The importance of sonographer experience and machine quality with regards to the role of musculoskeletal ultrasound in routine care of rheumatoid arthritis patients.

OBJECTIVES: Regarding recent progress, musculoskeletal ultrasound (US) will probably soon be integrated in standard care of patient with rheumatoid arthritis (RA). However, in daily care, quality of US machines and level of experience of sonographers are varied. We conducted a study to assess reproducibility and feasibility of an US scoring for RA, including US devices of different quality and rheumatologist with various levels of expertise in US as it would be in daily care. METHODS: The Swiss Sonography in Arthritis and Rheumatism (SONAR) group has developed a semi-quantitative score using OMERACT criteria for synovitis and erosion in RA. The score was taught to 108 rheumatologists trained in US. One year after the last workshop, 19 rheumatologists participated in the study. Scans were performed on 6 US machines ranging from low to high quality, each with a different patient. Weighted kappa was calculated for each pair of readers. RESULTS: Overall, the agreement was fair to moderate. Quality of device, experience of the sonographers and practice of the score before the study improved substantially the agreement. Agreement assessed on higher quality machine, among sonographers with good experience in US increased to substantial (median kappa for B-mode and Doppler: 0.64 and 0.41 for erosion). CONCLUSIONS: This study demonstrated feasibility and reproducibility of the Swiss US SONAR score for RA. Our results confirmed importance of the quality of US machine and the training of sonographers for the implementation of US scoring in the routine daily care of RA.

Cartografía de la actividad erosiva de paredes de barrancos a partir de imágenes de teledetección

El presente trabajo muestra una metodología para la determinación del grado de actividad erosiva de paredes de barrancos, fenómenos erosivos muy frecuentes en el área Mediterránea. La metodología se basa en la identificación del tipo de cubierta vegetal y grado de recubrimiento de las paredes a partir de imágenes multiespectrales de resolución media (Landsat TM). El área de estudio se localiza en las comarcas de l'Alt Penedes y l'Anoia (Barcelona), donde el principal cultivo son los viñedos. En esta región se ha desarrollado una red de barrancos de grandes dimensiones. Los resultados, según la metodología aplicada, indican que la mayor parte de las paredes de los barrancos presentan un alto grado de estabilidad debido a que mayoritariamente están cubiertas por vegetación de tipo matorral arbolado y bosque mixto. Sin embargo, los procesos erosivos detectados mediante observaciones de campo indican que la determinación del grado de actividad erosiva a partir de imágenes de resolución media produce resultados por defecto.

Estados expulsores y semipersonas en la Unión Europea

La aprobación en junio de 2008 por el Parlamento Europeo de la Directiva de retorno —denominada también Directiva de la infamia o Directiva de expulsión— consolida el proceso de involución que sobre los derechos humanos se viene produciendo en la Unión Europea desde que el miedo a la inmigración irregular se incardinó en sus instituciones. Si bien las legislaciones de extranjería de los años ochenta contenían normas que regulaban el internamiento y la expulsión no es hasta la Directiva 2001/40/CE que comienza a tomar forma una política comunitaria centrada en la inmigración irregular y las expulsiones de migrantes. Las medidas de retorno son, dice la Comisión europea, “una piedra angular de la política de migración de la UE”. Desde entonces, la barbarie de los centros de retención e internamiento, el socavamiento de los derechos y la exclusión y criminalización de los migrantes extranjeros se han convertido en el caballo de batalla de las asociaciones defensoras de los derechos humanos. La erosión que las legislaciones y medidas de expulsión están provocado en los derechos y libertades y en las instituciones del Estado de derecho es inmensa. El retroceso y la erosión en los derechos y libertades es tan grande que ya no es posible continuar hablando sin más de Estados de derecho en la UE, sino más bien de máquinas administrativas para el internamiento y la expulsión, de “Estados expulsores”(1), donde las personas extranjeras son tratadas como semipersonas (2) e incluso como“no-personas” (3).

