Transcervical heller myotomy using flexible endoscopy.

Science.gov (United States)

Spaun, Georg O; Dunst, Christy M; Arnold, Brittany N; Martinec, Danny V; Cassera, Maria A; Swanström, Lee L

2010-12-01

Esophageal achalasia is most commonly treated by laparoscopic myotomy. Transesophageal approaches using flexible endoscopy have recently been described. We hypothesized that using techniques and flexible instruments from our NOTES experience through a small cervical incision would be a safer and less traumatic route for esophageal myotomy. The purpose of this study was to evaluate the feasibility, safety, and success rate of using flexible endoscopes to perform anterior or posterior Heller myotomy via a transcervical approach. This animal (porcine) and human cadaver study was conducted at the Legacy Research and Technology Center. Mediastinal operations on ten live, anesthetized pigs and two human cadavers were performed using standard flexible endoscopes through a small incision at the supra-sternal notch. The esophagus was dissected to the phreno-esophageal junction using balloon dilatation in the peri-esophageal space followed by either anterior or posterior distal esophageal myotomy. Success rate was recorded of esophageal dissection to the diaphragm and proximal stomach, anterior and posterior myotomy, perforation, and complication rates. Dissection of the esophagus to the diaphragm and performing esophageal myotomy was achieved in 100% of attempts. Posterior Heller myotomy was always extendable onto the gastric wall, while anterior gastric extension of the myotomy was found to be more difficult (4/4 and 2/8, respectively; P = 0.061). Heller myotomy through a small cervical incision using flexible endoscopes is feasible. A complete Heller myotomy was performed with a higher success rate posteriorly possibly due to less anatomic interference.

Videoscopic Heller Myotomy with Intraoperative Endoscopy Promotes Optimal Outcomes

Science.gov (United States)

Bloomston, Mark; Brady, Patrick

2002-01-01

Background and Objectives: Minimally invasive surgical techniques are applicable to achalasia, but the optimum approach to intraoperative assessment of adequacy of myotomy remains unestablished. We set out to show that videoscopic Heller myotomy with concurrent endoscopy ensures adequacy of myotomy while limiting postoperative clinically apparent reflux. Methods: Seventy-eight consecutive patients with achalasia underwent videoscopic Heller myotomy with concomitant endoscopy between 1992 and 1998. Fundoplication was not routinely undertaken. Results: Preoperative symptoms consisted of dysphagia (100%), emesis/regurgitation (68%), heartburn (58%), and postprandial chest pain (49%). Following myotomy, significant improvement (P Heller myotomy guides the extent and adequacy of myotomy. By utilizing a focused dissection with preservation of the natural antireflux mechanisms around the gastroesophageal junction and limiting the extent of myotomy along the cardia, postoperative reflux symptoms are minimized. We advocate concomitant endoscopy during Heller myotomy to guide myotomy and submit that routine fundoplication is clinically unnecessary. PMID:12113416

Laparoscopic Heller myotomy for achalasia: results after 10 years.

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Cowgill, Sarah M; Villadolid, Desiree; Boyle, Robert; Al-Saadi, Sam; Ross, Sharona; Rosemurgy, Alexander S

2009-12-01

Laparoscopic Heller myotomy was first undertaken in the early 1990s, and appreciable numbers of patients with 10-year follow-up periods are now available. This study was undertaken to determine long-term outcomes after laparoscopic Heller myotomy used to treat achalasia. Of 337 patients who have undergone laparoscopic Heller myotomy since 1992, 47 who underwent myotomy more than 10 years ago have been followed through a prospectively maintained registry. Among many symptoms, patients scored dysphagia, chest pain, vomiting, regurgitation, choking, and heartburn before and after myotomy using a Likert scale with choices ranging from 0 (never/not bothersome) to 10 (always/very bothersome). Symptom scores before and after myotomy were compared using a Wilcoxon matched-pairs test. Data are reported as median (mean ± standard deviation). The median length of the hospital stay was 2 days (mean, 3 ± 8.6 days; range, 1-60 days). Notable complications were infrequent after myotomy. There were no perioperative deaths. One patient required a redo myotomy after 5 years due to recurrence of symptoms. At this writing, 33 patients (70%) are still alive. The causes of death after discharge were unrelated to myotomy. The frequency and severity scores for dysphagia, chest pain, vomiting, regurgitation, choking, and heartburn all decreased significantly after laparoscopic Heller myotomy (p Heller myotomy can be undertaken with few complications. This procedure significantly decreases the frequency and severity of achalasia symptoms without promoting heartburn. The symptoms of achalasia are durably ameliorated by laparoscopic Heller myotomy during long-term follow-up evaluation, thereby promoting application of this procedure.

A Conversation with Adam Heller.

Science.gov (United States)

Heller, Adam; Cairns, Elton J

2015-01-01

Adam Heller, Ernest Cockrell Sr. Chair in Engineering Emeritus of the John J. McKetta Department of Chemical Engineering at The University of Texas at Austin, recalls his childhood in the Holocaust and his contributions to science and technology that earned him the US National Medal of Technology and Innovation in a conversation with Elton J. Cairns, Professor of Chemical and Biomolecular Engineering at the University of California, Berkeley. Dr. Heller, born in 1933, describes the enslavement of his father by Hungarians in 1942; the confiscation of his family's home, business, and all its belongings in 1944; and his incarceration in a brick factory with 18,000 Jews who were shipped by the Hungarians to be gassed by Germans in Auschwitz. Dr. Heller and his immediate family survived the Holocaust and arrived in Israel in 1945. He studied under Ernst David Bergmann at the Hebrew University, and then worked at Bell Laboratories and GTE Laboratories, where he headed Bell Lab's Electronic Materials Research Department. At GTE Laboratories, he built in 1966 the first neodymium liquid lasers and in 1973 with Jim Auborn conceived and engineered the lithium thionyl chloride battery, one of the first to be manufactured lithium batteries, which is still in use. After joining the faculty of engineering of The University of Texas at Austin, he cofounded with his son Ephraim Heller TheraSense, now a major part of Abbott Diabetes Care, which produced a microcoulometer that made the monitoring of glucose painless by accurately measuring the blood glucose concentration in 300 nL of blood. He also describes the electrical wiring of enzymes, the basis for Abbott's state-of-the-art continuous glucose monitoring system. He discusses his perspective of reducing the risk of catastrophic global warming in a wealth-accumulating, more-energy-consuming world and provides advice for students entering careers in science or engineering.

[Laparoscopic Heller myotomy for esophageal achalasia].

Science.gov (United States)

Ibáñez, Luis; Butte, Jean Michel; Pimentel, Fernando; Escalona, Alex; Pérez, Gustavo; Crovari, Fernando; Guzmán, Sergio; Llanos, Osvaldo

2007-04-01

Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter. The best treatment is surgical and the laparoscopic approach may have good results. To assess the results of laparoscopic Heller myotomy among patients with achalasia. Prospective study of patients subjected to a laparoscopic Heller myotomy between 1995 and 2004. Clinical features, early and late operative results were assessed. Twenty seven patients aged 12 to 74 years (12 females) were operated. All had disphagia lasting for a mean of 32 months. Mean lower esophageal sphincter pressure ranged from 18 to 85 mmHg. Eight patients received other treatments prior to surgery but symptoms persisted or reappeared. The preoperative clinical score was 7. No patient died and no procedure had to be converted to open surgery. In a follow up of 21 to 131 months, all patients are satisfied with the surgical results and the postoperative clinical score is 1. Only one patient with a mega esophagus maintained a clinical score of six. In this series of patients, laparoscopic Heller myotomy was an effective and safe treatment for esophageal achalasia.

Endoscopic Therapy for Achalasia Before Heller Myotomy Results in Worse Outcomes Than Heller Myotomy Alone

Science.gov (United States)

Smith, C Daniel; Stival, Alessandro; Howell, D Lee; Swafford, Vickie

2006-01-01

Objective: Heller myotomy has been shown to be an effective primary treatment of achalasia. However, many physicians treating patients with achalasia continue to offer endoscopic therapies before recommending operative myotomy. Herein we report outcomes in 209 patients undergoing Heller myotomy with the majority (74%) undergoing myotomy as secondary treatment of achalasia. Methods: Data on all patients undergoing operative management of achalasia are collected prospectively. Over a 9-year period (1994–2003), 209 patients underwent Heller myotomy for achalasia. Of these, 154 had undergone either Botox injection and/or pneumatic dilation preoperatively. Preoperative, operative, and long-term outcome data were analyzed. Statistical analysis was performed with multiple χ2 and Mann-Whitney U analyses, as well as ANOVA. Results: Among the 209 patients undergoing Heller myotomy for achalasia, 154 received endoscopic therapy before being referred for surgery (100 dilation only, 33 Botox only, 21 both). The groups were matched for preoperative demographics and symptom scores for dysphagia, regurgitation, and chest pain. Intraoperative complications were more common in the endoscopically treated group with GI perforations being the most common complication (9.7% versus 3.6%). Postoperative complications, primarily severe dysphagia, and pulmonary complications were more common after endoscopic treatment (10.4% versus 5.4%). Failure of myotomy as defined by persistent or recurrent severe symptoms, or need for additionally therapy including redo myotomy or esophagectomy was higher in the endoscopically treated group (19.5% versus 10.1%). Conclusion: Use of preoperative endoscopic therapy remains common and has resulted in more intraoperative complications, primarily perforation, more postoperative complications, and a higher rate of failure than when no preoperative therapy was used. Endoscopic therapy for achalasia should not be used unless patients are not candidates for

Videoscopic Heller myotomy for achalasia--results beyond short-term follow-up.

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Bloomston, M; Boyce, W; Mamel, J; Albrink, M; Murr, M; Durkin, A; Rosemurgy, A

2000-08-01

Heller myotomy has long been utilized for patients failing nonoperative management of achalasia. Videoscopy has been advocated to decrease the morbidity of Heller myotomy; however, few reports document outcome beyond 1 year after videoscopic Heller myotomy. To determine perioperative morbidity, relief of dysphagia, and the incidence of postoperative reflux symptoms following videoscopic Heller myotomy with follow-up to over 4 years. Patients with achalasia documented by barium esophogram and esophageal manometry underwent videoscopic Heller myotomy beginning in 1992. Intraoperative peroral endoscopy was utilized to guide the cephalad and caudad extent of myotomy. A barium esophogram was undertaken in the immediate postoperative period to evaluate for subclinical leak and assess esophageal emptying. Seventy-eight patients underwent videoscopic Heller myotomy. The mean age was 51 years +/- 19 (range 14 to 91). Most (62%) patients had undergone pneumatic dilation prior to surgical consultation and 54% had previous botox injections. All patients complained of dysphagia and 40% had symptoms of heartburn prior to myotomy. After myotomy, 91% of patients stated that their swallowing was improved with myotomy. Thirteen patients (18%) experience heartburn more than once per week after myotomy. The average length of stay was 2 +/- 2 days, with 72% of patients spending 2 days or fewer in the hospital. Six (7.7%) major complications occurred: five esophageal perforations and one enterotomy without long-term sequellae. Three procedures (3.8%) were converted to "open" procedures. No deaths occurred. We conclude that videoscopic Heller myotomy is safe and efficacious, with low morbidity and mortality. Videoscopic myotomy provides relief beyond the short term for dysphagia due to achalasia with minimal reflux symptoms. We advocate videoscopic Heller myotomy in the treatment of severe dysphagia due to achalasia not adequately palliated by or amenable to nonoperative management

Peroral endoscopic remyotomy for failed Heller myotomy: a prospective single-center study.

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Zhou, P H; Li, Q L; Yao, L Q; Xu, M D; Chen, W F; Cai, M Y; Hu, J W; Li, L; Zhang, Y Q; Zhong, Y S; Ma, L L; Qin, W Z; Cui, Z

2013-01-01

Recurrence/persistence of symptoms occurs in approximately 20 % of patients after Heller myotomy for achalasia. Controversy exists regarding the therapy for patients in whom Heller myotomy has failed. The aim of the current study was to evaluate the efficacy and feasibility of peroral endoscopic myotomy (POEM), a new endoscopic myotomy technique, for patients with failed Heller myotomy. A total of 12 patients with recurrence/persistence of symptoms after Heller myotomy, as diagnosed by established methods and an Eckardt score of ≥ 4, were prospectively included. The primary outcome was symptom relief during follow-up, defined as an Eckardt score of ≤ 3. Secondary outcomes were procedure-related adverse events, lower esophageal sphincter (LES) pressure on manometry, reflux symptoms, and medication use before and after POEM. All 12 patients underwent successful POEM after a mean of 11.9 years (range 2 - 38 years) from the time of the primary Heller myotomy. No serious complications related to POEM were encountered. During a mean follow-up period of 10.4 months (range 5 - 14 months), treatment success was achieved in 11/12 patients (91.7 %; mean score pre- vs. post-treatment 9.2 vs. 1.3; P Heller myotomy resulting in short-term symptom relief in > 90 % of cases. Previous Heller myotomy may make subsequent endoscopic remyotomy more challenging, but does not prevent successful POEM. © Georg Thieme Verlag KG Stuttgart · New York.

Crustacea; Talitridae

African Journals Online (AJOL)

Distribution of the amphipod, Talorchestia capensis (Crustacea; Talitridae) has been studied in a dune-beach system. The majority of amphipods occurred in dune slacks with fewer on the beach. No zonation of size classes existed, both juveniles and adults occurring throughout the slack. Amphipods were concentrated in ...

Defining the learning curve of laparoendoscopic single-site Heller myotomy.

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Ross, Sharona B; Luberice, Kenneth; Kurian, Tony J; Paul, Harold; Rosemurgy, Alexander S

2013-08-01

Initial outcomes suggest laparoendoscopic single-site (LESS) Heller myotomy with anterior fundoplication provides safe, efficacious, and cosmetically superior outcomes relative to conventional laparoscopy. This study was undertaken to define the learning curve of LESS Heller myotomy with anterior fundoplication. One hundred patients underwent LESS Heller myotomy with anterior fundoplication. Symptom frequency and severity were scored using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome). Symptom resolution, additional trocars, and complications were compared among patient quartiles. Median data are presented. Preoperative frequency/severity scores were: dysphagia = 10/8 and regurgitation = 8/7. Additional trocars were placed in 12 patients (10%), of whom all were in the first two quartiles. Esophagotomy/gastrotomy occurred in three patients. Postoperative complications occurred in 9 per cent. No conversions to "open" operations occurred. Length of stay was 1 day. Postoperative frequency/severity scores were: dysphagia = 2/0 and regurgitation = 0/0; scores were less than before myotomy (P Heller myotomy with anterior fundoplication well palliates symptoms of achalasia with no apparent scar. Placement of additional trocars only occurred early in the experience. For surgeons proficient with the conventional laparoscopic approach, the learning curve of LESS Heller myotomy with anterior fundoplication is short and safe, because proficiency is quickly attained.

Laparoscopic Heller Myotomy for Achalasia Technical Aspects.

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Schlottmann, Francisco; Allaix, Marco E; Patti, Marco G

2018-04-01

Esophageal achalasia is a primary esophageal motility disorder defined by the lack of esophageal peristalsis, and by a lower esophageal sphincter that fails to relax in response to swallowing. Patients' symptoms include dysphagia, regurgitation, aspiration, heartburn, and chest pain. Achalasia is a chronic condition without cure, and treatment options are aimed at providing symptomatic relief, improving esophageal emptying, and preventing the development of megaesophagus. Presently, a laparoscopic Heller myotomy with a partial fundoplication is considered the best treatment modality. A properly executed operation is key for the success of a laparoscopic Heller myotomy.

Fundoplication after heller myotomy: a retrospective comparison between nissen and dor.

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Cuttitta, Antonello; Tancredi, Antonio; Andriulli, Angelo; De Santo, Ermelinda; Fontana, Andrea; Pellegrini, Fabio; Scaramuzzi, Roberto; Scaramuzzi, Gerardo

2011-12-01

A retrospective comparison between Nissen and Dor fundoplication after laparoscopic Heller myotomy for achalasia. From 1998 to 2004 a first group of 48 patients underwent Heller myotomy and Nissen fundoplication for idiopathic achalasia (H+N group). From 2004 to 2010 a second group of 40 patients underwent Heller myotomy followed by Dor fundoplication (H+D group). Some patients received a previous endoscopic treatment with pneumatic dilatation or endoscopic injection of botulinum toxin that provided them only a temporary clinical benefit. Changes in clinical and instrumental examinations from before to after surgery were evaluated in all patients. Clinical evaluation was carried out using a modified DeMeester symptom score system. Dor fundoplication treatment reduced both dysphagia and regurgitation severity scores significantly more than Nissen fundoplication (pHeller myotomy followed by Dor fundoplication is a safe and valuable treatment. The procedure showed a lower incidence of postoperative dysphagia versus Nissen fundoplication and a negligible incidence of postoperative GERD in a long-term postoperative follow-up.

Twenty-year trends in the utilization of Heller myotomy for achalasia in the United States.

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Haisley, Kelly R; Preston, Jennifer F; Dolan, James P; Diggs, Brian S; Hunter, John G

2017-08-01

Trends in the utilization of Heller myotomy for achalasia in the U.S. over time have not been previously described. Using the Nationwide Inpatient Sample (NIS) database, we analyzed patients undergoing Heller myotomy for achalasia over a 20-year period (1992-2011) to estimate rates of Heller myotomy, locations where the procedures were performed (rural, urban or teaching) and changes in technique (laparoscopic vs open) as well as outcomes of length of stay and in-hospital mortality. Over the last 20 years, the total number of Heller myotomies performed in the U.S. has increased (1576 cases in 1992 to 5046 cases in 2011, p = 0.001). These procedures are now being performed laparoscopically (0.9%-67.0%, p Heller myotomy at teaching institutions with decreased in-hospital mortality and shorter LOS. Copyright © 2017. Published by Elsevier Inc.

[Józef Heller-one of organizers of Polish biochemistry in 1942-1973].

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Zarebska, Zofia

2011-01-01

The article commemorates the activity of Józef Heller starting in 1921 with Jakub Parnas's group in Lvov which investigated the phosphorolysis of glycogen. The unknown events of His biography were disclosed, like military service in the Piłsudski's Legions at the rebirth of the Polish State and, subsequently, during the Nazi occupation of Poland--participation in the clandestine teaching of medical students. In the post-war times Józef Heller undertook teaching of medical students in Wrocław and next in Warsaw. In 1954 He begun to organize the Institute of Biochemistry and Biophysics of the Polish Academy of Sciences--it now continues its activity. Professor Heller initiated the publication in Poland of three major biochemical journals, including Postepy Biochemii (1954). Thanks to His leadership the first Polish Medical Dictionary was published (1981). The article summarizes the pursuit of Józef Heller in various branches of academic life, which were and still are appreciated by subsequent generations of Polish biochemists.

An experience of laparoscopic modified heller cardiomyotomy for achalasia cardia

International Nuclear Information System (INIS)

Raza, A.; Majeed, F. A.; Imtiaz, T.; Hussain, M.; Saeed, Y.; Imran, M.

2017-01-01

Objective: The study was carried out to ascertain the outcome of laparoscopic modified Heller's myotomy for achalasia cardia and to determine the morbidity associated with it. Study Design: Descriptive cross sectional study. Place and Duration of Study: The study was conducted in Combined Military Hospital (CMH) Rawalpindi over a period of 4 years, from Jan 2010 to Aug 2014. Material and Methods: This study was carried out on patients undergoing surgical repair of laparoscopic Heller myotomy for cardiac achalasia at Combined Military Hospital Rawalpindi over a period of four years (2010-2014). Patients undergoing laparoscopic-modified Heller myotomy at a thoracic referral and surgical training center. Eighteen cases of achalasia cardia based on clinical, barium and endoscopic findings were included in the sample using non probability purposive sampling technique. Pseudo achalasia, sigmoid esophagus were excluded.Laparoscopic modified Heller myotomy was done in all patients. Data were analyzed with the help of SPSS 20.0. Results: Age ranged between 14 years to 40 years with mean age of 28 years. The most frequent symptom was dysphagia (95 percent), followed by regurgitation of ingested food (60 percent), weight loss (40 percent) and chest pain (20 percent). Mean operating time was forty minutes. There was no perioperative mortality. We applied Dor patch in 4 patients. Three patients had mucosal tear on large myotomy, diagnosed per operatively and repaired. There was no conversion to open procedure. There was marked improvement in symptoms especially dysphagia and there was no post operative reflux. Conclusion: Modified Heller myotomy by laparoscopic approach is a safe and effective procedure with acceptable results. It is easy to perform and improves the symptoms of the suffering individual. (author)

A single institution's experience with more than 500 laparoscopic Heller myotomies for achalasia.

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Rosemurgy, Alexander S; Morton, Connor A; Rosas, Melissa; Albrink, Michael; Ross, Sharona B

2010-05-01

Long-term symptom relief and patient satisfaction after Heller myotomy are being reported. Herein, we report the largest experience of laparoscopic Heller myotomy for the treatment of achalasia. Since 1992, 505 patients have been prospectively followed after laparoscopic Heller myotomy. Until 2004, concomitant fundoplication was undertaken for a patulous hiatus, a large hiatal hernia, or to buttress the repair of an esophagotomy, then concomitant fundoplication became routinely applied. More recently, laparo-endoscopic single site (LESS) Heller myotomy has been performed when possible to improve cosmesis. Before and after myotomy, patients scored their symptoms. Before myotomy, 60% of patients underwent endoscopic therapy; of these patients, 27% had Botox (Allergan) therapy alone, 52% underwent dilation therapy alone, and 21% had both. Esophagotomy occurred in 7% of patients. Concomitant diverticulectomy was undertaken in 7%, fundoplication was performed in 59%, and LESS Heller myotomy was done in 12%. Median length of stay was 1 day. With mean follow-up at 31 months, the severity of all symptoms improved significantly. After myotomy, 95% experienced symptoms less than once per week, 86% believed their outcome is satisfying or better, and 92% would undergo myotomy again, if necessary. Symptoms after myotomy are similar with or without fundoplication and regardless of the laparoscopic approach used. Laparoscopic Heller myotomy safely and durably relieves symptoms of dysphagia. Confinement is short and satisfaction is very high. Relief of esophageal obstruction is paramount; the approach used or the application of a fundoplication has a lesser impact. Laparoscopic Heller myotomy, preferably with anterior fundoplication using a single site laparoscopic approach, is strongly encouraged for patients with symptomatic achalasia and is efficacious even after failures of dilation and/or Botox therapy. Copyright 2010 American College of Surgeons. Published by Elsevier Inc

Esophageal scintigraphy to quantitate esophageal transit of the achalasia patients after heller's myotomy

International Nuclear Information System (INIS)

Liu Junfeng; Wang Qizhang; Li Wenqi

1995-01-01

To quantitate esophageal transit of the achalasia patients after Heller's myotomy using scintigraphic technique. After a bolus ingestion of 10 ml orange juice containing 185 MBq 99m Tc-DTPA, radioactivity was measured on the esophagus for 5 minutes by SPECT, and esophageal clearance rate was calculated. Forty-two patients and 10 normal controls were included. Esophageal transit was increased significantly after Heller's operation, but it was still lower than normal value. Heller's myotomy can significantly improve esophageal transit in the patients with achalasia, although it does not reach normal level

The role of laparoscopic Heller myotomy in the treatment of achalasia.

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Zonca, P; Cambal, M; Labas, P; Hrbaty, B; Jacobi, C A

2014-01-01

To evaluate the results of laparoscopic Heller myotomy in our group of patients. A retrospective clinical trial was carried out to evaluate the indication, technique and controversies of laparoscopic Heller myotomy in the achalasia treatment. The following symptoms were evaluated prior and after Heller myotomy: dysphagia, heartburn, nausea/vomiting after meal and asthma/coughing. The patients were evaluated by the use of Likert score. Statistical analysis was performed by using Student t test. The intra-operative (operation time, intraoperative complications, blood loss, conversion rate), and peri-operative parameters (morbidity, mortality, hospital stay) were evaluated as well. The patients who underwent laparoscopic Heller myotomy were included in the trial. All patients were perioperatively managed by a multidisciplinary team. The evaluation of fourteen patients was performed (average age: 53.2 yrs., eleven men, two women, BMI 23.6 kg/m(2)). The patients were indicated for surgery in all of the stages (I-III). Previous semiconservative therapeutic modalities were performed in thirteen patients. The standard laparoscopic technique for Heller myotomy with semifundoplication was applied. All the observed symptoms were statistically improved after the surgery (p=0.05). The average operating time was 89 minutes. Intraoperative blood loss was below 20 ml. There was no conversion to open surgery. An average hospital stay was 4.3 days. Morbidity was 14.3 % and mortality 0 %. In one patient esophageal mucosa perforation was intra-operatively identified and sutured. Post-operative course in this patient was without any complications. The laparoscopic Heller myotomy has become the "gold standard" procedure for achalasia. It is an excellent method allowing precise operation technique with good visualization of the esophagogastric junction. The operation with this approach is safe, efficient, and with excellent reproducible operative results. The correct and early indication

Laparoscopic Heller myotomy with or without partial fundoplication: A matter of debate

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Ramacciato, G; D’Angelo, FA; Aurello, P; Gaudio, M Del; Varotti, G; Mercantini, P; Bellagamba, R; Ercolani, G

2005-01-01

AIM: To present our experience of laparoscopic Heller stretching myotomy followed by His angle reconstruction as surgical approach to esophageal achalasia. METHODS: Thirty-two patients underwent laparoscopic Heller myotomy; an anterior partial fundoplication in 17, and angle of His reconstruction in 15 cases represented the antireflux procedure of choice. RESULTS: There were no morbidity and mortality recorded in both anterior funduplication and angle of His reconstruction groups. No differences were detected in terms of recurrent dysphagia, p.o. reflux or medical therapy. CONCLUSION: To reduce the incidence of recurrent achalasia after laparoscopic Heller myotomy, we believe that His’ angle reconstruction is a safe and effective alternative to the anterior fundoplication. PMID:15770738

Dissatisfaction after laparoscopic Heller myotomy: The truth is easy to swallow.

Science.gov (United States)

Rosemurgy, Alexander; Downs, Darrell; Jadick, Giavanna; Swaid, Forat; Luberice, Kenneth; Ryan, Carrie; Ross, Sharona

2017-06-01

Although laparoscopic Heller myotomy has been shown to well palliate symptoms of achalasia, we have observed a small subset of patients who are "Dissatisfied". This study was undertaken to identify the causes of their dissatisfaction. Patients undergoing laparoscopic Heller myotomy from 1992 to 2015 were prospectively followed. Using a Likert scale, patients rated their symptom frequency/severity before and after the procedure. Patients graded their experience from "Very Satisfying" to "Very Unsatisfying." 647 patients underwent laparoscopic Heller myotomy. Fifty (8%) patients, median age 57 years and BMI 24 kg/m 2 reported dissatisfaction at follow-up subsequent to myotomy. "Dissatisfied" patients were more likely to have undergone prior abdominal operations (p = 0.01) or previous myotomies (p = 0.02). "Dissatisfied" patients had a greater incidence of diverticulectomy (p = 0.03) and had longer postoperative LOS (p = 0.01). Symptom frequency/severity persisted after myotomy for dissatisfied patients (p > 0.05). Dissatisfaction after laparoscopic Heller myotomy is directly related to persistent/recurrent symptoms. Previous abdominal operations/myotomies, diverticulectomies, and longer LOS are predictors of dissatisfaction. With this understanding, we can identify patients who might be more prone to dissatisfaction. Copyright © 2017 Elsevier Inc. All rights reserved.

Operative interventions for failed heller myotomy: a single institution experience.

Science.gov (United States)

Pallati, Pradeep K; Mittal, Sumeet K

2011-03-01

Recurrent dysphagia and/or gastroesophageal reflux (GER) are failures of treatment after Heller myotomy for achalasia. We present our single center experience with surgical interventions for these failures. We did a retrospective analysis of a prospectively collected database. Based on preoperative symptoms and endoscopy, esophagogram, and manometry results, patients were divided into three groups to guide management. Telephone follow-up was done using a structured foregut questionnaire. Between December 2003 and June 2009, 16 patients underwent operative interventions for disabling symptoms after previous Heller myotomy. Eight patients presented primarily with recurrent dysphagia and underwent transabdominal Heller myotomy with partial fundoplication. Seven patients reported good to excellent symptom relief at mean follow-up of 42 months. One patient reported no relief and eventually required esophageal bypass with retrosternal gastric pull-up. Four patients presented with uncontrolled GER. Two patients who underwent redo partial fundoplication reported poor symptomatic outcome and one patient has since undergone short limb Roux-en-y gastric bypass (SLRNYGB) with excellent symptom relief. The other two patients underwent SLRNYGB with excellent relief at 10 months. Four patients had end stage achalasia and underwent esophageal resection with reconstruction. All reported excellent symptom relief at mean follow-up of 36 months. Transabdominal redo Heller myotomy for dysphagia has good outcomes. Redo fundoplication for GER after previous myotomy has poor results and SLRNYGB is an effective option in these patients. Esophageal resection remains an effective, albeit morbid, option for end-stage achalasia.

Improvement of respiratory symptoms following Heller myotomy for achalasia.

Science.gov (United States)

Khandelwal, Saurabh; Petersen, Rebecca; Tatum, Roger; Sinan, Huseyin; Aaronson, Daniel; Mier, Fernando; Martin, Ana V; Pellegrini, Carlos A; Oelschlager, Brant K

2011-02-01

Although patients with achalasia complain mainly of dysphagia, we have observed that they also have a high rate of respiratory problems. We hypothesized that the latter may be due to poor esophageal clearance leading to aspiration. This study examines the effect of Heller myotomy on these symptoms. We studied the course of 111 patients with achalasia who underwent Heller myotomy between 1994 and 2008 and who agreed to participate in this study. All patients completed a questionnaire postoperatively assessing the preoperative and postoperative prevalence and severity of symptoms using visual analog scales. Patients were divided into two groups: one that included all those with respiratory symptoms (dyspnea, hoarseness, cough, wheezing, sore throat, and/or a history of asthma or pneumonia) prior to myotomy and one that included those without those symptoms. All patients presented with dysphagia as their primary complaint, and 63 (57%) reported respiratory symptoms or disease prior to surgery. There were no significant differences in preoperative characteristics between those with and without respiratory manifestations. After a median follow-up of 71 months (range 9-186 months), 55 (87%) patients reported durable improvement of dysphagia. The frequency and severity of all respiratory symptoms decreased significantly. Twenty-four of the 29 patients (82%) who reported a history of pneumonia prior to surgery did not experience recurrent episodes after Heller myotomy. A Heller myotomy is effective in improving esophageal emptying in patients with achalasia. This results in sustained improvement of dysphagia and associated respiratory symptoms/diseases. This suggests that respiratory symptoms/diseases in these patients are likely caused by esophageal retention of food and secretions, and then aspiration.

Laparoscopic heller myotomy for achalasia cardia-initial experience in a teaching institute.

Science.gov (United States)

Kaman, Lileswar; Iqbal, Javid; Kochhar, Rakesh; Sinha, Saroj

2013-10-01

Laparoscopic Heller cardiomyotomy and Dor fundoplication is the surgical procedure of choice for esophageal achalasia. The aim of our study was to investigate the clinical outcome and safety of laparoscopic Heller-Dor procedure performed by using Hook electrocautery and as a teaching module for advanced laparoscopic surgery. Between January 2005 and December 2010, 25 consecutive patients with achalasia underwent laparoscopic Heller-Dor operation by a single surgeon. All the patients received upper gastrointestinal series (barium swallow), esophagogastroscopy, and esophageal manometry to exclude esophageal carcinoma and to confirm the diagnosis. All the patients were operated by laparoscopic modified Heller myotomy with Dor fundoplication by using hook electrocautery. Among 25 operated patients, 14 were male and 11 were female with a median age of 43 years (range 18-72 years). The mean operative time was 93.3 min (range 50-50 min), the mean operative blood loss was 90 ml (range 40-200 ml), the median time to oral feeding was 2 days (2-4 days), and the median hospital stay was 4 days (4-7 days). There was no conversion to open surgery. Intraoperative mucosal perforation was encountered in three patients and was repaired in all of them by laparoscopic suture. All the patients had an uneventful recovery without postoperative complication and had excellent clinical response (96 %) during follow-up. Laparoscopic Heller-Dor operation using hook electrocautery is safe, inexpensive, and effective treatment for achalasia which is useful for teaching and training surgical residents in advanced laparoscopic surgery.

Long-term outcome of peroral endoscopic myotomy for esophageal achalasia in patients with previous Heller myotomy.

Science.gov (United States)

Kristensen, Helle Ø; Kirkegård, Jakob; Kjær, Daniel Willy; Mortensen, Frank Viborg; Kunda, Rastislav; Bjerregaard, Niels Christian

2017-06-01

Peroral endoscopic myotomy (POEM) is an emerging procedure in the treatment of esophageal achalasia, a primary motility disorder. However, the long-term outcome of POEM in patients, who have previously undergone a Heller myotomy, is unknown. Using a local database, we identified patients with esophageal achalasia, who underwent POEM. We compared patients with a previous Heller myotomy to those, who had received none or only non-surgical therapy prior to the POEM procedure. We conducted follow-up examinations at 3, 12, and 24 months following the procedure. We included 66 consecutive patients undergoing POEM for achalasia, of which 14 (21.2 %) had undergone a prior Heller myotomy. In both groups, the preoperative Eckardt score was 7. Postoperatively, the non-Heller group experienced a more pronounced symptom relief at both 3-, 12-, and 24-month follow-up compared with the Heller group, and there was a tendency for the effect of POEM to reduce over time. We suggest that there is a correlation between preoperative measurements of gastroesophageal sphincter pressures and the chance of a successful POEM. POEM has a place in the treatment of esophageal achalasia in patients with a prior Heller myotomy and persistent symptoms as it is a safe procedure with acceptable long-term results.

Trends of Heller myotomy hospitalizations for achalasia in the United States, 1993-2005: effect of surgery volume on perioperative outcomes.

Science.gov (United States)

Wang, Y Richard; Dempsey, Daniel T; Friedenberg, Frank K; Richter, Joel E

2008-10-01

Achalasia is a rare chronic disorder of esophageal motor function. Single-center reports suggest that there has been greater use of laparoscopic Heller myotomy for achalasia in the United States since its introduction in 1992. We aimed to study the trends of Heller myotomy and the relationship between surgery volume and perioperative outcomes. The Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS) is a 20% stratified sample of all hospitalizations in the United States. It was used to study the macro-trends of Heller myotomy hospitalizations during 1993-2005. We also used the NIS 2003-2005 micro-data to study the perioperative outcomes of Heller myotomy hospitalizations, using other achalasia and laparoscopic cholecystectomy hospitalizations as control groups. The generalized linear model with repeated observations from the same unit was used to adjust for multiple hospitalizations from the same hospital. The national estimate of Heller myotomy hospitalizations increased from 728 to 2,255 during 1993-2005, while its mean length of stay decreased from 9.9 to 4.3 days. Of the 1,117 Heller myotomy hospitalizations in the NIS 2003-2005, 10 (0.9%) had the diagnosis of esophageal perforation at discharge. Length of stay was negatively correlated with a hospital's number of Heller myotomy per year (correlation coefficient -0.171, P Heller myotomy per year was negatively associated with length of stay (coefficient -0.215 to -0.119, both P Heller myotomy for achalasia was associated with greater use of surgery and shorter length of stay. A larger volume of Heller myotomy in a hospital was associated with better perioperative outcomes in terms of shorter length of stay and lower total charges.

The Impact of Heller Myotomy on Integrated Relaxation Pressure in Esophageal Achalasia.

Science.gov (United States)

Salvador, Renato; Savarino, Edoardo; Pesenti, Elisa; Spadotto, Lorenzo; Capovilla, Giovanni; Cavallin, Francesco; Galeazzi, Francesca; Nicoletti, Loredana; Merigliano, Stefano; Costantini, Mario

2016-01-01

A new high-resolution manometry (HRM) parameter, the integrated relaxation pressure (IRP), has been proposed for the assessment of esophageal-gastric junction (EGJ) relaxation. Our aim was to assess the effect of Heller myotomy on IRP in achalasia patients. We prospectively collected data on achalasia patients who underwent HRM between 2009-2014. Barium swallow was used to assess esophageal diameter and shape. Manometric diagnoses were performed by using the Chicago Classification v3. All patients with a confirmed diagnosis of achalasia were treated surgically with Heller Myotomy One hundred thirty-nine consecutive achalasia patients (M:F = 72:67) represented the study population. All the patients had 100% simultaneous waves but 11 had an IRP achalasia, and how it changes after surgical treatment. An increased preoperative IRP correlated directly with a more severe dysphagia. The IRP was restored to normal by Heller myotomy.

(CaIman) (Crustacea, Decapoda, Branchiura)

African Journals Online (AJOL)

1994-01-25

Jan 25, 1994 ... (Crustacea, Decapoda, Branchiura), from industrial, mine and sewage-polluted .... and sex dependency in the bioaccumulation of copper were also examined. ...... factors. which include changes in salinity. water hardness. R eprodu ... lOry mechanism breaks down, resulting in an increase in copper levels ...

Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients.

Science.gov (United States)

Tsuboi, Kazuto; Omura, Nobuo; Yano, Fumiaki; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

2009-01-01

The laparoscopic Heller-Dor operation has been the procedure of choice for the treatment of achalasia. However, because the incidence of achalasia is low, reports on the outcome of surgical treatment for achalasia are limited. In this study, the therapeutic results after laparoscopic Heller-Dor operation for achalasia at a single university hospital were evaluated. Between August 1994 and July 2006, 100 consecutive patients underwent laparoscopic Heller-Dor operation. The therapeutic results after laparoscopic Heller-Dor operation were assessed based on complications, operation time, blood loss, postoperative hospital stay, and the standardized questionnaire for satisfaction by telephone or outpatient clinic interview. With respect to perioperative complications, lower esophageal mucosal perforation occurred in 14 patients, but all of them could be suture-obliterated laparoscopically. One patient was converted to laparotomy because of uncontrolled bleeding from the short gastric artery. The mean operative time was 169 minutes, and the mean perioperative blood loss was 22 mL. The median postoperative hospital stay was 7 days. Reflux esophagitis, which was seen in five patients, was treated successfully with a proton pump inhibitor. According to the standardized questionnaire for satisfaction, 77 patients rated their recovery as 'excellent', 17 as 'good', 4 as 'fair', and 2 as 'poor'; thus, the overall success rate was 94%. There were no significant differences in surgical outcomes by morphologic type and severity of esophageal dilatation; however, the success rate deteriorated significantly with progression of the morphologic type. Laparoscopic Heller-Dor operation is a safe and effective surgical treatment for achalasia.

Recurrent dysphagia after Heller myotomy: is esophagectomy always the answer?

Science.gov (United States)

Loviscek, Maximiliano F; Wright, Andrew S; Hinojosa, Marcelo W; Petersen, Rebecca; Pajitnov, Dmitry; Oelschlager, Brant K; Pellegrini, Carlos A

2013-04-01

Esophagectomy has been recommended for patients when recurrent dysphagia develops after Heller myotomy for achalasia. My colleagues and I prefer to correct the specific anatomic problem with redo myotomy and preserve the esophagus. We examined the results of this approach. We analyzed the course of 43 patients undergoing redo Heller myotomy for achalasia between 1994 and 2011 with at least 1-year of follow-up. In 2012, a phone interview and a symptoms questionnaire were completed by 24 patients. Forty-three patients underwent redo Heller myotomy. All patients had dysphagia, 80% had had multiple dilations. Manometry confirmed the diagnosis, lower esophageal sphincter pressure averaged 17 mmHg; 24-hour pH monitoring was not useful because of fermentation; patients were divided into 4 groups according to findings on upper gastrointestinal series. Three patients underwent take down of previous fundoplication only, the remainder 40 had that and a redo myotomy with 3-cm gastric extension. Two mucosal perforations were repaired with primary closure and Dor fundoplication. At a median follow-up of 63 months, 19 of 24 patients reported improvement in dysphagia, with median overall satisfaction rating of 7 (range 3 to 10); 4 patients required esophagectomy for persistent dysphagia. The majority of failures after Heller myotomy present with dysphagia associated with esophageal narrowing. Upper gastrointestinal series is most useful to plan therapy and predicts outcomes. With few exceptions, patients improve substantially with redo myotomy, which can be accomplished laparoscopically with relatively low risk. These findings challenge the previously held concept that all myotomy failures need to be treated by an esophagectomy. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Laparoscopic Heller myotomy for achalasia: changing trend toward "true" day-case procedure.

Science.gov (United States)

Agrawal, Sanjay; Super, Paul

2008-12-01

Laparoscopic Heller myotomy is the most effective therapy for achalasia. All case series have reported a minimum length of stay of more than 1 day. "True" day-case laparoscopic Heller myotomy has not been reported, so far. The aim of this study was to review our results with laparoscopic Heller myotomy with respect to the length of stay following the procedure. All patients undergoing laparoscopic Heller myotomy between August 2000 and July 2007 under the care of one surgeon were included in the study. This was performed by incising 6 cm of distal esophageal musculature, extending to 2 cm below the gastroesophageal junction. The myotomy was covered by an anterior fundoplication. All patients were reviewed in the clinic at a median of 6 weeks after surgery and, thereafter, if necessary. Over the 7-year period, 24 consecutive patients with achalasia were treated in this manner. There were 13 women and 11 men, with an age range of 12-73 years. Intraoperative complications included mucosal perforation in 2 patients (sutured immediately) with no postoperative complications or conversion to open surgery. There were no deaths. The average length of stay was 1.9 days (range, 0-4). The last 2 patients were discharged on the same day, and the 5 previous to this were discharged within 23 hours of surgery. There were no adverse outcomes related to early discharge, and there were no readmissions. All patients reported good to excellent results with a relief of dysphagia on follow-up. Three patients (12%) developed recurrent dysphagia after an initial improvement, requiring dilatation only several months later. Based on our own experience, we believe that laparoscopic Heller myotomy with anterior partial fundoplication is safe and achieves a good outcome in the treatment of achalasia. It is well tolerated and can be considered a true day-case procedure.

Surgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy

Science.gov (United States)

Torres-Villalobos, Gonzalo; Martin-del-Campo, Luis Alfonso

2013-01-01

Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. This review will focus on the surgical treatment of achalasia, with special emphasis on laparoscopic Heller myotomy. We will also present a brief discussion of the evaluation of patients with persistent or recurrent symptoms after surgical treatment for achalasia and emerging technologies such as LESS, robot-assisted myotomy, and POEM. PMID:24348542

A Conversation with Adam Heller

OpenAIRE

Heller, A; Cairns, EJ

2015-01-01

© 2015 by Annual Reviews. All rights reserved. Adam Heller, Ernest Cockrell Sr. Chair in Engineering Emeritus of the John J. McKetta Department of Chemical Engineering at The University of Texas at Austin, recalls his childhood in the Holocaust and his contributions to science and technology that earned him the US National Medal of Technology and Innovation in a conversation with Elton J. Cairns, Professor of Chemical and Biomolecular Engineering at the University of California, Berkeley. Dr....

Surgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy

Directory of Open Access Journals (Sweden)

Gonzalo Torres-Villalobos

2013-01-01

Full Text Available Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. This review will focus on the surgical treatment of achalasia, with special emphasis on laparoscopic Heller myotomy. We will also present a brief discussion of the evaluation of patients with persistent or recurrent symptoms after surgical treatment for achalasia and emerging technologies such as LESS, robot-assisted myotomy, and POEM.

Laparoscopic Heller myotomy and fundoplication in patients with Chagas' disease achalasia and massively dilated esophagus.

Science.gov (United States)

Pantanali, Carlos A R; Herbella, Fernando A M; Henry, Maria A; Mattos Farah, Jose Francisco; Patti, Marco G

2013-01-01

Laparoscopic Heller myotomy and fundoplication is considered today the treatment of choice for achalasia. The optimal treatment for end-stage achalasia with esophageal dilation is still controversial. This multicenter and retrospective study aims to evaluate the outcome of laparoscopic Heller myotomy in patients with a massively dilated esophagus. Eleven patients (mean age, 56 years; 6 men) with massively dilated esophagus (esophageal diameter greater than 10 cm) underwent a laparoscopic Heller myotomy and anterior fundoplication between 2000 and 2009 at three different institutions. Preoperative workup included upper endoscopy, esophagram, and esophageal manometry in all patients. Average follow-up was 31.5 months (range, 3 to 60 months). Two patients (18%) had severe dysphagia, four patients (36%) had mild and occasional dysphagia to solid food, and five patients (45%) were asymptomatic. All patients gained or kept body weight, except for the two patients with severe dysphagia. Of the two patients with severe dysphagia, one underwent esophageal dilatation and the other a laparoscopic esophagectomy. They are both doing well. Heller myotomy relieves dysphagia in the majority of patients even when the esophagus is massively dilated.

Limited Hiatal Dissection Without Fundoplication Results in Comparable Symptomatic Outcomes to Laparoscopic Heller Myotomy with Anterior Fundoplication.

Science.gov (United States)

DeHaan, Reece K; Frelich, Matthew J; Gould, Jon C

2016-07-01

Previous randomized controlled trials have demonstrated that partial fundoplication following Heller myotomy results in less pathologic acid exposure to the esophagus when compared to myotomy without fundoplication. Recent studies have questioned the necessity of a fundoplication, especially when a limited hiatal dissection (LHD) is performed and the angle of His is preserved. This is a retrospective review of prospectively maintained data. All patients underwent primary Heller myotomy for achalasia over a 30-month period. In select patients, an LHD was performed anteriorly. Symptomatic outcomes were assessed up to 2 years postoperation using the Achalasia Severity Questionnaire (ASQ), Gastrointestinal Quality of Life Index (GIQLI), and Gastroesophageal Reflux Disease-Health-Related Quality of Life (GERD-HRQL). A total of 31 patients underwent Heller myotomy during the study interval. The majority of patients underwent Heller myotomy with full hiatal dissection (FHD) (21, 68%). Intraoperative mucosal perforations occurred in 3 (14%) patients undergoing FHD. Patient demographics, surgery details, and baseline symptomatic outcomes did not differ significantly preoperatively. At greater than 1 year postoperation, there was no significant difference between the groups for ASQ, GERD-HRQL, and GIGLI (P = .76, .78, and .33, respectively). Heller myotomy with LHD and no fundoplication and Heller myotomy with FHD and partial fundoplication result in similar GERD-related quality of life outcomes. Further studies (including pH studies) are necessary to determine if fundoplication is a necessary step in selected patients in whom an LHD is possible.

Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: long-term results.

Science.gov (United States)

Rebecchi, Fabrizio; Giaccone, Claudio; Farinella, Eleonora; Campaci, Roberto; Morino, Mario

2008-12-01

To compare in a prospective, randomized trial the long-term results of laparoscopic Heller myotomy plus Dor fundoplication versus laparoscopic Heller myotomy plus floppy-Nissen for achalasia. Anterior fundoplication is usually performed after Heller myotomy to control GER; however, the incidence of postoperative GER ranges between 10% and 30%. Total fundoplication may aid in reducing GER rates. From December 1993 to September 2002, 153 patients with achalasia underwent Heller laparoscopic myotomy plus antireflux fundoplication. Of these, 9 were excluded from the study. The remaining 144 patients were randomly assigned to 2 treatment groups: Heller laparoscopic myotomy plus anterior fundoplication (Dor procedure) or Heller laparoscopic myotomy plus total fundoplication (floppy-Nissen procedure). The primary end point was incidence of clinical and instrumental GER after a minimum of 60 months follow-up. The secondary end point was recurrence of dysphagia. Follow-up clinical assessments were performed at 1, 3, 12, and 60 months using a modified DeMeester Symptom Scoring System (MDSS). Esophageal manometry and 24-hour pH monitoring were performed at 3, 12, and 60 months postoperative. Of the 144 patients originally included in the study, 138 were available for long-term analysis: 71 (51%) underwent antireflux fundoplication plus a Dor procedure (H + D group) and 67 (49%) antireflux fundoplication plus a Nissen procedure (H + N group). No mortality was observed. The mean follow-up period was 125 months. No statistically significant differences in clinical (5.6% vs. 0%) or instrumental GER (2.8% vs. 0%) were found between the 2 groups; however, a statistically significant difference in dysphagia rates was noted (2.8% vs. 15%; P Heller myotomy.

Laparoscopic Heller myotomy provides durable relief from achalasia and salvages failures after botox or dilation.

Science.gov (United States)

Rosemurgy, Alexander; Villadolid, Desiree; Thometz, Donald; Kalipersad, Candice; Rakita, Steven; Albrink, Michael; Johnson, Milton; Boyce, Worth

2005-05-01

To report outcome after laparoscopic Heller myotomy in a large number of patients. Laparoscopic Heller myotomy has been undertaken for over a decade, but most studies involve small numbers of patients with limited follow-up. Since 1992, 262 patients have undergone laparoscopic Heller myotomy and been prospectively followed. Concomitant fundoplication was undertaken for a patulous hiatus or large hiatal hernia or to buttress the repair of an esophagotomy until recently when it became routinely applied. With mean follow-up at 32 months, symptoms were scored by patients on a Likert scale (frequency: 0 = Never to 10 = Every time I eat/always; severity: 0 = Not bothersome to 10 = Very bothersome). Before myotomy, 79% received Botox or bag dilation: 52% had Botox, 59% underwent dilation, and 36% had both. Inadvertent esophagotomy occurred in 5%. Concomitant diverticulectomy was undertaken in 4%, and fundoplication was undertaken in 30%. Complications were infrequent. Median length of stay was 1 day. After myotomy, the frequency and severity of symptoms of achalasia and reflux significantly decreased. Eighty-eight percent of patients felt their symptoms were greatly improved or resolved, and 90% felt their outcome was satisfying or better. Ninety-three percent felt they would undergo myotomy again, if necessary. Laparoscopic Heller myotomy can safely and durably relieve symptoms of dysphagia while also reducing symptoms of reflux. Length of stay is short and patient satisfaction is very high with extended follow-up. Laparoscopic Heller myotomy is strongly encouraged for patients with symptomatic achalasia and is efficacious even after failures of dilation and/or Botox therapy.

Pneumatic Dilation versus Laparoscopic Heller's Myotomy for Idiopathic Achalasia

NARCIS (Netherlands)

Boeckxstaens, Guy E.; Annese, Vito; des Varannes, Stanislas Bruley; Chaussade, Stanislas; Costantini, Mario; Cuttitta, Antonello; Elizalde, J. Ignasi; Fumagalli, Uberto; Gaudric, Marianne; Rohof, Wout O.; Smout, André J.; Tack, Jan; Zwinderman, Aeilko H.; Zaninotto, Giovanni; Busch, Olivier R.; Lei, A.; Bartelsman, J.; Hirsch, D.; Klinkenberg-Knol, E. C.; Cuesta, M. A.; Simmermacher, R. K. J.; Kuipers, E. J.; Bonjer, H. J.; Masclee, A. A. M.; Ringers, J.; Lerut, A.; Metman, E. H.; Huten, N.; Letessier, E.; Dousset, B.; Pera, M.; Perez de la Serna, J.; Malesci, Alberto; Andriulli, A.; Scaramuzzi, G.; de Santo, E.

2011-01-01

Background Many experts consider laparoscopic Heller's myotomy (LHM) to be superior to pneumatic dilation for the treatment of achalasia, and LHM is increasingly considered to be the treatment of choice for this disorder. Methods We randomly assigned patients with newly diagnosed achalasia to

Heller Myotomy for Achalasia: Quality of Life Comparison of Laparoscopic and Open Approaches

Science.gov (United States)

Katilius, Marius

2001-01-01

Background: Achalasia is a relatively rare disorder with a variety of treatment options. Although laparoscopic Heller myotomy has become the surgical treatment of choice, little data exist on the overall quality of life of patients undergoing this technique versus standard open approaches. Methods: We prospectively evaluated all patients surgically treated for achalasia by a single surgeon. Laparoscopic Heller myotomy consisted of a long (≥ 6 cm) esophageal cardiomyotomy extending at least 2 cm onto the gastric cardia, with a concomitant Dor fundoplication. Patients were evaluated preoperatively and postoperatively for symptoms and quality of life using the SF-36, a standardized, generic quality of life instrument. Results: A total of 23 patients were surgically treated: 15 patients had a planned laparoscopic procedure, with 3 conversions; 8 had planned open procedures. Dysphagia resolved in 20 of 21 patients, with 1 patient in the laparoscopic group requiring reoperation due to an inadequate gastric myotomy. Compared with preoperative scores, a statistically significant improvement occurred in the general health domain of the SF-36 (70 to 82, P = 0.04). Compared with that in patients undergoing open surgery, the laparoscopic group had better scores in the domains of physical functioning and bodily pain. Conclusions: Laparoscopic Heller myotomy has comparable success to open Heller myotomy, and causes less early detriment to quality of life. This should be the primary treatment in all fit surgical patients with achalasia. PMID:11548827

Decapod crustacea of the Atlantic Coast of Canada

National Research Council Canada - National Science Library

Squires, Hubert J

1990-01-01

.... Distribution records for each species are provided. The Introduction has a brief history of collections of decapod Crustacea in the area, and the Appendix includes a list of mythological references to some taxonomic names used...

Laparoscopic Heller-Dor for primary esophageal achalasia: outcomes in 173 patients.

Science.gov (United States)

Rosati, Riccardo; Fumagalli Romario, Uberto; Ceolin, Martina; Massaron, Simonetta; Peracchia, Alberto

2013-01-01

Laparoscopic Heller myotomy combined with anterior (Dor) fundoplication is the most widely-used surgical procedure for treating esophageal achalasia in Europe From November 1992 through May 2010 we performed laparoscopic Heller-Dor on 173 patients Conversion to laparotomy was required in three cases (1.7%) at the beginning of the experience (for mucosal) perforation which was the most frequent intraoperative complication, managed laparoscopically with the increasing experience. Five (2.9%) cases had minor postoperative complications. Clinical results were satisfactory in 99.4% of cases. One patient (0.6%) had severe persistent dysphagia. Mean esophageal diameter decreased from 50 mm ± 12 (range 20- 90) to 25 mm ± 7 (range 15-80). Lower esophageal sphincter pressure decreased from 32 mmHg (median, range 10- 93) pre-operatively to 11 mmHg (median, range 5-21) at one year follow up and residual pressure from 12 mmHg (median, range 3-30) to 4 mmHg (median, range 1-8). Impedance and pH monitoring showed normal levels in 39/47 (83%) patients who agreed to testing. The good outcomes of this experience, in part due to careful adherence to technical aspects of the operation, confirm that the laparoscopic Heller-Dor is the gold standard surgical treatment for esophageal achalasia.

Efficacy of pneumodilation in achalasia after failed Heller myotomy

NARCIS (Netherlands)

Saleh, C. M. G.; Ponds, F. A. M.; Schijven, M. P.; Smout, A. J. P. M.; Bredenoord, A. J.

2016-01-01

Heller myotomy is an effective treatment for the majority of achalasia patients. However, a small proportion of patients suffer from persistent or recurrent symptoms after surgery and they are usually subsequently treated with pneumodilation (PD). Data on the efficacy of PD as secondary treatment

Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: a case-control study.

Science.gov (United States)

Sánchez, Alexis; Rodríguez, Omaira; Nakhal, Elias; Davila, Hugo; Valero, Rair; Sánchez, Renata; Pena, Romina; Visconti, Maria F

2012-09-01

Minimally invasive surgery has become the gold standard for the treatment of achalasia. The incorporation of robotic technology can improve many limitations of laparoscopic surgery, through, for example, the availability of three-dimensional vision, increasing the degrees of movement, avoiding the fulcrum effect and optimizing ergonomics. The aim of this study was to compare robotic-assisted laparoscopic Heller myotomy (RAHM) with laparoscopic Heller myotomy (LHM) in terms of efficacy and safety. Thirty-one patients with diagnosis of achalasia confirmed by esophagogram and manometry were included. Dysphagia and weight loss were the main complaints in both groups. 18 patients were treated with LHM and 13 patients with RAHM. There was no difference in mean operative time (76 ± 13 vs. 79 ± 20 min; P = 0.73). Intraoperative complications were less frequent in the robotic-assisted procedures (5.5% vs. 0%); however, this was a non-significant difference. 94.5-100% of patients had relief of their symptoms. We conclude that RAHM is a safe and effective procedure. The operative time is no longer than in LHM, but it is necessary to evaluate the technique in randomized clinical trials to determine its advantages in terms of intraoperative complications.

Laparoscopic Heller Myotomy Provides Durable Relief From Achalasia and Salvages Failures After Botox or Dilation

Science.gov (United States)

Rosemurgy, Alexander; Villadolid, Desiree; Thometz, Donald; Kalipersad, Candice; Rakita, Steven; Albrink, Michael; Johnson, Milton; Boyce, Worth

2005-01-01

Objective: To report outcome after laparoscopic Heller myotomy in a large number of patients. Summary Background Data: Laparoscopic Heller myotomy has been undertaken for over a decade, but most studies involve small numbers of patients with limited follow-up. Methods: Since 1992, 262 patients have undergone laparoscopic Heller myotomy and been prospectively followed. Concomitant fundoplication was undertaken for a patulous hiatus or large hiatal hernia or to buttress the repair of an esophagotomy until recently when it became routinely applied. With mean follow-up at 32months, symptoms were scored by patients on a Likert scale (frequency: 0 = Never to 10 = Every time I eat/always; severity: 0 = Not bothersome to 10 = Very bothersome). Results: Before myotomy, 79% received Botox or bag dilation: 52% had Botox, 59% underwent dilation, and 36% had both. Inadvertent esophagotomy occurred in 5%. Concomitant diverticulectomy was undertaken in 4%, and fundoplication was undertaken in 30%. Complications were infrequent. Median length of stay was 1 day. After myotomy, the frequency and severity of symptoms of achalasia and reflux significantly decreased. Eighty-eight percent of patients felt their symptoms were greatly improved or resolved, and 90% felt their outcome was satisfying or better. Ninety-three percent felt they would undergo myotomy again, if necessary. Conclusions: Laparoscopic Heller myotomy can safely and durably relieve symptoms of dysphagia while also reducing symptoms of reflux. Length of stay is short and patient satisfaction is very high with extended follow-up. Laparoscopic Heller myotomy is strongly encouraged for patients with symptomatic achalasia and is efficacious even after failures of dilation and/or Botox therapy. PMID:15849508

Efficacy of pneumodilation in achalasia after failed Heller myotomy.

Science.gov (United States)

Saleh, C M G; Ponds, F A M; Schijven, M P; Smout, A J P M; Bredenoord, A J

2016-11-01

Heller myotomy is an effective treatment for the majority of achalasia patients. However, a small proportion of patients suffer from persistent or recurrent symptoms after surgery and they are usually subsequently treated with pneumodilation (PD). Data on the efficacy of PD as secondary treatment for achalasia are scarce. Therefore, this study aimed to investigate the efficacy of PD as treatment for achalasia patients suffering from persistent or recurrent symptoms after Heller myotomy. Patients with recurrent or persistent symptoms (Eckardt score >3) after Heller myotomy were selected. Patients were treated with PD, using a graded distension protocol with balloon sizes ranging from 30 to 40 mm. After each dilation symptoms were assessed to evaluate whether a subsequent dilation with a larger balloon size was required. Patients with recurrent or persistent symptoms (Eckardt score >3) after treatment with a 40-mm balloon were identified as failures. Twenty-four patients were included in total; 15 patients with achalasia type I, seven with achalasia type II and two with achalasia type III. Median relapse time was 2.5 years after Heller myotomy (IQR: 9 years and 3 months). Three patients were not suitable for PD; one patient was morbidly obese and not fit for any form of sedation and two had a siphon-shaped esophagus leaving 21 patients to treat. Eight patients were successfully treated with a single 30-mm balloon dilation (median follow-up time: 6.5 years; IQR: 7.5 years). Four patients required dilations with 30- and 35-mm balloons (median follow-up time: 11 years; IQR: 3 years). Nine patients failed on the 35-mm balloon dilation and underwent a subsequent dilation with a 40-mm balloon, and all failed on this balloon as well. Thus, PD was successful in 12 of the 21 treatable patients, resulting in a success rate of 57% for treatable patients or 50% for all patients. Baseline Eckardt scores were also higher in those that failed (median: 8; IQR: 2) than those that

Laparoscopic Heller myotomy can be used as primary therapy for esophageal achalasia regardless of age.

Science.gov (United States)

Salvador, Renato; Costantini, Mario; Cavallin, Francesco; Zanatta, Lisa; Finotti, Elena; Longo, Cristina; Nicoletti, Loredana; Capovilla, Giovanni; Bardini, Romeo; Zaninotto, Giovanni

2014-01-01

Laparoscopic Heller-Dor surgery is the current treatment of choice for patients with esophageal achalasia, but elderly patients are generally referred for less invasive treatments (pneumatic dilations or botulinum toxin injections). To assess the effect of age on the surgical outcome of patients receiving laparoscopic Heller-Dor as primary treatment. Demographic and clinical findings were prospectively collected on patients undergoing laparoscopic Heller-Dor from 1992 to 2012. Patients were classified in three age brackets: group A (≤45 years), group B (45-70), and group C (≥70). Treatment was defined as a failure if the postoperative symptom score was >10th percentile of the preoperative score (i.e., >8). We consecutively performed the Heller-Dor in 571 achalasia patients, 305 (53.4 %) in group A, 226 (39.6 %) in group B, and 40 (7 %) in group C. The mortality was nil; the conversion and morbidity rates were both 1.1 %. Group C patients had higher preoperative symptom scores (p = 0.02), while the symptom duration was similar in all three groups. Mucosal tears occurred in 17 patients (3 %): 6 (2 %) in group A, 8 (3.5 %) in group B, and 3 (7.5 %) in group C (p = 0.09). The postoperative hospital stay was slightly longer for group C (p = 0.06). The treatment failure rate was quite similar: 31 failures in group A (10.1 %), 19 in group B (8.4 %), and 3 in group C (7.5 %; p = 0.80). These failures were seen more in manometric pattern III (22.2 %, p = 0.002). Laparoscopic Heller-Dor can be used as the first therapeutic approach to achalasia even in elderly patients with an acceptable surgical risk.

After laparoscopic Heller myotomy, do emergency department visits or readmissions predict poor long-term outcomes?

Science.gov (United States)

Ross, Sharona; Villadolid, Desiree; Al-Saadi, Sam; Boyle, Robert; Cowgill, Sarah M; Rosemurgy, Alexander

2008-12-01

Laparoscopic Heller myotomy is a first-line treatment for achalasia. To improve outcomes after myotomy and to determine if poor early results predict later outcomes, emergency department (ED) visits and readmissions within 60 days following laparoscopic Heller myotomy were studied. Since 1992, 352 patients have undergone laparoscopic Heller myotomy and are followed through a prospectively maintained registry. Causes of ED visits and readmissions within 60 days after myotomy were determined. Patients scored their symptoms of achalasia before myotomy and at last follow-up; scores were compared to determine if the reasons leading to ED visits and/or readmissions impacted long-term outcome after myotomy. Fourteen (4%) patients had ED visits, and 18 (5%) patients had readmissions within 60 days following myotomy. Sixty-four percent of ED visits were for dysphagia/vomiting and 36% were for abdominal/chest pain, while 37% of readmissions were for dysphagia/vomiting. Pneumonia was complicated by empyema in four patients, all without leaks; two patients expired. Despite ED visits/readmissions, achalasia symptom (e.g., dysphagia, regurgitation, choking, heartburn, and chest pain) frequency and severity scores improved after myotomy (p Heller myotomy. ED visits were generally due to complaints related to achalasia or edema after myotomy, while readmissions were generally related to complications of operative intervention or chronic ill health. Despite ED visits or readmissions early after myotomy, symptoms of achalasia are well palliated by myotomy long-term.

Laparoscopic Heller Myotomy with Anterior Fundoplication Improves Frequency and Severity of Symptoms of Achalasia, Regardless of Preoperative Severity Determined by Esophagography.

