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Other Cases (other + case)
Kinds of Other Cases Selected AbstractsSpindle-cell lesions of the liver: Diagnosis by fine-needle aspiration biopsyDIAGNOSTIC CYTOPATHOLOGY, Issue 2 2001Cynthia D. Guy M.D. Abstract Rarely, spindle-cell lesions in liver fine-needle aspiration biopsies (FNABs) are encountered. A retrospective review of our experience with lesions that are mesenchymal in origin or appearance was undertaken to elucidate the frequency and spectrum of these lesions. Image-guided liver FNABs performed over a 3-year period (n = 585) at our institution (1996,1998) were retrospectively evaluated. Cytologic smears, cell block preparations, and clinical follow-up of lesions with spindle-cell morphology were reviewed. Twenty-nine of 585 cases were of spindle-cell morphology (5%). Hemangiomas (n = 12, 41%) and metastatic sarcomas (n = 6, 21%) comprised the largest categories, followed by granulomatous inflammation (n = 3, 10%). Other cases included primary angiosarcoma and fibrolamellar hepatocellular carcinoma. The most frequent spindle-cell liver lesion encountered is hemangioma, followed by metastatic leiomyosarcoma and granulomatous hepatitis. Awareness of diagnostic possibilities, special attention to specimen adequacy, and use of ancillary procedures can maximize diagnostic yield. Diagn. Cytopathol. 2001;25:94,100. © 2001 Wiley-Liss, Inc. [source] Prospective Evaluation of Coagulation in Critically Ill Neonatal FoalsJOURNAL OF VETERINARY INTERNAL MEDICINE, Issue 1 2009A.I. Bentz Background: Coagulopathy is a potentially underrecognized complication of sepsis and septic shock in critically ill neonatal foals. Hypothesis: Critically ill neonatal foals have abnormalities in coagulation that are associated with disease severity and outcome. Animals: Foals <72 hours old admitted to a neonatal intensive care unit. Methods: Prospective, observational study. Blood was collected at admission, 24, and 48 hours for platelet count, prothrombin time, activated partial thromboplastin time, antithrombin activity and concentrations of fibrin degradation products, and fibrinogen in plasma from all foals. Results: Sixty-three foals were enrolled and classified as Septic Shock (12), Septic (28), and Other (23). At least 1 abnormal value was found in 18/28 (64%) samples from the Septic Shock group, 66/85 (78%) from the Septic group, and 30/59 (51%) from the Other group (P= .01). Coagulopathy (3 or more abnormal values) was present in 7/28 (25%) samples in the Septic Shock group, 14/85 (16%) samples in the Septic group, and 3/59 (5%) samples in the Other group (P= .0028). Clinically detectable bleeding occurred in 8/12 (67%) Septic Shock cases, 11/28 (39%) Septic cases, and 3/23 (13%) Other cases (P= .009). Foals in Septic Shock were 12.7 times more likely to have clinical evidence of bleeding than those in the Other group (95% CI 2.3,70, P= .004). Treatment with fluids or plasma did not have a detectable effect on coagulation values. Conclusions and Clinical Importance: Coagulopathy commonly occurs in critically ill neonatal foals, especially those with sepsis and septic shock. [source] ADAPTATION KNOWLEDGE ACQUISITION: A CASE STUDY FOR CASE-BASED DECISION SUPPORT IN ONCOLOGYCOMPUTATIONAL INTELLIGENCE, Issue 3-4 2006Mathieu D'Aquin Kasimir is a case-based decision support system in the domain of breast cancer treatment. For this system, a problem is given by the description of a patient and a solution is a set of therapeutic decisions. Given a target problem, Kasimir provides several suggestions of solutions, based on several justified adaptations of source cases. Such adaptation processes are based on adaptation knowledge. The acquisition of this kind of knowledge from experts is presented in this paper. It is shown how the decomposition of adaptation processes by introduction of intermediate problems can highlight simple and generalizable adaptation steps. Moreover, some adaptation knowledge units that are generalized from those acquired for Kasimir are presented. This knowledge can be instantiated in other case-based decision support systems, in particular in medicine. [source] Isolated levocardia: Prenatal diagnosis and managementCONGENITAL ANOMALIES, Issue 2 2009Satoko Katsuya ABSTRACT Isolated levocardia (IL) is a rare condition of situs anomaly in which there is a normal left-sided heart (levocardia) with dextro position of the abdominal viscera. IL has been reported in children and adults with complex cardiac defects, whereas there are only few published reports regarding the prenatal diagnosis of IL. We report two prenatal cases of IL diagnosed by ultrasonography and magnetic resonance imaging (MRI). In both cases, fetal cardiac function remained within the normal range throughout pregnancy, and no treatment for the heart was required after birth. For the dextro position of abdominal viscera, one case was followed without any surgical procedure, but the other case required prophylactic operation due to malrotation of the small intestine. Although the prognosis of IL largely depends on the severity of associated cardiac anomaly, future bowel obstruction caused by intestinal malrotation may also be life-threatening. In this respect, prenatal diagnosis of IL is important, even when there is no associated cardiac structural anomaly. If IL is suspected in routine fetal ultrasonography, MRI may be recommended to obtain more detailed information on the anatomy of abdominal viscerae, and careful observation for bowel problems is required, especially after oral nutrition is started. [source] Chlorhexidine anaphylaxis: case report and review of the literatureCONTACT DERMATITIS, Issue 3 2004A. B. Krautheim Chlorhexidine is a widely used antiseptic and disinfectant. Compared to its ubiquitous use in medical and non-medical environments, the sensitization rate seems to be low. Multivarious hypersensitivity reactions to the agent have been reported, including delayed hypersensitivity reactions such as contact dermatitis, fixed drug eruptions and photosensitivity reactions. An increasing number of immediate-type allergies such as contact