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L’objectiu d’aquest article és pensar Joan Fuster a partir de la seua correspondènciaamb Max Cahner, fent un esment especial als projectes compartits entre els dos intel·lectuals,sobretot, pel que té a veure en la relació editor-escriptor, tenint en compte l’amistat que elsva unir, els moments bons i els daltabaixos. Per això, a partir de les cartes, pararem atencióa l’experiència de Fuster com a col·laborador de Cahner en la Gran Enciclopèdia Catalana ien la seua relació, per exemple, amb els correctors lingüístics. A més, és clar, ens fixarem enalguns processos de creació com Literatura catalana contemporània (1972) i Decadència alPaís Valencià (1976).

This article explores the application of viscoelastic tests (VETs) in trauma-induced coagulopathy and trauma resuscitation. We describe the advantages of VETs over conventional coagulation tests in the trauma setting and refer to previous disciplines in which VET use has reduced blood product utilization, guided prohemostatic agents, and improved clinical outcomes such as the mortality of critically bleeding patients. We describe different VETs and provide guidance for blood component therapy and prohemostatic therapy based on specific VET parameters. Because the two most commonly used VET systems, rotational thromboelastometry and thromboelastography, use different activators and have different terminologies, this practical narrative review will directly compare and contrast these two VETs to help the clinician easily interpret either and use the interpretation to determine hemostatic integrity in the bleeding trauma patient. Finally, we anticipate the future of new viscoelastic technologies that can be used in this setting.

El llibre dels vins, d’Arnau de Vilanova, es tracta d’una mena de rara avis escritapel metge medieval. De fet, tal com indica Patrick Gifreu al pròleg, el manualn’és una excepció: es troba prop de l’alquímia, però, sense haver caigut en elparany d’haver sigut definit com a text apòcrif.Ara bé, la temàtica no és original, com a mínim, no per a l’edat mitjanaen què el vi té una importància valuosíssima. Hom sap que la vinya i elseu fruit han tingut un pes fonamental de temps ençà. Per tant, no descobrimCatarroja en afirmar que el plaer per aquesta beguda hauria estat present enles societats que abastarien les tradicions de Roma fins al món àrab. En efecte,Avicenna considera el seu poder penetrant, fent esment en com les propietatsdel suc de raïm afavoririen els cossos adolorits. I a parer nostre, aquesta és laidea que subjau en el conjunt de les receptes que Vilanova desenvolupa, però,per fer-nos entendre que, més enllà de la presència del vi en les millors taules, ellíquid hauria acabat per cridar l’atenció també dels metges, i no únicament pertindre’l en estima, sinó per defendre’l com a mètode de sanació. És a dir, coma aliment de l’ànima.

Acute right ventricular (RV) failure is challenging to treat and mechanical circulatory support devices are limited. The TandemHeart ProtekDuo (THPD; TandemLife) is a novel percutaneous RV assist device that can provide 4.0 liters per minute of blood flow through venovenous extracorporeal life support. It allows venous drainage from the right atrium and reinfusion of blood into the main pulmonary artery via internal jugular vein access. We aim to provide real-world insight into disease characteristics resulting in the use of THPD for mechanical support and enhance knowledge of best practice regarding clinical management weaning and removal/exit strategies.We retrospectively collected data of consecutive patients who received a THPD device at our center for acute RV failure between August 2015 and February 2018.Eleven patients were diagnosed with acute RV failure and required placement of THPD. The hospital length of stay ranged from 12 to 223 days. The average length of support ranged from 11 to 154 days. We observed complications such as stroke (18.2%), sepsis (63.6%), massive gastrointestinal bleed (45.5%), and heparin-induced thrombocytopenia (54.5%). These patients received on average 85 units of blood products. Survival was 82% at 30 days and 72% at 180 days. Six of the patients were successfully weaned from the THPD devices and 1 patient required venovenous extracorporeal life support.This real-world experience, despite high morbidity, continues to suggest benefits of THPD for patients with severe acute RV failure.

