Sample records for woman dosis tiroidea

  1. Accurate DOSY measure of out-of-equilibrium systems by permutated DOSY (p-DOSY)

    E-print Network

    Oikonomou, Maria; Velders, Aldrik H; Delsuc, Marc-André

    2015-01-01

    NMR spectroscopy is a perfect tool for monitoring in-situ chemical reactions. In particular, DOSY measurement is well suited to characterize transient species by the determination of their sizes. However, here we bring to light a difficulty in the DOSY experiments performed on out-of-equilibrium systems. On such a system, the evolution of the concentration of species interferes with the measurement process, and creates a bias on the diffusion coefficient determination that may lead to erroneous interpretations. We show that a random permutation of the series of gradient strengths used during the DOSY experiment allows to average out this bias. This approach, that we name p-DOSY does not require changes in the the pulse sequences nor in the processing software, and restores completely the full accuracy of the measure. This technique is demonstrated on the monitoring of the anomerization reaction of $\\alpha$ to $\\beta$ glucose.

  2. Fetishism in a Woman

    Microsoft Academic Search

    David L. Raphling

    1989-01-01

    Fetishism is generally considered to be a perversion occurring only in males. In this paper a clinical illustration of an adult woman with a fetishistic perversion is offered and considered within the context of the classic concept of fetishism originally described by Freud. Similarities and differences between male and female fetishism are discussed, with attention given to the greater complexity

  3. Feederism in a woman.

    PubMed

    Terry, Lesley L; Vasey, Paul L

    2011-06-01

    Feederism is a fat fetish subculture in which individuals eroticize weight gain and feeding. Feeders are individuals who claim to become sexually aroused by feeding their partners and encouraging them to gain weight. Conversely, Feedees are individuals who claim to become sexually aroused by eating, being fed, and the idea or act of gaining weight. Very little is known about this population. This report describes a woman who self-identified as a Feedee. It is unclear, at present, whether female Feederism represents a unique paraphilia or a thematic variation of morphophilia or sexual masochism. PMID:20041284

  4. Applications of Diffusion Ordered Spectroscopy (DOSY-NMR)

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Diffusion-ordered NMR (DOSY-NMR) is a powerful, but under-utilized, technique for the investigation of mixtures based on translational diffusion rates. DOSY spectra allow for determination by NMR of components that may differ in molecular weight, geometry or complexation. Typical applications coul...

  5. Hurrah for the Reasonable Woman.

    ERIC Educational Resources Information Center

    Leland, Dorothy

    1994-01-01

    Recent court cases on sexual harassment, and the outcomes, were reviewed in terms of how the court viewed a "reasonable" woman. Rulings in such cases can vary because of different interpretations of the "reasonable" concept. Also discusses how recent rulings will affect sexual harassment policymakers in the workplace and educational institutions.…

  6. The older woman's body image.

    PubMed

    Price, Bob

    2010-02-01

    Body image is an important concept that has a significant effect on a person's self-esteem and self-confidence. Appreciating how the older body is perceived by a woman is an important first step to understanding how nurses might support patient dignity. This article reviews the latest literature on ageing and body image and suggests practical dialogues that nurses and patients can share. PMID:20225728

  7. Leprosy in a pregnant woman.

    PubMed

    Böddinghaus, B K; Ludwig, R J; Kaufmann, R; Enzensberger, R; Gies, V; Kramme, S; Brade, V; Brandt, C M

    2007-02-01

    Herein, we describe a case of leprosy in a 29-year-old pregnant southeast-asian woman who presented with joint pain and multiple disseminated erythematous macules, papules and plaques. Histological examination and stains for acid-fast bacilli from skin biopsies substantiated the clinical suspicion of a cutaneous mycobacterial disease and both should be performed in all patients with unidentified skin lesions. The definitive laboratory diagnosis of leprosy was achieved by the application of a species-specific real-time polymerase chain reaction from infected tissue. PMID:17297589

  8. The Native American Woman: A Perspective.

    ERIC Educational Resources Information Center

    Medicine, Bea

    Presenting varied perspectives describing the Native American woman, this book is divided into six chapters as follows: (1) Native Americans and Anthropology (this chapter illustrates the way in which anthropologists have helped stereotype American Indian women); (2) The Native American Woman in Ethnographic Perspective (emphasizing role…

  9. Professional practice among woman dentist

    PubMed Central

    Pallavi, S. K.; Rajkumar, G. C.

    2011-01-01

    Objective: This review aims to give an inside view of professional career of a women dentist, addresses the unique demands of being a woman dentist, and highlight ways to address these issues. Materials and Methods: The Medline database, scholarly literature, and informal literature were considered for this review. Results: Working hours of female dentists do not differ significantly from the working hours of their male counterparts, until they have children. The female dentists’ working hours showed a distinct drop as soon as they started a family. It was also found that women dentists are more likely to take career break. It is clear that childrearing and family responsibilities have a great impact on women's working life. Significant differences between males and females in work title and specialization were evident in an academic institution. Due to the societal orientation which regards women as primarily home makers, the responsibilities for family caretaking continues to fall disproportionately on women, and this fact could explain why women abandon their careers in the advanced stages. Conclusions: Efforts should be made to identify and reduce barriers to women's advancement in dentistry. PMID:24478948

  10. 'Skinny Jeans' Linked to Woman's Nerve Damage

    MedlinePLUS

    ... nlm.nih.gov/medlineplus/news/fullstory_153208.html 'Skinny Jeans' Linked to Woman's Nerve Damage After spending ... emptying cupboards. She said she was wearing tight "skinny" jeans that became increasingly uncomfortable as the day ...

  11. How a Married Woman`s Characteristics Affect her Contraceptive Behavior?

    NASA Astrophysics Data System (ADS)

    Khan, Rana Ejaz Ali; Khan, Tasnim

    In Pakistan, population growth rate is 2.2% and Total Fertility Rate (TFR) is as high as 5.4. It is the result of low Contraceptive Prevalence Rate (CPR) of only 28%. Due to low CPR, women have high rate of unwanted births in Pakistan. In this study using probit estimation on primary data, we have analyzed the woman=s characteristics responsible for low contraceptive prevalence among married women in urban areas of Punjab (Pakistan). For the purpose one thousand married women in the age group of 15-49 years, who were not currently pregnant were interviewed from urban areas of Bahawalpur and Lahore. The individual characteristics of married women were focused, although household characteristics, socio-economic conditions of the community where woman is living, religious and cultural factors are also important. It is found that age of woman, education of woman, woman`s status, her economic activity, income level and age at marriage were found major determinants of contraceptive prevalence in women. The policies towards the education of women, status of women, labor force participation of women and legal interventions towards the increase in marriage age are stressed to increase the CPR.

  12. The DOSY Toolbox: A new tool for processing PFG NMR diffusion data

    NASA Astrophysics Data System (ADS)

    Nilsson, Mathias

    2009-10-01

    The DOSY Toolbox is a free programme for processing PFG NMR diffusion data (sometimes loosely referred to as DOSY data), distributed under the GNU General Public License. NMR data from three major manufacturers can be imported and all processing is done in a user-friendly graphical user interface. The Toolbox is completely free-standing in the sense that all necessary basic processing of NMR data (e.g., Fourier transformation and phasing) is catered for within the programme, as well as a number of methods specific to DOSY data (e.g., DOSY and SCORE). The programme is written in MATLAB ® and as such can be run on any platform, but can also run independent of MATLAB ® in a free-standing compiled version for Windows, Mac, and Linux.

  13. [A woman with a blue coloured skin].

    PubMed

    Blokker, Ruud S; Asselbergs, Céline P E

    2010-01-01

    A 66-year-old woman with carcinoma of the breast developed a blue-grey colouring of the skin, after injection of patentblue for sentinel node procedure. This is a rare hypersensitivity reaction on patentblue, with the risk of depression of oxygen saturation or anaphylactic shock. PMID:20699024

  14. [A woman with a painful finger].

    PubMed

    van der Sluis, Corry K; van der Vegt, Annelies E; Lahoda, Lars U

    2014-01-01

    A 46-year-old woman suffered from pain attacks in her fourth finger over the course of 15 years. Pain was aggravated by low temperatures and touching. A blue spot was visible under the nail. After surgical resection, histologic analysis confirmed the diagnosis 'glomus tumor'. The patient was pain-free at 6 weeks after surgery. PMID:24618240

  15. From College Girl to Working Woman.

    ERIC Educational Resources Information Center

    Cowan, Susan

    Written for the woman just graduated from college who wants a big-city job, the book provides coverage of the job scene from New York to San Francisco and offers methods and suggestions on how to create an exciting new career. Tips on where to look for jobs, the resume, and the job interview are some of the introductory topics, followed by a…

  16. Pains and Pleasures of a Woman Architect

    ERIC Educational Resources Information Center

    Piomelli, Rosaria

    1975-01-01

    Of a national membership of 24,000 in the American Institute of Architects (AIA), only 300 are women. Why are there so few women in architecture? Who are they? What kind of work do they do? The author, an architect and a woman, attempted to answer these questions. (Author/RK)

  17. You Can Be a Woman Architect.

    ERIC Educational Resources Information Center

    Siegel, Margot; Cohen, Judith Love

    This booklet stresses the value of science and mathematical studies as a prerequisite for a career in architecture by depicting real women whose careers provide inspirational role models. The first section is a text designed for use by elementary students and presents the career of Architect from a woman's point of view. Both female and male…

  18. A Profile of the Woman Engineer, 1984.

    ERIC Educational Resources Information Center

    Hetrick, Haydee; And Others

    This biennial report is based on responses from 2,112 of the 4,453 non-student members of the Society of Women Engineers (SWE) who were surveyed during the winter of 1983-84. All responses to the survey questionnaire (included in an appendix) were considered in the data analysis. Any woman with an engineering degree, holding state engineering…

  19. Can "Word Choices" Compromise a Woman's Career?

    ERIC Educational Resources Information Center

    Mendoza, Sylvia

    2011-01-01

    A letter of recommendation can catapult a woman into the next phase of the interview process for a particular job--or land her in the slush pile. Word choice in describing this female candidate can make or break her career. Letters of recommendation--especially when a reference's word choice paints a negative, less than stellar picture of the…

  20. Renaissance Woman: A Portrait of Carolyn Brodie

    ERIC Educational Resources Information Center

    Kenney, Brian

    2008-01-01

    In this article, the author profiles Carolyn Brodie, winner of this year's Scholastic Library Publishing Award. One can be completely charmed by Brodie's soft-spoken Arkansas accent, warm demeanor, and genteel manners. While the graciousness is authentic, the woman behind it is fearless, with a clear vision for youth services, remarkable tenacity,…

  1. Sherry Red Owl, Stands at Dawn Woman

    ERIC Educational Resources Information Center

    Crazy Bull, Cheryl

    2014-01-01

    This article introduces Sherry Red Owl, also known as "Stands at Dawn Woman," because she greets each day as a new opportunity and has spent her life working at new things. She worked at Sinte Gleska University (SGU) during its founding years, taught at an elementary school when few Native teachers were employed in the school systems,…

  2. 'We Are Woman': Girl, Maiden, Matron in Aegean Art

    E-print Network

    Younger, John G.

    2009-01-01

    Several Aegean (Minoan & Mycenaean) works of art depict trios of females: a girl, an adolescent, and a young woman (sometimes an older woman is also depicted). This theme may refer to a universal, female socialization process....

  3. Oscar Wilde and the scarlet woman.

    PubMed

    Hanson, E

    1997-01-01

    In the late nineteenth century, England was embroiled in a political debate over the importation of Roman Catholic rituals into the Anglican Church, not to mention the re-establishment of the Roman Church itself in Great Britain. Victorian anti-Catholic rhetoric draws upon the figure of the Whore of Babylon to depict the Roman Catholic Church as the Scarlet Woman, a femme fatale who perverts Christianity and seduces Englishmen with elaborate rituals and lascivious whisperings in the confessional. In writing Salomé, Oscar Wilde played ironically on the hysterical eroticism of the No Popery movement by mining the paradox of biblical sensuality. He invested his play with a biblical wealth of archaic metaphors and gestures that took their cues from The Song of Songs and The Book of Revelation. He became the ecclesiastical dandy that evangelicals feared most, a poet enamored of the Scarlet Woman, a would-be convert who exposed the scandal of Christianity as art. PMID:9378935

  4. Temporofacial zygomycosis in a pregnant woman.

    PubMed

    Buhl, M R; Joseph, T P; Snelling, B E; Buhl, L

    1992-01-01

    A 38-year-old Omani woman, seven months pregnant, developed extensive zygomycosis involving maxillary and temporal bones. No evidence of any underlying immune deficiency was detected except that which may be attributed to pregnancy. After delivery the patient was treated with repeated courses of amphotericin B, which resulted in a complete clinical resolution. Zygomycosis in uncomplicated pregnancy has not been previously described. PMID:1521890

  5. The Ideal Man and Woman According to University Students

    ERIC Educational Resources Information Center

    Weinstein, Lawrence; Laverghetta, Antonio V.; Peterson, Scott A.

    2009-01-01

    The present study determined if the ideal man has changed over the years and who and what the ideal woman is. We asked students at Cameron University to rate the importance of character traits that define the ideal man and woman. Subjects also provided examples of famous people exemplifying the ideal, good, average, and inferior man and woman. We…

  6. STD-DOSY: A new NMR method to analyze multi-component enzyme/substrate systems

    NASA Astrophysics Data System (ADS)

    Kramer, Markus; Kleinpeter, Erich

    2010-02-01

    A new approach to analyze multi-component Saturation Transfer Difference (STD) NMR spectra by combining the STD and the DOSY experiment is proposed. The resulting pulse sequence was successfully used to simplify an exemplary multi-component protein/substrate system by means of standard DOSY processing methods. Furthermore, the same experiment could be applied to calculate the ratio of saturated substrate molecules and its saturation rate in the case of competitive interactions. This ratio depends on the strength of this interaction between the substrates and the protein, so that this kind of information could be extracted from the results of our experiment.

  7. From woman to chick: the rhetorical evolution of women in american film 

    E-print Network

    Day, Danya Rhae

    2009-05-15

    Throughout its history, the American film industry has produced films about women and for women, and three distinct phases may be identified within it: the “woman’s film,” the “new” woman’s film, and the “chick flick.” I ...

  8. Primary Meningococcal Polyarthritis in an Adult Woman

    PubMed Central

    Sarinho, José Celso Giordan Cavalcanti; Arcadipane, Marília Soares e Silva; Menezes, Graziela Tavares Miola; Duarte, Danilo Fernando Costa; Cossermelli, Waldenise; Aprahamian, Ivan

    2015-01-01

    Primary joint infection caused by the Gram-negative bacteria Neisseria meningitidis is rare. Normally, joint involvement comes secondary to meningitis or severe sepsis caused by this agent. When primary arthritis is seen, monoarthritis is the most common presentation. A meningococcal polyarthritis is described in less than 10 case reports according to current literature. This case report aims to briefly review this rare clinical event in an adult woman with no previous history of rheumatological disease. Early diagnosis of polyarthritis caused by meningococcal bacteria usually present a good prognosis when properly treated. PMID:25838827

  9. Primary meningococcal polyarthritis in an adult woman.

    PubMed

    Sarinho, José Celso Giordan Cavalcanti; Arcadipane, Marília Soares E Silva; Menezes, Graziela Tavares Miola; Duarte, Danilo Fernando Costa; Cossermelli, Waldenise; Aprahamian, Ivan

    2015-01-01

    Primary joint infection caused by the Gram-negative bacteria Neisseria meningitidis is rare. Normally, joint involvement comes secondary to meningitis or severe sepsis caused by this agent. When primary arthritis is seen, monoarthritis is the most common presentation. A meningococcal polyarthritis is described in less than 10 case reports according to current literature. This case report aims to briefly review this rare clinical event in an adult woman with no previous history of rheumatological disease. Early diagnosis of polyarthritis caused by meningococcal bacteria usually present a good prognosis when properly treated. PMID:25838827

  10. Resolving overlaps in diffusion encoded spectra using band-selective pulses in a 3D BEST-DOSY experiment

    NASA Astrophysics Data System (ADS)

    Shukla, Matsyendranath; Dorai, Kavita

    2011-12-01

    A novel diffusion-edited 3D NMR experiment that incorporates a BEST-HMQC pulse sequence in its implementation is presented. Heteronuclear 3D DOSY NMR experiments are useful in elucidating the diffusion coefficients of individual constituents of a mixture, especially in cases where the proton NMR 2D DOSY spectra show considerable overlap. The present 3D BEST-DOSY pulse sequence provides a more sensitive and less time-consuming alternative to standard 3D HMQC-DOSY experiments. Cleanly separated subspectra of individual mixture components are obtained, leading to the determination of diffusion coefficients with better accuracy. The feasibility of the technique is demonstrated on a mixture of amino acids, on a mixture of small molecules with similar diffusion coefficients, and on a complex mixture with large dynamic range (commercial gasoline). The implications of using adiabatic decoupling schemes and band-selective shaped pulses for selective BEST-DOSY experiments on proteins are also discussed.

  11. Characterization of reactive intermediates by multinuclear diffusion-ordered NMR spectroscopy (DOSY).

    PubMed

    Li, Deyu; Keresztes, Ivan; Hopson, Russell; Williard, Paul G

    2009-02-17

    Nuclear magnetic resonance (NMR) is the most powerful and widely utilized technique for determining molecular structure. Although traditional NMR data analysis involves the correlation of chemical shift, coupling constant, and NOE interactions to specific structural features, a largely overlooked method introduced more than 40 years ago, pulsed gradient spin-echo (PGSE), measures diffusion coefficients of molecules in solution, thus providing their relative particle sizes. In the early 1990s, the PGSE sequence was incorporated into a two-dimensional experiment, dubbed diffusion-ordered NMR spectroscopy (DOSY), in which one dimension represents chemical shift data while the second dimension resolves species by their diffusion properties. This combination provides a powerful tool for identifying individual species in a multicomponent solution, earning the nickname "chromatography by NMR". In this Account, we describe our efforts to utilize DOSY techniques to characterize organometallic reactive intermediates in solution in order to correlate structural data to solid-state crystal structures determined by X-ray diffraction and to discover the role of aggregate formation and solvation states in reaction mechanisms. In 2000, we reported our initial efforts to employ DOSY techniques in the characterization of reactive intermediates such as organolithium aggregates. Since then, we have explored DOSY experiments with various nuclei beyond (1)H, including (6)Li, (7)Li, (11)B, (13)C, and (29)Si. Additionally, we proposed a diffusion coefficient-formula weight relationship to determine formula weight, aggregation number, and solvation state of reactive intermediates. We also introduced an internal reference system to correlate the diffusion properties of unknown reactive intermediates with known inert molecular standards, such as aromatic compounds, terminal olefins, cycloolefins, and tetraalkylsilanes. Furthermore, we utilized DOSY to interpret the role of aggregation number and solvation state of organometallic intermediates in the reactivity, kinetics, and mechanism of organic reactions. By utilizing multinuclear DOSY methodologies at various temperatures, we also correlated solid-state X-ray structures with those in solution and discovered new reactive complexes, including a monomeric boron enolate, a product-inhibition aggregate, and a series of intermediates in the vinyl lithiation of allyl amines. As highlighted by our efforts, DOSY techniques provide practical and feasible NMR procedures and hold the promise of even more powerful insights when extended to three-dimensional experiments. PMID:19105594

  12. Primary progressive aphasia in a bilingual woman.

    PubMed

    Filley, Christopher M; Ramsberger, Gail; Menn, Lise; Wu, Jiang; Reid, Bessie Y; Reid, Allan L

    2006-10-01

    Multilingual aphasias are common because most people in the world know more than one language, but little is known of these syndromes except in patients who have had a stroke. We present a 76-year-old right-handed woman, fluent in English and Chinese, who developed anomia at age 70 and then progressed to aphasia. Functional neuroimaging disclosed mild left temporoparietal hypometabolism. Neurolinguistic testing was performed in both English and Chinese, representing a unique contribution to the literature. Results revealed conduction-like aphasia that was comparable in the two languages, although English was slightly better preserved. Primary progressive aphasia has disrupted 2 languages in a similar manner, suggesting their close neuroanatomic relationship in this case. PMID:17190751

  13. Collins named First Woman Shuttle Commander

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    Just a few hours after NASA revealed that there is water ice on the Moon, U.S. First Lady Hillary Rodham Clinton introduced Air Force Lieutenant Colonel Eileen Collins to a packed auditorium at Dunbar Senior High School in Washington, D.C., as the first woman who will command a NASA space shuttle mission. With students at this school, which is noted for its pre-engineering program, cheering, Clinton said that Collins' selection “is one big step forward for women and one giant step for humanity.” Clinton added, “It doesn't matter if you are a boy or a girl, you can be an astronaut or a pilot, if you get a first-rate education in math and science.”

  14. The contraception needs of the perimenopausal woman.

    PubMed

    Hardman, Sarah M R; Gebbie, Ailsa E

    2014-08-01

    Perimenopausal women have low fertility but must still be advised to use contraception until natural sterility is reached if they are sexually active. Patterns of contraceptive use vary in different countries worldwide. Long-acting reversible contraceptive methods offer reliable contraception that may be an alternative to sterilisation. Hormonal methods confer significant non-contraceptive benefits, and each individual woman should weigh up the benefits and risks of a particular method. No method of contraception is contraindicated by age alone, although combined hormonal contraception and injectable progestogens are not recommended for women over the age of 50 years. The intrauterine system has particular advantages as a low-dose method of effective hormonal contraception, which also offers control of menstrual dysfunction and endometrial protection in women requiring oestrogen replacement. Condoms are recommended for personal protection against sexually transmitted infections in new relationships. Standard hormone replacement therapy is not a method of contraception. PMID:24990143

  15. Choices & Careers; Free to Choose: Being an Indian Woman.

    ERIC Educational Resources Information Center

    Strong, Lois Metoxen

    An all-encompassing definition of the traditional role of the Indian woman is hard to reach because that role changes with every tribal group. However, by examining one group, the Woodland Indians, an idea of the Indian woman's role can emerge. The "poor, overworked squaw" stereotype is erroneous, for early Indian men and women were regarded as…

  16. Turning the Tables: The Woman Therapist and the Man Patient.

    ERIC Educational Resources Information Center

    Gornick, Lisa K.

    There is little attention in the literature to the dyad of the woman therapist and the man patient; as a result, the woman therapist is faced with a poverty of theoretical accounts upon which she can draw in her clinical work. Although analytically-oriented work must focus on individual histories rather than cultural internalizations, analysis of…

  17. Literacy -- one woman at a time.

    PubMed

    1996-01-01

    Thanks to UN literacy programs, Fanta, a Konkaran village woman living in Mali near the edge of the Sahara, has learned 1) to read, write, and do basic arithmetic; 2) to raise animals for food and income; 3) to raise her goats better and to prepare milk in healthier ways; and 4) to treat children with diarrhea with oral rehydration. Her village status has improved as women come to her for advice or to write letters for them. Prior to this type of UN program, the Niger River carried only disease, parasites, river blindness, and death for some 30% of the children in Konkaran who may die before the age of 5. Youphadee and her family, in Bangkok, Thailand, live in a sprawling Rajataphan slum with 400 other families; a UN Educational, Scientific and Cultural Organization (UNESCO) and government sponsored literacy program has taught her basic accounting to run her food business. With other women, she has formed a credit union which provides loans for family emergencies and for business investment. PMID:12179428

  18. Woman to Woman: Coming Together for Positive Change--Using Empowerment and Popular Education to Prevent HIV in Women

    ERIC Educational Resources Information Center

    Romero, Lisa; Wallerstein, Nina; Lucero, Julie; Fredine, Heidi Grace; Keefe, Joanna; O'Connell, JoAnne

    2006-01-01

    HIV risk is the product of social, cultural, economic, and interpersonal forces that create sex-role definitions and expectations that can lead to gender inequalities in health. Woman to Woman: Coming Together for Positive Change is an HIV/AIDS prevention intervention that takes into account that choices and actions may be constrained by poverty,…

  19. DOSY-NMR and raman investigations on the self-aggregation and cyclodextrin complexation of vanillin.

    PubMed

    Ferrazza, Ruggero; Rossi, Barbara; Guella, Graziano

    2014-06-26

    Vanillin (4-hydroxy-3-methoxybenzaldehyde) is a phenolic aldehyde with limited solubility in water; in this work, we investigate its self-aggregation, as well as its complexation equilibria with ?-cyclodextrin by using nuclear magnetic resonance (NMR) and vibrational spectroscopy. In particular, diffusion-ordered NMR (DOSY) measurements allowing to detect diffusional changes caused by aggregation/inclusion phenomena lead to a reliable estimate of the equilibrium constants of these processes, while Raman spectroscopy was used to further characterize some structural details of vanillin self-aggregates and inclusion complexes. Although the self-association binding constant of vanillin in water was found to be low (K(a) ?10), dimeric species are not negligible within the investigated range of concentration (3-65 mM); on the other hand, formation of ?-cyclodextrin self-aggregates was not detected by DOSY measurements on aqueous solutions of ?-cyclodextrin at different concentrations (2-12 mM). Finally, the binding of vanillin with ?-cyclodextrin, as measured by the DOSY technique within a narrow range of concentrations (2-15 mM) by assuming the existence of only the monomeric 1:1 vanillin/?-CD complex, was about an order of magnitude higher (K(c) ? 90) than self-aggregation. However, the value of the equilibrium constant for this complexation was found to be significantly affected by the analytical concentrations of the host and guest system, thus indicating that K(c) is an "apparent" equilibrium constant. PMID:24911963

  20. Frontispiece: The Donor-Base-Free Aggregation of Lithium Diisopropyl Amide in Hydrocarbons Revealed by a DOSY Method.

    PubMed

    Neufeld, Roman; John, Michael; Stalke, Dietmar

    2015-06-01

    Lithium Amides In their Communication on page?6994?ff., D. Stalke and co-workers describe DOSY NMR experiments applied to study the state of aggregation of lithium diisopropyl amide in solution. PMID:26031249

  1. Urinary Incontinence Due to Urethral Coitus in a Multiparous Woman.

    PubMed

    Aksakal, Orhan Seyfi; Cavkaytar, Sabri; Guzel, Ali Irfan; Uzun, Canan; Doganay, Melike

    2015-01-01

    Urethral coitus in women with a normal vagina and introitus has very rarely been reported. We report the case of a 48-year-old gravida 5, para 5 woman with a history of urethral coitus complaining of urinary incontinence. To the best of our knowledge, our patient is the fifth reported case of urethral coitus with normal genitalia, and it might be accepted as the first reported case of urethral coitus in a multiparous woman. PMID:25730433

  2. Primary Breast Burkitt's Lymphoma in an HIV-Infected Woman

    PubMed Central

    Traoré, Bangaly; Fondrevelle, Marie-Eve; Condé, Mamoudou; Chassagne-Clément, Catherine; Kourouma, Tidiane; Keita, Ahmed Monzomba; Koulibaly, Moussa; Sylla, Bakary Sidiki

    2015-01-01

    A 30-year-old HIV positive woman presented with a multifocal mass tumour associated with axillary and lateral-cervical lymphadenopathy in the right breast. Laboratory examination of the biopsy confirmed a case of mammary Burkitt's lymphoma with a nodular infiltration of the breast. Antiretroviral treatment and chemotherapy were effective to control the tumour. Although Burkitt's lymphoma rarely involves the breasts, it should be considered during routine breast examination of African woman.

  3. Resolution of a nonionic surfactant oligomeric mixture by means of DOSY with inverse micelle assistance.

    PubMed

    Asaro, Fioretta; Savko, Nina

    2011-04-01

    DOSY is a recognized, efficient technique in the analysis of mixtures. It relies on the differences in self-diffusion coefficients, which are determined by the molecular size. Nowadays, efforts are directed towards devising matrices able to interact with the components of the mixture with differential affinity, and therefore capable to interfere with the diffusion processes and to display resolving power towards species of close, or even equal molecular weight, like isomers. Usually, commercial nonionic surfactants are mixtures of oligomeric species, since the head group, which is a short polyoxyehtylene chain, is somewhat polydisperse. The embedment of Igepal CA-520, 5 polyoxyethylene iso-octylphenyl ether, in an inverse microemulsion led to the separation of (1)H signals of the various oligomeric components. This ensued from the differential partitioning between the oil and the surface of the inverse micelles, which depends on the ethyleneoxide number (EON) of the head groups. Thus, it was possible to ascertain that the length distribution of the polyethyleneoxide chains is ingood agreement with the Poisson distribution theoretically predicted for the polymerization of ethylene oxide. The DOSY spectrum contributed to the assignment of the signals and afforded the partition degree, between the two environments, for each individual oligomeric species, providing further insight into nonionic inverse microemulsions, at present widely employed reaction media in the nanotechnological syntheses. PMID:21387400

  4. Quality control and assurance for validation of DOS/I measurements

    NASA Astrophysics Data System (ADS)

    Cerussi, Albert; Durkin, Amanda; Kwong, Richard; Quang, Timothy; Hill, Brian; Tromberg, Bruce J.; MacKinnon, Nick; Mantulin, William W.

    2010-02-01

    Ongoing multi-center clinical trials are crucial for Biophotonics to gain acceptance in medical imaging. In these trials, quality control (QC) and assurance (QA) are key to success and provide "data insurance". Quality control and assurance deal with standardization, validation, and compliance of procedures, materials and instrumentation. Specifically, QC/QA involves systematic assessment of testing materials, instrumentation performance, standard operating procedures, data logging, analysis, and reporting. QC and QA are important for FDA accreditation and acceptance by the clinical community. Our Biophotonics research in the Network for Translational Research in Optical Imaging (NTROI) program for breast cancer characterization focuses on QA/QC issues primarily related to the broadband Diffuse Optical Spectroscopy and Imaging (DOS/I) instrumentation, because this is an emerging technology with limited standardized QC/QA in place. In the multi-center trial environment, we implement QA/QC procedures: 1. Standardize and validate calibration standards and procedures. (DOS/I technology requires both frequency domain and spectral calibration procedures using tissue simulating phantoms and reflectance standards, respectively.) 2. Standardize and validate data acquisition, processing and visualization (optimize instrument software-EZDOS; centralize data processing) 3. Monitor, catalog and maintain instrument performance (document performance; modularize maintenance; integrate new technology) 4. Standardize and coordinate trial data entry (from individual sites) into centralized database 5. Monitor, audit and communicate all research procedures (database, teleconferences, training sessions) between participants ensuring "calibration". This manuscript describes our ongoing efforts, successes and challenges implementing these strategies.

  5. Probing carbon nanotube-surfactant interactions with two-dimensional DOSY NMR.

    PubMed

    Shastry, Tejas A; Morris-Cohen, Adam J; Weiss, Emily A; Hersam, Mark C

    2013-05-01

    Two-dimensional diffusion ordered spectroscopy (2D DOSY) NMR was used to probe the micellar structure of sodium dodecyl sulfate (SDS) and sodium cholate (SC) in aqueous solutions with and without semiconducting and metallic single-walled carbon nanotubes (SWCNTs). The solutions contain SDS and SC at weight ratios of 1:4 and 3:2, the ratios commonly used to isolate semiconducting and metallic SWCNTs through density gradient ultracentrifugation (DGU). These results show that the coverage of surfactant on the semiconducting and metallic SWCNTs is nearly identical in the 1:4 surfactant mixture, and a lower degree of bundling is responsible for the greater buoyancy of semiconducting SWCNTs. In the 3:2 surfactant mixture, the metallic SWCNTs are only encapsulated in SC while the semiconducting SWCNTs remain encapsulated in a poorly packed two-surfactant micelle, leading to a large buoyant density difference between the electronic species. This work provides insight into future directions to increase the purity of semiconducting and metallic SWCNTs sorted through DGU and demonstrates the utility of 2D DOSY NMR in probing SWCNT-surfactant complexes. PMID:23369051

  6. Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman’s Sleep at Home

    PubMed Central

    Nishihara, Kyoko; Ohki, Noboru; Kamata, Hideo; Ryo, Eiji; Horiuchi, Shigeko

    2015-01-01

    Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I). We will also demonstrate an appropriate way to use the system (Experiment II). In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK) including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy. PMID:26083422

  7. Two-dimensional DOSY experiment with Excitation Sculpting water suppression for the analysis of natural and biological media

    NASA Astrophysics Data System (ADS)

    Balayssac, Stéphane; Delsuc, Marc-André; Gilard, Véronique; Prigent, Yann; Malet-Martino, Myriam

    2009-01-01

    The Bipolar Pulse Pair Stimulated Echo NMR pulse sequence was modified to blend the original Excitation Sculpting water signal suppression. The sequence is a powerful tool to generate rapidly, with a good spectrum quality, bidimensional DOSY experiments without solvent signal, thus allowing the analysis of complex mixtures such as plant extracts or biofluids. The sequence has also been successfully implemented for a protein at very-low concentration in interaction with a small ligand, namely the salivary IB5 protein binding the polyphenol epigallocatechine gallate. The artifacts created by this sequence can be observed, checked and removed thanks to NPK and NMRnotebook softwares to give a perfect bidimensional DOSY spectrum.

  8. Hysterical again: the gastrointestinal woman in medical discourse.

    PubMed

    Vidali, Amy

    2013-03-01

    This article suggests increased attention to how medical discourses of gastrointestinal (GI) disorder and distress are fraught with social assumptions and consequences by examining nineteenth-century and contemporary medical texts focused on chronic constipation and Irritable Bowel Syndrome (IBS). I suggest that these medical discourses present what I call the "gastrointestinal woman," who is characterized as having unjustified anxiety and is to blame for her condition. My approach to understanding, and ultimately revising, the representation of the gastrointestinal woman is shaped by disability studies scholarship, which encourages intervention in problematic medical discourses and more active shaping of discourses of chronic pain and illness by those who have these conditions. PMID:23179643

  9. [Diagnostic image (87). A tattooed woman with salpingitis].

    PubMed

    Lammes, F B

    2002-05-01

    In a 61-year-old woman uterus and adnexa were surgically removed because of endometrial carcinoma. In the tuba accumulation of pigment-laden macrophages was observed. She had been a victim of World War II concentration camp gynaecological experiments. Her left forearm showed the Auschwitz Jew tattoo. PMID:12038223

  10. [Centipede bite in a woman with heterozygotous sickle cell disease].

    PubMed

    Rouvin, B; Seck, M; N'diaye, M; Diatta, B; Saissy, J M

    2008-12-01

    Although centipede bits can cause severe symptoms, they are seldom reported since outcome is generally favorable. The purpose of this report is to describe a case of centipede envenomation causing severe and prolonged symptoms in a woman with sickle cell trait. PMID:19639840

  11. Virilization in a postmenopausal woman due to ovarian stromal hyperthecosis.

    PubMed Central

    Goldman, J. M.; Kapadia, L. J.

    1991-01-01

    Virilization in women is occasionally caused by ovarian stromal hyperthecosis. Although three cases of post-menopausal women with hyperthecosis have been reported, the history in two of them strongly suggests a premenopausal origin. We describe a 64 year old woman with postmenopausal virilization due to bilateral ovarian stromal hyperthecosis. Images Figure 1 Figure 2 PMID:2062784

  12. A Mexicana Woman's Education in 1980s Chicago

    ERIC Educational Resources Information Center

    Rivera, Angelica

    2012-01-01

    The purpose of this paper is to describe the educational experiences of a Mexican woman in Chicago's Little Village community in the 1980s. The author was born in Mexico and raised in Little Village which has been home to Mexican immigrant communities for decades. Little Village is also home to the largest Mexican-American population in the…

  13. [A woman with floating spheres in her abdomen].

    PubMed

    Vlemminx, Marion W C; Hoskam, Hilde; Minderhoud, Ninki M; ter Haar-van Eck, Sylvia A

    2015-01-01

    A 55-year-old postmenopausal woman presented with acute abdominal pain. Ultrasound and MRI revealed a large, unilocular, cystic abdominal mass, with remarkable floating spheres. Histopathology showed a dermoid cyst. This is a benign ovarian neoplasm, which can contain elements of all three germ layers: primarily hair, teeth, skin or sebaceous tissue. PMID:25740190

  14. [A woman with a painful palm of the hand].

    PubMed

    Kouwenhoven, Stijn T P; Brinkman, J Niels; Koch, A Richard

    2013-01-01

    A 64-year-old woman was referred for pain at the palmar side of her left hand. X-ray of the wrist showed a calcification at the volar capsule in the carpal tunnel. The calcification was surgically removed. Pathologic examination showed calcium pyrophosphate depositions without signs of inflammation. PMID:24004926

  15. Focus Your Future: A Woman's Guide to Retirement Planning.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    This guidebook addresses retirement planning for midlife women. Section 1 presents the woman an opportunity to assess herself today in terms of the roles she plays in various aspects of her life and in her relationships with others. It asks her to consider some of her plans, dreams, and things she would like to do in an ideal retirement situation.…

  16. [A woman with recurrent urticaria, joint pain and fever].

    PubMed

    Gran, Jan Tore; Midtvedt, Øyvind; Haug, Sidsel

    2011-01-21

    A middle-aged woman suffered from chronic recurrent urticarial rash and fever. After 13 years of skin disease, she developed monoclonal IgM gammopathy, myalgia and joint pain. She was diagnosed with Schnitzler's syndrome and successfully treated with the IL-1 receptor antagonist anakinra. PMID:21267032

  17. [A woman with hyperkeratotic papules on arms and legs].

    PubMed

    van Winden, M E C; Chandeck, C; Martens, H

    2015-01-01

    A 50-year old woman with hyperkeratotic verrucous papules and plaques visited the outpatient clinic of Dermatology. Histopathology showed hyperplasia of verrucous epithelia, orthokeratosis and an infiltrate, leading to the diagnosis 'verrucous (hypertrophic) lichen planus'. This skin condition is often misdiagnosed as psoriasis. Squamous cell carcinoma can develop within skin lesions. PMID:26058761

  18. [A woman with acute pain and swelling of her wrist].

    PubMed

    de Ridder, Jannemarie A M; Koning, Giel G

    2015-01-01

    After hyperextension of both her wrists, a 39-year-old woman, who used coumarin derivatives for a known antiphospholipid syndrome, had acute pain and swelling of the left wrist. She had symptoms of an acute carpal tunnel syndrome. MRI revealed a hematoma compressing the median nerve in the carpal tunnel. PMID:25898868

  19. WomanCare of Southfield, P.C. v. Granholm.

    PubMed

    2001-01-01

    Court Decision: 143 Federal Supplement, 2d Series 849; 2001 Apr 26 (date of decision). The United States District Court for the Eastern District of Michigan held that the Michigan Infant Protection Act was unconstitutional because it did not provide an exception for abortions performed to protect the health of a pregnant woman. The plaintiffs challenged the constitutionality of the law which prohibited certain types of abortions, including partial-birth abortions, unless the abortion was considered necessary to save the life of the mother by a physician using reasonable medical judgment. The District Court held that any law restricting a woman's right to choose an abortion must include an adequate safeguard to protect the life and health of the pregnant woman. Because the Michigan law failed to contain an actual or implied exception for abortions performed to protect the mental or physical health of the mother, the law placed an undue burden on a pregnant woman's right to make a decision regarding abortion and could not be enforced. PMID:16479702

  20. Flora W. Patterson: The First Woman Mycologist at the USDA

    NSDL National Science Digital Library

    Amy Y. Rossman (USDA; )

    2002-08-15

    This article features the life of the first woman mycologist (Flora Patterson). It describes her role (1) as a plant quarantine inspection officer, (2) in the identification of the chestnut blight fungus, and (3) as a contributor to the development of the U.S. National Fungus Collections. The article concludes with a description and discussion of her research involving leaf parasitic fungi.

  1. Pioneer Black Woman Superintendent: Velma Dolphin Ashley, 1944-1956.

    ERIC Educational Resources Information Center

    Revere, Amie B.

    1989-01-01

    This article profiles Velma Dolphin Ashley, a Black woman educator who served as superintendent of schools in Boley (Oklahoma) from 1944 to 1956. During her superintendency, Ashley was responsible for instructional activities in a correctional institution for delinquent Black youth, as well as for administering the all-Black school district. (AF)

  2. Flora White (1860-1948): New Woman, Stark Choice

    ERIC Educational Resources Information Center

    Morice, Linda C.

    2009-01-01

    This article examines the life of education reformer Flora White, who both represented and deviated from the stereotypical new woman portrayed in popular literature of the late nineteenth and early twentieth century. White's decision to reject marriage and children in favor of a career resulted in greater financial insecurity and an unmet desire…

  3. Isobel's Images--One Woman's Experience of Art Therapy

    ERIC Educational Resources Information Center

    White, Isobel; Bull, Stephanie; Beavis, Mary

    2009-01-01

    This paper explores the aims and purpose of long term art therapy. This is done by focusing on the experience of a woman with learning disabilities whom we have called Isobel White (pseudonym). In this paper we set out a theoretical context and then consider key aspects of the therapy process. We have included excerpts from reflective discussions…

  4. Double trouble: two complicated slings in one woman

    Microsoft Academic Search

    Lior Lowenstein; Leslie Rickey; Linda Brubaker

    2007-01-01

    A 45-year-old woman presented with urinary retention and urethral erosion after repeated slings for stress urinary incontinence.\\u000a The following case communication briefly discusses the clinical presentation, appearance, and the management features of urinary\\u000a retention in the presence of urethral mesh erosion.

  5. Becoming Aboriginal: Experiences of a European Woman in Kamchatka's Wilderness.

    ERIC Educational Resources Information Center

    Churikova, Victoria

    2000-01-01

    A Russian woman describes how living in remote Kamchatka helped her develop an aboriginal perspective. Chopping wood, hauling water, gathering food, alternately homeschooling her children and sending them to an ecological school, and interacting with local aboriginal people taught her the importance of conserving natural resources and living in…

  6. Ethnic Heritage Studies: The American Woman. Experimental Unit.

    ERIC Educational Resources Information Center

    Keepers, Beverly

    Providing information and activities designed to dispel sex role socialization, myths, and stereotypes as bases for prejudiced views, this teaching guide focuses on the American woman's image and diverse roles in our society. It is part of the Louisville Area Ethnic Heritage Studies Project described in ED 150 043. The project materials are…

  7. Case Report Alendronate-induced Esophagitis in an Elderly Woman

    Microsoft Academic Search

    Victoria Gómez; Shu-Yuan Xiao

    Ingestion of alendronate sodium (Fosamax) had been reported to sometimes cause erosive or ulcerative esophagitis. Despite its widespread use and several case reports describing the clinical and endoscopic presentation, there has been limited discussion on the histologic appearances of the esophagitis caused by the medication. Here we describe one case of an elderly woman who presented with alendronate-induced esophagitis. The

  8. Myocardial infarction resulting from caffeine overdose in an anorectic woman.

    PubMed

    Forman, J; Aizer, A; Young, C R

    1997-01-01

    A 20-year-old bulimic woman ingested 20 g of caffeine in a suicide attempt. After being evaluated and discharged from the emergency department, she was readmitted with ECG changes and ultimately found to have sustained a subendocardial infarction. This case highlights the wide-ranging health consequences of eating disorders and the toxicity of caffeine overdose. PMID:8998103

  9. Post-myelography paraplegia in a woman with thoracic stenosis

    PubMed Central

    Soliman, Hesham M.; Arnold, Paul M.; Madarang, Ernest J.

    2013-01-01

    Context Myelography is a commonly performed diagnostic test used to assess spine pathology. Complications are unusual and usually self-limited. We report a rare case of transient paraplegia following myelography in a woman with thoracic stenosis. Findings A 51-year-old woman, 20 months status post-thoracic laminectomy, presented with progressive lower extremity weakness. The patient underwent myelography and post-myelography CT, and became paraplegic after the lumbar injection. Intravenous steroids were administered and a lumbar puncture was performed. The patient's neurologic function returned to baseline over the next 96 hours. Conclusion and clinical relevance Myelography is generally a safe procedure, but on rare occasions serious complications can arise. Therapeutic maneuvers may be helpful in reversing neurologic deficit. PMID:23809597

  10. [Regular menstrual bleeding in a woman after hysterectomy].

    PubMed

    Grys, E; Pawlaczyk, M

    2001-06-01

    The authors present a rare case of 39 years old woman, who had regular monthly bleedings mimicking menstruation during the two years after abdominal hysterectomy (without the adnexa). The woman was operated on in 1997 because of large uterine myoma and presented no other pathology in the abdominal cavity. She also suffered from autoimmunological anemia and chorea, which decreased her life activity and resulted in lack of gynecological care after the operation. The patient misunderstood the effect of surgery and mistook bleedings for signs of normal hormonal function. Deep external endometriosis of vaginal cuff and surrounding tissues was the cause of 'menstruation'. All this tissues were surgically removed. An immunological mechanism which plays role in endometriosis, chorea and anemia, was discussed. PMID:11526749

  11. Political Culture and Imagery of American Woman Suffrage

    NSDL National Science Digital Library

    This site is one of several projects related to the foundation of a National Museum of Women's History in Washington, DC. Although the physical museum itself is yet to be built, NMWH the organization has been sponsoring and collaborating in Women's history initiatives nationwide. The first exhibit in the NMWH cybermuseum marks the 150th anniversary of the Seneca Falls Convention and "examines the development of a distinct female political culture and imagery that evolved to promote voting rights for women." Users can browse the gallery of 50 images or take a more in-depth tour of the woman's suffrage movement. The former offers fast-loading and nicely-digitized images of a variety of artifacts with brief descriptions. The latter traces the history of the woman suffrage movement and its political imagery with topical paragraphs and selected images. Additional resources include a timeline, quiz, and collection of related resources.

  12. Ovarian intratumoral 21-hydroxylase deficiency in a postmenopausal hirsute woman.

    PubMed

    Souto, Selma B; Baptista, Pedro V; Barreto, Filomena; Sousa, Pedro F; Braga, Daniel C; Carvalho, Davide

    2012-12-01

    Virilising ovarian tumours are a rare cause of hyperandrogenism in women, accounting for less than 5% of all ovarian neoplasms. It occurs most often in - and postmenopausal women. We report a case of a 64 year-old woman with signs of virilisation that had started 3 years before. Blood hormone analysis revealed increased levels of testosterone, and 17-hydroxyprogesterone. The tetracosactin test revealed 21-hydroxylase deficiency. Radiological imaging demonstrated a nodule in her left ovary. The patient was submitted to bilateral laparoscopic oophorectomy, and histopathological examination revealed a luteoma of the left ovary. Postoperative serum testosterone level and 17-hydroxyprogesterone returned to normal levels in one month. Virilism regressed within six months. Our patient also showed an elevation in 17-OHP serum levels. Normalization of 17-OHP after oophorectomy suggests a case of intratumoral 21-hydroxylase deficiency. To our knowledge, this is the first description of ovarian intratumoral 21-hydroxylase deficiency in a postmenopausal woman. PMID:23329192

  13. Radioiodine Treatment of Hyperthyroidism in a Pregnant Woman

    Microsoft Academic Search

    Gertrud E. B. Berg; Lars Jacobsson; Sture Lindberg; R. GÃ; C. Aimon Niklasson; A. HÃ; Otto G. A. Westphal

    radioiodine uptake and effective half-life in the fetal thyroid and absorbed doses to fetal organs. Although the woman was treated with levothyroxine in doses high enough to render her slightly thyrotoxic during the remaining part of her pregnancy, there was evidence of thyroid dysfunction of the child at birth. The child, during an 8-yr follow-up, including neuropsychological testing, had presented

  14. ALICIA SOTERO VÁSQUEZ: Police Brutality against an Undocumented Mexican Woman

    Microsoft Academic Search

    Rita E. Urquijo-Ruiz

    2004-01-01

    This article focuses on police brutality and human rights violations in the United States. The author examines the infamous Riverside Sheriff's brutal beating of an undocumented Mexican woman—which was captured and broadcast live via television—as exemplary of a particular historical relationship between Mexican labor, the U.S. nation-state, and the material conditions of immigrant laborers. Tracing this relationship through a historical

  15. Enforced Pregnancy, Rape, and the Image of Woman

    E-print Network

    Cudd, Ann E.

    1990-01-01

    1 Enforced Pregnancy, Rape, and the Image of Woman Ann E. Cudd1 Most philosophical discussions of abortion focus on the harms and rights of the individual women and fetuses directly involved. They concentrate on the questions... carry a fetus to term against their will, are wronged. An argument along this line has been made for rape, namely, that rape robs all women of essential human rights and depicts women as primarily sexual servants of men. And rape, as we shall see...

  16. Fanny Fern: a nineteenth-century woman's social vision 

    E-print Network

    Turner, Maria Theresa

    1983-01-01

    mquis (Member) avi H. Stewart (Head of Department) May 1983 ABSTRACT Fanny Fern: A Nineteenth-Century Roman's Social Vision. (May 1983) Maria Theresa Turner, B. A. , University of Manitoba Chairman of Advisory Committee: Dr. Norman S. Grabo...FANNY FERN: A NINETEENTH-CENTURY WOMAN' S SOCIAL VISION A Thesis by MARIA THERESA TURNER Submitted to the Graduate College of Texas ASM University in partial fulfillment of the requirements for the degree of MASTER OF ARTS May 1983 Major...

  17. WomanCare of Southfield, P.C. v. Granholm.

    PubMed

    2001-01-01

    Court Decision: 143 Federal Supplement, 2d Series 827; 2001 Mar 9 (date of decision). The U.S. District Court for the Eastern District of Michigan granted injunctive relief in a suit challenging the constitutionality of Michigan's Infant Protection Act (Act) which placed restrictions on partial-birth abortion procedures. The court granted the injunction because the plaintiffs established the likelihood of success on the merits of their claims. The Act likely placed an undue burden on a woman's right to a pre-viability abortion because it banned otherwise legal pre-viability abortion techniques. Even though the Act provided an exception to the law when the woman's life was in danger, it failed to provide an exception to protect her health. It also failed to provide fair notice of what specific medical procedures it proscribed. In addition, the Act was not tailored to protect potential life because it was not limited to viable fetuses. Moreover, the court noted even though the state may create prohibitions and regulations on abortion, a state must not create an undue burden on a woman's right to choose a pre-viability abortion. The court declined to rule on whether the plaintiffs would succeed on the right to privacy and equal protection claims. Finally, the court held that the Act posed a threat of irreparable harm to physicians, that there would be no substantial harm in withholding enforcement and preserving the status quo while debating the issue, and that the greater public interest in safeguarding a pregnant woman's health and right to choose a pre-viability abortion was better served with injunctive relief. PMID:16479703

  18. The Case of Ruth James A Woman in Excellent Health

    NSDL National Science Digital Library

    Christine M. Catney

    1999-01-01

    In this case, designed for beginning pharmacy students, an elderly woman apparently “in excellent health” suddenly becomes ill and health care practitioners must determine the cause. The case is written in a four-part progressive disclosure format with an acute care clinical context. Ideally, the case should be used early in a pharmacy curriculum in a course such as pharmacy orientation, introduction to pharmaceutical care, or a pharmacy practice laboratory.

  19. An Infected Urachal Cyst in an Adult Woman

    PubMed Central

    Kaya, Serdar; Bacanakg?l, Besim Haluk; Soyman, Zeynep; Ker?mova, Roya; Battal Havare, Semiha; Kaya, Ba?ak

    2015-01-01

    The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. An infected urachal cyst is one of the urachal abnormalities and this pathology is rare in adult women. We report a case of 33-year-old woman with pelvic pain and dysuria who was diagnosed with infected urachal cyst. Infected urachal cyst is a rare pathology in adult women and this pathology should be considered in the differential diagnosis of acute abdomen.

  20. Malignant teratoma of the thyroid in a pregnant woman.

    PubMed

    Pérez-Mies, Belen; Regojo Zapata, Rita M; García-Fernández, Eugenia; Serrano, M Nistal

    2010-08-01

    Most teratomas involving the thyroid gland are benign and occur in children. However, the adult cases reported are mostly malignant. Many of the cases previously described in the medical literature have fatal outcome because of spread of the tumor refractory to treatment. We report a case of primary malignant teratoma of the thyroid in a 38-year-old pregnant black woman. She was treated with a combination of surgery, and postoperative chemotherapy with good initial response. PMID:20637432

  1. A will to youth: the woman's anti-aging elixir.

    PubMed

    Smirnova, Michelle Hannah

    2012-10-01

    The logic and cultural myths that buttress the cosmeceutical industry construct the older woman as a victim of old age, part of an "at-risk" population who must monitor, treat and prevent any markers of old age. A content and discourse analysis of 124 advertisements from the US More magazine between 1998 and 2008, revealed three major themes working together to produce this civic duty: (1) the inclusion of scientific and medical authorities in order to define the cosmeceutical as a 'drug' curing a disease, (2) descriptions of the similarities (and differences) between the abilities of cosmeceuticals and cosmetic surgery to restore one's youth, and (3) the logic equating youth with beauty, femininity and power and older age with the absence of these qualities. Together these intersecting logics produce the "will to youth"-the imperative of the aging woman to promote her youthful appearance by any and all available means. Further, by using images and references to fantasies and traditional fairytales, cosmeceutical advertisements both promise and normalize expectations of eternal youth of the aging woman. PMID:22742924

  2. The Donor-Base-Free Aggregation of Lithium Diisopropyl Amide in Hydrocarbons Revealed by a DOSY Method.

    PubMed

    Neufeld, Roman; John, Michael; Stalke, Dietmar

    2015-06-01

    Lithium diisopropyl amide (LDA) is a very prominent reagent that plays a key role in organic synthesis, serving as a base par excellence for a broad range of deprotonation reactions. However, the state of aggregation in solution in the absence of donor bases was unclear. In this paper we solved this problem by employing DOSY NMR experiments based on a newly elaborated external calibration curve (ECC) approach with normalized diffusion coefficients. PMID:26014367

  3. Decidualization of intranodal endometriosis in a postmenopausal woman

    PubMed Central

    Kim, Hyun-Soo; Yoon, Gun; Kim, Byoung-Gie; Song, Sang Yong

    2015-01-01

    Here we describe an unusual case of decidualized endometriosis detected in pelvic lymph nodes. The presence of intranodal ectopic decidua in pregnant women has been described. A few cases of decidualization of endometriotic foci in the pelvic or para-aortic lymph nodes have also been associated with pregnancy. However, decidualized intranodal endometriosis occurring in a postmenopausal woman has not been described. A 52-year-old woman presented with a very large adnexal mass. Menopause occurred at the age of 47, and she had been treated with hormone replacement therapy. She received a total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic and para-aortic lymphadenectomy for clear cell carcinoma of the right ovary. Histological examination revealed the presence of ectopic decidua in several pelvic lymph nodes. The deciduas consisted of sheets of loosely cohesive, large, uniform, round cells with abundant eosinophilic cytoplasm. Typical of decidualization of intranodal endometriosis, a few irregularly shaped, inactive endometrial glands lined by single layers of columnar to cuboidal epithelium were present within the decidua. An immunohistochemical study revealed that the decidual cells were positive for CD10, vimentin, estrogen receptor and progesterone receptor, which indicated that progestin-induced decidualization had occurred in the intranodal endometriotic stroma. To the best of our knowledge, this case represents the first report of decidualized intranodal endometriosis occurring in association with hormone replacement therapy in a postmenopausal woman. Misdiagnosis of this condition as a metastatic tumor can be avoided by an awareness of these benign inclusions, supported by immunohistochemical staining results. PMID:25755813

  4. Paraurethral Leiomyoma in a Postmenopausal Woman: First European Case

    PubMed Central

    Borg, Camilla Skovvang; Majeed, Huda Galib; Humaidan, Peter

    2015-01-01

    Leiomyomas are benign tumors extending from smooth muscle cells and only few cases of paraurethral leiomyomas have been described in the literature. They are often seen in the reproductive age and around 50% of the cases are asymptomatic. We describe a 59-year-old woman with a solid mobile tumor below the symphysis revealed at a gynecological examination. Transvaginal ultrasound and MRI confirmed the tumor and excision of the paraurethral tumor was carried out. The histological examination showed a benign paraurethral leiomyoma. The postoperative period was characterized by urethral pain as well as vaginal leakage of urine. PMID:25878911

  5. 60-year old woman with extra-axial frontal mass.

