In the last twenty years, the statement of the CO2 laser in laryngeal microsurgery has proved particularly useful in the surgical treatment of laryngotracheal stenosis. The Authors report their surgical experiences and discuss them considering the location, size and pathologic features of the disease. The aim of this study was to evaluate the results that may be obtained in the treatment of laryngotracheal stenosis by endoscopy using the CO2 laser, and analyze the advantages and limitations of surgical methods implemented.
 
  It includes 128 patients treated from 1981 to 2016 by endoscopy using the CO2 laser.
 
  The healing occurred in 121 of the 128 patients (94.5%); in the remaining 7 cases (5.5%) - 4 subjects (3.1%) with supraglottic cicatricial stenosis and 3 patients (2.3%) with widespread laryngotracheal stenosis - it had to integrate the technique of endoscopic surgery with a traditional surgery of recovery. In particular, it has observed as follows In supraglottic stenosis - oedematous forms healed wi affect the choice of surgical addresses to adopt in individual cases and the prognostic judgment.
 
  Airway management, Airway problems, CO2 laser, Direct laryngoscopy, Endoscopy, External surgical approach, Laryngotracheal stenosis, Minimally invasive surgery, Montgomery Safe T-tube, Tracheal stenosis, Tracheostomy.
 Airway management, Airway problems, CO2 laser, Direct laryngoscopy, Endoscopy, External surgical approach, Laryngotracheal stenosis, Minimally invasive surgery, Montgomery Safe T-tube, Tracheal stenosis, Tracheostomy.
  A 64-year-old woman presented to our emergency department during the outbreak of the covid-19 emergency in Italy with syncope, anosmia, mild dyspnoea and atypical chest and dorsal pain. A chest CT scan showed an acute type B aortic dissection (ATBAD) and bilateral lung involvement with ground-glass opacity, compatible with interstitial pneumonia. Nasopharyngeal swabs resulted positive for SARS-CoV-2. For the persistence of chest pain, despite the analgesic therapy, we decided to treat her with a TEVAR. Patient's chest and back pain resolved during the first few days after the procedure. No surgical or respiratory complications occurred and the patient was discharged 14 days after surgery.
 
  By performing the operation under local anesthesia, it was possible to limit both the staff inside the operatory room and droplet/aerosol release. Since we had to perform the operation in a hemodynamics room, thanks to the limited extension of the endoprosthesis and the good caliber of the right vertebral artery we were able to reduce the risk of spinal cord ischemia despite the lack of a revascularization of the left subclavian artery.
 
  A minimally invasive total endovascular approach allows, through local anesthesia and percutaneous access, to avoid surgical cut down and orotracheal intubation. This, combined with a defined management protocol for infected patients, seems to be a reasonable way to perform endovascular aortic procedures in urgent setting, even in a SARSCoV- 2 positive patient.
 
  COVID-19, Dissection, TEVAR.
 COVID-19, Dissection, TEVAR.
  Use of diagnostic tools with high predictive value for common biliary duct (CBD) obstruction has the potential to provide valuable information. This study aimed to examine the respective diagnostic values of biochemistry, abdominal ultrasonography (US), and magnetic resonance cholangiopancreatography (MRCP) in patients with suspected biliary obstruction.
 
  A total of 119 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) based on a suspicion of CBD obstruction were included. Patients also had data for biochemical and hematologic tests, abdominal US and MRCP. The respective sensitivity, specificity, negative predictive value, and positive predictive value of US, MRCP, and the laboratory parameters in the diagnosis of ERCP-confirmed CBD obstruction were estimated.
 
  ERCP did not show obstruction in 15.1% of the cases. Based on 95% confidence intervals, MRCP had greater sensitivity than ultrasound in predicting obstruction (95% vs. 62%). In addition, ultrasound had a very high 31.9% false negative rate when compared to MR (4.2%). On the other hand, a combined approach had better diagnostic value. None of the laboratory parameters exhibited a predictive value. However, old age was significantly associated with biliary obstruction.
 
  MRCP, particularly when combined with ultrasound, is a useful diagnostic tool for the diagnosis of common biliary duct obstruction and may have the potential to eliminate the need for further ERCP in some patients. On the other hand, US alone does not seem to have acceptable diagnostic value. Further large and prospective studies are warranted to draw firm conclusions.
 
  Biliary Obstruction, Endoscopic Retrograde Cholangiopancreatography (ERCP), Magnetic Resonance Cholangiopancreatography (MRCP), Ultrasonography.
 Biliary Obstruction, Endoscopic Retrograde Cholangiopancreatography (ERCP), Magnetic Resonance Cholangiopancreatography (MRCP), Ultrasonography.This paper reports the synergistic effect of colloidal CdSe quantum dots (QDs) and PC61BM on the performance of ITO/ZnO QDs/PCDTBTPC61BMCdSe QDs/MoO3/Ag based ternary organic solar cells (OSCs). The MoO3 and ZnO QDs (∼2.87 nm) layers work as the transparent hole transport layer (HTL) and electron transport layer (ETL), respectively. The CdSe QDs (∼4.58 nm) are blended with PC61BMPCDTBT binary solution to improve the optical properties and charge transportation. Significant photoluminescence (PL) quenching is observed when part of the PC61BM is replaced by CdSe QDs with equivalent weight in the PCDTBT. The proposed ternary OSC gives an open-circuit voltage of 854 mV, a short circuit current density of 14 mA cm-2, fill factor of 42% and power conversion efficiency (PCE) of 5.02%.  https://www.selleckchem.com/products/mdivi-1.html  The PCE of the ternary OSC is increased by more than 38% compared to the binary OSC. This significant improvement in the performance parameters is attributed to the enhanced absorption and higher transportation of photo-generated charge carriers, as well as the increased charge dissociation due to the synergistic effect of CdSe QDs and PC61BM. The external quantum efficiency is also enhanced significantly in the ternary OSC due to the better conversion of solar energy into electrical energy.