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1.
Eur J Nucl Med Mol Imaging ; 47(13): 3018-3032, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32451604

RESUMO

AIM: Transarterial radioembolization (TARE) is, by all standards, a radiation therapy. As such, according to Euratom Directive 2013/59, it should be optimized by a thorough treatment plan based on the distinct evaluation of absorbed dose to the lesions and to the non-tumoural liver (two-compartment dosimetry). Since the dosimetric prediction with 99mTc albumin macro-aggregates (MAA) of non-tumoural liver is much more accurate than the same prediction on lesions, treatment planning should focus on non-tumoural liver rather than on lesion dosimetry. The aim of this study was to determine a safety limit through the analysis of pre-treatment dosimetry with 99mTc-MAA single photon emission computed tomography (SPECT/CT), in order to deliver the maximum tolerable absorbed dose to non-tumoural liver. METHODS: Data from intermediate/advanced hepato-cellular carcinoma (HCC) patients treated with 90Y glass microspheres were collected in this single-arm retrospective study. Injection was always lobar, even in case of bilobar disease, to avoid treating the whole liver in a single session. A three-level definition of liver decompensation (LD) was introduced, considering toxicity only in cases of liver decompensation requiring medical action (LD type C, LDC). We report LDC rates, receiver operating characteristic (ROC) analysis between LDC and NO LDC absorbed dose distributions, normal tissue complication probability (NTCP) curves and uni- and multivariate analysis of risk factors associated with toxicity. RESULTS: A 6-month timeline was defined as necessary to capture all treatment-related toxicity events. Previous transarterial chemoembolization (TACE), presence or extension of portal vein tumoural thrombosis (PVTT) and tumour pattern (nodular versus infiltrative) were not associated with tolerance to TARE. On the contrary, at the multivariate analysis, the absorbed dose averaged over the whole non-tumoural liver (including the non-injected lobe) was a prognostic indicator correlated with liver decompensation (odds ratio = 4.24). Basal bilirubin > 1.1 mg/dL was a second even more significant risk factor (odds ratio = 6.35). NTCP analysis stratified with this bilirubin cut-off determined a 15% liver decompensation risk at 50 Gy/90 Gy for bilirubin >/< 1.1 mg/dL. These results are valid for a 90Y glass microsphere administration 4 days after the reference time. CONCLUSION: Given the low predictive accuracy of 99mTc-MAA on lesion absorbed dose reported by several authors, an optimized TARE with 90Y glass microspheres with lobar injection 4 days after reference time should aim at an absorbed dose averaged over the whole non-tumoural liver of 50 Gy/90 Gy for basal bilirubin higher/lower than 1.1 mg/dL, respectively.


Assuntos
Carcinoma Hepatocelular , Quimioembolização Terapêutica , Embolização Terapêutica , Neoplasias Hepáticas , Carcinoma Hepatocelular/diagnóstico por imagem , Carcinoma Hepatocelular/radioterapia , Embolização Terapêutica/efeitos adversos , Vidro , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/radioterapia , Microesferas , Estudos Retrospectivos , Agregado de Albumina Marcado com Tecnécio Tc 99m , Tomografia Computadorizada de Emissão de Fóton Único , Radioisótopos de Ítrio/efeitos adversos
2.
Musculoskelet Surg ; 107(4): 385-390, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36370251

