Overall hospital mortality rate was 11.3%. Seven patients died during follow up. The overall actuarial survival rate for 10 years was 74.1 +/- 14.2%. Postoperatively, 75.8% of the patients had no residual tricuspid insufficiency, while 24.2% had first- or second-degree tricuspid insufficiency and were treated medically. All patients were in NHYA functional class I or II postoperatively. CONCLUSION: Clinically, it is important to assess the severity of functional tricuspid insufficiency before and/or during the operation. Bicuspidalization annuloplasty for functional tricuspid insufficiency has provided good results, with a low incidence of reoperation and significant clinical improvement. The technique could be used in most patients with functional tricuspid regurgitation.     

Long-term energy scenarios for Mexico: Policy options for carbon savings and main barriers

This paper shows that possibilities exist for maintaining current energy-related carbon emissions per capita in Mexico at almost constant levels in the long term. It is argued, however, that the identified carbon emissions reductions will not be achieved easily or rapidly, as they require a restructuring of Mexico's current technological base and an unusual degree of coordination among the government, lending institutions, equipment manufacturers, and final users. Such changes also will entail surmounting major institutional and financial barriers and creating a better international environment for technology transfer and capital lending.     

Modelling the rate of secondary succession after farmland abandonment in a Mediterranean mountain area

Secondary succession after farmland abandonment has become a common process in north Mediterranean countries, especially in mountain areas. In this paper, a methodology is tested which combines Markov chains and logistic multivariate regression to model secondary succession after farmland abandonment in environments where abiotic constraints play a major role, like mountain areas. In such landscapes, a decay in the succession rate with time is usually found, as the best locations are progressively occupied. This is frequently addressed using non-stationary Markov chains. Here, we test if the combination of logistic multivariate regression with Markov chains, however, allows for spatially distributed transitions probabilities based on abiotic factors and therefore, it is able to reproduce the preferential colonization of the most favourable locations. The model is tested in the Ijuez Valley in the Spanish Pyrenees, which underwent generalized land abandonment during the 1950s. Results confirm a substantial improvement in the prediction success of the Markov-logistic model when compared to the standard Markov chain approach. As a result, the decay in the succession rate can be successfully modelled. The specific results for our study area are discussed further in an ecological context. The methodology proposed is applicable to any landscape where vegetation dynamics are constrained by environmental factors. However, the inclusion of land use as an explanatory factor would be necessary in human-managed landscapes.     

Benchmarking Fluvial Dynamics for Process‐Based River Restoration: the Upper Rhine River (1816–2014)

Multi‐temporal analysis of river‐floodplain processes is a key tool for the identification of reference conditions or benchmarks and for the evaluation of deviations or deficits as a basis for process‐based river restoration in large modified rivers. This study developed a methodology for benchmarking fluvial processes at river segment level, focusing on those interrelations between morphodynamics (aggradation, erosion, channel shift) and vegetation succession (initial, colonization, transition) that condition habitat structure. Habitat maps of the free‐flowing Upper Rhine River downstream from Iffezheim dam (France–Germany border) were intersected with a geographic information system‐based approach. Patches showing trajectories of anthropization, changeless, progression and regression allowed for the identification of natural and human‐induced processes over almost 200 years. Before channelization, the riverine system was characterized by a shifting habitat mosaic with natural heterogeneity, high degree of surface water connectivity and equilibrium between progression and regression processes. On the other hand, the following 175 years of human interventions led to severe biogeomorphologic deficits evidenced by loss of natural processes and habitat heterogeneity, hydrological disconnection between the river and its floodplain and imbalance of progression versus regression dynamics. The main driving forces of change are found in hydromorphological impacts (channelization, regulation and hydropower plant construction). Regression processes are now almost absent and have to be the objective of process‐based river restoration measures for the studied river‐floodplain system. A sustainable view on water management and river restoration should aim at a more resilient riverine system by balancing the recovery of natural processes with societal needs. Copyright © 2016 John Wiley & Sons, Ltd.     

Event-driven,pattern-based methodology for cost-effective development of standardized personal health devices

Experiences applying standards in personal health devices (PHDs) show an inherent trade-off between interoperability and costs (in terms of processing load and development time). Therefore, reducing hardware and software costs as well as time-to-market is crucial for standards adoption. The ISO/IEEE11073 PHD family of standards (also referred to as X73PHD) provides interoperable communication between PHDs and aggregators. Nevertheless, the responsibility of achieving inexpensive implementations of X73PHD in limited resource microcontrollers falls directly on the developer. Hence, the authors previously presented a methodology based on patterns to implement X73-compliant PHDs into devices with low-voltage low-power constraints. That version was based on multitasking, which required additional features and resources. This paper therefore presents an event-driven evolution of the patterns-based methodology for cost-effective development of standardized PHDs. The results of comparing between the two versions showed that the mean values of decrease in memory consumption and cycles of latency are 11.59% and 45.95%, respectively. In addition, several enhancements in terms of cost-effectiveness and development time can be derived from the new version of the methodology. Therefore, the new approach could help in producing cost-effective X73-compliant PHDs, which in turn could foster the adoption of standards.     