Kuristettujen isotermisen vesivirtausten kolmidimensionaalinen mallintaminen

Työssä on tutkittu CFX ja Fluent virtauslaskentaohjelmien soveltavuutta kuristet-tujen isotermisten vesivirtausten kolmidimensionaaliseen mallintamiseen. Teoriaosassa on esitelty virtausta hallitsevat perusyhtälöt sekä eri kavitaatioteori-oita kavitaatiokuplan syntymisestä tuhoutumiseen. Laskennallisessa osassa esitellään käytetyt virtauslaskentaohjelmat ja laskentatapaukset sekä verrataan saatuja tuloksia aiemmin suoritettuihin mittauksiin. Työn pääpaino oli tutkia käytettyjen virtauslaskentaohjelmien soveltuvuutta kuris-tettujen virtauksien mallinnukseen.

A promising new device for the prevention of parastomal hernia.

Parastomal hernia (PSH) is the most frequent long-term stoma complication with serious negative effects on quality of life. Surgical revision is often required and has a substantial morbidity and recurrence rate. The development of PSH requires revisional surgery with a substantial perioperative morbidity and high failure rate in the long-term follow-up. Prophylactic parastomal mesh insertion during stoma creation has the potential to reduce the rate of PSH, but carries the risk of early and late mesh-related complications such as infection, fibrosis, mesh shrinkage, and/or bowel erosion. We developed a new stomaplasty ring (KORING), which is easy to implant, avoids potential mesh-related complications, and has a high potential of long-term prevention of PSH. Here we describe the technique and the first use.

Diversity and genetic structure in natural populations of Hancornia speciosa var. speciosa Gomes in northeastern Brazil

Hancornia speciosa Gomes is a fruit tree native from Brazil that belongs to Apocinaceae family, and is popularly known as Mangabeira. Its fruits are widely consumed raw or processed as fruit jam, juices and ice creams, which have made it a target of intense exploitation. The extractive activities and intense human activity on the environment of natural occurrence of H. speciosa has caused genetic erosion in the species and little is known about the ecology or genetic structure of natural populations. The objective of this research was the evaluation of the genetic diversity and genetic structure of H. speciosa var. speciosa. The genetic variability was assessed using 11 allozyme loci with a sample of 164 individuals distributed in six natural populations located in the States of Pernambuco and Alagoas, Northeastern Brazil. The results showed a high level of genetic diversity within the species (e= 0.36) seeing that the most of the genetic variability of H. speciosa var. speciosa is within its natural populations with low difference among populations ( or = 0.081). The inbreeding values within ( = -0.555) and among populations ( =-0.428) were low showing lacking of endogamy and a surplus of heterozygotes. The estimated gene flow ( m ) was high, ranging from 2.20 to 13.18, indicating to be enough to prevent the effects of genetic drift and genetic differentiation among populations. The multivariate analyses indicated that there is a relationship between genetic and geographical distances, which was confirmed by a spatial pattern analysis using Mantel test (r = 0.3598; p = 0.0920) with 1000 random permutations. The high genetic diversity index in these populations indicates potential for in situ genetic conservation.

Technical Progress, Sorting, and Early Retirement

[cat] El progrés tecnològic afecta a la jubilació anticipada a través de dues forces oposades. Per una banda, augmenta el salari real i, per tant, crea incentius per posposar la jubilació. Per altra banda, causa l’erosió de les habilitats dels treballadors, el qual augmenta la probabilitat de jubilació anticipada. En aquest article reexaminem l’efecte del progrés tecnològic en la jubilació anticipada tenint en compte que, al principi de la vida laboral, els individus es distribueixen en diferents sectors segons la seva habilitat. Obtenim dos resultats principals: 1) per petits (grans) canvis tecnològics, l’efecte salari (erosió) domina, i 2) els individus més capaços resisteixen millor l’efecte erosió.

