Gestió d'incidències

La memòria mostra el procés de desenvolupament d'una aplicació sota el paradigma de J2EE. Per una banda descriu els passos realitzats en matèria d'especificació, anàlisis i disseny utilitzant UML com a eina fonamental de modelatge, per altra pretén mostrar que la utilització de frameworks i l'aplicació de patrons de disseny facilita substancialment el procés de desenvolupament.

Anàlisi de Procrustes i alineament molecular

L'algorisme de McLachlan per a l'alineament de dos conjunts de coordenades atòmiques és interpretat sota l'òptica de l'Anàlisi Multivariant, que posa de manifest que el plantejament d'aquest problema és equivalent al de l'anàlisi de Procrustes i que la solució proposada per Kabsch és anàloga a la de Sibson, desenvolupada independentment

Kristillisyys Karjalassa ja Itä-Suomessa keskiajalla

Zusammenfassung: Das Christentum in Karelien und in Ostfinnland während des Mittelalters

Blanc sota negre. Treballs des de l'imperceptible / 2. Mar Arza: Lectures i consums...

En els treballs de Mar Arza es percep una preocupació sostinguda per les línies escrites queapareixen sobre les superfícies. En els inicis, alterava les pàgines i les lletres dels llibres de vell. Recentment, ha intervingut la lletra escrita i els buits de qualsevol paper imprès –llibretes d’estalvis, factures de la llum, volants mèdics, fulls de calendaris, dècims de loteria...

What is the Omega-Loop Gastric Bypass and Why is it Criticized?

The omega-loop gastric bypass (OLGBP), also called "mini-gastric bypass" or "single-anastomosis" gastric bypass is a form of gastric bypass where a long, narrow gastric pouch is created and anastomosed to the jejunum about 200- 250 cm from the angle of Treitz in an omega loop fashion, thereby avoiding a jejuno-jejunostomy.Proponents of the OLGBP claim that it is a safer and simpler operation than the traditional Roux-en-Y gastric bypass (RYGBP), easier to teach, that gives the same results in terms of weight loss than the RYGBP. One randomized study comparing the two techniques showed similar results after five years.The OLGBP is criticized because it creates an anastomosis between the gastric pouch and the jejunum where a large amount of biliopancreatic juices travel, thereby creating a situation where reflux of the latter into the stomach and distal esophagus is likely to develop. Such a situation has clearly been associated, in several animal studies, with an increased incidence of gastric cancer, especially at or close to the gastro-jejunostomy, and with an increased risk of lower esophageal cancer. In clinical practice, omega-loop gastrojejunostomies such as those used for reconstruction after gastric resection for benign disease or distal gastric cancer have been associated with the so called classical anastomotic cancer, linked to biliary reflux into the stomach, despite the fact that epidemiological studies about this do not show uniform results. Although no evidence at the present time links OLGBP to an increased risk of gastric cancer in the human, this possibility raises a concern among many bariatric surgeons, especially in the view that bariatric surgery is performed in relatively young patients with a long life expectancy, hence prone to develop cancer if indeed the risk is increased. Another arguments used against the OLGBP is that the jejuno-jejunostomy in the traditional RYGBP is easy to perform and associated with virtually no complication.Supporters of the OLGBP claim that the liquid that refluxes into the stomach after their procedure is not pure bile and pancreatic juice, but a combination of those with jejunal secretions, and that the latter is not as harmful. We would urge the proponents of the OLGBP to undertake the necessary animal studies to show that their assumption is indeed true before the procedure is performed widely, possibly leading to the development of hundreds of late gastric or esophageal carcinoma in the bariatric population. In the meantime, we strongly believe that RYGBP should remain the gold standard in gastric bypass surgery for morbid obesity.

Itä-Suomen sähköinen valtatie

Maaherra Pirjo Ala-Kapeen puhe Helsingin yliopiston Mikrokuvaus- ja konservointilaitoksen 15-vuotisjuhlassa 31.10.2005.