RESUMO

PURPOSE: To compare clinical outcomes and surgical times of two different types of total knee arthroplasty(TKA), postero-stabilized(PS) and condylar-stabilized(CS), in relation to posterior tibial slope(PTS) values and the deviation of these values from the surgical technique. METHODS: 168 patients undergoing TKA surgery between 2016 and 2020 met our inclusion criteria. For each case, gender, age at surgery, operating time, type of implant and preoperative PTS(preop-PTS) and postoperative PTS(postop-PTS) measurements were collected; difference(∆PTS) between preop-PTS and postop-PTS was also calculated. Short Form 12 Mental and Physical scores(SF-12 M and P) and functional Knee Society Score(fKSS) were collected preoperatively and at a minimum of 12 months postoperatively. Four subgroups were thus created in relation to PS or CS system and postop-PTS value(≤ 5°and > 5°). RESULTS: Of the 168 patients, 96 had a PS system and 72 CS system. Performing a CS-TKA took less time than a PS-TKA(p < 0.05). SF-12P showed better results(p < 0.05) in CS-TKA group than PS-TKA, probably because of the younger age of CS-TKA patients(p < 0.05). In the PS > 5° all examined postoperative scores were better(p < 0.05) than PS ≤ 5°, while only fKSS was better(p < 0.05) in CS > 5° than CS ≤ 5°. No significant difference(p > 0.05) in terms of postoperative outcomes between the PS > 5° and CS > 5° was noted, whereas only SF-12P was better in the CS ≤ 5° compared with PS ≤ 5°. Highest values of SF-12 M and fKSS were obtained in the PS ≤ 5°, in which postop-PTS was closer to technique. CONCLUSION: When performing a PS-TKA, the best result was obtained with a postop-PTS > 5°, but comparable outcomes between the two systems were evident with postop-PTS > 5°. It is crucial to come as close as possible to the indications reported in surgical technique regardless ∆PTS.


Assuntos
Artroplastia do Joelho , Prótese do Joelho , Osteoartrite do Joelho , Humanos , Artroplastia do Joelho/métodos , Articulação do Joelho/cirurgia , Amplitude de Movimento Articular , Tíbia/cirurgia , Osteoartrite do Joelho/cirurgia
3.
Prostate Cancer Prostatic Dis ; 26(2): 374-378, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-35729328

RESUMO

BACKGROUND: To explore the role of preoperative MRI prostate shape in urinary incontinence after robot-assisted radical prostatectomy (RARP). METHODS: Patients were stratified into four groups based on the mpMRI prostatic apex shape: Group A (prostatic apex overlapping the membranous urethra anteriorly and posteriorly), Group B and C (overlap of the prostatic apex of the anterior or posterior membranous urethra, respectively) and Group D (no overlap). Preoperative variables and intraoperative data were compared. Continence recovery was defined as no pad/day or 1 safety pad/day by an outpatient evaluation performed at 1, 3, 6, and 12 months after RARP. RESULTS: One hundred patients underwent RARP were classified as belonging to Group A (n = 30), Group B (n = 16), Group C (n = 14), and Group D (n = 40). Group D showed a significantly more favorable urinary continence recovery after RARP respect to all the other shapes presenting any forms of overlapping (HR = 1.9, 95% CI 1.2-3.1, p = 0.007). The estimated HR remained substantially unchanged after adjusting by age, body mass index, CCI, prostate volume, and bladder neck sparing (HR = 1.9, 95% CI 1.1-3.2, p = 0.016). The continence recovery median time was 9 months for Group A + B + C (95% CI 5-11) and 4 months for Group D (95% CI 2-6) (p = 0.023). CONCLUSION: Shape D showed a better continence recovery when compared to other shapes presenting any kind of overlapping of the prostatic apex over the membranous urethra.


Assuntos
Neoplasias da Próstata , Procedimentos Cirúrgicos Robóticos , Robótica , Masculino , Humanos , Próstata/diagnóstico por imagem , Próstata/cirurgia , Procedimentos Cirúrgicos Robóticos/efeitos adversos , Procedimentos Cirúrgicos Robóticos/métodos , Neoplasias da Próstata/cirurgia , Prostatectomia/efeitos adversos , Prostatectomia/métodos , Estudos de Coortes , Resultado do Tratamento
4.
J Chem Phys ; 134(23): 234901, 2011 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-21702579

