Cardiac extension of primary mediastinal seminoma compressing the right ventricular outflow tract

We report the case of a 33-year-old male with primary seminoma of the anterior mediastinum with initial clinical manifestations suggestive of heart disease.

Experimental investigation of heat transfer characteristics from arrays of free impinging circular jets and hole channels

Free Tube Jet - Impingemenet - Heat Transfer - Arrary - Infrared Techuique - Hole Channels - Heat Transfer Uniformaty

Galois extension of CP-Graded ring extensions

In this paper, we investigate galois theory of CP-graded ring extensions. In particular, we generalize some galois results given in [1, 2] and, without restriction to nor graded fields nor torsion free of the grade groups, we show that some results of graded field extensions given in [3] hold.

La raó circular

És un text epistemològic sobre les qüestions cognitives circulars que apareixen: a) Quan el subjecte forma part de l’objecte estudiat; b) En la recerca de les bases del coneixement; c) Al voler justificar la inducció; d) En algunes interpretacions filosòfiques i científiques. S’hi explica l’estat del punt a) el més problemàtic, i s’aclareixen els altres tres punts: els b) i c) pel fet científic que l’evolució cognitiva humana ha anat acoblada a l’evolució biològica, la qual ha generat els a priori kantians i altres innatismes. El d) perquè la formació del coneixement i de la ciència es progressiva, passant una i altra vegada sobre el que ja s’havia tractat però ascendint alhora i ampliant el panorama, tal com fa una escala de cargol.

An extension of the Marsden-Ratiu reduction for Poisson manifolds

We propose a generalization of the reduction of Poisson manifolds by distributions introduced by Marsden and Ratiu. Our proposal overcomes some of the restrictions of the original procedure, and makes the reduced Poisson structure effectively dependent on the distribution. Different applications are discussed, as well as the algebraic interpretation of the procedure and its formulation in terms of Dirac structures.

On an extension of the notion of Reedy category

"Vegeu el resum a l'inici del document del fitxer adjunt."

Destruction of invariant curves in the restricted circular planar three body problem using comparison of action

"Vegeu el resum a l'inici del document del fitxer adjunt."

GNSS array: diseño de una antena con polarización circular

Aquest projecte es centra en el disseny d’una antena microstrip per a GNSS. Una antena per a GNSS ha de tenir adaptació de impedància d’entrada i polarització circular a dretes, com a principals especificacions, en el rang de 1.15-1.6 GHz. El tipus d’alimentació d’una antena microstrip amb el major ample de banda d’adaptació és l’alimentació mitjançant acoblament per apertura. Si a l’antena s’introdueixen dos apertures de forma ortogonal, alimentades amb un desfasament de 90º entre elles, s’aconsegueix polarització circular. L’opció de separar les apertures redueix la transferència de potència entre elles, i disminueix el guany de polarització creuada. La xarxa d’alimentació dissenyada és un divisor de Wilkinson amb una línia de λ/4 a la freqüència central, encara que el desfasament als extrems de la banda no sigui de 90º. Com a xarxa d’alimentació es va provar un hibrid de 90º, però l’elevat valor del paràmetre S21 de l’antena impossibilita l’adaptació a l’entrada del hibrid.

A Schoenflies extension theorem for a class of locally bi-Lipschitz homeomorphisms

"Vegeu el resum a l'inici del document del fitxer adjunt."

International Society of Urological Pathology (ISUP) Consensus Conference on Handling and Staging of Radical Prostatectomy Specimens. Working group 3: extraprostatic extension, lymphovascular invasion and locally advanced disease.

The International Society of Urological Pathology Consensus Conference on Handling and Staging of Radical Prostatectomy Specimens in Boston made recommendations regarding the standardization of pathology reporting of radical prostatectomy specimens. Issues relating to extraprostatic extension (pT3a disease), bladder neck invasion, lymphovascular invasion and the definition of pT4 were coordinated by working group 3. It was agreed that prostate cancer can be categorized as pT3a in the absence of adipose tissue involvement when cancer bulges beyond the contour of the gland or beyond the condensed smooth muscle of the prostate at posterior and posterolateral sites. Extraprostatic extension can also be identified anteriorly. It was agreed that the location of extraprostatic extension should be reported. Although there was consensus that the amount of extraprostatic extension should be quantitated, there was no agreement as to which method of quantitation should be employed. There was overwhelming consensus that microscopic urinary bladder neck invasion by carcinoma should be reported as stage pT3a and that lymphovascular invasion by carcinoma should be reported. It is recommended that these elements are considered in the development of practice guidelines and in the daily practice of urological surgical pathology.

Six years of denosumab treatment in postmenopausal women with osteoporosis: results from the first three years of the freedom extension

Background/Purpose: Denosumab (DMAb) is an approved therapy for the treatment of postmenopausal women with osteoporosis at increased risk for fracture. A favorable risk/benefit profile was demonstrated in the pivotal, 3-year FREEDOM trial (Cummings et al NEJM 2009). The open-label, active-treatment FREEDOM Extension study is investigating the efficacy and safety of DMAb for up to 10 years. The Extension trial enrolled women who had received DMAb or placebo in FREEDOM and provides an opportunity to evaluate the long-term efficacy and safety of continuous DMAb treatment (long-term group), and to replicate the DMAb findings observed in FREEDOM (cross-over group). Here, we report the results from the first 3 years of the Extension, representing up to 6 continuous years of DMAb exposure.Methods: During the Extension, each woman is scheduled to receive 60 mg DMAb every 6 months and supplemental calcium and vitamin D daily. For the analyses reported here, women from the FREEDOM DMAb group received 3 more years of DMAb for a total of 6 years of exposure (long-term group) and women from the FREEDOM placebo group received 3 years of DMAb exposure (cross-over group).Results: Of the 5928 women eligible for the Extension, 4550 (77%) enrolled (N_2343 long-term; N_2207 cross-over). In the long-term group, further significant mean increases in bone mineral density (BMD) occurred 4044 for cumulative 6-year gains of 15.2% at the lumbar spine and 7.5% at the total hip (Figure). During the first 3 years of DMAb treatment during the Extension, the cross-over group had significant mean gains in BMD at the lumbar spine (9.4%) and total hip (4.8%), similar to those observed in the long-term DMAb group during the first 3 years of FREEDOM (lumbar spine, 10.1%; total hip, 5.7%). Serum CTX was rapidly and similarly reduced after the 1st (cross-over) or 7th (long-term) DMAb dose with the characteristic attenuation observed at the end of the dosing period. In the cross-over group, yearly incidences of new vertebral and nonvertebral fractures were lower than in the FREEDOM placebo group. Fracture incidence remained low in the long-term group. Incidences of adverse events (AEs) and serious AEs did not increase over time with DMAb treatment. There were 2 subjects with AEs adjudicated to ONJ in the cross-over group and 2 in the long-term group. Both cases in the cross-over group healed completely and without further complications; 1 of these subjects continues to receive DMAb. Both women in the long-term group continue to be followed. No atypical femur fractures have been observed to date. Figure. Percent changes in bone mineral density during FREEDOM and the Extension Conclusion: DMAb treatment for 6 continuous years (long-term group) remained well tolerated, maintained reduced bone turnover, and continued to significantly increase BMD. Fracture incidence remained low. DMAb treatment for 3 years in the cross-over group reproduced the original observations in FREEDOM.