    PubMed

    Arakaki, Naomi; Riudavets, Miguel A; Cervio, Andrés; Ferreira, Marcelo; Sevlever, Gustavo

    2009-01-01

    We describe a 60 year-old woman presenting with visual loss of her left eye. No lymphadenopathies, fever, or weight loss were detected. Neuroimaging studies revealed an extra-axial mass along the posterior aspect of the left optic nerve. The mass was resected and showed xanthomatous histiocytes that were positive for CD-68, occasionally positive for S-100, and negative for CD-1. The lesion was diagnosed as Erdheim-Chester disease (ECD) affecting the CNS. The patient is under systemic evaluation in order to discover other ECD lesions. Microscopic findings and differential diagnoses are discussed. PMID:19076782

  6. [Pseudo-myasthenic myopathy in a woman with anorexia nervosa].

    PubMed

    Dupond, J-L; Meaux-Ruault, N; Hafsaoui, C; Gil, H; Curlier, E; Fery-Blanco, C; Magy-Bertrand, N

    2007-11-01

    Skeletal myopathy, although foreseeable in severe malnutrition, has been rarely reported in patients with anorexia nervosa. We report a case of oculo-oropharyngeal myopathy mimicking myasthenia in a 42-year-old woman with an history of anorexia nervosa, completely reversible after refeeding with carbohydrate diet, mainly chocolate. Nutritional myopathies are not well known and therefore rarely looked for in patients with anorexia nervosa. Classical presentation is a myogenic syndrome with severe type 2 fibre atrophy and biochemical characteristics similar to Mac Ardle's disease. A clinical form mimicking myasthenia gravis has never been reported. Refeeding programme leads to total recovery within a few days. PMID:17573163

  7. Anti-NMDA Receptor Encephalitis in a Pregnant Woman

    PubMed Central

    Kim, Jiyoung; Park, Seung Ha; Jung, Yu Ri; Park, Soon Won; Jung, Dae Soo

    2015-01-01

    Anti N-methyl-D-aspartate (NMDA) receptor encephalitis is one of the most common types of autoimmune synaptic encephalitis. Anti-NMDA receptor encephalitis commonly occurs in young women with ovarian teratoma. It has variable clinical manifestations and treatment responses. Sometimes it is misdiagnosed as a psychiatric disorder or viral encephalitis. To the best of our knowledge, anti-NMDA receptor encephalitis is a rare condition in pregnant women. We report a case of anti-NMDA receptor encephalitis in a pregnant woman who presented with abnormal behavior, epileptic seizure, and hypoventilation. PMID:26157673

  8. [Neuroschistosomiasis; an unexpected finding in a Dutch woman].

    PubMed

    Bouwhuis, Jolande W; van der Ven, Andre J A M; Gijtenbeek, Johanna M M; Wesseling, Pieter; Sauerwein, Robert W; Beckers, Pieter J A

    2009-01-01

    A 67-year-old Dutch woman presented with neurological symptoms of several months duration. MRI scans of the brain showed intracerebral lesions. Brain biopsy revealed granulomatous inflammation and remnants of worm eggs. Eggs of Schistosoma mansoni were found in the stools and serological tests were positive for Schistosoma. From additional history taking it became clear that the patient contracted schistosomiasis when visiting Brazil several years before. She was treated with praziquantel and corticosteroids. Neuroschistosomiasis is a rare but severe complication of Schistosoma infection. This diagnosis should be considered in patients that travelled to or originate from endemic schistosomiasis areas. PMID:19785826

  9. A 50-Year-Old Woman Addicted to Heroin

    PubMed Central

    O’Brien, Charles P.

    2011-01-01

    Heroin addiction is a complicated medical and psychiatric issue, with well-established as well as newer modes of treatment. The case of Ms W, a 50-year-old woman with a long history of opiate addiction who has been treated successfully with methadone for 9 years and who now would like to consider newer alternatives, illustrates the complex issues of heroin addiction. The treatment of heroin addiction as a chronic disease is reviewed, including social, medical, and cultural issues and pharmacologic treatment with methadone and the more experimental medication options of buprenorphine and naltrexone. PMID:18594026

  10. Bilateral lesions of the globus pallidus in a young woman.

    PubMed

    Kadi, R; Rumy, A; Stadnik, T; Cannie, M; Mabiglia, C; Divano, L

    2014-01-01

    We report a case of stroke due to cocaine abuse in a 30-year-old woman. The initial examinations pointing to this diagnosis were CT and MRI. Magnetic Resonance Imaging revealed bilateral globus pallidus infarction characterized by restricted Diffusion with low ADC values. There was also a partial hemorrhagic component confirmed on T2* sequence. After gadolinium injection there was a ring enhancement consistent with a blood brain barrier leakage. Similar lesions have been described in post hypoxic-anoxic injuries such as following cardiac arrest, severe blood loss and CO intoxication. PMID:25073247

  11. Benign pericardial schwannoma in a Chinese woman: a case report

    PubMed Central

    2013-01-01

    Background Intrathoracic schwannomas are most frequently located in the posterior mediastinum. A Chinese woman presented with a benign pericardial schwannoma in the pretracheal space and aortopulmonary window, a location which has not been described previously in the literature. Case presentation A 50-year-old Chinese woman initially reported a cough associated with a small amount of sputum. Contrast-enhanced computed tomography (CT) subsequently revealed a 9?×?11 cm2 lobulated mass with sharp margins that presented as a capsule with heterogeneous enhancement and punctate calcification. Complete surgical resection was performed using a thoracotomy approach. The resected intrapericardial tumor was a firm, large mass with lobulation. Capsulation prevented infiltration of the mass into adjacent organs. Pathological examination verified that the tumor was a benign pericardial schwannoma. Conclusion This is the first reported case of a benign pericardial schwannoma located in the pretracheal space and aortopulmonary window. While a contrast-enhanced CT scan was able to differentiate this pericardial schwannoma from other middle mediastinal tumors, the exact diagnosis and plan for treatment depended on a pathological examination. For similar cases involving pericardial schwannomas, complete surgical resection is recommended, particularly for the prevention of life-threatening cardiopulmonary complications. PMID:23800005

  12. A 31-year-old pregnant woman with angioedema.

    PubMed

    Speck, Aimee L; Killen, Paul D; Greenhawt, Matthew J

    2015-01-01

    Angioedema is swelling of the deep layers of the dermis and subcutaneous tissue due to an increase in vascular permeability. Angioedema sometimes occurs concomitantly with urticaria and represents an allergic disease. In other cases, angioedema is not associated with an allergic condition. We present the case of a 31-year-old woman with new-onset angioedema in the setting of her first pregnancy. After detailed history, physical examination, and laboratory evaluation, a cause for her angioedema was found that had not been considered previously and had significant implications for future management, particularly in light of her current pregnancy. Because allergists are commonly called on to evaluate and treat angioedema, we should be aware of the many disease processes that can present with this symptom and be well-versed in the workup of new-onset angioedema. PMID:25715245

  13. Exercise-Induced Syncope in a Sedentary Woman

    PubMed Central

    Rickard, John W.; Zakaria, Sammy

    2014-01-01

    Vasovagal (neurocardiogenic) syncope, a subtype of reflex syncope, has many well-known triggers. However, we found no previous report of vasovagal exercise-induced syncope in a sedentary person. We present the case of a 35-year-old sedentary woman who experienced vasovagal syncope as she underwent an exercise stress test. Results of evaluations, including resting and stress electrocardiography and echocardiography, were normal. Her presentation is highly unusual: syncope has typically not been associated with exercise except in young athletes, people with structural heart abnormalities, or people with a prolonged QT syndrome. To our knowledge, this is the first report of vasovagal syncope associated with exercise in a sedentary patient who had normal cardiac and electrophysiologic function. We suggest possible physiologic mechanisms and diagnostic strategies. PMID:25593529

  14. A woman's experience: living with an implantable cardioverter defibrillator.

    PubMed

    Conelius, Jaclyn

    2015-05-01

    The implantable cardioverter defibrillators (ICD) have decreased mortality rates from those who are at risk for sudden cardiac death or who have survived sudden cardiac death and has been shown to be superior to anti-arrhythmic medications (Greenburg et al., 2004). This advance in technology may improve physical health but can impose some challenges to patients, such as depression, anxiety, fear, and unpredictability. Published research on how ICD affects a woman's life experience using phenomenology is limited. Therefore, the purpose of this article is to describe the experiences of women who have an ICD using Colaizzi's method of phenomenology since their implant. Analysis of the three interviews resulted in five themes that described the essence of this experience. The results of this study could not only help clinicians understand what their patients are experiencing but also it can be used as an education tool. PMID:25481839

  15. Battered woman syndrome: An unusual presentation of pseudodystonia

    PubMed Central

    Chandra, Sadanandavalli Retnaswami; Issac, Thomas Gregor

    2014-01-01

    Pseudodystonia is the term used to define abnormal postures, which are not due to the disorders of the basal ganglia and is encountered very rarely in clinical practice and often difficult to distinguish from true dystonia syndromes. We report a rare case of a battered woman who was managed as restricted resistant dystonia with pharmacotherapy and intrathecal baclofen and referred for considering deep brain stimulation (DBS). The patient turned out to be a case of pseudodystonia due to bilateral hip dislocation. This was due to assault by a close relative and the history was masked by the patient for more than one and a half years. In a patient with late onset dystonia, who is resistant to the recommended treatment for dystonia along with atypical clinical features and electrophysiological parameters, pseudodystonia should always be considered as a possible diagnosis and evaluated for causes of the same. PMID:24966567

  16. Treatment of a woman with emetophobia: a trauma focused approach.

    PubMed

    de Jongh, Ad

    2012-07-26

    A disproportionate fear of vomiting, or emetophobia, is a chronic and disabling condition which is characterized by a tendency to avoid a wide array of situations or activities that might increase the risk of vomiting. Unlike many other subtypes of specific phobia, emetophobia is fairly difficult to treat. In fact, there are only a few published cases in the literature. This paper presents a case of a 46-year old woman with emetophobia in which a trauma-focused treatment approach was applied; that is, an approach particularly aimed at processing disturbing memories of a series of events which were considered to be causal in the etiology of her condition. Four therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. A 3-year follow up showed no indication of relapse. PMID:25478106

  17. Woman with rectal condyloma acuminatum: a case report

    PubMed Central

    Ye, Ying; Sun, Xiang-Zhao; Feng, Jin-Shan

    2015-01-01

    Condyloma acuminatum (CA) is caused by human papilloma virus (HPV) infection, and it often occurs in the genital and perianal regions. The subtypes of HPV mainly include HPV-6, -11, -16, and -18. This case report presents a 37-year-old woman admitted to hospital because of lower abdominal pain and increased stool frequency for > 1 year. Colonoscopy found a neoplasm with a diameter ~5 mm in the rectum, ~5 cm from the anal margin. The pathological diagnosis of the excised specimen was CA. HPV DNA analysis indicated HPV-6. After asking the history closely, the patient admitted that her husband had CA, and they once had anal intercourse. The patient was discharged on the third day after the operation, and she was referred to a dermatology and venereal disease specialist for further treatment.

  18. Krukenberg tumor in a young woman: a rare presentation.

    PubMed

    Hatwal, Deepa; Joshi, Chitra; Chaudhari, Sheela; Bhatt, Pawan

    2014-01-01

    Krukenberg tumors mostly occur after 40 years. Metastatic ovarian tumors in young age are very rare and reported to be 2% of all the cases. Thirty percent of all ovarian neoplasms occurring during childhood and adolescence are malignant. A 25-year-old woman, parity-2, presented with abdominal distension, pain in abdomen and amenorrhea. On examination, 18 weeks lump was palpable, firm to hard in consistency, non-tender and mobile. On ultrasonography bilateral ovarian tumors were reported, without any peritoneal free fluid. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Microscopic examination revealed signet ring cells with glandular differentiation, diffusely invading the ovarian parenchyma. Tumor cells exhibited strong, diffuse immunopositivity for CEA with focal strong immunopositivity for CK7 and CK20 and immunonegativity for SATB2. Diagnosis of Krukenberg tumor was made. Endoscopic biopsy confirmed the diagnosis of adenocarcinoma stomach. This case is reported because of its rarity in younger age group. PMID:24739850

  19. Adult-onset Still's disease in a Nigerian woman.

    PubMed

    Akintayo, Richard Oluyinka; Adelowo, Olufemi

    2015-01-01

    Adult-onset Still's disease (AOSD) is an uncommon systemic inflammatory disorder of unknown aetiology. Although there have been reports and series elsewhere, there have been very few such reports on black Africans. The rarity of the reporting of this disease has been associated with a low index of suspicion and hence delayed diagnosis in patients suffering from it. We report a case of a 28-year-old woman, a teacher, who had been repeatedly treated for malarial fever over a 2-month period. She was also briefly managed elsewhere for systemic lupus erythematosus due to a persistent fever with associated polyarthralgia, sore throat, rash and high erythrocyte sedimentation rate. On presentation to our facility, she fulfilled the Yamaguchi criteria for AOSD and had a markedly elevated serum ferritin level. She was successfully managed with etanercept and methotrexate. This is the first report of AOSD from Nigeria. PMID:26150646

  20. Chronic pulmonary embolism in a young athletic woman

    PubMed Central

    Ball, Timothy C.

    2015-01-01

    Exercise-induced dyspnea (EID) is a common complaint in young athletes. Exercise-induced bronchospasm (EIB) is the most common cause of EID in healthy athletes, but it is important to recognize more serious pathology. Herein we present the case of an 18-year-old woman with a 1.5-year history of EID. She had been treated for EIB without relief. Her arterial oxygen saturation was 88% during exercise testing. Computed tomographic angiography to assess for vascular abnormalities identified a large thrombus in the main pulmonary trunk. Symptoms markedly improved with therapeutic anticoagulation. Massive pulmonary embolus is an exceedingly rare etiology of exertional dyspnea in young athletes. Hypoxemia during exercise testing was an important clue that something more ominous was lurking that required definitive diagnosis. PMID:26130894

  1. Unstable angina in a young woman with Hodgkin's lymphoma.

    PubMed

    Krzesi?ski, Pawe?; Piotrowicz, Katarzyna; Horszczaruk, Grzegorz Jan; Kowal, Jaros?aw

    2013-01-01

    We present the case of a 30 year-old woman - 16 months after successful treatment of Hodgkin's lymphoma (chest location) with chemotherapy (including doxorubicin) and radiotherapy - with recurrent chest pain and dyspnea. In ambulatory event telemetry, she reported nocturnal chest pain with transient ST elevation characteristic for acute cardiac ischemia. Urgent coronary angiography with intravascular ultrasound and virtual histology visualization revealed 70% fibrotic stenosis in the proximal segment of the left anterior descending artery successfully treated with a drug-eluting stent implantation. This case is especially noteworthy because of the short period from initial therapy to the symptomatic coronary artery disease that is entirely unlike the reported mean latency period of several years. PMID:23558817

  2. Relapsing fevers and lymphadenopathy in a young woman

    PubMed Central

    Sah, Raghuwansh P; Wilson, Michael E; Seningen, Justin; Bhagra, Anjali

    2013-01-01

    A 23-year-old woman presented to the emergency department with severe occipital headache, nausea and fever. She was treated with intravenous antibiotics for suspected meningitis. After a brief period of response, her symptoms relapsed and remained refractory despite continuing intravenous antibiotics for 10?days leading to referral to our centre. Physical examination was significant for tender right cervical lymph node. Initial tests included pancytopenia, elevated C reactive protein, lactate dehydrogenase and unremarkable cerebrospinal fluid. Extensive infectious and rheumatology work-up was negative. Massive posterior cervical, axillary and inguinal lymphadenopathy was revealed on imaging. Excisional biopsy of the deep cervical lymph node showed histiocytic necrotising lymphadenitis suggesting a diagnosis of Kikuchi disease. Her course was complicated by acute renal failure. Her symptoms resolved in about a week with supportive treatment along with improvement in pancytopenia and renal function. She had two additional self-limited recurrences in the next 3?months and remains symptom free thereafter. PMID:23853197

  3. Woman in Vietnam May be World's Oldest Person

    NSDL National Science Digital Library

    Grinnell, Max

    2002-01-01

    The quest for youth and longevity has been an interest of humankind for millennia, so it is not surprising that recording statistics on human longevity is done with great interest. On September 26, 2002, it was announced that Vu Thi Dao of northern Vietnam may in fact be the world's oldest person, although her birth certificate only lists the year in which she was born, and not the exact date. Officially, the oldest living person is Kamato Hongo, a Japanese woman who celebrated her 115th birthday on September 16th. Currently, the oldest living man is 113-year old Yukichi Chuganji of Japan. For the past few decades, the average life-span of Americans has been increasing, with a report released on September 12th, 2002, by the National Center for Health Statistics indicating that the life-expectancy of Americans stands at 76.9 years. Unfortunately, the report also indicates that the death rate from diabetes, largely the result of increased obesity, is rising dramatically.The first link leads to a news story on the recent information regarding the Vietnamese woman who may be the world's oldest person. The second site is a recent report by the National Institute on Aging about the survival and coping strategies of the aging. The third link leads to a recent press release from the Pan American Health Organization regarding the public policy implications of providing adequate support to the aging throughout the Americas. The fourth and fifth sites are longer reports dealing with the current trends in aging and health in the United States and across the world, respectively. The sixth link is a news article profiling the work of Professor Andrew Prentice of the London School of Hygiene and Tropical Medicine and his research into obesity in the United Kingdom and the United States. Finally, the seventh site provides information about the current longevity record-holders from the Guinness Book of World Records.

  4. Neural correlates of viewing photographs of one’s own body and another woman’s body in anorexia and bulimia nervosa: an fMRI study

    PubMed Central

    Vocks, Silja; Busch, Martin; Grönemeyer, Dietrich; Schulte, Dietmar; Herpertz, Stephan; Suchan, Boris

    2010-01-01

    Background In spite of many similarities in the psychopathology of anorexia nervosa (AN) and bulimia nervosa (BN), the 2 groups seem to differ in terms of body image disturbances. Therefore, the aim of the present study was to compare neuronal correlates of viewing photographs of one’s own body and another woman’s body in patients with these forms of eating disorders as well as controls. Methods We performed functional magnetic resonance imaging while women with AN (n = 13), BN (n = 15) and healthy controls (n = 27) viewed 16 standardized pictures of their own body and another woman’s body, taken while the participants were wearing a bikini. Results When viewing their own body, participants with AN and BN showed reduced activity in the inferior parietal lobule compared with healthy women. In response to looking at another woman’s body, participants with AN had higher amygdala activity than did those in the BN and control groups. Limitations The generalizability of the results is limited by the small sample size. Conclusion Our data suggest decreased attentional processes in AN and BN toward one’s own body, possibly reflecting body-related avoidance behaviour. Enhanced limbic activity elicited by looking at another woman’s body in participants with AN might be a neural correlate of stronger emotional activation and enhanced vigilance, possibly resulting from social comparison processes. Our study reveals hints about body image–associated alterations in brain activity, which seem to be more pronounced among women with AN than among those with BN. PMID:20420767

  5. Aphasia Following Right Hemisphere Lesion in a Woman with Left Hemisphere Injury in Childhood

    Microsoft Academic Search

    M. Guerreiro; A. Castrocaldas; I. P. Martins

    1995-01-01

    The case of a 56-year-old woman who became aphasic following a right temporoparietal lesion is reported. At the age of 2, this woman had an acute infantile hemiplegia on the right side of the body and it was reported by relatives that a deterioration of language was also noted. There was a slow recovery of these deficits and she was

  6. Effects of Harmony Between Personal and Apparel Coloring on Perceptions of a Woman's Employment Potential

    Microsoft Academic Search

    Lou Ann Gibson; Carolyn Balkwell

    1990-01-01

    The hypothesis that a woman job applicant wearing appropriate colors for her personal coloring would be perceived as having greater employment potential than a woman dressed in inappropriate colors was tested. The purposive sample consisted of 120 corporate personnel recruiters. Respondents rated a fictitious job applicant on a Likert-scaled employment potential questionnaire. A 2 X 2 factorial design was used

  7. Ah Dai Comes to Hawaii: The Story of a Chinese Immigrant Woman.

    ERIC Educational Resources Information Center

    Kam, Dai Sen; And Others

    The story presented in this booklet is concerned with the life of an eighty year old Chinese immigrant woman living in Hawaii. The narration provides a brief overview of the woman's birth, childhood, early adulthood in China, and immigration to Hawaii. Her life in Hawaii is described in terms of the work she did, her arranged marriage, her…

  8. A Closer Look at Being a Woman in Turkish Academia: A Descriptive Study

    ERIC Educational Resources Information Center

    Birlik, Nurten; Arikan, Arda

    2009-01-01

    In this descriptive study, women's professional lives with a focus on what it means to be a woman in Turkish academia and on whether being a woman differs from being a man in an academic context was put under scrutiny. For this purpose, a questionnaire was conducted among 41 women academics currently working at the Faculties of Education in…

  9. The Role of Hostile and Benevolent Sexism in Women's and Men's Perceptions of the Menstruating Woman

    ERIC Educational Resources Information Center

    Forbes, Gordon B.; Adams-Curtis, Leah E.; White, Kay B.; Holmgren, Katie M.

    2003-01-01

    Perceptions of menstruating women were studied in a sample of 244, predominantly European American, college freshmen. Both women and men rated the menstruating woman, as compared with the average woman, as higher on the Neuroticism factor from Lippa's (1991) measure of the Big Five personality factors. Men also rated her as lower on the Openness,…

  10. Women in Literacy Speak. The Power of Woman-Positive Literacy Work.

    ERIC Educational Resources Information Center

    Lloyd, Betty-Ann, Ed.; And Others

    This book contains 15 chapters that were written by women from 12 Canadian adult literacy and basic education programs who participated in an exploratory research project designed to document the process and results of woman-positive literacy work. The following sections are included: "Exploring the Concept of Woman-Positive within…

  11. Anesthetic management of caesarean section of a pregnant woman with cerebral arteriovenous malformation: a case report

    Microsoft Academic Search

    Demet Coskun; Ahmet Mahli; Zerrin Yilmaz; Pelin Cizmeci

    2008-01-01

    INTRODUCTION: The choice of anesthetic technique for Caesarean section of a pregnant woman with cerebral arteriovenous malformation (AVM) is made to maintain a stable cardiovascular system, but due to the rarity of this condition, no definitive guidelines exist. CASE PRESENTATION: We report the case of anesthetic management of Caesarean section of a pregnant woman with cerebral AVM (grade V). After

  12. Sexual arousal to rape and consenting depictions: The importance of the woman's arousal

    Microsoft Academic Search

    Neil M. Malamuth; James V. Check

    1980-01-01

    143 male and female undergraduates were randomly assigned to read 1 of 8 versions of an erotic passage. The independent variables in the stories were nonconsent vs consent, woman's arousal vs disgust, and woman's pain vs no pain. Sex of S was the 4th independent variable. Data indicate that both in terms of experimentally manipulated variables and individual within-cell perceptual

  13. Cosmetic clitoridectomy in a 33-year-old woman.

    PubMed

    Veale, David; Daniels, Joe

    2012-06-01

    The Female Genital Mutilation Act (2003) in England allows for mental health exceptions for cosmetic surgery resulting from perceived abnormality. Similar legislation exists in other countries. There are no reported cases of clitoridectomy for cosmetic reasons or any discussion in the literature of mental health exceptions to the Act. This is a single case report on a 33-year-old married, heterosexual woman who had already had a cosmetic labiaplasty and was seeking a clitoridectomy for aesthetic reasons. At assessment, there were no psychiatric contra-indications or unrealistic expectations and the patient proceeded with a clitoridectomy. At 9 and 22 months follow-up, she was reassessed and was very pleased with the outcome. There were improvements in the satisfaction with her genital appearance, sexual satisfaction, and quality of life related to body image. Assessments for cosmetic clitoridectomy will continue to be rare, but this case may provide some guidance for practitioners who are confronted with such requests for body modification. However there remains only limited understanding of the motivation for such a request. PMID:21837517

  14. Primary hyperoxaluria in a 27-year-old woman.

    PubMed

    Bogle, Melissa A; Teller, Craig F; Tschen, Jaime A; Smith, Carolyn A; Wang, Alun

    2003-10-01

    Primary hyperoxaluria is a rare autosomal recessive disorder resulting in precipitation of insoluble oxalate crystals in the joints, kidneys, heart, eyes, and skin. Two thirds of patients have calcium oxalate nephrolithiasis by age 5 years and 80% die of renal failure by age 20 years. Rarely, the disease will present in adulthood, with the onset of symptoms occurring as late as the sixth decade. We present a 27-year-old woman with end-stage renal disease who presented to the dermatology department for the evaluation of a reticular rash shortly after beginning peritoneal dialysis. Associated symptoms included arthralgias and episodic acral cyanosis. Previous kidney and skin biopsy specimens revealed crystalline deposition, however, the diagnosis of primary hyperoxaluria was not entertained until an atrial mass was found to have the same crystalline material. This report reviews primary hyperoxaluria and underscores the importance of recognizing the disease as a cause of renal failure in a patient with livedo reticularis and skin lesions resembling calciphylaxis. Early recognition of the disease is important because combined liver-kidney transplantation may achieve long-term survival. PMID:14512927

  15. Fulminant ulcerative colitis in a healthy pregnant woman

    PubMed Central

    Orabona, Rossana; Valcamonico, Adriana; Salemme, Marianna; Manenti, Stefania; Tiberio, Guido AM; Frusca, Tiziana

    2015-01-01

    This case report concerns a 25-year-old patient with 6-7 bloody stools/d, abdominal pain, tachycardia, and weight loss occurring during the third trimester of pregnancy. Severe ulcerative colitis complicated by toxic megacolon and gravidic sepsis was diagnosed by clinical evaluation, colonoscopy, and rectal biopsy that were performed safely without risk for the mother or baby. The patient underwent a cesarean section at 28+6 wk gestation. The baby was transferred to the neonatal intensive care unit of our hospital and survived without complications. Fulminant colitis was managed conservatively by combined colonoscopic decompression and medical treatment. Although current European guidelines describe toxic megacolon as an indication for emergency surgery for both pregnant and non-pregnant women, thanks to careful monitoring, endoscopic decompression, and intensive medical therapy with nutritional support, we prevented the woman from having to undergo emergency pancolectomy. Our report seems to suggest that conservative management may be a helpful tool in preventing pancolectomy if the patient’s condition improves quickly. Otherwise, surgery is mandatory. PMID:26019473

  16. A Woman with a Lung Mass and Multiple Pulmonary Nodules.

    PubMed

    Duncan, Scott J; Kadaria, Dipen

    2015-01-01

    BACKGROUND Patients presenting with lung mass and/or nodules are common problems for pulmonologists. The common etiologies for this condition in this area (Ohio River Mississippi Valley area) are malignancy, histoplasmosis, and sarcoidosis. However, there can be other rare causes of this presentation for which a detailed clinical history, examination, and broad knowledge is needed for diagnosis. CASE REPORT A 41-year-old woman presented with complaints of progressive nonproductive cough, shortness of breath, and decreased exercise limitation for several months. The symptoms were progressive and were hindering her daily work. Physical examination, including vital signs, was within normal limits. A chest X-ray followed by CT chest was done. CT chest showed a right infrahilar mass 3.5×2.5 cm along with multiple bilateral lung nodules of size 9 to 11 mm. Bronchoscopy with transbronchial needle aspiration (TBNA) and transbronchial biopsy (TBB) and CT-guided biopsy failed to show any diagnosis. Repeat CT scan at follow-up showed the same lesion and the patient had an open-lung biopsy. A diagnosis of benign metastasizing leiomyoma (BML) was made based on clinical, radiological, and histological features, and immunophenotype of the lesion. The patient was started on leuprolide (a GnRH agonist). Follow-up imaging showed decrease in size of lesions. The patient is asymptomatic with increased exercise tolerance. CONCLUSIONS Clinicians need to be aware of rare causes of lung mass, like BML. This will help in timely diagnosis and treatment. PMID:26071755

  17. [A woman in her 60s with multifactorial anaemia].

    PubMed

    Frigstad, Svein-Oskar; Jønsson, Viggo; Moum, Bjørn

    2012-04-30

    Anaemia may be multifactorial in origin. We present a woman with autoimmune hepatitis and secondary warm autoimmune haemolytic anaemia and most likely also concomitant anaemia of chronic disease. A relapse of autoimmune haemolysis was successfully treated with steroids and high-dose intravenous immunoglobulin. At the same time, bleeding from angiodysplasia in the coecum was masked by unauthorised perorally administrated iron. No other cause of bleeding was found. During that period, she required extensive blood transfusions, up to several times per month. Surgical or endoscopic treatment of the bleeding angiodysplasia was not possible. Alloimmunisation developed as a complication to the large number of transfusions, despite the use of steroids. Treatment with somatostatin analogue markedly reduced the need of our patient for blood transfusions for a follow-up period of more than one year, and she has not experienced any side effects. We do not know how long the haemostasis achieved will last, however, we believe that this treatment may be an alternative for other patients as bleeding from angiodysplasia is not uncommon and is often difficult to eradicate. PMID:22562330

  18. Fulminant ulcerative colitis in a healthy pregnant woman.

    PubMed

    Orabona, Rossana; Valcamonico, Adriana; Salemme, Marianna; Manenti, Stefania; Tiberio, Guido Am; Frusca, Tiziana

    2015-05-21

    This case report concerns a 25-year-old patient with 6-7 bloody stools/d, abdominal pain, tachycardia, and weight loss occurring during the third trimester of pregnancy. Severe ulcerative colitis complicated by toxic megacolon and gravidic sepsis was diagnosed by clinical evaluation, colonoscopy, and rectal biopsy that were performed safely without risk for the mother or baby. The patient underwent a cesarean section at 28+6 wk gestation. The baby was transferred to the neonatal intensive care unit of our hospital and survived without complications. Fulminant colitis was managed conservatively by combined colonoscopic decompression and medical treatment. Although current European guidelines describe toxic megacolon as an indication for emergency surgery for both pregnant and non-pregnant women, thanks to careful monitoring, endoscopic decompression, and intensive medical therapy with nutritional support, we prevented the woman from having to undergo emergency pancolectomy. Our report seems to suggest that conservative management may be a helpful tool in preventing pancolectomy if the patient's condition improves quickly. Otherwise, surgery is mandatory. PMID:26019473

  19. Triple X Egyptian woman and a Down's syndrome offspring.

    PubMed

    El-Dahtory, Faeza Abdel Mogib

    2013-01-01

    The 47, XXX karyotype (triple X) has a frequency of 1 in 1000 female newborns. However, this karyotype is not usually suspected at birth or childhood. Female patients with a sex chromosome abnormality may be fertile. In patients with a 47, XXX cell line there appears to be an increased risk of a cytogenetically abnormal child but the extent of this risk cannot yet be determined; it is probably lower in the non-mosaic 47, XXX patient than the mosaic 46, XX/47, XXX one. We describe a new rare case of triple X woman and a Down's syndrome offspring. The patient is 26 years of age. She is a housewife, her height is 160 cm and weight is 68 kg and her physical features and mentality are normal. She has had one pregnancy at the age of 25 years resulted in a girl with Down's syndrome. The child had 47 chromosomes with trisomy 21 (47, XX, +21) Figure 1. The patient also has 47 chromosomes with a triple X karyotype (47, XX, +X) Figure 2. The patient's husband (27 years old) is physically and mentally normal. He has 46 chromosomes with a normal XY karyotype (46, XY). There are neither Consanguinity between her parent's nor she and her husband. PMID:23901206

  20. [Obstetrical analgesia in a woman allergic to ethylene oxide].

    PubMed

    Olivieri, P; Berchet-Montaut, M P; Thomas, P

    1988-01-01

    A case is reported of a 28 year old woman, with untreated mitral valve disease and a professional allergy to ethylene oxide and phthalic anhydride, who presented with acute hydramnios during the 35th week of pregnancy. Emergency caesarean section having been decided on, a urinary catheter--sterilized by gamma rays and not ethylene oxide--was inserted; the gloves used had however been sterilized in ethylene oxide gas, and the patient rapidly presented with anaphylactic shock. The needles and intravenous infusion equipment used were all either sterilized in gamma rays or rinsed in large quantities of liquid. It was decided to abandon the caesarean section and attempt a vaginal delivery using morphine spinal analgesia; epidural analgesia was absolutely contraindicated because the catheters were sterilized in ethylene oxide and the patient's haemodynamic state was too precarious. Caudal anaesthesia with 0.25% bupivacaine was used to complete the spinal analgesia and speed up cervical dilation. The child was delivered with forceps and the diagnosis of oesophageal atresia was confirmed. PMID:3059854

  1. Unexplained weight loss in an 80-year-old woman.

    PubMed

    Taylor, Imogen Aleksandra; Gill, Isaac; Harripaul, Azad

    2015-01-01

    An 80-year-old woman presented with long-standing history of weight loss and malnutrition, which had caused her to become reliant on the use of a wheelchair. Her symptoms were initially attributed to her medical comorbidities, however, during admission it became apparent that she had been suffering from depression and had gone on to develop an eating disorder. Eating disorders are most common in young adults but can affect all age groups, including the elderly population. The diagnosis is rarely considered in such patients and easily overlooked, especially when in the presence of chronic conditions and cognitive decline. A pre-existing psychiatric issue, most often depression, may also be present in this age group. There are no current treatment methods targeting patients in this population, who may not respond as effectively to the available strategies directed at young adults. It is important to always consider an eating disorder as a contributor or direct cause of unexplained weight loss in elderly patients. PMID:25618876

  2. The DOSIS -Experiment onboard the Columbus Laboratory of the International Space Station -Overview and first mission results

    NASA Astrophysics Data System (ADS)

    Reitz, Guenther; Berger, Thomas; Kürner, Christine; Burmeister, Sünke; Hajek, Michael; Bilski, Pawel; Horwacik, Tomasz; Vanhavere, Filip; Spurny, Frantisek; Jadrnickova, Iva; Pálfalvi, József K.; O'Sullivan, Denis; Yasuda, Nakahiro; Uchihori, Yukio; Kitamura, Hisashi; Kodaira, Satoshi; Yukihara, Eduardo; Benton, Eric; Zapp, Neal; Gaza, Ramona; Zhou, Dazhuang; Semones, Edward; Roed, Yvonne; Boehme, Matthias; Haumann, Lutz

    Besides the effects of the microgravity environment, and the psychological and psychosocial problems encountered in confined spaces, radiation is the main health detriment for long dura-tion human space missions. The radiation environment encountered in space differs in nature from that on earth, consisting mostly of high energetic ions from protons up to iron, resulting in radiation levels far exceeding the ones encountered on earth for occupational radiation workers. Accurate knowledge of the physical characteristics of the space radiation field in dependence on the solar activity, the orbital parameters and the different shielding configurations of the International Space Station ISS is therefore needed. The DOSIS (Dose Distribution inside the ISS) experiment, under the project and science lead of DLR, aims for the spatial and tempo-ral measurement of the radiation field parameters inside the European Columbus laboratory onboard the International Space Station. This goal is achieved by applying a combination of passive (Thermo-and Optical luminescence detectors and Nuclear track etch detectors) and active (silicon telescope) radiation detectors. The passive radiation detectors -so called pas-sive detector packages (PDP) are mounted at eleven positions within the Columbus laboratory -aiming for a spatial dose distribution measurement of the absorbed dose, the linear energy transfer spectra and the dose equivalent with an average exposure time of six months. Two active silicon telescopes -so called Dosimetry Telescopes (DOSTEL 1 and DOSTEL 2) together with a Data and Power Unit (DDPU) are mounted within the DOSIS Main Box at a fixed loca-tion beneath the European Physiology Module (EPM) rack. The DOSTEL 1 and DOSTEL 2 detectors are positioned at a 90 angle to each other for a precise measurement of the temporal and spatial variation of the radiation field, especially during crossing of the South Atlantic Anomaly (SAA). The DOSIS hardware was launched with the Space Shuttle Endeavour to the International Space Station on 15 July 2009 and installed by European Astronaut Frank de Winne on 18 July 2009. The first PDP set was downloaded after an exposure time of 124 days in November 2009 and a second PDP set was installed in November 2009. The active part of the instrument suit is working since July 2009. The presentation will give an overview about the DOSIS experiment as well as first results from the passive and active radiation detector measurements. The Austrian activities within this experiment were supported by the Austrian Space Appli-cations Programme (ASAP) of the Federal Ministry for Transport, Innovation and Technology under contract no. 819643. The Polish contribution to this work was supported by the Min-istry of Science and Higher Education, grant No. DWM/N118/ESA/2008. The Hungarian contribution was supported by the ESA PECS grant No. C98066.

  3. A Woman with a Lung Mass and Multiple Pulmonary Nodules

    PubMed Central

    Duncan, Scott J.; Kadaria, Dipen

    2015-01-01

    Patient: Female, 41 Final Diagnosis: Benign metastatic leiomyoma Symptoms: Cough • shorthness of breath Medication: — Clinical Procedure: Bronchoscopy • open lung biopsy Specialty: Pulmonology Objective: Rare disease Background: Patients presenting with lung mass and/or nodules are common problems for pulmonologists. The common etiologies for this condition in this area (Ohio River Mississippi Valley area) are malignancy, histoplasmosis, and sarcoidosis. However, there can be other rare causes of this presentation for which a detailed clinical history, examination, and broad knowledge is needed for diagnosis. Case Report: A 41-year-old woman presented with complaints of progressive nonproductive cough, shortness of breath, and decreased exercise limitation for several months. The symptoms were progressive and were hindering her daily work. Physical examination, including vital signs, was within normal limits. A chest X-ray followed by CT chest was done. CT chest showed a right infrahilar mass 3.5×2.5 cm along with multiple bilateral lung nodules of size 9 to 11 mm. Bronchoscopy with transbronchial needle aspiration (TBNA) and transbronchial biopsy (TBB) and CT-guided biopsy failed to show any diagnosis. Repeat CT scan at follow-up showed the same lesion and the patient had an open-lung biopsy. A diagnosis of benign metastasizing leiomyoma (BML) was made based on clinical, radiological, and histological features, and immunophenotype of the lesion. The patient was started on leuprolide (a GnRH agonist). Follow-up imaging showed decrease in size of lesions. The patient is asymptomatic with increased exercise tolerance. Conclusions: Clinicians need to be aware of rare causes of lung mass, like BML. This will help in timely diagnosis and treatment. PMID:26071755

  4. Stable isotope-enhanced two- and three-dimensional diffusion ordered 13C-NMR spectroscopy (SIE-DOSY 13C-NMR)

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Stable Isotope-Enhanced Diffusion Ordered (SIE-DOSY) 13C-NMR has been applied to 13C-enriched carbohydrates and has been used to determine diffusion coefficients for pentose and hexose monosaccharides, a disaccharide and a trisaccharide. These 2D spectra were obtained with as little as 8 min of acq...

  5. Successful pregnancy in a woman with systemic sclerosis while taking nifedipine.

    PubMed Central

    Wilson, A G; Kirby, J D

    1990-01-01

    The case is reported of successful conception and pregnancy in a woman with systemic sclerosis while receiving continuous treatment with nifedipine 30 mg/day, after a previously poor obstetric record and involuntary secondary infertility. PMID:2310228

  6. She stands alone: Pakistani woman film director, Shireen Pasha.

    PubMed

    Mustafa, A

    1995-01-01

    This article describes the activities of film director Shireen Pasha in promoting truth in the mass media in Pakistan. Pasha is described as one who finds it inexcusable in a state-subsidized system that national problems of poverty are not aired openly. Pasha has pursued the goal of exposing the real lives of Pakistanis on film in contrast to the publicly aired segments of "pretty girls in nice drawing rooms." Foreign channels available through satellite communications technology are viewed by Pasha as inappropriate with regard to people's needs and uncreative. Pakistan began with one channel, PTV, which recently refused to air her documentary on living conditions in Pakistan's rural areas "The Travelogue Pakistan." "The Walled City of Lahore" was her film about life in the old city. Both films poetically depicted the honor of humans and their struggle to stay alive. Some of her documentaries are made to show the value of indigenous skills, centuries old know-how, and traditions, regardless of the poverty. Pasha is described as fighting with PTV management over use of resources. Pasha desires to invest in training people to do documentaries or be more field-oriented rather than investing in equipment. Pasha joined PTV in 1975 and left in 1990. Pasha is recognized for her isolation as a woman in the business world, her commitment to exposing remote cultures and truth, and the odds she must confront in attaining her goals. Pasha is committed to doing extensive research, usually conducted during the summer months, in order to construct a credible story line that is produced usually during the winter months. One model of film story line is defined as one where women are portrayed as starting from an indigenous skill or knowledge and shifting to a greater position of power and control over their lives. Pasha believes that people who make films have the responsibility to evoke a reaction in people and to offer solutions. Two acclaimed films, which were supported by USAID and the government, were "Before It's Too Late" and "Only One Way." Both deal with resource issues and the environment. She is currently director of her own film house, The Film Makers, in Lahore. After graduating from the National College of Arts in 1968, she furthered her education in the US in the history of art. PMID:12290699

  7. Response practices in multilingual interaction with an older Persian woman in a Swedish residential home.

    PubMed

    Plejert, Charlotta; Jansson, Gunilla; Yazdanpanah, Maziar

    2014-03-01

    In the present case study, a care encounter between an older multilingual (Farsi/Swedish/English) Persian woman and staff in an ordinary, Swedish residential home is investigated. The woman is perceived as suffering from dementia symptoms, but has not received any formal diagnosis of the disease. More specifically, the study focuses on how the woman's contributions in her mother tongue, Farsi, are responded to by a carer, who is also multilingual and speaks Swedish as a second language (L2), but has a very limited knowledge of Farsi. The data consists of recorded material from a mundane morning activity in the residential home, as the woman is undressed and prepared to go to the shower. The method employed is conversation analysis, and the study addresses the interactional outcome of this type of multilingual encounters, highlighting the way the establishment of mutual understanding is negatively affected by the fact that the participants do not or only to a limited extent share a common language. Analysis of the data shows that most of the woman's contributions in Farsi are responded to in L2-Swedish by the carer, primarily by means of seven different response practices: soothing talk, instrumental talk, minimal responses, explicit expressions of understanding, mitigating talk, questions, and appraisal. The findings are discussed in light of new demands on Swedish (and Western) care- and health care systems to adapt to the increasing number of multilingual, older people, who will become residents in care facilities and attend day centers within the coming years. PMID:24443089

  8. Analysis of illegally manufactured formulations of tadalafil (Cialis ®) by 1H NMR, 2D DOSY 1H NMR and Raman spectroscopy

    Microsoft Academic Search

    Saleh Trefi; Corinne Routaboul; Saleh Hamieh; Véronique Gilard; Myriam Malet-Martino; Robert Martino

    2008-01-01

    Counterfeit and\\/or imitation medicines are becoming a major health problem not only in developing countries but also in wealthier countries. The need of new and easy analytical methods for quality control of drugs is essential. We describe the use of Raman spectroscopy, 1H nuclear magnetic resonance (NMR) and 2D diffusion-ordered spectroscopy (DOSY) NMR to analyse genuine Cialis® and seven illegally

  9. The Decision to Accept Treatment for Osteoporosis Following Hip Fracture: Exploring the Woman’s Perspective Using a Stage-of-Change Model

    Microsoft Academic Search

    K. F. Mauck; M. T. Cuddihy; R. T. Trousdale; G. R. Pond; V. S. Pankratz; L. J. Melton III

    2002-01-01

    :   Despite the availability of medications that reduce fracture risk, most women who sustain a hip fracture are not evaluated\\u000a or treated for osteoporosis. While a number of studies have attributed this to a lack of physician awareness, no studies have\\u000a evaluated this problem from the patient’s perspective. To explore the process a woman negotiates when deciding to accept pharmacologic

  10. A case of premature ovarian failure in a 33-year-old woman.

    PubMed

    Colao, Emma; Granata, Teresa; Vismara, Marco F M; Bombardiere, Francesco; Nocera, Donatella; Luciano, Elisa; Perrotti, Nicola; Malatesta, Paola

    2013-01-01

    Objective. To assess aetiology of a POF in a 33-year-old woman and, if possible, plan a cure. Design. Case report. Setting. medical genetics diagnostic unit in a university hospital. Patient. A 33-year-old woman with premature ovarian failure (POF). Intervention(s). Genetic counseling, karyotyping, FISH study. Result(s). Turner-like diagnosis. Conclusion(s). Most cases of POF remain idiopathic. Turner syndrome can occur in very different phenotypes; cytogenetic and molecular profiling can provide a definitive diagnosis in cases with nonclassical phenotype. PMID:23509644

  11. A Case of Premature Ovarian Failure in a 33-Year-Old Woman

    PubMed Central

    Colao, Emma; Granata, Teresa; Vismara, Marco F. M.; Bombardiere, Francesco; Nocera, Donatella; Luciano, Elisa; Perrotti, Nicola; Malatesta, Paola

    2013-01-01

    Objective. To assess aetiology of a POF in a 33-year-old woman and, if possible, plan a cure. Design. Case report. Setting. medical genetics diagnostic unit in a university hospital. Patient. A 33-year-old woman with premature ovarian failure (POF). Intervention(s). Genetic counseling, karyotyping, FISH study. Result(s). Turner-like diagnosis. Conclusion(s). Most cases of POF remain idiopathic. Turner syndrome can occur in very different phenotypes; cytogenetic and molecular profiling can provide a definitive diagnosis in cases with nonclassical phenotype. PMID:23509644

  12. Balancing within various discourses--the art of being old and living as a Sami woman.

    PubMed

    Aléx, Lena; Hammarström, Anne; Norberg, Astrid; Lundman, Berit

    2006-01-01

    The aim of this part of the Umeå 85+ Study was to explore how indigenous women narrate their lives and their experience of being old as Sami women. Interviews with 9 old Sami women were analyzed using grounded theory. The categories identified were "reindeer as the basis of life," "longing for significant Sami values," "feeling valued as a Sami woman," and "changing for survival;" these evolved into the core category: "balancing within various discourses-the art of being old and living as a Sami woman." Knowing how to balance provided the ability to make use of available opportunities. PMID:17043029

  13. Reversed Intestinal Rotation Presented as Bowel Obstruction in a Pregnant Woman

    PubMed Central

    Schrier, Ilan

    2015-01-01

    A rare case of complete large bowel obstruction in a pregnant woman, without previous surgical history, due to previously undiagnosed reversed intestinal rotation is presented. The young woman was admitted with progressive nausea and vomiting which did not respond to conventional therapy. Her plain abdominal film revealed signs of small bowel obstruction. On laparotomy, her transverse colon was found to be located beneath the root of small bowel mesentery and completely obstructed by congenital fibrous bands. Postoperative recovery was unremarkable. Surgery for this unusual developmental anomaly is discussed.

  14. Maria Edgeworth's Angelina, or L'amie Inconnue: queer materiality and the woman writer's grotesque body.

    PubMed

    Gonda, Caroline

    2013-01-01

    Despite its many similarities to her better-known novel Belinda, Maria Edgeworth's Angelina is not usually read as a work about lesbianism--even though it begins with the heroine eloping to live with another woman. This article explores same-sex relationships in Angelina and suggests reasons for the work's comparative neglect by lesbian criticism. It examines the process by which the heroine's "unknown friend," the novelist Araminta, moves from being "nobody," a textual construct, to a woman all too thoroughly and grotesquely embodied; and it discusses the role of queer objects, including literary texts, in that process of embodiment. PMID:23855941

  15. Inventing Citizens During World War I: Suffrage Cartoons in "The Woman Citizen."

    ERIC Educational Resources Information Center

    Ramsey, E. Michele

    2000-01-01

    Contributes to scholarship advancing the understanding of human communication by examining the rhetorical invention strategies of suffrage rhetoric in the cultural context of World War I. Shows how the political cartoons published in the mainstream Suffrage Movement's "The Woman Citizen" constructed women as strong, competent, and essential to the…

  16. A 21-year-old woman with mediastinal mass and cardiac arrest

    PubMed Central

    Al-Sanouri, Ibrahim; Shaban, Mohammad; Al-Shahid, Maie; Abdulaziz, Salman

    2013-01-01

    Mediastinal mass syndrome (MMS) is a devastating respiratory and haemodynamic condition that might be encountered postintubation if special precautions are not carefully undertaken. We describe a case of MMS in a 21-year-old woman with a fatal outcome following emergency intubation for acute respiratory failure. PMID:23784759

  17. Continuing Education: Reentry and the Mature Woman--Annotated Selected References and Resources. Bibliography Series: 2.

    ERIC Educational Resources Information Center

    Cirksena, Kathy, Comp.; And Others

    This bibliography, second in a series of three to be issued by the Women's Educational Equity Communications Network (WEECN), contains ninety-three selected information resources (articles, papers, separately published bibliographies, and monographs) in the area of continuing education and the reentry woman. These materials, alphabetized according…

  18. "Words So Strong": Maxine Hong Kingston's "No Name Woman" Introduces Students to the Power of Words.

    ERIC Educational Resources Information Center

    Petit, Angela

    2003-01-01

    Presents a powerful story that helps students to realize that words can order the world around them and form realities of their own. Attempts to capture the rich reading experiences that Kingston's "No Name Woman" offers to students developing an understanding of words so strong. Concludes that reflecting on Kingston's experiences, students will…

  19. 'Here's the Weavery Looming Up': Verbal Humour in a Woman with High-Functioning Autism.

    ERIC Educational Resources Information Center

    Werth, Abigail; Perkins, Michael; Boucher, Jill

    2001-01-01

    A case study of a 29-year-old woman with high functioning autism is presented. Examples of her use of puns, jokes, neologisms, "portmanteau" words, irreverent humor, irony, sarcasm, and word play based on her obsessional interests are provided and discussed in relation to current theories of autism and of normal humor. (Contains references.)…

  20. FLTC DVD / CHINESE DVD/CHI/1 -EAT DRINK MAN WOMAN -Ang Lee

    E-print Network

    Baskaran, Mark

    FLTC DVD / CHINESE DVD/CHI/1 - EAT DRINK MAN WOMAN - Ang Lee 1994 (124 min.) MANDARIN CHINESE w/ ENGLISH, FRENCH & SPANISH SUBTITLES DVD/CHI/2 - PUSHING HANDS - Ang Lee 1996 (105 min.) MANDARIN CHINESE w/ ENGLISH SUBTITLES DVD/CHI/3 - LUST, CAUTION 2007 (160 MIN) DVD/CHI/4 ­ CROUCHING TIGER HIDDEN DRAGON 2003

  1. Mercury Distribution in the Biota of a Great Lakes Estuary: Old Woman Creek, Ohio

    Microsoft Academic Search

    Donna R. Francis; David J. Jude; James A. Barres

    1998-01-01

    A study of mercury contamination in a wetland ecosystem was undertaken to assess degree of contamination in various compartments of the food web, and determine the most important routes for mercury to enter fish species. Old Woman Creek is a freshwater estuary on the southern shore of Lake Erie and has been recognized as an important nursery area for fish.

  2. Effects of a Youth Culture on Feelings and Attitudes of the Middle Woman.

    ERIC Educational Resources Information Center

    Hoffman, Florence Perkell

    To determine the relationship between attitudes and feelings of the middle woman, aged 35-55, and the present youth culture, both intrapsychic factors and environmental conditioning, as well as historic/cultural reasons were examined, using an attitudinal survey, administered to a sample population of middle to upper class suburban women.…

  3. Hypermagnesemia Induced by Massive Cathartic Ingestion in an Elderly Woman without Pre-existing Renal Dysfunction

    Microsoft Academic Search

    Makoto KONTANI; Akinori HARA; Shinji OHTA; Takayuki IKEDA

    2005-01-01

    A 76-year-old woman was referred to our hospital for unresponsiveness and hypotension. She had developed constipation that had led to ileus and had received 34 g of magnesium citrate (Magcolol P ® ) orally the day before. She was lethargic, her blood pressure was less than 50 mmHg, and electrocardiogram (ECG) revealed sinus ar- rest with junctional escape rhythm. Her

  4. Detour from Nowhere: The Remarkable Journey of a Re-Entry College Woman.

    ERIC Educational Resources Information Center

    Rodriguez, Sandria

    1996-01-01

    Reentry women generally face formidable barriers to educational success: they have primary responsibility for family matters; they suffer a disproportionate amount of stress, guilt, and anxiety; and their success is often dependent on family support. The article chronicles the empowerment that one woman found through her experience at a community…

  5. Pregnancy following nonsurgical donor ovum transfer to a functionally agonadal woman

    SciTech Connect

    Sauer, M.V.; Macaso, T.M.; Ishida, E.H.; Giudice, L.; Marshall, J.R.; Buster, J.E.

    1987-08-01

    We report this country's first nonsurgical donor ovum transfer pregnancy in a functionally agonadal woman who had received chemotherapy and radiation for Hodgkin's lymphoma. For women with ovarian failure, nonsurgical uterine lavage and ovum transfer may provide an opportunity for motherhood that was not possible previously.