RESUMO

By Monte Carlo simulations of a variant of the bond-fluctuation model without topological constraints, we examine the center-of-mass (COM) dynamics of polymer melts in d = 3 dimensions. Our analysis focuses on the COM displacement correlation function C(N)(t)≈∂(t) (2)h(N)(t)/2, measuring the curvature of the COM mean-square displacement h(N)(t). We demonstrate that C(N)(t) ≈ -(R(N)∕T(N))(2)(ρ∗/ρ) f(x = t/T(N)) with N being the chain length (16 ≤ N ≤ 8192), R(N) ∼ N(1/2) is the typical chain size, T(N) ∼ N(2) is the longest chain relaxation time, ρ is the monomer density, ρ(*)≈N/R(N) (d) is the self-density, and f(x) is a universal function decaying asymptotically as f(x) ∼ x(-ω) with ω = (d + 2) × α, where α = 1/4 for x ≪ 1 and α = 1/2 for x ≫ 1. We argue that the algebraic decay NC(N)(t) ∼ -t(-5/4) for t ≪ T(N) results from an interplay of chain connectivity and melt incompressibility giving rise to the correlated motion of chains and subchains.


Assuntos
Simulação de Dinâmica Molecular , Polímeros/química , Algoritmos , Difusão , Método de Monte Carlo
5.
J Mech Behav Biomed Mater ; 115: 104294, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33383376

RESUMO

The valve replacement therapy is the standard treatment for severe heart valve diseases. Nowadays, two types of commercial prosthesis are available: mechanical and biological, but both of them have severe limitations. Moreover, alternative therapeutic approach for valve replacement, based on minimally invasive techniques (MIAVR), motivates the search for new valve materials. In this study a polyurethane-based self-expandable tri-leaflets heart valve compatible with MIAVR procedure is proposed. The device is based on the development, fabrication and characterization of three different elements: the leaflets, the polymeric stent for supporting the leaflets, and the external metallic stent for anchoring the valve to the native aortic root. The polymeric stent and the valve leaflets were fabricated using a thermoplastic silicone-polycarbonate-urethane using 3D printing and spray technology while the external metallic stent was made in nickel titanium (Nitinol) to obtain a self-expandable valve after the crimping process. The three elements were assembled in the completed device and tested by crimping, fatigue and fluid-dynamic test. The novel polymeric valve proposed showed promising results about valve crimping capabilities, durability and fluid dynamic performances. This approach could offer advantages such as low cost and to produce a tailor-made device basing on patient's imaging data. Moreover, the selected biomaterial offers the potential to have a device that could need of permanent anticoagulation and lack of calcification.


Assuntos
Doenças das Valvas Cardíacas , Próteses Valvulares Cardíacas , Substituição da Valva Aórtica Transcateter , Valva Aórtica , Humanos , Desenho de Prótese , Stents
6.
Prostate Cancer Prostatic Dis ; 24(1): 150-155, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-32681155

RESUMO

BACKGROUND: To investigate if the PI-RADS score represents an effective tool in detecting prostate cancer in patients treated with a 5α-reductase inhibitor (dutasteride) and to identify dedicated total serum PSA and PSA density thresholds. METHODS: Between April 2015 and March 2018, 75 patients under dutasteride treatment underwent multi-parametric magnetic resonance imaging (mpMRI) scans and US/MRI fusion prostate biopsy. Lesions were classified into two groups: Group 1 included PI-RADS 4 and 5 lesions, whilst Group 2 included PI-RADS 3-4-5 lesions. Lesions in groups 1 and 2 were further divided according to the patients' history of previous prostate biopsy. RESULTS: Ninety-seven lesions were detected. In PI-RADS 4-5 group, mpMRI showed a sensitivity of 78.0% and a specificity of 78.7%. The positive predictive value (PPV) was 79.6% and the negative predictive value (NPV) 77.1%. In PI-RADS 3-4-5 group, sensitivity was 100%, specificity 21.3%, PPV 57.5%, NPV 100%. In PI-RADS 4-5 biopsy-naive group sensitivity was 71.4%, specificity 75.0%. PPV 78.9% and NPV 66.7%. In PI-RADS 4-5 non-biopsy-naive group sensitivity was 82.8%, specificity 80.6%, PPV 80%, and NPV 83.3%. PI-RADS 3-4-5 biopsy-naive group showed sensitivity 100%, specificity 31.3%, PPV 65.6%, NPV 100%. PI-RADS 3-4-5 non-biopsy-naive group showed sensitivity 100%, specificity 16.1%, PPV 52.7%, and NPV 100%. ROC curve analysis indicated a serum total PSA threshold of 6 ng/ml (AUC: 0.71-95% confidence interval: 0.60-0.81) and a PSA density >0.22 (AUC: 0.70-95% confidence interval: 0.6-0.81) as optimal cut-offs for recommending prostate biopsy. CONCLUSIONS: In our experience the PI-RADS score proved to be sufficiently accurate in predicting prostate cancer in patients under dutasteride therapy.