Ressenya a Josep Sanchis Sivera. Viatge a Escandinàvia (1911). Ed. R. Roca; trad. C. Fenollosa. València: IAM, 2021. 184 pp. ISBN: 978-84-7822-853-9Review to Josep Sanchis Sivera. Viatge a Escandinàvia (1911). Ed. R. Roca; trad. C. Fenollosa. València: IAM, 2021. 184 pp. ISBN: 978-84-7822-853-9

Ressenya a Míriam Ruiz-Ruano. Vós i jo entre els antics. Fons i influències de la literatura catalana medieval. València: IAM - CVEI, 2020. 201 pp. ISBN: 978-84-7822-881-2 Review to Míriam Ruiz-Ruano. Vós i jo entre els antics. Fons i influències de la literatura catalana medieval. València: IAM - CVEI, 2020. 201 pp. ISBN: 978-84-7822-881-2

Ressenya a Vicent J. Escartí i Rafael Roca (eds.) Identitats i violències. Documentació i literatura, Catarroja-Barcelona, Editorial Afers, 2021, 630 p., ISBN: 978-84-18618-02-4.

Resum: En aquest article ens proposem realitzar un recorregut per la figura de Pilar Monzóde la Roca, sainetera dels anys trenta del segle passat, de qui existeix molt poca documentació.A més, prestem atenció a dos de les seues obres, concretament, La falta de Marieta iVisanteta, ambdues estrenades l’any 1930, en les quals observem diferents trets d’alguns delspersonatges femenins. Paraules clau: Pilar Monzó, dramatúrgia de dones, sainet, anys trenta, memòria. Abstract: In this article we take a summary of the figure of Pilar Monzó de la Roca, asaineteer from the 1930s, of whom there is very little historical documentation. In addition,we focus on two of her works, specifically, La falta de Marieta and Visanteta, both of thempremiered in 1930, in which we observe different features of some of the female characters. Keywords: Pilar Monzó, women playwriting, one act play, 30s, memory

Ressenya a Vicent J. Escartí (ed.), Nunc dimittis. Estudis dedicats al professor Antoni Ferrando, València, PUV, 2019, pp. 596, ISBN: 978-84-9134-370-7 Review to Vicent J. Escartí (ed.), Nunc dimittis. Estudis dedicats al professor Antoni Ferrando, València, PUV, 2019, pp. 596, ISBN: 978-84-9134-370-7

Background: Trochlear dysplasia is the most important risk factor for patellofemoral instability among adolescents; therefore, trochleoplasty to reshape the trochlear groove is the treatment of choice for patients with high-grade trochlear dysplasia. However, in the presence of open growth plates, there is a potential risk of injury to the distal femoral growth plate and subsequent growth disturbance. As such, most authors do not recommend trochleoplasty for skeletally immature patients. The effect of trochleoplasty on femoral growth when performed before closure of the distal femoral physis remains unclear. Hypothesis: For patients with open growth plates and an expected growth Study Design: Case series; Level of evidence, 4. Methods: Eighteen consecutive adolescents (18 knees) with open physes and severe trochlear dysplasia underwent thin flap trochleoplasty. Pre- and postoperative radiographic examination included anteroposterior and lateral views to assess leg axis and patella alta. A preoperative radiograph of the left hand was performed to measure skeletal age. Magnetic resonance imaging was performed to evaluate trochlear dysplasia and tibial tubercle–trochlear groove distance. Evaluation included pre- and postoperative physical examination with evaluation of leg length and leg axis, Kujala score, and Tegner activity score. Results: The median age at the time of operation was 12.6 years (range, 12.2-13.3 years) for girls and 14.5 years (14.0-15.4 years) for boys. The mean follow-up after operation was 2.3 years after surgery (range, 2.0-3.0 years). At follow-up for all patients, the growth plates of the knee were closed. Impairment of growth of the distal femur was found neither clinically nor radiographically. No recurrent dislocation occurred. The median Kujala score improved significantly from 67 (range, 54-75) preoperatively to 89.5 (range, 78-96) at follow-up ( P < .01). The median visual analog scale showed significant pre- to postoperative improvement from 5 (range, 3-7) to 1 (range, 0-3) ( P < .01). The activity level according to the Tegner activity score did not change significantly. Conclusion: In this study, trochleoplasty as a treatment for patellofemoral instability of patients with open physes and an expected growth of not more than 2 years showed good clinical results without redislocation and with no growth disturbance. Therefore, for selected adolescent patients with high-grade trochlear dysplasia, trochleoplasty can be safely performed up to 2 years before the projected end of growth.