  6. Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum

    Microsoft Academic Search

    Allison Ariail; Trace Sears; Elizabeth Hampton

    2008-01-01

    Background and Purpose. Postpartum stress urinary incontinence (SUI) of- ten compromises a woman's ability to participate in normal daily routines or physical activities. Pelvic-floor muscle (PFM) training has been shown to be effective in improving urinary incontinence. Transabdominal ultrasound (TAUS) imaging is a new, noninvasive method for assessing the function of the PFMs. This case report describes the use of

  7. Case Assessment and Service Receipt in Families Experiencing Both Child Maltreatment and Woman Battering

    Microsoft Academic Search

    SANDRA K. BEEMAN; ANNELIES K. HAGEMEISTER; JEFFREY L. EDLESON

    2001-01-01

    Professional attention to families experiencing both child maltreatment and woman battering has increased in recent years. This study examined data for 172 families—95 families for which police had filed child abuse incident reports and adult domestic assault incident reports, and 77 other families for which police had filed child maltreatment reports but had no documentation of domestic assaults. Exploring differences

  8. Fibroid degeneration in a postmenopausal woman presenting as an acute abdomen

    PubMed Central

    Shrestha, Rajesh; Khanal, Raju; Aryal, Madan Raj; Pathak, Ranjan; Karmacharya, Paras; Naqi, Muniba; Murukutla, Srujitha; Bhatt, Vijaya Raj; Gottesman, Aaron

    2015-01-01

    Uterine fibroid, one of the most common tumors in women, is estrogen dependent, which commonly regresses after menopause. Fibroid degeneration after menopause, therefore, is rare. Here the authors report a case of 56-year-old postmenopausal woman who presented with acute abdominal pain, low grade fever, and leukocytosis as a result of fibroid degeneration. PMID:25656665

  9. A Woman of Substance PROFICIOHELPING, ADVANCING, MAKING PROGRESS IN PHYSICAL THERAPY

    E-print Network

    Weber, David J.

    A Woman of Substance 1807 PROFICIOHELPING, ADVANCING, MAKING PROGRESS IN PHYSICAL THERAPY FALL 2004 UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE DEPARTMENT OF PHYSICAL THERAPY & REHABILITATION SCIENCE #12;University of Maryland School of Medicine Physical Therapy Alumni Association Executive Board January 1, 2004

  10. Three-Port Laparoscopic Cholecystectomy in a Brazilian Amazon Woman with Situs Inversus Totalis: Surgical Approach

    Microsoft Academic Search

    Mauro Neiva Fernandes; Ivan Nazareno Campos Neiva; Francisco de Assis Camacho; Lucas Crociati Meguins; Marcelo Neiva Fernandes; Emília Maíra Crociati Meguins

    2008-01-01

    Situs inversus totalis (SIT) is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT

  11. Cultural ProficiencyA Hispanic Woman With ADHD—A Case Example

    Microsoft Academic Search

    Roberta Waite; J. Russell Ramsay

    2010-01-01

    Background: Guidelines for assessment, diagnosis, and treatment of ADHD have been drawn from research focused primarily on Caucasian males generating, in part, the need to redress health disparities. Diagnostic criteria may therefore be limited, especially regarding gender differences and other associated cultural, familial, socio-environmental, and individual influences. Objective: To examine how one woman with ADHD managed social, academic, interpersonal, and

  12. Mood and Body Weight in a Woman with Rapid Cycling Bipolar Disorder: A Case Report

    Microsoft Academic Search

    LORETTA DIPIETRO; LASZLO GYULAI; ALBERT J. STUNKARD; PETER C. WHYBROW

    To describe the relationship between mood and body weight, we analyzed 122 consecutive days of data from a 52-year-old woman with rapid cycling bipolar disorder, type II. The patient completed a daily log of self- reported mood, and weighed and recorded her weight daily. Mood and body weight were highly correlated (r = 0.60), and a decrease in mood preceded

  13. Spontaneous coronary artery dissection: a rare diagnosis in a postmenopausal woman

    PubMed Central

    Saleb, Karim; Gibreal, Mohammed; Sodhi, Gurpreet; Solomon, Allen

    2015-01-01

    We report a case of a 50-year-old ex-smoker, postmenopausal woman presenting with an acute myocardial infarction caused by a spontaneous coronary artery dissection of a long ‘wrap-around’ left anterior descending coronary artery. After the diagnostic coronary angiography, she was treated medically with subsequent improvement. PMID:25988070

  14. "Alla en Guatemala": Transnationalism, Language, and Identity of a Pentecostal Guatemalan-American Young Woman

    ERIC Educational Resources Information Center

    Ek, Lucila D.

    2009-01-01

    This article examines the transnationalism of a Pentecostal Guatemalan-American young woman who is a second-generation immigrant. Amalia traveled to Guatemala from when she was six months old until her sophomore year in college. These visits to Guatemala have helped her maintain her Guatemalan language, culture, and identity in the larger Southern…

  15. A sex cord stromal tumour in a woman with XO\\/XX\\/XXX-mosaicism

    Microsoft Academic Search

    D. Glaser; H. Nienhaus; R. Köhler; G. Walther; I. H. Pawlowitzki

    1988-01-01

    We describe a postmenopausal woman with 45,XO\\/46,XX\\/47, XXX mosaicism who presented with a Sertoli-Leydig cell turour and a past history of habitual abortion. The cytogenetic finding is discussed in relation to the etiology of the tumour and of the recurrent abortions.

  16. Protein S deficiency present in a pregnant woman with dyspnea, abdominal pains, restlessness, agitation and hypofibrinogenemia

    PubMed Central

    Umazume, Takeshi; Morikawa, Mamoru; Yamada, Takahiro; Akaishi, Rina; Koyama, Takahiro; Minakami, Hisanori

    2015-01-01

    Key Clinical Message Hypofibrinogenemia is rare in pulmonary thromboembolism. A pregnant woman with dyspnea, abdominal pain, restlessness, agitation and protein S deficiency exhibited normal blood oxygenation and high D-dimer (370 ?g/mL) and undetectable fibrinogen levels in the blood. The pathogenesis responsible for present findings may have some features similar to amniotic fluid embolism. PMID:25914811

  17. Social Concepts and Judgments: A Semantic Differential Analysis of the Concepts Feminist, Man, and Woman

    ERIC Educational Resources Information Center

    Pierce, W. David; Sydie, R. A.; Stratkotter, Rainer

    2003-01-01

    Male and female participants (N = 274) made judgments about the social concepts of "feminist," "man," and "woman" on 63 semantic differential items. Factor analysis identified three basic dimensions termed evaluative, potency, and activity as well as two secondary factors called expressiveness and sexuality. Results for the evaluative dimension…

  18. Splenomegaly as a Primary Manifestation of Gaucher Disease in a Young Adult Woman

    Microsoft Academic Search

    Giuseppe Merra; Antonio Dal Lago; Roberta Ricci; Daniela Antuzzi; Giovanni Gasbarrini; Antonio Gasbarrini; Giovanni Ghirlanda

    2008-01-01

    Gaucher disease is the most common lysosomal storage disease. It is caused by the defective activity of acid ?-glucosidase, which results in the accumulation of lipid glucocerebroside in macrophages throughout the body. In this case report we describe the case of a young adult woman with splenomegaly as the primary manifestation of this pathology. This is a case of type

  19. "Sad, Just Sad": A Woman with a Learning Disability Experiencing Bereavement

    ERIC Educational Resources Information Center

    Campbell, Alison; Bell, Dorothy

    2011-01-01

    This case study considers the psychological assessment, formulation and treatment of Hannah, a woman with a learning disability who recently experienced the death of her mother. Death still remains a challenging and often taboo subject. Moreover, when the grief is of a person with a learning disability, this combines with underlying difficulties…

  20. [Laparoscopic cholecystectomy for acute cholecystitis in pregnancy: a case report in woman with situs viscerum inversus].

    PubMed

    Pezzolla, Angela; Lattarulo, Serafina; Disabato, Maria; Barile, Graziana; Primiceri, Giuliana; Paradies, Daniele

    2012-12-01

    We report a case of a three month young pregnant woman (In Vitro Fertilization and Embryo Transfer - IVF-ET - twin pregnancy) with situs viscerum inversus totalis affected by acute cholecystitis. As already happened in other pregnant women, we use laparoscopic approach and cholecystectomy is performed successfully without any morbidity for mother and fetuses. PMID:23258242

  1. Setting a Free Woman Free: The Portrait(s) of a Lady 1

    Microsoft Academic Search

    Donatella Izzo

    This essay is an attempt to confront two texts at o nce: The Portrait of a Lady and The Portrait of a Lady . One is of course Henry James's novel, which I hav e never ceased to come back to over a couple of decad es, and never failed to respond to as both woman and literary critic, as

  2. Mr. Lee has Medicare. One evening he received a phone call from a woman who

    E-print Network

    Goodman, Robert M.

    a credit card number. Never give these numbers to a stranger. Remember, Medicare doesn't call or visit for three things on your billing statement: 1. Charges for something you didn't get 2. Billing for the sameMr. Lee has Medicare. One evening he received a phone call from a woman who identified herself

  3. Cerebral Phaeohyphomycosis Caused by Rhinocladiella mackenziei in a Woman Native to Afghanistan ?

    PubMed Central

    Cristini, Alejandro; Garcia-Hermoso, Dea; Celard, Marie; Albrand, Gilles; Lortholary, Olivier

    2010-01-01

    Rhinocladiella mackenziei is a recognized cause of endemic cerebral phaeohyphomycosis in the Middle East area. Surgical resection of the abscesses and posaconazole treatment have improved the ominous prognosis of this disease. We describe the case of a native Afghan woman living in France who presented with brain abscesses due to R. mackenziei. PMID:20592148

  4. Progressive outer retinal necrosis: a missed diagnosis and a blind, young woman.

    PubMed

    Parekh, Parth; Oldfield, Edward C; Marik, Paul E

    2013-01-01

    We present a 33-year-old woman with a history significant for HIV/AIDS (CD4 count of 17) and diabetes mellitus who was diagnosed as having progressive outer retinal necrosis (PORN) after presenting with peripheral vision loss. This case provided a diagnostic challenge and demonstrates the devastating effects of a misdiagnosis as it pertains to PORN. PMID:23608868

  5. Progressive outer retinal necrosis: a missed diagnosis and a blind, young woman

    PubMed Central

    Parekh, Parth; Oldfield, Edward C; Marik, Paul E

    2013-01-01

    We present a 33-year-old woman with a history significant for HIV/AIDS (CD4 count of 17) and diabetes mellitus who was diagnosed as having progressive outer retinal necrosis (PORN) after presenting with peripheral vision loss. This case provided a diagnostic challenge and demonstrates the devastating effects of a misdiagnosis as it pertains to PORN. PMID:23608868

  6. Leadership for Sustainable Development From the Perspective of a Woman Physicist

    Microsoft Academic Search

    Elvira S. Williams

    2005-01-01

    What skills make a great leader? What policies lead to great programs? Answers to these challenging questions must be formulated and implemented by leaders who are successful regardless of the type organization interested in sustainable development. Leadership from both a career and an organizational viewpoint will be discussed from the perspective of a woman physicist. Implications of laws of classical

  7. Mary Pickersgill: The Woman Who Sewed the Star-Spangled Banner

    ERIC Educational Resources Information Center

    Smith, Megan; Wei, Jenny

    2013-01-01

    Just imagine: you live in a time before electricity. There are no sewing machines, no light bulbs, and certainly no television shows to keep you entertained. You spend six days a week working 12-hours each day inside your small home with four teenage girls and your elderly mother. This was the life of Mary Pickersgill, the woman who sewed the…

  8. Contrasting Portraits: Integrating Materials about the Afro-Hispanic Woman Into the Traditional Curriculum. Working Paper No. 120.

    ERIC Educational Resources Information Center

    Jimenez, Marilyn

    Images of Black women in Hispanic literature tend to be the work of White authors or Black male authors who, however well-intentioned, cannot articulate the direct, lived experience of the black, Hispanic woman. Moreover, the image of the Black woman in Spain and Latin America is the result of a slavocratic, patriarchal system and, therefore,…

  9. EFFETTI DELLA GRAVIDANZA SULLA FUNZIONALITA' TIROIDEA

    Microsoft Academic Search

    Luigi Filippo Orsini; Maria Bisulli; Domenico de Aloysio

    2006-01-01

    Thyroid activity is critical for reproductive function and normal fetal brain and cognitive development. Thyroid disorders are, therefore, often associated with adverse reproductive outcome. However it is very important to know that during pregnancy physiologic changes in thyroid function occur, which should not be misinterpreted as pathological. The incident of overt thyroid dysfunction in pregnant women is 1-2 % but

  10. Rosacea-like facial rash related to metformin administration in a young woman

    PubMed Central

    2014-01-01

    Background Since the skin represents a common site of adverse drug reactions, few data are reported at this time regarding the development of skin rash during the treatment with antidiabetic drugs. Case presentation We report a 29-year old woman that developed a facial skin rash during the treatment with metformin. Clinical and laboratory findings excluded the presence of systemic diseases, but several diagnosis and many drugs were administered without clinical improvement. The self-dismission of metformin induced an improvement of symptoms, while the re-challenge documented an impairments of skin rash. The Naranjo probability scale suggested a probable association between metformin and skin rash and metformin was definitively dismissed. Conclusion We report for the first time a non vasculitis facial skin manifestation related to metformin in a young woman. However, this case may emphasizes the need to consider the ADRs as a differential diagnosis in order to reduce medical errors and the related medical costs. PMID:24507578

  11. Opportunities for Woman-Initiated HIV Prevention Methods among Female Sex Workers in Southern China

    PubMed Central

    Weeks, Margaret R.; Liao, Susu; Abbott, Maryann; He, Bin; Zhou, Yuejiang; Jiang, Jingmei; Wei, Liu; Yu, Wang

    2010-01-01

    Rapid changes in China over the past two decades have led to significant problems associated with population migration and changing social attitudes, including a growing sex industry and concurrent increases in STIs and HIV. This article reports results of an exploratory study of microbicide acceptability and readiness and current HIV prevention efforts among female sex workers in two rural and one urban town in Hainan and Guangxi Provinces in southern China. The study focused on these women’s knowledge and cultural understandings of options for protecting themselves from exposure to STIs and HIV, and the potential viability and acceptability of woman-initiated prevention methods. We report on ethnographic elicitation interviews conducted with women working within informal sex-work establishments (hotels, massage and beauty parlors, roadside restaurants, boarding houses). We discuss implications of these findings for further promotion of woman-initiated prevention methods such as microbicides and female condoms among female sex workers in China. PMID:17599276

  12. [Increased plasma C-reactive protein in a pregnant woman with multiple sclerosis: corticotherapy or not ?].

    PubMed

    Limelette, Anne; Caucheteux, Nathalie; Ramont, Laurent; Tourbah, Ayman; Maquart, François-Xavier

    2010-01-01

    We report the case of a 26 years old pregnant woman at 17 weeks amenorrhea, suffering from multiple sclerosis (MS) for 6 years, hospitalized for a relapse. Treatment of MS relapses is based on high dose corticosteroid infusions, A current infection would represent a contra-indication to this treatment. In our patient, C-reactive protein (CRP) levels were moderately increased (38 mg/L). This raised the question of the physiological CRP levels in pregnant woman. After reviewing the literature, we noticed that increased CRP levels may be found in normal pregnancy, however no consensual cut-off value is admitted up to date. Procalcitonin measurement may contribute to therapeutical decision, even if increased levels have also been reported during normal pregnancy. PMID:20348053

  13. Bilateral non-arteritic ischemic optic neuropathy in a transsexual woman using excessive estrogen dosage.

    PubMed

    Wierckx, Katrien; De Zaeytijd, Julie; Elaut, Els; Heylens, Gunter; T'Sjoen, Guy

    2014-02-01

    We present a case report on a 53-year-old transsexual woman who developed acute painless vision loss in both eyes during cross-sex hormone treatment. After 10 months of cross-sex hormone treatment, she experienced total vision loss of the right eye and, 6 months later, vision loss to 20/63 in the left eye. After a full ophthalmic exam, bilateral sequential non-arteritic ischemic optic neuropathy (NA-ION) was diagnosed. Extensive etiological work-up revealed no cardiac abnormalities or inherited blood-clotting disorders. A manifest self-administered overdose of transdermal estrogen treatment with serum estradiol levels of 5,765 pg/ml was possibly related to the sequential bilateral NA-ION resulting in nearly total vision loss in this transsexual woman. PMID:24057212

  14. Delayed Puberty and Estrogen Resistance in a Woman with Estrogen Receptor ? Variant

    PubMed Central

    Quaynor, Samuel D.; Stradtman, Earl W.; Kim, Hyung-Goo; Shen, Yiping; Chorich, Lynn P.; Schreihofer, Derek A.; Layman, Lawrence C.

    2013-01-01

    Although androgen resistance has been characterized in men with a normal chromosome complement and mutations in the androgen-receptor gene, a mutation in the gene encoding estrogen receptor ? (ESR1) was previously described only in one man and not, to our knowledge, in a woman. We now describe an 18-year-old woman without breast development and with markedly elevated serum levels of estrogens and bilateral multicystic ovaries. She was found to have a homozygous loss-offunction ESR1 mutation in a completely conserved residue that interferes with estrogen signaling. Her clinical presentation was similar to that in the mouse orthologue knockout. This case shows that disruption of ESR1 causes profound estrogen resistance in women. (Funded by the National Institutes of Health.) PMID:23841731

  15. Teaching with Historic Places Lesson Plans: A Woman's Place is the Sewall-Belmont House

    NSDL National Science Digital Library

    In 1929, the National Woman's Party set up headquarters in the Sewall-Belmont House on Capitol Hill in Washington, DC. Their leader, Alice Paul, was a tireless advocate for woman's rights, well known for drafting the first Equal Rights Amendment in 1921. This lesson plan from the National Park Service explores this historic home and Paul's work through primary documents, maps, images, and classroom activities. The Table of Contents area contains a number of sections, including Locating the Site: Maps, Determining the Facts: Readings, and Visual Evidence: Images. The site is rounded out by classroom activities, which include explorations into oral history and investigations into the history of liberties denied and enjoyed by various groups of citizens.

  16. A rare case report of tracheal leech infestation in a 40-year-old woman

    PubMed Central

    Zhang, Peng; Zhang, Rui; Zou, Jian; Zhu, Tao

    2014-01-01

    Leeches are the very rare types of airway foreign body. Here we report a rare case of a 40-year-old woman with tracheal leech infestation. A 40-year-old woman presented 2-month history of dyspnea, occasional haemoptysis. There were foreign body sensation in throat, cough and hoarseness. Computed Tomography (CT) revealed some soft tissue shadow in the upper trachea. Eventually a 5 cm long living leech was smoothly removed from trachea by rigid bronchoscopy under sevoflurane general anesthesia. The airway leech infestation should be kept in mind especially in patients presenting with unexplained haemoptysis, dyspnea, hoarseness and a foreign body sensation in the throat and a history of drinking infested water from streams, pools and spring. General anesthesia might be necessary for the removal of the leech. PMID:25419405

  17. Scent of a woman: men's testosterone responses to olfactory ovulation cues.

    PubMed

    Miller, Saul L; Maner, Jon K

    2010-02-01

    Adaptationist models of human mating provide a useful framework for identifying subtle, biologically based mechanisms influencing cross-gender social interaction. In line with this framework, the current studies examined the extent to which olfactory cues to female ovulation--scents of women at the peak of their reproductive fertility--influence endocrinological responses in men. Men in the current studies smelled T-shirts worn by women near ovulation or far from ovulation (Studies 1 and 2) or control T-shirts not worn by anyone (Study 2). Men exposed to the scent of an ovulating woman subsequently displayed higher levels of testosterone than did men exposed to the scent of a nonovulating woman or a control scent. Hence, olfactory cues signaling women's levels of reproductive fertility were associated with specific endocrinological responses in men--responses that have been linked to sexual behavior and the initiation of romantic courtship. PMID:20424057

  18. Recurrent spontaneous coronary artery dissection in a woman with fibromuscular dysplasia.

    PubMed

    Khosla, Amit; Saw, Jacqueline

    2015-06-01

    We report a case of five recurrent myocardial infarctions due to repeat spontaneous coronary artery dissection (SCAD) in a woman with underlying fibromuscular dysplasia. Her angiographic SCADs were missed on two occasions. Patients with a history of SCAD are at risk for recurrent dissections. This case also highlights the angiographic variants of SCAD, and the utility of intracoronary imaging in diagnosing suspected SCAD. PMID:26028659

  19. Therapeutic Efficacy of Leukocytapheresis in a Pregnant Woman with Severe Active Ulcerative Colitis

    Microsoft Academic Search

    H. Okada; C. Makidono; R. Takenaka; S. Hiraoka; A. Fujiwara; J. Kato; Y. Kawahara; H. Kawamoto; M. Mizuno; Y. Shiratori

    2006-01-01

    Leukocytapheresis has recently been used to induce remission in patients with ulcerative colitis (UC) who fail to respond to corticosteroids. We could not find a report in the literature on leukocytapheresis for UC with gestational exacerbation. We have recently encountered this unique condition and report the details here. A 30-year-old Japanese woman with left-sided severe UC was corticosteroid-dependent and had

  20. Unusual presentation of a woman with polycystic ovaries and complex endometrial pathology

    Microsoft Academic Search

    Karunakar Marikinti

    2006-01-01

    A 28-year-old woman with polycystic ovarian syndrome (PCOS) had attempted four assisted conception treatments, all of which were complicated by lack of response of the endometrium to the hypo-oestrogenic state induced with gonadotrophin releasing hormone analogue (GnRHa). Consequently, two treatment cycles were abandoned, one prior to the ovulation induction of a fresh IVF treatment and the other prior to oestrogen

  1. ‘Women of Vision’ in the Jewish Renewal Movement: The Eshet Hazon [‘Woman of Vision’] Ceremony

    Microsoft Academic Search

    CHAVA WEISSLER

    2006-01-01

    Since the 1960s, ALEPH: Alliance for Jewish Renewal has envisioned a Judaism that affirms the spiritual power and creativity of women. The challenges raised by this commitment—how to formulate and foster women's gifts within Judaism—are exemplified in the Eshet Hazon [Woman of Vision] ritual, first celebrated in 1982. Incorporating Jewish texts and symbols, this ritual transformed their meaning to express

  2. Anaesthetic management of labour and delivery in a woman taking long-term MAOI

    Microsoft Academic Search

    Timothy J. G. Pavy; A. Paul Kliffer; M. Joanne Douglas

    1995-01-01

    A case is presented of a woman who, for six years, had been treated for depression with 45 mg daily of the monoamine oxidase\\u000a inhibitor (MAOI), phenelzine, and who continued taking the drug throughout her pregnancy and labour. Welldocumented and potentially\\u000a fatal interactions between MAOIs and opioids, notably meperidine, meant that her labour analgesia needed careful planning.\\u000a Opioid- and epinephrine-free

  3. Epidural analgesia in labor for a woman with an intrathecal baclofen pump

    Microsoft Academic Search

    W. Ali Sakr Esa; I. Toma; J. E. Tetzlaff; S. Barsoum

    2009-01-01

    A 28-year-old woman in active labor at 38 weeks of gestation requested epidural analgesia. She had previously received an intrathecal baclofen infusion pump to relieve the spasticity of cerebral palsy. She had right hemiparesis and cerebral palsy but was otherwise healthy. The patient had been seen one month before her expected delivery date by a staff anesthesiologist. A lumbar X-ray

  4. A middle aged woman presenting with massive empyema of the gallbladder: a case report

    PubMed Central

    Lawal, Oladejo Olukayode; Akinkuolie, Andrew Akinbolaji; Adisa, Adewale Oluseye

    2009-01-01

    Empyema of gallbladder is generally a rare disease and it is even rarer in the traditional African population where incidence of cholelithiasis is much lower compared with the Caucasian population. This is a presentation to highlight massive empyema of the gallbladder in a 58 year old woman who had no prior history of gallstone disease and who was treated with open cholecystectomy. The outcome was successful and she was followed up for a year. PMID:19830018

  5. Intrabronchial lesion due to Cladosporium sphaerospermum in a healthy, non-asthmatic woman.

    PubMed

    Yano, S; Koyabashi, K; Kato, K

    2003-09-01

    An intrabronchial lesion caused by to Cladosporium sphaerospermum in a healthy and non-asthmatic 59-year-old woman is reported. Intrabronchial infusion of amphotericin B was repeated three times followed by oral administration of prednisolone and itraconazole. The findings on chest radiographs subsequently improved. The possibility of intrabronchial lesions caused by C. sphaerosporum even in a healthy and non-asthmatic person is remarkable. PMID:12950908

  6. Kaposi's sarcoma of the colon in a young HIV-negative woman with Crohn's disease

    Microsoft Academic Search

    T. Puy-Montbrun; F. Pigot; P. N. Vuong; R. Ganansia; J. Denis

    1991-01-01

    Summary We report a case of isolated colonic Kaposi's sarcoma in a 36-year-old HIV-negative woman with refractory Crohn's disease of the colon and perineum following 11 months' treatment with azathioprine. The clinical features of this case are quite different from those classically described in Kaposi's sarcoma. Among the known risk factors, iatrogenic immunosuppression would appear to be the most probable.

  7. A limp in a pregnant woman as a first presentation of celiac disease

    Microsoft Academic Search

    A. A. Jammah

    A 25-year-old Arab woman, reported to our endocrinology clinic one month post-partum presenting with back pain and a limp\\u000a that started during the seventh month of pregnancy. Upon examination, she was found to have a full range of motion and no\\u000a tenderness in the hip joint or lower back. The pain was aggravated by walking. She had a limping gait

  8. [Severe psychosis in an African woman due to the antiretroviral agent efavirenz].

    PubMed

    van Twillert, G; van Santen, G; Godfried, M H

    2005-11-26

    A 34-year-old woman originally from Ghana was given efavirenz as antiretroviral therapy. One week later she was found to be in a psychotic state with paranoid hallucinations and anxiety; she then stabbed a nurse. The literature indicates that female patients of African origin appear to be more susceptible to the side effects of efavirenz due to genetically reduced clearance and therefore higher serum levels. PMID:16358620

  9. A review of "Anne Conway: A Woman Philosopher." by Sarah Hutton 

    E-print Network

    Karol K. Weaver

    2006-01-01

    REVIEWS 41 nor of political opinion (90). A fuller account of the place of that philosophic education and its relation to politics seems quite important. Vaughan quotes De Cive at length, in which Hobbes remarks that he ?took up Philosophy... with political education but with the way the stories we tell about our history shape our public political ethos. Sarah Hutton. Anne Conway: A Woman Philosopher. Cambridge: Cambridge University Press, 2005. viii + 271 pp. $75.00. Review by KAROL K. WEAVER...

  10. Socially Anxious and Confident Men Interact with a Forward Virtual Woman: An Experimental Study

    PubMed Central

    Pan, Xueni; Gillies, Marco; Barker, Chris; Clark, David M.; Slater, Mel

    2012-01-01

    Background Male volunteers entered an immersive virtual reality that depicted a party, where they were approached by a lone virtual woman who initiated a conversation. The goal was to study how socially anxious and socially confident men would react to this event. Interest focused on whether the socially anxious participants would exhibit sustained anxiety during the conversation or whether this would diminish over time, and differ from the responses of the more socially confident men. Methodology The scenario was a party with five virtual characters, four sitting at a distance from the participant and talking amongst themselves and one lone woman standing closer. The woman approached the participant, introduced herself and initiated a conversation that was first about mundane matters and then became more personal and intimate. Participants were men who were either relatively socially confident (18) or socially anxious in their relationships with women (18). A second experimental factor was whether or not the other four characters occasionally looked towards the participant. There was a post-trial questionnaire about social anxiety in relation to the experience, and skin conductance and ECG physiological measures were recorded. Our expectation was that the socially anxious participants would show greater anxiety throughout. Conclusions Compared to baseline readings both socially confident and socially anxious groups on average showed signs of significantly increased stress at the initial approach of the virtual woman. The stress then diminished once the conversation entered into the mundane phase and then did not significantly change. Comparing pre- and post-questionnaire anxiety scores there was no change for the more confident participants but a significant decrease in average score amongst the anxious group. The methodology of placing socially anxious participants in a virtual reality where they can gain experience of how to act in a stressful situation promises a novel way forward for treating social anxiety. PMID:22509251

  11. Photocopy of a photograph showing a woman (not E.E. Lape, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Photocopy of a photograph showing a woman (not E.E. Lape, but possibly E.F. Read) seated outside of southwest corner of Murdock House (circa 1930s?). (Photo found in Lape-Read House, located at U.S. Fish and Wildlife Service - Murdock Hill, Murdock House, South side of Old Clinton Road (U.S. Route 1), 1 mile east of Horse Hill Road, Westbrook, Middlesex County, CT

  12. Woman's Intuition

    ERIC Educational Resources Information Center

    Anyaso, Hilary Hurd

    2010-01-01

    This article presents a conversation with three women college leaders on how their respective Ohio colleges are faring in the economy, leadership and what tops their presidential agendas these days. Patricia L. Hardaway was appointed president of Wilberforce University in April 2008. An attorney and graduate of the historically Black university,…

  13. A forgotten moment in physiology: the Lovelace Woman in Space Program (1960Â?1962)

    NSDL National Science Digital Library

    Kathy Ryan (United States Army Institute of Surgical Research)

    2009-10-01

    In 1959, Brigadier General Donald Flickinger and Dr. W. Randolph Lovelace II suggested that it would be more practical from an engineering standpoint to send women rather than men into space due to their lower body weights and oxygen requirements. When the Air Force decided not to pursue this project, Dr. Lovelace assumed leadership of the Woman in Space Program and began medical and physiological testing of a series of accomplished women aviators at the Lovelace Medical Clinic in Albuquerque, NM, in 1960. The tests that these women underwent were identical to those used to test the original Mercury astronauts, with the addition of gynecological examinations. Thirteen of the nineteen women tested passed these strenuous physiological exams (for comparison, 18 of 32 men tested passed); a subset of these pilots was further tested on a series of psychological exams that were similar to or, in some instances, more demanding than those given to male Mercury candidates. Despite these promising results, further testing was halted, and the Woman in Space Program was disbanded in 1962. Although the Woman in Space Program received a great deal of publicity at the time, the story of these women was somewhat lost until they were reunited at the 1999 launch of the shuttle Columbia, commanded by Colonel Eileen Collins.

  14. Mid-Tertiary structural evolution of the Old Woman Mountains area: Implications for crustal extension across southeastern California

    SciTech Connect

    Hileman, G.E.; Miller, C.F. (Vanderbilt Univ., Nashville, TN (United States)); Knoll, M.A. (Vanderbilt Univ., Nashville, TN (United States) Univ. of Texas, El Paso (United States))

    1990-01-10

    The Old Woman Mountains area is a moderately extended region that lies between two highly extended terranes, the Central Mojave Extensional Complex and the Colorado River Extensional Corridor. Two normal faults and a high-angle fault that the authors interpret to be a transfer structure divide the area into four distinct structural blocks. These blocks correspond to the four mountain ranges of the area: the Old Woman, Piute, Little Piute, and Ship mountains. Other major faults involved in tilting are inferred to be buried beneath alluvium in surrounding valleys. Deformation occurred in part before, but primarily after, deposition of the Peach Springs Tuff, an 18.5 Ma regional stratigraphic marker. Transport directions of hanging walls are westward on the west side of the Old Woman Mountains area and east-southeastward on the east side. The authors suggest that the Old Woman Mountains area is a less extended portion of a continuous extensional terrane that stretches from the central Mojave Desert across the Colorado River to the transition zone of the Colorado Plateau. Lower strain in the Old Woman Mountains area than in most of the Colorado River Extensional Corridor and Central Mojave Extensional Complex and age relations across the terrane can be explained by a model in which the principal locus of upper crustal breakaway to an east dipping low-angle simple shear zone shifted at about 18-20 Ma from a position far to the west to just east of the Old Woman Mountains area.

  15. Spontaneous resolution of a giant pulmonary bulla in an older woman: role of functional assessment.

    PubMed

    Scarlata, Simone; Cesari, Matteo; Caridi, Irene; Chiurco, Domenica; Antonelli-Incalzi, Raffaele

    2011-01-01

    Pulmonary bullae usually occur as isolated abnormalities in otherwise normal lung tissue or, more frequently, in the presence of emphysema. Pulmonary bullae tend to progressively increase in their size, and spontaneous regressions have very rarely been reported. In this paper, we report the case of an older woman experiencing the spontaneous resolution of a giant pulmonary bulla. Interestingly, the reported case is characterized by a negligible improvement in respiratory function parameters, despite a substantial increase in the 6-min walking test and the oxygen arteriolar partial pressure. PMID:20588006

  16. Porocarcinoma coexisting at a site of Bowen disease in a 63-year-old woman.

    PubMed

    Zheng, L-Q; Han, X-C; Huang, Y; Li, H-W; Niu, X-D; Li, J

    2015-04-01

    Porocarcinoma is an unusual, locally aggressive and potentially fatal neoplasm. Several cutaneous malignancies have been described in association with porocarcinoma, including squamous cell carcinoma, basal cell carcinoma and tricholemmal carcinoma. Previous reports have indicated that the occurrence of malignant tumours in combination with porocarcinoma is extremely rare, in particular with regard to Bowen disease (BD). We report an uncommon case of porocarcinoma occurring synchronously in a single BD lesion in a 63-year-old woman with multiple BD lesions. The clinical and histological findings confirmed this diagnosis. PMID:25559897

  17. Longstanding Hypoparathyroidism in a Fifty-Two-Year-Old Woman Misdiagnosed as Spondyloarthropathy

    PubMed Central

    Zabihiyeganeh, Mozhdeh; Jahed, Seyed Adel; Akbari, Hounaz

    2014-01-01

    Introduction: Hypoparathyroidism might cause various musculoskeletal findings, resembling Spondyloarthropathies. Case Presentation: We described a 52-year-old woman, diagnosed as a case of undifferentiated spondyloarthropathy for ten years, who was unresponsive to classic anti-inflammatory therapies. She developed anterior ischemic optic neuropathy and had elevated muscle enzymes during the course of disease. On a routine checkup, marked hypocalcemia and suppressed parathyroid hormone levels were found. Calcium and calcitriol therapy led to clinical and laboratory improvement. Conclusions: This case emphasizes the importance of recognizing rheumatic manifestations of hypoparathyroidism to preclude unnecessary treatments. Serum calcium should be included in the diagnostic workup of these patients. PMID:25763244

  18. Splenic Pseudoaneursym as the Cause of Recurrent Gastrointestinal Bleeding in a Woman With Diffuse Scleroderma

    PubMed Central

    Hartman, Joshua; Protano, Marion-Anna

    2015-01-01

    A 67-year-old woman with a 15-year history of intestinal scleroderma presented with recurrent melena. Upper endoscopies revealed a healing, non-bleeding, large gastric ulcer. After the third bleed, angiography demonstrated bleeding from a splenic artery pseudoaneurysm adjacent to the gastric ulcer. Scleroderma patients are at risk of bleeding from esophagitis or gastric arteriovenous malformations, while splenic artery pseudoaneurysms are primarily attributed to pancreatitis and trauma. This is the first reported case of gastrointestinal bleeding from a splenic artery pseudoaneurysm in a patient with intestinal scleroderma and a large gastric ulcer.

  19. Treatment of metastatic urachal adenocarcinoma in a young woman: a case report

    PubMed Central

    2009-01-01

    A 30-year-old woman with a history of smoking presented with abdominal pain and haematuria. On physical examination, she had a palpable pelvic mass. Imaging revealed a large pelvic mass located on the dome of the bladder, extending from the urachus, with pulmonary metastases. After open biopsy, urachal adenocarcinoma was histologically confirmed. The patient received six cycles of palliative chemotherapy combination 5 fluorouracil and irinotecan with complete response on the pelvic mass and partial response estimated to more than 80% on pulmonary metastasis. PMID:20062662

  20. An unusual presentation of a vaginal leiomyoma in a postmenopausal hysterectomised woman: a case report

    PubMed Central

    2009-01-01

    Leiomyomas are benign tumours commonly occurring in the uterine wall. They are rarely seen in the vaginal wall leading to pressure symptoms on urinary tract. Indentation of leiomyoma from anterior vaginal wall into the bladder is rare and hence we report one such case. A 55 year old Caucasian woman presented to urology clinic with recurrent Urinary tract infection and pressure symptoms. After the diagnosis of a vaginal mass, she was referred to Gynaecology clinic. During the excision of the vaginal mass its indentation into the bladder was noted. Histology report confirmed the diagnosis of benign leiomyoma. PMID:20181160

  1. Primary Peritoneal Malignant Mixed Müllerian Tumor in a Young Woman: Achieving the Best Clinical Benefit.

    PubMed

    Uña, E; García-Tejeiro, M; Alvarez, M

    2009-01-01

    Extragenital malignant mixed mesodermal müllerian tumors (MT) are rare neoplasms with poor prognosis. Most of them affect women older than 60 years. We present here a case with primary peritoneal malignant mixed müllerian tumor occurring in a young woman who underwent previous hysterectomy and double oophorectomy secondary to a benign disease. We report on the clinical, pathological, and immunohistochemical features of this lesion, which was composed of a poorly differentiated epithelial component and multiple areas of chondromatous differentiation. Along with a brief review of previously reported literature about genital and extragenital MT, some concepts relevant to this case are discussed. PMID:20737031

  2. From Pain to Peace: An African American Woman Finding Voice in Black Womanist Theology 

    E-print Network

    Abney, Angela

    2014-12-12

    in when my mother left the earth and for that, I am forever grateful. To Ray and Diana Neblett, from the onset you have been very supportive of everything I have ever attempted in life. I love you both. I appreciate you beyond words. This is also...- working woman. However, I had no idea how multi-faceted she had been from an early age. As a daughter, I thought I knew everything there was to know about my mother. I had heard countless stories about her intuitiveness and tenaciousness as a young...

  3. Monitoring of motor and somatosensory systems in a 26-week pregnant woman

    Microsoft Academic Search

    Jesús Pastor; Paloma Pulido; Andrés López; Rafael G. Sola

    2010-01-01

    Introduction  We report the case of a 34-year-old woman who was 26 weeks pregnant and needed a brain surgery.\\u000a \\u000a \\u000a \\u000a Methods  We performed intraoperative neurophysiological monitoring (IONM) with motor-evoked potentials (MEP) elicited by transcranial\\u000a electrical stimulation and somatosensory-evoked potentials (SSEP). Additionally, uterine myometric tone from the mother and\\u000a fetal heart rate were also monitored. Forty-three MEP and 35 SSEP trains were applied (energy delivered,

  4. Autoimmune myelofibrosis accompanied by Sjögren's syndrome in a 47, XXX/46, XX mosaic woman.

    PubMed

    Takahashi, Tohru

    2014-01-01

    This report describes a patient with autoimmune myelofibrosis accompanied by Sjögren's syndrome (SS). A 36-year-old woman was admitted due to petechiae, purpura, gingival bleeding, dyspnea on exertion, and a lack of concentration. She had pancytopenia and was diagnosed with SS. A bone marrow study showed hypercellular marrow with reticulin fibrosis. Lymphocytic infiltrates and aggregates composed of a mixture of T and B cells in the marrow were also observed. A chromosomal analysis of the marrow cells showed 47, XXX and an analysis of peripheral lymphocytes revealed 47, XXX/46, XX mosaic results. The patient's cytopenia resolved following treatment with oral prednisolone. PMID:24694497

  5. Arrhythmogenic right ventricular cardiomyopathy in a 20-year-old woman with systemic sclerosis.

    PubMed

    Dohi, Kaoru; Nakamori, Shiro; Kurita, Tairo; Omoto, Youichi; Ishida, Masaki; Nakamura, Mashio; Imanaka-Yoshida, Kyoko; Sakuma, Hajime; Mizutani, Hitoshi; Ito, Masaaki

    2014-01-01

    A 20-year-old Japanese woman with systemic sclerosis was evaluated for the progressive aggravation of chest pain, palpitations and dyspnea. Cardiac magnetic resonance imaging revealed diffuse wall thinning, segmental dyskinesis and late gadolinium enhancement of the right ventricular (RV) myocardium. Cardiac catheterization demonstrated no pulmonary hypertension. 24-hour electrocardiography monitoring showed non-sustained ventricular tachycardia (VT). Pulseless VT was induced via programmed ventricular stimulation. An endomyocardial biopsy of the right side of the interventricular septum was performed, the histological specimen of which demonstrated massive myocardial atrophy and fibro-fatty replacement with predominant fibrotic changes. The patient was ultimately diagnosed with arrhythmogenic RV cardiomyopathy. PMID:24785889

  6. Ovarian sclerosing stromal tumor in a young woman with ectopic pregnancy: clinical, pathological, and immunohistochemical studies

    PubMed Central

    Liang, Yan-Fang; Zeng, Jin-Cheng; Ruan, Jian-Bo; Kang, Dong-Ping; Wang, Ling-Mei; Chen, Can; Xu, Jun-Fa

    2014-01-01

    In this article, we described an ovarian sclerosing stromal tumor (SST) in a young woman with ectopic pregnancy. It is important to distinguish SST from fibroma, thecoma, and lipoid cell tumors clinically and histologically. Several unique histologic features including pseudolobulation, sclerosis and prominent vascularity are clearly reflected at histopathological findings. The SST cells were immunopositive for CD34, Desmin and SMA, and negative for factor VIII-related antigen, CD31, S-100, ER and PR. The patient’s postoperative recovery was smooth and she was discharged after 21 days. PMID:24427372

  7. Diagnostic Difficulties in Woman with Crohn's Disease, Ascites, and Elevated Value of Serum CA125 Antigen

    PubMed Central

    K?opocka, Maria; Manerowski, Marcin

    2014-01-01

    Variety of symptoms and atypical clinical course of Crohn's disease (CD) often create the need for additional diagnostic procedures. In the described case of woman with CD, there was a suspicion of coexistence of ovarian cancer. This issue is particularly important in patients treated with immunosuppressants and biological agents. The discussion focused on the usefulness of CA125 (cancer antigen 125, mucin 16) serum level estimation in clinical practice and draws attention to the possible reasons for the increase of its value which is not associated to ovarian cancer. PMID:25506366

  8. Strong, athletic and beautiful: Edmondo De Amicis and the ideal Italian woman.

    PubMed

    Chapman, David; Gori, Gigliola

    2010-01-01

    Edmondo De Amicis (1843-1908) was one of Italy's most popular writers, and perhaps more than any other figure in post-Risorgimento Italy, he reflected the common hopes, dreams and prejudices of his countrymen. De Amicis was particularly interested in gymnastics and physical education, and he wrote about them frequently. His most famous work on these subjects is his novella Amore e ginnastica [Love and Gymnastics] (1892) which explores female fitness, sexual stereotypes and gender roles in nineteenth-century Italy. This opus, along with two others (a lecture and a magazine article), can help modern readers understand the role of female sport and gender expectations in post-Risorgimento Italy. In addition to exploring women's gymnastics, De Amicis was also interested in female mountain climbing. By examining the activities and physical appearance of lady mountaineers, the author reveals his personal criteria for the perfect woman. When these are combined with the gymnasts in the earlier work, we can distill the writer's own particular attitudes toward gender and female perfection. For De Amicis a woman was required to be athletic, beautiful, modest, faithful, loving and with just a soupon of uncertainty about her sexuality to make her interesting. PMID:20653115

  9. Autoimmune polyendocrine syndrome 3 onset with severe ketoacidosis in a 74-year-old woman.

    PubMed

    Benedini, Stefano; Tufano, Antonietta; Passeri, Elena; Mendola, Marco; Luzi, Livio; Corbetta, Sabrina

    2015-01-01

    Type 1 diabetes mellitus (T1D), autoimmune thyroid disease, and autoimmune gastritis often occur together forming the so-called autoimmune polyendocrine syndrome type 3 (APS3). We here report a clinical case of a 74-year-old woman who presented for the first time with severe hyperglycemia and ketoacidosis diagnosed as T1D. Further clinical investigations revealed concomitant severe hypothyroidism with autoimmune thyroid disease and severe cobalamin deficiency due to chronic atrophic gastritis. The diagnosis of type 1 diabetes mellitus was confirmed by the detection of autoantibodies against glutamic acid decarboxylase 65, islet cell antibodies, and anti-insulin autoantibodies. Anti-thyroperoxidase, anti-thyroglobulin, and anti-gastric parietal cell antibodies were also clearly positive. The case emphasized that new onset diabetic ketoacidosis, hypothyroidism, and cobalamin deficiency may simultaneously occur, and one disease can mask the features of the other, thereby making diagnosis difficult. It is noteworthy that an APS3 acute episode occurred in an asymptomatic elder woman for any autoimmune diseases. PMID:25821607

  10. Autoimmune Polyendocrine Syndrome 3 Onset with Severe Ketoacidosis in a 74-Year-Old Woman

    PubMed Central

    Benedini, Stefano; Tufano, Antonietta; Passeri, Elena; Mendola, Marco; Luzi, Livio; Corbetta, Sabrina

    2015-01-01

    Type 1 diabetes mellitus (T1D), autoimmune thyroid disease, and autoimmune gastritis often occur together forming the so-called autoimmune polyendocrine syndrome type 3 (APS3). We here report a clinical case of a 74-year-old woman who presented for the first time with severe hyperglycemia and ketoacidosis diagnosed as T1D. Further clinical investigations revealed concomitant severe hypothyroidism with autoimmune thyroid disease and severe cobalamin deficiency due to chronic atrophic gastritis. The diagnosis of type 1 diabetes mellitus was confirmed by the detection of autoantibodies against glutamic acid decarboxylase 65, islet cell antibodies, and anti-insulin autoantibodies. Anti-thyroperoxidase, anti-thyroglobulin, and anti-gastric parietal cell antibodies were also clearly positive. The case emphasized that new onset diabetic ketoacidosis, hypothyroidism, and cobalamin deficiency may simultaneously occur, and one disease can mask the features of the other, thereby making diagnosis difficult. It is noteworthy that an APS3 acute episode occurred in an asymptomatic elder woman for any autoimmune diseases. PMID:25821607

  11. Intravascular Cytotoxic T-Cell Lymphoma in a Young Immunocompetent Woman

    PubMed Central

    Jang, Yong Hyun; Choi, Yoon Hyuk; Lee, Weon Ju; Kim, Do Won; Kim, Jeongshik; Park, Tae In; Chae, Yee Soo

    2014-01-01

    Intravascular lymphoma (IVL) is a rare disorder characterized by the presence of large neoplastic lymphoid cells restricted to the lumens of small vessels with a predilection for the skin and the central nervous system. While the vast majority of cases involving IVL are of B-cell lineage, the disease rarely affects the T-cell, the histiocytes, and the natural killer cells. We report a case of intravascular T-cell lymphoma (IVTL) associated with Epstein-Barr virus (EBV). A 23-year-old healthy woman presented with tender indurated erythematous patches with overlying telangiectasia on her right breast, abdomen, both the upper and the lower extremities and the back for 3 months. The pathology revealed an infiltration of dermal and subcutaneous vessels by large and atypical lymphoid cells with immunohistochemical features of the T-cell lineage with a cytotoxic phenotype (CD3+, CD8+, granzyme B+, TIA-1+, CD4-, CD5-, CD20-, CD56-). Interestingly, the DNA extracted from the skin biopsies demonstrated evidence of a monoclonal immunoglobulin heavy chain gene rearrangement, but no T-cell receptor gene rearrangement was found. In situ hybridization study for EBV-encoded RNA was positive. She was diagnosed with an EBV-associated IVTL. The patient's skin lesions were refractory to the combination of chemotherapy and autologous stem cell transplant, and she expired. The findings in the present case may highlight the unique clinicopathologic aspects of EBV-associated cytotoxic IVTL that occurred in a young, immunocompetent woman. PMID:25143680

  12. Cerebral Venous Sinus Thrombosis and Posterior Reversible Encephalopathy Syndrome in a Preeclamptic Woman

    PubMed Central

    Sudolmus, Sinem; Sarioglu, Elif Asli; Alkan, Alpay; Dansuk, Ramazan

    2015-01-01

    Cerebral venous sinus thrombosis (CVST) and posterior reversible encephalopathy syndrome (PRES) are two rare diseases which may present with similar symptoms and signs. We report a case with coexisting PRES and CVST in a preeclamptic woman. A 24-year-old woman, G2 P1, at 33 wk and 5 d of pregnancy presented with headache. Her blood pressure was 180/120 mmHg and urinary test revealed +3proteinuria. Cesarean section was performed with indications of severe preeclampsia, intrauterine growth retardation and fetal distress. Cranial MR venography of the patient revealed thrombiin superior sagittal sinus, confluenssinuum, right transverse and right sigmoid sinus and diffusion MRI showed increased signal intensity (vasogenicoedema) in cortical and subcortical areas of parietooccipital and posterior frontal lobes.The patient was treated with magnesium sulfate and heparin successfully. After treatment period, control cranial MRI and diffusion MRI were normal. Thrombi within the sinuses were totally regressed. Albeit rare, these two diseases should be kept in mind especially in preeclamptic/eclamptic patients that present with neurological symptom and/or sign. PMID:25738044

  13. Ovarian Leydig Cell Hyperplasia: An Unusual Case of Virilization in a Postmenopausal Woman

    PubMed Central

    Mehta, Jaya M.; Miller, Jeffrey L.; Cannon, Anthony J.; Mardekian, Stacey K.; Kenyon, Lawrence C.; Jabbour, Serge A.

    2014-01-01

    Objective. To report an unusual case of ovarian Leydig cell hyperplasia resulting in virilization in a postmenopausal woman. Methods. Patient's medical history and pertinent literature were reviewed. Results. A 64-year-old woman presented with virilization with worsening hirsutism, deepening of her voice, male musculature, and male pattern alopecia. Her pertinent past medical history included type 1 diabetes, hyperlipidemia, and hypertension. Her pertinent past surgical history included hysterectomy due to fibroids. On further work-up, her serum total testosterone was 506?ng/dL (nl range: 2–45) and free testosterone was 40?pg/mL (nl range: 0.1–6.4). After ruling out adrenal causes, the patient underwent an empiric bilateral oophorectomy that showed Leydig cell hyperplasia on pathology. Six weeks postoperatively, serum testosterone was undetectable with significant clinical improvement. Conclusion. Postmenopausal hyperandrogenism can be the result of numerous etiologies ranging from normal physiologic changes to ovarian or rarely adrenal tumors. Our patient was found to have Leydig cell hyperplasia of her ovaries, a rarely reported cause of virilization. PMID:25045549

  14. Unexplained refractory iron-deficiency anaemia in a 41-year-old woman

    PubMed Central

    de Matthaeis, N; Rapaccini, G L; Riccardi, L; Pugliese, D

    2010-01-01

    The clinical and instrumental findings revealed a case of autoimmune polyendocrine syndrome (APS) type 3B+C in a 41-year-old Caucasian woman with unexplained refractory iron-deficiency anaemia secondary to autoimmune atrophic gastritis and a long-term history of two different autoimmune diseases—Hashimoto's disease and vitiligo. Indeed the occurrence in the same patient of three or more autoimmune diseases defines APS. The first classification of APS was suggested by Neufeld and Blizzard in 1980 and it included four main types of APS on the basis of clinical features. The only case of APS type 3B+C was described by Amerio et al in 2006. PMID:22766574

  15. Coexistence of axial spondyloarthritis and thromboangiitis obliterans in a young woman.

    PubMed

    Lopalco, G; Iannone, F; Rigante, D; Vitale, A; Mancini, M E; Covelli, M; Lapadula, G; Cantarini, L

    2015-01-01

    A peculiar coexistence of axial spondyloarthritis and ischemia of the feet and the fourth finger of the left hand in a young woman, who was a heavy smoker, is discussed in this report. This picture was considered within the context of thromboangiitis obliterans. Positivity of anti-nuclear antibodies and mild elevation of inflammatory parameters were noted. Computed tomography angiograms of upper and lower limbs showed luminal narrowing and occlusion of the left humeral, left anterior/posterior tibial and right anterior tibial arteries. Daily iloprost perfusions were started, and smoking cessation was strongly recommended. Coldness and rest pain in the distal extremities improved within a few weeks. The possibility that spondyloarthritis might precede the clinical picture of thromboangiitis obliterans should be considered in heavy smokers. PMID:26150270

  16. Severe Hypernatremia by Excessive Bamboo Salt Ingestion in Healthy Young Woman

    PubMed Central

    Ju, Hyun Jun; Bae, Hong Jin; Choi, Dae Eun; Na, Ki Ryang; Shin, Young Tai

    2013-01-01

    Severe hypernatremia is an important electrolyte disorder that has serious effects. The patient had no medical history. A. 20-year-old ingested bamboo salt for digestion and weight reduction according to the folk remedies posted on an internet website. She presented with vomiting and diarrhea over ten times per day. Her initial serum sodium concentration was 174mEq/L. Her symptoms improved rapidly with hypotonic saline infusion. She recovered completely without any sequelae in three days. Severe hypernatremia in a normal young adult with clear consciousness and normal renal function has not been reported in Korea yet. So we report a case of severe hypernatremia by excessive bamboo salt ingestion in healthy young woman. PMID:24627705

  17. Transient osteoporosis of the hip in a non-pregnant woman.

    PubMed

    Reddy, Kanakeya Bachha; Sareen, Atul; Kanojia, Rajesh Kumar; Prakash, Jatin

    2015-01-01

    Transient osteoporosis of the hip is a rare, self-limiting condition, occurring most commonly in middle-aged men, but also sometimes in women, usually in late pregnancy. It is characterised by gradual onset of hip pain aggravated by weight bearing without any associated history of trauma and systemic illness. It is usually of unknown aetiology, but pregnancy is a recognised risk factor for women. Other conditions that can mimic transient osteoporosis of the hip on MRI are osteonecrosis, osteomyelitis and neoplasms. We present a case of a 38-year-old non-pregnant woman with transient osteoporosis of the hip, managed conservatively, leading to a full recovery. Treatment is conservative, including protected weight bearing, physical therapy and non-steroidal analgesics. The patient was completely painless and symptom free at 2-year follow-up. PMID:26045516

  18. Complicated benign cystic mesothelioma of mesoappendix misdiagnosed as an appendiceal abscess in a postpartum period woman.