Morphological, hydrological, biogeochemical and ecological changes and challenges in river restoration - the Thur River case study

River restoration can enhance river dynamics, environmental heterogeneity and biodiversity, but the underlying processes governing the dynamic changes need to be understood to ensure that restoration projects meet their goals, and adverse effects are prevented. In particular, we need to comprehend how hydromorphological variability quantitatively relates to ecosystem functioning and services, biodiversity as well as ground-and surface water quality in restored river corridors. This involves (i) physical processes and structural properties, determining erosion and sedimentation, as well as solute and heat transport behavior in surface water and within the subsurface; (ii) biogeochemical processes and characteristics, including the turnover of nutrients and natural water constituents; and (iii) ecological processes and indicators related to biodiversity and ecological functioning. All these aspects are interlinked, requiring an interdisciplinary investigation approach. Here, we present an overview of the recently completed RECORD (REstored CORridor Dynamics) project in which we combined physical, chemical, and biological observations with modeling at a restored river corridor of the perialpine Thur River in Switzerland. Our results show that river restoration, beyond inducing morphologic changes that reshape the river bed and banks, triggered complex spatial patterns of bank infiltration, and affected habitat type, biotic communities and biogeochemical processes. We adopted an interdisciplinary approach of monitoring the continuing changes due to restoration measures to address the following questions: How stable is the morphological variability established by restoration? Does morphological variability guarantee an improvement in biodiversity? How does morphological variability affect biogeochemical transformations in the river corridor? What are some potential adverse effects of river restoration? How is river restoration influenced by catchment-scale hydraulics [GRAPHICS] and which feedbacks exist on the large scale? Beyond summarizing the major results of individual studies within the project, we show that these overarching questions could only be addressed in an interdisciplinary framework.

Complications liées aux piercings [Complications of body piercing].

Au sein de la population générale, de plus en plus de personnes arborent des piercings, en particulier parmi les jeunes adultes. Hormis les réactions inflammatoires et les infections locales, les complications liées à ces piercings sont méconnues. Les personnes ne sont en général pas informées des risques avant de réaliser un piercing et leurs antécédents, traitements médicamenteux ou comorbidités éventuelles, sont largement négligés par les personnes qui réalisent le geste. Les complications sont le plus souvent locales et bénignes, mais des complications sérieuses et parfois mortelles ont été décrites dans la littérature. Cet article propose une revue des problématiques possibles auxquelles pourrait être confronté un médecin de premier recours, face à un patient qui souhaiterait réaliser un piercing ou présenterait des complications suite à la mise en place d'un tel dispositif. The trend of body piercing has grown in popularity in the past decade within the general population and especially among young adults. Complications of body piercing include local inflammation and infections, but severe complications are also possible and largely underestimated. People are usually not aware of the risks before making a piercing, and their medical history, medication and comorbidities are largely neglected by the people who realise the piercing. This article presents a review of the complications that a primary care physician may observe, for a patient who wishes to make a piercing, or presents complications due to the implementation of such a device.

Technical Progress, Sorting, and Early Retirement

[cat] El progrés tecnològic afecta a la jubilació anticipada a través de dues forces oposades. Per una banda, augmenta el salari real i, per tant, crea incentius per posposar la jubilació. Per altra banda, causa l’erosió de les habilitats dels treballadors, el qual augmenta la probabilitat de jubilació anticipada. En aquest article reexaminem l’efecte del progrés tecnològic en la jubilació anticipada tenint en compte que, al principi de la vida laboral, els individus es distribueixen en diferents sectors segons la seva habilitat. Obtenim dos resultats principals: 1) per petits (grans) canvis tecnològics, l’efecte salari (erosió) domina, i 2) els individus més capaços resisteixen millor l’efecte erosió.

Biopolttoaineseoksen poltosta aiheutuvien ongelmien arviointityökalu.