Stabile Rezentrierung der Patella durch die kombinierte Rekonstruktion des MPFL und vertiefende Trochleaplastik. Nachgewiesene patellofemorale Instabilitat bei Vorliegen einer hochgradigen Trochleadysplasie. Offene Wachstumsfugen am distalen Femur, hohergradige Knorpelschaden an der Trochlea femoris (ICRS III und IV). Untersuchung der Patellastabilitat in Narkose, diagnostische Arthroskopie, anterolateraler Hautschnitt, laterale Arthrotomie, Darstellen der Trochlea femoris, Praparation einer subchondralen Lamelle bis knapp oberhalb der Fossa intercondylaris. Modellierung der trochlearen Rinne unter gleichzeitiger Vertiefung und Rezentrierung des Sulcus trochleae. Einpassen der Lamelle in die geschaffene Rinne. Fixation mit Vicrylband und Knochenankern. Verschluss der Kapsel. Darstellung der Quadrizepssehne, Praparation eines 12-15 mm breiten Sehnenstreifens aus dem ventralen Blatt, Lange des Transplantates 8-9 cm. Das Transplantat bleibt distal gestielt, Armierung und Durchziehen der Sehne im Intervall zwischen der 2. und 3. Kapselschicht zum femoralen Insertionspunkt, Fixation in ca. 30 Grad Knieflexion unter radiologischer Kontrolle mit einer Interferenzschraube. Verschluss der Entnahmestelle als auch der Kapselinzision. . Postoperativ Teilbelastung mit 20 kg. Physiotherapie mit Mobilisation des Kniegelenkes und Kraftigung der Quadrizepsmuskulatur. Vollbelastung 6 Wochen postoperativ erlaubt. Return to Sports fruhestens drei Monate postoperativ. Seit 2006 wurde bei insgesamt 86 Patienten mit patellofemoraler Instabilitat eine vertiefende Trochleaplastik durchgefuhrt. Bei 26 Patienten erfolgte eine kombinierte Trochleaplastik und Rekonstruktion des MPFL mit distal gestieltem Quadrizepssehnentransplantat. Reluxationen der Patella traten wahrend des Nachuntersuchungszeitraumes nicht auf. Alle untersuchten Knie-Scores verbesserten sich signifikant. 95 % der Patienten waren zufrieden oder sehr zufrieden mit dem Operationsergebnis.

Severly increased femoral anteversion is an important risk factor for patellofemoral instability. Recurrent dislocations cause a traumatic disruption of the medial patellofemoral ligament. Therefore a procedure that combines femoral derotation osteotomy and patellofemoral ligament reconstruction should be considered for patients with severely increased femoral anteversion. The aim of the study was to evaluate the subjective and objective outcomes after combined femoral derotation osteotomy and anatomical reconstruction of the MPFL. 12 consecutive patients (12 knees) with patellofemoral instability and severely increased femoral anteversion underwent combined femoral derotation osteotomy and anatomical reconstruction of the MPFL. Preoperative radiographic examination included AP and lateral views to assess patella alta. MRI was performed to evaluate trochlear dysplasia and tibial tubercle-trochlear groove (TT-TG) distance. Additionally, MRI assessment of the rotational profile was performed. Evaluation included evaluation of cartilage injuries, preoperative and postoperative physical examination, visual analog scale (VAS), Kujala score, International Knee Documentation Committee score (IKDC), Activity Rating Scale (ARS) and Tegner activity score. The average age at the time of operation was 18.2 years (range, 15–26 years). The average follow-up after operation was 16.4 months postoperatively (range, 12–28 months). No recurrent dislocation occurred. The results showed a significant improvement of the Kujala score, IKDC score and VAS (p