Science.gov (United States)

Rosemurgy, Alexander; Downs, Darrell; Luberice, Kenneth; Rodriguez, Christian; Swaid, Forat; Patel, Krishen; Toomey, Paul; Ross, Sharona

2018-02-01

This study was undertaken to determine whether postoperative outcomes after laparoscopic Heller myotomy with anterior fundoplication could be predicted by preoperative findings on esophagography. Preoperative barium esophagograms of 135 patients undergoing laparoscopic Heller myotomy with anterior fundoplication were reviewed. The number of esophageal curves, esophageal width, and angulation of the gastroesophageal junction (GEJ) were determined; correlations between these determined parameters and symptoms were assessed using linear regression analysis. The number of esophageal curves correlated with the preoperative frequency of dysphagia, vomiting, chest pain, regurgitation, and heartburn. The width of the esophagus negatively correlated with the preoperative frequency of regurgitation. The angulation of the GEJ did not correlate with preoperative symptoms. Laparoscopic Heller myotomy with anterior fundoplication significantly reduced the frequency and severity of all symptoms, regardless of the number of esophageal curves, esophageal width, or angulation of the GEJ. Laparoscopic Heller myotomy with anterior fundoplication provides dramatic palliation for achalasia. More esophageal curves on preoperative esophagography correlate well with the frequency of a broad range of preoperative symptoms, including the frequency of dysphagia and regurgitation. Patients experience dramatically improved frequency and severity of symptoms after laparoscopic Heller myotomy with anterior fundoplication for achalasia regardless of the number of esophageal curves, esophageal width, or the angulation of the GEJ. Findings on barium esophagogram, in evaluating achalasia, should not deter the application of laparosocopic Heller myotomy with anterior fundoplication.

Detection of irradiation treatment in crustacea by electron spin resonance (ESR) spectroscopy

Energy Technology Data Exchange (ETDEWEB)

Stewart, E.M. [Queen`s Univ., Belfast, Northern Ireland (United Kingdom). Dept. of Food Science; Stevenson, M.H. [Queen`s Univ., Belfast, Northern Ireland (United Kingdom). Dept. of Food Science]|[Department of Agriculture for Northern Ireland, Belfast (United Kingdom); Gray, R. [Department of Agriculture for Northern Ireland, Belfast (United Kingdom)

1996-12-31

When the Food (Control of Irradiation) Regulations 1990 came into force in the United Kingdom in January 1991 they included provision for the irradiation of Crustacea to an overall average dose of 3 kGy. The treatment of Crustacea with ionising radiation would reduce numbers of potential pathogens and spoilage organisms thus giving a microbiologically safer product with a longer shelf-life at chill temperatures. At present the process is being used in countries such as France and The Netherlands for the decontamination/shelf-life extension of shrimp. Therefore, as for other food products such as poultry, liquid whole egg and fruit, which are also treated with ionising radiation, it is desirable that a suitable test should be available to help in the control of the irradiation process. One such detection method which has been applied to irradiated Crustacea is that of electron spin resonance (ESR) spectroscopy due to the fact that the rigid exoskeleton has a relatively high dry matter so free radicals produced by ionising irradiation can be trapped and are, therefore, sufficiently stable to be detected. (author).

Detection of irradiation treatment in crustacea by electron spin resonance (ESR) spectroscopy

International Nuclear Information System (INIS)

Stewart, E.M.; Gray, R.

1996-01-01

When the Food (Control of Irradiation) Regulations 1990 came into force in the United Kingdom in January 1991 they included provision for the irradiation of Crustacea to an overall average dose of 3 kGy. The treatment of Crustacea with ionising radiation would reduce numbers of potential pathogens and spoilage organisms thus giving a microbiologically safer product with a longer shelf-life at chill temperatures. At present the process is being used in countries such as France and The Netherlands for the decontamination/shelf-life extension of shrimp. Therefore, as for other food products such as poultry, liquid whole egg and fruit, which are also treated with ionising radiation, it is desirable that a suitable test should be available to help in the control of the irradiation process. One such detection method which has been applied to irradiated Crustacea is that of electron spin resonance (ESR) spectroscopy due to the fact that the rigid exoskeleton has a relatively high dry matter so free radicals produced by ionising irradiation can be trapped and are, therefore, sufficiently stable to be detected. (author)

Miotomía de Heller por vía laparoscópica: un procedimiento seguro

OpenAIRE

Borráez, Bernardo A.; Patti, Marco G.

2014-01-01

Introducción. La miotomía de Heller como tratamiento quirúrgico de elección para la acalasia, ofrece de buenos a excelentes resultados a corto y largo plazo, pero, incluso en manos de cirujanos experimentados, pueden presentarse complicaciones. Objetivos. Los objetivos del estudio fueron evaluar la frecuencia de perforaciones de la mucosa esofágica cuando se practica la miotomía de Heller para tratar la acalasia, determinar las características preoperatorias de los pacientes que presentan est...

How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?

Science.gov (United States)

Ballouhey, Quentin; Dib, Nabil; Binet, Aurélien; Carcauzon-Couvrat, Véronique; Clermidi, Pauline; Longis, Bernard; Lardy, Hubert; Languepin, Jane; Cros, Jérôme; Fourcade, Laurent

2017-06-01

We report the first description of robotic-assisted Heller myotomy in children. The purpose of this study was to improve the safety of Heller myotomy by demonstrating, in two adolescent patients, the contribution of the robot to the different steps of this procedure. Due to the robot's freedom of movement and three-dimensional vision, there was an improvement in the accuracy, a gain in the safety regarding different key-points, decreasing the risk of mucosal perforation associated with this procedure.

Long-term results of Heller myotomy without an antireflux procedure in achalasic patients.

Science.gov (United States)

Cortesini, Camillo; Cianchi, Fabio; Pucciani, Filippo

2002-01-01

Both open and laparoscopic myotomies have been used in the treatment of achalasia. Postoperative gastro-oesophageal reflux is among the commonly reported side effects of myotomy. The addition of an antireflux procedure to the standard surgical approach has given rise to controversy. The objective of our study was to determine whether or not an antireflux procedure should be used in addition to Heller myotomy. Over the period from 1980 to 1990, 94 patients (mean age: 47.9 years) with achalasia underwent Heller myotomy calibrated by intraoperative oesophageal manometry without fundoplication. In 1999-2000, all patients filled in a clinical questionnaire: all underwent radiographic oesophageal imaging, oesophageal manometry, ambulatory 24-h oesophageal pH monitoring, and oesophagogastroduodenoscopy, when necessary. Ten healthy age-matched subjects were compared in the manometric and radiological studies. Myotomy improved the clinical profiles and instrumental data results in all patients. Gastro-oesophageal reflux was present in 10 patients (10.6%); none of these 10 subjects presented oesophagitis. Heller open myotomy yields good long-term results. Intraoperative manometric calibration reduces the side effects of myotomy, such as gastro-oesophageal reflux. The addition of fundoplication is not justified in all patients.

A new species of Chonopeltis (Crustacea: Branchiura) from the ...

African Journals Online (AJOL)

Abstract. A new species of Chonopeltis (Crustacea: Branchiura) is described from material collected from the gill chamber of the snake catfish Ciarias theodorae from the Mogalakwena River, a tributary of the Limpopo River in northern Transvaal.

The early efficacy of Heller myotomy in the treatment of Iranian patients with achalasia.

Science.gov (United States)

Abdi, Saeed; Forotan, Mojgan; Nikzamir, Abdolrahim; Zomorody, Saeedeh; Jahani-Sherafat, Somayeh

2016-01-01

The purpose of this study was to determine the efficacy of Heller myotomy for the treatment of achalasia in a referral center in Tehran, and investigate the clinical characteristics, manometric results and treatment responses among three achalasia subtypes in Iranian patients. Esophageal achalasia is an unusual swallowing disorder, characterized by high pressure in the lower esophageal sphincter (LES) on swallowing, failure relaxation of the LES and the absence of peristalsis in esophageal. In this cross sectional study, clinical symptom and esophageal manometry before and 2 months after treating with Heller myotomy in 20 patients with achalasia who were referred to Taleghani Hospital, Tehran, in 2013 were evaluated. Patients' demographic, clinical features and response to treatment were analyzed using SPSS software (version 20, Chicago, IL, USA). All the diagnostic criteria measured after the treatment were significantly different (PHeller myotomy is highly effective in relieving dysphasia in patients with achalasia. Also, type II achalasia is the most common subtype of achalasia with a better response to Heller myotomy compared to the other types.

Robotic heller myotomy and Dor fundoplication for achalasia in a woman with morbid obesity.

Science.gov (United States)

Bedirli, Abdulkadir; Dogan, Ibrahim; Kozan, Ramazan

2012-12-01

Achalasia is a relatively rare condition with a prevalence estimated at less than 0.001 %. Laparoscopic or robotic Heller myotomy is an effective surgical treatment for achalasia. We present the first published case of a morbidly obese achalasia patient treated with robotic Heller myotomy and Dor fundoplication. The operative time was 175 min, with an estimated blood loss of 110 ml. The patient had a normal bowel transit on postoperative day 2, and he was discharged on postoperative day 4 on a liquid diet. A follow-up at 2 months showed significant resolved symptoms of achalasia.

Revisional Surgery after Heller Myotomy for Treatment of Achalasia: A Comparative Analysis Focusing on Operative Approach

OpenAIRE

Gouda, Biswanath P.; Nelson, Thomas; Bhoyrul, Sunil

2012-01-01

Surgical myotomy is the gold standard in therapy for achalasia, but treatment failures occur and require revisional surgery. A MEDLINE search of peer-reviewed articles published in English from 1970 to December 2008 was performed using the following terms: esophageal achalasia, Heller myotomy, and revisional surgery. Thirty-three articles satisfied our inclusion criteria. A total of 12,727 patients, with mean age of 43.3 years (males 46% and females 50%), underwent Heller myotomy (open 94.8% ...

Heller myotomy with esophageal diverticulectomy: an operation in need of improvement.

Science.gov (United States)

Bowman, Ty A; Sadowitz, Benjamin D; Ross, Sharona B; Boland, Andrew; Luberice, Kenneth; Rosemurgy, Alexander S

2016-08-01

This study was undertaken to evaluate the outcomes after laparoscopic Heller myotomy with anterior fundoplication and diverticulectomy for patients with achalasia and esophageal diverticula. 634 patients undergoing laparoscopic Heller myotomy and anterior fundoplication from 1992 to 2015 are prospectively followed up; patients were stratified for those undergoing concomitant diverticulectomy. Patients graded symptom frequency and severity before and after myotomy, using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome). Median data are presented (mean ± SD). Forty-four patients, age 70 years (65 ± 14.2), underwent laparoscopic Heller myotomy, anterior fundoplication, and diverticulectomy. Operative time was 182 min (183 ± 54.6). Fifty percentage of patients had a postoperative complication: Most notable were leaks at the diverticulectomy site (n = 8) and pulmonary complications (n = 11; 10 effusion, 1 empyema). Length of stay (LOS) was 3 days (5 ± 8.3). All leaks occurred after discharge and resolved without sequelae using transthoracic catheter drainage and parenteral nutrition; two patients received endoscopic esophageal stents. Median follow-up is 39 months. Symptoms amelioration was significant postoperatively, including severity of dysphagia [6 (6 ± 3.9) to 2(4 ± 3.6)]. Seventy-six percentage of patients rated their symptoms at last follow-up as satisfying/very satisfying. Seventy-seven percentage of patients had symptoms once per week or less. Eighty-one percentage would have the operation again knowing what they know now. Laparoscopic Heller myotomy, anterior fundoplication, and diverticulectomy well palliate the symptoms of achalasia with accompanying esophageal diverticulum. The operations are generally longer than those without diverticulectomy and are accompanied by a relatively longer LOS. Complications are relatively frequent and severe (e.g., leaks and pneumonia). In particular, leaks at the

Revisional surgery after heller myotomy for treatment of achalasia: a comparative analysis focusing on operative approach.

Science.gov (United States)

Gouda, Biswanath P; Nelson, Thomas; Bhoyrul, Sunil

2012-08-01

Surgical myotomy is the gold standard in therapy for achalasia, but treatment failures occur and require revisional surgery. A MEDLINE search of peer-reviewed articles published in English from 1970 to December 2008 was performed using the following terms: esophageal achalasia, Heller myotomy, and revisional surgery. Thirty-three articles satisfied our inclusion criteria. A total of 12,727 patients, with mean age of 43.3 years (males 46% and females 50%), underwent Heller myotomy (open 94.8% and laparoscopic 5.2%). Revisional surgery was performed in 6.19%. Procedures performed included revision of the original myotomy or creation of a new myotomy with or without an antireflux procedure or esophagectomy. Reasons for reoperation were incomplete myotomy (51.8%), onset of reflux (34%), megaesophagus (16.2%), and esophageal carcinoma (3.04%). Systematic review of the literature for revisional surgery following Heller myotomy revealed a 6.19% rate of reoperation with a low mortality rate.

Peroral Endoscopic Myotomy Versus Heller Myotomy for Achalasia: Pros and Cons.

Science.gov (United States)

Tefas, Cristian; Ababneh, Rami; Tanţău, Marcel

2018-01-01

Achalasia is an esophageal motor disorder that has multiple endoscopic and surgical methods of treatment. However, there is no consensus on optimal therapy in patients suffering from this disorder. This review discusses two therapies with similar but technically different concepts, peroral endoscopic myotomy and Heller surgical myotomy. After a brief introduction to the basic problems of achalasia, technical considerations, intra and postprocedural complications are presented and the advantages and disadvantages of the two procedures are discussed, based on the relevant articles in the literature. Heller surgical myotomy and peroral endoscopic myotomy appear to be similar in performance with similar results in terms of gastroesophageal reflux rates. However, with experience being gained in the field of endoscopic myotomy, this procedure seems more advantageous, with similar success rates to those of the established surgical technique, but offering shorter operating times, shorter hospitalizations and, ultimately, lower costs. Celsius.

Per-Oral Endoscopic Myotomy (POEM) After Previous Laparoscopic Heller Myotomy Is Feasible and Safe in a Porcine Model.

Science.gov (United States)

Miles, Luke F; Frelich, Matthew J; Gould, Jon C; Dua, Kulwinder S; Jensen, Eric S; Kastenmeier, Andrew S

2015-10-01

We sought to evaluate the feasibility, safety, and difficulty of performing the per-oral endoscopic myotomy (POEM) procedure in the setting of a prior Heller myotomy using a survival porcine model. Four pigs underwent laparoscopic Heller myotomy with Dor partial anterior fundoplication followed by the POEM performed 4 weeks later. Two additional pigs served as controls, undergoing only the POEM. All procedures were completed without complications. The revisional POEM was not significantly more difficult than POEM controls based on procedure time, POEM procedure components, or procedure difficulty scores. Revisional POEM had a longer mean operative time when compared with Heller myotomy (126.0 vs. 83.8 min; PHeller myotomy is safe and feasible in the porcine model and has potential as an option for patients suffering from recurrent or persistent symptoms after failed surgical myotomy.

A review of Epipenaeon ingens Nobili, 1906 (Isopoda: Bopyridae) host species and documentation of a new host, Metapenaeopsis stridulans (Alcock, 1905) (Decapoda: Penaeidae)

Science.gov (United States)

Rajkumar, M.; Manokaran, S.; Sun, Jun; Trilles, J. P.

2011-01-01

We collected 3 596 Metapenaeopsis stridulans (Decapoda: Penaeidae) from the southeast coast of India between January and December 2007. Sixty three specimens (43 females and 18 males) were parasitized by the bopyrid isopod Epipenaeon ingens (Isopoda: Bopyridae). This is the first report of the occurrence of E. ingens in this host; therefore, it was considered as a new host record. The highest level of infestation (3.2%) occurred in October 2007, coincident with observations of gravid females (9). The total prevalence and presence of gravid females were 17.46% and 28%, respectively. Infestation caused a characteristic bulge of the branchial chamber, growth retardation, and degeneration of the sex organs, but had no effect on the host weight.

Multimedia manuscript. Heller myotomy and intraluminal fundoplication: a NOTES technique.

Science.gov (United States)

Perretta, Silvana; Dallemagne, Bernard; Allemann, Pierre; Alleman, Pierre; Marescaux, Jacques

2010-11-01

It is generally accepted that the most effective treatment of achalasia is a surgical myotomy. Nevertheless, if a myotomy alone is performed, reflux may occur in up to 30% of patients. The aim of this study was to explore a transoral incisionless stepwise approach to both esophageal Heller myotomy and fundoplication. The first step consisted of creating the esophageal myotomy. Under general anesthesia, with the pig supine, endoscopy was performed to assess the location of the esophagogastric junction (EGJ). The mucosa on the right posterolateral esophageal wall was cut with the needle-knife 15 cm above the lower esophageal sphincter (LES) and then dilated with blunt dissection to introduce the scope. A submucosal tunnel was created distally with CO(2) and blunt dissection. Once the gastroesophageal junction (GEJ) and the clasp fibers were identified, the muscular layer was cut. The scope was withdrawn into the lumen and the mucosal flap was sealed with endoscopic clips. The adequacy of the myotomy was evaluated using pre- and postoperative manometry and by comparing the EGJ distensibility before, during, and after the division of the esophageal muscular fibers using the functional lumen imaging probe, EndoFLIP®. The second step, consisted of building a transoral incisionless fundoplication 4 weeks postoperatively using the EsophyX™. Both Heller myotomy and endoscopic fundoplication were accomplished successfully with no injury to the esophageal mucosa. Postoperative manometry demonstrated a 50% loss in mean LES pressure (mean preoperative LES pressure = 22.2 mmHg; mean postoperative LES pressure = 10 mmHg, P Heller myotomy and partial fundoplication is feasible and effective in the porcine model. A distensibility test such as the EndoFLIP® may provide better information on the opening and closing dynamics of the EGJ, rather than just relying on the sphincter tonic state as measured by manometry.

Laparoscopic reoperation with total fundoplication for failed Heller myotomy: is it a possible option? Personal experience and review of literature.

Science.gov (United States)

Rossetti, Gianluca; del Genio, Gianmattia; Maffettone, Vincenzo; Fei, Landino; Brusciano, Luigi; Limongelli, Paolo; Pizza, Francesco; Tolone, Salvatore; Di Martino, Maria; del Genio, Federica; del Genio, Alberto

2009-01-01

Laparoscopic Heller myotomy with antireflux procedure seems the procedure of choice in the treatment of patients with esophageal achalasia. Persistent or recurrent symptoms occur in 10% to 20% of patients. Few reports on reoperation after failed Heller myotomy have been published. No author has reported the realization of a total fundoplication in these patient groups. The aim of this study is to evaluate the efficacy of laparoscopic reoperation with the realization of a total fundoplication after failed Heller myotomy for esophageal achalasia. From 1992 to December 2007, 5 out of a series of 242 patients (2.1%), along with 2 patients operated elsewhere, underwent laparoscopic reintervention for failed Heller myotomy. Symptoms leading to reoperation included persistent dysphagia in 3 patients, recurrent dysphagia in another 3, and heartburn in 1 patient. Mean time from the first to the second operation was 49.7 months (range, 4-180 months). Always, the intervention was completed via a laparoscopic approach and a Nissen-Rossetti fundoplication was realized or left in place after a complete Heller myotomy. Mean operative time was 160 minutes (range, 60-245 minutes). Mean postoperative hospital stay was 3.1 +/- 1.5 days. No major morbidity or mortality occurred. At a mean follow-up of 16.1 months, reoperation must be considered successful in 5 out of 7 patients (71.4%). The dysphagia DeMeester score fell from 2.71 +/- 0.22 to 0.91 +/- 0.38 postoperatively. The regurgitation score changed from 2.45 +/- 0.34 to 0.68 +/- 0.23. Laparoscopic reoperation for failed Heller myotomy with the realization of a total fundoplication is safe and is associated with good long-term results if performed by an experienced surgeon in a center with a long tradition of esophageal surgery.

Cavernicolous And Terrestrial Decapod Crustacea From Northern Sarawak, Borneo

NARCIS (Netherlands)

Holthuis, L.B.

1979-01-01

During the 1977-1978 Royal Geographical Society Mulu (Sarawak) Expedition a number of Decapod Crustacea was obtained. Some were collected by Mr. Philip Chapman in the course of studies of the invertebrates of the limestone caves in the Gunong Mulu National Park, 4th Division of Sarawak, and the Niah

Landpissebedden van de Ooijpolder: deel 1. verspreiding (Crustacea: Isopoda: Oniscidea)

NARCIS (Netherlands)

Wijnhoven, H.

2000-01-01

Terrestrial isopods of the Ooijpolder: part 1. distribution (Crustacea: Isopoda: Oniscidea) The distributions and habitats of woodlice were investigated in ‘the Ooijpolder’, also named ‘the Ooij’. The area of approximately 41 square kilometers is located along the river Waal, east of Nijmegen,

Outcome of Achalasia Cardia Managed with Transabdominal Hellers Cardiomyotomy and Anterior Dor Patch

International Nuclear Information System (INIS)

Wyne, A.; Majeed, F. A.; Khan, M. I.; Rahim, K.

2013-01-01

Objectives: To evaluate relief of dysphagia and apprearance of reflux symptoms in patients of achalasia cardia treated with Trans abdominal cardiomyotomy and anterior Dor patch. Study Design: Quasi experimental study. Place and duration of study: Combined Military Hospital Quetta and Combined Military Hospital Rawalpindi from Jan 2006 to Jan 2012. Methodology: Twenty three cases were diagnosed to have achalasia cardia on barium swallow, upper GI endoscopy and CT scan chest in selective cases. They were treated with transabdominal modified Hellers cardiomyotomy and anterior Dor patch as an antireflux procedure. Relief of dysphagia and occurrence of reflux symptoms were evaluated clinically. Results: All (100%) operated patients had symptomatic relief of dysphagia over follow up of six months. No patient had post op reflux symptoms. Conclusion: Transabdominal Hellers cardiomyotomy with anterior Dor patch is a safe and effective surgical option for achalasia cardia. (author)

.i.Moraria brevipes./i. (Crustacea: Copepoda) in South Bohemian forest soils

Czech Academy of Sciences Publication Activity Database

Háněl, Ladislav; Christian, E.

2004-01-01

Roč. 68, - (2004), s. 169-171 ISSN 1211-376X R&D Projects: GA ČR(CZ) GA206/99/1416 Institutional research plan: CEZ:AV0Z6066911 Keywords : forest floor * spruce * Crustacea Subject RIV: EH - Ecology, Behaviour

Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trial.

Science.gov (United States)

Rawlings, Arthur; Soper, Nathaniel J; Oelschlager, Brant; Swanstrom, Lee; Matthews, Brent D; Pellegrini, Carlos; Pierce, Richard A; Pryor, Aurora; Martin, Valeria; Frisella, Margaret M; Cassera, Maria; Brunt, L Michael

2012-01-01

The type of fundoplication that should be performed in conjunction with Heller myotomy for esophageal achalasia is controversial. We prospectively compared anterior fundoplication (Dor) with partial posterior fundoplication (Toupet) in patients undergoing laparoscopic Heller myotomy. A multicenter, prospective, randomized-controlled trial was initiated to compare Dor versus Toupet fundoplication after laparoscopic Heller myotomy. Outcome measures were symptomatic GERD scores (0-4, five-point Likert scale questionnaire) and 24-h pH testing at 6-12 months after surgery. Data are mean ± SD. Statistical analysis was by Mann-Whitney U test, Wilcoxon signed rank test, and Freidman's test. Sixty of 85 originally enrolled and randomized patients who underwent 36 Dor and 24 Toupet fundoplications had follow-up data per protocol for analysis. Dor and Toupet groups were similar in age (46.8 vs. 51.7 years) and gender (52.8 vs. 62.5% male). pH studies at 6-12 months in 43 patients (72%: Dor n = 24 and Toupet n = 19) showed total DeMeester scores and % time pH Heller myotomy provides significant improvement in dysphagia and regurgitation symptoms in achalasia patients regardless of the type of partial fundoplication. Although a higher percentage of patients in the Dor group had abnormal 24-h pH test results compared to those of patients who underwent Toupet, the differences were not statistically significant.

Distribution of Mysidium integrum (Tattersall) (Crustacea-mysidacea) in Venezuelan coral habitats

NARCIS (Netherlands)

Zoppi de Roa, Evelyn; Pedro Alonso, G.

1997-01-01

ZOPPI DE ROA, EVELYN & PEDRO ALONSO G.: Distribution of Mysidium integrum (Tattersall) (Crustacea: Mysidacea) in Venezuelan coral habitats. Studies Nat. Hist. Caribbean Region 73, Amsterdam 1997: 55-62. This paper reports the occurrence, distribution and some ecological aspects of mysids in six

Identification of risk factors for mucosal injury during laparoscopic Heller myotomy for achalasia.

Science.gov (United States)

Tsuboi, Kazuto; Omura, Nobuo; Yano, Fumiaki; Hoshino, Masato; Yamamoto, Se-Ryung; Akimoto, Shusuke; Masuda, Takahiro; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

2016-02-01

Mucosal injury during myotomy is the most frequent complication seen with the Heller-Dor procedure for achalasia. The present study aimed to examine risk factors for such mucosal injury during this procedure. This was a retrospective analysis of patients who underwent the laparoscopic Heller-Dor procedure for achalasia at a single facility. Variables for evaluation included patient characteristics, preoperative pathophysiological findings, and surgeon's operative experience. Logistic regression was used to identify risk factors. We also examined surgical outcomes and the degree of patient satisfaction in relation to intraoperative mucosal injury. Four hundred thirty-five patients satisfied study criteria. Intraoperative mucosal injury occurred in 67 patients (15.4%). In univariate analysis, mucosal injury was significantly associated with the patient age ≥60 years, disease history ≥10 years, prior history of cardiac diseases, preoperative esophageal transverse diameter ≥80 mm, and surgeon's operative experience with fewer than five cases. In multivariate analysis involving these factors, the following variables were identified as risk factors: age ≥60 years, esophageal transverse diameter ≥80 mm, and surgeon's operative experience with fewer than five cases. The mucosal injury group had significant extension of the operative time and increased blood loss. However, there were no significant differences between the two groups in the incidence of reflux esophagitis or the degree of symptom alleviation postoperatively. The fragile esophagus caused by advanced patient age and/or dilatation were risk factor for mucosal injury during laparoscopic Heller-Dor procedure. And novice surgeon was also identified as an isolated risk factor for mucosal injury.

Landpissebedden van de Ooijpolder: deel 2. Ecologie (Crustacea: Isopoda: Oniscidea)

NARCIS (Netherlands)

Wijnhoven, H.

2001-01-01

Terrestrial isopods of the Ooijpolder: part 2. ecology (Crustacea: Isopoda: Oniscidea) From 1991 up to 1998 the isopod fauna of 1464 squares of 100x100 m was sampled in the Ooijpolder. This area is situated along the river Waal, east of Nijmegen (the Netherlands), close to the German border. In part

Redo Heller Myotomy for Achalasia in a Patient with Down Syndrome: a Case Report.

Science.gov (United States)

Sosa-Stanley, Jessica; Vandendool, KellyAnn; Kiev, Jonathan

2015-01-01

Up to 77% of Down syndrome (DS) patients have associated structural or functional gastrointestinal abnormalities. Functional disturbances, such as processes affecting the enteric nervous system, can often affect the outcome of corrective surgical procedures. Recently, an association between DS and achalasia has been reported. In this report we present a 28-year-old male patient with a history of Down syndrome and achalasia, who presented with recurrent dysphagia, gastroesophageal reflux, and recurrent aspirations. The patient had previously undergone a laparoscopic Heller myotomy with Dor fundoplication. Unfortunately, despite this surgery, he continued to require multiple esophageal dilations, and intraesophageal administration of Botox therapy. Additionally, there were numerous subsequent hospital admissions for recurrent aspiration pneumonia. Evaluation revealed an incomplete myotomy and a revision long Heller myotomy was successfully performed intraabdominally and he is now symptom and aspiration free.

A cladistic analysis of the genera of Macrothricidae Norman & Brady (Crustacea, Cladocera, Radopoda Análise cladística dos gêneros de Macrothticidae Norman & Brady (Crustacea, Cladocera, Radopoda

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Lourdes M. A. Elmoor-Loureiro

2005-09-01

Full Text Available A cladistic analysis of the genera of the Macrothricidae (Crustacea, Cladocera, Radopoda was performed based on 36 morphological characters, and including 15 terminal taxa (three as outgroups. The single tree obtained from this analysis supported the monophyly of Macrothricidae and Macrothricinae. The group called as "non-Macrothricinae" was indicated as paraphyletic. Neothricidae was also not supported.Foi conduzida uma análise cladística dos gêneros sul-americanos de Macrothricidae (Crustacea, Cladocera, Radopoda com base em 36 caracteres morfológicos e incluindo 15 taxa terminais (três como grupos externos. Uma única árvore foi obtida pela análise, a qual suporta o monofiletismo de Macrothricidae e de Macrothricinae. O grupo chamado de "não-Macrothricinae" é indicado como parafilético. Neothricidae também não encontrou suporte.

Surgical Treatment for Achalasia of the Esophagus: Laparoscopic Heller Myotomy

OpenAIRE

Gonzalo Torres-Villalobos; Luis Alfonso Martin-del-Campo

2013-01-01

Achalasia is an esophageal motility disorder that leads to dysphagia, chest pain, and weight loss. Its diagnosis is clinically suspected and is confirmed with esophageal manometry. Although pneumatic dilation has a role in the treatment of patients with achalasia, laparoscopic Heller myotomy is considered by many experts as the best treatment modality for most patients with newly diagnosed achalasia. This review will focus on the surgical treatment of achalasia, with special emphasis on lapar...

Economic evaluation of the randomized European Achalasia trial comparing pneumodilation with Laparoscopic Heller myotomy

NARCIS (Netherlands)

Moonen, A.; Busch, O.; Costantini, M.; Finotti, E.; Tack, J.; Salvador, R.; Boeckxstaens, G.; Zaninotto, G.

2017-01-01

BackgroundA recent multicenter randomized trial in achalasia patients has shown that pneumatic dilation resulted in equivalent relief of symptoms compared to laparoscopic Heller myotomy. Additionally, the cost of each treatment should be also taken in consideration. Therefore, the aim of the present

The evaluation of functional results before and after laparoscopic Heller myotomy for achalasia: a single center experience.

Science.gov (United States)

Pooshani, Abdollah; Frootan, Mojgan; Abdi, Saeed; Jahani-Sherafat, Somayeh; Kamani, Freshteh

2017-01-01

The aim of this study was to evaluate and compare the functional results before and after laparoscopic Heller myotomy for Iranian patients with achalasia. Achalasia is a severe neuromuscular disorder of the esophagus, characterized by the loss of peristalsis and an inability of the lower esophageal sphincter (LES) to reach optimal relaxation. In this cross sectional study, patients who underwent Heller myotomy for achalasia via laparoscopy in Taleghani Hospital Tehran, Iran were evaluated. Symptoms including pressure of residual, integrated relaxation sphincter (IRP), pressure of free drinking, pressure of LES, dysphasia score and peristalsis movement was measured and recorded by manometry before and after (2 months) treating with Heller myotomy. In this study, 23 patients with achalasia (12 females and 11 males) with a mean age of 30±3.5 years (minimum 20, maximum 44 years) who met the inclusion criteria of the study were examined. Results of this study showed that, all the diagnostic criteria that were measured before the treatment was significantly different from after the treatment (PHeller myotomy surgery can be as a treatment of choice for achalasia. Free Drinking pressure can be a suitable criteria after treatment for evaluation and prediction of the reducing the dysphasia score after the surgery.

Resultados inmediatos y tardíos de la miotomía de Heller laparoscópica en pacientes con acalasia esofágica

OpenAIRE

Ibáñez,Luis; Butte,Jean Michel; Pimentel,Fernando; Escalona,Alex; Pérez,Gustavo; Crovari,Fernando; Guzmán,Sergio; Llanos,Osvaldo

2007-01-01

Background: Achalasia is characterized by an incomplete relaxation of the lower esophageal sphincter. The best treatment is surgical and the laparoscopic approach may have good results. Aim: To assess the results of laparoscopic Heller myotomy among patients with achalasia. Material and methods: Prospective study of patients subjected to a laparoscopic Heller myotomy between 1995 and 2004. Clinical features, early and late operative results were assessed. Results: Twenty seven patients aged 1...

100 consecutive minimally invasive Heller myotomies: lessons learned.

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Sharp, Kenneth W; Khaitan, Leena; Scholz, Stefan; Holzman, Michael D; Richards, William O

2002-05-01

To evaluate the authors' first 100 patients treated for achalasia by a minimally invasive approach. Between November 1992 and February 2001, the authors performed 95 laparoscopic and 5 thoracoscopic Heller myotomies in 100 patients (age 49.5 +/- 1.5 years) with manometrically confirmed achalasia. Before presentation, 51 patients had previous dilation, 23 had been treated with botulinum toxin (Botox), and 4 had undergone prior myotomy. Laparoscopic myotomy was performed by incising the distal 4 to 6 cm of esophageal musculature and extended 1 to 2 cm onto the cardia under endoscopic guidance. Fifteen patients underwent antireflux procedures. There were eight intraoperative perforations and only four conversions to open surgery. Follow-up is 10.8 +/- 1 months; 75% of the patients have been followed up for at least 14 months. Outcomes assessed by patient questionnaires revealed satisfactory relief of dysphagia in 93 patients and "poor" relief in 7 patients. Postoperative heartburn symptoms were reported as "moderate to severe" in 14 patients and "none or mild" in 86 patients. Fourteen patients required postoperative procedures for continued symptoms of dysphagia after myotomy. Esophageal manometry studies revealed a decrease in lower esophageal sphincter pressure (LESP) from 37 +/- 1 mm Hg to 14 +/- 1 mm Hg. Patients with a decrease in LESP of more than 18 mm Hg and whose absolute postoperative LESP was 18 or less were more likely to have relief of dysphagia after surgery. Thirty-one patients who underwent Heller alone were studied with a 24-hour esophageal pH probe and had a median Johnson-DeMeester score of 10 (normal open techniques. Satisfactory outcomes occurred in 93% of patients. Patients whose postoperative LESP was less than 18 mm Hg reported the fewest symptoms. After myotomy, patients rarely have abnormal esophageal acid exposure, and the addition of an antireflux procedure is not required.

Heller myotomy for achalasia. From the open to the laparoscopic approach.

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Allaix, Marco E; Patti, Marco G

2015-07-01

The last three decades have witnessed a progressive evolution in the surgical treatment of esophageal achalasia, with a shift from open to a minimally invasive Heller myotomy. The laparoscopic approach is currently the standard of care with better short-term outcomes and similar long-term functional results when compared to open surgery. More recently, the laparoscopic single-site approach and the use of the robot have been proposed to further improve the surgical outcome in achalasia patients.

Post-Surgical Quality of Life, Psychological State and what Patients Think about the Effectiveness of Heller Myotomy in the Treatment of Achalasia.

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Vale-Fonseca, Telma; Ferreira-Pinto, Luis; Figueiredo-Braga, Margarida; Carneiro, Silvestre

2016-02-01

The disruption of esophageal motility that characterizes achalasia typically provokes dysphagia, pain, loss of weight and malnutrition. Therefore, patients frequently report a reduction in quality of life and negative emotional states. Laparoscopic Heller myotomy proved to be an effective therapy, enabling the resumption of good quality of life. The authors studied 45 patients previously submitted to laparoscopic Heller myotomy. Postoperative evaluation was performed using a customized version of the achalasia disease-specific quality of life questionnaire. Quality of life and the presence of depressive and anxiety symptoms were assessed using the Portuguese versions of the Medical Outcomes Study SF-36 and the Hospital Anxiety and Depression Scale. Thirty-one patients responded to the survey. Dysphagia was the main clinical symptom before surgery. A clear improvement in dysphagia, regurgitation, pain and weight loss was found after surgery (p Heller myotomy is associated with a good quality of life in patients with achalasia and strengthens the evidence that this is a safe and reliable procedure.

Laparoscopic Heller Myotomy and Dor Fundoplication for Esophageal Achalasia: Technique and Perioperative Management.

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Andolfi, Ciro; Fisichella, P Marco

2016-11-01

Surgical correction of achalasia using laparoscopic Heller myotomy with Dor fundoplication is argued to be the gold standard treatment for patients with achalasia. The goal of this technical report is to illustrate our preferred approach to patients with achalasia and to provide the reader with a detailed description of our operative technique, its rationale, and our pre and postoperative management.

Achalasia-Specific Quality of Life After Pneumatic Dilation or Laparoscopic Heller Myotomy With Partial Fundoplication: A Multicenter, Randomized Clinical Trial.

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Chrystoja, Caitlin C; Darling, Gail E; Diamant, Nicholas E; Kortan, Paul P; Tomlinson, George A; Deitel, Wayne; Laporte, Audrey; Takata, Julie; Urbach, David R

2016-11-01

Achalasia is a chronic, progressive, and incurable esophageal motility disease. There is clinical uncertainty about which treatment should be recommended as first-line therapy. Our objective was to evaluate the effectiveness of pneumatic dilation compared with laparoscopic Heller myotomy with partial fundoplication in improving achalasia-specific quality of life. This was a prospective, multicenter, randomized trial at five academic hospitals in Canada. Fifty previously untreated adults with a clinical diagnosis of primary achalasia, confirmed by manometric testing, were enrolled between November 2005 and March 2010, and followed for 5 years after treatment. Randomization was stratified by site, in random blocks of size four and with balanced allocation. Patients were treated with pneumatic dilation or laparoscopic Heller myotomy with partial fundoplication. The primary outcome was the difference between the treatments in the mean improvement of the achalasia severity questionnaire (ASQ) score at 1 year from baseline. Prespecified secondary outcomes included general and gastrointestinal quality of life, symptoms, esophageal physiology measures (lower esophageal sphincter relaxation and pressure, esophageal emptying, abnormal esophageal acid exposure), complications, and incidence of retreatment. Functional and imaging studies were performed blinded and all outcome assessors were blinded. There were no significant differences between treatments in the improvement of ASQ score at 1 year from baseline (27.5 points in the Heller myotomy arm vs. 20.2 points in the pneumatic dilation arm; difference 7.3 points, 95% confidence interval -4.7 to 19.3; P=0.23). There were no differences between treatments in improvement of symptoms, general and gastrointestinal quality of life, or measures of esophageal physiology. Improvements in ASQ score diminished over time for both interventions. At 5 years, there were no differences between treatments in improvement of ASQ score

Removal of garlic-like off-odours from crustacea by gamma irradiation

International Nuclear Information System (INIS)

Freeman, D.J.; Izzard, M.E.; Whitfield, F.B.

1985-01-01

The strong garlic-like off-odours associated with the male shovel-nosed lobster (Ibacus peronii) and the royal red prawn (Hymenopenaeus sibogae) have been attributed principally to the presence of the sulphur-containing compound bis-(methylthio)-methane. In the male shovel-nosed lobster the concentration of this compound increases very rapidly following death, and a small number of contaminated crustacea may cause an entire consignment to be condemned. A method for removing this noxious odour was developed which involved gamma-irradiation of the affected crustacea using a cobalt-60 source. Eight lobsters were subjected to gamma-irradiation at a dose rate of 10 kGy an hour; one half of each was given a dose of 25 kGy and the other half a dose of 5 kGy. Results showed that a high dose completely removes the existing off-odour, and also prevents its further formation. With the lower dose the off-odour is not completely removed. A trial using fresh royal red prawns at doses of 0.5 and 1.0 kGy showed irradiation removed all traces of the off-odour, but in those irradiated at the higher dose a slight burnt flavour was noticeable

Removal of garlic-like off-odours from crustacea by gamma irradiation

Energy Technology Data Exchange (ETDEWEB)

Freeman, D J; Izzard, M E [Australian Atomic Energy Commission Research Establishment, Lucas Heights; Whitfield, F B [Commonwealth Scientific and Industrial Research Organization, North Ryde (Australia). Div. of Food Research

1985-04-01

The strong garlic-like off-odours associated with the male shovel-nosed lobster (Ibacus peronii) and the royal red prawn (Hymenopenaeus sibogae) have been attributed principally to the presence of the sulphur-containing compound bis-(methylthio)-methane. In the male shovel-nosed lobster the concentration of this compound increases very rapidly following death, and a small number of contaminated crustacea may cause an entire consignment to be condemned. A method for removing this noxious odour was developed which involved gamma-irradiation of the affected crustacea using a cobalt-60 source. Eight lobsters were subjected to gamma-irradiation at a dose rate of 10 kGy an hour; one half of each was given a dose of 25 kGy and the other half a dose of 5 kGy. Results showed that a high dose completely removes the existing off-odour, and also prevents its further formation. With the lower dose the off-odour is not completely removed. A trial using fresh royal red prawns at doses of 0.5 and 1.0 kGy showed irradiation removed all traces of the off-odour, but in those irradiated at the higher dose a slight burnt flavour was noticeable.

Phylogeny and evolution of life history strategies of the Parasitic Barnacles (Crustacea, Cirripedia, Rhizocephala)

DEFF Research Database (Denmark)

Glenner, Henrik; Hebsgaard, Martin Bay

2006-01-01

The barnacles (Crustacea, Cirripedia) consist of three well-defined orders: the conventional filter-feeding barnacles (Thoracica), the burrowing barnacles (Acrothoracica), and the parasitic barnacles (Rhizocephala). Thoracica and Acrothoracica feed by catching food particles from the surrounding ...... crustaceans (Anomura), which includes hermit crabs and squat lobsters....

Removal of off-flavours in some Australian crustacea by ionising radiation

International Nuclear Information System (INIS)

Freeman, D.J.

1985-01-01

Development of an export industry based on the deep sea royal red prawn, haliporoides sibogae and the shallow water shovel nosed lobster or balmain bug, lbacus peronii has been hampered by the sweet garlic off-flavour often encountered in both these species. A method for removing this noxious odour was developed which involved gamma irradiation of the affected crustacea using a cobalt-60 source

Evaluation of 5.8S rRNA to identify Penaeus semisulcatus and its subspecies, Penaeus semisulcatus persicus (Penaeidae and some Decapoda species

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Zahra Noroozi

2015-10-01

Full Text Available The green tiger prawn, Penaeus semisulcatus is one of the most important members of the family Penaeidae in the Persian Gulf. Based on the morphological characteristics, two groups, including P. semisulcatus and its subspecies viz. P. s. persicus are recognized. This study was conducted to investigate the genetic distance between P. semisulcatus and P. s. persicus by analyzing partial sequence of 5.8S rRNA. Another objective of this study is to evaluate the ability of 5.8S rRNA to identify the species of Decapoda. The results indicated that the 5.8S rRNA gene of both P. semisulcatus and P. s. persicus were exactly identical, and sequence variation was not observed. The results also indicated that 5.8S rRNA sequences between species of the same genus of analysed species of Decapoda are conserved, and no genetic distance was observed in species level. The low evolutionary rate and efficient conservation of the 5.8S rRNA can be attributed to its role in the translation process.

Laparoscopic calibrated total vs partial fundoplication following Heller myotomy for oesophageal achalasia

Science.gov (United States)

Martino, Natale Di; Brillantino, Antonio; Monaco, Luigi; Marano, Luigi; Schettino, Michele; Porfidia, Raffaele; Izzo, Giuseppe; Cosenza, Angelo

2011-01-01

AIM: To compare the mid-term outcomes of laparoscopic calibrated Nissen-Rossetti fundoplication with Dor fundoplication performed after Heller myotomy for oesophageal achalasia. METHODS: Fifty-six patients (26 men, 30 women; mean age 42.8 ± 14.7 years) presenting for minimally invasive surgery for oesophageal achalasia, were enrolled. All patients underwent laparoscopic Heller myotomy followed by a 180° anterior partial fundoplication in 30 cases (group 1) and calibrated Nissen-Rossetti fundoplication in 26 (group 2). Intraoperative endoscopy and manometry were used to calibrate the myotomy and fundoplication. A 6-mo follow-up period with symptomatic evaluation and barium swallow was undertaken. One and two years after surgery, the patients underwent symptom questionnaires, endoscopy, oesophageal manometry and 24 h oesophago-gastric pH monitoring. RESULTS: At the 2-year follow-up, no significant difference in the median symptom score was observed between the 2 groups (P = 0.66; Mann-Whitney U-test). The median percentage time with oesophageal pH < 4 was significantly higher in the Dor group compared to the Nissen-Rossetti group (2; range 0.8-10 vs 0.35; range 0-2) (P < 0.0001; Mann-Whitney U-test). CONCLUSION: Laparoscopic Dor and calibrated Nissen-Rossetti fundoplication achieved similar results in the resolution of dysphagia. Nissen-Rossetti fundoplication seems to be more effective in suppressing oesophageal acid exposure. PMID:21876635

Thoracoscopic versus laparoscopic modified Heller Myotomy for achalasia: efficacy and safety in 87 patients.

Science.gov (United States)

Stewart, K C; Finley, R J; Clifton, J C; Graham, A J; Storseth, C; Inculet, R

1999-08-01

The ideal treatment for achalasia permanently eliminates the dysfunctional lower esophageal sphincter, relieving dysphagia and regurgitation; prevents gastroesophageal reflux; and has an acceptable morbidity rate. Controversy exists concerning whether the thoracoscopic Heller Myotomy (THM) or laparoscopic Heller myotomy (LHM) technique is the best approach to a modified Heller myotomy for achalasia. We performed a retrospective comparison of the patient characteristics, operative results, postoperative symptoms, and the learning curves for the procedures of 24 patients undergoing THM and 63 patients undergoing LHM between 1991 and 1998. Preoperative patient variables in each group revealed similar distributions for age, gender, and prevalence of previous pneumatic dilation. Mean operating room (OR) times were 4.3 hours (range 2.9 to 5.6 hours) for THM and 3.0 hours (range 1.5 to 6.5 hours) for LHM (p = 0.01). Three esophageal perforations occurred in the THM group and two in the LHM group. Conversion to an open procedure took place in five THM operations (21%) and one LHM operation (2%) (p = 0.005). There were no postoperative esophageal leaks. Mean postoperative length of stay (LOS) for THM was 6.1 days (range 1 to 17 days) and for LHM was 4.0 days (range 1 to 12 days) (p = 0.03). Learning-curve analysis of the first 24 LHM patients compared with the most recent 24 revealed greater OR time in the first 24 mean 3.6 hours, (range 2.0 to 6.5 hours) versus mean 2.3 hours, (range 1.5 to 3.7 hours; p = 0.01), and greater LOS mean 5.5 days, (range 3 to 12 days) versus mean 3.1 days, (range 1 to 8 days; p open procedure, and shorter LOS compared with THM. LHM was superior to THM in relieving dysphagia and preventing heartburn. LHM may be the preferred surgical treatment of achalasia in some patients.

Survey of Biofouling an Australian Navy Ships: Crustacea; Isopoda and Amphipoda; Caprellidea

Science.gov (United States)

2008-01-01

amphipod behaviour and predatory strikes by fish . Journal of experimental marine Biology and Ecology 126:173-180, 1989. W. T. Calman. Crustacea. In...Limnoriidea and Sphaeromatidae be used to better reflect their phylogeny . In considering the suitability of maintaining the suborder Flabellifera, it...Caprellidae). Estuarine and Coastal Marine Science 10:225-237, 1979. E. A. Caine. Comparitive functional morphology of feeding in three species of

Ecomorfologia de caranguejos e siris (Crustacea Decapoda Brachyura) de ecossistemas costeiros

OpenAIRE

Marochi, Murilo Zanetti

2012-01-01

Resumo: Ecomorfologia de caranguejos e siris (CRUSTACEA DECAPODA BRACHYURA) de ecossistemas costeiros. O presente estudo objetivou avaliar se diferentes espécies de Brachyura possuem padrões ecomorfológicos em comum ligados ao habitat em que estão inseridas. Foram analisados 528 exemplares pertencentes a 24 espécies e provenientes dos seguintes ecossistemas costeiros: manguezal, costão rochoso, praia arenosa, bentopelagial e mar aberto. De todos os exemplares foram mensurada...

Estudios sobre los Entomostráceos de Colombia.V. Limnadia Orinoquiensis, una nueva especie de la familia Limnadiidae Sars, 1896 (Arthropoda, Crustacea, Conchostraca Estudios sobre los Entomostráceos de Colombia.V. Limnadia Orinoquiensis, una nueva especie de la familia Limnadiidae Sars, 1896 (Arthropoda, Crustacea, Conchostraca

Directory of Open Access Journals (Sweden)

Roessler Ewald W.

1991-06-01

Full Text Available En el presente estudio se describen rasgos morfológicos de una nueva especie colombiana del género Limnadia Brongniart, 1820, Limnadia orinoquiensis (Arthropoda, Crustacea, Conchostraca. La forma es de reproducción bisexual y típica para las aguas ácidas y oscuras de los alrededores de Puerto Inírida, Comisaria del Guainía. The present study describes morfological features of a new colombian species of the genus Limnadia Brongniart, 1820, Limnadia orinoquiensis (Arthropoda, Crustacea, Conchostraca, a species of bisexual reproduction, typical to the dark waters of temporary pools in the surroundings of Puerto Inírida, Comisaria of Guainía.

How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia.

Science.gov (United States)

Shaligram, Abhijit; Unnirevi, Jayaraj; Simorov, Anton; Kothari, Vishal M; Oleynikov, Dmitry

2012-04-01

Robotic techniques are routinely used in urological and gynecological procedures; however, their role in general surgical procedures is limited. A robotic technique has been successfully adopted for a minimally invasive Heller myotomy procedure for achalasia. This study aims to compare perioperative outcomes following open, laparoscopic, and robotic Heller myotomy. This study is a multicenter, retrospective analysis utilizing a large administrative database. The University Health System Consortium (UHC) is an alliance between academic medical centers and affiliate hospitals. The UHC database was accessed using International Classification of Diseases, Ninth Revision, Clinical Modification codes and analyzed. 2,683 patients with achalasia underwent Heller myotomy between October 2007 and June 2011. Myotomy was performed by open surgery (OM) in 418 patients, by laparoscopic approach (LM) in 2,116, and by robotic approach (RM) in 149. Comparison between LM and RM groups demonstrated no significant difference in mortality (0.14 vs. 0.0%; P = 1), morbidity (5.19 vs. 4.02%; P = 0.7), intensive care unit (ICU) admission (6.62 vs. 3.36%; P = 0.12), length of stay (LOS) (2.70 ± 3.87 days vs. 2.42 ± 2.69 days; P = 0.34), or 30-day readmission (1.41 vs. 2.84%; P = 0.27). However, hospital costs were significantly lower for the LM group (US $7,441 ± 7,897 vs. US $9,415 ± 5,515; P = 0.0028). Comparison between OM and RM demonstrated significant lower morbidity (9.08 vs. 4.02%; P = 0.02), ICU admission rate (14.01 vs. 3.36%, P = 0.0002), and LOS (4.42 ± 5.25 days vs. 2.42 ± 2.69 days; P = 0.0001). The perioperative outcomes are superior in LM and RM groups when compared with OM. The outcomes for the LM and RM group are comparable, with the robotic group having slightly improved results, although with increased costs. We conclude that robotic surgery is equivalent in safety and efficacy to laparoscopic Heller myotomy, and feel that the increased cost should come down as

Changes in ventilation and locomotion of Gammarus pulex (Crustacea, Amphipoda) in response to low concentrations of pharmaceuticals

NARCIS (Netherlands)

Lange, de H.J.; Peeters, E.T.H.M.; Lürling, M.F.L.L.W.

2009-01-01

Exposure to contaminants below lethal concentrations may affect the performance of organisms, resulting in measurable differences in behavior. We measured the response of the benthic invertebrate Gammarus pulex (Crustacea, Amphipoda) to sublethal concentrations of three pharmaceuticals, fluoxetine,

Health-related quality of life after laparoscopic Heller myotomy and Dor fundoplication for achalasia.

Science.gov (United States)

Asti, Emanuele; Sironi, Andrea; Lovece, Andrea; Bonavina, Giulia; Fanelli, Melania; Bonitta, Gianluca; Bonavina, Luigi

2017-04-01

In addition to symptom scores, a person's perception of health and quality of life assessment is an important indicator of quality of treatment and can provide an efficient index to compare different therapeutic modalities in chronic disease states. Only a few studies have investigated quality of life comprehensively in patients with achalasia, and therefore the controversy regarding the best treatment algorithm continues. The primary study outcome was pre- and postoperative quality of life in patients with achalasia undergoing laparoscopic Heller myotomy and Dor fundoplication. The study is a retrospective, observational cohort. The hospital registry and the updated research database were reviewed to identify all patients who were treated for achalasia between 2010 and 2015. Patients were eligible for the study if they had a minimum 1-year follow-up and had pre-and postoperative Eckardt, Short Form-36, and Gastro-Esophageal Reflux Disease Health-Related Quality of Life scores. Patients with previous operative and/or endoscopic treatments for achalasia were excluded. One-hundred and eighteen patients were identified. The median follow-up was 40 months (interquartile range 27). The proportion of patients with Eckardt stage II-III decreased from 94.9-13% (P Heller myotomy combined with Dor fundoplication. Copyright © 2016 Elsevier Inc. All rights reserved.

vasa-related genes and their expression in stem cells of colonial parasitic rhizocephalan barnacle Polyascus polygenea (Arthropoda: Crustacea: Cirripedia: Rhizocephala).

Science.gov (United States)

Shukalyuk, Andrey I; Golovnina, Kseniya A; Baiborodin, Sergei I; Gunbin, Konstantin V; Blinov, Alexander G; Isaeva, Valeria V

2007-02-01

vasa (vas)-related genes are members of the DEAD-box protein family and are expressed in the germ cells of many Metazoa. We cloned vasa-related genes (PpVLG, CpVLG) and other DEAD-box family related genes (PpDRH1, PpDRH2, CpDRH, AtDRHr) from the colonial parasitic rhizocephalan barnacle Polyascus polygenea, the non-colonial Clistosaccus paguri (Crustacea: Cirripedia: Rhizocephala), and the parasitic isopodan Athelgis takanoshimensis (Crustacea: Isopoda). The colonial Polyascus polygenea, a parasite of the coastal crabs Hemigrapsus sanguineus and Hemigrapsus longitarsis was used as a model object for further detailed investigations. Phylogenetic analysis suggested that PpVLG and CpVLG are closely related to vasa-like genes of other Arthropoda. The rest of the studied genes form their own separate branch on the phylogenetic tree and have a common ancestry with the p68 and PL10 subfamilies. We suppose this group may be a new subfamily of the DEAD-box RNA helicases that is specific for parasitic Crustacea. We found PpVLG and PpDRH1 expression products in stem cells from stolons and buds of internae, during asexual reproduction of colonial P. polygenea, and in germ cells from sexually reproducing externae, including male spermatogenic cells and female oogenic cells.

New records of Decapod Crustacea from the Mediterranean coast of Israel and the eastern Mediterranean

NARCIS (Netherlands)

Lewinsohn, Ch.; Holthuis, L.B.

1964-01-01

Since the publication by Holthuis & Gottlieb (1958) of a list of the Decapod Crustacea known at that time to inhabit the Mediterranean waters of Israel, several additional species, 18 in number, have been found in the area, while just prior to the issue of the paper by Holthuis & Gottlieb a

Achalasia and Respiratory Symptoms: Effect of Laparoscopic Heller Myotomy.

Science.gov (United States)

Andolfi, Ciro; Kavitt, Robert T; Herbella, Fernando A M; Patti, Marco G

2016-09-01

Dysphagia and regurgitation are considered typical symptoms of achalasia. However, there is mounting evidence that some achalasia patients may also experience respiratory symptoms such as cough, wheezing, and hoarseness. The aims of this study were to determine: (1) what percentage of achalasia patients experience respiratory symptoms and (2) the effect of a laparoscopic Heller myotomy and Dor fundoplication on the typical and respiratory symptoms of achalasia. Between May 2008 and December 2015, 165 patients with achalasia were referred for treatment to the Center for Esophageal Diseases of the University of Chicago. Patients had preoperatively a barium swallow, endoscopy, and esophageal manometry. All patients underwent a Heller myotomy and Dor fundoplication. Based on the presence of respiratory symptoms, patients were divided into two groups: group A, 98 patients (59%) without respiratory symptoms and group B, 67 patients (41%) with respiratory symptoms. The preoperative Eckardt score was similar in the two groups (6.5 ± 2.1 versus 6.4 ± 2.0). The mean esophageal diameter was 27.7 ± 10.8 mm in group A and 42.6 ± 20.1 mm in group B (P myotomy that extended for 5 cm on the esophagus and 2.5 cm onto the gastric wall. At a median postoperative follow-up of 17 months, the Eckardt score improved significantly and similarly in the two groups (0.3 ± 0.8 versus 0.3 ± 1.0). Respiratory symptoms improved or resolved in 62 patients (92.5%). The results of this study showed that: (1) respiratory symptoms were present in 41% of patients; (2) patients with respiratory symptoms had a more dilated esophagus; and (3) surgical treatment resolved or improved respiratory symptoms in 92.5% of patients. This study underlines the importance of investigating the presence of respiratory symptoms along with the more common symptoms of achalasia and of early treatment before lung damage occurs.

Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis.

Science.gov (United States)

Midgley, Nick

2012-02-01

A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.

Las necesidades como análisis económico en Agnes Heller

OpenAIRE

Payá Martínez, Isaac

2009-01-01

En el presente trabajo trataré de analizar la importancia del estudio de las necesidades en Heller, a través de su implicación en la realidad económica. La autora rompe con la visión positivista de Maslow que analiza las necesidades en términos más bien cuantitativos y psicologizantes y llega a construirlas desde una visión histórico-social-antropológica, criticando la explicitación mercantilista de la satisfacción de las necesidades por parte de la sociedad capitalista, proponiendo a trav...

Long-term results of the European achalasia trial: a multicentre randomised controlled trial comparing pneumatic dilation versus laparoscopic Heller myotomy

NARCIS (Netherlands)

Moonen, An; Annese, Vito; Belmans, Ann; Bredenoord, Albert J.; Bruley des Varannes, Stanislas; Costantini, Mario; Dousset, Bertrand; Elizalde, J. I.; Fumagalli, Uberto; Gaudric, Marianne; Merla, Antonio; Smout, Andre J.; Tack, Jan; Zaninotto, Giovanni; Busch, Olivier R.; Boeckxstaens, Guy E.

2016-01-01

Achalasia is a chronic motility disorder of the oesophagus for which laparoscopic Heller myotomy (LHM) and endoscopic pneumodilation (PD) are the most commonly used treatments. However, prospective data comparing their long-term efficacy is lacking. 201 newly diagnosed patients with achalasia were

Assessment of Pneumatic Balloon Dilation in Patients with Symptomatic Relapse after Failed Heller Myotomy: A Single Center Experience.

Science.gov (United States)

Amani, Mohammad; Fazlollahi, Narges; Shirani, Shapour; Malekzadeh, Reza; Mikaeli, Javad

2016-01-01

BACKGROUND Although Heller myotomy is one of the most effective treatments for achalasia, it may be associated with early or late symptom relapse in some patients. Therefore, additional treatment is required to achieve better control of symptoms. To evaluate the safety and efficacy of pneumatic balloon dilation (PBD) in patients with symptom relapse after Heller myotomy. METHODS Thirty six post-myotomy patients were evaluated from 1993 to 2013. Six patients were excluded from the analysis because of comorbid diseases or epiphrenic diverticula. Thirty patients were treated with PBD. Primary outcome was defined as a decrease in symptom score to 4 or less and a reduction greater than 80% from the baseline in the volume of barium in timed barium esophagogram in 6 weeks. Achalasia symptom score (ASS) was assessed at 1.5, 3, 6, and 12 months after treatment and then every six months in all patients and PBD was repeated in case of symptom relapse (ASS>4). RESULTS The mean age of the patients was 45.5±13.9 years (range: 21-73). Primary outcome was observed in 25 patients (83%). The mean ASS of the patients dropped from 7.8 before treatment to 1.3±2.0 at 1.5 months after treatment (p=0.0001). The mean volume and height of barium decreased from 43.1±33.4 and 7.1±4.7 to 6.0±17.1 and 1.1±2.2, respectively (p=0.003, p=0.003). The mean duration of follow-up was 11.8±6.3 years. At the end of the study, 21 patients (70%) reported sustained good response. No major complications such as perforation or gross bleeding were seen. CONCLUSION PBD is an effective and safe treatment option for achalasia in patients with symptom relapse after Heller myotomy.

External morphology of Lightiella monniotae (Crustacea, Cephalocarida) in the light of Cambrian 'Orsten' crustaceans

DEFF Research Database (Denmark)

Olesen, Jørgen; Haug, Joachim T.; Maas, Andreas

2011-01-01

The species-poor meiofaunal Cephalocarida have played an important role in discussions of the phylogeny and evolution of Crustacea since their discovery in 1955. One reason may be that the morphology of cephalocarids includes some aspects of putatively ancient appearance, such as the simple roof-...... has again proved to be especially appropriate because of the small size of these animals, and because it permits direct comparisons with other similarly small crustaceans and the ‘Orsten’ crustaceans and their larvae....

Economic evaluation of the randomized European Achalasia trial comparing pneumodilation with Laparoscopic Heller myotomy.

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Moonen, A; Busch, O; Costantini, M; Finotti, E; Tack, J; Salvador, R; Boeckxstaens, G; Zaninotto, G

2017-11-01

A recent multicenter randomized trial in achalasia patients has shown that pneumatic dilation resulted in equivalent relief of symptoms compared to laparoscopic Heller myotomy. Additionally, the cost of each treatment should be also taken in consideration. Therefore, the aim of the present study was to perform an economic analysis of the European achalasia trial. Patients with newly diagnosed achalasia were enrolled from to 2003 to 2008 in 14 centers in five European countries and were randomly assigned to either pneumatic dilation (PD) or laparoscopic Heller (LHM). The economic analysis was performed in the three centers in three different countries where most patients were enrolled (Amsterdam [NL], Leuven, [B] and Padova [I]) and then applied to all patients included in the study. The total raw costs of the two treatments per patient include the initial costs, the costs of complications, and the costs of retreatments. Two hundred and one patients, 107 (57 males and 50 females, mean age 46 CI: 43-49 years) were randomized to LHM and 94 (59 males and 34 females, mean age 46 CI 43-50 years) to PD. The total cost of PD per patient was quite comparable in the three different centers; €3397 in Padova, €3259 in Amsterdam and €3792 in Leuven. For LHM, the total costs per patient were highest in Amsterdam: €4488 in Padova, €6720 in Amsterdam, and €5856 in Leuven. In conclusion, the strategy of treating achalasia starting with PD appears the most economic approach, independent of the health system. © 2017 John Wiley & Sons Ltd.

Robotic-assisted Heller myotomy: a modern technique and review of outcomes.

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Afaneh, Cheguevara; Finnerty, Brendan; Abelson, Jonathan S; Zarnegar, Rasa

2015-06-01

Achalasia is a debilitating esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter and lack of peristalsis. Manometry is the gold standard for diagnosis and laparoscopic Heller myotomy has been the gold standard for definitive therapy. However, current advances in surgical technology have introduced the robotic platform as a viable approach for this procedure. The safety and efficacy has been clearly established with comparable operative times to laparoscopy in experienced hands. Importantly, the rate of resolution of dysphagia postoperatively is over 80% which is comparable to laparoscopic outcomes. Moreover, some literature suggests lower esophageal perforation rates utilizing the robotic platform. Nevertheless, costs remain one of the largest barriers to widespread use of the robotic platform and future studies should aim to identify strategies in cost reduction.

Results of the surgical treatment of non-advanced megaesophagus using Heller-Pinotti's surgery: Laparotomy vs. Laparoscopy

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Luiz Roberto Lopes

2011-01-01

Full Text Available INTRODUCTION: Dysphagia is the important symptom in achalasia, and surgery is the most common treatment. The Heller-Pinotti technique is the method preferred by Brazilian surgeons. For many years, this technique was performed by laparotomy, and now the laparoscopic method has been introduced. The objective was to evaluate the immediate and long-term results of patients submitted to surgery by either laparotomy or laparoscopy. MATERIALS AND METHODS: A total of 67 patients submitted to surgery between 1994 and 2001 with at least 5 years of follow-up were evaluated retrospectively and divided into two groups: laparotomy (41 patients and laparoscopy (26 patients. Chagas was the etiology in 76.12% of cases. Dysphagia was evaluated according to the classification defined by Saeed et al. RESULTS: There were no cases of conversion to open surgery. The mean duration of hospitalization was 3.32 days for laparotomy and 2.54 days for laparoscopy (p<0.05. An improvement in dysphagia occurred with both groups reporting good or excellent results (laparotomy: 73.17% and laparoscopy: 73.08%. Mean duration of follow-up was 8 years. CONCLUSIONS: There was no difference between the two groups with respect to relief from dysphagia, thereby confirming the safety and effectiveness of the Heller-Pinotti technique, which can be performed by laparotomy or laparoscopy, depending on the surgeon's experience.

