Uterine angiomyolipoma associated with pregnancy

Uterine angiomyolipomas are rare lesions composed of mature adipose tissue, smooth muscle, fibrous connective tissue, and blood vessels in varying proportions. We reported the first case of angiomyolipoma associated with a normal pregnancy. Initially, the tumor developed intramurally and could have been confused with a partial molar gestation. After delivery, tumor development was extensive and subserosal, making differential diagnosis from a sarcoma difficult. The question of histological diagnosis, as well as that of immunocytochemical analysis which seems to be helpful in such cases, is discussed here.     

Designing for parallel fuzzy computing

As the number of fuzzy logic applications increases, demand for faster architectures will grow. Our design for a VLSI fuzzy processor uses fuzzy inference techniques that optimize processing time. Preprocessing that reduces the number of rules to be processed, parallel computation of active rule degrees of activation, and scalability are major features of this architecture. The journal issue contains a concise summary of this article. The complete article is linked to Micro's home page on the World Wide Web (http://www.computer.org/pubs/micro/micro.htm)     

Urinary stress incontinence. Comparison of the Raz technique and the Bologna technique. Analysis of a series of 188 patients

OBJECTIVE: Our purpose was to evaluate and compare the perioperative morbidity and the long-term results of the Raz colposuspension and the Bologna operation for the treatment of stress urinary incontinence in women. STUDY DESIGN: Data of 188 women who underwent either a Bologna operation (group 1) or a Raz colposuspension (group 2) for the treatment of stress urinary incontinence between January 1, 1987 and December 1, 1995 were analysed retrospectively regarding history, preoperative evaluation, associated surgical procedures, complications and cure and failure rate. POPULATION AND METHODS: 80 patients were treated with the Bologna operation and 108 with the Raz colposuspension. Patients with prior anti-incontinence surgery, and patients with a preoperative diagnosis of urge incontinence were excluded from the study. Success was defined both subjectively (complete absence of complaint of stress urinary incontinence) and objectively (no evidence of loss of urine on cough provocation during physical examination). Survival curves were generated in each group for time to event data: "time to recurrent stress incontinence" and compared by the logrank test. A multivariate analysis using a Cox proportional hazards regression model was performed to indentify possible outcome predictors. RESULTS: The success rate of group 1 was significantly higher than that of group 2 (p = 0.00001). The median of success was 51 months in group 1 and 21 months in group 2 (p = 0.00001). The incidence of intraoperative complications in each group (inadvertent cystostomy, hemorrhage) did not differ. The multivariate analyses using the Cox regression model showed that the most highly correlated variable with the surgical cure rate was the type of surgical anti-incontinence procedure adopted: Bologna or Raz (p = 0.00001) CONCLUSION: In our hands, the Bologna operation has a higher cure rate than the Raz colposuspension. For us, when treating patients with stress urinary incontinence by the vaginal route, the Bologna operation is indicated when sufficient anterior vaginal tissue is available to create vaginal bands.     

A hand-held drilling tool for orthopedic surgery

A novel hand-held drilling tool devoted to orthopedic surgery is presented in this paper. The starting point of the study is the conjecture that the invasiveness of interventions might be reduced by adding sensing, reasoning, and control capabilities to existing tools, in order to obtain controlled penetration in the patient's body and automatic discrimination among layers of different tissues. Due to the particular environment in which the tool is to work, the requirements in terms of human friendliness and safety impose a careful design of the human-machine interface. The proposed approach to the development of a mechatronic tool for surgery is discussed, with emphasis on the functionality and performance of the device and the limited-usage expertise required. New applications for the proposed concepts in nonsurgical environments requiring hand-held tools are foreseen     

Catalytic Synergism in a C60IL10TEMPO2 Hybrid in the Efficient Oxidation of Alcohols

A novel fullerene [5:1]hexakisadduct bearing two 2,2,6,6‐tetramethylpiperidine 1‐oxyl (TEMPO) radicals and ten 1‐propyl‐3‐methylimidazolium bromide moieties has been synthesized and characterized. Such an C₆₀IL₁₀TEMPO₂ hybrid has been successfully employed as a catalyst in the selective oxidation of a wide series of alcohols and is highly active at just 0.1 mol% loading. Moreover, it can be easily recovered by adsorption onto a multi‐layered covalently‐linked SILP phase (mlc‐SILP) through a “release and catch” approach and reused for up to 12 cycles without loss in efficiency. Interestingly, a catalytic synergistic effect of TEMPO and imidazolium bromide moieties combined in the same hybrid has been clearly shown.

     

Thiazolium‐Based Catalysts for the Etherification of Benzylic Alcohols under Solvent‐Free Conditions

Thiazolium and imidazolium hybrid materials were prepared by radical reactions between a mercaptopropyl‐modified SBA‐15 mesoporous silica and bis‐vinylthiazolium or bis‐vinylimidazolium dibromide salts. These hybrid materials were characterized by several techniques and were employed in the etherification reaction of 1‐phenylethanol. Solvent‐free conditions at 160 °C under different gas phases (oxygen, air, nitrogen and argon) were used. The thiazolium‐based material displayed excellent performances. Further studies were carried out using unsupported thiazolium salts, with or without a methyl group at the C‐2 position of the thiazolium moiety. These studies allowed us to propose a reaction mechanism. The supported thiazolium‐based material was successfully used in the etherification reaction of two other benzylic alcohols and also in seven consecutive cycles. This work represents the first use of thiazolium‐based compounds as catalysts for the etherification reaction of alcohols.

     

Integrated environments for formally well-founded design andsimulation of concurrent systems

An ongoing project concerned with the development of environments that support the specification and design of concurrent systems is reported. The project has two key aspects: an existing and working system, Clara, that supports Milner's CCS as a specification and design language; and the development of general techniques for computer-aided generation of Clara-like environments for other concurrent languages. The Clara environment is emphasized. It has two main components: support for the usage of formal techniques in the design process, and a rich and highly interactive simulation facility. A further distinguishing feature is the environment's graphical user interface which is based on a pictorial version of CCS. The semantics of CCS is defined nonprocedurally in two phases: an operational semantics given as a set of inference rules, and an algebraic semantics represented by a set of equational rules     

Shelf-life extension of highbush blueberry using 1-methylcyclopropene stored under air and controlled atmosphere

The potential of 1-methylcyclopropene for controlling ripening in ‘Lateblue’ blueberry fruit was explored. After harvest, blueberry fruits were exposed to 1-MCP (0.3 and 0.6 μl l⁻¹). After treatment, samples were stored in air at 0 °C for 35 days and in a controlled atmosphere (3 kPa O₂ + 11 kPa CO₂) for 60 days. Quality parameters were monitored (weight loss, total soluble solids content, titratable acidity, firmness, anthocyanin content, phenolic content, total antioxidant capacity). Blueberries treated with 1-MCP showed a reduced weight loss during storage and a lower total soluble solid content compared to untreated fruit. High titratable acidity values were observed after controlled atmosphere storage, but no significant effect of 1-MCP on this parameter was observed. 1-MCP had no significant effects on anthocyanins, phenolics or antioxidant activities.