urticaria, occupational asthma and anaphylactic shock have been reported. In the case report, we describe anaphylaxis due to topical skin application of chlorhexidine, confirmed by skin testing and sulfidoleukotriene stimulation test (CAST®: cellular antigen stimulation test). The potential risk of anaphylactic reactions due to the application of chlorhexidine is well known, especially that application to mucous membranes can cause anaphylactic reactions and was therefore discouraged. The use of chlorhexidine at a 0.05% concentration on wounds and intact skin was so far thought to be safe. Besides our patient, only one other case of severe anaphylactic reaction due to application of chlorhexidine on skin has been reported. Hypersensitivity to chlorhexidine is rare, but its potential to cause anaphylactic shock is probably underestimated. This review should remind all clinicians of an important potential risk of this widely used antiseptic. [source] Fine-needle aspiration biopsy findings in epithelioid myoepithelioma of the parotid gland: A case reportDIAGNOSTIC CYTOPATHOLOGY, Issue 11 2006Risha B. Ramdall M.D. Abstract We describe the fine-needle aspiration biopsy findings in a case of epithelioid myoepithelioma of the parotid gland in a 24-yr-old male. The cytologic features of myoepithelioma of the parotid gland are only documented in a few case reports and we believe the cytologic description of the epithelioid variant has been described in only one other case. The differential diagnosis with other salivary gland neoplasms is discussed. Diagn. Cytopathol. 2006;34: 776,779. © 2006 Wiley-Liss, Inc. [source] Dependence of the surface fractal dimension of soil pores on image resolution and magnificationEUROPEAN JOURNAL OF SOIL SCIENCE, Issue 3 2003A. Dathe Summary Two recent investigations have reported contradictory trends concerning the effect of image resolution on the surface fractal dimension of soil pores, evaluated via image analysis. In one case, dealing with a preferential flow pathway and an ideal fractal, image resolution had no influence on the estimated fractal dimension, whereas in the other case, involving images of soil thin sections, the surface fractal dimension decreased significantly with image resolution. In the present paper, we try to determine the extent to which these conflicting observations may have been due to the different ways in which image resolution was varied. By narrowing down (up to 400 times) the field of view on progressively smaller portions of a textbook surface fractal, the von Koch island, one causes its apparent surface fractal dimension to decrease significantly. On the other hand, changing the resolution of images of soil thin sections (up to 6 times), while keeping the magnification constant, does not lead to appreciable changes in the surface fractal dimension. These results demonstrate that there is no real conflict in earlier reports, as long as both the resolution and the magnification of images are taken into account in image-based evaluations of surface fractal dimensions of soil pores. [source] Adrenal myelolipoma associated with adenomaINTERNATIONAL JOURNAL OF UROLOGY, Issue 5 2004FRANCESCA MANASSERO Abstract The association of an adrenal myelolipoma with a non-functioning adenoma is very rare. Herein, we report on such a case in an asymptomatic 64-year-old woman. To the best of our knowledge, there is only one other case of non-functioning adrenocortical adenoma associated with myelolipoma in the same gland. Furthermore, only two other adenomas (mineral corticoids and corticosteroid producing tumors) associated with myelolipomas have been reported, and both myelolipomas were less than 1 cm in size. In conclusion, the 8.5 cm myelolipoma in our case is the largest compared with the three previously reported ones. [source] Erythropoietin-producing renal cell carcinoma in chronic hemodialysis patients: A report of two casesINTERNATIONAL JOURNAL OF UROLOGY, Issue 1 2003SHINICHI SAKAMOTO Abstract Erythropoietin (EPO)-producing renal cell carcinomas in two hemodialysis patients are reported. Despite deteriorated kidney function, these patients did not manifest anemia at diagnosis and their elevated serum EPO levels rapidly returned to within the normal range after nephrectomy. Immunohistochemical staining of the resected specimens showed production of erythropoietin in the tumor cells in one case and in the lining cells of the cyst wall in the other case. Renal cell carcinoma could cause an increase of blood hematocrit level in dialysis patients. [source] Cardiotoxicity of doxorubicin/paclitaxel combination in rats: Effect of sequence and timing of administrationJOURNAL OF BIOCHEMICAL AND MOLECULAR TOXICOLOGY, Issue 2 2004Sherif Y. Saad Abstract The higher incidence of cardiotoxicity of doxorubicin (DOX)/paclitaxel (PTX) combination compared with DOX alone remains to be a major obstacle against effective chemotherapeutic treatment. We investigated the effect of sequence and time interval between administration of both drugs on the severity of cardiotoxicity of the combination. Male Wistar rats were divided into seven groups. DOX was administeded intraperitoneally (ip) at a single dose of 5 mg kg,1 every other 2 days, 2 doses per week for a total cumulative dose of 20 mg kg,1. PTX was administered by an ip route at a dose of 20 mg kg,1 every other 2 days. Both drugs were injected either alone or sequentially in combination. In one case, DOX preceded PTX by 30 min and 24 h and in the other case, PTX preceded DOX by 30 min and 24 h. Cardiotoxicity was evaluated by both biochemical and histopathological examination, 48 h after the last DOX dose. DOX-induced cardiotoxicity was manifested by abnormal biochemical changes including marked increases in serum creatine phosphokinase isoenzyme (CK-MB), lactate dehydrogenase (LDH), glutathione peroxidase (GSH-Px), and aspartate aminotransferase (AST) activity levels. Myocardial tissue from DOX-treated rats showed significant increases in malondialdehyde (MDA) production and total nitrate/nitrite (NOx) levels, parallel with depletion of "endogenous antioxidant reserve," including