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Sample records for lymphadenopathie bei infektion

  1. Cervical silicone lymphadenopathy.

    PubMed

    Gilbert, Latoni Kaysha; Thiruchelvam, Janavikulam

    2016-07-01

    A patient presented to the department of oral and maxillofacial surgery with a rare case of cervical silicone lymphadenopathy. She had a painless ovoid mass in the left side of her neck and had had cosmetic breast augmentation 10 years before. Radiological imaging and core biopsy examination were consistent with silicone lymphadenopathy. PMID:26830068

  2. Sinus histiocytosis with massive lymphadenopathy

    SciTech Connect

    Pastakia, B.; Weiss, S.H.

    1987-11-01

    Gallium uptake corresponding to the extent of the disease in a patient with histologically proven sinus histiocytosis with massive lymphadenopathy (SHML) is reported. Computerized tomography confirmed the presence of bilateral retrobulbar masses, involvement of both lateral recti, erosion of the bony orbital floor with encroachment of tumor into the right maxillary antrum, and retropharyngeal involvement.

  3. Cervical lymphadenopathy: study of 251 patients.

    PubMed

    Al Kadah, Basel; Popov, Hristo Hristov; Schick, Bernhard; Knöbber, Dirk

    2015-03-01

    Correct diagnosis of cervical lymphadenopathy is often a great challenge. The objective of this case study is to describe the distribution of the most common causes of unclear neck swellings presented in an ENT-Department and to evaluate the clinical history, examination and laboratory findings. In a retrospective study at the Department of Otorhinolaryngology, University Medical Center Homburg/Saar, 251 patients were enrolled with clinical and ultrasound signs of cervical lymphadenopathy as well as lymph node extirpation for histopathological evaluation. 127 patients (50.6 %) had a histological malignant finding. The distribution of the most common pathological conditions was as follows: Non-specific reactive hyperplasia n = 89 (35.5 %), metastases n = 86 (34.3 %), lymphoma n = 41 (16.3 %), granulomatous lesions n = 15 (6 %), abscess formations n = 5 (2 %), necrotic lymphadenitis and Castleman's disease one case of each, lymph node with normal architecture n = 7 (2.8 %), and neck masses mimicking lymphadenopathy n = 6 cases (2.4 %). The following factors identified by multivariate logistic regression were significantly associated to malignant lymphadenopathy: increasing age, generalized lymphadenopathy and history of malignant disorder, fixed neck masses and increasing diameter in ENT examination, bulky lesion, absence of hilus, blurred outer contour, protective role of the long form and decreasing Solbiati-index values by ultrasound B-Mode gray scale examination. Level II contained more benign lymphatic lesions, while the malignancy rate in level IV and V was enhanced. Laboratory parameters significantly associated to malignancies were CRP, LDH and thrombocytopenia. Patients with persisting cervical lymphadenopathy and over 3 weeks of antibiotic treatment should be considered for early biopsy, especially if some of the risk factors, pointed out in this study, are present. PMID:25294051

  4. Enlarging mediastinal/hilar lymphadenopathy with calcification.

    PubMed

    Adachi, Takashi; Nakahata, Masashi; Moritani, Suzuko; Iida, Hiroatsu; Ogawa, Kenji

    2016-02-01

    A 77-year-old man was referred to our hospital due to enlarging mediastinal/hilar lymphadenopathy with calcification. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and bone marrow aspiration were performed. Subsequently, monoclonal gammopathy of undetermined significance (MGUS) associated with mediastinal amyloidosis was diagnosed. We hereby report a case in which EBUS-TBNA led to a successful diagnosis of amyloidosis. PMID:26862422

  5. Tuberculous lymphadenopathy: Experience from the referral center of Northern India

    PubMed Central

    Singh, Saurabh Kumar; Tiwari, Kamlesh Kumar

    2016-01-01

    Background: Lymphadenopathy is the common form of extrapulmonary tuberculosis (TB) in the developing country like India. The aim of the study was to assess the clinical and the pathological features of tuberculous peripheral lymphadenopathy along with the effect of the antitubercular drugs on its clinical course. Materials and Methods: A prospective study was carried out in the department of pulmonary medicine from July 2013 to June 2014. Clinico-demographical and pathological characteristics of the patients of tuberculous lymphadenopathy were studied. Results: Two and four cases, 84 (41.2%) male and 120 (58.8%) females were diagnosed as the cases of tuberculous lymphadenopathy. Mean age of the patients were 28.45 ± 12.83. Palpable mass (100%) was the most common presenting feature. Cervical lymphadenopathy (92.6%) was the most common presentation of peripheral tuberculous lymphadenopathy. Most common cytological pattern seen was epithelioid granuloma with caseous necrosis (32.84%) followed by epithelioid granuloma without caseous necrosis on fine needle aspiration cytology (FNAC). Directly observed treatment short course (DOTS) for TB was effective in treating tuberculous lymphadenopathy. Conclusion: Tuberculous lymphadenopathy affects female more often than males. FNAC is the effective mean in diagnosing tuberculous lymphadenopathy. DOTS is the effective mean for treating tuberculous lymphadenopathy. PMID:27226690

  6. Peripheral Lymphadenopathy: Approach and Diagnostic Tools

    PubMed Central

    Mohseni, Shahrzad; Shojaiefard, Abolfazl; Khorgami, Zhamak; Alinejad, Shahriar; Ghorbani, Ali; Ghafouri, Ali

    2014-01-01

    Peripheral lymph nodes, located deep in the subcutaneous tissue, clean antigens from the extracellular fluid. Generally, a normal sized lymph node is less than one cm in diameter. Peripheral lymphadenopathy (LAP) is frequently due to a local or systemic, benign, self-limited, infectious disease. However, it could be a manifestation of underlying malignancy. Seventy-five percent of all LAPs are localized, with more than 50% being seen in the head and neck area. LAP may be localized or generalized. Cervical lymph nodes are involved more often than the other lymphatic regions. Generally, it is due to infections, but most of the supraclavicular lymphadenopathies are associated with malignancy. Based on different geographical areas, the etiology is various. For example, in tropical areas, tuberculosis (TB) is a main benign cause of LAP in adults and children. Complete history taking and physical examination are mandatory for diagnosis; however, laboratory tests, imaging diagnostic methods, and tissue samplings are the next steps. Tissue diagnosis by fine needle aspiration biopsy or excisional biopsy is the gold standard evaluation for LAP. We concluded that in patients with peripheral LAP, the patient’s age and environmental exposures along with a careful history taking and physical examination can help the physician to request step by step further work-up when required, including laboratory tests, imaging modalities, and tissue diagnosis, to reach an appropriate diagnosis. PMID:24753638

  7. A rare case of multifocal lymphadenopathy in a young male.

    PubMed

    Aneja, Anshum; Maheswari K, Uma; H J, Gayathri Devi; Sheikh, Shamim

    2014-11-01

    Lymphadenopathy can be caused by localized and systemic diseases. While viral and bacterial infections commonly cause lymphadenitis in young adults, tuberculosis (TB) is a common cause for lymphadenopathy in endemic areas. Besides, lymphadenopathy may be a presenting manifestation of malignancy, systemic disorders and some rare diseases. Thus, relevant evaluation and exclusion of commoner causes is important to clinch the diagnosis. Histopathological examination is mandatory in such patients. We hereby report the case of a young adult male who presented with low-grade fever and abdominal pain with cervical and mesenteric lymphadenopathy in a TB endemic region, but was proved to have atypical presentation of Kikuchi-Fujimoto disease, which is a rare but benign cause of lymphadenopathy. PMID:25988059

  8. Lymphadenopathy in celiac disease: computed tomographic observations

    SciTech Connect

    Jones, B.; Bayless, T.M.; Fishman, E.K.; Siegelman, S.S.

    1984-06-01

    Lymphadenopathy in patients with celiac disease is generally viewed with alarm due to the association between celiac disease and intestinal lymphoma. Four patients with celiac disease are described in whom significant mesenteric and paraaortic adenopathy was demonstrated by computed tomogrophy (CT). The subsequent clinical course of these patients revealed no evidence of lymphoma. In two patients with longstanding celiac disease and recent relapse, exploratory laparotomy revealed reactive hyperplasia in the enlarged glands; in one patient this was associated with intestinal ulceration, and in the other no underlying pathology was found. Follow-up CT scans in both these patients demonstrated regression of the findings with clinical improvement. In the other two patients, CT was performed as part of the initial evaluation.

  9. Abdominal lymphadenopathy detection using random forest

    NASA Astrophysics Data System (ADS)

    Cherry, Kevin M.; Wang, Shijun; Turkbey, Evrim B.; Summers, Ronald M.

    2014-03-01

    We propose a new method for detecting abdominal lymphadenopathy by utilizing a random forest statistical classifier to create voxel-level lymph node predictions, i.e. initial detection of enlarged lymph nodes. The framework permits the combination of multiple statistical lymph node descriptors and appropriate feature selection in order to improve lesion detection beyond traditional enhancement filters. We show that Hessian blobness measurements alone are inadequate for detecting lymph nodes in the abdominal cavity. Of the features tested here, intensity proved to be the most important predictor for lymph node classification. For initial detection, candidate lesions were extracted from the 3D prediction map generated by random forest. Statistical features describing intensity distribution, shape, and texture were calculated from each enlarged lymph node candidate. In the last step, a support vector machine (SVM) was trained and tested based on the calculated features from candidates and labels determined by two experienced radiologists. The computer-aided detection (CAD) system was tested on a dataset containing 30 patients with 119 enlarged lymph nodes. Our method achieved an AUC of 0.762+/-0.022 and a sensitivity of 79.8% with 15 false positives suggesting it can aid radiologists in finding enlarged lymph nodes.

  10. Paratracheal lymphadenopathy: radiographic findings and correlation with CT

    SciTech Connect

    Mueler, N.L.; Webb, W.R.; Gamsu, G.

    1985-09-01

    Possible signs of paratracheal lymphadenopathy on the posteroanterior (PA) chest radiograph were assessed in 98 patients and correlated with computed tomography (CT). The nodes were normal is size in 62 patients and enlarged in 36. While the lateral contour of the superior vena cava (SVC) was convex in 46 patients (47%), 81 (83%) had an increased density in the region of the SVC. When all four parameters were combined, lymphadenopathy could be detected on the PA view in 87 patients (89%). CT demonstrated that the enlarged nodes were anterolateral rather than directly lateral to the trachea and also immediately posterior to the SVC, explaining the findings on the PA radiograph.

  11. Tick-borne lymphadenopathy (TIBOLA) acquired in Southwestern Germany

    PubMed Central

    2011-01-01

    Background Tick-borne lymphadenopathy (TIBOLA) was first described in 1997 in a patient in France. The causative agent, Rickettsia slovaca, is transmitted by Dermacentor ticks. Case presentation In southwestern Germany we encountered a patient with a tick bite at the dorsal scalp that resulted in an eschar and nuchal lymphadenopathy. Additionally, fever, malaise as well as elevated inflammatory markers and transaminases occurred. The characteristic clinical picture along with positive antibody testing for rickettsiae of the tick-borne spotted fever group strongly suggest the diagnosis TIBOLA. Conclusion Human rickettsioses are emerging infections. Clinicians should be aware of TIBOLA as a newly described rickettsial disease. As in our case, TIBOLA may be encountered in regions/countries where R. slovaca and Dermacentor ticks are prevalent but autochthonous acquisition was not described before. PMID:21663601

  12. Paratracheal lymphadenopathy: radiographic findings and correlation with CT.

    PubMed

    Müller, N L; Webb, W R; Gamsu, G

    1985-09-01

    Possible signs of paratracheal lymphadenopathy on the posteroanterior (PA) chest radiograph were assessed in 98 patients and correlated with computed tomography (CT). The nodes were normal in size in 62 patients and enlarged (greater than 15 mm) in 36. Among the latter group, widening of the right paratracheal stripe was seen in 11 (31%) and enlargement of the azygos node in 15 (42%). While the lateral contour of the superior vena cava (SVC) was convex in 46 patients (47%), 81 (83%) had an increased density in the region of the SVC. When all four parameters were combined, lymphadenopathy could be detected on the PA view in 87 patients (89%). CT demonstrated that the enlarged nodes were anterolateral rather than directly lateral to the trachea and also immediately posterior to the SVC, explaining the findings on the PA radiograph. PMID:4023240

  13. Sinus histiocytosis with massive lymphadenopathy: a "massive" misnomer.

    PubMed

    Sardana, Divesh; Goyal, Ashima; Gauba, Krishan

    2015-04-01

    Sinus histiocytosis with massive lymphadenopathy also known as Rosai-Dorfman disease is a rare, benign, histiocytic disorder of unknown origin characterized by lymphadenopathy. Since its original description by Rosai and Dorfman in 1969, small number of cases has been reported; hence no specific diagnostic criteria and treatment guidelines have been suggested. The purpose of this article is to present and discuss a case of Rosai Dorfman Syndrome in 4-year-old child diagnosed with the help of Fine Needle Aspiration Cytology. The swelling resolved over a period of 18 months without any recurrence in 2-year follow-up period. This case report highlights the role of Fine Needle Aspiration Cytology in the diagnosis of Rosai-Dorfman disease and the importance of regular follow ups using a careful wait and watch approach in its management. The report also briefly discusses the various dilemmas associated with its diagnosis and treatment. PMID:25088489

  14. Syphilis presenting as isolated cervical lymphadenopathy: two related cases.

    PubMed

    van Crevel, Reinout; Grefte, Johanna M M; van Doorninck, Damiaen; Sturm, Patrick

    2009-01-01

    Two young adult brothers, with no apparent risk for sexually transmitted infections (STI), presented with unilateral cervical lymphadenitis. Syphilis was diagnosed by fine-needle aspiration cytology in one case, and subsequent serology and revision of a resected lymph node in the second case. Clinicians should have a high index of suspicion and a low diagnostic threshold in patients with unexplained lymphadenopathy, even in the absence of a history of primary syphilis, or obvious risk for STI. PMID:18649948

  15. Pitfall in MR imaging of lymphadenopathy after lymphangiography.

    PubMed

    Buckwalter, K A; Ellis, J H; Baker, D E; Borello, J A; Glazer, G M

    1986-12-01

    In two patients examined with magnetic resonance (MR) imaging after lymphangiography, opacified pelvic lymph nodes could not be distinguished from subcutaneous or retroperitoneal fat because of the short T1 and long T2 relaxation times of lymphangiographic contrast media. Opacified nodes removed from one patient had relaxation times similar to those of fat. Thus, assessment of lymphadenopathy with MR imaging should be performed before lymphangiography to obviate this potential pitfall. PMID:3024208

  16. Etiology and clinical pattern of cervical lymphadenopathy in Sudanese children

    PubMed Central

    Bilal, Jalal Ali; Elshibly, Eltahir M

    2012-01-01

    Cervical lymphadenopathy (CLA) is a common childhood problem in clinical practice which poses diagnostic difficulties to pediatricians. The aims of this study were to determine the causes of CLA in Sudanese children and to evaluate the value of routine laboratory tests in determining the etiology. Demographic and clinical data were prospectively collected from eighty children with palpable cervical nodes. Children were then subjected to complete blood count, ESR, Mantoux test, aspiration cytology of a lymph node and serological tests for HIV agglutination test, ELISA for Epstein–Barr virus and toxoplasma gondii. The age ranged 1–13 years with a mean of 5.8 ±3.1SD years with no gender difference. Specific etiologies of CLA were determined in 62.5% of patients. Ninety five percent of the causes were due to non-specific reactive hyperplasia of lymph nodes (NSRH) (37.5%), toxoplasmosis (27.5%), infectious mononucleosis due Epstein–Barr virus (13.8%), tuberculous adenitis (10%), acute adenitis (6.2%), whereas malignancy (Hodgkin’s lymphoma) constituted 5% of causes of CLA. The clinical characteristics were insignificantly associated with the causes of lymphadenopathy (p>0.05). However, mobile lymph nodes were significantly associated with inflammatory conditions (P<0.05). Inflammatory causes accounted for the majority of the etiologies whereas Hodgkin’s lymphoma was the only identified malignancy. Laboratory tests such as, ESR, TWBC, hemoglobin and Mantoux test should be used in adjunct with cytology and serology for diagnosis.

  17. Mediastinoscopy: a diagnostic procedure in hilar and paratracheal lymphadenopathy

    PubMed Central

    Mikhail, J. R.; Mitchell, D. N.

    1971-01-01

    Mediastinoscopy, in the skilled hands of a thoracic surgeon, is a safe, cosmetically accepted procedure with negligible complications, less than that reported in many series of scalene node biopsies. It has the advantage of yielding a much higher rate of diagnostic tissue, in all instances over 90%. In the cases of tuberculosis it enabled an organism to be isolated and sensitivities obtained. It has also revealed a group of cases with findings, a further study of which may increase our understanding, assessment and management of patients presenting with hilar and/or paratracheal lymphadenopathy. ImagesFig. 1Fig. 2Figs. 3-6Figs. 7-10Fig. 11Fig. 12Figs. 13 and 14Fig. 15Fig. 16Fig. 17Fig. 18Fig. 19Fig. 20 PMID:4110536

  18. BIOGENIC EMISSIONS INVENTORY SYSTEM (BEIS)

    EPA Science Inventory

    The Biogenic Emissions Inventory System (BEIS) is a computer algorithm used to generate emissions for air quality simulation models, such as EPAs Regional Acid Deposition Model (RADM). Emission sources that are modeled include volatile organic compound (VOC) emissions from vegeta...

  19. Strahlungsfeldbedingungen bei der Ionisationsdosimetrie

    NASA Astrophysics Data System (ADS)

    Krieger, Hanno

    Bei der Dosimetrie von Photonenstrahlungen mit luftgefüllten Ionisationskammern werden in diesem Kapitel zwei Grenzfälle unterschieden. Der eine Fall ist die Bedingung des so genannten Sekundärelektronengleichwichts im Kammervolumen. In diesem Fall bestimmen ausschließlich die Photonen im Messvolumen die dosimetrische Anzeige. Der zweite Grenzfall ist gegeben, wenn das Luftvolumen und die Kammer das Strahlungsfeld im Phantom so wenig stören, dass der Sekundärelektronenfluss unverändert bleibt. Diese Bedingungen nennt man BRAGG-GRAY-Bedingungen. Beide Grenzfälle sind in der Praxis nur näherungsweise zu verwirklichen. Abweichungen müssen durch entsprechende Korrekturen oder Kalibrierungen berücksichtigt werden.

  20. Severe inflammatory arthritis and lymphadenopathy in the absence of TNF.

    PubMed

    Campbell, I K; O'Donnell, K; Lawlor, K E; Wicks, I P

    2001-06-01

    It has been postulated that TNF has a pivotal role in a cytokine cascade that results in joint inflammation and destruction in rheumatoid arthritis (RA). To evaluate this, we examined the response of TNF-deficient (Tnf(-/-)) mice in two models of RA. Collagen-induced arthritis (CIA) was induced by injection of chick type II collagen (CII) in CFA. Tnf(-/-) mice had some reduction in the clinical parameters of CIA and, on histology, significantly more normal joints. However, severe disease was evident in 54% of arthritic Tnf(-/-) joints. Tnf(-/-) mice had impaired Ig class switching, but preserved T cell proliferative responses to CII and enhanced IFN-gamma production. Interestingly, CII-immunized Tnf(-/-) mice developed lymphadenopathy and splenomegaly associated with increased memory CD4(+) T cells and activated lymph node B cells. Acute inflammatory arthritis was also reduced in Tnf(-/-) mice, although again some mice exhibited severe disease. We conclude that TNF is important but not essential for inflammatory arthritis; in each model, severe arthritis could proceed even in the complete absence of TNF. These results call into doubt the concept that TNF is obligatory for chronic autoimmune and acute inflammatory arthritis and provide a rationale for further studies into TNF-independent cytokine pathways in arthritis. PMID:11413159

  1. Severe inflammatory arthritis and lymphadenopathy in the absence of TNF

    PubMed Central

    Campbell, Ian K.; O’Donnell, Kristy; Lawlor, Kate E.; Wicks, Ian P.

    2001-01-01

    It has been postulated that TNF has a pivotal role in a cytokine cascade that results in joint inflammation and destruction in rheumatoid arthritis (RA). To evaluate this, we examined the response of TNF-deficient (Tnf–/–) mice in two models of RA. Collagen-induced arthritis (CIA) was induced by injection of chick type II collagen (CII) in CFA. Tnf–/– mice had some reduction in the clinical parameters of CIA and, on histology, significantly more normal joints. However, severe disease was evident in 54% of arthritic Tnf–/– joints. Tnf–/– mice had impaired Ig class switching, but preserved T cell proliferative responses to CII and enhanced IFN-γ production. Interestingly, CII-immunized Tnf–/– mice developed lymphadenopathy and splenomegaly associated with increased memory CD4+ T cells and activated lymph node B cells. Acute inflammatory arthritis was also reduced in Tnf–/– mice, although again some mice exhibited severe disease. We conclude that TNF is important but not essential for inflammatory arthritis; in each model, severe arthritis could proceed even in the complete absence of TNF. These results call into doubt the concept that TNF is obligatory for chronic autoimmune and acute inflammatory arthritis and provide a rationale for further studies into TNF-independent cytokine pathways in arthritis. PMID:11413159

  2. Nontuberculous mycobacterial infection with concurrent IgG4-related lymphadenopathy.

    PubMed

    Liu, Ting-Ting; Weng, Shao-Wen; Wang, Ming-Chung; Huang, Wan-Ting

    2016-03-01

    Disseminated nontuberculous mycobacteria (NTM) infection with concurrent IgG4-related lymphadenopathy has not been reported. We described a patient with neutralizing autoantibodies to interferon-gamma (IFN-γ) and elevated levels of serum IgG4 presenting with generalized lymphadenopathy and reactive dermatosis. Histologically, lymph nodes (LNs) showed effaced nodal architecture with polymorphic infiltrates, mimicking angioimmunoblastic T-cell lymphoma. Both the absolute number and the ratio of IgG4+ plasma cells to IgG+ plasma cells were increased. Mycobacterium abscessus was isolated from cultures of LNs, and demonstrated by polymerase chain reaction-restriction fragment length polymorphism. The skin biopsy showed neutrophilic dermatosis, consistent with Sweet syndrome. The patient met the criteria of both adult-onset immunodeficiency syndrome and IgG4-related lymphadenopathy. This case provides evidence of disseminated NTM infection with concurrent type III IgG4-related lymphadenopathy in the patient with anti-IFN-γ autoantibodies. PMID:26660641

  3. Disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in an immunocompetent patient

    PubMed Central

    Oki, Masahide; Saka, Hideo; Kajikawa, Shigehisa; Murakami, Ayuka; Ishida, Akane

    2016-01-01

    Abstract We herein report a rare case of disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in a young immunocompetent man. A previously healthy 26‐year‐old man presented with persistent headache and nonproductive cough. Chest computed tomography indicated mediastinal and hilar lymphadenopathy. Cryptococcal lymphadenitis and meningitis was confirmed by endobronchial ultrasound‐guided transbronchial needle aspiration and central spinal fluid examination, respectively. He received liposomal amphotericin B and flucytosine followed by fluconazole and finally improved. PMID:27512567

  4. Disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in an immunocompetent patient.

    PubMed

    Murakami, Yasushi; Oki, Masahide; Saka, Hideo; Kajikawa, Shigehisa; Murakami, Ayuka; Ishida, Akane

    2016-07-01

    We herein report a rare case of disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in a young immunocompetent man. A previously healthy 26-year-old man presented with persistent headache and nonproductive cough. Chest computed tomography indicated mediastinal and hilar lymphadenopathy. Cryptococcal lymphadenitis and meningitis was confirmed by endobronchial ultrasound-guided transbronchial needle aspiration and central spinal fluid examination, respectively. He received liposomal amphotericin B and flucytosine followed by fluconazole and finally improved. PMID:27512567

  5. Perihepatic lymphadenopathy in children with chronic viral hepatitis

    PubMed Central

    Schreiber-Dietrich, Dagmar; Pohl, Margret; Cui, Xin-Wu; Braden, Barbara; Chiorean, Liliana

    2015-01-01

    Objective To assess whether lymph node enlargement in the hepatoduodenal ligament occurs in children with chronic viral hepatitis B and C in comparison to healthy controls. Subject and methods In 49 patients with chronic viral hepatitis (38 with chronic hepatitis B, 11 with chronic hepatitis C, 31 male, 18 female; age range 1 to 17 years), and in 51 healthy controls (25 male, 26 female; age range 4 to 16 years), the total perihepatic lymph node volume was assessed using transabdominal ultrasonography as previously described in adult patients. Results Adequate visualization of the liver hilum was achieved in 46/49 (94%) pediatric patients with chronic viral hepatitis and in 46/51 (90%) pediatric healthy controls. In patients with adequate liver hilum visualization, enlarged perihepatic lymph nodes (longitudinal diameter >14 mm) were detected in 32/46 (70%) patients with chronic viral hepatitis and in 5/46 (11%) healthy controls. The total perihepatic lymph nodes volume [mean ± SD] was 1.0 ± 1.2 mL (0.1–5.4 mL) in patients with chronic viral hepatitis and 0.1 ± 0.1 mL (0.0–0.4 mL) in healthy controls (p < 0.05). A maximal lymph node diameter >14 mm identified patients with chronic viral hepatitis with 70% sensitivity and 89% specificity. Conclusion Transabdominal ultrasound can detect lymph nodes within the hepatoduodenal ligament not only in adults but also in children. Paediatric patients with chronic viral hepatitis have significantly enlarged perihepatic lymph nodes compared to controls. Therefore, sonographic assessment of perihepatic lymphadenopathy might be a non-invasive diagnostic tool to screen paediatric patients for chronic viral hepatitis. PMID:26676184

  6. BEI Resources: Supporting antiviral research

    PubMed Central

    Baker, Robert; Peacock, Susan

    2008-01-01

    The Biodefense and Emerging Infections Research Resources Repository (BEI Resources) provides unique, quality-assured reagents to the scientific community for use in basic research and product development involving biodefense and emerging infectious diseases. These include microorganisms (up to Biosafety Level-3) on the National Institute of Allergy and Infectious Diseases (NIAID) and Centers for Disease Control and Prevention (CDC) lists of Category A, B and C priority pathogens. In addition to live microorganisms, related products such as polyclonal antisera, monoclonal antibodies, isolated nucleic acid preparations, overlapping peptide arrays, purified proteins, and assay kits are also available. Many of these materials have direct or indirect applications in antiviral research. These reagents are available free of charge to all registered investigators, regardless of funding source or affiliation. Acquisition of new reagents for the repository is one of the critically necessary and challenging tasks for BEI Resources. Therefore, investigators are encouraged to deposit relevant items, so as to provide access to materials, relief from the burden of distribution, protection of intellectual property rights, and secure storage. In addition, BEI Resources has the capability of contracting for the preparation of specific reagents. If there is a resource needed to advance a specific research area, contact an NIAID program officer or use the “suggest a reagent” option on the BEI Resources homepage, www.beiresources.org. PMID:18675849

  7. Kikuchi-Fujimoto disease: a rare but important differential diagnosis for lymphadenopathy

    PubMed Central

    Srikantharajah, Mukunthan; Mahendra, Prem; Vydianath, Bindu; Lowe, Gillian C

    2014-01-01

    A 23-year-old man presented with a 6-week history of fevers, cervical lymphadenopathy and fatigue. A CT of the neck, chest, abdomen and pelvis showed left cervical lymphadenopathy, enlarged lymph nodes in the axilla and groin and hepatomegaly. A left cervical excisional lymph node biopsy was undertaken and the histopathological findings were consistent with Kikuchi-Fujimoto disease. He was treated with high-dose prednisolone for 1 week, which was then tapered. Generalised arthralgia and daily episodes of malaise were experienced for a subsequent 2 months following the cessation of corticosteroids. The condition lasted 4 months from the onset of symptoms. This case report highlights the importance of including Kikuchi-Fujimoto disease as a differential diagnosis for lymphadenopathy. Kikuchi-Fujimoto disease has commonly been mistaken for tuberculosis and lymphoma, and unnecessary exposure to agents used to treat these conditions can be avoided by prompt histological diagnosis. PMID:25199195

  8. Syphilis manifesting as a nasopharyngeal carcinoma with cervical lymphadenopathy: A case report

    PubMed Central

    PAN, XINBIN; ZHU, XIAODONG; LI, QINGDI QUENTIN

    2012-01-01

    The present case report describes a case of syphilitic lymphadenopathy and raises the awareness of the differential diagnosis of cervical lymphadenopathy. A 50-year-old male worker presented with a 6-month history of enlarged and growing lymph nodes in the right upper neck and a blood-tinged post-nasal drip. Physical examination showed multiple enlarged lymph nodes located in the right upper neck. On nasopharyngoscopy, a mass was found in the nasopharynx. The histopathology of both the nasopharyngeal mass and the enlarged lymph nodes revealed non-specific inflammation. Rapid plasma reagin test results (titer, 1:1280) and Treponema pallidum particle assay results (titer, 1:2560) were positive. Subsequently, a diagnosis of syphilis was confirmed clinically and serologically. The reaction after penicillin treatment further confirmed the syphilis diagnosis. Thus, syphilis should be considered as a possibility in the differential diagnosis of cervical lymphadenopathy. PMID:22970011

  9. [Immunologic findings in homosexual males with generalized lymphadenopathy. Prodromal state of acquired immunodeficiency syndrome?].

    PubMed

    Kalden, J R; Burmester, G R; Manger, B; Coester, C H; Bienzle, U

    1983-11-01

    Peripheral blood of 6 homosexual men with lymphadenopathy associated with fever, weight loss and night sweat, 13 homosexuals with lymphadenopathy without further clinical symptoms, 13 healthy homosexuals and 20 healthy hetero-sexual blood donors was evaluated for different lymphocyte subpopulation, mitogen induced T-cell proliferation and Gamma-interferon production. In the six patients with lymphadenopathy lymphocyte subpopulations were also analysed in lymph node-biopsies. delayed type hypersensitivity was established by skin test's using different recall antigens. Sera of all homosexual men were screened for immunoglobulin levels, complement activity, presence of immunocomplexes and autoantibodies. Most of the homosexuals with lymphadenopathy but without clinical symptoms and all patients with lymphadenopathy associated with clinical symptoms had a significantly decreased helper-(OKT 4) suppressor- (OKT 8) cell ratio. In contrast, the OKT 4/OKT 8 ratio was found to be normal in lymphocyte suspension from lymph node-biopsy from the 6 patients with lymphadenopathy and clinical symptoms. Within the group of healthy homosexuals this ratio exhibited a rather large variation, in three of the tested persons the ratio was below 1. No functional abnormalities of T-cell immunity were observed in the homosexual men as compared to the control group, with the exception of a significantly increased LAG- and PWM-induced lymphocyte proliferation in the group of healthy homosexual men. Likewise no significant differences were obtained with regard to the further analysed immunological parameters. It is concluded that the obtained immunological results do not provide the possibility to define persons at immediate risk for the development of AIDS. PMID:6227767

  10. Comparison between Kawasaki disease with lymph-node-first presentation and Kawasaki disease without cervical lymphadenopathy

    PubMed Central

    Kim, Jung Ok; Hyun, Myung Chul

    2016-01-01

    Purpose We evaluated the characteristics of patients with Kawasaki disease (KD) who presented with only fever and cervical lymphadenopathy on admission, and compared them with the characteristics of those who presented with typical features but no cervical lymphadenopathy. Methods We enrolled 98 patients diagnosed with KD. Thirteen patients had only fever and cervical lymphadenopathy on the day of admission (group 1), 31 had typical features with cervical lymphadenopathy (group 2), and 54 had typical features without cervical lymphadenopathy (group 3). Results The mean age (4.3±2.1 years) and duration of fever (7.5±3.6 days) before the first intravenous immunoglobulin (IVIG) administration were highest in group 1 (P=0.001). Moreover, this group showed higher white blood cell and neutrophil counts, and lower lymphocyte counts after the first IVIG administration as compared to the other groups (P=0.001, P=0.001, and P=0.003, respectively). Group 1 also had a longer duration of hospitalization and higher frequency of second-line treatment as compared to groups 2 and 3 (group 1 vs. group 2, P=0.000 and P=0.024; group 1 vs. group 3, P=0.000 and P=0.007). A coronary artery z score of >2.5 was frequently observed in group 1 than in group 3 (P=0.008). Conclusion KD should be suspected in children who are unresponsive to antibiotics and have prolonged fever and cervical lymphadenopathy, which indicates that KD is associated with the likelihood of requiring second-line treatment and risk of developing coronary artery dilatation. PMID:26958063

  11. Pediatric lymphedema caused by diffuse cervical lymphadenopathy: A case report and review of the literature.

    PubMed

    Gitomer, Sarah A; Giannoni, Carla M; Cañadas, Karina T

    2016-08-01

    Pediatric head and neck lymphedema is rare and there have not been any reported cases in children. Here we discuss severe, diffuse head and neck lymphedema in a child caused by compression of the internal jugular veins by lymphadenopathy from Kawasaki's disease. With steroid and intravenous immunoglobulin treatment, the lymphadenopathy improved and facial edema slowly resolved. In review of the literature, complications of head and neck lymphedema including airway obstruction and blindness are discussed. This case highlights the importance of the pediatric otolaryngologist considering lymphedema as a cause for facial swelling and monitoring for complications of lymphedema. PMID:27368445

  12. An uncommon presentation of Kikuchi-Fujimoto disease as mediastinal lymphadenopathy.

    PubMed

    Hino, Haruaki; Nishimura, Takashi; Nitadori, Jun-Ichi; Miyakoshi, Shigesaburo; Seki, Atsuko; Arai, Tomio; Nakajima, Jun

    2016-05-01

    We experienced an uncommon presentation of Kikuchi-Fujimoto disease (KFD) with sole mediastinal lymphadenopathy in senior age, which was histologically diagnosed by thoracoscopic biopsy leading to appropriate therapy. A 69-year-old man was admitted due to intermittent high fever, general malaise, and appetite loss lasting over 3 months along with 10-kg weight loss in 6 months. Chest computed tomography (CT) showed isolated mediastinal lymphadenopathy, and malignant diseases including malignant lymphoma or metastatic carcinoma, tuberculous lymphadenitis, and sarcoidosis were considered. Therefore thoracoscopic biopsy should be performed for the correct diagnosis, even in uncommon portion of lymph node swelling and age for KFD. PMID:27162693

  13. An uncommon presentation of Kikuchi-Fujimoto disease as mediastinal lymphadenopathy

    PubMed Central

    Nishimura, Takashi; Nitadori, Jun-ichi; Miyakoshi, Shigesaburo; Seki, Atsuko; Arai, Tomio; Nakajima, Jun

    2016-01-01

    We experienced an uncommon presentation of Kikuchi-Fujimoto disease (KFD) with sole mediastinal lymphadenopathy in senior age, which was histologically diagnosed by thoracoscopic biopsy leading to appropriate therapy. A 69-year-old man was admitted due to intermittent high fever, general malaise, and appetite loss lasting over 3 months along with 10-kg weight loss in 6 months. Chest computed tomography (CT) showed isolated mediastinal lymphadenopathy, and malignant diseases including malignant lymphoma or metastatic carcinoma, tuberculous lymphadenitis, and sarcoidosis were considered. Therefore thoracoscopic biopsy should be performed for the correct diagnosis, even in uncommon portion of lymph node swelling and age for KFD. PMID:27162693

  14. Unusual Extramedullary Plasmacytoma: A Rare but Possible Cause of Lymphadenopathy in Chronic Lymphocytic Leukemia

    PubMed Central

    Chantepie, S. P.; Cabrera, Q.; Mear, J. B.; Salaun, V.; Lechapt-Zalcman, E.; Macro, M.

    2015-01-01

    Cervical bilateral lymphadenopathy is a frequent event during chronic lymphocytic leukemia (CLL) natural history. However, lymph node biopsy is generally not required as long as transformation into an aggressive lymphoma (Richter syndrome) is not suspected. We present here a rare case of CLL patient who developed progressive bilateral cervical lymph node and bilateral tonsillar hypertrophy. CLL front-line therapy was ineffective leading to adenectomy and diagnosis of concomitant extramedullary plasmacytoma. Radiotherapy did not result in the disappearance of lymphadenopathy. Adenectomy should be performed in CLL cases to avoid misdiagnosis. PMID:26236345

  15. Significance of specific immunoglobulin M in the chronological diagnosis of 38 cases of toxoplasmic lymphadenopathy.

    PubMed Central

    Del Bono, V; Canessa, A; Bruzzi, P; Fiorelli, M A; Terragna, A

    1989-01-01

    The persistence of immunoglobulin M (IgM) antibody to Toxoplasma gondii in sera from 38 patients after toxoplasmic lymphadenopathy was investigated by using an indirect immunofluorescence assay, a double-sandwich enzyme-linked immunosorbent assay, and an immunosorbent agglutination assay. Positive predictive values at 3 and 6 months after lymphadenopathy were, respectively, 45 and 73% for the indirect immunofluorescence assay, 25 and 45% for the double-sandwich enzyme-linked immunosorbent assay, and 22 and 43% for the immunosorbent agglutination assay. PMID:2674202

  16. Massilia timonae infection presenting as generalized lymphadenopathy in a man returning to Belgium from Nigeria.

    PubMed

    Van Craenenbroeck, Amaryllis H; Camps, Kim; Zachée, Pierre; Wu, Ka Lung

    2011-07-01

    We report a case of apparent malaria infection presented with a syndrome of painless, generalized lymphadenopathy without granulomas shortly after exposure to fresh water in rural West Africa. Residual infection with Massilia timonae was diagnosed and successfully treated with co-trimoxazole. PMID:21525215

  17. Massilia timonae Infection Presenting as Generalized Lymphadenopathy in a Man Returning to Belgium from Nigeria ▿

    PubMed Central

    Van Craenenbroeck, Amaryllis H.; Camps, Kim; Zachée, Pierre; Wu, Ka Lung

    2011-01-01

    We report a case of apparent malaria infection presented with a syndrome of painless, generalized lymphadenopathy without granulomas shortly after exposure to fresh water in rural West Africa. Residual infection with Massilia timonae was diagnosed and successfully treated with co-trimoxazole. PMID:21525215

  18. Usefulness of Microvascular Ultrasonography in Differentiating Metastatic Lymphadenopathy from Tuberculous Lymphadenitis.