    PubMed

    Yeom, Sunchul; Son, Taeil; Hong, Young Ok

    2015-03-01

    Benign cystic mesothelioma is an uncommon tumor arising from the peritoneal mesothelium. It is characterized by multilocular grapelike, thin-, and translucent-walled cysts, or a unilocular cyst lined by benign mesothelial cells. It occurs predominantly in women of reproductive age, and shows a predilection for the surface of the pelvic peritoneum or visceral peritoneum. Patients usually present abdominal pain and palpable mass, but many cases have been found incidentally during laparotomy. Definite preoperative diagnosis is known to be difficult. Benign cystic mesothelioma has a tendency towards local recurrence, although the gross microscopic features are benign. Moreover, there is controversy over whether this disease is neoplastic or reactive. Initial complete surgical resection and cytoreductive surgery for recurred cases are standard treatments. In the following report, we describe a case of complicated benign cystic mesothelioma in a postpartum woman, involving the pelvic peritoneum and mesoappendix, which was initially misdiagnosed as a periappendiceal abscess. PMID:25741498

  19. The search for Alma Arnold: chiropractic's forgotten woman pioneer, 1903-1938.

    PubMed

    Gibbons, R W

    1996-12-01

    Alma Cusian Arnold (1871-19??) was one of the first woman chiropractors, having graduated from Langsworthy's American School in 1903. Within the next decade, she would establish dual practices in Washington and New York with a patient constituency which included members of Congress, a Vice President and Clara Barton, the founder of the American Red Cross. She authored a book, was president of two schools of chiropractic and was arrested and imprisoned for her advocacy of the new profession. Engaging in critical dialogue over her technique with both Palmers, Arnold would establish a "Healtharium" with Terrance V. Powderly, the most prominent labor leader of the late 19th century and later Commissioner of Immigration. Her story is a personification of the exceptional men and women who formulated early chiropractic. PMID:11619052

  20. Laparoscopic repair of Morgagni hernia with composite mesh in an elderly woman: Report of a case.

    PubMed

    Ikarashi, Masahito; Matsuda, Minoru; Murayama, Isao; Fujii, Masashi; Takayama, Tadatoshi

    2015-05-01

    A 78-year-old woman was admitted to another hospital with vomiting. Chest X-ray showed an abnormal shadow in the lower right lung field, and CT indicated a Morgagni hernia containing the stomach and transverse colon. The patient was transferred to our hospital and underwent laparoscopic surgery. After the hernia contents were repositioned into the abdominal cavity, we repaired the hernia orifice with a prosthetic mesh to achieve a tension-free repair. There were no complications after the surgery, and there has been no recurrence. The patient has remained free of clinical symptoms since 10 months after the surgery. Laparoscopic repair with a prosthetic mesh for Morgagni hernia is a simple and safety procedure for elderly patients. PMID:25913591

  1. A gallbladder torsion presenting as acute cholecystitis in an elderly woman: A case report

    PubMed Central

    2011-01-01

    Introduction Gallbladder torsion is a rare, but potentially lethal disease, in which early recognition is crucial. Case presentation We describe the case of an 89-year-old Caucasian woman who presented with clinical symptoms suggestive of acute cholecystitis to our hospital. Radiological imaging confirmed our clinical diagnosis. At first we considered percutaneous gallbladder drainage because of her age and comorbidity, but instead performed laparoscopic cholecystectomy because of rapid clinical deterioration. During laparoscopy a necrotic gallbladder due to torsion of the gallbladder around the cystic duct was found. Conclusion Because percutaneous drainage could lead to further deterioration in the case of gallbladder torsion, this rare condition should be considered before performing a percutaneous drainage of cholecystitis. PMID:22185300

  2. Osteomalacia, severe thoracic deformities and respiratory failure in a young woman with anorexia nervosa.

    PubMed

    Watanabe, Daisuke; Hotta, Mari; Ichihara, Atsuhiro

    2015-01-01

    The recent trends in avoiding sunbathing and eating fewer fish products have resulted in a high prevalence of vitamin D deficiency in the general Japanese population. We herein report the case of a young woman with enduring anorexia nervosa (AN) who suffered from osteomalacia, thoracic deformities and respiratory failure. Her vitamin D deficiency had been overlooked for years. Although the serum 25-hyroxyvitamin D [25(OH)D] level is a marker of vitamin D stores, it is not routinely examined because the cost is not covered by the national health insurance program. However, measuring the serum 25(OH)D levels in AN patients with hypocalcemia is recommended to prevent osteomalacia and osteoporosis. PMID:25876575

  3. Rupture of the Renal Artery After Cutting Balloon Angioplasty in a Young Woman With Fibromuscular Dysplasia

    SciTech Connect

    Oguzkurt, Levent, E-mail: loguzkurt@yahoo.com; Tercan, Fahri [Baskent University, Department of Radiology, Adana Teaching and Medical Research Centre (Turkey); Gulcan, Oner; Turkoz, Riza [Baskent University, Department of Thoracic and Cardiovascular Surgery, Adana Teaching and Medical Research Centre (Turkey)

    2005-04-15

    A 24-year-old woman with uncontrollable high blood pressure for 3 months had significant stenosis of the left renal artery caused by fibromuscular dysplasia (FMD). The lesion was resistant to percutaneous transluminal angioplasty at 18 atm with a semicompliant balloon. Angioplasy with a 6 x 10 mm cutting balloon (CB) caused rupture of the artery. Low-pressure balloon inflation decreased but did not stop the leak. An attempt to place a stent-graft (Jostent; Jomed, Rangendingen, Germany) failed, and a bare, 6-mm balloon-expandable stent (Express SD; Boston Scientific, MN) was deployed to seal the leak, which had decreased considerably after long-duration balloon inflation. The bleeding continued, and the patient underwent emergent surgical revascularization of the renal artery with successful placement of a 6-mm polytetrafluoroethylene bypass graft. CBs should be used very carefully in the treatment of renal artery stenosis, particularly in patients with FMD.

  4. Florid cemento-osseous dysplasia in a young Indian woman. A case report.

    PubMed

    Jerjes, W; Banu, B; Swinson, B; Hopper, C

    2005-04-23

    We present a rare case of florid cemento-osseous dysplasia (FCOD) occurring in a 27-year-old Indian woman. She presented with three lesions, two of them symmetrical, at the posterior region of the mandible. Another lesion appeared nine months later, symmetrical to the existing third lesion. This confirmed the diagnosis of florid cemento-osseous dysplasia as being symmetrical asymptomatic bone lesions occurring in the jaw. The diagnosis was made radiographically depending on a series of radiographs, as biopsy is contraindicated. No treatment was required as the lesions were asymptomatic, causing no problem to the patient. The patient continues to be reviewed annually. The case is rare in its unusual combination of the disease itself (FCOD), age (27 years) and race (Indian). Clinical and radiological features are presented. PMID:15849576

  5. Cough syncope in a 43-year-old woman with glomus jugulare tumor.

    PubMed

    Bandyopadhyay, Susanta; Sonmezturk, Hasan; Abou-Khalil, Bassel; Haas, Kevin F

    2014-01-01

    We present an unusual case of recurrent cough syncope in a 43-year-old woman, which was initially thought to be seizures. Syncopal episodes were triggered by paroxysms of cough and were characterized by unresponsiveness and myoclonic jerks in her extremities. She had a left-sided glomus jugulare tumor that extended into the posterior cranial fossa with evidence of worsening communicating hydrocephalus on brain imaging. We postulate that bouts of cough produced increased intracranial pressure both by raising intrathoracic and intraabdominal pressures as well as by transient obstruction to cerebrospinal fluid flow secondary to intermittent tonsillar herniation during cough. This resulted in diffuse decrease in cerebral blood flow causing syncope. The patient's syncopal episodes decreased in frequency once an external ventricular drain was placed followed by a ventriculoperitoneal shunt. Search for factors that can increase intracranial pressure seems warranted in patients with recurrent cough syncope. PMID:25667888

  6. Cough syncope in a 43-year-old woman with glomus jugulare tumor?

    PubMed Central

    Bandyopadhyay, Susanta; Sonmezturk, Hasan; Abou-Khalil, Bassel; Haas, Kevin F.

    2014-01-01

    We present an unusual case of recurrent cough syncope in a 43-year-old woman, which was initially thought to be seizures. Syncopal episodes were triggered by paroxysms of cough and were characterized by unresponsiveness and myoclonic jerks in her extremities. She had a left-sided glomus jugulare tumor that extended into the posterior cranial fossa with evidence of worsening communicating hydrocephalus on brain imaging. We postulate that bouts of cough produced increased intracranial pressure both by raising intrathoracic and intraabdominal pressures as well as by transient obstruction to cerebrospinal fluid flow secondary to intermittent tonsillar herniation during cough. This resulted in diffuse decrease in cerebral blood flow causing syncope. The patient's syncopal episodes decreased in frequency once an external ventricular drain was placed followed by a ventriculoperitoneal shunt. Search for factors that can increase intracranial pressure seems warranted in patients with recurrent cough syncope. PMID:25667888

  7. Pesticide-induced quadriplegia in a 55-year-old woman.

    PubMed

    Beavers, Charles T; Parker, Joseph J; Flinchum, Dane A; Weakley-Jones, Barbara A; Jortani, Saeed A

    2014-12-01

    Acephate is a commercial organophosphate pesticide formerly used in households and now used primarily for agriculture. Poisoning symptoms include salivation, lacrimation, urination, defecation, gastrointestinal illness, and emesis. In addition to these classic symptoms, neurodegeneration can result from increased and continued exposure of organophosphates. This 55-year-old woman presented with organophosphate-induced delayed neuropathy in the form of quadriplegia due to the commonly used pesticide acephate. She was exposed to this pesticide through multiple sprayings in her work office with underrecognized poisoning symptoms. She presented to her primary care physician with neuropathic pain and paralysis in her arm following the sprayings and eventual complete paralysis. The patient lived for 2 years following her toxic exposure and quadriplegia. A complete autopsy after her death confirmed a transverse myelitis in her spinal cord. We conclude that in susceptible individuals, acephate in excessive amounts can produce severe delayed neurotoxicity as demonstrated in animal studies. PMID:25354225

  8. A case of recurrent, bilateral ovarian mature teratoma in a young woman

    PubMed Central

    2014-01-01

    Background Ovarian mature cystic teratomas are common, benign, pelvic tumors that are easily detected by pelvic ultrasonography. However, patients with recurrent teratomas are rarely noted, and cases of bilateral teratomas are even less common. Case presentation A young woman with a recurrent, right ovarian teratoma had previously undergone surgical removal 2 times. After the second surgery, she underwent regular out-patient follow-up, and no residual tumor was observed. However, 3 years after the second surgery, she developed recurrent, bilateral ovarian teratomas, in conjunction with elevated carbohydrate antigen-125 levels. Conclusion Routine checking of the contralateral ovary during the surgical procedure along with frequent postoperative pelvic sonography for both ovaries in the patient at high recurrence rich is necessary. Additionally, the features of that kind tumor may mislead the surgeon into performing more extensive surgery that might compromise the fertility of young patients. PMID:24726009

  9. A woman with treated breast cancer, recent neurological symptoms and xanthoderma.

    PubMed

    Santos, Vitorino Modesto dos; Camilo, Anna Gabriela Oliveira; Souza, Leonardo Aquino de; Souza, Diogo Wagner da Silva de; Marinho, Christiane Silveira; Monteiro, Lucas Maciel Rodrigues

    2013-01-01

    We describe a 69-year-old-woman with antecedent of breast cancer and recent transitory neurological symptoms. Physical examination showed yellow to orange skin pigmentation, more conspicuous on her palms and soles, while discoloration changes were absent in the eye and oral mucous membranes. Routine laboratory findings were not indicative of hemolytic anemia, liver or bile disorders, nephrotic syndrome, hypothyroidism or diabetes mellitus. We emphasize the role of her excessive ingestion of papaw and tomato. These foods are rich in carotenoids (?-carotene and lycopene), which are associated with pigmentation disorders. The skin discoloration improved in about two months after correction of the inadequate diet. Major concerns about differential diagnosis of yellow skin pigmentation are also highlighted. PMID:23605606

  10. A woman lost in the cemetery: A case of time-limited amnesia.

    PubMed

    Comparelli, A; De Carolis, A; Kotzalidis, G D; Masillo, A; Ferracuti, S; Tatarelli, R

    2010-02-01

    A 43-year-old woman one day experienced a dissociative fugue which she could not recall. She was married, nulliparous, with no history of dissociative disorder or other psychiatric disorders. She had been sexually abused during late childhood-early adolescence. She was examined thoroughly from both psychiatric and medical standpoints to exclude organic causes for her condition. Magnetic Resonance Imaging showed only some non-specific abnormalities. On personality tests, a histrionic structure of personality emerged, with obsessive and narcissistic traits accompanied by rigidity and anxiety, dysphoria and high risk for depression; some impairment was found in executive function tests. Final diagnosis was one of dissociative fugue. In fact, organic traits were not sufficient to establish a diagnosis of Transient Global Amnesia. PMID:20391183

  11. Learning to run from narrative foreclosure: one woman's story of aging and physical activity.

    PubMed

    Griffin, Meridith; Phoenix, Cassandra

    2014-07-01

    In this article, the authors construct a story of one woman's (Justine's) experience of learning to run within the context of a beginners group. Building on existing scholarship on narrative, aging, and physical activity, this work is part of a larger ethnographic project examining subjective accounts of the physically active aging body across the life course. Concerned with often simplistically linear problems of representation, the authors present a messy text that represents the complex and fluid nature of Justine's embodied tale. The aim is to show the intersection of biographical (storied) identity with health behavior choices and to interrogate the process of challenging narrative foreclosure. By using the emerging genre of messy text as a creative analytic practice, the authors avoid prompting a single, closed, convergent reading of Justine's story. Instead, they provoke interpretation within the reader as witness and expand the ways in which research on aging and physical activity has been represented. PMID:23981478

  12. Cor Triatriatum Dexter and Atrial Septal Defect in a 43-Year-Old Woman

    PubMed Central

    Kosevic, Dragana; Milicic, Miroslav; Jovovic, Ljiljana; Stojanovic, Ivan; Micovic, Slobodan

    2014-01-01

    Cor triatriatum dexter is a rare congenital heart anomaly in which a membrane divides the right atrium into 2 chambers. We report the case of a 43-year-old woman who had cor triatriatum dexter and a large atrial septal defect. During attempted percutaneous closure, the balloon disrupted the membrane and revealed that the defect had no inferior rim, precluding secure placement of an Amplatzer Septal Occluder. Surgical treatment subsequently proved to be successful. In patients with an incomplete membrane and a septal defect with well-defined rims, percutaneous treatment can be the first choice. In patients who have cor triatriatum dexter and unfavorable anatomic features or concomitant complex heart anomalies, open-heart surgery remains the gold standard for treatment. PMID:25120397

  13. Cor triatriatum dexter and atrial septal defect in a 43-year-old woman.

    PubMed

    Vukovic, Petar M; Kosevic, Dragana; Milicic, Miroslav; Jovovic, Ljiljana; Stojanovic, Ivan; Micovic, Slobodan

    2014-08-01

    Cor triatriatum dexter is a rare congenital heart anomaly in which a membrane divides the right atrium into 2 chambers. We report the case of a 43-year-old woman who had cor triatriatum dexter and a large atrial septal defect. During attempted percutaneous closure, the balloon disrupted the membrane and revealed that the defect had no inferior rim, precluding secure placement of an Amplatzer Septal Occluder. Surgical treatment subsequently proved to be successful. In patients with an incomplete membrane and a septal defect with well-defined rims, percutaneous treatment can be the first choice. In patients who have cor triatriatum dexter and unfavorable anatomic features or concomitant complex heart anomalies, open-heart surgery remains the gold standard for treatment. PMID:25120397

  14. Tick-borne lymphadenopathy-like condition in an African woman in Kenya

    PubMed Central

    Wanzala, Wycliffe; Ondiaka, Sopher Natuluku

    2013-01-01

    A 30-year-old African woman in Kenya succumbed to severe swollen regional lymph nodes, development of painful boils and ulcer formation and rashes at specific tick-biting sites together with an intermittent fever and headache following repeated tick bites of Rhipicephalus pulchellus. She later developed nuchal lymphadenopathy-like condition and an eschar with edematous margins at bitten sites. A sustained high fever and fatigue then followed. She became well after treatment with antibiotics and topical application of anti-histamine daily for a week. This pose dangers of emerging tick-borne pathogens such as this one as their epidemiology, biology, socio-economics and prognosis remain unknown. PMID:24497868

  15. Seizure reduction with fluoxetine in an adult woman with Dravet syndrome

    PubMed Central

    Meador, Kimford J.

    2014-01-01

    An adult woman with Dravet syndrome (documented SCN1A mutation) experienced a marked reduction in seizures when treated with the selective serotonin reuptake inhibitor (SSRI) fluoxetine. The seizure reduction may be partly due to reductions associated with aging in patients with Dravet syndrome, but it appears to be due, at least in part, to fluoxetine. A prior preliminary study reported that fenfluramine reduces seizures in patients with Dravet syndrome. Fenfluramine may produce this effect by increasing serotonin brain levels, and SSRIs have been found to possess antiepileptic properties in animal models of epilepsy. Given the known cardiac risks of fenfluramine, randomized clinical trials with SSRIs should be considered in Dravet syndrome and other types of epilepsy. PMID:24955329

  16. EMDR in Competition with Fate: A Case Study in a Chinese Woman with Multiple Traumas.

    PubMed

    Poon, Maggie Wai-Ling

    2012-01-01

    This paper described the application of eye movement desensitization reprocessing (EMDR) for addressing the posttraumatic stress disorder (PTSD) symptoms in a Chinese woman who had experienced multiple traumas in her childhood. EMDR is an integrative therapeutic intervention that uses a standardized eight-phase approach to treatment. It is also a proven, effective, and efficient treatment for trauma. In this client with multiple traumas, the etiological event that lay the foundation of her dysfunctional responses was reprocessed first. The successful resolution of this event allowed the positive treatment effects to transfer to other traumatic events of a similar theme. This case also illustrates the importance of identifying a culturally appropriate positive cognition (PC) in contributing to the success of the treatment. PMID:22937416

  17. Bioterrorism-related Inhalational Anthrax in an Elderly Woman, Connecticut, 2001

    PubMed Central

    Mead, Paul; Armstrong, Gregory L.; Painter, John; Kelley, Katherine A.; Hoffmaster, Alex R.; Mayo, Donald; Barden, Diane; Ridzon, Renee; Parashar, Umesh; Teshale, Eyasu Habtu; Williams, Jen; Noviello, Stephanie; Perz, Joseph F.; Mast, Eric E.; Swerdlow, David L.; Hadler, James L.

    2003-01-01

    On November 20, 2001, inhalational anthrax was confirmed in an elderly woman from rural Connecticut. To determine her exposure source, we conducted an extensive epidemiologic, environmental, and laboratory investigation. Molecular subtyping showed that her isolate was indistinguishable from isolates associated with intentionally contaminated letters. No samples from her home or community yielded Bacillus anthracis, and she received no first-class letters from facilities known to have processed intentionally contaminated letters. Environmental sampling in the regional Connecticut postal facility yielded B. anthracis spores from 4 (31%) of 13 sorting machines. One extensively contaminated machine primarily processes bulk mail. A second machine that does final sorting of bulk mail for her zip code yielded B. anthracis on the column of bins for her carrier route. The evidence suggests she was exposed through a cross-contaminated bulk mail letter. Such cross-contamination of letters and postal facilities has implications for managing the response to future B. anthracis–contaminated mailings. PMID:12781007

  18. Nail-patella syndrome and IgA nephropathy in a Chinese woman.

    PubMed

    Chuah, K L; Tan, P H; Choong, H L; Lai, D; Chiang, G

    1999-11-01

    Nail-patella syndrome (NPS), also known as hereditary onycho-osteodysplasia, is an autosomal dominant pleiotropic disorder characterized by nailbed dysplasia or hypoplasia, absent or hypoplastic patellae, iliac horns and deformation or luxation of the radial head. Nephropathy is a known serious complication associated with NPS. In this report, we describe an adult Chinese woman with the clinical and radiological features of NPS who presented with the nephrotic syndrome. Renal biopsy disclosed focal segmental glomerulosclerosis on light microscopy, while immunofluorescence revealed predominant staining for IgA in the glomerular mesangium and along some capillary walls. Ultrastructural study confirmed the presence of paramesangial deposits as well as subendothelial collagen fibrils in the glomeruli. The histological findings were those of combined NPS and IgA disease, an association which has rarely been described. PMID:10643004

  19. Use of fondaparinux in a pregnant woman with pulmonary embolism and heparin-induced thrombocytopenia

    PubMed Central

    Ciurzy?ski, Micha?; Jankowski, Krzysztof; Pietrzak, Bronis?awa; Mazanowska, Natalia; Rzewuska, Ewa; Kowalik, Robert; Pruszczyk, Piotr

    2011-01-01

    Summary Background A serious complication of heparin treatment, heparin-induced thrombocytopenia (HIT) is rarely observed in pregnant women. Drug therapy during pregnancy should always be chosen to minimize fetal risk. The management of HIT in pregnancy represents a medical challenge. Unlike heparins, the anticoagulants used in patients with HIT do cross the placenta, with unknown fetal effects. Case Report We present a case of a 24-year-old female presenting for care at 34 weeks of gestation with acute pulmonary embolism treated initially with unfractionated heparin (UFH) and low molecular weight heparin (LMWH), who developed HIT. She was then successfully treated with fondaparinux. Conclusions To the best of our knowledge, this is one of the first case reports describing a successful use of fondaparinux in the treatment of HIT in a third-trimester pregnant woman, providing a novel approach for this subset of patients. PMID:21525816

  20. Bilateral ovarian mixed epithelial adenocarcinoma in a postmenopausal woman with unilateral ovarian yolk sac tumor component

    PubMed Central

    Chen, Qin; Chen, Xiaoduan

    2014-01-01

    Ovarian yolk sac tumors (YSTs) usually occur in the young women and have been rarely documented in perimenopausal and postmenopausal women. The different age distribution supposes their complex nomenclature and histogenesis. We report a case of bilateral ovarian epithelial carcinoma with right ovarian YST component in a postmenopausal woman. The patient was treated by surgery and adjuvant combination chemotherapy of taxol and carboplatin for 6 courses and has been clinically free of tumor for 6 months. The correlation between the YST and the epithelial components always confuse us. Ovarian yolk sac tumors are not a discrete entity and represent a multifaceted group of neoplasms. The conjunction of multi antibodies help in differential diagnoses. In addition to a thorough case description, the literature concerning this entity is reviewed and discussed. PMID:25550883

  1. Community Acquired Chronic Arthritis due to Pseudomonas aeruginosa in a Previously Healthy Pregnant Woman

    PubMed Central

    Yilmaz, Mesut; Arslan, Ferhat; Mert, Ali

    2014-01-01

    Septic arthritis caused by Pseudomonas aeruginosa is uncommon in the immunocompetent population, despite its occurrence in younger patients with open injuries and in intravenous drug abusers. Here we report a case of septic arthritis caused by P. aeruginosa. This case is unique for several reasons. First, it is a case of septic arthritis in a pregnant woman with no traditional risk factors reported in the literature including history of prior traumatic events, hospitalisation, or chronic underlying disease. She was suspected of having transient osteoporosis associated with pregnancy to involve both hip joints. Second, this is the first reported case of a community acquired chronic septic arthritis due to P. aeruginosa involving large joints of both upper and lower extremities. The patient was treated successfully with a combination of ceftazidime and amikacin for 4 weeks followed by oral ciprofloxacin 750?mg twice daily for 8 weeks. PMID:25371836

  2. Fasciolopsis buski infection in a Vietnamese pregnant woman with systemic lupus erythematosus.

    PubMed

    Fiamma, Maura; Longoni, Silvia Stefania; Ngo, Thi Minh Chau; Le Phan, Minh Triet; Santona, Antonella; Ton Nu, Phuong An; Paglietti, Bianca

    2015-01-01

    A clinical case of infection caused by Fasciolopsis buski in a 24 weeks pregnant woman from Vietnam affected by systemic lupus erythematosus (SLE) is reported here. On 22 February 2012 the patient was admitted to Hue Hospital in Hue, Vietnam, with a diagnosis of general illness and suspected acute anaemia. Laboratory analysis indicated possible SLE syndrome and coprological tests demonstrated the presence of F. buski eggs. During hospitalization the patient naturally eliminated the adult form in faeces suggesting the infection had already progressed at least for three months. One month after hospitalization due to the high severity of both SLE and fasciolopsiasis, a medical abortion was carried out and the following day the patient died. Even though infection due to Fasciolopsis buski is rare, this case highlights the importance of an accurate and prompt diagnosis of this infectious agent, which may have saved the foetus and mother's lives. PMID:26142680

  3. A 46-year-old woman with left shoulder pain and worsening dyspnea.

    PubMed

    Liu, Shuang; Li, Xiaoyun; Huang, Xiaoyong; Li, Tiezheng; Yang, Ya; Qiao, Renli

    2014-09-01

    A 46-year-old woman presented with worsening dyspnea and palpitations for 3 days following an episode of left shoulder pain. The patient had received a diagnosis of patent ductus arteriosus with Eisenmenger syndrome in childhood but had been inconsistently taking digoxin and diuretics since then. She was married but had never been pregnant. Over the previous 2 to 3 years, her exercise capacity had decreased significantly, with frequent episodes of near syncope and chest pain. She had developed bilateral leg edema. Three days prior to admission, she noticed an episode of severe, sharp pain in her left shoulder that was nonradiating but associated with palpitations and sweating and that lasted for about 20 min. The shoulder pain subsided spontaneously but her dyspnea worsened significantly, which prompted her to present to the ED. PMID:25180748

  4. [Representations of the midwife in the perspective of the pregnant woman].

    PubMed

    Martins, Maria de Fátima da Silva Vieira; Remoaldo, Paula Cristina Almeida Cadima

    2014-01-01

    This study aimed to identify the social representations of the nurse specialist in maternal health and obstetrical care under the gaze of the pregnant woman using a qualitative study of 50 pregnant women in three municipalities of the Northwest Portugal, which carry out their antenatal care in the health center of their residence area. Data were collected through semi-structured interviews between February and July 2007 and analyzed based on content analysis. The results showed that the nurse midwife is faced as a friend, guide and support in helping to experience the whole process inherent in the birth. This research can be a contribution for the improvement of the quality of care provided during pregnancy. PMID:25054696

  5. Psychotic symptoms in a woman with severe Anorexia Nervosa : psychotic symptoms in Anorexia Nervosa.

    PubMed

    Delsedime, Nadia; Nicotra, Barbara; Giovannone, Maria Cristina; Marech, Lucrezia; Barosio, Marta; Marzola, Enrica; Abbate-Daga, Giovanni; Fassino, Secondo

    2013-03-01

    With this paper we aimed to describe a case of a woman affected by Anorexia Nervosa Restricting subtype (AN-R) with delusional symptoms, visual hallucinations and severe body image distortion. We discussed the main AN diagnosis and whether delusional symptoms could be related to severity of AN describing also the use of olanzapine in such a severe clinical condition. The use of olanzapine was found to be effective to reduce both delusions and body distortions, and to improve compliance to treatments. We found a severe delusional symptomatology with mystic, omnipotence and persecution features. The psychotic structure seemed preceding the eating disorder and was also found to be worsened by emaciation. The use of antipsychotic helped reducing delusional symptoms and improving compliance to treatments. Finally, the dynamically oriented therapeutic relationship helped the patient to gain weight and to achieve a full recovery from psychotic symptoms. PMID:23757258

  6. SlimQuick™ - associated hepatotoxicity in a woman with alpha-1 antitrypsin heterozygosity

    PubMed Central

    Weinstein, Douglas H; Twaddell, William S; Raufman, Jean-Pierre; Philosophe, Benjamin; Mindikoglu, Ayse L

    2012-01-01

    Green tea (Camellia sinensis)-associated hepatotoxicity is reported. However, the presence of alpha-1 antitrypsin MZ phenotype as a predisposing factor to green tea-associated drug-induced liver injury (DILI) is unknown. A previously healthy woman with alpha-1 antitrypsin MZ phenotype who took SlimQuick™, an herbal supplement containing green tea extract, developed severe hepatotoxicity requiring corticosteroid treatment. Green tea-associated hepatotoxicity is reviewed and alpha-1 antitrypsin MZ phenotype as a predisposing factor to green tea-associated DILI is discussed. Liver biopsy demonstrated marked inflammation with necrosis suggestive of toxic injury with diffuse alpha-1 antitrypsin globule deposition on immunostaining. Corticosteroid therapy resulted in rapid clinical improvement. Alpha-1 antitrypsin MZ phenotype may increase vulnerability to herbal hepatotoxicity. PMID:22567188

  7. [Hemoptysis and dyspnea in a woman treated with acenocoumarol due to venous thrombosis].

    PubMed

    Trzaska-Sobczak, Marzena; Pierzcha?a, W?adys?aw

    2011-01-01

    A case report of young woman diagnosed as having microscopic polyangiitis (MPO) presenting with diffuse alveolar hemorrhage (DAH). DAH is a rare, but life-threatening disorder. The patients presented with dyspnea, cough, hemoptysis (not constant). The radiographic features are very characteristic and reveal the signs of diffuse, bilateral alveolar filling in chest HRCT especially in middle and lower zones. Anaemia with iron deficiency and hypoxic respiratory failure. Elevation of diffuse capacity (above 30% of predicted) is often recognized as a result of presence of blood in the alveoli. Broncho-alveolar lavage reveal haemosiderin laden macrophages. It may occurs most frequently as a secondary condition due to microscopic polyangiitis (MPA), Wegener's granulomatosis (WG), Goodpasture syndrome. Among the many conditions it can accompany connective tissue disorders, antiphospholipid antibody syndrome, some medicines or toxic exposures. PMID:22335144

  8. The theme of isolation in Thorton Wilder's "The Cabala," "The Bridge of San Luis Rey," and "The Woman of Andros.

    E-print Network

    Bowling, Joan Bagley

    1975-01-01

    THE THEME OF ISOLATION IN THORNTON WILDER'S THE CABALA, THE BRIDGE OF SAN LUIS REY, AND THE WOMAN OF ANDROS A Thesis by JOAN BAGLEY BOWLING Submitted to the Graduate College of Texas AAN University in partial fulfillment of the requirement... for the degree of MASTER OF ARTS August 1975 Major Subject: English THE THEME OF ISOLATION IN THORNTON WILDER'S THE CABALA THE BRIDGE OF SAN LUIS REY, AND THE WOMAN OF ANDROS A Thesis by JOAN BAGLEY BOWLING Approved as to style and content by: rman o...

  9. Successful pregnancy achieved by assisted reproductive techniques in a woman with severe congenital bicuspid aortic valve stenosis

    Microsoft Academic Search

    Cemal Tamer Erel; Sanli Erkan; Omer Yavuz Simsek; Serdar Kucukoglu

    2007-01-01

    Objectives  To report a twin pregnancy achieved by assisted reproductive techniques in a woman with severe congenital bicuspid aortic\\u000a valve stenosis.\\u000a \\u000a \\u000a \\u000a Methods  Intracytoplasmic sperm injection and embryo transfer was performed in a 38-year-old woman with a complaint of infertility\\u000a for 8 years due to male factor and who previously had the diagnosis of severe congenital bicuspid aortic stenosis. Clinical\\u000a and echocardiography follow-up during

  10. Physical Activity in the Life of a Woman with Severe Cerebral Palsy: Showing Competence and Being Socially Connected

    ERIC Educational Resources Information Center

    Gaskin, Cadeyrn J.; Andersen, Mark B.; Morris, Tony

    2009-01-01

    We used a life-history approach to investigate the meanings and experiences of physical activity in the life of a 25-year-old woman with severe cerebral palsy (Amy). Amy and her mother were interviewed about Amy's life and her involvement in physical activity. The conversation was audio-recorded and transcribed verbatim. We interpreted Amy's story…

  11. Low bone turnover and increase of bone mineral density in a premenopausal woman with postoperative hypoparathyroidism and thyroxine suppressive therapy.

    PubMed

    Amrein, K; Dimai, H P; Dobnig, H; Fahrleitner-Pammer, A

    2011-11-01

    We report the case of a 36-year-old woman who developed permanent hypoparathyroidism after thyroidectomy for differentiated thyroid carcinoma. A 6-year follow-up showed an increase of 11% in absolute bone mineral density at the spine and 6% at the hip accompanied by low bone turnover despite thyroid-stimulating hormone suppressive thyroxine therapy. PMID:20959964

  12. Ostial stenosis of the left main coronary artery in a young woman 10 years after radiation therapy.

    PubMed

    Orzan, F; Bellis, D; Mollo, F; Brusca, A

    1995-01-01

    A 26-year-old woman developed critical stenosis of the left main coronary artery 10 years after radiation treatment for Hodgkins disease. She was operated on but died in the immediate postoperative period. At autopsy the pathological findings were indistinguishable from those described in "typical" atherosclerotic plaques. PMID:25850782

  13. Though the name of Chardin may be familiar to those aware of such paintings as Woman taking tea in the

    E-print Network

    Zeki, Semir

    paintings, which brought him so much acclaim, are thought to date from about 1733. However, his greatThough the name of Chardin may be familiar to those aware of such paintings as Woman taking tea of the prestigious French Royal Academy as well as Chardin, and their prints which reproduced his paintings were hung

  14. Ethnic Differences in the Goodenough-Harris Draw-a-Man and Draw-a-Woman Tests.

    ERIC Educational Resources Information Center

    Dugdale, A. E.; Chen, S. T.

    1979-01-01

    The draw-a-man (DAM) and draw-a-woman (DAW) tests were given to 307 school children in Petaling Jaya, Malaysia. The children were ethnically Malay, Chinese, or Indian (Tamil), and all came from lower socioeconomic groups. Journal availability: British Medical Journal, 1172 Commonwealth Ave., Boston, MA 02134. (Author)

  15. Lymphocytic hypophysitis causing hypopituitarism and diabetes insipidus, and associated with autoimmune thyroiditis, in a non-pregnant woman

    Microsoft Academic Search

    M. Paja; J. Estrada; A. Ojeda; S. Ramón y Cajal; J. García-Uría; T. Lucas

    1994-01-01

    A 25 year old non-pregnant woman presented with a one-year history of amenorrhoea and polyuria. Three months before her admission, she had suffered lymphocytic meningitis. Hormonal studies revealed hypopituitarism and central diabetes insipidus, with associated primary autoimmune hypothyroidism. Computed tomographic scan and magnetic resonance imaging showed a pituitary mass with suprasellar extension and thickened stalk. Transsphenoidal surgery was performed and

  16. The Scalpel and the Silver Bear. The First Navajo Woman Surgeon Combines Western Medicine and Traditional Healing.

    ERIC Educational Resources Information Center

    Alvord, Lori Arviso; Van Pelt, Elizabeth Cohen

    In this autobiography, Lori Arviso Alvord describes her journey to become the first Navajo woman surgeon and her realization of the benefits of Navajo philosophy to the healing process. Raised on the Navajo reservation by a White mother and a Navajo father and grandmother, Alvord learned to walk in two worlds. Encouraged to get an education, she…

  17. The Smiling Sunbather and the Chivalrous Football Player: Young Adolescents' Images of the Ideal Woman and Man

    Microsoft Academic Search

    Deborah A. Stiles; Judith L. Gibbons; Jo Schnellmann

    1987-01-01

    One hundred and eighty-one ninth grade students were randomly as-signed the ideal man or ideal woman version of a questionnaire in which they ranked ten qualities of the ideal person and drew a picture of the ideal person doing something. Four ideal types emerged. Girls depicted the ideal man as \\

  18. A Study of Counseling Center Hiring Practices: What Does It Take for a Woman to be Hired?

    ERIC Educational Resources Information Center

    Kitchener, Karen Strohm; And Others

    1975-01-01

    This study examined the effect of raters' level of self-acceptance on the ratings of three candidate types: a "traditional" woman, a "feminist", and a candidate with sex unspecified. Subjects were 81 male counseling center directors. Results reveal that subjects with higher self-acceptance were more likely to evaluate all candidates as more…

  19. Sewing Empowerment: Examining Multiple Identity Shifts as a Mexican Immigrant Woman Develops Expertise in a Sewing Cooperative Community of Practice

    ERIC Educational Resources Information Center

    Vickers, Caroline H.; Deckert, Sharon K.

    2013-01-01

    This article demonstrates how one woman's identity changed as she was empowered through her participation in a sewing cooperative community of practice. A community of practice framework allows examination of participation in ongoing negotiated interactions in which people construct expert and novice identities as they work together. Identity, as…

  20. Small supernumerary marker chromosomes derived from chromosomes 6 and 20 in2 a woman with recurrent spontaneous abortions3

    E-print Network

    Boyer, Edmond

    a woman with recurrent spontaneous abortions3 4 Authors5 Narjes Guedichea,b,* , Lucie Toscaa abortions24 25 inserm-00785199,version1-5Feb2013 Author manuscript, published in "Eur J Med Genet 2012 of multiple small supernumerary marker27 chromosomes (sSMC) presenting with recurrent abortions. Peripheral

  1. Starting and Operating a Woman-Owned Mechanical Engineering Consulting Firm in Kansas: Business and Operations Plan

    E-print Network

    McEwing, Ronald

    2005-12-16

    subcontractor roles for government contracts where the woman-owned status will aid in securing contracts. The marketing strategy will be to register on SBA’s PRO-Net database (http://pro-net.sba.gov). PRO-Net is a searchable research database of small...

  2. Physical Activity in the Life of a Woman with Cerebral Palsy: Physiotherapy, Social Exclusion, Competence, and Intimacy

    ERIC Educational Resources Information Center

    Gaskin, Cadeyrn J.; Andersen, Mark B.; Morris, Tony

    2012-01-01

    Although physical activity can have substantial mental and physical health benefits, people with cerebral palsy usually lead sedentary lives. To understand, at an individual level, this inactivity, we interviewed a 29-year-old minimally active woman with cerebral palsy (Alana) about the meanings and experiences of physical activity throughout her…

  3. Beta-Hemolytic, Multi-Lancefield Antigen-Agglutinating Enterococcus durans from a Pregnant Woman, Mimicking Streptococcus agalactiae

    PubMed Central

    Franco, Alessia; Gherardi, Giovanni; Marrollo, Roberta; Argentieri, Angela Valentina; Pimentel de Araujo, Fernanda; Amoruso, Roberta; Battisti, Antonio; Fazii, Paolo; Carretto, Edoardo

    2014-01-01

    A beta-hemolytic Lancefield antigen A-, B-, C-, D-, F-, and G-positive Enterococcus durans strain was cultivated from the rectovaginal swab of a pregnant woman who underwent antenatal screening for Streptococcus agalactiae. The isolate raised concern as to what extent similar strains are misrecognized and lead to false diagnosis of group B streptococci. PMID:24671782

  4. Disseminated cutaneous Herpes Simplex Virus1 in a woman with rheumatoid arthritis receiving Infliximab: A case report

    Microsoft Academic Search

    Elizabeth Ann Justice; Sophia Yasmin Khan; Sarah Logan; Paresh Jobanputra

    2008-01-01

    INTRODUCTION: We present the case of a 49-year-old woman with a seronegative rheumatoid arthritis who developed pustular psoriasis whilst on etanercept and subsequently developed disseminated herpes simplex on infliximab. CASE PRESENTATION: Our patient presented with an inflammatory arthritis which failed to respond to both methotrexate and leflunomide, and sulphasalazine treatment led to side effects. She was started on etanercept but

  5. Moving Heaven and Earth: Administrative Search and Selection Processes and the Experience of an African American Woman Senior Administrator

    ERIC Educational Resources Information Center

    Barnett-Johnson, Kim R.

    2009-01-01

    The purpose of this case/phenomenological study was to examine a collegiate administrative search and selection process and the experience of an African American woman who was selected to the position of chancellor. A case concerning the search process of a regional campus of Ivy Tech Community College of Indiana was identified and chosen.…

  6. Sudden death of a middle aged woman with a series of undiagnosed gynaecologic diseases.

    PubMed

    Hikiji, Wakako; Hayashi, Kino; Fukunaga, Tatsushige

    2014-07-01

    Gynaecologic diseases unrelated to pregnancy are not generally associated with sudden death, which limits the number of case reports published in the field of forensic medicine. Presented in this paper is a fatal case in a middle aged woman with an early stage endometrial cancer and a series of gynaecologic diseases, in whom such typical features of sudden death were not applicable. Forensic autopsy revealed the hypoplasia of left circumflex coronary artery, Stage 1B endometrial cancer, endometriosis, polycystic ovary syndrome (PCOS) and micro pituitary adenoma, whereas histochemical analyses confirmed hyperprolactinemia and hyperestradiolemia. It was considered that the hypoplasia of coronary artery, chronic anaemia and electrolyte imbalance due to endometrial cancer all collaborated to induce acute cardiac failure. The association between prolactinoma, PCOS and endometrial cancer was also suggested, though they are rarely observed synchronously. It was speculated that the deceased had been anaemic for a substantial period of time and lacked clear subjective symptoms, which made the antemortem diagnosis of her underlying diseases difficult. Forensic pathologists must always consider the possibility of gynaecologic diseases taking significant part in a fatal cause of reproductive-aged women. PMID:24835015

  7. A 35-year-old woman with influenza A-associated thrombotic thrombocytopenic purpura.

    PubMed

    Jonsson, Maria K; Hammenfors, Daniel; Oppegaard, Oddvar; Bruserud, Øystein; Kittang, Astrid Olsnes

    2015-06-01

    A previously healthy 35-year-old woman presented with severe thrombotic thrombocytopenic purpura (TTP) affecting several organs and concomitant influenza A infection. On admission to hospital, haemoglobin was 5.4?g/dl, platelet count 6?×?10/l, Schistocyte count in peripheral blood 5%, and throat swab positive for influenza A RNA. The patient was treated with antiviral medication and transfusions of fresh frozen plasma before plasma exchange therapy with excellent response. Plasmaphereses were attenuated after 5 days, resulting in TTP relapse 3 days later. A disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13 (ADAMTS13) protein was very low (<0.04?U/l) and anti-ADAMTS13 elevated (>2?U/l), consistent with acquired TTP. Platelet counts normalized after five additional plasma exchanges and oral corticosteroids. Antinuclear antibodies and subgroup anti-Ro/Sjögren's syndrome A antigen (SSA) were detected in serum and have remained borderline-elevated, although evaluation during TTP, recovery and follow-up have lacked clinical manifestations of connective tissue disease. Influenza A infection induced production of ADAMTS13 inhibitor, which resulted in TTP in a patient with circulating antinuclear antibodies, lacking other manifestations of connective tissue disease. PMID:25688460

  8. [A 115-year-old woman: the oldest individual in Japan].

    PubMed

    Inagaki, T; Yamamoto, T; Niimi, T; Hashizume, Y; Mizuno, T; Inagaki, A; Ojika, K

    1995-03-01

    The purpose of this study was to assess the background to the longevity of a 115-year-old woman who was the oldest individual in Japan as of September, 1994. The secrets of her social and medical profile appeared to be hereditary factors, well-balanced meals, no smoking or drinking, sufficient sleep and adequate exercise. From the viewpoints of psychological aspects and comprehensive functional assessment of the elderly, she clearly has a tenacious personality. Furthermore, she has maintained independence in her activities of daily living, and did not suffer from senile dementia until 107 years of age. From the medical standpoint, she has suffered from transient hypertension, but her left ventricle function has remained within the normal echocardiography range and no greatly abnormal values have been observed in blood chemistry tests. She has suffered from pneumonia and urinary tract infection many times since the age of 109, and on these occasions she was promptly admitted to our hospital and received appropriate medical treatment. We consider that this also played an important role in her longevity. PMID:7596058

  9. An atypical site of a retroperitoneal epidermoid cyst in a middle-aged woman

    PubMed Central

    Mitura, Kryspin; Mikolaj, Romanczuk; Alicja, Mitura

    2012-01-01

    INTRODUCTION Retroperitoneal cysts are rare, usually asymptomatic, abdominal lesions. Epidermoid cysts developing in this space usually occur in middle-aged women and are incidentally discovered in the presacral region during ultrasound examination. Occasionally, cysts may arise from splenic tissue or adrenal glands and develop above the presacral area. PRESENTATION OF CASE We present the unusual location of a cyst in the retroperitoneal space in a 41-year-old woman admitted to hospital due to detection of a lesion in ultrasound imaging. A CT scan confirmed large intra-abdominal cyst. At operation, a large retroperitoneal thin-walled cyst with no evident arising point was discovered. Histologic analysis revealed epidermoid cyst. DISCUSSION Our patient presented with giant retroperitoneal cyst extending from the subhepatic region to the uterine and bladder. To our knowledge, this unusual location in adult has not been previously reported in the literature. In our case the lesion was adjacent to inferior vena cava and mesenteric vessel which required special attention during preparation and was technically demanding. CONCLUSION Surgery is the gold standard for the diagnosis and treatment of retroperitoneal epidermoid cysts. Successful treatment of benign retroperitoneal epidermoid cysts depends on appropriate diagnosis, careful operative technique, and adequate management of the underlying pathology. PMID:23124071

  10. Case Report: Paroxysmal nocturnal hemoglobinuria in a woman heterozygous for G6PD A-

    PubMed Central

    Perdigones, Nieves; Morales, Mariela; Mason, Philip; Bessler, Monica

    2014-01-01

    We describe a case of paroxysmal nocturnal hemoglobinuria (PNH) in a woman who is heterozygous for the glucose-6-phosphate dehydrogenase A-   ( G6PDA-) allele. PNH is associated with one or more clones of cells that lack complement inhibition due to loss of function somatic mutations in the PIGA gene.  PIGA encodes the enzyme phosphatidylinositol glycan anchor biosynthesis, class A, which catalyses the first step of glycosylphosphatidylinisotol ( GPI)  anchor synthesis. Two GPI anchored red cell surface antigens regulate complement lysis. G6PD catalyses the first step of the pentose phosphate pathway and enzyme variants, frequent in some populations have been selected because they confer resistance to malaria, are associated with hemolysis in the presence of oxidizing agents including several drugs. The patient had suffered a hemolytic attack after taking co-trimoxazole, a drug that precipitates hemolysis in G6PD deficient individuals. Since both G6PD and PIGA are X-linked we hypothesized that the PIGA mutation was on the X-chromosome carrying the G6PDA- allele. Investigations showed that in fact the PIGA mutation was on the X-chromosome carrying the normal G6PD B allele. We speculate that complement activation on G6PD A- red cells exposed to Bactrim might have triggered complement activation inducing the lysis of G6PD B PNH Type II red blood cells or that the patient may have had a PNH clone expressing G6PDA- at the time of the hemolytic episode. PMID:25713697

  11. Trisomy 18 mosaicism in a woman with normal intelligence, pigmentary dysplasia, and an 18 trisomic daughter

    SciTech Connect

    Ukita, Masahiko; Hasegawa, Masaaki; Nakahori, Takashi [Kurashiki Central Hospital (Japan)] [Kurashiki Central Hospital (Japan)

    1997-01-20

    Survival beyond the age of 10 years is rare among 18-trisomic individuals. Most of these long-term survivors, when more than one tissue is studied, are normal/trisomy mosaics. They are usually mentally severely retarded with a variety of anomalies. There is another group of mosaic individuals: 7 women and a 13-year-old girl, with a low frequency of 18-trisomic cells, normal or mildly retarded intelligence, and minor anomalies. Two of them were diagnosed after delivering malformed stillborn infants. One of them was the mother of a trisomy 18 patient who was coincidentally found to have trisomy 18 mosaicism. Pigmentary dysplasia, previously called hypomelanosis of Ito, is a disorder with linear, swirly, or patchy, hypo- or hyperpigmented areas of skin, resulting from migration and interaction of melanoblasts of different pigmentary potential. The disorder is often accompanied by mosaic chromosomal abnormalities, including mosaic trisomy 18. Here we report a 26-year-old woman with low frequency trisomy 18 mosaicism, normal intelligence, and pigmentary dysplasia, who gave birth to an 18-trisomic girl. 12 refs., 1 fig.

  12. Giant Endometrial Polyp in a Postmenopausal Woman without Hormone/Drug Use and Vaginal Bleeding

    PubMed Central

    Ünal, Betül; Do?an, Selen; Karaveli, Fatma ?eyda; ?im?ek, Tayup; Erdo?an, Gülgün; Candaner, I??l

    2014-01-01

    The objective of this study is to determine and discuss the causes of a giant endometrial polyp in a postmenopausal woman without hormone/drug use and to submit interesting clinical presentation. Here we report a seventy-year-old female patient who was admitted to our hospital with lower back pain. There were no other complaints from her. Physical examination was normal. For further examination, computed tomography was performed and a heterogeneous mass, with a diameter of 10 × 9 centimeters, was detected in the uterine cavity. Hysterectomy because of suspected endometrial cancer was performed. Histopathological examination showed us a giant endometrial polyp with edematous and focal fibrotic stroma, large thick walled blood vessels between normal sized and cystically dilated endometrial glands. To the best of our knowledge, this is the first report of a giant endometrial polyp which is unrelated to use of drugs such as tamoxifen and raloxifene; however, based on the history of the patient it may be associated with long-term consumption of thyme, which is a kind of phytoestrogen. PMID:25093134

  13. Perinatal care for incarcerated patients: a 25-year-old woman pregnant in jail.

    PubMed

    Clarke, Jennifer G; Adashi, Eli Y

    2011-03-01

    More than 6 million men and 1 million women are under US correctional control, be it jail, prison, probation, or parole. On any given day, about 250,000 women and adolescent girls are behind bars, a number well in excess of those documented for all other sovereign nations. Moreover, women and girls represent the fastest-growing segment of the prison and jail populations. Approximately 75% of these women are mothers of minor children (leaving 200,000 children "motherless") and as many as 10,000 may be pregnant. Primarily designed for male offenders, the US correctional system is struggling to meet the specialized needs of its female inmates. Although incarceration during pregnancy is both stressful and dehumanizing, most studies paradoxically document better outcomes for pregnancies managed behind bars than for women of similar socioeconomic status whose pregnancies are managed in the community. Using the case of Ms A as a springboard for discussion, the issues, benefits, and challenges of caring for an incarcerated pregnant woman are addressed, as is the importance of family planning services to those about to be released. PMID:21304069

  14. Segmentally arranged seborrhoeic keratoses with impending atypia and squamous cell carcinoma in an elderly woman.

    PubMed

    Livingstone, E; Hillen, U; Hafner, C; Piel, S; Groesser, L; Schadendorf, D; Happle, R

    2015-06-01

    Epidermal naevi (EN) are considered mosaic disorders. Postzygotic mutations are thought to occur during early embryogenesis. They are usually arranged along Blaschko's lines and tend to be noted either at birth or shortly thereafter. Skin tumours arising on EN are occasionally reported, with ongoing discussion as to whether these are collision tumours or a malignant transformation of the EN. We describe a 76-year-old woman with segmentally arranged seborrhoeic keratoses that showed impending atypia and, in one lesion, even overt malignant transformation. In biopsies from various lesions we found FGFR3 and PIK3CA hotspot mutations but there was no consistent pattern of mutations explaining the premalignant or malignant growth. So far it is unclear whether the precancerous changes as noted in this elderly patient can be taken as an unusual manifestation of one of the established types of EN, or whether this may represent a separate disorder that could be called 'SASKIA naevus'. The acronym would stand for segmentally arranged seborrhoeic keratoses with impending atypia. PMID:25420590

  15. Raloxifene protects against seizures and neurodegeneration in a mouse model mimicking epilepsy in postmenopausal woman.

    PubMed

    Pottoo, F H; Bhowmik, M; Vohora, D

    2014-12-18

    Epilepsy in menopausal women presents several challenges in the treatment including an increased risk of seizures due to hormone replacement therapy. We investigated the hypothesis if raloxifene, a selective oestrogen receptor modulator, could be employed to prevent behavioural seizures and morphological alterations in a mouse model mimicking epilepsy in postmenopausal women. Female mice were made ovotoxic by treatment with 4-vinylcyclohexene diepoxide (VCD) to mimic a postmenopausal state. They were then subjected to kainic acid (KA)-induced seizures and neurotoxicity, as assessed by microscopic examination of hippocampus, relevant to human temporal lobe epilepsy. VCD administration (for 15days followed by a drug-free period of 30days) induced ovotoxicity in mice as evidenced by reduced number of primary ovarian follicles. This was accompanied by a 62.4% reduction in serum oestradiol levels. The bone mineral density of ovotoxic mice, however, remained unaffected. Raloxifene (8mg/kg) reduced the seizure severity score in both normal and ovotoxic mice and protected against degeneration induced by KA in the CA3, CA1 sub-fields and hilus of the DG. Hippocampal TGF-?3 levels were not affected by any of the treatments. We show the potential protective role of raloxifene in preventing seizures and neuronal damage in a mouse model mimicking epilepsy in postmenopausal women which was found unrelated to hippocampal TGF-?3. Raloxifene might represent a novel therapeutic option for postmenopausal temporal lobe epileptic woman. PMID:25218046

  16. [Eclampsia and total bilateral amaurosis in a woman subsequently diagnosed with reversible posterior leukoencephalopathy syndrome].

    PubMed

    Andrés, M A Arteche; Ortiz-Gómez, J R; Mansob, A M Martín; Martí, I Plaja; García, S Hernández; Ortigosa, F Sos

    2008-05-01

    Eclampsia is a complication of preeclampsia and is characterized by the appearance of grand mal seizures and/or coma, in the absence of any other neurological abnormalities. Neither focal neurological deficit nor prolonged coma tends to develop following a crisis. Eclampsia should therefore lead us to consider other clinical entities that may require special treatment. We report the case of a pregnant woman who presented total bilateral loss of vision following a grand mal seizure. The patient was subsequently diagnosed with reversible posterior leukoencephalopathy syndrome, which has clinical and radiologic manifestations linked to several causes, such as hypertensive encephalopathy, eclampsia, kidney failure, and immunosuppressant therapy. The syndrome involves headache, altered states of consciousness, changes in vision (including blindness), and seizures; these symptoms generally coincide with a rapid increase in blood pressure. Diagnosis requires neuroimaging, and the typical finding is edema in the posterior zones of the brain hemispheres. The most widely accepted hypothesis concerning the pathophysiologic mechanism underlying this syndrome is failure of cerebral autoregulation with development of vasogenic edema. The prognosis is good and the alterations usually resolve completely with appropriate treatment, which is the same as for the management of eclampsia, with strict monitoring of blood pressure. PMID:18661690

  17. Perfectionistic Self-Presentation and Suicide in a Young Woman with Major Depression and Psychotic Features

    PubMed Central

    Flett, Gordon L.; Hewitt, Paul L.

    2014-01-01

    A woman in her midtwenties with a history of major depressive disorder and a recent major depressive episode with mood-congruent psychotic features died by suicide. Two weeks before her death, she demonstrated exceptional elevations on the nondisplay of imperfection factor of Hewitt and Flett's Perfectionistic Self-Presentation Scale. Perfectionism and especially perfectionistic self-presentation have been strongly associated with suicide across several populations, accounting for unique variance in suicidality beyond depression and hopelessness. Yet interpersonal facets of perfectionism are not recognized as clinical risk factors for suicide. There is also a paucity of research on perfectionism in relation to psychotic symptoms. This case account illustrates the role of perfectionistic self-presentation in suicides that occur seemingly without warning and, to our knowledge, this is the first examination of perfectionistic self-presentation and suicide in a case where psychotic features occurred. This study, though single case-based, draws attention to perfectionism and perfectionistic self-presentation and their potential roles in suicide, especially when accompanied by other risk factors. Future research in this area may elucidate the role of perfectionism in suicide, singularly and in the context of a comprehensive clinical risk assessment, demonstrating whether perfectionism confers information about suicide risk beyond known clinical risk factors. PMID:25328746

  18. An elderly woman with triple primary metachronous malignancy: A case report and review of literature

    PubMed Central

    Takalkar, Unmesh; Asegaonkar, Balaji N.; Kodlikeri, Pushpa; Asegaonkar, Shilpa; Sharma, Brijmohan; Advani, Suresh H.