Biopolttoaineiden erityispiirteitä ovat alhainen lämpöarvo, korkea kosteuspitoisuus ja suuri haihtuvien aineiden määrä. Lisäksi biopolttoaineiden tuhkat sisältävät runsaasti alkaleja. Näistä ominaisuuksista seuraa ongelmia, jotka on otettava huomioon biopolttoainetta polttavan voimalaitoksen suunnittelussa ja käytössä. Diplomityössä selvitetään biopolttoaineiden poltosta aiheutuvat ongelmat ja niiden syyt sekä kehitetään työkalu, jonka avulla voidaan arvioida biopolttoaineseoksen polton ongelmien syntymistä. Arviointi tapahtuu biopolttoaineseoksen ominaisuuksien perusteella. Kattilassa vallitsevien, polton aikaisten olosuhteiden vaikutusta syntyviin ongelmiin ei tässä työssä tarkastella. Kun lähtötiedoista lasketut, ongelmien synnyn kannalta olennaiset polttoaineseoksen ja sen tuhkan ominaisuudet tunnetaan, verrataan niitä työssä koottuihin raja-arvoihin. Jos laskettu arvo on suurempi kuin rajaksi asetettu arvo, on todennäköistä, että kattilassa esiintyy ongelmia. Suurimmat ongelmat biopolttoaineiden leijupoltossa ovat likakerrostumien muodostuminen lämpöpinnoille, leijukerroksen sintraantuminen ja agglomeroituminen sekä lämpöpintojen korkealämpötilakorroosio. Raja-arvoina käytetään sekä tutkimustuloksina saatuja että käytännön kokemuksiin perustuvia arvoja. Raja-arvoja määritettäessä on huomioitu niiden soveltuvuus tarkastelun kohteena olevalle voimalaitokselle, jonka tyyppi ja kokoluokka vaikuttavat käytettäviin raja-arvoihin. Työkalu tukee keskikokoisen biovoimalaitoksen, jossa palaminen tapahtuu kerrosleijukattilassa, tuotteistusprosessia. Työkalua käytetään voimalaitoksen tuotteistuksessa optimaalisen polttoaineseoksen etsimiseen, riskienhallintaan sekä konseptikehitykseen. Lisäksi työkalua tullaan käyttämään valmiin tuotteen myyntiin ja markkinointiin.

Paperikoneen uuden lyhytkiertoprosessin sovellutuskehitys

Työssä tutkittiin uuden ShortFlowÔ-konseptin eri osa-alueiden toimivuutta paperikoneen lyhytkierrossa. Prosessin sekoituspumppuna perinteinen keskipakopumppu korvataan potkuri-pumpulla, joten työssä selvitettiin uudentyyppisen pumpun kavitointirajat, säädettävyys ja sen soveltuminen suunniteltuun tehtävään ja toiminta-alueeseen. Prosessiin kuuluu myös uudentyyppinen viirakaivo, josta selvitettiin sen kyky poistaa ilmaa ja virtauskäyttäytyminen kaivossa. Hienopaperikoneen osalta kartoitettiin prosessiin liittyviä riskejä ja ShortFlowÔ-lyhytkiertoprosessin kannattavuutta investointina. Työn kirjallisessa osassa on käsitelty lyhytkiertoa eri osa-alueittain. Aluksi on lyhytkierron yleisempi tarkastelu, jossa on selvitetty lajittelua, ilmanpoistoa ja pumppauksia. Erityisempää huomiota on kiinnitetty ShortFlowÔ-lyhytkiertoprosessiin liittyviin erityispiirteisiin joita ovat sakeamassalajittelu, täyteaineet paperitehtaalla, hylky ja virtausten sekoittuminen. Sekoituspumpun osalta on käsitelty myös kavitointia hieman tarkemmin. Työn kokeellisessa osassa suunniteltiin prosessin koelaitteisto, joka myös koeajettiin. Potkuripumpun koeajossa määritettiin potkuripumpun toiminta-alue ja säädettävyys. Pumpun todettiin sekoittavan ja ilman vaikutus potkuripumpun ominaisuuksiin todettiin merkityksettömäksi pumpun toiminta-alueella. Viirakaivon koeajossa selvisi, että viirakaivo poistaa ilmaa suunnittelualueella ja kaivolle löytyi muoto, jossa virtauskäyttäytyminen viirakaivossa eri laskeutumisnopeuksilla on mahdollisimman häiriötöntä. Hienopaperikoneen osalta riskien kartoituksessa selvisi, ettei täyteaine aiheuta ongelmia ja että päällystelaattaa sisältävä hylky on lajiteltava ennen lyhytkiertoa. ShortFlowÔ-lyhytkiertoprosessi oli edullisin sekä käyttö- että investointikustannuksiltaan.