    PubMed

    Ryoo, Inseon; Suh, Sangil; You, Sung-Hye; Seol, Hae Young

    2016-09-01

    This study was undertaken to evaluate the usefulness of vascular pattern analysis on microvascular ultrasonography in distinguishing metastatic lymphadenopathy from tuberculous lymphadenitis, compared with conventional power Doppler ultrasonography, and to evaluate inter-observer agreement for microvascular ultrasonography. Thirty-four patients with metastatic lymphadenopathy and 27 patients with tuberculous lymphadenitis were included. The level of inter-observer agreement was excellent or good for all aspects of vascular pattern analysis on both ultrasonographic examinations. Vascular distribution, internal vascularity and internal vascular features of lymph nodes on microvascular ultrasonography differed significantly different (p ≤ 0.002) between metastatic lymphadenopathy and tuberculous lymphadenitis. A central vascular pattern with displacement was prevalent in metastasis, and an avascular pattern was more frequent in tuberculosis. Internal vascularity of metastasis was higher than that of tuberculosis. Vascular patterns on power Doppler ultrasonography did not differ significantly. Vascular pattern analysis using microvascular ultrasonography can be helpful in differentiating metastatic lymphadenopathy from tuberculous lymphadenitis with good inter-observer agreement. PMID:27353493

  19. Massive retroperitoneal lymphadenopathy as a terminal event in hairy cell leukaemia.

    PubMed

    Mehta, A B; Catovsky, D; O'Brien, C J; Lott, M; Bowley, N; Hemmingway, A

    1983-01-01

    A case of hairy cell leukaemia complicated as a terminal event by massive retroperitoneal lymphadenopathy is described. The patient had recently been treated with lithium carbonate and had previously been demonstrated to suffer from a systemic vasculitis, either or both of which may have contributed to the development of this rare complication. PMID:6360496

  20. Axillary lymphadenopathy 17 years after digital silicone implants: study with x-ray microanalysis

    SciTech Connect

    Paplanus, S.H.; Payne, C.M.

    1988-05-01

    Axillary lymphadenopathy developed in a patient with rheumatoid arthritis 17 years after the placing of Swanson implants in the hand. Foreign material in the lymph nodes was identified as silicone by energy-dispersive x-ray microanalysis. This emphasizes the long latent period that may be associated with this clinical phenomenon which may mimic other, more serious, diseases.

  1. Thoracic lymphadenopathy in benign diseases: A state of the art review.

    PubMed

    Nin, Carlos Schüler; de Souza, Vinícius Valério Silveira; do Amaral, Ricardo Holderbaum; Schuhmacher Neto, Roberto; Alves, Giordano Rafael Tronco; Marchiori, Edson; Irion, Klaus Loureiro; Balbinot, Fernanda; Meirelles, Gustavo de Souza Portes; Santana, Pablo; Gomes, Antônio Carlos Portugal; Hochhegger, Bruno

    2016-03-01

    Lymphadenopathy is a common radiological finding in many thoracic diseases and may be caused by a variety of infectious, inflammatory, and neoplastic conditions. This review aims to describe the patterns of mediastinal and hilar lymphadenopathy found in benign diseases in immunocompetent patients. Computed tomography is the method of choice for the evaluation of lymphadenopathy, as it is able to demonstrate increased size of individual nodes, abnormalities of the interface between the mediastinum and lung, invasion of surrounding fat, coalescence of adjacent nodes, obliteration of the mediastinal fat, and hypo- and hyperdensity in lymph nodes. Intravenous contrast enhancement may be needed to help distinguish nodes from vessels. The most frequent infections resulting in this finding are tuberculosis and fungal disease (particularly histoplasmosis and coccidioidomycosis). Sarcoidosis is a relatively frequent cause of lymphadenopathy in young adults, and can be distinguished from other diseases - especially when enlarged lymph nodes are found to be multiple and symmetrical. Other conditions discussed in this review are silicosis, drug reactions, amyloidosis, heart failure, Castleman's disease, viral infections, and chronic obstructive pulmonary disease. PMID:26860219

  2. Differentiation of malignant cervical lymphadenopathy by dual-energy CT: a preliminary analysis.

    PubMed

    Yang, Liang; Luo, Dehong; Li, Lin; Zhao, Yanfeng; Lin, Meng; Guo, Wei; Zhou, Chunwu

    2016-01-01

    The accurate diagnosis of malignant cervical lymphadenopathy remains challenging. In this study, we determined the value of quantitative parameters derived from dual-energy computed tomography (DECT) for differentiating malignant cervical lymphadenopathy caused by thyroid carcinoma (TC), salivary gland carcinoma (SC), squamous cell carcinoma (SCC) and lymphoma. We retrospectively analysed 92 patients with pathologically confirmed cervical lymphadenopathy due to TC, SC, SCC and lymphoma. All patients received a DECT scan before therapy. Using GSI (gemstone spectral imaging) Volume Viewer software, we analysed the enhanced monochromatic data, and the quantitative parameters we acquired included the iodine concentration (IC), water concentration (WC) and the slope of the spectral HU curve (λHU). One-way ANOVA showed significant differences in the IC and λHU among different groups (P < 0.05). Post-hoc pairwise comparisons demonstrated the IC and λHU of TC group were significantly higher than those of SC, SCC and lymphoma groups (P < 0.05). In addition, the IC and λHU of SC group were significantly higher than those of the SCC and lymphoma groups (P < 0.05). Other comparisons of IC and λHU values showed no significant differences (P > 0.05). The quantitative parameters derived from DECT were useful supplements to conventional computed tomography images and were helpful for distinguishing different malignant cervical lymphadenopathies. PMID:27498560

  3. [Prevalence IgG antibodies against Bartonella henselae in children with lymphadenopathy].

    PubMed

    Zarzycka, Beata; Pieczara, Anna; Skowron-Kobos, Jolanta; Krzemiński, Zbigniew

    2008-01-01

    Bartonella henselae is a cat scratch disease's etiological agent which is usually manifestated as regional lymphadenopathy. In differential diagnosis of lymphadenopathy infections about etiology B. henselae are rarely taken into consideration. Enlargement of lymph nodes observed in children more often than in adults are caused by bacterial, virus or parasitic factors. In this study immunoglobulines G class antibodies to B. henselae were determined among children with limphadenopathy. At 53 children with recognized lymphadenopathy IgG antibodies were determined by indirect immunofluoroscence method specific for B. henselae. Of the 53 subjects examined, positive results were got at 29 (55%) children. Of the 23 children with negative results of IgG antibodies in 9 children study was repeated. In 5 (56%) cases the increase of IgG antibodies were shown with relation to the first research. The cat scratch disease should be considered as a cause of lymphadenopathy at children because the frequency of occurance of antibodies IgG specific for B. henselae is high. In case of getting negative results, participation of B. henselae should not be out of question in limphadenopathy etiology at children and second determination should be repeted after 10-21 days since the first one. PMID:19209738

  4. Mediastinal lymphadenopathy and pulmonary arterial hypertension in mixed connective tissue disease

    SciTech Connect

    Guit, G.L.; Shaw, P.C.; Ehrlich, J.; Kroon, H.M.; Oudkerk, M.

    1985-02-01

    A case of mixed connective tissue disease (MCTD) is presented in which mediastinal lymphadenopathy was the most prominent radiological finding detected by plain chest radiographs and computed tomography. Pulmonary arterial hypertension, which is a rare and often fatal complication of MCTD, also developed in this patient.

  5. Differentiation of malignant cervical lymphadenopathy by dual-energy CT: a preliminary analysis

    PubMed Central

    Yang, Liang; Luo, Dehong; Li, Lin; Zhao, Yanfeng; Lin, Meng; Guo, Wei; Zhou, Chunwu

    2016-01-01

    The accurate diagnosis of malignant cervical lymphadenopathy remains challenging. In this study, we determined the value of quantitative parameters derived from dual-energy computed tomography (DECT) for differentiating malignant cervical lymphadenopathy caused by thyroid carcinoma (TC), salivary gland carcinoma (SC), squamous cell carcinoma (SCC) and lymphoma. We retrospectively analysed 92 patients with pathologically confirmed cervical lymphadenopathy due to TC, SC, SCC and lymphoma. All patients received a DECT scan before therapy. Using GSI (gemstone spectral imaging) Volume Viewer software, we analysed the enhanced monochromatic data, and the quantitative parameters we acquired included the iodine concentration (IC), water concentration (WC) and the slope of the spectral HU curve (λHU). One-way ANOVA showed significant differences in the IC and λHU among different groups (P < 0.05). Post-hoc pairwise comparisons demonstrated the IC and λHU of TC group were significantly higher than those of SC, SCC and lymphoma groups (P < 0.05). In addition, the IC and λHU of SC group were significantly higher than those of the SCC and lymphoma groups (P < 0.05). Other comparisons of IC and λHU values showed no significant differences (P > 0.05). The quantitative parameters derived from DECT were useful supplements to conventional computed tomography images and were helpful for distinguishing different malignant cervical lymphadenopathies. PMID:27498560

  6. Transcriptional Profiling of Endobronchial Ultrasound-Guided Lymph Node Samples Aids Diagnosis of Mediastinal Lymphadenopathy

    PubMed Central

    Tomlinson, Gillian S.; Thomas, Niclas; Chain, Benjamin M.; Best, Katharine; Simpson, Nandi; Hardavella, Georgia; Brown, James; Bhowmik, Angshu; Navani, Neal; Janes, Samuel M.; Miller, Robert F.; Noursadeghi, Mahdad

    2016-01-01

    Background Endobronchial ultrasound (EBUS)-guided biopsy is the mainstay for investigation of mediastinal lymphadenopathy for laboratory diagnosis of malignancy, sarcoidosis, or TB. However, improved methods for discriminating between TB and sarcoidosis and excluding malignancy are still needed. We sought to evaluate the role of genomewide transcriptional profiling to aid diagnostic processes in this setting. Methods Mediastinal lymph node samples from 88 individuals were obtained by EBUS-guided aspiration for investigation of mediastinal lymphadenopathy and subjected to transcriptional profiling in addition to conventional laboratory assessments. Computational strategies were used to evaluate the potential for using the transcriptome to distinguish between diagnostic categories. Results Molecular signatures associated with granulomas or neoplastic and metastatic processes were clearly discernible in granulomatous and malignant lymph node samples, respectively. Support vector machine (SVM) learning using differentially expressed genes showed excellent sensitivity and specificity profiles in receiver operating characteristic curve analysis with area under curve values > 0.9 for discriminating between granulomatous and nongranulomatous disease, TB and sarcoidosis, and between cancer and reactive lymphadenopathy. A two-step decision tree using SVM to distinguish granulomatous and nongranulomatous disease, then between TB and sarcoidosis in granulomatous cases, and between cancer and reactive lymphadenopathy in nongranulomatous cases, achieved > 90% specificity for each diagnosis and afforded greater sensitivity than existing tests to detect TB and cancer. In some diagnostically ambiguous cases, computational classification predicted granulomatous disease or cancer before pathologic abnormalities were evident. Conclusions Machine learning analysis of transcriptional profiling in mediastinal lymphadenopathy may significantly improve the clinical utility of EBUS

  7. Etiological study of lymphadenopathy in HIV-infected patients in a tertiary care hospital

    PubMed Central

    Nag, Dipanwita; Dey, Sumedha; Nandi, Ayandip; Bandyopadhyay, Ranjana; Roychowdhury, Debjani; Roy, Raja

    2016-01-01

    Introduction: Human immunodeficiency virus (HIV) infection has become a global pandemic. Persistent generalized lymphadenopathy (PGL) is very common manifestation of HIV infection. Moreover, different opportunistic infections such as tuberculosis (TB) and malignancies may present with lymphadenopathy. Mycobacterium avium complex (MAC) infection is most common with cluster of differentiation (CD)4+ count ≤50 cells/μL. Fine-needle aspiration cytology (FNAC) offers a simple and effective modality for obtaining a representative sample of the material from lymph nodes, permitting cytological evaluation and other investigations. Aims and Objectives: The aim of this study is to find out the different etiologies of lymphadenopathy in HIV-infected patients and to establish a possible correlation with CD4+ count. Materials and Methods: A total of 100 HIV-infected patients having significant (>1 cm) extrainguinal lymphadenopathy were studied in 1 year at the Department of Pathology by FNAC and the stains used were Leishman–Giemsa, Ziehl–Neelsen (ZN), Papanicoloau, and Gram stains. For tubercular culture, Löwenstein–Jensen (LJ) medium was used. CD4+count was done by flow cytometer. Result: The present study revealed four types of cytomorphological variants in lymphadenopathy cases by FNAC, which include: Reactive hyperplasia and caseation necrosis; caseation necrosis and ill-formed granuloma; well-formed granuloma without any necrosis; and non-Hodgkin lymphoma (NHL). The highest acid-fast bacilli (AFB) positivity was among the patients showing caseation necrosis. Tubercular culture in LJ media turned out as a more sensitive method for diagnosis than routine ZN staining. The 2 cases that showed well-formed epithelioid granuloma without any necrosis turned out to be histoplasmosis and cryptococcosis, respectively. In this study, we found 2 cases of NHL. The study also revealed that caseation necrosis and AFB positivity along with opportunistic infections increases with

  8. Lymphadenopathy by Scrub Typhus Mimicking Metastasis on FDG PET/CT in a Patient with a History of Breast Cancer.

    PubMed

    Lee, Jeong Won; Lee, Sang Mi; Lee, Kyu Taek; Kim, Sung Young; Han, Sun Wook; Kim, Shin Young

    2015-06-01

    We report the case of a 60-year-old woman with left-sided breast cancer who showed lymphadenopathy mimicking metastatic lesions. She underwent surveillance (18)F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) after treatment. PET/CT demonstrated multiple lymphadenopathies with increased FDG uptake, most notably in the right axilla. She had an eschar on the right axillary area, and her serologic test was positive for anti-Orientia tsutsugamushi IgM antibody. Ten months after the treatment, follow-up FDG PET/CT and ultrasonography showed improvement in generalized lymphadenopathy. PMID:26082810

  9. [Angioimmunoblastic lymphadenopathy. Apropos a case with unusual clinical manifestations and evolution to T-cell lymphoma].

    PubMed

    de la Torre Lima, F J; Rubio Rubio, J M; Garrachón Vallo, F; Pichardo Carballo, J J; Sánchez López, M P; Zamora Madaria, E

    1994-09-01

    We present the case of a 67-years-old patient which, after treatment with ciprofloxacin, developed fever, exanthema, arthralgias, polyadenopathies, hepatosplenomegaly, autoimmune hemolytic anemia, hypergammaglobulinemia and severe inversion of the CD4/CD8 ratio. Latter, he developed ischemic signs in several locations (splenic and cerebral infarcts), as well as polyneuropathy and inflammatory myopathy. The diagnosis of angioimmunoblastic lymphadenopathy was established through ganglionary biopsy. The patient improved initially with the administration of corticoids, but in a few months, he developed pleomorphic T lymphoma with quick fatal evolution. We discuss the rarity of some of the clinical and laboratory manifestations in this patient and we comment on the association of ciprofloxacin and the angioimmunoblastic lymphadenopathy, which has never been previously described in the international literature. PMID:7858088

  10. “The Great Mimicker”: An Unusual Etiology of Cytopenia, Diffuse Lymphadenopathy, and Massive Splenomegaly

    PubMed Central

    Zaarour, Mazen; Weerasinghe, Chanudi; Moussaly, Elias; Hussein, Shafinaz; Atallah, Jean-Paul

    2015-01-01

    Sarcoidosis is an idiopathic multisystem disease characterized by the formation of noncaseating granulomas. It frequently presents with pulmonary infiltrates and bilateral hilar and mediastinal lymphadenopathy. Splenic involvement is common, but massive splenomegaly is a rare occurrence. Sarcoidosis is known as “the great mimicker” (or “the great imitator”) since it exhibits a myriad of symptoms, mimicking other inflammatory, infectious, and neoplastic conditions, including lymphoma. Herein, we report the case of a 44-year-old male patient who was found to have bicytopenia, hypercalcemia, diffuse lymphadenopathy, and massive splenomegaly, a constellation of findings suggestive of underlying lymphoma. Interestingly, lymph node biopsy showed noncaseating granulomas suggestive of sarcoidosis, without evidence of malignancy. PMID:26579198

  11. Kaposi sarcoma and lymphadenopathy syndrome: limitations of abdominal CT in acquired immunodeficiency syndrome

    SciTech Connect

    Moon, K.L. Jr.; Federle, M.P.; Abrams, D.I.; Volberding, P.; Lewis, B.J.

    1984-02-01

    Abdominal computed tomography (CT) was performed in 31 patients with Kaposi sarcoma (KS) related to acquired immunodeficiency syndrome (AIDS), three patients with classic KS, and 12 patients with the newly described lymphadenopathy syndrome (LNS). The frequency, distribution, and appearance of lymphadenopathy and splenomegaly were similar in the AIDS-related KS and LNS groups. Rectal and perirectal disease was identified in 86% of homosexual men studied; rectal KS could not be distinguished from proctitis on CT criteria alone. No CT abnormalities were seen in patients with classic KS. The CT demonstration of retroperitoneal, mesenteric, or pelvic adenopathy or of rectal or perirectal disease in patients with AIDS-related KS is not necessarily indicative of widespread involvement with the disease.

  12. Lipomatous hypertrophy of the interatrial septum and fibrosing mediastinal lymphadenopathy causing superior vena cava obstruction

    PubMed Central

    Baikoussis, Nikolaos G.; Argiriou, Orestis; Kratimenos, Theodoros; Dedeilias, Panagiotis; Argiriou, Michalis

    2015-01-01

    Lipomatous hypertrophy of the interatrial septum (LHIS) is an uncommon cause of superior vena cava syndrome (SVCS). Fibrosing mediastinal lymphadenopathy is another cause of SVCS. We present a 65-year-old female patient with a history of tuberculosis (TB) and the coexistence of LHIS and fibrosing mediastinitis due to TB of the lung. Fibrosing or sclerosing mediastinitis is a rare entity with few cases published in the western literature. She presented with mild symptomatology of SVCS and she underwent on transthoracic and transesophageal echocardiography, computed tomography scan, magnetic resonance imaging, and venography. Due to the development of an abundant collateral venous system seen on venography and her negation for any treatment, she did not undergo yet on any intervention. To our knowledge, this is the first case reported in the international bibliography in which LHIS and sclerosing lymphadenopathy are simultaneously diagnosed in the same patient. PMID:26440257

  13. Cat-scratch disease: report of a case with liver lesions and no lymphadenopathy

    SciTech Connect

    Delbeke, D.; Sandler, M.P.; Shaff, M.I.; Miller, S.F.

    1988-08-01

    The usual presentation of cat-scratch disease (CSD) is a subacute regional lymphadenitis following cutaneous inoculation. We present the case of a 10-yr-old white female with a 4-wk history of abdominal pain and fever, without associated lymphadenopathy. A /sup 67/Ga scintigram showed inhomogenous uptake by the liver. An abdominal computed tomographic (CT) scan revealed multiple low density lesions in the liver and the spleen, that were confirmed at laparotomy. Stellate microabscesses were seen on a wedge biopsy of the liver and a CSD antigen skin test was positive. CSD should be considered in the differential diagnosis of liver lesions, even in the absence of lymphadenopathy. This case emphasizes the importance of inhomogeneous /sup 67/Ga uptake by the liver.

  14. Age-sex distribution of various diseases with particular reference to toxoplasmic lymphadenopathy.

    PubMed Central

    Beverley, J. K.; Fleck, D. G.; Kwantes, W.; Ludlam, G. B.

    1976-01-01

    An account is given of some human diseases which affect one sex more than the other. An age-sex realtionship has been noted among British patients with acquired toxoplasmic lymphadenopathy. This is compared with the findings of other European workers. A possible explanation is offered taking all these diseases into consideration together with some of the experimental work done in animals and some of the variations in immunological responses by man. PMID:1063216

  15. Sarcoidosis: a diagnostic challenge in atypical radiologic findings of unilateral lymphadenopathy

    PubMed Central

    Meillier, Andrew; Commodore, Marius

    2015-01-01

    Sarcoidosis is a chronic systemic disease with a wide array of clinical findings. Given that the clinical symptoms are not pathognomonic, chest radiographs have become essential to the initial diagnosis and choice of treatment modality. Diagnosis hinges on ruling out alternative diagnoses; sometimes, advanced radiologic techniques and histopathology are required. On this occasion, we present a case of a patient with generalized symptoms, no significant chest radiograph findings and lymphadenopathy where advanced imaging and pathology assisted in the diagnosis. PMID:26719811

  16. Leishmaniasis as a Neglected Cause of Isolated Lymphadenopathy: A Case Report

    PubMed Central

    SHORAFA, Eslam; POLADFAR, Gholamreza; ADELIAN, Roholla; SHARIAT, Mahmood; MINAEE, Mohammad Reza; HASHEMI, Syeed Mohammad; TAZANG, Maryam

    2016-01-01

    Leishmaniasis is an endemic parasitic disease in Iran. This paper reports the case of a 5-yr-old boy who presented with multiple isolated cervical lymphadenopathy for several months with no history of fever and no signs or symptoms. In an excisional lymph node biopsy, Leishmania parasites were histologically detected. Thus, leishmaniasis should be included in the differential diagnosis of isolated lymphadenitis in immunocompetent patients, even if the K39 and IFA for kala-azar are reported as negative. PMID:27517003

  17. Chronic and recurrent benign lymphadenopathy without constitutional symptoms associated with human herpesvirus-6B reactivation.

    PubMed

    Forghieri, Fabio; Luppi, Mario; Barozzi, Patrizia; Riva, Giovanni; Morselli, Monica; Bigliardi, Sara; Quadrelli, Chiara; Vallerini, Daniela; Maccaferri, Monica; Coluccio, Valeria; Paolini, Ambra; Colaci, Elisabetta; Bonacorsi, Goretta; Maiorana, Antonino; Tagliazucchi, Sara; Rumpianesi, Fabio; Mattioli, Francesco; Presutti, Livio; Gelmini, Roberta; Cermelli, Claudio; Rossi, Giulio; Comoli, Patrizia; Marasca, Roberto; Narni, Franco; Potenza, Leonardo

    2016-02-01

    Chronic/recurrent behaviour may be encountered in some distinct atypical or malignant lymphoproliferations, while recurrences are not generally observed in reactive/benign lymphadenopathies. We retrospectively analysed a consecutive series of 486 human immunodeficiency virus-negative adults, who underwent lymphadenectomy. Neoplastic and benign/reactive histopathological pictures were documented in 299 (61·5%) and 187 (38·5%) cases, respectively. Of note, seven of the 111 (6·3%) patients with benign lymphadenopathy without well-defined aetiology, showed chronic/recurrent behaviour, without constitutional symptoms. Enlarged lymph nodes were round in shape and hypoechoic, mimicking lymphoma. Reactive follicular hyperplasia and paracortical expansion were observed. Human herpesvirus (HHV)-6B positive staining in follicular dendritic cells (FDCs) was documented in all seven patients. Serological, molecular and immunological examinations suggested HHV-6B reactivation. Among the remaining 104 cases with reactive lymphoid hyperplasia in the absence of well-known aetiology and without recurrences, positivity for HHV-6B on FDCs was found in three cases, whereas in seven further patients, a scanty positivity was documented in rare, scattered cells in inter-follicular regions. Immunohistochemistry for HHV-6A and HHV-6B was invariably negative on 134 lymph nodes, with either benign pictures with known aetiology or malignant lymphoproliferative disorders, tested as further controls. Future studies are warranted to investigate a potential association between HHV-6B reactivation and chronic/recurrent benign lymphadenopathy. PMID:26684692

  18. Usefulness of Doppler waveform analysis in differential diagnosis of cervical lymphadenopathy.

    PubMed

    Brnić, Zoran; Hebrang, Andrija

    2003-01-01

    We compared Doppler spectral parameters in acute inflammatory, reactive, lymphomatous, and metastatic lymph nodes, and evaluated pulsed Doppler sonography as a method for distinguishing between different causes of cervical lymphadenopathy. Spectral Doppler analysis with measurements of resistance index (RI), pulsatility index (PI), peak systolic velocity (PSV), and end-diastolic velocity (EDV) was performed in 197 patients with cervical lymphadenopathy. Results of Doppler analysis were compared with findings of cytology and histology or with clinical presentation and follow-up. Student's t-test was used to assess statistical significance of differences in Doppler parameters between groups of patients. Significant differences for RI and PI were shown between all groups of patients except between lymphomatous and reactive nodes. Specificity of 100% for metastatic nodal involvement was shown for cutoff values RI>0.80 and PI>1.80. A positive predictive value (PPV) of 100% for acute lymphadenitis was shown for cutoff values RI<0.50 and PI<0.60. An EDV>9 cm/s has 100% negative predictive value for nodal metastasis, and EDV<1 cm/s has 100% specificity and PPV for metastasis. Although there exist differences in RI, PI, PSV, and EDV between different nodal diseases, none of these parameters offer both good sensitivity and good specificity, and only extreme cutoff values may occasionally be helpful in differential diagnosis. Doppler spectral analysis is a valuable noninvasive adjunct which can help in differentiation between metastatic, lymphomatous, acute inflammatory, and reactive lymphadenopathy, but cannot obviate biopsy in the majority of cases. PMID:12541127

  19. Lymphadenopathy and fever in a chef during a stay in Europe*

    PubMed Central

    Kawano-Dourado, Letícia; Peirera, Daniel Antunes Silva; Kawassaki, Alexandre de Melo; Dolhnikoff, Marisa; da Silva, Marcos Vinicius; Kairalla, Ronaldo Adib

    2015-01-01

    This case illustrates a rare presentation (as lymphadenopathy and fever) of one of the most common zoonotic diseases worldwide-brucellosis-in a 22-year-old Brazilian male (a chef) who had recently returned to Brazil after having lived in and traveled around Europe for one year. The histopathology, clinical history, and response to treatment were all consistent with a diagnosis of brucellosis, which was confirmed by PCR in a urine sample. We also review some aspects of brucellosis, such as the clinical features, diagnosis, and management. PMID:25909155

  20. Silicone lymphadenopathy associated with failed prosthesis of the hallux: a case report and literature review.

    PubMed

    Sammarco, G J; Tabatowski, K

    1992-06-01

    Three years after replacement of a first metatarsophalangeal joint with a silicone prosthesis, a tennis player developed an enlarged ipsilateral femoral lymph node. The implant was also noted to have failed. Fine needle aspiration of the node revealed a foreign body giant cell reaction to particulates morphologically compatible with silicone elastomer. This finding suggests the potential utility of fine needle aspiration in the evaluation of patient response to foreign materials used in prosthetic devices. The lymphadenopathy also suggests that prosthetic metatarsophalangeal replacement in patients with high demand activities run the risk not only of failure of the prosthesis, but also of central migration of the particulate debris resulting from silicone elastomers. PMID:1624192

  1. The Vancouver Lymphadenopathy-AIDS Study: 2. Seroepidemiology of HTLV-III antibody.

    PubMed

    Jeffries, E; Willoughby, B; Boyko, W J; Schechter, M T; Wiggs, B; Fay, S; O'Shaughnessy, M

    1985-06-15

    Testing for antibody to human T-lymphotropic retrovirus (HTLV-III) was carried out in 448 participants in the Vancouver Lymphadenopathy-AIDS (acquired immune deficiency syndrome) Study. The overall prevalence rate of seropositivity was 34%. Of 130 seronegative subjects followed for an average of 8.5 months, 14 became seropositive; thus, the approximate annual seroconversion rate was 15%. More than 100 male sexual partners in one's lifetime, frequent receptive anal intercourse, fisting, a history of gonorrhea or hepatitis, and frequent sexual contact in clubs were found to be independent risk factors for HTLV-III seropositivity. PMID:2988729

  2. Identification and antigenicity of the major envelope glycoprotein of lymphadenopathy-associated virus

    SciTech Connect

    Montagnier, L.; Clavel, F.; Krust, B.; Chamaret, S.; Rey, F.; Barre-Sinoussi, F.; Chermann, J.C.

    1985-07-15

    The major envelope glycoprotein of the causative agent of Acquired Immune Deficiency Syndrome (AIDS) lymphadenopathy-associated virus (LAV) has been identified and characterized. The glycoprotein has an apparent molecular weight of 110,000-120,000 under denaturing conditions in polyacrylamide gel electrophoresis. Upon deglycosylation by a specific endoglycosydase, its size is reduced to 80,000. Cellular precursors of this glycoprotein have been detected with apparent molecular weight of 150,000 and 135,000. Nearly all AIDS and pre-AIDS patients have detectable antibodies against this viral glycoprotein.

  3. Sinus histiocytosis with massive lymphadenopathy Rosai-Dorfman disease: a unique case presentation.

    PubMed

    Kaltman, Jordan M; Best, Steven P; McClure, Shawn A

    2011-12-01

    Rosai and Dorfman first described sinus histiocytosis with massive lymphadenopathy (SHML) in 1969 with an article detailing 4 cases in which they differentiated this disease entity from the grouping of diseases categorized as histiocytosis X, where it was previously classified. Also known as Rosai-Dorfman disease (RDD), it is clinically characterized as massive, painless, bilateral, symmetric cervical lymphadenopathy, with fever and leukocytosis. An 11-year-old African American boy was referred to our clinic for extraction of a severely decayed tooth #30 and evaluation of a large right-sided neck mass. Initially, the patient had been seen by his general dentist who had diagnosed the mass as an odontogenic abscess. After 2 courses of different antibiotics, no changes in the mass were noted. Subsequently, the patient was sent to the emergency department where CT revealed multiple right-sided neck masses with the largest measuring 4 × 2 cm. The patient underwent an incisional biopsy by otolaryngology and a diagnosis of necrotic lymph tissue was made. Upon our examination, the carious tooth #30 was felt to be an incidental finding and fine-needle aspiration cytology of the largest mass was performed in 2 places. This also provided a diagnosis of necrotic lymph tissue. In concert with the patient and his mother, the decision was made to excise the mass because of psychosocial concerns. A massive right-sided lymph node attached to the submandibular gland was found and excised without complication. Histologic examination with S-100 stain confirmed a diagnosis of RDD. The patient healed well following surgery and has experienced no further lymphadenopathy. This case presentation and review of the literature is unique, as the patient presented with unilateral cervical lymphadenopathy only. Open biopsy and 2 fine-needle aspirations all returned as necrotic lymph tissue. Obtaining the correct diagnosis was additionally hampered by coincidental dental pathology on the

  4. Calcifying fibrous tumor of the small intestine associated with Castleman-like lymphadenopathy.

    PubMed

    Valladolid, Genaro; Weisenberg, Elliot; Sundaresan, Ramamoorthy; Maker, Ajay V

    2014-06-01

    Calcifying fibrous tumor is a rare mesenchymal tumor that most commonly presents in younger individuals. We report the case of a 25-year-old woman that presented with severe abdominal pain and a small bowel mass at the site of an ileocolic intussusception with associated mesenteric lymphadenopathy. Surgical resection was performed, and pathologic analysis revealed that the mass was a calcifying fibrous tumor associated with Castleman-like adenopathy. This case intends to support a possible association between these two entities. PMID:24452381

  5. The BEI hydrolysis process and reactor system refined engineering proto-type. BEI pilot-plant improvement and operations demonstrations

    SciTech Connect

    Brelsford, Donald L.

    1999-10-01

    This BEI project involves BEI-HP and RS's applications toward potential commercial validity demonstrations for dilute-acid corn-fiber cellulose-hydrolysis processing with an aim toward fuel ethanol production.

  6. Screening and diagnostic performance of enzyme immunoassay for antibody to lymphadenopathy-associated virus.

    PubMed Central

    Handsfield, H H; Wandell, M; Goldstein, L; Shriver, K

    1987-01-01

    In a multicenter cooperative study, an enzyme immunoassay (EIA) using purified antigen of lymphadenopathy-associated virus was compared with radioimmune precipitation (RIP) for detection of antibody to human immunodeficiency virus (HIV) in 634 patients with acquired immunodeficiency syndrome or related conditions, 687 apparently healthy persons at risk for HIV infection, 93 controls with cancer or autoimmune diseases, and 10,038 blood or plasma donors. Excluding the donors, the EIA was reactive in 875 (61.9%) of 1,414 subjects; compared with RIP, the sensitivity and specificity of EIA both were 99.8%. There was one false-positive EIA among 148 intravenous drug abusers and two false-negative EIAs among 472 apparently healthy homosexual men; no other discordant results between EIA and RIP occurred in these subjects. The EIA was repeatably reactive in 20 donors (0.2%), among whom 13 (65%) were positive by RIP; none of 529 randomly selected EIA-negative donors was RIP positive. In addition to its utility as a screening test in low-risk populations, the EIA for antibody to lymphadenopathy-associated virus is useful as a diagnostic test in persons with clinical evidence of or at risk for HIV infection. Images PMID:3294890

  7. Hairy Cell Leukemia with Systemic Lymphadenopathy: Detection of BRAF Mutations in Both Lymph Node and Peripheral Blood Specimens.

    PubMed

    Okada, Kazuya; Kunitomi, Akane; Sakai, Kazuya; Muranushi, Hiroyuki; Okamoto, Yusuke; Tsukamoto, Taku; Sugiura, Hiroyuki; Matsui, Hiroyuki; Jo, Tomoyasu; Ueda, Tomoaki; Onishi, Tatsuhito; Ide, Masaru; Kimura, Shinya; Notohara, Kenji; Ueda, Yasunori

    2015-01-01

    A 47-year-old woman with pancytopenia, excessive systemic lymphadenopathy and splenomegaly was referred to our hospital. The peripheral blood (PB) smear findings indicated neutropenia with lymphoid cells exhibiting hairy projections, while the histological findings of the cervical lymph node (LN) suggested hairy cell leukemia (HCL). In addition, the BRAF V600E mutation was detected, and the immunoglobulin gene rearrangement patterns were identical in both the cervical LN and PB specimens. Based on these findings, we diagnosed the patient with systemic lymphadenopathy due to HCL. This is the first report of a BRAF mutation detected in both the PB and LN at the onset of HCL. PMID:26027995

  8. Silicone lymphadenopathy: presentation of a further case containing asteroid bodies on fine-needle cytology sample.

    PubMed

    Malzone, Maria Gabriella; Campanile, Anna Cipolletta; Gioioso, Antonella; Fucito, Alfredo; D'Aiuto, Giuseppe; Botti, Gerardo; Fulciniti, Franco

    2015-01-01

    Silicone lymphadenopathy is a recognized complication of breast augmentation. It is thought to occur when silicone droplets migrate from breast implants to lymph nodes. We report the cytologic findings in axillary and inguinal lymph node aspirate smears from a 35-year-old Italian woman, who came to our observation 10 years after bilateral cosmetic breast augmentation. A fine-needle cytology of the axillary lymph node showed extensive granulomatous inflammation, numerous histiocytes, and multinucleated giant cells containing star-shaped structures known as "asteroid bodies." The inguinal lymph node aspirate simply showed an aspecific reactive hyperplasia. No evidence of malignancy was present in any of the smears as well as in the excised axillary lymph node. PMID:24995825

  9. Lymphadenopathy in macaques experimentally infected with the simian immunodeficiency virus (SIV).

    PubMed Central

    Chalifoux, L. V.; Ringler, D. J.; King, N. W.; Sehgal, P. K.; Desrosiers, R. C.; Daniel, M. D.; Letvin, N. L.

    1987-01-01

    A T-cell tropic lentivirus of macaques the simian immunodeficiency virus (SIV), has morphologic, growth, and antigenic properties that indicate that it is related to the human immunodeficiency virus (HIV), the etiologic agent of the acquired immune deficiency syndrome (AIDS) in humans. Six juvenile macaques developed persistent lymphadenopathy (greater than 3 months in duration) after inoculation with SIV. The histologic appearance of the lymph nodes was characterized by marked follicular hyperplasia with abundant proliferative B cells infiltrating into the paracortex. The number of T8-positive lymphocytes equaled or exceeded the number of T4-positive lymphocytes in the paracortex. These findings, in association with immunologic abnormalities and a previously observed fatal immunodeficiency syndrome in SIV-infected macaques, provide further evidence of the importance of SIV-induced disease in macaques as a model for the study of AIDS. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 PMID:3037910

  10. A clue in a colour? EBUS-TBNA in the analysis of isolated mediastinal lymphadenopathy

    PubMed Central

    Ryan, Daniel John; McPhillips, Dympna; Bruzzi, John; Breen, David

    2014-01-01

    A 52-year-old female patient with a background history of malignant melanoma was referred to the interventional pulmonology unit at Galway University Hospital for the investigation of possible intrathoracic recurrence. A CT of the thorax (CT thorax) demonstrated mediastinal lymphadenopathy at position 4R, right paratracheal region. An endobronchial ultrasound (EBUS) revealed multiple enlarged lymph nodes at station 4R. The nodes were heterogeneous with solid and cystic elements. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) obtained a black material consistent with malignant melanoma. Multiple TBNA samples were obtained and the diagnosis was confirmed pathologically by the presence of multiple epithelioid pigmented cells on cell block analysis. This case report emphasises the value of EBUS in the assessment of metastatic disease and, in particular, how the gross appearance of the sample can be suggestive of the diagnosis. PMID:24567182

  11. A clinical algorithm for triaging patients with significant lymphadenopathy in primary health care settings in Sudan

    PubMed Central

    El Hag, Imad A.; Elsiddig, Kamal E.; Elsafi, Mohamed E.M.O; Elfaki, Mona E.E.; Musa, Ahmed M.; Musa, Brima Y.; Elhassan, Ahmed M.

    2013-01-01

    Abstract Background Tuberculosis is a major health problem in developing countries. The distinction between tuberculous lymphadenitis, non-specific lymphadenitis and malignant lymph node enlargement has to be made at primary health care levels using easy, simple and cheap methods. Objective To develop a reliable clinical algorithm for primary care settings to triage cases of non-specific, tuberculous and malignant lymphadenopathies. Methods Calculation of the odd ratios (OR) of the chosen predictor variables was carried out using logistic regression. The numerical score values of the predictor variables were weighed against their respective OR. The performance of the score was evaluated by the ROC (Receiver Operator Characteristic) curve. Results Four predictor variables; Mantoux reading, erythrocytes sedimentation rate (ESR), nocturnal fever and discharging sinuses correlated significantly with TB diagnosis and were included in the reduced model to establish score A. For score B, the reduced model included Mantoux reading, ESR, lymph-node size and lymph-node number as predictor variables for malignant lymph nodes. Score A ranged 0 to 12 and a cut-off point of 6 gave a best sensitivity and specificity of 91% and 90% respectively, whilst score B ranged -3 to 8 and a cut-off point of 3 gave a best sensitivity and specificity of 83% and 76% respectively. The calculated area under the ROC curve was 0.964 (95% CI, 0.949 – 0.980) and -0.856 (95% CI, 0.787 - 0.925) for scores A and B respectively, indicating good performance. Conclusion The developed algorithm can efficiently triage cases with tuberculous and malignant lymphadenopathies for treatment or referral to specialised centres for further work-up.