Assuntos
Dutasterida/uso terapêutico , Biópsia Guiada por Imagem/métodos , Imageamento por Ressonância Magnética/métodos , Gradação de Tumores , Neoplasias da Próstata/diagnóstico , Ultrassonografia/métodos , Inibidores de 5-alfa Redutase/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Biomarcadores Tumorais/sangue , Biópsia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/sangue , Neoplasias da Próstata/tratamento farmacológico , Curva ROC , Estudos Retrospectivos
7.
J Hazard Mater ; 413: 125419, 2021 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-33930960

RESUMO

Nowadays, asbestos-containing wastes (ACW) still represent an important environmental problem and a severe health hazard due to the well known pulmonary diseases derived from asbestos fibers inhalation. Except for a very few cases, ACW are currently confined in controlled landfills, giving rise to increasingly high amounts of still hazardous wastes. A promising alternative to landfill confinement is represented by ACW inertization, but the high cost of the inertization processes so far proposed by the scientific community have hampered the creation of actually operative plants. In this paper, we explore the possibility to use an innovative process that ensures the obtainment of asbestos-free inert material in an exceptionally short processing time, thus greatly reducing cost-related problems. The efficacy of the inertization process has been verified through accurate mineralogical investigations on both chrysotile and crocidolite de-activated fibers, through X-ray diffraction, scanning and transmission electron microscopy. Overall mineralogical, microstructural and granulometric characteristics of the inert bulk material suggest that it could be successfully re-used as a secondary raw material in ceramic industries. This innovative inertization procedure could therefore provide an effective and economically sustainable solution for ACW management.

8.
Ann Cardiol Angeiol (Paris) ; 70(3): 161-167, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33958189

RESUMO

PURPOSE: Spontaneous coronary artery dissection (SCAD) may occur in middle age population without any cardiovascular risk factor. We retrospectively evaluated anatomic features of 11 patients with SCAD using a coronary arteries computed tomography (CCT), compared to age and sex balanced patients who underwent CCT. MATERIAL AND METHODS: CCT was performed in 11 patients (7 females and 4 males) as follow-up in patients with SCAD (left anterior descending - LAD or circumflex artery - Cx) and compared, using the propensity score matching analysis, with 11 healthy patients. Several anatomic features were evaluated: Left main (LM) length, angle between descending coronary artery (LAD) and its first branch, angle between LAD and LM, distance from the annulus to RCA (a-RCA distance) and LM (a-LM distance) ostia and their ratio; ratio between LM length and length a-LM and tortuosity score of the vessel with SCAD. A fluid dynamic analysis has been performed to evaluate the effects on shear stress of vessels wall. RESULTS: LM length was significantly shorter in patients with SCAD versus healthy subjects (P=0.01) as well as LM length/a-LM (P=0.03) and the angle between LAD and the first adjacent branch was sharper (P<0.01). Tortuosity score showed a statistically significant difference between groups (P<0.001). Fluid dynamic analysis demonstrates that, in SCAD group, an angle<90 degree is present at the first bifurcation and it can be a cause of increased strain on vessel wall in patients with high tortuosity of coronary artery. CONCLUSION: Tortuosity and angle between the LAD and the adjacent arterial branch combined may determine increased shear stress on the vessel wall that increases the risk of SCAD.


