Diagnostic Specimens (diagnostic + specimen)

Distribution by Scientific Domains


Selected Abstracts


Clinical spectrum of tuberculous pleural effusion in children

PEDIATRICS INTERNATIONAL, Issue 3 2007
CHIH-YUNG CHIU
Abstract Background: The aim of this study was to describe the clinical characteristics and potentially diagnostic specimens of pediatric patients with tuberculous pleural effusion (TPE) to make a prompt diagnosis. Methods: Children who had TPE from September 1997 to December 2003 were retrospectively reviewed at a tertiary pediatric facility in northern Taiwan. Results: There were seven boys and six girls and their ages ranged from 10 to 17 years (average, 14.6 years). Tuberculosis contact history was identified in only six patients (46%). Fever (12/92%), cough (9/69%) and malaise (6/46%) were the most common symptoms. Normal leukocyte count was found in 12 patients (92%). Chest radiograph review showed unilateral pleural effusion in 12 patients (92%) but parenchymal involvement was found in nine patients (69%). Most of the pleural fluid analysis showed a lymphocytic exudative effusion (5/6). The acid-fast bacilli (AFB) stain of sputum, gastric washing, and pleural aspirate was positive in six of 11 (55%), two of seven (29%), and one of five (20%) patients, respectively. Culture of sputum, gastric washing, and pleural aspirate yielded Mycobacterium tuberculosis in four of 11 (36%), two of seven (29%), and two of five (40%) patients, respectively. A total of 6 to 9 months of multiple-drug therapy for tuberculosis was successful without sequale. Conclusions: Tuberculous pleural effusion usually presents as an acute illness and should always be considered in the differential diagnosis for older children and adolescents with pneumonia. A normal leukocyte count with a lymphocytic exudative effusion may provide a clue to the correct diagnosis of TPE. Diagnostic specimen of sputum seems more effective and sensitive in childhood TPE, especially those having pulmonary involvement. [source]


Acrylic Nanocomposite Resins for Use in Stereolithography and Structural Light Modulation Based Rapid Prototyping and Rapid Manufacturing Technologies,

ADVANCED FUNCTIONAL MATERIALS, Issue 16 2008
Matthias Gurr
Abstract A novel family of optically transparent acrylic nanocomposites containing up to 30,wt,% silica nanoparticles with an average diameter of 20,nm was developed for application in structural light modulation (SLM) and stereolithography (SL) technologies. The uniform dispersion of nanoparticles affords a significantly improved toughness/stiffness-balance of the photopolymerized and postcured nanocomposites. It is possible to increase stiffness, as expressed by Young's modulus, from 1290 to 1700,MPa without encountering the embrittlement typical for many other conventional filled polymers. Fracture behaviour is examined by means of fracture mechanics investigation and SEM analyses of fracture surfaces. According to TEM analyses and measurement of optical transmittance remarkable uniform dispersion of silica nanoparticles was achieved. The silica nanoparticle concentrations up to 17,wt,% give only marginally higher viscosities and do not affect transmittance, while slightly increasing the exposure times needed in photopolymerization. Moreover, the silica nanoparticles afford materials with reduced shrinkage and improved properties. The green effective ankle splay out (EASO) measured on H-shaped diagnostic specimens, is significantly reduced for the nanocomposite materials from 1.38,mm for the unfilled material to 0.82,mm for nanocomposites containing 30,wt,% nanosilica. The building accuracy is increased significantly with increasing content of silica nanofillers. [source]


Clinical spectrum of tuberculous pleural effusion in children

PEDIATRICS INTERNATIONAL, Issue 3 2007
CHIH-YUNG CHIU
Abstract Background: The aim of this study was to describe the clinical characteristics and potentially diagnostic specimens of pediatric patients with tuberculous pleural effusion (TPE) to make a prompt diagnosis. Methods: Children who had TPE from September 1997 to December 2003 were retrospectively reviewed at a tertiary pediatric facility in northern Taiwan. Results: There were seven boys and six girls and their ages ranged from 10 to 17 years (average, 14.6 years). Tuberculosis contact history was identified in only six patients (46%). Fever (12/92%), cough (9/69%) and malaise (6/46%) were the most common symptoms. Normal leukocyte count was found in 12 patients (92%). Chest radiograph review showed unilateral pleural effusion in 12 patients (92%) but parenchymal involvement was found in nine patients (69%). Most of the pleural fluid analysis showed a lymphocytic exudative effusion (5/6). The acid-fast bacilli (AFB) stain of sputum, gastric washing, and pleural aspirate was positive in six of 11 (55%), two of seven (29%), and one of five (20%) patients, respectively. Culture of sputum, gastric washing, and pleural aspirate yielded Mycobacterium tuberculosis in four of 11 (36%), two of seven (29%), and two of five (40%) patients, respectively. A total of 6 to 9 months of multiple-drug therapy for tuberculosis was successful without sequale. Conclusions: Tuberculous pleural effusion usually presents as an acute illness and should always be considered in the differential diagnosis for older children and adolescents with pneumonia. A normal leukocyte count with a lymphocytic exudative effusion may provide a clue to the correct diagnosis of TPE. Diagnostic specimen of sputum seems more effective and sensitive in childhood TPE, especially those having pulmonary involvement. [source]


Occurrence of human papillomavirus in pterygia

ACTA OPHTHALMOLOGICA, Issue 8 2009
Marta Piecyk-Sidor
Abstract. Purpose:, The aim of the study was to assess the occurrence of human papillomavirus (HPV) DNA in pterygium. Methods:, The study involved 89 patients undergoing surgical procedures at the Department of Ophthalmology, Medical University of Lublin, Poland. Group 1 included 58 patients with clinically diagnosed pterygium. Group 2 consisted of 31 individuals with normal conjunctiva. The material was collected during elective surgical procedures. The presence of HPV genome was determined using polymerase chain reaction (PCR). Once the presence of HPV DNA was confirmed, 28 HPV genotypes were determined using reverse hybridization. Results:, The determinations confirmed the presence of HPV DNA in pterygium. In the material collected from 58 cases of pterygium (group 1), HPV DNA was identified in 16 patients (27.6%). In the material from 31 diagnostic specimens of normal conjunctiva (group 2), the presence of HPV was demonstrated in three cases (9.7%). A statistically significant difference was found in the presence of HPV DNA between the patients from groups 1 and 2 (p = 0.041). HPV type 16 was most common and was demonstrated in 56% of HPV-positive cases of pterygium. HPV 16 and HPV 6 co-infections were found in 19% of cases, while HPV 18 and HPV 6 co-infections were observed in 13%. In group 2, all three patients with HPV showed HPV 18. Conclusion:, It seems that HPV is not necessary to induce pterygium; however, it might play a synergistic role in the multi-stage process of its development. [source]