  12. Automatic detection of axillary lymphadenopathy on CT scans of untreated chronic lymphocytic leukemia patients

    NASA Astrophysics Data System (ADS)

    Liu, Jiamin; Hua, Jeremy; Chellappa, Vivek; Petrick, Nicholas; Sahiner, Berkman; Farooqui, Mohammed; Marti, Gerald; Wiestner, Adrian; Summers, Ronald M.

    2012-03-01

    Patients with chronic lymphocytic leukemia (CLL) have an increased frequency of axillary lymphadenopathy. Pretreatment CT scans can be used to upstage patients at the time of presentation and post-treatment CT scans can reduce the number of complete responses. In the current clinical workflow, the detection and diagnosis of lymph nodes is usually performed manually by examining all slices of CT images, which can be time consuming and highly dependent on the observer's experience. A system for automatic lymph node detection and measurement is desired. We propose a computer aided detection (CAD) system for axillary lymph nodes on CT scans in CLL patients. The lung is first automatically segmented and the patient's body in lung region is extracted to set the search region for lymph nodes. Multi-scale Hessian based blob detection is then applied to detect potential lymph nodes within the search region. Next, the detected potential candidates are segmented by fast level set method. Finally, features are calculated from the segmented candidates and support vector machine (SVM) classification is utilized for false positive reduction. Two blobness features, Frangi's and Li's, are tested and their free-response receiver operating characteristic (FROC) curves are generated to assess system performance. We applied our detection system to 12 patients with 168 axillary lymph nodes measuring greater than 10 mm. All lymph nodes are manually labeled as ground truth. The system achieved sensitivities of 81% and 85% at 2 false positives per patient for Frangi's and Li's blobness, respectively.

  13. Precipitable immune complexes in healthy homosexual men, acquired immune deficiency syndrome and the related lymphadenopathy syndrome.

    PubMed Central

    Euler, H H; Kern, P; Löffler, H; Dietrich, M

    1985-01-01

    Increased levels of 3% PEG precipitable circulating immune complexes (CIC) were found in healthy homosexual men, in homosexual patients with the acquired immune deficiency syndrome (AIDS), and in the AIDS related lymphadenopathy syndrome (LAS). The degree of CIC elevation increases from healthy homosexual men to LAS and AIDS. Patients suffering from AIDS associated with opportunistic infections had a more pronounced increase in CIC than patients with AIDS associated Kaposi's sarcoma. In LAS and AIDS the amount of CIC correlated with the degree of inversion of the T4/T8 lymphocyte ratio, whereas in healthy homosexual men with increased levels of CIC the T4/T8 ratio was not significantly altered. Laser nephelometric partial components analysis revealed that these complexes were of a complement poor subtype with low component levels of C4, C1q and C3c. IgM and IgG were found to be the major components. It is suggested that these CIC might represent a marker of the total antigenic burden of the immune system. Possibly, they are of prognostic and monitoring value for clinical handling of patients at risk for AIDS. PMID:3156700

  14. Epstein-Barr virus and HIV play no direct role in persistent generalized lymphadenopathy syndrome.

    PubMed

    Boyle, M J; Sculley, T B; Cooper, D A; Turner, J J; Penny, R; Sewell, W A

    1992-03-01

    Persistent generalized lymphadenopathy (PGL) and polyclonal B cell activation are features of infection with HIV. Epstein-Barr virus (EBV) and HIV are known to activate B cells in vitro, but whether they are important B cell activators in patients infected with HIV is less clear. In this study, lymph node tissue was obtained from 10 patients with PGL and assessed for evidence of EBV and HIV gene sequences. DNA was extracted and specific viral gene sequences identified using the polymerase chain reaction (PCR). EBV sequences were difficult to detect in the PGL tissue, with a signal intensity similar to that of other benign and malignant lymphoid conditions not associated with EBV. HIV sequences were also rare in the PGL tissue, consistent with HIV infection of the small number of peripheral blood cells and nodal T cells likely to be present in such a sample. These findings suggest that the polyclonal B cell activation typical of HIV is not driven by direct EBV or HIV infection of B cells. PMID:1311993

  15. Bartonella clarridgeiae, a newly recognized zoonotic pathogen causing inoculation papules, fever, and lymphadenopathy (cat scratch disease).

    PubMed Central

    Kordick, D L; Hilyard, E J; Hadfield, T L; Wilson, K H; Steigerwalt, A G; Brenner, D J; Breitschwerdt, E B

    1997-01-01

    Shortly after adopting a 6-week-old cat, a veterinarian was bitten on the left index finger. Within 3 weeks, he developed headache, fever, and left axillary lymphadenopathy. Initial blood cultures from the cat and veterinarian were sterile. Repeat cultures from the cat grew Bartonella-like organisms with lophotrichous flagella. Sera from the veterinarian were not reactive against Bartonella henselae, B. quintana, or B. elizabethae antigens but were seroreactive (reciprocal titer, 1,024) against the feline isolate. Sequential serum samples from the cat were reactive against antigens of B. henselae (titer, 1,024), B. quintana (titer, 128), and the feline isolate (titer, 2,048). Phenotypic and genotypic characterization of this and six additional feline isolates, including microscopic evaluation, biochemical analysis, 16S rRNA gene sequencing, DNA-DNA hybridization, and PCR-restriction fragment length polymorphism of the 16S gene, 16S-23S intergenic spacer region, and citrate synthase gene identified the isolates as B. clarridgeiae. This is the first report of cat scratch disease associated with B. clarridgeiae. PMID:9196200

  16. Burkitt's Lymphoma Presented as Advanced Ovarian Cancer without Evidence of Lymphadenopathy: CT and MRI Findings

    PubMed Central

    Manganaro, Lucia; Bernardo, Silvia; Sergi, Maria Eleonora; Sollazzo, Paolo; Vinci, Valeria; De Grazia, Alessandra; Clerico, Anna; Mollace, Maria Giovanna; Saldari, Matteo

    2013-01-01

    Burkitt's lymphoma is a rare non-Hodgkin's lymphoma which can occasionally involve the ovary and may cause confusion for the clinician since its presentation might mimic other much more frequent tumors. We present a case of a 23-year-old woman with sporadic Burkitt's lymphoma presented as advanced ovarian cancer with bilateral ovarian masses, peritoneal carcinomatosis, ascites, and marked elevation of CA-125. Liver involvement and atypical bone lesions, such as the cranial vault and the iliac wing, were also detected without evidence of lymphadenopathy. We describe the MRI and CT findings of simultaneous ovarian and bone lesions, which have never been reported in literature in a patient with Burkitt's lymphoma, before and after one cycle of chemotherapy. In evaluating any ovarian neoplasm in a young woman, Burkitt's lymphoma should be considered as a possibility, particularly if associated with bone lesions. MRI is the most useful tool to characterize the ovarian lesions and suggest the diagnosis before the histopathological results. PMID:23607034

  17. An immunohistological approach to persistent lymphadenopathy and its relevance to AIDS.

    PubMed Central

    Janossy, G; Pinching, A J; Bofill, M; Weber, J; McLaughlin, J E; Ornstein, M; Ivory, K; Harris, J R; Favrot, M; Macdonald-Burns, D C

    1985-01-01

    Recent evidence has shown that not only AIDS but also the majority of 'unexplained' persistent, generalized lymphadenopathy (PGL) are related to HTLV-III/LAV infections. The early detection how these changes may proceed to AIDS then become a prime interest. Eleven patients with PGL (10 homosexual males and one heterosexual haemophiliac) have been studied by immunohistology using monoclonal antibodies to dendritic reticulum cells of the germinal centre, T and B lymphocyte subsets, plasma cells and factor VIII, as an endothelial marker. In six cases only follicular and paracortical hyperplasia was detected, while in five other cases destruction of the dendritic reticulum cell network was seen with this sensitive method. This early destruction may explain the release of activated B cells into the circulation and prove to be an ominous prognostic sign, as it appears to correlate with 'prodromal' symptoms. In four out of 11 cases the depletion of T4+ cells in the paracortex was not as severe as in the blood, indicating that T4+ cells may preferentially settle in tissues at the time of T4 lymphopenia. In addition, germinal centres contained an additional patchy infiltration of T8+ cells. A patient with Kaposi's sarcoma did not show germinal centre destruction but did reveal extensive plasma cell infiltrates. Immunohistology may contribute to the definition of prognosis and analysis of disease progression in patients with PGL. Images Fig. 2 PMID:3884195

  18. Cervical lymphadenopathy: ratio of long- to short-axis diameter as a predictor of malignancy.

    PubMed

    Steinkamp, H J; Cornehl, M; Hosten, N; Pegios, W; Vogl, T; Felix, R

    1995-03-01

    The purpose of this study was to evaluate short- and long-axis diameters of enlarged cervical lymph nodes with ultrasonography and to determine whether the long-to-short axis (l/s) ratio is a valid diagnostic parameter in the differentiation between benign and malignant nodal disease. 730 enlarged cervical lymph nodes in 285 patients were examined with ultrasound. The short- and the long-axis diameters of each enlarged node were measured and the l/s ratio calculated. Definite diagnoses of the nodes were obtained by histological examination following neck dissection. 95% of enlarged cervical nodes shown on ultrasound to have a l/s ratio of more than 2 were correctly diagnosed as benign. Nodes presenting with a more circular shape and a l/s ratio of less than 2 were diagnosed correctly as metastases with 95% accuracy. The l/s ratio of lymph nodes thus provides an excellent criterion for differentiation between benign and malignant enlargement in cervical lymphadenopathy. PMID:7735765

  19. Diagnostic efficacy of color Doppler ultrasound in evaluation of cervical lymphadenopathy

    PubMed Central

    Misra, Deepankar; Panjwani, Sapna; Rai, Shalu; Misra, Akansha; Prabhat, Mukul; Gupta, Prashant; Talukder, Subrata K.

    2016-01-01

    Background: To evaluate the efficacy of color Doppler ultrasound (CDUS) in differentiating benign and malignant cervical lymph nodes by detecting differences in blood flow patterns. Materials and Methods: In this cross-sectional prospective study, 25 untreated patients with clinical evidence of cervical lymphadenopathy were evaluated. CDUS was performed for 80 cervical lymph nodes. The gray scale parameters of the lymph node and intranodal perfusion sites were the key CDUS features used to differentiate between reactive and metastatic lymph nodes. Histopathological confirmations were obtained and compared with the results of CDUS. Results: Initially, 53 cervical lymph nodes were evaluated by clinical examination. Twenty-seven additional lymph nodes (53 + 27 = 80) were discovered by CDUS evaluation. Gray scale parameters for lymph nodes such as size of lymph node, shape of lymph node, and presence or absence of hilum revealed highly significant results (P < 0.0001). Color Doppler flow signals revealed that central/hilar flow was characteristic for benign nodes whereas peripheral/mixed flow was characteristic for malignant nodes, the findings were highly significant (P < 0.0001). Gray scale and color Doppler features are used to differentiate benign and malignant nodes. Conclusion: Within the limitations of this study, CDUS evaluation was found to be highly significant with a high sensitivity and specificity over clinical evaluation CDUS examination provides a prospect to reduce the need for biopsy/fine needle aspiration cytology in reactive nodes. PMID:27274341

  20. Sinus Histiocytosis with Massive Lymphadenopathy (Rosai-Dorfman Disease): A Case Report and Literature Review

    PubMed Central

    Pradhananga, Rabindra Bhakta; Dangol, Kripa; Shrestha, Anjan; Baskota, Dharma Kanta

    2014-01-01

    Introduction Rosai-Dorfman disease (RDD) is a rare histiocytic proliferative disorder of unknown etiology. Usually it presents with massive painless cervical lymph node enlargement. Histologically, it shows proliferation of distinctive histiocytic cells that demonstrate emperipolesis in the background of a mixed inflammatory infiltrates. Immunohistochemically, the cells are positive for markers such as CD68 and S100. Objective To report a case of a 12-year-old patient with multiple sites of cervical lymphadenitis, which was diagnosed as RDD histopathologically as well as immunohistologically. Resumed Report A 12-year-old girl presented with multiple painless sites of cervical lymphadenitis without any systemic and other ear, nose, and throat manifestations. The biopsy report of the lymph node showed dilatation of the sinuses, filled with histiocytes having foamy cytoplasm. Many of the histiocytes were engulfing mature lymphocytes. The sinus histiocytes were strongly positive for S-100 protein. Conclusion RDD must be considered in the differential diagnosis of massive or multiple lymphadenopathies. PMID:25992132

  1. Immunoregulatory subsets of the T helper and T suppressor cell populations in homosexual men with chronic unexplained lymphadenopathy.

    PubMed Central

    Nicholson, J K; McDougal, J S; Spira, T J; Cross, G D; Jones, B M; Reinherz, E L

    1984-01-01

    Unexplained, generalized lymphadenopathy in homosexual men, which can be a prodrome to the acquired immunodeficiency syndrome, is associated with impaired cell-mediated immunity, a low ratio of T helper-inducer to T suppressor-cytotoxic cells (defined by the T4 and T8 monoclonal antibodies), and hypergammaglobulinemia. We performed double-marker studies on T cells by using a panel of monoclonal antibodies (Ia, T17, TQ1, and Leu-8), which reportedly detect activation or functional subsets of the T4 and T8 T cell populations. The T4:TQ1- or T4:Leu-8- subset, which is the major helper subset for B cell responses, is normally represented in lymphadenopathy patients. A depression in the reciprocal subset, T4:TQ1+ or T4:Leu-8+, accounts for the T4 T cell defect. Similarly, the TQ1 and Leu-8 markers delineate the abnormality of T8 T cells: the T8:TQ1- or T8:Leu-8- subset is elevated, whereas the T8:TQ1+ or T8:Leu-8+ subset is normally represented. We found no evidence of excessive activation of T4 T cells by using the T17 or Ia monoclonal antibodies. We did find an overall increase in Ia-positive T cells; however, this was due to increased T8:Ia+ cells. In functional studies, immunoglobulin production induced by pokeweed was subnormal. Most lymphadenopathy patients had normal T helper cell function when combined with normal B cells. The dampened pokeweed responses could be partially explained by depression of the T4:TQ1+ (or T4:Leu-8+) subset (which has minor help-associated function) and/or greater than expected suppression. However, subnormal pokeweed responses could not be totally explained by immunoregulatory T cell abnormalities because we also found an intrinsic defect in the B cell responses of lymphadenopathy patients. PMID:6228564

  2. Diagnostic Accuracy of Computer-Aided Assessment of Intranodal Vascularity in Distinguishing Different Causes of Cervical Lymphadenopathy.

    PubMed

    Ying, Michael; Cheng, Sammy C H; Ahuja, Anil T

    2016-08-01

    Ultrasound is useful in assessing cervical lymphadenopathy. Advancement of computer science technology allows accurate and reliable assessment of medical images. The aim of the study described here was to evaluate the diagnostic accuracy of computer-aided assessment of the intranodal vascularity index (VI) in differentiating the various common causes of cervical lymphadenopathy. Power Doppler sonograms of 347 patients (155 with metastasis, 23 with lymphoma, 44 with tuberculous lymphadenitis, 125 reactive) with palpable cervical lymph nodes were reviewed. Ultrasound images of cervical nodes were evaluated, and the intranodal VI was quantified using a customized computer program. The diagnostic accuracy of using the intranodal VI to distinguish different disease groups was evaluated and compared. Metastatic and lymphomatous lymph nodes tend to be more vascular than tuberculous and reactive lymph nodes. The intranodal VI had the highest diagnostic accuracy in distinguishing metastatic and tuberculous nodes with a sensitivity of 80%, specificity of 73%, positive predictive value of 91%, negative predictive value of 51% and overall accuracy of 68% when a cutoff VI of 22% was used. Computer-aided assessment provides an objective and quantitative way to evaluate intranodal vascularity. The intranodal VI is a useful parameter in distinguishing certain causes of cervical lymphadenopathy and is particularly useful in differentiating metastatic and tuberculous lymph nodes. However, it has limited value in distinguishing lymphomatous nodes from metastatic and reactive nodes. PMID:27131839

  3. Evaluation of peripheral lymphadenopathy with excisional biopsy: six-year experience

    PubMed Central

    Özkan, Esra Akyüz; Göret, Ceren Canbey; Özdemir, Zeynep Tuba; Yanık, Serdar; Göret, Nuri Emrah; Doğan, Meryem; Cihan, Fatma Gökşin; Akkoca, Ayşe Neslin

    2015-01-01

    Background: Lymphadenopathy (LAP) may be the first symptom of many diseases. We aimed to investigate peripheral LAP results taken by excisional biopsy. Methods: Histopathological examination of 185 lymph node biopsy specimens were evaluated between January 2009 and April 2015 in Istanbul Private Ekin Pathology Laboratory, retrospectively. Results: The average age of patients ranged from 1 to 86 was 41.01 ± 20.62 years. 87 of were female, 98 of male. 62 (33.5%) of excisional biopsy materials were benign lesions and 123 (66.5%) of malignant. Benign lesions were consisted of reactive hyperplasia, cat-scratch disease, toxoplasmosis, necrotizing/non-necrotizing granulomatous. Of these patients, 40 had nodes with reactive hyperplasia (15 female/25 male, mean age: 27.35 y), 14 had necrotizing granulomatous disease (9 female/5 male, mean age: 39.86 y), 2 non-necrotizing granulomatous disease (1 female/1 male mean age: 43 y), 4 had cat-scratch disease (1 female/3 male mean age: 54.25 y), 1 toxoplasmosis (26 y, female), 1 Kikuchi disease (25 y, female). In the evaluation of malign lesions; 38 were Hodgkin lymphoma (HL) (20.5%, 17 female/21 male, mean age: 34.89 y) 77 had non-Hodgkin lymphoma (NHL) (41.6%, 37 female/40 male, mean age: 52.26 y), 8 metastasis (4.3%, 5 female/3 male, mean age: 53.5 y). Reactive LAP observed most common in cervical region, NHL in axillary-abdomen-inguinal-mediastinum and HL in the supraclavicular region. Conclusion: Excisional biopsy can be applied safely with minimal morbidity and mortality and a gold standard diagnostic method for LAP. Although LAP is mostly related with benign lesions, malignancy should be kept in mind in differential diagnosis. PMID:26823872

  4. Characterization of Bartonella clarridgeiae Flagellin (FlaA) and Detection of Antiflagellin Antibodies in Patients with Lymphadenopathy

    PubMed Central

    Sander, Anna; Zagrosek, Anja; Bredt, Wolfgang; Schiltz, Emile; Piémont, Yves; Lanz, Christa; Dehio, Christoph

    2000-01-01

    Cat scratch disease (CSD) is a frequent clinical outcome of Bartonella henselae infection in humans. Recently, two case reports indicated Bartonella clarridgeiae as an additional causative agent of CSD. Both pathogens have been isolated from domestic cats, which are considered to be their natural reservoir. B. clarridgeiae and B. henselae can be distinguished phenotypically by the presence or absence of flagella, respectively. Separation of the protein content of purified flagella of B. clarridgeiae by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and immunoblot analysis indicated that the flagellar filament is mainly composed of a polypeptide with a mass of 41 kDa. N-terminal sequencing of 20 amino acids of this protein revealed a perfect match to the N-terminal sequence of flagellin (FlaA) as deduced from the sequence of the flaA gene cloned from B. clarridgeiae. The flagellin of B. clarridgeiae is closely related to flagellins of Bartonella bacilliformis and several Bartonella-related bacteria. Since flagellar proteins are often immunodominant antigens, we investigated whether antibodies specific for the FlaA protein of B. clarridgeiae are found in patients with CSD or lymphadenopathy. Immunoblotting with 724 sera of patients suffering from lymphadenopathy and 100 healthy controls indicated specific FlaA antibodies in 3.9% of the patients' sera but in none of the controls. B. clarridgeiae FlaA is thus antigenic and expressed in vivo, providing a valuable tool for serological testing. Our results further indicate that B. clarridgeiae might be a possible etiologic agent of CSD or lymphadenopathy. However, it remains to be clarified whether antibodies to the FlaA protein of B. clarridgeiae are a useful indicator of acute infection. PMID:10921956

  5. Marked shrinkage of amyloid lymphadenopathy after an intensive chemotherapy in a patient with IgM-associated AL amyloidosis.

    PubMed

    Tazawa, Ko-Ichi; Katoh, Nagaaki; Shimojima, Yasuhiro; Matsuda, Masayuki; Ikeda, Shu-Ichi

    2009-12-01

    A male patient with primary AL amyloidosis who had been suffering from systemic lymphadenopathy with IgMkappa-type M-proteinemia received two courses of VAD and high-dose melphalan with in vivo elimination of CD20(+) cells using rituximab followed by autologous peripheral blood stem cell transplantation. Four years after complete hematological remission he showed marked reduction in size of the amyloid-laden lymph nodes. Deposits of AL amyloid may regress from the tissue if the chemotherapy succeeds in persistent inhibition of the production of an amyloidogenic immunoglobulin light chain. PMID:19922338

  6. Marked shrinkage of amyloid lymphadenopathy after an intensive chemotherapy in a patient with IgM-associated AL amyloidosis.

    PubMed

    Tazawa, Ko-Ichi; Katoh, Nagaaki; Shimojima, Yasuhiro; Matsuda, Masayuki; Ikeda, Shu-Ichi

    2009-01-01

    A male patient with primary AL amyloidosis who had been suffering from systemic lymphadenopathy with IgMkappa-type M-proteinemia received two courses of VAD and high-dose melphalan with in vivo elimination of CD20(+) cells using rituximab followed by autologous peripheral blood stem cell transplantation. Four years after complete hematological remission he showed marked reduction in size of the amyloid-laden lymph nodes. Deposits of AL amyloid may regress from the tissue if the chemotherapy succeeds in persistent inhibition of the production of amyloidogenic immunoglobulin light chains. PMID:19590992

  7. Overcoming the challenges of BeiDou receiver implementation.

    PubMed

    Bhuiyan, Mohammad Zahidul H; Söderholm, Stefan; Thombre, Sarang; Ruotsalainen, Laura; Kuusniemi, Heidi

    2014-01-01

    Global Navigation Satellite System (GNSS)-based positioning is experiencing rapid changes. The existing GPS and the GLONASS systems are being modernized to better serve the current challenging applications under harsh signal conditions. These modernizations include increasing the number of transmission frequencies and changes to the signal components. In addition, the Chinese BeiDou Navigation Satellite system (BDS) and the European Galileo are currently under development for global operation. Therefore, in view of these new upcoming systems the research and development of GNSS receivers has been experiencing a new upsurge. In this article, the authors discuss the main functionalities of a GNSS receiver in view of BDS. While describing the main functionalities of a software-defined BeiDou receiver, the authors also highlight the similarities and differences between the signal characteristics of the BeiDou B1 open service signal and the legacy GPS L1 C/A signal, as in general they both exhibit similar characteristics. In addition, the authors implement a novel acquisition technique for long coherent integration in the presence of NH code modulation in BeiDou D1 signal. Furthermore, a simple phase-preserved coherent integration based acquisition scheme is implemented for BeiDou GEO satellite acquisition. Apart from the above BeiDou-specific implementations, a novel Carrier-to-Noise-density ratio estimation technique is also implemented in the software receiver, which does not necessarily require bit synchronization prior to estimation. Finally, the authors present a BeiDou-only position fix with the implemented software-defined BeiDou receiver considering all three satellite constellations from BDS. In addition, a true multi-GNSS position fix with GPS and BDS systems is also presented while comparing their performances for a static stand-alone code phase-based positioning. PMID:25421735

  8. Overcoming the Challenges of BeiDou Receiver Implementation

    PubMed Central

    Bhuiyan, Mohammad Zahidul H.; Söderholm, Stefan; Thombre, Sarang; Ruotsalainen, Laura; Kuusniemi, Heidi

    2014-01-01

    Global Navigation Satellite System (GNSS)-based positioning is experiencing rapid changes. The existing GPS and the GLONASS systems are being modernized to better serve the current challenging applications under harsh signal conditions. These modernizations include increasing the number of transmission frequencies and changes to the signal components. In addition, the Chinese BeiDou Navigation Satellite system (BDS) and the European Galileo are currently under development for global operation. Therefore, in view of these new upcoming systems the research and development of GNSS receivers has been experiencing a new upsurge. In this article, the authors discuss the main functionalities of a GNSS receiver in view of BDS. While describing the main functionalities of a software-defined BeiDou receiver, the authors also highlight the similarities and differences between the signal characteristics of the BeiDou B1 open service signal and the legacy GPS L1 C/A signal, as in general they both exhibit similar characteristics. In addition, the authors implement a novel acquisition technique for long coherent integration in the presence of NH code modulation in BeiDou D1 signal. Furthermore, a simple phase-preserved coherent integration based acquisition scheme is implemented for BeiDou GEO satellite acquisition. Apart from the above BeiDou-specific implementations, a novel Carrier-to-Noise-density ratio estimation technique is also implemented in the software receiver, which does not necessarily require bit synchronization prior to estimation. Finally, the authors present a BeiDou-only position fix with the implemented software-defined BeiDou receiver considering all three satellite constellations from BDS. In addition, a true multi-GNSS position fix with GPS and BDS systems is also presented while comparing their performances for a static stand-alone code phase-based positioning. PMID:25421735

  9. Through the eye of the suprasternal notch: point-of-care sonography for tuberculous mediastinal lymphadenopathy in children.

    PubMed

    Moseme, Tsepo; Andronikou, Savvas

    2014-06-01

    Diagnosis of pulmonary tuberculosis (TB) remains a challenge in the pediatric population because of the lack of sputum production for laboratory analysis. Chest radiography is used in the diagnosis of pulmonary TB and the hallmark of diagnosis is the demonstration of hilar or mediastinal lymphadenopathy. Point-of-care sonography of the mediastinum is an alternative to chest radiography in detection of tuberculous lymph nodes. In the rural district health care setting US is often the most commonly available imaging modality and its mobility makes it possible to examine patients at the point of care, reducing the need for patients to travel to a regional hospital to acquire a chest radiograph. We developed and used a simplified technique for performing mediastinal sonography in a pilot study of 30 children (age 0 to 13 years) with proven or suspected TB. We can report that the procedure was successful in demonstrating the anterior mediastinal anatomy and predefined zones in all 30 children. We also recorded lymphadenopathy in 12 children. This report describes our procedural methods and initial results. PMID:24854938

  10. Precise Point Positioning with the BeiDou Navigation Satellite System

    PubMed Central

    Li, Min; Qu, Lizhong; Zhao, Qile; Guo, Jing; Su, Xing; Li, Xiaotao

    2014-01-01

    By the end of 2012, China had launched 16 BeiDou-2 navigation satellites that include six GEOs, five IGSOs and five MEOs. This has provided initial navigation and precise pointing services ability in the Asia-Pacific regions. In order to assess the navigation and positioning performance of the BeiDou-2 system, Wuhan University has built up a network of BeiDou Experimental Tracking Stations (BETS) around the World. The Position and Navigation Data Analyst (PANDA) software was modified to determine the orbits of BeiDou satellites and provide precise orbit and satellite clock bias products from the BeiDou satellite system for user applications. This article uses the BeiDou/GPS observations of the BeiDou Experimental Tracking Stations to realize the BeiDou and BeiDou/GPS static and kinematic precise point positioning (PPP). The result indicates that the precision of BeiDou static and kinematic PPP reaches centimeter level. The precision of BeiDou/GPS kinematic PPP solutions is improved significantly compared to that of BeiDou-only or GPS-only kinematic PPP solutions. The PPP convergence time also decreases with the use of combined BeiDou/GPS systems. PMID:24406856

  11. Potential role of 18F-2-fluoro-2-deoxy-glucose positron emission tomography/computed tomography imaging in patients presenting with generalized lymphadenopathy

    PubMed Central

    Karunanithi, Sellam; Kumar, Ganesh; Sharma, Punit; Bal, Chandrasekhar; Kumar, Rakesh

    2015-01-01

    Generalized lymphadenopathy is a common and often vexing clinical problem caused by various inflammatory, infective and malignant diseases. We aimed to review briefly and highlight the potential role of 18F-2-fluoro-2-deoxy-glucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) in such patients. 18F-FDG PET/CT can play an important role in the management of generalized lymphadenopathy. It can help in making an etiological diagnosis; can detect extranodal sites of involvement and employed for monitoring response to therapy. PMID:25589803

  12. Instantaneous BeiDou-GPS attitude determination: A performance analysis

    NASA Astrophysics Data System (ADS)

    Nadarajah, Nandakumaran; Teunissen, Peter J. G.; Raziq, Noor

    2014-09-01

    The advent of modernized and new global navigation satellite systems (GNSS) has enhanced the availability of satellite based positioning, navigation, and timing (PNT) solutions. Specifically, it increases redundancy and yields operational back-up or independence in case of failure or unavailability of one system. Among existing GNSS, the Chinese BeiDou system (BDS) is being developed and will consist of geostationary (GEO) satellites, inclined geosynchronous orbit (IGSO) satellites, and medium-Earth-orbit (MEO) satellites. In this contribution, a BeiDou-GPS robustness analysis is carried out for instantaneous, unaided attitude determination. Precise attitude determination using multiple GNSS antennas mounted on a platform relies on the successful resolution of the integer carrier phase ambiguities. The constrained Least-squares AMBiguity Decorrelation Adjustment (C-LAMBDA) method has been developed for the quadratically constrained GNSS compass model that incorporates the known baseline length. In this contribution the method is used to analyse the attitude determination performance when using the GPS and BeiDou systems. The attitude determination performance is evaluated using GPS/BeiDou data sets from a real data campaign in Australia spanning several days. The study includes the performance analyses of both stand-alone and mixed constellation (GPS/BeiDou) attitude estimation under various satellite deprived environments. We demonstrate and quantify the improved availability and accuracy of attitude determination using the combined constellation.

  13. Development and Evaluation of the Biogenic Emissions Inventory System (BEIS) Model v3.6

    EPA Science Inventory

    We have developed new canopy emission algorithms and land use data for BEIS v3.6. Simulations with BEIS v3.4 and BEIS v3.6 in CMAQ v5.0.2 are compared these changes to the Model of Emissions of Gases and Aerosols from Nature (MEGAN) and evaluated the simulations against observati...

  14. Acute Generalized Exanthematous Pustulosis Induced by Amoxicillin/Clavulanic Acid: Report of a Case Presenting With Generalized Lymphadenopathy.

    PubMed

    Syrigou, Ekaterini; Grapsa, Dimitra; Charpidou, Andriani; Syrigos, Konstantinos

    2015-01-01

    Drug-induced acute generalized exanthematous pustulosis is a rare pustular skin reaction, most commonly triggered by antibiotics. Although its diagnosis is based primarily on the presence of specific clinical and histopathologic features, additional in vivo (patch testing) or in vitro testing may be required, especially in atypical cases, to more accurately determine the causative agent. The authors report a histologically confirmed case of acute generalized exanthematous pustulosis that was induced by amoxicillin/clavulanic acid, as documented by subsequent patch testing, and presented with generalized painful lymphadenopathy, mimicking an acute infectious process. This is a very rare and diagnostically challenging clinical presentation of acute generalized exanthematous pustulosis, which has been reported, to the best of our knowledge, only once previously. PMID:25997755

  15. Endoscopic ultrasound-guided fine-needle aspiration with an echobronchoscope in undiagnosed mediastinal lymphadenopathy: First experience from India

    PubMed Central

    Dhooria, Sahajal; Aggarwal, Ashutosh Nath; Singh, Navneet; Gupta, Dheeraj; Behera, Digamber; Gupta, Nalini; Agarwal, Ritesh

    2015-01-01

    Background and Aim: Several studies have reported the performance of combining endoscopic ultrasound fine-needle aspiration with an echobronchoscope (EUS-B-FNA), with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), for the diagnosis of mediastinal lymphadenopathy. Herein we report our initial experience with this technique. Patients and Methods: In this retrospective study, we report the outcome of patients who underwent EUS-B-FNA with or without EBUS-TBNA during the same session. Details of the lymph nodes sampled, number of passes, duration of the procedure, results of the cytological examination, and the final diagnosis of all the patients are presented. Results: Eleven patients underwent EUS-B-FNA during the study period. EUS-B-FNA and EBUS-TBNA together yielded a sensitivity and specificity of 72.7 and 100%, respectively. The number of lymph nodes sampled per patient and the number of passes per lymph node were significantly higher with EBUS-TBNA compared to EUS-B-FNA. The mean duration of procedure was also significantly higher in the EBUS-TBNA group. The most common reason (five patients (45.5%)) for resorting to EUS-B-FNA was the patient being unfit for EBUS-TBNA or the inability of the operator to complete the procedure. Sarcoidosis was the most frequent final diagnosis in the study patients (four cases), followed by bronchogenic carcinoma (three cases). Conclusions: EUS-B-FNA is a useful additional tool for the diagnosis of mediastinal lymphadenopathy. In combination with EBUS-TBNA, it has a fairly good diagnostic yield and is a good alternative in situations where EBUS-TBNA is not feasible. PMID:25624588

  16. BeiDou Time Transfer With the Standard CGGTTS.

    PubMed

    Huang, Wei; Defraigne, Pascale

    2016-07-01

    The R2CGGTTS software tool developed at the Royal Observatory of Belgium (ROB) to provide clock solutions in the standard Common GNSS Generic Time Transfer Standard (CGGTTS) has been extended to BeiDou Navigation Satellite System (BDS). The BDS includes satellites in three different orbits: 1) Medium Earth Orbit (MEO); 2) Inclined Geosynchronous Satellite Orbit (IGSO); and 3) Geostationary Earth Orbit (GEO). This paper presents first results obtained with this upgraded software, and a comparison between common view (CV) time transfer solutions obtained with either BDS, or GPS or Galileo. These preliminary results indicate that the BeiDou MEO satellites give time transfer results with a higher noise than the GPS results. This additional noise is shown to be due to some elevation-dependent delay in the BDS code measurements. Some biases were furthermore pointed out between the CV results obtained with the different BeiDou MEO satellites when the receivers used in the two stations are of different make. These biases may reach some nanoseconds, and find most probably their origin in the receiver hardware or firmware. It is shown additionally that using the BeiDou IGSO satellites and the GEO satellites, although increasing the number of observations, especially in the Asia-Pacific region, introduces a significant time transfer noise in the CV results. PMID:26766373

  17. Teaching Pablo Neruda and Bei Dao: The Lens of Leaving.

    ERIC Educational Resources Information Center

    Lichtenstein, Amanda Leigh

    2003-01-01

    Explains how the author invites young poets to tromp through the landscape of their minds in search of all things broken by using two of her favorite poems: Pablo Neruda's "Ode to Broken Things" and Bei Dao's "Comet." Outlines how the students write their own poems dealing with loss. Notes that for poets, a heap of broken images becomes an immense…

  18. HTLV-III/LAV Viral Antigens in Lymph Nodes of Homosexual Men With Persistent Generalized Lymphadenopathy and AIDS

    PubMed Central

    Tenner-Racz, Klara; Racz, P.; Bofill, Margarita; Schulz-Meyer, Anke; Dietrich, M.; Kern, P.; Weber, J.; Pinching, A. J.; Veronese-Dimarzo, Fulvia; Popovic, M.; Klatzmann, D.; Gluckman, J. C.; Janossy, G.

    1986-01-01

    The presence of core antigens of retrovirus HTLV-III/LAV, referred to as “AIDS-related virus” (AV), has been sought in lymph node samples of patients with persistent generalized lymphadenopathy (PGL, 28 patients), prodromal AIDS (1 patient) and AIDS with Kaposi sarcoma (3 patients). In 30 patients the deposition of viral antigens, detected by monoclonal antibodies to HTLV-III and LAV, could be observed within the germinal centers (GCs) primarily within the extracellular network of immune complexes, and the two patients who were negative were atypical. No AV could be found in normal tonsil or in samples with follicular hyperplasia of unknown etiology (20 cases). These findings, taken together with the ultrastructural identification of typical retrovirus particles in all 9 PGL and 2 AIDS cases studied, indicates that the network of follicular dendritic (FD) cells is an important reservoir of AV virus antigen at this site. The persistence of this retrovirus inside the GCs helps explain how the follicular hyperplasia affecting FD cells and B blasts in PGL may in progressive cases be accompanied by destruction of FD cells and gradual development of T4+ lymphopenia. T4+ T cells may circulate through the GCs and become infected with AV there. In addition, the identification of retrovirus antigen in situ may be of diagnostic value. ImagesFigure 1Figure 2 PMID:3008562

  19. Endobronchial ultrasound-guided sheath placement to guide transbronchial biopsy of mediastinal lymphadenopathy and lung mass: a new technique.

    PubMed

    Harris, Kassem; Bessich, Jamie; Sterman, Daniel H

    2015-04-01

    A patient with a history of lung adenocarcinoma, which was treated with chemoradiation, presented to our interventional pulmonology clinic for suspicion of recurrent lung cancer. The patient had a PET-avid right upper-lobe mass and subcarinal lymphadenopathy. We performed a curvilinear endobronchial ultrasound (CP-EBUS) with transbronchial needle aspiration (TBNA), followed by transbronchial EBUS-guided biopsies (TBB) of the subcarinal lymph node using miniforceps. The EBUS needle sheath was inserted over the needle through the bronchial wall and advanced into the lymph node. The EBUS-guided placement of the transbronchial sheath facilitated the miniforcep insertion and the performance of multiple transbronchial biopsies. Given success with this method, we further developed this technique in a second patient with a right lower-lobe mass. In an effort to obtain adequate tissue and minimize repeated efforts at miniforcep guidance into the lesion, we inserted a radial EBUS guide sheath through the curvilinear EBUS scope and guided it into the lesion using the miniforceps. We therefore used the radial sheath as a placeholder while obtaining repeated TBB using miniforceps as described. These modifications of previously described techniques allow for maximal and expeditious sampling of target lymph nodes and masses, with sufficient material obtained for histopathologic analysis. PMID:25887015

  20. Lymphadenopathy and non-suppurative meningo-encephalitis in calves experimentally infected with bovine immunodeficiency-like virus (FL112).