Diagenetic processes in a partially dolomitized carbonate reservoir: Casablanca oil field, Valencia Trough, offshore Spain.

Mesozoic and Neogene carbonates located in the Valencia Trough (offshore Spain, western Mediterranean Sea)are oil reservoirs. This paper investigates the diagenetic evolution of the Upper Jurassic limestones, currently dolomitized, that constitute the main reservoir of the Casablanca oil field. Core samples from Casablanca-1A well have been studied to determine the diagenetic products and their relation with porosity evolution, and to reconstruct the fluid flow history prior to and during oil emplacement. On the basis of petrological observations and geochemical analyses (major, minor and trace element composition and oxygen, carbon and strontium isotope composition), a major dolomitization event is recognized postdating subaerial exposure, erosion and karstification. The dolomitization event originated two replacive dolomites (RD1 and RD2) and two dolomite cements (saddle dolomite cement, SDC, and milky-white dolomite cement, MDC)which are partially cogenetic. RD1, RD2 and SDC precipitated at increasing temperatures (over 60ºC and below 110ºC), probably from meteoric water mixed with marine water. The last dolomite type milky-white dolomite cement) precipitated with increasing burial conditions and by arrival of hydrothermal fluids during the Miocene. The post-dolomitization sequence comprises precipitation of calcite cement and partial calcitization of all previous dolomites. The oxygen, carbon and strontium isotope compositions suggest that this calcite cementation occurred from meteoric waters mixed with Burdigalian - Langhian marine waters trapped in the sediments and expelled by compaction in the moderate to deep burial realm. Normal faults were the conduits for upward migration of these fluids as well as for later oil expulsion from the Burdigalian - Langhian source rocks. Late corrosion associated with organic acid-enriched fluids took place prior or simultaneously to oil migration during the Pliocene, enhancing porosity and increasing eservoir quality.

Chistabino (Pyrenean Aragonese)

Chistabino is the variety of Aragonese, a Romance dialect descended from Latin, like Spanish, still spoken in the Valley of Gistau, bordering on France and formed by the River Cinqueta, in the central part of the Spanish Pyrenees (Province of Huesca). Although it is spoken mainly in the village of Gistaín (c. 240 inhabitants; c. 1400 m above sea-level, near latitude 42°35′), and is fairly well preserved by the older generations there, fluent speakers can still be found also in the nearby locality of San Juan. The other inhabited villages in the valley (Plan, Serveto, Sin and Saravillo) have suffered much greater degrees of erosion by Castilian (Standard Spanish), which has increased its influence through much improved communications, leading to the development of tourism in the area and emigration by the young in search of greater prosperity. The remaining village, Señes, has been uninhabited since 1970.

Ironía y autotraducción: de Epitelis tendríssims a El hotel de los cuentos y otros relatos neuróticos de Carme Riera

Erotismo e ironía fueron los componentes fundamentales sobre los que Carme Riera construyó los relatos de la colección Epitelis tendríssims, que la escritora mallorquina publicó en 1981. Sin embargo, en el intervalo de veintisiete años que media entre el original y la traducción de la propia autora, la percepción de ambos ingredientes por parte del público lector ha variado de manera considerable. Este artículo tiene por objeto analizar los procedimientos de actualización y las adaptaciones que Riera introduce en la versión castellana con el propósito de salvaguardar estas narraciones de la usura del tiempo.