Length and weight relationship of laboratory reared penaeid prawn Penaeus monodon (Fabricius) (Crustacea: Penaeidae)

Digital Repository Service at National Institute of Oceanography (India)

Saldanha, C.M.; Chatterji, A.

A parabolic relationship was obtained while studying the length-weight relationship of the postlarvae of Penaeus monodon. The b value (multiplying constant) showed that in the laboratory reared penaeid prawns, length-weight relationship strictly...

Four new species of the genus Rhopalophthalmus (Mysidacea: Crustacea) from the northwest coast of India

Digital Repository Service at National Institute of Oceanography (India)

Panampunnayil, S.U.; Biju, A.

Four new species of the genus Rhopalophthalmus (Mysidacea: Crustacea) from the north west coast of India PANAMPUNNAYIL S.U. AND BIJU. A* National Institute of Oceanography, Regional Centre, Kochi-18, India *Email: biju_nio@yahoo.com Abstract... setae on distal border (Figures 7, 8). Inner lobe of maxillule with five plumose setae and three stout barbed spines, outer lobe with nine strong spines on distal border (Figure 9). Maxilla with large basal lobe and deeply cleft distal lobe; exopod...

Macroepizoísmo em Libinia ferreirae (Crustacea, Brachyura, Majidae Macroepizoites on Libinia ferreirae (Crustacea, Brachyura, Majidae

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Vanessa C. Winter

2006-06-01

Full Text Available Um estudo de distribuição dos macroepizóicos foi realizado numa população do caranguejo-aranha Libinia ferreirae Brito Capello, 1871 proveniente do litoral dos estados do Paraná e de Santa Catarina. O material biológico foi obtido junto aos pescadores, e faz parte do rejeito de pesca. Os caranguejos foram mensurados e os macroepizóicos identificados e contados. Os seguintes macroepizóicos sésseis foram registrados: Calliactis tricolor (Lesueur, 1817 (Cnidaria; Actiniaria (Cnidaria; Arca sp. (Mollusca; Ostreidae (Mollusca; Acanthodesia tenuis (Desor, 1848 (Bryozoa; Cirripedia e duas espécies tubícolas de Gammaridea (Crustacea. Além destes organismos ocorreram dois tubos desabitados e quatro animais vágeis. A anêmona C. tricolor foi a espécie mais abundante e freqüente, sendo, provavelmente, utilizada como mecanismo de camuflagem pelo caranguejo. O macroepizoísmo em L. ferreirae está relacionado com a idade ou tamanho do caranguejo, tendo maior incidência naqueles mais velhos ou de maior porte. Entretanto, a densidade dos macroepizóicos por caranguejo se mantém em torno de três. Não há relação entre o macroepizoísmo e o sexo do hospedeiro; somente fêmeas ovígeras utilizam desse recurso mais freqüentemente do que as não-ovígeras. Devido à maior área de fixação, os macroepizóicos colonizam principalmente a carapaça do caranguejo, enquanto nos pereiópodos há predominância de Bryozoa.A study of the distribution of the macroepizoites was carried out on a population of the spider crab Libinia ferreirae Brito Capello, 1871 from the Southern Brazilian coast. Crabs were obtained from shrimps and fishes by-catch. They were measured, and their macroepizoites were identified and counted. The following sessile macroepizoites were registered: Calliactis tricolor (Lesueur, 1817 (Cnidaria; Actiniaria (Cnidaria; Arca sp. (Mollusca; Ostreidae (Mollusca; Acanthodesia tenuis (Desor, 1848 (Bryozoa; Cirripedia and two species

Ethnotaxonomical Study of Mole Crab (Crustacea:Hippoidea on Coastal Community of Cilacap

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Dian Bhagawati

2016-09-01

Full Text Available Local wisdom is a cultural heritage that needs to be preserved. The Cilacap’s coastal communities have traditional taxonomy knowledge that hasn’t been informed, especially about mole crab. This study aimed to explore the ethnotaxonomy knowledge of sand crabs (Crustacea: Hippoidea in Widarapayung coastal communities. The purposive snowball sampling was used for the method, followed by observation and semi-structured interviews with 30 respondents. Data were analyzed descriptively based on observations and interviews. The results showed that the coastal communities in Widarapayung tourist areas could be divided into five groups, namely catchers, collectors, processors, traders, and consumers. The catcher was able to recognize and describe three types of sand crabs based on the shape of the body and their catchment areas. Captured crabs had the local name of ‘yutuk jambe’ (Emerita emeritus Linnaeus 1767, the appellation was based on carapace shape that resembled the shape of areca fruit; ‘Yutuk bathok’ (Hippa adactyla Fabricius 1787, had the carapace shape resembling a coconut shell, and ‘yutuk Kethek’ (Albunea symmysta Linnaeus 1758, had ornaments on the carapace surface similar with a monkey face, there were dense setae on the edge of the carapace, spiny long antennas and aggressively pinch when captured. The knowledge and skills of sand crabs classification and local name entitlement acquired by the people were in accordance with the Berlin’s model. How to CiteBhagawati, D., Anggoro, S., Zainuri, M. & Sya’rani, L. (2016. Ethnotaxonomical Study of Mole Crab (Crustacea:Hippoidea on Coastal Community of Cilacap. Biosaintifika: Journal of Biology & Biology Education, 8(2, 222-230.

Plant feeding promotes diversification in the Crustacea.

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Poore, Alistair G B; Ahyong, Shane T; Lowry, James K; Sotka, Erik E

2017-08-15

About half of the world's animal species are arthropods associated with plants, and the ability to consume plant material has been proposed to be an important trait associated with the spectacular diversification of terrestrial insects. We review the phylogenetic distribution of plant feeding in the Crustacea, the other major group of arthropods that commonly consume plants, to estimate how often plant feeding has arisen and to test whether this dietary transition is associated with higher species numbers in extant clades. We present evidence that at least 31 lineages of marine, freshwater, and terrestrial crustaceans (including 64 families and 185 genera) have independently overcome the challenges of consuming plant material. These plant-feeding clades are, on average, 21-fold more speciose than their sister taxa, indicating that a shift in diet is associated with increased net rates of diversification. In contrast to herbivorous insects, most crustaceans have very broad diets, and the increased richness of taxa that include plants in their diet likely results from access to a novel resource base rather than host-associated divergence.

Laparoscopic Heller Myotomy and Fundoplication: What Is the Evidence?

Science.gov (United States)

Rebecchi, Fabrizio; Allaix, Marco E; Schlottmann, Francisco; Patti, Marco G; Morino, Mario

2018-04-01

There is no agreement about the best type of fundoplication to add in patients undergoing laparoscopic Heller myotomy (LHM) for achalasia to reduce the risk of postoperative gastroesophageal reflux. This article reviews the current evidence about the outcomes in achalasia patients undergoing LHM with a partial anterior, a partial posterior, or a total fundoplication. We performed a review of the literature in PubMed/Medline electronic databases, which was evaluated according to the GRADE system. The results of the published randomized controlled trials show with a high level of evidence that the addition of a fundoplication reduces the risk of postoperative abnormal reflux, without impairing the food emptying of the esophagus. LHM with partial fundoplication is considered in most centers worldwide the standard of care for the treatment of patients with achalasia. The current evidence fails to show any significant difference between partial anterior and posterior fundoplication. In the absence of further large randomized controlled trial, the decision of performing an anterior or a posterior wrap is based on the surgeon's experience and preference. The addition of a partial fundoplication to LHM leads to a significantly lower rate of postoperative pathological reflux without impairing the esophageal emptying.

In vivo and in vitro protein digestibility of formulated feeds for Artemesia longinaris (Crustacea, Penaeidae

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Analía Verónica Fernández Gimenez

2009-12-01

Full Text Available This study was undertaken to determine the in vivo crude protein apparent digestibility in the prawn Artemesia longinaris, using feeds with 0.25% of chromic oxide and animal (fish meal, meat and bone meal and squid protein concentrate and plant (soybean meal ingredients. Three replicate groups of prawn were fed and the feces were collected. The rate of protein hydrolysis was measured in vitro using midgut gland enzyme extract from the prawns fed the respective feeds and was compared with those found with enzyme extract of wild prawn. The in vivo apparent digestibility coefficients showed significant differences among the feeds (PO objetivo do presente trabalho foi determinar a digestibilidade aparente in vivo da proteína bruta de ingredientes de origem animal (farinhas de peixe, osso e carne e concentrado de proteína de lula e ingredientes vegetais (farinha de soja em camarões Artemesia longinaris utilizando rações contendo 0,25% de óxido de cromo. Três grupos de camarões, utilizados como replicatas, foram alimentados e as fezes coletadas. A velocidade de hidrólise da proteína de cada ração foi medida in vitro utilizando extrato enzimático da glândula do intestino médio dos camarões alimentados com a ração correspondente e foi comparado com aqueles obtidos com o extrato enzimático de camarões selvagens. Os coeficientes de digestibilidade aparente in vivo mostraram diferenças significativas entre as rações testadas (P<0,05. A farinha de peixe apresentou a maior digestibilidade (92%, enquanto valores intermediários de digestibilidade (83% foram encontrados para a farinha de carne e ossos. A ração contendo farinha de soja e concentrado de proteína de lula resultou em menor digestibilidade (63%. Não houve diferença significativa entre os valores de digestibilidade in vitro para as rações testadas. Estes resultados indicam a limitação inerente dos ensaios enzimáticos in vitro, os quais poderiam ser complementados com estudos in vivo.

Feeding ecology of juvenile dog snapper Lutjanus jocu (Bloch and Shneider, 1801 (Lutjanidae in intertidal mangrove creeks in Curuçá estuary (Northern Brazil

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Dijane Pantoja Monteiro

2009-12-01

Full Text Available The diet and feeding ecology of juvenile dog snapper (Lutjanus jocu were investigated in 92 specimens collected in four intertidal mangrove creeks of Curuçá estuary, Northern Brazil, between September 2003 and July 2004. No significant differences in total length were found between the sampling months. Feeding intensity was high as indicated by high stomach fullness index and low vacuity index. The most important prey was Penaeidae, followed by Grapsidae and Porcellanidae. The diet of juvenile dog snapper showed clear seasonal differences. Specimens from dry season (September and November and dry / wet season transition (January, were specialists feeding exclusively on Penaeidae. However, the specimens from wet season (March and May and wet /dry season transition (July that consumed mainly Grapsidae, Penaeidae and Porcellanidae were generalist. These seasonal changes in diet could be related to variations in food availability.A dieta e a ecologia alimentar de juvenis de Lutjanus jocu foram verificadas em 92 espécimes coletados em quatro canais de maré do estuário do rio Curuçá, Norte do Brasil, entre setembro de 2003 e julho de 2004. O comprimento total dos peixes coletados não apresentou diferenças significativas entre os meses amostrados. A intensidade alimentar foi elevada conforme indicado pelos altos valores do índice de repleção estomacal e os baixos valores do índice de vacuidade. A presa mais importante foi Penaeidae, seguida por Grapsidae e Porcellanidae. A dieta de juvenis de L. jocu apresentou diferenças sazonais evidentes. Os espécimes da estação seca (setembro e novembro e transição seca/chuvosa (janeiro foram considerados especialistas alimentando-se exclusivamente de Penaeidae. No entanto, os espécimes da estação chuvosa (março e maio e da transição chuvosa/seca (julho, que alimentaram-se principalmente de Grapsidae, Penaeidae e Porcellanidae, foram considerados generalistas. Esta mudança sazonal na dieta

A dataset on the species composition of amphipods (Crustacea) in a Mexican marine national park: Alacranes Reef, Yucatan

OpenAIRE

Paz,Carlos; Simões,Nuno; Pech,Daniel

2018-01-01

Abstract Background Alacranes Reef was declared as a National Marine Park in 1994. Since then, many efforts have been made to inventory its biodiversity. However, groups such as amphipods have been underestimated or not considered when benthic invertebrates were inventoried. Here we present a dataset that contributes to the knowledge of benthic amphipods ( Crustacea , Peracarida ) from the inner lagoon habitats from the Alacranes Reef National Park, the largest coral reef ecosystem in the Gul...

Peroral endoscopic myotomy achieves similar clinical response but incurs lesser charges compared to robotic heller myotomy.

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Khashab, Mouen A; Kumbhari, Vivek; Tieu, Alan H; El Zein, Mohamad H; Ismail, Amr; Ngamruengphong, Saowanee; Singh, Vikesh K; Kalloo, Anthony N; Clarke, John O; Stein, Ellen M

2017-01-01

Several uncontrolled studies comparing peroral endoscopic myotomy (POEM) and Heller myotomy have demonstrated equivalent short-term efficacy and safety. However, no data exists rergarding the cost of POEM and how it compares to that of robotic Heller myotomy (RHM). The primary aim of this study was to compare the inpatient charges incurred in patients who underwent POEM or RHM for the treatment of achalasia. A retrospective single center review was conducted among 52 consecutive POEM patients (2012-2014) and 52 consecutive RHM patients (2009-2014). All RHM procedures included a Toupet fundoplication and were performed via a transabdominal approach. All POEM procedures were performed by a gastroenterologist in the endoscopy unit. Clinical response was defined by improvement of symptoms and decrease in Eckardt stage to ≤I. All procedural and facility charges were obtained from review of the hospital finance records. There was no difference between POEM and RHM with regards to age, gender, symptom duration, achalasia subtype, manometry findings, or Eckardt symptom stage. There was no significant difference in the rate of adverse events (19.2% vs 9.6%, P = 0.26) or the length of stay (1.9 vs. 2.3, P = 0.18) between both groups. Clinical response rate of patients in the POEM groups was similar to that in the RHM group (94.3% vs. 88.5%, P = 0.48). POEM incurred significantly less total charges compared to LHM ($14481 vs. $17782, P = 0.02). POEM when performed in an endoscopy unit was similar in efficacy and safety to RHM. However, POEM was associated with significant cost savings ($3301/procedure).

Systematic Review and Meta-Analysis of Perioperative Outcomes of Peroral Endoscopic Myotomy (POEM) and Laparoscopic Heller Myotomy (LHM) for Achalasia.

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Awaiz, Aiman; Yunus, Rossita M; Khan, Shahjahan; Memon, Breda; Memon, Muhammed A

2017-06-01

Laparoscopic Heller myotomy (LHM) is the preferred surgical method for treating achalasia. However, peroral endoscopic myotomy (POEM) is providing good short-term results. The objective of this systematic review and meta-analysis was to compare the safety and efficacy of LHM and POEM. A search of PubMed, Cochrane database, Medline, Embase, Science Citation Index, and current contents for English-language articles comparing LHM and POEM between 2007 and 2016 was performed. Variables analyzed included prior endoscopic treatment, prior medical treatment, prior Heller myotomy, operative time, overall complications rate, postoperative gastroesophageal reflux disease (GERD), length of hospital stay, postoperative pain score, and long-term GERD. Seven trials consisting of 483 (LHM=250, POEM=233) patients were analyzed. Preoperative variables, for example, prior endoscopic treatment [odds ratio (OR), 1.32; 95% confidence interval (CI), 0.23-4.61; P=0.96], prior medical treatment [weighted mean difference (WMD), 1.22; 95% CI, 0.52-2.88; P=0.65], and prior Heller myotomy (WMD, 0.47; 95% CI, 0.13-1.67; P=0.25) were comparable. Operative time was 26.28 minutes, nonsignificantly longer for LHM (WMD, 26.28; 95% CI, -11.20 to 63.70; P=0.17). There was a comparable overall complication rate (OR, 1.25; 95% CI, 0.56-2.77; P=0.59), postoperative GERD rate (OR, 1.27; 95% CI, 0.70-2.30; P=0.44), length of hospital stay (WMD, 0.30; 95% CI, -0.24 to 0.85; P=0.28), postoperative pain score (WMD, -0.26; 95% CI, -1.58 to 1.06; P=0.70), and long-term GERD (WMD, 1.06; 95% CI, 0.27-4.1; P=0.08) for both procedures. There was a significantly higher short-term clinical treatment failure rate for LHM (OR, 9.82; 95% CI, 2.06-46.80; P<0.01). POEM compares favorably to LHM for achalasia treatment in short-term perioperative outcomes. However, there was a significantly higher clinical treatment failure rate for LHM on short-term postoperative follow-up. Presently long-term postoperative follow

First record of Puerulus mesodontus Chan, Ma & Chu, 2013 (Crustacea, Decapoda, Achelata, Palinuridae) from south of Java, Indonesia.

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Wardiatno, Yusli; Hakim, Agus Alim; Mashar, Ali; Butet, Nurlisa Alias; Adrianto, Luky; Farajallah, Achmad

2016-01-01

Three specimens of Puerulus mesodontus Chan, Ma & Chu, 2013 (Crustacea, Decapoda, Achelata, Palinuridae) were collected from Palabuhanratu Bay, southern Java, Indonesia. There is no previous record on the presence of the species in Indonesia. This finding represents the first record of this species in Java, Indonesia, and confirms that the species is present in the Indian Ocean. The morphological characters of the species are described. This paper contains a new distribution record of a lobster species from Indonesian waters.

Laparoscopic Heller Myotomy versus Per Oral Endoscopic Myotomy: Evidence-Based Approach to the Treatment of Esophageal Achalasia.

Science.gov (United States)

Schlottmann, Francisco; Patti, Marco G

2018-04-01

Esophageal achalasia is a rare disorder characterized by a failure of the lower esophageal sphincter to relax during swallowing, combined with aperistalsis of the esophageal body. Treatment is not curative, but aims to eliminate the outflow resistance caused by the nonrelaxing lower esophageal sphincter. Current evidence suggests that both laparoscopic Heller myotomy and per oral endoscopic myotomy (POEM) are very effective in the relief of symptoms in patients with achalasia. Specifically, for type III achalasia, POEM may achieve higher success rates. However, POEM is associated to a very high incidence of pathologic reflux, with the risk of exchanging one disease-achalasia-with another-gastroesophageal reflux.

KEANEKARAGAMAN JENIS KRUSTASEA DI KAWASAN MANGROVE KABUPATEN PURWOREJO, JAWA TENGAH (Biodiversity of Crustacea in Mangrove Area, Purworejo Regency, Central Java

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Slamet Mardiyanto Rahayu

2017-05-01

Full Text Available dan pendidikan. Luas kawasan mangrove di Kabupaten Purworejo semakin berkurang akibat adanya penebangan, pemukiman, tambak, dan pertanian. Ada tiga stasiun, yaitu mangrove lebat (Desa Gedangan, mangrove sedang (Desa Jatikontal, dan mangrove jarang (Desa Ngentak. Ditemukan 19 jenis dari 6 famili krustasea yaitu Ocypodidae, Sesarmidae, Portunidae,Alpheidae, Palaemonidae, dan Penaeidae. Terdapat empat jenis krustasea bernilai ekonomi tinggi. Kepadatan krustasea tertinggi di stasiun I, terendah di stasiun III. Indeks keanekaragaman (H’ krustasea di seluruh stasiun termasuk kategori sedang dengan. Indeks keseragaman (E krustasea di seluruh stasiun termasuk kategori sedang. Indeks  dominansi (C krustasea di seluruh stasiun termasuk kategori rendah. Vegetasi mangrove pada stasiun I adalah Rhizophora mucronata, Nypa fruticans, Sonneratia alba, dan Hibiscus tiliaceus. Vegetasi mangrove pada stasiun II adalah Sonneratia caseolaris, Rhizophora stylosa, N.fruticans, H.tiliaceus, dan Morinda citrifolia.Vegetasi mangrove pada stasiun III adalah S.alba, S.caseolaris, N.fruticans, dan R.mucronata. Kondisi faktor lingkungan di seluruh stasiun relatif baik untuk kehidupan mangrove dan krustasea.   Kata Kunci: krustasea, mangrove, Purworejo, keanekaragaman   Kata Kunci: krustasea, mangrove, Purworejo, keanekaragaman

Efficacy and durability of robotic Heller myotomy for achalasia: patient symptoms and satisfaction at long-term follow-up.

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Perry, Kyle A; Kanji, Aliyah; Drosdeck, Joseph M; Linn, John G; Chan, Anthony; Muscarella, Peter; Melvin, W Scott

2014-11-01

Laparoscopic Heller myotomy (LHM) has become the standard treatment for achalasia in the USA. Robot-assisted Heller myotomy (RHM) has emerged as an alternative approach due to improved visualization and fine motor control, but long-term follow-up studies have not been reported. We sought to report the long-term outcomes of RHM and compare them to those of LHM. A retrospective cohort study was performed for patients who underwent laparoscopic or RHM between 1995 and 2006. Long-term follow-up was performed via mail or telephone questionnaire. The primary outcome measure was durable relief of dysphagia without need for further intervention. Secondary outcomes included gastroesophageal reflux symptoms, disease-specific quality of life, and patient satisfaction with their operation. Seventy-five patients underwent laparoscopic (n = 19) or robotic (n = 56) myotomy during the study period. Long-term follow-up was obtained in 53 (71 %) patients with a median interval of 9 years. RHM was associated with a decreased mucosal injury rate (0 vs. 16 %, p = 0.01) and median hospital stay (1 vs. 2 days, p myotomy and 80 % after laparoscopic myotomy (p = 0.27). Overall, 95 % of patients were satisfied with their operation, and 91 % would choose surgery again given the benefit of hindsight. There is a dearth of long-term follow-up data to support the effectiveness of RHM. This study demonstrates durable dysphagia relief in the vast majority of patients with a high degree of patient satisfaction and a low rate of esophageal mucosal injury. While a significant proportion of patients report reflux symptoms, these symptoms are well controlled with medical acid suppression.

Laparoscopic Heller Myotomy for Non-Dilated Esophageal Achalasia in Children with Intraoperative Stepped Dilation Under Image Guidance: Attempting Complete Myotomy.

Science.gov (United States)

Miyano, Go; Miyake, Hiromu; Koyama, Mariko; Morita, Keiichi; Kaneshiro, Masakatsu; Nouso, Hiroshi; Yamoto, Masaya; Fukumoto, Koji; Urushihara, Naoto

2016-05-01

This study presents a modified surgical approach to laparoscopic myotomy for achalasia using stepped dilation with a Rigiflex balloon and contrast medium under image guidance. A 10-year-old boy with persistent dysphagia and vomiting had ingested only liquids for 3 months, losing >10 kg in body weight. Barium swallow and esophageal manometry diagnosed esophageal achalasia with mild esophageal dilatation. After failed pneumatic dilatation, laparoscopic Heller myotomy with Dor fundoplication was performed. Prior to surgery, a Rigiflex balloon dilator was placed within the esophagus near the diaphragmatic hiatus. A four-port technique was used, and mobilization of the esophagus was limited to the anterior aspect. A 5-cm Heller myotomy was performed, extending another 2 cm onto the anterior gastric wall. During myotomy, the Rigiflex balloon was serially dilated from 30 to 50 mL, and filled with contrast medium under fluoroscopic image guidance in order to maintain appropriate tension on the esophagus to facilitate myotomy, and to confirm adequate myotomy with sufficient release of lower esophageal sphincter by resecting residual circular muscle fibers. Residual circular muscle fibers can be simultaneously visualized under both fluoroscopic image guidance and direct observation through the laparoscope, and they were cut precisely until the residual notch fully disappeared. Dor fundoplication was completed. The operative time was 180 minutes, and oral intake was started after esophagography on postoperative day 1. As of the 12-month follow-up, the patient has not shown any symptoms, and his postoperative course appeared satisfactory.

Self-expandable metal stent placement in a child for treatment of achalasia after failed Heller myotomy.

Science.gov (United States)

Gugig, Roberto; Muñoz Jurado, Guillermo; Huang, Clifton; Oleas, Roberto; Robles-Medranda, Carlos

2018-01-01

Background and study aims  Childhood achalasia treatment remains inconclusive. What is next after myotomy failure? Repeated pneumatic-dilation put patients at greater risk of perforation with possible symptom recurrence. We report on a 12-year-old patient with a 1-year history of achalasia whom underwent Heller myotomy with fundoplication and recurred with symptoms 1 week after surgery. Pneumatic dilatation was considered but not done because of the risk of esophageal perforation. The decision was made to place a fully covered self-expanding metallic stent (FC-SEMS) for 3 months, which resolved the stenosis as confirmed by esophagram. The patient has remained asymptomatic since the procedure was performed 2 years ago. FC-SEMS is an alternative for treatment of refractory achalasia in children who do not respond to conventional treatment.

Biopolíticas da saúde: reflexões a partir de Michel Foucault, Agnes Heller e Hannah Arendt

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Francisco Ortega

Full Text Available O objetivo deste artigo é oferecer ferramentas conceituais que possam ajudar na reflexão acerca da questão das biopolíticas da saúde a partir da obra de Michel Foucault, Agnes Heller e Hannah Arendt. Para Foucault, desde o século XVIII, a vida biológica e a saúde da nação tornaram-se alvos fundamentais de um poder sobre a vida que enfatizava especialmente as noções de sexualidade, raça e degenerescência, cujo objetivo era a otimização da qualidade biológica das populações. Para Arendt, esse movimento de politização da vida é profundamente antipolítico. A vida passa a ocupar o vazio deixado pela decomposição do âmbito público. No caso de Agnes Heller, o antipolitismo do discurso biopolítico se manifesta na procura constante de legitimação quase científica. O pensamento de raça, gênero, saúde é um pensamento científico imitado que substitui a opinião pela verdade. Se a política é o campo do confronto das opiniões, do diálogo, da iniciativa, do novo, da espontaneidade e da ação em liberdade, o pensamento biopolítico legitimado cientificamente é o espaço da verdade, da certeza, da necessidade, do determinismo e da causalidade, no qual o diálogo é substituído por uma política da autoclausura, de amigos e inimigos, e a pluralidade de opiniões é reduzida a uma única opinião politicamente correta.

Biopolíticas da saúde: reflexões a partir de Michel Foucault, Agnes Heller e Hannah Arendt

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Francisco Ortega

2004-02-01

Full Text Available O objetivo deste artigo é oferecer ferramentas conceituais que possam ajudar na reflexão acerca da questão das biopolíticas da saúde a partir da obra de Michel Foucault, Agnes Heller e Hannah Arendt. Para Foucault, desde o século XVIII, a vida biológica e a saúde da nação tornaram-se alvos fundamentais de um poder sobre a vida que enfatizava especialmente as noções de sexualidade, raça e degenerescência, cujo objetivo era a otimização da qualidade biológica das populações. Para Arendt, esse movimento de politização da vida é profundamente antipolítico. A vida passa a ocupar o vazio deixado pela decomposição do âmbito público. No caso de Agnes Heller, o antipolitismo do discurso biopolítico se manifesta na procura constante de legitimação quase científica. O pensamento de raça, gênero, saúde é um pensamento científico imitado que substitui a opinião pela verdade. Se a política é o campo do confronto das opiniões, do diálogo, da iniciativa, do novo, da espontaneidade e da ação em liberdade, o pensamento biopolítico legitimado cientificamente é o espaço da verdade, da certeza, da necessidade, do determinismo e da causalidade, no qual o diálogo é substituído por uma política da autoclausura, de amigos e inimigos, e a pluralidade de opiniões é reduzida a uma única opinião politicamente correta.

Male meiosis in Crustacea: synapsis, recombination, epigenetics and fertility in Daphnia magna.

Science.gov (United States)

Gómez, Rocío; Van Damme, Kay; Gosálvez, Jaime; Morán, Eugenio Sánchez; Colbourne, John K

2016-09-01

We present the first detailed cytological study of male meiosis in Daphnia (Crustacea: Branchiopoda: Cladocera)-an aquatic microcrustacean with a cyclical parthenogenetic life cycle. Using immunostaining of the testes in Daphnia magna for baseline knowledge, we characterized the different stages of meiotic division and spermiogenesis in relation to the distribution of proteins involved in synapsis, early recombination events and sister chromatid cohesion. We also studied post-translational histone modifications in male spermatocytes, in relation to the dynamic chromatin progression of meiosis. Finally, we applied a DNA fragmentation test to measure sperm quality of D. magna, with respect to levels of inbreeding. As a proxy for fertility, this technique may be used to assess the reproductive health of a sentinel species of aquatic ecosystems. Daphnia proves to be a model species for comparative studies of meiosis that is poised to improve our understanding of the cytological basis of sexual and asexual reproduction.

Peroral endoscopic myotomy as salvation technique post-Heller: International experience.

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Tyberg, Amy; Sharaiha, Reem Z; Familiari, Pietro; Costamagna, Guido; Casas, Fernando; Kumta, Nikhil A; Barret, Maximilien; Desai, Amit P; Schnoll-Sussman, Felice; Saxena, Payal; Martínez, Guadalupe; Zamarripa, Felipe; Gaidhane, Monica; Bertani, Helga; Draganov, Peter V; Balassone, Valerio; Sharata, Ahmed; Reavis, Kevin; Swanstrom, Lee; Invernizzi, Martina; Seewald, Stefan; Minami, Hitomi; Inoue, Haruhiro; Kahaleh, Michel

2018-01-01

Treatment for achalasia has traditionally been Heller myotomy (HM). Despite its excellent efficacy rate, a number of patients remain symptomatic post-procedure. Limited data exist as to the best management for recurrence of symptoms post-HM. We present an international, multicenter experience evaluating the efficacy and safety of post-HM peroral endoscopic myotomy (POEM). Patients who underwent POEM post-HM from 13 centers from January 2012 to January 2017 were included as part of a prospective registry. Technical success was defined as successful completion of the myotomy. Clinical success was defined as an Eckardt score of ≤3 on 12-month follow up. Adverse events (AE) including anesthesia-related, operative, and postoperative complications were recorded. Fifty-one patients were included in the study (mean age 54.2, 47% male). Technical success was achieved in 100% of patients. Clinical success on long-term follow up was achieved in 48 patients (94%), with a mean change in Eckardt score of 6.25. Seven patients (13%) had AE: six experienced periprocedural mucosal defect treated endoscopically and two patients developed mediastinitis treated conservatively. For patients with persistent symptoms after HM, POEM is a safe salvation technique with good short-term efficacy. As a result of the challenge associated with repeat HM, POEM might become the preferred technique in this patient population. Further studies with longer follow up are needed. © 2017 Japan Gastroenterological Endoscopy Society.

Learning curve for laparoscopic Heller myotomy and Dor fundoplication for achalasia.

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Yano, Fumiaki; Omura, Nobuo; Tsuboi, Kazuto; Hoshino, Masato; Yamamoto, Seryung; Akimoto, Shunsuke; Masuda, Takahiro; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

2017-01-01

Although laparoscopic Heller myotomy and Dor fundoplication (LHD) is widely performed to address achalasia, little is known about the learning curve for this technique. We assessed the learning curve for performing LHD. Of the 514 cases with LHD performed between August 1994 and March 2016, the surgical outcomes of 463 cases were evaluated after excluding 50 cases with reduced port surgery and one case with the simultaneous performance of laparoscopic distal partial gastrectomy. A receiver operating characteristic (ROC) curve analysis was used to identify the cut-off value for the number of surgical experiences necessary to become proficient with LHD, which was defined as the completion of the learning curve. We defined the completion of the learning curve when the following 3 conditions were satisfied. 1) The operation time was less than 165 minutes. 2) There was no blood loss. 3) There was no intraoperative complication. In order to establish the appropriate number of surgical experiences required to complete the learning curve, the cut-off value was evaluated by using a ROC curve (AUC 0.717, p < 0.001). Finally, we identified the cut-off value as 16 surgical cases (sensitivity 0.706, specificity 0.646). Learning curve seems to complete after performing 16 cases.

Learning curve for laparoscopic Heller myotomy and Dor fundoplication for achalasia.

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Fumiaki Yano

Full Text Available Although laparoscopic Heller myotomy and Dor fundoplication (LHD is widely performed to address achalasia, little is known about the learning curve for this technique. We assessed the learning curve for performing LHD.Of the 514 cases with LHD performed between August 1994 and March 2016, the surgical outcomes of 463 cases were evaluated after excluding 50 cases with reduced port surgery and one case with the simultaneous performance of laparoscopic distal partial gastrectomy. A receiver operating characteristic (ROC curve analysis was used to identify the cut-off value for the number of surgical experiences necessary to become proficient with LHD, which was defined as the completion of the learning curve.We defined the completion of the learning curve when the following 3 conditions were satisfied. 1 The operation time was less than 165 minutes. 2 There was no blood loss. 3 There was no intraoperative complication. In order to establish the appropriate number of surgical experiences required to complete the learning curve, the cut-off value was evaluated by using a ROC curve (AUC 0.717, p < 0.001. Finally, we identified the cut-off value as 16 surgical cases (sensitivity 0.706, specificity 0.646.Learning curve seems to complete after performing 16 cases.

Evaluation of the haematological parameters in Piaractus mesopotamicus Holmberg (Osteichthyes, Characidae with Argulus sp. (Crustacea, Branchiura infestation and treatment with organophosphate

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Marcos Tavares-Dias

1999-06-01

Full Text Available Haematological parameters as erythrocytes, leukocytes and plasma glucose in Piaractus mesopotamicus Holmberg, 1887 were analyzed. Fish were parasitized with Argulus sp. (Crustacea, Branchiura and treated with 0.4 mg of thriclorphon 500/L water. The effects of parasitism and the action of the treatment were evaluated. Parasitized fish showed greater number of monocytes (P>0.05 and special granulocitic cells (P0.05. Organophosphate treatment presented significantly reduction (P>0.05 in red blood cells (RBC and hemoglobin.

Investigations on the metabolism of metals in decapod crustaceas in relation with moulting cycles and reproduction

International Nuclear Information System (INIS)

Martin, J.-L.M.

1975-07-01

A study of the metabolism of metals was carried out in decapod crustaceas; it showed that it was subject to cyclic variations during the life of the animals, closely correlated with growth moults. The metabolism of metals was also considered in its relations with reproduction, especially oogenesis and spermatogenesis, and embryonic development. In relation with moult, various factors playing a role on metal metabolism were investigated: role of metals in the organism, fasting and nutrition cycles and biochemical reserves, physico-chemical form of the metal and ultrastructure of uptake surfaces. The histological and histochemical aspects of the uptake of a number of metals were studied as well as inter-metallic and inter-organic relationships [fr

Uranium concentration by Crustacea: a structural, ultrastructural and microanalytical study by secondary ion emission and electron probe X ray microanalysis

International Nuclear Information System (INIS)

Chassard-Bouchaud, Colette

1982-01-01

Experimental intoxications were performed on the Crayfish Pontastacus leptodactylus using hydrosoluble uranium nitrate. Investigations demonstrate that Crustacea are able to concentrate both uranium main radioactive isotopes 238 U and 235 U within the cuticle, gill epithelium, midgut gland (=hepatopancreas) and macrophagic hemocytes. The storage occurs within nucleus and lysosomal system where uranium is precipitated in the form of an unsoluble phosphate. The proposed hypothesis for the metal extrusion is the following: residual bodies containing the uranium precipitates are extruded into the extracellular space where they are absorbed by phagocytosis, by the macrophagic hemocytes [fr

Işıklı Gölü ve Kaynaklarının (Çivril-Denizli Crustacea Faunası.

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Cem Aygen

2015-12-01

Full Text Available Bu çalışmada, Işıklı Gölü Crustacea faunasının taksonomik açıdan incelenmesi hedeflenmiştir. Bu amaçla Şubat 1998-Ocak 1999 ayları arasında, gölde ve göle akan kaynak bölgesinde belirlenen 6 istasyondan aylık periyotlarla biyolojik örnekler ve su örnekleri alınmıştır. Araştırma sonunda Işıklı Gölü ve Kaynağı’nda bulunan Crustacea faunasının başlıca Cladocera (16 tür, Copepoda (12 tür, Ostracoda (1 tür, Amphipoda (2 tür, Isopoda (1 tür, Mysidacea (1 tür ve Decapoda (1 tür gruplarından oluştuğu saptanmıştır. Tespit edilen türlerden Cladocera grubundan Diaphanosoma brachyurum, Diaphanosoma mongolianum, Ceriodaphnia pulchella, Simocephalus vetulus, Macrothrix laticornis, Alona rectangula, Alona guttata, Graptoleberis testudinaria, Leydigia leydigi, Biapertura affinis, Chydorus sphaericus, Pleuroxus aduncus ve Disparalona rostrata; Copepoda grubundan Macrocyclops albidus, Eucyclops serrulatus, Eucyclops speratus, Eucyclops macruroides, Metacyclops gracilis, Mesocyclops leuckarti, Cyclops vicinus, Cyclops abyssorum, Cyclops strenuus, Megacyclops viridis, Acanthocyclops robustus, Canthocamptus staphylinus; Ostracoda grubundan Psychrodromus olivaceus; Amphipoda grubundan Gammarus balcanicus, Gammarus obnixus; Isopoda grubundan Asellus aquaticus türleri Işıklı Gölü’nden ilk kez bildirilmektedir

Reproductive features of the deep-water rose shrimp, Parapenaeus longirostris (Crustacea: Penaeidae, in the Strait of Sicily

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M.L. BIANCHINI

2010-02-01

Full Text Available The deep‑water rose shrimp, Parapenaeus longirostris (Lucas, 1846, is one of the most valuable and heavily exploited demersal species of the Mediterranean bottom trawl fisheries. The basic life traits of this shrimp, in particular its reproductive aspects, are regularly monitored during experimental trawl surveys carried out in the Mediterranean Sea. Gonadic condition and maturity status for estimating the size at onset of sexual maturity are commonly assessed in females, using macroscopic color scales, histologically validated only in a few geographical areas. In this study, histological analyses were performed on rose shrimps collected from a trawl survey carried out in the Strait of Sicily, in order to support the empirical 4‑stage macroscopic scale locally employed. Ovaries from females of different sizes, ranging between 16 mm and 40 mm carapace length, were collected and used for microscopic examination of their structure, for oocytes counts and for oocyte diameter frequency distributions; oocytes diameter was measured by imaging analysis. The collected data were also used to estimate other basic vital parameters of the rose shrimp population. The histological observations show a broad correspondence between ovarian development and macroscopic features; therefore, the classifications derived by the empirical scale remain suitable for estimating the maturity parameters.

Is Heller myotomy better than balloon dilation? A meta-analysis.

Science.gov (United States)

Illés, Anita; Farkas, Nelli; Hegyi, Péter; Garami, András; Szabó, Imre; Solymár, Margit; Pétervári, Erika; Balaskó, Márta; Pár, Gabriella; Sarlós, Patrícia; Bajor, Judit; Szűcs, Ákos; Czimmer, József; Szemes, Kata; Vincze, Áron

2017-06-01

Endoscopic balloon dilation (EBD) and laparoscopic Heller myotomy (LHM) are the most commonly performed treatment options for achalasia. Decision between these treatment options is difficult. The aim of this meta-analysis was to evaluate the efficacy of EBD compared to LHM. The electronic databases PubMed, Embase and Cochrane Controlled Trials Registry were systematically searched for the period between January 1, 1976 and December 31, 2015. Meta-analysis was performed using the PICOS (problem, intervention, comparison, outcome, study design) format. Efficacy and safety of EBD were compared to LHM. Forest plot analyses were used to illustrate the success rate, perforation rate and post-procedural gastroesophageal reflux. Using the search strategy, eight studies met the selection criteria and were included in the meta-analysis. The total number of patients included was 749 (360 in the EBD group and 389 in the LHM group). The success rate was lower in the EBD group than in the LHM group (OR=0.486; CI: 0.304-0.779; p=0.003). The rate of perforation did not differ significantly between the EBD and LHM group (RR= 0.635, CI: 0.340-1.186, p=0.154). The incidence of post-procedural symptomatic gastroesophageal reflux did not differ between the two treatment groups (RR=0.663, CI: 0.328-1.343, p=0.254). Our data suggest that the efficacy of LHM is superior to that of EBD, while there is no difference in safety between the two treatment groups.

Laparoscopic limited Heller myotomy without anti-reflux procedure does not induce significant long-term gastroesophageal reflux.

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Zurita Macías Valadez, L C; Pescarus, R; Hsieh, T; Wasserman, L; Apriasz, I; Hong, D; Gmora, S; Cadeddu, M; Anvari, M

2015-06-01

Laparoscopic Heller myotomy with partial fundoplication is the gold standard treatment for achalasia. Laparoscopic limited Heller myotomy (LLHM) with no anti-reflux procedure is another possible option. A review of prospectively collected data was performed on patients who underwent LLHM from January 1998 to December 2012. Evaluation included gastroscopy, esophageal manometry, 24-h pH-metry, and the Short Form(36) Health Survey(SF-36) questionnaire at baseline and 6 months, as well as the global symptom score at baseline, 6 months, and 5 years post-surgery. Comparison between outcomes was performed with a paired t student's test. 126 patients underwent LLHM. Of these, 60 patients had complete pre and post-operative motility studies. 57 % were female, patient mean age was 45.7 years, with a mean follow-up of 10.53 months. Mean operative time was 56.1 min, and the average length of stay was 1.7 days. At 6 months, a significant decrease in the lower esophageal sphincter resting pressure (29.1 vs. 7.1 mmHg; p < 0.001) and nadir (16.4 vs. 4.3 mmHg; p < 0.001) was observed. Normal esophageal acid exposure (total pH < 4 %) was observed in 68.3 % patients. Nevertheless, of the remaining 31.7 % with abnormal pH-metry, only 21.6 % were clinically symptomatic and all were properly controlled with medical treatment without requiring anti-reflux surgery. Significant improvement in all pre-operative symptoms was observed at 6 months and maintained over 5 years. Dysphagia score was reduced from 9.8 pre-operatively to 2.6 at 5 years (p < 0.001), heartburn score from 3.82 to 2 (p < 0.01), and regurgitation score from 7.5 to 0.8 (p < 0.001). Only one patient (0.8 %) presented with recurrent dysphagia requiring reoperation. LLHM without anti-reflux procedure is an effective long-term treatment for achalasia and does not cause symptomatic GERD in three quarters of patients. The remaining patients are well controlled on anti-reflux medications. It is believed that similar clinical

The genus Hippolyte Leach, 1814 (Crustacea: Decapoda: Caridea: Hippolytidae) in the East Atlantic Ocean and the Mediterranean Sea, with a checklist of all species in the genus

NARCIS (Netherlands)

d'Udekem d'Acoz, C.

1996-01-01

The genus Hippolyte Leach in the East Atlantic and the Mediterranean is revised and a list of the world species is given. Eleven species occur in the area studied: H. coerulescens (Fabricius), H. garciarasoi spec. nov., H. inermis Leach, H. lagarderei d'Udekem d'Acoz, H. leptocerus (Heller), H.

Intersexuality in Crustacea: an environmental issue?

Science.gov (United States)

Ford, Alex T

2012-02-01

This paper aims to give a historical overview of current understanding about intersexuality in crustaceans, assesses gaps in our knowledge and asks whether it should be an environmental concern. The oldest known cases of intersexuality come from 70 million year old fossil crabs whilst the oldest published case of intersex crustacean stems from a 1730 Royal Society report of a gynandromorph lobster. Many crustacean species are sequential hermaphroditic or simultaneous hermaphrodites. Consequently, there has been confusion as to whether accounts of intersex in the literature are correct. Intersexuality is fairly common throughout the Crustacea and it has been suggested that intersex may arise through different mechanisms. For example, sexual gynandromorphism may arise through disruption in early embryonic development whereas intersexuality may also arise through perturbations of androgenic gland hormone and sexual differentiation in later development. The causes of intersex are multifaceted and can occur through a number of mechanisms including parasitism, environmental sex determination, genetic abnormalities and increasingly pollution is being implicated. Despite many studies on the effects of endocrine disrupters on crustaceans, very few have focussed on wild populations or male related endpoints; rather many laboratory studies have been attempting to assess biomarkers of feminisation. This is surprising as many of the seminal papers on endocrine disruption focussed on effects found in the wild and male specimens. This paper argues that we might have been addressing the right questions (i.e. pollution induced intersex), but in the wrong way (feminisation); and therefore gives recommendations for future directions for research. Biomarker development has been hampered by paucity of genomic and endocrine knowledge of many crustacean model species; however this is rapidly changing with the advent of cheaper affordable genomic techniques and high throughput sequencing

Real-time Continuous Esophageal High-resolution Manometry (HRM) During Laparoscopic Heller Myotomy and Dor Fundoplication for the Treatment of Achalasia. A Promising Novelty in Regards of Perfecting Surgical Technique: Could It Guide Surgical Technique Toward Excellent Results?

Science.gov (United States)

Triantafyllou, Tania; Doulami, Georgia; Papailiou, Joanna; Mantides, Apostolos; Zografos, Georgios; Theodorou, Dimitrios

2016-12-01

High-resolution manometry (HRM) is the gold-standard diagnostic tool for achalasia of the esophagus. Laparoscopic Heller-Dor technique is the preferred surgical approach with success rate estimated 90%. The use of intraoperative HRM provides real-time estimation of intraluminal esophageal pressures and identifies the exact points of esophageal luminal pressure during laparoscopy. Ten patients with achalasia underwent surgery. All patients preoperatively completed 1 manometric study and Quality of Life questionnaires (EORTC QLQ-C30 version 3.0) with Eckardt scores. We collected intraoperative manometry data and repeated manometric studies, EORTC QLQ-C30, and Eckardt scores postoperatively. Median Eckardt score was decreased from 7.5 to 0.5, mean resting pressure decreased from 51.4 to 11.9 mm Hg, whereas mean residual pressure diminished from 45.9 to 9.5 mm Hg postoperatively. The simultaneous use of HRM during the Heller-Dor technique may lead to an individualized management of the disease.

Els isòpodes terrestres (Crustacea: Isopoda: Oniscidea) del Parc Natural de l’illa de sa Dragonera (Illes Balears, Mediterrània occidental)

OpenAIRE

Garcia, Ll.

2008-01-01

S’han recol·lectat 17 espècies d’isòpodes terrestres (Crustacea: Oniscidea) al Parc natural de l’illa de sa Dragonera, situada al sud-oest de l’illa de Mallorca (Espanya, Illes Balears, Mediterrània occidental). En el decurs de vàries expedicions realitzades a l’illa en els anys 1989, 1999, 2000, 2005 i 2006 s’han capturat aproximadament 400 exemplars, directament a mà o mitjançant trampes de caiguda. Fins aleshores únicament s’havia citat a sa Dragonera una espècie d’Oniscidea...

Effects of gamma irradiation on the emergence of larvae of curculio sikkimensis (Heller) (Coleoptera: Curculionidae) and Cydia kurokoi (Amsel) (Lepidoptera: Tortricidae)

International Nuclear Information System (INIS)

Imamura, Taro; Todoriki, Setsuko; Miyanoshita, Akihiro; Hayashi, Toru

2004-01-01

The effects of gamma irradiation on the emergence of larvae of the chestnut weevil, Curculio sikkimensis (Heller), were investigated. One hundred chestnuts were irradiated in a 60 Co irradiator (Gammacell 220, Nordion, Canada) at a dose rate of 0.40 kGy/h. The doses at which irradiation was carried out were 50, 100, 200, 300, 400, 500 and 1000 Gy. After treatment, the chestnuts were kept at 25degC, 70% RH and emerged larvae were counted daily. Larvae of the nut fruit moth, Cydia kurokoi (Amsel), also emerged from the chestnuts. The data on the chestnut weevil were subjected to probit analysis and the LD 99.9 of weevil larvae was estimated to be about 500 Gy. (author)

A note on the occurrence of praniza larvae of Gnathiidae (Crustacea, Isopoda on fishes from Northeast of Pará, Brazil

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Daniel G. Diniz

2008-12-01

Full Text Available The infection of the estuarine teleost fishes Mugil gaimardianus Desmarest, 1831 (Mugilidae, Arius phrygiatus Valenciennes, 1839 (Ariidae, Conodon nobilis Linnaeus, 1759 (Haemulidae, Cetengraulis edentulus Cuvier, 1829 (Engraulidae, and Anableps anableps Linnaeus, 1758 (Anablepidae by praniza larvae of Gnathiidae (Crustacea, Isopoda was studied in specimens fished off the Atlantic Ocean in Northeast of Pará State, near Bragança, Brazil. The highest infection prevalence value was found in Anableps anableps (42.3% and the lowest in Conodon nobilis (9.1%. The mean intensity varied from 1 parasitein Conodon nobilis to 19.5 in Arius phrygiatus. A description of the larvae is provided. The morphology of the mouthparts is related to the blood sucking activity, and is compared with the characteristics of other gnathiidae species.Foi estudada a parasitose dos peixes estuarinos Mugil gaimardianus Desmarest, 1831 (Mugilidae, Arius phrygiatus Valenciennes, 1839 (Ariidae, Conodon nobilis Linnaeus, 1759 (Haemulidae, Cetengraulis edentulus Cuvier, 1829 (Engraulidae, e Anableps anableps Linnaeus, 1758 (Anablepidae por larvas praniza de Gnathiidae (Crustacea, Isopoda em exemplares pescados no Oceano Atlântico, no Nordeste do Pará, próximo a Bragança, Brasil. O valor mais elevado da prevalência da infecção foi observado em A. anableps (42,3% e o menor em C. nobilis (9,1%. A intensidade média da parasitose variou entre 1 parasita em C. nobilis até 19,5 em A. phrygiatus. Efetua-se a descrição da larva, verificando-se que a morfologia da armadura bucal está relacionada com a atividade sugadora de sangue, e faz-se a comparação com as características de outras espécies.

Per-Oral Endoscopic Myotomy Versus Laparoscopic Heller Myotomy for Achalasia

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Zhang, Yuan; Wang, Hongjuan; Chen, Xingdong; Liu, Lan; Wang, Hongbo; Liu, Bin; Guo, Jianqiang; Jia, Hongying

2016-01-01

Abstract We aimed to assess the short-term outcomes of per-oral endoscopic myotomy (POEM) compared with laparoscopic Heller myotomy (LHM) for achalasia through a meta-analysis of nonrandomized comparative studies. We searched PubMed, Embase, Medline, Cochrane Library, and Google Scholar for studies that compared POEM and LHM for achalasia and were published between January 1, 2008 and December 31, 2014. The Methodological Index for Nonrandomized Studies (MINORS) was used to evaluate the quality of the studies. Random- and fixed-effects meta-analytical models were used, and between-study heterogeneity was assessed. Four nonrandomized comparative studies that included 317 patients (125 in the POEM group and 192 in the LHM group) met our research criteria and were assessed. There were no differences between the POEM and LHM groups in terms of sex, preoperative Eckhart score, length of myotomy, operation time, length of hospital stay, and complications. The patients in the POEM group were older than those in the LHM group (MD =2.81, 95% CI 0.27–5.35; P = 0.03) with high between-study homogeneity (χ2 = 1.96, df = 2, I2 = 0%; P = 0.38). The patients in the POEM group had a lower Eckardt score after surgery compared with those in the LHM group (MD = −0.30, 95% CI −0.42 to −0.18; P < 0.001) with high between-study homogeneity (χ2 = 0.00, df = 1, I2 = 0%; P = 1.00). The efficacy and safety of POEM appear to be comparable to those of LHM. Multicenter and randomized trials with larger sample size are needed to further compare the efficacy and safety of POEM and LHM for the treatment of achalasia. PMID:26871816

Necrose da mucosa esofágica como complicação da cardiomiotomia à heller para tratamento de megaesôfago chagásico

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Nádia Barbosa Aires

Full Text Available This article presents a complication of the laparoscopic technique for Heller cardiomyotomy and anterior fundoplication. This procedure is safe and provides excellent relief of disphagia in esophageal achalasia. Nevertheless, there are rare but dangerous complications, such as late active digestive bleeding, presented in this paper which was resistant to conservative treatment and led to hypovolemic shock. Urgent laparotomy performed to identify and control bleeding, revealed necrosis of esophageal mucosa with a bleeding gastric vessel. Inadequate exposure of the gastroesophageal junction and an incision very close to the lesser curvature might have damaged the esophageal branches of the left gastric artery, leading to ischemic necrosis of the mucosa and exposure of the gastric wall and its vessels.

Specific esophagogram to assess functional outcomes after Heller's myotomy and Dor's fundoplication for esophageal achalasia.

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Tsoukali, E; Gouvas, N; Tsiaoussis, J; Pechlivanides, G; Zervakis, N; Mantides, A; Xynos, E

2011-09-01

Esophageal emptying assessed at the 'timed barium' esophagogram correlates well with symptomatic outcomes after pneumatic dilation for esophageal achalasia, although 30% of patients with satisfactory outcome exhibit partial improvement in emptying. The aim of the study was to investigate any correlation of esophageal emptying to symptomatic response after laparoscopic Heller's myotomy and Dor's fundoplication. 'Bread and barium' (transit time of a barium opaque bread bolus) and 'timed barium' (height of esophageal barium column 5 minutes after ingestion of 200-250 mL of barium suspension) esophagogram was used to assess esophageal emptying in 73 patients with esophageal achalasia before 1 and 5 years (31 cases) after laparoscopic myotomy and anterior fundoplication. Symptoms assessment was based to a specific score. At 1-year follow-up, excellent and good symptomatic results were obtained in 95% of the cases. Esophageal maximum diameter, esophageal transit time, and esophageal barium column were significantly correlated to each other and to symptom score postoperatively (P achalasia. Complete symptomatic relief does not necessarily reflect complete esophageal emptying. Outcomes do not deteriorate by time. Because of wide availability, esophagogram can be applied in follow-up of postmyotomy patients in conjunction with symptomatic evaluation. © 2011 Copyright the Authors. Journal compilation © 2011, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.

Quality of life comparing dor and toupet after heller myotomy for achalasia.

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Tomasko, Jonathan M; Augustin, Toms; Tran, Tung T; Haluck, Randy S; Rogers, Ann M; Lyn-Sue, Jerome R

2014-01-01

Laparoscopic Heller cardiomyotomy (LHC) is standard therapy for achalasia. Traditionally, an antireflux procedure has accompanied the myotomy. This study was undertaken to compare quality-of-life outcomes between patients undergoing myotomy with Toupet versus Dor fundoplication. In addition, we investigated overall patient satisfaction after LHC in the treatment of achalasia. One hundred thirty-five patients who underwent LHC over a 13-year period were identified for inclusion. Symptoms queried included dysphagia, heartburn, and bloating using the Gastroesophageal Reflux Disease-Health-Related Quality of Life Scale and a second published scale for the assessment of gastroesophageal reflux disease and dysphagia symptoms. The patients' overall satisfaction after surgery was also rated. Data were compared on the basis of type of fundoplication. Symptom scores were analyzed using chi-square tests and Fisher's exact tests. Sixty-three patients completed the survey (47%). There were no perioperative deaths or reoperations. The mean length of stay was 2.8 days. The mean operative time for LHC with Toupet fundoplication was 137.3±30.91 minutes and for LHC with Dor fundoplication was 111.5±32.44 minutes (P=.006). There was no difference with respect to the incidence or severity of postoperative heartburn, dysphagia, or bloating. Overall satisfaction with Toupet fundoplication was 87.5% and with Dor fundoplication was 93.8% (P>.999). LHC with either Toupet or Dor fundoplication gave excellent patient satisfaction. Postoperative symptoms of heartburn and dysphagia were equivalent when comparing LHC with either antireflux procedure. Dor and Toupet fundoplication were found to have equivalent outcomes in the short term. We prefer Dor to Toupet fundoplication because of its decreased need for extensive dissection and better mucosal protection.

Feeding ecology of non-native Siberian prawns, Palaemon modestus (Heller, 1862) (Decapoda, Palaemonidae), in the lower Snake River, Washington, U.S.A.

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Tiffan, Kenneth F.; Hurst, William

2016-01-01

We used both stomach content and stable isotope analyses to describe the feeding ecology of Siberian prawns Palaemon modestus (Heller, 1862), a non-native caridean shrimp that is a relatively recent invader of the lower Snake River. Based on identifiable prey in stomachs, the opossum shrimp Neomysis mercedis Holmes, 1896 comprised up to 34-55% (by weight) of diets of juvenile to adult P. modestus, which showed little seasonal variation. Other predominant items/taxa consumed included detritus, amphipods, dipteran larvae, and oligochaetes. Stable isotope analysis supported diet results and also suggested that much of the food consumed by P. modestus that was not identifiable came from benthic sources — predominantly invertebrates of lower trophic levels and detritus. Palaemon modestus consumption of N. mercedis may pose a competitive threat to juvenile salmon and resident fishes which also rely heavily on that prey.

Paleocene decapod Crustacea from northeastern Mexico: Additions to biostratigraphy and diversity

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Martínez-Díaz, José Luis; Aguillón-Martínez, Martha Carolina; Luque, Javier; Vega, Francisco J.

2017-03-01

New decapod specimens from mid-Paleocene shallow marine deposits of NE Mexico represents an important addition to the diversity, paleobiogeography and evolution of the Crustacea record. In this work, we describe additions to the decapod assemblage from the Paleocene (Selandian) Rancho Nuevo Formation (Difunta Group, Parras Basin, Coahuila). Due to the evident size differences with other decapod assemblages, we compare the new assemblage with those from the Lower Paleocene (Danian) Mexia Clay Member of the Wills Point Formation, Texas, and the Lower Eocene (Ypresian) El Bosque Formation in Chiapas. Species reported from the mid-Paleocene (Selandian) assemblage of the Porters Creek Formation (Alabama), are correlatable to the decapod species from NE Mexico in age, size and systematic composition. The erymid lobster Enoploclytia gardnerae (Rathbun, 1935) is represented by several carapaces and chelae remains. One isolated palm of Callianassidae is included. Numerous carapaces of Linuparus wilcoxensis Rathbun, 1935 are described, representing the most abundant lobster. A new record for the raninid Notopoides sp., and presence of Quasilaeviranina sp. cf. arzignagnensis and Quasilaeviranina ovalis are here reported. New raninids, Claudioranina latacantha sp. nov. and Claudioranina sp. (Cyrtorhininae) are also part of this assemblage. Paraverrucoides alabamensis (Rathbun, 1935), and Tehuacana americana (Rathbun, 1935) are represented by several carapaces exhibiting intraspecific morphological variation. Different sizes among the Early and Middle Paleocene and Early Eocene decapod populations suggests a possible effect of variation in seawater temperatures and/or a Lilliput effect after the K/Pg event.

Comparison of treatment outcomes of endoscope-guided pneumatic dilation and laparoscopic Heller myotomy

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Hsin-Ming Wang

2015-12-01

Full Text Available The debate on which is the better choice between laparoscopic Heller myotomy (LHM and endoscopic pneumatic dilation (PD for esophageal achalasia has been ongoing for decades. This study aims to compare the results of endoscope-guided PD and LHM in 42 patients with achalasia between May 1996 and August 2011. Twenty-one patients who had received PD and 21 who had received LHM were enrolled. The cumulative remission rate was analyzed using the Kaplan–Meier method with the assessment of symptom scores between grades before and after PD or LHM done at 6 weeks, 6 months, 1 year, and then every year thereafter. Possible confounding factors related to the remissions were analyzed by Cox's proportional hazard model. For PD, the cumulative remission rates were 81.0% (1 year, 76.2% (2, 66.7% (3, 61.9% (4, and 47.6% (5. For LHM, the cumulative remission rates were 90.5% every year from the 1st to the 5th. The LHM patients had significantly better remission rates than the PD patients (p = 0.033, by log-rank test. The LHM group had a longer hospital stay than the PD group [median (interquartile range: 8 (6.5–10 days vs. 3 (2–3 days, p < 0.001 and had more reflux complications (52.4% vs. 19.0%, p = 0.024. No perforation occurred in either group. In conclusion, the 5-year cumulative effectiveness of LHM is better than that of PD despite the association of LHM with more reflux events (52.4%.

Mucosal Perforation During Laparoscopic Heller Myotomy Has No Influence on Final Treatment Outcome.

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Salvador, Renato; Spadotto, Lorenzo; Capovilla, Giovanni; Voltarel, Guerrino; Pesenti, Elisa; Longo, Cristina; Cavallin, Francesco; Nicoletti, Loredana; Ruol, Alberto; Valmasoni, Michele; Merigliano, Stefano; Costantini, Mario

2016-12-01

The aims of the study were (a) to examine the final outcome in patients experiencing accidental mucosal perforation during laparoscopic Heller myotomy with Dor fundoplication (LHD) and (b) to evaluate whether perforation episodes might influence the way in which surgeons subsequently approached the LHD procedure. We studied all consecutive patients that underwent LHD between 1992 and 2015. Patients were divided into two main groups: those who experienced an intraoperative mucosal perforation (group P) and those whose LHD was uneventful (group NP). Two additional groups were compared: group A, which consisted of patients operated by a given surgeon immediately before a perforation episode occurred, and group B, which included those operated immediately afterwards. Eight hundred seventy-five patients underwent LHD; a mucosal perforation was detected in 25 patients (2.9 %), which was found unrelated to patients' symptom's score and age, radiological stage, manometric pattern, or the surgeon's experience. The median postoperative symptom score was similar for the two groups as the failure rate: 92 failures in group NP (10.8 %) and 4 in group P (16 %) (p = 0.34); moreover, symptoms recurred in 2 patients of group A (10 %) and 3 patients of group B (15 %) (p = 0.9). Accidental perforation during LHD is infrequent and impossible to predict on the grounds of preoperative therapy or the surgeon's personal experience. Despite a longer surgical procedure and hospital stay, the outcome of LHD is much the same as for patients undergoing uneventful myotomy. A recent mucosal perforation does not influence the surgeon's subsequent performance.

Growth, mortality and migratory pattern of white shrimp (Litopenaeus vannamei, Crustacea, Penaeidae in the Carretas-Pereyra coastal lagoon system, Mexico

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G Rivera-Velázquez

2008-06-01

Full Text Available The growth, mortality and migration pattern of the population of Litopenaeus vannamei Boone 1931 in the Carretas-Pereyra coastal lagoon system, Mexico, were studied. The shrimp spatial distribution and abundance were analyzed in relation to salinity, water temperature, and substrate. A total of 2 669 shrimps was collected at 22 sites sampled monthly from March 2004 to August 2005. Juvenile shrimps of L. vannamei were present in the coastal lagoon system throughout the year, reaching densities from 0.001 to 0.302 ind/m². The estimated daily growth rate was 0.06 to 0.27 mm carapace length (CL. No significant seasonal differences were appreciated. Weekly total mortality (Z was between 0.04 and 0.34. Recruits, juveniles and sub-adults displayed a bimodal distributional pattern regulated by the prevailing conditions during the dry season. The peak abundance of juvenile stages occurred in December-January and March-May. The abundance presented an inverse correlation with salinity (r=-0.42; pSe estudió el crecimiento, la mortalidad y el patrón de migración del camarón Litopenaeus vannamei Boone 1931 en el sistema lagunar costero Carretas Pereyra, México. La distribución espacial y la abundancia fueron analizadas con relación a la salinidad, temperatura y substrato. De marzo de 2004 a agosto de 2005 se recolectó un total de 2669 camarones con un muestreo mensual en 22 sitios. Los jóvenes se hallaron todo el año en el sistema lagunar costero, con densidades entre 0.001 y 0.302 ind/m². La tasa de crecimiento diaria fue de 0.06 a 0.27 mm longitud del cefalotórax (CL y no se apreciaron diferencias significativas entre estaciones. La mortalidad total (Z semanal estuvo entre 0.04 y 0.34. Reclutas, jóvenes y subadultos presentan un patrón de distribución bimodal regulado por las condiciones prevalecientes durante la estación de estío. Los valores máximos de abundancia de los estadios juveniles se presentan en diciembre-enero y marzo-mayo. La abundancia presentó una correlación significativa inversa con la salinidad (r=-0.42; p<0.05 y positiva (r=0.44; p<0.05 con el contenido de limo. No se distinguió una clara correlación entre la talla de emigración, la estación del año y la temperatura del agua.

Achalasia symptom response after Heller myotomy segregated by high-resolution manometry subtypes.

