CLINICAL AND FORENSIC ASPECTS OF PHARMACOBEZOARS

2020 ◽  
Vol 12 ◽  
Author(s):  
Francisco Basílio ◽  
Ricardo Jorge Dinis-Oliveira
Keyword(s):  
State Of The Art ◽  
Signs And Symptoms ◽  
Immediate Release ◽  
Diagnosis And Treatment ◽  
Blood Concentrations ◽  
Forensic Practice ◽  
Wide Range ◽  
Therapeutic Doses ◽  
Complete History ◽  
Lethal Blood

Background: Pharmacobezoars are specific types of bezoars formed when medicines, such as tablets, suspensions, and/or drug delivery systems, aggregate and may cause death by occluding airways with tenacious material or by eluting drugs resulting in toxic or lethal blood concentrations. Objective: This work aims to fully review the state-of-the-art regarding pathophysiology, diagnosis, treatment and other relevant clinical and forensic features of pharmacobezoars. Results: patients of a wide range of ages and in both sexes present with signs and symptoms of intoxications or more commonly gastrointestinal obstructions. The exact mechanisms of pharmacobezoar formation are unknown but is likely multifactorial. The diagnosis and treatment depend on the gastrointestinal segment affected and should be personalized to the medication and the underlying factor. A good and complete history, physical examination, image tests, upper endoscopy and surgery through laparotomy of the lower tract are useful for diagnosis and treatment. Conclusion: Pharmacobezoars are rarely seen in clinical and forensic practice. They are related to controlled or immediate-release formulations, liquid or non-digestible substances, in normal or altered digestive motility/anatomy tract, and in overdoses or therapeutic doses, and should be suspected in the presence of risk factors or patients taking drugs which may form pharmacobezoars.

Computers in Geology - 25 Years of Progress

1994 ◽  
Keyword(s):  
Computer Modeling ◽  
Quantitative Methods ◽  
State Of The Art ◽  
International Association ◽  
Mathematical Geology ◽  
25Th Anniversary ◽  
The Earth ◽  
Wide Range ◽  
History Of ◽  
Mapping Techniques

This volume vividly demonstrates the importance and increasing breadth of quantitative methods in the earth sciences. With contributions from an international cast of leading practitioners, chapters cover a wide range of state-of-the-art methods and applications, including computer modeling and mapping techniques. Many chapters also contain reviews and extensive bibliographies which serve to make this an invaluable introduction to the entire field. In addition to its detailed presentations, the book includes chapters on the history of geomathematics and on R.G.V. Eigen, the "father" of mathematical geology. Written to commemorate the 25th anniversary of the International Association for Mathematical Geology, the book will be sought after by both practitioners and researchers in all branches of geology.

scholarly journals Density Guarantee on Finding Multiple Subgraphs and Subtensors

2021 ◽  
Vol 15 (5) ◽  
pp. 1-32
Author(s):  
Quang-huy Duong ◽  
Heri Ramampiaro ◽  
Kjetil Nørvåg ◽  
Thu-lan Dam
Keyword(s):  
Lower Bound ◽  
State Of The Art ◽  
The State ◽  
The Other ◽  
Exact Methods ◽  
Practical Solution ◽  
Novel Approach ◽  
Wide Range ◽  
Real World Datasets ◽  
Tensor Data

Dense subregion (subgraph & subtensor) detection is a well-studied area, with a wide range of applications, and numerous efficient approaches and algorithms have been proposed. Approximation approaches are commonly used for detecting dense subregions due to the complexity of the exact methods. Existing algorithms are generally efficient for dense subtensor and subgraph detection, and can perform well in many applications. However, most of the existing works utilize the state-or-the-art greedy 2-approximation algorithm to capably provide solutions with a loose theoretical density guarantee. The main drawback of most of these algorithms is that they can estimate only one subtensor, or subgraph, at a time, with a low guarantee on its density. While some methods can, on the other hand, estimate multiple subtensors, they can give a guarantee on the density with respect to the input tensor for the first estimated subsensor only. We address these drawbacks by providing both theoretical and practical solution for estimating multiple dense subtensors in tensor data and giving a higher lower bound of the density. In particular, we guarantee and prove a higher bound of the lower-bound density of the estimated subgraph and subtensors. We also propose a novel approach to show that there are multiple dense subtensors with a guarantee on its density that is greater than the lower bound used in the state-of-the-art algorithms. We evaluate our approach with extensive experiments on several real-world datasets, which demonstrates its efficiency and feasibility.

An Animal Protection Sponsor's View of MEIC

1997 ◽  
Vol 25 (3) ◽  
pp. 343-345
Author(s):  
Ethel Thurston
Keyword(s):  
Gold Standard ◽  
Animal Cell ◽  
Scientific Evidence ◽  
In Vitro Cytotoxicity ◽  
In Vitro Tests ◽  
Blood Concentrations ◽  
Animal Protection ◽  
Animal Tests ◽  
Lethal Blood

The Multicenter Evaluation of In Vitro Cytotoxicity programme is most important to animal protection, since it has validated 64 in vitro tests using advanced human data for 50 chemicals as the “gold standard”. Therefore, it has been able to compare animal cell tests, human cell tests and whole-animal tests fairly with unbiased scientific evidence. Added bonuses have included the identification and development of missing in vitro information (“missing tests”), publication of time-related lethal blood concentrations for all 50 chemicals, and some preliminary plans to resolve the 50,000 untested (or poorly tested) chemicals in the chemical mountain.