GSH contents and GSH-Px activity level. PTX treatment produced significant changes in the biochemical parameters measured by a lower magnitude than those changes produced by DOX alone. Combination of both drugs resulted in aggravation of DOX-induced cardiotoxicity regardless the sequence and time interval between administration of either drug. Administration of PTX 30 min and 24 h after DOX treatment showed exaggeration of combination-induced cardiotoxicity compared with the reverse sequence. This exacerbation was manifested by much more pronounced changes in serum and cardiac tissue parameters measured. Histopathological examination of ventricles of rat's heart revealed that DOX treatment produced myo-cytolysis and myocardial necrosis. Administration of PTX following DOX treatment showed extensive myocardial necrosis compared with those rats treated with either DOX alone or the reverse sequence of administration. Moreover, rats treated with PTX 24 h after DOX treatment showed exaggeration of the combination-induced cardiotoxicity. In conclusion, PTX might synergistically aggravate DOX-induced cardiotoxicity. The effect might be much more pronounced with those rats treated with PTX 24 h after DOX treatment. © 2004 Wiley Periodicals, Inc. J Biochem Mol Toxicol 18:78,86, 2004; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/jbt.20012 [source] Acid-base balance of cats with chronic renal failure: effect of deterioration in renal functionJOURNAL OF SMALL ANIMAL PRACTICE, Issue 6 2003J. Elliott In a previous cross-sectional study of feline chronic renal failure (CRF), metabolic acidosis was identified in 52·6 per cent of animals with severe renal failure (plasma creatinine concentration > 400 umol/litre). The aim of this longitudinal study was to determine whether metabolic acidosis preceded or accompanied a deterioration in renal function in cats with CRF. Data were analysed from 55 cats with CRF that had been followed longitudinally for at least four months. Twenty-one cases showed deterioration in renal function over the period of the study, as evidenced by significant rises in their plasma creatinine concentrations and decreases in bodyweight. In five of the 21 cases, acidaemia accompanied the deterioration in renal function. Only one of these cats had evidence of metabolic acidosis before renal function deterioration. One other case developed metabolic acidosis without a rise in plasma creatinine concentration. These data suggest that biochemical evidence of metabolic acidosis does not generally occur until late in the course of feline CRF. [source] Regression of metastatic carcinoid tumors with octreotide therapy: Two case reports and a review of the literatureJOURNAL OF SURGICAL ONCOLOGY, Issue 3 2002Wey L. Leong MD Abstract Background The antiproliferative effect of the somatostatin analogue, octreotide, on metastatic carcinoid tumors is poorly understood. Partial tumor regression seen radiogaphically has been reported with the use of octreotide therapy for neuroendocrine tumors. Complete regression of carcinoid tumors is rarely reported. Results Two patients with metastatic midgut carcinoid tumors were treated with subcutaneous octreotide 300 ,g/day for symptomatic control of their carcinoid syndrome before debulking palliative surgery. During the laporatomies, both patients were found to have complete macroscopic regression of the metastastatic lesions that had been identified radiologically before surgery, including liver metastases in one patient and periportal and retrocaval lymph nodes in the other. After surgery, the patients were evaluated every 3 months, and had no detectable disease at 30 and 43 months, respectively. Thirty cases of partial tumor regression with octreotide administered with or without other treatment modalities have been reported in the literature. Most of the patients involved received other treatment modalities. Only one other case reported in the literature showed complete regression with octreotide monotherapy. Conclusions We report two cases of metastatic midgut carcinoid tumors that demonstrated a significant anti-proliferative response to octreotide monotherapy. Review of the literature failed to identify any specific prognostic factors with which the response to octreotide can be predicted. Possible mechanisms for this antiproliferative effect of octreotide on carcinoid tumors are discussed. J. Surg. Oncol. 2002;79:180,187. © 2002 Wiley,Liss, Inc. [source] CRITICAL PRICE NEAR MATURITY FOR AN AMERICAN OPTION ON A DIVIDEND-PAYING STOCK IN A LOCAL VOLATILITY MODELMATHEMATICAL FINANCE, Issue 3 2005Etienne ChevalierArticle first published online: 10 JUN 200 We consider an American put option on a dividend-paying stock whose volatility is a function of the stock value. Near the maturity of this option, an expansion of the critical stock price is given. If the stock dividend rate is greater than the market interest rate, the payoff function is smooth near the limit of the critical price. We deduce an expansion of the critical price near maturity from an expansion of the value function of an optimal stopping problem. It turns out that the behavior of the critical price is parabolic. In the other case, we are in a less regular situation and an extra logarithmic factor appears. To prove this result, we show that the American and European critical prices have the same first-order behavior near maturity. Finally, in order to get an expansion of the European critical price, we use a parity formula for exchanging the strike price and the spot price in the value functions of European puts. [source] The use of forearm free fillet flap in traumatic upper extremity amputationsMICROSURGERY, Issue 1 2009Isabel C. Oliveira M.D. Background: Complete traumatic upper extremity avulsions are an infrequent but devastating injury. These injuries are usually the result of massive blunt trauma to the upper limb. Intact issue from amputated or nonsalvageable limbs may be transferred for reconstruction of complex defects resulting from trauma when the indications for replantation are not met. This strategy allows preservation of stump length or coverage