Urgent Endovascular Treatment of Thoraco-abdominal Aneurysms Using a Sandwich Technique and Chimney Grafts - A Technical Description

Introduction: So far the only endovascular option to treat patients with thoraco abdominal aortic aneurysms is the deployment of branched grafts. We describe a technique consisting of the deployment of standard off-the- shelf grafts to treat urgent cases.Material and Methods: The sandwich technique consists of the deployment of ViaBahn chimney grafts in combination with standard thoracic and abdominal aortic stent grafts. The chimney grafts are deployed using a transbrachial and transaxillary access. These coaxial grafts are placed inside the thoracic tube graft. After deployment of the infrarenal bifurcated abdominal graft a bridging stent-a short tube graft is positioned inside the thoracic graft further stabilizing the chimney grafts.Results: 5 patients with symptomatic thoraco abdominal aneurysms were treated. There was one Type I endoleak that resolved after 2 months. In all patients 3 stentgrafts had to be used When possible all visceral and renal branches were revascularized. A total number of 17 arteries were reconnected with covered branches. During follow up we lost one target vessel the right renal artery.Conclusion: The sandwich technique in combination with chimney grafts permits a total endovascular exclusion of thoraco abdominal aortic aneurysms. In all cases off-the shelf products and grafts could be used. The number of patients treated so far is still too small to draw further more robust conclusions with regard to long term performance and durability. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

Ovarian ultrastructure in virgin queens of Apis mellifera L. narcotized by CO2

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Effect of conditioning methods on the microtensile bond strength of phosphate monomer-based cement on zirconia ceramic in dry and aged conditions

The objective of this study was to evaluate the durability of bond strength between a resin cement and aluminous ceramic submitted to various surface conditioning methods. Twenty-four blocks (5 X 5 X 4 mm 3) of a glass-in filtrated zirconia-alumina ceramic (inCeram Zirconia Classic) were randomly divided into three surface treatment groups: ST1-Air-abrasion with 110-mu m Al2O3 particles + silanization; ST2-Laboratory tribochemical silica coating method (110-mu m Al2O3, ilO-PM Silica) (Rocatec) + silanization; ST3-Chairside tribochemical silica coating method (30-mu m SiOx) (CoJet) + silanization. Each treated ceramic block was placed in its silicone mold with the treated surface exposed. The resin cement (Panavia F) was prepared and injected into the mold over the treated surface. Specimens were sectioned to achieve nontrimmed bar specimens (14 sp/block) that were randomly divided into two conditions: (a) Dry-microtensile test after sectioning; (b) Thermocycling (TC)-(6,000X, 5-55 degrees C) and water storage (150 days). Thus, six experimental groups were obtained (11 = 50): Gr1-ST1 + dry; Gr2-ST1 + TC. Gr3-ST2 + dry; Gr4-ST2 + TC; Gr5-ST3 + dry; Gr6ST3 + TC. After microtensile testing, the failure types were noted. ST2 (25.1 +/- 11) and ST3 (24.1 +/- 7.4) presented statistically higher bond strength (MPa) than that of STI (17.5 +/- 8) regardless of aging conditions (p < 0.0001). While Gr2 revealed the lowest results (13.3 +/- 6.4), the other groups (21.7 +/- 7.4-25. 9 +/- 9.1) showed statistically no significant differences (two-way ANOVA and Tukey's test, a 0.05). The majority of the failures were mixed (82%) followed by adhesive failures (18%). Gr2 presented significantly higher incidence of ADHESIVE failures (54%) than those of other groups (p = 0.0001). Both laboratory and chairside silica coating plus silanization showed durable bond strength. After aging, airabrasion with 110-mu m Al2O3 + silanization showed the largest decrease indicating that aging is fundamental for bond strength testing for acid-resistant Arconia ceramics in order to estimate their long-term performance in the mouth. (c) 2007 Wiley Periodicals, Inc.

Oral lichen planus versus epithelial dysplasia: difficulties in diagnosis

O diagnóstico histopatológico do líquen plano bucal não é fácil, pois alguns casos de displasia epitelial podem apresentar características bastante semelhantes às do líquen plano. OBJETIVO: Comparar as alterações celulares sugestivas de malignidade presentes no líquen plano bucal com as da displasia epitelial. MATERIAL E MÉTODOS: Cortes histológicos de líquen plano bucal e displasia, corados com hematoxilina-eosina, foram analisados por meio da microscopia de luz. RESULTADOS: A análise de variância (alfa=5%) revelou haver diferença estatisticamente significante entre o número médio de alterações celulares no líquen plano bucal (5,83±1,61) e na displasia epitelial (4,46±1,26). O teste de qui-quadrado não mostrou diferença estatisticamente significante entre o líquen plano bucal e a displasia epitelial em relação às seguintes alterações celulares: aumento da relação núcleo/citoplasma, hipercromatismo nuclear, distribuição irregular da cromatina e núcleos aumentados (p>0,05). CONCLUSÃO: Algumas alterações celulares sugestivas de malignidade presentes no líquen plano bucal também podem ser encontradas na displasia epitelial, dificultando o seu diagnóstico e, consequentemente enfatizando a importância do acompanhamento a longo prazo dos pacientes com a doença.