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Patel, Amit; Patel, Ami; Mirza, Faiz A; Soudagar, Samad; Sayuk, Gregory S; Gyawali, C Prakash

2016-02-01

Achalasia is classified into three HRM subtypes that predict outcomes from diverse management strategies. We assessed if symptomatic response varied when a single management strategy-Heller myotomy (HM)-is employed. Treatment-naive subjects with achalasia referred for HM were followed in this observational cohort study. Chicago criteria designated achalasia subtypes (subtype I: no esophageal pressurization; subtype II: panesophageal pressurization in ≥20 % swallows; subtype III: premature contractions in ≥20 % swallows). Symptom questionnaires assessed symptom burden before and after HM on five-point Likert scales (0 = no symptoms, 4 = severe symptoms) and on 10-cm visual analog scales (global symptom severity, GSS); satisfaction with HM was recorded similarly. Data were analyzed to determine predictors of GSS change across subtypes. Sixty achalasia subjects (56.1 ± 2.4 years, 55 % female) fulfilled inclusion criteria, 15 % with subtype I, 58 % with subtype II, and 27 % with subtype III achalasia. Baseline symptoms included dysphagia (solids: 85 %, liquids: 73 %), regurgitation (84 %), and chest pain (35 %); mean GSS was 7.1 ± 0.3. Upon follow-up 2.1 ± 0.2 years after HM, GSS declined to 1.9 ± 0.4 (p < 0.001), with surgical satisfaction score of 8.7 ± 0.3 out of 10; these were similar across achalasia subtypes. On univariate analysis, female gender, Eckardt score, severity of transit symptoms, and maximal IRP predicted linear GSS improvement; female gender (p = 0.003) and dysphagia for liquids (p = 0.043) remained predictive on multivariate analysis. When a uniform surgical approach is utilized, symptomatic outcome and satisfaction with therapy are similar across achalasia subtypes. Female gender and severity of dysphagia for solids may predict better HM outcome.

Biodiversidad marina de Costa Rica: Crustacea: Infraorden Anomura

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Rita Vargas

2006-06-01

Full Text Available El grupo de los cangrejos anomuros es uno de los mejor conocidos de la costa Pacífica de Costa Rica, pero muy poco conocidos de la costa Caribe. En esta recopilación, basada en la literatura y en las colecciones del Museo de Zoología, Escuela de Biología, Universidad de Costa Rica, informamos de la presencia de 114 especies del Infraorden Anomura en Costa Rica, 20 especies del Caribe, 96 especies del Pacífico, y dos especies presentes en ambas costa. Veintinueve especies son informes nuevos para Costa Rica, 15 del Caribe (75% del total de especies informadas para esa costa y 14 del Pacífica (15% del total de esa costa. La distribución de diez especies es ampliada hasta Costa Rica, siete en el Caribe y tres en el Pacífico. Seis especies son informadas por primera vez para la Isla del Coco, donde además hay cuatro especies endémicas.Marine biodiversity of Costa Rica: Crustacea: Infraorder Anomura. The anomuran crabs are among the best known crustacean groups from the Pacific coast. However, this group is poorly known from the Caribbean coast of Costa Rica. In this compilation based on the literature and the collection at the Zoology Museum, Biology School, University of Costa Rica, we report the presence of 114 species of the Infraorder Anomura for Costa Rica, 20 species from the Caribbean, 96 species from the Pacific (two are present on both coasts. Twenty-nine species are new reports for Costa Rica, 15 from the Caribbean coast (74% of the total of species from that coast and 14 from the Pacific (15% of the total from the Pacific. The range of ten species is extended to Costa Rica, siete from the Caribbean and three from the Pacific. Six species are reported for the first time from Cocos Island, where there are also four endemic species. Rev. Biol. Trop. 54(2: 461-488. Epub 2006 Jun 01.

Primitive decapods from the deep sea: first record of blind lobsters (Crustacea: Decapoda: Polychelidae in northeastern Brazil

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Luis Ernesto Arruda Bezerra

Full Text Available ABSTRACT We report herein the occurrence of the infraorder Polychelida in Potiguar Basin, northeastern Brazil. Specimens were collected by the project "Avaliação da Biota Bentônica e Planctônica na porção offshore das Bacias Potiguar e Ceará", developed by the Brazilian Oil Company (PETROBRAS. Three species were recorded for the first time in this region: Pentacheles validus A. Milne-Edwards, 1880, Polycheles typhlops Heller, 1862, and Stereomastis sculpta (Smith, 1880 at 2000 m, 400 m and 2057 m depth, respectively. The Brazilian deep-sea floor remains poorly known, but progress has been made as a result of collections obtained by oceanographic expeditions and research projects developed by PETROBRAS in Campos Basin (Rio de Janeiro and Potiguar Basin (Rio Grande do Norte, expanding the knowledge of the distribution area of Polychelidae in Brazilian deep sea waters.

Qualidade de vida após a cardiomiotomia à Heller-Dor

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Fernando A.V. Madureira

Full Text Available OBJETIVOS: Avaliar os resultados da cardiomiotomia de Heller associada à fundoplicatura de Dor por Laparoscopia (HDL no tratamento cirúrgico da acalásia do esôfago, através de escores de qualidade de vida e dados da esofagomanometria. MÉTODOS: Foram estudados retrospectivamente 60 pacientes operados por acalasia do cárdia, de 2001 a 2007, sendo analisadas no pré-operatório as características desta população e os resultados das provas diagnósticas. Aplicamos um escore de disfagia e de qualidade de vida no pré e pós-operatório e realizamos o estudo do comportamento da pressão do esfíncter esofageano inferior (Peei no pré e pós operatório de todos os pacientes. RESULTADOS: Eram 37 do sexo feminino e 23 do masculino. A idade média foi 41,08 anos(12 a 87. Não houve mortalidade cirúrgica, nem conversões. Tempo médio de início da dieta foi de 1,6 dias. Considerado resultado excelente em 80% da série, resultados intermediários em 20%. A média do escore de disfagia no pré operatório foi de 9,03 pontos e a média de pós, foi de 1,7 pontos (máximo de 10 pontos, p=0,0001, sendo observada queda entre pré e pós-operatório de 7,33 pontos, 81,17%. A média da Peei no pré-operatório foi de 32,41 mmhg e no pós 12,7 mmhg. CONCLUSÃO: A cirurgia HDL é procedimento seguro de ser realizado e apresentou bons resultados, sendo capaz de modificar os escores de qualidade de vida subjetivos, e os dados objetivos da Peei, de forma significativa.

Per-oral endoscopic myotomy for achalasia. Are results comparable to laparoscopic Heller myotomy?

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Kumagai, Koshi; Tsai, Jon A; Thorell, Anders; Lundell, Lars; Håkanson, Bengt

2015-05-01

Per-oral endoscopic myotomy (POEM) has recently been introduced as a minimal invasive alternative to conventional treatment for achalasia. This study aimed to clarify the feasibility and the short-term clinical efficacy of POEM as compared to laparoscopic Heller myotomy (LHM). Treatment outcomes were prospectively recorded and compared between the procedures in a nonrandomized fashion. Reduction rate (RR) in timed barium esophagogram (TBE) was calculated at 1, 2 and 5 min after barium ingestion as: RR = 1- postoperative barium height/preoperative barium height. Risk factors for treatment failure defined as the proportion of patients with RR <0.5 (1 min) and gastroesophageal reflux (GER) after POEM were analyzed. Forty-two consecutive patients who underwent POEM were compared to 41 patients who had a LHM during the immediate time period prior to the introduction of POEM. Ninety percent of the cases reported complete symptom relief after POEM. The percentage of esophageal emptying and RR in TBE improved dramatically by both procedures without significant difference. A longer operation time (odds ratio [OR] 32.80, 95%CI 2.99-359.82, p = 0.004) and younger age (OR 26.81, 95%CI 2.09-344.03, p = 0.012) were the independent predictors of treatment failure after POEM. GER was observed in seven patients where previous dilatation (OR 8.59, 95%CI 1.16-63.45, p = 0.035) and higher body mass index (OR 8.69, 95%CI 1.13-66.63, p = 0.037) were the independent predictors for symptomatic GER after POEM. POEM seems to be a safe and effective treatment option for achalasia in the short-term perspective; an effect well comparable to LHM.

Is Dor fundoplication optimum after laparoscopic Heller myotomy for achalasia? A meta-analysis.

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Wei, Ming-Tian; He, Ya-Zhou; Deng, Xiang-Bing; Zhang, Yuan-Chuan; Yang, Ting-Han; Jin, Cheng-Wu; Hu, Bing; Wang, Zi-Qiang

2013-11-21

To compare the outcome of acid reflux prevention by Dor fundoplication after laparoscopic Heller myotomy (LHM) for achalasia. Electronic database PubMed, Ovid (Evidence-Based Medicine Reviews, EmBase and Ovid MEDLINE) and Cochrane Library were searched between January 1995 and September 2012. Bibliographic citation management software (EndNote X3) was used for extracted literature management. Quality assessment of random controlled studies (RCTs) and non-RCTs was performed according to the Cochrane Handbook for Systematic Reviews of Interventions 5.1.0 and a modification of the Newcastle-Ottawa Scale, respectively. The data were analyzed using Review Manager (Version 5.1), and sensitivity analysis was performed by sequentially omitting each study. Finally, 6 studies, including a total of 523 achalasia patients, compared Dor fundoplication with other types of fundoplication after LHM (Dor-other group), and 8 studies, including a total of 528 achalasia patients, compared Dor fundoplication with no fundoplication after LHM (Dor-no group). Dor fundoplication was associated with a significantly higher recurrence rate of clinical regurgitation and pathological acid reflux compared with the other fundoplication group (OR = 7.16, 95%CI: 1.25-40.93, P = 0.03, and OR = 3.79, 95%CI: 1.23-11.72, P = 0.02, respectively). In addition, there were no significant differences between Dor fundoplication and no fundoplication in all subjects. Other outcomes, including complications, dysphagia, postoperative physiologic testing, and operation-related data displayed no significant differences in the two comparison groups. Dor fundoplication is not the optimum procedure after LHM for achalasia. We suggest more attention should be paid on quality of life among different fundoplications.

Comparison of treatment outcomes of endoscope-guided pneumatic dilation and laparoscopic Heller myotomy.

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Wang, Hsin-Ming; Tai, Wei-Chen; Chuah, Seng-Kee; Lu, Hung-I; Lu, Lung-Sheng; Liang, Chih-Ming; Kuo, Chung-Huang; Chiu, Yi-Chun; Wu, Keng-Liang; Changchien, Chi-Sin

2015-12-01

The debate on which is the better choice between laparoscopic Heller myotomy (LHM) and endoscopic pneumatic dilation (PD) for esophageal achalasia has been ongoing for decades. This study aims to compare the results of endoscope-guided PD and LHM in 42 patients with achalasia between May 1996 and August 2011. Twenty-one patients who had received PD and 21 who had received LHM were enrolled. The cumulative remission rate was analyzed using the Kaplan-Meier method with the assessment of symptom scores between grades before and after PD or LHM done at 6 weeks, 6 months, 1 year, and then every year thereafter. Possible confounding factors related to the remissions were analyzed by Cox's proportional hazard model. For PD, the cumulative remission rates were 81.0% (1 year), 76.2% (2), 66.7% (3), 61.9% (4), and 47.6% (5). For LHM, the cumulative remission rates were 90.5% every year from the 1(st) to the 5(th). The LHM patients had significantly better remission rates than the PD patients (p = 0.033, by log-rank test). The LHM group had a longer hospital stay than the PD group [median (interquartile range): 8 (6.5-10) days vs. 3 (2-3) days, p < 0.001) and had more reflux complications (52.4% vs. 19.0%, p = 0.024). No perforation occurred in either group. In conclusion, the 5-year cumulative effectiveness of LHM is better than that of PD despite the association of LHM with more reflux events (52.4%). Copyright © 2015. Published by Elsevier Taiwan.

Osmotic behaviour of shrimps and prawns in relation to their biology and culture

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Panikkar, N.K.

The prawns which are useful for cultural purposes belong mostly to the decapod families Penaeidae and Palaemonidae. Most penaeids are marine prawns which migrate to estuaries and brackish water in their young stages but go back to the sea to breed...

Brain architecture of the largest living land arthropod, the Giant Robber Crab Birgus latro (Crustacea, Anomura, Coenobitidae: evidence for a prominent central olfactory pathway?

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Krieger Jakob

2010-09-01

Full Text Available Abstract Background Several lineages within the Crustacea conquered land independently during evolution, thereby requiring physiological adaptations for a semi-terrestrial or even a fully terrestrial lifestyle. Birgus latro Linnaeus, 1767, the giant robber crab or coconut crab (Anomura, Coenobitidae, is the largest land-living arthropod and inhabits Indo-Pacific islands such as Christmas Island. B. latro has served as a model in numerous studies of physiological aspects related to the conquest of land by crustaceans. From an olfactory point of view, a transition from sea to land means that molecules need to be detected in gas phase instead of in water solution. Previous studies have provided physiological evidence that terrestrial hermit crabs (Coenobitidae such as B. latro have a sensitive and well differentiated sense of smell. Here we analyze the brain, in particular the olfactory processing areas of B. latro, by morphological analysis followed by 3 D reconstruction and immunocytochemical studies of synaptic proteins and a neuropeptide. Results The primary and secondary olfactory centers dominate the brain of B. latro and together account for ca. 40% of the neuropil volume in its brain. The paired olfactory neuropils are tripartite and composed of more than 1,000 columnar olfactory glomeruli, which are radially arranged around the periphery of the olfactory neuropils. The glomeruli are innervated ca. 90,000 local interneurons and ca. 160,000 projection neurons per side. The secondary olfactory centers, the paired hemiellipsoid neuropils, are targeted by the axons of these olfactory projection neurons. The projection neuron axonal branches make contact to ca. 250.000 interneurons (per side associated with the hemiellipsoid neuropils. The hemiellipsoid body neuropil is organized into parallel neuropil lamellae, a design that is quite unusual for decapod crustaceans. The architecture of the optic neuropils and areas associated with antenna two

Long-term results of pneumatic dilatation for relapsing symptoms of achalasia after Heller myotomy.

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Legros, Ludivine; Ropert, Alain; Brochard, Charlène; Bouguen, Guillaume; Pagenault, Maël; Siproudhis, Laurent; Bretagne, Jean-François

2014-09-01

The aim of this study was to assess the efficacy and safety of pneumatic dilatation (PD) to treat symptom recurrence after Heller myotomy (HM). Consecutive patients receiving PD for relapsing symptoms following prior HM were included in this retrospective single-center study. Eckardt score ≤3 and/or ∆ Eckardt (difference between Eckardt score before and after dilatation) ≥3 defined the success of initial dilatation. Patients who maintained response longer than 2 months after initial dilatation were defined as short-term responders. Relapsers were offered further on-demand dilatation. Remission was defined as an Eckardt score ≤3 at the study endpoint. Kaplan-Meier survival curves were used to determine relapse rates. Eighteen patients (11 women, seven men) were included from January 2004 to January 2013. Ten patients had type I achalasia, and seven had type III, according to the Chicago classification. Thirty-nine PDs were performed (1.5 [1-2.25] per patient). All patients had short-term responses. The remission rate at the endpoint, after a median follow-up of 33 months, was 78%, but 44% were treated with on-demand PD during the follow-up interval. The proportions of patients without relapse and subsequent PD were 72% at 12 months, 65% at 24 and 36 months, and 49% at 48 months. No factors predictive of long-term response, particularly the type of achalasia, could be identified in this series. There were no perforations. In treating symptom recurrence following HM, PD was safe and effective over the long term when combined with subsequent PD. © 2014 John Wiley & Sons Ltd.

Espécies de Cladonia P. Browne (Cladoniaceae, Ascomycota dos Supergrupos Cocciferae, Crustaceae e Perviae em restingas e costões rochosos dos estados do Paraná e de Santa Catarina, Brasil Species of Cladonia P. Browne (Cladoniaceae, Ascomycota, of Supergroup Cocciferae, Crustaceae and Perviae, from restinga vegetation and rocky shores of Paraná and Santa Catarina, Brazil

Directory of Open Access Journals (Sweden)

Emerson Luiz Gumboski

2012-09-01

Full Text Available Pouco se conhece das espécies de Cladonia que ocorrem nos estados do Paraná e de Santa Catarina. Informações sobre a ocorrência de liquens em restingas são muito escassas e não há qualquer registro para costões rochosos. O objetivo do trabalho foi realizar um levantamento intensivo das espécies de Cladonia presentes em áreas de restingas e costões rochosos presentes nos estados do Paraná e de Santa Catarina, sul do Brasil. Foram encontradas nove espécies pertencentes aos Supergrupos Cocciferae, Crustaceae e Perviae, sendo que Cladonia squamosa é nova citação para o Paraná e C. palmicola para Santa Catarina. Todas as espécies encontradas ocorrem em restingas e sete delas também em costões rochosos. São apresentadas chave de identificação, descrições, comentários e ilustrações.Little is known about the species of Cladonia that occur in the states of Paraná and Santa Catarina, in southern Brazil. Information about the occurrence of lichens in restinga (a type of coastal vegetation in Brazil is very scarce and there are no records from rocky shores. The main goal of the present work was to make an intensive survey of Cladonia species that grow in restinga and on the rocky shores of this region. Nine species belonging to Supergroups Cocciferae, Crustaceae and Perviae were found, and two of them were new records: Cladonia squamosa for Paraná and C. palmicola for Santa Catarina. All of the species recorded occur in restinga and seven of them are also found along rocky shores. An identification key, descriptions, comments and illustrations are provided.

Occurrence of the lessepsian species Portunus pelagicus (Crustacea and Apogon pharaonis (Pisces in the marine area of Rhodes Island

Directory of Open Access Journals (Sweden)

M. CORSINI-FOKA

2004-06-01

Full Text Available A large number of Red Sea species are colonizing the eastern Mediterranean Sea via the Suez Canal, mainly following the Anatolian coasts and spreading westwards. Portunus pelagicus is one of the most common Red Sea swimming crabs, first recorded in the Levantine Basin in 1898. Four specimens of P. pelagicus were collected in different marine areas of Rhodes Island from 1991 to 2000, while three specimens of the lessepsian fish Apogon pharaonis, first recorded in the Mediterranean in 1947, were caught during 2002 in the NW coast of Rhodes. The sub-tropical character of the marine area around Rhodes seems to facilitate the propagation of lessepsian species. These migrants have reached the island at different velocity and degree of establishment of their populations. The occurrence of the blue swimmer crab P. pelagicus and of the bullseye cardinal fish A. pharaonis increases the number of the decapod Crustacea and fish species of Red Sea origin observed in Greek waters.

Comparison of outcomes of laparoscopic Heller myotomy versus per-oral endoscopic myotomy for management of achalasia.

Science.gov (United States)

Leeds, Steven G; Burdick, J S; Ogola, Gerald O; Ontiveros, Estrellita

2017-10-01

Achalasia is a rare disorder that has several treatment options. The gold standard of treatment is a surgical myotomy called a laparoscopic Heller myotomy (LHM). More recently, an endoscopic myotomy has become an option as well, called per-oral endoscopic myotomy (POEM). An achalasia registry was queried for patients undergoing either LHM or POEM at Baylor University Medical Center at Dallas. Patient demographics, preoperative and postoperative data points, and Eckardt scores were collected. The patients were further stratified into their follow-up intervals, immediate postoperative and long-term follow-up, to assess surgical success. A subset analysis was done for success of treatment for patients who had redo surgery versus those undergoing the procedure for the first time. There were 12 patients in the POEM group and 11 patients in the LHM group. Both groups demonstrated mean lower esophageal sphincter pressures with failure to relax. Procedure length and hospital length of stay were similar between the two groups. There were three adverse events in each group, but none altered the patient's postoperative clinical course. Eckardt scores, used to assess success of the surgery, were 82% for POEM patients and 66% for LHM patients after 6 months. The outcomes for POEM and LHM in our early experience are similar to those reported in the literature for high-volume centers managing achalasia.

Comparative life-histories, population dynamics and productivity of Schistomysis populations (Crustacea, Mysida) in European shelf environments

Science.gov (United States)

San Vicente, Carlos; Sorbe, Jean Claude

2013-08-01

A biological study of suprabenthic mysids of genus Schistomysis (Crustacea, Mysida, Mysidae) was carried out based on quantitative samples collected in coastal waters of the SE Bay of Biscay (NE Atlantic) and the Catalan Sea (W Mediterranean). Aspects of the ecology of species noted during this study are summarized and the results of previous researches are incorporated. Small and large-scale environmental factors (swash and surf climate, depth, temperature, day-night and seasonal cycles) contributed significantly to population distributions. All Schistomysis populations are characterized by faster individual growth and earlier maturity at higher temperature, resulting in intensive recruitment during spring or summer seasons in combination with higher fecundity of genitors. Regarding productivity, our production and P/B¯ estimates ranged between 2255-26,321 mg AFDW/100 m3/year and 6.09-9.73, respectively. These production values are similar to those found for comparable marine mysids with two or three generations per year. The observed demographic heterogeneity and production of populations has ecological implications in the Bay of Biscay and Mediterranean areas, where Schistomysis species are dominant components of littoral and shelf suprabenthic communities.

Lunar Cycles, Catchability of Penaeid Shrimps and Implications for ...

African Journals Online (AJOL)

Keywords: Penaeidae, fishing effort, lunar phases, profitability, spatial closures. ... closures during periods of the lunar cycle with predictably low catch-per- ... each lunar phase and month using two-way ANOVA. ... shrimps, for which the CPUE declined throughout the fishing season ... (Garcia, 1988) and abundance of.

Bioaccumulation in Porcellio scaber (Crustacea, Isopoda) as a measure of the EDTA remediation efficiency of metal-polluted soil

International Nuclear Information System (INIS)

Udovic, Metka; Drobne, Damjana; Lestan, Domen

2009-01-01

Leaching using EDTA applied to a Pb, Zn and Cd polluted soil significantly reduced soil metal concentrations and the pool of metals in labile soil fractions. Metal mobility (Toxicity Characteristic Leaching Procedure), phytoavailability (diethylenetriaminepentaacetic acid extraction) and human oral-bioavailability (Physiologically Based Extraction Test) were reduced by 85-92%, 68-91% and 88-95%, respectively. The metal accumulation capacity of the terrestrial isopod Porcellio scaber (Crustacea) was used as in vivo assay of metal bioavailability, before and after soil remediation. After feeding on metal contaminated soil for two weeks, P. scaber accumulated Pb, Zn and Cd in a concentration dependent manner. The amounts of accumulated metals were, however, higher than expected on the basis of extraction (in vitro) tests. The combined results of chemical extractions and the in vivo test with P. scaber provide a more relevant picture of the availability stripping of metals after soil remediation. - Bioaccumulation tests with Porcellio scaber isopods are proposed as a supplement to chemical extraction in assessing metal bioavailability before and after soil remediation.

The Hyalella (Crustacea: Amphipoda) species cloud of the ancient Lake Titicaca originated from multiple colonizations.

Science.gov (United States)

Adamowicz, Sarah J; Marinone, María Cristina; Menu-Marque, Silvina; Martin, Jeffrey W; Allen, Daniel C; Pyle, Michelle N; De Los Ríos, Patricio; Sobel, Crystal N; Ibañez, Carla; Pinto, Julio; Witt, Jonathan D S

2018-08-01

Ancient lakes are renowned for their exceptional diversity of endemic species. As model systems for the study of sympatric speciation, it is necessary to understand whether a given hypothesized species flock is of monophyletic or polyphyletic origin. Here, we present the first molecular characterization of the Hyalella (Crustacea: Amphipoda) species complex of Lake Titicaca, using COI and 28S DNA sequences, including samples from the connected Small and Large Lakes that comprise Lake Titicaca as well as from a broader survey of southern South American sites. At least five evolutionarily distant lineages are present within Lake Titicaca, which were estimated to have diverged from one another 12-20 MYA. These major lineages are dispersed throughout the broader South American Hyalella phylogeny, with each lineage representing at least one independent colonization of the lake. Moreover, complex genetic relationships are revealed between Lake Titicaca individuals and those from surrounding water bodies, which may be explained by repeated dispersal into and out of the lake, combined with parallel intralacustrine diversification within two separate clades. Although further work in deeper waters will be required to determine the number of species present and modes of diversification, our results strongly indicate that this amphipod species cloud is polyphyletic with a complex geographic history. Copyright © 2018 Elsevier Inc. All rights reserved.

Antibacterial activity of GUAVA, Psidium guajava Linnaeus, leaf extracts on diarrhea-causing enteric bacteria isolated from Seabob shrimp, Xiphopenaeus kroyeri (Heller).

Science.gov (United States)

Gonçalves, Flávia A; Andrade Neto, Manoel; Bezerra, José N S; Macrae, Andrew; Sousa, Oscarina Viana de; Fonteles-Filho, Antonio A; Vieira, Regine H S F

2008-01-01

Guava leaf tea of Psidium guajava Linnaeus is commonly used as a medicine against gastroenteritis and child diarrhea by those who cannot afford or do not have access to antibiotics. This study screened the antimicrobial effect of essential oils and methanol, hexane, ethyl acetate extracts from guava leaves. The extracts were tested against diarrhea-causing bacteria: Staphylococcus aureus, Salmonella spp. and Escherichia coli. Strains that were screened included isolates from seabob shrimp, Xiphopenaeus kroyeri (Heller) and laboratory-type strains. Of the bacteria tested, Staphylococcus aureus strains were most inhibited by the extracts. The methanol extract showed greatest bacterial inhibition. No statistically significant differences were observed between the tested extract concentrations and their effect. The essential oil extract showed inhibitory activity against S. aureus and Salmonella spp. The strains isolated from the shrimp showed some resistance to commercially available antibiotics. These data support the use of guava leaf-made medicines in diarrhea cases where access to commercial antibiotics is restricted. In conclusion, guava leaf extracts and essential oil are very active against S. aureus, thus making up important potential sources of new antimicrobial compounds.

Comparison of esophagogastric junction distensibility changes during POEM and Heller myotomy using intraoperative FLIP.

Science.gov (United States)

Teitelbaum, Ezra N; Boris, Lubomyr; Arafat, Fahd O; Nicodème, Frédéric; Lin, Zhiyue; Kahrilas, Peter J; Pandolfino, John E; Soper, Nathaniel J; Hungness, Eric S

2013-12-01

Peroral endoscopic myotomy (POEM) is a novel endoscopic surgical procedure for the treatment of achalasia. The comparative effects of POEM and laparoscopic Heller myotomy (LHM) on esophagogastric junction (EGJ) physiology are unknown. A novel measurement catheter, the functional lumen imaging probe (FLIP), allows for intraoperative evaluation of EGJ compliance by measuring luminal geometry and pressure during volume-controlled distensions. Distensibility index (DI) (defined as the minimum cross-sectional area at the EGJ divided by pressure) was measured with FLIP intraoperatively in patients undergoing LHM and POEM. Separate measurements were taken after each operative step. During LHM, measurements were performed after: (1) induction of anesthesia, (2) insufflation of pneumoperitoneum, (3) hiatal dissection and esophageal mobilization, (4) myotomy, (5) partial fundoplication, and (6) deinsufflation. During POEM, they were performed after: (1) induction of anesthesia, (2) submucosal tunnel creation, and (3) myotomy. Eleven LHM and 14 POEM patients underwent intraoperative FLIP. Baseline DI was similar between groups. LHM resulted in an overall increase in mean DI (pre 1.4 vs. post 7.6 mm(2)/mmHg, using a 40-ml distension volume; p Myotomy caused an increase in DI. Partial fundoplication (6 Toupet, 5 Dor) caused a decrease in DI, and deinsufflation caused an increase in DI. POEM also resulted in an overall increase in mean DI (pre 1.4 vs. post 7.9 mm(2)/mmHg; p myotomy caused increases in DI. When overall changes were compared, there were no differences in the amount of DI increase between LHM and POEM. POEM and LHM result in a similar improvement in EGJ distensibility intraoperatively. Further study is needed to correlate intraoperative FLIP measurements with postoperative symptomatic and physiologic outcomes.

Species diversity and phylogeographical affinities of the Branchiopoda (Crustacea) of Churchill, Manitoba, Canada.

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Jeffery, Nicholas W; Elías-Gutiérrez, Manuel; Adamowicz, Sarah J

2011-01-01

The region of Churchill, Manitoba, contains a wide variety of habitats representative of both the boreal forest and arctic tundra and has been used as a model site for biodiversity studies for nearly seven decades within Canada. Much previous work has been done in Churchill to study the Daphnia pulex species complex in particular, but no study has completed a wide-scale survey on the crustacean species that inhabit Churchill's aquatic ecosystems using molecular markers. We have employed DNA barcoding to study the diversity of the Branchiopoda (Crustacea) in a wide variety of freshwater habitats and to determine the likely origins of the Churchill fauna following the last glaciation. The standard animal barcode marker (COI) was sequenced for 327 specimens, and a 3% divergence threshold was used to delineate potential species. We found 42 provisional and valid branchiopod species from this survey alone, including several cryptic lineages, in comparison with the 25 previously recorded from previous ecological works. Using published sequence data, we explored the phylogeographic affinities of Churchill's branchiopods, finding that the Churchill fauna apparently originated from all directions from multiple glacial refugia (including southern, Beringian, and high arctic regions). Overall, these microcrustaceans are very diverse in Churchill and contain multiple species complexes. The present study introduces among the first sequences for some understudied genera, for which further work is required to delineate species boundaries and develop a more complete understanding of branchiopod diversity over a larger spatial scale.

A Matched Comparison of Per Oral Endoscopic Myotomy to Laparoscopic Heller Myotomy in the Treatment of Achalasia.

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Schneider, Andreas M; Louie, Brian E; Warren, Heather F; Farivar, Alexander S; Schembre, Drew B; Aye, Ralph W

2016-11-01

Per oral endoscopic myotomy (POEM) is increasingly utilized to treat patients with achalasia. Early results have demonstrated significant improvement of symptoms, but there are concerns about postoperative reflux. With only limited comparative data available, we sought to compare POEM to laparoscopic Heller myotomy (LHM) with partial fundoplication. This is a retrospective review of 42 POEM and 84 LHM patients undergoing primary myotomy for achalasia. Patients were matched by achalasia type, by Eckardt and dysphagia scores, and by quality of life (QOL) metrics. Analysis at 6-12-month follow-up evaluated these metrics, PPI use, pH, manometric, and endoscopic data. We matched 25 patients with achalasia types I (6), II (13), and III (6). Follow-up was longer for LHM at 158.1 (36.5-272.9) weeks versus 36.2 (22.2-41.2) weeks (p = 0.001). Eckardt scores, QOL metrics, and dysphagia significantly improved in both groups. DeMeester scores and total percent time less than 4 were abnormal in both groups and comparable (p = 0.925 and p = 0.838). Esophagitis was seen in 53.4 % (POEM) and 31.6 % (LHM) (Yates' p = 0.91), and PPI use was equivalent at 36 %. Early clinical outcomes are excellent with POEM and comparable to the standard of care LHM. Long-term follow-up is required as concerns for reflux persist.

Outcome of Peroral Endoscopic Myotomy (POEM) for Treating Achalasia Compared With Laparoscopic Heller Myotomy (LHM).

Science.gov (United States)

Peng, Lijun; Tian, Shuni; Du, Chao; Yuan, Ziying; Guo, Mingxiao; Lu, Lin

2017-02-01

Peroral endoscopic myotomy (POEM) is an emerging endoscopic treatment for achalasia and the long-term efficacy of POEM remains to be evaluated. This study compared the outcomes of POEM with that of the standard laparoscopic Heller myotomy (LHM) for achalasia. Achalasia patients treated by POEM or LHM were retrospectively analyzed, with a minimum postoperative follow-up of 3 years. Perioperative outcomes and long-term outcomes including treatment success (Eckardt score ≤3), occurrence of gastroesophageal reflux disease (GERD) (GerdQ score ≥9) and quality of life (36-item short form) were compared. Thirteen patients who underwent POEM were compared with 18 patients who received LHM. These patients were similar in age, sex, symptoms duration, Eckardt score, and previous therapy (all P>0.05). Mean myotomy lengths were similar (P=0.73). Operation time was shorter in the POEM group (P=0.001). One patient (7.7%) developed pneumothorax after POEM and 1 patient (5.6%) experienced postoperative infection after LHM (P=1.00). Treatment success was achieved in 83.3% (9/12) of POEM patients and 80.0% (12/15) of LHM patients (P=1.00). Both POEM and LHM significantly reduced Eckardt score (both P=0.00). GERD rate was similar (8.3% vs. 6.7%, P=1.00). There was no difference in all aspects of quality of life between the 2 groups. Long-term outcomes indicate that POEM is an effective treatment that is comparable with LHM. More data of randomized trials comparing POEM with LHM will enrich the existing evidence.

Authenticating the Origin of Different Shrimp Products on the ...

African Journals Online (AJOL)

This study describes a polymerase chain reaction using restriction fragment length polymorphism (PCR-RFLP) assay based on the 16S rRNA mitochondrial gene to identify commercial food products of wide range of Penaeidae and Pandalidae shrimp species commercialised in the Tunisian market. Phylogenetic analyses ...

Occurrence of Macrobrachium amazonicum (Heller (Decapoda, Palaemonidae in Leopoldo's inlet (Ressaco do Leopoldo, upper Paraná River, Porto Rico, Paraná, Brazil

Directory of Open Access Journals (Sweden)

Andréa Bialetzki

1997-01-01

Full Text Available Studies on the occurrence, temporal distribution and nychthemeral variation of Macrobrachium amazonicum (Heller, 1862 were undertaken in Leopoldo's Inlet, upper Paraná River, Porto Rico, Paraná, Brazil. Seventeen thousand and sixty specimens (11,786 larvae and 5,274 juveniles were captured with a conicalcylindrical plankton net of mesh 0.5mm in monthly samples between February 1991 and February 1992. Results show that the greatest densities of larvae (301.83 larvae/10m³ and juveniles (168.8/10m³ of this species were caught in December 1991. Largest captures were made during the night. With regard to abiotic factors water temperature ranged from 20º to 30ºC, pH ranged from 5.66 to 7.37 and electric conductivity ranged from 51.83 to 65.33µS/cm. Relationship between the density of larvae and juveniles and abiotic factors was calculated by the Principal Components Analysis (PCA which revealed the influence of some limnological variables especially on the distribution of larvae.

Dor Vs Toupet Fundoplication After Laparoscopic Heller Myotomy: Long-Term Randomized Controlled Trial Evaluated by High-Resolution Manometry.

Science.gov (United States)

Torres-Villalobos, Gonzalo; Coss-Adame, Enrique; Furuzawa-Carballeda, Janette; Romero-Hernández, Fernanda; Blancas-Breña, Blanca; Torres-Landa, Samuel; Palacios-Ramírez, Axel; Alejandro-Medrano, Edgar; Hernández-Ávila, Axel; Flores-Najera, Athenea; Ávila Escobedo, Lourdes Margarita; Ramírez Angulo, Cecilia; Rodríguez-Garcés, Angélica; Valdovinos, Miguel Ángel

2018-01-01

Laparoscopic Heller myotomy (LHM) with partial fundoplication is an effective treatment for achalasia. However, the type of fundoplication is still a subject of debate. The aim of the study is to identify which partial fundoplication leads to better control of acid exposure, manometric parameters, and symptoms scores. A randomized controlled trial was performed to compare Dor vs Toupet fundoplication after LHM. The preoperative diagnosis was made by high-resolution manometry (HRM), upper endoscopy, and barium esophagogram. Preoperative and postoperative symptoms were evaluated with Eckardt, GERD-HRQL, and EAT-10 questionnaires. Seventy-three patients were randomized, 38 underwent Dor and 35 Toupet. Baseline characteristics were similar between groups. Postoperative HRM showed that the integrated relaxation pressure (IRP) and basal lower esophageal sphincter (LES) pressure were similar at 6 and 24 months. The number of patients with abnormal acid exposure was significantly lower for Dor (6.9%) than that of Toupet (34.0%) at 6 months, but it was not different at 12 or 24 months. No differences were found in postoperative symptom scores at 1, 6, or 24 months. There were no differences in symptom scores or HRM between fundoplications in the long term. A higher percentage of abnormal 24-h pH test were found for the Toupet group, with no difference in the long term.

Laparoscopic Heller Myotomy vs Per Oral Endoscopic Myotomy: Patient-Reported Outcomes at a Single Institution.

Science.gov (United States)

Hanna, Andrew N; Datta, Jashodeep; Ginzberg, Sara; Dasher, Kevin; Ginsberg, Gregory G; Dempsey, Daniel T

2018-04-01

Although laparoscopic Heller myotomy (LHM) has been the standard of care for achalasia, per oral endoscopic myotomy (POEM) has gained popularity as a viable alternative. This retrospective study aimed to compare patient-reported outcomes between LHM and POEM in a consecutive series of achalasia patients with more than 1 year of follow-up. We reviewed demographic and procedure-related data for patients who underwent either LHM or POEM for achalasia between January 2011 and May 2016. Phone interviews were conducted assessing post-procedure achalasia symptoms via the Eckardt score and achalasia severity questionnaire (ASQ). Demographics, disease factors, and survey results were compared between LHM and POEM patients using univariate analysis. Significant predictors of procedure failure were analyzed using univariate and multivariate analysis. There were no serious complications in 110 consecutive patients who underwent LHM or POEM during the study period, and 96 (87%) patients completed phone surveys. There was a nonsignificant trend toward better patient-reported outcomes with POEM. There were significant differences in patient characteristics including sex, achalasia type, mean residual lower esophageal pressure (rLESP), and follow-up time. The only univariate predictors of an unsatisfactory Eckardt score or ASQ were longer follow-up and lower rLESP, with follow-up length being the only predictor on multivariate analysis. There were significant demographic and clinical differences in patient selection for POEM vs LHM in our group. Although the 2 procedures have similar patient-reported effectiveness, subjective outcomes seem to decline as a result of time rather than procedure type. Copyright © 2018 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Esophagogastric junction distensibility measurements during Heller myotomy and POEM for achalasia predict postoperative symptomatic outcomes

Science.gov (United States)

Teitelbaum, Ezra N.; Soper, Nathaniel J.; Pandolfino, John E.; Kahrilas, Peter J.; Hirano, Ikuo; Boris, Lubomyr; Nicodème, Frédéric; Lin, Zhiyue; Hungness, Eric S.

2015-01-01

Background The functional lumen imaging probe (FLIP) is a novel diagnostic tool that can be used to measure esophagogastric junction (EGJ) distensibility. In this study we performed intraoperative FLIP measurements during laparoscopic Heller myotomy (LHM) and peroral esophageal myotomy (POEM) for treatment of achalasia and evaluated the relationship between EGJ distensibility and postoperative symptoms. Methods Distensibility index (DI) (defined as the minimum cross-sectional area at the EGJ divided by distensive pressure) was measured with FLIP at two time points during LHM and POEM: 1) at baseline after induction of anesthesia, and 2) after operation completion. Results Measurements were performed in 20 patients undergoing LHM and 36 undergoing POEM. Both operations resulted in an increase in DI, although this increase was larger with POEM (7±3.1 vs. 5.1±3.4mm2/mmHg, p3mm2/mmHg. When all patients were divided into thirds based on final DI, none in the lowest DI group (7), as compared with 20% in the middle third (6–9mm2/mmHg) and 36% in the highest third (>9mm2/mmHg). Patients within an “ideal” final DI range (4.5–8.5 mm2/mmHg) had optimal symptomatic outcomes (i.e. Eckardt≤1 and GerdQ≤7) in 88% of cases, compared with 47% in those with a final DI above or below that range (p<.05). Conclusions Intraoperative EGJ distensibility measurements with FLIP were predictive of postoperative symptomatic outcomes. These results provide initial evidence that FLIP has the potential to act as a useful calibration tool during operations for achalasia. PMID:25055891

Exoskeletal proteins from the crab, Cancer pagurus

DEFF Research Database (Denmark)

Andersen, Svend Olav

1999-01-01

Crustacea; decapods; cuticle; exoskeleton; structural protein; amino acid sequence; mass spectrometry......Crustacea; decapods; cuticle; exoskeleton; structural protein; amino acid sequence; mass spectrometry...

Lunar-Rhythmic Molting in Laboratory Populations of the Noble Crayfish Astacus astacus (Crustacea, Astacidea): An Experimental Analysis

Science.gov (United States)

Franke, Robert; Hoerstgen-Schwark, Gabriele

2013-01-01

Juvenile noble crayfish, Astacusastacus (Crustacea, Astacidea) in the second year of age were kept in the laboratory for a twelve-month period under continuing “summer conditions” (LD 16:8, 19°C). Molting processes in this population could be synchronized by artificial moonlight cycles. Peaks of exuviations occurred at “new moons”. Males showed a slightly higher degree of synchronization than females. A phase-shift of the artificial lunar cycle in relation to the natural cycle resulted in a corresponding shift of the molting cycle. This clearly demonstrates that changes in the nocturnal light regime provide the primary external information for the lunar-monthly molting rhythm. There is a first indication that lunar photic stimuli do not act directly but as a zeitgeber which entrains an endogenous molting rhythm to the lunar cycle. Moreover, the results of the long-term experiments suggest that the hibernal resting period of A . astacus in the field (no molts between October and April) may also involve some endogenous programming. Continuing artificial summer conditions can delay but not completely suppress this resting period. The adaptive significance of the phenomena and how the findings may be applied to improve the management of crowded crayfish stocks are discussed. PMID:23840899

First record of Parelasmopus setiger Chevreux, 1901 from Singapore, including synonymization of Parelasmopus siamensis Wongkamhaeng, Coleman & Pholpunthin, 2013 with Parelasmopus setiger (Crustacea, Amphipoda, Maeridae

Directory of Open Access Journals (Sweden)

Azman Abdul Rahim

2015-04-01

Full Text Available Parelasmopus setiger has been widely described from tropical to subtropical regions from Philippine Islands, Sulu Sea, Indonesia, Australia, north Indian Ocean and the Seychelles by several authors. The present study provides detailed descriptions of Parelasmopus setiger Chevreux, 1901 (Crustacea: Amphipoda based on newly collected specimens from Pulau Hantu, Singapore. Morphological characters of the specimens closely resemble those of Parelasmopus setiger and Parelasmopus siamensis Wongkamhaeng, Coleman & Pholpunthin, 2013. The specimens of both the species were quite similar to the Singapore specimens, although the shapes of appendages vary with growth and locality; therefore, P. siamensis is synonymized with P. setiger. The following species characteristics for P. setiger are indicated: 1 antenna 1 peduncle with 2 setae; 2 male gnathopod 2 propodus palm transverse; 3 Pereopods 5 to 7 posterior margins with long slender setae; and 4 dorsal carina pattern for pereonite 7 and pleonites 1 to 3.

Efficacy and Safety of Peroral Endoscopic Myotomy for Treatment of Achalasia After Failed Heller Myotomy.

Science.gov (United States)

Ngamruengphong, Saowanee; Inoue, Haruhiro; Ujiki, Michael B; Patel, Lava Y; Bapaye, Amol; Desai, Pankaj N; Dorwat, Shivangi; Nakamura, Jun; Hata, Yoshitaka; Balassone, Valerio; Onimaru, Manabu; Ponchon, Thierry; Pioche, Mathieu; Roman, Sabine; Rivory, Jérôme; Mion, François; Garros, Aurélien; Draganov, Peter V; Perbtani, Yaseen; Abbas, Ali; Pannu, Davinderbir; Yang, Dennis; Perretta, Silvana; Romanelli, John; Desilets, David; Hayee, Bu; Haji, Amyn; Hajiyeva, Gulara; Ismail, Amr; Chen, Yen-I; Bukhari, Majidah; Haito-Chavez, Yamile; Kumbhari, Vivek; Saxena, Payal; Talbot, Michael; Chiu, Philip Wai-Yan; Yip, Hon-Chi; Wong, Vivien Wai-Yin; Hernaez, Ruben; Maselli, Roberta; Repici, Alessandro; Khashab, Mouen A

2017-10-01

In patients with persistent symptoms after Heller myotomy (HM), treatment options include repeat HM, pneumatic dilation, or peroral endoscopic myotomy (POEM). We evaluated the efficacy and safety of POEM in patients with achalasia with prior HM vs without prior HM. We conducted a retrospective cohort study of 180 patients with achalasia who underwent POEM at 13 tertiary centers worldwide, from December 2009 through September 2015. Patients were divided into 2 groups: those with prior HM (HM group, exposure; n = 90) and those without prior HM (non-HM group; n = 90). Clinical response was defined by a decrease in Eckardt scores to 3 or less. Adverse events were graded according to criteria set by the American Society for Gastrointestinal Endoscopy. Technical success, clinical success, and rates of adverse events were compared between groups. Patients were followed up for a median of 8.5 months. POEM was technically successful in 98% of patients in the HM group and in 100% of patients in the non-HM group (P = .49). A significantly lower proportion of patients in the HM group had a clinical response to POEM (81%) than in the non-HM group (94%; P = .01). There were no significant differences in rates of adverse events between the groups (8% in the HM group vs 13% in the non-HM group; P = .23). Symptomatic reflux and reflux esophagitis after POEM were comparable between groups. POEM is safe and effective for patients with achalasia who were not treated successfully by prior HM. Although the rate of clinical success in patients with prior HM is lower than in those without prior HM, the safety profile of POEM is comparable between groups. Copyright © 2017 AGA Institute. Published by Elsevier Inc. All rights reserved.

An extended proximal esophageal myotomy is necessary to normalize EGJ distensibility during Heller myotomy for achalasia, but not POEM.

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Teitelbaum, Ezra N; Soper, Nathaniel J; Pandolfino, John E; Kahrilas, Peter J; Boris, Lubomyr; Nicodème, Frédéric; Lin, Zhiyue; Hungness, Eric S

2014-10-01

For laparoscopic Heller myotomy (LHM), the optimal myotomy length proximal to the esophagogastric junction (EGJ) is unknown. In this study, we used a functional lumen imaging probe (FLIP) to measure EGJ distensibility changes resulting from variable proximal myotomy lengths during LHM and peroral esophageal myotomy (POEM). Distensibility index (DI) (defined as the minimum cross-sectional area at the EGJ divided by pressure) was measured with FLIP after each operative step. During LHM and POEM, each patient's myotomy was performed in two stages: first, a myotomy ablating only the EGJ complex was created (EGJ-M), extending from 2 cm proximal to the EGJ, to 3 cm distal to it. Next, the myotomy was lengthened 4 cm further cephalad to create an extended proximal myotomy (EP-M). Measurements were performed in 12 patients undergoing LHM and 19 undergoing POEM. LHM resulted in an overall increase in DI (1.6 ± 1 vs. 6.3 ± 3.4 mm(2)/mmHg, p myotomy to an EP-M had no additional effect. POEM resulted in a larger overall increase from baseline than LHM (7.9 ± 3.5 vs. 4.7 ± 3.3 mm(2)/mmHg, p myotomy confined to the EGJ complex was sufficient. In this cohort, POEM resulted in a larger overall increase in EGJ distensibility.

Development of a novel ex vivo porcine laparoscopic Heller myotomy and Nissen fundoplication training model (Toronto lap-Nissen simulator).

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Ujiie, Hideki; Kato, Tatsuya; Hu, Hsin-Pei; Bauer, Patrycja; Patel, Priya; Wada, Hironobu; Lee, Daiyoon; Fujino, Kosuke; Schieman, Colin; Pierre, Andrew; Waddell, Thomas K; Keshavjee, Shaf; Darling, Gail E; Yasufuku, Kazuhiro

2017-06-01

Surgical trainees are required to develop competency in a variety of laparoscopic operations. Developing laparoscopic technical skills can be difficult as there has been a decrease in the number of procedures performed. This study aims to develop an inexpensive and anatomically relevant model for training in laparoscopic foregut procedures. An ex vivo , anatomic model of the human upper abdomen was developed using intact porcine esophagus, stomach, diaphragm and spleen. The Toronto lap-Nissen simulator was contained in a laparoscopic box-trainer and included an arch system to simulate the normal radial shape and tension of the diaphragm. We integrated the use of this training model as a part of our laparoscopic skills laboratory-training curriculum. Afterwards, we surveyed trainees to evaluate the observed benefit of the learning session. Twenty-five trainees and five faculty members completed a survey regarding the use of this model. Among the trainees, only 4 (16%) had experience with laparoscopic Heller myotomy and Nissen fundoplication. They reported that practicing with the model was a valuable use of their limited time, repeating the exercise would be of additional benefit, and that the exercise improved their ability to perform or assist in an actual case in the operating room. Significant improvements were found in the following subjective measures comparing pre- vs. post-training: (I) knowledge level (5.6 vs. 8.0, Pmyotomy and fundoplication.

Studies on transfer and accumulation of 106Ru from seaweed to fish through crustacea, 2

International Nuclear Information System (INIS)

Izumo, Yoshiro

1982-01-01

This paper deals with transfer and accumulation of 106 Ru in a model of the graizing food chain of marine organisms: the radioactive sea water → seaweed (Chondrus crispus) → crustacea (prawn, Palaemon serratus) → fish (plaice, Pleuronectes platessa). The seaweeds were cultured in the radioactive sea waters A (filtrated and circulated through sandy mud, the radioactive concentration decreased and atteined to constant after addition of 106 Ru), B (not filtrated and circulated, the radioactive concentration decreased and atteined to constant) and C (not filtrated and circulated, the radioactive concentration decreased, but did not attein to constant), respectively, and investigated accumulations of 106 Ru. Thereafter, accumulations of 106 Ru in prawns and plaice by the ingestions of their diets (the seaweeds contaminated with 106 Ru in each water and the meats of prawns accumulated 106 Ru from each diet, respectively), were investigated and compared with those from the radioactive sea waters reported previously. It was shown that 106 Ru would be accumulated by the prawns from the sea water A about 3 times higher than from the contaminated diet in this water, however from the contaminated diets in the waters B and C about 2 times, respectively, higher than from each water. While, accumulations of 106 Ru by the plaice from each diet were negligible in comparison with those from each water. No higher concentrations of 106 Ru were observed in these organisms from lower to higher in the trophic level. (author)

[Laparoscopic Heller myotomy after failed POEM and multiple balloon dilatations : Better late than never].

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Giulini, L; Dubecz, A; Stein, H J

2017-04-01

Despite the lack of long-term results, peroral endoscopic myotomy (POEM) has been increasingly propagated as a feasible alternative to pneumatic balloon dilatation (BD) and laparoscopic Heller myotomy (LHM) in patients with achalasia. After a long-term follow-up, a large percentage of patients reported recurrence of dysphagia. It is unclear which kind of procedure (redo POEM or LHM) should be utilized in these patients with failed POEM. We report the case of a 37-year-old female patient with type I achalasia who was successfully treated with LHM after a failed POEM procedure. After the manometric diagnosis of type I achalasia, the patient was treated with six balloon dilatations within a period of 5 months. Because of the persistence of symptoms a POEM procedure was performed with no relief and the patient was referred for surgical treatment. An esophagography showed a pronounced widening of the middle and the distal esophagus with a persistent narrowing of the lower esophageal sphincter (LES) and because of these indications LHM was performed. The intraoperative examination revealed extensive scarring of the submucosal layer with the muscularis mucosae of the distal esophagus; nevertheless, it was possible to carry out a 5 cm long cardiomyotomy without mucosal injury. The operation was completed with a Dor fundoplication. There were no postoperative complications. After surgery the patient reported an immediate and complete relief of dysphagia. The published experiences with POEM seem to show promising short-term results in terms of dysphagia relief; however, the few available mid-term analyses demonstrated no essential advantages when compared to LHM; therefore, the LHM must still be considered the gold standard procedure for definitive treatment of achalasia. According to our case report, LHM was shown to be a safe and effective although laborious treatment option due to scarring even after failed treatment by POEM.

A dataset on the species composition of amphipods (Crustacea) in a Mexican marine national park: Alacranes Reef, Yucatan.

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Paz-Ríos, Carlos E; Simões, Nuno; Pech, Daniel

2018-01-01

Alacranes Reef was declared as a National Marine Park in 1994. Since then, many efforts have been made to inventory its biodiversity. However, groups such as amphipods have been underestimated or not considered when benthic invertebrates were inventoried. Here we present a dataset that contributes to the knowledge of benthic amphipods (Crustacea, Peracarida) from the inner lagoon habitats from the Alacranes Reef National Park, the largest coral reef ecosystem in the Gulf of Mexico. The dataset contains information on records collected from 2009 to 2011. Data are available through Global Biodiversity Information Facility (GBIF). A total of 110 amphipod species distributed in 93 nominal species and 17 generic species, belonging to 71 genera, 33 families and three suborders are presented here. This information represents the first online dataset of amphipods from the Alacranes Reef National Park. The biological material is currently deposited in the crustacean collection from the regional unit of the National Autonomous University of Mexico located at Sisal, Yucatan, Mexico (UAS-Sisal). The biological material includes 588 data records with a total abundance of 6,551 organisms. The species inventory represents, until now, the richest fauna of benthic amphipods registered from any discrete coral reef ecosystem in Mexico.

Diversidad y biomasa de macro-invertebrados en matrices intermareales del tunicado Pyura praeputialis (Heller, 1878 en la Bahía de Antofagasta, Chile Diversity and biomass of macro-invertebrates in intertidal matrices of the tunicate Pyura praeputialis (Heller, 1878 in the Bay of Antofagasta, Chile

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MAURICIO CERDA

2001-12-01

Full Text Available Se analiza la diversidad biológica y biomasa de macro-invertebrados asociados a los mantos intermareales del tunicado Pyura praeputialis (Heller, 1878 en la Bahía de Antofagasta, donde la especie se encuentra casi exclusivamente confinada a lo largo de aproximadamente 70 km de extensión costera de dicha bahía. En la bahía se seleccionaron tres sitios para el análisis de los mantos de piures: uno localizado aproximadamente en el centro de la distribución del tunicado y dos cercanos a los límites norte y sur (ecotonos de dicha distribución. La arquitectura de las matrices de piures genera substrato secundario y bio-hábitat que corresponden a los de una especie bio-ingeniera ecosistémica. En las matrices se encontró una diversidad gama de 96 taxa de macro-invertebrados, pertenecientes a nueve phyla. Entre ellos destaca la riqueza de gastrópodos (28 %, poliquetos (26 %, decápodos (15 % y bivalvos (14 %. Para los macro-invertebrados se registró una biomasa promedio de 246,40 g m-2 . Los atributos de diversidad y biomasa de macro-invertebrados no presentaron diferencias significativas entre sitios, lo cual sugiere que el efecto de estas matrices sobre la diversidad y biomasa de los macro-invertebrados es similar a lo largo del rango de distribución dentro de la bahía. Los resultados son discutidos en términos de los patrones de biodiversidad de macro-invertebrados, sus biomasas y el rol que juega P. praeputialis como especie bio-ingeniera en la zona costera de la Bahía de Antofagasta. Se realizan comparaciones con un estudio similar realizado en mantos de Pyura stolonifera en Natal, Sudáfrica y respecto de la biodiversidad de invertebrados asociadas a otras especies bio-ingenierasThe study was conducted to analyze the biological diversity and biomass of macro-invertebrates in intertidal matrices of Pyura praeputialis (Heller, 1878 in the Bahía de Antofagasta, where the species is confined along approximately 70 km of coastline

Laparoscopic Heller Myotomy Versus Peroral Endoscopic Myotomy (POEM) for Achalasia: A Systematic Review and Meta-analysis.

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Schlottmann, Francisco; Luckett, Daniel J; Fine, Jason; Shaheen, Nicholas J; Patti, Marco G

2018-03-01

To compare the outcome of per oral endoscopic myotomy (POEM) and laparoscopic Heller myotomy (LHM) for the treatment of esophageal achalasia. Over the last 2 decades, LHM has become the primary form of treatment in many centers. However, since the first description of POEM in 2010, this technique has widely disseminated, despite the absence of long-term results and randomized trials. A systematic Medline literature search of articles on LHM and POEM for the treatment of achalasia was performed. The main outcomes measured were improvement of dysphagia and posttreatment gastroesophageal reflux disease (GERD). Linear regression was used to model the effect of each procedure on the different outcomes. Fifty-three studies reported data on LHM (5834 patients), and 21 articles examined POEM (1958 patients). Mean follow-up was significantly longer for studies of LHM (41.5 vs. 16.2 mo, P < 0.0001). Predicted probabilities for improvement in dysphagia at 12 months were 93.5% for POEM and 91.0% for LHM (P = 0.01), and at 24 months were 92.7% for POEM and 90.0% for LHM (P = 0.01). Patients undergoing POEM were more likely to develop GERD symptoms (OR 1.69, 95% CI 1.33-2.14, P < 0.0001), GERD evidenced by erosive esophagitis (OR 9.31, 95% CI 4.71-18.85, P < 0.0001), and GERD evidenced by pH monitoring (OR 4.30, 95% CI 2.96-6.27, P < 0.0001). On average, length of hospital stay was 1.03 days longer after POEM (P = 0.04). Short-term results show that POEM is more effective than LHM in relieving dysphagia, but it is associated with a very high incidence of pathologic reflux.

Major Complications of Pneumatic Dilation and Heller Myotomy for Achalasia: Single Center Experience and Systematic Review of the Literature

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Lynch, Kristle L; Pandolfino, John E; Howden, Colin W; Kahrilas, Peter J

2013-01-01

Background & Aims Pneumatic dilation (PD) and laparoscopic Heller myotomy (LHM) can be definitive therapies for achalasia; recent data suggest comparable efficacy. However, risk must also be considered. We reviewed the major complication rate of PD and LHM in a high volume center and reviewed the corresponding literature. Methods We reviewed 12 years of our institution’s achalasia treatment experience. During this interval a consistent technique of PD was used utilizing Rigiflex dilators. Medical records were reviewed for post-procedure complications. We administered a telephone survey and examined medical records to assess efficacy of treatment. We also performed a systematic review of the literature for comparable clinical data and examined 80 reports encompassing 12,494 LHM and PD procedures. Results At our center, 463 achalasia patients underwent 567 PD or LHM procedures. 78% of the PDs used a 30 mm Rigiflex dilator. 157/184 (85%) patients underwent 1 or 2 PD without any subsequent treatment. There were seven clinically significant perforations; one from PD and 6 from LHM. There were no resultant deaths from these perforations; two deaths occurred within 30 days of LHM from unrelated causes. Complications and deaths post-PD were significantly fewer than those post-LHM (p=.02). Conclusions Esophageal perforation from PD at our high-volume center was less common than often reported and lower than that associated with LHM. We conclude that, in the hands of experienced operators using conservative technique, PD has fewer major complications and deaths than LHM. PMID:23032978

Laparoscopic Heller myotomy is not superior to pneumatic dilation in the management of primary achalasia

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Cheng, Ji-Wei; Li, Yin; Xing, Wen-Qun; Lv, Hong-Wei; Wang, Hao-Ran

2017-01-01

Abstract Background: Achalasia is an esophageal motility disorder, of unknown cause, which results in increased lower esophageal sphincter tone and symptoms of difficulty swallowing. Current major therapeutic options include laparoscopic Heller myotomy (LHM) and pneumatic dilation (PD). We undertake a systematic review comparing the efficacy and safety of these 2 treatments in the treatment of esophageal achalasia. Methods: PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched for randomized controlled trial investigating LHM versus PD in the treatment of primary achalasia. The primary outcome was symptom remission rates. The Mantel–Haenszel method with fixed-effect or random-effects model was used to calculate relative risks and 95% confidence intervals (CIs). Results: Five studies involving 498 participants were included. The cumulative remission rate was significantly higher with LHM at 3 months and 1 year (short-term), with a risk ratio of 1.16 (95% CI 1.01–1.35, P = 0.04) and 1.14 (95% CI 1.02–1.27, P = 0.02), respectively. There were no significant differences between LHM and PD in 2-year and 5-year remission rate (long-term), with a risk ratio of 1.05 (95% CI 0.91–1.22, P = 0.49) and 1.17 (95% CI 0.84–1.64, P = 0.34), respectively. Rates of major mucosal tears requiring subsequent intervention with LHM were significantly lower than those of esophageal perforation with PD requiring postprocedural medical or surgical therapy, with a risk ratio of 0.25 (95% CI 0.08–0.81, P = 0.02). Postprocedural rates of gastroesophageal reflux, lower esophageal sphincter pressures, and quality of life scores did not differ in trials with sufficient data. Conclusions: There were no significant differences between LHM and PD in 2-year and 5-year remission rate. This study indicates that either treatment can be proposed as initial treatment for achalasia. PMID:28207499

Utilization of adult burrows by juveniles of the ghost shrimp, Callianassa japonica Ortmann: evidence from resin casts of burrows

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Tamaki, A.; Ikebe, K.; Muramatsu, K.; Ingole, B.S.

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Antibacterial activity of GUAVA, Psidium guajava Linnaeus, leaf extracts on diarrhea-causing enteric bacteria isolated from Seabob shrimp, Xiphopenaeus kroyeri (Heller Avaliação da atividade antibacteriana de extrato de folhas de goiabeira, Psidium guajava Linnaeus, sobre bactérias entéricas diarreiogênicas, isoladas de camarão sete-barbas, Xiphopenaeus kroyeri (Heller

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Flávia A. Gonçalves

2008-02-01

Full Text Available Guava leaf tea of Psidium guajava Linnaeus is commonly used as a medicine against gastroenteritis and child diarrhea by those who cannot afford or do not have access to antibiotics. This study screened the antimicrobial effect of essential oils and methanol, hexane, ethyl acetate extracts from guava leaves. The extracts were tested against diarrhea-causing bacteria: Staphylococcus aureus, Salmonella spp. and Escherichia coli. Strains that were screened included isolates from seabob shrimp, Xiphopenaeus kroyeri (Heller and laboratory-type strains. Of the bacteria tested, Staphylococcus aureus strains were most inhibited by the extracts. The methanol extract showed greatest bacterial inhibition. No statistically significant differences were observed between the tested extract concentrations and their effect. The essential oil extract showed inhibitory activity against S. aureus and Salmonella spp. The strains isolated from the shrimp showed some resistance to commercially available antibiotics. These data support the use of guava leaf-made medicines in diarrhea cases where access to commercial antibiotics is restricted. In conclusion, guava leaf extracts and essential oil are very active against S. aureus, thus making up important potential sources of new antimicrobial compounds.O chá de folhas de goiaba Psidium guajava Linnaeus é comumente usado como remédio nas gastrenterites e diarréias infantis por aqueles que não têm acesso a antibióticos. Esta pesquisa estudou o efeito antibacteriano sobre bactérias causadoras de diarréias, do óleo essencial e do extrato de folhas de goiabeira usando como diluente: metanol, hexano e acetato de etila. Os extratos foram testados sobre Staphylococcus aureus, Salmonella spp. e Escherichia coli. As bactérias testadas foram isoladas de camarão sete-barbas Xiphopenaeus kroyeri (Heller usando-se como controle cepas padrão, de cada espécie. Das bactérias testadas, o melhor efeito inibitório foi

National outcomes of laparoscopic Heller myotomy: operative complications and risk factors for adverse events.

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Ross, Samuel W; Oommen, Bindhu; Wormer, Blair A; Walters, Amanda L; Matthews, Brent D; Heniford, B T; Augenstein, Vedra A

2015-11-01

Laparoscopic Heller myotomy (LHM) has supplanted an open approach due to decreased operative morbidity. Our goal was to quantify the incidence of peri-operative complications and identify risk factors for adverse outcomes in LHM. All LHM were queried from 2005 to 2011 from the National Surgical Quality Improvement Program database. Adverse outcomes were identified, and univariate and stepwise logistic regression (MVR) was then performed to quantify association. There were 1,237 LHM in the study period. Patient averages were: age 51.9 ± 16.8 years, BMI 27.3 ± 6.6 kg/m(2), Charlson comorbidity index (CCI) 0.2 ± 0.6. 15.3 % had >10 % body mass loss in the preoperative 6 months. During surgery, 10.2 % underwent concomitant EGD, and mean operative time was 141.6 ± 63.4 min. There were 7(0.06 %) wound complications, 22(1.8 %) general complications, and 30(2.4 %) major complications. Average length of stay (LOS) was 2.8 ± 5.5 days. The rate of readmission and reoperation were 3.1 and 2.3 %, respectively, and there were 4(0.03 %) deaths. General and major complications were associated with alcohol use, pack-years of smoking, weight loss, history of stroke, radiation therapy, and longer operative times (p  0.05). Operative time was found to be significantly longer by 35.3 min for inpatients, 43.1 min in functionally dependent patients, 50.0 min in preoperative septic patients, and 17.2 min with concomitant EGD (p < 0.01 for all). LOS was found to be longer by 1.9 days for inpatients, 1.8 days in ASA category ≥3, and 1.2 days per one point increase in CCI (p < 0.001 for all). LHM is being performed nationally with a low incidence of operative complications and mortality. General and major complications following LHM are associated with patient alcohol use, pack-years of smoking, weight loss, history of stroke, radiation therapy, and longer operative times. Additionally, independent predictors of longer operative time and LOS were

Peroral endoscopic myotomy (POEM) vs laparoscopic Heller myotomy (LHM) for the treatment of Type III achalasia in 75 patients: a multicenter comparative study.