of exposed joints, and provides free flap harvest for reconstruction without additional donor-site morbidity. Methods: A retrospective review at São João Hospital was performed on seven patients who had undergone immediate reconstruction with forearm free fillet flaps between 1992 and 2007. Results: There were six men and one woman, with patient age ranging from 17 to 74 years (mean, 41 years). Amputation sites were at the humeral neck (n = 1), at the humeral shaft (n = 5), and below the elbow (n = 1). The area of the forearm free fillet flap skin paddle was 352.14 ± 145.48 cm (mean ± SD). The two major complications were the flap loss and the patient death on postoperative day 3 in other case. The postoperative course in the remaining five cases was uneventful with good healing of the wounds. Minor complications included two small residual defects treated by split-thickness skin grafting and one wound infection requiring drainage and revision. Conclusions: The forearm free fillet flap harvested from the amputated limb provides reliable and robust tissue for reconstruction of large defects of the residual limb without additional donor-site morbidity. Microsurgical free fillet flap transfer to amputation sites is valuable for achieving wound closure, improving stump durability, and maximizing function via preservation of length. © 2008 Wiley-Liss, Inc. Microsurgery, 2009. [source] The neuropathology of frontotemporal lobar degeneration with respect to the cytological and biochemical characteristics of tau proteinNEUROPATHOLOGY & APPLIED NEUROBIOLOGY, Issue 1 2004S. Taniguchi Pathological examinations, using a panel of tau and other antibodies, were performed on the brains from 55 consecutively acquired cases of frontotemporal lobar degeneration (FTLD). Clinically, these comprised 31 cases of frontotemporal dementia (FTD), 10 cases of motor neurone disease inclusion dementia (MNDID), seven cases of progressive aphasia (PA), four cases of semantic dementia (SD) and three cases of progressive apraxia (PAX). Tau pathology, in the form of neurofibrillary tangles (NFTs) and glial cell tangles, was present in six cases of FTD with parkinsonism linked to chromosome 17, five of these cases resulting from +16 splice-site mutation and one from +13 mutation in the tau gene. The insoluble tau proteins were comprised mostly of four-repeat (4-R) isoforms. Eight other cases of FTD, one of PA and all three cases of PAX showed tau-positive inclusions (Pick bodies) and swollen cells (Pick cells), characteristic of Pick's disease. In these cases, the insoluble tau proteins were present in most instances as three-repeat (3-R) tau isoforms, although two cases with a mixture of 3-R and 4-R isoforms were seen. One other case of FTD showed an unusual pathology characterized by massive extracellular deposition of tau protein, composed of 4-R tau isoforms, within white matter without neuronal or glial cell inclusions. However, 33 (60%) of 55 FTLD cases showed no tau pathology in the brain, except for the rare NFTs, composed of a mix of 3-R and 4-R isoforms, in some of the more elderly cases. Of these 33 cases, 13 had FTD, 10 had MNDID, six had PA and four had SD. The pathological changes present were those of a superficial cortical laminar microvacuolation with mild subpial and subcortical gliosis; the 10 MNDID cases had ubiquitin-positive inclusions in the cerebral cortex and hippocampus. These 33 nontau FTLD cases, along with five Alzheimer's disease (AD) and six Huntington's disease (HD) cases with severe pathology, showed a variable loss of soluble tau proteins, broadly comparable with the extent of neuronal loss from the cortex and loss of the intracortical perikaryal marker, NeuN, but unrelated to proteins within afferent projection fibres such as neurofilament and ,-synuclein. Levels of tau mRNA were decreased in parallel in the tau-negative FTLD cases and in the severe AD and HD cases. Hence, the loss of tau from these 33 nontau FTLD cases is just one aspect of a neurodegenerative process that destroys many components of the nerve cell machinery and does not represent a specific disordering of the cell's ability to form tau proteins or incorporate these into microtubules. [source] 2-(3-Hydroxypropyl)isoindoline-1,3-dione: competition among hydrogen-bond acceptorsACTA CRYSTALLOGRAPHICA SECTION C, Issue 7 2008Honghao Wang The title compound, C11H11NO3, has two molecules in the asymmetric unit, which differ in the orientation of their side-chain OH groups, allowing them to form intermolecular O,H...O hydrogen bonds to different acceptors. In one case, the acceptor is the OH group of the other molecule, and in the other case it is an imide O=C group. This is the first example in the N -substituted phthalimide series in which independent molecules have different types of acceptor. Molecular-orbital calculations place the greatest negative charge on the OH group. [source] Fast dynamic response of the fermentative metabolism of Escherichia coli to aerobic and anaerobic glucose pulses,BIOTECHNOLOGY & BIOENGINEERING, Issue 6 2009Alvaro R. Lara Abstract The response of Escherichia coli cells to transient exposure (step increase) in substrate concentration and anaerobiosis leading to mixed-acid fermentation metabolism was studied in a two-compartment bioreactor system consisting of a stirred tank reactor (STR) connected to a mini-plug-flow reactor (PFR: BioScope, 3.5,mL volume). Such a system can mimic the situation often encountered in large-scale, fed-batch bioreactors. The STR represented the zones of a large-scale bioreactor that are far from the point of substrate addition and that can be considered as glucose limited, whereas the PFR simulated the region close to the point of substrate addition, where glucose concentration is much higher than in the rest of the bioreactor. In addition, oxygen-poor and glucose-rich regions can occur in large-scale bioreactors. The response of E. coli to these large-scale conditions was simulated by continuously pumping E. coli cells from a well stirred, glucose limited, aerated chemostat (D,=,0.1,h,1) into the mini-PFR. A glucose pulse was added at the entrance