The small-deflection energy analyzer (SDEA): Enabling multi-point investigations in the thermosphere-ionosphere.

The Small-Deflection Energy Analyzer (SDEA), a new type of parallel plate analyzer of high sensitivity and resolution, enables CubeSat applications for new ionosphere-thermosphere investigations. SDEA's data of angle-energy distributions yield the thermosphere-ionosphere parameters of neutral wind and ion-drift vectors with corresponding temperatures and densities. Less than 4 cm in total length and 2 cm on the side, SDEA is used in the wind-temperature and ion-drift temperature spectrometers pair to provide two of the three instrument functions in the Wind-Ion-Neutral-Composition Suite now operating in three satellites in a low-Earth orbit. The small-deflection feature of SDEA allows miniaturization with several advantages discussed within. A description of SDEA is followed by examples of laboratory and a limited amount of flight data taken in low-Earth-orbit to demonstrate precision possible with SDEA. Strengths and weaknesses are discussed.

Retrospective multicenter study of 230 6-mm SLA-surfaced implants with 1- to 6-year follow-up.

PURPOSE: Using short implants poses a challenge in implant surgery. Implant surfaces have evolved, making it possible to improve the success of short implants substantially. However, there is still little information about the long-term predictability achieved with short, rough-surfaced implants. The objective of this study was to evaluate the long-term survival rate of 6-mm rough implants. MATERIALS AND METHODS: A retrospective multicenter analysis of the survival of short 6-mm SLA-surfaced implants was conducted. A total of 230 implants placed in 159 patients were included. The follow-up time ranged between 1 and 6 years. RESULTS: Seven of the 230 implants failed, which gives a cumulative survival rate of 96.4%. Two hundred and fourteen implants were placed in the mandible (93.1%), as opposed to 16 placed in the maxilla (6.9%). Five implants failed during the osseointegration period, and two failed after receiving the prosthetic load. No statistically significant differences were found (P < .44). Of the loaded implants, 209 were splinted to other implants, as opposed to 14 that were not. One implant failed in each group, resulting in a 99.5% for the splinted implants and 92.9% for the unsplinted implants. No statistically significant differences were found between the splinted and unsplinted groups (P < .12). CONCLUSIONS: The short implants used in this study displayed high longterm predictability when placed in the mandible and splinted. There is insufficient- information to extrapolate these results to the maxilla and non-splinted implants.

Spontaneous resolution of ureterovaginal fistula.

OBJECTIVE: We report one case of a spontaneous resolution of a uretero-vaginal fistula, and we review the current diagnostic and therapeutic features of this condition in the literature. METHODS: We present the case of a 41-year-old woman who, during the late postoperative period of a radical hysterectomy, presented episodes of daily and nocturnal incontinence with episodic flank pain compatible with uretero-vaginal fistula. RESULTS: One month after diagnosis the patient does not report incontinence during day or night, and the lumbar pain has disappeared. An intravenous urography shows that there has been a spontaneous resolution of the uretero-vaginal fistula. CONCLUSIONS: Spontaneous resolution of a uretero-vaginal fistula is rare. Most fistulas require endourological or surgical treatment.

Resolución espontánea de fístula uretero-vaginal / Spontaneous resolution of ureterovaginal fistula

OBJETIVO: Presentar un caso de corrección espontánea de fístula urétero-vaginal y revisar aspectos diagnósticos y terapéuticos de la literatura actual.MÉTODO: Presentamos el caso de una mujer de 41 años que en el postoperatorio tardío de una histerectomía radical inicia un cuadro de episodios de incontinencia diurna y nocturna leves con dolor episódico en el flanco derecho compatibles con fístula urétero-vaginal. RESULTADOS: Pasado un més del diagnóstico la paciente no refiere incontinencia diurna ni nocturna y el dolor lumbar ha desaparecido. Se comprueba mediante urografía intravenosa corrección espontánea de la fístula urétero-vaginal.CONCLUSIONES: La resolución espontánea de la fístula urétero-vaginal es infrecuente. La mayoría de las fístulas requieren tratamiento endourológico o quirúrgico(AU)

OBJECTIVE: We report one case of a spontaneous resolution of a uretero-vaginal fistula, and we review the current diagnostic and therapeutic features of this condition in the literature.METHODS: We present the case of a 41-year-old woman who, during the late postoperative period of a radical hysterectomy, presented episodes of daily and nocturnal incontinence with episodic flank pain compatible with uretero-vaginal fistula.RESULTS: One month after diagnosis the patient does not report incontinence during day or night, and the lumbar pain has disappeared. An intravenous urography shows that there has been a spontaneous resolution of the uretero-vaginal fistula.CONCLUSIONS: Spontaneous resolution of a uretero-vaginal fistula is rare. Most fistulas require endourological or surgical treatment(AU)

Retroperitoneal malignant fibrous histiocytoma: case report.

OBJECTIVE: We present the case of a big retroperitoneal tumor that received the pathologic diagnosis of malignant fibrous histiocytoma. We also review the diagnostic and therapeutic features of this disease in the current literature. METHODS: We present the case of a 75-year-old male who was admitted to the Gastrointestinal Disease Department with asthenia of several months of evolution and gastrointestinal problems. Abdominopelvic CT scan revealed a big mass of 20 x 22 x 12 cm, which seems to depend from the left kidney, together with an 8 cm diameter abdominal aortic aneurysm. RESULTS: The patient underwent surgery and left radical nephrectomy together with radical resection of the retroperitoneal mass were performed. Pathology reportes malignant fibrous histiocytoma of the storiform-pleomorphic type, with hyaline degeneration foci (stadium pT2B). CONCLUSIONS: Sarcomas are rare neoplasias. They can adopt several different morphologic patterns, as well as many differentiation degrees. The surgical treatment is still the only therapy with healing possibilities. Adjuvant treatments through radiotherapy and/or chemotherapy are brought into question.