Assuntos
Angiografia por Tomografia Computadorizada , Angiografia Coronária/métodos , Anomalias dos Vasos Coronários/diagnóstico por imagem , Pontuação de Propensão , Doenças Vasculares/congênito , Fatores Etários , Estudos de Casos e Controles , Anomalias dos Vasos Coronários/etiologia , Anomalias dos Vasos Coronários/fisiopatologia , Vasos Coronários/diagnóstico por imagem , Vasos Coronários/patologia , Vasos Coronários/fisiopatologia , Feminino , Hemorreologia/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores Sexuais , Doenças Vasculares/diagnóstico por imagem , Doenças Vasculares/etiologia , Doenças Vasculares/fisiopatologia
9.
Anal Bioanal Chem ; 397(6): 2039-49, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20506014

RESUMO

In this paper we describe recent applications of micro-infrared imaging in the Earth sciences. We address, in particular, the use of Fourier-transform infrared (FTIR) spectroscopy in characterizing the zoning and speciation of H and C in a variety of geological materials, including microporous minerals, nominally anhydrous volcanic minerals (NAMs), and crystal inclusions. These investigations show that use of the modern techniques of FTIR imaging enables detection of the zoning of volatile species across the studied samples, and possible configuration changes of structurally-bound carbon molecular species (e.g., CO(2) vs CO(3)) during crystal growth. Such features, which are not accessible with other micro-analytical techniques, may provide information about the physicochemical properties which act as constraints in the genesis of the samples, and important information about the evolution of the geological system. Tests performed with focal-plane-array detectors (FPA) show that resolution close to the diffraction limit can be achieved if the amounts of the target molecules in the sample are substantially different. We also point out the possibility of using FTIR imaging for investigations under non-ambient conditions.

10.
Eur Phys J E Soft Matter ; 31(3): 229-37, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20336342

RESUMO

Following Flory's ideality hypothesis, the chemical potential of a test chain of length n immersed into a dense solution of chemically identical polymers of length distribution P(N) is extensive in n . We argue that an additional contribution deltamu(c)(n) approximately +1/rho (sqrt[n]) arises (rho being the monomer density) for all P(N) if n " which can be traced back to the overall incompressibility of the solution leading to a long-range repulsion between monomers. Focusing on Flory-distributed melts, we obtain deltamu(c)(n) approximately equal to (1 - 2n/ ) / rho (sqrt[n]) for n " (2) , hence, deltarho(c)(n) approximately equal to -1/rho (sqrt[n]) if n is similar to the typical length of the bath . Similar results are obtained for monodisperse solutions. Our perturbation calculations are checked numerically by analyzing the annealed length distribution P(N) of linear equilibrium polymers generated by Monte Carlo simulation of the bond fluctuation model. As predicted we find, e.g., the non-exponentiality parameter K (p) = 1 - (p)! (p) to decay as K (p) approximately equal to 1/ (sqrt[]) for all moments p of the distribution.