of the PFR. In the PFR, a total of 11 samples were taken in a time frame of 92,s. In one case aerobicity in the PFR was maintained in order to evaluate the effects of glucose overflow independently of oxygen limitation. Accumulation of acetate and formate was detected after E. coli cells had been exposed for only 2,s to the glucose-rich (aerobic) region in the PFR. In the other case, the glucose pulse was also combined with anaerobiosis in the PFR. Glucose overflow combined with anaerobiosis caused the accumulation of formate, acetate, lactate, ethanol, and succinate, which were also detected as soon as 2,s after of exposure of E. coli cells to the glucose and O2 gradients. This approach (STR-mini-PFR) is useful for a better understanding of the fast dynamic phenomena occurring in large-scale bioreactors and for the design of modified strains with an improved behavior under large-scale conditions. Biotechnol. Bioeng. 2009; 104: 1153,1161. © 2009 Wiley Periodicals, Inc. [source] Towards a Better Understanding of Magnetic Interactions within m -Phenylene ,-Nitronyl Nitroxide and Imino Nitroxide Based Radicals, Part III: Magnetic Exchange in a Series of Triradicals and Tetraradicals Based on the Phenyl Acetylene and Biphenyl Coupling UnitsCHEMISTRY - A EUROPEAN JOURNAL, Issue 8 2005Laure Catala Dr. Abstract The present work completes and extends our previous reports1,,2 on the determination of the magnetic ground state and on the strength of the through bond exchange coupling within series of biradicals. This knowledge was subsequently exploited for the analysis of the magnetic interactions in their crystals. We report here the studies of series of triradicals incorporating ,-nitronyl nitroxides (NN) or ,-imino nitroxides (IN) as terminal radical fragments connected through a m -phenylene coupling unit in one case and a phenyl acetylene unit in other case. Tetraradical derivatives have also been studied. The studies of isolated molecules (EPR in solution and DFT calculations) allow the assessment of the magnetic interactions through the magnetic coupling unit. All triradical derivatives are found to exhibit a quartet ground state, whereas a singlet ground state is determined for the tetraradical. This last result reinforces previous findings that the singlet ground state is favoured in related biradicals involving similar m -phenylene couplers. Moreover, the through bond magnetic exchange coupling for the ortho,meta connectivity could be demonstrated as being ferromagnetic, thus ascertaining our previous hypotheses.1 The magnetic properties of the triradicals and tetraradicals in their solid state have been rationalized by using a previously proposed methodology,2 allowing to identify the most relevant magnetic pathways. Le présent travail complète et étend nos travaux précédents portant sur la détermination des couplages d'échange magnétique intramoléculaires de séries de biradicaux,1,,2 et partant de cette connaissance, de l'analyse des corrélations magnétostructurales dans l'état cristallin. Nous présentons ici l'étude de séries de triradicaux comprenant des radicaux , -nitronyl nitroxydes (NN) ou , -imino nitroxydes (IN) substitués en méta d'un groupement phénylène d'une part, et en para d'un groupement phénylène éthynylène d'autre part. Des dérivés tétraradicalaires ont aussi été synthétisés et étudiés. Les interactions d'échange magnétique à travers les liaisons sont estimées d'après l'étude de ces molécules isolées par RPE en solution ainsi que par des calculs effectués dans l'approximation de la fonctionnelle densité (DFT). Alors que l'ensemble des dérivés triradicalaires présente un état fondamental magnétique quartet de spin, un état singulet est proposé pour les tétraradicaux. Ce dernier résultat confirme nos travaux précédents1 ayant conclu à un état fondamental singulet pour des biradicaux basés sur le même coupleur. De plus, le couplage d'échange magnétique au travers du coupleur phénylène éthynylène pour des biradicaux substitués dans une topologie ortho,méta est ferromagnétique, confirmant ainsi les hypothèses antérieures.1 Suivant une méthodologie précédemment décrite,2 les propriétés magnétiques des triradicaux à l'état cristallin ont pu être analysées dans le détail et permettent de proposer des chemins d'interaction magnétique et des géométries de contacts intermoléculaires précises pour l'établissement d'interactions magnétiques bien identifiées. El presente trabajo completa y extiende nuestras anteriores estudios1,,2 sobre la determinacion del estado fundamental magnético y la fuerza del intercambio magnetico a través del enlace en una serie de biradicales. Esta información es luego usada en el análisis de las interacciones magneticas dentro de sus cristales. En este trabajo presentamos los estudios sobre una serie de triradicales que contienen , -nitroxidos nitronílicos (NN) o , -imino nitróxidos (IN) como fragmentos radicalarios terminales conectados a través de unidades acopladoras del tipo m -phenilénicas, en un caso, y fenil acetilénicas, en el otro. Se han estudiado también tetraradicales. Los estudios con moleculas aisladas (EPR en disolución y DFT) permiten evaluar las interacciones magneticas a través de las unidades acopladoras. Todos los triradicales se ve que presentan un estado fundamental del tipo cuadruplete, mientras que el cuadruplete se cree que tienen un estado fundamental singlete. Este último resultado refuerza las conclusiones de un estudio previo en el que se vió que el singlete es el estado fundamental en biradicales similares conectados por una unidad m -fenilénica. Además, el intercambio magnético a través del enlace para la conectividad orto y meta se demuestra que es ferromagnetica, confirmando hipótesis anteriores.1 Las propiedades magnéticas de los triradicales y tetraradicales en su estado sólido se han racionalizado empleando una matodología propuesta anteriormente,2 identificando los caminos magnéticos relevantes. [source] Fast chiral separation of drugs using columns packed with sub-2 ,m particles and ultra-high pressureCHIRALITY, Issue 3 2010Davy Guillarme Abstract The use of columns packed with sub-2 ,m