Radical cystectomy and unrinary diversion : is there a role for bowel in the fuuture?

Bladder transitional cell carcinoma (TCC) is the most frequent malignancy of the urinary tract, and its incidence is rising. The gold standard treatment of invasive TCC is radical cystectomy with configuration of urinary diversion with bowel; the need for bowel has been universally considered the prime cause of complications. Since 1960’s urologists, scientists and industry have been trying, unsuccessfully, to obviate the use of bowel with alternative materials. We provide an analysis of problems deriving from using bowel as bladder substitute, a comprehensive review of literature on previous artificial models, an analysis of benefits deriving from the ideal prosthesis.

La Baixa morbiditat perioperatòria de la prostatectomia radical laparoscòpica justifica efectuar-la en pacients majors de 70 anys

Donat l’increment en l’esperança de vida, valorem el tractament radical del càncer de pròstata en pacients & 70 anys. L’objectiu és analitzar la incidència, severitat i maneig de la morbiditat perioperatòria de la prostatectomia radical (PR) en funció de la tècnica quirúrgica. De 500 PR revisem, retrospectivament, 70 pacients & 70 anys (40 Retropúbiques i 30 Laparoscòpiques). S’empra la classificació de Clavien modificada per analitzar les complicacions. La proporció de complicacions és en PRR 57,5% i en PRL 33%. Les complicacions en la PRL són de menor gravetat. Els beneficis atribuïts a la laparoscòpia es mantenen en pacients d’edat avançada.

Internal and External Determinants of Radical and incremental Innovation in SMEs: the case of Catalonia

There is a major concern in economic literature about innovation, which is the interaction between internal and external factors.. In this paper those activities are hypothesized as being determined by some territorial characteristics like labour skills, technological infrastructure, educational facilities, agglomeration economies and industrial structure. This assumption allows understanding why those innovative activities are not spread across space and are located into specific areas. We use a detailed survey containing microdata for 497 SMEs located in Catalonia.

Condiciones para una arquitectura radical

La investigación Condiciones para una arquitectura radical se ha desarrollado en el marco de la beca FI 2009-12; y también incluye una beca de movilidad BE-DGR 2009 por un período de seis meses de 2010 en Princeton University School of Architecture. Condiciones para una arquitectura radical tiene un objetivo general: trabajar las relaciones entre límite, experiencia y comunidad a partir de dos pilares: arte y tecnología. Son tres familias de conceptos y sus articulaciones complejas en el espacio común: para definir en última instancia, otros procesos posibles de gestión en la ciudad. La lucha ideológica está en pensar cual debería ser el futuro de las ciudades. El objetivo concreto de la tesis es la búsqueda de herramientas para abrir nuevos espacios en la ciudad donde materializar un cambio social y urbano. Para entender esta aproximación la investigación indaga en los momentos de acercamiento y simbiosis de la arquitectura a las tesis del arte y la tecnología: una mirada atenta a las condiciones de contexto. Se explora el cruce de algunas ideas emancipadoras que se formularon en diferentes momentos de la cultura - desde las vanguardias históricas hasta ahora- en los que se intuyó la importancia del sistema abierto -el paso del objeto al proceso- y su trasposición en arquitectura: una arquitectura y un urbanismo open source; son episodios en los que ha existido un cuestionamiento de las fronteras disciplinares y un interés por la apropiación convivencial de lo público. Algunas de aquellas ideas pueden repetirse en el contexto activo de unas nuevas condiciones.

El clam de la dona enamorada : 'La germana, l'estrangera' de Maria-Mercè Marçal. Interpretació tipològica radical de la paraula poètica

Interpretació del recull poètic 'La germana, l'estrangera' de Maria-Mercè Marçal a partir de la tipologia radical de Dolors Oller. Ens proposem amb aquest treball copsar les actituds interrogatives de Maria-Mercè Marçal subjectivades en clau de dona, d'amant i de mare, situant el lector en un discurs visionari el qual es gestiona a través de la paraula poètica simbolista. El recull és un clam de dona enamorada que reflecteix les interioritats de la pròpia experiència vital de l'autora.

Vaginal hysterectomy with the autosuture stapler

Our objective was to assess the applicability of hysterectomy by the vaginal route completely performed with Autosuture staples. Between January 1992 and September 1993, 5 vaginal hysterectomies using Autosuture staplers were performed by the authors. Five vaginal hysterectomies matched for age, parity, and uterine size performed by the same surgeons using reabsorbable sutures during the same period were used as case controls. No febrile morbidity, cuff infections, thrombophlebitis, bladder injury, or hemorrhage complications were observed in the 10 women who entered the study. In summary, vaginal hysterectomy can be performed with Autosutures easily, probably faster with experience, and with less oozing from the operative field, thus providing a safe procedure.

Correlation of the EPR properties of perchlorotriphenylmethyl radical and their efficiency as DNP polarizers

Water soluble perchlorinated trityl (PTM) radicals were found to be effective 95 GHz DNP (dynamic nuclear polarization) polarizers in ex situ (dissolution) 13C DNP (Gabellieri et al., Angew Chem., Int. Ed. 2010, 49, 3360). The degree of the nuclear polarization obtained was reported to be dependent on the position of the chlorine substituents on the trityl skeleton. In addition, on the basis of the DNP frequency sweeps it was suggested that the 13C NMR signal enhancement is mediated by the Cl nuclei. To understand the DNP mechanism of the PTM radicals we have explored the 95 GHz EPR characteristics of these radicals that are relevant to their performance as DNP polarizers. The EPR spectra of the radicals revealed axially symmetric g-tensors. A comparison of the spectra with the 13C DNP frequency sweeps showed that although the solid effect mechanism is operational the DNP frequency sweeps reveal some extra width suggesting that contributions from EPR forbidden transitions involving 35,37Cl nuclear flips are likely. This was substantiated experimentally by ELDOR (electron-electron double resonance) detected NMR measurements, which map the EPR forbidden transitions, and ELDOR experiments that follow the depolarization of the electron spin upon irradiation of the forbidden EPR transitions. DFT (density functional theory) calculations helped to assign the observed transitions and provided the relevant spin Hamiltonian parameters. These results show that the 35,37Cl hyperfine and nuclear quadrupolar interactions cause a considerable nuclear state mixing at 95 GHz thus facilitating the polarization of the Cl nuclei upon microwave irradiation. Overlap of Cl nuclear frequencies and the 13C Larmor frequency further facilitates the polarization of the 13C nuclei by spin diffusion. Calculation of the 13C DNP frequency sweep based on the Cl nuclear polarization showed that it does lead to an increase in the width of the spectra, improving the agreement with the experimental sweeps, thus supporting the existence of a new heteronuclear assisted DNP mechanism.