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Kumbhari, Vivek; Tieu, Alan H; Onimaru, Manabu; El Zein, Mohammad H; Teitelbaum, Ezra N; Ujiki, Michael B; Gitelis, Matthew E; Modayil, Rani J; Hungness, Eric S; Stavropoulos, Stavros N; Shiwaku, Hiro; Kunda, Rastislav; Chiu, Philip; Saxena, Payal; Messallam, Ahmed A; Inoue, Haruhiro; Khashab, Mouen A

2015-06-01

Type III achalasia is characterized by rapidly propagating pressurization attributable to spastic contractions. Although laparoscopic Heller myotomy (LHM) is the current gold standard management for type III achalasia, peroral endoscopic myotomy (POEM) is conceivably superior because it allows for a longer myotomy. Our aims were to compare the efficacy and safety of POEM with LHM for type III achalasia patients. A retrospective study of 49 patients who underwent POEM for type III achalasia across eight centers were compared to 26 patients who underwent LHM at a single institution. Procedural data were abstracted and pre- and post-procedural symptoms were recorded. Clinical response was defined by improvement of symptoms and decrease in Eckardt stage to ≤ 1. Secondary outcomes included length of myotomy, procedure duration, length of hospital stay, and rate of adverse events. Clinical response was significantly more frequent in the POEM cohort (98.0 % vs 80.8 %; P = 0.01). POEM patients had significantly shorter mean procedure time than LHM patients (102 min vs 264 min; P myotomy (16 cm vs 8 cm; P myotomy than LHM, which may result in improved clinical outcomes. POEM appears to be an effective and safe alternative to LHM in patients with type III achalasia.

Per-Oral Endoscopic Myotomy Versus Laparoscopic Heller Myotomy for Achalasia: A Meta-Analysis of Nonrandomized Comparative Studies.

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Zhang, Yuan; Wang, Hongjuan; Chen, Xingdong; Liu, Lan; Wang, Hongbo; Liu, Bin; Guo, Jianqiang; Jia, Hongying

2016-02-01

We aimed to assess the short-term outcomes of per-oral endoscopic myotomy (POEM) compared with laparoscopic Heller myotomy (LHM) for achalasia through a meta-analysis of nonrandomized comparative studies.We searched PubMed, Embase, Medline, Cochrane Library, and Google Scholar for studies that compared POEM and LHM for achalasia and were published between January 1, 2008 and December 31, 2014. The Methodological Index for Nonrandomized Studies (MINORS) was used to evaluate the quality of the studies. Random- and fixed-effects meta-analytical models were used, and between-study heterogeneity was assessed.Four nonrandomized comparative studies that included 317 patients (125 in the POEM group and 192 in the LHM group) met our research criteria and were assessed. There were no differences between the POEM and LHM groups in terms of sex, preoperative Eckhart score, length of myotomy, operation time, length of hospital stay, and complications. The patients in the POEM group were older than those in the LHM group (MD =2.81, 95% CI 0.27-5.35; P = 0.03) with high between-study homogeneity (χ = 1.96, df = 2, I = 0%; P = 0.38). The patients in the POEM group had a lower Eckardt score after surgery compared with those in the LHM group (MD = -0.30, 95% CI -0.42 to -0.18; P < 0.001) with high between-study homogeneity (χ = 0.00, df = 1, I = 0%; P = 1.00).The efficacy and safety of POEM appear to be comparable to those of LHM. Multicenter and randomized trials with larger sample size are needed to further compare the efficacy and safety of POEM and LHM for the treatment of achalasia.

Cost-effectiveness of per oral endoscopic myotomy relative to laparoscopic Heller myotomy for the treatment of achalasia.

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Greenleaf, Erin K; Winder, Joshua S; Hollenbeak, Christopher S; Haluck, Randy S; Mathew, Abraham; Pauli, Eric M

2018-01-01

Per oral endoscopic myotomy (POEM) has recently emerged as a viable option relative to the classic approach of laparoscopic Heller myotomy (LHM) for the treatment of esophageal achalasia. In this cost-utility analysis of POEM and LHM, we hypothesized that POEM would be cost-effective relative to LHM. A stochastic cost-utility analysis of treatment for achalasia was performed to determine the cost-effectiveness of POEM relative to LHM. Costs were estimated from the provider perspective and obtained from our institution's cost-accounting database. The measure of effectiveness was quality-adjusted life years (QALYs) which were estimated from direct elicitation of utility using a visual analog scale. The primary outcome was the incremental cost-effectiveness ratio (ICER). Uncertainty was assessed by bootstrapping the sample and computing the cost-effectiveness acceptability curve (CEAC). Patients treated within an 11-year period (2004-2016) were recruited for participation (20 POEM, 21 LHM). During the index admission, the mean costs for POEM ($8630 ± $2653) and the mean costs for LHM ($7604 ± $2091) were not significantly different (P = 0.179). Additionally, mean QALYs for POEM (0.413 ± 0.248) were higher than that associated with LHM (0.357 ± 0.338), but this difference was also not statistically significant (P = 0.55). The ICER suggested that it would cost an additional $18,536 for each QALY gained using POEM. There was substantial uncertainty in the ICER; there was a 48.25% probability that POEM was cost-effective at the mean ICER. At a willingness-to-pay threshold of $100,000, there was a 68.31% probability that POEM was cost-effective relative to LHM. In the treatment of achalasia, POEM appears to be cost-effective relative to LHM depending on one's willingness-to-pay for an additional QALY.

Origin of the interstitial isopod Microcharon (Crustacea, Microparasellidae from the western Languedoc and the northern Pyrenees (France with the description of two new species

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Nicole COINEAU

2013-02-01

Full Text Available The interstitial groundwater genus Microcharon (Crustacea, Isopoda, Microparasellidae is highly diversified in southern France. A new species, Microcharon boulanouari n. sp. is described from the Aude River, whereas specimens from the Lachein River in the central Pyrenees are reassigned to another species, M. ariegensis new to Science. Microcharon boulanouari n. sp. is closely related to the species of the group rouchi and may belong to the phylogenetic western Mediterranean lineage. The two-step model of colonization and evolution provides an understanding of the origin and age of this stygobite. Microcharon boulanouari n. sp. is derived from marine ancestors that lived in the interstitial littoral shallow bottoms of the Atlantic embayment which covered southwestern France at the very beginning of the early Eocene period. Both the regression of this gulf at the start of the Eocene and the Pyrenees uplift may have played a major role in the evolutionary history through vicariance of Microcharon boulanouari n. sp. and of the northern Pyrenean species of the group rouchi.

An overview of the distribution of the Parabathynellidae (Crustacea, Syncarida Bathynellacea on the Iberian Peninsula and Balearic Islands

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Camacho, Ana I.

2003-06-01

Full Text Available This paper reviews all the knowledge on the presence and distribution of 26 species of the family Parabathynellidae Noodt, 1964 (Crustacea, Syncarida, Bathynellacea on the Iberian Peninsula and Balearic Islands. The different genera, subgenera and species distributions are subjected to a basic analysis. The presence of these taxa in different subterranean aquatic habitats (caves, springs, wells and interstitial environment is also discussed. The most sampled habitat was the interstitial environment (45%; the least sampled habitat was springs (5%. The most commonly found genus was Iberobathynella Schminke, 1973 (54% and the rarest was Guadalopebathynella Camacho & Serban, 1998 (0.7% All the knowledge on these taxa in the study area, in Europe and in the world is compared and evaluated. More species of the Parabathynellidae live on the Iberian Peninsula and Balearic Islands than in any other part of the world (26 species. Iberobathynella is a highly diversified genus endemic to the Iberian peninsula. Its diversity is comparable to another genus in the order, Hexabathynella Schminke, 1972, which also has 18 described species. However, Hexabathynella has a cosmopolitan distribution.

En este trabajo se reúne y actualiza el conocimiento acerca de la presencia y distribución de 26 especies de batinelas de la familia Parabathynellidae (Crustacea, Syncarida, Bathynellacea en la Península Ibérica y las Islas Baleares. Se analiza de forma crítica la distribución de los diferentes géneros, subgéneros y especies y se discute acerca de la presencia de los mismos en diferentes habitat acuáticos subterráneos (cuevas, fuentes o surgencias, pozos y medio intersticial asociado a ríos epigeos. El mayor número de puntos de muestreo corresponde al medio intersticial (45% del total y en él se encuentran los cinco géneros presentes en el área de estudio; las surgencias constituyen el conjunto con menos puntos de

Stomach contents of some shore-caught teleosts of Natal, South Mrica

African Journals Online (AJOL)

Commonly caught fish, namely Rhabdosargus sarta, R. holubi, Pomadasys commersonni, Trachinotus africanus and T. botla, were opportunistic omnivorous predators and fed largely on sand mussels and benthic crustacea. Less frequently caught predatory fish (15 species) fed mainly on benthic crustacea and other ...

Phylogeography of Daphnia magna Straus (Crustacea: Cladocera) in Northern Eurasia: Evidence for a deep longitudinal split between mitochondrial lineages.

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Bekker, Eugeniya I; Karabanov, Dmitry P; Galimov, Yan R; Haag, Christoph R; Neretina, Tatiana V; Kotov, Alexey A

2018-01-01

Species with a large geographic distributions present a challenge for phylogeographic studies due to logistic difficulties of obtaining adequate sampling. For instance, in most species with a Holarctic distribution, the majority of studies has concentrated on the European or North American part of the distribution, with the Eastern Palearctic region being notably understudied. Here, we study the phylogeography of the freshwater cladoceran Daphnia magna Straus, 1820 (Crustacea: Cladocera), based on partial mitochondrial COI sequences and using specimens from populations spread longitudinally from westernmost Europe to easternmost Asia, with many samples from previously strongly understudied regions in Siberia and Eastern Asia. The results confirm the previously suspected deep split between Eastern and Western mitochondrial haplotype super-clades. We find a narrow contact zone between these two super-clades in the eastern part of Western Siberia, with proven co-occurrence in a single lake in the Novosibirsk region. However, at present there is no evidence suggesting that the two mitochondrial super-clades represent cryptic species. Rather, they may be explained by secondary contact after expansion from different refugia. Interestingly, Central Siberia has previously been found to be an important contact zone also in other cladoceran species, and may thus be a crucial area for understanding the Eurasian phylogeography of freshwater invertebrates. Together, our study provides an unprecedented complete, while still not global, picture of the phylogeography of this important model species.

Reproductive biology and seasonality of the Indo-Australasian mysid Mesopodopsis orientalis (Crustacea: Mysida) in a tropical mangrove estuary, Malaysia

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Hanamura, Yukio; Siow, Ryon; Chee, Phaik-Ean

2008-04-01

A year-round survey of the tropical shallow-water mysid Mesopodopsis orientalis (Tattersall, 1908) (Crustacea, Mysidacea) was conducted in the Merbok mangrove estuary, northwestern Peninsular Malaysia. The mysid formed dense aggregations at the river's edge close to the mangrove forest during the daytime, but very few were captured elsewhere in the estuary system. The sampled population was found in a wide range of salinities from 16 to 32, demonstrating broad euryhalinity, and the number of the catch at the littoral zone ranged from 11.8 to 2273 ind m -2. The overall annual mean was 709.2 ind m -2. Females predominated over males in the entire population, and brooding females were present at every monthly sample, indicating that reproduction is continuous year round. The clutch size positively correlated with female body length. The diameter of eggs (Stage I embryos) was unaffected by the seasonality and independent of the maternal size within an observed size range. The life history pattern of the estuarine population of M. orientalis showed close similarity to that of the coastal counterpart. However, the former was found to produce fewer but larger eggs, and the specimens in this population were larger than those in the coastal population at the embryo, juvenile, and adult stages. This evidence indicates that the life history features of the estuarine population would differ to some degree from those of the coastal counterpart.

The effect of starvation and re-feeding on mitochondrial potential in the midgut of Neocaridina davidi (Crustacea, Malacostraca.

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Agnieszka Włodarczyk

Full Text Available The midgut in the freshwater shrimp Neocaridina davidi (previously named N. heteropoda (Crustacea, Malacostraca is composed of a tube-shaped intestine and a large hepatopancreas that is formed by numerous blind-ended tubules. The precise structure and ultrastructure of these regions were presented in our previous papers, while here we focused on the ultrastructural changes that occurred in the midgut epithelial cells (D-cells in the intestine, B- and F- cells in the hepatopancreas after long-term starvation and re-feeding. We used transmission electron microscopy, light and confocal microscopes and flow cytometry to describe all of the changes that occurred due to the stressor with special emphasis on mitochondrial alterations. A quantitative assessment of cells with depolarized mitochondria helped us to establish whether there is a relationship between starvation, re-feeding and the inactivation/activation of mitochondria. The results of our studies showed that in the freshwater shrimp N. davidi that were analyzed, long-term starvation activates the degeneration of epithelial cells at the ultrastructural level and causes an increase of cells with depolarized (non-active mitochondria. The process of re-feeding leads to the gradual regeneration of the cytoplasm of the midgut epithelial cells; however, these changes were observed at the ultrastructural level. Additionally, re-feeding causes the regeneration of mitochondrial ultrastructure. Therefore, we can state that the increase in the number of cells with polarized mitochondria occurs slowly and does not depend on ultrastructural alterations.

The effect of starvation and re-feeding on mitochondrial potential in the midgut of Neocaridina davidi (Crustacea, Malacostraca).

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Włodarczyk, Agnieszka; Sonakowska, Lidia; Kamińska, Karolina; Marchewka, Angelika; Wilczek, Grażyna; Wilczek, Piotr; Student, Sebastian; Rost-Roszkowska, Magdalena

2017-01-01

The midgut in the freshwater shrimp Neocaridina davidi (previously named N. heteropoda) (Crustacea, Malacostraca) is composed of a tube-shaped intestine and a large hepatopancreas that is formed by numerous blind-ended tubules. The precise structure and ultrastructure of these regions were presented in our previous papers, while here we focused on the ultrastructural changes that occurred in the midgut epithelial cells (D-cells in the intestine, B- and F- cells in the hepatopancreas) after long-term starvation and re-feeding. We used transmission electron microscopy, light and confocal microscopes and flow cytometry to describe all of the changes that occurred due to the stressor with special emphasis on mitochondrial alterations. A quantitative assessment of cells with depolarized mitochondria helped us to establish whether there is a relationship between starvation, re-feeding and the inactivation/activation of mitochondria. The results of our studies showed that in the freshwater shrimp N. davidi that were analyzed, long-term starvation activates the degeneration of epithelial cells at the ultrastructural level and causes an increase of cells with depolarized (non-active) mitochondria. The process of re-feeding leads to the gradual regeneration of the cytoplasm of the midgut epithelial cells; however, these changes were observed at the ultrastructural level. Additionally, re-feeding causes the regeneration of mitochondrial ultrastructure. Therefore, we can state that the increase in the number of cells with polarized mitochondria occurs slowly and does not depend on ultrastructural alterations.

The ventral nerve cord in Cephalocarida (Crustacea): new insights into the ground pattern of Tetraconata.

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Stegner, Martin E J; Brenneis, Georg; Richter, Stefan

2014-03-01

Cephalocarida are Crustacea with many anatomical features that have been interpreted as plesiomorphic with respect to crustaceans or Tetraconata. While the ventral nerve cord (VNC) has been investigated in many other arthropods to address phylogenetic and evolutionary questions, the few studies that exist on the cephalocarid VNC date back 20 years, and data pertaining to neuroactive substances in particular are too sparse for comparison. We reinvestigated the VNC of adult Hutchinsoniella macracantha in detail, combining immunolabeling (tubulin, serotonin, RFamide, histamine) and nuclear stains with confocal laser microscopy, complemented by 3D-reconstructions based on serial semithin sections. The subesophageal ganglion in Cephalocarida comprises three segmental neuromeres (Md, Mx1, Mx2), while a separate ganglion occurs in all thoracic segments and abdominal segments 1-8. Abdominal segments 9 and 10 and the telson are free of ganglia. The maxillar neuromere and the thoracic ganglia correspond closely in their limb innervation pattern, their pattern of mostly four segmental commissures and in displaying up to six individually identified serotonin-like immunoreactive neurons per body side, which exceeds the number found in most other tetraconates. Only two commissures and two serotonin-like immunoreactive neurons per side are present in abdominal ganglia. The stomatogastric nervous system in H. macracantha corresponds to that in other crustaceans and includes, among other structures, a pair of lateral neurite bundles. These innervate the gut as well as various trunk muscles and are, uniquely, linked to the unpaired median neurite bundle. We propose that most features of the cephalocarid ventral nerve cord (VNC) are plesiomorphic with respect to the tetraconate ground pattern. Further, we suggest that this ground pattern includes more serotonin-like neurons than hitherto assumed, and argue that a sister-group relationship between Cephalocarida and Remipedia, as

Inshore small-mesh trawling survey of the Cape south coast. Part 5 ...

African Journals Online (AJOL)

Inshore small-mesh trawling survey of the Cape south coast. Part 5. Crustacea, Stomatopoda, Isopoda and. Decapoda. B. Kensley and C.D. Buxton. Port Elizabeth Museum, Port Elizabeth. Forty-six species of Crustacea from the shallow marine waters of the southern Cape coast are listed. Five new records for the area.

Seasonal fluctuations of some biological traits of the invader Caprella scaura (Crustacea: Amphipoda: Caprellidae in the Mar Piccolo of Taranto (Ionian Sea, southern Italy

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Ermelinda Prato

2013-03-01

Full Text Available Caprella scaura is an epifaunal amphipod crustacean that originates in the western Indian Ocean and has spread throughout the world, but very little is known about fundamental aspects of its biology. This paper is the first presentation of its life history traits in an invaded region. The study was conducted in the Mar Piccolo basin (southern Italy, Ionian Sea, over a one-year period. All biological parameters showed a strong seasonal pattern, breeding peaked twice during the year and the number of eggs in the ventral brood pouch ranged from 5 to 72. The sex ratio was generally close to 1:1. A strong correlation between total length of ovigerous females and number of eggs was observed. The mean length of both mature males and mature females was 10.63 and 7.70 mm, respectively. The results of this study showed that the population dynamics of this species was not dissimilar to that of other caprellids or marine epifaunal Crustacea. This caprellid has given rise to a stable population in the Mar Piccolo; it was present all year round in the study area but its density suggests that it is not yet a strong invader.

Peroral endoscopic myotomy is a viable option for failed surgical esophagocardiomyotomy instead of redo surgical Heller myotomy: a single center prospective study.

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Onimaru, Manabu; Inoue, Haruhiro; Ikeda, Haruo; Yoshida, Akira; Santi, Esperanza Grace; Sato, Hiroki; Ito, Hiroaki; Maselli, Roberta; Kudo, Shin-ei

2013-10-01

Surgical Heller myotomy has high rates of successful long-term results, but failed cases still remain. Moreover, the treatment strategy in patients with surgical myotomy failure is controversial. Recently, peroral endscopic myotomy (POEM) was reported to be efficient and safe in primary treatment of achalasia. In this study, we aimed to evaluate the efficacy and safety of POEM for surgical myotomy failure as a rescue second-line treatment, and we discuss the treatment options adapted in achalasia recurrence. A total of 315 consecutive achalasia patients received POEM from September 2008 to December 2012 in our hospital. Eleven (3.5%) patients who had persistent or recurrent achalasia and had received surgical myotomy as a first-line treatment from other hospitals were included in this study. Patient background, barium swallow studies, esophagogastroduodenoscopy (EGD), manometry, and symptom scores were prospectively evaluated. In principle, all patients in whom surgical myotomy failed received pneumatic balloon dilatation (PBD) as the first line "rescue" treatment, and only if PBD failed were patients considered for rescue POEM. The PBD alone was effective in 1 patient, and in the remaining 10 patients, rescue POEM was performed successfully without complications. Three months after rescue POEM, significant reduction in lower esophageal sphincter (LES) resting pressures (22.1 ± 6.6 mmHg vs 10.9 ± 4.5 mmHg, p myotomy were excellent. Long-term results are awaited. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Population structure of the seabob shrimp Xiphopenaeus kroyeri (Heller, 1862 (Crustacea: Penaeoidea in the littoral of São Paulo, Brazil

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Rodrigo H. Castro

2005-03-01

Full Text Available The population structure of the penaeidean shrimp Xyphopenaeus kroyeri was studied in Ubatuba Bay, Ubatuba, São Paulo, Brazil. The period and site of juvenile recruitment were monitored using a monthly sampling design with eight fixed areas (transects from September 1995 to August 1996. The population structure was assessed using size frequency distributions (based on carapace length for each month and sampling area. Females were significantly larger than males, suggesting a differential growth between sexes. The very low occurrence of large adults in the Bay can be related to offshore migration for reproduction. Recruitment occurred throughout the year, with a peak during the summer, when the highest recruitment rates were obtained along inshore transects. The present investigation revealed valuable information on the biology of the species mainly in the study region, which is considered a nursery ground for juveniles of X. kroyeri. The species showed an important variation from the typical life cycle that it is assumed to hold over its entire range and X. kroyeri should be classified as having a life cycle different from that proposed previously in the literature, i.e. the juveniles prefer inshore areas instead of estuaries. Some suggestions for the seabob fishery management are proposed as an alternative for minimising the impact during the harvest period and adjusting the protection schedule.

Evolution and phylogeny of the mud shrimps (Crustacea: Decapoda) revealed from complete mitochondrial genomes.

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Lin, Feng-Jiau; Liu, Yuan; Sha, Zhongli; Tsang, Ling Ming; Chu, Ka Hou; Chan, Tin-Yam; Liu, Ruiyu; Cui, Zhaoxia

2012-11-16

The evolutionary history and relationships of the mud shrimps (Crustacea: Decapoda: Gebiidea and Axiidea) are contentious, with previous attempts revealing mixed results. The mud shrimps were once classified in the infraorder Thalassinidea. Recent molecular phylogenetic analyses, however, suggest separation of the group into two individual infraorders, Gebiidea and Axiidea. Mitochondrial (mt) genome sequence and structure can be especially powerful in resolving higher systematic relationships that may offer new insights into the phylogeny of the mud shrimps and the other decapod infraorders, and test the hypothesis of dividing the mud shrimps into two infraorders. We present the complete mitochondrial genome sequences of five mud shrimps, Austinogebia edulis, Upogebia major, Thalassina kelanang (Gebiidea), Nihonotrypaea thermophilus and Neaxius glyptocercus (Axiidea). All five genomes encode a standard set of 13 protein-coding genes, two ribosomal RNA genes, 22 transfer RNA genes and a putative control region. Except for T. kelanang, mud shrimp mitochondrial genomes exhibited rearrangements and novel patterns compared to the pancrustacean ground pattern. Each of the two Gebiidea species (A. edulis and U. major) and two Axiidea species (N. glyptocercus and N. thermophiles) share unique gene order specific to their infraorders and analyses further suggest these two derived gene orders have evolved independently. Phylogenetic analyses based on the concatenated nucleotide and amino acid sequences of 13 protein-coding genes indicate the possible polyphyly of mud shrimps, supporting the division of the group into two infraorders. However, the infraordinal relationships among the Gebiidea and Axiidea, and other reptants are poorly resolved. The inclusion of mt genome from more taxa, in particular the reptant infraorders Polychelida and Glypheidea is required in further analysis. Phylogenetic analyses on the mt genome sequences and the distinct gene orders provide further

Difficult Myotomy Is Not Determined by Preoperative Therapy and Does Not Impact Outcome

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Villadolid, Desiree V.; Al-Saadi, Sam; Rosemurgy, Alexander S.

2007-01-01

Objectives: The impact of preoperative endoscopic therapy on the difficulty of laparoscopic Heller myotomy and the impact of the difficulty of the myotomy on long-term outcome has not been determined. This study was undertaken to determine whether preoperative therapy impacts the difficulty of laparoscopic Heller myotomy and whether preoperative therapy or difficulty of myotomy impacts long-term outcomes. Methods: Since 1992, 305 patients, 56% male, median age 49 years, underwent laparoscopic Heller myotomy and were prospectively followed. The difficulty of the laparoscopic Heller myotomy was scored by the operating surgeon for the most recent 170 consecutive patients on a scale of 1 (easiest) to 5 (most difficult). Patients scored their symptoms before and after myotomy using a Likert scale from 0 (never/not bothersome) to 10 (always/very bothersome). Results: Before myotomy, 66% of patients underwent endoscopic therapy: 33% dilation, 11% Botox, and 22% both. Preoperative endoscopic therapy did not correlate with the difficulty of the myotomy (P=NS). Median follow-up was 25 months. Regardless of the difficulty of the myotomy, dysphagia improved with myotomy (Pmyotomy. Conclusions: Laparoscopic Heller myotomy improves the frequency and severity of dysphagia. The difficulty of laparoscopic Heller myotomy is not impacted by preoperative therapy, and neither preoperative therapy nor difficulty of the myotomy impact long-term outcome. PMID:17931516

Comparison of Penaeus monodon (Crustacea,Penaeidae) growth between commercial feed vscommercial shrimp feed supplemented with Kappaphycus alvarezii (Rhodophyta, Solieriaceae)seaweed sap

OpenAIRE

Kotiya Anil S.; Gunalan Balakrishanan; Jetani Kanji L.; Solanki Jitesh B.; Ramchandran Kumaran

2011-01-01

The consumer of seafood relates the potential development of animals to the constant use of commercial growth promoters. Nevertheless, nowadays with the development of non antibiotic feed additives, cultured shrimps performance has improved to great level. Present experiment was carried conducted from 27th May 2009 to 11th October 2009 in shrimp grow out ponds at Diu (U.T) region of Saurashtra coast. The stocking density of tiger shrimp Penaeus monodon Fabricius, 1798 was 7.5 no/m2 in both th...

Spatio-temporal variation of the pink shrimp Farfantepenaeus paulensis (Crustacea, Decapoda, Penaeidae associated to the seasonal overture of the sandbar in a subtropical lagoon Variação espaço-temporal do camarão rosa Farfantepenaeus paulensis (Crustacea, Decapoda, Penaeidae associado à abertura sazonal da barra de conexão com o mar em uma lagoa subtropical

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Nicolle C Ferreira

2009-12-01

Full Text Available On the southern Brazilian coast, the penaeid pink shrimp Farfantepenaeus paulensis (Pérez-Farfante, 1967 is intensively captured by both artisanal and industrial fisheries. In the Ibiraquera Lagoon, artisanal fishing of juvenile stocks has declined sharply over the last 15 years. The traditional management methods used by fishermen are no longer sustainable due to conflicts with the demands of tourism and weak environmental and public agencies. The dynamics of the timing of the artificial opening and natural reformation of a sandbar across the mouth of the lagoon are regarded as a central socio-ecological problem. We evaluated the abundance and biomass variation of F. paulensis throughout the year and along a spatial gradient measured from the sandbar into the lagoon. We also explored the influence of opening the sandbar on the shrimp population. Samples were collected monthly from February 2004 to February 2005, using a 27 mm mesh cast net, in four different areas, with three sites being sampled per area. Small numbers of large shrimps were captured in the upper area, while greater biomass and abundance of small shrimps were observed near the sandbar, suggesting the role of the inner area as a refuge for growing. The highest records for biomass and abundance were recorded during warm months, regardless if the lagoon was open or closed by the sandbar. The Ibiraquera Lagoon could be more productive for fishermen if the sandbar opening was coincident to the period of natural post-larvae influx. Furthermore, coastal stocks could be improved by opening the sandbar again during summer in conjunction with fishing quotas.O camarão rosa Farfantepenaeus paulensis (Pérez-Farfante, 1967 é intensivamente capturado, tanto pela frota pesqueira industrial quanto artesanal na costa sul brasileira. Na Lagoa de Ibiraquera (SC, a captura artesanal de camarões tem diminuído gradativamente nos últimos 15 anos. Os métodos de gestão tradicionais utilizados pelos pescadores não são mais eficientes devido aos conflitos com o turismo e a gestão pública e ambiental. A dinâmica de abertura artificial e reestruturação natural do banco de areia no canal de contato da lagoa com o mar é considerada um problema socio-ecológico central no local. Neste estudo foi avaliada a variação na biomassa e abundância do F. paulensis ao longo do ano e em um gradiente espacial a partir do canal da barra e até o interior da lagoa. Foram realizadas coletas mensais de fevereiro de 2004 a fevereiro de 2005 com tarrafa de 27 mm de malha nas quatro lagoas que compõe a Lagoa de Ibiraquera, em três pontos em cada lagoa. Um número pequeno de grandes camarões foi significativamente (p < 0,05 capturado na área mais interna da lagoa, enquanto que maior biomassa e abundância de pequenos camarões foram observadas significativamente (p < 0,05 próximas à barra. Esses resultados sugerem que as áreas mais internas da lagoa funcionam como refúgio para o crescimento das espécies e mostram o papel do canal na migração dos camarões para dentro da lagoa. Os valores de biomassa e abundância foram significativamente (p < 0,05 maiores nos meses mais quentes, independentemente da barra estar aberta ou fechada. O estoque de camarão poderia aumentar caso houvesse uma abertura da barra durante o período natural de entrada de pós-larvas. Além disso, a abertura da barra durante o verão, associada a medidas de conservação das águas do canal da barra, pode implementar os estoques costeiros.

Long-term results of the Heller-Dor operation with intraoperative manometry for the treatment of esophageal achalasia.

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Mattioli, Sandro; Ruffato, Alberto; Lugaresi, Marialuisa; Pilotti, Vladimiro; Aramini, Beatrice; D'Ovidio, Frank

2010-11-01

Quality of outcome of the Heller-Dor operation is sometimes different between studies, likely because of technical reasons. We analyze the details of myotomy and fundoplication in relation to the results achieved over a 30-year single center's experience. From 1979-2008, a long esophagogastric myotomy and a partial anterior fundoplication to protect the surface of the myotomy was routinely performed with intraoperative manometry in 202 patients (97 men; median age, 55.5 years; interquartile range, 43.7-71 years) through a laparotomy and in 60 patients (24 men; median age, 46 years; interquartile range, 36.2-63 years) through a laparoscopy. The follow-up consisted of periodical interview, endoscopy, and barium swallow, and a semiquantitative scale was used to grade results. Mortality was 1 of 202 in the laparotomy group and 0 of 60 in the laparoscopy group. Median follow-up was 96 months (interquartile range, 48-190.5 months) in the laparotomy group and 48 months (interquartile range, 27-69.5 months) in the laparoscopy group. At intraoperative manometry, complete abolition of the high-pressure zone was obtained in 100%. The Dor-related high-pressure zone length and mean pressure were 4.5 ± 0.4 cm and 13.3 ± 2.2 mm Hg in the laparotomy group and 4.5 ± 0.5 cm and 13.2 ± 2.2 mm Hg in the laparoscopy group (P = .75). In the laparotomy group poor results (19/201 [9.5%]) were secondary to esophagitis in 15 (7.5%) of 201 patients (in 2 patients after 184 and 252 months, respectively) and to recurrent dysphagia in 4 (2%) of 201 patients, all with end-stage sigmoid achalasia. In the laparoscopy group 2 (3.3%) of 60 had esophagitis. A long esophagogastric myotomy protected by means of Dor fundoplication cures or substantially reduces dysphagia in the great majority of patients affected by esophageal achalasia and effectively controls postoperative esophagitis. Intraoperative manometry is likely the key factor for achieving the reported results. Copyright © 2010 The

The little shrimp that could: phylogeography of the circumtropical Stenopus hispidus (Crustacea: Decapoda), reveals divergent Atlantic and Pacific lineages

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Iacchei, Matthew; Coleman, Richard R.; Gaither, Michelle R.; Browne, William E.; Bowen, Brian W.; Toonen, Robert J.

2018-01-01

The banded coral shrimp, Stenopus hispidus (Crustacea: Decapoda: Stenopodidea) is a popular marine ornamental species with a circumtropical distribution. The planktonic larval stage lasts ∼120–253 days, indicating considerable dispersal potential, but few studies have investigated genetic connectivity on a global scale in marine invertebrates. To resolve patterns of divergence and phylogeography of S. hispidus, we surveyed 525 bp of mitochondrial cytochrome c oxidase subunit I (COI) from 198 individuals sampled at 10 locations across ∼27,000 km of the species range. Phylogenetic analyses reveal that S. hispidus has a Western Atlantic lineage and a widely distributed Indo-Pacific lineage, separated by sequence divergence of 2.1%. Genetic diversity is much higher in the Western Atlantic (h = 0.929; π = 0.004) relative to the Indo-Pacific (h = 0.105; π Indo-Pacific population expanded more recently (95% HPD (highest posterior density) = 60,000–400,000 yr) than the Western Atlantic population (95% HPD = 300,000–760,000 yr). Divergence of the Western Atlantic and Pacific lineages is estimated at 710,000–1.8 million years ago, which does not readily align with commonly implicated colonization events between the ocean basins. The estimated age of populations contradicts the prevailing dispersal route for tropical marine biodiversity (Indo-Pacific to Atlantic) with the oldest and most diverse population in the Atlantic, and a recent population expansion with a single common haplotype shared throughout the vast Indian and Pacific oceans. In contrast to the circumtropical fishes, this diminutive reef shrimp challenges our understanding of conventional dispersal capabilities of marine species. PMID:29527409

On the presence of the Mediterranean endemic Microdeutopus sporadhi Myers, 1969 (Crustacea: Amphipoda: Aoridae in the Gulf of Naples (Italy with a review on its distribution and ecology

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M. B. SCIPIONE

2013-10-01

Full Text Available The species Microdeutopus sporadhi (Crustacea: Amphipoda: Aoridae, endemic of the Mediterranean Sea, was described by Myers in 1969 on material collected from the Aegean Sea in a sheltered environment with high sedimentation rates. A check on the distribution and ecology of M. sporadhi showed that: — although not mentioned in the checklist of amphipods of the Italian seas, it was already found in the central Tyrrhenian Sea in 1983-84 and in the northern Adriatic Sea in 2002-03; — it was rarely found in the Mediterranean Sea, one of the most studied basins as concerns amphipod fauna; but notwithstanding the few records available, the wide ecological spectrum of this species was pointed out. The present study, conducted off the Island of Ischia (Gulf of Naples, Italy, showed the presence of rich and well established populations through time, but only in a peculiar substratum (artificial collectors and environment (low pH values. The species seems to be able to withstand harsh environmental conditions and probably to conceal itself through a cryptic behaviour, escaping traditional sampling methods. The role of rare or hidden species in bio-assessment should be re-evaluated.

Deep coastal marine taphonomy: investigation into carcass decomposition in the Saanich Inlet, British Columbia using a baited camera.

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Gail S Anderson

Full Text Available Decomposition and faunal colonization of a carcass in the terrestrial environment has been well studied, but knowledge of decomposition in the marine environment is based almost entirely on anecdotal reports. Three pig carcasses were deployed in Saanich Inlet, BC, over 3 years utilizing Ocean Network Canada's VENUS observatory. Each carcass was deployed in late summer/early fall at 99 m under a remotely controlled camera and observed several times a day. Dissolved oxygen, temperature, salinity, density and pressure were continuously measured. Carcass 1 was immediately colonized by Munida quadrispina, Pandalus platyceros and Metacarcinus magister, rapidly scavenged then dragged from view by Day 22. Artifacts specific to each of the crustaceans' feeding patterns were observed. Carcass 2 was scavenged in a similar fashion. Exposed tissue became covered by Orchomenella obtusa (Family Lysianassidae which removed all the internal tissues rapidly. Carcass 3 attracted only a few M. quadrispina, remaining intact, developing a thick filamentous sulphur bacterial mat, until Day 92, when it was skeletonized by crustacea. The major difference between the deployments was dissolved oxygen levels. The first two carcasses were placed when oxygen levels were tolerable, becoming more anoxic. This allowed larger crustacea to feed. However, Carcass 3 was deployed when the water was already extremely anoxic, which prevented larger crustacea from accessing the carcass. The smaller M. quadrispina were unable to break the skin alone. The larger crustacea returned when the Inlet was re-oxygenated in spring. Oxygen levels, therefore, drive the biota in this area, although most crustacea endured stressful levels of oxygen to access the carcasses for much of the time. These data will be valuable in forensic investigations involving submerged bodies, indicating types of water conditions to which the body has been exposed, identifying post-mortem artifacts and providing

Caracterización de isopodos terrestres (Crustacea: Isopoda y su impacto en cultivos hortícolas de Boyacá

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John Wilson Martínez

2014-06-01

Full Text Available Las “cochinillas de humedad” (Crustacea: isopoda, han ido surgiendo como organismos plaga de importancia en agricultura, en países como Brasil y Argentina, en donde causan daños en soya, girasol y pastos. Recientemente se han detectado en Boyacá, afectando cebolla de bulbo, frijol y frutales. Por lo anterior, fué necesario iniciar la caracterización de las especies presentes y la determinación de su impacto en la producción hortícola en algunos municipios de esta región. Se realizó muestreos en Paipa, Tibasosa, Nobsa y Santa Rosa de Viterbo, para determinar la presencia y diversidad de especies de “cochinilla de humedad”; así como, una encuesta para establecer la percepción que tenían los agricultores del daño de estos crustáceos y las estrategias de manejo empleadas. Se evaluaron 8 veredas en Paipa, 7 en Nobsa, 3 en Tibasosa y 1 en Santa Rosa de Viterbo. Se comprobó la presencia de “cochinillas de humedad” en cultivos de frutales, hortalizas y otros, en los municipios muestreados. Se identificaron las especies: Porcellios caber, Porcellio dilatatus, Porcellio pruinosus, Armadillidium vulgare y Armadillidium nasatum. El daño por estos organismos se evidenció en lechuga, brócoli, repollo, remolacha, espinaca, cebolla, cilantro, durazno, frijol, fresa, maíz y papa, especialmente en semillero. El daño observado fué mordedura en hojas (50%, raíz (32,35%, tallo (20,85% y ramas (2,94%. Se percibió falta de conocimiento de los agricultores en el manejo de las “cochinillas de humedad”, utilizándose insecticidas en un 79,41% de los casos, un manejo orgánico en 2,99% y ningún manejo en el 5,88%.

Bridging the gap

International Nuclear Information System (INIS)

Weber, R.F.

1992-01-01

This article examines the options for financing of independent power projects particularly in the early stages of the project by looking at a case study involving Panda Energy Corporation's Roanoke Rapids cogeneration project financed by Heller Financial. The topics discussed in the article include the financing challenges, Heller Financial's role in the project, and successful completion of the project

Midterm follow-up evaluation after a novel approach to anterior fundoplication for achalasia.

Science.gov (United States)

Richardson, W S; Kennedy, C I; Bolton, J S

2006-12-01

This study aimed to compare the outcomes for Heller myotomy alone and combined with different partial fundoplications. The authors retrospectively reviewed their experience with 69 laparoscopic myotomies and 14 Heller myotomies, 80% of which were performed with partial fundoplication including 20 Toupet, 18 Dor, and 17 modified Dor procedures, in which the fundoplication is sutured to both sides of the crura and not the myotomy. The mean age of the study patients was 69 years (range, 15-80 years). Four mucosal perforations were repaired intraoperatively. There was one small bowel fistula in an area of open hernia repair distant from the myotomy. One patient with severe chronic obstructive pulmonary disease died of pneumonia. Phone follow-up evaluation was achieved in 68% of the cases at a mean of 37 months (range, 2-97 months). The results for no dysphagia and for heartburn requiring proton pump inhibitors, respectively, were as follows: Heller myotomy (85.7%, 28.5%), Toupet (66.6%, 33.3%), Dor (83.3%, 20%), and modified Dor (84.6%, 15.3%). Two patients with reflux strictures required annual dilation (Toupet, Dor). Two patients required revisions: one redo Heller myotomy (Dor) and one esophageal replacement (Toupet). Heller myotomy provides excellent dysphagia relief with or without fundoplication. Heartburn is a significant problem for a minority of patients. In the authors' hands, Toupet had the worst results and modified Dor was most protective for heartburn.

Single and combined effects of cadmium and arsenate in Gammarus pulex (Crustacea, Amphipoda): Understanding the links between physiological and behavioural responses

Energy Technology Data Exchange (ETDEWEB)

Vellinger, Céline, E-mail: celine.vellinger@gmail.com [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France); Gismondi, Eric, E-mail: gismondi.eric@gmail.com [Laboratoire d’Ecologie animale et d’Ecotoxicologie, Institut de Chimie, Université de Liège, Allée du 6 Août 15, B-4000 Sart-Tilman, Liège (Belgium); Felten, Vincent, E-mail: vincent.felten@univ-lorraine.fr [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France); Rousselle, Philippe, E-mail: rousselle@univ-lorraine.fr [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France); Mehennaoui, Kahina, E-mail: meh_kahina@yahoo.fr [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France); Parant, Marc, E-mail: parant@univ-lorraine.fr [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France); Usseglio-Polatera, Philippe, E-mail: usseglio-polatera@univ-lorraine.fr [Laboratoire Interdisciplinaire des Environnements Continentaux (LIEC), CNRS UMR 7360, Université de Lorraine – Metz (France)

2013-09-15

Highlights: •Linking physiological to behavioural responses of G. pulex exposed to AsV and/or Cd. •AsV and/or Cd exposure exhibited similar biomarkers responses. •Contamination increases the mobilization of detoxification systems in gammarids. •Both changes in energy reserve use and allocation are involved in gammarid response. •Increased lipid peroxidation could be the cause of increasing gammarid mortality. -- Abstract: This study aimed at investigating the individual and interactive effects of cadmium (Cd) and arsenate (AsV) in Gammarus pulex (Crustacea, Amphipoda) through the use of several biomarkers. Individuals were exposed for 240 h to two concentrations of AsV or Cd alone, and all the possible binary mixtures of these concentrations of AsV and Cd in a complete factorial design. The pattern of the biomarkers’ responses to Cd and AsV alone or in mixture was similar in Gammarus pulex, even if the response intensity varied depending on the tested conditions. G. pulex responded to contamination with increased mobilization of the detoxification systems [i.e. γ-glutamyl-cystein ligase activity (GCL), reduced glutathione content (GSH) and metallothionein concentrations (MT)]. This response seems to imply changes in energy reserve utilization (total lipids and proteins are used prior to glycogen reserves), but also a possible energy reallocation from locomotion to detoxification processes. The observed increase in lipid peroxidation could be relied to the increasing gammarid mortality, despite the higher mobilization of detoxification systems. Even if the outcome of the complex interactions between AsV and Cd remains difficult to unravel, such studies are critically important for better assessing the effects of stressors on organisms, populations and communities in a multi-contamination context of ecosystems.

Avaliação dos métodos de amostragem para fauna perifítica em macrófitas na Reserva da Biosfera, Serra do Espinhaço, Estado de Minas Gerais, Brasil - DOI: 10.4025/actascibiolsci.v30i3.377 Evaluation of sampling methods for periphytic fauna in macrophytes at the Espinhaço Mountain Range Biosphere Reserve, Minas Gerais State, Brazil - DOI: 10.4025/actascibiolsci.v30i3.377

Directory of Open Access Journals (Sweden)

Cristiane Machado López

2008-10-01

Full Text Available Os métodos “Jarra”, “Remocao Manual” e “Draga de Eckman modificada” foram avaliados para amostrar a fauna perifitica associada a macrofitas aquaticas. Foram coletadas 63 amostras em cinco ambientes lenticos e tres loticos na reserva da biosfera da Serra do Espinhaco (Estado de Minas Gerais, Brasil. Os testes estatisticos Anova e Tukey foram feitos para riqueza de Protista, Rotifera e Crustacea, enquanto para a abundancia de Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada e Nematoda foram avaliados os percentuais. Os protozoarios e rotiferos representaram 80% da abundancia e riqueza da comunidade. Nos ecossistemas avaliados todos os metodos foram relevantes para Protista, por outro lado, o metodo da Jarra foi o mais adequado para a analise de Crustacea. Entre os metodos, a Draga foi menos indicada para os grupos de microinvertebrados nos ecossistemas aquaticos. Os metodos Remocao Manual e Draga foram apropriados para analisar Rotifera. A abundancia de Gastrotricha e Tardigrada demonstrou melhores resultados pelo metodo da Jarra e Nematoda pelo metodo da Draga. Os tres metodos sao apropriados para amostragem da fauna perifitica em ambos os sistemas aquaticos. Entretanto, e importante estar ciente de que para cada tipo de ecossistema a amostragem da comunidade faunistica requer um metodo especifico para obter a melhor performance.The methods “Jar”, “Manual Removal” and “modified Ekman`s Dredge” were evaluated for sampling periphyton fauna associated to aquatic macrophytes. Sixty three samples were collected from five lentic and three lotic water bodies at Espinhaço Mountain Range Biosphere Reserve (Minas Gerais, Brazil. ANOVA and Tukey statistical tests were performed for Protista, Rotifera and Crustacea richness, whilst Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada and Nematoda, abundance were evaluate by percentage. Amongst the three methods, Dregde is less indicated for different water bodies systems

Resultados tardios da operação de Heller associada à fundoplicatura no tratamento do megaesôfago: análise de 83 casos

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Herbella F. A. M.

1999-01-01

Full Text Available OBJETIVO: Estudo retrospectivo dos resultados tardios dos pacientes submetidos a miotomia e fundoplicatura para o tratamento do megaesôfago. CASUÍSTICA E MÉTODO: Foram estudados 83 pacientes com seguimento de um a 186 meses (média de 40,0 ± 47,4 meses. A fundoplicatura em três planos, proposta por Pinotti, foi realizada em 15,7% dos doentes e a fundoplicatura parcial posterior em 83,1%. A queixa pré-operatória principal foi disfagia, seguida de regurgitação e perda ponderal. A etiologia chagásica pode ser comprovada em 72,3% dos doentes, através de teste sorológico. RESULTADOS: No seguimento, 55,4% dos doentes estavam assintomáticos, 34,9% queixavam-se de disfagia esporádica, 14,4% de pirose, 8,4% de regurgitação e 2,4% de disfagia igual pré-operatória, sendo esses últimos re-operados, com melhora da sintomatologia. Refluxo gastro-esofágico foi constatado em 8,4% dos doentes. Outras complicações tardias foram: hérnia paraesofágica, deslizamento da fundoplicatura, esôfago de Barrett e neoplasia do esôfago. CONCLUSÃO: Os autores salientam a necessidade de acompanhamento clínico e endoscópico perene dos doentes, mesmo operados, devido à possibilidade de complicações tardias, em especial o câncer. Concluem por bons resultados tardios em relação à disfagia. Propõem, como alternativa à esofagectomia, a operação de Heller em pacientes portadores de megaesôfago grau IV com más condições clínicas, que não suportariam uma cirurgia de maior porte.

Thoracoscopic esophagomyotomy for achalasia: maximum gain, minimal pain.

Science.gov (United States)

Maher, J W

1997-10-01

Achalasia can be effectively treated by either hydrostatic balloon dilatation or transthoracic modified Heller myotomy. The purpose of this study was to determine whether thoracoscopic methods could be used to achieve surgical results equal to the transthoracic approach with less pain. Twenty-one patients (10 men, 11 women; median age 42 years) had the diagnosis of achalasia confirmed by manometry, radiography, and endoscopy. All had dysphagia; five had weight loss. Median duration of symptoms was 12 months (range: 1 to 360 months). Eleven patients had undergone previous unsuccessful hydrostatic dilatation. Mean esophageal diameter was 5.5 +/- 2.2 cm. All patients underwent attempted modified Heller myotomy through a left thoracoscopic approach. Three patients required conversion to thoracotomy. The myotomy was extended Heller myotomy reproduces the superior results of open esophagomyotomy with a reduced hospitalization and reduced incisional pain and disability.

The Challenge of Adaptation: The US Army in the Aftermath of Conflict, 1953-2000

Science.gov (United States)

2008-03-01

on U.S. National Security Strategy, 21 June 2001, pp.4-5. Chaired by Senator Carl Levin (D-MI). Retrieved from LexisNexis Congressional Search...and Scott D. Sagan , Moving Targets: Nuclear Strategy and National Security (Princeton: Princeton University Press, 1989). 4. Boyd L. Dastrup, The...KS: Combat Studies Institute, July 1980), available at: http://www. cgsc.army.mil/ carl /resources/csi/heller2/heller2.asp. 13. Condit, HOSD, v.II: The

Difficult Myotomy Is Not Determined by Preoperative Therapy and Does Not Impact Outcome

OpenAIRE

Cowgill, Sarah M.; Villadolid, Desiree V.; Al-Saadi, Sam; Rosemurgy, Alexander S.

2007-01-01

Objectives: The impact of preoperative endoscopic therapy on the difficulty of laparoscopic Heller myotomy and the impact of the difficulty of the myotomy on long-term outcome has not been determined. This study was undertaken to determine whether preoperative therapy impacts the difficulty of laparoscopic Heller myotomy and whether preoperative therapy or difficulty of myotomy impacts long-term outcomes. Methods: Since 1992, 305 patients, 56% male, median age 49 years, underwent laparoscopic...

The semiclassical way to dynamics and spectroscopy

CERN Document Server

Heller, Eric

2018-01-01

Physical systems have been traditionally described in terms of either classical or quantum mechanics. But in recent years, semiclassical methods have developed rapidly, providing deep physical insight and computational tools for quantum dynamics and spectroscopy. In this book, Eric Heller introduces and develops this subject, demonstrating its power with many examples. In the first half of the book, Heller covers relevant aspects of classical mechanics, building from them the semiclassical way through the semiclassical limit of the Feynman path integral. The second half of the book applies this approach to various kinds of spectroscopy, such as molecular spectroscopy and electron imaging and quantum dynamical systems with an emphasis on tunneling. Adopting a distinctly time-dependent viewpoint, Heller argues for semiclassical theories from experimental and theoretical vantage points valuable to research in physics and chemistry. Featuring more than two hundred figures, the book provides a geometric, phase-sp...

[Cross reactivity between fish and shellfish].

Science.gov (United States)

Torres Borrego, J; Martínez Cuevas, J F; Tejero García, J

2003-01-01

In Spain, fish allergy represents 18 % of all cases of food allergy in children while reactions caused by crustacea and mollusks account for 3.8 % and 1.6 % respectively. Cross-reactivity is defined as the recognition of distinct antigens by the same IgE antibody, demonstrable by in vivo and in vitro tests, which clinically manifests as reactions caused by antigens homologous to different species. Subclinical sensitization can also occur, giving rise to patients sensitized to particular fish or shellfish but who do not present symptoms on consumption.Cod and shrimp have been the models used to study allergy to fish and crustacea respectively. The major allergens responsible for cross-reactivity among distinct species of fish and amphibians are proteins that control calcium flow in the muscular sarcoplasm of these animals, called parvalbumins, with a molecular weight of approximately 12 kD and an isoelectric point of 4.75, resistant to the action of heat and enzymatic digestion. Recently, recombinant carp parvalbumin has been reproduced, confirming that this allergen contains 70 % of the IgE epitopes present in natural extract of cod, tuna and salmon, which makes it a valid tool in the diagnosis of patients with fish allergy. Moreover, this recombinant allergen could constitute the basis for the development of immunotherapy against food allergy. In the case of shellfish, a non-taxonomic group that includes crustacea and mollusks, the major allergen is tropomyosin, an essential protein in muscle contraction both in invertebrates and vertebrates. In invertebrates, tropomyosins, which have a molecular weight of between 38 and 41 kD, show great homology in their amino acid sequence and are the panallergens responsible for cross-reactions between crustacea, insects, mites, nematodes, and different classes of mollusks. It is estimated that 50 % of individuals allergic to some type of fish are at risk for reacting to a second species, while those allergic to some type of

Evaluation of sampling methods for periphytic fauna in macrophytes at the Espinhaço Mountain Range Biosphere Reserve, Minas Gerais State, Brazil = Avaliação dos métodos de amostragem para fauna perifítica em macrófitas na Reserva da Biosfera, Serra do Espinhaço, Estado de Minas Gerais, Brasil

Directory of Open Access Journals (Sweden)

Helena Lúcia Menezes Ferreira

2008-07-01

Full Text Available The methods “Jar”, “Manual Removal” and “modified Ekman Dredge” wereevaluated for sampling periphyton fauna associated with aquatic macrophytes. Sixty-three samples were collected from five lentic and three lotic water bodies at the Espinhaço Mountain Range Biosphere Reserve (Minas Gerais State, Brazil. Anova and Tukey statistical tests were performed for Protista, Rotifera and Crustacea richness, whereas the abundance of Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada and Nematoda was evaluated by percentage. Of the three methods, the Dredge is less indicated for different water bodies systems in which there is interest in analyzing various microinvertebrate groups. The Protista and Rotifera represent 80% of the total abundance and richness in the invertebrate community. In the ecosystems evaluated, all methods are relevant for Protistaanalysis; on the other hand, Crustacea analysis required the Jar method. Manual Removal and Dredge methods are appropriate for Rotifera analysis. Gastrotricha and Tardigrada abundance presented better results with the Jar method; Nematoda with the Dredgemethod. The three methods are appropriate for periphyton fauna sampling in both water body systems; nevertheless, it is important to be aware that for each fauna community in a specified ecosystem, there is a specific method for best performance.Os métodos “Jarra”, “Remoção Manual” e “Draga de Eckman modificada” foram avaliados para amostrar a fauna perifítica associada à macrófitas aquáticas. Foram coletadas 63 amostras em cinco ambienteslênticos e três lóticos na reserva da biosfera da Serra do Espinhaço (Estado de Minas Gerais, Brasil. Os testes estatísticos Anova e Tukey foram feitos para riqueza de Protista, Rotifera eCrustacea, enquanto para a abundância de Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada e Nematoda foram avaliados os percentuais. Os protozoários e rotíferos representaram 80% daabund

Vasspest (Elodea canadensis) og smal vasspest (Elodea nuttallii) Jæren 2006

OpenAIRE

Mjelde, M.

2006-01-01

Årsliste 2006 For å skaffe en oversikt over status for vasspest (Elodea canadensis) i Skas-Heigre-kanalen og nærliggende lokaliteter ble vannvegetasjonen i området kartlagt i 2006. Vasspest har fortsatt stor forekomst i Skas-Heigre-kanalen ved Soma, der den ble registrert første gang i 2005. Den ble ikke registrert lenger ned i kanalen, heller ikke i Grudavatn. Heller ikke i nærliggende lokaliteter ble vasspest registrert. Lokaliteten for smal vasspest (Elodea nuttallii), Fuglestadåna, ble...

Reduced postoperative pain scores and narcotic use favor per-oral endoscopic myotomy over laparoscopic Heller myotomy.

Science.gov (United States)

Docimo, Salvatore; Mathew, Abraham; Shope, Alexander J; Winder, Joshua S; Haluck, Randy S; Pauli, Eric M

2017-02-01

Per-oral endoscopic myotomy (POEM) is a less invasive therapy for achalasia with a shorter hospitalization but with similar short- and long-term outcomes as a laparoscopic Heller myotomy (LHM). Previous literature comparing POEM to LHM has focused primarily on postoperative outcome parameters such as complications, dysphagia scores and gastro-esophageal reflux severity. This study specifically compares postoperative pain following POEM to pain following LHM, the current gold-standard operation. A retrospective review of all patients undergoing POEM or LHM for achalasia was performed from 2006 to 2015. Data collection included demographics, comorbidities, length of stay (LOS) and pain scores (arrival to the recovery room, 1 h postoperative, average first 24 h and upon discharge). Statistical analysis was performed using Student's t test and Chi-square test. Forty-four POEM patients and 122 LHM patients were identified. The average age (52.2 ± 20.75 vs 50.9 ± 17.89 years, p = 0.306) and BMI (28.1 ± 7.62 vs 27.6 ± 7.07 kg/m 2 , p = 0.824) did not differ between the POEM and LHM groups, respectively; however, the American Society of Anesthesiology scores were higher in the POEM patients (2.43 ± 0.62 vs 2.11 ± 0.71, p = 0.011). There were no differences in rates of smoking, diabetes, cardiac disease or pulmonary disease. The average pain scores upon arrival to the recovery room and 1 h postoperatively were lower in the POEM group (2.3 ± 3.014 vs 3.61 ± 3 0.418, p = 0.025 and 2.2 ± 2.579 vs 3.46 ± 3.063, p = 0.034, respectively). There was no difference in the average pain score over the first 24 h (2.7 ± 2.067 vs 3.29 ± 1.980, p = 0.472) or at the time of discharge (1.6 ± 2.420 vs 2.09 ± 2.157, p = 0.0657) between the POEM and LHM groups. After standardizing opioid administration against 10 mg of oral morphine, the POEM group used significantly less narcotics that the LHM group (35.8 vs 101.8 mg, p < 0

Coeficientes de utilización digestiva aparente de materia seca, proteína y aminoácidos esenciales de ingredientes terrestres para el camarón del Pacífico Litopenaeus vannamei (Decapoda: Penaeidae

Directory of Open Access Journals (Sweden)

Martín Terrazas

2010-12-01

Full Text Available Los aminoácidos esenciales y su disponibilidad son importantes en la formulación de alimentos. La digestibilidad de materia seca (DAMS, proteína (DAP y aminoácidos esenciales (DAAA fueron determinados (triplicado para el camarón blanco del Pacífico, Litopenaeus vannamei (15-19g, usando una dieta de referencia con 30% (de cada ingrediente. Los ingredientes evaluados fueron: caseína (CAS, harinas de subproductos avícolas (HSPA y porcícolas (HSPP, gluten de maíz (GLM y trigo (GLT, pasta de soya (PS, harinas de sorgo (HS y trigo (HT. La DAMS y DAP variaron entre 68%-109% y 70%-103%, respectivamente. La DAP en CAS, PS, HT y GLT fue mayor al 90%, en GLM y HSPA superior a 80%; HSPP (76% y HS (70% tuvieron menor digestibilidad. Hubo concordancia entre DAP y DAAA, excepto para Arg en GLM, Fen y Leu en HS, Fen en PS y Lis en HT y HSPA. Se encontró una gran variabilidad en la DAMS, DAP y DAAA en los ingredientes, lo que debe ser tomado en cuenta al formular alimentos para camarón.Apparent digestion coefficients for dry matter, protein and essential amino acids in terrestrial ingredients for Pacific shrimp Litopenaeus vannamei (Decapoda: Penaeidae. Protein quality mainly depends on the essential amino acid (EAA profile, but also on its bioavailability, because EAA digestibility is generally lower than the analyzed amounts. This information is needed in the aquaculture industry for aquafeed formulation. For this purpose, the apparent digestibility coefficients of dry matter, protein, and essential amino acids of eight feedstuffs of terrestrial origin were determined for the juvenile whiteleg shrimp Litopenaeus vannamei (15-19g, using 1% chromic oxide as an inert marker. A reference diet was formulated and produced in the laboratory. Eight experimental diets were prepared each with 30% of one of the experimental ingredients added to the reference diet: casein, porcine byproduct meal poultry byproduct meal, corn meal, wheat gluten meal, soybean

Pattern of esophageal eosinophilic infiltration in patients with achalasia and response to Heller myotomy and Dor fundoplication.

Science.gov (United States)

Cools-Lartigue, J; Chang, S-Y; Mckendy, K; Mayrand, S; Marcus, V; Fried, G M; Ferri, L E

2013-01-01

Eosinophilic esophagitis (EoE) is now recognized as a common cause of dysphagia. Eosinophilic infiltration of the esophagus has also been associated with other conditions, such as gastroesophageal reflux disease (GERD); however, the incidence, pattern, and clinical significance of eosinophilic infiltration in achalasia are poorly documented. We sought to characterize this histological finding in patients undergoing Heller myotomy (HM) for achalasia. Ninety-six patients undergoing laparoscopic HM for primary achalasia between 1999 and 2008 were identified from a prospective database. Serial mid and distal per-endoscopic esophageal biopsies taken from patients before and after surgery were assessed for the presence of elevated intraepithelial eosinophils (EIEs). Slides from patients with reports suggestive of EIE were reviewed independently by two pathologists, and the highest eosinophil count/high-power field (eos/hpf) was recorded. Dysphagia scores (0 = none to 5 = severe dysphagia), GERD health-related quality of life scores (0 = best to 45 = worst), and 24-hour pH results were compared before and 3 months after surgery. We related the highest eos to the symptoms and response to HM. Data are presented as median (range). Paired t-test and Wilcoxon signed-rank test determined significance, *P < 0.05. Of 96 patients with achalasia, 50 had undergone pre-HM biopsies revealing EIE in 17/50 (34%), with a median of 3 eos/hpf (1-21). Two patients were found to have superimposed esophageal candidiasis. One patient met the pathologic criteria for EoE. Twenty-five of 50 (50%) postoperative biopsies demonstrated a median of 5 eos/hpf (1-62) for a total of 28/50 patients (56%) with EIE in either the preoperative or postoperative period. Four patients (8%) met the pathologic criteria for EoE, and two demonstrated persistent esophageal candidiasis. A decrease in eosinophils was found in 6/28 patients (21%) from 3/hpf (1-21) to 0.5/hpf (0-4). Increase in eosinophils was found in

Eficácia do diflubenzuron no controle de Dolops carvalhoi (Crustacea: Branchiura em jovens pacus Piaractus mesopotamicus (Osteichthyes: Characidae naturalmente infectados - DOI: 10.4025/actascianimsci.v27i2.1235 Diflubenzuron effectiveness in Dolops carvalhoi (Crustacea: Branchiura control in juvenile pacus Piaractus mesopotamicus (Osteichthyes: Characidae naturally infected - DOI: 10.4025/actascianimsci.v27i2.1235

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Julieta Rodini Engrácia de Moraes

2005-03-01

Full Text Available Neste ensaio, avaliou-se a eficácia terapêutica do diflubenzuron contra o crustáceo Dolops carvalhoi (Crustacea: Branchiura em pacus Piaractus mesopotamicus Holmberg 1887 (Osteichthyes: Characidae naturalmente infestados. A droga foi aplicada três vezes na concentração de 2,0 mg/L de água, na forma de banhos com trinta minutos de duração e intervalo de 24 horas. Um grupo controle foi submetido ao mesmo procedimento, sem a adição do fármaco à água. A avaliação parasitológica revelou que a eficácia da droga foi de 97,2%. No grupo tratado houve redução da glicemia, aumento da quantidade de eritrócitos, redução do percentual de células granulocíticas especiais e aumento da quantidade de trombócitos circulantes coincidentes com a eliminação dos parasitos, quando comparado ao grupo controle. Os resultados indicam que ocorreu melhora marcante na saúde dos peixesThis research evaluated the therapeutic efficacy of diflubenzuron against Dolops carvalhoi (Crustacean: Branchiura in Piaractus mesopotamicus (Osteichthyes: Characidae naturally infested. The drug was applied three times, at a dose of 2.0 mg/L of water, in the form of baths within thirty minutes and an interval of 24 hours. A control group was submitted to the same procedure, but without pharmaco in the water. The parasitological evaluation showed that the drug effectiveness was 97.2%. In the treated group there were glycemia reduction, increase in the erythrocyte number, decrease in the percentage of special granulocytic cells and increase in the number of circulant trombocytes similar to the parasites elimination when compared to the control group. Results showed an important improvement in fish health

Dynamic measurements of reflux for quantifying gastroesophageal reflux in patients with prolonged esophageal transit time

International Nuclear Information System (INIS)

Gratz, K.F.; Creutzig, H.; Schmiedt, W.; Oelert, H.; Hundeshagen, H.; Medizinische Hochschule Hannover

1985-01-01

A combination of a radionuclide transit test and a dynamic gastroesophageal scan was evaluated in normal volunteers, in patients with achalasia treated by pneumatic dilatation (n=34) or Heller myotomy (n=21). Interpretation of 31 of 57 examinations done with usual scintiscan was not possible because of too high esophageal tracer retention. Only one case could not be interpreted with the modified technique. Gastroesophageal reflux was detected and quantified in this manner in 8 patients, 6 more than with the usual scintiscan. 7 of these 8 patients have had Heller procedure, 1 patient even combined with fundoplasty. (orig.) [de

Psychosocial aspects of Mammary carcinoma

Directory of Open Access Journals (Sweden)

C. Searle

1980-09-01

Full Text Available Malignant neoplastic diseases in man are as old as mankind itself. The Hindu epic, Ramayana, dating back to c 2500 B C, described tumours and their treatment. Since then Hippocrates (c 460 - 375 B C, Celsus (c 30 B C - A D 38, Galen (c 130 - 200 A D and Leonides of Alexandria (c 180 A D, and numerous other scientists have studied and recorded these phenomena. Heller from the National Cancer Institute stressed that “Man’s attempt to understand cancer and to find ways of preventing, controlling and curing it began in ancient times”. (Heller, I960

Dynamic measurements of reflux for quantifying gastroesophageal reflux in patients with prolonged esophageal transit time

Energy Technology Data Exchange (ETDEWEB)

Gratz, K.F.; Creutzig, H.; Schmiedt, W.; Oelert, H.; Hundeshagen, H.