    PubMed

    Munro, R; Lysons, R; Venables, C; Horigan, M; Jeffrey, M; Dawson, M

    1998-08-01

    In an experiment on bovine immunodeficiency-like virus (BIV), the virological and serological aspects of which were reported in an earlier paper, three groups (A, B and C) of three calves were inoculated subcutaneously with a recently isolated strain (FL112). For group B and group C, the virus was suspended in milk, and for group C (controls) the viral suspension was subjected to pasteurization before inoculation. The calves were killed for necropsy 12 months later. Clinical assessment revealed subtle ataxia in two group A calves, which took the form of an intermittent "shifting" (from one leg to another) lameness, and palpable enlargement of the pre-scapular lymph nodes in one group B animal. At necropsy, haemal lymph nodes (0.1 to 0.5 cm in diameter), occurring singly, were observed in all animals. However, in groups A and B (but not C), enlarged haemal lymph nodes (< or = 2 cm in diameter) were also seen, occurring singly and in chains; and in one group A animal they occurred in grape-like clusters. In groups A and B (but not C), histopathological examination revealed generalized hyperplastic changes in lymph nodes, especially the haemal lymph nodes. This finding was particularly striking in the two clinically ataxic animals from group A, which also showed a non-suppurative meningo-encephalitis; the latter was possibly the cause of the subtle clinical signs. This study supports previous findings on lymphadenopathy resulting from experimental infection with BIV. PMID:9749357

  1. Cat-Scratch Disease In Adult Hospitalized For Prolonged-Fever Associated With Multiple Lymphadenopathies and Weight Loss

    PubMed Central

    Guiyedi, Vincent; Haddad, Hanna; Okome-Nkoumou, Madeleine; Gire, Fabien; Ongali, Brice; Lore, Philippes; Gameiro, Luis

    2013-01-01

    We report a 19-year-old patient with a Cat-scratch disease presenting three months continuous alteration of the general condition, including prolonged-fever, anorexia, asthenia, weight loss associated with adenitis and multiple thoracic-abdominal adenopathies, leukocytosis with neutrophil polynuclear predominance, and increased of C-reactive protein. The serologies of toxoplasmosis, infectious mononucleosis, human immunodeficiency virus, Brucellosis, Bartonellosis and the tuberculosis research by tuberculin reaction test and Ziehl acid-alcohol resistant bacilli direct examination were negatives. The cytomegalovirus and Epstein-Barr virus serologies were positives only for immunoglobulin-G. The Bartonella henselae diagnosis was made with the analysis of histopathological specimens. The clinical and biological symptoms regressed following eight weeks of azithromycin's treatment. According to this observation, the cat-scratch disease should be considered in differential diagnosis of patients presenting prolonged-fever associated with multiple lymphadenopathies and weight loss. The azithromycin would be an alternative therapeutic issue for this pathology in case of confirmed efficacy by studies in a large patient population. PMID:24403980

  2. Epigenetische Aspekte bei Karzinomen der Kopf-Hals-Region

    PubMed Central

    Schmezer, Peter; Plass, Christoph

    2009-01-01

    Zusammenfassung Plattenepithelkarzinome der Kopf-Hals-Region (HNSCC) zählen seit Jahren zu den weltweit häufigsten Krebsarten. Trotz vieler Bemühungen hat sich das 5-Jahres-Überleben bei Patienten mit HNSCC kaum verbessert. Um einen Fortschritt zu erzielen, ist es notwendig, die der Erkrankung zugrunde liegenden biologischen Prozesse besser zu verstehen. Neben den bekannten genetischen Veränderungen haben molekular-zytogenetische Untersuchungen bei HNSCC gezeigt, dass es weitere Veränderungen gibt, die mit Vermehrung und Verlust chromosomaler Bereiche einhergehen, für die jedoch die krankheitsverursachenden Gene bisher nicht identifiziert wurden. Darüberhinaus haben jüngste Forschungsergebnisse verdeutlicht, dass epigenetische Modifikationen wie die DNA Methylierung eine wichtige Rolle spielen. So konnte gezeigt werden, dass bei HNSCC eine Reihe von Genen (z.B. das Tumorsuppressorgen CDKN2A sowie DAPK1, MGMT, TIMP3, TCF21, und C/EBPα) hypermethylierte Bereiche in regulatorischen DNA Sequenzen aufweisen, wodurch ihre Expression verringert oder unterbunden wird. Die Hypermethylierung solcher Gene könnte als Biomarker zur Früherkennung von HNSCC genutzt werden und nicht zuletzt dadurch zur Verbesserung von Prävention und Therapieerfolg beitragen. PMID:18483718

  3. Dominant Splice Site Mutations in PIK3R1 Cause Hyper IgM Syndrome, Lymphadenopathy and Short Stature.

    PubMed

    Petrovski, Slavé; Parrott, Roberta E; Roberts, Joseph L; Huang, Hongxiang; Yang, Jialong; Gorentla, Balachandra; Mousallem, Talal; Wang, Endi; Armstrong, Martin; McHale, Duncan; MacIver, Nancie J; Goldstein, David B; Zhong, Xiao-Ping; Buckley, Rebecca H

    2016-07-01

    The purpose of this research was to use next generation sequencing to identify mutations in patients with primary immunodeficiency diseases whose pathogenic gene mutations had not been identified. Remarkably, four unrelated patients were found by next generation sequencing to have the same heterozygous mutation in an essential donor splice site of PIK3R1 (NM_181523.2:c.1425 + 1G > A) found in three prior reports. All four had the Hyper IgM syndrome, lymphadenopathy and short stature, and one also had SHORT syndrome. They were investigated with in vitro immune studies, RT-PCR, and immunoblotting studies of the mutation's effect on mTOR pathway signaling. All patients had very low percentages of memory B cells and class-switched memory B cells and reduced numbers of naïve CD4+ and CD8+ T cells. RT-PCR confirmed the presence of both an abnormal 273 base-pair (bp) size and a normal 399 bp size band in the patient and only the normal band was present in the parents. Following anti-CD40 stimulation, patient's EBV-B cells displayed higher levels of S6 phosphorylation (mTOR complex 1 dependent event), Akt phosphorylation at serine 473 (mTOR complex 2 dependent event), and Akt phosphorylation at threonine 308 (PI3K/PDK1 dependent event) than controls, suggesting elevated mTOR signaling downstream of CD40. These observations suggest that amino acids 435-474 in PIK3R1 are important for its stability and also its ability to restrain PI3K activity. Deletion of Exon 11 leads to constitutive activation of PI3K signaling. This is the first report of this mutation and immunologic abnormalities in SHORT syndrome. PMID:27076228

  4. IgG4-related hypophysitis presenting as diabetes insipidus with tubulo-interstital nephritis and mediastinal lymphadenopathy

    PubMed Central

    Mustafa, Waheed; Sheaff, Michael T; Khan, Sami

    2016-01-01

    Summary IgG4-related disease (IgG4-RD) is a rare but increasingly recognised condition, emerging as a clinical entity following the observation of the associations of autoimmune pancreatitis. IgG4-RD is characterised by extensive infiltration of IgG4-positive plasma cells into multiple organs and raised serum IgG4 levels. Clinical manifestations of IgG4 disease classically include autoimmune pancreatitis, lacrimal or salivary gland infiltration (formerly known as Mikulicz disease) and retroperitoneal fibrosis. More rarely, IgG4 disease can cause pituitary hypophysitis. Although most frequently described in middle-aged males, the epidemiology and pathogenesis of the disease remain largely undefined. Nevertheless, an understanding of the wide variety of clinical manifestations of this multi-system condition is undeniably important given the often excellent outcomes following treatment. We describe an unusual presentation of IgG4 disease with isolated diabetes insipidus secondary to pituitary hypophysitis. The patient in question subsequently developed chest pain secondary to mediastinal lymphadenopathy and tubulo-interstitial nephritis leading to renal dysfunction. He was successfully treated with oral steroids and had regular follow-up, and remains well at follow-up 2 years later. Learning points IgG4 disease, although rare, is increasing in prevalence largely due to increased recognition of its clinical manifestations, including autoimmune pancreatitis, lacrimal or salivary gland infiltration, retroperitoneal fibrosis and, more rarely, lymphocytic hypophysitis presenting as diabetes insipidus. IgG4 disease is highly treatable, and symptoms may show complete resolution with administration of steroids, highlighting the importance of correct and timely diagnosis. Causes of lymphocytic hypophysitis are varied and not distinguishable radiologically. Given the difficulty in biopsying the pituitary, careful attention must be paid to the systemic clinical presentation to

  5. Precise Orbit Determination of BeiDou Navigation Satellite System

    NASA Astrophysics Data System (ADS)

    He, Lina; Ge, Maorong; Wang, Jiexian; Wickert, Jens; Schuh, Harald

    2013-04-01

    China has been developing its own independent satellite navigation system since decades. Now the COMPASS system, also known as BeiDou, is emerging and gaining more and more interest and attention in the worldwide GNSS communities. The current regional BeiDou system is ready for its operational service around the end of 2012 with a constellation including five Geostationary Earth Orbit satellites (GEO), five Inclined Geosynchronous Orbit satellites (IGSO) and four Medium Earth orbit (MEO) satellites in operation. Besides the open service with positioning accuracy of around 10m which is free to civilian users, both precise relative positioning, and precise point positioning are demonstrated as well. In order to enhance the BeiDou precise positioning service, Precise Orbit Determination (POD) which is essential of any satellite navigation system has been investigated and studied thoroughly. To further improving the orbits of different types of satellites, we study the impact of network coverage on POD data products by comparing results from tracking networks over the Chinese territory, Asian-Pacific, Asian and of global scale. Furthermore, we concentrate on the improvement of involving MEOs on the orbit quality of GEOs and IGSOs. POD with and without MEOs are undertaken and results are analyzed. Finally, integer ambiguity resolution which brings highly improvement on orbits and positions with GPS data is also carried out and its effect on POD data products is assessed and discussed in detail. Seven weeks of BeiDou data from a ground tracking network, deployed by Wuhan University is employed in this study. The test constellation includes four GEO, five IGSO and two MEO satellites in operation. The three-day solution approach is employed to enhance its strength due to the limited coverage of the tracking network and the small movement of most of the satellites. A number of tracking scenarios and processing schemas are identified and processed and overlapping orbit

  6. USER'S GUIDE TO THE PERSONAL COMPUTER VERSION OF THE BIOGENIC EMISSIONS INVENTORY SYSTEM (PC-BEIS)

    EPA Science Inventory

    The Personal Computer Version of the Biogenic Emissions Inventory System (PC-BEIS) has been developed to allow users to estimate hourly emissions of biogenic non-methane hydrocarbon emissions for any county in the contiguous United States. PC-BEIS has been compiled using Microsof...

  7. "Updates to Model Algorithms & Inputs for the Biogenic Emissions Inventory System (BEIS) Model"

    EPA Science Inventory

    We have developed new canopy emission algorithms and land use data for BEIS. Simulations with BEIS v3.4 and these updates in CMAQ v5.0.2 are compared these changes to the Model of Emissions of Gases and Aerosols from Nature (MEGAN) and evaluated the simulations against observatio...

  8. Isolated bilateral inguinal lymphadenopathy in the absence of other symptoms, due to LGV in known HIV-positive MSM: is it more common than we think?

    PubMed

    Cherif, Soumeya; Yoganathan, Kathir; Danino, Susannah

    2016-01-01

    The current resurgence of lymphogranuloma venereum (LGV) has drawn most attention to its potential for causing proctitis; however, this case highlights the need for awareness of LGV as a cause of isolated painful bilateral inguinal lymphadenopathy in a high-risk population and the importance of routine screening for LGV. We describe a case of a 37-year-old HIV positive man, in the population of men who have sex with men (MSM) who presented with bilateral enlarged inguinal lymph nodes and no other symptoms or signs. Urine nucleic acid amplification test was positive for chlamydia LGV-specific DNA. Tests from other sites were negative. PMID:27256995

  9. Extra Nodal Rosai-Dorfman Disease (Sinus Histiocytosis with Massive Lymphadenopathy) Presenting as Asymmetric Bilateral Optic Atrophy : An Atypical Ocular Presentation.

    PubMed

    Shukla, Eesha; Nicholson, Anjali; Agrawal, Anamika; Rathod, Darshana

    2016-09-01

    Rosai-Dorfman disease (sinus histiocytosis with massive lymphadenopathy, SHML) is a rare, non-hereditary, benign histiocytic proliferative disorder, presenting as painless bilateral cervical lymphadenopathy, with systemic symptoms. Extra nodal manifestations have been reported in 28-43 % cases with rare ocular involvement. We report a case of a 57 year old female presenting with gradual progressive decrease of vision OU since 8 months associated with epistaxis. Fundus examination revealed established optic atrophy in right eye with features of chronic papilloedema in left eye suggestive of compressive lesion. CT of brain, paranasal sinuses confirmed the presence of homogenously enhancing mass in left ethmoid sinus, left sphenoid sinus extending into suprasellar region. The biopsy of this mass revealed extra nodal SHML with tissue sections being S100 and CD68 positive with emperipolesis noted. Here we describe this atypical ocular presentation of extra nodal SHML to highlight that this rare disease can manifest as an aggressive sight threatening entity, even in older age group. PMID:27091209

  10. IgG4-related tubulointerstitial nephritis associated with only lymphadenopathy and without elevated serum IgG4 or renal imaging abnormalities: a case report and literature review.

    PubMed

    Qiao, Xi; Wang, Lihua; Wang, Chen; Gao, Lifang; Yao, Shulei; Wu, Liran; Zhang, Xiaoqin

    2015-01-01

    IgG4-related tubulointerstitial nephritis (IgG4-TIN) is the most common renal manifestation of IgG4-related kidney disease (IgG4-RKD) and may cause acute or chronic renal dysfunction. Imaging often shows heterogeneous densities in the kidneys, such as a mass or multiple nodules. Serology usually demonstrates high levels of serum IgG4 and total IgG. Most patients have other organs involvement by IgG4 related disease. Although lymphadenopathy is frequently observed in patients with IgG4-TIN, it is rarely presented as the only extrarenal lesion. Herein, we present a rare case of IgG4-TIN associated with only lymphadenopathy and without elevated serum IgG4 or renal imaging abnormalities. A 61-year-old Chinese man was admitted to our hospital with seven months history of generalized lymphadenopathy and five months history of renal dysfunction. His renal imaging was normal. He had no current or previous clinical, radiographic, and/or histologic evidence of other organ involvement except for the lymphadenopathy. Renal biopsy indicated plasma cell-rich TIN with an increased number of IgG4-positive plasma cells and storiform fibrosis. Repeated lymph nodes biopsy revealed IgG4-related lymphadenopathy. However, he did not have elevated serum IgG4 or total IgG levels. Oral prednisone therapy improved his renal function and lymphadenopathy. These findings supported our final diagnosis of IgG4-TIN. Clinicians should be aware of this condition and steroid therapy should be considered for such patients. An early diagnosis and appropriate therapy can induce remission and preserve renal function. PMID:26770608

  11. An intercomparison of biogenic emissions estimates from BEIS2 and BIOME: Reconciling the differences

    SciTech Connect

    Wilkinson, J.G.; Emigh, R.A.; Pierce, T.E.

    1996-12-31

    Biogenic emissions play a critical role in urban and regional air quality. For instance, biogenic emissions contribute upwards of 76% of the daily hydrocarbon emissions in the Atlanta, Georgia airshed. The Biogenic Emissions Inventory System-Version 2.0 (BEIS2) and the Biogenic Model for Emissions (BIOME) are two models that compute biogenic emissions estimates. BEIS2 is a FORTRAN-based system, and BIOME is an ARC/INFO{reg_sign} - and SAS{reg_sign}-based system. Although the technical formulations of the models are similar, the models produce different biogenic emissions estimates for what appear to be essentially the same inputs. The goals of our study are the following: (1) Determine why BIOME and BEIS2 produce different emissions estimates; (2) Attempt to understand the impacts that the differences have on the emissions estimates; (3) Reconcile the differences where possible; and (4) Present a framework for the use of BEIS2 and BIOME. In this study, we used the Coastal Oxidant Assessment for Southeast Texas (COAST) biogenics data which were supplied to us courtesy of the Texas Natural Resource Conservation Commission (TNRCC), and we extracted the BEIS2 data for the same domain. We compared the emissions estimates of the two models using their respective data sets BIOME Using TNRCC data and BEIS2 using BEIS2 data.

  12. Berechnung verkehrlicher Substitutionseffekte im Personenverkehr bei Online-Shopping

    NASA Astrophysics Data System (ADS)

    Nerlich, Mark R.; Schiffner, Felix; Vogt, Walter; Rauh, Jürgen; Breidenbach, Petra

    Für Güter des täglichen, mittelfristigen und langfristigen Bedarfs sowie für das Beispiel Baumarktartikel wird das Potenzial für Personenverkehrsaufwand von Einkaufsaktivtäten quantitativ abgeschätzt. Die entwickelten Algorithmen behandeln die einkaufsvorbereitende Information und den eigentlichen Einkauf, d.h. den Erwerb eines Gutes, separat. Informationsaktivitäten haben insbesondere bei höherwertigen Gütern einen hohen Stellenwert und damit auch verkehrliche Relevanz. Wie Berechnungen zeigen, spart Online-Shopping Informations- und Einkaufsverkehrsaufwand im Pkw-Verkehr ein. Die notwendigen Eingangsdaten wie differenzierte Informations- und Einkaufshäufigkeiten sowie verkehrliche Parameter zu Verkehrsmittelwahl, Entfernungen und Wegekopplungen wurden aus eigenen Erhebungen gewonnen.

  13. Cyber-Physical Systems - Wissenschaftliche Herausforderungen Bei Der Entwicklung

    NASA Astrophysics Data System (ADS)

    Broy, Manfred

    Cyber-Physical Systems adressieren die enge Verbindung eingebetteter Systeme zur Überwachung und Steuerung physikalischer Vorgänge mittels Sensoren und Aktuatoren über Kommunikationseinrichtungen mit den globalen digitalen Netzen (dem Cyberspace"). Dieser Typus von Systemen ermöglicht über Wirkketten eine Verbindung zwischen Vorgängen der physischen Realität und den heute verfügbaren digitalen Netzinfrastrukturen. Dies erlaubt vielfältige Applikationen mit hohem wirtschaftlichen Potential, und mit starker Innovationskraft. Die vollständige Ausschöpfung des Potentials erfordert aber gezielte wissenschaftliche Anstrengungen bei der Entwicklung solcher Systeme im Hinblick auf Methodik, Technologie, Kostenbeherrschung und funktionale Angemessenheit.

  14. Estimation of Satellite PCO Offsets for BeiDou based on MGEX Net Solution

    NASA Astrophysics Data System (ADS)

    Yize, Zhang; Junping, Chen; Bin, Wu; Jiexian, Wang

    2015-04-01

    BeiDou Satellite Navigation System currently has a total 14 satellites including GEO/IGSO/MEO satellites and providing a regional PNT service. Due to a lack of publicly available antenna phase center offsets (PCO) for the BeiDou satellites, conventional values of (+0.6 m, 0.0 m, +1.1 m) are recommended for orbit and clock determination of the GEO/IGSO/MEO satellites, which needs to be further estimation and refinement. In this paper, we propose a multi-GNSS network solution for the estimation of BeiDou satellite PCO. More than 35 ground stations of International GNSS MGEX tracking network are used to determine the BeiDou satellite PCO. In this strategy, the GPS and BeiDou satellite orbits and clocks are derived from IGS final products, and GPS satellite PCO and PCV are fixed according to igs08.atx. The BeiDou satellites PCO are estimated together with the station clock, troposphere delay and LC combination ambiguity parameter. Result shows that the RMS of phase residuals for all stations is 1.8cm and is 1.6m for code residual, respectively. The estimated PCO is different for each satellite. Appling the new PCO for precise point positioning, we found that the positioning error improves from 6cm to 2cm in height.

  15. BeiDou inter-satellite-type bias evaluation and calibration for mixed receiver attitude determination.

    PubMed

    Nadarajah, Nandakumaran; Teunissen, Peter J G; Raziq, Noor

    2013-01-01

    The Chinese BeiDou system (BDS), having different types of satellites, is an important addition to the ever growing system of Global Navigation Satellite Systems (GNSS). It consists of Geostationary Earth Orbit (GEO) satellites, Inclined Geosynchronous Satellite Orbit (IGSO) satellites and Medium Earth Orbit (MEO) satellites. This paper investigates the receiver-dependent bias between these satellite types, for which we coined the name "inter-satellite-type bias" (ISTB), and its impact on mixed receiver attitude determination. Assuming different receiver types may have different delays/biases for different satellite types, we model the differential ISTBs among three BeiDou satellite types and investigate their existence and their impact on mixed receiver attitude determination. Our analyses using the real data sets from Curtin's GNSS array consisting of different types of BeiDou enabled receivers and series of zero-baseline experiments with BeiDou-enabled receivers reveal the existence of non-zero ISTBs between different BeiDou satellite types. We then analyse the impact of these biases on BeiDou-only attitude determination using the constrained (C-)LAMBDA method, which exploits the knowledge of baseline length. Results demonstrate that these biases could seriously affect the integer ambiguity resolution for attitude determination using mixed receiver types and that a priori correction of these biases will dramatically improve the success rate. PMID:23881141

  16. BeiDou Inter-Satellite-Type Bias Evaluation and Calibration for Mixed Receiver Attitude Determination

    PubMed Central

    Nadarajah, Nandakumaran; Teunissen, Peter J. G.; Raziq, Noor

    2013-01-01

    The Chinese BeiDou system (BDS), having different types of satellites, is an important addition to the ever growing system of Global Navigation Satellite Systems (GNSS). It consists of Geostationary Earth Orbit (GEO) satellites, Inclined Geosynchronous Satellite Orbit (IGSO) satellites and Medium Earth Orbit (MEO) satellites. This paper investigates the receiver-dependent bias between these satellite types, for which we coined the name “inter-satellite-type bias” (ISTB), and its impact on mixed receiver attitude determination. Assuming different receiver types may have different delays/biases for different satellite types, we model the differential ISTBs among three BeiDou satellite types and investigate their existence and their impact on mixed receiver attitude determination. Our analyses using the real data sets from Curtin's GNSS array consisting of different types of BeiDou enabled receivers and series of zero-baseline experiments with BeiDou-enabled receivers reveal the existence of non-zero ISTBs between different BeiDou satellite types. We then analyse the impact of these biases on BeiDou-only attitude determination using the constrained (C-)LAMBDA method, which exploits the knowledge of baseline length. Results demonstrate that these biases could seriously affect the integer ambiguity resolution for attitude determination using mixed receiver types and that a priori correction of these biases will dramatically improve the success rate. PMID:23881141

  17. Precise orbit determination of BeiDou constellation based on BETS and MGEX network

    PubMed Central

    Lou, Yidong; Liu, Yang; Shi, Chuang; Yao, Xiuguang; Zheng, Fu

    2014-01-01

    Chinese BeiDou Navigation Satellite System is officially operational as a regional constellation with five Geostationary Earth Orbit (GEO) satellites, five Inclined Geosynchronous Satellite Orbit (IGSO) satellites and four Medium Earth Orbit (MEO) satellites. Observations from the BeiDou Experimental Tracking Stations (BETS) and the IGS Multi-GNSS Experiment (MGEX) network from 1 January to 31 March 2013 are processed for orbit determination of the BeiDou constellation. Various arc lengths and solar radiation pressure parameters are investigated. The reduced set of ECOM five-parameter model produces better performance than the full set of ECOM nine-parameter model for BeiDou IGSO and MEO. The orbit overlap for the middle days of 3-day arc solutions is better than 20 cm and 14 cm for IGSO and MEO in RMS, respectively. Satellite laser ranging residuals are better than 10 cm for both IGSO and MEO. For BeiDou GEO, the orbit overlap of several meters and satellite laser ranging residuals of several decimetres can be achieved. PMID:24733025

  18. Precise orbit determination of BeiDou constellation based on BETS and MGEX network.

    PubMed

    Lou, Yidong; Liu, Yang; Shi, Chuang; Yao, Xiuguang; Zheng, Fu

    2014-01-01

    Chinese BeiDou Navigation Satellite System is officially operational as a regional constellation with five Geostationary Earth Orbit (GEO) satellites, five Inclined Geosynchronous Satellite Orbit (IGSO) satellites and four Medium Earth Orbit (MEO) satellites. Observations from the BeiDou Experimental Tracking Stations (BETS) and the IGS Multi-GNSS Experiment (MGEX) network from 1 January to 31 March 2013 are processed for orbit determination of the BeiDou constellation. Various arc lengths and solar radiation pressure parameters are investigated. The reduced set of ECOM five-parameter model produces better performance than the full set of ECOM nine-parameter model for BeiDou IGSO and MEO. The orbit overlap for the middle days of 3-day arc solutions is better than 20 cm and 14 cm for IGSO and MEO in RMS, respectively. Satellite laser ranging residuals are better than 10 cm for both IGSO and MEO. For BeiDou GEO, the orbit overlap of several meters and satellite laser ranging residuals of several decimetres can be achieved. PMID:24733025

  19. Precise orbit determination of BeiDou constellation based on BETS and MGEX network

    NASA Astrophysics Data System (ADS)

    Lou, Yidong; Liu, Yang; Shi, Chuang; Yao, Xiuguang; Zheng, Fu

    2014-04-01

    Chinese BeiDou Navigation Satellite System is officially operational as a regional constellation with five Geostationary Earth Orbit (GEO) satellites, five Inclined Geosynchronous Satellite Orbit (IGSO) satellites and four Medium Earth Orbit (MEO) satellites. Observations from the BeiDou Experimental Tracking Stations (BETS) and the IGS Multi-GNSS Experiment (MGEX) network from 1 January to 31 March 2013 are processed for orbit determination of the BeiDou constellation. Various arc lengths and solar radiation pressure parameters are investigated. The reduced set of ECOM five-parameter model produces better performance than the full set of ECOM nine-parameter model for BeiDou IGSO and MEO. The orbit overlap for the middle days of 3-day arc solutions is better than 20 cm and 14 cm for IGSO and MEO in RMS, respectively. Satellite laser ranging residuals are better than 10 cm for both IGSO and MEO. For BeiDou GEO, the orbit overlap of several meters and satellite laser ranging residuals of several decimetres can be achieved.

  20. Rapid on-site evaluation during endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of hilar and mediastinal lymphadenopathy in patients with lung cancer.

    PubMed

    Guo, Hongbo; Liu, Sujing; Guo, Jun; Li, Bobo; Li, Wanhu; Lu, Zuowei; Sun, Jujie; Zhang, Baijiang; Yu, Jinming

    2016-02-28

    The purpose of this study was to assess the usefulness of rapid on-site evaluation (ROSE) during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and the interpretation of its results. Based on the criterion of using ROSE or not, 236 patients with known or suspected lung cancer undergoing EBUS-TBNA were allocated into the ROSE group (122 patients with 252 lymph nodes) and non-ROSE group (114 patients with 260 lymph nodes). In the ROSE group, the percentages of the suspicious specimens on cytology and non-diagnostic specimens on pathology were both significantly lower than that in the non-ROSE group (8.7% vs. 14.6%, p = 0.038; and 0.9% vs. 4.4%, p = 0.018, respectively), and 13 out of 22 suspicious lesions on ROSE were confirmed with definite diagnoses on TBNA pathology. The diagnostic yield stratified by pathology was significantly higher in the ROSE group than that in the non-ROSE group (90.5% vs. 81.2%, p = 0.003). These results suggest that ROSE during EBUS-TBNA allows for a low rate of suspicious results and therefore improves the diagnostic yield stratified by pathology when sampling hilar or mediastinal lymphadenopathy in patients with lung cancer. PMID:26656954

  1. Eosinophilic fasciitis in an adolescent girl with lymphadenopathy and vitiligo-like and linear scleroderma-like changes. A case report.

    PubMed

    Stork, J; Nĕmcová, D; Hoza, J; Kodetová, D

    1996-01-01

    The patient, a 14-year-old girl, suffered from arthralgias which occurred after tonsillitis. Two months later she developed edema of the left lower extremity, finger flexion contractures and induration of the skin of the left leg, associated with hypergammaglobulinemia, peripheral hypereosinophilia, elevated ESR and a positivity of ANA and anti ds-DNA antibodies. A biopsy of the inguinal lymph node, performed because of left inguinal and retroperitoneal lymphadenopathy, showed only slight inflammatory activation and a granulomatous reaction after lymphography. A few days after the lymphography linear erythema evolving later into hyperpigmentation and corresponding to the superficial lymphatics developed on the left side of the body, very probably as a reaction to the patent-blue dye. Deep en-block skin biopsy confirmed the diagnosis of eosinophilic fasciitis (EF). After two years of therapy with prednisone and d-penicillamine the patient felt well, and her flexion contractures resolved, ANA were positive, while anti ds-DNA were negative. Linear hyperpigmentation persisted, and linear scleroderma-like changes developed on the left lower limb. A vitiligo-like lesion on the right foot which occurred after one year of therapy persisted. The possible risk of developing systemic connective tissue disease necessitates the long term follow up of this patient. PMID:8809452

  2. CHANGES TO THE BIOGENIC EMISSION INVENTORY SYSTEM VERSION 3 (BEIS3)

    EPA Science Inventory

    This extended abstract describes recent changes to the Biogenic Emissions Inventory System (BEIS3) that were completed in preparation for the 2005 release of the Community Multiscale Air Quality model. Changes to the model affect the calculated emissions of isoprene and monoterp...

  3. Development and Evaluation of the Biogenic Emissions Inventory System (BEIS) Model v3.5

    NASA Astrophysics Data System (ADS)

    Bash, J. O.; Baker, K. R.; Pouliot, G.

    2014-12-01

    Atmospheric biogenic volatile organic compounds (BVOC) influences ozone and organic aerosol formation and can enhance the impact that anthropogenic pollutants have on ambient air-quality and climate. BVOC emissions are estimated to be approximately an order of magnitude higher than anthropogenic sources of volatile organic compounds. Despite the importance of BVOC emissions on air-quality and climate, considerable uncertainty remains in the parametrization emission algorithms and emission factors from different land uses and vegetation species. We will present three updates to the the BEIS model. (1) The BEIS canopy model has been updated with explicit estimates of leaf temperature coupled to the driving meteorological model's energy balance implemented in. (2) The Biogenic Emission Landuse Database (BELD) was updated with year specific satellite derrived land use, U.S. Department of Agriculture (USDA) crop survey data, and U.S. Forest Service forest Forest Inventory Analyssis (FIA) survayed tree speceis to develop a tree species specific land use data set. (3) A survey of published flux measurements were used to update the BEIS BVOC normalized emission factors. Incremental updates to the BEIS model are evaluated against surface and aircraft based field campain measurements and network observations in Community Multiscale Air Quality (CMAQ) model v5.0.2 simulations. Prelimilar model simulations result in improvements in model O3, isoprene, oxidized nitrogen, and aerosol performance over the contenental U.S.

  4. Clinical Response of Pelvic and Para-aortic Lymphadenopathy to a Radiation Boost in the Definitive Management of Locally Advanced Cervical Cancer

    SciTech Connect

    Rash, Dominique L.; Lee, Yongsook C.; Kashefi, Amir; Durbin-Johnson, Blythe; Mathai, Mathew; Valicenti, Richard; Mayadev, Jyoti S.

    2013-10-01

    Purpose: Optimal treatment with radiation for metastatic lymphadenopathy in locally advanced cervical cancer remains controversial. We investigated the clinical dose response threshold for pelvic and para-aortic lymph node boost using radiographic imaging and clinical outcomes. Methods and Materials: Between 2007 and 2011, 68 patients were treated for locally advanced cervical cancer; 40 patients had clinically involved pelvic and/or para-aortic lymph nodes. Computed tomography (CT) or 18F-labeled fluorodeoxyglucose-positron emission tomography scans obtained pre- and postchemoradiation for 18 patients were reviewed to assess therapeutic radiographic response of individual lymph nodes. External beam boost doses to involved nodes were compared to treatment response, assessed by change in size of lymph nodes by short axis and change in standard uptake value (SUV). Patterns of failure, time to recurrence, overall survival (OS), and disease-free survival (DFS) were determined. Results: Sixty-four lymph nodes suspicious for metastatic involvement were identified. Radiation boost doses ranged from 0 to 15 Gy, with a mean total dose of 52.3 Gy. Pelvic lymph nodes were treated with a slightly higher dose than para-aortic lymph nodes: mean 55.3 Gy versus 51.7 Gy, respectively. There was no correlation between dose delivered and change in size of lymph nodes along the short axis. All lymph nodes underwent a decrease in SUV with a complete resolution of abnormal uptake observed in 68%. Decrease in SUV was significantly greater for lymph nodes treated with ≥54 Gy compared to those treated with <54 Gy (P=.006). Median follow-up was 18.7 months. At 2 years, OS and DFS for the entire cohort were 78% and 50%, respectively. Locoregional control at 2 years was 84%. Conclusions: A biologic response, as measured by the change in SUV for metastatic lymph nodes, was observed at a dose threshold of 54 Gy. We recommend that involved lymph nodes be treated to this minimum dose.

  5. Precise point positioning with quad-constellations: GPS, BeiDou, GLONASS and Galileo

    NASA Astrophysics Data System (ADS)

    Cai, Changsheng; Gao, Yang; Pan, Lin; Zhu, Jianjun

    2015-07-01

    Multi-constellation GNSS precise point positioning (PPP) first became feasible back to 2007 but with only two constellations, namely GPS and GLONASS. With the availability of more satellites and precise orbit and clock products from BeiDou and Galileo, it is possible now to investigate PPP with four constellations, namely GPS, BeiDou, GLONASS and Galileo. This research aims at investigating the quad-constellation PPP for position determination and analyzing its positioning performance. A quad-constellation PPP model is developed to simultaneously process the observations from all the four GNSS systems. The developed model is also applicable to the PPP processing with observations from single, dual or triple constellations. The analysis on PPP accuracy and convergence time is conducted based on data processing results from both static and kinematic tests of single-constellation and multi-constellations. The three-hour static positioning results indicate that the BeiDou-only PPP accuracy is worse than the GPS-only PPP. The RMSs of position errors for BeiDou-only PPP are 5.2 cm, 2.7 cm and 8.3 cm in east, north and up directions while the ones for GPS-only PPP are 3.9 cm, 1.6 cm and 5.7 cm. The GPS/BeiDou PPP improves the positioning accuracy by 28%, 6% and 7% and reduces the convergence time by 26%, 13% and 14% over the GPS-only PPP in three coordinate components, respectively. The GPS/GLONASS PPP achieves slightly better performance than the GPS/BeiDou PPP. The triple-constellation PPP further increases the positioning accuracy and decreases the convergence time over the dual-constellation PPP. The improvement of positioning performance is not significant after adding Galileo due to currently limited number of satellites. Similar to the static positioning, the quad-constellation kinematic PPP also significantly improves the positioning performance in contrast with single-constellation and dual-constellations. The time varying characteristics of the time differences

  6. Stochastic modeling of triple-frequency BeiDou signals: estimation, assessment and impact analysis

    NASA Astrophysics Data System (ADS)

    Li, Bofeng

    2016-07-01

    Stochastic models are important in global navigation satellite systems (GNSS) estimation problems. One can achieve reliable ambiguity resolution and precise positioning only by use of a suitable stochastic model. The BeiDou system has received increased research focus, but based only on empirical stochastic models from the knowledge of GPS. In this paper, we will systematically study the estimation, assessment and impacts of a triple-frequency BeiDou stochastic model. In our estimation problem, a single-difference, geometry-free functional model is used to extract pure random noise. A very sophisticated structure of unknown variance matrix is designed to allow the estimation of satellite-specific variances, cross correlations between two arbitrary frequencies, as well as the time correlations for phase and code observations per frequency. In assessing the stochastic models, six data sets with four brands of BeiDou receivers on short and zero-length baselines are processed, and the results are compared. In impact analysis of stochastic model, the performance of integer ambiguity resolution and positioning are numerically demonstrated using a realistic stochastic model. The results from ultrashort (shorter than 10 m) and zero-length baselines indicate that BeiDou stochastic models are affected by both observation and receiver brands. The observation variances have been modeled by an elevation-dependent function, but the modeling errors for geostationary earth orbit (GEO) satellites are larger than for inclined geosynchronous satellite orbit (IGSO) and medium earth orbit (MEO) satellites. The stochastic model is governed by both the internal errors of the receiver and external errors at the site. Different receivers have different capabilities for resisting external errors. A realistic stochastic model is very important for achieving ambiguity resolution with a high success rate and small false alarm and for determining realistic variances for position estimates. To

  7. Stochastic modeling of triple-frequency BeiDou signals: estimation, assessment and impact analysis

    NASA Astrophysics Data System (ADS)

    Li, Bofeng

    2016-03-01

    Stochastic models are important in global navigation satellite systems (GNSS) estimation problems. One can achieve reliable ambiguity resolution and precise positioning only by use of a suitable stochastic model. The BeiDou system has received increased research focus, but based only on empirical stochastic models from the knowledge of GPS. In this paper, we will systematically study the estimation, assessment and impacts of a triple-frequency BeiDou stochastic model. In our estimation problem, a single-difference, geometry-free functional model is used to extract pure random noise. A very sophisticated structure of unknown variance matrix is designed to allow the estimation of satellite-specific variances, cross correlations between two arbitrary frequencies, as well as the time correlations for phase and code observations per frequency. In assessing the stochastic models, six data sets with four brands of BeiDou receivers on short and zero-length baselines are processed, and the results are compared. In impact analysis of stochastic model, the performance of integer ambiguity resolution and positioning are numerically demonstrated using a realistic stochastic model. The results from ultrashort (shorter than 10 m) and zero-length baselines indicate that BeiDou stochastic models are affected by both observation and receiver brands. The observation variances have been modeled by an elevation-dependent function, but the modeling errors for geostationary earth orbit (GEO) satellites are larger than for inclined geosynchronous satellite orbit (IGSO) and medium earth orbit (MEO) satellites. The stochastic model is governed by both the internal errors of the receiver and external errors at the site. Different receivers have different capabilities for resisting external errors. A realistic stochastic model is very important for achieving ambiguity resolution with a high success rate and small false alarm and for determining realistic variances for position estimates. To

  8. Significantly reduced lymphadenopathy, salivary gland infiltrates and proteinuria in MRL-lpr/lpr mice treated with ultrasoluble curcumin/turmeric: increased survival with curcumin treatment

    PubMed Central

    Kurien, Biji T; Harris, Valerie M; Quadri, Syed M S; Coutinho-de Souza, Patricia; Cavett, Joshua; Moyer, Amanda; Ittiq, Bilal; Metcalf, Angela; Ramji, Husayn F; Truong, Dat; Kumar, Ramesh; Koelsch, Kristi A; Centola, Mike; Payne, Adam; Danda, Debashish; Scofield, R Hal

    2015-01-01

    Objectives Commercial curcumin (CU), derived from food spice turmeric (TU), has been widely studied as a potential therapeutic for a variety of oncological and inflammatory conditions. Lack of solubility/bioavailability has hindered curcumin's therapeutic efficacy in human diseases. We have solubilised curcumin in water applying heat/pressure, obtaining up to 35-fold increase in solubility (ultrasoluble curcumin (UsC)). We hypothesised that UsC or ultrasoluble turmeric (UsT) will ameliorate systemic lupus erythematosus (SLE) and Sjögren's syndrome (SS)-like disease in MRL-lpr/lpr mice. Methods Eighteen female MRL-lpr/lpr (6 weeks old) and 18 female MRL-MpJ mice (6 weeks old) were used. Female MRL-lpr/lpr mice develop lupus-like disease at the 10th week and die at an average age of 17 weeks. MRL-MpJ mice develop lupus-like disease around 47 weeks and typically die at 73 weeks. Six mice of each strain received autoclaved water only (lpr-water or MpJ-water group), UsC (lpr-CU or MpJ-CU group) or UsT (lpr-TU or MpJ-TU group) in the water bottle. Results UsC or UsT ameliorates SLE in the MRL-lpr/lpr mice by significantly reducing lymphoproliferation, proteinuria, lesions (tail) and autoantibodies. lpr-CU group had a 20% survival advantage over lpr-water group. However, lpr-TU group lived an average of 16 days shorter than lpr-water group due to complications unrelated to lupus-like illness. CU/TU treatment inhibited lymphadenopathy significantly compared with lpr-water group (p=0.03 and p=0.02, respectively) by induction of apoptosis. Average lymph node weights were 2606±1147, 742±331 and 385±68 mg, respectively, for lpr-water, lpr-CU and lpr-TU mice. Transferase dUTP nick end labelling assay showed that lymphocytes in lymph nodes of lpr-CU and lpr-TU mice underwent apoptosis. Significantly reduced cellular infiltration of the salivary glands in the lpr-TU group compared with the lpr-water group, and a trend towards reduced kidney damage was observed in

  9. Sensitivity Enhancement of Bead-based Electrochemical Impedance Spectroscopy (BEIS) biosensor by electric field-focusing in microwells.