    2013-01-01

    INTRODUCTION Prevalence of multiple primary malignancies is slowly increasing due to prolonged survival of cancer patients with advances in diagnostic and therapeutic modalities. The reasons may be environmental modifications, genetic predisposition or therapy induced. We describe a case of a 64-year-old woman with three different metachronous primary malignancies managed at our center since 4 years. PRESENTATION OF CASE First primary diagnosed in our patient was adenocarcinoma of small intestine which is a rare gastrointestinal malignancy. For this she underwent surgical resection followed by chemotherapy. After 21 months she developed infiltrating duct carcinoma of breast which was managed with modified radical mastectomy and chemotherapy. Again after latent period of 10 months patient had papillary adenocarcinoma of ovary for which she was administered chemotherapy. During follow up tumor was found to be chemoresistant and again she underwent cytoreductive surgery followed by chemotherapy. DISCUSSION In present case patient did not have significant risk factors for development of carcinoma of small intestine, breast and ovary. Our patient underwent surgical excision three times and received total 16 chemotherapy cycles of different regimens during management of all three primary malignancies. Development of second and higher order primary malignancy after successful management of previous one should be always kept in mind. CONCLUSION Awareness, suspicion of multiple primary malignancy and aggressive diagnostic work up plays crucial role in their detection at earlier stage for better outcome. In addition choice of appropriate chemotherapeutic agents and their regimens remains the cornerstone while managing the patients with multiple primary malignancies. PMID:23702365

  19. ECG Case of the Month: ECG in a 20-Year-Old Woman with Dyspnea.

    PubMed

    Lathia, Viral N; Haas, John R; Jaligam, Vijayendra R; Mickman, Carl T; Lo, Betty P; Glancy, D Luke

    2015-01-01

    A 20-year-old Hispanic woman presented to the emergency department complaining of six months of progressive dyspnea on exertion associated with intermittent palpitations. Her only past medical history was a stillbirth at 32 weeks gestation about two years ago. Her vital signs in the emergency department were a heart rate of 120 beats/minute, a blood pressure of 145/86 mmHg, and an arterial oxygen saturation of 98 percent with her breathing air. Significant laboratory values included a blood hemoglobin of 14.5 gm/dL, a hematocrit of 49 percent, a brain naturetic peptide (BNP) level of 177 pg/mL, a D-dimer level of 330 ng/ml, a prothrombin time of 12.85 s with an INR of 1.2, and a partial thromboplastin time of 45.7s. Urine pregnancy test was positive, and serum beta-human chorionic gonadotropin level was 81 MIU/mL consistent with a fetus of 3-4 weeks gestational age. An electrocardiogram was recorded. PMID:25978754

  20. Chiropractic Management of a 24-Year-Old Woman With Idiopathic, Intermittent Right-Sided Hemiparesthesia

    PubMed Central

    Bova, Joseph; Sergent, Adam

    2014-01-01

    Objective The purpose of this case report is to describe the chiropractic management of a patient with idiopathic, intermittent right-sided hemiparesthesia. Clinical Features A 24-year-old woman presented with a 2-year history of intermittent idiopathic right arm paresthesia. She also had a 3-month history of intermittent idiopathic right leg/face paresthesia. These symptoms were strongest at night and caused insomnia and worsened over time. She rated her discomfort at 5/10 on a numeric scale. Intervention and Outcome Care included vibration stimulation therapy, spinal manipulation and cold laser therapy. She had a noticeable reduction in her paresthesia both subjectively and objectively. She showed improvement in paresthesia on the right side of her body after the first visit. The following week, after 2 visits she returned and stated that she was symptom free with 0/10 discomfort on a numeric scale. Conclusion This patient's symptoms of idiopathic, intermittent right-sided hemi-paresthesia seemed to improve with a short course of chiropractic care using manipulation, vibration therapy and cold laser therapy. PMID:25435843

  1. Networking among women snowboarders: a study of participants at an International Woman Snowboard Camp.

    PubMed

    Sisjord, M K

    2012-02-01

    The article focuses on women snowboarders' networking and relationships with national snowboard associations and commercial organizers. The study was conducted at an International Women Snowboard Camp, which attracted women snowboarders from five different countries. A qualitative interview was undertaken with participants from each country, eight in total, plus an interview with one of the organizers (a woman). The results indicate that participants from the Nordic countries adopt a more proactive stand to promote snowboarding by organizing specific groups in relation to national associations, particularly the Norwegians and the Finnish. Furthermore, some collaboration across national boarders appeared. The only Swedish participant was associated with several snowboarding communities; whereas the Italian (only one) and the Latvian snowboarders had links with commercial organizers, apparently male dominated in structure. The findings are discussed in the light of Castells' network theory and identity construction in social movements, and gender perspectives. The participants' doing/undoing gender reveals different strategies in negotiating hegemonic masculinity and the power structure in the organizations. Narratives from the Nordic participants reflect undoing gender that impacts on identity constructions in terms of project and/or resistance identity. The Italians and Latvians seemingly do gender while undertaking a subordinate position in the male-dominated structure. PMID:20561284

  2. Reconceptualizing successful aging among black women and the relevance of the strong black woman archetype.

    PubMed

    Baker, Tamara A; Buchanan, NiCole T; Mingo, Chivon A; Roker, Rosalyn; Brown, Candace S

    2015-02-01

    Although there are multiple pathways to successful aging, little is known of what it means to age successfully among black women. There is a growing body of literature suggesting that black women experience a number of social challenges (sexism and racism) that may present as barriers to aging successfully. Applying aspects of the Strong Black Women ideal, into theoretical concepts of successful aging, may be particularly relevant in understanding which factors impair or promote the ability of black women to age successfully. The Strong Black Women archetype is a culturally salient ideal prescribing that black women render a guise of self-reliance, selflessness, and psychological, emotional, and physical strength. Although this ideal has received considerable attention in the behavioral sciences, it has been largely absent within the gerontology field. Nevertheless, understanding the dynamics of this cultural ideal may enhance our knowledge while developing an appreciation of the black woman's ability to age successfully. Rather than summarize the social, physical, and mental health literature focusing on health outcomes of black women, this conceptual review examines the Strong Black Women archetype and its application to the lived experiences of black women and contributions to current theories of successful aging. Focusing on successful aging exclusively among black women enhances our understanding of this group by considering their identity as women of color while recognizing factors that dictate their ability to age successfully. PMID:25416685

  3. Linear scleroderma in an adolescent woman treated with methotrexate and excimer laser.

    PubMed

    Hanson, Anne H; Fivenson, David P; Schapiro, Brian

    2014-01-01

    A 17-year-old Caucasian woman presented for evaluation and treatment of a tender expanding linear plaque on her left flank. Biopsy findings were consistent with morphea. Treatment initially included intralesional steroid injections and topical calcipotriene ointment, followed by methotrexate and excimer laser. The lesion decreased in size considerably with relief of symptomatic discomfort by 7 months. An excisional biopsy of a persistent eroded papule on the superior aspect of the morphea plaque revealed dermal thickening and sclerosis with superimposed perforation of a calcified nodule. Localized scleroderma, or morphea, is an autoimmune disease of the skin and underlying subcutaneous tissue primarily affecting the pediatric population. The excimer laser has been reported to effectively treat a variety of dermatologic conditions, including morphea. Its mechanism of action may be via depletion of T cells, altering apoptosis-mediating molecules and decreasing cytokine expression. Methotrexate is also useful for the acute and deep forms of morphea and has been shown to decrease levels of inter leukins-2 and -6, tenascin, and mast cells. This patient had a good clinical response with a combination of these two modalities. The epidermal perforation with transepidermal elimination of calcified necrotic collagen is a unique complication that may have been secondary to this combination treatment modality. PMID:24548477

  4. Severe scoliosis, torticollis and short stature in a woman with Wildervanck Syndrome (WS).

    PubMed

    Laban, N B; Tasic, V B; Danilovski, D; Polenakovic, M; Gucev, Z S

    2015-01-01

    (Full text is available at http://www.manu.edu.mk/prilozi). Wildervanck syndrome (WS) combines features of Klippel-Feil syndrome (KFS), sixth nerve palsy, and deafness. This is a case of a 23 year old woman, diagnosed with KFS (a triad of short neck, low posterior hairline and restricted neck movements) at the age of 20 days. The manifestations of the WS in this patient are severe: she has torticollis, and an extremely severe scoliosis. In addition, she is short (-3 SD; parental target height + 0.8SD) and has mixed sensorineural and conductive deafness. She also has ptosis, strabismus and a high myopia. Radiologically, there are multiple coalitions of cervical vertebrae. Intelligence is unaffected (IQ 95), but deafness, strabismus and high myopia forced her early out of school. Karyotype is 46, XX. In brief, this is a patient with severe WS and additional anomalies. Short and/or reduced parental target height is a part of WS. Key words: Wildervanck syndrome, short stature, Duane retraction syndrome, Klippel Feil anomaly, deafness, torticollis, severe scoliosis. PMID:26076792

  5. Cystic presentation of a renal medullary carcinoma in a young woman.

    PubMed

    Levi Sandri, Giovanni Battista; Spoletini, Gabriele; Lai, Quirino; Mennini, Gianluca; Rossi, Massimo

    2015-06-11

    Renal medullary carcinoma (RMC) is a rare tumor, originating in the epithelial papillary cells, that primarily affects young black men with sickle cell trait. We report the case of a 29-year-old Caucasian woman, who at ultrasound showed a cystic mass at the right kidney, with a vascular pattern at the level of the cystic wall. A CT-guided biopsy of the lesion was performed, revealing the presence of unspecified tumor cells. A total nephrectomy was then performed. Microscopically, a tumor resulting from the epithelial papillary cells was observed; several areas of lymphoplasmacytic infiltrates were seen at the junction between the normal kidney tissue and the tumor, and a renal medullary carcinoma was diagnosed. Six months later, the patient developed multiple pulmonary metastases and started chemotherapy with Carboplatin, Paclitaxel and Gemcitabine. The patient died after 27 months of follow-up.RMC is a tumor that usually occurs in young black men, at an average age of 25 years with extremes of 11 and 39 years. Sickle-cell disease or sickle-cell trait is often present. The longest documented survival (until now) for RMC was 16 months. The best treatment is surgery with enlarged nephrectomy. There are still no appropriate chemotherapy protocols. PMID:25451881

  6. A review of "The Letters of Dorothy Moore: The Intellectual Life of a Seventeenth-Century Woman." by Lynette Hunter

    E-print Network

    Ellen J. Jenkins

    2005-01-01

    woman of great intellect who lived in England and on the Continent at various times in her life. She also came to be a participant in the circle of Protestant reformers that included the Polish-born ?intelligencer? and educational-reform advocate... Samuel Hartlib; the theolo- gian and philosopher, John Dury, whom she later married; Katherine Boyle (Lady Ranelagh) and her brother, the chemist Robert Boyle; and others who aimed to end sectarian divisiveness among Protestants and to reform educa- tion...

  7. Massive postoperative pulmonary embolism in a young woman using oral contraceptives: the value of a preoperative anesthetic consult.

    PubMed

    Amar, S; Van Boven, M; Rooijakkers, H; Momeni, M

    2014-01-01

    We describe the case of a woman with a history of active tabagism and on the oral contraceptive Yasmin, presenting in the Post-Anesthesia Care Unit (PACU) with a cardiac arrest due to massive pulmonary embolism following transforaminal lumbar interbody fusion surgery. The patient had preoperatively several risk factors for deep venous thrombosis. This case-report emphasizes the value of a preoperative anesthetic visit and eventual temporary cessation of certain oral contraceptives in specific cases. PMID:25223166

  8. Orthotopic autotransplantation of cryopreserved ovarian tissue to a woman cured of cancer–follicular growth, steroid production and oocyte retrieval

    Microsoft Academic Search

    Kirsten L Tryde Schmidt; Claus Yding Andersen; Jérgen Starup; Anne Loft; Anne Grete Byskov; Anders Nyboe Andersen

    2004-01-01

    Cryopreservation of human ovarian tissue is now an option for cancer patients facing treatment with gonadotoxic regimes, as a means of preserving their fertility. So far, there have been only a few reports on autotransplantation of frozen–thawed tissue with regard to restoration of ovarian function. The present report describes a 32-year-old woman diagnosed with Hodgkin's lymphoma, who had cryopreserved ovarian

  9. Large Vaginal and Bladder Calculi in a Woman With Previous Operation of Bladder Exstrophy: A Case Report

    PubMed Central

    Tavakkoli, Mahmoud; Ghoreifi, Alireza

    2013-01-01

    This is to report the case of a huge vaginal stone, and bladder calculi in a 26-year-old woman with previous operation of bladder exstrophy. It seems that the vaginal stone was secondary to the remaining wire used in her previous reconstructive surgery for pelvic closure 20 years ago and now surgery is performed to remove the vaginal and bladder stones. PMID:24719809

  10. Physical Activity in the Life of a Woman with Severe Cerebral Palsy: Showing competence and being socially connected

    Microsoft Academic Search

    Cadeyrn J. Gaskin; Mark B. Andersen; Tony Morris

    2009-01-01

    We used a life?history approach to investigate the meanings and experiences of physical activity in the life of a 25?year?old woman with severe cerebral palsy (Amy). Amy and her mother were interviewed about Amy’s life and her involvement in physical activity. The conversation was audio?recorded and transcribed verbatim. We interpreted Amy’s story using psychodynamic theory. Although Amy enjoyed learning to

  11. Spondylarthritis presenting with an allergic immediate systemic reaction to adalimumab in a woman: a case report

    PubMed Central

    2011-01-01

    Introduction The efficacy of adalimumab, a fully human anti-tumor necrosis factor ? recombinant antibody, has dramatically improved the quality of life of patients with rheumatoid and psoriatic arthritis and Crohn's disease. Because it is fully human, one should not expect immune reactions to this molecule. Adverse reactions to adalimumab are limited mainly to injection site reactions and are very common. Immediate systemic reactions are rarely reported. Case presentation We report the case of a 61-year-old Caucasian woman who was treated with adalimumab for spondylarthritis and developed injection site reactions after the sixth dose. After a two-month suspension, she recommenced therapy and experienced two systemic reactions. The first occurred after one hour with itching of the palms and soles and angioedema of the tongue and lips. Thirty minutes after the next dose the patient had itching of the palms and soles with diffusion to her whole body, angioedema of the lips, dizziness and visual disturbances. A skin-prick test and intra-dermal tests with adalimumab gave strong positive results at the immediate reading. However, serum-specific immunoglobulin E (IgE) to adalimumab were not detectable by using Phadia solid phase, especially harvested for this case, in collaboration with our Immunology and Allergy Laboratory Unit. Her total IgE concentration was 6.4 kU/L. Conclusion We describe what is, to the best of our knowledge, the first reported case of immediate systemic reaction to adalimumab studied with a skin test giving positive results and a serum-specific IgE assay giving negative results. The mechanism of the reaction must be immunologic but not IgE-mediated. PMID:21504597

  12. Radiation induced esophageal adenocarcinoma in a woman previously treated for breast cancer and renal cell carcinoma

    PubMed Central

    2012-01-01

    Background Secondary radiation-induced cancers are rare but well-documented as long-term side effects of radiation in large populations of breast cancer survivors. Multiple neoplasms are rare. We report a case of esophageal adenocarcinoma in a patient treated previously for breast cancer and clear cell carcinoma of the kidney. Case presentation A 56?year-old non smoking woman, with no alcohol intake and no familial history of cancer; followed in the National Institute of Oncology of Rabat Morocco since 1999 for breast carcinoma, presented on consultation on January 2011 with dysphagia. Breast cancer was treated with modified radical mastectomy, 6 courses of chemotherapy based on CMF regimen and radiotherapy to breast, inner mammary chain and to pelvis as castration. Less than a year later, a renal right mass was discovered incidentally. Enlarged nephrectomy realized and showed renal cell carcinoma. A local and metastatic breast cancer recurrence occurred in 2007. Patient had 2 lines of chemotherapy and 2 lines of hormonotherapy with Letrozole and Tamoxifen assuring a stable disease. On January 2011, the patient presented dysphagia. Oesogastric endoscopy showed middle esophagus stenosing mass. Biopsy revealed adenocarcinoma. No evidence of metastasis was noticed on computed tomography and breast disease was controlled. Palliative brachytherapy to esophagus was delivered. Patient presented dysphagia due to progressive disease 4?months later. Jejunostomy was proposed but the patient refused any treatment. She died on July 2011. Conclusion We present here a multiple neoplasm in a patient with no known family history of cancers. Esophageal carcinoma is most likely induced by radiation. However the presence of a third malignancy suggests the presence of genetic disorders. PMID:22873795

  13. Genome sequence of Lactobacillus pentosus KCA1: vaginal isolate from a healthy premenopausal woman.

    PubMed

    Anukam, Kingsley C; Macklaim, Jean M; Gloor, Gregory B; Reid, Gregor; Boekhorst, Jos; Renckens, Bernadet; van Hijum, Sacha A F T; Siezen, Roland J

    2013-01-01

    The vaginal microbiota, in particular Lactobacillus species, play an important role in female health through modulation of immunity, countering pathogens and maintaining a pH below 4.7. We report the isolation and genome sequence of Lactobacillus pentosus strain KCA1 (formally known as L. plantarum) from the vagina of a healthy Nigerian woman. The genome was sequenced using Illumina GA II technology. The resulting 16,920,226 paired-end reads were assembled with the Velvet tool. Contigs were annotated using the RAST server, and manually curated. A comparative analysis with the available genomes of L. pentosus IG1 and L. plantarum WCFS1 showed that over 15% of the predicted functional activities are found only in this strain. The strain has a chromosome sequence of 3,418,159 bp with a G+C content of 46.4%, and is devoid of plasmids. Novel gene clusters or variants of known genes relative to the reference genomes were found. In particular, the strain has loci encoding additional putative mannose phosphotransferase systems. Clusters of genes include those for utilization of hydantoin, isopropylmalate, malonate, rhamnosides, and genes for assimilation of polyglycans, suggesting the metabolic versatility of L. pentosus KCA1. Loci encoding putative phage defense systems were also found including clustered regularly interspaced short palindromic repeats (CRISPRs), abortive infection (Abi) systems and toxin-antitoxin systems (TA). A putative cluster of genes for biosynthesis of a cyclic bacteriocin precursor, here designated as pentocin KCA1 (penA) were identified. These findings add crucial information for understanding the genomic and geographic diversity of vaginal lactobacilli. PMID:23527145

  14. [Painful ophthalmoplegia in a woman from Burkina Faso: cerebral venous thrombosis (CVT) of the cavernous sinus].

    PubMed

    Napon, C; Kabore, J

    2010-08-01

    Cerebral venous thrombosis (CVT) is a rare cerebral vascular pathology with highly variable clinical features and outcome. The purpose of this report is to describe a case of CVT of the cavernous sinus that presented as painful ophthalmoplegia. A 26-year-old woman with a contraceptive implant for seven months consulted at the Neurology Department of Yalgado Ouedrago hospital for a painful ophthalmoplegia that was initially diagnosed and treated as ophthalmoplegia migraine. One month later, clinical symptoms had progressed to asymmetric muscle weakness in all four limbs, right cerebellum ataxia and involvement of the trigeminal ophthalmic branch. Computerized axial tomography of the brain depicted a zone of unusual contrast extending from the cavernous sinus up to the tentorium cerebelli and a mass effect on the fourth ventricle. Analysis of the cerebrospinal fluid demonstrated a cellular reaction with 8 lymphocytes and high protein rate (0.64 g/L). The levels of C reactive protein (CRP) and D-Dimeres were elevated: 16.6 mg/L and 0.99 microg/mL respectively. Based on a presumptive diagnosis of CVT, heparin treatment was undertaken and led to almost complete remission of the signs and symptoms. This case again shows the wide range of clinical features and outcomes of CVT that can oscillate between encephalitis, intracranial tumor or infection. As a result, CVT should be considered as a possible diagnosis in patients with focal neurological signs, intracranial hypertension syndrome, loss of consciousness or cavernous sinus syndrome whenever the context is right (post-partum, oestroprogestative, congenital thrombophilia). PMID:22368942

  15. Saved from a fatal flight: A ruptured splenic artery aneurysm in a pregnant woman

    PubMed Central

    Heitkamp, Anke C.; Dickhoff, Chris; Nederhoed, Johanna H.; Franschman, Gaby; de Vries, Johanna I.

    2015-01-01

    Introduction The reported prevalence of a SAA varies between 0.01 and 10.4% [1], and since SAAs often remain asymptomatic, the true prevalence is uncertain. The reported SAAs occur more frequently in younger patients, with 58% diagnosed in women of childbearing age; 95% of these are diagnosed during pregnancy. Presentation of case A 26-year-old woman, thirty-one weeks pregnant, was about to board an airplane for a three hour flight from the Netherlands to Turkey. Just before entering the plane, she suddenly felt a severe abdominal pain. Ultrasound guided aspiration of the abdominal fluid showed blood and supported the decision to perform urgent laparotomy. A caesarean section was performed. After further inspection a ruptured SAA was encountered. The splenic artery was ligated proximally and distally to the rupture in order to stop the bleeding. As the hilar localization of the aneurysm interfered with a primary vascular reconstruction, a splenectomy was performed. The mother and baby survived. Discussion Although rupture of a SAA is rare, its consequences can be devastating for both mother and child. The literature shows a higher incidence of ruptured SAA in pregnant women, although there is a difficulty in recognizing hemodynamic instability in pregnancy due to the increase in circulating volume. Conclusion In case of pregnant women with acute abdomen and hypovolemia, emergency physicians, surgeons, anesthesiologists, and gynecologists should be aware of the possibility of a ruptured SAA, apart from more common causes like placental abruption, placenta percreta, or uterine rupture. Early recognition and prompt multidisciplinary treatment might save the life of mother and child. PMID:25617728

  16. A fatal case of acute interstitial pneumonia (AIP) in a woman affected by glioblastoma.

    PubMed

    Balzarini, Laura; Mancini, Chiara; Marvisi, Maurizio

    2014-03-01

    This report presents the case of a 67-year-old woman affected by glioblastoma. After a few days of adjuvant therapy with temozolomide and prophylaxis with trimetrophin-sulfamethoxazolo to prevent Pneumocystis Jiroveci, she had progressive and rapid worsening of symptoms with weakness, dyspnea and orthopnea. She had peripheral edema and proximal hyposthenia of the lower limbs. Chest CT showed bilateral ground-glass opacities and laboratory exams revealed hypoxemia and hypocapnia, an initial reduction in platelet and white blood cells, and an elevation of LDH, AST, ALT, and active urinary sediment. Blood cultures, bronchoalveolar lavage (BAL) data and transbronchial biopsy showed no infections, and in particular no evidence of Pneumocystis Jiroveci pneumonia. Histological examination revealed a typical pattern of AIP. She was treated with broad-spectrum antibiotics and high-dose steroids. The symptoms worsened and respiratory failure required mechanical ventilation. The pneumonia was not responsive to medical or invasive care. She died after ten days of hospitalization. At present very little can be found in the literature about lung toxicity caused by temozolomide. This case can be added as a new report describing this risk. The combination therapy with temozolamide and trimetophin-sulfamethoxazolo could have a synergistic action inducing various forms of pulmonary toxicity. ESTABLISHED FACTS: Acute interstitial pneumonia is a common manifestation of lung toxicity caused by drugs. The clinical course is favorable with a good response to corticosteroids. NOVEL INSIGHT: This is the first fatal case of lung toxicity caused by Temozolomide. Clinicians must be aware that a combination therapy including trimetophin-sulfamethoxazolo could have a synergistic action in inducing pulmonary toxicity. PMID:24410308

  17. Under the Radar: The First Woman in Radio Astronomy, Ruby Payne-Scott

    NASA Astrophysics Data System (ADS)

    Miller Goss, W.

    2012-05-01

    Under the Radar, the First Woman in Radio Astronomy, Ruby Payne-Scott W. Miller Goss, NRAO Socorro NM Ruby Payne-Scott (1912-1981) was an eminent Australian scientist who made major contributions to the WWII radar effort (CSIR) from 1941 to 1945. In late 1945, she pioneered radio astronomy efforts at Dover Heights in Sydney, Australia at a beautiful cliff top overlooking the Tasman Sea. Again at Dover Heights, Payne-Scott carried out the first interferometry in radio astronomy using an Australian Army radar antenna as a radio telescope at sun-rise, 26 January 1946. She continued these ground breaking activities until 1951. Ruby Payne-Scott played a major role in discovering and elucidating the properties of Type III bursts from the sun, the most common of the five classes of transient phenomena from the solar corona. These bursts are one of the most intensively studied forms of radio emission in all of astronomy. She is also one of the inventors of aperture synthesis in radio astronomy. I examine her career at the University of Sydney and her conflicts with the CSIR hierarchy concerning the rights of women in the work place, specifically equal wages and the lack of permanent status for married women. I also explore her membership in the Communist Party of Australia as well as her partially released Australian Scientific Intelligence Organization file. Payne-Scott’s role as a major participant in the flourishing radio astronomy research of the post war era remains a remarkable story. She had a number of strong collaborations with the pioneers of early radio astronomy in Australia: Pawsey, Mills, Christiansen, Bolton and Little. I am currently working on a popular version of the Payne-Scott story; “Making Waves, The Story of Ruby Payne-Scott: Australian Pioneer Radio Astronomer” will be published in 2013 by Springer in the Astronomers’ Universe Series.

  18. Testing the woman abuse screening tool to identify intimate partner violence in Indonesia.

    PubMed

    Iskandar, Livia; Braun, Kathryn L; Katz, Alan R

    2015-04-01

    Intimate Partner Violence (IPV) is a global public health problem. IPV prevalence in Indonesia has been estimated to be less than 1%, based on reported cases. It is likely that IPV prevalence is underreported in Indonesia, as it is in many other countries. Screening for IPV has been found to increase IPV identification, but no screening tools are in use in Indonesia. The aim of this study was to test the translated Woman Abuse Screening Tool (WAST) for detecting IPV in Indonesia. The WAST was tested against a diagnostic interview by a trained psychologist on 240 women attending two Primary Health Centers in Jakarta. IPV prevalence and the reliability, sensitivity, and specificity of the WAST were estimated. Prevalence of IPV by diagnostic interview was 36.3%, much higher than published estimates. The most common forms of IPV identified were psychological (85%) and physical abuse (24%). Internal reliability of the WAST was high (? = .801). A WAST score of 13 (out of 24) is the recommended cutoff for identifying IPV, but only 17% of the Indonesian sample scored 13 or higher. Test sensitivity of the WAST with a cutoff score of 13 was only 41.9%, with a specificity of 96.8%. With a cutoff score of 10, the sensitivity improved to 84.9%, while the specificity decreased to 61.0%. Use of the WAST with a cutoff score of 10 provides good sensitivity and reasonable specificity and would provide a much-needed screening tool for use in Indonesia. Although a lower cutoff would yield a greater proportion of false positives, most of the true cases would be identified, increasing the possibility that women experiencing abuse would receive needed assistance. PMID:25012952

  19. Primary juxtaovarian yolk sac tumor concurrent with an ipsilateral ovarian mature teratoma in an adult woman: a rare association

    PubMed Central

    Ma, Haifen; Yu, Jihong; Tang, Jingjing; Wang, Min

    2015-01-01

    Objectives: Yolk sac tumor (YST) is a rare neoplasm that primarily occurs in the ovary in children and young women. Previously, it has been reported that the teratomatous components can be recognized in part of YSTs or appear in the contralateral ovary. Here, we report a rare case of an adult woman with a juxtaovarian YST concurrent with an ipsilateral ovarian mature teratoma. Methods: A 47-year-old woman found a pelvic mass for nine days and subsequently underwent debulking operation. The specimens were evaluated for detailed characterizations through gross examination, microscopy and immunohistochemistry. A literature review was performed and the pathogenesis was briefly discussed about the generation of an extraovarian YST concurrent with a teratoma. Results: The right juxtaovarian tumor showed typical histological patterns of YST. Immunostaining demonstrated the YST nature of Gly-3 and AFP positive tumor cells. The ipsilateral ovarian tumor was a common mature cystic teratoma with chronic fibrotic changes. According to the differences of the origin and the differentiation of the two germ cell tumors, we suspect that the occurrence of the teratoma is earlier than the YST. Conclusions: To our knowledge, this is the first report of an adult woman with a juxtaovarian YST concurrent with an ipsilateral ovarian mature teratoma. PMID:25755817

  20. DOSY NMR, X-ray Structural and Ion-Mobility Mass Spectrometric Studies on Electron-Deficient and Electron-Rich M6L4 Coordination Cages.

    PubMed

    Bonakdarzadeh, Pia; Topi?, Filip; Kalenius, Elina; Bhowmik, Sandip; Sato, Sota; Groessl, Michael; Knochenmuss, Richard; Rissanen, Kari

    2015-06-15

    A novel modular approach to electron-deficient and electron-rich M6L4 cages is presented. From the same starting compound, via a minor modulation of the synthesis route, two C3-symmetric ligands L1 and L2 with different electronic properties are obtained in good yield. The trifluoro-triethynylbenzene-based ligand L1 is more electron-deficient than the well-known 2,4,6-tri(4-pyridyl)-1,3,5-triazine, while the trimethoxy-triethynylbenzene-based ligand L2 is more electron-rich than the corresponding benzene analogue. Complexation of the ligands with cis-protected square-planar [(dppp)Pt(OTf)2] or [(dppp)Pd(OTf)2] corner-complexes yields two electron-deficient (1a and 1b) and two electron-rich (2a and 2b) M6L4 cages. The single crystal X-ray diffraction study of 1a and 2a confirms the expected octahedral shape with a ca. 2000 Å(3) cavity and ca. 11 Å wide apertures. The crystallographically determined diameters of 1a and 2a are 3.7 and 3.6 nm, respectively. The hydrodynamic diameters obtained from the DOSY NMR in CDCl3:CD3OD (4:1), and diameters calculated from collision cross sections (CCS) acquired by ion-mobility mass spectrometry (IM-MS) were for all four cages similar. In solution, the cage structures have diameters between 3.3 to 3.6 nm, while in the gas phase the corresponding diameters varied between 3.4 to 3.6 nm. In addition to the structural information the relative stabilities of the Pt6L4 and Pd6L4 cages were studied in the gas phase by collision-induced dissociation (CID) experiments, and the photophysical properties of the ligands L1 and L2 and cages 1a, 1b, 2a, and 2b were studied by UV-vis and fluorescence spectroscopy. PMID:26039343

  1. Women's health from a woman's point of view: a review of the literature.

    PubMed

    Lempert, L B

    1986-01-01

    The literature on the current health problems of women is reviewed, clarifying the conditions and updating present knowledge of women's health within the context of medical and social research. Both medical professionals and women have begun to address women's health issues with 4 major issues receiving particular emphasis: the charge that physicians fail to take women's complaints seriously; the allegation that the population of women is being drugged; the accusation that women experience excessive surgical procedures; and the notion that sexism is inherent in American medical education. Focus on these issues is not the answer. Women, individually and collectively, need to clarify issues of women's health within the context of modern research and understanding. The literature is reviewed in the categories of prepubescent females, adolescence and the young woman, women's reproductive lives, life styles of the middle years, external and internal abuse, and aged women. The estimated annual occurrence of 60,000-100,000 cases of incest and/or sexual abuse among prepubescent females makes it a women's health issue of serious dimension. The victims are overwhelmingly female with a ratio of 10 females to 1 male child. Appetite disorders, known as patharexia, are a major public health problem of female adolescents. After depression, they represent the most common emotional illness among young girls and women. Anorexia nervosa, bulimarexia, and bulimia all are characterized by body image and distortion and the victim's obsessive desire to be thin. A more conforming, but still inappropriately adapted, response to social expectations for women is teen pregnancy. Teenagers who decide to have their babies often are those with the fewest options. Voluntary childlessness, late age childbirth, and issues of reproductive freedom are having social, political, and economic impact on the lives of all women. The prevailing social context of sexism and inequality contributes to the origin and persistence of problems of women patients, as demonstrated by the correlation between subordinate group status and mental health. Many changes have been initiated as a result of pressure from individual women and from the women's health care movement. For example, medical schools are reforming their training in values, ethics, and human relations. Women have begun to assume more control over their own lives and well being. Women's groups such as the Boston Women's Health Collective have set the pattern for a proliferation of self-help manuals available to the general readership. Recent media attention has focused on such women's health issues as family violence, incest, and battering. Women have challenged the medical professionals in their treatments, and medical professionals need to see beyond individual symptoms to the context of illness in women. Complete health for women can be a new model for other social movements. PMID:3522518

  2. [A 65-year-old woman with headache, facial pain, and progressive multiple cranial neuropathy].

    PubMed

    Miyasaka, H; Nohara, C; Ohtani, H; Suda, K; Mori, H; Nakajima, Y; Mizuno, Y

    1994-11-01

    We report a 65-year-old woman with progressive multiple cranial neuropathy. She had been suffered from bronchial asthma since 1979 for which prednisolone had been prescribed. She noted an onset of pain around her nose in October, 1989, which extended into the periorbital regions bilaterally. In February, 1990, she was treated with stellate ganglion block and trigeminal nerve block; these treatments partially alleviated her pain. In May of 1991, she noted a difficulty in swallowing solid foods. In November of the same year, she developed right facial paresis; two weeks later, she noted numbness in her left face, and was hospitalized to our service on December 16, 1991. On admission, she was afebrile and general physical examination was unremarkable except for piping rales in her both lung fields. On neurologic examination, she was alert and oriented to all spheres; higher cerebral functions were intact. In the cranial nerves, her olfactory sense was lost bilaterally; her vision was markedly diminished bilaterally only to recognize hand movements; the optic fundi appeared normal; the pupils were isocoric and reacted to light promptly. The extraocular muscles were moderately weak to most of the directions more on the left; no nystagmus was present. Facial sensation was diminished bilaterally; the jaw deviated to right; right facial paresis of peripheral type was present; her hearing was diminished bilaterally more on the right. The movement of the soft palate was diminished on the right side; dysphagia was present; her voice was horse; the gag reflex was diminished. The sternocleidomastoid muscle was weak bilaterally; the tongue appeared normal. Examination of gait was differed because of headache, however, no apparent motor weakness was present. No ataxia or involuntary movement was noted. Deep reflexes were normally elicited and symmetric. Plantar response was flexor. Sensation in the extremities was intact. Kernig's sign was positive at 70 degree leg extension; eyeball tenderness was also present bilaterally, however, no nuchal stiffness was noted. Following abnormalities were present in the laboratory examination: WBC 11,400/microliters, ESR 50 mm/hr, CRP 6.1 mg/dl. The lumbar CSF was under a normal pressure containing 29 WBC/microliters (neutrophils 7, lymphocytes 20, others 2), 67 mg/dl of protein, and 53 mg/dl of sugar; cultures for acid-fast bacilli as well as for other bacteria were negative; no malignant cells were found. A cranial CT scan revealed an isodensity mass in the orbit and ill-defined low density areas in the white matters of the frontal lobes.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:7873285

  3. An anatomically realistic voxel model of the pregnant woman and numerical dosimetry for a whole-body exposure to RF electromagnetic fields

    Microsoft Academic Search

    T. Nagaoka; T. Togashi; K. Saito; M. Takahashi; K. Ito; T. Ueda; H. Osada; H. Ito; S. Watanabe

    2006-01-01

    The numerical dosimetry of pregnant women is one of the most important issues in electromagnetic-field safety. We have recently developed a whole-body numerical female model of an adult Japanese (non-pregnant) average figure. Therefore, a new fetus model including inherent tissues of pregnant women was constructed based on abdominal MRI data of a 7-month pregnant woman. A whole-body pregnant woman model

  4. Recurrent bilateral metatarsal "stress-and-insufficiency" fractures in a levodopa-treated young woman with Parkinson's disease.

    PubMed

    Verdet, M; Nicolau, J; Lefaucheur, R; Maltête, D; Derrey, S; Daragon, A

    2013-03-01

    Levodopa treatment of Parkinson's disease is very effective, but many types of adverse events can complicate the disease course, especially dyskinesias. As reported by Lee et al. (Calcif Tissue Int 86:132-41, 2010), levodopa intake is associated with increased homocysteinemia that is known to be linked to poorer bone quality and, consequently, osteoporotic fractures. Herein, we report the case of a young woman who suffered recurrent metatarsal fractures in the context of levodopa-treated early-onset Parkinson's disease. PMID:22875460

  5. Self-care for stoma surgery: mastering independent stoma self-care skills in an elderly woman.

    PubMed

    Martínez, Laurie A

    2005-01-01

    According to Orem, active participation in caring for self contributes to the behavior of self-care. Before an individual is able to care for oneself, however, many factors must be considered. This article is based on an alert, oriented 85-year old widow, known as EL, who was recently diagnosed with rectal cancer. With postoperative hypertension and sinus tachycardia, EL is having difficulty learning self-care. This article demonstrates a scenario where Orem's self-care deficit theory of nursing assisted in developing an effective plan of self-care for an elderly woman who underwent an ileostomy. PMID:15574699

  6. Young woman with a four-year history of epilepsy and progressive focal cortical atrophy — What is the diagnosis?

    PubMed Central

    Pati, S.; Cobos-Sillero, M.I.; Buchbinder, B.; Eskandar, E.; Cole, A.J.

    2014-01-01

    The pathogenesis of disease progression in drug-refractory epilepsy is poorly understood. We report the case of a young woman with a four-year history of epilepsy that progressed rapidly as evidenced by the development of progressive focal cortical atrophy. She underwent biopsy that showed perinatal ischemia and a prominent inflammatory response, including T-cell infiltration and microglial activation. There was no consensus reached on the final diagnosis although the hypothesis of dual pathology (adult variant of Rasmussen's encephalitis and perinatal stroke) was considered. The possible role of inflammation in the progression of epilepsy caused by a “static” lesion (perinatal stroke) is discussed. PMID:25667879

  7. Hyperferritinemia in a woman with systemic lupus erythematosus, severe nephritis and an iron-rich intraspinal schwannoma mimicking lupus myelopathy.

    PubMed

    Conca, W; Al-Hakim, M; Moussa, N; Al-Salam, S; Corr, P

    2009-01-01

    We describe a lupus flare in a 59-year-old woman who presented with pancytopenia, nephritis, severe renal dysfunction and marked hyperferritinemia. The course of the disease was further complicated by an iron-laden, intraspinal ancient schwannoma that compressed the cervical cord mimicking a lupus-related myelopathy and was removed surgically. Treatment with mycophenolate mofetil (MMF) and prednisone induced a gradual decline in levels of serum ferritin with a concomitant improvement in renal function and reduction of proteinuria. Serum ferritin may be a useful marker of the response to treatment with MMF in renal lupus. PMID:19917169

  8. X-autosome translocation with a breakpoint in Xq22 in a fertile woman and her 47,XXX infertile daughter

    Microsoft Academic Search

    K. Madan; P. G. A. Hompes; J. Schoemaker; C. E. Ford

    1981-01-01

    An unusual case is presented of a fertile woman heterozygous for a balanced X-autosome translocation t(X;12) (q22;p12) with a break-point (Xq22) in the critical region of the X chromosome. The karyotypes of her daughter, who is infertile, and one of her two sons are 47,XXX,t(X;12)(q22;p12) and 46,XY,t(X;12)(q22;p12) respectively. The literature on balanced X-autosome translocations in males and females involving both

  9. A collecting duct carcinoma producing carcinoembryonic antigen and Ca-125 in a 29-year-old woman.

    PubMed

    Tsoukalas, Nikolaos; Kostakis, Ioannis D; Tolia, Maria; Tryfonopoulos, Dimitrios; Lypas, Georgios; Panopoulos, Christos; Barbounis, Vasileios; Koumakis, Georgios; Efremidis, Anna

    2014-07-01

    Collecting duct carcinoma is a rare renal malignant neoplasm, arising from the medullary collecting duct and accounting for less than 1% of renal cell carcinomas. It is more common in middle-aged men and is usually presented with hematuria, abdominal mass and back or flank pain. Its immunohistochemical analysis detects the expression of various markers, such as low and high molecular weight keratins, Ulex europaeus agglutinin-1, epithelial membrane antigen and peanut lectin. Here, we present a case of a 29-year-old woman with CDC presented with back pain and supraclavicular lymphadenopathy that produced carcinoembryonic antigen and CA-125. PMID:24531923

  10. "A Geography of Disparate Spirits": Pathology as Oppression in "A Woman is Talking to Death" and "Mental".

    PubMed

    Rust, Rusty Marilee

    2015-01-01

    This article foregrounds Judy Grahn's commitment to social justice and chiefly considers her nine-part poems: "A Woman is Talking to Death" and "Mental." These poems illuminate the socially constructed nature of mental illness and challenge readers to consider how and why the characters within them are deemed mentally ill. Little, if any, scholarship has been devoted to using Grahn's poetry, and particularly "Mental," as a framework for analyzing the pathologization of people, especially women, relative to the system of mental health. Her work remains relevant to critical conversations that illuminate contemporary issues of oppression that still haunt us today. PMID:26075689

  11. Development of chronic heart failure in a young woman with hypertension associated with renal artery stenosis with preserved renal function.

    PubMed

    Byrne, Christina; Abdulla, Jawdat

    2014-01-01

    A 33-year-old woman with presumed essential hypertension and symptoms equivalent to New York Heart Association class II was suspected of heart failure and referred to echocardiography. The patient's ECG showed a left bundle branch block. Electrolytes, serum creatinine and estimated-glomerular filtration rate as well as urine test for protein were all normal. The patient had no peripheral oedema. The transthoracic echocardiography confirmed systolic and diastolic dysfunction and an ejection fraction of 25% and left ventricular hypertrophy. Ultrasound of renal arteries and renal CT angiography (renal CTA) revealed a significant stenosis and an aneurysm corresponding to the right renal artery with challenges to traditional interventions. PMID:24990850

  12. “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman

    PubMed Central

    Patel, Vijaykumar G.; Nichols, Michelle L.

    2014-01-01

    Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management consists of immediate resuscitation, early surgical debridement, and administration of broad spectrum intravenous antibiotics. We report a case of a 70 year old woman who presented with a painful erythematous rash, was admitted as a case of cellulitis, later developed worsening of symptoms and septic shock, and was diagnosed as necrotizing fasciitis. PMID:24715917

  13. [An 81-year-old woman with progressive motor disturbance, extrapyramidal features, dementia, and oculomotor palsy].

    PubMed

    Urabe, T; Mori, H; Sumino, S; Miwa, H; Wakiya, M; Shirai, T; Takubo, H; Mizuno, Y

    1998-03-01

    We report an 81-year-old woman who presented with motor disturbance in her right hand which was followed by parkinsonism, dementia, and supranuclear gaze palsy. She was well until her age of 73 (1989) when she had an onset of difficulty in using her right hand; she did not have weakness. She also developed small step gait. These symptoms had progressively become worse. She was admitted to our hospital in July of 1992 when she was 75 years old. On admission, she was alert and oriented, but she showed some difficulty in recent memory. She did not have aphasia or ideomotor apraxia, but she showed limb-kinetic apraxia in her right hand, ideational apraxia, dressing apraxia, constructional apraxia, tactile agnosia, and left-right disorientation. Alien-hand syndrome was observed in her right hand. Ocular movement was within normal limit for her age. She had oro-lingual dyskinesia. Otherwise, cranial nerves were intact. She walked in small-steps. She had rigidity and fine myoclonic movements in her right upper extremity. Deep reflexes were within normal limits and symmetric. Superficial and deep sensations were intact. Laboratory findings were unremarkable. She was discharged on August 15, 1992 for outpatient follow-up. Her motor and mental symptoms were progressive. By October of 1992, she developed supranuclear vertical gaze palsy, marked rigidity in the neck, and astereognosis. By June 1993, she became unable to walk without support. MRI taken in May of 1994 revealed atrophy of insular cortices, temporal lobe tips and parietal lobes more on the left side; the third ventricle was slightly dilated. She was admitted to another hospital on June 30, 1994. She had become a bed-ridden state with marked dementia and dysphagia. She developed fever on November 5, 1996 and expired on December 16 of the same year. She was discussed in a neurological CPC and the chief discussant arrived at the conclusion that the patient had corticobasal degeneration. Other diagnoses entertained included progressive supranuclear palsy, pallidonigroluysian atrophy, diffuse Lewy body disease, and Pick's disease. But the most of the participants agreed with the chief discussant's diagnosis. Post-mortem examination revealed aspiration pneumonia in the lungs and liver fibrosis apparently due to viral hepatitis. In the central nervous system, frontal and parietal lobes were atrophic more on the left side. Atrophy was accentuated in the superior frontal gyri, precentral and postcentral gyri, and superior and inferior parietal lobuli. Neuronal loss and astrocytosis were seen in these regions with scattered ballooned neurons. The substantia nigra showed marked neuronal loss and gliosis; neuronal loss was also seen in the pars reticulata. The outer and inner segments of globus pallidus and the periacqueductal gray matter showed gliosis, however, no apparent neuronal loss was seen. Putamen, subthalamic nucleus, and the dentate nucleus were preserved. Pathologic changes were consistent with the diagnosis of corticobasal degeneration. It was interesting to note that anti-tau immunostaining and Gallyas staining revealed neuropil threads and astrocytic plaques in the cortical areas, and intracytoplasmic inclusion bodies in the cortical neurons; these inclusions were not stained by Bodian stain. Tuft-shaped astrocytes which may be seen in progressive supranuclear palsy were not observed in this patient. Although corticobasal degeneration and progressive supranuclear palsy share some neurological features in common, this patient showed typical pathologic changes of corticobasal degeneration. PMID:9566008

  14. [A 64-year-old woman with progressive gait disturbance and dementia for one year].

    PubMed

    Sugita, Y; Matsumine, H; Wakiya, M; Mori, H; Suda, K; Kondo, T; Mizuno, Y

    1998-09-01

    We report a 64-year-old Japanese woman who died one year after the onset of progressive gait disturbance and dementia. She noted a difficulty in holding a glass and hand tremor in June of 1996 when she was 63 years old. In July of 1996, she tended to lean toward left when she walked. She also noted truncal titubation. In November of 1996, she started to have visual hallucination and delusion in which she said "I see something is flying on the wall.", "Somebody has come into my room", and things like that. She was admitted to our service on November 22, 1996. On admission, she was alert and general physical examination was unremarkable. Neurologic examination revealed disturbance in recent memory. Hasegawa's dementia rating scale was 22/30. She showed vivid visual hallucination with colors in which she saw faces of dwarfs and angels, a space ship, and others. Higher cerebral functions were normal. She showed left oculomotor palsy which was a sequel of an aneurysm and subarachnoid hemorrhage nine years before. Otherwise cranial nerves were unremarkable. She showed ataxic gait, limb ataxia, truncal titubation, and postural hand tremor. She had no weakness and no muscle atrophy. Deep tendon reflexes were within normal limits. Plantar response was flexor. Sensation was intact. Laboratory examination was also unremarkable. Complete survey for occult malignancy was negative. CSF was under a normal pressure and cell count was 1/microliter, total protein 27 mg/dl, and sugar 68 mg/dl. Cranial CT scan was unremarkable. MRI was not obtained because of the presence of an aneurysm clip in the left internal carotid-posterior communication artery junction. She showed progressive deterioration in her mental function. By January 1997, she became unable to stand or walk with marked dementia. Repeated CSF exams and cranial CT scans were unremarkable. She suffered from several episodes of aspiration pneumonia. A trial of three days methylprednisolone pulse therapy was given starting on March 7, 1997, which was of no effect on her neurologic status. On March 28, 1997, she was intubated because of acute respiratory distress syndrome. In April 2, her body temperature rose to 38 degrees C. On April 9, 1997, her blood pressure dropped and resuscitation was unsuccessful. She was pronounced dead on the same day. The patient was discussed in a neurologic CPC and the chief discussant arrived at the conclusion that the patient had primary leptomeningeal lymphoma. Other possibilities entertained among the audience included brain stem encephalitis of unknown type, carcinomatous cerebellar degeneration plus limbic encephalitis, Creutzfeldt-Jakob disease, thalamic degeneration, and progressive multifocal leukoencephalopathy. Post-mortem examination revealed thickening and clouding of the leptomeninges; Gram-positive diplococci were found in the leptomeninges. This meningitis appeared to have been an complication in the terminal stage of her illness. Microscopic examination revealed astrocytosis in the midbrain tegmentum. Cerebral cortices showed only mild astrtocytosis. No cerebellar atrophy was seen and Purkinje cells were retained which excluded paraneoplastic cerebellar degeneration. Neuropathologic diagnosis was bacterial meningitis, however, the presence of brain stem encephalitis prior to the onset of bacterial meningitis could not be excluded. It is interesting to note that the diagnosis of the primary neurologic disease of this patient was not easy even after autopsy. As autopsy permission was obtained only for the brain, it was not clear whether or not this patient had an occult malignancy somewhere in her body, however, there was no evidence to indicate paraneoplastic degeneration of the central nervous system. As the patient did not have meningeal signs until one month before her death, it is difficult to ascribe her entire neurologic problems to her meningitis. Finally, her visual hallucination was vivid and colorful; we thought this might have been PMID:9789311

  15. Lack of transmission of deleted mtDNA from a woman with Kearns-Sayre syndrome to her child.

    PubMed Central

    Larsson, N G; Eiken, H G; Boman, H; Holme, E; Oldfors, A; Tulinius, M H

    1992-01-01

    We have investigated the daughter of a woman with Kearns-Sayre syndrome. The woman had a high percentage of deleted mtDNA in muscle, but no deleted mtDNA was detected in fibroblasts, bone marrow, and peripheral blood cells by Southern blot analysis. With PCR, analytical sensitivity was significantly increased, and deleted mtDNA was detected in all examined tissues from this patient. The patient had healthy parents and nine healthy siblings. No deleted mtDNA was detected in blood from the mother of the patient. The patient had an uneventful pregnancy and delivered at term. Deleted mtDNA could not be detected in placenta by Southern blot analysis. With PCR, deleted mtDNA was detected in the majority of placental specimens. This finding may, however, be due to contamination with maternal DNA. The patient's daughter was healthy at age 5 mo, and morphologic examination of muscle was normal. No transmission of deleted mtDNA to the daughter could be detected by Southern blot and PCR analysis of peripheral blood cells, bone marrow, fibroblasts, and muscle. The presence of deleted mtDNA was excluded at a fractional level of less than 1:100,000 in all examined tissues from the daughter. Images Figure 1 Figure 2 PMID:1734716

  16. “Embracing the present and fearing the future”: The meaning of being an oldest old woman in a rural area

    PubMed Central

    Ness, Tove M.; Hellzen, Ove; Enmarker, Ingela

    2014-01-01

    In Western countries, the number of older people receiving home nursing care is increasing, and in rural areas they are at additional risk because of the distance between people and health care facilities. The aim of this study was therefore to illuminate the meaning of being an oldest old woman living alone in a rural area and receiving home nursing care. A sample of 11 oldest old women living in rural areas in the middle of Norway was chosen for this study. Narrative interviews were conducted, and the data were analyzed using the phenomenological hermeneutic method. After a naïve reading and a structural analysis of the text, we identified four themes: being satisfied with life, being thankful, feeling vulnerable, and feeling secure. The comprehensive understanding implied that being an oldest old woman living alone in a rural area meant living in the intersection between embracing the present in solitude and fearing the future with additional declining health. Living in this complex situation meant to enjoy the present, but still fear the future, as the oldest old women knew their present life situations were limited. This challenging emotional situation meant using their inner strength by trying to be optimistic and seeing opportunities in present life, even if losses were many and extensive. By using their inner strength in facing losses and declining health, the oldest old women managed to appreciate aloneness as solitude, and find new meaning in life. PMID:25361532

  17. Mature Cystic Teratoma of the Fallopian Tube in a Postmenopausal Woman: A Case Report and Review of the Literature

    PubMed Central

    Sari, Mustafa Erkan; Ozdemir, Ozhan; Kadirogullari, Pinar; Ertugrul, Funda Arpaci; Atalay, Cemal Resat

    2015-01-01

    Background. Mature cystic teratomas of the fallopian tube are extremely rare and only 54 cases have been reported in the literature. In this paper, we report a mature cystic teratoma of the fallopian tube in a postmenopausal woman and we report the review of literature of tubal cystic teratomas. Case. A 62-year-old, gravida 4 postmenopausal woman presented with pain in the right lower abdominal region for a long time. An 88?×?72?×?95?mm heterogeneous mass which contained calcifications and lipoid components was detected in the right adnexal region by transvaginal ultrasonogram (TV-USG). Serum tumour markers, namely, CA125, CA15-3, and CA19-9, were within normal range. A laparotomy revealed a 9?×?10?cm cystic mass within the fimbrial region in the right fallopian tube, and right salpingoopherectomy was performed consequently. Microscopic examination revealed squamous epithelium with sebaceous glands and hair follicles, and pseudostratified ciliated respiratory epithelium with cartilage and mucous glands. Because the frozen section resulted in a benign dermoid cyst, no further operative procedure was performed. The postoperative follow-up was uneventful and the patient was discharged on the second postoperative day. Conclusion. In cases of undetermined pelvic or abdominal masses, a teratoma of the fallopian tube should be considered. PMID:25667777

  18. Life Course Experiences, Pain and Suffering: A Case Study of an Older Mexican American Woman with Mobility Impairment

    PubMed Central

    Walker, Janiece L.; Harrison, Tracie C.; Hendrickson, Sherry G.