particles in liquid chromatography with very high pressure conditions (known as UHPLC) was investigated for the fast enantioseparation of drugs. Two different procedures were evaluated and compared using amphetamine derivatives and ,-blockers as model compounds. In one case, cyclodextrins (CD) were directly added to the mobile phase and chiral separations were carried out in less than 5 min. However, this strategy suffered from several drawbacks linked to column lifetime and low chromatographic efficiencies. In the other case, the analysis of enantiomers was carried out after a derivatization procedure using two different reagents, 2,3,4-tri-O-acetyl-,- D -arabinopyranosyl isothiocyanate (AITC) and N -,-(2,4-dinitro-5-fluorophenyl)- L -alaninamide (Marfey's reagent). Separation of several amphetamine derivatives contained within the same sample was achieved in 2,5 min with high efficiency and selectivity. The proposed approach was also successfully applied to the enantiomeric purity determination of (+)-(S)-amphetamine and (+)-(S)-methamphetamine. Similar results were obtained with ,-blockers, and the separation of 10 enantiomers was carried out in less than 3 min, whereas the individual separation of several ,-blocker enantiomers was performed in 1 min or less. Chirality, 2010. © 2009 Wiley-Liss, Inc. [source] A comparison of concurrent programming and cooperative multithreading under load balancing applicationsCONCURRENCY AND COMPUTATION: PRACTICE & EXPERIENCE, Issue 4 2004Justin T. Maris Abstract Two models of thread execution are the general concurrent programming execution model (CP) and the cooperative multithreading execution model (CM). CP provides nondeterministic thread execution where context switches occur arbitrarily. CM provides threads that execute one at a time until they explicitly choose to yield the processor. This paper focuses on a classic application to reveal the advantages and disadvantages of load balancing during thread execution under CP and CM styles; results from a second classic application were similar. These applications are programmed in two different languages (SR and Dynamic C) on different hardware (standard PCs and embedded system controllers). An SR-like run-time system, DesCaRTeS, was developed to provide interprocess communication for the Dynamic C implementations. This paper compares load balancing and non-load balancing implementations; it also compares CP and CM style implementations. The results show that in cases of very high or very low workloads, load balancing slightly hindered performance; and in cases of moderate workload, both SR and Dynamic C implementations of load balancing generally performed well. Further, for these applications, CM style programs outperform CP style programs in some cases, but the opposite occurs in some other cases. This paper also discusses qualitative tradeoffs between CM style programming and CP style programming for these applications. Copyright © 2004 John Wiley & Sons, Ltd. [source] Suspected involvement of the X chromosome in placental mesenchymal dysplasiaCONGENITAL ANOMALIES, Issue 4 2002Masayoshi Arizawa ABSTRACT, So far, 46 cases of placental mesenchymal dysplasia have been reported worldwide. We encountered 15 cases of placental mesenchymal dysplasia (PMD) including 7 cases delivered in our hospital. The incidence of PMD in our hospital was therefore, 7/30, 758 (0.02%). The PMD had a peculiar appearance. In the gross findings, large placenta with intestine-like dilatation of the vessels on the fetal side was reported. Microscopically, cistern-like dilatation of the stem villi, fetal artery thrombosis, and villous hemorrhage were reported. However, we believe most of these findings are secondary rather than the primary of mesenchymal dysplasia. Therefore, we investigated 15 other cases of mesenchymal dysplasia, and found including vascular abnormality of the stem, intermediate and terminal villi in all case of PMD. The abnormality was observed in the vessels of the periphery of the stem villi and their vessel walls were thin and appeared weak. The intermediate villous vessels were unusual, tangled. The terminal villous abnormalities showed chorangiosis and stromal hyperplasia. These findings are mesenchymal dysplasia origin. Moreover, PMD showed female-predominant. 14/15 was female among our cases, We discuss the relationship between mesenchymal dysplasia and the X chromosome in this paper. [source] The ,II isotype of tubulin is present in the cell nuclei of a variety of cancersCYTOSKELETON, Issue 2 2004I-Tien Yeh Abstract Tubulin, the subunit protein of microtubules, has generally been thought to be exclusively a cytoplasmic protein in higher eukaryotes. We have previously shown that cultured rat kidney mesangial cells contain the ,II isotype of tubulin in their nuclei in the form of an ,,II dimer [Walss et al., 1999: Cell Motil. Cytoskeleton 42:274,284, 1999]. More recently, we examined a variety of cancerous and non-cancerous cell lines and found ,II in the nuclei of all of the former and only a few of the latter (Walss-Bass et al., 2002: Cell Tissue Res. 308:215,223]. In order to determine if ,II -tubulin occurs in the nuclei of actual cancers as well as in cancer cell lines, we used the immunoperoxidase method to look for nuclear ,II in a variety of tumors excised from 201 patients. We found that 75% of these tumors contain ,II in their nuclei. Distribution of nuclear ,II was highly dependent on the type of cancer, with 100% of the colon and prostate cancers, but only 19% of the skin tumors, having nuclear ,II. Nuclear ,II was particularly marked in tumors of epithelial origin, of which 83% showed nuclear ,II, in contrast to 54% in tumors of non-epithelial origin. In many cases, ,II staining occurred very strongly in the nuclei and not in the cytoplasm; in other cases, ,II was present in both. In many cases, particularly metastases, otherwise normal cells adjacent to the tumor also showed nuclear ,II, suggesting that cancer cells may influence nearby cells to synthesize ,II and localize it to their nuclei. Our results have implications for the diagnosis, biology, and chemotherapy