    PubMed

    Shin, Kyeong-Sik; Ji, Jae Hoon; Hwang, Kyo Seon; Jun, Seong Chan; Kang, Ji Yoon

    2016-11-15

    This paper reports a novel electrochemical impedance spectroscopy (EIS) biosensors that uses magnetic beads trapped in a microwell array to improve the sensitivity of conventional bead-based EIS (BEIS) biosensors. Unloading the previously measured beads by removing the magnetic bar enables the BEIS sensor to be used repeatedly by reloading it with new beads. Despite its recyclability, the sensitivity of conventional BEIS biosensors is so low that it has not attracted much attentions from the biosensor industry. We significantly improved the sensitivity of the BEIS system by introducing of a microwell array that contains two electrodes (a working electrode and a counter electrode) to concentrate the electric field on the surfaces of the beads. We confirmed that the performance of the BEIS sensor in a microwell array using an immunoassay of prostate specific antigen (PSA) in PBS buffer and human plasma. The experimental results showed that a low concentration of PSA (a few tens or hundreds of fg/mL) were detectable as a ratio of the changes in the impedance of the PBS buffer or in human plasma. Therefore, our BEIS sensor with a microwell array could be a promising platform for low cost, high-performance biosensors for applications that require high sensitivity and recyclability. PMID:27152445

  10. Instantaneous BeiDou+GPS RTK positioning with high cut-off elevation angles

    NASA Astrophysics Data System (ADS)

    Teunissen, P. J. G.; Odolinski, R.; Odijk, D.

    2014-04-01

    As the Chinese BeiDou Navigation Satellite System (BDS) has become operational in the Asia-Pacific region, it is of importance to better understand as well as demonstrate the capabilities that a combination of BeiDou with GPS brings to positioning. In this contribution, a formal and empirical analysis is given of the single-epoch RTK positioning capabilities of such a combined system. This will be done for the single- and dual-frequency case, and in comparison with the BDS- and GPS-only performances. It will be shown that with the combined system, when more satellites are available, much larger than the customary cut-off elevations can be used. This is important, as such measurement set-up will significantly increase the GNSS applicability in constrained environments, such as e.g. in urban canyons or when low-elevation multipath is present.

  11. A new empirical solar radiation pressure model for BeiDou GEO satellites

    NASA Astrophysics Data System (ADS)

    Liu, Junhong; Gu, Defeng; Ju, Bing; Shen, Zhen; Lai, Yuwang; Yi, Dongyun

    2016-01-01

    Two classic empirical solar radiation pressure (SRP) models, the Extended Center for Orbit Determination in Europe (CODE) Orbit Model ECOM 5 and ECOM 9 have been widely used for Global Positioning System (GPS) Medium Earth Orbit (MEO) satellites precise orbit determination (POD). However, these two models are not suitable for BeiDou Geostationary Earth Orbit (GEO) satellites due to their special attitude control mode. With the experimental design method this paper proposes a new empirical SRP model for BeiDou GEO satellites, which is featured by three constant terms in DYX directions, two sine terms in DX directions and one cosine term in the Y direction. It is the first time to reveal that the periodic terms in the D direction are more important than those in YX directions for BeiDou GEO satellites. Compared with ECOM 5 and ECOM 9, the BeiDou GEO satellite orbits are significantly stabilized with the new SRP force model. The average orbit overlapping root mean square (RMS) achieved by the proposed model is 7.5 cm in the radial component, which is evidently improved over those of 37.4 and 13.2 cm for ECOM 5 and ECOM 9, respectively. In addition, the correlation coefficients between GEO orbit overlaps precision and the elevation angle of the Sun have been decreased to -0.12, 0.21, and -0.03 in radial, along-track and cross-track components by using the proposed model, while they are -0.94, -0.79 and -0.29 for ECOM 5 and -0.70, 0.21 and 0.10 for ECOM 9. Moreover, the standard deviation (STD) of Satellite Laser Ranging (SLR) data residuals for the GEO satellite C01 is reduced by 37.4% and 16.1% compared with those of ECOM 5 and ECOM 9 SRP models.

  12. A new analytical solar radiation pressure model for current BeiDou satellites: IGGBSPM.

    PubMed

    Tan, Bingfeng; Yuan, Yunbin; Zhang, Baocheng; Hsu, Hou Ze; Ou, Jikun

    2016-01-01

    An analytical solar radiation pressure (SRP) model, IGGBSPM (an abbreviation for Institute of Geodesy and Geophysics BeiDou Solar Pressure Model), has been developed for three BeiDou satellite types, namely, geostationary orbit (GEO), inclined geosynchronous orbit (IGSO) and medium earth orbit (MEO), based on a ray-tracing method. The performance of IGGBSPM was assessed based on numerical integration, SLR residuals and analyses of empirical SRP parameters (except overlap computations). The numerical results show that the integrated orbit resulting from IGGBSPM differs from the precise ephemerides by approximately 5 m and 2 m for GEO and non-GEO satellites, respectively. Moreover, when IGGBSPM is used as an a priori model to enhance the ECOM (5-parameter) model with stochastic pulses, named ECOM + APR, for precise orbit determination, the SLR RMS residual improves by approximately 20-25 percent over the ECOM-only solution during the yaw-steering period and by approximately 40 percent during the yaw-fixed period. For the BeiDou GEO01 satellite, improvements of 18 and 32 percent can be achieved during the out-of-eclipse season and during the eclipse season, respectively. An investigation of the estimated ECOM D0 parameters indicated that the β-angle dependence that is evident in the ECOM-only solution is no longer present in the ECOM + APR solution. PMID:27595795

  13. Experimental study on the precise orbit determination of the BeiDou navigation satellite system.

    PubMed

    He, Lina; Ge, Maorong; Wang, Jiexian; Wickert, Jens; Schuh, Harald

    2013-01-01

    The regional service of the Chinese BeiDou satellite navigation system is now in operation with a constellation including five Geostationary Earth Orbit satellites (GEO), five Inclined Geosynchronous Orbit (IGSO) satellites and four Medium Earth Orbit (MEO) satellites. Besides the standard positioning service with positioning accuracy of about 10 m, both precise relative positioning and precise point positioning are already demonstrated. As is well known, precise orbit and clock determination is essential in enhancing precise positioning services. To improve the satellite orbits of the BeiDou regional system, we concentrate on the impact of the tracking geometry and the involvement of MEOs, and on the effect of integer ambiguity resolution as well. About seven weeks of data collected at the BeiDou Experimental Test Service (BETS) network is employed in this experimental study. Several tracking scenarios are defined, various processing schemata are designed and carried out; and then, the estimates are compared and analyzed in detail. The results show that GEO orbits, especially the along-track component, can be significantly improved by extending the tracking network in China along longitude direction, whereas IGSOs gain more improvement if the tracking network extends in latitude. The involvement of MEOs and ambiguity-fixing also make the orbits better. PMID:23529116

  14. A new analytical solar radiation pressure model for current BeiDou satellites: IGGBSPM

    PubMed Central

    Tan, Bingfeng; Yuan, Yunbin; Zhang, Baocheng; Hsu, Hou Ze; Ou, Jikun

    2016-01-01

    An analytical solar radiation pressure (SRP) model, IGGBSPM (an abbreviation for Institute of Geodesy and Geophysics BeiDou Solar Pressure Model), has been developed for three BeiDou satellite types, namely, geostationary orbit (GEO), inclined geosynchronous orbit (IGSO) and medium earth orbit (MEO), based on a ray-tracing method. The performance of IGGBSPM was assessed based on numerical integration, SLR residuals and analyses of empirical SRP parameters (except overlap computations). The numerical results show that the integrated orbit resulting from IGGBSPM differs from the precise ephemerides by approximately 5 m and 2 m for GEO and non-GEO satellites, respectively. Moreover, when IGGBSPM is used as an a priori model to enhance the ECOM (5-parameter) model with stochastic pulses, named ECOM + APR, for precise orbit determination, the SLR RMS residual improves by approximately 20–25 percent over the ECOM-only solution during the yaw-steering period and by approximately 40 percent during the yaw-fixed period. For the BeiDou GEO01 satellite, improvements of 18 and 32 percent can be achieved during the out-of-eclipse season and during the eclipse season, respectively. An investigation of the estimated ECOM D0 parameters indicated that the β-angle dependence that is evident in the ECOM-only solution is no longer present in the ECOM + APR solution. PMID:27595795

  15. Experimental Study on the Precise Orbit Determination of the BeiDou Navigation Satellite System

    PubMed Central

    He, Lina; Ge, Maorong; Wang, Jiexian; Wickert, Jens; Schuh, Harald

    2013-01-01

    The regional service of the Chinese BeiDou satellite navigation system is now in operation with a constellation including five Geostationary Earth Orbit satellites (GEO), five Inclined Geosynchronous Orbit (IGSO) satellites and four Medium Earth Orbit (MEO) satellites. Besides the standard positioning service with positioning accuracy of about 10 m, both precise relative positioning and precise point positioning are already demonstrated. As is well known, precise orbit and clock determination is essential in enhancing precise positioning services. To improve the satellite orbits of the BeiDou regional system, we concentrate on the impact of the tracking geometry and the involvement of MEOs, and on the effect of integer ambiguity resolution as well. About seven weeks of data collected at the BeiDou Experimental Test Service (BETS) network is employed in this experimental study. Several tracking scenarios are defined, various processing schemata are designed and carried out; and then, the estimates are compared and analyzed in detail. The results show that GEO orbits, especially the along-track component, can be significantly improved by extending the tracking network in China along longitude direction, whereas IGSOs gain more improvement if the tracking network extends in latitude. The involvement of MEOs and ambiguity-fixing also make the orbits better. PMID:23529116

  16. Ultrasound techniques in the evaluation of the mediastinum, part 2: mediastinal lymph node anatomy and diagnostic reach of ultrasound techniques, clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and how to learn mediastinal endosonography

    PubMed Central

    Jenssen, Christian; Annema, Jouke Tabe; Clementsen, Paul; Cui, Xin-Wu; Borst, Mathias Maximilian

    2015-01-01

    Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node (MLN) staging affects the management of patients with both operable and inoperable lung cancer (e.g., surgery vs. combined chemoradiation therapy). Tissue sampling is often indicated for accurate nodal staging. Recent international lung cancer staging guidelines clearly state that endosonography should be the initial tissue sampling test over surgical staging. Mediastinal nodes can be sampled from the airways [endobronchial ultrasound combined with transbronchial needle aspiration (EBUS-TBNA)] or the esophagus [endoscopic ultrasound fine needle aspiration (EUS-FNA)]. EBUS and EUS have a complementary diagnostic yield and in combination virtually all MLNs can be biopsied. Additionally endosonography has an excellent yield in assessing granulomas in patients suspected of sarcoidosis. The aim of this review in two integrative parts is to discuss the current role and future perspectives of all ultrasound techniques available for the evaluation of mediastinal lymphadenopathy and mediastinal staging of lung cancer. A specific emphasis will be on learning mediastinal endosonography. Part 1 deals with an introduction into ultrasound techniques, MLN anatomy and diagnostic reach of ultrasound techniques and part 2 with the clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and how to learn mediastinal endosonography. PMID:26623120

  17. Effects of spin-orbit coupling on laser cooling of BeI and MgI

    SciTech Connect

    Wan, Mingjie Huang, Duohui; Shao, Juxiang; Li, Yuanyuan; Yu, You; Li, Song

    2015-10-28

    We present the ab initio study of spin-orbit coupling effects on laser cooling of BeI and MgI molecules. Potential energy curves for the X{sup 2}Σ{sup +}{sub 1/2}, A{sup 2}Π{sub 1/2,3/2}, and 2{sup 2}Π{sub 3/2,1/2} states are calculated using multi-reference configuration interaction method plus Davidson corrections. Spectroscopic parameters of BeI and MgI are in excellent agreement with available experimental and theoretical values. The A{sup 2}Π{sub 3/2} state of MgI is a repulsive state. It is an unsuitable scheme for the A{sup 2}Π{sub 3/2}(υ′)← X{sup 2}Σ{sup +}{sub 1/2} (υ″) transition for laser cooling of MgI. Highly diagonally distributed Franck-Condon factors f{sub 00} for the A{sup 2}Π{sub 1/2,3/2} (υ′ = 0) ← X{sup 2}Σ{sup +}{sub 1/2} (υ″ = 0) transitions and suitable radiative lifetimes τ for the A{sup 2}Π{sub 1/2,3/2} (υ′ = 0) of BeI and MgI are obtained. Three laser wavelength drives are required for the A{sup 2}Π{sub 1/2,3/2}(υ′)←X{sup 2}Σ{sup +}{sub 1/2} (υ″) transitions of BeI and MgI. The proposed cooling wavelengths of BeI and MgI are both in the violet region. The results imply the feasibility of laser cooling of BeI and MgI, and that laser cooling of BeI is more possible.

  18. Crystal structure of the branching enzyme I (BEI) from Oryza sativa L with implications for catalysis and substrate binding.

    PubMed

    Noguchi, Junji; Chaen, Kimiko; Vu, Nhuan Thi; Akasaka, Taiki; Shimada, Hiroaki; Nakashima, Takashi; Nishi, Aiko; Satoh, Hikaru; Omori, Toshiro; Kakuta, Yoshimitsu; Kimura, Makoto

    2011-08-01

    Starch-branching enzyme catalyzes the cleavage of α-1, 4-linkages and the subsequent transfer of α-1,4 glucan to form an α-1,6 branch point in amylopectin. Sequence analysis of the rice-branching enzyme I (BEI) indicated a modular structure in which the central α-amylase domain is flanked on each side by the N-terminal carbohydrate-binding module 48 and the α-amylase C-domain. We determined the crystal structure of BEI at a resolution of 1.9 Å by molecular replacement using the Escherichia coli glycogen BE as a search model. Despite three modular structures, BEI is roughly ellipsoidal in shape with two globular domains that form a prominent groove which is proposed to serve as the α-polyglucan-binding site. Amino acid residues Asp344 and Glu399, which are postulated to play an essential role in catalysis as a nucleophile and a general acid/base, respectively, are located at a central cleft in the groove. Moreover, structural comparison revealed that in BEI, extended loop structures cause a narrowing of the substrate-binding site, whereas shortened loop structures make a larger space at the corresponding subsite in the Klebsiella pneumoniae pullulanase. This structural difference might be attributed to distinct catalytic reactions, transglycosylation and hydrolysis, respectively, by BEI and pullulanase. PMID:21493662

  19. Intraoperative Schnellschnittuntersuchungen parapylorischer Lymphknoten bei der pyloruserhaltenden Pankreaskopfresektion: Gibt es eine klinische Relevanz?

    PubMed Central

    Riediger, Hartwig; Schulz, Antje; Adam, Ulrich; Krüger, Colin M.

    2014-01-01

    Zusammenfassung Hintergrund Die pyloruserhaltende Pankreaskopfresektion (PPPD) ist als onkologisches Standardverfahren etabliert. Lokal fortgeschrittene Tumoren können eine erweiterte Resektion erforderlich machen. Ebenso soll früheren Arbeiten zufolge bei Tumornachweis in den parapylorischen Lymphknoten (PLK) eine distale Magenresektion im Sinne einer klassischen Whipple-Operation indiziert sein. Entsprechend diesen Empfehlungen haben wir intraoperative Schnellschnittuntersuchungen der PLK in unseren Routineablauf integriert. Im Rahmen dieser Studie haben wir die klinische Relevanz dieses Vorgehens hinterfragt. Methoden Bei 105 onkologischen Patienten im Zeitraum von 2006-2012 bestand die Indikation zur PPPD. In allen Fällen erfolgte eine intraoperative Schnellschnittuntersuchung der PLK. Die Patienten wurden bezüglich Primärtumor, Anzahl der untersuchten Lymphknoten (LK) (gesamt und parapylorisch) sowie Auswirkungen auf das operative Konzept untersucht. Es handelt sich um eine retrospektive Studie, die auf prospektiv erhobenen Daten unserer Pankreasdatenbank basiert. Ergebnisse Die Primärtumoren waren 72 Pankreaskopfkarzinome und 33 extrapankreatische Karzinome (Gallengangskarzinom, Ampullenkarzinom, Duodenalkarzinom). 73 Patienten waren nodalpositiv. Insgesamt wurden 2391 LK untersucht, von denen 325 parapylorisch lokalisiert waren. Die intraoperative Schnellschnittuntersuchung erbrachte lediglich bei 4 Patienten mit Pankreaskopfkarzinom jeweils einen positiven PLK; daraufhin erfolgte eine distale Magenresektion. In keinem der distalen Magenresektate waren Tumorresiduen nachweisbar. Lokale chirurgisch-technische Probleme im Sinne von Durchblutungsstörungen des Magens ergaben sich durch die regionale Lymphadenektomie nicht. PLK waren nur beim Pankreaskarzinom positiv. In der Subgruppe der nodalpositiven Patienten mit Pankreaskopfkarzinom hatten 8% der Patienten einen positiven PLK. Schlussfolgerung Die regionale parapylorische Lymphadenektomie ist beim

  20. An improved method for eliminating BeiDou satellite induced code bias

    NASA Astrophysics Data System (ADS)

    Li, Xin; Li, Xin; Zhang, Xiaohong; Pan, Lin

    2016-04-01

    The BeiDou satellite induced code biases have serious impact on precise positioning which use code measurements. According to the characteristic of code biases which have been confirmed orbit type-, frequency-, and elevation-dependent, an improved method is proposed in this contribution by processing the data from 12 months in 2015 to reduce their adverse effects. Different from the model put forward by Wanninger and Beer (2015),more data sets were used to produce the correction values as weighted least squares and robust estimation were used to build up more accurate model for all IGSO satellites and MEO satellites. The additional method for GEO satellites is applying sidereal filtering to help minimize the code biases. The result of improved method shows that the systematic variations have been eliminated more clearly and the positioning accuracy of PPP solution were better than using traditional model proposed by Wanninger and Beer as well as convergence speed. In addition, the systematic variations in MW combination which serve for ambiguity fixing were removed as well. Morever, after application of the code bias correction method, the convergence time of MW combinations and the fixing rate of DD wide-lane ambiguity resolution have been improved. Key words: BeiDou; code bias; weighted least squares ; robust estimation; Precise Positioning; MW combination; ambiguity resolution

  1. Untersuchung der Störwirkung von LTE auf SRD Anwendungen bei 868 MHz

    NASA Astrophysics Data System (ADS)

    Welpot, M.; Wunderlich, S.; Gaspard, I.

    2014-11-01

    Moderne Hausautomatisierungssysteme, Alarmanlagen oder auch Funk-Zugangssysteme in Haus und Automobil setzen auf frei nutzbare Frequenzen in ISM/SRD-Bändern. Die rasante Zunahme an privaten und kommerziell genutzten Applikationen im SRD-Band bei 868 MHz und der Ausbau der LTE-Mobilfunknetze im Frequenzbereich unterhalb von 1 GHz ("Digital Dividend") wirft zunehmend die Frage nach der Funkverträglichkeit dieser Systeme untereinander auf. Während die SRD-Funkmodule auf eine geringe Sendeleistung von ~ +14 dBm beschränkt sind (Ralf and Thomas, 2009), beträgt die maximale LTE-Sendeleistung im Uplink nach (ETSI-Norm, 2011) +23 dBm. Zusammen mit der Einführung von LTE im Frequenzbereich unterhalb 1 GHz als DSL-Ersatz vor allem in ländlichen Gebieten, ergibt sich damit als mögliches Störszenario, dass durch die Aussendung des LTE-Endgerätes im Bereich von ca. 850 MHz die SRD-Funkverbindungen bei 868 MHz insbesondere dann gestört werden, wenn die Antennen beider Funksysteme räumlich nahe zueinander angeordnet sind und folglich nur eine geringe zusätzliche Entkopplung der Systeme bieten. In der vorliegenden Arbeit wird das LTE-Störpotential auf SRD-Empfänger praxisnah untersucht.

  2. USER'S GUIDE TO THE PERSONAL COMPUTER VERSION OF THE BIOGENIC EMISSIONS INVENTORY SYSTEM (PC-BEIS2)

    EPA Science Inventory

    The document is a user's guide for an updated Personal Computer version of the Biogenic Emissions Inventory System (PC-BEIS2), allowing users to estimate hourly emissions of biogenic volatile organic compounds (BVOCs) and soil nitrogen oxide emissions for any county in the contig...

  3. Analysis on coverage ability of BeiDou navigation satellite system for manned spacecraft

    NASA Astrophysics Data System (ADS)

    Zhao, Sihao; Yao, Zheng; Zhuang, Xuebin; Lu, Mingquan

    2014-12-01

    To investigate the service ability of the BeiDou Navigation Satellite System (BDS) for manned spacecraft, both the current regional and the future-planned global constellations of BDS are introduced and simulated. The orbital parameters of the International Space Station and China's Tiangong-1 spacelab are used to create the simulation scenario and evaluate the performance of the BDS constellations. The number of visible satellites and the position dilution (PDOP) of precision at the spacecraft-based receiver are evaluated. Simulation and analysis show quantitative results on the coverage ability and time percentages of both the current BDS regional and future global constellations for manned-space orbits which can be a guideline to the applications and mission design of BDS receivers on manned spacecraft.

  4. Pilot Evaluation of Integrating GLONASS, Galileo and BeiDou with GPS in Araim

    NASA Astrophysics Data System (ADS)

    El-Mowafy, Ahmed

    2016-03-01

    In this pilot study, availability of the Advanced Receiver Autonomous Integrity Monitoring (ARAIM) when integrating various combinations of satellite constellations including; Galileo, GLONASS and BeiDou with GPS is investigated. The Multiple Hypothesis Solution Separation method was applied using one month of real data. The data was collected at stations of known positions, located in regions that have different coverage levels by the tested constellations. While most previous studies used simulated data, the importance of using real data is twofold. It allows for the use of actual User Range Accuracy (URA) received within the satellite navigation message, which is a fundamental component for computation of the integrity protection level; and the computation of vertical position errors to validate the integrity approach. Results show that the vertical position error was always bounded by the protection level during the test period and the ARAIM availability can reach 100% of the time when using all constellations even though some constellations are yet incomplete.

  5. Minimalinvasive endovaskuläre Stent-Therapie bei Erkrankungen in der thorakalen Aorta

    NASA Astrophysics Data System (ADS)

    Voss, Bernhard; Bauernschmitt, Robert; Brockmann, Gernot; Lange, Rüdiger

    Die Inzidenz der Aortenerkrankungen nimmt aufgrund der Überalterung der Bevölkerung stetig zu und hat sich innerhalb der letzten 20 Jahre von 2,9 auf 10,9 pro 100.000 Einwohner mehr als verdreifacht [1]. Bei Aortenerkrankungen muss zwischen Aneurysmen und Dissektionen unterschieden werden. Der Begriff Aneurysma (Abb. 62.1) bezeichnet die Ausweitung eines arteriellen Blutgefäßes. Sind dabei alle Wandschichten, also innere Schicht (Intima), mittlere Schicht (Media) und äußere Schicht (Adventitia) betroffen, so spricht man von einem echten Aneurysma (Aneurysma verum). Besteht die Aneurysmawand nur aus adventitiellem Gewebe, spricht man von einem falschen Aneurysma. Ursache für ein Aneurysma ist eine Schwächung der elastischen Kräfte der Media, die dann dem intravaskulären Druck nicht mehr standhalten kann.

  6. Real-time retrieval of precipitable water vapor from GPS and BeiDou observations

    NASA Astrophysics Data System (ADS)

    Lu, Cuixian; Li, Xingxing; Nilsson, Tobias; Ning, Tong; Heinkelmann, Robert; Ge, Maorong; Glaser, Susanne; Schuh, Harald

    2015-09-01

    The rapid development of the Chinese BeiDou Navigation Satellite System (BDS) brings a promising prospect for the real-time retrieval of zenith tropospheric delays (ZTD) and precipitable water vapor (PWV), which is of great benefit for supporting the time-critical meteorological applications such as nowcasting or severe weather event monitoring. In this study, we develop a real-time ZTD/PWV processing method based on Global Positioning System (GPS) and BDS observations. The performance of ZTD and PWV derived from BDS observations using real-time precise point positioning (PPP) technique is carefully investigated. The contribution of combining BDS and GPS for ZTD/PWV retrieving is evaluated as well. GPS and BDS observations of a half-year period for 40 globally distributed stations from the International GNSS Service Multi-GNSS Experiment and BeiDou Experiment Tracking Network are processed. The results show that the real-time BDS-only ZTD series agree well with the GPS-only ZTD series in general: the RMS values are about 11-16 mm (about 2-3 mm in PWV). Furthermore, the real-time ZTD derived from GPS-only, BDS-only, and GPS/BDS combined solutions are compared with those derived from the Very Long Baseline Interferometry. The comparisons show that the BDS can contribute to real-time meteorological applications, slightly less accurately than GPS. More accurate and reliable water vapor estimates, about 1.3-1.8 mm in PWV, can be obtained if the BDS observations are combined with the GPS observations in the real-time PPP data processing. The PWV comparisons with radiosondes further confirm the performance of BDS-derived real-time PWV and the benefit of adding BDS to standard GPS processing.

  7. Reduktion der Invasivität bei nadelbasierter Bewegungskompensation für navigierte Eingriffe im Abdomen

    NASA Astrophysics Data System (ADS)

    Maier-Hein, L.; Tekbas, A.; Franz, A. M.; Tetzlaff, R.; Müller, S. A.; Pianka, F.; Wolf, I.; Kauczor, H.-U.; Schmied, B. M.; Meinzer, H.-P.

    Diese Arbeit stellt eine in-vivo Genauigkeitsstudie über das Kombinieren interner und externer Marker für die Bewegungskompensation bei Leberinterventionen vor. Abhängig von der Anzahl und Anordnung der verwendeten Marker sowie der angewandten Echtzeittransformation wurde bei kontinuierlicher Atmung eine Schätzgenauigkeit der Zielposition zwischen 1 und 5 mm erreicht. Das Hinzufügen einer einzigen Hilfsnadel zu einer Menge von Hautmarkern führte zu einer Fehlerreduktion von über 50%. Die Ergebnisse dieser Studie können in der Praxis verwendet werden, um basierend auf dem Tradeoff zwischen geringer Invasivität und hoher Genauigkeit eine geeignete Kombination von internen und externen Markern für eine gegebene Fragestellung zu wählen.

  8. The application of the nucleolar organizer region silver staining (AgNOR) to backscattered electron imaging (BEI).

    PubMed

    Thiebaut, F; Rigaut, J P; Feren, K; Reith, A

    1984-01-01

    Until recently scanning electron microscopes were mainly used to observe surfaces. However, it has been proved that a backscattered electron detector can give an image (BEI) of the specimen's internal structure after heavy metal staining. In this paper, we report how we have applied the silver staining for NOR-associated proteins to scanning electron microscopy, studying C3H10T1/2 cells in culture. This technique allows to localize, inside the nucleus, the nucleolar arrangement of AgNOR-associated proteins. In BEI imaging, the silver staining shows several intranucleolar silver spot-like deposits sometimes associated in "doublets" as on metaphasic chromosomes. These silver grains probably represent the fibrillar centre location, thought to be the interphasic counterpart of the NORs. However, these silver spot granules are more numerous during interphase. PMID:6085018

  9. Evaluation of improved land use and canopy representation in BEIS v3.61 with biogenic VOC measurements in California

    NASA Astrophysics Data System (ADS)

    Bash, J. O.; Baker, K. R.; Beaver, M. R.

    2015-09-01

    Biogenic volatile organic compounds (BVOC) participate in reactions that can lead to secondarily formed ozone and particulate matter (PM) impacting air quality and climate. BVOC emissions are important inputs to chemical transport models applied on local to global scales but considerable uncertainty remains in the representation of canopy parameterizations and emission algorithms from different vegetation species. The Biogenic Emission Inventory System (BEIS) has been used to support both scientific and regulatory model assessments for ozone and PM. Here we describe a new version of BEIS which includes updated input vegetation data and canopy model formulation for estimating leaf temperature and vegetation data on estimated BVOC. The Biogenic Emission Landuse Database (BELD) was revised to incorporate land use data from the Moderate Resolution Imaging Spectroradiometer (MODIS) land product and 2006 National Land Cover Database (NLCD) land coverage. Vegetation species data is based on the US Forest Service (USFS) Forest Inventory and Analysis (FIA) version 5.1 for years from 2002 to 2013 and US Department of Agriculture (USDA) 2007 census of agriculture data. This update results in generally higher BVOC emissions throughout California compared with the previous version of BEIS. Baseline and updated BVOC emissions estimates are used in Community Multiscale Air Quality Model (CMAQ) simulations with 4 km grid resolution and evaluated with measurements of isoprene and monoterpenes taken during multiple field campaigns in northern California. The updated canopy model coupled with improved land use and vegetation representation resulted in better agreement between CMAQ isoprene and monoterpene estimates compared with these observations.

  10. Evaluation of improved land use and canopy representation in BEIS v3.61 with biogenic VOC measurements in California

    NASA Astrophysics Data System (ADS)

    Bash, Jesse O.; Baker, Kirk R.; Beaver, Melinda R.

    2016-06-01

    Biogenic volatile organic compounds (BVOC) participate in reactions that can lead to secondarily formed ozone and particulate matter (PM) impacting air quality and climate. BVOC emissions are important inputs to chemical transport models applied on local to global scales but considerable uncertainty remains in the representation of canopy parameterizations and emission algorithms from different vegetation species. The Biogenic Emission Inventory System (BEIS) has been used to support both scientific and regulatory model assessments for ozone and PM. Here we describe a new version of BEIS which includes updated input vegetation data and canopy model formulation for estimating leaf temperature and vegetation data on estimated BVOC. The Biogenic Emission Landuse Database (BELD) was revised to incorporate land use data from the Moderate Resolution Imaging Spectroradiometer (MODIS) land product and 2006 National Land Cover Database (NLCD) land coverage. Vegetation species data are based on the US Forest Service (USFS) Forest Inventory and Analysis (FIA) version 5.1 for 2002-2013 and US Department of Agriculture (USDA) 2007 census of agriculture data. This update results in generally higher BVOC emissions throughout California compared with the previous version of BEIS. Baseline and updated BVOC emission estimates are used in Community Multiscale Air Quality (CMAQ) Model simulations with 4 km grid resolution and evaluated with measurements of isoprene and monoterpenes taken during multiple field campaigns in northern California. The updated canopy model coupled with improved land use and vegetation representation resulted in better agreement between CMAQ isoprene and monoterpene estimates compared with these observations.

  11. Accuracy and reliability of multi-GNSS real-time precise positioning: GPS, GLONASS, BeiDou, and Galileo

    NASA Astrophysics Data System (ADS)

    Li, Xingxing; Ge, Maorong; Dai, Xiaolei; Ren, Xiaodong; Fritsche, Mathias; Wickert, Jens; Schuh, Harald

    2015-06-01

    In this contribution, we present a GPS+GLONASS+BeiDou+Galileo four-system model to fully exploit the observations of all these four navigation satellite systems for real-time precise orbit determination, clock estimation and positioning. A rigorous multi-GNSS analysis is performed to achieve the best possible consistency by processing the observations from different GNSS together in one common parameter estimation procedure. Meanwhile, an efficient multi-GNSS real-time precise positioning service system is designed and demonstrated by using the multi-GNSS Experiment, BeiDou Experimental Tracking Network, and International GNSS Service networks including stations all over the world. The statistical analysis of the 6-h predicted orbits show that the radial and cross root mean square (RMS) values are smaller than 10 cm for BeiDou and Galileo, and smaller than 5 cm for both GLONASS and GPS satellites, respectively. The RMS values of the clock differences between real-time and batch-processed solutions for GPS satellites are about 0.10 ns, while the RMS values for BeiDou, Galileo and GLONASS are 0.13, 0.13 and 0.14 ns, respectively. The addition of the BeiDou, Galileo and GLONASS systems to the standard GPS-only processing, reduces the convergence time almost by 70 %, while the positioning accuracy is improved by about 25 %. Some outliers in the GPS-only solutions vanish when multi-GNSS observations are processed simultaneous. The availability and reliability of GPS precise positioning decrease dramatically as the elevation cutoff increases. However, the accuracy of multi-GNSS precise point positioning (PPP) is hardly decreased and few centimeter are still achievable in the horizontal components even with 40 elevation cutoff. At 30 and 40 elevation cutoffs, the availability rates of GPS-only solution drop significantly to only around 70 and 40 %, respectively. However, multi-GNSS PPP can provide precise position estimates continuously (availability rate is more than 99

  12. Assessment of BeiDou differential code bias variations from multi-GNSS network observations

    NASA Astrophysics Data System (ADS)

    Jin, S. G.; Jin, R.; Li, D.

    2016-02-01

    The differential code bias (DCB) of global navigation satellite systems (GNSSs) affects precise ionospheric modeling and applications. In this paper, daily DCBs of the BeiDou Navigation Satellite System (BDS) are estimated and investigated from 2-year multi-GNSS network observations (2013-2014) based on global ionospheric maps (GIMs) from the Center for Orbit Determination in Europe (CODE), which are compared with Global Positioning System (GPS) results. The DCB of BDS satellites is a little less stable than GPS solutions, especially for geostationary Earth orbit (GEO) satellites. The BDS GEO observations decrease the precision of inclined geosynchronous satellite orbit (IGSO) and medium Earth orbit (MEO) DCB estimations. The RMS of BDS satellites DCB decreases to about 0.2 ns when we remove BDS GEO observations. Zero-mean condition effects are not the dominant factor for the higher RMS of BDS satellites DCB. Although there are no obvious secular variations in the DCB time series, sub-nanosecond variations are visible for both BDS and GPS satellites DCBs during 2013-2014. For satellites in the same orbital plane, their DCB variations have similar characteristics. In addition, variations in receivers DCB in the same region are found with a similar pattern between BDS and GPS. These variations in both GPS and BDS DCBs are mainly related to the estimated error from ionospheric variability, while the BDS DCB intrinsic variation is in sub-nanoseconds.

  13. Impact of tracking station distribution structure on BeiDou satellite orbit determination

    NASA Astrophysics Data System (ADS)

    Zhang, Rui; Zhang, Qin; Huang, Guanwen; Wang, Le; Qu, Wei

    2015-11-01

    The racking station distribution structure plays an important role in GNSS satellite orbit determination. Due to the current satellite distribution of the BeiDou satellite navigation system (BDS), the problem how to construct a reasonable distribution of tracking stations to obtain BDS satellite orbits with high precision has become a highly imperative issue. Based on the theory of dynamic orbit determination, two different station distributions were analyzed to study their impact on BDS precise and real-time orbit determination. Subsequently, the impact of Satellite Position Dilution of Precision (SPDOP) values on orbit determination was analyzed. Finally, an improved scheme for the tracking station distribution was designed based on the original scheme. The numerical results show that the SPDOP value can be used to evaluate the contribution of the tracking stations distribution on the BDS IGSO and MEO satellites orbit determination. In addition, the tracking stations which focus on the Asia-Pacific region play a key role in current BDS orbit determination.

  14. Tropospheric wet refractivity tomography based on the BeiDou satellite system

    NASA Astrophysics Data System (ADS)

    Wang, Xiaoying; Wang, Xianliang; Dai, Ziqiang; Ke, Fuyang; Cao, Yunchang; Wang, Feifei; Song, Lianchun

    2014-03-01

    This paper presents a novel approach for assessing the precision of the wet refractivity field using BDS (BeiDou navigation satellite system) simulations only, GPS, and BDS+GPS for the Shenzhen and Hongkong GNSS network. The simulations are carried out by adding artificial noise to a real observation dataset. Instead of using the d and s parameters computed from slant wet delay, as in previous studies, we employ the Bias and RMS parameters, computed from the tomography results of total voxels, in order to obtain a more direct and comprehensive evaluation of the precision of the refractivity field determination. The results show that: (1) the precision of tropospheric wet refractivity estimated using BDS alone (only 9 satellites used) is basically comparable to that of GPS; (2) BDS+GPS (as of current operation) may not be able to significantly improve the data's spatial density for the application of refractivity tomography; and (3) any slight increase in the precision of refractivity tomography, particularly in the lower atmosphere, bears great significance for any applications dependent on the Chinese operational meteorological service.

