Methods Our group consisted of 35 inoperable patients presenting aortic valve disease unsuitable for transfemoral valve implantation due to extreme peripheral vessel disease. Data were prospectively collected and retrospectively analysed. Using an upper-J mini sternotomy access to the third intercostal space the ascending aorta was exposed. After placing two purse-strings on the ascending aorta...

This paper presents an approach enabling a smart card is suer to verify that a new applet securely interacts with already down loaded applets A security policy has been de ned that associates levels to applet attributes and methods and de nes authorized ows between levels We propose a technique based on model checking to verify that actual information ows between applets are authorized We illus...

We describe the case of a 70-year-old man with a long history of inguinal hernia who finally presented to the emergency department with a scrotal enterocutaneous fistula. This is a rare complication of an incarcerated/obstructed direct inguinal hernia. We performed exploratory laparotomy with resection of the perforated small bowel and end-to-end anastamosis of the ileal segment using the purse...