what s in a community report

... bedtime Each is loaded with pills.” —Evansville (Ind.) Courier & Press A man who works with his hands is a laborer; a man who works with his hands and his brain is a craftsman; but a man who works with ... English cataracte, from Latin cataracta, from Greek katarraktes (waterfall, portcullis, floodgate), from katarassein (to dash down) The ophthalmological sense derives from figurative portcullis, ... rendering of a verse by Shakespeare, Rilke, Neruda, cummings, Hughes, or Yeats overhead It has also been a chance for me to start to learn a little about Dutch and Belgian poets such as T’Hooft,...

Ngày tải lên: 25/10/2013, 16:20

... has only partial information about the individuals (objects, events, and relations) that are talked about Unless one assumes that the original linguistic analysis can resolve all these uncertainties ... by natural language systems is the ability to reason about whether individuals are equal This issue is often finessed in semantic networks by assuming that each node represents a different individual, ... inference mechanism that can operate on a data base of first order 25 facts In this fashion, one obtains a highly expressive representation language (namely FOPC), as well as a well-defined and...

Ngày tải lên: 21/02/2014, 20:20

... Fungus Fungus Plant Plant Bacteria Plant Plant Fungus Bacteria Bacteria Bacteria Plant Bacteria Animal Fungus Yeast Yeast Bacteria Bacteria Plant Bacteria Fungus Fungus All Bacteria Animal Animal ... reductase component (ThmD) [64] – Plant VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO VAO GMC GMC GMC Succinate dehydrogenase Succinate dehydrogenase DAAO DAAO DAAO DAAO ... In fact, it is striking that most covalent flavoproteins are oxidases, and only a few reductases and dehydrogenases are known that contain a covalent flavin This is probably because covalent flavinylation...

Ngày tải lên: 16/03/2014, 01:20

... In humans, neocentromerization is usually initiated by a significant chromosomal rearrangement, such as a translocation that produces an acentric fragment, but neocentromeres can also arise spontaneously ... CenH3binding domains is open and accessible to the transcriptional machinery In contrast to human [1] and Arabidopsis [2] centromeres, each of which has a large core of nearly homogeneous satellite sequence, ... centromeres, the possibility that active genes and frequent retrotransposon insertions are a common feature of grass centromeres cannot yet be ruled out Also, certain maize centromeres in some lines have...

Ngày tải lên: 14/08/2014, 14:21

... hydronephrosis and hypoplasia [2] The association of hydrosalpinx and Hirschsprung s disease was previously suggested in 2007 by Merlini et al In this case series the author suggest that bilateral hydrosalpinges ... found in a pubmed search from 1980-present which discusses hydrosalpinx or pyosalpinx in association with Hirschsprung disease [3] Pyosalpinx is the acute inflammation of the salpinx which is most ... pelvis with intravenous and oral contrast Abscess is shown discusses the possibility that the disease process could be a complication from the surgical repair This is the only article that was found...

Ngày tải lên: 20/06/2014, 22:20

... gastrointestinal stromal tumours (GIST), benign leiomyomas and less commonly gastric or intestinal adenocarcinomas Tumours in Meckel 's present non-specifically with gastrointestinal complaints such as ... ectopic pancreatic tissues are usually asymptomatic and are found incidentally; they too can occasionally cause symptoms such as bleeding, inflammation, abdominal pain and Although Meckel 's and its ... of a benign intraductal papillary mucinous adenoma arising from ectopic pancreatic tissue in a Meckel 's diverticulum [3], and ours is the first malignant ectopic pancreatic adenocarcinoma in a...

Ngày tải lên: 09/08/2014, 04:21

... caries, high palate and slight genus valgus, he had no other abnormalities His blood pressure was normal and his bone age was years A laboratory test was positive for proteinuria He had an elevated ... serum alkaline phosphatase activity (926 U/L), and a nearly normal level of parathyroid hormone X-rays showed enlargement of his wrists and knees and fraying of the metaphyses of his distal ulna and ... excretion was reduced Despite continued phosphaturia, his serum phosphate level increased gradually, and his serum alkaline phosphatase returned to normal No acceleration in bone age or increase in glucose...