  15. Using BeiDou system for precise positioning in central Europe

    NASA Astrophysics Data System (ADS)

    Kwasniak, Dawid; Cellmer, Slawomir; Nowel, Krzysztof

    2016-04-01

    In 2012 the Chinese navigation satellite system called BeiDou System (BDS) has reached the regional operational capabilities over the area of East Asia. Currently the BDS system consists of 5 medium orbit satellites MEO, 6 geosynchronous satellites IGSO and 5 geostationary satellites GEO and provides regional coverage by its navigation signals. Also in Europe BDS satellites can be used to determine position. In 2015 the third phase of BSD system development has started, aimed at providing global coverage and compatibility with other GNSS systems. As a result, BDS will broadcast signals at the same frequency as GPS L1 and L5 and Galileo E1, E5a and E5b. In the presented research we carried out relative positioning using the MAFA method. This was the first time when this method was applied to process BDS signals. The results show that it is possible to obtain precise position in central Europe using BDS signals only. However, with its current constellation, this is not possible 24/7, but in periodic time windows.

  16. Estimating zenith tropospheric delays from BeiDou navigation satellite system observations.

    PubMed

    Xu, Aigong; Xu, Zongqiu; Ge, Maorong; Xu, Xinchao; Zhu, Huizhong; Sui, Xin

    2013-01-01

    The GNSS derived Zenith Tropospheric Delay (ZTD) plays today a very critical role in meteorological study and weather forecasts, as ZTDs of thousands of GNSS stations are operationally assimilated into numerical weather prediction models. Recently, the Chinese BeiDou Navigation Satellite System (BDS) was officially announced to provide operational services around China and its neighborhood and it was demonstrated to be very promising for precise navigation and positioning. In this contribution, we concentrate on estimating ZTD using BDS observations to assess its capacity for troposphere remote sensing. A local network which is about 250 km from Beijing and comprised of six stations equipped with GPS- and BDS-capable receivers is utilized. Data from 5 to 8 November 2012 collected on the network is processed in network mode using precise orbits and in Precise Point Positioning mode using precise orbits and clocks. The precise orbits and clocks are generated from a tracking network with most of the stations in China and several stations around the world. The derived ZTDs are compared with that estimated from GPS data using the final products of the International GNSS Service (IGS). The comparison shows that the bias and the standard deviation of the ZTD differences are about 2 mm and 5 mm, respectively, which are very close to the differences of GPS ZTD estimated using different software packages. PMID:23552104

  17. [Vegetarische und vegane Ernährung bei Kindern - Stand der Forschung und Forschungsbedarf].

    PubMed

    Keller, Markus; Müller, Stine

    2016-01-01

    Die Praxis vegetarischer Ernährungsformen ist in Deutschland im letzten Jahrzehnt deutlich angestiegen. Allerdings ist der Anteil vegetarischer und veganer Kinder dabei unbekannt. Studien mit Erwachsenen zeigen das präventive Potenzial, aber auch potenzielle Schwachstellen pflanzenbasierter Kostformen. Die Vorteile und Risiken einer vegetarischen bzw. veganen Ernährung im Kindesalter wurden bisher jedoch relativ selten untersucht. Außerdem lassen das unterschiedliche Alter der Kinder, das heterogene Studiendesign sowie die teilweise geringe Probandenzahl der Studien keine verbindlichen Aussagen zu. In dieser Übersichtsarbeit werden die Ergebnisse der wenigen Studien zu vegetarisch und vegan ernährten Kindern (< 12 Jahren) in Nordamerika und Europa zusammengefasst. Demnach lag die Zufuhr von Nahrungsenergie und Makronährstoffen vegetarischer und veganer Kinder meist näher an den Empfehlungen der Fachgesellschaften als die Ernährung gleichaltriger Mischkostkinder. Ebenso wiesen vegetarisch und vegan ernährte Kinder eine höhere Zufuhr von und bessere Versorgung mit verschiedenen Vitaminen und Mineralstoffen auf. Häufiger zeigten sich jedoch Defizite bei Vitamin B12, Zink, Kalzium, Eisen und Vitamin D. Das Wachstum und die Entwicklung vegetarisch und vegan ernährter Kinder entsprachen weitgehend den Referenzstandards, wobei sie dazu tendierten, leichter, schlanker und (< 5 Jahren) auch kleiner zu sein. Aufgrund der unzureichenden Studienlage besteht erheblicher Forschungsbedarf zu den Auswirkungen einer vegetarischen und veganen Ernährung im Kindesalter. PMID:27160086

  18. Estimating Zenith Tropospheric Delays from BeiDou Navigation Satellite System Observations

    PubMed Central

    Xu, Aigong; Xu, Zongqiu; Ge, Maorong; Xu, Xinchao; Zhu, Huizhong; Sui, Xin

    2013-01-01

    The GNSS derived Zenith Tropospheric Delay (ZTD) plays today a very critical role in meteorological study and weather forecasts, as ZTDs of thousands of GNSS stations are operationally assimilated into numerical weather prediction models. Recently, the Chinese BeiDou Navigation Satellite System (BDS) was officially announced to provide operational services around China and its neighborhood and it was demonstrated to be very promising for precise navigation and positioning. In this contribution, we concentrate on estimating ZTD using BDS observations to assess its capacity for troposphere remote sensing. A local network which is about 250 km from Beijing and comprised of six stations equipped with GPS- and BDS-capable receivers is utilized. Data from 5 to 8 November 2012 collected on the network is processed in network mode using precise orbits and in Precise Point Positioning mode using precise orbits and clocks. The precise orbits and clocks are generated from a tracking network with most of the stations in China and several stations around the world. The derived ZTDs are compared with that estimated from GPS data using the final products of the International GNSS Service (IGS). The comparison shows that the bias and the standard deviation of the ZTD differences are about 2 mm and 5 mm, respectively, which are very close to the differences of GPS ZTD estimated using different software packages. PMID:23552104

  19. [COPD und Klangtherapie: Pilotstudie zur Wirksamkeit einer Behandlung mit Körpertambura bei COPD-Patienten].

    PubMed

    Hartwig, Bernhard; Schmidt, Stefan; Hartwig, Isabella

    2016-01-01

    Hintergrund: Erkrankungen der Atemorgane treten mit steigendem Alter öfter auf, nehmen weltweit zu und sind häufige Ursachen für Morbidität und Mortalität. In dieser Pilotstudie wurde der Frage nachgegangen, ob eine einmalige 10-minütige Behandlung mit einer Körpertambura eine signifikante und effektive Verbesserung der Lungenfunktion von Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD; GOLD-Stadium A oder B) erbringen kann. Patienten und Methoden: 54 Probanden konnten je zur Hälfte in eine Behandlungsgruppe (Körpertambura) und eine aktive Kontrollgruppe (Atemtherapie) randomisiert werden. Eine Bestimmung der Lungenfunktionsmessparameter «Einsekundenkapazität» (FEV1) und «inspiratorische Vitalkapazität» (IVC) zu den Zeitpunkten T1 (Baseline), T2 (direkt nach Behandlung) und als Follow-up etwa 3 Wochen nach T1 (T3). Ergebnisse: Die Behandlungsgruppe zeigte sich der Kontrollgruppe in beiden Werten signifikant überlegen. Die Zeit-×-Gruppe-Interaktion (Varianzanalyse) ergab p = 0,001 (FEV1) bzw. p = 0,04 (IVC). Die Behandlungsgruppe zeigte bei beiden Werten eine Verbesserung von klinischer Relevanz. Schlussfolgerung: Diese Ergebnisse zeigen, dass die Klangbehandlung mittels einer Körpertambura - neben den schulmedizinischen, leitliniengerechten Therapien - eine zusätzliche, nebenwirkungsarme, aber durchaus klinisch wirksame Option für die Behandlung von COPD-Patienten darstellen kann, um deren Lebensqualität zu stabilisieren und zu verbessern. PMID:27606616

  20. Primary Pulmonary Amyloidosis with Mediastinal Lymphadenopathy

    PubMed Central

    Kim, Dohun; Lee, Yong-Moon; Kim, Si-Wook; Kim, Jong-Won; Hong, Jong-Myeon

    2016-01-01

    We report a case of inadvertent hoarseness after surgery for primary pulmonary amyloidosis. A 55-year-old male was transferred to our facility due to a lung mass. Chest computed tomography revealed a solitary pulmonary nodule. Positron emission tomography–computed tomography showed fluorodeoxyglucose uptake in the main mass and in the mediastinal lymph nodes. To confirm the pathology of the mass, wedge resection and thorough lymph node dissection were performed via video-assisted thoracic surgery (VATS). No complications except for hoarseness were observed; hoarseness developed soon after surgery and lasted for 3 months. The main mass was diagnosed as amyloidosis, but this was not found in the lymph nodes. In conclusion, VATS wedge resection for peripheral amyloidosis is a feasible and safe procedure. However, mediastinal lymph node dissection is not recommended unless there is evidence of a clear benefit. PMID:27298804

  1. The influence of different types of satellite exiting in system RAIM performance in BeiDou Satellite Navigation System

    NASA Astrophysics Data System (ADS)

    Wang, Shi-tai; Peng, Jun-huan

    2015-12-01

    The space constellation of BeiDou Navigation Satellite System(BDS)has three main components, Geostationary Earth Orbits (GEOs), Medium Earth Orbits (MEOs) and Inclined Geosynchronous Satellite Orbits(IGSOs).This paper selected 6 satellite respectively in three types to simulate their exiting service, and used the statistical methods to assess receiver autonomous integrity monitoring RAIM availability and fault detection FD capability of BeiDou14 Phase with 14 satellites under the circumstances. This paper assessed RAIM availability performance from satellites and constellation geometry configuration by the number of visible satellites (NVS, NVS>~5) and position dilution of precision (PDOP, PDOP<=6) together. The FD capability of RAIM is assessed by the maximum minimal detectable bias (MDB) and the maximum minimal detectable effect (MDE). The analyses of simulation results testify that the exiting of single MEO or IGSO satellite have no obvious effect on RAIM availability and error detection ability. However GEO satellite's exiting can make the number of points in where the constellation geometry is not available and maximum minimum detectable deviation and maximum minimum detectable influence significantly increase. Relative to other two satellites, GEO satellites' health have a significant impact on the RAIM performance of BDS.

  2. Ambiguity resolved precise point positioning with GPS and BeiDou

    NASA Astrophysics Data System (ADS)

    Pan, Li; Xiaohong, Zhang; Fei, Guo

    2016-07-01

    This paper focuses on the contribution of the global positioning system (GPS) and BeiDou navigation satellite system (BDS) observations to precise point positioning (PPP) ambiguity resolution (AR). A GPS + BDS fractional cycle bias (FCB) estimation method and a PPP AR model were developed using integrated GPS and BDS observations. For FCB estimation, the GPS + BDS combined PPP float solutions of the globally distributed IGS MGEX were first performed. When integrating GPS observations, the BDS ambiguities can be precisely estimated with less than four tracked BDS satellites. The FCBs of both GPS and BDS satellites can then be estimated from these precise ambiguities. For the GPS + BDS combined AR, one GPS and one BDS IGSO or MEO satellite were first chosen as the reference satellite for GPS and BDS, respectively, to form inner-system single-differenced ambiguities. The single-differenced GPS and BDS ambiguities were then fused by partial ambiguity resolution to increase the possibility of fixing a subset of decorrelated ambiguities with high confidence. To verify the correctness of the FCB estimation and the effectiveness of the GPS + BDS PPP AR, data recorded from about 75 IGS MGEX stations during the period of DOY 123-151 (May 3 to May 31) in 2015 were used for validation. Data were processed with three strategies: BDS-only AR, GPS-only AR and GPS + BDS AR. Numerous experimental results show that the time to first fix (TTFF) is longer than 6 h for the BDS AR in general and that the fixing rate is usually less than 35 % for both static and kinematic PPP. An average TTFF of 21.7 min and 33.6 min together with a fixing rate of 98.6 and 97.0 % in static and kinematic PPP, respectively, can be achieved for GPS-only ambiguity fixing. For the combined GPS + BDS AR, the average TTFF can be shortened to 16.9 min and 24.6 min and the fixing rate can be increased to 99.5 and 99.0 % in static and kinematic PPP, respectively. Results also show that GPS + BDS PPP AR outperforms

  3. Carrier-Doppler-based real-time two way satellite frequency transfer and its application in BeiDou system

    NASA Astrophysics Data System (ADS)

    Liu, Zengjun; Gong, Hang; Yang, Wenke; Zhu, Xiangwei; Ou, Gang

    2014-09-01

    Two-way satellite time and frequency transfer (TWSTFT) method is valuable for precise time and frequency transfer. The frequency could be directly transferred by utilizing two-way carrier Doppler measurement. This method requires each station observing both its own and associated station’s transponder signals transferred by satellite. In BeiDou system (BDS), the reference station and the field station construct a two-way link via a GEO satellite, and the field station sends pseudorange and carrier phase information to the reference station by transmission signal, in order to achieve real time TWSTFT. This paper analyzes the theory of carrier Doppler based TWSTFT (called CD-TWSTFT), and validates it by using on line data of BDS. The results demonstrated that the performance of CD TWSTFT is much better than code based TWSTFT in short-term frequency transfer and almost same at long-term frequency transfer.

  4. Precise positioning with current multi-constellation Global Navigation Satellite Systems: GPS, GLONASS, Galileo and BeiDou.

    PubMed

    Li, Xingxing; Zhang, Xiaohong; Ren, Xiaodong; Fritsche, Mathias; Wickert, Jens; Schuh, Harald

    2015-01-01

    The world of satellite navigation is undergoing dramatic changes with the rapid development of multi-constellation Global Navigation Satellite Systems (GNSSs). At the moment more than 70 satellites are already in view, and about 120 satellites will be available once all four systems (BeiDou + Galileo + GLONASS + GPS) are fully deployed in the next few years. This will bring great opportunities and challenges for both scientific and engineering applications. In this paper we develop a four-system positioning model to make full use of all available observations from different GNSSs. The significant improvement of satellite visibility, spatial geometry, dilution of precision, convergence, accuracy, continuity and reliability that a combining utilization of multi-GNSS brings to precise positioning are carefully analyzed and evaluated, especially in constrained environments. PMID:25659949

  5. Precise positioning with current multi-constellation Global Navigation Satellite Systems: GPS, GLONASS, Galileo and BeiDou

    PubMed Central

    Li, Xingxing; Zhang, Xiaohong; Ren, Xiaodong; Fritsche, Mathias; Wickert, Jens; Schuh, Harald

    2015-01-01

    The world of satellite navigation is undergoing dramatic changes with the rapid development of multi-constellation Global Navigation Satellite Systems (GNSSs). At the moment more than 70 satellites are already in view, and about 120 satellites will be available once all four systems (BeiDou + Galileo + GLONASS + GPS) are fully deployed in the next few years. This will bring great opportunities and challenges for both scientific and engineering applications. In this paper we develop a four-system positioning model to make full use of all available observations from different GNSSs. The significant improvement of satellite visibility, spatial geometry, dilution of precision, convergence, accuracy, continuity and reliability that a combining utilization of multi-GNSS brings to precise positioning are carefully analyzed and evaluated, especially in constrained environments. PMID:25659949

  6. Herausforderungen und Best Practices bei der Speicherung von multi-valued Attributen in LDAP-basierten Verzeichnisdiensten

    NASA Astrophysics Data System (ADS)

    Hommel, Wolfgang; Pluta, Daniel

    LDAP-basierte Verzeichnisdienste unterscheiden sich von relationalen Datenbankmanagementsystemen unter anderem stark bezüglich der Datenmodellierung. Dieser Artikel vertieft eingangs die Herausforderungen bei der LDAP-spezifischen Abbildung von Relationen zwischen mehreren multivalued Attributen. Die Diskussion erfolgt vor dem Hintergrund, dass einerseits Verzeichnisdienste generell nur bedingt zur Speicherung von Relationen geeignet sind und dass andererseits multi-valued Attribute ein mächtiges LDAP-Instrument sind, zu dem es in relationalen Datenbanksystemen keine direkte Entsprechung gibt. Anschließend werden Lösungskonzepte vorgestellt und mögliche Weiterentwicklungen des IntegraTUM-LDAP-Schemas zu deren Umsetzung skizziert, eine exemplarische Implementierung präsentiert und die Ergebnisse der bisherigen Entwicklung des IntegraTUM-Schemas gegenübergestellt.

  7. Heavy Metals in Sediment from Bei Shan River: Distribution, Relationship with Soil Characteristics and Multivariate Assessment of Contamination Sources.

    PubMed

    Xun, Yan; Xuegang, Luo

    2015-07-01

    The concentrations and correlation between some heavy metals (Mn, Cd, Cr, Cu, Ni, Zn and Pb) measured in sediments in part of Bei shan River near uranium mill tailings were studied. The mean concentration of Cr (57.7 mg/g) was more than the mean values established for uncultivated areas worldwide (46.3 mg/g). Negative correlations with pH and positive correlations with organic matter have been observed for most of elements analyzed in this study. Correlation analysis showed that all metals except Cr are highly correlated (p ≤ 0.01, p ≤ 0.05). This may indicate the different origin or controlling factors of Cr in analyzed sediments. Cluster analysis highlighted the lithogenic origin of heavy metals (Mn, Cd, Cu, Ni, Zn and Pb) and pointed out the primary input of Cr from anthropogenic sources. PMID:26006719

  8. The contribution of Cu2+, Fe 2+, Fe 3+ to bluish green color of HuBei turquoise

    NASA Astrophysics Data System (ADS)

    Guo, Ying; Jin, Lili; Sun, Hongjuan

    2010-11-01

    Cu2+, Fe2+ and Fe3+ of 146 pieces of turquoises from ZhuShan, HuBei province are researched of their contribution to the color of bluish green. Without consideration of its mineral water on the effects of color chroma, the content of these three cations are confirmed by chemical composition analysis, and then their specific contribution to lightness, chroma and hue are quantified within the uniform color space CIE L*a*b*. Consequently, it is considered that Cu2+ determines turquoise's vivid blue, and Fe2+ makes color changed to green and improves the chroma slightly, as a result it enhances the visual appearance a little too; while Fe3+ leads to red and yellow tone and makes chroma descended simultaneously, with its increment, the color appears low saturated brown, and then the color quality reduced.

  9. Comparison of Optical and SEM-BEI Inclusion Analyses of VIM-VAR Nickel-Titanium Alloy

    NASA Astrophysics Data System (ADS)

    Sczerzenie, Frank; Paul, Graeme W.; Belden, Clarence; Fasching, Audrey

    2011-07-01

    The ASTM Standard for NiTi alloys does not specify the method to be used for the analysis of inclusions. Quantitative analysis is generally done by optical metallography with a computer program to measure size and area fraction. This study gives a comparison of quantitative analyses of inclusions by scanning electron microscopy using backscattered electron imaging (SEM-BEI) and quantitative analyses by optical metallography. Seven samples of 6.3-mm hot-rolled NiTi were evaluated. The coil samples were selected to exhibit a wide range of inclusion content. Each sample had a different Ni to Ti ratio corresponding to a different transformation temperature range (TTR) from A s = -25 °C (Ni = 50.79 a/o) to A s = +95 °C (Ni = 49.63 a/o). Quantitative analyses by optical and by SEM-BEI are in reasonable good agreement for maximum particle size and maximum area fraction. Both methods of analysis show that carbide and intermetallic oxide inclusion populations in VIM-VAR hot-rolled coil vary significantly in the amount and size of inclusions with the alloy transformation temperature. Therefore, an analysis of a larger number of samples at each TTR is needed to develop statistically precise data. All carbide inclusions were less than 12.5 μm and less than 1.0% area fraction in all the samples. Maximum size and area fraction of carbides decreased as TTR increased. Intermetallic oxide size and area fraction increased with increasing TTR Intermetallic oxides are fractured and separated from the matrix during hot working. However, stringering is very limited. The fracturing appears to happen in high TTR alloys but not in low TTR alloys. This dependence on TTR suggests that chemistry in or around the oxides affects their fracture behavior.

  10. Multi-GNSS meteorology: Real-time retrieving of atmospheric parameters from GPS, GLONASS, BeiDou and Galileo observations

    NASA Astrophysics Data System (ADS)

    Li, Xingxing; Dick, Galina; Lu, Cuixian; Ge, Maorong; Nilsson, Tobias; Fritsche, Mathias; Wickert, Jens; Schuh, Harald

    2015-04-01

    The rapid development of multi-constellation GNSSs (Global Navigation Satellite Systems, e.g., BeiDou, Galileo, GLONASS, GPS) and the IGS (International GNSS Service) Multi-GNSS Experiment (MGEX) bring great opportunities and challenges for real-time determination of tropospheric zenith total delays (ZTD) and integrated water vapor (IWV) to improve numerical weather prediction (NWP), especially for nowcasting or severe weather event monitoring. The fusion of multiple GNSSs will significantly increase the number of satellites, optimizing the observation geometry. One result is the availability of more tropospheric slant delays, and consequently a more accurate and robust ZTD/IWV monitoring can be expected. This is especially beneficial in areas where satellite signals are blocked, such as urban areas, or in the equatorial latitudes, where the GNSS signals may be disturbed or even lost due to ionospheric scintillations. In this contribution, we develop a multi-system (BeiDou+Galileo+GLONASS+GPS) processing model to fully exploit all the observations from these systems for the derivation of the real-time ZTD/IWV. A prototype multi-GNSS real-time ZTD/IWV monitoring system is also designed and realized at GFZ and runs in PPP mode for all of the globally distributed MGEX stations. The processing results of the first half year of 2014 are carefully analyzed to assess the quality of the ZTD series derived from different constellations and also evaluate the contribution of multi-GNSS fusion to ZTD/IWV estimates. Furthermore, the Very Long Baseline Interferometry (VLBI) technique is used for independent validation of the GNSS data products to demonstrate the significant benefits from multi-constellation GNSS in terms of both accuracy and reliability.

  11. Instantaneous Real-Time Kinematic Decimeter-Level Positioning with BeiDou Triple-Frequency Signals over Medium Baselines.

    PubMed

    He, Xiyang; Zhang, Xiaohong; Tang, Long; Liu, Wanke

    2015-01-01

    Many applications, such as marine navigation, land vehicles location, etc., require real time precise positioning under medium or long baseline conditions. In this contribution, we develop a model of real-time kinematic decimeter-level positioning with BeiDou Navigation Satellite System (BDS) triple-frequency signals over medium distances. The ambiguities of two extra-wide-lane (EWL) combinations are fixed first, and then a wide lane (WL) combination is reformed based on the two EWL combinations for positioning. Theoretical analysis and empirical analysis is given of the ambiguity fixing rate and the positioning accuracy of the presented method. The results indicate that the ambiguity fixing rate can be up to more than 98% when using BDS medium baseline observations, which is much higher than that of dual-frequency Hatch-Melbourne-Wübbena (HMW) method. As for positioning accuracy, decimeter level accuracy can be achieved with this method, which is comparable to that of carrier-smoothed code differential positioning method. Signal interruption simulation experiment indicates that the proposed method can realize fast high-precision positioning whereas the carrier-smoothed code differential positioning method needs several hundreds of seconds for obtaining high precision results. We can conclude that a relatively high accuracy and high fixing rate can be achieved for triple-frequency WL method with single-epoch observations, displaying significant advantage comparing to traditional carrier-smoothed code differential positioning method. PMID:26703614

  12. Assessment of the Contribution of BeiDou GEO, IGSO, and MEO Satellites to PPP in Asia-Pacific Region.

    PubMed

    Zhao, Qile; Wang, Chen; Guo, Jing; Liu, Xianglin

    2015-01-01

    In contrast to the US Global Positioning System (GPS), the Russian Global Navigation Satellite System (GLONASS) and the European Galileo, the developing Chinese BeiDou satellite navigation system (BDS) consists of not only Medium Earth Orbit (MEO), but also Geostationary Orbit (GEO) as well as Inclined Geosynchronous Orbit (IGSO) satellites. In this study, the Precise Point Positioning (PPP) and PPP with Integer Ambiguity Resolution (IAR) are obtained. The contributions of these three different types of BDS satellites to PPP in Asia-Pacific region are assessed using data from selected 20 sites over more than four weeks. By using various PPP cases with different satellite combinations, in general, the largest contribution of BDS IGSO among the three kinds of BDS satellites to the reduction of convergence time and the improvement of positioning accuracy, particularly in the east direction, is identified. These PPP cases include static BDS only solutions and static/kinematic ambiguity-float and -fixed PPP with the combination of GPS and BDS. The statistical results demonstrate that the inclusion of BDS GEO and MEO satellites can improve the observation condition and result in better PPP performance as well. When combined with GPS, the contribution of BDS to the reduction of convergence time is, however, not as significant as that of GLONASS. As far as the positioning accuracy is concerned, GLONASS improves the accuracy in vertical component more than BDS does, whereas similar improvement in horizontal component can be achieved by inclusion of BDS IGSO and MEO as GLONASS. PMID:26633406

  13. Assessment of the Contribution of BeiDou GEO, IGSO, and MEO Satellites to PPP in Asia–Pacific Region

    PubMed Central

    Zhao, Qile; Wang, Chen; Guo, Jing; Liu, Xianglin

    2015-01-01

    In contrast to the US Global Positioning System (GPS), the Russian Global Navigation Satellite System (GLONASS) and the European Galileo, the developing Chinese BeiDou satellite navigation system (BDS) consists of not only Medium Earth Orbit (MEO), but also Geostationary Orbit (GEO) as well as Inclined Geosynchronous Orbit (IGSO) satellites. In this study, the Precise Point Positioning (PPP) and PPP with Integer Ambiguity Resolution (IAR) are obtained. The contributions of these three different types of BDS satellites to PPP in Asia–Pacific region are assessed using data from selected 20 sites over more than four weeks. By using various PPP cases with different satellite combinations, in general, the largest contribution of BDS IGSO among the three kinds of BDS satellites to the reduction of convergence time and the improvement of positioning accuracy, particularly in the east direction, is identified. These PPP cases include static BDS only solutions and static/kinematic ambiguity-float and -fixed PPP with the combination of GPS and BDS. The statistical results demonstrate that the inclusion of BDS GEO and MEO satellites can improve the observation condition and result in better PPP performance as well. When combined with GPS, the contribution of BDS to the reduction of convergence time is, however, not as significant as that of GLONASS. As far as the positioning accuracy is concerned, GLONASS improves the accuracy in vertical component more than BDS does, whereas similar improvement in horizontal component can be achieved by inclusion of BDS IGSO and MEO as GLONASS. PMID:26633406

  14. Analysis of BeiDou Satellite Measurements with Code Multipath and Geometry-Free Ionosphere-Free Combinations

    PubMed Central

    Zhao, Qile; Wang, Guangxing; Liu, Zhizhao; Hu, Zhigang; Dai, Zhiqiang; Liu, Jingnan

    2016-01-01

    Using GNSS observable from some stations in the Asia-Pacific area, the carrier-to-noise ratio (CNR) and multipath combinations of BeiDou Navigation Satellite System (BDS), as well as their variations with time and/or elevation were investigated and compared with those of GPS and Galileo. Provided the same elevation, the CNR of B1 observables is the lowest among the three BDS frequencies, while B3 is the highest. The code multipath combinations of BDS inclined geosynchronous orbit (IGSO) and medium Earth orbit (MEO) satellites are remarkably correlated with elevation, and the systematic “V” shape trends could be eliminated through between-station-differencing or modeling correction. Daily periodicity was found in the geometry-free ionosphere-free (GFIF) combinations of both BDS geostationary Earth orbit (GEO) and IGSO satellites. The variation range of carrier phase GFIF combinations of GEO satellites is −2.0 to 2.0 cm. The periodicity of carrier phase GFIF combination could be significantly mitigated through between-station differencing. Carrier phase GFIF combinations of BDS GEO and IGSO satellites might also contain delays related to satellites. Cross-correlation suggests that the GFIF combinations’ time series of some GEO satellites might vary according to their relative geometries with the sun. PMID:26805831

  15. Analysis of BeiDou Satellite Measurements with Code Multipath and Geometry-Free Ionosphere-Free Combinations.

    PubMed

    Zhao, Qile; Wang, Guangxing; Liu, Zhizhao; Hu, Zhigang; Dai, Zhiqiang; Liu, Jingnan

    2016-01-01

    Using GNSS observable from some stations in the Asia-Pacific area, the carrier-to-noise ratio (CNR) and multipath combinations of BeiDou Navigation Satellite System (BDS), as well as their variations with time and/or elevation were investigated and compared with those of GPS and Galileo. Provided the same elevation, the CNR of B1 observables is the lowest among the three BDS frequencies, while B3 is the highest. The code multipath combinations of BDS inclined geosynchronous orbit (IGSO) and medium Earth orbit (MEO) satellites are remarkably correlated with elevation, and the systematic "V" shape trends could be eliminated through between-station-differencing or modeling correction. Daily periodicity was found in the geometry-free ionosphere-free (GFIF) combinations of both BDS geostationary Earth orbit (GEO) and IGSO satellites. The variation range of carrier phase GFIF combinations of GEO satellites is -2.0 to 2.0 cm. The periodicity of carrier phase GFIF combination could be significantly mitigated through between-station differencing. Carrier phase GFIF combinations of BDS GEO and IGSO satellites might also contain delays related to satellites. Cross-correlation suggests that the GFIF combinations' time series of some GEO satellites might vary according to their relative geometries with the sun. PMID:26805831

  16. Instantaneous Real-Time Kinematic Decimeter-Level Positioning with BeiDou Triple-Frequency Signals over Medium Baselines

    PubMed Central

    He, Xiyang; Zhang, Xiaohong; Tang, Long; Liu, Wanke

    2015-01-01

    Many applications, such as marine navigation, land vehicles location, etc., require real time precise positioning under medium or long baseline conditions. In this contribution, we develop a model of real-time kinematic decimeter-level positioning with BeiDou Navigation Satellite System (BDS) triple-frequency signals over medium distances. The ambiguities of two extra-wide-lane (EWL) combinations are fixed first, and then a wide lane (WL) combination is reformed based on the two EWL combinations for positioning. Theoretical analysis and empirical analysis is given of the ambiguity fixing rate and the positioning accuracy of the presented method. The results indicate that the ambiguity fixing rate can be up to more than 98% when using BDS medium baseline observations, which is much higher than that of dual-frequency Hatch-Melbourne-Wübbena (HMW) method. As for positioning accuracy, decimeter level accuracy can be achieved with this method, which is comparable to that of carrier-smoothed code differential positioning method. Signal interruption simulation experiment indicates that the proposed method can realize fast high-precision positioning whereas the carrier-smoothed code differential positioning method needs several hundreds of seconds for obtaining high precision results. We can conclude that a relatively high accuracy and high fixing rate can be achieved for triple-frequency WL method with single-epoch observations, displaying significant advantage comparing to traditional carrier-smoothed code differential positioning method. PMID:26703614

  17. Mitigating BeiDou Satellite-Induced Code Bias: Taking into Account the Stochastic Model of Corrections.

    PubMed

    Guo, Fei; Li, Xin; Liu, Wanke

    2016-01-01

    The BeiDou satellite-induced code biases have been confirmed to be orbit type-, frequency-, and elevation-dependent. Such code-phase divergences (code bias variations) severely affect absolute precise applications which use code measurements. To reduce their adverse effects, an improved correction model is proposed in this paper. Different from the model proposed by Wanninger and Beer (2015), more datasets (a time span of almost two years) were used to produce the correction values. More importantly, the stochastic information, i.e., the precision indexes, were given together with correction values in the improved model. However, only correction values were given while the precision indexes were completely missing in the traditional model. With the improved correction model, users may have a better understanding of their corrections, especially the uncertainty of corrections. Thus, it is helpful for refining the stochastic model of code observations. Validation tests in precise point positioning (PPP) reveal that a proper stochastic model is critical. The actual precision of the corrected code observations can be reflected in a more objective manner if the stochastic model of the corrections is taken into account. As a consequence, PPP solutions with the improved model outperforms the traditional one in terms of positioning accuracy, as well as convergence speed. In addition, the Melbourne-Wübbena (MW) combination which serves for ambiguity fixing were verified as well. The uncorrected MW values show strong systematic variations with an amplitude of half a wide-lane cycle, which prevents precise ambiguity determination and successful ambiguity resolution. After application of the code bias correction models, the systematic variations can be greatly removed, and the resulting wide lane ambiguities are more likely to be fixed. Moreover, the code residuals show more reasonable distributions after code bias corrections with either the traditional or the improved model

  18. Mitigating BeiDou Satellite-Induced Code Bias: Taking into Account the Stochastic Model of Corrections

    PubMed Central

    Guo, Fei; Li, Xin; Liu, Wanke

    2016-01-01

    The BeiDou satellite-induced code biases have been confirmed to be orbit type-, frequency-, and elevation-dependent. Such code-phase divergences (code bias variations) severely affect absolute precise applications which use code measurements. To reduce their adverse effects, an improved correction model is proposed in this paper. Different from the model proposed by Wanninger and Beer (2015), more datasets (a time span of almost two years) were used to produce the correction values. More importantly, the stochastic information, i.e., the precision indexes, were given together with correction values in the improved model. However, only correction values were given while the precision indexes were completely missing in the traditional model. With the improved correction model, users may have a better understanding of their corrections, especially the uncertainty of corrections. Thus, it is helpful for refining the stochastic model of code observations. Validation tests in precise point positioning (PPP) reveal that a proper stochastic model is critical. The actual precision of the corrected code observations can be reflected in a more objective manner if the stochastic model of the corrections is taken into account. As a consequence, PPP solutions with the improved model outperforms the traditional one in terms of positioning accuracy, as well as convergence speed. In addition, the Melbourne-Wübbena (MW) combination which serves for ambiguity fixing were verified as well. The uncorrected MW values show strong systematic variations with an amplitude of half a wide-lane cycle, which prevents precise ambiguity determination and successful ambiguity resolution. After application of the code bias correction models, the systematic variations can be greatly removed, and the resulting wide lane ambiguities are more likely to be fixed. Moreover, the code residuals show more reasonable distributions after code bias corrections with either the traditional or the improved model

  19. Infektion mit Epstein-Barr-Virus und Tumor-Entstehung beim Menschen

    NASA Astrophysics Data System (ADS)

    Kirchner, H.

    1981-08-01

    The Epstein-Barr Virus (EBV) is the only infectious agent for which a close association with human malignant tumors has been clearly demonstrated. These tumors are one type of nasopharyngeal carcinoma which is frequent in parts of East Asia and the Burkitt lymphoma which predominantly occurs in parts of Africa and New Guinea. Nonetheless, the EBV is the causative agent of infectious mononucleosis (IM), a benign, self-limiting lymphoproliferative disease of adolescents. The major difference between the countries in which the EBV-induced tumors occur and those in which IM occurs is the late primary EBV infection in the latter, whereas primary infection with EBV occurs in the first year of life in the former. All theories of viral carcinogenesis have to explain the long latency period between primary infection and tumor growth and how an ubiquitous virus may be oncogenic. Thus, invariably, one has to assume a role of cofactors, which may be of cytogenetic nature or may be represented by additional infections or by chemical agents. Since most modern theories of carcinogenesis consider a multi-step development of tumors, the theory that infection with an ubiquitous virus at the right time of life represents one step to carcinogenesis seems to be tenable.

  20. Analysis on the long-term dynamical evolution of the inclined geosynchronous orbits in the Chinese BeiDou navigation system

    NASA Astrophysics Data System (ADS)

    Zhao, Chang-Yin; Zhang, Ming-Jiang; Wang, Hong-Bo; Xiong, Jian-Ning; Zhu, Ting-Lei; Zhang, Wei

    2015-08-01

    Five inclined geosynchronous orbit (IGSO) satellites with the inclination of about 55° in the Chinese BeiDou navigation system have been put in orbit until now. The Inter-Agency Space Debris Coordination Committee (IADC) has defined a geosynchronous orbit (GEO) protected region and recommended that the GEO satellite should be maneuvered to a disposal orbit high enough at end-of-mission to remain above the GEO protected region. The recommended disposal altitude is at least 235 km + (1000 ·CR · A / M) higher than the perigee altitude of the GEO satellite, where CR and A / M are radiation pressure coefficient and area-to-mass ratio respectively. Whether this recommendation is also adequate for the disposal of these IGSO satellites in the Chinese BeiDou navigation system at end-of-mission? And if not, is there any other possible strategy to do? In view of these considerations, the long-term dynamical evolution of these IGSO satellites is investigated by both theoretical analysis and numerical computation methods in this paper. Some qualitative orbital evolution characteristics and quantitative result of variation ranges of the semi-major axis a, the inclination i and the eccentricity e are presented respectively. Based on these results, a possible mitigation strategy to reduce the orbital lifetime of the IGSO satellites after end-of-mission is proposed.

  1. Assessment of precipitable water vapor derived from ground-based BeiDou observations with Precise Point Positioning approach

    NASA Astrophysics Data System (ADS)

    Li, Min; Li, Wenwen; Shi, Chuang; Zhao, Qile; Su, Xing; Qu, Lizhong; Liu, Zhizhao

    2015-01-01

    Precipitable water vapor (PWV) estimation from Global Positioning System (GPS) has been extensively studied and used for meteorological applications. However PWV estimation using the emerging BeiDou Navigation Satellite System (BDS) is very limited. In this paper the PWV estimation strategy and the evaluation of the results inferred from ground-based BDS observations using Precise Point Positioning (PPP) method are presented. BDS and GPS data from 10 stations distributed in the Asia-Pacific and West Indian Ocean regions during the year 2013 are processed using the PANDA (Position and Navigation Data Analyst) software package. The BDS-PWV and GPS-PWV are derived from the BDS-only and GPS-only observations, respectively. The PPP positioning differences between BDS-only and GPS-only show a standard deviation (STD) <1 cm in the east and north components and 1-3 cm in vertical component. The BDS-PWV and GPS-PWV at the HKTU station (Hong Kong, China) is compared with PWV derived from a radiosonde station (about 1 km distance) over a 6-month period. The GPS-PWV shows a good agreement with radiosonde-PWV with a bias of 0.002 mm and a STD of 2.49 mm while BDS-PWV has with a bias of -2.04 mm and STD 2.68 mm with respect to radiosonde-PWV. This indicates that the PWV estimated from the BDS can achieve similar precision as PWV from GPS. The BDS-PWV is compared to GPS-PWV at 10 stations. The mean bias and STD of their differences at 10 stations are 0.78 mm and 1.77 mm, respectively. The mean root mean square (RMS) value is 2.00 mm by considering the GPS-PWV as reference truth. This again confirms that the BDS-PWV has a good agreement with the GPS-PWV. It clearly indicates that the BDS is ready for the high precision meteorological applications in the Asia-Pacific and West Indian Ocean regions and that BDS alone can be used for PWV estimation with an accuracy comparable to GPS.

