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Poststernotomy mediastinitis: a review of conventional surgical treatments, vacuum-assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm.

Poststernotomy mediastinitis, also commonly called deep sternal wound infection, is one of the most feared complications in patients undergoing cardiac surgery. The overall incidence of poststernotomy mediastinitis is relatively low, between 1% and 3%, however, this complication is associated with a significant mortality, usually reported to vary between 10% and 25%. At the present time, there is

Mass transport of aliphatic alcohols and esters through hydrophobic pervaporation membranes

Mass transport in pervaporation of multi-component mixtures of homologous series of alcohols and esters through composite pervaporation membranes has been investigated. Pervaporation experiments were performed in a concentration range relevant for aroma recovery, using a membrane with an active layer of poly (octyl) methylsiloxane (POMS) caste on a porous polyetherimide (PEI) support. The fluxes,

Function of adult pig hearts after 2 and 12 hours of cold cardioplegic preservation

BACKGROUND: Most cardioplegic solutions have been developed using the classic Langendorf heart perfusion model, which only allows a short experimental follow-up. Our aim was to investigate hearts after prolonged storage by using a physiologic model including prolonged perfusion with normal, fresh blood. METHODS: Sixteen hearts from 60-kg pigs were preserved with dextran-enriched (dextran-40, 35 g/

Transport biofuels in the European Union: The state of play

The implementation of the Biofuels Directive (2003/30/EC) in 25 member states is assessed here. Implementation problems are identified and analysed for the purpose of suggesting a way forward for biofuels policy in the European Union. Three main patterns are observed: effective implementation, formal compliance and weak implementation. Problems encountered in the policy process are both of a pract

The tectonothermal evolution and provenance of the Tyrone Central Inlier, Ireland: Grampian imbrication of an outboard Laurentian microcontinent?

The Tyrone Central Inlier is a metamorphic terrane of uncertain affinity situated outboard of the main Dalradian outcrop (south of the Fair Head-Clew Bay Line) and could represent sub-arc basement to part of the enigmatic Midland Valley Terrane. Using a combination of isotopic, structural and petrographic evidence, the tectonothermal evolution of the Tyrone Central Inlier was investigated. Sillima

Occupational risk factors for small bowel carcinoid tumor: A European population-based case-control study

Small bowel carcinoid tumor (SBC) is a rare disease of unknown etiology bill with all age-, sex-, and place-specific occurrence that may indicate an occupational origin. A European multicenter population-based case-control study was conducted from 1995 through 1997. Incident SBC cases between 35 and 69 years of age (n = 101) were identified, together with 3335 controls sampled from the catchment a

Inflammation and cholesterol

Atherosclerosis develops as a result of a chronic arterial inflammation and intimal Fibrosis. The disease represents in many respects a vascular repair process activated in response to injury caused by toxic breakdown products of aggregated and oxidized lipoproteins. The initial response of the artery involves expression of adhesion molecules and recruitment of leukocytes. Degenerated lipoproteins

Logistics in the life cycle of Photosystem IIlateral movement in the thylakoid membrane and activation of electron transfer

Due to its unique ability to split water, Photosystem II (PSII) is easily accessible to oxidative damage. Photoinhibited PSII centres diffuse laterally from the grana core region of the thylakoid membrane to the stroma lamellae in order to allow replacement of damaged proteins and cofactors. The 'new born' PSII centres in this region are characterized by the absence of the water splitting capacity

How do birds' tails work? Delta-wing theory fails to predict tail shape during flight

Birds appear to use their tails during flight, but until recently the aerodynamic role that tails fulfil was largely unknown. In recent years delta-wing theory, devised to predict the aerodynamics of high-performance aircraft, has been applied to the tails of birds and has been successful in providing a model for the aerodynamics of a birds tail. This theory now provides the conventional explanati

Support for Ad-Hoc applications in ubiquitous computing

This thesis presents work within the area of ubiquitous computing, an area based on a vision of computers blending into the background. The work has been done within the EU project PalCom that introduces palpable computing. Palpable computing puts a new perspective on ubiquitous computing, by focusing on human understandability. The thesis goals are to allow for ad-hoc combinations of services an

Endogenous nitric oxide as a physiological regulator of vascular tone in cat skeletal muscle during haemorrhage

The problem whether endogenous nitric oxide (NO) may serve as a true physiological regulator of vascular tone in vivo was approached by testing its role during graded acute haemorrhage with the aid of the nitric oxide synthase (NOS) inhibitor L-NAME. The study was performed on the vascular bed of cat skeletal muscle with a technique permitting quantitative recordings of vascular resistance in the

Prognostic significance of elevated creatine kinase MB after coronary bypass surgery and after an acute coronary syndrome: Results from the GUARDIAN trial

Objective: To determine if the correlation between magnitude of creatine kinase-myocardial band release after coronary artery bypass surgery and 6-month mortality is comparable to that of patients admitted with an acute coronary syndrome. Methods: The GUARDIAN trial tested the efficacy of cariporide, an Na+/H+ exchange inhibitor, on reduction of myocardial ischemia or death in high-risk patients.

Navigating towards sustainable development: A system dynamics approach

Traditional fragmented and mechanistic science is unable to cope with issues about sustainability, as these are often related to complex, self-organizing systems. In the paper, sustainable development is seen as an unending process defined neither by fixed goals nor by specific means of achieving them. It is argued that, in order to understand the sources of and the solutions to modern problems, l

Diabetes duration may modify the association between genetic variation in the glycoprotein la subunit of the platelet collagen receptor and risk of severe diabetic retinopathy: a working hypothesis

Genetic factors appear to contribute to the severity and progression of diabetic retinopathy. We assessed the associations of the C807T and Glu505Lys variants of the glycoprotein Ia (alpha(2) integrin) subunit of the platelet/endothelial collagen receptor and risk of retinopathy in a population-based survey of 288 diabetic patients in one Swedish community. Neither variant was associated with reti