Efficient Directed Densest Subgraph Discovery

2021 ◽  
Vol 50 (1) ◽  
pp. 33-40
Author(s):  
Chenhao Ma ◽  
Yixiang Fang ◽  
Reynold Cheng ◽  
Laks V.S. Lakshmanan ◽  
Wenjie Zhang ◽  
...  
Keyword(s):  
Approximation Algorithms ◽  
State Of The Art ◽  
Exact Algorithms ◽  
Large Datasets ◽  
Dense Subgraph ◽  
Extensive Evaluation ◽  
Wide Range ◽  
Edge Graph ◽  
Community Mining ◽  
Densest Subgraph

Given a directed graph G, the directed densest subgraph (DDS) problem refers to the finding of a subgraph from G, whose density is the highest among all the subgraphs of G. The DDS problem is fundamental to a wide range of applications, such as fraud detection, community mining, and graph compression. However, existing DDS solutions suffer from efficiency and scalability problems: on a threethousand- edge graph, it takes three days for one of the best exact algorithms to complete. In this paper, we develop an efficient and scalable DDS solution. We introduce the notion of [x, y]-core, which is a dense subgraph for G, and show that the densest subgraph can be accurately located through the [x, y]-core with theoretical guarantees. Based on the [x, y]-core, we develop both exact and approximation algorithms. We have performed an extensive evaluation of our approaches on eight real large datasets. The results show that our proposed solutions are up to six orders of magnitude faster than the state-of-the-art.

scholarly journals Nutritional Optic Neuropathies: State of the Art and Emerging Evidences

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2653
Author(s):  
Matilde Roda ◽  
Natalie di Geronimo ◽  
Marco Pellegrini ◽  
Costantino Schiavi
Keyword(s):  
Bariatric Surgery ◽  
Optic Neuropathy ◽  
Multidisciplinary Approach ◽  
State Of The Art ◽  
Signs And Symptoms ◽  
Therapeutic Strategies ◽  
Scientific Interest ◽  
Optic Nerve Atrophy ◽  
Prompt Diagnosis

Nutritional optic neuropathy is a cause of bilateral, symmetrical, and progressive visual impairment with loss of central visual acuity and contrast sensitivity, dyschromatopsia, and a central or centrocecal scotoma. The clinical features are not pathognomonic, since hereditary and toxic forms share similar signs and symptoms. It is becoming increasingly common due to the widespread of bariatric surgery and strict vegetarian or vegan diets, so even the scientific interest has recently increased. In particular, recent studies have focused on possible pathogenetic mechanisms, and on novel diagnostic and therapeutic strategies in order to prevent the onset, make a prompt diagnosis and an accurate nutritional supplementation, and to avoid irreversible optic nerve atrophy. Nowadays, there is clear evidence of the role of cobalamin, folic acid, thiamine, and copper, whereas further studies are needed to define the role of niacin, riboflavin, and pyridoxine. This review aims to summarize the etiology, diagnosis, and treatment of nutritional optic neuropathy, and it is addressed not only to ophthalmologists, but to all physicians who could come in contact with a patient with a possible nutritional optic neuropathy, being a fundamental multidisciplinary approach.

scholarly journals Cache-efficient sweeping-based interval joins for extended Allen relation predicates

2021 ◽  
Author(s):  
Danila Piatov ◽  
Sven Helmer ◽  
Anton Dignös ◽  
Fabio Persia
Keyword(s):  
Data Structure ◽  
Experimental Evaluation ◽  
State Of The Art ◽  
Temporal Databases ◽  
Access Method ◽  
Wide Range ◽  
Interval Relation ◽  
Cache Efficient ◽  
Join Algorithms ◽  
Better Than

AbstractWe develop a family of efficient plane-sweeping interval join algorithms for evaluating a wide range of interval predicates such as Allen’s relationships and parameterized relationships. Our technique is based on a framework, components of which can be flexibly combined in different manners to support the required interval relation. In temporal databases, our algorithms can exploit a well-known and flexible access method, the Timeline Index, thus expanding the set of operations it supports even further. Additionally, employing a compact data structure, the gapless hash map, we utilize the CPU cache efficiently. In an experimental evaluation, we show that our approach is several times faster and scales better than state-of-the-art techniques, while being much better suited for real-time event processing.

scholarly journals Simulating the interstellar medium of galaxies with radiative transfer, non-equilibrium thermochemistry, and dust