  2. BeiDou phase bias estimation and its application in precise point positioning with triple-frequency observable

    NASA Astrophysics Data System (ADS)

    Gu, Shengfeng; Lou, Yidong; Shi, Chuang; Liu, Jingnan

    2015-10-01

    At present, the BeiDou system (BDS) enables the practical application of triple-frequency observable in the Asia-Pacific region, of many possible benefits from the additional signal; this study focuses on exploiting the contribution of zero difference (ZD) ambiguity resolution (AR) to the precise point positioning (PPP). A general modeling strategy for multi-frequency PPP AR is presented, in which, the least squares ambiguity decorrelation adjustment (LAMBDA) method is employed in ambiguity fixing based on the full variance-covariance ambiguity matrix generated from the raw data processing model. Because of the reliable fixing of BDS L1 ambiguity faces more difficulty, the LAMBDA method with partial ambiguity fixing is proposed to enable the independent and instantaneous resolution of extra wide-lane (EWL) and wide-lane (WL). This mechanism of sequential ambiguity fixing is demonstrated for resolving ZD satellite phase bias and performing triple-frequency PPP AR with two reference station networks with a typical baseline of up to 400 and 800 km, respectively. Tests show that about of the EWL and WL phase bias of BDS has a consistency of better than 0.1 cycle, and this value decreases to 80 % for L1 phase bias for Experiment I, while all the solutions of Experiment II have a similar RMS of about 0.12 cycles. In addition, the repeatability of the daily mean phase bias agree to 0.093 cycles and 0.095 cycles for EWL and WL on average, which is much smaller than 0.20 cycles of L1. To assess the improvement of fixed PPP brought by applying the third frequency signal as well as the above phase bias, various ambiguity fixing strategy are considered in the numerical demonstration. It is shown that the impact of the additional signal is almost negligible when only float solution involved. It is also shown that by fixing EWL and WL together, as opposed to the single ambiguity fixing, will leads to an improvement in PPP accuracy by about on average. Attributed to the efficient

  3. Comprehensive Comparisons of Satellite Data, Signals, and Measurements between the BeiDou Navigation Satellite System and the Global Positioning System.

    PubMed

    Jan, Shau-Shiun; Tao, An-Lin

    2016-01-01

    The Chinese BeiDou navigation satellite system (BDS) aims to provide global positioning service by 2020. The combined use of BDS and Global Positioning System (GPS) is proposed to provide navigation service with more stringent requirements. Actual satellite data, signals and measurements were collected for more than one month to analyze the positioning service qualities from both BDS and GPS. In addition to the conversions of coordinate and timing system, five data quality analysis (DQA) methods, three signal quality analysis (SQA) methods, and four measurement quality analysis (MQA) methods are proposed in this paper to improve the integrated positioning performance of BDS and GPS. As shown in the experiment results, issues related to BDS and GPS are resolved by the above proposed quality analysis methods. Thus, the anomalies in satellite data, signals and measurements can be detected by following the suggested resolutions to enhance the positioning performance of the combined use of BDS and GPS in the Asia Pacific region. PMID:27187403

  4. Comprehensive Comparisons of Satellite Data, Signals, and Measurements between the BeiDou Navigation Satellite System and the Global Positioning System †

    PubMed Central

    Jan, Shau-Shiun; Tao, An-Lin

    2016-01-01

    The Chinese BeiDou navigation satellite system (BDS) aims to provide global positioning service by 2020. The combined use of BDS and Global Positioning System (GPS) is proposed to provide navigation service with more stringent requirements. Actual satellite data, signals and measurements were collected for more than one month to analyze the positioning service qualities from both BDS and GPS. In addition to the conversions of coordinate and timing system, five data quality analysis (DQA) methods, three signal quality analysis (SQA) methods, and four measurement quality analysis (MQA) methods are proposed in this paper to improve the integrated positioning performance of BDS and GPS. As shown in the experiment results, issues related to BDS and GPS are resolved by the above proposed quality analysis methods. Thus, the anomalies in satellite data, signals and measurements can be detected by following the suggested resolutions to enhance the positioning performance of the combined use of BDS and GPS in the Asia Pacific region. PMID:27187403

  5. Genetics Home Reference: histiocytosis-lymphadenopathy plus syndrome

    MedlinePlus

    ... nucleosides in lysosomes, which may be damaging to cell function. A lack of ENT3 activity may also lead to a reduction in the amount of nucleosides in mitochondria. This nucleoside shortage could impair cellular energy ... which means both copies of the gene in each cell have mutations. The parents of an individual with ...

  6. CT of chronic infiltrative lung disease: Prevalence of mediastinal lymphadenopathy

    SciTech Connect

    Niimi, Hiroshi; Kang, Eun-Young; Kwong, S.

    1996-03-01

    Our goal was to determine the prevalence of mediastinal lymph node enlargement at CT in patients with diffuse infiltrative lung disease. The study was retrospective and included 175 consecutive patients with diffuse infiltrative lung diseases. Diagnoses included idiopathic pulmonary fibrosis (IPF) (n = 61), usual interstitial pneumonia associated with collagen vascular disease (CVD) (n = 20), idiopathic bronchiolitis obliterans organizing pneumonia (BOOP) (n = 22), extrinsic allergic alveolitis (EAA) (n = 17), and sarcoidosis (n = 55). Fifty-eight age-matched patients with CT of the chest performed for unrelated conditions served as controls. The presence, number, and sites of enlarged nodes (short axis {ge}10 mm in diameter) were recorded. Enlarged mediastinal nodes were present in 118 of 175 patients (67%) with infiltrative lung disease and 3 of 58 controls (5%) (p < 0.001). The prevalence of enlarged nodes was 84% (46 of 55) in sarcoidosis, 67% (41 of 61) in IPF, 70% (14 of 20) in CVD, 53% (9 of 17) in EAA, and 36% (8 of 22) in BOOP. The mean number of enlarged nodes was higher in sarcoidosis (mean 3.2) than in the other infiltrative diseases (mean 1.2) (p < 0.001). Enlarged nodes were most commonly present in station 10R, followed by 7, 4R, and 5. Patients with infiltrative lung disease frequently have enlarged mediastinal lymph nodes. However, in diseases other than sarcoid, usually only one or two nodes are enlarged and their maximal short axis diameter is <15 mm. 11 refs., 2 figs., 1 tab.

  7. The open service signal in space navigation data comparison of the Global Positioning System and the BeiDou Navigation Satellite System.

    PubMed

    Jan, Shau-Shiun; Tao, An-Lin

    2014-01-01

    More and more Global Navigation Satellite Systems (GNSSs) have been developed and are in operation. Before integrating information on various GNSSs, the differences between the various systems must be studied first. This research focuses on analyzing the navigation data differences between the Chinese BeiDou Navigation Satellite System (BDS) and the United States' Global Positioning System (GPS). In addition to explaining the impact caused by these two different coordinate and time systems, this research uses an actual open service signal in space (SIS) for both GPS and BDS to analyze their current system performance. Five data quality analysis (DQA) mechanisms are proposed in this research to validate both systems' SIS navigation data. These five DQAs evaluate the differences in ephemeris and almanac messages from both systems for stability and accuracy. After all of the DQAs, the different issues related to GPS and BDS satellite information are presented. Finally, based on these DQA results, this research provides suggested resolutions for the combined use of GPS and BDS for navigation and guidance. PMID:25195848

  8. The Open Service Signal in Space Navigation Data Comparison of the Global Positioning System and the BeiDou Navigation Satellite System

    PubMed Central

    Jan, Shau-Shiun; Tao, An-Lin

    2014-01-01

    More and more Global Navigation Satellite Systems (GNSSs) have been developed and are in operation. Before integrating information on various GNSSs, the differences between the various systems must be studied first. This research focuses on analyzing the navigation data differences between the Chinese BeiDou Navigation Satellite System (BDS) and the United States' Global Positioning System (GPS). In addition to explaining the impact caused by these two different coordinate and time systems, this research uses an actual open service signal in space (SIS) for both GPS and BDS to analyze their current system performance. Five data quality analysis (DQA) mechanisms are proposed in this research to validate both systems' SIS navigation data. These five DQAs evaluate the differences in ephemeris and almanac messages from both systems for stability and accuracy. After all of the DQAs, the different issues related to GPS and BDS satellite information are presented. Finally, based on these DQA results, this research provides suggested resolutions for the combined use of GPS and BDS for navigation and guidance. PMID:25195848

  9. Real-Time seismic waveforms monitoring with BeiDou Navigation Satellite System (BDS) observations for the 2015 Mw 7.8 Nepal earthquake

    NASA Astrophysics Data System (ADS)

    Geng, T.

    2015-12-01

    Nowadays more and more high-rate Global Navigation Satellite Systems (GNSS) data become available in real time, which provide more opportunities to monitor the seismic waveforms. China's GNSS, BeiDou Navigation Satellite System (BDS), has already satisfied the requirement of stand-alone precise positioning in Asia-Pacific region with 14 in-orbit satellites, which promisingly suggests that BDS could be applied to the high-precision earthquake monitoring as GPS. In the present paper, real-time monitoring of seismic waveforms using BDS measurements is assessed. We investigate a so-called "variometric" approach to measure real-time seismic waveforms with high-rate BDS observations. This approach is based on time difference technique and standard broadcast products which are routinely available in real time. The 1HZ BDS data recorded by Beidou Experimental Tracking Stations (BETS) during the 2015 Mw 7.8 Nepal earthquake is analyzed. The results indicate that the accuracies of velocity estimation from BDS are 2-3 mm/s in horizontal components and 8-9 mm/s in vertical component, respectively, which are consistent with GPS. The seismic velocity waveforms during earthquake show good agreement between BDS and GPS. Moreover, the displacement waveforms is reconstructed by an integration of velocity time series with trend removal. The displacement waveforms with the accuracy of 1-2 cm are derived by comparing with post-processing GPS precise point positioning (PPP).

  10. Effekt einer ad libitum verzehrten fettreduzierten Kost, reich an Obst, Gemüse und Milchprodukten auf den Blutdruck bei Borderline-Hypertonikern

    NASA Astrophysics Data System (ADS)

    Möseneder, Jutta M.

    2002-01-01

    In der randomisierten, multizentrischen DASH-Studie (Dietary Approaches to Stop Hy-pertension), die unter kontrollierten Bedingungen stattfand, führte eine fettreduzierte Mischkost, reich an Obst, Gemüse und Milchprodukten, bei Borderline-Hypertonikern zu einer signifikanten Blutdrucksenkung. Während der Studienphase wurden Körpermasse, Natrium-Aufnahme sowie Alkoholzufuhr aufgrund der bekannten Einflussnahme auf den Blutdruck konstant gehalten. In der eigenen Pilot-Studie sollte untersucht werden, ob das Ergebnis der DASH-Studie (i) mit deutschen Hypertonikern und (ii) unter habituellen Ernährungs- und Lebensbedingungen mit regelmäßig durchgeführter Ernährungsberatung und ad libitum Verzehr anstelle des streng kontrollierten Studienansatzes bestätigt werden kann. Eine Konstanz der Körpermasse, der Natrium-Urinausscheidung (unter diesem Studienansatz valider als die Aufnahme) und des Alkoholkonsums wurde vorausgesetzt. Die Studienpopulation setzte sich aus 53 übergewichtigen Probanden mit einer nicht medikamentös therapierten Borderline-Hypertonie und ohne Stoffwechselerkrankungen zusammen. Die Studienteilnehmer wurden randomisiert entweder der Idealgruppe mit einer fettarmen Kost reich an Milchprodukten, Obst und Gemüse (ähnlich der DASH-Idealgruppe) oder der Kontrollgruppe mit habitueller Ernährungsweise zugeteilt. Über einen Zeitraum von fünf Wochen wurde den Probanden etwa 50% ihres täglichen Lebensmittelbedarfes entsprechend ihrer Gruppenzugehörigkeit kostenfrei zur Verfügung gestellt. Gelegenheitsblutdruckmessungen und 24h-Blutdruckmessungen, Ernährungs- und Aktivitätsprotokolle, Blut- und Urinproben sowie anthropometrische Messungen wurden vor, während und fünf Wochen nach der Interventionsphase durchgeführt. Die Ergebnisse zeigen, dass in der Idealgruppe keine signifikante Blutdrucksenkung beobachtet werden konnte. Dies lässt sich durch die Tatsache erklären, dass die Lebens-mittel- und Nährstoffaufnahme der deutschen

  11. Effekt einer ad libitum verzehrten fettreduzierten Kost, reich an Obst, Gemüse und Milchprodukten auf den Blutdruck bei Borderline-Hypertonikern

    NASA Astrophysics Data System (ADS)

    Möseneder, Jutta M.

    2002-01-01

    In der randomisierten, multizentrischen DASH-Studie (Dietary Approaches to Stop Hy-pertension), die unter kontrollierten Bedingungen stattfand, führte eine fettreduzierte Mischkost, reich an Obst, Gemüse und Milchprodukten, bei Borderline-Hypertonikern zu einer signifikanten Blutdrucksenkung. Während der Studienphase wurden Körpermasse, Natrium-Aufnahme sowie Alkoholzufuhr aufgrund der bekannten Einflussnahme auf den Blutdruck konstant gehalten. In der eigenen Pilot-Studie sollte untersucht werden, ob das Ergebnis der DASH-Studie (i) mit deutschen Hypertonikern und (ii) unter habituellen Ernährungs- und Lebensbedingungen mit regelmäßig durchgeführter Ernährungsberatung und ad libitum Verzehr anstelle des streng kontrollierten Studienansatzes bestätigt werden kann. Eine Konstanz der Körpermasse, der Natrium-Urinausscheidung (unter diesem Studienansatz valider als die Aufnahme) und des Alkoholkonsums wurde vorausgesetzt. Die Studienpopulation setzte sich aus 53 übergewichtigen Probanden mit einer nicht medikamentös therapierten Borderline-Hypertonie und ohne Stoffwechselerkrankungen zusammen. Die Studienteilnehmer wurden randomisiert entweder der Idealgruppe mit einer fettarmen Kost reich an Milchprodukten, Obst und Gemüse (ähnlich der DASH-Idealgruppe) oder der Kontrollgruppe mit habitueller Ernährungsweise zugeteilt. Über einen Zeitraum von fünf Wochen wurde den Probanden etwa 50% ihres täglichen Lebensmittelbedarfes entsprechend ihrer Gruppenzugehörigkeit kostenfrei zur Verfügung gestellt. Gelegenheitsblutdruckmessungen und 24h-Blutdruckmessungen, Ernährungs- und Aktivitätsprotokolle, Blut- und Urinproben sowie anthropometrische Messungen wurden vor, während und fünf Wochen nach der Interventionsphase durchgeführt. Die Ergebnisse zeigen, dass in der Idealgruppe keine signifikante Blutdrucksenkung beobachtet werden konnte. Dies lässt sich durch die Tatsache erklären, dass die Lebens-mittel- und Nährstoffaufnahme der deutschen

  12. Endobronchial Ultrasound-Transbronchial Needle Aspiration of Mediastinal and Hilar Lymphadenopathy Learning Curve.

    PubMed

    Kheir, Fayez; Alokla, Khalid; Myers, Leann; Palomino, Jaime

    2016-01-01

    Endobronchial ultrasound (EBUS)-transbronchial needle aspiration (TBNA) has become a widely available tool that allows sampling of mediastinal and hilar lymph nodes with comparable accuracy as compared with the gold standard procedure, mediastinoscopy. The goal of this study was to evaluate the competence accuracy of this technique in academic medical center in patients with and without malignant disease. This was a retrospective chart review of the first 150 patients who underwent EBUS-TBNA at our institution with an operator not previously trained or supervised while performing the procedure. All nondiagnostic results were confirmed with mediastinoscopy. The cumulative sum analysis is a method used to continuously monitor performance against an established standard to attain competence in the procedure performed. Learning curve was assessed using cumulative sum method. Procedures were divided into sextiles (1-25, 26-50, 51-75, 76-100, 101-125, and 126-150). The technique's diagnostic accuracy was calculated for each of the 6 categories and trend toward improved accuracy was assessed using Cochran-Armitage trend test. Operator competency was achieved between 55th and 60th procedures. The diagnostic accuracy increased from 72% to 88% (from the first to third sextile) but remained stable afterwards at 88% (C-A trend test P = 0.091). The overall diagnostic accuracy was 84%. Trainees' learning rate varies while acquiring adequate knowledge. We suggest that a learning curve for each operator be used to assess competence in EBUS-TBNA procedure before physicians perform it without supervision. PMID:24621644

  13. A 65-Year-Old Groundskeeper With High Fever, Pulmonary Nodules, and Thoracic Lymphadenopathy.

    PubMed

    Foster, Clayton L; Badlam, Jessica; De Groote, Mary Ann; Chan, Edward D

    2016-06-01

    A 65-year-old man with treated latent tuberculous infection presented with 1 week of fevers (up to 39.6°C), chills, headache, lightheadedness, and malaise. He reported a chronic, nonproductive cough without hemoptysis but denied other localizing symptoms, sick contacts, or recent travel. He lived in an urban area in eastern Colorado and owned one healthy dog but otherwise denied known animal exposures. He was a retired oil driller who had worked in southern Arizona, New Mexico, and northern Mexico (Sonora region). Other travel included 3 years in the early 1970s working as a military aircraft mechanic in Vietnam, Laos, and Thailand. Six weeks prior to admission, he began work as a groundskeeper on a golf course that had experienced recent flooding, using a riding mower and exposing himself to airborne dust and organic debris. He smoked a pipe daily for 30 years but quit 2 months prior to presentation, although he continued to smoke marijuana weekly. He denied intravenous drug use. PMID:27287596

  14. Tubercular mediastinal lymphadenopathy: An unusual cause of failed decannulation and tracheostomy.

    PubMed

    Thapa, Deepak; Ahuja, Vanita; Khandelwal, Purva

    2011-05-01

    Literature has described many causes of failed decannulation and weaning. However, failed decannulation and weaning from ventilator due to a hilar lymph node compressing upon a bronchus has not been described. We report a case of a 30-year-old man with Guillain-Barré syndrome who had quadriparesis and respiratory distress. After 1 year of intensive care unit admission, he was ambulatory, haemodynamically stable, devoid of sepsis, had effective cough with tracheostomy in situ. Every attempt of decannulation led to pooling of secretions in left side of chest, hypercarbia and altered sensorium. This was followed by re-institution of ventilator support. Chest x-ray was unremarkable, but computed tomography (CT) chest done during this time showed a mass compressing upon left lower lobe bronchus. Flexible fibre-optic bronchoscopy and transbronchial biopsy confirmed the diagnosis to be tubercular lymph node. After 1 month of starting of anti-tubercular treatment, there was resolution of the mass with relief of the bronchial compression and a successful decannulation thereafter. Role of CT in difficult cases of weaning is emphasized, and role of bronchoscopy is highlighted in difficult cases of weaning and decannulation. PMID:21808407

  15. Kimura’s Disease: A Rare Cause of Chronic Lymphadenopathy in a Child

    PubMed Central

    SNEHA, Latha Magatha; NAGARAJAN, Vinoth Ponnurangam; KARMEGARAJ, Balaganesh; RAO, Shalini; MANIPRIYA, Ravindran; SCOTT, Julius Xavier

    2015-01-01

    Kimura’s disease is an uncommon entity that affects adults, with a predilection for the Asian population. This may rarely be encountered in children, and the knowledge of this fact is essential to rule out the remote possibility of Kimura’s disease in children with a slow-growing painless mass in the head and neck region. In this case report, we document this disease in an 8-year-old boy with a slow-growing swelling in the right posterior auricular region. PMID:26023299

  16. A Rare Cause of Crazy-Paving and Mediastinal Lymphadenopathy: Congestive Heart Failure

    PubMed Central

    Senturk, Aysegul; Karalezli, Aysegul; Soyturk, Ayse Nur; Hasanoglu, H. Canan

    2013-01-01

    Crazy-paving sign is a pattern seen on multislice computed tomography images of the lungs. It is characterized by a reticular pattern superimposed on ground-glass opacity. It was first described in the late 1980s in patients with pulmonary alveolar proteinosis, but has now been described in some other diseases of the lung. Enlarged mediastinal lymph nodes can be seen in infectious and specific inflammatory diseases and malignancies. The present report describes a case of a 44-year-old man in whom congestive heart failure presented with a crazy-paving appearance and enlarged lymph nodes of the lungs on the chest computed tomography scan. PMID:24083067

  17. Visual diagnosis: 12-month-old boy with persistent rash and lymphadenopathy.

    PubMed

    Sears, William; Hodge, Bethany; Jones, Brooke; Thompson, Matthew; Vidwan, Navjyot

    2014-10-01

    Gianotti-Crosti syndrome (GCS) is a self-limiting, papular or papulovesicular, symmetric, acral exanthem that typically presents subsequent to viral infection, bacterial infection, or immunization in a child 1 to 4 years old. The rash can persist for 2 to 10 weeks. Recent infection with Epstein-Barr virus is the most common serologic finding in patients who have developed GCS. The diagnosis is often made after the child has been unsuccessfully treated for a more common cause of an acral rash (eg, scabies). There are no pathognomonic laboratory or histopathologic findings. GCS, therefore, is still a clinical diagnosis of exclusion. The rash is self-limited, and treatment is usually not necessary. However, topical corticosteroids are anecdotally reported to reduce duration of rash. Oral antihistamines can be used to treat pruritus. Parents should be assured that resolution is almost always complete, scarring seldom occurs, and recurrence is rare. PMID:25274975

  18. Pulmonary Langerhans Cell Histiocytosis in an Adult Diagnosed with Solitary Inguinal Lymphadenopathy.

    PubMed

    Luo, Wei; Li, Ya-lun; Jia, Lian; Liu, Chun-tao

    2015-01-01

    We herein report an extremely rare case of pulmonary Langerhans cell histiocytosis with a solitary enlarged inguinal lymph node. A 19-year-old man presented with a non-productive cough lasting for over a five-month period and an enlarged left inguinal lymph node that had persisted for four months. A histopathological study of the lymph node specimens found Langerhans cells coupled with eosinophils. Positive immunohistochemical staining for langerin, Cluster of Differentiation 1a, S100 in the Langerhans cells confirmed the diagnosis, and a mildly impaired ventilation function in addition to multiple peripheral pulmonary cystic lesions were detected. The patient was managed with prednisone (0.5 mg/kg daily), with slow tapering over several months. PMID:26134198

  19. Therapeutisches Management kutaner und genitaler Warzen.

    PubMed

    Ockenfels, Hans Michael

    2016-09-01

    Mindestens 10 % der Bevölkerung erkranken während ihres Lebens an einer Infektion mit humanen Papillomaviren (HPV), welche sich klinisch anhand der Ausbildung kutaner oder genitaler Warzen manifestiert. Obwohl Warzen ubiquitär sind, existieren keine definierten Behandlungen. Warzen zeigen, insbesondere in den ersten sechs Monaten, eine erhöhte Selbstheilungsrate. Dieser Umstand erschwert die Interpretation von Studien, da häufig Patienten mit Neuinfektionen zusammen mit Patienten mit Altinfektionen behandelt werden. Lokalisationen, Größe und Dicke der Warzen sind ebenfalls in den meisten Fällen nicht berücksichtigt. Ziel dieses Übersichtsartikels ist eine Analyse des vorliegenden Studienmaterials, unter der für den klinischen Alltag so wichtigen Berücksichtigung von Subtypen und Lokalisationen. Insbesondere die Abgrenzung zwischen frischen und chronisch-therapieresistenten Verrucae vulgares spiegelt sich in einem Therapiealgorithmus wider. Bei genitalen Warzen wird der Therapiealgorithmus deutlicher durch das Ausmaß der infizierten Fläche als durch das Alter der Warzen bestimmt. Bei immunkompetenten Personen muss es mit den hier aufgezeigten therapeutischen Methoden immer das Ziel sein, eine komplette Abheilung zu erzielen. PMID:27607029

  20. Gestresste Haut? - Aktueller Stand molekularer psychosomatischer Zusammenhänge und ihr Beitrag zu Ursachen und Folgen dermatologischer Erkrankungen.

    PubMed

    Peters, Eva M J

    2016-03-01

    In den 70er Jahren des vergangenen Jahrhunderts wurde zum ersten Mal ein pathogenetisch relevanter Zusammenhang zwischen Stress, im Sinne von psychosozialem Stress, und Krankheit am Beispiel von viralen Erkrankungen der Schleimhäute (wie Rhinovirus-, Coxsackie-Infektion) nachgewiesen. Seither nehmen Publikationen, die diese Zusammenhänge bis auf die molekulare Ebene erforschen, jährlich zu. Dennoch sind die Evidenzen für einen Einfluss von psychosozialer Belastung auf chronisch-entzündliche Hauterkrankungen und auf Hauttumoren wenig bekannt. In diesem Beitrag fassen wir die aktuellen Erkenntnisse aus Epidemiologie, Psychoneuroimmunologie und molekularer Psychosomatik narrativ zusammen. Sie belegen die vielfältigen krankheitsrelevanten Interaktionen zwischen endokrinem System, Nervensystem und Immunsystem. Im Fokus stehen stressinduzierte Verschiebungen in der Immunbalance bei ausgewählten Erkrankungen wie Neurodermitis, Psoriasis oder malignem Melanom. Ziel dieses Beitrages ist die Vermittlung psychosomatischen Grundlagenwissens bei chronischen Dermatosen. Dies reicht von der Ätiologie über die Symptomatik bis zu den therapeutischen Optionen. Besonderes Augenmerk liegt dabei auf den zugrunde liegenden molekularen Zusammenhängen sowohl aus der somatopsychischen als auch aus der psychosomatischen Perspektive. PMID:26972186

  1. Unverstandene Horaz-Zitate bei Nicolaus Copernicus.

    NASA Astrophysics Data System (ADS)

    Krafft, F.

    Being a Renaissance Humanist, Copernicus takes care to demonstrate his education also by quotations from classical authors which however are concealed in a way that they are recognized and understood in their meaning only by equally educated persons. Three such quotations from the Ars poetica by Horace are represented. These not only enable completely new insights into the dating of certain phases of his writing the main work De revolutionibus (especially book III) but also mark his characterization of "good" and "bad" astronomers (and astronomies). Furthermore they give evidence that T.S. Kuhn's "Structure of Scientific Revolutions" cannot apply to the Copernican turning point of astronomy called revolution.

  2. Mensch-Maschine-Interaktion bei Fahrerassistenzsystemen

    NASA Astrophysics Data System (ADS)

    Reif, Konrad

    Der Autofahrer muss eine ständig wachsende Flut von Informationen verarbeiten, die vom eigenen und von fremden Fahrzeugen, von der Straße und über Tele kommunikationseinrichtungen auf ihn einwirken. Diese Informationen müssen ihm mit geeigneten Anzeigemedien und unter Beachtung ergonomischer Erfor dernisse übermittelt werden.

  3. A crucial role of the thymus in induction by the lprcg gene of lymphadenopathy with autoimmunity in the mouse.

    PubMed

    Matsuzawa, A; Moriyama, T; Ogata, Y; Katagiri, T; Kimura, M

    1992-04-01

    The new mutation at the lpr locus, lprcg, induces massive lymphoproliferation characterized by the selective expansion of CD4-, CD8-, B220+, Thy-1+ cells or double-negative T lymphocytes and production of autoantibodies as does lpr. The thymus is necessary for the induction of anomalous double-negative T lymphocytes and autoimmune symptoms by lpr. To determine whether or not the thymus is also indispensable to expression of the function of lrpcg, lprcg homozygous athymic nude mice (lprcg/lprcg nu/nu; lprcg nudes) were constructed by crossing CBA/KlJms-lprcg/lprcg (CBA-lprcg) and DDD/l-nu/nu mice and observed for lymphoid organ hyperplasia and autoantibody production with or without thymus grafts from various strains of mice including CBA-lprcg. Neither lymphoproliferation nor significantly increased production of autoantibodies was observed in unmanipulated lprcg nudes. In contrast, thymus grafts of both +/+ and lprcg/lprcg genotypes caused lymphoid organ hyperplasia composed of anomalous double-negative T lymphocytes and significantly augmented the production of antibodies against single-stranded DNA (ssDNA). Interestingly, serum Ig and anti-ssDNA antibody levels rose in response to thymus grafts only in IgG but not in IgM classes. These results indicate that the thymus plays a crucial role in the induction of abnormal T-cell differentiation by lprcg and that thymic genotype is irrelevant. PMID:1592441

  4. [A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy].

    PubMed

    Tsyba, N N; Turkina, A G; Chelysheva, E Yu; Nemchenko, I S; Kovrigina, A M; Obukhova, T N; Urnova, E S; Kuz'mina, L A; Savchenko, V G

    2016-01-01

    Myeloproliferative disease associated with FGFR1 rearrangement (8p11), which is included in the 2008 WHO Classification of Myeloid Neoplasms, is a rare and extremely aggressive abnormality. The paper describes a clinical case of a 39-year-old female patient who was detected to have leukocytosis (as high as 47.2·109/l), absolute eosinophilia (as high as 3.1·109/l), and enlarged peripheral lymph nodes during her visit to a doctor. The bone marrow (BM) showed the changes typically encountered in myeloproliferative disease with eosinophilia. The patient was found to have t(8;13)(p11;q12) translocation associated with the rearrangement of the FGFR1 gene located at the 8p11 locus. Molecular and cytogenetic examinations failed to reveal BCR-ABL chimeric transcript, Jak2 V617F mutation, and deletions and translocations involving PDGFRA (4q12) and PDGFRB (5q32-33). The similar changes in the karyotype were also found in the lymph node cells. The undertaken treatment with hydroxyurea and the tyrosine kinase inhibitor dasatinib turned out to be ineffective. The patient underwent allogeneic BM transplantation from a HLA-identical sibling. Graft rejection occurred 6 months later. Allogeneic BM transplantation from the same donor (100% donor chimerism; FGFR1/8р11 translocation was not detected), which was complicated by the development of chronic graft-versus-host reaction, was performed again in March 2015. The patient is being followed up and continues to receive immunosuppressive therapy. PMID:27459622

  5. Bei: Intraclausal Coherence Relations Illustrated with a German Preposition

    ERIC Educational Resources Information Center

    Grabski, Michael; Stede, Manfred

    2006-01-01

    Coherence relations are typically taken to link two clauses or larger units and to be signaled at the text surface by conjunctions and certain adverbials. Relations, however, also can hold within clauses, indicated by prepositions like despite, due to, or in case of, when these have an internal argument denoting an eventuality. Although these…

  6. 78 FR 16680 - Shu Bei Yuan: Debarment Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    .... The purpose of Ms. Yuan's scheme was to import, enter, and sell Chinese-origin honey into the United... Homeland Security, Bureau of Customs and Border Protection (CBP) that the imported honey originated from countries other than China, including South Korea, when in fact Ms. Yuan knew that the honey originated...

  7. Physik im Beruf Physiker bei der Deutschen Börse

    NASA Astrophysics Data System (ADS)

    Schäfer, Carsten

    2002-01-01

    Seine wissenschaftlichen Wirkungsstätten sind schnell aufgezählt: Basel, St. Petersburg, Berlin. Und wieder St. Petersburg. Mit seiner Arbeit ist das schon schwieriger.Insgesamt zählt man ungefähr 900 Arbeiten und zwanzig Bücher aus seiner Feder.

  8. Radio occultation based on BeiDou satellite navigation

    NASA Astrophysics Data System (ADS)

    Jiang, Hu; Hu, Haiying; Shen, Xue-min; Gong, Wenbin; Zhang, Yonghe

    2014-11-01

    With the development of GNSS systems, it has become a tendency that radio occultation is used to sense the Earth's atmosphere. By this means, the moisture, temperature, pressure, and total electron content can be derived. Based on the sensing results, more complicated models for atmosphere might come into being. Meteorology well benefits from this technology. As scheduled, the BD satellite navigation system will have a worldwide coverage by the end of 2020. Radio occultation studies in China have been highlighted in the recent decade. More and more feasibilities reports have been published in either domestic or international journals. Herein, some scenarios are proposed to assess the coverage of radio occultation based on two different phases of BD satellite navigation system. Phase one for BD is composed of GEO,IGSO and several MEO satellites. Phase two for BD consists mostly of 24 MEO satellites, some GEO and IGSO satellites. The characteristics of radio occultation based on these two phases are presented respectively.

  9. Untersuchungen zur Regeneration des Hinterendes bei Anaitides mucosa (Polychaeta, Phyllodocidae)

    NASA Astrophysics Data System (ADS)

    Röhrkasten, A.

    1983-06-01

    Caudal regeneration was investigated in decerebrate Anaitides mucosa and in brain-intact individuals. Both groups show an identical capacity to regenerate lost caudal segments. Furthermore there is no difference in males and females. Low temperature (5 °C) inhibits the regeneration of caudal segments, but it is necessary for normal oogenesis. Under conditions of high temperature (15 °C), caudal regeneration is very extensive. At the same time degeneration of most oocytes occurs.

  10. Quantitative Analyse der Korallenbesiedlung eines Vorriffareals bei Aqaba (Rotes Meer)

    NASA Astrophysics Data System (ADS)

    Mergner, H.; Schuhmacher, H.

    1981-09-01

    Previous descriptions of the ecology and zonation of Aqaba reefs (Mergner & Schuhmacher, 1974) are supplemented by this quantitative study of a test quadrat (5×5 m in size), randomly chosen in some 10 m depth in the middle fore reef of a coastal fringing reef. Of the total surface of 25 m2 Cnidaria represent 42.31%, sponges 0.17%, calcareous algae 0.20%, dead coral rock and pebble 30.27% and sand and coral debris 26.15%. The cnidarian cover is roughly equally contributed by 50.86% Scleractinia and 48.61% Alcyonaria, mainly Xeniidae (35.81%). For each species the percentage of the total cover (measured as vertical projection), colony number, average and maximal colony size are given. A total number of 104 cnidarian species was recorded, among which the 78 scleractinian species represent 34 of the 55 coral genera known from the Red Sea. The well balanced regime of moderate light and current conditions which are tolerated both by shallow and deep water species may account for the high species number. Disturbances such as occasional sedimentation, grazing of sea urchins (Diadema setosum) and overgrowth of stony corals by xeniids result in continuous fluctuations of the coral community, in small colony size and in high colony number. Abiotic factors and biotic interactions maintain a diversity (H=3.67) which ranks among the greatest ever found in reef communities. The data obtained from the fore reef square are compared with those of a similar test square in the lagoon of the same reef and with results from transect zonations on the opposite coast of the Gulf of Aqaba. These comparisons indicate that the fore reef harbours the richest coral fauna in the reef. The inventory of coral species at the northern end of the Gulf of Aqaba, one of the northernmost outposts of the coral reef belt, is only little reduced when compared with that of the central Red Sea; this great species diversity is in contrast to the worldwide decrease of species number towards the periphery of the reef belt.

  11. Sexuelle Fortpflanzung bei der braunen Krustenalge Pseudolithoderma extensum

    NASA Astrophysics Data System (ADS)

    Peters, Akira F.

    1989-06-01

    Reproduction was studied in Pseudolithoderma extensum (Crouan et Crouan) Lund (Lithodermataceae, Phaeophyceae) from Helgoland. Both gametophytes and sporophytes are crustose. Fertile gametophytes were found in nature in January and February. They released motile isogametes from plurilocular gametangia, each gamete leaving its locule through a separate opening. Plasmogamy was observed directly under the microscope. In laboratory culture, zygotes developed to crustose thalli, whereas unfused gametes died soon after germination. Sporophytes were found in nature with fertile unilocular sporangia in March. In culture, zoospores released from these sporangia also developed to crusts. Kuckuck’s observation at the beginning of the century (1912a) that P. extensum exhibits an alternation of isomorphic generations and isogamy is thus confirmed.

  12. CT differentiation of enlarged mediastinal lymph node due to anthracosis from metastatic lymphadenopathy: a comparative study proven by endobronchial US-guided transbronchial needle aspiration

    PubMed Central

    Kirchner, Johannes; Broll, Michael; Müller, Phillip; Pomjanski, Natalia; Biesterfeld, Stepfan; Liermann, Dieter; Kickuth, Ralph

    2015-01-01

    PURPOSE Anthracosis often results in mediastinal nodal enlargement. The aim of this comparative study was to evaluate if it is possible to differentiate endobronchial ultrasound-guided trans-bronchial needle aspiration (EBUS-TBNA) proven anthracotic lymph nodes from malignant lymph node enlargement by means of multislice computed tomography (MSCT). METHODS We compared the MSCT findings of 89 enlarged lymph nodes due to anthracosis with 54 malignant lymph nodes (non-small cell lung cancer 75.9%, small cell lung cancer 18.5%, and non-Hodgkin lymphoma 5.6%). The lymph nodes were assessed for density (calcification, fat, and necrosis), shape (oval, round), contrast enhancement, and contour (sharp, ill-defined). RESULTS Malignant lymph nodes showed significantly greater axis diameters (P < 0.001). Both anthracotic and malignant nodes were most often oval (86.5% of all malignant nodes vs. 81.5% of all anthracotic nodes, P = 0.420) and showed confluence in a remarkable percentage (28.1% vs. 42.6%, P = 0.075). Anthracotic nodes showed calcifications more often (18% vs. 0%, P < 0.001). Malignant lymph nodes showed a significantly greater short and long axis diameter (P < 0.001), and they had a higher frequency of ill-defined contours (27.8% vs. 2.2%, P < 0.001) and contrast enhancement (27.8% vs. 5.6%, P < 0.001). Nodal necrosis, which appeared in one third of the malignant nodes, was not observed in anthracosis (35.2% vs. 0%, P < 0.001). Confluence of enlarged lymph nodes was seen in malignant lymph nodes (42.6%), as well as in lymph node enlargement due to anthracosis (28.1%, P = 0.075). CONCLUSION Our results show that there are significant differences in MSCT findings of malignant enlarged lymph nodes and benign lymph node enlargement due to anthracosis. PMID:25616268

  13. The Vancouver Lymphadenopathy-AIDS Study: 5. Antecedent behavioural, clinical and laboratory findings in patients with AIDS and HIV-seropositive controls.