1985-05-01

A combination of a radionuclide transit test and a dynamic gastroesophageal scan was evaluated in normal volunteers, in patients with achalasia treated by pneumatic dilatation (n=34) or Heller myotomy (n=21). Interpretation of 31 of 57 examinations done with usual scintiscan was not possible because of too high esophageal tracer retention. Only one case could not be interpreted with the modified technique. Gastroesophageal reflux was detected and quantified in this manner in 8 patients, 6 more than with the usual scintiscan. 7 of these 8 patients have had Heller procedure, 1 patient even combined with fundoplasty.

Larval development and post-settlement metamorphosis of the barnacle Balanus albicostatus Pilsbry and the serpulid polychaete Pomatoleios kraussii Baird: Impact of a commonly used antifouling biocide, Irgarol 1051

Digital Repository Service at National Institute of Oceanography (India)

Khandeparker, L.; Desai, D.V.; Shirayama, Y.

The impact of a commonly-used antifouling algicide, Irgarol 1051, on the larval development and post-settlement metamorphosis of the barnacle, Balanus albicostatus Pilsbry (Crustacea: Cirripedia), and the larval metamorphosis of a serpulid...

Estudos higiênicos sôbre os crustáceos e moluscos da Baía de Guanabara (Rio de Janeiro

Directory of Open Access Journals (Sweden)

Lejeune Pacheco Henriques de Oliveira

1944-04-01

Full Text Available Revisão da literatura médica sôbre higiene de crustáceos e moluscos marinhos. Intoxicações por elementos extranhos às carnes de crustáceos e moluscos: por sais de cobre, vegetais tóxicos; estranho e chumbo nas conservas de crustáceos; botulismo. Putrefação de ostras e doenças de ostras provocadas por cogumelos; crustáceos e moluscos guardados em geladeiras bolorentas. Lista das espécies de moluscos comestíveis da Bahia de Guanabara. Lista das espécies de crustáceos comestíveis da Bahia de Guanabara. Veiculação de micro-organismos patogênicos ao homem por intermédio das carnes de crustáceos e de moluscos: veiculação do vibrião colérico, dos bacilos tíficos e paratíficos e de germes do grupo coli e do gênero Proteus. Vitalidade dos bacilos tíficos nas ostras. Listas dos moluscos veiculadores dos agentes causadores das febres tíficas e paratíficas. Conceitos antigos e modernos sõbre intoxicações por crustáceos; partidas de crustáceos salubres ou não conforme o local de venda. Estudos experimentais sôbre a "talassina" princípio tóxico existente em alguns crustáceos. "Mitilotoxina", intoxicações por mexilhões e outros acidentes incriminados aos moluscos. Enterotoxina estavfilocócica em ostras. Métodos de determinação da salubridade dos moluscos; verificações nas ostras brasileiras. Depuração dos crustáceos pelas soluções cloradas. Estabulação de caranguejos denominados vulgarmente de "guaiamus" e "ussás".Recording main medical publication on Hygiene of Mollusca and Crustacea. Food-poisoning. Decomposing oysters, and shell-fish sickness by fungi. Catalogue of eatable Crustacea and Mollusca of Rio de Janeiro. Significance of Mollusca and Crustacea in the spread of diseases. Longevity of Vibrio comma, Eberthella typhosa, Salmonella schottmuelleri, Salmonella paratiphi. Escherichia coli in oysters, Microorganisms in marked oysters. Comparison old written papers with moderns publications on food

Laparoscopic myotomy in achalasia cardia treatment: Experience after 36 operations

Directory of Open Access Journals (Sweden)

Bjelović Miloš

2013-01-01

Full Text Available Introduction. Laparoscopic Heller­Dor operation, a standard method in the treatment of achalasia, has been performed at the Center for Esophageal Surgery of the First Surgical Clinic since April 2006. Objective. The aim of this study was to present this surgical procedure and initial experiences after 36 consecutive laparoscopic Heller­Dor operations. Methods. This partly retrospective, partly prospective study presented our results after laparoscopic Heller­Dor operation (presentation of the treatment method. We performed a standard anterior esophagocardioymiotomy, without releasing the posterior aspect of the cardia, and anterior partial fundoplication. The type and severity of symptoms and their duration were evaluated based on questionnaires fulfilled by patients. The diagnosis was made based on radiological, endoscopic and manometric findings. Laparoscopic surgery as the method of treatment was evaluated based on the duration of surgery, intra­ and postoperative complications, time interval until the initiation of oral feeding, length of hospital stay, need for additional therapeutic measures after the operation and effect of surgery on the severity of symptoms. Results. Preopereratively, dysphagia was the predominant symptom in all patients, while regurgitation was much lower (44%. The average duration of operation was 127 minutes. Postoperative hospitalization lasted on the average 5.7 days. From 36 treated patients, 34 (94.4% considered that the effect of treatment was good or excellent. Postoperative dysphagia was present in two patients (5.6% and was successfully solved by balloon dilatation. Conclusion. Laparoscopic Heller­Dor operation is an effective and safe surgical procedure in resolving symptoms of achalasia and today presents the method of the first choice in the treatment of this disease.

Lindersin B from Lindernia crustacea induces neuritogenesis by activation of tyrosine kinase A/phosphatidylinositol 3 kinase/extracellular signal-regulated kinase signaling pathway.

Science.gov (United States)

Cheng, Lihong; Ye, Ying; Xiang, Lan; Osada, Hiroyuki; Qi, Jianhua

2017-01-15

Neurotrophic factors such as nerve growth factor (NGF) play important roles in nervous system. NGF is a potential therapeutic drug for treatment of neurodegenerative diseases. However, because of physicochemical property, NGF cannot pass through the blood-brain barrier (BBB). Hence, small molecules which exhibit NGF-mimic activity and can pass through the BBB are considered to be promising drug candidates for treatment of such diseases. The present study was designed to isolate NGF-mimic substance from extract of natural products, determine their structures and investigate mechanism of action of the active substance. Extract of Lindernia crustacean was partitioned between water and ethyl acetate to obtain water layer and ethyl acetate layer samples, respectively, and then evaluated their neuritogenic activity in PC12 cells. The active sample was separated by open columns, followed by HPLC purification to obtain active compound. Then, specific inhibitors were used to investigate signaling pathway of neurite outgrowth induced by the active compound. Finally, western blot analysis was performed to confirm the pathway proposed by inhibitor experiments. The ethyl acetate layer sample of extract of Lindernia crustacea exhibited significant neuritogenic activity. Two new compounds, named as linderside A and lindersin B, were isolated; their structures were elucidated by spectroscopic and chemical derivatization methods. Linderside A is a cucurbitane glycoside, whereas lindersin B is a cucurbitane triterpenoid. Each compound has an unusual isopentene unit, namely, a double bond bound to an unmodified isopropyl group at the end of cucurbitane triterpenoid side chain. Among them, lindersin B induced significant neurite outgrowth in PC12 cells, while linderside A was inactive against PC12 cells. Western blotting analysis results showed that lindersin B-induced neuritogenic activity depended on the activation of the mitogen-activated protein kinase (MAPK)/extracellular signal

Quantitative aspects of oxygen and carbon dioxide exchange ...

African Journals Online (AJOL)

Quantitative aspects of oxygen and carbon dioxide exchange through the ... ceratophthalmus (Crustacea: Decapoda) during rest and exercise in water and ... intersects zero time on the x-axis, indicating rapid gas exchange at the lung surface.

2531-IJBCS-Article-Etchian Olivier Assoi

African Journals Online (AJOL)

hp

Herklots, 1851 (Crustacea, Brachyura, Gecarcinidae) from the estuarine region of the Comoe ... (or 'land-dwelling' crabs), based on the terrestrial habits shown by adults ...... composition, growth pattern and feeding habits of the blue crab, ...

Laparoscopic esophagomyotomy for achalasia in children: A review

Science.gov (United States)

Pandian, T Kumar; Naik, Nimesh D; Fahy, Aodhnait S; Arghami, Arman; Farley, David R; Ishitani, Michael B; Moir, Christopher R

2016-01-01

Esophageal achalasia in children is rare but ultimately requires endoscopic or surgical treatment. Historically, Heller esophagomyotomy has been recommended as the treatment of choice. The refinement of minimally invasive techniques has shifted the trend of treatment toward laparoscopic Heller myotomy (LHM) in adults and children with achalasia. A review of the available literature on LHM performed in patients 5 years) outcomes is needed. Due to the infrequency of achalasia in children, these characteristics are unlikely to be defined without collaboration between multiple pediatric surgery centers. The introduction of peroral endoscopic myotomy and single-incision techniques, continue the trend of innovative approaches that may eventually become the standard of care. PMID:26839646

CONTRIBUTIONS TO THE FUNCTIONAL MORPHOLOGY OF ...

African Journals Online (AJOL)

BRANCH: FEEDING MECHANISM OF SYNGNATHUS. 71. Vomar. PalatinQ: ..... the fish is capable of capturing crustacea over a centimeter from its mouth. 2. Muscle action .... on the type of feeding habits, for the prey is swallowed whole.

Benthos off Cochin, Southwest coast of India

Digital Repository Service at National Institute of Oceanography (India)

Harkantra, S.N.; Parulekar, A.H.

Macro-invertebrate benthic fauna off Cochin mainly composed of polychaeta (82.45%), crustacea (7.62%), mollusca (5.92%), sipuncula (2.25%), nemertinea (0.96%) and echinodermata (0.80%). The maximum population density and biomass values were 304 plus...

Analysis of the gut contents of the needlefish, Hyporhamphus ...

African Journals Online (AJOL)

Food items were identified as far as possible. Amphipods and isopods were usually broken up and difficult to separate, and consequently grouped together in the .... Protozoa. Foraminifera. Filamentous algae. Aquatic macrophytes. Ruppia spiralis +. Potamogeton pectinatus. Polychaeta. Crustacea. Ostracoda. Copepoda.

Recurrent achalasia after Heller-Toupet procedure: Laparoscopic extended redo heller myotomy and floppy Dor

Directory of Open Access Journals (Sweden)

Golash Vishwanath

2007-01-01

Full Text Available Recurrences of symptoms after the surgery for achalasia cardia are not uncommon. There are several causes of recurrences but the early recurrences are speculated to be secondary to incomplete myotomy and late recurrence due to fibrosis after the myotomy or megaesophagus. These recurrences can be managed by regular dilation failing which a redo surgery is indicated. Laparoscopic approach is now standard because of the obvious benefits for patients and surgeons. Extent of myotomy and addition of fundoplication are debatable issue in the management of achalasia cardia but evidence suggests that some kind of fundoplication would be necessary after the complete division of lower esophageal sphincter. We present our experience in a case of recurrent achalasia, secondary to incomplete myotomy managed laparoscopically by extended myotomy and a floppy anterior fundoplication. Patient is asymptomatic six months after the surgery and radiologically there is free passage of barium in the stomach.

Observations on the occurrence of the fish louse Argu/us japonicus ...

African Journals Online (AJOL)

Combining the available literature on the feeding of these two species (Talbot 1955; ... for the presence of fish lice, Argulus (Crustacea: Branchiura) directly after .... Schoonbee (1969) carrying out a study of the feeding habits of the fish in Lake ...

Short Communication Energy and ash contents of sandy beach ...

African Journals Online (AJOL)

mean size of the species; in the case of the Crustacea increasing with size within ... carnivorous or scavenging habits, depending on what oppor- tunities present themselves ..... to ilS feeding mode of ingesting sand. Animals that were used in ...

Mineral in skeletal elements of the terrestrial crustacean Porcellio scaber: SR mu CT of function related distribution and changes during the moult cycle

Czech Academy of Sciences Publication Activity Database

Ziegler, A.; Neues, F.; Janáček, Jiří; Beckmann, F.; Epple, M.

2017-01-01

Roč. 46, č. 1 (2017), s. 63-76 ISSN 1467-8039 Institutional support: RVO:67985823 Keywords : crustacea * isopoda * mineral * moult * oniscidea * synchrotron-radiation microtomography Subject RIV: EA - Cell Biology OBOR OECD: Developmental biology Impact factor: 1.546, year: 2016

Per-oral endoscopic myotomy for achalasia: An American perspective

Science.gov (United States)

Friedel, David; Modayil, Rani; Iqbal, Shahzad; Grendell, James H; Stavropoulos, Stavros N

2013-01-01

Achalasia is an uncommon esophageal motility disorder characterized by the selective loss of enteric neurons leading to absence of peristalsis and impaired relaxation of the lower esophageal sphincter. Per-oral endoscopic myotomy (POEM) is a novel modality for the treatment of achalasia performed by gastroenterologists and surgeons. It represents a natural orifice transluminal endoscopic surgery (NOTES) approach to Heller myotomy. POEM has the minimal invasiveness of an endoscopic procedure that can duplicate results of the surgical Heller myotomy. POEM is conceptually similar to a surgical myotomy without the inherent external incisions and post-operative care associated with surgery. Initial high success and low complications rates promise a great future for this technique. In fact, POEM has been successfully performed on patients with end-stage achalasia as an initial treatment reserving esophagectomy for those without good response. The volume of POEMs performed worldwide has grown exponentially. In fact, surgeons who have performed Heller myotomy have embraced POEM as the preferred intervention for achalasia. However, the niche of POEM remains to be defined and long term results are awaited. We describe our experience with POEM having performed the first POEM outside of Japan in 2009, the evolution of our technique, and give our perspective on its future. PMID:24044040

Leftward spatial bias in children's drawing placement: hemispheric activation versus directional hypotheses.

Science.gov (United States)

Picard, Delphine; Zarhbouch, Benaissa

2014-01-01

A leftward spatial bias in drawing placement was demonstrated by Heller (1991) using the draw-a-person test with right-handed American children. No such bias was observed in left-handed children who are assumed to be less lateralised than their right-handed peers. According to Heller the leftward spatial bias is primarily a reflection of the right hemisphere specialisation for spatial processing. However, an alternative explanation in terms of directional trends may be put forward. In the present study we first confirm Heller's findings of a handedness effect on drawing placement using the draw-a-tree task with a large sample of right- and left-handed French children aged 5-15 years (Exp. 1). We then provide evidence that a similar leftward bias occurs in right-handed Moroccan children aged 7-11 years with opposite script directionality and opposite preferred drawing movement directions (i.e., right-to-left directional trends) to the those of right-handed French children (Exp. 2). Taken together these findings suggest that directionality trends arising from learned cultural habits and motor preferences play little role in determining spatial bias in the centring of a single object drawn on a page. Rather there may be a cerebral origin for drawing single objects slightly on the left side of the graphic space.

Natural diet of three species of shrimp in a tropical coastal lagoon

Directory of Open Access Journals (Sweden)

Albertoni Edélti Faria

2003-01-01

Full Text Available The gut content of 495 specimens of Farfantepenaeus brasiliensis, 131 of F. paulensis (Penaeidae and 102 of Macrobrachium acanthurus (Palaemonidae were analyzed to establish the composition of their diets F. brasiliensis had as the most important feeding items in its diet larvae of Chironomidae, Polychaeta and Heleobia australis (Mollusca. For F. paulensis, the most important items were the same as for F. brasiliensis, but the order of importance of H. australis and Polychaeta was inverted. M. acanthurus had detritus as the most important item, followed by Chironomidae larvae, Odonata nymphs, and fragments of the macroalgae Chara. The results showed that the three species were omnivorous, with a varied diet including both components of macrofauna of benthos and associated to the macroalgae Chara and plant fragments and detritus.

Ethical Concern in Joseph Heller’s Catch-22

Institute of Scientific and Technical Information of China (English)

XIAN Yu-jing

2015-01-01

In Catch-22, Joseph Heller shows his ethical concern behind absurdity, which is manifested from his attitude toward individualism and utilitarianism, religious belief, sexual promiscuity, interpersonal relationship, etc.

Effects of molting and environmental factors on trace metal body-burdens and hemocyanin concentrations in the American lobster, Homarus americanus.

NARCIS (Netherlands)

Engel, D.W.; Brouwer, M.H.J.; Mercaldo-Allen, R.

2001-01-01

Hemocyanin concentrations in the hemolymph of marine crustacea are dependent on the molt cycle and on environmental conditions. Studies in our laboratories have found that hemocyanin levels in blue crabs are reduced after ecdysis and under conditions of environmental stress (Engel, Brouwer, &

Food, novel foods, and allergenicity

NARCIS (Netherlands)

Loveren H van; LPI

2002-01-01

Certain foods lead may to allergic responses in certain individuals. Main allergenic foods are Crustacea (shrimp, lobster, crab), egg, fish, milk, peanuts, soybeans, tree nuts, and wheat, and allergens are always proteins. A wide array of symptoms can result from food allergy (gastrointestinal,

The barnacles Chirona (Striatobalanus) amaryllis (Darwin 1854 ...

African Journals Online (AJOL)

Crustacea, Cirripedia) from the hull of a ship that had been operating for five months in the Gulf of Guinea and off Sierra Leone triggered a closer investigation of the cirriped fauna of the West African coast. Both C. amaryllis and Megabalanus ...

The genus Gnathia Leach (Isopoda) from the Santa Marta area, northern Colombia, with a review of Gnathiidea from the Caribbean Sea and Gulf of Mexico

NARCIS (Netherlands)

Müller, Hans-Georg

1988-01-01

Six species of the genus Gnathia (Crustacea: Isopoda: Gnathiidea) are recorded from the Caribbean Sea of northern Colombia. Gnathia gonzalezi n. sp., Gnathia magdalenensis n. sp., Gnathia samariensis n. sp., and Gnathia vellosa n. sp. are described; Gnathia beethoveni Paul & Menzies, 1971 and

Stomach contents of some shore-caught teleosts of Natal, South Mrica

African Journals Online (AJOL)

1985-09-25

Sep 25, 1985 ... Natal nearshore substratum were visually analysed for percentage composition. Commonly caught fish, namely. Rhabdosargus sarba, R. holubi, Pomadasys commersonni,. Trachinotus african us and T. bot/a, were opportunistic omnivorous predators and fed largely on sand mussels and benthic crustacea.

Identification of a cross-reactive allergen (presumably tropomyosin) in shrimp, mite and insects

NARCIS (Netherlands)

Witteman, A. M.; Akkerdaas, J. H.; van Leeuwen, J.; van der Zee, J. S.; Aalberse, R. C.

1994-01-01

A monoclonal antibody to Dermatophagoides pteronyssinus is described that cross-reacts with an IgE-binding antigen present in insects, Crustacea (e.g. shrimp) and other invertebrates. By means of sodium dodecyl sulfate-polyacrylamide gel electrophoresis, gel filtration and immunofluorescence it was

Composición taxonómica del zooplancton del embalse de Betania, departamento del Huila, Colombia

Directory of Open Access Journals (Sweden)

Yimy Herrera Martinez

1999-01-01

Full Text Available To determine the species composition of the zooplancton in the reservoir Betania (altitude; 560 m.a.s.l.; area: 7.4 km2; vol: 1971 x 106 m3; mean depht 28 m, at seven sites and several depths, bimonthly net samples (100 and 200 microns mesh size were taken during 1991.  Alltogether 24 species were found: Thermocyclops decipiens (Crustacea, Copepoda, Moina sp., Ceriodaphnia cornuta y Allona sp. (Crustacea, Cladocera; 19 species of rotífers, of which 7 belong to the genus Brachionus, as well as larvas of the dipter Chaoborus sp. For the first time Brachionus havanaensis, B. falcatus falcatus, b. quadridentatus, y Platyias cuadricornis  f. brevispinus  were found in Colombia.  The species composition was compared with the composition of other lakes and comparison shows that the Betania reservoir has a typical species composition for warms tropical lakes.

Evaluation of Safety and Efficacy of the EndoLift Liver Retractor

Science.gov (United States)

2015-08-03

Minimally Invasive Surgical Procedure; Laparoscopic Gastric Banding; Laparoscopic Roux-en-Y Gastric Bypass; Laparoscopic Sleeve Gastrectomy; Laparoscopic Fundoplication Procedure; Laparoscopic Heller Myotomy; Laparoscopic Paraesophageal Hernia Repair; Laparoscopic Gastric Resection

Cestami emancipací: rozhovor s Ágnes Hellerovou

Czech Academy of Sciences Publication Activity Database

Heller, Á.; Feinberg, Joseph Grim

2015-01-01

Roč. 63, č. 3 (2015), s. 325-338 ISSN 0015-1831 Institutional support: RVO:67985955 Keywords : Agnes Heller * Marxism * political philosophy * self-management * democracy Subject RIV: AA - Philosophy ; Religion

75 FR 32502 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

Science.gov (United States)

2010-06-08

..., 5935 Hohman Ave, Hammond, 10000376 Porter County Haste-Crumpacker House, 208 N Michigan St, Valparaiso..., 1170 8th Ave, Bethlehem, 10000401 Northampton County Heller, Michael and Margaret, House, 1890-1892...

K problému odpovědnosti u Ágnes Hellerové

Czech Academy of Sciences Publication Activity Database

Hála, Vlastimil

2012-01-01

Roč. 67, č. 4 (2012), s. 269-281 ISSN 0046-385X Institutional support: RVO:67985955 Keywords : Á. Heller * ethics * moral philosophy * responsibility * autonomy Subject RIV: AA - Philosophy ; Religion

Crustacea: Branchiura

African Journals Online (AJOL)

1993-03-25

Mar 25, 1993 ... terminology describing the various parts of the digestive tract 01 branchiurans is discussed. .... suboesophageaJ ganglion; 55 S-shaped duct; TG thoracic ganglia; YS coils of .... All sections are transverse except C and J which.

Laparoscopic myotomy: technique and efficacy in treating achalasia.

Science.gov (United States)

Ali, A; Pellegrini, C A

2001-04-01

Esophageal Heller myotomy and a partial antireflux procedure for achalasia are the ideal procedures to benefit from the advances in minimally invasive surgery. The magnified view of the operative field provided by the laparoscope allows precise division of the esophageal muscle fibers with excellent results. Laparoscopic Heller myotomy results in reduced postoperative pain, less morbidity, shorter hospitalization, better resolution of dysphagia, and less postoperative heartburn when compared with the open abdominal and even the thoracoscopic approach. A longer myotomy especially at the distal end, and a loose, well-formed partial fundoplication are the keys to a successful outcome. Superior long-term results after surgical myotomy when compared with nonsurgical interventions argue strongly in favor of surgery in any patient who is fit enough to undergo general anesthesia.

Functional adaptation of crustacean exoskeletal elements through structural and compositional diversity: a combined experimental and theoretical study

Czech Academy of Sciences Publication Activity Database

Fabritius, H.; Ziegler, A.; Friák, Martin; Nikolov, S.; Huber, J.; Seidl, B.H.M.; Ruangchai, S.; Alagboso, F.; Karsten, S.; Lu, J.; Janus, A.M.; Petrov, M.; Zhu, LF.; Hemzalová, P.; Hild, S.; Raabe, D.; Neugebauer, J.

2016-01-01

Roč. 11, č. 5 (2016), č. článku Art. Number 055006. ISSN 1748-3182 Institutional support: RVO:68081723 Keywords : Crustacea * cuticle * Decapoda * Isopoda * amorphous calcium carbonate * amorphous calcium phosphate * multi-scale modeling Subject RIV: BO - Biophysics Impact factor: 2.939, year: 2016

Seasonal abundance, ecology, reproductive biology, and biochemical composition of Mesopodopsis orientalis W.M. Tattersall (Mysidacea) from a tropical estuary (Cochin Backwater) in India

Digital Repository Service at National Institute of Oceanography (India)

Biju, A.; Gireesh, R.; Jayalakshmi, K.J.; Haridevi, C.K.; Panampunnayil, S.U.

respiratorio de los componentes bioquimicos. In: Actina equina L. Actas do IVº Simpósio Ibérico de estudos do Benthos Marinho, 321-332. PANAMPUNNAYIL, S. U., 1999. Studies on Mysidaceae (Crustacea) of the Indian Ocean with reference to Indian waters. pp. 1...

19 CFR 12.26 - Importations of wild animals, fish, amphibians, reptiles, mollusks, and crustaceans; prohibited...

Science.gov (United States)

2010-04-01

..., reptiles, mollusks, and crustaceans; prohibited and endangered and threatened species; designated ports of..., Birds, and Insects § 12.26 Importations of wild animals, fish, amphibians, reptiles, mollusks, and... crustacea), amphibians, reptiles, or the offspring or eggs of any of the foregoing which the Secretary of...

Development of a microsatellite primer set to investigate the genetic ...

Indian Academy of Sciences (India)

Development of a microsatellite primer set to investigate the genetic population structure of Armadillidium nasatum (Crustacea, Oniscidea). Séverine Masson, Cédric Faivre, Isabelle Giraud, Catherine Souty-Grosset, Richard Cordaux, Carine Delaunay,. Didier Bouchon and Nicolas Bech. J. Genet. 93, 545-549. Table 1.

Un nouveau Microparasellidae (Crustacé Isopode) du Haut-Atlas; aspects phylogénétiques et biogéographiques

NARCIS (Netherlands)

Yacoubi-Khebiza, M.; Boulanouar, M.; Coineau, N.

1997-01-01

The interstitial stygobiotic isopods of the genus Microcharon (Crustacea) are diversified in Morocco. A new species, M. ourikensis, is described. The new species shows some original characters for this genus: large size, strong elongation in the first male pleopod exopodal inner lobe, 5-dentate

A novel function of red pigment-concentrating hormone in crustaceans: Porcellio scaber (Isopoda) as a model species

Czech Academy of Sciences Publication Activity Database

Zralá, Jana; Kodrík, Dalibor; Zahradníčková, Helena; Zemek, Rostislav; Socha, Radomír

2010-01-01

Roč. 166, č. 2 (2010), s. 330-336 ISSN 0016-6480 R&D Projects: GA ČR GA522/07/0788 Institutional research plan: CEZ:AV0Z50070508 Keywords : crustacea * carbohydrates * metabolism Subject RIV: ED - Physiology Impact factor: 3.108, year: 2010

African Zoology - Vol 52, No 3-4 (2017)

African Journals Online (AJOL)

Redescription and molecular characterisation of the fish parasitic isopod Norileca indica (Milne Edwards, 1840) (Crustacea: Isopoda: Cymothoidae) with a key to the genus · EMAIL FULL TEXT EMAIL FULL TEXT ... The rediscovery of a lost frog: Arthroleptis troglodytes Poynton, 1963 · EMAIL FULL TEXT EMAIL FULL TEXT

Thirty-ninth annual report of the director, January-December 1985

International Nuclear Information System (INIS)

1986-01-01

The Fishing Research Institute did investigations on canned fish, canned pet food, crustacea, molluscs, salted-, dried-, smoked-, fresh-, and frozen fish, as well as silage, fish meals and fish oils. Gamma radiation as a method of heat treatment for the sterilisation of salt II, was also discussed

The association between invertebrates and macrophytes in a ...

African Journals Online (AJOL)

The invertebrate fauna associated with aquatic macrophytes in the littoral of Lake Kariba was studied over a three-month period in 2002. Animals from seven classes — Hirudinea, Oligochaeta, Turbellaria, Insecta, Crustacea, Bivalvia and Gastropoda — were collected. Two hirudineans, Placobdella sp. and Haemopsis sp., ...

Taxa Composition, Abundance, Distribution And Diversity Of The ...

African Journals Online (AJOL)

Forty-eight genera of plankton were recorded; nine of Cyanophyceae, thirteen each of Chlorophyceae and Bacillariophyceae, seven of Protozoa and three each of Rotifera and Crustacea. Members of Cyanophyceae dominated the assemblage accounting for 91.77% of the total plankton abundance. All the major plankton ...

Anchialine fauna of the Corona lava tunnel (Lanzarote,Canary Islands): diversity, endemism and distribution

DEFF Research Database (Denmark)

Martínez, Alexandro; Palmero, A M; Brito, M C

2009-01-01

A checklist of 77 taxa recorded from the anchialine sections of the Corona lava tube is provided, including information on habitats, faunal distribution within the cave, and main references. Of the nine major groups recorded, Crustacea shows the highest diversity with 31 species and the highest d...

Standard Guide for Irradiation of Finfish and Aquatic Invertebrates Used as Food to Control Pathogens and Spoilage Microorganisms

CERN Document Server

American Society for Testing and Materials. Philadelphia

2009-01-01

1.1 This guide outlines procedures and operations for the irradiation of raw, untreated, fresh (chilled), or frozen finfish and aquatic invertebrates, while ensuring that the irradiated product is safe and wholesome. 1.1.1 Aquatic invertebrates include molluscs, crustacea, echinoderms, etc. 1.1.1.1 Molluscs include bivalve shellfish, such as clams, mussels, and oysters; snails; and cephalopods, such as squid and octopus. 1.1.1.2 Crustacea include shellfish such as shrimp, lobster, crabs, prawns and crayfish. 1.1.1.3 Echinoderms include sea urchins and sea cucumbers. 1.2 This guide covers absorbed doses used to reduce the microbial and parasite populations in aquatic invertebrates and finfish. Such doses typically are below 10 kGy (1). 1.3 The use of reduced-oxygen packaging (vacuum or modified atmosphere, and including products packed in oil) with irradiated, raw product is not covered by this guide. The anaerobic environment created by reduced-oxygen packaging provides the potential for outgrowth o...

Subcutaneous emphysema

Science.gov (United States)

... PA: Elsevier Saunders; 2016:chap 84. Eckstein M, Henderson SO. Thoracic trauma. In: Marx JA, Hockberger RS, ... by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by ...

Collapsed lung (pneumothorax)

Science.gov (United States)

... PA: Elsevier Saunders; 2014:chap 143. Eckstein M, Henderson SO. Thoracic trauma. In: Marx JA, Hockberger RS, ... by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by ...

Hemothorax

Science.gov (United States)

... PA: Elsevier Saunders; 2014:1005-1009. Eckstein M, Henderson SO. Thoracic trauma. In: Marx JA, Hockberger RS, ... by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by ...

40 CFR 180.950 - Tolerance exemptions for minimal risk active and inert ingredients.

Science.gov (United States)

2010-07-01

...) Both the raw and processed forms of peanuts, tree nuts, milk, soybeans, eggs, fish, crustacea, and... is an animal feed composed of dried animal fat and protein that has been sterilized. Other than meat.... The term commonly consumed food commodities shall only apply to food commodities (whether a raw...

Life and work of Dr. Johannes Govertus de Man (1850-1930)

NARCIS (Netherlands)

Karssen, G.

2006-01-01

This book describes the life and work of Dr. Johannes Govertus de Man (1850-1930), a remarkable Dutch invertebrate zoologist. J.G. de Man worked on the systematics of both the Crustacea, in particular on Decapoda (i.e. crabs, crayfish, lobsters and shrimps), and the microscopically Nematoda or

New observations on the crustacean fauna of Europa Island ...

African Journals Online (AJOL)

The Crustacea Decapoda of Europa Island have been inventoried during the BIORECIE fieldwork conducted from 7-12 November 2011. Previous records for Europa Island have been also compiled and an updated documented checklist of the species is proposed. In total, 175 decapods are reported for Europa Island, ...

The larval development and population dynamics of Derocheilocaris ...

African Journals Online (AJOL)

Seven larval stages of Derocheilocaris algoensis have been described and appear to be identical with those of D. typica from North America. This stresses the remarkable conservativeness of this subclass of Crustacea. The population biology of D. algoensis has been studied over 16 months and reproduction has been ...

A new species of Cacosternum (Amphibia: Anura; Ranidae) from Natal

African Journals Online (AJOL)

1987-03-29

Mar 29, 1987 ... KENSLEY, B. 1972. Shrimps and prawns of southern. Africa. Trustees of the S.A. Museum, Cape Town. KENSLEY, B. 1981. On the zoogeography of southern. African decapod Crustacea, with a distributional .... capense Hewitt, 1925; and C. JeJeupi Laurent, 1950. The frog here described undoubtedly ...

Vertical motion and ''scarred'' eigenfunctions in the stadium billiard

International Nuclear Information System (INIS)

Christoffel, K.M.; Brumer, P.

1985-01-01

A subset of pseudoregular eigenfunctions of the classically chaotic stadium billiard is shown to participate strongly in vertically directed motion, supporting the conjectures of McDonald and of Heller regarding periodic orbits and pseudoregular eigenfunctions

pg1 5.qxd

African Journals Online (AJOL)

Nicky

of bariatric surgery in the USA has also opened new dimen- sions for investigation of the .... myotomy.11. Advances in surgical approaches and techniques ..... Laparoscopic Heller myotomy improves esophageal emptying and the symptoms of ...

Effect of peroral endoscopic myotomy on esophagogastric junction physiology in patients with achalasia

NARCIS (Netherlands)

Verlaan, Tessa; Rohof, Wout O.; Bredenoord, Albert J.; Eberl, Susanne; Rösch, Thomas; Fockens, Paul

2013-01-01

Pneumatic dilation and laparoscopic Heller myotomy improve parameters of esophageal function such as lower esophageal sphincter (LES) pressure, esophageal emptying, and esophagogastric junction (EGJ) distensibility. To evaluate the effect of peroral endoscopic myotomy (POEM) on esophagogastric

Hábitos alimentarios del pargo mancha Lutjanus guttatus (Pisces: Lutjanidae en Los Cóbanos y Puerto La Libertad, El Salvador

Directory of Open Access Journals (Sweden)

José Rodrigo Rojas M.

2004-03-01

Full Text Available Se determinaron los hábitos alimentarios del pargo mancha Lutjanus guttatus a partir de 175 ejemplares (9.8 y 58.0 cm LT, recolectados entre enero y diciembre del 2000 en Los Cóbanos y Puerto La Libertad, El Salvador. L. guttatus es un depredador carnívoro oportunista bentónico. La biomasa total fue de 260.5g. Los crustáceos, representados por seis familias (Squillidae, Portunidae, Dynomenidae, Penaeidae, Sicyoniidae, Callianassidae, constituyeron el 50.4% de la biomasa total. Numéricamente, la especie que más consumió el pargo mancha fue Portunus asper. Especimenes menores de 16 cm LT consumen preferentemente crustáceos. Después de los 24 cm y hasta los 44 cm el espectro alimenticio se ve diversificado con la inclusión de peces y moluscos. El 59.5% de los estómagos contenían restos (escamas, exoesqueletos y rostros de camarones con una biomasa de 47.8 g. Se discute sobre la importancia comercial de este recurso y de la ausencia de una estrategia de manejoA total of 175 spotted snapper Lutjanus guttatus were collected monthly in the Los Cobanos and Puerto La Libertad, El Salvador, from January to December 2000 to determine its feeding habits. The fishes studied ranged 9.8 - 58.0 cm in total length. Were collected using pushnet and hook and line. This snapper is a bentonic opportunistic carnivorous predator. The total biomass of the stomach contents was 260.5 g. Crustaceans (Squillidae, Portunidae, Dynomenidae, Penaeidae, Sicyoniidae, Callianassidae, were the most abundant group; they accounted for 50.4% of the total biomass. Numerically, Portunus asper was the most abundant prey. Ontogenic differences were observed in the diet. In juveniles (16 cm TL, at any time of the year, the most frequent and abundant components were crustaceans and in adults were crustaceans, fishes and mollusks. The relative importance of different components of the diet was assessed with two indexes that combine, in different ways, percentage frequency of

The choice of optimal antireflux procedure after laparoscopic cardiomyotomy: two decades of clinical experience in one center.

Science.gov (United States)

Kiudelis, Mindaugas; Kubiliute, Egle; Sakalys, Egidijus; Jonaitis, Laimas; Mickevicius, Antanas; Endzinas, Zilvinas

2017-09-01

Two types of partial wrap are commonly performed in achalasia patients after Heller myotomy: the posterior 270° fundoplication (Toupet) and the anterior 180° fundoplication (Dor). The optimal type of fundoplication (posterior vs. anterior) is still debated. To compare the long-term rates of dysphagia, reflux symptoms and patient satisfaction with current postoperative condition between two fundoplication groups in achalasia treatment. Our retrospective study included 97 consecutive patients with achalasia: 37 patients underwent laparoscopic posterior Toupet (270°) fundoplication followed by Heller myotomy (group I); 60 patients underwent laparoscopic anterior partial Dor fundoplication followed by Heller myotomy (group II). Long-term follow-up results included evaluation of dysphagia symptoms, intensity of heartburn and patient satisfaction with current condition. Patients in these two groups did not differ according to age, weight, height, postoperative stay or follow-up period. Laparoscopic myotomy with posterior Toupet fundoplication was effective in 89% of patients, while laparoscopic myotomy with anterior Dor was effective in 93% of patients (p > 0.05). 11% of patients after posterior Toupet fundoplication had clinically significant heartburn vs. 35% of patients after anterior Dor fundoplication (p < 0.05). Overall patient satisfaction with current condition was 88%, with no significant difference between the groups. According to our study results, the two laparoscopic techniques were similarly effective in reducing achalasia symptoms, but postoperative clinical manifestation of heartburn is significantly more frequent after anterior Dor fundoplication (35% vs. 11%). The majority of patients (88%) were satisfied with operation outcomes.

Alfred. První opera Antonína Dvořáka se vrací

Czech Academy of Sciences Publication Activity Database

Kratochvílová, Markéta

2014-01-01

Roč. 19, č. 3 (2014), s. 6-7 Institutional support: RVO:68378076 Keywords : Gerd Albrecht * Adolf Heller * Karl Theodor Körner * opera * Antonín Dvořák * Alfred Subject RIV: AL - Art, Architecture, Cultural Heritage

Alfred: Dvořák’s first opera and its fate

Czech Academy of Sciences Publication Activity Database

Kratochvílová, Markéta

-, č. 3 (2014), s. 7-11 ISSN 1211-0264 Institutional support: RVO:68378076 Keywords : Gerd Albrecht * Adolf Heller * Karl Theodor Körner * opera * Antonín Dvořák * Alfred Subject RIV: AL - Art, Architecture, Cultural Heritage

Vi kan ikke afskaffe det ubærlige ved lov

DEFF Research Database (Denmark)

Post, Bettina

2012-01-01

Man bliver ikke rask af beskæftigelsesindsats. Heller ikke når man har en psykisk sygdom. Alligevel er det langt hen ad vejen forestillingen hos de politikere, som beslutter reglerne omkring fleksjob og førtidspension....

Shallow-water Mysidacea from the Lesser Antilles and other Caribbean regions

NARCIS (Netherlands)

Brattegard, Torleiv

1975-01-01

This report is the seventh in a series of papers dealing with Mysidacea (Crustacea) from shallow water in the tropical and warm-temperate areas of the western Atlantic (BRATTEGARD 1969, 1970a, 1970b, 1973, 1974a, 1974b). Five of these are dealing with material collected by the author in southern

Author Details

African Journals Online (AJOL)

Lozano, IJ. Vol 18 (1997) - Articles Life history of plesionika edwardsi (crustacea, decapoda, Pandalidae) around the Canary Islands, Eastern central Atlantic Abstract PDF. ISSN: 1814-2338. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's ...

U.S. Directory of Marine Scientists 1982

Science.gov (United States)

1982-01-01

Processes & Engineering. MACLEAN, SHARON A, Fishery Biologist. FINKELSTEIN, KENNETH, Coastal Geologist. Zooplankton; Crustacea. Sedimentology; Stratigraphy... SHARON T, Aszt Scientist. Pasadena, CA 91109 Taxonomy and Systematics; Zooplankton. HOWEY, TERRY W, Scientist. CHELTON, DUDLEY BOYD, JR, Senior...Oceanography. Monterey, CA 93940 Optics; Descriptive Physical Oceanography, Instrumentation Engineering. BOURKE , ROBERT H, Assoc Professor of VON SCHWIND

Achalasia:what is the best treatment? | Ahmed | Annals of African ...

African Journals Online (AJOL)

Method: A Medline, PubMed and Cochrane database search was conducted using ... Medical treatment with nitrates or calcium channel blockers has variable results in ... Conclusion: Laparoscopic myotomy should be the initial treatment for most ... Keywords: Achalasia, Heller's esophagomyotomy, pneumatic dilatation

The Strongsville Decision

Science.gov (United States)

School Library Journal, 1976

1976-01-01

The suit claimed violation of First and Fourteenth Amendment rights in that the school board, disregarding the recommendation of faculty, refused to approve Joseph Heller's "Catch 22" and Kurt Vonnegut's "God Bless You, Mr. Rosewater" as texts or library books. (Author)

Internal current generation in respiration chambers

Science.gov (United States)

Saborowski, R.; Buchholz, F.

1998-06-01

A technical device generating a constant and directed current within a sealed respiration chamber is described. It does not involve any external pumps or tubing. This system is easy to handle, and improved the maintenance of rheotactic pelagic species like the Northern krill ( Meganyctiphanes norvegica, Crustacea) or small fishes ( Gasterosteus aculeatus) under experimental conditions.

Ecology of benthic production in the coastal zone of Goa

Digital Repository Service at National Institute of Oceanography (India)

Harkantra, S.N.; Parulekar, A.H.

was comprised of Polychaeta (58.5%), Mollusca (18.1%), Crustacea (9.1%), Echinodermata (7.1%) and other minor taxa (7.3%) Population count and biomass varied from 25 to 7823 m-2 (X- = 1256 m-2) and 0.2 to 2251.25 g m-2 (X- = 67.07 g m-2) respectively The higher...

Natural Diet of Callinectes ornatus Ordway, 1863 (Decapoda, Portunidae in the Itapocoroy Inlet, Penha, SC, Brazil

Directory of Open Access Journals (Sweden)

Joaquim Olinto Branco

2002-03-01

Full Text Available From January to December 1995, 332 individuals of the Callinectes ornatus species were collected from the Itapocoroy inlet in Penha, Sta. Catarina, Brazil to study its natural diet and the seasonal variations of diet. Results showed a diversified trophic spectrum with a generalized dietary strategy comprising the algae, macrophyta, foraminiferida, mollusca, polychaeta, crustacea, echinodermata, Osteichthyes and NIOM (Nonidentified Organic Matter groups.Alimentação natural de Callinectes ornatus Ordway, 1863 (Decapoda, Portunidae na Armação do Itapocoroy, Penha, SC - Brasil. No período de janeiro a dezembro de 1995, foram coletados 332 indivíduos de Callinectes ornatus, procedentes da Armação do Itapocoroy (Penha, SC. Foi estudada a alimentação natural da espécie e as variações sazonais da dieta. Os resultados mostram um espectro trófico diversificado, com estratégia alimentar generalista, sendo Algas, Macrófitas, Foraminiferida, Mollusca, Polychaeta, Crustacea, Echinodermata, Osteichthyes e matéria orgânica não identificada, os grupos que compõem sua dieta.

The decapod red pigment-concentrating hormone (Panbo-RPCH) is the first identified neuropeptide of the order Plecoptera and is interpreted as homoplastic character state.

Science.gov (United States)

Gäde, Gerd; Marco, Heather G

2015-09-15

This paper presents the first neuropeptide structure, identified by mass spectrometry, in two species of Plectoptera (stoneflies) and in one species of the coleopteran family Lycidae. In all three species, the octapeptide Panbo-RPCH (first identified in Pandalus borealis as a red pigment-concentrating hormone: pGlu-Leu-Asn-Phe-Ser-Pro-Gly-Trp amide) is present. A review of the literature available on invertebrate neuropeptides that are identified or predicted from expressed sequence tags, transcriptome shotgun assemblies, and from fully sequenced genomes, show that Panbo-RPCH is found in Malacostraca (Crustacea) and certain hemipteran Heteroptera (Insecta). To date, Panbo-RPCH has not been shown present in non-Malacostracan crustaceans, nor in basal taxa of the Insecta (Archaeognatha, Zygentoma, Ephemeroptera, Odonata). The present data adds to knowledge on the distribution of Panbo-RPCH, and when taking into account the most accepted, current phylogenetics of the Crustacea-Hexapoda relationship, this distribution of Panbo-RPCH in Malacostraca, Plecoptera, some hemipteran Heteroptera and in Coleoptera (Lycidae) can best be explained by homoplasy, implying parallel evolution. Copyright © 2015 Elsevier Inc. All rights reserved.

Boli všetky revolúcie zradené? (rozhovor s Ágnes Hellerovou)

Czech Academy of Sciences Publication Activity Database

Feinberg, Joseph Grim

-, 25.8.2014 (2014), 22, 27 ISSN 1335-4051 Institutional support: RVO:67985955 Keywords : Agnes Heller * 1968 * new left * dissident thought * György Lukács Subject RIV: AA - Philosophy ; Religion http://zurnal.pravda.sk/rozhovory/clanok/327905-boli-vsetky-revolucie-zradene/

Surgical management of achalasia in Zaria, Northern Nigeria ...

African Journals Online (AJOL)

The severity and frequency of dysphagia were determined before and after treatment. Barium examination was repeated 2 weeks after surgery or when the patient had recurrence of dysphagia, regurgitation or heartburn. Treatment was by modified Heller's operation, transabdominally without complementary antireflux ...

Glycogen metabolism and the homeostatic regulation of sleep

KAUST Repository

Petit, Jean-Marie; Burlet-Godinot, Sophie; Magistretti, Pierre J.; Allaman, Igor

2014-01-01

In 1995 Benington and Heller formulated an energy hypothesis of sleep centered on a key role of glycogen. It was postulated that a major function of sleep is to replenish glycogen stores in the brain that have been depleted during wakefulness which

Expression and Bodily Faith in Natalie Heller’s First Impressions

Directory of Open Access Journals (Sweden)

Adam Loughnane

2016-07-01

Full Text Available In this essay I place choreographer Natalie Heller in dialogue with Merleau-Ponty on issues of motor-perception, expression and bodily faith. I analyze her new work First Impressions to demonstrate how she responds to a similar impulse that drove Merleau-Ponty’s phenomenology, particularly in his last writing, The Visible and the Invisible. Both Heller and Merleau-Ponty seek to go beyond the representational understanding of motion and perception in order to articulate and experiment with a type of expression, which is beyond the distinctions between motion and motionlessness, activity and passivity, visibility and invisibility. While Merleau-Ponty writes about this form of expression, Heller’s performers show that beyond these binaries is a form of expression that is ambiguously situated between impressing and being impressed upon, and that to engage the world or the city as such, requires a motor-perceptual form of faith.

(Crustacea) from Verlorenvlei

African Journals Online (AJOL)

1994-08-29

Aug 29, 1994 ... (20°C and higher) at the time of our collecting. Material and .... Remarks: note that the difference in shape of carapaces in .... Scale ~ 1409 11m for G- J; 746 11m for A-C; 424 11m for E, F; 343 11m for D, K-O. R eprodu.

(Ortmann) (Decapoda, Crustacea)

African Journals Online (AJOL)

1987-03-13

Mar 13, 1987 ... duration and current velocity) of the populations to the flow of water ... The mud prawn Upogebia africana (Ortmann) is a filter ... three sources namely, treated sewage released into the ... indicating the positions of the sampling sites for macrobenthos (1 - 40) ..... punctata feeding on a variety of marine algae.

CRUSTACEA: DECAPODA: THALASSINIDEA

African Journals Online (AJOL)

S. Breeding and growth in C. kraussi is compared with that in other known ... sandy areas at many estuary mouths (Day et al. 1952 ... -Present address: Department of Biological Sciences, University of Natal, King George V Avenue, Durban.

Thalassinidea, Decapoda, Crustacea

African Journals Online (AJOL)

1986-07-23

Jul 23, 1986 ... winter than in summer and a similar respiration rate (at a given temperature) ... Swartkops estuary and they lasted a further 2-4 days. ..... from the upper and lower reaches of the Swartkops estuary. °c 0/00 S. S:SUMMER. 500.

Diagnosis and management of esophageal achalasia.

Science.gov (United States)

Stavropoulos, Stavros N; Friedel, David; Modayil, Rani; Parkman, Henry P

2016-09-13

Achalasia is a rare esophageal motility disorder that is usually idiopathic in origin. It is characterized by dysphagia, and patients often have chest pain, regurgitation, weight loss, and an abnormal barium radiograph showing esophageal dilation with narrowing at the gastroesophageal junction. Abnormal or absent esophageal peristalsis and impaired relaxation of the lower esophageal sphincter (LES) are typically seen on esophageal manometry. The advent of high resolution manometry (HRM) has allowed more precise diagnosis of achalasia, subtype designation, and differentiation from other esophageal motor disorders with an initial seminal publication in 2008 followed by further refinements of what has been termed the Chicago classification. Potential treatments include drugs, endoscopic botulinum toxin injection, balloon dilation, traditional surgery (usually laparoscopic Heller myotomy; LHM), and a novel, less invasive, natural orifice transluminal endoscopic surgery (NOTES) approach to Heller myotomy termed peroral endoscopic myotomy (POEM). The first human POEM was performed in 2008, with the first publication appearing in 2010 and evidence now rapidly accumulating showing POEM to be comparable to traditional surgery in terms of clinical success and radiologic and manometric post-therapy outcomes. This review discusses the diagnosis and management of achalasia with particular emphasis on the recent developments of HRM and POEM, which arguably represent the most important advances in the field since the advent of laparoscopic Heller myotomy in the 1990s. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Treatment of achalasia in the era of high-resolution manometry

Science.gov (United States)

Torresan, Francesco; Ioannou, Alexandros; Azzaroli, Francesco; Bazzoli, Franco

2015-01-01

Esophageal achalasia is a primary motility disorder characterized by impaired lower esophageal sphincter relaxation and absence of esophageal peristalsis leading to impaired bolus transit, manifested with symptoms such as dysphagia, regurgitation, retrosternal pain, and weight loss. The standard diagnostic tool is esophageal manometry which demonstrates incomplete relaxation of the lower esophageal sphincter and impaired esophageal peristalsis. Recently, a new advanced technique, high-resolution manometry (HRM) with the addition of pressure topography plotting, using multiple sensors to capture the manometric data as a spatial continuum, allows a detailed pressure recording of the esophageal motility. This technique, currently the gold standard for the diagnosis of achalasia, has led to a subclassification of three manometric types that seem to have different responsiveness to treatment. Because its pathogenesis is as yet unknown, achalasia treatment options are not curative. Type II achalasia patients respond better to treatment compared to those with types I and III. Low-risk patients with type I or II achalasia have good outcome with both graded pneumatic dilatations and laparoscopic Heller myotomy, while type III achalasia patients respond better to laparoscopic Heller myotomy. Although, type III achalasia patients responds less in comparison to types I and II to laparoscopic Heller myotomy. Peroral endoscopic myotomy is a promising new technique but long-term follow-up studies for its safety and efficacy must be performed. This article reviews the current therapeutic options, highlighting the impact of HRM to predict the outcome and the new insights for the treatment of achalasia. PMID:26130022

The choice of optimal antireflux procedure after laparoscopic cardiomyotomy: two decades of clinical experience in one center

Science.gov (United States)

Kiudelis, Mindaugas; Sakalys, Egidijus; Jonaitis, Laimas; Mickevicius, Antanas; Endzinas, Zilvinas

2017-01-01

Introduction Two types of partial wrap are commonly performed in achalasia patients after Heller myotomy: the posterior 270° fundoplication (Toupet) and the anterior 180° fundoplication (Dor). The optimal type of fundoplication (posterior vs. anterior) is still debated. Aim To compare the long-term rates of dysphagia, reflux symptoms and patient satisfaction with current postoperative condition between two fundoplication groups in achalasia treatment. Material and methods Our retrospective study included 97 consecutive patients with achalasia: 37 patients underwent laparoscopic posterior Toupet (270°) fundoplication followed by Heller myotomy (group I); 60 patients underwent laparoscopic anterior partial Dor fundoplication followed by Heller myotomy (group II). Long-term follow-up results included evaluation of dysphagia symptoms, intensity of heartburn and patient satisfaction with current condition. Results Patients in these two groups did not differ according to age, weight, height, postoperative stay or follow-up period. Laparoscopic myotomy with posterior Toupet fundoplication was effective in 89% of patients, while laparoscopic myotomy with anterior Dor was effective in 93% of patients (p > 0.05). 11% of patients after posterior Toupet fundoplication had clinically significant heartburn vs. 35% of patients after anterior Dor fundoplication (p < 0.05). Overall patient satisfaction with current condition was 88%, with no significant difference between the groups. Conclusions According to our study results, the two laparoscopic techniques were similarly effective in reducing achalasia symptoms, but postoperative clinical manifestation of heartburn is significantly more frequent after anterior Dor fundoplication (35% vs. 11%). The majority of patients (88%) were satisfied with operation outcomes. PMID:29062443

Outcomes of treatment for achalasia depend on manometric subtype

NARCIS (Netherlands)

Rohof, Wout O.; Salvador, Renato; Annese, Vito; Bruley des Varannes, Stanislas; Chaussade, Stanislas; Costantini, Mario; Elizalde, J. Ignasi; Gaudric, Marianne; Smout, Andre J.; Tack, Jan; Busch, Olivier R.; Zaninotto, Giovanni; Boeckxstaens, Guy E.

2013-01-01

Patients with achalasia are treated with either pneumatic dilation (PD) or laparoscopic Heller myotomy (LHM), which have comparable rates of success. We evaluated whether manometric subtype was associated with response to treatment in a large population of patients treated with either PD or LHM (the

Hoe veranderen we de wereld? Of: Zandkastelen bouwen in de regen

NARCIS (Netherlands)

Douglas, Scott|info:eu-repo/dai/nl/370529529

2013-01-01

Bundel met essays van Alain Badiou, Margaret Atwood, John Gray, Rory Stewart, Parag Khanna, Evgeny Morozov, Rory Sutherland, Agnes Heller, Roger Scruton, Daniel Pick en de winnaar van de Nexus Connect-essaywedstrijd, Scott Douglas. Het mandaat om de wereld te veranderen moet worden teruggegeven aan

Kas teha konteinerklass? / Raivo Juurak

Index Scriptorium Estoniae

Juurak, Raivo, 1949-

2011-01-01

Koolikorraldusest ja koolidesse vastuvõtust Soomes, Saksamaal ja Inglismaal. Arvamusi avaldavad Soomes õpetajana töötavad Tiiu Jürisson ja Arvi Nikkarev, pikaajalise Soomes töötamise kogemusega TLÜ lektor Anu Carlsson ning Saksamaal Hessenis õpetajana töötav Kadri Heller

Mitmekordsed rollimängud / Aita Kivi

Index Scriptorium Estoniae

Kivi, Aita, 1954-

2000-01-01

Sisu : Toomas Vint. Nädalavahetusel. Mängides; William Somerset Maugham. Jõulupuhkus; Meredith Rich. Parfüümi essents; Tordis ₍rjasaeter. Inimeste südamed : Sigrid Undset; C. David Heymann. Naine nimega Jackie; Heljo Jaik-Corradi. Mõtteid ei saa pidada; Jane Heller. Mõrvakatse merel

76 FR 29750 - Filing Dates for the Nevada Special Election in the 2nd Congressional District

Science.gov (United States)

2011-05-23

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Nevada has scheduled a Special General Election on September 13, 2011, to fill... Heller. Committees required to file reports in connection with the Special General Election on September...

Description of a new species of Petrolisthes in the Indo-West Pacific with a redefinition of P.hastatus Stimpson, 1858 and resurrection of P.inermis (Heller, 1862) (Crustacea, Anomura, Porcellanidae).

Science.gov (United States)

Werding, Bernd; Hiller, Alexandra

2015-01-01

The porcellanid crab Petrolistheshastatus Stimpson, 1858, has been traditionally viewed as a highly variable species with a wide distribution in the West Pacific. For more than a century there has been taxonomic confusion of this species with morphologically similar taxa, some of which were synonymized with Stimpson's taxon. We redefine Petrolistheshastatus, resurrect Petrolisthesinermis as a valid species, discuss the status of Petrolisthestenkatei De Man, 1893, and describe a new species as Petrolistheselegantissimus from Indonesia.

Description of a new species of Petrolisthes in the Indo-West Pacific with a redefinition of P. hastatus Stimpson, 1858 and resurrection of P. inermis (Heller, 1862 (Crustacea, Anomura, Porcellanidae

Directory of Open Access Journals (Sweden)

Bernd Werding

2015-08-01

Full Text Available The porcellanid crab Petrolisthes hastatus Stimpson, 1858, has been traditionally viewed as a highly variable species with a wide distribution in the West Pacific. For more than a century there has been taxonomic confusion of this species with morphologically similar taxa, some of which were synonymized with Stimpson’s taxon. We redefine P. hastatus, resurrect P. inermis as a valid species, discuss the status of P. tenkatei De Man, 1893, and describe a new species as P. elegantissimus from Indonesia.

Maturity stages of Pink Shrimp Farfantepenaeus notialis (Penaeidae) in the Colombian Caribbean

International Nuclear Information System (INIS)

Perez Ferro, Daniel Giovanny; Paramo Granados, Jorge Enrique

2014-01-01

The pink Shrimp Farfantepenaeus notialis is one resource of great socioeconomic importance in the Caribbean region. However, this species has been overexploited in the last decades and there is a lack of biological and fishery information. For such reason, the objective of the present study is to determine and characterize the maturity stages a macroscopic and microscopic level of the pink Shrimp (F. notialis) as input for its management. The samples were taking from June of 2012 and May 2013, on board shrimp commercial vessels in the Colombian Caribbean. The females of F. notialis were identified and preserved for the histologic analysis and some gonads were fixed. Data of size, weight and sex were taken. The gonadal stages were determined from the morphology and coloration of gonad and to microscopic determination were carried out histologic cut from samples of thirty gonads from all stages. A total of 3019 females were obtained from F. notialis, to which five stages of gonadal development were found and described. The macroscopic results were corroborated with the analysis ovocyte development a microscopic level. The development of ovocyte was coherent to that reported for F. brevirostris in the Colombian pacific and F. paulensis in the north coast of Brazil. These results are a contribution of the great scientific importance to the determination of maturity of F. notialis in the Colombian Caribbean.

Application of refractive index mixing rules in binary systems of ...

Indian Academy of Sciences (India)

... entire mole fraction range of hexadecane and heptadecane at the three temperatures. Comparison of various mixing rules has been expressed in terms of average percentage deviation. The performance of the Lorentz- Lorenz and Heller relations is relatively better than that of the Weiner and Gladstone-Dale relations.

Algajate võidukäik / Krista Kaer

Index Scriptorium Estoniae

Kaer, Krista

2003-01-01

2003. a. kandideerisid Bookeri auhinnale Monica Ali (romaan "Brick Lane"), Zoë Heller ("Märkmeid skandaali kohta"), Margaret Atwood ("Oryx ja Crake"), DBC Pierre (tegel. Peter Finlay, "Vernon God Little"), Damon Galgut ("Hea arst") ning Clare Morrall ("Hämmastavad värvilaigud"). Auhinna võitis DBC Pierre

Krise, kritik og samtidsdiagnostik

DEFF Research Database (Denmark)

Kristensen, Jens Erik

2008-01-01

sjældent de teoretiske, analytiske og retoriske implikationer af diagnoseperspektivet alvorligt. Af samme grund bemærker man heller ikke farerne ved en ureflekteret og metaforisk omgang med diagnose-termen, f.eks. den at man uforvarende kommer til at forskrive sig til den medicinske diskurs' dualismer...

Review of the genera of Conoderinae (Coleoptera, Curculionidae from North America, Central America, and the Caribbean

Directory of Open Access Journals (Sweden)

Salvatore S. Anzaldo

2017-07-01

Full Text Available The thirty-nine extant genera of Conoderinae known to occur in North America, Central America, and the Caribbean are reviewed based on external morphology. An identification key is provided along with diagnoses, distributions, species counts, and natural history information, when known, for each genus. Morphological character systems of importance for weevil classification are surveyed, potential relationships among the tribes and genera are discussed, and groups most in need of taxonomic and phylogenetic attention are identified. The following genera are transferred to new tribes: Acoptus LeConte, 1876 from the Lechriopini to the Othippiini (new placement and the South American genus Hedycera Pascoe, 1870 from the Lechriopini to the Piazurini (new placement. Philides Champion, 1906 and Philinna Champion, 1906 are transferred from the Lechriopini to Conoderinae incertae sedis (new placement although their placement as conoderines is uncertain. The species Copturomimus cinereus Heller, 1895 is designated as the type species of the genus Copturomimus Heller, 1895.

Sleep Resilience, Comorbid Anxiety, and Treatment in a Murine Model of PTSD

Science.gov (United States)

2014-04-01

cell replication. Diabetes 56: 1792– 1801. 32. Benington JH, Kodali SK, Heller HC (1994) Scoring transitions to REM sleep in rats based on the EEG...RL, Abbott SB, Depuy SD, Fortuna MG, et al. (2010) Central CO2 chemoreception and integrated neural mechanisms of cardiovas- cular and respiratory

BBC ja HBO taaselustasid Rooma viletsuse ja hiilguse / Brigitta Davidjants

Index Scriptorium Estoniae

Davidjants, Brigitta, 1983-

2005-01-01

12-osaline ajalooline kostüümidraama - seriaali Rooma impeeriumi ajast "Rooma" tootsid Ameerika tootja Home Box Office (HBO) ja inglaste BBC. Esimest osa "Varastatud kotkas" näitas HBO 28. augustil. Kolme esimese osa režissöör on Michael Apted, stsenaariumi eest vastutab Bruno Heller

Annual Review of Applied Linguistics, Volume 5, 1984.

Science.gov (United States)

Kaplan, Robert B., Ed.

This volume of the annual review includes introductory remarks by G. Richard Tucker and these papers: "Current Issues in Bilingualism: An Update of Directions in Research" (Braj B. Kachru); "Psycholinguistics: Application. The Writing System as a Native Language for the Deaf" (Danny D. Steinberg); "Sociolinguistics: Theory" (Monica Heller);…

On Space and Time

Science.gov (United States)

Majid, Shahn; Polkinghorne, With contributions by John; Penrose, Roger; Taylor, Andrew; Connes, Alain; Heller, Michael

2012-03-01

Preface; 1. The dark universe A. N. Taylor; 2. Quantum spacetime and physical reality S. Majid; 3. Causality, quantum theory and cosmology R. Penrose; 4. On the fine structure of spacetime A. Connes; 5. Where physics meets metaphysics M. Heller; 6. The nature of time J. C. Polkinghorne; Index.

El contenido semántico de una estructura sintáctica

DEFF Research Database (Denmark)

Jensen, Kjær

2000-01-01

Undersøgelse af verber som amanecer, tronar, nevar etc. der normalt ikke tillader subjekter og heller ikke optræder i konstruktioner med det refleksive pronomen 'se'. Alligevel forekommer sætningen "se amanece". De syntaktiske og semantiske problemer i forbindelse med strukturer som "se vive bien...

Investigation of geochemical characteristics of some natural water systems by nondestructive radioactivation analysis

International Nuclear Information System (INIS)

Draskovic, R.

1977-01-01

In this thesis the new theoretical and systematized approaches to the investigation of continental water systems (rivers, lakes, swamps etc) with the aim of its biogeochemical characterization are given and discussed. By nondestructive radioactivation analysis some elements (Cr, Fe, Co, Sb, Sc, Na acro and trace elements level) in components of investigated water system are determined. These elements has been determined in materials dissolved in water, suspended and bed materials, soils and the living matter populating the rivers systems Danube, Sava, V.Morava, Tisa, Karas and some lakes also (plankton, algae, benthos, crustacea, benthos, shalls and fishes) in Yugoslavia. The results are presented and discussed on the basis of parameters ''content of elements'' (new theoretical approaches) for these systems (Csub(w)-water; Csub(s)-suspended and bed materials; Csub(t)-soils; Csub(vivo)-living matter: plankton - Csub(p); aglae - Csub(al); benthos - Csub(b); crustacea - Csub(c); fishes - Csub(f)) expressed in ppm. Distribution on parameters (Fsub(x,y)) for the pairs of components of water systems also are given. The ''contents of elements'' - parameters are biogeochemical standards characterizing investigated water systems and ecological and environmental important parameters, too

The Role of Economic Factors in the Choice of Medical Providers in ...

African Journals Online (AJOL)

ahavugimana

that reduce health care cost would substantially increase the use of health services. Second, since an ... In addition, most of studies on demand for health care have not controlled ... correlated with the use of alternatives health facilities. However ... Heller (1982) showed that the choice of service providers was inelastic to ...

