Intralesional corticosteroid injections in the treatment of central giant cell lesions of the jaws

Objective: The aim of this study was to evaluate the response of treatment of central giant cell lesion to intralesional corticosteroid injections. Study Design: Review of articles indexed in PubMed on the topic between the years 1988 and 2011, and development of a descriptive meta-analysis of the results. Results: Sample of 41 patients primarily treated with intralesional corticosteroid injections was obtained, with a male female ratio of 1:0.95, being 23 aggressive and 18 non-aggressive central giant cell lesions. Triamcinolone acetonide and triamcinolone hexacetonide were the drugs used, and 78.0% cases were considered as good result, 14.6% were considered as moderate response and 7.3% were considered as negative result to treatment. Considering the aggressiveness, 88.9% of non-aggressive lesions presented a good response to treatment, in aggressive central giant cell lesions, 69.6% presented a good response to intralesional corticosteroid injections. Conclusion: In view of the results analyzed, intralesional corticosteroid injections could be considered as first treatment option for central giant cell lesion.

The prediction of flash evaporation in superheated fuel injections for automotive applications

In gasoline Port Fuel Injection (PFI) and Direct Injection (GDI) internal combustion engines, the liquid fuel might be injected into a gaseous ambient in a superheated state, resulting in flash boiling of the fuel. The importance to investigate and predict such a process is due to the influence it has on the liquid fuel atomization and vaporization and thus on combustion, with direct implications on engine performances and exhaust gas emissions. The topic of the present PhD research involves the numerical analysis of the behaviour of the superheated fuel during the injection process, in high pressure injection systems like the ones equipping GDI engines. Particular emphasis is on the investigation of the effects of the fuel superheating degree on atomization dynamics and spray characteristics. The present work is a look at the flash evaporation and flash boiling modeling, from an engineering point of view, addressed to keep the complex physics involved as simple as possible, however capturing the main characteristics of a superheated fuel injection.

Magma injections and destabilization of basaltic volcanoes: a numerical study. Application to La Reunion (Indian ocean, France) and Stromboli (Tyrrhenian sea, Italy)

Most basaltic volcanoes are affected by recurrent lateral instabilities during their evolution. Numerous factors have been shown to be involved in the process of flank destabilization occurring over long periods of time or by instantaneous failures. However, the role of these factors on the mechanical behaviour and stability of volcanic edifices is poorly-constrained as lateral failure usually results from the combined effects of several parameters. Our study focuses on the morphological and structural comparison of two end-member basaltic systems, La Reunion (Indian ocean, France) and Stromboli (southern Tyrrhenian sea, Italy). We showed that despite major differences on their volumes and geodynamic settings, both systems present some similarities as they are characterized by an intense intrusive activity along well-developed rift zones and recurrent phenomena of flank collapse during their evolution. Among the factors of instability, the examples of la Reunion and Stromboli evidence the major contribution of intrusive complexes to volcano growth and destruction as attested by field observations and the monitoring of these active volcanoes. Classical models consider the relationship between vertical intrusions of magma and flank movements along a preexisting sliding surface. A set of published and new field data from Piton des Neiges volcano (La Reunion) allowed us to recognize the role of subhorizontal intrusions in the process of flank instability and to characterize the geometry of both subvertical and subhorizontal intrusions within basaltic edifices. This study compares the results of numerical modelling of the displacements associated with high-angle and low-angle intrusions within basaltic volcanoes. We use a Mixed Boundary Element Method to investigate the mechanical response of an edifice to the injection of magmatic intrusions in different stress fields. Our results indicate that the anisotropy of the stress field favours the slip along the intrusions due to cointrusive shear stress, generating flank-scale displacements of the edifice, especially in the case of subhorizontal intrusions, capable of triggering large-scale flank collapses on basaltic volcanoes. Applications of our theoretical results to real cases of flank displacements on basaltic volcanoes (such as the 2007 eruptive crisis at La Reunion and Stromboli) revealed that the previous model of subvertical intrusions-related collapse is a likely mechanism affecting small-scale steeply-sloping basaltic volcanoes like Stromboli. Furthermore, our field study combined to modelling results confirms the importance of shallow-dipping intrusions in the morpho-structural evolution of large gently-sloping basaltic volcanoes like Piton de la Fournaise, Etna and Kilauea, with particular regards to flank instability, which can cause catastrophic tsunamis.

Confronto di performance tra applicazioni web SQL e NoSQL su grandi quantità di dati

Lo scopo di questa tesi è di mettere a confronto le performance, su grandi quantità di dati, tra applicazioni web basate su database a modello relazionale, noti come RDBMS, e applicazioni web basate su database a modello non-relazionale, meglio conosciuti con l'appellativo NoSQL. Sono stati selezionati sette casi d'uso appartenenti ad una applicazione reale per effettuare il confronto di prestazioni tra i seguenti database: MySQL, Microsoft SQL Server, OrientDB, MongoDB e BaseX.

