An alternating digital tree (ADT) algorithm for 3D geometric searching and intersection problems

A searching algorithm is presented for determining which members of a set of n points in an N dimensional space lie inside a prescribed space subregion. The algorithm is then extended to handle finite size objects as well as points. In this form it is capable of solving problems such as that of finding the objects from a given set which intersect with a prescribed object. The suitability of the algorithm is demonstrated for the problem of three dimensional unstructured mesh generation using the advancing front method.     

Complement resistance of capsulated strains of Aeromonas salmonicida

1. We investigated the effect of exercise on plasma adrenomedullin, atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) concentrations and studied the relationship between these peptides and haemodynamic parameters in nine patients with old myocardial infarction (MI) and in eight normal subjects. 2. The exercise protocol consisted of two fixed work loads (40 and 80 W) for 4 min each and venous blood samples were taken at rest, during each exercise stage and after exercise while monitoring the mean arterial pressure (MAP) and heart rate (HR). In MI, pulmonary arterial pressure (PAP), pulmonary capillary wedge pressure (PCWP), left ventricular end-diastolic pressure (LVEDP) and cardiac output (CO) were measured throughout exercise. 3. Adrenomedullin levels did not significantly increase with exercise. Adrenomedullin levels correlated with PAP and PCWP at rest (P < 0.05). Atrial natriuretic peptide levels correlated with PAP, PCWP and LVEDP throughout exercise (P < 0.05) but, on multiple regression analysis, PCWP correlated only with ANP (P < 0.01). Brain natriuretic peptide levels correlated with LVEDP throughout exercise (P < 0.01) and its increment correlated closely with basal BNP levels at rest (P < 0.01). 4. These results suggest that adrenomedullin does not respond to the acute haemodynamic changes of exercise, whereas ANP responds to it and PCWP is the major stimulus factor. Brain natriuretic peptide responds to exercise in proportion to the basal synthesis of BNP in patients with left ventricular dysfunction and LVEDP may play a role in increasing BNP during exercise.     

Finite element analysis of partly wrinkled reinforced prestressed membranes

Wrinkling is a well known phenomenon experimented by tension membranes in Civil Engineering applications. This paper will present an efficient numerical technique for the computational simulation of such wrinkles in a prestressed membrane. In particular, the relaxed energy approach (Pipkin in IMA J Appl Math 36:85–99, 1986) is particularized for prestressed membranes (Gil in Textile composites and inflatable structures, CIMNE, 2003) undergoing moderate strains. Wrinkling conditions in terms of the Euler-Lagrange finite deformation tensor along principal directions will be obtained. This will provide a framework to describe properly the initial instant when wrinkles start to be encountered in a prestressed Saint Venant–Kirchhoff hyperelastic membrane. Subsequently, a modified Helmholtz’s free energy functional will be introduced with the purpose of describing the modified constitutive behaviour of the continuum after the onset of wrinkling. Consistent derivations of the stress tensor as well as the constitutive tensor will de depicted. The results will be particularized for membranes and cables in a Finite Element discretization basis. Some numerical examples will prove the accuracy and robustness of the described algorithm.     

Lower Bounds for the Weak Pigeonhole Principle and Random Formulas beyond Resolution

We work with an extension of Resolution, called Res(2), that allows clauses with conjunctions of two literals. In this system there are rules to introduce and eliminate such conjunctions. We prove that the weak pigeonhole principle PHP^cn_n and random unsatisfiable CNF formulas require exponential-size proofs in this system. This is the strongest system beyond Resolution for which such lower bounds are known. As a consequence to the result about the weak pigeonhole principle, Res(log) is exponentially more powerful than Res(2). Also we prove that Resolution cannot polynomially simulate Res(2) and that Res(2) does not have feasible monotone interpolation solving an open problem posed by Krají ek.     

Comparative study of analytical and numerical algorithms for designing reinforced concrete sections under biaxial bending

This paper presents a comparative study of different integration methods of stresses (both analytical and numerical) for concrete sections subjected to axial loads and biaxial bending. Such methods are applied to circular and rectangular sections. The constitutive equation used is a parabola-rectangle from the Eurocode-2. The comparison was performed with regard to the accuracy and the computational speed of each method. The objective of the paper is to determine which of the integration methods compared is more efficient in computing the interaction surfaces for rectangular and circular sections. The analytical method proposed by Barros et al. [Barros MHFM, Barros A, Ferreira C. Closed form solution of optimal design of rectangular reinforced concrete sections. Eng Comput 2004;21(7):761–76] for rectangular sections is compared with the numerical method termed “modified thick layer integration” proposed by Bonet et al. [Bonet JL, Romero ML, Miguel PF, Fernandez MA. A fast stress integration algorithm for reinforced concrete sections with axial loads and biaxial bending. Comput Struct 2004;82(2–3):213–25] and with the well-known fiber method. Furthermore, two new methods are proposed for circular sections: one analytical and one numerical based on the Gauss–Legendre quadrature. The results of both methods are compared with the classical layer decomposition method.     