A universal model of giftedness - adaptation of the Munich Model

NARCIS (Netherlands)

Jessurun, J.H.; Shearer, C.B.; Weggeman, M.C.D.P.

2016-01-01

The Munich Model of Giftedness (MMG) by Heller and his colleagues, developed for the identification of gifted children, is adapted and expanded, with the aim of making it more universally usable as a model for the pathway from talents to performance. On the side of the talent-factors, the concept of

US moet nog ver vorder

DEFF Research Database (Denmark)

Bergenholtz, Henning

2006-01-01

Sprogpolitik består ikke udelukkende i valg af undervisningssprog, heller ikke på et universitet. Når rektor på universitetet i Stellenbosch, Chris Brink, i sin nye bog, The taaldebat at Stellenbosch, kun diskuterer undervisningssproget, foreligger der en så stor grad af forenkling, at en stor de...

Copepoda: Siphonostomatoida

African Journals Online (AJOL)

On the fine structure of female CaJigus infeslans Heller, 1865. (Copepoda: Siphonostomatoida). W.H. Oldewage* and J.G. van As. Research Unit for Fish Biology, Rand Afrikaans University, P.O. Box 524, Johannesburg, 2000, Republic of South Africa. Received 13 April 1987; accepted 16 November 1987. Although much ...

Identifying and Nurturing the Gifted: An International Perspective.

Science.gov (United States)

Heller, Kurt A., Ed.; Feldhusen, John F., Ed.

The volume consists of papers from the 1985 symposium "Identification of the Gifted" at the Sixth World Conference on Gifted and Talented Children in Hamburg (Federal Republic of Germany). Twelve chapters have the following titles and authors: (1) "Introduction" (J. F. Feldhusen and K. A. Heller); (2) "A Conception of…

Brain architecture in the terrestrial hermit crab Coenobita clypeatus (Anomura, Coenobitidae, a crustacean with a good aerial sense of smell

Directory of Open Access Journals (Sweden)

Hansson Bill S

2008-06-01

Full Text Available Abstract Background During the evolutionary radiation of Crustacea, several lineages in this taxon convergently succeeded in meeting the physiological challenges connected to establishing a fully terrestrial life style. These physiological adaptations include the need for sensory organs of terrestrial species to function in air rather than in water. Previous behavioral and neuroethological studies have provided solid evidence that the land hermit crabs (Coenobitidae, Anomura are a group of crustaceans that have evolved a good sense of aerial olfaction during the conquest of land. We wanted to study the central olfactory processing areas in the brains of these organisms and to that end analyzed the brain of Coenobita clypeatus (Herbst, 1791; Anomura, Coenobitidae, a fully terrestrial tropical hermit crab, by immunohistochemistry against synaptic proteins, serotonin, FMRFamide-related peptides, and glutamine synthetase. Results The primary olfactory centers in this species dominate the brain and are composed of many elongate olfactory glomeruli. The secondary olfactory centers that receive an input from olfactory projection neurons are almost equally large as the olfactory lobes and are organized into parallel neuropil lamellae. The architecture of the optic neuropils and those areas associated with antenna two suggest that C. clypeatus has visual and mechanosensory skills that are comparable to those of marine Crustacea. Conclusion In parallel to previous behavioral findings of a good sense of aerial olfaction in C. clypeatus, our results indicate that in fact their central olfactory pathway is most prominent, indicating that olfaction is a major sensory modality that these brains process. Interestingly, the secondary olfactory neuropils of insects, the mushroom bodies, also display a layered structure (vertical and medial lobes, superficially similar to the lamellae in the secondary olfactory centers of C. clypeatus. More detailed analyses with

Cangrejos Gecarcinidos (Crustacea; Gecarcinidae de Colombia Cangrejos Gecarcinidos (Crustacea; Gecarcinidae de Colombia

Directory of Open Access Journals (Sweden)

Prahl Henry von

1984-09-01

Full Text Available Diagnostic patterns and figures allow correct identifications of those crabs; also coloration, ecology and their distribution are given. The following crabs are reported for Colombia: Gecarcinus (Gecarcinus ruricola (Linnaeus, 1758, G. (G. lateralis lateralis (Freminville, 1835, G. (G. lateralis quadratus Saussure, 1835, G. (lohngarthia malpilensis Faxon, 1893, Cardisoma guanhumi Latreille, 1825, C. crassum Smith, 1870, Ucides cordatus cordatus (Linnaeus, 1763 and U. cordatus occidentalis. (Ortman, 1898. Se presentan diagnósticos sistemáticos y figuras, que permiten la correcta identificación de estos cangrejos, adicionando notas sobre su coloración, ecología, distribución general y distribución en Colombia.Se reportan las siguientes especies: Gecarcinus (Gecarcinus ruricola (Linnaeus, 1758, G. (G. lateralis lateralis (Freminville, 1835, G. (G. lateralis quadratus Saussure, 1835, G. (lohngarthia malpilensis Faxon, 1839, Cardisoma guanhumi Latreille, 1825, C. crassum Smith, 1870, Ucides cordatus cordatus (Linnaeus, 1763 y U. cordatus occidentalis (Ortman, 1898.   

FN-konventioner skader integration

DEFF Research Database (Denmark)

Bøss, Michael

2005-01-01

De færreste borgere i Danmark kan være interesseret i FNs kampagne for, at multietniske stater skal føre en "multikulturel politik i forhold til etniske mindretal. En sådan identitetspolitik kan heller ikke mindretallene selv være interesseret i. Ydermere vil en inkorporering af FN-konventionerne...

Conversion of DST Group Shape Optimisation Software for Increased Portability across Computing Platforms

Science.gov (United States)

2016-05-01

reduction achieved is small due to the starting shape being near optimal. The general arrangement and x-y coordinate system are shown in Figure 23...Optimization, Vol. 28, pp. 55–68, 2004. [3] M Heller, J Calero, S Barter , RJ Wescott, J Choi. Fatigue life extension program for LAU-7 missile launcher

"Rooma" äratab 2000 aasta taguse hiilguse / Andri Maimets

Index Scriptorium Estoniae

Maimets, Andri, 1979-

2006-01-01

Ajalooline kostüümidraama - seriaal Rooma impeeriumi ajast "Rooma" : tootjad Ameerika Home Box Office (HBO) ja inglaste BBC. Artikkel on reportaaž Rooma filmistuudiost Cinecitta, kus on üleval seriaali elusuuruses dekoratsioonid ning selgitusi annavad ajalooline nõustaja Jonathan Stamp, produtsent-stsenarist Bruno Heller, kostüümikunstnik April Ferry jt.

'Friheden er kun for dem, der tænker anderledes'

DEFF Research Database (Denmark)

Bryld, Claus

2017-01-01

Da Rosa Luxemburg sad fængslet for sin krigsmodstand i 1918, lavede hun sin samtids klogeste politiske analyse. I hendes tanker er der stadig inspiration at hente for nutidens socialister, men heller ikke hun var i stand til at forestille sig det 21. århundredes problemer med truslen mod selve jo...

Pneumodilation versus laparoscopic Heller's myotomy for achalasia

LENUS (Irish Health Repository)

Slattery, E

2011-08-04

Boeckxstaens et al. (May 12 issue)1 compare single laparoscopic myotomy with a series of pneumodilation procedures for patients with achalasia. They found no significant difference in outcomes between the two groups, although perforation occurred in 4% of patients in the pneumodilation group and often required emergency treatment. No significant clinical adverse outcomes occurred in the surgical group.\\r\

Selection of Mercury Accumulator Plants for Gold Mine Tailing Contaminated Soils

OpenAIRE

Muddarisna, N; Krisnayanti, B D

2015-01-01

Phytoremediation, which is more efficient with less side effects than conventional physical and chemical methods, is increasing in popularity as a remediation system. This paper provides a brief overview of developments in research and application of phytoremediation of soil contaminated with gold mine tailings containing mercury. Lindernia crustacea L., Digitaria radicosa Presl. Miq., Zingiber purpurium L, Paspalum conjugatum Berg., Cyperus kyllingia Endl., and Caladium bicolor Vent., that w...

[Surgical treatment of achalasia - endoscopic or laparoscopic? : Proposal for a tailored approach].

Science.gov (United States)

Rahden, B H A von; Filser, J; Al-Nasser, M; Germer, C-T

2017-03-01

Primary idiopathic achalasia is the most common form of the rare esophageal motility disorders. A curative therapy which restores the normal motility does not exist; however, the therapeutic principle of cardiomyotomy according to Ernst Heller leads to excellent symptom control in the majority of cases. The established standard approach is Heller myotomy through the laparoscopic route (LHM), combined with Dor anterior fundoplication for reflux prophylaxis/therapy. At least four meta-analyses of randomized controlled trials (RCTs) have demonstrated superiority of LHM over pneumatic dilation (PD); therefore, LHM should be used as first line therapy (without prior PD) in all operable patients. Peroral endoscopic myotomy (POEM) is a new alternative approach, which enables Heller myotomy to be performed though the endoscopic submucosal route. The POEM procedure has a low complication rate and also leads to good control of dysphagia but reflux rates can possibly be slightly higher (20-30%). Long-term results of POEM are still scarce and the results of the prospective randomized multicenter trial POEM vs. LHM are not yet available; however, POEM seems to be the preferred treatment option for certain indications. Within the framework of the tailored approach for achalasia management of POEM vs. LHM established in Würzburg, we recommend long-segment POEM for patients with type III achalasia (spasmodic) and other hypercontractile motility disorders and potentially type II achalasia (panesophageal compression) with chest pain as the lead symptom, whereas LHM can also be selected for type I. For sigmoid achalasia, especially with siphon-like transformation of the esophagogastric junction, simultaneous hiatal hernia and epiphrenic diverticula, LHM is still the preferred approach. The choice of the procedure for revisional surgery in case of recurrent dysphagia depends on the suspected mechanism (morphological vs. functional/neuromotor).

Laparoscopic surgery for esophageal achalasia: Multiport vs single-incision approach.

Science.gov (United States)

Fukuda, Shuichi; Nakajima, Kiyokazu; Miyazaki, Yasuhiro; Takahashi, Tsuyoshi; Makino, Tomoki; Kurokawa, Yukinori; Yamasaki, Makoto; Miyata, Hiroshi; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro

2016-02-01

SILS can potentially improve aesthetic outcomes without adversely affecting treatment outcomes, but these outcomes are uncertain in laparoscopic Heller-Dor surgery. We determined if the degree of patient satisfaction with aesthetic outcomes progressed with the equivalent treatment outcomes after the introduction of a single-incision approach to laparoscopic Heller-Dor surgery. We retrospectively reviewed 20 consecutive esophageal achalasia patients (multiport approach, n = 10; single-incision approach, n = 10) and assessed the treatment outcomes and patient satisfaction with the aesthetic outcomes. In the single-incision approach, thin supportive devices were routinely used to gain exposure to the esophageal hiatus. No statistically significant differences in the operating time (210.2 ± 28.8 vs 223.5 ± 46.3 min; P = 0.4503) or blood loss (14.0 ± 31.7 vs 16.0 ± 17.8 mL; P = 0.8637) were detected between the multiport and single-incision approaches. We experienced no intraoperative complications. Mild dysphagia, which resolved spontaneously, was noted postoperatively in one patient treated with the multiport approach. The reduction rate of the maximum lower esophageal sphincter pressure was 25.1 ± 34.4% for the multiport approach and 21.8 ± 19.2% for the single-incision approach (P = 0.8266). Patient satisfaction with aesthetic outcomes was greater for the single-incision approach than for the multiport approach. When single-incision laparoscopic Heller-Dor surgery was performed adequately and combined with the use of thin supportive devices, patient satisfaction with the aesthetic outcomes was higher and treatment outcomes were equivalent to those of the multiport approach. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

Casualties of War: Combat Trauma and the Return of the Combat Veteran

Science.gov (United States)

Kiely, Denis O.; Swift, Lisa

2009-01-01

The experience of the combat soldier and the road back to civilian life are recurrent themes in American literature and cinema. Whether the treatment is tragic (Stephen Crane's "Red Badge of Courage", Tim O'Brien's "The Things They Carried", or Tony Scott's "Blackhawk Down"), satirical (Joseph Heller's "Catch Twenty-Two" and Robert Altman's…

E-bogen kom, blev set og sejrede

DEFF Research Database (Denmark)

Rask, Morten

2000-01-01

første har jeg ingen e-bogsenhed. Til gengæld har jeg en laptop, en Internet-forbindelse, en printer, en stak A4-ark og en (kraftig) hæftemaskine, suppleret med en PalmPilot til rejseguides. Jeg har heller ikke noget specielt Microsoft læsesoftware, men Acrobat Reader/Creator, Microsoft Explorer...

Peroral endoscopic myotomy (POEM) for treating esophageal motility disorders

Science.gov (United States)

Wong, Ian

2017-01-01

Pneumatic dilatation and Heller myotomy have been thoroughly studied as the most viable treatment options for achalasia. The pendulum, however, is shifting to the minimally invasive approach. Since Inoue et al. published the experience of the first 17 cases of peroral endoscopic myotomy (POEM) in 2010, there have been at least 5,000 cases performed worldwide and the number is increasing exponentially. Experts across the globe have been extending the indications to various esophageal motility disorders, to patients of extremes of age, sigmoidal esophagus and re-operated patients. There are a few variations in technique across different centers in defining the gastroesophageal junction (GEJ) and adequacy of myotomy, the optimal length, site of myotomy and whether the full thickness of the muscle wall should be cut. Large case series demonstrated its promising efficacy & reasonable complication profile. Randomized controlled trial in comparison with the gold standard, Heller myotomy, is ongoing. The future application of submucosal tunnelling technique is thrilling with its extension in tumour resection, antropyloromyotomy and other natural orifice transluminal endoscopic surgery (NOTES). PMID:28616407

[Reproduction of the pink shrimp Farfantepenaeus notialis (Decapoda: Penaeidae) in the Colombian Caribbean].

Science.gov (United States)

Paramo, Jorge; Pérez, Daniel; Wolff, Matthias

2014-06-01

The shallow water pink shrimp (Farfantepenaeus notialis) is among the socioeconomically most important resources of the Caribbean. The lack of biological and fishery information is of great concern for the fisheries management authorities. The presented study therefore aimed at the investigation of the reproductive cycle, the size composition and the size at first maturity of this species as a basis for the ordination and management of this resource. The study was conducted from June 2012 to May 2013 off the coast of the Caribbean Sea of Colombia. A total of 5 356 individuals were collected, identified, classified and preserved for their subsequent analysis in the laboratory. Size, weight, sex and gonad stage were recorded for each specimen. Significant differences were found in sex ratio in all months sampled with a clear predominance of females. Mature females were found year-around, but two reproductive peaks were identified during the periods October-December and April-June. The mean catch total length size (MCS) for females and males was 148.00mm and 122.54mm, respectively. The mean size at maturity (LT50%) was 129.34mm for females and 97.77mm for males. MCS was always above LT50% for both sexes. Considering the large reduction in fishing effort in the Colombian Caribbean Sea over the last years, we could expect that the shrimp population is in a rebuilding process or perhaps it may be already restored.

Larval and postlarval stages of Atypopenaeus Alcock (Decapoda, Penaeidae: Penaeinae) from Indian Ocean

Digital Repository Service at National Institute of Oceanography (India)

Paulinose, V.T.

Two of the early mysis stages and an early postlarva of a species of Atypopenaeus are described here for the first time. A total of 15 specimens were obtained from the Indian Ocean during the International Indian Ocean Expedition (IIOE). The species...

(Stuhlmann, 1891) (Crustacea: Branchiura)

African Journals Online (AJOL)

1989-02-06

Feb 6, 1989 ... Serial sections of Dolops ranarum were used to reconstruct the female reproductive system. The histology of the different regions is ... in a bath at room temperature, releasing the sections before they touched the water. ... the left side of the body, while Grobben (1908) concludes that a single ovary is ...

Atypical feeding behavior of Long-tailed Ducks in the wake of a commercial fishing boat while clamming

Science.gov (United States)

Perry, Matthew; Osenton, Peter C.; White, Timothy P.

2017-01-01

A foraging group of Clangula hyemalis (Long-tailed Duck) was observed on 10 February 2010 diving behind a commercial boat that was clamming near Monomoy Island, Nantucket Sound, MA. We used a shotgun to collect 9 of the ducks, and our analyses of gizzard and gullet (esophagus and proventriculus) revealed 37 food items in the gizzard and 16 in the gullet. Mollusca were the dominant food in the gizzard (49%), whereas Crustacea were dominant in the gullet (57%). Crustacea were the second most important food in the gizzard (38%), whereas Mollusca were the second most important food in the gullet (31%). Relatively high volumes of the Amphipoda Caprella sp. (skeleton shrimp) and the Decopoda Crangon septemspinosa (Sand Shrimp) were recorded in the gullet and gizzard. Ensis directus (Atlantic Jackknife Clam) formed the greatest volume of Mollusca in the gizzard (15%) and in the gullet (15%). Long-tailed Ducks had fed on this Bivalvia and several other species of Mollusca that had no shell or broken shell when consumed. Many of the food organisms were apparently dislodged and some damaged by the clamming operation creating an opportunistic feeding strategy for the Long-tailed Ducks.

Endoscopic Pneumatic Dilation for Esophageal Achalasia.

Science.gov (United States)

Markar, Sheraz; Zaninotto, Giovanni

2018-04-01

Pneumatic dilation is a well-established treatment modality that has withstood the test of time. Prospective and randomized trials have shown that in expert hands, it provides results similar to a laparoscopic Heller myotomy with fundoplication. In addition, it should be considered the primary form of treatment in patients who experience recurrence of symptoms after a surgical myotomy.

Involverende ledelseshåndtering af det flerkulturelle forældregrundlag

DEFF Research Database (Denmark)

Padovan-Özdemir, Marta

2017-01-01

Forældresamarbejde i dagtilbud og skole er ikke hvad det har været – og det bør det heller ikke være, når forældregrundlaget ændrer sig i takt med globalisering og grænseoverskridende migration. Ledelsen spiller en afgørende rolle i at facilitere involverende og anerkendende forandringsprocesser,...

Untitled

Indian Academy of Sciences (India)

The Development of Herdmania pallida (Heller) 183. 12 hours. After fixation, metamorphosis is marked by the contraction of the tail. The contents of the latter break up into small bits and are resorbed, the resorption beginning from the posterior end, until finally the outer cuticle of the tail remains for sometime as a hollow tube ...

Innovative universiteter og kreative kundskabsbyer

DEFF Research Database (Denmark)

Kiib, Hans

2009-01-01

universitet være i fremtiden?Skal man satse på campusudbygning i forstaden eller skal man hellere lokalisere uddannelser sammen i byens centrum?Er der universelle løsninger eller skal vi arbejde med flere modeller? Artiklen etablerer et tilbageblik på de værdier og mål, som velfærdsbyens campusplanlægning...

A Universal Model of Giftedness--An Adaptation of the Munich Model

Science.gov (United States)

Jessurun, J. H.; Shearer, C. B.; Weggeman, M. C. D. P.

2016-01-01

The Munich Model of Giftedness (MMG) by Heller and his colleagues, developed for the identification of gifted children, is adapted and expanded, with the aim of making it more universally usable as a model for the pathway from talents to performance. On the side of the talent-factors, the concept of multiple intelligences is introduced, and the…

[Feeding habits of Lutjanus guttatus (Pisces: Lutjanidae) at Los Cóbanos and Puerto La Libertad, El Salvador].

Science.gov (United States)

Rodrigo Rojas, José; Maravilla, Erick; Chicas, Francisco

2004-03-01

Abstract: A total of 175 spotted snapper Lutjanus guttatus were collected monthly in the Los Cobanos and Puerto La Libertad, El Salvador, from January to December 2000 to determine its feeding habits. The fishes studied ranged 9.8 - 58.0 cm in total length. Were collected using push-net and hook and line. This snapper is a bentonic opportunistic carnivorous predator. The total biomass of the stomach contents was 260.5 g. Crustaceans (Squillidae, Portunidae, Dynomenidae. Penaeidae, Sicyoniidae, Callianassidae), were the most abundant group: they accounted for 50.4% of the total biomass. Numerically, Portunus asper was the most abundant prey. Ontogenic differences were observed in the diet. In juveniles (16 cm TL). at any time of the year, the most frequent and abundant components were crustaceans and in adults were crustaceans, fishes and mollusks. The relative importance of different components of the diet was assessed with two indexes that combine. in different ways. percentage frequency of occurrence, percentage number and percentage weight of prey categories. The commercial use this resource and the absence of management strategies are discussed.

Secondary ion mass spectrometry and environment. SIMS as applied to the detection of stable and radioactive isotopes in marine organisms

International Nuclear Information System (INIS)

Chassard-Bouchaud, C.; Escaig, F.; Hallegot, P.

1984-01-01

Several marine species of economical interest, Crustacea (crabs and prawns) and Molluscs (common mussels and oysters) were collected from coastal waters of France: English Channel, Atlantic Ocean and Mediterranean Sea and of Japan. Microanalyses which were performed at the tissue and cell levels, using Secondary Ion Mass Spectrometry, revealed many contaminants; stable isotopes as well as radioactive actinids such as uranium were detected. Uptake, storage and excretion target organs were identified [fr

Application of Organic Matter to Enhance Phytoremediation of Mercury Contaminated Soils Using Local Plant Species: a Case Study on Small-scale Gold Mining Locations in Banyuwangi of East Java

OpenAIRE

Muddarisna, N; Siahaan, B C

2014-01-01

The discharge of small-scale gold mine tailing to agricultural lands at Pesanggaran village of Banyuwangi Regency caused soil degradation as indicated by reduced crop production. This soil degradation is mainly due to the toxicity of mercury contained in the tailing. The purpose of this study was to explore the potential of three local plant species, i.e. Lindernia crustacea, Digitaria radicosa, and Cyperus kyllingia for phytoremediation of agricultural land contaminated gold mine waste conta...

Molecular cloning and expression analysis of a cDNAs encoding androgenic gland hormone precursors from two Porcellionidae species, Porcellio scaber and P. dilatatus

OpenAIRE

Ohira, Tsuyoshi; Hasegawa, Yuriko; Okuno, Atsuro; Nagasawa, Hiromichi

2003-01-01

Male sexual characteristics in Crustacea are induced by androgenic gland hormone (AGH), which is produced by the male-specific androgenic gland. Recently, AGH in the terrestrial isopod Armadillidium vulgare was characterized and its cDNA cloned, the first example in which the structure of AGH was elucidated. We report here the molecular cloning of cDNAs encoding AGH precursors from two additional terrestrial isopods, Porcellio scaber and P. dilatatus. cDNA fragments encoding Porcellio scaber ...

Lichenological studies in Puerto Rico: history and current status

Science.gov (United States)

Joel A. Mercado-Diaz; Eugenio Santiago-Valentin

2010-01-01

European scientists initiated lichenology in Puerto Rico in the 19th century. Activity of the discipline increased notably on the island during the first three decades of the 20th century, primarily by the field explorations and publications of the New York Botanical Garden scientists and associates (A. A. Heller, N. L. and E. G. Britton, L. W. Riddle), and by the work...

Achalasia: Dilation, Injection or Surgery?

OpenAIRE

Peracchia, Alberto; Bonavina, Luigi

2000-01-01

Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.

Kampskrift for Unytten!

DEFF Research Database (Denmark)

Olsen, Jens Skou

: hvorfor skal livet bæres - skal det ikke hellere væres? Vi skal ikke bære musikken, og musikken bærer ikke os - i det musi- ske bliver det tunge let, og det uoverkommelige lader sig uden videre gøre. Giver det mening at tale om "en bæredygtig balance mellem kundskaber og dannelse"? Nej, dannelsen kommer...

Post-national Citizenship in Europe

DEFF Research Database (Denmark)

Wind, Marlene

2009-01-01

Som et resultat af udviklingen i den Europæiske Union har regeringerne ikke længere eksklusiv kontrol over hvem der kan arbejde og opholde sig på deres territorier. Heller ikke over hvem, der kan få de social velfærdsydelser, der normalt er øremærket til statsborgere. EF-domstolen har de seneste ...

Hospitalization for esophageal achalasia in the United States.

Science.gov (United States)

Molena, Daniela; Mungo, Benedetto; Stem, Miloslawa; Lidor, Anne O

2015-09-25

To assess the outcome of different treatments in patients admitted for esophageal achalasia in the United States. This is a retrospective analysis using the Nationwide Inpatient Sample over an 8-year period (2003-2010). Patients admitted with a primary diagnosis of achalasia were divided into 3 groups based on their treatment: (1) Group 1: patients who underwent Heller myotomy during their hospital stay; (2) Group 2: patients who underwent esophagectomy; and (3) Group 3: patients not undergoing surgical treatment. Primary outcome was in-hospital mortality. Secondary outcomes included length of stay (LOS), discharge destination and total hospital charges. Among 27141 patients admitted with achalasia, nearly half (48.5%) underwent Heller myotomy, 2.5% underwent esophagectomy and 49.0% had endoscopic or other treatment. Patients in group 1 were younger, healthier, and had the lowest mortality when compared with the other two groups. Group 2 had the highest LOS and hospital charges among all groups. Group 3 had the highest mortality (1.2%, P achalasia carries exceedingly low mortality in the modern era; however, in complicated patients, even less invasive treatments are burdened by significant mortality and morbidity.

Nauplii production of white shrimp, Litopenaeus vannamei (Decapoda: Penaeidae, on-board of commercial trawlers

Directory of Open Access Journals (Sweden)

Carlos E Medina-Reyna

1999-12-01

Full Text Available Los laboratorios no han logrado producir suficientes nauplios de buena calidad por lo que sigue siendo necesario recolectar hembras maduras en alta mar. Sin embargo, no siempre se recolectan hembras en la condición inseminada. En este estudio, se evaluó la recolecta de hembras y producción de nauplios abordo de un barco camaronero durante un viaje comercial como una alternativa para el larvicultivo de Litopenaeus vannamei en el Golfo de Tehuantepec. Se efectuaron arrastres en la tarde hasta el anochecer. El mejor tiempo de arrastre fue de 20 min y produjo una captura media de 37 + 8 camarones adultos con una sobrevivencia de 72 + 3 %. Se observaron desoves desde las 11:00 PM hasta las 02:00 AM, con un máximo a las 12:00 PM. Se siguieron 14 desoves en cinco días, durante los cuales se produjeron 2.2 x 106 nauplios con una tasa media de fertilidad y de eclosión de 83 y 75 %, respectivamente. Este trabajo presenta una técnica que puede proveer de simientes para el larvicultivo a partir de los productos reproductivos de camarones capturados por la flota camaronera comercial.

Achalasia: Dilation, Injection or Surgery?

Directory of Open Access Journals (Sweden)

Alberto Peracchia

2000-01-01

Full Text Available Achalasia results from irreversible alterations of the esophageal myenteric plexus. The target of treatment in this setting is to reduce lower esophageal sphincter resistance to passage of the bolus. Definitive treatment of the disease requires pneumatic dilation or Heller myotomy. Although no controlled studies comparing modern endoscopic and surgical techniques are available, laparoscopic surgery is emerging as the initial intervention of choice.

Et værk, der ikke lader sig begrænse

DEFF Research Database (Denmark)

Hansen, Kamma Overgaard

2017-01-01

Det er ikke synd for naturen. Det er heller ikke synd for Aros. Men måske er det synd for kunsten. Katharina Grosses farveorgie 'The Garden' i Mindeparken har bragt sindene i kog og vendt op og ned på de politiske fløje og gjort det næsten umuligt at se værket som en æstetisk oplevelse frem...

Fundamental Studies of Transient, Atmospheric-Pressure, Small-Scale Plasmas

Science.gov (United States)

2017-01-23

C. Jiang, R. Heller, J. Lane, and K. H. Schoenbach, " Ozone -free nitric oxide production using an atmospheric pressure surface discharge – a way to...Electrostatic modeling and energy-dependent studies showed that the direct and indirect electron-induced processes in the pulsed plasma jet are responsible for...Coupled sliding discharges : a scalable nonthermal plasma system utilizing positive and negative streamers on DISTRIBUTION A: Distribution

LEPENGUE AN et al...xps

African Journals Online (AJOL)

HP Pro 2000

Heller R., Esnault R. et C. Lance. 2006. Physiologie végétale. Développement. 6e édition de l'abrégé, Editions Dunod, Paris, 366 p. Lépengué A.N., M'batchi B. et S. Aké. 2007. Impact de Phoma sabdariffae Sacc. sur la croissance et la valeur marchande de la roselle (Hibiscus sabdariffa L. var. sabdariffa) au Gabon. Rev.

Line Crack Subject to Antiplane Shear.

Science.gov (United States)

1978-07-01

shear is obtained for the initiation of fracture. If the concept of the surface tension is usedone is able to calculate the cohesive stress for brittle ...Expression of the Griffith -racture criterion for brittle fracture. We have arrived at this result via the maximum shear-stress hypothesis, rather than...Crescent Beach Road, Glen Cove Prof. G.S. Heller Long Island, New York 11542 Division of Engineering Brown University Prof. Daniel

2015 CEC Annual Workshop on Electrochemistry

Science.gov (United States)

2015-12-30

glucose oxidase to the advent of state-of-the-art continuous glucose monitoring devices. He stressed the importance of considering the patient’s...sensors where oxygen concentration is low, the so-called “electrical wiring” of glucose oxidase in order to replace the older methods that relied...the glucose oxidase enzymes. Heller ended the presentation by sharing the latest results of the implanted continuous glucose sensor from Abbot

Laparoscopic diverticulectomy with the aid of intraoperative gastrointestinal endoscopy to treat epiphrenic diverticulum

OpenAIRE

Lei Yu; Ji-xiang Wu; Xiao-hong Chen; Yun-Feng Zhang; Ji Ke

2016-01-01

OBJECTIVE: Most researchers believe that the presence of large epiphrenic diverticulum (ED) with severe symptoms should lead to the consideration of surgical options. The choice of minimally invasive techniques and whether Heller myotomy with antireflux fundoplication should be employed after diverticulectomy became points of debate. The aim of this study was to describe how to perform laparoscopic transhiatal diverticulectomy (LTD) and oesophagomyotomy with the aid of intraoperative gastroin...

Data analyses and perspectives on laparoscopic surgery for esophageal achalasia

OpenAIRE

Tsuboi, Kazuto; Omura, Nobuo; Yano, Fumiaki; Hoshino, Masato; Yamamoto, Se-Ryung; Akimoto, Shunsuke; Masuda, Takahiro; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

2015-01-01

In general, the treatment methods for esophageal achalasia are largely classified into four groups, including drug therapy using nitrite or a calcium channel blocker, botulinum toxin injection, endoscopic therapy such as endoscopic balloon dilation, and surgery. Various studies have suggested that the most effective treatment of esophageal achalasia is surgical therapy. The basic concept of this surgical therapy has not changed since Heller proposed esophageal myotomy for the purpose of resol...

Cerebral lateralization of the face-cortical network in left-handers: only the FFA does not get it right

OpenAIRE

Bukowski, Henryk; Rossion, Bruno; Schiltz, Christine; Hanseeuw; Dricot, Laurence

2010-01-01

Face processing is a function that is highly lateralized in humans, as supported by original evidence from brain lesion studies (Hecaen & Anguerlergues, 1962), followed by studies using divided visual field presentations (Heller & Levy, 1981), neuroimaging (Sergent et al., 1992) and event-related potentials (Bentin et al., 1996). Studies in non-human primates (Perrett et al., 1988; Zangenehpour & Chaudhuri, 2005), or other mammals (Peirce & Kendrick, 2001) support the right lateralization of ...

Draft Software Metrics Panels Final Report. Papers Presented at the 30 June 1980 Meeting on Software Metrics, Washington DC.

Science.gov (United States)

1980-06-01

measuring program understanding. Shneiderman, Mayer, McKay, and Heller [241 found that flowcharts are redundant and have a potential negative affect on...dictionaries of program variables are superior to macro flowcharts as an aid to understand program control and data structures. Chrysler [5], using no...procedures as do beginners . Also; guaranteeing that groups of begining programmers have equal ability is not trivial. 3-10 The problem with material

Effect of limb regeneration on size increase at molt of the shore crabs Hemigrapsus oregonensis and Pachygrapsus crassipes.

Science.gov (United States)

Kuris, A M; Mager, M

1975-09-01

Size increase at molt is reduced following multiple limb regeneration in the shore crabs, Hemigrapsus oregonensis and Pachygrapsus crassipes. Limb loss per se does not influence postmolt size. Effect of increasing number of regenerating limbs is additive. Postmolt size is programmed early in the premolt period of the preceding instar and is probably not readily influenced by water uptake mechanics at ecdysis. A simple model for growth, molting, and regeneration in heavily calcified Crustacea is developed from the viewpoint of adaptive strategies and energetic considerations.

Analisis Isi Lambung Ikan Senangin (Eleutheronema tetradactylum Shaw di Perairan Dumai

Directory of Open Access Journals (Sweden)

Titrawani Titrawani

2016-03-01

Full Text Available The research about stomach content analysis of thraedfin fish (Eleutheronema tetradactylum Shaw “senangin fish” in Dumai aquatic was taken out on July until Maret 2011. The research aimed to know the kind of senangin fish’s food include main food, supplement food and additional food. The used analysis based on Natarjan and Jingran in Effendi (1979, by analysis index of preponderance (Higher Part Index. Based on them main food of senangin fish are  Crustacea,  Engraulidae and animal debric.

The First Complete Mitochondrial Genome Sequences for Stomatopod Crustaceans: Implications for Phylogeny

Energy Technology Data Exchange (ETDEWEB)

Swinstrom, Kirsten; Caldwell, Roy; Fourcade, H. Matthew; Boore, Jeffrey L.

2005-09-07

We report the first complete mitochondrial genome sequences of stomatopods and compare their features to each other and to those of other crustaceans. Phylogenetic analyses of the concatenated mitochondrial protein-coding sequences were used to explore relationships within the Stomatopoda, within the malacostracan crustaceans, and among crustaceans and insects. Although these analyses support the monophyly of both Malacostraca and, within it, Stomatopoda, it also confirms the view of a paraphyletic Crustacea, with Malacostraca being more closely related to insects than to the branchiopod crustaceans.

Mortality of Kalliapseudes schubartii in unvegetated soft bottoms of the estuarine region of the Lagoa dos Patos

Directory of Open Access Journals (Sweden)

Fonseca Duane Barros

2006-01-01

Full Text Available Studies were carried iut on seasonal mortality by taking samples of Kalliapseudes schubartii (Crustacea: Tanaidacea for a year in the estuarine region of the Lagoa dos Patos (southern Brazil. Results demonstrated no significant difference in seasonal mortality rates, which suggest that populations of K. schubartii was heavily preyed on year round and that an assumption of a significantly higher mortality in summer/autumn than in spring/winter might not be held in unvegetated soft bottoms of the estuarine regions of the Lagoa dos Patos.

Studies of the reproductive biology of deep-sea megabenthos

International Nuclear Information System (INIS)

Tyler, P.A.

1987-07-01

The final report describes the general biology and ecology of the 15 holothurians, 3 asteroids, 2 zoanthids and 1 crustacea species studied in Reports I-XIII, the sampling methods used and the station data. A summary of the histological, histochemical and biochemical results for the species examined is given. The data suggest that the reproductive processes in the deep-sea species examined are highly unlikely to be part of a pathway for the transfer of radionuclides from the deep-sea back to man. (author)

Measures of extents of laterality for high-frequency ``transposed'' stimuli under conditions of binaural interference

Science.gov (United States)

Bernstein, Leslie R.; Trahiotis, Constantine

2005-09-01

Our purpose in this study was to determine whether across-frequency binaural interference would occur if ITD-based extents of laterality were measured using high-frequency transposed stimuli as targets. The results of an earlier study [L. R. Bernstein and C. Trahiotis, J. Acoust. Soc. Am. 116, 3062-3069 (2004)], which focused on threshold-ITDs, rather than extents of laterality, suggested that high-frequency transposed stimuli might be ``immune'' to binaural interference effects resulting from the addition of a spectrally remote, low-frequency interferer. In contrast to the earlier findings, the data from this study indicate that high-frequency transposed targets are susceptible to binaural interference. Nevertheless, high-frequency transposed targets, even when presented along with an interferer, yielded greater extents of ITD-based laterality than did high-frequency Gaussian noise targets presented in isolation. That is, the ``enhanced potency'' of ITDs conveyed by transposed stimuli persisted, even in the presence of a low-frequency interferer. Predictions made using an extension of the model of Heller and Trahiotis [L. M. Heller and C. Trahiotis, J. Acoust. Soc. Am. 99, 3632-3637 (1996)] accounted well for across-frequency binaural interference obtained with conventional Gaussian noise targets but, in all but one case, overpredicted the amounts of interference found with the transposed targets.

Robotic technological aids in esophageal surgery.

Science.gov (United States)

Rebecchi, Fabrizio; Allaix, Marco E; Morino, Mario

2017-01-01

Robotic technology is an emerging technology that has been developed in order to overcome some limitations of the standard laparoscopic approach, offering a stereoscopic three-dimensional visualization of the surgical field, increased maneuverability of the surgical tools with consequent increased movement accuracy and precision and improved ergonomics. It has been used for the surgical treatment of most benign esophageal disorders. More recently, it has been proposed also for patients with operable esophageal cancer. The current evidence shows that there are no real benefits of the robotic technology over conventional laparoscopy in patients undergoing a fundoplication for gastroesophageal reflux disease (GERD), hiatal closure for giant hiatal hernia, or Heller myotomy for achalasia. A few small studies suggest potential advantages in patients undergoing redo surgery for failed fundoplication or Heller myotomy, but large comparative studies are needed to better clarify the role of the robotic technology in these patients. Robot-assisted esophagectomy seems to be safe and effective in selected patients; however, there are no data showing superiority of this approach over both conventional laparoscopic and open surgery. The short-term and long-term oncologic results of ongoing randomized controlled trials (RCTs) are awaited to validate this approach for the treatment of esophageal cancer.

Effects of impoundment and regulation upon the stomach contents of fish at Cow Green, Upper Teesdale

Energy Technology Data Exchange (ETDEWEB)

Crisp, D.T.; Mann, R.H.K.; McCormack, J.C.

1978-04-01

The stomach contents of 1003 brown trout, 1551 bullheads and 800 minnows taken from the reservoir basin and below the dam, before and after impoundment of the river Tees, were examined. Their composition reflected observations by other workers on river and reservoir benthos, except for the increase in numbers of Hydra and Nais below the dam, and Mollusca, Hirudinea and oligochaetes in the reservoir. Trout below the dam ate more Ephemeroptera nymphs and Chironomidae larvae but fewer terrestrial casualties after river regulation, whereas bullheads ate more Mollusca but fewer Plecoptera nymphs. In both species Baetidae nymphs increased in numerical importance relative to Ecdyonuridae. Trout, but not bullheads, took zooplankton discharged from the reservoir. Before impoundment, trout within the reservoir basin ate chiefly benthic organisms and terrestrial casualties. Inundated terrestrial material, mainly earthworms, formed the bulk of their food for at least three years after impoundment, whilst from the second year onwards Chironomidae and, in some years, Gammarus became increasingly important. Zooplankton was taken by all sizes of reservoir trout. Bullheads within the reservoir basin ate chiefly river benthos before impoundment, with Ephemeroptera and Plecoptera nymphs predominant in older fish, and aquatic Diptera and Coleoptera also important in the fry. After impoundment, Chironomidae and Gammarus were the main items taken by older bullheads, and Chironomidae and micro-crustacea by the fry. Among all sizes of minnow, Chironomidae, micro-crustacea and detritus increased in numerical importance after impoundment.

The Serbian idea in an era of confused historical consciousness

OpenAIRE

Mitrović Milovan M.

2011-01-01

This paper, represents a hypothetical consideration of the phenomenology of the Serbian national idea, within the traumatic circumstances of the breakup of the Yugoslav state at the end of the 20th century, when the Serbian national issue was reopened in an exceptionally unfavorable geopolitical context for the Serbian people. The author specifically analyzes the ideological and political factors behind the Serbian confusion with the theoretical framework of Agnes Heller's critical interpreta...

The current state of per oral endoscopic myotomy for achalasia

Science.gov (United States)

Smith, Shane P.

2017-01-01

Achalasia is an acquired neuromuscular disorder that has been treated using a variety of modalities throughout medical history. Recently, the technique of per oral endoscopic myotomy (POEM) was introduced to treat the disease using a truly minimally invasive, natural orifice technique that is rapidly being adopted across the world. This review outlines the development of POEM, the technique itself, and gives a comparison to other procedures, specifically laparoscopic Heller myotomy (LHM). PMID:29078682

Case report

African Journals Online (AJOL)

abp

4 août 2015 ... Abstract. Le but de ce travail est de présenter un cas clinique de mégaœsophage « en chaussette » hyper-dilaté occupant presque l'hémithorax droit chez un patient vivant en milieu rurale qui a été pris en charge dans notre centre par une myotomie de Heller par voie transthoracique et décrire les aspects ...

The Paramyxea Levine 1979: An original example of evolution towards multicellularity

Science.gov (United States)

Desportes, Isabelle

1984-03-01

The Paramyxea are parasitic in marine invertebrates. Their development is a sporulation involving the differentiation within a stem cell of several sporonts which produce spores made of cells enclosed inside each other. Three genera are recognized according to the number of spores and sporal cells, and the taxonomic position of the host (Polychaeta, Mollusca, Crustacea). The Paramyxea exhibit both protistan and metazoan characters. Their nine singlets centrioles are observed in different Protoctists whereas the fact that their sporal cells acquire distinctive cytological features may be interpreted as an evolution towards multicellularity.

Temporal variations of 137Cs concentrations in the surface seawater and marine organisms collected from the Japanese coast during the 1980's

International Nuclear Information System (INIS)

Yamada, M.; Nagaya, Y.

1998-01-01

The surface seawater and marine organisms were collected on the Japanese coast and analyzed for their 137 Cs concentrations during the 1980's. The 137 Cs concentrations in surface seawater decreased almost exponentially with time and the 137 Cs removal rate constant was estimated to be 0.0445 y -1 . The 137 Cs concentrations in marine organisms also decreased almost exponentially with time. The environmental half-lives of 137 Cs in muscle and viscera of fish, crustacea, and seaweed were estimated from the measured decreases of 137 Cs concentrations. (author)

Mid-Pacific Marine Laboratory. Annual report for the period, 1 October 1977--30 September 1978

Energy Technology Data Exchange (ETDEWEB)

Reese, E.S.; Johnson, V.R. Jr.

1979-03-01

Studies on behavior included reproduction and sociobiology of reef fishes and aggression, hearing, and ultrasonic telemetry in sharks. Ecological studies included population, growth, and mortality studies on birds, corals, crustacea, echinoderms, fishes, molluscs, and rats. Geochemistry studies included biogeochemistry of reef organisms and hydrogeochemistry of groundwater. Geology studies included bioerosion of sea urchins, biology of endolithic processes, and survey of soils. Oceanography studies were conducted on lagoon circulation. Physiological studies were conducted on symbiosis in corals and utilization of organic material by Foraminifera. Studies on systematics of algae, echinoderms, and fishes were conducted. (HLW)

Redistribution of fallout radionuclides in Enewetak Atoll lagoon sediments by callianassid bioturbation

Energy Technology Data Exchange (ETDEWEB)

McMurtry, G.M.; Schneider, R.C. (Hawaii Univ., Honolulu (USA). Hawaii Inst. of Geophysics); Colin, P.L. (Hawaii Inst. of Marine Biology, Honolulu (USA)); Buddemeier, R.W. (California Univ., Livermore (USA). Lawrence Livermore Lab.); Suchanek, T.H. (Fairleigh Dickinson Univ., St. Croix, Virgin Islands (USA). West Indies Lab.)

1985-02-21

The lagoon sediments of Enewetak Atoll in the Marshall Islands contain a large selection of fallout radionuclides as a result of 43 nuclear weapon tests conducted there between 1948 and 1958. The authors report elevated fallout radionuclide concentrations buried more deeply in the lagoon sediments and evidence of burrowing into the sediment by several species of callianassid ghost shrimp (Crustacea: Thalassinidea) which has displaced highly radioactive sediment. The burrowing activities of callianassids, which are ubiquitous on the lagoon floor, facilitate radionuclide redistribution and complicate the fallout radionuclide inventory of the lagoon.

Asociación entre el tamaño del depredador (pavón, Cichla orinocensis) y la presa (camarón de río, Macrobrachium amazonicum) y sus relaciones morfométricas

OpenAIRE

Madrid, Fernando

2009-01-01

Se evaluó, a nivel de laboratorio, la asociación entre el tamaño del depredador Pavón Cichla orinocensis (Pisces: Perciformes: Cichlidae) y la presa Camarón de Río Macrobrachium amazonicum (Crustacea: Decapoda: Palaemonidae), con miras a utilizar a este pez como controlador biológico del camarón, que es considerado una plaga por los piscicultores debido a su existencia en cantidades excesivas en los estanques de producción de cachamas en la región centro occidental y los llanos altos de Venez...

Redistribution of fallout radionuclides in Enewetak Atoll lagoon sediments by callianassid bioturbation

International Nuclear Information System (INIS)

McMurtry, G.M.; Schneider, R.C.; Buddemeier, R.W.; Suchanek, T.H.

1985-01-01

The lagoon sediments of Enewetak Atoll in the Marshall Islands contain a large selection of fallout radionuclides as a result of 43 nuclear weapon tests conducted there between 1948 and 1958. The authors report elevated fallout radionuclide concentrations buried more deeply in the lagoon sediments and evidence of burrowing into the sediment by several species of callianassid ghost shrimp (Crustacea: Thalassinidea) which has displaced highly radioactive sediment. The burrowing activities of callianassids, which are ubiquitous on the lagoon floor, facilitate radionuclide redistribution and complicate the fallout radionuclide inventory of the lagoon. (author)

Larval and postlarval stages of the genus Trachypenaeopsis Burkenroad (Penaeidae: Penaeinae) from the Indian Ocean

Digital Repository Service at National Institute of Oceanography (India)

Paulinose, V.T.

samples. Only three species of the genus, Trachypenaeopsis are hitherto known, of which, two are from the Indo-Pacific and the third one, from the Atlantic. Diagnostic features of the postlarvae of Trachypenaeopsis include, a relatively short rostrum, well...

Zoogeografía de macroinvertebrados bentónicos de la costa de Chile: contribución para la conservación marina Zoogeography of benthic macroinvertebrates of the Chilean coast: contribution for marine conservation

Directory of Open Access Journals (Sweden)

DOMINGO A. LANCELLOTTI

2000-03-01

Full Text Available La diversidad de macroinvertebrados marinos ha recibido una atención creciente, no obstante, con un escaso tratamiento en el contexto biogeográfico. Este estudio analiza los registros de 1.601 especies de macroinvertebrados bentónicos pertenecientes a: Demospongiae, Anthozoa, Polychaeta, Mollusca, Crustacea, Echinodermata y Ascideacea, agrupados en 10 zonas y tratados desde una perspectiva zoogeográfica. Mollusca (611 especies, Polychaeta (403 y Crustacea (370 corresponden a los grupos mejor representados a lo largo de la costa chilena, determinantes en el patrón global de la biodiversidad. Este aumenta suavemente de norte a sur, interrumpido por máximos que sugieren esfuerzos diferenciales de estudio más que un comportamiento natural de la biodiversidad. El grado de agrupamiento entre las zonas muestra las tres unidades biogeográficas definidas recientemente por Lancellotti & Vásquez. Este arreglo, que representa lo exhibido por los grupos más diversos, se ve alterado en los grupos menos representados donde las diferencias obedecen al patrón de afinidades mostradas por las zonas comprendidas dentro de la Región Templada Transicional. El quiebre zoogeográfico alrededor de los 41º S, sugerido largamente en la literatura, sólo ocurre en Echinodermata y Demospongiae, evidenciando en los otros taxa la existencia de un área de transición entre los 35º y 48º S, caracterizada por un reemplazo gradual de especies. Dentro de las regiones la biodiversidad muestra homogeneidad, contrario al endemismo, el que alcanza un máximo de 52% en la Región Templada Fría y que parece ser consecuencia del alto número de especies con registros únicos (38,2% de especies citadas para una sóla zona. Esto sugiere un desconocimiento de los macroinvertebrados chilenos (distribución y diversidad, sobrestimando el endemismo regional y distorsionando los patrones locales de biodiversidadThe diversity of marine macroinvertebrates has received increasing

Cotidiano e Dança na periferia: reflexões para uma prática educativa Daily Life and Dance in the Outskirts: Reflexions for an Educational Practice Cuotidiano y Danza en la Periferia: Reflexiones para una Práctica Educativa

Directory of Open Access Journals (Sweden)

2006-11-01

Full Text Available O estudo envolve uma pesquisa na comunidade periférica Shangri-Lá, município de Goiânia, onde foram efetuadas intervenções, observações e entrevistas com crianças e mães participantes de um projeto de educação ambiental. Embasados no referencial teórico de Agnes Heller e Newton Duarte, procuramos identificar e discutir o cotidiano e os preconceitos referentes à dança oriundos na comunidade, com o intuito de promover reflexões pertinentes à prática educativa. Neste sentido, a construção de comportamentos e pensamentos com respeito à dança é analisada em processo de relações com diferentes meios e instituições. PALAVRAS-CHAVE: Cotidiano - Preconceito - Dança - Educação. This study involves a research work carried out in a neighborhood named “Shangri-lá”, located in the outskirts of town. In this community, we interacted, observed, and interviewed children and their mothers as they took part in an Environmental Education project. I have based my research on the theoretical works of Agnes Heller and Newton Duarte,and I try to identify and discuss daily life and prejudicial ideas about dance that exist in this community, in order to promote reflexions about educational practices. In this sense, theconstruction of behavioral patterns and thoughts about dance are analyzed in the process of establishing links with diffent media and institutions. KEY WORDS: Daily Life - Prejudice - Dance - Education. El estudio envuelve una investigación en la comunidad periférica shangri-lá. En esta comunidad, intervenciones, observaciones y entrevistas fueron efectuadas con niños y madres participantes de un proyecto de Educación Ambiental. Baseándose en el referencial teórico de Agnes Heller y Newton Duarte, busco identificar y discutir lo cotidiano y los prejuicios referentes a la danza oriundos en la comunidad, con el propósito de promover reflexiones pertinentes a la práctica educativa. En este sentido, la

Reinternação em hospital psiquiátrico: a compreensão do processo saúde/doença na vivência do cotidiano Reinternamiento en hospital psiquiátrico: la comprensión del proceso salud/enfermedad en la vivencia del cotidiano Readmission to a psychiatric hospital: the comprehension of the health/illness process through the experience of daily life

Directory of Open Access Journals (Sweden)

Mariana Moraes Salles

2007-03-01

Full Text Available Este trabalho é recorte de uma investigação que buscou identificar o cotidiano de pessoas com transtornos mentais, que sofrem reinternações psiquiátricas. Nesse percurso foi possível evidenciar que esses sujeitos expressam diversas concepções do processo saúde/doença mental e que caracterizam as formas de tratamento que se utilizam. Utilizou-se como metodologia a abordagem qualitativa fundamentada no conceito de cotidiano da autora Agnes Heller. As entrevistas de pacientes e familiares foram submetidas à análise de discurso que, entre outros resultados, revelou que essa população passou a ter novas ferramentas e possibilidades para compreender a loucura e a assistência ao doente mental.Este trabajo es recorte de una investigación que buscó identificar el cotidiano de personas con trastornos mentales, que sufren reinternamientos psiquiátricos. En este recorrido fue posible evidenciar que esos sujetos expresan diversas concepciones del proceso salud/enfermedad mental y que caracterizan las formas de tratamiento utilizados. En la metodología se utilizó el abordaje cualitativo fundamentado en el concepto de cotidiano de la autora Agnes Heller. Las entrevistas de pacientes y familiares fueron sometidas al análisis de discurso que, entre otros resultados, reveló que esa población pasó a tener nuevas herramientas y posibilidades para comprender la locura y la asistencia al enfermo mental.This study is part of a research that aimed at identifying the daily life of people with mental disruptions who are re-admitted to psychiatric hospitals. It was possible to pinpoint that these individuals express several conceptions of the health/mental illness process and that they also distinguish the kinds of treatment they go through. As far as methodology is concerned the study used the qualitative approach based on Agnes Heller's concept of daily life. The interviews with patients and their relatives were submitted to speech analysis

Reemplazo del esófago con segmentos pediculados de yeyuno

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Alejandro García Gutiérrez

1998-04-01

Full Text Available Se presentan 42 esofagoplastias con segmentos pediculados de yeyuno. Se exponen las indicaciones, los principales detalles de la técnica, las complicaciones, la mortalidad y los resultados tardíos. En el 80,9 % de los pacientes la indicación fue la acalasia (megaesófago o fracaso de la técnica de Heller y la estenosis no dilatable secundaria a la esofagitis por reflujo. En 4 pacientes se usó una nueva técnica por una vía combinada, abdominal y torácica derecha. La complicación más frecuente fue la dehiscencia de la anastomosis esofagoyeyunal (6 pacientes con 2 fallecimientos. La mortalidad posoperatoria fue de 12,0 %, la cual disminuyó a 5,0 % en los últimos 20 pacientes operados. El segmento yeyunal interpuesto cumplió eficientemente las funciones de tránsito y esfinteriana del esófago. Se concluye que esta técnica se debe emplear para el reemplazo del esófago distal en las estenosis benignas que no pueden ser resueltas con métodos más conservadores y excepcionalmente, en otros procesos patológicos, y para las sustituciones totales y subtotales del esófago, cuando no existe otra alternativa2 esophagoplastias with pedunculated segments of jejunum were presented. The indications, the main details of the technique, the complications, mortality and the late results are exposed. In 80,9 % of the patients the indications were achalasia (megaesophagus or failure of Heller`s technique and the nondilatable stenosis to reflux esophagitis. A new technique by a combined, abdominal and right thoracic route was used in 4 patients. The dehiscence of the esophagojejunal anastomosis was the most common complication (6 patients with 2 deaths. Postoperative mortality was 12.0 %, which decreased to 5.0 % in the last 20 patients operated on. The interposed jejunal segment fulfilled efficiently the transit and sphincteral functions of the esophagus. It is concluded that this technique should be used to replace the distal esophagus in bening

Brighter than a thousand suns; Heller als tausend Sonnen

Energy Technology Data Exchange (ETDEWEB)

Jungk, Robert

2016-07-01

This fascinating tangible report applies to all, who live face to face with the greatest danger of the 20th century. It describes the history of the atomic bomb as ''a history of real men'', who were in the summer 1939 yet able to prevent the construction of atomic bombs and the opportunity pass unused: They were moralically and politically out of touch with the threatening new invention. Jungk spreads an overwhelming material, opens up hitherto inaccessible sources, and explains in exciting way the dilemma of famous scientists, who fluctuate between the urge to research and moral distress. What has begun in the the twenties as collegial team work of young scientists, developed to a tragedy. Researchers, who felt committed alone to the scientific progress, saw very soon torn into the tension of power politics, and many of them begun to recognize that they have, how the American atomic physicists Oppenheimer expresses himself, done ''the work of the devil''. Despite sharp attacks Jungk is no moral damnation judgement. He wants to know his book understood as contribution to the large conversation, ''which may perhaps prepare a future without fear''.

[Focus on Achalasia].

Science.gov (United States)

Guillaumot, Marie-Anne; Barret, Maximilien; Leblanc, Sarah; Leconte, Mahaut; Dousset, Bertrand; Oudjit, Ammar; Prat, Frédéric; Chaussade, Stanislas

2018-01-01

The pathophysiology of achalasia is largely unknown, and involves the destruction of ganglion cell in the esophageal myenteric plexus. High-resolution esophageal manometry is the key investigation. Endoscopic pneumodilatation and laparoscopic Heller myotomy have comparable short-term success rates, around 90%. The main complication after pneumodilatation is esophageal perforation, occurring in about 1% of cases. Peroral endoscopic myotomy is a promising treatment modality, however with frequent post-procedural gastroesophageal reflux. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Total loss of the covering of a metallic stent during esophageal leak treatment

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J.J. Villarreal-Galvan

2013-01-01

Full Text Available A 41-year-old man underwent a Heller myotomy due to achalasia. An unexpected puncture in the esophageal wall was identified during the procedure. A partially covered 15 cm stent (PSEMS (UltraFlex was placed at the mucosal defect. It was removed 26 days later and the endoscopic image showed esophageal tissue embedded in the covered portion of the stent. PSEMS covering loss is a rare complication that can have serious consequences.

Morbid Obesity with Achalasia: A Surgical Challenge

OpenAIRE

Hagen, Monika E.; Sedrak, Micheal; Wagner, Oliver J.; Jacobsen, Garth; Talamini, Mark; Horgan, Santiago

2010-01-01

Achalasia is a relatively rare medical condition that is classically not associated with obesity. The surgical treatment of a simultaneous occurrence of these two diseases requires careful consideration, and only a few reports can be found in the literature combining a Heller myotomy with gastric bypass, duodenal switch, or gastric banding. We report the case of a 69-year-old female patient with early achalasia and obesity who underwent simultaneous laparoscopic gastric sleeve resection and r...

Imaging in the Evaluation of Endoscopic or Surgical Treatment for Achalasia

OpenAIRE

Diego Palladino; Andrea Mardighian; Marilina D’Amora; Luca Roberto; Francesco Lassandro; Claudia Rossi; Gianluca Gatta; Mariano Scaglione; Guglielmi Giuseppe

2016-01-01

Purpose. Aim of the study is to evaluate the efficacy of the endoscopic (pneumatic dilation) versus surgical (Heller myotomy) treatment in patients affected by esophageal achalasia using barium X-ray examination of the digestive tract performed before and after the treatment. Materials and Methods. 19 patients (10 males and 9 females) were enrolled in this study; each patient underwent a barium X-ray examination to evaluate the esophageal diameter and the height of the barium column before a...

The Tensions of Globalization in the Contact Zone: The Case of Two Intermediate University-level Spanish Language and Culture Classrooms on the U.S./Mexico Border

OpenAIRE

Vinall, Kimberly

2015-01-01

This dissertation centrally explores understandings of foreign/second language and culture learning and its potential to prepare learners to participate in a globalized world. Much research has already been conducted on how globalization has influenced understandings of what it means to learn languages and cultures, how they are taught, and what their ultimate goals are in terms of learning (Blommaert, Leppänen, Pahta, & Räisänen, 2012; Heller & Duchêne, 2012; Kramsch, 2014). This dissertatio...

Minimally invasive surgery for esophageal motility disorders.

Science.gov (United States)

Balaji, Nagammapudur S; Peters, Jeffrey H

2002-08-01

Laparoscopic Heller myotomy has emerged as an excellent primary treatment for patients with dysphagia secondary to achalasia. A laparoscopic rather than thoracoscopic approach has stood the test of time. An antireflux procedure combined with the myotomy is crucial to the maintenance of the antireflux barrier. Thoracoscopic long myotomy offers effective relief for spastic disorders of the esophagus. Endoscopic stapled diverticulotomy is a safe and effective procedure for Zenker's diverticulum and has potential advantages over the open approach.

Kompetanse i styrene

OpenAIRE

Andersen, Kjersti

2013-01-01

Executive Master of Management fra Handelshøyskolen BI, 2013 Styrekompetanse i bygg- og eiendomsbedrifter er tema for denne oppgaven. Aksjeloven krever at bedriften skal ha et styre, men sier lite eller ingenting om hvordan styret skal arbeide ei heller hvilken kompetanse som er nødvendig for at styret skal fungere best mulig. Hvilke refleksjoner eierne og styremedlemmene har gjort seg om egen og styrets kompetanse, sammensetning, livssyklus og styrevalg blir analysert i oppgaven. Fo...

Clinical management of achalasia: current state of the art

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Krill JT

2016-04-01

Full Text Available Joseph T Krill, Rishi D Naik, Michael F Vaezi Division of Gastroenterology, Hepatology, and Nutrition, Center for Swallowing and Esophageal Disorders, Vanderbilt University Medical Center, Nashville, TN, USA Abstract: Achalasia is a primary disorder of esophageal motility. It classically presents with dysphagia to both solids and liquids but may be accompanied by regurgitation and chest pain. The gold standard for the diagnosis of achalasia is esophageal motility testing with manometry, which often reveals aperistalsis of the esophageal body and incomplete lower esophageal sphincter relaxation. The diagnosis is aided by complimentary tests, such as esophagogastroduodenoscopy and contrast radiography. Esophagogastroduodenoscopy is indicated to rule out mimickers of the disease known as “pseudoachalasia” (eg, malignancy. Endoscopic appearance of a dilated esophagus with retained food or saliva and a puckered lower esophageal sphincter should raise suspicion for achalasia. Additionally, barium esophagography may reveal a dilated esophagus with a distal tapering giving it a “bird’s beak” appearance. Multiple therapeutic modalities aid in the management of achalasia, the decision of which depends on operative risk factors. Conventional treatments include medical therapy, botulinum toxin injection, pneumatic dilation, and Heller myotomy. The last two are defined as the most definitive treatment options. New emerging therapies include peroral endoscopic myotomy, placement of self-expanding metallic stents, and endoscopic sclerotherapy. Keywords: achalasia, pseudoachalasia, pneumatic dilation, Heller myotomy, botulinum toxin injection, peroral endoscopic myotomy

La raison et la foi. Des philosophes Polonais rapprochent les deux domaines

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Władysław Zuziak

2015-04-01

Full Text Available This paper presents three attempts of grasping the relations between faith and reason made by M. Heller, J. Tischner and K. Tarnowski. Reason and faith are two foundations for human desire to understand the world. Without them, no attempts to understand can take place. As Heller points out, both of them, due to cooperation, support development and help to eliminate dangerous simplifications. Faith, or more precisely – religious thinking – is, as J. Tischner famously argued, a condition for dialogue, for being open to others and community. Faith gives strength and courage, supports the search for existing (although very often unconscious ties that bonds people. Faith allows us to discover the meaning and purpose of our lives. K. Tarnowski goes even further and claims, that faith reveals “the surplus” of meaning, which invites us to investigate what is impossible to express – the Mystery. Only in the face of Mystery, by a communion with the Other, can we feel that the presence of the Other is important for our existence. The three philosophers from Krakow emphasized in their works, that the relations between faith and reason, although connected and supplementing themselves, require much attention from both scientists, who create rational models of reality, and theologians, who aim to create a coherent vision linking these two aspects of human world.

Influência da aplicação de calcário na população da meso e macrofauna do solo sob sistema plantio direto Influence of lime application on meso and macrofauna of the soil under no-tillage system

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Ecila Maria Nunes Giracca

2008-12-01

Full Text Available No presente estudo avaliou-se o efeito de diferentes doses e modos de aplicação de calcário em plantio direto em campo nativo sobre a fauna edáfica, após cinco anos da aplicação. Organismos da fauna epiedáfica foram coletados com armadilhas tipo Provid e macrorganismos euedáficos utilizando monolitos de solos em duas épocas de amostragem: inverno e verão. Os organismos foram identificados ao nível de classe e ordem. Foram identificados 17 grupos taxonômicos, com ocorrência de cinco classes: Arachnida, Diplopoda, Crustacea, Oligochaeta e Insecta. A abundância de organismos apresentou maior variação em função das diferentes épocas de coleta e não sofreu influência das diferentes doses e modos de aplicação de calcário avaliados.In the present study one evaluated the effect of different methods and levels of lime application on soil under no-tillage system on edaphic fauna, after five years of the application. Organisms of epiedaphic fauna were sampled with "Provid" traps and euedaphics macrorganisms using soil monoliths in two sampling time: winter and summer. The organisms under study were identified in laboratory at class and order levels. One identified 17 taxonomics groups, with five classes: Arachnida, Diplopoda, Crustacea, Oligochaeta and Insecta. The abundance of organisms showed higher variation in function of different sampling time than the levels and methods of lime application.

Muramyl Peptide-Enhanced Sleep: Pharmacological Optimization of Performance.