Biodegradability and improved mechanical performance of polyhydroxyalkanoates/agave fiber biocomposites compatibilized by different strategies

In this work, biocomposites made of polyhydroxyalkanoates (PHA) with natural fibers were produced via compression molding. In particular, polyhydroxybutyrate (PHB) and polyhydroxybutyrate-co-hydroxyvalerate (PHBV) were reinforced with 20 wt% of agave fibers. Different compatibilization strategies were investigated to improve the fiber-matrix interaction: fiber surface treatment in PHA solution, fiber surface treatment in maleated PHA solution, fiber propionylation, and extrusion with maleated PHA. The biocomposites were characterized in terms of morphology, mechanical properties, water absorption, and biodegradability by CO₂ production tracking. In general, fiber propionylation was the best strategy for mechanical properties enhancement and water uptake decreasing. Biocomposites with propionylated fibers showed improved flexural strength (170% for PHB and 84% for PHBV). The flexural modulus was also enhanced with propionylated fibers up to 19% and 18% compared to uncompatibilized biocomposites (PHB and PHBV, respectively). Tensile strength increased by 16% (PHB) and 14% (PHBV), and the water absorption was reduced using propionylated fibers going from 6.6% to 4.4% compared with biocomposites with untreated fibers. Most importantly, the impact strength was also improved for all biocomposites by up to 96% compared with the neat PHA matrices. Finally, it was found that the compatibilization did not negatively modify the PHA biodegradability.     

Modeling collaboration protocols for collaborative modeling tools: Experiences and applications

Over the last two decades, Collaborative Systems have become increasingly popular thanks to the many advances made in networks, communications and software tools. Within this field, Collaborative Modeling Systems apply the collaborative paradigm to the construction of (often visual) models, where users build diagrams from building blocks and the relationships between them. In these kinds of applications, the work is usually arranged into sessions, with the definition of some kind of time organization between those sessions. This organization is known as a collaboration protocol. Unfortunately, it is not usually easy to define these protocols, and many applications do not allow users to make any use of them.In an effort to overcome these difficulties, in this paper we propose a visual language for defining collaboration protocols for these systems. As such, in our language, sessions, artifacts and the transformations between them can be specified visually, and different coordination relationships (such as fork and join) can be defined. The visual language is included in a development method for collaborative systems that take advantage of the Eclipse platform in order to develop model-driven graphical editors that are enhanced with collaboration capabilities.     

A flexible semantic inference methodology to reason about user preferences in knowledge-based recommender systems

Recommender systems arose with the goal of helping users search in overloaded information domains (like e-commerce, e-learning or Digital TV). These tools automatically select items (commercial products, educational courses, TV programs, etc.) that may be appealing to each user taking into account his/her personal preferences. The personalization strategies used to compare these preferences with the available items suffer from well-known deficiencies that reduce the quality of the recommendations. Most of the limitations arise from using syntactic matching techniques because they miss a lot of useful knowledge during the recommendation process. In this paper, we propose a personalization strategy that overcomes these drawbacks by applying inference techniques borrowed from the Semantic Web. Our approach reasons about the semantics of items and user preferences to discover complex associations between them. These semantic associations provide additional knowledge about the user preferences, and permit the recommender system to compare them with the available items in a more effective way. The proposed strategy is flexible enough to be applied in many recommender systems, regardless of their application domain. Here, we illustrate its use in AVATAR, a tool that selects appealing audiovisual programs from among the myriad available in Digital TV.     

Exploring synergies between content-based filtering and Spreading Activation techniques in knowledge-based recommender systems

Recommender systems fight information overload by selecting automatically items that match the personal preferences of each user. The so-called content-based recommenders suggest items similar to those the user liked in the past, using syntactic matching mechanisms. The rigid nature of such mechanisms leads to recommending only items that bear strong resemblance to those the user already knows. Traditional collaborative approaches face up to overspecialization by considering the preferences of other users, which causes other severe limitations. In this paper, we avoid the intrinsic pitfalls of collaborative solutions and diversify the recommendations by reasoning about the semantics of the user’s preferences. Specifically, we present a novel content-based recommendation strategy that resorts to semantic reasoning mechanisms adopted in the Semantic Web, such as Spreading Activation techniques and semantic associations. We have adopted these mechanisms to fulfill the personalization requirements of recommender systems, enabling to discover extra knowledge about the user’s preferences and leading to more accurate and diverse suggestions. Our approach is generic enough to be used in a wide variety of domains and recommender systems. The proposal has been preliminary evaluated by statistics-driven tests involving real users in the recommendation of Digital TV contents. The results reveal the users’ satisfaction regarding the accuracy and diversity of the reasoning-driven content-based recommendations.