Clozapine-induced seizures and EEG abnormalities in ambulatory psychiatric patients

Being motor nerves neurinomas originating from ocular nerves are very rare, unless associated with neurofibromatosis. Authors describe two cases of oculomotor nerve i.e. third nerve, Schwann cell tumours. One of them presented as a cavernous sinus mass in a middle aged lady while the other was a middle aged man with a large cisterno-cavernous tumour. Surgical approach is discussed and the relevant literature reviewed.     

Mechanisms for SLA provisioning in cloud-based service providers

A challenge in cloud resource management is to design self-adaptable solutions capable to react to unpredictable workload fluctuations and changing utility principles. This paper analyzes the problem from the perspective of an Application Service Provider (ASP) that uses a cloud infrastructure to achieve scalable provisioning of its services in the respect of QoS constraints.First we draw a taxonomy of IaaS provider and use the identified features to drive the design of four autonomic service management architectures differing on the degree of control an ASP have on the system. We implemented two of this solutions and related mechanism to test five different resource provisioning policies. The implemented testbed has been evaluated under a realistic workload based on Wikipedia access traces on Amazon EC2 platform.The experimental evaluation performed confirms that: the proposed policies are capable to properly dimension the system resources making the whole system self-adaptable respect to the workload fluctuation. Moreover, having full control over the resource management plan allow to save up to the 32% of resource allocation cost always in the respect of SLA constraints.     

An Analytical Model to Measure the Effectiveness of Safety Management Systems: Global Safety Improve Risk Assessment (G-SIRA) Method

The ever-increasing complexity of production systems, together with the need to obtain efficient processes with limited costs, has led companies to develop custom tools for process control and management. Even for risk assessment, the traditional models often are overcome by methods that are best suited to specific needs. In this context, the aim of this paper was to propose a new model, which we call the global safety improve risk assessment (G-SIRA). This model can classify risks and identify corrective actions that allow the best risk reduction at the lowest cost. The proposed model, which is based on improvements to previous research, uses the analytic hierarchy process approach to develop a valid and simple tool for risk management. The G-SIRA method has been tested in a real-world application, i.e., it was applied to all of the processes of a textile company, and the results were compared with those obtained from the classical approach failure mode, effects, and criticality analysis. The comparison clearly showed the effectiveness of the proposed model.     

A method for the remote sensing identification of uncontrolled landfills: formulation and validation

The identification of uncontrolled landfills is a central environmental problem in all developed and developing countries, where several illegal waste deposits exist as a result of rapid industrial growth over the past century. Remote sensing can potentially provide crucial information for the identification of contaminated sites, but surprisingly there is a marked lack of rigorously validated approaches. In this paper we introduce and validate a method that uses remotely sensed information and a geographic information system (GIS) to identify unknown landfills over large areas. The method is applied to a study area located in NE Italy (part of the Venice lagoon watershed) using IKONOS satellite data. Soil contamination effects on the radiometric properties of vegetation, calibrated using spectral signatures of stressed vegetation from known illegal landfill sites, were used to define numerous candidate sites that are most likely to host waste materials. Distributed geographical information, such as the position of the road network, the population density, and historical aerial photographs, have then been used to select the most likely contaminated sites among the candidates identified through remote sensing. The importance of the integration of GIS and remote sensing is highlighted and represents a key instrument for environmental management and for the spatially distributed characterization of possible uncontrolled landfill sites.     

Push &; Pull: autonomous deployment of mobile sensors for a complete coverage

Mobile sensor networks are important for several strategic applications devoted to monitoring critical areas. In such hostile scenarios, sensors cannot be deployed manually and are either sent from a safe location or dropped from an aircraft. Mobile devices permit a dynamic deployment reconfiguration that improves the coverage in terms of completeness and uniformity. In this paper we propose a distributed algorithm for the autonomous deployment of mobile sensors called Push & Pull. According to our proposal, movement decisions are made by each sensor on the basis of locally available information and do not require any prior knowledge of the operating conditions or any manual tuning of key parameters. We formally prove that, when a sufficient number of sensors are available, our approach guarantees a complete and uniform coverage. Furthermore, we demonstrate that the algorithm execution always terminates preventing movement oscillations. Numerous simulations show that our algorithm reaches a complete coverage within reasonable time with moderate energy consumption, even when the target area has irregular shapes. Performance comparisons between Push & Pull and one of the most acknowledged algorithms show how the former one can efficiently reach a more uniform and complete coverage under a wide range of working scenarios.     

Laparoscopic resection of posterior gastric leiomyoma

BACKGROUND: A variety of laparoscopic procedures for the repair of abdominal wall hernias have been described. The repair described in this paper represents a modification and improvement of one approach. METHODS: Our technique employs an Origin Tacker (Origin Medsystems, Inc, Menlo Park, CA) and a Gore suture passer (W. L. Gore, Flagstaff, AZ) to secure an expanded polytetrafluoroethylene (ePTFE) patch, (DualMesh, W. L. Gore, Flagstaff, AZ) to the anterior abdominal wall. RESULTS: This approach simplifies the repair by minimizing the number of steps required to secure the ePTFE graft to the anterior abdominal. CONCLUSIONS: We have found this to be a safe and reliable technique that may be used in the laparoscopic repair of ventral, umbilical, or inguinal hernias.