Sviluppo di un modello di costo per Spark Sql

La quantità di dati che vengono generati e immagazzinati sta aumentando sempre più grazie alle nuove tecnologie e al numero di utenti sempre maggiore. Questi dati, elaborati correttamente, permettono quindi di ottenere delle informazioni di valore strategico che aiutano nell’effettuare decisioni aziendali a qualsiasi livello, dalla produzione fino al marketing. Sono nati soprattutto negli ultimi anni numerosi framework proprietari e open source che permettono l'elaborazione di questi dati sfruttando un cluster. In particolare tra i più utilizzati e attivi in questo momento a livello open source troviamo Hadoop e Spark. Obiettivo di questa tesi è realizzare un modello di Spark per realizzare una funzione di costo che sia non solo implementabile all’interno dell’ottimizzatore di Spark SQL, ma anche per poter effettuare delle simulazioni di esecuzione di query su tale sistema. Si è quindi studiato nel dettaglio con ducumentazione e test il comportamento del sistema per realizzare un modello. I dati ottenuti sono infine stati confrontati con dati sperimentali ottenuti tramite l'utilizzo di un cluster. Con la presenza di tale modello non solo risulta possibile comprendere in maniera più approfondita il reale comportamento di Spark ma permette anche di programmare applicazioni più efficienti e progettare con maggiore precisione sistemi per la gestione dei dataset che sfruttino tali framework.

Complete continence after botulinum neurotoxin type A injections for refractory idiopathic detrusor overactivity incontinence: patient-reported outcome at 4 weeks

Objective improvement following intradetrusor injections of botulinum neurotoxin type A (BoNTA) is well documented. Although patient-related outcome measures are highly recommended for monitoring overactive bladder symptoms, no study before has dealt with the question of patient-reported complete continence after BoNTA treatment using validated questionnaires.

(99m)Tc-DPD-SPECT/CT predicts the outcome of imaging-guided diagnostic anaesthetic injections: A prospective cohort study

We hypothesized that bone SPECT combined with multiplanar reconstructed CT can identify and target the pain-inducing focus in the foot and can be used to successfully guide anaesthetic infiltrations. Therefore we prospectively investigated feasibility and predictive value of bone SPECT/CT for image guided diagnostic infiltrations in patients with chronic foot pain.

Clean intermittent self-catheterization after botulinum neurotoxin type A injections: short-term effect on quality of life

OBJECTIVE: To investigate the hypothesis that the need for clean intermittent self-catheterization after botulinum neurotoxin type A injections is outweighed by the efficacy of this treatment, so that clean intermittent self-catheterization is not a burden for patients with refractory idiopathic detrusor overactivity. METHODS: Women undergoing intradetrusor injections of 200 units botulinum neurotoxin type A for refractory idiopathic detrusor overactivity were evaluated prospectively. Clean intermittent self-catheterization was discussed with all patients and its possible need after botulinum neurotoxin type A treatment. As indicator of quality of life, lower urinary tract symptom distress and effect on daily activities were assessed using the validated Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) before and 4 weeks after receiving botulinum neurotoxin type A injections. RESULTS: Mean age of the 65 women was 51 years, and all voided spontaneously before botulinum neurotoxin type A injections. After botulinum neurotoxin type A treatment, 28 (43%) required clean intermittent self-catheterization. Mean UDI-6 and IIQ-7 scores reduced from 61 to 33 (P<.001) and 62 to 30 (P<.001) in women performing clean intermittent self-catheterization and from 60 to 28 (P<.001) and 64 to 25 (P<.001) in those who did not, respectively. Comparison of quality of life in women performing clean intermittent self-catheterization and in those who did not revealed no significant differences before and after botulinum neurotoxin type A treatment. CONCLUSION: Clean intermittent self-catheterization after botulinum neurotoxin type A intradetrusor injections did not impair quality of life in appropriately informed and selected women in the short term. All patients should be informed of the potential need for clean intermittent self-catheterization after botulinum neurotoxin type A injections, and a willingness to do so should be a prerequisite for this still unlicensed off-label treatment.

Is the lateral extension of the acromion related to the outcome of shoulder injections?

OBJECTIVE To assess patients' outcomes after subacromial or glenohumeral injections based on the degree of lateral extension of the acromion. METHODS 307 patients were prospectively included after therapeutic fluoroscopy-guided subacromial (n = 148) or glenohumeral (n = 159) injections with anaesthetic and long-acting corticosteroids. Pre- and post-injection outcomes at 1 week and 1 month were obtained using the 11-point numerical rating scale (NRS) for pain. Lateral extension of the acromion was quantified and categorized by the critical shoulder angle (CSA) and the acromion index (AI) on anteroposterior conventional radiographs. RESULTS Patients' outcomes at 1 week and 1 month were significantly improved (p < 0.001) compared to baseline for subacromial and glenohumeral injection patients. Patients with a CSA <35° showed significantly higher pain reduction 1 month after subacromial injection compared to patients with a CSA >35° (4.2 ± 2.6 vs. 3.2 ± 3.0, p = 0.04). A significant difference in the 1-month NRS change in pain scores is noted for smaller AIs after subacromial injection (4.3 ± 2.8 vs. 2.6 ± 2.9; p = 0.01). No significant association was noted between clinical outcome and the lateral extension of the acromion after glenohumeral joint injections. CONCLUSIONS A short lateral extension of the acromion was associated with better clinical outcomes in subacromial injection patients but not in glenohumeral injection patients. KEY POINTS • Patients' outcomes at 1 month improved significantly compared to baseline for subacromial injections. • Patients' outcomes at 1 month improved significantly compared to baseline for glenohumeral injections. • Short acromial lateralization was associated with better clinical outcome after subacromial injection. • The acromial lateralization was not associated with clinical outcome after glenohumeral injection.