11.
Cardiovasc Intervent Radiol ; 43(6): 889-896, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32342158

RESUMO

PURPOSE: To report the preliminary results of a novel full percutaneous interbody fusion technique for the treatment of degenerative disc disease (DDD) resistant to conservative treatment with posterior stabilization with rods and screws and transforaminal placement of an 8-mm-width intradiscal cage. MATERIALS AND METHODS: A total of 79 patients with lumbar spine DDD resistant to medical therapy and/or spondylolisthesis up to grade 2 were treated. We performed preoperative X-rays, CT and MRI. The outcomes were assessed using the VAS score and the Oswestry Disability Index at a 1-, 6- and 12-month follow-up and also included X-rays to evaluate the correct bone fusion and the absence of complications. RESULTS: Mean operation time was 130 min, and mean postoperative time until hospital discharge was 2 days. Postoperative values for VAS scores and ODI improved significantly compared to preoperative data: Mean preprocedural VAS was 7.49 ± 0.69 and decreased at 12-month follow-up to 1.31 ± 0.72, and mean preprocedural ODI was 29.94 ± 1.67 and decreased at 12-month follow-up to 12.75 ± 1.44. No poor results were reported, and no postprocedural sequelae were observed. CONCLUSIONS: In our experience, this preliminary report shows a feasible and safe full percutaneous alternative procedure and represents a minimally invasive management of degenerative disc disease with low back pain resistant to medical therapy with or without lumbar spondylolisthesis up to grade 2.


Assuntos
Fixadores Internos , Degeneração do Disco Intervertebral/diagnóstico por imagem , Degeneração do Disco Intervertebral/cirurgia , Fusão Vertebral/métodos , Idoso , Feminino , Seguimentos , Humanos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/cirurgia , Imageamento por Ressonância Magnética , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Período Pós-Operatório , Radiografia , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Resultado do Tratamento
12.
J Chem Phys ; 131(6): 064901, 2009 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-19691405

RESUMO

The classical bond-fluctuation model (BFM) is an efficient lattice Monte Carlo algorithm for coarse-grained polymer chains where each monomer occupies exclusively a certain number of lattice sites. In this paper we propose a generalization of the BFM where we relax this constraint and allow the overlap of monomers subject to a finite energy penalty epsilon. This is done to vary systematically the dimensionless compressibility g of the solution in order to investigate the influence of density fluctuations in dense polymer melts on various static properties at constant overall monomer density. The compressibility is obtained directly from the low-wave vector limit of the static structure factor. We consider, e.g., the intrachain bond-bond correlation function P(s) of two bonds separated by s monomers along the chain. It is shown that the excluded volume interactions are never fully screened for very long chains. If distances smaller than the thermal blob size are probed (s<>g) like swollen chains of incompressible blobs with P(s) approximately g(0)s(-3/2).

13.
Phys Rev E Stat Nonlin Soft Matter Phys ; 79(5 Pt 1): 050802, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19518408

RESUMO

Self-avoiding polymers in two-dimensional (d=2) melts are known to adopt compact configurations of typical size R(N) approximately N;{1/d} , with N being the chain length. Using molecular-dynamics simulations we show that the irregular shapes of these chains are characterized by a perimeter length L(N) approximately R(N);{d_{p}} of fractal dimension d_{p}=d-Theta_{2}=5/4 , with Theta_{2}=3/4 being a well-known contact exponent. Due to the self-similar structure of the chains, compactness and perimeter fractality repeat for subchains of all arclengths s down to a few monomers. The Kratky representation of the intramolecular form factor F(q) reveals a strong nonmonotonous behavior with q;{2}F(q) approximately 1/(qN;{1/d});{Theta_{2}} in the intermediate regime of the wave vector q . Measuring the scattering of labeled subchains the form factor may allow to test our predictions in real experiments.

14.
Phys Rev E Stat Nonlin Soft Matter Phys ; 77(5 Pt 1): 051110, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18643029

RESUMO

We extend the formalism of the thermodynamic two-time Green's functions to nonextensive quantum statistical mechanics. Working in the optimal Lagrangian multiplier representation, the q -spectral properties and the methods for a direct calculation of the two-time q Green's functions and the related q -spectral density ( q measures the nonextensivity degree) for two generic operators are presented in strict analogy with the extensive (q=1) counterpart. Some emphasis is devoted to the nonextensive version of the less known spectral density method whose effectiveness in exploring equilibrium and transport properties of a wide variety of systems has been well established in conventional classical and quantum many-body physics. To check how both the equations of motion and the spectral density methods work to study the q -induced nonextensivity effects in nontrivial many-body problems, we focus on the equilibrium properties of a second-quantized model for a high-density Bose gas with strong attraction between particles for which exact results exist in extensive conditions. Remarkably, the contributions to several thermodynamic quantities of the q -induced nonextensivity close to the extensive regime are explicitly calculated in the low-temperature regime by overcoming the calculation of the q grand-partition function.