Reconstruction of the medial patellofemoral ligament (MPFL) has recently become a popular procedure for children and adolescents with patellofemoral instability. Nevertheless, high complication rates of up to 26% have been reported. The traditionally used technique requires patellar bone tunnels that may place the proportionately smaller patella at higher risk of fracture. Because of the adjacent physis of the femoral insertion, anatomic reconstruction of the MPFL has the risk of injury to the growth plate. This technical report therefore presents a technique for anatomic reconstruction of the MPFL in a skeletally immature population using a pedicled superficial quadriceps tendon graft, hardware-free patellar graft attachment, and anatomic femoral fixation distal to the femoral physis. The advantages of this technique include avoidance of bony patellar complications, an anatomically truer reconstruction, a single incision, and sparing of the hamstring tendons for reconstruction of any future ligamentous injuries.

Background: Transmyocardial laser revascularization was used as the sole therapy for patients with ischemic heart disease not amenable to percutaneous transluminal coronary angioplasty or coronary artery bypass grafting. This technique uses a carbon dioxide laser to create transmyocardial channels for direct perfusion of the ischemic heart.Methods: Since 1992, 200 patients, at eight hospitals in the United States, have undergone transmyocardial laser revascularization. The patients have a combined 1560 months of follow-up for an average of 10 ± 3 months per patient. Their age was 63 ± 10 years and their ejection fraction was 47% ± 12%. Eighty-two percent had at least one previous bypass graft operation and 38% had a prior angioplasty. Preoperatively, the patients underwent nuclear single photon emission computed tomography perfusion scans to identify the extent and severity of their ischemia. These scans were repeated at 3, 6, and 12 months. Angina class, admissions for angina, and medications were recorded.Results: The perioperative mortality was 9%. Angina class decreased significantly from before treatment to 3, 6, and 12 months ( p < 0.001). Likewise, there was a significant decrease in the number of perfusion defects in the treated left ventricular free wall. Concomitantly, there was a significant decrease in the number of admissions for angina in the year after the procedure when compared with the year before treatment (2.5 vs 0.5 admissions per patient-year). Conclusion: These combined results indicate that transmyocardial laser revascularization provides angina relief, decreases hospital admissions, and improves perfusion in patients with severe coronary artery disease. (J Thorac Cardiovasc Surg 1997;113:645-54)

This phase I open label, dose-escalating study shows that gene transfer of vascular endothelial growth factor-2 naked deoxyribonucleic acid by direct myocardial injection by way of thoracotomy in patients with Canadian Cardiovascular Society class 3 or 4 angina is feasible and safe. The procedure is well tolerated, with few major adverse cardiac events at 1 year, and without complications directly related to gene expression. In this prospective, nonblinded study, the procedure is associated with clinical improvement; however, there was no angiographic evidence of angiogenesis and there is a great potential for a sham or placebo effect in the study patients. A randomized phase III trial is underway that will help determine the efficacy of vascular endothelial growth factor-2 gene transfer in "no-option" patients.