Ciclos clássicos num ambiente de racionalidade limitada

O presente trabalho toma como ponto de partida o modelo macrodinâmico de Richard M. Goodwin, apresentado no clássico artigo A Growth Cycle (1967). Neste modelo a interação entre distribuição de renda e acumulação de capital gera um ciclo de crescimento que oscila em torno de uma trajetória de crescimento equilibrado. O objetivo do presente trabalho é investigar a possibilidade de existência de ciclos goodwinianos com heterogeneidade de salários e de taxas de lucro. Essa análise é realizada considerando o processo de concorrência entre trabalhadores num ambiente de racionalidade limitada. Para formalizar o processo de concorrência entre trabalhadores foram utilizados dois recursos: (i) a alegoria das ilhas , que tem sido amplamente adotada na macroeconomia moderna, a fim de apreender situações de informação imperfeita; e (ii) os instrumentos analíticos desenvolvidos pela teoria dos jogos evolucionários aplicada a ambientes sociais. O modelo construído combina o modelo de Goodwin com uma formalização estilizada do fluxo de trabalho como um processo de imitação num ambiente de racionalidade limitada (dinâmica de replicação num contexto social). Neste modelo demonstra-se a possibilidade de o sistema econômico não convergir para um estado de equilíbrio de longo prazo e a possibilidade do sistema econômico convergir para um ciclo goodwiniano caracterizado por heterogeneidade de salários e de taxas de lucro.

IMPORTANCE OF CONTROLLING THE STRESS IN THE VALIDATION OF BIOLOGICAL RESULTS

The stress syndrome includes ample phenomena, characterized by complex neuroendocrinological alterations. Such alterations, in the long run, give rise to important modifications in reply of different organs and tissues to diverse agonists, specially sympathicommentic. These alterations, at least partially, are part of an ''adjustment mechanism'' of the tissues. Thus this possibility of obtaining altered responses in function of stress leads to the need of special care in the prevention and control of stressogenic stimuli in the process of research. Taking cave of preventing stressogenic stimuli, it becomes possible to determine a profile of trustworthy replies, considered as standard From such reply standards, toe can know more clearly what is a ''normal'' response or what is a response ''altered'' by some factor, specially stress.

Coastal Marine Mapping as an Ecosystem Based Management - the case study of the Baixada Santista Region - São Paulo, Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Sensor for hydrogen peroxide based on Prussian Blue modified electrode: Improvement of the operational stability

Improvement of the operational stability of amperometric sensors based on Prussian Blue (PB) modified glassy carbon electrodes is presented. The long term performance of the sensors was evaluated by injection of hydrogen peroxide (5 μM in potassium buffer) solutions in a flow-injection system during a period of 5-10 h. The following parameters were investigated and correlated with the performance of the sensor: the times for electrodeposition and electrochemical activation, temperature, storage time, pH, composition of the buffer solution and of volume sample injected. These analytical characteristics of the modified electrode can be emphasized: initial sensitivity of 0.3 A cm-2 M-1, detection limit of ca. 0.5 μM, precise results (r.s.d.< 1.5%) and possibility to carry out around 50 samples (50 μL) per hour.

Le progrès technique chez Joan Robinson : un essai de systématisation et de formalisation

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts of treating this subject in accordance to the Keynesian theory of employment and income distribution, mainly in the long run. This paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time the paper exposes the problems she faced - and did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

Technical Progress in Joan Robinson's View: An attempt at systematisation and formalisation

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts at treating this subject in accordance with the Keynesian theory of employment and income distribution, mainly in the long run. The paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time, the paper exposes the problems she faced - but did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

The Canadian retirement income system

Includes bibliography

Structural reforms, technological gaps and economic development: a Latin American perspective

Includes bibliography

Argentine convertibility: is it a relevant precedent for the dollarization process in Ecuador?

Includes bibliography

Centroamérica: efecto de la integración con Estados Unidos sobre el mercado regional del maíz. Un análisis espacial de precios

Incluye Bibliografía

From hard-peg to hard landing?: recent experiences of Argentina and Ecuador

Includes bibliography