of cancer. Cell Motil. Cytoskeleton 57:96,106, 2004. © 2004 Wiley-Liss, Inc. [source] Factors affecting the time of onset of resorption in avulsed and replanted incisor teeth in childrenDENTAL TRAUMATOLOGY, Issue 5 2001M. Donaldson Abstract , Resorption is the main reason for loss of replanted teeth. The outcome examined in this study is the timing of the onset of resorption. The effect of dichotomised dry and wet time intervals as well as the presence of additional crown damage and of contamination were determined. Of 84 replanted teeth, 67.5% developed resorptions. Twenty-eight had detectable additional crown damage with a more rapid onset being seen in these cases (P=0.009). The critical limit for dry time was 15 min (P=0.038) and significant differences persisted for greater limits also. Serial analysis of the association between the time of onset of root resorption and dichotomised wet time variables failed to yield any significant associations. There was visible contamination detected in 32 teeth and these exhibited a more rapid onset of resorption than the other cases (P=0.030). Teeth with inflammatory root resorption (12.8%) had a more rapid onset of resorption than those that developed replacement resorption (54.7%) (P<0.001). It is concluded that the risk of early resorption is increased in teeth that have additional damage or have contamination, or are kept in dry conditions for longer than 15 min. [source] Lateral Wedge Resection: A Simple Technique for Repairing Involutional Lower Eyelid EntropionDERMATOLOGIC SURGERY, Issue 9 2010IGAL LEIBOVITCH MD BACKGROUND Lower lid involutional entropion is a common eyelid pathology affecting the elderly population. Most of the reported surgical techniques are mainly based on a lateral tarsal strip anchored to the orbital rim. OBJECTIVES To report the surgical outcome using a simple single-stitch lateral wedge technique to repair involutional lower entropion. METHODS This single-surgeon, retrospective, noncomparative cases series included all patients with involutional lower eyelid entropion who were operated on using the lateral wedge technique. RESULTS Fifty-eight eyelids of 52 patients (46 unilateral, 6 bilateral; 27 men, 25 women; age, mean 67±10; range 50,85) underwent surgical repair. Immediate resolution of entropion and associated ocular symptoms was achieved in 55 eyelids (94.9%). One case had postoperative ectropion that completely resolved spontaneously after 4 weeks, and one had wound dehiscence that healed completely without any intervention. Another patient had residual entropion that resolved after an additional surgical repair. No other cases of recurrence were noted during a mean follow-up period of 16 months (range 6,24 months). CONCLUSION This minimally invasive single-stitch lateral wedge technique is a simple and effective procedure for repairing involutional lower eyelid entropion and is associated with low recurrence and complication rates. Igal Leibovitch, MD, has indicated no significant interest with commercial supporters. [source] Phenol-Castor Oil: Modified Peel for Dermal MelasmaDERMATOLOGIC SURGERY, Issue 5 2006THADA PIAMPHONGSANT MD BACKGROUND Deep type of melasma is difficult to treat. Various compositions for peeling have been formulated to accomplish this. OBJECTIVE Our purpose was to determine the safe use of the new formula, which was composed of phenol and castor oil. METHODS Different concentrations of phenol and castor oil were mixed in five formulations, and the solutions were tested on the forearms of 10 volunteers. The application time was 1 minute, different from that of the original phenol-croton oil. Formula 4 was found to cause a high effect of peeling with least side effects and was used to treat deep facial melasma in 30 patients. RESULTS Higher concentrations of castor oil produced more inflammation when mixed with phenol. Formula 4 was used to clear two cases of melasma in 1 week despite no effect from prior use of a modified antimelasma cream, while some degree of fading was noted in other cases. The total number of different melasma indices was reduced from 206.4 to 91.2 in 30 patients. Hyperpigmentation was noted in five cases and hypopigmentation in one case. Neither scar formation nor cardiac arrhythmia was observed. CONCLUSION A phenol-castor oil peel with an application time of 1 minute reduces pigments in the deep type of melasma with least side effects and a high efficiency when combined with an antimelasma cream. The safe formula and the technique of application are introduced. [source] Torsade de pointes in a patient with complex medical and psychiatric conditions receiving low-dose quetiapineACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2005W. V. R. Vieweg Objective:, Describe potential cardiac complications of low-dose quetiapine and other atypical antipsychotic drugs. Method:, We present a case report of a 45-year-old Black woman with multiple medical and psychiatric problems taking low-dose quetiapine. Results:, Coincident with a generalized seizure, the patient developed ,ventricular fibrillation'. She was countershocked with restoration of normal sinus rhythm. The initial electrocardiogram showed QT interval prolongation. Shortly thereafter, classical torsade de pointes appeared, lasted 10 min, and resolved spontaneously. Hypomagnesemia was present. A cardiac electrophysiologist was concerned that the very slow shortening of the prolonged QTc interval after magnesium replacement implicated quetiapine as a risk factor for QTc interval prolongation and torsade de pointes. A psychosomatic medicine consultant asserted that the fragmented medical and psychiatric care almost certainly contributed to the patient's medical problems. We discuss other cases of QT interval prolongation by newer antipsychotic drugs and previous reports by our group concerning the association of psychotropic drugs, QT interval prolongation, and torsade de pointes. Conclusion:, Atypical antipsychotic drug administration, when accompanied by risk factors, may contribute to cardiac arrhythmias including torsade de pointes. [source] Endoscopic ultrasound-guided fine needle