Scleral thinning after repeated intravitreal injections of antivascular endothelial growth factor agents in the same quadrant

PURPOSE We assessed the effects of intravitreal anti-vascular endothelial growth factor (anti-VEGF) therapy on scleral architecture using spectral domain anterior segment optical coherence tomography (OCT). METHODS A total of 35 eyes of 35 patients treated with at least 30 intravitreal injections in one eye in the inferotemporal quadrant with ranibizumab or aflibercept and 10 or less intravitreal injections in the fellow eye attending the intravitreal injection clinic were included. Enhanced depth imaging anterior segment OCT was used to measure scleral thickness. For each eye the sclera was measured in four quadrants at 3 mm from the limbus. In addition axial eye length was measured in all subjects using partial coherence interferometry. RESULTS The mean number of intravitreal injections was 42 (range, 30-73) and 1.6 (range, 0-9) in the fellow eyes. In the study eyes with more than 30 injections the average scleral thickness in the inferotemporal quadrant was 568.4 μm (SD ± 66 μm) and 590.6 μm (SD ± 75 μm) in the fellow eyes with 10 or less injections (P = 0.003). The mean average scleral thickness in the other three quadrants (inferonasal, superotemporal, and superonasal) was 536.6 μm in the study eyes (SD ± 100 μm) and 545.2 μm (SD ± 109 μm) in the fellow eyes (P = 0.22). There was a borderline association of the total number of injections with scleral thickness change in the inferotemporal quadrant (r = 0.3, P = 0.052). CONCLUSIONS Intravitreal injections may lead to scleral changes when applied repeatedly in the same quadrant. Thus, alternating the injection site should be considered in patients requiring multiple intravitreal injections.

Formalisation and experiences of R2RML-based SPARQL to SQL query translation using Morph

R2RML is used to specify transformations of data available in relational databases into materialised or virtual RDF datasets. SPARQL queries evaluated against virtual datasets are translated into SQL queries according to the R2RML mappings, so that they can be evaluated over the underlying relational database engines. In this paper we describe an extension of a well-known algorithm for SPARQL to SQL translation, originally formalised for RDBMS-backed triple stores, that takes into account R2RML mappings. We present the result of our implementation using queries from a synthetic benchmark and from three real use cases, and show that SPARQL queries can be in general evaluated as fast as the SQL queries that would have been generated by SQL experts if no R2RML mappings had been used.

Compilador de consultas tipo SQL para sistema de procesamiento masivo de eventos CEP

El paradigma de procesamiento de eventos CEP plantea la solución al reto del análisis de grandes cantidades de datos en tiempo real, como por ejemplo, monitorización de los valores de bolsa o el estado del tráfico de carreteras. En este paradigma los eventos recibidos deben procesarse sin almacenarse debido a que el volumen de datos es demasiado elevado y a las necesidades de baja latencia. Para ello se utilizan sistemas distribuidos con una alta escalabilidad, elevado throughput y baja latencia. Este tipo de sistemas son usualmente complejos y el tiempo de aprendizaje requerido para su uso es elevado. Sin embargo, muchos de estos sistemas carecen de un lenguaje declarativo de consultas en el que expresar la computación que se desea realizar sobre los eventos recibidos. En este trabajo se ha desarrollado un lenguaje declarativo de consultas similar a SQL y un compilador que realiza la traducción de este lenguaje al lenguaje nativo del sistema de procesamiento masivo de eventos. El lenguaje desarrollado en este trabajo es similar a SQL, con el que se encuentran familiarizados un gran número de desarrolladores y por tanto aprender este lenguaje no supondría un gran esfuerzo. Así el uso de este lenguaje logra reducir los errores en ejecución de la consulta desplegada sobre el sistema distribuido al tiempo que se abstrae al programador de los detalles de este sistema.---ABSTRACT---The complex event processing paradigm CEP has become the solution for high volume data analytics which demand scalability, high throughput, and low latency. Examples of applications which use this paradigm are financial processing or traffic monitoring. A distributed system is used to achieve the performance requisites. These same requisites force the distributed system not to store the events but to process them on the fly as they are received. These distributed systems are complex systems which require a considerably long time to learn and use. The majority of such distributed systems lack a declarative language in which to express the computation to perform over incoming events. In this work, a new SQL-like declarative language and a compiler have been developed. This compiler translates this new language to the distributed system native language. Due to its similarity with SQL a vast amount of developers who are already familiar with SQL will need little time to learn this language. Thus, this language reduces the execution failures at the time the programmer no longer needs to know every single detail of the underlying distributed system to submit a query.