Ngày tải lên: 10/08/2014, 23:20

... Most children are asymptomatic OC usually presents as a solitary mass, as a fracture or as a mechanical osteoarticular complication (deformity or joint dysfunction) Plain radiography is the mainstay ... osseous metastases in advanced stage of disease Due to the nature of HL, most cases are associated with synchronous lymph node involvement Bone scintigraphy has a sensitivity and accuracy of 95% in ... Case Reports 2011 5:511 Conclusions We describe a case of coinciding osseous lesion and HL We conclude that all efforts should be taken to make an exact diagnosis by biopsy of all suspicious...

Ngày tải lên: 10/08/2014, 23:20

... serious complications associated with spinal manipulation They are specifically reported in cases with pre-existing underlying spinal pathologies, such as osteoporosis, tumors or metastases [6,17,18] ... Conclusions The case serves as a reminder to health care providers of the potentially severe complications associated with cervical spine mobilization/manipulation It emphasizes that cases such as ... shows radiographic imaging results obtained at the six-month followup demonstrating no changes in alignment, intact hardware and osseous consolidation Subsequent to the last follow-up, our patient...

Ngày tải lên: 10/08/2014, 23:20

... this article as: van der Wal et al.: Fibrous dysplasia of bone associated with soft-tissue myxomas as well as an intra-osseous myxoma in a woman with Mazabraud s syndrome: a case report Journal ... intra-muscular myxomas are rare and usually are associated with fibrous dysplasia, a condition known as Mazabraud s syndrome In Mazabraud s syndrome, the polyostotic form of fibrous dysplasia is present ... the characteristics of fibrous dysplasia and intra-muscular myxoma are as described in this case report Both lesions are completely benign, and malignant transformation in fibrous dysplasia is uncommon...

Ngày tải lên: 10/08/2014, 23:21

... 150(8):587-590 Jayachandran NV, Rajasekhar L, Chandrasekhara PK, Kanchinadham S, Narsimulu G: Multiple peripheral arterial and aortic aneurysms in Behcet s syndrome: a case report Clin Rheumatol 2008, ... genital ulceration, skin lesions and a positive skin pathergy test Evidence in countries where Behçet s disease is prevalent suggests that this disease should be included among the diagnostic possibilities ... Middle and Far East, affecting mainly young adults, with men having more severe vascular complication with this disease [1,9-11] Case presentation A 25-year-old Afro-Brazilian woman was hospitalized...

Ngày tải lên: 11/08/2014, 00:22

... both clinical features and a myriad of cellular parameters In the absence of specific disease markers (such as in WM), this combination of factors is important in attaining a ‘pattern of best-fit’ ... total protein of 93 g/L, with a hypoalbuminemia of 29 g/L A cholestatic picture was suggested on liver function assay, with her alkaline phosphatase and gamma-glutamyl transferase elevated at ... was initiated for an episode of worsening abdominal pain and hypotension at 88/67 mmHg Fluid resuscitation was inadequate to maintain her systolic blood pressure at greater than 100 mmHg An urgent...

Ngày tải lên: 11/08/2014, 02:21

... Recklinghausen s disease) NF1-associated gastrointestinal lesions include not only GIST, but also hyperplastic lesions of intestinal neural tissue and its supporting structures and endocrine cell tumors of ... surgical methods NF1-associated gastrointestinal lesions include not only GISTs, but also hyperplastic lesions of intestinal neural tissue and its supporting structures, and endocrine cell tumors ... growth and signs of malignancy Small tumors are depicted on CT scans as sharply marginated smooth masses with moderate contrast enhancement [7] In our case report, the patient s radiological findings...

Ngày tải lên: 11/08/2014, 02:21

... low in most cases due to suppression of the parathyroid glands and renal a- hydroxylase secondary to hypercalcemia It is also evident that hypercalcemia is a manifestation of advanced disease and, ... mediastinal CT scan was unremarkable except for some fibrotic changes compatible with her age No mediastinal lymphadenopathy was seen In her abdominal CT scan, it was noted that her spleen was large ... defect in her spleen, which was interpreted as a splenic cyst No specific treatment was done at that time On examination, she was mildly anemic and complained of fatigability On abdominal examination...