Histiocitoma fibroso maligno retroperitoneal. A propósito de un caso / Retroperitoneal malignant fibrous histiocytoma: case report

OBJETIVO: Presentar un caso de una tumoración retroperitoneal de gran tamaño con diagnóstico patológico de Histiocitoma fibroso maligno y revisar aspectos diagnósticos y terapéuticos de la literatura actual.MÉTODO: Presentamos el caso de un hombre de 75 años de edad que durante un ingreso en el servicio de digestivo por clínica de astenia de meses de evolución y problemas gastrointestinales se realiza CT abdomino-pélvico, identificando gran masa de 20 x 22 x 12 cm que parece depender del riñón izquierdo junto a aneurisma de aorta abdominal de 8 cm de diámetro.RESULTADOS: Se somete al paciente a intervención quirúrgica donde se realiza Nefrectomía radical izquierda más resección radical de masa retroperitoneal, que histológicamente corresponde a un Histiocitoma fibroso maligno, tipo estoriforme-pleomórfico con focos de degeneración hialina (Estadio pT2b).CONCLUSIONES: Los sarcomas son neoplasias infrecuentes. Pueden adoptar una gran variedad de patrones morfológicos y distintos grados de diferenciación. El tratamiento quirúrgico continúa siendo la única terapia con posibilidades curativas. El tratamiento adyuvante radioterápico y/o quimioterápico es cuestionado (AU)

OBJECTIVE: We present the case of a big retroperitoneal tumor that received the pathologic diagnosis of malignant fibrous histiocytoma. We also review the diagnostic and therapeutic features of this disease in the current literature.METHODS: We present the case of a 75-year-old male who was admitted to the Gastrointestinal Disease Department with asthenia of several months of evolution and gastrointestinal problems. Abdominopelvic CT scan revealed a big mass of 20 x 22 x 12 cm, which seems to depend from the left kidney, together with an 8 cm diameter abdominal aortic aneurysm.RESULTS: The patient underwent surgery and left radical nephrectomy together with radical resection of the retroperitoneal mass were performed. Pathology reportes malignant fibrous histiocytoma of the storiform-pleomorphic type, with hyaline degeneration foci (stadium pT2B).CONCLUSIONS: Sarcomas are rare neoplasias. They can adopt several different morphologic patterns, as well as many differentiation degrees. The surgical treatment is still the only therapy with healing possibilities. Adjuvant treatments through radiotherapy and/or chemotherapy are brought into question (AU)

The gated electrostatic mass spectrometer (GEMS): definition and preliminary results.

GEMS is a new type of time-of-flight mass spectrometer based on an electrostatic energy analyzer. Mass resolution equals the energy analyzer kinetic energy resolution, which is set by its slit size. In GEMS, monochromatic ions enter the entrance slit at random times, and the gated ion deflection produced by the electrostatic field in the analyzer rejects ions that are inside the analyzer at gate onset, detecting those entering the analyzer after gate onset. This provides mass separation while overcoming the temporal and spatial spread problems typical of TOF applications. Paradoxically, GEMS works because all ion masses follow identical trajectories. GEMS is easily multiplied into two-dimensional arrays to increase sensitivity in space applications, requires relatively low voltages, and uses only a few electrical connections. Thus, it is easy to package GEMS as a small, low-power instrument for applications in harsh environments. A disadvantage of GEMS is that its output is the integral of the TOF spectrum and the derivative of the raw data must be taken, a procedure that is likely to add noise. A version of GEMS detecting un-deflected ions (u-GEMS) has been tested to demonstrate the time-integrated feature of the raw data but without the benefit of energy analysis. This paper describes GEMS implemented with the small deflection energy analyzer (SDEA), a compact version of the parallel plate energy analyzer. SDEA is described both analytically and with ion trajectory simulations using the ion trajectory simulation software SIMION; the results are then used to describe GEMS and compute its performance.

Adjunctive effect of a polylactide/polyglycolide copolymer in the treatment of deep periodontal intra-osseous defects: a randomized clinical trial.

AIM: The aim of this study was to evaluate the clinical outcome of re-constructive surgery in human deep intra-osseous defects with the use of a polylactide/polyglycolide (PLA/PGA) copolymer graft in conjunction with an open flap debridement (OFD) procedure (test group) as compared with OFD procedure alone (control group). MATERIALS AND METHODS: Thirty-two patients, each contributing one defect, were selected and completed the 12-month follow-up period. Sixteen patients (eight males, mean age: 49.9 years) received the test treatment, 16 patients (nine males, mean age: 42.8 years) received the control treatment. Clinical recordings, assessed at baseline, 6 and 12 months post-surgery, included defect-specific plaque score, defect-specific bleeding score, probing depth (PD), clinical attachment level (CAL), and recession depth. Surgical procedure aimed to preserve supra-crestal soft tissues at defect site in order to ensure primary closure was used in all cases. RESULTS: Test and control treatment produced a significant CAL decrease and PD reduction at both 6 and 12 months with respect to baseline value (p<0.000). At 6 months CAL was significantly greater in test compared with control group (p=0.019). Twelve-month CAL gain was 3.6+/-1.5 and 3.4+/-1.4 mm for the test and control group, respectively. At 12 months no significant differences in any of the clinical parameters were observed between groups. CONCLUSION: The results indicate that OFD with and without PLA/PGA graft provide clinically and statistically significant improvements in PD and CAL measurements. However, the additional use of PLA/PGA did not provide an additional benefit in terms of CAL gain and PD reduction compared with OFD procedure.