    2012-01-01

    There is a dearth of literature examining how adversity shapes the experiences of pain and/or suffering in a middle aged Mexican American women. The purpose of this qualitative descriptive study was to understand pain and suffering from a life course perspective as described by a Mexican American woman aging with early onset mobility impairment. This Hispanic woman experienced episodes of abuse and rejection over the life course, which may have significantly influenced her pain and suffering experience in adulthood. This adds to the literature on how adversity influences later life pain experience and provides insight on why pharmacological treatment alone may not be as successful as a holistic intervention. Hay escasez de literatura que examine cómo la adversidad da forma a las experiencias de dolor y / o sufrimiento en mujeres mexicana-americana mayores de edad. El propósito de este estudio descriptivo cualitativo fue comprender el dolor y el sufrimiento desde una perspectiva de ciclo de vida como descrito por una mujer mexicana-americana envejeciendo con inicio temprano de deterioro de movilidad. Esta Latina experimentó episodios de maltrato y rechazo, que se percibió haber afectado su experiencia de dolor y sufrimiento luego como adulta. Este estudio aumenta la literatura sobre cómo la adversidad influya la experiencia de dolor más tarde en la vida, y nos permite comprender mejor como el tratamiento farmacológico por sí solo no es tan exitoso como pueda ser una intervención integral. PMID:24830728

  19. Staphylococcus lugdunensis Endocarditis Complicated by Embolism in an 18-Year-Old Woman with Mitral Valve Prolapse.

    PubMed

    Pecoraro, Rosaria; Tuttolomondo, Antonino; Parrinello, Gaspare; Pinto, Antonio; Licata, Giuseppe

    2013-01-01

    Staphylococcus lugdunensis is a coagulase-negative staphylococcus (CNS). It is a major cause of prosthetic valve endocarditis; mitral valve prolapse (MVP) has emerged as a prominent predisposing structural cardiac abnormality. We describe a case of Staphylococcus lugdunensis endocarditis in an 18-year-old woman with preexisting mitral valve prolapse complaining of fever, a one-month history of continuous-remittent fever (T(max) 38.6°C). The transthoracic echocardiogram revealed large vegetation on the anterior mitral valve leaflet flopping from the atrial side to the ventricular side. Five sets of blood cultures were positive for coagulase-negative staphylococci. During hospitalization, after two weeks of antibiotic therapy, the patient complained of sudden pain in her right leg associated with numbness. Lower limb arterial Doppler ultrasound showed an arterial thrombosis of right common iliac artery. Transfemoral iliac embolectomy was promptly performed and on septic embolus S. lugdunensis with the same antibiotic sensitivity and the same MIC values was again isolated. Our patient underwent cardiac surgery: triangular resection of the A2 with removal of infected tissue including vegetation. Our case is an example of infective endocarditis by S. lugdunensis on native mitral valve in a young woman of 18 with anamnesis valve prolapse. PMID:23424690

  20. Staphylococcus lugdunensis Endocarditis Complicated by Embolism in an 18-Year-Old Woman with Mitral Valve Prolapse

    PubMed Central

    Pecoraro, Rosaria; Tuttolomondo, Antonino; Parrinello, Gaspare; Pinto, Antonio; Licata, Giuseppe

    2013-01-01

    Staphylococcus lugdunensis is a coagulase-negative staphylococcus (CNS). It is a major cause of prosthetic valve endocarditis; mitral valve prolapse (MVP) has emerged as a prominent predisposing structural cardiac abnormality. We describe a case of Staphylococcus lugdunensis endocarditis in an 18-year-old woman with preexisting mitral valve prolapse complaining of fever, a one-month history of continuous-remittent fever (Tmax 38.6°C). The transthoracic echocardiogram revealed large vegetation on the anterior mitral valve leaflet flopping from the atrial side to the ventricular side. Five sets of blood cultures were positive for coagulase-negative staphylococci. During hospitalization, after two weeks of antibiotic therapy, the patient complained of sudden pain in her right leg associated with numbness. Lower limb arterial Doppler ultrasound showed an arterial thrombosis of right common iliac artery. Transfemoral iliac embolectomy was promptly performed and on septic embolus S. lugdunensis with the same antibiotic sensitivity and the same MIC values was again isolated. Our patient underwent cardiac surgery: triangular resection of the A2 with removal of infected tissue including vegetation. Our case is an example of infective endocarditis by S. lugdunensis on native mitral valve in a young woman of 18 with anamnesis valve prolapse. PMID:23424690

  1. Vaginal carcinoma in a young woman who underwent fertility-sparing treatment involving chemotherapy and conservative surgery.

    PubMed

    Mabuchi, Yasushi; Yahata, Tamaki; Kobayashi, Aya; Tanizaki, Yuko; Minami, Sawako; Ino, Kazuhiko

    2015-06-01

    Vaginal carcinoma is a rare gynecological malignancy that is usually treated by radiation therapy and/or surgery combined with chemotherapy. Here, we report a case of invasive vaginal carcinoma in a young woman who underwent fertility-sparing treatment involving neoadjuvant chemotherapy and conservative surgery. A 36-year-old non-parous woman had a solid tumor in the vagina. Positron emission tomography/computed tomography showed a tumor in the vagina with high FDG uptake (SUV?=?17.33) but no metastatic lesions. The patient was diagnosed with vaginal squamous cell carcinoma, FIGO stage I, T1N0M0. Because she wished to retain her fertility, neoadjuvant chemotherapy consisting of irinotecan hydrochloride and nedaplatin was initiated. After four courses of chemotherapy, partial vaginectomy was carried out and the pathological diagnosis of the residual lesion was VAIN 3. Following two further courses of the same chemotherapy, she obtained complete response, and has shown no evidence of disease for 14 months. PMID:25512111

  2. Red and romantic rivalry: viewing another woman in red increases perceptions of sexual receptivity, derogation, and intentions to mate-guard.

    PubMed

    Pazda, Adam D; Prokop, Pavol; Elliot, Andrew J

    2014-10-01

    Research has shown that men perceive women wearing red, relative to other colors, as more attractive and more sexually receptive; women's perceptions of other women wearing red have scarcely been investigated. We hypothesized that women would also interpret female red as a sexual receptivity cue, and that this perception would be accompanied by rival derogation and intentions to mate-guard. Experiment 1 demonstrated that women perceive another woman in a red, relative to white, dress as sexually receptive. Experiment 2 demonstrated that women are more likely to derogate the sexual fidelity of a woman in red, relative to white. Experiment 3 revealed that women are more likely to intend to guard their romantic partner from a woman wearing a red, relative to a green, shirt. These results suggest that some color signals are interpreted similarly across sex, albeit with associated reactions that are sex-specific. PMID:25015338

  3. Live kidney donation: a 36-year-old woman hoping to donate a kidney to her mother.

    PubMed

    Pavlakis, Martha

    2011-02-01

    Ms D, a healthy 36-year old-woman, wishes to donate a kidney to her mother, who has diabetes and end-stage renal disease. Ms D has been evaluated as a donor at another medical center and was told to lose weight and quit smoking. Evidence from cohort studies suggests that live kidney donation is a safe procedure in the short and long terms, although donor follow-up studies have often had incomplete data on limited populations. The benefits of live donation are mostly for the recipient, but kidney donors often have improved quality of life as a result of both their generous act and the improved health of the recipient. Evaluation and eligibility of live kidney donors and their short- and long-term risks are discussed. PMID:21245171

  4. An eye for an I: a 35-year-old woman with fluctuating oculomotor deficits and dissociative identity disorder.

    PubMed

    Bhuvaneswar, Chaya; Spiegel, David

    2013-01-01

    Physiologic changes, including neurological or pseudo-neurological symptoms, occur across identity states in dissociative identity disorder DID) and can be objectively measured. The idea that dissociative phenomena might be associated with changes in brain function is consistent with research on the brain effects of hypnosis. The authors report a case of psycho-physiologic differences among 4 alter personalities manifested by a 35-year-old woman with DID. Differences in visual acuity, frequency of pendular nystagmus, and handedness were observed in this patient both when the alter personalities appeared spontaneously and when elicited under hypnosis. The authors consider several diagnostic possibilities for these findings and discuss whether prevailing treatment recommendations for DID patients could possibly be modified to ameliorate such visual and neurologic symptoms. PMID:23679117

  5. Violence and desire in Beijing: a young Chinese woman's strategies of resistance in father daughter incest and dating relationships.

    PubMed

    Xiying Wang; Ho, Petula Sik Ying

    2007-12-01

    In Mainland China, there is a lack of public awareness of and systematic research on dating violence and incest. This article fills a gap in the research in this area by examining a woman's lived experience of father-daughter incest and dating violence. The article adopts the standpoint of third-wave feminists and highlights women's agency and resistance to abuse. Meng Xi, the subject of the case study in this article, is regarded as a "survivor" rather than a "victim," and her various strategies of resistance--in particular, how she talks about her body and linghun (intelligence soul), and uses the two as sites of resistance--are examined. The article sheds light on the desire and sexuality of women in contemporary China, and especially the struggle between spiritual and material pursuits. PMID:18046044

  6. Malignant peritoneal mesothelioma in a 76-year-old woman with a history of asbestos fiber ingestion.

    PubMed

    Van Kesteren, P; Bulten, J; Schijf, C; Boonstra, H; Massuger, L

    2004-01-01

    We report on a woman with malignant mesothelioma of the peritoneum. This is the first report of a subject with this disease who revealed a history of asbestos ingestion by asbestos-contaminated food. She presented with episodes of sweating and fever, ascites, and weight loss. At laparotomy, small tumor deposits were noted on the peritoneum. The omental cake was removed, together with the uterus, ovaries, and tubes which were all macroscopically normal. The diagnosis was established by immunohistochemistry and electron microscopy. Postoperatively, her complaints of fever and sweating disappeared. She refused further chemotherapy. After questioning her for asbestos exposure, she told us that, years ago, she used to prepare vegetables for cooking in rain water collected from a roof made of asbestos. PMID:14764046

  7. Primary synovial sarcoma of the right heart involving the tricuspid valve in an elderly Chinese woman: a case report.

    PubMed

    Huo, Zhen; Lu, Haizhen; Mao, Qi; Jin, Zhengyu; Wu, Huanwen; Feng, Xiaoli; Xiao, Yu; Wang, Yining; Guo, Lina

    2015-01-01

    Described herein is a 51-year-old woman with abdominal discomfort who was found to have a pericardial effusion and a large mass in her right heart by computed tomography scan and who then underwent tumour resection surgery. The tumour was so extensive that it involved the right atrium, the right ventricle and the tricuspid valve, and encompassed the right coronary artery. The patient had no significant medical history, and no tumour was found at any other site. The morphology of the tumour mimicked carcinosarcoma, exhibiting mixed epithelioid and spindle elements and it was difficult to differentiate the diagnosis even by immunohistochemical stains. Then, the final diagnosis of primary biphasic synovial sarcoma of the heart was established based on the finding of SS18 rearrangement. This is a highly intriguing rare case that may represent a diagnostic pitfall, particularly regarding frozen section. The patient will receive chemotherapy, and we will pursue follow-up. PMID:26112006

  8. Liver cirrhosis and splenomegaly associated with Schistosoma mansoni in a Sudanese woman in Malaysia: A case report.

    PubMed

    Rajoo, Yamuna; Mahmud, Rohela; Xiang, Ng Rong; Omar, Sharifah F S; Kumar, G; Lim, Yvonne A L; Ahmad, Arine Fadzlun; Amir, Amirah; Nor, Zurainee Mohamed; Ngui, Romano

    2015-04-01

    We report a case of a patient with Schistosoma mansoni infection who presented with liver cirrhosis and splenomegaly. She was diagnosed by a serological test and Kato-Katz thick smear stool examination. The patient was a 52-year-old woman from Sudan who came to Malaysia for a week to visit her sons. The patient lives in the middle of Rabak region, Sudan, a highly endemic area for schistosomiasis where her daily routine includes rearing of cows and farming. The site of toilet and sources of drinking water are canals and wells; both infested with snails. Patient had a long history of exposure and coming into contact with water from these canals and wells. PMID:25975509

  9. A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report

    PubMed Central

    2014-01-01

    Introduction Giant cystadenocarcinomas of the ovary are rarely described conditions. Case presentation The authors describe a 57-year-old Brazilian woman who presented with an increase in abdominal girth in February 2003. Imaging studies showed a giant abdominal pelvic mass with probable origin in the right ovary. Cancer antigen-125 was elevated, while carcinoembrionic antigen and alpha-fetoprotein were normal. Total abdominal hysterectomy, bilateral salpingoophorectomy and omentectomy were done. The mass weighed 40Kg, and the histopathology study revealed a mucinous cystadenocarcinoma. She underwent chemotherapy with paclitaxel and cisplatin with no side effects. Under follow-up for more than 10 years, she is asymptomatic and with normal imaging and laboratory parameters, including the cancer antigen-125 marker. Conclusion This huge tumor evolved for a long time unsuspected and without metastases in a patient from a developing region. The diagnostic and management challenges posed by this unexpected and unusual presentation of an ovarian cystadenocarcinoma are discussed. PMID:24594205

  10. Transurethral incision of the bladder neck in a woman with primary bladder neck obstruction after kidney transplantation.

    PubMed

    Marki?, Dean; Valen?i?, Maksim; Mari?i?, Anton; Krpina, Kristian; Raheli?, Dražen; Ahel, Juraj; Rubini?, Nino; Orli?, Lidija; Ra?ki, Sanjin

    2015-01-01

    Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o'clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient. PMID:25861513

  11. Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation

    PubMed Central

    Marki?, Dean; Valen?i?, Maksim; Mari?i?, Anton; Krpina, Kristian; Raheli?, Dražen; Ahel, Juraj; Rubini?, Nino; Orli?, Lidija; Ra?ki, Sanjin

    2015-01-01

    Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o'clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient. PMID:25861513

  12. Lymphocytic colitis presenting as difficult diarrhoea in an African woman: a case report and review of the literature

    PubMed Central

    2010-01-01

    Introduction Lymphocytic colitis is an uncommon intestinal disorder that presents with chronic diarrhoea. It is treatable, but in the developing world, its diagnosis may often prove difficult. Data and reports of this condition in Africa are scarce because most medical centres lack a functional gastrointestinal endoscopy unit that would aid in the diagnosis. Case presentation We present the case of a 53-year-old Nigerian woman with pathogen-negative chronic diarrhoea and a family history of chronic diarrhoea. She responded well to treatment after colonoscopy and colonic biopsy successfully diagnosed her illness. Conclusion Referral of patients with pathogen-negative chronic diarrhoea to medical centres that have facilities for colonoscopy and biopsy is important in the developing world. PMID:20205879

  13. [A 55-year-old woman with cough, fever, swelling of joints, and exanthema after a trip to Ecuador].

    PubMed

    Müller-Stöver, I; Tintelnot, K; Richter, J; Häussinger, D

    2014-08-01

    A 55-year-old woman presented 18 months after a trip to Ecuador with night sweat, malaise, and an unclear lesion of the lung. Computed tomography of the lung showed a nodular lesion of 14 mm. Antibodies against Histoplasma capsulatum were detected in the complement fixation text (CFT) and IgG western blot. Re-examination of a formalin fixed paraffin embedded (FFPE) lung-biopsy revealed yeasts after silver staining, compatible with H. capsulatum , which was verified by extraction and amplification of DNA from FFPE. After therapy with itraconazole 400 mg/day, the patient showed an uneventful clinical recovery without regression of the lung lesion. The serological follow-up examination after 17 months showed CFT without pathological findings. PMID:24831684

  14. Virilizing ovarian Krukenberg tumor in a 27-year-old pregnant woman. A case report and literature review.

    PubMed

    Papakonstantinou, E; Liapis, A; Kairi-Vassilatou, E; Iavazzo, C; Kleanthis, C K; Kondi-Pafiti, A

    2011-01-01

    A case is reported of a 27-year-old pregnant woman with ovarian tumors, measuring 12 cm and 11.5 cm in the greatest diameter, discovered during investigation for virilization symptoms. Termination of the pregnancy at the 22nd week of gestation and tumorectomy with both adnexa were performed, with the provisional diagnosis of arrhenoblastoma. Pathological examination of the tumors showed typical Krukenberg neoplasms and subsequent upper GI tract endoscopy revealed a gastric cancer that was excised. The pathological examination revealed a diffuse type gastric adenocarcinoma with signet ring morphology, similar to ovarian tumors. In any case of ovarian tumor with unusual hormonal manifestations, in addition to hormonally active sex cord-stromal neoplasms, metastatic ovarian tumors must be considered as well, especially in cases of bilateral tumors. PMID:21797128

  15. Resolution of aquaporin-4 antibodies in a woman with neuromyelitis optica treated with human autologous stem cell transplant.

    PubMed

    Aouad, Patrick; Li, Jamma; Arthur, Chris; Burt, Richard; Fernando, Suran; Parratt, John

    2015-07-01

    We report a 47-year-old woman with highly active neuromyelitis optica (NMO) and persistent high titre anti-aquaporin-4 antibodies (anti-AQP-4) who was resistant to multiple immune therapies until she underwent autologous hematopoietic stem cell transplant (auto-HSCT). NMO is the only demyelinating disease with a clinically useful serum biomarker, aquaporin-4, a water channel protein expressed on astrocytes. Anti-AQP-4 antibodies correlate with NMO disease activity and animal models strongly suggest the antibody is pathogenic. Auto-HSCT was associated with clinical and radiological remission, improved disability and resolution of AQP-4 antibodies which are still undetectable 12months later. The utility of auto-HSCT for refractory NMO warrants further investigation, particularly with regards to pre-conditioning regimens and the utility of AQP-4 antibodies as a biomarker for immunological and clinical remission. PMID:25913278

  16. Psychological tasks associated with divorce: Eat, Pray, Love (2010), An Unmarried Woman (1978), and Kramer vs. Kramer (1979).

    PubMed

    Mandelbaum, Toni

    2011-06-01

    The dependency paradox (Feeney) states that independence actually can result from being in a nurturing relationship. Those who divorce often have the opposite notion that independence will occur without a relationship. The movies Eat, Pray, Love, An Unmarried Woman, and Kramer vs. Kramer examine divorce from different angles. The protagonists in all three movies grow through the process of divorce, each achieving a level of autonomy that seemed unattainable within their marriage. This paper aims to explore the concept of divorce in light of the dependency paradox by examining the self-differentiation achieved and the consequences of such independence for both the individual and, in Kramer vs. Kramer, for the child involved. PMID:21673691

  17. A 34-year-old woman with brainstem cavernous malformation: the anterior transcallosal transchoroidal approach and literature review.

    PubMed

    Hosainey, Sayied Abdol Mohieb; Meling, Torstein R

    2014-12-01

    Mesencephalic cavernous malformations (MeCMs) account for 4 to 35% of the cavernous malformations of the central nervous system and are generally rare. Surgical resection of brainstem cavernomas are high-risk procedures and can be challenging to the neurosurgeon. Several approaches have been described, but the approach must allow for a straight line of sight in which the surgeon, the pial incision, and the MeCM are all collinear. This alignment provides the best view of the lesion while minimizing the need for brainstem retraction. The pial incision should be chosen to minimize the distance to the lesion while avoiding critical nuclei and tracts. In this case report, we present a 34-year-old woman with a MeCM resected by an anterior transcallosal transchoroidal approach with minimal damage to surrounding brain tissue. Although rarely used, it should be considered a valuable alternative to ventrally located brainstem cavernomas. PMID:25485221

  18. A simple collapse, agitation and pathological crying in a young woman? - Atypical onset of a basilar thrombosis

    PubMed Central

    Etgen, Thorleif; Milankovic-Eberl, Dragana; Rieder, Georg

    2014-01-01

    Background A collapse and agitation in a young person comprises many differential diagnoses, but usually does not include a life-threatening basilar thrombosis. Methods and Results We report the case of a 19-year old woman who presented mainly with a collapse and agitation. CT and CT-angiography yielded distal basilar thrombosis which was successfully treated by intraarterial thrombolysis. MRI confirmed multiple small ischemic lesions in the vertebrobasilar territory. The patient improved quickly and returned to her normal daily activities of life after a few months. Conclusions Posterior circulation ischemia should be included among the possible differential diagnoses of any acute onset of an agitated or confusional state. Conflicts of interest/Disclosures None to declare. Ethics Written informed consent of the patient has been obtained. PMID:25422712

  19. Schizophrenia or neurodegenerative disease prodrome? Outcome of a first psychotic episode in a 35-year old woman

    PubMed Central

    Khan, Baber K.; Woolley, Josh D.; Chao, Steven; See, Tricia; Karydas, Anna M.; Miller, Bruce L.; Rankin, Katherine P.

    2011-01-01

    Background Patients with early onset neurodegenerative disease can present with a clinical syndrome that overlaps with schizophrenia, and it is not uncommon for these patients to undergo long-term care in psychiatric settings rather than receiving more appropriate care by neurologists specializing in their disease. Case report A 35-year old woman who presented with new-onset delusions, eating abnormalities, disorganized behavior, lack of insight, disinhibition, and stereotypical motor behaviors was diagnosed with schizophrenia and institutionalized. Later she was found to have a MAPT tau S356T mutation and a focal pattern of brain atrophy consistent with frontotemporal dementia (FTD). Conclusion Physicians should be aware of the potential overlap in symptoms and age of onset between some forms of FTD and schizophrenia, and should include FTD in the diagnostic differential for adult patients with new onset, rapidly progressive personality changes or behavioral symptoms such as binge eating, high levels of social disinhibition, or progressive mutism. PMID:22284422

  20. Carcinoma developing in a fibroadenoma in a woman with a family history of breast cancer: a case report and review of literature

    Microsoft Academic Search

    Chintamani; Rohan Khandelwal; Megha Tandon; K Yashwant; Pranjal Kulshreshtha; Tushar Aeron; Dinesh Bhatnagar; Anju Bansal; Sunita Saxena

    2009-01-01

    INTRODUCTION: Malignant transformation of a fibroadenoma is rare with only about 100 cases reported in the world literature. Fibroadenoma occurring in middle aged woman with a strong family history of breast or ovarian cancer should be investigated with a high suspicion for malignancy. CASE PRESENTATION: A 35-year- old Indian lady operated previously for fibroadenoma of the right breast presented with

  1. Society Girl, Sob Sister, Journalism Educator: Mary Paxton Keeley, the First Woman Graduate of the School of Journalism at the University of Missouri.

    ERIC Educational Resources Information Center

    Zang, Barbara

    Based on an examination of well-kept primary source material, this paper presents a personal and professional history of Mary Paxton Keeley, the first woman graduate of one of the first journalism schools in the United States, the School of Journalism at the University of Missouri. Starting with her early years, the paper explains that Keeley was…

  2. Sonographic appearance of a late-diagnosed left bochdalek hernia in a middle-aged woman: case report and review of the literature.

    PubMed

    Megremis, Stylianos D; Segkos, Nikolaos I; Gavridakis, Georgios P; Mattheakis, Michael G; Kehayas, Elias G; Triantafyllou, Lambros B; Sfakianaki, Evaggelia E; Chalkiadakis, Georgios E

    2005-10-01

    A 53-year-old woman complaining of left upper lateral quadrant pain was first referred for an abdominal ultrasound. The spleen was disfigured, the suprasplenic echogenic line of the hemidiaphragm was fragmented, and part of bowel was inserted into the thorax. A diaphragmatic hernia was suggested and was further confirmed in a posterolateral position. PMID:16240423

  3. Bread and roses (2000) Maya is a quickwitted young woman who comes over the Mexican border without papers and makes her

    E-print Network

    Schenato, Luca

    2000-01-01

    Bread and roses (2000) Maya is a quickwitted young woman who comes over the Mexican border without papers and makes her way to the LA home of her older sister Rosa. Rosa gets Maya a job as a janitor to the building. Sam finds Maya a willing listener, she's also attracted to him. Rosa resists, she has an ailing

  4. A review of "The Single Woman in Medieval and Early Modern England: Her Life and Representation." by Laurel Amtower and Dorothea Kehler eds. 

    E-print Network

    Lissa Beauchamp

    2005-01-01

    , and power that often accompany it? (191). Susan C. Staub?s examination of Anne Greene, a woman who sur- vived being hanged for killing her newborn son, also raises important ques- tions regarding the versatility of female representation. The pamphlets...

  5. The Role of Changing Woman and the Twins in the Navajo Origin Myth. An Effort to Correlate Navajo Legends With the Present Navajo Culture and Educational Needs.

    ERIC Educational Resources Information Center

    Mecham, Edward M.

    The Navajo origin myth is discussed by comparing recorded versions of the story of Changing Woman and the Twins. The myth clarifies the significance of many present-day tribal ceremonies and customs and provides a basis for the traditional upbringing of the Navajo child. The Navajo defines wrong as "that which produces disharmony within society,"…

  6. Anatexis, hybridization and the modification of ancient crust: Mesozoic plutonism in the Old Woman Mountains area, California

    USGS Publications Warehouse

    Miller, C.F.; Wooden, J.L.

    1994-01-01

    A compositionally expanded array of granitic (s.l.) magmas intruded the > 2 Ga crust of the Old Woman Mountains area between 160 and 70 Ma. These magmas were emplaced near the eastern (inland) edge of the Jurassic/Cretaceous arcs of western North America, in an area where magma flux, especially during the Jurassic, was considerably lower than to the west. The Jurassic intrusives and over half of the Cretaceous intrusives are predominantly metaluminous and variable in composition; a major Cretaceous suite comprises only peraluminous monzogranite. Only the Jurassic intrusions show clear evidence for the presence of mafic liquids. All units, including the most mafic rocks, reveal isotopic evidence for a significant crustal component. However, none of the Mesozoic intrusives matches in isotopic composition either average pre-intrusion crust or any major unit of the exposed crust. Elemental inconsistencies also preclude closed system derivation from exposed crust. Emplacement of these magmas, which doubled the volume of the mid- to upper crust, did not dramatically change its elemental composition. It did, however, affect its Nd and especially Sr isotopic composition and modify some of the distinctive aspects of the elemental chemistry. We propose that Jurassic magmatism was open-system, with a major influx of mantle-derived mafic magma interacting strongly with the ancient crust. Mesozoic crustal thickening may have led to closed-system crustal melting by the Late Cretaceous, but the deep crust had been profoundly modified by earlier Mesozoic hybridization so that crustal melts did not simply reflect the original crustal composition. The clear evidence for a crustal component in magmas of the Old Woman Mountains area may not indicate any fundamental differences from the processes at work elsewhere in this or other magmatic arcs where the role of pre-existing crust is less certain. Rather, a compositionally distinctive, very old crust may simply have yielded a more readily identifiable crustal fingerprint. The same processes that were involved here-mafic magma influx, hybridization, and remelting of hybridized crust-are likely to be typical of arc settings. ?? 1994.

  7. Multiple Scedosporium apiospermum abscesses in a woman survivor of a tsunami in northeastern Japan: a case report

    PubMed Central

    2011-01-01

    Introduction Scedosporium apiospermum is increasingly recognized as a cause of localized and disseminated mycotic infections in near-drowning victims. Case presentation We report the case of a 59-year-old Japanese woman who was a survivor of a tsunami in northeastern Japan and who had lung and brain abscesses caused by S. apiospermum. Initially, an aspergillus infection was suspected, so she was treated with micafungin. However, computed tomography scans of her chest revealed lung abscesses, and magnetic resonance images demonstrated multiple abscesses in her brain. S. apiospermum was cultured from her bronchoalveolar lavage fluid, and antimycotic therapy with voriconazole was initiated. Since she developed an increase in the frequency of premature ventricular contractions, an adverse drug reaction to the voriconazole was suspected. She was started on a treatment of a combination of low-dose voriconazole and liposomal amphotericin B. After combination therapy, further computed tomography scans of the chest and magnetic resonance images of her brain showed a demarcation of abscesses. Conclusions Voriconazole appeared to have a successful record in treating scedosporiosis after a near drowning but, owing to several adverse effects, may possibly not be recommended. Thus, a combination treatment of low-dose voriconazole and liposomal amphotericin B may be a safe and effective treatment for an S. apiospermum infection. Even though a diagnosis of scedosporiosis may be difficult, a fast and correct etiological diagnosis could improve the patient's chance of recovery in any case. PMID:22027347

  8. Contraception for the HIV-Positive Woman: A Review of Interactions between Hormonal Contraception and Antiretroviral Therapy

    PubMed Central

    Robinson, Jennifer A.; Jamshidi, Roxanne; Burke, Anne E.

    2012-01-01

    Background. Preventing unintended pregnancy in HIV-positive women can significantly reduce maternal-to-child HIV transmission as well as improve the woman's overall health. Hormonal contraceptives are safe and effective means to avoid unintended pregnancy, but there is concern that coadministration of antiretroviral drugs may alter contraceptive efficacy. Materials and Methods. We performed a literature search of PubMed and Ovid databases of articles published between January 1980 and February 2012 to identify English-language reports of drug-drug interactions between hormonal contraceptives (HCs) and antiretroviral drugs (ARVs). We also reviewed the FDA prescribing information of contraceptive hormone preparations and antiretrovirals for additional data and recommendations. Results. Twenty peer-reviewed publications and 42 pharmaceutical package labels were reviewed. Several studies of combined oral contraceptive pills (COCs) identified decreased serum estrogen and progestin levels when coadministered with certain ARVs. The contraceptive efficacy of injectable depot medroxyprogesterone acetate (DMPA) and the levonorgestrel intrauterine system (LNG-IUS) were largely unaffected by ARVs, while data on the contraceptive patch, ring, and implant were lacking. Conclusions. HIV-positive women should be offered a full range of hormonal contraceptive options, with conscientious counseling about possible reduced efficacy of COCs and the contraceptive implant when taken with ARVs. DMPA and the LNG-IUS maintain their contraceptive efficacy when taken with ARVs. PMID:22927715

  9. Cerebral venous sinus thrombosis due to spontaneous, progressive, and retrograde jugular vein thrombosis causing sudden death in a young woman.

    PubMed

    De-Giorgio, Fabio; Peschillo, Simone; Vetrugno, Giuseppe; d'Aloja, Ernesto; Spagnolo, Antonio G; Miscusi, Massimo

    2015-03-01

    Cerebral venous sinus thrombosis (CVST) is a rare cerebrovascular condition that affects approximately 5 per 1 million people annually, and develops in 0.5% of all stroke patients. Herein we report a case involving a 31-year-old woman with CVST. She initially presented with a 2-month history of intermittent headaches at the nape of her neck with cervical pain. Other than these symptoms, she was in apparently good health and was a nonsmoker. She had no children and did not take contraceptives. She became comatose with unequal pupil size and CVST was diagnosed. An autopsy revealed CVST that extended from the confluence of the sinuses to the transverse sinuses and tip of the superior sagittal sinus, as well as a thrombus that obstructed the right internal jugular vein. A correct and early diagnosis of CVST combined with heparin-based therapy and/or interventional endovascular strategies may be of benefit by preventing intracerebral extension of jugular venous thrombosis and subsequent serious or even fatal neurological sequelae. PMID:25527307

  10. Live birth in a woman without ovaries after autograft of frozen-thawed ovarian tissue combined with growth factors

    PubMed Central

    2013-01-01

    Currently, cryopreservation of oocytes, embryos and ovarian tissue is considered the basis of fertility preservation programs for women with cancer and other diseases who are rendered sterile by gonadotoxic drugs or radiation. Numerous studies have confirmed that autograft of frozen-thawed ovarian tissue can restore ovarian function and fertility. A total of twenty-two live births have been reported but we still have to consider this technique as experimental. The main problem is that the implant undergoes ischemia until neoangiogenesis is restored, resulting in significant follicular loss. At the moment, there are numerous publications in different medical fields that publish successful experiences with plasma rich in platelets (PRP) in different clinical situations promoting angiogenesis. Thus, we considered the possibility of using it in the field of ovarian autologous transplantation in order to improve the vascularization of the implant and its quality. For this, both thawed ovarian tissue as practiced pockets on the rear side of the broad ligament which have been placed, have been impregnated with PRP. We can say that the implant treated in this way has had a rapid and successful response. We report a special interesting case because this is the first time that this technique is performed successfully in a woman without ovaries combined with growth factors to promote neoangiogenesis. Obviously, the results of the hormonal response come exclusively from the implanted tissue in these special conditions. PMID:23647552

  11. [A 56-year-old woman with adult-onset ophthalmoplegic migraine presenting with recurrent bilateral abducens nerve palsy].

    PubMed

    Numao, Ayaka; Suzuki, Keisuke; Watanabe, Yuka; Izawa, Naoki; Nakamura, Toshiki; Iwanami, Hisatake; Hirata, Koichi

    2012-01-01

    A 56-year-old woman had been experiencing episodic left eye pain followed within 3 days by double vision and adduction of the left eye since the age of 30. The episodes occurred once per month, and her symptoms spontaneously resolved within 3 days. The patient was diagnosed with ophthalmoplegic migraine (OM) with left abducens nerve palsy at the age of 53 years. In May 2011, she developed bilateral retro-orbital pain followed by double vision and limitation of abduction of the right eye. She recalled having a cold and high fever 10 days before the onset of the headache. MRI showed no thickening or enhancement of the right abducens nerve. Constructive interference in steady-state (CISS) MRI showed neurovascular contact between the right abducens nerve and anterior inferior cerebellar artery. Right abducens nerve palsy accompanied by OM was diagnosed after other diseases that can cause ophthalmoplegia were excluded. The patient's eye symptoms gradually improved following steroid treatment. There have been a few similar case reports of adult patients with OM showing left and right abducens nerve palsy at different time points. In this case report, we discuss the possible mechanisms related to OM. PMID:22531656

  12. Peripheral primitive neuroectodermal tumor of the dura in a 51-year-old woman following intensive treatment for breast cancer

    PubMed Central

    Cole, Marion; Parajuli, Shobha; Laske, Douglas; Goldstein, Lori; Morrison, Tara; Mukherjee, Abir; Tumelty, Kathryn; Tetzlaff, Eric; von Mehren, Margaret; Inniss, Susan

    2014-01-01

    Patient: Female, 51 Final Diagnosis: Ewing sarcoma Symptoms: Visual disturbances Medication: — Clinical Procedure: — Specialty: Oncology Objective: Rare disease Background: Primitive neuroectodermal tumor/Ewing sarcoma (PNET/EWS) is a round blue cell sarcoma that shows varying degrees of neuroectodermal differentiation. PNET/EWS as a primary intracranial tumor is extremely uncommon. Case Report: We report a unique case of peripheral PNET presenting as an intracranial mass in an adult following chemotherapy and radiotherapy for a solid tumor. A 51-year-old woman with previously treated left breast cancer was evaluated for a newly developed brain mass. She underwent craniotomy with resection. Surgical pathology was consistent with a peripheral PNET/EWS with Ewing sarcoma gene translocation. She was treated appropriately with vincristine, cyclophosphamide, and doxorubicin (later dactinomycin) alternating with ifosfamide and etoposide. Conclusions: Although development of PNET/EWS presenting along the CNS is exceedingly rare in adults, establishing the proper diagnosis of this “small blue cell tumor” is critical. The further distinction between central PNET and peripheral PNET can greatly impact both prognosis and treatment. Our case also highlights the importance of considering the impact of prior intensive therapies, including radiation and chemotherapy, on predisposing to future PNET/EWS. PMID:25045413

  13. Primary extra-cranial meningioma in the right submandibular region of an 18-year-old woman: a case report

    PubMed Central

    2011-01-01

    Introduction Extra-cranial meningioma or ectopic meningioma is a rare tumor. This tumor has been reported in various anatomic sites in the head and neck, mediastinum, skin and soft tissues. We report a rare case of ectopic meningioma in the submandibular region detected by using fine-needle aspiration cytology, histopathology and immunohistochemistry. This case represents another unusual site for extra-cranial meningioma, which prompted us to report it. Case presentation An 18-year-old Dravidian woman presented with swelling in the right submandibular region. The computed tomographic scan findings were suggestive of a neoplastic mass lesion in the right submandibular region. Fine-needle aspiration cytology led to the differential diagnosis of a monomorphic adenoma of a salivary gland or an ectopic meningioma. The patient underwent excision of the submandibular gland and tumor. The histological examination and immunohistochemistry studies confirmed that the lesion was an extra-cranial meningioma. At her two-year follow-up examination, there was no recurrence of the tumor. Conclusion Our experience with this case indicates that, although rare, meningioma should be entertained in the differential diagnosis of a mass lesion in the head and neck region. PMID:21722387

  14. 'You don't do it for nothing': women's experiences of volunteering in two community WELL WOMAN CLINICS.

    PubMed

    Merrell, Joy

    2000-01-01

    Despite the fact that approximately 11.5 million women each year participate in formal voluntary activity, little is known about their experiences of volunteering in the National Health Service (NHS) and in particular, their experiences of working together with paid workers in direct client care. Arguably, this is because of the sensitive nature of voluntarism and concerns regarding the potential for exploitation. Much of women's voluntary activity is within the health and personal social services. Recently, volunteering in the NHS has been promoted as providing an added dimension to professional care. The study reported here seeks to bring to public attention women's experiences of volunteering and their relationships with paid workers within two community WELL WOMAN CLINICS. The findings are based on an 18-month period of participant observation which included in-depth interviews with 26 volunteer and paid workers and a review of the clinics' operational policy documents. Applying the concepts of balanced reciprocity and equity theory, the relationships between the volunteers and between the volunteers and paid workers are illuminated. Volunteers gain from their participation in the clinics as well as giving of their time and effort. However, in order for volunteers to view their volunteering positively and to sustain their interest there needs to be a balance between giving and taking. Within the context of the clinics, volunteering need not necessarily be exploitative and can be empowering for some women. PMID:11560672

  15. Xanthogranulomatous inflammation of the perimetrium with infiltration into the uterine myometrium in a postmenopausal woman: a case report

    PubMed Central

    2014-01-01

    Background Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to the normal tissue of affected organs. Although xanthogranulomatous endometritis and xanthogranulomatous salpingitis of the female genital tract has been described previously, to the best of our knowledge, this is the first report of xanthogranulomatous inflammation with infiltration into the uterine myometrium from the perimetrium without endometritis. Case presentation A 68-year-old Japanese woman with intermittent lower abdominal pain and low-grade fever who was initially treated with antibiotics underwent hysterectomy due to abscess formation in the posterior wall of the myometrium and perimetrium (the outer serosal layer of the uterus). Histopathological findings revealed that the abscess was caused by xanthogranulomatous inflammation with the granulation tissue and chronic inflammatory cells that consisted of focal and sheets of foam cells. The inflammation destroyed the perimetrial elastic lamina, and the myometrium was deeply infiltrated by the xanthoma cells. Neither endometritis nor salpingitis was coexistent with the xanthogranulomatous inflammation. Conclusion The patient was diagnosed as xanthogranulomatous inflammation, most likely arising from the perimetrium. Our findings suggest that the perimetrium, as well as the endometrium and adnexae, is one of the origins of xanthogranulomatous inflammation in female genital tract. PMID:25027857

  16. Animal-type malignant melanoma associated with nevus of Ota in the orbit of a Japanese woman: a case report

    PubMed Central

    Kashima, Tomoyuki; Mayuzumi, Hideyasu; Akiyama, Hideo; Miyanaga, Tomomi; Hirato, Junko; Kishi, Shoji

    2014-01-01

    We present a patient with an animal-type malignant melanoma associated with the nevus of Ota in the orbit who showed a good prognosis after a combination of orbital extirpation, chemotherapy, stereotactic radiotherapy, and gamma knife. A 42-year-old Japanese woman presented with two tumors, one pathologically diagnosed as right-sided intraconal animal-type malignant melanoma and the other intracranially, presumed to be of the same pathogenesis and both were considered to have arisen from the nevus of Ota. She underwent an extirpation of the orbit, chemotherapy (DAV therapy, which is a combination of dacarbazine, nimustine, and vincristine), stereotactic radiotherapy (54 Gy in 27 fractions), and gamma knife (marginal dose was 17 Gy, target volume was 0.2 ml). She has been alive for 33 months since the extirpation, with no sign of local recurrence, new metastasis, nor enlargement of the intracranial tumor. Not just combination therapy but also the low malignancy of animal-type melanoma may have contributed toward the good prognosis. PMID:24686419

  17. Sudden cardiac arrest secondary to cardiac amyloidosis in a young woman with cryopyrin-associated periodic syndrome.

    PubMed

    Endo, Keiko; Suzuki, Atsushi; Sato, Kayoko; Shiga, Tsuyoshi

    2015-01-01

    Cryopyrin-associated periodic syndrome (CAPS) is caused by NLRP3 mutations, which result in dysregulated interleukin 1? (IL-1?) production and inflammation. Some patients with CAPS develop systemic amyloidosis via an inflammatory reaction. We describe a case of a 39-year-old woman who experienced cardiopulmonary arrest secondary to ventricular fibrillation complicated by cardiac amyloidosis as well as by CAPS. She was diagnosed with renal amyloidosis at 32 years of age. At 34 years of age, genetic sequencing of the NLRP3 gene demonstrated that she was heterozygous for the p.E304 K mutation, and she was subsequently diagnosed with CAPS. After treatment with canakinumab (human anti-IL-1? monoclonal antibody) for CAPS, the inflammatory reaction was improved. However, she eventually developed cardiac arrest with ventricular fibrillation and was successfully resuscitated. Echocardiography demonstrated mildly reduced left ventricular systolic function (left ventricular ejection fraction of 48%). Coronary angiography revealed no stenosis, but a cardiac biopsy demonstrated cardiac amyloidosis. She received an implantable cardioverter defibrillator. PMID:25883259

  18. Pregnancy in Woman with Spinal Cord Stimulator for Complex Regional Pain Syndrome: A Case Report and Review of the Literature

    PubMed Central

    Yoo, Hyung Seok; Nahm, Francis Sahngun; Yim, Kyoung Hoon; Moon, Jee Youn; Kim, Yung Suk

    2010-01-01

    Spinal cord stimulation (SCS) is used to manage chronic pain syndromes and it is accepted a cost-effective therapy. Child-bearing women who had SCS become or choose to become pregnant despite these policies pregnancy is a relative contraindication. A 32-year-old woman had SCS as a treatment for the CRPS I of the left lower extremity. During various check up tests, we happen to find out that her serum beta-hCG was positive and confirmed pregnancy. SCS is not recommended in pregnancy because the effects of SCS on pregnancy and nursing mothers had not been confirmed. However, many female patients suffering from chronic pain may expect future pregnancy and we think that they must be informed about the possibility of pregnancy and the effects of SCS device implantation in the course of pregnancy. First of all, a good outcome requires a multidisciplinary team approach, including obstetrics, neonatology, pain medicine and anesthesia, as was used from an early pregnancy. Unfortunately, she had a misabortrion after 6 weeks. PMID:21217892

  19. The horror of unsafe abortion: case report of a life threatening complication in a 29-year old woman

    PubMed Central

    2013-01-01

    Background Every year 42 million women with unintended pregnancies choose abortion, and fifty percent of these procedures, 20 million are unsafe. An unsafe abortion is defined as a procedure for terminating an unintended pregnancy carried out either by person lacking the necessary skills or in an environment that does not conform to minimal medical standards or both. Pakistan is the one of the six countries where more than 50% of the world’s all maternal deaths occur. It is estimated that 890,000 induced abortions are performed annually in Pakistan, and estimate an annual abortion rate of 29 per 1000 women aged 15-49. Case presentation Here we present a case report of a 29-year old woman who underwent an unsafe abortion for unintended pregnancy resulting in uterine perforation. The unskilled provider pulled out her bowel through vagina after perforating the uterus, as a result she lost major portion of her small intestine resulting in short bowel syndrome. Conclusion The law of Pakistan only allows abortion during early stages of pregnancy for purpose of saving the life of a mother but does not cater for cases of rape, incest and fetal abnormalities or social reasons. Only legalization of abortion is not sufficient, preventing unintended pregnancy should be the priority of all the nations and for this reason contraception should be widely accessible. Practitioners need to become better trained in safer abortion methods and be to able transfer the patient to health facility when complications occur. PMID:24131627

  20. Geology and coal resources of the Hanging Woman Creek Study Area, Big Horn and Powder River Counties, Montana

    USGS Publications Warehouse

    Culbertson, William Craven; Hatch, Joseph R.; Affolter, Ronald H.

    1978-01-01

    In an area of 7,200 acres (29 sq km) In the Hanging Woman Creek study area, the Anderson coal bed contains potentially surface minable resources of 378 million short tons (343 million metric tons) of subbituminous C coal that ranges in thickness from 26 to 33 feet (7.9-10.1 m) at depths of less than 200 feet (60 m). Additional potentially surface minable resources of 55 million short tons (50 million metric tons) are contained in the 9-12 foot (2.7-3.7 m) thick Dietz coal bed which lies 50-100 feet (15-30 m) below the Anderson. Analyses of coal from 5 core holes indicates that the Anderson bed contains 0.4 percent sulfur, 5 percent ash, and has a heating value of 8,540 Btu/lb (4,750 Kcal/kg). The trace element content of the coal is generally similar to other coals in the Powder River Basin. The two coal beds are in the Fort Union Formation of Paleocene age which consists of sandstone, siltstone, shale, coal beds, and locally impure limestone. A northeast-trending normal fault through the middle of the area, downthrown on the southeast side, has displaced the generally flat lying strata as much as 300 feet (91 m). Most of the minable coal lies northwest of this fault.

  1. Anesthetic management during Cesarean section in a woman with residual Arnold–Chiari malformation Type I, cervical kyphosis, and syringomyelia

    PubMed Central

    Ghaly, Ramsis F.; Candido, Kenneth D.; Sauer, Ruben; Knezevic, Nebojsa Nick

    2012-01-01

    Background: Type I Arnold–Chiari malformation (ACM) has an adult onset and consists of a downward displacement of the cerebellar tonsils and the medulla through the foramen magnum. There is paucity of literature on the anesthetic management during pregnancy of residual ACM Type I, with cervical xyphosis and persistent syringomyelia. Case Description: A 34-year-old woman with surgically corrected ACM Type I presented for Cesarean delivery. A recent MRI demonstrated worsening of cervical xyphosis after several laminectomies and residual syringomyelia besides syringopleural shunt. Awake fiberoptic intubation was performed under generous topical anesthesia to minimize head and neck movement during endotracheal intubation. We used a multimodal general anesthesia without neuromuscular blockade. The neck was maintained in a neutral position. Following delivery, the patient completely recovered in post-anesthesia care unit (PACU), with no headache and no exacerbation or worsening of neurological function. Conclusions: The present case demonstrates that patients with partially corrected ACM, syringomyelia, cervical kyphosis, and difficult intubation undergoing Cesarean delivery require an interdisciplinary team approach, diligent preparation, and skilled physicians. PMID:22439117

  2. Advanced composite of large cell neuroendocrine carcinoma and squamous cell carcinoma: a case report of uterine cervical cancer in a virgin woman.

    PubMed

    Murakami, Ryusuke; Kou, Iemasa; Date, Kenjiro; Nakayama, Hirofumi

    2013-01-01

    Large cell neuroendocrine carcinoma (LCNEC) of the uterine cervix is very rare and aggressive. The prognosis is very poor despite multimodal treatment. We report a virgin woman with FIGO stage 4b LCNEC of uterine cervix coexisting with squamous cell carcinoma. An early thirties virgin woman presented with 2-month history of abdominal pain. A chest X-ray showed multiple lung metastatic tumors. A vaginal smear showed malignant cells, and a biopsy specimen had features of LCNEC. The tumor showed trabecular patterns. Tumor cells possessed a moderate amount of cytoplasm, prominent nucleoli, and large nuclei. The tumor cells are stained positive for synaptophysin, chromogranin A, and neuron specific enolase (NSE). The invasive tumor cells in connection with cervical squamous epithelium were focally positive for 34bE12. We made a diagnosis of composite LCNEC and nonkeratinizing squamous cell carcinoma. High-risk HPV test was negative with hybridized captured method 2. PMID:24062959

  3. The Drop That Spilled the Cup: Acute Myocardial Infarction in a Young Woman with Underlying Thrombophilic Polymorphisms and Oral Contraceptive Use

    PubMed Central

    Capilli, Gianfranco; Patané, Anella Antonietta

    2014-01-01

    We present the case of a 28-year-old woman who was admitted to our cardiology unit for acute coronary syndrome. Her history was notable for cardiovascular disease familiarity, active smoking, and oral contraceptive use. On further analysis, she was noted to have thrombophilic polymorphisms involving the plasminogen activator inhibitor (PAI), angiotensin-converting enzyme (ACE), and methylenetetrahydrofolate reductase (MTHFR) genes. We discuss the implications that these cofactors may have had in the genesis of the disease. PMID:25587456

  4. Loss of ZDHHC15 expression in a woman with a balanced translocation t(X;15)(q13.3;cen) and severe mental retardation

    Microsoft Academic Search

    Mahmoud Reza Mansouri; Lena Marklund; Peter Gustavsson; Edward Davey; Birgit Carlsson; Catharina Larsson; Irene White; Karl-Henrik Gustavson; Niklas Dahl

    2005-01-01

    X-linked mental retardation (XLMR) affects one in 600 males and is highly heterogeneous. We describe here a 29-year-old woman with severe nonsyndromic mental retardation and a balanced reciprocal translocation between chromosomes X and 15 [46,XX,t(X;15)(q13.3;cen)]. Methylation studies showed a 100% skewed X-inactivation in patient-derived lymphocytes indicating that the normal chromosome X is retained inactive. Physical mapping of the breakpoints localised

  5. Small cell neuroendocrine carcinoma of the thymus complicated by Cushing's syndrome. Report of a 58-year-old woman with a 3-year history of hypertension.

    PubMed

    Hekimgil, M; Hamulu, F; Cagirici, U; Karabulut, B; Ozgen, A G; Soydan, S; Yilmaz, C

    2001-01-01

    A 58-year-old woman with a history of Cushing's syndrome for three years presented with a mediastinal mass and received the diagnosis of small cell neuroendocrine carcinoma of the thymus invading the pericardium. On immunohistochemical study, the neoplastic cells reacted with antibodies against cytokeratin, epithelial membrane antigen, neuron-specific enolase, chromogranin, synaptophysin, and ACTH. Clinicopathologic findings of this rare case of ectopic adrenocorticotropic hormone (ACTH) syndrome are discussed with a literature review. PMID:11261817

  6. Abscess formation at the ischiorectal fossa 7 months after the application of a synthetic transobturator sling for stress urinary incontinence in a type II diabetic woman

    Microsoft Academic Search

    G. Benassi; L. Marconi; F. Accorsi; M. Angeloni; L. Benassi

    2007-01-01

    A 50-year-old diabetic woman was referred to our unit because of high fever, foul-smelling vaginal discharge and pain in the\\u000a leg, 7 months after undergoing surgery for application of a transobturator suburethral sling. Patient evaluation revealed\\u000a erosion of the tape through the vaginal wall; the infection had spread to the region of the internal obturator muscle and\\u000a then up to the

  7. Genome-wide paternal uniparental disomy mosaicism in a woman with Beckwith–Wiedemann syndrome and ovarian steroid cell tumour

    PubMed Central

    Gogiel, Magdalena; Begemann, Matthias; Spengler, Sabrina; Soellner, Lukas; Göretzlehner, Ulf; Eggermann, Thomas; Strobl-Wildemann, Gertrud

    2013-01-01

    Uniparental disomy (UPD) of single chromosomes is a well-known molecular aberration in a group of congenital diseases commonly known as imprinting disorders (IDs). Whereas maternal and/or paternal UPD of chromosomes 6, 7, 11, 14 and 15 are associated with specific IDs (Transient neonatal diabetes mellitus, Silver–Russell syndrome, Beckwith–Wiedemann syndrome (BWS), upd(14)-syndromes, Prader–Willi syndrome, Angelman Syndrome), the other autosomes are not. UPD of the whole genome is not consistent with life, in case of non-mosaic genome-wide paternal UPD (patUPD) it leads to hydatidiform mole. In contrast, mosaic genome-wide patUPD might be compatible with life. Here we present a 19-year-old woman with BWS features and initially diagnosed to be carrier of a mosaic patUPD of chromosome 11p15. However, the patient presented further clinical findings not typically associated with BWS, including nesidioblastosis, fibroadenoma, hamartoma of the liver, hypoglycaemia and ovarian steroid cell tumour. Additional molecular investigations revealed a mosaic genome-wide patUPD. So far, only nine cases with mosaic genome-wide patUPD and similar clinical findings have been reported, but these patients were nearly almost diagnosed in early childhood. Summarising the data from the literature and those from our patient, it can be concluded that the mosaic genome-wide patUPD (also known as androgenic/biparental mosaicism) might explain unusual BWS phenotypes. Thus, these findings emphasise the need for multilocus testing in IDs to efficiently detect cases with disturbances affecting more than one chromosome. PMID:23188046

  8. Adding a Woman's Touch.

    ERIC Educational Resources Information Center

    Levine, Dana

    1985-01-01

    "Females in Engineering, Methods, Motivation, and Experience" (FEMME) is a precollege program at New Jersey Institute of Technology giving academically talented ninth-grade girls an introduction to engineering. Four experiments (windmill building, burglar alarm construction, electrochemistry, and spatial reasoning activities) helpful in achieving…

  9. Advertising the American Woman.

    ERIC Educational Resources Information Center

    Dispenza, Joseph E.

    This illustrated anthology of advertising in the popular press attempts to clarify the manner in which consumers have been conditioned to think about the roles of women in society. More than 2,000 copies of periodicals dating from 1900 to the present were consulted for the cultural information in their advertising. The selection of certain ads…

  10. The Texas woman hunter 

    E-print Network

    Steen, Sara Jane

    1995-01-01

    specific variables to Texas-male hunters. A survey questionnaire was mailed to 2,200 female hunting license purchasers to determine initiation patterns, motivations and constraints. Analysis of variance tests showed significant (P = 0.0001) differences...

  11. The Old Woman's Daughter 

    E-print Network

    Douglas, Claire

    2006-01-01

    and to society. Both series were generously endowed by Carolyn Grant Fay, the founding president of the C. G. Jung Educational Center in Houston, Texas. The series are in part a memorial to her late husband, Ernest Bel Fay. Carolyn Fay has planted a Jungian... tree carrying both her name and that of her late husband, which will bear fruitful ideas and stimulate creative works from this time forward. Texas A&M University and all those who come in con- tact with the growing Fay Jungian tree are extremely...

  12. The Woman Within.

    ERIC Educational Resources Information Center

    Rea, Lorraine

    This document is a leader's guide for conducting a course in improving self-esteem for mature middle- and upper-class women. After a section on characteristics needed by group leaders and pointers on conducting group discussions, the document contains lesson plans for eight discussion-group lessons. Topics covered during the eight sessions include…

  13. Liposome bupivacaine for postsurgical pain in an obese woman with chronic pain undergoing laparoscopic gastrectomy: a case report

    PubMed Central

    2014-01-01

    Introduction To reduce incidence and severity of postsurgical pain and minimize the effect of its clinical and economic correlates, multimodal therapy for surgical patients is recommended. In this report, we discuss the use of liposome bupivacaine, a novel multivesicular formulation of bupivacaine indicated for single-dose infiltration into the surgical site to produce postsurgical analgesia, as part of a multimodal analgesic regimen in a patient with a history of chronic pain scheduled to undergo laparoscopic sleeve gastrectomy. To the best of our knowledge, this is the first published report of liposome bupivacaine in the setting of laparoscopic sleeve gastrectomy. Case presentation A 35-year-old white woman with morbid obesity was admitted for laparoscopic sleeve gastrectomy to lose weight prior to hip replacement surgery. Because of a complicated medical history that included rheumatoid arthritis, fibromyalgia, diabetes mellitus, hypertension, and chronic pain, for which she was receiving high doses of opioid analgesics, postsurgical pain management was a concern and she was considered a candidate for multimodal analgesia. At initiation of surgery, 50mL of lidocaine and epinephrine was infiltrated around the port sites. At the conclusion, 25mL of normal sterile saline was added to a 20mL vial of liposome bupivacaine (266mg) and injected around the port sites and at the site of liver retraction. Laparoscopic sleeve gastrectomy was successfully completed. Our patient was discharged to the postanesthesia care unit for approximately four hours before discharge to the surgical floor with a pain score of 5 (11-point scale; 0 = no pain, 10 = worst possible pain). Her postoperative course was uneventful; no adverse events were recorded during surgery or during the remainder of her hospital stay. Our patient was discharged on the same opioid regimen used previously for control of her preexisting chronic pain. Conclusions Liposome bupivacaine use in this morbidly obese patient undergoing laparoscopic sleeve gastrectomy provided analgesic efficacy and limited postsurgical opioids to a level comparable with her baseline opioid regimen for chronic pain. Given her complex medical history and previous issues with acute and chronic pain, we consider these results highly successful and continue to use liposome bupivacaine as part of a multimodal analgesic regimen in an effort to optimize postsurgical pain management. PMID:24450503

  14. Cylindroma of the breast in a 72-year-old woman with fibrocystic disease first misdiagnosed as a malignant lesion in imaging studies

    PubMed Central

    Taghipour, Shokouh; Shiryazdi, Seyed Mostafa; Sharahjin, Naser Sefidrokh

    2013-01-01

    Cylindroma is a benign skin adnexal tumour with apocrine and trichoepitheliomatous differentiation that is rarely seen in the breast. Here, we report a case of cylindroma in the subareolar region of the left breast in a 72-year-old woman who presented with a palpable mass .Ultrasound and mammographic reports of the lesion were considered probably malignant. An ultrasound-guided core needle biopsy was performed and the patient underwent wide local excision with axillary lymph nodes biopsy. Immunohistochemistry and histopathological studies confirmed cylindroma with fibrocystic changes in uninvolved parenchyma. PMID:23761615

  15. Interferons beta have vasoconstrictive and procoagulant effects: a woman who developed livedo reticularis and Raynaud phenomenon in association with interferon beta treatment for multiple sclerosis.