This report summarizes the results of a study performed to estimate seasickness corresponding to several different proposed configurations associated with the Joint Modular Lighterage System (JMLS). Specifically, the dynamic behavior of different modular barges with a heavy load was modeled in a variety of sea state 3 environments. This study consisted of identifying a single representative wave spectrum, running the SCORES vessel dynamics computer model for a variety of conditions (barge size, wave direction and water depth), and comparing the RMS vertical accelerations at various points on the barge deck. A literature survey was completed regarding seasickness criteria, which was then used to convert the RMS accelerations into seasickness potential for varying positions on the vessel.

Abstract The U.S. Navy has developed a dynamic penetrometer called the expendable Doppler Penetrometer XDP) to determine in situ soil stren@. The XDP was originally designed to provide an undrained shear strength profile in SOR cohesive sediments by measuring the instantaneous velocity of a sound source probe as it falls through the water column and penetrates the seafloor. The Navy recently has added and verified a capability to determine strength properties of cohesionless soils. Introduction Seafloor characterization is an ever-present need and challenge in the ocean engineering world. In situ soil strength is a vital aspect of seafloor engineering in the offshore environment. However, determining this soil strength is very time consuming and expensive with present conventional methods. The expendable Doppler Penetrometer (XDP) was developed to aid in satisfying the Navy's continuing need for expeditious means for seafloor characterization. This dynamic penetrometer was originally designed to provide undrained shear strength profiles by measuring its deceleration as it penetrates the seaftoor after falling through the water column. The Navy recently has added the capability to determine the strength of cohesionless soils. Controlled laboratory tests were conducted simulating XDP deployments in a highly dense, completely saturated cohesionless soil. The results of these tests were used to formulate relationships to determine the relative density and undrained angle of internet friction of cohesionless soils from the XDP. The results of the laboratory tests and the newly developed relationships are presented. These new relationships were used to estimate the soil strength of two field sites, one a calcareous sand site offshore Key West, FL and the other a dense quartz/mineral sand offshore Biloxi, MS. The results from the XDP tests and an established in situ test, the piezocone, at these field sites are presented and conclusions are drawn regarding the capability of the XDP to measure soil strength in cohesionless soils. Expendable Doppler Penetrometer Features and Use The expendable Doppler Penetrometer (XDP) system (fig. 1) is designed to determine the soil strength of various types of ocean seafloors. The system initially measures the instantaneous velocity of a probe with a sound source as it free-falls through the water column and penetrates the seafloor. Utilizing the Doppler Shift principle whereby the apparent frequency is a direct function of the probe's velocity away from a receiving hydrophone, the velocity of the probe is determined up through the point that it comes to rest in the seafloor. The velocity-time curve that is produced enables estimates to be made of the undrained shear strength ofcohesive soils and the penetrability of seafloor soils in general. The XDP probe (fig. 2) is a hydrodynamically shaped body made of aluminum and steel. The probe has a body of diameter of 3.5 in. and weighs 59.8 lb. in air and 47.6 lb. in sea water.

For the past four years Southwest Denver Community Mental Health Services, Inc., has had a system of alternative families who take one or two psychiatric patients who need intensive treatment Into their homes; the clients' average stay is ten days. Thus far approximately 220 client placements have been effectively carried out in a network of five homes. Clients who receive psychotropic medication have its effects monitored by a staff psychiatrist, medical nurse coordinator, and nurse cliniclan. A study conducted by independent researchers over the initial two-year period Indicates that the homes are more effective In certain respects than a psychiatric hospital in providing intensive care.

International audience; L'enseignement des principaux systèmes de représentation utilisés dans le domaine de l'architecture, quelles que soient les méthodes pédagogiques utilisées, s'appuie sur des compétences préalables. Cet article présente comment différentes "compétences spatiales" sont mises en jeu dans des exercices proposés aux étudiant de première année de l'école d'architecture de Lyon. L'enjeu est de montrer qu'il est préférable de proposer un ensemble d'exercices variés - un enseignement "pré-géométrique" - au contact desquels, connaissances géométriques et compétences spatiales s'articulent et se renforcent suivant des trajectoires adaptées à chaque étudiant.