Ngày tải lên: 11/08/2014, 02:21

... that influences the survival Figure Abdominal computed tomography scans Page of rate is prompt diagnosis in patients with AMI Numerous surgical reports indicated that acute intestinal ischemia ... protein S is based on an increase of the anticoagulant action of protein C [16] Protein C is a proteinase that inactivates the coagulation factors V, Leiden, and VIII, and protein S increases the ... ischemia (AII) is associated with a poor prognosis [13] The poor signs, symptoms, and nonspecific laboratory tests are among the causes of the delay in the diagnosis Other examinations that can be...

Ngày tải lên: 11/08/2014, 03:20

... Wilson s disease According to guidelines from the American Association for the Study of Liver Diseases (AASLD) patients in whom Wilson s disease is suspected should undergo screening with serum ... Wilson s disease include age < 35 years, Coombs negative hemolytic anemia and low serum alkaline phosphatase level, all of which applied to our patient Diagnosis was established on the basis of Kayser-Fleischer ... disease along with negative Coombs, coagulopathy unresponsive to vitamin K, serum aminotransferases less than 2000 IU/L and normal or markedly subnormal Figure Kayser-Fleisher ring in a 17-year-old...

Ngày tải lên: 11/08/2014, 03:21

... Wilson s disease According to guidelines from the American Association for the Study of Liver Diseases (AASLD) patients in whom Wilson s disease is suspected should undergo screening with serum ... Wilson s disease include age < 35 years, Coombs negative hemolytic anemia and low serum alkaline phosphatase level, all of which applied to our patient Diagnosis was established on the basis of Kayser-Fleischer ... disease along with negative Coombs, coagulopathy unresponsive to vitamin K, serum aminotransferases less than 2000 IU/L and normal or markedly subnormal Figure Kayser-Fleisher ring in a 17-year-old...

Ngày tải lên: 11/08/2014, 07:20

... scan revealed a large mass in the distal third of the Initial CT scan revealed a large mass in the distal third of the esophagus Case presentation A 62-year-old man with a history of gastroesophageal ... remained free of disease at review at 12 months Conclusion Small cell esophageal carcinoma is rare and its association with dysplastic Barrett 's esophagus is extremely infrequent The high carcinogenic ... Cytology of small-cell carcinoma arising in Barrett 's esophagus Diagn Cytopathol 2000, 23(3):180-182 Saint Martin MC, Chejfec G: Barrett esophagus-associated small cell carcinoma Arch Pathol Lab Med...

Ngày tải lên: 11/08/2014, 10:23

... revision References Ioakimidis D, Georganas C, Panagoulis C, Gournizakis A, Iliopoulos A, Kremastinos D, Kontomerkos T: A case of AdamantiadisBehcet s syndrome presenting as myocardial infarction ... leads Laboratory tests showed elevation of plasma total CK and CK-MB activities He was diagnosed with an acute anterior wall myocardial infarction Medical treatment was started but since he had ... declare that they have no competing interests Authors’ contributions Discussion Vascular involvement is a well-known characteristic of BD Large vessel disease or acute cerebrovascular infarction in...

Ngày tải lên: 11/08/2014, 14:20

... leukocytoclastic vasculitis are usually absent Aseptic neutrophilic inflammation may also be found in other sites such as bones, intestines, liver, aorta, lungs and muscles [2] A closely-related syndrome ... kidneys may be involved Hisanaga et al have proposed diagnostic criteria for neuro-Sweet disease [5] We describe a case of neuro-Sweet disease in a patient with Crohn s disease, an association ... first-line systemic treatments are potassium iodide and colchicine Second-line agents include indomethacin, cyclosporine and dapsone Conclusion This is a case of aseptic meningitis secondary...

Ngày tải lên: 11/08/2014, 14:20