Science.gov (United States)

1987-06-01

endotoxin, and I FN c’iti ,I ,r lcli 1)!,.pacid metabolism (31) , thus possibly alteriir, PD proict ion: 11(i *PcD( C2’. enhance release of %I11( 104...interleukin-l in homeostasis. In: The Phys- iologic, Metabolic , and Immunologic Actions of Interleukin-l, edited by M. J. Kluger, J. J. Oppenheim...1980. 99. Sakaguchi, S., S. F. Glotzbach, and H. C. Heller. Influence of hypot!;a- lamic and ambient temperatures on sleep in kangaroo rats. Am. J

Weiße und Braune Zwerge zeigen sich unwirtlich

Science.gov (United States)

Heller, René

2013-02-01

Mehr als 850 Exoplaneten haben Astronomen seit dem Jahr 1992 nachgewiesen. Die meisten von ihnen umkreisen normale Hauptreihensterne, aber es wurden auch Trabanten im Umlauf um Braune oder Weiße Zwerge aufgespürt. Nun haben Rory Barnes von der University of Washington in Seattle und René Heller am Leibniz-Institut für Astrophysik Potsdam die Bewohnbarkeit möglicher Planeten um solche Objekte untersucht und dabei festgestellt, dass sie für Leben, wie wir es kennen, ungeeignet sind.

Temporal Differential Gene Expression in Explanted Human Retinal Pigment Epithelial Cells at 0.5, 1.0, 3.0, 6.0, 12 and 24 Hours Post-Exposure to 1064 nm, 3.6 ns Pulsed Laser Light

Science.gov (United States)

2005-05-01

regulated 10-fold at 1-3 hrs and -5-fold at 12 hrs. Roughly the same can be said for xeroderma pigmentosum group CC repair complementing protein p58 (C08n...Staudt L M, Hudson J, Boguski MS, Lashkari D, Shalon D, Botstein D and Brown PO : The Transcriptional Program in the Response of Human Fibroblasts to...467-470. Schena M, Shalon D, Heller R, Chai A, Brown PO , Davis R: Parallel human genome analysis: Microarray-based expression monitoring of 1000 genes

Factors used for the estimation of radioactive nuclide intake through foodstuffs by inhabitants in coastal area of Ibaraki prefecture. V. Consumption of marine foods in Nakaminato city

Energy Technology Data Exchange (ETDEWEB)

Sumiya, M; Ohmomo, Y [National Inst. of Radiological Sciences, Nakaminato, Ibaraki (Japan). Marine Radioecological Research Station

1976-06-01

The consumption of eight categories of marine foods was surveyed on fisherman's and non-fisherman's families in Nakaminato city. The average daily intake of whole marine foods through a year was 193 g/d/p for fisherman's and 143 /g/d/p for non-fisherman's families, respectively. Fisherman's families showed higher consumption of all categories of marine foods than non-fisherman's and about one-half of the total marine foods consumption was occupied by fishes. It was observed that the fish in season was eaten much by both groups. Less consumption of benthic fish, crustacea and shell-fish was recognized.

Gelatinous plankton is central to the diet of European eel (Anguilla anguilla) larvae in the Sargasso Sea

DEFF Research Database (Denmark)

Ayala, Daniel Jiro; Munk, Peter; Lundgreen, Regitze B. C.

2018-01-01

endangered species. Next-generation 18S rRNA gene sequencing data of Sargasso Sea eel larvae gut contents and marine snow aggregates was compared with a reference plankton database to assess the trophic relations of eel larvae. Gut contents of A. anguilla larvae were not well explained by the eukaryotic...... composition of marine snow aggregates; gut contents being dominated by gene sequences of Hydrozoa taxa (phylum Cnidaria), while snow aggregates were dominated by Crustacea taxa. Pronounced differences between gut contents and marine snow aggregates were also seen in the prokaryotic 16S rRNA gene composition...

Diversity of the Monstrilloida (Crustacea: Copepoda)

Science.gov (United States)

Suárez-Morales, Eduardo

2011-01-01

Monstrilloid copepods are protelean parasites of different groups of marine benthic invertebrates. Only their first naupliar, preadult, and adult phases are planktonic. Monstrilloids are currently represented by more than 115 nominal species contained in four genera. Its taxonomic knowledge has been hampered by nomenclatural and descriptive problems derived from their peculiar ontogeny and poor definitions of taxa. One of the most important difficulties is that of matching males to females. The only reliable methods to link the sexes of a species are the confirmation of particular apomorphies shared by both sexes, finding both sexes in the same host or as a pre-copulatory male-female pair in the plankton, or by the use of molecular markers. A general overview of the morphology of the group and its life cycle is provided herein. Recently, upgraded descriptive standards have been established and the relevance of redescribing taxa based on type and museum specimens has been demonstrated. The rate of species description per decade has had several peaks between 1840 and 2010: (1971–1980, 1991–2000, 2001–2010), each related to the activity of a few researchers. An analysis of the world distribution of published records of the Monstrilloida revealed that the Northeast Atlantic is the best studied region (45% of all records), followed by the Northwestern Atlantic (17%); the least surveyed areas include regions of the southern hemisphere (less than 3%). The Northeast Atlantic region harbors the highest number of known species (32 nominal species), followed by the Caribbean Sea/Gulf of Mexico (24), the Mediterranean/Black Sea (19), Indonesia-Malaysia-Philippines region (17), Japanese waters (17), and the Brazil-Argentina area (16). Other than these generalized patterns, little can be concluded concerning the biogeography of the group. Many species records are doubtful or improbable, and purportedly cosmopolitan nominal species are being revealed as species complexes yet to be studied. PMID:21853055

On Parartemia zietziana Sayce (Crustacea Phyllopoda)

NARCIS (Netherlands)

Kuenen, D.J.

1937-01-01

On his journey to Australia, Prof. Dr. L. G. M. Baas Becking collected several specimens of Parartemia zietziana, which he kindly handed over to me for further examination. As it is a very little known species, the few details given below may add to our somewhat scanty knowledge. Sayce described

Reproducción del camarón rosado Farfantepenaeus notialis (Decapoda: Penaeidae en el Caribe colombiano

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Jorge Paramo

2014-08-01

Full Text Available El camarón de aguas someras, es uno de los recursos de mayor importancia socioeconómica en la región Caribe. La falta de información biológica pesquera, es una preocupación de los administradores pesqueros. Por tanto, el presente estudio tiene como objetivo conocer la época reproductiva, la estructura de tallas y la talla media de madurez del camarón de aguas someras (Farfantepenaeus notialis como insumo para la ordenación y manejo pesquero en el Caribe colombiano. El estudio se llevó a cabo desde junio del 2012 hasta mayo del 2013 en el Caribe colombiano. Se recolectaron 5 356 individuos, los cuales fueron identificados, clasificados y conservados para su análisis en el laboratorio, donde se analizaron las muestras tomando datos de talla, peso, sexo y estadio gonadal. Se encontraron diferencias significativas en la razón de sexo durante todos los meses muestreados, con una mayor proporción de hembras. Se presentaron hembras maduras durante todo el año, pero con dos picos reproductivos de máximo desove, uno entre octubre y diciembre y el otro entre abril y junio. La talla media de captura (TMC durante todo el muestreo para las hembras fue de 148.0mm de longitud total (LT y para los machos fue de 122.5mm LT. La talla media de madurez (LT50% para las hembras y machos fue de 129.34mm LT y 97.77mm LT, respectivamente. La TMC siempre fue mayor que la LT50% para ambos sexos. Debido a la gran disminución del esfuerzo pesquero en el Caribe colombiano durante los últimos 10 años, se espera que este recurso se encuentre en una fase de recuperación o ya esté recuperado.

Comparison of some reproductive characteristics of farmed and wild white shrimp males Litopenaeus vannamei (Decapoda: Penaeidae

Directory of Open Access Journals (Sweden)

Sergio Rendón Rodríguez

2007-03-01

Full Text Available We rated some reproductive characteristics of white shrimp Litopenaeus vannamei (Boone, 1931 males using 46 farmed individuals (weighing 21.42±0.56 g and 40 wild individuals (weighing 36.10±0.72 g. In farmed shrimps, spermatophore mean weight was 8.94±0.51 mg; total mean sperm count was 3.90±0.27 x 10(6 in each spermatophore; and mean percentage of normal sperm was 86.9±0.37 %. In wild individuals, the respective values were 30.68±2.32 mg; 6.22±1.09 x 10(6; and 62.1±3.56 %. In both groups, the differences between right and left spermatophore were not significant (pResumen Se evaluaron características reproductivas como peso del espermatóforo, número de espermatozoides y porcentaje de espermatozoides normales en 86 organismos de camarón blanco (Litopenaeus vannamei. de éstos, 46 individuos provinieron de estanques de cultivo con un peso de 21.42±0.56 g y el resto, 40, silvestres con un peso de 36.10±0.72 g. En los camarones cultivados, el peso de los espermatóforos fue de 8.94±0.51 mg; el número total de espermatozoides en cada espermatóforo fue de 3.90±0.27 x 10(6; y el porcentaje de espermatozoides normales fue de 86.9±0.37 %. En los silvestres, los valores respectivos fueron de 30.68±2.32 mg; 6.22±1.09 x 10(6; y 62.1±3.56 %. En ambos grupos, las diferencias entre los espermatóforos derecho e izquierdo no fueron estadísticamente diferentes (p<0.01. Las diferencias en el peso de los espermatóforos y el porcentaje de espermatozoides normales, entre los camarones cultivados y silvestres, fueron significativas (p<0.01; sin embargo, en el número de espermatozoides tales diferencias no fueron significativas (p<0.01. La relación entre el peso del espermatóforo (Ws y el peso de los individuos (Wo fue Ws (mg=1.23(Wo-17.34 (r²=0.89, en camarones cultivados; y Ws (mg=2.57(Wo-60.04 (r²=0.64, en los silvestres. En organismos cultivados, la relación entre el número de espermatozoides (Cs y el peso de los individuos (Wo fue Cs(*10(6=1.13*10-4* (Wo 3.361 (r²=0.85; y entre el peso de los espermatóforos fue Cs(*10(6=0.439* (Ws 0.984 (r²=0.90. En el caso de los organismos silvestres, no hubo correlación. La proporción de esperma normal varió de 79.8 a 95.2 % (86.9±0.37 % y de 14.0 a 91.5 % (62.1±2.52 %, en camarones cultivados y silvestres, respectivamente. Las anormalidades más frecuentes tanto en los cultivados como en los silvestres fueron esperma sin spike (49.3 % y 76.6 %, respectivamente y los de forma irregular (35.8 % y 17.7 %. Las presencias menos frecuentes fueron las de spike torcido (10.2 % y 4.29 % y doble (4.7 % y 1.41 %.

Redescriptions of two species of Lepeophtheirus (Copepoda, Siphonostomatoida, Caligidae parasitic on teleost marine fishes from the coastal zone of the State of Rio de Janeiro, Brazil

Directory of Open Access Journals (Sweden)

José Luis Luque

2000-12-01

Full Text Available Two species of Lepeophtheirus Nordmann, 1832 parasitic on the ariid fish Netuma barba Lacépède, 1803, and the bothiid fish Paralichthys sp. from the coastal zone of the State of Rio de Janeiro, are redescribed and illustrated: L. bagri Dana, 1852, and L. monacanthus Heller, 1865. New junior synonyms for these species are proposed: L. marginatus syn.n., L. christianensis syn.n. and L. platensis syn.n. of L. bagri and L. unispinosus syn.n. of L. monacanthus.

[Surgical treatment of esophageal achalasia--20 years experience].

Science.gov (United States)

Yaramov, N; Sokolov, M; Angelov, K; Toshev, S; Petrov, B

2009-01-01

Achalasia comes from a Greek word that means "failure to relax." Cardiospasm and achalasia refer to the same condition. This report addresses esophageal achalasia--its history, diagnosis, pathophysiology, and treatment options. We report our experience in treating this disorder surgically using modified Heller myotomy combined or not with partial gastric fundoplication. 47 patients with achalasia surgically operated in 20-years period are reported by authors. These features make it reasonable to reasses the relative indications for surgery and nonsurgical therapy in achalasia of the esophagus.

Understanding the Work-Life Interaction from a Working Time Perspective

DEFF Research Database (Denmark)

Pedersen, Vivi Bach

time not only defines the temporal structure of work, but also determines the individual’s social time. The theoretical framework is based on theories concerning influence, in particular Organizational Participation (e.g. Heller, Pusic, Strauss & Wilpert, 1998) and Self-Determination Theory (e.g. Deci...... & Ryan, 2002). Through theoretical analyses it is shown that a participatory influence approach reveals new perspectives in understanding the complexity of the work-life phenomenon and help counteracting the undesirable split-up between the existing conflict versus balance approaches. Participants from...

Estilos parentais e suporte social da família percepcionados por jovens delinquentes

OpenAIRE

Ferreira, Milene Alexandra Gregório

2009-01-01

De acordo com Baumrind (1966), existem três tipos de estilos parentais, que terão diferentes influências em termos de desenvolvimento das crianças e jovens. Neste sentido, procurou conhecer-se a percepção que jovens delinquentes têm do estilo parental, bem como o suporte social da família por eles vivenciado, utilizando as versões traduzidas de Parental Authority Questionnaire – PAQ (Buri, 1991) e Perceived Social Support Family Scale - PSS-Fa (Procidano & Heller, 2000). Rec...

Surgical management of esophageal achalasia: Evolution of an institutional approach to minimally invasive repair.

Science.gov (United States)

Petrosyan, Mikael; Khalafallah, Adham M; Guzzetta, Phillip C; Sandler, Anthony D; Darbari, Anil; Kane, Timothy D

2016-10-01

Surgical management of esophageal achalasia (EA) in children has transitioned over the past 2 decades to predominantly involve laparoscopic Heller myotomy (LHM) or minimally invasive surgery (MIS). More recently, peroral endoscopic myotomy (POEM) has been utilized to treat achalasia in children. Since the overall experience with surgical management of EA is contingent upon disease incidence and surgeon experience, the aim of this study is to report a single institutional contemporary experience for outcomes of surgical treatment of EA by LHM and POEM, with regards to other comparable series in children. An IRB approved retrospective review of all patients with EA who underwent treatment by a surgical approach at a tertiary US children's hospital from 2006 to 2015. Data including demographics, operative approach, Eckardt scores pre- and postoperatively, complications, outcomes, and follow-up were analyzed. A total of 33 patients underwent 35 operative procedures to treat achalasia. Of these operations; 25 patients underwent laparoscopic Heller myotomy (LHM) with Dor fundoplication; 4 patients underwent LHM alone; 2 patients underwent LHM with Thal fundoplication; 2 patients underwent primary POEM; 2 patients who had had LHM with Dor fundoplication underwent redo LHM with takedown of Dor fundoplication. Intraoperative complications included 2 mucosal perforations (6%), 1 aspiration, 1 pneumothorax (1 POEM patient). Follow ranged from 8months to 7years (8-84months). There were no deaths and no conversions to open operations. Five patients required intervention after surgical treatment of achalasia for recurrent dysphagia including 3 who underwent between 1 and 3 pneumatic dilations; and 2 who had redo LHM with takedown of Dor fundoplication with all patients achieving complete resolution of symptoms. Esophageal achalasia in children occurs at a much lower incidence than in adults as documented by published series describing the surgical treatment in children. We

Variações ontogênicas e sazonais na dieta de Etropus crossotus Jordan e Gilbert, 1882 (Paralichthydae na baía de Ubatuba-Enseada, Estado de Santa Catarina, Brasil = Ontogenetic and seasons changes in the diet of Etropus crossotus Jordan and Gilbert, 1882 (Paralichthydae at Ubatuba-Enseada Bay, Santa Catarina State, Brazil

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Matheus Oliveira Freitas

2011-04-01

Full Text Available Foram investigadas as variações ontogênicas e sazonais na dieta de Etropus crossotus coletados na baía de Ubatuba-Enseada, Estado de Santa Catarina, Brasil. Redes de arrasto com porta foram utilizadas para as coletas mensais, e 60 exemplares foram coletados entre outubro de 2003 e setembro de 2004. Maior similaridade entre os Índices de Importância Alimentar foi observada entre a primavera e o outono. Crustáceos decápodes representaram 50% dos itens alimentares durante a primavera e outono, e crustáceos anfípodes foram os itens mais representativos no inverno. Maior similaridade entre os IAifoi observada entre as classes 1, 2 e 4, pela alta representatividade de Decapoda, e entre as classes 5, 6 e 7, em função da representatividade de Decapoda e Amphipoda. Os resultados obtidos foram similares a outros estudos realizados na região costeira Sul do Brasil.Ontogenetic and seasonal changes in the diet of Etropus crossotussampled at Ubatuba-Enseada Bay in Santa Catarina State, Brazil were investigated. A trawl net was used for the surveys, and 60 fish were collected monthly during October (2003 and September (2004. The highest similarity of the Alimentary Importance Index (AII wasobserved between spring and autumn. Crustacea Decapoda represented 50% of the feeding items during spring and fall, and Crustacea Amphipoda were the most representative item in winter. The highest AII similarity was observed among length classes 1, 2 and 4, whichwas related to Decapoda representation, and among length classes 5, 6 and 7, because of Decapoda and Amphipoda importance. Results were similar to other studies in the southern coast of Brazil.

Comparative analysis of deutocerebral neuropils in Chilopoda (Myriapoda: implications for the evolution of the arthropod olfactory system and support for the Mandibulata concept

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Sombke Andy

2012-01-01

Full Text Available Abstract Background Originating from a marine ancestor, the myriapods most likely invaded land independently of the hexapods. As these two evolutionary lineages conquered land in parallel but separately, we are interested in comparing the myriapod chemosensory system to that of hexapods to gain insights into possible adaptations for olfaction in air. Our study connects to a previous analysis of the brain and behavior of the chilopod (centipede Scutigera coleoptrata in which we demonstrated that these animals do respond to volatile substances and analyzed the structure of their central olfactory pathway. Results Here, we examined the architecture of the deutocerebral brain areas (which process input from the antennae in seven additional representatives of the Chilopoda, covering all major subtaxa, by histology, confocal laser-scan microscopy, and 3D reconstruction. We found that in all species that we studied the majority of antennal afferents target two separate neuropils, the olfactory lobe (chemosensory, composed of glomerular neuropil compartments and the corpus lamellosum (mechanosensory. The numbers of olfactory glomeruli in the different chilopod taxa ranged from ca. 35 up to ca. 90 and the shape of the glomeruli ranged from spheroid across ovoid or drop-shape to elongate. Conclusion A split of the afferents from the (first pair of antennae into separate chemosensory and mechanosensory components is also typical for Crustacea and Hexapoda, but this set of characters is absent in Chelicerata. We suggest that this character set strongly supports the Mandibulata hypothesis (Myriapoda + (Crustacea + Hexapoda as opposed to the Myriochelata concept (Myriapoda + Chelicerata. The evolutionary implications of our findings, particularly the plasticity of glomerular shape, are discussed.

Energic, Exergic, Exergo‐economic investigation and optimization of auxiliary cooling system (ACS equipped with compression refrigerating system (CRS

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Omid Karimi Sadaghiyani

2017-09-01

Full Text Available Heller main cooling tower as air-cooled heat exchanger is used in the combined cycle power plants (CCPP to reduce the temperature of condenser. In extreme summer heat, the efficiency of the cooling tower is reduced and it lessens performance of Steam Turbine Generation (STG unit of Combined Cycle Power Plant (CCPP. Thus, the auxiliary cooling system (ACS is equipped with compression refrigerating system (CRS. This auxiliary system is linked with the Heller main cooling tower and improves the performance of power plant. In other words, this auxiliary system increases the generated power of STG unit of CCPP by decreasing the temperature of returning water from cooling tower Therefore, in the first step, the mentioned auxiliary cooling system (ACS as a heat exchanger and compression refrigerating system (CRS have been designed via ASPEN HTFS and EES code respectively. In order to validate their results, these two systems have been built and theirs experimentally obtained data have been compared with ASPEN and EES results. There are good agreements between results. After that, exergic and exergo-economic analysis of designed systems have been carried out. Finally, the compression refrigerating system (CRS has been optimized via Genetic Algorithm (GA. Increasing in exergy efficiency (ε from 14.23% up to 36.12% and decreasing the total cost rate (ĊSystem from 378.2 ($/h to 308.2 ($/h are as results of multi-objective optimization.

The preoperative manometric pattern predicts the outcome of surgical treatment for esophageal achalasia.

Science.gov (United States)

Salvador, Renato; Costantini, Mario; Zaninotto, Giovanni; Morbin, Tiziana; Rizzetto, Christian; Zanatta, Lisa; Ceolin, Martina; Finotti, Elena; Nicoletti, Loredana; Da Dalt, Gianfranco; Cavallin, Francesco; Ancona, Ermanno

2010-11-01

A new manometric classification of esophageal achalasia has recently been proposed that also suggests a correlation with the final outcome of treatment. The aim of this study was to investigate this hypothesis in a large group of achalasia patients undergoing laparoscopic Heller-Dor myotomy. We evaluated 246 consecutive achalasia patients who underwent surgery as their first treatment from 2001 to 2009. Patients with sigmoid-shaped esophagus were excluded. Symptoms were scored and barium swallow X-ray, endoscopy, and esophageal manometry were performed before and again at 6 months after surgery. Patients were divided into three groups: (I) no distal esophageal pressurization (contraction wave amplitude 30 mmHg); and (III) rapidly propagating pressurization attributable to spastic contractions. Treatment failure was defined as a postoperative symptom score greater than the 10th percentile of the preoperative score (i.e., >7). Type III achalasia coincided with a longer overall lower esophageal sphincter (LES) length, a lower symptom score, and a smaller esophageal diameter. Treatment failure rates differed significantly in the three groups: I = 14.6% (14/96), II = 4.7% (6/127), and III = 30.4% (7/23; p = 0.0007). At univariate analysis, the manometric pattern, a low LES resting pressure, and a high chest pain score were the only factors predicting treatment failure. At multivariate analysis, the manometric pattern and a LES resting pressure achalasia subtypes: patients with panesophageal pressurization have the best outcome after laparoscopic Heller-Dor myotomy.

Glycogen metabolism and the homeostatic regulation of sleep

KAUST Repository

Petit, Jean-Marie

2014-11-16

In 1995 Benington and Heller formulated an energy hypothesis of sleep centered on a key role of glycogen. It was postulated that a major function of sleep is to replenish glycogen stores in the brain that have been depleted during wakefulness which is associated to an increased energy demand. Astrocytic glycogen depletion participates to an increase of extracellular adenosine release which influences sleep homeostasis. Here, we will review some evidence obtained by studies addressing the question of a key role played by glycogen metabolism in sleep regulation as proposed by this hypothesis or by an alternative hypothesis named “glycogenetic” hypothesis as well as the importance of the confounding effect of glucocorticoïds. Even though actual collected data argue in favor of a role of sleep in brain energy balance-homeostasis, they do not support a critical and direct involvement of glycogen metabolism on sleep regulation. For instance, glycogen levels during the sleep-wake cycle are driven by different physiological signals and therefore appear more as a marker-integrator of brain energy status than a direct regulator of sleep homeostasis. In support of this we provide evidence that blockade of glycogen mobilization does not induce more sleep episodes during the active period while locomotor activity is reduced. These observations do not invalidate the energy hypothesis of sleep but indicate that underlying cellular mechanisms are more complex than postulated by Benington and Heller.

Laparoscopic extended cardiomyotomy in children: an effective procedure for the treatment of esophageal achalasia.

Science.gov (United States)

Tannuri, Ana Cristina Aoun; Tannuri, Uenis; Velhote, Manoel Carlos Prieto; Romão, Rodrigo Luiz Pinto

2010-07-01

Achalasia of the esophagus is characterized by aperistalsis and incomplete relaxation of the lower esophageal sphincter in response to swallowing. The objective of the present study is to present the experience of a modified Heller myotomy via a laparoscopic approach for the treatment of children who had this condition. A retrospective review of medical records of all patients who underwent this procedure from 2000 to 2009 was performed. The procedure consisted of an extended esophagomyotomy beginning on the lower part of the lower esophageal sphincter and continuing 5 to 6 cm above on the lower third of the esophagus, and then extended 3 to 4 cm below to the stomach, associated with an anterior 180-degree hemi-fundoplication according to Dor's technique. Fifteen patients were included in the study. There were 8 female and 7 male patients. Mean operating time was 190 minutes with no intraoperative complications and 1 conversion to open surgery because of difficulty in dissecting an inflamed distal esophagus. In a mean follow-up period of 32.3 months, 2 patients had recurrence of mild dysphagia that disappeared spontaneously, and 1 required a single botulinum toxin injection with complete resolution of symptoms. We conclude that the laparoscopic extended Heller myotomy with Dor fundoplication is a safe and effective method for the treatment for achalasia in the pediatric population even in advanced cases. Copyright 2010 Elsevier Inc. All rights reserved.

Autism and esophageal achalasia in childhood: a possible correlation? Report on three cases.

Science.gov (United States)

Betalli, P; Carretto, E; Cananzi, M; Zanatta, L; Salvador, R; Galeazzi, F; Guariso, G; Gamba, P; Costantini, M

2013-04-01

Chronic gastrointestinal symptoms are commonly reported in autistic patients. Dysphagia is often present, and it is generally related to behavioral eating disorders. The association between autism and esophageal achalasia has not been described in literature yet. We report our experience with three cases of autistic children we recently treated for esophageal achalasia. In the first case (a 14-year-old male), achalasia was diagnosed with barium swallow and esophageal manometry and was successfully treated with three pneumatic endoscopic dilatations (follow-up: 3 years). In the second case (a 12-year-old female), achalasia was diagnosed with barium swallow and esophageal manometry and was treated with Heller myotomy after two unsuccessful pneumatic endoscopic attempts (follow-up: 3 months). In the last case, a 15-year-old male underwent barium swallow and endoscopy that confirmed achalasia. He was treated with Heller myotomy, and he is asymptomatic at a 6-month follow-up. To our knowledge, this is the first report of a possible association between autism and esophageal achalasia. Because of the rarity of both diseases, their association in the same patient is unlikely to be casual even if speculation on their common etiology is impossible at present. This finding needs further confirmation, but it is sufficient, in our opinion, to indicate proper evaluation with barium swallow and/or manometry in any autistic children with eating difficulty. © 2012 Copyright the Authors. Journal compilation © 2012, Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.

Investigation of the biota of Burgas Bay, Black Sea

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D. Klisarova

2016-06-01

Full Text Available Abstract. Burgas Bay is the largest one on the Bulgarian Black Sea coast. Industrial plants along the coast as well as ports for liquid and solid cargoes create conditions of anthropogenic pressure on hydrobionts in that area. Macrozoobenthos and phytoplankton samples were collected under a specific scheme in connection with the construction of the Burgas-Alexandroupolis oil pipeline, at stations located around the designated places for unloading tankers. During the study period (2009 – 2010, 88 phytoplankton species distributed in 13 classes were identified and over 50 species of benthic species distributed in four main groups: Polychaeta, Mollusca, Crustacea and the mixed group Diversa

Parasitofauna de cachara cultivado em tanque-rede no rio Paraguai

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Gabriela Tomas Jeronimo

2013-08-01

Full Text Available O objetivo deste trabalho foi descrever a fauna parasitária de cachara (Pseudoplatystoma reticulatum cultivado em tanque-rede, no rio Paraguai. Dez peixes com peso médio de 598,0±81,3 g e comprimento total médio de 38,6±1,6 cm foram examinados. Todos os peixes necropsiados apresentaram infestação por pelo menos duas espécies de parasitos. Entre os parasitos, foram encontrados Ichthyophthirius multifiliis (Ciliophora, Myxobolus sp. e Henneguya sp. (Myxozoa, Monogenoidea, Choanoscolex abscissus e Nominoscolex sudobim (Cestoda, Dolops carvalhoi (Crustacea e Digenea. O protozoário Ichthyophthirius multifiliis foi o parasito com maior prevalência.

A study of fish and shellfish radioactivity levels in Cumbrian near-shore waters

International Nuclear Information System (INIS)

McKay, W.A.; Szweda, C.

1987-07-01

Fish (cod, plaice, whiting and skate), crustacea (shrimp, Nephrops, crab and lobster) and mollusc (winkle) samples were collected from Cumbrian near-shore waters between November 1984 and the end of December 1986. The samples were analysed for total beta activity and a range of gamma and alpha emitters. In general the radionuclide levels were lower in 1986 than in 1985. On the assumption of constant consumption rates, the intakes of all consumers have decreased. In particular, the doses incurred by the critical group of local seafood consumers near Sellafield, mainly due to winkle consumption, were below the ICRP dose limit for the public of 1 mSv year -1 . (author)

Factors used for the estimation of radioactive nuclide intake through foodstuffs by inhabitants in coastal area of Ibaraki prefecture, (4)

International Nuclear Information System (INIS)

Sumiya, Misako; Ohmomo, Yoichiro

1976-01-01

The consumption of marine foods such as fish, cephalopod, crustacea, shellfish, algae and processed was surveyed on three kinds of families in Kuji town and Tokai village. The average daily intake through a year was 224 g/d/p for fisherman's families in Kuji, 131 g/d/p for native's families in Tokai and 89 g/d/p for immigrant's families from city to Tokai village, respectively. Fish accounted for about one-half of whole consumption of marine foods. Fisherman's families showed the highest consumption of all kinds of marine foods except algae through a year. Algae was consumed much by the natives in Tokai. (auth.)

The evolution of the treatment of esophageal achalasia: a look at the last two decades.

Science.gov (United States)

Allaix, Marco E; Herbella, Fernando A; Patti, Marco G

2012-09-01

Thanks to the development of minimally invasive surgery, the last 20 years have witnessed a revolution in the treatment of benign esophageal disorders, particularly for esophageal achalasia. This has brought a shift in the treatment algorithm of this disease, as today a laparoscopic Heller myotomy with partial fundoplication is considered the primary form of treatment in most Centers in North America. This article reviews the evolution of the treatment of esophageal achalasia during the last two decades, with particular stress on the key technical elements of this operation.

Evaluation of solar energy over three dimensional objects

International Nuclear Information System (INIS)

Serposhan, S.; Yaghoubi, M.

2002-01-01

The knowledge of solar irradiation is important in heating and cooling of buildings architectural engineering, various solar energy utilizations, and for any system design exposed to sun radiation. In the present article, simulation is made to predict solar irradiation over any three-dimensional objects. Special consideration is made to evaluate solar radiation intensity distribution over semi-circular roof and domed roofs. For practical applications, hourly and average daily solar radiation distribution for a series of three Heller type huge cooling towers of Fars Power Plant is also determined

Childhood disintegrative disorder

DEFF Research Database (Denmark)

Mouridsen, Svend Erik

2003-01-01

In 1908 a Viennese remedial educator Theodor Heller described six children under the name of dementia infantilis who had insidiously developed a severe mental regression between the 3rd and 4th years of life after normal mental development. Neuropathological and other medical conditions...... are sometimes associated with this disorder, but contrary to earlier belief this is not typical. Interest in childhood disintegrative disorder has increased markedly in recent years and in this review attention is given to more recently published cases based on ICD-9, ICD-10 and DSM-IV diagnostic systems...

An introduction to the edition of two Lemaître’s original manuscripts

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Maere Catherine de

2017-04-01

Full Text Available The aim of this paper is to explain the contributions of G. Lemaître to Spinor Theory. At the end of the paper, we edited also, for the first time two short manuscripts: Spineurs et Quanta and Les spineurs et la physique quantique, written by Lemaître in December 1955 and in January 1956. This edition is a way of honouring Professor Michael Heller because he was the first, with Professor Odon Godart, who discovered, classified and published unedited manuscripts of G. Lemaître.

Relació del tecnoestrès i tecnoflow amb el burnout i l’engagement

OpenAIRE

Ferreres, Miriam

2006-01-01

Dotzenes Jornades de Foment de la Investigació de la FCHS (Any 2006-2007) Les Tecnologies de la Informació i la Comunicació (TIC) han anat incorporant-se de manera massiva al món laboral, fins al punt de poder influir en la salut psicosocial de l’individu. Ara bé, cal tenir en compte que les TIC per sí mateix són neutres (Frank Heller), dependrà de la forma en la qual s’incorporen que aquestes influiran positiva (Engagement) o negativament (Burnout) en l’individu. En aquest tre...

Bruk av urtemedisiner blant gravide i Mali : Intervju av 72 healere i Bamako, Siby og Dioila

OpenAIRE

Al-Zayadi, Waled

2012-01-01

WHO’s rapport fra 2001 viser til at hele 75 % av Mali sin populasjon bruker tradisjonell medisin. Det er beregnet til å være 1 medisinmann pr 500 innbyggere. Hovedmålet med denne oppgaven var å undersøke tradisjonelle medisinmenns behandling av sykdom og plager i svangerskapet i Mali. Det er lite som vites om bruk av urtemedisiner blant gravide i Mali. Det er heller ingen studier gjort fra healerens side. Studien var med på å kartlegge hvilke urter som brukes til den enkelte plagen. I ette...

Abordaje laparoscópico de la acalasia análisis clínico, de calidad de vida y funcional /

OpenAIRE

Marinello, Franco Guillermo

2013-01-01

INTRODUCCIÓN La Acalasia es un trastorno esofágico primario con etiología desconocida. Por posibles causas genéticas, virales o autoinmunes, existe una inflamación mioentérica que conlleva a una destrucción neuronal inhibitoria. Esta destrucción tiene como resultado final la falla de relajación del EEI y la aperistalsis esofágica. Existen diversos tratamientos para tratar la Acalasia, ninguno de ellos curativo. La miotomía de Heller demostró ser el tratamiento con mejores resultados a largo p...

Papers presented at EuroSun'96 Congress 1996 in Freiburg, Germany

DEFF Research Database (Denmark)

Furbo, Simon; Heller, Alfred; Shah, Louise Jivan

1996-01-01

A collection of presented papers at EuroSun'96 Congress in Freiburg, Germany. Four papers are presented orally, two by poster.Verbally presented papers* Furbo Simon and Shah Jivan Louise, OPTIMUM SOLAR COLLECTOR FLUID FLOW RATES.* Holck Ole, MODELLING OF MICROCLIMATE IN COLLECTORS.* Saxhof Bjarne...... and Engelund Thomsen Kirsten, TWO DIFFERENT ROWHOUSES IN KOLDING - THE EFFECT OF ORIENTATION.* Svendsen Svend, ACCELERATED TESTING OF SOLAR COLLECTOR DURABILITY.Poster session presented papers* Heller Alfred, A SIMPLE ATRIUM AIR MODEL.* Shah Jivan Louise and Furbo Simon, OPTIMISATION OF MANTLE TANKS FOR LOW...

Chemical Bonding, Interdiffusion and Electronic Structure at InP, GaAs, and Si-Metal Interfaces.

Science.gov (United States)

1985-10-01

4. H.H. Wieder, J. Vac. Sci. Technol. 15, 1498 (1978). C. 5. W.E. Spicer, 1. Lindau, P. Skeath, C.Y. Su, and P. Chye , Phys. Rev. Lett. 44, 10 420...Spicer, Solid State Electron. 28 307 (1985). 25. N. Newman, K.K. Chin , W.G. Petro, T. Kendelewicz, M.D. Williams, C.E. McCants, and W.E. Spicer, J. Vac...Technol. 19, 661 (1981). 11. Y. Shapira, L.J. Brillson and A. Heller, J. Vac. Sci. U Technol., Al, 766 (1983). 12. P.W. Chye , I. Lindau, P. Pianetta, C.M

The Caridean Crustacea of the Canary Islands

NARCIS (Netherlands)

Holthuis, L.B.

1949-01-01

The present paper is based mainly on material collected at the Canary Islands during the spring of 1947 by Dr. G. Thorson of Universitetets Zoologiske Museum at Copenhagen and Dr. C. O. van Regteren Altena of the Rijksmuseum van Natuurlijke Historie at Leiden. Most of the specimens were collected by

The cavernicolous Oniscidea (Crustacea: Isopoda) of Portugal

DEFF Research Database (Denmark)

P. S. Reboleira, Ana Sofia; Gonçalves, Fernando J.; Oromí, Pedro

2015-01-01

The study of subterranean Oniscidea in Portugal has been neglected for nearly 70 years, but recent investigations have revealed high diversity. All the terrestrial isopods known from caves of mainland Portugal, including data from the literature and new material, are listed, revealing new biodive...

NA phylogeny of Ryukyus Leucothoidae (Crustacea: Amphipoda)

NARCIS (Netherlands)

White, K.N.; Reimer, J.D.

2012-01-01

Commensal leucothoid amphipods collected from sponges, ascidians, and coral rubble from the Ryukyu Archipelago, Japan, were investigated using nuclear 18S ribosomal DNA sequences. Analysis of sequences from 21 species in three genera supported the current morphological species designations and the

Diagnosis and management of esophageal achalasia in children: analysis of 13 cases.

Science.gov (United States)

Zhang, Yin; Xu, Chun-Di; Zaouche, Abdehaman; Cai, Wei

2009-02-01

Esophageal achalasia is a rare disease and there have been very few reports about it, especially in children. We reviewed our experience in dealing with esophageal achalasia in 13 children. Thirteen children (6 boys and 7 girls), who had been diagnosed with achalasia over a 12-year period between May 1993 and October 2005, were analysed with regard to clinical manifestations, esophageal manometry, endoscopic findings, and treatment. Their age ranged from 3 years to 14 years and 5 months (average 10.3 years) at the time of diagnosis. In the 13 children, 3 had a family history of esophageal achalasia, 2 of them were sisters. All the 3 children suffered from achalasia/alacrimia/ACTH deficiency. Dysphagia was the most common symptom in the affected children. Vomiting/regurgitation, retrosternal pain, retarded growth, and respiratory symptoms were also observed in some patients. Heller's esophagocardiomyotomy was performed in 9 (69.23%) children, among whom 3 had an antireflux operation at the same time. In the remaining 4 children, 3 received a pneumatic dilatation and 1 received regular administration of nifedipine. Twelve patients were followed up: 8 patients by surgery were cured and have been in perfect condition until now, 3 patients recovered fairly, and 1 patient showed improvement. Esophageal manometry combined with X-ray examination proves to be an effective diagnostic method for achalasia. It is also effective in evaluating the result of treatment. Heller's esophagocardiomyotomy is a treatment of choice for children with achalasia because of its safety and long-term effective results after surgery.

Robot-assisted gastroesophageal surgery: usefulness and limitations.

Science.gov (United States)

Diez Del Val, Ismael; Martinez Blazquez, Cándido; Loureiro Gonzalez, Carlos; Vitores Lopez, Jose Maria; Sierra Esteban, Valentin; Barrenetxea Asua, Julen; Del Hoyo Aretxabala, Izaskun; Perez de Villarreal, Patricia; Bilbao Axpe, Jose Esteban; Mendez Martin, Jaime Jesus

2014-06-01

Robot-assisted surgery overcomes some of the limitations of traditional laparoscopic surgery. We present our experience and lessons learned in two surgical units dedicated to gastro-esophageal surgery. From June 2009 to January 2013, we performed 130 robot-assisted gastroesophageal procedures, including Nissen fundoplication (29), paraesophageal hernia repair (18), redo for failed antireflux surgery (11), esophagectomy (19), subtotal (5) or wedge (4) gastrectomy, Heller myotomy for achalasia (22), gastric bypass for morbid obesity (12), thoracoscopic leiomyomectomy (4), Morgagni hernia repair (3), lower-third esophageal diverticulectomy (1) and two diagnostic procedures. There were 80 men and 50 women with a median age of 54 years (interquartile range: 46-65). Ten patients (7.7 %) had severe postoperative complications: eight after esophagectomy (three leaks-two cervical and one thoracic-managed conservatively), one stapler failure, one chylothorax, one case of gastric migration to the thorax, one case of biliary peritonitis, and one patient with a transient ventricular dyskinesia. One redo procedure needed reoperation because of port-site bleeding, and one patient died of pulmonary complications after a giant paraesophageal hernia repair; 30-day mortality was, therefore, 0.8 %. There were six elective and one forced conversions (hemorrhage), so total conversion was 5.4 %. Median length of stay was 4 days (IQ range 3-7). Robot-assisted gastroesophageal surgery is feasible and safe, and may be applied to most common procedures. It seems of particular value for Heller myotomy, large paraesophageal hernias, redo antireflux surgery, transhiatal dissection, and hand-sewn intrathoracic anastomosis.

Treatment of esophageal motility disorders based on the chicago classification.

Science.gov (United States)

Maradey-Romero, Carla; Gabbard, Scott; Fass, Ronnie

2014-12-01

The Chicago Classification divides esophageal motor disorders based on the recorded value of the integrated relaxation pressure (IRP). The first group includes those with an elevated mean IRP that is associated with peristaltic abnormalities such as achalasia and esophagogastric junction outflow obstruction. The second group includes those with a normal mean IRP that is associated with esophageal hypermotility disorders such as distal esophageal spasm, hypercontractile esophagus (jackhammer esophagus), and hypertensive peristalsis (nutcracker esophagus). The third group includes those with a normal mean IRP that is associated with esophageal hypomotility peristaltic abnormalities such as absent peristalsis, weak peristalsis with small or large breaks, and frequent failed peristalsis. The therapeutic options vary greatly between the different groups of esophageal motor disorders. In achalasia patients, potential treatment strategies comprise medical therapy (calcium channel blockers, nitrates, and phosphodiesterase 5 inhibitors), endoscopic procedures (botulinum toxin A injection, pneumatic dilation, or peroral endoscopic myotomy) or surgery (Heller myotomy). Patients with a normal IRP and esophageal hypermotility disorder are candidates for medical therapy (nitrates, calcium channel blockers, phosphodiesterase 5 inhibitors, cimetropium/ipratropium bromide, proton pump inhibitors, benzodiazepines, tricyclic antidepressants, trazodone, selective serotonin reuptake inhibitors, and serotonin-norepinephrine reuptake inhibitors), endoscopic procedures (botulinum toxin A injection and peroral endoscopic myotomy), or surgery (Heller myotomy). Lastly, in patients with a normal IRP and esophageal hypomotility disorder, treatment is primarily focused on controlling the presence of gastroesophageal reflux with proton pump inhibitors and lifestyle modifications (soft and liquid diet and eating in the upright position) to address patient's dysphagia.

An overview of stygobiontic invertebrates of Poland based on published data

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Elzbieta Dumnicka

2017-08-01

Full Text Available Based on published literature, at least eighty species of stygobiontic invertebrates are confirmed in Poland. The highest number of these species is found in interstitial waters and wells, while a lower number was discovered in caves and springs. Hydrachnidia is represented by 45 species living mainly in interstitial waters, Crustacea by 24, Annelida by eleven species, while Turbellaria and Gastropoda are each represented by one species. As many as 14 endemic species were described from Poland but the taxonomical status of some of them is unclear. The highest number of stygobionts was stated in southern part of Poland, an area onto which most of the studies were focused on.

Radioecological studies of 137Cs in limnological ecosystems. 137Cs concentrations in water, sediment and biota at the lower region of the famous river in Saitama Prefecture

International Nuclear Information System (INIS)

Miyake, Sadaaki; Motegi, Misako; Oosawa, Takashi; Nakazawa, Kiyoaki; Ogata, Hiromitsu; Izumo, Yoshiro; Nakamura, Fumio.

1996-01-01

The concentrations of 137 Cs in water, sediment and biota at the lower region of the famous river in Saitama prefecture were determined in order to elucidate the radioecology of 137 Cs in limnological ecosystems. 137 Cs concentration in water was 0.10 mBq/l. 137 Cs concentrations in sediment, shellfish, Sinotaia quadratus historica (mean for 2 detectable samples), and fish, Carassius auratus cuvieri (mean for 2 detectable samples), were about 6200, 840 and 320 times higher than the concentration of the water, respectively. But 137 Cs radioactivity in the crustacea, Procambarus clarki, was significantly not detected. So, 137 Cs transfer mechanism in the limnological ecosystems was indicated in part. (author)

Structure, seasonal dynamics and distribution of zooplankton in lake Drukshiai in 1994

International Nuclear Information System (INIS)

Mazheikaite, S.; Pashkauskas, R.

1995-01-01

Investigations on the zooplankton of Lake Drukshiai were carried out in 1994. There were registered 62 taxons of protozoa and 50 taxons of metazoa, and compared with the data of 1979 - 1986 the diversity of species composition decreased 2.1 times. Eurytermic and stenothermic thermophylic species prevailed in the plankton biocenosis. In protozooplankton dominated ciliates of subclasses teolotricha and spirotricha, in metazooplankton -planctonic crustacea (Copopeda and Cladocera). Rotifers (Rotaria) were abundant only in the shallow and heated water outlet area. Seasonal dynamics of protozooplankton indicated one maximum in spring and metazooplankton - in summer. High diferentiation in quantity and biomass of zooplankton in the lake revealed different level of eutrophication of some areas. (author). 7 refs., 5 figs

Kinetic Model of Growth of Arthropoda Populations

Science.gov (United States)

Ershov, Yu. A.; Kuznetsov, M. A.

2018-05-01

Kinetic equations were derived for calculating the growth of crustacean populations ( Crustacea) based on the biological growth model suggested earlier using shrimp ( Caridea) populations as an example. The development cycle of successive stages for populations can be represented in the form of quasi-chemical equations. The kinetic equations that describe the development cycle of crustaceans allow quantitative prediction of the development of populations depending on conditions. In contrast to extrapolation-simulation models, in the developed kinetic model of biological growth the kinetic parameters are the experimental characteristics of population growth. Verification and parametric identification of the developed model on the basis of the experimental data showed agreement with experiment within the error of the measurement technique.

Radioecological studies of {sup 137}Cs in limnological ecosystems. {sup 137}Cs concentrations in water, sediment and biota at the lower region of the famous river in Saitama Prefecture

Energy Technology Data Exchange (ETDEWEB)

Miyake, Sadaaki; Motegi, Misako; Oosawa, Takashi; Nakazawa, Kiyoaki [Saitama Inst. of Public Health, Urawa (Japan); Ogata, Hiromitsu; Izumo, Yoshiro; Nakamura, Fumio

1996-02-01

The concentrations of {sup 137}Cs in water, sediment and biota at the lower region of the famous river in Saitama prefecture were determined in order to elucidate the radioecology of {sup 137}Cs in limnological ecosystems. {sup 137}Cs concentration in water was 0.10 mBq/l. {sup 137}Cs concentrations in sediment, shellfish, Sinotaia quadratus historica (mean for 2 detectable samples), and fish, Carassius auratus cuvieri (mean for 2 detectable samples), were about 6200, 840 and 320 times higher than the concentration of the water, respectively. But {sup 137}Cs radioactivity in the crustacea, Procambarus clarki, was significantly not detected. So, {sup 137}Cs transfer mechanism in the limnological ecosystems was indicated in part. (author).

DESARROLLO DE UNA NUEVA TÉCNICA ENDOSCÓPICA PARA EL TRATAMIENTO DE LA ACALASIA: POEM (PER-ORAL ENDOSCOPIC MYOTOMY)

OpenAIRE

Mejía M,Ricardo; León F,Felipe; Donoso D,Andrés; Pimentel M,Fernando; Ibáñez A,Luis; Sharp P,Allan

2014-01-01

La Acalasia es el trastorno motor primario más frecuente del esófago. Existen diversas alternativas para el tratamiento de esta enfermedad, siendo el gold standard actual la miotomía de Heller laparoscópica. Durante los últimos años, con el desarrollo de técnicas endoscópicas avanzadas, se ha desarrollado una nueva técnica endoscópica para el tratamiento de esta patología; la técnica POEM (del inglés: Per Oral Endoscopic Myotomy). Hoy en día pocos centros en el mundo realizan esta técnica, co...

Enhanced separation of diffusing particles by chaotic advection

International Nuclear Information System (INIS)

Aref, H.; Jones, S.W.

1989-01-01

Combining the reversibility of advection by a Stokes flow with the irreversibility of diffusion leads to a separation strategy for diffusing substances. This basic idea goes back to Taylor and Heller. It is shown here that the sensitivity of the method can be greatly enhanced by making the advection chaotic. The separation is particularly efficient when the thinnest structures resulting from advection are made comparable in size to a diffusion length. Simple heuristic estimates based on an understanding of chaotic motion and diffusion lead to a certain scaling that is seen in numerical experiments on this separation method

Thèses de doctorat soutenues en 2009

Directory of Open Access Journals (Sweden)

2010-04-01

Full Text Available Andrea Vestrucci, Sujet moral et Sittlichkeit : la théorie de la morale de Agnès Heller. Une comparaison avec Eric Weil.Thèse soutenue le 28 janvier 2009 à l’Université de Milan.Composition du juryMaria Cristina Bartolomei, Professeur à l'Université de Milan, co-directrice de thèse Michel Crubellier, Professeur à l'Université de Lille 3Marco Ravera, Professeur à l'Université de TurinPatrice Canivez, Professeur à l'Université de Lille 3, co-directeur de thèse Nathalie Rubel, Sexe et laïcité - ...

[Work reality and the construction process of the nurse's identity].

Science.gov (United States)

Netto, Laura Filomena Santos de Araújo; Ramos, Flávia Regina Souza

2002-01-01

This study tries to understand the relation between the reality of the nurse's everyday work and the construction process of this identity, using Agnes Heller's sociological theory of everyday life as the main reference. The possibilities of the worker's expression and fulfillment occur through objective and subjective elements of job reality which comes upon the worker as people who put order and tension in their everyday job; these job determinants imprint and produce impacts, giving sense to the work quality and constructing concrete possibilities to the worker to manifest him/herself as Whole being, guiding the construction of his/her identity.

Surgery or Peroral Esophageal Myotomy for Achalasia

Science.gov (United States)

Marano, Luigi; Pallabazzer, Giovanni; Solito, Biagio; Santi, Stefano; Pigazzi, Alessio; De Luca, Raffaele; Biondo, Francesco Giuseppe; Spaziani, Alessandro; Longaroni, Maurizio; Di Martino, Natale; Boccardi, Virginia; Patriti, Alberto

2016-01-01

Abstract To date very few studies with small sample size have compared peroral esophageal myotomy (POEM) with the current surgical standard of care, laparoscopic Heller myotomy (LHM), in terms of efficacy and safety, and no recommendations have been proposed. To investigate the efficacy and safety of POEM compared with LHM, for the treatment of achalasia. The databases of Pubmed, Medline, Cochrane, and Ovid were systematically searched between January 1, 2005 and January 31, 2015, with the medical subject headings (MeSH) and keywords “achalasia,” “POEM,” “per oral endoscopic myotomy,” and “peroral endoscopic myotomy,” “laparoscopic Heller myotomy” (LHM), “Heller myotomy.” All types of study designs including adult patients with diagnosis of achalasia were selected. Studies that did not report the comparison between endoscopic and surgical treatment, experimental studies in animal models, single case reports, technical reports, reviews, abstracts, and editorials were excluded. The total number of included patients was 486 (196 in POEM group and 290 in LHM group). There were no differences between POEM and LHM in reduction in Eckardt score (MD = −0.659, 95% CI: −1.70 to 0.38, P = 0.217), operative time (MD = −0.354, 95% CI: −1.12 to 0.41, P = 0.36), postoperative pain scores (MD = −1.86, 95% CI: −5.17 to 1.44, P = 0.268), analgesic requirements (MD = −0.74, 95% CI: −2.65 to 1.16, P = 0.445), and complications (OR = 1.11, 95% CI: 0.5–2.44, P = 0.796). Length of hospital stay was significantly lower for POEM (MD = −0.629, 95% CI: −1.256 to −0.002, P = 0.049). There was a trend toward significant reduction in symptomatic gastroesophageal reflux rate in favors of LHM compared to POEM group (OR = 1.81, 95% CI: 1.11–2.95, P = 0.017). All included studied were not randomized. Furthermore all selected studies did not report the results of follow-up longer than 1 year and

Modelization of cooling system components

Energy Technology Data Exchange (ETDEWEB)

Copete, Monica; Ortega, Silvia; Vaquero, Jose Carlos; Cervantes, Eva [Westinghouse Electric (Spain)

2010-07-01

results in relatively low water withdrawal. Typical heat sink options for closed-cycle systems are wet cooling system (mechanical or natural draft cooling towers, and cooling ponds). When water availability is low, a dry cooling system may be utilized. Dry cooling can be either direct or indirect and in each case uses convective heat transfer to provide cooling, eliminating evaporation losses. An innovative indirect dry cooling system is the Heller{sup R} System. The Heller{sup R} System air moving equipment can be either a natural draft or a mechanical draft. The Heller{sup R} System design concepts and equipment provides the maximum possible availability and minimum maintenance. Also, it is totally environmental-friend as saves water equivalent to the consumption of a town of 50,000 inhabitants for each 100 MWe facilitating the licensing of power projects. (authors)

The role of Heller myotomy and POEM for nonachalasia motility disorders.

Science.gov (United States)

Schlottmann, F; Shaheen, N J; Madanick, R D; Patti, M G

2017-04-01

The best-defined primary esophageal motor disorder is achalasia. However, symptoms such as dysphagia, regurgitation and chest pain can be caused by other esophageal motility disorders such as Diffuse Esophageal Spasm (DES), Nutcracker Esophagus (NE) and the Hypertensive Lower Esophageal Sphincter (HTN-LES). Most patients with DES and HTN-LES who complain of dysphagia improve after a myotomy. Patients with NE whose main complaint is chest pain, often do not have relief of the pain and can even develop dysphagia as a consequence of the myotomy. POEM is a relatively new procedure, and there are no studies with long-term follow-up and no prospective and randomized trials comparing it to surgical myotomy. Overall, the key to success is based on a complete evaluation and a careful patient selection. The best results, regardless of the technique, are in fact obtained in patients with outflow obstruction and impaired esophageal emptying, a picture similar to achalasia. © The Authors 2017. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Apparent carbohydrate and lipid digestibility of feeds for whiteleg shrimp, Litopenaeus vannamei (Decapoda: Penaeidae, cultivated at different salinities

Directory of Open Access Journals (Sweden)

Milena Gucic

2013-09-01

Full Text Available Whiteleg shrimp, Litopenaeus vannamei is one of the most commercially farmed species worldwide because of its fast growth, good survival rate at high farming densities, and osmoregulatory capacity, which makes it an excellent candidate for cultures at different salinities. The knowledge of shrimp nutritional requirements is critical in the formulation of diets to allow optimal growth at different environmental conditions and development stages. The effect of salinity on apparent digestibility of shrimp feed is not well known, and this information is required in shrimp diet formulation. For this purpose, the apparent digestibility coefficients of carbohydrates (ACD and lipids (ALD were determined for juvenile whiteleg shrimps under controlled culture conditions. We evaluated the apparent digestibility of six commercial (D1:37CP, D2:38CP, D3:39CP, D4:34CP, D5:35CP, and D6:37CP and two experimental (E1:33CP and E2:33CP diets for juvenile whiteleg shrimp cultivated at three salinities (5, 35 and 50psu in 60L aquariums. ACD and ALD were determined in vivo using chromic oxide as an inert marker. Our results showed that ALD in most cases was over 80%, independent of salinity, except the E1:33CPdiet which had 74.0% at 50psu. Diet D3:39CP showed the highest ALD coefficient (90.1 and 90.6% at 5 and 35psu, respectively. For ACD, differences were detected between commercial and experimental diets at every salinity level, although salinity effect on ACD was not significant. Diet D4:34CP had the highest coefficient (92.4% at 5psu, and E2:33CP at 35 and 50psu (97.3 and 94.7%. This study demonstrated that there is no significant effect of saline variations on carbohydrate and lipid digestibility by juvenile whiteleg shrimp, under the experimental conditions. Rev. Biol. Trop. 61 (3: 1201-1213. Epub 2013 September 01.

Population genetic structure of Brazilian shrimp species (Farfantepenaeus sp., F. brasiliensis, F. paulensis and Litopenaeus schmitti: Decapoda: Penaeidae

Directory of Open Access Journals (Sweden)

Jaqueline Gusmão

2005-03-01

Full Text Available Penaeid shrimps are important resources for worldwide fisheries and aquaculture. In the Southwest Atlantic, Farfantepenaeus brasiliensis, F. paulensis, F. subtilis, Farfantepenaeus sp. and Litopenaeus schmitti are among the most important commercially exploited species. Despite their high commercial value, there is little information available on the different aspects of their biology or genetics and almost no data on their stock structure. We used allozymes to estimate variability levels and population genetic structure of F. brasiliensis, F. paulensis, L. schmitti and the recently detected species Farfantepenaeus sp. along as much as 4,000 km of Brazilian coastline. No population heterogeneity was detected in F. brasiliensis or L. schmitti along the studied area. In contrast, F ST values found for Farfantepenaeus sp. and F. paulensis indicate that the populations of those two species are genetically structured, comprising different fishery stocks. The largest genetic differences in F. paulensis were found between Lagoa dos Patos (South and the two populations from Southeast Brazil. In Farfantepenaeus sp., significant differences were detected between the population from Recife and those from Fortaleza and Ilhéus.

Biological studies on the blue crab Portunus pelagicus and its parasitic infection in Kuwaiti waters.

Science.gov (United States)

Al-Behbehani, Bahija E

2007-04-01

The study investigated the parasites of symbiotic fauna of the blue crab, Portunus pelagicus and the environmental factors, which was lacking in Kuwait. P. pelagicus feeding habits was studied by examination of the digestive tract. The foregut (stomach) contents of 250 crabs (110 male & 140 female) collected from fish-market, Souq-Sharq, Edelyia capital governorate were investigated. A barnacle, Balanus sp. and staked barnacle Octolasmis sp. (Crustacea: Cirripedia) were found strongly firmly to the carapace, appendages and gills of 30% male crabs and 27% female ones. Endoparasites included unidentified immature trematode stages and nematode larvae in the muscular tissues of both sexes. The main food recovered included molluscs, crustaceans, fish bones and unidentified food materials. The results were reported, photographed and critically discussed.

A survey of fish and shellfish radioactivity levels in Cumbrian near-shore waters (1990)

Energy Technology Data Exchange (ETDEWEB)

McKay, W A; Memmott, S D

1991-09-01

Fish (cod and plaice), crustacea, (crab and lobster), and molluscs (winkle) samples were collected from Cumbrian near-shore waters in 1990. The samples were analysed for total beta activity and a range of gamma and alpha emitters. In general, the radionuclide levels are lower than those measured in the previous 3 years of the study and the intake of radioactivity by all consumers should have reflected this. The dose estimated to have been incurred by the critical group of local seafood consumers near Sellafield in 1990, mainly due to winkle consumption, is less than 0.1 mSv and thus significantly below the limit of 1 mSv per year for long term radiation exposure recommended by the International Commission on Radiological Protection. (author).

A survey of fish and shellfish radioactivity levels in Cumbrian near-shore waters (1990)

International Nuclear Information System (INIS)

McKay, W.A.; Memmott, S.D.

1991-09-01

Fish (cod and plaice), crustacea, (crab and lobster), and molluscs (winkle) samples were collected from Cumbrian near-shore waters in 1990. The samples were analysed for total beta activity and a range of gamma and alpha emitters. In general, the radionuclide levels are lower than those measured in the previous 3 years of the study and the intake of radioactivity by all consumers should have reflected this. The dose estimated to have been incurred by the critical group of local seafood consumers near Sellafield in 1990, mainly due to winkle consumption, is less than 0.1 mSv and thus significantly below the limit of 1 mSv per year for long term radiation exposure recommended by the International Commission on Radiological Protection. (author)

Achalasia with massive oesophageal dilation causing tracheomalacia and asthma symptoms

Directory of Open Access Journals (Sweden)

Ana Gomez-Larrauri

Full Text Available Achalasia is an uncommon oesophageal motor disorder characterized by failure of relaxation of the lower oesophageal sphincter and muscle hypertrophy, resulting in a loss of peristalsis and a dilated oesophagus. Gastrointestinal symptoms are invariably present in all cases of achalasia observed in adults. We report a case of a 34 year-old female patient with long standing history of asthma-like symptoms, labelled as uncontrolled and steroid resistant asthma with no gastrointestinal manifestations. Thoracic CT scan revealed a massive oesophagus due to achalasia, which caused severe tracheomalacia as a result of tracheal compression. Her symptoms regressed completely after a laparoscopic Heller myotomy surgery intervention.

"Vi är inte en tummelplats för dårar" : Hur journalister och ansvariga utgivare resonerar kring och förhåller sig till användargenererat material i lokaltidningar

OpenAIRE

Öberg, Therese; Borgström, Johanna

2010-01-01

Sedan 1700-talet har läsarnas medverkan varit en väsentlig del i tidningarnas produktion. Utan deras deltagande har det inte heller blivit någon tidning. En förändring på området skedde när professionaliseringen av publicistrollen blev ett faktum och läsarnas medverkan ifrågasattes. Samhällsförändringar och tekniska utvecklingar har sedan lett fram till det vi har idag: ett samhälle där medieorganisationerna är i allt större behov av att läsarna återigen deltar i olika former. Syftet med stud...

Advanced megaesophagus (Group III secondary to vector-borne Chagas disease in a 20-month-old infant

Directory of Open Access Journals (Sweden)

Anis Rassi

2012-04-01

Full Text Available The authors report the case of a female infant with Group III (or Grade III megaesophagus secondary to vector-borne Chagas disease, resulting in severe malnutrition that reversed after surgery (Heller technique. The infant was then treated with the antiparasitic drug benznidazole, and the infection was cured, as demonstrated serologically and parasitologically. After follow-up of several years without evidence of disease, with satisfactory weight and height development, the patient had her first child at age 23, in whom serological tests for Chagas disease yielded negative results. Thirty years after the initial examination, the patient's electrocardiogram, echocardiogram, and chest radiography remained normal.

Reproductive cycle of Macrobrachium amazonicum females (Crustacea, Palaemonidae

Directory of Open Access Journals (Sweden)

CMS. Sampaio

Full Text Available Macrobrachium amazonicum is considered a favorite Brazilian species of freshwater prawn for cultivation as a result of its quick development and because it is easy to maintain in captivity. The aim of this work is to describe the sexual cycle stages and determine maturation age of the female M. amazonicum, which was collected monthly from June, 2002 to May, 2003 in the Jaguaribe River, Itaiçaba, Ceará. A monthly sample of water was also collected to determine the following parameters: temperature, dissolved oxygen, pH and salinity. A monthly sample of females was selected among the individuals caught, to determine the total weight (W T, carapace length (L C and abdomen+telson length (L A+T and to register the number of non-ovigerous females (NOF and ovigerous females (OF. Determining ovarian maturation stages of M. amazonicum was done in a laboratory by observing macroscopic characters such as coloring, size, location and appearance of ovarians examined by transparent carapace. The first maturation age was determined from the relative frequency of the total length (L T of young and adult females. The environmental parameters of the Jaguaribe River did not hold any influence in the number of individuals collected. A total of 1,337 prawns were sampled, 513 males (38.4% and 824 females (61.6%. The proportion between males and females in the studied population was of 1:1.6. Among the collected females, 492 (50.7% did not carry eggs in their abdomens (NOF and 332 (40.3% carried eggs in their abdomens (OF. There was no record of intact females. Non-ovigerous females with mature ovaries were recorded throughout all the months of collection. The female ovaries were classified as immature (IM, rudimentary (RU, intermediary (IN and mature (M. M. amazonicum females reach their first sexual maturity between 4.5 and 5.5 cm of total length.

Introduction to Some Species of Argulus (Crustacea: Branchiura ...

African Journals Online (AJOL)

PROF HORSFALL

2017-12-12

Dec 12, 2017 ... has been found in Asia, Europe, Africa, Australia and. North, Central, and South .... of Culture Cyprinidae in Pen Culture of Anzali. Lagoon. .... PHM; Wendelaar Bonga, SE (1999). Modulation ... auratus auratus) in India. Biolife.

Larval and Juvenile Ascothoracida (Crustacea) from the Plankton

OpenAIRE

Grygier, Mark J.

1988-01-01

Two kinds of previously recorded ascothoracid larvae from plankton over coral reefs in Hawaii and the Virgin Islands are redescribed as possible representatives of the Lauridae and Petrarcidae, respectively. A bathyal, tropical Atlantic ascothoracid larva from an epibenthic sled sample cannot confidently be identified to family. A planktonic, juvenile ascothoracidan from the eastern Indian Ocean belongs to the genus Synagoga.

Distribution and community structure of Ostracoda (Crustacea) in ...

African Journals Online (AJOL)

The current study presents the ostracod communities recovered from 26 shallow waterbodies in southern Kenya, combined with an ecological assessment of habitat characteristics. A total of 37 waterbodies were sampled in 2001 and 2003, ranging from small ephemeral pools to large permanent lakes along broad ...

Branchiuran parasites (Crustacea: Branchiura) from fishes in the ...

African Journals Online (AJOL)

Fish parasitological surveys, conducted during different times of the year in the Okavango and Upper Zambezi River systems from 1997 to 2013, revealed the presence of five branchiuran species. Dolops ranarum from the Okavango system was found on the skin and in the branchial chambers of 12 fish species. Adults and ...