    PubMed

    Rot, Uroš; Ledinek, Alenka Horvat

    2013-12-01

    A 31-year-old woman with MS developed livedo reticularis and secondary Raynaud phenomenon 2.5 years after introduction of interferon beta-1b. The symptoms disappeared after withdrawal of the drug. Livedo reticularis and Raynaud phenomenon as well as pulmonary arterial hypertension, venous sinus thrombosis, pulmonary embolism and renal thrombotic microangiopathy have all been described in association with interferon beta therapy. These complications strongly suggest that type I interferons have vasoconstrictive and procoagulant effects with potentially serious systemic complications. PMID:24321162

  16. Hemolytic-uremic syndrome with acute encephalopathy in a pregnant woman infected with epidemic enterohemorrhagic Escherichia coli: characteristic brain images and cytokine profiles.

    PubMed

    Ito, M; Shiozaki, A; Shimizu, M; Saito, S

    2015-05-01

    A food-poisoning outbreak due to enterohemorrhagic Escherichia coli (EHEC) occurred in Toyama, Japan. The case of a 26-year-old pregnant woman with hemolytic-uremic syndrome who developed acute encephalopathy due to EHEC infection after eating raw meat is presented herein. On day 2 following admission, a cesarean section was performed because of a non-reassuring fetal status. Fecal bacterial culture confirmed an O111/O157 superinfection. Intensive care therapies including continuous hemodiafiltration and plasma exchange were performed. After the operation, the patient developed encephalopathy for which steroid pulse therapy was added. Her condition improved gradually and she was discharged 55 days after delivery. PMID:25841635

  17. Serious adverse drug reaction in a woman with hyperemesis gravidarum after first exposure to vitamin B complex containing vitamins B1, B6 and B12.

    PubMed

    Kuwata, Yoshimine; Tsuruoka, Shuichi; Ohkuchi, Akihide; Matsubara, Shigeki; Izumi, Akio; Suzuki, Mitsuaki

    2009-08-01

    We report the case of a pregnant woman who suffered from hypotension after first exposure to intravenous administration of a combination drug containing vitamins B1, B6 and B12 (Vitamedin; Daiichi-Sankyo, Tokyo, Japan). A 27-year-old Japanese woman received an intravenous infusion of fluid containing a vitamin B complex due to hyperemesis gravidarum. Thirty minutes after the start of infusion she was found to be in hypotension. The patient had stupor, general sweating, blood pressure of 82/50 mmHg, and low percutaneous oxygen saturation (SpO(2)) of 88%. We immediately stopped the infusion, lifted her legs and administered oxygen. Three minutes after these treatments, she quickly recovered to a good general condition. A skin prick test for vitamin B12 was positive, but tests for B1, B6, mannitol and saline were negative, indicating this adverse reaction was one of drug hypersensitivity due to the vitamin B12 in Vitamedin. Patients should be observed carefully immediately after the administration of Vitamedin. PMID:19751344

  18. Nab-paclitaxel-associated photosensitivity: report in a woman with non-small cell lung cancer and review of taxane-related photodermatoses

    PubMed Central

    Beutler, Bryce D.; Cohen, Philip R.

    2015-01-01

    Background: Taxanes [paclitaxel, nab-paclitaxel (Abraxane, Celgene Corp, USA), and docetaxel]—used in the treatment of lung, breast, and head and neck cancers—have been associated with cutaneous adverse effects, including photodermatoses. Purpose: We describe a woman with non-small cell lung cancer who developed a photodistributed dermatitis associated with her nab-paclitaxel therapy and review photodermatoses in patients receiving taxanes. Materials and methods: The features of a woman with a nab-paclitaxel-associated photodistributed dermatitis are presented and the literature on nab-paclitaxel-associated photosensitivity is reviewed. Results: Our patient developed nab-paclitaxel-associated photodistributed dermatitis on the sun-exposed surfaces of her upper extremities, which was exacerbated with each course of nab-paclitaxel. Biopsies revealed an interface dermatitis and laboratory studies were negative for lupus erythematosus and dermatomyositis. Her condition improved following topical corticosteroid cream application and strict avoidance of sunlight. Conclusion: Chemotherapy can be associated with adverse mucocutaneous events, including dermatoses on sun-exposed areas of the skin. Paclitaxel and nab-paclitaxel have both been associated with photodermatoses, including dermatitis, erythema multiforme, onycholysis, and subacute cutaneous lupus erythematosus. Strict avoidance of sun exposure, topical or oral corticosteroids, and/or discontinuation of the drug results in improvement with progressive resolution of symptoms and skin lesions. Development of photodermatoses is not an absolute contraindication to continuing chemotherapy, provided that the cutaneous condition resolves with dermatosis-directed treatment and the patient avoids sun exposure. PMID:26114068

  19. Report of Fertility in a Woman with a Predominantly 46,XY Karyotype in a Family with Multiple Disorders of Sexual Development

    PubMed Central

    Dumic, Miroslav; Lin-Su, Karen; Leibel, Natasha I.; Ciglar, Srecko; Vinci, Giovanna; Lasan, Ruzica; Nimkarn, Saroj; Wilson, Jean D.; McElreavey, Ken; New, Maria I.

    2008-01-01

    Context: We report herein a remarkable family in which the mother of a woman with 46,XY complete gonadal dysgenesis was found to have a 46,XY karyotype in peripheral lymphocytes, mosaicism in cultured skin fibroblasts (80% 46,XY and 20% 45,X) and a predominantly 46,XY karyotype in the ovary (93% 46,XY and 6% 45,X). Patients: A 46,XY mother who developed as a normal woman underwent spontaneous puberty, reached menarche, menstruated regularly, experienced two unassisted pregnancies, and gave birth to a 46,XY daughter with complete gonadal dysgenesis. Results: Evaluation of the Y chromosome in the daughter and both parents revealed that the daughter inherited her Y chromosome from her father. Molecular analysis of the genes SOX9, SF1, DMRT1, DMRT3, TSPYL, BPESC1, DHH, WNT4, SRY, and DAX1 revealed normal male coding sequences in both the mother and daughter. An extensive family pedigree across four generations revealed multiple other family members with ambiguous genitalia and infertility in both phenotypic males and females, and the mode of inheritance of the phenotype was strongly suggestive of X-linkage. Conclusions: The range of phenotypes observed in this unique family suggests that there may be transmission of a mutation in a novel sex-determining gene or in a gene that predisposes to chromosomal mosaicism. PMID:18000096

  20. Mutation in a gene for type I procollagen (COL1A2) in a woman with postmenopausal osteoporosis: Evidence for phenotypic and genotypic overlap with mild osteogenesis imperfecta

    SciTech Connect

    Spotila, L.D.; Constantinou, C.D.; Sereda, L.; Ganguly, A.; Prockop, D.J. (Jefferson Medical College, Philadelphia, PA (United States)); Riggs, B.L. (Mayo Clinic, Rochester, MN (United States))

    1991-06-15

    Mutations in the two genes for type I collagen (COL1A1 or COL1A2) cause osteogenesis imperfecta (OI), a heritable disease characterized by moderate to extreme brittleness of bone early in life. Here, the authors show that a 52-year-old post menopausal woman with severe osteopenia and a compression fracture of a thoracic vertebra had a mutation in the gene for the {alpha}2(I) chain of type I collagen (COL1A2) similar to mutations that cause OI. cDNA was prepared from the woman's skin fibroblast RNA and assayed for the presence of a mutation by treating DNA heteroduplexes with carbodiimide. The results indicated a sequence variation in the region encoding amino acid residues 660-667 of the {alpha}2(I) chain. Further analysis demonstrated a single-base mutation that caused a serine-for-glycine substitution at position 661 of the {alpha}2(I) triple-helical domain. The substitution produced posttranslational overmodification of the collagen triple helix, as is seen with most glycine substitutions that cause OI. The patient had a history of five previous fractures, slightly blue sclerae, and slight hearing loss. Therefore, the results suggest that there may be phenotypic and genotypic overlap between mild osteogenesis imperfecta and postmenopausal osteoporosis, and that a subset of women with postmenopausal osteoporosis may have mutations in the genes for type I procollagen.

  1. Proton pump inhibitor-induced Sweet’s syndrome: report of acute febrile neutrophilic dermatosis in a woman with recurrent breast cancer

    PubMed Central

    Cohen, Philip R.

    2015-01-01

    Background: Sweet’s syndrome, also referred to as acute febrile neutrophilic dermatosis, can either occur as an idiopathic disorder or associated with another condition, including cancer, or induced by exposure to a drug. Proton pump inhibitors selectively inhibit gastric parietal cell H+-K+-adenosine triphosphatase and are most commonly used for the treatment of gastroesophageal reflux disease. Purpose: Proton pump inhibitor-associated Sweet’s syndrome is described in a woman with recurrent breast cancer. Methods: PubMed was used to search the following terms, separately and in combination: acute febrile neutrophilic dermatosis, breast cancer, malignancy, paraneoplastic, proton pump inhibitor, and Sweet’s syndrome. All papers were reviewed and relevant manuscripts, along with their reference citations, were evaluated. Results: Proton pump inhibitors have previously been associated with cutaneous adverse reactions including maculopapular rash, subacute cutaneous lupus erythematosus and toxic epidermal necrolysis. However, drug-induced Sweet’s syndrome has not been observed in patients receiving proton pump inhibitors. The reported woman developed Sweet’s syndrome after initial exposure and subsequent repeat challenge to proton pump inhibitors; subsequent studies also observed recurrence of her breast cancer presenting as metastases to her stomach and bone. Conclusions: Drug-induced Sweet’s syndrome has most commonly been associated with granulocyte colony stimulating factor in oncology patients. Malignancy-associated Sweet’s syndrome has been observed in patients with solid tumors, including breast cancer. Confirmation of proton pump inhibitor-induced Sweet’s syndrome, by repeat challenge with another medication in the same class of drug, was observed in a woman with breast cancer; although the subsequent discovery of recurrent breast cancer presenting as gastric mucosa and vertebral metastases also raises the possibility of concurrent paraneoplastic Sweet’s syndrome, her Sweet’s syndrome symptoms and lesions resolved without recurrence while her recurrent metastatic visceral malignancy persisted. In summary, medication-associated Sweet’s syndrome can occur in oncology patients and proton pump inhibitors should be added to the list of medications associated with the potential to cause drug-induced Sweet’s syndrome.

  2. Depth-dependent Concentrations of Cosmogenic 10Be, 26Al, 36Cl, HEc, NEc, and ARc in the Old Woman Iron Meteorite

    NASA Astrophysics Data System (ADS)

    Lavielle, B.; Nishiizumi, K.; Marti, K.; Jeannot, J.-P.; Caffee, M. W.; Finkel, R. C.

    1995-09-01

    We report measurements of 1OBe7 26AI, 36CI, and of light noble gases in 6 samples of the type IIB Old Woman iron meteorite. The aim of this work is to study the depth dependence of the production rates of cosmogenic nuclides in iron meteorites. Old Woman is a large single mass of 2753 kg. Five samples have been taken from a slice of about 100 cm x 50 cm. One other sample was located roughly 40 cm above the center of the slice in a perpendicular direction. The distances between any two samples vary from 36.5 cm to 57.5 cm. Studies of cosmogenic nuclides in samples of known locations are very useful for the validation of models describing the production of cosmogenic nuclides in meteorites. Cosmogenic radionuclides were measured by accelerator mass spectrometry at Lawrence Livermore National Laboratory. Partial results have been reported earlier [1]. Concentrations of 4He, 21Ne and 38Ar in aliquots of the samples were determined by conventional mass spectrometry using an isotopic dilution method. The ratio 3He/4He appears to be almost constant with a value of 0.12 - ().13. This is about half the value generally observed in iron meteorites. Similar low ratios have been previously observed in some irons and in chondritic metal and reflect diffusion losses of 3H 12,31. The ratios 4He/38Ar, 4He/21Ne and 36Ar/38Ar are similar to those observed in iron meteorites indicating no significant losses of 4He. The measured ratio S = 4He/21Ne which represents one of the best indicators of shielding depth in iron meteorites, varies from 310 to 375 in samples from the slice. By using this as a shielding parameter, profiles were obtained for the different nuclides investigated in this work. Systematic decreases from the surface to the center of the meteorite are observed and the center of the meteoroid can be determined. As expected from nuclear systematics, the ratio 36Cl/36Ar is almost constant. The ratio 36Cl/10Be is relatively constant with a mean value of 4.7 indicating that the terrestrial age of Old Woman is probably less than 50,000 years. References: [1] Nishiizumi K. et al (1991) Meteoritics, 26, 379-380. [2] Schultz L. (1967) EPSL, 2, 87-89. [3] Graf T. et al., this volume.

  3. Primitive Neuroectodermal Tumor Presenting with Diffuse Leptomeningeal Involvement in a 55-Year-Old Woman: A Case Report and Brief Summary of Current Diagnostic Tests and Treatment

    PubMed Central

    Kalidindi, Navya; Torres, Carlos H.; Michaud, Jean; Zwicker, Jocelyn Christine

    2014-01-01

    Primitive neuroectodermal tumors (PNETs) are typically present as masses in children and adolescents, but rarely in adults. Diagnoses, management strategies, and prognostication factors are not well established in adult cases of PNETs. We describe the case of a central nervous system PNET diagnosed in a 55-year-old woman presenting with a sudden onset of symptoms consisting of increased intracranial pressure and findings of diffuse leptomeningeal enhancement and a small medullary lesion seen on MRI. Amongst the small database of PNETs diagnosed in adults, our case report stands out as one of few cases describing a primarily leptomeningeal PNET diagnosed on biopsy. We also review the literature on PNETs presenting with diffuse leptomeningeal disease and the treatment of PNETs in the adult population. PMID:25202261

  4. [Multiple peritrochanteric and pubic calcifications in a young woman on hemodialysis with severe renal osteodystrophy successfully treated with sevelamer+cinacalcet+paracalcitol combination therapy].

    PubMed

    Bellotti, G; Presta, P; Panzino, T; Capria, M; Caglioti, A; Riccio, M; Bova, F; Fuiano, L; Fuiano, G

    2009-01-01

    Secondary hyperparathyroidism is a frequent complication of chronic renal failure that can induce severe bone disease and negatively influence the cardiovascular outcome. Therefore, nephrologists should attempt to reach the targets recommended by national and international guidelines using all the available therapeutic strategies. We describe the case of a 37-year-old woman affected by spina bifida and myelomeningocele who had been on hemodialysis since 1993. In July 2006 she developed secondary hyperparathyroidism complicated by peritrochanteric calcifications which did not respond to standard therapy. Because it was impossible to perform a parathyroidectomy, we started medical therapy with a combination of sevelamer hydrochloride, paracalcitol and cinacalcet, which resulted in progressive improvement of laboratory data and osteodystrophy. A diagnosis of mixed secondarytertiary hyperparathyroidism was made, but a progressive increase in iPTH to very high levels suggested a rapid evolution toward a pure tertiary form. PMID:19554535

  5. Administration of oral and vaginal prebiotic lactoferrin for a woman with a refractory vaginitis recurring preterm delivery: appearance of lactobacillus in vaginal flora followed by term delivery.

    PubMed

    Otsuki, Katsufumi; Tokunaka, Mayumi; Oba, Tomohiro; Nakamura, Masamitsu; Shirato, Nahoko; Okai, Takashi

    2014-02-01

    Lactoferrin (LF) is one of the prebiotics present in the human body. A 38-year-old multiparous woman with poor obstetrical histories, three consecutive preterm premature rupture of membrane at the 19th, 23rd and 25th week of pregnancy, was referred to our hospital. She was diagnosed as having refractory vaginitis. Although estriol vaginal tablets were used for 4 months, the vaginitis was not cured. We administrated vaginal tablets and oral agents of prebiotic LF, resulting in a Lactobacillus predominant vaginal flora. When she was pregnant, she continued to use the LF, and the Lactobacillus in the vaginal flora was continuously observed during pregnancy. An elective cesarean section was performed at the 38th week of pregnancy. When the administration of LF was discontinued after the delivery, Lactobacillus in the vaginal flora was disappeared. PMID:24118573

  6. Bisphosphonate therapy and osteonecrosis of the jaw complicated with a temporal abscess in an elderly woman with rheumatoid arthritis: a case report

    PubMed Central

    Manzon, Licia; Ettorre, Evaristo; Viscogliosi, Giovanni; Ippoliti, Stefano; Filiaci, Fabio; Ungari, Claudio; Fratto, Giovanni; Agrillo, Alessandro

    2014-01-01

    Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is an adverse drug reaction described as the progressive destruction and death of bone tissue of the mandible or maxilla, in the course of bisphosphonate therapy. Orally administered bisphosphonates, widely used for the treatment of osteoporosis, are rarely associated with BRONJ. Instead, the risk greatly increases whether the patient is concomitantly taking steroid and/or immunosuppressant agents. The aims of this paper are to briefly discuss the evidence of the associations between bisphosphonate therapy and BRONJ, and the effects of co-occurring factors such as the presence of rheumatoid arthritis, dental surgery, and concomitant corticosteroid therapy. In particular, we present the case of an elderly woman with BRONJ suffering from rheumatoid arthritis, with a recent dental extraction and with a very unusual complication: a temporal abscess, who was successfully treated. PMID:25187700

  7. Widely metastatic squamous cell carcinoma originating from malignant transformation of hypertrophic lichen planus in a 24-year-old woman: case report and review of the literature.

    PubMed

    Tong, Lana X; Weinstock, Matthew J; Drews, Reed; Sheikine, Yuri; Kim, Caroline C

    2015-05-01

    Hypertrophic lichen planus (HLP) is a T-cell-mediated process typically presenting with hypertrophic or verrucous plaques on the lower limbs. We report the case of a 24-year-old woman with a history of HLP since age 3 years presenting with rapid malignant transformation of one lesion into a large squamous cell carcinoma (SCC). Subsequent examination revealed progressive, widespread metastatic involvement, and the patient ultimately died from her disease. SCC associated with HLP is rare, with a review of the literature revealing fewer than 50 cases. This case highlights the need to be aware of suspicious changes in HLP and to educate patients as to when to be reevaluated. PMID:25739384

  8. Acute disseminated encephalomyelitis (ADEM) following a H3N3 parainfluenza virus infection in a pregnant asthmatic woman with respiratory failure.

    PubMed

    Zeb, Qaiser; Alegria, Ana

    2014-01-01

    This case report relates to a 31-year-old pregnant woman, asthmatic, admitted to the intensive care unit with respiratory failure, secondary to a viral community-acquired pneumonia. A type 3 (H3N3) parainfluenza virus RNA was isolated in her throat swab. The patient developed neurological symptoms (behavioural changes, irritability, agitation and impaired consciousness) while being weaned off sedation and ventilatory support. Cerebrospinal fluid was clear with an opening pressure of 26 cm H2O. Brain MRI showed features compatible with acute disseminated encephalomyelitis. Immune screen and EEG were normal. She was treated with intravenous methylprednisolone followed by oral prednisolone. The patient made an almost full neurological recovery within 4 weeks after starting on steroids. The patient delivered a healthy baby at 38 weeks gestation. This case highlights the importance to keep in mind rare conditions that need early recognition and prompt treatment. Brain MRI is the key to early diagnosis and treatment. PMID:25281245

  9. A morbid obese Japanese woman with a body mass index of 83.2 kg/m2: before and after sleeve gastrectomy.

    PubMed

    Goto, Maki; Inoue, Kaori; Tanaka, Takahisa; Kaneko, Yuri; Goto, Atsushi; Imai, Kenjiro; Ihana, Noriko; Tsujimoto, Tetsuro; Kosuga, Yuka; Seki, Yosuke; Kasama, Kazunori; Yasuda, Kazuki; Kishimoto, Miyako; Takahashi, Yoshihiko; Kajio, Hiroshi; Noda, Mitsuhiko

    2012-01-01

    A 34-year-old Japanese woman presented at our institution weighing 182.7 kg, 148.2 cm tall, and with a body mass index of 83.2 kg/m(2). She had been overweight since childhood, but no abnormality was found to explain her obesity. Treatments, including mazindol, bofu-tsusho-san, dietary restriction, and BioEnterics Intragastric Balloon, did not result in improvement of her obesity. Finally, we performed sleeve gastrectomy, and she has maintained her weight within 130-140 kg without rebounding for 2 and a half years. We followed the clinical changes before and after the operation. This case provides potentially interesting information regarding operative treatment for morbid obesity in Japanese. PMID:22504261

  10. Family Behavior Therapy for Use in Child Welfare: Results of a Case Study Involving an Abused Woman Formally Diagnosed With Alcohol Dependence, Bipolar Disorder, and Several Anxiety Disorders.

    PubMed

    Romero, Valerie; Donohue, Brad C; Hill, Heather H; Powell, Suzanne; Van Hasselt, Vincent B; Azrin, Nathan; Allen, Daniel N

    2010-10-01

    The results of a multiple-baseline case study of family behavior therapy (FBT) is described in a woman formally diagnosed with alcohol dependence, bipolar disorder, generalized anxiety disorder, specific phobia, and panic disorder. She was referred to treatment from the local Department of Family Services for child neglect and domestic violence. After baseline measures were administered, the first phase of treatment involved home safety tours aimed at reducing home hazards and cleanliness. A second phase of treatment additionally targeted family relationships through communication skills training exercises, and a third phase involved administration of the remaining FBT components to assist in comprehensively addressing other problem areas. Results indicated most problem areas were substantially improved, but only after they were comprehensively targeted in therapy. PMID:23136557

  11. Late diagnosis of lateral meningocele syndrome in a 55-year-old woman with symptoms of joint instability and chronic musculoskeletal pain.

    PubMed

    Castori, Marco; Morlino, Silvia; Ritelli, Marco; Brancati, Francesco; De Bernardo, Carmelilia; Colombi, Marina; Grammatico, Paola

    2014-02-01

    Lateral meningocele syndrome (LMS) is a rare hereditary connective tissue disorder characterized by pan-spinal meningoceles, specific facial dysmorphism, skeletal and soft tissue abnormalities, and hypotonia and/or muscle weakness. LMS has been observed in eleven patients with two instances of vertical transmission, and seven sporadic cases with an age at diagnosis ranging from 25 months to 33 years. We report on a further observation of LMS in a 55-year-old woman presenting with a long history of joint instability, chronic musculoskeletal pain, and iatrogenic bladder and anorectal dysfunction due to irreversible nerve damage after surgical excision of a meningeal cyst. Her clinical characteristics are compared with those of previously reported patients, as well as two further cases originally diagnosed with Hajdu-Cheney and Ehlers-Danlos syndromes, but displaying typical features of LMS. PMID:24311540

  12. Symptoms of degeneration of the pyramidal tracts in conventional magnetic resonance imaging and diffusion tensor imaging in a young woman with primary lateral sclerosis.

    PubMed

    Budrewicz, S; Szewczyk, P; Slotwinski, K; Koszewicz, M

    2015-01-01

    Primary lateral sclerosis (PLS) is one of the forms of motor neuron disease (MND), affecting only upper motor neurons. The diagnosis of PLS should be made on different diagnostic criteria, for example, Pringle or Gordon, but it is usually a diagnosis of exclusion. There are no characteristic findings in standard laboratory and electrophysiological assessment. We present details of a 31-year-old woman who had suffered from progressive paraparesis with right-side predominance. Conventional MRI of brain and spinal cord and diffusion tensor imaging (DTI) studies showed Hyperintense lesions in the upper part of the cervical spinal cord at the level C1 in lateral funicules, in the medulla oblongata at the pyramidal decussation and in the midbrain. Brain DTI revealed changes along the corticospinal tracts on fractional anisotropy (FA) maps. MRI of the thoracic spinal cord showed in T2-weighted images hyperintensive regions in the course of the lateral corticospinal tracts. This aided in PLS recognition. PMID:26119443

  13. Pain relief in a young woman with adhesive capsulitis after manual manipulation of the acromioclavicular joint for remaining symptoms after mobilisation under anaesthesia.

    PubMed

    Lilje, Stina; Genberg, Madeleine; Aldudjaili, Hassan; Skillgate, Eva

    2014-01-01

    Adhesive capsulitis is a painful condition with a prevalence of 2-5%. There is a lack of evidence for its aetiology and for conventional treatment and cost effects. This study describes the treatment effects of manual manipulation of the acromioclavicular joint for adhesive capsulitis in a young woman for persisting pain after mobilisation of the glenohumeral joint under anaesthesia. Primary outcomes were pain and physical function, measured by a visual analogue scale and the SF36 health survey. Secondary outcomes were sleep pattern, medication and perceived recovery. The mobility after manipulation under anaesthesia: elevation 55° and no improvement in pain. After manual manipulation: unrestricted elevation and significant pain relief. The patient no longer suffered from sleeping disorders and ceased all medication. Considering the lack of knowledge in aetiology and treatment, specialised manual examination of the acromioclavicular joint should be considered early in patients diagnosed with adhesive capsulitis. PMID:25385565

  14. Idiopathic Peripapillary Subretinal Neovascular Membrane in a Young Woman with Recurrence of the Lesion during Pregnancy after Treatment with Intravitreal Bevacizumab

    PubMed Central

    Al-Gharbi, Nasra; Al Abdulsalam, Omar; Al Habash, Ahmed

    2015-01-01

    We report a 27-year-old woman who was diagnosed with idiopathic peripapillary subretinal neovascular membrane (PSRNVM) in her left eye with best-corrected visual acuity (BCVA) of 20/160. She had been treated by three monthly doses of intravitreal bevacizumab (1.25 mg/0.05 ml) at 4-week intervals, which showed a favorable response. The treatment led to regression of the choroidal neovascular membrane (CNVM) with complete resorption of subretinal fluid and improvement of BCVA to 20/25. Subsequently, recurrence of the CNVM was observed during pregnancy (28 months after treatment). To the best of our knowledge, this is the first report of recurrence of idiopathic PSRNVM during pregnancy. PMID:25949086

  15. Young woman with breast cancer and cardiotoxicity with severe heart failure treated with a HeartMate IITM for nearly 6 years before heart transplantation.

    PubMed

    Sundbom, Per; Hedayati, Elham; Peterzén, Bengt; Granfeldt, Hans; Ahn, Henrik; Hubbert, Laila

    2014-01-01

    Cardiotoxicity is a multifactorial problem, which has emerged with the improvement of cancer therapies and survival. Heart transplantation is relatively contraindicated in patients with breast cancer, until at least 5 years after complete remission. We present a case where a young woman who in 2001, at the age of 31, was diagnosed with breast cancer. She was considered cured, but 4 years later she suffered a relapse. During her second treatment, in 2006, she suffered from severe heart failure. She received a HeartMate II, as a long-term bridge to transplantation and 6 years later she was successfully transplanted. In this case report we discuss the use of mechanical circulatory support in cancer patients with drug-induced heart failure. PMID:25232773

  16. H1N1 Influenza Viral Infection in a Postpartum Young Woman Causes Respiratory Failure: What the Care Providers Ought to Know?

    PubMed

    Aloizos, Stavros; Aravosita, Paraskevi; Mystakelli, Christina; Kanna, Efthymia; Gourgiotis, Stavros

    2012-01-01

    Pregnant and postpartum women are considered a population at increased risk of hospitalization of H1N1 infection. We report the case of a young postpartum woman, who developed evidence of respiratory failure reaching the point of requiring intubation due to an H1N1 influenza virus infection two days after a caesarean delivery. We emphasize the diagnosis, management, and the outcome focusing on the question "what the care providers, including obstetric health care workers, ought to know?" Diagnostic and management strategy for pregnant or postpartum women with novel influenza A (H1N1) viral infection and increased awareness amongst patients and health care professionals may result in improved survival. PMID:23150842

  17. H1N1 Influenza Viral Infection in a Postpartum Young Woman Causes Respiratory Failure: What the Care Providers Ought to Know?

    PubMed Central

    Aloizos, Stavros; Aravosita, Paraskevi; Mystakelli, Christina; Kanna, Efthymia; Gourgiotis, Stavros

    2012-01-01

    Pregnant and postpartum women are considered a population at increased risk of hospitalization of H1N1 infection. We report the case of a young postpartum woman, who developed evidence of respiratory failure reaching the point of requiring intubation due to an H1N1 influenza virus infection two days after a caesarean delivery. We emphasize the diagnosis, management, and the outcome focusing on the question “what the care providers, including obstetric health care workers, ought to know?” Diagnostic and management strategy for pregnant or postpartum women with novel influenza A (H1N1) viral infection and increased awareness amongst patients and health care professionals may result in improved survival. PMID:23150842

  18. Pregnant woman with non-comatose autoimmune acute liver failure in the second trimester rescued using medical therapy: A case report.

    PubMed

    Sato, Hirokazu; Tomita, Kengo; Yasue, Chihiro; Umeda, Rumiko; Ebinuma, Hirotoshi; Ogata, Sho; Du, Wenlin; Soga, Shigeyoshi; Maruta, Koji; Yasutake, Yuichi; Narimatsu, Kazuyuki; Usui, Shingo; Watanabe, Chikako; Komoto, Shunsuke; Teratani, Toshiaki; Suzuki, Takahiro; Yokoyama, Hirokazu; Saito, Hidetsugu; Nagao, Shigeaki; Hibi, Toshifumi; Miura, Soichiro; Kanai, Takanori; Hokari, Ryota

    2015-03-01

    We present the case of a 25-year-old woman at 16 weeks of gestation who presented with non-comatose autoimmune acute liver failure and was at high risk of developing fulminant hepatitis. Predictive formulas indicated a high probability of developing fulminant hepatitis. Unenhanced computed tomography showed marked hepatic atrophy and broadly heterogeneous hypoattenuating areas. The course of her illness was subacute, and the etiology of liver injury was unclear. Considering all of the above, we predicted a poor prognosis. Plasma exchange (PE) and continuous hemodiafiltration (CHDF) therapy were initiated just after admission. A few days after admission, a high titer (×80) of antinuclear antibody was noted. Because autoimmune hepatitis (AIH) was considered a cause of liver failure, treatment with moderate prednisolone (30?mg/day) doses was administrated, with careful consideration of her pregnancy. Thereafter, her laboratory findings and clinical course gradually improved without the need for liver transplantation. A liver biopsy at 18 days after admission indicated a diagnosis of AIH. She continued the pregnancy and delivered a healthy baby without any complications. Eventually, prednisolone doses were decreased to 10?mg, after which her liver function worsened. The second liver biopsy also indicated a diagnosis of AIH. Accordingly, low-dose prednisolone and azathioprine doses (50?mg/day) were administrated to recover her liver function, after which her liver function regained normalcy. This case illustrates that a pregnant woman with non-comatose autoimmune acute liver failure in the first or second trimester of pregnancy and her fetus can be rescued by PE/CHDF therapy and safe moderate doses of prednisolone. PMID:24739014

  19. Clinicopathologic correlates in the oldest-old Commentary on “No disease in the brain of a 115-year-old woman

    PubMed Central

    Giannakopoulos, Panteleimon; Bouras, Constantin; Hof, Patrick R.

    2010-01-01

    den Dunnen et al. [den Dunnen, W.F.A., Brouwer, W.H., Bijlard, E., Kamphuis, J., van Linschoten, K., Eggens-Meijer, E., Holstege, G., 2008. No disease in the brain of a 115-year-old woman. Neurobiol. Aging] had the opportunity to follow up the cognitive functioning of one of the world’s oldest woman during the last 3 years of her life. They performed two neuropsychological evaluations at age 112 and 115 that revealed a striking preservation of immediate recall abilities and orientation. In contrast, working memory, retrieval from semantic memory and mental arithmetic performances declined after age 112. Overall, only a one-point decrease of MMSE score occurred (from 27 to 26) reflecting the remarkable preservation of cognitive abilities. The neuropathological assessment showed few neurofibrillary tangles (NFT) in the hippocampal formation compatible with Braak staging II, absence of amyloid deposits and other types of neurodegenerative lesions as well as preservation of neuron numbers in locus coeruleus. This finding was related to a striking paucity of Alzheimer disease (AD)-related lesions in the hippocampal formation. The present report parallels the early descriptions of rare “supernormal” centenarians supporting the dissociation between brain aging and AD processes. In conjunction with recent stereological analyses in cases aged from 90 to 102 years, it also points to the marked resistance of the hippocampal formation to the degenerative process in this age group and possible dissociation between the occurrence of slight cognitive deficits and development of AD-related pathologic changes in neocortical areas. This work is discussed in the context of current efforts to identify the biological and genetic parameters of human longevity. PMID:18534719

  20. DNA Testing for Mutations of BRCA1 and BRCA2 A woman has an 11-12% lifetime risk of developing breast cancer, and a 1% lifetime risk of developing ovarian

    E-print Network

    Das, Soma

    01/03 DNA Testing for Mutations of BRCA1 and BRCA2 A woman has an 11-12% lifetime risk cancer susceptibility genes have been isolated, BRCA1 and BRCA2, with germline mutations in these genes-85%. The genes for BRCA1 and BRCA2 are located on chromosome 17 and chromosome 13, respectively. The hereditary

  1. Breaking the Glass Ceiling in Oklahoma Higher Education: A Case Study of Kate Galt Zaneis, the First Woman President of a Public Four-Year College or University in the United States

    ERIC Educational Resources Information Center

    Smarr, Debbie L.

    2011-01-01

    Women's leadership within higher education continues to be the focus of research and essays. A look into the lives of past women leaders in higher education can provide a potential "road-map" for aspiring women to follow as they develop their leadership style to aid in their upward mobility. The study of the first woman to lead a public four-year…

  2. 07/06/2006 08:45 PMHow to Train a Woman -New York Times Page 1 of 3http://select.nytimes.com/2006/07/05/opinion/05dowd.html?th&emc=th

    E-print Network

    Menzel, Suzanne

    : What Shamu Taught Me About a Happy Marriage (June 25, 2006) OP-ED COLUMNIST How to Train a Woman successfully applied the techniques of exotic animal trainers to change some annoying traits of her husband exotic animal trainers is that I should reward behavior I like and ignore behavior I don't," she wrote

  3. Case records of the Massachusetts General Hospital. Case 35-2014: a 31-year-old woman with fevers, chest pain, and a history of HCV infection and substance-use disorder.

    PubMed

    Wakeman, Sarah E; Ghoshhajra, Brian B; Dudzinski, David M; Wilens, Timothy; Slavin, Peter L

    2014-11-13

    A 31-year-old woman with substance-use disorder was admitted to this hospital because of fevers and chest pain. CT of the chest revealed multiple thick-walled nodular opacities throughout both lungs. Diagnostic tests were performed, and management decisions were made. PMID:25390743

  4. Acute thrombosis of the superior mesenteric artery in a 39-year-old woman with protein-S deficiency: a case report

    PubMed Central

    2011-01-01

    Introduction Acute thromboembolic occlusion of the superior mesenteric artery is a condition with an unfavorable prognosis. Treatment of this condition is focused on early diagnosis, surgical or intravascular restoration of blood flow to the ischemic intestine, surgical resection of the necrotic bowel and supportive intensive care. In this report, we describe a case of a 39-year-old woman who developed a small bowel infarct because of an acute thrombotic occlusion of the superior mesenteric artery, also involving the splenic artery. Case presentation A 39-year-old Caucasian woman presented with acute abdominal pain and signs of intestinal occlusion. The patient was given an abdominal computed tomography scan and ultrasonography in association with Doppler ultrasonography, highlighting a thrombosis of the celiac trunk, of the superior mesenteric artery, and of the splenic artery. She immediately underwent an explorative laparotomy, and revascularization was performed by thromboendarterectomy with a Fogarty catheter. In the following postoperative days, she was given a scheduled second and third look, evidencing necrotic jejunal and ileal handles. During all the surgical procedures, we performed intraoperative Doppler ultrasound of the superior mesenteric artery and celiac trunk to control the arterial flow without evidence of a new thrombosis. Conclusion Acute mesenteric ischemia is a rare abdominal emergency that is characterized by a high mortality rate. Generally, acute mesenteric ischemia is due to an impaired blood supply to the intestine caused by thromboembolic phenomena. These phenomena may be associated with a variety of congenital prothrombotic disorders. A prompt diagnosis is a prerequisite for successful treatment. The treatment of choice remains laparotomy and thromboendarterectomy, although some prefer an endovascular approach. A second-look laparotomy could be required to evaluate viable intestinal handles. Some authors support a laparoscopic second-look. The possibility of evaluating the arteriotomy, during a repeated laparotomy with a Doppler ultrasound, is crucial to show a new thrombosis. Although the prognosis of acute mesenteric ischemia due to an acute arterial mesenteric thrombosis remains poor, a prompt diagnosis, aggressive surgical treatment and supportive intensive care unit could improve the outcome for patients with this condition. PMID:21244677

  5. A very rare case of HPV-53-related cervical cancer, in a 79-year-old woman with a previous history of negative Pap cytology

    PubMed Central

    Zappacosta, Roberta; Lattanzio, Giuseppe; Viola, Patrizia; Ianieri, Manuel Maria; Gatta, Daniela Maria Pia; Rosini, Sandra

    2014-01-01

    The introduction of organized cervical cancer (CC) screening programs has drastically reduced the prevalence of CC. However the incidence is still too high, especially among elderly women. All guidelines strongly recommend a regular Papanicolaou (Pap) testing for young and middle-aged patients. On the other hand, many international professional societies no longer advise screening in women who have undergone hysterectomy, and in women aged 65 years and above, who have a previous history of regular Pap smears. Here we report the case of poorly differentiated CC, involving the pelvic lymph nodes and urinary bladder, occurring in a 79-year-old woman who regularly underwent Pap tests, with no reported cytological abnormalities. In this very rare case, the CC cells, as well as cells from metastatic lymph nodes and cells from urinary specimens, molecularly showed human papilloma virus (HPV)-53. With the limitations of a single case, this report brings important information to prevent CC in elderly patients: the utility of molecular tests to increase sensitivity of Pap smears in postmenopausal women; the importance of HPV-53 as one of the four “emergent” genotypes having a possible role in oncogenesis; and the presence of HPV-53 in lymph node metastases from cervical carcinoma, which would support the role of this virus in the maintenance of malignant status. PMID:24790420

  6. Herpes simplex virus and cytomegalovirus co-infection presenting as exuberant genital ulcer in a woman infected with human immunodeficiency virus.

    PubMed

    Gouveia, A I; Borges-Costa, J; Soares-Almeida, L; Sacramento-Marques, M; Kutzner, H

    2014-12-01

    In patients infected with human immunodeficiency virus (HIV), genital herpes can result in severe and atypical clinical presentations, and can become resistant to aciclovir treatment. Rarely, these manifestations may represent concurrent herpes simplex virus (HSV) with other agents. We report a 41-year-old black woman with HIV who presented with extensive and painful ulceration of the genitalia. Histological examination of a biopsy sample was suggestive of herpetic infection, and intravenous aciclovir was started, but produced only partial improvement. PCR was performed on the biopsy sample, and both HSV and cytomegalovirus (CMV) DNA was detected. Oral valganciclovir was started with therapeutic success. CMV infection is common in patients infected with HIV, but its presence in mucocutaneous lesions is rarely reported. This case exemplifies the difficulties of diagnosis of genital ulcers in patients infected with HIV. The presence of exuberant and persistent HSV genital ulcers in patients with HIV should also raise suspicions of the presence of co-infection with other organisms such as CMV. PMID:25250849

  7. Simultaneous bilateral femoral neck fracture and end-stage renal disease in a 76-year-old woman: a case report.

    PubMed

    Mazzola, Paolo; Anzuini, Alessandra; Picone, Domenico; De Filippi, Francesco; Dubner, Lauren; Bellelli, Giuseppe; Zatti, Giovanni; Pasinetti, Giulio M; Annoni, Giorgio

    2015-08-01

    Hip fracture is a common occurrence in the elderly. Due to the growing demand for the specific care of these patients, we established the Orthogeriatric Unit (OGU) at San Gerardo University Hospital (Italy) in 2007. However, simultaneous bilateral femoral neck fractures among the geriatric population (those aged ?65 years) are rarely reported in the literature. Reporting the rare case of a frail 76-year-old woman admitted with bilateral hip fracture and end-stage renal disease, we explain the important role played by the OGU and its flexible multidisciplinary approach for providing comprehensive care to patients with multimorbidity and clinical complexity. The team of geriatricians, orthopedic surgeons, anesthesiologists, and, in this case, a nephrologist, helped in the careful planning and timing of the single-step surgical repair, decided the appropriate type of anesthesia, and optimized outcomes. After a prompt evaluation of the patient, the OGU approach can achieve clinical stabilization prior to intervention. Along with a strict follow-up in the postoperative phase, this could result in a significant reduction of complications and mortality rates and an early start to a tailored rehabilitation process. We strongly suggest employing facilities with multidisciplinary teams for cases involving complex patients at short-term high risk for poor clinical outcomes. Indeed, the usual single-specialist model of care is gradually being abandoned worldwide. PMID:25576255

  8. Dramatic change in a young woman's perception of her diabetes and remarkable reduction in HbA1c after an individual course of Guided Self-Determination.

    PubMed

    Zoffmann, Vibeke; Prip, Anne; Christiansen, Anette Wendelboe

    2015-01-01

    A 24-year-old woman with type 1 diabetes participated in a randomised controlled trial proving effectiveness of a flexible Guided Self-Determination (GSD) intervention. She had for 10?years been living with a complex situation of eating disorder, poor glycaemic control, non-attendance and psychosocial distress. She managed to change her perception of diabetes dramatically and improved her glycaemic control. Considering the complexity of her case, we explored how she achieved these changes. A GSD-trained nurse delivered the intervention, which involves reflection sheets and advanced professional communication. Glycated hemoglobin was reported in the patient's record and an interview conducted by external interviewers was analysed thematically, indicating that a four-stage process of empowerment had taken place: 'focusing on life prior to numbers', 'unpacking a heavy burden', 'breaking out of isolation through communication' and 'finding strength within oneself'. The article emphasises that GSD works by breaking isolation through communication as an appropriate way to achieve good diabetes control. PMID:26150632

  9. inv(2)(p23q13)/RAN-binding protein 2 (RANBP2)-ALK fusion gene in myeloid leukemia that developed in an elderly woman.

    PubMed

    Maesako, Yoshitomo; Izumi, Kiyotaka; Okamori, Satoshi; Takeoka, Kayo; Kishimori, Chiyuki; Okumura, Atsuko; Honjo, Gen; Akasaka, Takashi; Ohno, Hitoshi

    2014-02-01

    A 75-year-old woman presented with marked leukocytosis; the white cell count was 143.6 × 10³/?L with 38.6 % monocytes and 13.6 % immature granulocytes, including blasts. Bone marrow (BM) aspirate smears showed >90 % cellularity with hyperplasia of myeloid-lineage cells, 14.6 % monocytes, and 32.1 % blasts. The granulocyte series showed a range of dysplastic morphologies. The rate of peroxidase positivity was 51.5 %. CD36+ cells with monocytic differentiation comprised 64.6 % mononuclear cells. Metaphase spreads obtained from the BM revealed an aneuploid karyotype with -7 and a submetacentric marker chromosome derived from chromosome 2, which was determined to be inv(2)(p23q13) by fluorescence in situ hybridization using the Vysis ALK probe. RAN-binding protein 2 (RANBP2)-ALK fusion mRNA was confirmed by reverse transcriptase-mediated polymerase chain reaction and nucleotide sequencing. High-sensitivity anti-ALK immunohistochemistry of a BM biopsy specimen demonstrated nuclear membrane staining of leukemia cells. As the leukemia showed features of chronic myelomonocytic leukemia, the patient was treated with standard daunorubicin-cytarabine followed by azacitidine, leading to the durable suppression of leukemia progression. These findings suggest that inv(2)(p23q13)/RABBP2-ALK defines a small subset of myeloid leukemia characterized by differentiation to monocytes and sharing features of myelodysplastic syndrome/myeloproliferative neoplasm. PMID:24307515

  10. Coincidental detection of T-cell rich B-cell lymphoma in the paraaortic lymph nodes of a woman undergoing lymph node dissection for cervical cancer.

    PubMed

    Abali, H; Eren, O O; Erman, M; Uner, A H; Kose, F; Guler, N

    2003-01-01

    The diagnosis of cervical squamous cell carcinoma with concurrent T-cell rich B-cell lymphoma in dissected lymph nodes has not been reported to our knowledge. We report such a case. The biopsy of an exophytic lesion at the uterine cervix showed squamous cell carcinoma in a 50-year-old woman presenting with postcoital bleeding. Type III hysterectomy, bilateral salpingo-oophorectemy, bilateral pelvic, paraaortic lymph node dissections were performed. Pathologic examination revealed a T-cell rich B-cell lymphoma in some lymph nodes beside squamous cell carcinoma in several of others. ELISA for human immuno-deficiency virus (HIV) was negative. The cervical carcinoma was staged as FIGO clinical stage IB1 and the lymphoma as Ann Arbor IIA. Six cycles of CHOP (cyclophosphamide, adriamycin, vincristine, and prednisone) chemotherapy for the lymphoma and concomitant pelvic chemo-radiotherapy with cisplatin for cervical cancer were given. In this rare coincidence; the best available therapy for each of the diseases should be considered individually. We also suggest that HIV screening test be carried out, because both diseases may be related to human immuno-deficiency virus, although our patient was HIV-negative. PMID:12911737

  11. Being and feeling like a woman: respectability, responsibility, desirability and safe sex among women of Afro-Surinamese and Dutch Antillean descent in the Netherlands.

    PubMed

    Bertens, Madelief G B C; Krumeich, Anja; van den Borne, Bart; Schaalma, Herman P

    2008-08-01

    The objective of this study was to describe and understand gender roles and the relational context of sexual decision-making and safe sex negotiation among Afro-Surinamese and Dutch Antillean women in the Netherlands. Twenty-eight individual in-depth interviews and eight focus group discussions were conducted. In negotiating safe sex with a partner, women reported encountering ambiguity between being respectable and being responsible. Their independence, autonomy, authority and pride inherent to the matrifocal household give them ample opportunity to negotiate safe sex and power to stand firm in executing their decisions. The need to be respectable burdens negotiation practices, because as respectable, virtuous women there would not be the need to use condoms. Respectable women will only participate in serious monogamous relationships, which are inherently safe. Women's desire to feel like a woman, 'to tame the macho-man' and constrain him into a steady relationship, limits negotiation space because of emotional dependency. Respectability seems to enforce not questioning men's sexual infidelity. In developing STI/HIV prevention programmes this ambiguity due to cultural values related to gender roles should be considered. Raising awareness of power differences and conflicting roles and values may support women in safe-sex decision-making. PMID:18649194

  12. Cervical lymphadenitis caused by a fastidious mycobacterium closely related to Mycobacterium genavense in an apparently immunocompetent woman: diagnosis by culture-free microbiological methods.

    PubMed Central

    Bosquée, L; Böttger, E C; De Beenhouwer, H; Fonteyne, P A; Hirschel, B; Larsson, L; Meyers, W M; Palomino, J C; Realini, L; Rigouts, L

    1995-01-01

    Fastidious mycobacteria usually infect immunocompromised hosts (human immunodeficiency virus-infected or otherwise immunosuppressed patients). We here describe severe lymphadenitis, caused by a fastidious mycobacterium closely related to Mycobacterium genavense, in an apparently immunocompetent woman, whose brother had died from an unidentified mycobacterial infection in 1969. A variety of techniques, including inoculation of nude mice, histopathology, electron microscopy, lipid analysis, ATP measurements, and molecular biology, were used to characterize this mycobacterium. All attempts to culture the etiological agent on many different media failed. The organism multiplied only in congenitally athymic nude mice. Although phenotypically similar to M. genavense, the mycobacterium differs from M. genavense by three nucleotides of the 16S rRNA gene sequence. Various antimycobacterial drugs were administered, including gamma interferon, but multiple relapses occurred. Finally, therapy with a combined regimen of clarithromycin, clofazimine, rifabutin, and ethambutol was curative. To our knowledge, this is the first report of lymphadenitis in an apparently immunocompetent patient, caused by a noncultivable Mycobacterium sp. closely related to M. genavense. This study emphasizes the importance of employing a variety of diagnostic approaches such as the inoculation of laboratory animals, histopathology, electron microscopy, lipid analysis, ATP measurements, and molecular biology to characterize novel microorganisms that cannot be cultured in vitro. PMID:8567903

  13. A 27-year-old woman presenting with refractory hypoxaemic respiratory failure, haemoptysis and thyrotoxicosis: a rare manifestation of propylthiouracil therapy.

    PubMed

    Ortiz-Diaz, Enrique O

    2014-01-01

    Pulmonary manifestations of hyperthyroidism not only include pulmonary hypertension and hydrostatic pulmonary oedema, but also treatment/drug-associated pulmonary diseases have to be considered as an exclusion diagnosis. A 27-year-old woman with hypoxaemic respiratory failure under an arterial-venous extra-corporeal membrane oxygenator (AV-ECMO) was admitted to the intensive care unit (ICU). The patient had progressive dyspnoea with haemoptysis, palpitations and failure to thrive. The patient had Graves' disease treated previously with propylthiouracil (PTU). Diffuse alveolar haemorrhage is a non-specific syndrome characterised by evidence of diffuse alveolar damage, exclusion of infectious aetiology and progressively bloodier bronchoalveolar lavage (and/or 20% hemosiderin laden macrophages on cytological examination). PTU associated perinuclear antineutrophil cytoplasmic antibodies (p-ANCA) vasculitis appears to be more common in younger female patients presenting with leukocytoclastic vasculitis, myalgias and arthralgias. The latter compared to non-drug associated ANCA vasculitis which are more common in older males with visceral involvement. PTU-induced ANCA vasculitis prognosis appears to be better compared to primary ANCA syndromes. PMID:25150234

  14. Metastatic phaeochromocytoma in a 23-year-old woman with an unclassified variant in the von Hippel Lindau disease gene: how can the pathogenicity of this variant be determined?

    PubMed

    Russell, Nicholas; Delatycki, Martin; Grossmann, Mathis

    2015-07-01

    A 23-year-old woman with metastatic phaeochromocytoma was found to have a previously unclassified variant in the von Hippel Lindau disease gene (c.361G>C). We use this case to highlight the issue of unclassified single nucleotide variants and the approaches to help predict whether they are disease causing or neutral. With increasing use of genetic testing, and widespread clinical use of next-generation sequencing around the corner, this issue is likely to become more prominent. PMID:25557216

  15. Characterization of a Human Platelet Antigen-1a-Specific Monoclonal Antibody Derived from a B Cell from a Woman Alloimmunized in Pregnancy.

    PubMed

    Eksteen, Mariana; Tiller, Heidi; Averina, Maria; Heide, Gøril; Kjaer, Mette; Ghevaert, Cedric; Michaelsen, Terje E; Ihle, Øistein; Husebekk, Anne; Skogen, Bjørn; Stuge, Tor B

    2015-06-15

    Human platelet Ag (HPA)-1a, located on integrin ?3, is the main target for alloantibodies responsible for fetal and neonatal alloimmune thrombocytopenia (FNAIT) in the white population. There are ongoing efforts to develop an Ab prophylaxis and therapy to prevent or treat FNAIT. In this study, an mAb specific for HPA-1a, named 26.4, was derived from an immortalized B cell from an alloimmunized woman who had an infant affected by FNAIT. It is the only HPA-1a-specific human mAb with naturally paired H and L chains. Specific binding of mAb 26.4, both native and recombinant forms, to platelets and to purified integrins ?IIb?3 (from platelets) and ?V?3 (from trophoblasts) from HPA-1a(+) donors was demonstrated by flow cytometry and surface plasmon resonance technology, respectively. No binding to HPA-1a(-) platelets or integrins was detected. Moreover, the Ab binds with higher affinity to integrin ?V?3 compared with a second HPA-1a-specific human mAb, B2G1. Further in vitro experimentation demonstrated that mAb 26.4 can opsonize HPA-1a(+) platelets for enhanced phagocytosis by monocytes, inhibit binding of maternal polyclonal anti-HPA-1a Abs, and weakly inhibit aggregation of HPA-1a-heterozygous platelets, the latter with no predicted clinical relevance. Thus, mAb 26.4 is highly specific for HPA-1a and could potentially be explored for use as a prophylactic or therapeutic reagent for FNAIT intervention and as a phenotyping reagent to identify women at risk for immunization. PMID:25972474

  16. Coexistence of early microinvasive endometrioid adenocarcinoma and CIN3 in the uterine cervix in a 32-year-old Japanese woman

    PubMed Central

    2011-01-01

    Simultaneous occurrence of early microinvasive endometrioid adenocarcinoma (EMEA) and CIN 3 in the uterine cervix is very rare in Japan. A 32-year-old Japanese woman was pointed out to have atypical cells in the cervical cytology. Colposcopic examination revealed irregular lesions in the cervix, and a biopsy showed simultaneous EMEA and CIN3. The EMEA was grade I and CIN3 corresponded to severe dysplasia/carcinoma in situ. Hysterectomy and lymph nodes dissection were performed. Grossly, mucosal irregularity and erosion were seen in the cervix. No tumor formation was recognized. The cervix was examined by serial sections. Microscopically, there were a tiny adenocarcinoma (0.5 cm in diameter and 0.3 cm in depth) and broad areas of CIN3. The adenocarcinoma was EMEA without mucins. The EMEA was FIGO stage 1A1. Immunohistochemically, the EMEA was positive for pancytokeratins (AE1/2 +++, CAM5.2 ++), cytokeratin (CK) 34?E12 +, CK5/6 +, CK7 +, CK18 +++, CK19 ++, CA19-9 +, CA125 +++, p53 +, ER +++, PgR +++, while it was negative for CK8, CK14, CK20, EMA, vimentin, CEA, desmin, smooth muscle actin, p63, chromogranin, synaptophysin, CD56, CD68, HER2/neu, MUC1, MUC2, MUC5AC, and MUC6. The CIN 3 was positive for pancytokeratins (AE1/2 +++, CAM5.2 +), cytokeratin (CK) 34?E12 +++, CK5/6 +++, CK7 +, EMA, CA19-9 +, CA125 +, p53 +, p63 +++, ER +++, and MUC1 +, while it was negative for CK8, CK14, CK18, CK19, CK20, vimentin, CEA, desmin, smooth muscle actin, chromogranin, synaptophysin, CD56, CD68, PgR, HER2/neu, MUC2, MUC5AC and MUC6. The lymph nodes showed no metastatic lesions (0/34). In conclusion, the author reported a rare case of simultaneous EMEA and CIN 3 with extensive immunohistochemical findings. PMID:21663603

  17. Woman in a Temporary Camp 

    E-print Network

    Unknown

    1914-01-01

    Reservation Hanford Site Savannah River Site Idaho National Engineering Laboratory. . . State of Idaho Oversight Program. Environmental Science and Research Foundation. Summary. Detection and Measurement Equipment. Plume Dispersion Using CAP88PC 16...' Electrical Substation D Sodium Boiler Building s EBR-II Fuel Cycle Facility Plant Services EBR-II Power Plant Building Office Building Laboratory and Office Building Entrance Security Building ZPPR 25 meters Scale: Fig. 2. Argonne National...