15.
Phys Rev E Stat Nonlin Soft Matter Phys ; 76(1 Pt 1): 011803, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17677480

RESUMO

We present theoretical arguments and numerical results to demonstrate long-range intrachain correlations in concentrated solutions and melts of long flexible polymers, which cause a systematic swelling of short chain segments. They can be traced back to the incompressibility of the melt leading to an effective repulsion u(s) approximately s/rho R3(s) approximately c(e)/sqrt[s] when connecting two segments together where s denotes the curvilinear length of a segment, R(s) its typical size, c(e) approximately 1/rho b(e)3 the "swelling coefficient," b(e) the effective bond length, and rho the monomer density. The relative deviation of the segmental size distribution from the ideal Gaussian chain behavior is found to be proportional to u(s). The analysis of different moments of this distribution allows for a precise determination of the effective bond length b(e) and the swelling coefficient c(e) of asymptotically long chains. At striking variance to the short-range decay suggested by Flory's ideality hypothesis the bond-bond correlation function of two bonds separated by s monomers along the chain is found to decay algebraically as 1/s(3/2). Effects of finite chain length are briefly considered.

16.
Accid Anal Prev ; 107: 40-47, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28783544

RESUMO

Drink-driving remains a major road safety concern that creates a significant social burden. Licence disqualification continues to play a key role in drink driving deterrence and sanctions together with police enforcement to address the problem in most motorised countries. However, on-going questions remain regarding the differing effect of licence disqualification periods between first time and repeat offenders, and between other sub-groups of offenders. As a result, this study aimed to determine whether: (a) differences exist in re-offence rates of convicted drink-drivers between: the period between committing the drink-driving offence and licence disqualification (pre-licence disqualification), during the period of licence disqualification, and after being re-licensed (post-licence restoration); and (b) differential effects of offence rates are evident based on Blood Alcohol Content (BAC), gender, age, repeat offender status and crash involvement at the time of offence. The sample consisted of 29,204 drink-driving offenders detected in Victoria, Australia between 1 January 1996 and 30 September 2002. The analysis indicated that licence disqualifications were effective as drink-driving offenders had a significantly lower rate of offending (both drink-driving and other traffic offences) during licence disqualifications compared to pre-licence disqualification and post-licence restoration periods. The influence of licence disqualification appeared to extend beyond the disqualification period, as offence rates were lower during post-licence restoration than during pre-licence disqualification. Interestingly, the highest rate of offending (both for drink-driving and other traffic offences) was during the pre-licence disqualification period, which suggests offenders are particularly vulnerable to drink and drive while waiting to be sanctioned. A consistent pattern of results was evident across genders and age groups. Additionally, those who were involved in a crash at the same time as their index offence had lower offence rates (compared to those who were not involved in a crash) for all periods, although for general traffic offences, the offence rate was highest in the post-licence restoration period for those who had a crash at index offence. This indicates that being involved in a crash may deter these offenders, at least in the short-term. The implications of the results for managing both first time and repeat offenders are discussed.


Assuntos
Acidentes de Trânsito/psicologia , Criminosos/psicologia , Dirigir sob a Influência/estatística & dados numéricos , Adolescente , Adulto , Concentração Alcoólica no Sangue , Distribuição de Qui-Quadrado , Dirigir sob a Influência/psicologia , Feminino , Humanos , Licenciamento/legislação & jurisprudência , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Vitória , Adulto Jovem
17.
Case Rep Radiol ; 2017: 2167364, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28316856