2020 ◽  
Vol 499 (4) ◽  
pp. 5732-5748 ◽  
Author(s):  
Rahul Kannan ◽  
Federico Marinacci ◽  
Mark Vogelsberger ◽  
Laura V Sales ◽  
Paul Torrey ◽  
...  
Keyword(s):  
Interstellar Medium ◽  
Galaxy Formation ◽  
State Of The Art ◽  
Complex Function ◽  
Ionization State ◽  
Radiation Fields ◽  
Stellar Feedback ◽  
Wide Range ◽  
Dust Distribution ◽  
Non Equilibrium

ABSTRACT We present a novel framework to self-consistently model the effects of radiation fields, dust physics, and molecular chemistry (H2) in the interstellar medium (ISM) of galaxies. The model combines a state-of-the-art radiation hydrodynamics module with a H  and He  non-equilibrium thermochemistry module that accounts for H2 coupled to an empirical dust formation and destruction model, all integrated into the new stellar feedback framework SMUGGLE. We test this model on high-resolution isolated Milky-Way (MW) simulations. We show that the effect of radiation feedback on galactic star formation rates is quite modest in low gas surface density galaxies like the MW. The multiphase structure of the ISM, however, is highly dependent on the strength of the interstellar radiation field. We are also able to predict the distribution of H2, that allow us to match the molecular Kennicutt–Schmidt (KS) relation, without calibrating for it. We show that the dust distribution is a complex function of density, temperature, and ionization state of the gas. Our model is also able to match the observed dust temperature distribution in the ISM. Our state-of-the-art model is well-suited for performing next-generation cosmological galaxy formation simulations, which will be able to predict a wide range of resolved (∼10 pc) properties of galaxies.

scholarly journals Technology-enhanced and game based learning for children with special needs: a systematic mapping study

2021 ◽  
Author(s):  
Jose A. Gallud ◽  
Monica Carreño ◽  
Ricardo Tesoriero ◽  
Andrés Sandoval ◽  
María D. Lozano ◽  
...  
Keyword(s):  
Special Needs ◽  
State Of The Art ◽  
Research Community ◽  
Systematic Mapping Study ◽  
Children With Special Needs ◽  
Game Based Learning ◽  
Mapping Study ◽  
Systematic Mapping ◽  
Wide Range ◽  
Research Questions

AbstractTechnology-based education of children with special needs has become the focus of many research works in recent years. The wide range of different disabilities that are encompassed by the term “special needs”, together with the educational requirements of the children affected, represent an enormous multidisciplinary challenge for the research community. In this article, we present a systematic literature review of technology-enhanced and game-based learning systems and methods applied on children with special needs. The article analyzes the state-of-the-art of the research in this field by selecting a group of primary studies and answering a set of research questions. Although there are some previous systematic reviews, it is still not clear what the best tools, games or academic subjects (with technology-enhanced, game-based learning) are, out of those that have obtained good results with children with special needs. The 18 articles selected (carefully filtered out of 614 contributions) have been used to reveal the most frequent disabilities, the different technologies used in the prototypes, the number of learning subjects, and the kind of learning games used. The article also summarizes research opportunities identified in the primary studies.

Laryngeal cancer

2021 ◽  
pp. 175573802110105
Author(s):  
Kelvin Miu
Keyword(s):  
Head And Neck Cancer ◽  
Early Diagnosis ◽  
Head And Neck ◽  
Patient Outcomes ◽  
Laryngeal Cancer ◽  
Neck Cancer ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Diagnosis And Treatment

Laryngeal cancer is a common head and neck cancer and typically presents with voice hoarseness in patients older than 60 years. Early recognition of signs and symptoms of laryngeal cancer can lead to early diagnosis and treatment, therefore improving patient outcomes. This article aims to provide an overview of the anatomy of the larynx, presentation and management of laryngeal cancer, and common follow-up problems.

The State of the Art of Rubber-Seal Technology

1987 ◽  
Vol 60 (3) ◽  
pp. 381-416 ◽  
Author(s):  
B. S. Nau
Keyword(s):  
State Of The Art ◽  
Test Procedure ◽  
Working Party ◽  
The State ◽  
Supporting Evidence ◽  
Wide Range ◽  
Lip Seals ◽  
Alternative Hypotheses ◽  
Series Of Experiments ◽  
Range Of Values

Abstract The understanding of the engineering fundamentals of rubber seals of all the various types has been developing gradually over the past two or three decades, but there is still much to understand, Tables V–VII summarize the state of the art. In the case of rubber-based gaskets, the field of high-temperature applications has scarcely been touched, although there are plans to initiate work in this area both in the U.S.A. at PVRC, and in the U.K., at BHRA. In the case of reciprocating rubber seals, a broad basis of theory and experiment has been developed, yet it still is not possible to design such a seal from first principles. Indeed, in a comparative series of experiments run recently on seals from a single batch, tested in different laboratories round the world to the same test procedure, under the aegis of an ISO working party, a very wide range of values was reported for leakage and friction. The explanation for this has still to be ascertained. In the case of rotary lip seals, theories and supporting evidence have been brought forward to support alternative hypotheses for lubrication and sealing mechanisms. None can be said to have become generally accepted, and it remains to crystallize a unified theory.

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