aspiration diagnosis of metastatic sex cord tumor with annular tubules: A case reportDIAGNOSTIC CYTOPATHOLOGY, Issue 8 2006Lori J. Ryan M.D. Abstract The cytologic findings of a paratracheal metastasis from a malignant sex cord tumor with annular tubules (SCTATs) diagnosed by endoscopic ultrasound guided fine needle aspiration are described. Cytologic features of SCTATs include the presence of highly cellular aspirates forming simple and complex rosette-like structures around central rounded hyaline material, small nucleoli, and prominent nuclear grooves. These cytologic findings are clearly distinct from the poorly formed rosette-like structures of granulosa-cell tumors and are reminiscent of the low-power appearance of the cribriform variant of adenoid cystic carcinoma. The fine needle aspiration cytologic features of only two other cases have been previously described and, to the best of our knowledge, this is the first case reporting the cytologic diagnosis of a distant metastasis of a SCTATs by endoscopic ultrasound-guided fine needle aspiration. In this case, the distinctive and characteristic cytologic features have allowed the proper diagnosis of a distant metastasis of SCTATs. Diagn. Cytopathol. 2006;34:576,579. © 2006 Wiley-Liss, Inc. [source] Diagnostic value of needle aspiration cytology (NAC) in the assessment of palpable inguinal lymph nodes: A study of 210 casesDIAGNOSTIC CYTOPATHOLOGY, Issue 4 2003F.I.A.C., Raj K. Gupta M.D. Abstract The aim of this study was to evaluate the diagnostic value of needle aspiration cytology (NAC) in the assessment of palpable inguinal lymph nodes, which were analyzed in 210 cases. NAC in all the cases were performed by the conventional aspiration method and cytologic examination was done on site after staining smears with the Papanicolaou method. In addition, Diff-Quik-stained air-dried smears, Papanicolaou-stained fixed smears, and filter preparations from needle washings and hematoxylin-eosin-stained sections of cell blocks were studied. The NAC diagnosis was supported by examining cell blocks in 92/210 cases which showed a reliable histologic architecture; further support was also obtained with a tissue biopsy in 9/12 cases of inflammatory lesions, 7/7 cases with a suspicious diagnosis, 20/26 cases of melanomas, 15/15 cases of lymphomas, and/or a comparison with the primary tumor in other cases of metastatic tumors. Additionally, immunoperoxidase and/or histochemical stains were done. Twelve cases were diagnosed as inflammatory lesions and 88 cases were regarded as negative (normal cellular elements n = 40; reactive elements n = 48). In 58 cases a variety of metastatic tumors were diagnosed (melanoma n = 26; others n = 32) and in 15 cases a diagnosis of lymphoma was made. Seven cases were diagnosed as suspicious of malignancy and 30 cases were unsatisfactory due to scanty/acellular samples (despite 2,3 repeat samplings). However, in five of these malignant tumors were later found on a biopsy which was done due to a persistent and continued enlargement of lymph node(s). The sensitivity was 91.7%, specificity 98.2%, positive predictive value (PPV) 97.7.%, and negative predictive value (NPV) was 95.45%. Based on our study we feel that NAC as a first line of investigation is not only useful in the diagnosis of lesions in inguinal lymph nodes, but can also help in deciding on an appropriate management. Also, histologic architecture from cell blocks can be correlated with cytology and such material can be used for histochemical and immunomarker studies. Diagn. Cytopathol. 2003;28:175,180. © 2003 Wiley-Liss, Inc. [source] Association of multiple granular cell tumors and squamous carcinoma of the esophagus: case report and review of the literatureDISEASES OF THE ESOPHAGUS, Issue 3-4 2001A. Vinco This report describes the case of a man who underwent subtotal esophagectomy for the concomitant presence of a multifocal esophageal squamous carcinoma and a granular cell tumor (GCT); he had been previously affected by another metachronous esophageal GCT excised endoscopically. This is the sixth case described in the literature detailing other cases of a combination of malignancies involving additional organs. We emphasize the need for a prolonged surveillance of patients with multiple GCTs in order to promptly recognize the possibility of associated neoplasms. [source] Pollination mutualism between a new species of the genus Colocasiomyia de Meijere (Diptera: Drosophilidae) and Steudnera colocasiifolia (Araceae) in Yunnan, ChinaENTOMOLOGICAL SCIENCE, Issue 1 2006Kohei TAKENAKA Abstract A new species of the genus Colocasiomyia de Meijere (Diptera: Drosophilidae) was discovered from inflorescences of Steudnera colocasiifolia K. Koch (Araceae) in Yunnan, China. The new species is described as Colocasiomyia steudnerae Takenaka and Toda, sp. nov., and we investigated the reproductive ecology of both the fly and the plant species. This fly species reproduces in the inflorescences/infructescences of the plant, and depends almost throughout its entire life cycle on the host plant. The fly species is the most abundant flower visitor for S. colocasiifolia and behaves intimately with the flowering events, suggesting that it is the unique and most efficient pollinator for the host plant. Bagging (insect-exclusion) treatment of inflorescences resulted in no fruits. These findings strongly suggest that intimate pollination mutualism has evolved between the fly and the host plant, as are known in other Colocasiomyia flies and Araceae plants. One notable feature of this system is that the new species almost monopolizes the host-plant inflorescence as a visitor, without any cohabiting Colocasiomyia species. In comparison to other cases where two Colocasiomyia species share the same inflorescence and infructescence of Araceae host plants for reproduction by separating their breeding niches microallopatrically between the staminate (upper male-flower) and the pistillate (lower female-flower) regions on the spadix, C. steudnerae exhibits a mixture of stamenicolous and pistillicolous breeding habits. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||