RESUMO

We present a case of giant Splenorenal Shunt (SRS) associated with portal vein thrombosis in a 37-year-old woman with a twelve-year history of autoimmune hepatitis/primary biliary cholangitis overlap syndrome. At the moment of the CT examination laboratory tests showed creatinine 1.5 mg/dl, bilirubin 1.5 mg/dl, INR 3, and Na 145 mmol/l and the Model End-Stage Liver Disease score was 24. Extensive calcified thrombosis causing complete occlusion of the portal vein lumen and partially occluding the origin of the superior mesenteric vein was present and a small calcified thrombus in the Splenic Vein lumen was also evident. SRS was located among the spleen hilum and the left kidney with a maximum diameter of 3.25 cm and was associated with dilatation of left renal vein and inferior vena cava. After a multidisciplinary evaluation the patient was put on the Regional Liver Transplant waiting list and liver transplantation was performed successfully. Although portal vein thrombosis and SRS are common occurrences in cirrhotic patients, the impact in the natural history of the disease is still unclear. Careful management and accurate imaging protocols are essential in the evaluation of those patients.

18.
J Cardiovasc Surg (Torino) ; 47(3): 361-6, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16760875

RESUMO

Lung transplantation has had increasing success worldwide and it became an acceptable treatment modality in end-stage pulmonary diseases. The insufficient supply of donor lungs, resulting in prolonged waiting time, and the significant rise of patients on the waiting list, have forced the most experienced transplantation centers to redefine the acceptable lung donor criteria including marginal allografts. Existing standard lung donor criteria have been established in the first period of lung transplantation activity, based mainly on opinions and individual experiences rather than on existing evidences: the paucity of donors may be also explained by the rigid application of these criteria. The quality of donor organs has a significant impact on early and long-term recipient outcome. Recent studies have demonstrated that the use of marginal donors did not affect early and late recipient outcome, and significantly increased the number of transplants performed. The aim of this paper is to review how the main lung donor selection criteria have been changed and how they influence the recipient outcome.


Assuntos
Seleção do Doador , Pneumopatias/cirurgia , Transplante de Pulmão , Morte Encefálica/fisiopatologia , Cadáver , Humanos , Circulação Pulmonar
19.
Phys Rev E ; 93(6): 062611, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27415324

RESUMO

Focusing on shear-stress fluctuations, we investigate numerically a simple generic model for self-assembled transient networks formed by repulsive beads reversibly bridged by ideal springs. With Δt being the sampling time and t_{☆}(f)∼1/f the Maxwell relaxation time (set by the spring recombination frequency f), the dimensionless parameter Δx=Δt/t_{☆}(f) is systematically scanned from the liquid limit (Δx≫1) to the solid limit (Δx≪1) where the network topology is quenched and an ensemble average over m-independent configurations is required. Generalizing previous work on permanent networks, it is shown that the shear-stress relaxation modulus G(t) may be efficiently determined for all Δx using the simple-average expression G(t)=µ_{A}-h(t) with µ_{A}=G(0) characterizing the canonical-affine shear transformation of the system at t=0 and h(t) the (rescaled) mean-square displacement of the instantaneous shear stress as a function of time t. This relation is compared to the standard expression G(t)=c[over ̃](t) using the (rescaled) shear-stress autocorrelation function c[over ̃](t). Lower bounds for the m configurations required by both relations are given.

20.
J Phys Chem B ; 109(14): 6544-52, 2005 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-16851735

RESUMO

The interplay between chain conformations and phase separation in binary symmetric polymer mixtures confined into thin films by "neutral" hard walls (i.e., walls that do not preferentially attract or repel one of the two components of the mixture) is studied by Monte Carlo simulations. Using the bond fluctuation model on a simple cubic lattice in the semi grand canonical ensemble, we locate the critical temperature of demixing via finite size scaling methods for a wide range of chain lengths (16 infinity, and hence T(c) proportional, variant N. However, strong deviations from the Flory-Huggins theory occur as long as the unperturbed chain dimension exceeds D, and the critical behavior falls in the universality class of the two-dimensional Ising model for any finite value of D.

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