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.     

All-optical phase-independent logic elements based on phase shiftinduced by coherent soliton collisions

We demonstrate, for the first time to our knowledge, that a fast coherent collision between two Kerr spatial solitons can give rise to a significant phase shift for both interacting beams. The maximal collision-induced phase shift ≈π rad takes place when the amplitudes of the solitons are equal (η₁=η₂) and the length of the interaction zone is comparable with a soliton phase period. Depending on the ratio η₂/η₁, and the collision angle between the solitons, the magnitude of the phase shift can be varied within a reasonable range, for example from 180° to 40°. The analysis of the effect performed by the finite-difference beam-propagation method has shown that it is insensitive to the initial phase difference between the incident beams (δ_i), even in the case when η ₁≠η₂. It has been demonstrated that the phenomenon can be used for all-optical three-soliton logic elements, which are capable of providing more than 3-dB signal amplification and possess bi -independent output characteristics     

Solar duct for lighting and ventilation Santa Amalia building Barcelona -Spain

The Santa Amalia building in Barcelona is a block of six flats incorporating a duct by which ligth is sent to the kitchens - previously without natural ligthing- and also allows natural ventilation. Moreover, the passive solar gains obtained from the extensive glazed surfaces and the conservation of internal heat gains, along with a high degree of isulation, give energy saving of 68% for heating.     

Three cases of tuberculosis after heart transplantation in Spain

The fibrinolytic capacity of patients with acute myocardial infarction (AMI) is known to be impaired. The primary regulatory element of the fibrinolytic system is plasminogen activator inhibitor (PAI). It has been previously observed that there are 2 peaks in the plasma PAI level of AMI patients at 4h and 16h after thrombolytic therapy with recombinant tissue plasminogen activator (rtPA). Lanoteplase/SUN9216 is a mutant tPA with a biological half-life longer than that of rtPA. Thrombolytic therapy with mutant tPA or rtPA was carried out consecutively in 21 patients with AMI (8 patients as the mutant tPA group, and 13 patients as the rtPA group). The recanalization time of the mutant tPA group was significantly faster than that of the rtPA group (16.1 +/- 3.9 min vs 39.6 +/- 4.8 min, p<0.01). The PAI activity at 4h after the initiation of thrombolysis was significantly lower in the mutant tPA group than in the rtPA group (8.74 +/- 5.46IU/L vs 26.74 +/- 3.35 IU/L, p<0.01). There was a one mild peak in serial plasma PAI activity levels 24h after the initiation of thrombolysis. The results suggest that thrombolytic therapy with mutant tPA reduced the impairment of fibrinolytic capacity. The mutant tPA gives faster recanalization and lower PAI activity after successful thrombolysis, compared with rtPA.     

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.     

Determination of trace manganese and Ni in neem oil by ETA-AAS with emulsion sample introduction

An emulsion-based method was developed as an alternative for the introduction of oil-based samples into a graphite furnace to produce a more rapid, precise, and accurate method of analysis. The combination of emulsion sampling and electrothermal atomization for atomic absorption spectroscopy was developed and then applied to the determination of Ni and manganese in neem oil from Venezuela. The optimal concentration of neem oil in the emulsion was 30 and 4% for Ni and Mn, respectively, based on the metal concentration of the neem oil. The stability of the emulsion as a function of time was evaluated. The use of aqueous calibration solutions and the accuracy attained using this method make it attractive for the analysis of oil samples. The metal recovery was between 97 and 101%. Based on the emulsion method, the neem oil samples had 1.39 and 0.21 mg of Mn and Ni per kg of oil, respectively. The wet digestion method indicated a Mn and Ni concentration in the neem oil sample of 1.42 and 0.24 mg/kg, respectively.     

A smartphone-based virtual white cane

The objective of our research was to develop assistive technology for visually impaired people, with a high appreciation for the human potential to achieve, to learn, and to achieve goals. In this document, we describe a virtual white cane made of a combination of a Smartphone and a laser pointer. In our device, the laser pointer beam reflection is captured by the Smartphone camera. The distance from the virtual white cane to the reflection is computed through active triangulation. Then, a personalized vibration, the magnitude of which corresponds to distance, is generated in the Smartphone. In this way, the users receive information that could prevent collisions with obstacles in the environment. Our contributions include the development of a virtual white cane around a Smartphone and other off-the-shelf accessories and a methodology to provide personalized vibratory feedback to the user. Our experiments show that to navigate, our instrument is better option, in terms of travel time, that the use of the hands. However, the travel time is still better using a traditional white cane than our instrument.     

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.