    PubMed

    Boyko, W J; Schechter, M T; Craib, K J; Constance, P; Nitz, R; Fay, S; McLeod, A; O'Shaughnessy, M

    1986-10-15

    In a group of homosexual men in Vancouver studied prospectively since November 1982, 26 cases of acquired immune deficiency syndrome (AIDS) have arisen. To identify behavioural, clinical and laboratory findings that might predict the development of AIDS in people with antibody to human immunodeficiency virus (HIV), we compared data for 25 patients with AIDS with corresponding data for 80 controls serologically positive for HIV selected from the cohort. The clinical and laboratory data for the patients with AIDS preceded the diagnosis of the syndrome by a mean of 17.5 months. The controls had been both seropositive and AIDS-free for a mean of 16.7 months after acquisition of their data. We detected significant differences between the patients with AIDS and the controls in IgG and IgA levels, absolute number of helper T cells and ratio of helper to suppressor T cells but not in lifetime number of male sexual partners, frequency of receptive anal intercourse or receptive fisting, illicit drug use or history of infectious disease. We also detected an increased risk of AIDS among those who had an elevated number of sexual contacts in AIDS-endemic areas in the 5 years before enrollment. A history of increased early sexual contact in AIDS-endemic areas is likely to be associated with early infection and with an increased risk of AIDS among men with HIV infection of unknown duration. Thus, although our analysis had limited statistical power, we conclude that most lifestyle variables appear to act as exposure factors in HIV infection but not as cofactors in the development of AIDS. PMID:3463386

  14. Recommendations for assisting in the prevention of perinatal transmission of human T-lymphotropic virus type III/lymphadenopathy-associated virus and acquired immunodeficiency syndrome.

    PubMed

    1985-12-01

    The majority of cases of pediatric acquired immunodeficiency syndrome (AIDS) are transmitted perinatally. 165 (76%) of the cases of AIDS in children under 13 years of age reported as of December 1, 1985, in the US had as the only known risk factor a mother from a high-risk group. However, perinatal transmission from an infected mother to her infant is not automatic; studies have placed the rate of transmission from 0%-65%. A concern in addition to the risk posed to infants born to infected mothers is evidence of an increased likelihood of developing full-blown AIDS when infection with the AIDS virus occurs in association in pregnancy. Target groups for counseling and testing for antibodies to the AIDS virus should include pregnant women or those who may become pregnant who already have evidence of AIDS infection, are intravenous drug abusers, were born in countries where there is a high rate of heterosexual transmission of AIDS, are prostitutes, or are the sexual partners of men in high-risk groups. Such counseling and testing should be made available through the settings that women at increased risk frequent, including drug abuse treatment programs and sexually transmitted diseases clinics. Infected women should be advised to delay pregnancy until more is known about the perinatal transmission of AIDS. Pregnancy infected women should be closely monitored for the development of opportunistic infections as well as psychosocial difficulties. Although these recommendations pertain to women, men who are infected with the AIDS virus also should be counseled about risks of perinatal transmission. PMID:2999576

  15. The Vancouver Lymphadenopathy-AIDS Study: 5. Antecedent behavioural, clinical and laboratory findings in patients with AIDS and HIV-seropositive controls.

    PubMed Central

    Boyko, W J; Schechter, M T; Craib, K J; Constance, P; Nitz, R; Fay, S; McLeod, A; O'Shaughnessy, M

    1986-01-01

    In a group of homosexual men in Vancouver studied prospectively since November 1982, 26 cases of acquired immune deficiency syndrome (AIDS) have arisen. To identify behavioural, clinical and laboratory findings that might predict the development of AIDS in people with antibody to human immunodeficiency virus (HIV), we compared data for 25 patients with AIDS with corresponding data for 80 controls serologically positive for HIV selected from the cohort. The clinical and laboratory data for the patients with AIDS preceded the diagnosis of the syndrome by a mean of 17.5 months. The controls had been both seropositive and AIDS-free for a mean of 16.7 months after acquisition of their data. We detected significant differences between the patients with AIDS and the controls in IgG and IgA levels, absolute number of helper T cells and ratio of helper to suppressor T cells but not in lifetime number of male sexual partners, frequency of receptive anal intercourse or receptive fisting, illicit drug use or history of infectious disease. We also detected an increased risk of AIDS among those who had an elevated number of sexual contacts in AIDS-endemic areas in the 5 years before enrollment. A history of increased early sexual contact in AIDS-endemic areas is likely to be associated with early infection and with an increased risk of AIDS among men with HIV infection of unknown duration. Thus, although our analysis had limited statistical power, we conclude that most lifestyle variables appear to act as exposure factors in HIV infection but not as cofactors in the development of AIDS. PMID:3463386

  16. Massive Pelvic Lymphadenopathy Due to Recurrent Non-Hodgkin Lymphoma Incidentally Revealed on a 99mTc-MDP Bone Scintigraphy.

    PubMed

    Huang, Jianmin; Xie, Peng

    2016-06-01

    A 58-year-old man underwent Tc-MDP bone scintigraphy to evaluate the cause of diffuse bone pain. The images did not identify the exact cause of his symptoms. However, a "light bulb"-shaped urinary bladder and diffused increased activity in the scrotal region and left thigh were noted, which suggest a mass effect in the pelvis. A CT scan of the pelvis revealed soft tissue compressing the urinary bladder. A diagnosis of recurrent lymphoma was made. PMID:26828142

  17. Vergleich von rekombinanten Vaccinia- und DNA-Vektoren zur Tumorimmuntherapie im C57BL/6-Mausmodell

    NASA Astrophysics Data System (ADS)

    Johnen, Heiko

    2002-10-01

    In der vorliegenden Arbeit wurden Tumorimpfstoffe auf der Basis des Plasmid-Vektors pCI, modified vaccinia virus Ankara (MVA) und MVA-infizierten dendritischen Zellen entwickelt und durch Sequenzierung, Western blotting und durchflußzytometrische Analyse überprüft. Die in vivo Wirksamkeit der Vakzinen wurde in verschiedenen Tumormodellen in C57BL/6 Mäusen verglichen. Die auf dem eukaryotischen Expressionsvektor pCI basierende DNA-Vakzinierung induzierte einen sehr wirksamen, antigenspezifischen und langfristigen Schutz vor Muzin, CEA oder beta-Galactosidase exprimierenden Tumoren. Eine MVA-Vakzinierung bietet in den in dieser Arbeit durchgeführten Tumormodellen keinen signifikanten Schutz vor Muzin oder beta-Galactosidase exprimierenden Tumoren. Sowohl humane, als auch murine in vitro generierte dendritische Zellen lassen sich mit MVA – im Vergleich zu anderen viralen Vektoren – sehr gut infizieren. Die Expressionsrate der eingefügten Gene ist aber gering im Vergleich zur Expression in permissiven Wirtszellen des Virus (embryonale Hühnerfibroblasten). Es konnte gezeigt werden, daß eine MVA-Infektion dendritischer Zellen ähnliche Auswirkungen auf den Reifezustand humaner und muriner dendritischer Zellen hat, wie eine Infektion mit replikationskompetenten Vakzinia-Stämmen, und außerdem die Hochregulation von CD40 während der terminalen Reifung von murinen dendritischen Zellen inhibiert wird. Die während der langfristigen in vitro Kultur auf CEF-Zellen entstandenen Deletionen im MVA Genom führten zu einer starken Attenuierung und dem Verlust einiger Gene, die immunmodulatorische Proteine kodieren, jedoch nicht zu einer Verminderung des zytopathischen Effekts in dendritischen Zellen. Die geringe Expressionsrate und die beobachtete Inhibition der Expression kostimulatorischer Moleküle auf dendritischen Zellen kann für eine wenig effektive Induktion einer Immunantwort in MVA vakzinierten Tieren durch cross priming oder die direkte Infektion

  18. Timing group delay and differential code bias corrections for BeiDou positioning

    NASA Astrophysics Data System (ADS)

    Guo, Fei; Zhang, Xiaohong; Wang, Jinling

    2015-05-01

    This article first clearly figures out the relationship between parameters of timing group delay (TGD) and differential code bias (DCB) for BDS, and demonstrates the equivalence of TGD and DCB correction models combining theory with practice. The TGD/DCB correction models have been extended to various occasions for BDS positioning, and such models have been evaluated by real triple-frequency datasets. To test the effectiveness of broadcast TGDs in the navigation message and DCBs provided by the Multi-GNSS Experiment (MGEX), both standard point positioning (SPP) and precise point positioning (PPP) tests are carried out for BDS signals with different schemes. Furthermore, the influence of differential code biases on BDS positioning estimates such as coordinates, receiver clock biases, tropospheric delays and carrier phase ambiguities is investigated comprehensively. Comparative analysis show that the unmodeled differential code biases degrade the performance of BDS SPP by a factor of two or more, whereas the estimates of PPP are subject to varying degrees of influences. For SPP, the accuracy of dual-frequency combinations is slightly worse than that of single-frequency, and they are much more sensitive to the differential code biases, particularly for the B2B3 combination. For PPP, the uncorrected differential code biases are mostly absorbed into the receiver clock bias and carrier phase ambiguities and thus resulting in a much longer convergence time. Even though the influence of the differential code biases could be mitigated over time and comparable positioning accuracy could be achieved after convergence, it is suggested to properly handle with the differential code biases since it is vital for PPP convergence and integer ambiguity resolution.

  19. Die Aufnahme partikulärer Nahrung bei Reniera sp. (Porifera)

    NASA Astrophysics Data System (ADS)

    Langenbruch, Paul-Friedrich

    1985-09-01

    The choanocyte chambers of the marine sponge Reniera sp. protrude with their curved outer surface free into the incurrent canals. The water is sucked into the chambers by cavities between the choanocytes. Particles up to 1 µm in diameter may enter the chambers with the water current. These particles are trapped on the outer surface of the choanocyte collars and are ingested by the choanocytes and processes of the pinacocyte epithelium of the incurrent canal system, which project into the chambers. Bigger particles are retained in the incurrent canals mainly on the outer surface of the choanocyte chambers. They are ingested by pinacocytes of the canal wall and transported to cells of the mesenchyme. The present investigation shows the great importance of the pinacocyte epithelium of the incurrent canal system for suspension feeding in Reniera sp.

  20. Misunderstood citations of Horace by Nicolaus Copernicus. (German Title: Unverstandene Horaz-Zitate bei Nicolaus Copernicus)

    NASA Astrophysics Data System (ADS)

    Krafft, Fritz

    Being a Renaissance humanist, Copernicus takes care to demonstrate his education also by quotations from classical authors which however are concealed in a way that they are recognized and understood in their meaning only by equally educated persons. Three such quotations from the Ars poetica by Horace are represented. These not only enable completely new insights into the dating of certain phases of his writing the main work De revolutionibus (especially book III) but also mark his characterization of 'good' and 'bad' astronomers (and astronomies). Furthermore they give evidence that T.S. Kuhn's ``Structure of Scientific Revolutions'' cannot apply to the Copernican turning point of astronomy called revolution.

  1. "Doch ein Begriff muss bei dem Worte sein": Some Thoughts on Electronically Annotated Literary Texts.

    ERIC Educational Resources Information Center

    Duncan, Bruce; Foelsche, Otmar K. E.

    1995-01-01

    Discusses the use of electronic glossaries, annotated texts, and other ancillae in German-as-a-Second-Language courses at the college level, and asserts that electronic media deliver lexical assistance far more effectively than do traditional methods, using texts in ways previously unavailable. (MDM)

  2. Zur Bedeutung von ausserschulischen Bildungsmassnahmen bei der Arbeitsplatzsuche in zwei brasilianischen Industriezentren

    NASA Astrophysics Data System (ADS)

    Lehmann, Rainer H.; Verhine, Robert E.

    1982-03-01

    In view of the high cost and the often disappointing results achieved by the massive extension of general education in developing countries, this article investigates the extent to which out-of-school education and training courses assist workers in Brazilian industrial centres in obtaining employment. By discriminant analysis, information on the education and training of 149 applicants for industrial jobs in João Pessoa and Salvador is related to the success rate of their applications. It is shown that, while formal school education raises the vocational expectations of the workers in both towns, it does not coincide with a higher probability of securing employment. On the other hand, participation in out-of-school education or training correlates positively with employment opportunities, for different reasons according to the context. In João Pessoa, where industry is only in the early stages of development, programmes which appear to have no direct relation to the hoped-for job seem to be as useful in the search for employment as specific professional training courses. This indicates the economic importance of participation in out-of-school courses. In Salvador, however, which is economically more highly developed, out-of-school vocational training alone appears to have a positive influence on the chances of finding employment. Apparently, decision criteria here are oriented more to consideration of usable skills, as they are in Western countries.

  3. Johann Christoph Sturm's universal mathematics and metaphysics (German Title: Universalmathematik und Metaphysik bei Johann Christoph Sturm)

    NASA Astrophysics Data System (ADS)

    Leinsle, Ulrich G.

    In order to understand Sturm's concept of a universal mathematics as a replacement or complement of metaphysics, one first has to examine the evolution of the idea of a mathesis universalis up to Sturm, and his concept of metaphysics. According to the understanding of those times, natural theology belongs to metaphysics. The last section is concerned with Sturm's statements on the existence of God and his assessments for a physico-theology.

  4. Probleme bei der Nutzung von Offshore-Wind-energie aus Sicht des Naturschutzes

    NASA Astrophysics Data System (ADS)

    Merck, Thomas; von Nordheim, Henning

    1999-12-01

    Permissions for wind parks of together more than 1000 wind mills have been asked for regarding only the German Exclusive Economical Zone (EEZ) of the North Sea and the Baltic Sea. Following the German Ordinance for Offshore Installations permission cannot be given if flora and fauna will be affected by the installation. Wind energy plants in the offshore area are a new technique and a thorough assessment of their effects on nature is impossible at the moment. Nevertheless, likely and possible effects could be deduced from experiences on land. Thus it has to be expected that roosting, feeding or migrating sea birds will be affected due to disturbance and collision. At least on a local scale the foundations will destroy the benthos but due to their effects on the hydrology and the sedimentation pattern they may change the composition of benthic communities on a larger scale as well. Furthermore they form an artificial hard substrate that serves as habitat for epibenthic flora and fauna not typically found in great parts of the German part of the North Sea. It should be feared that artificial magnetic and electric fields generated by the cable links will affect small and large scale orientation of fishes and marine mammals. Additional disturbances could arise from noise and vibrations released into the water column as well as from the shadows generated by the turning mills. Although these wind parks at least partly will be placed far off-shore a visual disturbance of the landscape has to be expected just as on land. In addition off-shore wind parks will increase the collision risk for ships and accidents may affect areas even far away from the wind park, e.g. by oil spills. In conclusion there is sufficient reason to assume a considerable risk that off-shore wind parks will affect the environment. So far only wind parks consisting of a few mills should be placed. They have to been seen as case studies to enable the necessary research on their effects on nature.

  5. Recurrent headache as the main symptom of acquired cerebral toxoplasmosis in nonhuman immunodeficiency virus-infected subjects with no lymphadenopathy: the parasite may be responsible for the neurogenic inflammation postulated as a cause of different types of headaches.

    PubMed

    Prandota, Joseph

    2007-01-01

    Headache and/or migraine, a common problem in pediatrics and internal medicine, affect about 5% to 10% children and adolescents, and nearly 30% of middle-aged women. Headache is also one of the most common clinical manifestations of acquired Toxoplasma gondii infection of the central nervous system (CNS) in immunosuppressed subjects. We present 11 apparently nonhuman immunodeficiency virus-infected children aged 7 to 17 years (8 girls, 3 boys) and 1 adult woman with recurrent severe headaches in whom latent chronic CNS T. gondii infection not manifested by enlarged peripheral lymph nodes typical for toxoplasmosis, was found. In 7 patients, the mean serum IgG Toxoplasma antibodies concentration was 189 +/- 85 (SD) IU/mL (range 89 to 300 IU/mL), and in 5 other subjects, the indirect fluorescent antibody test titer ranged from 1:40 to 1:5120 IU/mL (n= <1:10 IU/mL). Some of the patients suffered also from atopic dermatitis (AD) and were exposed to cat and/or other pet allergens, associated with an increased IL-4 and decreased IFN-gamma production. These cytokine irregularities caused limited control of cerebral toxoplasmosis probably because IL-4 down-regulated both the production of IFN-gamma and its activity, and stimulated production of a low NO-producing population of monocytes, which allowed cysts rupture, increased parasite multiplication and finally reactivation of T. gondii infection. The immune studies performed in 4 subjects showed a decreased percentage of T lymphocytes, increased total number of lymphocytes B and serum IgM concentration, and impaired phagocytosis. In addition, few of them had also urinary tract diseases known to produce IL-6 that can mediate immunosuppressive functions, involving induction of the anti-inflammatory cytokine IL-10. These disturbances probably resulted from the host protective immune reactions associated with the chronic latent CNS T. gondii infection/inflammation. This is consistent with significantly lower enzyme indoleamine 2,3-dioxygenase (IDO) activity reported in atopic than in nonatopic individuals, and an important role that IDO and tryptophan degradation pathways plays in both, the host resistance to T. gondii infection and its reactivation. Analysis of literature information on the subjects with different types of headaches caused by foods, medications, and other substances, may suggest that their clinical symptoms and changes in laboratory data result at least in part from interference of these factors with dietary tryptophan biotransformation pathways. Several of these agents caused headache attacks through enhancing NO production via the conversion of arginine to citrulline and NO by the inducible nitric oxide synthase enzyme, which results in the high-output pathway of NO synthesis. This increased production of NO is, however, quickly down-regulated by NO itself because this biomolecule can directly inactivate NOS, may inhibit Ia expression on IFN-gamma-activated macrophages, which would limit antigen-presenting capability, and block T-cell proliferation, thus decreasing the antitoxoplasmatic activity. Moreover, NO inhibits IDO activity, thereby suppressing kynurenine formation, and at least one member of the kynurenine pathway, 3-hydroxyanthranilic acid, has been shown to inhibit NOS enzyme activity, the expression of NOS mRNA, and activation of the inflammatory transcription factor, nuclear factor-kB. In addition, the anti-inflammatory cytokines IL-4 and IL-10, TGF-beta, and a cytokine known as macrophage deactivating factor, have been shown to directly modulate NO production, sometimes expressing synergistic activity. On the other hand, IL-4 and TGF-beta can suppress IDO activity in some cells, for example human monocytes and fibroblasts, which is consistent with metabolic pathways controlled by IDO being a significant contributor to the proinflammatory system. Also, it seems that idiopathic intracranial hypertension, pseudotumor cerebri, and aseptic meningitis, induced by various factors, may result from their interference with IDO and inducible nitric oxide synthase activities, endogenous NO level, and cytokine irregularities which finally affect former T. gondii status 2mo in the brain. All these biochemical disturbances caused by the CNS T. gondii infection/inflammation may also be responsible for the relationship found between neurologic symptoms, such as headache, vertigo, and syncope observed in apparently immunocompetent children and adolescents, and physical and psychiatric symptoms in adulthood. We therefore believe that tests for T. gondii should be performed obligatorily in apparently immunocompetent patients with different types of headaches, even if they have no enlarged peripheral lymph nodes. This may help to avoid overlooking this treatable cause of the CNS disease, markedly reduce costs of hospitalization, diagnosis and treatment, and eventually prevent developing serious neurologic and psychiatric disorders. PMID:17303977

  6. A Prospective Randomized Trial to Study the Impact of Pretreatment FDG-PET for Cervical Cancer Patients With MRI-Detected Positive Pelvic but Negative Para-Aortic Lymphadenopathy

    SciTech Connect

    Tsai, C.-S.; Lai, C.-H.; Chang, T.-C.; Yen, T.-C.; Ng, K.-K.; Hsueh Swei; Lee, Steve P.; Hong, J.-H.

    2010-02-01

    Purpose: This prospective randomized study was undertaken to determine the possible impact of 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) on extrapelvic metastasis detection, radiation field design, and survival outcome for cervical cancer patients with enlarged pelvic nodes on MRI image. Methods and Materials: Inclusion criteria were patients with newly diagnosed Stage I-IVA cervical cancer and with positive pelvic but negative para-aortic lymph nodes (PALN) as detected by magnetic resonance image and good performance status for concurrent chemoradiotherapy. Eligible patients were randomized to receive either pretreatment FDG-PET (study group) or not (control group). Whole pelvis was the standard irradiation field for the control group and those with no extrapelvic findings on PET. The radiation fields for the rest of the study group were extended to include the PALN region or were modified according to the extrapelvic PET finding. Results: From January 2002 to April 2006, 129 patients were included, and 66 of them were randomized to receive FDG-PET. PET detected seven extrapelvic metastases (11%, 6 PALN and 1 omental node), and four of them remained disease-free after treatment modification. For patients who underwent PET compared with those who did not, there were no differences in the 4-year rates of overall survival (79% vs. 85%, p = 0.65), disease-free survival (75% vs. 77%, p = 0.64), and distant metastasis-free survival (82% vs. 78%, p = 0.83). Conclusions: Pretreatment FDG-PET in conjunction with magnetic resonance imaging can improve the detection of extrapelvic metastasis, mainly PALN, and help select patients for extended-field radiotherapy. However, the addition of FDG-PET may not translate into survival benefit, even though PALN relapses are reduced.

  7. Evaluation of improved land use and canopy representation in BEIS v3.61 with biogenic VOC measurements in California

    EPA Science Inventory

    Biogenic volatile organic compounds (BVOC) participate in reactions that can lead to secondarily formed ozone and particulate matter (PM) impacting air quality and climate. BVOC emissions are important inputs to chemical transport models applied on local to global scales but cons...

  8. Evaluation of Baroreflex Effectiveness Index during Real and Simulated Microgravity: Relation to Orthostatic Intolerance

    NASA Technical Reports Server (NTRS)

    Moore, Rachel; Stenger, Michael; Platts, Steven; Lee, Stuart

    2013-01-01

    Bed Rest and Space Flight cause a significant decrease in BEI. BR causes similar changes to BEI as SF. BEI may not correlate with subjects experiencing presyncope, but error is high and n is low. Compression Garments have the potential to restore BEI after short duration BR, but do not prevent recovery.

  9. Thoracic Outlet Syndrome Following Breast Implant Rupture

    PubMed Central

    Caplash, Yugesh; Giri, Pratyush; Kearney, Daniel; Wagstaff, Marcus

    2015-01-01

    Summary: We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenopathy indicated explantation, capsulectomy, and selective lymph node excision. Histology demonstrated silicone lymphadenopathy with no evidence of malignancy. Over the subsequent 12 months, she developed progressive locoregional lymphadenopathy involving bilateral cervical, axillary, and internal mammary groups, resulting in bilateral thoracic outlet syndrome. We report the unusual presentation, progression, and the ultimate surgical management of this patient. PMID:25878942

  10. Videoscopic Versus Open Inguinal Lymphadenectomy for Cancer

    ClinicalTrials.gov

    2015-05-04

    Melanoma; Merkel Cell Carcinoma; Squamous Cell Carcinoma; Penile Carcinoma; Urethral Carcinoma; Extramammary Paget's Disease; Scrotal Carcinoma; Anal Cancer; Vulvar Cancer; Skin Cancer; Lymphadenopathy

  11. Extracolonic Findings on Computed Tomography (CT) Colonography

    ClinicalTrials.gov

    2013-01-25

    Solitary Pulmonary Nodules; Multiple Pulmonary Nodules; Renal Neoplasms; Adrenal Gland Neoplasms; Aortic Aneurysm, Abdominal; Liver Neoplasms; Adnexal and Skin Appendage Neoplasms; Lymphadenopathy; Pancreatic Neoplasms

  12. Optional Elements and Variant Structures in the Productions of "Bei2" "to Give" Dative Constructions in Cantonese-Speaking Adults and Three-Year-Old Children

    ERIC Educational Resources Information Center

    Wong, Anita M.-Y.; Chow, Dorcas C.-C.; McBride-Cheng, Catherine; Stokes, Stephanie F.

    2010-01-01

    To express object transfer, Cantonese-speakers use a "ditransitive" ([V-R-T] or [V-T-R] where V = Verb, T = Theme, R = Recipient), or a more complex prepositional/serial-verb (P/SV) construction. Clausal elements in Cantonese datives can be optional (resulting in "full" versus "non-full" forms) or appear in variant orders (full non-canonical and…

  13. Limitierungen bei der Ermittlung der Grundwasserfließrichtung in tiefen Aquiferen am Beispiel des Malms im Süddeutschen Molassebecken

    NASA Astrophysics Data System (ADS)

    Savvatis, Alexandros; Steiner, Ulrich; Huber, Bernhard; Fritzer, Thomas; Schneider, Michael

    2015-12-01

    The groundwater flow direction in deep inclined aquifers is generally determined from contour maps based on the conversion of the reservoir pressure from deep wells to standardized groundwater levels. The standardizing is done with a representative water column of constant density in which an increasing depth of the aquifer has an increasing influence on the calculated groundwater levels. However, integration of new pressure data from recently drilled geothermal wells in the Malm of the South German Molasse Basin in the greater area of Munich led to a hydrogeologically unrealistic groundwater flow direction below the Alps. The present work demonstrates the applied method for standardization, performs an error analysis, and shows the limits of the applicability of this method. An alternative approach is introduced along with a concrete example where the local flow direction is determined by neighboring wells (cluster method). A sensitivity analysis with respect to the uncertainty in temperature shows that this approach provides realistic results from realistic input scenarios. The presented cluster method is therefore able to provide pilot points for calibration/verification of a basin-scale groundwater flow model.

  14. Effect of various nitrogen salts in beet pulp medium on polygalacturonase activity of Penicillium sp. 7/4B/EI 1 mutant.

    PubMed

    Szajer, I

    1978-01-01

    The highest PG activity was obtained in beet pulp with (NH4)2HPO4 in amount equivalent to 0.14--0.28% N after 7 days of growth; At optimal concentration, (NH4)2HPO4 did not influence the biomass production, but increased the pH of the culture media to above 6.0. The PG was an extracellular enzyme, acting mainly on highly esterified pectin. The attack was of a random manner, characteristic for the endo-enzymes. The enzyme was active at temperature 20 degrees C--40 degrees C and pH 5.0--6.0. PMID:81597

  15. Drei Wochen bei den Internationalen Sommerkursen in Erfurt, 22. Juli-11. August 1968 (Three Weeks at the International Summer Courses in Erfurt).

    ERIC Educational Resources Information Center

    Mayer, Elizabeth M.

    This paper discusses life in East Germany as observed by the author during a three-week program of summer courses in Erfurt. Background information includes a description of Erfurt, a brief review of its history, and analysis of the daily life of East Germans--their attitudes towards the state, physical appearance, salary structure, and…

  16. First report of Rickettsia raoultii in field collected Dermacentor reticulatus ticks from Austria.

    PubMed

    Duscher, Georg G; Hodžić, Adnan; Weiler, Martin; Vaux, Alexander G C; Rudolf, Ivo; Sixl, Wolfdieter; Medlock, Jolyon M; Versteirt, Veerle; Hubálek, Zdenek

    2016-07-01

    In a set of pooled field collected Dermacentor reticulatus ticks, Rickettsia raoultii, the causative agent of Tick-borne lymphadenopathy/Dermacentor-borne necrosis erythema and lymphadenopathy, was found for the first time in Austria. The coordinates of the positive locations for tick and pathogen abundance are given and shown in a map. PMID:26976704

  17. Biogenic Emissions Inventory System

    EPA Science Inventory

    ***BEIS3 is now embedded in the CMAQ model***

    The Biogenic Emissions Inventory System, Version 3 (BEIS3) is being developed to support the needs of regional and urban-scale air quality simulation models. BEIS3 is designed to be incorporated into the Sparse Matrix Op...

  18. [Complications of breast augmentation - a case report].

    PubMed

    Zedníková, I; Třešková, I; Schmiedhuber, P; Hes, O

    2012-08-01

    As with any surgery, breast augmentation does have certain risks and complications. The aim of this article is to point out a rare complication of breast augmentation - axillary silicone lymphadenopathy (defined as the presence of silicone in the lymph nodes). The authors present a case report of silicone lymphadenopathy in a young woman after the rupture of a silicone breast implant. As the number of women with breast implants is increasing, it is necessary to bear this rare complication of breast augmentation in mind in differential diagnosis of axillary lymphadenopathy. PMID:23153428

  19. Rosai-Dorfman disease with spontaneous resolution: case report of a child

    PubMed Central

    Lima, Felipe Barbosa; Barcelos, Pedro Samuel de Valões; Constâncio, Ana Paula Nunes; Nogueira, Cleto Dantas; Melo-Filho, Antônio Aldo

    2011-01-01

    Rosai-Dorfman disease is a self-limiting condition caused by histiocyte proliferation within the sinusoids of lymph nodes and in extranodal tissue. It is a rare disease, particularly in children, that progresses with extensive lymphadenopathy. This paper reports on the case of a 2-year-old child with progressive cervical lymphadenopathy associated with persistent fever and radiological findings suggestive of lymphoma. Histopathological and immunohistochemistry studies of a lymph node biopsy established the diagnosis of Rosai-Dorfman disease. Both lymphadenopathy and fever resolved spontaneously. PMID:23049324

  20. Langerhans Cell Histiocytosis in an Infant Mimicking a Lymphoma at Presentation

    PubMed Central

    Madasu, Anjan; Noor Rana, Asim; Banat, Saleh; Humad, Hani; Mustafa, Rashid; AlJassmi, Abdulrahman Mohd

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a rare disorder characterized by proliferation and accumulation of clonal dendritic cells with varied clinical presentation and an unpredictable course. We report a 5-month-old infant with LCH who presented with severe respiratory distress, a large mediastinal mass, significant generalized lymphadenopathy, and hepatosplenomegaly. Lymphoma, especially T cell lymphoblastic lymphoma, can present with superior mediastinal syndrome needing urgent empirical therapy without biopsy. However, lack of response prompted a biopsy which confirmed it to be a case of LCH and that leads to appropriate therapy and survival. There have been reports of LCH presenting with isolated mediastinal mass or with generalized lymphadenopathy, but the combined presentation of generalized lymphadenopathy with large mediastinal mass, hepatosplenomegaly, and fever in an infant has rarely been reported. Conclusion. LCH should also be considered in the differential diagnosis of an infant presenting with generalized lymphadenopathy, mediastinal mass, hepatosplenomegaly, and fever. PMID:26587301

  1. Genome Sequences of Four Strains of Mycobacterium avium subsp. hominissuis, Isolated from Swine and Humans, Differing in Virulence in a Murine Intranasal Infection Model.

    PubMed

    Bruffaerts, N; Vluggen, C; Duytschaever, L; Mathys, V; Saegerman, C; Chapeira, O; Huygen, K

    2016-01-01

    This paper announces the genome sequences of four strains of Mycobacterium avium subsp. hominissuis, isolated from cases of lymphadenopathy in swine and humans, differing in virulence in a murine intranasal infection model. PMID:27313293

  2. Lymphadenitis

    MedlinePlus

    Lymph node infection; Lymph gland infection; Localized lymphadenopathy ... Untreated lymphadenitis may lead to: Abscess formation Cellulitis (a skin infection) Fistulas (seen in lymphadenitis that is due to tuberculosis) Sepsis (bloodstream infection)

  3. Genome Sequences of Four Strains of Mycobacterium avium subsp. hominissuis, Isolated from Swine and Humans, Differing in Virulence in a Murine Intranasal Infection Model

    PubMed Central

    Bruffaerts, N.; Vluggen, C.; Duytschaever, L.; Mathys, V.; Saegerman, C.; Chapeira, O.

    2016-01-01

    This paper announces the genome sequences of four strains of Mycobacterium avium subsp. hominissuis, isolated from cases of lymphadenopathy in swine and humans, differing in virulence in a murine intranasal infection model. PMID:27313293

  4. Cytological, microbiological and therapeutic aspects of systemic infection in a dog caused by the fungus Phialosimplex caninus.

    PubMed

    Sigler, Lynne; Hanselman, Beth; Ruotsalo, Kristiina; Kar Tsui, George; Richardson, Susan

    2013-01-11

    A seven-year-old immunocompetent dog presenting with lymphadenopathy, mesenteric masses and splenic nodules was diagnosed with Phialosimplex caninus infection. Cytology of a mesenteric mass aspirate demonstrated few intact cells but numerous variably sized fungal cells and rare hyphal fragments. The identity of the cultured fungus was confirmed by DNA sequencing. Itraconazole therapy improved clinical signs, but the fungus was reisolated at follow-up. P. caninus systemic infection should be suspected in dogs presenting with lymphadenopathy and splenomegaly. PMID:24432211

  5. Kikuchi-Fujimoto Disease, the Masquerading Menace: A Rare Case Report

    PubMed Central

    Kataria, Rohit; Rao, Pankaj; Kachhawa, Dilip; Jain, Vinod K; Tuteja, Rajat K; Vijayvargiya, Manish

    2016-01-01

    Kikuchi-Fujimoto disease (KFD) or histiocytic necrotizing lymphadenitis is a rare, benign, self-limiting disease with unknown etiology characterized by regional lymphadenopathy. A 30-year-old female presented with fever, weakness, multiple joint pain, oral ulcers, erythematous facial rashes, hemorrhagic crusting on both lips, and cervical lymphadenopathy of 2-month duration. Clinically, the disease was mimicking systemic lupus erythematosus, but immunofluorescence was negative for it. Lymph node biopsy suggested a diagnosis of KFD. PMID:27293275

  6. Colchicine therapy in amyloidosis related with plasmacytic Castleman disease presenting with nephrotic syndrome.

    PubMed

    Paydas, Saime; Paydas, Semra; Ergin, Melek

    2015-09-01

    Castleman disease (CD) is a neoplasm that presents with single or multiple lymphadenopathy. The disease is characterized by fever, weight loss, anemia, polyclonal hyperglobulinemia, splenomegaly, thrombocytosis and peripheral lymphadenopathy. In this paper, we report a young man with plasmacytic type CD and amyloid A (AA) deposition who presented with intra-abdominal mass and nephrotic syndrome. He was successfully treated with colchicine following surgery. PMID:26354576

  7. Cytological, microbiological and therapeutic aspects of systemic infection in a dog caused by the fungus Phialosimplex caninus

    PubMed Central

    Sigler, Lynne; Hanselman, Beth; Ruotsalo, Kristiina; Kar Tsui, George; Richardson, Susan

    2013-01-01

    A seven-year-old immunocompetent dog presenting with lymphadenopathy, mesenteric masses and splenic nodules was diagnosed with Phialosimplex caninus infection. Cytology of a mesenteric mass aspirate demonstrated few intact cells but numerous variably sized fungal cells and rare hyphal fragments. The identity of the cultured fungus was confirmed by DNA sequencing. Itraconazole therapy improved clinical signs, but the fungus was reisolated at follow-up. P. caninus systemic infection should be suspected in dogs presenting with lymphadenopathy and splenomegaly. PMID:24432211

  8. Clinical implications of granulomatous inflammation detected by endobronchial ultrasound transbronchial needle aspiration in patients with suspected cancer recurrence in the mediastinum

    PubMed Central

    Kennedy, Marcus P; Jimenez, Carlos A; Mhatre, Ashwini D; Morice, Rodolfo C; Eapen, Georgie A

    2008-01-01

    Background Granulomatous inflammation has been previously reported in association with cancer. Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) is a new minimally invasive test for investigating mediastinal lymphadenopathy. The identification of granulomatous inflammation by EBUS-TBNA and the clinical implications of such detection in a series of patients with previously treated cancer and new mediastinal lymphadenopathy has not previously been performed. Methods All 153 consecutive patients undergoing EBUS-TBNA in an academic cancer institution for suspected cancer in the mediastinum (mediastinal lymphadenopathy by CT imaging) were reviewed. Patients with non-caseating granuloma identified by EBUS-TBNA were included. Results EBUS-TBNA identified non-caseating granuloma in 17/153 (11%) patients. A subset of 8/153 (5.2%) had sarcoid like lymphadenopathy mimicking cancer recurrence (5/5 PET positive). Another 8/153 (5.2%) patients with new mediastinal lymphadenopathy and no prior history of cancer had a clinical syndrome consistent with sarcoidosis. One other patient with a history of breast cancer was diagnosed with non-tuberculous mycobacteria infection. No patient required mediastinoscopy and there were no complications. Conclusion In an academic cancer institute, at least 5% of patients undergoing EBUS-TBNA have sarcoid-like lymphadenopathy mimicking cancer recurrence. Further studies to define the precise etiology, natural history and prognosis of this phenomenon are warranted. PMID:18298864

  9. [Study on carving workers of Chong xiu zheng he jing shi zheng lei bei yong ben cao (Revised Prepared Materia Medica Classified under Syndromes in Zhenghe Period) published by Huiming Xuan (Huiming Sanctum)].

    PubMed

    Liang, Fei; Li, Jian; Zhang, Wei; Zhang, Rui-Xian

    2012-11-01

    The ancient carving workers have made a great contribution to the xylographic printing art in ancient China, so the studies on them are significant for a survey of ancient Chinese printing history, and for the identification of ancient Chinese books edition. Zheng lei ben cao published by Huiming Xuan (Huiming Sanctum) in the Jin and Yuan dynasties, which is the earliest extant edition of Zhenghe version system of Zheng lei ben cao and has important literature value. Thirty carving workers were involved in its printing process. On the whole, these workers had a relatively high technique and completed a remarkably fine work. In addition to lettering, 28 persons of them also made a total of 536 pages with 900 exquisite engraving illustrations on Chinese materia medica included in this book. Because of the high levels on carving, this precious book has been the representative of Pingshui edition, which has a great reputation but has very few works now. PMID:23363847

  10. Die Rolle dialogtypischer Wortverbindungen und Wendungen bei der Vervollkommnung sprachlichen Koennens auf dem Gebiet des dialogischen Sprechens (The Role of Dialogue-Typical Word Combinations and Idioms in Perfecting Speaking Ability in the Area of Dialogue)

    ERIC Educational Resources Information Center

    Petzschler, Hermann; Zoch, Irene

    1974-01-01

    Describes exercises using typical expressions used in conversation, including idioms, partial or complete clauses, syntactic structures, etc. Refers to Herder Institute's (1971) five steps in language learning, of which Step Five includes 4000 lexical units to be mastered for active use, plus 3000 for passive recognition. Gives examples and…