  18. Emmy Noether, Greatest Woman Mathematician.

    ERIC Educational Resources Information Center

    Kimberling, Clark

    1982-01-01

    A brief history of Amalie Emmy Noether is presented, citing many of her contributions to mathematics and physics. Major credit for the development of modern algebra should probably be given to her. Reference is made to Noether's theorem and Noetherian Rings. (MP)

  19. Woman in Physics in Slovenia

    NASA Astrophysics Data System (ADS)

    Zeleznik, Nadja; Conradi, Marjetka; Remskar, Maja

    2009-04-01

    Slovenian female physicists are organized in an informal network that incorporates more than 100 women working in research, academia, government, and industry. In the past three years we have accomplished several actions in order to motivate young girls and students to pursue physics. Our main achievement was publishing the monograph Physics—My Education in September 2007. The book includes 79 autobiographic contributions of female physicists presenting their life and work in different areas: science (institutes and universities), teaching, industry, and government. We have also organized an exhibition about Slovene women in physics, presenting the very first female physicists and all the next generations. A very popular item among women and men was also a T-shirt with our logo. By selling the books and T-shirts we have collected money for scholarships for female students of physics. The first four scholarships were awarded on March 8, 2008, in the spirit of the International Women's Day.

  20. Job Ideas for Today's Woman.

    ERIC Educational Resources Information Center

    Lembeck, Ruth

    A women entering the job market for the first time, getting back to it, or changing jobs can encounter many problems. This step-by-step guide is designed to make this task easier. Of the 1,000 jobs listed there are several special interest areas covered: foods, parties, retailing, direct or mail-order selling, real estate, insurance, animals,…

  1. Portrait of a Devasi woman

    E-print Network

    Wickett, Elizabeth

    left a funeral in a village of Lune District, Jodhpur, Rajasthan Genre or type (i.e. epic, song, ritual) Photograph Name of recorder (if different from collector) Date of recording November 2008 Place of recording Village in Lune district... , Rajasthan Name(s), age, sex, place of birth of performer(s) Not known Language of recording Performer(s)’s first / native language Performer(s)’s ethnic group Devasi, one of the nomadic tribes of Rajasthan, patrons of performances of the Epic...

  2. Becoming an Outdoors-Woman.

    ERIC Educational Resources Information Center

    Thomas, Christine L.; Peterson, Tammy A.

    1995-01-01

    Describes a program developed to address barriers that prevent women from participating in hunting and fishing, and to give participants opportunities to learn outdoor skills in a nonthreatening environment. Over 600 women participated in 6 outdoor skill clinics in Wisconsin, Nebraska, Oregon, and Texas. Overviews marketing strategies related to…

  3. Bone Woman: poetry and fictions 

    E-print Network

    Airheart-Martin, Tria Ellen

    1997-01-01

    in their durability is transcendent. They are visible links to past biology, a morphological proof of connections between creatures. Their beauty is one of form serving function, the same beauty that blends art and artifact In our language, sayings such as "I know... it in my bones, " also reveal an idea that bones are the physical link to a deep-seated knowledge of our past; our ancestors live in our bones with I share my love of bones with artist Georgia O'KeeAe. Many of her works celebrate bones that she found...

  4. Free tendon grafts in elder patients, a case report of repair of flexor pollicis longus tendon with a free palmaris longus graft in an 89-year-old woman.

    PubMed

    de Panafieu, E; Upex, P; Doursounian, L; Robert, N

    2014-10-22

    Flexor tendon rupture is a potential complication after volar plating of distal radius fracture. Palliative procedures such as tenodesis and arthrodesis are usually employed in elder patients with imperfect results. We report a case of delayed flexor pollicis longus rupture seven years after volar plating of a distal radius fracture occurring in an 89-year-old woman. The repair with a free tendon graft of palmaris longus was successful in terms of strength and range of motion. Free tendon grafts should not be limited to younger patients and could be used in elder patients after careful selection. PMID:25447212

  5. Novel beta-galactosidase gene mutation p.W273R in a woman with mucopolysaccharidosis type IVB (Morquio B) and lack of response to in vitro chaperone treatment of her skin fibroblasts.

    PubMed

    Gucev, Zoran S; Tasic, Velibor; Jancevska, Aleksandra; Zafirovski, Georgi; Kremensky, Ivo; Sinigerska, Ivanka; Nanba, Eiji; Higaki, Katsumi; Gucev, Filip; Suzuki, Yoshiyuki

    2008-07-01

    The patient is a 24-year-old woman who first came for consultation at age 10 years. Based on clinical phenotype and thin-layer chromatography of urinary oligosaccharides, peripheral leukocytes were sent for beta-galactosidase assay. This testing showed a deficiency in enzyme activity, and gene mutation analysis identified a previously reported mutation p.H281Y (875C > T) and a novel mutation p.W273R (817T > C). Unlike previously reported patients, mutant enzymes in this patient's cultured skin fibroblasts did not respond to treatment with a chaperone compound, N-octyl-4-epi-beta-valienamine. PMID:18546276

  6. Being perceived as 'a real woman' or following one's own convictions: a qualitative study to understand individual, family, and community influences on the place of childbirth in Busia, Kenya.

    PubMed

    Dahlberg, Marie; Södergård, Björn; Thorson, Anna; Alfvén, Tobias; Awiti-Ujiji, Opondo

    2015-01-01

    Despite potentially playing a key role in improving maternal and child health, including the prevention of mother-to-child transmission (PMTCT) of HIV, health facility delivery rates remain low in Kenya. Understanding how place of childbirth is determined is therefore important when developing interventions to improve safe motherhood and childbirth outcomes. As part of a qualitative study, we conducted 25 in-depth interviews with mothers (13) and healthcare staff (12) and held 10 focus group discussions with traditional birth attendants (6) and female relatives (4) in Busia, rural Kenya. Our findings show that mothers prefer facility delivery; however, the choice is not theirs alone but involves both their family and the community. Furthermore, facility delivery poses a risk of being viewed as disloyal to tradition and not 'a real woman', which causes a strained relationship between healthcare staff, family and the community. Our interpretation of the findings is that mothers feel trapped between loyalty to sociocultural norms and awareness of the benefits of facility delivery. Also, we believe healthcare staff's disinclination to recognise certain traditional birth attendant services as a potential asset poses a barrier to increased facility deliveries. Interventions to link traditional birth attendants with formal healthcare combined with sociocultural sensitivity training for healthcare staff may increase facility delivery and PMTCT. PMID:25270333

  7. Adult presentation of arterial tortuosity syndrome in a 51-year-old woman with a novel homozygous c.1411+1G>A mutation in the SLC2A10 gene.

    PubMed

    Castori, Marco; Ritelli, Marco; Zoppi, Nicoletta; Molisso, Luisa; Chiarelli, Nicola; Zaccagna, Fulvio; Grammatico, Paola; Colombi, Marina

    2012-05-01

    Arterial tortuosity syndrome (ATS) is an autosomal recessive connective tissue disorder, mainly characterized by tortuosity and elongation of the large- and medium-sized arteries with predisposition to stenoses and aneurysms. ATS is caused by mutations in the SLC2A10 gene, encoding for the facilitative glucose transporter 10 (GLUT10) and is described typically in pediatric patients. We report on a 51-year-old woman, originally ascertained because of unexplained widespread chronic pain and positive family history of aortic malformation. The main findings included aged appearance, congenital joint hypermobility, joint instability complications, chronic fatigue syndrome, progressive painful joint stiffness, abdominal hernias, pelvic prolapses, multiple cardiac valve prolapses, varicose veins, easy bruising, and gingival recession. Vascular imaging revealed kinking and anomalous origin of the aortic arch branches, marked tortuosity of the aorta, pulmonary and most middle arteries, and a small aneurysm of the splenic artery. SLC2A10 analysis disclosed homozygosity for the novel c.1411+1G>A splice mutation, leading to a 41 amino acids GLUT10 internal deletion. Expression study by immunofluorescence using healthy control cells showed lack of membrane internalization of GLUT10 in patient's skin fibroblasts. This report describes the first splice-site SLC2A10 mutation and increases to 19 the repertoire of known mutations in this gene. Comparison with the few previously published adult patients with ATS contributes to the natural history of this condition, which is probably under diagnosed within the expanding family of inherited connective tissue disorders. PMID:22488877

  8. Effect of High-Dose Vitamin D3 Intake on Ambulation, Muscular Pain and Bone Mineral Density in a Woman with Multiple Sclerosis: A 10-Year Longitudinal Case Report

    PubMed Central

    van Amerongen, Barbara M.; Feron, François

    2012-01-01

    Mounting evidence correlate vitamin D3 (cholecalciferol) supplementation or higher serum levels of vitamin D (25(OH)D) with a lower risk of developing multiple sclerosis (MS), reduced relapse rate, slower progression or fewer new brain lesions. We present here the case of a woman who was diagnosed with MS in 1990. From 1980 to 2000, her ability to walk decreased from ~20 to 1 km per day. Since January 2001, a vitamin D3 supplement was ingested daily. The starting dose was 20 mcg (800 IU)/day and escalated to 100 mcg (4000 IU)/day in September 2004 and then to 150 mcg (6000 IU)/day in December 2005. Vitamin D3 intake reduced muscular pain and improved ambulation from 1 (February 2000) to 14 km/day (February 2008). Vitamin D intake over 10 years caused no adverse effects: no hypercalcaemia, nephrolithiasis or hypercalciuria were observed. Bowel problems in MS may need to be addressed as they can cause malabsorption including calcium, which may increase serum PTH and 1,25(OH)2D levels, as well as bone loss. We suggest that periodic assessment of vitamin D3, calcium and magnesium intake, bowel problems and the measurement of serum 25(OH)D, PTH, Ca levels, UCa/Cr and bone health become part of the integral management of persons with MS. PMID:23202962

  9. Sexuality for the Woman with Cancer

    MedlinePLUS

    ... Topic How the female body works sexually Cancer, sex, and sexuality When you first learned you had ... affect your sexual function. What is a normal sex life? People vary a great deal in their ...

  10. La Mujer Chicana. (The Chicana Woman).

    ERIC Educational Resources Information Center

    Herrera, Gloria; Lizcano, Jeanette

    As objectives for this secondary level unit, students are to: (1) read the unit with comprehension; (2) demonstrate their comprehension of the Chicana's history by participating in an oral discussion utilizing four discussion questions; and (3) correctly answer 15 of the 20 questions on a multiple choice test. The unit consists of a brief history…

  11. Unruly Woman: An Interview with Helen Lewis.

    ERIC Educational Resources Information Center

    Briscoe, Lori; Collins, Erica S.; Deal, Amanda; Hancock, Ron; McGraw, Kristyn; Lewis, Helen

    2000-01-01

    Overviews the career of Helen Lewis as sociologist, social activist, teacher, writer, researcher, and mentor. Helen Lewis discusses growing up in segregated Georgia, her unorthodox approach to education, her fight for social and economic equality, her instrumental role in the development of Appalachian Studies programs, and how social activism…

  12. First Woman at the Helm: "Choppy Waters"

    ERIC Educational Resources Information Center

    Jones-Wilson, Faustine C.

    2007-01-01

    It was an honor for Faustine Jones-Wilson to be the first female editor of "The Journal of Negro Education", a highly respected publication. In addition to the scholarly work involved in this role, there were many challenges to be met and overcome. Most of these challenges were not related to her gender, but to changes within the University.…

  13. Maria Montessori: Portrait of a Young Woman

    ERIC Educational Resources Information Center

    Povell, Phyllis

    2007-01-01

    In this article, the author presents the biography of Maria Montessori, who pioneered early childhood education and introduced a new method of pedagogy. The innovations in education that Montessori introduced were enough to reserve a place for her in the history books. Montessori was ahead of her time in many aspects of her life. The decisions…

  14. Atoms vs. a Three-Legged Woman?

    ERIC Educational Resources Information Center

    Klose, Robert

    2009-01-01

    In contrast to mainstream science, paranormal phenomena have the effect of "blowing things up" because they offer big, grand, gorgeous images that even the uninitiated can grasp and thrill to at first blush. It makes little difference if one has never seen Bigfoot, an alien, or a human clone. There are those who claim they have, and many, many…

  15. Woman's experiences of applying for a divorce

    PubMed Central

    Zandiyeh, Zahra; Yousefi, Hojatollah

    2014-01-01

    Background: Divorce is one of the most controversial and damaging social issues. Since the divorce rates are increasing rapidly, the current study evaluated the effects of factors leading to divorce application. Materials and Methods: This qualitative content analysis used purposive sampling to select 10 female divorce applicants at Isfahan Department of Justice (Isfahan, Iran). In-depth interviews were used for data collection. The contents of the interviews were transcribed verbatim and analyzed using a phenomenological method. The reliability and validity, i.e. real values, applicability, stability, and fact-based results, were ensured through relevant measures. Results: Overall, 110 codes were extracted from the interviews. The codes were organized in 18 subthemes and seven main themes. The main themes included experiences of violence, cultural factors, family factors, financial factors, safety factors, experiences of promiscuity, and social factors. Conclusion: Different individual, social, and cultural factors may lead to divorce. The first step in reducing divorce rates is to identify the most important and influential risk factors for divorce. Community health nurses will then be able to help the families solve their problems. In general, eliminating the causes of divorce can prevent its severe consequences at individual, family, and social levels. PMID:24834086

  16. Special Edition: Woman Researchers in Kyoto University

    E-print Network

    Takada, Shoji

    to the Nobel Prize in Physiology or Medicine awarded to Professor Shinya Yamanaka in 2012, the University is renowned for garnering eight other Nobel Prizes, two Fields Medals, one Gauss Prize, four Lasker Awards, four Canada Gairdner International Awards, two Japan Prizes and four Kyoto Prizes. However

  17. Emerging Woman: Career Analysis and Outlooks.

    ERIC Educational Resources Information Center

    Osipow, Samuel H., Ed.

    The volume, consisting of seven papers, provides some data-based inferences about how women choose and implement their careers, principal factors that influence the choice, and barriers that interfere with women's vocational potentialities. Chapter 1, Demographic and Social Factors in Women's Work Lives, and Chapter 2, Measuring the Vocational…

  18. The Once and Future Working Woman.

    ERIC Educational Resources Information Center

    Fontaine, Ligeia Z.

    1990-01-01

    Unprecedented numbers of women are altering the workplace dramatically. Issues to which employers, government, and educational and support institutions must respond include education and training, economic security, employment policies and practices, family and elder care, and aging workers. (SK)

  19. Important Business Competencies for the Woman Entrepreneur.

    ERIC Educational Resources Information Center

    Diffley, Judy High

    1983-01-01

    Reports on a survey of 106 female entrepreneurs in Kansas. Responses indicated characteristics of women business owners, ranking of various competencies, attendance in past educational programs, and current educational needs. (SK)

  20. Gastrointestinal endoscopy in the pregnant woman

    PubMed Central

    Friedel, David; Stavropoulos, Stavros; Iqbal, Shahzad; Cappell, Mitchell S

    2014-01-01

    About 20000 gastrointestinal endoscopies are performed annually in America in pregnant women. Gastrointestinal endoscopy during pregnancy raises the critical issue of fetal safety in addition to patient safety. Endoscopic medications may be potentially abortifacient or teratogenic. Generally, Food and Drug Administration category B or C drugs should be used for endoscopy. Esophagogastroduodenoscopy (EGD) seems to be relatively safe for both mother and fetus based on two retrospective studies of 83 and 60 pregnant patients. The diagnostic yield is about 95% when EGD is performed for gastrointestinal bleeding. EGD indications during pregnancy include acute gastrointestinal bleeding, dysphagia > 1 wk, or endoscopic therapy. Therapeutic EGD is experimental due to scant data, but should be strongly considered for urgent indications such as active bleeding. One study of 48 sigmoidoscopies performed during pregnancy showed relatively favorable fetal outcomes, rare bad fetal outcomes, and bad outcomes linked to very sick mothers. Sigmoidoscopy should be strongly considered for strong indications, including significant acute lower gastrointestinal bleeding, chronic diarrhea, distal colonic stricture, suspected inflammatory bowel disease flare, and potential colonic malignancy. Data on colonoscopy during pregnancy are limited. One study of 20 pregnant patients showed rare poor fetal outcomes. Colonoscopy is generally experimental during pregnancy, but can be considered for strong indications: known colonic mass/stricture, active lower gastrointestinal bleeding, or colonoscopic therapy. Endoscopic retrograde cholangiopancreatography (ERCP) entails fetal risks from fetal radiation exposure. ERCP risks to mother and fetus appear to be acceptable when performed for ERCP therapy, as demonstrated by analysis of nearly 350 cases during pregnancy. Justifiable indications include symptomatic or complicated choledocholithiasis, manifested by jaundice, cholangitis, gallstone pancreatitis, or dilated choledochus. ERCP should be performed by an expert endoscopist, with informed consent about fetal radiation risks, minimizing fetal radiation exposure, and using an attending anesthesiologist. Endoscopy is likely most safe during the second trimester of pregnancy. PMID:24891928

  1. Note, A Woman’s Life, a Woman’s Health: Equalizing Medicaid Abortion Funding in Simat Corp. v. Arizona Health Care Cost Containment System

    Microsoft Academic Search

    Sara G. Gordon

    2003-01-01

    This casenote discusses the Arizona Supreme Court’s decision in Simat Corp. v. Arizona Health Care Cost Container System. In a decision deviating from those of the United States Supreme Court, the Arizona Supreme Court declared the Arizona statute and accompanying Arizona Heath Care Cost Containment System provisions unconstitutional because they did not survive strict scrutiny analysis under the Privileges and

  2. [Pneumococcal meningitis in a pregnant woman].

    PubMed

    Scharek, Petra; Jekkel, Csilla; Budai, József; Szilasi, Zsuzsanna; Helferich, Frigyes; Arva, Ilona; Váradi, András; Létay, Erzsébet; Katona, Katalin; Rókusz, László

    2014-01-30

    Bacterial meningitis is a life-threatening disease. The incidence of meningitis is about 2.6-6 cases per 100.000 adults per year in developed countries. The most common causative microorganisms are Sreptococcus pneumoniae and Neisseria meningitidis. A 33-year-old multigravida, at 24 week of gestation was admitted to the hospital because of ear pain, haedache, fever and confusion. Lumbal puncture was performed and cerebrospinal fluid analysis showed signs of bacterial meningitis. Latex agglutination test was positive for S. pneumoniae, Gram-positive diplococci have seen under microscope and later cultivation verified S. pneumoniae as the causative agent. After ceftriaxon, dexamethasone administration and treatment in intensive care unit, left side mastoidectomy was performed since cranial computed tomography showed acut exacerbation of chronic mastoiditis on the left side. After extubation, mobilisation and 14 days antibiotic treatment the patient, who had residual hearing loss on the left side, was discharged from the hospital. During the treatment the foetal parameters were normal. The patient at 39 week of gestation gave birth to a healthy infant. Forty-eight case reports have been published in this topic around the world until April, 2012. The most common causative agents were S. pneumoniae and Listeria monocytogenes. Because of the little amount of data, it is hard to appreciate the actual incidence and prognosis of this life-threatening illness both for mother and infant. As far as we know this is the first published case report of meningitis during pregnancy in Hungary. By this article we would like to draw attention to the importance of teamwork, of prevention of brain abscess formation and of the removal of the infection's focus. PMID:24654448

  3. Woman's Club of Coconut Grove Records

    NSDL National Science Digital Library

    The history of women's clubs is fascinating and this rather unique digital collection from the University of Miami Libraries is a worthy look into how one such organization transformed the rapidly growing city of Miami and environs. The organization was founded in 1891 as the Housekeepers Club and over the next several decades its members worked on issues surrounding environmental conservation, city beautification, and women's suffrage. Here visitors can make their way through over 80 documents, including historic photos, club scrapbooks, promotional announcements, and posters. Additionally, the site is rounded out by a nice timeline of club activities from 1891 to the present day.

  4. The Man and the Woman Are One

    ERIC Educational Resources Information Center

    DeCrow, Karen

    1974-01-01

    The article discusses the laws governing the institution of marriage, and points out that these laws are not the same for females and males. Laws concerning divorce, alimony, custody of children, child support payments are discussed. The inequalities of the laws are pointed out. (Author/RM)

  5. As a woman I have no country

    Microsoft Academic Search

    Michèle McHugh Griffin

    1998-01-01

    In this age of political correctness, it is not only acceptable for women to be patriotic citizens and capable soldiers, it is almost mandatory. But this was not always so. Within living memory the idea of women in combat was anathema to most people. Feminist thinkers have struggled with the relationship between women and war. Women's roles in wars of

  6. Gastrointestinal endoscopy in the pregnant woman.

    PubMed

    Friedel, David; Stavropoulos, Stavros; Iqbal, Shahzad; Cappell, Mitchell S

    2014-05-16

    About 20000 gastrointestinal endoscopies are performed annually in America in pregnant women. Gastrointestinal endoscopy during pregnancy raises the critical issue of fetal safety in addition to patient safety. Endoscopic medications may be potentially abortifacient or teratogenic. Generally, Food and Drug Administration category B or C drugs should be used for endoscopy. Esophagogastroduodenoscopy (EGD) seems to be relatively safe for both mother and fetus based on two retrospective studies of 83 and 60 pregnant patients. The diagnostic yield is about 95% when EGD is performed for gastrointestinal bleeding. EGD indications during pregnancy include acute gastrointestinal bleeding, dysphagia > 1 wk, or endoscopic therapy. Therapeutic EGD is experimental due to scant data, but should be strongly considered for urgent indications such as active bleeding. One study of 48 sigmoidoscopies performed during pregnancy showed relatively favorable fetal outcomes, rare bad fetal outcomes, and bad outcomes linked to very sick mothers. Sigmoidoscopy should be strongly considered for strong indications, including significant acute lower gastrointestinal bleeding, chronic diarrhea, distal colonic stricture, suspected inflammatory bowel disease flare, and potential colonic malignancy. Data on colonoscopy during pregnancy are limited. One study of 20 pregnant patients showed rare poor fetal outcomes. Colonoscopy is generally experimental during pregnancy, but can be considered for strong indications: known colonic mass/stricture, active lower gastrointestinal bleeding, or colonoscopic therapy. Endoscopic retrograde cholangiopancreatography (ERCP) entails fetal risks from fetal radiation exposure. ERCP risks to mother and fetus appear to be acceptable when performed for ERCP therapy, as demonstrated by analysis of nearly 350 cases during pregnancy. Justifiable indications include symptomatic or complicated choledocholithiasis, manifested by jaundice, cholangitis, gallstone pancreatitis, or dilated choledochus. ERCP should be performed by an expert endoscopist, with informed consent about fetal radiation risks, minimizing fetal radiation exposure, and using an attending anesthesiologist. Endoscopy is likely most safe during the second trimester of pregnancy. PMID:24891928

  7. NOVA: The Most Dangerous Woman in America

    NSDL National Science Digital Library

    Mary Mallon was an Irish immigrant who worked as a cook in and around New York City during the first years of the 20th century. Today she is better known popularly as "Typhoid Mary", due to the fact that she infected approximately 47 persons with typhoid fever and also for the massive publicity that surrounded her later imprisonment and long battle to clear her name. This engaging website serves as a complement to the recent NOVA program about the life (and broader context of public health concerns) of Mary Mallon. The program is based on a historical study of Mallon written by Professor Judith Walzer Leavitt of the University of Wisconsin, and explores the various implications of this various case that combines both a heightened sensitivity to public health issues and the ways in which this sensationalized incident was portrayed by various officials and journalists. Here visitors can read a letter written by Mallon during her imprisonment and browse through an interactive feature on the history of quarantine. Finally, there is also a selection of links to other related websites and a teacher's guide.

  8. Ring Chromosome 7 in an Indian Woman

    ERIC Educational Resources Information Center

    Kaur, Anupam; Dhillon, Sumit; Garg, P. D.; Singh, Jai Rup

    2008-01-01

    Background: Ring chromosome 7 [r(7)] is a rare cytogenetic aberration, with only 16 cases (including 3 females) reported in the literature to date. This is the first reported case of r(7) from India. Method: Clinical and cytogenetic investigations were carried out in an adult female with microcephaly and intellectual disability. Results: Ring…

  9. You Can Be a Woman Paleontologist.

    ERIC Educational Resources Information Center

    Gabriel, Diane L.; Cohen, Judith Love

    This booklet stresses the value of various academic studies (e.g., history, geology, anatomy, physical anthropology) as prerequisites for a career in paleontology, by depicting real women whose careers provide inspirational role models. The first section is a text designed for use by elementary students and presents the career of paleontology from…

  10. Cogeneration System Analysis Summary Reports for Texas Woman’s University, Denton, Texas 

    E-print Network

    Turner, W. D.; Murphy, W. E.; Hartman, R.; Heffington, W. M.; Bolander, J. N.; Propp, A. D.

    1985-01-01

    requirement, which makes Cogeneration especially attractive. Since most Cogeneration systems will generate electricity at approximately the same price as electricity purchased from a utility, the bulk of the savings will come from the "free" thermal energy...-by-Month Electricity and Gas Cost and Consumption: After Cogeneration D-4 Viii 1.0 Cogeneration Systems 1.1 Introduction Cogeneration is the simultaneous production of electrical and thermal energy, where the thermal energy is a byproduct of the electrical generation...

  11. An Autoethnographic Study: An African American Woman’s Perception of her Journey to the Principalship 

    E-print Network

    Rose, Shirley A

    2013-05-02

    VII BUTTERFLY HIGH SCHOOL ? PRINCIPAL 2005-2012 ........... 203 Interviewing for Principal .............................................................................. 204 Butterfly High School a Definite Possibility... Moving Day ................................................................................................... 210 Butterfly High School History ....................................................................... 210 Arrival...

  12. Writing Woman’s Empire: Imperialism and the Construction of American Femininity in Antebellum Literary Discourse 

    E-print Network

    Lee, Seung Hee

    2014-12-16

    ............................ 163 vi CHAPTER V BENEVOLENT WHITENESS AND EMPIRE IN WILLIAM WELL’S BROWN’S CLOTEL ...................................................................................... 179 Tragic Slave Mothers and the Maternal Benevolence of White Women... world as the place for the new history of women. From the beginning of the early republic writers often praised the elevated condition of American women whose status as “the rational companions of men, not their playthings or slaves” (qtd. in Merish...

  13. Writing Woman’s Empire: Imperialism and the Construction of American Femininity in Antebellum Literary Discourse

    E-print Network

    Lee, Seung Hee

    2014-12-16

    policies from the time of Benjamin Franklin to Paul Wolfowitz. Although the methods of expansion and maintenance of empire have changed over time, “America is and always has been an empire” (Immerman 13). 3 a nation “only reproduces itself as a... to apply the term of farmers. --Benjamin Rush (1786). What “increases our own interest in Brown,” wrote Margaret Fuller of Charles Brockden Brown in her review of the republication of Wieland and Ormond for the New York Tribune in 1846 , is “that, a...

  14. Promoting breast and cervical cancer screening at the workplace: results from the Woman to Woman Study.

    PubMed Central

    Allen, J D; Stoddard, A M; Mays, J; Sorensen, G

    2001-01-01

    OBJECTIVES: This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening. METHODS: Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational campaigns. Data were collected from a random sample of women employees stratified by age (baseline n = 2943; final n = 2747). Cross-sectional analyses were conducted to evaluate the impact of the intervention on screening behaviors. RESULTS: Relative to comparison worksites, the intervention group experienced greater increases in the percentage of women who reported a recent mammogram (7.2% vs 5.6%), clinical breast examination (5.8% vs 2.1%), and Papanicolaou (Pap) test (4.7% vs 1.9%). After worksite cluster and age strata were controlled for, the observed increase in Pap tests was significantly greater in the intervention group (odds ratio [OR] = 1.28; 95% confidence interval [CI] = 1.01, 1.62); however, differences in mammography screening rates (OR = 1.14; 95% CI = 0.90, 1.44) and clinical breast examination (OR = 1.19; 95% CI = 0.96, 1.49) were not statistically significant. CONCLUSIONS: Intervention activities produced a modest increase in cervical cancer screening, but they did not accelerate breast cancer screening rates above the observed secular trend. PMID:11291370

  15. Gender/Issue Interaction in Political Identity Making: Nebraska's Woman vs. Woman Gubernatorial Campaign.

    ERIC Educational Resources Information Center

    Proctor, David E.; And Others

    1989-01-01

    Analyzes the television advertising of the two female candidates for Nebraska governor in 1986 to examine identity-building strategies in the campaign. Finds that gender perceptions were a factor even in this "genderless" election, and each candidate's political identity was constructed through the interaction of gender characteristics and…

  16. Het fin-de-sicle-gevoel bezocht ons echter wel en liet een flinke dosis melancholie

    E-print Network

    bij de Nazi's, en de nazi's doen het goed bij het Vlaams Blok. Populaire opvat- tingen. Ze zijn niet Vlaams Blok Jongeren op vijf januari hun volgende bootfuif organiseren. De Vlaamse berenboot meert aan de

  17. [Dosis sola facit venenum: outcome of intoxications in a Swiss university hospital].

    PubMed

    Muster, C; Exadaktylos, A; Haberkern, M

    2012-03-14

    Poisoning is a frequent disease in an emergency division. During four years we observed patients with poisoning related to there reason of intoxication, the degree of severity, age group and sex, and tried to make conclusions about lethal outcome on behalf of our data. The severity was defined by the «poison severity scale» (PSS). 1515 patients with intoxication in four years were documented. 152 (10%) of them had a severe intoxication or lethal outcome. In women suicide predominated as reason of severe intoxication, whereas in men an abuse of alcool and drugs was mostly seen. A multidisciplinary approach is important for handling intoxicated patients. Our investigation showed a good somatical outcome of patients with severe intoxication. Mortality was 5% (7/152 patients). PMID:22419136

  18. Measurement of Solution Viscosity via Diffusion-Ordered NMR Spectroscopy (DOSY)

    ERIC Educational Resources Information Center

    Li, Weibin; Kagan, Gerald; Hopson, Russell; Williard, Paul G.

    2011-01-01

    Increasingly, the undergraduate chemistry curriculum includes nuclear magnetic resonance (NMR) spectroscopy. Advanced NMR techniques are often taught including two-dimensional gradient-based experiments. An investigation of intermolecular forces including viscosity, by a variety of methods, is often integrated in the undergraduate physical and…

  19. Delayed Presentation of Sigmoid Volvulus in a Young Woman

    PubMed Central

    Weingrow, Daniel; McCague, Andrew; Shah, Ravi; Lalezarzadeh, Fariborz

    2012-01-01

    Volvulus is an unusual condition in Western countries, generally isolated to elderly patients with multiple comorbidities. This report describes an unusual case of a very large gangrenous sigmoid volvulus in a young, otherwise healthy 25-year-old female. A review of the diagnosis and management is subsequently described. Without a consideration of the atypical demographics for sigmoid volvulus, the case illustrates the potential morbidity due to a delayed diagnosis. Early identification and management are crucial in treating sigmoid volvulus before the appearance of gangrene and necrosis, thereby avoiding further complications and associated mortality. PMID:22461935

  20. Shirin Ebadi: A Muslim Woman Nobel Peace Laureate

    ERIC Educational Resources Information Center

    Ahmad, Iftikhar

    2004-01-01

    The Nobel Peace Prize is recognized as one of the most prestigious global awards. Each year the Norwegian Nobel Committee, which is appointed by Norway's parliament to select the winner, receives many nominations from around the world. Shirin Ebadi, who is from Iran, became the eleventh female Nobel Peace laureate in 2003. Ebadi is the third…

  1. Mesenteric involvement of thromboangiitis obliterans (Buerger's disease) in a woman.

    PubMed

    Raat, H; Stockx, L; Broeckaert, L; Rogiers, X; Suy, R; Ectors, N; Ponette, E

    1993-08-01

    Although patients with peripheral arterial occlusive disease due to thromboangiitis obliterans (TAO) have been well characterized and the relationship of this disease to tobacco is stressed, little attention has been focused on its ability to involve the mesenteric vasculature and its ability to affect women. We report a rare case of a known TAO female patient who presented with abdominal pain due to inflammatory changes of the mesenteric vessels. The resulting small bowel ischemic changes and formation of intramural gas were demonstrated on a small bowel follow-through and a plain abdominal film. An angiography finally showed a superior mesenteric artery occlusion. PMID:8294383

  2. Verifying the myth: olympic sex testing and the category “woman

    Microsoft Academic Search

    Laura A Wackwitz

    2003-01-01

    This paper interrogates the myth of a binary sex–gender system and its application to women through the practice of sex testing in international athletics. Sex testing—in which women athletes are evaluated to determine their suitability for competition as women—is premised upon the assumption that there are, and should be, two and only two forms of the human body—male and female.

  3. Picasso's Guitar and Weeping Woman Cubism is a 20th

    E-print Network

    O'Laughlin, Jay

    and "private muse," Dora Maar. It is a study in just how much pain can be expressed in the human face. The eyes are as black apertures beckoning you inside, to be hit "like a punch in the stomach" as "she cries after the bombings by German warplanes. Picasso it seeking to convey the deepest and universal of human

  4. WOMAN OF INFLUENCE Maree Teesson on the "cutthroat and

    E-print Network

    New South Wales, University of

    OF DISCOVERY The citizen scientists tracking the health of our oceans SEX, SPIES AND ROYAL EXILE Meet China The Hilmer years 10 FEATURES Leader of substance 6 Renaissance man 8 Food for thought 9 Voyage of discovery and ABC2's Please Like Me, as well as a presenter on SBS's Destination Flavour and Food Investigators, Lim

  5. Facts and Fiction About the American Working Woman.

    ERIC Educational Resources Information Center

    Crowley, Joan E.; And Others

    A national survey of personal interviews with 539 working women and 993 working men, was intended to test the reliability of the following stereotypes about American women who work: (1) American women work just for pin money, (2) Women work only for economic reasons, (3) Women are more concerned with the social aspects of their jobs, (4) Women…

  6. Woman Gives Birth Using Ovary Tissue Frozen in Childhood

    MedlinePLUS

    ... that women who have a partner can freeze embryos, and single women as young as 14 can ... been developed to optimize freezing techniques of eggs, embryos and ovarian tissue. The ovarian tissue . . . may remain ...

  7. Under the Rug: Substance Abuse and the Mature Woman.

    ERIC Educational Resources Information Center

    Columbia Univ., New York, NY. National Center on Addiction and Substance Abuse.

    This report follows an extensive survey of primary care physicians (N=400) about the problem of substance abuse in women over the age of 59. Research has shown that an individual who reaches the age of 21 without smoking, using drugs, or abusing alcohol is virtually never at risk to abuse these substances. The only exception occurs with mature…

  8. The Young Navy Woman: Her Work and Role Orientation.

    ERIC Educational Resources Information Center

    Thomas, Patricia J.; Durning, Kathleen P.

    1978-01-01

    Data indicate that young women and men entering the Navy come from similar backgrounds and join for the same reasons: the desire to make something of their lives, to gain more education or training, and to travel and meet people. (Author/WI)

  9. 043. A 28-year-old woman with hemoptysis

    PubMed Central

    Galanou, Artemis; Markopoulou, Katerina; Renesis, Basileios; Karaiskos, Theodoros; Dimitriadis, Ioannis; Tryfon, Stavros; Tsara, Venetia

    2015-01-01

    Objective To describe a rare case of bronchogenic cyst of the lung. Case report ? 28-year-old female presented with hemoptysis over the past few hours and left-sided chest pain for the past four days. Past medical history was notable for treated compulsive disorder, peptic ulcer [2000] and ovarian and mammary cysts under observation. She was a smoker with nine p-y history. The chest X-ray (CXR) showed a large fluid level over the left hemidiaphragm. A year ago CXR was normal. Chest computed tomography revealed an abscess with fluid level supradiaphragmatically at the left lower lobe (LLL), with bronchiectases and peribronchiectatic lesions in the same lobe. During bronchoscopy there was hemorrhage from B9 with signs of pressure from outside, without endobronchial lesions. Cytology of bronchial fluid was negative for malignancy and antibodies for echinococcus were also negative. During hospitalization the patient was afebrile and without respiratory insufficiency. Because of continuing hemoptysis and worsening chest pain she was referred for surgery. A stemmed mediastinal cyst arising from the diaphragmatic surface of the LLL was found and it was excised with sparing of the lung parenchyma. Pathology was consistent was bronchogenic cyst. A month later the patient has a normal CXR and is symptom-free. Discussion Bronchogenic cysts are rare congenital cystic malformations arising from the embryonic foregut and are located in the mediastinum or the lungs as fluid-filled formations that do not communicate with the tracheobronchial tree except if they are infected (when they enlarge suddenly due to a valve mechanism). They usually present with chest pain. Hemoptysis is rare and is thought to be due to pressure effects. Diagnosis is possible by determining the density of the cyst content (by computed tomography or magnetic resonance imaging). Stalks that connect the cyst to various intrathoracic structures have been described in up to 46% of cases. In our case, due to the fluid level, an abscess was included in the differential diagnosis. Treatment involves observation, fine needle aspiration of the contents and surgical excision. Due to the low complication rate the latter is recommended more often, before cyst complications, such as in our case, develop.

  10. The "Improperly Educated" Woman in British Novels, 1790-1801 

    E-print Network

    Osbourne, Lacie

    2012-10-19

    effects of restrictive gender identities on female education. I employ feminist literary history and criticism to evaluate the participation of Elizabeth Inchbald, Mary Hays, and Maria Edgeworth in this continuing educational debate through...

  11. Presented at the 2010 ORNL Woman-Owned Small

    E-print Network

    Services Education/Training Photo/Print & Recording #12; Liles Manager, Procurement and Small Business Program Contracting with WSI Oak Ridge #12;WSI Oak Ridge, Plaques, and Promotional Items Motor Vehicle Supplies Products Purchased #12;Services Purchased ADP

  12. The Black Black Woman and the Black Middle Class.

    ERIC Educational Resources Information Center

    Jeffers, Trellie

    1981-01-01

    Reprint of a 1973 article that describes the discrimination that particularly dark-skinned Black women suffer, especially at the hands of a color-conscious Black middle class. Calls for dark women to look to the African appearance and working-class roots as sources of pride and strength. (GC)

  13. The Role of the Native Woman in a Native Society.

    ERIC Educational Resources Information Center

    Swampy, Grace Marie

    1982-01-01

    Eighteen Plains Cree-speaking women, aged 15-93, were interviewed to determine the persistence of traditional beliefs as they affect the role of women. "The major implication is that the culture is alive." Available: Department of Educational Foundations, 5-109 Education North, University of Alberta, Edmonton, Alberta, Canada, T6G 2G5. (LC)

  14. An Anatomy of the International Man (or Woman)

    ERIC Educational Resources Information Center

    Harvey, John F.

    1973-01-01

    The international man lives abroad because he wants to; works in one of the newest branches of any occupational field; can divorce himself successfully from the biases of his native country; is fluent in at least two languages; and one of his most valuable assets is an insensitive stomach. (Author/SJ)

  15. Race and Rape: The Black Woman as Legitimate Victim.

    ERIC Educational Resources Information Center

    Williams, Linda Meyer

    Scientific investigations of the relationship between race and rape have been flawed by the acceptance of official statistics and have been influenced by prevailing myths about rape and race. This paper proposes a theoretical framework for understanding rape and race. The thesis is presented that only the black victim of sexual assault is viewed…

  16. Humanizing the Dissertation Defense: One Woman of Color's Experience

    ERIC Educational Resources Information Center

    Nixon-Cobb, Elisha J.

    2005-01-01

    This essay reflects the author's understanding of the doctoral experience, including the candidacy or qualifying exam, the role of the advisor, and the dissertation defense. In theory this process is the same for all students, but in practice the process may vary from department to department and university to university. She also includes a few…

  17. It's a Woman's World (At Least at These Colleges)

    ERIC Educational Resources Information Center

    Anyaso, Hilary Hurd

    2009-01-01

    Historically, Massachusetts has been home to some of the most vibrant, viable and prestigious educational institutions for women in the country. That number has decreased over time as schools such as Lesley University, Regis College and Wheaton College, among others, have gone coed. In 1999, Radcliffe College officially merged with Harvard…

  18. [A woman with an unusual sonogram of the abdomen].

    PubMed

    Nolens, Barbara J; van Heteren, Cathelijne F

    2012-01-01

    A 29-year-old female complained of abdominal swelling. Transvaginal sonography showed an unusual view of a cystic ovarian mass composed of various dense, round structures. A laparotomic right ovarian cystectomy was performed. The diagnosis was a mature teratoma or dermoid cyst, which is a benign germ cell tumor composed of differentiated, adult-type tissues. PMID:22551759

  19. An all-woman crew to Mars: a radical proposal

    NASA Technical Reports Server (NTRS)

    Landis, G. A.

    2000-01-01

    It is logical to propose that if a human mission is flown to Mars, it should be composed of an entirely female crew. On the average, women have lower mass and take less volume than males, and use proportionately less consumables. In addition, sociological research indicates that a female crew may have a preferable interpersonal dynamic, and be likely to choose non-confrontational approaches to solve interpersonal problems.

  20. A woman's choice? On women, assisted reproduction and social coercion.

    PubMed

    Petersen, Thomas Sobirk

    2004-02-01

    This paper critically discusses an argument that is sometimes pressed into service in the ethical debate about the use of assisted reproduction. The argument runs roughly as follows: we should prevent women from using assisted reproduction techniques, because women who want to use the technology have been socially coerced into desiring children--and indeed have thereby been harmed by the patriarchal society in which they live. I call this the argument from coercion. Having clarified this argument, I conclude that although it addresses important issues, it is highly problematic for the following reasons. First, if women are being coerced to desire to use AR, we should eradicate the coercive elements in pro-natalist ideology, not access to AR. Second, the argument seems to have the absurd implication that we should prevent all women, whether fertile or not, to try to have children. Third, it seems probable that women's welfare will be greater if we let well informed and decision-competent women decide for themselves whether they want to use AR. PMID:15468478

  1. Myocardial Infarction in a Premenopausal Woman on Leuprolide Therapy

    PubMed Central

    Perez, Irving E.; Menegus, Mark A.; Taub, Cynthia C.

    2015-01-01

    Premenopausal women with chest pain syndrome may have nonatherosclerotic coronary arteries with abnormal coronary flow. Estrogens have cardioprotective effect improving coronary vasodilatation. This case report discusses the consequences of leuprolide use by decreasing estrogen levels which led to acute myocardial infarction. PMID:26199626

  2. [Medical treatment of symptomatic uterine leiomyomata in premenopausal woman].

    PubMed

    Koskas, Martin; Derrien, Jean

    2013-01-01

    The most frequent symptom with leiomyoma is menometrorrhagia. However, it can be responsible of pelvic pain, dysmenorrhea or urinary and digestive compression when it is particularly voluminous. If no therapy is able to have them disappear, various drugs may reduce their related symptoms. Tranexamic acid, non-steroidal anti-inflammatory drugs and high dose of oestrogen may be useful in the management of acute hemorrhagic disorders. Progestin, such as lynestrenol induces small reduction in leiomyoma volume and moderate increase in hemoglobin level before surgery. Pregnane and nor-pregnane may improve menstrual bleeding in short or mild delays. The use of GnRH agonists can reduce menstrual bleeding with hemoglobin recovery. Add-back therapy using tibolone seems interesting since secondary effects encountered with GnRH agonists may be reduced. Levonorgestrel-releasing intrauterine system is proven to reduce increased menstrual bleeding and restore hemoglobin level. Aminoglutethimide and fadrozole have been underevaluated to conclude when letrozole seems as efficient as GnRH agonists to reduce leiomyoma volume and provide less hotflushes. Anastrozol is associated with reduction in leiomyomata volume, pain and menstrual bleeding. Mifepristone reduces the size of uterine leiomyomata, improves symptomatology, but could be associated with development of endometrial hyperplasia. SPRM evaluated in females have shown to improve leiomyoma related symptomatology. Ulipristal could be useful to reduce leiomyoma related symptoms in short terms. PMID:23602354

  3. Zitkala Sa: A Woman Who Would Be Heard!

    ERIC Educational Resources Information Center

    Willard, William

    1985-01-01

    Although Gertrude Simmons Bonnin, a Yankton Sioux Indian from South Dakota, died in 1938, she left a legacy of activism for future generations of Indian leaders. As a writer of short stories and poetry under the pen name of Zitkala Sa, editor of the "Journal of the Society of American Indians," and collaborator on an opera ("The Sun Dance"), her…

  4. Adult woman with intra-oral epidermoid cyst.

    PubMed

    Chaudhry, Sadia; Hannan, Abdul; Ikram, Umar

    2013-01-01

    Epidermoid cyst is a rare, slow growing lesion of head and neck region. Its rarest site of presentation is intra-oral. It presents later in life, while taking its time to grow to a significant size, causing other complaints as dyspnoea and dysphagia. We present here a case report of epidermoid cyst at a very rare and unexpected site of presentation. Patient presented in ENT OPD with complaints of large intra-oral midline swelling and associated complaints of dyspnoea and dysphagia. Patient was admitted and operated upon with intra-oral approach, producing good results. It should be kept in mind as one of the differential diagnoses when dealing with long standing intra-oral swellings. PMID:25098100

  5. Growing Up in Community: Why One Woman Came Back.

    ERIC Educational Resources Information Center

    Nielsen, Ellen

    1999-01-01

    An interview with a mother and daughter living in an intentional community in New Hampshire explores how their choices about lifestyle have shaped them, how homeschooling worked for them, the role of other community adults in raising children, why the daughter left and later returned, and how community is more than proximity to other people. (TD)

  6. Consider Nominating a Woman for an AGU Award

    NASA Astrophysics Data System (ADS)

    OConnell, Suzanne

    2013-03-01

    There are many ways to acknowledge scholarly achievement. One of the most prestigious is through professional society awards. Such awards recognize the achievements of society members and are important for career success. Any AGU member, even student members, can nominate someone to be a Fellow or awardee. In fact, some award, medal, and prize nominations are even open to the public.

  7. Hispanas in the Year of the Woman: Many Voices

    ERIC Educational Resources Information Center

    Diehl, Paula; Saavedra, Guadalupe

    1976-01-01

    Five women active in Hispana affairs (all of whom attended the World Conference of International Womens Year in Mexico City) address the issue of American Hispanic women and their relationship to the mainstream women's movement. (JC)

  8. "The Dalmatian": First Australian Opera by a Woman

    ERIC Educational Resources Information Center

    Jenkins, Louise

    2014-01-01

    Australia is currently responding to an international trend that encourages social inclusion and the provision of equal opportunity for all. In a climate that is encouraging and supporting social inclusion, it can be enriching to look back at Australia's history and consider the benefits that have been gained in a previous era when people were…

  9. Walking on Eggshells: The Experience of a Black Woman Professor.

    ERIC Educational Resources Information Center

    Smith, Rochelle

    1999-01-01

    Discusses the particular circumstances of African-American women in academics, giving special attention to those engaged in university teaching at predominantly white institutions of higher learning. Talks about barriers (primarily between teachers and students) caused by race, gender, age, and other aspects of human identity, and ways to…

  10. A woman-led approach to improving postnatal care.

    PubMed

    Fryer-Croxall, Claire; Bailey, Elizabeth

    2014-01-01

    As a large NHS teaching trust we see 6,000 women a year who birth with us. Newly appointed as a modern matron, I noted that poor experience on our postnatal ward has always been a key issue in the complaints we receive and from the feedback that our women give to us. The ImPosE (improving postnatal experience) project was launched in December 2013. This brought together members of the multidisciplinary team who were committed to developing our postnatal ward and improving it for our women and their families. We used a quality management approach, putting 'customer' experience at the core, and implemented a varied package of changes as directed by feedback from service users. PMID:25109071

  11. An Interview with a Persistent Woman: Helen Farmer

    ERIC Educational Resources Information Center

    Harmon, Lenore W.

    2008-01-01

    An interview with Helen Farmer reveals the highlights of her professional life and the unusual road she took to her eventual position as a professor whose theories and mentoring of students have greatly influenced the field of counseling psychology. Also revealed are some of the personal qualities that led to her success. (Contains 1 note.)

  12. Woman, M.D.: issues, perceptions and choices.

    PubMed Central

    Johns, C. J.

    1996-01-01

    I would end with some summarizing points and questions. 1. A majority of women identify gender-related issues influencing their career choices and pathways. 2. Women are diverse in their choices and priorities, with varying balances of personal and professional life. 3. Eighty-three percent of the women responding to the survey have married, and 82% of those married have children. They thus are likely to have two sets of seriously competing responsibilities. 4. It is possible to identify especially promising women during residency or fellowship. Exploring their priorities and values with good mentors will be important to avoid short-changing academic medicine of competent women. 5. Men and women need to be SUPERCHOOSERS in making the choices right for that individual, rather than superwomen or supermen. 6. We can question whether the development and potential of women (and some men) in academic medicine could be enhanced by: a. Consideration of guidance or support for child care resources? b. Flexibility in the system (tenure clock, etc.)? c. Identification of limited full-time clinical or research opportunities for faculty with young children or unusual family demands? d. Facilitation of bridging after a period of part-time activity or re-entry after limited participation? e. Consideration of part-time work at home and flexible on-site work hours for periods of special family demands? Finally, a supportive work environment is important for both men and women in medicine and is an essential priority in academic medicine. Medicine is a wonderful field. Academic medicine on my terms, to include family, has been very rewarding. Sometimes there also have been disappointments, in that I have fallen short of some of my aspirations. However, I must accept the responsibility for my choices. I owe a great debt to many of the men and women of the American Clinical and Climatological Association and of Johns Hopkins who are both friends and colleagues and especially to my husband, Dick Johns. After 42 years of marriage, I am still learning about the balance of personal and professional life. May we all be Superchoosers! PMID:8725556

  13. Woman's Place; Options and Limits in Professional Careers.

    ERIC Educational Resources Information Center

    Epstein, Cynthia F.

    The author contends that, despite the struggle for equal participation with men in all social and economic spheres, most American women have not adequately exploited their rights and talents. Beginning with a survey of the cultural themes and values that profoundly affect how women's career decisions are made, she gives detailed attention to the…

  14. Canadian Woman Studies = Les Cahiers de la Femme.

    ERIC Educational Resources Information Center

    Brady, Elizabeth, Ed.

    1989-01-01

    This journal volume by and about Indian, Inuit, and Metis native Canadian women, contains articles, interviews, book reviews, fiction, poetry, journal entries and art. It is dedicated to the grandmothers who managed to hold on to old ways, teachings, and feelings, and to pass them on. Poems and stories create personal portraits and reminiscences…

  15. The "Improperly Educated" Woman in British Novels, 1790-1801

    E-print Network

    Osbourne, Lacie

    2012-10-19

    , within the evolving discourse on female learning during the period of 1790-1801. British women writers, who opposed the deficient education offered to females, contributed their voices to collectively challenging the notion that education deprived...

  16. Women Nurturing Women: A Woman's Group Using Hypnotherapy.

    ERIC Educational Resources Information Center

    Forester-Miller, Holly

    1999-01-01

    Provides information regarding rationale, objectives, format, and insights from a women's psychotherapy group where self-hypnosis and working in trance were major components. The group was designed to promote emotional, psychological, and physiological healing, and to facilitate women in learning how to give and receive nurturing. Describes…

  17. "When the Woman Came Crying": Social Issues through Children's Writing.

    ERIC Educational Resources Information Center

    Aitken, Avril

    1992-01-01

    Illustrates the complexity of the issues of sexism, gender discrimination, and oppression by sharing some observations, conversations, and writings of elementary school students. Notes the value of including student-created literary characters in class discussion of gender issues. (RS)

  18. Woman in Ancient Egypt: Evolution of Personal and Social Positions

    Microsoft Academic Search

    Anastasia A. Banschikova

    The shortage of direct documentary evidence on the evolution of ancient Egyptian marital and extra-marital relations stimulates an analysis of such a secondary source on gender history as its reflec- tion in didactic literature, as it was aimed at treating and discuss- ing standard and common situations, problems, goals and values of everyday life. If we integrate all the data

  19. Learning from a Woman: Ming Literati Responses to Tanyangzi.

    ERIC Educational Resources Information Center

    Waltner, Ann

    1991-01-01

    Tells the story of Tanyangzi, a young visionary and religious teacher in Ming China. Discusses writings relating to her life and teachings. Emphasizes the concern with chastity, publicity, and fictionality as they relate to the male view of female virtue among men of the late Ming period. (DK)

  20. Delayed Reaction to Trauma in an Aging Woman

    PubMed Central

    Bienenfeld, David

    2007-01-01

    Events of later life may awaken long-suppressed memories and feelings and yield emotional or behavioral problems that are evidence of an early traumatic experience. It is believed that posttraumatic stress disorder (PTSD)-like symptoms are more prevalent in the younger general population, but the lack of data supporting PTSD in the elderly may be due to the complicated presentation. The elderly often present to psychotherapy with comorbid diagnoses and may underreport their symptoms, or the symptoms may be masked by other diagnoses. PTSD is associated with increased rates of major depressive disorder, substance-related disorders, panic disorder, agoraphobia, obsessive-compulsive disorder, generalized anxiety disorder, social phobia, specific phobia, and bipolar disorder. Most of the literature on PTSD in the elderly stems from research on Holocaust or World War II survivors. In this paper, we will explore this particular dimension of late-life onset mental disorder with attention to the relevance of old trauma in performing psychodynamic psychotherapy. PMID:20711335