Takayasu's arteritis as a cause of renovascular hypertension in a non-Asian population

Takayasu's disease (TD) is a chronic inflammatory arteritis which affects the aorta and its main branches and occasionally the pulmonary artery. Its cause is not known. Clinical manifestations are due to the intensity and location of arterial inflammation in the acute phase, as well as chronic arterial stenosis over time; 50% of patients have hypertension. Although TD appears to be more common in Asia, increasing numbers of patients of different races are observed in Western countries. The most important pathogenetic mechanism of hypertension seems to be through renal artery stenosis. We show here seven Caucasian hypertensive patients with TD and renovascular stenosis and arterial hypertension. One case was diagnosed in the acute phase of the disease, while in the others diagnosis was established in an advanced occlusive phase. Basic diagnosis was established by angiographic study, with biopsy confirmation in two cases. All patients had at least three of the six criteria listed as diagnostic of TD (by the American College of Reumatology). All patients had the following criteria: age of disease onset before 40 years (symptoms or findings related to TD), vascular bruits in different areas and all patients also had aortic and renal arterial stenosis with some lesions of the main aortic branches. Six of them had claudication of the extremities. We describe their clinical, analytical and angiographic features and also the therapeutic approach. We discuss the aetiopathogenic mechanisms of hypertension in this disease and suggest that TD is not an unusual cause of vasculorenal hypertension.     

Methodological variations in the production of CORINE land cover and consequences for long-term land cover change studies. The case of Spain.

ABSTRACT

Land cover information at national or regional scale is essential for science, monitoring, reporting, and policy making. CORINE Land Cover (CLC) is the most consistent land cover map for the entire European territory, with four repetitions during the period 1985–2012. The long-term consistency of CLC maps is the most appreciated strength and it should be guaranteed. Beyond some common general guidelines, the mapping approaches used in individual countries differ and change over time, leading to inconsistencies that should be known and reported. Through a series of metrics over the Spanish CLC most recent layers (CLC2006 and CLC2012) and comparisons with eight other countries CLC statistics, we demonstrate that the methodological changes recently implemented have introduced some discrepancies with previous CLC versions. The most affected classes in Spain were transitional woodland-shrub, complex cultivation patterns, artificial, grasslands, and forests. Users should be aware of the important implications these discrepancies may have in land use and land cover change studies, trend analysis, and reports.     

Carcinoma of Bellini's ducts: apropos of a case

OBJECTIVE: To report an additional case of collecting duct carcinoma of the kidney, known as carcinoma of Bellini. METHODS/RESULTS: A 65-year-old male patient was admitted for left renal pain. An ultrasound scan showed a solid right renal mass. The patient underwent extended radical nephrectomy. Pathological analysis of the surgical specimen disclosed carcinoma of Bellini. The patient is asymptomatic 18 months postoperatively. CONCLUSIONS: Carcinoma of Bellini is an uncommon tumor type arising from the collecting duct cells and accounts for 0.5%-2% of all renal tumors.     

Severe pulmonary hypertension: a feature of Swyer-James syndrome?

Swyer-James syndrome, unilateral hyperlucent lung with air entrapment, generally occurs after severe infections during childhood. It is usually diagnosed by its characteristic chest radiographic image film or computed tomography, in patients who are almost asymptomatic. We report a case of Swyer-James syndrome, diagnosed from the study of severe pulmonary hypertension and with a fatal outcome.     

Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group

The duration of spontaneous breathing trials before extubation has been set at 2 h in research studies, but the optimal duration is not known. We conducted a prospective, multicenter study involving 526 ventilator-supported patients considered ready for weaning, to compare clinical outcomes for trials of spontaneous breathing with target durations of 30 and 120 min. Of the 270 and 256 patients in the 30- and 120-min trial groups, respectively, 237 (87.8%) and 216 (84.8%), respectively, completed the trial without distress and were extubated (p = 0.32); 32 (13.5%) and 29 (13.4%), respectively, of these patients required reintubation within 48 h. The percentage of patients who remained extubated for 48 h after a spontaneous breathing trial did not differ in the 30- and 120-min trial groups (75.9% versus 73.0%, respectively, p = 0.43). The 30- and 120-min trial groups had similar within-unit mortality rates (13 and 9%, respectively) and in-hospital mortality rates (19 and 18%, respectively). Reintubation was required in 61 (13.5%) patients, and these patients had a higher mortality (20 of 61, 32.8%) than did patients who tolerated extubation (18 of 392, 4.6%) (p < 0.001). Neither measurements of respiratory frequency, heart rate, systolic blood pressure, and oxygen saturation during the trial, nor other functional measurements before the trial discriminated between patients who required reintubation from those who tolerated extubation. In conclusion, after a first trial of spontaneous breathing, successful extubation was achieved equally effectively with trials targeted to last 30 and 120 min.